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in all of which these structures were cutaneous tissues or into the peritoscrutinized. These glands, whose pe- neal cavities of other rats, guinea pigs, culiar characteristics appear to have white: mice and hens. The results of been overlooked by pathologists until the attempts to cause growths in the 1884, and to have been but meagerly guinea pigs, mice and hens were indescribed since, occur principally in variably unsuccessful, but the pieces the perverted retroperitoned region, al- transplanted into other rats were sucthough they are found sparingly in cessful. other localities. They are ordinarily In some

the transplanted hardly distinguishable to the naked eye pieces became necrotic and in a few from the other lymph glands. Their suppuration occurred, but usually after number is estimated at from 1-50 to ten or fifteen days the tumor started 1-20 of the total number of lymph to grow in its new surroundings and glands in these regions. Their dis- increased rapidly in size. At first a tinguishing characteristic is the pres- solid mass formed, which later became ence of a blood sinus instead of cystic in the center, like the original lymph space beneath the capsule. Their tumor. In some cases only the cystic histological structure resembles in a fluid was injected into the peritoneal measure that of the ordinary lymph cavity. In these cases multiple tumors glands, but

also shows marked appeared and gradually developed into resemblances to the splenic tis- large sarcomatous masses. From the sue, a gradual transition existing first to the last piece examined, the between hemolymph glands on one side character of the tumor was preserved to ordinary lymph glands, and, on the during the fifteen months even after so other hand, to the structure of the many pieces had been transplanted spleen. Warthin subdivides them into from animal to animal. It remained two classes, viz.: splenolymph glands a cystic sarcom. Neither did its phyand marrow lymph glands. His stud- siological character change. The origies lead him to the belief that their inal tumor formed local, but no genfunctions are connected with the for- eral metastases, and this was also true mation and destruction of blood cor- of the tumors resulting from transpuscles, leucocytes seem to be actively plantation. The virulence, measured formed in these glands, while the red by the

rate of growth of the tumor, blood corpuscles undergo destruction also remained practically the same, no through the phagocytic action of the marked decrease being observed. cells of the glands.

The part played by the hemolymph THE BACILLUS OF THE PEST:glands in pathology promises to prove With a view to determine the amount a fertile field for future investigations. of variability in different cultures of

the bacillus of bubonic plague. Wilson, TRANSPLANTATION OF TUMORS: of the Hoagland laboratory, has carried -Leo Loeb of Chicago has made a se- out a series of comparative cultures, ries of interesting experiments in using bacilli obtained from five diftransplanting a sarcomatous growth ferent sources. The germs were tested found in the thyroid gland of a white upon all the ordinary culture media rat. He worked on the problem for and also on salt agor, and on meat fifteen months, transplanting 360 pieces broth to which cocoanut oil had been into about 150 animals. The original added, (Hawkins & Haffking methods.) growth was a cystic sarcoma. Pieces The results demonstrate the fact that of it were transplanted into the sub- various cultures of the bacillus of the

case

are:

pest show marked uniformity in their growth. The variations seen in the behavior of different cultures of certain bacteria, e.g., the cholera spirillum, are not observed.

The staining pecularities were also uniform. All of the specimens decolorized by Gram's method. No spores or flagella were discovered, and none of tue cultures showed motile bacilli. Hence, it will be seen that the bacillus of bubonic plague is fairly constant in its morphology and cultural characters, and although there is no positive

characteristic by which it can be hurriedly identified, one can be reasonably certain of its identify if a number of facts are taken into consideration.

The most important points to be considered in a suspected (1) the stalactite test obtained by growing in broth to which cocoanut oil has been added, the bacilli growing downward from the droplets of

oil which float on the surface and producing the appearance of delicate stalactites; (2) the growth on salt agar; and (3) the inoculation of rats or guinea pigs.

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SOUTHERN (ALIFORNIA
C PRACTITIONER

A MONTHLY JOURNAL OF MEDICINE AND ALLIED SCIENCES.
Communications are invited from physicians everywhere; especially from physicians on the
Pacific Coast, and more especially from physicians of Southern California.

DR. WALTER LINDLEY, Editor.
DR. C. G. STIVERS, Asst. Editor.
DR. H. BERT ELLIS
DR. GEO. L. COLE

}

Associate Editors.
Address all communications and Manuscripts to
EDITOR SOUTHERN CALIFORNIA PRACTITIONER,

1414 South Hope Street, Los Angeles, California Subscription Price, per annum, $1.00.

EDITORIAL.

IDYLLWILD SANATORIUM.

with

the beautiful view as I apA two weeks' stay at Idyllwild in the proached it in the evening afforded by beautiful Strawberry Valley has made the abundance of electric lights glimsome impressions that I shall carry mering through the beautiful pines, with me permanently. During the first seemed almost marvelous when contwo weeks of September, which is usu- trasted with what I found in going to ally so unpleasantly warm in South- the valley actly two years previous. ern California, at this ideal spot the The effective approach through the temperature was that which is most pines to the beautifully-lighted sanaconducive to comfort. My room at the torium is a picture I shall not forget. Sanatorium was provided with steam My original plan for a stay of a few heat night and morning, but only on days was prolonged by reason of the two or three occasions during the two comforts and delights of the place to weeks did I utilize it. On the other a stay of a week, ten days and finally hand a ride in the saddle at midday two weeks. It was because I had found was not uncomfortable. The impres- there, something different from other sion conveyed to me upon arriving places that caused the prolongation of there, where I found all the comforts the vacation. of a first-class hotel, including por- During this period I searched the celain bath, hot water and steam heat, heavens diligenty morning, noon and

night for a cloud, but from the valley proper not one the size of a

hand appeared. Only when going to some heighth from which I might view the lower country were the clouds brought to my view. For years I have seen the necessity for an institution of this kind somewhere in Southern California where invalids might go to be cared for properly, but until this time I had not thought of the place as a spot for recreation. After this sojourn it seems to me that no more delightful mountain resort could be found for the well, and it was my pleasure to see not alone sick people but those like myself who go there for recreation.

People who have explored the whole world seek the spot because it is a new place to them. People from all localities

visiting there. Many from widely-scattered States in the Union, from Canada, and some from Europe. No more delightful associates could have been found anywhere. When it was my pleasure to talk with them in order to gain their impression, it was a source of gratification to see that they agreed in saying that in no other place have they found such a combination of advantages, all different forms of recreation in the way of mountain climbing, golf, hunting and like arduous sports.

I cannot fail to express my great delight that the directors of Idyllwild Sanatorium have in so short a time brought about such a change in this wonderful valley endowed by Providence with such magnificent natural advantages.

During the present summer the sick and well have been cared for in the sanatorium proper with the aid of the most comfortable well-floored tents. To me it seems imperative that in the future there should be provided apart from the sanatorium a more or less expensive hotel in which the well can be cared for in as commendable a manner as is now being done for the sick. The large area of land with many beautiful sites for such a hotel, provides abundant locations at a considerable distance from the sanatorium. I understand that the Board of Directors have in mind such an arrangement. I shall look forward with the greatest pleasurse to the fruition of such plans.

For exercise for the overworked urban resident, the one which has the most attraction, as it seems to me, is that taken in the saddle. Every day new canyons to be investigated, creeks to be explored, mountain heights to be scaled, valleys further up in the mountains to be sought, beautiful places within a few rods of the sanatorium, and beautiful places ten miles distant, with the return to the sanatorium ready for the enticing meal, are delights which cannot help but bring rest, strength and recuperation to the visitor, and bring him in mind a little closer to his Creator.

G. L. C.

were

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TREATMENT OF THE PRESIDENT.

tunity to observe this peculiar state of affairs than any person else. It is nothing unusual for one woman to have a terrible infatuation for another, write most violent epistles of affection and, if need be, in order to be close to the object of her love, to give up position and all other friends. This is more likely to occur where women are thrown together in some avocation that prevents them from coming in contact with men, but still, it does occur sometimes in a woman who is married, and who had previous to meeting this female object of love been happy with her husband.

Our attention has been called to this subject by five cases that have recently come under our personal attention, and also by the case of Dr. John Gorse Simmons of New York City, who declares that the infatuation that exists between his wife, Mary Simmons, and Miss Lea G. Walter has led to an estrangement between himself and his wife, and resulted in their separation. Dr. Simmons is a popular young practitioner, who is a graduate of the College of Physicians and Surgeons of Baltimore, and a member of the New York County Medical Society, and of the Delaware County Medical Society, and his statement has caused a great sensation in the circles in which he

In regard to the treatment of the President, we have from our faraway standpoint seen but one thing to criticise, which was brought out in an interview with the nurses in charge.

"They brought him right here from the ambulance," said Miss Morris, placing her hand on the operating table, "and did not even lift him to remove the stretcher during the operation. I stood here and Miss Simmons stood over there," indicating the opposite side of the table, "and Dr. Wasdin gave the anesthetic there," pointing to the white-enameled stool at the head of the operating table.

"He was the most admirable patient I ever saw," said Miss Barnes, as she joined the group.

“When we were taking care of him that first night, sick as he was, there was not the slightest service performed for him that he did not recognize in some way.

If he could not speak he would just give ’umph-humph, just to let us know that he noticed what we were doing for him.

"I had no idea it was the President who was to be operated upon when Miss Walters told me to get a hypodermic of morphia and strychnia. I looked at the face of the man on the table and said to myself: "That looks like the President,' but it was some little time before I was quite sure about it.

"When I went to give the hypodermic he looked at it in a rather dis

a little

moves.

We believe it would be wise for physicians when in their practice they see two young women develop such undue affection, to warn the mothers of the dangers liable to ensue. This is no chimera, but a reality, and may yet grow to be a serious evil.

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