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Now, begging the reader's pardon again for propriate place. Seriously, Dr. Stong, don't the length of this, we will pass to the next. you think so?
Let us take all our bitter pills first; and here The next letter I received on this subject was the following:
comes one which at first sight seems like a
very bitter one. He does not "dare me to What is the meaning of all the maledictions show- publish it, but let us take a look at it. Here ered upon the head of the editor of the Brief?
it is: This country is full of уар " doctors who write every medical journal on their list that they have the
New York City, April 13, '04 only journal and all others are base imitations; praise C. F. Taylor, M.D., MEDICAL WORLD, Philadelphia, the one to which he is writing and cuss " all others. Doctor :-Your articles on the subject of proprietary Some prize funny man once said that "there is a good remedies are simply “rotten." Any reader looking deal of human nature about some people" and I over the MEDICAL WORLD now and comparing it with must say that it looks like it from here.
the same journal of a few years ago, can readily disDr. Lawrence has made himself rich on proprieta- cover the animus of your diatribe. ries, his proprietaries are good ones, he advertises It is patent that the advertisements you used to them in the Brief, he buys and pays for medical arti- carry-and now do not, could "a tale unfold," which cles that tell something; if these articles are worth a would make your purpose very plain. If any of the dollar a year to you, you are invited to subscribe; if manufacturers you are evidently attempting to “hold not, there is no compulsion, and I must say it is a up,' are going to pay you to discontinue your attacks, narrow medical man who cannot get a dollar's worth they have less gumption than I give them credit for. out of a year's subscription to the Brief.
The success met with by some of the preparations you I have no fight against THE WORLD; the fact that I are antagonistic to, clearly proves that they have as am a subscriber shows that I consider it worth a dol- many and perhaps more friends than you have, and lar. I also subscribe to the Brief, and it is worth the your line of conduct is therefore liable to act as a money. The fact that Dr. Lawrence is rich, cuts no *boomerang.' It would be more edifying if you were ice with me; he don't owe me a cent.
to give your readers something besides an exhibition Let's see you publish this. J. F. STONG, M.D. of your personal disappointments and apparent perShubert, Neb., April 5, 1904.
sonal chagrin over what is generally considered others'
successes. On general principles you are a “knocker” What is the matter with Nebraska ? I
and no serious-minded man can listen to the pose Dr. Lawrence would say,"She's all right!"
“knocker's" little knocks, without developing deep
at the fountain source of his moral being, a disgust Has Dr. Lawrence hypnotized that State ? and contempt for the "knocker." I think your little Well, Dr. Stong, you are just the kind of a “spiel” to do up your former friends, because they “peach” that Dr. Lawrence is looking for;
would not be "stood up” by you, is going to fail, or
at least assist in making the WORLD a failure as a pay him for his journal that boosts the pro- clean Medical Journal. Yours truly, prietaries, and also pay for and prescribe the
QUINCY A. HARVEY, M.D. proprietaries pusht. No wonder Dr. Lawrence I examined the Standard Medical Directory is rich. When it comes to medical literature for Dr. Harvey's street address and professional it is a matter of taste, you know. Have you record, but his name was nowhere to be found, seen a peruna almanac? I haven't; but I ex- either in N. Y. City nor in Brooklyn. Not pect there is some pretty good stuff in it. I being listed among the practising physicians don't think they charge for it.
there, the thought occurs to me that he might I have always said that it would be a poor be an employee of one of the medicin concerns medical journal indeed that is not worth much in New York. If so, all right; it is certainly more than its price; that the best possible in- no discredit. But the point is, he does not vestment that a doctor can make is to sub- seem to be a practising physician. scribe for plenty of medical journals, and pay Now for his letter : Brother Harvey, please for them as promptly as for any other part of point out to me one line or one word that I his equipment. Nearly every journal has an have written against any proprietary medicin, individuality, and one cannot, as a rule, take or against proprietary medicins in general, the place of another. But the object of every except to show what some of the acetanilid legitimate medical periodical should be to serve mixtures are, and I have done that from time the interests of the medical profession, and not to time for years. Haven't you been dreamto push the sale of proprietary medicins. It is ing? Write us again when your dream is all right for a man who thinks he has a good over. But you are not entirely alone. A pharmaceutical product to try to attract the man (I suppose it is a man) in Detroit who deattention of doctors to its virtues. But that clined to sign his name, has been dreaming the isn't journalism. It is commercialism—a good same kind of a dream. When he wakes up and thing in its way, but the discriminating doctor reads THE WORLD in his waking hours, he will doesn't want the two mixt. When he gives his see, and see plainly, that it is the method of time to reading the editorials and other parts pushing certain proprietaries that I have of a medical journal he wants to feel safe from opposed. That same feeling has been rankimposition. If he is in quest of pharmaceuticals, ling in the breasts of medical journalists and a the advertising pages are open to him ; there large part of the profession for years. It is literature concerning such things finds an ap- time for it to come out. Our Detroit friend is
I endorse, I wonder what we should do for an exchange list if all but the really independent were supprest. Yours is abou! the only one I know of that I am confident is independent.
W. S. BOGART. Cleves, Ohio.
concerned by the disappearance of certain advertisements from The WORLD. Do you remember certain articles in the “ Talk” department last summer? Well, I suppose that's the reason that the advertisements disappeared when the contracts expired. I expected it. It doesn't worry me. The support of THE WORLD comes from the profession mcre than from the advertisements. However, I have always treated advertisers squarely, and I expect always to do so; but in so doing I am not going to neglect the interests and rights of the profession. Do you think I ought? And when it comes to a question of journalism, ought not a journal speak out? As a journalist I have interests to sustain, and those interests are the interests of the profession as well. The prosession will (and does in this instance) sustain a journal that stands for the interests of the profession.
Editor MEDICAL WORLD:-Allow me to congratulate you on the airing of Dr. J. J. Lawrence. This meets my most hearty approval. I can't tell you how well pleased I am. I more than congratulate you on the airing of the Comstock Collecting Agency, They did not get a red out of me. Doctor, such straightforward push as you have makes your journal appeal to every honest doctor in the land ; and it comes to stay. I only wish you would open up on the druggists. They are the greatest enemy the doctor has. They are doing more practise over the counter in some of our cities than some of the doctors. Turn your guns loose on every trap you see set for the unthinking doctor. Yours always, Houston, Ohio.
S. G. MARTT, M.D.
Next! I pay for and read every word in the Brief and Alk. Clinic as well as the WORLD. They are both weak in the same spot. One recommends lodia, Ecthol, Respiton, Seng, Chionia, etc.; the other Calcalith, Salithia, Calcidin, Sanguiferin, etc. The first you condemn, the editor of the second sends you an eagle's feather as a token of friendship. A doctor can do first class work without these high priced medicins. I avoid them as much as possible, for I know that they will keep the average doctor poor. I like to see articles on turpentine, coal oil, salt, mustard, red pepper, hot water, etc., and many a fine article on these cheap and good things are appearing in the Brief and Clinic. They are worth the price, but the reader must be on his guard.
For Colic in horses, I rub one grain of morphin on the inner surface of the lower lip, or drop it in the cup shaped lip; repeat. If convenient, give a rectal injection of hot soap suds. For stoppage of water in horses, lay cloths over the kidneys, carefully pour hot water on these. The same plan is splendid with humans.
FRANK POLLARD, M.D. Albion, Cal.
Dr. Waugh is an old friend. He seems to be taking a well earned rest from hard work, for he spent the past winter on his house boat down the Mississippi. Dr. Abbott is the real man there now, and he and I have been having a frequent and most frank correspondence about this very thing. I have called his attention to his tendency mentioned above, and suggested that the Clinic be confined strictly to its special field, that of alkaloidal therapeutics, a large, growing, and strictly legitimate field, in which Dr. Abbott and his journal have done such heroic work.
* The above are all the communications received that are critical in the least. Now that I have “put the worst foot forward,” let us sail in pleasanter waters. The following are some of the expressions received from the profession of interest in this connection :
My Dear Dr. TAYLOR :-While your attacks on trade journalism are prompted by high motivs, which
DR. C. F. TAYLOR, DEAR DOCTOR :- I received the March number of THE MEDICAL WORLD and read it with much pleasure and profit. I am taking several medical periodicals, but I believe I need THE WORLD also. I think this one number is worth the price of subscription. I admire the stand you take to help the physician, even tho your advertisers do not like it. THE WORLD does not remind me of Ayer's old almanac, with a few remedies for all the ills we are called upon to treat. I take one journal that has a large number of questions in each issue. I can give the main remedy given in the answer by the editor every time before I read his reply. For any form of stomach trouble it is seng, with the variations as combinations; for any form of disease of the urinary or sexual organs it's sanmetto; and so on thru a line of preparations of a certain few manufacturers, while the products of other manufacturers, just as reliable, are never or rarely, mentioned. These earmarks are also very visible in the articles written by a certain old Esculapius while smoking his pipe after supper. I inclose one dollar for which please send me THE WORLD.
B. E. DAWSON, M.D. Belton, Cass Co., Mo.
[Doctors, please show your WORLDS, particularly this issue and the March and April issues, to your medical friends who are not subscribers. They will do as Dr. Dawson has done, every one of them. You can thus double our list in the next few weeks. We extend a cordial welconie to new subscribers. We want to work for the entire medical profession.-ED.]
Glad you are banging away at the Brief. I admire your pluck.
GEO. W. HARGEST. Brooklyn, N. Y.
Editor MEDICAL WORLD:-I am pleased that The World is not devoted to advertising and boosting proprietary medicins as the Brief is. We get nothing now but respiton, seng, neurilla, etc. I never use any stuff like that. I hear the Brief abused by doctors generally, on that account.
At our District Medical Association, held in San Antonio lately, I was glad to see united under one common brotherhood all schools, regardless of name. I think this is progress. L. V. WEATHERS, M.D.
Editor MEDICAL WORLD :-You have a good, clean, up-to-date, readable journal, and I like it for what it is. I also like it for what it is not. It blows no man's horn, and peddies goods for no house. Chelsea, Mich.
A. McColgan, M.D. DEAR DOCTOR TAYLOR :--This year's copies of The WORLD so far beat 'em all. I have taken THE World ever since it started, I think-anyhow, for twenty-four or twenty-five years--and I have got 'em all on file. Any doctor would be a fool that would stay with anything that long if it was not “the best that is.'' I cut out everything that is a coal-tar derivativ from my
materia medica long years ago. I not only save The Plain Truth about Seeking Health in $45 a year, but the whole expense., Dr. Lawrence
the Southwest. still continues to send me his Brief almost every month. I never have ordered a copy. Keep at 'em.
Editor MEDICAL WORLD :-For the past You are doing all kinds of good for the profession. year I have been afflicted with tuberculosis and Buffalo, N. Y.
ELMORE PALMER. [THE MEDICAL WORLD was establisht in 1883; so
have been traveling from place to place in you could not have taken it longer than between search of health. After twelve months' expetwenty and twenty-one years. I am glad to greet so rience in the famous health resorts of the West, faithful a follower. Almost all of the profession, I venture, will think that you have done wrong to cut
I am satisñed that it is sheer folly for physithe coal-tar derivativs out of your practise entirely'. cians to send patients in the second stage of They undoubtedly have a field of usefulness, either wide or narrow, according to the experience and consumption away from the comforts of home opinion of each individual practician.-ED.]
and the association of those dear to them to DEAR DOCTOR TAYLOR:
die alone among strangers in a distant land.
Inclosed please find carbon copy of letter sent to Dr. Kieffer. I trust that
Unthinking physicians imagin that all that is should the Doctor be guilty of knowingly contributing necessary to effect a cure of this most loathto the Brief, he will admit his wrong. I like your journal
some disease is a change of climate and a and your style of hitting in the right way and place. Vienna, Mo.
O. N. SCHUDDE, M.D. strenuous out-of-door life, where the poor Dr. A. R. KIEFFER, 4628 West Belle Pl., St. Louis, Mo.
“ lunger," far from competent medical attendMy Dear Doctor Kieffer :-) regret to notice on page 150, April number of THE MEDICAL WORLD that you have been one
ance and good wholesome food, and pure of the contributors to the Medical Brief. If such be the case, I water, has to perform feats that would severely trust it to have been thru some misrepresentation or error, as no medical man, especially one who is held in such high esteem and
tax the strength of a strong man. regard as you, would voluntarily commit himself to such action. “Go out West. Get on a broncho and ride Kindly let me hear from you regarding this accusation. With best wishes I beg to remain Yours fraternally,
thirty-five or forty miles a day, and inhale the Vienna, Mo.
0. N. SCHUDDE, M.D.
pure air of the deserts, and climb mountains, Editor MEDICAL WORLD :--I heartily endorse the
and inflate that consolidated lung,” says the exposé you are making of J. J. Lawrence and his pro- knowing medico, who, if the truth were known, prietary medicin almanac. I must admit that I was a subscriber to the Brief for a few years, but it finally
never saw a desert or rode a horse five miles in became so brazen and arbitrary that I discarded it.
his life. The frequent“ sample copies" that have come to me The poor deluded victim of so stupid a piece since have all been consigned to the waste basket. The letters from “Old Doc" are enuf to nauseate one
of assininity as was ever perpetrated by a biped, who is acquainted with the game he is trying to work. takes the advice of this member of our noble The circulation of the Brief is confined largely to rural physicians who take but 2 or 3 journals, and are not
profession, and starts for the West. When he posted on the old man's tactics. Go on with the good arrives at some city on the desert they are work, even to the end. I know other good and able probably having a sand storm, and the “ pure men will come to your assistance thru other journals. High Hill, Mo. W. M. WHEELER, M.D.
air'' is about as transparent as a rubber
blanket ; but he is cheerfully informed by a DEAR DR. TAYLOR :- I thank you very much for your fearless stand on all questions of professional
veracious nativ that "this is an unusual rights and dignity. THE WORLD has done much in
season." He goes to a hotel, and is cooped correcting abuses inside and outside the ranks, and it up in a stuffy, poorly-ventilated room that meaning physicians, who do not rely on some form of probably contained the remains of another vicdeceit for a livelihood.
tim of some stupid donkey a few hours before, New York City.
P. M. WISE.
but that does not matter; for hasn't the bedDear Editor :-luc'osed please find $2 for subscription to
ding been hung out in the sun since noon ? and World, and pardon negligence, or rather pure carelessness. a weak solution of formaldehyd has been Have been using the analgesic given by Dr. Elderdice in March WORLD, with siccess and saving of money. It certainly makes sprinkled over the carpet. one feel ti ed reading some socalled medical journals to have a proprietary mixture bob up in every line. I think if a person gets
He stays there a few days, while he is lookin the habit of using them, he loses all faculty of preparing his ing around for a suitable camping place. He own, and ambition to do so. The World and its family are always welcome guests.
C. L. FOUGHT, M.D.
wonders why he does not get better ; why his Erie, Mich.
fever returns, and why he loses his appetite. Editor MEDICAL World :-- We doctors are sure a neglectful
Soon getting alarmed, he consults a doctor, I have been intending to send you money for your esteemed ju-nal for a long time, but have neglected it. Inclosed please
and is blandly told that his loss of flesh is due find $3 to sett'e arrears and advance subscription one year. I to “ drying out." After parting with five doladmire yo rindependent stand in medicin very much, and hope you will continue your good work especially in regard to such ad
lars for this comforting piece of advice, he convertising sheets as the Brief.
L. CHAPMAN. cludes that he can dry out much more satisfacBoiestown, N. B.
torily under canvas, away from the crowd of DR. TAYLOR:-Inclosed find check for $3. I admire your grit consumptivs who sit on the verandas of the and your sticktoitivness, both in the way of hustling dead beat
and fighting medi al journals which have the interest hotels, and cough and expectorate into the of the advertiser at heart rather than that of the M.D. Emet, I. T.
A. H. SEELEY.
street, where it soon dries up and is whirled
away in the clouds of dust that are constantly Hope that your expose of the fake collection agencies will be the means of putting them out of business, Your campaign
being blown around by the gusts of wind, that against the Medical Briel is surely of the most proper sort. aid the garbage man and the thrifty housewife be glad to see Lawrence and his ilk "squasht” completely. La Cygne, Kan.
H. L. CLARKE,
in the equalization of germs, so that one part
of the city cannot proudly claim that it is more Treatment of Pulmonary Tuberculosis in infected than another.
the Dispensary and in the Home. He gets his tent, and then his troubles begin, Editor Medical WORLD:-So much is being for the city has decided that no more tents written, both in medical and lay journals, on shall be erected within the city limits. The the subject of tuberculosis that the very word Solons of the City Council have come to the itself has become to many of us trite and conclusion that tents are unsanitary and sources nauseating. There is, however, one phase of of infection ; and besides, they hinder the sale the matter, and one class of patients, which of Deacon Blank's lots, and prevent his rent- have scarcely received any notice either by ing his houses. The Deacon knows the danger physicians or well-meaning non-professionals; of infection, having had a lung put out of com- I refer to the treatment in dispensaries and at mission several years ago in the East, himself. homes of the working classes who are forced to One cannot blame him
for not wanting invalids remain in the cities. These people certainly out of doors in tents when they could localize make up a very large proportion of those the infected areas by staying in houses.
afflicted, and from the fact that they are ignorAfter our victim gets his lot and pitches his ant of the infectiv nature of the disease, betent, then another class of sharks attack him- come very important agents in its disseminathe tradesmen. They charge double the price tion. he has been accustomed to pay in the East; It is a common experience among those who and while they ostracize him as an unclean have a chance to see how dispensary patients person, it is a strange thing to see the reckless- suffering with this disease are cared for, to find ness they show when he has any money to that they are buoyed up and kept going with spend. They are then perfectly fearless. creasote, guaiacol and general diffusible stimu
Now, this is a true picture of the conditions lants, without receiving very much hygienic or to be found in the West. Something ought to other advice beyond the use of drugs. This be done. People far advanced in consumption is no reproach upon the profession as a whole, should never be sent away from home. Their because it is thought that tuberculosis is so cases are hopeless, and their friends should be uniformly fatal among those who cannot told so.
receive special treatment as carried out in saniPeople with limited means should never be toria. This view is of course wholly sane ; for sent out here, for there is nothing for them to can scarcely hope to get results from do, and their scanty funds will soon melt away drugs when these unfortunates are forced to under the exorbitant charges of the philan- live under such wretched unsanitary conditions, thropists in this part of the world.
and at the same time struggle for their daily The climate, taken as a whole, is no better bread. As tuberculosis is studied more and than can be found in many places on the more, however, in its sociological and medical Atlantic seaboard. Any advantages it may aspects, the profession is coming to realize that possess in the way of sunshine is offset by poor something can be done to alleviate the sufferwater, and dust, and sand storms; and then, ing from and spread of the disease, even if homesickness comes in as a powerful factor. that something seems merely tentativ ard temTake a person who has been accustomed to porary.
To this end there are at least two green fields, brooks, lakes, and woods, and put dispensaries in New York City that are doing him on a bleak waste of sand, under a broiling excellent work; one is the Vanderbilt Clinic, sun that hangs overhead like a disk of burn- the other the Post Graduate Hospital. isht copper, not a green thing in sight, and At the Post Graduate, Dr. T. F. Russell has the effect will counterbalance any good he may been treating consump'ivs for the past three get from being cremated.
years by the method of forced feeding, but I have written more than I intended, but I owing to some misunderstanding in regard to have taken The WORLD for years, and have an emulsion that he has prepared, is receiving always ncticed that you come out firmly for support from a very minor portion of the prothat which is just and merciful. You are in a fession. Here any patient is accepted in any position where you can do much to check this stage of the disease, provided it is uncomplievil, and that is why I have written this letter. cated by tuberculous laryngitis, emphysema, or
Winterport, Me. O. S. ERSKINE, M.D. profuse hemorrhages, and provided also that he [The above letter comes from Tucson, Ari
is not too poor to buy proper food and medzona.-Ed.]
icins. These patients sleep with the windows open in all weather, eat all they can at each
meal, especially of milk and eggs, and are In April WORLD, page 148, first column, twenty-third obliged to allow the lapse of five hours between line from the bottom, " Zj every 3 hours” should be 3j every 3 hours. Please take a pencil and mark the
meals. Free catharsis by castor oil and comcorrection.
pound rhubarb pill insures the transmission of
food thru the intestins at a rate which allows Senator Hanna's Case, and the Dietetic of free absorption. They are taught to avoid
Treatment of Typhoid Fever, over-clothing themselves day or night, to keep Editor MEDICAL WORLD :—The following the extremities dry and warm, to sleep nine extract from an editorial in the World's hours out of twenty-four, and to avoid heated Work is of interest to the entire medical assembly rooms. They visit the dispensary at profession: “Every man in middle life, who 7 a.m. and 7 p.m. for advice, and to report has had the usual experiences and the usual obtheir condition, and are weighed twice a week, servation of an American, knows how mur. great importance being attacht to gain or loss derously incompetent a very large number of of flesh. The entire method is that of increas- practicians are—it is a public scandal in almost ing the patient's resistance by food, air, sun. every part of the country.” light, and a minimum of drugs, quite after the We must confess that this charge is too well manner so successful carried out by Trudeau founded ; but, that this incompetence is not at Saranac Lake.
confined to the humbler members of the proThe plan at Vanderbilt clinic is really the fession, to the “ rank and file,” we need no same, with about the same relativ results. So plainer demonstration than the publisht records far, in a period of three years, nearly 50 per of the case of the late Senator Hanna. cent of all cases treated—incipient, advanced, The percentage of mortality in typhoid, and far advanced—have had the disease under the treatment approved by the profesarrested; and 25 percent have been “appar- sion, following the advice of the leading ently” cured. The experimenters are very authorities, ranges from 15 to 20 in the careful not to be over sanguin, and are rather various epidemics. I am aware that many inclined to minimize the results in order not physicians in various parts of the country reto give a false impression of the efficacy of this port much more favorable results. There are treatment.
hundreds of physicians who “never lose a case Professor Walter B. James has said that he of typhoid fever"; none, however, have, in a has been surprised to see how very bad cases large number of cases, approacht the results ateven will improve under strict surveillance of tained by the strict Brand method, socalled, this sort ; for the rules laid down are most viz., 12 deaths in 1,200 cases. rigid, and any departure from them is likely to Now, if you were to ask your subscribers cause the patient to be “ dropt”—a proceed what is the Brand method in the treatment of ing he very much fears. But the whole matter typhoid fever, I will venture the assertion that is one of absolute obedience to the laws of 75 percent of them would answer, the cold health enforced by intelligent and competent bath; whereas that is only one item, and the supervision. If a patient has a temperature, least important of Dr. Brand's recommendaspits blood, and refuses to eat, he is put to bed tions. The withholding of food is Dr. Brand's with all the fresh air it is possible to get in a main point, the cold bath being incidental, crowded city, and is thus prevented from exer- and rarely required if the former is rigidly encising while under the care of a district nurse, forced. who can see many such patients daily.
In the March number of the Journal of AdThe method is not an ideal one, and no vanced Therapeutics there is the second part special claim is made for it, but it seems to be of a very able article on “ Lobar Pneumonia as doing exceedingly well in New York, and a Secondary Disease," in which occur the ought at least to prove worthy of a trial else- following remarks on diet, which I cordially where.
J. W. VOORHEES. endorse : “ Especially to be avoided are all 355 W. 56th St., New York City.
nitrogenized foods—meat, eggs, fish, cheese, [What do our rural friends do for their tuber- milk; and broths containing them. The culous patients ? Are they neglected and products of these bodies, when undergoing allowed to die? Here is a voice from the city; putrefactiv decomposition, are of a highly now let us hear a voice from the country.—Ed.] poisonous character. Milk especially must be
avoided. It is swallowed as a fluid, becomes We have received quite a number of Pneu- precipitated as casein, leaving the whey free for monia articles that we are carrying over till absorption. My experience is, that this casein next fall. Perhaps now, just after the close of traverses the bowel almost unchanged during the season, is the best time to write up your impaired digestion ; if any change does occur, experience, while it is fresh in your mind. it is in the direction of putrefaction." We will keep the articles over and publish Now, if this be true in pneumonia, it is most them early next season. Don't forget bron- emphatically true in typhoid fever, when dichitis, too. And also, don't forget the cur- gestion and assimilation are virtually susrent diseases now and in the near future. pended; where the digestiv secretions, from Write of them for immediate publication. the salivary glands thruout the entire digestiv