The sun., 1903-09-29
THE NEWER MEDICINE AND
SURGERY.
A Plea for q Very Conservative Use Of
Agents and Methods.

| ~ nck"aAu - tt"" w A'oSoo"' y. 49,
our attention the TACT. aiter careIui ana'ys''
OF numerous surgical operations III iaIss
and well conducted hospital during perioo
| OF ten years. from 1870 10 lsOO. that many o'
them could not be Justified II either the I'M
mediate or remote results were fairly consid'
cred In this category were operations ioi
malignant diseases or internal organs. espe-
cially OF the intestines stomach ana rectum
operations by anastomosis or excision. where
mere experimentation or performance was
not justified by Tint rule Of action which would
have us only do to others what we should be
| willing Tn have dons N ourselves. n our rea.
| sonin, -. - aonarnt,,n. . sav. Dr
sonihs s were souho; operat'"i's' says D
fltz, are undertaken which are followed
| by the immediate death of the patient, others
| prove tn he wholly unnecessary and still
nthors la,,,o w. ,,ot;.,, in a oond,t;on NJ beIn.
o'heis lea,e the palleh' ~ y.
| less invaildism, often making NE WORSE tnah
death Any operation which does not better
| the condition of the patient must be regarded
as ,ha.aNa,,,i, - ainoa tha tnowladue
"s 'he'apou'.c erroi' eii''e WIG no
| thls OBTAINED shows that the operation shouiu
| not have bsen performed
Within . brief I,sTiad saw n few wears only,
| ..n. h,, . ,,,ii-.,,,. &c. ona hvr
there nave peeh cohsioerapy over one nu"
dred recorded operations for crrhosis OF the
| liver to make a collateral circulation through
NAVY formal odhesons md thus obtain
h.noG,a d.n,sd narhan. IN msdicol treat
oe".'" maps, w . ~. ~.
iheht Iew OF these nave seeiheo 10 Us
| favorable for many months, but 1t remains to
he proven wbnt the precise underlying con-
All a,,ra ,r,,,ah ,srn,i,t.d snco.sa IN this
u~.'.o"' ~ "e'e ""''" pe'''''''" '"S''' w.
degree,
The surgical mind. until very lately. with
sca rcnly half helm cn lied by any one in such
n..t.i.,, -. 80 Ia .t,o,,,.a lat, -, a haoring
po'"lo'i DC " 10 aoooiu'e 'ir. w -,
has viewed appendicitis as almost invariably
surgical disease. only marked out Ior sur
glcal Intervention. To Sir Frederic Treves.
'N Il, ,hD, -. 'o 90 W,nn Etna.d nr pn Gland and
an .ne ua,t VI S M.nS ~ uM n,nnd v. n,i~ sbnrt
supsealehtiy. Mheh he anagunoeu @ Tny nstwra
vi,e since, IA puolc v auulSsS. ,s ~mn un harrers
Mas telhs us ~. w uo " M Mpu..As aio ~ n,, tha
w. ptesent uuuaa Itei G ~ 30 srrinC onas
s,kna. nomot non, vi SLY an my . .e many
"hers .rMe ;r RhoTieaRe e % mss r.vs,d;sh ,soturs
- htifriihs " hie ieCeht "a u.'u .rr,,,..y
Dr. \. ~; mars writes az ,InoMs Ms,b ,,orv oY
Venues M % ahe S,n'on % ana' nr,itw enr 49, not
..e uisrass , anu ns sen1' w nnv MN tho hGnmsn
~, ~ rvrlS ns 'ISu h"s " & Stn hIishaS Ia does
eha. ,agnosts mas oe1m estaU,JiIi iinta ,nerat,on
~ in All I cases and he
y M t IN u' W. -, E aNnras,sinna To
does nWt .n,hh IN sp.e y, aa sra Jificiif TO
lle Cotlla's .ha' tiiese ',so, .,ra IN ev.rv
@ ms t ~ - ,nSanah hI. s,,snicion
-. ~, n",' va, 49, 80, 80 L,, Ia no, h,t In
va, snppnrn,"n h. as .an at aieroiion in
lIeVes opihioh th' uuest lo'' ", opsa w ,nr tha
9ther casfe may De kept IN nUeyanve , e,,,liw ,y
nrSt lew uuys .. the a.ldch: anu nay aa1 nr
w. tiI open ioI ue'isioh uilii tu n,an ua yaSs
aitrr' fulthef, pr. lrtses mys =, "a ses
upot, .n. , iaet .Hat ono sis tns,y With
o. hppehuici'ls recover spoI'tai,eouy POI ,.E, ~ an
oi, e.,me' on opei ,,o,, @ y, , ~, M s re sctI,
aoseess' that the uiIld-aSute 1850 hia az 'nsSs
az Many rare ,iio .ia' reiaInsey ,rnt,nn w nav
ol eAu,upits oi an uestesS Supp''' "''o' 'N'
VIC satH W @ ue uneoni..iun; r u,,no l.s, win
~ .h'o 50 "it SUsei lnseannl,.1,st Sir
Ta,; ] v,s n1ud n,'t ;' ; his nnsciai de-
nar,msnr Wh. pohI I,st Yor ror nnern,i1n t existed
20 raaorSs th ,n.,at uso ond ~ noaa The gvnecol-
as ;, -, " - & rne ioas a4,o az h,u i.sS nrnnp
osis. Gi iutipei Years 10, iiapply 1 a1e ,irarins
drenS oraes anh ula VII smniv sic.
~ ~ nna. a. s',uAo pasn,e ''a,,nna, a. uithout
rst T. w lf y, s,,nr haaithS as shnwn hv dis
tiasha TEN 70 se " lutre hea, as NV r. VII
.n, pols se" oM az wa hsor n,ich OF
aScinn M ~ dr, 80 ioses essic,ss T IN .ars ire
Ii eAeEapii VI utun anu ossieies IN ~. em l in,.r
yao'y yr ueai 80 lar as mere ere, Sdls"na ths ssss Of
chronic drv mrolifsrative r oatarrh' in' '"'
,o tn nrna os se sem,s ss..ms nd
10 to prove that Wnat 10 some @ + ieen. ie rssitv
onlw mr"nf ", ane rat oi our ariE.ss @ or of ~
norahGe OF the great purposes OF ,,s s, hSue Sare
ar ard,s Wy: .nea aiiow !. @ 10 mra ~ tha cbamcas
are yery rs.et a apainst any reni or LISTING
success oeinx returned, we are prspareu u,,r' w
slan' r tne imiense triampns 9i lnoasfd dsin sur
ara va aSlW W ebn asep,,eihn ,n uhc ana nciined
aa cr,i,s oniS become stepuGal anu thoieu iae,
innnit hio pt,if 1ia n wnen, arorS
IMMUNITY Which sElil ana opportunity anoro'
v,h nboms r 10 .nses naGsos; "ne
| l.,,s ,,JL;.,h ,.,.a,,,
nmld genera , laws wh,nh govern disease. surgeons
or dan erns q, narhnn, "nIrn s am nrnInS
only ssht r,A ndy 'spS be po%wns snonsr no0T or
,bo riy;nal 5;siiIrhou Nv ~ .ea.ao r hI,h
from whinh ,hn ,,,irt %. "iEan OF a. nennh
wv Wbera m.rn dnes s.p nr pder,V pa,iainy
o;S mSete g, uoes ihodefh pracliie tehd IN ihtHi-
n,net t I rIne Has Has ntl ereat ana hooie a,hcNe-
Th 49, a,su. nh"M lse si!t i's many ura"
nen ne Ss' s al OF new drug fossd
upom t VS. u. every turn seems 10 be great n.
Nlnous IheIh Only u hmited lew arc really
st msei,,i anu reiatlVeiy innocuous. lhe power,
a"non r. aiu n egpsciay those SO muon USED
unless used with rare good judgment and In
stai! or moderate doses at all times
-, WIN .ue srea, qeVelopnehts In the nelu
Vi pnar macy, qulnlne ana cocaine are Ire
auently made to take the place of the ex-
tractlve virtues Of the whole bark or leai and
many MAJ times, as believe with serious diSdd-
yantages 70 the patient Arsenic is used in
80 inany uiseases ana IN such doses continu-
basn, basy .hat ils power Ior harm clinlcsiiy mas
become very great OPIUM, that one great
remedy OF my earlier days in medicine. is now
little used comparatively. and in It's place
loiphlhe mas come boldly TO the front upon
inhifneraDle occasions, Convenient ana
lnost useiui, no douDt, y he ever ready ny,
PoderlniG injection; still it has its woful
urnwhacks in habits acquired, almost irnpos-
sible to control, and in the deterioration OF
lhe digestive organs. so essential To wellbeing
oruer
IL was formerly a well established dictum.-
IN fact II Is an aphorism almost as old az
innediclhe itself to keep the bowels sweet and
hu.ilt 40 doubt the useful effects were
shown III aborting inflammation. arresting
ana diminishing fever or destroying intestinal
lsrInehtation The oldtime castor oil plant
dld TINS as no other plant has ever done in
:, The late Prof Austin Flint most dis
tinKuiShed observer, showed conclusiyely