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cal world has learnt to believe that any work carried out under the auspices of Professor Koch is thorough and genuine, and that any announcement made by Koch himself may be received without the customary grain of salt which is usually meted out to qualify the enthusiasm of the ordinary discoverer. The publication of Dr.

Koch's preliminary paper has created a sensation which is by no means limited to medical circles. The statement that phthisis is curable by means of an injection of a "brownish transparent liquid" under the skin of a consumptive patient has been taken up and repeated by lay and medical society alike, and the reservations and cautions which accompany that important statement in Dr. Koch's communication are being left entirely out of sight."

EXPERTISM AGAIN ALLUDED TO.-In the article in the November JOURNAL on EXPERTISM we carefully avoided personalities, because there was no occasion and there was no desire to do so. More than one subscriber and friend has made it to apply to individuals, whereas the writer had no one in his mind as he wrote except perhaps his own case. The subject was ventilated mainly in order to warn the profession against allowing lawyers to force us into the attitude of experts, not really on their part to get expert opinions, but to get opinions enough at variance with each other, if possible, to enable them to construct an argument to the jury that would muddle their brains. To such lengths has the profession gone of making "the worse appear the better cause," that, for the sake of money, men will belittle a witness as a necessary act in the drama of justice they are playing, and, after the play is over, entrust the lives of their wives and children to them. We repeat,

let us not allow the lawyers to force us into the attitude of experts on all occasions.-T. F. W.

[Entered at the Post-Office, Wilmington, N. C., as Second-Class Mail-Matter.]

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Acute Bright's Disease-a Clinical Lecture, Delivered at the Philadelphia Hospital, by J. H. Musser, M. D

715

Intubation Without Gag or Extractor

723

The Case of the Insane of our State Outside of the Asylums, by James A. Hodges, M. D.

724

The Connection of Acute Pneumonia with External Injury.

735

SELECTED PAPERS:

The Surgical Treatment of Uterine Myoma, by Lawson Tait, F. R. C. S...

736

EDITORIAL:

Why is the Medical Profession Without a Critical Review ?........................................................

745

REVIEWS AND BOOK NOTICES:

The Science and Art of Obstetrics, by Theophilus Parvin, M. D., LL D..
The Medical Student's Manual of Chemistry, by R. A. Witthaus, A. M., M. D.
A Treatise on Diseases of Infancy and Childhood, by J. Lewis Smith, M. D.
Decomposition of Chloroform in Gas-light, (Paragraph)

749

750

752

753

"Paratoloid-Koch's Announcement of the Discovery of an Anti-Tuberculous Fluid. 755 Expertism Again Alluded to........

READING NOTICES

INDEX.

758

754

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(Syr: Hypophos: Comp: Fellows)

Contains The Essential Elements to the Animal Organizatio Potash and lime.

The Oxydizing Agents-Iron and Manganese;

The Tonics-Quinine and Strychnine;

And the Vitalizing Constituent-Phosphorus,

Combined in the form of a Syrup, with slight alkaline reaction.

It Differs in Effect from all others, being pleasant to taste acceptable to the stomach, and harmless under prolonged use.

It has Sustained a High Reputation in America and Englan for efficiency in the treatment of Pulmonary Tuberculosis, Chroni Bronchitis, and other affections of the respiratory organs, and employed also in various nervous and debilitating diseases with success

Its Curative Properties are largely attributable to stimulant Tonic and Nutritive qualities, whereby the various organic function are recruited.

In Cases where innervating constitutional treatment is applied and tonic treatment is desirable, this preparation will be found to ac with safety and satisfaction.

Its action is Prompt; stimulating the appetite and the diges tion, it promotes assimilation, and enters directly into the circulation with the food products.

The Prescribed Dose produces a feeling of buoyancy, removing depression or melancholy, and hence is of great value in the treatmen of MENTAL AND NERVOUS AFFECTIONS.

From its exerting a double tonic effect and influencing a healthy flow of the secretions, its use is indicated in a wide range of diseases.

PREPARED BY

JAMES I. FELLOWS, Chemist,

48 VESEY ST., NEW YORK.

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