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Chemistry to be Placed in its Proper Important Place in the Development of the Study and Practice of Medicine. The United States' Fatal Blunder at the Washington Arms Conference. Can the Nations Prevent Gas Warfare.

GEORGE H. TICHENOR, Jr., A.B., M.D.,
New Orleans, Louisianna.

"With aching heart, I read each day
Of heroes laid to rest;

It seems an awful outrage,
But our country did her best.

"Many a mother's heart shall bleed,
And maidens young and fair,
When bodies of their loved ones
Arrive from Over There.

"Many a babe its father lost,
And wives their husbands, too;
It cost a lot, but they gave their all
To the dear Red, White and Blue.

"O! hearts, ye are not human yet,
Or else would you allow,
The awful, awful outrage,
From which we suffer now.

"Arise O noble manhood,
With purpose fond and true,
Protect this old country,

And your dear loved ones, too.

"Ye mortals stand together,
And future wars prevent
By forcing the whole world,
To a grand disarmament.

"Pray God that wars shall ever cease, For their awful greed of gold

Has caused the greatest suffering
That ever could be told."

-Bettie Smith Tichenor.

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clique of the mighty. Yet we are informed that we must bear the torch of civilization or it will perish and open our hearts (pocketbooks) to the needs (demands, increasing armament) of our former associated (allied) nations lest they need protection.

The press announces today, January 7, 1922, that Mr. Root drew the resolution for proscription of gas warfare on sea and land. Again an immediate fivepower contract to abandon gas or other similar chemical weapons as beyond the pale of human tolerance is proposed to be worked later by world agreement into the fabric of international law. Again history repeats. Thus, the ignorance of our statesmen plays directly into the hands of Germany and Russia. Uncle Sam, as usual, must pay vitally for the ignorance of its legislators concerning chemistry, chemical industries and their possibilities. The politician, with a great blare of trumpets, announces to his uninstructed constituents that the horrors of gas warfare are going to be stopped and legislated out of business, and we are going to disarm gradually by scrapping a few first-class battle ships, etc. This satisfies a large number of well-meaning but not well-informed pacifist when, in reality these first-class battleships will will in a large measure be useless in the next war, because it will be a fight largely engineered by chemists and bacteriologists. I say next war, for the conference was a dismal failure. Mr. Root, seven millions majority for Mr. Harding said they did not want any entangling alliances as expressed by the Versailles League of Nations-how many millions majority are required to convince you they do not want a League of Nations,

Limited? Did the blood of our soldiers crimson Flander's poppies that American politicians might sanction Japan's banditry. Not only has "victory been sabotaged," but morality and public opinion also have been repressed.

The public has been easily duped into believing that poison gas is the most horrible form of warfare imaginable. They can picture battlefields with tortured, burnt and blinded soldiers, but lose sight of those mangled by large and small bullets into so many distorted ways that it is impossible for the surgeon to repair with any degree of satisfaction, and the life long misery that necessarily follows the lot of thousands of shell-racked, blinded, bullet-ridden and mangled soldiers. Let us consider the cold facts, for war is hell in any form. The nations considered the spent ball inhumane; but what is a spent-ball wound in comparison to the terrific laceration of modern weapons? Which is the most humane? Statistics prove that soldiers' chances are twelve times as good after gassing as after being hit by bullet, bomb, shrapnel or shell-twenty-five per cent in the World War were killed by the latter. Just think! two per cent of our gas causualties died. Very few on the battle field.

There is no comparison of suffering from gas equal to losing a part of the body or being disemboweled or mangled into hopeless distortions. The medical profession has developed a treatment for gas which relieves more quickly and effectively than for any other kind of wound. For the single reason, gas leaves no cripples, is the reason it is going to be used in the next war, notwithstanding Mr. Root. Again, seventy-five percent of the blinded at Ypres were fit for duty in three months. Go visit in the hospitals those shell-shocked hopeless unfortunates, bullet, shrapnel, shell mangled beyond description, those lost sight of heroes who must henceforth know eternal darkness, Mr. Root, then, tell us which is most humane. Three years of investigations, carried on in England, France, Germany and the United States seem to prove that tuberculosis did not occur more frequently

among those who were gassed than those who were not.

Again, Mr. Root, the fact that chemical. warfare, according to military authorities, has the advantage of being the most effective weapon of attack and defense ever devised, its stragetic value only as yet suggested by past, limited experiences, it is natural to presume it would be employed by nations when "their backs are at the wall." I believe the world has not only been shocked by broken agreements, but also by secret understandings, to the extent that it has lost confidence in any kind of an agreement you may make.

Again, Mr. Root, it is a physical impossibility, even with an army of secret spies, to keep tab on scientists who even at this moment may be quietly, known only to themselves, trying to find some chemical combination even more effective than those already known. What is to prevent some dye chemist who may be seemingly busily engaged in the innocent occupation of fathoming the mysteries of some color pleasing to our women folks, now and then adding this or that chemical, that in the end may be discovered some chemical combination of undreamed of destructive force, unnoticed and motives not even understood by his nearest chemical research worker in the same room. The German dye industry was Germany's effective war weapon. Today, Germany is accepting, according to press reports, Russia's bonds for her products -it is her salvation in peace and defense in event of war. The chemical industries are the life blood of any country today in our advanced stage of barbarism, and Germany excels, overwhelmingly, all other nations in the dye industry.

It is chemistry and bacteriology that is going to make war so unthinkable that Satan himself could not endure this international pastime, and in the future if the Son of man had not come there would be no flesh left. Then, we will have peace, for a few unobserved and impossible to control scientists will be able to kill thousands. Universal chemical education will hasten the time to come when nations will cease their war

fare" and turn to better pursuits, as the Good Book tells us.

This being the case, it is all important that we should study that which will bring the greatest happiness to the largest number of people. The most important question before the American public today is that of Chemical Warfare, as it means, more than has been intimated, the welfare of a few American dye plants and their employees.

The just encouragement of the dye industry means the development of more industries and subsidiary plants, employment of larger numbers of men in industry, larger teaching forces in our schools in chemistry and its allied arts and sciences, the releasing of the stranglehold of our commerce as dominated by foreign dye industries, an unexcelled moral uplifting force, teaching an existent, all-powerful Creator-the study of chemistry convinces the investigator that the corporate and ultimate elements composing a substance are regulated by law-the manifestation of God, Himself. Therefore, the time is opportune for the public to gage this matter correctly and not be misled, to its irreparable national injury.

The statistics of the German monopoly stands thoroughly revealed, as tabulated to 1913:

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Production

Ton's .135,000

10,000 7,000 4,500 3,000 3,000

It is not necessary to refer to the coaltar preparations which the physician uses every day and the benefit which will be derived from a thorough study of chemistry as it relates to medicine. I am in receipt of the following appreciated letter from Dr. A. B. Dinwiddie, President of Tulane University, in regard to my resolution which was adopted by the 1920 convention of the American Medical Editors' Association, after an address by the author on the subject, viz: that we use our collective influence to have more chemistry taught in our medical colleges, as it relates to medicine. The resolution and the propaganda

started has produced results. Dr. Dinwiddie says: "It will please you to know that I am assembling a small fund, which shall be used in part to develop the study of chemistry. I have not yet fully completed my plans in regard to this fund, but as soon as they are ready due announcement of them will be made in the Tulane News Bulletin. This, however, is only the beginning of a more extended plan for putting chemistry in its proper, important place in the development of the study and practice of medicine.

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vers.

During all this time no claims have ever been made concerning the efficacy of Gray's Glycerine Tonic Comp. that have not been founded on-and abundantly substantiated by-the unsolicited statements of competent medical obserThe present widespread use of Gray's Glycerine Tonic Comp. by thousands of skilled, conservative physicians all over the country is due entirely to their definite knowledge of its action and effects. In other words, its use has been based on experience and judgment, and it is on these grounds-and these alonethat the manufacturers of Gray's Glycerine Tonic Comp. expect medical men to use this product.

Results--and results alone are the criterion of the worth of a remedy, and it is on the results that it has achieved in the hands of the earnest painstaking physicians of the country that the success of Gray's Glycerine Tonic Comp. has been built.

Have you some patient convalescing from some acute disease? Why not try Gray's? Send for samples to the Purdue Frederick Co., 135 Christopher St., New York.

BURTON WILLIS SWAYZE, M.D., Allentown, Pennsylvania.

This is Christmas day, and it is one of the very infrequent holidays which the writer takes during the year. From force of habit I am in my offices, but the doors are locked against all comers and my phone muffled. This is the one time when I take account of stock personally and professionally and review the past days and years, in the quietness of my offices.

Reminiscently, therefore, I have been letting my thoughts go back over the thirty odd years I have traveled in medical practice and I have been summing up the pros and cons and ruminating over the numerous changes that have come with the years, and comparing them with those in vogue thirty years ago.

There have been many decided changes in the practice of medicine during those years but the thought came to me that the greatest advance has been along the line of therapeutics, and properly so. But when I came to consider the matter of diagnosis I found I could not place my finger upon more than a half dozen really worth while means given us to discover the facts of disease -means that were better and an improvement upon the age-old methods handed down to us from the centuries past.

Perhaps in no one particular, except one, has there been so great an advance than in the matter of improved therapeutics, and today we are almost overwhelmed with the products of experimental laboratorial and clinical efforts, and this despite the fact that the profession has, for years, been fighting for liberty against the multiplicity of drug products and in favor of a simplification of therapeutic procedures.

Despite our efforts to lessen our therapeutics to the dozen or two tried and true remedies, remedies we have found by experience to be useful in practically all the complaints of humans who come

to us for help, we find our medical literature, our mail, and our meetings with pharmaceutical salesmen urging upon us the thousand and one new remedies being almost daily turned out by the chemists and laboratories.

The multiplicity of "pathies" that are being urged upon us; the glandular advocates, the intravenous enthusiasts, the this and that and the other, simply come to us in an endless stream and if we believe all the wonders and marvelous uses and cures we read about them, we "old-timers' begin to wonder if we have, in the past, really been of any value to our patrons as their physician. It would appear that we were born too soon-we should have postponed that event until the present century.

Reverting to our medical college days. we can readily recall that the one thing insisted upon was that after we had made a correct diagnosis of disease, then we should apply the required remedy. Therapeutics, then, was the secondary consideration; for certainly we cannot successfully treat what we have not, as yet, discovered by our diagnosis.

But today, under the pressure of newly-discovered remedies we are forced to brace ourselves against applying the remedy first and permit the diagnosis to discover itself by the process of elimination due to the remedies overcoming the symptoms of disease, hiding ourselves behind the misleading statement: "The actual disease is obscure now but after

using this medicine for a few days, in order to clear up certain symptoms, we will uncover the real trouble. Surely the tail has begun to wag the dog.

It is a truism that, "A correct diagnosis is half the cure." We cannot sidestep the fact that diagnosis is the primary consideration, and when that has been determined, the next step is to apply the remedies. But diagnosis largely lags far behind in the procession of medi

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HAS DIAGNOSIS BEEN OUTDISTANCED BY THERAPEUTICS?

cal practice, with therapeutics leading with the band.

How many physicians really work out a diagnosis? How often we only hit the high spots, the most prominent symptoms showing, and fail to ascertain the associated and lesser underlying symptoms of disease?

We jump at and accept the most prominent symptoms and fail to build up the underlying structure, or, which is worse, treat diseases by their common and accepted name instead of studying out the actual trouble. Is this the real cause of our many failures to effect cures and the cause of patrons flitting from doctor to doctor?

Is

Are we in this diagnostic rut because there have been so few improvements in diagnostic methods as compared with the improvements in therapeutics? not our system or proceedure in diagnosis far behind the therapeutical bandwagon?

What, really, has come to us as new in methods making for more accurate and quicker diagnosis of disease? Practically, none. Of course we turn more and more to the laboratory for examination of secretions, excretions, blood, etc., and receive in return report blanks that are filled with scientific words usually confusing to any other than a recent graduate.

Helpful though these reports are, yet many times we are pushed further down in the bog and we flounder, if we do not founder, among the confusing and complexing findings of laboratory test tubes and microscope, and in very desperation we return to our old method of picking out the most prominent symptoms and, in many instances, shut our eyes and jump-trusting to land upon a diagnosis that will at least satisfy our patient.

The whole question of diagnosis of disease rather resolves itself into the one word: Guessing. Now and then a disease will show itself so plainly that he must indeed be a poor physician who does not recognize it at once. But taken all in all, does not the average physician "guess," rather than actually know, his diagnosis? If this is true, then how can he properly treat his patient?

I have previously stated that in no one particular, except one, has there been a great advance made in our science of healing and I made that single exception because it applies to method of diagnosis that is coming rapidly to the attention of the profession-and that is the method of Electronic Diagnosis, fathered by Dr. Albert Abrams.

What the wireless, telephone, submarine, airplane and other twentieth century accomplishments have been and mean to our economic life, so also is the method of Electronic Diagnosis (Abrams) accomplishing in the medical and surgical professions and will mean benefits to the race at large.

Just as there were doubters who scoffed at Marconi, Bell, Lake, and the Wright brothers, so also are there men and women of our profession who scoff at Abrams. But who, today, now doubts the former, or who, ere long, will doubt the latter.

The test of all things is-Time. If any discovery survives the acid test of time and is able to come back with proofs of its value and merit as shown by results obtained, then that method or discovery has proved its worth and must be accepted. And this testing and proving is what the Abrams Electronic method is passing through, with honors and results being showered upon it daily. Literally, they who came to scoff and doubt, remain to praise.

Compared with the age-old methods of diagnosis the Abrams method is centuries ahead of its day, for by it we are able, scientifically and mathematically, to accomplish several things, things that are vital to every human who seeks relief at the hands of physicians, and to the physicians themselves who seek truth.

First, the Abrams Electronic method of diagnosis replaces guesswork by substituting absolute mathematical fact and accuracy. Second, we are able, by this method, to discover the very beginnings of disease, often before the patient is aware of any symptoms.

Third, we are able to measure the degree or prevalence or potentiality of the disease in the patient-a thing valuable to the physician who can, by later reexamination, guage the progress of re

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