ARKANSAS.-Dr. R. P. Weston of Newport died September 25.-Dr. McIntosh of Pine Bluff died September 20.-Dr. G. A. Rene, Redland, has been appointed county health officer.

CALIFORNIA.-Dr. A. Thompson of Colton has been elected county physician.-Dr. James G. Jewel of Oakland died recently.-Dr. F. R. Clark has been sued for malpractice, on the ground that he mistook the consequences of pregnancy for a uterine ulcer.-San FranciscoThe city and county hospital is in very bad shape.—Dr. David Wooster died recently.-Dr. M. Gardner has been elected superintendent of the S. P. Hospital.-Dr. A. B. Dobson of San Jose died October 1.

CONNECTICUT.-Dr. R. B. Goodyear has been appointed medical examiner for North Haven-Dr. W. P. Baldwin has located at 1119 Chapel street, New Haven.-Hartford-Dr. W. Van Wright died September 25.-Dr. Hawkes of New Haven has wired the fractured parts of the II and 12 vertebra with so far good results.-Dr. G. E. Rouse married Miss E. T. Gray.

DELAWARE.-Dr. W. N. Hamilton of Odessa died September 25.

DAKOTA, SOUTH.-Dr. G. W. Moody of Huron died October 13.

DISTRICT OF COLUMBIA.-Washington — Dr. D. B. Harding died September 28.

IDAHO. Dr. J. C. B. Justice of Lewiston died October 8.

ILLINOIS. Dr. J. D. Moore of Decatur married Miss G. Magill October 19.-Dr. George Hakes of Minonk died October 1.—Dr. J. H. Rainy of Canton died October 1.-Dr. J. L. Shepard of Galesburg married Miss Herbesm October 1.-Dr. John L. McCailey of Carbondale married Miss W. Pace recently.-Dr. E. N. Huntley of Rockford died September 28.-Dr. James L. Brown of Peoria married Miss Margaret D. Pfeiffer October 8.-Dr. Benton J. Hohn of Bloomington died recently.-The state board has licensed Drs. F. C. Freeman of Oregon, W. W. Williams of Unionville, A. Grover of Sutter, W. H. Wilson of Cortland, C. B. Tulle of Nincie, L. M. Breed of Winetka, C. Riley Manchester, J. A. Menohrer of Lawridge, S. M. Bailey, Elsberry.-Chicago-Dr. R. Seiffert died October 5.-Dr. William Gleason married Miss Edna Carpenter October 3.-The state board has licensed Drs. T. McFeeley, M. F. Clark, Clara A. Hendy, E. Tonnelson, W. P. Allan, F. W. Duckett, J. Hosking, G. W. Watts, W. E. Chamberlin, J. J. Muldoon, J. Riddle, E. J. Wilsie.

INDIANA.-Dr. D. G. McConnell of Angola died recently at the age of 78.-Dr. J. R. Thornberry of Crawfordsville died recently. — Dr. Coates of Valparaiso died October 6.

IOWA -Dr. J. J. Hofstetter of Lyons died recently. Dr. P. S. Moser of Boone died recently. Dr. H. E. Campbell of Louis has moved to Cumberland.-Dr. F. T. Montague of Des Moines died recently.-Dr. J. M. McKay of Ticonic died recently.-Dr. J. F. White of Council Bluffs died recently.

KANSAS.-Dr. J. W. Meal of Wichita died recently. Dr. B. F. Hepler of Ft. Scott died recently. Dr. Reid Alexander of Topeka died October 8.

KENTUCKY.- Dr. J. Wesley of Hustonville married Miss B. Elliot October 10.

MARYLAND.-Baltimore-The king's daughters have established a hospital for epileptics at Port Deposite.

MAINE. Dr. J. W. Tourard of Augusta died recently. Dr. W. L. Thompson of Augusta died October 1 in his 71st year.

MASSACHUSETTS.-Dr. J. J. Moran of Dorchester died recently.—Dr. H. C. Chandler of Hudson died October 3 in his 90th year.-One thousand two hundred physicians have registered. The fee for registration after January 1, '95, will be $10 in place of $1.-Boston-Dr. McCullon claims that no small proportion of diphtheria is due to the use of second-hand infected school-books.-Dr. C. Mam died October II.— Dr. Hartwell says that at least seven out of every thousand pupils in the public schools stutter or stammer to a greater or less extent.

MICHIGAN. Dr. B. S. Putney has been appointed Three Rivers examining physician.— Dr. A. L. Van Horn has located at Otsego.-Detroit-Dr. A. W. Finleyson died recently.-Dr. Henry Lyster died October 5.--Dr. McLeod has been sued for malpractice by the sister and brother-in-law of a small-pox patient whom he quarantined.

MINNESOTA.-Dr. C. L. Allen of Duluth died October 13.-Dr. O. M. Ramsey of Mason City, Iowa, has located at Milan.-Dr. T. W. Hunt has located in Lanesboro.--Dr. Wilson of Hokah has located at Minneiska.- MinneapolisDr. W. N. Porteous recently married Miss A. N. Johnston.

MISSOURI. Mr. J. C. Hearne of St. Joseph was married recently to Mrs. A. J. Stillwell.Dr. J. Goodes of Poplar Bluffs died October 6.-Dr. D. B. Hill of Lick Springs died recently. St. Louis-Dr. Gilliss has forced the

Woman's Medical College into the hands of the receiver.

NEBRASKA. Dr. S. P. Hough of Aurora died October 10.

NEW JERSEY.-Dr. J. M. Woodruff of Roseville died recently.-"Dr." Lemrow of Orange has been refused a certificate by the state board of health and despite this his name in some way was added to the list of registered physicians in Newark after the date of registration had expired. Cats and rabbits are suspected of having carried small-pox from the isolated hospital to the almshouse in Newark, where two cases of the disease were discovered. The hospital for contagious diseases and the almshouse are only a short distance apart on the same tract of land. There were a dozen cats in the almshouse, and nearly as many more in the stables, and a number of tame rabbits had the run of the grounds. The cats and rabbits have been sacrificed by order of the Health Officer, Dr. Lehlbach.

New YORK. The following district physicians have been appointed at Albany: First district, Dr. Clyde C. McCulloch; second, Dr. Mchael J. Stevenson; third, Dr. Arthur Sautter; fourth, Dr. James W. Wiltsie; fifth, Dr. Charles H. Moore; sixth, Dr. Martin McHarg. Dr. Overton has located at Patchogue, L. I.—Dr. C. C. Curtis of Dunkirk has removed to Jamestown.-Dr. C. E. Ives of Savanah died recently. Dr. H. A. Bolles of Courtland died recently. Dr. F. G. Mosher of Coeymans died recently.Brooklyn-Dr. W. F. Crutchley died recently.-Dr. D. C. Pardee died recently. -Dr. John Y. McGay died recently.New York City-There are fifty cases of leprosy in this city. The baby of a millionaire saved by the use of an incubator but he refuses to pay the Ford Instrument Company $2.00 per day for its use. The baby is in excellent health.-Dr. S. Douglass died October 14.-Dr. V. A. Turpin, formerly of Chicago, died recently at the age of 75.-Dr. Leon Cherurg was elected Ludlow Street Jail physician.

was

OHIO. Dr. W. C. Cooper has been appointed to the consulting board of the Toledo insane hospital. Dr. H. V. Lerch of Pleasantville has located in Toledo.-Dr. J. L. Coffee of Salem died October 1 and Dr. L. Hubbard of Dayton October 14-Drs. Pittiford and Peters have located in Portsmouth.-Dr. J. B. Priest of Steubenville died recently.-Dr. B. R. Moore of Fultonham recently married Miss M. Fauley. Dr. E. Cludiater of Massillon died recently at the age of 75 and Dr. A. Echert of Trenton October 10 after 52 years practice.-Dr. E. C. Mills of Columbus married Miss N. Beecher October 10.

PENNSYLVANIA.-Dr. Jennie R. Eagleson of Meadville and Dr. Martha Morgan of Harrisburg died recently.-Dr. John B. Crawford died recently.-Dr. Benjamin S. Muhlenberg of Lancaster died recently.-Philadelphia-Dr. A. Reiter of Berlin has notified the state board of health that the Buchanan "diplomas" are still sold in Germany.

TENNESSEE.-Dr. J. C. Newman of Helenwood married Miss Belle Parker October 13.

TEXAS. Dr. H. R. Canfield of Bryan died recently. Dr. W. S. Savage of Santa Anna died October 10 and Dr. B. P. Curry of Brenham October II.

UTAH.-The board of examiners has licensed: Drs. O. C. Ormsby, Logan; Briant Stringham, Bountiful; Samuel C. Baldwin, Salt Lake; Alonzo M. Thorpe, Salt Lake; George W. Baker, Mendon; Johnson C. McGahey, Salt Lake; Augusta C. Behle, Ogden; William Lee Bishop, Salt Lake. The board refused to grant a license to Dr. Jabez W. Taylor to practice, the reason being that under an assumed name as alleged, he attempted to purchase from a medical "college" a diploma.-Salt Lake City-Dr. Dalby has been elected health commissioner.

VERMONT.-Dr. C. Woodhouse of Rutland died October 15.-Dr. Cilley of Jericho has located in Greensboro.

WASHINGTON.-Dr. W. F. Giddings of Seattle died recently.—Dr. A. G. Stimpson has been appointed Port Townsend quarantine officer.— Dr.N. D. Longaker of Washington died recently. -Dr. James E. Ryan of Seattle died recently.

WEST VIRGINIA.—Dr. Jas. Stewart died October 4.

WISCONSIN.-Dr. W. B. Mix of Stevens Point died recently.-Dr. Jas. Cody of Watertown died recently.-Dr. G. Hathaway has been elected superintendent of the Oshkosh insane-hospital. -Milwaukee-Dr. R. B. Brown died October 11.-Dr. T. J. Welsh married Miss F. Coffey October 17.-Dr. Rosa Upson of Marshalltown, Iowa, has been appointed grand medical examiner D. of H. for this state.

SOCIETIES.

THE SAGINAW (MICH.) COUNTY MEDICAL SoCIETY elected the following officers:

President, Dr. S. I. Small; vice-president, Dr. W. S. Connery; secretary, Dr. B. B. Rowe; treasurer, Dr. S. J. Ostrom.

THE MISSISSIPPI VALLEY MEDICAL ASSOCIATION meets this year at Hot Springs, Ark., November 20. The program is interesting and likely to be the source of much discussion. The place of meeting is well supplied with

hotels of the highest grade, and has many points of great historical, geological, and balneological interest. It has reminiscences of De Soto and of the early scientific expeditions sent out by Jefferson after the Louisiana purchase. The scenery along the Iron Mountain Route (most convenient in price, in accomodation and rapid in time) is majestic. This is the only line to the Hot Springs and leaves St. Louis for the south close to the west bank of the Mississippi river. The three daily trains running over this road carry free reclining chair cars, the greatest luxury in railroad travel outside of the elegant Pullman buffet sleeping cars, with which they are also equipped. Within the limits of the city of St. Louis, the Missouri banks of the river rise in abrupt and precipitous crags and bluffs, overhung with magnificent forest trees and heavy natural shrubbery. Underneath these bluffs and along the water's edge run the tracks of the Iron Mountain route, which, at intervals, are threatened from above by huge masses of the limestone rock. As if fearing their momentary fall, the train darts away, whirling past breaks in the cliffs, through which are caught glimpses of the country retreating from the river in rolling beauty and loveliness. The bluffs are climaxed at sightly points by elegant residences, which, set in their pride of surrounding, are the rivals of those of the Hudson. On the left is the Mississippi, taking its course silently and majestically to the Gulf, while beyond the rich, level prairies of Illinois reach into the distance, defying the vision. Farther down the road leaves the river and commences to penetrate the Ozark range of mountains proper. The famous Iron Mountain, composed almost wholly of a high grade of iron ore, and Pilot Knob, of the same metal, are soon reached, and the extensive iron works established at their base are seen from the car window. Just beyond these is the entrance to the beautiful Arcadia Valley, which has been given a world-wide reputation by the poems of Longfellow and lesser writers. The road passes through this valley, shut in on all sides by mountains and reposing in peaceful loveliness, and past other scenes of absorbing interest, to the boundary of Arkansas; through Arkansas and its almost untouched resources of fine timber and mines to Little Rock, the flourishing capital of the state, and the City of Roses. Malvern is the junction point of the Iron Mountain route and the Hot Springs Railroad. The latter road extends from Malvern to Hot Springs, a distance of twenty-two miles, and takes the passenger through some interesting and romantic country. The scenery becomes wilder and more beautiful as you approach Hot Springs, high mountains on either side and

159

quiet valleys intervening, with a farm house, garden and cotton field. The screech of the engine among the towering trees echoes and reechoes from the mountains out beyond the Ouachita. Streams of pure mountain water tumble noisily down their rocky beds at the bottoms of wild and tangled gulches which are spanned by the railroad on dizzy trestles and bridges. From every standpoint the physician will do well by attending the 1894 meeting of the association.

THE DETROIT ACADEMY OF MEDICINE has the following officers:

President, Dr. A. H. Bigg; vice-president, Dr. L. E. Maire; secretary, Dr. W. B. Sprague; treasurer, Dr. Preston M. Hickey.

TRI-STATE (ALA.) MEDICAL SOCIETY elected the following officers:

President, Dr. R. M. Cunningham, Birming ham, Ala.; first vice-president, Dr. J. C. LeGrand of Anniston, Ala.; second vice-president, Dr. Floyd W. McRae of Atlanta; third vice-president, Dr. G. W. Drake of Tennessee; secretary, Dr. Frank Trester Smith of Chattanooga, Tenn.; treasurer, Dr. Geo. R. West of Tennessee.

THE Georgia Medical College has a class of 80.

THE Milwaukee Medical College opens with a class of 100.

KANSAS City Medical College opens with a class of 50.

TULANE UNIVERSITY.-Dr. Tiffany of Baltimore succeeds Dr. Miles in the chair of surgery.

TOLEDO MEDICAL COLLEGE opens with a class of 100.

BOOKS.

INGALS' DISEASES OF THE THROAT* is an excellent addition to laryngological literature. From the first edition of this work, which consisted of a series of lectures on physical diagnosis of the respiratory tract, with an appended treatment of each disease, this work has grown into a complete text-book. The first 268 pages are devoted to diseases of the chest. Here the author has devoted most of his time to the diagnosis and semeiology, ætiology, pathology, and treatment as a rule receiving only brief attention. His system of differential diagnosis is excellent, being clear and to the point. The

*Diseases of the Chest, Throat and Nasal Cavities. Including Physical Diagnosis and Diseases of the Lungs, Heart, and Aorta, Laryngology, and Diseases of the Pharnyx, Larynx, Nose, Thyroid Gland and Esophagus. By E. Fletcher Ingals, A. M., M. D. Professor of Laryngology and Practice of Medicine, Rush Medical College. Third Edition. Revised. New York: Wm. Wood & Co. 1894. Chicago: W. T. Keener Co.

remainder of the book is devoted to diseases of the nose, throat, thyroid gland, and œsophagus. For student, and practitioner as well, this portion will be found excellent, being not only a thorough treatise on the subject, but also the observations and practical experience of the author, particularly in the line of treatment. In the appendix several pages are devoted to various formulæ and drugs used in the treatment of diseases of the respiratory tract. This work is carefully written, well illustrated and will doubtless meet with the same success as the preceding editions.

DAY AND NIGHT URINE.-It is a well known fact that the urine secreted during the day is generally more abundant, lighter in color, and more fluid than night urine. The variation is, first of all, due to the difference in the amount of fluid supplied to the organism. That various positions of the body and sleep play a certain role has already been determined by a number of observers. Quincke ("Amer. Medico-Surg. Bull.") found that while, in reclining positions of the body, the urinary secretion is augmented, it is diminished by sleep and the abstraction of water from the body at night in the absence of compensatory supply. The last two movements generally predominate so that the urinary secretion at night (reckoned hourly) is usually less (and the urine more concentrated) than during the day. He sought to determine if, and how far, this usually accepted relation between day and night urine was altered by pathological conditions. Examination of heart and renal cases gave the following: At night a more abundant urinary secretion was present, not only in the sense that at night the hourly secretion was less far than normally behind that of the day, but very often it exceeded the latter, day and night being in proportion as two to three and more. This excess of the nocturnal secretion occurred not only in patients who left their beds during the day and, perhaps, in this manner acquired an oedematous condition of the lower portions of the body, but it likewise took place in those patients constantly confined to bed. This result Quincke suspected from the beginning. It appeared probable to him that in such persons, who on standing or walking acquired foot oedema, the quantities of water deposited during the day, if they enter the circulation during the night along with the disappearing oedema, wholly or partially pass over into the urine-that the physiological relation between diurnal and nocturnal urine is altered or even reversed. In renal cases the nocturnal polyuria manifested itself in about the same manner and degree as in heart cases. In prostatic patients a decided, in part enormous, excess of the night urinary secretion over that of the day was noticed. Quincke examined other patients (carcinoma ventriculi, diabetes insipidus) and determined that the intensity of the urinary excretion in solid matters

as well as in water is greater in the night than during the day. The relation of the urinary secretion at night to that of the day is, in many patients, decidedly different from the condition in the healthy. While in the latter the hourly secretion by day and at night is about 100:25 to 100:60, in the sick the nocturnal urinary secretion is more or less augmented, so that the relation may become 100:100 to 150, or even 100:200. In the healthy, as well as in the sick, rising and exercise during the day appear to elevate the nocturnal secretion, or, in other words, to shift the secretion of the day to the night. But the influence of rising or "lying a-bed" is subordinate and not always recognizable. The transferrence of the secretion from the day to the night is just as pronounced in those confined to bed. Quincke concludes that the cause of this nocturnal polyuria is to be sought in sleep, in the external rest, and in the elimination of the numerous external exciting factors.

NYSTAGMUS.-Bard of Lyons distinguishes ("Med. Mirror") four varieties of nystagmus: (1) that accompanying organic nervous affections; (2) that found associated with congenital and acquired affections of the optic apparatus which result in diminution of acuity of vision; (3) that due to congenital functional anomalies of the ocular muscles without diminution of visual power; and (4) that due to muscular spasm arising from occupation (mountaineers, seamstresses, miners (?). Bard seeks to establish differential diagnosis between nystagmus due to organic nervous disease and that dependent upon congenital conditions. Nystagmus of an organic origin increases, or appears, in case it is but slightly marked, where the patient is made to fix the finger and follow it in extreme movements. On the other hand, in case the nystagmus is congenital, it disappears for a short time with the trial of this procedure; at the moment when the eye-balls have reached the extreme limit of movement, the oscillations cease for a short time. In explanation of this difference, Bard compares the nystagmus accompanying sclerosis to the tremor of the upper extremities in this affection; and that of a congenital nature with the tremor of paralysis agitans: thus in sclerosis with voluntary movement the tremor increases, and is slight or wanting while at rest; on the other hand, in paralysis agitans voluntary suppression of the tremor is possible, especially in the initial stages of the disease.

ARSENIC HABIT.-Drs. Gaucher and Barbier reported (Gaz. des Hôp.") the case of a man who had been an arsenic user who had cicatrices from ulcerations upon the scrotum, palmar and plantar keratosis, a perforation of the nasal septum, a decrease in the quantity of urine and other signs of interstitial nephritis. His hands exhibited pronounced sclero-dactylia. All these symptoms of chronic poisoning by arsenic are, in their opinion, a trophoneurosis of central origin independent of vascular sclerosis.