The Saint Paul globe. (St. Paul, Minn.) 1896-1905, 1896-09-18

proportion of this good effect is due to
mental impression-to suggestion.
Inc galvanic current Is to be chosen
Tor racial neuralgia, intercostal and
sciatic disorders. The faraddc for lum-
bago. hysterica anaesthesia and par
aiysis; the gaivanic for goitre and
sometimes for neuraesthenic headache
ana backache For facial spasms,
tfem0r and chorea electricity is use
fui aside from the mental effect. The
paper was discussed by Drs. Iarabee,
Hughes and the author
DIR. A. j. Ochsner, of Chicago speak
ing on Nerves, Sutures and Other OPP
erations for Injuries to the Nerves of
the Upper Extremity" said:
study Of the literature and my
own observations lead me to confirm
the following conclusions:
First, every severed nerve should be
saturated even after years; second, the
earlier the operation is performed the
better; third, If neither sensation nor
motion is established within a wear.
the nerve should again be exposed, the
clcatr1ca1 issue removed and the end
again sutured; fourth, the end should
be clean cut, should contain neither
crust tissue nor electrical tissue; fifth,
tension must be avoided: sixth, the
wound must heal without suppuration
to secure the best results; seventh.
hemorrhage should be perfectly con-
trol1ed to prevent intervening clot;
eighth, carefully prepared catgut is the
best suture material: ninth, after su-
turing the ends it Is we'll TO stitch a
fold OF fascia over the united nerve
ENDS; tenth, the extremity should be
placed at rest; eleventh, the external
incision should be ample
The discussion was participated in
by Drs. Patrick, Murphy Robert
wheaton and Ochsner.
DIR. Henry p. Newman of Chicago.
discussed Woman and Her Diseases
vs. Gynecology."
We are coming he said, "to a pc
ROD of transition in the practice of
surgical gynecology. Instead of essays
on the treatment, we now have studies
ON the cure and prevention. Prevent
I've medicine, hygiene and sanitation
are now popular topics for medical So
c1eties Philanthropy has taken the
cue from medicine and is attempting
to form citizen rather than reform
him. I wish to emphasize the fact that
we are not dealing with the coldly sci
entlnc side OF our art, but with the
hlghest Of humane interests. The
amount OF ignorance of the average
woman or natures requirements is
appalling. Womans sphere has lately
Wldened until now it is as wide as
man s. Has she equipped herself for
this race intelligently? Look at the
average woman in cities; the average
stenographer, salesWoman. the business
Woman-do they daily outrage their
bcd1es with compliance with the die
tate of fashion in food, dress and
habits The tendency of the gynecolo>
glst TO enter surgery is to be depre-
Gated. 1t narrows his opportunities.
He had better stay attached to obstet-
rlcs. A Woman's generative organs
should not be doomed because she has
need to visit the gynecologist A good
dlagnostician must know as much
ABOUT woman as about disease: as
much about environment and social
any anu uoInestlc relations as about pelvic
leslons AS specialists we must recoe-
nlze and exercise the rising interests in
IN medical science which will IRE,
vent rather than cure disease. as we
know what can be acquired NAV he
prevented, hence specialists should lead
IN the reform Of conditions which are
detrimental to the health of woman
Dr. j. Homer Coulter, Chicago read
a paper on 'Tonsilotomy by Cauterv
Dissection" He said:
mo SUBJECT In surgery or medicine
mas peen much more prolific in inter-
est and discussion than the tonsiI- Tn
the past ten years over 600 papers have
peen written on that subject alone.
The size Of the normal tonsil 10 still a
subject Of discussion with throat
specialists. Some claim there is nor
mally no tonsil to be seen; however.
tne most usual opinion is that there
exists normally collection of follicles
between the pillars Of the fauces pro
tfudlng slightly above them The tonsiJ
Is an almond-shaped gland larger aft
one end than the other and some
what fiattened.
Inc methods usually employed for It's
aplatlon are the guillotine, igni punct
ufe, the cold or cautery snare. or the
KnlIe Each of these methods have
practical objections to their use. Most
important of these objections and one
Wh1ch applies to all of them is the fact
that by no one of them can the entire
giand be taken out. Unless this ia
done the part remaining will often
times produce as much trouble as did
the FORMER condition. The operation T
propose obviates this objection en-
tirely II properly performed.
with well-heated, small eIectrode
the pillars are dissected away from the
tonsil to one-half it's extent The gland
is then, with suitable forceps. drawn
well out and throughly, and entirely
dissected out to about one-half its
extent. This portion is then cut Off
and the surface treated with a strong
solution Of silver nitrate.
In a week or ten days the other DOR
ton OF the tonsil is removed In the
same manner. This operation will give
cosmetic as well as practical results
unobtainable by any other process vet
suggested.
Drs. Loeb, Ballinger, Quick and Wild
er discussed the paper