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ESSENTIAL FACTS ABOUT DR. R. B. WAITE'S

Antiseptic Local Anaesthetic

1st. IT IS ABSOLUTELY PURE.

Each

and every ingredient that enters into its composition must meet the requirements of our chemist, being subjected to a rigid chemical test before it is accepted from the manufacturer.

2nd. IT IS UNIFORM. Owing to the great care and scientific methods employed in combining the ingredients, it does not vary and you get the same results to-day, to-morrow or a year hence.

3d. IT IS SAFE AND RELIABLE. No impurities are being injected when using Dr. R. B. Waite's Antiseptic Local Anesthetic. Our guarantee of absolute PURITY is your protection.

4th. IT WILL NOT DETERIORATE, but will keep for years, consequently you always have ready to your hand not only a perfect Anæsthetic, but Antiseptic as well.

Dr. I. N. Cohen, of LaCrosse, Wis., under date of March 19, 1908, writes:

"Last December a patient présented herself to me for examination of a wound on the right side of her face. I found that she was suffering from Carcinoma which had been operated on some two years previously. As the patient was 72 years of age and feeble, I doubted very much if she were able to stand chloroform, consequently decided to use your Anæsthetic. The operation lasted one hour and twenty minutes, during which time the patient cracked a joke once in a while, and claimed that she felt no pain whatever. The cancer was completely removed, and the best of it all is, it has not reappeared. I shall never feel that my dispensary is complete without your preparation."

We want you to know our Anaesthetic as we know it, to be convinced of its unquestionable value in surgical operations, consequently we will send you for trial

ONE DOLLAR BOTTLE FREE

upon receipt of 25 cents to pay for packing and postage.

PRICE-1 oz., $1.00; 6 ozs., $5.00; 12 ozs., $10.00; 20 ozs., $15.00.

The Antidolar Mfg. Co. 68 Main St., Springville, N. Y. BRANCH: 498 Argyle Ave., Montreal, Quebec.

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DECATUR, DR. BALL'S SANATORIUM ILLINOIS.

(IN SUCCESSFUL OPERATION SINCE 1890.)

After ten years of phenomenal success in the treatment and permanent cure of stubborn cases of Drug Addietions by the Elimination Method, we feel warranted in asking the profession to give us its support and endorsement by recommending such cases in your practice as calls for special treatment. Our system assures restoration to perfect health inside of three weeks. It insures freedom from pain while under treatment. No restraint. No substitution. No reduction. No hypodermics, but a simple treatment by vegetable medicines, electro-vibrations and baths. Private home; all modern conveniences; first-class table; competent nurses. Your co-operation will be much appreciated. Literature on request.

DR. BALL'S SANATORIUM

If you can't come to us let us send one of our C. TAYLOR BALL, Supt.

staff and a nurse to your patient's home.

START RIGHT

USE THE

JUST THE THING FOR THE BUSY PRACTITIONER

The Simplex Account Book and Case Record

simple, accurate, complete, time-saving, inexpensive. We can also supply you with The Simplex Diet Lists, covering 40 diseases, for distribution to your patients. Send for circulars and facsimiles.

"Simplex System" The Simplex Co., 918 Union Trust Building, Cincinnati, O.

erts a peculiar control over the heart, reducing the pulse to a normal rate, and maintaining this as long as necessary without any evidence whatever of toxicity.

A DEPENDABLE

PREPARATION OF IRON

IODIDE.

Iodide of iron is a valuable remedy owing to the properties of its two constituents: iron, which is a reconstituent of recognized value, and iodine, which has a stimulating action on those blood elements whose role it is to protect the system against micro-organisms of disease-producing character.

The ordinary iodide of iron pills contain impure iodide of iron, and they are usually inert on account of the insolubility of their coating. The genuine Blanchard's iodide of iron pills contain pure iodide of iron, and are covered with a protective coating which readily dissolves in the stomach and intestines.

The greenish-white color of Blanchard's Syrup of Iodide of Iron proves that it contains unchangeable iodide of iron, because the syrups in which chemical changes have taken place are always of a yellowish tint.

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SUPPORT TO PREVENT SCOLIOSIS.

At the triennial meeting of the Society of Physicians and Surgeons, at Washington, Dr. Eisenberg, of Pennsylvania, called the attention of the profession to the importance of the prevention of scoliosis, after unilateral rib-resection, for empyema. In his opinion a support to the back and side should be used in all cases, as patients are often found with the shoulder of the affected side drooping and lateral curvature developed, from not only the lack of support due to the loss of bony tissue, but also to pleuritic adhesions. By having the proper support this condition will not occur. The form of brace he advocated is a firm splint for the spine and side pieces, giving longitudinal lifting power from the iliac crests to under the arms, and to the sides of the chest-walls. The straps fastening the support in front should be elastic to allow for free respiration. An appliance well adapted to meet these requirements is made by the Philo Burt Manufacturing Company, of Jamestown, New York, and has been used with very good results in the cases in which it has been tried.

Your Gray's Recurrent Irrigator No. 3 is worth $25.00

is what one physician says who has taken advantage of the
$2.50 offer that I am advertising in the medical journals.
and many other testimonials on the same lines have been
received. The relief and comfort that a woman gets from hot
retained injections with our instrument and the
astonishing results they produce, curing leu-
corrheal inflammation and relieving ovarian
pains, is beyond the male mind.

Clip the coupon and take advantage of
this offer while it lasts.

$5.00 worth of goods for $2.50.
1 only Gray's Recurrent Irrigator No.
3....

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The Medical Brief

A Monthly Journal of Practical Medicine.

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The fame of the Mayo Brothers as successful surgeons because of their thorough "system" of diagnosis-making and brilliant operation performance and the universal praise from brother practitioners who have visited their institution impelled the writer to make a pilgrimage to Rochester, Minnesota, during the early days of July, 1908. Rochester is a town of some 7,000 people, situated in the southeastern part of the State of Minnesota, some 350 miles due west from Chicago and some 100 miles south of St. Paul. For those contemplating a trip to this surgical Mecca, we would advise going by way of Chicago, provided one is traveling from the south, southwest or east. One can travel away from Chicago at eight o'clock in the evening and arrive at Rochester about nine o'clock on the following morning. On arriving at Rochester, most excellent hotel accommodations may be found. There are two hotels in Rochester, the Cook House, an excellent hostelry, with good cuisine, reasonable rates, and the Kahler, which is a combination sanatorium and hotel, for there many of the ambulant surgical cases are sent after sojourning in the hospital. You will be pleased with the accommodations in either place.

It was found that the work in Rochester is divided into two divisions: first, the "diagnosis-making," which is done by the Mayos and their staff at their offices, situated in the town, near the hotels, and secondly, the operative work, which is done at St. Mary's Hospital, a beautiful surgical hospital of some 150 beds capacity, situated on the edge of the town, well away from all noise, and commanding an excellent view from its windows. of the verdant, rolling country and hilltops of fair Minnesota. The system of work in the two places, consultation room and operating room, is about as follows: During the forenoon, while the Mayos are operating at St. Mary's Hospital, the new patients are being examined in the consultation chambers by the special diagnosticians of the staff, headed by Dr. Christopher Graham, a thoroughly capable and wonderfully discerning internist. This staff numbers, I believe, among other specialists, two in

ternists and their assistants, an ophthalmologist, rhinologist, roentgenologist, cystoscopist, medical chemist, and several pathologists and bacteriologists. Patients are assigned by a young woman nurse to the respective departments of medicine under which their particular ailment is classified and thoroughly examined, beginning with a thorough examination at the hands of the internist. The examinations of new patients are conducted all through the forenoon by the staff, and in the afternoon the Drs. Mayo come down from their hospital and survey the patients; in a word, making the last analysis after their staff officers have laid before them their several reports. In this way each patient is given a careful examination, and, if the case proves surgical, the Mayos are in the position of head of the diagnosticating staff and give out their opinion pro and con. as to the need for an operation. This system of examination affords the Mayos ample opportunity to spend a large part of their time at the actual work of operating and at the same time assures the patient a close, careful and exhaustive examination at the hands of men specially trained for their work. The method is time-saving, essentially good for the patients and essentially valuable for the operating staff.

In next order, possibly I should say something concerning the preparation of patients for operation at the Mayo Institution. For much of this information I am indebted to a publication of Dr. Robert Smart, of Washington, D. C., who issued a small pamphlet setting forth this phase of the work at Rochester. I shall also later borrow from his pamphlet some facts concerning the after-treatment of the cases. "The patient generally enters the hospital the day before the operation, and is allowed a regular diet; exception is made to this rule only in cases of stomach diseases, in which the diet is restricted to eggnog, toast, tea, fruit, etc. The night before the operation, the patient is bathed, shaved and given two ounces of castor oil in a little beer. No food or drink is given on the morning of the operation. Gastric cases have the stomach washed out with warm water and are given hypodermically one-sixth grain of morphine about half an hour before going to the operating room. In goiter cases onesixth grain of morphine and one one-hundred-and-twentieth grain of atropine is given a half hour before the anesthetic. When placed upon the table, the site of operation is washed with warm water and Jumbo soap (this is a soft, very alkaline soap containing pumice stone, manufactured by Graham Bros., of Chicago), a soft pad of gauze being used in scrubbing instead of a brush to avoid injury to the skin. This is followed by a solution of bichloride, 1 to 2,000, after which a gauze sponge wetted with Harrington's solution* is left on the surface for about thirty seconds.

* Harrington's Solution

Mercuric Chloride..

Hydrochloric Acid, C. P
Distilled Water...

Alcohol...

3.20 grams. 240.00 grams1200.00 grams. 2560.00 grams.

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