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tion of Sleeping Sickness. Another interesting article by Smith, describes the condition of uncinariasis. One of the best articles in the book, and of great value to the general practitioner, is upon the pathology, diagnosis and treatment of arterio-sclerosis, by John Benjamin Nichols.

We often wonder, when reviewing these books, how the editors can produce a work of such size, with selections from the works of scientific men all over the world at such a low price. SALINE THERAPY. A Monograph upon the Effects of Saline Waters on

Metabolism. By Carl von Noorden. 89 pages. Cloth, $0.75. E. B. Treat & Co., New York, N. Y.

This is the fifth monograph upon the pathology and therapy of disorders of metabolism and nutrition. The subject is of unusual interest to physicians on account of the fact that the salines embrace a large group of mineral waters. In this volume, as in the previous ones, the author bases his clinical teachings upon laboratory experiments. He explodes a great many of the commonly accepted rules in regard to mineral waters.

To summarize briefly the results of his experiments : .

Saline waters lead to marked and permanent increase in the production of hydrochloric acid in many gastric disorders where there is a deficiency of this acid, notably in chronic gastritis. Conversely, in many gastric disorders with hyperacidity, the moderate use of saline water causes a diminution of hydrochloric acid formation, with corresponding improvement in the subjective symptoms, notably, nervous dyspepsia. Finally, the use of saline waters is not attended by any waste of the tissue-forming elements of the body, but on the other hand, the metabolism of nuclein from which uric acid is formed, is increased, with an accompanying augmentation of uric acid elimination.

The general practitioner would do well to study these monographs, as they are all practical applications of ingenious laboratory work. The Doctor's RECREATION SERIES. Charles Well Moulton, General

Editor. Volume One. The Doctor's Leisure Hour. Facts and Fancies of Interest to the Doctor and His Patient. Arranged by Porter Davies. M. D. Octavo. Illuminated Cloth. 352 pages. 1904. Saalfield Publishing Co., Akron, Chicago and New York. Sold only by Subscription. Cloth, $2.50. Half Morocco $4.00.

This is a decidedly unique venture, preliminary notice of which was made in a former number of the REPORTER. The intention is to publish twelve volumes similar to the one just issued, written or ar

ranged by physicians and containing subjects with which he is familiar, and of which he is competent to write. Some of these volumes will contain a complete novel, others poetry, and still others, a mixture of the two, of which latter is Volume I. It is made up of thirty or more stories and poems, the general run of which may be judged from the titles, some of which are as follows:

The Student; The Diagnosis ; The Patient; The Desperate Case; Some Famous Doctors; The Doctor's Wife; The Doctor's Horse; Christian Science; The Quack; Our Friend the Apothecary; Until the Doctor Comes ; The Wife; In the Doctor's Waiting Room.

They are interesting, at times amusing, at times pathetic, interspersed with jokes and interesting sayings relating to the doctor, his life, works and experience. It is just the book for the Doctor in his quiet leisure moments between patients, and is also just the book to place upon the centre table in the reception room, in which latter place it ought to be the means of holding the hurried patient, and consequently adding to the Doctor's hoard of dollars.

The book is neatly bound, has gilt top, clear type, uncut edges, and would make an attractive addition to the library of any physician. We are anticipating and expecting a large sale. EPILEPSY AND ITS TREATMENT. By William P. Spratling, M. D., Su

perintendent of the Craig Colony for Epileptics at Sonyea, N. Y. Handsome octavo volume of 522 pages, illustrated. Philadelphia, New York, London: W. B. Saunders & Company, 1904. Cloth, $4.00 net.

Of all diseases unsatisfactory in treatment, epilepsy stands at the head, and anything written on this subject should receive the widest circulation and the most careful consideration. For years the Craig Colony for Epileptics, New York, has been watched by specialists in the hope that the study of cases known to be in progress there might develop something definite and effective looking towards the cure of the disease. Hence it is that we take up Dr. Spratling's work with much interest. It is a fact that during the past decade or more, as the author notes, there has been great progress made in the knowledge of epilepsy, though it is also a fact that authenticated cures of epilepsy are few and far between. The interest of the book to our mind centers in the suggestions of the author as to treatment. Before taking up this part of his subject he goes into voluminous detail as to classification, frequency, etiology, types, diagnosis and prognosis, all of which is extremely interesting and complete. In taking up the study of treatment of this disease, he insists upon what is hardly possible outside of an institution, namely, absolute control of the patient in every respect. Then he goes into a discussion of the colony treatment of the disease, also its treatment from what might be called an educational standpoint. Diet comes in for consideration, with a very complete and carefully prepared list of food articles suitable for epileptics.

In the use of drugs, he endorses Bromine preparations, but cautions the prescriber against giving any quantity, saying that much damage has been done by the giving of the enormous doses which many physicians are in the habit of using. Among other remedies he mentions are Borax, Nitroglycerine, Zinc, and Solanum.

Taking up the surgical treatment of epilepsy, he describes carefully the nature of the cases which may receive benefit from operation.

Taken all in all, the book is one that is worthy of wide circulation and careful reading, and coming, as it does, one-third of a century after the publication of a work devoted especially to this subject, it is one which we hope may be found in the library not only of the specialist, but of the general practitioner. DISEASES OF THE NOSE AND THROAT. By D. Braden Kyle, M. D., Pro

fessor of Laryngology and Rhinology, Jefferson Medical College, Philadelphia; Consulting Laryngologist, Rhinologist and Otologist, St. Agnes' Hospital. Third Edition, Thoroughly Revised and Enlarged. Octavo volume of 669 pages, with 175 illustrations, and 6 chromo-lithographic plates. Philadelphia, New York, London: W. B. Saunders & Company, 1904. Cloth, $4.00 net; Sheep or Half Morocco, $5.00 net.

In this third edition the author has brought the work up-to-date by additions to many chapters. He describes in a thorough manner the new paraffine method for the correction of nasal deformities, and has inserted also a chapter on the use of the X-Rays in the treatment of carcinoma. In other ways the book is practically the same as in the other editions, but the addition of these two chapters pushes it ahead of any recent work on this specialty. A number of illustrations have been added, some of them colored plates, which add to its interest and value. OBSTETRIC AND GYNECOLOGIC NURSING. By Edward P. Davis, A. M.,

M. D., Professor of Obstetrics in the Jefferson Medical College and in the Philadelphia Polyclinic. 12mo volume of 402 pages, fully illustrated. Second edition, thoroughly revised. Philadelphia, New York, London: W. B. Saunders & Company, 1904. Polished Buckram, $1.75 net.

Specializing has come to be necessary in nursing as well as in the practice of medicine. It is hardly possible for a nurse to be an expert in all lines, so that she is perfectly competent to take up her duties as a nurse no matter what the case may be. Hence it has come to be really quite necessary that a nurse should be trained for work in some particular line. Dr. Davis' book aims to teach the art of nursing obstetrical and gynecological cases, and his aim he certainly accomplishes. The book is an interesting one, well illustrated, and written with a lack of technical terms. The mechanical execution is up to the high standard of the publishers. We take pleasure in recommending it. A TEXT-BOOK OF MECHANO-THERAPY (Massage and Medical Gymnas

tics). For Medical Students, Trained Nurses, and Medical Gymnasts. By Axel V. Grafstrom, B. Sc., M. D., Attending Physician to the Gustavus Adolphus Orphanage, Jamestown, N. Y. Second edition, revised, enlarged, and entirely reset. 12mo, of 200 pages,

fully illustrated. Philadelphia, New York, London: W. B. Saun· ders & Company, 1904. Cloth, $1.25 net.

The second edition of this valuable book is sure to meet with quite as liberal a reception as did the first. Dr. Grafstrom takes up the science, because it is a science, of massage and medical gymnastics in a careful, painstaking way. He goes into a discussion of the general effects of massage in such a way as to make it easily understood by the reader. He takes up what is popularly called the Swedish movement system, combining with it much of the good to be derived from other methods. It is profusely illustrated, and by a careful use of black-faced type the effectiveness of the printers' work is increased. It is a thoroughly good book. Lippincott's New Medical Series. THE PRINCIPLES AND PRACTICE OF

SURGERY. Designed for Students and Practitioners. By George Tully Vaughan, M. D. (Univ. of Va.), Assistant Surgeon General Public Health and Marine Hospital Service of the United States; Professor of Principles and Practice of Surgery, Georgetown University, Washington, D. C. 281 Illustrations. 569 pages. J. B. Lippincott Co., Philadelphia and London.

The author has presented the subject of general surgery in a way that is well adapted for the use of the general practitioner, omitting the consideration of the several branches of surgery, such as ophthalmology, otology, etc. He has a most interesting style of expression and presents the subject matter in a most practical way. Although condensed, the book gives a clear and concise exposition of the various details of practical surgery.

The way to gain a good reputation is to endeavor to be what you desire to appear.-Socrates.

Cleveland Medical and Surgical Reporter.

Contributions are solicited upon any subject connected with the practice of medicine or the Allied sciences, and the only restrictions placed upon them are that they shall be free from personalities and given to the REPORTER exclusively. The Edito: of the REPORTER is not responsible for any opinion expressed by contributors.

Vol. XII.

SEPTEMBER, 1904.

No. 9.

Original Articles.

RAYNAUD'S DISEASE.

By Elliott I. Osgood, M. D., Chu Cheo, China. Raynaud's Disease is not so common that every physician keeps himself fully posted upon it. We had not heard of the disease until it lay before us personified. Text books give from one-half to a page and a half on the subject. When the disease enters your office or hospital you give days and nights of ceaseless activity and thought, at least that was our experience. It is one of the most disagreeable and difficult diseases to manage that has fallen to our lot. Our experience was with an extreme case.

The patient, a man of about 40 years of age, was a street peddler of Chinese oil doughnuts. This took him out in all weathers and being a poor man's job, did not give him many extra cash with which to clothe himself against the weather moods. He had been driven from his native province by famine and famine had followed him all the way since.

He had been selling the doughnuts one morning on the streets when he was attacked with shooting pains in his limbs. He felt fever and prostration coming on hand in hand. He got back to his lodgings and went to bed. For ten days burning pains went through his stomach and shot through all his limbs. Every body movement added to the pain. Constant thirst added to the discomfort or rather agony.

Then he was brought to us. We found his feet bloodless and cold. When asked if they were cold he said they did not feel cold. Lines of pain were playing up and down his legs and troubling his arms. He did not want to be moved.

The next day both feet turned the hue of gangrene and blisters rose on the ankles as if they had been burnt. On the fingers of the right hand appeared similar blisters. The gangrene on the feet was symmetrical, the line of demarcation appearing on both sides about an inch above the ankles. Only the one hand was involved as far as

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