The upper floor rooms have been thoroughly renovated, redecorated and refurnished; so have also the halls. There is a sort of sun room for convalescents who will be moved on rolling beds. There is a serving room on each floor fitted with modern devices for serving food, hot.

The surgical department has been entirely remodeled. There are two operating rooms of the first class, each containing all that is necessary to the performance of an aseptic operation. There is a special sterilizing room with the most modern apparatus. There is also a special room where patients can be placed temporarily after an operation. The diet kitchen, located in the basement will be a model of its kind. This will be in charge of a graduate of the celebrated Simmons College of Boston.

The first floor of the Annex will be given over to a new ward for accident cases. The hospital will have its own new ambulance. These two features are of decided benefit. Throughout the building new hardwood floors have been laid.

A complete X-Ray plant has been installed. Not a vestige of the old plumbing remains; all is new. There is a new steam heating system. There are now one hundred and twelve beds. The hospital will be lighted by electricity.

Miss E. A. Hogle of Boston has been selected to fill the responsible position of Superintendent. Miss Hogle is a graduate of the Boston City Hospital and has been in charge of the Summerville Hospital, near Boston. Miss A. E. Irving, also a graduate of the Boston City Hospital, will be the new principal of the Nurses Training School. The editor believes with others that "only good comes out of Boston." So the new hospital will be well officered The formal opening will probably take place some time this month.

The Homeopathic profession have gained that for which they have long wished-a model hospital. It remains for them to exert every effort to ensure its success. There is absolutely no reason why there should not be scientific success. The Homeopathic profession of Cleveland has as able and learned men and women as can be found in any city. So it would seem that the new hospital starts off under the most auspicious circumstances.

Too much cannot be said in praise of the ladies who have attended to the details of this work. They have given their personal attention, sacrificing their own comforts in order to deal daily with the various contractors. It is a great work they have accomplished; one of which they can well be proud. And they have the gratitude of the members of the Homeopathic profession of Ohio. The mem

bers of the committee who have been most active are Mrs. William Edwards, Mrs. Webb C. Ball, Mrs. John Huntington, Mrs. A. C. Hord, and Mrs. J. V. N. Yates.

CLEAN MILK.

The medical aspects of the pure food question transcend in importance all other medical considerations; especially is this true of milk which is the food of the sick and of a very large part of our race who are for various reasons denied the maternal breast.

It is not generally realized even among physicians that milk is by far the filthiest food partaken of by man and that the chief source of contamination is cow dung.

By improperly or insufficiently cooling milk the bacterial content of our most common food has been found on occasions to equal that of sewage!

Another danger from drinking dung contaminating milk is Tuberculosis. Leaving aside the much debated question of the actual danger to human beings of the bovine type of the disease it is not very reassuring to think that milk may contain the bacilli in large numbers. In a recent paper by Prof. Schroeder of the Department of Agriculture U. S. A., entitled "Tuberculosis Infection Through Milk" elaborate experiments were reviewed by him with reference to the source of contamination with the tubercle bacillus of milk from tuberculous cows. These experiments have shown conclusively that the intestines of such cows eliminate vast hordes of tubercle bacilli regardless of the site of the lesion. He drew the conclusion that the milk becomes infected by external contamination with the bacilliladen feces, owing to dirty methods of milking. In certain stables the writer has seen small particles of dung drop off a dirty udder into the milk pail, the milker going calmly on with his milking, every jet of milk tending to churn up and desseminate thoroughly the contamination.

Clean milk is just as much an index of the intelligence and foresightedness of a community as the purity of its water supply Pasteurization of milk should never be necessary and never will be if the following fundamental requirements for the production of clean milk are conscientiously and faithfully carried out.

1. The herd should be pronounced healthy and tuberculin tested by a competent veterinarian.

2. The barns should be kept scrupulously clean, well lighted and ventilated.

3. The cows should be curried daily and flanks and udders clipped; the udders and teets should be washed with a clean cloth just before milking.

4. The milker's hands should be washed with soap water and a brush just before milking.

5. The foremilk should be discarded.

6. The milk pails and bottles should be washed thoroughly and scalded or sterilized by hot steam.

7. The milk should be strained through sterile cheese cloth and cooled to 40° F. within 15 minutes of milking.

8. The dairy house should be clean, light and well ventilated, free from odors and flies.

9. The milkers and others handling the milk should at all times be free from infectious diseases or from exposure to the same.

Milk produced under such conditions and kept packed in ice need never be pasteurized or sterilized, will keep sweet for weeks and will be an important factor in reducing the high infant mortality in bottle-fed babies.

THE JOURNAL OF THE AMERICAN INSTITUTE OF

HOMEOPATHY.

The first section of the Journal of the American Institute of Homeopathy made its initial appearance January 1st. The pink covers of our old and well tried friend, the Medical Century, have been put away, though no one will fail to recognize that excellent publication in its new clothes. Nor will the reader fail to note the additional dignity taken on since it has become the official organ of that ancient and honorable institution, the American Institute of Homeopathy.

A careful examination of the contents impels us to think and write only pleasant things about this new literary effort. In this first part there are several original articles written by men whose names are familiar to all of our readers. The discussion of these same papers are also printed in full and afford an attractive feature. The editorials are appropriate and to the point. The many news items from various parts of the country will be of interest to all physicians.

The main function of a medical journal is the diffusion of medical knowledge and under the guidance of the much experienced (not veteran) editor, Dr. W. A. Dewey, this journal will surely fulfill its

mission. In addition to the educational value, missionary work will be undertaken. A large number of extra copies will be printed each month and these copies will be sent to prospective members of the Institute. It is thought this method will appeal to a large number of physicians who are at present not members; that they will hear the call and become interested.

The REPORTER extends its best wishes to the members of the Journal Committee and their able Editor. We feel sure the new venture will be a great success.

HEMORRHAGE IN THE NEWBORN.

H. E. Tuley, (Joural A. M. A., December 26), says that hemorrhage is an accident to which the new-born are liable; its etiology is obscure but since fever is a prominent symptom in most cases it is generally believed that it is due to septic infection. Newborn infants develop sepsis easily and there are many ways in which the offending organisms may attack them. Among other causative factors, have been mentioned prematurity, atelactasis, cardiac abnormality, gastric or intestinal ulcer, thinness of the blood vessels, congenital portal obstruction, hemophilia, and the changes taking place in the circulation incident to birth. The hemmorhage may occur in any organ and before or after birth. If after, it usually occurs within the first three days. If from the gastro-intestinal tract alone, it is called melena; Tuley reports a case. Various methods of treatment have been recommended. The different hemostatics, the cold coil, etc. In the case reported subcutaneous injection of gelatin was followed by prompt recovery and two other cases are mentioned in which like results were obtained. Special caution is needed as to sterilization of the gelatin on account of the common contamination with the tetanus bacillus.

Henry Hubbard Pelton of New York has made use of calcium lactate, given for twenty-four hours before operation on the nose and throat, with the effect of lessening the hemorrhage from the tissues markedly. He gives an account of two cases. The dose for adults is twenty grains three times a day.--Medical Record, December 26, '08.

Pain is often present for months after a fracture of the leg. especially in elderly people. This is mainly due to the information of the callus and needs no operative interference Of course, a subacute ostemyelitis must be kept in mind.

CLINICAL DEPARTMENT.

CHRONIC CEREBRAL HYPERAEMIA FOLLOWING CONCUSSION OF THE
BRAIN: CURED BY MELLILOTUS.

Mrs. P., aged 40, was standing on a chair to reach up a high shelf when she became giddy, fell backwards, and struck the back of her head against the edge of a table. She was rendered unconscious, and when I saw her presented all the symptoms of brain concussion. The fact that the blow was received on the head where the hair is gathered into a coil mitigated its severity, for there was no scalp wound, and no manifestation of contusion.

The patient was a delicate woman, always more or less anemic, with a weak heart and a tendency to syncopal attacks.

Arnica 1x was prescribed, with an arnica compress to the head, and hot bottles to the feet. She recovered consciousness in the course of half an hour, and complained much of headache. This headache became more or less persistent and chronic, and was of a violent, throbbing, bursting character, chiefly occipital, but felt all over the head, and making her feel at times as if she would go out of her mind. The remedies given during a period of several months were acon., bell., glonoine, gelsem, silica, acid picric, calc. carb. These gave only partial and temporary relief, glonoine being particularly helpful as a palliative during the severe paroxysms, but the head symptoms continued, and rendered her quite unfit for her domestic duties, besides causing her to show signs of much irritability of temper, especially with her children. She could not bear noise, and was unable to read or write without considerable aggravation of her symptoms. She slept badly, and at times I feared that her mind would give way.

Very hot fomentations to the occiput would give relief, and counter-irritation at the nape of the neck by means of sponging with Coutts' acetic acid produced temporary benefit. But no marked improvement occurred until I prescribed melilotus IX.

This drug, sweet clover, produces symptoms denoting great engorgement of the cerebral vessels, with terrible throbbing headache as if the head would burst, a very red face, and a tendency to epistaxis.

This reminds one of bell., but Clarke, in his Materia Medica, differentiates the two remedies in headache in that melilotus has > from lying down and from the application of vinegar, whilst bell. has < from these. My patient certainly found relief from the acetic acid, and the head was better lying down than sitting The face also got flushed during the paroxysms of severe headache. From the time she commenced taking melilotus the headaches became less severe and less frequent and in a few weeks entirely ceased. The effects of the fall had lasted nearly eighteen months.

M. I., AGED 46, first complained of irritability of the bladder, and much pudendal itching without any rash, about June, 1908. She endured these symptoms without any attempt at relief for two months, and then present herself at the hospital out-patient department. After ineffectually trying canth. 3 and then apis 3, on June 30 the urine was examined, and sugar was discovered therein. Acid. phos. IX, gt. ii., ter die, constituted the prescription, and this medicine was continued for three weeks without benefit.

On July 21 the patient complained of unusual thirst, and arsen, zx was prescribed, and the remedy was continued alone from the date above mentioned until November 23. Long before this course of medication had come to an end the sugar had gone, and repeated testings during the last six weeks have demonstrated its absence.

Diabetes, characterized by intense itching without rash, accompanied by leucorrhoea and great thirst, were the chief points of the case. Of course, the patient's diet was modified as to sugar and white bread. She found great relief to the thirst by eating lettuce.

The following case of diabetic gangrene may be recorded: Early in August the lady was being attended to by a surgical friend, who on seeing the gangrenous toe, and on noticing the blush extending half-way along the rorsum of the foot, was beginning to plan a somewhat extensive amputation. He dressed the toe with