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and vertigo, although less than a few days ago. Hypnotized. November 12th.-Practically no change in her condition.

Case 20. Male. Acute articular rheumatism, apparently nearing convalescence, but joints are stiff and somewhat painful. Sleeps well. November 5th.-Has had some pain in the lumbar region. Readily hypnotized. November 6th.--Condition about the same, possibly slightly better. November 7th.

Statuo quo. Hypnotized easily. November 8th.-Hypnotized. November 9th.-Improved. Pain and redness of joints much less. November 12th.-Is much Could not sleep last night on account of pain in knee, hip and hands. In other words, effect of hypnotism entirely negative.

worse.

Case 21. Young woman with tuberculosis or congenital syphilis. Exostosis of cervical spine. Complains of pains in neck and head, which are variable, coming and going. November 5th.-Has never been hypnotized, but was put to sleep without difficulty. November 6th.-Pain in head better.

Case 22. Middle-aged woman, very nervous, possibly a "forme fruste" of exophthalmic goitre. Complains of abdominal pain. Profound hypnosis. Pain relieved. I saw this woman hypnotized twice in addition for purposes of demonstration, and each time the procedure occasioned a slight hysterical attack, characterized by muscular rigidity and twitching, flushing of face, rapid pulse, and noisy respiration, but in each instance was controlled by suggestion.

Case 23. Woman with mitral disease, pain, palpitation and dyspnea. n old subject and readily hypnotized, but without effect on the symptoms.

Case 24. Young woman with hysteria, hemianesthesia and hemianalgesia, headaches and insomnia. Diagnosis is made of epilepsy in addition to hysteria, principally because her convulsive attacks very in character. It seemed to me that the examination was not sufficiently close and exact, and we learned a few days later from the interne of another hospital, where she had been for a number of months, that she had not epilepsy. Hypnotism failed to affect the hemianesthesia.

Case 25. Young woman with typhoid fever, supposed to be beginning of third week. No delirium, but headache and insomnia. November 7th.-Hypnotized first time rather

easily and deeply. When awakened said headache was no better. Immediately hypnotized again and told to continue sleeping. November 8th. - Temperature and pulse about the same as yesterday morning, but the patient has no headache and slept well last night. This seemed to me to be a striking and inexplicable example of the efficacy of hypnotism, but the mystery was cleared up a couple of hours later when the temperature and pulse began to fall; they were about normal by the next morning, and the patient passed on to convalescence. Case 26. A chlorotic girl with distaste for meat. She was hypnotized easily and profoundly several times without effect upon her appetite.

Case 27. Young woman under hypnotic treatment during last eighteen months for severe hysterical attacks. Has greatly improved, but is not cured. Comes for treatment about twice a week: Saw her hypnotized three or four times, once for headache, which was relieved. During hypnosis she is not unconscious.

Case 29. Middle-aged woman who formerly had daily hysterical convulsions, and at the menstrual epoch what was thought to be epileptic attacks. Hysteria has been cured by hypnotism, and the other attacks also ceased for three months, but returned two days ago, during menstruation. This patient could be hypnotized in the waking state, but it occasioned at one sitting a typical hysterical attack.

Case 30. Young girl with organic heart disease, who had been some time before brought in in hysteric narcolepsy. Hypnotized for demonstration. She, like Case 1, showed apparent amnesia, but was able, on strong affirmative urging, to relate all that had occurred during the hypnosis.

To summarize, I saw over seventy attempts at hypnotism in thirty patients, with only two, possibly three, absolute failures; one of these in a patient who absolutely refused to be hypnotized, and one in a patient thoroughly hypnotized at subsequent sittings. Doubtful success seven times in five patients, one of whom was quite susceptible at previous and following attempts, counting failures and doubtful successes together, except the one failure and one doubtful success which occurred in really susceptible subjects, we have in thirty patients six refractory, 20

per cent. Six were distinctly hysterical and several quite emotional, but it would be absurd to assume that the majority were the subjects of developed or latent hysteria. In seeking to explain this high percentage of successes as compared with the results of some other observers, especially in this country, I can not lay too great stress upon the conditions existing in Bernheim's wards.

There is absolute, instinctive obedience and submission to the physician; the patients see their neighbors put to sleep every day, it is part of the routine treatment and they take it as a matter of course, without fear, doubt or curiosity. Many good operators have emphasized the beneficial influence of example and contact, and in their practice have not separate reception and operating rooms, but always hypnotize where the other patients are waiting.

As a general therapeutic agent I found hypnotism at Nancy to be very nearly a failure as, I think, the foregoing cases show. Excepting some influence in hysteria I saw few results that might not have been better attained by other means.

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A view of hypnotism at Nancy, however cursory, would be most incomplete without some mention of the gentle and kindly Liebeault, founder of the school. One can not converse with him without soon perceiving that he is greatly attracted by the mystic and occult, and he has stored up accounts of numerous strange occurrences which he hesitates to publish because they are so incredible. Long ago, while still a "country practitioner near Nancy, he became interested in hypnotism, and twenty years ago he removed to that city, where he has ever since pursued his investigations, and treated all who would come to him, using hypnotism almost exclusively as his therapeutic agent, and he relates with great gusto how he was called by his professional brethren "the crazy doctor of rue Bellvue," but how they could not call him "charlatan, because he never advertised, never asked any one to come to him, and never charged a sou for his services. Although this venerable gentleman is well beyond the alloted three score years and ten, his enthusiasm and vivid interest in matters scientific might well be the envy of many

a younger man.

In conclusion, I wish to say that although I can not agree with Prof. Bernheim and Dr. Liebeault in many of their assertions, they impressed me as being earnest and honest workers; to the visitor they are courtesy and kindness itself, and afford him every opportunity of arriving at his own conclusions.

Venitian Building, Chicago.

Fifteen Have Died Out of Forty Cases of Diphtheria at Redkey-Public Funerals. The Secretary of the State Board of Health has returned from Redkey, where the diphtheria has been raging for four weeks. He was called there once before, and found that the Town Board had not appointed a health officer, as the statute provided, and since then the officer has not had the support necessary to stamp out the disease. Out of forty cases, fifteen have died. A town meeting was held yesterday, and steps were taken to organize a sanitary society. Secretary Hurty said that there were several cases where

funerals following death from diphtheria were held publicly, without interference by the Town Board. The excuse in one case was that the preacher objected to a private funeral. "The people of Geneva," said Dr. Hurty, "are playing with danger. There was a case of diphtheria in a hotel there, but, as the proprietor did not want to frighten his guests away, the doctor returned the death certificate as 'muco tonsilitis.' The funeral was public, and since then five more cases have broken out. The citizens deny indignantly that the disease is diphtheria, saying it is only a serious case of sore throat. The disease is diphtheria, but the denial prevents the proper steps to be taken to wipe out the disease." Press Report October 12th.

A heaping tablespoonful of washing soda to a quart of water is the proper proportion for the solution in which instruments should be boiled for sterilization. Do not boil non-metallic sutures in this liquid, for it will very greatly weaken them. Do not boil an aluminum instrument in this liquid, for it will be corroded. and completely ruined. Silk sutures and aluminum instruments may be sterilized by boiling in 5 per cent. carbolic.-International Journal of Surgery.

Proceedings of Societies.

Marion County Medical Society.

(MEETING OF JUNE 16, 1896.)

In the absence of the president and vice-president, Dr. Hadley was called to the chair. Reading the minutes for the preceding meeting was deferred till the next meeting. Members present were Drs. Haslep, Stockton, Hervey, Hadley, Dunning, Todd, Morris, Bell, Reyer, Burckhardt, Robinson, Ross and Wynn. The essayist was Dr. Marie Haslep, on "The Practice of Medicine in the Orient." The paper was briefly discussed by Drs. Todd, Morris and Bell. Adjourned.

(MEETING OF SEPTEMBER 29, 1896.)

In the absence of President Lash, the meeting was called to order by VicePresident Cook. The minutes of the previous meeting were read and passed without objection. Members present were: Drs. Cook, McLeay, Harvey, Rice, Bell, Pantzer, Masters, Barnhill, Wilson, Ritter, Browning, Morgan, Kolmer, Moffett, Martha J. Smith, and Noble.

The evening program consisted of a paper by Dr. Guido Bell, his subject being, 'The Influence of a Short Umbilical Cord on the Delivery of the Child— a new Symptom of the same." leaders in discussion, Drs. Maxwell and Pfaff, being absent, the chair called upon Drs. Pantzer and Morgan to lead in their stead.

The

The subject was further discussed hy Drs. Masters, Barnhill, Moffett and Wilson.

(MEETING OF OCTOBER 6, 1896.)

The meeting was brought to order promptly at 8:30 with Vice-President Cook in the chair.

The minutes of the previous evening were read and passed unaltered.

There were present Drs. Cook, Barnhill, Morgan, Dunning, W. H. Wishard, Rice, Seaton, Pantzer, Bell, Pfaff and Noble.

The Judicial Council reported favorably upon the applications of Drs. Wm. H. Seaton, Henry W. Furniss and Fred R. Charlton for membership in the society.

In pursuance of the regular order of

the program, Dr. Dunning reported a case of ectopic gestation which had been diagnosed by Dr. John Hooper, of Rushville, before rupture, and at about the sixth week of development. The faradic current was applied three different times, but with no further effort than the temporary relief of pain. The operation which was in every way successful, showed that there had been two ruptures of the tube; one into the broad ligament, which had partially organized, and the other into the abdomen. The case as recited is further proof of the proposition. that ectopic gestation as soon as recognized requires immediate surgical intervention.

Dr. Pfaff presented specimens of two cases, the first was that of an intra-mural ectopic gestation which was removed without rupture of the amniotic sack; the second was a carcinomatous kidney. The special interest of the latter being in the advantage gained by its removal through the trans-peritoneal route, the incision. extending almost the entire distance from the ensiform body to the pubes.

DR. PAVTZER: In the removal of your first specimen, what arteries had you to contend with?

DR. PFAFF: Compression by clamps of the ovarian artery was sufficient to control the hemorrhage. The bleeding was nothing like so severe as I had anticipated. I had intended to leave the decidua in situ, according as I believe to the latest advices on that subject, but in cutting down upon the tumor I happened to come directly upon the pla

cental site whose venous sinuses were of course opened up. But with my fingers hastily dissecting out the sac, I was able to remove the whole en masse, and was very much gratified to find that the vessels contracted and the hemorrhage took care of itself.

DR. DUNNING: I have enjoyed the report of the cases presented by Dr. Pfaff. Especially beautiful is the specimen of ectopic pregnancy with its amniotic sac unruptured and the foetus floating within. So far as the foetus is concerned, this is a normal pregnancy which presents many points of interest to the embryologist. As to the operation for the removal of this particular kind of extrauterine gestation, there are two methods:

Tate advises total exterpation of uterus, as one method, while Martin advises simple myomectomy as another. By myomectomy he

means the removal of such of the uterine mass

as will admit of the perfect coaptation and suture of their walls as in Caesarean section. I once operated upon a case in which I did not follow either of these methods. The partition between the sac and the uterine cavity was so thin that I pushed my finger through with great ease. This, together with the drainage gained above by stitching the sac cavity to lower angle of the wound, gave me drainage below.

I have operated seven times for tumors of the kidney and have been fortunate in gaining six recoveries. They are most always attended with hydronephrosis. I removed a sarcomatous kidney from a woman fifty-five years of age, over one year ago, who is still living.

Dr. Seaton reported a case of syphilis in which the secondary manifestations were delayed for 140 days subsequent to the initial lesion. Another of urethral chanchroid, and a third of resorcin poisoning. These were written reports, (and will be published in the JOURNAL next issue.-Ed.)

Dr. Morgan recalled a case of quinine poisoning, in which only six grains had been taken.

Dr. Bell reported his faith in the virtue of Armour's Glycerine Extract of the Red Marrow of Bone. He had used it with marked success in three cases in his private practice.

Dr. Pantzer showed scissors purchased while abroad, which were so constructed as to draw the object being cut towards the angle of jaws rather than from it, as is the case with the ordinary kind. Society adjourned.

THOS, B. NOBLE, Secretary.

How to Write for a Medical Journal. Medical men, in their hurried reading, do not care for a long drawn out preface, nor do they attach as much importance to a minutely detailed history of a case as they once did; they prefer only the salient points which bear directly upon the purpose of the article.

For the benefit of those who would

learn, the following hints may prove useful as suggesting the importance of the subject, if nothing else:

1. In your writing be, above all things, purposeful; afterward, concise, relevant, definite.

2. The subject selected should contain but one definite line of thought; should not be trite; should be one in which you are personally interested; if argumentative, one in which you have convictions. It should be suited to your abilities and to your opportunities for forming a correct judgment of the merits of the subject treated; should be stated intelligently; should be no broader than the essay itself.

3. Make an outline of your subject; it will enable you to read up accurately and profitably; it will afford mental discipline.

4. Be careful to pay attention to the elegance of your language; to such little things as correct paragraphing and pune

tuation.

5. Above all, remember that the analytical writer is the strong writer.-New York Polyclinic.

A correspondent writes to the British Medical Journal: "A patient brought her baby to be vaccinated saying that he was quite well, and had always been a healthy child. On looking at the child I thought it looked as though a rash was coming out, so I told her to bring the baby again in a week, and then if he was all right I would vaccinate him; but before the week was out she brought him saying that a rash had come out, which an examination proved to be hereditary syphilis. On inquiry I found that the father had had syphilis. Now, had I vaccinated the child I should have got the credit for introducing the disease by vaccination, and blamed accordingly."

A cancer-jawed cow running loose on a suburban common has been found by City Sanitarian Ferguson and reported to the State Board of Health. He claims that Dr. Bolser, State Veterinarian, says the disease is not contagious, and therefore has no authority to condemn the animal's life. (The officer is mistaken or misquoted. The disease is contagious.—ED.)

His Life Depended on it.

E. R. Gunby, the Republican candidate for Governor of Florida, tells this story: “A colored man was working on the wharf in Savannah, the other day, and was paid off in silver. He put a half-dollar in his mouth to bite it and see if it was lead, and it slipped down his throat and stuck about half way down. In great alarm he ran to a surgeon and asked him to cut it out. Can't cut that out,' said the surgeon; it's got to stay there. Say, boy, are you registered? No, sah; I isn't registered,' replied the colored man. 'Well, you go and get registered right away,' said the surgeon, and vote for McKinley, because if Brvan is elected that half-dollar will be a dollar, and then you'll choke to death, sure.""

Bookbinders' Glue.

Soak four parts of best glue in fifteen parts of cold water over night, and then warm the mass slightly until it makes a clear solution. Then add sixty-five parts of boiling water, with constant stirring. In another vessel mix thirty parts of thick starch paste with twenty parts of cold water, with constant stirring, and pour the mixture into the boiling solution of glue. Add for each pound of the mass one-half drachm of carbolic acid, to prevent fermentation, and one drachm of glycerin to prevent brittleness.-Druggists' Circular.

Dr. Hamilton Resigns-Says he has Been Driven out of Office by SurgeonGeneral Wyman.

Chicago, October 14th.-John B. Hamilton, the United States Marine Hospital surgeon stationed at Chicago, has wired a peremptory resignation to President Cleveland. This action puts a new complexion on a matter which has been agitating army officers for weeks. Dr. Hamilton has not received a reply from the President. Some time ago Dr. Hamilton was ordered to the Marine Hospital at San Francisco. He objected to being transferred, and made an official protest. This protest was overruled, and Dr. Hamilton was notified that he must proceed to San Francisco forthwith. He then decided to retire from the service.

"The whole thing was worked by Surgeon-General Wyman," said Dr. Hamilton to-day. "I have been literally driven out of the service, and my retirement is doubtless just what Wyman desires. When I resigned as Surgeon-General to become hospital surgeon, Wyman became my successor, partly through my efforts, and his present endeavors to oust me from the Marine Hospital here is more than I can stand. I will not go to San Francisco under any circumstances.”

WHAT DR. WYMAN SAYS.

Washington, October 14th.-SuregonGeneral Wyman, when shown the above dispatch, declined to reply to the strictures of Dr. Hamilton, saying that the transfer was ordered simply in accordance with the regular custom of the service. It appears that the stations of surgeons are changed every four years. Dr. Hamilton, when ordered to San Francisco, had already served five years and three months at Chicago. On receiving notice of his transfer, August 25th, he protested to the Secretary of the Treasury, but his protest was overruled. Subsequently, through his attorney, he asked that the order be revoked, but the Secretary, after reviewing the facts, declined to interefere, and the order stood. Thereupon, as stated in the above dispatch, he tendered his resignation to the President. Dr. Hamilton is editor of a medical journal in Chicago, and is also a professor at Rush College there. There is little doubt but that the President will accept his resignation. -Associated Press Report.

Dr. John B. Hamilton, the able and popular editor of the Journal of the American Medical Association, it seems, is also a surgeon in the Marine Hospital Service, and, as such, is subject to orders of the head of that service. Doubtless, General Wyman, the Supervising Surgeon-General, has observed the attitude of the Association's Journal with reference to the proposed Bureau of Public Health, and made a note of it, put it away for future use, and smoked on it, leisurely. It will be remembered that a short time before his death Dr. Jerome Cochran, as delegate or representative of his State at the recent conference of State Boards of

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