At the request of the patient, on Sunday P. M., March 21st, subsequent to the attack of spasms with asphyxia, before described, he was placed in a warm bath with gratifying effect. The next day he had the bath again, but it excited some spasmodic action, and was not repeated. Besides the medication mentioned above, various applications were made externally, such as mustard plasters to the back and stomach, and fomentations of hops, lobelia, and tobacco upon different parts of the body, the good effect of which was questionable. During the tonic spasms brisk and thorough rubbing of the skin with the hands, conjoined with some oily substance for lubrication, thus preventing the skin from being partially denuded of its outer covering, seemed to be the most efficient external application. The patient, in extreme suffering from the tonic spasms, would call upon the attendants to "rub hard, rub hard;" and this thorough and long-continued friction threatened abrasion of the cuticle. Among the many domestic remedies 99 sure cures recommended by friends, "turtle's oil" was one, and this was used most of the time for the inunction. By reflex action, the nerves of the skin being soothed in this way, the spasms seemed in some degree to be allayed. 66 The patient had most excellent care and comfortable surroundings, intelligent and faithful attendants watching over him day and night; and to this, in no small degree, may be attributed the successful termination of the case. LEOMINSTER, May 17, 1880. Heports of Societies. SOCIETY when, perhaps, much use of the eyes already begins to cause pain, that it is discovered, too late, what a mistake has been made. Prevention of further increase of myopia being the only resource against certain misfortune, it becomes of the utmost importance, as a matter of public hygiene, that children, and especially girls, who already have a considerable degree of myopia should not be allowed to attend school after having completed such studies as are necessary for some vocation which will not greatly tax the eyes. They should abandon all efforts to acquire what is termed a higher education, so far as this involves close application of the eyes, because, in attempting this, myopes not only imperil their sight and their future well-being, for the sake of obtaining knowledge which they cannot afterwards make available, but they also create for their children a hereditary tendency to the same disease. DR. H. P. BOWDITCH remarked that Dr. Derby's paper opened a field for an instructor in hygiene in the schools, and it was a matter of reproach among the physicians who were on the school board that some movement had not already been made in this direction; he thought that the schools would be greatly benefited by such an instructor. DR. WADSWORTH agreed with the previous speakers as to the importance of the subject. Not only among the poorer classes was progressive short sight too little heeded; it was by no means an uncommon occurrence for parents of means and education to bring their chil dren to the oculist only when the myopia had already reached a very considerable degree. He said that there was one direction in which it was at present in the power of the school committee of Boston to make a change which could not fail to be of advantage. He referred to the subject of maps. In the geographies now used in the schools many unnecessary names of towns, rivers, etc., are set down on the maps; then the line of the coast is shaded" by a series of MAY 24, 1880. DR. JAMES C. WHITE, permanent parallel lines, to make the maps look pret ier. The chairman, presided. PROCEEDINGS OF THE BOSTON FOR MEDICAL IMPROVEMENT. T. M. ROTCH, M. D., SECRETARY. PREVENTION OF NEAR-SIGHT IN THE YOUNG. DR. H. DERBY read a paper on near-sight, which will be found on page 533. DR. WILLIAMS thought it important that attention should again and again be called to this subject; because the community is so slow to believe in the serious dangers which are now known to attend the excessive use of myopic eyes in study. The ophthalmoscope reveals great and progressive changes, previously unsuspected, in the most important structures of the eye, which are solely caused by continuous accommodation of the sight for small objects, and which, unless arrested, tend to deterioration and even loss of vision. Unfortunately, children who have become near-sighted generally find their chief pleasure in books, and are disinclined to the sports of other children, because they do not see objects around them so well as their fellows. The parents and teachers of such children, pleased with their precocious diligence, are but too ready to encourage excessive application to study and efforts to gain a high rank at school; especially, as for the time no complaint is made of the eyes. It is only when the myopia has reached a degree which will in the future render them incompetent for many pursuits, and especially for those requiring constant use of the eyes, to which they had hoped to devote themselves, and result of all this is that the names of places must be printed in quite small type, must often be printed across or among the lines shading the coast, and, in consequence, a great strain of the eyes of the children is necessitated in the effort to find the places sought. The search for a single name on one of these maps is often an exceedingly trying task for a child's eyes. This was not simply a matter of theory, but he spoke from repeated personal observation in his own family. If the committee would demand simpler maps, with fewer names of places and no shading of coast lines, both time and effort would be saved to the children, and one of the evil influences of school life causing near-sight would be removed. As for the matter of expense, such maps as suggested would cost less rather than more than those now in use. PSEUDO-MUSCULAR HYPERTROPHY. DR. J. J. PUTNAM showed a typical case of pseudomuscular hypertrophy in a boy of ten years, the disease being of several years' duration. Not only were the muscles of the legs and thighs, back, scapula, and upper arm involved, but the tongue was unusually broad and thick, and the lines of the face were thickened and dense. No cause could be discovered either in his own or his parents' antecedents. In speaking of the pathology, Dr. Putnam said that he thought this affection was probably related to the so-called "hereditary form" of the progressive muscular atrophy, and much less closely, if at all, related to the usual adult form of that disease. CEREBRAL HÆMORRHAGE AND FIBROUS TUMORS OF UTERUS. DR. SHATTUCK reported the case. M. S., sixty years of age; profuse uterine hæmorrhages at the age of fortytwo; for ten or twelve years continued to menstruate. She consulted an eminent gynæcologist twelve years ago, who examined her, and said, "My good woman, I can do nothing for you, and before many weeks pass the undertaker's cart will stand before your door." She never gave up work but for a day or two at a time. During the last six weeks no uterine hæmorrhage. Four years ago profuse epistaxis. In October mental aberration for two weeks; January 8, she was better and stronger than for years. She felt very well on Monday, May 17th, doing her washing easily. At four o'clock in the afternoon numbness of left arm; at six P. M. numbness and loss of power in left leg. On Tuesday pain in head and limbs, but no affection of speech or intellect. On Wednesday coma, from which she could be roused for a short time. Her death was easy and quiet, ou Friday evening, four days after the attack; there was a loss of consciousness during the last two days. DR. CUTLER exhibited the specimens. There was extreme atheromatous degeneration of the arteries at the base of the brain, the change extending to the minute subdivisions of the vessels in many instances. A careful search did not reveal the presence of an embolus. The convolutions were flattened, more especially over the right convexity, though the left was also affected, but to a less degree. Atrophy was noticed on the left hemisphere in a small area near the longitudinal fissure, directly behind the fissure of Rolaudo. On section it was found that hemorrhage had occurred into the substance of the right hemisphere at a point vertically under the angle of junction of the fissures of Rolando and Sylvius. A clot the size of a small hen's The great centres were appar egg was turned out. ently healthy. Examination of the chest with Dr. F. C. Shattuck, April 7th, revealed flatness over the right lung except at the summit. The apex beat was found one quarter of an inch outside of the line of the nipple. There was immobility of the right side of the chest and absence of vocal fremitus. We agreed that surgical measures ought not longer to be deferred. April 8th, Dr. Warren (Dr. Shattuck and Mr. Bullard being present) aspirated in the sixth intercostal diately made a free incision, one inch long, through space in the line of the axilla, and, finding pus, immewhich came, with a gush, over twelve ounces of thick, odorless pus. A rubber drainage-tube was inserted and attached to the sides of the wound, and a long ligature sewed to the tube was allowed to fall outside. Dr. Warren did not think it advisable to syringe the chest. The operation was performed under carbolic spray, and the full antiseptic dressing applied and bound in place by several long bandages. Very little ether was given, as the child did not take it well. Twenty-two hours after the operation the dressings were changed. During this time additional bandages She began to rest upon the healthy side. The temperature were twice applied, on account of serous oozing. had fallen to 98.2° F., pulse to 114, and respiration to 35. assistance of Mr. Bullard. The discharge was found The change was made under carbolic spray, with to consist of odorless, bloody serum, entirely free from pus. During the following twenty-four hours there. require a change of dressing. Four days later the was less serous discharge, but there was sufficient to third change of dressing was made; there had been but slight discharge from the wound, and there was no flow through the tube on removal of the dressing. A few drops of thin pus were noticed on the protective. At this time she was troubled with a severe cough, which proved very obstinate, and distressed her eight days, resisting all treatment. Examination of the chest and that both sides were alike involved. The pulse showed that the cough was due to bronchial affection during this time was about 140; the temperature fluctbetween 60 and 70. uating between 99° F. and 103° F., and respiration The uterus contained a large number of small inter-made at intervals of three and seven days, Mr. Jaques The fourth and fifth changes in the dressings were stitial and submucous fibrous tumors, which had under gone a greater or less degeneration. One polypoid tumor completely plugged the os internum. Some of the largest tumors contained deposits of lime salts. EMPYEMA: ANTISEPTIC OPERATION. DR. J. B. AYER read a case of empyema occurring in his practice. that the drainage-tube had been drawn within the kindly assisting. At the fifth dressing it was found pleural cavity, and that the opening in the chest had partly closed. With difficulty the tube could be brought within reach of the dressing forceps by pulling tense the silk guide. One teaspoonful of odorless pus followed the withdrawal of the tube. The tube was shortened and reintroduced. At this time the cough had disappeared, and the child was making rapid im The patient, a girl, three and a half years old, previously healthy, was attacked with acute bronchitis early last February. Before recovering from the at-provement. tack, which was of ordinary severity, an effusion insidiously formed in the right side of the chest, and four weeks after the commencement of bronchitis the right pleural cavity was found to be distended with fluid." During the following thirty-five days I endeavored to remove the effusion by the energetic use of hot poultices, iodine ointments, diuretics, and laxatives, at the same time keeping up the patient's strength by tonics, stimulants, and nourishing food. In the first ten days of this treatment the fluid was gradually undergoing absorption, but after that time no further improvement was noticed, and later the amount in creased. Ten days later the dressing was changed for the sixth time. She had been fretting a little about the arm, which was still confined to the side by bandaging. The cause of discomfort proved to be an abscess in the axilla, which broke during this dressing, and discharged freely. Three days later the dressing became disarranged from poulticing the abscess and from walking about (it was warm weather, and I had allowed her to go outof-doors), and required changing. I found that the drainage-tube contained a plug of fibrin, showing that it must, for a brief period, have come in contact with the air. I removed the drainage-tube at this time, and dressed the wound as before. I think it would have been safe to have removed the drainage-tube several days earlier, as there was only a few drops of discharge from the wound daily. Eight days later, when the dressing was removed, it was found that the wound had healed. This was the thirty-eighth day after the operation, and seventy-third day after the discovery of the presence of the effusion. The lungs now show no sign of disease. Normal respiration is heard throughout, and the slight dullness which has been heard at the right base is rapidly disappearing. There is no difference in measurement between the two sides of the chest. The child is rapidly gaining strength. It is worthy of especial mention that not more than two drachms of pus came from the wound after the op eration. ECZEMA. House, which is first-class in its appointments, and is owned by the Keystone Hotel Company. It is twelve hundred feet above the sea level, and, although warm enough during the day, is cool and comfortable at night. Hay fever is said to be unknown. Among the excursions is one to Cresson Springs, fifteen miles from Altoona, which is a popular place of summer resort, twenty-two hundred feet above the sea, beautifully situated, near the Pennsylvania Railroad. Between Altoona and Cresson are the famous horseshoe curve and the Gallitzen tunnel (seven eighths of a mile in length). Another trip is by the Bell's Gap Railroad, an offshoot from the main line, about eight miles below Altoona. This little road is narrow gauge, and as the diminutive train meanders along the mountain side, and creeps over astonishing trestle-bridges (like a cat walking an exceedingly high fence), the panorama of mountain scenery is wonderfully grand and impressive. The grade of this DR. BETHUNE read a paper on Eczema and its Re-road is on an average one hundred and fifty feet to lations, which will be published. INTESTINAL OBSTRUCTION. the mile, the maximum being one hundred and ninetyfour feet; its length is a little over seven miles, and its termination is eleven hundred and sixty feet higher DR. FIFIELD reported two cases of intestinal obstruc-mountain is in a car in front of the locomotive; on the than its beginning. The favorite seat in ascending the tion, one of which, after existing for twenty-four hours, way back the same individual generally chooses the was relieved by full doses of belladonna and Epsom rear car; and it has been noticed that one experience salts, given alternately every two hours. of this excursion, like that of passing under the fall at struction had existed for two weeks, and where the di- Niagara, is generally sufficient. Both of these trips were taken by the delegates, with great satisfaction agnosis of lead poisoning was made by the attending and enjoyment. A reception by the Blair County House, completed the entertainments. Medical Society, with a social supper at the Logan The second case was a woman, in whom the ob physician. The coils of intestine were plainly seen contracting beneath the abdominal wall, and Dr. Fifield, having been called in consultation, at once made the diagno- the State Society. The meeting began May 19,1880, This meeting was the thirty-first annual session of sis of intestinal obstruction. Belladonna and Epsom and continued three days. The usual reports were resalts were also given in this case, but without effect.ceived deprecating the low standard of qualifications Dr. Fifield then operated, making the incision according to Nélaton. The patient died. - DR. MINOT said that he could see why the belladonna was given in the second case, but that he did not understand why the Epsom salts were given, as the intestines were already contracting excessively. DR. FIFIELD said that he had given the salts as a last resort. DR. HODGES asked Dr. Minot why he thought that the belladonna should be given. DR. MINOT answered merely as a hypnotic, just as he would have given opium, and that considerable relief can be obtained by aspiration in these cases. - DR. WARREN remarked that Dr. J. Hutchinson had written a paper on this subject some years ago, advising manipulation after complete etherization. He also mentioned the case of a new-born infant, which he had seen in consultation with Dr. J. B. Ayer, where complete relief was obtained after etherization. THE PENNSYLVANIA STATE MEDICAL SO CIETY. THE session of this year was held at Altoona, on the eastern slope of the Allegheny Mountains, at the head of the Logan Valley, on the main line of the Pennsylvania Railroad, about nine hours' ride from Philadelphia. It is at this place also that the railroad company has its most important construction and machine shops. Altoona boasts a large hotel, the Logan and the easy terms upon which diplomas are obtainable, and the example of the Harvard Medical School was pointed out as worthy of imitation by other colin bogus diplomas was severely condemned, and a comleges. In the report on Medical Legislation, the traffic mittee appointed to confer with the representatives of the regular schools upon the best method of relieving the existence of sects in medicine, such as hydropathic, this community of a standing disgrace. Speaking of that twenty chartered institutions devoted to these eclectic, homœopathic, vitopathic, etc., it was declared pathies are in operation in the United States, and most of them are openly engaged in the diploma traffic. MEDICAL EDUCATION. Dr. Andrew Nebinger, in the president's address, but little real progress for thirty years. said that education in most medical colleges had made He earnestly advocated greater uniformity in the qualifications for the degree, the establishment of an efficient preliminary examination, and the extension of the collegiate course to four years. HYGIENE. The committee on hygiene in its report considered particularly the short-comings of the plumber and building contractor, and called for legislative action in order to establish the office of inspector of plumbing and drainage in every town and city provided with a system of sewerage, in order that all house connections, etc., could be regularly examined. A committee was appointed to memorialize the legislature upon this subject, consisting of Drs. Lee, Dale, and Woodbury. The number of papers that were offered to be read and the inevitable appearance of some whose quality was inversely as their length again demonstrated the need of the appointment of an examining committee, to whom all papers should be sent in advance of the meeting, so that those of inferior merit should not oc-cated. cupy the time of the session to the exclusion of better ones. We have room here only for a mention of the principal ones. THE TREATMENT OF ASTHMA. Dr. William Pepper, of Philadelphia, read a communication entitled Some Practical Remarks on the Treatment of Asthma. Asthma he considered as including not only the attacks, but also the peculiar tendency to the paroxysms which exists in the interval between them; in the same manner as epilepsy is constituted not simply by convulsions, but by the nerve lesion or disorder that leads to their recurrence. He believed that the essential factor in asthma is "a condition of morbid susceptibility or of actual disease of the nervous filaments supplying the ramifications of the bronchial tubes, and, perhaps, of the thoracic ganglia of the sympathetic." The principal or most common factor associated with asthmatic attacks is bronchial congestion; but the paroxysms may be induced simply by reflex irritation, from indigestible food, for instance, those showing a resemblance in pathology to spasmodic croup. In the treatment the removal of the underlying morbid condition and the palliating of the actual attacks both demand consideration. Two classes of asthmatics had been noticed particularly, the plethoric and the anæmic. The first are characterized generally by sedentary habits and the use of alcohol; and more or less swelling of the liver, sluggish digestion, and highcolored urine with excess of urates, coexist. The chest walls are apt to be heavily coated with fat, the heart's action is labored, and the skin is very susceptible to sudden changes of temperature, or to draughts and damp. Now if in such subjects a tendency becomes established to bronchial congestion, repeated attacks of asthma will readily occur. Bronchial catarrh gradually becomes a more prominent feature, a varying amount of vesicular emphysema is established, and trifling causes will now invite the attacks. Some of the worst cases belong to this group. The second class are poorly nourished and decidedly anæmic. Asthma is readily instituted in such patients, and indeed the tendency to spasmodic nervous affections not rarely precedes any local bronchial trouble, although bronchial catarrhs are also of frequent occurrence. these cases phthisis may ensue, but more frequently emphysema (atrophic or hypertrophic) occurs, the heart fails seriously, and the case assumes grave features. Among the principal indications for treatment are: (1) restoration of tone to the skin and the muscles; (2) relief of congestion of the liver and of gastric catarrh; (3) improvement of the power of the heart and of the peripheral circulation; (4) removal of morbid conditions of bronchial mucous membrane, and of the morbid irritability of the nerves supplying the pulmonary tissues; and (5) repairing the vesicular emphysema that has resulted from the asthmatic attacks and the persistent bronchitis. In Gymnastic exercises, baths, frictions, inunctions, and the careful hygienic management of the case are in sisted upon as essential to the successful treatment. Changes of climate, especially from a damp to a dry, bracing atmosphere, is recommended as a remedy of primary importance. Where abdominal plethora is marked, the use of mild salines, such as Carlsbad or Bedford water, with an occasional blue pill, is needed. Mineral acids, with quinia and strychnia, are often indiIn anæmic cases a pill of strychnia, digitalis, arsenic, and iron has been used with advantage, after due attention had been paid to the digestion. Where the heart is embarrassed by local congestions, dry cups to the chest twice a week afford great relief. Associated bronchitis (subacute) requires alkalies, iodide of potassium, and perhaps corrosive sublimate in small doses. In cases of copious muco-purulent secretion the use of copaiba and eriodyction are especially valuable. Spasm of bronchial tubes calls for the bromides in small doses, or a hypodermic of morphine and atropia, but the continued use of sedatives is injudicious. The nitrite of amyl is sometimes palliative. Inhalations of carbolic acid and iodine are beneficial, and Waldenburg's apparatus affords the best means of pulmonary gymnastics, especially to be recommended where the vital capacity is below the average. Where the paroxysm is reflex, a mild emetic is sometimes useful; but due attention to the stomach and the secretions is imperative. Asthma cigarettes, consisting mainly of powerful sedatives and nitrate of potassium, frequently yield relief during an attack, but the writer had obtained excellent results from the following combina tion given internally : R Ammonii bromidi Spts. ætheris comp. 3 ij.-Dij. 3 iss. f3iij. 3i. q. s. ad 3iv. M. during the severity of the attack. S. A dessert-spoonful in water, repeated every hour or two Dr. J. Solis Cohen exhibited his method of hyperdistention of the air cells by means of an ordinary perfume atomizer bulb. In cases of catarrhal character, where the bronchioles are clogged and there is more or less collapse of air cells, a full inspiration, followed by auto-inflation by this hand-ball through a rubber tube held in the mouth (the patient at the same time holding his nose), is generally followed by forcible expiration and free discharge of bronchial secretions, giving great relief to the patient. Dr. William Goodell read a paper on the Treatment of Uterine Fibroids by Enucleation. BROMIDE OF ETHYL. Dr. John B. Roberts presented a communication upon the use of the bromide of ethyl in practical surgery. Dr. Lewis also held Dr. Lewis also held a clinic, at which eleven patients were ethylized with the best results. Dr. Benjamin Lee read a paper on the alkaloids of cinchona, in which he recommended a mixture of the cheaper alkaloids with fifteen per cent. of quinia, in a preparation known as quin-quina. Dr. S. M. Ross, of Altoona, exhibited a case of double amputation at the knee-joints after railroad crush; the remarkable feature in the case consisting in the fact that the operation had been performed with only the instruments contained in a small pocket case. The oil of ergot and oleic iodoform (oleic acid i., iodoform gr. xxiv.) were recommended as applicatious in skin diseases by Dr. John V. Shoemaker Professor Pancoast spoke of the formation of a new joint after excision; and also of the importance of moderate, not extreme, extension and rest in the treatment of joint disease. He also advocated puncture of the capsule when it is distended in the stage of effusion. Dr. Hewson reported cases of synovitis of the knee and of ovarian tumor cured by clay dressing. Dr. Coover, of Harrisburg, showed the silicate-ofsoda apparatus for spinal deformity, which is lighter and more durable than plasters. The leather jacket was recommended by Dr. Charles T. Hunter during convalescence and for beginning lateral curvature. Reports on progress in obstetrics, by Dr. J. T. Carpenter, of Schuylkill County; in surgery, by Dr. John H. Packard, of Philadelphia; in mental disorders, by Isaac N. Kerlin, of Media; in medicine, by Dr. Thomas Shaw, of Allegheny; and in hygiene, by Dr. Benjamin Lee, were also on the programme. uterine fibroid tumor the size of a hen's egg was discovered. This had acted as a valve, preventing a free discharge of the lochia, and was the controlling factor in producing the septicemia. It was removed, with the use of speculum, by twisting, the pedicle being two fingers in breadth. Four days afterwards a severe hæmorrhage ensued. Patient recovered. Recent Literature. On the History and Statistics of Partial and Complete Resections of the Scapula. By GEORG F. B. ADELMANN. Professor of Surgery at Dorpat.1 In an exhaustive critical and historical analysis of 195 cases of partial excision and of 66 complete extirpations of the scapula, Professor Adelmann groups these operations according to the date, and the ages, sex, and nationalities of the patients, and the causes, whether traumatic or pathological. Of the 195 partial excisions of the scapula, 153 were for injuries, 41 for PROCEEDINGS OF THE CONNECTICUT RIVER diseases, and 1 for unknown cause, with a mortality of VALLEY MEDICAL ASSOCIATION. THE annual meeting was held at Towns' Hotel, Bellows Falls, Vt., May 5, 1880. Thirty members were present; DR. A. P. RICHARDSON, president, in the chair. DR. PORTER read a paper on Diseases of the Respiratory Organs. The treatment of thirty or forty years ago, with venesection, antimony, and mercury, was compared with that of the present time, by quinine, stimulants, and wet applications. It was shown that the mortality is much less now than under the old treatment. In the discussion which followed, DR. WEBSTER remarked that he had met with a case of pneumonia where the temperature was 1083° F., the patient living only three or four days afterwards. DR. GRAY had seen a case of typhoid fever with a temperature of 1074° F., recovery following. The patient took sixty grains of quinine at one dose. FOREIGN BODY IN THE LUNGS. DR. SPOFFORD reported the case of a young man who drew a head of herd's grass into his lungs August 3d. Not much trouble ensued until August 21st, when he had a chill, with pain and dullness over the lower part of right lung. September 14th, abscess of lung broke and discharged, producing considerable strangling. Bits of the herd's-grass head appeared in the sputa. November 25th, he had an attack of hæmoptysis; December 3d, another; and March 5th he raised a head of herd's-grass two and one fourth inches long, which was shown the members. A good recovery fol 26.3 per cent. for the determined cases of resection for injury, and of 19.5 per cent. for the resections for disease. Of the 66 complete excisions of the scapula, 22 were for injury, 43 for disease, and 1 for unknown lesion, with a mortality of 27.2 per cent. for the traumatic and 19 per cent. for the pathological cases. Of the 261 excisions of the scapula 66 total and 195 partial the sex was recorded in 252: the males presented 223, with 176 partial and 47 complete resections; and the females 29, with 15 partial and 14 complete excisions. In his extended bibliographical references, Professor Adelmaun cites F. Ried, O. Heyfelder, G. B. Günther, Stephen Rogers, H. Culbertson, and the Surgical History of the War of the Rebellion, 1861-65. From the last treatise he quotes quite freely, introducing his citations in the following terms: The cases which "This compilation by Otis classifies the injuries that came under observation during the North American war, from 1861 to 1865, and constitutes a work the like of which the European continent does not possess, presenting a splendid example, in a surgical point of view, for future compilations of results obtained in our recent European wars. are of interest for the operation under consideration, partly form a distinct class in this collection, and partly are scattered among the traumatic lesions of the bones making up the shoulder-joint. They form a prominent contingent of our table of partial resections of the scapula, and are of great value for war surgery. The arrangement in Otis's work is readily understood. While the text contains reports of wounds and operations of the war of the rebellion, extensive annotations at the end of each chapter testify to a comprehensive acquaintance with entire surgical literature; so that, although the cases detailed by Dr. Otis indicate only a more or less partial removal of the shoulder-blade, extensive references to a series of partial as well as total scapular operations are found Dr. Otis adds the more recent operations. Among them in the annotations. Continuing Dr. Rogers's tables, 1 Zur Geschichte und Statistik der theilweisen und vollständigen Schulterblatt resectionen. Von Dr. Georg F. B. Adelmann, Professor Chirurgiæ emer. Dorpatens. Separatabdruck aus der Vierteljahrsschrift für praktische Heilkunde, Bd. cxliv., 1879. |