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cocele, vasectomy, circumcision, rectum, cervix, perineum and extremities, and the operations are thoroly described and illustrated. Nothing seems to have been omitted that would aid the reader in performing the operation. This volume puts local anesthesia for surgical operations upon a high plane of efficiency and will be a great boon to many a physician who must operate without assistants. The book contains copious marginal notes and suggestions, and in the text many logical suggestions to the operator. The average doctor, in his daily work, has frequent need for just such help as this book gives.

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The following subjects are covered: thesia; Nephrolithiasis; Cholecystitis; Gastroduodenal Úlcer, Gastro-enterostomy; Appendiceal Abscess; Colonic Adhesions simulating Recurrent Appendicitis; Exophthalmic Goiter; Traumatic Lesion of Brain; Trifacial Neuralgia; Tumor of Spinal Cord; Chronic Mastitis; Recurrent Ovarian Cystosarcoma; Retroversion of Uterus; Rectocele and Perineal Laceration; Ununited Fracture, Shaft of Right Humerus; Osteitis Fibrosa Cystica of Right Humerus; Ankylosis of Left Elbow; Ankylosis of Right Hip Joint. The wide range of subjects is sufficient to maintain the interest of the reader to the end; one does not tire, but finds it easy to be entertained while absorbing the very best of instruction. The comments of the operator are interesting and one can almost imagin himself within the sound of his voice. There is no better substitute for a post-graduate course in surgery than the systematic reading of this course of lectures and clinics.-A. L. R.

A TEXTBOOK OF GENERAL BACTERIOLOGY. By Edwin O. Jordan, Ph.D., Professor of Bacteriology in the University of Chicago and Rush Medical College. Third edition, thoroly revised: 623 pages, fully illustrated. Philadelphia and London: W. B. Saunders Co., 1912. Cloth, $3, net.

The chapter on leprosy has been practically rewritten. New sections appear in the chapters on cholera and on typhoid fever. Late advances in the knowledge concerning poliomyelitis, measles, typhus fever, and on a number of diseases of plants are summarized. The description of technical procedure in serum diagnosis has been amplified. The text was developt from lectures given by the author to students in the University of Chicago, and is intended for elementary work; the bibliographic references will aid the investigator who wishes to delve deeper into the subject. It is not designed as a laboratory manual, nor is it limited to the medical side.

The pur

pose is to give a wider view, and show the medical student how bacteriology bears technical relation to agriculture, sanitation, sanitary engineering, and even to household administration. Three chapters on subjects not intimately connected with medicin are especially interesting to the medical man: "Bacteria in the Arts and Industries"; "Bacteria of Air, Soil, and Water"; and "The Bacterial Diseases of Plants." The cuts are remarkably good, and the subject matter has the mark of exceptionally judicious selection, verbosity being eliminated. The book will serve admirably for any medical student or for any

one following general scientific lines who cares to become posted on the medical side of bacteriology.-A. L. R.

PSYCHANALYSIS: ITS THEORIES AND PRACTICAL APPLICATION. By A. A. Brill, Ph.B., M.D., Chief of the Neurologic Department of the Bronx Hospital and Dispensary. 337 pages. Philadelphia and London: W. B. Saunders Co., 1912. Cloth, $3, net.

Psychanalysis being the only system of psychotherapy which deals with the various neuroses as entities instead of treating the symptoms merely, as is done in hypnotism, suggestion and persuasion, it follows that treatment of obsessions or phobias is quite as irrational as to treat cough or fever without regard to the causativ factor. The elementary lesson, the author asserts, for the student of psychanalysis, must be the thoro mastery of Freud's theories of the neurosis, the interpretation of dreams, the sexual theories and the psychopathology of every-day life, together with the possession of experience in nervous and mental work. Thruout the book it is imprest upon the reader that the main object of the work is clearly to present the practical application of Freud's theories in one volume. It is certain that the reader will be encouraged by it to a greater interest in the original works. author has given us a clear, concise, practical treatise, in small space, which will enable any practician to intelligently test out the theories of Freud in his own practise. We have never seen a single small volume so well suited for instruction of the general practician along these lines.— A. L. R.

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The book considers anatomy and physiology, hygiene, bacteriology, therapeutics and materia medica, dietetics, invalid cookery, and questions for self-examination and review. It is the most sensible effort we have seen directed toward a rational method of elementary study for the student nurse. The matured judgment and extended experience of the author has fitted her to know what should be omitted, and also to estimate how much information is likely to be assimilated in the short time at the disposal of the student nurse. Every line in the book will be serviceable for purposes of instruction in matters that are essential, and not one line appears which could prove confusing or which could encourage a nurse to exceed the limits of her proper sphere. The book could displace the dozen or more textbooks used in most schools of nursing with markt advantage to all concerned.-A. L. R.

MECHANICAL VIBRATION: ITS PHYSIOLOGIC APPLICATION IN THERAPEUTICS. By M. L. H. Arnold Snow, M.D., Professor of Mechanical Vibration Therapy in the New York School of Physical Therapeutics; Associate Editor of the Journal of Advanced Therapeutics, etc. 1912. Pp. xvi, 476. Scientific Authors Publishing Co., 329 W. 57th Street, New York. Price, $3.50.

Long lookt for by physicians activly using physical treatment methods, this comprehensiv work on instrumental vibrissage by a widely recognized master of the subject satisfies every requirement. Now that electricity is supplied almost everywhere for commercial use, there can be little excuse for the family doctor's failure to systematically employ the low-cost vibrator that so often takes the place of massage and other manipulativ

measures and cults. Surely, from the financial side, it must appeal to every progressiv. As may be expected from one long in extensiv practise, largely made up of difficult cases referred by other practicians, all phases of the title are fully covered in this work: Comparativ values of portable and office apparatus are given in such a plain, dependable way that it makes one wish that all electric treatment devices were given like free criticism in other books on non-drug treatment. The chapters on physiologic action of vibration and its unquestioned value in diagnosis, calling for thoro study, will gladden the reader with the improved means suggested. These are based on latest researches by the author and other competent workers. The most important section of the book, naturally, is that upon treatment of abnormal conditions and the mass of advice, of every-day value to the every-day doctor, comprest into these 278 pages of clearly printed text, makes it impossible to single out any one part for especial praise. You are imprest by the fact that original methods here advised were long in daily use by Dr. Arnold Snow before appearing in print; in other words, the book was written by a practician for fellowpracticians. It should be on every doctor's desk for daily reference.-A. B. H.

SAFEGUARDING THE SPECIAL SENSES. General advice regarding the use and preservation of the eyes, ears, nose and throat. By Henry O. Reik, M.D., formerly Associate in Ophthalmology and Otology in Johns Hopkins University. 123 pages, 4 illustrations. Publisht by F. A. Davis Co., Philadelphia. Price, 75 cents, net.

This excellent little book is printed with large type on good paper and is easy to read. The author takes up the subjects like one thoroly familiar with them and gives proper advice on the care of the organs mentioned. He carefully warns lay readers about the dangers of incompetent pseudodoctors and of home remedies in diseases that may cause irreparable damage if not properly treated. It is a good book for the laity to read, especially such as are prone to selfmedication or administering remedies to others. Some doctors might find it useful to loan such a book to some of their patients.-J. C. R.

TEXTBOOK OF GENERAL AND SPECIAL PATHOLOGY. By Henry T. Brooks, M.D., formerly Professor of Pathology in the New York Post-Graduate Medical School, etc. 545 illustrations, 40 in colors; 1145 pages. Publisht by F. A. Davis Co., 1914 Cherry St., Phila. Price, $6.

This splendid work contains in one volume the subject matter of the present science of pathology. While itself a large book, it is a concise presentation of a large subject. It is not only a textbook for students, but also a practical book for the physician, as the author kept the latter in mind while preparing it, and wherever practicable questions of diagnostic importance have been sidered. Modern treatment of disease is based upon the pathology thereof, and it behooves the practician to know the pathology in treating disease. The book is splendidly written, well printed, beautifully and thoroly illustrated, and properly indexed.-J. C. R.

con

DIABETIC COOK BOOK. By Anna Colby Knowlton. Publisht by Anna C. Knowlton, Englewood, N. J. 118 pages. Price, $2, net; postage, 10 cents extra.

This excellent book shows an infinite variety of ways of cooking starchless flour and preparing other food for the diabetic dietary. No diabetic person need complain of lack of variety in food now that this complete little volume is avail

able. Cake, biscuit, bread, griddle cakes, muffins, waffles; desserts, such as puddings, dumplings, custard, semolina, custard cream, blanc mange, etc., sauces, pie, ice cream, and many other things are described, with full directions for making. The book is well printed with large type on clear paper.-J. C. R.

BUILDING A PROFITABLE PRACTISE. Being a textbook on medical economics. By Thomas F. Reilly, M.S., M.D., Professor of Applied Therapeutics in Fordham University, New York City. Phila.: J. B. Lippincott Co., 1912. 290 pages; 16 illustrations. Price, $2.50.

This is a book on the side of the practise of medicin not usually taught in medical schools, but which has been taught by Dr. Reilly for the past five years. It is as important for the new doctor as a knowledge of the treatment of disease. Many a young man might have been successful in his first location had he been taught what Dr. Reilly has put in this book. Our medical teachers have been derelict in this matter. This book supplies them with the material to render first aid to a bewildered young doctor. It takes up the subjects of post-graduate study, hospital work, location, office, income, charges, collections, nurses, law, ethics, consultations, errors, office practise, don'ts, etc. The beginner in medicin will find this book of incalculable value.-J. C. R.

THE MODERN MATERIA MEDICA. 3d edition, 282 pages. New York: The Druggists' Circular, 100 William Street, 1912. Price, $1.

This little volume gives the source, chemical and physical properties, therapeutic action, dosage, antidotes and incompatibilities of all additions to the newer materia medica that are likely to be called for on prescriptions, together with the name and address of the manufacturer or proprietor, and, in the case of foreign articles, of the American agent. Such a book cannot fail to be of much service to physicians and druggists.-J. C. R.

SOME DON'TS, MEDICAL AND SURGICAL. Publisht by Fellows Co., 26 Christopher St., New York.

This 12-page pamphlet contains "don'ts" on appendicitis, cancer, heart, gynecology, stomach, genito-urinary, salvarsan, neosalvarsan and life insurance that will be a good help to a physician, who may have overlookt some little or big point on these subjects. A copy can be had free by writing to the publishers.-J. C. R.

STUDIES IN THE PSYCHOLOGY OF INTEMPERANCE.. By G. E. Partridge, Ph.D. Publisht by Sturgis & Walton Co., New York, N. Y., 1912. Price, $1, net. 256 pages.

The author delves deeply into the matter, and strives earnestly to give his reader an insight into the mind of the man who drinks. After he feels that his reader has some comprehension of the psychology of inebriety, he argues that the main effort to be made against the encroachment of liquor is "educational and constructiv, rather than legal and negativ." He does not wish to be understood as being opposed to temperance or temperance efforts, but from his viewpoint many efforts made against liquor are misguided efforts. This work is well worth reading by any man, notably so by those of the medical, legal, and ministerial professions. Under the heading of "The Practical Problem," he has pointed articles on "The Saloon and the Club"; "Preventiv and Educational Measures"; "The Care, Cure, and Control of the Drunkard," and a "Summary of Practical Principles." The text is entertaining,

“Talk” may be separated from THE WORLD by cutting this leaf on this line.

Thus "Talk" without the medical part may be passed among lay friends, or given to the editor of the local paper to copy from.

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and the material will furnish rich food for careful thought.-A. L. R.

MOTOR CAR ANATOMY. Being a book of valuable information for the prospectiv purchaser of an automobile. By Franklin Pierce. 80 pages, 19 illustrations. Publisht by Buckeye Mfg. Co., 1801 Columbus Avenue, Anderson, Ind.

This pretty little book should be a great aid to a person intending to purchase an auto. It considers the general makeup of an auto, the motor, magnetos, carburetors, cooling the motor, frame design and construction, transmission (high and low gear changing), final drive, axle, basis of figuring automobile values, and "talks" to the intending purchaser. This is a good honest book on the automobile, and every intending purchaser should get one. It is written by one familiar with the subject. It will be sent free to readers of THE WORLD on application_to_the publishers and mention of this paper.-J. C. R.

THE BLOOD OF THE FATHERS. A play in four acts. By G. Frank Lydston, M.D., Chicago, Ill. Riverton Press, Chicago, Ill. Price by mail, $1.25. 241 pages. Acts are detailed with costumes. A tale of a physician who determines to devote his life to the study of sociology and the elevation of the "under dog," to the end that there "shall be no under dog." In the course of his slum labors he meets a wealthy and beautiful young lady philanthropist and almost loves her; she is willing, but a brilliant adventurist crosses his path, and he marries her. He learns that she is the daughter of a burglar whom he has befriended and a mother who was an opium fiend, but it does not deter him from the ceremony. Later, she steals a cluster of diamonds at a society function, and when accused by her husband (who has almost lost his life in a battle with the detectiv who came to secure the return of the jewels), she commits suicide. A sordid tale of misguided passion in a brainy man, who allows his heart to run away with his head. As a mere love tale, it is interesting; as a sociologic plea, it is impressiv. Much human nature is revealed, and no small histrionic talent is displayed by the author. Many dramatic incidents abound, and tragic denouément is common thruout the work.-A. L. R.

UNCOMPLICATED PREGNANCY AND LABor. By Finley Ellingwood, M.D., author of Ellingwood's "Materia Medica and Pharmacognosy," " etc. 160 pages. Publisht by Ellingwood's Therapeutist, 32 N. State St., Chicago, II. Price not stated.

In this little volume the author presents his views from a study of 2,000 cases treated by himself. He endeavors to present a simple scientific method of treatment of the disorders of the pregnant term for their cure and for the prevention of the complications of labor, to induce a normal balance of functions so that parturition without pain may result. This laudable effort is based on the large number of cases he has treated. Dr. Ellingwood recommends hot sitz baths during the last three months of pregnancy to produce relaxation. He describes in detail the materia medica he has found useful and gives a chapter on treatment of the disorders arising. book will unquestionably prove useful to many physicians.-J. C. R.

When a

The

woman backslides from Christian Science she begins with osteopathy and then glides to Glauber's salt and calomel.-Philistine.

OUR MONTHLY TALK.

89

Let's go to Europe. All right. Many go every year. The interests there of every kind are vast: Art treasures. Historic associations. The accumulated learning and culture of centuries. Vast hospitals, extensiv clinics, great medical teachers.

That's one view. Our population is now nearly 100,000,000. That of Germany is 64,903,423; of France, 38,961,945; of England, Scotland, Ireland and Wales, 45,216,741. Our people are the most free, the most inventiv, enterprising and productiv in the world. Our resources and possibilities are greater beyond all comparison than those of any other nation on earth. I have before me Prof. Bogart's (Princeton University) Economic History of the United States. This edition was printed in 1908-and nowadays four years means much progress. On page 13 of this book I read the following: "Not merely does the United States lead all countries in the production of dairy products, corn and wheat, of coal, iron, copper, and lead, but the greater part of the lumber, meats, tobacco, cotton, gold, silver, and petroleum which enter into the world's trade come from its forests and fields."

Read that sentence again and again till you get its full meaning. A country that is first in the production of all the above-mentioned staples of life and of industry is certainly a great country. This is material greatness, but intellectual greatness is based upon and mingled with it.

I recently spent a few days in New York City. It presents as many wonders as any city in the world. The Brooklyn bridge, of which we used to hear so much, is now an old story. There are now four bridges across the North river. A greater wonder, tho not at all spectacular, are the tubes thru which we pass under the North River and the Hudson River. These tubes are great savers of time to those who go from place to place in the great city-the distances are so great. I saw for the first time the Woolworth building, not yet completed inside, but complete externally. It rises over 700 feet above Broadway, a graceful structure buff in color. It is beautiful and impressiv. No foreign city has a building to compare with it-nor with some other buildings in New York, Philadelphia and Chicago. One other artificial structure exceeds the Woolworth building in height, and that is the Eiffel tower in Paris; but that isn't a building; it is an open steel structure constructed for height.

The largest ships afloat, the Lusitania and others of her class, were built for the American trade. I have never seen in any port of the world boats for local traffic that would compare in elegance with the New York and Boston boats or the Albany Day Line boats.

Our material wealth has made us great. It should not make us vain, and it should make us realize that we should build upon it an intellectual and moral fiber and stamina worthy of our physical achievements. If I read the signs of the times aright, we will continue our material growth, but it will be made somewhat subordinate to ethical considerations in the distribution of the same. A few will not have the power to accumulate great wealth and oppress

the masses that they have enjoyed in the pastand that will not check our marvelous material development. It is the custom for "captains of industry" to think that they did it all; and they wish to claim all the glory and profits. We are now beginning to understand their antics and how to check them. And by checking their antics we will not check our development. If the in-coming administration succeeds in opening the avenues of opportunity to all on equal terms, our material, mental and moral progress will all be accelerated, and all these blessings will be more generally and more justly diffused among those who produce and those who serve.

The thought that I wish to express is, that while we are contemplating the past and present greatness of foreign nations, we are here building a greater nation than any the world has ever seen. And yet another thought: That if we wish our building to be solid and permanent, we must avoid the causes of decay that have destroyed other nations. We must avoid the concentration of wealth and power into the hands of a few. We must reward enterprise liberally, but not too liberally. We must maintain and improve our political democracy, and we must also consider industrial democracy.

Political progress is satisfactory. Judge Archbald's impeachment by the U. S. Senate was an indication of elevation of ideals in that body. And the resignation of Senator Bailey was an indication that his ideals in politics are passing. President-elect Wilson is becoming more and more progressiv in his pronouncements. A few years ago he was a conservativ; but with keener eyes than those of his fellows he read the signs of the times. In 1911, as Governor of New Jersey, he surprised the country. This winter, his legislature being again in session, he seeks to complete the job so well begun in 1911, and then proceed to a bigger one in Washington. It would not have been wise to try to do it all in

1911.

The legislatures of 40 states meet this year to legislate in a more enlightened manner than ever before; 37 of them are now in session, and the Arizona legislature will convene in February, Florida in April, and Georgia in June. I have sent a markt copy of January Equity with a letter to the governor of each of these states, and a markt Equity to a great many of the legislators, hoping thus to guide the legislation for improvements in the processes of government, by the introduction of the Initiativ, Referendum and Recall, Direct Primaries, Presidential Primaries, the Preferential Ballot, Proportional Representation, the Short Ballot, etc. These are nonpartizan improvements in the machinery of government, urged at present for municipalities, counties and states, but eventually may be used in national affairs.

Both Governor Wilson and Governor Marshall, the two governors on their way to higher places in Washington, take a lesson from Kansas and recommend a "blue sky" law-as Marshall puts it: "Legislation to prohibit stock watering and to 'protect unwary against investing their money in schemes which are ordinarily known to the business world as "blue sky.""" Governor Wilson puts it this way:

"The people of the state are at present, moreover, at the mercy of investment companies of every kind. Securities of any and every sort can be sold in New Jersey by irresponsible persons, and the purchasers must depend upon their own investigations to ascertain whether they are bogus or based upon good business. They should have the protection of the law. Investment companies should be put under inspection and regulation by the state, and no one should be allowed to sell securities in New Jersey without public license issued from the department exercising the rights of inspection and regulation. New Jersey is very late, indeed, in affording her people this protection."

I have not the messages of the other governors before me, but Governor Blease, of South Carolina, writes me: "South Carolina is the most advanced state in the Union in every line.” And then I had a good laugh.

This is an interesting and important year for state legislation, and when Congress convenes in extra session in the early spring, with a new man in the White House, it will prove to be an interesting and important year in national legislation also. Can you not exert some influence with your representativ and senator in your state legislature for progressiv legislation? If you had a January Equity (see page 31, bottom of second column, January WORLD), it would help you greatly in making suggestions to your legislators. The intelligent portion of the non-official classes are keeping close to our officers to see that they do the public business in the public interest. We have had too much of serving of private interests by governmental instrumentalities. The wealthy and powerful have thus increast their wealth and power. This should be reversed if any partiality should be shown. But a fair and equal chance for all is best. As a rule, legislators, both state and national, will welcome co-operation and suggestions from the intelligent among their constituents. I hope that you will make your influence felt. Write a letter to your state senator and representativ asking that:

1. An Initiativ and Referendum constitutional amendment be submitted to the voters of the state.

2. A Recall constitutional amendment be submitted to the voters of the state.

3. A general law be passed giving complete local autonomy-Home Rule—to all municipalities and counties in the state.

4. The best possible Presidential Primaries law be passed.

5. A “blue-sky" law similar to that of Kansas be passed.

Upon the need of a new constitution for New Jersey, Governor Wilson says:

The

The Constitution of the State needs reconsideration in a score of parts, some of them of the first consequence. No doubt its provisions were considered wise and suitable at the time of its adoption, but that was quite two generations ago and the circumstances of our life have altered fundamentally within that time, politically, socially, economically. I urge upon you very earnestly, indeed, the need and demand for a constitutional convention. powers of corrupt control have an enormous and abiding advantage under our constitutional arrangements as they stand. We shall not be free from them until we get a different system of representation and a different system of official responsibility. I hope that this question will be taken up by the Legislature at once and a constitutional convention arranged for without delay, in which the new forces of our day may speak and may have a chance to establish their ascendancy over the rule of machines and bosses.

This is good, healthy sentiment, and if a constitutional convention is called, men should be elected to it who have the true progressiv spirit (Continued over next leaf.)

THE MEDICAL WORLD

The knowledge that a man can use is the only real knowledge; the only knowledge that has life and growth in it and converts itself into practical power. The rest hangs like dust about the brain, or dries like raindrops off the stones.-FROUDE.

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No. 3

The Friedman Cure for Tuberculosis. Within the last few weeks the lay press thruout the United States has publisht voluminous articles about the "new cure for tuberculosis by turtle serum." The sensational statements of space writers are not worth consideration by medical men, but the laity who read such effusions are not competent to judge of their value, and immediately hopes are aroused in the breasts of the afflicted. The wise layman who is personally interested will, of course, at once consult his physician regarding the new "cure." It is on this account that we take it up at this time-not because it is possible to say with certainty, as yet, that we really have a "cure." For these reasons, it is the duty of every physician to inform himself

upon the matter so that he may be able to converse intelligently upon the matter when approacht by sufferers, and may retard them from rash movements. It is said to be a fact that Dr. Friedman is not yet ready to announce the particulars of his reputed discovery to the medical profession of the world, and that he has but a limited amount of the serum now available and is already treating every patient for which it is possible for him to provide facilities. Despite such facts, it is reported that many sufferers have started for Berlin from all parts of the world, and that transportation facilities in the vicinity are already overtaxt by the great influx of sufferers, none of whom have any chance whatever of either being treated by Dr. Friedman or even of getting an opportunity to see him.

Dr. Friedman is preparing his serum as fast as possible for the use of the profession thruout the world, and his announcements thru perfectly ethical channels lead one to infer that it will be placed at our disposal at the earliest possible moment. He has never, so far as we can learn, made any claim that the serum will cure any and every case of tuberculosis. In fact, he specifically states that cases which have progrest to extremis are not cured. He further states that a cure only follows in those cases which present certain symptoms following the injection, and that not all cases do this. He has not made any announcement that his serum is derived from the turtle, so far as we know. His exact words follow: "I would go far beyond the time at my disposal if I should go exhaustivly into all the details of the preparation of the material (selection of culture medium, age and nature of the culture, its further elaboration and dosage).

The serum is a culture of the tubercle bacillus which has been rendered absolutely non-poisonous and non-virulent. He used it first in repeated doses on himself, then on tuberculous adults, next on tuberculous children, and finally as a prophylactic on children of tuberculous parents which exhibited a reaction to the von Pirquet test. When

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