lastly in the former chapel of the Charity Hospital. This last- Roux's, as he has never seen any complication arising from named place was notoriously insufficient, and it was decided to what is called a circulus vitiosus. build the present structure, which is situated in the Rue Bona¬ Dr. Roux does not consider that gastroenterostomy suffices parte, next to the School of Fine Arts. The amount used in its in ulcération of the stomach, as cancer may supervene. Ex¬ construction was a little less than $200,000. The most notice¬ cision should be performed in such cases, and contrary to what able parts of the building are a vestibule with busts of cele¬ Hartmann says, profuse hemorrhage commands immediate in¬ brated and a painting of Pinel, the celebrated tervention. Dr. Pauchet, who is a clever young surgeon of alienist, locking up the irons used for insane patients, a large Amiens, has performed 33 operations for non-cancerous dis¬ hall for the special meetings of the academy, with a seating ease of the stomach, and has had only two deaths. Diagnosis capacity of 110, and which is most artistically decorated in the is not so much an indication for operation as the symptoms empire style, different committee rooms, a laboratory and observed, such as vomiting, hemorrhage, pain, loss of flesh and institute for vaccination, special rooms for the library, con¬ mechanical disturbances of the stomach. He gives the prefer¬ taining 120,000 volumes. At the meeting held on November 25 ence to Roux's method, when the patient is in good condition. the president of the academy, who is chosen every year, Dr. Riche, made a discourse in which he showed the importance of the Academy of , more especially on account of the new sanitary laws, how such measures as had already been carried out to children or to too a protect prevent great spread Malaria in the New Born. of alcoholism were due to the academy. He cited the words of the celebrated philosopher, Descartes: "It is of medicine Yellow Pine, La., Dec. 13, 1902. that one should ask the solution of problems which concern To the Editor:\p=m-\InThe Journal of July 19, 1902, I noted the happiness and grandeur of the human race." an editorial, "Malarial Fever in the New-Born." I had in my Professor Jaccoud, who is perpetual secretary, as the French practice last summer a case in point much clearer than the one made a most in he how put it, eloquent speech, which showed you cite. It was as follows: the continual progress of medicine was, and his discourse was 35, five other had had not much The minister of instruction made Mother, white, aged children, very very applauded. public severe chills at intervals the and summer. I a also, and the came to an end after the through spring speech meeting presi¬ had not advised because in this woman's the dent had conferred the cross of Commander of the Legion of quinin case drug Honor on Professor Jaccoud. There are in all 110 members of invariably brought on uterine contractions. When called at the academy, which is divided into the following sections: about 4 p. m., I learned that the patient had had a chill about anatomy and physiology, 10; medicine, 13; surgical , ten that morning, and one about the same time on each of the 10; therapeutics and natural history, 10; operative , two days immediately preceding. Her temperature was then 7 7 ; pathology, ; , 7 ; public hygiene, legal medicine 102. She was in labor. In about an hour she was delivered and medical supervision, 10; , 5; physics of an that four The and 10; 10, and free 10. eight-month boy weighed only pounds. chemistry, , associates, little fellow seemed to do well till he was 40 hours old. At There are besides 20 national and 20 foreign associates, 100 very national correspondents and 25 foreign correspondents. that time he had a light chill, followed by a considerable rise of temperature. This was repeated the next morning. On the Cases of Locomotor Hereditary by Babinski. third morning he had a hard chill, was very blue for nearly an At a recent meeting of the Medical Society of the Hospitals, hour, with extremities very cold. After this chill the tempera¬ Dr. at the Babinski, Salpetrierè, described two eases ture in the was 103. I then gave in doses of locomotor and groin quinin %-gr. hereditary ataxia, remarked they were more till three were before next chill time. I also let than was He grains given frequent generally thought. presented the two the father rub the child well in quiiiin and lard. The mother patients to the medical One was a young woman 22 society. also took There was no recurrence of chill or years old, having Hutchinson's teeth, and presenting at birth quinin freely. anal ulcérations. For two years she has had lancinating pains, fever in either child or mother. This child I am satisfied was the reflex of the pupils is abolished, and the patellar reflex is bitten by mosquitoes, but would that account "for a chill as weaker on the left side than on the right. The father of this early as the second day after birth' W. S. Lawrence. young woman contracted while her mother was preg¬ and nant, infected her. He suffers himself from locomotor Particulars of Lawsuit. ataxia. Dr. Babinski showed another patient who is fifteen a years old. There is no pupillar reaction to light, the patellar Chicago, Dec. 11, 1902. reflex is abolished, there are urinary disturbances, lymphocy- To the Editor:\p=m-\Referringto the notice in The Journal, tosis of the medullar liquid, specific choroiditis of the left eye, December 6, concerning suit brought against me for damages, and symptoms of dementia or meningo-eneephalitis. The father allow me to state the facts: During an operation by Dr. Lemke of has this patient no knee-jerk; there is Argyll-Robertson's in the year 1898 his patient had a cerebral embolism, followed and disturbances. This was not aware sign gastric patient he by a partial hemiplegia. Shortly after that a lawsuit was com- was from tabes, which his had failed to suffering physicians menced Dr. Lemke, and I was included in the suit, on Dr. described a in which the against recognize. Louques family father of the relations between Dr. died of progressive general paralysis, the mother and her two account supposed financial Lemke daughters presented symptoms of tabes. and myself. I was not present at the time Dr. Lemke operated, and had nothing to do with the case. The case was tried two Discussion on the Technic of Gastroenterostomy. weeks ago, and when the plaintiff had completed his evidence, of Monprofit Angiers, Hartmann of Paris, Roux of Lausanne, and without the presentation of witnesses and without a de- of Pauchet Amiens, discussed gastroenterostomy at the fense on the of Dr. Lemke or the instructed recent of· has part myself, judge Congress Surgery. Monprofit performed the to return a verdict in favor of the thus 101 times. He the jury defendants, gastroenterostomy employed anterior Dr. Lemke from blame whatever in the matter. method of Woefler 15 times, Von Hacker's method 75 exonerating any posterior J. B. Murphy. times, and Roux's Y process 13 times. The first he found de¬ Very truly yours, fective, and of the two others Roux's seemed to be more per¬ fect. This technic takes more time, however, and should be used when the patients are sufficiently strong to stand an operation lasting an hour. Out of 60 operations that Dr. Hartmann has performed for non-cancerous lesions of the Dynamic Aspects of Nutrition and Heredity. By Frank Hor- there has been a ridge. Cloth. Pp. 175. Price, $1.50 net. New York: Wm. Wood stomach, only general mortality of 16.5 per & Co. 1902. cent., and since 1900, out of 37 cases there have been 4 only The of this volume is such a and abstruse deaths, or 10.5 per cent. Better results are obtained if the subject complex one that any criticism of a sensible and patients are sent to the surgeon before they are completely philosophic handling emaciated, and in this respect the patients sent by Dr. Hayem of it would seem to be almost impossible. The author has and Dr. Soupault, who have made a special study of stomach undoubtedly given considerable thought to the subject and troubles, are in much better condition. Hartmann considers has brought out his views in a readable form. It is a work it advisable to always make an accurate diagnosis, as he does· that is certainly worth reading, whether one agrees with the not consider it necessary to operate on all forms of chronic dys¬ author's reasoning or not. The book lacks an index, which is pepsia, and he prefers to use Von Hacker's method rather than a defect notwithstanding its very moderate size.

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