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ind lowers the vitality of the wound. Turpentine The officer has heretofore always been considhas been suggested as a substitute but, on the ered "of sound mind” and capable of conducting whole, properly prepared Dakin's solution has ordinary affairs of human life. The inquest on iven the best results.
the lieutenant who opened the letter will be held The aggregate mortality of abdominal wounds later. s nearly 70 per cent—40 per cent shock, 20 per
Rendu describes the lesions induced in the rent peritonitis, 10 per cent hemorrhage. 64
upper air passages by the new gaz vesicants used per cent mortality is the best report thus far
by the Germans. They are all practically alike, made of any considerable series.
resembling a burn of the second degree, and leavCaptain W. T. Elam. of St. Joseph, has been
ing white eschars. The latter are most frequent called to the Rockefeller Institute in New York
on the anterior two-thirds of the free margin of City for instruction.
the vocal cords. Major 0. C. Gebhart, of St. Joseph, is now
Lieut. T. S. Blakesley, of Kansas City, has
been called to the Signal Corps Aviation school over there." Lieut. G. F. Patten, M. R. C., New York, has
at Mineola, Long Island, N. Y. 'eceived the croix de guerre.
Lieut. E. A. Miller, of St. Joseph, is at LakeCapt. W. T. Elam is in New York City for side Hospital, Cleveland, Ohio, for instruction nstruction in treatment of infected wounds at in anesthesia. kockefeller Institute. On completion he has been the searchlight of war has brought out many assigned to duty at the base hospital, Camp interesting facts, and one of these is that the Wadsworth, Spartansburg, S. C.
vaunted German efficiency will not always stand The Surgeon-General wishes the announce- the test of comparison with American efficiency. nent made that ther, is still urgent need for The Germans boasted of being the greatest ophthalmologists in the Medical Reserve Corps. farmers on earth. Investigation shows that in
Delmas remarks that as soon as the soldier efficiency in agriculture, measured by the proenters the hospital, he steps out from under mili- duce per acre, America being graded 100, Beltary discipline, and yet the hospital authorities gium leads the world at 205; Great Britain comes have no jurisdiction over him. He can accept second at 164, and Germany third, at 155; Ameror refuse needed operations, injections of drugs, ica comes fourth. etc., at his own will. But almost invariably the But the better test is the man test rather wounded or sick soldier trusts absolutely to his than the acre test, and here America leads the surgeon or physician. so long as no foreign ele- world by over 2 to 1. Again, grading America at nent modifies this grateful confidence. There 100 per farm worker, Great Britain produces 43 an be only two reasons for refusal to consent and Germany 41. The American farmer cultio needed measures, fear or ignoble motives— vates 27 acres, the German farmer but 7. With ear of pain, of the anesthetic or of a fatal out the aid of vast quantities of fertilizer the German come, and fear of recovery and being sent back produces more per acre, but he produces at a to the firing line. Delmas does not hesitate to much greater cost per bushel and he produces call the man in the latter case a deserter. The much less than half as much per man. physician or the surgeon should appeal to the Eight per cent of the wounds of the Civil Wai nan's regimental commander. The man should involved the thorax, the mortality being 27.8 per ve sent back to his regiment with a report of his cent. In the Spanish-American war, the mortalefusal, unless there are grave reasons against ity of wounds in the thorax was about 9.5 per lis being moved. The presence in the hospital cent; and slightly less in the Boer War. This f one such refuser saps the confidence of the was due not only to the introduction of principles ther patients. The matter is thus placed in the of antisepsis but to the smaller calibre and higher lands of the military commander who can apply velocity of bullets. In the present war, the morlisciplinary measures. The regulations specify tality has risen to 14.5 per cent partly because hat no operation, properly so-called, especially the fighting has been on highly polluted soil, i general anesthesia is required for it, can be partly because the stationary nature of the fightlone without the assent of the patient. He must ing has enabled many very serious cases to be je warned that his refusal will be duly considered included among the wounded treated which, prea determining the amount of his pension. In viously, would have died before collection was iny event, it behooves the surgeon and physician possible. The mortality of chest wounds differs o write out a detailed report of the incident, un- widely if we distinguish between penetrating and ler all circumstances. This will fix the respect. non-penetrating. Over 50 per cent of the flesh ve responsibilities of the surgeon, the wounded wounds of the Civil War were located in the and the pension treasury.
chest, and the mortality was only 1 per cent, A medical officer wrote to the surgeon gen- whereas the mortality of penetrating wounds eral that his salary was too large for the work of the chest was 62.5 per cent and, in the Crihe was doing and requesting that it be reduced. mean War, it was 91.5 per cent.
pantomimdaman.ruumidormindammamunicandinamotang excellent work accomplished by Dr. Carrel in.
the biological field and in construction of suConcerning the Doctor
tures as well as in blood transfusion.
Dr. J. Julien, battalion physician-in-chief,
pays a tribute to Carrel in last issue of “Mecure Dr. G. F. Faussett has removed from Kansas de France." "To a French surgeon now in AmerCity, Kansas, to St. Joseph.
ica, Alexis Carrel, redounds the honor of being Dr. E. L. Enochs has removed from Santa
the first to conceive and execute the immediate
restoration of wounds, directly upon their disinAna, Cal., to San Antonio, Texas.
fection. The seriously wounded had been reDr. Foster Thompson has removed from the
garded as lost or doomed to serious mutilation. Corby-Forsee building to 2202 Goff avenue, St. It was a daring conception, a stroke of genius. Joseph.
Carrel's idea that the wound should be closed Dr. Richard L. Sutton, of Kansas City, has at once after being cleansed. Thanks to him and been honored by election to the presidency of the his followers, the order of procedure of modern City Club.
war surgery may be summed up thus: For a
given wound, at Charleroi it was death, avoided Dr. E. H. Bullock, formerly superintendent
at times by a hasty operation; in the Champagne of State Hospital No. 2, St. Joseph, has been ;
it was “excision” and permanent disability, after appointed Health Director of Kansas City, Mo.
etor of Kansas City, Mo. a year of nursing; today it is aseptization for Dr. George R. Thompson, former superin- fifteen days, followed by grafting and sutures, tendent of State Hospital No. 2, has resumed a healing, and return of the wounded man to the charge of the Thompson Sanitarium and Rest front in three or four months. These are the Home at 2202 Goff Avenue, St. Joseph, Mo. days of surgery at its best. And the lessons Dr. M. P. Overholser, of Harrisonville, was
learned will be of permanent benefit. In the elected president of the Missouri State Medical
great revived industries will not accidents inciSociety at its recent meeting in Jefferson City.
dent to labor be the first to take advantage of
the lessons of war .surgery? Nothing that has Excelsior Springs was selected as the next place
been learned is useless. One might say: "There of meeting
is no war surgery, there is only surgery pure and Dr. Emmett P. North, of St. Louis, has been simple.” appointed a member of the state board of health, vice Dr. M. R. Hughes of St. Louis, who has
Dr. B. J. Alexander died at his home in Hiabeen appointed to a captaincy in the United
watha, Kansas, May 21st. Dr. Alexander was States Army Medical Corps.
one of the most widely known medical men in Dr. James Y. Simpson wishes to announce
the state and one of the few doctors in public that the Southwest Sanatorium, Kansas City, is life who was able to raise above politics and now prepared to accept patients addicted to the exert his influence to the betterment of the comuse of alcohol and drugs. A separate depart- munity in which he lived. Dr. Alexander's servment has been established for their care and a ice on the state board.o
ice on the state board of health for eighteen years special treatment formulated for their relief.
was over a period which marked the development
of that board from a political organization to one Dr. John L. Moorhead, of Neodesha, Kansas, of great efficiency and of high standard in pubis entitled to the credit of procuring a hospital lic health service. The Kansas board of health for Wilson county, the first free hospital to be now ranks well among the medical boards of the erected in the state. The hospital is a complete, nation, and Doctor Alexander was one of the modern, three-story building, erected at a cost members of the board to bring it to its present of $40,000. It has every appliance, equipment standard. One of the last services rendered the and facility for hospital work, and maintains six state by Doctor Alexander was the revelation regular nurses. Since it has been in operation made concerning the conditions in the Orphans' it has cared for 340 patients.
Home at Atchison. He was one of the commit
tee which made the investigation and found the Dr. Alexis Carrel, of New York, was made a deplorable conditions, and made the recommendacommander of the Legion of Honor on May 17, tions for correcting the situation. In 'Hiawatha, the ceremonies taking place in the presence of a Doctor Alexander always was on the side of number of noted personages. Among them were good citizenship. His influence never was given former Minister of Public Instruction Painleve, to any measure or man or organization for exformer War Minister Mourrier, Dr. Finney of ploiting the municipality or creating a situation the American army, James Hazen Hyde, and to the detriment of the city. Last fall Brown others. M. Mourrier, in an address, recalled the County was awarded the governor's trophy as the best county in Kansas in which to rear chil- ception of the rewards that come from right dren, as to schools, living conditions, and ad- living and right serving of our fellow man. vantages of every kind. The capture of the While he fought relentlessly for what he conprize by Brown County was the result of a move- ceived to be the right, he never fought malicment started by Doctor Alexander himself. Kan- iously and we doubt if he ever spoke harshly of sas will have reason to remember his work even any man in his life. If ever there were feelings though his name was not prominently connected of bitterness and malice in his heart he succeeded with the affairs of the state in a political way.
Dr. Walter S. Wheeler, a native of Winchester, Va., died in his 59th year. From his 5th year his home was in Knobnoster, Mo. He graduated in medicine at the Jefferson Medical College, Pa., in 1885, doing a country practice 'till 1888, when he located in Kansas City and became identified with Kansas City medical politics. He served the city health department through four administrations with the usual limited successes and disappointments that must come to any medical man, regardless of his capabilities, whose exerted medical energies must mean a masterly political destiny—just a question of time under the politico-health regime modus operandi of Kansas City. Dr. Wheeler in private practice was an internist and was popular among his patrons with his kind, gentlemanly, refined bearing always manifest. To his faithful wife the Herald extends sincerest sympathies.
Dr. Wm. Lewis Brosius, of Gallatin, Mo., one of the best known physicians and roentgenologists in the state, died suddenly at his home, April 18, neuralgia of the heart being the cause. The doctor was apparently in the best of health and spirits when he left his home for the office after the noon hour. His sudden death occurred a few moments after he reached the office. Dr. Brosius was born in Gallatin, April 7, 1853, in the same house which has ever since been his home. His early education was obtained in the public schools, and his medical degree, in 1881, was from the Missouri Medical College. He
DR. WM. L. BROSIUS practiced for more than forty years in Gallatin, and won the love and esteem of the entire in concealing them. With his friends and aspopulation. His life's work in medicine was sociates he was always open minded and open augmented by his activities in the church and hearted, and they loved him with a devotion reSunday School, having been a devoted Christian markably deep and sincere. His happy smile from childhood. Dr. Brosius was prominent in and cheery words of encouragement and good medical society work, a member of the Medical will have cast rays of sunshine into many sorSociety of the Missouri Valley, State and A. M. rowing hearts and his liberality and big hearted A., besides a number of special societies. Dr. generosity have served to alleviate the sufferBrosius leaves a wife and two children to mourn ings and wants of untold numbers to whom his his loss, one of them, a son, Dr. W. L. Brosius, death comes as a deep personal sorrow. But Jr., who is in the Medical Reserve Corps, U. S. what a fine heritage has he left his loved ones A. The following beautiful tribute is from the in this life so well spent in the service of his MasGallatin Democrat: Dr. Brosius was born in ter and his fellow man. Better than riches and this community and his life, with the exception gold and more comforting and consoling to of just a few years, was spent here. He had a their aching hearts than all the encomiums that noble parentage—and quite nobly did he uphold mortal lips might speak. He is gone, but in the the family honor and add lustre to the family ages that come his memory will le fresh in the name. His life was in truth an open book, and hearts of those who knew him best and the fruits reading from it we may gain much that makes of his labors and useful service will continue to for a better citizenship and a nobler, truer con- grow and bless humanity.
gunay maareformanma X Communmə
i m It is called a quiet sector, but some Americans
are taking instructional training in this place, Medico Literary Gossip
and the next morning I am in an American evac
uation hospital. It is clean, with that spic and for m ore into comum omnium span cleanliness of the American medical tribe.
The wards are full of sunshine, and there are not Mr. Guy Bogart, of Los Angeles, Cal., who yet enough wounded to create a rush. There are contributes the clever article on "The Boy," ap- some seventy-five American soldiers and officers pearing in this issue of the Herald, is a son of in various stages of convalescence, and when I the distinguished physician and writer, Dr. G. compare the scene with last night I almost say, Henri Bogart, of Indiana and Illinois, whose 'How peaceful it is.”” “Song Sermons” our readers so much enjoy each month. Guy is very proud of both his
It's like a pack of cards,” said Bernard father and son, and justly so. Mr. Bogart's Adams, author of “Nothing of Importance” (Mcnon de plume is “David Bobspa.”
Bride), when a friend asked him what the war
was like. "Spades represent the dullness, mud, “Psycho-analysis, the creation of Professor weariness and sordidness. Clubs stand for anFreud, is a method of mental investigation for other side, the humor, the cheerfulness, the jollity the purpose of exploring the unconscious mental and good fellowship. In diamonds I see the forces of both normal and abnormal persons. It glitter of excitement and adventure. Hearts are seeks to discover the unconscious motives at the a tragic suit of agony, horror and death. And basis of many nervous diseases; for instance, to each man the invisible dealer gives a succesthrough various means, such as inquiring into sion of cards; sometimes they seem all black; the patient's dreams. You see, the dream tells sometimes they are red and black alternately, and us much about our past, for it is the offshoot of at times they come red, red, red; and at the end the past, and represents, as Freud told us, an is the ace of hearts." The ace of hearts came to unconscious wish realized. The psycho-analyst Lieutenant Adams shortly after the writing of assures us that there is a definite reason for all this book. He was killed leading a charge early abnormal manifestations. No symptom is acci- in February, 1917. dental or meaningless; there are always uncon
The Greater War–In the various nations enscious, underlying causes, which, if found and
gaged in this war, in times of peace, over 6,500,brought to the surface, cause the symptoms to
000 die annually from preventable diseases. disappear.
There have been fewer than 7,000,000 killed in
action on all sides since the outbreak of war. Dr. S. Weir Mitchell was thrust into print in
Obviously, then, all the battles in the interest of a peculiar manner. “The Case of George Ded
humanity and the interests of nations are not low” was written as the result of an exhaustive
fought in the firing line. The perennial warfare discussion by Doctor Mitchell and some of his
waged against the invisible foe is as importantmedical friends as to whether the loss of the
if not more so—than that now waged against limbs affects a person's individuality. The Rev.
those who are theatening the destruction of the Dr. Furness, a friend of Doctor Mitchell, sent the story to Edward Everett Hale, who submitted
very principles of civilization.—Chas. J. Hast
ings, M. D., in the Toronto Bulletin. it to the editor of the Atlantic Monthly. The receipt of the proof of the story and a liberal payment for it was the first knowledge Doctor Queen Mary of England, says the cable, Mitchell had of the fate of his production. So drives a horse to save gasoline. We know a felrealistic was it that subscriptions were raised low who bought an automobile to save corn and for the relief of the supposed “George Dedlow,"
oats and hay. And we know of another fellow and it was a long time before the readers could who walks to save both gasoline and horse feed; be convinced that their sympathies had been and another fellow who rides in a street car to aroused by a fictitious character.
save shoe leather.
Vaccines and Serums to Be Tested—The Mr. Henry J. Allen, of Kansas,, who is doing
ng United States Public Health Service is now testRed Cross work "over there," says: “I'm build
ing serums and vaccines from all the various ing an organization to search for American
manufacturers at the Hygiene Laboratory in wounded in French hospitals, and I'm conscious
Washington, with a view to standardization beof only one emotion as I drive away-relief that f
fore the products are placed on the market for there are no American wounded at this place. interstate traffic At night I sleep at a town I visited a year ago, in the same hotel, and all night I hear the same Promise and Pay-A promising young man is guns I heard then and see the same star shells. good, but a paying one is better.