having chills followed by fever, profuse perspiration and delirium which continued. Sixteen days later, commenced to expectorate large quantities of offensive pus which continued to the end, three weeks later, when death occurred from exhaustion of all the vital powers. At no time were there any positive signs indicating location of pus. Autopsy revealed a large abscess cavity, extending between the diaphragm, beneath the peritoneum of the diaphragm, to the median line, laterally to the abdominal wall, and forward to the commencement of the costal cartilages, and backward to the spinal column. The abscess contained about twelve ounces of pus, of the consistence of thick cream.-Annals Ophthal.and Otol., July 1896.

NEUROLOGY.

ERYTHROMELALGIA.-A. Eulenburg has made a digest of forty-three published cases of this trouble. He concludes that it is not a disease sui generis but a syndrome or complex of symptoms depending upon different nervous diseases, mostly central (cerebral or spinal) but sometimes peripheral. Concerning the pathogenesis of the special symptoms we are as yet in the dark.-Neurolog. Centralbl., 18, 1896.

ALCOHOL INJECTIONS IN CARCINOMA.-Dr. Hasse, of Nordhausen, states that several cases of carcinoma which he treated twenty-three years ago with alcohol injections have shown no reappearance. He has also extirpated large mammary carcinomas that have been declared inoperable and beginning reappearances he successfully overcame by the injections. He sees in this treatment a sure remedy for carcinoma. — Berlin klin. Wochenschr., 24, 1896.

o'c.

VALUE OF EXTENSION OF THE VERTEBRAL COLUMN IN THE HORIZONTAL POSITION IN CASES OF COMPRESSION MYELITIS.-B. Vorotynsky repeats in Revue Neurologique, 3, 1896, the view already expressed by him that the method of suspension gives better results in certain nervous diseases than any other treatment. In later years he has carried out the principle by a special apparatus to apply extension to the vertebral column while the patient is lying. In compression myelitis (especially from spinal caries) he has obtained good results.

ROENTGEN RAYS AND ACROMEGALY.-Fr. Schultze, at the meeting of the Naturalists and Physicians of the Lower Rhine, Feb. 10, 1896, reported the examination of the hand in a case of acromegaly by the aid of the Roentgen rays. There was thickening of the terminal phalanges without osteophytes, and of the distal epiphyses of the first and second phalanges, as well as swelling of the diaphyses of the first phalanges. The first phalanx of the index and that of the little finger was bent laterally. The metacarpal bones were not distinct in the radiograph.— Neurolog. Centralbl., 19, 1896.

RETROGRADE AMNESIA FOLLOWING TRAUMATIC EPILEPSY.-Strümpell reports, in Deutsche Zeitschr. f. Nervenhk., 5 and 6, VIII, the case of a man, aged 46, who, in the beginning of June 1893, received an injury to the skull by falling against the corner of an iron door. There was no loss of consciousness and no fright and the man went on with his work. After two days he had epileptiform attacks, five within twenty-four hours, each lasting about fifteen minutes. Erysipelas set in and he was ill with it for a week. His memory of events from the time of the first convulsion to the height of his illness had disappeared and he knew of them only from hearsay and, besides this, there was complete loss of memory (except dim remembrances of two circumstances) for events during some three months preceding the traumą.

CONDUCTED BY

H. WORTHINGTON PAIGE, M.D.

ALL NEWS or other matter relating to this department should be addressed to The Rutland, 256 West Fifty-seventh Street, New York City.

DR. M. D. YOUNGMAN, of Atlantic City, N. J., was recently in town for a few days.

DR. H. P. GILLINGHAM has returned to New York and located at 149 East Eighty-second Street.

DR. C. E. FISHER has gone to California to regain his health. He may return to Chicago next month.

DR. E. GUERNSEY RANKIN has removed to 226 West Fifty-ninth Street. Hours 9 to 11:30 and 5:30 to 6:30.

FOR SALE. -Office fixtures and practice in a city of 15,000, in New York State. Practice first-class. J. E. B., 200 Davis St., Syracuse, N. Y.

DR. DWARKA NATH ROY, N. Y. H. M. C. and H. 84, has removed from Bengal to Roy Lodge, Calcutta, India, where he will hereafter reside.

APPOINTED Medical ExamINER.-Dr. Eugene H. Porter has been appointed Medical Examiner of the Penn Mutual Life Insurance Company.

DR. WM. E. ROUNDS is making an extended tour of California. The Doctor accompanies a patient and expects to remain on the Pacific coast for several months.

DR. ORLANDO S. RITCH, 314 Macon Street, Brooklyn, announces that he will devote especial attention to surgery. Hours 8 to 10, 1 to 2, and 6 to 7. Sundays 1 to 3 only.

THE PENNSYLVANIA STATE SOCIETY has a total membership of two hundred and ninety-eight. The Alumni Association of Hahnemann College has a membership of 1110.

DR. E. S. MUNSON has resigned his position as Assistant House Surgeon to the New York Ophthalmic Hospital and removed to 16 West Forty-fifth Street, where he will assist Dr. Norton.

DR. EDMUND M. DEVOL, who has been Assistant Physician at Dr. F. W. Seward's Sanitarium at Goshen, N. Y., has taken the practice of the late Dr. J. B. Walteres, 114 Nassau Avenue, Brooklyn, N. Y.

Valued Correspondents:- Dr. R. Milton Richards, 25 Washington Ave., Detroit, and Dr. Wm. D. Young, Secretary of the Buffalo Clinical Club, are sending us valuable news items from their respective cities.

DR. H. E, WINANS, N. Y. H. M. C. and H., class of 1888, has removed from Newburg, N. Y., to New York City, where he has located at 1889 Lexington Avenue. Hours to 12 and 4 to 6. The Doctor will devote his attention to electro-therapeutics.

DR. I. TISDALE Talbot, of Boston, sailed on the "Kaiser Wilhelm II.," from New York, on Nov. 21, to spend the winter in the region of the Mediterranean. During his absence, Dr. Winthrop Tisdale Talbot will have charge of his office and practice.

THE HOMEOPATHIC DEPARTMENT OF THE UNIVERSITY OF MICHIGAN opened, October 1st, with 48 matriculates, an increase of 21 over a year ago. The addition of Dr. Dewey to the chair of Materia Medica is the only change in the personnel of the faculty.

DR. D. A. MACLACHLAN, of Detroit, has resumed practice after an extended trip up the lakes. The doctor's arduous labors in the interest of the late meeting of the Institute made a prolonged vacation absolutely necessary and he is now much improved physically.

DR. GIVEN'S SANITARIUM, Stamford Hall, at Stamford, Conn., is a beautiful, quiet, pleasant place. A cottage home, fifty minutes from New York, for the treatment of nervous and mental diseases-with a separate cottage devoted to alcohol and opium patients.

THE LIBRARY, SURGICAL INSTRUMENTS, medicine cases and cabinets belonging to the late Edwin J. Pratt, M.D., are at the office of Dr. Irving Townsend, 67 West 46th Street, for sale. Prices are nominal, and it is a rare opportunity for a recent graduate to acquire the nucleus of a library.

ENTRE NOUS:-"There is a little matter that $ome of our Subscriber$ have $eemingly forgotten entirely. $ome of them have made u$ many promises. but have never kept them. To us it is a very important matter-it's nece$$ary in our business. We are modest and don't like to $peak about it."

THE SECOND TIME.-We regret that the Hahnemannian Advocate is a second time guilty of journalistic discourtesy. Some little time ago, it appropriated an editorial without acknowledgment and in its last October issue it published part of an article which appeared in the NORTH AMERICAN and neither gave credit to the NORTH AMERICAN nor even mentioned the author's name.

THE DETROIT HOMOEOPATHIC PRACTITIONER'S SOCIETY is in a very flourishing condition and much interest is manifested at its meetings. The first meeting of every quarter is set apart for social purposes, and has proved very pleasant. On October 1st the Society was entertained by its president, Dr. S. H. Knight, at whose home the members and their wives spent a most delightful evening.

DR. W. B. CLARK, of Indianapolis, has recovered from a severe attack of typhoid fever. He was honored during his illness by receiving the decoration of the jeweled badge of the British Red Cross Association, conferring the rank of Surgeon-Major, an honor accorded so far to but few Americans. He also received a membership badge of the Turkish Society, made from the sacred and perfumed clay of Turkey.

DR. W. A. DEWEY called on a few of his Detroit friends on his way to his new home in Ann Arbor. The doctor is contemplating the opening of a branch office in Detroit where he may be found probably twice a week for the treatment of nervous diseases exclusively. The profession in Detroit will hail with delight the filling of this vacancy in their ranks, as at present no one of the homoeopathic school makes a specialty of nervous diseases.

ON OCTOBER FIRST the following changes in the house staff of Grace Hospital, Detroit, were made: Dr. J. J. Murray having completed his term as House Surgeon opened an office on the corner of 14th and Forest Avenues, Detroit, being succeeded in the hospital by Dr. M. L. Combes,

whose Senior Assistant is Dr. John Van Hie, and Junior Assistant is Dr. F. A. Miner. Drs. Murray, Combes, and Van Hie were graduates of The Cleveland Medical College, while Dr. Miner hails from Ann Arbor.

"OSTEOPATHY" is a recent new pathy which seems to be flourishing most strongly in Missouri. At Kirksville there is a college of osteopathy, a journal of osteopathy, and an infirmary with three or four hundred patients. Just what it is, cannot be made out from any of the writings thereof, for, like most peculiar pathies its foundation seems to be enveloped in clouds of vagueness, but it seems to attribute all human ills to displacements of the bony system. The founder, according to a likeness, is guiltless of a necktie, and apparently a comb and brush are not in the list of osteopathic implements.

POST-GRADUATE COURSE IN ELECTRO-THERAPAUTICS.-Dr. Francis M. Frazer, formerly professor of electro-therapeutics in the Metropolitan Post-Graduate School (Homœopathic), now delivers a course of five clinical lectures per week upon Electro-Therapeutics. Two lectures from the material in his clinic at the West Side Clinic and Hospital, 351 West Forty-second Street and three lectures each week at the Metropolitan Hospital where he has 800 beds to draw illustrative cases from. Dr. Frazer is recognized as an authority upon this subject and from the large amount of material at command, his course will undoubtedly prove a most valuable one.

A CINCH FOR the Druggist:-Mr. Samuel Jessup died May 17, 1817, at Heckington. He was defendant in a trial for the amount of an apothecary's bill at the Lincoln Assizes. The evidence at the trial gives the following details: In twenty-one years (from 1794 to 1816) he took 226,934 pills, supplied by a respectable apothecary in Bottlesford, which gives an average of 10,806 pills a year, or 29 each day. In the last five years preceding 1816, he took the pills at the rate of 78 a day, and in the year 1814 swallowed not less than 51,590. "Notwithstanding this," says the Tocsin, "and the addition of 40,000 bottles of mixture, besides the julep and electuaries, set out in fifty-five closely written pages of the apothecary's bills, he lived to the age of sixty-five years.

THE ALUMNI PRIZE:-The Executive Committee of the Alumni Association of the New York Homœopathic Medical College and Hospital offers a prize consisting of Allen's Hand-book of Materia Medica, Goodno's Practice and Wood's Gynecology, for the best original essay by a student of the senior class upon the subject, "A Comparison of the Therapeutic Indications for the different Preparations of Mercury." The competition is open to all students of the senior class. The essays must consist of not more than 3,000 words and must be handed in before March 15. The names of the judges and specifications of the competition will be bulletined at the College. The prize is most desirable and it is hoped every member of the class will feel inspired to enter the lists.

WHAT WE EARN:-According to Dr. Jarvis' tables, the average of the lives of physicians is fifty-six years. If you begin practice at twentyfour, your active-life prospect will be thirty-two years, and from a thousand to fifteen hundred dollars will represent your yearly income. Now, were you, (through God's mercy) to practice these thirty-two years without losing a single day, and collect (say) eight dollars every day of the time, you would receive but $93.440. Deduct from that amount your expenses for yourself and your family, your horses, carriages, books, periodicals, and instruments; your taxes, insurance and a multitude of

other items for the whole thirty-two years (11,780 days), and then so far from being rich-you would have but little, very little, left you after you naturally reach the down-hill of life.

THE NORMAL MAN.-Professor Huxley asserts that the proper weight of man is 154 pounds, made up as follows: Muscles and their appurtenances, 68 pounds; skeleton, 24 pounds; skin, 10%1⁄2 pounds; fat, 23 pounds; brain, 3 pounds; thoracic viscera, 3%1⁄2 pounds; abdominal viscera, II pounds; blood which would drain from the body, 7 pounds. The heart of such a man should beat 75 times a minute, and he should breathe 15 times a minute. In twenty-four hours he should vitiate 1,750 cubic feet of pure air to the extent of one per cent. A man, therefore, of the weight mentioned, should have 800 cubic feet of well-ventilated space. He would throw off, by the skin, 18 ounces of water, 300 grains of solid matter, and 300 grains of carbonic acid every twenty-four hours; and his total loss during that period would be 6 pounds of water and a little more than 2 pounds of other matter.

ALLISON CLOKEY, M. D., Chairman of the Section of Paedology for the Buffalo meeting of the American Institute of Homœopathy, reports that the Section is complete and that the members will present a symposium upon "The Rheumatic Diathesis." Five papers only will be presented, the remaining five members of the Section opening the discussion on the papers: "Etiology," A. P. Hanchett, M.D., Council Bluffs, Ia.; Opening Discussion, L. C. McElwee, M.D., St. Louis, Mo.; "PatholWm. H. Bigler, M. D., Philadelphia, Pa.; Opening Discussion, Jos. P. Cobb, M.D., Chicago, Ill.; "Urinology," Clifford Mitchell, M.D., Chicago, Ill.; Opening Discussion, Geo. M. Dillow, M. D., New York, N. Y.; "Symptomatology," Phoebe J. B. Wait, M.D., New York, N. Y.; Opening Discussion, H. R. Stout, M. D., Jacksonville, Fla.; "Treatment," S. R. Geiser, M.D., Cincinnati, Ohio; Opening Discussion, C. D. Crank, M. D., Cincinnati, Ohio.

AMERICAN HOMOEOPATHIC OPHTHALMOLOGICAL, OTOLOGICAL AND LARYNGOLOGICAL SOCIETY.- At the last meeting of the American Institute of Homoeopathy an informal meeting of the Ophthalmological and Otological Society was held, about forty of the leading specialists of our School being present. After a discussion in which every one expressed himself in favor of the project, it was unanimously voted to reorganize the old society. This was done and the following officers were elected: President, A. B. Norton, M.D., New York; Vice-President, Wm. R. King, M.D., Washington, D.C.; Treasurer, Harold Wilson, M.D.' Detroit, Mich.; Secretary, E. J. Bissell, M.D., Rochester, N. Y.; Censors, F. Park Lewis, M.D., Buffalo, N. Y., W. A. Phillips, M.D., Cleveland, O., Wesley A. Dunn, M.D., Chicago Ill. The object of reviving the old society is to provide an opportunity for mutual aid and advancement in these special departments. Every physician, whether an exclusive specialist or general practitioner, is urgently invited to become a member.