preferable; in other cases the perineal route. Septic cystitis called for treatment before enucleation according to both Thomas and Bingham.

"Dr. Arthur T. Cabot of Boston preferred the perineal route, and insisted that where uremic signs were present catheter drainage through the urethra until the tongue cleaned and the patient was in fit condition, should be practiced. Dr. Teskey, of Toronto, favored the perineal operation, as did also Dr. W. J. Mayo and Dr. Ochsner. The suprapubic route was preferred by Dr. E. F. King, of Toronto; Sir William Hingston, of Montreal; Dr. W. Alexander, of Liverpool; Dr. H. A. Bruce, of Toronto; Dr. D. J. Williams, of Dannelly, Wales; and Dr. Francis J. Shepherd, of Montreal. Sir Hector Cameron related a case of a man forty-six years of age on whom he had operated sixteen years ago, before there was any surgical literature on the subject. There was absolute retention, severe hemorrhage. and enormous distension of the bladder. Fetid gas followed the use of the knife, and thirteen stones, five of large size, were found, though the man had been sounded for stones without result. The patient was in perfect health sixteen years after the operation.

"Dr. Mayo gave greater rapidity of healing as one of his reasons for preferring the perineal route, fistula being a common complication with the suprapubic. The mortality, however, was the same. There was a large percentage not less than fifteen per cent.- of malignancies.

"Dr. Ochsner exposed the prostate completely by a horseshoe incision. Sharp retractors drawing the prostate downward brought the field under control. The urethral venous plexus must be borne in mind. Ferguson's forceps were of use."

THE SOUTHERN MEDICAL ASSOCIATION.

Ar the recent meeting of the Tri-State Medical Association of Alabama, Georgia, and Tennessee, held at Chattanooga, Oct. 3-5, ult., delegates who had been appointed by the presidents of the State Associations of Alabama, Georgia, Florida, Louisiana, Mississippi, and Tennessee, organized the above named association, which will be the Southern Branch or District Association of the American Medical Association.

A constitution and by-laws were adopted in accordance with the regulations of the National and State Associations. The officers elected were as follows: President, Dr. H. H. Martin, of Savannah, Ga.; Vice-Presidents, Dr. Mack Rogers, of Birmingham, Ala., J. B. Cowan, of Tullahoma, Tenn., and Dr. J. R. Tackert, of Meridian, Miss.; Secretary, Dr. Raymond Wallace, of Chattanooga, Tenn.; Treasurer, Dr. Y. L. Abernathy, of Chattanooga, Tenn. The Association will hold annual meetings on the first Tuesday in October, lasting three days. It is to be expected and hoped that the state of Kentucky and the Carolinas will be added. The Tri-State Medical Association, of Alabama, Georgia, and Tennessee, after a very successful existence of eighteen years passes out of existence, the new

association taking its place. The members of the Tri-State Association are the charter members of the new Association. Members of the various state associations are eligible to membership in the new organization. The annual dues are two dollars, payable annually in advance.

AFTER MANY DAYS.-That "honesty is the best policy is strikingly illustrated by the relation of Scott's Emulsion to the requirements of the new Pure Food Law.

At the present moment the manufacturers of preparations which contain alcohol or harmful ingredients, are greatly worried at being compelled to come out into the open and change their formulas, or state the harmful ingredients on their labels.

Scott's Emulsion, on the other hand, pursues the even tenor of its way, undisturbed and unruffled. It has always anticipated new law, in that it never contained any harmful ingredients. Consequently no change of formula or label is necessary.

Through forcing alcoholic or harmful ingredients to be mentioned on the labels, the new Pure Food Law frees Scott's Emulsion from a tremendous amount of competition.

Thirty years of square, honest manufacture is rewarded by the fact that Scott's Emulsion is not only not hindered, but is actually helped by the Pure Food Law.

TWENTY-FIVE HUNDRED DOLLAR COUNTRY PRACTICE FOR SALE.-Eightyfive to ninety per cent. collectable. Competition limited. Location in "Fruit Belt" of West Tennessee. Nice home. Ten to one hundred ́ acre farm. Good people, and but few transients. For full particulars, terms, etc., address, "J. C.," care of the SOUTHERN PRACTITIONER, 208 Sixth Ave., North, Nashville, Tenn.

ETHICAL ELEGANCE.-To obtain an antiseptic and germicide the equal of bichloride and carbolic without their dangerous features, has been a great study with the friends as well as the foes of these two corrosive agents. Dr. Tyree believes the problem is solved by the clinical and scientific tests made with Tyree's Antiseptic Powder. These tests, with the opinions of gentlemen eminently qualified to pass upon the therapeutic value of any chemical agent, are embodied in an interesting little booklet, entitled, "George Washington's Physician," which will be sent free. While Tyree's Powder has hitherto been largely confined to obstetrical and gynecological work, careful experiments in the hospitals of this country and London, indicate its equal value in general, rectal, laryngeal, and oral surgery, whether of operative or mechanical application.

Should you feel sufficiently interested, the doctor will, upon request, mail a sample of this great antiseptic. In this connection he assures the

profession that this is not done with a view of securing names for publication. This is never done, as his antiseptic is strictly an ethical one. His sole object is to acquaint the profession personally with the great value of this remedy. For samples and descriptive literature, write Dr. J. S. Tyree, Chemist, Washington, D. C.

THE TREATMENT OF COUGH.-Cough, regardless of its exciting cause, is a condition that every physician experiences more or less difficulty in relieving. While the agents designed for its relief are numberless, it is a matter of common knowledge that but few of them are of general utility for the reason that although they may be capable of effecting relief, in doing so they either derange the stomach, induce constipation, or cause some other undesirable by-effect.

The ideal cough cure must combine sedative and expectorant properties without exhibiting the slightest symtom-depressant, gastric-disturbing, constipation-inducing or palate-offending action. Nor should it contain any ingredient the prolonged use of which would cause a drug-habit. Then too, it must be of sufficient potency to produce the desired effect with the utmost promptness, for, in many instances the patient has indulged in self-drugging to a certain extent before consulting the physician; hence, it is directly to the interest of the practitioner to demonstrate his skill by immediately relieving the disturbing condition.

It is now universally conceded that Glyco-Heroin (Smith) is the ideal cure for coughs of all varieties. This product embraces the most active sedatives and expectorant agents in the exact proportions in which they exhibit their greatest remedial potency. It matters not what the exciting cause may be, the effect of this preparation is always immediate, pronounced, and extremely agreeable. The cough is almost instantly suppressed, the expulsion of the accumulated secretions is stimulated, respiration is rendered free and painless and the inflammation of the lining of the air-passages is speedily allayed by its use.

Glyco-Heroin (Smith) may be administered for an indefinite length of time without any depreciation in its curative properties and without the induction of a drug-habit. It is of especial value in the treatment of pulmonary phthisis. It is pre-eminently superior to all preparations containing codeine or morphine.

A GOOD REMEDY IN MANY CONDITIONS.-Thos. G. Rainey, M. D., L. R. C. P., Resident Physician, British Medical Institute, Atlanta, Ga., in a recent article states that the combination of drugs, antikamnia and codeine, in the form of "Antikamnia and Codeine Tablets," which has been so largely used for the control of cough, is also being successfully employed, to a large extent, in the treatment of nearly all affections of the respiratory tract, which are accompanied by dyspnea and spasm, namely: bron

chitis, laryngitis, phthisis, whooping cough, hay fever, and grippal affections. In cases in which the patients were suffering from the severe attendant pain of these diseases, it was found that this combination acted most satisfactorily. Each tablet contains four and three fourths grains of antikamnia and one fourth grain sulph. codeine. To administer these tablets in the above conditions, place one tablet in the mouth, allowing it to dissolve slowly, swallowing the saliva. In the various neuralgias, and in all neuroses due to irregularities of menstruation this tablet affords immediate relief, and the relief is not merely temporary and palliative, but in very many cases curative. The dose most satisfactory is one tablet every half hour until four are administered.

GAILLARD'S SOUTHERN MEDICINE will be published simultaneously in New York and Savannah. On and after October I all communications for the editor should be addressed to Dr. W. E. Fitch, No. 21 West 97th Street, New York City, U. S. A. All business communications, remittances, exchanges, and books for review to Gaillard's Southern Medicine at the above address.

SPRAYING FOR DISEASES OF THE RESPIRATORY PASSAGES.-Dr. David Walsh, Senior Physician to the Western Skin Hospital, London, writes: "Glyco-Thymoline was brought to my notice as an excellent lotion for nasal and oral sprays and washes. On due inquiry it was found to fulfil the two conditions usually recognized by medical men in the United Kingdom as vouching for the character, so to speak, of such a preparation. First, its advertisements are accepted by our three leading journals, the Lancet, British Medical Journal, and the Medical Press and Circular. Secondly, its composition is not a secret, its formula being freely published. Under these circumstances I determined to try the effect of this preparation in a few suitable cases. As a general antiseptic that does not coagulate albumen and is non-irritant, deodorant, and practically non-poisonous, Glyco-Thymoline has clearly a wide range of usefulness. My own observations, however, have been practically confined to its use in the nose and mouth, with results that have proved satisfactory in every instance, especially in acute coryza, pharyngitis, influenza, and septic conditions of the month."

PREVENTION OF TYPHOID FEVER.-Frederick C. Shattuck, M. D., Jackson Professor of Clinical Medicine in Harvard University, says in a paper on "The Value of Drugs in Therapeutics" (Boston Medical and Surgical Journal, March 29, 1906), that some useful synthetic compounds have been discovered and more will be discovered. Who can count the number of cases of typhoid which have originated through the urine of a previous patient? This is a danger against which urotropin, rightly used, seems to afford absolute protection. For the past eight years his patients have all

had seven to ten grains urotropin thrice daily, two successive days of each week, until convalescence was complete. In no case has harm resulted. Were the practice universal, there would be less typhoid, the prevalence of which is a reproach to our civilization.

THE CONSEQUENCE." Is it true that Waldorf died poor?"

"Yes. You see, he lost his health chasing after fortune, and then lost his fortune chasing after health."

-November Lippincott's.

CORRECTION. In our last (Oct.) number, page 607, in quoting from a report of the Texas State Board of Medical Examiners in the August number of the Texas Medical News, we stated that from “Vanderbilt University four passed and two failed." From an authoritative statement we learn that the two who failed had not passed their examination satisfactorily before the Faculty of that university, and were not graduates.

SOUND VIEWS.-Professor Walter Lindley, M. D., in an address to the medical class at the College of Medicine in the University of California, of which he is the Dean, gave forth the following: "There is a great deal being said now about not prescribing so-called proprietary medicines. You simply prescribe what is best for your patient, regardless of the preaching of the zealot who proposes that every person else must follow in his own narrow, contracted path."

MISCARRIAGE. I have prescribed Dioviburnia and Germiletum in my practice repeatedly, especially the former. As a general uterine tonic it has given more than ordinarily good results, and I carried one patient over the third month of pregnancy who had three times previously miscarried at that period. DR. C. M. BAKER,

Hyannis, Mass.

AN UNPARALLELED RECORD.-For forty years the standard iron tonic and reconstructive, Wheeler's Tissue Phosphates, has maintained its remarkable prestige in tuberculosis and all wasting diseases, convalescence, gestation, lactation, etc., by securing the perfect digestion and assimilation of food as well as of the iron and other phosphates it contains. Delicious as a cordial. "As reliable in dyspepsia as quinine is in ague."

IODALBIN is a new organic iodide; a perfect substitute for potassium or sodium iodide, with full alterative effect. No stomach disturbance. No interference with nutrition. Almost tasteless. Easily taken and assimilated. Does not produce acne. May be given in water, coffee, chocolate, syrups, wines, or any beverage or food that is not alkaline in reaction.