Изображения страниц

Health. 4-A Committee on Amendments to the Constitution and By-Laws. 5-A Committee on Reports of Officers. 6-A Committee on Necrology. Then under “ Scientific Work”-Art. IGeneral Meetings—Sec. 2., the first sentence thereof read as follows: A General Meeting or Session shall be held at 10.30 a.m. of the first day, and at such other times as shall be decided by the Committee of Arrangements.

The Calmette Tuberculin Test. In a recent article in the Journal of the American Medical Association Dr. Ilarry C. Parker draws the following conclusions regarding this very interesting test for incipient tuberculosis:

I. The Calmette ocular tuberculin test is of as great diagnostic importance as any other single test.

II. A positive reaction is indicative of a tubercular focus, somewhere in the body.

III. The test is uncertain in patients under two years of age, in whom the cutaneous test of Von Pirquet is most certain.

IV. The test fails in advanced cases of tuberculosis but there is little need of it here.

V. The initial instillation should be preferably under one per cent. strength in order that severe inflammatory conditions may not follow. If necessary to make the second and stronger test, the eye not previously used should be selected.

VI. The concensus of opinion seems to be against using the test in an eye not wholly normal.

VII. After complications have occurred from its use but have entirely cleared up in a varying length of time and are not so frequent when the initial test is made with a solution under one per cent., recent investigations have shown a greater nunber of ophthalmie affections due to tuberculosis than formerly supposed. And in the ('almette reaction we have a simple means of differential diagnosis, which should be thoroughly tried.

VIII. The ocular reaction is especially valuable for ascertaining the tuberculous nature of cases of phlyetenular keratitis and conjunctivitis episcleritis and scleritis, chronic iritis, iridocyclitis, interstitial keratitis and chorioidities.

IX. A one per cent. solution of Koch's Old Tuberculin is nearly as good as the Calmette solution for diagnostic purposes.

X. The test in the hands of various observers has given such uniformally excellent results that its value is practically assured.

[ocr errors]

British and Canadian Medical Journals. and quently British and Canadian practitioners have taken very little interest in the campaign which for the past few years has been going on in the United States and which is quite commonly referred to as “The Great American Fraud." In the June issue of the Critic and Guide are some striking comments on the subject. One is entitled “Do Physicians Prescribe Nostrums? or, Bok's threat to annihilate the Medical Profession." Another deals with the proteid iron preparations of the National Formulary, or the N. F. propaganda, with some queries and conclusions. To those who have been using and getting the good results for years from many well known proprietary preparations, which have not been admitted into the National Formulary, it is difficult to understand the just limitations of prescribing. Probably there will be many who would agree in affirming their adherence to what a preparation will do than to what it exactly is. Supposing for instance we did know the exact proportions of all these preparations, who would remember them, and who would not go on prescribing them for the results got, rather than for the ingredients they contained? Preparations which are put forth by honorable and responsible manufacturers should not be unjustly and indiscriminately condemned, because the age has demanded the best skill of the pharmacist, which is not always to be got even from the physician and local druggist combined. When the physician prescribes he trusts to the honesty of the druggist that his prescription is properly and correctly dispensed. If a manufacturing pharmacist places before us a preparation which will produce results, why consider he is always dishonest! If we do not get the results in a given patient we soon abandon that preparation, as we would one we knew the exact in

[ocr errors]

gredients of. Reputable and responsible houses dealing directly with the profession should not be classed with all the ordinaril v denominated nostrum-vendors catering to the public at large. If a friend in the profession had evolved a prescription which would do the trick in a certain disease, and would not give it to us, but would supply the medicine, would we be likely to accept it when we knew that it would produce in our hands the same results it did in his ? But, of course, many will say he is not at all ethical in keeping secret what will do mankind good. But he is probably doing the best by himself, his family and his own practice. Probably if physicians in this respect took a leaf from the book of the manufacturing pharmacists they would better profit thereby. We believe in the survival of the fittest, and if a proprietary is not going to produce results, it will fail; as long as it does so, the physician is going to use it.

The Montreal Medical Journal in its August issue delivers a stinging rebuke to Canadian charity, christianity, philanthropy and civilization. It was born of a case such as this which we have clipped from the Montreal Star: C. M. died this morning at the Grace Dart IIome on St. Antoine Street, of which he had been an inmate for about a week. It will be remembered that the unfortunate man was found some days ago lying in a field in an uncollscious condition and evidently dying of tuberculosis. The city hospitals, however, refused him admittance, as their rules prevent them accepting patients of this class. The only thing to do, then, was to send him to jail. He was, therefore, brought before Recorder Weir for this purpose, but the Recorder interested himself in the case and succeeded in having him taken into the Grace Dart Ilome, where he died this morning.

With fine sarcasm the editorial pen tells how we can buy il battlefield, maintain an Olympic team in England at a cost of some *18,000, and boast of the great wheat fields of the last great West. yot the Dominion Government with its lavish expenditure cannot find more than a paltry $5,000 per annum to give to the National Organization for the Prevention of Tuberculosis. Vor even can

that self-same Government act quickly in getting a leader to prosecute a campaign against all forms of contagious and infectious diseases. But in the matter of the non-admission of this class of patient into the hospitals of Montreal, the Government is not to blame. It is surely up to the physicians of that great metropolis, there as elsewhere, physicians who are at no time afraid to attend patients suffering from all forms of dangerous diseases, to educate the people that their hospitals must do their duty by the sick, until such times as there are proper institutions established to take care of them. Surely wings can be set apart in all hospitals for these unfortunates that it will not be necessary for them to take to the woods or the fields to find a resting place for their tired bodies. Imagine having to send a tuberculous patient to jail! It makes one shudder. It is quite as bad or worse than sending people of unsound mind to the same place. But Toronto does not do that nowadays.

Clean Milk At the International Congress on Tuberculosis. which is to be held in Washington from September 21st to October 12th, the New York State Committee of that Congress is to have a Clean Milk Exhibit. It is to consist of photographs of dairies, statistical charts and Petri plates of the bacteriology of milk and illustrations of tuberculin tests for cattle; will have a small working dairy with tuberculin tested cow, skilled attendants, sanitary utensils, shipping cases and all sanitary appliances for the marketing of clean milk. On cardboards will be printed a series of aphorisms regarding clean milk. There will also be represented graphically the food value of milk as compared with other foods, as well as charts illustrating the general sources of infection of milk with tuberculosis germs. The question of a pure milk supply is before the world as it has never been before. Vedical Societies in this, in the old land and in the United States are appointing special committees on the subject, known as Milk Commissions, to take the matter in hand to influence Governments, Federal, Provincial and Municipal therein. From the Home Journal, an interesting journal published in Toronto, we learn that a good start has been made this year in pure milk for Toronto's poor children. From the cow to the consumer this product, and one of the best of foods, must be carefully produced and its production watched all along the line. Towards this end we would suggest to the Canadian National Exhibition thaat they join in the movement for a clean milk supply, as that body, it seems to us, have it in their power to educate the masses of the people, especially the farmers and the producers, more than any other at present in existence. They have already Dairy Process Building. They have the accommodation for cows. They have the hundreds and thousands of farmers every year

in attendance; they have the consumers every year in attendance, all of whom would be sure to take the liveliest interest in the demonstrations which they could give in the production and handling of a clean milk supply. An exhibit of this character for two weeks every year at our National Exhibition would be sure to prove profitable and popular feature.

« ПредыдущаяПродолжить »