which we need to take care of are those whose means are limited, but who still cannot be considered as charity patients. It was Mr. Oakes' original idea to establish an institution for this very class, but unfortunately the expense of the institution is so great that it is somewhat more than the middle class, those of very moderate means, can stand. His institution is exceedingly model in its makeup, but nevertheless it does not meet the requirements of the most of the patients, of the great number of patients, those of the middle class as we might call them. DR. PIKE-Mr. President: While having but little experience personally with tuberculosis, it being my fortune to live in that section of country where we have but little of that trouble, I could not help but say a word in reference to one feature of the paper in the way of endorsemnt. Two years ago, while in England, where, as we all know, tuberculosis is very prevalent, I had an opportunity of hearing the matter discussed by medical men there in relation to infection of tuberculosis, and one gentleman cited as an instance Brittany, in France; that less than a century ago in that section of the country the people. were noted for their fine physique, for their freedom from all tubercular troubles. It had become know that that was a country favorable for patients to resort to, and they began to go there, and have resided in the farm houses and along with the inhabitants in private homes. That has been going on now for a great many years. Today it is almost impossible to find a family in Brittany that is not suffering from tuberculosis as the result of infection. It seemed to me a very striking evidence of the contagiousness of tuberculosis. I only speak of this because it endorses Dr. Holmes' paper in that respect. DR. BERNHEIM-Mr. President: I have not had the pleasure of hearing the paper, and consequently I could not discuss it. I heard the remark that Dr. Holmes made about the death rate of patients in Colorado. In Montana we fortunately have not such a death rate; in fact, the tubercular patients are those that we see very rarely in our offices here, and the question, the vital question of infection of tuberculosis is here, in Butte and in Montana, not so very important. We have very few cases, and those as a rule are acquired in the mines, and these very few as a rule go away from Montana, so there is nothing left for us to see here, although in my opinion if they would stay in Montana they would be better off. I think we have got in Montana just as good a climate for tubreculosis as they may find anywhere else, and those that I know who have gone away to the southern states have not found what they hoped for and came back. While here they are getting along much better than anywhere else, in Arizona or New Mexico or in Colorado. I would except Butte for several months in the year on account of the smoke; otherwise, I think that Montana has got just as good a climate for tuberculosis as we can find anywhere in the southern states. DR. HOLMES-Mr. Chairman: I have very few remarks I want to make. I would, however, like to correct one point which Dr. Hershey spoke of, and that is in regard to the assumption that oneseventh of our population all suffer with the disease of tuberculosis. Statistics in various parts of the country vary on this point of the death rate from tuberculosis. It is an approximate estimate made so from many cases, many deaths due to tuberculosis, when the diagnosis has probably been due to some other disease-many cases where the diagnosis has given some other name, as tuberculosis in some form of compound complication. There are also many persons who have a latent form of tuberculosis that is never known; cases that probably under uncongenial conditions, are developed, and probably have already developed a form of tuberculosis of mild form. Hence the public, and even physicians, are unable to recognize the true nature of this incipient form. I believe it is an impossible thing to estimate accurately the real number who have tuberculosis. In order to get at the point that I was trying to make I simply assume that, from the records that we have, one-seventh die of this disease; that one-seventh of our population has the disease in some form, if it is a mild form. Any way, if it should be one-eighth or one-tenth or one-twelfth the point is, I think, well taken, because to each person with the disease there are a certain number recognized as being well persons, and we are intermingling and associating with them without exercising the proper precautions, either on the part of the well or as to those that are afflicted; and I know from personal observation that many of those who are in a dangerous form of the disease are very careless about their expectoration and about the precautions they should take, with respect to others who are associated with them. One other point I think Dr. Levy made with regard to hotels. I believe it is far safer for a person to go into an institution where they take tuberculous patients, and where all of the recognized precautions are taken there to prevent infection, the source of the trouble, from food and drink, and the danger from associating with them is far less than it is with the lack of precaution in the most of our hotels. I believe that is all I care to touch upon. IS THE MOST POWERFUL ANTISEPTIC AND PUS DESTROYER. GLYCOZONE (C. P. Glycerine combined with Ozone.) IS THE MOST POWERFUL HEALING AGENT KNOWN. DYSPEPSIA, GASTRITIS, GASTRIC ULCER, CHOLERA INFANTUM, ASIATIC CHOLERA, DYSENTERY, Etc. . Send for free 300-page book "Rational Treatment of Diseases caused by Germs," containing reprints of 140 scientific articles by leading contributors to medical literature. 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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. The Newspaper Press That sapient organ of purity, honor and decency in Denver, called the Evening Post, has broken out again in a humorous editorial warning its readers against the so-called "Medical Trust." The newspaper claims to have inside information as to the existence of such an organization and its foul intent and purposes; so it raises a voice of warning to the people first and to the members of the "trust" afterward. It is interesting indeed to learn of the existence of such an organization,-if it really does exist. Of course we would not be understood as for one instant doubting the assertion of a newspaper which has such a reputation for probity as has the Post. It has probably simply refrained from publishing the full details of its inside information in order to use it at some future time when it would have greater weight. In our own experience the most pernicious form of "trust" that we have yet met with in medical practice has been the habit that doctors have of "trusting" so many persons of the |