the anesthetic as it is to the shock and the nature of the trouble for which the operation is performed.

Dr. Newlands-I would like to know what he thinks is the ideal method of giving chloroform.

Dr. Axtel-I can show the doctor better than I can describe my method.

Dr. Musgrove-As the doctor declines to describe his method, I will give some idea of how he does it. A few days ago I assisted in the removal of a leg of an old man seventyseven years old. Dr. Axtel gave chloroform to that man for an hour and forty minutes with Esmarch's chloroform inhaler. He drops his chloroform on it drop by drop, and he anæsthetized that man while we did that operation-had to saw the bone off twice with chain saw-and that man came out of the chloroform in first-rate condition.

Dr. Bean-A great many European doctors believe that chloroform is more irritating to the kidneys than ether, and in cases where they have damaged kidneys they prefer ether to chloroform.

Paper on "Prevention of Tuberculosis" was read by Dr. Willis.

Dr. Newlands-I beg to say that at the last meeting of the board of health of this city we were visited by a deputation from the county medical society who desired us to have framed an ordinance to be presented to the city council for the purpose of preventing expectoration upon the sidewalk and in public conveyances and buildings occupied as offices and other public buildings in the city. Every member of the board of health, as does every member of the profession, recognizes the necessity of guarding in every way possible against this disease.

Dr. Willis urged that every member of the society use his influence to bring about more rigorous treatment to prevent the spread of tuberculosis.

A paper on "Exophthalmic Goitre" was read by Dr. C. W. Sharples

Dr. Thompson-I dare say a goodly number of the members here see cases of that kind. I treated one case of exophthalmic goitre. There was an enlarged thyroid; the eyes protruded so that the girl declined to be on the street without having a veil on. She had a pulse of one hundred and ten to one hundred and twenty; perspired profusely. The girl was twenty-four or twenty-five years old, and the disease had gone on from four to five years. I treated her with a galvan(Concluded in next issue.)

BOOK REVIEW.

Review of Reviews.-The American Monthly Review of Reviews for August reviews the Santiago campaign by land and sea from start to finish. Winston Churchill, who wrote so acceptably on Admiral Dewey for the June Review, describes in this number the wonderful battle with Cervera's fleet, and his article is illustrated in part from Hemment's remarkable photographs of the Spanish ships taken the day after the fight. John A. Church, formerly of the Army and Navy Journal, contributes a full account of the Santiago land fighting, and his article also is illustrated from new photographs. Park Benjamin writes on the work cut out for the Eastern squadron under Commodore Watson. Altogether, the Review again shows its ability to keep well abreast of all important military and naval movements, and to exhibit a clean pair of heels to all its competitors in magazinedom.

A Manual of Modern Surgery-General and Operative. By John Chalmers DaCosta, M. D.. Clinical Professor of Surgery, Jefferson Medical College. Philadelphia; Surgeon to the Philadelphia Hospital, etc. With 386 illustrations. Second edition. Pages, 910. Price, cloth $4.00: one-half morocco. $5.00 net. W. B. Saunders, Philadelphia, 925 Walnut Street, 1898.

After searching ponderous tomes for a bit of surgical information, it is quite a relief to find a small, compact volume presenting in clear terms and in concise form the fundamental principles and accepted methods of advanced practice. Such a book is DaCosta's "Modern Surgery." It was designed, as the author states in the preface of the first edition, to stand between the text-book and the compend. The considerable praise which has been accorded by students and physicians stamps the book as one of the popular "hits" of the day. Among the most noteworthy features of this volume may be mentioned that the obsolete and unessential methods have been excluded for the living and essential, and that no fanciful theories are expounded at the expense of space. The manual has been practically rewritten, and many new articles of great value added. Some of the new sections are the following: Wounds Inflicted by Modern Projectiles; Use of the Murphy Button; Surgery of the Liver, Gall-Bladder, Spleen, and Female Breast; Electrical Iujuries and the Use of Roentgen Rays; Resection fo the Gasserian Ganglion; Methods of Gastrostomy; Prevention of Hemorrhage in Hip-Joint Amputations; Schede's Operation of Thoracoplasty; Various New Methods of Enterorrhaphy, etc. The operations of Bassini, Halsted and others for the radical cure of inguinal hernia, have received full consideration.

International Clinics. A Quarterly of Clinical Lectures on Medicine, Neurology, Surgery, Gynecology, Obstetrics, Ophthalmology, Laryngology, Pharyngology, Rhinology, Otology and Dermatology, and specially prepared articles on Treatment and Drugs. By Professors and Lecturers in the leading medical colleges of the world. Edited by Judson Daland, M. D., (University of Pennsylvania,) Philadelphia; J. Mitchell Bruce, M. D., F. R. C. P., London, England; and David W. Finlay, M. D., F. R. C. P., Aberdeen, Scotland. Volume II. Eight series, 1898. Pages, 366, illustrated. Philadelphia: J. Lippincott Company.

The contents of Volume II are of the same high order of practical merit that has characterized the former numbers of this series. Space forbids that we should do more than specialize in adverting to the many excellent lectures and monographs to be found in this volume. Treatment of Tuberculosis, by Professor Grancher, deals mainly with the hygienic treatment of this malady. Rest, food, fresh air and sunshine, as a routine, "to fortify the body by alimentation and respiratory hygiene," is the first general indication. Among many other strong papers are: Treatment of Acute Failure in Chronic Heart Disease, by Dr. McPheran; Malarial Fever in Infants and Children, by F. M. Crandall, M. D.; Trephining for Traumatic Epilepsy, by W. L. Rodman, M. D.; The X-Rays in Surgery, by J. M. Davidson, M. D.; Cataract Operations; Mule's Operation, illustrated by skiagraphs; Capsulotomy; Operation for Pterygium, by L. W. Fox, M. D.; Sterility, by Henry Coe, M. D., etc.

Atlas and Epitome of Operative Surgery.. By Dr.Otto Zuckerkandl, Privat-docent in the University of Vienna. Authorized translation from the German. Edited by J. Chalmers DaCosta, M. D., Clinical Professor of Surgery in Jefferson Medical College, Philadelphia; Surgeon to the Philadelphia Hospital, etc. With 24 colored plates and 217 illustrations in the text. Price, $3.00 net. Philadelphia: W. B. Saunders, 925 Walnut Street, 1898.

An eminently practical work, intended as a guide to the student and an aid to the physician. It begins at the beginning and takes the student through the several stages of study and preparation, from demonstrative work on the cadaver to the major operations on the living. Ligations, amputations, enucleations, resections, exarticulations and intestinal suture and anastomosis, including the use of the Murphy button, are fully described and beautifully illustrated. The colored plates used in this text are a triumph of the lithographic art. The illustrations of the successive steps of the Bassini operation, gastrostomy, colostomy and intestinal anastomosis are accurate reproductions of clinical work, interpreted by the most competent clinicians. To those unable to attend surgical clinics at some large institution, this volume will be of inestimable value.

PERSONAL.

Dr. French, of Portland, is at the seaside.

Dr. Lemon, of Holland, has located in Mullan, Idaho.

Dr. F. Crang, of Forest Grove, has located in Astoria, Oregon. Dr. W. D. Luhn, of Spokane, was a recent visitor in Victoria, B. C. Dr. F. Wenz, of Rathdrum, Idaho, was a recent visitor in Spokane. Dr. J. W. Van Zandt, of Wallace, has located in Lewiston, Idaho. Dr. Olive Beers, of Albany, is visiting friends in Ashland, Oregon. Dr. C. H. Cusick, of Salem, is spending his vacation at Crater Lake.

Dr. L. J. Harvey, of Genesee, Idaho, has recently moved to Alta, Iowa.

Dr. Lannerberg, of Pomeroy, Washington, has located in Medical Lake.

Dr. C. K. Hinkle, of Genesee, Idaho, has recently moved to Troy, Idaho.

Dr. W. P. Chisholm, of Central Point, has located in Gold Hill, Oregon.

Dr. Mingus, of Beaver Hill, Oregon, is visiting his parents in Ashland.

Dr. Augustus C. Behle, of Salt Lake City, was a recent visitor in Blackfoot, Idaho.

Dr. C. M. Overmier, late of Chicago, has located at Cosmopolis, Washington.

Dr. H. P. Howard, formerly of Fossil, Oregon, has located in Everett, Washington.

Dr. Alfred Kinney, of Astoria, has resumed the practice of medicine in that city.

Dr. Smith, of Mountain Home, Idaho, spent a few days in Salt Lake City recently.

Dr. H. C. Wilson has returned to Portland after spending a couple of weeks at the coast.

Dr. J. J. Herrington, formerly of Wardner. Idano, has recently located in Julietta, Idaho.

Dr. E. T. Anderson, a graduate of Willamette University, has located in Sheridan, Oregon.

Dr. Margaret Quigley, of Portland, Oregon, has gone for a trip through Yellowstone Park.

Dr. Lippincott, of Boise, Idaho, has gone east to take a post graduate course during the winter.

Dr. G. G. Eitel, of Minneapolis, Minnesota, was in Chehalis, Washington, on professional business.

Dr. G. B. Cole has returned from Dawson City, Alaska, and resumed his practice in Medford, Oregon.

Dr. F. H. Parker, of Portland, Oregon, was recently called to San Francisco, to do an important surgical operation.

Dr. Sandow, of Neihart, Montana, has charge of Dr. Cole's practice in Helena, while the latter gentleman is in the east.

Dr. Chalmers, of Bozeman, Montana, has completed his infirmary, which is located on his ample grounds on Templar avenue.

Dr. O. H. Beckman, of Astoria, has returned from an extended trip to Finland, where the doctor took a post graduate course.

Dr. D. W. Ward, of Forest Grove, Oregon, has returned from Dawson City, Alaska, where he has been during the past year.

Dr. Moore has returned to his home in Coquille, Oregon, after spending some time in Portland and the Willamette Valley.

Dr. John Dade, the veteran physician at the Flathead Agency, Montana, died August 11th at the ripe age of seventy-six years.

Dr. J. S. Parson, of Ashland, Oregon, has returned from his Alaska trip, and is now in San Francisco, considerably improved in health. Dr. S. E. Josephi, of Portland, who attempted to reach the summit of Mount Hood, reports a perilous trip this year.

Dr. Henry Wells Dewey, the president of the State Medical Society of Washington, was recently in Portland relative to a medical

case.

Dr. George W. Tape has been elected mayor of Sumpter, Oregon, which insures a proper system of government for that thriving little town.

Dr. N. G. Powne, formerly of Tygh Valley, Oregon, has located in Tahoe, Placer county, California., where the Sentinel wishes him every

success.

Dr. Annice F. Jeffreys, of Salem, has gone east, where she will take a special course in gynecology. The doctor will return in September.

Miss Dixie Stearne, the enterprising advocate of Liquid Bread, is again doing valiant service for her favorite product in the Pacific Northwest.

Dr. T. N. Snow, of Baker City, Oregon, has returned from Montreal, Quebec, where he attended the sessions of the National Railway Surgeons Association.

Dr. A. Detrich, of Dufur, Oregon, will take a three months vacation, leaving Dr. Dodds, a graduate of the Detroit Medical College, in charge of his patients.