COLLEGE AND HOSPITAL NOTES.

THE Manhattan Eye, Ear and Throat Hospital, New York, will erect a new building on 63d street, to be twelve stories high and to accommodate about 400 ward patients and 50 private patients. A feature of the Manhattan hospital is its postgraduate department. Here any physician holding a recognised degree may take a three months' course in various phases of surgery connected with the special work of the hospital.

THE Batavia Hospital is to receive a gift of $5,000 from Mrs. Adelaide R. Kenney, as indicated by the following letter addressed to the board of directors:

"Inasmuch as the town is endeavoring to secure three new factories, which will be of great benefit to Batavia, but will necessitate an expenditure by the village, and as we need the hospital enlarged, and as we do not wish to ask the people for more money, if the directors will secure satisfactory plans which will include a nurses' home, an operating room, and more wards, to be built for $5,000, I will give the $5,000."

For the generous gift the directors by a rising vote extended to Mrs. Kenney a most hearty vote of thanks.

THE University of Buffalo announces the second series of university lectures to be given by the following named gentlemen: Frank Hyatt Smith, Lewis Stockton, Harlow C. Curtiss and Herbert P. Bissell, each of whom will deliver a course, respectively, on English literature, Popular government, American history, and German literature. The fee for each course is $5.00.

BRIGHAM HALL, a hospital for nervous and mental diseases, located at Canandaigua, N. Y., has recently issued a handsome brochure, beautifully illustrated, giving an account of the institution. It was founded in 1855, and is one of the most famous private hospitals for the treatment of the class of diseases referred to, in this country. It is under the charge of Dr. D. R. Burrell, who ranks among the most eminent alienists of the present day.

FOUR of the trained nurses who have recently returned from Japan, where they were serving in the base hospital at Hiroshima under the direction of Dr. Anita Newcomb McGee, have volunteered to go to Panama to nurse in the hospitals of the Canal Commission.-Medical Age.

BOOK REVIEWS.

GALLSTONES AND THEIR SURGICAL TREATMENT. By B. G. A. MOYNIHAN, M.S. (Lond.), F.R.C.S., Senior Assistant Surgeon to Leeds General Infirmary, England. Octavo, 386 pages, illustrated, including nine colored insert plates. Philadelphia, New York, London: W. B. Saunders & Company. 1904. (Cloth, $4.00 net.)

The surgical treatment of gallstone disease is fast becoming the accepted method, not only in the presence of acute symptoms but upon assured diagnosis at any stage, or even in the absence of symptoms if gallstones be present. Mr. Moynihan is the apostle of the surgical treatment of gallstone disease and it is most appropriate that he has given us a treatise on the subject, because of his large experience and ripe judgment. The eleven chapters of his book are replete with interest and discuss every feature of the subject, from the anatomy of the gallbladder and ducts which forms the subject of the first chapter, to operations for obstruction of the common duct which are detailed in the final chapter.

One of the chief claims of this treatise to professional favor is its nature, being based upon the clinical experience of the author, which is very large. It will be remembered by many that Mr. Moynihan visited this country in May, 1903, and took part in the proceedings of the Congress of American Physicians and Surgeons at Washington. His discussion of the surgery of the stomach and of gallstone disease was such as to impress his audience with his knowledge and surgical skill.

The present work will do much to increase the confidence of the medical profession in the surgical treatment of the disease, particularly in the earlier stages of its manifestations during which, until comparatively recently, the practice has been to depend upon medicine instead of surgery,-upon drugs instead of the knife. Now, however, the most progressive physicians are ready to admit that, in the presence of obstructive gallstone disease with urgent symptoms, they are powerless to relieve, and the aid of the surgeon must be sought in order to save life.

We cannot speak too highly of Mr. Moynihan's modest presentation of this great subject and we hope his book will make its way into the hands of every physician as well as surgeon, who makes any pretense to keep pace with the progress of professional events.

DISEASES OF THE LIVER, GALLBLADDER, AND BILE DUCTS. By H. D. ROLLESTON, M.D., Physician to Saint George's Hospital, London. Octavo, 794 pages, illustrated, including seven colored insert plates. Philadelphia. New York, London: W. B. Saunders & Company. 1904. (Cloth, $6.00 net.)

Great importance of late has become attached to the diseases of which this book treats, particularly because many of them are

amenable now to surgical intervention. Without doubt this is the most comprehensive treatise relating to diseases of the liver and its appendages that has appeared in English, and is destined to become recognised authority by teachers and practitioners of medicine.

The recent acquisition of island possessions in the tropics by the United States has stimulated the study of diseases incident to the climate on the part of American physicians. This treatise will assist very much in the acquirement of knowledge concerning many tropical diseases. In this relation the section on tropical abscess of the liver has special interest and significance. That the disease is closely related, if not largely dependent upon, dysentery, is now believed; indeed, it has been so demonstrated to the satisfaction of the most careful observers of tropical diseases. Such being the case intestinal disease, and especially dysentery, possesses increased importance for the student of tropical diseases. Of course, other causes of tropical abscess apart from dysentery are to be considered, but dysentery seems to be allotted chief place at present.

Probably no disease of the liver has received more attention or been the subject of greater controversy than cirrhosis of that organ, primary or secondary. Rolleston assigns over one hundred and sixty pages to its consideration, and it may be remarked that nowhere has the subject been discussed so clearly, so completely, and we might add, so masterfully as here. Syphilitic disease of the liver is only second in importance to the foregoing because it is less frequent than cirrhosis. But Rolleston gives a complete clinical picture of the disease as well as a description of its several methods of manifestation and a terse account of the gummata.

Gallstone disease is the subject in the final section of the book, and the entire volume is filled with material that can only be appreciated by studying it carefully from beginning to end.

LECTURES TO GENERAL PRACTITIONERS ON THE DISEASES OF THE STOMACH AND INTESTINES. BY BOARDMAN REED, M.D., Professor of Diseases of the Gastrointestinal Tract, Temple College, Philadelphia. Octavo, 1021 pages. Illustrated. New York: E. B. Treat & Company. 1904. (Price, $5.00.)

A book of lectures of diseases of the stomach is to be welcomed at this time because, among other reasons, a treatise in such form is apt to bring out the latest and best methods of diagnosis and treatment and, moreover, to present them in readable, not to say entertaining form. This is precisely what this author has accomplished. While it is apparent that he has not made startling discoveries nor demonstrated great and original methods he has, nevertheless, done the profession of medicine some service in giving it a good treatise constructed on modern pathology, etiology, diagnosis and treatment. It is also quite apparent

that the incongruities of style as well as defective grammatical constructions here and there are incident probably to the lecture method without careful revision, but these will disappear no doubt when the next edition is put forth.

We confess it is difficult to understand why an author who has made a modern book, medically speaking, should mar it by permitting it to print violations of present day orthography. The spelling of words differs under varying conditions of time and environment. The orthography of today is the result of evolution, differing materially from that of the eighteenth century, as will the orthography of the twenty-first century differ from ours. The medical profession is slow to adopt changes, but there is no good reason why it should not be consistent. If "hemorrhage," why "anæmia," "ætiology," and the like. Another thing-in expressing the possessive of a proper name ending in s, an apostrophe and an s should be added: thus, Boas's, instead of Boas'. If we, as a people, are not ready to adopt the so-called reform spelling, we may at least use simple English, and "write as we speak."

If a medical student in the pursuit of his studies relating to diseases of the stomach and intestines should buy this book and study it closely, he will prepare himself to deal with those questions intelligently, and will equip himself to meet all examinations, relating to them.

A TEXTBOOK OF CLINICAL DIAGNOSIS BY LABORATORY METHODS. For the use of Students, Practitioners, and Laboratory Workers. By L. NAPOLEON BOSTON, A.M., M.D., Associate in Medicine and Director of the Clinical Laboratories of the Medico-Chirurgical College, Philadelphia. Octavo, 547 pages, with 320 illustrations, many in colors. Philadelphia, New York, London: W. B. Saunders & Company. 1904. (Cloth, $4.00 net; sheep or half morocco, $5.00 net.)

The laboratory is playing such important part in the diagnosis of most diseases that it is almost as difficult to keep pace with its ever improving methods, as to follow the advances of all the other diagnostic processes. The author designs this book as an aid to the medical student and general practitioner, having adapted it in particular to their needs, by limiting its scope to such simple technic as can be carried out without complicated or elaborate armament. The blood, as might be anticipated, receives first attention and its study is given in minute detail, including the recent methods of examination and staining, which are admirably illustrated.

Next to the blood, the urine claims attention, each, however, covering about the same space,-one hundred and forty pages,and each receiving the most exhaustive description, though in neither section is there any display of overdoing, all being told in simple words that are not used without necessity or meaning; that is to say, every word seems to have been weighed and none is used that has not its precise place.

The section on the urine will prove of interest to every practising physician, because he must needs know all that can be learned by subjecting this excretion to the most careful scrutiny; and in this work there is so much that is practical and not a little that is original in the studies of the urine. All the newer methods of investigation are described and the significance of the findings are enumerated. The studies of animal and vegetable parasites possess peculiar interest at this time when their significance is being interpreted with more accuracy than heretofore, and when new ones are being found with sufficient frequency to lend interest constantly to the subject.

The illustrations are numerous and creditable,-many being of unusual excellence, especially those in colors delineating the blood under various conditions. It is a book that is likely to become a part of the textbook equipment of every student who wishes to master the art of clinical diagnosis.

A TREATISE ON OBSTETRICS. For Students and Practitioners. By EDWARD P. DAVIS, A.M., M.D., Professor of Obstetrics in Jefferson Medical College, Philadelphia. Second edition, thoroughly revised and enlarged. Octavo, 800 pages, with 274 engravings and 39 full-page plates in colors and monochrome. New York and Philadelphia: Lea Brothers & Company. 1904. (Cloth, $5.00 net; leather, $6.00 net.)

Something like eight years ago (February, 1897,) the JOURNAL had the pleasure of reviewing the first edition of this treatise, pointing out in considerable detail its many excellent features. Since that time many advances have been made in obstetrics, hence a new edition intended to embrace all those of value is sent out.

One of the first characteristics of the new edition that attract attention is its increase in size over the old, the new containing 809 pages as against 553 pages in the old, and this difference of 256 pages is a good expression of the relative advancement of the science and art of obstetrics beyond its status when the book was issued the first time. A similar note may be made of the illustrations for, whereas the first book contained 217 engravings and 30 plates, this one presents 274 engravings and 39 plates.

The author is a teacher of experience and is capable of giving expression in writing to that which is most needful to him who is in search of light, be he undergraduate pupil or general practitioner, junior or senior; or, again, if he happens to be a teacher of obstetrics, even all these may profit by studying or examining this treatise.

The methods of treatment advised by the author are based on his personal experiences. Without entering into a detailed account of the author's methods, we may, nevertheless, reaffirm our opinion as previously expressed, that it is a popular textbook and takes rank among the best of obstetric treatises. Besides giving full information from the beginning to the end on the subject of obstetrics proper, it deals also with the infant in health,