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It seems to me that the abnormal in the evir- and generous—men who appreciate genius and onment is being displayed in unexpected places, talent not only within her own portals, but in for above any other situation in life, one would the remotest countries of the civilized world. And expect fair play upon such an occasion, and in we, who are striving to emulate your example, such proceedings as those here under consider- expect more of you than that you would so reation.

flect upon your own judgment, as to invite a Again, in discussing another paper in which the man as your guest, who could have no more to essayist took a severe slap at some of the psycho say upon a paper like that of Dr. William Healy's terapeutic measures that have proven of efficacy than merely: “There was so much in the paper to thousands of American physicians, I took no- that is valuable, I certainly could not discuss it tice of the "holier than thou" attitude assumed without careful study," and then, you might have by him, showing that simple psychologic recon- added, "like a little two-year-old, he quietly took structive procedures aimed to stimulate the nor- his seat.” may psycho-physiological potentialities were no Why did you not eliminate my discussion enmore "spurious” than the psychoanalytic proced- tirely, so as not to make me appear in a false ures that were aimed at reconditioning or modi- light ? fying the mechanism of abnormal dissociated functioning complexes. I expressed my appre

EDITOR’S COMMENT.— In explanation of the ciation of the motive which prompted the position

omission of Dr. Munro's remarks we want to of the essayist, but pointed out how simple words

say, in defense of Chicago's good name, that he of encouragement, or an attitude of optimism on

was in no sense singled out. We have noted, in the part of a physician, in conjunction with medic

reading over the report of the meeting of Alieninal agencies, could be of aid in the recovery of

ists and Neurologists, that the discussion, througha typhoid fever or a pneumonia patient-who had no need of psychoanalytic proddings. This

out, was very generally cut down or cut out. We discussion was, also, omitted.

presume that this was made necessary by the exAnother paper was discussed by me, in which

treme length of the proceedings, which must have I heartily agreed with the essayist, but showed

greatly taxed the resources of the Society. that the opposite to the position taken by him was also true, and of equal value, as applied to cer- Anton-Bramann's Operation for Epilepsy.tain well selected cases. This discussion, also, Professor Anton, of Helle, has performed nearly found no place in the published proceedings. one hundred times the Anton-Bramann operation

If the “Meetings of the Alienists and Neurolo- of puncture of the corpus callosum for the regists of the United States," under the auspices lief of various developmental disorders of the of the Chicago Medical Society, are to be an open brain. more especially epilepsy, and he reports arena, where light may shine, and where all may

his results in the Archiv fuer Psychologie, 1914, have an equal hearing, they will be productive of

p. 98. (Cf. Ther. Monatsh., July, p. 537.) Seven great good. But if such meetings are to be used

cases of epilepsy, some of them severe, are defor the purpose of presenting those of us, who

scribed in detail, as having been influenced by are not afraid to express and to defend our convictions, in a false light, the generous spirit mani

this operation; however, the majority of the subfested outwardly by this organization will be seri- Jects markedly improved. ously open to question. I trust that the powers that be will take due heed and govern themselves

Opotherapy Facilitating Impregnation of an accordingly. Chicago is a great city. Only such an educa

Acromegalic Woman.-A married woman of 32 tional center could furnish the environment that

afflicted with acromegaly had been sterile, nor would produce such fair-minded men as. Judge had she menstruated during fifteen years. Then Pinckney and Judge Olson, both of whom are L. Kalledy, of Pest (Arch. f. Gyn., 1913, No. 27), demonstrating the practical value of the well quali- subjected her to a course of ovarian extract. At fied physician as an adjunct to the court, and they first he gave three intravenous injections a week, are opening to our vision a field of work for the for which, after some initial improvement in her real doctor, which is as broad and far reaching condition, he substituted the tablets, taken by as humanity is weak and needy.

mouth. In the course of some time this woman In such a city, we who live in Chicago's sub- became pregnant, and the author promised to urbs expect to find men that are broad, liberal report further progress in this interesting case.


(An Unrecorded Chapter in the History of Anesthesia.) By THOMAS G. ATKINSON, M. D., L. R. C. P.. (Lond.), Chicago, Illinois.


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HAT Lawrence (otherwise known enty, but he was one of those rarely mellow old

as Larry) Marchant, of all men men, of native culture and gentle breeding, who in the world, should choose to never grow old in spirit or stunted in mental bury himself and his talents in qualities. Despite the differences in their ages Kingston Falls, Massachusetts, and temperaments, he and Larry became very

of all places on the map, was a companionable, and such time as the latter had matter which irritated more than it surprised to spare from his work he spent mostly at the those who knew his eccentricities. It went against Judge's simple but hospitable house. their professional grain to see so promising a If he had wanted it, or even been aware of it, young scientist, far and away the most brilliant the young scientist might have found, right to of his class in medicine, throw himself away in his hand, another and more charming distracsuch fashion. But to all of their remonstrance tion. The Judge's daughter, Dorothy, a winsome he turned a deaf ear and to all their questioning girl of nineteen, a youthful replica of the old a dumb mouth-or a good-natured pleasantry Judge himself, tempered with the high spirit of which amounted to the same thing—and so the her Celtic mother, presided over her father's matter ended in their shrugging resigned shoul- house. And it must be confessed that he would ders and in Larry "ganging his ain gait.” ' have found the way to the cultivation of such

The truth is, there was a method in his mad- distraction comparatively easy; for Dorothy was ness. Larry was no more enamored of rural life only human, and feminine flesh and blood could and practice, for their own sake, than any of his hardly be expected to withstand the frequent visdisgusted critics; and he had no intention of re- its of the quiet, handsome young city-bred man. maining in Kingston Falls for the rest of his But Larry, alas, was wedded to his science, and natural life. But he had under way an important his eyes were blinded to his opportunities in this piece of research work from which he looked for direction; which, however, did not save him from very momentous results—no less than the discov- the jealous resentment of lawyer Parkes, who, ery of a drug which would deaden consciousness albeit on the shady side of forty, worshiped hopeduring a surgical operation and he sought the lessly at the same shrine, nor from the evil fruits seclusion of the country for two reasons: first, of that resentment, as shall presently appear. that he might have leisure and abstraction for Among her other qualities, Dorothy was a readthe carrying out of his long series of experiments, er; and a reader of the best kind. As may be and second, if the truth must be told, that he supposed, she had but the meagrest kind of limight be free from the prying eyes of his inquisi- brary on which to exercise her faculty. Books tive friends. Seclusion, indeed, he found in were neither so numerous nor so varied then as Kingston Falls to his heart's content; but that now. But such as there were she made the most the most insignificant personages can sometimes of them. Above all, there was a Shakespeare; thwart the largest schemes will appear as this nar- old, it is true, printed in black-letter, and its rative unfolds itself.

pages yellow with age; but a Shakespeare just Kingston Falls was a typical Colonial village in the same, and a mine of untold wealth to Dorothe year of grace 1720. Old Judge Sherman, law- thy. She pored over the ancient volume for hours yer Parkes, the schoolmaster (whose name is un- at a time, and never tired of sitting at the feet important to this story), and the village clerk, of the old Master, whose genial human philosowere the only men in whom Larry would have phyno black lettering could hide, and whose found the least approach to congenial compan- quaint wit no faded page could dim. ionship, if he had sought it. And, except for the Larry had converted an old house on the outJudge, these were not particularly inviting material skirts of the village into a laboratory and a for the exercise of his brilliant parts. The Judge bachelor's living quarters; and here six months was an exception. He was considerably older than of arduous, fruitful work went by apace. The Larry, being indeed a white-haired widower of sev- day at length came when he felt justified in mak

Jo had be room, a he

Coce, Letitia

with an into he had base. After å

ing a practical test of his new anesthetic. He pointing to his companion, who had kept himself chose for subject a young seamstress in the vil- in the gloom of the partly darkened room, "is, lage, Letitia Brooks by name, who had suffered as you well know, the village constable, and he several years with an infected knee-joint requir. hath a warrant for the arrest of one Lawrence ing amputation, and whom he had had under his Marchant, physician.” care since he came to Kingston Falls. After a Larry turned pale. His worst fears, then, brief, simple explanation to the attendants and were realized. Lettice was dead, and he was to friends of what he expected to do, he proceeded be accused of her death. to administer the vapor, and then, amid the “Is this true. Master Dean?” he asked of the breathless astonishment of the onlookers, to am- constable. putate the limb from the unconscious girl, stop- “Very true, sir,” answered the man, gravely. ping every little while to renew the anesthetic. He and his family had received more than one It was, of course, a comparatively crude proceed- kindness from the young scientist. “I am sorry, ing; but the triumph was complete. For the sir. I do only my duty." first time in the history of medicine a major op- There was a tense silence for a moment. Larry eration had been performed without the conscious- could not bring himself to hear in cold words. ness of the patient.

what he felt to be the tragic denouement of The operation had taken place in the after his life's work. At length he managed to force noon. Strange to say, when Larry returned, later himself into a reasonable state of composure. in the winter evening, to his bachelor apartments, “What is the charge qhe asked. shortly. he had none of the sense of elation which his suc- Even Larry, in his wildest conjectures, was not cess might be expected to induce. On the con prepared for the astounding reply from Parke's trary, the reaction made him unusually irritable smugly malicious lips. and depressed. He was tired out and dispirited, “Witch-craft." and without even stopping to prepare himself For a moment Larry stared, speechless, at his supper he went up to his bedroom and got quickly two visitors. Then the revulsion of his relief into bed, where he lay in a sort of feverish con- from the charge which he had dreaded made him dition.

hysterical, and he burst into a laugh. Parkes About midnight he was aroused by a loud and eyed nim sourly. persistent knocking at the door below. His first “You shall find it anything but matter for natural thought was that something untoward had laughing young sir," he said dryly, “before you happened to Lettice. Hastily throwing on a few shall be done with it.” clothes, and lighting and catching up his lamp, Larry sobered himself with an effort. he ran down to answer the continuous knocking. “Why, the charge is ridiculous, preposterous, Lifting the lamp above his head, he peered out man," he said, impatiently, "and you know it, into the dark, and was astonished to see Lawyer Master Parkes." Parkes and another man, whom he recognized as “That will be for the court to decide,” rejoined Master Dean, the village constable, on the door the lawyer. step.

“Let me see the warrant," demanded Larry. “Come in, come in,” he exclaimed, rather test- Dean handed it to him, and he unrolled it and ran ily leading the way into the living room. “This over its contents. The merest glance satisfied is something of an unholy hour to drag an honest him that the instrument was regular, and it bore man out of his bed. The matter should be ur- the undoubted signature of Judge Sherman. gent."

“Very well, gentlemen,” he said quietly, walk"Urgent, quotha !" rejoined Parkes, with a ma- ing to the door and opening it, “You will find me iicious scowl. "Urgent enough, I promise you. here when you want me. I am getting very cold And as to an honest man, that may be a matter and sleepy. I bid you good-night." of opinion."

This did not suit Parkes at all. He had come Larry set the light down on the table. He had to humiliate his enemy, and, in spite of the cirnever had any particular liking for Parkes, and cumstances in his favor. he had an uneasy feelhe liked him less than ever at this moment. ing that somehow or other Larry's high-bred su

“Well, out with it, man!” he said, impatiently. periority was putting him (Parkes) in a sorry "I make no doubt I shall survive the shock.” light.

"All in good time, young sir, all in good time,” “I fear,” he said, with a nasty smile, "it will drawled Parkes, who rather enjoyed baiting his be necessary for you to go with us tonight.” natural enemy. “We will proceed in regular or- Larry made no answer. He measured Parkes der, an' it please your honesty. This gentleman," quietly, almost dreamily, with his eye, idly speculating on the consequences of lifting him bodily Variability of the Bacillus Bulgaricus.-E. out of the door and depositing him in the street. Christeller, of Berlin, reports his own observaHappily Dean saved the possible embarrassment. tion, corroborating previous writers (Zeit. f.

“Master Marchant's word is good," he growled, Hyy. u. Infect., 1914, No. 1), on the peculiar and abruptly left the house. Parkes had nothing variability of the bulgarian lactic-acid bacillus to do but to follow him, and Larry went back to (referred to by the author as yoghurt bacilli). his broken rest and to fathom, as best he could, In one instance he observed the following the meaning of the lawyer's attack on him. But, changes: After the pure culture had remained as he found that the more he mused the less he upon his milk-agar for several days, a type was could make of it, he finally gave it up and fell split off which already after twenty-four hours into a troubled sleep.

grew vigorously upon plain agar, and not at all The next morning he surrendered himself to upon the milk-agar. Furthermore, in milk, it Dean and was taken before Judge Sherman, where proliferated but very poorly, and then was gramParkes formally lodged complaint against him. positive. Upon agar it loses its gram-resistence, Much to the lawyer's discomfiture, the old Judge and no longer coagulates milk. made no secret of his disgust at the whole proceeding, openly condoling with the young man, ex- Tuberculosis, and the Exudative-Lymphatic plaining that he (the Judge) had had no alterna- Diathesis.—As a prophylactic measure against tive, under the law, but to issue the warrant, and the later development of tuberculosis, it is highly assuring him of a speedy and fair trial. There important to overcome as far as possible any exwas, it appeared, an obsolete statute in Massa- isting exudative-lymphatic diathesis. To this chusetts, which had been in effect at the time of end, in the opinion of M. Bockhorn, nothing is the famous Salem witchcraft and had never been equal in effectiveness to a sojourn for many repealed, which Parkes had resuscitated and in- months on the sea-coast, where besides, of course, voked against him. Larry assured the Judge carefully adjusted, sea-, air-, and sun-baths are that he thoroughly understood his position, and to be taken. the Judge, with great reluctance, signed the commitment papers consigning him to the village The Problem of Retained Placental Remnants. gaol. As the young man left the room, in _That pieces of the placenta positively known the custody of the constable, the Judge called to remain in the womb must be removed, no after him.

competent practitioner need be reminded; and "Is there any particular advocate you would this is true even if the puerperal woman wish to consult ?” he asked.

show no trace of fever. Otherwise, though, the Larry shook his head.

hand never should be introduced into the uterus, "I will gladly communicate with anyone you G. Winter, of Koenigsberg, strongly argues may name," added the Judge.

(Monats. f. Geb. u. Gyn., Bd. 39, H. 5), for the But Larry listlessly declined his offer, and purpose of corroborating the suspicion that walked impassively away to his imprisonment. pieces of placenta may be there, merely because

The trial was set for three weeks from the of the woman's high temperature. Because of time of his arraignment—three busy weeks for the ever attendant danger, only the presence of Lawyer Parkes, three weeks of tedious impatience bleeding justifies manual exploration of the for Larry, who simply gave up trying to fathom womb; fever-temperature alone never. On the his incredible situation, and wished only for the other hand, at the time of delivery the cavity farce to end one way or the other.

must be thoroughly searched if the placenta did Only one thing happened to break his impas not come away clean, and all remnants be resivity and arouse a little languid curiosity in him. moved forthwith. One night, when he went to his prison bed, he found between the blankets a piece of paper on Multiple Diverticula of the Colon. In a conwhich was scribbled, in unfamiliar scrawl, tribution to the Berliner Medizinische Wochen

Do not worry. Your defense will be provided schrift (1914, No. 20), H. Kohn discusses at some for.

length the anatomy (together with some clinical But even the authorship and manner of entrance experiences) of multiple diverticula of the colon; of this mysterious communication did not occupy the author's main incentive being, to remind his his listless brain for long. In this half-stolid fellow practitioners that this abnormality is of half-irritable frame of mind he waited, with what more frequent occurrence than commonly suppatience he might, the day of his trial.

posed, and to adjure them to be on guard against. (To be continued.)

it in their daily practice.

Bd. 39. Suspicie became of




We have from time to time advised our read- American Medicine has adopted the care of ers to say what they have to say in the fewest Belgian physicians as its special mission. It words consistent with accuracy and complete- points out that the medical men of that disness. As a model of concise diction we can tressed country are suffering, as are their felrecommend study of the following literary gem, low countrymen. Their homes have been burned, said to be the joint production of two boys in their property destroyed, their incomes wiped one of the Hull House classes, Chicago. The out. And yet the burden of work and responsitheme is the making of the flag of the United bility laid upon them is greater than that of States.

any other class in Europe. Not only do they “Book One. Wunst the soldiers fighting King need money to support themselves and their George found out that they had to have a flag families, but they also need money to purchase The soldier that thought of it first said: “Bill, medicines, surgical dressings, instruments, and we ain't got no flag,' and Bill says it was so. books. While the American people are sending Book Two. So they went to General George shiploads of food and clothing, and even our Washington, the Father of His Country, and children are helping to bring a little hapthey says to General Washington, "General piness to the Belgian children at ChristWashington, we ain't got no flag. Ain't it mas-time, surely we American doctors can fierce?' And General George Washington says, do our share by helping our brethren in “Yes, that's so, we ain't got no flag. Ain't it Antwerp, Ghent, Brussels, Liege, and other fierce?' Book Three. So General George Wash- cities and hamlets of war-swept Belgium. ington, the Father of His Country, went to Bet It gives the Medical Standard pleasure to supsy Ross, who lived on the corner of Beacon and port American Medicine in this propaganda, and Chestnut streets, and General Washington says, we hope that many of our readers will contrib‘Betsy, we ain't got no flag. Ain't it fierce?' ute something for this cause. Make your checks Book Four. And General Washington says, payable to Dr. H. Edwin Lewis, writing him in * Ain't it fierce?' three times. And Betsy Ross care of American Medicine, New York City. she says, 'I shed say it is fierce, General George Washington, the Father of His Country. It is estimated that if the Great War lasts a Here, you hold the baby and I'll make one.'” year it will cost about fifty billion dollars. We

In commenting upon this historic narrative, can hardly appreciate the enormousness of this the Dial says: “In strength and simplicity of sum. However, look at it this way: If it could style it reminds one of the great classics, of the be divided up into sums of $10,000 and put out Bible and Homer, of the Ramayana and the Ma- at interest at 4 percent this amount would prohabharata. And the brevity of it is not its vide an income of $400 annually for each of 5,least charm.''

000,000 men—more than the income of an average

European family—and place 25,000,000 people But speaking of brevity, do not let our praise forever beyond the fear of want-not only these of its virtues frighten you, or hinder you from while they live, but an equal 'number for all writing something for the Standard. We shall time. Such a sum would abolish private povbe glad to get almost any kind of communica- erty, provide a university education for every tion from any of our readers. We shall not boy or girl desiring it, and build innumerable expect you to emulate the pellucid purity of great public works like the Panama Canal. Comstyle of the preceding classic—that, indeed, is pare with these benefits all the losses that are sure asking too much. All we ask is that you should to follow the expenditure of this sum in warfare. have something worth saying—and say it. Why First, a loss of life which we can only guess is it-we have asked this question before-that at now-probably from one to two million men our readers are so modest ?

at least. Also, many deaths among the wives

is estimated that if the Gres

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