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number of sick persons were taken to the Hospital. In passing over the Mountain they were in such manner seized and penetrated with the Cold in the Extremities of the Body that a total loss of Sense and also a Gangrene did

ensue.

"And," concludes the author, "had not Charity and Patience prevailed in this place and restrained us from cutting off, without further delay, Members that were only gangrened by an Extremity of Cold, the Hospital of would have been full of invalids."

There are few subjects on which Major Belloste does not touch. He believes that a very strict diet is a mighty hindrance to the cure of wounds in soldiers, who ordinarily feel more of the inconvenience of a too scanty than a too plentiful table. "Wherefore," says this man of wisdom, "give them substantial, solid food, and wine, a little allayed, should not be kept from them."

On ulcers and dislocations he has his say and also on the treatment of burns, for he has treated men so badly burned that a plaster as big as a bed sheet was scarcely sufficient to cover them and, after treatment they, "like so many serpents, were all obliged to cast and change their skin.'

The Major then touches on moral matters, telling the young surgeon that credit does not consist in emptying the shops to cure his patient. On the contrary, a surgeon ought rather, Christian-like, to be saving of the money of those who trust their very person and life in his hands. "We ought not to be bribed," he warns, "by the consideration of a mean interest to abandon the Fidelity where with we ought to endeavor the speedy cure of our Patients."

If a patient, after such good deeds on the part of his physician should be so ungrateful as not to pay the price, then, says Major Belloste, "the Surgeon may expect his reward in Heaven."

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Among other virtues required of surgeons, in order that they may be eligible for this celestial recompense, is gentleness.

"It must be owned," says the doctor, "that there are some among 'em (surgeons) that would think they had not acquitted themselves as they should unless they made those under their hands to roar out for a considerable time."

Before putting an end to his discourse, Major Belloste advises the army surgeon, because of the inadequacy of field hospital paraphernalia, to be prepared to make up simple and easy remedies with few things; and to accommodate himself at all times to dressing wounds seldom, and then only according to the right method which, in his book, he has communicated to the public in order that he may procure "a Gentle, Speedy and Easy Method for the Comfort and Encouragement of such as so generously expose their lives for the Glory of their Prince and the Good of their Country.”

He hopes that his readers will take what he has to say in "good Part and not condemn the design, the only aim of which is the Glory of God, the Comfort of the Afflicted and the Perfection of Surgery."

Thus does Surgeon-Major Belloste (in a fat little volume that stands on the book-shelves of Dr. John Mason Little's offices, in Marlborough Street, Boston,) warn all young surgeons against the Mischiefs of a Contrary Practice and set before them the Advantages of the New, Gentle and Easy Way in which he speedily cured the wounds of all those soldiers who come under his care in the Hospitals of the French King's Army in Italy in the year of our Lord one thousand six hundred and ninety (1690).

Concord, N. H.

LOUISE H. GUYOL.

How often do I sit, when day is spent,

And question what it is you find in me That causes your rare heart to wish to be, In my heart's humble name, so diligent. God knows that I do not possess a cent,

That I have neither fame nor pedigree; And yet, somehow, you seek my company, And in my presence seem to reap content.

Savannah, Georgia.

FRIENDSHIP

Viewed in the light of such a splendid fate,
Whenever it is my proud lot to hear

The high-born or the low expatiate

Concerning those whom they esteem sincere,

Or sing of friendships which are tried and true,—
You cannot wonder that I think of-You!

RALPH M. THOMSON, M. D.

THE SPINAL COLUMN

A SURGEON'S PRAYER.
(With Due Apology to Mr. Kipling.)
When the hospital's last ward is emptied
And the patients are sent away,
And the ancient building is torn down
And the orderlies gone astray,

We shall rest and faith we shall need it,
Lie down for a night or two,
Till the fine new wards are open
And we all start to work anew.

And those who were good shall be happy,
They shall operate night and day,
And the medical men may have blood counts
Up to thousands and thousands a day.

There'll be thyroids and stomachs and mastoids
And Banti's and prostates, too,
And each shall do what he wants to
And have nothing else to do.

And always the public shall praise us
And nobody blame us at all,
And each shall have plenty of money-
A Rolls-Royce at his beck and call.

And each for the joy of talking,
And each where he can be heard
Will endlessly cite his cases—
And we'll listen to never a word.

* *

*

L. M. KAY.

SPEECH FOR THE STATISTICS HOUND.

Mr. Chairman,

Gentlemen, and Fee Splitters:

Looking back upon St. Vitus Hospital's unbroken record of 26 years—and, by the way, that is the only thing that is still unbroken at St. Vitus Hospital-I recall the day when I became House Surgeon. As Dr. X will remember, I still wore knee breeches, and my parents led me to the Hospital each morning and brought me home each evening. At that time there were only 11 beds in the hospital-five of each-and 9,802 roaches. I can well recall how Dr. Y used to leave his office on Monday morning and arrive at the hospital the following Thursday, and the only operations in the hospital were those resulting from the ingestion of C. C. Pills.

The odor of sanctity of the old convent was immediately replaced by others more potent, which have hung about the building even to this day.

In these 26 years, gentlemen, we have had no less than 9,666 cases of appendicitis-ranging in price from $50 up to even $100, in selected cases. In this period, also, some 8,972,6211⁄2 cases of hemorrhoids, complicated by whiskers, were operated upon-of which not more than 66 2/3 per cent. were repeaters, returning for second, third and even fourth operations, thus demonstrating their entire satisfaction with the Hospital.

Of the cases of appendicitis above referred to, in 473,146 per cent. roughly 29,444, it is interesting to note that the appendix was located, finally, on the right side whereas many cases of hernia were left. In these 26 years, no less than 410 miles of rubber tubing, and 9,701.6 miles of cigarette drains were inserted into wounds, most of which, I hasten to add, was recovered.

To sum up: Adding all the foregoing statistics together and multiplying by 26 years, we arrive at the enormous total of 8,967,621,842, which, figured at the The Pickwick Post-Prandial Oratory Course, or Toast- prevailing rate of $9 per 8-hour day, exactly balances

LESSON NO. 2.

Mastery Simplified.

As every medical society and group of alumni of hospitals numbers among its members at least one man who is a fiend on statistics, (you know, the guy who always talks in numbers) the Banquet Committee should have no difficulty in assigning the following TYPE II, Alumni Dinner Speech. A set of appropriate charts to accompany the lecture, graphically illustrating the telling points, may be obtained from our Service Station.

the amount of money owed the United States by its allies, or, more graphically, if placed end to end, would reach from St. Vitus Hospital to the Moon, if they were not so far apart.

As the oldest graduate of St. Vitus Hospital, I deem it my right and privilege to enumerate the advances made by my fellow-members of the Alumni. Of the steen hundred graduates of the Highest Hospital in the City, no less than 82 per cent. have telephones in their offices,,

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All matter printed in THE MEDICAL PICKWICK, unless otherwise specified. is contributed exclusively to this magazine.

Address all communications relating to editorial matter to the Editor, who will be pleased to consider manuscript suitable for publication in THE MEDICAL PICKWICK and will return those unavailable if postage is enclosed. He is not responsible for the opinions of contributors.

All manuscripts and communications of a business nature should be addressed to Medical Pickwick Press, 15 East 26th Street, New York City.

Subscription price in the United States, $3.00; Canada, $3.25; Foreign, $3.50. Single Copies, 35 cents.

Copyright, 1920, by Medical Pickwick Press.

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practicing in Switzerland, who was overtaken, on his way to visit a patient critically ill with influenza, by a messenger who informed him that his son had met with an accident, resulting in a fracture of the skull.

It was reported that the physician hesitated for a moment, undecided whether to go on or to return to the side of his injured child.

He hesitated for but a moment, however, and then went on to his original destination.

When he returned his son was dead.

At once there arose an interesting discussion in the colunms of the lay press as to where his steps should have led him in the given circumstances.

It is certainly an interesting topic for discussion. Those who believed that he pursued the right course, felt very strongly that he had been governed by duty and had not allowed himself to be controlled by sentiment.

Therein he had upheld the highest and noblest tenets of the medical profession as understood by them.

Those who contended that he should have abandoned the patient awaiting him, leaving her care to another, and

that he should have hastened post speed to the side of his stricken son, urged that paternal instinct and love should have been the dominating and deciding factors in the case, and that they would be in the case of most men.

Even these latter seem to concede that the finger of duty pointed but in one direction and that that one was toward the original patient.

In short, both sides agreed on what his obligations really were to attend the influenza patient first-but the debators in the one case felt that he had cogent reasons for dereliction of duty.

Thus the spectacle was presented of logic opposing logic peering through sentimental glasses, and, of course, logic proved the victor.

The French physician was vindicated in his behavicr. Upon closer analysis it would seem that two other points might appear which would question this premise as to which way lay his duty.

First, between two patients, requiring the physician's aid, had the one established a moral claim of priority in the fact that the doctor was on his way to visit her?

Should he not have been governed entirely by his estimation of the relative necessities and urgency of the respective cases?

If despairing relatives awaited him at the bedside of the grippe case at a promised hour, it might have required considerable moral strength to explain later that he had been diverted by a more urgent case but it would have demanded much greater courage to add that the victim happened to be of his own flesh and blood.

Surely in such circumstances his duty would have led him back.

The second point that occurs to us is this: as a physician he well knew that since his son had suffered a fracture of the skull his presence as a parent might be acutely necessary to give consent to an operation which could not permit of delay.

Thus his duty as a father and his responsibility as a physician to act for his incompetent patient called loudly to him to retrace his steps.

It may be true, and it probably is so, that the physician whose action is being discussed, considered all of these things and concluded as he did because there were other factors of which we know nothing.

We are not discussing him but rather those who have decided the proprieties of the act upon the evidence adduced.

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