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persisted in the “think”

cure, until a comparatively few hours before death, when, in haste, they sent for the physician who was called in at the passing on ” in both the Lewis case and in the

» Frazee case, and he, unfortunately, through soft-heartedness, hurry, or for want of proper investigation, or for some reason he is unable to transfer from the realm of thought into plain blank verse, issued a death certificate, signing it“ pneumonia.”

The form of death certificate at present in use is greatly at fault in construction, in so far that there is an opportunity that might present itself to anyone so desiring, perhaps with criminal intent, to fill in the cause of death. We think it is high time that the Act be altered, and the wording of the form of death certificate entirely changed, making it impossible for anyone to tamper with it, and necessitating the return of death being filled in in toto by the medical attendant, or, as occasion arises, by the coroner in charge of the case. It is true that care is taken by the Medical Health Officer that no burial permit be issued until a satisfactory certificate is filed, but if the change to which we refer were made, it would often save time and trouble.

Pity 'tis these misguided people seem to look upon this particular medical man who signed the Goodfellow death certificate in the light of a sympathetic brother “almost persuaded.” If someone had not reported this case to the coroner-in-chief for investigation, would not the physician have been (though may be unintentionally) aiding in covering up a crime ? For it is a dastardly crime to let a young promising life burn out with fever and provide neither proper medical attendance, medicine, nor nursing. The Frazee and Lewis cases ought to have been warning enough, but a third, and let it be a last warning, has now been sounded. Let all physicians stand firm against the wiles of these insinuating people, and let the tenderfeet in our profession understand that, if they lower their colors, they must face the music of the dirge suited to the words,“ Good-bye forever.” If there be a repetition of the laxity in the granting of a death certificate, such as has been reported in the Goodfellow case, the circumstances are indeed a fit subject for investigation by the Discipline Committee of the Ontario College of Physicians and Surgeons.

Let the punishment fit the crime. A clergyman who asked for reduced rates at a hotel, on the ground that he was a minister of the Gospel, and was refused, demanded the reason

when paying his bill. The clerk replied: “You did not bow vour head and ask grace before meat, therefore as you ate like a sinner, now please pay like a sinner.”

W. A. Y.

EDITORIAL NOTES.

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The Adulteration of Coffee in Canada.-- Bulletin No. 100, Ground Coffee, shows that of 75 samples of coffee examined at the laboratory of the Internal Revenue Department, Ottawa, 45 were genuine, 19 adulterated, 8 doubtful, and in 3 the adulteration, chicory, was declared. The principal adulterants found were chicory and roasted cereals. Of chicory, which has been used for

hundred years

a substitute for and

admixture with coffee, Pavy writes in Food and Dietetics: “It gives increased color and flavor

“ to coffee, and, used an admixture to' a moderate extent, is considered by most persons to furnish an improvement on coffee alone. The preference shown is quite independent of any consideration of economy. It is employed upon its own merits and, when there is no concealment, its addition to coffee cannot be looked upon in the light of an adulteration.” In chicory, there is no caffein. Roasted chicory contains, like coffee, an empyreumatic volatile oil, which forms the source of its aroma and a bitter principle. According to the analysis of John, 25 per cent. consists of watery, bitter, extractive matter. The addition of roasted cereals to coffee causes the latter, when tested, to vield the iodine reaction for starch (blue color). Coffee adulterated with roasted grain is sold more cheaply than pure coffee. Whatever may be the dietetic value of roasted cereals, when taken in the form of a hot infusion, very little therapeutic benefit can be derived from the employment of coffee extensively adulterated with cereals. Pure coffee is advantageously administered as an antidote in cases of opium poisoning. It is also of service in subduing the effects produced by the immoderate use of alcoholic stimulants. It frequently affords relief in some forms of nervous headache, and is well known to constitute one of the most valuable agents we possess for controlling the paroxysms of spasmodic asthma.

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Does Centrifugalization Diminish the Number of Bacteria in Milk?_In an article entitled “The Mechanical Methods of Purifying Milk,” by Paul Diffloth, published in La Presse Medicale, November 30th, 1904, the following appears: trifugalization of milk appears to give a result contrary to the diminution of the number of bacteria in it. Fjord and Fleischmann also show the feeble value of separation by the centrifuge and Conn proves that, if centrifugalized milk contains fewer impurities, it also contains more bacteria after centrifugalization than before. This particular fact may be easily understood. Agglomerations of bacilli, colonies of microbes, are disassociated, divided, their elements dispersed, without in any way losing their vitality, the action of the separator not having any effect on their evolution.” The author quotes Niederstadt, Dunbar and Kister in support of the view. Eckles and Barnes contend that the bacteria are diminished by centrifugalization; but that the preservation of the milk is not facilitated by that process. Russell adds that“ this mode of clarifying milk is not worth the trouble it gives, unless in dealing with exceptionally dirty milk.” As the result of 240 analyses, Professor Harrison expresses the following conclusion: “ The action of passing milk through a separator to purify it of contained bacteria is useless; the number of bacteria liquefying gelatine increases slightly after it has passed through the separator; the common bacteria found in manure and hay appear to be disseminated through the milk by the mechanical action of this treatment." M. Diffloth also notes that swine breeders recognize the absolute necessity of pasteurizing the whey got from cream separators, the preservation of which is much more difficult than that of whey obtained through natural processes, while the danger of using it as food is much more considerable. He rejects centrifugalization as an efficacious method of purifying milk. In reference to the last quotation, made by M. Diffloth, Professor Harrison, of the Bacteriological Department of the Ontario Agricultural College, Guelph, in response to a query, writes us

as follows:
“ In answer

to your letter of December 19th, 1904, I may state that I am the individual quoted by M. Diffloth. You will find a full account of this work in the transactions of the Canadian Institute for 1902-03, page 167, and following pages.” The paper is entitled “The Bacterial Con

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tamination of Milk and Its Control.” A reprint of that portion of Professor Harrison's paper, which refers to the cleaning of milk by centrifugal force, appears at page 84 of this issue.

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Observations on Poisoning by Carbolic Acid.-In a communication on poisoning by carbolic acid and its proper treatment, published in the New York Medical Journal, October 8th, 1903, by Dr. Charles V. Burke, the author says: “ Alcohol is of great value, and, if given promptly, and followed by efficient stomach washing, will save life.” With this statement we are in accord. His next statement, “ The use of the stomach tube is always necessary, when any appreciable quantity of carbolic acid has been taken," is too absolute to be true. That the patient's stomach should be promptly emptied is true, but, if that has been done, why should the attendant force a stiff tube into the patient's esophagus when “there is spasm of the esophageal entrance”? We treated a middle-aged man, who had swallowed 11 drams of liquid carbolic acid, as follows: Forty grains of sulphate of zinc, dissolved in 2 ozs, of whiskey, were given as an emetic about seven minutes after the poison had been swallowed. Vomiting promptly ensued, and the patient's stomach was thoroughly emptied, the odor of the vomited carbolic acid permeating a large house. The stomach tube was not inserted. Two ounces of olive oil were given him one hour afterwards and retained. In hour the patient walked to his house,

his house, which near by, with assistance. The urine he voided that night was of an olive green color. Next morning, one ounce of Epsom salts was given him; the excrement voided later on smelled strongly of carbolic acid. The patient recovered. Recovery was due in this case to the prompt evacuation of the patient's stomach by a stimulating emetic given about seven minutes after the poison had been swallowed. The whiskey was an appropriate vehicle for the emetic. Usually the treatment of carbolic acid poisoning is employed too late to be of service, the patient, if the dose of the poison is large, dying of paralysis of the heart. An emetic of sulphate of zinc in whiskey has an excellent effect in emptying the stomach, and a powder paper containing forty grains of sulphate of zinc should be one of the indispensable preparations in a physician's pocket case.

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The People of Montreal Support Vaccination,—The Province of Quebec has happily attained to a degree of freedom from smallpox, quite remarkable when one considers its past history in connection with that plague. Many remember with regret the mortality from smallpox (3,175 deaths), which occurred in Montreal, from June to December, 1885. Since then, great progress has been made in the enforcement of hygienic rules in Quebec. Through the operation of strict regulations providing for the enforcement of isolation, disinfection and vaccination, and also owing to the co-operation of the people in submitting to these regulations, severe outbreaks of smallpox do not occur in the Province of Quebec, and sporadic cases are controlled with comparative ease. The Montreal Medical Journal, December, 1904, says:

" The medical health officer of Montreal, in his recent report, shows that out of 90 cases of smallpox in Montreal last year, 1903, not one person suffered from the disease who had been vaccinated during the last five years. Two years ago, when the officials visited the schools, over a thousand scholars refused to attend school because they had to submit to vaccination; but this year (1904) they have not had one refusal. In addition to this the Department of Health has now the co-operation of all classes in the community in enforcing vaccination."

A Novel Method of Utllizing the Appendix Vermiformis in Surgical Operations for Cancer of the Intestine.--During a discussion “ on the treatment of cancers of the large intestine," at a meeting of the Société de Chirurgie, Paris, November 16th, 1904, Dr. Segond stated that he quite agreed with the opinions of Dr. Quenu, the reader of the paper, as to the treatment of intestinal cancer, accompanied with total or almost total obstruction of the bowel, viz., primary removal of the obstruction by, establishing an artificial anus, and, secondly, ablation of the cancer itself two or three weeks afterwards when the general condition of the patient had sufficiently improved to permit of the operation being done with safety. Dr. Quenu's preliminary operation consists in first suturing the large intestine to the abdominal parietes and, afterwards, evacuating the large intestine of feces by puncturing it with a trocar and cannula. As cancer of the large intestine is most frequently found at the cecum, Dr. Segond, in operating for cancer of that portion of the intestine, looks for the

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