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When the dressing was removed, the whole wound was found united without a drop of pus. No sutures were then removed, as they gave pain when drawn on.
In about one week the dressings were changed, and the same cotton and bandage was used again, after the cotton had been treated with a carbolic bath 1 to 30 again. Not a drop of pus. A few sutures were removed from the little and ring fingers; the others were clipped. Five days later the others were removed, but had not been loosened at all by suppuration. The patient was dismissed cured.
Chloroform was used, as is my custom, in both cases. I can only call this a case of antiseptic cleanliness, and submit it to show what can sometimes be accomplished. This operation was performed at midnight by the flickering light of a single lamp.
Dec. 4th, 1891. The patient has a hand of much value to him.
FORECAST OF MEMPHIS HOSPITAL MEDICAL COLLEGE.
J. HOUSTON BALL, M.D., HOHENLINDEN, MISS. It is but natural that we should feel an interest in the prosperity of this college. We are interested in because we love it, because many of our friends before us have loved it, and frequented its professional halls. We are interested in it because of the good it has done, and is now doing, in elevating the social, moral, and professional status of the medical profession. And while we do not claim the wisdom or foresight of a Demosthenes or Burke, we trust we are not presumptuous in making a few predictions as to the future of the college.
We predict a grand future for the Memphis Hospital Medical College because of its substantial basis. Someone has said that religious, political, and medical institutions are embryonic; that is, as we can discover in an acorn the embryo tree, so if we analyze the motives and influences that give to any institution its existence, we can arrive at a tolerably correct conclusion as to its permanent character and destiny. When we have sought out what it was in the spirit of the
times and of the people that led to the founding of this institution, and when we have learned the fundamental principles upon which it rests today, do we not find many things that give promise of its permanent success ?
Its founders were prompted by the noblest and purest motives that ever actuated men-by a love for their country, their fellow man, and the medical profession! Its very foundation stones are noble purposes, generous deeds, and self-sacrifices. It has, in consequence, withstood, like a rock of adamant, the billows of adversity. From time to time, as the tempests of desolation and epidemics have swept over our country, has the cry been heard, “The college is going !” but when the clouds have dispersed, and the sun of prosperity has lighted up the land with his genial rays, to the surprise and joy of all, the college has been revealed, standing more grandly than
Thus will it ever continue to stand so long as it rests on its sure basis—the interests and sympathies of the people, and justly solicits favor and patronage.
We should fail of our duty if we did not refer to the earnest, faithful and consecrated labors of our honored Dean and Professors, as related to the future of this school. For twelve years Prof. Sim has been connected with this institution, and during that time he has labored so zealously and earnestly that he has made himself one with the college ; and it would doubtless seem like another institution should Providence remove him; and although his head is white with the frosts of many winters, yet he is hale and vigorous, and his zeal and determination are unabated ; saying nothing of our able and efficient ex-Professor E. A. Neely, to whom I owe much for my knowledge of physical diagnosis and diseases of the chest. He has the uubounded confidence, not only of those he taught, but of the people at large, and is destined to achieve yet greater results in the future. Suffice it to say of the several Professors that their ability is only equaled by their devotion to the college. Their constant appeals have been, not for increased salaries, but for increased efficiency in the school. As we look over the names of those that have gone out from under their care and instruction in the past, we are made to feel proud ; however, we cannot but predict
that with their increased experience they will send forth yet brighter intellects and nobler hearts to mold the destiny of the profession. The outlook of the college is cheering because of the class of '91 and ’92. Was it wealth and population that made Athens “the eye of Greece ?” Neither of these, but her success and prosperity were attributable to the character of her people. Neither does the success of this college depend upon fine buildings,ample equipment,and large numbers of students. It is true all these are well enough in their places, but back of them lie the moral character, noble aspirations and achievements of its students and alumni. Go where you will, in this or in other States, and you will hardly find a better class of students than the Memphis Hospital Medical College have. While we do not claim that virtue is confined within the limits of this college, yet for loyalty to their profession and for that genuine highmindedness which has honesty, generosity, and integrity for its basis—the only sure foundation upon which anything lofty ever was built-we can say that the students of this college are rarely equaled. That magnificent building may crumble to the ground, but so long as the hearts of the students shall pulsate, so long will the Memphis Hospital Medical College have an existence in their thoughts and affections, and it will only be a labor of love for them to rear other buildings and supply every other means necessary to its full prosperity. They will inspire a like feeling of love and devotion within the breasts of posterity for their alma mater, and thus is her destiny indissolubly linked with the interest and sympathies of generations yet unborn.
THE TREATMENT OF PERNICIOUS REMITTENT FEVER,
L. H. DAVIS, M.D., HARRISBURG, ARK.
The treatment of pernicious remittent or typhoid malarial fever as it is commonly called, must be both active and persistent, if we would have success at the outset. I give my treatment in a nutshell so to speak; and will say to those who are skeptical, try it and be convinced.
After satisfying myself on all diagnostic points of value, such as glandular torpor, diurnal remissions, nervous prostra
tion, etc., etc., I often prescribe like this : R Quinæ sulphatis, Zi ; ferri carb., Zss; antipyrin, Zss ; hydrarg. chlor. mit., Di; hydrarg. cum cretæ, Oss; potass. chlorat., gr. xv; lactopep., gr. x. M. Ft. mass div. capsulæ, xx. Sig.–One every 3, 4 or 6 hours as indicated.
I usually begin this treatment for the best results at 12 o'clock (midnight) hoping to get result on the next thermal line, which will average about two or three o'clock P.m. I continue this treatment, gauging my dose distance by the active or passive condition of the secretions, as the case may be. During the paroxysms, I only strive to keep down hyperpyrexia until my hour comes again. If I succeed in removing the thermal line each day, I am satisfied that I am in a measure successfully combating the disease. Of course I change my remedies in divers cases, but the above prescription is a wonder-worker in my hands. I consider phenacetin the thing in hyperpyrexia. I advise no nourishment until the natural craving of the patient demands, thinking it is only adding fuel to the flame.
I find when the natural secretions are established, the tastes and desires of the patient can be pretty generally relied on. Stimulants are seldom indicated, unless for low states coexistent to the disease; the overweening desire of some physicians in this direction is to be regretted. I think over-stimulation too often establishes false convalescence, and thus retards recovery, as well as causing lost confidence, etc.
Correspondence. ANTIFEBRIN AND ANTIKAMNIA IN PREMATURE LABOR. Editor Memphis Medical Monthly:
Dr. Seale, in the last issue of the Monthly, calls attention to the use of antifebrin in premature labor, and reports two cases treated with it. I wish to add another case to this; also one treated with antikamnia.
Was called to Mrs. T., multipara, Jan. 13th, who was threatening abortion. There were considerable pains, and at regular intervals of about ten minutes. On examination, I found her
about six months pregnant. The uterus had descended within easy reach of the index finger, but the os had not dilated sufficiently to admit the end of the finger. The fetus was alive. There was some rise of temperature; she was put on 10-grain doses of antifebrin, which relieved both the temperature and pains in a few minutes. The antifebrin was ordered to be kept up. Two days later she was still in bed, according to my orders, but complained of no discomfort whatever.
However, on Jan. 17th, I was called to her hastily, the messenger saying “the waters had bursted.” I arrived in a few minutes and found her having light pains. An examination revealed an arm of the dead fetus protruding into the vagina.
The next case, Mrs. K., also multipara, had characteristic labor pains at about four and a half months pregnancy. Ordered antikamnia in 10-grain doses to be given every four hours, which relieved all symptoms of abortion for four days, when, at the expiration of that time, pains set in anew and abortion went on to completion.
Now, according to these cases, as well as those reported by Dr. Seale, antifebrin, antikamnia, etc., will answer very well to allay pains at first, but we must look elsewhere for more effective agents if we would succeed in preventing premature labor.
L. H. LIPSEY, M.D. Forrest City, Ark.
The Sequelæ of La Grippe.
According to Prof. Huchard of the Bichat Hospital, Paris, the period of convalescence from influenza requires as careful treatment as the active stage of the malady. The latter is the microbian period; the former consists of the consequences of the evil. The chief indications are tonic resolvents like iodine, and astringent antiseptics such as tannic acid. Parisian clinicians like Drs. Lepine, Huchard, and Dujardin-Beaumetz have administered these two medicaments as combined in Nourry's Tannate of Iron, or Vin Nourry Iodotane. This preparation is easily supported by adults and children and may be given continuously.-La Semaine Medicale.