~ was; (‘p-iv ‘ * em.‘ a‘: ’ “.2 4% ' ‘t 11 v a \ 4" .r ‘GRACE HOSPITAL GAZETTE. 1 email. HOSPITAL TRAINING SCHOOL. ~ Q List of Graduates. 1891. Miss Abbie Hibbard, Detroit, Mich.; Miss Nellie Morgan, Detroit, Mich. ; Miss Emma D1181:- ant, Detroit, Mich. ; Miss Annie Jean Macfie, lady superintendent City Hospital, aVncouver, B. 0.; Miss Edith Glendenning, lady superintend- ent Ginley Hospital, Dubuque, Ia; Miss Mary S. Campbell, Nashville, Tenn.; Miss Ella Park, now Mrs. Peck, Denver, Col. ; Mrs. Ella Cumberland, New York City; Miss Georgie Smith; *Miss L. M. Courtney ;-Miss Grace Andrews, now Mrs. Morris, Detroit, Mich.; Miss Ethel Stark, Detroit, Mich.; Miss Jennie A. Kent, Oakville, Ont; Miss Louisa A”. Cromwell, New York City. 1892. Miss Mattie Hadcock, Detroit, Mich.; Miss Liz- zie Taylor, Detroit, Mich.; Miss Lucy May Gil- lespie, now Mrs. Valmore, Detroit, Mich.; Miss Nellie Duke, San Antonio, Tex.; Miss Florence C. LapumyNew York City; Miss Katie Gerow, Detroit, Mich.; Miss- Alla S. Bean, Tacoma, Wash; Miss Ellen G. Ryan, supt. T. S. St. Mary’s Hospital, Detroit, Mich.; Miss May Bush, Toledo, Ohio; Miss Rosamond Simmons, asst. supt. Gin- ley Hospital, Dubuque, Ia. ; Miss May Johnston, r I now Mrs. Vance, , .Ont, Canada. I .wggé J g *" "T893. Mattie McFadden, Detr ‘tiMichfjfiiss argaret F..- 1 v’ i I I "’ ‘ I! @ $5M‘ ) Q 9‘ _*e r- ~;_§_ a w“ 6». i‘ — 'Cluviiforjldi, Detroilt, IMich; Miss Miinnie West, deaconess M. E. Church, Detroit, Mich.; Miss Frances North, asst. prin. GGrace Hospital, De- troit, Mich.; *Miss Maggie Carroll; Miss Mar- garet Fleming, Detroit, Mich. ; Miss Lizzie Miller, Detroit, Mich.; Mrs. Isabella Springer, Grand ‘ Rapids, Mich.; Miss Elizabeth Kellar, Detroit, Mich.; Miss). Mary Coyle, Detroit, Mich.; Miss Annie M. Casey, Buffalo, N. Y.; Miss Mary Ellen Jermyn, Detroit, Mich.; Mrs. Ida Guest, Port Huron, Mi ch.; Miss Catherine Cameron, Detroit, Mich.; Miss Mary V osper, Detroit, Mich.; Miss Margaret Miller, head nurse Reform. School, Lansing; Miss Grace Brown, Detroit, Mich.; Miss Jean M. Fleming, Detroit, Mich. 1894. Mr. Percy Lefestry, med. student, Detroit, Mich.; Miss Ida C. White, Detroit, Mich.; Miss Lorain Smith, Kansas City, Mo.; Miss Daisy Rutherford, Kansas, City, Mo.; Miss E. May‘ Tower, head nurse Blind School, Lansing, Mich.; Miss Martha McVicar, Detroit, Mich.; Miss E. Constance Fraser, night supervisor Grace Hos- pital, Detroit, Mich.; Miss Mattie E. Stark, head nurse Sanitarium, Marquette, Mich. ; Miss M. E. Pulling, now Mrs. Coombs, Denver, Col.; Miss Lottie C. Bethune; Mrs. M. H. Rogers, Windsor, Ont; Miss Lizzie Emery, Detroit, Mich.; Miss Nellie 'B. Culver, Ypsilanti, Mich.; Miss France E. Pinkerton, Knoxville, Tenn; Miss Annie L. “Samson, Blenheim, Ont. *Deceased. “' sam person, DETROIT BOARD OF HEALTH. . . a The blll to establish a Board of Health for Detroit, now before the Legislature, is one in which every man, woman and child, not only in this city, but throughout the whole state, should be deeply interested, and should exert what in- fluence he or she possesses to aid its passage. The people of the city have at last awakened to "a realization of the inefiiciencey of our present board in controlling the present terrible, fatal smallpox and diphtheria epidemic which is tax- ing both the comfort and pockets of the people unnecessarily. The people of the state, and even of Ontario, are raising their voices against this political tampering with their health, for the results of the carelessness of this board are also severely felt outside the city, where there may be better government. The fault does not lie, pri- marily, with individuals composing the board, nor with the health officer. The trouble is with the act creating such a board, the main features of which are as follows: The Mayor is the ap- pointive power; he is a member (ex-oflicio); the Controller and President of the Police Commis- sion are appointed by the Mayor, and also hold office on the board (ex-officio); three physicians are appointed by the Mayor subject to approval by the Common Council; and the Health Commis' sioner and Health Officer are appointeci lin the sam . wa the,v bein at {Cg/int the y, twopsalaries, and h is member of the board—every act of the health officer is controlled by the board. Thus it is easy to see how political the board can be made by a political Mayor, and also how easy it is to shift the responsibility from the Mayor to the board and from the board to nobody. The new bill aims at remedying these faults by placing the responsibih'ty upon the individual. The Gov- ernor appoints the board; the board appoints the health oficer; the health officer appoints his own subordinates and employes; the Governor may remove any member of the board for cause; the board may remove the health officer and the health officer may remove his subordinates at will. The power of the board is advisory only, except in passing on nuisances, and then quasi- judicial. It is not self-appointive, as at present. The health ofiiicer cannot be hampered in his work by the board, and if he be efficient, will hold office permanently, so that the more experience he has, the more valuable he will be. IVe trust the Leg- islature will give the matter careful considera- tion, but not delay action, for every moment at present is endangering many lives and costing the city and state a large amount of money that could be better spent. LIKE CURES LIKE. Said Tommy Jones, with tears in his eyes: “My mother believes in homoepathy. First it’s hazel switch, then it’s witch hazel.”—Fashion. 4 GRACE HOSPITAL GAZETTE. THE GRACE HOSPITAL DIRECTORY FOR NURSES. ‘5 Miss Emma Durrant . . . . . . . . . ..7 Grandcourt. Tel. 4399 3-1‘ Miss Ethel B. Stark . . . . . . . . . . . Bagley ave. Tel. 1212 Miss Mattie Hadcock . . . . . . . . . . ..17 5 Sixth st. Tel. 853 Miss Katie Gerow . . . . . . . . . . . . .473 Third ave. Tel. 3773 Miss Mattie McFadden. . .304 W. Canfield ave. Tel. 4070 3-1‘ Miss Margaret Crawford. .. .170 Eighteenth st. Tel. 1280 2-1‘ Miss Margaret Fleming . . . . . . .719 Fourth ave. Tel. 3942 Miss Lizzie Miller . . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Elizabeth Kellar . . . . . . . .719 Fourth ave. Tel. 39-12 Miss Mary Coyle . . . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Mary L. J ermynn . . . . . ..719 Fourth ave. Tel. 3942 Miss Catherine Cameron . . . . . .719 Fourth ave. Tel. 3942 Miss Mary Vesper . . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Grace Brown . . . . . . . . . ..719 Fourth ave. Tel. 3942 Miss Jean Fleming. . .Young .lVoman’s Home. Tel. 1354 Miss Ida C. White . . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Martha McVicar . . . . . ..719 Fourth ave. Tel. 3942. Miss Lizzie Emery . . . . . . . . . . .776 Fourth ave. Tel? 4576 PHYSICAL CULTURE. By W. A. Polglase, M. D. (Read before the Practitioner’s Club.) In speaking of exercise, one can hardly at the same time separate it from either its good or bad effects, so inseparably connected is it with the nutrition of the body. The limitations of life itself are in a ratio proportionate to the amount 7f proper exercise taken. Let us as clearly as ossible attempt to define what is meant by bodi- _ ly. nut‘ In general terms, it is the‘mailinte- “like of its parts in a fit state to perform its ,unc- ions, and depends upon three main factors—the supply of suitable food, the assimilation of food and the prevention or control of waste. Exer- cise carries nutrition to the point of putting the body in a condition of the highest perfection as to strength, power, resistance and beauty. * The history of exercise shows that the Spar- tans were the first to systematically cultivate physical excellence. Even girls were taught to leap, run and throw the lance, and women made exhibitions of their skill before they could marry. Lacedaemonia developed such formidable war- riors that other states were forced to adopt a similar system. In Athens, however, the gym- nasia became school for mental as well as bodily education, which is the high purpose to which the gymnasium aims in our day. Out of this early system of training developed those magni- ficent models which are still copied and repro- duced today in marble and bronze. Later on the gymnasia lost somewhat of their high pur- pose and degenerated into a professionalism, and the downfall of the system ensued. The Romans adopted somewhat the methods of the Greeks, es- pecially to fit warriors for endurance and strife. Marius never missed a day on the Campus Mar- tins, and Pompey could vie with any soldier of his army. But hand to hand fighting, and with it the athletics of chivalry, vanished at the first puff of gunpowder. In 17 99 N achtigal opened a gymnasium in Den- mark, and in 1813 Ling introduced into Sweden ¢m~ m n L w‘ A _ KM his system of curative bodily movements. In Prussia, in 1811, J ahn established the first Turn- platz, being actuated by a patriotic impulse to train soldiers who would expel the hated Na- poleon. This accomplished, the government, fearing that gymnasia might become therallying places for men of liberal politics, closed them (1817) and imprisoned J ahn. In 1815 Clias start- ed a similar popular movement in Switzerland, and afterward did much to awaken interest in France and England. Gymnastics were im- ported to America from Germany by Dr. Beck, a pupil of J ahn, who opened a gymnasium in Mas- sachusetts in 1825, and from that time until the present the system of training has become well nigh perfect; and, thank heaven, it is fast becom- ing no longer popular or fashionable to possess the pale, cadaverous and prematurely aged ap- pearance of the early students in Harvard, Yale or Princeton. But in sharp contrast stands out the tall, robust, muscular youth with sharp, bright intellect and marvelous physical endur- ance of to-day, when mental and phyisical train- ing accompany each other. The ends of exercise are essentially the same whether employed for recreation or purely rem- edial purposes. To make proper use of it, it is well to understand the physiological principle of exercise. I think the best definition of exercise is given by DuBois Reymond, as follows: “ By exercise we commonly understand the frequent repetitioitof morepr“ less complicated ac Lion of the body with the co-operation of the mind or of the mind alone for the purpose of being able to perform it better.” All human actions are com~ prised under the two heads of this definition of exercise. * * * A muscle habituated to ex- ercise can do more work and do it better than an unexercised muscle, for two reasons: Exercise makes the muscle larger, harder, stronger and more enduring, improving it simply as a tool in all its structure, and it responds more quickly to its nervous stimulation. Muscles are more per- fect power machines than steam engines or rifled cannon, not only because they develop more work out of the energy stored up in the substance on which their activity depends, but also because they are distinguished from all machines of hu- man manufacture by the fact that they are self- improving machines—that is to say, they become tougher and stronger through exercise. It is es- timated that the tissue changes of which the hu- man adult body, weighing 140 pounds, is norm- ally the seat, involve the transformation of more than a ton of material in the course of a year. Muscular activity is one of the chief agents in promoting wholesome tissue changes in all the organs and in determining the normal growth and development of the organism as a whole. It hastens the scavenger work at the outlets of waste in the kidneys, skin and lungs by quicken- ing the‘circulation and heart’s action, so that that great center of life is strengthened and for- tified, and the blood receives a greater ventila- tion. Digestion is indirectly improved by the in- l Du’ creased demand for nutrition. * * * With a sufficient and proper amount and kind of food combined with proper physical exercise and training, a. youth of seventeen will be taller, stronger and heavier than one under a less fa- vored condition and a like difierence in bodily condition will hold good at almost any age. Dr. Post studied for several weeks the health of five female circus actors, varying in age from 24 to 35 years, and having been in the business from 9 to 19 years. All had been married and all save one had been mothers, and, remarkable to relate, were in the habit of continuing their work till the seventh month of pregnancy. Their health was excellent, and it was their common opinion that women performers do not break down save as the result of a surgical injury. The point aimed at in physical culture is sym- metrical development of the body, and while ad- vocating exercise commencing with, the infant, systematic gymnasium exercise should not be de- layed in boys beyond the fourteenth year. Coincident with physical development comes the development of the nerve centers in the brain and spinal cord. Let me be more explicit. In the fore brain are certain centers which preside over motion in different parts of the body. The action of the shoulder and elbow in an infant are fundamental and well organized, as compared with the wrists and fingers, which are accessory and later acquired. * * * . The infant. through the growth and development or ‘the ap- propriate centers, first gains co-ordinate control over its leg, then over its arm and hand, and later over tongue and lips. It is evident that the arms of a blacksmith and those of a 5-year-old boy and those of an infant differ greatly as regards size, strength and skill, but the differences which exist between them reside in the nervous mechanisms which repre- sent the movements of which their respective muscles are capable, rather than in the muscles themselves. . Not only are the motor nerves of the blacksmith the largest, but the cells in the motor areas of his brain and spinal cord are also widely connected with other cells. Exercise plays, if not the predominant, at least a very con- siderable part in producing this result. Compar- ing the two arms of a blacksmith, the right is larger than the left. The centers which control the right hand are situated in the left fore-brain, and vice versa. Fleischig is quoted as saying that the number of fibers going to the right hand is to the number going to the left hand as three to two. One may attain to the stature and semblance of manhood, and yet, through the arrested de- velopment of certain of his motor centers, be nothing better than an infant or mere animal as regards his powers of action, while paralysis and atrophy may reduce a man, stage by stage, to the condition of an untrained child or of a helpless idiot, or even to that of a living corpse. The principles of physical training, whatever / GRACE HosPi'fAL GAZETTE. 5 its end and aim may be, are based upon the power of the nervous system to receive impressions and register them or their effects} or, in other words, )on its ability to memorize the part it plays in acquired movements and on occasion to recall 'and revise such movements. The all-important training of idiots and feeble- minded is systematic physical exercise, together with such instruction of purely mental exercise as each case has the capacity for, co-ordinate and harmonious movements being the result of train- ing of both the physical and mental faculties. * * * Dr. Sequin was the first to advocate ‘systematic physical training in the education of 1diots; and, in fact, was the first to show that idi- ots could be educated, exercise tending to awaken and confirm intelligence. . It must be evident, I think, that muscular ex- ercise deserves more attention than is usually given it, and that, when properly chosen, regu- lated and guided, it not only “does a man good,” as we so often hear it said, but makes him better; at least it may make him a better man, in many respects, than his father was, and enable him to transmit to his progeny a veritable aptitude for better thoughts and actions. Herein lies the power of the race for self-improvement and the evolution of a higher type of man upon the earth. Muscularity is not incompatible with intellectu- allty. As to honors gained, rowing men at Ox- ford/have been shown to be on a par with the rest of 4%1e—university,-’whfle at Cambridge th€y1éXC€1 the non-rowing men. 1 Another writer states that the average of classmen in the universities at large is 30 per cent, and among cricketers it is 40 per cent and among rowers 45 per cent. Gal- ton emphasizes the fact that men of genius usu- ally have a fine physique. Neither do athletics brutalize manners or morals, those of pugilists to the contrary notwithstanding. Training necessitates abstinence, educates the will and subdues, while it fortifies the physical nature. Since the rise of athleticism college disorders have become less and less common. They who once made up the mischievous, dissolute set now find on ball-field or river an outlet for their youth- ful spirits, more innocent than the carousals of the good old-timer. The body of the accom- plished man, says Bagehot in his “Physics and Politics,” is by training different from what it once was and different from that of the rude man, it is charged with stored virtue and ac- quired faculty, which comes away from it un- ceasingly. Athletic parents beget robust children, while round shoulders and feeble limbs betoken a neg- lect, antedating that of their possessors. Phys- ical development can, perhaps, be excessive, yet resulting injury is limited and personal, whereas neglect of bodily improvement sins against pos- terity. Were we to select from all others the supreme point that is a key to a fine physique, it would be the chest. Its development includes that of 6 GRACE HOSPITAL GAZETTE. other parts. No one can perfect the capacity, bony frame, and muscles of his thorax without developing back, loins, abdominal muscles, and limbs. A good chest means good arms and legs. Therefore, this is a good gymnastic precept: Take care of your chest, and your limbs will take care of themselve. It may, perhaps, be asked, if one is well with- out them, what need of a capacious chest and powerful limbs. Of course, it may be true that many undeveloped persons enjoy good health, but greater respiratory and muscular power would make such lives more effective and long- er. A roomy thorax and strong heart are no mean allies in resisting the assaults of disease, or in favorably terminating a severe and dan- gerous illness. People with large chest capacity and strong hearts are those who preserve the most nerve and self-possession in time of danger and disaster. No comprehensive system of physical training can be considered safe or rational whose exer- cises are not adapted to meet the varied wants and requirements of the individuals to be trained in respect to their age, sex, health, strength, men- tal capacity and calling in life. The results which should be secured by such a system are , briefly these: Easy and graceful carriage of the head and limbs; a broad, deep and capacious chest, in which the heart and lungs, developed to their normal sing and strength, shall have free, run, and regular pi¢cfi’§\€u'5t'£ulightgfi?x’c”k' arm Well- rounded limbs; and the power to execute with ease, precision and economy of force such move- ments as are involved in the simple exercises of strength and skill, and in ordinary gymnastic and athletic feats. For purely educational ends, no system of physical training has yet been devised which is equal to the Swedish school gymnastics. Swed- ish school boys are better “set up,” and have their muscles under better control than either British or German school-boys. And so I be- lieve that all out-door sports should be supple- mented by such drill as is afforded by the syste- matic gymnastics of the Swedes and Germans, as athletic sports are insufficient for the purpose of giving a complete training to the fundamental and accessory group of muscles. Of course, the best place for training or devel- opment is in the gymnasium under a competent insteructor who understands the individual needs of each person. In most of our large cities such advantages are easily, cheaply, and pleas- antly to be had; but at any rate, much can be done by utilizing one’s‘ bedroom by an ingenious adaptation of chairs, tables, etc., to the purposes of apparatus, or by a trifling outlay in dumb- bells, Indian clubs, and carpenter work. At least one can breathe. A few aphorisms for exercies: First, no con- stricting clothing. Then it should begin with moderation and should not continue when fa- tigue is manifest. Heart and muscles are grad- ually to be made anew to meet the new demands. . This is a slow process, but none should seek to shorten it. Without adequate preparation the strongest man is unfit for severe exertion, and a weaker may suffer great harm. Sameness of ex- ercise gives precision and dexterity, but variety is essential to vigor and power. Neither is exer- cise to be discontinued abruptly. Upon suddenly abandoning an athletic for a sedentary life, some have suffered the very worst consequences. Such cases are often quoted as warnings against ath- leticism. .- It is to the young that the gospel of develop- ment must be preached. While time and vigor fail not, let them see to it that the thorax is made ample and the limbs strong. A fine physique once attained is never wholly lost. He who has satisfied his physical obligations, whose credit with nature is good, is not visited by her heavy penalties for subsequent short-comings. He re- tains through life the chest gained in his young manhood, and though his muscles lose some of their fullness, they may be kept in healthy tone by moderate out-door recreation, which few lives are busy too permit. The following seems a practical scheme of physical development and exercise: In childhood the constitutional (out-door sports, as Walking, climbing, bicycling, hunting, swimming, etc); in youth the developmental (as gymnasium—spe- cial and class work) with and after the respira- tory? ‘Inpadult life the continuance and perfec- tion of development, or if this be impossible some form of constitutional again. While the market is well nigh flooded with books and articles by untrained “professors” and uncritical visionaries upon “Massage,” “Relax- ing Exercises,” Delsarte Exercises,” “Rest Cures,” and other fragmentary and abnormal systems of physical exercise, there exists no com- plete and satisfactory treatise in English upon the nature and efiect of exercise, and the laws by which it should be regulated when employed for hygienic, educational, or remedial needs. The works of Dr. LaGrange, of France, and Dr. Bath, of London, cover the ground in a partial way only. A LAST RESORT. Mother—“I don’t know what to do about my little boy. I have been feeding him on all the new patent health foods I could hear of, and he gets thinner and thinner every day.” Doctor—“H’m! Desperate cases require des- perate remedies. Try him on meat and pota- toes.”—Exchange. PREGAUTION. Patient—“I wish to consult you in regard to my utter loss of memory.” Doctor—“Aw—yes—why—er—in this class of cases I always require my fee in advance.”— Exchange. \ GRACE HOSPITAL GAZETTE. 7 The Master of the House. ,, He cannot walk, he cannot speak, Nothing he knows of books and men; He is the weakest of the weak; And has not strength to hold a pen; He has no pocket and no purse, Nor ever yet has owned a penny; But has more riches than his nurse, Because he wants not any. He rules his parents by a cry, And holds them captive by a smile; A despot, strong through infancy, A king from lack of guile. He lies upon his ‘back and crows, 0r looks with grave eyes on his moth- er; What can he mean? But I suppose They understand each other. In doors or out, early or late, There is no limit to his sway, For, wrapt in baby robes of state, He governs night and day. w’Kisses he takes as rightful due, And, Turk-like, has his slaves to dress him; His subjects bend before him too—— I’m one of them. God bless him! Kola is both a necessity and a luxury to the inhabitants of a large portion of Equatorial Africa, where the fresh seed is employed as a masticatory with a view to overcome fatigue, hunger and thirst. The.main reason why it has not obtained the position it deserves in this country as a tonic stimulant, is that it has usually heretofore been imported in a dried condition. F. Stearns and Co., of Detroit, Mich, are the first to prepare a preparation made from the fresh (undried) Kola nuts, and offer “Kolavin,” a delicious tonic‘ wine and powerful cerebro spinal stimulant. This retains ‘ undiminished the same peculiar properties possessed by the fresh Kola nuts, and physicians desiring to test this new "propuct can easily obtain samples for clinical experiments by making application for same. YOU CAN FIND M M M w w w The Largest Stock of SURDIDAL INSTRUMENTS, Eto.‘ n. KHLNI e (o ~ ‘7.7 _ M M AMUHLMAN. Kuhlman's Lateral Spinal Brace. Deformity Apparatus of every description made to order; also Trusses, Elastic Stockings and Supporters. SATISFACTION GUARANTEED. GET OUR PRICES AND SEE OUR ASSORTNIENH We can save you from 25 to 50 per cent. on Instruments, as we manufacture many of our In- struments. A. KUHLMAN &. CO. 203 JEFFERSON Ave.- De'rnolr. MIOl-l. ALBERT F. KLE M, Dealer in COAL and WOOD .V.;,-';_';_._ e I . \ . - , I ( . *4,’ y t 1- -v \ _ ' . I ¢ , ~ _ 1 ‘ I ‘ , r \ s I I \ , -_ J . ‘A ’‘ "‘‘' > " ' t - ' , z . - Q ' ' ’ l - Q *“3' ‘e ' ‘ ‘ ' '1" _ ' in ‘ J] 3‘ v‘ 4 h‘ 5 4 r < \- ~ " 2 ‘ - ' v f r- _, v I} ’ ’ I a’ e‘: " 2'a . > " ' S \ ‘ r e , ‘_ <> ,* ‘ Ll & i a ' I ‘ . ' a 4"‘; ’ 4 z 'I‘ *’ u ' . A a _ , ’ ‘ a .' e . I. e. \ b) '$ 1 l‘ ‘ - .- l v ‘ x c U .a A 9 ‘1-1 \> i v e . \ . .L , - - > . K n . q ‘s ' a , ' / \ o ' _ d \ -. ~. ' " , d -. J A v- / I Published Monthly Under Auspiees of Grace Hospital Medical Board. DETRQIT, MICIL, FEBRUARY, 1895. No. 2, FUBLISHED MONTHLY By THE GRACE HOSPITAL MEDICAL BOARD in the interests of Grace Hospital. svnsourrrzozv PRICE, - - $1.00 PER YEA 1:. Subscriptions and advertisements to be sent to Grace Hospital Gazette, 90 emswou; smear, DETROIT, MIOH. 6 . Send allartioles for publication to to the editor, ROIlLIN H. STEVENS M. D., 57 west High street. EDITORIALS. .L- ' *~ .Gle'anliness is next to godliness, and a great ' ~surgeon has said that in no work is this proverb so true as in surgery. Were medicine as far ad- vanced as surgery it would apply equally well, 'to it, and perhaps one important reason why it is not farther advanced is because sufficient atten- tion is not devoted to cleanliness, both in the qnursing' of the sick and in the preparation and administration of remedies. Homeopathy owes much of its success to this very detail. No one can read directions for the preparation and care of homeopathic remedies according to Hahne- mann without being struck with the similarity between his pharmaceutical and Lyster’s sur- gical methods. Many of us grow careless both in our surgical and therapeutical cleanliness, and when we do our results are not satisfactory. _ We use sterilized water to irrigate a wound; why is it not as essential to use sterilized water to mix medicine in? How many physicians take the pains to instruct those attendant upon the sick never to keep food or water in the sick room where they rapidly absorb disease germs, or if it is'necess-aryto' keep either there a short time, to ‘see that they are well covered? How often does _ the physician insist that, the patient’s mouth *shall be thoroughly cleansed before administra- tion of, medicine and after administration of food? How often is the patient bathed‘and how often is the bed andbody linen changed? How many physicians sterilize ‘their thermometers ./ a contagious disease? Is not the thermometer too often just rinsed a little with cold water and wiped on aesoil'ed handkerchief? All these ques- tions and many more of similar nature may be considered trivial, but attention to these seem- ingly unimportant details might alleviate much sufiering, and even reduce the mortality rate several per cent. ‘ wemttnnsewimmenywey interested in Grace Hospital will do all in their power to aid the Gazette by subscriptions and advertise- ments, remembering that the net proceeds will. go to the hospital. We shall endeavor to have the fund raised by the Gazette set aside for a special hospital need and have it known as the “Gazette Fund.” Our success in this object will be announced in a later issue. Those having wants in the respective lines of our advertisers will do us a favor to patronize them whenever — they can. We wish to call especial attention to the ad- dress of Dr. ()betz, which contains the germ of a ‘much needed improvement in ‘the impartinjg'in- struction to nurses. Under the present arrange» ment nurses are very much neglected in theo- retical training. This is undoubtedly the fault of the doctors to whom it is entrusted, though often it cannot be helped, because a doctor’s time is not his own. There should be, too, a larger corps of nurses, so] that they would not have such long hours for practical work and more time for theoretical work. As it is now the nurses have their lectures in the evening after a long day’s work, when they are too tired to absorb very much from a dry or even quite interesting lec- ture. We hope to hear from others on this sub. ject and trust the s‘ubjetg will be kept warm until a change is effected Patients treated, ‘11-4, to whom were fur- nished $1516. days’ reatment. /"/-5. 9e, Dispensary visigég-IS, of which ‘5-? Vwei‘e by new patients. Number of prescriptions to dis- pensary cases,~83€'r. 395’ g1 e . Ambulance made 841 fuinsfl of which were ac- cident calls - ' calls, and‘Kw runs this mo . taken. home. The number of is only-ebe-u-t—two-thirds the art. year. Training School expenses, $410725.— 3 "e7"; 1 from special and r A / 5‘ . Earnings of Training Schoo private nursing‘, $29=1e 9353; 93v 7 :l‘ Total expenses of Hospital . . . . . . . . Earnings of Hospital . . . . . . . . . . . . . . . Deficiency 7y A. $18 were sick/35 A" //v_'§,Z-»_:y. I l ,w‘ The following donations are gratefully ac- knowledged: January, 1895—Miss Hattie Lusk, Fort Huachuca, Ariz., $1; Mrs. A. L. Brooks, one jar jam; Detroit, B. I. & W. Ferry Co., one pass book; Young People’s Society, Cass Ave. M. E. Church, package of papers; Mrs. G. 0. Robinson, magazines; Mrs. J as. McMillan, 4 table covers; Mrs. IV. C. McMillan, magazines and books; Mrs. J. B. Field, flowers. February, 1895—John McFarlane, medical books; Mrs. Northrop, flow- ers; Mrs. WV. C. Colburn, 7 tray cloths, 4 baby dresses, 1 parcel books; Mrs. Preston West, books .and pamphlets; Young People of Cass Ave. M. E. Church, flowers. OPERATIONS FOR JANUARY. Curetting sinus of knee joint . . . . . . . . . . . . . . . 1 Perinaeorrhaphy . . . . . . . . . . . . . . . . . . . . . . .. 5 \Amputation of breast . . . . . . . . . . . . . . . . . .. 1 Dilatation of Cervix uteri . . . . . . . . . . . . . . . . . 3 Removal )of Icoccyx . . . . . . . . . . . . . . . . . . . . . . . 1 \D'iilating ';:rectum . . . . . . . . . . . . . . . . . . . . . . . 2 Removal of lipoma of shoulder . . . . . . . . . . .. 1 Draining of pelvic abscess . . . . . . . . . . . . . . . . . 1 Anterior colporrhaphy . . . . . . . . . . . . . . . . . .. 2 .Laparoomy . . . . . . . . . . . . . . . . . . . . . . . .. 1 Amputation of great toe—gangrene . . . . . . .. 1 Trachelorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . 2 Draining psoas abscess . . . . . . . . . . . . . . . . .. 1 Exploratory __i_1_1_c_i,s,i_ofln cysto-sarcoma spleeng’. 1 American operation—haemorrhoids . . . . . . 1 Cautery and clamp operation—hoemorrhoids . 1 Grattage—Trachoma . . . . . . . . . . . . . . . . . . . . 1 Reducing fracture surgical neck femur. . . . . 1 Breaking up adhesions elbow joint. . . .1 . . . l lLngtuinal hernia—injection . . . . . . . . . . . . . .. 1 .iSluturing iwoundi of hand . . . . . . . . . . . . . . . .. 1 Reduction fracture libia’ middle third . . . . . . . 1 Amputation of leg . . . . . . . . . . . . . . . . . . . . . .. 1 Ligation of haemorrhoids . . . . . . . . . . . . . . . . . 1 Suprabpubic hysterectomy, ovarian cyst and uterine fibroid . . . . . . . . . . . . . . . . . . . . . . . .. 1 Herniotomy . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 Circumsion . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 Double iridectomy . . . . . . . . . . . . . . . . . . . . . . . 1 Double Oophorectomy . . . . . . . . . . . . . . . . . . . 1 Laparotolily—exploratory . . . . Iridectomy—ant. and post. synechia and staphyloma of cornea . . . . . . . . . . . . . . . . . . . 1 llysteropexia . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Salpingo oophorectomy . . . . . . . . . . . . . . . . . 1 Salpingo—oophorectomy—hacmosalpinout . 1 Curetting rectum—epithelioma . . . . . . . . . . . . 1 Trephining—depressed fracture frontal bone. 1 Extirpation enlarged inguinal glands . . . . . . . 1 The employes of the hospital are making good use of their spare time by devoting themselves to a course of study in the “Young Men’s Class,” which they have recently organized. On Mon- day and Friday evenings they are taught arith- metic, geography, history, shorthand and pen- manship by Mr. John Shaw, and English gram- GRAOE HOSPITAL GAZETTE. fl mar, Latin, physiology and spelling by Mr. W.’ C. Richards. This work is very commendable, and we trust may be perpetuated. Hygiene and physical culture should be added to the curricu- lum as soon as possible. But what about the young women? How often do physicians of average practice say: “Oh, I haven’t time to write for medical journals. I am too busy.” How was it that Marion Sims, Flint, Agnew, Keating, Fordyce Barker, Sir‘Andrew Clark, Charcot, Billroth, and others, had so imuch time for literary work? And yet their professional duties were certainly as presing as any one’s we know. It would seem that they felt the necessity of keeping their brains in good working order by writing. There is not a physician that we know who hasn’t the time, barring laziness or indifference.-—Med. Progress. We are indebted to Dr. W. F. Metcalf for the report of the following case: About 2 p. 1n. January 30 H. K., a laborer at the gas works, fell a distance of about twenty feet, striking upon his forehead on a concrete floor. I found him a few minutes later uncon- scious, the blood oozing from his nose and mouth. His heart was beating feebly about fifteen times a minute. It was not difficult to determine a fracture of the frontal bone, although there was no abrasion of the skin. I injected strychnine and ordered the Grace Hospital ambulance. At Grace Hospital, after replacing the left nasal bone, which had been driven downward, I packed the nostrils posteriorly and anteriorly to control the haemorrhage. I then made a crucial incision over the right frontal eminence, through which a quantitiy of blood-clots and brain substance gushed. I found several lines of fracture radiating from this point, the inner table of the skull crushed into fragments, which were driven into the cerebral tissue. After trephining I raised the; dlepressed sections of bone, it being necessary to use silver wire to re- tain two of them in position, and removed the . clots and detached bone fragments, the largest of which was that section which formed the in- ner third of the roof of the right orbit. The wound was washed with sterilized water, left open and dressed with iodoform gauge. N0 anaesthetic was required. Aromatic spirits of ammonia was injected as indicated. When reaction began ice bags were applied to the head and to the swollen face. Within thirty-six hours he regained conscious- ness. The morning following operation the nostril-packing was saturated with a solution of hydrarg bichlor, 1-4000, and was removed about eighteen hours later. The case pro- gressed favorably until Sunday morning, when symptoms of cerebro-spinal menengitis presen- ted, and he died at 2 a .m. the next day. The post-mortem showed no unremoved clot or abscess, simply a meningeal inflammation. SICK NURSING AND HEALTH NURSING. FLO RENO E NIGH'I‘INGALE. What is sickness? Sickness or disease is ne- ture’s way of getting rid of the effects of condi- tions which have interefered with health. It is nature’s attempt to cure. We have to help her. Diseases are, practically speaking, adjectives, not noun substantives. What is health? Health is not only to be well, but to be able to use well every power we have. What is nurs- ing? Both kinds of nursing are to put us in the best possible conditions for nature to restore or preserve health—to prevent or to cure disease or injury. Upon nursing proper, under scien- tific heads, physicians or surgeons must depend partly, perhaps mainly, whether nature suc- ceeds or fails in her attempts to cure by sicknes. Nursing proper is therefore to help the patient suffering from disease to live—just as healthy nursing is to keep or put the constitution of the healthy child or human being in such a state as to have no disease. What is training? Training is to teach the nurse to help the patient to live. Nursing the sick is an art, and an art requiring an organized, practical and scientific training; for nursing is the {SkilIIQd servant of medicine, surgery and hygiene. A good nurse of twenty years ago had not to do the twentieth part of what she is re- quired by her physician or surgeon to do now; and so after the year’s training, she must be still training under instruction in her first and even second year’s hospital services. The physician prescribes for supplying the vital force, but the nurse supplies it. Training is to teach the nurse how God makes health, and how He makes dis- ease. Training is to teach a nurse to know her business, that is, to observe exactly in such stu- pendous issues as life and death, health and dis- ease. Training has to make her, not servile, but AL GAZETTE. 3 loyal to medical orders and authorities. True loyalty to orders cannot be without the inde- pendent sense or energy of responsibility, which alone secures real trustworthiness. Training is to teach the nurse how to handle the agencies within our control which restore health and life in strict intelligent obedience to the physician’s or surgeon’s power and knowledge; how to keep the health mechanism prescribed to her in gear. Training must show her how the effects on life of nursing may be calculated with nice precision such care or carelessness, such a sick rate, such a duration of a case, such a death rate. What is discipline? Discipline is the essence of moral training. The best lady trainer of pro- bationer nurses I know, says: “It is education, instruction, training—all that, in fact, goes to the full development of our faculties, moral, phy- sical and spiritual, not only for this life, but looking on this life as the training ground for the future and higher life. Then discipline em- braces order, method; and as we gain some knowledge of the laws of nature (God’s laws), we not only see order, method, a place for every- thing, each its own work, but we find no waste of material or force or space; we find, too, no hurry, and we learn to have patience with our circumstances and ourselves; and so, as we go on learning, we become more disciplined, more icomtentgto work where we are placed, more anxious to fill our appointed work than to see the result. thereof. And ‘so God, no doubt: gives us the required patience and steadfastness to continue in our ‘blessed drudgery,’ which is the discipline He sees best for most of us.” Hospitals, Dispensaries and Nursing. FIF TEEN MINUTE ADDRESS. DELIVERED AT THE GRADUA'I‘ING EXERCISES OF THE GRACE HOSPITAL TRAINING SCHOOL FOR NURSES. BY H. L. onn'rz, M. 1). The world moves as these exercises attest: The advance is slow, but in the right direction, and time will make still greater strides, in the onward march of this, greatest of all aids to the practitioner of medicine and surgery. Over most of our country the lay nurse must reign supreme for years to come, owing to the inabil- ity of the people to employ the higher priced. but safer article, the trained nurse. I do not wish to deprecate the services of rel- ative or friend in their heroic, though often harmful endeavors to assuage the sufferings of some loved one. I have seen health permanent- 1y impaired, and even life itself sacrificed in car- rying out what the volunteer nurse conceived to be a solemn duty. The semi-professional nurse who takes up the calling is a study, and I never tire of observing them when chance throws them in my way- Every community has them and they are often known by homely titles afiectionately bestowed by those who have had a share of their kindly ministrations. Thus we have Granny, Aunty, and Sis, as some of the most common and eu- phonious titles. These persons give various rea- sons for their having adopted their calling. Some take it up through sympathy for those in distress, and if apt with good sound common sense, do good work and would cause their more fortunate sisters who are carefully trained, to look well to their laurels, in taking charge of a sick room. Others undertake the care of the sick because they think it easier than other work they might find to do, and proceed in a sys tematic way to get as much personal comfort out of their employment as is possible. The pa- tient being a secondary consideration: the harm done by this class is often incalculable, and woe to the unfortunate who must employ them. An- other large class are those who will tell you they have seen better days, who take to nursing, be- cause of their pride, who treat both physician and patient with condescension, and who resent as an insult the idea that nursing is work, and that work is required of them. The lady com panion idea is uppermost in their minds, and it is useless to offer them instruction. They are a law unto themselves, and improvement is im- possible. The great work done by Florence‘ Nightingale during the Crimean war should have been an - ~12’ \ __ vu-rl x‘ 4 .. a a h t J 3 I‘ w» ’ r " 1 w.’ 7 ,v' w l‘ ' r "33% 1" i. J£€;\ Vi a ' " i ‘I U \t It‘ 4. $ J" ,5. a , a 51!"! z t a?" a 1* \. \ lg ,_ A’, m uhakgiaggfig; r a.) as, a 1‘ N, 1*; f “ £6} J‘ “Me! at: "it" * em" a ,e w J r 2; A st? flag?“ ‘ . 2 *2 § ' v. f,'_ 7:‘ . 4.. we \ Me-éfgfiwuef~ 1&2’ < x i.“ 4+ I’ ,, .. (‘as -- i. "t " r a r1 a was‘; 1. ( t m ., v-r" 1-. " r " ‘1‘ ,. a .— a. ‘V’ v y ( m i ‘“ w she“ was...’ r‘ a,’ I ) I r i if‘ . - i ' spital as “if... a a k v.1 +»_'f W 0- r i m f .. ! summers Moiiiintv J; b.’ 0 ~ _’ ,sfi'hfiéfétmiom‘ PRICE, - - $1.00 PER YEAR. .< ,4. x ,_ I‘; a f w’ \ x ' .w 4 ., K 4 g’ .a- i‘ A.» at.» - ,- ... f , e w y n“ X1 f j l I ‘ x “.r Mae-“DETROIT, M13011, APRIL, 1895. QC a'zcttc ,1 v‘ w Subeoriptionsand advertisements to be sent to Grace Hospital Gazette, so’? GRISWOLD smear. ' DETROIT, MIcH. Send all articles for publication to to the editor, ROLLIN H. STEVENS M. D., 57 west Highstreet. w The author of the article, “Biological investi- gation of the toxic efiects of infinitesimal quan- tities of metallic salts,” in another column, might also have quantities of metallic salts added” with propriety that it is possible to” demonstrate by means of similar ex- periments on sensitive, organisms, the truth of the law of “Similia Similibus Curantur.” The experiments. have certainly demonstrated to the most .obtuse mind that there is at least some ‘medicine in infinitesimal doses for the twenty- fourth potency, or its equivalent, of corrosive sublimate killed Spirogyra. The difference in tfie Image of death of the organism is interesting as showing the difference between‘ the action of a comparatively strong dose and an infinitesimal one, each being able to cause very decided changes in the organism which lead to death. X Homoeopaths have noticed similar differences in lower and higher potencies of remedies when administered 1n different diseases and constitu- ; f w ' tions. Oftentimes ahigher potency will do work “I: ‘fig awlower will not, and vice versa. We are just g; 1, beginning to get a faint outline of some of the > F organisms present in the body in health and "l r, - \ disease, but as yet we know practically nothing .. concerning the action of drugs in varying doses a . upon these organisms in the living body and c their action in turn‘ upon other organisms. WV e 2355 ,1 see the general action of drugs upon the system " - in certain symptoms and pathological changes, (m and we ascribe these results to stimulation of 5; ~ * certain nerve centers, to paralysis of certain Jr. ‘‘ terminal. nerves, etc., resulting in various if“ changes 1n secretions, circulation, muscle, etc., :3 l » - but we do not get down to the bottom and learn \ I ‘ the primary causes, which, if they were known 3% . . ‘s ,1 r . i. c 7 v . ‘* j I’ \ .fi . ~a~g , "‘ ~ y L W w 4 v ‘ <. q ' a a ..s ‘ ~ . it}: ‘gnoégétf‘g‘ .# W \ “ .g a“, ‘v w mu k s,‘ 52*”? ‘it’? .» s 35 w‘fiwvé ' x - u v‘. . _,., ._~ _ .~ . Q ..;~ m‘ 1 ' ~'_';‘.., ' 7' 3 K4 l ‘ , X'w'éétxr .,_ w ‘8* : “an. J‘ifiélflzrvn 6”‘ .r f " u I ~. v. i’ and appreciated, would throw light on many things we as yet see but dimly. Here is a large field for study, and every homoeopathic college should have laboratories where work of this character should be carried on and studied in connection with provings of drugs and their use in the clinics. Every liberal-minded physician will acknowl- edge that more people are drugged to death than die as a result of disease. W’e might better lay aside our drugs for a while and treat according to the expectant school than administer them in such toxic doses as is now done by the dominant school in their wholesale dangerous, frequently fatal, experiments to find a specific for this and that disease, a cure-all, the philosopher’s stone. Homoeopaths, there is lots of work for you to revise, purify and enlarge upon the Materia Medica of Hahnemann! Devote all the time you can to it. Use the knife less and learn to use your therapeutics more. More laboratory work, more provings, more truly rational thera- peutics, and we shall have less suffering, and the profession wilLoccupy a higher place than ever before. THE GRACE HOSPITAL NURSE. Written by the late Mr. Norman C‘. Perkins, while a patient in Grace Hospital, and printed by his brother, Mr. Robert A. Perkins, Rutland, Vt, When you hear a gentle rustle, Which might come from wings or bustle, Don’t imagine you have caught an Angel unawares; And you needn’t bother overmuch About your prayers. 0 You’ll find your visitant, I think, To be a girl in gown of pink, With a white cap on her head, And she’ll stand, Like a Hebe, with an egg-hog In her hand. Her glass—no matter what is in it— Comes and goes upon the minute; And she brings you pills and tablets By direction, Which somehow seem, as you take them, Like choice confection. ’ "No. 4 \fi‘ W.-- izingiheir efiects. \ ‘- 2 GRACE nosrrrAL GAZETTE.” - GRACE HOSPITAL DIRECTORY FOR NURSES. Miss Ethel B. Stark . . . . . . . . . . .35 Bagley ave. Tel. 1212 Miss Mattie Hadcock . . . . . . . . . ..175 Sixth st. Tel. 853 Miss Katie Gerow . . . . . . . . . . . ..473 Third ave. Tel. 3773 Miss Mattie McFadden. ..3()4 W. Canfield ave. Tel. 4070 31' Miss Margaret Crawford .170 Eighteenth st. Tel Miss Margaret Fleming .719 Fourth ave. Tel. 3942 Miss Lizzie Miller . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Elizabeth Kellar . . . . . . .719 Fourth ave. Tel. 3942 Miss Mary Coyle . . . . . . . . . . . .719 Fourth ave. iel. 3942 Miss Mary L. Jermyn . . . . . . . .719 Fourth ave. Tel. 3942 Miss Catherine Cameron. .719 Fourth ave. Tel. 3942 Miss Mary V osper . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Grace Brown . . . . . . . . . ..719 Fourth ave. Tel. 3942 _ Miss Jean Fleming. . .Young Woman’s Home. Tel. 1354 Miss Ida C. White . . . . . . . . . . .719 Fourth ave. Tel. 3942 Miss Martha McVicar . . . . . ..719 Fourth ave. Tel. 3942 Miss A. Mabel W'hite . . . . . . . . .719 Fourth ave. Tel. 3942 Miss B. Young . . . . . . . . . . . ..719 Fourth ave. Tel. 3942 Miss Lizzie Emery . . . . . . . . . . .776 Fourth ave. Tel. 4576 Mr. P. Lenfestry . . . . . . . . . . . . . . .2o1 Third st. Tel. 1797 Mr. K. Sparks . . . . . . . . . . . . . . .459 Beaubien st. Tel. 4172 Note—This directory will appear in each issue and will be kept corrected to date. Nurses are requested to notify the editor on making change of address. MEDICAL FADS. Extracts from a paper read before the Practitioner‘s Club. By D. A. McLaohlan. M. D., Ann Arbor. Since the more or less general acceptance of the germ theory of the causation of infectious diseases, it has been the constant study of a large number of scientists the world 'over to find a way of destroying these germs after they have taken up their abode in the human body, or of neutral- Among the earliest we had Pasteurism, which for a time monopolized all discussion, both among the profession and the laity; but its star soon waned, and to-day it is practically limited to France, and is‘ very much limited even there. The hydrophobia produced by Pasteur in his laboratory during a few years probably exceeded that produced by rabid ani- mals for centuries. Then came the famous Bergeon treatment for consumption. This consisted of the injection of carbonic acid gas and sulphuretted hydrogen into the rectum. The theory was that in this way a large quan- tity of sulphur could be introduced through the veins into the lungs sufficient to kill the tubercle bacilli. The enemy being driven out or de- stroyed, it was argued the patient could be quick- ly restored to health. The most wonderful cures were published by the experimenters, and every one indulged not only the hope but the belief that tuberculosis had at last met its Waterloo. I have letters in my possession today, one from a prominent homoeopath in Detroit, which apparently made the wonderful accounts of cures by this treatment absolutely incontro- vertible. But where is Bergeon’s treatment to- day? Echo answers, where? Not long after this came Brown-Sequard’s wonderful “Elixir‘ of Life” (the juice of a ~ram’s testicle), which was to rejuvenate all the old, / worn-out roues. This had a still briefer run of popular favor, and it, too, has “gone where the Woodbine twinethf’. Sad! Sad! For, like the poor, the baildheads we “have always with us,” and the front rows of theaters and the clubhouse smoking-room will still present the old familiar . 1280 21' ‘figures of these superanuated Lotharios. About this time, also, came a: revival of mes- merism or magnetism, which received the name of hypnotism. This was also in France. Two great schools, one under Charcot at Paris, and the other under Liebault at N ancy, were devoted to its study and development. These two great scientists and their assistants succeeded in at‘- trapcting the attention of the whole world to their experiments. I remember that when I was in Paris in 1889 an international congress of hyp- notists assembled there, and a great deal was said‘ about it in medical journals, as well as in the public press. Some strange psychological feats were performed at these schools of hypnot- / ism, but nothing substantial was accomplished, and it, too, will soon be only a memory. Then came Koch’s tuberculin. There could be no doubt about this. Prof. Koch was one of the great bacteriologists of the German govern-~. ment. He was paid an ample salary to do noth- ing but experiment in this direction; the lymph was prepared in the government laboratories ' and sold at cost,r the small amounts received for it went into the government treasury to continue the good work; Koch realiezd nothing from it; he must, therefore, be entirely disinterested, honest and reliable. It was announced long before it was given to the public that Koch was experimenting upon the human subject, and would not permit it to go out until it was perfect, and that when he did send it forth on its mission of healing the na- tions his undisputed and infallible indorsement would go with it; and, in addition, the guarantee of the German government, with the corrobora- tion of its other paid scientists. How could it fail? When it was at last given to the profes- sion, the medical world, together with a large share of ordinary mortals, went wild over it. It took many hundreds of lives to convince them that there was danger in it, and thousands upon thousands of failures to prove its utter futility. But the conviction was soon reached, and today where, oh! where is Koch’s lymph? I will tell you. The talk about‘ its being made under the control and auspices of the German government, being sold without profit, money going into hands of government, etc., was a fake. The lymph really was prepared from the first in Koch’s private laboratory on Limburger strasse, in Berlin, and was sold at an enormous profit (price $2 per c.c.m. here), which the lined ‘the pockets of himself and the two other doctors _ associated with him, and owning and operating the laboratory. Thelaboratory was transferred later on to Hochst-am-Main, where Dr. Libbertz, \ a i {:54 i» .u ‘xiii’! ‘ti’ r1 \1 v ,4, " f ' i. / a 211 M " v "a q're. :- ‘l l ‘1’ .l 7 l Kbch’s ~Berlin associate, still has charge. This ‘ rests updn the authority of Dr. Klebs, another 4.- l ,of Koch’s philanthropic associates, who is now in this country manufacturing what is called antiphthisin. Let us see what this is. Koch’s tuberculin contained certain alkaloids (ptomaines), toxines, or tox albumins, and sozal- ,buhin. It is claimed that the alkaloids caused the depressing and injurious effects upon the heart;.the tox albumins caused the fever, mal- aise and inflammatory effects, while the sozal- - 'bumius was free from any ill effects whatever. This last substance is the so-called antiphthisin. It is said by its advocate to be the germicidal part of tuberculin; that it is obtained ,from the culture fluid from which the germs are previ- ously filtered out; and that it is, therefore, a se- cretion and excretion product of the germ. And now as to the therapeutic virtues claimed for it. We are told that since it is a specific germicide, we cannot expect it to control- condi- tions resulting from associated pus-producing germs; nor can we expect to remove with it the symptoms and degenerative processes indirectly due to them or to the tubercle bacillus. “It must, therefore, notlbe expected to control septic processes, fatty or almyloid degenerations, nor reach the tubercle bacillus in dead tissues or localities not ascessible to the circulation or to rlocal applications.” The results claimed for it are lessened fever, cough and expectoration, night sweats, physical signs and bacilli; improved appetite and nutri- tion, strength, breathing and sleep. All this in the early stages of the disease, when, it is said, several patients have been‘ cured. Advanced cases havebeen “improved.” It is admitted that it is useful only in the early stage of tuberculosis, and has no efiect on‘complications or on the ba- cilli outside the reach of the circulation. That it excites aching, malaise, fever and congestion of tubercular areas, “If used in too large doses, by causing too rapid destruction of bacalli and absorption of their products.” It is unneces- sary to give you my estimate of this promising (?) remedy. I have no doubt it will accomplish fully as much good as the original Koch’s lymph-— possibly less harm. I cannot take time to do more than refer briefly to the notorious “Hammond Animal Extracts.” They are called Cerebrine, Medulline, Gardine, Testine, Ovarine and Thyroidine, according to the anatomical parts from which the poison is derived. Here is the formula for the prepara- tion of Gardine, the others are similar: 1,000 gm. finely minced fresh heart of ox—washed in a saturated solution of boracic acid—is submit- ted to action of menstruum consisting of 1,200 gms“. of glycerine, 1,000 gm: saturated sol. boric ac. at 60 degrees F., and 800 gm. alcohol. The mixture is, made in aporcelain or glass jar with Q.’- ~-._ GRACE HOSPITAL GAZETTE.’ 0 ~ appearing for a time. .r 3 tight cover. Every day for one year the mix- ture is stirred and the heart substance subejcted to strong pressure with a boxwood masher. At the end of a year the supernatant liquid is poured ' into a porous stone filter and allowed to perco- late through. The remaining heart substance is squeezed in a metallic press, and the resultant juice also poured into the filter. Five drops is the dose. Results claimed are, pulse is fuller, stronger, more frequent; urine increased from 10 to 18z; red blood corpuscles increased. Cures all sorts of heart disease, and, taken with cerebrine, prac- tically annihilates effects of old age. The au- thor insists that cardine is the peculiar constit- uent of the heart, and, injected into the blood, goes directly to feed the heart. In the same way cerebrine goes to the brain and cures all brain and nervous diseases—testure (juice of ram’s testicle) to the sexual organs and cures impo- tence and sexual disorders of all sorts. Efiects of cerebrine are quick, full pulse, flushed face, headache, exhilaration, increased urine, greater strength and endurance, increased appetite and digestion, and clear vision, presbyopia even dis- Ye gods! Who wouldn’t be “exhilarated” and see double after five or ten drops of this essence of the stinkpot, 365 days old, had been poked into his blood and sent whirling through his anatomy to seek out its aflinity, es- pecially if the “affinity” happened to be one of the kind Artemus \Vard struck in the Free Lover’s settlement in Ohio. But levity is out of place in such aged company as this—-it is scientific medicine of the “Regular” school, and none of your homoeopathic sugar pills or diluted water. )We must not forget, either, that this product of the dead-house goes into the blood. Hammond tells us that he put twenty drops of rattlesnake poison on a dog’s tongue withou’t efiect—enough, he says, to kill fifty men, if put into the blood. We cannot stop to speak of the various antipyr- etics, so-called. Their name is becoming legion, and undoubtedly great harm has resulted from their indiscriminate use. That they do reduce temperature, there is no question, but the man- ner in which they do it is open to very grave ob- jections. Fever is no longer, as in olden times, considered a disease—it is merely a symptom; an expression of the eifort made by the organism to rid itself of disease. Lowering of vitality and depression of the nervous system and the heart can hardly aid a patient, ultimately, in resisting the onslaught of disease. These substances, too, are seeing their palmiest days, to say the least. The British Medical Journal of December 22, 1894, contains an editorial in which the many drawbacks of acetanilide- and phenacetine - are discussed with the usual charming frankness of our old-school friends. The risks they take and the questionable results obtained from the ad- 4 ' GRAQE HOSPITAL GAZETTE. QT ministration of this class of drugs inclines the intelligent and practical homoeopath to stick the more closely to the safe, quick and sure reme- dies of his own well-tried pharmaco-poeia. If our old‘ischool friends knew the safety and _re- liability of our drugs, administered accordlng to the law of similars, in cases in which they use antipyretics, We would soon hear the last of anti- pyrine, etc. The thing of greatest interest, however, is the new doctrine of serumtherapy, as it is called. If we accept the bacteric theory of disease, we can scarcely avoid entertainipg the belief that the so-called antitoxines have come to stay. But we all ask ourselves the question at once, are we sure that germs are the cause of all disease. . In the light of the most advanced bacteriological investigations, it seems to be substantiated that certain germs are associated with certaln dis- eases. Whether the germs themselves are poisonous directly, or whether it is the toxic alkaloids which they produce that poisons the organism and excites disease is yet a mooted question. The antitoxine of diphtheria has far outstripped the fame of Koch’s lymph. The lat- ter seems merely to have paved the way for the welcome which the public mind has given th1s last candidate for therapeutic fame. We have it on what appears to be trustworthy authority that in hospitals where the mortality has never been lower than 50 per cent from (true) diph- theria, it hasheendeereased to 20 per cent under the use of antitoxine. In all the European countries the wonderful claims for it seem to have been generally ac- cepted. Paris furnished a large quota of the statistics, and several hundreds of cases were re- “ ported in a hospital there with a mortality of about 15 per cent. In our own country the New York Board of Health have gone into its inves- tigations and production. Philadelphia, WVash- ing-ton, St. Louis, and even Detroit have manu- factories of it. So it appears to be well rooted here, and we will all have better opportunities for personal observation as time goes on. Re- port comes, however, from Montreal, where a trial of the treatment has been made under gov- ernment auspices, that it is a failure, and has been abandoned for the older methods. \Vhether this is the forerunner of similar reports is hard to say, but it may be. There are so many chances for mistake that we are obliged to ac- cept statistics cum grano salis. Every case in which the Klebs-Laeffler bacillus is found is called diphtheria, while it is well known that a “benign bacillus” of this class is frequently found. The most recent authorities also claim that a form of diphtheria exists having the same clinical features as true diphtheria, but due to an entirely different gern1—-this is called “pseu- do-diphtheria.” Formerly patients were not sent to the public hospitals until a positiveldiag- nosis could be made—now they are sent as soon as it is suspected. The result is that a large _ per cent of cases are not diphtheria at all, but are some other inflammatory affections of the throat. These and many other “doubtful con- siderations admonish us to not rely too mhch '“ upon recent statisticsl Indeed, they are dis- puted nowhere so much as “at home”——~in'P_aris and Berlin. As nearly as can be learned, how- ever, tlie statistics claimed are not more favor- able than under the ordinary homoeopathic treatment. The doctrine of immunity is a very old one, and yet practically nothing is known of how it is brought about. That persons are not liable to have certain infectious diseases a second time is well known. The immunity granted in this way is lifelong, while that granted artificially as by vaccination, for instance, “runs out” after a time.- Diphtheria is gm of the infectious dis? eases that does not confer immunity. Injec~ tions of diphtheria antitoxine, it is said, make the subject immense for atime, but it soon disap- exist because of antitoxine in the blood. Per- sons, we know, are born immune from various infectious diseases, and will not contract the disorder‘; however much or frequently they may be exposed to it. these persons have a large amount of antitoxine It is not to be supposed that . in their blood—at any rate the blood of such ‘ persons injected into other persons gives no im-. munity. It is more likely that these persons naturally immune develop» resistance rapidly in the presence of the disease poison. The ques- tion arises, too, what does the serum contain? The horse is injected with culture toxin (?), which contains the products of Klebs-Loeliler’s bacillas (the bacteria are filtered out). This is a poison no doubt, but is it the poison of diphtheria? Moreover, does it produce true diphtheria in the horse? It causes a mild septicannia, but that this is genuine diphtheria is not so certain. The animal gradually recovers from the reaction, and is supposed to develop an antitoxine in his blood meantime. He is bled, the blood allowed to coagulate and the serum siphoned out. This serum injected into the blood of a patient hav- ing diphtheria is said to antidote the diphther- itic poison and cure the patient. Statistics “ap- pear to prove that it does cure in many instan- ces. What is in this serum? What is it that cures, and how is it done? Some say it is isopathy. This does not seem likely, because this is not the diphtheritic poison, and will not produce diphtheria in the human subject. It is not the application of a disease poison for the cure of disease. It is certainly as near to it as homoeopathy is, which our allo- pathic friends assert is “the hair of a dog for, the cure of his bite.” As nearly as can be determ- ined, injections of Koch’s lymph was real iso- ‘\ i g . “easel-diphtheria. It . ' poison? ,, » GRACE HOSPITAL GAZETTE’ 5 ' pathy, but this antitoxine treatment is not. It is a; similar to thefdisease poison “to ‘cure the dis- is homoeopathic. The homoeopathic remedytthe drug which produces effects similar to those produced by the disease poison, also cures the patient, as we all have experienced and are willing to testify. The ac- cepted theory is that the homoeopathic drug stimulates the vital power of resistance, the vis medicatrix naturae, so that the disease is over‘ come. How does it do .this? Does it stimulate the vital processes to produce the so-called anti- ,toxine——a substance which antidotes the disease Perhaps so; we cannot tell, but the fact remains that it cures. What the serum termed diphtheria antitoxine really is or contains we do not know. What- ever it is, it probably acts to stimulate the vital processes in the organism to rapid and intense resistance to the disease poison, just as does the - drug which is the simillimum to the disease ef- fects. This, I think is ‘a fair presumption. I know an objector will say that large amounts of serum are injected, while the homoeopathic drug is.given.in small quantity. He must first be sure that the serum contains an actual anti- dote that depends on the amount of serum, etc., before he refutes the theory of homoeopathicity. Some‘ drugs also must be given in large amounts. At any rate,‘ “regulars” are come to be as “irregu- lar” as any whom they have so long excluded from fraternal recognition. In fact, they seem likely to “go'us one better,” for it is logical to conclude that if the serum of diphtheria will cure the disease, the “serum” of other disease poisons must cure their respective diseases. Indeed, they are following out these very deductions and trying to cure smallpox and other infections dis- eases in the same way. They are thus bound to become advocates of an “exclusive dogma,” that ‘horrible bugbear that has consigned us to social and professional ostracism during the past cen- tury. It is possible that these gentlemen, in worshipping an unknown God, are really wor- shipping homoeopathy. “This that ye ignor- antly worship we preach unto you.” It is'just possible that the worthy president of the Ameri- can Medical Association and ‘others of his ilk will yet come to see in this serum-therapy the same red flag that has caused him to thole and paw the earth with rage for, 10! these many ‘ years. Indeed, it is barely possible that the whole bacteriological craze, which it is not safe to speak of nowadays without uncovering, may one day rank among the extinct theories of earth. If ‘not, that- it will be of use only in the science of vrevention. Similia similibus curanteur will still remain“, as now, the only law of cure, and homoeopathy the only system of medicine. BIOLOGICAL INVESTIGATION ON THE Toxic EFFECTS or INFINITES- IMAL QUANTITIES or ME- TALIS ,sALTs. Within a very few years most interesting re- searches have been conducted upon the effects of water containing infinitesimal amounts of toxic salts upon the growth of some‘of the lower vegetable organisms. Loew and Rokorny’s researches upon the re- action of living protoplasm in the presence of nitrate of silver were the starting points of these studies. Ralhllin succeeded in showing that ni- trate of silver in the proportion of one part in 1,600,000 parts of water would inhibit the growth of Aspergillus Niger, and still further, discov- ered that this organism would not live in water placed within a silver vessel although no silver can be detected in the fluid with the most sen- sitive reagents. Carl V on Naegeli, the late dis- tinguished botanist, was led to pursue these clues still further, and, after his death, a paper was found among his efiects which reveals the most astoinshing facts. These are analyzed at length in a paper by de V arigny in the Revue Scien- tifique. N aegeli’s pupils have gone over these experi- ments again and ascertained their accuracy. They have been published at length by Schwen- dener at Zurich. Naegeli’s first studies revealed the fact that in the presence of the most diluted solutions of nitrate of silver, the filaments of Spirogyra could not live. But he soon found that there appeared to be two modes of death. YVith com- paratively strong solutions of the salt, the cel- lular contents disappears from the membrane, the bands of chlorophyl changed color, but not position, and the cell lost its turgescence. With infinitely diluted solutions the chlorophyl spirals separate from the plasma, which remain in place, they become shorter, agglomerate, and the cells maintain their turgescence. N aegeli decided that in the first instance death was due to a chemical action, while in the second it oc- curred through the action of some hitherto un- known force, which he termed oligodynamia. His results are well described as stupefying. He found that death occurred in three or four minutes in a solution of 1-1,000,000,000,000,000. This could could contain but a trillionth of a molecule in a litre. He endeavored to find what other factors could bring about such an unex- pected result. Gases, the nitrous acid which is sometimes found in an appreciable amount in the water of Munich, were all incriminated, and other waters were employed, but the results still remained. He then endeavored to discover what substances could render water toxic, and which ones could impair or remove this toxic or olico- dynamic conditio n. h (Continued in west issue) ~. GRACE HOSPITAL GAZETTE. r A e I r“ Report from C. H. Field, M. D., Rock Springs, Wyoii “Some time ago you were good enough to send me a large bottle of Stearns’ Wine of Cod Liver Oil with Peptonate of Iron, asking me to use it, if occasion required. On the 20th of May last I was called to see a baby aged three weeks. It was nothing but skin and- bone, and appeared to be in the last stage of atrophy. Its mouth covered everywhere with apthae; sleepless; crying faintly; passing (only after injections) hard round greenish scybalae and with tympan- itic belly, and the mother was still flowing freely, and en- tirely out of health, with cracked nipples and constipation. My general rule for many years has been to treat the mother and leave the child alone; but in this case some- thing had to be done for the baby at once. I looked after the mother, and gave the child 5 drops of the ‘Vine of Cod Liver Oil four times daily in teaspoonful of water. Im- provement soon took place; the thrush clearing very soon under a wash 0 flisterine and soda, and today the baby is perfectly well and as fat as a little pig. Pam very much pleased with the action of your preparation and shall con- tinue to prescribe it.” You CAN FIND THE LARGEST STOCK OF SURGICAL INSTRUMENT '" A. lluhlman r‘? (ll _ S, Etc. 7"" ‘\ efolmity Apparatus of every de scription made to order; also Trusses, Elastic Stockings and Supporters. Satisfaction Guaranteed. GET OUR PRICES AND SEE OUR ASSORTMENT. ,4’ . .d H ¢_-_h_____ lllllllli [I l/i MQJBLMAN. Kuhlman‘s La_rer a1 _pin.rl Brace. 203 Jefi’erson Avenue DETROIT, MICH. We can save you from 25 to 50 per cent. on Instruments, as we manufacture many of our instiuments. d‘- A. KUHLllllllN & $0.. OUGHT TO BE ENCOURAGED. Some time ago the ART MANUFACTURING 00. of ‘Z7 Grand River Avenue, this City, advertised to make a limited number of PICTURE FRAMES to order (any size) for 18 cents each. The Gazette called on them recently and learned that they had already made up about 9,000 feet of Moulding or about 1400 frames of Enamel, Oak, etc , going to all parts of the city. Comprising Etching, Water (302 r, Photo, Certificate and Diploma Frames. - So many requests have been made for these Frames that the manager has consneted to renew it for this month (May) only. Have Your Picture Framed now for 18 Cents. Hammond, Standish 8: Co. PACKERS, JOBBERS OF P R G M I SI 0 N 5 AND REFINERS or LARD. DETROIT, MIOH. RETAIL DEPARTMENTS: 20-22-24 Cadillac Square and 20th Street and M. C. R. R, GENERAL OFFICES: 1016, 1017, 1018, 1019 @ Hammond Building. WHOLESALE DEPARTMENTS UNION MARKET: 20th St. and M. C. B. R. ABB Am) PACKING HOUSE: W6 20th Street and M. O. R. R. Q as ANDREW FERGUSON. I y- \ ' s» 17 aW. lwnns Avenue. ~ ....flSpQ4 ' \'4’\ ‘ 71m .|_ C, BUBKLEY, PRACTICAL HURSESHUEB. . Certified Member of the National Horseshbers' Association, formed for the perfection of the Farriers' Art. SELDEN AND WOODWARD AVES. F. WITTLESBERGER 8: 00. Manufacturers of all kinds FANCY AND PLAIN BREAD. 317 Michigan Ave. DETROIT, MICH. GOODS WEAR LONGEST WHEN DONE AT Michigan Steam Laundry, TELEPHONE 1065 104 Randolph Street, Between Congress and Larned Sis. DETROIT, MICH. Work done in the best Manner. Called for and Delivered Promptly. LOUIS LANG, Prop. STEAM BAKERY. Telephone 1343. I. ALLEN GRAY, Pres. Telephone 537. WM. A. GRAY. Sec.&'Treas GRAY BROTHERS. Manufacturers and lobhers of 250 TO 258 CASS AVE., COR. ADAMS, Special Attention Given To Repairing. DETROIT, MIDI-l. s. a ' \ l ' ! l 7’ I" ‘1 y!“ I’! 'i A I ' a Q}, ‘I , I Pnvslc'nn's DIRECTORY. . Ululrlflfl A. ‘Md, Me Do, (mica/265 Michigan Ave, near Fourth St. Hours, 8 to 10 a. m., 1 to 3 p. m. and 0:30 to 8:30 p. m. Telephone 2586. Geog-ye G. germs, D., 30 Henry St. Office hours, 8 to 9 a. m., l to 3 and 6 to 8 p. m. Sundays, 1 to8 p. m‘ Tele- phone 3627. Alfred Graham, M. D., ' 80 Adams Ave. W. _ Oflice hours, 10 a. m. to 12 a. and 2 to 4 p. m. l G 0. Lang, Ill. 1)., 33 Miami Ave. Ofilce hours, 8 to 11 a. m., 6 to 222% p. m , except Sunday evenings. Telephone Albert Lodge, 12!. 1)., 44 High St., W. Ofl‘lce hours, 8 to 9:30 a. m., 1 to 3 and 6 to 8 p. iii. Telephone 50. M. V. Meddaugh, M. D. Ofliee 256 Michigan Ave. N. W. Cor. Fourth Street. ‘ Oflice hours, 4 to 5 p. m. daily. Telephone 2572._.l\‘ight or day. - Ol'm. & Lesewre, Drs., 406 Cass’ Ave. Telephone 4234. Oflice hours, Dr. Olin 9 15011 a. m., daily. ' 6:30 to 7 :30 Mon- day, Wednesday, and Friday evenings. Sun- (18.3’. 12 to 1 only. Dr. Leseure, 2 to 4 p. m., daily. 0:30 to 7 :30 Tuesday, Thursday and Saturday evenings. Sunday, 12 to 1 only. T‘. Ho Mo —. h w 39 Miami Ava, cor. JohnR. Sh, Oflicehours, until 9;30 a, m., 2t04and 7 to _§ p. m. Tele~ phone 2599. John S. Owen, M. D. Eye, Ear, Nose and Throat Specialist. Medi- cines and Spectacles furnished. 23 East Adams Ave. Ofilce hours, 1 to 4 p. m. Tele- phone 3608. AT. L. Sage, 171. D., Y‘ 680 24th St. Ofilee hours, 8 to 9 m and 51:0 7 p. m. Sundays, 2 to 4 p. 111. Telephone 1110-3 Rings. M. J- Spranger, M. D., 94 Miami‘ave, Office hours, 1 to 3 p. m. Tel- hone 1260. Residence 92 Edmund Place. elephone 4716. N. M. Spranger, 111. D., 225 Columbia St. E., Ofiice hours, 7 to 9 a. m. 6to 8p. m. 94 Miami Ave, 1 to 3 p. m. Rollin H. Stevens, M. D., 57 High St. W. Ofiice hours, 8:30 to 9:30 a. m. * 1:30 to 2:30 and 6:30 to 7:30 p. m. Sundays 12 to 1. Telephone 4078. lllaaiq Thoonpson Stevens, M. D., " 57 High St. W. Ofiice hours, 9:30 to 10:30 ' a. m., 2:30 to 4:30 p. m. Sundays, 12 to 1. I Telephone 4078. Q L,- r '4 WGRAGE HOSPITAL GAZETTE. - ALBERT F. KLEM, ooAL' 50:95” woos A Big Load of Oak, Ash an Maple, sawed and split. . . . CHAMPLAIN ST. AND BELT LINE R. R. 'PHONE 4678. Known Everywhere. 501d Everywhere. Grown Everywhere. Ask your dealer for themESg Ferry’s Seed Annual for 1gb; Invaluable to all planters and lovers. of Fine Vegetables and Beautiful Flowers. Write for it—Free. D- M. FERRY & , Detroit, Mieluoo ’ CB '1 L. B. KING 3c 60. I" PO RTERS AN D CHINA MERCHANTS. * FINE RQBLQELAlN. a» RICH CUT GLASS, DINNER, TEA AND TOILET WARE, LAMPS OF ALL KINKS. 103 Woodward Ave. DETROIT, MIOH. STAEB’S Electra-Therapeutic Institute. ‘ -PROF. and MRS. V. STAEB Electro-Therapeutic Practitioners. Electric Baths. ' Massage Treatment. Electra-Thermal Baths. Electro-Magnetic. Vapor 8: Medicated Galvamzation. Baths Farradization. Ocean Salt Baths. 14 and 16 BARCLAY PLACE. DETROIT, MIGH. (Near Public Library.) OFFICE HOURS: LADIES—8 a. m. to 6 p. m. GENTLEMEN—8 a. m to 8 p. m. TELEPHONE 207 4. FARRAND, WILLIAMS 8< CLARK, WHOLESALE DRUCCISTS. llEllIflll, MIIJII. .. Y} 2} s IQ'I'ABLIQHBD Au D- 1877. TH DETROIT -Homoeopathic Pharmacy- JOHN .1. MITCHELL, OUGOIOBOR TO HALSEY secs. 31', No.13 WILCOX AVE. ,ygL [THE “ ROYAL” SALAD nntssmn a Fine Mayonnaise. FLAVOR AND QUALITY Always Satisfac- tory. Never Separates—Never Spoils. Oau'rronz—Beware of Salad Dressing showing Separation. LEWIS H. AYERS. FRANK P. REYNOLDS. AYERS 8: REYNOLDS, DEALERS IN FIIHEIGN and IJIIMESTII} HIlIIIS. Early Vegetables, Berries. Etc. Nuts, Cranberries, Sweet Potatoes, Honey, 44-, 46 and 48 Woedbrldge Si.. West, DETROIT, MICH. TIIB KIIPP.'I‘Z-IIIELBI 4 S‘ ____..EIB_ WIIII} GUYS Pale Selcc BEER Is the Finest and Purest now placed on the Amer— ican market .--—I-- It is made from the Finest MALT AND HOPS that can be obtained in this country. THE FLAVOR AND QUALITY of this brand of beer simply CANNOT BE EXCELLED. Brewed and bottled at the Brewery FOR FAMILY AND EXPORT USE. TELEPHONE 4l0 Harold Wilson, M. D.,. _ 82 Adams Ave. W. Ofllce hours, 8 to 12 a. m., 3 to 5 p. m. Telephone 1843. Mary A. Willard, M. D., 435 Fourth Ave. Office Hours 10 a, m. to 2 p. m., Sundays excepted. Telephone 3638. 11 For a case to your address. EXTRA DUBLIN PORTER in Pints at $1.00 per doz. This it just as good as the import- ed only cheaper. ~ I - c , _ _ . ,' j _ N.’ M >1.” N If” * a" ‘ 8 . - .eEAoE HOSPITAL GAZETTE. A , a .. s; a , , . _ ¢~ x i k M g e ‘i “ N y‘: N J l‘ K‘ M” w; w“ D: f; A ‘a: :3,‘ wagilijeifi ‘rig/:0, k > '” ~ " " a he “ ’ ~ " R. Honenmnw' " ~ 1. . Fr . A runs an; r F- MI / I; v " H‘gpuwgim_ \ J Eng... ‘ 3.‘ ' J ‘hr I GI, i 9;;2: " I Err-‘Bo (w _> 8 e ‘ BOTTIJIR or‘ _ s v,‘ i M ~ MW: _ ,,~ ‘ \ - ' . f - Ofiice and Deck i’obt" otlluloois St. A POSTAL * vonrs ornrooro rxroor ~ A ~ > , \ ,l . ~ ~ ~ ' AND MADuso. request will bring our recent literature. We have intro- \ k ‘ \ duced many original and No. 1002 FOURTH AVE., valuable preparations within pgj-Rorr, N||c|.|_ ‘ ' ~ “ ‘ ‘. the past six years, including Telephone 4016-3R- R E I C .. the . . ,. . . . . . _. N \ onsonnn rnomnuo, mm" "a" a sp‘m‘am' LA KE wmr 0|: (gm) [WEB rm, NMEW HDMIEDPATHIB PHARMACY A111... haeesgeagbovaemaa (containing its active principles) - ' 06 MIAMI AVE- ‘! ' reek H (Oxyhaemoglobin) Boericke db Tafel’s Goods. w , 3T0R5H0u35§; ‘ ‘ r a‘ 1&5‘ y , v Wine m flesh Telephone 255% on iAKlii'lrST. CLAIR. uEwusAL'rIn/IQRE. , (undried) Kola. . QRl-ON LAKKARQ‘DIIE?‘ LAKE‘ _ ‘ .0 r" h u .. srnnoroo wme oonrrnr. ' j .. .r “mm Zitfiiii’fi‘ért‘ef‘v‘" -' ' " -._II|I 0rders‘orill Beoelre Pr‘ornpt Attention: a 4 b wguwgglfagfrPlzfggtrgfseged lihoirg1 Vdlineslargld Liquors for it e ‘s y e e - ' ' - r rd. . . . . . . . ' D IDIIID III'DDSDS. .: * ques 6 FAMILY TRADE A SPECIALTY; Tel‘ 3958' . DIQ’TROATN’ MAQHII f, ihihihee ' 4. -. ~ \ t i Q FREDERICK S‘TEARNS & co. FALTIS MARKET 00- . ' - ' ~ MANUFACTURING WHMESALE ' H‘ J‘ Mil-BURN &' col! .PHARI'IACISTS' POULTRY and GAME- Punvsvons TO 'euYsiomNs“ EE Detroit, Mich. 35$?1€.fialiir§d%fi3fph°“e L—BI- “31- y W ANDESURQEO‘NS» '* ‘ 301 Woodward Ave. 'osrirpn, nnrcn. ‘- W H y I“ ‘A _ ‘ ' ' Wm M x‘ “I. ‘I I FOR‘ ‘I i I I I A. STEPHENS. '6 one 36 ‘R.BROOKB._~ DEIRDIT DIII Brick I eZEream', ' T“ "“ I A Union Creamery; Co. I .- AT $01 .40 PER GALLON, & r E . ' MANUFAOTURER§ 0F - ‘ 0. ' lee Dream and Breamory Butter. ,1 WHOLESALE AND RETAIL BEST PLAIN CREAM J‘ BuuerfEgge, Pure Milk, Bottled Milk, Cream A‘ EASTER & SON" Props‘ ‘ * At the I’Jowest Price call ‘ andiljce Cream’ / . P H E 7 g BUTTER. AND EGGS OUR SPECIALTY \ u i "- t‘ ' _ _ TE L E_ _ ' 526 Grand River Avenue, Wholesale and retall J- M- N N co.’ con. LINCOLN. dealers in \ . All 0 d D l' d. ‘ ' * 204 MIOH- AVE- Give frseafsTriealwgi‘fler. MMIGI], MILK AND cREAIII ' ' ~ . ~~ ‘ ~ W T- SIMISINI oh iniigiiihihh - ' ONLY SUCCESSQR T0 JAMES A. FOSTER IN , , l MICHIGAN, IN THE MANUFACTURE OF 432 Elmwood Ave., 525 Grand River ave., / 4 ~ Telephone 2254. Telephone 4474. . _ , ~ Q36 Sixteenth 8L, 3. - . v S . Telephone 2468. / ‘ 'PHONE 1332.. PATENT unrorr ' . an —’I‘HB——— f Arron Lhh LONDON , WNW .\ cREAIrIERv BUTTER. t ’ o‘ w D We make a specialty of furnishing FRESH i. BOTTLED MILK foi' families. We can give you satisfaction; 9. trial will convinco'you. We deliver to any part‘of the city.‘ “ A A 86 Bates 8t, Does the Flfiestwork lathe City. . "I‘EL. 2034 or drop \is a postal and we will’ call. ‘ , - _ . I Detroit, Mich. * P 1 H A f: ._ d d.1_ s d . . c ' / arce s on e or’- an s Ivere .‘ Givé ' OFFICE, & . . Descriptive catalogtigxand blanks for making 115 3915.13”? w 3 . I 4' ' . » A = .. . ‘applicatioegs for grévernment orders fer Limbs Find ‘ . _ I k.» * M ‘ transporta ' n or ommutationtiere or sent ree . t ,1 , _ on application. .gg ’ , a, ,1 1216 .k v j 1 \ ago: - Q” \ a: .q a 1r x A L . E’ J. A ’ ‘ '*' >v “I x *3‘ r» ‘e I ' ’ ~\ ‘ . ~ " ‘ . e ‘ . ‘ t a a ,3‘ t \. s. :, *“a'r __ e 1" ){L ‘V ,\_*J “A ,_ We “ WHOLESALE AND Refs“. minus-Rs my‘ “ . * c - I a