sure and delivered in a constant or inter-
mittent current at any desired pressure.
Since the value of this method of treat-
ment has been established beyond the ques-
tion, numerous imitations of the original
instrument have appeared. As usual, they
are of questionable quality, and since suc-
cess or failure depends very largely upon
the reliability of the apparatus used, those
who wish to employ this method in their
practice, should be careful to select the
original device (The Globe Multinebulizer,)
which possesses many valuable features not
found in any of its imitations.
Full information can be had by writing
The Globe Manufacturing Co.,
Battle Creek, Mich.
Help for Struggling Young Physicians.
A physician of St. Petersburg, Dr. G. I.
Arkhangelsky, who died last summer, left
nearly his entire fortune (about $i3,ooo) to
the Society for the Protection of Public
Health, in order to establish a fund for the
assistance of young physicians in the first
years of their practice. — Medical Record.
Tommy : — Mamma, why have you got
papa's hair in a locket?
His Mother : — To remind me that he once
had some. Tommy.
All's Well that Ends Well.
Aunt Geehaw (of Hay Corners) : "Did
the story you were just reading in the news-
paper end happily, Joshua?"
Uncle Geehaw (approvingly): "Gosh!
Yes ; the beautiful heorine got cured of an
incurable disease, an' it tells the name an'
price of the pills that did the trick!" —
THE CHARLOTTE MEDICAL JOURNAL.
The Plague at Honolulu.
The transport '^Centennial," arriving
from Honolulu at San Francisco, December
28th, and the steamship "Aorangi," arriv-
ing at Victoria, B. C, the same date, re-
ported the presence of the bubonic plague
in the Hawaiian Islands. The outbreak
occurred at Honolulu amongst the coolies
recently arrived from Japan. Two to five
cases terminated fatally. ' The Board of
Health called for $10,000 to fight the plague,
and immediately .$25,000 was placed at its
disposal. A system of fumigation was un-
dertaking, the dead were cremated, and
quarantine established. Later advices an-
nounce the death of a young girl from the
plague, and the occurrence in opposite sec-
tions of the city of two cases of the disease
in Chinamen. Honolulu is declared by the
quarantine authorities an infected port. No
ship leaving there can carry a clean bill of
health. None of the army transports will
be allowed to stop at Honolulu until quar-
antine is raised. — Medical News.
An example of the reckless manner ir
which physicians handle statistics is shown
in a comparison of the death rate of the
troops in the Phillippine Islands, which is
said to be seventeen or eighteen in a thou-
sand during the year. A comparison is
made with certain cities of the United
States, in which the death rate averages
nearly twenty in the thousand, the deduc-
tion being made that service in the Philip-
pines does not impair the health much more
than residence in one of our modern cities.
The comparison, however, is not a very
just one, as the "risks," to borrow a life
insurance phrase, in the Philippines are all
selected ; that is, they are young men in the
middle period of life, who have passed a
rigid examination. A similar class of lives
in any American city should not give a
mortality of more than five or six in the
thousand. As one writer suggests : "One
might almost as well attempt to compare
the death rate of a university or boys' school
with that of a foundling asylum or old ladies'
home." — Medical Review.
prepared and stamped with its sacred
emblem. And not a single medical or
even clerical voice is raised in protest.
Even the clergy are becoming positively
friendly to the weed and one cheery evan-
gelical sent to the Red Cross Society a
large consignment of Testaments and
tabacco, in about equal parts. — Medical
Testaments and Tobacco.
It is curious how rapidly the medical and
scientific side of the campaign against
tobacco in all its forms appears to be sub-
siding. This is amusingly illustrated by
the fact that first upon the lists of comforts
for the wounded supplied by the various
funds in Great Britain come cigarettes and
■tobacco and pipes. Even the Red Cross
Society has gone so far as to have special
brands of cigarettes and makes of pipes
The latest treatment of aneurism of the
aorta is by the injection of gelatin. A suc-
cessful result is reported by Kalindero (Jour,
of American Med. Association, Nov. 25,
1S99, page 1,353). I" the observation
described there were unmistakable evi-
dences of a large aneurism of the aorta on a
basis of malaria and syphilis with difficulty
in respiration and cyanosis of the lips and
extremities. Vigorous specific treatment
failed to relieve the symptoms, and 100 c.c.
of a solution of i gram of gelatin in 100 c.c.
of salt solution, was injected subcutaneous-
ly in the buttocks. There was a slight
chill and the temperature temporarily rose
to 38.5, but in a few days the dyspnea had
disappeared and the attacks of suffocation
and coughing had become much less fre-
quent and severe. The injections were
repeated every week, producing each time
the same slight, transient reaction. By
the fifth injection the aneurysmal sac was
obliterated and retraced, and all the funda-
mental troubles had vanisht, and the patient
considered himself entirely cured. — Ameri-
can Journal of Surgery and Gynecology.
One of the best operations for recent
empyema consists in subperiosteally resect-
ing a number of ribs by separate transverse
incisions and then uniting these separate
wounds by longitudinal incision and tying
the intercostal arteries. Those "-ibs should
be selected which removed will best drain
the cavity, and the number limited by the
size and extent of the empyema. All
pockets and separate recesses of the empye-
ma must be opened up into the general
cavity. The whole wound is then loosely
packed with gauze, and no stitches inserted,
so that the whole wound will heal by a
granulating process. The advantages of
this open method of operating are: (i)
All the different recesses, as well as the
main cavity of the empyema, are made to
granulate; (2) only the bony portion of
the chest-wall is removed; (3) the lung
and its surface are brought directly to the
sight and touch of the operator; and (4)
the removal of the hard structures allows
of extreme flexibility of the chest-wall. —
American yournal of Surgery and Gynec-
THE CHARLOTTE MEDICAL JOURNAL.
NOSOPHEN sup plies an ideal antiseptic dressing, used H^e iodoform ^^^^^^"^^^^ „««^^^^^^f„;;.
which the latter hnds employment, either as powder or ^^^^/ P^^f^^^'^, :,"?oT£^^^^
motes rapid healing, causing healthy granulations to ^p^^^ Pf^^^f^^ 'J^'^°^^^^^ o^on-
dermization and cicatrization. It is odorless, strongly desiccaUve, ^^^f ^f \,^°^^ ^^^^^^
irritant. Toxic effects from its employment are i^^Po^sible, and it may be u.ed ve.y en^^ y
for. internal administration as an intestinal antiseptic, but for this purpose a Bi.mutn ^ait
Nosophen (Eudoxine) is specially prepared.
ClinnYINC has become widely recognized as a really effective intestinal ^^tiseptic which is at
tUDDXlNE the same time absolutely harmless, and being tasteless is pleasant to ^^^e^ U ^g
Enteritis, and all catarrhal intestinal conditions, etc.
Uterature on request. Sole Agents for the U. S. and Canada:
STALLMAN & FULTON, 10 Gold St., New York.
Send for simplf s
^sp/p/Af^^3!\d Literature to
NEW YORK. _j
THE CHARLOTTE MEDICAL JOURNAL.
Use of Fats In Wasting Diseases.
By C. W. Lillie, M.D., Professor of Chemistry
and Toxicology in the St. Louis College
of Physicians and Surgeons,
The use of fats in diseases characterized
by malnutrition and consequent wasting of
the body has probably been practiced for
centuries. Fats were doubtless employed
without any rational idea as to their real
mode of action. The fact that animals
having well-rounded and plump bodies ex-
hibited the greater proportion of the fats
led to the conclusion that leanness was due
to a Want ot fat — a very just and rational
conclusion, since a lack of fat constitutes
one of the chief symptoms of leanness. But
the lack of fat deposited in the body may
not necessarily be due to lack of fat in the
food supply, but rather to an inability to
store it up, either because it cannot be di-
gested, or because being digested it is re-
quired to maintain the body heat.
The fact that the animal fats are the most
powerful heat-producing substances em-
ployed as food IS well known, but it may
not be so generally known that they also
serve to decrease the metabolism of proteids,
and hence supplying to the body all the
fats which it can use lessens the waste of
other tissues and the d'^-.struction of other
valuable tissue-forming food.
It is a recognized fact that in all wasting
diseases the fats are first exhausted, being
the most readily available of any combusti-
ble in the body, and when this is gone
other tissues are rapidly used up to main-
tain the heat of the body.
For equal weights of fat and proteids the
actual amount of heat produced in combus-
tion is as nine of the former to five of the
latter; fats and cane sugar as nine to four;
so that taking the proteid bodies and the
carbohydrates together it requires two
pounds of these to equal one pound of fat
in heat production. From this it can be
seen why it is that patients with wasting
diseases fail so rapidly after the fats are ex-
austed. They are then living on their or-
It is not to be inferred from the above
that the actual loss in weight becomes more
rapid after the fat is consumed, as such is
not the case ; but the amount of heat pro-
duced is less each day after the fat is con-
The actual loss of weight of adipose and
muscular tissue during starvation are as
about four of the latter to nine of the for-
mer, being nearly in the proportion of their
These various considerations, then, point
to fats as an important and rational addi-
tion to the food; and, as the animal tissue
fats are the highest in the heat-making
powers, it is to these we must look in our
search for something to counteract the losses
during wasting diseases, and as a recon-
structive during convalescence
One of the prominent symptoms in these
cases, after the fever has subsided, is a sub-
normal temperature. It is in these cases
that fats are most strongly indicated,
but it is these very cases, too, where ordi-
nary fats cannot be given because of the
condition of the stomach and bowels. Fats
cannot be assimilated. If supplied in the
food they pass through the alimentary canal
It is in this class of cases where we find
the greatest benefit from the use of cod-
liver oil ; it is also these very cases where
the pure oil cannot be taken. It is not un-
usual to hear these patients declare they de-
test fats. They cannot use butter. They
cannot assimilate fats, and hence they in-
stinctively reject them.
This instinctive rejection of fats in cases
of wasting diseases of whatever kind, calls
upon the physician for an exercise of his
knowledge of the physiology of digestion.
It is for him to supply a fat in a form which
will not be rejected. If there is a lack of
pancreatic secretion, as is apt to be the case,
then it becomes his duty to supply the fat
previously digested, or at least partially di-
gested, so that the requirements of the
body may be met without too grea*" a tax
upon the alimentary canal. This may be
accomplished by a judicious combination
of pancreatin with emulsion of cod-liver
oil; there are some serious objections to the
extemporaneous preparation of these emul-
sions. In the first place few pharma-
cists keep a pure, fresh, and palatable
oil. Too much of the oil has the fishy odor
so marked that it cannot be covered up by
the adjuvants employed in the process of
And second, the average pharmacist does
not take the time to prepare the emulsion
in a proper manner, and the result is that
the oil separates and the preparation be-
comes unsightly and disgusting. These
considerations oblige us to look for other
forms of this oil, as there is no form of fat
which contains the proper constituents for
tissue building. And it is to this
fact that we find so many varieties of cod-
liver oil, and cod-liver oil emulsions.
To obtain the best results with cod-liver
oil, the oil must be pure and absolutely free
from the slightest trace of rancidity. Its
preparation, too, should be such as will per-
THE CHARLOTTE MEDICAL JOURNAL,
mit of its quick and thorough assimilation.
To accomplish this something more is
necessary than the mere mulcilaginous
suspension of the roughly subdivided oil,
as in the ordinary emulsion. The oil glo-
bules require to be subdivided into infinitely
minute particles and partly predigested.
This can only be accomplished by means of
I have often ordered the following pre-
scription, and find some cases in which it
proves of benefit, but there are others who
cannot take it :
R Ol. morrhuse, c.c. 240.00
Liq. pancreati, 120.00
Syr. hypophos. comp, 120.00
M. et. ft. emulsio.
Sig. — Take one tablespoonful three
times a day.
Another form in which we have used
this oil for about twenty years, and which
has given entire satisfaction, is called hy-
droleine. It is prepared on a large scale
and from the fresh livers, a fact that is great-
ly in its favor ; first, because it is prepared
before any decomposition has occurred in
the livers to change their character ; and
second, because the immediate emulsion and
incorporation with the other substances
prevents any change taking place in the
oil, so that we here find it as nearly as pos-
sible like the fresh oil. It is true that this
is a so-called "proprietary," and we are
not greatly in favor of this class of reme-
dies, but there are compounds which are
better and more uniform when made up by
processes not possible to the retailer, and
this product is a special example of this
class, for the several reasons noted above.
It is true that some persons can take the
"whole" oil, but it is generally found that
when a person can take the oil it is not
really needed, and that the cases really re-
quiring it are the ones in which conserva-
tion of the digestive organs is especially de-
The benefits derived from the use of cod-
liver oil have been so apparent, and its
value over all other forms of fat so marked,
that an effort has been made to separate the
salts and organic principles from the crude
oil and to employ these in more pleasant
vehicles than the oil itself, but these at-
tempts have not met with the success at-
tending the use of the oil. The salts, alka-
loids, and other organic constituents of the
oil seem to act better when administered
without removal from their natural en-
vironment. 827 Baugh Ave., East St.
Louis. — St. Louis Cliniqtie.
A $10,000 Suit Settled for $900.
In March last Dr. B. L. Robinson, of
McLean, N. Y., brought a suit for ,|io,oo<:>
for medical service against G. E. Chalmers,
of Cortland. The latter is a reputed mil-
lionaire. The case was settled on December
15th. In September of 1898 Mr. Chalmers
"began to commit suicide" by hacking at
his throat with a razor. When he had seri-
ously wounded himself he repented and
called for a physician. Dr. Robinson re-
sponded, and performed some really diffi-
cult surgical work. His patient recovered.
The doctor based his charge for $10,000 on
the ground that the life of the irresolute
suicide was worth that amount. The at-
torneys for Mr. Chalmers declared that on
this accounting the visits made by the doctor
would average $1,000 for each. The case
was settled for $900. — Medical News.
The practice of medicine is our new pos-
ssessions is a subject that will be of general
interest to the medical men of the United
States. Recently, Dr. John S. Brown has
written of the practice of medicine in
Puerto Rico, which he does not set forth
in the most favorable light. San Juan, the
chief city of Puerto Rico, has a population
of thirty thousand ; this is said to be amply
supplied with Americans physicians, the
estimate being about thirty-five, or one
physician to every thousand inhabitants.
Prevalent diseases are said to be tuberculo-
sis, the various malarial infections, syphilis,
and the eruptive fevers of childhood. Tu-
berculosis is said to prevail to an alarming
extent. The medical club is much in evi-
dence ; and as there are no free hospitals or
dispensaries, the care of the indigent poor
is thrown upon the general practitioners.
It is stated that about one-half of the pa-
tients treated since the hurricane and the
sickness whicn followed belonged to the
indigent class. — Medical Review.
The following testimony was recently
given by a woman at the anniversary ser-
vices of faith-cure believers, which was
held at Mount Zion Sanctuary, in Chapel
Avenue, Greenville, N. J. : "This man,
when young, spilled some acid in his eyes
and destroyed the sight of both. The phy-
sician removed his eyeballs and he was
totally blind for many years. He was
finally persuaded to pray for the restoration
of his sight. Shortly afterward he felt
something growing in the places where the
eyeballs had been. New eyes were given
to him, and to-day he can see as clearly as
any person here." — Medical A^e.
THE CHARLOTTE MEDICAL JOURNAL
S. S. McNINCH & Co.,
Rubber Tires for Vehicles.
Kertili/prs. Buggies. Wagons. Hrness.
Kariii Implements, Cotton Storage.
A Physician fits himself out with the best of instru-
ments for his practice. A horse and buggy or a double
team of the latest and best styles are as much an instru-
ment of an up-to-date Physician as can be thought of.
We have the control for this territory of some of the
finest and most stylish makes of Vehicles that can be
had for money. If you need anything in that line
"we are the people." Write us your needs and we will
gladly correspond with you.
N. B. — We put on our own rubber tires, and be-
lieve we have the very best. Call in or write us.
s. «s. :ivj:civir<^cn «» oo.,
Clxcirlotte, isr. c
If you are interested in Ac=
tive=Principle Therapy Up=
to-date Therapeutics), let
us send you our Prices Cur-
rent, Samples and Litera=
The Abbott Alkaloidal Co.. Ravenswood Station, Chicago.
THE CHARLOTTE MEDICAL JOURNAL.
Gross Medical College,
The Gross Medical College, Denver, Colorado, is a member of the Association of
American Medical Colleges. The session of 1899-1900 commenced September 6th, and
will continue nearly eight months.
Minimum requirements for admission are a high school diploma or its equivalent.
Instruction is given by Didactic and Clinical Lectures, Recitations, Demonstrations, and
Laboratory Exercises, and continues through four years. Students may be admitted to
advanced standing on presenting satisfactory credentials from recognized medical
SPECIAL ADVANTAGES.— The climate of Colorado offers many advantages
to students whose health compels them to leave the East. The best clinical and labor-
atory facilities are offered. Hospital work is abundant.
r^A^cur^T Y- s
Thomas H. Hawkins, M.D., L.L.D., President
—Gynecology and Abdominal Surgery.
John Boice, M.D., Vice-President— Surgery.
Robert Levy, M.D.— Laryn., Rhinol., and Phy-
John Eisner, M.D. — Medicine.
Wm. H. Buchtel, M.D., L.L.D.— Obstetrics.
Wm. H. Davis, M.D. — Dermatology.
VVm. John Rothwell, M.D. —Nervous and Men-
R. F. LeMond, A.M., M.D.-Ophtahl. and
G. F. Wright. M.D. — Orthopedic Surgery (Eme-
C. K. Fleming, M.D. — Gnyecology and Abdom-
Leonard Freeman, B.S., M.D.— Surgery.
Wm. N. Beggs, A. B., M.D.— Pathology, Phy-
sical Diagnosis and Clinical Diseases cf the
Clayton Parkhill, M.D. — Surgery.
Josiah N. Hall, B S., M.D.- Medicine.
C. F. Shollenberger, M.D. —Pediatrics.
J. W. Exline, M.D.— Hygiene.
E. Curtis, Hill, M.Sc, M.D.— Chemistry, Urin-
ary Analysis and Toxicology.
H. G.Harvey, A.B., M.D.— Anatomy.
Moses Kleiner, M.D. — Therapeutics.
T. M. Mitchell Burns, M.D -Obstetrics.
Charles B. Van Zant, M D. — Physiology.
G. Melville Black, M.D.— Ophthal. and Otol.
James M. Blaine, M.D. — Deimatology.
D. H. Coover, M.D.— Clinical Opthal. and Otol.
John Higgins, M.D. — Clinical Pediatrics.
James H. Pershing, Esq.— Med. Jurisprud.
S. D. Hopkins, M.D.— Nervous and Mental Dis-
H. W. Rover, M.D. — Materia Medica.
rveotvirers- Iiissti'tjiotors tirxd .Assist:^ nts :
George B. Crews, M.D. — Pharmacology.
George E. Tyler, B.S., M.D.— Medicine.
George H. Stover, M.D. — Electro-Thera.
S. G. Mugrage, M.D. — Ophtha. and
Demonstrator of Anatomy.
Louis H. Kemble, M.D.— Minor Surgery
W. J. Raynor, M.D. — Materia Medica aud
S. T. Brown, M.D. — Anatomy.
A. M. Holmes, M.D.— Histology.
J. W. Purcell, M.D.— Gynecology.
A. H. Williams, M.D. —Surgery.
J. N. Thomas, M.D. — Surgery.
David B. Thornton, M.D.— Pathology.
Philip Hillkowitz, M.D. — Bacteriology.
C. B. Richmond, M.D. — Internal Medicine.
S. H. Meur, M.D.— Laryngology.
For circular of information containing requirements, expenses, etc., address
ROBERT LEVY, M. D., Secretary,
THE CHARLOTTE MEDICAL JOURNAL.
Competition fur tlie American Medical Associa.
At the meeting of the American Medical
Association, held June 4, 1897, it was
resolved to restore the former policy of the
Association in favor of offering annually
a gold metal for meritorious scientific work.
The committee for this year, consisting of
Drs. George M. Gould of Philadelphia, E.
Fletcher Ingals of Chicago and T. W.
Huntington of Sacramento, Cal., desires to
direct attention to the following rules
governing the competition :
1. The medal shall contain the seal of the
United States or a seal of the Association,
to be hereafter designed, on one side and
an Esculapian staff on the other, together
with the name of ihe recipient of the medal
and suitable inscriptions.
2. The commercial value of the medal
shall be $100.
3. A standing committee on prize medals,
consisting of three members of the Associa-
tion, shall be elected by the Business Com-
mittee as follows : One for one year, one
for two years and one for three years, and
thereafter one to be elected yearly to hold
office until in either case his successor has
been duly elected. In no case shall a mem-
ber of the Business Committee hold a place
on the Prize Metals.
4. The competing essays shall be type-
written or printed and shall bear no mark
revealing their authorship ; but instead of
name of the author, there shall appear on
each essay a motto, and accompanying each
essay shall be a sealed envelope containing
the name of the author and bearing on its
outer surface the motto of identification.
No envelope is to be opened by the Comit-
tee until a decision has been reached as to
the most deserving essay, and the other
essays have been returned to their respec-
tive owners. The committee shall have
authority to reject and return all essays in
case none have been found worthy of the
Association medal. Competing essays must
be in the hands of the Committe not later
than March i, 1900. For further informa-
tion address any member thereof.
The suggestion is offered, in a Paris ex-
change, that physicians in cities and small
towns might obtain change of air and scene
with the minimum of loss and expense, by
merely exchanging their practices, offices,
etc., for a short while. — Medical Dial.
He — I was cured by the faith cure.
She — What was the ailment.''
He — Faith in the faiih cure.
— Brooklyn Life.
J. M. BARRIE'S "Tommy and Grizel'
THEODORE ROOSEVELT'S "OLI-
VER CROMWELL" (serial)
RICHARD HARDING DAVIS'S fic-
tion and special articles
HENRY NORMAN'S The Russia of
Articles by WALTER A. WYCKOFF,
author of "The Workers"
SHORT STORIES by
Thomas Nelson Page
Henry van Dyke