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Recent Literature Progressive Medicine . Vol. I. March, 1904. A Quarterly Digest of Advances, Discoveries and Improvements in the Medical and Surgical Sciences. Edited by Hobart Amory Hare, M.D., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia. 337 pp. Illustrated. Philadelphia and New York: Lea Brothers & Co

1904 Boston Medical and Surgical Journal  
This volume has paper covers, which permits of reminding to suit the subscriber's particular taste and also reduces the price. This series is one of the best epitomes of medical progress published in the English language. Its frequent publication permits of a somewhat more complete review of medicine and surgery than is possible in those volumes which appear at wider intervals. Surgery of the head, neck and thorax, infectious diseases, diseases of children, laryngology and rhinology and otology
more » ... inology and otology are discussed in this volume. These subjects are reviewed in the usual thorough-going fashion which we have come to expect in this periodical. We have already commented favorably upon the first edition of this book (Journal, July 4, 1901, p. 23). The second edition which has recently appeared does not in general differ in appearance from its predecessor. The intervening years have been, however, prolific in work on the general subject of the blood. This work the author has incorporated into the new edition, a task requiring the study of about four hundred new articles or monographs. The plan adopted in the first edition of appending bibliographical lists to the various chapters is followed in this, with the addition of these new articles. We are glad to see a reversion to the scientific method of bibliographical references, which have been so largely omitted from recent textbooks. It is certainly true, as Dr. Ewing implies, that works without bibliography arc of relatively Little value in the task of discriminating between authorities requiring consultation of original sources, and he has, therefore, adhered to his plan of appending very complete bibliographical lists. Certain changes have been made in the chapters on technique, the serum test for blood and the subject of crioscopy. The morphology of blood cells, leukemia and the essential features of Ehrlich's immunity theories have been incorporated. Four new plates and other figures have also been added. The book is an excellent one, clearly the work of a scholar, and this being said, it requires no further criticism than we have already given it. SPECIALIZED SURGERY. Progress in surgery, as in other branches of scientific work, apparently depends in great measure upon wide experience along certain definite lines. The field of operative surgery has expanded to such a degree during the last decade that it is no longer possible for any single individual to gain the knowledge which is essential to progress in all branches. In surgery, therefore, as in the whole domain of medicine, we find a greater and greater tendency toward specialism, which unquestionably has its distinct advantages as well as its individual drawbacks. It is of the advantages, however, that we wish to speak. It is clear to the most casual observer that if any one man is to attain wide surgical experience in the treatment of the diseases of certain organs or structures, he must be given the opportunity to study and operate upon more cases than would in the natural course of events come under his jurisdiction. This is, perhaps, particularly true of two great fields in surgery which are apparently at the present time exciting wide interest among surgeons; namely, surgery of the stomach and surgery of the central nervous system. These at least will serve as examples of the matter to which we wish to call attention. In the ordinary hospital service, even of our largest institutions, it is not possible that suflie'ent patients with diseases of the stomach, upon whom operation is desirable, can be collected to demand the careful study of a large number of surgeons. The result is that energy is wasted, that if operations are attempted they are done
doi:10.1056/nejm190404211501611 fatcat:jegmayp67vhczbpnbrimutd2z4