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Blancard's Pills and Syrup of iodide of iron have shown themselves to be an ideal medication for scrofula, especially when there is a more or less attenuated hereditary syphilitic taint. They are the best tonic and restorative for syphilities under treatment, and a valuable preventive of parasyphilitic affections.

Reliable Cereal Foods-The question is often asked, "Where can I get thoroughly reliable sanitary flours and cereal foods for use as food in cases of Acid dyspepsia, intestinal indigestion, kidney and liver troubles, diabetes, and Bright's disease?" These inquiries we unhesitatingly refer to the well known flour and cereal millers, Farwell & Rhines, of Watertown, N. Y., who for about fifty years, have striven for perfection in their specialities, Gluten flour, Cresco flour, Special Dietetic food, Cresco grits and Barley crystals (breakfast foods). Your address mailed to the manufacturers will promptly bring you valuable literature regarding these and all their products, both sanitary and for family use.

catarrh

Chronic Catarrhal Diseases-Chronic never fails to indicate general constitutional debility. Local treatment is always desirable but for permanent results efforts must be directed toward promoting general functional activity throughout the body, and a general increase of systematic vitality. The notable capacity of Gray's glycerine tonic comp. in this direction readily accounts for the gratifying results that can be accomplished through its use in the treatment of all chronic catarrhal affections, but especially those of the gastro-intestinal canal and respiratory tract. The particularly gratifying features in the results accomplished by this excellent tonic are their substantial and permanent character. This is naturally to be expected since they are brought about through restoring the physiologic balance of the whole organism.

Rheumatism-"Definitions for rheumatism have been many and varied. Different men, different schools and different times have given to the word different meanings. There has been so much of theory in the literature of rheumatism and these theories have undergone such evolution in the passing of the years that it seems we may well take time to pause and inquire: What is rheumatism? Rheumatism has been the subject of much scientific investigation during the last ten years and the results of the investigations seem to indicate that we are not only able to answer the question, 'What is Rheumatism?' but that we will be able to go a step further and answer the next more important question, 'What are you able to do for it?' The experience of thousands of physicians who have successfully prescribed tongaline for the past 30 years goes to show that there is no more efficient and reliable agent in the treatment of rheumatism, neuralgia, grippe, gout, nervous headache, malaria, sciatica, lumbago, tonsilitis, heavy colds and excess of uric acid."

French Doctors Take Up lodine As Phthisis Cure-Paris, March 13-Iodine as a cure for tuberculosis of the lungs is now being taken up by

Telephone No.

Main 1173

3154

1635

6326

5267

French doctors, following the excellent results obtained with this treatment by Dr. Boudreaux, a leading Bordeaux physician. Dr. Boudreaux announces successful results in the treatment with iodine or iodide of potassium of persons who had reached the third stage of pulmonary tuberculosis. Several of these who were treated five or ten years ago are now fit and well. The method is to administer very strong doses of iodine varying from 100 to 350 drops daily. These are given at various hours, but from fifteen to fifty drops can be taken at a time in a glass of water. The iodine is best when mixed with water, to which a little red wine has been added, but it can be taken with meals in milk, coffee or tea. Dr. Boudreaux is not certain how the extraordinary results he describes are obtained, but believes that it is by the propagation of leucocytes or the strengthening of the glands. Dr. Charles Abadie already has obtained splendid results in the treatment of tuberculosis of the eye with iodine.

Iodum-Miller, the soluble iodine, is used by physicians in America for the same purpose but with notable exceptions as to methods. Iodum-Miller, being soluble (soluble in water before it is combined with its base of dehydrated glycerin) is all absorbed by the water of the tissues and, therefore, such large dosage is, in most cases, not required. Iodum-Miller is taken into an empty stomach; this, for two good reasons; when the stomach is empty the remedy is more quickly absorbed and is, therefore, comparatively nonirritating; iodine, when taken into the stomach with more or less starchy foods forms iodide of starch which is indigestible and unassimilable.

Iodum-Miller is also used hypodermically and intravenously in the treatment of tuberculosis. Hypodermically into tuberculous glands, full strength, in ten drop doses once a week; intravenously, 10 to 20 drops in four to eight ounces normal salt solution every eight to ten days. It is always advisable to apply Iodum-Miller externally over affected parts by thorough but gentle massage and to cover with thick layer of absorbent cotton held in place by bandage. The results which so quickly are manifest from the use of Iodum-Miller in tuberculosis are but little short of marvelous.

A GENTLE REMINDER. How dear to our heart is the price of subscription, When any subscriber presents it to view;

Of him who'll not pay us, we'll shrink from description,

Perchance, dear reader, that one may be you.

DO IT NOW!

If you see a feller sailin'

To'ards an iceberg o' distress,
Clap on steam, an' go a runnin',
'Fore he sounds his "S. O. S."
Hand your bouquets to the livin',
Do it now, before you part,
Smilin' faces often cover
Up a sore an' achin' heart.

-H. C. Bennett, M.D.

MEDICAL HERALD ADVERTISERS

Infants

The correction of digestive disturbances now before the onset of hot weather will accomplish much toward the prevention of serious intestinal disorders so prevalent during the summer months.

Mellin's Food

is of distinct advantage in the correction of these errors of diet, and aids
the physician in modifying milk to a high degree of digestive efficiency.

The infant that is now increasing in weight, having a comfortable digestion, regular movements with stools showing evidence of perfect assimilation, is the baby that is most likely to go through the summer months in

Perfect Health

TUBERCULOSIS

OF THE

Lungs, Glands, Bones or Joints will
be greatly benefited by the use of

Protonuclein Beta

Combining the nucleins of the spleen with
Protonuclein.

Attention must be paid to the marked results obtained abroad by the use of the spleen in tubercular cases.

We have combined this action of the spleen with the well known reconstructive action of Protonuclein, meeting the modern theory of building up the body to combat Tuberculosis.

See that your prescription reads,

B PROTONUCLEIN BETA CUBES, GR.V

No. 60

Sig. 2 cubes three times a day, one
hour after meals. Chew the cubes.

Send for Literature

REED & CARNRICK

42-44-46 Germania Ave. Jersey City, N. J.

No physician can afford to be indifferent regarding the accurate filling of his prescription. —67—

The Medical Herald

Incorporating the

Kansas City Medical Inder-Lancet

Under the Editorial Direction of

Chas. Wood Fassett and S. Grover Burnett

OUR SLOGAN:

"Fewer and Better Medical Journals."

EMERSON'S FAMOUS EPIGRAM

"If a man can write a better book, preach a better ermon, or make a better mouse-trap than his neighbor, though he builds his house in the woods, the world will make a beaten path to his door."-Ralph Waldo Emerson.

"THE OPEN DOOR."

We have no latch-string; our door is always open to those who would add aught of scientific interest to our readers, and the pathway to the door of The Medical Herald is not difficult to find.

Subscription, $1.00 a year, in advance, including postage to any part of the United States, Mexico and Canada. Postage to foreign countries in the Universal Postal Union, including Newfoundland, 50 cents a year additional.

The Medical Herald aims to reflect the progress in the sciences of medicine and surgery, especially throughout the Missouri Valley and Southwest, the territory of its greatest distribution.

Concise and practical articles, news and reports of Interesting cases invited, and should be type-written.

The privilege of rejecting any communication is reserved, and all papers accepted must be for exclusive publication in this magazine, unless otherwise arranged.

To contributors of original articles a liberal number of copies of the Herald will be given (or mailed free of expense if addresses are furnished) and the publishers will furnish reprints at printers' cost, application for same to be made when proof is returned.

The editors are not responsible for the utterances of contributors or correspondents.

Illustrations will be furnished at reasonable rates, if drawings or photos are furnished.

Address all remittances, correspondence, articles for publication, books for review and exchanges to the Managing Editor.

Subscribers changing their addresses, will please notify us promptly, as magazines cannot be forwarded without adding postage.

Advertising forms close on the 20th of each month. Time should be allowed for correction of proof.

Advertising rates on application to the Managing

Editor.

Poetic Reprints-Do not mutilate your Medical Herald by tearing out any piece of poetry that may strike your fancy. Write to the Managing Editor, and he will send you a reprint. Reprints are made of all verse appearing in this magazine.

Wanted-Salesmen and detail men who call on physicians, and would like to learn of a proposition to increase their income, may do so by addressing "Proposition," care Medical Herald.

To Our Subscribers-You will confer a favor on the publishers by remitting promptly on receipt of statement. The amount is very small to each one, but the expense of sending out duplicate bills is quite heavy. Kindly report change of address promptly, giving old address as well as the new location.

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Important.-Physicians desiring new instruments, a surgical chair or cabinet, or any office equipment, may learn something of advantage by addressing "Removing," care Medical Herald.

For Sale.-Hospital equipment for 50 patients for sale at a bargain. Includes beds, mattress, linen, operating furniture, high pressure sterilizer, combination range, dining room furniture. For particulars address, 501 Sharp Bldg., Kansas City, Mo.

CAUTION!-Whenever the true merit of

a preparation is authoritatively established, imitation is sure to make its pernicious appearance. To counteract the injurious results of another of these fraudulent proceedings-in this instance affecting firm name and reputation-Sander & Sons have been compelled to appeal to law, and in the action tried before the Supreme Court of Victoria, the testimony of a sworn witness revealed the fact that this witness suffered intense irritation from the application to an ulcer of the defendant's product, which was palmed off as "just as good as Sander's Eucalyptol." Sander & Sons had the satisfaction to obtain a verdict with costs against this imitator, who is perpetually restrained from continuing his malpractice. Dr. Owen, in a report to the Medical Society of Victoria, and Dr. J. Benjamin, in the Lancet, London, both denounced, as others did before, on the strength of negative results, the application of unspecified eucalyptus products.

This forms convincing proof that only an authoritatively sanctioned article can be relied on.

SANDER & SONS' EUCALYPTOL (Ecalypti Extract)

1. Has stood the test of Government investigation.

2. It was proved at the Supreme Court of Victoria by experts to be an absolutely pure and scientifically standardized prep

aration.

3. It is honored by royal patronage.

4. It always produces definite therapeutic results.

Therefore, to safegaurd the physicians' interest and to protect their patients, we earnestly request you to specify "Sander's Eucalyptol" when prescribing eucalyptus.

The Meyer Bros. Drug Co., St. Louis, Mo., agents, will forward one original package (1 oz.) on receipt on One Dollar.

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Organized at Council Bluffs, Iowa, September 27, 1888. Objects: "The objects of this society hall be to foster, advance and disseminate medical knowledge; to uphold and maintain the dignity f the profession; and to encourage social and harmonious relations within its ranks."-Constitution

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The number of deaths from cancer annually in the United States is approximately 75,000 and it is estimated that in the civilized world 500,000 deaths occur each year from this dreadful malady.

Laying aside the question of the tremendous amount of suffering entailed the economic loss to the nation is almost inestimable. These 75.000 sacrificed yearly are most of them still active men and women. The disease disables. them on an average about two years. Much of that time they require the constant care of some member of the family or a trained nurse. At a fair estimate the nation loses annually the productive labor of 200,000 of its inhabitants. The immense importance of any effort which may in any way mitigate or lessen this great burden to the nation, ameliorate the suffering or save the lives of these thousands cannot be computed.

The cancer problem has been studied *Read before the Medical Society of the Missouri Valley, at Lincoln, Neb., March 26, 1914.

energetically and persistently for many years and, in spite of it all, the number of cases is steadily increasing. I am inclined to think that the real increase is not as great as the statistics show. At the present time most of the deaths from cancer are diagnosed and correctly reported in the vital returns. A potent factor in the greater prevalence of the disense is no doubt the increased length of human life, due to the many life-saving discoveries of the past two or three decades, many more people living to the cancer age. The hundreds of thousands of young people saved from death from gastro-intestinal diseases, diphtheria, tuberculosis, typhoid fever, smallpox, yellow fever and other preventable diseases during one decade help to swell the recruits to the cancer army a few decades later.

There is one tangible source of encouragement in the whole matter and that is that the per cent of cases of cure of cancer is decidedly better than it was twenty years

ago. This has been brought about because of:

1st. A greater tendency for people to consult their family physician early.

2d. A general improvement in diagnostic skill and more confidence in surgery on the part of members of the medical profession.

3d. Improvement in surgical technic. But the fact remains the bettering of statistics is not as much as it should be. There is still a widespread notion among the laity that the diagnosis of cancer is the same as having the death sentence pronounced. As long as people feel this way, if they find a "growth" they keep away from the doctor as long as possible to avoid having their suspicion confirmed. Unfortunately when the sensible person consults his doctor early too often he is told to wait and see what develops, and by the time the lazy-thinking and slow acting doctor makes up his mind the case has extended so far that if not inoperable it is at least incurable. There are also still many weak points in operative technic.

It has seemed as if one factor that has delayed progress is that we have been looking for some wonderful discovery, as a germ which causes the disease, and a serum which will destroy it;

some panacea which will cure as if by magic. No such discovery has yet been made. We seem as remote from it as we were twenty years ago. Evidence seems to be against cancer being due to a germ.

I cannot forbear mentioning what some of you have heard me say before, that certain known facts seem to strongly contradict the rather widespread belief that cancer is due to an infecting micro-organism.

First: The cells of metastatic cancer are identical with the cells of the primary tumor. For example, if a secondary carcinoma is found in a vertebra, the primary growth being in the stomach section of this secondary growth will reveal the gastric glandules and a complete histological imitation of the parent tumor. If cancer is caused by a micro-organism, we would expect this micro-organism, carried by metastasis to some distant part of the body, would cause a secondary cancer there and that the histological picture would be an imitation of its new environment and not of the structure of the primary growth.

Second: In the experimental attempts made to inocculate cancer where it did not exist before it has been found that cancer is not produced unless the intact cancer cells are introduced into the tissues. The same material that produces the disease if the

cells are not destroyed, fails to produce cancer if the cells are crushed and their identity lost. If microorganisms of any kind were the cause it seems preposterous to suppose that the mere crushing of the epithelial cells should prevent successful inoculation.

There seems but one logical conclusion, and that is that the specific cause of cancer is a lawless cell, a cell that has for some reason gotten out of harmony with its surroundings and is no longer under the inhibitory control which governs the normal cell.

Assuming that this view is correct and that the epithelial cell, not controlled by the processes that keep normal cells performing their ordinary physiological functions, is the essential cause, it is highly improbable that cancer will ever be cured by a serum, or by autogenous vaccines. seems to cast a doubt on any short cut to the cure of the disease. It puts up to the profession the difficult task of working out a method of combatting it by a more efficient use of the facts already known.

It

It means that the public must be educated in regard to the symptoms that should lead to consulting a physician; taught that cancer is at first a local disease and if completely removed while still local a cure will follow; taught that the time each individual cancer ceases to be local varies widely and therefore that the physician should be consulted at the earliest possible moment after the suspicious symptom appears.

It means that when the physician is consulted with reference to any possible malignancy he is assuming a tremendous responsibility; that he has not the moral or the legal right to dismiss such a case until every known diagnostic resource has been exhausted, or until he has absolutely proven cancer to be absent.

It means that the too frequent lukewarmness of the physician when he is confronted with a possibly malignant condition must give place to an intense desire to know the truth. Greater care in eliciting the history, accuracy in examination and increased efficiency all along the line are demanded.

It means that the technic of the operation for this disease must be still further improved. The careless man, the timid man or the man ignorant of the highways by which cancer travels from the various primary foci should not operate. The danger of engrafting cancer cells upon previously healthy tissues during the operation makes the problem of successful removal a most difficult one.

The two all important points of the

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