of ribs of inferior maxillary of nose of hip. Each subsequent visit or treatment in cases of fracture, dislocation and amputation same as ordinary visit or treatment. 25.00 up 2.00 to 100.00 25.00 up 25.00 up 10.00 to 50.00 1.00 up 25.00 to 100.00 25.00 to 50.00 25.00 to 50.00 15.00 to 25.00 5.00 to 10.00 . 15.00 to 25.00 15.00 to 25.00 25.00 to 50.00 5.00 to 10.00 20.00 to 50.00 5.00 to 10.00 25.00 to 75.00 Reducing dislocation of ankle or knee.. 25.00 to 50.00 of shoulder or elbow 15.00 to 50.00 of wrist... .. 15.00 to 25.00 of fingers or toes of inferior maxillary " Amputation of thigh. of leg. of forearm 5.00 to 10.00 10.00 to 25.00 50.00 to 100.00 50.00 to 75.00 25.00 to 50.00 of arm 50.00 to 75.00 10.00 to 15.00 Minor surgical work at office Excision of tonsils, each tonsil. Post mortem, by request or in legal inves tigation. 2.00 to 5.00 3.00 to 10.00 25.00 5.00 up 5.00 up 5.00 up 25.00 to 100.00 Country, mileage additional. AMPUTATIONS. Thigh, not less than SURGICAL. Hernia, taxis, not less than . Hernia, operation, not less than Fistula in ano, operation, not less than Fistula, lachrymalis, operation, not less than Hare-lip, operation for, not less than Chloroform, administration, not less than Post mortem, for coroner, not less than . 50.00 Muncie, Ind. H. D. FAIR, M.D.. Formula of Peruna. Peruna is a combination of the activ principles obtained from cedron, copaiba, cubebs, buchu, calisaya, collinsonia, canadensis, cordalis, formosa (each deodorized by a peculiar process) and double distilled cologne spirits, degrees 57. [This comes from Dr. R. A. Clopton, of Milan, Tenn., who claims that it was sent to him by Dr. Hartman of the Peruna Co. The above is just as received by us.-ED.] Editor MEDICAL WORLD:-In reply to Dr. Holsteen's inquiry I give you the formula for peruna, as I got it : R MEDICAL WORLD Family :-Now while you will need it, let me recommend to you the dark iodid of lime, or iodized lime, in coughs and colds. Use 5 grains in glass of water. Take a teaspoonful every 10 to 20 minutes to break up a cold. You will find this also a superior remedy in quinsy, 10 grains to 4 ounces of water; a teaspoonful every 15 to 30 minutes in the beginning. For membranous croup there is nothing so good; 10 grains to 4 ounces of water; a teaspoonful every 10 to 60 inutes. The breathing soon becomes easier, the distress gradually disappears, the membrane is absorbed or cought up. Yes, I have seen it cought up in shreds and pieces. After trying many things in the last 28 years, and testing this for about 15 years, I can confidently recommend it. While I use other indicated remedies and measures, the iodized lime is my main dependence. Brethren of the profession, learn this splendid remedy. Now will some one, or our good Editor, please send me the formula for Miles' Nervine? I do not want to use it, but would like to expose it as I have "Safe Kidney Cure." The Nervine" is used here. Please help me to expose it. With a good wish to our Editor and each paid subscriber, I am fraternally yours, L. W. HENDERSHOTT, M.D. Mill Shoals, Ill. [We do not know the formula for Miles' Nervine.-ED.] Balsam of Fir for Chronic Constipation. Editor MEDICAL WORLD: -On page 35, January number of THE WORLD, you give an elaborate treatment for chronic constipation. In connection with the above I beg to state that, from 1872 to 1880 I suffered from chronic constipation, and I tried everything suggested in your reply, but without avail. What I endured was something terrible. Finally, I began to reason thus: The retention of the feces over their proper time, and for so long a period, has caused an irritation of the membrane of the bowel, and anything which will travel the length of the bowels and retain its healing virtue, persisted in, must of necessity cure. Having previously healed abrasions of the skin with balsam of fir, and believing that it would pass thru the bowels without losing any of its healing powers, I decided to give it a fair trial. I then bought 200 three-grain capsules, filled them with the balsam, and took five after each meal. For the first week, I was annoyed with belching the odor from the balsam, but in four weeks I was so much benefited that I became very hopeful, and in four weeks more I was as regular as anyone. And I am pleased to say that I have not been troubled in that way since. I had a daughter, now deceased, who suffered in the same manner for three years. Somehow she couldn't make up her mind to take the balsam, but trifled with cascarets and many other laxativs until it became unbearable. Finally she resorted to the balsam, and when she was cured she remarkt to her mother, "This is the greatest pleasure of my life." I have advised numerous others to use the remedy, and all were cured. It does wonders in catarrh of the stomach and bowels. Now, Sir, please don't publish this, but submit it to Old Subscriber" and request him to give it a fair trial, and report results. I know that it will do the business, but I would much rather that some physician would give it to the profession, and thus benefit humanity. Baltimore, Md. W. C. KAISS. [It seems that Mr. Kaiss is not a physician, but I find that he is a subscriber. We do not encourage the laity to subscribe for THE WORLD; in fact we prefer that it be kept away from the laity, except doctors' wives. However, we cannot limit it entirely; but we do not think the lines should be drawn on as intelligent and interested a member of the laity as Mr. Kaiss. As to "Old Subscriber," the other members of the family are as good as he, so we decide to give the above to all.ED.] A first-class battleship costs as much as all the 94 buildings of Harvard University. I I A Method of Book-keeping for Doctors. Editor MEDICAL WORLD:-Physicians are considered very poor book-keepers, and we are constantly being urged to buy some short form of book-keeping. I have my own method, which is short, yet complete. wouldn't exchange it for any I ever saw. always know exactly the amount each of my patients is due me, and the exact condition of my practise each month, and year, as compared with any previous month or year. inclose sample pages, which explain my method. If you think it of any value to the "family," kindly publish. I 50 $150 2 50 1 00 10 00 50 ✓500 ✓7 50 10 00 V.... ✓ 100 6.00 Let January and February represent the twelve months. You can see how your business increases each month and each year. This ought to be as valuable to the Doctor as to the merchant. Automobiles Not Popular. Editor MEDICAL WORLD:-Your advice,' or rather your correspondents' advice to the majority of country physicians, to let automobiles alone, is practical and true, and as long (to use the words of a judge in an automobile damage suit) as the vehicle is a luxury, a new beginner, or even a doctor in moderately good circumstances, will do well to let it alone. For, as the very same judge says, an automobile, no less than a traction engine, is not a regular business vehicle, to be driven at any time or without any precaution on public highways. An automobile is a luxury which but the smallest number of inhabitants can procure for themselves; hence must be subjected to certain rules and regulations, lest the harm which they cause should outweigh the benefit. The claim that an automobile may save the life of a patient by the speed it can be made to make is only true in a very few instances; for cases where human life depends on 15 to 30 minutes are not common; and even if they occurred more often than they do, yet it would be difficult to prove legally that it was the speed of the doctor and his vehicle that saved the patient's life. An automobile in a small town, which may be found at any time anywhere along the public roads, and without any restrictions, is very dangerous to the public in general. No woman or child dare drive even the gentlest horse, for fear of meeting the strange thing.. Hence it makes virtually a prisoner of every woman in the neighborhood not an expert driver. The suit is not yet ended, hence I cannot tell you the result; but this much is sure: A doctor who, with his automobile, prevents many an old or young lady from taking her usual ride of a summer evening, or who is the cause of accidents, will hardly be employed by the majority of the people. Jos. ZITEKE. Batesville, Ind. Let There Be Light. "Let us open ourselves to every source of light, and strive to find the truth." (Jan. WORLD, page 37, bottom of second column, note by the Editor.) To this I say, amen! And when we have seen the light, let us acknowledge the source of it. How many physicians know who discovered and introduced such a well known remedy as podophyllin? This remedy is used daily by thousands of physicians of the different socalled "schools," yet I doubt if many know that podophyllin was discovered and introduced by Dr. John King, one of the war horses of eclecticism, in the year 1835. How many physicians give credit to our homeopathic brethren for discovering the therapeutic value of nitro-glycerin ? From whence came the idea of giving bryonia in diseases of the respiratory organs? In looking over works on materia medica we find that bryonia is "an irritant to the gastrointestinal mucous membranes; a hydragog cathartic." How came it to pass that graduates of schools which placed the above works on materia medica in the hands of students, are using bryonia, pulsatilla, and other remedies not mentioned by the professor of materia medica during their course of study? Evidently the light was reflected on them from the eclectics and homeopaths. I would say to Dr. Anderson, page 37, January WORLD, that the terms "regular," eclectic, etc., must of necessity be used by the different medical sects. The members of these sects are physicians in the same sense that the members of the various and numerous religious sects are called Christians. They are all striving to attain the same end by different methods; and each sect is confident that its method is the best. The eclectics haye evolved a rich and valuable materia medica from our indigenous plants; hence they style themselves the American school. The homeopathic school rests upon the solid rock, "similia similibus curantur." The eclectic prescribes his remedies in accordance with "specific indications," the fundamental doctrin of that school of medicin. The homeopath finds the same indications for remedies in 1904 that were recorded 100 years ago by the father of homeopathy. A remedy which relieved a certain condition 100 years ago will, in the hands of the homeopathic prescriber, produce the same results today. How many remedies are used by the socalled "regular "school today in the same manner as they were 100 years ago? or even 20 years ago? I do not think the terms which designate the different medical sects will be lost in the generic term "physician," until the regular medical schools give instructions in the fundamental principles of the different methods of treating disease expression as now taught by all socalled schools of medicin. Then the term physician will signify a great deal. "Let us open ourselves to every source of light, and strive to find the truth." And after we have found the truth, let us speak it in open meeting. W. H. RUSSELL, M.D. Ipswich, Mass. The Proposed Medical Protectiv Associations. Editor MEDICAL WORLD:-Some of my correspondents, in response to my article in October WORLD, page 456, have suggested the existence of professional jealousies as a serious obstacle to the formation of the above. I am fully aware of the existing strenuous competition and antagonisms in which our code of ethics has been trampled in the dust, but I thought I was presenting a "platform. upon which all might assemble. One of the chief objects of the M. P. A.'s would be to inculcate an improved method of business. No business can be successful if conducted in the careless way the average doctor's is. He gives credit to all sorts of people, and enters into cases entailing long continued and arduous services, on the mere chance of being paid, and for the sake of practise. His books show the entries of numerous small sums not worth the expense of collecting, were it possible to do so. I have at hand the card of a London physician. After setting forth fees and mileage at the rate of $2.50 per mile out of the city, is the following: "All fees to be paid at the time, except by arrangement." "Letters asking for advice should inclose fee." We shall require the moral support of association to inaugurate this system in this country. Many doctors would be afraid to refuse a prescription without a fee, fearing the loss of a patient; but the loss of a prospectiv patient of the class who habitually visit a doctor with the old story "have not any money now" is not an unmitigated evil. If you credit such patients, as a speculation, and sooner or later press for payment, they take offense and go to another doctor and abuse you. The doctor also who accepts reduced fees and allows his bills to be heavily discounted, lowers himself in the estimation of the people, who generally accept us at our own valuation. If in his good nature he accepts the plea that his patient has little or no money, he will generally find that money can be found for indulgence in vices and pleasures, but not for the doctor. Many years ago, when practising in New York, a set of pseudo-fashionable people there, having exhausted the patience of the city doctors, fastened themselves upon the doctors of Long Branch, who eventually formed a "black list." They shut the stable door after the steed was stolen. It is folly for doctors to go on year after year accumulating on their books, with all the attendant bother, entries for fees which will never be paid, thus encouraging the army of dead beats preying upon us and cunningly taking advantage of the well known competition amongst us, when a remedy is in our own hands. Jos. FITZ MATHEW, M.D. West Sound, Wash. Malignant Skin Diseases and the Finsen Ray. Editor MEDICAL WORLD:-The announcement is made that lupus and cancer are being successfully treated by the liquid air treatment, and that the results obtained are eminently gratifying. It is to be hoped that these reports will be verified by the test of time and experience. I have long been interested in the treatment of malignant skin diseases, and recently visited the hospitals of England and Europe to note the methods there used in combating lupus and other diseases heretofore thought incurable. My investigations were essentially of the Finsen method, for no other mode of treatment has any appreciable effect on well defined cases. That lupus vulgaris can be permanently cured must now be accepted as a fact by the medical world, for 97 percent of the cases of the dread disease are now cured in the various Finsen Light Institutes thruout the world. Lupus is a disease thought to be rare in the United States, and yet the number of cases presented for treatment at the Finsen Light Institute of America in Chicago demonstrates that it is more widespread than is usually supposed. I have personally investigated the methods used in the various Finsen Light Institutes in England and in continental Europe, as well as the Chicago branch, and the results obtained by the use of light (phototherapy) certainly border on the marvelous. It is pitiful to see the number applying at the various institutes that cannot be treated. In Manchester at the Salford Skin Hospital, Prof. Brooke informed me that they were unable to treat half the patients who applied, and $125,000 is being subscribed for a new hospital for skin diseases where 200 can be treated daily. The Finsen institutes are thronged with patients because the Finsen treatment actually cures, cases of forty years' standing have been benefited, and the average age of the cases is eleven years. In London an immense department for the treatment of skin diseases by the Finsen system has recently been opened, and altho several lamps were in operation, I was informed by Prof. Sequeira that considerable time must elapse before all on the waiting list could receive treatment. In Copenhagen, Prof. Finsen was found full of enthusiasm, and always ready to give the most detailed information concerning the work of the parent institute. Prof. Finsen has discovered how to construct an arc light producing a maximum amount of violet rays; he has workt out the problem of condensing and focusing them, and screening out the light and heat rays. The Finsen rays (violet) are a powerful bactericide; they have a strong tonic effect on the skin, enlarging the capillaries, accelerating metabolism, and penetrating the interior cavities of the body. There are no pain, no complications, no danger; in a word, the Finsen treatment is an ideal therapeutic method, and I think in the not far distant future it will form a part of the equipment of every progressiv physician. I append a brief description of the Finsen lamp as used in the various hospitals of Europe and in the branch institute at Chicago, which is the only one in this country: The Finsen light is a large specially constructed arc lamp of 20,000 candle power, or twenty times stronger than an ordinary street lamp, and uses from sixty to eighty amperes of current. This lamp burns a specially made carbon, which can only be procured at Copenhagen. In the upper holder is a large carbon, while a smaller one is used in the bottom holder. When properly adjusted for arcking, a maximum number of violet and ultra violet rays are produced. The advantage of the Finsen lamp over others is in the greater number of violet rays produced. The Finsen lamp produces a much greater number of chemical rays than sunlight, as the atmosphere absorbs a large percentage of these rays. The light is so intense that it is impossible to look at it with the naked eye; it is necessary for all the attendants and patients to wear dense smoked glasses while the lamp is in operation; an aluminum hood about two feet wide surrounds the lamp, which hood is fringed on its lower border with a deep crimson colored paper skirt to further aid in excluding the diffused light from the patients. The concentrated rays are carried from the arc to the patients thru four telescopic tubes, known as converging tubes, suspended at an angle of forty-five degrees. The tubes containing a series of rock and crystal lenses so arranged that reservoirs for running water exist between them. By means of the water screen and rock crystal lenses, all rays but the |