second operation, and the increase in the blood cells and hemoglobin was very satisfactory for a case of this severity after three weeks'

treatment.

Case IX. G. P., Italian, 28 years old, was admitted to the hospital on January 13, 1903. For the last four months he had noticed a swelling of the left testicle. He had his scrotum tapped ten days. before admission, and about five ounces of a clear fluid had been withdrawn. An examination showed a pyriform swelling about eight times larger than the normal testicle, with an apex above the external ring. Its upper part was hard, without fluctuation, dull on percussion, no impulse on coughing and non-translucent. Its lower part fluctuated and was translucent. On January 19, 1903, the testicle was removed, the diagnosis of sarcoma of the testis being afterwards confirmed by microscopical examination. On February 1st the patient was given pepto-mangan in doses of a tablespoonful three times daily, and this medication was continued until February 28th, when he was discharged with a well healed wound and improvement of anæmia. The reports of the blood examinations were as follows:

February 5, 1903, hemoglobin 65 per cent., reds 2,362,000, whites 5,900. February 28, 1903, hemoglobin 70 per cent., reds 3,800,000, whites 7,000.

Case X. L. M., born in the U. S., aged 25 years, was admitted to the hospital January 3, 1903. She had been married four years, had had one child and one miscarriage. No venereal history. One month before admission she was exposed to cold during menstruation, and the flow ceased. One week before admission she began to flow steadily and still continued to do so, at her entrance to the hospital. She has had severe pelvic pains for three weeks. The uterus was found retroflexed, and a large doughy mass was found on the left side posteriorly. On January 9, 1903, she was operated upon by posterior vaginal section. A suppurating hematocele originating from a ruptured extrauterine pregnancy was found in the left broad ligament. She was given pepto-mangan in doses of a tablespoonful, three times daily, from January 10, 1903, to February 9, 1903. The patient was discharged cured on February 9th. The reports of the blood examinations were as follows:

January 24th, hemoglobin 65 per cent., reds 3,150,000, whites 9,200. February 9th, hemoglobin 75 per cent., reds 4,318,000, whites 6,100.

Case XII. G. G., Italian, 44 years, single, was admitted to the hospital on November 26, 1902. He is accustomed to smoke a pipe.

For the past fourteen months he has had a sore on his lower lip, which gradually grew larger. At times it gave rise to a great deal of pain. On examination, a small growth was found in the median line of the lower lip, hard in consistence, ulcerating, and with slight infiltration of the surrounding tissues. The sublingual and cervical glands were not enlarged. The growth was removed by a V-shaped incision on December 10, 1902. A moderate degree of anæmia remained after the operation, and on February 6, 1903, the patient was given pepto-mangan, in doses of a tablespoonful three times daily. This medication was continued until March 5, 1903, when the patient was discharged cured. The microscopical examination of the growth showed it to be an epithelioma. The reports of the blood examinations were as follows:

February 6, 1903, hemoglobin 70 per cent., reds 3,219,000, whites 8,318. March 5, 1903, hemoglobin 85 per cent., reds 4,890,000, whites 7,000.

On reviewing the results obtained, we find that, considering the diversity of cases studied under the influence of pepto-mangan, the ratio of increase in the hemoglobin and red cells was very uniform. In one case only (VIII) of the twelve studied in detail, there was no improvement noted in the anæmia, and that was a hopeless case of tuberculous peritonitis, in which, however, the patient was discharged improved as regards her abdominal symptoms after operation. In another case (VI) the improvement was but slight, but this was a patient with renal tumor, and a marked cachexia. These two cases were as severe tests as an iron preparation could be subjected to, and perhaps the paucity of the results is not to be wondered at in these instances.

In the remaining ten cases reported here, as the table shows, the results were very satisfactory for the short duration of the treatment. There is no question that a few weeks longer would have brought most of the "improved" cases up to the point where we could say that the anæmia was "cured." But unfortunately our patients belonged to a class in which every day spent in a hospital counts in privations for others who depend upon them, and we have been often obliged, upon the insistent demands of the patients and their friends, to discharge the convalescents at the earliest possible date.

In addition to the forty-odd cases which we studied this winter, pepto-mangan has been used in the hospital for over two years in anæmic convalescents, with uniformly satisfactory results. In none of the cases under our observation did any untoward symptoms accompany or follow the use of this preparation. In no case did consti

pation, nausea, headache, or digestive difficulties follow its administration.

The results recorded here correspond with those obtained with the use of pepto-mangan by Loomis, Van Schaick, and von Ramdohr, of New York; Peterson, Perekhan, Doehring, of Chicago; Wolffe, of Philadelphia; Summa and Bauduy, of St. Louis; Von Ruck, of Asheville, N. C.; McGuire, of Richmond, Va.; Frieser and Pohl, of Vienna, and Fasano, of Naples.

IN A MULTITUDE OF COUNCILLORS IS THERE ALWAYS WISDOM?

Macauley (History of England, chap. iv.), relating the death of Charles II., says: "Several of the prescriptions have been preserved. One of them is signed by fourteen doctors... He recovered his senses; but he was evidently in a situation of extreme danger." Mirandum est?

A London instructor of parrots makes a specialty of training them to be advertisers. They are taught so that whenever they see any one enter a shop they say, "Have you tried So-and-So Milk Porridge?" or "Hair Restorer?" or whatever the commodity is. The parrot's cage, bearing a label advertising the patent commodity stands on the shop counter, and the bird "puffs" the article all day long, for he has been purposely taught nothing else.

MISS SNOFLAIKE INDISPOSED.

Miss Snoflaike: "Yo' seem indisposed toe-night, Mistah Jackson." Mr. Jackson: "Yais, Miss Snoflaike; I's jes' had tea. I's allus indisposed aftah tea. I et six sassages, an' five sweet pertaters, an' sum ham an' aigs, an' two plates ob poark an' beans, an' foah plates ob flap-jacks, an' six cups ob tea. It's de tea dat distresses me."

Miss Snoflaike: "An' eben den yo' wasn't sahtisfied, I bait yo'." Mr. Jackson: "Wa-al, I cood hab et mo' ef I'd wanted toe maik a hawg ob mahse'f."-Judge.

Not to be impulsive-not to be spurred hither and thither by each desire which in truth comes uppermost, but to be self-restrained, self-balanced, governed with the joint decision of the feelings in council assembled, before whom every action shall have been fully debated and calmly determined-this it is which moral education strives to produce.

Notes and Comments.

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Questions, Comments and Criticisms on all topics of interest to the physician in his daily work, from both the medical and business standpoint.

Reports of Society Meetings, Personal Items, Hospital Reports and all News of interest to members of our school.

Clinical Reports, giving experience in the use of the products of our advertisers.

DO YOU OWE THE REPORTER ANYTHING?

The subscription price of the REPORTER is $1.00, payable in advance. All of our subscribers who are in arrears for the present year or preceding years have received a statement of their indebtedness and we trust that they will not delay in meeting their obligations to us. Remittance should be made by check, post-office money order, draft or stamps. Cash, unregistered, is at sender's risk.

FOR SALE.

A $1,500.00 Homeopathic practice free to purchaser of property in a fine village in southestern Ohio. Terms, $1,000.00 cash. Poor health reason for selling. Address, W. A. W., 15 N. 4th St., Zanesville, Ohio.

A physician in Western Ohio, having decided to go out of business, has for sale at greatly reduced prices, quite a number of comparatively new medical books and surgical instruments. Persons interested will kindly address Lock Box 663, Ada Ohio.

***

NEWS OF THE MONTH.

***** C. E. Hauver, '88, has located at Greenville, Ohio. *** L. M. Bunnell, '99, has located at Tecumseh, Michigan. H. C. Wells, '72, formerly at Tiffin, O., is reported dead. Dr. H. L. Prouty, '97, has removed from Kokomo, Ind., to West Unity, Ohio.

***

***

Dr. Emma J. Betow has removed from Louisville, Ky., to Clyde, Ohio.

*** Dr. R. L. Spencer, '76, has removed from Trenton, N. Y., to Barneveld, N. Y.

*** Dr. D. J. Close, '95, has removed from Bellevue, O., to Fredericksburg, Va.

*** Two splendid openings are at Chili, Coshocton Co., Ohio,. and Baldric, same county.

*** The address of Dr. L. G. Van Scoyoc, '76, has been changed from Kansas City, Mo., to Los Angeles, Cal.

***

We note the recovery of Dr. H. W. Carter, Cuyahoga Falls, from a long-continued illness, and congratulate him.

*** A happy letter from Dr. Cornelia C. Albert, '92, Folsom, W. Va., indicates that she is prospering. Our good wishes go out to her.

*** If you are an alumnus of Hahnemann of Chicago, write to Milton H. Baker, M. D., 4806 N. Clark St., Chicago, and tell him your address.

*** Dr. Edgar C. Cowles, '97, writes from 15 Clinton St., Hartford, Conn. He has been very successful in building up a fine general practice.

A letter addressed to S. C. Heaton, Alliance, O. (could this be J. G. Heaton, '69?), was returned by the post-office authorities marked "Dead."

*** A letter addressed to Dr. Lucy I. Pierce, Meadville, Pa., has been returned by the post-office authorities marked "Dead." She graduated in the class of 1898.

*** The corner-stone of the new National Homeopathic Hospital, Washington, D. C., was laid June 9th, by the president of the Board of Trustees. The occasion was a very auspicious one.

*** Whether the two are the same or not we do not know, but M. D. Pass, of Elba, Nebr., writes that he is a "regular," whatever that may mean. We had a M. D. Pass graduate from the College in

1896.

Dr. W. E. Gault, Portsmouth, O., desires to dispose of a $3,500 practice in a growing city of 20,000, with or without property -as desired. Those interested should correspond with the Doctor immediately.

West Philadelphia, Pa., is to have a new Homeopathic hospital. It is to be a general hospital, with a dispensary department. Some twenty-five Homeopaths of West Philadelphia are associated on the staff.

*** We enjoyed a visit June 14th from our good friend and active worker, Doc. I. Cochran, '03. The Doctor reports steady growth of his practice, and more than a fair amount of success. Good luck go with him.

*** Mr. George Miller, 617 W. Pratt St., Baltimore, has a good location in a city of over 20,000 inhabitants, the physician who left having collected last year $5,500. Anyone interested might address Mr. Miller as above.