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"It is no uncommon case for consumptives to live for ten or fifteen years with but one lung, in a climate such as St. Augustine, where no bitter wind ever irritates the remaining lung, where no biting frost ever congests the respiratory organs, where the summer knows no enervating heat, or the winter any intense cold, but glide imperceptibly into each other, wafted in and out by a clear sea breeze-not keen enough to chill the most sensitive, but cool enough to be a grateful fan."
Dr. Brinton writes more like a medical man than the author of the preceding work, and his guide-book contains all the details that a tourist would seek to learn. He cautions travelers against going to Florida too early in the season. The heat is relaxing from May until October. Miasms are to be feared after midsummer, and until frosts occur. The winters are delightful, though no part of the State is entirely free from frosts. The concluding chapters of Brinton's manual are devoted to questions especially interesting to invalids—the climate adapted to their cases, and where it is to be found. For the aged all agree that mild latitudes are to be sought. Ten years may be added to the life of men at the age of sixty, says Dr. Brinton, by relaxation from business and two or three winters in a warm climate. His estimate of the climate of Florida, as one suited to invalids, is high. He quotes army surgeons in proof of its great salubrity.
“The sea coast of south-east Florida,” he says, "fulfills the four conditions which make up the best climate for a consumptive. I have other testimony about it well worth presenting. It, too, comes from the same unimpeachable source—the medical statistics of the United States Army. I preface it by a fact of general interest about the whole of Florida. All know how terribly arduous must be campaigning through the swamps and everglades of that State. Yet the yearly mortality from disease of the regular army there, was only twenty-six per thousand men. The average of the army elsewhere was thirty-five per thousand."
As to the character of disease, he says:
“In Arkansas, one man in every sixteen came under the surgeon's hands, each year, with consumption, bronchitis, pleurisy and pneumonia; on the southern frontier of Texas one in sixteen, with one or other of these diseases; at Baton Rouge, one in seventeen; on the western frontier of Texas, one in nineteen; on the west coast of Florida, one in twenty-one; on the east coast of Florida, one in thirty-nine."
The hints to health-seekers which close this little work are excel. lent, and enhance decidedly the value of this guide-book, which is one that may be recommended in strong terms to all who have thoughts of visiting Florida.
TRANSACTIONS OF THE MEDICAL SOCIETY OF THE
STATE OF PENNSYLVANIA, AT ITS TWENTIETH ANNUAL SESSION, HELD AT ERIE, JUNE, 1869.
Philadelphia: Collins, Printer. Pp. 557. 8-ro.
This is a volume which reflects honor upon the Society from which it emanates. It contains much matter of great interest. The reports of committees are drawn up with singular ability, and show the members of the Society to be working men, with learning and training in their profession, and zeal to promote its highest interests.
The address of the President, Dr. John Curwen, has for its subject Mental Insanity, and is a far more readable production than most inaugural addresses, for the reason that it is thus devoted to a specific subject. It is a sensible and instructive paper, on a subject concerning which it would be difficult to bring out anything new.
The first report is on Intemperance as a disease. Dr. Joseph Parrish is chairman of the committee, and whether the report is from his pen or not, it is a very able one. Intemperance, in the judgment of the committee, is not a disease, and in that opinion we fully concur. Still the habit is one which calls for treatment in institutions for inebriates. The committee reports that from thirty to fifty per cent. of cases of alcoholic intoxication are curable, and that ninety per cent. of opium cases may be cured.
The second report is on the admission of patients into insane asylums, and suggests some wise modifications of the plan which has been in operation in all the asylums of Pennsylvania ever since Dr. Franklin was one of the managers of the Pennsylvania Hospital.
The report on the inspection of drugs is a valuable one. Physicians and patients are alike interested in securing genuine medicines, and we shall be glad if our Pennsylvania brethren can bring about a system by which spurious drugs may be driven out of the market.
The “Training of Nurses" is the subject of a report from the practised pen of Prof. Gross. We confess that it interests us less than any other in the volume. Is it true, as the doctor, we think, somewhat dogmatically asserts, that "mothers, in ninety-nine cases out of a hundred, are totally ignorant of the first principles of nursing, and therefore wholly unfit for the discharge of so sacred a duty?" If it is, and if it is also true, as he affirms, that "good nursing is often in
It is a re
comparably more valuable to a sick man than the most skillful medication"—that “it is the right hand of the medical practitioner," we are at a loss to account for the recovery of so many sick people. If "good nursing is half the battle,” and bad nursing prevails in ninetynine cases out of every hundred, it is a wonder to us that the sick are not nearly all killed.
A case of Rupture of the Uterus, reported by Dr. J. McConaughy, follows the report of Prof. Gross.
We like the next report. We accept its conclusions. port on the “Use of Stimulants by the Profession,” and the authors condemn, in strong terms, that practice which in late years has become well nigh universal, of prescribing alcoholic stimulants in every variety of diseases. We think the advocates of this wholesale use of stimulants will find it difficult to answer the argument of this admirable report.
Dr. Benj. Lee describes, in the next paper, a new instrument for the treatment of lateral curvature of the spine; and to this succeed the reports of County Societies. These reports are full of interest, having been laboriously prepared. Their authors have studied carefully the medical matters of their several counties, and present to the State Society a body of statistics which will prove of great value to the medical historian. This plan of bringing out the medical topog. raphy and medical statistics of the various counties of a State strikes us as worthy of general adoption. A mass of most instructive matter might in this way be accumulated by the Medical Societies of the sereral States.
A COURSE OF PRACTICAL CHEMISTRY, ARRANGED FOR
BY WILLIAM ODLING, M. B., F. R. S. Fellow of the Royal College of Physicians, Lecturer on Chemistry at St. Bartholomew's Hospi
tal. Henry C. Lea: Philadelphia. 1869. Pp. 261. 12-mo.
The object of this work is fully set forth in its title page. But the medical students for whom it was written are not those who are in attendance
upon the lectures at the medical colleges. It is not a text book, but a manual for the laboratory, or for the practitioner who wishes to apply chemical science to the solution of problems arising in
his practice; and for these purposes it has been prepared with admirable judgment. It is at once concise and intelligible. With this volume in his hand the physician is prepared to determine what is present in abnormal urine, and to make such an investigation as may satisfy him of the presence or absence of any suspected poison. Every student of medicine should place it in his library, to recall what he may remember but faintly of the chemical course, and more especially to guide him in those investigations which he will have occasion to make after he enters upon practice.
THE MEMBRANA TYMPANI IN HEALTH AND DISEASE
ILLUSTRATED BY TWENTY-FOUR CHROMO-LITHO. GRAPHS.
DR. ADAM POLITZER, of the University of Vienna. Translated by A. MATHEWSON, M. D., and H. G. Newton, M, D., Assistant Surgeons of the Brooklyn Eye and Ear Hospital, Members of the American
Ophthalmological and Otological Societies. New York: Wm. Wood & Co.
This volume certainly contains all that can possibly be said in reference to the minute organ in question. The author considers all the appearances and conditions, in reference to their diagnostic value especially, and his careful elaborations will be found extremely useful as a guide to the objective diagnosis of aural disease.
The nature of the book is such that a synopsis would afford little profit to the reader; but as a whole, we recommend it to those who desire to be au fait on aural science and art. A few practical points may be noticed, however. As a substitute for the more costły artificial ear-drum, a disc of thin vulcanized rubber, with a small wire from the centre an inch or more in length is suggested. Open perforations more than a line in diameter rarely heal. Calcareous deposits in the membrane may exist without impairing the hearing. They are found sometimes in ears supposed to be normal. In chronic inflammations of the middle ear, as an astringent, a solution of sulphate of zinc is preferred, to be used by allowing the external meatus to be filled with it for ten minutes twice a day. When no perforation exists, the blowing of weaker saline solutions, such as chloride of sodium, muriate of ammonia, &c., through the eustachian catheter is recommended. In
acute inflammation of the middle ear, when the pain is excessive and persistent from retention of secretions, the author punctures the membrane with a cataract needle. The relief is speedy, and the perforation goon heal.
The translators are worthy of praise for the able manner in which they have done their work.
W. H. R.
A TEXT BOOK OF PRACTICAL MEDICINE, WITH PARTIC
ULAR REFERENCE TO PHYSIOLOGY AND PATHOLOGICAL ANATOMY.
BY DR. FELIX VON NIEMEYER, Professor of Pathology and Therapeutics, Director of the Medical Clinic of Tubingen. Translated from the seventh German edition by Geo. H. HUMPHREYS, M, D., and Chas. E. HACKLEY, M. D. New York: D. Appleton &
Co. 1869. Two volumes. Pp. 731, 761.
Another work on practice! We doubt not many of our readers will join us in the exclamation, and think of the complete works of Wood and Aitken, the "system" of Reynolds, and the admirable and unequaled compendium of Flint, as sufficient in this line. Yet we have no regrets at the appearance of another candidate for professional favor, but rather find good reasons for giving this new comer a cheerful and hearty welcome. In no part of the world is clinical medicine studied with more ardor, more patience and pains-taking perseverance than in Germany; no where are the effects of remedies being submitted to a more minute scrutiny; nowhere else is elementary pathology undergoing a more thorough re-investigation, and, we may add, passing through a greater revolution. It is well, then, to have a representative of this modern German school in our language, and thus accessible to all. The author is a worthy representative of that school; his reputation as a clinical teacher is among the best of his country, and the fact that this translation is from the seventh edition is sufficient evidence of the estimation of the book and the man at home.
The work is a complete and methodical treatise upon practice. For the information of those who may not have an opportunity to examine it, we will say that it begins with diseases of the throat, passes on to those of the respiratory and digestive organs, and ends with the constitutional diseases. There is to be noted, then, an absence of any introductory treatise upon general pathology, such as prefaces the