One other case I will report was a case of ozena of several years' standing. Young lady, aged eighteen years, was brought to me. She had been a sufferer for several years, having been treated. by several physicians at home and by one specialist who had operated upon her, removing the turbinates and cauterized with no success. I found her in a most pitable condition from the ulceration. Discharge profuse, greenish yellow and of the most offensive odor. Frequent nosebleed, hearing badly impaired in the right ear; flesh very much reduced; genThymoline, 50 per cent solution, treating eral health bad and with a tubercular history making the prognosis very unfavorable. I ordered her to use locally Glycoher at my office with an atomizer every other day and having her use it at home with the K. & O. douche. I also put her on tonic treatment. While treating her at the office the third time she blew from the nostril a mass of decomposed flesh containing pieces of dead bone, which was expelled with difficulty, followed by a severe hemorrhage. After this her improvement was rapid and continuous, resulting in her complete recovery in less than two months. I have used this treatment in numerous cases, and always with eminent success. I have no reason to change. Glyco-Thymoline is certainly the ideal alkaline antiseptic, and I am glad to recommend it to all my fellows in the treatment of all catarrhal diseases.— H. M. Marsh, M. D., Auburn, Ky.

A good many physicians realize the value of effective tonic medication during that rather variable period in a woman's life known as the climacteric. The tendency to the psycho-neuroses when such a patient's general vitality is low, emphasizes the necessity of bringing the nutrition and general health to as nearly normal point as possible. As a usual thing to the extent that this can be accomplished, to that extent the recognized dangers can be averted. Extensive clinical experience has proven beyond controversy that no remedy has a broader field of utility as a general reconstructive and restorative than Gray's Glycerine Tonic Comp. Under its administration the digestion improves, absorption

and assimilation are increased, and proper elimination promoted. The nervous system is rapidly toned and helped to reocver its balance. Thus its resistance to dangerous influences is promptly raised, and the woman undergoing the "change of life" instead of drifting into a condition of permanent invalidism, and becoming a confirmed neurotic, is able, through a re-establishment of her vigor and strength, to look on her symptoms as simply incidental to a physiological process. Greater reliance, therefore, on the tonic influence of Gray's Glycerine Tonic Comp. and less resort to bromides and opiates, has saved many a woman from neurotic maladies that are worse in many respects than death itself.

AUTOCHTONOUS URETHA CALCULI; REPORT OF A CASE. Harry Atwood Fowler of Washington, D. C., says that cases of urethral calculus are somewhat uncommon. In the majority of cases the calculus is formed above the stricture and slips down to it, becoming impacted, thus being secondary. It is generally found in the fossa navicularis, bulbous portion of the urethra, or prostatic portion. The trouble may begin with sudden excruciating pain which demands. immediate relief. Again the calculs is well borne for a long time, and then severe symptoms supervene. In a third group of cases the calculus grows gradually after reaching its place unit it becomes very large. Again it lodges in the urethra, and slowly penetrates the periurethral tissues until it lies outside the urethra. Primary urethral calculi develop in the urethra or in a diverticulum of it. The diverticula may be congenital, in which case the calculus occurs in a child; or acquired, from dilation of the urethra or injury of it; these occur in adults. To indicate the origin of the calculus the author proposes to use the terms autochthonous, heterochthonous, and amphiochthonous. Symptoms vary with position, origin, and size of the calculus. They are due to the foreign body blocking the urethra. Treatment consists of operative removal. The author gives interesting illustrative cases.-Medical Record, Aug. 1, 1908.

TO A SKELETON.

(The manuscript of this poem was found in the museum of the Royal College of Surgeons, in London, near a perfect human skeleton, and sent by the curator to the Morning Chronicle for publication. It excited so much attention that every effort was made to

discover the author, and a responsible party went so far as to offer a reward of fifty guineas for information that would discover its origin. The author preserved his incognito.)

Behild that ruin! 'T was a skull
Once of the Ethereal Spirit full.
This narrow cell was Life's retreat,
This space was thought's mysterious.

seat.

What beauteous visions filled this

spot!

What dreams of pleasure long forgot! Nor hope, nor joy, nor love, nor fear, Have left one trace of record here.

Beneath this muldering canopy
Once shone the bright and busy eye;
But start not at the dismal void-
If social love that eye employed,
If with no lawless fire it gleamed,
But through the dews of kindness
beamed,

That eye shall be forever bright
When stars and sun are sunk in night.

Within this hollow cavern hung
The ready, swift and tuneful tongle:
If falsehood's honey it disdaine,
And when it could not praise, was
chained;

If bold in Virtue's cause it spoke,
Yet gentle concord never broke-
This silen tongue shall plead for thee
When time unveils Eternity.

Say, did these fingers delve the mine?

Or with the envied rubies shine?
To hew the rock or wear the gem
Can little now avail to them.
But in the page of truth they sought,
Or comfort to the mourner brought,
These hands a richer meed shall claim
Than all that wait on wealth or fame.

Avails it whether bare or shod
These feet the paths of duty trod?
If from the bowers of Ease they fled,
To seek Affliction's humble shed;
If

Grandeur's guilty bribe they
spurned,

And home to Virtue's cot returned, These feet with Angel's wings shall vie And tread the palace of the sky. -Unidentified.

THE RATIONAL TREATMENT OF SPLANCHNOPTOSIS. J. Madison Taylor of Philadelphia, Pa., gives as casual agencies in producing splanchnoptosis, fatigability, all conditions that result from lowered vitality, exhaustion states, interference with the caliber of the blood-vessels, etc. The causes lie far back in the origins of growth and development. A neurasthenic tendency is at the root of them all. They may be hereditary or acquired. The usually blamed factors, such as pregnancy and digestive troubles, are simply efficient instrumental, not primary, causes. The primary defects, local or constitutional, must be corrected in order to obtain a cure. We must overcome loss of nutritive vigor in the vasomotor centers of the cord, impairment of nutrition in the internal structures, and relative weakness of the abdominal muscles. Intestinal putrefaction and constipation must be overcome by regulated diet. Replacement of the organs must be followed by massage by an operator who has been specially instructed by the physician. The normal supports must be stimulated and educated, and lymph stasis and vascular congestion must be overcome. Systematic breathing exercises will develop the diaphragm and abdominal muscles. They should be combined with exercises promoting flexibility of all muscles and joints. In the line of artificial supports it is necessary to have an apparatus that shall keep the pelvis in a horizontal, not a tilted, position. It must not press upon or weaken the normal supports, or the vessels, but must take its point of support from the hips and thighs below the abdomen. Dr. Longtreth's belt and corset is described and recommended as the best form of support to fulfil these requirements.-Medical Record, October 17, 1908.

INFLUENCE OF OVERWEIGHT AND UNDERWEIGHT ON VITALITY.

Brandreth Symonds of New York describes the tables that have been constructed to indicate the proper weight for individuals of a given height and

age, and their relation to mortality. The mortality increases markedly as the weight rises more than twenty per cent in execess of the normal, for all heights and weights above thirty years. Overweight is a more serious condition than underweight. The excessive weight, whether fat or muscle, is not a storehouse of reserved strength

but a burden to be nourished is muscle, and markedly interferes with nutrition. and function, if fat. This does not apply to persons under twenty-five years of age. There it indicates hypernutrition. Underweight among young people is unfavorable, and may indicate diseased conditions beginning. These are especially susceptible to tuberculosis. In those over thirty underweight is less important.-Medical Record, Sept. 5, 1908.

DIAGNOSIS OF GASTRIC ULCER

Pain may be ab

Dudley Roberts of Brooklyn, New York, says that the characteristic picture of gastric ulcer is rare. We must be able to diagnosticate it without the presence of all the symptoms. In the classical picture we have pain, sharp r burning, located just below the ensiform cartilage. appearing regularly from one-half to two hours after each meal, and absent when the stomach is empty. Exquisite tenderness located in the same area is present. Vomiting occurs in only 60 per cent of cases. Hematemesis is not frequent, the blood being more often recognized in the stools by blood tests. sent for long periods. Diffuse pain speaks against pure ulcer. Sometimes pain occurs long after the meal and awakens the patient from sleep. Such pain comes from reflex pylorospasm when the last of the meal is apssing from the stomach over the ulcer. Constant pain, or pain appearing before breakfast. is rarely due to ulcer. Tenderness is present early, but in later stages of chronic ulcers is often absent. Hyperchlorhydria is contributive evidence of ulcer. Hypersecretion is constant in ulcer. Repeated examinations of the stools for blood should be made.-Medical Record, October 17, 1908.

VOL. XXXI. No. 12.

Whole Number 348.

*PRESIDENT'S ADDRESS.

T. E. HOLLAND, M.D.

Hot Springs, Ark.

Members of the Medical Association of the Southwest; Ladies and Gentlemen:

Conceived in Kansas City, born in Oklahoma, having ended its first summer in Hot Springs, Ark., this child of fortune, the great Medical Association of the Southwest, returns today to receive parental blessings.

It is but mete that we should remember the why of the wondrous meeting which made its life possible as well as reason together at this time as to the duties of the future life of this youth.

First-There was a need; then came the "voice"; then came the men.

The need-Our great United States comprises such vast expanses that it is impossible for the American Medical Association, with all its power for good, to touch all individuals. Again, the medical profession has produced and is producing so many good men in their various lines, so many great teachers who know the needs of their sections so well, and would minister to them. These men, realizing it is well nigh impossible to teach or co-operate in the sections of the American Medical Association, have deemed it nec

*President's address delivered before the annual meeting of the Medical Association of the Southwest at Kansas City, Oct. 19, 1908.

essary to bring into existence an association of a more circumscribed number of co-workers; so the Medical Association of the Southwest was formed, not as an abridgment, but as an adjunct to the good work already accomplished by the American Medical Association.

On account of geographical conditions it is but natural that the states comprising this association should bind themselves together for the diffusion of medical knowledge peculiar to their sections as well as to foster fraternal relations among the members.

There is always a "voice" to which the people will respond-the cry of a real man to his fellows. Thus the "voice" and the "need" met, and of this meeting was born this child of love, the Medical Association of the Southwest. Because it is, as it were, the Benjamin of Associations, we must foster it and make it a power for good. Through it educate ourselves, our section, and the whole people, upon lines. which shall make for the two highest objects of every living thing-to perfect and reproduce itself.

The idea of organization is almost as much enveloped in obscurity as life. itself with which it is so closely connected. It is observable that a living body is entirely composed of organs and those of other organs and so on to elementary cells; also that all the parts are mutually dependent on each other, and therefore an organization has been defined as a natural whole in which all the parts are reciprocally to