Page images
PDF
EPUB
[graphic][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed][subsumed]
[graphic]

Valentine's Meat-Juice

For its ease of absorption and assimilation, its alimentary richness, and where a powerful, concentrated nutrient restorative is indicated, when other foods fail. Valentine's Meat-Juice is recommended by the medical authorities of well known

Hospitals for Consumption.

W. S. Heaton, M. D., Physician for the Home for Consumptives, Philadelphia, Pa.: "Valentine's Meat-Juice has been of great service to us in cases where patients were unable to take solid food and refused ordinary beef tea. I can cordially recommend it as the most superior article of the kind."

Dr. Gouel, Physician in Chief Villepinte Hospital for Consumption, Paris, France: "Valentine's Meat-Juice succeeds well in cases of Anæmia and in the treatment of Tuberculosis in an advanced stage, when the stomach is intolerant." Physicians are invited to send for brochures containing clinical reports.

For sale by European and American Chemists and Druggists.

Valentine's Meat-Juice Company

RICHMOND, VIRGINIA, U. S. A.

ACNEINE

is a harmless but efficacious treatment for Acne, Burns, Sores, Wounds, Ulcers, Eczema, Sycosis, Seborrhoea, Dermatitis, Psoriasis, Pruritis, and Syphilitic Eruptions.

ACNEINE is mildly Antiseptic and Styptic-Non-Irritating and Non-Poisonous. Can be used with impunity.

ACNEINE contains none of the derivatives of petroleum and will not make the hair grow. Leaves less scar than any other remedy, hence should be used in all diseases and operations on the face.

ACNEINE is an ethical preparation.

Samples and literature, with full formula, furnished to physicians on appli

cation.

ACNEINE PHARMACAL CO., Omaha, Neb.

LIBRARY

THE MEDICAL WORLD

The knowledge that a man can use is the only real knowledge; the only knowledge that has
life and growth in it and converts itself into practical power. The rest hangs like
dust about the brain, or dries like raindrops off the stones.-Froude.

The Medical World

C. F. TAYLOR, M.D., Editor and Publisher.
A. L. RUSSELL, M.D., Assistant Editor.

Entered at the Philadelphia Post-Office as Second-Class Matter.

SUBSCRIPTION RATES: To any part of the United
States or Mexico, ONE DOLLAR per year, or FOUR
YEARS for THREE DOLLARS; to Canada, ONE DOLLAR
AND TWENTY-FIVE CENTS per year. or FOUR YEARS
for FOUR DOLLARS; to. England and the British
Colonies, FIVE SHILLINGS SIX PENCE per year; to
other foreign countries in the Postal Union, the
equivalent of 5s. 6d. Postage free. Single copies,
These rates are due in advance.
TEN CENTS.

HOW TO REMIT: For their own protection we advise
that our patrons remit in a safe way, such as by
postal money order, express order, check, draft, or
registered mail. Currency sent by ordinary mail
usually reaches its destination safely, but money so
sent must be at the risk of the sender.

We cannot always supply back numbers. Should a number fail to reach a subscriber, we will supply another, if notified before the end of the month.

Notify us promptly of any change of address, mentioning both old and new addresses.

If you want your subscription stopt at expiration of the
time paid for, kindly notify us, as in the absence of
such notice we will understand that it is the sub-
scriber's pleasure that the subscription be con-
tinued, and we will act accordingly.

Pay no money to agents unless publisher's receipt is given.
ADDRESS ALL COMMUNICATIONS TO

"THE MEDICAL WORLD"

[blocks in formation]

Language is a growth rather than a creation. The growth of our vocabulary is seen in the vast increase in the size of our dictionaries during the past century. This growth is not only in amount, but among other elements of growth the written forms of words are becoming simpler and more uniform. For example, compare English spelling of a century or two centuries ago with that of today! It is our duty to encourage and advance the movement toward simple, uniform and rational spelling. See the recommendations of the Philological Society of London, and of the American Philological Association, and list of amended spellings publisht in the Century Dictionary (following the letter z) and also in the Standard Dictionary, Webster's Dictionary, and other authoritativ works on language. The tendency is to drop silent letters in some of the most flagrant instances, as ugh from though, etc., change ed to t in most places where so pronounced (where it does not affect the preceding sound),

etc.

[merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small]

JANUARY, 1909.

Lamps for Night Driving, and Methods of
Attaching Them.

Many physicians drive at night without lamps. This is probably due to the fact that they feel that the lamps cannot be adjusted so that they will be of much practical value; or from a dread of keeping them in condition for use; or because they think it necessary to invest in expensiv ones. These ideas are all mistaken ones. Lamps may be adjusted so that they are no annoyance to either horse or driver, and so that they will give a good "sight" of the road. A good kerosene lamp requires little or no attention, except renewal of oil and

No. 1

wick. And it is not necessary that one invest more than a dollar in a lamp.

Brass lamps look better, when brightly polisht, but they do not give any better light than the ordinary tin lantern, and it takes a good deal of time and energy to keep them presentable. Do not buy a brass lamp if you attend to your own horse and stable.

Get a tin lantern with a No. 2 wick and burner, such as are sold all over the country at $1. Do not remove the bale, as you may want to use it as a hand lantern after leaving the buggy. Such a lamp is easily attacht to the front bow of the buggy

top in the following manner: Have the tinner solder a piece of heavy wire to the lantern, on one side, about half way from top; carry it back four to six inches, then downwards for a like distance, then across, the up to a level with the first bend, then parallel with the starting wire and solder it to the other side of the lantern. Next take a piece of sole leather or thin, hard wood about six or eight inches long; fasten it directly to the front of the front buggy top bow, but place washers beneath it so that when tightly screwed to the bow, a space will be left between bow and leather (or wood). The wire which the tinner has attacht to the lantern will drop thru this slot, and, if the measurements have been correctly made, will carry and hold the lantern firmly. So attacht, it may be removed instantly, and be ready for use as a hand or stable lantern. It is equally adapted for single and double driving.

Some of these lanterns, known as "dash lamps," are sold with a tin reflecting back and a spring attacht to snap upon the dash. The spring soon gives out, so that the lamp rattles and is not held firmly. Moreover, in driving one horse, the shadow of the horse obscures the road. Then, too, the lamp catches on wheel or singletree when making a short turn on the side to which the lamp is attacht. Such an arrangement, when the lamp is new, is satisfactory for double driving; but it can never be long satisfactory when one horse is used.

The lamp mày be fastened to the rear axle by clamp, or wire. In this position, a good light is thrown directly on the road, and in front of the wheels, where it does the most good. It lights the road for the animal or team without confusing them by striking the eye, as it does when fastened to the middle of the front bow of top. One lamp is enuf.

For single driving, lamps may be fastened to the side bows by clamps, but two lamps are required, and they are in the way when lowering the top. They are unhandy to light and extinguish when the side curtains are on.

For a double team, one may fasten his lamp to the point of the pole by means of a forkt iron with upturned points, and lugs soldered to the sides of the lantern. Unless

a large tin shield is used, the lamp quickly becomes useless thru being bespattered with mud and dust, and the light bothers the horses.

driver which of the above positions of attachment are best suited to his use. Every one can select a method which will suit his individual needs. Even the old stable lantern now in use can be adapted as a "driving lamp" at the cost of a few cents; but, be sure to have a No. 2 burner to get a powerful light. No man who has once used a properly adjusted lamp will ever again be satisfied to drive in the dark. A light which brightens up the road makes a drive seem shorter; it can certainly be accomplisht with more celerity; and there is no question as to its lessening the dangers of night driving. Harness will break and fastenings become loosened; bridges will wash away; trees will fall; vehicles will break; and in such cases a light might save life, one's being made a cripple, painful injury, or expense of repairs to rig or harness. Moreover, in some sections, danger of attack during a night drive is a constant danger. A light which illumines the road, but which leaves the driver in darkness, is a great protection; highwaymen are actually afraid of it, for they cannot see what the driver is doing when the light is shining directly into their eyes.

Rig your buggy at once, doctor, with one or more inexpensiv lanterns, and you will never regret it.

Boils in the External Canal of the Ear:

Treatment.

One of the most intensely painful "little things" of which we have knowledge is a boil in the canal of the ear. The common treatment is one of "masterful inactivity" until suppuration is far advanced when, if the pus can be seen, an incision is made to evacuate it. However, many of these patients suffer acutely for a number of days before suppuration is far enuf advanced to admit of an incision being made and, in many cases, long before pus has formed, the canal is tightly closed, thus not only preventing the surgeon from being able to see where to make the incision, but also intensifying the agony of the patient by the pressure. These cases are not uncommon and are annoying to both patient and to physician. Many patients have repeated attacks during every winter.

In such a location nothing can be done to hasten suppuration. One must content himself by measures to relieve the pain. Local applications are best, for it takes a full narcotic dose of opium to relieve the

A very little experiment will teach each pain if given by the mouth, and it must be

[blocks in formation]

Naturally, with such a strong preparation, it is only necessary to touch the painful spot lightly. The application may be repeated as often as required.

As soon as pus has formed it should be evacuated and the ear gently syringed with a saturated solution of boracic acid.

Where these furuncles come in successiv "crops," a systemic course of saline cathartics and of calcium sulfid will prove of benefit. Then, too, we like to have the patient keep the canal protected with some bland ointment, making the applications night and morning. For this purpose, nothing is better than the ordinary oxid of zinc ointment, benzoinated. There is no doubt but that this protectiv dressing tends to prevent recurrence, as well as relieving the intolerable itching from which many of these patients suffer in the intervals of attacks.

Herpes Zoster.

(Zona; Shingles; Cingulum; Zoster, Ignis Sacer; used as synonyms.)

Probably no other affection is so likely to cause the young practician to make a more woeful error in diagnosis, so likely to cause him as much chagrin and to prove a detriment to him in securing further practise. Even older and experienced physicians may readily recall cases where they had to do a considerable amount of "explaining" to the patient or family after the disease developt. This is due to the various locations in which the disease may appear; its facility for affecting any part of the body; and the fact that distinctiv lesions often do not make their appearance for a number of days after the primary symptons are pronounced. All the "old grannies" know "all about shingles," and indeed the diagnosis is usually easy after the eruption appears, but they have neither consideration nor mercy for the practician who rushes to a diagnosis which he afterwards must retract. The moral is to go slow in all cases during the approaching season that may present malaise, fever, anxiety and a localized "burning" or neuralgic pain, without other concomitant symptoms to indicate some other trouble than herpes zoster. These prodromal symptoms may vary from only a few hours to

a

even weeks before the eruption appears, probably three to five days being the most common period. Nothing will prevent the eruption, once the prodromal symptoms are in evidence.

After the varying period of the prodromal symptoms, an erythematous rash appears on the skin, rapidly becoming papular, and soon changing to a vesicular form. The vesicles are flattened and always occur in clusters, this being the distinctiv feature in diagnosis. Often the groups of vesicles coalesce forming large lesions of irregular outline. These eruptions continue to come out in successiv crops, thus furnishing at source of worry and discouragement to the already weakened and harassed patient. The lesion always presents itself along the course of a cutaneous nerve. The lesions are very rarely bilateral, which has given. rise to the superstition that "if the shingles. ever go clear round the body the patient will die." This is, of course, nonsense, for zoster, uncomplicated, never is a cause of death.

Zoster should be treated both constitutionally and locally. The patient pleads for relief from the constant pain, and this may be accomplisht by local applications, while the tendency to recurrence demands local sedation. Probably the commonest mistake in practise is to give some stimulating drug like strychnin under the mistaken idea that a "tonic" is demanded. Arsenic and zinc are the remedies of choice combined, in appropriate cases, with potassium bromid. Arsenic, if in sufficient dosage, will often cut short the disease and prevent its recurrence. The following preparation will give relief, applied locally by dusting on the skin and then covering with cotton: Morphin sulfate Sodium bicarbonate Prepared chalk Talc, ãã.

.20 grs.

3 drs.

[blocks in formation]
« PreviousContinue »