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the number of medicines and bottles I de. anatomy, however, because some one might stroyed.

hear his remarks and make sport of his At one time in my practice I had in the mistakes. This really good-hearted gentlesame village a physician who exaggerated man was gathered to the sainted flock every case he had. Nearly everyone he above a good many years ago, where I was called upon to treat was in articulo presume surgery and anatomy are not mortis, according to his prognosis, when practiced or discussed. He had quite a they came into his hands. I think I have family, and they are all prominent and of seen a few physicians of the same kind good standing and report. since. I am sorry to say the breed is not extinct. That class of physicians, I am


CATING WOMB DISEASE. aware, are not yet in articulo mortis. I remember at one time he stated he had A few years ago I made the statement forty cases of diphtheria. I had not a that many uterine diseases could be diag. single case. I had a good many cases of nosed by examining the throat. Such a sore throat.

I presume they would come statement created a good deal of criticism, under the head of ulcerated sore throat or mostly against. I have nothing to retract acute tonsilitis. He called all his cases a in that statement. I have not seen a case malignant type of diphtheria. There of metritis, endometritis, amenorrhea or didn't seem to be any malignancy about dysmenorrhea in years but what I have them, however, as they all recovered. He found more or less disease of the throat. got a great deal of credit for being able to In suppressed menstruation we will always cure diphtheria--a credit very deserving find the tonsils inflamed and enlarged. had it been true.

That I can say by examining the throat A somewhat noted physician of our city, just what the disease of the uterus is I a professor in one of our medical colleges, never have claimed, and do not now, but at one time told me he had over a hundred I do claim to be able to assert that the cases of diphtheria on his hands that he uterus or its appendages are diseased by had to visit every day. Take this in con- examination of the throat. If there is no nection with his other practice, he said, womb disease I believe we can so assert kept him very busy. He told me he had by looking at the throat. I do not wish to make about a hundred and fifty visits to be understood that we have no sore a day. I began to figure. In this event throat in women unless the uterus is dishe had to visit one about every ten min- eased, for we do, yet there is a difference utes. His patients were located in several in its character from that produced by parts of the city. Look at the consistency sympathyzing with the womb. of such a statement ! But he has gone to Not long ago I was called upon to treat his fathers, yet I am in hopes the judge an old German. He was suffering from will let him off easily, for he was a clever cancer of the rectum. Realizing that he fellow and a good physician.

had not long to live, I advised him to ar. Shortly after this epidemic of sore throat range his business so that he would have we had genuine diphtheria, and my neigh- nothing to regret at the time of his debor lost over a dozen cases. His stock

parture. The next time I visited him I went down. As far as I was concerned, saw that he could live but a few days. I it did not effect me much, as I never made asked him if he did not want to see a any claim of being able to cure all cases clergyman. His reply was that he was of diphtheria.

not acquainted with any.

After some I had this physician assist me one day time he said he had heard Rev. Mr. W. to amputate a man's leg below the knee, preach a few times, and he believed he who had the leg crushed in a railroad acci- would send for him. I said Mr. W. was dent. When he was reporting the nature a good Christian gentleman, and I thought of the injury afterwards he said the hu- he had better call him in. Rev. Mr. W. merus and the acetabulum

were both

was sent for, and after talking with him badly crushed, and we had to disarticulate for some time the minister asked him who and amputate the femur. Yet he was a was his physician. The old German told real good fellow, a kind, pleasant com- him, and at once Rev. W. said, “Let us panion. I never felt like doing him an

The old German saw the ridicuinjury. I did advise him to study his lous point that might be made out of it,


so the next time I saw him, although too I will wind up these rambling, desulfeeble almost to articulate, he had to tell tory papers by saying a few words about me.

a very important subject, and that is life. The medical politician, I am sorry to We may divide life into four periods. say, is an octopus that is always with us. Childhood, youth, middle age, and the We can by surgery remove diseased or- time when the teeth loosen in the sockets gans and membranes. We can eradicate and the hair is white, when the grassand destroy disease by the use of medicine, hopper ceases to be a burden and the leaf but this loathsome cancer, the medical is sere and yellow, when the blood is not politician, we cannot destroy by any active in its course through the veins and means. Sometimes we may think he is arteries, and when the eye becomes dim dead, but at the next State medical associ- and passions cease. Let us first examine ation, especially if several medical colleges childhood. This we may say is the whiteare represented, he bobs up serenely and bread time of life. This is the period will not down. They do not seem to care where there are no cares or worries that a grain of sand for any outside of them- mother cannot soothe or overcome, unless, selves and their medical college. I think perchance, we have eaten green gooseit a little singular that a large State like berries or green apples; then calon el and Kentucky, having probably between four castor oil have to be called in to assist and five thousand physicians, should only mother. In the greater number of chilbe able to muster from two hundred and dren childhood is a happy period, a happy fifty to three hundred at the State Medical thing. Of course, unfortunately, there Society. The only way, in my opinion, are exceptions to this, for some lives have that this can be accounted for is that the never known happiness. Their food has physicians in small places have not the been from the refuse of ash barrels, their least chance in the world to take any part lodgings have beed the ash barrels themin the State Medical Society. A few selves. Where their clothing has come from the large cities run the State Society from I have never been able to solve. entirely. At the last meeting at Paducah Many are not aware they ever had parents, there were, I believe, about forty papers, and many would be better off did they not twenty-six of them by physicians from know it. The feeling of many parents Louisville. The country physicians have towards their children is that they are an become tired of attending these State con- encumbrance which they would prefer to ventions simply as lookers-on. They, do without. Yet the child of loving paknow very well that this is all they have rents has very few cares to contend with, an opportnity to do if they attend.

and what few they have do not annoy It seems to me that it is simply for bun- or perplex them. There is but very little combe when we have physicians claiming in the majority of children's lives that is they are practicing medicine alone for the absolutely disagreeable. They have their benefit of suffering humanity. That kind little troubles and vexations, to be sure, of talk I look upon as mere twaddle and yet they are not lasting; they are like claptrap. In this commercial age we find Burns' snowflake upon the river-a movery few, even amongst physicians, who ment seen, then gone forever. The rule work for charity alone. Why not come out is happiness, contentedness and pleasure. like men and say that we practice medicine They awaken in the morning, bright and principally for the money there is in it? shining as the sun on a beautiful day in Self comes first, and I believe should. June. They are busy all day long as the

ant, or the honey bee in summer time. IRISH SAYINGS.

At night they are tired and sleepy. They I was once called to see a boy who had are hardly in bed before they are in a fallen out of a tree and broken his arm. dreamless, quiet, refreshing sleep. In the His mother had told him not to climb morning they are fresh the the tree for fear he might fall and kill washed in the morning dew, as bright as himself; that she would whip him se. the well cut diamond. They are brilliant verely if he did. When I came near the and musical as the singing birds. Happy boy he said :

"Do not let me die, and contented children make all in their Doctor, for mother will whip me if I immediate presence also happy. To the die."

sorrowful they are a brightness, to the




mourner they bring joy and gladness; SURGERY OF PROSTATE, PANCREAS they make the cast down buoyant. They

AND DIAPHRAGM. raise all to a higher and more agreeable

BY B. MERRILL RICKETTS, PH.B., M.D., plane. No household can be complete without the prattle and annoyance of children. Annoyance did I say?

No, far

(Continued.) from it. Joy or joyousness is the word.

I. SURGERY OF THE PROSTATE. Some hard-hearted, senseless mortals look upon children as encumbrances, vexations and nuisances. This same class of people

(1727–1902). no doubt are nuisances themselves. These Morel - Lavelle. Hypertrophie partielle et a people would pass by a beautiful fragrant peine marquee do la prostate causant a la fuis

l'incontinence et la retention d'urine. Bull. soc. rose and look upon it as a waste of Mother

de chir., Paris, 1856, ix, 173. Earth. They would simply see a rose and Emmert and Sohnle. Fall von harnverhaltung nothing more. They would, if they could, durch hypertrophie der prostate bedingt und shut out the sweet songs of the birds, the

durch uremic todlich endigend. Ztschr. f. wunrustling of the ripening grain or leaves of

darzte u. geburtsh., Stuttg., 1859, xii, 104.

Thompson, H. Long-Standing Disease of the the trees. They would escape from the Prostate and Bladder; Retention of Urine to the melody of a rippling brook'; even the Amount of Five Pints, Lancet, London, 1859, beautiful sunshine is a prick to their in

i, 610. Disease of the Prostate Gland, Lancet,

London, 1859, i, 639. significant, worthless brains. They pre

Isaacs. Enlargement of the Middle Lobe of fer a life among the cold tombs of the the Prostate Gland. New York Journal of Medigraveyard. They would prefer a desert cine, 1859, vii, 196. of sand, barren and bare, rather than a

Messer, J. Ć. Report on the Condition of the beautiful landscape of trees, rivers, grain

Prostate in Old Age Found on the Dissection of

One Hundred Specimens in Individuals Over and flowers. What an uncomfortable and

Sixty Years of Age. Med. Chir. Tr., London, discouraging life this would be if all were 1860, xliii, 155, so constituted! No, let us be thankful for

Stapleton. Disease of the Prostate and Blad.

der. Dublin Med. Press, 1860, xliii, 155. the brightness and joy a little child throws

Guerlain, M. De la prostatorrhee dans ses around us. Let us be grateful for the rapports avec la prostatite. Paris, 1860. beautiful, glorious and fragrant rose, for Hughes, J. S. Complete Retention of the the sweet melody of the singing birds-in

Urine from Senile Enlargement of the Prostate. fact, let us be thankful for everything that

Dublin Med. Press, 1860, xliii, 321-323.

Robertson, C. A. Review of the “ Last Illness can add to our pleasure and happiness. of Dr. Alden March" (retention of urine from What can do this more effectually than a enlarged prostate). New York Med. Journal, little child?

1860-70, x, 355 374. But I find that I cannot control my

Gross, s. D. Practical Observations Upon

the Nature and Treatment of Prostatorrhea. thoughts, and should I go on and describe Tr. Med. Society Pennsylvania, Philadelphia, the three other periods of life I would 1860, V, 39 45. have to write another


Ztschr. f.

Hypertrophy prostat'. may at some

nat. u. heilk. in Ungarn., Oedenburg, 1860, time take them up, but not now. I thank

xi, 162. the readers of the LANCET-CLINIC for Mallez. Indications des douches perineales bearing with me so patiently in reading dans le prostatorrhee. Gaz, d. hop., Paris, 1861, these articles. I did not expect to extend

xxxiv, 607. them over four papers when I commenced,

Nouvelles recherches sur certains etats patho

logiques de la prostate tels que l'hypertrophie but here I have lengthened them out to ten. l'atrophie et les tumeurs simples d'apres l'obser. I still have more to say, but for fear I will vation analytique de prez de deux cents peices hear the comment, "a diarrhea of words

examinees suivant la methode numerique et and a constipation of ideas,” I think I had

suivies d'une note sur l'anatomie de cet organe.

Union med., Paris, 1861, xii, 313-339. Rap de better quit. I also tender my thanks to Dr. Mercier, 340-345. Culbertson, of the LANCET-CLINIC, for the Launay. Hypertrophie considerable de la courtesy he has shown me in publishing prostate difficulties du catheterisme fausses the articles.

routes considerable peritonite autopsie. Bull. soc. anat., Paris, 1861, xxxvi, 223.225

Johnson. Prostatic Tumor Projecting into the MURIATE of ammonia has a specific in- Bladder; Disease of the Bladder; Fatal Result. fluence over trigeminal neuralgia, from

Lancet, London, 1861, i, 628. Chronic Inflammathree to eight grains being administered

tion of ihe Prostate. Assoc. Med. Journal, Lon

don, 1861, ii, 29. persistently.--Med. Summary.

Charles. Une anomalie des rapports de l'ure

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tre avec la prostato. Bull. soc. anat., Paris, 1863, xxxviii, 62 (Rap de Fischer), 490 492.

Vio-Bonato, A. Breve cenno su qualche affez. ione della prostate. Gaz. med. Ital. prov. venete, Padova, 1863, vi, 57, 65, 73, 81.

Pauli, F. Ueber die hypertrophie der prostata. Arch, f. path. anat , Berlin, 1863, xxvii, 27-67.

Schuit. J. W. Ontleedkundige beschouing der menschelijke voorstanderklier. Leiden, 1864.

Smyly, J. Disease of the Prostate Gland. Doublin Quarterly Journal Medical Science, 1864, xxxvii, 173;

Schulz, B. Aspermatisms in folge yon atrophia prostatae. Wien. med. Woch, 1864, xiv, 68. 83

Russel. G. W. Enlargement of the Prostate Gland. Proc. Connecticut Medical Society, 1864–7, New Haven, 1867, ii, 35-41.

Cases. Ischuria ex hypertrophia prostatae subsequa uremia. Berlin. d. k. k. Krankenh. Wieden, 1863, Wien, 1864, 170-173.

Braeunig, C. J. H. Ueber die hypertrophie der prostata. Leipzig, 1865.

Malsang, A. De la prostatite aigue. Paris, 1865,

Von Luschka, H. Das vordere mittlestuck der prostata und die aberration desselben. Arch. f. pain, anat., etc. Berlin, 1865, xxxiv, 529 597, I pl.

Visscher, J. A. Oets over aandoeningen der prostata naar aanleiding van een waargenomen zicktegeval. Ultretcht, 1865,

Steinberg, A. Med. Vestnik, St. Petersburg, 1865, V, 91.

Payne, F. R. Enlargement of the Prostate. Chicago Med. Journal, 1865, xxii, 205-207.

Hospital, P. F. De la prostatite chroniques. Paris, 1865.

Deniau, O. F. Essai sur l'inflammation subaigue de la prostata chez les adultes. Paris, 1865.

Wyss, O. Die heterologen (bosartigen) neubildungen der vorsteh erdruse. Arch. f. path. anat., Berlin, 1866, xxxv, 378 412, I tab.

Cases. Hypertrophy der prostata. Aerxtl. ber d. k. k. allg. krankenh. zu Wien (1865), 1866, 165.

Courty. Hypertrophie du lobe lateral droit de la prostate et du sphincter vesical retention d'urine ponction de la vessie catheterisme du col de la vessie excision incision prostatique dilation guerison. Montpelier med., 1866, xvii, 418-421.

Van Buren, W. H. On Centric Hypertrophy of the Prostate. Ned. Record, New York, 1866–7, i, I 3.

Thompson, Sir H. The Diseases of the Prostate: Their Pathology and Treatment, Comprising the Jacksonian Prize Essay for the Year 1860, third edition, London, 1868; same, fourth edition, London, 1873; same, sixth edition, London, 1886. Erkennung und behandlung der prostata krankheiten autorisirte deutsche ausgabe. Erlangen. 1867.

Kraus. Prostatitis chronicia. Wien. med. Woch., 1867, xvii, 726.728.

(To be continued.)


RESEARCH. The December meeting of the Cincinnati Society for Medical Research was held in the pathological laboratory of the Cincinnati Hospital.

Dr. John E. GREIWE read an interesting, instructive and carefully prepared paper on

Disease of the Coronary Arteries, and demonstrated many of the salient features from microscopical specimens and lantern slides. The paper, in brief abstract, is as follows:

A great deal of study has been devoted to diseases of the heart, particularly val. vular lesions and their effects upon the various segments of the heart, which has been productive of great advance in the therapy of acute and chronic lesions. The tendency in pathological study, however, has been to study the gross lesions, whereas in general too little attention has been paid to the microscopic study of the finer structures—the coronary arteries and their veins and the nervous elements, which are so important in maintaining the proper function of the organ.

The paper was confined to a study of the acute and chronic affections of the coronary vessels and the effect of such lesions upon the muscular and nervous systems of the heart.

In typhoid fever, in pneumonia and in septic conditions accompanied with high fever, we frequently find marked impairment of the heart's action. In such instances, where no definite signs are present of any disease of the endo- and pericardium, we are inclined to look upon the myocardium as the seat of the lesion. In such cases we ought to have our suspicions excited as to the involvement of the coronary arteries. Our suspicions may never attain greater dignity than a scientific guess, but we should, on post-mortem examination in fatal cases, pay special attention to the conditions of the coronary arteries.

The first subject mentioned under the head of acute affections of the coronary arteries was endarteritis and thrombosis occurring during typhoid fever. Speci.

CALOMEL is an intestinal antiseptic without a peer.-Med. Summary.

mens were next demonstrated in which a Dr. M. L. HEIDINGSFELD stated that purulent thrombus lodged in a coronary it seemed somewhat doubtful if all the vessel, and in which secondary foci of pus interesting structural changes of the heart were scattered throughout the pericardium could be attributed solely to coronary disand myocardium, the foci being easily ease. That it is probable that some of the traced throughout the specimens down to changes, in a measure at least, could be and involving the endocardium. The case attributed to the same general or predismight be designated as acute purulent car- posing causes-syphilis, alcoholism, etc.ditis, secondary to septic pneumonia. which primarily induced the atheromatous

Under chronic affections of the coronary and other changes in the coronaries. The arteries the essayist demonstrated a long extent of influence of coronary disease number of specimens, both gross and mi- could be more accurately determined by a croscopic, showing atheromatous disease

comparative study of the right and left of these vessels. After a consideration of ventricles of one of the specimens dethese diseases in their relation to various scribed, where the left coronary vessel forms of degeneration of the heart muscle, was diseased and the right normal. the subjects of angina pectoris, cardiac Dr. GREIWE, in closing, stated that asthma and the exceedingly interesting bradycardia, in such conditions as typhenomena of bradycardia were dwelt phoid, pnsumonia, etc., is attributable to upon. The essayist promises further re- intoxication. port upon a case in which bradycardia

Election of Officers. formed a prominent clinical feature. As a preparatory step the essayist demon- The following were elected officers for strated lesions of a chronic character found the ensuing year : in the smaller branches of the coronary President-Dr. M. L. Heidingsfeld. arteries, both coronaries being involved in Vice-President - Dr. Arch. Carson. this degeneration, the left, however, to a Secretary and Treasurer-Dr. Wm. more marked degree than the right. Muehlberg.

DR. WM. MUEHLBERG led in the dis- Executive Committee — Dr. Walter cussion, and stated that ligation of the Knight, Dr. Horace Whitacre. coronary arteries, as far as animal experi- Four new

were proposed for ments demonstrated, was followed by ex- membership. tensive connective tissue degeneration. Ligation of both arteries induced spasmodic convulsions. That although the

English Medical Folklore. arteries of the heart are filled during sys- G. F. Northall, in English Folktole, as demonstrated by a distinct systolic Rhymes (1892) gives an interesting colwave in the blood pressure, the blood flows

lection of English charms and spells through the arteries and arterioles during among other things for various ailments, diastole. In the veins the flow is systolic, The following for cramp has a practical and is induced by muscular compression. value: "Coleridge, in his Table Talk, The motor ganglia maintain tone and con

Vol. ii., p. 59, records the approved mode trol the muscular action of the ventricles,

of procedure (for cramp) in Christ's Hosso that they beat in unison. Fibrillarypital [the "Bluecoat School”], which he contraction of one or both ventricles has believed had been in use in the school been noted after ligation of the coronary since its foundation in the reign of Ed. artery. Occlusion of the coronary artery ward VI. A boy, when attacked by a fit is not a factor in angina pectoris, because of

cramp, would get out of bed, stand the pulse remains full and strong. DR. S. P. KRAMER stated that animal firmly on the leg affected [italics ours],

and make the sign of the cross over it, experiments have not thrown much light thrice repeating this formula : on angina pectoris, because the changes induced by sudden occlusion are not com

“ 'The devil is tying a knot in my leg,

Mathew, Mark, Luke and John, unloose it I parable to those of disease, because the

beg! latter permits a slow adaptation to the Crosses three we make to ease us. anomalous conditions by reason of the Two for the the theives, and one for Christ gradual establishment of compensatory

Jesus.' circulation.

-N. Y. Med. Journal.


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