The sale to visitors of liquor or hot foods is prohibited. Gambling and noisy entertainments are strictly forbidden. Entrance to a brothel day or night is permitted to any one-intoxicated persons and boys under eighteen excepted. In every brothel there must be provided a suitable bath room. In addition to the local medical examinations, government inspections are obligatory on prostitutes. For these the proprieFor these the proprietors must pay at least two crowns per head. In the event of evidence or suspicion of venereal infection, the prostitute must go immediately to a public hospital, and stay there until cured. The prostitute must undergo a careful medical examination before her original entrance into a brothel. If this results satisIf this results satisfactorily and her birth certificate and other documents of record are approved, the po. lice grant her permission to engage in public prostitution. This permission is contingent on certain conditions. She must keep a book containing her description and record, her photograph, and a set of rules and regulations. She must not allow in tercourse to any man showing signs of pus, or upon whose penis or mouth are sores, or upon whose body is eczema. She must frequently, and at least three times a week, take a warm bath and wash her entire body with soap. After each intercourse she must wash her genitalia with soap and water and cleanse them with alum or other disinfectant in solution. The inner and outer parts of the genital organs must be rubbed with vaseline once a day, and especially before intercourse. Intercourse during menstruation is forbidden. The keepers of the houses are instructed to treat the prostitutes with consideration. The girls are permitted to go out twice a week for two or three hours to attend church services, but they are forbidden to go to theaters, concerts, balls, restaurants. At least a quarter of her daily earnings must go to the prostitute; the remainder may go to pay for board, laundry, medical examinations and other expenses. gratuities belong to the prostitute. She is to be free to leave the brothel permanently whenever she desires. The keepers of the houses, or such of them as are below the age of forty, must also submit to the medical examinations. All DOUGH. EDWIN THOMSON, Kansas City, Mo. Life's active principle is dough, It makes us bread and pies; It's the thing that makes the world go, And makes men tell great lies. It furnishes the women clothes And jewelry of gold; It gives receptions trimmed in rose, And makes men's hearts grow cold. It keeps men from their homes at night, It gives men preference and pomp, It makes one feel like the sun shines To part with money now and then And weeks and months time and again Ere they would make the raise. EVOLUTION HIS Department of Psychotherapy FOUNDATION STONE. In an article published in the March number of the American Journal of Clinical Medicine, entitled "Evolution's Message to Physicians," I quoted the following brilliant remarks from the writings of the newly elected president of the A.M.A. "Scientific men, writes Prof. Victor C. Vaughan, build their idealism solidly up from the ground; they do not suspend it precariously from star-beams. The foundation stone of my philosophy, he continues, is the doctrine of evolution. We deal here, not with inscrutable forces which man cannot know, cannot modify, cannot study, but rather with potent factors that call for the best effort in behalf of the race. What higher incentive can there be, for example, to keep one's self clean morally and physically than the facts derived from the study of heredity? And when the added undeniable influence of environment in the modification and improvement of the species is taken into account, it. is apparent that every effort to improve the conditions under which men live is based on motives quite as dignified and worth while as the musings of the philosopher who claims to cultivate the good and beautiful for its own sake." Dr. Vaughan is further quoted as pointing out that our knowledge of the spread of infection is the strongest factor in the social movements of the day; that disease still takes a heavy toll; that ignorance and deep-seated prejudices are often found retarding progress in unexpected quarters. According to him, the philosophy of science concerns itself with this world and this life, and reaches every condition. "To widen the domain of knowledge, be it ever so little, to abate disease, to lessen pain and suffering, to decrease the burden of poverty, to brighten and ennoble the lives of others, to harness the forces of nature and make them subservient to man's will and contributory to his happiness, to make man more considerate of his fellow, to appreciate and perform his duties-these are some of the things that science has done and is doing." The medical profession has honored itself in electing a man as its leader who has the intelligence and the courage to speak out as Dr. Vaughan has done. There are some men and some things that we cannot fight. If a man is well grounded in science, you will sacrifice your own head to oppose him. But when he is fighting for the same cause that you've given your very life to defend, you cannot help feeling like applauding when you see him succeed. I have just sent the following letter to the Journal of the A.M.A.: To the Editor: At the February meeting of the Council on Medical Education, Prof. Victor C. Vaughan, the newly elected president of the American Medical Association, expressed the only dissenting conviction as regards the unfair deal being rendered the larger organization of the society by the prevalent inadequate teaching of preventive medicine. His work in the study of the Bio-chemistry of Metabolism and his effort to make application of this knowledge to the needs of the individual patient as a means of arresting the pathological physiology leading to the development of gross manifestations of disease, and his stand. upon the question of eugenics, together with his firm adherence to the doctrine of evolution, renders him pre-eminently fitte for leadership in the life-saving business. For these reasons. I am proud to take my place behind him as a loyal soldier. If every general practitioner will follow Professor Victor C. Vaughan, the medical profession will deserve honor and respect and the larger organization of society will receive a fair deal. When the general practitioners of America get busy applying the principles of modern science for the correction of the in cipient disorders of metabolism, then will they correct the pathological physiology which conduces to the development of gross pathology, as well as effect a cure of the condition known as "infectiousness," which lowers the natural bodily defenses and invites bateriological invasion, and we will truly be engaged in A LIFE SAVING AND HAPPINESS MAKING BUSINESS. The surgeons are brilliant, clever, intelligent fellows, but nine-tenths of their work is due to the neglect of the employment of such measures as will correct the disease process ten years before there is a necessity for the knife. At any rate, please put me on record as being willing to take my stand in the ranks of a private and fight for the welfare of the common people, such as we all will do if we follow the leadership of Victor C. Vaughan. Yours truly, HENRY S. MUNRO." In another article recently contributed by me, I used the following words: "Just the right thing, in the right place, at the right time! A book entitled "The Modern Treatment of Nervous and Mental Dis "edited by Drs. White and Jeliffe, based upon premises that I have been clamoring for recognition by the medical profession for nearly fourteen years. seems that old Galileo was right: "The world do move." Upon reading the advertised preface of this work to a member of the Omaha medical profession, one of the teachers in the Medical Department of the Nebraska State University, he remarked: "Sounds like Munro." Everything is coming my way. Not a thing that I have fought for in medicine has failed to yield to the coercion brought to bear to bring it into existence. From this article in the Medical Standard, I again quote: "Just an indication that workers in other departments of medicine are waking up, and that psychotherapy, psychiatry, and neurology are on common ground, and that the advances made in one of these departments are equally applicable to the problem of the prophylaxis and treatment of all diseases met with in the routine work of the general practitioner." But listen reader: My REAL FIGHT is only begun. I have attacked the biggest WILD ANIMAL that one man ever attempted to halter. Somewhere, at sometime, in some place, you will see an article entitled "Shall We Yield to the Stamp of the Machine?" When you see that heading, read it, and you will understand what I am talking about. President Vaughan used the words: "to make man more considerate of his fellow." That's the keynote. However, this one blow of mine at the ELEPHANT will do the work. Just see *if the future will not demonstrate the truth of my prediction. I went in to win, just fourteen years ago, and everything is coming my way, because my victory is yours. I agree with Dr. G. Frank Lydston when he says: "Possibly the rank and file is content to be hewers of wood and drawers of water for the American aggregation of medico-surgical monopolists, limited. Even so, they must admit that there never was an aggregation of monopolists that had such unmitigated gall as the A.M.A. gang." If one single man who has the courage to stand up and help to equip the man in the field, provided he has the ability to deliver the goods, will give them such knowledge as will serve the needs of the people who are crying to us for help, he can exercise an influence that will outweigh the entire gregarious monopoly. From this time on, I will proceed to the task. If I am wrong, why don't some one attempt to quell my game? Again, from "Evolution's Message to Physicians" I quote: "The message of evo lution to the people of the world is being brought forth and utilized by business men, by educators, by manufacturers, by laborers of all kinds-just in proportion as their intelligence becomes capable of appropria ing it; but for physicians it means simply this: It is the character of the individual, the psychic element of his personality, his intelligence, his reason which constitutes the real self. These constitute the character of the man himself, which uses as its instruments the emotions and the entire nervous system; and these are the means by which all interaction takes place between the individual and his environment. Each of these connecting links evolves together with the man, and we consequently have in every human being a vast system of evolution. Human action-structural, physiological, psychological-is explicable only by the operation of an eternal consciousness, which uses brain, nerves, muscles, viscera, and the rest as its organs and reproduces itself through them. "And I, if I be lifted up, will draw all men unto me.' How true are these words as applied to every phase of present everyday practical life! Ο MEDICAL SOCIETY OF THE MISSOURI VALLEY MAHA will entertain this society at its 26th annual meeting, September 18, 19, 1913. Dr. W. O. Henry was appointed chairman of the arrangement committee. The meeting will be held under the auspices of the Omaha-Douglas Co. Medical Society, and the Presi dents of all State Societies in our province have been especially invited to attend. Evening addresses will be given by Dr. Chas. Mayo and Dr. A. C. Croftan, the mere mention of whose names is sufficient to presage two interesting and instructive talks. The program will include a Symposium on Pregnancy. A cordial invitation is extended to the profession of near-by states. Headquarters and meeting-place, Rome Hotel. H. B. Jennings, Pres., Council Bluffs, Iowa. Chas. Wood Fassett, Sec'y, St. Joseph, Mo. Under the editorial direction of CHARLES WOOD FASSETT and S. GROVER BURNETT ASSOCIATE EDITORS P. I. LEONARD, St. Joseph ST. CLOUD COOPER, Fort Smith, Ark. O. B. CAMPBELL, St. Joseph W. T. ELAM, St. Joseph JACOB GEIGER, St. Joseph S. S. GLASSCOCK, Kansas City, Kan. D. A. MYERS, Lawton, Okla. JOHN PUNTON, Kansas City PAUL V. WOOLEY, Kansas City W. T. WOOTTON, Hot Springs, Ark. HUGH H. YOUNG, Baltimore DEPARTMENT EDITORS P. T. BOHAN, Therapeutics . C. C. CONOVER, Diagnosis DON CARLOS GUFFEY, Obstetrics J. E. HUNT, Pediatrics JOS. LICHTENBERG, Ophthalmology R. T. SLOAN, Internal Medicine R. L. SUTTON, Dermatology EDW. H. THRAILKILL, Rectal Diseases ST. JOSEPH J. M. BELL, Stomach C. A. GOOD, Medicine A. L. GRAY, Obstetrics J. W. MCGILL, Rectal Diseases L. A. TODD, Surgery OMAHA H. M. McCLANAHAN, Pediatrics H. S. MUNRO, Psychotherapy DES MOINES WALTER L. BIERRING, Medicine Address all communications to Chas. Wood Fassett, Managing Editor, St. Joseph, Missouri. Vol. XXXII SEPTEMBER, 1913 Editorial WHAT ORGANIZATION DOES. We all admire the system which has been put into service in the A.M.A. and the wonderful details of how everything shall be accomplished, but somehow thoughtful men discover very grave faults and most serious errors in this refinement of organization. Members of the medical profession are treated as units of a great machine and given little or no credit for work unless it is done along organized channels and in exact ways. For the last two years readers have been surprised not to see many of the papers read at the annual meetings published in the A. M. A. Journal. These papers appeared elsewhere, and the wonderment was why they did not appear in the journal. Inquiry of the authors was answered by the statement that they were returned as failing to meet the requirements for publication. No. 9 There could be no question as to the value of the paper, but by that rule and authority they were rejected was a mystery. Finally, it appeared that all papers read before the section, must have the unqualified endorsement of the executive committee of that section and if any one of that committee choose to vote against the acceptance of that paper there was no redress. An instance of two surgeons brought out this fact; both of them exceedingly competent men and good writers, but rivals. One was on the executive committee and very naturally he failed to appreciate the value of his rival's paper and this forced it to be published elsewhere. The question arises whether the publications of the A.M.A. are all determined by the same arbitrary and exceedingly unstable methods of judgment. The reader is forced to believe that the best papers are not always published in the Journal, that their merits are determined by the popularity of the author, rather than by the quality of the work. There is something in this that sounds very much like a trust or a combination for the purpose of limiting the output to those who are popular with the section and its officers or perhaps the officers higher up. At all events, there is a refinement of organization in this rule that needs a correction in the future. T.D.C. health, and the baneful influence and farreaching disasters of gastro-intestinal poisoning are problems which we are just be ginning to appreciate. ginning to appreciate. While the cry of "faddism" is made against the sanitarium from some quarters, we must not fail to give it the credit of doing grand work which will go far to make medicine a real science. C.W.F. LEARNING HOW TO LIVE. The writer recently spent a few weeks at the Battle Creek Sanitarium with a view to investigating the methods and routine of the institution, and is prepared to state that the "system" is a most remarkable one. The patient upon entering the sanitarium, is subjected to a most rigid examination, including blood pressure and strength tests, analyses of blood, urine and feces are made, and a line of treatment and diet mapped out for him. A corps of twentysix physicians, including several specialists prescribe for the 2,000 patients. An excellent system of hydrotherapy is practiced, together with outdoor gymnastics and swimming. The patients are kept under close observation, and nearly all of them are required to report daily. The diet is exclusively one of nuts, cereals and vegetables. Dr. Kellogg, the superintendent, a man of remarkable energy and activity, has for many years been a vegetarian. The doctor says when any one can convince him that he can perform any more or better work on a meat diet, he will change his views, but not until then. Diet, as a therapeutic agent, has been most woefully neglected by the medical profession; nor will it be fully appreciated until we study foodstuffs as specifically as we do drugs. We must know as well the shortcomings and peculiarities of the individual digestive canal for which the meals are prepared. Thus we are in position to feed intelligently. As it is most of our diet lists are pure guesses, mere makeshifts. In the future the dietition will be a specialist of high standing in the community. will be familiar with the chemistry of the body, the chemistry and therapeutic availability of foodstuffs and will be able to intelligently adapt one to the other. Such work is done today at Battle Creek Sanitarium, the pioneer in dietetic therapeutics. We are learning, and know vaguely as a profession, that the digestive canal is the gateway of nutrition, also of poison; but the beautiful equipose between diet and He made his daily walks along the by-paths of medicine a life-long living sermon without words on what the personal and moral bearing of the physician should be. the jocular, he lead to the intellectual in his point and away from the common and indiscrete interpretation. Always debative but always for enlightenment and for right. Kindness and gentility personified but with an underlying firmness of character that righted wrong in a flash at the right time. Dr. Hardin was always among the progressive as a worker. His personal and official services in the Academy of Medicine, stand out as pleasant retrospects in the memories of his old associates. On graduating from Bellveue Medical College, New York City, in 1883, he began practice in Independence, Mo. In 1888 he located in Kansas City and his since been identified |