ficulties. They were treated until the obstructing calculi made its way into the bladder. Occasionally the calcul became lodged in the ureter and failed to make their way into the bladder. I remember ten years ago of making an autopsy on a man 72 or 73 years of age, and the attending physician had made no examination of the prostate gland and based his diagnosis on the symptoms, and his desire to pass water. At the time of the autopsy there were two strictures near the bladder, and those were dilated to more than double the size of the finger of a large man, and were extremely thin, and the ureters lay there like large ropes. There are frequently no doubt diseases of these tubes that are not suspected. The operative measures that have been resorted to for the relief of this difficulty have come about by accident and the abdominal surgeon has been in a study for the removal of tumors and other operations. Tumors, however, are not the only occasions in which the system is in danger. I have in mind now a case in which the ureter is caught, a little hemorrhage was discovered and was found to be controlled and nothing was suspected in regard to the urine. In the course of four or five days it was noticed that the urine was thickening from the womb. It was ascertained that the urine did not come from the bladder, but from the left ureter. The woman is living today, and still passes about one-half of the urine from that fistula. Whether it was feasible or not at this date to relieve that condition, I do not know. There is a great deal of difference in opinion, although I think the paper fairly stated the opinion as far as settled in regard to ligation of the ureter.

It requires further experimentation perhaps on the lower animals and a large experiment in human surgery in order to definitely settle this question. Where the stricture lies near the bladder, we can nearly always make a diagnosis by drawing the uterus down slightly to determine at least whether there is any obstructing material. I think that all these measures ought to be exhausted before laparotomy is made. In the female of course more can be done by passing probes through the bladder and sometimes

protecting them just as we would in any other locality in which we use the probes.

DR. DAVIS closes discussion.

I have very little to say except to thank the gentlemen for the kind discussion. At the time the case was progressing I expected to have some experiment so far completed that would be prepared to publish it, but did not feel that enough time had elapsed for experimenting.

I found I have one dog living now, thriving nicely upon which I did a ligation of the ureter about six weeks ago. The dog is doing very well and looks as if the secretion of urine was about up to normal.

(To be continued in our next issue.)

A. M. A. EXHIBITS.
Continued from page 250.

TARRANT AND COMPANY were represented by Dr. J. W. Fahr.

ANTIKAMNIA was "in it," as usual, being represented by the genial Johnny Cox.

THOMAS AND THOMPSON, of Baltimore, were presenting samples of their Liquid Pi-cine Compound.

THE LONDONDERRY LITHIA SPRING WATER COMPANY relieved the thirst of the two thousand visitors..

BORINE, the new antiseptic, made a favorable impression under the management of Messrs. C. S. Ettinger, Wm. A. Lowekamp and Dr. Thomas A. Dunlop.

FAIRCHILD BROTHERS AND FOSTER, New York, manufacturers of digestive ferments, made an attractive display, in charge of an able trio, Messrs. O. F. Letoriere, J. E. Dibblee, and H. S. Hersey.

G. B. UNDERWOOD AND COMPANY, New York. The Pulmonary Inspirator on exhibition by this company solves the safe transmission of oxygen. The exhibit was in charge of Messrs. G. B. Underwood and John Connolly.

CHAS. TRUAX, GREENE AND COMPANY, Chicago, were exhibiting the Beckman Steriliser, which is one of the best Dr.

at

for both office and hospital use. Frank Cotton Greene is an adept entertaining the physician, both at home and abroad, and he made his presence particularly enjoyable on this occasion.

REED AND CARNRICK presented a handsome plush souvenir of Baltimore to the visiting physicians, and the many friends of Mr. John Carnrick were pleased to note his presence at this meeting. The exhibit of this firm was one of the largest, and included the following well known preparations: Peptenzyme, Zymocide, Peptonized Cod Liver Oil Milk, Ferrohemol, Cordial Añaleptine, Coca Muscatel, etc.

310

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CAMPHO-PHENIQUE POWDER, successor to Iodoform, had an able exponent in the person of Mr. Remick.

SEAWRIGHT WATER-Mr. J. A. Edmondson and assistants dispensed the Seawright Magnesium Lithia Water, from the spring at Staunton, Va.

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MELLIN'S FOOD-The exhibit was model of perfection, as usual, under the guidance of the popular and effervescent Thos. Delano, Jr., and Dr. Jones.

THE SANITAS HEALTH FOOD COMPANY, Battle Creek, Mich., whose Gluten Biscuit and other products have made famous, was represented by Geo. Dowe, M. D.

K. AND M. EFFERVESCENT BROMO-CAFFEINE was on exhibition. The manufacturers, the Keasby and Mattison Company, of Ambler, Pa., are well known. J. H. Herz looked after its interests.

AND BROTHERS COMTAYLOR PANY, Rochester, N. Y., were represented by Messrs. G. E. Taylor and J. R. Lane. The clinical thermometers manufactured by this house have a national reputation for accuracy and permanency.

DR. J. F. B. LILLARD presented to the visiting profession a product that contains the three elements of life, Carbo-hydrates, Hydrocarbons, and Proteids, the combination known at Proteinol, manufactured by the Proteinol Company, 163 William, New York City.

HAYDEN'S VIBURNUM COMPOUNDNo product is better known to the profession than "H. V. C.," and no face is more familiar in the exhibit hall than that of Dr. Pollock, the able representative of the New York Pharmaceutical They are "good pair to

Company.

draw to.'

GROSVENOR-The

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prettiest pictures

and the best plasters ((Bell-Cap-Sic) were obtained from the booth of the J. M. of Boston. This Grosvenor Company firm also makes a line of rice flour capsules, which many advantages over the gelatin. Mr. J. M. Grosvenor, Jr., entertained the visitors.

possess

con

THE TROMMER EXTRACT OF MALT COMPANY, of Fremont, Ohio, was present in the person of Dr. Paul Plessner, and what he does not know about the Diastasic and inherent excellence of the Trommer Extract of Malt, which tains the soluble constituents of Canada the hypobarley malt, combined with phosphites, and its effective action starch food in the intestinal tract, would not make a very large pamphlet.

on

ROTHSCHILD BROTHERS AND COMPANY, of New York, manufacture an iron preparation that possesses many advantages for the doctor who is careful to note the idiosyncrasies of his patients. Pizzalles Elixir Peptonate of Iron is a with ten one per cent. solution mixed

per cent. of the purest cognac, the elegance and palatability of which will be The virtues of recognized at a glance. this preparation were extolled by Manager Laurence M. Heilbrun, assisted by Chas. Heilbrun.

NESTLE'S FOOD, imported by Leeming & Company, of New York, occupied a very pretty booth. Dr. Martin, the physician in charge, was "raised on it.' CAMPHO-LYPTUS, the popular Rubefacient, manufactured by Ruckersfeldt & Company, of St. Louis, is indicated in neuralgia, rheumatism, sprains and all Mr. localized pain. H. Dryer had charge of the exhibit. THE ADEPS LANAE COMPANY, New York, manufacturers of the only pure and hydro wool oil preparation on the market that is free from the many impurities of the common commercial product, made a creditable exhibit.

O.

MALT-NUTRINE is pronounced a most invigorating tonic for the dyspeptic and neurasthenic patient. Dr. Smith, of the Anheuser-Busch Co., St. Louis, made

a

very attractive floral display, interspersed with samples of his tonic.

THE CHLORIDE OF SILVER DRY CELL BATTERY COMPANY, of Baltimore, made an attractive display, under the direction of Mr. Chas. Wims. The Dry Cell Batteries are well known to the profession and are increasing in popularity each year.

DR. CHARLES MARCHAND represented the only medicinal preparation of Peroxide of Hydrogen and Glycozone, and the new and powerful antiseptic, Hydrozone. Dr. Marchand enjoys the confidence and respect of the profession of both continents.

MALTINE-One of the most prominent positions in the exhibit hall was occupied by the Maltine Manufacturing Company, of New York. The elegant preparation of Maltine with Coca Wine was dispensed to all visitors, who were well entertained by Dr. C. C. Fite and H. S. Thomas. (To be continued.)