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The Medical Herald
A. L. BLESH, Oklahoma City.
JAS. W. HEDDENS. St. Joseph.
D. A. MYERS. Lawton, Okla.
diagnosis from gumma may be difficult. Artifi
cial mucous patches are produced by the lighted Incorporating the kansas City medical inder-Lancet
end of a cigarette. They make lesions on the left
side, situated on the inner surface of the lower Vol. XXXIX. FEBRUARY, 1918 . No. 2 lip not far from the commissure, in the cheek, or
on the velum, never on the pillars of the fauces CHAS. WOOD FASSETT, Managing Editor
or the tonsils. 613 Lathrop Building, Kansas City, Mo.
Carruccio notes that he has seen more than ASSOCIATE EDITORS
a hundred soldiers with an acute dermatosis of P. I. LEONARD, St. Joseph.
practically identical nature. These lesions were J. M. BELL, St. Joseph.
produced by the application to the skin of vegeJNO. E. SUMMERS, Omaha.
table substances, such as the juice of the cactus CONTRIBUTING EDITORS
leaf. When rubbed over the entire body they H. ELLIOTT BATES, New York.
caused a somewhat intense erythema.
Ascarelli states that one of the most common
forms of lesions inflicted on themselves by ItalST. CLOUD COOPER, Fort Smith, Ark.
ian soldiers are abscess and phlegmon produced T. D. CROTHERS, Hartford, Conn.
by injection of petrol, turpentine, benzine, chloW. T. ELAM, St. Joseph. JACOB GEIGER, St. Joseph.
ride of lime in benzine solution, etc. There is S. S. GLASSCOCK, Kansas City, Kan.
always slight albuminuria, without casts. At H. R. HARROWER, Los Angeles, Cal.
times there is emphysematous crepitation. An
incision shows comparatively little pus. GradDONALD MACRAE, Council Bluffs. L. HARRISON METTLER, Chicago.
enigo states that artificial otitis is fairly comDANIEL MORTON, St. Joseph.
mon. As a rule the effects produced are suppurJOHN PUNTON, Kansas City.
ation, exceptionally perforation of the memW. T. WOOTTON. Hot Springs, Ark.
brane. Caustic is used to produce destructive HUGH H. YOUNG, Baltimore.
inflammation. The complications at times are “Our country; its need is our need, its serious. honor our honor, its responsibility our re
Conjunctivitis is produced by powdered ipe
cas. Caustics can produce ulcers of the cornea its hour of danger we must be strong, in and infection may result. its hour of triumph we must be generous.
Maligners may wish to evade military service
by feigning total loss of vision in one eye or rock on which to build anew-our country, our hon
partial loss of vision in one or both eyes. The America.”—From American Medicine, May, 1917 (National Number.)
visual requirement for recruits is 20-40. There is something peculiar in the maligner's manner, but the examiner must gain his confidence by
apparently believing his story. The oculist has The Editors' Forum
the prism test and the test with colored glasses
and letters. Red letters are invisible to the eye SIMULATION OF DISEASE
that has a green glass before it, while green let
ters are invisible through the red glass. There Simulation is resorted to for the purpose of is a test with trial glasses and the stereoscopic evading military service. There is an artificial test. There is oblique and ophthalmoscopic exresort to produce disease or deformity. One can amination and the mirror test with special test produce artificial skin eruptions of which pus- cards. There are those who feign diplopia. It tulodermatitis is the most common, the lesions is very difficult, after a judicious and careful being gathered together in patches, mostly test, to deceive the examiner in the absence of placed on the hairy parts of the face. An im- organic disease.
P. I. L. portant diagnostic point is that the pustules are all in the same stage of evolution. The lesions are generally produced by croton oil. Milan
PHYSICAL REGENERATION states that automobile oil sometimes produces One of the most illuminative lessons already lesions suggesting at first sight an erysipelas. accruing from war activity, and one which must Edema is produced by tying a wide flat strap be appreciated by the medical profession, is the on the forearm or the lower part of the leg during ability of the body to recuperate when placed the night. Persistent ulcer in a young man, under favorable hygienic environment. While otherwise healthy, is probably artificial. These the philosophic principle has long been known, sores are not in the usual position for chronic it has been neglected as a therapeutic agent. ulcers. They may be caused by a blister or a The possibilities which lie in the wake of rigidly caustic agent. If the patient be an old syphilitic enforced hygiene are truly remarkable. Young
sponsibility. To support it is a duty, to
Though all else depart, and all we own be
taken away, there will still remain the foundation of our fortunes, the bulwark of our hopes, a
men with stooped shoulders, subject to tonsilitis, been told was the last day of menstruation. He bronchitis, gastric atony, constipation, insomnia did not think that the husband in this case could indicanurea now after two or three months of possibly be the father. The operation could not out door training find themselves erect in post- have tended to prolong gestation. Dr. Griffith, ure, with increased lung capacity, able to eat obstetric physician to St. Bartholomew's Hosanything, and sleep like babies. They surprise pital, said that in protracted gestation the labor themselves and their friends. The transforma- would be slow; but he admitted that he had tion is apparent not only physically, but men- known cases of ten month's children with nortally. They are alert, think rapidly, act promptly mal delivery. For the respondent, Dr. Philips, and have greater capacity for study. And this obstetric physician to King's College Hospital, all not from drugging, but right living, with said that he had experience of three cases, one less tobacco, no alcohol, cold baths, wholesome of 298 days, the second of 306 days, and the food, long hours for sleep, an abundance of third of 308 days, in each of which the husband physical exercise. Muscles tighten, .cardiac, had left the country for these periods. It was not | peristaltic and skeletal. Resistance is increased, impossible to have a ten months' child. In her
the lymphatic system is no longer surcharged; evidence the respondent said that her menstrual nerves normally responsible, oxygen intake aug- period ended December 18, and that she had mented, emuncteries all active and lo, a normal proper intercourse with the petitioner December man again. These fellows will make good busi- 19. The judge (Mr. Justice Horridge) said that ness men, good professional material, better citi- he believed the respondent, and that the case was zens. They will not die with cardio vascular or one of protracted gestation. He therefore gave renal diseases at fifty. They will recreate the judgment in her favor. nation, and their children will bless them. What a striking picture of hygiene as a therapeutic measure. Why not use this principle more than ANOTHER TRIUMPH FOR KANSAS we do. In many of our cases organs are not so
CITY'S POLITICIANS much diseased as they are embarrassed. Give them a chance to come back. They may not re
With a slogan of “Politics first, health last,” juvenate 100 per cent but they may 50. Try. .
the politicians have again caused the break-down J. M. B.
of Kansas City's Health and Hospital Depart
ment, and the resignation of all its officers. Dr. PROTRACTED GESTATION CAUSES DI
W. H. Coon, health director, a most competent
man, resigned his position, after nearly a year's VORCE SUIT
vain struggle against political intrigue and opA rather unusual divorce plea, on account of position in the city council. Dr. Coon, followthe petitioner being a physician, is reported by ing the example of his predecessor, the late the London correspondent of the Journal A. M. lamented Dr. Paul Paquin, who sacrificed his A. A captain in the Army Medical Corps mar- life while health director, endeavored to place ried in June, 1915, but determined to have no Kansas City's health department upon a high children until the war ended. According to his plane of efficiency, and to keep it apart from testimony, he took every precaution to prevent politics. But he found this to be an impossible conception, and is positive that pregnancy could task and gave up the job. Another instance of not have resulted. He went to Egypt December the “strangle hold” the politicians have on Kansas 20.
City. Our city will never progress until governThe wife went to her brother's home, where ment "by the people and for the people” becomes three officers were staying. Later she went to a reality. visit a friend, and while there menstruated. Since the above was written, Dr. Eugene March 10, 1916, she underwent an operation for Carbaugh has been appointed health director, appendicitis, when it was found that she was and the city council has passed ordinances propregnant. March 20, she informed her husband viding funds, and making vaccination compulof the fact. He replied that her statement was sory under certain conditions. absurd; that he as a physician knew that nothing
The Jackson County Medical Society passed of the kind could have happened. Oct. 22, 1916, resolutions condemning the administration's she gave birth to a child of normal period. Be
political juggling in dealing with the health detween her husband's departure and the birth of
partment, and calling on all good citizens to asthe child, 307 days elapsed. The husband re- sist in making the city's health the paramount turned and promptly sued for divorce, charging issue in the next' municipal election. adultery with an unknown person. The following expert evidence was given for the husband : Dr. H. R. Spencer, obstetric physician to Univer- Excelsior Springs, Missouri, has been selected sity College Hospital, said that he had known as a site for one of the convalescent hospitals of a case of gestation of 307 days from what he had the United States army.
THE PREVAILING ONE-IDEA
KANSAS CITY MEDICAL AND SURGICAL That the newspapers and magazines of the
CLUB United States are being dominated by the war
In this issue will be found the program for idea is apparent to every reader. Even the medi- the second meeting of the Medical and Surgical cal journals are devoting generous space to the
Club, to be given at the hospitals of Kansas City, discussion of war injuries, war cures and war
on Monday and Tuesday, February 11 and 12. atrocities. The funny papers are filled from cover The success of the first meet
The success of the first meeting, and the genuine to cover with war pictures, war poems, and war interest manifested in the excellent program has jokes, until it seems there will soon be no room inspired the officers to enlarge upon the proremaining for the discussion of any other topic. gram for the second meetin
gram for the second meeting, and carry it over "Life" with its usual keen foresight, has thrown
two days. A cordial invitation is extended to out the danger signal, and warns its contributors the profession of the nearby cities and a large against this “one-idea" stuff. “Life” claims that attendance is anticipated a halt is absolutely necessary, before we all be- Kansas City will hold its annual automobile come mono-ideistic in our tendencies. "Life" show the same week. Bear this in mind. has therefore opened a department known as “The Something Else” to which all are cordially
TUBERCULOSIS IN FRANCE urged to contribute. Anyone who can discourse intelligently for ten minutes without touching
The alarming reports of the prevalence of either war or H. C. L. is eligible to membership
tuberculosis among the Allied troops in France in the “Something Else Club,” and by means of
have been supplemented by more assuring ones this expediency "Life" hopes to preserve the
of recent date. A year ago figures from abroad sanity of our nation!
indicated tubercular infection to obtain among 80 per cent of French troops. During the past few
months as a result of closed examination under THE UMBILICOMAMMILLARY TRI
the direction of Major Edward Rist · of the ANGLE
Medical Corps of the French army the numDr. George Elliott, according to the New ber has been reduced to 10 per cent. Too York Medical Journal, has “discovered” a new
much weight may be given to family history, triangle of value from a clinical and anatomic or too much gravity may be attached to other standpoint.
physical shortcomings in the chest, particuThis triangle with its apex at the umbilicus larly when tuberculosis is under discussion, and the base line drawn between the two mam
and yet the two factors together may fail signally millae incloses a surface which presents a very in substantiating such a diagnosis, as was eviclear and readily remembered picture with the dent in this instance. Dr. Rist made an x-ray important structures which lie beneath.
of each case himself, had the sputum, nose and The apex of the heart lies one-fourth the dis- throat of each case examined by a specialist and tance down the left line of the triangle; just kept each patient under observation for a week. above the base line, a little to the left of its He found between 80 and 90 per cent of these center, the mitral valves; in the left angle of the tubercular soldiers had no tuberculosis at all. base line and the middle line, or height, the tri- He estimated that less than 20 per cent of the cuspid valves; the cardia, a third the distance 86,000 troops discharged during the first vear down the middle line and to the left; the pylorus, for tuberculosis actually had the disease. a third the distance up from the umbilicus and to
J. M. B. the right; the fundus of the gall-bladder, a third the distance up the right line from the umbilicus
Base Hospital Mobilizes—Base hospital No. and an inch to the right. Should these markings
28 mobilized in Kansas City latter part of Januprove to be accurate or as nearly accurate as
ary where it was stationed in the union depot those generally given it would be a much easier
while uniforms and equipment were being supway for the student to remember them, in fact he
plied. The personnel is now complete, including could scarcely ever forget them, and as equally
135 men and five officers; 100 nurses will join easy for the clinician. Possibly surgeons could
the unit later. The officers are as follows: Malocate their incisions for various operations in
jor J. F. Binnie, director; Major Lindsay S. that region as well by this conspicuous triangle.
· Milne, mobilization officer; Capt. H. S. ValenJ. M. B.
tine, Capt. S., B. Hibbard, Lieut. J. R. Elliot,
Lieut. H. R. Dunmire, quartermaster. The unit The Manhattan Hotel St. Petersburg, Flor
is now undergoing intensive training at Camp ida, is a most delightful place to spend the win
McPherson, Georgia, before being sent to France ter months. Why not send your convalescents
where the unit will be in charge of a 500 bed to a congenial, sunny clime, where they may en
hospital. joy nature's out doors every day in the month." Send for booklet.
Have you enlisted in the army as savers?
every section of the world, having a remarkable collection of trophies of the chase in his bachelor apartments at 80 Madison avenue. (We are indebted to the New York Medical Journal for this obituary, and for the excellent portrait of
RAMON GUITERAS, M, D. Dr Ramon Guiteras one of the most widely known urologists in the United States. died of meningitis at the French Hospital in New York on Thursday, December 13th. Doctor Guiteras was born in Bristol, Rhode Island, where his father, a Cuban patriot, made his home after the failure of the Lopez expedition in 1862. He was educated in the public schools of Bristol, was graduated from Harvard University, both in arts ind in medicine and then went abroad studying in Paris. Berlin, and Vienna. On his return he
War School of Syphilis—A war school of syphilis, skin and venereal diseases has been opened in St. Louis, with Drs. M. F. Engman, Jno. R. Caulk, and Ernest Sachs as directors. This is the second school of the kind to be ordered by Surgeon-General Gorgas, the first being in New York City.
The Honor of the Medical Profession—Major George W. Crile reminds us that in the mobilization of the army, the medical men were first in the field; the first to be wounded, the first killed in the field, the first to make up its full quota, the corps with the largest reserve, and finally, the most completely organized corps of the army. Thus has the response of the medical profession been remarkable and patriotic.
No Meeting in March—Members of the Medical Society of the Missouri Valley will please bear in mind that at the last meeting, a resolution was adopted to the effect that the March meeting of the society would be omitted during the period of the war. All members who are in the service will have their dues remitted. The secretary 'would be pleased to receive the names
of all who have accepted commissions as he DR. RAMON GUITERAS
wishes to print a list in the Medical Herald soon. entered the United States navy as assistant surgeon from which he resigned and became an
San Antonio to Be Clean—The federal govintern at the City Hospital. After this service ernment, represented by Major C. H. Gardner, he became assistant professor of laryngology at has taken complete, charge of San Antonio's Columbia, of neurology at the University of New health affairs in order to protect the health of York, and of dermatology at the New York Poly- the 75,000 soldiers who are stationed in camps clinic School and Hospital. He acted as an in- nearby. Immediate and thorough inspection will spector of contagious diseases for the Board of be made of all places where food is sold and preHealth of the City of New York for three years pared. Employes will be given physical examand served as attending surgeon at the City, the ination and inoculated against typhoid and smallFrench, the Manhattan, the State, the St. John's, pox. Free clinics will be established for treatthe Post Graduate, the Columbia, the Port Ches- ment of syphilis, maintained by red cross funds. ter, and the Sydenham hospitals. He also served as professor of surgery at the Post-Graduate Help Us Save Postage-Our subscribers are Medical School. He was the author of the first cordially invited to use the renewal subscription book on urology published in the United States, blank which is found in this issue, for sending in a work of 1,400 pages. He served on several im- 'their dollars to this office. We will not send out portant commissions for the United States gov- subscription bills this month hoping that our ernment and visited the hospitals at the front in friends will remit and thus save the expense of France during the first year of the war. He was postage. Should you not receive the Herald as for many years secretary of the Pan-American early in month as heretofore, please put the Medical Congress. Doctor Guiteras was one of blame upon the postoffice department and the the most charming and versatile of men; he was railroads, the congested condition of which is an athlete and an amateur pugilist, an excellent causing much delay in the distribution of second linguist, and a huntsman of big game in almost class matter..
Do unto others and they will do the same The Monthly Song Sermon
unto you, is a paraphrased rendition of the Golden Rule, that is better than David Harum's
version. THE HOGGISH GROUNDHOG
So don't be a Groundhog, or any other sort DR. G. HENRI BOGART, Shelbyville, Ills.
of a hog, that lives by sucking the utmost out
of others, for that is the fashion of the bedMister Groundhog kept a sleepin'
bug-Pardon, I should have said Cimex LactuAll thru winter, barely keepin' 'Live by suckin' at his paws,
larius-just try helping others that they may Till his ribs' persimmon fatness
help you, even tho you do it with a selfish Looked like chicken coops, with slatness,
motive. Then, he waked with workin' jaws. Dreams of roastin' ears and clover
KANSAS CITY MEDICAL AND SURGICAL Waked him wider, and all over
Second Meeting, Monday, February 11, 1918. Sulkily, he sneaked out, hopin
A CLINICAL PROGRAM For a feed, but all his gropin'
Monday, February 11, 1918, at General Hospital. Found just twigs, the rest was dead.
Morning Session, 8:30 a. m. to 12:30 p. m.
Moving Pictures of Operation-Case Presentation When, Old Groundhog saw his shadder,
Symposium on Gastric and Duodenal Ulcer: He got jealous, mad and madder,
1. Etiology and Pathology-Dr. R. H. Major. Couldn't lose the pesky thing.
2. Medical Treatment- Dr. Franklin Murphy. Mean, too hungry for dividin',
3. Surgical Aspect-Dr. A. E. Hertzler. He denned up to stay in hidin'
4. X-Ray in Diagnosis-Demonstration-Dr. O. H. For six weeks, till it is Spring.
Afternoon Session, 1:30 p. m. to 5:30 p. m. There's folks, just like groundhog varmints,
1. Case Demonstrating Early Involvement of Central That wear Charity, as garments
Nervous System in Syphilis — Discussion of To put off or on at will,
Blood and Cerebro-Spinal Fluid Finding-Lan. Can't share with a shadder, even,
tern Slides--Dr. C. C. Dennie. To divide just sets 'em heavin';
Pediatric Clinic-Dr. Frank C. Neff. "All or nothin',” fills their bill.
Medical Aspect-Dr. J. Q. Chambers. There are lots of good intentioned folks
Surgical Aspect-Case Presentation--Moving Picwho never know the basic principle of humanity, tures of Operations-Dr. E. G. Blair. of civilization, of Christianity, that of Brother
Second Day, Tuesday, February 12, 1918. hood. .
CLINICS AND DEMONTRATIONS AT HOSPITALS
General Hospital Oh yes, I have known brothers to swindle
1. Surgical Clinic-8:30 a. m. to 10:00 a. m.-Dr. E. and cheat each other, to “law the liver” out of W. Robinson. estates, but I mean brotherhood of the soul, not 2. Obstetrical Clinic and Ward Walk–9:00 a. m. to the mere accident of birth.
11 a. m.-Dr. G. C. Mosher.
3. Medical Clinics-10:00 a. m. to 11:00 a. m.-Dr. No one can prosper unless those about him
F. M. Lowe. shall likewise prosper.
Medical Clinics-11:00 a. m. to 12:00 a. m.-Dr. This is a world of give and take, of quid pro
P. T. Bohan.
Old City Hospital quo.
1. Medical Clinic-2:00 p. m. to 4:00 p, m. The great corporations have come to recog Metastatic Arthritis — Demonstration Duodenal nize this fact, down here in the south part of Illi
Tube--Brain Puncture for Hydrocephalus-Dr.
A. Sophian. nois, the railroads are running expensive dairy
German Hospital trains and giving away highly bred dairy stock, 1. Surgical Clinic-9:00 a. m. to 12:00 a. m.-Dr. H. because they realize that unless the communities, E. Pearse. thru which they run, are prosperous, they cannot
(a) Surgical Experimental Clinic-Operation for have a successful business.
Occlusion of Pylorus.
(b) Demonstration of Fascia Transplant in DuoAnd the banks are selling high bred young denal Ulcer and Strauss. cattle to the children at cost, and at nominal in- 2. X-Ray Clinic—9:00 a. m. to 12:00 a. m.-Dr. E. B. terest and giving prizes to those who shall best
3. Medical Clinic-2:00 p. m. to 4:00 p. m.-Dr. F. develop them, so that there will be better busi
W. Froehling. ness in their territory.
Saint Joseph Hospital Lust now in this county of Shelby seven dif- Surgical Clinic—9:00 a. m. to 12:00 a. m.-Dr. How
ard Hill. ferent banks are financing such clubs as a mat
Operative Treatment of Uterine Prolapse. ter of business.
Christian Hospital Men and women are not mines nor lemons. Medical Clinic-11:00 a. m. to 12:00 a. m.-Dr. Hugh You cannot squeeze all the sap out of them and
The profession cordially invited to attend. then cast the crushed shell away, and prosper,
HOWARD HILL, M. D., Pres. yourself.
A. SOPHIAN, M. D., Secretary..