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We take this method of soliciting the co-operation and assistance of every surgeon upon these lines, and invite the surgeons of the Ft. Wayne to participate. A number of good papers have already been promised and a good session is anticipated. All who can possibly prepare a paper for the Columbus meeting will please send the subject to the chairman of the committee of arrangements before the first of January, 1890. S. L. McCurdy, Chairman, Dennison, O.

STATISTICS OF LEPROSY IN THE UNITED STATES.-In view of the general impression that leprosy is spreading in this country, it is desirable, in the interest of the public health, to obtain accurate information upon this point. The undersigned is engaged in collecting statistics of all cases of leprosy in the United States, and he would ask members of the profession to aid in this work by sending a report of any case or cases under their observation, or coming within their knowledge.

Please give location, age, sex, and nationality of the patient, and the form of the disease— tubercular or anesthetic; also any facts bearing upon the question of contagion and heredity.

Address DR. PRINCE A. MORROW, 66 West 40th street, New York.

A NOTABLE gathering of the world's leaders comes before the readers of The Youth's Companion during the year 1890. It is like a great Lecture Course of fifty-two weeks, with over 100 lectures, each a famous authority in some branch of Art, Literature, State-craft, Science or Education. And these lectures cost only 31⁄2 cents each, on the basis of a year's subscription, or fifty-two numbers for only $1.75. Among the contributors announced for 1890, we find the names of Gladstone, Tyndall, Justin McCarthy, Sir Morrell McKenzie, Captain Kennedy, P. T. Barnum, General Wolseley, Jas. G. Blaine, Marion Harland, and many others equally noted in science and literature. Send for Illustrated Prospectus of the entire series to The Youth's Companion, Boston, Mass.

LA GRIPPE. From the statement of Sir Oscar Jennings, the noted English physician, that La Grippe is "a bastard, pulmonary rheumatism," the Mellier Drug Company pertinently suggest that the use of Liq. Tong. Sal. (tongaline), is particularly indicated for the relief of that trouble, which is now epidemic in Europe and this country. In Liq. Tong. Sal., we have Tonga, anodyne-Cimicifuga, anti-rheumatic, anti-spasmodic— Sodium Salicylate, anti germinative-Pilocarpin, diaphoretic-Colchicon,

anti-rheumatic, purgative, diuretic. It will be observed, therefore, that the action of Tongaline, which is exactly adapted for the indefinite kinds of Rheumatism, should kill the microbe and carry such out of the system through the natural channels. In some instances the use of Quinine, Antipyrine, Acetanylid, Aconite, Benzoate of Lithia, Iodide of Potassium, etc., may also be used in connection with Liq. Tong. Sal., when indicated by the peculiar conditions of the case.

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THE 8th yearly issue of the "International Medical Annual (for 1890) is announced for early delivery. The prospectus gives promise of excellencies surpassing all former editions. Its thirty-seven editors in the several departments are to give a summary of new remedies alphabetically arranged, also a resume of new treatment in dictionary form, with references to the medical literature of the world pertaining to the year's progress of medicine.

Such a practical and helpful volume is of inestimable value to the medical profession. In one volume of about 600 octavo pages; price, $2 75, post free. E. B. Treat, publisher, 5 Cooper Union, New York.

ROCHE, CORNWALL, ENGLAND, March 20, 1889.

I have used in my practice the preparation known as "Succus Alterans" and have much pleasure in bearing testimony to its great value. For diseases having their origin in a syphilitic source, I believe the Succus to be the one reliable specific, for I may add that invariable success has been met with by me when prescribing the remedy in question, even after the failure of other alteratives. I shall continue to rely on the Succus in all cases I have indicated herein. Wm. Rd. Goodfellow.

(Member Royal College Surgeons, I. S. A.)

DR. ISAAC E. TAYLOR, of New York, died suddenly of pericarditis, at his home, October 30, 1889. Dr. Taylor had been prominent in medical circles for more than thirty years, and his death is lamented by an extensive professional and lay acquaintance, besides immediate relations and personal friends.

CHAS. CHADWICK, Ottis R. Wyeth, Douis A. Schoen, Geo. J. Sehoen, Chas. F. Hermann, Geo. Eyesell, and Horace L. Roy, druggists of Kansas City, Mo., were recently fined $500 each and costs for counterfeiting a preparation known as Bromidia.-Journal of the American Medical Association.

THE MEDICAL MIRROR.-Dr. I. N. Love, of St. Louis, is out with a prospectus of a new medical journal, to be known as The Medical Mirror. Dr. Love has had a taste of journalism, and has exhibited an ability that will insure him a hearty welcome. The Mirror will be issued monthly; subscription, $2 per year, in advance.

SIR MORRELL MACKENZIE.-Although Sir Morrell Mackenzie was condemned by the Council of the Royal College of Surgeons for his publications on the case of the Emperor Frederick, at a general meeting of that body he had but one accuser.

THE report of the New York Analyst of Drugs shows that the chances for getting drugs of good quality on prescription is 43 8 per cent.; fair, 17.4; inferior, 26.; NOT AS CALLED FOR, 11.6; excessive strength, 1.2.— Times and Register.

MRS. SARAH A. HILDRETH, widow of the late Dr. Charles C. Hildreth, has presented to the Zanesville Atheneum her late husband's library. It is to be for the benefit of the medical profession of Zanesville and vicinity.

PROF. LOISETTE'S MEMORY SYSTEM is creating greater interest than ever in all parts of the country, and persons wishing to improve their memory should send for his prospectus free as advertised in another column.

AT the fourth annual meeting of the Muskingum Valley District Medical Society, its name was changed to the Hildreth District Medical Association, in honor of the late Charles C. Hildreth, M. D.

EXALGINE, in the treatment of Influenza, is of special interest just now. See advertisement of McKesson & Robbins.

"DIAGNOSTIC diplomacy" is frequently as essential to the physician as diagnostic accuracy.

DR. RICHARD VOLKMANN, the famous surgeon of Halle, died November 28, 1889.

COLUMBUS.

MEDICAL JOURNAL:

A MONTHLY JOURNAL OF MEDICAL SCIENCE.

VOL. 8.

JANUARY, 1890.

COMMUNICATIONS.

No. 7.

A NEW AUTOMATIC FORCED RESPIRATOR FOR THE PRODUCTION OF FORCED RESPIRATION WITHOUT OPENING THE TRACHEA.

REPORT OF THREE CASES OF OPIUM NARCOSIS TREATED BY THIS METHOD.

BY C. R. VANDERBURG, M. D., COLUMBUS, OHIO.
LECTURER ON PATHOLOGY AT THE STARLING MEDICAL COLLEGE.

Read before the Central Ohio Medical Society.

Forced respiration must now be recognized as a potent therapeutic agent in the treatment of certain diseases in which there is a deficient amount of air taken into the lungs. This class of diseases embraces the various conditions which arise from the absorption, per stomach or lungs, of various drugs, gases, or fluids. An example of each, in the order in which they are named, would be: opium narcosis, where there is a paralysis of the respiratory center in the medulla, causing the number of respirations per minute to diminish, and resulting in a veritable asphyxia; gases, as illuminating, natural, marsh, etc., including such vapors as chloroform, ether, and nitrous oxide; lastly, drowning. Patients poisoned with any of the above

drugs need air for the time being, not only to oxygenate the blood, but, in many cases, to exhale the poison which, in the case of asphyxia from the inhalation of gases and vapors, will be eliminated by the lungs.

I believe no one as yet has disputed the claim of Dr. Geo. E. Fell, of Buffalo, N. Y., of being the first to improve on the methods of artificial respiration, by forcing air into the lungs at a rate and perfection corresponding very nearly to natural respiration; further, that by his method a great many lives, especially those suffering from opium narcosis, may be saved. He startled the medical world. by the report of five bad cases of opium narcosis saved by forced respiration (Trans. N. Y. State Med. Ass'n for 1888). It seems strange that such a plausible thing as forcing air, in a case where the patient is unable to get it voluntarily, should not have been thought of before, when so many patients die annually from deficient oxygenation of the blood. I speak of this as the ultimate cause of death. If this calamity can be averted, many can be saved. I said above that it seems strange that this should not have been thought of; it has, in fact, but not in force. Artificial respiration has been recommended for years. We also have a number of so-called respirators, but all, thus far, have proven mere toys, and are almost worthless; probably fearful of damaging the lung, they do not give it any more air than the known methods of artificial respiration.

The methods of administering air have always been very imperfect. The older methods, those of Sylvester, Hall, Howard, Schultz, Byrd, and others, depend for their successful operation on the resiliency or elasticity of the diaphragm and chest wall. Occasionally, manipulation of the body and arms is also brought into play. The amount of air changed with each of these movements is small, and the manipulation itself is tiresome to all parties concerned; still, we must admit it has saved many lives, especially in cases of drowning. Other and later methods require an air tank or bellows. For the purpose of getting the air to the lungs, various devices have been used, such as an air-tight mask fitting over the head, similar to a diver's headgear; tubes to fit one or both nostrils; tubes to pass down into the larynx and trachea, and various other contrivances too numerous to mention. One of the latest methods, that devised by Dr. Fell, consists in the performance of tracheotomy, inserting a tube into the wound, connecting it with a bellows, and

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