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When an ox or a mule is ailing, the veterinarian is sent for. When an employee is maimed or sick, the physician is called in.

The monthly check of both the physician and the veterinarian is the same this month, next month, and the next, ad infinitum, whether the man, mule or ox gets well or dies. They hold their positions by the grace of the stock farmer or the management of corporations, and any displeasure on the part of a mule, an ox, an employee, or any of their family or friends on grounds of negligence or maltreatment does not affect the physician or veterinarian so long as their employers have no complaints to make.

Then where does the difference come in?

There is very little, if any, difference, so far as the physician and veterinarian are concerned in their relationship to their patients. Why should there be? And if there were any, of what would it consist?

But there are some differences in their patients. One can talk, and the other cannot.

Also, there is some difference in the concern of their employers. The stock farmer, for instance, has direct, monetary interest in the welfare of his beasts. If one or several should die, it represents a loss to him of so many dollars and cents. If many should die, he would become alarmed. It is very likely he would keep well posted as to whether any of his losses were due to the ignorance or carelessness of his veterinarian. Nor is it likely the veterinarian under such circumstances would be negligent.

But the death of a few or many of human employees of corporations from disease involves no financial loss to the management. Indeed, it is a question if a death from sickness of an employee would involve any kind of loss to a corporation.

An employee is stricken with a fever. His place is at once filled with another. If he recovers and returns to work, he can have his job. If he dies, the other fellow keeps it. The work goes on whether he is dead or alive, and little does the management know—or care-whether he is dead or alive. Why should they? And if he should die through the ignorance or neglect of their physician, would they perhaps inquire?

Yet, notwithstanding what all this suggests, every employee of nearly every corporation throughout the length and breadth of the land, contribute of their earnings every month to the support of the hospital fund, that through and by which they are provided with a medical service, the selection of which, or any cen

sorship of the same-should it be ever so indifferent-they have about as much to say as the stockmen's cattle.

In some instances this is made to appear different, because in such exceptional cases the employees ostensibly, and only ostensibly have a voice in the matter; but it is a well appreciated fact among such employees, or their representatives, especially, that any pronounced opposition to the preferences of the management of the corporation would at once cause them to be "spotted" as among those whose services were extremely undesirable.

Much may be said in behalf of the prevailing medical service of corporations, as well as of the enterprising stock farmers of to-day, but the fact remains that the relationship of the veterinarian and contract doctor, toward their patients, is substantially the same.

SEVERE NEURASTHENIA DEPENDENT
UPON ANEMIA.

By ISAAC MAYHUGH, M.D.,
Indianapolis, Indiana.

The following case history is interesting for two reasons: First, because the unusually severe neurasthenic symptoms, amounting almost to a decided melancholia, seemed to be entirely due to the patient's anemic condition, and second, because of the prompt and progressive improvement, with increase in weight, which commenced almost immediately after the institution of systematic treatment with hemaboloids, although the various tonics and alteratives continuously administered during the first four months in hospital failed to be of any service.

M. T., age 40, female, white, married, housewife.

Family History.-Father was a soldier in the War of Rebellion; received some injury about the head from which he suffered temporary periods of insanity, lasting from a few days to a week. At such times he was irrational and sometimes violent; died in the insane asylum at the age of 70. Previous to the war was perfectly well.

Mother died of cancer of the intestine at the age of 65. Previous health good, with the exception of an occasional derangement of digestion.

One brother and one sister living, in good health. One brother and one sister dead.

Personal History.-Patient had ordinary diseases of childhood, with complete recovery from each. Never had a serious illness. Menstruation at 16, painless and regular. Married at 33. Three children. No miscarriages. Labor in each childbirth normal.

Present Trouble.-Patient complains of palpitation of heart, dizziness and loss of appetite, with periods of depression and worry over trivial household affairs. Three months after delivery, she sought medical advice and was admitted to the Union State Hospital, February 11, 1900.

Physical Examination.-Height, 5 feet 4 inches; weight, 79 pounds. Anemic, wasted, dilated pupils and dry, cold skin. Lungs normal.

Pulse rapid, soft, compressible. Systolic murmur in second interspace. Hemic murmur in right side of neck over jugular vein. Spleen enlarged. Liver normal.

Tongue coated, pale, flabby. Bowels sluggish and consti pated. Patient refused all food, and attendant was compelled to feed by force.

Patient is also troubled with insomnia, bodily enfeeblement, and numerous disagreeable sensations. Reflexes exaggerGait normal. Station unstable. Eyes normal.

ated.
clear. Specific gravity 1008.

in small amount. Sugar, none.

Urine

Reaction acid. Albumen present

Urea, 8-10 per cent.

Blood Examination.-Color index low. Hemoglobin, 60 per cent. Red cells, 2,500,000. White ceils, 14,000.

Diagnosis.-Neurasthenia, due to anemia.

Treatment. Rest in bed. Massage. Electricity. Liquid

diet. Patient fed every three hours. Arsenious acid, elixir of iron, quinine and strychnine. No improvement.

Hemaboloids one-half ounce in half glass of milk three

times a day was commenced June 20th.

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Patient continued to gain in weight, strength and general

well-being; the nervous symptoms cleared up entirely and on September 30th she was discharged, perfectly well.

AN ACUTE ATTACK OF TONSILLITIS ABORTED BY THE USE OF A SOLUTION OF ADRENALIN

CHLORIDE 1-1500.

By J. M. MAYHEW, M.D.,
Lincoln, Nebraska.

Barclay G., 81⁄2 years of age, had acute articular rheumatism when two years old, and several recurrences at various intervals since then, each of which was usually preceded by an attack of tonsillitis. At the time of my visit, in July, I found a well nourished child, whose general condition was very satisfactory, suffering with a moderate attack of simple tonsillitis. The temperature was 100.5°, and the rate of the pulse 120 a minute. The tonsils were red and swollen, and the peritonsillar tissue engorged and somewhat edematous.

I prescribed small doses of calomel and at once instituted the alkaline treatment. Having a small vial of Solution Adrenalin Chloride in my grip, I thought I would observe its effect in a case of this sort. Thereupon I prepared a solution, approximately of the strength of 1-1500, with which I sprayed the throat and swabbed the tonsils, using for the latter purpose a pledget of cotton on a simple carrier. The tissue was was immediately blanched and anesthetized. There was some pain, but in three hours, after a second application, the tonsils were reduced to their normal size and I considered that the attack of tonsillitis had been aborted.

The usual rheumatic sequel manifested itself mildly in other localities, the attack lasting two days.

The Passing of Weltmerism.-Says Lanphear in the American Journal of Surgery and Gynecology: "Weltmerism is dead. The postal authorities first stopped the enormous mail delivery (more than 30 stenographers were constantly engaged in answering letters requesting absent treatment at $3 a treat) under a fraud order; and when the proprietors, S. A. Weltmer and J. H. Kelly, were arraigned in the United States Court, a plea of guilty was entered to the charge of using the mails to defraud. A fine of $1,500 each was imposed. The business has been discontinued, and Nevada, Mo., has sunk from a first-class office to third. What will be the next fad of hypochondriacs?"

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