Medical

Miscellany

A Diagnostic Chart. of Respiratory Diseases. We have lately received one of the most reliable differential diagnosis charts, covering diseases of the lungs, pleura, bronchi, trachea and larynx, which it has ever been our privilege to see. The data presented is from the pen of Dr. Edward C. Hill, and evidences a great amount of painstaking work on his part. Something better than forty-five diseases affecting the respiratory organs are considered, and after each is given the etiology and diagnostic evidence gained from inspection, palpation, percussion, auscultation, cough, pain, dyspnea, expectoration, voice and miscellaneous. These are arranged in parallel columns, and the diseases most often confused are grouped for aid to differentiation. The usefulness of such a chart will be appreciated by every physician, and we trust that a large number of our readers will avail themselves of the generous offer of the McArthur Hypophosphite Co., Ansonia, Conn., who will mail copies free of expense to physicians making application.

MASSACHUSETTS. Conditional Constitutionality.

The Supreme Court of Massachusetts has decided that their compulsory vaccination law is constitutional, but that a man who thinks vaccination is unnecessary cannot be treated by force. He would, however, be liable to a fine of $5.00 for each such refusal.

Typhoid at Lawrence.

Lawrence, Mass., is in the midst of an epidemic of typhoid fever, apparently due to the practice of operators of the Pacific Mills of drinking unfiltered river water. This they do because the water running in the canal is cold, while that furnished for them to drink is unpleasantly warm.

Street Car Regulations.

Regulations forbidding spitting in street cars are common about Boston. Cam

bridge has taken another step: "Every street railway passenger car (closed) operated in Cambridge shall, while so operated, be properly ventilated; such cars shall be thoroughly aired at the end of each round trip; every such car shall be thoroughly cleaned at the end of each day's service and shall be disinfected once each week." A violation of these city ordinances involves a fine not to exceed $100.

"A Movin' Medsin."

A colored woman threw the odds and ends of medicine left after her husband's death into the fire. The explosion that followed carried the stove through one of the windows. "Mos' pow'ful movin' medsin I evel: saw'd," said she. "No wondah the old ran gone dead."-Ex.

Dr. Lorenz Removes Cast From Limb of Little Patient Which Was. Put in Place Last October.

Chicago, April 17.-Dr. Adolph Lorenz, the Austrian specialist, arrived in Chicago yesterday for the purpose of removing the cast from the leg of Lolita Armour, the young daughter of J. Ogden Armour, upon whom an operation for congenital dislocation of the hip was performed last October. Upon removing the cast the limb was found to be in perfect condition and the patient was able to walk around the house without any difficulty. "The operation was a complete success," said Dr. Lorenz, "but I shall have to be in constant attendance upon the little one for three or four weeks before I can be certain of a positive cure."

The Amended Medical Practice Law of Nebraska.

Section 19-Every holder of a diploma from a recognized medical college within the state of Nebraska, making application for an examination and a certificate under the provisions of this act, shall pay to the board of secretaries prior to his examination

stands, threaten to wipe out the French

race.

We are not put here to live out our lives for ourselves. The race has a heavy mortgage on each and every one of us. The price must be paid or the penalty will be exacted.

We do not wish to see this great country of our, with its manifold possibilities, resources and opportunities. follow in the steps of France. Doctor, talk with your patients on this subject. None of them have looked into it deeply. Few have considered that they owe a duty to the world. great majority of people are willing to do the right, could they but find the man with honest convictions to show it to them. Doctor, you are the man.

The Panama Canal.

The

The new Panama Canal will offer a splendid opportunity for the activities of the Society for the Study of Tropical Diseases which has just been organized in Philadelphia. We should like to commend this great project to the notice of the officers of that society. It seems probable now that the cana! will be pushed ahead in the near future by the United States Government, and the announcement has already been made that the sanitarians are to go in advance of the engineers in preparing for that great work. The problem is one that is unexampled in importance and opportunity. It will be the greatest field yet offered tothe sanitarians to prove their efficiency and to confer a great benefit upon civilization.

In the light of what has been accomplished in Cuba by American scientists, it is not too much to expect that this new problem will not be too great

for theenergies and skill of our sanitary experts. We do not feel compe

tent within these narrow limits to offer practical suggestions, but we can at least call attention to the fact that the reputation and skill of our experts are to be put to the test. The work will be followed not only with keen interest but also with sharp criticism. It will not do to allow the isthmus of Panama to remain a hotbed of tropical diseases during the progress of this great work. We trust the new Philadelphia Society will see its way clear to profit by this opportunity.

Dr. Patrick Manson, in a recent address in London, spoke of some of the problems involved. He suggested an international commission to act for the prevention of disease, and especially to prevent its wide dissemination. While the co-operation of specialists from other countries should be heartily welcomed, the fact remains that the re

sponsibility will be largely on our own Government. Not only must the country be made as sanitary as possible, but means must be adopted to prevent the isthmus from becoming a focus for the dissemination of disease. Thou

sands of laborers-probably many of them Asiatics-will be employed. They can export yellow fever, and they can import plague. In fact, they might be the means of introducing yellow fever into regions of the globe where it has never prevailed within the historic period. The canal will not only be a new route for commerce, but it will also be a new route for disease. Pestilence always follows on the heels of traffic.