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CURRENT MEDICAL THOUGHT
acts by giving a good supply of oxygen to the system, but as a consequence of that supply, the appetite is greatly improved, and the power of the system to digest and assimilate food is increased, and that is the secret of the cure. Tuberculosis is a degeneration; improve the nutrition sufficiently to combat the degenerativ process, and the cure begins, which if continued until recovery, solves the problem of the cure.
We would use in this case some intestinal antiseptic, as salol; or the sulfocarbolates. Guaialin is a new chemical of the antiseptic class, not only acting locally, but also constitutionally. See claims made in December WORLD, on page facing page 568.-ED.]
Inhale fumes of boiling vine
Acid sulfuricum ;
Aconite, codein, zinc cyanid; III. Allays irritation : Pilocarpin, cannabis ;
ity and cause retain- Sanguinarin; ed secretion to be Strychnin, etc. thrown off.
-Dr. M. G. Price, in Wis. Med. Recorder.
Editor MEDICAL WORLD :- I would like to ask you for the name and a brief sketch of the greatest man in scientific medicin and surgery, living or dead, and the achievements which entitle him to this distinction.
GEO. B. THOMPSON, M. D. Kansas City, Mo.
1531 Genesee St. [Does anyone wish to try to answer this query? If so, better write to the Doctor direct, and if he wants to make a report of the gist of the replies for publication, he can do so.
Of course any answer to the above question will be largely a matter of opinion, also of information, for but few men, if any, have a thoro and discriminating knowledge of the history of medicin and of prominent medical men.-ED.]
Pains of Locomotor Ataxia. Editor MEDICAL WORLD:-I am one of the unfortunate ones, suffering from locomotor ataxia since 1897, the exciting cause being diphtheria contracted from a patient. I wish some member of the profession would tell me of a tried remedy that will relieve the ataxic pains. No theoretical advice about new drugs, but some treatment they have found of real benefit in this most painful disease. I am able to walk on crutches for short distances, and came here on account of climatic conditions, which are very equable and temperate. Many invalids are sent here whose physical con. ditions are not suited to the climate at all, and would do better at their homes.
I would like to get something to relieve the fierceness of these pains, when they come. I would also like to get the work of testing sputa and other secretions for physicians if such were possible thru the mail.
The Dry Mouth of Fevers.
University of Virginia, January 9, 1904. To the Editor :- About ten years ago I saw a case of typhoid fever in consultation. It was suspected, at first, that the case was one of pelvic abscess, but when I reacht the patient the symptoms were unmistakable. At this time the young woman was lying in a condition of semi-consciousness with a dry mouth and sores on the tongue, which was dry and crackt. The gentleman who askt me to see the patient complained that he knew no way of preventing this distressing symptom, so often found in bad cases of continued fever. He said he had used the usual remedies, but they were unsatisfactory. Since then the treatment by the cold bath has done much to prevent, but has not entirely prevented, the dry mouth. At the time I suggested that, as the trouble arose from the weakness of the patient allowing the mouth to remain open, thus permitting evaporation from the moist surfaces of the tongue and buccal cavity, the use of an apparatus such as is customary with a fractured jaw might, by keeping the mouth closed, relieve the trouble. I had not heard from the doctor until a few days ago when writing to me he mentioned this case, and said that he had frequently made use of the suggestion, since my visit, and with unvarying success. Whenever, in such cases, the mouth became dry he used a wire cup and a bandage under the lower jaw, and in a few hours relief was always obtained.
I think it worth while to suggest this plan to gentlemen who are seeing many such cases.-A. H. Buckmaster, M. D., in N. Y. Med. Jour.
637 Boston Ave., San Diego.
The average expenditure upon liquor by the people of this country is seventeen dollars ($17) per head, mostly for beer ; for tobacco in all forms it is six dollars ($6). Taken together, the expenditures for liquor and tobacco come to twenty-three dollars ($23) per head, while our expenditures for the support of the government last year, including the cost of war, were only six dollars ($6), or about one-fourth the cost of drink and smoke. We are proud of our system of education and we boast of our common schools, yet we apply only three dollars ($3) a head, on the average, to the support of common schools, varying from a minimum of less than a dollar in the cotton states to five dollars in Massachusetts.-Jour. of Inebriety.
One of the best eye washes for routine work is prepared by adding three drams of powdered borax to four ounces of camphor water. Bathe the eyes freely with it four times a day, allowing a little of the fluid to run under the lids. The camphor water is prepared by dropping a few pieces of gum camphor in a quart bottle of water and allowing to stand a few days, and picking out the camphor. This is fully as good as the U. S. P. method, and much less tiresome and expensiv. Such a wash is quickly and cheaply prepared. * If the pieces of camphor are large enuf to be retained in the bottle readily when dispensing from it, they may be allowed to remain, fresh water being added as fast as any of the camphor water is taken out; then one is certain of always having a supply ready for immediate use.
Physicians and Massage.
occurred. There occurred three hemorrhages. The members of the medical profession The shortest duration of fever was twelve days; should bear in mind that they are themselves the longest, a case which relapst, forty-four exceedingly ignorant in what constitutes high- days. The average duration of fever was sixclass massage and remedial movements, few of teen and three-fourth days, counting from the them having learned the simplest rudiments of first day of the headache, malaise, etc., until mechanotherapy; and that consequently, they the temperature reacht normal. After that, in are rarely competent critics. In Europe this most of the cases, there was an evening rise for is not so. Again, in this country we have few one or two, and sometimes for five or six, of the thoroly trained masseurs, such as are days; which is the usual course under any graduated at the Swedish, Danish, and German treatment. high-class institutiors, where the course is two 1 here were only four relapses. This was full years of nine or ten months each. Unfor- attributable, in part, to the continuation of the tunately, our local schools of massage turn out diet during convalescence; but it was attribgraduates after a three months' course, and utable, more than anything else, to the fact even American aptitudes can become only that the castor oil was continued until long superficial in the fundamental branches in so after the fever subsided, and the patient was brief a training. Few are conscientious enuf safe from the likelihood of a relapse. As a to carry their studies to an adequate thoroness; rule, during convalescence from typhoid fever, yet a few do so and are then often better than there is more or less constipation, which is prethe foreigners. The European masseur finds vented by the continued use of the oil. There almost none of our physicians able to appreci- occurred, practically, no complications. The ate his skill, much less competent to direct him, fact that the poisons were eliminated nearly as hence the temptation is for him to practise on fast as generated, and that the patients were his own responsibility. Thereupon, in the not doctored to death with useless and harmful minds of many, both of medical men and mas- drugs, is probably the reason there were no seurs, there arises a bitter antagonism based on more complications, and that the cases generalrivalry. This is not as it should be; they ly ran a mild course. In almost every case the ought to work in harmony, each appreciating temperature was below 102° within two or the special skill of the other.
three days after the treatment was begun In
some cases the fever fell faster and went lower Two men, in no way associated, applied for
than it did in others. I have seen it fall from work in massage recently, one a graduate of the effects of one dose of oil three degrees in Dr. Clodhausen's Institute, in Copenhagen,
five hours, and again I have seen a single dose and one of the Royal Institute for Gymnastics, fail to reduce it at all; but I have always found in Stockholm. The first, after completing his that the temperature would promptly rise if the two years' course in Denmark took a postgrad
oil was withdrawn. uate course of a year in the Swedish School.
The method I think best is to begin promptOn coming to America, each hearing of the ly with a dose of pure castor oil every twelve marvels of osteopathy, which pretends to pro- hours, regardless of the stage of the disease. ceed on similar lines, but with a mystical qual. The dose should be so regulated as to cause one ity of omniscience, determined to learn this or two actions, and will vary from one to eight "science." Each one took the full course at
drachms, depending upon the patient, the stage Kirksville, the school of Dr. Still and the
of the disease and the condition of the bowels. fountain head of osteopathy, graduating in due
This should be continued thru all stages of the course. They both assured me that they disease. —Dr. C. C. Bass, of Columbia, Miss., learned no facts of importance not already in N. Y. Med. Jour. known to them. Such instances can be readily duplicated in the experience of others.--Dr.
The use of oliv oil in ulcer of the stomach as sugJ. Madison Taylor, in New York Medical gested by Waldo in Cent. fur innere Med., Nov. 8, 1902, Journal.
is rational, and should be given a trial. It is said to
reduce the acidity of the gastric juice, thus preventing Castor Oil Treatment of Typhoid fever.
further erosion; it quiets irritation, and acts gently on
the bowels. It is given in desertspoonful doses, and I have already stated the thoro diagnosis of the patient allowed to rinse the mouth with some all the doubtful cases, Widal's test being made,
aromatic mouth wash. The dose is gradually increast
to fifty cubic centimeters; if this creates nausea, the and will now summarize the results in seventy- oil is made into an emulsion and cautiously introduced In the majority of these cases no thru the stomach tube. He reports a series of cases
demonstrating the success of the treatment and medicin except castor oil was given. All were believes it would also be efficient in duodenal ulcer. given an abundance of pure drinking water. (We suggest the addition of a mildly healing antisepThe diet was strictly liquid, generally milk,
tic, and believe such a course would favorably influ
ence gastro-intestinal catarrh and ulceration following and sometimes predigested food. No deaths prolonged diarrheal trouble.-Ed.)
Pennsylvania Examination Questions Used
December 16 to 18, 1903.
1. Describe the relation of the deep epigastric artery and the in
ternal abdominal ring. 2. Describe the course and distribution of the nerves of the palm
of the hand. 3. If the femoral artery were obstructed at the apex of Scarpa's
triangle, thru what channels would the blood flow to reach
the tibial arteries? 4. Give the relations and topography of the gall-bladder. 5. Describe the superior vena cava, and name the veins that enter
into its formation. 6. Name five muscles of the shoulder, and give the origin and in
sertion of any one. 7. Describe the mastoid portion of the temporal bone, and name
the muscle attacht thereto. 8. Name the structures that maintain the bladder in its position in
the male and female. 9. Describe the iris, giving its blood and nerve supply. 10. Make a sketch of and explain the circulation of the kidney.
1. Define hyperchlorhydria : causes, symptoms, diagnosis, and
treatment. 2. In chronic interstitial nephritis (the primarily contracted kid.
ney) name the causes, structures involved, symptoms and 3. What are the causes of hypertrophy of the heart other than
valvular disease, and how would you recognize the condi
tion? 4. Give the incubation periods of smallpox or variola, of chicken
pox or varicella, the time of appearance of eruption in each,
duration and clinical history and respectiv diagnosis. 5. Define Argyll-Robertson pupil and name the diseases in which
it is one of the diagnostic signs.
1. Explain the functions of each component part of an artery and
include its nervous mechanism. 2. Explain "electrotonus," and describe the effects of an ascend
ing and a descending electric current upon normal muscle,
when closing and opening the circuit. 3. Describe the principal superficial and deep reflexes. 4. Describe the mechanism of the heart in action. 5. Describe the functions of the suprarenal capsules.
1. Give symptoms and treatment of pyemia and septicemia. 2. Describe any one of the dislocations of the shoulder-joint and
the mode of reduction. 3. Describe the diagnostic symptoms and the surgieal treatment
of congenital inguinal hernia. 4. Describe the varieties and the treatment of fracture of the
patella. 5. Give the etiology and symptoms of nasal polypi and describe
the surgical treatment. 6. Describe the operation of ligation of the lingual artery. 7. Give the operativ treatment of varicose veins of the lower ex
tremity. 8. Define necrosis and give the cause, symptoms, and treat
ment, 9. When and why is ether preferable to chloroform for anes
thesia, 10. Describe the surgical methods for the reestablishment of joint
• function in confirmed ankylosis.
CHEMISTRY. 1. Describe a test for excess of hydrochloric acid in the gastric
contents. 2. Define albumoses and give test for detection. 3. Give method for quantitativ estimation of urea eliminated in
twenty four hours. 4. Give quantitativ test for glycosuria. 5. Define bilirubin, describe its properties and give test for its presence.
THERAPEUTICS. 1. Name the two most important drugs used in the treatment of
syphilis ; the stage in which each is indicated and the proper
method of administration. 2. In night sweats name the drugs indicated, their doses and meth
ods of administration. 3. Name several drugs that render the urin alkalin; give their in
dications, doses, and methods of administration. 4. Name the hypnotic drugs and their doses, and name the chief
hypnotic to be avoided if the patient has a weak heart, and
tell why it should be avoided. 5. Give the indications of salol, its dose, and name the two drugs
it is subdivided into in the stomach.
1. Give the causes and treatment of postpartum hemorrhage. 2. Give the relations of the cephalic and pelvic diameters at three
points during the birth of the head in an L. O. P. presen
tation, 3. In prolapse of the funis what are the dangers and how should
you proceed to overcome them? 4. How would you prevent phlebitis in the puerperal period? 5. Give the rules for applying the forceps and describe the method
of application in the R. O. A. position. 6. Cite the conditions requiring version. 7. Diagnosticate rupture of the body of the uterus during labor. 8. Diagnose pregnancy in the sixth month from phantom tumor. 9. What are the conditions justifying the induction of premature
labor ? 10. In what stages of labor is it improper to give ergot!
1. Give a concise statement of the means to which you would re
sort to prevent the contamination of drinking water. 2. How do running and quiescent waters purify themselves and
which is the more efficient means of purification ? 3. What diet should be recommended in scurvy! 4. Describe the hygienic principles to be observed to prevent catch
ing cold. 5. In our public schools what hygienic principles should be
enforced to prevent the spread of infectious and contagious diseases ?
Materia Medica. 1. Write a prescription for a four-ounce mixture containing an ex
pectorant, a sedativ and a tonic, of which the dose is a tea
spoonful every two or three hours. 2. Give the composition of pil cathartic, composita and state the
dose. 3. How is argenti nitras best administered internally, and what is
the dose for an adult and for a child two years of age ? 4. Name one hydragog cathartic, one intestinal antiseptic, one
hypnotic, and one antipyretic. Give doses. 5. Give the chief activ principle contained in digitalis and give the
formulae and doses of the tincture and infusion.
PATHOLOGY. 1. Give a general explanation of the pathology of edema and in
" Or are you going to practise medicin? If your patients were all reasonable men and women, your task would be easy; but they are not. Even in their best estate they are not all reasonable men and women, and you will have to deal with them when they are not in their best estate, but are morbid.
"You will have to deal with patients who throw your medicin out of the window, and still expect you to cure them; in one house with a mother busy with other things and careless of the sick child; in another house with a mother whose weak and tearful sympathy does much to negativ the influence of your presence and the effect of your medicins.
'It is not enuf for you to know physiology and anatomy and therapeutics; not enuf for you to know what your medical school has told you; you must know men and women-their physical constitutions, their mental and moral constitutions.
"You must understand them-their life, their narrowness, their prejudices, their unreasonablenesses. You must see into them, that you may minister to them." -The Outlook.
clude the chief factors 2. What is the cause of a rise in temperature; explain the mech
anism. 3. Describe thrombosis and embolism. 4. Describe the changes that occur in cartilage in arthritis defor5. Describe the lesions found in the different varieties of cirrhosis
of the liver.
DIAGNOSIS, 1. Diagnose paresis. 2. Differentiate the eruptiv severs. 3. Differentiate a distended gallbladder and a movable or floating
kidney. 4. Diagnose Ménière's disease. 5. Differentiate benign and syphilitic exanthemata.
Complete and Authentic Expose of the Free after examining our case, they thought it a curable one, Électric Belt” Fake as Workt by the they would immediately forward the New ElectroHeidelberg Medical Institute
Chemic Belt without one cent of cost to us." They of St. Paul.
would do this, because they knew it was without doubt
one of the best belts ever manufactured, and that their As indicated by the heading and the cut which is in- gift was for advertising purposes only, knowing that troduced on this page, our attention this week is given for every Electro-Chemic Belt they gave away they to a gang of fakirs who carry on an extensiv business would be able to sell twelve in our locality, and that thruout the states by means of the endless chain after that their belts would be put on the market for and follow up system of coi respondence.
sale at $28.00 each. All this in an imitation typewritten The Heidelberg Medical Institute, with head offices letter which is run off on the neostyle or mimeograph at St. Paul, Minn., pays large sums for the square yards machine at the rate of about 1,000 a minute. of advertising space they occupy in the leading provin- We returned the diagnosis sheet without delay. We cial dailies and fireside journals. The first advertise- were as promptly favored with a further letter of over ment reproduced by us is taken from a journal “ De- 900 words of the usual stereotyped gag of which the voted to the Idealization of the Home."
fake medical institute is parent. They told us that the We took the Heidelberg Medical Institute of St. Paul diagnosis sheet had received their “ careful attention," at their word when we made application for their Free and that our case had been given a most thoro" Electric Belt, and it is only their word we have for stat- examination, and that they found us suffering from a ing that it is an institute capitalized at $100,000, and that frightful complication of troubles, which were the it is giving away thousands of its great Electro-Chemic direct results of causes which they knew all about and belts to prove and advertise their wonderful curing understood. They imprest upon us that we allowed power, and that it recently restored 18,976 ailing men our ailments "to advance to such a severe stage that to vim, vigor, health and happiness.
ordinary or common treatment would be of no avail."
There is practically no beginning and no end to the circle of diseases which this belt can cure. It embraces and " quickly cures” rheumatism, lumbago, lame back, nervous exhaustion, varicocele, failing vitality, kidney, liver and stomach trouble, female weakness, and many other ailments," and this charitable institute, incorporated for the physical welfare of the weak and decrepit, declares that they give this belt away "absolutely free to all those who need the one great curativ agent, Electricity." Remember," they state, "the belt is not sent on trial, but is yours to keep forever without the payment of one cent. So write to-day for the great Électro-Chemic Belt, Free. Address Dept...5, Heidelberg Medical Institute, St. Paul, Minn."
We wrote in due course and this is how they tried to work us. They acknowledged the receipt of our application for their electric gift. They went on to express what happiness it would afford them to send us the belt absolutely free of charge, if we in turn would do them the small
service of taking them sacredly into our confidence and fill out their diagnosis sheet, which they enclosed, and return it at once. They stated that if,
So hopelessly wreckt did they diagnose us that it was their conviction that none but the most skilled specialists should attempt treatment of us, and that it was their “ Electro Medical treatment we should have by all means." No ray or spark of hope lay in any other treatment. It would act directly upon our entire system and give us new life and strength.
In this letter-another stock-printed effusion, with spaces at intervals to stick the name of prospectiv victims in for the purpose of gulling poor fools into the impression that a letter was written specially to meet the requirements of each individual case—they were pathetically sorry for us—for us, mentioning our names and appealing to us directly. They took paternal interest in us the moment they examined the diagnosis sheet. They addrest us now confidentially. It was no business, or commercial, or skin game. They had our name and case already fixt indelibly in their philanthropic minds. But the sad thing about us was that they found us to be in such a deplorable condition that “ No Electric Belt could cure us without being used in conjunction with proper medicin.” Notice how the veil was gradually lifted. Electricity was all
very fine in its way and, indeed, it would perform won- we should be so, but long experience and unbounded ders if properly applied; but there was a limit to it, as tact enabled them to devise a way out of this difficulty, there must be to faking and to all things else. In our They would send the parcel carefully packt and case, per exemplum, their Electro-Chemic Belt would labeled as it it came, not from the Heidelberg Medical not rid us of our complications without the assistance Institute, but from a friend named Franklin, who, for of medicin properly taken and applied, but what the aught anybody might know, could be a personal palout Electro Belt, given away absolutely free by the Heidel- in Minnesota.' Nobody could thus suspect the contents berg Medical Institute of St. Paul, would do for us, no of this package, and even tho it passed thru the hands other electric belt in the world could accomplish. of the curious they would not be one whit the wiser. They were not backing out of their promises in the It was already, in fact, at the express office at our end, newspaper, undertaking to send us one of the Electro- so all we had to do was to drop in and examin it careChemic Belts free of all charges and without the cost of fully and take it home. We were in immediate need a single cent to us. No! they would keep their promise of the treatment, and as they wisht us to be rid of our as honorable men. They were not incorporated for disagreeable symptoms at once they decided that no the purpose of swindling and faking. They had a time must be wasted. This was why they took the capital of $100,000, and their already long list of 18,976 kindly liberty of sending us the package so quickly. ailing men, recently restored by them to vim, vigor Thevurged us to go right ahead and win-not to worry and happiness, was a sufficient and noble reward for about payment; there was no hurry about that. Call their self-sacrificing interest in humanity. They re- for the free belt, anyhow, at the express office; call for peated that “Besides electricity our case required a it at Adams' and pay for the medicin when we conscispecial course of medicin, for the Body Battery, with- entiously felt we were cured. It would cost us nothout this special treatment, could not effect a cure." ing for the belt, of course. They would keep their They, of course, promist to send us their belt, and promise. The only condition they would impose on us they promist to present it to us as a free and irrevo- in the matter would be an expression of our gratitude cable gift. But, like everybody else who makes a and appreciation by acknowledging in a letter how promise, they had reserved to themselves the privilege they cured us and how honorably we had been dealt of waiving, or modifying, or breaking it altogether, with by them. From their careful and correct diagnosis of our physical Now, let us analyze their honesty and their honor. collapse it was apparent to them that the Electro- It is a very easy task, for you will find that the virtues Chemic Belt could not, per se, effect a cure. It would of this and all similar concerns do not include either now be "absolute folly to essay our cure by electricity one or the other. alone in our advanced stage of disease. As a matter This belt was advertised and offered us free of all of fact, they could not thus help us, nor could they cost in the first instance. Then the veil was lifted. afford to take chances, for a single failure would bring the merits of the belt were ingeniously relegated to opprobrium upon them and dim the fair name of the second place and all importance given to a special Heidelberg Medical Institute of St. Paul and eventu- course of medicin, of which, "after mature and careally switch them off the market as a group of deceiving ful consideration,” they found us to be in real and fakirs.
urgent need. They sought to inveigle us into this trap However, our case was an exceptional and special by insinuating that the $28.00 belt was being given us one. They appreciated our promptness and frankness free, and that we were askt to pay only for the two in filling out and returning their diagnosis sheet. months' course of medicin, and to report progress ocThey appreciated this, and would carry out their casionally, so that more medicin, and more still, promise to the spirit and the letter, and were sending might be forwarded to us at the usual rates, and in the us their belt free. They were, in addition, sending us usual discreet manner. They offered this at $5.98– a special course of medicin for internal use and exter- not $6.00, but at two cents less than $6.00. The price nal application. This they prepared specially for us, was cut down to the cost of manufacture, and no marand it must be taken and used while wearing the belt. gin left for profit. They did not seek profit. The Their regular charge for this medicin, which would more they thought of us, or rather, the longer we kept carry us over about two months, was $20.00, but we them waiting, the more hopeful they grew. They now were so prompt and frank in taking advantage of their felt sure that instead of 12 they would be able to sell generosity that they decided to let us have it, the whole 20 belts at from $20.00 to $28.00 in our locality, as soon business, belt thrown in, for a mere song-not for the as our cure was completed. This bait did not work. $20.00 they regularly charged others, but for $5.98. The They could not understand us. They pointed out how $5.98 scarcely paid for the labels on the bottles; the belt “fair” and “honest” they had been with us so far. alone was worth $28.00. This did not matter. Their Why, therefore, did we let such a trilling sum as $5.98 desire was to cure us, and they did not mind losing stand between us and speedy cure. They would now over it.
let us have the whole outfit, bottles and belt for $4.65; They were sending the box containing the belt, and they would knock off $1.33. Surely, we now had no the medicin-to take on the side-by express. They knew how sensitiv we were about anybody suspect- But we had. We decided to play the game out. We ing we were under treatment. It was only natural delayed still further, and ignored their letters-the