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the good Dr. B. (is he still living?), and there out the props from under the physician. Is it is any mistake, I believe he will correct it. not time to call a halt, before the physician
Dr. B. also gave his treatment for burns, loses his prestige entirely? which he is rapidly and it is the best I have ever tried.
M. J. Buck. Lorton, Neb.
A. L. STIERS. Pittsburg, Pa. [Yes, Dr. B. is still alive.-ED.]
[In the matter of proprietaries, the physician
should discriminate. While it is wrong to give Editor MEDICAL WORLD:—You are just my one's self over completely to the use of prokind of a man. You oppose the fakes and prietaries, it is equally wrong to condemn all. $I-an-ounce preparations. Don't it beat all Many of them present a frank and satisfactory what fools there are in the profession, paying statement of their composition, and at the same $i an ounce for acetanilid? I have made time present a pharmaceutical merit and my "$I-an-ounce" preparations for years for elegance impossible to attain by extemporaabout 8 cents.
neous preparation, without suitable apparatus, Bluford, III. G. L. TAYLOR, M.D., C.M. etc. Concerning proprietaries, have this word
constantly in mind: discriminate. Don't DEAR WORLD:-Instead of paying for tab- imitate ; but realize that you are the doctor, lets of acetanilid, quinin, and other drugs and call on your own knowledge of drugs and unpleasant to the taste, buy empty capsules and their action to achieve the results that you defill them yourself, by pressing the empty cap
sire; and among the proprietaries presented, sules into the dry powder until they are full. discriminate carefully, and use any that you It is little trouble and expense, while very con- think you can use to the advantage of your venient. It is not necessary to form a pillular patient, not forgetting for one moment that mass, roll out, divide, and put into the cap- you are the doctor.-Ed.] sules, but use the dry powder. I did this years ago, long before I knew the druggist made into Acetanilid : Dispensing vs. Prescribing. pillular masses. Let our friends try it. All Editor MEDICAL WORLD :-You are on the hail to The World !
right track; so here's a dollar for one year's CHARLES H. COCKEY, M.D. subscription. I long ago learned that acetanilid Baltimore, Md.
was the base of all the pain and fever prepara[Why not dispense acetanilid in powder ? It tions on the market, and have never used nor don't taste bad, and is more soluble than in bought them. Acetanilid itself will double capsules or tablets, thus avoiding any danger of discount any of them. Combine with it what cumulativ effect.—ED.]
may be required. I find that salicylic acid
greatly adds to its efficacy. In many cases, Editor MEDICAL WORLD:-You have cer- heart remedies may be required, but are seldom tainly toucht a very sensitiv spot on antikam- necessary when reasonable judgment is used, nia. One is awed at the popular use of anti- only giving enuf to accomplish the desired obkamnia. The profession has gone awry on ject, then to maintain it; but don't be afraid; the use of proprietory medicins. It is much to give enuf to bring down the fever and stop the be regreted that physicians have forgotten the pain. Sthenic cases are the kind best suited art of prescription writing. The pharmacist to this remedy. The name of the disease cuts and manufacturing chemist have taken away no ice here. Sthenic cases of any and all kinds, from the doctor of today the power to exercise regardless of name or age. If one remedy was his training as a physician, 'and made of him a all I could have, it would surely be-acetanilid. mere dispenser of their products. They furnish I can do more good and less harm with it, in a him with a full description of the virtues of shorter space of time, than with any known their remedies, and a detailed account of the drug, taking all diseases as they present themdiseases for which they are “specifics.” Men selves to the general practician. All my in the profession who scorn the idea of doing sthenic cases get it, and all get well in short anything unethical are lending their aid to the order. furtherance of this practise, which is simply A few words about another matter. If you nothing less than advocating the use of pro- -all of you-will stop writing prescriptions prietary medicins. It seems to me that the and dispense your own medicins, keep your doctor would profit more by not prescribing mouth shut, never, under any circumstances, anything except he knows all about its com- let your patrons know what you are giving, but position.
force them to come to you for what they get, Would it not be wise to study well the effects my word and experience for it, your success, of drugs, and once more do our own prescrib- both as a curer of the sick and as a money ing? The manufacturing chemist is looking maker for yourself, will improve to surprise to his own interests, and constantly knocking you. This course will protect the profession everywhere. When you turn loose a prescrip. who may be interested in knowing the real tion it frequently is the beginning of an end- motive for your attack on The Medical Brief. less chain, traveling from one to another for Question 1.-If as you state, Dr. Lawrence years, and perhaps from state to state, doing has published the Brief in the interest of prountold damage to doctors everywhere. Now, prietary medicines in consequence of which he suppose we are all at this; it is a wonder to me prospered at the expense of the profession ; that we do anything. We get only the severe why did you keep silent for twenty years? cases. It costs from five to eight years' time Question 2.-Why did you not attack The and $3,000 to $5,000 in money—all this in the Medical Brief as soon as you entered the arena very prime of our young manhood- to get a of editors and launched forth your journal ? diploma, which entitles us to a hearing before Question 3.-Is it not a fact that you attack some medical board. Now, if we should run the Medical Brief because Dr. Lawrence has all these gauntlets safely, we may sign our name been and is opposed to medico-political grafwith the M.D. to the bottom of a prescription ters? I mean the individuals who “graft” for fifty cents—to become everybody's prop- the medical fraternity exclusively, for instance, erty.
M. E. JOHNSON. the small coterie of men who own and control Pittsburg, Kansas.
the American Medical Association. [New subscribers are always welcome. If Question 4.-Granting that Dr. Lawrence all our subscribers will kindly show their med- has published the Brief in the interest of proical friends what THE WORLD is doing for the prietary medicines, is it not evident that profession, our subscription list—and our field there is another motive for your attack on the of usefulness--would be doubled in short Brief than to benefit the profession, judging order.-ED.]
from your silence during such long period ?
Question 5.-Will you kindly tell your readMedical Preparations Advertised to the Laity. ers the true motive, or at whose instance you
commenced your unwarranted attacks on the Our attention has been called to the fact that
most liberal, broad-minded and liberty loving other preparations, besides antikamnia, which
man ? advertise in medical journals, also advertise
Of all the medical editors extant, there is extensivly to the laity; for example, Scott's emulsion, Mellin's food, syrup of figs, vapo
not a brighter, more liberal minded, more opencresolene, hydrozone, etc. In this matter it is
hearted, more democratic and more tolerant
than Dr. J. J. Lawrence, the Editor of the not always easy to draw an ethical line. It is
Medical Brief. generally admitted that it is proper to adver
Some time ago you refused to publish an tise prepared foods to both the profession and
article dealing with medico-political grafters, the laity. The same thing has long been, and is still extensivly practised conceming simple writer's views. Are your opinions infallible ?
upon the plea that you did not agree with the and harmless semidomestic remedies ; but by Will you not admit that your journal is not an so doing the firms so advertising run the risk of independent medium, hence has not the welfare alienating a portion of the profession, who
of the profession in view, of which I judge from object to that sort of thing, whether rightly or
the fact that you refuse to publish the opinions wrongly we will not venture to say. But con
and conclusions of physicians dealing with cerning drugs of a dangerous and deadly nature,
matters that are detrimental to the rank and there is no room for doubt. They should not
file, and which matters also disgrace the probe advertised to the laity.
You are a member of the American Medical The Medical Brief Defended.
Association, which is owned and controlled by Omaha, Neb., April 2, 1904. a small coterie of men, and because Dr. Law. DR. C. F. TAYLOR, Editor MEDICAL WORLD; rence is opposed to the impositions, grafting
Sir :-In the April issue of your journal, you and black-listing of physicians who do their ask the following question: “Is there any- own thinking you are opposed to him. Isn't where a single WORLD subscriber who is a reg- that "it"'? Fess up. I dare you to publish ular, bona fide, paid subscriber to the Medical this letter and to answer the questions. Brief?”
Yours etc., I am in a position to answer your question in
B. M. JACKSON, M.D. the affirmative. I mean to say, that, I am a Perhaps the best way to begin is to here preregular bona fide, paid subscriber for the Med- sent the rejected article referred to. Upon reical Brief. Now that I have answered your ceipt of the above letter I wrote requesting that question, will you be good enough to answer a the rejected article be sent to me again, together few questions not only for my own benefit as a with my letter that accompanied the same. I subscriber to your journal, but all your readers present the article with an apology for thus
using that amount of space, but this will be the best way for those who may be interested to get the true inwardness of the psychology of this defender of the Medical Brief. I will have it put in small type (for I think my readers will agree that it should be given as little space as possible), and will instruct printers to set it entire and without change of any kind.
IS THE BODY PROFESSIONAL DISEASED, ARE DOCTORS OF MEDICINE IN A LETHARGIC STATE, OR ARB THE EDITORS OF
INDEPENDENT MEDICAL JOURNALS COWARDS?
"What! the editor of this worthy journal a coward! 1, an atom of the body professional, diseased? I, in a lethargic state? 1, -! I declare! the writer of this must be crazy" (A reader.). Perhaps he is ! But listen to the words of Plutarch! “ Had I a careful and pleasant companion, that should show me my angry face in a glass, I should not at all take it ill; to behold a man's self so unnaturally disguised and disordered, will conduce not a little to the impeachment of anger".
The writer hereof begs you not to be angry, but first to listen to his statements. If after due deliberations, you conclude that he is wrong, say so, and he will go before a commission to investigate his sanity; should you conclude that his statements are true, hence is right, he will accept your apology for calling him crazy.
In the first place, the writer did not say, that the editor of this worthy journal is a coward, nor that you are diseased and in a lethargic state. He merely asked whether any one, two or all the conditions exist, in the medical profession.
Preliminary tó going into details, will you not agree with me that some-if not all-conditions, do exist? Of course you do. Own up. However, I shall attempt to give soine details.
In the Dec ber issue of this worthy journal, on page 565, there is an extract from the Columbus Medical Journal, entitled “ Reciprocity in Medical Licensure", and it's essence is, that the Ohio Board of Medical Registration and Examination exact a $50.00 fee from physicians coming from states with which Ohio reciprocates (?) Has the editor of this worthy journal made a single comment regarding this extortionate fee? Not one. Why? Are doctors of medicine reaping the dollars as fast as they are struck at the inint?
Why should you pay $50.00 when your confrere who moved from Ohio to your state, has to pay but $10 00? Besides, most of tbat $50.00 fee—if not all (?)-goes to the pockets of your confrers, who happened to have social or political pull, and were appointed members of the Board of Ohio? What the law provides such extortionate fee? Who framed and lobbied in legislative halls that that law should be passed? Did you! Of course you did not. Not that only, nine-tenths of doctors of medicine did not know that any such law was being asked for in Ohio or any other state. The only men who were interested in the movement that our pres. ent medical registration laws be passed are, the men known today as political leaders in the profession; and political leaders always aim at personal benefits.
What single benefit have you since these laws were enacted ? Not one. Not that only, you have to struggle very much harder for an existence, and the laws are much detrimental to your very welfare. The laws have given men (and women) an impetus to start up all kinds of “ healing arts" because the laws do not affect them
I hope you know by this time, that in almost every state where Osteopaths, Christian Scientists, Vitopaths, Magnetic Healers, etc., etc., were and are being prosecuted for practicing without a license, the highest courts decided that these various arts" do not practice medicine, hence do not come under the provisions of the law. The leaders of these various "arts” know, too, that Boards of Examiners have enough on their hands prosecuting regular M.Ds. for practicing without a " license,” hence the former cao safely go on sowing their seeds, and reaping the harvest.
So, then. you, a doctor of medicine who spent time and money and perhaps, five, ten or thirty years in practice, are being held up for a fee which goes to the pockets of the men you tolerate as " leaders" ; who in addition, compel you to take an examination erery time you move from one state to another You are also told not to do this, that and the other on pain of having your license revoked, and any other kind of a “healer” (who, by the way, is making ten to your one dollar, and is also depriving you of many opportunities to make one) are not subject to any kind of supervision, nor can ever a law be passed which might affect them.
A trust is a good thing for the promoters and owners of the stock, but the men who produce the wealth (labor) get little in return. The latter do not share in the wealth produced to the extent they ought to, for various reasons, (Chiefly) because they cannot "see" how communism can come to pass, and stay; but doctors are supposed to be intelligent men, why do they tolerate tbe medical trust to exist by reason of which the leaders have all the benefits, and the men who produce the wealth (every doctor of mericine who attends to his professional duties and tries to beoefit afflicted mortals, may be compared with the men who labor and produce wealth) absolutely none. Not that only, every doctor of medicine is practically at the mercy of and pays tribute to a Board of Examiners.
Before the laws were enacted you have been told the great (?)
benefits you may expect from organization. Organization is doubtless a good thing; but under what circumstances? Circumstances that would benefit the men joining the organication. A bricklayer belongs to a union because he derives benefits from the union, but chiefly because his pay today, is three times as great as it was when each one labored by virtue of his individual agreement; his hours of labor have also been materially reduced. What benefits have you from being, for instance, a member of the A. M. A. which is controled and owned by a small coterie of men. (See Wisconsin Medical Recorder for September, page 223. A Medical Trust?) You are not even granted the privileges of a member in the rankest organization! Ah! pardon me, you may spend your money if you wish to attend a meeting of the A. M. A. and receive the journal for which you pay $5.00 a year. Anything else, doctor? Why the very men with whom you shake hands at that meeting, hold you up for money and an examination if you wish to remove to the state wherein they reside! Have you ever heard of a brick-layer belonging to a union who is not allowed to work in another state unless he contributes a fee to the pockets of the "leaders" and passes an examination?
A reader of this journal living in Missouri made a statement that the A. M. A. contains the most“ brilliant" part of the profes. sion; that it contains the “brainy men of the profession; that brains and not numbers rule everything and everywhere." I wonder if he ever thought that mankind is ruled everywhere by men who have discased, cunning, dishonest or crooked" brains.' Reflect on my statement Dr. Howle; and at the time you do so, think of the men who rule everything and everywhere in your state, (Missouri).
What a misfortune that "brains" and not numbers rulc everywhere! I say, that the professionally brilliant men in the A. M. A., do not rule the medical profession, but the politically" bril
Will any of the readers dare make the statement, that the best qualified men in the profession, are appointed examiners? Ask any one of our recognized authorities in medicine, whether he asked for our present iniquitous, ignoble and detrimental medical registration acts. Why, most brilliant men in and out of the A. M. A., are teachers in medical colleges, are they ridiculous to the extent that they grind out 1.Ds, for the purpose of having them examined and held up by political appointees?
Were I a teacher in a medical college, I should consider the medical laws which provide for the appointment of politicians, to hold up and examine the men on whose sheepskins my signature appears, an insult. Aye! an avowed declaration that my ability to teach is a question to the law-makers (?); rather the men that asked for the laws and who may happen to be my pupils.
Make up your mind, that lack of medical liberty, (Liberty! Is there much left in the United States? Yes, Yes! We still sing, My country tis of thee, Sweet land of Liberty, &c.) is not detri. mental to any other class, but to medical men only: and toleration of a few medical aristocrats can neither be a benefit nor without hardships to those (and they are in the majority in the med. ical profession as well as under any other social and political condition) who tolerate the existence of aristocrats and politicians that rule.
Do not forget, that the rank and file in the profession, particularly the graduates of five, ten and twenty, years ago, who either are “ members of the A.M.A. or not, are not even recognized by Boards of Examiners that reciprocate (?).
Do not forget, that no leaders ought to be tolerated, and no organization can exist or ought to exist, in which the members thereof have absolutely no benefits and the leaders all; also, that leaders who are the exclusive beneficiaries in a particular organ. ization and the members merely “ stand pat' “saw wood" and constantly pay tribute, are a menance, not only to the organization but the members themselves.
Are the medico-political leaders not doing harm to the rank and file in the profession? Plenty. Do doctors of medicine derive a single benefit in return for tolerating the various Boards of Examiners who, divide the whole or are entitled to $15.00 per day for as many days as they are in session (See the various regis. tration laws) from the fees obtained from physicians exclusively? Not one ; unless it be that they must not do this, that and the other on pain etc.,
In fine, if you can think of a more ridiculous condition than the one existing in the medical profession, I shall be obliged to you for naming it. Is the writer justified or not, in asking the questions?
B. M. J., M.D. 99'. A graduate of a "regular" medical college ; not “Rush which is affiliated with J. D. R., “the good Christian and " Oil."
And here is my letter that went along with the rejected manuscript:
PHILADELPHIA, PA., December 16, 1903. DEAR DR.:-Inclosed returned as per your request. Much too lengthy for the kind of an article. I do not endorse your position as a whole, tho I do in a few (very few) particulars. I do not endorse nor admire the spirit in which the article is written. You do not sign your name to it, and it would be very "cowardly for the writer of such an article to hide under a nom
de plume. The note after your signature is simply regarded as impregnable. No one seemed to awful, to offer to any medical journal to print. Very
dare to call the attention of the profession to truly,
C. F. TAYLOR.
the truth well known in journalistic and advertising circles. But the hold that The
WORLD has gotten upon the profession, parI find that Dr. Jackson is a graduate (1899) ticularly in the past several years, has given me of the Columbian Medical College, Kansas more confidence and courage than ever before. City, Mo. He writes me that since his gradu- I have been working very hard for years to ation this college has consolidated with the make the circulation of THE MEDICAL WORLD Medico-Chirurgical of the same city. I am greater than that of any other medical publicanot acquainted with either institution. A fur- tion. Whenever the circulation of THE WORLD ther peep into his psychology is given by the would approach that claimed by the Brief, the following portions of the letter that accom- Brief would then claim a few thousand more. panied the return of the manuscript:
I have been told repeatedly that such a race is
hopeless. That all Dr. Lawrence has to do is I am not ethical, because the medical fraternity forced me to be thus; I do not affiliate with the med. to order more white paper and print more ical fraternity of Omaha, tho I have a few stanch copies, for he need not depend upon subscripfriends; I am not a member of any medical society, because the medical societies of today are run in the
tions, as the profit on his proprietaries so interest of a few-specialists so-called and politicians. vigorously pusht in the Brief, would justify If any physician will prove to me an iota of fraternity him in printing as many copies as he can inin the present medical societies, I shall throw up my license and change my profession to street sweeping.
duce doctors to read, regardless of any pay from subscriptions. This is unequal and un
fair competition; and is it strange that I I was born and raised in a country where the reigns should be tired of it? There is a law limiting of government are in the hands of a few, and I know that no greater evil can befall the medical profession
the number of sample copies that can be sent in the United States than to tolerate a like condition, out at the second class rate of postage. I which seems to be the greatest object of the men who
would like to see that law applied to the Medcontrol the A. M. A.
ical Brief. Dr. Lawrence has moved to New The letter was a long one, devoted mainly to York City, and has moved most of his proa tirade against medical examining boards and prietary medicin interests there. Why doesn't the A. M. A. Also three articles of his, clipt he move the Brief there? The New York postfrom other medical journals, were inclosed, all office is very strict in regard to second-class quite lengthy, and all devoted to opposing mail matter.' Perhaps he has a "pull" at St. medical laws and the A. M. A.
Louis. With all the above before us, it is hardly Also, the Brief has become worse and worse, necessary to give any further attention to Dr. in recent years, in the pushing of Dr. LawJackson's questions, but I will do so, if it will rence's proprietaries in the reading columns. not weary the patience of our readers too The Brief used to have no editorials at all. In much.
recent years it has had proprietary medicine Question 1.-I came into the field of med- editorials galore. Last summer I lifted the ical journalism, not to fight, but to serve the veil a little, and the editorials suddenly drept daily medical needs of the average doctor. In most of the proprietary puffing, but Dr. Lawthe course of time I found that there were other rence couldn't stand it very long. During the ways of serving the interests of the profession, in past few months they have become as bad as addition to giving the diagnosis and treatment ever again. And the Inquiry Department: of disease. One of these was the exposing of That was an adaptation of our Quiz Column, frauds and other evils that were imposing on or Department (which I started many years the profession. For some reason, other med- ago)-and can any one who reads that part of ical publications have failed to render this the Brief fail to see that its purpose is to push service to the profession. I saw my duty, and proprietaries in the replies? Can any one read did it (and am still trying to do it), as letters the Brief and not see that it is a proprietary received daily constantly affirm. Dr. Lawrence medicin almanac, and not a legitimate medical was in full tide of success (financial if not liter- magazine ? This has been known in certain ary) when I entered the journalistic field. For circles for years. And isn't it time to say it years I heard it whispered about in medical and right out to the profession? particularly when journalistic circles that the Brief was only an the almanac features are getting worse and almanac for the advertising of Dr. Lawrence's worse, and the claimed “paid " circulation is proprietaries, but nobody would say it "out getting more and more monstrously absurd. loud." It requires some courage to do what Many proprietary medicins are all right. I everybody else seems to be afraid to do. Dr. have never said a word against one of Dr. Lawrence and his combination seemed to be Lawrence's proprietaries as such ; but it is his
manner of pushing them. This is a question sion with a fighting spirit. It is no wonder of journalism-a very vital question to me, and that Dr. Jackson has no standing with the proan important one to the profession. The pro- fession of his community. If he will dispel fession is interested in having its literature from his mind imaginary grievances--stop kept up to a proper standard.
fighting a straw man-and seek affiliation with Question 2.—Answered in reply to Question the best elements of the profession of his com
munity, apply for admission into the local Question 3.—The question is a ridiculous societies, etc., he will find himself among one. Dr. Lawrence need not talk about gentlemen, and in a fraternity; and all these grafters. He has been working the most stu- hobgoblin notions will disappear from his pendous medical graft that was ever known brain. The arms of the medical profession in this country, and he has his immense for- are wide open to all fellow workers who are tune to show for it. As to medico-political candid and reasonable. But if you approach a graft, I do not know of its existence. Dr. profession in a fighting mood can you expect a Jackson says it exists, but I know nothing of it. cordial reception? I have had a great deal of He seems to indicate in his articles that it is experience with the profession, and I have the salaries of the State Medical Examiners. I nothing to complain of. will venture that there is scarcely one of them As to the state examining boards, they are who does not lose more than he gains by at- filling an important niche in the progress of tending to his duties as examiner.
And as to
medical science. I would much prefer that one the American Medical Association, there is less examination by a National board should give graft in it, compared to the importance and the right to practise medicin anywhere under extent of its work, than in any institution I the stars and stripes. But our plan of political know of. Its chief salaried officer is its secre- organization will not permit that at present. I tary and editor of its Journal, both offices filled have gone over this repeatedly and fully since by one man, whose salary is very low, com- the question has been a live one. When our pared with his many exacting duties and the government was organized and our constitution magnitude of his responsibilities. Even if written, this need was not thought of, hence there were graft in the State Medical Examin- not provided for. The states were given coming Boards, and in the A, M. A., I have no plete jurisdiction in such matters, each within connection with either, excepting that I am a its own borders. Now that you have come to member (a humble member, in the ranks) of this country, you should accept things as they the A. M. A. If there were any graft in it, I are, as we do, until they can be changed-and would have no access to it, so why should I de- I hope some time we can have a National medfend it? You can bet your bottom dollar that ical law, which will displace all the state medif there were any graft there I would try my ical laws. best to expose it. Your question is ridiculous The claim that the authorities of one state on the very face of it, except that it brings out should give the right to practise in other states in bold relief the fact that Dr. Lawrence is the is entirely untenable. That would rob the inbiggest grafter upon the medical profession of vaded state of self government; and it would this country that was ever known.
also bring the medical standard down to that of Question 4.--Glad you grant that Dr. Law- the lowest state. rence publishes the Brief in the interest of his As to the claim that a college diploma should proprietaries: No, there is no other motiv give the right to practise, I have often exprest than what I have exprest freely—my inter- my opinion. Teaching bodies and licensing est in medical journalism, and in the welfare of bodies should be entirely separate and disthe medical profession. What other motiv tinct. A teaching institution should teach ; could I have? I have nothing against Dr. and a different body should pass judgment on Lawrence personally, and as to “medico- the quality of the teaching. This division has political graft," that is too absurd to think of. now been accomplisht in the most of our states, Even if there were such a thing, my interest and it is one of the most important steps in would be to expose it, certainly not to defend advance that has occurred in many decades. it.
Colleges used to see how many students they Question 5.-Answered above.
could graduate ; now they try to see how few I could expand for many pages in the same of their students shall fail before the state tenor as the above, but I fear too much space board examinations, for wide publication is has thus been taken already. Perhaps the made of the record showing what colleges the clusion that all will reach is that Dr. Lawrence successful candidates come from, and what has been unfortunate in his defender.
colleges the failures come from. The imporLet me further say that any man makes a tance of such a test, and the incentiv it is to grave mistake when he comes into any profes- excellence in teaching, is apparent.