SURGERY OF PROSTATE, PANCREAS,

DIAPHRAGM AND SPLEEN.

BY B. MERRILL RICKETTS, PH.B., M.D.,

CINCINNATI.

(Continued.)

1. SURGERY OF THE PROSTATE.

GENERAL MISCELLANEOUS BIBLIOGRAPHY
(1727-1902).

Sharp, W. H. Acute Retention of Urine from Hypertrophy of Prostate Gland. Tr. Medical Society West Virginia, 1896, 1389-1393.

Krauss, W. Ueber einen seltenen fall von hamaturia (prostata hamorrhoiden). Wien, klin. Woch, 1896, 637-640.

Mayet, H. Prostatite glandulaire subaigue d'emblee totale ou partielle. Ann. d. mal. d'org. genito-urin, Paris, 1896, xiv, 193-200.

Goldenberg, H. A Modified Rectal Cooling Sound for the Treatment of Prostatitis. Journal Cutan. and Genito-Urinary Diseases, New York, 1896, xiv, 186.

Patchen, G. H. Does Riding the Bicycle Cause Enlargement of the Prostate Gland? Codex Med., Philadelphia, 1896 7, xxix, 332, 387.

Glenn, W. F. Hypertrophy of the Prostate. Southern Practitioner, Nashville, 1896, xviii, 295 302.

Voss, F. H. V. Two Cases of Hypertrophy of the Prostate Gland. Australasian Med. Gazette, 1896, xv, 148.

Northop, H. L. Prostatic Hypertrophy. Hahnemann Monthly, Philadelphia, 1896, xxxi, 301304.

Lienaux, E. De l'hypertrophie de la prostate chez le chien. Ann. de med. wet., Brux, 1896, xlv, 1-18.

Cathcart, C. W. Inflammation in the Prostate and its Surroundings. Edinb. Hosp. Reports, 1896, iv, 573 583.

Rosenberg, F. Zur diagnostik der pro statit chronica. Centralb. f. d. krankh. d. harn u. sexorg., Leipzig, 1896, vii, 89 93.

Harrison, R. On Certain Infections Communicable Between the Testes and Prostate in Relation to Occlusion of the Vas Deferens. TriState Med. Journal and Practitioner, St. Louis, 1897, iv, 199-201.

Guepin, A. Valuer diagnostique de la prostata megalie. Tribune med., Paris, 1897, xxix, 47-49.

Cenitzer, L. Beitrag zur diagnose und therapie der prostata-tubkulose. Centralbl. f. d. krankh. d. harn u. sex org., Leipzig, 1897, viii, 14-24.

Pasteau, O. Trois cas de prostatisme vesical. Ann. d. mal. d. org. genito-urin., Paris, 1897, xv, 31-36.

Cannus et Gley. Note sur quelques faits relatifs a l'enzyme prostatique (vesiculese) et sur la fonction des glandes vesiculaires. Compt. rend. soc. de biol., Paris, 1897, iv, 787-790.

Caminiti, R., et Solomoni, A. In grossamenti prostatici. Milano, 1897, 82 p., 5 pl.

Guepin, A. La compression digitale de la prostate. Gaz. d. hop., Paris, 1897, lxx, 956.

Casper, L. Experimentelle untersuchungen ueber die prostata mit rucksicht auf die modernen behandlungsmethoden der prostatahypertrophie.

Monatsbl. d. krankh. d. harn u. sex-apparat., Berlin, 1897, ii, 278-292, 3 pl.

Williams, C. Prostatic Discharges: Their Causes, Symptoms, Diagnosis and Treatment. Clin. Journal, London, 1897, x, 102-110.

Eastman, J. R. The Origin of Corpora Amylacea in the Prostate Gland. Journal Am. Med. Assn., 1897. xxix, 158-162.

Richter, P. F. Ueber krankenflege bei prostatikern. Ztschr. f. krankenflege. Berlin, 1897, xix. 137-143.

Grosglik, S. Gumma der prostata. Wien. med. Presse, 1897, xxxviii, 73-102.

Desnos. Appareils pour la sterilisation des sondes. Ass. franc. d'urol: proc-verb., 1897, Paris, 1893, ii, 455-458.

Borelius, J. Contribution to the So-called Hypertrophy of the Prostate: Pathology and Therapy. Hygiea, Stockholm, 1897, lix, 233-288591-644, 223-591, pt. 2, 1-46

Favero, O. Sopra una varieta di ingrossamento prostatico. Gazz. d. osp., Milano, 1897, xviii, 1:13 1215.

Parascandolo, C. Contribuzione alla cura della ipertrofia della prostata. Settimana med. d. sperimentale, Firenze, 1897, li, 185, 197.

Moullin, C. W. M. The Cause of the Symp. toms that Follow the Evacuation of Residual Urine in Cases of Enlargement of the Prostate. Internat. Clinics, Philadelphia, 1897, 7 s., i, 2.6

222.

Danforth, I. N. Diseases of the BladderProstatitis. Syst. Pract. Med. (Loomis), New York and Philadelphia, 1897, ii, 815-850.

Tedenat. Hypertrophie de la prostate. N. Montpel. med., 1897, vi, 921, 941; 1898, vii, 108. Fuller, E. Chronic Contraction of the Prostatic Fibres Encircling the Vesical Neck, and its Treatment. Am. Jour. Med. Sc., Philadelphia, 1897, cxiv, 440-448.

Rochet. La cystite des prostatiques. Province med., Lyon, 1897, xi, 409-414.

Genouville et Pasteau. Des rapports de la tension arterielle et de la contractile vesicale chez prostatiques. Comp. rend. soc. de biol., Paris, 1897, iv, 800.

Tailhefer. Suites eloignees du traitement d'un prostatique ago de 80 and et 7 mois per la cystotomie sub-pubienne et la resection des canaux deferents pratiques l'une el l'autre sous l'anesthesic cocainique. Ass. franc. d. urol. proc. verb., 1897, Paris, 1898, ii, 137-140.

Loumeau, E. Gros calculus vesico-prostatlque. Ann. de la policlin., Bordeaux, 1897.8, v, 617625.

Fuster, L. Cystite purulentee chez un prostatique injections d'huile iodoformee etude de la retention incomplete. N. Montpel. med., 1897, vi, 653 669.

Rochon. Syphilis de la prostate. Med. mod., Paris, 1897, viii, 244.

Hogge, A. Des urethro-prostatites subaigues d'emblee et aseptiques. Ann. soc. med. chir. de Liege, 1897, xxxvi, 235-240.

Gibson, M. Prostatio-Retention. Tr. Luzerne County Med. Soc., Wilkesbarre, 1898, vi, 207-213.

Taylor, A. E. Hypertrophy of the Prostate Gland in a Man of Thirty Years, with Suppuration and Pyelonephritis. Tr. Path. Soc., Philadelphia, 1898, xviii, 295-296.

Balvay, A. Cystite pseudo-membraneuse chez

un prostatique. Lyon med, 1898, lxxxviii, 287294.

Alexander, S. Observations Upon the Pathological Anatomy of Chronic Enlargement of the Prostate, with Special Reference to the Causes of the Muscular Insufficiency of the Bladder. Meed. Rcord, New York, 1898. liv, 958.

Ciechanowski, S. On the So-called Hypertrophy of the Prostate Gland (apropos of Motz's Article, Results of Clinical Observations). Przegl. lek., Krakow, 1898, xxxvii, 54, 66.

Lyman, C. B. Clinical Lectures on Chronic Prostatic Hypertrophy. Colorado Med. Journal, 1898, iv, 257-262.

Vetere, G. La cura degli ingrossamenti prostatici. Arch. internaz. di med. et chir., Napoli, 1898, xiv, 170-188; 201-220

Keyes, E. L. A Consideration of the Urinary Distance as a Diagnostic Factor in Prostatic Hypertrophy. American Journal of Medical Sciences, Philadelphia, 1898, cxvi, 125-132.

Paquet, F. De la retention incomplete d'urine calculeuse. Bull. med., Paris, 1898, xii, 469 471. Fuller, E. Cystoscopy in Connection with Prostatic Hypertrophy: A Reply to Dr. W. Meyer. Med. Record, New York, 1898, liii, 395.

Cenouville et Pasteur. Des rapports de la tension arterielle et de la contractilite vesicale chez les prostatiques. Ann. de mal. d. org. genitourin., Paris, xvi, 945-962.

Wossidlo, H. R. Chronic Prostatitis and its Treatment. Journal American Medical Association, 1898, xxxi 440-443.

White and Wood. Diseases of the Prostate. Am. Text Book Genito-Urin. Dis., etc.), Philadelphia, 1898, 255-326.

Tobin, R. F. The Cause of Senile Hypertrophy of the Prostate. Med. Press and Circular, London, 1868, lxv, 328.

Meyer, W. The Value of the Cystoscope in the Diagnosis of Hypertrophy of the Prostate Gland: A Final Word to Dr. E. Fuller. Med. Record, New York, 1898, liii, 537.

Delore. X. Fonction de l'urethre contre nature (urethre prostatique) chez les prostatiques anciennement cystostomise resultats d'une portant sur 34 cas (14 continents, 13 incontinents, 7 continents partieis). Gaz. d. hop., Paris, 1898, lxxi, 177, 205, 237, 250, 280.

Weber, L. Med. News, New York, 1898, lxxii, 481-83.

Durand, C. F. Chronic Follicular Prostatitis. Buffalo Med. Journal, 1898-9, xxxviii, 118-120.

Athanasow, P. Reserches histologiques sur l'atrophie de la prostate consecutive a la castration a la vasectomie et a l'injection sclerogene. Journal de l'anat. et physiol., Paris, 1898, xxxiv, 137-186, 2 pl.

Audry, C. Prostatisme cystostomie resection des deferents mort deux inois apres autopsie. Arch. med. de Toulouse, 1898, iv, 161-164. Walker, F. B. The Hypertrophied Prostate. Physician and Surgeon, Detroit, 1898, xx, 157-162.

Springer, C. Zur kenntnis der cystenbildung aus dem utriculus prostaticus. Ztschr. f. heilk., Berlin, 1868, xix. 459-474, 2 pl.

Guepin, A. Congestion de la prostate. Tribune med., Paris, 1898, xxx, 526-529.

Guepin, A. Modes de guerison de l'hypertrophie senile de la prostate. Gaz. d. hop., Paris, 1898, lxxi, 611.

Swinburne, G. K. Prostatitis and Seminal Vesiculitis: A Study of Three Cases. Journal Cutan. and Genito-Urinary Diseases, New York, 1898, xvi, 119-126, 293.

DeLore, H. Des appareils destines a remedier a l'iucontinence d'urine chez certafns prostatiques anciennement cystostomises resultats obtenus par peur emploi. Arch. prov. de chir., Paris, 1898, vii, 245, 290.

Busculossi, A. Sette casi di ipertrofica di prostata curati con la resezione dei dotti deferenti. Policlin. Roma, 1898, v, sez chir. 324-337.

Motz, B. Results of Clinical Observations on 130 Cases of Disease of the Prostate Gland. Przegl lek., Krakow, 1898, xxxvii, 1, 17.

Montgomery, L. H. Some Recent Observations upon Acute Inflammation of the Prostate Gland. Journal American Medical Association, 1898, xxxi, 400-402.

Faucon, V. Hematurie chez une prostatiques traitee par la custostomie. Journal sc. med. de Lille, 1898. i, 415.

Crespi, E. Contributo annuale clinico alla cura della iscuria di ipertrofia prostaca. Gazz. med. lomb., Milano, 1898, lvii, 307-312.

Thomson, A. Personal Experience in the Treatment of Enlarged Prostate. Edinburgh Med. Journal, 1898, iv, 146-154.

Hodara. Sur certaines formes de prostatities blennorrhagiques. Gaz. med. d'orient, Constant., 1898-9, xli, 41-44. Mislawsky und Bormann. Die secretions nerven der prostata. Centralbl. f. physiol., Lpz., 1898-9, xii, 181-185.

Tedenant. Hypertrophie de la prostata. N. Mentpel., med., 1898, vii, 11, 108, 465, 532, 666. Newman, W. Notes on Two Cases of Prostatic Enlargement. Quarterly Medical Journal, Sheffield, 1898-9, vii, 39-41.

Eldrige, C. S. The Prostate. Journal Orificial Surgery, Chicago. 1898-9, vii, 307-309.

Oppenheimer, H. Die innerliche behandlung der prostaterrhea ex prostatitide chronica mit prostata substanz. Dermatol. centralbl., Berlin, 1898-9. ii, 104-107.,

Picard, H. Prostatic glandulaire probable urethrite a gonocoques tenace. Ann. de mal. de org. genito-urin., Paris, 1898, xvi, 400.

Greene and Blanchard. Some Observations on the Prostate, Journal Cutan. and Genito-Urinary Diseases, New York, 1899, xvii, 27-30.

Christian, H. M. Chronic Catarrhal Prostatitis. Journal Cutan. and Genito-Urinary Diseases, New York, 1899, xvii, 18-22.

Martin, S. C., Jr. Acute and Chronic Prostatitis. American Journal Dermatol. and GenitoUrinary Diseases, St. Louis, 1899, iii, 27.

Overall, G. W. Electrolysis and Cataphoric Medication; The Treatment of Chronic Congested Prostatitis and its Sequels, Impotency and Spermatorrhea, Thereby. Journal American Medical Association, 1899, xxxii, 115-119.

Fabre, L. Deformation du col vesical dans l'hypertrophie prostatique. Lyon, 1899-1900,79 p. (To be continued.)

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THE PLAGUE PREVENTIVE SERUM
AND TETANUS.

Official medicine, which has come to be regarded nowadays as only another name for official bungling, has received another severe setback from the Punjab Government. The official laboratory at Bombay, India, has made arrangements to inoculate 10,000 persons a day with serum preventive for the plague. During last October some 120,000 innocent natives were experimented on with a new elixir of life, which soon proved to be a veritable elixir of death, for a number of persons inoculated died. Quoting from the Indian Lancet, we note the remark: "It was not indeed proved in any of these cases that death was actually due to inoculation, but, in view of the possibility of having been so, orders were issued on Nrvember 1 to suspend operations," etc. "Before these orders could take effect, a deplorable calamity occurred in the village of Mulkowak, where nineteen persons were inoculated on the 30th of October. On the 16th of November all were found suffering from tetanus. All have since died," etc. Of course, this explanation, from a therapeutic standpoint, is proof of the pre

natives took the plague; they died of tetanus. What a good thing is this for all humanity! Personally, we would prefer the chances of an attack of plague rather than have the fatal tetanus toxine injected into the body. But, after all, such matters should be one of choicechacun à son gout.

This reminds us that not very many moons since our Marine Hospital Service proposed to inoculate all the Chinese in California with their own special antiplague serum, leaving to the Caucasian the choice of exclusion, which reminds us that some years since, in the Corps Legislatif of France, a hare-brained doctor introduced a measure by which the entire population of France was to be inoculated with the attenuated toxine of syphilis; in other words, he proposed to syphilize 39,000,000 of his fellow-citizens, but, as for himself, so his bill read, "I reserve for myself and family the right to be exempt from the provisions of this act." It is ever noticeable that the truly philanthropic in every community, those who continually look out for the beam in their brother's eye without seeing the squint in their own, are ever ready and willing to mind other persons' affairs to the neglect of their own.

But to return to our mutton.

Further

along, after an official inquiry into the Melbourne incident, it was discovered that the doctor who inoculated the natives, a European, had really inoculated one hundred, of whom only nineteen died of tetanus, which left a lesser percentage of mortality for the serum than was first thought. Nineteen deaths from tetanus in one hundred cases of inoculation with a so-called preventive serum is a rather ghastly mortality, as there is nothing to show that any of these victims to official sanitation would ever have contracted the plague had they not been inoculated. They were killed by special medi

cine by means of tetanus. No one will dare gainsay this assertion-in fact, it is admitted.

It would be curious to discover why the cause of other deaths after inoculation, deaths before this incident was noted, and which evoked the order for the suspension of this work, have not been given to the public. However, official medicine, maintained by laboratory methods, views the mass of the people as so many cattle without any personal rights-mere animals upon which experimentation may be pursued on a gigantic scale under cover of Govermental or State control; in other words, the license to kill people by toxines is one granted all too often by legislative enactment. Some day the masses of the people will wake up to the fact that they have surrendered their bodies to experimental microbologists of the germ school; when the people do wake up it will be the downfall of official medicine in more than one of its branches. When men in the laboratory, through experiments on guineapigs, frogs and rabbits, imagine they have discovered specifics they should be left to the joys of their own imagination; but the State has no right to inflict these experimental panaceas on the general public, regardless of the views of general practitioners, who know their own business, by long and actual contact with the sick, much better than mere theorists, who endeavor to force their nostrums on their fellow-citizens, regardless of all direful consequences.

The Punjab incident will be repeated, no doubt; a pseudo-science has received. so much support from governments that microbian medicine, to those in authority, has all too often become a religion. In fact, there is more faith in medicine nowadays than in religion. As Max O'Rell has remarked regarding religion, it is not so much the love of God that takes men to church, but a belief in the vague report that there may perhaps be some truth in

the rumor that the devil and hell are actualities. So the public press and commercialism in medicine, with public advertisments, has inculcated the belief that there may be something dreadful in germs, that have existed since the world began, and the masses of the people fall down on their knees and worship the medical fetich rather than trusting a little in the Almighty Deity that created them. The ills of this earth were sent, no doubt, with the blessings, and when heaven desires it men will cease to die without the interposition of medical men of the microbian. class. Faith in all things is a noble trait

in humanity, but faith mixed with a little scepticism often evolves the light of truth that has previously been hidden.

If serum therapy has not taught us anything else than that horse serums provoke tetanus, we have at least learned something of their value. No animal is so susceptible to tetanus as the horse. The poisonous toxines of this disease lurk quiescent in its body until evoked by some external or internal stimulus. So it happens that while the serum of some horses may be comparatively immune for indefinite periods of time, when placed in bottles and sold to the public it may spread lockjaw broadcast. These outbreaks of tetanus after the use of horse serums as prophylactics should by themselves be sufficient to cause every conscientious man to avoid using the vile product. But we do not expect to convince all doctors on these points. Let them give the matter earnest and conscientious consideration and deep study. There are hundreds of remedies that are efficacious as well as harmless, remedies that at least are not murderous, that any honest general practitioner may employ; besides, after all, the will of the Deity and the natural powers of self healing with the human body might be considered a little in this matter of medical practice.

The experimental medicine of the nine

MUNICIPAL TRANSPORTATION SERVICE. At this time so-called traction lines absorb the passenger traffic almost wholly in the cities of our country. These traction lines have given to them in their franchises or charters special facilities and privileges, for which they are supposed to render a good and sufficient service for the people. It is no exaggeration to say there is not a city having 300,000 people in it that has anything like a good and sufficient service for an accommodation of the people. In Cincinnati, Chicago, St. Louis, New York, Brooklyn and other cities the service is insufficient and inadequate in every particuler. It is believed there are no exceptions. In Cincinnati, at times, there is almost a revolt approaching riotous contentions, for which the traction company is responsible. People are herded and crowded in cars more like brutes than human beings; nor is this all, for there is not a sufficient number of cars on any line to at all times convey the people desiring to use them. Violent means and measures are to be condemned, but something is demanded of the municipal government in the way of either a cancellation of franchises or appeal to the courts for redress. It is thought and generally believed in Cincinnati that the Board of Public Service in a measure has control of the street railroad facilities. If this is the case they are committing a criminal neglect in misfeasance and malfeasance in their office.

Transportation conditions are certainly in an anomalous state all over the country, particularly in the so-called railroad.

centers, like Pittsburg, where the congestions of freight traffic have been so extreme as to get out of the normal supplies of flour, bread and other eatables, so that at a time it was seriously considered as to whether Cincinnati would be called upon to supply the city of Pittsburg by way of the Ohio River. On some of the railroads regular passenger trains, in a regular service, have been taken off in order to make way for the coal-car traffic. This is also a thing heretofore unheard-of. In time, and that not far distant, the steam railroads will rectify such conditions. But the present carrying of people who are obliged to travel either in the steam car service or on the traction lines must have a very serious and profound consideration. Men, women and children are not to be huddled together and trampled over in a necessitous manner without forcible remonstrance, and a remonstrance that will be heard.

In Cincinnati there is an unheard-of, an unprecedented, growth of population. which partly accounts for the strenuous conditions under which we are at this time living. The building industry, with its necessary transportation of men to and. from along the lines of traction service, is very much beyond the wildest anticipations of but a year or two ago. Cincinnati is rated as one of the oldest of the interior cities of America, but it has taken on a spasmodic growth which in character may be likened to convulsions. There are apparent growing pains in every direction. The writer is somewhat familiar with municipal conditions and has observed that there are at this time scarcely any stores in the business district for rent or occupancy on any of the streets. The contrast in this particular with conditions of four or five years ago is very marked. To meet the demand for residences, scores of enormous tenements are being constructed, which go by the name of flat or apartment houses. It is believed that with