Chapter III: Part 3

It also seems to me very ridiculous, and it surely cannot be a common thing for a nurse to inquire before she consents to take a case whether or not the plumbing is modern and how many servants are kept.

As to just what Dr. Head means by saying that a nurse should be willing to do any kind of service about a house. I do not know; but I do know that nurses are not usually physically fit for washing or scrubbing, yet, as a rule, nurses are glad to perform duties which are not just in their line, in order to help the household to run smoothly.

Most of the nurses in general work are engaged in nursing because they are obliged to earn their living, and in most cases because they are especially interested in this particular field; and, although most nurses take some charity cases, it is impossible for them to take many, even to satisfy what Dr. Head calls “the inner, higher longings of the soul.”

Harriet M. Prime, R. N.

Minneapolis, February 4, 1915.

BOOK NOTICES

MANUAL OF OBSTETRICS. By Edward P. Davis, A. M., M. D., Professor
of Obstetrics in the Jefferson Medical College, Philadelphia. 12mo
of 463 pages, 171 illustrations. Philadelphia and London: W. B.
Saunders Company, 1914. Cloth, $2.25 net.

As indicated by the name this is a handy book. It is well illustrated, the text is brief and well written, and as complete as could be expected in a work of its size.

It presents no features which are especially new, though it takes up many of the most recent advances in obstetrics.

It is a work that aims to give those who wish it a concise account of the status of obstetrics at the present time.

--Adair.

BALNEO-GYMNASTIC TREATMENT OF CHRONIC DISEASES OF THE HEART. By
Prof. Dr. Theodor Schott, Bad-Nauheim. Published by Blakiston,
Philadelphia. Price, $2.50.

This brochure sets forth in the main, preceded by a short chapter on medical treatment, the philosophy, technic, and clinical results of balneogymnastic therapy in chronic heart-conditions.

It would appear, inasmuch as Prof. Schott admits the non-establishment of the probable curative factors of either the carbon dioxide or mineral constituents, that possibly, as Dr. Anders in the foreword surmises, the curative properties may reside in the “advantage of being far removed from the cares and responsibilities growing out of the practical affairs of life at home.”

Relative to the more firmly established value of the gymnastic element, it is quite evident that the “resistance movements,” are an improvement over the Zander mechanico-gymnastic, and of similar value to the so-called “Terrain Kur,” with the added advantage of personal application.

--Schneider.

DISEASES OF BONES AND JOINTS. By Leonard W. Ely. M. D., 220
pages, 94 illustrations. Surgery Publishing Co., N. Y. Price,
cloth. $2.00.

Few men are better fitted than Dr. Ely to write an authoritative book on joint and bone diseases. He has gone at his study from the only logical end; that is, the study of the underlying pathology. The book throughout shows the result of much conscientious work in the pathological and x-ray laboratories, carefully checked up from the clinical aspect.

The average specialist who writes a manual for the use of the general practitioner seems to think he must mention every theory which has ever been brought out since the time of Hippocrates, together with a list of every form of treatment ever proposed. The bewildered family doctor gets about as much help as he would from the perusal of a few pages of the Index Medicus. One good theory, clearly stated, even if it is not universally accepted, may form a practical working basis which will be of great aid to the doctor in the understanding and care of his cases. In this particular Dr. Ely is most satisfactory. He has worked out the pathology of the tubercular and other chronic joint diseases in a clear and logical manner. While much may have to be altered in the light of further research, at least one can feel sure that Dr. Ely has convictions, and that his work will form a useful basis for further investigations.

The illustrations are taken almost entirely from photographs or photomicrographs and are mostly original. So many works on Orthopedic Surgery appear which are filled with cuts handed down from one text-book to another, cuts of impossible people wearing impossible appliances, that it is hard to imagine that such a book, illustrated with such quaint old prints, can represent the latest word or offer anything new.

Dr. Ely’s discussion of the pathology of joint tuberculosis is perhaps the most interesting thing in the book. His idea of the red bone marrow and the synovia being the sole tissues to be primarily involved does not agree with the recent work of Fraser, of Edinburgh. Evidently more work must be done in order to harmonize these findings.

In general, while not much space is given to treatment, what there is, is clear and is carefully selected by the author, instead of leaving this important point to the discretion of the reader.

His discussion of the chronic arthritides is quite full and very instructive. He points out particularly the resemblance between the pathological conditions found in various chronic infectious joints and in the various stages of joint tuberculosis.

This little book will certainly be of use to anyone who has to treat bone and joint diseases.

--Reed.

NEWS ITEMS

Dr. Chas. Pierce, of Wadena, has moved to Menahaga.

Dr. J. L. Stewart, of Spearfish, S. D., has located at Custer, S. D.

Dr. Jas. Farrage, formerly of Deering, N. D., has located at Park Rapids.

Dr. Hugo Neukamp is leaving Fessenden, N. D., to locate in Beulah, N. D.

The Dell Rapids Hospital was completed and opened the latter part of February.

Dr. H. A. Gueffroy, of Chicago, has taken over the practice of Dr. D. F. Sullivan, of Frankfort, S. D.

The new St. Alexius hospital, at Bismarck, N. D., was formally opened to the public February 15th.

The entire surplus of the old Homeopathic Hospital Association, amounting to $1,000, was voted to the support of the Maternity hospital, of Minneapolis, at a recent meeting.

The Physicians’ Hospital company has been incorporated at Thief River Falls for the purpose of building and maintaining a hospital at that place. The company is capitalized at $25,000.

In a previous issue we stated that Dr. G. P. Shepard, of Chicago, had located at Jamestown, N. D. Dr. Shepard is from Courtenay, N. D., and not from Chicago, though he has been taking postgraduate work in that city for the past few weeks.

The Medical Society of the State of New York invites all physicians of the country to its hundred and ninth annual meeting which is to be held in Buffalo, April 27-29. This will probably be the largest medical meeting of the year, except perhaps that of the A. M. A. in San Francisco.

Messrs. J. D. Edgar, Arnold Hamel, R. A. Johnson, and H. A. Rudd, and Miss Olga Hansen, all of the class of 1915, have been elected to the Minnesota chapter of Alpha Omega Alpha, the national honorary fraternity in medicine, the membership of which is based solely upon scholarship.

Dr. James E. Moore, who has practised in Minneapolis for thirty-two years, twenty-eight of which have been devoted to the exclusive practice of surgery, has given up his practice and will, hereafter, give his entire time to the Medical School of the University of Minnesota, except for a limited amount of consultation work.

In our last issue we made the statement that the Ramsey County Medical Society would not admit a physician to membership until he had been a resident of the county for one year. This should have been written so as to convey the meaning that a physician must have been a resident of some county for at least a year, not necessarily Ramsey County.

It is the desire of the publishers of the Journal-Lancet to make this department of news as interesting to its readers as possible. The items are obtained from a number of sources, and, though a great deal of care is given to their preparation, mistakes will necessarily occur. Will you not help to keep up the interest of this column by sending in anything which may be of interest to the readers? Notify us of mistakes as they occur that we may make a correction in the next issue.

“The Mayo Foundation for Medical Education and Research, Incorporated,” with an initial endowment fund of $1,500,000, has recently been incorporated. It has for its object the endowment of the graduate medical instruction and research work which has for years been a feature of the Mayo Clinic, at Rochester. The founders are: William J. Mayo, Charles H. Mayo, Henry S. Plummer, Edward Starr Judd and Donald C. Balfour. The board of temporary trustees having in charge for the present the investment of the fund is composed of Bert W. Eaton, George W. Granger and Harry J. Harwick. The board of scientific directors is composed of Louis B. Wilson, William F. Braasch, E. Hessel Beckman, A. H. Sanford, and Walter D. Sheldon. For the present the expenses of the foundation will be met by annual contributions from the Mayo Clinic, the income from the endowment being allowed to accumulate and increase the principal.

* * * * *

PHYSICIAN WANTED

To locate in a thriving North Dakota town. For full information correspond with Andrew Erickson, Makote, N. D.

OFFICE FURNITURE FOR SALE

A good roll-top desk and other office furniture is offered for sale at a reasonable price. 616 Syndicate Bldg., Minneapolis.

PRACTICE FOR SALE

An established practice in a town of 2,000 for sale for the price of the office outfit. If you mean business, write at once. Address 205, care of this office.

SANITARIUM FOR SALE

A new, strictly modern, 50-bed sanitarium with three acres of land on a beautiful lake, located near the Twin Cities, for sale cheap. Address 206, care of this office.

WANTED

An eye, ear, nose, and throat man who is willing to work. Must be sober, competent man. State the salary expected, and give credentials in the first letter. Address the C. A. Hoffman Co., 814 Nicollet Ave., Minneapolis, Minn.

PRACTICE WANTED

In Minnesota or South Dakota town, with some future and where English is spoken. This is wanted by physician who has had several years’ experience in practice, and has done laboratory and hospital work. Address 198, care of this office.

WANTED

A physician and surgeon to locate at Judson, North Dakota. No doctor located within seven miles on the west and twenty-three miles or more in other directions. One who could start small drug-store in connection with his practice preferred. Address First State Bank, Judson, N. D.

WANTED TO EXCHANGE

Contract mining practice, on Iron Range, with modern hospital, complete equipment, autos, good roads, drive all the year, best contracts, $600 to $800 cash each month; future very bright. Owner wishes to correspond with an A 1 physician and surgeon with a good stand in or very near the Twin Cities, with the view of effecting an exchange for part of the year. Address, 204, care of this office.

FOR SALE

To a man with surgical ability, one-half interest in my private practice and well-equipped hospital, located in a live up-to-date county-seat town in Minnesota; population 2,500; two railroads; good schools and roads; good fees. This is an excellent opportunity to get into a place with a good future. Price, $5,000 for one-half interest in hospital building, equipment, office fixtures, and practice; $2,500 cash. Don’t write unless you mean business and have the cash. Address 202 care of this office.

* * * * *

Doctor: If you want practical post-graduate work during the fine season in the delightful city, write for particulars. Twenty-eighth annual session opens September 28, 1914, and closes June 5, 1915. New Orleans Polyclinic, P. O. Drawer 261, Post-graduate Medical Dept., Tulane University of Louisiana.

The Battle Creek Method in Diabetes

Diabetes, though not always curable, is controllable. Practically all diabetics can be made sugar-free and the acidosis disappears with the sugar. By a special regimen the reappearance of the sugar and the acidosis may be prevented.

The Battle Creek method is based upon experience gained in the treatment of many hundreds of cases supplemented by the observations and discoveries of Von Noorden, Falta, Guelpa, Benedict, Allen, and numerous other investigators. The essential features of the method are--

1. A thorough preliminary examination and repeated examinations comprising (a) complete quantitative examination of the urine daily, (b) differential study of the blood, (c) chemical, microscopic and bacteriological examination of the feces and study of the pancreatic function, (d) X-ray examination of the stomach and intestine with special reference to stasis.

2. Study of the patient’s metabolism by the respiration apparatus to determine his respiratory quotient, CO2 tension and basal ratio.

3. Establishment, by the aid of metabolism studies of each case, of a regimen adapted to the individual by determining the proper proportion of protein, fats and carbohydrates to keep the urine free from sugar. The kind of protein, fat and carbohydrate is considered important, as well as the amount.

4. The patient’s metabolism is regulated by baths, voluntary and automatic exercise, photo- and thermotherapy and other physiologic means.

5. The results of the regimen and treatment are accurately controlled by a “Metabolism Graphic” which shows the daily variations in the amount of urine, amount of sugar, acidosis, coefficient of sugar utilization, coefficient of carbohydrate utilization, nitrogen balance, glucose nitrogen ratio, weight balance and energy balance. These factors are all worked out by expert chemists and dietitians and with this data before him, and a great variety of special foods of known energy value suited to diabetics at ready command, and the assistance of a strong corps of specially trained dietitians, the physician is able easily to arrange a dietary adapted to each case and to note each patient’s progress with the most careful scrutiny.

Under this comprehensive management the sugar usually disappears from the urine in two or three days, and does not return so long as the prescribed regimen is followed.

A few weeks’ treatment usually suffices to train the patient to a suitable dietary which he may safely follow under the guidance of his home physician.

We will be glad to send full information concerning the Battle Creek Method in Diabetes to any physician who will mail to us the attached coupon.

.....................................................................

The Battle Creek Sanitarium, Battle Creek, Mich.

Box 350
The SANITARIUM,
Battle Creek,
Michigan

Please send to the undersigned full information concerning the Battle Creek method of treating diabetes.

Dr..............................

Street..........................

City............................

State...........................

PUBLISHER’S DEPARTMENT

QUAKER OATS

Doctors all over the country are advising the use of oat foods for the old as well as the very young child. It is for young folks developing, for grown-ups, who are hard workers, and for the old folks who wish to keep young. You can safely use Quaker Oats. It costs no extra price, and when you use it you are certainly getting the very best in oat foods. Physicians should read their page announcement in this paper.

ELECTRO-THERAPY

The Scheidel-Western X-Ray Coil Co. announce on another page that they have the latest appliance in electro-therapeutics, namely, the Columbia Treatment Transformer No. 9.

The apparatus is illustrated and described on another page, and more fully in the Company’s new catalog.

As the Company is the largest manufacturer of x-ray apparatus in the world, their catalog should be in the hands of every man using this line of treatment.

BOREMETINE--A NEW EMETINE PREPARATION FOR PYORRHEA

Every doctor and dentist in the United States should know about this new preparation for the local treatment of pyorrhea alveolaris. Boremetine is a 1-2 per cent solution of emetine hydrochloride, together with boric acid, zinc sulphocarbolate, and aromatics.

The emetine is amebicidal, the boric acid bactericidal, and the zinc sulphocarbolate astringent. These three drugs meet the three essential factors necessary for the successful treatment of pyorrhea. Boremetine should be used in every case, either alone, or (in some severe cases) in association with the subcutaneous injection of Emetine Hydrochloride (Abbott).

A special free booklet on “Pyorrhea Alveolaris: How to treat it successfully with Emetine” will be sent on request. Send for it today. The Abbott Alkaloidal Company, Chicago.

OCONOMOWOC HEALTH RESORT

The State of Wisconsin has an enviable reputation for not a few things in which it excels all the other western or middle-western states. One of these is its sanatoriums, or health resorts. The climate, the beautiful scenery, the pure water, the proximity to the large cities of Milwaukee and Chicago, and the high-grade medical specialists made it possible to found such institutions in southern Wisconsin long before other parts of the middle west had the population or transportation facilities to make success in this line either probable or possible.

The Oconomowoc Health Resort is one of the best equipped and best managed of these institutions. It accepts only nervous and mild mental cases. It is under the management of Dr. Arthur W. Rogers as resident physician. Dr. Rogers has both the professional equipment and the personality that are necessary in the treatment and care of persons suffering from nervous and mental disorders.

BATTLE CREEK SANITARIUM

Fifty years ago examination was largely a matter of pulse finding; now it is possible to weigh and measure the organic functions of the body with as much accuracy as is possible in the testing of an intricate mechanism. This becomes possible through a series of tests in many of which elaborate equipment is required. Perhaps no other institution has a more complete organization for diagnosis than the Battle Creek Sanitarium.

The physical inventory possible there is a very thorough and accurate stock taking of the vital functions. Many business and professional men visit the sanitarium each year in order to take full advantage of the diagnostic facilities.

An interesting booklet, “The Measure of a Man,” is offered free by the sanitarium to those who care to know more regarding the system of examination.

ARMOUR & COMPANY

Why Pituitary Liquid should be specified:

It is a pure preparation.

It is free from objectionable chemicals.

It is made from absolutely fresh raw glands. It does not require preservatives.

It is standardized physiologically.

It is sold in dated packages, permitting the physician to discard old goods.

Pituitary Liquid is required in such particular classes of cases that the practitioner can afford to use the best only.

The use of Pituitary Liquid obviates the necessity of forceps in a great many cases.

Pituitary Liquid is of great service in parturition uterine inertia--peristalic paralysis.

We shall be pleased to send you a sample of Pituitary Liquid with literature.

Note the name of the perfect pituitary preparation--_Pituitary Liquid (Armour)_.

THE DELICATE SCHOOL GIRL

Even the most robust and generally healthy children show the deleterious results of the modern system of educational “forcing” that prevails in most of our larger cities. The child that starts the school year in excellent physical condition, after the freedom and fresh air of the summer vacation, in many instances, becomes nervous, fidgety, and more or less anemic, as the term progresses, as the combined result of mental strain and physical confinement in overheated, poorly ventilated school-rooms. How much more likely is such a result in the case of the delicate, high-strung, sensitively organized, adolescent girl? It is certainly a great mistake to allow such a girl to continue under high mental pressure, at the expense of her physical health and well-being, and every available means should be resorted to to conserve the vitality and prevent a nervous breakdown. Regularity of meals, plenty of sleep, out-of-door exercise without fatigue, open windows at night and plenty of nutritious food, should all be supplied. Just as soon as an anemic pallor is noticeable, it is a good plan to order Pepto-Mangan (Gude) for a week or two, or as long as necessary to bring about an improvement in the blood state, and a restoration of color to the skin and visible mucous membranes. This efficient hematinic is especially serviceable in such cases, because it does not in the least interfere with the digestion nor induce a constipated habit.

Transcriber’s Notes:

A number of typographical errors have been corrected silently.

The cover image was created by the transcriber and is placed in the public domain.

References to other pages noted in the Publisher's Department section were not available for transcription

The two lines below were swapped from the original:
by a chronic hypertrophic conjunctivitis. The
canthotomy necessary; and no case was followed