Nothing in the operation happened to loosen the iris. I saw something of the same kind happen in the experience of another man in an attempt to make an iridectomy. There was no vitreous lost. A few flakes of blood only. Did not open the eye for five days, and at the end of that time the man counted fingers at quite a distance and could distinguish faces very easily.

DR. PAYNE: This is an extraordinarily interesting specimen. The iris shows that it was atrophic and was undergoing degeneration. There is very little pigment, and the wounded iris is not any too firmly fixed at the limbus border, so one can understand how this accident might occur with such an atrophic and degenerative condition.

New Medical Service for the San Francisco Carmen. A new Hospital Association has been formed by the San Francisco carmen. The set has been divided into districts and a surgeon is in charge of each district. In District No. 1, comprising Kentucky, Mission, San Mateo, Castro and Valencia streets, Dr. F. W. Simpson is in charge. District No. 2, comprising McAllister, Haight, Hayes, Oak, Broderick, Turk and Fillmore streets, is in the charge of Dr. A. S. Keenan. District No. 3, comprising Sutter, Sutro, Sacramento, Jackson, Polk, Larkin, California, Hyde, Union and Powell streets, is in the charge of Dr. L. L. Meininger. The Directors of the new Hospital Association are: Richard Cornelius, James Bowling, P. M. Belknap, W. C. J. Goldkuhl, W. S. Shafer, F. G. Shallenberger, W. S. Neil, Robert Keyes and George Lane.

Spasmodic Summer Complaint.

At this season, when intestinal troubles are so prevalent, accompanied by the usual manifestation, abdominal cramps, etc., nothing seems to relieve the distressing condition so promptly as Hayden's Viburnum Compound, a true and safe anti-spasmodic. Give two teaspoonsful of " H. V. C." in six of hot water every twenty minutes until relief is afforded. Be sure the genuine "H. V. C." only is administered.

VOL. XLVI-31

Literary Department.

Under the charge of WINSLOW ANDERSON, A. M., M.D., M.R.C.P.London; M.R.C.S.England; L.S. A. London, etc., Professor of Gynecology and Abdominal Surgery in the College of Physicians and Surgeons of San Francisco.

THE OFFICE TREATMENT OF RECTAL DISEASES EXPLAINED AND SIMPLIFIEDBeing an Exposition of the Treatment of all those Diseases, both Medical and Surgical, of the Rectum, Anus and Sigmoid Flexure, the Cure of which may be Accomplished without Surgical Anesthesia. By RUFUS D. MASON, M. D., Professor of Rectal and Pelvic Surgery in the John A. Creighton Medical College, Surgeon to St. Joseph Hospital, Member of the American Medical Association, Medical Society of the Missouri Valley, Nebraska State Medical Society, Omaha Medical Society, American Proctologic. Society, etc. Illustrated. Second edition. The Review Press, Lincoln, Nebraska. 1902. Price, $1.50.

The author of this treatise has been a specialist and teacher for many years and has given his methods of treatment that he found valuable. A second edition of the work has been found necessary within a year of the first. This shows that the profession was in need of what the author has given us.

CLINICAL TREATISES ON THE PATHOLOGY AND THERAPY OF DISEASES OF METABOLISM AND NUTRITION. BY PROF. DR. CARL VON NOORDEN, Senior Physician to the City Hospital in Frankfurt. Authorized American edition. Translated under the direction of BOARDMAN REED, M. D., Professor of Diseases of the Gastro-Intestinal Tract, Hygiene and Climatology, Department of Medicine, Temple College, Philadelphia In three volumes. Price $2.00. E. B. Treat Company, New York. 1903. "Diseases of Metabolism and Nutrition" is a series of monographs by Prof. Dr. Carl von Noorden. The authorized American edition is edited by Boardman Reed, M. D., Philadelphia. It is due to the disorders of metabolism and nutrition that degenerative changes cut short the activities of so many men and women in middle life-that, in these latter days, senility and death itself come prematurely to a very large proportion of mankind. I. Obesity, the indications for reduction cures, founded upon a critical scientific study, by this eminent pathologist and clinician. II. Nephritis. His treatment of the various forms of Bright's Disease are based on exhaustive experiments and bedside observations. III. Colitis. This is a masterly treatment of the complex subject of Membranous Catarrh of the Intestines (Colica Mucosa).

DISEASE OF THE PANCREAS-Its Cause and Nature. By FUGENE L. OPIE M. D., Associate in Pathology of the Johns Hopkins University; Fellow of the Rockefeller Institute of Medical Research. J. B. Lippincott Co.; Philadelphia and London. 1903. Price $3.00.

This excellent and instructive volume comes to us from Johns Hopkins. The author, Dr. Eugene L. Opie, has elucidated many obscure points about an obscure and imperfectly understood organ which is subject to less understood diseases. The pancreas, the author remarks, is probably less commonly the seat of generalized conditions such as amyloid degeneration, syphilis and tuberculosis than are the liver and kidneys, while acute and chronic inflammation less frequently attack it. Among the interesting conditions which overtake the pancreas at times is rapid self-digestion and putrefaction, conditions not always easy to diagnose. One of the important physiological functions of the pancreas is its relation to sugar metabolism. In the absence of the pancreas sugar no longer undergoes normal assimilation and animals undergo undergo a condition resembling diabetes. Diabetes mellitus frequently accompany some pancreatic lesion. Dr. Opie has given us a timely as well as a masterly production of pancreatic diseases, a subject upon which so little has been written and so little is known.

SURGICAL DISEASES OF THE ABDOMEN--With Special Reference to Diagnosis By RICHARD DOUGLAS, M. D, formerly Professor of Gynecology and Abdominal Surgery, Medical Department Vanderbilt University, Nashville; Ex-President of the Southern Surgical and Gynecological Associa tion; Fellow of American Association of Obstetricians and Gynecologists Member of the British Gynecological Association, etc. Illustrated by 20 full-page plates. P. Blakiston's Son & Co., 1012 Walnut street, Philadelphia, Pa. 1903.

This is the first large American work on Abdominal Surgery. The author has been a teacher and practitioner for many years. We fully concur with what he says in the preface: "As a teacher and practical worker in the special field of abdominal surgery for eighteen years I have found it necessary to rely largely upon journal literature for guidance. Reliable sources of information have not always been available, and on this account much of my work has been done in a manner to me unsatisfactory. I therefore undertook a systematic study of those conditions within the abdomen which require surgical relief, relying upon my

clinical experience to aid me in the choice and method of consideration of subjects, and the selection from general literature of the material which has proved to me of greatest value. The facts here presented are only such as have seemed to me of practical usefulness and as have borne the test of application." The work is carefully written, thoroughly up-to-date, and will prove of great value to the general practitioner and especially to the abdominal

surgeon.

1903.

PRACTICAL HANDBOOK OF THE PATHOLOGY OF THE SKIN. An Intro luction to the Histology, Pathology, and Bacteriology of the Skin, with special reference to Technique. By J. M. H. MACLEOD, M. A, M. D., M. R. C. P., Assistant in the Dermatological Department, Charing Cross Hospital; Physician to the Skin Department, Victoria Hospital for Children. With eight colored and thirty-two black and white plates. Price $5 net. P. Blakiston's Son & Co., 1012 Walnut street, Philadelphia. This work is based on a series of demonstrations given in the Dermatological Laboratory of Charing Cross Hospital. The book is exceedingly well gotten up. The colored and black and white lithographic plates are very good in describing the histology of the skin, the pathological changes which may affect its various elements, its bacteriological flora, etc. The work is unusually interesting, very complete, and although designed for medical students we believe no medical practitioner can afford to be without it.

HYGIENE AND PUBLIC HEALTH. By LOUIS PARKES, M. D., D. P. H., London Univ., Fellow of the Sanitary Institute and Member of the Board of Examiners; Lecturer on Public Health at St. George's Hospital Medical School; Medical Officer of Health and Public Analyst for the Borough of of Chelsea; late Assistant Professor of Public Health at University College, London. And HENRY KENWOOD, M. B., D. P. H., F. C. S.; Fellow of the Sanitary Institute and Member of the Board of Examiners; Assistant Professor of Public Health at University College, London; Medical Officer of Health and Public Analyst for the Borough of Stoke Newington. With illustrations. Price $3. P. Blakiston's Son & Co., 1012 Walnut street, Philadelphia. 1902. The second edition of this brought out within one year. edited and brought up to date. studies at the present time is public health, and the authors are so widely known as authorities that the work will be speedily sought after. The great advances in the science of hygiene during the past few years make such a work as

standard work has been It has been carefully reOne of the most important

this a necessity. Every medical student should study it and every medical practitioner should read the book.

A MANUAL OF SPECIAL TREATMENT. By W. WATSON CHEYNE, M. D., F.R.C.S., F.R.S., Professor of Surgery in King's College, London, Sur geon to King's Hospital, etc., and F. F. BURGHARD, M.D. and M.S. (Lond.), F.R.C.S., Teacher of Practical Surgery in King's College, London, Surgeon to King's College Hospital, etc. Complete work now ready. In seven imperial octavo volumes, with illustrations. Volume VII, 595 pages, with 113 illustrations, cloth, $5.75 net. Lea Brothers & Co., Philadelphia and New York. 1903.

This volume completes one of the most practical works on Surgery that has ever been written. It is a work which no physician can afford to do without, be he surgeon, specialist or general practitioner. It is devoted exclusively to treatment, and space is therefore found for precise descriptions of every detail necessary to success, including preparations, operation and after treatment. The authors, who, by reason of their long and varied experience and faithful study, are entitled to the fullest confidence, give unreservedly of their knowledge, and, moreover, every phase of their great subject is treated with such attention to details, and in terms of such clearness, that if their instructions are followed the most satisfactory results possible must be attained. The complete work comprises about 3,000 pages, with nearly 1,000 illustrations, and for greater convenience is bound in seven handy volumes. The present volume is devoted to the treatment of the Surgical Affections of the Rectum, Liver, Pancreas and Spine, the Genito-Urinary Organs, the Breast and the Thorax.

A REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. By various writers. New edition. Edited by ALBERT H. BUCK, M.D. Volume VI. Imp. quarto, 1012 pages, 764 engravings. Nine full-page plates in black and colors. New York: William Wood & Company.

Volume six is the mammoth of the series thus far, containing 1004 pages of reading matter, not counting numerous explanations of plates. Notwithstanding the enormous additional expense to the publishers, it was decided to make this volume of the present size, because a smaller volume could not have compassed all the very excellent articles which should properly have been included. The subscribers profit proportionately. It is hardly possible to select for separate mention any particular articles, the