are you to be a teacher to your individual patrons, but you owe a duty to the public and as good citizens, you will be ever vigilant for the welfare of your community, giving freely your advice for the prevention of epidemic and contagious diseases-and when pestilence prevails it is your duty to face the dangers and alleviate suffering, even at the jeopardy of your own lives.

The code of ethics, copies of which you are provided with, contains much to direct you in the proper course of action towards yourself and brother practitioner, the profession at large and the public. I charge you master it, cherish it, and keep it ever inviolate. It is a garb of purest white, an emblem of justice and charity. Become imbued with its teachings and live so as to never soil it. You will not practice long ere you will find those weaklings of our profession, who have allowed temptations to supplant their professional religion. It is your duty to the public to disabuse their minds of any pretentions of such quacks and charlatans.

There is no profession or calling which demands a higher standard of morals than that of medicine, and none beset with so many temptations. Young gentlemen, avoid them. Your lives will be filled by hearing and seeing the pains of others and witnessing their misfortunes. These misfortunes ofttimes mean temptations to you. Avoid them as you would a hissing serpent, for they will rob you of your peace of mind, your purity of heart, and the thorn within your conscience will prick and sting

you.

Young gentlemen, I urge you select well your associates and friends. The desire for friendship is strong in every human heart. We crave to be understood, and long for someone who can sympathize with our aspirations, comprehend our hopes and who is able to partake of our joys.

A thought is never our own until we impart it to another. We reach the divine through some one, and by dividing onr joys with this one, we double them and come in touch with the universal.

The sky is never so blne, the birds never sing so blithely, our acquaintances are never so gracious, our

duties never so pleasant as when we are filled with love for some. May you, early in your career, find some sweet affinity, some noble woman, pure of character and strong of purpose, whose lofty example you will endeavor to

emulate.

Young doctors, you have heard of the splendors of medicine, of the brilliant possibilities that it holds out to you, but as your friend I charge you retreat and do not begin what you are about to undertake if you cannot feel within your own bosoms the fire of charity, the warmth of benevolence, and the patriotism of a true and lasting friendship.

Picture to yourself a crowded city, whose brilliantly lighted streets are thronged with people; with its theaters pouring from their lobbies, those who have sought rest and relaxation from wordly cares, by listing to a famous actor, a renowned statesman or a wise philosopher. Let your imagination go still further and you will see across the street, in the shadow of a tall building, a doctor, tired, worn and weary-he has just returned from a call into a tenement house, with a gas light dimly flickering before its door. It is occupied by forty families and contains only twenty seven rooms. He has stumbled over wash tubs, ironing boards and gotten tangled up in clothes. lines stretched across the hallway, ere he reaches the door-way leading into the lobby of his theater. The cheers and hand clasps of the multitude of spectators are withheld, but instead the happy smile of relieved tension from over burdened hearts of mother, sisters and children -when he steps upon his stage, to play his part in the drama of life; the odor of roses from boxes, pit or gallery does not tickle or stir into action his being, but instead that faintly sickening and penetrating odor which presages death. The scene before him is not one of grandeur, brilliancy or beauty, but instead the solemn faces grouped around the bedside of a dying mother. He looks not upon the upturned faces of the multitude who cheer and applaud his every movement, but he gazes down into the face of death and sees staring from the glassy eyes, the sunken cheeks and parched lips, the smoother of all path

ways, that leveler of all stations. In an instant he sees he must act a part; he must prepare the sorrowing hearts for their final blow. He must soothe the bursting and bleeding heart of the gray haired mother, he must have a word of cheer for each and every child-and as the faintly flickering rays of a lamp fall upon his brow, it must mantle him with charity, kindness and benevolence. His face illumined not by the varied color of calcium lights, must portray a picture not within his heart, tears that seem to burst from his eyes must be withheld, a heart beating in sympathy with his surroundings must be calmed, for his is a part which touches the tenderest chords of human life, of human mind, of human thought, of human character. When after many hours of weary watching by that dying bedside, he returning to his gloomy and unkept office, passes this theater, and sees it empty itself of its satisfied spectators, it is drizzling rain; but he stands in the shadow of that tall building and wonders if there is a future that will repay him by a long sought rest. But within his soul there comes an inspiration of goodness and of kindness, that frightens envy, dissolves selfishness and makes him feel indeed the grandeur of his profession.

This feeling, my friends, is what I charge you to encourage, this kindness is what I beg you to develop, this goodness of heart is what I pray may ever attend you, whether upon a visit to a mansion or a hovel.

THE USE OF BROMIDES IN HYSTERIA,
DELIRIUM, ETC.

BY J. S. MURPHY. M. D., SULLIVAN, IND.

Considerable has been written on this subject which has all the respectability of ancient lineage. And like most other obscure things, has received no stint of authoritative attention.

The etiology of hysteria has never been satisfactorily explained. For a long time it was thought to be in some way related to uterine disturbances. But while it is not

denied that sexual disorders may have a bearing on the primal cause of the phenomena, still it is also claimed that the ailment attacks both sexes. We have progressed

not further than this.

The treatment at best has been attended in most cases with disappointing results. We are confronted with a "loss of due balance between certain of the high functions of the brain, spinal chord and sympathetic system." The treatment obviously should be, then, to restore this balance. Rest is a very essential feature. By rest is meant restraint of overaction of certain of the spinal nerve centers. My experience has taught me that nothing gives better results than the combined bromides; and these should be of the very purest obtainable. For this reason I have availed my professional self of Peacock's, not only for their purity-freedom from bromates and carbonates so common to the commercial bromides-but on account of their ideal synergic effects and the fact that they are neutral in reaction, which permits of combining certain alkaloids in the solution without fear or danger of precipitation.

In various forms of neurosis I have found Peacock's Bromides invaluable as an all-round agency of alleviation and cure. They have never disappointed me. In obstinate cases of epilepsy, where the treatment is necessarily protracted, I find them particularly useful in that their administration is not followed by the too common symptoms of bromism. And I would specially urge their utility in instances of delirium following alcoholic ex

cesses.

Anything that conserves the vital forces, that does not depress any organ, as for example, the cardiac centre, anything that gives the rest of normal sleep, when repair is greater than waste, anything that tends to restore the nervious equilibrium, soothing the exciting centres, whatever and wherever they may be, must benefit the entire organism when each separate organ, then, of course, will receive its needful quota of help. And since local treatment is out of the question, I cannot conceive of better procedure, or one more infallible to the successful management of hysterical cases.

Clinical Lecture.

LAPAROTOMY FOR PUS IN THE PELVIS UNDER ANALGESIA FROM INTRA-SPINOUS INJECTION OF COCAINE A CLINICAL

LECTURE.*

BY WM. D. HAGGARD, JR., M.D., NASHVILLE, TENN. Professor of Gynecology and Diseases of Children, in the University of Tennessee.

GENTLEMEN:-The first patient I show you to-day is a colored woman 44 years of age. She has a pelvic inflammation historically and clinically. It has evidently resulted in a puriform collection, from the temperature curve and the extreme tenderness evinced upon vaginal examination.

Curiously enough she is the mother of fifteen children, ranging from 30 years to seven months of age, and has escaped puerperal infection in all of her labors until the last, and this in the age of the perfection of the aseptic technic in surgery and midwifery. Her first labors were in the country, and women delivered in rural districts are less liable to infection, and I am convinced that this is' largely due to the more cleanly surroundings. Practitioners in such localities do not have as much venereal work or contamination from suppurative conditions to handle.

This patient had a typical attack of puerperal sepsis and has never been well since. "N. W. S.," as our history book expresses it, with an arrow pointing to the date of the septic confinement or abortion that gave entrance to the infection. The pelvic structures after such an invasion, may be likened to a fire-swept district, which bears the relics of its ravages after the fire is out. A patient, the victim of a severe grade of pelvic inflammatory disease, often carries its relics with her for years or until relieved, sometimes only by removal of the pus col*Delivered at City Hospital, February 12, 1901.