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resolution adopted most heartily.

President Brown took the floor, and, on bis own behalf, said a
few appropriate words on the hospitality with which he and bis
fellows had been received in New Orleans.

We have devoted considerable space to this meeting, because
we regard it as a timely theme to discourse upon. There are so
many medical associations that are useless, or without much valae,
that we feel it a pleasure to commend the work of a body like the
Southern Surgical and Gynecological Association, and to extend
its fame and methods as far as lies in our power so to do.



TOPICS OF THE MONTH.

Consumption was officially declared a communicable disease by
the Michigan State Board of Health, at its meeting, held Septem-
ber 30, 1893, and it was decided that it must be reported by phy-
sicians and householders to the several boards of health. This we
regard as a very timely order, and we hope that it will be techni-
cally and efficiently enforced.



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TOPICS OF THE MONTH. 297

SouTHBBN PiNBS, Moore county, North Carolina, is a new Winter
health resort, just coming into prominent notice. It is located in
the high, dry, long-leaf pine sand hills, amid the tar, pitch, and
tarpentine district. Thousands of Northern invalids have visited
this region, and many remarkable cures have been effected. Promi-
nent physicians have visited the place for investigation, and, with-
out a single exception, say it is the best in the United States, and
we are specially requested by Mr. John T. Patrick, Commissioner
of Immigration for the Southern States, to invite physicians of the
Northern and Western States to visit the locality and investigate in
the interest of their patients. Any physician desiring information
can address Mr. Patrick, at Pine Bluff, N. C.



At thb Emergency Hospital at the World's Fair, there were
treated 18,500 cases, and there were twenty-three deaths and nine
births at the institution. This seems to make a creditable show-
ing for the hospital, where so many people, from all sections of
the world, were cared for.



At THE annual meeting of the American Orthopedic Association,
recently held in St. Louis, Dr. L. A. Weigel, of Rochester, exhib-
ited a hip splint, with a traction mechanism, which consists of a
coarse screw which telescopes into the shaft of the splint, this
shaft being constructed of steel tubing. For the purpose of pre-
venting the screw from rotating within this tubing, a feather is
braced in, which works in a groove cut in the screw. Traction is
obtained by running the screw out by turning a milled nut. When
a desired amount of traction is obtained, this nut is firmly held in
position by a lock-nut, which prevents all possibility of the. screw
going back from its position by concussion in walking or other
means.



Thb Medical ITevos commented editorially, in its issue of Novem-
ber 18th, on society transactions and libraries in a vein that we
most heartily endorse. The editor has had occasion recently to
look up a certain subject, on which he hoped to obtain informa-
tion from the transactions of one of the medical societies of
America. He was, however, surprised to learn that the volume
desired could not be found in the library of the College of Physi-
cians and Surgeons in Philadelphia. But he also found that the



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298 EDITORIAL.

transaotions of most of the American societies were conspicaona
by their absence from the famous library in question. He then
says that every society should instruct its secretary or its editor to
send the annual volume to all the medical libraries, and even to
some selected general libraries, such as those of historical societies
of the respective States and counties. We endorse this sugges-
tion most heartily, and hope that the secretary of the Medical
Society of the State of New York will take hint from Dr. Gould's
suggestion, and place the annual volume of Transactions in all the
great medical libraries of the land.



At last the patient and long-sdffering citizens of Buffalo who
patronize the street cars, are promised relief from the distressing^
cold of Winter weather while in transit. The street car company,
through its manager, Mr. Littell, has given assurance, in a pub-
lished interview, that stoves have actually arrived in Buffalo, and
will be placed in the cars as rapidly as possible. Let us hope that
this promise will be kept, and that in future it will be one of the
comforts of street railway travel to ride in a warm car. Opposi-
tion to this sanitary measure has kept the people from enjoying
its benefits and privileges for many years, — an opposition bom in
ignorance and bred in obstinacy. The Joubnal has for many
years contended for this reform, in the publishing of occasional
editorial articles advocating it, and it will be a source of gratifica-
tion to its management to witness a consummation that is sa
devoutly to be wished.



Dr. Robert Battbt, of Rome, 6a., has presented his medical
library to the State, and it has been accepted. This will form the
nucleus of what will ultimately grow to be a valuable collection
of medical works. The example of Dr. Battey is to be highly
commended. In our own city, too, Dr. F. W. Bartlett has pre-
sented his valuable medical library, consisting of several hundred
volumes, to the Buffalo Academy of Medicine. Such generous
actions on the part of public-spirited citizens ought not to pass
without comment, and they deserve the approbation of all progres-
sive men. We hope that Dr. Bartlett's munificent gift will be
supplemented by others, so as to create in Buffalo, within a reason-
able time, one of the best medical libraries in the State. It cer-
tainly ought to be made second only to that of the New York
Academy of Medicine.



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TOPICS OF THE MOKTH. 299^

Ths greed of Mr. Anthony Gomstock, special agent of the Post-
office Department, has at last led him to visit Buffalo and fasten
his clutches upon the Daggett Table Company with more zeal than
judgment. It is claimed by this apostle of purism that the cata-
logue which the Daggett Table Company sent out is not in strict
accordance with Mr. Comstock's ideas of propriety. The manager
of the company was placed under arrest and cited before United
States Commissioner Fairchild, when the special agent was allowed
to tell his version of the story which led to the arrest.

Unless we are misinformed, this virtuous agent did not confine
himself strictly to the rules of propriety in relation to his corres-
pondence with the company. We are also informed that, among
other things, he claimed that the company sent out circulars that
were unmailable and in violation of the statutes, no matter for
what purpose they were intended or used.

Whatever may be the motive behind this venomous attack upon
a legitimate business, in this particular instance it is important
that the entire medical profession shall understand that, if it suc-
ceeds, the whole illustrated literature of medicine may be excluded
from the mails. We cannot believe that any court will listen to
the puerile sentimentality of this attenuated and hypervirtuous
fossil ; hence, the most that can come to the Daggett Table Com-
pany will be the annoyance that grows out of such citation.

We are in accord with the Buffalo Express when it asserts
that " Anthony Comstock is engaged in more useful work in prose-
outing saloon-keepers who circulate indecent business cards than
when he prosecutes physicians for spreading needed medical infor-
mation."



Db. William B. Dewbbs, of Salina, Kansas, read a paper, at the
late meeting of the Mississippi Valley Medical Association, entitled
The Erect Posture for Gynecological Examinations. He said,
among other things, that digital examination, per vaginam, with
the patient in the erect posture, affords one of the most positive
means for diagnosis in gynecology. It is a well-established fact that
respiration, the various movements and attitudes of the body, as
well as pathological conditions, change the conditions and environ-
ments of the viscera. Thus the importance of posturing the patient
in making physical examinations in gynecic practice becomes evi-
dent, as most of the symptoms of diseases of the intrapelvic organs
are more marked, and very many only manifested when the patient



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800 PERSONAL.

is Standing ; while certain conditions of descent, prolapse, or dis-
placement may entirely disappear or change when the pressure or
the superincambent weight of the abdominal viscera is removed
by the patient being placed in the dorsal, semi-prone, gena-pectoral,
or high pelvic positions ; therefore, the erect posture is of para*
mount importance as an aid in diagnosis in this field of labor.

The author emphasized the advantage and necessity of digital
examination in the erect posture, more particularly in examinations
undertaken for a cure in women of — first, displacements of the
uterus ; second, vesical and rectal disorders ; third, lack of perineal
and vaginal support ; fourth, ovarian and tubal disorders ; fifth,
abdominal and pelvic tumors ; and sixth, differentiation between
abdominal tumors and pregnancy.



The Orleans Parish Medical Society, following the lead of a few
of the foremost medical organizations of the land, has adopted
the plan of sending galley proofs of its proceedings to the medical
journals. We desire to commend this progressive spirit, and wish
that some of the societies near home might follow the example of
this spirited Louisianan. If more pains were taken to publish full
reports of discussions, in connection with papers previously put
in type and distributed in galleys to the members, it would increase
the value of society work four-fold.



The Medical Mirror^ in its November issue, has damned Mr.
Ernest Hart with faint praise, but <* let us judge not that we be
not judged." The Post- Graduate^ for November, also pays its
respects to Mr. Hart in its usual forceful, logical, and convincing
manner. Both these journals ought to be read on the subject to
be appreciated. We tender, in this connection, our thanks to the
erudite and brainy editor of the Ohio Medical Journal for its com-
plimentary reference to us in its November number. Vale^ Mr.
Ernest Hart !



Per/#onaf.

Dr. George F. Cott announces his removal from 560 Michigan
street to 43 W. Huron street. He will hereafter limit his practice
to the treatment of diseases of the throat and nose. His office
hours are from 10 ▲. m. to 1 p. m.



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OBITUABY. 301

Db. Hbnby J. MuLFOBD aniiounces his removal from 107 Dela-
ware avenne to 56 Allen street. His telephone number is 599^
and his hours are from 9 ▲. m. to 1 p. m.



D&. A. B. MiLLBB) of 326 Montgomery street, Syracuse, announces
that his practice in the future will be limited entirely to the treat-
ment of diseases of women, including abdominal surgery. He
will, therefore, decline all general practice. Dr. Miller's skill in
the lines he has adopted is well known.



®6iCuar^.



Db. Chables Wabbington Eablb, of Chicago, died in the city of
his home on Sunday, November 19, 1893, at the age of 48 years.
He had been ill about four weeks, and, according to reports, his
disease was spinal meningitis.

Dr. Earle was president of the Woman's Medical College ; one
of the founders of the College of Physicians and Surgeons ; presi-
dent of its board of directors ; professor of operative obstetrics
in the Post-Graduate Medical School ; ex-president of the Illinois
Medical Society, and a member of the British Medical Association.

Dr. Earle was well known by reason of his contributions to
the literature of obstetrics and the diseases of children. After
graduating in medicine in Chicago, he pursued his studies in Paris,
Berlin, and Vienna. In 1871, he married Miss Fannie L. Bundy, a
sister of the late Maj. J. M. Bundy, of the New York Mail and
Express.

Dr. Earle's military career was almost phenomenal. He
enlisted at the age of sixteen years, and before reaching his
eighteenth birthday he was promoted to the rank of second lieu-
tenant, and in this capacity commanded his company at the battle
of Chicamauga, where, out of forty-five men of the company, it is
reported that thirty-five were either killed or wounded. Official
reports of the battle made special mention of his bravery. Two
days afterward the army retreated into Chattanooga. By some
mischance, Lieut. Earle and thirteen others were left on Mission
Ridge, where they were captured and taken to Richmond. He
escaped from Libby prison through the famous tunnel, and after
a week of wandering in the Virginia woodc, reached the Union



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302 80CIBTY MEETINaS.

lines near Williamsburg. Returning to bis own command, be was
promoted to first lieutenant, and commanded bis company much
of tbe time tbrongb tb^ Atlanta campaign. Dr. Earle was a
Bplendid specimen of robust manbood, and bas sadly and suddenly
been stricken down in tbe very prime of bis usefulness.



Sir Andrew Clark, Bart., M. D., F. R. S., LL. D., died in
London, November 6tb, in tbe 68tb year of bis age. He was one
of tbe best known medical men of England, and bis writings were
numerous and valuable.



Dr. John M. Keating, LL. D., formerly of Pbiladelpbia, died at
"Colorado Springs, bis late residence, on Saturday, November 18,
1893. Dr. Keating was formerly medical director of tbe Pennsyl-
vania Mutual Life Insurance Company, of Pbiladelpbia, was an
autbor of national reputation, and a pbysician of distinction. One
of bis latest literary efforts was tbe editing of a series of Interna-
tional Clinics, issued from tbe press of tbe J. B. Lippincott Co., of
Pbiladelpbia.



^ociet^ Meeting/*.



The Tri-State Medical Society (Alabama, Tennessee, and Georgia)
beld one of tbe most interesting meetings in its bistory, at
Ohattanooga, in October. A very full account of tbe proceedings
bas been publisbed, and advance sbeets bave been sent out to tbe
journals. We regret that we bave not space to give an abstract
of tbe work done at tbe meeting. It is proposed to bold tbe next
meeting in Atlanta on tbe second Tuesday of October, 1894, and
tbere is a proposition on tbe table to cbange its name to tbe
Soutbeastern Medical Society, wbicb will be considered at tbat
time. This will embrace tbe territory east of tbe Mississippi and
soutb of tbe Ohio. We tbink it is well, in view of tbe fact tbat
tbere are several of tbese triple State organizations, for tbem to
adopt more distinctive names.



The American Electro-Tberapeutic Association, at its last meeting,
elected, for tbe ensuing year, tbe following-named officers : Dr.
W. J. Herdman, of Ann Arbor, president ; Dr. Margaret Cleaves,



/

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ACADBMY OF MEDICINE NOTES. — BEVIEWS. 303

of New York, secretary ; Dr. Franklin H. Martin, of Chicago, and
Dr. A. Lapthorn Smith, of Montreal, vice-presidents ; Dr. R. J.
Nann, of Savannah, Ga., treasurer. It was decided to hold the
next meeting in New York City on the last Tuesday in Septem-
ber, 1894.



The Eleventh International Medical Congress. — Dr. A.
Jacobi, chairman of the American National Committee of the
International Medical Congress, has issued a circular, in which he
says that this Congress, which was postponed from September
54th, on account of cholera prevailing in Italy, according to a
notification that he has received from the Secretary-General, will
be held at Rome from March 29 to April 5, 1894. Instructions
and documents relating to the journey, etc., are promised for the
near future.



•Kcatlem^ of MetLicine flofet^.



The next regular meeting of the Academy will be held Tuesday
evening, December 5, 1893, when the following program will
be carried out : Prostatic Diseases, with special reference to the
Prostate of Old Age, Dr. Marcell Hartwig. Discussion by Dr.
William S. Tremaine and Dr. William H. Heath.



A Text-Book op Ophthalmology. By William F. Norris, M. D..
Professor of Ophthalmology in the University of Pennsylvania, and
Charles A. Oliver, M. D., Surgeon to the Wills Eye Hospital,
Philadelphia. In one very handsome octavo volume of 641 pages,
with 857 engravings and five colored plates. Cloth, $6.00 ; leather,
$6.00. Philadelphia : Lea Brothers & Co. 1893.

Advances in ophthalmology have been so rapid during the
past decade, that it is not surprising that a number of text-books
on the subject should have appeared of late. One of the most
recent, as well as one of the best of these, has recently been
presented to the profession by Prof. William F. Norris, of the
XTniversity of Pennsylvania, together with Dr. Charles A. Oliver,
and is published by the well-known firm of Lea Brothers & Co.



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304 BETIBWS.

It is a book of 600 pages or more, and the many students who
have been under Prof. Norris, and others as well, cannot but
regard with interest any such work coming from his hands.
Although it is issued as a text-book of ophthalmology, one soon
perceives from the style that the lectures which he delivered to
the students of the University have here been formulated, and this
didactic method tends at first to produce an unfavorable impression,
except to those who have been accustomed to listen to the senior
author's lectures. One soon becomes accustomed to this, however,
and to the general practitioner, as also to the specialist well versed
in the subject, this style becomes rather attractive than otherwise.

The book very properly opens with a chapter on the Embry-
ology of the Eye, a subject usually too much neglected, and in a
few pages a good outline of that branch of the subject is sketched.
The portions which treat of optics, the usual hete-noir of the
student, have here been handled in a simple and systematic
manner. With the teacher's instinct for clearness, the author
begins by tracing the ray of light as it passes straight through a
meridium with parallel sides, then shows how it is refracted by a
prism, next by a combination of prisms, and finally, while the
student imagines that he is dealing with elementary facts, he finds
he has familiarized himself with the principles upon which the
most complicated laws of optics depend.

In a chapter on the Examination of the Eye, the student is
instructed to follow carefully a certain routine which is described,
and although the directions given for this are rather detailed, and
not at all times clear, the lesson of thoroughness is so taught that
one cannot fail to be impressed by the great advantage to be
derived from it in this branch above all others. The value of
careful observations and accuracy in recording the detail of data
found, is also most wisely insisted upon. It is, however, particu-
larly in the chapters which relate to the more recent advances
of ophthalmology, that this text-book is especially admirable.
Inasmuch as the fundus reflex test (the shadow test) has of late
been receiving so much attention, it is gratifying to find a whole
chapter devoted to this method of measuring the refraction. The
text is illustrated here with frequent diagrams, which give the
reader a clear idea as to the optical principles upon which this
method of examination depends.

The more recent methods of measuring the cornea are also
given, and an illustration and short description is included of the



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BUSHONG : MODERN QTKECOLOGY. 805

Javal-Sobiotz instroment, now so common in the office of ophUial-
mologists.

In the chapter on the Mascles, the most recent views are pre-
sented, and it is worthy of note that the authors retain the nomeu«
clature which may be considered thoroughly American.

It is with satisfaction that we obserre in this connection a
tslearness of statement which tends to lessen the confusion, usually
80 manifest, concerning abnormal conditions of the ocular muscles,
and it is also gratifying to observe that the writers do not allow
themselves to be influenced by the vagaries which are of late too
-common in regard to indiscriminate tenotomies. The book is full
of illustrations which, although taken almost entirely from other
-authors, are yet so well chosen ks to elucidate at a glance any
difficulties in the text, while a complete index brings any desired
portion of the book, quickly within reach. The typographical
finish is admirable, and reflects credit upon the publishers, who
will probably find themselves well repaid in this effort to offer to
the profession so excellent and complete a text-book of ophthal*
mology. L. H.



MoDSBN Gtnkcologt : A Treatise on Diseases of Women, compris.
ing the results of the latest investigations and treatment in thia
branch of medical science. By CHiJiLSS H. Bushokq, M. D., Assis-
tant Gynecologist to the Demilt Dispensary, New York ; formerly
Attending Physician to the Northern Dispensary, and Assistant
to the Vanderbilt Clinic, College of Physicians and Surgeons, New
York. Illustrated. Octavo volume, pp. 380. Price, $2.76. New
York : E. B. Treat, 6 Cooper Union. 1893.

Added to the large number of treatises on the diseases of
Women we here find another that is presented for the favor of the
profession. It seems to be the purpose of this author to instruct
the general practitioner (we presume he means of medicine), other-
wise the family physician, in the science and art of gynecology.
He asserts in his introduction that when this class of physicians
seeks to inform themselves on this subject, they are generally
offered books as large as the volumes from which they studied the
entire subject of the practice of medicine. He says, further, that
it is not surprising that busy men should feel their time inadequate
for mastering so large a subject.

The fact is, in our observation, that all physicians are busy
men, and we do not expect them to master every possiblesubject or
branch of medical art. If they equip themselves so fairly well as to



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306 RBVISWS.

be able to diagnosticate the common ailments of womankind, so aa
to be able to recommend when necessary the proper specialist, that
is about all that they will be reqaired to do in the department
of gynecology. It is utterly impossible for the general practi^
tioner of medicine to acquire that dexterity in the use of instru-
ments and in the delicacy of touch, necessary to diagnosticate
and treat successfully the more intricate maladies pertaining ta
women.

However, the book before us is a fair treatise on the subject for
a small one, and undoubtedly will command a large sale from the
fact that the subjects are so arranged as to be easily accessible,
and the mechanical part of the book is well-nigh perfect. Some
of the illustrations, however, are not calculated to give a very
dear idea of the subjects to which they pertain. This is the case
especially with a number of those figures 4;hat are <* made from
photographs expressly for this work." For instance, it is difficult
to see what information can be obtained beyond what is already
possessed by an average person of intelligence, from figure 1, on
page 21. Figure 19, on page 43, borrowed from Savage, has done
duty so long that we fear it is pretty well worn out. Figure 28,
on page 47, Cleveland's speculum in position, is not a very satis-
factory exposition of the subject.

If our author expects to enlighten the family physician on the
use of the uterine sound, he had better warn him against its dan-
gers in a few brief paragraphs, and not devote several pages to its
description and its application to the redressing of uterine dis^
placements. Jennison's repositor, or uterine sound, is illustrated
on page 269, figure 80, but what possible use this instrument can
be made to serve, it is difficult for us to understand. It seems te
be high time that authors should only illustrate useful instrumenta
in their books, and we unhesitatingly declare this to be uselesa
beyond all measure. Some of the figures have been made to da
double duty, such as figure 78, on page 262, and figure 88, on page
281. The former is Dr. Campbell's old drawing of the genu-
pectoral posture, and has done duty in nearly every gynecological
treatise since 1873.

The peculiarities of this work may be accounted for by the
fact that the author is one of the junior members of the pro-
fession, and no doubt will improve his treatise by illustrations and
additions as experience teaches him to differentiate as to the value
of procedures and instruments.



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Online LibraryJ. A. (Joel Asaph) AllenBuffalo medical journal → online text (page 31 of 78)