"THE STUDY OF MEDICINE AS A MEANS OF EDUCATION."

R. LOWRY Sibbet
1886 Journal of the American Medical Association  
tion of peritonitis at the point where the fistula was made. No internal treatment was used in these cases other than a careful regulation of the diet, and the administration of acid phosphate. The President, Dr. A. Jacobi, in commenting on the paper, remarked that the procedure resorted to by Dr. Caille' was an imitation of the method sometimes employed by nature in these cases, it was not very uncommon to see in extensive ascites a spontaneous fistula established at the linea alba, or, more
more » ... ea alba, or, more frequently, at the umbilicus, and he related an instance of this kind which had not long since been under his observation at the German Hospital. He also related a case in which, after hearing of Dr. Caillé's plan of procedure, he had inserted a drainage-tube in the same waythrough an artificial Opening in the abdominal walls; and hi1 said thai he considered this likely lo form a very valuable addition to our present modes of treatment. As to the medicinal treatment of cirrhosis of the liver, there was one agent in which he had by experience learned to place considerable confidence in a certain proportion of and that was mercury. it was well known thai in many instances .the interstitial hepatitis was only partial, instead of involving tin-entire extent of the organ, just as was the case sometimes in interstitial nephritis, myelitis and encephalitis. In altee fections of this kind it was always a source of .ilulaUon lo the practitioner to find they Were of syphilitic origin, on account of the prospect that relief would be afforded by appropriate treatment; but he had now become satisfied that in non-syphilitic also, if the troulile did not involve too large a portion of the organ, there was often afair chance of curing the patient by a course of mercurial treatment. He had been taught to look with utter abhorrence upon the use of mercury, and for many years he never employed it at all in any form except in syphilitic cases, on account of its supposed injurious effects upon the system. Hut during the last ten or fifteen years he had resorted to its administration with' very good effect in the class of cases referred to. It was necessary to select some preparation which could be given in small doses and kept up for a prolonged period, and he was in the habit of employing the bichloride. This might be given, largely diluted, in solution, but he preferred the pill form. One-thirtieth of a grain three times a day was about the amount that would usually be required, and the patient should be instructed to use a chlorate of potash wash and carefully watch the condition of his gums. There has been quite a stirring up of dead bones in the old State Medical Society, which held its annual meeting in Albany on the 2d, 3d and 4th of February, occasioned by the remarkable success and the scientific interest of the first two meetings of the energetic young State Association. Extra efforts are made to secure a full gathering of the clans, and the number of physicians in attendance, as well as of the scientific papers, a fair proportion of which were by men of prominence in the profession, was unusually large. Among the papers was one read by Lawson Tait, of Birmingham, on " Methods of Diagnosis." The President, Dr. Albert Van der Veer, of Albany, delivered the annual address in Assembly Chamber in the Capitol on Wednesday evening, February 3d, taking for his subject "The Water Supply of Cities and Villages," the conclusions arrived at in which are the following: Water needed for domestic purposes should be taken, first, by gravity from mountain streams, lakes or springs; next, if the former is not possible, provided the surroundings are safe and proper in every respect, by the Gang syphon driven wells; next by a system of storage, so arranging the reservoirs that proper aeration can be employed ; and, lastly, if necessity compels that it must be taken from sources known to be polluted, then a thorough system of filtration should be resorted to, and the water be as completely oxygenated as possible before' distribution. The following officers were elected for the ensuing year on ihe last davof the meeting: President, Dr.
doi:10.1001/jama.1886.04250020082013 fatcat:zkjc6caop5gwbd6urodmnzn55y