that a patient will survive the shock of so extensiv a burn. The skin has slought well, leaving a raw granulated surface. The right limb is destitute of skin from perineum to ankle. The black about the knee cap is the dried fascia, baked to the cap and adjacent tissue, which were the last to clear off. That is all clean at this writing. At one time there were five sinuses leading from X, including one which led under the knee cap, and let out the joint water. These are all closed up now except the one under the knee cap, which we still keep open for irrigation. The shin bone was exposed for seven inches; this does not show in picture. This is half granulated over.

The left leg was burned on the inside, as you see, but on the outside it is not burned. A place four inches long on the shin was burned to bone; but this is all granulated over. The inner malleolus on each foot was burned so the bone slought; but they are alright now, having granulated over nicely.

Patient cannot sit up, or use a bed pan. He is compelled to turn on side when attending to nature. He is getting along nicely now, and gaining flesh. The skin is growing rapidly from the edges, and we are now grafting skin, which is growing nicely. When our patient gets well, as we expect he will, I will send you another picDR. A. D. MAHAFFAY.

ture.

Hildrith, Neb.

Dr. Jas. MacCoy, of Joliet, Ill., advises doctors who ride a motorcycle not to put their machine away for the winter, as there will be many good, bright days for riding, tho possibly cold. A ride then will prove stimulating and invigorating. But carry a blanket to throw over the engine when you leave it, and if your stay is protracted, and you cannot take it in, go out about every half-hour and "give her a few turns with the sparker."

"Carry with you a little roll of absorbent cotton, which you'll stick into air intake when she's cold, and onto it squirt a little half gasoline and half ether; then off you go, and of course reach and get the cotton."

(Continued beyond Yearly Index. Raise staples with a pocket knife, lift Yearly Index out, and bind in front or back of volume, as desired. We omit the title page and blank page on opposite side of same leaf. As practically all who bind WORLD use the WORLD Binder (only 35 cents each, or three for $1), a separate title page is not needed, and is seldom used. However, if as many as 100 of our subscribers request a separate title page, we will supply it without extra cost.)

Suspected Epilepsy in a Child. ANXIOUS GRANDFATHER, INDIANA; My dear Doctor:-I was much interested in your letter in the November WORLD, page 463, and I feel that I must write you. I cannot unqualifiedly indorse the diagnosis of epilepsy sui generis in the case of which you write, altho the convulsions are epiliptiform. My opinion is that the whole trouble is intestinal in origin, and that there is a great deal of hope for a permanent cure cite tute et jucundi. The elixir lactated pepsin recommended in THE WORLD is all right, but will not do the desired work, neither alone nor in conjunction with intestinal antiseptics. What is needed is intestinal antisepsis, and also a correctiv of the

mucous secretions.

M. et Sig.-3j after meals and at bedtime. Give at the same time gr. j calcium sulfid with each dose of the above.

Rationale: Bichromate of potash in 1-30th grain doses acts beautifully on the mucous glands from mouth to anus, anywhere, and especially on those of the intestins.

Magnesium sulfate goes a long way toward the prevention of the formation of intestinal toxins when given in these doses:

Wintergreen for flavor.

Hook Worms Better Than Charts. EDITOR MEDICAL WORLD:-In the November issue, page 461, I note Dr. H. W. Stephenson's inquiry for charts on the hookworm, and your reply. I have for six years been instructing my patrons in regard to the hookworm without using a special chart. I have a chart on the blood and a bacteriological chart, and also have some hookworms in alcohol that my patients brought me. If my patrons' curiosity leads to questions on the chart, I tell them I have something interesting and nearer home, and show them the worms. If I give medicin for the hookworm, I show the patient what to look for by having them examin the worms in the clear bottle. I consider this a great help in the search for worms during treatment.

When Dr. King wrote his story of "The Country Doctor," he warned young doctors not to diagnose worms too often, as it might lead to being called a worm doctor, and injure the doctor's reputation. I suppose Dr. Stephenson, like myself, is doing some work among the "branch water" people; but, like myself, has no fear of being ridiculed by others, since the worm doctor had causes for his faith which time alone could vindicate. Westfield, Texas.

W. EHRHARDT.

Correspondence Concerning Malaria and Hay Fever.

DEAR DR. TAYLOR:-I am among your very earliest subscribers. I am, as the saying goes, a back number. But, in the October WORLD, I note inquiries from Dr. Odom (page 423), and from Dr. G.

malaria and hay fever. I wish to say to them, and to others, I am ready to write out to any and all, my long-tested formulas cheerfully and freely to those who will hold up their hands. But will

ask each to inclose his own self-addrest and stampt envelope, as once I got soakt on a postage bill of no small proportions by just such a proposition, and thru THE Very truly, MEDICAL WORLD. DR. J. H. MCCARTNEY.

Rochester, N. Y.
To this we replied:

DEAR DR. MCCARTNEY:-You can avoid

C. F. TAYLOR. DEAR DR. TAYLOR: Yours received. So here goes. For Dr. Odom and malaria: Natrum sulf., 5 grains; picrate of ammonia, 1 grain. Put into one pill. Let patient take one (no more) morning, noon, and night. In much less time than you will expect, all symptoms of malaria will permanently disappear.

For Dr. G. Jones: Let the Doctor put a quarter ounce of iodin crystals on an old dish, and place the dish high up in the sleeping apartment of the patient. Do this an hour before retiring. Close all doors and windows. Now tell patient to go to bed, and go to sleep. He or she can do so with impunity. Next a. m. the patient will be nearly well. On the third morning, usually perfectly well.

In neither of the above instances will any other treatment be needed.

J. H. MCCARTNEY.

I cannot remember when I was not ruptured. One of my earliest recollections was that sometimes a testicle would be up in the abdomen and sometimes the scrotum seemed to contain "air." Later I learned the nature of the defect, but since it did not trouble me, I did not bother it. As I neared manhood I found a chapter in one of Geo. L. Taylor's books on exercising to benefit rupture, but the exercises never seemed to fit my case. At thirty I began to try trusses in the hope of a cure. The pressure to retain produced discomfort front and back, and I feared the effect on the kidneys and small of the back. My experimenting indicated that a short use of the truss (half a day) weakened and irritated the muscles. worn in the a. m. and not in the p. m.,

If

the effect was to make the muscles weaker and less able to support. If worn in the p. m. the muscles would rest over night and be full of blood and strong in the morning and often retain the rupture. If constantly worn, the muscles became thinner and weaker. No support was so little destructiv of the muscle strength as the finger tips; and I often walkt with one hand in my pocket, retaining the parts. Swimming both floated the intestins and strengthened the muscles and was beneficial. After ten years of more or less ineffectual experimenting, the above seemed to be all that I had learned, and the hope of cure by that method was not great.

But persistence was finally rewarded by complete retention without a truss. I believed I was cured, and yet I had no feeling of assurance for the reason that the line between retention and non-retention seemed very faint. I dared not use a truss for fear of weakening. Yet for about a year there was no return. Then the rupture again appeared, with more or less discomfort due to the stretching of the tissues and supports. Again the old story. Sometimes the truss would retain it and sometimes not. The truss pressure was often worse than the defect. Several more years went by and I concluded that radical operation was the only hope. But waiting for "a more convenient time," I chanced to see B. McFadden's book on the subject and read it. He dwells so strongly on the exercises that I began stretching the muscles of the affected region by lifting one leg or both for a few times at each bedtime, reclining on the back while doing it; often with arms over head. Often lifted the trunk with feet under the cover or some slight load. When feet were in air, often twisted the trunk by letting them swing sidewise. In this reclining position the intestins remained in place during the exercises. I also massaged the tissues to the point of tenderness by sliding the skin about, using some pressure; merely rubbing the skin made it sore with little benefit. When tired I went to sleep, and by morning the muscles would be rested and full of blood. They were not only stronger, but the blood undoubtedly acted as does the matter injected in the injection process, in that it filled the space and helpt retain. Not regular in this practise. Found benefit. Found benefit. Gradually left off the truss except on days when I would be much on my feet or doing violent work.

DECEMBER, 1910]

At present, feeling of perfect strength and retention in the parts. Occasional exercise to be sure and keep safe. Lift, run, jump, and do anything I ever did. or others do, with no feeling of fear. If simple exercise and rubbing will do this. for me, why is it not worthy publicity in your columns? JUST A LAYMAN.

[This layman is one of our advertisers. We sent the letter to Dr. Souder and askt him to make any comments that he might see fit. We append his reply.-ED.]

DEAR DR. TAYLOR:-I have read the letter with much interest. The course he speaks of will be of benefit in most cases of inguinal hernia, and may effect a cure in a small percentage of cases without other measures being employed. The principal difficulty experienced is to get patients to continue the exercise sufficiently long and regular. I have often suggested the exercises, but usually they follow them up for a few times, then neglect them. I am able to get them to continue massaging the parts much longer. I have them do this two or three minutes every night, when the abdominal wall is weak, either before treatment (injection) is begun, or after it is completed; but not while undergoing treatment.

I indorse the measures your correspondent advocates, as I know them to be good, and am glad he brought the subject to C. F. SOUDEr. your attention.

Philadelphia, Pa.

An Old Doctor Inspires a Younger One. EDITOR MEDICAL WORLD:-Just read the letter from Dr. Elders, of Hematite, Mo., in November WORLD, page 456. It is a splendid letter; I enjoyed reading it. The doctor is all right. I'm 36, married, have three children. Graduated in May, 1901. Have been practising since July 4, 1901. The reading of Dr. Elders' letter did me good. He has a way of saying just what he means. Tamaroa, Ill. O. C. CHURCH.

Some Suggestions from Our Brother, Dr. Bott. We all like THE MEDICAL WORLD. We all appreciate it, and value it more than any of the journals. We all like Dr. Taylor and appreciate his ever ready voice in our behalf. This is old. Dr. Taylor has been receiving such assurance for

495

many years. Suppose we make it a point to send in as much as one year's subscription, which is one dollar, so it will reach Dr. Taylor just before Christmas. I believe by united effort we can make it a merry Christmas for Dr. Taylor without costing us an extra cent. None of us will miss one dollar. One dollar is not much, but if every subscriber to THE MEDICAL WORLD will unite in sending Dr. Taylor a dollar it will mean much to him and Mrs. Taylor. I make this suggestion without any motiv other than to get a united action at Christmas time in showing our appreciation to Dr. Taylor. As for me, I shall send in one so it will get there as a Christmas reminder. I want THE MEDICAL WORLD and would not exchange it for any medical journal I ever saw. I want Dr. Taylor to know how much I appreciate his efforts in our interest. Let every one who reads this join in this move, and just picture in your mind what a bundle of one dollar bills will reach Dr. Taylor on or about Christmas time. Happy Christmas to you all! Memphis, Tenn. F. L. BOTT, M.D.

[I deeply appreciate the above sentiment. Yes, prompt pay will make a merry Christmas for me, as it would for you if your patrons would similarly unite in your behalf. I suggest that you send out a circular letter to all your patrons making this suggestion. Christmas is the grand settling time of the year in many parts of the country. Your printer can print the letters for you in typewriter type. For a letter form, see Business Talk in WORLD for last December.

But to return to Brother Bott's suggestion. Please do not wait till just before Christmas to send in your renewals. Think of our office clerks. holiday on Christmas. The bookkeeping for many They want (and they always get) a

thousands of small accounts scattered all over the country is no small matter. So if you will kindly think of this, you will send your remittances as soon as you see this; and then our clerks will have a chance to get their work done by Christmas, and we will all join in the rejoicing on Christmas day-clerks included.

I have been working all the year to make your coming Christmas a merry one, and I sincerely hope it will be. And I will appreciate whatever you may do to save us from the trouble and expense of collecting subscription accounts from the "slow ones." As Dr. Bott says, it costs no more to send it early than late, and it costs me less. Some of the brethren are always prompt. A great many send $3 for four years in advance, as it is cheaper and less trouble. Some are chronically slow. And to these I hope Brother Bott's sugthese slow brethren happier as well as mine. Ingestion will appeal. It will make the Christmas of deed, we will then not have a slow class at all; they will all be moved up into the prompt paying class.-C. F. T.]

Who Can Beat This Case Report? EDITOR MEDICAL WORLD:-The husband of Mrs. Brown brought me the inclosed note last evening. Who can beat it? Is it not worth publishing? N. Y. State. C. G. S.

Dear Doctor would you please give me something for the whites and the piles, the ointement is done she has got cramps toothack Rhumatisiam neuralgi and hungry spells so please can you cure them all from Mrs ROBERT BROWN

A Prayer for Doctors and Nurses.

We praise thee, O God, for our friends, the doctors and nurses, who seek the healing of our bodies. We bless thee for their gentleness and patience, for their knowledge and skill. We remember the hours of our suffering when they brought relief, and the days of our fear and anguish at the bedside of our dear ones, when they came as ministers of thee. May we reward their fidelity and devotion by our loving gratitude, and do thou uphold them by the satisfaction of work well done.

We rejoice in the tireless daring with which some are now tracking the great slayers of manGrant that kind by the white light of science. under their teaching we may grapple with the sins which have ever dealt death to the race, and that we may so order the life of our communities that none may be doomed to an untimely death for lack of the simple gifts which thou hast given in abundance. Make thou our doctors the prophets and soldiers of thy kingdom, which is the reign of cleanliness and self-restraint and the dominion of health and joyous life.

In their whole profession, strengthen the consciousness that their calling is holy and that they, too, are disciples of the saving Christ. May they never thru the pressure of need or ambition surrender the sense of a divine mission and become hirelings who serve only for money. Make them doubly faithful in the service of the poor who need their help most sorely and may the children of the workingman be as precious to them as the children of the rich. Tho they deal with the frail body of man may they have an abiding sense of the eternal value of the life residing in it, that by the call of faith and hope they may summon to their aid the powers of thy all-pervading life.-Walter Rauschenbusch in American Magazine for Nov.

QUIZ

New books as they appear are sent to our Assistant Editor, Dr. A. L. RUSSELL, OF MIDWAY, WASHINGTON Co., PA, for review. As the Doctor thus has all the late books for reference, and is made familiar with them by reviewing each one carefully as it reaches him, he is unusually equipt for answering queries. Therefore it has been our custom for a long time to send queries to him for reply. In fact, the Doctor made a special request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Russell matter intended for the Quiz Department, which has grown so much under his vigorous "treatment." Please notice that our query department is not used to "boost" proprietary remedies, almanac fashion. THE MEDICAL WORLD has no interests other than to give to the medical profession the greatest amount of honest service possible. It has absolutely no interests in any proprietary preparation nor any medical supply house.

Only such queries will be publisht as are likely to interest and instruct many others, as well as the one asking help. No charge has ever been made, nor will any charge be made, for this service to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two dollars to Dr. Russell. This is really a consultation in the interest of the patient, and should be charged to the patient-two dollars being a very moderate consultation fee. The Doctor agrees to give full, careful, and immediate attention to such consultations. We reserve the right to publish in this department any such consultations that may be interesting and helpful to our readers. Name and address will be withheld if requested; but anonymous communications will receive no attention. Come freely for help, but read up as fully as you can before coming to us.

Obstinate Eczema on a Physician's Hands:

Help Wanted.

EDITOR MEDICAL WORLD:-I come to you for help. Ten years ago I had an attack of eczema which lasted about two months, and since then I have had two light attacks; always on my hands. Last May it came again and has never let up entirely since. It fades some, and I think it will go, but it comes back with all the dread symptoms: itching, swelling, burning; then comes the little and big blisters. It now has gotten into a chronic form or nearly so. My family history is perfect. I never had an ailment in my life. Kidneys are normal. I have weighed 240 pounds, but by careful feeding and exercise within the last two years have brought it down to 194 pounds. I want your advise, and if you please you may call on the readers of your very valuable journal, THE MEDICAL WORLD. Long live THE WORLD. JAMES RICHMOND, M.D.

Loyal, Wis.

[Cut out sweets and meat from your diet, and increase your consumption of water. Never put water on your hands when you can avoid it; better use rubber gloves for obstetrical and surgical cases after proper cleansing, so that you will be exposed as little to contact with water as possible. If you have been using strong antiseptics, like corrosiv sublimate, to render your hands steril, select some other antiseptic. Every night, on retiring, smear the hands thickly with oxid of zinc ointment, and draw over this a loose-fitting pair of chamois skin gloves. Generally the gloves can be worn both day and night, except during sterilization of the hands, and it is questionable whether a man with hands in that condition should attempt any