Examination of the chest demonstrated the heart and lungs to be normal. Abdominal examination was negative, except for a movable right kidney, which seemed to my hand slightly enlarged, and with its lower pole somewhat firmer than normal. It was not sensitive to pressure, and deep manipulation and sudden punching occasioned no pain. The uterus was displaced backward, prolapsed and enlarged. The cervix uteri was lacerated, and the pelvic floor was injured.

On August 26th, the patient returned, saying that the blood had all disappeared, and that the urine was of natural color. She stated that she had merely returned because requested to do so, and that her coming was a joke, as she was perfectly well. A specimen of urine was obtained by catheterization. It was clear, neutral, with a specific gravity of 1020. The microscope showed red blood corpuscles, many leucocytes, but no casts, and but little epithelium. The urine was then secured from each kidney by the use of Harris' Segregator, which I take the liberty of showing you, since there may be at least some members of the Academy who are not familiar with the instrument and its uses.

The urine collected from the right side of the bladder con. tained blood and leucocytes but no casts, and but little epithelum. That gotten from the left side was free from these microscopical findings.

On September 12th, the patient was again seen. For five days she has had bloody urine, which contained some clots as large as a small pea. There have been a few sharp fleeting pains in the right side, in the region of the kidney. The urine passed after these attacks of pain contained the clots. Under a magnifying glass they were seen to be made up of blood strings coiled upon themselves. There was no tenderness over the kidney.

On September 17th the patient was seen in consultation with Drs. W. G. Ewing and E. G. Wood. She had gone past her usual menstrual time with some signs of pregnancy. The bladder was examined with the cystoscope, and the mucous membrane found healthy. The urine, gotten with catheter, was faintly alkaline, specific gravity 1025, no sugar, a trace of albumen; showed red blood cells and leucocytes in abundance. The right kidney was easily palpated and was not tender.

Dr. Ewing gave the following further history of the case: He saw the patient in August, 1901, when she had an attack of pain in the right side, which lasted an hour or two, and which he diagnosticated as renal colic. Again in February, 1902, while pregnant six months, she had an attack of pain in abdomen with greatest intensity in right side. This continued fortyeight hours, at the end of which time she miscarried. All pains ceased rather suddenly. The severe pain was diagnosticated as being due to renal calculus. With this added light we made a diagnosis of stone in the kidney, and advised operation for its removal.

On September 23rd the operation was performed at the patient's home, Dr. W. G. Ewing assisting, chloroform being the anesthetic. The patient was placed upon her left side, and the kidney exposed by an incision extending from the lower border of the left rib obliquely to a point about an inch above and to the inner side of the anterior superior spine of the ilium. The parietal peritoneum was pushed to one side and not opened. The kidney fat was matted to the kidney capsule as the result of chronic perinephritis and was stripped away with some difficulty. The kidney was then drawn up out of the wound. It was found to be enlarged considerably, and palpation revealed a stone encroaching upon the posterior wall of the hilum and more or less filling the kidney pelvis. An incision through the posterior wall of the hilum close to the kidney substance permitted the removal of one large stone, weighing 162 grains, and seven smaller ones weighing altogether four grains. The bleeding was very free, coming principally from small vessels in the parenchyma of the organ. A catgut ligature passed underneath them through the substance of the kidney when tied, controlled it. After removing all the stones and exploring the pelvis with the finger, the opening in the hilum was closed with catgut sutures. The kidney was then returned to its bed, a drainage tube passed behind it, and the parietal incision closed about the tube by through and through sutures. There has been no leakage, and the recovery has been uneventful.

This case is of interest because illustrating how large a stone may exist in the kidney and produce neither pain nor tenderness; because it proves the effect menstruation has in causing

congestion of the kidney, shown in this case by periodic hemorrhage; because it demonstrates the benefits of surgical procedures even when there is a paucity of symptoms; and because it further tends to show how safely such work can be done when undertaken aseptically.

CHLOROFORM A REMEDY FOR TAPEWORM.

BY JAMES M. CLOPTON, M.D., HUNTSVILLE, ALA.

In answer to your correspondent some time ago, who wished to know if chloroform had been used in expelling the tapeworm prior to his doing so, I can inform him that such had been done. Eighteen years or more ago, when living in the city of St. Louis, Mo., I was a victim to one of those most objectionable parasites. I had used nearly all of the remedies usually prescribed for treatment; had consulted many of the most eminent physicians of the country; had access to a large "up-to-date" medical library; to Ziemsen's Encyclopedia with other sources of information and had abandoned all hope of relief. The good chemist, Dr. Habecht, had prepared a decoction of fresh pomegranate root for me, after which he stated that mine was the only au thenticated case of failure after thirty years' experience in preparing it for physicians both in Europe and America. I had been under various treatments for several years and passed during that period several hundred feet of the worm. Being quite ill from persistent effort to get relief, was confined to my room. Having an early summons to visit a patient suffering with pulmonary trouble, I telephoned for the specialist, Dr. William Porter, requesting him to visit the patient for me. After doing so he called to see me, asking what ailed me. Telling him, he laughingly remarked, why don't you get rid of it, and to my great pleasure ahd surprise, said that it was an easy thing to do. My answer was, Dr. Porter, if you will give me a remedy and relief from this horrible thralldom "I'll blow your trumpet loud and as long as I live." He then asked, Dr., He then asked, Dr., have you tried chloroform? My answer was no, and have never heard of it being used for this purpose. His prescription was Squibb's chloro

form 3 iii, filling large size capsules with it. Take one every few minutes until well under its influence. Have your nearest medical friend with you to note effects and when sufficient has been taken to produce stupor, then take an active purgative, salts and senna. Before night came I was parted from my old enemy. And since that time I have had the pleasure to relieve several of this most obnoxious, depraved company. In my opinion, if properly given, it will never fail to so stupify the worms that "all holts turn loose" and expulsion is made easy. Have never heard of a failure with its use.

PARALYSIS OF FIFTH NERVE.

BY HAZLE PADGETT, M.D., OF COLUMBIA, Tenn.

The following case has been of interest to me from a neurological standpoint. Paralysis of some of the cranial nerves is common, but simple or uncomplicated paralysis of the fifth or tri-facial is rather rare. The history of the case is as follows:

P. M., æt. 35. Three years ago had right breast removed for supposed cancer. Has had pulmonary tuberculosis for two Almost bed ridden. Ten days ago had a very painful years. attack of facial neuralgia and several days afterwards began to complain of a dead feeling on left side of face. When I saw her about four days ago I found a complete anesthesia of the tri-facial with paralysis of the muscles of mastication on left side; quite a disturbance of taste on same side. Otherwise patient is as she has been for many months.

SANDER & SONS' Eucalyptol (pure Volatile Eucalypti Extract).— Apply to Dr. Sander, 88 Lincoln Ave., Chicago, Ill., for gratis supplied sample and literature of Sander's Eucalyptol. It is invaluable in inflammations of the mucous membranes and in all septic and infectious diseases. Meyer Bros. Drug Co., St. Louis, Mo., sole agents.

NEW ORLEANS POLYCLINIC.-The 16th annual session opened November 3, 1902, and closes May 30, 1903. Physicians will find the Polyclinic an excellent means for posting themselves upon modern progress in all branches of medicine and surgery. The specialties are fully taught, including laboratory work. For further information address NEW ORLEANS OLYCLINIC, POST-OFFICE BOX 797, NEW ORLEANS, LA.

Becords, Begollections and Bęminiscences.

SOME FACTS OF THE HISTORY OF THE ORGANI. ZATION OF THE MEDICAL SERVICE OF

THE CONFEDERATE ARMIES

AND HOSPITALS.

BY. 8. H. STOUT, A.M., M.D., LL.D.,

Ex-Surgeon and Medical Director of the Hospitals of the Confederate Armies and Department of Tennessee. (Continued from November (1902) Number).

XIV.

[Before proceeding further with this "narrative," it is proper to advertise those readers who have not had access to previous numbers of this serial touching the history of the evolution and organization of the Hospital Department of which the writer was Medical Director, that whatever statements of facts have been or will be made in the course of this "narrative," the future historian proposing to utilize them may regard them a, official. All the facts touching the medical service the writer does not pretend to know or to state. But he states what he personally knows to be true, and what he is and was officially cognizant of. Original official records, orders and correspondence in his possession will corroborate his statements.

This "narrative," intended to record the inauguration, evolution and operations of the Hospitals of the Department of Tennessee, is intended to be a permanent tribute to the living and the dead who served in that department honorably, cheerfully and with distinguished skill and untiring energy. The writer is the only living officer who can so largely attest their worth. He organized and directed the hospitals all the time of his service therein in cordial co-operation with Medical Directors A. J. Foard and E. A. Flewellen, backed by the earnest and unflagging interest of their Commander-in-Chief, Gen. Braxton Bragg. After Gen. Bragg left the Army of Tennessee there was no essential change in the details of the organization of the Hospital Department down to the final surrender of the Confederate Armies.