1 EQUITY SERIES Edited and Publisht by C. F. Taylor "RATIONAL MONEY.", By Prof. Frank Parsons, o Boston University Law School. The only book on the money question which is fair and just to gold, silver and every other product. Paper Covers. Price 25c. "THE LAND QUESTION FROM VARIOUS POINTS OF VIEW." By Various Writers. No other single book gives the various phases of the land question. No studen of the land question, and really no voter, can afford to be without this book. Paper Covers. Price 25c. THE CITY FOR THE PEOPLE." By Prof. Frank Parsons, of Boston University Law School. Specia Issue. This is considered one of the great books of this age. The principles elucidated apply far beyond the problems 0. cities Over 700 pages. Paper, 50c.; Cloth, $1.00. "THE TELEGRAPH MONOPOLY," By Prof. Frank Parsons, of Boston University Law School. Here this question is presented in a fullness and completeness nevez before attempted. Paper Covers. Price 25c. "DIRECT LEGISLATION." Consists of Chapter II from "The City for the People," with important additions, and complete index. Nearly 200 pages. This is considered the best book as well as the latest and one of the cheapest on that subject of growing importance, Direct Legislation. Pape Covers. Price 25c. THE BONDAGE OF CITIES." Consists of Chapter II. from "The City for the People," with important new matter and a Model Charter, for the preparation of which a fee of $10 was paid. Paper Covers. Price 25c. "THE ORGANIZATION AND CONTROL OF INDUSTRIAL CORPORATIONS." By F. E. Horack, A.M., Ph.D. Shows need of a National Incorporating law. Paper Covers, 207 pages. Price, 25c. "THE STORY OF NEW ZEALAND." By Prot. Frank Parsons, Edited by C. F. Taylor. A magnifcent, illustrated, cloth bound volume of 860 pages. Price, $8.00. "POLITICS IN NEW ZEALAND." Paper, 108 pages, plus 16 full pages of illustrations. Price, 25c. "Elements of Taxation." By N. M. Taylor. The only popular book on the general subject of Taxation ever publisht. 168 pages. Price, 25c. " 'EQUITY SERIES" 1520 Chestnut Street, Philadelphia, Pa Bind Your Medical Worlds We supply one of the best ready Binders we have ever seen; not something merely to hold the various numbers of the Journal together, but a complete cover that neatly and durably binds them into a book. Each copy of THE MEDICAL WORLD can be added as it comes, without removing those already in; it takes but a moment to do this, and it is no trouble, Every subscriber to THE MEDICAL WORLD should have these Binders: the price is only 35 cents each; with an awl for punching, 5 cents extra; or three Binders and an awl for $1.00. We have sold these Binders for about 18 years, and have never had a complaint concerning them. THE MEDICAL WORLD 1520 Chestnut Street, Philadelphia, Pa. PRACTICAL POINTS If you have some special idea in medicin cases, instrument bags, etc., write to the Western Leather Mfg. Co.; they will make you anything you want. However, this firm regularly makes such a large variety of cases and bags of different styles, that you will probably find just what you want in their regular line. Send for their catalog. See adv. on page 37. Valentine's Meat Juice Co. make the following interesting and useful statements concerning their well-known meat juice: "Whenever the stomach from irritability fails to retain either food or medicins, the Meat Juice may be employed to prepare that organ for their reception." Also, "Where codliver oil is objectionable to the taste or the stomach use the Meat Juice in it, as it commends the oil to acceptance and digestion." See adv. on page 2. That important and difficult subject-diseases of children-has been taken up in a recent publication of the W. B. Saunders Co. It is by Prof. Frühwald, of Vienna, and edited by that eminent specialist, Dr. Westcott, of the University of Pennsylvania. Intended as a practical reference book for busy physicians, it is arranged alphabetically according to diseases. The various treatments are thoroly discust and the book is well illustrated. See adv. on title page. Is not this a book that you want? "A preparation having the power of calming and rejuvenating the nerves and being a concentration of the fresh green fruit and leaves of the May-pop, which contains larger sedativ properties than any other plant, is essential to the practitioner who treats nervous diseases peculiar to the months of spring. Such a remedy is Daniel's Conct. Tinct. Passiflora Incarnata, which gives a vigorous tone to the entire nervous system, without causing the weakening results that follow the use of stimulants and which physicians strive to avoid. A dose of Passiflora taken regularly before retiring cures insomnia and appeals with irresistible persuasion to the relief of hysteria, hypochondria, neuralgia and kindred diseases." Of late years there has been considerable agitation tending toward a more frequent publishing of formulas, in the advertisements of proprietary preparations, etc., and with the result that many advertisers are gladly meeting this demand of the profession's by publishing their formulas. There is one firm, however, who has advertised in THE MEDICAL WORLD for a great many years who did not wait for any such agitation; this is the I. O. Woodruff Co., makers of the Freligh remedies. Month after month these remedies have been presented for the consideration of our readers, with the formulas always plainly given. If you are not using them, see adv. on page 32, and send for samples. The well-known firm of Wm. R. Warner & Co. this month present their Tono Nervine Tablets. Those of our readers who are acquainted with other of this firm's large line of pills, preparations, etc., will be interested in this one. See adv. on page 13 and send for samples and literature. Ride a motor cycle, Doctor, and get there quickly, cheaply, and pleasantly. See adv. on page 19. We wish to call our readers' attention to the office indicator sold by the Physicians' Supply House. It will pay you to have all your office fittings neat and business-like, and even a little thing [Continued on page 22.] UNGT. CADINOL COMP. The most wonderful remedy ever offered the medical profession in the treatment of Eczema, Pruritus, Burns, Scalds, Erysipelas, Hemorrhoids, Acne, Etc. Ungt. Cadinol Comp. is a perfect combination of antiseptics in a perfect base and prepared with great skill and care. Formula on each package or sample. We will guarantee Ungt. Cadinol Comp. to cure any and all burns or scalds, without leaving scar tissue or disfiguration. We also guarantee Ungt. Cadinol Comp. to cure any case of Eczema or Pruritus. It is also praised by hundreds of prominent physicians in the treatment of Erysipelas, Hemorrhoids and Acne. Above are strong statements, but we are prepared to prove them by offering to send prepaid to any and all physicians sufficient quantity to treat any case they have. Without trying Ungt. Cadinol Comp. you have not done your whole duty to your patients. For Sale by all Wholesale Drug Houses and Prescription Druggists 75c. per pound; 65c. per pound in five pounds bulk. C. F. KIRKENDALL CO. JOHNSTOWN, PA. Circulation: May, 1906, 35,564. 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 Entered at the Philadelphia Post-Office as Second-Class Matter. SUBSCRIPTION RATES: To any part of the United States, Canada, and Mexico, ONE DOLLAR per year, or FOUR YEARS for THREE 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, TEN CENTS. These rates are due in advance. 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 subscriber's pleasure that the subscription be continued, and we will act accordingly. Pay no money to agents unless publisher's receipt is given. ADDRESS ALL COMMUNICATIONS TO "THE MEDICAL WORLD" 1520 Chestnut Street VOL. XXIV. Philadelphia, Pa. 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 to-day! 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. The National Educational Association, consisting of ten thousand teachers, recommends the following: "At a meeting of the Board of Directors of the National Educational Association held in Washington, D. C., July 7, 1898, the action of the Department of Superintendence was approved, and the list of words with simplified spelling adopted for use in all publications of the National Educational Association as follows: "You are invited to extend notice of this action and to join in securing the general adoption of the suggested amendments.IRVING SHEPARD, Secretary." We feel it a duty to recognize the above tendency, and to adopt it in a reasonable degree. We are also disposed to add enuf (enough) to the above list, and to conservativly adopt the following rule recommended by the American Philological Association : Drop final "e" in such words as "definite," "infinite," "favorite," etc., when the preceding vowel is short. Thus, spell "opposit,' "preterit," "hypocrit," "requisit." etc. When the preceding vowel is long, as in "polite,' finite," "unite," etc., retain present forms unchanged. We simply wish to do our duty in aiding to simplify and rationalize our universal instrument-language. JUNE, 1906. Measures to Baffle the Mosquito and Other Even in localities where the bite of the mosquito is not feared because of the probability of its inoculating the victim with pathologic germs, the annoyance caused to both the sick and well by the presence of this pest is sufficient to encourage one to make an effort to make his (and her) raids less troublesome and nerve-wrecking. It is not likely that any formula has yet been devised which is a perfect protection against all insects, and it is admitted that many of the following suggestions may be disagreeable in their application to the skin; yet the use of any of them will mitigate the annoyance. We do not claim any originality in printing No. 6 or devising these formulas, and we acknowledge having gleaned them from our contemporaries as much as from experience. The oils of pennyroyal, citronella, and sassafras, used singly or in combination, are pretty generally known as applications to the skin of those sensitiv to the bites of insects; yet the applications are disagreeable to many, both because of oiliness and because of the odor of the oils. A 2 or 3 percent solution of oil of eucalyptus, or oil of tar, if not objectionable, will often prove efficient. Carbolized ointment, in itself, is frequently serviceable, and besides serving to ward off the insects, is a curativ application to the bite or sting of any insect. Menthol is another agent of value; it may be used in the form of either ointment or lotion. In some cases, and perhaps depending somewhat upon the locality and upon the variety of insect whose ravages it is intended to combat, small pieces of camphor gum, inclosed in loose-woven bags of cloth, may be worn fastened to the inner side of the clothing. Owing to the nature of the customary clothing, women are more susceptible to the annoyance occasioned by insects than are men; yet their opportunities for application or wearing of preventativ medications are better. The following combinations have been suggested as of service: A sponge dipt in spirit of camphor, over which may be sprinkled any of the oils mentioned, will allow of speedy evaporation, and furnish an odor relisht by no insect. A strong solution of quinin in glycerin has been commended by foreign journals as an efficient application to ward off insects, and it has the advantage of being perfectly free from all odor objectionable to any person. Equal parts of oil of citronella and alcohol make a lotion which is agreeable, and if applied frequently enuf, efficient in most cases. Another application which is both preventativ and curativ in the case of mosquito bites is prepared as follows: The Trained, Versus the Untrained Nurse. It is noticeable that many women who have not had the advantages of hospital training are tendering their services as nurses. As a rule, they have tact, infinit patience, render implicit obedience to orders, and have genuin adaptability to the work; in a word, they make capable and satisfactory nurses. Some of them have taken courses in "correspondence schools," and possess quite as much theoretical knowledge as their graduate sister, without carrying about with them such an atmosphere of superiority as might prove oppressiv to the family. Others of them owe all their training and skill to experience and to practise under the tutelage of practising physicians. These women demand lower wages than the graduate nurse, and people are often able to secure their services, when they could not pay the fees of the trained nurse. Many physicians who have had experience with the best of these "untrained nurses, (especially in cases where they have had a good deal to do with the teaching of the nurse) prefer them, and recommend them to families in preference to the graduate nurse. We do not, of course, refer to the 66 Sairy Gamp" type of dames who abound in every community, and who are a source of danger to the patient and of worry to the physician; but to that class of earnest women who have taken up nursing as a means of livelihood, and who are anxious to learn and to do their full duty to the very best of their ability. This type of woman is becoming more numerous, both in city and in rural practise. There are only about 40,000 graduate nurses in the United States, and it will be a long time before a trained nurse will be available for every case. Hence the "untrained" nurse who is striving to become expert, is a boon and a blessing in localities where the trained nurse is not available. Even in cities where trained nurses can be secured at any time, the untrained nurse is rapidly growing in professional and lay favor. This tendency has become so markt that The American Journal of Nursing, the organ of The American Federation of Nurses, has been discussing the trend of affairs. In a recent issue, one of the correspondents says: "The trained nurse ought to be a vital necessity, not an affliction to be dreaded." Practicians who have had experience with a certain class of trained nurses realize that they are in truth "an affliction to be dreaded," both by the physician and the family. Moreover, we cannot believe that the trained nurse will ever be a "vital necessity," and especially when one of the untrained professional nurses can be secured. We appreciate the services of a discreet, tactful, obedient, neat, experienced, and thoroly trained nurse, who knows her duties and her place; but we submit that many trained nurses have not attained these virtues. There are several factors which have been activ in bringing about the competition which the nurses complain of, and which have establisht the indifferent support which the untrained nurse is now receiving at the hands of the practising physician. Čertain of these features can be eliminated by the trained nurse, if she so will; others of them, if eliminated, would rob the profession of all attraction. Personality has nothing to do with the question; the untrained nurse can be as sympathetic, as neat, as lovable, as gentle, as attractiv, as can the trained nurse. Training, and we regret to say, the wrong kind of training, has an important bearing on the matter. The average nurse, when she leaves the hospital, has more knowledge of operations and hospital management than she has of handling a patient in a room of the ordinary dwelling house with the facilities commonly convenient. She knows all about giving a bath with all modern improvements at hand, but she is not so adept when called on to bathe a patient in his room where all conveniences are to be collected from various parts of the house and then returned when used. She knows all about what a patient is allowed to eat in certain diseases, but does she know how to prepare delicacies which will tempt the flagging appetite of her patient, without setting the whole house in an uproar from garret to cellar? She knows how a probationer should use mops and cloths in the ward, but is she as good at handling broom and dust cloth in the patient's room? The majority of families expect such service on the part of the nurse; many of them are unable to provide a maid to attend the nurse. Most families and physicians are old fashioned enuf to expect that when the trained nurse takes charge, that their burdens will be lightened; if they find that the nurse herself is a new source of care and worry, they cannot be censured if they fail to see wherein the trained nurse is a great advantage. trained nurses are very jealous of their dignity; in fact, they make it oppressiv. The untrained nurse has none of these prejudices to overcome, but is generally ready to turn her hand to whatever seems to "need doing," be it a want of the patient or some trouble of a vexed child. The trained nurse who attempts to carry her hospital bearing and deportment into the home will come to grief, and will be a disappointment to herself, the patient, and the attending physician. The doctor has no right to have his time taken up by attempting to right matters between the nurse and the family, or between nurse and maids. The fees are also an important item. The trained nurse expects from $20 Many to $50 a week; and often her "untrained" sister, fully as competent, will gladly do the work for a half or a third as much. Many families, by strict economy for some time after sickness, can pay $10 a week, where, if they could not get a nurse for less than $20 or $25, would simply be compelled to do as best they could without nursing. The trained nurse will find a solution of all the difficulties in the matter (except, perhaps, the fee question) within herself. If she will strive as hard to please the patient and the doctor as does the untrained nurse, she will have no cause to complain. In the hospital the trained nurse will always reign supreme; but private nursing is an entirely different matter. Personally, we confess to a preference for the "untrained" nurse, in the sense in which the word "untrained" is employed in contra distinction to the graduate nurse, provided the untrained nurse is neat, intelligent, adaptable, tactful, and does not require to be told the same thing repeatedly. If she, in addition, has been a careful student of the proper kinds of books on dietetics, hygiene, antisepsis, bandaging and dressing, obstetrics, etc., or if she has taken a correspondence course "' in some of the better schools, we are, as a rule, better suited than we are with the trained nurse. 66 Nearly every practising physician is acquainted with some strong and intelligent girl who would only be too glad to read such books as he would loan her; who would willingly accept clinical instructions at his hands; who would quickly learn to use catheter, syringe, and thermometer properly; who would be satisfied with half the remuneration the trained nurse demands; who would not attempt to practise medicin in any family of the physician's clientele without his knowledge. Then, let him give such a girl the opportunity, and he will soon have a nurse that will conform to his ideals and will suit his families much better than he can hope to have them suited by the ordinary run of trained nurses. We do not arraign the trained nurse, except wherein she has failed to fulfill reasonable expectations; but we do insist that the course outlined above is the best for the general practician to pursue in the majority of cases as presented in the every day run of practise. Among wealthy families, or in cities where a nurse may be dismist and another speedily obtained, such suggestions do not apply with equal force. When the stomach will not tolerate other salicylates, the phenyl salt may be tried, remembering to watch the urin for evidence of kidney intolerance. The dose is 15 to 45 grains, daily, in powder, pill, or capsule. It is insoluble in the acid gastric juice, and only exerts its power in the alkalin juice of the intestin. |