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Expert Evidence is the title of an interesting new page in this issue, from the Palisade Mfg. Co., Yonkers, New York.

Tape-Worm.-Dr. Robert Bartholow reports a case of Tæmia in the MedNews, Oct 6th, '94, in which, after the most reliable remedies had failed, papain succeeded in removing a monster twenty-five feet long.

True. Circulations, like metals, have their qualities and values, An ounce of gold is worth more than a pound of brass. A small ad. in a journal of highclass circulation is worth two pages in a "cheap" sheet.-Woman's Medical Journal

Lost! An Amick Consumption Combine Suit. More than a year ago this so-called company of quacks brought suit against Dr J. R. Reeves, of Chattanooga, for publicly exposing the fraudlent character of their business. This suit has just been tried in a court of record. On the 11th of April the case went to the jury, and in less than two hours a verdict was rendered in favor of the defendant, and the costs taxed upon the plaintiff. Congratulations are extended to Dr. Reeves. --Lancet-Clinic.

Be

Carnrick's Soluble Food.-A perfect food for infants is constructed upon the strictest physiological principles. It is prepared from powdered cow's milk and dextrinized wheat. Thousands of children have been raised on this food when mother's milk, cow's milk and the various other "infants' foods" have failed. ing a perfect food in itself, the only preparation needed is the addition of water. Generous samples will be furnished on request to any physician who mentions this journal. REED & CARNRICK, 124 South Fifth Ave., New York.

Decoration.--The grand decoration bestowed upon William R. Warner & Co. by the Belgian Government has just been received by the firm. It is an additional tribute for the excellence and superiority of the firm's ready-coated pills and other pharmaceutical products, for which the house has a great name. The decoration is of the most beautiful, in gold and white enamel, taking the form of a Maltese cross, on the centre of which is the inscription. A wreath in gold surmounts the cross, the whole being topped by ribbon, tied in a bow of the national colors. The design is very pretty and the recipients are, of course, delighted over the award and the form it has taken.

Russia's Empress Gains Strength. The producers of "Mariani Wine" (Vin Mariani) should, according to report, soon have a splendid market in Russia for their nerve and brain tonic, as the Dowager Empress has, at the suggestion of the Princess of Wales, drunk it since the death of her consort, with the most remarkable and beneficial results. It seems that Her Majesty is one of the many delicate persons with whom stimulating drugs like quinine, iron and Peruvian bark disagree, but such is not the case with the wine tonic referred to. It is well known that the Princess of Wales also derived increased strength of brains and nerves from it during her last great trials. Morever, in consequence of the benefits obtained by the Princess, a great demand for this tonic has spruug up among ladies of Russian aristocracy suffering from " nerves."-The Court Journal, London, Jan. 12, 1895.

A Remedy for Whooping Cough.-The practice of taking children suffering from whooping cough to the purifying rooms of gas works led to an effort to find the causes which effected relief. Cresolene is the resulting product; a chemically pure distillate from coal tar of a greater antiseptic power than carbolic acid. Vaporized in a close room cresolene will cure the most severe cases of whooping cough. The beneficial effect is often almost immediately noticeable. The odor of cresolene is not unpleasant and it may be inhaled for any length of time without harm to the youngest child. Cresolene is used with success as a remedy or preventive in diphtheria, scarlet fever, asthma, croup, catarrh, bronchitis, etc. The vaporizer is simple, compact and inexpensive, as the vaporization is effected by means of a kerosene lamp. Cresolene owing to its great antiseptic power and the way in which it is used is a valuable assistant as a preventive or remedy.

62 PAGES READING MATTER THIS ISSUE

OFFICIAL JOURNAL WESTERN ASSOCIATION OF OBSTETRICIANS AND GYNECOLOGISTS

LATEST MEDICAL PRACTICE LAWS, Page 313

THE SANITARIUM:: Battle Creek, Michigan.

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Fairchild's Peptogenic Powder is the one means of compensating for the deprivation of mothers' milk.

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A PRACTICAL MONTHLY JOURNAL OF THE MEDICAL SCIENCES.

HIRAM OHRISTOPHER, M. D., Editor.

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 cost, application for same to be made when copy is forwarded.

Illustrations will be furnished FREE for all articles requiring same, if drawings are furnished. Original Articles, Clinical Reporte, Society Proceedings, Correspondence and News invited. Address all articles for publication, books for review and exchanges to the Editor. Address all correspondence relating to subscriptions and advertisements to MEDICAL HERAld Co., Sixth and Charles Streets. (See Publishers'Bureau.)

Fourteen Years Work in Abdominal Surgery, With Report of Forty Cases.

BY J. H. VAN EMAN, M. D., KANSAS CITY, Mo.

Professor of Diseases of Women in the Kansas City Medical College.

READ BEFORE THE WESTERN ASSOCIATION OF OBSTETRICIANS AND GYNECOLOGISTS, OMAHA, NEBRASKA, DECEMBER 27TH, 1894.

T HAS been suggested to me that my experience in abdominal surgery might be of some interest to the profession. Hence this paper. In order not to make the paper intolerably long and, therefore, tiresome, I will notice each case as briefly as possible, taking them in something of a chronological order.

Case I. February 5. 1880. Mrs. R., aet. 36. Married, but no children. Has had pelvic trouble for 16 years. Has had all kinds of treatment, without any good results. Has had a spasmodic contraction of the internal iliac and psoas muscles, rhythmic in character and lasting for hours, unless controlled by chloroform. These attacks for a long time occurred only during the menstrual period, latterly the attacks followed a movement of the bowels or exertion of any kind. Removed ovaries. Tubes not disturbed. Convalescence very slow, but complete. Menses never returned. Has had very fair health for the last thirteen years. The jerks, as she called her attacks, disappeared. She grew quite fleshy. Hospital case.

Case II. Miss H., aet. 35. Single, white, invalid for more than ten years. Confined to her room almost half of her time. Fearful dysmen

orrhea, cervical endometritis.

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Has never derived benefit from any treatment. Operated upon January, 1882. Both ovaries removed with thermocautery. No ligatures used. Had a very severe attack of general peritonitis. Was not able to walk much for almost a year. Menses reappeared at the end of 11 months, but without pain. Saw her a few weeks ago. Still thin in flesh but in fairly good health and enjoying life. Private house. Case III. Maggie, aet. 21, single. Has very severe attacks of hysteroepilepsy during menstrual periods; occasionally has fits during inter-menstrual periods. Operated April, 1882. Severed ovary ligaments with thermo-cautery. Hemorrhage came on shortly from both stumps; had to bring them out again and ligate. Considerable violence used. Had to put in a drainage tube, Pelvic suppuration occurred and patient died of pyemia after a lingering illness, during which she had frequent epileptiform seizures. Hospital patient; surroundings poor. Have never trusted to thermo-cautery since.

Case IV. Mary, aet. 23, single. Hystero-epileptic during menstrual periods. Operated in 1882. Left ovary easily found, ligated and removed with tube. After persistent attempts, failed to find either right ovary or tube. So much oozing that a drainage tube was used. Very free hemorrhage occurred a few hours after operation which was stopped by flushing with hot water. After removal of drainage tube the wound failed to close at the lower angle. Pelvic suppuration came on and finally a fecal fistula occurred. Patient lived about two moths, dying from exhaustion and pyemia. Hospital case; surroundings not good. The incision in these four cases was closed with silver wire.

Case V. Mrs. B., aet. about 50, widow. Had a tumor in the left inguinal region for several years. In the last few months she has suffered intensely and has had great trouble to keep her bowels open. Tumor on the left side the size of a fetal head. Very tender on pressure. Diagnosis. made by several, of ovarian fibroid. The patient was prepared for operation. In the 24 hours preceding it she had a very severe attack and was all but moribund. On section, the growth proved to be a pedunculated uterine fibroid. It was tied off and removed. No hemorrhage. Patient never rallied and died in a few hours from shock. Hospital case.

Case VI. Miss C., aet. 17, single, white, Has had a tumor for about a year. An attempt to tap it was made a few weeks previous to the operation. No fluid found. General condition very bad. Fever, prostration, and very rapid pulse. Friends informed that the chances were very poor. It was decided to give her a chance for her life. The operation was made October, 1884. When brought to the table she was profoundly etherized. Section showed an immense and breaking down blood clot filling the whole space between the anterior surface of the tumor and the abdominal wall. Not much trouble with adhesions. The tumor, which had its origin in the right ovary, was tied off and removed with but little loss of blood. She died on the table, very largely from the effect of too much ether I shall always believe. Tumor semi-solid, weight 40 pounds. Private house.

Case VII. Miss S., aet. 22. Dysmenorrhea that for seven years has resisted all treatment and made her life wretched, keeping her in bed for