Side view

Top view

One-third Size.

So far as I am aware this is a new instrument. It is a combination of a tongue depressor and a Geisler's tube, adapted for the delivery of the high frequency current to all parts of the throat. It will reach chiefly the tonsils, palatine arch, post-pharynx and epiglottis. As suggested by Dr. Gibson, after I had exhibited this electrode at the last meeting of our local medical society, the shape of the application. end can easily be changed by projections downwards or upwards, underneath the epiglottis or within the larynx or upward behind the palate.

this, insulated by rubber tubing from the insulated portion of the shaft downwards to such extended application end, and long enough and stiff enough to be guided down into the trachea or low down in the oesophagus. In the former case the metallic end might be made hollow if desired to allow of breathing during the application, and I should expect good results from its use in syphilitic and tubercular laryngitis. In the latter case I do not see why the high frequency method would not work well in stricture of the oesophagus, whether from inflammation or malignant disease.

The present instrument was made for the treatment of tubercular growths on the arch of the palate, and the results of an every other day application for the past three weeks have been very gratifying, in more than limiting their progress.

In experimenting with this case, I found that on pouring a strong tincture of iodine on the electrode, connected of course with the resonator, and the current turned on through the coil, the alcohol would ignite leaving the bulbous end of the electrode coated with a film of iodine. This gives an excellent way to apply the iodine, enhanced, as I believe the effect is, through cataphoresis. In this use it is better to hold down the tongue with a separate depressor, so as to carry all the iodine to where you

Hamley.

School for Girls.

WM. N. BEGGS, A. B., M. D.,

ALLISON DRAKE, Ph. D., M. D.,

MEDICINE

Digestive Tract.

Tuberculosis

Neurology and

Alienism..

Physiology, Hygiene and Public Health.

Editor and Publisher Associate Editor

..A. E. ENGZELIUS, M. D. WM. N. BEGGS, A. B., M. D. .B. OETTINGER, M. D. ALLISON DRAKE, Ph. D., M. D.

F. GREGORY CONNELL, M. D. MELVILLE BLACK, M. D.

.E. T. BOYD, M. D. .O. M. SHERE, M. D. W. W. REED, M. D.

WM. J. BAIRD, M. D. Single Copies, 25 Cents CORRESPONDENCE,

NEWS ITEMS,

Address all communications to

VOL. XI.

THE COMING YEAR. We have not been much given to self-laudation in these pages, but at the present time we can scarcely refrain from a little indulgence. We really did not know how good a volume had been given our readers last year until it came to the preparation of the index. Then we could not help congratulating ourselves. Of course the special "Tuberculosis number" and the symposium on prostratic hyperthophy contributed largely to that result, but by no means exclusively. They also caused very annoying delays in appearance, a num

No. I

ber of the contributors failing to furnish the papers until long after the announced date for appearance and also failing to return proof. For this reason, no special numbers will be issued this year.

This does not mean, however, that special efforts will not be made to continue the improvement in the Journal. This year it will be better than ever before. We would here call attention to the article by Dr. Mount Bleyer of New York, read before the American Congress on Tuberculosis at St. Louis, the first portion of which appears in this

number, and which will appear exclusively in the Journal. Dr. Mount Bleyer's investigations on the therapeutic effects of light began in 1889, thus antedating those of the lamented Finsen by some time.

We also have in preparation an exceedingly interesting series of articles on affections of the heart, by eminent members of the profession, which will make their appearance from time to time during the year. Altogether we promise our readers a specially good feast for the coming year, which we trust will be to them a most successful one.

DECEMBER ANNALS OF

SURGERY.

We take great pleasure in referring in terms of praise to the December number of the Annals of Surgery. This publication, though always maintaining a very high class of surgical literature, has in this number certainly greatly surpassed its former efforts.

Over 250 pages of original matter dealing with most important subjects in surgery, accompanied by most excellent illustrations, are set forth in this one number. The following is the table of contents:

I. On the Morphology of Carcinoma and the Parasitic Theory of its Etiology. By Geheim-Medizinalrath Professor Doctor Johannes Orth.

II. The Present Position of the Surgery of the Hypertrophied Prostate. By J. William White, M. D.

III. Intussusception of Meckel's Diverticulum. By W. Watson Cheyne, C. B., F. R. S.

IV. The Operative Treatment of Cancer of the Breast. By J. Collins Warren, M. D., Hon. F. R. C. S. (Eng.)

V. Modern Bullet Wounds. By Frank W. Foxworthy, M. D.

VI. Some Experiments with a New Method of Closing Wounds of the Larger Arteries. By George Emerson Brewer, M. D.

VII. Birth-Fracture of the Skull. By James H. Nicholl, M. D.

VIII. Divulsion in Esophageal Strictures by Means of a New Instrument. By Robert Alessandri, M. D.

IX. Parotitis Following Injury or Disease of the Abdominal and Pelvic Viscera. By Brennan Dyball, M. B., B. S., F. R. C. S.

X. Duodenal Ulcer. By William J. Mayo, M. D.

XI. Tetany, and Foreign Bodies in the Stomach, By James P. Warbasse, M. D. XII. Intra-Abdominal Torsion of the Entire Great Omentum. By Charles L. Scudder, M. D.

XIII. Hernia of the Bladder Complicating Inguinal Hernia. By Francis J. Shepherd, M. D., C. M.

XIV. Dermoid Cyst of the Pelvic Connective Tissue. By Harry H. Germain, M. D.

XV. The Iliac Extraperitoneal Operation for Stone in the Lower Ureter in the Male. By Harry Atwood Fowler, M. D.

XVI. Undescended Testicle. By Walter B. Odiorne, M. D., and Channing C. Simmons, M. D.

XVI., I. Hypernephroma of Kidney. II. Fibro-Adenoma of Inner

As this issue completes the first twenty years of its publication, we congratulate its editors and publishers upon their excellent record established and sincerely wish them more successful and greater achievements in the coming years. O. M. S.

OUR ADVERTISING POLICY. We have occasionally had a word to say in reference to our policy of maintaining clean advertising pages, but as yet have not emphasized our position by reference to any particular case, regarding that, as a rule, of doubtful expediency. Occasionally, however, instances arise for departing from a regular policy. Such is a case in hand and we furnish here copies of the correspondence and of the advertisement submitted. As a journal devoting special attention to tuberculosis, we feel that this particular case should be called to the attention of our readers.

The following letter and copy of advertisement have been submitted to us:

discontinued because it has not paid its cost during the year, and advertising placed once a month in theof New York, has been discontinued because three insertions, two of a half page each costing upward of $15 per insertion, and a one-fourth page ad. costing upward of $9 per insertion, did not produce even an inquiry.

I enclose herewith copy of ad. which we are going to place in such medical journals as we can arrange with, (several have already accepted) also in newspapers and magazines that reach the general public; this latter method will create a demand on physicians by the consumptive laity, and our advertising in the medical journals would appeal directly to the physicians; the ad. enclosed will be electrotyped for each medical journal and if you accept the proposition which is made in this letter, your key number would be as marked in red ink.

Since I took hold of the advertising of the incorporated company, I have secured a great many splendid endorsements from first-class, ethical physi

printed in the booklet spoken of in the advertisement, which I expect to mail prior to the 15th of this month.

My proposition is, that you run the enclosed ad. three (3) months, gratis, (I will furnish electro) and every reply that comes from your publication will be placed on a card together with the name and address of the physician making it, and every order coming from that physician will be credited for its full sum to your publication as