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reported by H. X. Boer in 1808. The patient was a woman, aged 40 years, who suffered from epileptic fits, and during a married life of twenty years had given birth to thirty-two children in eleven pregnancies. Twice she gave birth to quadruplets, six times to triplets, and thrice to twins. Twenty-six of the children were boys, six were girls. Twenty-eight were born alive and four dead. Her first pregnancy was at the age of 14 years and resulted in quadruplets. The mother herself was one of quadruplets, and her mother had a family of thirty-eight children, and died in the puerperium after giving birth to twins. There was an hereditary history of plural births on the father's side, he being himself a twin.-University Medical Magazine.
INGUINAL HERNIA CONTAINING A PREGNANT FALLOPIAN TUBE.
Jordan (Munchener medicinische Wochenschrift, No. 1, 1897) reports the following case from Czerny's clinic in Heidelberg: The woman had undergone several operations for pyosalpinx and vesico-vaginal fistula. The pyosalpinx had ruptured into the right broad ligament, the pus finding its way under Poupart's ligament where it had been evacuated, leaving a scar. The patient had been seized with severe abdominal pain and repeated vomiting, and suspecting pregnancy had visited the clinic for examination. Upon admission she appeared very anemic with a pinched face and rapid pulse. Above the scar in her right side was a swelling as large as a fist and tympanitic on percussion. Below the scar was another tumor smaller in size, soft, and nonreducible. A third swelling was found to the outer angle of the scar corresponding in position to the internal inguinal ring. This was the size of an apple, soft, irreducible, and painful on palpation. High rectal enemas were administered and resulted in neither stool or flatus. Purgatives were not retained. Operation was decided upon two days after admission on account of increasing severity of the symptoms of intestinal obstruction. An incision was made parallel to Poupart's ligament showing a hernial sac containing a large mass of blood-clots, a fetus about three months old, the uterine adnexa, and coils of intestine. The wound was cleaned as much as possible and tamponned with gauze. The vomiting continued and death occurred the following day. It was found by autopsy that the intestinal obstruction was
caused by numerous adhesions which were beyond surgical relief. -University Medical Magazine.
OVARINE IN THE TREATMENT OF DISTURBANCES FOLLOWING OOPHORECTOMY AND THE MENOpause.
The Gazette hebdomadaire de medecine et de chirurgie for December 13th states that Dr. Mond (Munchener medicinische Wochenschrift, 1896, No. 36) reports twelve new cases in which ovarine was employed, and says that in every case the effect of the treatment was remarkable. There was progressive attenuation of the disturbances from the beginning of the third or fourth day, followed by their complete disappearance at the end of ten or twelve days.
The quantity employed was ten tablets a day, each containing eight grains of fresh ovarine substance. The author advises the employment of large doses in the beginning, which may be progressively diminished and increased again if the dose seems to be insufficient. Dr. Mond states that he has never seen the least symptom of poisoning in any case.
In several cases he substituted for the ovarine tablets others which had the same taste, the same color, and the same appearance, but contained only meat extract and salt. The administration of these tablets was regularly followed by the return of all the troubles. The real ovarine tablets evidently did not act by suggestion.-New York Medical Journal.
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ANNUAL COMMENCEMENT EXERCISES OF MEDICAL DEPARTMENT UNIVERSITY OF NASHVILLE.
The Forty-sixth Annual Commencement of this time-honored institution was held at the Theatre Vendome March 24th.
The theatre was filled from pit to gallery; even standing-room was at a premium. It was an audience unusual in size for such an occasion, and it was remarkably attentive.
The Faculty were seated on the stage, arrayed in classic cap and gown. Besides the Faculty, a number of the Trustees of the University, Chancellor Payne, Governor R. J. Taylor and Dr. Hawthorn were on the stage.
The exercises were opened with prayer by Dr, J. B. Hawthorn.
Mr. J. G. Johns, of North Dakota, delivered the Valedic
tory Address, proving himself an orator of no mean ability. The address is given below:
THE VALEDICTORY ADDRESS.
"To-night another class in medicine completes the course; and we, its members, are assembled here for the last time, to receive our credentials, and to listen to the last words of counsel and good wishes from those who have in the past wrought so earnestly and faithfully in our behalf. And before we break the charm that has hallowed our associations during these three years of student life and go severally to take up the labors of our chosen profession, it may not be out of place for us to take a cursory restrospective view of the field that we are to enter; to note some of the perils that will beset us.
"We live in the morning of scientific medical research. The investigator has just begun to probe some of the secrets of nature. When some daring spirit shall have pierced the darkened mysteries of myriad germs and their resulting ptomaines and shall have found the forces to antagonize them, or shall be able to tell us from whence it comes or where it goes, then and not till then will the first great triumph of man over nature be accomplished.
The investigator in the field of medicine must possess a power of communicating to his fellows his own enthusiasm; a power, the nature of which we cannot analyze save by its effects; a power born of all the high and noble qualities of a manly character exemplified in an unselfish, ever-ready spirit to go at the command of duty regardless of consequences, And without this power, though all other elements of character be favorable to success, he must fail. Inconceivable are the sufferings men have undergone, innumerable are the dangers to which they have exposed themselves, incomprehensible the enthusiasm, the devotion to purpose, which have bouyed them up and carried them on successfully in their labors for humanity.
"But what reward does the medical investigator reap? The soldier, dying while fighting bravely for his country, is cannonized at home and his name lauded in distant lands. Sculptors chisel the commemorative statue, and it long stands among men, a witness to his bravery; yet more, in song and story the soldier
lives again. Is such the reward of the physician? Ask Edward Jenner, who with signal devotion spent his life and fortune that you and I and all mankind might be immured from that dread destroyer, small-pox. Ridiculed alike by his profession and by the laity, he patiently toiled on, and with what success? Let the multitudes who filled untimely graves before his time, or better, let the greater number who have since enjoyed the blessing of his protection, make reply.
"But we need not turn to the past for inspiration, for the future of medicine is limited only by the possibility of perfection and even now from all points of the compass come the cries of struggling victims imploring aid.
"And here is our field of work, for so long as there is suffering by disease, our call to duty is as clear as the soldier's call to arms; and though it be to combat dangerous infection, whose nature baffles our investigation, and though ingratitude seems our only reward, yet we must not falter or reckon with success or dangers. And what though obscurity instead of wealth and fame await, still the consciousness of duty well done, which is the highest meed of a well-spent life, will be ours; and we may be sure that our impress on humanity will not be like
"A meteor that o'erhead suddenly shines, And e'er we've said look, look! 'tis fled.'"
"Preceptors, you who have labored three years so diligently in our behalf, the class of '97 gives you greetings. Inadequate are any words of mine to give you that honest praise which is your just reward. You have been to us more than instructors; we have regarded you as our friends in whose enlarged success we have taken honest pride. You have given us our ideas and whatever success any of us may meet with in after years in it you have an ample share, for
"""You worked and watched and felt for all,
"So you, by each art of luring story and parable, have urged us on to better work and led the way. And now accept from us our grateful thanks and our best wishes for a long and happy future.
"Chancellor Payne, as the official head of our University,