The Saint Paul globe. (St. Paul, Minn.) 1896-1905, 1896-09-16


The afternoon session was devoted to
reading OF papers. DIR. T.. w. Brophy,
of Chicago. read a paper entitled a
New Operation for Cleft Palate" He
took the ground that the operation
should be performed much earlier than
has been the custom of surgeons here
tOfore. 1t has usually not been
thought advisable to operate for the
closure of cleft palate until the child
has reached the age OF three to seven
years DIR. Brophy maintained that
when the operation was thus post
poned the changes in the voice had be-
come permanent and a repair of the
cleft at that time would not reset favor
ably In the voice production. His
operation consisted In freshening the
eyes of the cleft and then by deep suit
ures of silver wire fixed through a
lead plate which conformed to the
palate. The edges Of the cleft were
thus drawn together and so maintained
until hearing takes place The tech
nique Of the operation was infinitely ex-
planned. 1t was original and in Dr.
BTophy's experience has proven most
effectua1
DIR. w. F. Daley in discussing the
paper complimented the author in pre-
senting method so far in advance or
modern surgery. Dr. Daley said that
this method does away with all the
objections to the old operations I'VE
all Know" said he, that in some cases
we We're compelled to operate four or
five times and then consider ourselves
fortunate If perchance we got perfect
result. Even in these cases the result
was never perfect inasmuch as we
could not at that late date teach our
patients a perfect speech,
me next paper was that read by DR.
Gustave Futterer, of Chicago on
Pluer1tfe Effusions and Their Treat
ment." The doctor said among other
Things: A meteorological examina-
tlon should be made in all cases: both
with cover glasses, with culture media
ana by injections of the effusion in
ANIMALS Distinguished between exu-
cate and ahnsudate by using an acetfc
acld chemical test by the same process
Illuminate mucine. Many cases of
pieur1sy are of a uric acid diathesis.
These will yield readily to the treat
ment saEcylates. l believe not more
than 10 per cent Of pleuritic cases are
pluematlc The finding of pneumo coci
uoes not aggregate the conditions and
OFTEN gives no mark seperate synp-
toms. Pleurisy in typhoid is not q
mixed injection, but a distinct condf-
tlon; Tubercle baciIli are often found
IN the pleurit1c illusions I believe #
is possible and likely that the tubercle
paclill may not do penetrate through
the aVolar sept, and enter the pIeure
without producing affection in fine
lungs. tuberculosis and pleurisv NAV
De differentiated by the agar culture.
Hyperesthesis Of different parts is fire.
quently present
have washed out the CAVITY in
fourteen cases with an antiseptic soln-
ZION OF one-half to two per cent
Win gratifying success in twelve cases
Inc advantages in this treatment are
nfst: Many patients will allow such a.
method who would object to exsection
OF the rib, and second no bulky dress
ing; third, much shorter time is re-
CURED
Dr. Gustavus Bleach, of Detroit, read
a paper on "The Treatment of Some
lnf1ammatory Diseases of the Castro
Intestinal Tract" DR.. Bleach said that
the treatment of catarrh of the
stomach and other similar imf1amma-
tory conditions Of the same as it is
practiced today by most medical men
meets with failure, because the treat
ment is directed against the symptoms
and not against the cause of the
disease.
All usual remedies may improve one
or the other symptoms for limited
Tune. but the causing morbid condi-
tons still remaining the symptoms
necessarily will appear again.
DIR. Bleach's treatment is directed
against the inflammation itself. He
prescribes hydrozone, well diluted in
water, at least a quarter an hour be-
fore each meal. The oxygen. which
then develops, kills the germs. eleanses
the membrane of the wall Of the
stomach without injuring the animal
cells. 1t is an efficient and powerful
and still bland and innocent remedy.
The doctor then expounded the cure
OF case of gastric ulcer with the above
treatment, and stated that no other
treatment in effeeting ulcers Of the
stomach by the application of hydro
zone to exterminate ulcers of the body.
He has seen many ulcers of the most
stubborn cases recover, and hence they
will heal ulcer of the stomach
In the discussion of the above paper
almost and nearly every one participat-
ing failed to get at the point made by
the doctor, with the single exception
of DR.. Matthews, of Louisville
Dr. Daley, of Pittsburg, deprecated
the very general use of glycozone,
hydrozone and such remedies unless a
very careful and discriminating dia-
gnosis had been made. Most of these
cases are due largely to the formation
of toxines.
DR.. C. HI. Hughes, of ST. Louis, said
that few physicians recognize the i'm
portance of the pneumogastric nerve
in gastritis.
DR.. F. F. Lawrence suggested that
gastritiS was sometimes due to gall
stones. Il
DR.. Patrick. of Chicago, was sorry
that he could not agree with the au-
thor; but he could not, until it was ex-
planned which variety of inf1ammatory
condition in the stomach was referred
to. Gastrftis is too comprehensive q
term. When a cure is proposed we
must know what form of gastritis we
have to deal with.
DIR. l. A. Abt, Chicago, in his re
marks said: THE diseases Of the stom-
ach cannot be grouped together as gas
trftis Many of these conditions are
due to toxfnes found in the gastro-in-
testinal tract. We cannot always make
positive diagnosis at once, but by
experiment only can we arrive at def
finite conclusions. Any one remedy
cannot and will not answer for all
cases. Few writer's deem lavage as of
more Importance than diagnostic
measure"
Dr. Larrabee, Of Louisville, had this
to say: Almost any condition found
III the stomach may come from the
causes mentioned by those who have
spoken, but am convinced that the
portal circulation is most important
factor in these cases and one.too, which
is often overlooked. Exercise is of par
amount Importance in all leases of
chronic gastritis In arresting putre-
factive changes in the stomach glyclo-
zone has proven in my hands most ex-
cellent but do not neglect to stimu-
late the liver when indicated"
The paper was further discussed by
DIR. Caldwell, Of Freeport, ILL.,, and
closed by the author"
DIR. Paul Paquin, of st. Louis. Mo-,
on 1.-The Specific Indication in Tuber-
culosis of Man and Beast read:
.1The sf1lfiv of anfitoXine goes hack To