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often adding that this was the only one which could compare with it in personal comfort and pleasure.

The 'address of Dr. Keen attracted much attention. His earnest plea for endowment funds for research work, in connection with medical colleges, we believe will in time bear fruit.

The fact that medical schools, with their needs of extensive equipment and its direct bearing upon the welfare of humanity, are the only practically unendowed class of educational institutions of this country, is a striking one. The oration in surgery of Dr. Rodman dealt with gastric hemorrhage in a most thorough manner. One of the surprising statements was the unchallenged remark of Dr. Price, of Philadelphia, that puerperal mortality in the United States is to-day higher than it has been any time during the past thirty-two years, and inferentially blaming it to "meddlesome midwifery." We look for his statistics to be soon disputed as they controvert our previous ideas completely.

Malaria and typhoid fever received the major part of medical attention, while of course appendicitis was tossed back and forth by the surgeons with the usual satisfaction.

The most striking feature of the meeting was probably the first pathological exhibit in connection with it; 1500 specimens admirably classified and explained were embraced in this exhibit and received general attention. Several hundred microscopes were arranged for the examination of organisms and sections, while there was a vast array of fresh specimens illustrating diseased meats and the necessity for their thorough inspection. Of course the near-by colleges supplied a large assortment of their choicest preserved curios.

Attractive and extraordinary as were the special features. so freely provided, they were not open to the usual criticism of attracting members away from the work of the sections, as they were almost wholly in the nature of evening entertainments and recreation. We noted a rather limited number of Colorado members present, due doubtless to the distance and the American Congress of Physicians and Surgeons at Washington a month ago and which attracted many of them. Nearly a hundred physicians, representing every state in the Union, have registered for special work at Johns Hopkins Hospital, Baltimore, during the past two months. Their facilities are admirable and the entire staff most courteous.-J. T. M.

PULMONARY EMBOLISM.*

By F. E. WAXHAM, M.D.,
Denver, Colorado.

The author believed that many cases of pulmonary embolism or infarction were the result of wounds or operation upon veins and sometimes from a phlebitis or a puerperal uterus, and cited a fatal case following child birth and also a fatal case associated with a phlebitis and a case terminating favorably after an operation for varicose veins.

A tabulated report of eighteen cases was presented, showing that while rare the condition occurred most frequently during the puerperal state. Thus of the eighteen cases eleven occurred after child birth as the result of thrombi derived from the uterine sinuses, one following an attack of phlebitis, one following an operation for varicose veins, one following an operation for hemorr hoids, one from an injury to the subclavian vein, one from flushing a hematocele after an operation, and one as a result of a mitral stenosis associated with uterine fibroma. The chief symptoms enumerated were sudden dyspoea, frantic efforts for breath, rapid and shallow respiration, rapid, feeble and thready pulse, pain in the side, short, frequent and painful cough, with expectoration, in the majority of cases, of pure blood, followed by mucoid expec toration streaked with blood. Patients frequently die suddenly with the symptoms of asphyxia, occasionally in convulsions, while others pass into a comatose condition. The prognosis is generally unfavorable. Of thirty-five cases collected by Sperling (Max) in 1893, twenty-seven terminated fatally, while of the eighteen collected by the author nine ended with death.

The author reported in detail a case following an operation for varicose veins in which the patient violated the explicit advice of his surgeon in regard to keeping perfectly quiet. He was taken suddenly with dyspnoea, palpitation, shortness of breath, rapid and feeble pulse and a well marked cardiac murmur. Under the use of oxygen gas by inhalation, of strychnia hypodermically and ammonia, the murmur disappeared, but was followed by severe pain in the lower lobe of left lung. The dyspnoea continued, the pulse remained weak and feeble, the surface of the body cool and clammy and the patient extremely anxious. Expectoration of pure blood occurred and continued for two or three days, followed by mucoid expectoration streaked with blood. The patient finally recovered, under the use of morphia to control pain and restlessness, the continued use of oxygen, strychnia and ammonia.

The practical deduction drawn was the importance of absolute rest and quiet during the puerperal state and after all operations upon or injuries to the veins, and also in all cases of phlebitis.

*Read before the Colorado State Medical Society, June, 1900.

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Physicians remitting 50 cents will receive one complimentary sample of each, "Hydrozone" and "Eye Balsam."

Marchand's Eye Balsam is put up only in one size bottle. Package sealed with my signature.

Hydrozone is put up only in extra small, small, medium and large size bottles bearing a red label, white letters, gold and blue border, with my signature.

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By furnishing these necessary hæmoglobin-making and oxygen-carrying elements-Iron and Manganese-in a form for almost immediate absorption. Both repeated "blood counts and clinical experience go to prove this statement.

PEPTO-MANGAN "GUDE" is put up only in bottles holding 3 xi.

Prescribe original packages, Doctor, and thus avoid substitution. NEVER SOLD IN BULK. Samples and literature upon application.

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THOMAS H. HAWKINS, M.D., LL.D., EDITOR AND Publisher.

Henry O. Marcy, M.D., Boston.

COLLABORATORS:

Thaddeus A. Reamy, M.D., Cincinnati.
Nicholas Senn, M.D., Chicago.
Horace Tracy Hanks, M.D., New York.
Joseph Price, M.D., Philadelphia.
Joseph Eastman, M.D., Indianapolis.
Franklin H. Martin, M.D., Chicago.
William Oliver Moore, M.D., New York.
L. S. McMurtry, M.D., Louisville.
G. Law, M.D., Greeley, Colo.

S. H. Pinkerton, M.D., Salt Lake City.
Flavel B. Tiffany, M.D., Kansas City.
M. B. Ward, M.D., Topeka, Kan.
Erskine S. Bates, M.D., New York.
E. C. Gehrung, M.D., St. Louis.
Graeme M. Hammond, M.D., New York.
James A. Lydston, M.D., Chicago.
J. T. Eskridge, M.D., Denver.
Leonard Freeman, M.D., Denver.
Carey K. Fleming, M.D., Denver, Colo.

Subscriptions, $2.00 per Year in Advance; Single Copies, 20 Cents.

Address all Communications to Denver Medical Times, 1740 Welton Street, Denver Colo. We will at all times be glad to give space to well written articles or items of interest to the profession.

[Entered at the Postoffice of Denver, Colorado, as mail matter of the Second Class.]

EDITORIAL DEPARTMENT.

Colorado State The thirteenth annual convention of
Medical Society. this society was opened at the
Brown Palace Hotel at 9:40 a. m.,

June 19. After an invocation, the corresponding secretary announced that the membership of the society had fallen during the past year from 326 to 293 by death, resignation and failure to pay dues. The exchequer, as reported by Treasurer Rothwell, is in a healthy condition, showing a gain of about $100 over a year ago. Dr. Wetherill stated that the committee on place of meeting, after free consultation with members in this and other towns, had come to the conclusion that it would be advisable, for a time at least, to continue in Denver.

The first paper on the program was by Dr. W. C. Bane, on "Early Correction and Educative Treatment of Convergent Strabismus." He also exhibited a siderscope of his own construction, an ingenious instrument for the detection of iron or steel in the eye.

Dr. J. W. Cline next read a paper on the ever timely topic of "The Rational Treatment of Abortion in Country Practice." He was followed by a practical paper by Dr. Melville Black, on "Helps in Refraction,"

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