CHICKEN BREASTBONE AS A HUMAN NOSEBRIDGE.-Dr. T. R. Tetamore of Brooklyn, recently used the breastbone of a chicken to form a nose for a woman in whom the bridge had been destroyed by syphilis.

UNION OF CUT-OFF FINGERS.-Dr. A. H. Deekens, Philadelphia, cites a case in which a cut-off finger united in a fifty-year-old man. He hints that many useful fingers are needlessly sacrificed by a free use of the knife. His views are supported by the cases reported in the MEDICAL STANDARD, Vols. I to VI.

The

DYNAMOGENESIS AND THE SPECIAL SENSES. -Paul Loye ("N. Y. Med. Jour.") reports that simple luminous excitations (without any image) of one eye bring about a relatively clearer perception of an image by the other eye. analogous fact is true of the sense of hearing; some deaf persons hear distinctly sounds pronounced while a noise is being continually produced; the same sounds do not affect the same patient's hearing in an absolute silence. These facts seem to depend upon the phenomena called by Brown-Sequard dynamogenesis.

FOREIGN BODIES IN THE VAGINA — Dr. Blu of Indianapolis has reported ("Chicago Med. Times") a case of a married woman, who for sexual gratification introduced into the vagina a six-ounce bottle, which slipped within the vagina. The bottle was short, but had a circumference of six and one-half inches. The bottom pressed against the bladder and the neck and shoulder against the rectum. After a considerable effort, by the use of a bivalve speculum and a pair of strong lithotomy forceps, the bottle was removed. Several similar cases are reported in Poulet's "Foreign Bodies."

SPRAINED WRIST.-Dr. Alfred A. Falkenberg of Moscow ("St. Louis Med. and Surg. Jour.") points out that severe sprains of the wrist, when treated with plaster of Paris dressing or by splints and iodine paintings, are followed by considerable stiffness about the articulations. He recommends the following plan of treatment, which is said to speedily bring about a complete free mobility: Having grasped with his left hand the lower end of the patient's forearm, and

with his right the patient's hand, the surgeon makes strong but steady traction, and while continuing it, slowly flexes and then extends the limb in the wrist joint. Then a slight effleurage (in an upward direction) is made and the limb is placed in a splint and bandaged. The manipulations are repeated once every day.

PHYSICAL AND MENTAL CHANGES AFTER OOPHORECTOMY AND HYSTERECTOMY.--Dr. Glavecke ("Arch., Obstet. and Gyn ") says that, after oophorectomy, menstruation ceases at once, or within a brief period, in 88 per cent. In 12 per cent. it continues at rare intervals and in small quantities. Atopomenorrhoea, or substitutes for menstruation, were present in a few cases. In half the cases the menstrual molimen recurred. Phenomena like those of the menopause resulted; hot flashes, dizziness, leucorrhoea, sweating, etc, vaginal and uterine atrophy resulted in the majority of cases. An enlarged uterus frequently became reduced to normal size. General nutrition improved, and in 42 per cent. the patient grew stout. In the majority of cases sexual desire was decreased; in some it was extinguished, and in a few cases it remained unaffected. The mentality deterio. rated in most cases. Depression frequently resulted. After hysterectomy menstruation ceased in all cases, and atopomenorrhoea never to any extent resulted. The menstrual molimen recur regularly for a short time, accompanied with abdominal pain and uneasiness. The vagina and vulva are not affected. The ovaries gradually atrophy after a few years. Nutrition improves. Sexual desire is unaffected, as a rule. Mentality was unaffected in half the cases, but one-third of them passed from depression into insanity.

GENERAL MEDICINE.

DIPHTHERIA COMMUNICATED BY CATS.Dr. Wessel of Moline, has recently reported a case in which a sick cat communicated diphtheria to several children. Several instances are reported in the November MEDICAL STAND

ARD.

TETANUS FROM INTESTINAL IRRITATION.— Dr. B. A. Duncan, West Point, Miss., reports ("Jour. Amer. Med, Assoc.") that he was called to see a twelve-year old patient suffering with most violent attacks of tetanus. She was resting upon her head and heels in a state of complete opisthotonos, with the jaws firmly closed and the head drawn to the left side. Every muscle in her body seemed to be rigid, except those employed in deglutition. Her arms were forcibly flexed, and the abdominal muscles were

as hard as a brick. There was no traumatism, and he at once suspected that worms in the alimentary canal were the cause. Calomel and santonine were given in decided doses, followed by castor oil and turpentine. Her bowels were obstinately constipated and she did not respond to this treatment. Enemata were then given, upon which she passed a large ball of lumbricoids containing about thirty worms, half of which were dead. Her muscles would relax only when put under chloroform by inhalation. The bromides, chloral, Indian hemp and morphine were also used, but they gave only temporary relief. Finally she was given tincture physostigma, a generous diet with stimulants, and an occasional laxative. She remained in this rigid condition more than a month, but is now healthy and well developed. Many of the symptoms suggest a possibility that the case was one of hystero-epilepsy.

COAGULATED SEMEN MISTAKEN FOR A WORM. The origin of some queer worm stories is well illustrated in a recent case reported by Dr. A. McShane ("N. O. Med. and Surg. Jour.") A young man of thirty had suffered from chronic cystitis for about four years. He had frequently injected astringent solutions into his bladder, and was thoroughly acquainted with the bladder anatomy and the technique of bladder injections. Sometimes his cystitis would be almost cured, and then he would stop treating himself. Lately his bladder has been troubling him, and he injected a zinc sulphate solution every night. One night he injected the solution as usual and allowed it to remain in the bladder for awhile. He then discharged it into a basin, and put the latter into a sink, and went to bed. The next morning he saw a long white thing lying in the basin. It was found to consist of two pieces, one six inches long, and the other about eighteen inches long. There was also a rounded piece, about twice as large as a pea, which looked like a head; it had evidently been attached to the rest at some time, for the

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roughened point of attachment could be easily seen. The "worm" was not of uniform thickness throughout its length, but presented successive enlargements and constrictions, which latter were in some places as thin as ordinary cord. At its thickest part the "worm" was not quite as thick as a lead pencil. Microscopic examination demonstrated that it was coagulated semen. It is probable that an evacuation took place during the act of injecting and the stream of semen, flowing along the urethra with the astringent, became fixed and hardened. The spasmodic expulsion of the semen will perhaps explain the succession of enlargements and constrictions observed in the "worm."

NERVOUS INFLUENCE AND COLLATERAL CIRCULATION AFTER ARTERY LIGATION.— Dastre ("N. Y. Med. Jour.") says that the reasons of the formation of a collateral circuit after ligation or obliteration of a main artery, are unknown. The old doctrine of the mechanical effect of the augmentation of pressure and dilatation of the collateral arteries has no ground. He seeks for an explanation of the fact in a nervous influence. In previous experiments, the axillary artery in the salamander was ligated. A collateral circulation was found to be established in cases where the nerves were intact; a section of the nerves interfered with the circulation. In frogs the facts were approximately the same, though, in some cases, the collateral circulation was found in the absence of the nervous influence. Experiments on rabbits were not conclusive, for the ligation of the vessels and section of the nerve induced

gangrene of the limbs. Experiments on birds gave results which agreed with these views. Dastre claims that this nervous action is of a reflex nature, having its starting-point in the exsanguinated organ and its cause in the anæmia itself, transmitted to the nervous centers and reflected upon the vessels of the region in which dilatation occurs.

tal and private practice, and even the history of that case was not decisive, although I have been called into consultation to see several cases of so-called hydrophobia, which a careful examination

showed to be tetanus, hysteria, fright, acute myelitis of the cervical cord, alcoholism and acute ascending paralysis.

LANDON CARTER GRAY.

6 EAST FORTY-NINTH STREET, NEW YORK CITY.

HOSPITAL INTERNES SOCIETY.

[To the Editor:]-It has occured to me that among the physicians of Chicago and vicinity there must be quite a number who have served as internes in the many hospitals far and near.

I think, therefore, that it would be mutually beneficial, interesting and pleasant if they could be formed into a society of internes, for the purpose of interchanging hospital experiences and reminiscences, whereby they could have a better knowledge, than at present, of the methods of the many and different hospitals represented, and also of the eminent men connected with them. All of which, and more, would be profitable and pleasant, to say the least. Any one interested in the matter can address "HOSPITAL,"

Office MEDICAL STANDARD, Chicago.

TETANY AFTER HÆMORRHOID OPERATIONS.

[To the Editor:] A gentleman came to me to have his hæmorrhoids removed. He was badly deformed, neurotic and an inebriate. The last I did not know until after I had treated him. He drank one quart of whiskey the day I operated. I used the carbolic cid treatment. Some twelve hours after the treatment I was called to see him. I found his jaws locked together so I could not open his mouth. I administered chloroform by inhalation. It had no effect in loosening the jaws. I gave him a teaspoonful of laudanum by injection per rectum. The muscles partly relaxed. I repeated the injection. He soon was in a sound sleep; the mouth opened. When the effect of the opium passed away he was all right.

A very nervous lady came to me from Aberdeen, Miss., to have her hæmorrhoids removed. After due preparation, I injected the tumors with carbolic acid. This gave her no immediate pain or annoyance. About six hours after the treatment, I was sent for to see her, the messenger stating he had left her in a convulsion. Before I reached her she had had three of these attacks. All of the posterior muscles appeared to contract when she had the spasms, and her feet and head would be all that touched the bed.

This condition would last about five minutes, then relaxation would take place. I tried the chloroform, as in the former case, but it would not stop the attacks. If anything, it increased, rather than diminished them. I gave her onefourth grain of morphine sulphate without relief. I thought she would die, and so informed her friends. They desired me, if possible, to administer some remedy which would relieve her suffering. She seemed to be suffering greatly. She pleaded with me when out of the spasms to give her something that would enable her to breathe with more ease. She said she felt like suffocating. I gave her two teaspoonfuls of laudanum by enema. In twenty minutes she was sleeping. She slept twelve hours, but at no time so soundly but what I could awaken her. I concluded there was no danger from the opium so long as she could be so easily aroused, but nevertheless it was a relief when the effect of the opium had passed away. She had no more spasms. The first case threatened tetanus, but this I do not think was tetanus at all. It was more of an hysterical character. I was informed by her old nurse that she was subject to this condition from slight injuries, and especially after child-birth; that they usually continued active for about twenty-four hours, and then would gradually subside, leaving her very much prostrated. She was not very much exhausted this time.

LOUISVILLE, Ky.

GEO. J. MONROE, M. D.

"DANIELS' Texas Medical Journal" offers "The Life of John L. Sullivan" as a premium to its subscribers. It also has several editorial items aimed at delinquent subscribers, to whom the premium is a danger signal.

THE American Academy of Medicine is endeavoring to make as complete a list as possible of the Alumni of literary colleges in the United States and Canada, with M. D. All recipients of both degrees are requested to forward their names to Dr. R. J. Dunglison, 814 N. Sixteenth street, Philadelphia, Pa.

To judge from certain recent developments in fashionable West End Clubs of London, which implicate the putative heir of the Prince of Wales, the London police had better, on the medical theory advanced by Dr. Kiernan ("MEDICAL STANDARD" Vol. IV.) make a thorough search among the aristocracy for the Whitechapel murderer. It has always been aristocrats like Marquis de Sade, who have been detected in this type of crime.

Five years ago, at a meeting held at Seattle, the following officers were chosen, who held office until the reorganization: President, E. L. Smith; vicepresident, C. H. Merrick; secretary, J. C. Lundberg (since removed to California); treasurer, Dr. Weed.

The State society elected the following officers: President, Dr. E. L. Smith; first vice-president, Dr. Wintermute; second vice-president, Dr. Pietryzcki; secretary, Dr. Flanagan; treasurer, Dr. Williston; board of censors, Drs. Shaver, Hegg, Crump, Boswell and Essig; board of trustees, Drs. Van Zandt, Van Buren, Merrick, Libby and Marion Dr. J. J. Buckley of Missoula and Dr. Jostworth of Colfax were elected honorary members.

The following committees were appointed:
Legislation-Drs.

Williston, Port Townsend; Wintermute, Tacoma; Essig, Spokane; Pietry zcki, Dayton.

Publication-Drs. Flanagan, Olympia; Shaver,

Tacoma.

SOUTHERN GYNECOLOGICAL AND SURGICAL ASSOCIATION met at Nashville, Nov. 12.

Papers were read on "Gynecological Methods," by Dr. R. B. Maury, Memphis; "Direct Herniotomy," with cases, by Dr. W. O. Roberts, Louisville; "Abortive Treatment of Acute Pelvic Inflammation," by Dr. V. O. Hardon, Atlanta. "Ectopic Pregnancy," by Dr. W. H. Wathen, Louisville; "Improved Cæsarean Section versus Craniotomy,' by Dr. W. D. Haggard, Nashville; "Perineorraphy," by Dr. A. W. Johnstone, Danville, Ky.; "Pus in the Pelvis," by Joseph Price, Philadelphia.

"

These were discussed by Drs. George Engelmann of St. Louis; I. S. Stone, of Lincoln, Va.; R. M. Cunningham of Birmingham; W. L. Robinson of Danville, Va.; V. O. Hardon of Atlanta; W. H. Wathen, of Louisville, and G. Frank Lydston of Chicago.

Dr. W. L. Robinson of Danville, Va., read a paper on "Gynecology in its Relations to Obstetrics," which was discussed by Drs. Bedford Brown of Virginia, and Richard Douglas of Nashville.

A paper on "Continued Menstruation after Double Ovariotomy" was read by Dr. G. J. Engelmann of St. Louis, and discussed by Drs. W. D. Haggard of Nashville; A. W. Johnstone of Danville, Ky.; V.

O Hardon of Atlanta; A. V. L. Brokaw of St. Louis, and W. H. Wathen of Louisville.

A paper on "An Experimental Study of Intestinal Anostomosis" was read by Dr. John D. S. Davis of Birmingham, and one paper on "Intestinal Anosto motic Operations with Segmented Rubber Rings," by Dr. A V. L. Brokaw of St. Louis.

Dr. R. Douglas of Nashville, read a paper on "Complications Occurring in the Clinical History of Ovarian Tumors," and Dr. B. E. Hadra of Galveston, one on "Open Abdominal Treatment,"

Dr. L. S. McMurtry of Danville, Ky., gave an account of "Twenty Consecutive Cases of Abdominal Section," in which only three deaths resulted.

CHICAGO MEDICAL SOCIETY met Nov. 4. Papers were read on "Mastoid Periostitis" by Dr. Boerne Bettman; on "Charcot's Joint Disease," by Dr. A. J. Ochsner; on "Perityphlitis," by Dr. J. B. Murphy; on "Nephrectomy and Ovariotomy," by Dr. C. T. Parkes.

At the Nov. 18 meeting Dr. Hotz read a paper on the extraction of foreign bodies from the vitreous by the magnet, in which he pointed out the dangers and uncertainty of the procedure. The paper was discussed by Drs. Gradle, Colburn, Coleman, Ochsner, and others, who in the main agreed with Dr. Hotz. Dr. Hoadley read a paper on diphtheria, whose title was the subject of criticism on the part of Drs. Montgomery, Moyer, Brandt, W. E. Clarke, Church, Fenn, Earle and Paoli. On motion of Dr. Kiernan, Drs. A. R. Reynolds, Paoli, G. Frank Lydston, W. L. Axford and Moyer were appointed a committee to enforce the abortificient law and report to the society what physician had been instrumental in the "Times" abortion "exposé." Dr. Brandt moved that the society urge the creation of contagious disease hospitals, which was carried.

Dr. Brandt then moved the passage of a resolution that the society urge the county board to unite the insane hospital and infirmary and place Dr. Moyer at the head of these two institutions. After some hostile discussion by Drs. Moyer, Kiernan, Church and W. E. Clarke the resolution was tabled on motion of Dr. Kiernan.

THE UNION MEDICAL ASSOCIATION of Northeastern Ohio, met Nov. 13, at Canton. Dr. A. W. Ridenour presided Papers were read :

On "Malarial Fever" by Dr. Starr; on "Osteosarcoma," by Dr. Brannon; on "Pericarditis and Myocarditis" by Dr Everhard; on 'Cerebral Traumatism," by Dr. Greenamyer; on "Otitis Media Purulenta," by Dr. H. G. Sherman; on "Addison's Disease after Pregnancy," by Dr. W. O. Baker; and on "Dyspepsia." by Dr. H. J. Herrick which were discussed by Drs. Brant, Bye, Cock, Conklin, Dougherty, Evans, Foulks, Fraunfelter, Hudson, Landor, March, Marchand, Morrow, Phillips, Portman, Slusser and Walker of Canton; Fouser, Hitchcock, Leonard, McEbright and Reed of Akron; A. R. Baker, Herrick, X. C Scott, D. B. Smith and H. G. Sherman of Cleveland; Ridenour of Massillon; Russel of Suffield; Sisler of Clinton; Everhard of

Wadsworth, Brannon of Canal Dover; Starr of Hudson; Sherman of Kent; Bauer of Uniontown; Robison and Taggart of Wooster; Hudson of Medina; Barnes of Fredericksburg, Battles of Shreve; McMillan of West Lebanon; Greenamyer of Smithville; Baker of Louisville: McKean of Dundee, and Roebuck of Dalton.

Dr. W. S. Battles read a poem on "Medicine The society then adjourned to meet in Akron on second Tuesday in February, 1890, A. K. Fouser, corresponding secretary.

CENTRAL ILLINOIS DISTRICT SOCIETY met Nov. 12. Reports were made:

On surgery, by Dr. Harsha of Decatur; on obstetrics, by Dr. Tobey of Macon; on new remedies, by Dr. Sparling of Moweaqua. Papers were read on: "Electro-Therapeutic Notes and Queries," Amos Sawyer, Hillsboro; "The Brown-Sequard Elixir of Life," I. N. Nixon, Springfield; "The Local NasoPharyngeal Catarrh," N. R. Gordon, Springfield; "The Tin Wash-basin as a Cause for Trachoma,' A. A. Prince, Springfield; "The Country Practitioner and the Eye. Ear, Nose and Throat," W. L. Eddy, Shelbyville; Nervous Disturbances and Errors of Refraction"" G. N. Kreider, Springfield; "Florida Climate for Phthisis," H. C. Jones, Maroa; "Trephining the Skull,” J. H. McIntyre, St. Louis, Mo.

The officers are: President, B. M. G iffith of Springfield; vice-presidents, W. M. Harsha, Decatur, R. Tobey, Macon; secretary, J. H. Miller, Oconee; treasurer, F. B. Miller, Vandalia; board of censors, W. H. Sparling, Moawequa; J. G. Harvey, Blue Mound; G. W. Patton, Pana; G. W. Fringer, Pana, and W. J. Eddy, Shelbyville.

SHELBY COUNTY (IND.) MEDICAL SOCIETY met October 14, 1889, at Shelbyville. The following papers were read and discussed: "Manage ment of Normal Labor, with Particular Reference to the Employment of Antiseptics in Midwifery Practice," by Dr J. W Green Shelbyville; "The Use of Ergot in Labor," by Dr S. L. Strickler, Boggstown; "Practical Obstetrics," by Dr. John Moffett, Rushville; "Delivery of the Placenta, with Report of Cases of Adherent Placenta," by Dr. M. R. Gilmore, Boggstown; "Management of Shoulder Presentations," by Dr. Edward F. Wells, Shelbyville; "Post-partum Hæmorrhage, with Report of Cases," by Dr. J. W. Bowlby, Marion; "Puerperal Eclampsia, with Report of Cases" by Dr. T. R. Rubush, London; "Management of the Perineum, with Report of a Case of Rupture," by Dr. I. W. Trees, Smithland.

THE ALBANY COUNTY (N. Y) MEDICAL SOCIETY elected the follwoing officers:

President, Dr. U. B. La Moure; vice-president, Dr. David Fleischman; secretary: Dr. L. J. McDonald; treasurer, Dr. J. V Hennessy; censors, Drs M. J Dwyer, D H Cook, Houston; Sheppey and Case of Slingerlands. The following committee were appointed;

Executive-Drs. J. M. Bigelow, J. P. Boyd, H. E. Mereness, H. Bendell, W. H. Bailey.

Legislation-Drs. S. B. Ward, A. Vander Veer, L. Balch, F. C. Curtis, M. J. Lewi.

Hygiene-Drs. E. A. Bartlett, W. O. Stillman, W. J. Nellis, F. D. Classen, T. D. Carroll.

Pathology-Drs. H. Hun, H. Van Rensselaer, S. R. Morrow, T M. Trego, W. C. Marcellius. Microscopy-Drs. W. Hailes, T. F. C. Van Allen, F. Townsend, T. H. Willard, Eugene Van Slyke.

Registration-Drs. W. G. McDonald, L. E. Clair, M. J. Dwyer, C. H. Moore, G. H. Newcomb.

THE TRI-STATE ASSOCIATION of Alabama, Georgia, and Tennessee met at Chattanooga, Oct. 10.

Papers were read on "Microscopic Diagnosis" by Dr. A. Reeves, Chattanooga; "Stricture,' Dr. D. H. Howell, Atlanta, Ga. and Dr. F. B. Sloan, Cowan, Tenn; "Typhoid Fever" with Subnormal Temperature and Subnormal Pulse, by Dr. A. S. Wiltse, Kismet Tenn "A Plea for the Medical Education of Females," by C P. Gordon, Dalton, Ga; "Choleo Pystotomy," by Dr. E. E. Kerr, Chattanooga; "Physiology of the Heart and its Valves," by Dr. W L. Gahagan, Chattanooga; "The Specialists and the General Practitioner," by F.W Skillern, Pikeville, Tenn.; "The Diagnosis of Skin Diseases," by Prof E. A Cobleigh, Chattanooga; "Imaginary Foreign Bodies in the Throat,' by Max Thorner, Cincinnati, Ohio, and Dr J B Cowan, Tullahoma, Tenn.; Antiseptic Midwifery," by Dr F. W. McRae, Atlanta, Ga.

THE MARYLAND MEDICO-CHIRURGICAL FACULTY met Nov. 12, in Hagerstown.

Papers were read as follows: "Hernia," by Dr. R. W. Johnson of Baltimore; "Double Popliteal Aneurism Cured by Ligature," by Dr. J. E. Michael; "Rachitis," by Dr. W. Lee; "The Early Detection of Pulmonary Consumption," by Dr. W. B. Canfield, and "Typhoid Fever," Dr. Jos. T. Smith.

The following officers were elected.

A. Friedenwald of Baltimore, as president; Drs. T. A. Ashby and C. W.G. Magill of Baltimore, vicepresidents; Dr. G. Lane Taneyhill, secretary; Dr. Robert T. Wilson, assistant secretary, and Dr. W. F. A. Kemp, treasurer; Dr. A. S. Mason of Hagerstown, delivered the address of welcome, which was responded to by Dr. A. Friedenwald.

PORTAGE COUNTY (OHIO) MEDICAL SOCIETY met Oct. 3.

Dr. Leonard read a paper on "Adenitis in the Aged; "Dr. Smith one on "Lip Epithelioma." Dr. Alcorn one on Eczema" and Dr. Spires one on "Addison's Disease." These were discussed by Drs. Waggoner, Leonard, Proctor, Spires, Smith, Reardon and Hiddleson Dr. Reardon of Mantua Station, was admitted to membership.

Programme for December meeting, lecture, Dr. Proctor; alternate, Dr. Applegate; essay, Dr. Bettes; alternate, Dr. Hiddleson; written reports of cases: Drs. Sherman, Longhead, Spires and Porter. Subject for discussion, "Pneumonia," opened by Dr. Leonard. Adjourned to meet the first Thursday in December, in Dr. Longhead's office. C. S. Hiddleson, secretary pro tem.

THE ILLINOIS MEDICAL WOMAN'S SANITARY ASSOCIATION elected the following officers: Dr. Fannie Dickinson, President; Dr. Corresta T. Canfield, Dr. Rosa Bryan, Dr. Mary L. Vincent, vicepresidents; Dr. Belle L. Reynolds recording secretary; Dr. Sara L Valentine, treasurer.