vulva or vagina, Grandin cauterizes with silver nitrate 60 grs. to the ounce of distilled water, and sprinkles with iodoform, bismuth or aristol.

The Physiologic Action of Digitalis.—Sajous (Monthly Cyclopedia of Practical Medicine, August) compares the similar action on the heart and blood pressure of digitalis and suprarenal extract. He shows apparently that the effect of digitalis cannot be a direct one upon the heart, and cites evidence in proof of his assertion that digitalis increases the contractile energy of the heart and raises the general blood pressure by augmenting indirectly (through excitation of the pituitary body) the functional activity of the adrenals and thus raises the proportion of adrenal secretion supplied to the heart. In the light of his views, the socalled cumulative action of digitalis is not due to accumulation of this drug in the organism, but to the excessive stimulation of the vasomotor centers to which its injudicious use gives rise by over-exciting the functional activity of the adrenals. The excessive constriction of the cardiac arteries thus provoked becomes the source of the cardiac arrest.

For Secondary Anemias.-Osler recommends etiologic treatment and plenty of good food and fresh air in traumatic cases and for inanition. Toxic cases (lead and mercury) require elimination of the poison and nutritious diet with full doses of potassium iodide. Ringer advises the use of calcium phosphate in anemia of women from rapid child-bearing or excessive menstruation. Brower uses the chloride of gold and sodium, 1-20 grain t. i. d., increased to 1-10 grain t. i. d. for secondary anemias and chlorosis. Arsenic, iron and red bone marrow are recommended for the anemia of exophthalmic goitre. Calcium lactophosphate was prescribed by Bartholow for the anemia of nursing mothers and for anemia due to suppuration. Thompson uses cod-liver oil with small doses of arsenic in rheumatic anemia. For hydremic anemia Koplik praises the desiccated thyroid extract in combination with iron. T. Henry Jones gives 1⁄2 grain of gray powder with 2 grains of saccharated carbonate of iron morning and evening for the anemia of infantile syphilis.

Puerperal Venous Septicopyemia and Septicemia.-Ring's treatment may be summarized as follows: Vaginal antiseptic

douches (2% creolin, 5% carbolic acid of 1:3000 bichloride solution; very gentle use of intrauterine antiseptic douche only when uterus is known to contain putrescent matter; avoid curette; iodoform suppositories containing 100 gr. iodoform and 10 gr. each gum arabic, glycerine and starch. In cases of hemorrhage introduce very carefully and gently a tampon of iodoform gauze. Give cardiac stimulants (whisky p. r. n., strychnine, digitalis, strophanthus) and nutritious liquid food (milk, beef tea, beef extract and other meat broths and animal juices every hour or two). Give an early laxative of castor oil or 5 to 10 grs. of calomel with double as much sodium bicarbonate. To reduce temperature give 5 grs. or more of quinine every two hours when temperature is above 101 degrees or phenacetin 5 grs. to a dose, vinegar, bay rum or alcohol. Use morphine to relieve pain -combine with 1-100 gr. atropine if much depression of heart. For metastatic abscesses give tincture of iron m. xx-xxx three or four times a day, and evacuate pus and drain antiseptically if accessible, as in joints.

Rocky Mountain Interstate Medical Association. At the last meeting this association Doctors Kahn, Hawkins, Jackson, Baldwin and Fleming were appointed to consider the suggestions in President Niles' address and reported back to the association as follows:

"Resolved, That a committee of fifteen of re-organization be appointed by the retiring president with power to act, and this committee be empowered to invite the President and Secretary of the State Societies of California, Oregon, Nevada, Washington, Montana, Utah, Idaho, Arizona, Wyoming, Colorado and New Mexico to meet with the next conference at Portland, Oregon. This committee further recommends that the Board of Trustees of the Rocky Mountain Interstate Medical Association consult with the committee on reorganization regarding the time and place of the next meeting."

Report was adopted and President Niles and the retiring president appointed the following committee: S. C. Baldwin, Chairman; E. J. A. Rogers, Thos. H. Hawkins, C. K. Fleming, A. C. Ewing, Hubert Work, Donald Campbell, Leonard Freeman, Edw. Jackson, Sol G. Kahn, I. B. Perkins, J. N. Hall, Geo. P. Johnson, J. H. Bean, H. D. Niles.

LIFE IN KENTUCKY.

Man born in the widls of Kentucky is of feud days and easy virtue. He fisheth, fiddleth, cusseth and fighteth all the days of his life.

When he desireth to raise hell he planteth a neighbor, and lo, he reapeth twenty-fold.

He riseth even from the cradle to seek the scalp of his grandsire's enemy and bringeth home in his carcass the ammunition of his neighbor's wife's cousin's uncle's father-in-law, who avengeth the deed.

Yes, verily, his life is uncertain and he knoweth not the hour when he may be jerked hence.

He goeth forth on a journey half-shot and cometh back on a shutter, shot.

He riseth in the night to let the cat out and it taketh nine doctors three days to pick the buckshot from his person.

He goes forth in joy and gladness and cometh back in scraps and fragments.

He calleth his fellow-man a liar and getteth himself filled with scrap iron even to the fourth generation.

He emptieth a demijohn into himself and a shotgun into his enemy, and his enemy's son lieth in wait on election day, and lo, the coroner plougheth up a forty-acre field to bury that

man.

Woe, woe is Kentucky, for her eyes are red with bad whisky and her soil is stained with the blood of damijits! Selah.-Maysville (Ky.) Ledger.

Fourteenth and Arapahoe Streets

Medical Department University of Denver

Sessions of eight months each. 23d Annual Sessions begins September 15, 1903. Matriculation fee, $5.00. Tuition fee, $100.00. Well-equipped laboratories in all departments and excellent clinical advantages in dispensary and hospitals.

The climate of COLORADO offers many advantages to students whose health compels them to leave the east

Sherman G. Bonney, A.M., M.D., Dean

Robert Levy. M.D., Secretary, California Bldg.