gain a suspensory ligament of sufficient strength to cure the disease and the operation is condemned because of

recurrence.

In making up the statistics of this method of doing the operation, Beyea received replies from 272 of 465 patients. Eighty-five per cent. (231) state that they have been completely relieved and enjoy excellent health. Ten and one-half per cent. (28) state that the greater part of the symptoms have been relieved, while but four and one half per cent. received no benefit. The backache was completely relieved in 79 per cent. of the cases; the headache in 83.5 per cent; the nervousness in 69.5 per cent. Seventy per

cent. have gained in weight. In 23 per cent. the improvement began immediately or very soon after the patient reached home; 30 per cent. improved in from one to five months; 26 per cent. in from six to eleven months; and 12 per cent. after one year.

In regard to the important question of the influence of the operation upon gestation and labor, the essayist found that of the 153 married women 41 became pregnant after operation, several repeatedly, making 47 births. In but two cases (about the usual proportion) was there a prolonged labor. One death took place in the series, a mortality of less than one-fourth of one per

cent.

DUNBAR'S SERUM IN HAY FEVER. From the pollen of different plants a toxin is extracted. With this horses are injected hypodermically, and, after two to three months, antitoxins are formed. The serum is used locally, a drop or two of the fluid preparation (pollantin) being placed in the conjunctival sac or nose several times daily. The serum is also furnished in powder form. During treatment the patient must sleep with closed windows.

Five hundred and five cases have been treated, of which 299 have been cured, 143 helped, 63 uninfluenced. -Muench. Med. Woch.

PRIMARY TUBERCULOSIS OF THE

STOMACH.

Ernest Ruge, of Bonn, found in the literature only four cases, perhaps only two, of tuberculosis of the stomach, the lungs being free from the disease. Petruschky diagnosed two cases (1899) but they did not come to autopsy. Sitten (1901) reports cases of tuberculous ulcer of the stomach (autopsy) without the slightest trace of tuberculosis elsewhere in the body.

Ruge reports the following cases: A male, aged 50, came to the clinic in April, 1903. He complained of intense pain in the stomach, loss of appetite,

and tension in the region of the stomach. The sickness dated back several years, the patient being much worse during the last two years. During the last year he had lost 31 pounds in weight. Since March he had been vomiting. Free Hcl was absent.

Operation revealed marked dilatation of the stomach and pyloric stenosis. The patient was dismissed July 6, 1903, cured.

He returned in February, 1904, having a left-sided, and later a right-sided, pleurisy with serous effusion, which called for repeated aspiration. There was gradually increasing weakness, and death occurred in June, 1904.

The clinical diagnosis was carinoma ventriculi with numerous metastases. The anatomic diagnosis was carcinoma ventriculi, metastases in the ribs, pelvic and inguinal lymph glands, pleuritis and peritonitis carcinomatosa. Microscopic examination revealed the fact that the lesions were not carcinomatous but tuberculous. The numerous tumors were masses of caseous material, the margins showing a few typical tubercles. There were tubercular ulcers in the small intestine. There was no trace of tuberculosis in the lungs, bronchical glands, tonsils, or lymphatic glands. The ulcer involved the musculature.

Stomach trouble was frequent in the family and the patient had had stomach trouble for thirty years.

The number of large tumors with tendency to necrosis resembled the perlsucht of animals. Especially suggestive of perlsucht was the appearance of pleural tumors.

Ruge advances the opinion that this was a case of infection with bovine tuberculosis, very likely acquired from the milk of tuberculous cows.-Beit. z. Klinik d. Tuberculose, 1905, Heft 3.

TUBERCULIN IN THE TREATMENT OF TUBERCULOSIS OF THE EYE.

A. von Hippel (Graefe's Arch. f. Ophth., Band 59, Heft I; Ref.. Muench Med. Woch., No. 38, 1905) within the last ten years has treated 50,000 patients suffering from eye troubles, and of these there were 23 cases of tuberculosis of the iris, ciliary body, and cornea, one of the sclera, and three of the conjunctiva.

After excluding 13 cases cured but the cure not certainly attributable to tuberculin, 14 cases remained that were treated and cured by tuberculin, and, with the exception of one case that left the clinic prematurely, all remain. cured after nine and one-half yearspresent writing.

Tuberculin T. R. was used and as follows: The beginning dose was 1/500 mgr. repeated each second day. This was increased by 1/500 mgr. provided there was no reaction. The temperature was taken every two hours. When the dose reached 2/100 mgr. the succeeding dose was increased by 2/100 mgr., and from a dose of 20/100 mgr. an increase of 10/100 mgr. each dose provided the temperature continued normal. If the temperature rose above 38° C., the same dose was repeated and not increased until it was borne without rise in temperature. Within the last few years he has not

found it necessary to go above the dose of 1 mgr. of the dried substance, as he had succeeded in curing the worst cases of eye tuberculosis without reaching even this dose. He warns against beginning with large doses.

If the cure is to be permanent, the treatment must be continued until all tubercles are replaced by scar tissue, swelling and vasculorization of the iris, precipitates on the posterior surface of the cornea, and cloudiness of the lens have disappeared. In the worst cases this may mean treatment continued for six months or even longer.

The results have been extremely satisfactory. Cases in which vision was already entirely lost, were cured and vision restored. The three cases of conjunctival tuberculosis resulted in a complete cure with no adhesions.

v. Hippel closes as follows: In view of these results I consider it fully established that in tuberculin T. R. we possess a remedy that will

cure the

worst cases of tuberculosis of the eye,

thus saving eyes that heretofore would have been enucleated. When we remember that the tuberculin injections. properly given are without danger to the patient, and that even death from meningitis has followed enucleation, it is seen to be the imperative duty of the oculist to submit these cases to the tuberculin treatment.

Jacoby (Berl. klin. Woch., No. 9, 1905, page 25) reports the following case of iris tuberculosis with heavy clouding of the lens. Treatment was with tuberculin according to von Hippel's method, beginning with a dose of 1/500 mgr. The susceptibility was

so marked that the dose could be increased only at long intervals. The highest dose reached was 6/500 mgr. and this only after 12 weeks. There was rapid resorption of the tubercles, disappearance of the newly formed blood-vessels, clearing of the lens, and ultimately complete cure. The patient increased in weight during the treat

ment.

The regular monthly meeting of the Denver Clinical and Pathological Society was held in the California Building March 10, 1905, the members being the guests of Drs. Lyman, Mann, Whitney, Perkins, and Kenney, the president, Dr. Hill, presiding.

The records of the last meeting were read and approved.

Dr. Waxham exhibited a cast of a portion of the intestine from a male suffering with an acute attack of gastro-enteritis. Lavage, and intestinal washing with turpentine and suds was done, followed by the expulsion of a tough fibrous cast of the bowel. Under the microscope connective tissue was found but no epithelium. Discussed

by Drs. Freeman (who related a similar case) and Bergtold.

Dr. Coover reported a case of traumatic cataract from an explosion, one foreign body being found in this (the right) eye, while the left contained two foreign bodies and a wound of the corneal margin with detached retina. Skiagraphs of the case were also exhibited. Discussed by Dr. Black.

Dr. Kenney exhibited photographs of a girl 18 years of age showing a deformity of the neck caused by a growth of hair from the head to a point at the upper border of the scapula on both sides. Elliptical-shaped pieces of skin and fat, measuring 2x5 inches including the hair-bearing area, were removed from both sides and from the center of the neck, thus reducing the size from 181⁄2 to 131⁄2 inches. A phosize from 181⁄2 to 131⁄2 inches. A photograph showing the results was also exhibited.

Dr. Powers reported the case of a man 30 years of age with comminuted fracture of both legs, compound on one side, dying from fat embolism in 33 hours from the time of injury. Discussed by Drs. Freeman, Hill, and Rogers, the latter reporting a similar case, death occurring from embolism on the twenty-first day.

Dr. Freeman discussed the subject of the etiology of appendicitis, and held that the main factor in the causation in about 80 per cent. of cases was a shortening of the mesentery, this causing a kink in the appendix, the inflammation appearing on the distal side of the kink and interfering with drainage.

Discussed by Dr. Powers, who

said that in many cases the shortening was at the end of the appendix and that, in his experience, the greater number of appendices were straight. Also discussed by Dr. Perkins, who found the kink present in many cases accompanied by pain, but that in the sloughing cases the kink was not visible. Discussion was closed by Dr. Freeman, who said that the kink was present in a majority of cases to a degree sufficient to interfere with drainage.

Dr. McNaught discussed the recent citis in reference to the possibility of statement of an authority on appendi"impotence following operation." Dis

cussed by Dr. Perkins.

Dr. Wetherill discussed the subject of acute nephritis following abdominal operation, and reported a case post-operative to ectopic gestation, with pronounced albuminuria, the urine being scant and ending with complete suppression and death. Discussed by Dr. Powers, who reported the observation of Dr. J. C. Munroe of the Boston City Hospital on post-operative albuminuria. He also stated that personally he believed in very thorough flushing of the bowels and kidneys preparatory to the operation. Also discussed by Drs. Bergtold and McNaught. The latter stated his belief that this condition, when occurring, was not always a sequence to major operations, and that in his opinion the anaesthetic was responsible in many cases. Dr. Van Zant mentioned six cases which had come to his attention in which pus was present in the urine after operation, and Dr. Hill reported

two pus cases followed by acute nephritis. Dr. Sewall reported his observaions concerning acute indigestion, stating that he had found casts in all cases. as a rule, and slight albuminuria in some. Dr. Freeman called attention to the fact that cases of albuminuria are not always preceded by surgical work and reported the case of a woman with suppression of urine after receiving an enema. Decapitulation of the kidney was done without any relief, death. following. Autopsy disclosed no kidney lesion, but ulcerations of the colon, together with a small perforated abscess were found. Discussed by Dr. Discussed by Dr. Freeman. Dr. Sewall reported the results of physiological experiments in clamping the renal artery in animals. A pressure of five minutes duration resulted in the production of albuminuria. Wetherill closed the discussion of this subject with the recommendation of the specific tr. apocynum cannabinum, or Canadian hemp, as a reliable diuretic.

Dr. Hill discussed deaths from empyema and other chest diseases due in many cases to failure on the part of the medical attendant to recognize the condition earlier, allowing operative interference to save life, and reported at number of cases.

Dr. Blaine discussed carelessness in the diagnosis of syphilis on the part of the medical profession.

Dr. Van Zant reported a case of sudden inspiration in a child, 9 years of age, suffering from pertussis. He thought it to be due to pressure on the phrenic nerve. Discussed by Drs. Kenney and Edson, both of when considered "habit" the probable cause in such case.

Dr. Waxham reported a case of appendicitis in a boy 13 years of age, without fever at the time of the attack or for 36 hours previous, the onset occurring abruptly.

The society then adjourned. Members present, 26; visitors 2.

F. W. KENNEY, M. D., Sec.

THE PRACTICAL MEDICINE SERIES OF YEAR BOOKS. Comprising ten volumes on the year's progress in medicine and surgery. Issued monthly under the general editorial charge of Gustavus P. Head, M. D., professor of Laryngology and Rhinology, Chicago Post-Graduate Medical school. Folume X, Skin and Venereal Discases. By William L. Baum, M. D., professor of Skin and Venereal Dis

eases, Chicago Post-Graduate Medical school. Nervous and Mental Diseases. By Hugh T. Patrick, M. D., professor of Neurology in the Chicago Polyclinic; clinical professor of Nervous Diseases in the Northwestern University Medical school. With the collaboration of Charles L. Mix, A. M., M. D., professor of General Medicine in the Post-Graduate Medical school of Chicago; pro