permanency of results will be ascertained by the Wasserman test at regular intervals and reported later. The Stroganoff Treatment of Eclampsia. Under the treatment by forced delivery, the maternal mortality in the best German clinics has ranged fro 14% to 21%, that of the child from 43% to 55%. Stroganoff has claimed that by his method, the maternal deaths are reduced to 6.6%; the child-deaths to 21.6%. The report of Roth from the clinic of Leopold in Dresden (Abst. in Fortschritte der Med. Nov. 17, 1910, p. 1464) fully confirms Stroganoff's claims. His method consists in the use of relatively small doses of morphine and chlorol-hydrate given according to a definite scheme, not only at the time of the attacks but between them. The plan is as follows: At first morphine-grams 0.01-0.02 (1-6-1-3 grain); two hours later, choral hydrate-grams 1.5-2.5 (23-38 grains) by the rectum; three hours after starting the treatment, morphine grams 0.01-0.02; 7 hours after the strat, chloral hydrate grams 1.5 to 2.5; 13 hours after the start, chloral grams 1.5-2; 21 hours after the strat, chloral, grams 1.5; after delivery chloral grains 1.05-1.5 is given three times a day. The chloral is given in the following mixture: Chloral hydrate 20.0; mucil g arab. 20.0; aquae dest. 180.0. Great care should be exercised to avoid every sort of excitement. The patient is kept in a quiet, darkened room, and every little proceedure, such as giving the clysmata and hypodermic injections, or making vaginal examinations and using the catheter, is carried out under partial chloroform anesthesia for which about 20 drops suffice. When these rules are followed, the attacks usually cease by the end of the first day; the mind clears, the urine is increased and the pulse becomes softer. In exceptionally obstinate cases, Stroganoff admits that forced delivery, perhaps by vaginal section, may be indicated although he has never yet been compelled to resort to these measures; nor have they been used in the Dresden clinic since the adoption of Stroganoff's method. Roth insists on sticking closely to Stroganoff's rules until the physician has had a good deal of experience.-Gifford (Omaha). Freedom of the will is a doctrine which children can understand and appreciate. The little girl in this story was not willing to have her naughty ingenuity ascribed to supernatural sources. "It was Satan," said a mother to one of her children, "who put it into your head to pull Elsie's hair." "Perhaps it was," replied the little girl, "but kicking her shins was my own idea." Technic of Draining Biliary Ducts After Cholecystectomy. Drains placed within the abdominal cavity are too often followed by adhesions very annoying to the patient. This is true after draining the biliary passages in a great many instances and owing to the proximity of the duodenum, pyloric end of the stomach and hepatic flexure of the colon, portions of the alimentary tract often sensitive to the slightest interference with their function, any procedure to lessen the formation of adhesions is worthy of tria'. When cholecystectomy is indicated we generally find the biliary passages in a condition to be benefited by drainage. In these cases I have adopted the technie illustrated below, with aparently good results This leaves the drain outside the peritoneal cavity as shown in the illustration. The sutures drawn as interrupted, are continuous, and applied very closely to keep bile from leaking into the peritoneal cavity. The hepatic duct can be drained directly if the cystic duct is found imprevious. -C. A. Roeder, Grand Island. No. I-Showing Gall Bladder removed, leaving as large peritoneal flaps as possible. Clamp on cystic duct. The artery needs individual ligitation. The cystic duct is cut flush with the clamp. No. II-Showing the drainage tube inserted into the cystic duct. The edges of the duct are inverted, before the purse-string of catgut No. I plain, is drawn. It then takes a bite in the tube to hold it there for about six days. No. III-The operation completed, showing the drainage tube covered with peritoneum and outside the peritoneal cavity. Neb. Neb. Dr. Cowan formerly of Deweese, Neb., has removed to Belvidere Neb. Dr. C. L. Fairbanks, is a new physician, recently located at Scotts Bluffs, Dr. C. I. Spannare of Lincoln, Neb., is a new physician, recently located at Johnson, Neb. Dr. W. J. Doyle of Greely, Neb., died suddenly at his home, December 16, at the age of 51 years. Dr. H. S. Bell of Kearney, Neb., is the new physician, appointed for the Industrial Home in that city. Dr. Lee of Pickrell, was thrown from his buggy in a runaway, December 6, but escaped serious injuries. Dr. I. C. Taylor of Indianola, Ia., has located in Pawnee City, Neb., and will hereafter make that his home. Dr. C. H. Ross of Wymore, Neb., has removed to Blue Springs, where he will in the future practice medicine. Dr. Emma Hoye and E. C. Leigh of University Place, Neb., were married in Chicago, sometime in December. Dr. Frank S. Marnel of Nebraska City, has removed to Cook, Neb., where he will make his home in the future. Dr. O. Grothan of St. Paul, Neb., was married recently to Miss Cora Johnson, formerly a nurse in his Sanitarium, at Kearney. Dr. Young and Dr. Richardson of Fremont, have dissolved partnership, and Dr. Young is contemplating locating in Superior, Neb. Dr. Clyde Moore of Omaha, and Miss Laura Daggett of Axtell, Neb., were married at the home of the bride's parents, on November 22. Dr. Fred Smith of Albion, Neb., has returned home after spending several weeks in an Omaha hospital, suffering from typhoid fever. Dr. H. A. Copsey of Alliance, Neb., and Dr. B. S. Allison of Oelrich, S. D., have formed a partnership, and will practice medicine in Alliance. Dr. L. C. Marshall of Wisner, Neb., and Miss Maybelle Sylvester of Surprise, were married early in December, at the home of the bride's parents. Dr. E. L. Heilman of Tecumseh, Neb., recently disposed of his medical practice and office fixtures to a Dr. Thomas, who comes from Burwell, Neb. Dr. H. Gillmore of Murray, Neb., was recently operated on for appendicitis in an Omaha hosptial. The last reports were that he was recovering nicely. Dr. Townsend, who for a short time was located at Elm Creek, Neb., has removed to Big Horn, Wyo., and will locate in one of the new towns in that region. Dr. Wm. N. Davis of Omaha, was married to Miss Lorene Emery of Mynard, Neb., at the home of the bride's grandparents, the latter part of December. John C. DaCosta, M. D., a well-known gynecologist of Philadelphia, died at his home, December 6, from pneumonia complicated by arteriosclerosis, aged 76. Sixteen State Sanatoria, twenty-eight county hospitals and twenty-one municipal hospitals for tuberculosis have been erected and provided for since January 1, 1909. Dr. Leisure of Clay Center, Neb., has disposed of his practice to Dr. J. W. Archard of Grafton, Neb. Dr. Leisure will relocate in Oklahoma, where he formerly practiced. Dr. L. J. Townsend, who has practiced in Fremont, Neb., for a good many years, has formed a partnership with a surgeon at Sioux City, Ia., and has removed to that city. It is reported that Atlantic Medical College of Baltimore, formerly the Southern Homeopathic Medical College, has been suspended owing to lack of financial support. An ordinance has been passed by the city council of Kansas City prohibiting the use of fireworks in that city except at public exhibitions which are to be regulated under special permits. The leading physiologist of Italy and a pioneer in the physiology of life at high altitudes, Prof. A. Mosso, professor of physiology at the University of Turin, died November 24, aged 64 years. Dr. Simon Flexner, director of the Rockefeller Institute for Medical Research, who was operated on for appendicitis at the Presbyterian Hospital, December 4, is reported to be doing well. The Toronto Free Hospital for Consumptives, Weston, was totally destroyed by fire, December 1, with a loss of $100,000. The ninety-two patients were all removed without casualty. The accident insurance companies which had policies on the life of the late Dr. Frederick Rustin, Omaha, have been defeated in their suits to recover the $31,000 insurance involved in the case. The new Arkansas Tuberculosis Sanatorium, Booneville, is nearly filled to its capacity. At the beginning of the month there was room only for ten additional patients. The capacity of the institution is 74. John Cummings Munro, M. D., Harvard Medical School, Boston, 1885; died at his home in Boston, December 6, from recurrent cancer, for which operation had been performed three years before, aged 52. Six men, convicted of peddling cocain in Kansas City, were fined sums aggregating $700, November 14. One of the individuals, said to be the executive head of the outlaw cocain business, was fined $200. Mr. Louis Dohme, head of the firm of Sharp and Dohme, manufacturing chemists, died in Baltimore, December 12, from neuritis, aged 72. He was a graduate of the Department of Pharmacy of the University of Maryland. Drs. J. B. Hungate, A. C. Welch, M. M. Butler and J. C. Fate of Weeping Water, have formed an organization known as the Physicians Protective Society. The purpose is to protect themselves from the operations of dead beats. The vote on the proposition to issue $1,000,000 new city bonds for the construction of a new city hospital for Louisville, Ky., was overwhelmingly in favor of the proposition, the figures being 11,408 for and 3,897 against. Dr. Jos. B. McFarland of Philadelphia, a noted bacteriologist and pathologist, attended the Phi Rio Sigma convention in Omaha, December 28 and 29, and gave a very entertaining talk at the banquet held the evening of the last day. Walter B. Vogel, a chiropractor of Mount Carroll, charged with practicing medicine without a license, is said to have been found guilty, November 23, and fined $200. The defendant gave bonds and says he will appeal the case. The municipality of Dole, Jura, has just voted to buy and preserve the house where Pasteur, on December 27, 1822, was born. It has decided, moreover, to ask the aid of "all of the admirers of that great benefactor of humanity." |