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A warm bath, or warm pack, will materially assist in reducing the temperature, and in soothing restlessness.

A mild laxative is sometimes indicated, but the stronger cathartics should be avoided.

Ice, and iced drinks, will quench thirst, and help to quiet the pain in the throat. Gargles of salicylic acid, boracic acid, solution of chlorinated soda, or Dobell's liquor, amuse the patient, if they do not modify the progress of the malady. A rather weak solution of the sodium bromide, useful always in diphtheria, seems to give comfort and even to promote recovery.

It is perhaps better, though not always practicable, to use a spray apparatus for the application of the local remedies rather than have the patient attempt the operation of gargling, which, to say the least, is ungraceful.

If the patient be much enfeebled and convalescence is tardy, a mild, bitter tonic, associated with the citrate or tartrate of iron, will prove beneficial.

IN fermentative disorders of the stomach, and in corresponding forms of diarrhea, we consider Listerine certainly a safe, and also a valuable preparation. It is not at all unpleasant to take when properly diluted; especially, then, as an internal antiseptic do we recommend its use. It is, however, largely used as an external antiseptic, and its oily constituents give it a more healing and penetrating power than is possessed by a purely mineral solution. As a toilet antiseptic to use after a post-mortem or similar work, Listerine, with its pleasant odor, needs only to be tried to find a permanent place there. Listerine is a very attractive-looking preparation, the liquid being crystal clear, with no sediment or undissolved oils whatever. The Lambert Ph. Co. have introduced their product strictly through the profession, which attests their faith in its efficiency.-Maritime Medical News.

REMOVAL OF A FIBROUS POLYPUS FOLLOWED BY INVERSION OF THE UTERUS.

BY T. J. BARTON, A. M., M. D., ZANESVILLE, OHIO.

Read Before the Muskingum County Medical Society, February 22, 1889.

Mrs. M., aged forty-six, mother of ten children, the youngest seven years of age. Family history good. For many years she has labored hard; being compelled to assist in supporting the family. Was married at sixteen. Her labors have mostly been difficult. Menstruation has always been regular. She has suffered from menorrhagia about three years. Five months before I was called, she told her physician that there was an enlargement of the uterus. I saw her for the first time September 1, 1886, when she complained of severe labor pain at menstruation, which continued one week. During this period there was much hemorrhage. I made an examination and found a fibrous polypus, equal in size to a goose egg, attached to the uterine cavity near the entrance of the left fallopian tube. I determined to remove it at once, calling to my assistance Dr. Z. C. McElroy, of Zanesville, and Dr. J. C. Dorsey, her former physian, of Dresden. The os uteri was patulous and easily dilated. The tumor was seized with a vulsellum, drawn down and a Smith wire ecraseur used. The base of the tumor was so large that the wire could not be made to do its work. I then removed the mass with Sims' uterine scissors. Time occupied in the operation was an hour and ten minutes.

The patient rallied and was left in a comfortable condition. Three days after the operation she complained of pain and fullness in the vagi nal region. I made an examination and found the vagina filled with a soft mass the size of an infant's head. Conjoined manipulation revealed the rotund body of the uterus. Acupuncture gave pain. Was this another fibrous polypus or was it an inverted uterus? Of four hundred cases of the latter, collected by Dr. Crosse, of Norwich, England, three hundred and fifty followed delivery, and of the remaining fifty, forty were due to polypi. Then when I remembered that so eminent a physician as Dr. Willard Parker removed a uterus for polypus, and some others equally as eminent had performed the same operation, it occurred to me that it would be the proper thing to call a consultation of physicians. The following day Dr J. W. Hamilton, of Columbus, and Dr. Z. C. McElroy, of Zanesville, made a careful examination and prolonged

effort to return the uterus to its normal position. On account of the large amount of sloughing from the surface of the mass, the weak and quick pulse and the high temperature, further effort at reposition was postponed. All present agreed that the prognosis was very grave.

I ordered vaginal injections, every three hours, of Labarraque's solution and sesquichloride of iron, using them alternately. In making the injections a large fountain syringe was used with a cup on the injection tube to fit over the vulva, so that the wash might be retained until the entire mass could be thoroughly cleansed. Nourishing diet was ordered and quinine, iron and wine given freely.

In forty-eight hours the uterus was perceptibly diminished, and on the twelfth day it had returned to its normal position. In one month she was able to sit up and at the end of the second month menstruation was natural, which had not occurred for several years. She reported herself last week as a well women and able to perform all of her household duties.

MITHRADATISM.-Medical writers have for some time been conscious that medical literature needed a new word to express the artificial production of immunity against disease. When small-pox was the only infection which could be avoided by preparing the system against it, the term vaccinate and vaccination answered very well. But we cannot say that we "vaccinate" against rabies, or anthrax, or, in other words, we have no general equivalent for that verb.

We believe that it is Professor E. Ray Lankester who has come forward in this emergency and proposed the term "mithradate" and "mithradatism." This word is taken from the name of the Phrygian King, Mithradates, why lived about 100 B. C., and who is credited with having so thoroughly saturated his system with poisons that he was proof against any of them.

Accepting Professor Lankester's suggestion, we could speak of Pasteur as mithradating patients bitten by rabid dogs, or mithradating sheep against anthrax; and we could speak of the unsuccessful attempts of Ferran to mithradate against cholera, and of Freire's firm belief in the mithradating power of his yellow-fever cultures. The name of the process would be "mithradatism;" and the name of the thing, corresponding with "vaccine," would be "mithradatine."-Med. Record.

ANOTHER COUNTY HEARD FROM.

BY N. O. JOKE, M. D., PHILADELPHIA, PENNSYLVANIA.

'Twas a doctor down East this time that told the woman that she had ovarian dropsy and must undergo an operation—and he took her before his class and laid down the rules to show, beyond a peradventure, that if she valued her life above a hair pin she should come into the hospital and accept the last great boon of surgical science- and he looked amazingly wise, too, just to think that he had been the first and only one to successfully diagnosticate her symptoms. And he smiledthe professor did- a calm arborescent smile, as if he wanted to say: "Gentlemen, when you get big like me you can do such things yourselves."

And the woman came to the hospital-and the surgical staff all saw her and they all smiled, and said "Yes, Doctor, very nice casevery! Mutilocular, eh ?"

And they anticepticated that bed-room, and they carbolized the old operating table, and they scrubbed and scalded the floor, and they ordered new knives and clean towels and bran-new sponges, and they got everything perfectly safe. And just before the day came for that operation, that there woman just went and had a baby! Bust me if she didn't!

And them students wondered if that woman would never be ready for an operation. And they learned that lecture by heart, that lecture how to tell that a woman has a tumor, and they just chuckled over those fellers that had been loafin' around town that day and hadn't learned how to diagnose that kind of development. And the State heard of it, and felt jolly to think that it had given $200 ooo for the advancement of medical science, for elevating the standard of medical knowledge, for the alleviation and amelioration of human sufferings.

And everybody felt serene

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but the Professor, and he never owned up to how jolly he ought to feel; but when the good luck is simmered down, I kinder reckon the woman and her baby took the first prize.

SURGERY.

CURE OF THE FALSETTO VOICE.'-(J. C. Mulhall, A. M., M. D., L.R.C.S.I., Professor of Diseases of Throat and Chest, Beaumont Hospital Medical College; Physician for Diseases of the Throat and Chest, Alexian Brothers' Hospital, St. Louis, in American Journal Med. Sci.)At puberty, voice in the man, as every one knows, undergoes a remarkable change. Its timbre and intensity may remain the same, but its pitch becomes much lowered; the puerile becomes masculine.

In some this change occurs quite suddenly, in more the transformation is gradual, but in a very few, though puberty be fully established, the voice remains unaltered, or, more usually, its pitch becomes higher— reaches the falsetto; the boy is man in everything but his voice.

At a

Very frequently this condition undergoes spontaneous cure. period of uncertain length after puberty-it may be months, it may be years—the lad in some vocal effort, hitherto untried, finds that the voice of a man issues from his chest. He repeats the experiment, and the heretofore unused, or misused, muscles which control the lower register, having once felt the stimulus of action, automatically respond to future exigencies.

More rarely indeed, this condition is quite a rare one-this falsetto voice persists beyond the second into the third decade, when social and business interests begin to cluster about the man, and his condition is made a very humiliating one.

Until recently I was under the impression that every laryngologist was familiar with this anomaly and its cure, but the history related me by my last patient, of various attempts made in this direction, convinced me that I need not apologize for the introduction of the subject at this meeting, further fortified by the fact that, within my knowledge, the theme has received but little attention in literature.

Mr. S. G. P., banker's clerk, aged twenty-five, until within sixteen months a resident of Washington, D. C., but for the period mentioned an inhabitant of St. Louis, consulted me with regard to an infirmity of the voice in November, 1887. His statement, made in quite a high falsetto key, revealed the fact that he had never yet talked in any other manner, with the following exception: He had occasionally rendered monosyllabic imitations of his brother's deep basso voice, but had been warned to avoid

1 Read before the American Laryngological Society, September; 1888.

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