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To a busy doctor the idea is a good one, and in a great many cases he will sign a contract on the above plan. Now, if the doctor will take time to read the contract (which, by the way, the agent will try and prevent you from doing, by talking and directing your attention to other matters), he will find that you agree to send in not less than a stated amount of collections per year, and you also agree to remit to them the first $35 collected on said accounts, being, as they say, 5 years' dues. Should the doctor in his hurry sign the contract and find out its contents later, he will probably say to himself : "I won't send them any accounts, and then I won't owe them anything.' There is where they have him ; he has agreed to send them a certain amount of accounts each year, and if he does not do so, they sue the doctor for $35, and get it, as they have done a number of times. It's a scheme to catch the busy doctor, or one that doesn't take time to read what he is signing. They came near getting me, but I happened to read it over and told them it was a skin game. He backt out of the office without any argument. I write this thinking perhaps it will prevent them from working the scheme on a too much workt profession.-Thos. F. BRAY, M.D., in Jour. Mich. Med. Soc.

[Is this the old Comstock concern, operating from a new place, with slightly changed methods? Be on your guard. -Ed.]

This prescription can be filled safely and accurately only by skilled chemists who deal in imported drugs. Being a new discovery, two, at least, of the ingredients are not to be found in one drug store in a thousand. Skill is required for the reason that the greatest possible exactitude is demanded in the directions given by Professor Hoff. The proper amount of boiling and the after settling of the compound can be done accurately only by one who has practical knowledge of chemistry. Everything depends upon the purity and freshness of the drugs and the accuracy of bringing them together into one medicine, and when scientifically prepared, and containing the right ingredients, will make a perfectly clear, iransparent solution, as pointed out by Dr. Hoff in the fourth paragraph on page 13 of pamphlet.

One of these drugs is an active poison and must be distributed evenly and thoroughly throughout the mass in order to assure safety to the patient.

The distinguished Vienna physician has demonstrated that his prescription is also a positive cure for Asthma, Bronchitis, Catarrh and all other troubles connected with the breathing organs of the body.

Prof. Hoff says the diseases last named which are but the advance guards of consumption, yield readily to his treatment, requiring at the most but a few week's for their successful eradication.

If you desire to take no risks, and want to feel absolutely safe as to the exact ingredients and correct compounding of the mixture, you had better procure it here in New York City of the Eiker Drug Co., corner Nassau & Spruce Sts., who will send you the medicine, (a month's treatment,) all delivery charges prepaid and in plain package, upon receipt of one dollar, money order or registered letter.

We know the management to be of the highest char. acter and reliability, employing chemists of national reputation to compound the prescription. They took a special interest in the prescription from the start and also went to considerable expense in getting up a " Treatise on Consumption" containing, among other matters of vital interest, special directions for the use of the medicine for diseases other than Consumption, together with Dr. Hoff's advice on matters of Exercise, Hygiene, Rest, Sleeplessness, Fever, Night Sweats, etc., which they send with the medicine. This advice is highly important in the effecting of a complete cure.

However, our interest lies entirely with the safety of the patient, the proper compounding of the prescription, the use of pure and fresh drugs, and a warning against any concern that attempts to monopolize the prescription or offer auxiliary medicines in the shape of a $5.00 treatment in order to force excessive money out of patients.

We regret to say that several concerns are doing this. Sincerely yours,

THE JOURNAL RESEARCH Society. P. S.-We would be glad to have the names and addresses of any of your friends who are afficted and whom you think would like to receive prescription and book.

Do you notice the “pure drug" and the “ new discovery” racket in the above ? It is an old quack method to pretend to give a prescription, free, but the prescription is always a jumble, and can never be filled except by the quack who sets the trap. Warn your patients against these methods.

Editor MEDICAL WORLD:-Your journal has been worth twelve times-no, thirty-six times-its cost to me, by showing up the Comstock Collection Agency. I had no idea I had signed a note for $36 when I signed their contract, and was about to pay them when I saw your exposure last summer. And besides that, in the short time I cave been taking it I have seen many valuable suggestions.

E. L. Hills, M.D. War Road, Minn.

In this age of quackery, dead beatism and commercialism, I am much pleased to have some one take the stand you do. Your expose of the Comstock outfit caused me to give you my subscription. That outfit had been threatening to sue me for about a year, but I paid no attention to their bluff. And now these proprietary boosters, as the Brief, need the lash.-Dr. W. H. LANYON, Joplin, Mo.

Starch Bandages Not New. Editor MEDICAL WORLD :-I notice, on page 209, May WORLD, that Dr. Martin of Gate, Okla., says that “none of the works on surgery say anything about it," i. e. starch bandages. Now I have an idea that his works on

surgery are late works, which explains what he says. For the benefit of any who have no way of finding out, I will say that the first paper that was ever publisht in America on "Starch Bandages," was by Dr. W. H. Van Buren, of New York. This paper was publisht in the American Journal of Medical Sciences, May, 1840-sixty-four years ago. The French surgeons used starch bandages years prior to that date (See Velpeau's Operative Surgery, by Mott, Vol. i, 1847.) I will here say that Mayo, the great surgeon, in about the year 1830, used plaster of paris to set limbs. He learned it from Dieffenbach, who learned it from the Moors in Spain, in 1829. On page 229 of the first American edition of Druitt's Surgery (1848, according to the preface) starch bandages are spoken of. Vol. ii of Erichen's Science and Art of Surgery, 1885, gives directions as to how to make these bandages, but says that they dry

Methods of this Collection Agency. I was called upon today by a gentleman representing the International Collection Agency, of Syracuse, N. Y. If I am not mistaken this same company was exposed by one of the leading weekly journals a few months ago. Their scheme is to get you to promise to send in some bad accounts for collection. All the doctor had to do is to pay $7 per year as a membership fee, which, as they tell you, comes out of the collections; and all money is paid direct to the doctor.

too slowly; on the thigh it took from 36 to flourish without opposition, but when they 50 hours. Holmes and Hulkie (System of come up against a brother who is thoro in his Surgery, 1883) give directions also. System diagnosis, they fall quickly. I am only a of Surgery, by Dennis, 1896, Vol. iii, gives young doctor, but it does me good to come in directions for the starch bandage. Moullin's contact with one of the long.faced gentlemen, Treatise on Surgery, by Dr. Hamilton, 1893, in consultation, who is running the young speaks of the same bandages.

doctor down because "he hasn't any expeBut Profs. Wyeth, Park and Bryant say rience." The patient or family invariably

" nothing about the starch bandages. And will say, “why Dr. A. didn't examin me , he lastly, in the System of Practical Surgery, by said I had congestion of stomach and bowels." v. Bergmann, translated by Dr. Bull, up to I endeavor to make a careful diagnosis, direct the close of Vol. ii, 1904, nothing is said of the right treatment, and cure my patient. them,

People like a doctor to take interest enuf in I have used starch bandages, off and on, for their case to find out their trouble. 27 years, and a few times have used Larry's Summer is coming, and infantil diarrhea plaster, i. e., white of eggs and flour, which with it. Keep the bowels rid of undigested was used in Napoleon's campaign by Larry. food; evacuate with small and oft repeated

I only write this to disabuse the minds of doses of castor oil, or grs. one tenth of calodoctors who may think that they have some- mel; then give zinc sulfocarbolate, suspended thing new.

Cheves BEVILL. in elixir of bismuth or emulsion of bismuth. Winfield, Ark.

Do not check the bowels too quickly. Bathe

with cool water to control fever, and success For Enlarged Vein.

will follow. Editor TAYLOR:-Will you please say to

I would like to know if any readers of The La.,” page 216, that the “enlarged vein WORLD have ever had any experience with will disappear in from 3 to 7 months' time

chlorate of potassium in typhoid. under ferrum phos. 3x, 5 grs. t.i.d., in alter

Brookport, Ills. SHERIDAN WATERS. nation every other week with fuoric acid 6x, 5 grs. t.i.d.? I cure all my varicose vein

Ringworm. troubles with these two remedies, giving the ferrum phos. the first week and fuoric acid the

Editor MEDICAL WORLD :-If the brethren second week. Under this treatment there is

who want relief from the itching of the erupno need for an operation.

tion which wearies them so much (page 214, Jersey City, N. J. BAILIE BROWN.

May WORLD), will try the old, time-honored black wash, it will give them temporary relief.

To diagnose : Touch with a good article of Success Due to Careful Diagnosis.

chloroform; if the spot turns white, it is ringEditor MEDICAL WORLD:-I do not wish to flatter you, but I must say that if I have any I believe in shooting rifle shots; and when knowledge of what pure, honest journalism is, I read my journals and books, I hunt for one THE MEDICAL WORLD is “it." I have been good thing that will do in all or nearly all cases. a subscriber only a short time, but since I Here is one for ringworm: began to read The World I have become im- R prest with it and have recommended it to Corrosiv sublimate

3ss Oil of sassafras

f3ss many. I was for some time connected with a

Alcohol, q. s. ad.

fziv medical journal, and I know the many tempta- M. Sig.-Apply once a day; when the place gets tions in the way of an editor ; I know what it sore, dress it with a simple ointment. means to cull the reading matter that comes in For children and persons with tender skins, for publication, and I think that the editor I use only five grains of the corrosiv sublimate that keeps clear of the many advertising traps to the ounce. In stubborn cases I put fifteen should have great credit. Brother Lawrence, grains to the ounce. Try this, brethren, and of the Medical Brief, has fallen by the way

let me hear from you. side as an editor, but so have many others. Dalton, Ga. W. J. BROWN, M.D.

I desire to say that success as a practician depends in great measure upon our ability to

White or liquid petroleum is worthy of consideration make a correct diagnosis. There are many when one wishes a mechanical, rather than a medcalomel and quinin doctors in this country

icinal laxativ. It is soothing to inflamed mucous that go thru their work without practically any

membrane, and it is promptly efficient. It may be

given to an adult in doses of two or three ounces, and investigation, simply prescribing at random children bear proportionately large doses very well. and calling every disease “congestion," or

Even infants will bear it nicely. It is practically taste

less, and has all the effect of castor oil without its the result of congestion. These M.D.'s may nauseating qualities.

a

worm.

JUNE, 1904]

Herpes and Eczema-Eclectic Treatment of Typhoid Fever

249

Herpes and Eczema.--Maskt Malaria.-Coal. There was ample evidence of pregnancy, but Tar Derivativs.

not an indication of labor. Five grains of Editor MEDICAL WORLD:--In response to quinin, every two hours, were ordered, and "Texas,” page 214, May WORLD, would say morphin left, but not needed. Two months that herpes and eczema have an exasperating later labor came on, and was concluded before way of simulating each other. When I am in the doctor arrived. doubt as to whether a given case is “eczematous Clearly, these were all cases of maskt ague, herpes” or “ herpetic eczema,” I inquire as to and Dr. Moore struck the right chord when he attendant sensation. If this is a rather in

said quinin. definable discomfort of a burning nature, I feel But in the matter of coaltar derivativs he is justified in diagnosing it ringworm or other “ way off” and “ way back ” according to my variety of herpes, and prescribe chrysophanic experience. The fact that tons aud tons of acid ointment, and it cures every time. That antikamnia, phenacetin, etc., are consumed involving the palms is most obstinate, but per

without the formality of a prescription, proves sistence and kid gloves will prove effectiv. On that they render some service, and hence find the other hand, if the attendant sensation be favor. That acetanilid at thirty cents a pound one of “ intolerable itching," I think eczema, will accomplish every good which these articles and the outcome justifies the conclusion. For at a dollar per ounce effect, goes without saying, this I prescribe a cerate composed of:

and is as safe as any sedativ in the hands of

those who know how and when. The profession Petrolatum. Beeswax.

first took up antipyrin, gave it in poisonous Salicylic acid

3ss doses, then deserted the field, leaving the bars Ichthyol

3ss down for these crafty fellows. Melt the wax and petrolatum with gentle

Ú. N. MELLETTE, M.D. heat-a lignted candle being sufficient; then Holdenville, Ind. Ter. add the powder, and, when dissolved, suspend the heat. Now add the ichthyol and stir Eclectic Treatment of Typhoid Fever. briskly to a smooth, brilliant, stiff cerate.

Editor MEDICAL WORLD:- I have no secrets Apply morning and evening, and rest assured

to keep from the profession. I might know a of good results. Ďr. Moore's prescription of quinin, page

good remedy that you do not, and if I do not

tell you, no one but my own patients will be 196, in a special case of dysmenorrhea, will ap

benefited by it. But if I tell it to the many peal to every “river bottom" doctor who has

readers of THE WORLD, thousands may be been diligent in gathering up the scattered

benefited by it, and possibly some loved one threads. Soon after I began practise, a

may be saved from an untimely grave. So let woman presented herself with a sore eye,

us tell each other our good things, and thereby red as a beet, and handkerchief wet with mop

make the world better by us having lived in it. ping. I gave her a dose of salts, and a collyr.

Typhoid fever is doubtless caused by a ium containing two grains of acetate of zinc to the ounce. The next day worse, and the fol- specific germ; but it matters not what the

cause may be ; what we want is the treatment lowing worse still, but said when night came and

that will cure. In the first place, everything eye-water was left off, the pain ceast, and so I should be thoroly cleaned up and disinfected. reduced the strength one-half. Next day worse

Formaldehyde is an excellent disinfectant. than ever, and lids had to be separated to let

The stools should be burned, or buried. The the tears out. I accused the sunlight, and

direct remedies are antiseptics. The other urged seclusion, but she charged it to the eye

remedies are auxiliaries. At the beginning, a water, and wouldn't. To convince her of

mild laxativ or purgativ should be given in error, I discontinued it, but gave more salts,

order to cleanse the intestinal canal and and the usual evening let up followed. The

remove any morbid accumulation in that following morning she had a chill, and then I

tract. Then we should select the proper antibegan to think ; and it resulted in morphin for septic. The same antiseptic will not be indithe pain, and full doses of quinin every two

cated in every case ; and it will not do to hours. The outcome was what our alkaloidal friends would call “jugulation.

give a remedy simply because it is called an Twenty years later I was induced to go be- antiseptic. If the tongue is large and pale,

with a dirty, pasty coat, sulfite of soda is the yond my usual range to see a woman whom a doctor had attended in labor for nine con

remedy. I usually write my prescription thus : secutiv nights, but had finally gone on a jour

R

Sulfite of soda ney to escape responsibility. When I arrived Water

38 daylight was approaching, and the pains had

Dissolve the soda in the water, then add simple measureably subsided, as had been their wont.

syrup q. s. to make Ziv.
Sig.-Tablespoonful every four hours.

:

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If the pulse is small and frequent, I give : R
R

Spec. tr. baptisia

gtts xx to 3ss Lloyd's spec. tr. aconite

Spec. tr. echinacea . gtts x

Zij to Giv Water, q. s. ad.

Water, q. s. ad.

ziv Živ M. Sig.–Teaspoonful every hour.

M. Sig. - Teaspoonful every two hours. I keep them on this till conditions change. scription in typhoid fever I have ever used,

This is the best all-around antiseptic preBut if the skin is dusky, tongue brown or bluish color, breath offensiv, instead of the

and I have been practising for twenty years, soda I put them on the following:

and have been a close observer. These are a

few thoughts upon the treatment of typhoid R Lloyd's spec. tr. baptisia

fever. If anyone wishes to ask any questions,

gtts xx to 3ss Lloyd's spec. tr. echinacea . Zij to 3iij I will take pleasure in answering, either priWater, q. s. ad.

• ziv

vately or thru World. M. Sig.-Teaspoonful every two hours alternated with the aconite-one, one hour, the other the next.

Magazine, Ark. T. J. DANIEL, M.D. If the pulse is full and bounding, I give :

[Dr. Daniel is president of the Ark. Eclec

tic Med. Assn., so he can be considered a R Lloyd's spec. tr. veratrum .

representativ eclectic of that part of the

gtts xx to 3ss Water, q. s. ad.

Zjv

country.--Ed.] M. Sig.-Teaspoonful every hour, till character of the pulse changes; then I discontinue the veratrum.

No Alcohol in Pneumonia and Typhoid. Sometimes we will meet with a case where the tongue is red at tip and edges, with papillae number, just received, Senator Hanna's case is

Editor MEDICAL WORLD:-In your May prominently elevated, the bowels tympanitic, pulse small, frequent and sharp. It has the

mentioned I take exception to the cause of feel of the “E” string of the violin under

his death. Knowing full well the attitude of your finger. In this case there is no better

the profession in regard to stimulants, will say, remedy in the materia medica than rhus. tox.,

altho trained in that way by Stille, Carson & combined with aconite. I usually write thé Levick, it did not take me very long to get out prescription thus :

of the ruts. I believe liquor killed the Sena

tor, as it does thousands of others with pneuR Lloyd's spec. tr. aconite

monia and typhoid. I graduated with honor Lloyd's spec. tr. rhus. tox.

. aa gtts x in the class of '68 at the University of PennWater, q. s. ad.

Ziv sylvania, and am proud of it. Dr. Leidy told M. Sig.– Teaspoonful every hour.

me the day of graduation our class was the The bath should never be neglected.

best that ever came before him for examinaIn the latter stages the heart should be sup- tion. I will state positivly I never lost a case ported, if any symptoms of failing, with of typhoid or pneumonia, and I have practised strychnin, cactus, digitalis, etc.

in the alleys of Philadelphia, among the Occasionally we will have trouble in con- Indians of Nebraska, and for the last four years troling the bowels.

Upon the first appear- among the negroes in the hovels in Virginia. ance of tenderness, dioscorea should be given. Have used milk diet and anything I could get I usually combine it with the sedativ. Put to nourish my patients (liquid), but not one from Zss to 3j in with the sedativ mixture. drop of alcohol in any form. Í challenge my Sometimes we meet a case where the face is professional brethren' to a better record, with flusht, eyes bright, pupils contracted, and all their refinements of practise. Keep the restlessness. In this condition gelsemium is “ Temple of the living God" pure and undethe remedy; 3j to zij added to the sedativ filed. Clean up and disinfect; the diet will mixture, and a teaspoonful given every hour. take care of itself. While in Nebraska among Some patients are nervous, restless and sleep- the Indians and forty-five miles from a drunken less. In this condition passiflora, 3ss to 3i, doctor, I treated myself of typhoid by ice should be given as needed. Sometimes we cream-cream frozen without flavor and a will have trouble controling the bowels, as little sugar; no medicins, no bathing; in bed stated above. They will “run off” as the four weeks to the day. My cases are now old women say. With such a case we some- aborted in from twelve hours to ten days, times get excellent results from the following: according to the case when I take it. R

Lincoln, Va. GEO. ROBERTS, M.D. Subnitrate of bismuth .

3j Sulfocarbolate of zinc

grs. xvj Dover's powder .

grs. xxiv M. ft. charts No. 8. Sig.-One every three or four

The practician deliberately rupturing the "bag of hours.

waters in a case of miscarriage should mercifully

abandon his unfortunate victim to Nature, or get a If I were going to select a routine antiseptic

better doctor than he, and seek the nearest jail to beg prescription, it would be the following:

for imprisonment, on confession of wilful and inexcus. able manslaughter.

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Twins.--Dr. Rice's B for Burns.-A Factor Ante-Partum Placental Detachment. in the Treatment of Typhoid.

Editor MEDICAL WORLD:-Mrs. A., aged Salicylate of Ammonium. Editor MEDICAL WORLD:-I have been a

42, weight 160 pounds, mother of eight chilsubscriber and reader of THE WORLD for a

dren, at eight months in gestation contracted

measles. I was called to see her for severe good many years, and take a great deal of

uterin hemorrhage. When I arrived, hemorpleasure and interest in cases reported and

rhage seemed to have ceast. However, put treatments given. I have been sometimes

her on Hayden's viburnum comp. Altho she amused at repeated rubs given in certain cases,

passed thru a severe siege of measles, with a e. g. single and double placentas occurring

very troublesome cough, I did not see her with twins of the same sex or with the two sexes. In this connection I will say that my

again until called to attend her in confinement

thirty days later. On arrival I found her experience of twenty-five years' practise and

sitting up in a chair; said four hours previous seventeen (17) cases of twins has been a single

a profuse hemorrhage from uterus had appeared, placenta, one sac with septum, in each and

but no pain whatever except some pain in every case, and I have had both classes. I

her back. My first suspicion was placenta can “point with pride" to a number of cases

previa. I at once made a digital examination. of “boy and girl," as also of the same sex ; Found os dilated to the size of a quarter of a but most of my cases where both were of same

dollar ; very low down. Did not find placenta sex were girls. My last case this a.m. I have

previa, but found amniotic membrane perfectly yet to see a case where there were two placen

intact and tightly distended. Introducing my tas. I knew of a doctor (?) who sat for twelve

fingers as high up as possible I could easily hours or more waiting and watching for the

detect the life fluid flowing down my fingers second placenta, which never came.

with considerable rapidity. I proceeded to The B sometimes spoken of as Dr. Rice's B

bring on labor as soon as possible. Gave for burns, was given me some twenty-two years quinin and strychnin to maximum, which ago by a German barber. I thought it good seemed to have the desired effect. With one and tried it and have always used it in all cases

short pain the uterus expelled its entire conof superficial burns. It is perfection : Anti

tents, fetus, placenta and a large ragged blood septic, elastic, of the color of the skin; and

clot three times the size of placenta, which one application is sufficient, as when it comes

seemed to be acting as a propeller. Uterus off or is worn off, the new skin has formed. The

contracted nicely and hemorrhage stopt. The B is composed of white glue, glycerin to make

child was dead and perfectly anemic; cord flexible, carbolic acid to make antiseptic, and

and placenta had entirely collapst as tho water; to be applied with a camel's hair brush,

there had been no blood for several hours, after heating to make thin (or liquid) enuf to altho she had felt the fetal movement thirty spread evenly.

minutes prior to delivery. Mother collapet If anybody is looking for a good treatment

from loss of blood. Had quite a time keeping for typhoid fever, do not forget Dr. Bartho

her alive with nitroglycerin, whiskey, external low's iodin and carbolic acid treatment. I

heat and friction to the limbs. Immediately ordinarily give six calomel and soda powders, after reaction I gave three pints normal saline one every hour, every second or third day.

solution per rectum and put her on restorativ My success has been one death in forty cases.

treatment, under which she made a slow Some of them, a majority, were severe cases.

recovery. It is good treatment and successful.

Diagnosis: Ante-partum placental detachAnother good thing, little known, is salicy- ment, from the effect of measles on the endometlate of ammonium. In pneumonia it is the rium, as there was severe bronchial irritation and best treatment I know of and I know whereof diarrhea from time of attack of measles to conI speak. I use digitalis when required. I

finement; in fact, all the mucous membranes place no dependence on strychnin as curativ. I

were severely affected. Were my diagnosis would not condemn its use however, but it has and treatment right or wrong? Now this is not very much to its credit. Salicylate of

my first pass at a report, but this case interested ammonium is also good in any septic condition. me so, I could not resist the temptation.

Geo. MACMURPHY, M.D. Should be pleased to hear from some brother Ortonville, Minn. Bellevue Hosp., Med. Col., 1878. on similar cases. If this is not worthy of con

[In this connection we are pained to sideration, pardon me and transfer to waste chronicle the recent death of Dr. Bartholow. basket.

J. CULBERTSON. -Ed.]

Whitefield, I. T. Never rupture the “bag of waters” in a primipara,

[An interesting case well worth reporting, and only in a multipara after complete distention, and

which you have done modestly and well. No very low position of the presenting part.

criticisms.-ED.]

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