I recall the case of a young lady who some years previously had had much local treatment for a displacement. She came under my care with an attack of pelvic pain. Her temperature was normal to 99°, her pulse never went above 80°; the pain increased, became violent. It was confined to the pelvis and the tenderness did not extend much above the pubis. I evacuated through the vagina an enormous foul smelling pelvic abscess with immediate relief and speedy recovery. She has since, it is now over two years, been perfectly well, but her uterus is drawn to one side and fixed in thickened tissue. I have little doubt that the seeds of that abscess were sown by a uterine sound some years back, for she was unmarried and of undoubtedly unblemished character. As a contrast to this, recently in the hospital, at the end of the term, I twice evacuated through the vagina a double pyosalpingitis, each side containing a large quantity of pus. The case did not improve. She came under Dr. Smith's care the next term. He removed the two appendages abdominally, when she made a complete recovery and has left the hospital.

The question of whether to leave the uterus or not has again to be decided on the merits of the case. With a distinctly diseased uterus it is probably wiser to do a complete operation and thus avoid the probability of having to remove the uterus later, for a number of cases of double pyosalpynx have returned and been relieved only by a subsequent hysterectomy. As a rule, however, I believe it best to leave the uterus, as the operation is shortened, and if necessary it can be removed by the vaginal route later.

Pus in the pelvic

Pus remaining anywhere is of no value. cavity is a disturbance of health and a menace to life as long as it remains.

EDITORIAL.

Contributions of original articles, correspondence, etc., should be sent to the publishers, Otis Clapp & Son, Boston, Mass. Articles accepted with the understanding that they appear only in the Gazette. They should be typewritten if possible. To obtain insertion the following month, reports of societies and personal items must be received by the 15th of the month preceding.

It has been the policy of the Boston University Medical School to brag, as it were, for many years over some advances in medical education which they were the first to make and this perhaps is well, for who will know you are smart if you don't tell them, or who will have a good opinion of you if you do not have one of yourself. To establish a reputation for being the foremost in needed reforms is one thing, to maintain it is another. Maintenance can only be by ever watching the signs of the times and taking advantage of their import. One sign now to be read is unmistakable. It is that more, much more, advanced educational training must be required before a student is permitted to enter on purely professional studies. As evidence of this see the remarks of President Kippax at the opening of the Chicago Homœopathic Medical School, as follows: "It is apparent that in many of the better medical schools the minimum entrance requirements will soon include the first year, if not the first two years, of a college course. The demand today is for physicians of such breadth of culture that the degree of doctor of medicine should represent not only a professional, but also a liberal education. As another has said, This is an era of the trained professional man.'"

Also the following from the Boston Herald: “Dr. Edward W. Holmes of Philadelphia, a physician and a member of the faculty of the University of Pennsylvania, takes a gloomy view of the cause of liberal education in that state, in view of the fact that a large majority of those whom the professional schools send out into life are without that thorough general

preparation which is denoted by the bachelor's degree of a reputable college. There are hundreds of doctors, lawyers, engineers and other professional men turned out every year who are without the artistic and literary training which the college academic course alone can give. In the four most important educational institutions of the state, only 123 literary degrees were given last commencement, and 575 degrees for purely technical or professional acquirements. Taking Yale, Harvard and Princeton, the proportion is emphatically reversed. The literary degrees given were 1485, and the professional degrees 403. Dr. Holmes believes that the professional man who knows nothing but his own profession is at a great disadvantage, even in his professional career. This is now generally recognized by educators and by the half-educated professional men themselves, who soon discover their comparative misfortune. But the remedy is in the power of the Pennsylvania institutions themselves. Let them make the rule which prevails herabouts, that men must have a liberal education before they will be received into the professional schools."

It would be well for the Medical School to look to its laurels if it wishes to maintain its claim for being the first in needed improvements.

WORCESTER COUNTY HOMOEOPATHIC MEDICAL

SOCIETY.

The annual meeting of the Worcester County Homœopathic Society, a report of which will appear later, was a very profitable and pleasurable time.. The President, Dr. A. C. Bray, presided with dignity and grace and the post-prandial speakers were felicitously introduced by Dr. Le Forest Martin of Lowell. The chief address was by Dr. William M. Butler of Brooklyn, N. Y., Ex-Superintendent of the Middletown Insane Hospital. His subject, "Homœopathic

Institutions of New York," was treated in a way that showed his knowledge and familiarity not only with their successful management, but with all the hard work that led up to the founding and establishment of them all. He took occasion to say a good word for the "political doctor," and to demonstrate that in the establishment of all medical institutions. which necessarily come under State control, the "political doctor" was a necessity and worthy of all gratitude for what he did in a political way. We ourselves think it would be a grand thing if we had a few men in our own State.

Dr. De Witt Wilcox of Buffalo, N. Y., and Dr. F. B. Percy of Brookline also responded to toasts in a very happy manner.

By the death of Arthur S. Murray, M.D., of Fair Haven, the profession in Vermont has lost one of its best practitioners and Homoeopathy one of its ablest advocates. Dr. Murray was born in Oswell, Vermont, July 5, 1849. He came of good old New England stock, to which was due no doubt in a large measure, his sturdiness of character. His preliminary education was obtained in the common schools and in the academy at Barre, Vermont. After graduating he began the study of medicine in the office of Dr. G. E. E. Sparhawk of Burlington. He took his first courses of lectures in the University of Vermont and his last at Hahnemann in Philadelphia, graduating in 1882. He soon afterward settled in Fair Haven, Vermont, where he practiced until his death, which occurred August 19th, 1900. Dr. Murray was a man of the most genial and kindly disposition, which endeared him to his patients and to all with whom he came in contact. He was a member of the Vermont Homœopathic Medical Society and of the American Institute of Homœopathy.

EDITORIAL NOTES AND COMMENTS.

The "Hampden Homœopathic Hospital," the new Springfield hospital which was made possible by the munificent gift of Mr. D. B. Wesson of Springfield, was formally opened on November 13th. We know our readers will be interested in the following account and description of the building, its management and environment, which we clip from the Springfield Union.

The location of the new hospital is all that could be desired. It is central, but removed from the noise of traffic, being situated on the corner of Myrtle and High streets, and is easy of access from all parts of the city. The State street cars are only a block away, but no noise of the street ever penetrates as far as the hospital. The building is surrounded by extensive grounds which will afford a fine place for convalescents to take the air when the weather is warm. There is also a never-failing spring of pure water on the grounds, so that the patients will not be obliged to drink the unwholesome Ludlow extract. The house was very easily adapted to the purpose to which it will be put in the future and only a few alterations were necessary. There were originally eighteen rooms, but by some changes in the arrangement of the interior the number has been increased to twenty-one. The plan of the rooms before the change was well ordered, which enabled the alterations to be made without tearing out any of the interior. On the first floor are five large rooms, on the second there are seven and the remainder of the rooms are in the basement and on the third floor, where two wards have been fitted up.

None of the interior decorations on the first floor have been changed, and, with the exception of retouching the finish on the walls of the hall and in the rooms, everything remains as formerly. This part of the house is called the medical department, while the floor above is known as the surgical department. The walls and ceilings of the rooms on this floor have been repainted with a preparation known as porcelain paint, in various soft shades.

On entering the main door one comes into a commodious hall finished in two shades of brown, giving a soft, subdued effect. Leading directly from this hall on the right are two wards, which are called the Powers and Beebe wards respectively. The Powers ward is in what was the front parlor and the Beebe in the old music room adjoining. Both are bright, spacious rooms with high ceilings and at present have four beds each, but if necessary an extra bed can be put in each without crowding. The rooms have an eastern and southern exposure, which insures plenty of sunlight on winter days. At the end of the hall is the administration room, furnished with oak chairs, bookcases and table. Directly to the rear of this and leading from it is the matron's office.