streptococci serum, hysterectomy, and intravenous antiseptics. He is absolutely silent about the use of the so-called soluble silver salts.

The anatomy and the pathological conditions of the female generative organs, and the various normal and abnormal conditions found in mother or child in connection with pregnancy, are clearly pictured in half-tone illustrations and several original colored lithographic

plates.

The mechanism of labor, normal and abnormal, is faithfully represented, and each step in the various operative procedures is made real by means of drawings reconstructed from photographs taken at the time of operation.

In short, while the scientific aspect of the obstetric art is represented as fully but as concisely as possible, the practical side is treated in the greatest possible detail, with especial reference to the needs of the practitioner in his daily work.

Especial attention has been devoted to the normal and pathological anatomy of the generative tract, that the book may prove serviceable as a laboratory guide for students. At the same time the practical aspects of the subject are presented in such a manner as to be of direct service to the obstetrician at the bedside.

No pains have been spared in illustrating the work, although mere artistic effect has necessarily often been sacrificed to accuracy and practical teaching qualities. With the exception of those

relating to pure embryology, all illustrations representing microscopical sections have been drawn from specimens under direct personal supervision, and are accurate reproductions of the originals. The drawings and diagrams illustrating labor and its mechanism for the most part represent the woman on her back, thus affording a closer correspondence with the actual conditions encountered in practice. The representations of the various operative procedures have been redrawn from photographs taken from life.

MINOR SURGERY. By Newman T. B. Nobles, M. D., Professor of Surgery, Cleveland Homeopathic Medical College; Surgeon to Cleveland Homeopathic, Cleveland City and Chilren's Hospitals, etc., etc. including BANDAGING by W. E. Trego, M. D., Professor of Surgical Anatomy, Cleveland Homeopathic Medical College, Surgeon to Good Samaritan Dispensary and City Hospital. In Press.

Itis with pleasure that we announce the early completion of this work. From careful examination of advance sheets we know that it will be a book worthy of the patronage of our school. It has been nearly a quarter of a century since any surgeon of the homeopathic school has written a work on Minor Surgery and Professor Nobles certainly deserves the support and commendation of his colleagues for having taken up the task. We bespeak for the book a hearty reception and a liberal patronage. Boericke & Tafel are the publishers.

A Journal Devoted to the Science of Homeopathic Medicine and Surgery.

Published Monthly by the Cleveland Homeopathic Medical College, 226 Huron Street, Cleveland, Ohio.

JAMES RICHEY HORNER, A. M., M. D., Editor. HUDSON D. BISHOP, M. D., Managing Editor.

The Reporter solicits original articles, short clinical articles, society transactions and news items of interest to the profession. Reprints of original articles will be furnished authors at actual cost of paper and press-work, provided the order is received before the publication of the article. If authors will furnish us with names before their article is published, copies of the journal, containing their production, will be mailed free of charge (except to addresses in Cleveland) to the number of one hundred.

The subscription price of the Reporter is $1.00 per annum in advance. Single copies 10 cents. The Reporter has no free list. but sample copies will be given on request.

The Reporter is mailed on the 15th of each month. All matter for publication must be in the hands of the editor by the 25th of the preceding month

When a change of address is ordered, both the new and the old address must be given. The notice should be sent one week before the change is to take effect.

If a subscriber wishes his copy of the journal discontinued at the expiration of his subscription, notice to that erfect should be sent. Otherwise it is assumed that a continuance of the subscription is desired.

Remittances should be sent by Draft on New York, Express-Order, or Money-Order, payable to order of THE CLEVELAND MEDICAL AND SURGICAL REPORTER. Cash should be sent in Registered Letter.

Books for review, manuscripts for publication, and all communications to the editor should be addressed to J. Richey Horner, M. D., 275 Prospect St., Cleveland, O. All other communications should be addressedCleveland Medical and Surgical Reporter,

143 Euclid Avenue, Cleveland, Ohio.

NOTES AND COMMENTS.

The Relation Between Publishers and
Subscribers.

We have had some controversy with some of our subscribers since the first of the year regarding statements of their indebtedness to the REPORTER. In some cases we have been to blame, but in most instances the fault has been with the subscriber.

As a matter of general information to our readers we wish to call attention to the following points regarding the relations existing in law between publishers of a journal and its subscribers.

Subscribers who do not give express notice to the contrary are considered as

from year to year.

If subscribers move to other places without notice to publisher or postmaster, and the papers are sent to the former address, they are held responsible.

Any person who receives a paper and makes use of it, whether he has ordered it or not, is by law a subscriber.

If subscribers pay in advance, they should give notice to the publisher at the end of their time if they do not wish to continue taking it.

It is a common law, existing in every State that any person or persons receiving any article or articles, and making use of same, is liable for payment.

The law does not regard dissatisfaction as an excuse for non-payment of the subscription price of any book or newspaper.

Responsibility for the purchase price of a book or newspaper continues until the full amount is paid.

Notice to the publisher that papers are no longer wanted, and will not be paid for, does not relieve the subscriber from the responsibility until the full amount of the yearly subscription is paid.

Failure to receive a copy of a newspaper, without fault of publishers, is no ground for refusing payment of subscription. The liability runs to the end of the subscription period.

A Request.

We wish to get out a page of testimonials for the Twin-Bulb Thermometers and will esteem it a great favor if those of our subscribers who have received them will kindly let us know what they think of them.

Do you receive the REPORTER regularly?

The REPORTER is mailed on the 15th of each month, and if you do not receive

it within a reasonable time after that date, let us know at once, that we may ascertain the cause.

A Bargain.

We have about a dozen of the fountain syringes which we at one time gave as a premium for new subscribers to the REPORTER. They are of large size, holding four quarts and are strictly firstclass. The retail price at supply houses is $1.25, but while the supply lasts we will send them, charges prepaid, for $0.85. Order one for your obstetric outfit. The "Circular" Method, etc.

The "circular" plan of reaching the practicing physician is rightly named, for it certainly is a round-about and unreliable method of reaching the busy doctor. Charles Hopkins Clark, of Hartford, said in an address recently, that "if advertisers could visit ten thousand homes and see the yawning wastebaskets which were doing duty in disposing of their expensive advertising matter, they would agree that it was 'love's labor lost'; or if they would call upon the people to explain the merits of their wares, they would find in many offices the sign 'This is our busy day.' This is more than true regarding the busy doctor. Thousands of circulars are consigned to the waste-basket by the office girl, under order of the physician, without being opened, and in many offices in the city of St. Louis this sign will be found in the reception room: "Solicitors and book-agents will be charged regular consultation fees." How, then, is the enterprising manufacturer to reach the eye and ear of the doctor? Through the legitimate channel, the medical journal. Continuous, persistent, yet ethical announcements in the medical press are sure to reach the eye of the doctor, and will penetrate into the privacy of his office, be he located in the

great commercial centers, or at the crossroads beyond the reach of the railways. Every week or every month the announcement is carried to him in a way which he cannot escape, and, if he is a progressive doctor, he will take advantage of every improvement and invention which will enable him to cure his patients, and to establish a reputation. for himself.-Med. Herald.

Educational Work in the Philippines. The following letter, recently received by the Imperial Granum Co., is, we believe, a good example of the educational work the United States is doing in the Philippines. It was sent with an interestingly carved shell in response to the receipt of a sample of Imperial Granum. STA. MARIA, ILOCOS SUR, P. I. November 23rd, 1902.

Mr. John Carle.

My very dear friend, to-day I received a little box of your "Imperial Granum" which you have pleased to send me, and so I could not express to you, how glad I am to get it.

In its envelop I found the name of my baby Louis written in a piece of metal. For these things I give you many thanks, and also I must tell you, I am unable to correspond your attention worthy of all my being. These deeds show that the American and Philippino people will be bounded together by league of friendship and brotherhood till eternity. I hope so.

I understand the utility of your Imperial Granum and my Louis is going to try it, and I am proud to say he will be very fat in a short time for virtue of this food.

All my family owes you very much, and from this time we are very eager to receive often your letter to tell us what do you think we are able to do.

Christmas is coming very nearly, and

Vol. XI.

No. 4.

In the Medical School this year marks the beginning of a change for several years contemplated-requiring at least three years in an undergraduate college for admission to the school. The reasons which led the Faculty and the Board of Trust to this advanced step in Medical Education are significant. This change represents the assurance that the man who is daily with humanity as a physician should not only possess a technical training, but also have a liberal education. The decision is that one who comes to the Medical School as a student should be able to interpret, to analyze, to synthesize phenomena, to reason logically, to feel rightfully, to choose wisely. He should be able to understand the principles of life, and also possess the power of applying these principles to all human phenomena. The decision is clear that students should not be content with facts or a series of facts, but should be able to indicate the significance of each fact, and the relation the members of a series possess to each other. Such an understanding of facts results in the formation of faculty, and faculty is always more significant than facts. Education stands for the power to value truth, to judge. and to assess each truth at its proper worth. Education may in the first place be understood to be an intellectual function; but it cannot worthily be intellectual without belonging to the other parts of our nature; and if it edu

cates the head and the heart, the will and the conscience, it must be concerned with the intellect itself, for man is one. The conception of right easily becomes the love of righteousness, and the love of right leads to the choice of right itself. Education is a training in the sense of relations. The greater the number of relations into which the individual thus enters, and the more intimately he is concerned with these relations, the richer and more adequate is his education. Education is self-development, self-enlargement, self-enrichment, and selfknowledge. Its purpose is to prepare one to do whatever he is called upon to do under the most fitting conditions and the widest methods through the most efficient power unto the largest results. It is designed to make one an efficient member of human society. Discrimination, comparison, appreciation are its rallying cries. It is therefore a judicial possession in which weighing evidence is significant. It is also a training of the power to think. To judge, to reason, to observe, to collate and infer, - these are its properties. In a large way, and yet a most vital way, it is designed to fit one for civic and for social usefulness and happiness. If it is designed to make the scholar it fails to do its whole duty if it fails to make the gentleman. If efficiency is its more important function, graciousness is one of the symbols of its presence and force. It humanizes the

animal in man and dethrones the brute, and crowns man himself with the crown of knowledge and of thought. It seeks to adjust one to his highest environment, and in such an adjustment it heightens man himself. It seeks to realize the highest possibilities of every individual, and through the seeking of the largest worth of the individual, it also seeks to increase the worth of humanity itself. Magnanimity is one of its great words both in reference to the individual and to the race itself. Such general considerations touching the effect of education upon the mind and character of the individual seem to me to have special value in respect to one who proposes to become a physician; for the physician is called upon to analyze and synthesize phenomena, to relate fact to fact and truth to truth, to assess every fact or truth at its proper value, to determine the significance of the symbol, to reason logically, to relate principle to rule and rule to principle, to trace effect to cause, the essential to the accidental, and to hold the necessary and essential under a large variety of conditions and circumstances. He is to possess knowledge himself in order that he may gain further knowledge. He is to be rich in brain himself in order to add to the treasure of other lives. He is to be a large man himself, in order that he may create a larger manhood in those to whom he ministers. His development is to be complete in order that the development in others may be supreme. In him and in his service relations, physical, physiological and psychical meet. He is to understand the outer world, for the patient to whom he ministers is a citizen of this world. He is to understand the soul, as well as the body, of his patient, for the relations of what we denominate body and soul are so intimate that to separate them is beyond human power. The physician learns that man is one, but that this one being has numerous functions, and that he is acted upon differently at different times by the same condition, is acted upon with identical results by different conditions at different times, and that he embodies and represents what is called the uncertainty of medicine.

Therefore be it said that no analysis

is too accurate, no synthesis too comprehensive, no discrimination too exact, no examination too thorough, no logic too rigid, no reasoning process too fine for the physician's equipment in his daily service.

Such reasons and such reasoning have led the Faculty and the Trustees of this College to take the step in medical education which this year marks.

The responsibility is great and the cost in income is not small. The responsibility of failing to offer to the community the best trained physicians and gentlemen of the finest type would be great. The peril of asking the community to accept untrained and ill-trained practitioners in an art and a science which is above all other arts and sciences is at once a sin against God and a crime against man.

The above is taken verbatim from the announcement of one of our great Universities. It marks a great advance toward the goal of an ideal standard of medical education and discounts even the stringent requirements of the New York Board of Regents and the Ohio State Board of Medical Registration. The monetary cost of the step is great. For instance, the expense of teaching each student physiclogy amounts to something like five hundred dollars, while the chairs of anatomy, bacteriology and others have a similar record. All can appreciate the fact that only the largely endowed universities can do this. It is impossible for an institution whose expenses are paid from receipts of tuition fees to make such a sharp advance. There is, however, no question in our minds but that the time is coming when it will not be possible for even the highschool graduate, with four years of instruction back of his diploma to matriculate in a medical college without some further preparatory training. Apropos of this point it is worthy of remark that twenty-five per cent. of the forty graduates from the Cleveland Homeopathic