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tap on the knee will give decided reaction. The ankle clonus is very feeble. The triceps reflex is present. The question which comes up is the location of the lesion. We are quite justified in deciding that it is spinal rather than cervical. The condition of total paraplegia justifies such a conclusion. It would be rather improbable that we could get a lesion within the cerebrum and produce complete paralysis. Such paralyses are divided longitudinally, right or left.
Then comes the question as to whether the condition is functional or organic. This is a very interesting question indeed. Without desiring to be dogmatic at all, I feel quite certain that the condition is entirely a functional one, my reason for that idea being that if we had an organic condition, with destruction of tissue and change in nerve tissue, it would not have improved as it is improving. One great point in my decision with regard to that is the absence of plantar reflex.
I think the prognosis is favorable. I think this girl will get well, but it will take a long time to do it, and she will require later on possibly an education in the matter of walking. I would not use anything locally. I would give her a remedy which has been used quite extensively in some cases, and that is Lathyrus, giving three or four doses a day.
Dr. Johnson.—Have you any idea how long a time before these functional disturbances will be relieved? I have a case which has passed through a number of hands in the past seven years. It started in about the same way. It was diagnosed as functional, but she has never been able to find relief.
Dr. Horner.—That is a difficult question to answer, but I would not undertake the treatment unless they promised to give me a year. Then I would say that she would need an education in the manner of walking.
Dr. Bishop.– Would it be possible for specific trouble to cause such symptoms ?
Dr. Horner.-I think that if we had a condition of that sort as a specific condition we would get an organic condition.
President.–Did you bring out whether or not the patient had fever?
Dr. Horner.—No, sir; she had not.
Dr. Sawyer.-I would like to ask Dr. Horner what he means when he says that this is a functional disturbance.
Dr. Horner.-I mean that there is no destruction of nerve tissue, that the nerves are intact, that the spinal cord is intact, but that there is a disturbance of function.
President. — Would you include in such troubles effusions into the cord ?
Dr. Horner.— No, sir. I take into consideration in these cases the possibility of there being cervical hemorrhage. I have a case under observation now in which a boy was struck on the head by a playmate, resulting in hemorrhage into the spinal cord, a similar train of symptoms following.
Dr. Sawyer.– Why not begin some local treatment? Of course we agree that Lathyrus is a remedy of extreme importance in such conditions, but in speaking of the cases under treatment there was absolutely nothing local used.
Dr. Horner.-It occurred to me that inasmuch as there probably would not be in the town in which she lives means for using improved apparatus, rather than run the risk of ineffectual rubbing and ineffectual electricity, we had better let the condition improve under the remedy alone.
President. — Would you expect benefit from vibratory massage in such a case ?
Dr. Horner.-It probably would have a good effect.
Dr. Sawyer.-I would like to call attention to a matter of importance to be considered in this case. Here is a child who in her present condition is bound to become a burden, and in all cases of this sort, if you allow the child to go uneducated, I think you are running a great risk. It is not necessary that they be in the hands of specialists. It has been admitted that she needs education, and I would insist upon exercises from now on. What would you do? The limbs should be put into an apparatus which will allow her to put her weight upon them. This apparatus can be made by even a blacksmith. There is no one thing alone which will do her more good than straightening out the feet again.
Dr. Dewey.-I would ask Dr. Sawyer how he makes this apparatus?
Dr. Sawyer then gave a description of the apparatus.
Dr. Sawyer.—“Electricity and Its Relation to the Treatment of Nervous Diseases.” This paper and discussion will be found in this number of the REPORTER.
Dr. L. K. Maxwell. -"A Unique Reflex." This paper will be found in this number of the REPORTER.
Bureau of Surgery.-Dr. J. H. McVay, Chairman.
Dean T. Smith, M. D.—“Iodoform Plumbirum in the Treatment of Cavities in Bones.”
“The Conservative Surgery of the Extremities.” – Dr. N. T. B. Nobles. This paper will be found in this number of the REPORTER.
Dr. Sawyer, in behalf of the Committee on the President's Address, reported favorably, and offered the resolution that the Society. endorse the sentiments expressed by the President and assist in carrying them out.
Adjournment to St. Charles Hotel for dinner.
Promptly at six o'clock, President and Mrs. Parmelee led the way to the dining-room, where nearly one hundred members and guests found awaiting them a tempting and bountiful repast. The work of the day had been so strenuous and continuous that each and every one brought with him-or her-a large, healthy appetite, consequently full justice was done to the viands provided by mine host.
After coffee was served President Parmalee made a very neat address, in which he disclaimed any idea of being a toastmaster, and disclaimed also any thought or intention of making the balance of the evening formal. He intended to call upon several gentlemen for short talks, which were expected to be entirely of a conversational and informal character.
The medical profession was represented by Dr. Copeland, of Ann Arbor, the clergy by one of Toledo's most popular divines, and the press by an editor who was evidently accustomed to such occasions, for only the night before he had been called upon to address a meeting composed of gentlemen of the other school of medicine.
The evening was passed pleasantly in a social way and much of interest and profit was gathered by the members from the intercourse with each other. The Cleveland contingent took the midnight trainsome of them came earlier— feeling that the day had been one of great profit, intellectually, mentally and physically.
MEMBERS PRESENT. C. Zbinden, Toledo, O.; Z. W. Shepherd, 2138 Broadway, Toledo, O.; Geo. G. Frasch, Metamora, 0.; C. H. Spencer, Carey, 0.; E. K. Chapman, Defiance, O.; C. H. Strong, Toledo, O.; T. G. Barnhill, Findlay, 0.; P. M. Johnson, Toledo, O.; F. H. Anthony, Toledo, O.; A. A. Taylor, Delta, 0.; Dean T. Smith, Ann Arbor, Mich.; C. C. Greiner, Pemberville, O.; C. K. Conard, Mt. Vernon, 0.; C. E. Sawyer, Marion, 0.; E. M. Goodwin, Toledo, O.; Emma L. Boice-Hays, Toledo, O.; Sara Davies, Toledo, O.; F. C. Crawford, Toledo, O.; Clara Hyde Gillard, Port Clinton, O.; Emma Butman, Toledo, O.; D. Gillard, Port Clinton, 0.; J. G. Schild, Toledo, O.; J. L. Trutton, Genoa, O.; H. W. Shaffer, Tedrow, 0.; Mabel G. Dixey, Fremont, O.; H. F. Biggar,
Cleveland, O.; J. H. Johnson, Wauseon, 0.; Arthur C. Roll, Toledo, 0.; L. T. Gill, Gibsonburg, O.; N. T. B. Nobles, Cleveland, O.; N. R.
Simmons, Toledo, O.; H. D. Bishop, Cleveland, O.; J. Richey Horner, • Cleveland, O.; L. K. Maxwell, Toledo, O.; J. H. McVay, Toledo, O.;
A. T. Barnum, Toledo, O.; M. H. Parmelee, Toledo, O.; B. W. Dawley, Toledo, O.; W. A. Humphrey, Toledo; 0.; Wm. Watts, Toledo, 0.; W. S. Walker, Toledo, 0.; 0. C. Rees, Toledo, O.; G. W. Rhonehouse, Maumee, O.; Carl Watson, Toledo, O.
The Summit County Clinical Society held its monthly meeting at the office of Dr. Katherine Kurt, Akron, Ohio. The case reported as No. 257, recently noted in Kurt's monthly letter to the REPORTER, is taking, at present about 8 gr. of Morphine hypodermically to control pain, all hope being lost of cure, and palliation of pain being the only thing indicated. It is interesting to note that Patient No. 286 “passed into the care of a clairvoyant, who cured him at one sitting, requiring him afterwards to take liver powders.” An interesting discussion was had upon suggestive therapeutics, this taking up the balance of the time.
Those present were Drs. Rockwell, Murdoch, Stratton, Dixon, Lyon and Kurt.
At its annual meeting of the Washington (D. C.) Homeopathic Medical Society, held December 18-18, 1903, at Hotel Shoreham, was a materia medica symposium. The following program was given:
“The Prophylaxis of Dissolution,” by 0. S. Haines, M. D., Professor of Clinical Medicine, Hahnemann Medical College, Philadelphia, this being disussed by Drs. T. L. McDonald, Washington, Weston D. Bayley, Philadelphia, M. E. Douglas, Baltimore.
The second evening was given over to a paper on “Our Materia Medica,” by Dr. E. B. Nash, Prof. of Materia Medica, N. Y. Homeopathic Medical College, which was discussed by Drs. J. B. Gregg Custis, Washington, Eldridge C. Price, Baltimore, George A. Taber, Richmond, Va., and J. E. Willis, Somersworth, N. H.
If a patient can lie comfortably only upon one side, see that his bed is so turned that his face will be directed toward the window. Otherwise he will be distressed by his unconscious tendency to turn towards the light.
The Medical and Surgical Reporter.
A Journal Devoted to the Science of Homeopathic Medicine and Surgery.
Published Monthly by the Clevelaud Homeopathic Medical College, 226 Huron Street, Cleveland, O.
JAMES RICHEY HORNER, A. M., M. D., Editor.
The Reporter solicits original articles, short clinical articles, society transactions and news items of interest to the profession. Reprints of original articles will be furnished authors at actual cost of paper and press-work, provided the order is received before the publication of the article. If authors will furnish us with names before their article is published, copies of tbe journal containing it, will be mailed free of charge (except to addresses in Cleveland) to the number of 100.
The subscription price of the Reporter is $1.00 per apnum in advance. Single copies 10 cents. The Reporter has no free list. but sample copies will be given on request.
The Reporter is mailed on the 1st of each month. All matter for publication must be in the hands of the Editor by the 15th of the preceding mouth
When a change of address is ordered, both the new and the old address must be given. The notice should be sent one week before the change is to take effect.
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ORGANIZE. The REPORTER takes pleasure in presenting to its readers a special stenographic report of the December meeting in Toledo of the Northwestern Ohio Homeopathic Medical Society. We print also eight papers read at that meeting, with the discussions of the same. The special number thus presented serves to emphasize the entrance of the REPORTER upon its new year and is an indication of the determination of the Editors to make the journal the best of its kind. The record of progress made during the past two years is one of which we are justly proud. The subscription books show that it is read in nearly every State in the Union and has a large number of subscribers in foreign countries. This of course indicates that it cannot be classed as a local publication-it has a clientele and influence from Maine to California, from the Great Lakes.to the Gulf of Mexico. So that with this number the REPORTER takes its rightful place as a national, more properly an international publication, and proposes to continue in its onward march until it stands as the strongest exponent of Homeopathy and Homeopathic principles in this broad land of ours.
But it was not particularly to say this that we began. We wanted