DR. FRANKLIN presented some new instruments for inspection: A binocular electric head mirror (Clares) which can be readily focused; Hajek's chisels for the septum; Schulmeister's electric saw handles and saws; a sliding scissors for removal of the turbinates.

EVISCERATION OF THE GLOBE.

THE PRESIDENT: The subject for this evening's discussion is the evisceration of the globe. The subject can be divided into four divisions. 1. The indications for the operation. 2. The operative technique; and in this there is always something new, as, for instance, whether the eye is simply left with a clot of blood in its interior or the advantages of inserting a foreign substance, as a gold, silver, silver wire or glass globe, sponge or paraffin; the method of keeping the wound gaping, etc. 3. The after treatment; and much has been said as to the severe reaction following evisceration. 4. The final results. Is the foreign substance retained? Is the eye painful? The chances of sympathetic ophthalmia, the cosmetic effects, etc. None of us have had experience in all these lines, and that is why I bring up the subject so that all may profit by the experience of others. I believe it to be the operation of the future in selected cases.

DR. PAYNE: As regards the indication for the Mule's operation, I can speak from experience of ten or twelve cases in which I have been very much pleased with the result. Of course it is simply the amputation of the anterior segment of the eye at the limbus, evisceration of the sclera and the insertion of the glass ball. It is indicated wherever there is no infection or malignant disease within the globe and may be used in recent penetration injuries where enucleation is done to prevent sympathetic trouble In old cases, however, I will not resort to it, but up to this time I have used no other material than the vitrified glass ball for insertion into the sclera. The selection of the size of the ball is important. It should fit into the scleral cavity without any tension and still fill the cavity. Slitting the sclera a little at the interior and exterior canthus will allow one to coaptate the edges of the wound the better. As a rule there is a great reaction after the operation. The lids swell, conjunctiva very

oedematous and there is considerable pain for several days. Ice applied does not seem to prevent this. I used it in my first two cases, and although they came out favorably, of course, it was after a great deal of trouble and pain. To prevent this I now make a wall of cotton over the orbit, filling it in over the lids so as to make a snug compress over the whole orbital opening and then put on a snug flannel bandage. The more evenly this pressure is adjusted the less the reaction, pain and swelling. Occasionally the patient requires a hypo of one-eighth or one quarter of morphine the first few hours after the operation, but further than this I have had no trouble and the results have been excellent.

DR. DEANE: Dr. Payne's remarks have certainly been interesting and instructive. Would like to ask Dr. Payne if he has had any experience with the injection of paraffin. Could you bring some of your cases to some of our meetings?

DR. PAYNE: In answer to the question as to the use of paraffin, I have had no experience with it, but I can understand how it might be very satisfactory to fill in the orbital cavity or the space behind the conjunctiva in an ordinary enucleation. The glass ball has been so satisfactory with me that I hesitate to use any other material. However, I may try the paraffin to fill up the sclera in the near future.

Nutrient Wine of Beef Peptone.

A nutritious and palatable predigested food is often absolutely necessary during the summer months. Nutrient Wine of Beef Peptone fills the bill completely.

Dioviburnia and Neurosine.

I prescribed Dioviburnia and Neurosine in a very obstinate case of painful menstruation with the most satisfactory results. I recommend this combination in the treatment of dysmenorrhea and all uterine diseases accompanied by J. W. KEPPEL, M. D.

nervousness.

1007 Market St., Youngston, Ohio.

I have prescribed your Neurosine with splendid results, and recommend it whenever a neurotic, anodyne and hypnotic is indicated. GEO. W. HARGEST, M. D.

602 Willoughby Ave., Brooklyn, N. Y.

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.

A THESAURUS OF MEDICAL WORDS AND PHRASES. BY WILFRED M. BARTON, M.D., Assistant to Professor of Materia Medica and Therapeutics, and Lecturer on Pharmacy, Georgetown University, Washington, D. C.; and WALTER A. WELLS, M.D. Demonstrator of Laryngology and Rhinology, Georgetown University, Washington, D. C. Handsome octavo of 534 pages. Philadelphia, New York, London: W. B. Saunders & Company. 1903. Flexible leather, $2.50 net; with thumb index, $3.00 net.

This work is the only Medical Thesaurus ever published. It performs for medical literature the same services which Roget's work has done for literature in general; that is, instead of, as an ordinary dictionary does, supplying the meaning to given words, it reverses the process, and when the meaning or idea is in the mind, it endeavors to supply the fitting term or phrase to express that idea. To obviate constant reference to a lexicon to discover the meaning of terms, brief definitions have been given before each word. As a dictionary is of service to those who need assistance in interpreting the expressed thought of others, the Thesaurus is intended to assist those who have to write or to speak to give proper expression to their own thoughts. In order to enhance the practical application of the book cross references from one caption to another have been introduced, and terms inserted under more than one caption when the nature of the term permitted. In the matter of synonyms of technical words, the authors have performed for medical science a service never before attempted. Writers and speakers desiring to avoid unpleasant repetition of words will find this feature of the work of invaluable service. Indeed, this Thesaurus of medical terms and phrases will be found of inestimable value to all persons who are called upon to state or explain any subject in the technical language of medicine.

N. W. AYER & SON'S AMERICAN NEWSPAPER ANNUAL. Price, $5.00. Phil. adelphia: N. W. Ayer & Son, Advertising Agents, 300-308 Chestnut street. 1903.

This is a catalogue of American newspapers, and contains a carefully prepared list of newspapers and periodicals published in the United States, Territories and

Dominion of Canada, with valuable information regarding their circulation, issue, date of establishment, political or other distinctive features, names of editors and publishers, and street addresses in cities of fifty thousand inhabitants and upward, together with the population of the counties and places in which the papers are published according to the United States census of 1900. It also contains a list of newspapers and periodicals published in Hawaii, Porto Rico, Cuba and the West Indian Islands, compiled from the latest obtainable information. There are also 58 colored railroad maps of the United States and its possessions, Canada and the West Indian Islands. It also gives the vote of States and counties at the Presidential election of 1900. The work is indispensable to every publisher.

BREWER'S SURGERY. A text book of Surgery for Students and Practitioners. By GEORGE E. BREWER, A.M., M.D., Lecturer on Clinical Surgery at the College of Physicians and Surgeons (Medical Department of Columbia University), New York. In one octavo volume of 712 pages, with 280 engravings and 7 plates in colors and monochrome. Cloth, $4.00; leather, $5.00, net. Lea Brothers & Co., Philadelphia and New York. 1903.

Professor Brewer remarks, in his preface, that the need of a comprehensive, yet abridged, text-book on Surgery, suitable for the use of students and practitioners, and presenting clearly the accepted modern views of surgical pathology and treatment, has been felt by the author of this work during his experience in teaching. That such a need has existed in the past is evidenced by the fact that excellent manuals have appeared from time to time. That it is not adequately filled at present is perhaps due to the fact that the best of these manuals have, by their success, passed into new editions, in each of which the tendency to enlarge has not been sufficiently resisted, and consequently they have grown into large treatises, thereby outgrowing the demand which originally called them into being. Following these ideas, the author has endeavored in the present work to give the essential facts in practical surgery as briefly as is compatible with clearness. The same reason has excluded the description of more than one or two methods of treating a given surgical affection. It is often a difficult task to select from the many procedures which have been proposed that which is most applicable and suc

cessful, but such selection is a great aid to the reader. Space has also been gained by the avoidance of quotation of authorities, except where advanced ideas are mentioned which have not yet received general recognition.

DISEASES OF THE EAR. A text-book for Students and Practitioners. By EDWARD BRADFORD DENCH, Ph.B., M.D., Professor of Otology in the University and Bellevue Hospital Medical College; Aural Surgeon to the New York Eye and Ear Infirmary; Consulting Otologist to St. Luke's Hospital; Consulting Otologist to the New York Orthopedic Dispensary and Hospital. Third edition, revised. With 9 colored plates, and 170 illustrations in the text. Cloth, $5.00; half leather, $5.50. D. Appleton & Co., Publishers, 436 Fifth Avenue, New York.

In this work the author has endeavored to supply the needs of the general practitioner as well as those of the special surgeon. To this end, considerable time has been spent in the consideration of pathological changes which may occur in the auditory apparatus. In those portions of the work devoted to the treatment of various diseases an effort has been made to describe in detail the various manipulative procedures employed in the local treatment of the different conditions. The importance of a thorough functional examination of the ear is emphasized, and the results of the most recent and reliable investigations are placed before the reader in a manner best suited to make them available and helpful in diagnosis. The illustrations are numerous and well executed, and contribute largely to a clear understanding of the text. All the illustrations delineating operative procedures have been carefully made from the author's dissections. In preparing the third edition of the work, each chapter has been carefully revised, and the work is of value both as a text-book for students and as a reliable guide for practitioners of medicine.

KING'S MANUAL OF OBSTETRICS. By A. F. A. KING, M.D., Professor of Obstetrics and Diseases of Women, in the Medical Department of the Columbian University, Washington, D. C., and in the Medical Department of the University of Vermont. Ninth edition, revised and enlarged. In one 12mo. volume of 628 pages, with 275 illustrations. Cloth, $2.50, net. Lea Brothers & Co., Publishers, Philadelphia and New York. 1903. As stated in the preface to the first edition, the chief purpose of this book is to present, in an easily intelligible form, such an outline of the rudiments and essentials of Obstetric Science as may constitute a good groundwork for the student at the beginning of his obstetric