Samuel Taylor Coleridge.

The Chicago medical journal, Volume 26 online

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ized. Over one thousand different cases have presented
themselves there for diagnosis and treatment during the
year just ended. Aside from this daily practice which the
students have seen, the eye and ear infirmary and the County
Hospital have presented cases of as great diversity and
interest as ever, while the limited number attending the
Cliniques favored access to the bedside. A system of train-
ing has been introduced, in the course of which each student
has had assigned to him a certain number of cases whose
history, diagnosis and treatment he was permitted to pre-
pare and conduct under the supervision of the regular
attendant.

The term closed in a quiet manner. Most of the students
have left the city preparatory to their return at the opening
of the regular college session, the 29th of September. We
congratulate them. These practical methods of study
under the shield qf their Alma Mater j continued into the
long vacation, will tell at the annual examinations.

Com.



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446 COMMUNICATIONS.

East Fairfield, Ohio, July j?, 1869.
Prof. Allen: ^

Bear Sir — The following I send you for your opinion,
and if you think it worthy publish it in your Journal :

Was called to attend a case on Friday, June 25, 1869.
The patient, a male about forty-five years of age, was in-
jured in a fight by being struck on the head in the ceryicaL
and lumbar regions. Upon examination I found that the
injury from which he was suffering was over the fifth and
sixth cervical vertebrae. They were thrown forward, the
head being thrown backwards. Upon trying to bring the
head forward to its natural position respiration would cease.
Th^ whole body was paralyzed; respiration very difiicult
and diaphragmatic. The patient being of full, robust habit,
and pulse full and strong, I resorted to the use of the lancet
and succeeded in getting about one pint of blood, after
which the respiration became a little easier* but in other
respects sinking. Called Dr. 0. P. Chanlon in consultation ;
gave as our diagnosis partial displacement of the fifth and
sixth cervical* vertebrae. About five hours after receiving
the injury he commenced coughing, when something
snapped, which caused the patient to exclaim " My God, I
have broken my neck ! " and immediately he began moving
his extremities and talking — ^his head at the same time
coming back to its natural position. Improvement rapid.
In three days was out of bed, walking about.

Was our diagnosis right or wrong ? Please communi-
cate to me your opinion and that of others in regard to
this case, as some surgeons deny a recovery after a partial
displacement. Tours, respectfully,

J. M. Melonby.



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COMMUNICATIONS. ' 447



Medical College Fees.

LiBBAET MbDIOAL DiPABTMSNT UnIVIBSITT Of LOUISVILLB, )^

May 27, 1869. /

At a meeting of Delegates from Medical Colleges for the purpose of con-
sidering the question of fees, which was held this day, the following colleges
were represented hj^ delegates or letter, yiz. :

Uniyersitj of Nashyille ; Shelbj Medical College, Nashyille ; Memphis
Medical College ; St.Lonis Medical College ; Humboldt Medical College of St.
Louis ; Rush Medical College of Chicago ; Chicago Medical College ; Indiana
Medical College of Indianapolis ; Miami Medical College of Cincinnati ;
Uniyersitj of Louisyille.

On motion, Dr. Bowling was elected Chairman, and Dr. Bayless Secretary
of the meeting. After a prolonged conference, the following preamble and
resolutions were adopted :

Whibias, The call for a eonyention of Delegates f^om the Medical Col-
leges of the West, for the purpose of arranging a onifMrm scale of fees, sent
by the Faculty of the Medical Department of the Uniyersity of Louisyille to
the Colleges of Nashyille, Memphis, Cincinnati, Columbus, Cleyeland, De-
troit, Chicago, St Louis, Indianrpolis and Louisyille, has met with a cordial
response in person or by letter f^om a majority of said Colleges, and

Whibbas, The fact that seyeral of said Colleges haye issued their
announcements for the ensuing sessions makes definite action at present
impossible, and

Whbbbas, The yiews and opinions of the yarions schools as giyen by del-
egates and letters differ greatly ; therefore be it

Besolved^ That it is the hope of this Coayention that a uniyersal scale of
charges shall be adopted by all the Medical Colleges of our country, and we
do most earnestly adyise such a scale shall be agreed upon ; and it is our
belief that the glory and usefulness of our profession would be enhanced by
the highest rate adyised by the American Medical Association.

Resolved, It is not less to be hoped that all the Medical Colleges of our
country would fix a higher standard of preliminary and medical education
as a pre-requisite for graduation. ^

Reeolved, That the Conyention request all the Medical Colleges in the
United States to send each one delegate to a meeeing to be held in Washing-
ton, on Monday, May 2, 1870, to take efficient steps toward carrying out in
good faith the recommendations of the American Medical Association in ref-
erence to medical education, and also to form a permanent association of
American medical teachers.

Resolv^, That a copy of these proceedings be sent to all U^ medical
journals in the country. Wm. K. Bowlibo, Fretident.

Qbo. Batlbss, Secretary,



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448 SOCIBTY REPORTS.

SOCIETY REPOETS.



Chicago Medical Society.

Friday Evenimo, June 11, 1869.

Regular meeting Chicago Medioal Society, President Bogne in the chair.
Minutes of last meeting were read and approTed. Proposals for member-
spip being in order, Dr. F. Bartels was recommended by Drs. Smith and
Paoli, which was referred to the Board of Censors. Reports of Cases and
Pathological Specimens being in order, Br. Gray presented a specimen of a
section of small intestine, and part of the colon, with its contiguous perito-
neum. The Doctor stated the premonitory symptoms were dysentery, yom-
iting and hiccough ; that the latter much aggrayated the difficulty. There
was intense abdominaUpain, with but little tenderness or tympanitis of the
bowels. Treatment, morphia and potassa nitras were giyen internally, and
hot fomentation of hops were applied oyer the abdomen. Inhalation of
chloroform gaye but transient relief. No food or medicine could be retained
upon the stomach, neither did any cathartic act from the beginning. The
patient, aged 28 years, had suffered, prior to the attack, with obstinate con-
stipation. The probable exciting cause of his early death was ftrom taking
yiolent exercise at a gymnasium, and bathing, after, in cold waiter. He liyed
from Fri4ay until the following Monday. Autopsy reyealed each conyolutlon
of the intestines bound, as it were, by lymph. There was three quarts of
serous fluid in the peritoneal cayity, but there was no perforation nor fsBcal
matter in them. Dr. Bogue stated he had seen oases similar, following trou-
matio injuries, by blows upon the abdomen, rupturing the intestines and the
escape of fsBoal matter. The symptoms were actiye peritonitis, and death
nsnally followed within 48 hours. Dr. Gray asked if cold topical applica-
tions to the abdomen might be more grateful than warm. Dr. Dayis an-
swered that while continuous cold diminishes the amount of blood in the
capillaries of the part, and was not always so acceptable, that continuous
warmth diminishes the .susceptibility and irritability of the part, and he
usually made them more soothing by the addition of anodynes ; that either
application should be uniform in temperature. Dr. Dayis reported also a
case of death f^om epilepsy in a lady. She had had paroxysms, two or three
per week, lasting a long time. They began after her last confinement. Her
memory became much impaired, and there was a peculiar rolling of the
eyes ; that under the use of belladonna and bromide of ammonium the par-
oxysms so feng^hened that she had but slight symptoms two or three times
per week, with diyergenoe of the eyes ; that yesterday, while riding out,



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SOCIBTY REPORTS. 449

she became frightened, and this morning her epileptic Bymptoms returned •
that anticipating relief from a bath she repaired to the bath room and looked
the door. The serrant soon called her but receired no answer. She was
found dead in the bath tub. The Doctor thinks that alter^entering the bath
she drowned in a paroxysm. Dr. Loverin reported a case of paraplegia in
a young man. His eyes were diyergent. The commencing cause was syph-
ilis followed by affection of the spinal cord and ramifications of the brain ;
that he considered the patient liable to die at any time. Dr. Parker reported
a case of acute rheumatism : that three days after the attack there were car-
diac symptoms ; that parozysq|is of hiccoughing much aggrayated the diffi-
culty. Treatment: he gaye morphia and bismuth, chloroform and ether;
but more decided relief and cure was found in bromide of ammonium. Dr.
Dayis belieyed the locality of the brain affected in the cases reported was the
optic thalami ; that he had seen the eyes diyergent in those cases but the
intellect clear ; that the disease might finally reach the medulla, affecting
respiration, and apoplectic congestion, suffusion and death may snpenrene.
Society^ adjourned. Hibam Wamzis,



Carroll County Medical Society.

The Society met pursuant to call of the Secretary at the Superyisor's
rooms, in Mt. Carroll, at 11 o'clock, a. m., June 9, 1869. After making some
arrangements for the good of the society, and exchanging yiews on medical
topics, the Society acyourned until 2 o'clock, p. m.

Afternoon Session — Meeting called to order by the President ; minutes of
preyious meeting read and approyed. Dr. Thos. Winston, of Mt. Carroll,
Illinois, and Dr. Nelson RhinedoUar, of Mt. Carroll, were then elected and
admitted to full membership in the society.

On motion, it was ordered that the chair appoint a committee of three to
draft a fee bill, and report at the next regular meeting. The following named
members were appointed to read papers at our next meeting:

On Gun Shot Wounds — Dr. T. Winston, Foreston ; on Contagious Diseases
—Dr. D. M. Qreely, Mt Carroll; on Materia Medica— Dr. N. RhinedoUar,
Mt Carroll ; on Medical Botany — Dr. Shimer, Mt. Carroll ; on Diseases of
the Liyer — Dr. J Haller, Lanark; on Diseases of the feart — Dr. J. B. Porter,
Lanark. Some, who were present at this meeting, were not prepared. We
shall be pleased to hear from them at our next.

On motion, it was ordered that any member or others, haying papers pre-
pared, and who cannot attend in person to read them, will please send them
to the Secretary a few days before the time of meeting. Dr. Shimer then
announced that Prof. Robley Dunlingson, M.D., of Jefferson Medical Col.
lege, Philadelphia, died April 1, 1869. On motion of Dr. J. B. Porter, Dr.



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450 SOCIETY RBPORTS.

Shimer was appointed to present a biographical sketeh and eulogy on the
name of our highly esteemed and deeply lamented brother and instructor,
to be read at our next meeting. Dr. Greeley, of Mt. Carroll, read an essay
on ''Yeratrum Yiride,** which, although brief, was well written. The Doctor
set forth some yery able arguments in regard to this agent. There was quite
an. interesting discussion of this subject by Drs. Skinner, J. B. Porter, Win-
ston and Hostetter. Some of the members then gaye reports of some cases
in their practice, and asked for the yiews of others. This was yery inter-
esting, and if continued as a part of the exercises of our meetings, will, no
doubt, be of yery gr^at benefit to the members and their patrons.

On motion of Dr. Greeley, it was decided to hold the next regiflar meeting
of this society in Lanark, in the first part of September next ; the day of
meeting to be decided by the Secretary

On motion, it was ordered that the proceedings of this meeting be pub-
lished in the county papers, and the Midioal Joit&nal of Chicago.

On motion, the society adjourned.



Jno. L. Hostbttbb, M.D., President,



J. HALDEB, M.D., Secretary,



Minnesota State Medical Society.

Semi-Annual Meeting at Owatonna.

The State Medical Association conyened at Owatonna, at 12 m., on the 16th
inst., with Dr. J. H. Murphy temporarily in the Chair.

Minutes of last meeting read and approyed. A committee of three on cre-
dentials was appointed, when the conyention adjourned until 2 p. m.

AFTBBHOON SESSION.

Be-assembled at the appointed time. Dr. Samuel Willey, President of the
Society, arriyed and took the chair.

Committed on Credentials reported the names of seyenteen physicians as
duly qualified for membership, which report was accepted.

Dr. H. H. Kimball, the essayist, appointed at the preyious annual meeting*
being absent, his yaluable paper on Bheumatism was read by Dr. W. F.
Hutchinson. An anii^ted discussion followed its reading, participated in
by a large number of the members of the Society, upon points presented by
the essay.

■VBlVIHa •■•SIOH.

** Quackery," the subject for discussion, was, on motion, changed to '* Ty-
phoid Feyer." After the close of the debate, a resolution was introduced
empowering the Chair to appoint a committee of three to report on typhoid
feyer, its origin, cause and treatment, at the next annual meeting. The fol-



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80CIBTY REPORTS. 451

lowing gentlemen were appointed as soeh committee : Drs. Willigan, Rich-
ardson and Mi^o.

It was announced that the President, Dr. WiUej, offers for competition to
members of the Society, the following priies : $60 for the best essay on
Epidemic and Endemic Diseases of Minnesota, and $50 for the best essay on
Oerebro-Spinal Meningitis. The respectiye merits of the essays to be de-
termined by a committee appointed by the President.

A Tote of thanks was nnanimoosly adopted to the citiiens of Owatonna,
and especially Dr. Blood, for the generous hospitality extended by them to
the members <^f the Society.

The Society then a^joorned to the next general meeting at St. Paul, Feb-
ruary 2d, 1870. E. J. DAVIS, Secretary.

Mankato, Minn., June 80, 1869.



An/nual Meeti/ng of ths Fill/more County, Min/n.,
Medical Society.

The Society met June 7th, at the office of Dr. Redman, in Preston, and
was called to order by fhe President.

Dr. Redman moved to elect delegates to attend the State Medical Associa-
tion, at Owatonna. Passed. Drs. R. W. Twitchell, A. H. Trow, L. Redman,
L. Miller, and M. Donnelly were elected.

The following resolutions were then introduced and adopted :

Resolved, That the code of ethics adopted by the American Medical Asso-
ciation shall be our guide in our professional intercoui^se.

Beeolvedy That we will not fraternize with, nor meet in consultation, any
one except a graduate of some regular medical college, who sustains a good
moral character, proTided this does not exclude a student reading yrith a
member of this society, nor a physician who has been approbated by tl|e
Board of Censors of some medical society of the state of Minnesota.

Resolved, That each member of this Society shall inform the President
thereof, in writing, at what college he graduated, giving the date of his di-
ploma, on or before July 10th, 1869 ; and should any one neglect to comply
with the proyisions of this resolution, his name shall be stricken from the
constitution ; and, be it further

Resolved, That no person shall hereafter become a member of this Society
until he has complied with the above requirement, or is admitted to mem-
bership by a Tote of the Society.^

Resolved, That Dr. Redman is hereby requested to prepare a list of the
regular graduates of the county, also a list of the irregular practitioners and
forward the same to Dr. Hand, of St. PauL

Whsbias, Medical societies are organized for diffusion of knowle P«ge and
mutual benefit of the members ; therefore,

Resolved, That each member will be expected to read an essay on some
medical subject, or report the history of some case, as occurred in his prac-
tice, for discussion at each meeting of the Society.



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452 EDITORIAL.

The following officers were elected for the ensuing year . R. W. Twitch-
ell, President ; Dr. L. Redman, Vice President ; Dr. A. H. Trow, Treasurer ;
Dr. M. Donnelly, Secretary ; Drs. L. Redman, L. Miller, and — Plummer,
Board of Censors.

Dr. Redman moyed that the Secretary forward copies of proceedings to the
Chicago MedicalJournal and the County papers for publication. Carried.

Motion to adjourn, to meet on the second Monday of July, 1870, carried.



EDITOEIAL.



BiMh Medical College,

The Annual Catalogue and announcement of the course
for 1869 and 1870 will be issued soon. Correspondents
please notice.

Medical College Fees.

The Journal has not space for its multitudinous commu-
nications on this subject, nor the editors time for private
reply to the numerous circulars and letters calling their
attention to the subject, and announcing the views of col-
leges, societies and individuals. We have abundant confi-
dence in the business capacity of the Trustees of Bush
Medical College, and we opine their doctrine is that " En-
tangling alliances should be avoided/* The interests of the
College and the profession are identical. The idea of the
Faculty we know is to furnish the best possible instruction,
both didactic and clinical, irrespective of fees, whether high
or low. It is a notable feet that the chairs of Medical Col-
leges are filled (when^/Hferf at all) by men who do not seek
or occupy them from pecuniary motives.

In cities of any considerable size, the contingent advan-
tages of these positions often induce gentlemen to occupy
them even at some direct pecuniary sacrifice. In small
cities, where these contingent advantages are not presented,



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BDITORIAL. 458

the Faculties, unless salaried, are driven to seek direct
emolument from advanced fees and diminished expenditure.
Otherwise, as is too often the case, the chairs are sought
and secured by little men whose ambition is to hold the title
of Professor, as the only chance for notoriety. The next
step with these men is to get into some general convention,
and then clamor about " the elevation of the profession.* '
They seek the power of what should be purely scientific
associations to convert their impecunious titles into money-
producing realities. Thus they attempt (and not infre-
quently succeed) to convert the scientific association into a
trades-union, with pains and penalties.

"Let every tub stand on its own bottom." If every little
city and hamlet which holds a half-dozen superfluous phy-
sicians chooses to incorporate them into a Medical Faculty,
let it so be done, but let the incorporate then understand
that they must depend upon themselves for subsequent suc-
cess, and not upon loose and flatulent resolutions adopted
by this or that organization serenely oblivious of the
eleventh commandment: " Mind your own business." We
wish somebody would explain to us why it is that after a
longer or shorter interval, spent by a certain class of med-
ical men in clamoring aboat the imperfections of medical
teaching, and filling all ears with their jeremiads, objurga-
tions and twaddle, the next thing we know of them they
start a medical college where it is less called for than the
proverbial " fifth wheel of a wagon," or " the little hole for
the kitten, where there is already a big hole for the cat."

No wonder the professional trades-unions groan in spirit,
and the apostolic " elevators " are disquieted thereby. It
pleases us to see that the subject is temporarily postponed,
by general consent. May it sleep- well !

A Oratifyi/ng Appointment.

Readers of the Journal will recollect that a year or two
since we spoke highly of the efforts of Rev. E. O. Haven,



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454 EDITORIAL.

D.D., LL.D., President of the TJniversily of Michigan, for
his powerful and unanswerable argument against the intro-
duction of a homoeopathic chair into the medical depart-
ment of that Institution. The Profession of the North-
west owe him a debt of gratitude for warding off, for the
time being at least, so foul a disgrace from a medical col-
lege. We are gratified, exceedingly, in noticing that he
has been elected President of the Northwestern University,
at Evanston, our beautiful neighboring suburban town.
He has resigned his position at Ann Arbor, and will soon
enter upon the discharge of the duties of his new position.
Although not nominijlly, yet in fact, Evanston constitutes a
part of Chicago, and we may, therefore, claim him as one
of our own citizens. He brings to his new place large
practical experience as a teacher, great executive abilities,
a mind profound and logical, y#t brilliant and versatile.
An accomplished scholar, writer and orator, he combines
elegant culture and social refinement with an unassuming
amiability of disposition, and genial manners, which can
not fail to make him universally popular, as well as suc-
cessful.

We congratulate the University on securing his services,
and cordially welcome him to 1^& enlarged and most impor-
tant sphere of usefulness.

liQcatdons.

In common, we suppose, with our editorial confreres^ we
are in the receipt of numerous letters requesting our ad-
vice as to ." openings for practice," either in this city or in
some growing and enterprising western town. In most
instances a partnership is desired with some ^^ well-estab-
lished practitioner."

Briefly — ^we know of no such chances. The only way to
get at an "opening" is to make it. Find a place that suits,
and, if merited, success will, sooner or later, follow. " Cold
comfort " — ^but the best in our possession.



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NEWS ITEMS. 455

NEWS ITEMS.



R. M. Lackey, M.D., formerly of this city, is now edit-
ing The Medical Adviser^ a double column magazine of four
pages, 5 in. by 9 in. (including margin) each. The initial
number only has reached us. It appears to be published
gratuitously. Those wishing copies can address the Editor,
P. 0. box 35, Lyons, Iowa. Without explanations in sub-
sequent numbers, we should conclude that a quite intelli-
gent gentleman had subsided into the depths of the most
pitiable quackery.

Washington City and Louisville are each to have a new
Medical Journal, and the latter city is to rejoice in the lux-
ury of a third Medical College, which we suppose will
attempt to develop into the Grand National College sug-
gested at the late meeting of the American Medical Asscia-
tion. At least a. score of schools located in country towns
and ambitious little cities are putting in their claims for
this distinction, and our Louisville friends must "look
alive " if they would secure the honor. The new collie
has our vote \h advance. Small towns are better for philo-
sophical retirement and scholastic pursuits, not to speak of
the removal of students from those unspeakable tempta-
tions that beset students in great cities like Chicago, New
York, or Philadel]phia.

The St. Louis Medical College has not been burned up,
or down, as the newspaper press has it.

In those states where legislation for the protection of the
profession has recently been indulged, we notice abundant
crops of Eclectic, Homeopathic and Female Colleges are
being cultivated. The " outsiders " are also forming socie-
ties which, under these statutes, have the power of grant-



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456 NEWS ITEMS.

ing certificates which entitle the holders to practice medi-
cine and surgery. We hope some professional wiseacre
will find a practical remedy for these little practical difficul-
ties in medical legislation.

It is said that bodies injected with a mixture of three
parts of glycerine and one of carbolic acid will be pre-
served several months without giving oflT any offensive
odor. /

The first number of the Journal of the^ Oynxcological
Society of Boston has come to hand, and well sustains the
promise of its prospectus." Published by James Campbell,
18 Tremont street, Boston. $8.00 a year in advance.

The venerable and celebrated Charles D. Meigs, M.D.,
for many years professor of obstetrics in Jefferson Medi-
cal College, and widely known for several standard works
in his department, died suddenly at his country seat in
Delaware county. Pa., June 22d.

An exchange mentions as a substitute for the stethoscope,
in emergency, a glass lamp chimney. Wouldn't a good
pair of ears answer better ?



Online LibrarySamuel Taylor ColeridgeThe Chicago medical journal, Volume 26 → online text (page 38 of 66)