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without evidence. Some men eat inordinately, be mailed soon to the membership. Plans are indiscriminately, recklessly and reach old age being rapidly carried out to make the convention hale and hearty. They are those of the pioneer a thing to be remembered in medical history and type and are rapidly disappearing. Most of us association affairs, as a special war meeting. A need to exercise some discretion in eating, in large attendance is expected. In every case where rapidity, quantity, frequency, time, mental atti- possible members of the association should begin tude. Blessed is the man who has learned his to lay their plans to be present for the three days' limit, not only of eating, but life generally, and session. lives within it. When the limit is exceeded, get back to simple diet, laxative foods, more physical

Crime and the exercise, less mental strain, more mental buoy

Human Family ancy.

An exceedingly clever address has been deThere is another large class of cases with livered by Henry I. Girvin, chief of Buffalo Povery slight pathologic basis or shortcoming, lice Department Buffalo N Y and printed in which with a rational pace of living would pass

the Buffalo Medical Journal. We quote the folunnoticed, yet with added insult in the way of

lowing extract: dietary indiscretion, suffer. For instance, slow digestion and slightly retarded emptying due to

"Without fear of successful contradiction it pyloric hypersensitiveness will cause evening

may be stated that at every turn we meet indivomiting after three full meals. Two meals a

viduals who have the appearance of perfect

health and sound intellect, but a brief conversaday will put such a fellow to normal without treatment or medication.

tion will show at once that their brain has never

passed its childhood stage. The child who takes Even where there is distinct pathology, in

a penny is laughingly pronounced "clever" by discretion always aggravates symptoms and at

his foolishly fond parents, repeats the trick, but times makes a difficult clinical picture. Dispose

pose this time he takes pennies and feeling secure in of the indiscretion and the pathologic entity be

paternal approval, ever increases the amount comes apparent and easily recognizable.

until a thief is produced. They did not intend Hence the advantage, the necessity in all cases to be dishonest, but they planted the seed of a of restoring a patient to a simple hygienic life habit which grew on them until the prison doors for a period, to be able to determine the physical

closed for the protection of society. The same

closed for the prote limit, how much indicretion and the presence, if

may be said of jealousy, lassitude and the like; any, of pathology.

J. M. B.

from a small beginning, like the seed of the

thistle, they grow and wax strong, and unless Impressions of Omaha by

early uprooted, choke out and destroy all imMissouri Valley Doctors

pulses for good, as the thistles choke out and

destroy the tender grain. Mighty fine town—real city.

“A well known authority has said, 'Habits Clean streets—well paved.

are automatic gratifications of mind impulses,' Progressive men—the bit in their teeth.

in other words, the mind directs what the tongue, Splendid hotels—fine car service.

hands or feet carry out. It will be admitted that Grand convention city--all facilities.

but one perfect man has ever lived, consequently Life in Omaha goes along with a snap and a

we must strive to keep the human race in as swing that portends growth and expansion.

nearly perfect condition as possible, and to use The vigorous air of Omaha men must be due somewhat to the ideal climate of Nebraska.

all our energies for its betterment. Omaha doctors are a splendid lot.

"This one thing can be said with a reasonable Let's go there again.

assurance of reality, the first impressions are the ones that last; teaching should commence with

the babe in the cradle. Medical Association

“Although there is no doubt in the minds of of the Southwest

police oficials who have made a study of crimes Plans are all perfected for a grand meeting that the great majority of noted or habitual crimat Dallas, Texas, October 15, 16, 17, in which inals are born such, education must not stop, for war topics will be widely featured. Dr. M. M. the saving of even one of these from a life of Smith, chairman of arrangements, has issued a crime increases security in the mind of society letter to members stating that the Dallas Medi- and a saving of thousands of dollars to the taxcal fraternity has taken active steps to arrange payers." special clinics which will be of interest to the members of the association, and suitable enter We have nearly two million men in France. tainment of the guests will be provided, in keep- Every subscriber to the Liberty Loan helped send ing with the occasion. A complete program will them there.

Dr. William W. Duke wishes to announce that The Epidemic of Influenza—The epidemic of after leaving for service with the American Red influenza now sweeping over the country—a part Cross in France, his practice will be carried on of the pandemic now covering the world—refor awhile under the direction of his associate, ported in this country first from seaports and Dr. Wilson A. Myers, who has been prevented naval stations, and later from many cities, infrom entering the service for the time being by cluding at least twenty-five army camps, with the a recent appendix operation. The clinical and craze for weird nomenclature accompanying war Roentgen laboratories will be continued as before conditions, has been labeled “Spanish influenza." under the direction of competent assistants. This, however, should not cause any greater imThe Bobbs-Merrill Co. will publish very

portance to be attached to it, nor arouse any

greater fear, than would influenza without the shortly another personal experience war story

new name. This epidemic is of course modified in spite of their determination to let well enough

as to its epidemiology by the fact that large numalone, meaning Private Peat, no doubt. The new

bers of the most healthful portion of our popubook is entitled Kiltie McCoy and is by an Amer

lation have been segregated in military and naval ican traveling salesman who went to England

camps. The condition presumably started in on business when the war broke out and, taunted

Spain and spread throughout the various armies. by a little woman with a white feather, fled to

It has already practically disappeared from the Scotland, changed his name and his birthplace and enlisted in the Cameronians. His manu

Allied troops. A typical epidemic as it existed

abroad is described in the paper by Hewlett and script, when submitted to the publishers aroused

Alberty in this issue of the Journal; a typical such enthusiasm that refusal was out of the question. The jacket of the book will bear the title

epidemic at a naval station is described also in

this issue by Lieutenant Keegan. It is needless and subtitle Kiltie McCoy-an American boy, with an Irish name, fighting in France as a

and too early to discuss here the exact identity of Scotch soldier.

the infectious agent. Few physicians will at

tempt to treat the condition with any special refBattle Creek Sanitarium Offers War Course— erence to its bacteriologic cause. The course of The Normal School of Physical Education, which the disease is similar to the condition which has is affiliated with the Battle Creek Sanitarium, has always been called influenza, except that it seems inaugurated a course in physiotherapy which in some cases more severe, that it shows an exmeets the requirements of the War Department. traordinary degree of contagiousness and that it The medical profession are asked to direct the is complicated or followed, in perhaps as many attention of young women who are planning to as 5 per cent of cases, by a massive and rather engage in war work to this unusual opportunity fatal bronchopneumonia. In its great prevalence Four-month courses will begin October 1 and it recalls the epizootic of earlier years. In the February 1. The curriculum consists of Anat- epidemic at Chelsea, Mass., this pueumonia was omy, Physiology, Bandging, Active and Passive found to be caused by the influenza bacillus, Movements, Hydrotherapy, Massage, Electro- which was recovered from 82.6 per cent of the therapy, and Clinics. Further information may lungs at necrotsy, and in 31.6 in pure culture, frebe obtained from Dr. Frank J. Born, director of quently mixed, however, with pneumococcus or the school.

streptcococcus infections. This pneumonia was

fatal in 331/3 per cent of the persons attacked by Apothesine or Cocaine ?—There are many it. Early reports of the epidemic at the Great indications that aposthesine is gradually super- Lakes Naval Training Station indicate a similar seding cocaine as a local anesthetic. This is not incidence of pneumonia and mortality. Medical said in depreciation of the last mentioned drug. authorities of the army, the navy and the Public the merits of which are well understood. It must Health Service are thoroughly alive to the conbe remembered, however, that cocaine possesses dition, and are taking active measures to control some grave defects. Prominent among these is it. These measures are based on our knowledge its toxicity. Furthermore, unrestricted use of

that the disease is transmitted from person to the product leads ultimately to the formation of the cocaine “habit.” Apothesine. while as effi- prson by direct contact, or indirect contact cient as cocaine, has been shown by comparative through droplet infection, and that it is therefore tests to be far less toxic than the latter. More- to be controlled by isolation and prevention of over, it is not subject to the narcotic law, and its the transmission of these discharges. Because of use does not eventuate in “habit” formation. +

the tendency to the development of the secondary Apothesine produces such complete anesthesia that even major operations are performed under

bronchopneumonia, patients should be treated in its influence (quite as successfully as under co- well ventilated, warm rooms with special considcaine), a fact that further emphasizes the import- eration for the possibility of this serious compliance of its discovery.

cation.-Jour. A. M. A., Sept. 28, 1918.



The Division of Physical Reconstruction of

the Surgeon General's office has opened the first The World War News

army medical school for the reconstruction of P. I. LEONARD, M. D.

the defects of hearing and speech at Army Hosmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

pital No. 11, formerly Hotel Cape May, at Cape

May, N. J.
"Our country; its need is our need, its
honor our honor, its responsibility our re-

Dr. Herman J. Boldt, the well known sur-
sponsibility. To support it is a duty, to geon of New York City, has suffered the su-
defend it a privilege, to serve it a joy. In
its hour of trial we must be steadfast, i
its hour of danger we must be strong, in

? man J., Jrr., who was killed in action on the its hour of triumph we must be generous. Man J. JIT., WT10 was Kated in action on the Though all else depart, and all we own be western front, “some where, over there." Lieut.

taken away, there will still remain the foundation of our fortunes, the bulwark of our hopes, a

Boldt was attached to the 102d infantry. rock on which to build anew our country, our homeland, America."-From American Medicine, May, 1917 (National

Col. J. M. Banister, Omaha, Neb., at the banNumber.)

quet of the Medical Society of the Missouri Val

ley at Omaha, the 19th of September, delivered Could we judge all deeds by motives That surround each other's lives,

a masterly address on “What Medical Science See the naked heart and spirit,

Owes to the Military Surgeon,” and it was puncKnow what spur the action gives,

tuated by continual applause on the part of the Often we would find it better

Just to judge all actions good; .
We should love each other better

At the same banquet Lieut. Col. Franklin
If we only understood.

Martin explained the Voluntary Medical Reserve Don't kick. Come across. Buy more bonds. Corps. Vol.

Corps. Col. Martin is energetic, forceful and Lieut. B. O. Hartwell of Maysville is at Fort wide awake.

The War Department has issued orders which Lieut. W. J. Hansen, St. Joseph, is at Fort will enable colored nurses who have been regisOmaha.

tered by the American Red Cross to render seryLieut. E. B. Kessler of St. Joseph is at Louis- ice for their own race in this country. These ville, Ky.

nurses will be assigned to various base hospitals Capt. A. S. J. Smith of St. Joseph is at Roch- at camps where about 30,000 colored troops are ester, Minn.

stationed. General Pershing was asked by cable Capt. W. H. Minton of St. Joseph is at Camp whether the services of colored nurses could be Sevier, S. C.

utilized to advantage. Lieut. H. T. Conrad of St. Joseph is at Fort

In a critical examination of our medical standOglethorpe for instruction.

ards for recruits, many of the most important Capt. P. I. Leonard has been ordered to pro

characters in military history would have been ceed to Fort Oglethorpe, Georgia.

eliminated from the army. Caesar and Napoleon Drs. W. J. McGill, J. M. Alleman, C. A. Good,

would have been ineligible for our army because L. R. Forgrave, and A. B. McGlothlan took the of epilepsy. William of Orange and Guynemer examination for a naval unit at Chicago, Sept. 19. because of respiratory defects. If Nelson had

From Sept 1 to July 20, 155 deaths occurred been retired when he lost his eye, there would in training fields. It is calculated that there are have been no Trafalgar, and this might have a trifle over three deaths for every 10,000 hours changed the history of the world. The Kaiser, of flight.

with a withered arm could not be in the army, We have heard with profound regret of the and the crown prince would fail in the mental death of a son of Col. J. M. Banister of Omaha. examination. The doctor's three sons entered the army. Who Dr. E. C. Junger, of Soldier, noticed an item can excel the patriotism of this family? We in this column about foreign born physicians resincerely hope that none other in this family will ceiving a commission under restrictions and he pay the supreme sacrifice for his country and the applied to the editor of the Medical Herald for liberty of the world.

the latter. The editor wrote to the Council of At the meeting of the Medical Society of the National Defense and received an extensive reply. Missouri Valley, Omaha, Neb., on Sept. 19, Lieut. The substance of Judge Advocate General S. T. Col. Franklin Martin, in the most emphatic man- Ansell's report is "that American citizens of ner declared the action of expulsion of any mem- Austrian or German birth, or who were born in ber of a medical society because he does not offer alien enemy territory, who have passed the neceshis services to the government, is unpatriotic, un sary examination and whose loyalty is unquesAmerican; that the U. S. government does not tioned, may in the discretion of the commanderforce or conscript any doctor, and that such in-chief of the army and navy, be commissioned action is intended for promotion of German prop- in the United States army or navy. Any other aganda.

naturalized citizen may be commissioned.

Capt. G. Wilse Robinson of the Kansas City . mamma comment base hospital in France, has been promoted to be a major. Major Robinson is in charge of the

Che Doctors' Library neurological section of the hospital.

"Next to acquiring good friends, the best Tetanus antitoxin has, for some time, been

1 acquisition is that of good books."-C. c. Colton. used by the Germans in the form of a powder,

Գարնան) ապարատուրովարտ Թերապատրաստ applied on cotton to the wound. The liquid prep MODERN UROLOGY-By eminent American au. arations have also been reduced in volume. thors. Edited by Hugh Cabot, M. D., F. A. C. S., Chief

of the Genito-Urinary Department of the MassachuMr. Adams, the pro-regular medicine writer

setts General Hospital; Assistant Professor of Genitofor Collier's Weekly, says that the vast and com

Urinary Surgery in the Harvard Medical School. Two

Urinary Sur plex job of making over our peace doctors into octavo volumes of over 700 pages each. illustrated war doctors is the nearest thing to 100 per cent

with 632 engravings and 17 plates. Published by Lea achievement that the government has yet per

& Febiger, Philadelphia and New York. (Per volume,

cloth, $7.00, net). formed in this war.

The first chapter of Vol. 1 is devoted to a Anticigarette reformers would get scant con

brief but succinct account of the history of urolsideration from the medical corps of the United

ogy. Here one becomes acquainted with the fact, States army, according to major surgeons stationed in hospitals along the front, some of whom

that as a distinct specialty, urology is only ten

years old. It becomes at once apparent to the say that the cigarette produces a relaxation for

reader that the long rapid strides made in this the wounded and the men just out of the trenches that no medicine could possibly produce.

branch of medicine justify the production of so

extensive a work. The second chapter is on the The ranks given to medical officers and the

the cystoscope and the urethroscope and their uses. annual pay received are as follows: lieutenant, The subject is exhaustively and accurately pre$2,000; captain, $2,400; major, $3,000; lieutenant- ..sented. This is highly essential, since it is accolonel, $3,500; colonel, $4,000; brigadier gen- curate diagnosis, made poss

curate diagnosis, made possible by the skillful eral, $6,000 and major, general $8,000; Commu- use of these instruments, more than by any other tation for quarters: lieutenant, $432; captain,

means, which has separated modern urology from $576; major, $720; heat and light: approximately the chaos of general surgery. The diagrams ac$80, $120 and $160, respectively.

companying this chapter make the manipulations Wild statements with reference to the vene of these instruments, and the interpretation of real diseases in the French Army have appeared the fields presented to the observer's eye, so plain from time to time, apparently at complete vari- as to be understood by even the casual reader. ance with the official figures. Before the war. It is written by Leo Buerger, than whom no betthe Army of France had a venereal admission of ter author, at the present day, could be chosen. 21 per thousand, which since the war has fallen In chapter three, methods of diagnosis are skillto 14 per thousand. This attests the successful fully and impressively presented by Bransford use of venereal prophylaxis, which has not found Lewis. This is succeeded by a chapter on the xa place in the medical service afforded British ray, in genito-urinary diagnosis, very appropritroops, in consequence of which the venereal dis- ately illustrated, and written by Walter Dodd. ease rate among English soldiers is tremendously Syphilis of the genito-urinary organs, is considhigh compared with that of the French army. ered in chapter five by B. C. Corbus. Chapter

The Oto-rhino-laryngological specialty is eight is written by this same author. Aside from enormously important in this war, because of the this, syphilis is ignored in this work, its considgreat number of defective ears. The importance eration being left to writers of Wyorks limited to

erved chiefly from the medico-legal point that subject. Chapter nine thoroughly covers of view because there are so many cases of defect- the subject of gonorrhea. Diseases of the female ive ears antedating military service, so many are

urethra, a subject usually ignored\ in text-books, caused or aggravated in the service, and so many

is fully considered in chapter ten. This is sucare caused by the autolesionists. In fact, the

tolesionists. In fact, the ceeded by a masterful dissertation on stricture of otological specialtiy may be said to be of as much the urethra, in chapter eleven, by Ecw. L. Keyes. importance as all the other specialties put togeth- Jr. Section 111 (chapters twelve to seventeen. er because of the great medicolegal importance

inclusive) thoroughly covers the anaiomy, physiof the ear. Bryant found oto-rhino-laryngology ology, diseases and injuries of the esticle and no less important in Italy than in France. In scrotum ; chapter sixteen, on genital tiberculosis. Italy there are more autolesionists. After elim- by J. Dellinger Barney, and chapter scenteen, on

oma from the ophthal. tumors of the testicle, by Edwin eer, being mological total, the number of ophthalmological particularly illuminating on their resective subpatients in Italy is not greater than the oto-rhin

NOTE-The Medical Herald's Kansas (ty office will olaryngological cases. In Italy, trachoma forms price. prepaid. If an order for two books sent at any

one time, the purchaser will be entitled tot six months* half the ophthalmological service. There are

gubscription to the Herald. This plan is aranged for the many more wounds of eye than of ear.

convenience of our readers, and we trust it will stimuate trade in the direction of good books

supply any book reviewed in this departmentat publishers

edge iltis fis ignored, excepThis is a distinct with

jects. Section IV is devoted to the prostate and The genito-urinary specialist, as well as the seminal vesicles. Chapter nineteen, of this sec- general practitioner, will find it a valuable work tion, on enlargement of the prostate, by Paul of reference for detailed information on any given Monroe Pilcher, and chapter twenty, on cancer of point, as well as a means of bringing his knowlthe prostate, by Hugh Hampton Young, deal with edge of the entire subject thoroughly up to date. their respective subjects in a manner which does Syphilis is ignored, except insofar as it attacks credit to even these prominent and capable writ- the uro-genital organs. This is a distinct aders. The latter part of chapter twenty, on the vantage, for syphilis is, today, better dealt with use of radium in the treatment of prostatic can- in books limited thereto, than in one, or two, cer, deals with a new and exceedingly interest- chapters in a work on urology. The work is ing phase of this subject. Chapters one and two copiously and very appropriately illustrated and of volume II are devoted to the anatomy, physi- nearly all of the engravings and plates are origology, malformations and diverticula of the blad- inal. The title, “Modern Urology,” is exceedder. They cover the ground thoroughly, intro- ingly appropriate for this work, and it fills what ducing much valuable, up to date information would otherwise be a void in the medical literathat is not found in other text-books. Chapter ture of today.

THOMAS M. PAUL. three deals with injuries of the bladder. Chap

THORNTON'S MEDICAL POCKET FORMULARY ter four presents the subject of vesical infec -Containing over two thousand prescriptions with tion, including tuberculosis, in a manner quite in indications for use. By E. Quin Thornton, M. D., Askeeping with the high standard of the work. sistant Professor of Materia Medica in the Jefferson Chapters five and six deal respectively with stone

Medical College, Philadelphia. In one pocket-size and foreign bodies in the bladder. They are

volume, limp binding. (Price, $2.00, net). written by Hugh Cabot, and cover their subjects

A very valuable little work, which will appeal most thoroughly. Chapter seven, on tumors

alike to the young and mature physician. It will of the bladder. begins with a careful consider- refresh, broaden and refresh. It is not a mere ation of their micro-pathology, and, after dis

locvand after dis


compilation of prescriptions but rather an epitome cussing the operative treatment, goes into the

of all that pertains to prescribing and the use utmost details regarding their modern treatment

of remedial agents. It is therefore of value with radium. It is written by John T. Geraghty.

to the mature practitioner, since it considers the Geraghty and Hugh Young are the greatest

use of salvarsan, human blood serum, antimeninpresent day authorities on the intra-vesical use

gitis serum, curative sera of various kinds, bacof radium. Chapter ten, also written by Dr.

terial vaccines and a number of other remedies. Geraghty, is devoted to tests of renal function. It gives an alphabetical list of diseases and sugA better authority than this could not be chosen,

gestions of most efficacious treatment. The exand the writer does himself full justice. Ano- haution of ten editions and the demand for this, malies of the kidney, hydronephrosis, movable the eleventh, gives one a key to its value and kidney and renal injuries are well handled in the popularity. Its size is a virtue. It just fits into succeeding chapter by J. Bentley Squier. M. D. the pocket, so that it is available just when In chapter twelve renal infections are ably dis- needed-between calls.

J. M. B. posed of by Edw. L. Keyes, Jr., M. D. Bilharzi CLINICAL DIAGNOSIS-A Manual of Laboratory osis and echinococcus are brought to the reader's Methods. By James Campbell Todd, M. D., Professor attention, in a brief, vet detailed manner. by Edw. of Pathology, University of Colorado. Fourth edition, L. Young, Jr., M. Đ., in chapters thirteen and

revised and reset. 12mo of 687 pages with 232 text

illustrations and 12 colored plates. Philadelphia and fourteen. Chapter fifteen is devoted to renal

London: W. B. Saunders Company, 1918. (Cloth, tuberculosis and is written by Richard F. O'Neil, 14s, net). M. D., who does full justice to this important

A most commendable publication for two reasubject. The succeeding chapters, on stone in

sons-it gives so much detail available to those the kidney and ureter, by Hugh Cabot, M. D., who have had little or imperfect training in mipresent this subject in an able manner, and the

croscopy; while on the other hand it is valuable last chapter, on renal tumors, by Horace Binney, to the fellow who knows the general field, and M. D., puts an appropriate finishing touch to aspires to go beyond it. In the third place, it this classical work.

is very complete. It would be difficult to gather It is quite evident that the editor of this work in one volume a broader scope of microscopy, realized that there was much valuable advance both in technique and in clinical application than knowledge scattered about in medical periodicals. is given in Todd's fourth edition. Ample space To make this knowledge available for the pro- is devoted to chemical analysis of gastric confession in book form, he determined to present it tents, fecal and urinalysis as well as spinal fluid. as a compilation of monographs, written by the The volume is well written, beautifully illusvery producers of this knowledge themselves, trated and is well adapted to that large class of instead of writing the work himself and quoting medical men who must be at once clinician and these authorities.


J. M. B.

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