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Treatment of Tuberculosis. — Dr. Gk.\nville
X. Ry.^x, of Des .Moines, Iowa, presented a pre-
liminary report of five cases of tuberculosis treated
with Carl Spengler's tuberculosis immune blood,
and concluded that: i. It was the most eft'ective
agent in fighting tuberculosis that had come under
his observation. 2. Perceptible lysis might be ob-
viated in a number of cases by adopting the slow
method of immunization. 3. The first signs of im-
provement were found in the subjective condition,
lowering of temperature, increase of appetite, freer
respiration, if dyspnoea was present, increase in
weighr, more restful sleep, decrease in cough,
sputum, and tubercle bacilli ; also disappearance of
rales during the first few weeks. 4. It had been
his experience that the toxic pulse persisted for
some time after the disappearance of other symp-
toms. 5. In morilnmd patients its value had been
chiefly in rendering them more comfortable. 6.
Acute colds, to which these patients were highly
susceptible, and other complicating diseases, must
be dealt with accorrling to indications.
Oration in Medicine. — This was delivered by
Dr. IlEi.NRicir Stern, of New York, who selected
for his subject The Decay of Nations.
The medal tally slots Role of Tuberculin in the Diagnosis of
Pulmonary Tuberculosis. — Dr. Logan Ci.exden-
IXG. of Ivansas City, Alissouri. reviewed the meth-
ods for the early diagnosis of this disease and said:
I. In infants and children the von Pirquet test was
of great value and positive ; the younger the child
the higher its value ; it was somewhat less valuable
if negative. 2. In adults there was no method of
using tuberculin for diagnostic purposes that had
uniform value in all cases. The subcutaneous
method was probably the best.
Colica Mucosa. — Dr. J. M. Bell, of St. Joseph,
spoke of the dual aspect of this disease and said
that his experience with it Jed him to believe the en-
teroptotic habit plus autointoxication and constipa-
tion was the foundation upon which the disease was
based, the neurosis being secondary. When the di-
gestive tract was restored, a normal state of equilib-
rium was obtained.
Local Anaesthesia with Quinine and Urea Hy-
drochloride. — Dr. C. yi. Nicholson, of St. Louis,
was convinced from experience with thirty-two
cases that quinine and urea hydrochloride was des-
tined to occupy a prominent position as a local
anassthetio. The greater length of time required
after the injection of the quinine and urea hydro-
chloride before the anaesthetic effect was fully man-
ifest was its principal disadvantage.
In the discussion several speakers related their
experience with this agent, and said that their re-
sults had been very gratifying.
Suggestions for the Application of Lactic Fer-
ments in Genitourinary Work. — Dr. Frederic S.
Mason, of New York, said that these ferments had
a wide field of usefulness in the treatment of dis-
eases depending on invasion of the gastrointestinal
tract by pathogenic organisms since they inhibited
the growth of the Klebs-Loeffler bacillus and many
other organisms. Dr. Holbrook Curtis and Dr.
Otto Glogan, of New York, had used suspensions
of lactic ferments in bouillon successfully in the
treatment of suppurating discharges from sinuses
and nasal passages as well as from the ear. The
speaker had only had opportunity of confirming
these results in two cases of suppurating otitis. He
described the technique for using the lactic ferment
crayons in acute gonorrhcea in the male, and did not
state that they were specific in the treatment of this
condition, for the work done was too incomplete,
but the results obtained were sufficiently encourag-
ing to warrant a more extended trial by genitouri-
nary specialists and general practitioners.
Peritonization in Abdominal and, More Par-
ticularly, Pelvic Surgery.— Dr. John E. Sum-
mers, of Omaha, read this paper. He said by peri-
tonization or peritoneoplasty was meant the cover-
ing over by peritonteum of all tears, lacerations, and
losses of substance of the peritonjeum due to sur-
gical procedure. In some cases the peritonaeum
might be separated from the abdominal wall, com-
mencing at the lower angle of the incision toward
the space of Retzius, or at the sides, freeing a great
part of the bladder likewise. These flaps were suf-
ficiently large to cover over the posterior wall of the
pelvis. In other cases, of which medal tally slots online the author had had
several examples, the technique consisted in trans-
porting the sigmoid flexure across the pelvis and
suturing it in such a way that all raw surfaces were
covered over. The sigmoid was onlv fixed below
PROCEEDINGS OF SOCIETIES.
and was almost always sufficiently mobile to be car-
ried across the pelvis to the right side as far as the
cjecum. When the uterus was preserved, the sig-
moid was sutured to the lateral walls of the exca-
vation and across the fundus of the uterus. When
the uterus was sacrificed, the sigmoid was sutured
to the lateral walls of the excavation and to the
bladder. Drainage should be made through the
vagina. Amann emphasized the fact that this tech-
nique was particularly advantageous when septic
pus or genital abscesses communicated with the in-
testine — for example, a pyosalpinx, or a suppurating
tumor of the ovary, operting into the large bowel.
Again, when there coexisted a genital abscess with a
perforative appendicitis, the medal tally slot machine intestinal sutures
were situated under the protection of the cavity
drained and w-ere extraperitoneal. Two vital prin-
ciples W'Cre involved in peritoneal autoplastic sur-
gery : First, the more vital principle, the prevention
of infection ; second, the prevention of postoperative
Care of the Hypertrophied Prostate. — Pr. F.
H. Cl.'\rk, of El Reno, Oklahoma, said the responsi-
bility for early diagnosis and advice must of neces-
sity rest with the family physician. While this
condition usually came on \vith advanced age, it
might occur even in childhood. Operative pro-
cedure was the only treatment that offered hope for
a permanent cure and a comfortable life after oper-
ation. The operation which presented the low-est
mortality was through the lower perineal route.
We should never forget that ten per cent, of these
hypertrophied prostates became malignant if allowed
to go on. and that our only medal tally slots free play hope of avoiding that
was an early operation. We must not forget that
we should continue to sound these patients follow-
ing operation until we were certain there would be
no contraction of the scar formed that might medal tally slots game serve
as an impediment to the free flow of urine. Just
how long this would take must be governed by each
Dr. W. E. Engele.\ch, of .St. Louis, gave skia-
graphical demonstrations of some unusual condi-
tions in the chest.
Poliomyelitis Anterior Acuta. — Dr. L. A.
SKOor,, of Kansas City, Missouri, reported three
cases of this disease in the same family at the same
The following papers were also read : Should
Venereal Infections be Classed and Reported as
Contagious Diseases? by Dr. T. M. Paul, of St.
Joseph, Missouri : Extreme CEdema of the Caecum
and Ascending Colon Following a Gangrenous Ap-