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OUR MONTHLY TALK

The eyes of the world are on the far East.

Let us look over there and see what we shall learn. The first striking thing that we learn is that last month the Mikado of Japan celebrated the 2564th anniversary of his dynasty! Just think of it! The present dynasty with them antedates christendom. Can we believe it? When this dynasty began, Nebuchadnezzar was in his glory in ancient Babylon ; Jerusalem was destroyed and the Israelites were taken into captivity ; this was about the time that the prophet Daniel wrote ; later the splendid civilization of Greece arose and fell; then Rome reacht her zenith, then Christ was born, and in a few centuries more the powerful Roman empire fell, but thru all these changes this same dynasty in Japan was still young. Then came the dark ages over Europe-a sleep. of centuries-then the awakening, with the reformation and the birth of modern science, and the wonderful history of recent centuries, but still the same dynasty in Japan! What is there in Oriental civilization that makes for permanency while ours is as the rising and falling waves of the sea in comparison ? Here is something to think about.

This same stability has obtained also in China. My attention has been called to a remarkable little book entitled “Letters from a Chinese Official.” * I will copy a little from it.

Our civilization is the oldest in the world. It does not follow that it is the best; but neither, I submit, does it follow that it is the worst. On the contrary, such antiquity is, at any rate, a proof that our institutions have guaranteed to us a stability for which we search in vain among the nations of Europe. But not only is our civiiization stable, it also embodies, as we think, a moral order; while in yours we detect only an economic chaos.

We measure the degree of civilization not by accumulation of the means of living, but by the character and value of the life lived.

If it is not so easy for him to grow rich, as with you, neither is it so easy for bim to starve ; if he has not the motiv to compete, neither has he the temptation to cheat and oppress.

* We are accustomed, before adopting any grave measure of policy, to estimate its effects not merely on the sum total of our sealıb, but (which we conceive to be a very different thing) on our national well-being. You, as always, are thinking of the means of living; we, of the quality of the life lived.

For, consider, here in this lovely valiey live thousands of souls without any law save that of custom, without any rule save that of their own hearths.

we ought to study and solve. This is the reason that I brought out the New Zealand book. That country has shown what is possible in the way of intelligent and popular government, and the civilized world must heed the many lessons there presented. As Rev. Russell H. Conwell says, “The advanced theories of government in New Zealand must soon conquer the world."

So let us study these lessons and apply them to our needs here insofar as they will apply. The book is going very well, but it could go better among WORLD readers. We know how many WORLD readers there are, and we know how many buy the books, and those who don't. It is attracting the attention of the best men of the country, as may be seen by the reviews we copy from month to month. We present only a few, selected to show the variety of views and sources of opinion. As you read these, do you not feel justified in buying and reading the book and circulating it among your neighbors? Do you not feel even impelled to do so ? Here are a few more expressions, recently at hand:

A valuable book. The Story of New Zealand" presents a remarkable record of advance in democratic government and industrial harmony. Industrial arbitration is of the highest importance, and New Zealand's success deserves earnest attention.

Whatever may be thought of any specific measure adopted in New Zealand, or its applicability to this country, there can be no question that the story of New Zealand's progress contains much that is worthy the careful consideration of our people.-Grover Cleveland.

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These are only a few tastes. The book is a small one, but it is full of suggestivness. We see that in the far East there is a great world, or two, if we consider China and Japan separately, older than anything we know in history, yet living today just as in the past centuries. We have not appreciated the wonder of it.

Since 1870 Japan has done a most wonderful thing. She has grafted modern ideas and methods upon the ancient civilization without seriously fracturing either, as far as we can yet see. The war news every day tells a wonderful 'story of her progressivness and aggressivness.

* The book is decidedly meritorious. * only work of its kind in existence. * In this book the writer gives the facts of New Zealand history stript of all verbiage and unnecessary details. * Nothing of importance is omitted. * * The work is handsomely illustrated thruout."-Washington Post.

* The largest book now extant on the most independent of all democracies.-N. Y. Herald. [Then follows about six inches in small print describing, in a glowing manner, the contents of the book.]

"No student of social science can afford to be without this book. Its contents are to the sociologist exactly what the laboratory experiments are o a chemist. It is easy to frame schemes in social science. It is quite another thing to put these schemes into actual practise. A book brimful of actual experiments along this line comes to the reading public at a time when there is great need. We heartily commend this book to all our readers.”—Medical Talk.

Occasionally something is heard, more or less authoritativly, of the remarkable sociological propaganda in New Zealand. Specialists have been for several years closely following the experiments which have there been tried in industrial evolution, but the general public is today in the main aware only of the vague fact that in the antipodes a great work is being carried on to the end of better government. The details are unfamiliar to the average man here in America. * * * If it could be read thru by all, it would undoubtedly cause a great awakening of interest in the possibilities of good government thru the enlightenment of the citizen. * * New Zealand is well worth close study. It affords a remarkable series of contrasts, and it teaches many valuable lessons.

It has demonstrated the possibility of educating a great electorate to a high state of intelligence and initiativ, leading to a more equitable distribution of wealth. * * It is a valuable history, and an absorbingly interesting sociological record.” –Washington Star.

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I recently attended an illustrated lecture by Mr. Burton Holmes, describing a trip from Moscow to the Sea of Japan over the Siberian railroad. The trip was made two or three years ago (in time of peace). Its chief interest at this time was in giving an idea of the manners and customs of the Russians. They are a slow, phlegmatic people, and their method of administration makes them more so. Everything must be reported from headquarters, and all orders are issued from headquarters. This makes movements very slow, in case of any accident or any deviation from the stereotyped routine. This, doubtless, is one reason why the alert Japanese can succeed so well in discomfiting their powerful, but slow and unwieldy enemy. The temptation is great to go into the Eastern question, but it is voluminous, and we have more important questions (to us) here at home. These are the ones

*McClure, Phillips & Co., New York; 50 cents.

We have had no convenient and complete account of all these matters, and therefore no opportunity to see any particular law in its true perspectiv, and for this reason this book of Prof. Parsons' comes as a revelation. We are moved with wonder and almost envy when we see how easily this favored land

has dealt with the evils that threaten the very exist. that now almost everywhere so profoundly disturb ence of democracy in our own country. The list of communities and commonwealths. New Zealand is progressiv and radical measures successfully carried an example to the world in the care it takes of public out is amazing. Government operation of all public interests; in the nationalization of credit and of its utilities, government banking to prevent panics, postal soil, of railways, express service, telegraph, telephones, savings banks, nationalization of the soil, government insurance of all kinds; in establishing old-age pension, loans to home builders, state operation of mines, progressiv taxation of land and incomes with exempstate trustee for the management of estates, state title tion of small holders and of all improvments; in the guaranty, woman suffrage, referendum, progressiv resumption and division of large estates, limit of holdtaxation of land values and exemption of improve- ings, and preference for the landless in land distribuments, state purchase of patents, village and farm . tion; in abolishing strikes and lockouts and insuring settlements for the poor, state cold storage and com- industrial peace; in providing State employment burmission merchant for farmers, eight-hour day by law, eaus with the police as special agents, store and factory direct employment on public works, mandatory arbi- acts, an eight-hour day, co-operativ employment on tration of labor disputes, are the striking items in the public works, and much else besides of like kind. No list; but their full significance is not realized until one end of things, in a wide range, of the same sort can be has learned from Prof. Parsons how each came about said of this volume; we have no room to say them and how it is conducted. In his admiration Prof. Par. here; but every one desirous of promoting public welsons exclaims that New Zealand

fare in some most important ways, highly gratifying in its own particular field out-Americas America. From sav. himself at the same time, will fill himself full of the age cannibalism to the highest civilization in a lifetime, from one facts and truths here so interestingly offered him, and of the poorest countries of the world to the richest in half a cent- will, if he can, get his neighbors to do the same thing. ury, from racial war to racial harmony in a generation, from indus. It is very doubtful if at this moment he can serve his trial war to industrial peace in a decade, from charity to justice, competition to co-operation, monoply to diffusion, despotism to

country and community in any better way.-City and democracy, government by landlords and the money-power in

State. their own interest to government by farmers and workingmen in the interest of all as the outcome of a great election, is certainly a Altho something like fifty books have been publisht record of change in condition and policy, which for quantity, about New Zealand, nevertheless all writers have left quality and speed of progress is without parallel.''

practically untoucht one most important field of orig. “It is a compendium of facts about one of the most inal research, viz. : the evolutionary aspect and casual interesting countries in the world to the student of relations of its institutions. In “ The Story of New sociology. Professor Parsons seems to have reviewed Zealand," not only has this defect been remedied, but all the documentary and statistical material relating a clear and comprehensiv account given of the three to his subject. With his accustomed thoroness, Pro- islands which compose that commonwealth, from the fessor Parsons has sifted the data, picking out what is earliest times down to the present day. The labor inessential to an understanding of the peculiar social volved in producing this work must have been enor. and economic conditions in the presence of which the mous; for the author informs us that he has examined structure of New Zealand's government has been built over 300 volumes of official publications and historic up. Readers of the late Henry D. Lloyd's book on writings for the purpose. In addition to this, he has the same subject will be glad to have this fuller treat- received much assistance from the Rt. Hon. R. J. Sed ment. Such institutions as the Torrens system of title- don and the chief publicists of New Zealand. Altho registration, postal savings banks, government life there is a startling contrast between the political and insurance, the public trust office, industrial arbitra- industrial methods in that commonwealth and the. tion, the referendum, and the state operation of coal United States, Professor Parsons shows himself both mines are described in detail, and, in fact, no feature impartial and sympathetic. “The United States, of New Zealand's remarkable institutional life has says he in his preface, has directed its splendid been neglected."-Review of Reviews.

vitality to the organization of private industry ; Eng

land heads the list in municipal government and volFurnishes Americans with food for thought. untary co-operation ; and New Zealand has devoted

New Zealand's conspicuous national figures herself with unexampled vigor and success to the es. are not those who have achieved greatness by the tablishment of civic and industrial justice.” The work sword. They are statesmen, social reformers, and the is profusely illustrated.-Westminster Review, London. like who have brought the country into the highest state of prosperity without bloodshed. * While

Seeing is Believing. many of these reforms were furiously opposed at the Dr. Max Werder, of San Francisco, when renewing outset, they have in practically all cases come to be his subscription, requested us to send him a copy of recognized as largely affecting the diffusion of wealth

the New Zealand book, with bill. We did so, but at among the people who create it, and have thus brought

the same time wrote him that it was contrary to our a feeling of contentment.

The work is not

custom, as we did not wish to open accounts with docdryly statistical, altho it contains a vast amount of

tors for the book. Our expense and trouble have alpertinent figures. * The book is one which

ready been great, and we expect cash with each order. should exert a deep influence in the politico-economic

Tho the price, $3, may seem high to those who have education of our people, and has been composed with not seen the book, it is really a very low price.

We infinit care by one who knows how to ably treat his sent the book. By return mail we received the foltheme.- Boston Herald.

lowing from him: “The new book, 'The Story of New

Zealand', arrived all right this day. Herewith find inThe book deserves pages of praise. It is a noble

closed postal order for $3. I am well pleased with the work, and is shamefully cheap. It is a book that

book. It is quite an elaborate work, and must have should be closely studied by every patriotic citizen of

cost you a great deal of labor, and expense too." the United States. Possess yourselves of this grand This is printed here to show you that you run no risk in work and you will never regret it.-Dr. W. C. Cooper, sending your $3 for the book. As soon as you see it in the Medical Gleaner.

you see at once that it is a good purchase, and with

every page that you read in it you are more and more It is simply impossible, within due limits, to set

convinced of its worth and value. forth even a tithe of the varied and remarkable excellencies of this volume. It is a great book. It tells a

If the message contained in The Story of wonderful story, and one that ought to go out into all the earth. Fuller of interest than an ordinary ro

New Zealand" should be extensivly and effecmance, the book, by means of the facts it presents, so tivly delivered all over this country, it would clearly, so authoritativly, is distinguisht by its

advance our political and economic progress quickening suggestivness in respect to the way in which the people can make sure of governing them- at least a quarter or half a century. selves, how they may face and masterfully solve the

Send price, $, to The Medical World office, and the book wil problems, governmental, industrial, social, and other, be delivered to you without further cost.

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THERMOL IN THE TREATMENT OF TY.

PHOID FEVER AND PNEUMONIA. [The following are brief excerpts from clinical reports.]

Although the majority of us may loathe to accept new drugs, still I feel that we should never let either prejudice, self-interest, or pride prevent us from using any drug that will accomplish the desired results. Having heard very favorably of thermol, I became interested, and I have used it quite frequently, both in hospital and private practice for over a year.

There have been twenty-six cases of typhoid fever treated at the Allegheny General Hospital with thermol, under my supervision, in addition to many cases in my own private practice; with no deaths.

In conclusion, I desire to impress the following facts with reference to this product, thermol:

(1) The strength of the patient is not exbausted, thus avoiding the necessity of resorting to alcoholic stimulation.

(2) The normal activity of the skin, mucous membranes and kidneys not interfered with, thus maintaining elimination.

(3) There were ample evidences of more rapid recovery, thus enabling the patients to more readily and permanently resume their vocations.-Oliver L. Miller, M.D., Auending Physician to the Allegheny General Hospital, Allegheny City, Penna.

During my service at the Atlantic City Hospital, I had occasion to employ thermol in a series of fever cases. The result was so satisfactory that I felt that my experience should be recorded, being impressed with the almost specific action of thermol in this group of cases, an experience which I feel can be repeated by anyone. The most marked symptom of typhoid fever is the fever, and its characteristic influence is best studied when applying antipyretic remedies. As is so well known, the pyrexia of the disease is of serious consequences, and of itself often leads to such. Hence, in the treatment of a disease, the fever of which is the most marked symptom, especial attention should be given to the cause. The removal of the cause is not readily realized, and therefore the selection of some suitable antipyretic presents itself. In choosing such a remedy, we must seek one which may control those conditions of “fever" by inhibiting heaiproduction, or by dissipating heat, or both, with the least deleterious effect upon the system. As such, I have found thermol to embody these points most thoroughly. My first use of this drug was in a varied number of cases in private work, and the result was so pleasing, I had no fear or hesitancy to employ it elsewhere. In the wards of the hospital I was enabled to give it more careful consideration, and in “ fever cases" especially our observations were most accurate and systemized.

Dr. Sylvester J. Goodman, the resident physician, gave especial attention in noting its effects and recording the course of each case. The following Ave cases of typhoid fever, taken at random from our case-book, in which were recorded 32 cases treated by thermol without a death, will give a fair resume of the number of cases treated.

In presenting this series of cases, attention is at once called to the peculiarity of the temperature record, the dissimilarity of each from a typicaltyphoid temperature. I should add, that in each instance, the diagnosis was verified by bacteriologic tests. Widal's reaction was found in each case, nor was a case pronounced typhoid unless every physical sign was in unison, to be completed by a Widal test, made and certified to by the New Jersey State Laboratory at Princeton, N.J. The speciñc action of

thermol is thus proven in case No.5, where a relapse was noted, or rather where an elevation of the temperature far beyond the normal temperature of that particular case was caused by the irritation of the food, ihermol acted specifically in reducing the temperature.

To summarize, thermol is an antipyretic of specific effect. In no case was the heart's action at all impaired, but was apparently strengthened. There was in all cases no greatly decreased amount of urine, nor did the skin become exceptionally dry.

From my observations, noted here as well as in private practice, I believe that the earliest moment thermol is administered, in any case, and especially typhoid, the prompter the results, and the more specific its action.

As an antipyretic, it is harmless, and can be given at any time or in any state, any harmful effect as collapse or the like never being noted.

The mode of administration is 5 grs. at intervals of 2, 3, or 4 hours, and to be given when the fever begins to rise; and to be continued even after the fever has disappeared. in smaller doses and at longer intervals. No danger of collapse need to be feared. Hence, there is no need of any additional medicine, as whisky or the like.-A. B. Shimer, M.D., Atlantic City, N.J.

In order to demonstrate some of the practical points in favor of the antiseptic and antipyretic treatment of typhoid fever, I shall merely furnish a brief history of one case, the others being fairly similar and typical in results.

On October 18, I was called to see A. R., male, aged 23 years, who had been confined to bed for four days, but whose illness had existed for ten or twelve days prior to my visit. During this time he had suffered with marked prodromal symptoms of typhoid fever. He had had chills, malaise, severe aching pain in the head and limbs, some nausea, anorexia, coated tongue, nose-bleed, and iliac tenderness. Upon examination I found a tem: perature of 104 degrees F., marked tympanites, diarrhea, with four to six ochre-colored stools a day, rose-spots, the tongue tremulous, coated brown and glazed, with cracks and fissures, sordes on the teeth, and lips, mild delirium, a troublesome cough and moist rales, the characteristic flushed,dull, heavy, listless, stupid, typhoid facial expression, obtunded hearing, great mentalapathy, hebetude and inanimation. By way of treatment I pre. scribed thermol in doses of twoand one-half grains every two hours. Within forty-eight hours every symptom enumerated had become materially modified and diminished in severity. The subsequent temperature never exceeded 103° and only once or twice did it pass 102°, the diarrhea quickly subsided, the meteorism melted away, the mucous and cutaneous surfaces became moist, the tongue rapidly cleansed, the circulation regained its tone, the insomnia gave place to refreshing sleep, and by the 4th day of November the patient's temperature was pormal, and convalescence had become firmly established, In no case of equal severity at the outset could possibly bave run a smoother or more uneventful course after the treatment was instituted. The patient was confined to the bed precisely three weeks, and there was no sequel whatever, except a slight and transient furunculosis.

The angry protests and pitiful entreaties of patient and friends, the shivering and chattering teeth, the gasping respiration, the dread and the multitude of annoyances to the patient, nurse, physician and family occasioned by the cold bath process were avoided, and still the patient experienced all the comforts to be derived from that system, and finally he did not linger on and on as not infrequently happens with hydrotherapy.

Experience has demonstrated that thermol should be administered to an adult typhoid patient in doses of approximately two and one-hall grains every two hours throughout the whole duration of the disease, irrespektive of the records on the temperature charts or the thermometric reading:

I feel justified in claiming that there is evidence to support the belief that the rational use of thermol will rob typhoid fever of many of its terrors and dangers, that thus used it will beyond a doubt to some extent shorten the duration of the disease, and lessen greatly the tendency to relapse, that it will certainly be productive of much physical and mental comfort to the patient in reducing the fever and at the same time cause the skin and mucous membranes, including the tongue, to be moist, that the respiratory, circulatory, intestinal, nervous and all other special symptoms will be reduced to a minimum.-C. F. Hope, M.D., Coatesville, Ind., in Wis. Med. Recorder.

A normal temperature was reached in one case on the fifth day; in two on the seventh, the eighth, and the ninth days, and in one case on the twelfth day.

Under the use of thermol the cases on the decline of the fever presented very little exhaustion and an early hunger developed. There were no complications and no sequels. The diarrhea was effectually controlled, as was also the the abdominal distention. In no case was there a necessity for stimulants; only one patient was allowed a mild sherry and that at his request.

The cases were marked by a rapid convalescence, an absence of relapses and an early recovery of normal strength.

There is no doubt that every member of the medical profession will gladly accept any plan of treatment which will shorten the tedious course of typhoid fever, prevent its consequent exhaustion and lessen the prolonged convalescence, to say nothing of reducing its mortality.

To draw a comparison between the cold bath and the thermol treatment it is only necessary to compare the charts of cases treated by the respective methods Under hydrotherapy the baths must be repeated every few hours and the patient disturbed and distressed. The temperature is not kept down permanently, but it almost immediately asserts itself. The specific cause at work in the system is not eradicated. There is increased heatproduction continually going on from the presence of poisonous products. It seems more rational to employ à drug which will effectually control temperature and thereby lessen the great exhaustion and high nervous phenomena invariabiy associated with excessive heat. A

PRACTICAL POINTS

ANTI-RHEUMATIC.

certain percentage of cases has been saved since the innovation of the bath-treatment, but in thermol we have a far superior remedial agent which is more convenient of administration and one which will not only safely reduce a high temperature, but also control it thoroughly and act antagonistically to the leukomaines in the blood.

If future investigations produce results which compare favorably with and corroborate those already obtained, we may almost claim it to be specific in its action and destructive to the typhoid bacillus.-George B. Miller, M.D., Philadelphia.

Sol. et. pot. tartrat .

* oz. Tongaline q. s. ad..

3 OZS. M. Sig.-A teaspoonful three times a day.

J. Wm. Henry, M.D., Brooklyn, N. Y., states : " Aside from the ordinary value of Glyco-Thymoline in its use on abnormal mucous membrane, I consider it of extreme value in the treatment of Diphtheria. In a recent case of the most severe type, in which every symptom pointed to a discouraging prognosis, I used Glyco-Thymoline by spray and swab with the ordinary constitutional treatment. The temperature soon lowered and the crisis was passed without serious trouble, much to my surprise and gratification.

THERMOL IN THE TREATMENT OF

PNEUMONIA.
BY JAMES A. MATLACK, M.D., OF ST. LOUIS, Mo.

(From records of St. Louis City Hospital.)

* It is upon these severe and neglected cases that the value of therapeutic measures can best be tested; for inild cases, or those seen at the onset, usually respond readily to any forın of treatment. The hospital stuft has been diligent in combating the disease, and every known method of treatment has been resorted to. Especially good results have been obtained from the use of thermol, CH, NO4. The following report of cases treated by thermol will illustrate its action.

(The cases reported are graphic and instructive. We here present a remark or two from two of the reports, and then proceed with the Doctor's conclusion.)

Temperature on entrance was 101.08, and remained high until adininistration of thermol was commenced, when range of temperature immediately became lower, character of pulse improved and cyanosis disappeared. Patient made uninterrupted recovery.

* After administration of thermol temperature became lower, circulation improved and patient became comfortable. Crisis occurred on fifth day after entrance, and patient rapidly regained health,

BILL NYE'S AD. The late Bill Nye once advertised a cow for sale as follows: "Owing to ill-health, I will sell at my residence, in township 19, range 18, according to govern. ment survey, one plush.raspberry colored cow, aged 8 years. She is a good milker, and is not afraid of the cars or anything else. She is of undaunted courage, and gives milk frequently. To a man who does not fear death in any form she would be a great boon. She is very much attacht to her house at present by the means of a stay chain, but she will be sold to any one who will use her right. She is one-fourth shorthorn and three-fourths hyena. I will also throw in a double-barreled shot gun which goes with her. In May she generally goes away for a week or two and returns with a tall, red call, with wabbly legs. Her name is Rose. I would rather sell her to a non-resident."

Pneumonia is essentially a disease which tends to run a varied course. It is but too true that a typical case should follow certain lines, but it is also true that perfect heart action is necessary in all events and at all times. The symptoms that demand treatment in pneumonia are high febrile conditions, delirium, cerebral symptoms and falling cardiac power. With a successful combating of these untoward symptoms it may fairly well be promised that the patient will get well. In some cases we do not need medical treatment at all; in other cases it is absolutely necessary to have remedial agents at work that will take care of the oppressed nervous and cardiac centers and tide the patient over until resolution sets in. It is in the class of cases referred to that the effects of any given agent can best be tested. The cases in hand need but little comment, as inspection of the temperature charts will show conclusively that the therapy adopted was productive of the good results which we wish for in this disease, and that the end in view was well accomplished by the use of thermol. In none of these cases was any remedy except thermol used, and in every case was improvement immediate and recovery rapid. It should be especially noted that there was no iendency to cardiac depression-which is often too true with many of the remedies used in the treatment of this disease-but that, on the contrary, the circulation always became better after the erhibition of the drug. Antipyresis was successfully accomplished, and there was no need for calling into use the digitalis group of drugs. It is a fact that thermol is a safe agent to use in the treatment of pneumonia; it is also a fact that it has decided effects for the better on untoward features of the disease. These are two qualities which stamp the worth of any drug; Ist, that it does good: 2d, that it does no harmThermol is therefore to be strongly recommended in the treatment of croupous pneumonia.

CASE II. Boy, 15, jumpt off a train while in motion and was thrown against a side track, cutting a deep gash in the forehead over the right eye. An hour later I found him comatose, pupils contracted, insensible to light, pulse thready and futtering, considerable hemorrhage. Strychnin

glonoin brought about reaction, the wound was carefully cleansed according to my usual method with Hydrozone, stitcht together and dusted over with iodophyll. Reaction was met by a cold hood, aconitin and eliminants. The boy was soon well. F. E. Burgevin, M.D., Spiro, Ind. Ty.

and

It would be pretty hard to say what you cannot get from the well-known and reliable house of Merck & Co., in the line of chemicals of careful preparation, for they have a very large list. The following, which they present to our readers' attention this month, will give you an idea :

Ichthargan, for Gonorrhea. See adv. on page 2.
Formin, urinary antiseptic. See adv. on page 4.
Stypticin, uterin hemostatic. See adv. on page 6.
Ichthyol. See adv. on page 27.
Dionin, sedativ, etc. Adv. on page 21.
lodipin, instead of the lodides. Adv. on page 23.
Bromipin, instead of the bromids. Adv. on page 29.
Veronal, hypnotic. Adv. on page 17.
Thiocol Roche, well-tried remedy. Adv. on page 9,

Clinical reports of any or all of the above, will gladly be sent by Merck & Co., to any physician.

Wherever known, the demand for thermol becomes steady and increases rapidly. Sales are rapidly increasing, both through the trade and direct with physicians, as many physicians seem to prefer to order direct from us again and again as our books amply show. The price to physicians is 85c. per ounce. In order to introduce thermol to physicians not yet acquainted with it, we will send a high grade one-minute clinical thermometer (worth $1.00 or more) and a trial ounce of thermol, either in powder or 5 gr. tablets-both the thermometer and the trial ounce of thermol for $1.00. Literature free.

Address ORGANIC CHEMICAL MFG. COMPANY

Successors to LIBERTY CHEMICAL COMPANY 2559 N. Sydenham Street Philadelphia

A dentist asked an old man from the country if he would take gas. He replied, “Down where I live they are not using gas; I guess you had better give me some kerosene."

In writing recently of his Conct. Tinct. Passifora Incarnata, Mr. Daniel said “It relieves insomnia where morphia, opium, and the bromids are ineligible, and where constipation is to be avoided.” See adv. on page 29 and send for literature.

Circulation: April, 1904, 35,421.

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C. F. TAYLOR, M.D., Editor and Publisher

A. L. RUSSELL, M.D., Assistant Editor

securing the general adoption of the suggested amendments IRVING SHEPARD, Secretary."

We feel it a duty to recognize the above tendency, and to adopt it in a reasonable degree. We are also disposed to add enu! (epough) to the above list, and to conservativly adopt the following rule recommended by the American Philological Association:

Drop final "e" in such words as “definite,". " infinite," “ favorite," etc., when the preceding vowel is short. Thus, spell "opposit," preterit," "hypocrit," " requisit," etc. When the preceding vowel'is long, as in “polite," "finite," ** unite," etc., retain present forins unchanged, We simply wish to do our duty in aiding to simplify and rationalize our universal instrument- language.

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“THE MEDICAL WORLD" 1520 Chestnut Street

In the Lying-in Chamber. At a confinement case is a time when a man is very apt to show his real nature. That is a place where one needs to be doing something all the time, even if it is only fanning the patient, feeling her pulse, or washing his own hands. The poor woman in her distress is horrified to see a callous doctor read the paper or enjoy the brilliancy of the sunrise from the window or porch at such a time. The situation is real, and is very serious to her. While he may be confident that he is attending her in the best possible manner, she feels that he is neglecting her and is cruel, if not ignorant. One of the best teachers of obstetrics in this country today always advises his students to “ be busy in the lying-in room, even if there is really nothing to do."

Philadelphia, Pa.

VOL. XXII.

MAY, 1904.

No. 5

Language is a growth rather than a creation. The growth of our vocabulary is seen in the vast increase in the size of our dictionaries during the past century. This growth is not only in amount, but among

other elements of growth the written forms of words are becoming simpler and more uniform. For example, compare Eng. lish spelling of a ceptnry or two centuries ago with that of to-day! It is our duty to encourage and advance the movement toward simple, uniform and rational spelling. See the recommendations of the Philological Society of London, and of the American Philo. logical Association, and list of amended spellings, publisht in the Century Dictionary (following the letter 2) and also in the Standard Dictionary, Webster's Dictionary, and other authoritativ works on language. The tendency is to drop silent letters in some of the most flagrant instances, as ugh from though, etc., change ed to tip most places where so pronounced (where it does not affect the preceding sound), etc.

The National Educational Association, consisting of ten thousand teachers, recommends the following:

"At a meeting of the Board of Directors of the National Educational Association held in Washington, D. C., July 7, 1898, the action of the Department of Superintendence was approved, and the list of words with simplified spelling adopted for use in all pubications of the National Educational Association as follows: tho (though);

program (programme); altho (although);

catalog (catalogue); thoro (thorough):

prolog (prologue); thorofare (thoroughfare); decalog (decalogue); thru (througb):

demagog (demagogue); tbruout (throughout);

pedagog (pedagogue). "You are invited to extend notice of this action and to join in

Diagnosis and Treatment of Cases of

Poisoning. It is unfortunately true that a diagnosis previous to death is frequently impossible, yet it is the duty of all physicians called to cases of poisoning to exert themselves diligently to make an accurate diagnosis, in order that the proper

antidote or treatment may be instituted, and also that the fullest possible data may be secured for the legal investigation which is generally sure to follow. It is a fact not generally known, even to the profession, that there is only one poison which has a symptomatology sufficiently definit and clear as to admit of an absolute diagnosis; all the others yield variable symptoms, and the diagnosis is always somewhat in doubt unless extraneous circumstances yield circumstantial evidence strong enuf to be trusted implicitly.

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