General Surgery, of the Practical Medicine Series, Under the General Editorial Charge of G. P. Head, M.D., Professor or Laryngology and Rhinology, Chicago Postgraduate Medical School

1908 Journal of the American Medical Association  
the book to a form as complete as possible. The discussion of the recent work of such European scientists as Fisher, Arrhenius and Ostwald, and the recent work of such Americans as Chittenden, Loeb, Mathews and Gies shows beyond a question that the book is as complete as it is possible to make it. The translation follows the German as closely as our English idioms and constructions allow. As in the previous edi¬ tions, the completeness of this book is in part due to the fact that the subjects
more » ... that the subjects are treated from many points of view so as to deal fairly with the various works and theories. This, of course, is hailed by the investigators and students as a great help in their researches. But to the beginner this great mass of seeming contradictions is rather confusing, for he will read a paragraph and learn of a theory which is either com¬ pletely exploded in the subsequent paragraphs or is left for the reader to accept or not, as he chooses. This one condi¬ tion makes it rather undesirable as a book for beginners, but with the new authors' index and the vast number of refer¬ ences to the original literature, it is one of the most valuable books on physiologic chemistry in English. This bulletin forms a volume of 758 pages, and is a complete collection of facts regarding the relation of milk to the public health. It grewout of an investigation into the causes of the prevalence of typhoid fever in the District of Columbia. As this investigation indicated that the milk supply was largely responsible, a thorough investigation was made so as to render the results useful to health officers in general, as well as to determine the local conditions in Washington. The work includes the relation of milk to epidemics, to tuberculosis, to Malta fever, milk sickness, animal parasites, and the chemistry and bacteriology of milk. The conditions of the production of milk, sanitary inspection, certified milk, pasteurization, icecream, and infant feeding are also dealt with. A special chapter describes the municipal regulations of the milk supply of the District of Columbia. The book contains a mass of information that is probably not accessible in any other single publication, and ought to be of great value to sanitarians, health officers and physicians in general. Practical Anesthetics. This book is offered as a short guide for those who have not had the leisure to study more elaborate works or to gain a knowledge of anesthetics through practical experience. The general subject of anesthetics is discussed in the first chapter, attention being paid to the duties of the anesthetist, the examination of patients, preparation, apparatus, physician and after-treatment. Under the last head comes shock and collapse and artificial respiration. The author then takes up the various anesthetics, considering nitrous oxid, ether, chloroform, ethyl chlorid and various mixtures in the order named. The last chapter is on the selection of an anesthetic, the relative advantages of the different anesthetics being first considered and the special indications in different conditions being taken up. The book is well illustrated with plates, showing the various positions, methods of performing artificial respiration, different kinds of apparatus employed, etc. This volume of nearly 600 pages is a valuable addition to the library of the practitioner. It contains an admirably arranged digest of the surgical literature of the preceding year. The editor has selected the wheat from the chaff with good judgment. To the summing up of vexed questions he has brought large experience, and his conclusions are stated with unquestionable clearness and finality. It is eminently a book of ready reference covering the ground of general surgery and giving the most advanced views of modern surgeons. Medicolegal Child's Estate Not Liable for Services Rendered at Request and on Credit of Father. The Supreme Court of Georgia holds, in the case of Gaston vs. Thompson, that where a surgeon, at the instance and re¬ quest of a father, rendered necessary professional services to his minor child, solely on the credit of the father, the child having no estate at the time, but subsequently becoming pos¬ sessed of property for which a guardian was appointed, an equitable action did not lie against the guardian and his ward to subject the property of the latter to the payment of the debt for such services, though the father was insolvent. The court says that this ruling is not in conflict with the intima¬ tion in Poole vs. Wilkinson, 42 Ga. 539, that if necessary medical services were rendered to the ward on the credit of the ward's estate, and not on the credit of the guardian, equity might, if the guardian were insolvent, grant relief by causing the debt to be paid out of the ward's property. Liability of Hospital Conducted for Private Gain. The Supreme Court of Appeals of West Virginia holds, in the case of Hogan vs. Clarksburg Hospital Company, that a hospital, incorporated and conducted for private gain and for the benefit of the stockholders thereof, is liable in damages to its patients for the negligence or misconduct of its officers and . employes. A patient, sent to such hospital is entitled to such reasonable care and attention for his safety as his mental and physical condition may require. The court says that there can be no question about the liability of a hospital which is being conducted for private gain, and not for charitable purposes, for damages to its patients through the negligence or misconduct of its officers and employés. It is bound to exercise that degree of care towards its patients placed therein, measured by the capacity of such patients to look after and provide for their own safety. It is the duty of such hospital to employ only com¬ petent physicians and nurses, and to treat such patients with such skill and care as ordinarily obtains in the conduct of such institutions, and to protect its patients in such manner as their condition may render necessary, and such degree of care and diligence should be in proportion to the physical or mental ailments of the patient rendering him unable to look after his own safety. But a hospital, the court says, is not an insurer of its patients against injury inflicted by themselves, or that a patient in a hospital must be attended continuously by a nurse or other attendants. It is required to use only ordinary and reasonable diligence in the treatment and care of its patients. In this case the plaintiff, suffering from epileptic fits, was sent to the hospital while under the influence of epilepsy and unconscious. He was left alone. There were two beds in the room in which he was placed, and an open gas fire. Both beds became rumpled and set on fire, showing beyond question that after he had gotten to the fire and ignited his clothes, he had been to the beds, and fired them from his own burning clothes. Taking into consideration the condition of the plain¬ tiff when he was taken to the hospital, that he was unconscious and oblivious to all his surroundings, and yet physically able to get up and tumble^a bout, the court thinks that it was very easy to foresee the possibility of the result which came to him with an open gas fire burning in the room by leaving him to look after his own safety, and it revers.es a judgment rendered in favor of the defendant. Competency as Witness of Physician Disclaiming to be an Expert. The Supreme Court of Georgia says, on the appeal of Glover vs. State, a homicide case, that error was assigned in that a physician, after having testified "that his only experi¬ ence in mental diseases was such as came to him as a physi¬ cian in general practice, and that he had made no special study of the subject, nor had any experience that would make him a specialist or expert on nervous diseases," was allowed, over objection, to answer the question: "What is the difference between idiocy and lunacy?" It was contended that it was
doi:10.1001/jama.1908.02530390072040 fatcat:5hfnl6t66rdrlao22g42dwku6y