anæsthetic. Patient should be anesthetized on operating table, as carrying the patient will permit of recovery from anesthetic. At first nitrous oxide alone should be given; when symptoms of anæsthesia appear, which will be in about 70 or 90 seconds, 5 per cent oxygen should be added to the nitrous oxide gas. Should the patient appear cyanotic, this may be increased up to about 10 per cent. On the other hand, should the patient's face become flushed or symptoms of anæsthesia disappear, a lessening of the percentage of oxygen would be called for. Occasionally we meet with a patient where complete muscular relaxation cannot be obtained with nitrous oxide and oxygen. In the more complete nitrous oxide apparatus there is an ether and chloroform attachment, so that in cases where complete anesthesia cannot be obtained with nitrous oxide and oxygen, a small percentage of ether or chloroform may be added.

Symptoms of Anesthesia.-1st. Drowsiness. 2nd. Inability to control voluntary muscles, as evidenced by the fact that the patient cannot open the eyes when requested to do so, although the effort is apparent. 3rd. Loss of corneal reflex. Surgical anesthesia ensues here, as is evidenced by the loss of consciousness, muscular relaxation, moist skin, loss of special senses and contracted pupils.

Some of the advantages of nitrous oxide and oxygen over ether and chloroform are: 1st. Elimination of nausea and vomiting after recovery from anæsthetic. 2nd. Nitrous oxide and oxygen being odorless, the patient does not experience the terror he does while taking chloroform or ether. 3rd. Nitrous oxide and oxygen can be given with perfect safety where there are both kidney and lung affections. The Rose Building.

Bennett has examined a sample of non-freezing fish-liver oil, which, in many respects, responded to the Pharmacopeial tests for cod liver oil. The refractive index and the percentage of free fatty acids were found to be the most valuable tests for purity, the fish oil showing over 3.0 per cent of the latter. The B. P. nitric acid test has also been found to be useful for excluding fish oils from cod liver oil when time is not a matter of importance.

It has been stated by an eminent authority that the cyanide process has done more than all other recent processes combined for cheapening the production of various metals, increasing the gold supply of the world, and advancing the standard of our progress and civilization."

Cleveland Medical and Surgical Reporter.

A Journal Devoted to the Science of Homeopathic Medicine and Surgery. Published Monthly by the Cleveland Homeopathic Medical College, 226 Huron Street, Cleveland, O.

JAMES RICHEY HORNER, A. M., M. D., Editor.
HUDSON D. BISHOP, M. D., Managing Editor.

WILLIAM H. PHILLIPS, M, D., Associate Editor.

The Reporter solicits original articles, short clinical articles, society transactions and news items of interest to the profession. Reprints of original articles will be furnished authors at actual cost of paper and press-work, provided the order is received before the publication of the article. If authors will furnish us with rames before their article is published, copies of the journal containing it, will be mailed free of charge (except to addresses in Cleveland) to the number of 100.

The subscription price of the Reporter is $1.00 per annum in advance. Single copies 10 cents. The Reporter has no free list, but sample copies will be given on request.

The Reporter is mailed on the 1st of each month. All matter for publication must be in the hands of the Editor by the 15th of the preceding month.

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THE MEDICAL AND SURGICAL REPORTER,

762-4 Rose Building, Cleveland, Ohio.

Editorial

HOMEOPATH, WHERE ARE YOU SENDING YOUR STUDENT? The only excuse for the existence of the medical profession is is function of rescuing suffering humanity from the ravages of lisease. It is perhaps true that a physician is usually rewarded according to the value of his service, but the acquisition of the dollar is not a worthy motive in impelling the healer to ply his art. It is true we are living in an age when almost everything, even love, is measured by, bought with and sold for money. But it is nobler to save life and relieve pain from the promptings of a heart filled with sympathy than of a mind filled with cupidity.

It is the office of medical colleges to reinforce the ranks of the profession with men able to effectually wage the incessant war with death and disease, men with courage to meet the emergencies of the sometimes unequal battle, with a mind capable of penetrating deep into the hidden mysteries of life and death, with a sense of honor sufficient to safe-guard them through the snares and pit-falls that beset the way and with a heart throbbing with sympathy for the stricken brother or sister.

The time was when medical colleges were little more than bazars, in which the brilliancy, skill and nerve of a few specialists were exhibited. And there may be medical colleges that would still be little more than spectacular shows had not the State interposed and made a certain standard of work on the part of students obligatory. It is now an exaction upon all medical colleges that they maintain wellequipped laboratories for the teaching of all the fundamental branches of a medical education. These must be managed by competent men, and this service can expect no remuneration from the profession in the way of consultation fees. Consequently, salaries must be provided. Thus, it is evident that the cost of maintaining a college has been appreciably increased.

What is the mission of homeopathic medical colleges? Not to teach men and women to stuff their patients with the vari-colored, crude-drug combination pills. This practice is easier and more attractive than the old-fashioned allopathy with its complicated and costly prescriptions, but it is no nearer homeopathy. Years of study are unnecessary to practice by this method. It can be learned in a few minutes from the pharmaceutical vender who daily infests our offices and who is more anxious to present his house with good orders than to herald the doctrine of homeopathy. Unfortunately, some of our homeopathic brethren have listened to the siren song, and it is their boast that some of our members are among the best buyers. We were recently told of a so-called homeopath in this city who gave an order for one hundred thousand sedative pills for nervous women! Shades of the immortal Hahnemann, save a credulous but not always discerning public from such homeopathy as this! Is the law of similars losing its truth? Are we just finding out that we were mistaken, and are we trying gracefully to fall back into the practice of the other school? No, the homeopathic law is still the natural law of cure as it was in the early days of its discovery and its application can be learned only in homeopathic colleges.

The Cleveland Homeopathic Medical College has met all the demands made upon it both by the State and the profession. At large cost to the college, privileges have been bought at the Cleveland Homeopathic Hospital to give abundant bedside instruction. Through the courtesy of the present city administration, the entire work of the large and well-conducted city hospital has been apportioned so that one-fourth of the work is done by the homeopathic profession, and all this clinical advantage is used by the college. Two homeopathic resident physicians are supported, and clinics in all departments are held by members of the college faculty.

Salaried instructors are supported in the chemical, microscopical and physiological laboratories of the college, and the work done here is of the highest order. Much has been spent in more fully equipping these laboratories, and while more will constantly be added to meet the requirements of these rapidly advancing sciences, they are now fully prepared to give all that can possibly be needed in a thorough medical training. Not less has been the progress in the anatomical department. Not only has this department kept pace with the rapidly increasing demands, but a method of preparing and keeping material has been devised which preserves it in perfect condition for any length of time desired. In no department. of the college has improvement been more marked than in this the ground work of all medical education.

The Good Samaritan Dispensary is doing more and better work than ever before. For one hour each day the senior class, divided into sections, do the actual work in the various departments under the direction of a principal. This work has been facilitated by the addition to the equipment of a 24-plate static machine and x-ray apparatus, presented by the Dean, Prof. G. J. Jones.

The character of the work done by the students is carefully observed and when it has become apparent that a student is not putting forth sufficient effort he is dropped. This policy may not insure as large a class on graduation day, but it will be a survival of the deserving, and must certainly result in raising the intellectual standard of the output.

It is also a deplorable fact that some of our profession are sending sons and students to allopathic colleges. The injustice of their action is increased by the fact that they have not taken the trouble to familiarize themselves with the better conditions prevailing in our own school. They are by this act strengthening the guns trained on the citadel of homeopathy. They are placing in the hands of our opponents the best possible weapon to embarrass and humiliate us. They should be counseled.

The advancement of the collateral sciences of medicine is marvelous and is keeping pace with the swift progress in other lines. Our competitors, the old school colleges, are doing everything that brains and money can do to push their standard toward the pole-star of the unexplored realms. And it largely depends upon the homeopathic colleges to save the homeopathic profession from an unfavorable comparison. They must spare neither money nor pains to provide, often at great personal sacrifice of their instructors, the training that will enable their alumni to measure up to the standard of the other school.

Does the rank and file realize this? Do they appreciate the fact that without a supply of capable young men it is impossible for the college to send out recruits to strengthen our constantly attenuating lines? There is no excuse save one for a homeopath to enroll his students in allopathic colleges. That is the event of the inability of homeopathic colleges to provide adequate and efficient instruction. A careful inspection will disclose the fact that the Cleveland Homeopathic Medical College is fulfilling the requirements of the most exacting. Everything possible is being done to prepare its students to go out and do their part in disarming the agents of envy and jealousy. Alumni of the school, are you doing your part? How many students have you sent? How much have you contributed in money or influence toward the upbuilding of the institution that made it possible for you to be a homeopath? Have you realized that your interests and those of the college are identical? Has it occurred to you that the safeguarding of the homeopathic cause is entrusted largely to the homeopathic colleges? Have you any personal knowledge of an old school college that is endeavoring to promote the interests of the distinctive method of practice you employ? Can you hope by sending your students to the other side to bring yourself into more favorable consideration as an exponent of the homeopathic law of cure? Selfpreservation is the first law of nature. Self-propagation is the second. If our line is to be preserved we must beget of our kind. It depends upon us whether homeopathy shall continue to bless mankind or whether the science of therapeutics shall step backward one hundred years. K.

HAHNEMANN'S ONE HUNDRED AND FIFTIETH ANNIVERSARY. Both the Medical Century and the Hahnemannian Monthly are to be congratulated on their April issues. In the Medical Century is a splendid article on "Hahnemann," by Wm. E. Boericke, M. D., of San Francisco. In it is given a splendid history of the life of Hahnemann, with a thoughtful consideration of his brilliant achievements. There are also two full-page half-tones of the various portraits and busts of Hahnemann, with reproductions of photographs of a number of monuments erected to his memory, and pictures also of the city in which he was born and the house in which he first saw the light of day.

In the Hahnemannian Monthly Dr. I. W. Heysinger, of Philadelphia, has a very exhaustive article on "Hahnemann's Place in History." Dr. Heysinger's article is most scholarly, demonstrating that