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EXTRACTION OF A HAIR-PIN FROM THE THE HOT-WATER VAGINAL DOUCHE.-Dr. E. C. Dud. BLADDER.
ley. The necessary apparatus consists of a bucket
suspended on a look about four feet above a couch, on By S. B. BRINKERHOFF, M.D., Santa Barbara, Cal.
which rests a bed-pan (the bucket should be large I was called at night to a patient eighteen years old, enough to hold two or three gallops of water), a soft who stated that she had passed an old-fashioned gutta rubber syphon, and a rubber tube attached to an openpercha hair-pin into the bladder, and that it had been ing in the bed-pan and leading to another bucket there seven days. A little blood had passed in the placed on the floor. urine. I sounded the bladder, but could detect noth- Proper Method of Application.—1. It should invaria: ing of a foreign nature. Patient feverish ; pulse, 110. bly be given with the patient lying on the back, with I called in consultation another physician, and he de- the shoulders low, the knees drawn up and the bips cided, after careful sounding of the bladder, that there elevated on a bed.pan, so that the outlet of the vagina could be no hair-pin there. In the afternoon I injected may be above every other part of it. Then the vagina the bladder with warm flax-seed water. Made another will be kept continually over-flowing while the douche examination, but could detect nothing.
is being given. 2. It should be given at least twice Next morning patient's pulse was 120 ; passing blood every day, morning and evening, and generally the and pas with the urine, and slightly delirious. I had lengih of each application should not be less than dilated the urethra by sponge tents all that the parts twenty minutes. 3. The temperature should be as would bear.
high as the patient can endure without distress. It I went to a silversmith and procured a small silver may be increased from day to day, from 100° or 105° wire, and had a loop made at one end as large as would to 115° or 120° Falır. 4. Its use, in the majority of pass into the bladder, and had a stronger wire brazed cases, should be continued for months at least, and between the loop and the ends of the wire, and wound sometimes for two or three years. Perseverance is of this with waxed silk thread. With this instrument I determined to fish for the hair-pin. Passing the wire
prime importance. loop into the bladder, I soon found that I had caught something, which, with careful tension on my guide,
MILK DIET IN ACUTE RHEUMATISM.-M. Biot, in an and delaying from time to time, as spasms of the parts important work published in the Revue Mensuelle de occurred, I soon brought so near the orifice as to be Medicine et de Chirurgie, exposes new ideas on the nature reached with a mouth-tooth forceps, and extracted. of acute rheumatism. The treatment must be started The wire loop had caught between the points of the as soon as possible, and pure milk must be used to the pin.
exclusion of any other food. The quantity may vary I claim, in using the wire loop, that if anything was according to ste and habits of the patient; the minicaught and could not be extracted, the loop could be mum dose being one quart a day, which can be increasdisengaged and removed without injury to the sur- ed to two, and even three quarts. rounding parts. It is also a very simple instrument, It is necessary that the milk be taken in small quaneasily made by any silversmith. My patient was about tity and at regular intervals. the house in ten days, and is now in perfect health.
In a short time--from three to seven days--the patient becomes convalescent. When the pains have ceased and the fever has subsided, the treatment must
be continued with mixed food, but alcohol, wine and HYDROPHOBIA. A woman showed the plain symp meat must be dispensed with for some time, otherwise toms of hydrophobia, and the treatment was the bypo: a relapse would surely be the result. dermic injection of Curare, administered simply with a view of neutralizing the convulsive cramps. The success of the treatment depended upon the fact that
CORRECTIONS TO BE MADE IN DR. GOODNO'S ARTICLE the author did not limit himselt to minimal doses, but IN JANUARY ISSUE. - First line of third paragraph injected absolutely twenty centigrammes in several should read felt for “ feel;” first line, second column, operations, all within five hours. It was amazing to page 229, should read Pott instead of " Post,” and in see the cramp which tortured the patient before the several other instances the same error is made. Page antidote took effect. Very quickly set in ihe horrible 229, second column, line 20 from below," phalangral” convulsions in the throat, in the muscles of respira- should rcad phalangeal; page 230, first column, line 25 tion, the hydrophobia, the raving and mania, which from below, instead of “recommendation ” read recon: all seemed to tbreaten imminent death by suffocation sideration ; page 230, second column, line 12 from and exhaustion. It was just in the height of this stage above, should read 200 cases instead of “no case ;" line that the injections were made. As by a stroke the 16 from above read fractures instead of“ fracture.” cramps ceased suddenly, but to recur after a short in. terval. After repeated injections the Curare mastered the rabid virus, which now showed its presence
REPORT of the Brooklyn Homeopathic Hospital in the body only in light twitchings. At last the Diepensary, 109 Cumberland Street. Jor the month Curare began to exhibit in an alarming degree its own ending December 31, 1879 : Prescriptions, 1,443 ; new toxic effects, inducing great danger of paralysis of patients, 736; average daily attendance, 61 ; largest the circulation and respiration. These dangerous attendance, 116.
T. D. Koons, M.Ď. symptoms were only allayed by active efforts at artificial respiration, whereupon the patient fell into a con- A RUPTURED BLADDER was recently exhibited by dition of great weakness, from which, however, she Dr. Friedlander to the Berliner Medicinische Gesellslowly rallied to complete recovery-Allg. Med. Cen- schaft, Berliner Klin. Wochenschrift. The specimen tralzeit, No. 57, 1879.
was removed from the body of a woman who had
fallen down a flight of stairs. A large quantity of To TEST FOR ALBUMEN.-Da Costa says drop the fluid fluid was detected in the abdominal cavity during life, slowly down the side of the test-tube upon the nitric but the urine could always be drawn off in consideraacid. If any albumen be present, an opaque white ble quantity.. Deash did not take place for eight days ring is seen to cover the surface of the acid. This is after the receipt of the injury. A rupture was tben the most delicate test with which I am acquainted. -- deteated in the bladder wall, but the omentum almost Courier of Medicine.
completely filled the rent. The fluid in the abdomen
had an odor resembling carbonate of ammonia ; it THE editorial office of the Cincinnati Medical "Ad. consisted not only of urine, but also of peritonea! vance has been removed to Ann Arbor, Michigan, exudation,
to practice as they conscientiously can, homeopathically or otherwise; in other words, they are inde
pendent, and bound only by their own consciences. A MONTHLY JOURNAL
The question is, whether the homeopathic school of Medicine, Surgery, and Collateral Sciencer. intelligent class of our colleagues, or whether it
can afford to ignore the wishes of this large and Editors:
should make its platform sufficiently broad to hold EGBERT GUERNSEY, MD. ALFRED K. HILLS, M.D. them? J. B. GILBERT, M. D.
It will be too late when they have gone to recon
sider the matter, for they will not return, and with Published on the First of each month. Office, 18 West Twenty-third Street, New York, the effects of their withdrawal.
a declining membership our societies will soon feel
We hope the society in its deliberations will look NEW YORK, FEBRUARY, 1880.
these facts squarely in the face, and not attempt to
pervert, misinterpret, or defraud itself into thinking "A regilar medical education furnishes the only presumptive they do not exist. evidence of professional abilities and acquirements, and ought to be the ONLY ACKNOWLEDGED RIGHT of an individual to the exercise It is all very well to say, “Let them go," as some and honors of his profession."-Code of Medical Ethics, Amer. will; but what will be the consequence to the Med. Ass., Art. iv., Sec. 1.
school ? From declining numbers will come failure
of confidence of the community, and no ex cathedra THE STATE SOCIETY.
statement that “Homæopathy is all-sufficient under The annual meeting of the society will be held at all circumstances” will save it, because well known Albany on the sccond Tuesday of February, and to be otherwise. upon its deliberations will depend interests of vital
Again we say: Beware of the counsels of those importance to our school at the present time. There who would surround us with “ articles of faith!" ought to be a full attendance of menibers, and the tor they have no place in any organization which issues which come under consideration should re- claims to belong to the family of scientists. ceive careful, dispassionate discussion, with but one In an article, nearly one year ago, we called atend in view, and that the triumph of truth.
tention to some clauses of the “ Code of Ethics,” If we desire to promote strife in our ranks, there bearing upon the subject of which a committee was is no better way to do it than to allow the promul appointed at the last nnnual meeting, to report at gation of eccentric or peculiar notions—views which this, and we again call attention to the matter as are held by a small minority-and attempt to coerce having an important relation to the subject under, the majority into a belief in them.
consideration. The time has long since passed --if it ever was The “ Code of Ethics" was adopted as a part of when belief in any theory should constitute a quali- the by-laws of the society, and we must be careful, fication for membership in a scientific body. The in adopting resolutions, not to violate either its homeopathic mode of practice is now so well known letter or spirit. On account of the sentiment of the that a simple preamble indicating an interest in it (“Code"--and we see no reason for reiterating it in should be the only requisite for candidacy for mem- the form of resolutions—the resolutions presented bership.
by Dr. Fowler miglit be rescinded. The more we attempt to formulate our theories But wliatever is done should not be bastily, for angmatically, the slower will be the progress of the there is plenty of time, and it is better to take our school wbich adopts them:
leisure for consideration of the subject than for re There is too much difference of opinion respecting pentance after the harm has been done. the practice of medicine to expect any great number to agree upon its minutiæ; hence the importance of a broad and catholic platform.
ORGANIZED CHARITY. At no time in the bistory of our school was it so In large cities, and in smaller towns and villages, important that wise counsels should guide us as at nearly every case of absolute want and distress can present. The two extremes are becoming more and be met and relieved by a well organized system of morc arbitrary and dogmatic, and if we will avoid charity; and that, too, more efficiently and at a less catastrophe their propositions must be so tempered expense than in the fitful and desultory way in such that the conservative will not be driven to seek af- common practice. The plan of indiscriminate givfiliation and protection in more genial atmosphere. ing without proper inquiry, sometimes from the
Already has the disaffection of the conservatives warm impulse of a generous heart and sometimes to gone so far that some of them have joined the "old get rid of persistent importunity, is productive of school" societjes, asserting that there they are free positive harm by fostering vice and relieving a large class, who are perfectly able to work, of the respon-plished in a quiet, unostentatious way, is beyond sibility of taking care of themselves. As a proof of estimate. What has been accomplished by the New the efficient work which a well organized charity York Diet Kitchen and the Western Homeopathic can accomplish at a comparatively trifling expense, Dispensary can be accomplished wherever there is we have only to point to the labors of the New York need of such organizations. The cost is comparaDiet Association and the Western Homæopathic tively trifling; the good is beyond estimate. The Dispensary. The New York Diet Association was work appeals strongly to the medical profession, incorporated in 1873, having for its object the sup- whose members not unfrequently forget the wants of plying of nourishing and well cooked food for the the poor in the selfish desire for personal aggrandsick poor. It has at present three kitchens—theizement. Centennial Kitchen, at 137 Centre Street; the West Side Kitchen, corner of Ninth Avenue and Thirty
PHILANTHROPY RUN MAD. sixth Street, and the East Side Kitchen, corner of
Men whose minds revolve around a singlc idea Twenty-third Street and Third Avenue. The physi. are very apt to allow that idea to lead them into cians of the dispensaries within whose district the the wildest vagaries and most absurd positions. We kitchen is located have the right to give the requi- in New York have had a feeling of pride in Mr. sition for the food. Each requisition may call for Bergh, the able and energetic President of the Society three articles, viz: one pint of beef tea, one pint of for the Prevention of Cruelty to Animals. That milk, and onc egg, or two pints of milk and rice, society is Dr. Bergh, for without him it would never according to the discretion of the physician. One have had an existence. It has done a most Chrisrequisition cannot run longer than seven days, wlien, tian work, and is one of the most useful organiza ": if ihe patient needs it, a new one may be furnished. tions in the city. Mr. Bergli and his society, neverThc patient sends for the food cach day to the theless, requirc careful watching. Confined to their kitchen. While the rule of the Association is that legitimate business they deserve all praise, and only the sick ones of a family shall be cared for by sbould receive the support of every good citizen. this charity, much is done by the ladies having the But when Mr. Bergh attempts to shut down the kitchen under their particular care to alleviate the gate on the progress of physiological science, it is sufferings and needs of all with whom they come in quite time, in the interests of science, the public, and contact. Even though a physician may visit the especially the medical profession, should say, "hands family, the matron of each kitchen is required to off; we do not intend to permit you to obstruct the visit all who apply for relief, not only to guard wheels of progress by any of your fanatical ideas. against imposition, but that all proper" means may so long as you confine yourselves to a rational inbe taken to restore the sick to health and comfort terpretation of your legitimate business we will help those who are incurable.
you, but when you go beyond that we will stop you." In the Centennial Kitchen during 1879 there were Mr. Bergh has introduced a bill into the legislature given out to 6,458 patients 10,485 pints of milk; wbich virtually puts an end to all vivisection, and as 2,315 pints of beef tea; 2,702 eggs; 1,653 portions the greatest progress in physiology has been made by of rice and 7 portions of oat-meal, at a cost of 16 investigations on the living subjects, this science will cents a day to each patient. We are indebted for come to a stand, and all further progress be debarred. the above statement of the New York Diet Associa- If these investigations were made at the expense of tion and the Centennial Kitchen to Mrs. Harriet B. great physical suffering, Mr. Bergh would have a Barrow, directress. It will be impossible to measure strong argument in favor of his position. But there the amount of real, positive good which has been is no suffering. The animal is put under the influquietly accomplished by this thoroughly organizedence of a potent anæsthetic which cffectually puts an and well directed system of charity. It goes with end to all suffering. We have no doubt there is a its blessings to those who are really needy, many of great deal of entirely useless vivisection done by whom, in their desire to avoid public notice, would physiologists, but so long as not one particle of die of starvation were it not for the helping hand of suffering is produced, this work had better be left this frue, practical, Christian philanthropy. to the judgment of scientists themselves.
The Western Homeopathic Dispensary during the past seven years has treated over one hundred thou
EXAMINERS IN LUNACY. sand patients, many of them at their own houses, The examination of persons suspected of insavity and given out more than two hundred thousand has been considered of sufficient importance for the prescriptions, at a cost not exceeding three cents to Commonwealth to order that
no person shall be each prescription. Working hand in hand with the committed to or confined
except upon the diet kitchens, giving not only medicines and medi- certificate of two physicians, under vath,” It also cal advice, but often what was far more necessary, provides that said certificate“ be approved by a judge food, the amount of good which has been accom- of a court of record," etc,
Notwithstanding the care with which the law has
THE LUNACY QUESTION. been framed, there is still the greatest opportunity for injustice in regard to these unfortunates, one of
In order that our readers may feel assured that there the most important of which is the looseness and care. is not the occasion for alarm which some would make lessness with which sonic of these examinations are
them think, we submit the following able report conconducted.
cerning the subject, made by the “ Committee on Pub. The subject of our complaint would not in the
lic Health" in the State Senate, May 22, 1879, based on least be affected by a more rigid selection of the ex
a most thorough investigation : aminers; for the trouble does not lie in this direction, stantiated by any facts. They are merely allegations
The general assertions of the petition are not subbut rather in the lack of appreciation of the gravity of mismanagement and defects, and incompetency of of the undertaking, crror in judgmert respecting far as the committee are aware, has even been inside what constitutes insanity, or from interested motives, of the State institutions for several years past, and only either personal or secondary.
some half-dozen have ever been in any of ihe wards of Every examiner in lunacy ought to have a keen any of the asylums. Dr. Chapin, of the Willard Asy
lum, recognized the name of but one person on the perception of the crime of perjury, and conduct each petition who had ever visited that institution. Dr. examination of this kind as if it would be the basis Gray, of Utica, said that but two out of the whole for an action of this character,
number had ever visited the wards of that asylum, and
neither of these for several years past. Dr. Cleveland, There is great danger in placing too much confi- of Poughkeepsie, said that but four or five had ever dence in the history of the case, which is liable to be visited that institution since its opening, and these not colored by influences too subtle for ana!ysis in the for several years. Dr. Hammond had never visited
the Willard Asylum, had been at Utica but twice, short space usually accorded to such examinations.
twelve and eight years ago, at Poughkeepsie but a few The reasons for declaring a person insane should times, and at Blackwell's Island before the incunbe not only beyond doubt in the mind of the exam-dale under a former superintendent Dr. Morton had
bency of the present superintendent, and at Blooming. iner, but so clear that they can be demonstrated to never visited any asylum except Ward's Island a few the satisfaction of any intelligent disinterested indi- times. Dr. Spitzka had never been in any of the ftate vidual who may have the right to inquirc.
institutions, and had no personal acquaintance of any
of the officers ; had never visited but one of the city A proper understanding of this matter would have asylums, and the sanie could be said of Dr. Kiernan. done much to disarni those enthusiastic alarmists The value of a petition gotten up by persons so who instigated the late movement which resulted in wholly ignorant of the institutions, signed by persons
with no knowledge on the subject, it requires Lut the recent legislative inquiry.
little to estimate. The general professsion owes to itself and to theCom
In conclusion, the committee would say :
First. The petition is not substantiated in its allega. monwealth at large a full knowledge of this important tions by any existing state of facts. The Governor in subject, to the end that they may not only quiet the his last message to the Legislature has spoken of the anxieties of interested clients and friends, but also satisfactory condition of the State asylums from per
sonal visitation. that they may impart information to legislators in Second. The Board of State Charities, an official their respective localities. -who are not expected to visiting body, has never suggested any such dcfects or be so familiar with the subject as medical inen ought mal-administration of any kind in their annual reports
to the Legislature. A special committee of that board to be in order that they may act intelligently, (President M. B. Anderson, of the Rochester Univershould questions in this regard arise in those legisla- sity, and Mr. E. W. Foster), after examining the State tive bodies to which they may have the honor to be asylums with reference to similar insinuations and
allegations, reported on December 15, 1877, that “the long.
community is justified in having entire confidence in The committee of the State Senate did excellent the administration of these institutions.”
Third. It appears from the archives of the State £ervice when they investigated last winter the gross Commissioner in Lunacy, as well as from bis personal and insinuating charges respecting the institutions statement before the committee, that since the creation for the insane, and its report should be in the hands of this office, no formal complaints have at any time
been made or filed with him against the management of every playsician in the State. It is more than or internal administration of any State asylum, and his likely that these grumblers, who know very little reports and personal statements before the committee of the inside workings of these institutions, will con- show that no occasions calling for special criticism tinue their work and, if possible, causc morc alarm this time presented themselves.
upon such management or administration have up to to those who may be grieving over the necessary in- Fourth. The insinuation of the petition that the carceration of some loved one.
superintendents of these State asylums are not thor
1 oughly trained and thoroughly competent medical men, It devolves upon the members of the medical pro- is too notoriously untrue to require denial. fession to restore peace by means of enlightened con
Fifth, It is not true, as alleged in the petition, that fidence in those who have official connection with assistant physicians in State asylums. The charge is s
undergraduates in medicine have heen appointed a our institutions, and who are thoroughly competent reckless misrepresentation of these officers, and, und a for their work and surrounded by sufficient guards examination, the four persons appearing admitted th for the public safety.
From the statements of the superintendents of asylu it appeared that in almost every instance assista
have received training in civil or military hospitals, cially interesting the municipality, is one upon which and in other cases an equivalent in medical practice it is to be hoped that other States will act, and espe. after graduation. Outside of the State asylums it cially those which are as yet unprovided will boards appears that but one undergraduate is employed, and of bealth. that he obtained his place by examination as to quali It is certainly full time that the great State of New fications by the authorized medical examining com. York sbould have some health organization. Upon mittee of the institution in which he is employed. the existence of properly constituted State boards like
Sixth. In the judgment of the committee, there is no the one proposed, boards which shall be charged with nccessity for investigation or examination into the the duty of collecting vital statistics ; of making scienmanagement of any of the State lunatic asylums. This tific investigations and sanitory surveys ; of doing petition sets forth nothing new or valuable, and all the away with nuisances beyond the reach of municipality, persons signing it, as far as the committee have been such, for instance, as ihe pollution of its sources of able to ascertain, have no personal knowledge of these water supply at a point beyond its jurisdiction, deinstitutions, or of the allegations made in the petition, pends to a great extent the future of sanitary science and many of them are so obviously and grossly untrue in this country; and every sanitarian, every educated that they would seem to be the oftspring either of medical man, and every one who can look far enough ignorance or malice. In either case they are unworthy beyond the present hour to see that public healin of notice,
organizations are destined soon to become an essential This attack by medical men on the scientific work feature of all governments, will do what he can lo of a State institution evinces an ignorance and a spirit secure the enactment of such a bill as this. of recklessness unworthy of a great liberal profession, It is not meant that the bill is perfect in all its deand should be condemned by all who have the inter- tails ; that cannot be asserted of any public health ests of science and humanity at heart.
organization in existence; but the general principles The assailment of public officers and the great chari- of the bill are correct, and it is siocerely boped that it ties of the State in such a reckless manner, the com. may soon become a law and be put into practical mittee believe, should be exposed, not simply because operation. it is a wicked use of the sacred right of petition to the injury of in lividuals, but it also creates public dis
AN ACT TO ESTABLISH A STATE BOARD OF HEALTO. trust in the administration of State charities, and fills The people of the State of New York, represented in with unnecessary pain the hearts of those who are Senate and Assembly, do enact as folloro8 : Within twenty obliged 10 commit their loved ones to the care of these days after the passage of this act the governor shall institutions, and further, because it tends to degrade appoint, by and with the advice and consent of the the dignity of the State.
senate, three State commissioners of health, two of There is a set of men here, very few of whom are ex. whom sball be graduates of legally constituted mediperienced neurologists, who constitute an organization cal colleges in the State, and of not less than seven styled the Neurological Society. It is well known in sioners, together with the attorney-general, the State
years' practice of their profession. The said commisthis community that Dr. Hammond is its controlling engineer, and the bealth officer of the port of New spirit, and when he wants “chestnuts," he uses this York, who shall be ex-officio members of the State board organization as a means of getting them. There are of health, and three other persons, to be designated and apparently many unseen inside wheels here, and any commissioner of health of the board of health of the
appointed by the governor, one of whom shall be a thing this Society may do should be accepted with city of New York, and the others shall be commission. caution!
ers of health of regularly constituted and organized At a recent meeting, the investigation, of which the boards of health of cities of the State, shall constitute
“The Board of Health of tbe State of New York." above is the conclusion as adopted by the Senate, was Nothing in chapter 333 of laws of the State of New severely condemned, and measures instigated for fur. York, in the laws amending the same, or in the laws ther agitation in the present Legislature.
constituting boards of healih in the varions cities of We arust the profession at large will take means to the State shall be read or construed to prevent the
appointment of the said commissioners of boards of protect the community against such marauders, and health of cities, also members of the board of health of expose their real animus.
the Siate of New York, and no appointment to an
office or acceptance thereof under this law shall be THE PROPOSED STATE BOARD OF HEALTH of health of any city in this State.
held to vacate the office previously held in any board FOR NEW YORK,
SEC. 2. The said three commissioners so appointed
shall take the oath of office prescribed by the constituSpecial attention is invited to the following plan for tion for State officers and receive from the secretary of a Board of Health for the State of New York, which state certificates of their appointment. They shall bold will be at once proposed to the Legislature in the form office for three years, and whenever a vacancy occurs of a bill, and which it is hoped may soon become a the place shall be filled as in other cases provided by law. This plan has been prepared after extensive law, and the other commissioners shall from time to consultation with those most interested in the subject, time be designated by the governor as occasion may and it embodies several points which are new in such requiro or as their places may be vacated in the board legislation in this country. It has been largely because by the expiration of their several terms of office. of the supposed difficulty of barmonizing the powers Sec. 3. The State board of health shall weet at and interests of the Boards of Health of great cities least once in every tbree months, and as much oftener with those of a State Board of Health that the States as they shall deem necessary, their first meeting being of New York, Ohio, and Pennsylvania are yet without beld within two weeks after the appointment duly made State health organizations.
of the members of the first board and after they shall The manner in wbich this has been adjusted in the have qualified as aforesaid, and cach annual meeting present plan seems to be eminently satisfaciory, and to be held within two weeks after the first of May the general principle upon which it is based. i. e., each year after the first, as herein provided. No mem giving the municipal health organization'two forms of ber of tbe board except the secretary shall receive any representation in the State Board, one by permanent compensation, but the actual traveling and other ex: appointment, the other temporary,1, în matters spe- | penses of the members and officers of eaid board while