Recent Literature Anleitung zur Diagnose und Therapie der Kehlkopf-Nasen- und Ohrenkrankheiten . Vorlesungen gehalten in Fortbildungscursen für practische Aerzte, von Dr. Richard Kayser, in Breslau. Zweite vermehrte und verbesserte Auflage: Verlag Von S. Karger, Karlstrasse 15. Berlin, 1903. This manual of 175 pages is, as its title suggests, a collection of lecture notes for a graduate course
Boston Medical and Surgical Journal
object is to instruct general practitioners how to treat and operate on gynecological cases. He says : " To call in a specialist is to admit your own incompetence and his superiority, while you lose your influence with the patient. Besides this, the larger fee of the specialist deprives your patient by just that much of ability to pay you, for he works for spot cash." Operating is described as easy to do, and the physician is constantly urged to undertake it. A perusal of the book shows Dr.
... book shows Dr. Leuf to be a practitioner of good common sense, who arranges his thoughts logically and has ability to express them far beyond the average. His observations on the hygiene of menstruation, on abortion and on the difficult sexual problems so often presented to the practitioner are excellent. What he has to say about the menopause is good, but hardly seems to justify a separate division of the work, and the treatise on nervous diseases included in this section adds little to its value. The burden of the teaching is to do your work well enough, keep the allegiance of your patient and her money. The author speaks of antisepsis in a perfunctory way, as follows : " It is advisable to use antiseptic precautions in all work, but this should not be carried to extremes ; not that it hurts the patient necessarily, but because it consumes valuable time to no useful end." He proceeds to advise forcible replacement of the backward displaced uterus, the only precaution to be observed being, to first dip the repositor in a " ten to fifteen per cent carbolic solution." Then he goes on to discuss how often such replacements should be made. The general practitioner is further advised to use pessaries in backward displacements with adhesions. Intra-uterine irrigations and applications are advocated, and paHpassu uterine colic receives attention. It is plain that Dr. Leuf has not had the opportunity of following the work of a specialist in gynecology or he would appreciate the disastrous results which so often follow the procedures he advocates, for it is the specialist who sees these cases after they are through with the general practitioner. Possibly cleanliness and asepsis are taken for granted, just as diagnostic ability seems to be. Certainly the author himself must be personally neat in the care of his hands or he could not say as he does in Chapter 1 of the part on obstetrics, that in twenty and one-half years' experience he has lost but one woman in confinement. There can be no question that cleanliness and asepsis are of first importance to the general practitioner who practices gynccology and obstetrics, because from the varied character of his work the danger of his carrying infection from one patient to another is especially great. A treatise which does not lay stress on these points and on careful training in diagnosis can hardly be a safe guide to follow, although it may contain, as this book does, many valuable hints on treatment. Anleitung zur Diagnose und Therapie der Kehl kopf\x=req-\ Nasenund Ohrenkrankheiten. Vorlesungen gehalten in Fortbildungscursen f\l =u"\r practische Aerzte, von Dr. Richard Kayser, in Breslau. Zweite vermehrte und verbesserte Auflage: Verlag Von S. Karger, Karlstrasse 15. Berlin, 1903. This manual of 175 pages is, as its title suggests, a collection of lecture notes for a graduate course. How such a course could omit the pharynx cannot be imagined. There is no anatomy and very little etiology. A few subjects receive surprisingly little attention, such as the correction of septal deformities and laryngeal papilloma. With these limitations the book would serve its purpose well for a student who reads German easily. This second edition differs only in a few details from the first, which we reviewed two years ago. The first volume of Hemmeter's Diseases of the Intestines was preeminently medical, but the second will be of quite as much interest to the surgeon as to the physician. It is admirably written, and portrays in the best way " die Grenzgebieten der Median und der Chirurgie," to which might well be added und der Physiologic The chapters on intestinal obstruction and the clinical aspect of intestinal surgery are perhaps the most deserving of mention. Appendicitis is thoroughly discussed and summaries given of the prevalent ideas on its treatment in Germany, France, England and America. So comprehensive is the review of the literature on this subject that the reader feels he has been furnished with ¡ill that is known , of value. The chapter on Diseases of the Rectum is written by Dr. Thomas C. Martin, and in our opinion lays far too little stress on medical treatment. Brief book reviews can hardly fail of being trite ; we would therefore advise our readers to inspect these two volumes, when their worth will become apparent.-E. P. J.