The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1908-11-23

more cheaply, and at the same time
the hospitals are away from the noise
and other disagreeable drawbacks
which come with close proximity to g
large city. Furthermore, the hospitals
are built in the cottage style, and
within their grounds these different
buildings are used for different mala
dies. This arrangement is advantage
Gus for the patients and physicians
alike. The patient is not turned away
from the hospital doors where he is
seeking admission because he happens
to be ailing from some malady which
the hospital. under its rules, can not
admit, and the physicians are much
more apt to have consultations and
mutual work over cases where they
, are in one locality.
Among the institutions which I Wis
tied, the Institute Rizzoli, near Bo-
logna, impressed me most. Rizzoli
was a physician living in Bologna, and
during his life treated crippled people,
whose number in Italy is, as you all
know, very great, He founded the in
stitution, and, possessing a large for
tune, left it when he died with suffi-
cient means to maintain itself for the
treatment of crippled people; and to-
day patients of every nationality and
of every conceivable deformity pour
into this place The institution, for
merly a clOister, is in a picturesque
situation outside of Bologna on hill
overlooking the city, and is so
equipped that not only the actual med
zeal treatment is done there, but also
all the mechanical appliances which
are necessary to treat the manned are
manufactured right in the institution,
and they endeavor to produce such ap-
paratus as will be within the reach of
persons of ordinary means. These ar
ticles will not only last for a month
or two, but are made SO that, as the
child grows, the apparatus is amend.
able. and the parents are not forced
to buy new ones as often as they buy
new dresses for the growing child
The treatment of illnesses by phys
zeal methods has taken quite a hold in
Europe, especially in Germany. Most
of the universities have now institu-
tons where treatment with hot and
cold baths, carbonic acid baths, mud
and sand baths, electric, medicated,
tricitv, hot air, etc, are taught by
practical demonstration.
Tn quite an opposite direction are
the attempts to treat tuberculosis by
surgical means. The bismuth paste
injection of Professor Beck of Chicago
into Empyema pleurae is quite a devi-
alton from our usual methods of treat
ing this affection, and is apparently a
great success, as is also the treatment
of Professor Brauer in Marburg. He
has endeavOred to overcome the diff
cultes which we had in healing up
caverns in the lungs, by producing an
artificial pneumatothoraS. He fills the
pleural cavity with nitrous gas, which
is very slowly absorbed. The results
in very desperate cases have been
surprisingly good, but the number of
eases has been small, as only those are
adapted to the treatment where there
are no pleural adhesions, and where
the other lung is in good condition.
While attending the International
Dermatological Congress in Frankfort,
at which Professor Neisser talked of
his inocculation experiments with the
spiro chaeta pallida, I became deeply
interested in the works of Professor
Wassermann in Berlin. You have all
heard. or read. about his sero-diagnos-
tic work, especially in syphilis. He
himself considers his work in this line,
as far as syphilis is concerned, to be
contaminated, and in the cities you
find everywhere sero- diagnostic institu-
tions, and their work is of enormous
value to the patients. Many explora-
nv
and many lives saved since the use of
this diagnostic medium. Professor
Wassermann is hoping that, sooner or
later, this addition to our method of
diagnosis will be simplifed and
brought within reach of every practis
ing physician. The X-ray diagnosis
has made much more progress and is
more generally in use than the X-ray
treatment In fact, the X-ray appa-
ratus, which is much simpler and
easier to handle than it used to be,
has become a part of the average doc
tors office The instantaneous taking
of pictures and the translumination
are undoubtedly a great help.
While out on pleasure trips | no.
ticed few things which appealed to
me as being very practical, one of
which might, I think, easily be in
troduced in our city We all of us,
the physician and the lavman alike,
know how much we suffer from dust
created by automobiles and street
cars, and although [ did not notice
any method of stopping the dust made
bv automobiles, unless the "powers
that be- properly oil the roads, / did
notice a method of preventing cars
from creating dust On the outskirts
of Berlin one finds the space between
the car-tracks, and a few feet on
either side, laid out in beautiful grass
lawns. This is not only effectual in
preventing dust, but it makes the
street beautiful to look upon. Would
this not be ideal for Waikiki road and
other streets? I also see in this effort
one of the means of fighting tubercu-
losis, which is making such rapid ad
vances in our community.
The enormous development which
preventive medicine has made since
Jenner introduced vaccination against
small pox, forcibly impressed itself
upon me wherever I went. Watering
and cleaning the streets, ordinances
against splitting in public places, iso-
latiOn wards and hospitals, quarantine