a

Dr. Marshall kept a diary while on "These four men, De Tocqueville, the journey which is now valued high- Bryce, Lieber and Godkin, are like four ly. He also has many rare specimens evangelists, students of social condiof the handiwork of the Japanese in tions, discoverers of fundamental princarved ivory and various woods of the ciples, advocates of righteousness in East. Bavard Taylor, personal public affairs.

public affairs. A sagacious Frenchfriend of the doctor's, was with the man, a philosophical German, an enexpedition, taking notes, but he was thusiastic Englishmen, and a critical not allowed to use them afterward. Irishman all contributed to the eluciHe, however, wrote his “Visits to In- dation of our problems and the imdia, China, Loo Choo and Japan" from provement of our conditions. memory, which was well received.

"With these great mien Carl Schurz The doctor is seventy-six years old, will always be remembered. In some but is remarkably well preserved. lle respects he surpassed each one of practiced medicine and surgery

for them. His extraordinary versatility, many years after his return from the his ability as an orator, his skill as a Japanese trip.

writer, his position in the Senate and

the Cabinet, his readiness to spend all Carl Schurz a Truly Great Man.

his force in the promotion of right NEW YORK, Tune 5.--The recent

methods, however unpopular they meeting of the Varyland Civil Service

might be, however slow the public reReform Association was made the oc

sponse, and however complex the diffi

culties which beset him, give him the casion of a testimonial to Carl Schurz by Dr. Daniel C. Gilman, ex-President

foremost place among the adopted citiof Johns Hopkins University, who

zens of this country. said:

"Fine in his various gifts, as exem“The name of Carl Schurz will al

plified by the career of an editor, writways stand in the front rank of those

er, orator, legislator and administrator; Americans who were not born in

generous in his impulses toward

friend and foe; fearless in the battleAmerica, but who, by choice, identified themselves with American society and

field, whether combat was in the arena were devoted observers of American

of bloodshed or in the quieter but not institutions. It is not too much to as

less bitter controversies of the platsociate his name with De Tocqueville,

form and the study; always hopeful, not a resident of this country, but a

and not despondent as he looked visitor to it, and a remarkable critic of

toward the future, however dark any progressive democracy; with James

moment might be'; co-operative, sugBryce, now the illustrious ambassador gestive, udismayed, he is forever to of Great Britain, whose study of the

be commended as an example to the American Commonwealth is our best

citizens of this country, whether they manual of the character and workings

are of native or of foreign birth. of American institutions; with Francis "In the great meeting which was Lieber, one of the ablest and most held last November in New York to thoughtful advocates of civil liberty commemorate this illustrious statesand a vigorous defender of the princi- man, Grover Cleveland, twice Presiples which underlie our Government, dent of the United States, used these and with Edwin L. Godkin, founder

words: and editor of the Nation, a persistent “The man whose memory we honor advocate of civil service reform, who never knew moral fear, and never felt for nearly fifty years fought with wild the sickening weakness of moral cowbeasts at Ephesus and cleared the way ardlice. Ilith him it was only to see for others to build up and strengthen what he believed to be injustice or erthe foundations of our society.

ror to hurl himself upon its defenses with the impetuosity of a zealot and specialty, but he is a clever physician the endurance of a martyr. He did not in a general sense, and for a long time shun politics; but in his conception, po- was known as the able editor of The litical activity was valuable and hon- Practitioner. In addition to this, Sir orable only as it led the way to the Malcolm is a man of wide general litperformance of civic duty and had for erary culture. All these abilities conits end and purpose the advancement grue to a well balanced judgment, as in of principles and the enforcement of no specialty is a knowledge of the evpractices that best promoted the public ery day working of the body so necesgood . He had no toleration for the

sary

as in diseases of the skin, and genover-nice foppery that drives many

eral culture, while not absolutely eswho claim patriotic impulses away sential for the cure of disease, is of imfrom politics through fear of contam- portance to the medical man in whatinating defilement. He entered poli- ever sphere his activities may lead, in tics because he saw his duty there; developing the human side of him. and he found immunity from defile- The most widely respected and beloved ment in cleansing and purilying his physicians have always been those political surroundings.'

who, to their special knowledge have On motion of Dr. Gilman, a resolu

added' an intimate acquaintance with tion was adopted approving the move- the field of general literature, as for ment started for raising funds to com

instance, the late Professor Kussmanl, memorate upon an adequate scale the and in the present day. Wm. Osler. services and high character of Mr. We feel, therefore, that King Edward Schurz.

in selecting Sir Malcolm for the high

honor he has conferred upon him, has Malcomb Morris Kpighted.

done a graceful and wise act.

D. W. MONTGOMERY, M. D. Many will remember Malcolm Mor

In the Cal State Med. Jour. ris, now Sir Malcolm Morris, who delivered a most interesting course of lectures on Disease of the Skin under

The Typhoid Season. the Lane endowment at Cooper Medi

The typhoid season is still upon us cal College. His friends will be pleased

and a few suggestions on this topic to know that King Edward on Janu

may not be untimely. We do not be

lieve that it has ever been shown that ary first last, dubbed him a Knight Commander of the Royal Victorian

typhoid can be cut short after an inOrder. Malcolm Morris is now, there

fection obtained; but almost every one

knows that it is one of the preventable fore, Sir Malcolm Morris, K. C. V. O. This event is particularly gratifying cliseases, and that a bit of caution may

save many months of care. Food and to men engaged in the specialty of cutaneous medicine, as it is the first

drink are the well recognized carriers

of typhoid infection, and yet, within time one of their number has been knighted in England for distinguished

the past few years, there have been medical services. It is true that Eras

several well authenticated cases of inmus Wilson was also knighted, but his

dividuals who were distributors of tytitle came, not on account of scientific phoid poison to the food and drink or medical work, but because of the

consumed by others. Every safeguard donation of the Egyptian obelisk

should be taken, especially with milk which now stands on the Thames em

and water, during this period of the bankment. This is obviously a differ

year when typhoid is prevalent. ent affair.

may not be amiss to inquire of a new

domestic whether she personally has In another way this deserved honor

had typhoid or has been associated repoints a lesson. Sir Malcolm Morris is not alone an excellent man in his

cently with a typhoid case. In the case of a guest, more particularly one who has had relapses or a recent in- The Omniprosent Sexual Question. fection, it is desirable to sequestrate ar- In spite of the formidable array of ticles in which his food is served, as

books and papers and medical sermions well as all linen. Every specific which

on the vital subject of publicity of the has been suggested has failed to fulfil

sexual question, with a view to the enthe promises made for it; but it may lightenment of all classes, which have be possible, by thoroughly cleansing inundated us of late, we must realize the whole digestive tract at the begin

that the sincerity and sobriety in our ning of the least disturbance, to uproot advocacy of new and important means and dislodge a possible typloid nidus.

to stem the tide of sexual gratification It is by no means easy to say just what so as to lessen the potential eventualitype we can expect in an individual ties which may ensue, has as yet been case ; indeed, we have seen two cases, to small purpose. And this can be acwhich undoubtedly received an infec- couted for in many ways, principally tion from the same source, run such

because without oneness of thought aidifferent courses that we could almost

fixed to any

movement, confusional

ideation obfuscates its simplicity and have believed the diseases were them

directness. selves different had not the l'idal test been repeatedly positive in both cases.

For how can great good come out The really important thing to remem

of a warring mass of argumentative

flotsam and jetsam, no matter how talber is this: that a case that has had

ented the gloss, when the one idea typhoid may, for many months, be a

which should be primal, is submerged? distributor of the disease. For this

.

Now to further the idea of the propreason it is well worth the trouble to er dissemination of knowledge on this learn whether, in the individual case, subject, it is not necessary to cry aloud any such infection has recently OC- for transcendent purity, as those who curred. We cannot presume to dictate are acquainted with the behests of the details of treatment, but we can say

Nature would desire, or imagine, as from an experience of many cases that

Swift did, that nearly every man "comnursing and liquid diet are essential.

bines in himself all the diseases and

vices transmitted by ten generations We have yet to find any vaunted in

of rakes and rascals.” Fortunately for testinal antiseptic of any value.

The

us there is a middle road which should disease is not an intestinal, but a blood

be frequented by those delvers into the infection. In short, drugs, except for problem who desire some recognition particular conditions, are of little or no

from the ivorld at large for clarity of value; the coal tar products for the re- vision and a sanity imalloved by foolduction of temperature are decidedly ish prejudices. There, our moral redisadvantageous and are apt to result formers would see that men are not in serious cardiac weaknesses. Tepid like Thoreau who “ate no flesh, (rank water with alcohol, for sponge baths,

no wine, never knew the use of tobacand plain cold water in the lower bow

co: had no temptations to fight against, els, by enema, are the two best meth

no appetites, no passions," but the vic

tims of a false education which is not ods for the reduction of temperature.

so much the result of separateness of The Brandt cold tub has not seemed to

their doctors' knowledge of diseases justify the expectations which it

from their early training, as the foolish aroused, and certainly for many pa- and accepted idea which, especially, obtients in the higher walks of life, a cold tains in this country that boys have plunge roes not give the results so the right to choose their companions often claimed, and may do considerable from the walk of life which appeals to damage.-The Post-Graduate.

them. In this respect Otto Ernst, the well-known German writer, makes ord, and in February, 1903, he read besome apposite remarks in an article on fore the Medical Association of the "Sexual Enlightenment" in a recent Greater City of New York an elaborate number of the Vienna Neue Freue paper embodying his experience and Presse. “In my opinion,” says Ernst, that of other surgeons with the Ede"what is more important than sexual bohls operation up to that time. This instruction is the duty which should paper was published in the Medical devolve on all parents to see that their Record of March 28, 1903. Although children associate only with those per- he by no means claimed that renal desons whose mentality is of a high or- capsulation was universally applicable, der-pure, noble and exalted. If ny and was careful to define its limitations mind was detached from all thought of as far as possible, there has always sexual matters, even after I had passed been much dispute as to the real value my callow days, it was because of as- of the procedure. Dr. Edebohls was sociation with men and women of this for many years Professor of Diseases calibre, and my earnest attention to of Women at the New York Postscientific and literary subjects.” Or, Graduate Medical School, and among as Emerson said, "If you would make the other positions he held were those a man tall you must walk him under a of gynecologist to the New York Posthigh ceiling." -- Inter-State Vedical Graduate Hospital; consulting gyneJournal

cologist to St. John's Riverside Hos

pital, Yonkers, and consulting surgeon Death of Dr. Edebohls.

to St. Francis' Hospital and to the Ny

ack Hospital.- Boston Medical and Dr. George Michael Edebolls, the

Surgical Journal. well-known New York surgeon and gynecologist, died at his home in that

Three Diagnostic Signs of Erysipelas city on August 8. He had been ill for some time, and his death stated to have

Milian (Progres Medical, 1908, No. been due to Ilodgkin's disease.

30).---The diagnosis of erysipelas, es

He was born in New York City in 1853, pecially of the face, is not always easy. and was a graduate aof St. John's Col

In the Parisian Hospital, devoted exlege, Fordham. Ile received the de

clusively to this disease, cases of acute gree of M. D. from the College of Phy

eczema, of artificial dermatitis, of op

thalmic zona, of dental abscess, of dasicians and Surgeons, New York, in 1875. Dr Edebohls was specially

cryocystitis, even of mumps, are adidentified with renal decapsulation for

mitted daily with the mistaken diagchronic Bright's disease, a procedure

nosis of erysipelas. Many of these which he originated. The first opera

cases resemble erysipelas somewhat tion of this kind which he undertook

closely and the writer's experience has with the deliberate purpose of bring

convinced him that the classical signs,

described in text-books, often do not ing about a cure in chronic Bright's disease was performed in January,

suffice for a diagnosis. The classical 1898. The patient, a girl of twenty at

sign most frequently absent is the edethe time, was afterward married, and

matous plateau raising the affected

area above the level of the normal five years later he reported her as five

skin. months pregnant and permanently cured of her kidney disease. The re

In the diagnosis of erysipelas, Milian port of this operation, together with lays especial stress iipon three signs: that of five preceding operations which

1. The sign of maximum involveled 11p to it, was published in the Med- ment at the periphery (du maximum ical News of April 22, 1889. In 1901 centrifuge); 2. the sign of the ear; 3, and 1902 several articles by him on the

the sign of pain upon pressure. subject appeared in the Medical Rec- The sign of maximum involvement

areas

a

at the periphery. Erysipelas spreads eczema, zona, parotiditis, are not nearcentrifugally or at least from point to ly so tender; dacryocystitis, dental abpoint, so that fresh areas are continu- scess and the like have their point of ally becoming involved, while those maximum tenderness at the center, not originally infected are recovering. It at the periphery of the reddened and is for this reason that the

of swollen area. (This most valuable greatest swelling and redness are lo- note is from the Inter-State Medical cated at a distance from the site of in- Journal of September, 1908.- Editor.) fection and at the periphery of the whole region involved. This sign is es

Fungus Coccidioides --The California pecially useful when it is necessary to

Disease, differentiate between erysipelas and an ordinary inflammation, such as

Since 1892 some eighteen cases of suppurating dacryocystitis, a dental this disease have been reported and as abscess, or parotiditis. These affec- all but one of them have lived at some tions may superficially resemble erysip

time of their lives in the San Joaquin elas, but in them the pain, redness and

Valley, this has been very appropriateswelling are at the center of the area in

ly called the California Disease. Dr. volved, not at its periphery. This sign Kellogg, of Bakersfield, Kern county, sometimes fails at the very beginning California, has seen more of these inof an erysipelas when only the site of teresting cases than any other one docinfection is involved. Twenty-four

tor and at a meeting of the San Joahours later, however, it is usually well quin Valley Medical Society held in in evidence. A possible source of error

Tulare recently, he brought one of the in interpreting this sign is involved in victims of this disease before the meetthe behavior of the eve-lids. These

ing; giving the history of this case, structures, as is well known, become

with such treatment as had been tried, extremely edematous throughout their

and reviewed such instances of the malextent as soon as involved and remain

ady as he knew of. At his request Dr. even when the zone of acute in- Ryfkogel presented the findings with fiammation has passed beyond them.

the microscope and read a paper on In making use of the sign discussed

the disease. above, the condition of the eve-lids

Those who have met with .cases of must therefore not be taken into ac

this disease feel sure that many suffercount.

ing therefrom fail to have their sickThe sign of the ear.

The skin cover

ness properly diagnosed (it is probably ing the external ear is so closely adher

called tuberculosis) and on this

count desire to call the attention of the ent to the cartilage that subcutaneous tissue may here almost be said to be

profession to its symptomatology. Dr.

Rytkogel's paper was printed in the wanting. It is for this reason that all ordinary inflammatory processes, since

California State Journal. June, 1908. they involve chiefly the subcutaneous tissue, are arrested in their spread when

Indianapolis Medical Society. they reach the ear. Erysipelas, how

At the meeting of the medical soever, being a dermatitis, spreads readily over the external ear and may by

ciety at the Eleanor Hospital on Aug. this means be distinguished from den

17th, the temporary committee ap

pointed to investigate the feasibility tal abscess and the like.

of establishing a certified milk comThe sign of pain upon pressure. Ten- mission in Indianapolis, reported favderness to pressure is probably the orably. The report was adopted by most constant feature of erysipelas and the society. Several of the members this tenderness is most marked at the spoke in favor of the good move that periphery of the area involved. Acute was being made to obtain a purer milk

SO

ac