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FORMULA DR. JOHN P. GRAY
the practitioner has at his command a restorative and reconstructive
that justifies every confidence. Of the highest quality and constant
uniformity - in spite of the drug market - and exceptional therapeutic
efficiency, the use of “Grays" is a guarantee that the best possible

results will be obtained in each and every case.
For over a quarter of a century "Grays" has been one of the most widely-

and successfully-used remedies in atonic and debilitated conditione.

COMPOSITION

Glycerine
Sherry Wine
Gentian
Taraxacum
Phosphoric Acid
Carminatives

USE VACCINES

IN ACUTE INFECTIONS

The early administration of Sherman's Bacterial Vaccines will reduce the average course of acute infections like Pneumonia, Broncho-pneumonia, Sepsis, Erysipelas, Mastoiditis, Rheumatic Fever, Colds, Bronchitis, etc., to less than one-third the usual course of such infectious diseases, with a proportionate reduction of the mortality rate.

Sherman's Bacterial Vaccines are prepared in our specially constructed Laboratories, devoted exclusively to the manufacture of these preparations and are marketed in standardized suspensions.

Write for literature.

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MANUFACTURER

о BACTERIAL VACCINES

GHS HERMANMD

Detroit, Mich.

U.S.A.

When Writing to Our Advertisers, Please Mention the Medical Herald

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The physician throws the balance of
power against pneumonia when he
employs Antiphlogistine as the local ad-
juvant in treating this disease. He turns
the scales in the patient's favor and
increases his chances for recovery.

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gives to nature that assistance which is
often sufficient to carry the patient
safely and comfortably over the crisis.

Antiphlogistine induces sleep and offers the
patient exactly what he absolutely requires-
EASE and REST.

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Concerning the Doctor

Lieut. Wm. L. Kenney, St. Joseph, has been ordered from Ft. Riley to Ft. Ontario, N. Y, for duty.

Dr. John P. Logan, 64 years old, who died recently at St. Joseph Hospital, Kansas City, was for forty-two years a practicing physician at De Witt, Mo.

Dr. Joseph H. H. Reser, Conway Mo.; Ensworth Medical College, 1893; aged 67; a member of the Missouri State Medical Association; died at his home, November 8.

Surgeon General Gorgas, U. S. A., spent a few hours in Kansas City last month enroute to Funston and Ft. Sill on a tour of inspection. He was the guest of Major J. F. Binnie.

Dr. Katherine B. Davis, who was recently appointed head of the New York Parole board, has resigned to accept the general secretaryship of the Rockefeller Bureau of Social Hygiene.

Georges Clemenceau, the man-of-the-hour in France, is a physician and the son of a physician. He practiced medicine in Stamford, Conn., and in New York, from 1865 to 1869, returning to France in 1870.

Dr. Joseph A. Beebe announces that he has opened Dew offices in Kansas City, suite 320 Chambers building, Twelfth and Walnut streets. Practice limited to genito-urinary diseases. Hours 11 to 5.

Dr. W. K. Fast, of Atchison, Kas., has been ordered to Fort Riley for active service as first lieutenant in the Medical Reserve Corps. Dr. Charles Robinson, county physician, has received his commission as first lieutenant.

News of the Month Doctors who fail to report communicable diseases not only violate the law, but through their neglect help to spread disease.

Doctor, when you visit Kansas City, stop at the Coates House. Under new management. Rates reasonable. Take the New Broadway car direct from Union station to the hotel.

The American Purple Cross Association is an undertakers' organization, its object being to furnish volunteer aid in recovering, caring for, preserving, transporting and burying the bodies of those who die in the military or naval service of the United States.

First Municipal Syphilis Clinic in the United States—The health department of St. Louis will establish a free syphilis clinic under municipal control, where salvarsan will be administered free of charge. A campaign of education will be a feature of the plan to eradicate syphilis from the community.

To Rochester and the Mayo Clinic-With commendable enterprise the Chicago Great Western R. R. Co. is running a through sleeper from Kansas City to Rochester, Minn., and is the only line giving this service. Physicians sending patients to Rochester will be quick to take advantage of this accommodation, knowing the comfort afforded and time saved by such service.

A Minister of Public Health for Great Britain The first step in a movement for the nationalization of the medical profession of England has been taken in the appointment of Sir Christopher Addison, M. P. as minister of reconstruction. Sir Addison has occupied the Chair of Anatomy at St. Bartholomew's Hospital and is a member of the faculty of medicine, editor of the Quarterly Medical Journal and author of many scientific works. He has been a member of parliament since 1910.

New Officers-At the eleventh annual meeting of the Southern Medical Association, held in Memphis, Tenn., November 12 to 15, the following officers were elected: president, Dr. Lewellys F. Barker, Baltimore; vice-presidents, Drs. William H. Dead. erick, Hot Springs, Ark., and Thomas C. Holloway, Hazard, Ky., and secretary, Dr. Seale Harris, Birmingham, Ala.; acting secretary, Dr. James R. Garber, Birmingham, Ala.; editor of the Southern Medical Journal, Dr. Marye Y. Dabney, Birmingham, Ala., and chairman of the executive council, Dr. Henry H. Martin, Savannah, Ga. Asheville, N. C., was selected as the place of meeting for 1918. On Sunday, the day before the opening of the convention, the pulpits of the city were filled by medical men.

Hospital Unit Mobilizes-Hospital Unit K, Council Bluffs, was mobilized at Fort Porter, N. Y., November 14, and is being equipped for service. This unit consists of twelve medical officers, one head nurse, twenty female nurses and fifty enlisted men. The medical personnel consists of the following reserve officers: Major Donald Macrae, Jr., director, Council Bluffs; Capts. F. Earl Bellinger, general surgery, Council Bluffs; John W. Shuman, chief medical officer, Sioux City; Louis L. Henninger, eye, ear, nose and throat, Council Bluffs, and Chalmers A. Hill, orthopedic surgery, Council Bluffs; Lieuts. John S. McAtee, genito-urinary surgery, Robert S. Moth, adjutant, medical, and Louis E. Hanisch, gen. eral surgery, Council Bluffs; Aldis A. Johnson, pathologist and bacteriologist, and George P. Pratt, medical, Omaha; Robert C. Crumpton, medical, Webster City, and Albert E. Sabin, medical, Kirkman.

Lieut. H. R. Coleman, assistant surgeon, is now stationed at the Mare Island Base Hospital, San Francisco. He is a graduate of the University of Kansas Medical School, Rosedale. Before joining the navy, Lieutenant Coleman was house doctor at the Swedish Hospital in Kansas City.

Dr. R. S. Fillmore, Jr., of Corinth, Ia., has received his commission as first lieutenant in the Medical Officers' Reserve Corps, with orders to report at Fort Riley. Lieutenant Fillmore is a graduate of Washington University, St. Louis. He is 28 years old and married. He is a son of Dr. R. S. Fillmore of Blue Rapids, Kas.

Dr. R. H. Meade, Kansas City physician, now is a major in command of the regimental infirmary at Camp Funston. Doctor Meade received his captain's commission April 7 and entered the Medical Officers' Training Camp at Fort Riley June 12. At the end of his training, September 11, he was appointed regimental surgeon for the Three Hundred and Fiftyfourth Infantry. Last week came his promotion to the rank of major.

Ramon Guiteras, New York City; Harvard Medical School, 1883; aged 57; a Fellow of the American Medical Association; well known as a neurologist; a member of the American Association of Genito-Urinary Surgeons, and American Urological Association; professor of venereal and genito-urinary surgery, New York Post-Graduate Medical School; well known internationally as a surgeon and big game hunter; died in the French Hospital, New York City, December 13,

from meningitis.

Che Melting Pot

Falconer describes a fatal form of malaria charac

terized by dysentery, the stools containing neither | Will the great war send our surgeons home to hun

blood nor mucus.-Lancet. ger for bloody operations, or will they be sick of the | Healthy kidneys secrete exactly the same amount sight and smell of blood ?

of urea; if one is diseased its excretion is diminished | Percussion over an aneurysm is very local-punc

-H. H. Morton, Medical Times. tate; the tumor being rounded and more or less cov. | Intussusception: The tumor felt by rectum could ered with lung.--Medical Times.

well be omitted for many early cases slip by because | Narcomania: After we straighten up the physical

of not finding it, and lives are lost.-Kimpton. man and straighten out the crooked mind, what will s Pregnancy: The Abderhalden test is subject to we have to build on in the future?-C. B. Towns, Medi- possibilities of error that render it too uncertain to cal Review of Reviews.

become practical.-Rittenhouse, Am. Jour. Clin. Med | Inequality of the pupils with absence of light re- | Strophulus, an urticaria, is the expression of auto flex is very common in fatal cases of fractured skull, intoxication from ferments produced by some disturbwhile comparatively rare in cases that recover.- ance in the gastro-intestinal tract.-Fischkin, Am. M. Cohen, Amer. Jour. Surgery.

Jour. Clin. Med. 1 In pneumonia the cause of death is very frequently | The symptoms of various brain lesions and the acidosis, and the value of the fresh-air treatment may numerous functional disturbances causing psychoses be partly in improved oxidation and prevention of re

may have the same syndromes.-S. C. Gibson, West: breathing.-N. E. Medical Gazette.

ern Med. Times. TA pathognomonic phenomenon of vagotonia is, 1 Obstruction of the pyloric end of the stomach has great increase in eosinophiles, relative increase of vomiting as its commonest symptom, and dilatation of lymphocytes and relative decrease of polynuclear the stomach as its most frequent sign.-Schorer, cells.-Von Dziembowski, Am. Jour. Clin. Med.

Medicine and Surgery. | We have through insufficiency of the pancreas and | An obstinate localized crepitus is always suspicious. adrenals one of the most marked early symptoms of Have the patient stoop forward, pulling the shoulders tuberculous infection, loss of strength.-Sajous, N. Y. forward so as to uncover the region usually covered M. J. (How about the early debility of carcinoma?) by the scapula, and listen there for a rale too slight

to be detected otherwise. | Acute cardiac diseases, as endocarditis and dilatation from strain, are associated with low blood pres- f Incision through the unbroken skin for the sake sure; as are diarrhea, dysentery, exhausting purga- of diagnosis is seldom admissible. No more effication and vomiting.-A. G. Brown, Charlotte Med. Jour. cious way of favoring metastasis and speedily con| We are told that N. S. Davis never deigned to use a

verting an operable into an inoperable cancer, could clinical thermometer. It is difficult to believe that so

have been thought of.-American Medicine. great clinician could be so backward-but how about [ Bacillary dysentery: Incubation within 48 hours: those of us who do not utilize the x-ray and the cysto- onset sudden, fever, abdominal pain; frequent stools scope?

of mucus, blood later; coated tongue, tenesmus; 1 Renal tuberculoses come to the doctor for persistent

colon tender, abdominal radiating cramps; pulse fast, bladder distress, frequent and painful urination.

feeble, thready; urine scanty, albuminous; painfully McClaren. The diagnosis is made by finding T. B.

and seriously ill.-G. M. Niles, Medical Fortnightly. in the urine, by sediment or guinea pig test.-F. S. 1 Chest pains may be due to neuralgia, fascial rheuCrockett, Ur. and Cutan. Review,

matism, neuritis, pleurisy, neuroma, aneurism, cancer, 1 Appendices have been removed, gall stones and

ataxia, spinal disease, bronchitis, mitral disease, my. ureteral colics diagnosed, gastric conditions seen, all

algia, aortic disease, dyspepsia, diabetes, herpes zos: due to referred pains from diseased seminal vesi

ter, angina pectoris, pseudoangina, tuberculosis, gout cles and cured by seminal massage, instillations, rec

or syphilis.--Medical Summary. Add mediastinal

abscess. tal douches, sitz baths, etc.-E. W. White, Ur. and Cutan. Review.

| Hemorrhage from the venous sinuses may be so f It is less than 25 years since Garretson, the father

rapid as to render the latent period too short for

notice or even absent. Compression symptoms be of oral surgery, was in his prime; yet he did not accept the "germ theory" or believe in surgic clean

come rapidly pronounced. The patient becomes un

conscious, with full pulse and stertorous breathing liness; every operative contracted erysipelas—and he cured every last one of them, even after resections of

soon to develop the rapid feeble pulse and Cheyene

Stokes respiration and paralytic symptoms, precus the superior maxillary.

ors of death if not operated.-T. A. Davis, Illinois | A new sign of life has been discovered by Tashiro. Medical Journal. By a method elaborated by himself he was able to detect the escape of carbon dioxide from a bit of

| Despite a negative Wassermann, Earp diagnosed a nerve tissue, and to show that no such emanation glycosuria as of syphilitic origin and placed the pa occurs from dead nerve tissue.-Medical Review of

tient on potassium iodide in full doses. One week

later the Wassermann was positive. Mercury ben Reviews.

zoate hypodermically was added, and the glycosuria | Senile nephritis: The first symptom will often be subsided.--Western Medical Times.

(Possibly the languor, then mental depression, evidences of tox. iodide attacked some old specific indurations and set emia, face flushed at night, tongue coated, breath free into the blood enough of the toxic bodies to af: malodorous, temporal artery tortuous and visibly pul. ford the positive reaction. If this hypothesis is sating, cramps in calves, dead fingers, cold legs, short plausible we might with advantage employ this treat breath, drowsiness, sleepy by day, not at night; irri- ment in cases where the clinical evidences warrant table, uncleanly.-M. W. Thewlis, Medical Review of a strong suspicion of syphilis but the Wassermann is Reviews.

negative.)

Kohiyar finds a sign of leprosy in hypertrophy of the nipple; 89 per cent of cases. Simultaneous sterility and amenorrhea in married women are rather of rare occurrence.-S. Brothers, American Medicine.

Renal tuberculosis is at - first unilateral-early symptoms are, renal pain, emaciation, debility, turbid urine, cystitis.-Rousing. ! The college graduate has arrived. Even in farming he now beats the practical but illiterate practician out of his boots.-Waugh.

There are ten ways of spreading diseases—the ten fingers. Typhoid fever--fingers in the mouth are responsible for much of it.—Goler. Smithies says there is no one dependable clinical sign of gastric cancer. The x-ray is of distinct value in detecting early carcinoma.-N. Y. M. J. * Atropine enables us to distinguish between true and false slow pulse; in the former no change follows injection of a full dose.—Le Monde Medical.

Persistent unilateral pyelitis may be kept up by a calculus partially obstructing the ureter but giving no other symptoms.-E. M. Watson, Buffalo, N. M. J. "The value of the teeth as an aid in the diagnosis of certain morbid states, notably bone and joint lesions, is very much underrated.-P. W. Roberts, X. Y, M. J. Gastric cancer: It is wisest to suspect cancer in every patient over 35 years of age in whom symptoms have persisted for a few weeks.-A. Bassler, N. Y. Medical Journal.

Tubercular is distinguished from syphilitic testis by the seat in the epididymia, purulent disintegration of the focus and presence of tubercle bacilli.—Ravogli

, Jour.-Rec. Med. 'The majority of our diagnostic errors are sins of omission, the results of insufficient study or incomplete physical examinations.-W. B. Thorning, Journal-Record of Medicine. Cancer: A well schooled clinician recognizes an elasticity in diseases not progressive to fatality, a something that can be built upon to restore health.A. Bassler, N. Y. Medical Journal. * Acute osteomyelitis: Frequently we find that two or three weeks previously there has been influenza, tonsilitis, bronchitis, or perhaps an ingrowing toenail.-W. B. Thorning, Jour.-Rec. Med.

Many physicians adopt some one ointment and apply it whenever they use any ointment-for everything that appears.

Less consideration is given to this class of remedies than to any other. i in osteomyelitis but one locality is usually involved and the leucocytosis, 25,000 to 40,000, is higher than in rheumatism. Correct diagnosis very largely de. pends on correct observation in physical examination. -W. B. Thorning, Jour.-Rec. Med.

Clinical symptoms of early diphtheria: Gradual onset; low temperature at first and often so throughout; nasal discharge, ichorous or bloody; swelling of cervical lymphatic glands; albuminuria; early persistent croup with fever.-J. S. Ragan, Medical World.

Gastric ulcer: Pain is gnawing or burning, felt a few moments after eating, in paroxyms; or regularly recur within an hour after meals; with nausea, regurgitation or vomiting. Hyperchlorhydria is almost invariable. Hemorrhage in 50 per cent.-Woldert,

| Scabies and pediculosis are the only two itching diseases that may be "caught." í Bandage a swelled testicle with a rubber bandage and you will never apply adhesive straps to one again. | Inequality of pupils with absence of light reflex is very common in fatal cases of skull fracture, rare in cases that recover.-M. Cohen, Am. Jour. Surgery.

He must be indeed an erudite physician who can not gather from Ellingwood's work on Therapeutics enough to repay him amply for its cost.—Med Sum. mary. | The chief site of the protective and healing principles--immunity principles—is the very place where the blood corpuscles are formed.-A. E. Campbell, Chi. Med. Rec. | A careful estimate places the percentage of altruists in the community at about 99 per cent for women and 1 per cent for males. Bryan please copy -and heed. | Tonsils should not be removed unless there is some special indication, before four years of age. "Why remove them at all if there is no special indication?" -Med. Summary. | Every wise man after fifty ought to begin to lessen at least the quantity of his food, particularly meat, at last descending even into a child's diet.-A. E. Campbell, Chi. Med. Rec. I Do no surgery during pregnancy that can possibly be avoided; but do not omit any surgery that is genuinely necessary.-Ochsner. ( Pyelitis occurs more often in women at or near the age of 24 years, and at the fifth month of pregnancy. -R. A. Scott, Ill. Med. Jour. | A mental diagnosis should be made to represent disease entities rather than pure symptomatic phenomena.-M. A. Bahr, West. Med. Times. 1 Clinical histories strongly suggest that gastric cancers most frequently arise from chronic, calloused, gastric ulcer, clinically benign.-F. Smithies, Ill. Med. Jour.

Exploratory excisions through the skin to diagnose cancer are very risky and should be done cautiously and in a strictly scientific manner if at all.-W. S. Bainbridge, Medical Record. 1 Bromidrosis: Sol. ferri chlor. gm. 30, glycerin gm. 10, ol. bergamot gm. 20; M. S. , Bathe feet in warm water, dry thoroughly and apply to soles and between toes.-Zwightman, Med Summary. | Roosevelt is everlastingly right-the way, the only way-to prevent war is to be so thoroughly prepared for it that the other fellows will think twice before commencing the fight and then not do it. | Renal pain may indicate renal disease, or come from the appendix, gall-bladder, hepatic and splenic colon flexures, retroperitoneal growths or casional psoas abscess.-E. M. Watson, Buffalo Med. Journal. 1 When an anal fistula runs too far up for safe section, run a rubber cord through it, draw tightly and clamp; it will cut through painlessly in a few days and heal behind the cut.

We believe that like produces like, and that society must at all hazards protect its breeding stock. Society must look at germ plasms as belonging to society, and not alone to the individual who carries it.C. B. McNairy, Charlotte Med. Jour.

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