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OUR MONTHLY TALK.

We are living in an age of rapid changes. I need not refer to Europe, the change in a few days from peace to widespread war, and the expected changes in the map of Europe at the close of the

war.

Many other changes are occurring. For example, see the following from The Public for April 9th:

Who Laughs Last Laughs Best.

But two short years, and the impossible has come to pass! Secretary of State William J. Bryan, who humiliated his countrymen by serving grape juice to foreign representativs at a state dinner, has scarcely completed half his term of office before reading the public announcement of George V: "By the King's command no wine or spirits will be consumed in any of His Majesty's houses after to-day."

Let the compassionate lover of his kind drop a tear at the plight of those who have been wont to laugh so long and loud at the idea of serving grape juice to ladies and gentlemen from foreign parts.

The idea that we must entertain foreign diplomats in Washington with wine because it is the custom in their countries, is an unjustifiable giving up of our own customs and standards. They do not entertain our representativs in their countries according to our customs. So why should we adopt foreign customs in Washington? Let us give the foreign representativs in Washington a taste of American customs. Mr. Bryan was brave to bar out wine, and he was right. Wine at dinner is not the American custom. It may be by some few, but by no stretch can it be shown to be an American custom.

The change in Russia is much greater than in England in regard to the use of alcohol. Drunken and squalid Russia has suddenly become temperate and prosperous Russia-prosperous in spite of the great war.

Is our civilization getting better? If I had been askt this question any time in the last ten years up to the first of last August, I would have answered unhesitatingly, yes. But since that fatal date we have been "up in the air." Our former opinions were jolted so hard that it was hard to get our equilibrium again. And we haven't gotten back to our old optimism yet; but we can begin to see streaks of light thru the black clouds of calamity.

Spring has come, and the warm sunshine will greet the poor victims that have been wintering in the trenches. But it is feared that greater horrors will follow the horrors of winter-the horrors of greater slaughter than ever! Isn't it strange that rational and sensible men cannot find a better way of reaching a mutual understanding? But after the murder of hundreds of thousands more, peace will finally come. And I think the good sense of Europe and humanity will demand that the peace negotiated after this greatest of wars shall have a broader and more permanent foundation than any that has ever gone before.

Whether or not this shall be the dawning of eternal peace we cannot say. But certainly humanity, after paying such a fearful price, will not be satisfied with the ordinary peace terms, which always contain the seeds of future wars. All this sacrifice will have been in vain if it shall lead only to another armed truce, during which all the belligerents shall strain every nerve to prepare for another and even a greater war. Better than that would be to fight it out to a finish now, and get a peace that is worth while-if fighting to a finish is the only way to get such a peace.

[THE MEDICAL WORLD

Home Problems.

You see it is still hard for me to talk about anything else than the war. We must not forget our own problems, one of the greatest of which is to keep out of trouble with other nations. Messrs. Bryan and Wilson are strong in this particular direction. They are men of peace. They know that peace pays best in the end; that war is foolish and absurd when peace is possible. With a cool head, peace is usually possible; and our government has a cool head.

Next, we should accept every legitimate advantage that comes to us from the insanity abroad. We are not responsible for it. If they persist in wanton destruction, they cannot expect to hold their old position industrially, economically and financially. We are getting good prices for our products, and we should strengthen ourselves all we can while things are coming our way, and we must not expect it to last always. Prices of our products will fall when the war is over, and if we realize this and prepare for it there will be no shock or disturbance in our business life. But if we do not use our intelligence, the reaction will cause a great disturbance here. Not every nation can stand prosperity. Not every nation can stand adversity. Adversity calls for endurance and patient, determined striving. Prosperity demands a level head.

King Alcohol.

Several crowns are in jeopardy in Europe, including the crown of King Alcohol. His reign extends to our own country, and his crown is tottering here, also. It is the dominant issue in many parts of our country. Several states and many counties in other states have ", 'gone dry." In Pennsylvania, where the old tyrant has always had a firm hold, he is being challenged thru the Local Option issue. We have a long and hard task before us to dethrone King Alcohol and save our youth and manhood-yes, and womanhood, too; for women are sometimes victims.

Then, after that task is accomplisht, we will still have before us the venereal evil. Only doctors know how great that is; and all sociologists know how difficult it is to deal with. If alcohol and venereal diseases could be eradicated from our civilization, the physical and mental improvement in the race would be surprising.

There are those who say that the venereal evil cannot be eradicated until every man can afford to marry, sustain a home and raise children. That will involve a far-reaching economic reorganization. But much can be done to reduce the venereal evil before such an extensiv economic reorganization is possible.

Then there is criminality and dishonesty. Much of the crime will go out with alcohol. But alcohol is not the root of all crime. And there is dishonesty among the "eminently respectables," some of whom use the church as a cloak.

Ah! We are far from perfection! Some say that we must first be individually clean and honest before we can be collectivly so. But many highclass men are on each side in the European war. So it is not enuf to be personally all right. We must organize civilization, beginning with the community and leading up to a world organization of nations, in such a way that every well-meaning individual and every legitimate interest will be safe and free. That means no wars; no saloons; no venereal diseases-that the latter will be eradicated along with all other infectious diseases.

(Continued over next leaf.)

T

HE National Association for the Study and Prevention of Tuberculosis reports that the immense sum of $20,700,000 was expended in the United States in 1914, in combating tuberculosis.

The state of North Carolina alone has 18,000 cases of tuberculosis known to the health authorities.

Segregation of this immense number of tubercular people is simply out of the question. The Journal of the American Medical Association (March 6, 1915) concludes an editorial on the subject as follows:

"In view of the increased evidence that both the predisposed causes and the successful treatment of tuberculosis are inseparably bound up with the problems of the house, it is to be hoped that at least a part of the sustained interest in the subject be directed toward a rehabitation of tuberculosis families rather than ill-advised segregation of individual members."

The essential elements in the successful home treatment are well known: cleanliness, fresh air and properly adjusted diet.

The value of creosote in the treatment of tuberculosis was established years ago. It is, according to Jacobi (Shoemaker's Materia Medica), "the most valuable drug which we possess." Potter (Materia Medica and Therapeutics) states that "in pulmonary tuberculosis, when well borne by the stomach and continued over a long period of time, it (creosote) has probably proved more efficient than any other remedy."

It is well known, however, that creosote can only be administered in small doses, and some patients simply cannot assimilate it at all.

A combination that largely overcomes the objections to creosote is known as Calcreose, which contains 50% pure beechwood creosote chemically combined with calcium.

As high as 120 minims of creosote has been administered daily-through Calcreose -without difficulty.

No claim is made that Calcreose is a cure for tuberculosis, but that it is of value in the treatment of tuberculosis cannot be questioned. Case records of physicians who

have successfully employed it prove this statement. For instance, French (Clinical Medicine) states:

"My attention was called to calcium creosote (Calcreose) not very long ago by a medical friend who himself is a victim of tuberculosis, having suffered from repeated hemorrhages, but who still continues to do a good general practise in one of the New England cities. This doctor assured me

at that time that he did not think he would still be alive were it not for the benefit which he had derived from the use of calcium creosote (Calcreose). So strongly was I impressed with this remark, coming from a man in whose judgment I had great confidence, that I at once began prescribing it for my own patients; and I have found it of great value."

Calcreose is also of value in the treatment of pneumonia, bronchitis, coughs and colds. As a gastro-intestinal antiseptic, it is successfully employed in digestive disturbances, flatulence, diarrhoea, typhoid fever, etc., hence it has a wide field of usefulness.

Prove These Statements.

The manufacturers want physicians to prove the value of Calcreose in their daily practise. To that end, sufficient quantity will be sent to give it a thorough clinical test. If the test is satisfactory, you will be glad to pay for it; if not satisfactory, you are not expected to pay for it. You are to be sole judge and your verdict is final.

Complete literature; formulæ, clinical reports, etc., will be supplied so that you will not hesitate to employ Calcreose.

75c. a box

25c. a box

VARICOSE ULCERS respond to the scientific application of

OXYNOLEUM

The Original Oxygen Ointment

Because it is antiseptic, relieves pain and irritation, liberates oxygen and promotes capillary circulation. Free sample and literature.

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We look around us and behold the wonders of our present civilization and we are inclined to be vain. But when we look at our civilization as infested by war, alcohol, crime, venereal diseases and many other preventable evils, we are compelled to say, poor, imperfect, undevelopt humanity. Much hard work is still ahead. Much is yet to be accomplisht. There is still much room for great achievements. Let us all be inspired by the possibilities that lie before us.

PRACTICAL POINTS.

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We have at last found what some years ago we thought was unattainable that is, a collection agency whose services can conscientiously recommend to WORLD readers. In the past we have in our editorial pages frequently exposed various collection agencies who were not giving the doctors a fair deal, and we propose to continue this policy whenever there is occasion to do so. However, we wish to inform our readers that they need have no hesitancy in sending their overdue accounts to the Publishers Adjusting Association, Kansas City, Mo. There is no "red tape" about their propositionno dues and no penalties. You will realize on some of your old accounts if you will obtain some of the list blanks from the Publishers Adjusting Association and fill them out with such accounts as you have been unable to collect. Read a copy of their agreement on page xxi.

Since the Harrison law became effectiv, many manufacturers of preparations containing narcotic

CHICAGO, ILLINOIS

drugs have hastened to change their formulas so as to permit the unrestricted sale of their goods. However, the manufacturers of Glyco-Heroin are making no such changes, as this preparation is not intended to be sold indiscriminately, but is designed solely for the use of physicians on prescriptions. Physicians will agree that the restriction of the sale of preparations containing heroin or other narcotics to the compounding of physicians' prescriptions is a good thing for the public welfare. Therefore the profession may be expected to receive with commendation the announcement of the manufacturers of Glyco-Heroin, the Martin H. Smith Company, of New York, that they do not care to cater to selfdopers.

The H. J. Sherwood Company, of Cleveland, Ohio, specialize in compounding physicians' private formulas. If you have work of this kind, it will pay you to get their estimate before ordering elsewhere, as the Sherwood prices are as low as is compatible with absolute purity of ingredients and accuracy of compounding. Further details are given on adv. page xxiv.

Venarsen, an organic arsenic compound, presenting 334 grains of arsenic (estimated on the basis of the metal) and 3/250 grain of metallic mercury to the dose, is being used successfully by many members of the profession in the treatment of syphilis. It is put up in ampules and is easy of administration, no elaborate technique being necessary. It is administered intravenously. See adv. on page xxii, and send to the Intravenous Products Company Denver, Col., for literature.

(Continued on page wwii.)