lady sent him a coat button, with a note
saying that he must have given her the
wrong kind of lozenge, and that he might
need this one. — Cleveland Med. Gazette.
THE CHARLOTTE MEDICAL JOURNAL.
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THE CHARLOTTE MEDICAL JOURNAL.
TABLE OF CONTENTS FOR FEBRUARY, 1900.
The Safest and Most Effec-
tive of Hypnotics, by John
Buxton Carr, M. D., Old
Sparta, North Carolina, 103
Cholelithiasis, with Clini-
cal Reports, by J. W. P.
Smithwick, M. D., La-
Grange, N. C 104
Associated Diarrhea of Pul-
monary Tuberculosis, by
Dr. Louis F. High, Dan-
ville, Va 106
Some Fallacies, by F. R.
Millard, M. D., San Die-
go, California 107
A Monstrosity ; Its Causes
and Sequences, by Samuel
Knox Crawford, M. D.,
LL.D., Chicago 109
Gonorrheal Conjunctivitis ;
rum : Pseudo-Membran-
ous Conjunctivitis, by C.
A. Veasey, M. D., Phil-
Maryland Medical Journal 119
Medical Examining Board
of Virginia M9
Memorial Number of the
Colorado Med. Journal.. 119
Annual Discussion of the
State Society 119
The Plague 120
Proper Food and Feeding, . 120
Small Pox 121
Microbe Killer 121
Obstetric Satchel 122
Principles and Practices of
Modern Surgery. For the
use of Students and Prac-
titioners of Medicine and
Surgery, by John R. Ro-
berts, M.D., Philadelphia 123
Dudley's Gynecology. A
Treatise on the Principles
and Practice of Gynecolo-
gy, by E. C. Dudley, A.M.
M. D., Chicago 124
A Manual of the Diagnosis
and Treatment of the Dis-
eases of the Eye, by Ed-
ward Jackson, A. M., M.
D., Philadelphia, 124
A Text-Book of Diseases of
Women, by Chas. B. Pen-
rose, M. D., Ph.D., Phil-
A Manual of the Practice
of Medicine, Prepared es-
pecially for Students, by
A. A. Stevens, A. M., M.
D., Philadeiphia 125
International Text-Book of
Surgery. By American
and British authors, edi-
ted by J. Collins Warren,
M. D., LL.D., and A.
Pearce Gould, M. S. F.
R. C. S 125
Manual of Surgical Treat-
ment, by W. W. Chey-ne,
M. B., etc., and F. F.
Burghard, M. D 126
Lea's Series of Pocket Text
Books. Histology and
Pathology, by John Ben-
jamin Nichols, M. D 126
Christian Science. An Ex-
position of Mrs. Eddy's
Wonderful Discovery, by
William A. Pennington. 126
Children. Acid and Alka-
line, by Thomas C. Dun-
can, M. D.,Ph.D., LL.D. 126
Review of Reviews 126
Coming Age 127
The Forum for February. . 127
The Living Age 127
Antitoxine Results and
Acute Rheumatism, Pleu-
risy and Pneumonia
Abscess of the Lung Fol-
Alveolar Catarrh in Child-
Acquired Non - Malignant
Stricture of the Rectum,
Acute and Chronic Pros-
Alcohol in Its Relation to
Mental Diseases and
A Type of Enteric Fever,
Biliary Calculi and the X-
Blood Count in Diseases of
Biliousness and Sea Air. . .
Blood Examination as an
Aid to the Surgeon
Cystic Distension of the Ap-
Continence as a Factor in
Health and Disease,
Chemical Rays of the Solar
Spectrum as a Remedial
and Dangers in Connec-
tion with Fractures
Comparative Statistics in
the Treatment of Appen-
Conservative Surgery o f
Conservatism in Surgery..
Care of the Recent Case of
Death Rate from Nephritis 130
Disease of the Rectum and
Diet in Lithemia 133
Diagnosis and Treatment of
Diagnosis of Initial Stages
of Pulmonary Tubercu-
Excision of High Rectal
Extensive Burn with Pecu-
liar Course 131
Examination of the Urine
in Epilepsy 132
Electrolysis for Aortic An-
Etiology and Prevention of
Uterine Disease 135
Epidemic Typhoid Fever. . 141
Food and Drug Inspection, 129
Fractures of the Skull, .... 131
Fracture of the Skull 132
Fracture of the Pelvis with
Rupture of the Urethra. 139
Gall Stones in the Common
Gonorrhea ; Its Dangers to
Gastric Ulcer 141
Hospital Treatment of Mel-
ancholia, . . .• 128
Hydriatic Treatment of Hy-
Incipient Melancholia 131
Inversion of the Uncut Ap-
Inversion of the Uterus 136
Intra-Ocular Hemorrhage, 138
Intestinal Asepsis in Medi-
cine and Surgery 139
Infection and Spread of Tu-
Inhaling of Hot Air and
Knife versus Electricity in
Tubal Pregnancy, 132
Laryngeal Stenosis 129
Laboratory Milk in Substi-
tute Infant Feeding 144
Most Important Point in the
Treatment o f Appendi-
of Blood Stains in Medi-
co-Legal Cases 141
Mental Disease and Life
Mastoid Disease 146
Methylene Blue as a Local
Mild Types of Typhoid
THE CHARLOTTE MEDICAL JOURNAL.
Xasal Obstruction, 129
Non-Medical Treatment of
Obstruction of the Nasal
Principles versus Methods
in Railway Surgery 131
Principle of Fixation in
Fracture Treatment, 132
Prophylaxis of Typhoid
Principles Relating to Sta-
tic Machine Construction 138
of Reasoning in Madness, 145
Pelvic Disease Following
Purulent Pericarditis 149
Relative Intensity of the
Second Sound at the Base
of the Heart, 140
Recent Advances i n the
Study of Tuberculosis... 143
Some Dangers that Follow
in the Wake of Modern
Surgical Treatment of An-
eurism of the Aorta 137
Specific Treatment for Ty-
phoid Fever 137
Surgery in Relation to Per-
sons of Advanced Age... 140
Submucous Myoma 143
Submucous Fibroids of the
Tubercle Germs and Giant
Cells in Human -Tissue. . 139
Taking Cold, 140
Tumor of the Medulla and
Tuberculosis of the Eso-
Therapeutics of Tubercu-
Vaccination after Denuda-
tion of the Skin with Caus-
tic Potash Solution 130
Vaginal Section 143
Vaccination by Hypoder-
matic Injection. 149
When and How shall wei 1
Operate for Uterine Fi-
X-Rays in Diseases of the
X-Ray Injury, 136
A Set-Back for Osteopathy
in Kentucky 153
Are There Limitations to
the Surgeons' Responsi-
Abdominal Hysterectomy.. 161
A Case of Bilharzia Haj-
Aneurysm of the Subclavi-
an Artery and its Treat-
Acute Alcoholic Poisoning 166
A Case of Neurosis of the
A New Emulsion of Cod
Liver Oil 169
Air or "Contact" Infection 202
Antityphoid Inoculations at
Military Stations in India 173
A Question of Diagnosis. . . 173
A Mineral Diet 175
A Case of Mild Sepsis Treat-
ed by Unguentum Crede, 176
A Terrible Warning 177
Adhesions after Laparoto-
A Case of Appendicitis. . . . 186
An Early Sign of Pregnancy 189
A New Method for Anes-
thetizing in the Knee-
Chest Position 1 92
Bronzed Diabetes 150
Bovine Tuberculosis and
Beneficient Paternalism. . . 171
Buncombe County Medical
Claude Bernard and Coun-
the Pharmacists in His
Curl Papers 174
Contract Surgeons for the
Collection of Vital Statistics 185
Cases of Intractable Syp-
Carcinoma of Ascending
Chicago Filth is St. Louis'
Diagnostic Importance of
Pupilary Changes 202
Death of Dr. Hall 171
Danger of Performing
Needless Operations upon
Hysterical Patients 183
Diffuse Gonococcal Periton-
tion of Chancroid in Mon-
Further Pre vention of
Cruelty to Animals in the
District of Columbia. . . . 155
Faith Healing, 17s
First Aid to the Injured. . . 187
Food Preservation, Adult-
eration, and Dyeing. .. . 193
Genius and Inebriety 196
History Repeats, 175
Heat in Australia 178
Havana's Vital Statistics.. 189
In Fear of the White Plague 151
Immobilization in Diseases
of the Joints, 15.5
Inflammability of Celluloid
Hairpins to the Static
Intense Heat in the South-
ern Hemisphere 190
Indiscriminate Charity 208
Joint Affections in Gonor-
Koplik's Sign in Measles. . 192
Local Anesthesia 190
Marriage and Certain Phy-
sical Defects 150
Medical Megislation 168
Mistaken Diagnosis 179
Mortality i n New York
Marshall Hall and Multiple
No Use for Bent Neodles. . 175
Nutrition of the Lens and
Its Relation to Cataract
On Cutting for Urethral
On Narcosis with Chlor-
and Brom-Ethyl in the
Small Gynaecological Op-
Patent Medicines and
President Kruger at a Ban-
Prevention of Tuberculosis 179
Proper Performance o f
Quack Medicines in Vienna 173
Racial Deterioration 165
Reduced Fares to Paris
Raleigh Academy of Med-
Sanmetto as an Internal
Remedy for Genito-Urin-
ary Conditions, 118
Settlememt of the Roberts
Case in Congress 152
Surgery of the Stomach. .. . 164
Sterilization of Surgical In-
struments by Rolling in
Distilled Water l^O
Self Redemption from the
Cocaine Habit 102
Saunders' American Year-
Book of Medicine and
Shall we Charge for Medi-
cal Advice giving by Tel-
Serum in the Treatment of
Malignant Syphilis 193
The Rules of the Game of
The Necessity of Maintain-
ing Heat and Preserving
Blood in Sui-gical Oper-
The Plague in Honolulu.. . 154
The Physician and the Sur-
gical Consultant 156
The Automobile from a
Public Health Standpaint 159
Therapeutic Researches. . . 160
THE CHARLOTTE MEDICAL JOURNAL. 207
A Perfect Antiseptic Should he Effective and Harmless
Oakland Hydrogen Dioxid
is theoretically and practically effective and harmless ; it contains
only one active ingredient, OXYGEN, the preponderating element in the
healthy living organism.
It is indicated internally in all forms of dyspepsia and digestive dis-
turbances, butyric fermentation, gastric catarrh, gastric ulcers, etc., exter-
nally as a local application in the treatment of specific inflammations of the
mucous membrane, chronic inflammatory conditions characterized by fetid
discharges and wherever morbid conditions or foul secretions exist.
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THE CHARLOTTE MEDICAK JOURNAL.
Nothing to do but work.
Nothing to eat but food ;
Nothing to wear but clothes
To keep one from going nude.
Nothing to breathe but air,
Quick as a flash 'tis gone ;
Nowhere to fall but off.
Nowhere to stand but on.
Nothing to comb but hair.
Nowhere to sleep but in bed ;
Nothing to weep but tears,
Nothing to bury but dead.
Nothing to sing but songs,
Ah, well, alas! alack!
Nowhere to go but out.
Nowhere to come but back.
Nothing to see but sights,
Nothing to quench but thirst ;
Nothing to have but what we've got.
Thus through life we are cursed.
Nothing to strike but a gait ;
Exerything moves that goes ;
Nothing at all but common sense
Can ever withstand these woes.
— Ben Kitzg.
Mr. Andrew Carnegie in an after-dinner
speech at the Lotus Club recently vigorous-
ly denounced the custom of indiscriminate
charity. He said : "Let a multi-millionaire
take his millions to the slums and call the
people together, saying 'There is a wrong
distribution of wealth in the world. You
have not got your share. I give to each
one of you his share of my millions.' Let
that be done in the morning, and let the
millionaire return at night to see what good
his action has done, and he will find not
happiness, but pandemonium. Let him
distribute another million and another mil-
lion every day for a month, and pauperism
will increase every day. At the end of the
month, seeing the result, he will wish that
he could crawl and ask pardon for the harm
he has done. He has done more injury in
a month than he will do good in all the rest
of his life. He has taught the hitherto self-
respecting working family that industry
leading to self-support and independence
has no reward beyond almstaking, idleness
and debauchery. It was this class of chari-
ties and the sums rich men give to appli-
cants and to societies in order to be relieved
of the trouble of investigation, of which I
ventured to say that of every $i,ooo so be-
stowed $900 had better be thrown into the
sea." — Medical News.
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
William Allen White
The Paris Exposition
FREDERIC IRLAND'S articles on
sport and exploration
"HARVARD FIFTY YEARS AGO,"
by Senator Hoar
NOTABLE ART FEATURES, THE
CROMWELL ILLUvSTRATIONS. by
celebrated American and foreign artists
PUVIS DE CHAVANNES, by JOHN
LA FARGE (illustrations in color)
Special illustrative schemes (in color and
in black and white)by WALTER APPLE-
TON CLARK, E. C. PEIXOTTO,
HENRY McCARTER, DWIGHT L.
ELMENDORF and others
Illustrated Prospectus sent free to
CHARLES SCRIBNER'S 50N5
Publishers, New York.
The Charlotte Medical Journal.
CHARLOTTE, N. C, MARCH, 1900.
Report of 1371 Cases of Tuberculosis Treat-
in the Asheville Climate.*
By James A. Burroug-hs, M.D., Asheville, N. C.
My reason for reporting the above work
is that my notes show conclusively that a
very large per cent, of properly selected
cases of tuberculosis can be arrested or cured
with rational treatment in the right climate.
As these patients have been intrusted to my
care by physicians from every State in the
Union, Province of Canada, &c., it is noth-
ing but reasonable and correct that a re-
sume of this work should be rendered for
their consideration. In this record no case
is included that has been treated since De-
cember, 1897; all the work of 1898 and
1899 is left for future compilation, as no
case of tuberculosis should ever be reported
as arrested without at least two years in
evidence of comparative good health minus
any return of the old symptoms. 123 cases
treated with tuberculin and anti-tubercular
serum have also been omitted from this re-
port, as no beneficial results were observed,
in some instances positive harm was done.
43 cases previously reported also omitted.
A painful fact to relate is that a little
more than a fourth of the number of pa-
tients who are referred to me are hopelessly
incurable because of too much destruction
tion of lung tissue and compound systemic
infection : this class is not taken under my
care and are not included in this report ;
all such cases, for obvious reasons, are
promptly advised through their regular
medical attendant to return home. It is
not right to waste your time with this class ;
it is dishonest to accept money for attention
that can be of no avail, and if permitted in
office will depress and disgust convalescents.
It is best for these patients to return home
notwithstanding any friction or mistrust
that mav arise.
Too much judgment cannot be displayed
in selecting cases for treatment, those who
improve reflect their good spirits upon others
while those who do not have the opposite
Points elicited by verbal examination of
the 1 37 1 cases as follows :
*Read before the Tri-State Medical Associa-
tion of the Carol inas and Vii'ginia, held at
Charleston, S. C, February, 1900.
Heredity, - - -
Acquired, - - -
Specific History, -
It is useless to note that tuberculosis is
never inherited, yet the peculiar soil, with
little or no physical resistance of the sub-
ject, does exist ; this lack of resistance is
nearly three times greater from maternal
than paternal side. The commonly accept-
ed theory that hemorrhagic cases enjoy an
advantage over the non-hemorrhagic is not
borne out in this report.
So large a per cent, of tubercular patients
having malignant ancestors is a point
entirely new so far as I know, which
can be accounted for only by the inher-
ited, weakened, non-resisting cell struc-
ture, certainly no other relation between
cancer and tuberculosis can exist, yet the
point is sufficiently prominent to note — I
have never observed cancer in a tubercular
The cases of specific complication had
been fairly well treated and with the con-
tinuance of occasional anti-syphilitic reme-
dies, no special bearing on the treatment
was observed. The average loss of weight
17:^ lbs., aggregating a loss of 23,650 lbs.
Average chest expansion 2^ inches.
PHYSICAL EXAMINATION REVEALED.
Left lung involved 543 times.
Right lung involved 492 "
Each lung involved 336 "
Ulcerative laryngitis with loss
of voice - - - -
Diarrhea - - - -
Pleurisy, with effusion -
Empyema - - - -
Bronchial Catarrh -
Deafness, complete or partial in
one or each organ, due to pre-
vious pathological changes
Whether the right or left lung
has no clinical significance or bearing on
THE CHARLOTTE MEDICAL JOURNAL.
the prognosis so far as I have observed. It
is well to note that the clinical report shows
the left lung more frequently involved than
the right, notwithstanding the statistics of
all the authors I have examined show the
right more frequently involved. Each lung
being involved does not lesson the chance
for arrest or recovery ; the gravity of each
case depends upon the amount of tissue in-
volved with or without other infection, let
the lesion be in one or both lungs.
The cases complicated with laryngitis
and pharyngitis receiv«id very little atten-
tion beyond the regulation treatment which
will be described at another place in this
paper, however, it is well to state, every
case was well saturated at bed hour with
glymol impregnated with terebene and oil
of pine needles, by means of a hand ato-
A number of the 121 cases of dry pleurisy
had repeated attacks ; all were treated by
strapping sides and small doses of codeine,
with a few day's rest in bed. It is a re-
markable fact that Pepper gives 115 pages
in his system of medicine to pleurisy, and
not quite one page of this great work is
devoted to tubercular pleurisy, notwith-
standing that 98 per cent, of all pleurisy is