NOTES AND COMMENTS.

_The Graubuch of the General Hospital of Vienna._—From this very

interesting report for 1884 we learn the following: At the end of ‘83

there remained in the hospital 1,672 patients; of these 1,037 were males

and 635 females. In ‘84, 23,937 patients were admitted, 14,801 males and

9,136 females. Discharged as cured, 12,532; improved, 4,485; uncured,

2,857. At the end of December, 1884, the number of patients remaining in

the hospital was 1,742.

The maximum of sickness among males was reached in January (1,179);

among females in May (740). The minimum among males in the month of

August (842); among females in September (588).

It is somewhat interesting to note among the victims of pulmonary

tuberculosis, the proportion furnished by various occupations. Two

hundred and four day laborers, 113 shoemakers, 90 blacksmiths, 76

cabinetmakers, 71 turners, 30 coachmen, 19 butlers, 19 waiters, 8

landlords, 6 musicians, 6 servants, 4 conductors, 2 janitors, 1

stenographer, 1 chorister, 1 turnkey, etc. The proportion of deaths from

tuberculosis expressed in percentage of the whole number of deaths was

as follows: June, 5.6; April, 4.7; March, 4.4; August, 4.3; May, 4.2;

February, 4.1; January, 3.9; October, 3.6; July, 3.2; November, 2.9;

September and December, 2.8.

The most rheumatism occurred in May (84), most typhus in September (19),

most bronchitis in March (210), the most pneumonitis in April (78), the

most catarrh of the digestive organs in July (81).

* * * * *

WINTER PRURIGO, says Dr. Corlett in a clinical lecture, a common and

most annoying disease of the skin in this climate, must be regarded as a

_local neurosis_. In its treatment internal medication avails but

little, excepting in severe cases where the paroxysms of itching occur

several times during the four and twenty hours, when hydrobromic acid

may be used with marked benefit. It is in local measures, however, that

we are effectually able to control it.

At the outset of a paroxysm apply caustic potash in strength varying

from x to xxx grains to the ounce of water, to which a drachm of

glycerine may be added, after which the following should be added:

℞ Menthol ℨss.

Acidi carbolici ℨss.

Sodii benzoati ℨij.

Ung. aquae rosae ℥iij.

Cerae alba q. s. Misce.

In mild cases, by omitting the caustic potash, the following lotions

will be sufficient:

℞ Menthol ℨj.

Alcoholis ℥ij.

Acidi carbolici ℨss.

Sodae benzoati ℥j.

Aquae rosae ℥vj.

Misce.

* * * * *

Dr. G. E. Paget of Cambridge is to have a K. C. B. bestowed on him, and

Dr. William Roberts of Manchester is to be knighted. Dr. Paget is Regius

Professor of Physic in the University of Cambridge, and a brother of Sir

James Paget, the eminent London surgeon. Dr. Wm. Roberts is Professor of

Clinical Medicine in the Victoria University. In neither case can the

title of “Sir” enhance the distinguished professional reputation already

enjoyed by each of these gentlemen.—_London Correspondence N. Y. Medical

Record._

* * * * *

At the end of November the Curatorium of the General Polyclinic of

Vienna held its first meeting according to its new constitution.

President Bezecny and Vice-Presidents Dompropst, Marshall and

Neumann-Spallart were unanimously reëlected. The chairman, Baron

Bezecny, next greeted the new curators, and stated that the object of

the meeting was to raise a large sum of money to erect a small hospital

for emergency cases. Upon request of the chair, Prof. Schnitzler gave a

brief report of the work of the Polyclinic from January 1 to November

25, 1885. Over thirty-two thousand patients were treated. The number of

hearers, almost entirely doctors, during the semester year of ‘84-5,

reached the height of four hundred and fifty-four. Among these were one

hundred from Austria and Hungary, and almost as many out of the German

empire. Then follow from other European States—Russia, England, Sweden

and Norway, Belgium and Holland, Italy and Greece. America was

represented by more than one hundred attendants; but also Asia, Africa

and Australia furnished hearers to the Polyclinic. Prof. Schnitzler then

left the subject of the report and moved that it be made the ambition of

the Polyclinic to erect a Polyclinical hospital. This motion, after a

very brief debate, was unanimously adopted.

* * * * *

On account of the death of Prof. Geo. Hunert, A. M., M. D., the chair of

Theory and Practice of Medicine is vacant in the Medical Department of

Wooster University in this city. As yet a successor has not been decided

upon.

* * * * *

_Third Annual Meeting of the Ohio State Sanitary Association._—We regret

that the programme of this meeting, which was held in Columbus, O., Feb.

25-26, was not received in time for publication in our last number. A

number of practical papers were read, some of which we shall present to

our readers.

* * * * *

Drs. Scott, Ashmun and Herrick, of Cleveland, presented papers at the

meeting of the State Sanitary Association.

* * * * *

Dr. J. H. Gleeson of 87 Bond street met a sudden death on the evening of

February 22, at Gerling & Haber’s drug store, No. 283 St. Clair street.

It is reported that Mr. Haber handed him by mistake a couple of ounces

of a mixture of carbolic acid and glycerine, which the doctor swallowed

and expired in a few minutes. The inquest will bring out the facts.

* * * * *

Dr. Geo. F. Leick is in New York City, where he expects to remain

several months.

* * * * *

Dr. A. B. Carpenter, who has been abroad in the hospitals of London and

Berlin during the past year, has returned to Cleveland.

* * * * *

Dr. H. G. Sherman, owing to ill health, has gone south for the winter.

HOW DOES AMERICAN JOURNALISM AID THE DEVELOPMENT OF THE MEDICAL

PROFESSION?

The New York _Medical Journal_ says that “it regards the great

distinctive service of American medical journalism as shown mainly in

its counteracting influence in removing the pedantry shown in the

medical colleges, and encouraging the expression of original thought in

young men.” Surely, it were a great thing to remove the stupidity

engendered by medical schools, and to draw forth the powers of original

thought which are dormant in the young doctor. Of the truth of this view

we have no question, nor can any editor of any experience or success

fail to have many personal experiences in this sort of work. In the very

best sense of that term, the medical editor is a teacher; and this, too,

in causing others to work for the common good. The education follows

from the efforts of the young doctor to learn something of profit or

interest to the profession, and then place this before the profession in

the most attractive shape. The medical editor, in order to make his

journal a success, is compelled to get the best work expressed in the

best way. Most of the older members of the profession have never learned

to write, and as they become burdened with the cares of a large

business, it becomes impossible for them to learn the art of writing.

Much they possess of positive value to the profession, but from the

defect of not being able to write with comfort, their knowledge dies

with them. The medical editor can get little help from them. There are a

considerable number of the members of the medical profession who could

not write a decent article, if they had any distinct ideas to put in it.

Obviously, the medical editor can do nothing with this class. But there

is another class of doctors, who have the general culture and the

brains, but are too modest to think of writing for the benefit of their

seniors. From this class the medical editor draws most of his working

colaborers. By encouragement, by personal solicitation, by aid in

matters of reference, by stimuli of ambition, of professional pride, by

appealing to the sense of his obligations to do for the general

profession that which lies in his power, many of this class are brought

into active service in medical journalism. Having encouraged to habit of

expression, the editor stimulates the habit of original research. Of

course, different individuals will be stimulated in different

directions. So, at last, the editor will have writers in every portion

of the field of the art and science of medical surgery. Hence, it comes

about that the editor sends men to work with the microscope, in the

chemical laboratory, in the pharmaceutical laboratory, in the

physiological laboratory, in the anatomical room, in the hospital, in

the dispensary, in the tomes of medical literature of every language and

of every age. In short, he has these men at work in every field

congenial to them, and such that they can reach it.

In a very real sense, an editor is like a captain of a ship—he shows his

abilities not so much in what he does himself, as in what he can get

others to do. That there are not more really good medical journals, is

due to the fact that there are really few medical men having the power

of getting others to work in the fields leading to medical journalism.

When a young doctor has begun to realize that he can talk to the entire

medical profession, life and study takes an entirely new aspect. The day

of small things is past, and the day of an enlarged and enlarging

manhood has come to him. One who does realize this truth will never

write a poor article for publication. The poor articles come from quite

a different sort of men. These the medical editor gradually weeds out.

Of this direct and indirect influence upon the conduct of medical

colleges, and upon medical societies and medical publishers, writers of

medical books, and the relations of medical men, we have not time to

speak. But in all these things the medical journal is the means by which

the process of both good and bad education goes forward. Out of all

these educational processes the medical profession is slowly rising

higher in its development.

To every young man who would make the most of his powers, we say: think,

observe, and write for the medical press constantly. It may be that one

article a year is all that any particular person can produce. It may be

that longer time will be required, but whether the time be long or

short, be sure to begin and keep up the habit of correct thinking,

constant study and correct and frequent writing.—_Detroit Lancet._

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The Cleveland Medical Gazette, Vol. 1, No. 5, March 1886 · 第 23 / 24 题