The program consisted of the following: "The Mounds and Mound Builders," illustrated with colored lantern slides.

Discussed by Dr. Grindon.

On motion, Dr. Boisliniere moved and it was seconded, that a vote of thanks be extended Dr. Whelpley for his most interesting paper and that our appreciation be shown by rising. Carried.

On motion the society adjourned to the parlors at 10:30 p. m., where refreshments were served. Attendance 158.

Meeting of the Council

JUNE 10, 1914

The meeting was called to order at 8:40 p. m. by the secretary. The secretary stated that the president had telephoned he was detained and could not be present until late and asked that someone be elected chairman, pro tem.

Dr. Robert M. Funkhouser was elected temporary chairman.

The minutes of the previous meeting were read and approved.

Dr. A. H. Sewing, chairman of the membership committee, read a report.

Drs. Augusta Helle, Claude D. Halley, Arthur E. Walters and C. Q. McGinnis were elected by ballot.

The application of Dr. Samuel E. Peden for active membership, by transfer from the Marion County Medical Society, received its second reading.

Dr. Peden was elected an active member.

Dr. Kirchner, chairman of the program committee, reported the necessity of renting a moving picture apparatus and the hiring of an operator for the meeting of Saturday, June 13, at which time Dr. Otfrid Foerster, professor of neurology, Breslau, Germany, will lecture on the treatment of spastic paralysis.

On motion the request was granted and the program committee authorized to rent a machine and hire help to operate same.

The secretary read the following report for the committee on ethics.

The library committee desires again to call attention to the improved physical condition of the library and to the greater patronage which is bestowed on it by the members of our society as well as to its increased usefulness.

The inventory has been completed, as will be observed from the subjoined report of the librarian. It shows that we have almost 6,000 volumes on our shelves. The report should also commend the wisdom of the rules restricting the removal of books and journals according to the rules endorsed by the Council and to which the library committee will exact strict adherence on the part of the librarian.

Nine dollars has been received from the sale of incomplete journals.

The inventory of the library which was begun in March was finished this month. The number of titles in the library is as follows: General, 154; History, 121; Transactions, 171; Reports, 142; Journals, 615; Ethics, 15; Anatomy, 163; Histology, 73; Physiology, 159; Chemistry, 321; Therapeutics, 223; Pathology, 102; Bacteriology, 61; Practice of Medicine, 872; Surgery, 598; Gynecology, 192; Pediatrics, 112; Neurology, 214; Otology, 50; Ophthalmology, 129; Laryngology, 90; Genito-Urinary, 135; Syphilology, 89; Dermatology, 95; Dentistry, 21; Veterinary Medicine, 4; Medical Jurisprudence, 39; Hygiene, 67; Collateral Science, 42. Total number of titles, 6,113.

This inventory showed 32 books missing, as follows: Anatomy, 1; Histology, 2; Therapeutics, 2; Medicine, 6; Surgery, 3; Gynecology, 3; Obstetrics, 5; Pediatrics, 1; Laryngology, 1; Genito-Urinary, 5; Syphilology, 3; also 77 Journals; total number of volumes missing, 109. Some are undoubtedly lost, as the cards are marked "missing" from previous inventories, while some may yet be recovered. Total number of volumes accessioned to June 1, 16,000; deducting the 109 missing volumes, leaves total of 15,891 volumes in the library at the present time. A card catalog of the Transactions and Proceedings of Societies has also been made this month.

I want to call your attention to the fact that the meeting of ladies which is held in the parlor of the society interferes with the reading-room and with the clerical force on account of the loud talking which perhaps is necessarily connected with the meeting. I would suggest that in future the meetings be held in the general auditorium. Very respectfully yours, (Signed) F. J. LUTZ, Chairman, Library Committee.

On motion this matter was referred to the house committee for adjustment.

The president took the chair at 9:30 p. m.

The secretary read the following letter from the Honorable James T. Lloyd of the House of Representatives:

Dear Dr. Kuhlmann:

June 1, 1914.

I received from you on the 8th day of April a communication with reference to the Surgeon General's Library, which was answered at the time, and it is

possible that from that letter an impression has gone out that I was in favor of the merger of the two libraries. My purpose in the answer to you was to give you the argument that was made in favor of the merger by those who advocate it-but following that the amendment to the Army Appropriation Bill came to the House and I voted against the amendment.

I write this because I am advised that somebody has charged somewhere that I was actively supporting this proposed merger. As far as I have information I have never received any communication from anyone excepting yourself with reference to the matter, and I now write to you because it has been called to my attention that I was censured at the state convention at Joplin for supporting the measure. Any statement that I supported the measure is absolutely false, and I would appreciate it very much if you are in any way responsible for the circulation of the report that I was supporting the measure, that you correct it. Sincerely yours,

(Signed) JAMES T. LLOYD. The secretary was instructed to reply with a copy of Mr. Lloyd's first letter.

The president read the following letter from Dr. Wm. L. Rodman:

Dear Doctor:

It gives me great pleasure to receive official notice of my election as an honorary member of the St. Louis Medical Society. I very much appreciate the honor done me. I can recall no professional experience which brought me more pleasure than addressing the large, attentive audience vou gave me on April 25. Very truly yours,

(Signed) WM. L. RODMAN. Councilors present: Drs. Amerland, Bliss, Burford, Funkhouser, Hill, Hoffman, Krebs, Stauffer, Hamel and Koetter.

Councilors absent: Drs. Dorsett (sick), Hinchey and Hurford.

Visitors present: Drs. Carroll Smith, A. H. Sewing, W. C. G. Kirchner, Frank J. Lutz, Marsh Pitzman and J W. Marchildon.

On motion the Council adjourned at 9:45 p. m.
F. C. E. KUHLMANN, M.D., Secretary.

CALDWELL COUNTY MEDICAL SOCIETY The Caldwell County Medical Society met June 4 in Kingston in the office of Dr. J. E. Gartside. Those present were: Drs. Tinsley Brown, H. E. Epperson, W. M. Duffie, W. T. Lindley of Hamilton; Dr. E. Van Note of Kansas City; Drs. W. L. Chaffin and J. A. Waterman of Breckenridge; Drs. J. E. Gartside and W. S. Shouse of Kingston; Drs. E. F. Higdon and R. L. Mount of Polo, and Dr. I. N. Parrish of Cowgill.

Dr. W. L. Lindley of Hamilton, Dr. E. F. Higdon of Polo and Dr. George Dowell of Braymer were appointed members of the National Red Cross by the President, Dr. Tinsley Brown.

We had a most excellent paper on arteriosclerosis by Dr. Tinsley Brown. It was discussed by Drs. E. Van Note, E. F. Higdon and W. T. Lindley, and closed by Dr. Brown.

Breckenridge was named as the next place of meeting, on the third Thursday in July.

The secretary was ordered to buy enough books on "Men's Specialists Frauds" to give one to each editor in the county.

There being no other business, we adjourned to meet in Breckenridge on the third Thursday in July, and all went home feeling it was a day well spent. J. A. WATERMAN, M.D., Secretary.

THE TRUTH ABOUT MEDICINES

NEW AND NONOFFICIAL REMEDIES Since publication of New and Nonofficial Remedies, 1914, and in addition to those previously reported, the following articles have been accepted by the Council on Pharmacy and Chemistry of the American Medical Association for inclusion with "New and Nonofficial Remedies":

Electrargol.—Electrargol is a colloidal solution of silver, containing silver, equivalent to 0.25 per cent. metallic silver. It is said to be useful in febrile diseases, even in those which are not of a septic character. It is also used externally in inflammatory conditions. For subcutaneous, intramuscular or intravenous injections electrargol is supplied as Electrargol For for Injection in ampoules containing 5 c.c. external use electrargol is supplied as Electrargol for Surgical Use in bottles containing 50 c.c. (Jour. A. M. A., June 6, 1914, p. 1808).

REFINED AND CONCENTRATED TETANUS ANTITOXIN.Marketed in packages containing 5,000 units (curative dose put up in syringe containers. E. R. Squibb & Sons, New York (Jour. A. M. A., June 13, 1914, p. 1890).

CULTURE OF BULGARIAN BACILLUS, MULFORD.—A pure culture in tubes of the Bacillus bulgaricus. It is designed for internal administration for the purpose of establishing lactic-acid-producing bacilli in the intestines and for external use. H. K. Mulford Co., Philadelphia, Pa. (Jour. A. M. A., June 13, 1914, p. 1890). LACTOBACILLINE TABLETS.—A pure culture of the Bacillus bulgaricus. These tablets give rise to the production of considerable quantities of lactic acid, which tends to restrain the growth of putrefactive organisms in the intestines. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1890).

LACTOBACILLINE LIQUIDE, CULTURE A.-A pure culture in tubes of the Bacillus bulgaricus grown in a neutralized sugar bouillon, each tube containing from 5 to 6 c.c. Its actions and uses are the same as those of Lactobacilline Tablets, Franco-American Ferment Co., New York (Jour A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE LIQUIDE, CULTURE D.-A pure culture in tubes of the Bacillus bulgaricus grown in a neutralized bouillon. Its action and uses are the same as those of Lactobacilline Tablets. Marketed as Lactobacilline Liquide, Culture D., Small containing 5 c.c., and Lactobacilline Liquide, Culture D., Large containing 16 c.c. in each tube. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE LIQUIDE, INFANT'S CULTURE.-A pure culture in tubes of the Bacillus bulgaricus in a whey medium. It is employed in the treatment of diarrhea or dysentery in nursing infants or young children. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE GLYCOGENE TABLETS.-Tablets containing pure cultures of the Bacillus bulgaricus and the Glycobacter peptolyticus. The Glycobacter peptolyticus transforms into sugar the amylaceous substances in the diet, thereby furnishing a pabulum for the B. bulgaricus, which in turn transforms the sugar into lactic acid. These tablets are designed for the prevention and treatment of intestinal diseases. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE GLYCOGENE LIQUIDE.-A pure culture in tubes of the Bacillus bulgaricus and the Glycobacter peptolyticus. Its action and uses are the same as those for Lactobacilline Glycogene Tablets. Marketed as Lactobacilline Glycogene Liquide, Small containing 5 c.c., and Lactobacilline Glycogene Liquide, Large containing 16 c.c. in each tube. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE MILK TABLETS.-Tablets containing pure cultures of the Bacillus bulgaricus and Bacillus paralacticus. These tablets are used in the preparation of scientifically soured milk. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE SUSPENSION.-A pure culture in tubes of the Bacillus bulgaricus grown in a neutralized bouillon medium. This culture tends to inhibit the growth of deodorant, putrefactive and pathogenic organisms and is used externally in various suppurative conditions. Marketed as Lactobacilline Suspension, containing 5 c.c. and Lactobacilline Suspension, Surgical, containing 20 c.c. in each tube. FrancoAmerican Ferment Co., New York (Jour. A. M. A., June 13, 1914, p. 1891).

LACTOBACILLINE MILK FERMENT.-A pure culture in tubes of the Bacillus bulgaricus and Bacillus paralacticus. Its action and uses are the same as those of Lactobacilline Milk Tablets. Franco-American Ferment Co., New York (Jour. A. M. A., June 13, 1914, p 1891).

PROPAGANDA FOR REFORM

SCOPOLAMIN - MORPHIN ANESTHESIA. McClure's Magazine for June contains a sensational account of the use of scopolamin-morphin in anesthesia as used by Grönig and Gauss at Freiburg. In America the scopolamin-morphin anesthesia has received little attention. It is far from safe and can be carried out only in hospitals. Morphin and scopolamin should not be used in fixed proportions (Jour. A. M. A., June 6, 1914, pp. 1815 and 1829).

GLYCO-HEROIN, SMITH.-A report of the Council on Pharmacy and Chemistry explains that Glyco-Heroin, Smith, although containing 1/16 grain heroin to the teaspoonful, is exploited in a way to encourage selfdrugging by the layman. The advertising matter suggests the administration of Glyco-Heroin, Smith, to children and much of it has contained the evident falsehood that this heroin mixture does not produce narcotism or habituation. The possibility of habit formation should be sufficient to induce the thoughtful physician to avoid the use of Glyco-Heroin, Smith (Jour. A. M. A., June 6, 1914, p. 1826).

WINE OF CARDUI.-The Chattanooga Medicine Company claims that no more alcohol is used in Wine of Cardui than is needed to preserve it and that it cannot be used as a beverage. In view of this the terms "booze" and "tipple" cannot be applied to the preparation (Jour. A. M. A., June 6, 1914, p. 1827).

BUFFALO LITHIA WATER.-The fallacy that diseases are due to uric acid and the fallacy that lithium would eliminate the uric acid has made mineral waters highly profitable-even when lithium was present only in irfinitesimal amounts. One of the most widely used "lithia waters" was Buffalo Lithia Water, later called Buffalo Lithia Springs Water, which has been declared misbranded by the Federal Courts because it was shown to contain less than does Potomac River water and that a person would have to drink 150,000 to 225,000 gallons of the water to obtain an ordinary dose of lithia. The testimonials certifying to the high

efficiency of Buffalo Lithia Water and its superiority to lithium compounds given in the past by physicians eminent in their profession, certify to the unreliability of clinical observations (Jour. A. M. A., June 13, 1914 p. 1909).

THE ABSORPTION OF IRON.-The belief that organic compounds of iron were superior to inorganic iron salts arose before it was known that the bowel forms the most important channel for the excretion of this element, whence the failure to find an increase in the amount of iron eliminated with the urine by means of the kidneys after ingestion of the element in some form or other was taken as an indication that it had not been absorbed. To-day it is known that iron can be absorbed and excreted by the intestinal wall. Experiments have demonstrated that both inorganic and organic iron can be absorbed and satisfactorily carry out the purposes for which iron is administered (Jour. A. M. A., June 13, 1914, p. 1913).

PROPHYLAXIS OF TETANUS.-The following procedure is advised: Remove every particle of foreign matter from the wound. Dry the wound and treat every part with iodin or cauterize it with a 25 per cent. phenol solution and apply a wet pack saturated with boric acid solution or alcohol. Inject as soon as possible, intravenously or subcutaneously, 1,500 units of antitetanic serum and repeat the injections if indications of possible tetanus arise. In no case close the wound, but allow it to heal by granulation (Jour. A. M. A., June 20, 1914, pp. 1964 and 1971).

BEEF, WINE AND COCA.-This preparation, sold by Sutliff, Case & Co., Peoria, Ill., was claimed to contain about 15 per cent. alcohol and 1/5 of a grain of cocain to the fluidounce. It was found to contain 23.75 per cent. alcohol by the federal authorities and accordingly declared misbranded by the courts (Jour. A. M. A., June 20, 1914, p. 1981).

MALT NUTRINE.-This product of the AnheuserBusch Brewing Association was declared misbranded by the government authorities because the label claimed that it was a highly concentrated extract of malt, which was untrue. Malt Nutrine was found to contain 1.6 per cent. alcohol and extravagant therapeutic claims were made for it (Jour. A. M. A., June 20, 1914, p. 1981).

MANADNOCK LITHIA WATER.-While extravagant curative claims were made for this "lithia water" examination showed it to contain only traces of lithia and hence it was declared misbranded under the Food and Drugs Act (Jour. A. M. A., June 20, 1914, p. 1981).

BUCKHORN LITHIA WATER.-This water was declared misbranded by the federal authorities because false curative claims were made for it and because it did not contain enough lithia to be entitled to its name (Jour. A. M. A., June 20, 1914, p. 1981).

SUN-RAY SPARKLING WATER.-While represented to be "the world's purest water," it was water to which sodium chlorid, sodium bicarbonate and carbon dioxid had been added. Accordingly the company which sold the water was found guilty of misbranding under the Food and Drugs Act (Jour. A. M. A., June 20, 1914, p. 1981).

HICCURA MINERAL WATER.-This was declared misbranded because it was not a natural mineral water as claimed (Jour. A. M. A., June 20, 1914, p. 1981). RAYMOND'S PECTORAL PLASTERS.-These are ploited untruthfully as "positive cures" for whooping cough, bronchitis, etc. (Jour. A. M. A., June 20, 1914, p. 1982).

ex

LIQUID ALBOLENE.-This is a light variety of liquid petrolatum marketed as a proprietary medicine, exploited in an objectionable manner and with more or less misleading claims. It is said to come from Russia and differs from American products in being entirely non-fluorescent-an immaterial difference (Jour. A. M. A., June 27, 1914, p. 2048).

BOOK REVIEWS

THE MEDICAL AND SANITARY INSPECTION OF SCHOOLS. By S. W. Newmaker, A.B., M.D., in charge of the Division of Child Hygiene, Bureau of Health,. Philadelphia. 12mo, 318 pages, with 71 engravings, and 14 full-page plates. Cloth, $2.50 net. Lea & Febiger, Publishers, Philadelphia and New York, 1913.

The author shows great understanding of this subject and an extensive knowledge of practical teaching methods for physicians, nurses and teachers in the physical examination of school children, how to prevent epidemics of contagion and the correction of physical defects.

The chapter on sanitation of school buildings has received special attention. Plans of work have been formulated to meet all requirements for efficiency, time, labor and money saving. The illustrations are new and many of the subjects treated have heretofore been neglected. The ventilation of schoolrooms, cold-room and open-air schools are shown to be of great importance. We would like to have all school people read this chapter and act on its menage.

The work on the mentality of schoolchildren is wonderful. While the reviewer does not agree with the author "that the teaching of sex hygiene in the schools is to be highly commended," it cannot be denied that this book is the "last word" in our present knowledge on school inspection. It should be in the library and constantly used by every one interested in school life and social medical work. CHEMICAL PATHOLOGY. Being a discussion of general pathology from the standpoint of the chemical processes involved. By H. Gideon Wells, Ph.D., M.D., Professor of Pathology in the University of Chicago and in Rush Medical College, Chicago. Second edition, thoroughly revised. Octavo of 616 pages. Philadelphia and London: W. B. Saunders Company, 1914. Cloth, $3.25 net. This book, a success from the start and the only complete work on this subject, has now entered into a greatly enlarged and revised second edition. That this is in many respects almost a new work can be gathered from the statement of the author that since the publication of the first edition the science of biological chemistry has progressed more rapidly and received more substantial contribution than in all its previous history. Included in this progress may be mentioned the chemical aspects of immunity, work on the nature of proteins, ductless gland studies, and the mass of literature that has sprung up in colloid chemistry.

This is not only a book for the scientist but the practitioner who wishes to keep abreast of the times cannot afford to be without this valuable work. THE JOLIET PRISON POST. Published monthly by the Board of Commissioners and the Warden of the Illinois State Penitentiary, Joliet, Ill.; edited by a prisoner. Price per year, $1.

The first volume of six numbers of this unique publication edited by a prisoner has just come to our

notice. Every lover of humanity and fair play, under whatever name, will surely be interested in this little monthly journal, presenting as it does the prisoner's view of things, with straightforwardness and without sickly sentimentality. The eyes of the whole country are focused on the prison at Joliet, watching with intense interest the workings of the new parole law, the first anniversay of which has just been celebrated; and no less are they focused on the efficient and courageous Warden, Mr. E. M. Allen, who made this and other prison reforms possible.

PSYCHANALYSIS: ITS THEORIES AND PRACTICAL APPLICATION. By A. A. Brill, Ph.B., M.D., Chief of Clinic of Psychiatry and Clinical Assistant in Neurology, Columbia University Medical School; Chief of the Neurological Department of the Bronx Hospital and Dispensary. Second edition, thoroughly revised. Octavo of 393 pages. Philadelphia and London: W. B. Saunders Company, 1914. Cloth, $3.00

net.

In less than two years this book, now considerably It enlarged, has entered into its second edition. would probably be rated among the "six best sellers" But, if it could be exploited as "recent fiction." fortunately or unfortunately according to one's type of mind, this work must be taken seriously. This is no place to argue Freudism. One is either for it or against it and once having accepted it or thrown it down argument would cut as much figure as with an antivaccinationist. One thing may be said, however, if the reader is detached enough to have no strong feelings either for or against psychanalysis, he can have lots of enjoyment reading the book. PROGRESSIVE MEDICINE. A quarterly digest of advances, discoveries and improvements in medical and surgical sciences, edited by Hobart Amory Hare, M.D., assisted by Leighton F. Appleman, M.D. Octavo of 452 pages, illustrated. Philadelphia and New York: Lea & Febiger, 1914. Price per year, paper, $6.

The subjects considered by noted contributors in the June number are as follows: Hernia, by William B. Coley; Surgery of the Abdomen, exclusive of Hernia, by John C. A. Gerster; Gynecology, by John G. Clark; Diseases of the Blood, Diabetic and Metabolic Diseases, Diseases of the Thyroid Gland, Spleen, Nutrition and the Lymphatic System, by Alfred Stengel; Ophthalmology, by Edward Jackson.

THE CLINICS OF JOHN B. MURPHY, M.D., at Mercy Hospital, Chicago. Volume III, Number 2, (April). Octavo of 212 pages, illustrated. Philadelphia and London: W. B. Saunders Company, 1914. Published bi-monthly. Price per year: Paper, $8; cloth, $12.

The contents of this number are as follows: Murphy's Clinical Talks on Surgical and General Diagnosis; Three Cases of Ectopia Testis; Cholelithiasis; Acute Pancreatic Cyst; Duodenal Ulcer; Goiter; Tuberculosis of the Kidney; Vesical Papillomata; Amputation Neuroma with Ascending Neuritis; Neuroma of the Ulnar Nerve, Result of Cicatricial Compression Following Unrecognized Fracture; Neuroma of the Ulnar Nerve, the Result of Trauma Incident to Fracture at Elbow; Internal Hemorrhoids with Severe Bleeding at Stool, the Result of a Small Slit in a Hemorrhoidal Vein.

COXA VARA, Its Pathology and Treatment, By R. C. Elmslie, M.S., F.R.C.S., Orthopedic Surgeon to St. Bartholomew's Hospital, London. Oxford University Press, American Branch, 35 West Thirty-second Street, New York. Price, 60 cents.

A splendid essay, condensed but illuminating. It is well illustrated.

TREATMENT OF DIABETES MELLITUS *

R. H. MCBAINE, M.D.

ST. LOUIS

The therapeutic means to combat the progress of diabetes and its complications consists. as is nearly universally agreed, of dietetic measures, combined with an accumulation of observations of the patient which will predict complications and thereby make possible their prevention.

Whether or not the dietetic treatment of the disease actually has a permanent curative effect is still a moot question, though it is certain that the neglect of this side of the disease encourages a rapid decline in the patient's health, and frequently permits the occurrence of complications, such as boils, infection, etc.

The dietetic plan carried out in the dispensary work of Washington University this year was very similar to that described by Dr. T. C. Janeway in the American Journal of the Medical Sciences, March, 1909, Vol. 137.

In the first place, it was our endeavor to render sugar-free every patient who presented himself for treatment. When the patients first came to the dispensary they were usually on a liberal diet, but after their first few visits the carbohydrates and the sugar were gradually withdrawn, until their dietary was very much as follows:

Breakfast. Coffee, with 11⁄2 ounces of cream; two cooked eggs, with 1⁄2 ounce of butter; 3 ounces of ham, or (in our own practice) a similar amount of meat.

Luncheon.-Bouillon, with one raw egg; 3 ounces of sirloin steak, chicken, leg of lamb, 1 ounce of bacon.

Vegetables from list (two tablespoons), with 11⁄2 ounce of butter.

* Read in the General Session of the Missouri State Medical Association, at the Fifty-Seventh Annual Meeting, held at Joplin, May 12-14, 1914.

Dessert, made with one egg and 11⁄2 ounces of cream, in any form the patient desires, such as custard or other recipes as were suggested. Six ounces of wine or 1⁄2 ounce of whisky or brandy.

Afternoon.-Tea, with 1⁄2 ounce of cream. Dinner. Any clear soup; 3 ounces of fish (salmon, shad or mackerel), with 1⁄2 ounce of butter; 4 pound pork roast, beef, mutton, pork or lamb chops; salad, with 1⁄2 ounce oil dressing; 1 ounce cheese (English, pineapple, Swiss or full cream); 6 ounces of wine or 1 ounce of whisky or brandy, or demi-tasse.

Vegetables Allowed.-Asparagus, beet greens, brussels sprouts, cabbage, cauliflower, celery, chicory, cresses, cucumber, egg plant, endives, lettuce, mushrooms, radishes, rhubarb, salsify, spinach, string beans, tomatoes, vegetable mar

row.

This is the diet published in the aforementioned paper by Dr. Janeway. To this we added in our work oysters, and in the case of Jewish patients, goose fat (the use of the latter was particularly encouraging).

In the dispensary work the restriction of protein was not done. Patients were instructed not to deviate from the lists given them and to bring at each visit to the dispensary a twentyfour-hour specimen of urine. The instructions were written for them on slips of paper. They were also encouraged to bring with them a list of the articles eaten.

The total caloric value of the diet just given is 2,850, and contains approximately the following food elements: