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methods of procuring money from the public under false pretences, would meet with the grateful approbation of a large part of the community and aid materially in stamping out this heartless method of imposing on all too credulous humanity.
In the November issue already referred to, we drew the reverend editor's attention to the fact that “it is not the function of the Medical Council to try, sentence and execute or imprison the medical criminal, but rather that this duty devolves upon the legal officers of the Crown." And still we are treated to the ridiculous spectacle of our would-be moral mentor insisting that the Medical Council should arrest and duly punish such offenders; and herein it would seem that the gentleman is unable to distinguish between things which differ. In other words, he is barking up the wrong tree. Does he know what is meant by the term
“ criminal offence" ?
He has been good enough to say the whole medical profession is on trial (because of the supposed offences of the few). This is an erroneous and wholly unwarranted charge to make, and a splendid specimen of gratuitous insolence. Lives there a medical man who would be such a consummate ass as to charge the whole ministerial profession with soiled skirts, because some few of the brethren may have fallen from grace? The charge is not alone unjust-it is unnecessarily stupid.
In closing, we ibeg to repeat what we said in our former article:
The Medical Council of Ontario is doing its utmost to maintain a clean profession in this Province, and is also doing its utmost to safeguard the interests of the people at large, by keeping out quacks, and God knows what 'pathies,' as well as by keeping up a high standard to which all its graduates must conform. If the public and the press do not possess the brains to appreciate this fact, so much the more are they to be pitied. Such an unwarranted attack on our professional honor is as groundless as it is cowardly; but, then, after all, the dog sometimes bites the hand of the master who feeds it !”
The Ontario Medical Association. The attention of the profession is again called to the Twenty-eighth Annual Meeting of the Association, which will be convened in the Normal College Building, Victoria Avenue South, Hamilton, on the 26th of May next and continue in session for the two succeeding days.
The provisional programme has been distributed throughout the Province. The prominence given to the scientific side of the meeting, and this will be of exceptional merit, will not be permitted to dwarf its social aspects. At the smoking concert at the Yacht Club, Hamilton Beach, on Tuesday evening, there will be a most entertaining programme presented. On the succeeding Wednesday at the Royal Hotel the visiting members will be the guests of the medical men of Hamilton at dinner.
Outside members who are fond of golf are asked to take their clubs, as the privileges of the Hamilton Golf Club have been extended to all visitors, through the courtesy of the President, Mr. J. J. Morrison, and of his committee. Members who are visiting the meeting are also extended the privileges of the Thistle Club, by courtesy of the President, Mr. T. C. Haslett, and of the President of the Bowling Club, Dr. H. A. Wardell. Bowls will be supplied.
A luncheon at the City Hospital has been arranged, following the morning sessions on Tuesday. Other entertainments are under consideration and full announcement made in the final programme, which will be issued in May. The Committee on Arrangements hope that visiting members will bring their wives and daughters, who will be happily cared for by the local ladies, and they trust that this may be one of the features of the meeting.
The Preliminary Programme of the Ontario Medical Association's annual meeting at Hannilton appears on another page. The Programme Committee is to be congratulated upon the excellent character of the papers to be presented. There is to be a number of able men from the United States, and what is particularly happy is that there are to be several of Montreal's leading physicians and surgeons present to present papers and take part in the discussions. It is important to emphasize the need of a large representative meeting, as the constitution is to be revised to provide for affiliation with the Canadian Medical Association. It is hoped county and city as well as district societies will be well represented.
A Public Health Department for Canada is the title of a pamphlet sent out from the office of the General Secretary of the Canadian Medical Association. It has been sent to the press, medical and public, members of the House of Commons, the Senate, provincial secretaries of health boards, and medical societies all over Canada, as well as to medical health officers in the large cities and to professors in the universities having to do with public health matters. As the question is to come up for discussion in the House of Commons again this session, especially as there are several members interested in it other than those belonging
to the medical profession, medical societies and the medical press and all others should early press the matter on the attention of members of the House. Recent events at Ottawa suggest the possibility of the reorganization of more than one department of the government in the immediate future; and the opportunity thus presented to the medical profession of Canada should be seized eagerly and prosecuted with vigor and “sticktoitiveness.” It may be considered wise on the part of the Special Committee on Public Health to again press the matter upon the Prime Minister and his colleagues, and especially so now that the Canadian Association
for the Prevention of Tuberculosis will join hands with the Canadian Medical Association in urging the Government to consolidate the various branches of the medical service, when the former meets in Ottawa next June. If so, we can only urge upon the attention of the profession, and particularly upon those directly engaged in public health matters, the desirability of their presence and support at that meeting.
The Report of the Ontario Commission on Insanity is before us.
It shows that the Commission went carefully and very fully into the methods employed in caring for and treating the insane in different university centres in Great Britain and Europe. Par
attention was given to the investigation of the organization and methods and equipment of psychiatric hospitals and psy
clinics, and the most important of the Commission's recommendations is set forth in these words: The psychiatric hospital being the ideal institution for the treatment of all acute
of insanity, we would recommend the establishment, as necessity arises, of such hospitals at university centres. The other recommendations are: The enlargement of the present staffs of physicians and nurses: the isolation of the tuberculous; the proper care and treatment of insane criminals. Regarding the first of these, we would express the hope that the appointments of physicians be made purely on merit and fitness and not on any political pull, and that the advice of the heads of the institutions be followed rather than that of the ward patronage committee. The
recommendations as to the tuberculous and also the criminal insane are abreast of the times and should be rapidly adopted by the provincial authorities. Reference is made to those who have a “horror of the name ' asylum.'” If we mistake not, hospitals for the insane perpetuate this “horror” largely by continuing themselves to carry it on their letter paper, make mention of it in official communications, as well as in the writings of those engaged in this branch of medicine. If the word were quietly dropped and never mentioned in the medical press, in scientific publications and official documents, it would rapidly become obsolete in this connection.
What Word Do You Use when you find yourself chewing a bread label the cook has failed to remove? Some people when putting a stamp on a letter lick the stamp instead of the envelope. It would be interesting to know which the bread-labeller applies the tongue to. Who started this silly system anyhow? Who should put an end to it at once? There has been a great deal in the public press lately about light-weight bread and standard loaves. It shows that the people are alive to the question of the production and handling of the staff of life. Some dealers put wrappers on some loaves. Why not have them properly and fully dressed ? Many years ago we advocated the putting of all loaves into paper bags. We are coming to it by degrees. Why not adopt it at once and be done with it?
Speaking of Bread leads us to say a word about "Gluten" breads and crackers. The elimination of the overcharged starchy cereals from the diabetic's diet paves the way for the gluten article. A writer in Scientific American savs to take ten minutes and find out what gluten is. Obtain a tablespoonful of white flour, add water in a saucer and make your dough into a compact ball. Take it to the tap and let the water run on it through your hands. In ten minutes' time you have a nodule of yellow, firm, vegetable gum. Take and chew this gum for a couple of hours. It is smaller. The tap water washed away the large starch cells; the saliva, the infinitesimally fine starch cells. Take the small ball of gluten left to an analytic chemist. The report will be: Starch 15 or 18, gluten 85 or 82. The writer then argues that “where a case is a desperate one, and starch or no starch will turn the balance of life, it is very easy to procure and analyse a sample of
the flour or cracker of “gluten ” the patient is to use. such a course would save a physician many a perplexing hour, and maybe an esteemed patient now and then.
The Use of the Cinematograph in Medicine for recording and illustrating movements of patients, victims of various nervous diseases, has been successfully employed, says Dr. H. Campbell Thomson in a recent issue of The Lancet. Photographs taken at the rate of sixteen in a second of time clearly show these movements and have been utilized for imparting instruction to students. The cinematograph has been used by some eminent surgeons, particularly one in Paris, showing mostly the actions of the operator, and it may be that there will open up a field in this direction which, while interesting and delightful, may prove of useful help to the student of medicine, particularly in class teaching. It may in time supersede to some extent the lantern.
Phimosis and Circumcision in Infants.—Phimosis is nearly always present at birth, and is due to a small preputial orifice as well as to adhesions between the glans and prepuce.
The glans, in growing and during the erections which occur with difficult defecation in infants, gradually dilates the preputial orifice, and breaks up the adhesions between glans and prepuce, a process which is usually not complete until the eighth year. In other words, a certain degree of phimosis is physiological in early childhood. Many reflex phenomena, including most of the functional diseases of childhood, have been attributed to it, and circumcision has been recommended for their cure. That the symptoms are really not caused, at least not always caused, by the phimosis, is proved by the fact that in at least one-half the cases they are not relieved. In a plea for fewer uncalled-for circumcisions, appearing in the Correspondenz-Blatt fur Schweizer Aerzte of Dec. 1, 1907, G. Rheiner mentions a few of the indications and contraindications for the operation in early childhood. He considers a phimosis pathological only when it acts as a mechanical obstacle in urination. The urine is passed in a thin stream, or only a drop at a time, the space between glans and prepuce balloons out, the urine decomposes in this space, and is thus liable to cause balanitis. The straining at urination is liable to be followed by hernia or prolapsus