Book Review The Blood . A Guide to Its Examination and to the Diagnosis and Treatment of Its Diseases. By G. Lovell Gulland, M.A., B.Sc., M.D., and to the Royal Victoria Hospital for Consumption, etc., Edinburgh; and Alexander Goodall, M.D., F.R.C.P.E., Lecturer on Physiology and on Practical Medicine at Surgeon's Hall, and on Diseases of the Blood in the Edinburgh Post-Graduate Courses in Medicine, etc. With 16 text illustrations and 16 colored plates. New York: E. B. Treat & Company. 1912
Boston Medical and Surgical Journal
have travelled in the last few years in relation to the patient's comfort-apart from the patient's safety. The second edition of Crandon's book "has been largely recast; some chapters have been entirely rewritten, and others nearly so; several illustrations have been replaced by better ones, and many new ones have been added. ' ' As was stated in the original preface, the book is intended for house surgeons, and general practitioners, and "every procedure has stood the test of practice, and
... f practice, and will safely do for the reader until, from his own experience, he develops his own methods." The volume contains a little more than 800 pages. Its arrangement, type, and general character of bookmaking continue at xhe high level set in the first edition. Though only two years have elapsed, very many changes and alterations have been necessary to keep abreast of the constant advances in surgery. This second edition is an admirable piece of work,-concise, accurate, modern and complete. It is a credit both to its writers, to the hospital from which both writers have graduated and to which both are now attached as assistant surgeons, and to the city of Boston. In this volume of 344 pages including the index, the authors have attempted with success to give a record of their experience in disorders of the blood, modified and enlarged by the investigations of others. The first part is taken up with methods of examination and in this those methods are emphasized which have proved practically useful to the writers. In part second the formed elements of the blood are discussed, together with certain facts regarding the blood at different ages and the sources of the blood cells. The third part concerns the diseases of the blood, bone marrow and lymphoid tissues, and the fourth the blood in special diseases other than those of the blood-forming organs themselves. The final section is devoted to a discussion of diseases due to animal parasites. The book is written in a systematic and concise form and contains a vast amount of information connected with the blood and its diseases. The t references to the literature on the subject are numerous but naturally incomplete, an inevitable consequence of the extended research and publication which has been going on during the past two decades. The illustrations are on the whole well executed and should serve as an easy means of identification of the actual blood pictures as seen under the microscope. There is a short description of the case from which each plate was drawn, which adds to its value. The text, with illustrations and the printing are each of them good. No attempt is made to cover the field completely, but as an aid in illustrating the subject the book fulfils its purpose well. Tuberculin in Diagnosis and Treatment. By In the short book of twelve chapters and an appendix, Pottenger takes up the subject of tuberculin in diagnosis and treatment. That the author is an enthusiastic believer in tuberculin is very evident; the general trend of medical opinion would not entirely support all of his claims as to the efficacy of this agent in diagnosis and treatment. In his first chapter on tuberculin in early diagnosis, he urges against waiting for a positive sputum and emphasizes the dangers of latent tuberculosis. In the second chapter, again he deplores the fact that "the attitude of the medical profession toward the tuberculous patient has been one of delay, indefiteness, and indecision throughout. The positive attitude, strange to say, has often been on the side of withholding measures of diagnostic, therapeutic, and preventive merit." These are strong words, but are unfortunately only too true. The writer's description of the methods of giving the various tests, technic, dangers and advantages are clear and concise. The tendency is rather to dwell too much on the bright side of tuberculin. The book is not overloaded with references and statistics, and those which are given are presented in a fashion which makes them easy to understand. The chapters on treatment contain an interesting discussion of the complex question as to exactly how tuberculin acts in the body, which is put in language clear even to those not familiar with the complex phraseology of the subject The appendix contains translations of Koch's original articles on the subject of tuberculin ; these should prove of the greatest interest and value to all practitioners. On the whole, the tone of the book is sane and sound, and it is a welcome addition to the literature on the subject. Running through the entire book is a plea for the early diagnosis and treatment of this disease. This alone makes the book of distinct value.