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Surgical and Gynecological Chair.

SIMPLE, STRONG, ORNAMENTAL

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In the MCDANNOLD Surgical and Gynæ-
cological Chair we have endeavored to
combine all the elements necessary to the
successful examination and treatment of
surgical, gynæcological and rectal diseases,
besides its value as a general utility chair,
for examination of the eye, ear, nose,
throat, chest, abdomen, and many other

uses that will suggest themselves to the practical physician.

PRACTICALLY INDESTRUCTIBLE

The motions of this chair are universal, including the ROTARY motion, raising and lowering, and there are no complicated mechanism, noisy or intricate fastenings. One important feature is the universal head rest which can be put in any position with a single set

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screw.

Send for catalogue and prices of this improved Chair and The McDannold Cabinets. Manufactured by

1416 Sarah Street,

A. McDANNOLD,

ST. LOUIS, MO.

Mention Clinical Reporter.

GREEN GABLES

The

Dr. Benj. F. Bailey
Sanatorium,

Lincoln, Neb.

FOR THE TREATMENT of all non-contagious chronic diseases.

Select cases of drug and alcoholic habitues received. In the suburbs of a most beautiful western city. In a section having the lowest mortality rate in the civilized world. A brick and stone building amid ample grounds. Every modern comfort and sanitary convenience. All forms of baths and every electric current useful in the treatment of disease. Thorough equipment and beautiful furnishings. Bright and sunny halls and reception rooms. Large amusement rooms. Cozy corners everywhere.

A delightful place in which to get well
And learn how to keep well.

No physician can afford to be indifferent regarding the accurate filling of his prescriptions.

ANÆMIA, NEURASTHENIA, BRONCHITIS, INFLUENZA, PULMONARY TUBERCULOSIS, AND WASTING diseaseS OF CHILDHOOD, AND DURING CONVALESCENCE FROM EXHAUSTING DISEASES,

THE PHYSICIAN OF MANY YEARS' EXPERIENCE

KNOWS THAT, TO OBTAIN IMMEDIATE RESULTS, THERE IS NO REMEDY THAT POSSESSES THE POWER TO ALTER DISORDERED FUNCTIONS, LIKE

"Fellows Syrup of Hypophosphites

MANY A TEXT-BOOK ON RESPIRATORY DISEASES

SPECIFICALLY MENTIONS THIS PREPARATION AS BEING OF STERLING WORTH. TRY IT, AND PROVE THESE FACTS.

SPECIAL NOTE.-Fellows' Syrup is never sold in bulk, but is dispensed in bottles containing 15 oz.

MEDICAL LETTERS MAY BE ADDressed to

MR. FELLOWS, 26 CHRISTOPHER STREET, NEW YORK.

Doctor I Need a Tonic.

The next time a patient says this to you, write a prescription for Colden's Liquid Beef Tonic. The patient may be right. He may be mentally and physically in a state of morbid depression. Everything may "go wrong" with him. A tissue-forming, stimulating restorative may be exactly the indication.

Order Colden's Liquid Beef Tonic in addition to your specific medication. There can be no mistake if you specify "Ext. carnis fi. Comp. (Colden).”

Literature mailed to physicians on request.

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That our Materia Medica is somewhat imperfect and that our information regarding the action of drugs, from whatever source gathered is far from perfect is a statement that need not be discussed, yet let me say in passing that few of us go the extent of our resources in the study of drug therapeutics; it is a woeful pass and time for a reckoning when we find men and women with good education and ample experience who do not place any faith in the use of drugs in septic and other desperate conditions and who voice this opinion without reserve.

According to the precepts of the Homeopathic school there are three things to be considered in the making of a prescription and the effecting of a cure, namely: the severity of the disease (the symptoms), the choice of a drug causing similar symptoms and the proper adaptation of this drug to the patient, not the disease, with these conditions met we may reasonably expect results in any case and results of some kind will be manifest sooner or later if the drug is given.

The old time cry of remove the cause, has been taken up by our friends the materialist and the so-called rational treatment has for its end the accomplishment of this purpose, in other words its guide is to disinfect, kill the germ, remove the septic focus, renovate and place the greatest faith in antiseptics locally and internally and further than this in medicine there is no good.

If we prescribe the crude drug only and cannot reach the poison or germ that has penetrated to the finer recesses of the body then, indeed, the value of medicine for that case is past and its administration will do no more good.

Clinically, what is the value of medicine in septicemia, in pyemia or in malignant scarlet fever? Does it do any good? Is it of any value; or must we look to the knife, the curette and the antitoxine for a cure if one be made at all?

*Read before Missouri Institute of Homeopathy, 1904.

Do we give the medicine for the cooling of the fever, for the lowering of the pulse, the moving of the bowels or easing of the pain only? Or do we look deeper behind the curtain of symptoms, make our prescription accordingly and then look for and confidently expect a certain result on the course of the illness even though by the drug action we produce, certain well manifest results; such as free evacuations of the excretions, the cooling of the temperature or the steadying of the pulse.

The writer does not mean to deprecate the use of local measures, the knife, the curette and the antitoxine and of many other measures that need not here be mentioned, of the use of electricity and massage, of hygiene and diet, but will for the present consider them in the light, of means used in connection with other things, to attain a common end-the cure of the patient.

It must be borne in mind that many of the more desperate cases we meet are of the mixed variety; mixed infection, dynamic disease and traumatic injury. Diseased body and unbalanced mind. Many, many times these cannot be reached by mechanical means or by antiseptics, antipyretics, narcotics or stimulants, nor yet by the so-called specifics.

Are such cases without hope? Are they to be left to their fate? Is the physician at the end of his "row" when he has curetted a septic uterus and disinfected or sterilized, if you please, its walls?

Is he without further resource after he has opened and cleaned out a mastoid abscess or removed a foreign body from the eyeball? Or must he sit calmly down and wait for results after introducing a tube into the windpipe and given a dose of the antitoxine, feeling that he is powerless to do more? We think not, by any means not.

In the words of the scripture, "These things you should do and not leave the other undone."

We have heard it said of a certain surgeon "he was a very ingenious fellow and had a peculiar way of effecting his patient's recovery, even if serious trouble arose after an operation;" his success seemingly lying in the fact that he was a good prescriber.

If the study of homeopathy availed nothing more than the relief and cure of a few of these cases that cannot be reached by any other means, it would be for the interest of any physician to spend the time and labor necessary for that purpose.

In order that my argument may be made more clear I will beg your indulgence while I relate two cases illustrating my contention, one in my own practice and the other under the care of an associate, each one having a different course with the same infection:

Mrs. A. S. was about four months pregnant when she began to have haemorrhage, that failed to yield to the measures employed; since she was especially desirous to bear a child, she revolted at the idea of a miscarriage or premature labor; accordingly, that she might be better watched and also to be in readiness for any emergency, she was removed to the hospital and a careful observation kept of the case.

In a few days from this time it was evident to her physician that the foetus was dead and upon examination of the woman I confirmed his conclusions. At this time there was no discernable sign of infecion, but since there was some bleeding and the foetus was not alive; the uterus was emptied of its contents and every known means observed to prevent infection of the parts. For two days all went well; the temperature remained normal, the pulse also, everything seemed satisfactory to all concerned.

On the third day there was a chill and profuse sweat and twelve hours later "another of the same;" during the interval the fever rose to 104 degress F.; after the second chill there was a constant fever varying from 100 to 105 and these variations were without any regularity, it was plainly a case of virulent infection.

The uterus was now washed and rewashed, swabbed and packed, without affording any change in the condition, the uterine discharges ceased and could not be restablished, but the most careful examination failed to show the presence of any localized accumulation of pus or any fixation of the uterus; microscopic examination revealed streptococci in uterine secretions and in the blood.

Here was a most desperate case, beyond the reach of surgery or antiseptics, in a patient already weakened by bleeding and an operation and discouraged by the course her illness had assumed. The prognosis was bad, almost hopeless. If she was to be cured at all it must be by drugs and the vitality remaining in her already weakened body. Apparently a thing impossible.

She was put on a diet of liquids, mostly milk, and all washing, swabbing and douching in and around the uterus stopped; the remedies that seemed to correspond to her case were Veratrum and Arsenic, and so closely did each seem to fit that it was impossible to decide which was the better; so she was given both. Stimulants were not used at all until the third week and then a little Strychnia was given from time to time with good effect.

For twenty-four hours after commencing the drugs above mentioned there was no change save a half-degree reduction of the temperature, but the condition did not grow worse and accordingly the medicine was continued.

At the end of three weeks the temperature was normal, but the woman was exceedingly prostrated and the urine very scanty (eight ounces in twenty-four hours), the heat test showed it to be loaded with albumen. The face and limbs were puffed, the heart action poor and it was for this reason that the afore mentioned strychnia was given.

The patient was put upon Apis, 6 x, and later Apocynum, which made marked improvement in the albuminuria and all other conditions; under the influence of Apocynum she voided in one day, (twenty-four hours,) 106 ounces of urine; it is needless to say that with such results the medicine was discontinued.

From this time on the case was unworthy of note-she grew better and

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