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adding hyoscyamin or cicutin to the prescription, or substituting for one of the other ingredients, as I thought necessary.

As purgatives in bilious cases, I gave calomel and podophyllin granules, to be followed in eight hours, if necessary, by seidlitz salts. In all cases where a laxative was needed I gave seidlitz salt. In all cases of nausea and vomiting I gave the creasote compound, aided in the more severe cases by small lumps of ice, ice cream, etc., and mustard plaster to the stomach. In a few cases of great nervousness, small doses of bromo-anodyne (dr. t to dr. ss.) well diluted, every half-hour till effect, acted well. The great distaste for water was overcome as much as possible by lemonade, soda water of the different flavors, etc. Quassin gr. 7, three granules, and quin. hydrofer., gr., three granules, half an hour before meals, gave good general satisfaction as an appetizer, strychnia, arsenic and iron constituted my main tonic. In a few cases I used Horsford's acid phosphate with good results. Nuclein (Aulde), gr. 1, four granules, every three hours, was used in nearly every case, and I believe, with good results.

I think my success was very good, not having to visit the majority of my patients but once or twice, altho the disease was very painful and I believe the most debilitating disease I ever had or ever treatedthe grip not excepted. Buda, Tex.

G. M. JAMESON, M.D.

The Time of Formation for a Complete Union in Fractured Bones.

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Editor MEDICAL WORLD:-After amining several text-books on surgery, find that there is no remark in regard to the time for the formation of a complete union in fractured bones. Again, for how long a time after the accident happens should a bandage of plaster of paris, or a starch bandage or others, be permanently kept on? I have had occasion to see cases where physicians did not succeed for the simple reason that they did not know how long to keep a permanent bandage on. By removing this before the right time they not only prevented the formation of a bony union, but caused their patients considerable pain.

Therefore, I think it necessary to bring it to the professional notice. After prolonged experience I have selected the following time for the formation of a bony

union in fractured bone (callus), and this will show how long a time a permanent bandage of plaster of paris should be kept on the affected part.

The medium or average for the formation of union callus in fractures is sixty days; still some require more time, and others less. They are as follows:

In fractures of the fingers, two weeks; clavicle, four weeks; ribs, three weeks; humerus, six weeks; forearm, five weeks; femur, ten to twelve weeks; leg, six weeks. Old persons require more time. H. ROSAHNSKY, M. D.

Brooklyn, N. Y.

Rhus Poisoning-Typhoid Fever. Editor MEDICAL WORLD:-I have never

yet failed to cure in a short time, with sweet oil and campho-phenique powder, every case of rhus-poisoning that I've encountered since beginning its use in that trouble. Please try the mixture and report.

Have recently lost a case of typhoid degrees, the highest I have ever seen. fever, whose temperature went up to 107! А

sister, sick in the same room, at the same time, with the same fever, whose tempera1054 in the evening, and who lost much ture ran from 104° in the morning to blood through the nose, recovered. Checkt the hemorrhage by pouring cold water from a pitcher all over her head. Had to resort to the water and pitcher several times. It was an obstinate case of epistaxis. Did the hemorrhage exert a favorable influence? Fever ran usual course and it was a bad case.

Have just put a case, whose temperature runs from 103° in the morning to 104° in the evening, on the Woodbridge treathour do as well as one tablet every 15 ment. Why wouldn't four tablets every minutes? Every 15 minutes is hard on both nurse and patient. Allin, Md.

J. I. T. LONG.

Rhus Poisoning.

Dr. T. J. Lyle, editor of Sanative Medicine, says in that journal: "Dr. Young, in THE MEDICAL WORLD, reports immediate cures of poisoning from ivy, weeds, barley, etc., by the application of sweet spirits of niter. I have used it in one case, and the cure was almost as fast as it was applied to the surface."

WORLD one year and Dr. Waugh's book, $5. You need them both.

Lard and Strychnia. Editor MEDICAL WORLD:-In regard to Dr. Turner's administration of lard as an antidote for strychnia, I believe there is something in it. It is well known here, by both whites and blacks, that if you wish to kill a dog, wolf or wild cat with strychnia, never to administer it in fat meat or 66 grease," as it only gives them the shakes" for an hour or so; and, after this is over, they seem the better for it. So, to make a sure thing of it, lean meat or some starchy food is used as a vehicle for the administration of the poison, lean beef having the preference. Benton, Miss. J. W. C. S.

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Bicycle vs. Bladder.

Editor MEDICAL WORLD: - February 14th I was consulted by a young man who complained of terrible burning on micturition, scalding and great uneasiness at the neck of the bladder. He never had this until he rode eighteen miles on a bicycle one day, when the symptoms appeared. He had frequent desire to pass water, and this contained heavy mucus and blood disks with phosphatic and seminal deposits.

I found the prostate gland enlarged and great tenderness at the meatus urinarius, also above the pubes. I put him on corn silk, alternated with sarmetto. I also advised rest and no riding. Two weeks later he was very comfortable. Had not ridden a bit. He then began riding nine miles a day to his father's house.

He

The symptoms returned in great severity and I refused to treat the case, since he ity and I refused to treat the case, since he persisted in riding the wheel' because persisted in riding the wheel because people told him it would do no harm. I saw him again in July on the street. seemed in great distress, saying he really wished some one would shoot him, as he was in so much misery, passing urine every five minutes. He told me the doctors in his village told him they could do him no good.

The following Sunday an uncle of his saw me, and asked if I had heard of his nephew killing himself. I said I had not. "Well," said he, "poor Charley shot himself yesterday because he never could get well, and he said, before he died, to his young wife That bicycle brought me to this terrible end, yes it did.'"

This is a case in a thousand, and, as Bishop Morris said some time ago: "Cigarette smoking and bicycle riding are ruining the young men of this generation, and

we know not what the next generation will be unless an army of invalids."

I only "speak what I do know." Any hard substance pressing on the urethra and neck of bladder is bound sooner or later to produce irritation and inflammation of the parts, and the train of difficulties I spoke of in the prostate gland are analogued in the female by leucorrhea and female complaints.

This is a case for discussion far more important than many subjects I read in all our medical journals. I would be pleased to hear the opinion of other writers on the effect of bicycle riding on gonorrheal subjects, and especially on men in the decline of life. G. H. HEARD, M.D.

Mt. Vernon, O.

Pernicious Hemorrhagic Malarial Fever. Editor MEDICAL WORLD:-Mr. B., white, married, aged 28, seen August 8. Had an attack of malarial fever, which only lasted a day or so, and was up and about after it. I was called to see him again on August 25. I found him suffering with severe epigastric pain, vomiting, temperature 104°, and having hemorrhage from the kidneys, stomach and nose.

cations. Wrapped him in wet sheet and Treatment, acetanilid and cold applisprinkled him with cold water. He reminutes. The fever began to rise again, mained in this cold pack for thirty-five and I took him out of sheet. The temperature went to 105°. After an hour I put him in sheet again and let him remain nearly two hours, with frequent sprinkling, and removed him again when fever had cooled down to 103°. I began hypodermic injections of quinin, twenty grains every two hours, giving from 1 a. m. to 9 yellow in two or three hours, but had no m. 100 grains. He turned perfectly remaining thruout about 101°. chill on following day, the temperature

a.

He continued to vomit, urine was supprest, and he had no appetite. I purged his bowels with calomel and gave nourishmically. Patient died on August 30, ment by enema and strychnia, hypoderinterest, as this I report this often met with. appreciated. Bandana, Ky.

type of fever is not very case, hoping it will be of Any comments would be S. M. DORRIS, M. D.

Dr. Waugh's book on Treatment and THE WORLD antil 1900 for $5.

WORLD for 1899 and balance of 1898 for $1.

Quiz Department.

Questions are solicited for this column. Communications not accompanied by the proper name and address of the writer (not necessarily for publication) will not be noticed.

The great number of requests for private answers, for the information and benefit of the writer, makes it necessary for us to charge a fee for the time required. This fee will be from one to five dollars, according to the amount of research and writing required.

Epilepsy or Hysteria.

Editor MEDICAL WORLD:-This case is something new to me, hence I ask for a diagnosis.

Female, aged 28, nervous temperament, fairly nourisht and in fair health. Had one attack two years ago, but none since. No history of epilepsy or hysteria.

I was at house prescribing for her infant when she had her first attack, no doubt caused by worry. While she was sitting in a chair her head suddenly dropt over on her chest; but there was no outcry, nor did she fall. She was at once laid on a bed with the foot elevated.

Face was pale, but lips and conjunctiva not anemic. Pupils equal, but slightly dilated. Heart full, strong and regular. Respiration seemed, however, to be almost paralyzed and was very shallow. There was tonic contraction of the flexors of the wrist and fingers, also part of time of thigh, calf and toes, the toes also being turned in. The olfactory nerve seemed paralyzed, as the strongest ammonia produced no perceptible effect. Duration of attack thirty seconds to two minutes, altho three attacks lasted ten minutes. There was no contraction of any of face muscles, and the jaw was perfectly mobile during attack.

When returning to consciousness the respiration was full and deep, but not increased, the heart's action not changing at all. The patient could not, or would not, speak above a whisper after the first attack. After regaining consciousness she would complain of the bowels and muscles of larynx cramping for some minutes. The bowels were regular and urine normal, but no analysis was made.

After some of the attacks she would break into a sweat, not profuse-after others she wouldn't.

These attacks came on periodically as regular as the clock-four a day-the first three days at about these hours-1 a. m., 6.30 a. m, 12.30 p. m. and 7 p. m. The fourth day there were only two attacks, at 8 a. m. and 5 p. m.; fifth day, none at all; sixth day, two attacks, at 9 a. m. and

7 p. m.; seventh day, three at 2 a. m., 1.30 a. m. and 5.30 p. m.

During this time she had shown no increase in body temperature. The bowels had been regular, no tympanites, but there was tenderness on pressure over entire abdomen. Her appetite was gone. and she would eat scarcely anything because she said it hurt her stomach.

On the eighth day counsel was called, and, as we could not agree, I turned the case over to him. His diagnosis was typhoid fever. The cramping attacks continued another week, giving place to something called "sinking spells;" but, as I have not seen the patient since, I can't describe them.

I will not outline treatment, except that I used stimulants and quinin, iron and strychnin.

What is the case-hysteria, nervous prostration, epilepsy, or some other neurosis? I neglected to state that the patient claimed she could tell when an attack was coming on, but could not describe the condition that warned her. DAVID L. ASKEW, M. D.

Griffinsville, Ia.

Asthmatic or Hysterical Attacks? Editor MEDICAL WORLD:-I have a case in which I would be glad to receive counsel from the WORLD family. The patient, Miss A-, is eighteen years old. Her father, aged sixty-six, is in good health; her mother, sixty-four, has had asthma for a number of years. The patient menstruated at the age of fourteen; her periods were regular, and she enjoyed good health until about a year ago, when they became irregular. Her present trouble began last March, when she began to experience difficulty in breathing. June 6 I found her laboring hard to get her breath. Her temperature was 96°, her pulse 120, and was covered by a cold sweat. I gave a hypodermic of hyoscyamin and strychnin. She had a similar attack same time next day. I gave her medicine to rouse her liver, which was very torpid, and also gave sedatives and tonics. She improved, yet the spells continued to occur every twentyfour hours, sometimes in the morning and at others in the evening, until August 8, when her condition became as bad as before.

After a few days she began to improve again, and gradually grew better. By September 20 she had gained five pounds, and considered herself cured, but on that day she had another similar attack. Her pulse

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Diagnosis and Treatment Wanted. Editor MEDICAL WORLD:-While in the United States Government service in Shasta county, I had a patient who stated that he was covered with ulcers, which a good many physicians had been trying to heal, but failed-treatment extending over some eighteen years. He also stated that small pieces of bones would come out at times. He asked me if I could do anything for him. I told him that I would write to THE MEDICAL WORLD about his case and send him the reply. I have had no opportunity for personal examination, nor do I know the treatment used.

Will someone kindly send snap shot diagnosis and treatment?

DR. H. SCHAFER. Cor. Ninth and B sts., San Diego, Cal.

A Possible Case of Hydrophobia. Editor MEDICAL WORLD:-Amos McC., aged four years, health always good, while playing in the yard with the family shepherd dog, was bitten across the forehead. The teeth did not penetrate thru the skin. The family did not think the wound serious, altho it did not heal.

The morning of the eighth day the child was cross, feverish, complained of pains in its limbs, and also complained it could hardly walk. At 10 a. m. that day the child first showed fever; it went into spasms. A very eminent physician was called and administered the usual remedies, but the child continued to have spasms, and at 8 p. m. I was sent for in

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bow of nearly 90 degrees, and suddenly ceased breathing.

My diagnosis was poliomyelitis. Could the dog bite have been the cause? The dog was killed four days later, apparently healthy. Could the saliva of the dog have contained the hydrophobia bacillus ? W. R. PENNINGTON.

Broken Bow, Neb.

WORLD one year and Dr. Waugh's book, $5. You need them both.

Don't send subscriptions on a postal card. It isn't business nor half way business. Save your card and save us trouble. When you want THE MEDICAL WORLD bad enough to pay for it, send the price and your order will be promptly filled. There is only one right way to subscribe-do it in the right way. The postal card fraternity have been increasing of late, and they are a nuisance in an office conducted in a business way. The humanitarian question is a different thing. If you can't pay full price, send what you can and write Careless and in full, and you will not be overlooked. 'slip-shod" ways of doing business is what we are aiming at.

66

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Essence of peppermint.... .20 minims. Powder the drugs and macerate with the mixed alcohol and water for seven days; filter and add enough diluted alcohol to make the product measure one pint.-New Idea.

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to enable you to take it down easily. Take the medicine at night before going to bed, and in the morning before eating. If you wish to sweeten it you may add as much sugar or syrup to each dose as may suit your taste.

All of this is intended to frighten the hopedfor victim and obtain money from him. No such drugs as are given above are in existence, and the dupe is expected to purchase them at an exorbitant price from the "Reverend" promulgator of the prescription.

This wonderful (?) preparation having been analyzed by Dr. A. B. Lyons, of Detroit, was

found to consist of:

Gentian....
Licorice root...
Sugar....

Sodium bicarb.. Cochineal ....

.15 per cent. .15 per cent.

.50 per cent.

.17 per cent.

.4 oz.

.8 oz.

.2 pts.

.4 pts.

Mix.-Secret Nostrums and Systems.

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2 per bent. All in a fine powder.-Secret Nostrums and Systems.

ECLECTIC STILLINGIA LINIMENT FOR CROUP

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The following is said to be the composition:

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Mix. In addition, it is sometimes given internally in one-drop doses.-Secret Nostrums and Systems.

ELLIMAN'S ROYAL EMBROCATION.

This is another of the soap emulsions of essential oils, and does not differ very materially from the Centaur Liniment sold in this country, tho it is probably a better preparation. At any rate, it is more pleasing to the senses of sight and smell.

The bottle is union oval in shape and contains a short pint of a creamy white, thick fluid, containing soap-fixed alkali and essential oils, with turpentine predominating. The following formula gives a close duplicate to the proprietary article:

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