ble but forms a permanent, soluble combination ammonium.Monatschrift fur Ohrenheilkunde.

Influence of Solvents on Germicides.-That the liquids employed as solvents of carbolic acid sometimes affect its properties as a germicide has been demonstrated by several writers since Koch alluded to the matter in 1881. Recent experiments by P. Lenti, of the University of Naples, have demonstrated that absolute alcohol completely neutralizes the germicidal action of both corrosive sublimate and carbolic acid with regard to anthrax spores, and that a considerable proportion of water must be added before any germicidal action can take place. Glycerin impedes the action of sublimate when less than 40 per cent of water is present, and of 10 per cent solutions of carbolic acid when they consist of less than 80 per cent of water. Carbolic acid and lysol also lose their disinfecting property entirely when dissolved in olive oil. It would appear, therefore, that alcohol, glycerin and fatty bodies are unsuitable ingredients of liquid disinfectants.-Rev. d'hygiene through L'union pharm, XXIV., 58.

LARYNGOLOGY AND RHINOLOGY.

Under the Charge of WM. E. HOPKINS, M. D., Professor of Laryngology in the Post-Graduate Department (San Francisco Polyclinic) of the University of California; Oculist to St. Mary's Hospital and Hospital for Children.

She

Hysterical Mutism Lasting Fifteen Months.-A girl, twelve years old, had lost her voice from sudden excitement. could only utter some unintelligible words. The symptoms had lasted fifteen months when the author saw the patient. He could easily obtain deep hypnosis, but it was not possible to make her speak whilst it lasted. The author then made the suggestion that she should speak some days later. She did so, and was cured.—RINGIER, Gesel. Aerz. Zurich, Jl. Laryng.

Alarming Epistaxis of Grippal Origin.-The chief characteristic of these cases was their alarming nature; the seat of hemorrhage when localized was always in the posterior third of the nasal cavity, which was always stenosed by spurs and hypertrophy of the inferior turbinated antero-posterior plugging, for suppurative otitis media occurred in one case in which posterior plugging was resorted to.-DE ROALDES, Med. Rec., Jl. Laryng.

VOL. XXXVII-32.

Acute Abscess of the Left Frontal Sinus Simulating Orbital Cellulitis.-The patient complained of severe pain and swelling in the left orbit. The eyeball was displaced downwards and outwards, and there was inflammation of the parts round the eye. The nasal passages were the seat of chronic obstruction. Pus was evacuated from the swelling by incision, and a small hole just behind the trochlea was detected by means of a fine probe. This opening, which led into a suppurating and denuded frontal sinus, was enlarged and made to communicate freely with the nose.-COLLIER, Lond. Lancet, Jl. Laryng.

PEDIATRICS.

Under the Charge of WILLIAM A. EDWARDS, M. D., San Diego, Fellow of the College of Physicians of Philadelphia, American Pediatric and Philadelphia Pathological Societies; formerly Instructor in Clinical Medicine and Physician to the Medical Dispensary in the University of Pennsylvania; Physician to St. Joseph's Hospital; Associate Pathologist to the Philadelphia Hospital and Member Advisory Council for the Section on Diseases of Children of the PanAmerican Medical Congress.

Ascarides Lumbricoides.-A boy, aged fourteen months, was seen on October 14th. He had some inflammation about the umbilicus, the lower half of the umbilical cicatrix being swollen to about the size of a pea, reddened, and with a moistened ulcerated surface. There was no redness or swelling. While the case was being examined slight movements were observed in this little tumor, and presently there escaped through a break in its surface a small lumbricoid worm; a second one was soon voided in a similar way. Both were of a grayish-white color, eight to ten centimeters long, as large as a large stylet, and very active. They were quite dry, nor was their escape accompanied by any loss of fluid. The patient seemed perfectly well and healthy. He had never been sick, and he had no colicy attacks; had been fed quite largely on weak soup and bouillon, as the mother's milk was deficient. He passed a round worm per rectum in the last week of September, and a week later the umbilicus began to swell. The use of santonin seemed without effect. Some days later a few more worms were expelled in the natural way, and the child made an uneventful recovery.—Amer. Prac. and News, Aug., '93.

Hernia in Children.-Dr. S. E. Millikin (in N. Y. Polyclinic for June, Amer. Practitioner, Aug., '93,) contributes an interesting article on the "Diagnosis and Treatment of Hernia in Children." He fully describes the inguinal, femoral and umbilical varieties, which, for all practical purposes, he states are all that occur during childhood. He uses the "Lank" truss in children in the inguinal variety, but never after the child begins to walk. In all cases where the truss has been worn a year by a child which is otherwise healthy and over five years of age, he advises operation, and advocates the use of Bassini's operation for radical cure. A light dressing of sterilized gauze applied by spica bandage is worn by the patient for a month after leaving bed, after which all support may be left off.

For the umbilical variety Dr. Millikin uses a slightly convex pad one inch in diameter, held in place by a broad strip of adhesive plaster which entirely encircles the body. He considers the operative treatment of this variety rarely necessary. He advises the use of the French (or same side) truss for treatment of femoral hernia, not having found a case requiring operative treatment.

The reviewer most heartily endorses this operation, which some recent experiences have demonstrated to him to be by far the most satisfactory expedient yet introduced for the radical cure of hernia. In a personal communication Dr. Sherman, of San Francisco, from his own experience with children, most warmly endorses this proceeding. Certainly in one case of Dr. Sherman's that the reviewer has had the pleasure of seeing, the results were most brilliant, owing to the peculiar difficulties that the case presented.

THE late Professor Billroth's successor is to be Professor Gussenbauer of Prague, instead of Professor Czerny as stated in the JOURNAL for July. The latter's refusal to accept the Chair of Surgery is said to have been partly due to a misunderstanding.

THE Czar of Russia has contributed fifty thousand roubles, nearly $40,000, towards the expense of the next International Medical Congress.

WE are in receipt of a new journal from Guadalajara, Mex., The Bulletin of Medicine and Surgery. Mexico is progressive

and means to be fully abreast of the times.

PACIFIC MEDICAL JOURNAL.

EDITOR:

WINSLOW ANDERSON, A. M., M. D., M. R. C. P. LOND., ETC.

The Editor is not responsible for the views of contributors.

All communications should be addressed to PACIFIC MEDICAL JOURNAL, 603 Sutter St., San Francisco.

SAN FRANCISCO, AUGUST, 1894.

Editorial.

OUR CALIFORNIA STRIKE.

No spot on earth enjoys the combined advantages of California as regards climate, soil, mineral wealth, geographical position and magnificence of scenery; of the beautiful seraph sister States, California is the grandest and fairest of them all. Yet in enterprise, in industrial and mechanical development, in intellectual growth, in robust substantial moral worth, our citizens in the past twenty years have been far outdone by those of many other States much less favorably endowed. A stream can rise no higher than its fountain head, and the source of all intelligence, patriotism, moral worth and enterprise of a State spring from the character of its citizens.

The strike has been the balance beam upon which the intelligence and moral worth of our press and citizens have been weighed and found wanting. The public press almost to a paper, and thousands of our citizens, advised, encouraged and urged on the infuriated mob to deeds of murder, pillage and destruction of property. Alas for our Capitol, abandoned by the Governor, betrayed by her militia and disgraced by her citi zens; and her Mayor, whose blood was brought from fathers of the grandest race that the world has yet seen, exhibited nothing of the zeal and fire of an Isaiah, or the leadership of a Moses, or the valor of a Joshua, or the executive ability of a Joseph, or the moral grandeur of a David. Our Capitol building should be draped in sack cloth and ashes for 90 days and abandoned forever. California, thou art shamed; Sacramento, thou hast lost thy noblest breed of men!

While the clergy of Oakland were inciting the mob to its bloody work, thank God no medical man has dishonored our ranks by encouraging lawlessness, or leading the mob on to acts

of violence and murder. Yet when violence is to be stopped, and mobs are to be dispersed, as they must and shall be, medical men are the first to entreat the strong arm of the law to have compassion on the multitude and to remember that the innocent wives and little ones of the misguided men have already suffered the pangs of poverty and the tortures of hunger; and to express the hope that justice will be tempered with mercy in view of the fact that the brutal, infuriated, rioting mob striker is only the instrument, the press and sympathizing citizens are responsible for the rapine, crime and murder.

DOCTORS' AND LAWYERS' FEES.

We have on several occasions called the attention of the profession to the difference between the charges of doctors and lawyers. Our readers will find an excellent article on this subject in the June number of the North American Review, by Dr. W. A. Hammond. Reference to the subject in medical journals only reaches the profession. The article by Dr. Hammond will undoubtedly be read by all classes, and will probably have its weight with judges and juries in passing upon the fees of lawyers and doctors. Why a lawyer should be paid 500 per cent more than a doctor for doing 500 times as little work, we suppose is entirely owing to the fact that the lawyer is that much more capable of taking care of his own interests. Exactly why the secular press of this country should take the same view of the case is a mystery. A case in point. The daily papers at the present time are congratulating ex-President Harrison upon receiving a fee of $25,000 for four hours work in court; had a medical man of equal or more ability than Mr. Harrison charged a many times millionaire $5,000 for a month's constant attention, the whole press would be charging him with robberya man to be avoided when you are sick, etc. Another case in point. Judge Levy, of this city, has just allowed a firm of attorneys a fee of $80,000 for looking after the routine business. of an estate for a few months, and yet this very same judge refused to allow a fee of $30,000 which a medical man had presented for many months' attendance on a millionaire and his family. The actual work was probably 100 times more than that performed by the attorney who received $80,000; while the responsibility was probably 500 times more, yet his Honor, Judge Levy, saw fit to cut the doctor's fee down to $10,000. And why?