of the "ups and downs" of great men's lives. Dr. Hall in the Crimea, has a salary of two guineas a day, "an income far less than that made by many a second or third-rate village apothecary, (general practitioner,) in England;" Dr. Cheyne, of Dublin, when only 34 years of age, made only three guineas during the first half of his second years practice,-nine years subsequently he was making £5000 annually; Dr. Chambers, in his fifth year of practice and when 34 years of age, made £ 211 in fees-seventeen years subsequently, £ 9000 annually; Dr. Baillie, £11.000 in on year; Dr. William Hunter had not money to advertise his lectures. In 1788, the son of an English Clergyman attended the classes of Edinburgh, and lived in a room which cost him 6s. 6d. a week; in after life, as Sir Astley Cooper, his professional income in one single year amounted to £23 000. We might add to these the following items, stated on good authority. Mr. Colles, of Dublin, made £ 11 000 a year; Albert Smith, a surgeon, gave up his profession in dismay, and made £ 19 000 the next winter out of " Mont Blanc;" Professor Anderson, now in London, makes something like £ 10 000 a month displaying the adsurdities of table-turning and mesmerism. £86000 is said to have been recently realized by the sale of a copyright of a newspaper which originated in the sale and advertising of a patent medicine, while we fall out with Dr. Cormick's Associa tion Journal, for spending £ 15 000 in fifteen years, in struggling to uphold legitimate medicine. Homoeopaths in London make double as much money as seventy average surgeons.-Dublin Medical Press. PUBLISHED MONTHLY. GEORGE H. HUBBARD, M.D., EDITOR & PROPRIETOR. COLLABORATORS: NOAH MARTIN, M. D. A. B. CROSBY, M. D. E. R. PEASLEE, M. D., of N. H. DANIEL CAMPBELL, M. D. ARIEL HUNTON, M. D. of Mass. E. E. PHELPS, M. D., of Vermont. MANCHESTER, N. H.: No. 85 MERCHANTS' EXCHANGE. Postage to any part of the United States six cents per annum, in advance, quarterly, TERMS, $1.00 IN ADVANCE. DRUGGIST & APOTHECARY, AT THE OLD STAND, OPPOSITE THE CAPITOL, CONCORD, N. H. WOULD inform the Medical Profession that he has recently made large additions to his stock of Drugs and Chemicals, which renders it very complete. He will sell for cash cheaper t'an can be purchased in similar quantities at any other establishment in New England. He would also avail himself of this occasion to return his sincere thanks to the Profession for their liberal patronage in years past, and solicits a continuance of their favors for the future. E. H. ROLLINS. Concord, January 1st, 1856. INDIA RUBBER STOCKINGS for varicose veins, for sale by NEEDHAM'S CUPPING GLASSES AND BREAST PUMPS, superior articles, for sale by E. H. ROLLINS. FORCEPS and other DENTAL INSTRUMENTS, also Ashmead and Hurlburt's celebrated GOLD FOIL, for sale by E. H. ROLLINS. LEECHES, GERMAN AND SWEDISH, for sale by E. H. ROLLINS. ARTIFICIAL LEGS. PALMER'S PATENT. Manufactured at Springfield, Mass.; 378 Broadway, New York; and 376 Chestnut St., Philadelphia, by PALMER & Co. THESE legs, of an entirely new and peculiar construction, are universally regarded and recommended as an invaluable boon to all who have suffered mutilation by amputation, by all of the first surgeons of Europe and America; by all of the Institutes for the promotion of the arts; and several thousands now blessed with them in their daily use. Entirely new, commodious, and neat establishments have been recently fitted up, and opened at Springfield and New York for the accommo dation of patients, where surgical and mechanical skill of a highly respectable order are associated in the adaptation and construction of these eminently serviceable and beautiful appliances, for every species of mutilation by amputation, and with the most triumphant success. Entire satisfaction is guaranteed. N. B. Messrs. Palmer & Co., have a new, ingenious and effective appliance, (admirably adapted to ladies,) for shortened limbs, by disease and ulceration of the thigh bone, which serves perfectly in such deformities. Pamphlets containing the most reliable information are sent gratis to all who apply for them. no 9 6mo. THE NEW-HAMPSHIRE JOURNAL OF MEDICINE. VOL. VI. NOVEMBER, 1856. No. 11. (Communicated for the N. H. Journal of Medicine.) ABSTRACT OF LECTURES ON THE URINARY ORGANS. Delivered before medical students during the winter of 1855-6. BY D. D. SLADE, M.D., BOSTON. LECTURE IX. GENTLEMEN:- To-day, I shall speak to you upon Retention of Urine and Catheterism. As a general rule, the symptoms of retention are well marked, and easily recognized by the most careless observer. The diagnostic symptoms, are as you well know, the existence of a hard, circumscribed oval tumour situated in the lower and middle portion of the abdomen, and extending upward even as high as the umbilicus, according as the bladder is more or less distendeda frequent desire to urinate with the inability to do so, excepting by drops or in a very small jet-attended by much straining, and extreme pain. After a certain time, say forty-eight hours have elapsed, there is frequently a dribbling of the urine, which might be confounded with Incontinence of urine by a careless practitioner. You would suppose at first sight, that it would be impossible to mistake the symptoms of the retention of urine, especially when the history of the case is taken into consideration, but I could cite to you numerous cases where the greatest errors have been committed. The causes of Retention of Urine are various - they may be mechanical obstructions, paralysis, inflammation, spasm, and these, too, acting upon different portions of the urinary organs. Thus we may find some mechanical obstruction affecting the urethra; for example, a stricture of this part, or some foreign body. Mechanical obstruction, also, may take place in the bladder. Calculi, enlarged prostate, coagulations of blood, lymph, &c., may be cited as examples. Paralysis of the bladder, as a cause of retention is not uncommon. So, also, with the spasm and inflammation of the neck of the bladder and urethra, no matter how caused. Occasionally a pelvic tumour, or some enlargement external to the urinary organs may give rise by its encroachments, to retention of urine, I lately saw a gentlemen in consultation in a neighboring town, who was suffering from constant retention, without, at first, any appreciable cause. After death, an enormous mass of Encephaloid disease was found filling up the pelvic cavity and crowding the viscera in a most strange manner. Our treatment of retention of urine is by the catheter, and that, too, without delay. In some cases where the canal is obstructed by stricture, we must have recourse to a small sized bougie. I believe that the cases where puncture of the bladder is absolutely necessary are so rare that they may be said not to exist. We have the highest authority to support us in this opinion-Desault, Liston, Civiale and others. Dexterity, patience and gentleness work wonders in these cases of retention. This leads me to offer you some remarks upon Catheterism. If there is any operation in surgery which requires delicate and skillful manipulation, it is the introduction of the catheter and other instruments into the bladder. It is very true that the most clumsy and unskillful hand may succeed in accomplishing this object, provided the organs are in a normal condition, but let any obstacle exist and his efforts are foiled at once. In order to obtain that necessary facility and nicety which every practitioner should possess, it is requisite that he should have a good knowledge of the anatomy of the parts, and that he should take every opportunity possible of passing the catheter, particularly upon the dead subject. The first few lectures, I devoted especially to the anatomy of the organs in particular reference to the introduction of instruments. You cannot understand the anatomy too well. As a |