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vaded. This gland may not fail in its function oftener than other glands, but its development waits upon puberty and conception and its function upon parturition. It is not until the first babe milks its mother that the mammary gland can prove its worth or show its imperfections.
The inflammation may occur in the sub-areolar tissue, in the submammary region, or within the gland itself, between the lobules. The subcutaneous inflammations are simple in form and in treatment. Situated immediately beneath the surface of the skin, they are easily diagnosed and should be freely incised and drained as soon as pus forms. The sub-mammary variety is rare and usually follows the interlobular. The abscess lies between the gland and the ribs, pushing the breast outward. It should be incised at the lower outer angle, without waiting for it to burrow and point. Explore the region with a grooved directory and enlarge the opening with a pair of forceps in the usual way and install drainage.
The interlobular is the common variety. It begins with an initial chill, followed by fever, pain, tenderness, and swelling of the gland. If permitted to go on it terminates in pus and a slow, tedious convalescence. The authors whom I have consulted recommend heat, poultices and fomentations from the incipency of the disease to the inevitable suppuration. A well-rooted idea, however, false, is not easily plucked from the memory nor omitted from practice, but is often handed down from preceptor to students, generation after generation without question or doubt. The medical profession is slow to grasp the fact that such troubles as acute appendicitis, meningitis, laryn. gitis, and mastitis call for cold compresses and ice bags. Under the hot pancake treatment of the good old and justly revered midwives. an inflammation once started in the mammary gland usually terminated in much laudable pus. The abscess was lanced and lacteal fluid flowed with the pus and kept on flowing, for it did not heal. A fistula followed and I have seen them, months old, sapping the life of emaciating mothers and wasting the food supply of the infant babe.
These cases should be treated from the start with cold compresses or ice bags. I frequently use sugar of lead in the water. It is astringent and seems to exert some influence for good upon the inflamed breast. If compresses are used, they should be quite cold and dry, so as not to moisten the gown or other clothing. Change them every few minutes until the heat has been absorbed from the gland. This method will check threatened suppuration after the phlegmon has advanced for days and when pus seems to be inevitable.
Cleveland Medical and Surgical Reporter.
A Journal Devoted to the Science of Homeopathic Medicine and Surgery.
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HONOR TO WHOM HONOR. To be in the harness after fifty years of professional work, to count one's self an octogenarian, to have commanded the esteem of the profession at home and abroad are elements in the experience of the life work of Dr. John Chapin Sanders and Dr. David Herrick Beckwith, which induced the homeopathic physicians of Cleveland and from afar to give them a substantial expression of fraternal regard.
On the 6th of October, these gentlemen were tendered a banquet at the Hollenden Hotel, which function was supplemented by the presentation to each of an elegant loving cup. Each cup was suitably engraved in commemoration of their age and of their services to the school as practitioners and teachers.
The expressions of kindly greeting by spoken and by written word, which were showered upon their revered heads, irresistibly made these worthy veterans see salt water without a journey to the sea-shore. The words of good cheer were most touching and altogether appropriate.
Dr. Wm. A. Phillips, the toastmaster, fittingly expressed the feelings of the hosts when he said that “we have assembled to pay homage to two worthy physicians who have long championed a worthy cause.
We have gathered together in that fraternal spirit which marks the most graceful amenities of social and professional life. We meet to express to them, our appreciation of the impress they have made upon the history and the progress of the homeopathic school.”
Dr. Phillips introduced as the first speaker of the evening, Dr. Gaius J. Jones, Dean of the College with which the honored guests had been connected for so many years. The doctor in his address emphasized the point that length of life should be measured by accomplishments, rather than the actual time of living or as the sentiment of his toast reads, “How long we live, not years, but actions tell.”
Dr. W. B. Hinsdale responded to the sentiment, “The thoughts
of men are widened with the process of the suns." This address was of the finest order, appealing to the audience on account of its scholarly qualities and impressing them with an increased admiration for the speaker.
Dr. H. H. Baxter, a long-time associate, filled his quota of time with reminiscences which brought out the characteristics of Drs. Beckwith and Sanders in a way that was very telling. The latter, he claimed, had often scared him “stiff” while he was in college, but he distinctly remembered that his first case of confinement had decidedly' the opposite effect upon him.
Dr. Harlan Pomeroy was peculiarly qualified to speak concerning both gentlemen. He was the successor of Dr. Sanders in the chair of
Obstetrics in the University and was intimately associated with him in practice for a number of years. With Dr. Beckwith, his relations were even more intimate, as they were for a long time office associates and lived immediate neighbors. His tribute was a beautiful one, given in a quiet, earnest way, which bespoke its sincerity.
To Dr. E. H. Jewitt had been given the duty and privilege of presenting the testimonials provided through the generosity of the many colleagues and friends of the guests. Here, too, there was an appropriate fitness, inasmuch as Dr. Jewitt has been, for a number of years, at the head of the Obstetrical Department, where Dr. Sanders labored through his long half century of work. Nothing could be more fitting than Dr. Jewitt's expressions of congratulation and appreciation of his privilege. He was at his best and impressed all his hearers with the feeling that to him, it was a proud moment, as he delivered to their future possessors, their beautiful loving cups.
Dr. J. Richey Horner had been in charge of the collection of funds and made his report in the form of a little bound volume prepared in duplicate, in which was a list of the names of the contributors to the fund, with their addresses. This showed that friends from more than twenty States, extending from Maine to California, had responded. In addition to this list, the book contained, also, excerpts from letters, indicating the love and esteem of the writers for Drs. Beckwith and Sanders. It formed a permanent memento of the occasion.
Dr. Beckwith, in acknowledging the courtesies and gift, in a voice broken with emotion, spoke of his relations with his professional brethren. He recalled as a co-incidence that Dr. Sanders and he were born in the same year and in the same county, attended the same school and church, began the practice of medicine in the same town, and finally located in the same city, for a number of years lived on the same street within a block of each other, were engaged in work in the same college and the same hospital, had each been honored with the office of President of the A. I. H. and of the Ohio State Society, and now, to-night, were each honored with this wonderful expression and testimony of good-will.
Dr. Sanders, in his acknowledgment, was so nearly overcome by his emotions that he could scarce restrain himself. As has ever been characteristic of him, his address was full of beautiful thoughts, many of them clothed in poetry and all indicative of his profound appreciation of the honor done him.
Among the salutations enjoyed by all present and particularly by the two veterans under fire, were the following gems of inspiration, full-cut and polished, direct from the pens of Drs. C. E. Walton and J. D. Buck.
JOHN AND DAVE.
When John and Dave were young-
When our college songs were sung.
And seemed to own the town;
Time cannot turn them down.
“If they hustle less; they get there still,
Like glad October days;
And mellow Autumn haze.
Rich in lovers glad content;
“Four score seems such a little time
When mile-posts gather fast.
The sweetest drop-the last.
Fond memories of the past;
J. D. BUCK, '64.
TO DOCTOR B. AND DOCTOR S.