them to meet there. He suggested that if they decided not to transact their business at Banff, they could meet at London, Toronto, or some other place, and afterwards proceed on an excursion to Banff. The committee thought that the claims of the western medical men, and the desirability of making the Association as thoroughly Canadian as possible, were considerable, and they therefore decided to recommend that the Banff Springs should be the meeting place for next year.

urge that the Government take this matter under their consideration at as early a date as possible.' Votes of thanks were passed to the retiring officers of the association, the medical profession in Ottawa, for their generous hospitality, and to the government for the use of the railway committee rooms of the House of Commons, and the meeting was then brought to a close.

Selected Articles.

Medical section "Extreme rapidity of the heart's action," Dr. Graham. Toronto; "Ophthalmoplegio externo," by Dr. Howard, Montreal. Surgical section "Retropharyngeal tumors," Dr. Fenwick, Montreal; "A case of exostosis bursata seer cartilaginea," Dr. James Bell, Montreal; "Mania following operations," Dr. Shepherd, Montreal. "Remarks on penetrating wounds of the eyeball," Dr. Buller, Montreal; "Some eye symptoms due to cerebral lesions," Dr. Stirling, Montreal. Obstetrical and Gynaecological section "Necessity of attention to the antiseptic treatment, and of performing all the operations with care,' Dr. Lapthorn Smith, Montreal.

FINAL BUSINESS.

The association resumed its sitting at 5 o'clock. Dr. Milne, Victoria, B.C., moved the following resolution, which was seconded by Dr. Sweetland, Ottawa, and carried unanimously:

"That in view of the apparently increasing prevalence of tubercular disease in domestic animals, and more especially in cows, in the opinion of this association it is desirable that some legislative action should be taken by the Dominion Government to check the progress of this disease, and we

THERIA.

My object in reporting these cases is threefold: First, to try and turn the attention of the Society a little more to the study of children's diseases; second, the field of both obstetrics and gynecology has been so repeatedly reviewed since the organization of the Society, that there are few new subjects; and third, to call your attention to papoid, a comparatively new remedy in the treatment of diphtheria. Hoping that, although I may have nothing new to offer you, I may gain new and practical ideas from your discussion, I submit the following report:

On the morning of November 22nd, I was called to see M. P., a boy of 11 years. His mother informed me that the day previous he complained of chilly sensations, pains in back and limbs, nausea, headache, and pain and difficulty in swallowing ; that during the night he had high fever, and was delirious. These symptoms not abating, she had

sent for me.

In reply to my questions, his voice was thick and nasal, but neither hoarse nor toneless. Complained of great difficulty in swallowing, and stiffness and soreness about the neck and angles of the lower jaw. The parotid and submaxillary glands were enlarged and tender, respirations quickened, but easy and regular; his temperature was 105°, pulse 140 and feeble. On examining his throat, irregular patches of lymph, or false membrane, thin, as though consisting of single layers of lymph, could be seen on both tonsils, that upon the right tonsil being larger and thicker than the patch upon the left. These formations could not be wiped away, or removed with a mop of absorbent cotton withposterior pharynx, uvula, and pillars of the fauces out too great force or pain to the patient. The were intensely congested and swollen, the whole fauces filled with a sticky, tenacious mucus, which he was constantly trying to get rid of by hawking and spitting. I told his mother that her son had diphtheria, and nothwithstanding that, up to my visit, the other children had been with him, sleeping in the same room, I ordered them not to enter his room again under any pretence, and the patient isolated from all except his nurses. This

was at once done, and every precaution possible, under existing circumstances, was taken to guard against the spread of the disease, the mother and grandmother waiting upon the patient.

Concentrated liquid nourishment was ordered to be given every three hours, and one or two tablespoonfuls of whiskey, depending upon the frequency of the pulse, every three hours; the time-honored tincture of the chloride of iron and chlorate of potash treatment every three hours; between the hours, for the administration of the medicine, the throat to be gargled and mopped with the following: Carbolic acid, gtt. xxx.; chlorate of potash, 5 iij.; glycerin, 3 ij.; and lime water, 3 iv. The mop used to be made by twisting a piece of absorbent cotton around a pliable stick or applicator. This mop in every case to be burned as soon as used, and fresh ones to be made for future use, small pieces of cotton cloth or rag to be used instead of handkerchiefs; these also burned after use; commercial carbolic acid to be constantly kept in all vessels used by patient to spit in.

November 23rd.-He had passed a very restless night, high fever, and active delirium up to early morning hours, after which he slept quietly at intervals only. Temperature 104.5°; pulse still feeble, but not so frequent (130); respirations easy and regular; during night had a normal movement from the bowels. Kidneys acting normally; an increase in glandular inflammation, extending to deep cervical glands. More tenderness and enlargement than on the day before. Had there been any doubt as to the nature of the disease, the present condition of the patient would have removed it. During the past twenty-four hours the membrane had rapidly increased and extended, small patches had coalesced, forming large masses. The tonsils were almost entirely covered, whilst here and there, flecked over the back of the pharnyx, uvula, and pillars of the fauces were patches of membrane of varying size and thickness. upon the tonsils was quite thick, and of a dirty, ash-gray color. The later formations, composed of but single layers of lymph, were, in some places, thin, showing the subjacent tissues beneath them, in others, approaching the leathery appearance of that upon the tonsils. Notwithstanding the regular administration of the medicine, and use of mop and gargle as ordered, the breath was very offensive, and fetid, and he was vainly trying to hawk and spit up the viscid and tenacious mucus which the highly inflamed mucous membrane was rapidly throwing off. The thin, watery discharge from the nostrils indicated that the disease had invaded the

nose.

That

In addition to the treatment of the day before, I ordered the nostrils sprayed, or syringed, every two or three hours with a warm dilution of the carbolic gargle. A five-per-cent. solution of papoid, in equal parts of Price's glycerin and distilled |

water, to be applied to the throat by means of a mop of absorbent cotton, every hour, if necessary, every half-hour. Every particle of membrane in sight or reach to be slowly and carefully pencilled or swabbed with this preparation, the mop to be fully saturated with it, so as to carry an ample supply into the pharynx, to insure that all parts of the throat should be reached, this to be done night and day; if necessary, to combat exhaustion, the dose of whiskey to be increased and given at shorter intervals.

November 24th.-Considering the frequent interruptions, he passed a tolerably good night, said his throat felt better. His temperature had fallen to 101°, pulse to 110, gaining in strength as it diminished in frequency. The glandular inflammation was diminishing, there was less tenderness and hardness. The most marked change was to be seen in the membranous formation in the throat; some patches had entirely disappeared, others considerably thinned, soft pultaceous masses come away upon the mop. In using some force in swabbing the throat myself, the mop was tinged with blood, and on examining the throat afterwards, one or two bleeding points could be seen where the membrane had been torn off. Very little fetor, and the secretion of mucus so far diminished as to give very little trouble. I ordered the treatment continued. Nourishment and whiskey, which he rebelled against, to be regularly administered.

November 25th.-A very marked improvement, his temperature was normal, only a few patches of thin, softened, partly dissolved membrane to be seen, and these in localities hard to reach with mop, extending from behind the swollen tonsils, and hanging from behind the veil of the palate. Í carefully and slowly applied the papoid solution to every available part of the throat, and ordered it continued as before, allowing a little more time for sleep during the night, provided there was no extension or increase in the membrane.

November 26th.-Normal temperature, glandular inflammation rapidly disappearing. Throat clear of membrane, large plugs or masses had been discharged from posterior nares after syringing, and the nasal respiration was quite free; some catarrhal discharge. There was no perceptible fetor.

The interval between the doses of the iron mixture lengthened to four hours, and the papoid solution to be alternated with it every four hours. Carbolic solution to be used as gargle and mouth wash ad libitum. Nose to be syringed every four hours.

November 27th.-Favorable symptoms continuing; passed a good night, appetite good, very slight catarrhal discharge from nostrils, no false membranous formation in the throat. Tonsils and pharynx still inflamed, and showing considerable loss of substance from ulceration; irregular, sharply-defined depressions on both tonsils. Con

tinue general treatment, but omit applications of papoid. Mop the throat and syringe the nostrils every four hours with the carbolic gargle. From this date his convalescence was slow but steady. There was marked prostration for about a week after the disappearance of the membrane from the throat, and for four or five weeks after leaving his bed, he could not read without much pain in his eyes, owing to a slight impairment of accommodation, due to partial paralysis of the ciliary muscles. There was also a lax, flabby uvula and veil of the palate, which gave him a nasal voice for a few weeks. At this date, all these have disappeared, and he is in perfect health.

I have reported this case in full, doubtless entering into needless detail, from its beginning to the entire disappearance of all false membrane, it being the first of a series of six cases, five of which occurred in one family, the sixth in a household remote from the others; none of which differed, however, one from the other, except in degree of severity of the disease, and a tendency in one case for relapses, or re-formation of false membrane after its disappearance for several days. In regard to the remaining five, I shall confine myself to the throat symptoms only, as the object of this paper is to call your attention to papoid as a solvent and disinfectant of false membrane, and not to the treatment of diphtheria in general, its symptoms, etiology, or pathology.

December 1st. The grandmother of M. P., aged 76, was taken with pharyngeal diphtheria. The tonsils and posterior pharynx showed large patches of false membrane. Again I waited for twentyfour hours before applying the papoid solution to the throat, that I might be more certain of its action, confining my treatment to iron and potash internally, and the aforesaid gargle locally, and such constitutional and stimulating measures as the age and feeble condition of the patient demanded. On the morning of December 2nd, the membrane had increased in extent and thickness. I ordered the papoid solution, five per cent., applied every hour, night and day, every half-hour during day if necessary. December 5th. Throat free from membrane; convalescence unbroken by any complication or sequelæ. 19th. The mother ill with pharyngeal diphtheria; tonsils, uvula, and posterior pharynx full of false membrane, glandular inflammation. Papoid, in addition to same treatment, every hour or half-hour, night and day.

22nd. Throat free from false membrane; papoid omitted from treatment. 23rd. Reappearance of membrane on tonsils and uvula, rise of temperature; return to papoid applications every hour. 24th. Membrane disappearing, temperature normal. 25th. Membrane gone. 28th. Membrane reappeared on pharynx and tonsils, small patches only; papoid applied every hour. 30th. Throat clear, convalescence slow but complete.

Mattie, the sister, aged 13 years, was taken on December 22nd. Active inflammatory condition, temperature 105°; fauces full of false membrane; papoid applications every hour or half-hour, in addition to specified general and local treatment. In forty-eight hours, the temperature fell to normal, and the throat was free from membrane; convalescence rapid.

Mary, the other sister, aged between 14 and 15, was taken ill on December 27th. Active inflammatory symptoms, glandular inflammation decided. Membrane on tonsils, back of pharynx, uvula, and pillars of fauces. Same treatment, papoid applied every hour or half-hour. January 2nd. Throat clear of membrane, temperature normal, all other symptoms most favorable; papoid omitted. 4th. Reappearance of false membrane on tonsils; return to papoid. In twelve hours throat clean, convalescence unbroken.

December 22nd. I saw Harry E., aged 4 years, threatening convulsions, high temperature, pharyngeal diphtheria, membranous deposit considerable. Potash and iron treatment, papoid every half-hour, every hour during night. December 23rd. Difficulty of breathing, owing to accumulation of mucus in throat, during night alarming. 25th. Very little membrane to be seen, only a little behind one tonsil. Sitting up in bed playing with Christmas toys; temperature normal. 26th. Membrane gone,

convalescence slow.

Whilst these cases are too few in number to establish beyond question the value of any plan of treatment, and granted that they showed no malignancy, or great degree of severity beyond their primary stages, the unvarying results of the application of papoid, at very frequent intervals, justifies me in the following conclusions: That papoid, applied to diphtheritic membranes, is a safe and reliable solvent; that it possesses antiseptic properties; that the temperature falls rapidly with the disappearance of the membrane, which, according to Jacobi, proves the rapid absorption and elimination of the diphtheritic poison; that the phenomena of secondary blood poisoning were absent, owing to the rapid solution of the membrane, supplanting the processes of suppuration by which it is removed if left to itself. That the period of incubation either varied from eight days to thirtyfive days, or the poison was conveyed to the two children, who had no communication whatever with the sick, by the clothing of those who did the nursing. That age is not exempt; that there is a marked family susceptibility to the poison of diphtheria, as evidenced by the fact that, whilst a friend who assisted in nursing, and the servant, a colored woman, who was in the sick-room a dozen times a day, escaped; every member of the family, from the youngest child to the grandmother, contracted the disease.-J. R. Bromwell, M.D., in Jour. of Obstetrics.

KROHNE'S MODIFICATION OR THOMAS' DOUBLE HIP SPLINT FOR THE TREAT

OF THE SPINE.

The well-known Thomas' double splint for disease of one or both hip joints (Fig. 1) is rendering great service in the treatment of that affection. Mr. Krohne has added to this splint a pelvic band, a support for the shoulders, neck, and head, and two sliding foot-pieces, as shown in Fig. 2. The two upright bars are made after the shape of a healthy, normally formed child when in the recumbent position.

They give posterior support to both sides of the spine. The two cross-bars, the pelvic band, and the band reaching to below the axillæ, support the

pelvis and body laterally. The lower extremities are kept in position by cross-bars supporting the thigh and lower third of leg. The rest of the splint consists of the support for the shoulders, neck, head, and both feet, so that the entire body is supported, as shown in Fig 3. The first object in the treatment of spinal caries, weak or injured spine, is to devise means whereby the weight of the head and upper extremities is taken off the spine. This is obtained by placing the child and retaining it during the whole time of treatment in the uninterrupted recumbent position. By the aid of this splint the surgeon is enabled to carry out this treatment, and, the splint being applied next to the skin, the child can perform its natural functions without the removal of the apparatus. The second object is to fix the spine, which is

ג'י

The

Any

bandaged to the splint. Both feet and ankles are also supported by a bandage, to protect the feet from the pressure of the bedclothes, and to prevent them from dropping forward or to either side. The bandages are not shown in the engraving. With slight modifications, the splint can be adapted to cases of disease or injury of the lumbar, dorsal, or cervical part of the spine. Most cases of advanced spinal disease are accompanied with contraction of one or both hip joints. No special notice need be taken of such contractions. child is placed with its back on the splint, care being taken that the fold of the buttock corresponds with the angle of the splint, and the bandage is then applied. The child is next made to straighten its legs as much as possible. existing angle under the knee is filled up with soft padding, and the legs are thus bandaged to the apparatus. The contractions will be gradaully corrected by the limb dropping, by it own weight and without pain, to the straight line of the splint, which will be noticed by the bandage getting loose. Some of the padding must then be removed and the leg re-bandaged. This has to be repeated until the limb has dropped to the straight line of the splint. The same straightening process goes on simultaneously in the spine, correcting lordosis or any other abnormal curvature. The pelvis forms the fulcrum, and the body above and the limbs below it are the levers, dropping by their own weight to the line of the splint without the slightest pressure being required. Throughout the whole time of treatment care must be taken not to cause pressure on any part It is, therefore, absolutely necessary that the child be placed, after the adjustment of the splint, on a soft and loosely stuffed feather bed, when the bars of the splint sink into the bed, and the feathers rise and support the whole body. Some absorbent cotton-wool should also be placed on and above the heel. When supporting it by a bandage to the sliding foot-pieces, fresh cotton-wool should be employed. whenever the bandage is replaced. must also be given to all the cross-bars, which must be bent away from the body if undue pressure be caused by them.-Lancet

Attention

DR. SCHWARZENBURG'S DISCOVERY.

I am a distinguished physician, to start with. Not one of your pitiful American M.D.'s, with a sheepskin he cannot translate and a smattering of the sciences Such birds of prey are unknown in the magnificent therapeutical institutions which are the glory of France and Germany, and which produce among their alumni such

scientists as I and Pasteur. During ten brilliant years I and Pasteur have been co-laborers in the field of inoculation. He devoted his divine genius to the prevention and cure of that mental disease we term hydrophobia; I applied mine to the subtler! and more mysterious ones of the soul. He published his discoveries two years ago. I now publish mine in Puck, the only true scientific journal in America.

ANTI-KLEPTOMANIA VIRUS.

I remove the virus from the cheek of a prominent financier in temporary retirement, and inoculate with it a bank-messenger or cashier. In one week he is attacked with all the recognized symptoms of the disease. He buys a fast horse, and cultivates the ballot-girls in the latest opera. In two weeks he frequents Wall Street, and toys

for hours with the ticker. In three weeks he purchases pools in horse-races. At the end of a month he packs his grip-sack and steals away to Canada or Havana. The original virus contains bacilli which under the microscope are shaped thus;

$$

With the virus thus reduced in potency, by one transmission I then inoculate a public official.

The disease which results is much milder than the

preceding. The victim becomes red in the face, bloated, drunken and profane. Diamonds break out on his hands and chest. He loses the memory of words, and tries to express ideas by guttural sounds, such as “dmdtido,” “colraboodle,” skweeld

likhell," etc. He has an irresistible longing for

bar-rooms, common-council chambers, nocturnal

clubs, and even the State Assembly. The bacilli of his virus are of a new and hitherto unknown character, being cuneiform and cruciform in outline:

one thousand dollars. Liberal discount on cashiers and treasurers. Extra discount and commission, but no guarantee, on Aldermen or Assemblymen. No reporters treated!

PAUL PASTEUR SCHWARZENBURG,
M.D., Ph. D., E. M.

per W. E. S. F.

SALOL IN CATARRH OF THE BLADDER.—Arnold, of Stuttgart, in the Therap. Monatsh., for July, relates the case of a patient, 80 years of age, with hypospadias, in which, on account of retention of urine, from paralysis of the detrusor urinæ, catheterization twice daily became necessary from the 2nd of January. The urine continued clear and of acid reaction until the 20th. At this time, there was some difficulty in passing the catheter. Notwithstanding its most careful disinfection, acute cystitis manifested itself on the 21st. urine became of ammoniacal odor, of alkaline reaction, turbid and precipitated a sediment of bloody Fever set in, with tenderness over the

mucus.

The

bladder and with strangury. On the 24th, the temperature was normal, and the pain in the region of the bladder had disappeared. In spite of rest abed, milk diet, cataplasms and warm baths, the

urine maintained its normal condition until February 8th. Fifteen grains of salol were now given stomach, the dose was increased to forty-five grains twice daily. As the drug was well borne by the daily. To determine the action of the medicament, the urine was collected in appropriate receptacles. With the use of thirty grains a day, the urine slowly cleared up; the evening's urine was slightly alkaline and still ammoniacal; the morning's urine was slightly acid. Taking forty-five grains daily, the urine partook of a dark greenish color, but

On

rapidly became clear; the discolored sediment, previously presented, steadily diminished. February 16th, the urine, to the last drop from the catheter, was entirely clear and acid in reaction; been so passed in many years. more urine was passed spontaneously than had On the 18th, the salol was tentatively withdrawn; the day following, the urine was again cloudy and deposited a sediment. Forty-five grains a day were then given、 until the 28th; the turbidity disappeared after the first dose. A second tentative withdrawal of the salol on the 29th of February was followed by a result similar to that which followed the withdrawal on the 19th; turbidity and deposit of sediment, though in less degree. Forty-five grains were daily administered until mid-March, when the patient got out of bed; from that time on, thirty grains were given until April 3rd, when the dose was reduced to fifteen grains. In a few days, the urine, which had hitherto remained clear, again became turbid and deposited a sediment. At the same time the frequency of micturition was in