Queries and Minor Notes

1920 Journal of the American Medical Association (JAMA)  
new and scientific combination for the successful treatment of Gonorrhea and Gleet and all urinal complications. This remedy used in accordance with directions is very effective in the worst cases." Analysis of the preparation by the federal chemists showed it to be essentially a watery solution of boric acid, salts of aluminum, zinc and ammonium, glycerin and phenol (car¬ bolic acid) with bismuth subgallate in suspension. The therapeutic claims were declared false and fraudulent and in
more » ... 1919, judgment of condemnation and forfeiture was entered and the court ordered that the product be destroyed. -[Notice of Judgment No. 7568; issued Oct. S, 1920.] HOT FLOORS AS A PREVENTIVE TO SHOCK To the Editor:\p=m-\I have been operating in Korea for the last twelve years and have never been bothered with "surgical shock," the reason being the "kan," or heated floor, which we have in Korea and certain parts of China. This floor is a wonderfully economical thing, being heated with the smoke after the rice has been cooked. A pot or kettle is placed outside and below the level of the floor of the room, usually in a sort of lean-to. Fuel of grass, weeds, straw, pinetops or the like is used to cook the rice, which takes only a few moments. The rest of the heat and smoke passes under the sleeping or living room and heats the floor, which is made of stones covered with plaster, and over this a very thick layer of native paper similar to linoleum. After the rice is cooked the water must be heated, or the food for the cow is heated; and, of course, cooking three meals a day heats these thick rock and plaster floors, which remain hot for twelve hours. An American takes off his hat when entering his home. A Korean removes his shoes at the door and enters in the cozy little 8 by 8 foot room, leaving his hat on. Instead of taking a chair, he sits on the hot floor, and smokes his pipe. On retiring, he removes his overcoat and hat, made of horse¬ hair, and stretches himself at full length on this floor, which has been scrubbed clean during the day. He" usually sleeps with his clothes on, with little or no cover except toward daybreak when, as it begins to grow chilly, he may cover himself with a quilt or his overcoat. In cold weather he reclines near the hot spot. If one has rheumatism or some painful area and reclines on this hot spot, one finds it a wonderful remedy. The good mother or sister becomes skil¬ ful in heating the floor to the proper degree according to the season. In warm weather she rakes out the hot coals, or cooks elsewhere. One evening, two other Americans and myself arrived at one of these houses to spend the night. It had been a cold day, and after waiting an hour for the room to become warm we insisted that more fire be made. We were told that by and by it would be warm enough, but still insisted, and more fire was made. This caused us a sleepless night; for two hours later, just as we had fallen asleep, the floor became so warm that we were obliged to turn over repeatedly so as to prevent being roasted. The basement floor of my hospital has rooms heated in this manner, and it is needless to say that these are the popular rooms of the hospital. Every patient that has been operated on is placed over a hot spot, covered with blankets, and kept there until he is well heated, usually for the entire night. We have amputations, laparotomies and other long operations in which shock would naturally be expected, but seldom or never a case of shock. We perform about 450 operations a year, and I firmly believe that this hot spot is the reason we do not have shock. As we use chloroform almost exclusively as an anesthetic, one might expect more shock ; but during my twelve years we have never lost a case from the anesthetic, and shock is very rare.
doi:10.1001/jama.1920.02620450048030 fatcat:eqm4bv3uunh4jarymcayaynbia