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have it, but in time they began to get away Current Literature.
from their plain corn bread, and they, too, began to have appendicitis. So it goes. They did not have appendicitis in Germany until they began to eat our fine white flour and put in the new process
of Fine Flour and Appendicitis.
milling after our fashion. Now they have Changes in milling processes are re-. appendicitis in Germany just as we do. sponsible for appendicitis, according to a * Experienced millers will tell you that physician who has been in the practice of the fine flour is a less desirable flour than medicine for fifty years and who has ob- that made by the old process, but the trade served the spread of the disease. This demands it chiefly on account of its whitephysician, Dr. H. C. Howard, of Cham- ness. On account of its indigestibility the paign, Ill., asserts that until the trade de- disarrangement of the digestive organs of mand for exceedingly white flour changed the people eating it has greatly increased. the methods of grinding wheat, there was The prime cause of appendicitis is found no appendicitis.
in this disarrangement. To prove this assertion the physician • Quite small children have it. I know points 10 the fact that where coarse breads one boy who has had thirteen well. defined are used the disease is unknown, but that attacks of the disease and came out of all as soon as the fine breadstuffs are intro. of them without surgical operations. He duced appendicitis comes along as a se- changed his food to corn bread and mush, quence. By this reasoning it is shown with coarse breads in general, vegetables, that the people of agricultural communi- little meat and some fruit, and he has ties who secured their flour from small taken on flesh and has not had a symptom mills did not have the disease until the of the disease for three years."'- Chicago small mills were crowded out by the large Tribune. ones and fine white flour supplanted the coarse. Then the negroes of the South so
Treatment of Vertigo. long as they ate corn bread they were free For the treatment of vertigo Prof. Vires from this disease, but when the new pro- recommends special and general treatment. cess flour began to be used the disease The special treatment should be directed came among them. The same results at. to the different causes of vertigo when tended the departure of the German folks they can be traced to affections of which from their coarse bread to the refined flour. vertigo is but one of the symptoms, syph
“I can remember that prior to about ilis, malarial fever, gout, gastric affections, 1875,” said Dr. Howard, there was little etc. or none of the ailment among the people. As regards general treatment he recomIn twenty-five years of practice among mends iodide of potassium, ten to twenty the people before that time I do not think grains daily for months, with periods of I saw more than forty cases of appendi- rest, and quinine
rest, and quinine as advised by the late citis. Now they are common.
Professor Charcot. However, the quinine “Large and extended change in the diet should only be tried when other methods of people has contributed to this. For fail, as it affects hearing, and leads, if example, about the date mentioned there prolonged, to absolute deafness. About began to be a general change from the old six or eight two-grain pills should be given method of grinding grain to the present daily for a week. During these days the method of roller mills and excessively fine noises in the ears and the vertigo increase bolting cloths. This plan of milling be- considerably, but if the drug is suspended gan first in the large cities, and appendi- for a similar period, a notable improvecitis began to increase first there. Later ment takes place. Given again for eight the new process crowded out the small days, the quinine produces less effect, and mills in the country, and the people could a second rest of eight days is followed by not get flour made by the old processes. a still more marked improvement. TreatThey bought products of the large milling ment should be continued in this manner establishments, and then the farmers began until a cure takes place. The vertigo due to have appendicitis.
to arterio.sclerosis should be treated with "Still the negroes of the South did not. small doses of iodide of potassium.
Iodide of potassium
3j with an almost equal degree of frequency Water
in the non-syphilitic conditions with which Two tablespoonfuls daily for three syphilis may occasionally be confused.-
Tudian Lancet. weeks in the month, at the same time three drops of a solution of nitroglycerine (1•100) might be given morning and even
Sobriety a Great Recommendation. ing, and a milk diet be prescribed for eight days every month, while purgatives
Great as has been the agitation in favor should be given frequently.
of temperance within the last few years, If tachycardia be present, one or two of and many as are the factors urging on the the following pills should be ordered daily :
reform, it is doubtful if any greater force
has been brought to bear to ensure sobriety Extract of convallaria
than the decision of the great business Sulphate of sparteine.
corporations to the effect that no man who Insomnia is best treated with trional,
drinks can expect to secure or retain emand edema of the limbs by theobromine,
ployment by the company. ten grains four times a day. If in spite
The time is fast coming when the public
will be convinced it does not pay - even of this treatment the edema persisted and
from a financial standpoint — to put up increased, digitalis should alternate every
with the carelessness and inefficiency five days with the bromine, and the pa
which are the necessary result when brains tient should be placed on milk diet. A
are more or less narcotized and befuddled purgative of jalap and scammony should
by alcohol. be prescribed once a week.–Paris Cor.
So strenuous has become the competion Med. Press and Circular.
among business houses and corporations
that each employer of labor is obliged to The Justus Test for Syphilis.
expect of each employé the very best
which he has to give, and it has become Tucker (Philadelphia Med. Journal, well established that sobriety is one of May 10, 1902) has investigated the value the essential qualifications to ensure this of this test. Justus's test is based on the result. fact that mercury given either by inunction In the future, whatever may be the or injection causes a diminution in the talents and recommendations which the hemoglobin of the blood. In healthy in- young man may bring to a business career, dividuals this loss is rapidly replaced, but they will fall far short of the requirements in syphilitics compensation does not occur demanded, if sobriety is not reckoned as till a later period. According to Justus, one of them. the reaction occurred in all untreated It is not so long ago that many people cases of secondary, tertiary and congenital accepted as gospel truth the declaration syphilis, and in thirteen out of sixteen that certain men did their best work when cases of primary sore. Latent and sub- they were half drunk. These reciters of siding cases did not give a characteristic fairy-tales told us that certain doctors reaction, neither was any effect noted knew more when they were drunk than when the drug was administered by the others did when sober; that musicians mouth. Tucker examined twenty-seven could play better when stimulated by Sir cases, comprising thirteen primary chan- John Barleycorn, and that most orators cres, seven chancroids, three herpes, three delivered their greatest orations when forgenito-urinary tuberculosis, and one sec- tified by “ Dutch” courage.
A few years ondary syphilide. Of the primary cases, ago one of the great orchestras was obliged five were positive and four negative; of to hire a detective to shadow two of its the chanchroids four were positive and players to make sure that they should be three negative; of the herpes all were sober enough at night to fulfill their conpositive; of the tuberculous cases one was cert engagements. These performers were positive and two negative; the secondary musicians of most remarkable talents, syphilide was negative. Tucker hence but an uncontrollable appetite for wine concludes * that the Justus test has no brought all their great gifts to naught, and practical value in the differential diagnosis made them a chronic nuisance to all who of venereal ulcers, since the reaction occurs were in any way associated with them.
Though one of these musicians was a ties were swollen, and a close examination cello player of such transcendent ability of them were carried out, as the slightest that it was almost impossible to hope to touch produced great pain. The ribs were fill his place, yet his intemperate habit also exquisitely tender. Below the knee of finally exhausted the patience of even his the right leg he was able to palpate the friends, and he was dropped from the swelling without causing pain; here he orchestra.
received the impression of crackling. The While we all may be inclined to lose gums were swollen and congested. The courage when we see how much evil still diagnosis of Barlow's disease was made, remains in the world as the result of the Bolle saying that it was a very typical case. abuse of alcohol, yet the advances towards He ordered compresses of vinegar and temperance and sobriety brought about water for the painful joints, gave a teaeven during the past ten years have been spoonful of " white beer” yeast four times most remarkable.
a day, and the child was put on pasteurThe learned professions, theology, law ized cow's milk, diluted with equal parts and medicine, have pretty well purged of gruel. The milk was obtained from themselves of intemperance, and there is the parent's own cow, and was not boiled. no call and little chance in them for any On the following day the child passed a man, no matter how gifted, who habit- firm stool, and was more comfortable. ually indulges his grosser appetites. This improvement was maintained and a
The great railroad corporations, having week later it could sit up in bed and move immense responsibilities to carry, have willingly without pain. Within a fort. come to see that they cannot afford to have night vegetables, potatoes, and the like all the benefits arising from skillful man- were given, and the general condition had agement abrogated by the indifference and become fair. In the course of another carelessness of intemperate employés.- week it had put on a considerable amount Journal of Medicine and Science. of weight, and was in good health. That
one could attain such a good result in so
short a time suggests that the form of Treatment of Barlow's Disease.
treatment applied is specific for the malBolle (Zeit. f.diaet, u.physik Therap:)
Physik Therap.) aday, and Bolle argues that the disease is gives an account of a case of Barlow's caused by too long sterilizing or boiling disease, and draw's some conclusions both of the milk; and that the essential of the as to the treatment and pathology. The treatment is to give raw milk as long as patient was a child aged two and a half one can obtain this from a reliable source, years. The family history was excellent, - Indian Lancet. the parents being well circumstances and healthy. At the age of one year the child was troubled with diarrhea, which defied
Heartburn. all treatment. It had been fed on a variety Cardialgia, or heartburn, presents itself of milk preparations and nutrient foods, in two forms, each of which assumes variand at the time when Bolle was first con- ous grades of severity. It is generally sulted, it was having nursery milk from a attended by acid or acrid eructations, exwell-known firm, from cow fed with dry citing irritation in the throat and fauces. fodder. The milk was boiled for fifteen The acidity of the eructated matters is minutes in a Soxhlet's apparatus, and often remarkable, occasioning the most diluted with water. In February the child unpleasant sensations in the mouth and was seen to drag the left foot, and in pharynx, with a copious flow of fluid from March the gait became tottery. Since those parts. The matters brought up from May it had not been able to walk at all. the stomach are sometimes rancid and al. Bolle was consulted on June 28, and found kaline, particularly after a meal of rich or the child lying apathetically in bed, whin- fat animal food. In this case a feeling of ing and crying out, and not taking the disgust is excited on each eructation, and least notice of its surroundings. The pa- large quantities are thus thrown off or rerents stated that it had not slept for more gurgitated from the stomach, without than an hour at a time for several days, either nausea or retching. In either form, and had constantly screamed out with pain unpleasant gnawing, burning pain, and whenever it moved. The lower extremi- tenderness are felt at the epigastrium,
with distension extending to the hypo- Adopting a rather dry dietary and the chondria, and with tightness or oppres- avoidance of too many varieties at any sion in the chest. Cardialgia chiefly occurs one meal-especially of crude vegetables, during the period of digestion, but some- will aid in a cure.- Dietetic and Hygienic times not until an advanced stage of the Gazette, process. It may be mild, and consist simply of uneasy sensation, gnawing or The Treatment of Dysmenorrhea. burning at the cardia, sometimes with
Dysmenorrhea is such a protean affection light faintness or flatulence; or it may be that it seems to defy classification, and its severe, the uneasiness extending over the
treatment is consequently vague and unregion of the stomach, attended by depres. certain. Its relationship to uterine disease sion, anxiety of countenance, and faint- and displacement is the subject of perenness. This latter. state has been denomi
nial discussion, and it cannot be said to nated as “ sinking heartburn.”. It is only have any pathology of its own. Roughly when cardialgia is severe that it is accom- speaking, cases of dysmenorrhea may be panied with frequent and copious rancid
divided into two classes – the cases in alkaline or septic eructations.
which the pain, once established, is conHeartburn is best treated by medicines stant, and those in which it is spasmodic which act upon the secretions and move or intermittent. Constant pain is believed the bowels. Rhubarb with magnesia, and by some to be indicative of ovarian origin, sesqui-carbonate of ammonia, in an aro- while the intermittent form is associated matic water; blue pill, with Castile soap; with functional distress of the uterus. In and alkaline solutions in bitter tonic effu
the latter form the onset of the pain coinsions, or in lime water, are commonly cides with the onset of menstruation, and employed, and are most useful when this
in these cases dilatation of the cervix is symptom is connected with acidity. But
often followed by marked relief. The when heartburn is attended by rancid, objection to dilatation of the cervix is that septic or insipid eructations, the mineral
the relief which it affords is almost of acids, as the nitric, the hydrochloric, and necessity ephemeral, and in order to render the aromatic sulphuric acids, given in
it permanent certain gynecologists advosimple camphor or aromatic water, or in cate division of the circular muscular suitable tonic infusions, will be most ser- fibres of the cervix. It is to be feared, viceable. Dr. Pemberton advises lemon- however, that this operation, though it juice in these cases, and Dr. Todd, the
may relieve the dysmenorrhea, exposes the phosphoric acid. When there is a liability patient to the usual consequences of lacerto heartburn, wine, spirits, and particu- ation of the cervix-consequences which larly malt liquors, should be avoided. the operation of trachelorrhaphy was speHock or old sherry may, however, be taken cially designed to gbviate. Restricting in great moderation in seltzer water.
the purpose of our remarks to the treatAll of which taken from London Health, ment of dysmenorrhea of uterine origin, may be very orthodox and scientific in the
in which the pain comes on with the flow, mother country, as possibly it was a cen. is more or less intermittent in character, tury ago in America.
and is not relieved by lying down; dilataThere is not a word said as to curing tion of the cervix will afford relief in a the disease by prevention, which through considerable proportion. Dilatation does the adoption of a sensible diet is entirely
not correspond to any particular size of feasible.
sound; the essential thing is to introduce The temporary alleviation recommended
larger sizes until resistance has been overis merely sopping up the floor with a
come.-Med. Press and Circular. sponge while the leak in the soof is ig. nored. Correct the faulty digestion and the “heartburn” will take care of itself.
PHTHISICAL patients should practice Even the list of palliatives might be
recumbency during the day, in association
with deep breathing.-Med. Summary. greatly improved and extended.
Fresh, unsweetened popcorn is an excellent absorbent and corrector. Pecans In the treatment of children stimulate are an immediate and almost invariable early and not wait for a weakened heart, relief.
and a low pulse.-Med. Summary.
BY T. C. M.
Sometimes the young doctor is invited Translations.
to settle by others than the mayor of the place, for it may be that the pharmacist,
the village clergyman, or some member of PARISIAN MEDICAL CHIT-CHAT.
the legislature desires a new doctor. They will tell the newcomer that their former doctor, who still resides in the town, is a
drunkard, a miser, a brute, etc., or that he The Beginning of a Young French Doc.
has made a fortune and no longer cares tor's Life- His Foys and His Tribulations An Old Song Set Continuously
for attending the sick; that the newcomer to New Music-Experience the Only
will most certainly have an assured prac
tice, especially if he is well thought of True Medical Teacher.
and grows popular. Needless to say, the Provided with a diploma the day after new comer finds that the drunken, brutal sustaining his thesis, the youug French doctor, who has no care for the clergyman doctor usually finds himself poverty- or politician is still popular, despite his stricken. If he has no guide in his fam- alleged faults. In such cases, as a rule, ily, if he is not a son destined to succeed the tempter is seductive and the young his father in medical practice, if he has no doctor is weak enough to yield. Soon relatives or monied friends, his embarrass. after he arrives, too, he finds that the other ment becomes great, and his warm am- physician in the town has a hard time bitious day-dreams take a bad chill. For gaining his bread; that the drunken docalmost all young doctors the commence- tor has struggled to live in the region for ment of professional life is rough and many years; that he is much respected, painful; we say for almost all, yet except and that those who have sought to injure those few who pursue a special career, him by bringing in a new physician, have but even then see the cruelest deceptions done so simply to injure a doctor who after even a most successful existence. was independent and would not work for
The first care of every young doctor nothing, so that the new comer finds he should be the proper choice of a location. has been the involuntary accomplice of a Where shall he locate? On every hand lot of dead-beat scamps, and that he in he is told of the overcrowding. The ma- the end becomes the real victim. jority of physicians are not the issue of Young doctors in all countries should rich families, and it is repugnant to many speak the first word of defiance at pracgood-hearted young fellows to remain a a tices for sale. As a rule, patients are not charge, dependents on parents or families, cattle, and the goods cannot be delivered. who have already deprived themselves of Eliminate from
the list of practices advercomforts in order to educate a physician tised to be sold in medical journals or by in the family. True, many apparently agencies; do this without hesitation. If good propositions are often made to young the practice of some sick confrère, retirdoctors, but they should be carefully on ing from business for his health, or of a their guard, for the vast majority of such practice held for sale by some doctor's offers are full of cruelly deceitful surprises. widow or family making the offer, make
Here is the mayor of some small town a prudent investigation, and require the who offers a nominal subvention and free guarantee of a good bond before purlodgings to a young doctor, who must chasing ; but, of all, remember, never buy settle at his place. This town has often a any practice offered for sale. On very rare large but scattered population; the new occasions cases of this kind have proved a comer is always expected to render gratu- success, and the young doctor has saved itous medical services to many of the in- some long and painful delay in securhabitants. The young doctor, once in- ing a practice at the very beginning. installed in such a town, now discovers Should a young doctor purchase from an that the free treatment patients are about older doctor, make the latter go over in all he has on his hands. He now finds, joint practice for the space of several too, that the mayor of the little town months, and present all his clients perwishes a rebate of some francs on the sonally; even then require an indemnity small subvention that has attracted the bond. young physician to the place.
Once installed in business, the young