Little By Little. Little by little the time goes byShort if you sing through it, long if you sigh; Little by little-an hour, a day, Gone with the years that have vanished away; Little by little the race is run, Trouble and waiting, and toil are done! Little by little the skies grow clear; Little by little the world grows strong, Little by little the good in men Clinical Notes. -Ex. Dr. Sweetser brought three instructive and interesting cases before the medical class of Hamline University. The first one was interesting from the fact that a diagno sis of malignancy had been made, and the patient was much worried. A hard irregular lump, about the size of a hazel-nut, could be felt in the floor of the mouth to the right of the median line. Complicating the case was a large swelling in the region of the submaxillary gland on the same side. Dr. Sweetser pronounced it salivary calculus, basing his diagnosis on (a) mobility of mass in the mouth, (b) noninfiltration of floor of the mouth, (c) creamy pus exuding from the orifice of Wharton's duct, (d) the marked increase of swelling in submaxillary region during ingestion of food with a subsequent decrease, (e) age of patient. (f) rapidity with which growth attained its present size. An incision was made over the calculus which was shelled out and found to contain a kernel of wheat. Dr. Sweetser thought it advisable also to remove the submaxillary gland, because of the liability to stenosis of the duct with continued swelling of the gland which might lead the patient to believe that the "cancer" had not been removed at any rate, the removal would cause no inconvenience to the patient. Cutting down over the swelling and nicking the fascia, the gland protruded and was shelled out by the handle of the scalpel, the duct and bleeding vessels ligated, and the wound closed. BOOK NOTICES. Clinical Treatises on the Pathology and Therapy of Disorders of Metabolism and Nutrition, by Prof. Carl von Noorden, Senior Physician to the City Hospital, in Frank fort, M. Authorized American edition, translated under the direction of Boardman Reed, M. D., Prof. of Diseases of the Gastro-Intestinal Tract, Hygiene and Climatology, Department of Medicine, Temple College, Philadelphia.--New York, E. B. Treat & Co. Part I. Obesity. The Indication for Reduction Cures. Price 50 cents. For many years the works of Von Noorden have been familiar to German readers in the form of short essays published in medical periodicals and in his larger works, notably, Textbook on the Pathology of Metabolism, Berlin, 1893; Diabetes and its Treatment, Berlin, 1st edition 1893, 3rd edition, 1901. The object of the present series of monographs is to present in a collected form the results of the increasing experience of the author and his assistants in the pathology and therapy of the disorders of metabolism and nutrition. These little volumes appear in a neat and attractive form which the reader can enjoy while sitting in his easy chair and which he can peruse at one sitting. Technique of Reduction Cures; The Significance of Aceton in Diabetes Mellitus. Obstetrics. A textbook for the use of students and practitioners by J. Withridge Williams, Prof. of Obstetrics, John Hopkins -University; Obstetrician in Chief to the Johns Hopkins Hospital; Gynecologist to the Union Protestant Infirmary, Baltimore, Md. D. Appleton & Co. This work is comprehensive, clear and practical. The opening chapters deal with the anatomy and physiology of the generative tract and while they are well adapted as a guide to the student in the laboratory work, they are just what the practitioner requires to refresh his memory and keep him abreast with the times. The section on Obstetric Surgery is so admirably illustrated that the operator must feel that his every difficulty has been anticipated. The work is well written and profusely illustrated. On the much discussed operation of Symphyscotomy the author takes a decided stand in which we entirely agree with him. He says, "On comparing the results following Symphyscotomy and Caesarean section in the same class of cases it would appear that little can be said in favor of the former. In the first place, the maternal mortality following it equals, if it does not exceed that following Caesarean section, while the foetal mortality is considerably greater, being 9 or 10 per cent in the former and practically nothing in the latter operation. Moreover, if an error is made in estimating the relative size of the head and pelvis, the child is inevitably lost with symphyscotomy, while such an error is of no consequence when Caesarean section is done. Furthermore there is no comparison as regards convalescence following the two operations. After the former the patient requires prolonged rest in bed in an uncomfortable position, whereas after the latter she recovers in a short time and with but slight inconvenience." The apparent simplicity of the operation of Symphyscotomy has been an attraction to many practitioners; we would advise them to read pages 414 and 415 of Dr. Williams' book. We congratulate the author and the publishers on the presentation to the profession of a work which is bound to attain to a high position in medical literature. A Tried and Valued Friend. One of the leading practitioners in Nebraska writes: "My experience with Maltine dates over fifteen years, and I have found it a tried and valued friend. In the large group of diseases where malnutrition is a most conspicuous feature, Maltine Plain or combined is the sine qua non of treat ment. "I cannot speak too highly of Maltine with Cod Liver Oil. Your vacuum process prevents rancidity and removes the odor and taste of the oil, which, with its reliability, make it the peer of any oil preparation on the market." Every function of the body is controlled by the nervous system, hence, just to the extent of the nerve lesion, will there be a depression of the vital forces. The experience of the profession proves that one of the best possible remedies for this condition is Celerina, in teaspoonful doses, four or five times a day. No one, after an intelligent use of Celerina, will deny its power to give renewed energy to the whole nervous system. Honor for Hamline Medical College. Dr. Thomas Devereaux, a graduate of Hamline Medical College in the class of 1901, who spent a year as interne in the Minneapolis City Hospital, is now in Washington, D. C., as assistant U. S. army surgeon. During the competitive examination for the position, out of sixty examined only three passed, one from the University of Pennsylvania, one from a New York school, and Dr. Devereaux, of Hamline, who stood at the head of the list. The most prominent medical schools of the country were represented in these examinations. Sufferers from cramp. Popular Science says, will find instant relief by this simple method: When attacked by the malady, turn up the toes (ankle motion) as far as possible. This draws up the muscles, of both the calf and thigh and relief comes at once. Many bathers at seashore resorts have followed this instruction with satisfactory results. Medical contributions respectfully solicited from Regular Physicians. The editor or publishers will not be responsible for the opinions expressed by correspondents. No attention paid to annoymous communications. Reprints furnished only at actual cost. Entered in the Post Office at Minneapolis, Minnesota, as Second Class Matter. SUBSCRIPTION PRICE United States, Canada and Mexico, per annum, in advance, $1.00 1.50 N. B. Matter for the reading pages should reach office of pnblication on the 20th of the preceding month and display advertising on the 25th, to insure attention. Vol. 5. MINNEAPOLIS, MINN., MAY, 1903. Editorial. The legislature of 1903 has adjourn ed, and without making any special change in the statutes concerning the medical men of the regular profession. The anti-vaccination bill, after passing one branch, failed in the other, and thus what would have proved, if it had passed, a backward step, if not a calamity in the state, was avoided. The osteopaths received their recognition as a profession, as their bill was passed providing for a state board of examiners, five in number, who are to examine and licence applicants to practice osteopathy in this state. It will be the duty of this board to protect the community from ignorant pretenders, and to license only those of the best grade in their vocation. Typhoid Fever. No 5. It is no secret that both St. Paul and Minneapolis are suffering from an epi demic of typhoid fever to an unusual extent. The hospitals in Minneapolis are full, and St. Paul has made application for room here. The form of the disease is severe and several deaths have occurred. The Northwestern hospital of Minneapolis has admitted eighteen cases within two months, and the city hospital admitted eighteen in March, and nine cases in the first fourteen days of April. The water supply is blamed for this outbreak.. It is hoped that the experiment of electrocuting the bacteria. in the water, an account of which we publish in this issue, may prove successful; and if the reservoirs can be thus treated and purified in bulk of |