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Plugging with iodoform gauze is advisable if bleeding is persistent. The diet should be principally fluid, abundant and administered in feedings at short intervals. Saline injections into the rectum or cellular tissue are frequently beneficial. Cold, quinine, tincture of iron, strychnine and phenacetine will often be found useful means of treatment. Antistreptococcic serum is thought worthy of trial, also nuclein and silver. Abscesses should be opened as soon as they are apparent. Hysterectomy should rarely be practised. Pyosalpinx may be treated by abdominal or vaginal section, according to the indications.

Treatment of a Crushed Hand.-Lejars (Semaine Medicale, March, 1905), advises to anesthetize the patient, apply Esmarch's bandage, cleanse the wound and neighboring parts thoroughly, remove all foreign bodies and debris of whatever nature, bits of bone, flesh, etc., amputate any portion which has been crushed beyond hope of recovery, readjust the tissues as nearly as possible to their normal condition, suturing the divided tissues when necessary, remove Esmarch's bandage, check hemorrhage, drain freely and apply a sterile dressing.

Lead as an Abortifacient.-Dr. Hall (British Medical Journal, March 18th, 1905), reports a series of thirty cases of lead poisoning, resulting from the use of lead to produce abortion. This practice prevails in the Midland districts of England, and is gradually increasing. The drug is usually taken in the form of patented pills-for "regulating" the monthly periods, etc. The author has purchased and analyzed several varieties of these pills and finds that they all contain small quantities of lead. All of his patients were women of child-bearing age, usually married, and mothers of families. Of the first 18 patients, 11 did miscarry, one was pregnant, five admitted delayed menstruation while one denied any menstrual trouble. More than half the patients admitted having taken an abortifacient.

The Hospitalization of Pauper Inebriates in Ontario.-A scheme for the hospitalization of pauper inebriates in this Province was endorsed by the Ontario Medical Association and recommended to the Ontario Government several years ago. Briefly stated it is as follows: (a) The appointment by the Provincial Government of an inspector of inebriate institutions. This inspector should be a qualified medical practitioner who has made the medical treatment of inebriety a special study. (b) The inspector should

organize in the City of Toronto a hospital for the medical treatment of pauper inebriates of the more hopeful class, and in other cities of the province an inebriate department in the existing general hospitals. (c) The inspector should also arrange in connection with each institution, where inebriates are received and treated, an organization or agency for the adoption of the probation system, and giving a helping hand to the patients subsequent to treatment for inebriety. (d) The inspector should provide for the adoption of a rational course of medical treatment for inebriates in accordance with the tenets of legitimate medicine only, to the exclusion of the use of any proprietary remedy. This scheme was also endorsed by the Canadian Medical Association in 1899. A considerable sum of money is collected annually from the license-holders of the Province for the privileges of selling alcoholic liquors, and a third of it goes into the provincial treasury. It is but fair, therefore, that a percentage of the amount collected should be devoted by the Provincial Government to the nursing and medical treatment of inebriates, who are, through poverty, unable to pay the fees required to obtain admission to private inebriate hospitals. Temporary privation of liberty would form an essential feature in the management of chronic forms of inebriety. If this requisite were permitted by law, and a suitable hospital provided, the medical and hygienic parts of the treatment would be so facilitated that the most beneficial results might be looked for even in very bad forms of inebriety.

To Register Tuberculosis.-The efforts of physicians to obtain the compulsory registration of tuberculosis in Ontario have been unsuccessful so far; but a continued agitation in favor of this reform may produce better results in a year or two. In the meantime, public opinion, based on medical opinion, favors this reform. We notice, in American Medicine, that the Maryland Legislature has passed a law regarding tuberculosis. This law obliges the physicians of that State to report to the Board of Health within seven days all cases of tuberculosis, upon special blanks provided by the Board. The reports are to be kept secret. The Maryland State Board of Health has received the first instalment of supplies. for the enforcement of the new law-30,000 sputum cups, 2,500 metal cupholders and a lot of chemical supplies.

Morton, the Discoverer of Anesthesia. The discoverer of surgical anesthesia, Dr. W. T. G. Morton, was an American, a dentist by profession. The first public demonstration of etheriza

tion took place at the Massachusetts General Hospital, Boston, October 16th, 1846. On this occasion Dr. Warren operated for the removal of a tumor. When the operation had been completed on the etherized patient, the operator, Dr. Warren, turned to the audience and said slowly and emphatically, "Gentlemen, this is no humbug," and Dr. Bigelow who was present, remarked, "I have seen something to-day that will go around the world." The inventor of the term "anesthesia," Dr. Oliver Wendell Holmes, writing in 1893 to Mr. Edward Snell, author of an article on anesthesia in the Century Magazine of August, 1894, grants "honorable mention" to Dr. Charles T. Jackson, a physician, and Dr. Horace Wells, a dentist, in connection with the discovery and continues, "This priceless gift to humanity went forth from the operating theatre of the Massachusetts General Hospital, and the man to whom the world owes it is Dr. William Thomas Green Morton." In the same letter Dr. Holmes credits Sir James Y. Simpson with introducing chloroform into surgical and obstetric practice, but declares unequivocally that surgical anesthesia was not discovered by that gentleman.

J. J. C.

PERSONALS.

DR. N. A. POWELL'S only child, Miss Mercy E. Powell, B.A., was married on Monday evening, May 15th, in the chapel of Victoria College, Queen's Park, Toronto, to Dr. Edward Allister McCullough, B.A. On the return of Dr. and Mrs. McCullough to Toronto in a few weeks they will settle at 167 College St., Dr. McCullough becoming Dr. Powell's assistant.

DR. HAMILL, who conducts the Canadian Medical Exchange for the purchase and transfer of medical practices and properties between medical men, wishes us to state that at no time during the past ten years has he been in a position to so fully meet the wants of all needing a practice as at the present time, as he has over thirty medical practices for sale in all parts of Ontario and the NorthWest Provinces, all of which are most inviting opportunities to secure a lucrative practice at most inviting prices and terms. Physicians desiring a practice can secure what they desire better by applying to Dr. Hamill than by all other methods combined that they could adopt.

News of the Month.

BANQUET TO DR. OSLER IN NEW YORK.

Ar what one of the speakers called "the largest medical dinner ever cooked," Dr. William Osler, who has achieved fame as the reputed author of the remark that all men are worthless after forty, and should be chloroformed after sixty, a remark that has been taken entirely too seriously, was entertained at dinner by his colleagues of the profession at the Waldorf-Astoria on May 2nd.

That Dr. Osler had other recommendations beside the utterance attributed to him was evidenced by the fact that the most eminent men of his profession from all parts of the United States and Canada and one or two from across the seas attended the function and that illusion to his alleged theories of age were few and far between.

In reality the dinner was a farewell testimonial on the eve of Dr. Osler's departure from the Johns Hopkins University, at Baltimore, for the University of Oxford, where he is to become Regius Professor of Medicine, and so great was the interest in the event among medical men that the gathering was in effect of an international character, at least one man, Dr. F. Sandwith, having come from London for the express purpose of being included in it.

Three speakers had already paid tribute to the guest of the evening before any mention was made of the so-called "Osler theory," and then Dr. A. Jacobi, of New York City, who was discussing Dr. Osler in his capacity as author and physician, made passing reference to it as an invention of the press. A few moments later, however, Dr. S. Weir Mitchell, of Philadelphia, became a trifle broader in the matter.

It was Dr. Mitchell's appointed function to present to Dr. Osler a copy of Cicero's "De Senectute," which might be liberally translated as Cicero " On Old Age." Dr. Mitchell said the copy chosen was one of the early translations of James Logan, of Philadelphia, and bore the imprint of Benjamin Franklin. Then he added casually:

"What humorous friend selected this work I do not know, nor do I know who choose me as the person to present it, but I suppose it was because I was the youngest available man to hand to my venerable friend what a genius who flourished nineteen hundred years ago, had to say on the subject of old age.'

As Dr. Mitchell is seventy-five years old, and Dr. Osler only fifty-six, the sally was greeted with a burst of applause. When it had subsided, Dr. Mitchell went on to say:

"The subject, by the way, is one, if we can trust the press, that Dr. Osler thinks should not exist at all-old age."

There were nearly six hundred members of the medical profession seated in the main banqueting hall of the Waldorf, when

[graphic]

DR. WILLIAM OSLER, REGIUS PROFESSOR OF MEDICINE,
OXFORD UNIVERSITY.

the oysters were brought on, and before long all the boxes in the balcony were filled with parties of women, including Mrs. Osler, her son, now 10 years old, and her mother, Mrs. Grover Cleveland and wives and daughters of the more eminent guests.

Behind the guest of honor were intertwined, in a beautiful

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