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Distributors for the Middle West

SALVARSAN and NOVOCAINE

We have a few ampoules for immediate delivery. Salvarsan $1.75 dose. Limited quantities.

Apparatus of all kinds for administration by vein or muscle.

PHYSICIANS' SUPPLY COMPANY

"Surgical Center of the Southwest"

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KANSAS CITY, MISSOURI.

Plantation Grill in New Life-Guests of the Plantation Grill at the Hotel Muehlebach will find a new atmosphere of color and life as a result of an entire new decoration plan which has just been completed. Seventy-five workmen, comprising painters, electricians, plumbers and carpenters, worked the night hours from 2:30 to 5:30 in the morning. When they bad finished, the following decorative dress was ready for the public. Garden lamps from the ceiling and side walls made in Japan, the order requiring almost a year to fill; chandeliers of artistic design constructed in Kansas City under the direction of Joseph Reichl, manager of the Muehlebach; an electric illusion waterfall and moss banks on the north side of the grill, the "water" created by colored glass, electric lights, etc.; an enveloping cluster of morning glories for the whole grill, made by French girl workers brought to New York from Paris especially for the Muehlebach contract.

The Realization of an Ideal-It is with deep satisfaction that announcement is made of the consolidation of the well known firms of Van Horn and Sawtell and Johnson & Johnson. The work of both these firms in their respective lines of activity has long been recognized by the medical profession, and the influence of both for so many years, in raising the standards of quality and efficiency of sterile sutures, ligatures, and surfical dressings in general, needs little comment. The results that have been accomplished in these important directions cannot fail to give a very definite promise for the immediate future. The union of two such American firms-each proud of its reputation and the part it has played in promoting the quality and reliability of sterilized surgical dressings-will mean a great deal to every thoughtful medical man who realizes the extent to which the successful practice of medicine and surgery depends today on the cooperation and good

faith of the well equipped manufacturer of medical and surgical supplies. On this basis, an earnest desire and intention to render a service to American physicians and surgeons comparable in principle and purpose with that which they faithfully render to their patients, Johnson & Johnson respectfully solicit the friendship and patronage of the American medical profession.

Hormotone in Obscure Conditions-One of the best established facts in pathological physiology is the importance of the internal secretions for the causation aid maintenance of many obscure diseases; moreover, researches during recent years have shown that virtually never is a single ductless gland at fault, but, that usually two or more of them are impaired in their functioning power. Bayard Holmes said in an article on the internal secretory glands, contributed to the Lancet-Clinic for September 19, 1914: "Much evidence has accumulated showing that disease of the ductless glands usually is plural rather than isolated and single. . . Pluriglandular disease is rather the rule than the exception. . . It is easy to see, therefore, why: "The use of gland extracts in the treatment of aplasias of the pluriglandular system has become an established therapeutic measure of miraculous potency." A pluriglandular preparation that may be called the pioneer in this field is Hormotone, a remedy composed of various endocrinous substances and which has been found of eminent service in conditions of, what Sajous called "hypoadrenia," or in other words, hypofunction of the adrenal system. Hormotone has been given with remarkable success in many cases of neurasthenia, so called, and in numerous other conditions in which the endocrinous organs were at fault. It will pay you, doctor, to investigate this interesting remedy, by writing to G. W. Cornrick Co., 32-27 Sullivan Street, New York City.

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The Medical Herald

Incorporating the

Kansas City Medical Inder-Lancet

Subscription, $1.00 a year, in advance, including postage to any part of the United States, Alaska, the Philippines, Cuba and Mexico. Canada, 25 cents additional. Postage to foreign countries in the Universal Postal Union, including Newfoundland, 50 cents a year additional.

The Medical Herald aims to reflect the progress in the sciences of medicine and surgery, especially throughout the Missouri Valley and Southwest, the territory of its greatest distribution.

Concise and practical articles, news and reports of interesting cases invited, and should be typewritten.

The privilege of rejecting any communication is reserved, and all papers accepted must be for exclusive publication in this magazine, unless otherwise arranged.

To contributors of original articles a liberal number of copies of the Herald will be given (or mailed free of expense if addresses are furnished) and the publishers will furnish reprints at printers' cost, application for same to be made when proof is returned.

The editors are not responsible for the utterances of contributors or correspondents.

Illustrations will be furnished at reasonable rates, if drawings or photos are furnished.

Address all remittances, correspondence, articles for publication, books for review and exchanges to the Managing Editor.

Subscribers changing their addresses will please notify us promptly, as magazines cannot be forwarded without adding postage.

Advertising forms close on the 20th of each month. Time should be allowed for correction of proof.

Electrotypes and changes in advertising copy should be addressed to the Medical Herald, St. Joseph, Mo. Advertising rates on application to the Managing Editor.

Poetic Reprints-Do not mutilate your Medical Herald by tearing out any piece of poetry that may strike your fancy. Write to the Managing Editor, and he will send you a reprint. Reprints are made of all verse appearing in this magazine.

(Entered at the St. Joseph P. O. as second class matter.)

FOOD WILL WIN THE WAR DON'T WASTE IT

The Typical Chlorotic Picture is one that is quite familiar to every practitioner of experience the peculiar pallor of the skin, the livid lips, the colorless conjunctivae, and the characteristic expression of anxiety. Add to this the hemic murmur or the venous hum, with the low percentage of hemoglobin, as shown by the hemotologic test, and the diagnosis is not difficult. A rapidly acting blood builder is the "sine qua non" in such cases, and should be promptly ordered. It is important, however, that the hematinic prescribed should be free from irritant action upon the digestive mucosa, while, at the same time, quickly absorbable and assimilable. Pepto-Mangan (Gude) fully meets these requirements, and if given steadily and persistently will undoubtedly promptly revitalize the dehemoglobinized blood and thus restore vital resistance, color, strength and appetite. Fresh air, good food and general hygienic treatment is, of course, also indicated.

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Headache and Neuralgia-Is there anything more harmlessly comforting in these painful conditions than K-Y Analgesic, locally applied? "Sick headache," "bilious headache," "nervous headache" and just "plain headache" are usually relieved when K-Y Analgesic is properly employed. The local use of K-Y Analgesic does not in the least take the place of, or interfere with, any treatment looking to the removal of the cause of the headache. Rather, K-Y Analgesic is simply a useful adjunct to general treatment. K-Y Analgesic is not a panacea-it is simply a safe, non-greasy, local anodyne, remarkably effective within its rational limitations. Samples will be forwarded to physicians on request to Johnson & Johnson, Van Horn & Sawtell Dept., 15-17 East 40th St., New York City.

CAUTION-Whenever the true merit of

a preparation is authoritatively established, imitation is sure to make its pernicious appearance. To counteract the injurious results of another of these fraudulent proceedings-in this instance affecting firm name and reputation-Sander & Sons have been compelled to appeal to law, and in the action tried before the Supreme Court of Victoria, the testimony of a sworn witness revealed the fact that this witness suffered intense irritation from the application to an ulcer of the defendant's product, which was palmed off as "just as good as Sander's Eucalyptol." Sander & Sons had the satisfaction to obtain a verdict with costs against this imitator, who is perpetually restrained from continuing his malpractice. Dr. Owen, in a report to the Medical Society of Victoria, and Dr. J. Benjamin, in the Lancet, London, both denounced, as others did before, on the strength of negative results, the application of unspecified eucalyptus products.

This forms convincing proof that only an authoritatively sanctioned article can be relied on.

SANDER & SONS' EUCALYPTOL (Ecalypti Extract)

1. Has stood the test of Government investigation.

2. It was proved at the Supreme Court of Victoria by experts to be an absolutely pure and scientifically standardized preparation.

3. It is honored by royal patronage. 4. It always produces definite therapeutic results.

Therefore, to safegaurd the physicians' interest and to protect their patients, we earnestly request you to specify "Sander's Eucalyptol" when prescribing eucalyptus.

The Meyer Bros. Drug Co., St. Louis, Mo., agents, will forward one original package (1 oz.) on receipt on One Dollar.

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A course of Cystogen-Lithia is indicated
in ambulatory patients.

Wherever Uric Acid is a possible Etiological Factor.
CYSTOGEN-LITHIA

is an effervescent tablet containing Cystogen and Lithium Tar-
trate, each grs. 3. Dose, one or two tablets, three or four times
a day, dissolved in a glass of water.

Samples and Literature on Request

CYSTOGEN CHEMICAL CO.

ST. LOUIS, U. S. A.

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There are over
50,000 of Marks'
patent artificial
legs and arms
with r.ubber
hands and feet
in use, worn by

men, women and children of
every occupation, in all parts
of the world.

The Government of the
United States and other coun-
tries endorse and purchase

THE LARGEST MANUFACTORY OF ARTIFICIAL
LEGS AND ARMS IN THE WORLD.

Artificial legs and arms with rubber feet and hands are the most durable, natural and noiseless when in use. They are the easiest and most efficacious to wear. These cuts, taken from life, prove that a person wearing one or two artificial legs is capable of performing any kind of labor. The farmer with an artificial leg ploughing in the field, the miner with an artificial arm working with his pick, the blacksmith shoeing horses, the ticket agent stamping tickets with an artificial hand, the bag

gage master with two artificial legs handling heavy trunks, and the engineer with one artificial leg running a locomotive, all of whom discharge their duties with the assistance of

MARKS' ARTIFICIAL LIMBS.

them. By sending measurements as called
for on our measuring sheet, those inter-
ested can remain at home and obtain
properly fitting artificial legs and arms.
More than one-half of the artificial limbs
constructed by A, A. Marks are made from

measurements furnished as above without requiring
the presence of the wearer. We guarantee a perfectly

fitting limb. Received 49 highest awards.

A Manual of Artificial Limbs sent free; also measuring sheet.

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Vol. XXXVII.

Incorporating

The Kansas City Medical Index-Lancet

An Independent Monthly Magazine

JUNE, 1818

Original Contributions

[EXCLUSIVEly for the medical herald.]

IMPORTANCE OF FOCAL INFECTION IN
DISEASES OF OBSCURE ETIOLOGY*
DR. RALPH H. MAJOR, Kansas City, Mo.

The role played by bacteria in the production of those diseases not generally regarded as of microbic origin, is gaining increased attention. The past two decades in medicine have witnessed the transfer of many diseases from the group of constitutional diseases to that of specific iniections. The physician of fifty years ago who would have regarded chorea as due to bacteria. or would have insisted upon quarantining his cases of infantile paralysis would have probably have been held in about the same esteem as a league of today who should advocate the view that syphilis is due to a conjunction of the planets or that malaria is due to bad air.

In the medicine of today bacteria and their products have been assuming more and more a predominant place. This school of thought ably directed by a large and increasing group of enthusiastic bacteriologists, pathologists and clinicians to which recently dentists have been added, has filled medical literature with observations of great interest and undoubted value. The study of focal infections in the tonsils, nasal tissues and teeth with their remote effects have been so fascinating and dramatic that we often hear the layman complaining that all the doctors talk about just now is infection.

Van Helmont, in the 17th century, disgusted with the universal blood letting for all diseases complained that "a bloody Moloch presides in the chairs of medicine." Many patients of today seem to be complaining that just now a sort of god infection has usurped Moloch's seat. And when he is told that his arthritis is probably due to bad teeth, he points out that his next door neighbor, whose mouth is filled with old snags, has never had so much as a twinge in any of his joints. And again if his child developes chorea

Read at the meeting of he Medical and Surgical Club, March 21, 1918.

No. 6

and the physician suggests removal of the tonsils, he points to little Willie next door who has tonsilitis every winter and yet never has had the slightest touch of St. Vitus dance.

These objections which we are so constantly hearing and which are also constantly coming. up to our own minds are not weakening our conviction that arthritis and chorea are microbic in origin. Nor do they lessen our strong suspicion that many other less obvious conditions are probably caused in part at least by bacteria. But to the careful student of the question they must indicate rather clearly that other phases of the disease need thorough investigation.

In many individuals foci of infection lead to the production of disease in other organs, for example the numerous cases of endocartitis and arthritis which are so well known to every clinician. The striking results following the removal of such foci are often very apparent. Equally interesting are the cases of septicaemia which are due to a focal infection. In many of these cases removal of the docus is followed by a disappearance of the septicaemia and the complete recovery of the patient.

In other patients, however, there are foci of infection which are well marked and yet do not lead to disease in the more distant organs. Another group of very puzzling cases are those in which the original focus is hard to locate or in fact impossible of demonstration and yet we have definite unmistakable clinical and pathological evidences of such a focus.

Since the chances of bacteria entering the blood stream through some focus of infection seem so excellent because of the great prevalence of bad teeth and tonsils to mention two examples, it is perhaps pertinent to inquire first just how often this occurs.

In this connection the work of Nicholls and of Ford is particularly interesting. Nicholls found bacteria in forty livers taken indiscriminately at autopsy and also in kidneys both from cases of nephritis and also in normal kidneys. He also examined the mesentery of normal animals and found by microscopic methods that it contained large numbers of bacilli and cocci. He concluded from his investigations that bacteria are constantly pressing into the body through its various epithelial and mucus surfaces into the internal organs. However, he pointed out

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