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payable quarterly. American physicians may also avail themselves of the advantages offered by the French medical organizations, of which the most prominent are, the Paris Medical Society, which meets on the first and third Friday of every month, at the Hotel de Ville; the Society of Surgery, meetings on Wednesday of each week, at the Abbaye; Hospital Medical Society, Society of Medical Emulation, on first Saturday of every month ; the Anatomical Society, (Cruvelhier, President), every Friday, at 3 P. M.; the Sociéty of Practical Medicine, Medical Society of Observation, (M. Louis, perpetual President), meets on every Saturday, at Hotel de Ville; Medico-Chirurgical Society, Medico-Pathological, and Medico-Psychological, the Biological Society, (Rayer, President), and the Society of the Medical Sciences. These are independent of the Academy of Sciences, (Institute of France), and the Academy of Medicine, which hold weekly sessions, the former on Monday, and the latter on Tuesday, at 34 P. M. The two Academies, with the Society of Surgery, present more interest in their meetings, and are better attended than any other; and it is not possible to pass an hour or more in attendance on their deliberations, without profit as well as pleasure. There is more "noise and confusion" than in our deliberative assemblies, so that it is necessary to possess no small degree of familiarity with the language to understand the proceedings; a familiarity which, unfortunately, few of our countrymen attain to, until they are about to leave Paris.
I would here say a few words, by way of advice, to those who are about to visit Paris, and who wish to profit
, to the fullest extent, by all the advantages there afforded. To such I would say, do not go abroad immediately after receiving your diploma, unless you have served your apprenticeship in some hospital; become familiar with American therapeutics, either in an hospital, dispensary, or in your own private practice, for one or two years; select the department to which you wish to pay special attention, whether general practice, surgery, obstetrics, or a more limited speciality, and pursue it long enough to ascertain whether it is in accordance with your taste, or habits; study thoroughly the French language, and after having acquired a grammatical knowledge of it, live for six months in a French family, for the sake of conversation; in this way only can you learn the varied phrases which are continually used. Do not deceive yourselves with the idea, that once in Paris, the language can be easily mastered; you will soon find out your error, and will envy the little, dirty, Savoyard chimney sweeper, for his advantage over you, though he can neither read nor write. The daily attendance upon one or more lectures in the French language, you will find of advantage; the ear is thus educated, as well as the tongue, and you will always bring away with you some new words or phrases. On your first arrival in Paris, go to some fashionable hotel, in the Rue de Rivoli, and devote two or three weeks to sight seeing; then, strike your tent, and migrate to the Pays Latin ; locate yourself on high ground, (I would recommend the neighborhood of the Luxembourg Garden), and select rooms in the third or fourth story, in a wide street, with a sunny exposure, if possible. Almost all of our countrymen suffer during their first season in Paris, from neglect of this precaution, viz., to live well off the ground, and have the sunshine; otherwise, the mucous membranes are sure to pay for it in some shape or other. Go around among the different hospitals, from this central point, and see all the great men of whom you have read and heard so much; after you shall have satisfied your curiosity in this respect, then select those whom you intend to follow as a disciple. If surgery is your field of exploration, follow Velpeau at “ La Charité,” or, Nelaton at“ La Clinique,” and you will not be led astray; for brilliant operations, see Jobert at Hotel Dieu, Maisonneuve at “ Cochin," Malgaigne, or Denouviliers, at St. Louis, or Robert, at Beaujon. If practical medicine, Rostau or Trousseau, at Hotel Dieu, will be your best teachers, the former as a pathologist
, the latter as the best therapeutist in Paris. Barth, at Beaujon, has an American reputation in diseases of the chest and pathological anatomy. Piorry and Bouillaud, at La Charité, both long distinguished as teachers, the latter with Andral at the same hospital, is, however, on the wane, the great Andral, whom our friend, Dr. Francis, has graphically styled the “ Bacon of Modern Medicine." The service of M. Valleix, at La Pitié, will well repay your attendance; he has also a special service for uterine displacements, of which there is always a variety to be there found. M. Valleix makes frequent use of the “redresseur," or, Simpson's sound, modified; the use of the instrument bas, of late, occasioned much discussion in the Academy, where its use has been opposed by Velpeau and Paul du Bois. Time would fail me to speak of Ricord and Gosselin, at the Venereal Hospitals, of Devergie, Cazenave, or Gibert, at St. Louis, of Paul du Bois and his 1,000 cases of accouchements annually, at the Clinique Hospital, of Guersant, Civiale, last, though not least. It is worth the voyage across the Atlantic, if only to see the catheter passed by this great lithotriteur. The lecture season at the School of Medicine commences on the first of November; by presenting your diploma at the bureau, you wil receive a free ticket of admission. The lectures at the Ecole pratique commence at the same time, and private courses are continually advertised during the season, on every department connected with medicine, at a cost of attendance so moderate, as to be within the means of every student. But, above all other means, unite yourself with the American Medical Society, as soon as you are established in the Pays Latin; here you will obtain all the information you may desire, and form the acquaintance of your fellow countrymen, who will be collaborators with you, for your own improvement. Be assured, that however industriously you may have pursued the advantages thus afforded you in the Parisian capital, you will feel, as I have done, when you are about to return to your own country, that you can never cease to be an humble disciple in this Temple of Science, nor to admire the liberality of the great nation which has erected it, and invited you, with all mankind, to enter,
J. G. ADAMS.
In accordance with the announcement in our last number, the subscribers will in future be associated together, as editors and proprietors of the New YORK MEDICAL TIMES.
The general plan of the Journal will remain unchanged. The hope is indulged that the increasing interest manifested in its success by its friends, and the additional attention which can now be given to it, will render it hereafter still more worthy of the favorable position which it is believed at present to hold in the profession.
We shall feel obliged if our friends, both in the city and country, would be more liberal in their contributions to its pages, which, we need not say, are open to all. No other rule will be acted upon, as in times past, in the selection or rejection of papers for insertion, than the interest of the profession, and the promotion of science in the judgment of the Editors.
H. D. BULKLEY,
Fractures of the Thigh.— Statistics of results of treatment. We have before us a “ Statistical Account of the Treatment by means of Extension with Adhesive Plaster, of Fractures of the os femoris, in the New York Hospital, from January 1st, 1851, to July 1st, 1854. By Dewitt C. PETERS, M. D., House Surgeon,” which is intended mainly to show how much can be accomplished by this apparatus in obviating the tendency to shortening, which is so troublesome a symptom to manage in this fracture. As an introduction to these tables, Dr. Peters gives a full description of the apparatus and its mode of application, which we omit, because the account seems to require diagrams and figures to convey a correct account of the things described. The tables themselves are rather too bulky for our space, and we therefore only give the most important results deducible from them.
It appears that during the above-mentioned period of three years and a half, 215 cases of simple, compound, and double fracture of the femur were treated in the New York Hospital. Many of these were complicated with other severe injuries, rendering satisfactory treatment impossible ; and in a certain number of other cases, the measurements are not recorded with sufficient precision to entitle them to admission into statistical tables. In 108 cases, however, in which treatment for obviating deformity could be applied thoroughly and continuously, the measurements of the limb were carefully made and recorded at the time of admission and discharge, and give the fol. lowing results:
The maximum amount of shortening presented by any case on admission, was four inches, and the minimum was half an inch. The mean of all the cases was, rejecting small fractions, one and a half inches.
The maximum shortening in any case when discharged, was one inch, and this most unfavorable result took place in eight cases. The minimum shortening in any case, was nothing, and this perfect success was obtained in eighteen cases. The average shortening of the whole number of cases after cure was, rejecting as before small fractions, six-sixteenths, or less than half an inch. The measurement of these cases was made with a tape line stretched between the anterior superior process of the ilium and the lowest point of the malleolus internus.
The Modern Treatment of Syphilitic Diseases, both primary and second
ary. Comprising the treatment of constitutional and confirmed syphilis by a safe and successful method; with numerous cases, formulæ, and clinical observations. BY LANGSTON PARKER, Surgeon to the Queen's Hospital, Birmingham. From the third and entirely rewritten London edition. Philadelphia : Blanchard and Lea. 1854. .
We remember to have written a notice of the first edition of this work fourteen years ago, and to have expressed the satisfaction which it then afforded us, as a true exponent of what we believed to be the most judicious way of managing the different forms of syphilitic disease. The interval which has elapsed has been industriously improved by the author, who has now devoted nearly twenty years to the therapeutics of syphilis, more especially in its secondary and constitutional forms, and who here presents us with results of experience founded upon the personal treatment of more than eight thousand cases. The present edition has been entirely re-written, and has received additions amounting to considerably more than one half of the entire work, and may therefore be fairly considered, as the author says, more in the light of a new work than a new edition. Its value is, therefore, greatly increased, and we consider it a work every way worthy of confidence, and one which will form a safe guide in the management of the affections of which it treats. It is eminently practical in its character, and embodies not only the experience of its author, but a judicious epitome of the most reliable modern authorities. Mr. Parker, like almost every one who has had any experience in these matters, is decidedly in favor of the use of mercury in some form, in these affections, in proper cases, and with suitable regard to the constitution and general condition of the patient. After a short chapter devoted to the claims of the simple or non-mercurial treatment of syphilis, he passes on to the grand subject of the mercurial treatment of it, pointing out in a clear and judicious manner the circumstances which indicate the employment of mercury, the particular indications for its use, when it is not to be used, the manner of using it, &c., the details of which we should be glad to transfer to our pages, did our limits permit. He then passes to the subject of inoculation, as first practiced by M. Ricord, of which he remarks, “ In the present state of science all we can say is, that certain ulcers, the result of sexual intercourse, and not distinguishable by their external characters from other ulcers, equally the result of sexual intercourse, yield a characteristic pustule by inoculation; but the ulcers which do not yield that characteristic pustule are equally liable to be followed by secondary symptoms, and are equally benefited, under many circumstances, by mercury.” (p. 45.) Inoculation, therefore, is only valuable when positive. With regard to inoculation in all forms of secondary or constitutional syphilitic diseases, Mr. F. says that though not generally inoculable, secondary syphilis is contagious, and does pass from the diseased to the healthy body without the intervention of primary disease; the fact that secondary disease may be communicated by the husband to the wife, is now, we believe, well established, notwithstanding the high authority which has been brought against it.
Four chapters are next devoted to the first class of primary syphilitic diseases, including balanitis and gonorrhæa, particular directions for the treatment of both of which are given, with numerous formulæ for remedies for the latter in all its stages and varieties, and also for gleet. Mr. P. says that secondary symptoms may succeed' to balanitis as well as to gonorrhoea, of which well`authenticated cases are recorded.
The diseases which complicate or succeed to gonorrhoea, in the male, occupy one of the four chapters. Mr. P. says that the judicious use of injections and specific remedies certainly does not give rise to inflamed testicle, and that there is more risk in suffering the discharge to continue from week to week, than in employing specific remedies and injections after the tenth or twelfth day. The best plaster for strapping swelled testicle, when the acute symptoms have sufficiently subsided, is composed of soap, belladonna, and adhesive plasters, in about equal proportions, carefully spread on thin, fine leather, and then cut in thin strips. This is the one Mr. P. now always employs. He says that pathologists have failed as yet, in establishing a differential diagnosis between gonorrhea in the female, and ordinary inflammation of the parts affected by that disease.
Five chapters are then devoted to the second class of primary syphilitic diseases, ulcers, their varieties and consequences. Mr. P. has been taught by observation to believe that in a great majority of instances the primary syphilitic sore is a local disease ; upon this depends the whole probability of success in what is termed the abortive treatment, in its early and immediate destruction by caustics. He says, however, that if, as M. Ricord says, constitutional disease can only be prevented by destroying a chancre before the fifth day, and the time is reckoned from