Dr. J. F. Schmershall, Jerome, ha been elected secretary-treasurer of the Idaho State Board of Medical Examiners, vice Dr. O. J. Allen, Bellevue, term expired.

Governor Dunne has signed the bill appropriating $4,500,000 for the University of Illinois for the next biennium. This includes $200,000 for the College of Medicine.

The million dollar estate of the late Dr. L. A. Duhring, emeritus professor of dermatology in the University of Pennsylvania, goes largely to charities in Philadelphia, that university included.

Dr. James Tyson, emeritus professor of medicine, University of Pennsylvania, was recently presented, by the Northern Medical association of Philadelphia, with a loving cup in honor of his fiftieth year in the medical profession.

Hardly 10 per cent of children born in England in the past five years have been vaccinated against smallpox. The world will soon have an opportunity in England to see if the anti-vaccinationists are right in their belief that vaccination is not needed as a preventive against smallpox.

CARELESS-WHAT IT MEANS.

The Medical Summary tells the following true story of what occurred in a certain doctor's office:

In came a patient. "Hello, Jinks; what's the matter with you?" "I don't know, doctor; but I ache all over; have chilly, stretchy feelings, cold chills run up my back, and have dull headache."

"Oh, you have the grip! Take a dose of calomel, and get this prescription filled, and you will be all right in a day or two."

The sequel was that the patient was developing typhoid fever, and he employed a more painstaking physician.

The Summary need not have applied this story to a "certain" doctor exclusively; it might be applied to almost "any" doctor-I shall not even except myself. The medical sin of sins and the most common, is carelessness. This inherent tendency to look at a tongue, feel a pulse and give a dose of calomel or some other "good old-fashioned medicine" as a matter of routine is responsible for many deaths that should sit hard on many a physician's conscience.

Accuracy, thoroughness, diagnostic skill! These words should be drummed into the ears of every medical student until he can never go to a patient without thinking of them. In the Army Medical Service a surgeon who is accused of gross carelessness in the care of his charges may be tried by an army court and cashiered.

What if the civilian practitioner were compelled to submit to the same discipline! It would be dangerous for some of us-but wholesome for society and good for the profession. Don't you think so?

MEDICAL SOCIETY OF THE MISSOURI VALLEY AT OMAHA. The annual meeting of this society will be held in Omaha, Neb., September 18-19, 1913, under the presidency of Dr. H. B. Jennings of Council Bluffs. Dr. W. O. Henry, chairman committee of arrangements: A symposium on pregnancy will be a feature of the first day's session. The orations in surgery and medicine will be delivered by Drs. Charles Mayo and Alfred C. Croftan, respectively, while a program of much interest to the general practitioner has been prepared. Clinics will be held on Saturday following the meeting. A cordial invitation is extended to the profession of near-by states. Headquarters, Rome hotel.

SOCIETY MATTERS

Our state association membership on July 31, 1913, was 971. We have a list of 120 names of former members who have allowed their dues to lapse. JOSEPH M. AIKIN.

COMMITTEE NOTICE.

The committee called for in our general session and named by President D. C. Bryant to investigate the whole question of fee splitting and bring a report upon the facts with recommendation for its prevention at our 1914 session are W. O. Henry, H. Gifford, Robert McConaughey, A. D. Nesbit, H. P. Hamilton. JOSEPH M. AIKIN, Secretary.

County society reports since August Review was printed:

Box Butte County-H. H. Bellwood, president; George J. Hand, secretary. Reinstated members: L. W. Bowman, Alliance; H. H. Bellwood, Alliance; H. A. Copsey, Alliance. New members: Frank M. Boland, Hemingford; C. E. Hershman, Alliance; George J. Hand, Alliance. Saunders County-New members: A. L. Breggren, Weston. Membership, 977. JOSEPH M. AIKIN.

VACCINE AND SERUM THERAPY.

By Edwin Henry Schorer, B. S., M. D. Dr. P. H.

Second edition. Octavo

300 pages. Published by C. V. Mosby, St. Louis, Mo. Price $3.00.

This is a small book which is meant for the medical practitioner in order to aid him in more thoroughly understanding the modern ideas of vaccine and serum therapy. It is a book of five chapters and an appendix. The second chapter on immunity puts the matter in a concise and readable manner. It also describes some of the more useful laboratory tests which are of aid to the medical man. The appendix takes up syphilis, malaria and Wasserman reaction in a brief, concise manner. The book is well written and surely an aid to the medical practitioner.

DR. A. SACHS (Omaha).`

HANDBOOK OF DISEASES OF THE RECTUM.

By Louis J. Hirschman, M. D., President of the American Proctologic Society, Lecturer on Rectal Surgery and Clinical Professor of Proctology, Detroit College of Medicine. Revised and rewritten. Second edition. 338 Royal octavo, 172 illustrations, including four colored plates.

pages.

C. V. Mosby Company, St. Louis, 1912. Price, $4.00.

The first edition of Dr. Hirschman's book met with a hearty reception at the hands of the medical profession. The present edition has been entirely rewritten, forty new illustrations, including two colored plates, have been added, and the entire book has been reset. This is preeminently a book for the general practitioner. It is written in the hopes that this class of the medical profession will arouse themselves to the possibilities of this line of work and not allow the charlatan and the advertising quack to take from them work which can be done by the legitimate practitioners of medicine. To that end special attention has been paid to office work in rectal diseases and the part that local anesthesia plays in this class of work.

The Surgical Clinics of John B. Murphy, M. D., at Mercy Hospital, Chicago. Volume II, No. 2 (April, 1913). Octavo of 171 pages, illustrated. Philadelphia and London: W. B. Saunders Company, 1913. Published

Bi-Monthly. Price per year: Paper, $8.00. Cloth, $12.00.

This second number of the second volume of this now established series of clinical reports verifies the comments made on the first number: "The second volume promises to be of more value and interest than the first." In this number the reader's interest is renewed by reason of Dr. Murphy's consideration of other surgical conditions than bone work. This volume is largely devoted to the surgery of the upper abdomen and covers cases of gastric ulcer, gall-bladder disease, pathologic duodenal and gastric condtions with Dr. Murphy's valuable summaries and methods of dealing with them. Of course, the Murphy button and its usage is not forgotten. In addition there are the reports and operation of spina bifida, fractured lumbar vertebrae, ureteral calculus and cerebellar tumor and periosteal sarcoma. Mr. Robert Milne of London, a guest of Dr. Murphy, gives a very instructive talk on gastric ulcer and on fractures. An instructive number.

THERAPEUTICS OF THE GASTRO-INTESTINAL TRACT.

By Dr. Carl Wegele. Adapted and Edited, with additions on the diagnosis of the diseases of the oesophagus; diagnosis of the diseases of the gastro-intestinal tract; duodenal tube and its uses; diseases of the pancreas and x-ray examinations of the gastro-intestinal tract. By Maurice H. Gross, M. D., attending gastro-enterologist to the HarMoriah Hospital, and I. W. Held, M. D., attending physician to the HarMoriah Hospital. Rebman & Co., New York. Cloth, $3.00.

In this book the authors have given us a really valuable hand book of the diseases of the digestive tract. Basing their work upon the long recognized and very excellent treatise upon the "Therapy of Stomach and Intestinal Diseases" by Carl Wegele, they have modernized the symptomatology and treatment wherever new ideas have been put forth in these departments and have amplified the scope of the original book by adding a section on X-Ray diagnosis-diseases of the pancreas and the use of the duodenal tube. Dr. Gross is especially well qualified to write on this latter subject as he has done much excellent work of his own with the duodenal tube, and its use in the examination and treatment of the duodenum.

Following the trend of the German author, they have given careful attention to the dietary treatment of the various diseases mentioned and have set down their ideas in this respect very fully, so that the reader who consults their pages for this purpose may expect to find specific directions as to feeding his patients.

Taken as a whole the book is filled with interesting material and will well repay the study of any one interested in the therapeutics of gastrointestinal diseases. H. L. AKIN (Omaha).

PRINCIPLES AND PRACTICE OF OBSTETRICS.

Principles and Practice of Obstetrics. By Joseph B. De Lee, A. M., M. D. Professor of Obstetrics at the Northwestern University Medical School. Large Octavo of 1060 pages, with 913 illustrations, 150 of them in colors. Philadelphia and London: W. B. Saunders Company, 1913. Cloth, $8.00 net; Half Morocco, $9.50.

Had this work appeared ten years ago the reviewer would have said that it is an impractical guide for the average medical student. But the medical student of today is prepared to digest a comprehensive text such as is this of De Lee on Obstetrics. The work is weil balanced, it is altogether scientific and yet it is not encumbered with technicalities. It is profusely illustrated, but the illustrations are pre-eminently instructive and add greatly to the teaching value of the text.

The author has wisely made liberal use of small type in presenting historical sketches, operative technic and references to literature. By so doing the text is made to conform to the needs of the student and practitioner.

One of the most instructive chapters is that which deals with abortion and premature labor. The advice of the author to exercise great caution in the management of cases of septic abortion in which the uterus is filled with decomposing ovular and blood masses is timely, but it is questionable if he has not overstepped the bounds of conservatism when he advises against the removal of this infected material by figures or forceps until septic symptoms have subsided. The author packs the uterus and vagina with sterile gauze, this is remoyed at the end of twenty-four hours in the hope that the infected ovum and blood clots will come away with it and