ready traced. We are called upon to make good the phosphate waste (and incidentally the chloride waste as well), and to stimulate the processes of nutrition by raising the blood pressure to a higher level. Higher arterial tension means freer irrigation of the tissues, freer irrigation of the tissues, in its turn, means improve nutrition. Now lime and strychnine both tend to raise the blood pressure, and if they be given in the form of phosphates, all the therapeutical indications will have been fulfilled. Some phosphorus compounds, however, are more readily assimilated than others, and for this reason it is better to employ the hypophosphites. In order to facilitate their apprehension by the tissues the phosphorus should be administered in combination with various bases, and advantage may be taken of the opportunity to introduce medicinal tonics, such as quinine, iron, manganese, potassium, etc. Such a compound is presented in the well-known Fellows' syrup, which must have been devised in deference to the principles enunciated above, and has justified its existence by the results that follow its employment. Its succees, in all probability, is due to the fact that, by enhancing arterial tension, it enables the tissues to avail themselves of the accompanying phosphorus salts and so to reconstitute their nutrition. Under its influence, indeed, the subject gains in weight while his digestion, in common with the other vital functions improves; and the state of physiological misery gradually disappears. Clinical Congress of Surgeons. The Clinical Congress of Surgeons of North America will hold its fourth annual session in Chicago, November 10-15. A complete program of clinics is to be held on each day from 8 a. m to 5 p. m., covering every branch in surgery. The general headquarters of the Congress will be at the Hotel La Salle, where the eighteenth and nineteenth floors have been reserved for registration room, bulletin rooms, etc. The headquarters of the section on surgery of the eye, ear nose and throat will be at the Hotel Sherman and at each of these headquarters the daily clinical program will be bulletined one day in advance. On each evening of the week except Saturday, there will be scientific sessions, and on Tuesday, Thursday and Friday evenings, special meetings will be held for those interested in surgery of the eye, ear, nose, throat and mouth. Dr. E. Wyllys Andrews is chairman of the committee on arrangements and Dr. Franklin H. Martin general secretary of the Congress. Removal. A research laboratory has recently been established in New York City, at No 428 Lafayette street, near Astor Place, with Dr. Fenton B. Turck, formerly of Chicago, as director, to continue his work on the various problems connected with the alimentary tract, under an endowment by two former patients of London, England. Dr. Turck has removed his office and residence from Chicago to 14 East 53d street, New York, there devoting his morning hours to office practice, the later hours of the day being take by the research work at the laboratory. The director is at present assisted by the following staff: Organic Chemistry: A. R. Rose, formerly University Minnesota, Yale; Arthur Kunston, formerly University Missouri and Columbia; Katherine R.Coleman, formerly Columbia University. Physiological Chemistry: Vincent Greco, University Palermo, Italv. Bacteriology: Otto Maurer, K. Oberrealschule, Heilbroun, Germany and University Wisconsin, and W. W. Browne, formerly of Brown University. General Pathology: P. J. Friedman, formerly of Department Health City, New York Research Laboratory, and Earle Kiser, University of Toronto, Canada. For prickley heat, apply with sponge, two or three times a day, a 2 per cent solution of sulphate of copper. A goblet of oatmeal water, taken every morning before breakfast, cures constipation, it is stated. K MEDICAL ASSOCIATION OF THE SOUTHWEST ANSAS CITY will entertain this society on October 7-8,1913, Dr. W. T. Wootton of Hot Springs, president. Dr. J. A. Witherspoon, president A. M. A. will deliver an evening address. Sessions will be held at the Coates House, which will also be headquarters. Clinics will be held in the hospitals before and following the meeting. A cordial welcome extended to visiting physicians. Incorporating The Kansas City Medical Index-Lancet An Independent Monthly Magazine Under the editorial direction of CHARLES WOOD FASSETT and S. GROVER BURNETT ASSOCIATE EDITORS P. I. LEONARD, St. Joseph CONTRIBUTING EDITORS ST. CLOUD COOPER, Fort Smith, Ark. S. S. GLASSCOCK, Kansas City, Kan. D. A. MYERS, Lawton, Okla. JOHN PUNTON, Kansas City W. T. WOOTTON, Hot Springs, Ark. DEPARTMENT EDITORS KANSAS CITY P. T. BOHAN, Therapeutics DON CARLOS GUFFEY, Obstetrics J. E. HUNT, Pediatrics JOS. LICHTENBERG, Ophthalmology R. T. SLOAN, Internal Medicine R. L. SUTTON, Dermatology EDW. H. THRAILKILL, Rectal Diseases ST. JOSEPH J. M. BELL, Stomach C. A. GOOD, Medicine A. L. GRAY, Obstetrics J. W. MCGILL, Rectal Diseases L. A. TODD, Surgery OMAHA H. M. McCLANAHAN, Pediatrics H. S. MUNRO, Psychotherapy DES MOINES WALTER L. BIERRING, Medicine Address all communications to Chas. Wood Fassett, Managing Editor, St. Joseph, Missouri. THE CARNEGIE INVESTIGATION. Some years ago the Carnegie fund which was intended to furnish pensions for retired professors of colleges was somewhat startled at the number of applicants, claiming help from this source. Many of them were from medical colleges. It was then decided to make investigation and determine the colleges whose professors were entitled to pension funds. This has lead to the great revolution in medical instruction and a publicity concerning the various colleges that has caused considerable irritation. The A.M.A. joined in this effort to determine the qualities of different colleges, but was singularly unfortunate in being represented by an investigator who was a detective more than anything else. He started out to find weaknesses in the various colleges of the country and succeeded, then No. 8 showed a marvelous aptitude for exaggerating these faults and minimizing the real work they were doing. Finally the Carnegie Foundation fund joined with the council of the A.M.A. to reform medical colleges ostensibly to raise the standards of medical education, but the methods used were not of a high character. Now we are confronted with a newspaper statement evidently inspired by the president of this foundation, which has been repeated and sent far and near in the press that is still more startling and deplorable. This message boasts of the efforts to standardize medical colleges and their success, enforcing twenty-four colleges out of existence. They call it a campaign and describe in very clear language their distinct efforts to force schools to stop their work. of the methods was to send broadcast reports of the inefficiency of these medical One colleges, appealing to the students, to the public press and to public opinion generally to suppress these schools, showing how they lacked in this and that. Another method was to secure the names of students who attended them and circularize them with reports of the poor instruction, poor teachers and unfavorable conditions of the college they attended. Another method which they have no hesitation about describing was that of securing the assistance of rival colleges who had better facilities for teaching and who could be ranked among the better ones, and following up their suggestions, how the downfall of the weaker school could be brought about. Teachers of these weak colleges were appealed to, to resign and join in the effort to concentrate for better college facilities. These and other measures are reported with a brutal frankness that casts discredit on the movement and ranks with the most disreputable methods of the great trusts who force out rivals by just such means. The secretary of this foundation declares that the elimination process has just begun, that 25 of the colleges have been annihilated and of the 117 left a large proportion of them are to be driven out of business, possibly by the very same methods. As a news item representing both the president and secretary and describing their means of procedure, there is something very startling about it, that is a sad reflection on scientific fairness and honesty. While the medical profession as a whole is striving earnestly to improve college facilities and raise the standard of medical instruction, disreputable ways of doing this do not appeal to their sense of justice and fairness of dealing. The Carnegie Fund Foundation needs reformation itself and the work should be on a higher plane than this. College persecution and college battles should be things of the past and the great law of the "survival of the fittest" will go on irrespective of personality and selfishness. T.D.C. FRIEDMANN, DUKET, THE PRESSTHESE THREE. Dating from the reading of Dr. Freidmann's paper before the Berlin Medical Society last November, continuing by inspiring hopes and apathetic thuds up to date, one of the most spectacular and lamentable publicity stunts has been pulled off in the name of progressive medicine. The simple announcement that an avirulent tubercle bacillus had been found and that it would be a curative medium in unadvanced tuberculosis, and that it would immunize against the disease in young subjects, was the flinging wide open the gateway to the public press, to which the profession of late looks for so much assistance in "teaching the dear people" the profound secrets of great strides in medical advancement. This Friedmann event remarkably illustrates this catering and salaaming to the public press to exhibit the goods of regular medicine to the world is not without temptatious results in defeating the object desired, namely, clean regular men and a clean regular, scientific and progressive medicine; for be it remembered, medical men are human, many of them are very human, and in the midst of apparent or real accomplishments the publicity spot light may so mar the tediously developed outlines on the canvas of science, and it may so mar the developmental vision of the embryo scientist that he puerily sees only completion of his incomplete work and begins. groping at phantasmal riches and reaps a discredited regularity and failure, or an accredited full-fledged quackery. Dr. Freidmann was not an exception to the rule, being but an obscure bacteriologist. He had plodded to the forefront with his labor findings and presented them to the Berlin Medical Society, as he had a right to do, he being a properly registered physician in Germany. The evidence of irregularity is not shown. The very relational value of his findings to that unconquered destroyer of human life, if true or not, ripened the psychological moment for a world wide press sensation. No matter how disgraceful the exploitation or what the end results might be in human suffering, no newspaper would pass up such an attrac tion, though the editor knew in his "in ners" the statements were false. It matters not how deleterious are the powerful suggestions of the press on the psychological receptivity of the reader, just so the sensation, the money-maker and newspaper bread and butter getter, is made. To accuse Dr. Friedmann of fostering and foisting the press activity is untenable, as he, like all doctors, had little money and less business sense. He would have needed the money of a Carnegie had he paid for the publication space. That the stuff printed was believed by the readers is shown in the offer of a million dollars by an American for the cure. And thus forced into an international spot light our hitherto unheard of bacteriologist forgot the lowly laboratory that gave him birth and seemingly lost his head in believing he could do what the newspapers claimed for him. With the dazzling American millions before him he rushed blindly into the comercialized pit and to the newspaper crucifixion clandestinely designed for his ending. It reads like a novel yet it is a real and remarkable tragedy in real life, such as only our socalled enlightened and educational press, in its self amusement and in promotion of its own selfish interests, could climax around about a humanely weak but a primarily well-meaning men whose undisturbed ambitions were devotion to human suffering. Recently Prof. Westenhofer has reported to the Berlin Medical Society necropsy findings in a case treated with Friedmann's serum. The young patient treated showed a strong predisposition to tuberculosis, but was doing well prior to the treatment. After the treatment the tubercular process became active and the patient died. The findings showed true tuberculosis at the point of the serum injection. Prof. Westenhofer says this indicates caution must be used in estimating the value of the remedy. Friedmann's methods in his American tour were severely criticised though Prof. Schleick, who formerly assisted Friedmann in his experiments, claimed favorable results in the treatment of patients, and he earnestly argued that the treatment would be at the disposal of the profession on Friedmann's return. Therefore it would still seem an open question whether a scientific experiment with possibly some merit. had not been blighted by premature and ridiculous press exploitation in the perversion of facts and misrepresentations of the experimenter's claims, though he may have honestly erred in judgment in claiming more than the facts warranted. But the press was not content in alluring Dr. Friedmann to America with a million dollar bait, in making him to appear to be and possibly to believe himself to be a very great man, in holding him up to ridicule and finally kicking him off of the continent in a vaudeville climax, but it must spring the old and formerly advertised Duket, goat lymph consumption cure on the people as rejuvenated by ex-senator Wm. Lorimer, wedging it into the advertising gap left by Friedmann's departure. There might seem some excuse for flaunting the Friedmann matter before the public, but the Duket cure history offers no excuse for the press activity other than the cold dollars involved, though the trusting newspaper readers got it as scientific news. In trying for reciprocity registration in Colorado Dr. Duket got a politician to intercede for him. Replying to what kind of treatment he used he is quoted as saying it was goat serum. After some hesitation he is said to claim having one goat in Toledo, Ohio. The Denver and Toledo chiefs of police were delegated to locate the goat, but had to report no goat at the address given. Duket at one time openly advertised in the Toledo papers a "combination of vitalized electrified air" as a "Godsend to the sick-two trial treatments free." In 1910 Duket had a sanitarium at Findlay, Ohio, for the cure of tuberculosis with antiseptic lymph." His claims is said to be a cure of 90 per cent in the first stage of consumption, 75 per cent the second stage, and 50 per cent in the third stage. Duket's lymph" or "serum" was discovered nine years ago. The number of patients treated and cured, as reported in Duket's booklet for March, 1911, is remarkable, but after these cases were later definitely investigated and recorded in the office of the A.M.A. Journal, the reading was like this: .Alive .Dead .Dead 9 Mrs. E.O'H... 10 Mrs. A.M.E...... 11 Mrs. S.E.U........ Toledo, 12 Mrs. O.B...... 13 Mr. H.B.... 14 Mr. H.B. 15 Mrs. B. McC...... 16 Mrs. F. McG.... 17 Mrs. C.L........... 18 Mrs. C.F.K........ ་་ Adrian, Mich... Circleville, Ohio..... Comment on these statistics is unnecessary. In fact the matter would seem a veritable comedy were it not a repetitition of evading legal responsibility in the execution of cunningly systematized methods, the intent of which is to take the last dollar of a dying, helpless consumptive; he wants to live and who would not give all he had to him who promises to shut out death? If this is not quackery, tragedy, inseparably synonymous, what is it? in the face of this and other Duket history too voluminous for present space the press has widely heralded this to the public as a new "cure" for consumption. "Alleged interviews with ex-Senator" Lorimer, Dr. Duket, Father Green and others of Chicago have been pubilshed to give it attractive weight. Mr. Lorimer is credited with sending letters to various state governors "urg And |