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DEAR DOCTOR :-Yours at hand. It is best not to accept anything unless you pay for it. Pay in advance is always the best rule. If you haven't paid for a thing you have no right to it, and you should not allow it to be forced upon you. You should select the medical magazines that you want, pay for them, and accept no others except possibly an occasional sample copy.

Cash in advance being printed on the outside of the magazine referred to makes no difference, in my opinion. You ordered the trial subscription; are you sure there was no provision in that order for continuance unless you should direct otherwise? This is a mean way to get a subscriber, but yet, you did not act right by continuing to accept a thing that you had not and did not intend to pay for. Both you and the editor are wrong. Perhaps he can hold you by law; I am not certain and I do not care. That way of doing business, both on his side and on yours, does not deserve to prosper, and cannot lead to satisfactory business relations. Men who receive THE MEDICAL WORLD have to pay for it. When they do pay for it they get it. When the time for which they have paid expires it is stopped unless they renew; this is the only proper business basis for both publisher and subscriber.

Very truly, C. F. TAYLOR.

Reasons why every Practicing Physician should Subscribe for The Medical World.

Because it is helpful.
Because it is practical.
Because it is not pedantic.

Because it is unlike all other medical maga. zines.

Because you need it, even if you take a dozen other medical magazines.

Because, if you subscribe for only one medical magazine, that one should be

THE MEDICAL WORLD.

Because it is like a chat in your office with your co workers in all parts of the country. Because it is like a medical society meeting in your office every month.

Because it helps you to work out your problems at the time they arise.

Because special attention is given to troubles most likely to arise during each particular season; as lung troubles in winter, bowel troubles in summer, etc.

Because, in it, the tired doctor finds a friend and helper.

Because it publishes no long, tedious and

theoretical articles. and no "perfunctory" sotiety reports.

Because everything in it is brief and practical.

Because it is a post-graduate school, which you do not have to leave your home to attend -it comes to you.

Because it is the medium of exchange of thought among the members of the profession in all parts of the country.

Because it is of the profession, by the profession, and for the profession.

Because it belongs to the hard workers in the ranks.

Because it discusses the financial as well as the scientific interests of the profession.

Because it helps doctors to collect their bills as well as to cure their patients.

Because there are many other reasons too numerous to mention.

Some of the reasons that keep The Medical WORLD from thousands of physicians' offices:

Because you don't like to write a letter.

Because you haven't time to go to the post office to get a money order, but you think you will have time this afternoon, but something else comes up to take your time,

Because you think you will do it tomorrow, and so you put it off from day to day. Because you are always going to do it, but never do it.

Because you think you will but you don't. Because, because, because, and you go along from day to day. wanting THE MEDICAL WORLD but never getting it.

The way to do it is to do it-and do it now. If not at this moment, keep this before you until it is done.

WE are responsible for money sent by P. O. money order (which only costs you 3 cents) or registered letter. However, a dollar bill carefully sealed in a letter and properly directed usually reaches its destination safely, but we cannot assume the risk; you may if you wish. Many do. Other safe ways of sending are by express and by bank draft. Personal checks are not so desirable, but we always take them -yes, and postage stamps too. You don't need to write a letter. Just inclose $1 and we will know that you want WORLD for 1898. Write name and address plainly, or use printed stationary, or inclose printed card.

Practical Points.

ALTURAS, Modoc Co., Cal., Sept. 15, 1897. RESINOL CHEMICAL CO., Baltimore, Md.Gentlemen :-I have in my family a case of squamous eczema of twenty years' standing, and I am pleased to say that I accomplished more with one sample box of resinol than I had in twenty years with all the treatment known to the medical profession.-A. BLONDIN,

M. D, County Physician and Supt. of Hospitals.

We used to use spray apparatus; now the multi nebular vaporizer is taking its place. See adv. and send for full description and methods of use.

SEE adv. of the book called "Secret Nostrums and Systems." It exposes quack methods.

SEE F. G. Harvey Co.'s adv. of Gibier's antitoxines, and send for literature.

MANY a child is killed by the nursing bottle. Remedy, the "best nurser." See adv.

THE 1898 catalog of the Chloride of Silver Dry Cell Battery Co. is now ready. It is elegant. See adv. and send for one.

SANMETTO for the bladder.

WHEN a tonic aperient is needed prescribe that natural bitter water, Apenta.

SEE Schieffelin's page-page v.

AT the Sound View Hospital, Stamford, Conn., Dr. T. J. Briggs is getting remarkable results from the use of Bovinine. Write to him for reports.

We are told that the majority of physicians who write to advertisers do not mention the publication in which they see the advertisement. Please always mention THE MEDICAL WORLD-and while you are at it you might say how you like THE WOrld.

SEND to Frank S. Betz & Co., 70 State st., Chicago, for literature concerning his hot air baths. Don't let your patients suffer for want of these. With them you can benefit all the old chronics in your vicinity, and add greatly to your reputation.

SEE adv. of Aseptolin-Edson, and send to them for literature.

BOVININE can be used locally as well as systemically. Applied to ulcers, or injected into the surrounding parts, it cures by improving the nutrition. It can be used for rectum also, either for local or general effects. Give it by mouth and it is the same as giving your patient new blood.

We learn that physicians are now taking a more active interest than ever before in the preparations of Messrs. I. O. Woodruff & Co. See their adv. and send for further information, samples, etc.

Do you use Upjohn's pills? If not, why not? You know about them, don't you? See his adv.

WILLIS H. DAVIS has a page with us this month. He knows the value of advertising space in THE WORLD. See what he puts forward this month.

THOSE Candy cascarets for constipation-in both children and grown people. Have you sent and gotten some of them?

SEE adv. of Micajah's uterine wafers.
LAMBERT'S Lithiated Hydrangea for the uric

acid diathesis. When you don't know what is the matter, and cannot get results from your usual remedies, your patient probably has an excess of uric acid.

SEE Colden's Liquid Beef Tonic, next to last adv. page.

THE most powerful cleansing agents known for application to foul surfaces, cavities, etc., are Marchand's hydrozone and gly cozone. See adv. on page facing first page of reading, and send for that 240 page book-free.

POWERFUL alteratives-arsenauro and mercauro. A powerful digestive-caroid. See title page.

PAIN always suggests antikamina. DON'T forget Welsh's grape juice in-well, nearly everything, and also in health.

IF you are discouraged with cod liver oil, why don't you try Angier's petroleum emulsion? They take an entire page this issue. See it.

THOMPSON for clothes. He sends them to all parts of the country. You can have the advantages of a Philadelphia tailor cheaper than your own tailor at home. Try it once.

IF you prescribe whiskey, be sure that you order a good kind. "Runnymede Club" is a reliable brand.

MESSRS. GRIFFITH & Co. have a remarkably successful remedy for chronic rheumatism, gout, lumbago, neuralgia, etc. It has stood the test of 15 years. They offer to send you a $1.25 bottle for trial if you will pay express charges.

A GOOD family laxative-California fig

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A YEAR ago many physicians were anxious to get a hot air apparatus, but they could not be purchased-an English firm wonld lease one at $500 for ten years. Now you can buy one for $35 from Charles Lentz & Sons. See illustrated advertisement.

For those troublesome coughs, use Mercer's troches. See adv. for particulars. They will render you most excellent service this winter. Also see their pill vita, opposite contents.

THE goods and prices of Messrs. Wm. N. Willis & Co. please our readers very much. That Keen case is a wonderful bargain; and

this is only a sample of what they can do for you. See adv.

IF you will see the formula for Wampole's antiseptic solution (see adv.) you will be sure to use it. Send for sample.

DANIEL'S PASSIFLORA—a remarkable remedy. Look into it. See adv.

SEE adv. of natural body brace, and send for illustrated pamphlet.

BRAUNSCHWEIGER MUMME is the ideal malt -pleasant to drink, and nutritious and strengthening. Try it.

FOR literature on tubercle antitoxin and other serums, send to Paul Paquin Laboratorles, St. Louis.

FOR any kind of a leather case, send to Western Leather M'f'g Co. Send for catalog.

AMONG the many favorable letters received by Smith, Kline & French Co., manufacturers of Eskay's Albumenized Food, particular attention is drawn to the fact that in many cases Eskay's food was prescribed only as a last resort, and in almost every case marked favorable results were noted. Of course as a new food for infants and invalids, it will be subjected to the severest tests, and it is certainly gratifying to note that thus far the results have been highly satisfactory both to physician and manufacturer. It succeeds where other foods fail.-Send for sample.

SINCE the "six iodides," "six bromides, " "six aperiens," "six hypophosphites" have come into general use by physicians, we hear less and less about "scrofula," "nervous prostration," ""constipation" and "that all gone feeling."

WM. C. BOTELER, M. D. Professor of Ophthalmology, in the College of Physicians and Surgeons, Kansas City, Kas.

Dr. Waugh's applied therapeutics came safely to hand. My admiration for Dr. Waugh for many years has been great, and year by year my high appreciation of his discriminating powers, his wonderful memory and vast research increases. His "Treatment of the Sick "will be my reference book from now on. I have been in harness nearly four decades, but had I time and opportunity would go under his teaching for a while.

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If a physician ever finds it necessary to resort to predigested food to supply nourishment in an immediately assimilable form to sustain life, he will find Armour's Nutrient Wine of Beef Peptone the ideal preparation. Nutrient Wine is made from lean beef predigested and sterilized and a good, sound sherry. Each ounce contains the entire digestible substance of one ounce of lean beef.

GEORGE W. SAMUEL, M.D., Nashville, Tenn., says: I had a case of a man who had been drinking heavily for several days. prescribed Celerina in tablespoonful doses,

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every three hours, and in a short time he was in good shape again. I also used it in a case of neuralgia, in the following formula: B-Celerina

Quinia sulph

8 oz.

. 60 gr.

M. Sig. Teaspoonful every four hours.

It acted like a charm. In a case of impotency, I used calomel in connection with celerina, and the patient reports everything standing all right.

DR. WALLING. 1608 Green street, Philadelphia, still teaches up-to-date electro-therapeutics by correspondence. His course is plain and practical and gives universal satisfaction. Send for prospectus.

Of the three hundred and over public institutions, such as asylums, dispensaries, hospitals, homes and infirmaries in New York, one hundred and six are using Unguentine daily. It is a staple with them, thus showing a most deserved popularity. In fact, it is fast becoming the dressing for all ailments where there is inflammation.

THE importance of a support for the abdo men, particularly in advanced pregnancy, cannot be overestimated; and if every physician realized its importance there would be a much greater demand for suitable appliances than now exists. The most approved abdominal supporter for pregnancy, and for support after operations of laparotomy, appendicitis, or any weakness of abdomen, are made by G. W. Flavell & Bro., 1005 Spring Garden street, Philadelphia, who solicit your patronage direct, assuring a prompt and satisfactory execution of all orders entrusted to their care.

THE law of many states requires the obstetrician to use prophylactic measures to save the sight of newly born infants. A safe, harmless and positive procedure is the thoro cleansing of the conjunctiva with a 25 per cent. solution of "Palpebrine " and the application of a few drops full strength into the eyes shortly after birth. Many physicians make it a routine rule to use "Palpebrine" even if there is no evidence of liability to infection. "Palpebrine" is an antiseptic, germicide an slightly astringent solution. The Dios Chemical Co., St. Louis, will mail sample and formula on application.

THE most recent addition to our literature on the antitoxin treatment of diphtheria is easily the most complete and comprehensive yet issued. It is literally a multum in parvo production, and should be in the hand of every physician in the country. It is an entirely new brochure entitled, "The Present Status of Diphtheria Antitoxic Serum," and was recently issued by H. K Mulford Company, of Philadelphia and Chicago. The brochure gives in addition to a brief summary of the methods of producing antitoxin, a complete treatise on how to employ the remedy, a resume of what writers of recent text-books say of the treat(Continued over next leaf.)

The knowledge that a man can use is the only real knowledge; the only knowledge that has life and growth in it and converts itself into practical power. The rest hangs like dust about the brain, or dries like raindrops off the stones.-FROUDE.

The Medical World. been held by many that full feeding of

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The Determination of Sex.

The sensational prominence given by the newspapers to the alleged discovery of Prof. Schenk, of Vienna, concerning the determining of sex, is out of proportion to the importance of what the Professor has to offer on the subject. The gist of the matter is this: In the human being, the corpuscles in the blood exist in the proportion of five millions in the male to four millions in the female. To produce a male, he seeks to increase the number of corpuscles in the prospective mother to the male standard; to produce a female the opposite course is taken. He does not give his modus operandi, but that is his principle. It has long

the prospective mother would favor the production of males, and low feeding would favor the production of females. Professor Schenk brings the matter down to greater nicety, but the idea is not a new one. We will await the announcement of his method to see if there is anything new in that. There is still a difference of opinion among embryologists as to the time that sex is determined. Some still think that the sex of the future being is determined at the moment of contact of the male and female elements. If this be true, subsequent nutrition could make no difference. Others hold that the sex is determined during early development. If this be true, nutrition might be an important factor in determining the sex.

"Beware of the Ides of March."

March WORLD must receive our immediate attention, for it must be prepared, printed and mailed during February, the shortest month of the year. During March the winter "breaks." It is the most bleak and changeable month of the year. It marks the high tide of the "season" in Florida, for those who can, wish to flee from what is the most disagreeable weather of the year in most other sections of the country. During this month winter and spring struggle for the mastery. While the latter is always victorious, yet winter sometimes then deals his heaviest blows. The memorable "blizzard" of 1888 with such heavy snow thruout the Atlantic States occurred in March. All sorts of lung troubles continue, this month being particularly hard on tuberculous people who have been struggling thru the winter, but the blasts of March cut them down.

It is the banner rheumatism month of

the year. We have not yet discovered what rheumatism really is. We believe it to be a disturbance of nutrition with perhaps various and mingled causes. The comparative scarcity of fresh vegetables and fruits in the winter dietary may be a latent cause, which the sudden changes of temperature during this most trying month of the year may call into activity.

In cities, among professional and business classes, winter brings both physical and mental strain, added to confinement indoors; also social duties (no small consideration concerning health) must be added. This the "strain season" also of school children, students and teachers. It is during March that many in the above named classes begin to "break," and the physician has to "call a halt" on many a professional man, society woman, business man and student. Many pallid cheeks will bloom again in May if properly bridged over this critical

season.

In the March WORLD let us talk to each other about how we do the things indicated above. Look over your March records for past years, and see how you met these various demands, and tell us how you did it most successfully. Comparatively few can go to Florida and other portions of the Gulf and Southern Atlantic coasts. The great majority must be managed and treated at home. How can it best be done is the question. Please respond with unusual promptness, as on account of the short month we must go to press three days earlier.

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Articles accepted must be contributed to this journal only. The editors are not responsible for views expressed by contributors.

Copy must be received on or before the twelfth of the Unused month for publication in the next month. manuscript cannot be returned.

Certainly it is excellent discipline for an author to feel that he must say all he has to say in the fewest possible words, or his reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want downright facts at present more than anything else -RUSKIN.

READ. REFLECT. COMPARE. RECORD.

Pleurisy.

Editor MEDICAL WORLD:-No other

affection of the thorax, or of any other region, is so liable to be overlooked as pleurisy. In more than half the autopsies made, evidences of this disease are found. It is a disease of men rather than of women; of the cold months rather than of the summer; yet in both respects there are very respectable minorities. Exposure to cold or traumatism are the causes usually assigned to primary attacks, but these are rare compared to the number of pleurisies that occur in connection with pneumonia, phthisis, and other pulmonary diseases. Pericarditis and affections of the bony thorax, the lymphatic glands and the esophagus, peritonitis, peritonitis, appendicitis, hepatic abscess, gastric ulcer and cancer, are also attended by pleurisy. All WE OFFER no apology for presenting, the acute infectious diseases, as well as in this issue, and frequently in other the dyscrasiae, rheumatism, gout, syphiissues, both eclectic and homeopathic lis, and nephritis, number pleurisy among their complications. methods of treatment, as well as "regu-The micro-organisms most frequently lar" methods. THE MEDICAL WORLD is world-wide in its views and worldwide in its sympathies. The regular school of medicine claims no limitation

;

the Editor was educated in that school, and he is consistently carrying out the idea of no limitation in sources of information and selection of remedies. The medical profession can never unite except by breadth, liberality and tolera

tion.

found in the pleural exudation are the
pneumococcus, streptococcus and staphy
lococcus pyogenes, and the tubercle
bacillus; less frequently Friedlander's
bacillus, the typhoid and
colonic bacilli, gonococcus, and others.

common

Eichhorst found that guinea-pigs be came tuberculous when inoculated with the serum of 15 out of 23 cases of acute pleurisy, developing suddenly during health. From this the extremists jumpe to the conclusion that all pleurisies ar

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