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iodine into the center of the inflamed area. Both troplores, and in certain as yet unexplained ciraborted. Besides a strict attention to the details cumstances.—(Le Monde Medical, Feb. 15, 1914.) of elimination, diet and the avoidance of local irritation of the skin, a stock vaccine was admin- A Simple Remedy for Burns.-In a recent istered and repeated on the third day. While number of the Muenchener Medizinsche WochKerr realized the advantages of an autogenous enschrift, Bamberger recommends the common vaccine in these cases, he did not feel that the household washing-soda as a remedy for burns. patience of the parents would stand much more The application is very simple. A crystal of temporizing, so the stock vaccine was chosen. soda is dipped into water and then gently rubbed
The result was immediate. There has been no over the burned spot. The pain ceases almost further development of furuncles and the area immediately in burns of the first degree. For about the aborted ones is clear. Outside of the second and third-degree burns a compress wet fifteen scars left by the gynecologist, the girl with a 10-per cent solution of the soda may be shows no evidences of her prolonged attack. This applied or the soda may be added to the conand many similar experiences, emphasizes the fact tinuous water bath. If used at once, the treatthat of all the vaccines, that for furunculosis is ment seems to prevent the formation of vesicles. the most certain in its results.
Tapeworm Treatment.--Here are two suggesPetrolatum.-Manquat has made some inter- tions for the treatment of tapeworm submitted esting observations on petrolatum administered by by two readers of the Medical World. The first way of the stomach. His first point of inquiry of these, J. C. Dreher, cleans out his patient with was, what disposition is made of the substance in the calomel, podophyllin and bilein pills given at the alimentary canal, and his conclusion was that night and followed by a saline laxative the next petrolatum passes through unabsorbed and un- morning; no breakfast; then he gives his patient modified. Any disagreeable features following five 5-grain capsules of thymol, patient to take its use may be ascribed to impurities in the petro- one of these capsules every twenty minutes till latum. When administered in chemical purity, all are taken. Give with half a teaspoonful of hot this substance permeates the fecal mass, keeping milk. If the worm doesn't come, repeat the it soft, and lubricates the surfaces of the intes- treatment. tine and the feces, and thus it mechanically pro- Dr. T. N. Rogers, after purgation and twentymotes evacuation. This is the main function of four hours' fasting, gives the following: the remedy. Incidentally, by its presence, it re- R Male fern lieves spasm and colic rigidity, besides lessening Chloroform .......................Jij intestinal absorption considerably.
Croton oil ....................
' cccrrr.............miv If the patience allows time, the beneficial re- , Glycerin ....... .....q.s. ad. Zij sult is infallible. There is no colicky pain, not G ive in one-half pint of warm milk. If you even the sensation of imperious need of defeca- do not get desired result in two hours, give the tion. The first evacuation is followed by others. balance. When the bowels move have the panaturally, and the doses of petrolatum may be tient sit on a vessel filled with warm water so gradually taken less and less frequently, until the nates are immersed in the warm water. This eventually they are no longer needed. The dis- is very important. advantages are: the lack of agreeable taste, the expulsion of much gas, the sense of weight in Copaiba and Phenol Cure Piles.--About thirty the stomach if taken after meals. For the last years ago, says Dr. J. F. Gibson in the Medical named reason, the petrolatum should be taken World, I had some trouble in the treatment of as far as possible away from meals. The com- piles until I found the following remedies, namemon dose is a dessert or a teaspoonful before ly, copaiba balsam and carbolic acid, which in meals three times daily, of the liquid petrolatum; all cases gave prompt relief. The first case I but these doses may be doubled.
gave it to was a housewife who did her own Besides, for habitual constipation, Manquat ad- work like most women, and had to do the family vises its use in typhoid fever, chronic appendi- washing. The heavy lifting of the clothes boiler citis, hemorrhoids, prostatic troubles, in muco- and washtub brought on an attack of piles, and membranous enteritis, for the aged, and whenever the treatment she used was to lay up and poulit is advisable to avoid straining at stool. But, tice them until they broke, discharged and healed petrolatum is neither a purgative nor a laxative. up. She had consulted eminent physicians before In hard fecal impactions it is useless, as also in my treatment without much benefit. After get'extreme cases of intestinal atomy, in severe gas- ting over one attack to be followed by another
one from same cause, she finally started with Dyer, in the Journal of Tropical Diseases and my treatment. I painted the pile with carbolic Preventive Medicine, gives the following direcacid once a day and gave two 15 minims each of tions: Plantin's copaiba balsam capsules every day, 1. Clean the area thoroughly with soap and which gave prompt relief and in a few days ef- water; follow with alcohol sponging. Be sure fected a cure.
the alcohol dries off well, so as to leave the area The next case was an express-wagon driver, aseptic but not antiseptic. with a pile the size of a walnut and quite black, 2. Vaccinate by any aseptic method; the writand making him unable to sit on the wagon seat. er usually employs the point coming with the I painted the pile with the acid and gave the cap- glycerinized vaccine and the area is scarified. sules, which treatment was to be followed every 3. Cover the area of vaccination at once with day. The second day he was able to resume sterile cotton and hold in place with collodion. work, and in a few days was well.
A shield may be used over this dressing to preIn my own case I was in the habit of walking vent its removal. fast up hill from my office to my residence every 4. Conduct the vaccination as you would any day, which brought on a good-sized pile. I paid other surgical case. Have the patient return on no attention to it for several days until it got the third, fifth and seventh days. If there are as sore as a boil, and got to that stage before I no symptoms of itching or of pain, do not retook the capsules. I would gamble that no rem- move the dressing until the fifth or seventh day. edy would prevent suppuration, but as soon as I On the day the dressing is removed, if there is took the capsules I got relief and a cure in a no sign of vesiculation, reapply sterile dressing short time.
as before. On the seventh day, look again for The acid should be applied by the physician the vesicles; if none, repeat dressing. Do this and no others, to prevent the spreading of it. every two days until the tenth or twelfth day. If the bowels are constipated give cascara or If no vesicles show, revaccinate and proceed as any other lavative. After each movement of the before. bowels wash the parts with cold water and con- 5. If the vesicle shows at any dressing, brush tinue it, and it will prevent piles to some ex- the surface with tincture of iodine, or with pure tent.
alcohol, then carefully clip the top off of the en
vesicle with a pair of sterile scissors. Paint the Successful Method of Treating Varicose Ulcer. base of the vesicle with a thirty grain to the _Dr George B. Simpson does not claim origi- ounce solution of nitrate of silver, or with pure nality for the following method of treating vari- carbolic acid (followed with alcohol). Put on a cose ulcer. which he describes in the Medical sterile dressing, or an antiseptic dressing. Change World, but he has used it with such satisfaction the dressing every two days. that it seems worth printing again. He says: At the end of four or six days, there is a dry
"First, cleanse the ulcer by peroxide of hy- crust (not pustulating). Now the patient can drogen. applying it until all chemical reaction take care of the wound, with a dressing of ichceases. Then cut a piece of gauze just the size thyol (20 grains), phenol (10 grains), ointment of the ulcer, and apply. Over this spread thick (oxide of zinc ointment, 1 ounce), changed night ly a powder composed of equal parts of starch and more
and morning. and salicylic acid. Now apply a sponge wet, but
The evils of vaccination, particularly those innot dripping; over this run a bandage as far up
cidental conditions following the pustulating arm, the leg as advisable, then cover all with cotton,
are prevented by such a procedure. There can and bandage again. Let this dressing remain for
be no impetigos, and multiforme erythema and five days; and when it is removed the ulcer will
its congeners cannot result from pus absorption. be seen granulating, and healing from the outside inward. About three such treatments will cure almost any old varicose ulcer. I took an old A Supposititious New Endocrine Gland.-An woman off her crutches by using this treatment. Italian investigator, N. Pende, has announced
(Riforma Medica, 1913, No. 22; cf. Muench. Med. The Way to Vaccinate.—Every doctor no Woch., 1913, No. 33) the discovery of a new doubt thinks he knows how to vaccinate. But glandular organ which, he is convinced, is one of does he? He may well take heed to his methods the endocrine bodies, that is, a blood-gland. This lest he "slip” since in these days of antivac- gland has been observed in pregnant women and cinationist and antivivisectionist societies the oc- in bitches during the later months of gestation; currence of severe complications of any kind are being situated in the neighborhood of the thymus, likely to be visited by severe criticism or worse. thyroid, and parathyroid glands-especially near
on, amebic dancer was mad Fance. A
the superior parathyroid bodies and the apex of brougiit about, owing to the wide dissemination the thymus.
of the disease among European nations; and the This organ possesses a structure radically dif- fall in the death-rate is largely due to this facferent from that of all known endocrine organs, tor and to improved hygienic conditions. and exceeds considerably in size the parathyroid From these conclusions we may further deduce bodies; while it exhibits all the cytologic char- the practical moral that the most hopeful measacteristics of an actively functionating glandular ures that can be taken, with a view to comorgan. Its significance has not as yet been es- bating the disease, are such as are directed totablished, or even surmised.
ward improving the general wellbeing, and es
pecially the housing conditions, of the poorer Ethylhydrocuprein in Pneumonia.—Not long classes. ago there appeared in this department favorable mention of ethylhydrocuprein as a remedy for Carriers of Amebic Dysentery.-From an expneumonia. Among other writers reporting on cellent abstract in the New York Medical Journal its use is H. J. Vetlesen, of Christiania, who we learn that L. Landouzy and R. Debré report (Berlin. Klin. Woch.. 1913. No. 32) thinks it (in Presse Medicale) the case of a man thirtyhas proven of service in croupous pneumonia, pro- eight years of age, born and passing his entire vided it be given in the earlier stages of a pneu life on canal barges in the north of France. A mococcus infection; although in pulmonary in
diagnosis of hepatic cancer was made, and the fections of other kinds it has seemed to be use- true condition, amebic dysentery with hepatic abless. He urges a trial on the part of others. scess, not recognized until the autopsy. The conle mode
dition had remained practically latent, the only The Infectiousness of Tuberculosis.—That there phenomena noted being relatively mild digestive is considerable change of opinion concerning the disturbances, hepatic enlargement, hemoglobin in ready transmissibility of tuberculosis, is demon- the stools, and progressive cachexia. There had strated by Bosanquet in his fine Lancet paper
been no fever, dry tongue, hepatic tenderness (Jan. 31, p. 289), his conclusions being summar- or pain, cough, or distortion of the liver (though ized as follows:
an X-ray examination had been made). This 1. Infection with tuberculosis is very wide man had never left France, nor associated with spread and takes place largely in infancy and
dysenteric subjects who had returned from tropearly childhood.
ical colonies. Such a case illustrates the danger 2. It is partly due to bacilli derived from hu
from ameba carriers, even in countries of the man sources, partly of bovine origin, but the temperate zone, and suggests keeping in mind the former type greatly predominates.
possibility of amebic infection as a cause of 3. Direct communication from one human pa- hepatic enlargement, the giving of emetine as a tient to a healthy individual does not occur in therapeutic test, and of conducting a complete adult life under good sanitary conditions, with the examination of the stools (including inoculation possible exception of a few instances in which of a cat by rectum). Returning colonists should there has been very close and prolonged contact. be repeatedly examined for amebic infection, to Under bad hygienic conditions, direct infection prevent dissemination of the disease. may occur, children being especially susceptible.
e te te 4. The exact mode of transmission of the
Pathology of the Polyglandular System.bacillus is unknown. but inhalation affords the While relatively little is as yet positively known simplest explanation, although the localization of about the diagnostics and etiology of the bloodthe chronic form of the disease in the lungs is glands, except that there is a synergism between not in itself evidence of direct implantation there. adrenalin and hypophysin, according to K. Csépai,
5. The chronic form of the disease met with of the University of Pesth (Deut. Arch. f. Klin. in adults is due to their increased resistance, as Med., Bd. 111, H. 3), this author points out the compared with children who suffer from the frequent co-existence of the status thymicolymacute variety of tuberculosis, and this increased phaticus and diseases of the polyglandular sysresistance may be the result of early inoculation tem; a fact suggesting a connection between the with sublethal doses of the bacilli.
hemic changes observed and the ductless glands. 6. The outbreak of tuberculosis in later life
e n een may be due either to reinfection from without For Asystol Pulmonary Congestion.-Liquor or to recrudescence of a latent focus of old in- ammonii anisati, ether, of each 2 grams; punch, fection.
60 grams; distilled water, enough to make 150 7. A general rise in resistance has been grams. Dose: A dessertspoonful every hour.
Volume XXXVII. Number 7.
WHALEN-OUR CONGRATULATIONS. case that at last the Allegheny County Medical Chicago is just through the thiroes of another Society offered to cooperate with the authorities of its typically red-hot elections, demonstrating in securing the arrest and punishment of every again that in the political game, as elsewhere, our physician known to be engaged in illegal praclocal physicians take first rank.
tice of this character. Yesterday, the Chicago Medical Society held At this time the district attorney made the its annual election. The candidates were both following statement: “It has been shown that good men, one being Dr. Charles L. Mix, who a condition prevails in Pittsburgh that is a pubis associated with Dr. John B. Murphy in his lic scandal. This office is going to the bottom of clinical work at Mercy Hospital, the other Dr. the entire matter. Of course, we have only Charles J. Whalen, recently president of the words of commendation for the medical profesIllinois State Medical Society and at one time sion as a class, as it is composed of men who do Commissioner of Health of the City of Chicago. not countenance what is going on. They will be Professionally there is little to choose from be- glad to have a thorough clean-up." tween these candidates. Both are well known That statement was made two months ago, and bevond the borders of our state; both are un up to the present time nothing apparently has usually able and distinguished as physicians. been done. The Cincinnati Medical News sug, But looking at the two men from the standpoint gests that the promised enthusiastic cooperation of potential usefulness to the profession they on the part of the physicians of Pittsburgh has are as far apart as the poles.
not materialized, and hints that “too many men Whalen is a born politician, a fighter by na in high places and medical societies and health ture and training, and essentially and tempera
boards might have been incriminated." He is mentally a man of the people. These are the of the opinion that “this sort of reprehensible facts that elected him. In Chicago, at least, the practice is not confined exclusively to the plodmen in the medical profession-and by that term ding doctor who finds it hard to gain a subwe mean the great, seething, struggling mass-.
sistence in the practice of his profession.'' are tired of being “governed' by people who
We suspect that there is more than a germ of profess to be better than they are, and are anx
truth in what our colleague says. It is known ious to tell them what they need and ready to
that thousands of abortions are performed every give it to them whether they want it or not.
year in large cities like Pittsburgh, Cincinnati, Whalen is one of us. He will fight with and
and Chicago. Somebody is doing this work, for us, and he will not spare himself nor use his
somebody that knows how. Never were so many office for personal interest. That's why we pre
specious reasons given to excuse and justify the ferred him to Mix, for whom, nevertheless, we
practice as now. Never, apparently, has there have nothing but kindly words and good wishes.
been such eagerness to avoid the responsibilities Our congratulations to Whalen. His good for
of maternity. We fear-we very much fear
that if every abortionist could be brought to justune is our good fortune.
tice, many a high-priced doctor's car would go
to the junk shop, many a professor's chair be DEALING WITH THE ABORTIONIST.
vacant-because of pressing engagements elseSome weeks ago the people of Pittsburgh were aroused by newspaper reports of the death of a young woman in a so-called “house of mystery,” DANGER OF ANTIMENINGITIS SERUM. following the performance of an abortion. There As the readers of this journal have noticed were such horrible revelations concerning this there have been an unusually large number of
and he will not spt
That's why we've
ferred himersonal intere
deaths directly following the administration of are of minor account. No physician should hesiantimeningitis serums. The evidence seems con- tate to use it in cases of this character. Indeed, clusive that in some of these cases at least the it is his duty to use it, tricresol or no tricresol. patient succumbs as a direct result of the administration of the remedy. Naturally those inter
TYPHOID TIME APPROACHING. ested in this serum, which undoubtedly is the
Last year the deaths from typhoid fever in most effective remedy we have ever secured for
Chicago were 10.5 per 100,000, as compared with epidemic meningitis, have been anxious to de
7.5 in 1912, and an average of 15.5 per 100,000 termine wherein lay its source of possible dan.
from 1906 to 1910, inclusive. In other words,
while the general tendency, as regards the morThis matter has recently been discussed at
tality from this disease, is downward, the record length by Dr. Worth Hale, of the Hygienic Lab
for 1913 was not as good as it should have been. oratory of the United States Public Health Serv.
The reasons for the increase our sanatarians ice. He has arrived at the conclusion that deaths
seem not quite able to explain. Our drinking are due to one of two causes, the first being an
water apparently has not suffered, and efforts. increase of intracranial tension, the second, the
are constantly being made to improve it. use of tricresol as a preservative.
With the new light that has been thrown upon As regards the first suggested cause, intra
the methods by which typhoid fever is spread cranial tension, Hale is of the opinion that it is and the development of efficient means for preless likely to be a source of danger than the venting the disease it wou
venting the disease it would seem quite possible use of tricresol. However, he advises that the
to suppress it almost entirely. Of course there syringe method of using the serum be abandoned
will always be sporadic cases, but there should and that the gravity method be employed, this be no more epidemics. While the water supply permitting of introduction of the serum into the is an important factor in disseminating typhoid: spinal canal much more slowly and much more fever we now know that it is not the only facgently than is possible when the syringe is re
tor, and perhaps not the most important one. sorted to.
The human carrier is probably primarily reTricresol seems, however, to be the principal sponsible for the spread of the disease in most danger. As every reader of this journal knows, cases. For instance, last summer a cook on a this is a preservative almost universally employed Lake Erie steamship was shown to be the source in sera of all kinds. While from time to time of more than one hundred cases of typhoid fever certain rabid critics of serum therapy have con- and severe alimentary disturbances occurring tended that this powerful antiseptic is capable of among passengers during and following one brief killing the patient when it is injected, there has excursion. This epidemic was reported in detail never been any considerable evidence that it did by the United States Public Health Service. In harm when used in the diphtheria, tetanus and most instances, where an exhaustive study of an other conditions in which serum treatment is epidemic has been possible, some essential human indicated. However, when this substance is in- factor has been found at the bottom of the jected into the spinal canal it comes immediately trouble. into contact with peculiarly sensitive nerve stric- From an etiologic standpoint, therefore, the tures and the possibilities of toxic action are study of the carrier is most important. How greatly augmented.
shall we locate him? How shall we deal with There is no doubt that it is desirable, as Hale him when found? These are questions which has pointed out, that if possible, antimeningitis have thus far not been easy to answer. serum should be prepared for the market with Fortunately we now have several quite efficient out the tricresol. This can be made possible by means of preventing this disease. First of all marketing the serum in sterile air-tight contain- comes prophylactic vaccination. The effectiveers, and doubtless this method will be adopted by ness of this measure has been demonstrated bemanufacturers of this product.
yond cavil. It is now employed in the AmeriThe antimeningitis serum is one of the triumplis can, English, French and other armies, and the of modern therapy. By its use the mortality of brilliant results obtained are among the greatest epidemic cerebrospinal meningitis has been re- triumphs of modern medicine. It is now accepted duced from an average of 75 per cent to an as almost axiomatic that any person properly average of 25 per cent. As compared with the vaccinated against the disease is immune to atmortality of the disease without serum treat- tack for a period of at least two years. Withi ment the dangers from the use of this remedy this fact so generally known it is one of the