A typical, 92. Mortality in, 158. Appendix, Role of, in pelvic inflammation, 29. Archambault, Dr. Gaspard, 116. Aseptic receptacle for soiled gauze and cotton, 347. Atlantic City meeting, 110. Atheroma, Arterio-sclerosis and, 72. Baker, Dr. Henry B., 224, 340. Bacillus of dengue, 181. Ballin, Max, M. D., 225. Basic principle of the surgeon's fee, 79. Bath speculum, Queen, 310. Eellevue Hospital, 78. Ureteral, G2. Campbell, Alex. MacKenzie, M. D., 193. Cancer of Breast, 1. And Sarcoma as affected by locality, 353. Cancer serum for, 840. Carmalt, Dr. Churchill, 346. Carrier, Albert E., M. D., 107. Carcinoma, chronic irritation in the etiology of, 102. Cardiac disorders, digitalis in, 218. Carstens, J. H., M. D., 246 Catalogue of Medical and Surgical works, 288. Cataract extractions in Glaucoma, complications Cerebro-spinal meningitis, diphtheria and, 309. Cervical Director, McDade's, 249. Chair, patient's, 379. Chancre of conjunctiva, 93. Charlton, Geo. A., 346. Chemical Industry, The Society of, 207. Chloride of Ethyl in obstetrics, 219. Cholelithiasis, The relation of pancreatic inflam- Chronic irritation in the etiology of carcinoma, 102 Clark, John E., M. D., 261. Coal-tar products in fever, physiological action and morbid effects, 124. Collins, A. N., M. D., 44. Commission ever justifiable? Is a, 178. Compend of Medical Latin, 320. Complications following cataract extractions Glaucoma, 284. Complications of diabetes mellitus, 261. Conjunctiva primary chancre of, 93. Conscientious surgeon, The, 161. Cook, Henry H., M. D., 87. Consumption, 139. Correction, A., 342. Councillor District Medical Society, First, 369. in Cyst of the bladder, 269. Branchial cleft, 314. Cystoscopy and ureteral catheterization, history of, 202. a brief Danger of allowing warts and moles to remain, 188. Deafness, temporary unilateral, 9. Decapsulation of kidneys, experimental, 220. Medical aspect of, 26. Defense League, 338. Wayne County, 304. Deformities of the feet, cases, 365. Dengue, Bacillus of, 161. Dermatology, Introduction to, 351. Detroit Academy of Medicine, 252. Clinics and University of Michigan, 306. College of Medicine, graduating exercises of, 55. Diabetic gangrene, 129. Diabetes, treatment of, 265. Mellitus, complications of, 261. Etiology and symptomatology of, 257. Retinal hemorrhage as the first manifestation Diagnosis and prognosis in some pathologic con- Digitalis in cardiac disorders, 218. Diphtheria, present treatment of, 187. Prevention of, 342. Dock, Dr. Geo., 117. Doctors' vacation, 150. Douche and Proctoscope, combination, 312. Drainage of wounds and cavities, 76. Dudley's Gynecology, 191. Dunham's Normal Histology, 190. Dunn, Dr. James H., 115. Duplex inhaler for anesthesia, 118. Effect of operations for uterine displacements upon Ehrlich, Prof. Paul, 22. Electric spray heater, 279. Elephantiasis, 331. Embolism, metastatic, panophthalmitis due to sep. and duodenum, 126. Gastro-intestinal diseases of infants, 122. General vibratory massage, 360, Germany, physicians in, 91. Glaucoma complications following cataract ex- Gorgas, Col. W. C., 18. Destroying mosquito, 277. Gonorrhoea of eye. injection in, 221. Grave's disease, 316. Hackley Hospital in Muskegon, 277. ary affections, 195. Iris, cyst of, 61. Irritation in the etiology of carcinoma, chronic, 102, Is the general practitioner fairly paid? If not, Japanese medical corps, 182. Johns Hopkins Hospital, 64. Journal of Tropical Medicine, 82. Kalamazoo asylum, 347. Kelly rubber cushions, 56. Kennedy, Dr. J. B., 97. Keratitis, interstitial, 93. Kidneys, experimental decapsulation of, 220. Kurz's needle forceps, 120. Larynx, surgical treatment of cancer of, 28. Letters to general practitioners, 253. Limitations in malpractice, statute of, 53. Lead suture fastener, 311. Lorenz treatment, after results of, 126. Prof., a tribute from, 108. Macmillan Dr. J. A., 327. Maguire, Dr. F. J. W., 198. Suits, 52, malpractice, statute of limitations of, 53. Of physiological and clinical chemistry, 255. Massage, general vibratory, 360. Mastoid, nomenclature of various affections of, 241. Operation, new retractor for, 184. McGraw, Theo. A., 353. McLean, Dr. Angus, 42. Measles in New York, 75. Medical aspect of Decapsulation of Kidneys, 26. Corps of army, 114. 135297 relation to, 293. Registration of births, 341. Need for accurate, 322. Renal hematuria, 349. Responsibility for sponges in surgical operations, Results of sanatorium treatment for tuberculosis, Retinal hemorrhage as the first manifestations in Retractor for mastoid operation, new, 184. Robinson, Dr. Byron, 202. Robbins, Frederick W., M. D.. 229. Roentgen ra ytechnique, recent progress in, 233. Rubber gloves and adhesive rubber dam, substi- Rush, Dr. Benjamin, 117. Sanatorium treatment for tuberculosis, results of, Telephone disinfector, 280. Of the X-ray, 139. Present state of X-ray, 69. Thermometers, Formalin for disinfecting, 221. Thymus, 316. Thyreoid, 316. Thyroidism, acute, 27. Tibbals, Frank Burr, 76, 265. Tolley, Edward Whitfield, 293. Tonsil snare, 377. Tonsilitis, nephritis, 121. Torkrit, 280. Transient monocular blindness, 157. Treatment of alcoholism, 268. Diabetes, 265, Diphtheria, present, 187. Treves, Sir Frederick, 214. Conclusions, 372. County Sanatoria for pulmonary, 298. Early physical signs of, 283. International Congress, 87. Results of Sanatorium treatment for, 295. Treatment of, 85. Tumors. cranial, surgical treatment of, 42. Pathological significance of fibroid, 123. Typhoid fever, 5. Money waste of, 19. Mortality of, 183. Prevention of, 209. Prevention and restriction of, 243. Tympano-Mastoiditis, 148. Ulcer of stomach and duodenum, gastro-enteros- Ultra-Violet ray lamp. Piffard's, 119. University of Michigan, Detroit clinics, and, 306. Urinal perfection, 89. Use of rubber gloves as a prophylactic in obstet- Uterus, perforation of, 93. Vacation, Doctor's, 150. Vaccination, 5. Value of non-operative local treatment in gynae- Varicose veins, surgical treatment of, 125. Prophylaxis, 251. Statistics in Michigan, 107. Von Bergmann's Surgery, 30, 62, 126, 190, 255. Vocal chord, pathological curiosity on, 314. Wade, Dewitt Clinton, 276. Wagner, G. W., 72. Walker, Robert S., 333. Warts and moles to remain, the danger of allow- Wassermann, Dr. A., Immune sera, 31. Water anaesthesia, 62. Wayne County Defense League, 304. Wayne County Medical Society, 84, 86, 343, 375. Wells, Hon. Frank, 341. What is to become of the medical graduate? 20. Whinery, Dr. J. B., 295. White, G. Vernon, 65. Wilbur, Cressy L., 322. Wiley, Dr. H. W., 276. Wood alcohol, poisoning by, 308. X-rays in pyorrhoea alveolaris, 59. Therapeutics, present state of, 69. A much greater interest has been accorded the subject of cancer during the past few years than for a long time. This has been largely due, no doubt, to the advancement of new ideas regarding its etiology-perhaps also to an apparent increase in the frequency of the disease. Mr. Alfred Haviland, an Englishman, in his first paper in England and Wales in 1866, read before the Medical Society of London, states that in England and Wales between 1851-1860, that is, in ten years, he found 4.33 cases occuring in every 10,000 females and 1.94 cases in every 10,000 males. In a recent paper (1899) he found in the period from 18811890 7.3 cases in every 10,000 females and 4.31 cases in 10,000 males. That is, the number of instances in females had nearly doubled and the number in males had more than doubled in 30 years. Roswell Park, of Buffalo, who is a firm believer in the increase of cancer, in a recent paper states that in England and Wales from 1840-1890 the death-rate has increased four or five times and he makes the following startling prophecy: "If for the next ten years the relative death-rates are maintained, we shall find that in 1909 there will be more deaths from cancer than from consumption, small-pox, and typhoid fever combined." Heiman, of Heiman, of Berlin, states that in 1877 there were 6,971 deaths from cancer in Prussia and *Read before the Montcalm Medical Society January 7, 1904. Detroit, Mich., April 15, 1904. in the year 1896, 17,843; an increase of 150 per cent. Of the 10,000 living in 1877 the mortality from cancer was 2.66, in 1896 it was 5.53. In still further confirmation of the opinion that cancer is increasing, may becited the mortality record of the Mutual Life Insurance Company of New York. Statistics show that in 1879 the percentage of deaths from cancer in patients between 50 and 60 years of age was 4.23, in 1889 it was 6.22 and in 1889 7.59. That cancer is on the increase is denied by many who have made a prolonged study of this important question. Moak states, after a study of the cancer statistics of the twelfth census, that cancer has not increased in any greater proportion than several other diseases common in adult life and old age. Newsholme also states that, the increase is only apparent, not real; that a greater accuracy in diagnosis and an increased number. of autopsies explain the difference. I have recently seen the Michigan statistics of the disease. They show apparently a decided increase, not only in the actual number of cases, but in the number relative to the population as well. I regard the Michigan figures as absolutely unreliable. Before 1898 the method of obtaining them was so uncertain. that one can not lay any stress upon them whatsoever. Since then (1898) physicians are required to report causes of death before a permit for burial can be Vol. 4. No. I. |