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A hospital is being erected at Lander, Wyoming. This institution is to be conducted under the auspices of the Episcopal Church.

Dr. John G. Cogswell of Riverton, Wyoming, has just returned from Chicago, where he had taken a patient whom he placed under the care of a specialist.

The MacArthur Brothers Contracing Company of New York and Chicago, who are now building an extension of the C. B. & Q. R. R. from Kirby to Shoshoni, Wyoming, have their hospitals along the line of construction now fully equipped for taking care of their sick and injured employes.

Dr. C. E. Sears of Virginia has charge of the hospital at the upper end of the Big Horn Canon, near the Boysen Dam. The doctor reports fifteen cases of typhoid fever and a few surgical cases. This hospital has at present the accommodation of fifty beds with three trained nurses in attendance.

Dr. C. E. Fisher of Chicago, the company's chief surgeon, has been for the last three months in the field himself, arranging and organizing the hospital department along the construction line. While getting the medical work fully organized, he is making his headquarters at the hospital at the lower end of the canon, which is located five miles above Thermopolis. This hospital has the same accommodations as the one above the canon.

The MacArthur Brothers Company, which is known as the largest organization of its kind in the United States, is taking the best possible care of its men. Their medical fund is so managed as to give their employees the best service for the $1.00 per capita which each of them has to contribute. This money all goes into the regular hospital fund. Out of this fund hospitals are built, doctors' and nurses' salaries paid and what surplus there may be from acquired funds of one construction job is transfererd to the next field where the company goes to operate.

I-HIS QUESTION.

Could you live on bread and pottage,

If you really loved me, dear;

Dwelling happy in a cottage

And with me alone to cheer?
Would you cook and do the sweeping,
And to market go, if sent,

And entrust me to the keeping

Of a heart always content?
Could you walk romantic highways
O'er the weary hills of Life,
Lingering oft in Fancy's byways,

If you, dearest, were my wife?

II-HER ANSWER.

If I met you in the morning

With curl-papers in my hair,

A faded frock my form adorning-
Do you think you still would care?
If you found I were but human-
Not an angel, as you say-

Would your fancy still illumine

Me with virtues day by day?

Would you in your arms still hold me
When my hair had faded white%
Would you in your heart enfold me?
If so, dear, I think I might!

-Littell McClung.

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A "lazy" or inactive liver is more often responsible for abdominal discomfort and the varied symptoms of indigestion, and intestinal Auto-Toxemia, than is generally supposed.

Why should this be so?

The pathologic sequence seems to be about as follows: First, Hepatic Insufficiency, and a consequent sluggish bile flow, deprives the intestine of its natural stimulus to peristalsis; both bile and bowel drainage are thus interfered with and Constipation results.

Second, when nature's antiseptic, antitoxic and laxative secretion (the bile) is insufficient in quantity and thick and tenacious in consistency, stasis and putrefaction of the intestinal contents ensue.

Third, the toxic products of such putrefaction are absorbed and Auto-Toxemia results.

In such cases, Indican, in varying proportion, is usually found in the urine. This pathologic chain is more or less familiar to every physician.

As to the remedy, calomel, podophyllin and quick "liver-stirrers" are first thought of. In many cases they help, temporarily, but are they true physiologic cholagogues? Does not their action depend upon their irritant properties? Does not hepatic inactivity usually re-ensue after active liver stimulation and catharsis?

Chologestin is a true physiologic cholagogue, by virtue of its natural bile acid salt (sodium glycocholate) and normal sodium salicylate from oil of wintergreen. Its action is not that of an hepatic irritant. It overcomes the physiologic deficiency (insufficient percentage of bile acids) which is usually responsible for hepatic torpidity. The contained Pancreatin (U. S. P. Standard) assists intestinal digestion generally. The natural sodium salicylate acts as an intestinal antiseptic and the sodium bicarbonate contributes the necessary alaklinity. Chologestin is in liquid form and the dose, one tablespoonful, after each meal, should always be given well diluted with cold water. Formula, samples and literature will be forwarded to physicians, upon request, together with a handsome "Indican Color Scale" with approved test and interpretation, by F. H. Strong Company, 58 Warren street, New York.

That extreme complication in Electro-Therapeutic apparatus has become the order of the day is patent to the merest tyro by a glance at the very elaborate designs shown in the catalogues of many manufacturers of this line of goods. Especially is this true of many Wall Plates, which have been so overburdened with switches that the beginner in Electro-Therapeutics has often hesitated to install one because of the length of time required to become familiar with manipulation of the mechanical features.

To do away with this objection, the McIntosh Battery & Optical Co., 227 Washington street, Chicago, have produced a strikingly ‘original designe of Wall Plate which is absolutely without switches, the various modalities being selected by turning a know to the various varieties of currents plainly indicated on a dial. This practical selector is a marvel of mechanical ingenuity, accomplishing the work of four switches with one movement of the knob. Every feature of the plate is in perfect harmony with the general design; the Monomotive Rheotome being the simplest and most accruate ever made; while the Pole Changer indicates both positive and negative poles at the same time— something never heretofore attained with a pole selector. The eleven modalities offered embrace Galvanic, Faradic and Sinusoidal currents as well as Cautery; the latter obtained from a Transformer heretofore found only on most expensive plates. The Improved MacLagan Wire Rheostat with new volt scale and the reliable McIntosh Shunt Meter are also features of this outfit. Full information regarding this most practical innovation can be had by addressing the McIntosh Battery & Optical Co., 227 Washington street, Chicago.

AN IMPORTANT LITTLE WORK ON BIOLOGICAL THERAPEUTICS. In view of the near approach of the season when biological therapeutics will claim a considerable share of the attention of practitioners, reference may pertinently be made at this time to a unique and valuable contribution to the subject which has recently issued from the press of Messrs. Parke, Davis & Co. The publication consists of 52 pages, exclusive of the cover, and appears in brochure form. It is handsomely printed on white enamel paper of first quality and bears in colors a profusion of half-tone illustrations. The title is "Serums and Vaccines." A brief chapter on the origin and development of biological therapeutics, with an interjected hint as to what the opsonins may have in store for us, constitutes the introduction. Then follow chapters on serums-antidiphtheric, antitetanic, antistreptococcic, antigonococcic, antitubercle and antivenomous; on tuberculins; on vaccines, including the new bacterial vaccines which are exacting so much attention from the medical world; on organotherapy, its development, and some of the important products that are associated with it—“a tabulation," in the language of the brochure itself, "of such creations of biologic pharmacy as are really utilizable in medicine.' There are striking pictures of the Company's home laboratories at Detroit, with numerous interior views; the research laboratory; the operating house and biological stables at Parkevale Farm (where the animals are cared for), with accompanying landscapes in nature's colors.

This little book, "Serums and Vaccines," is distinctly "worth while." If you haven't seen a copy, drop Parke, Davis & Co. a postal card at their home offices in Detroit, mentioning this journal, and get one. It is a safe guess that any physician who receives the brochure will read it admiringly and with interest, filing it away thereafter for future reference.

TREATMENT OF FISTULA.

J. D. Albright, M. D., 3228 North Broad street, Philadelphia, in his recent work entitled "Rectal Diseases, Their Diagnosis and Treatment by Ambulant Methods," says, while discussing the treatment of Anal and Rectal Fistulae by Local Application (page 337):

"After the induration has softened and the pyogenic membrane cast off, so that the interior seems clean and free from inflammation, healing may be stimulated by the application of a silver nitrate solution, 5 per cent, or Special Protonuclein Powder may be dusted along the tract by means of a powder blower. If the internal opening is small, it should be enlarged sufficiently to permit free irrigation through it."

Others have found that in the treatment of internal hemorrhoid that a solution of Protonuclein Powder or Protonuclein Special Powder with Olive Oil and a small amount of this solution injected up the rectum gives relief and has marked healing powers. About three grains of the powdered Protonuclein in a tablespoonful of Olive Oil is the usual amount used.

A JOURNAL OF MEDICINE AND SURGERY

Per

Published Monthly by WESTERN MEDICAL REVIEW COMPANY, Omaha, Nebr. Annum, $2.00. The WESTERN MEDICAL REVIEW is the journal of the Nebraska State Medical Association and is sent by order of the Association to each of its members.

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The fact that poliomyelitis has prevailed in epidemic form. for several years, both in America and Europe, has convinced many people of its infectious nature, but it is only recently that this fact has been established beyond a reasonable doubt.

Flexner and Lewis of the Rockefeller Institute, in the November 13th number of the Journal A. M. A., report the results obtained by them from the inoculation of monkeys with an emulsion of the spinal cord obtained from fatal cases of poliomyelitis. The earlier experiments along this line were made with fluid obtained by lumbar puncture from patients with this disease and they were usually unsuccessful, but by using the cord substance

they were able not only to produce the characteristic symptoms and central lesions of the disease in monkeys, but to transmit it from monkey to monkey through four successive inoculations. In several cases they were able to inoculate monkeys with an emulsion of the cerebral cortex as well as of the spinal cord. The method employed was intracranial inoculation through a small trephine opening.

The transmissibility of the disease being now well established, there is little doubt that careful work will soon lead to the discovery of the specific cause of poliomyelitis and probably to mode of transmission, thus giving clinicians a working basis for prophylactic measures.

Up to the present time physicians have been unable to cope successfully with this disease, which causes so much permanent crippling of children, in addition to many deaths. We sincerely hope that this discovery may lead to others which will enable us to limit the spread and control the ravages of this juvenile

Scourge.

Time to Call a Halt on Labyrinthine Operations.

The impetus given to operative interference with the labyrinth some years ago by Jansen has been developed into a mild fever by the brilliant physiological work of the Vienese otologists, especially Barany, Neumann and Ruttin. The tendency now, in every case of mastoid abscess with labyrinthine symptoms, is, beside doing the usual mastoid operation, to at least open one or more of the semicircular canals. That this plan has been followed by a large percentage of relief from the symptoms together with a small mortality must be acknowledged; but these statistics are by no means so convincing as to the value of the labyrinthine work as many seem to suppose. In crediting the good results of these operations to the labyrinthine part of the operation the fact is lost sight of that probably the great majority of these cases would have been cured by the mastoid operation alone; moreover that the tendency of many labyrinthine infections to a spontaneous cure has not been sufficiently considered. Especial weight is laid upon the latter phase of the subject

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