Vol. 60, 1909 - University of North Carolina at Chapel Hill

to heal the sick man as to maintain the
well man in a state of health. The reparative
forces of the body are identical with
those forces which maintain the growth and
nutritive equilibrium. The curative powers
of the body can be most readily stimulafed
into activity and modified as necessary
by those natural aids to recovery which are
classed under the g^eneral head of physiologic
therapy.—Good Health.
Dr. Woods Huthison in his article on
measles states; "The very mildest and
most insignificant attacks may be followed
through carelessness or exposure by a fatal
bronchitis. Indeed in view of the distressing
which our histories of tuberculosis in
children the words, "came on after measles,"
it is highly advisable to watch carefully
every child as regards abundant feeding,
avoidance of overwork or overstrain,
and of all unnecessary exposure of infection,
wonder wet for two months after the
attack."
Waterbury's Metabolized Cod Liver Oil
Compound with Creosote and Guaiacol will
be found a remedy par excellent for the
cough following measles, and will assist
nature in her fight against the toxins.
Interpretation of the Porro uterus In
Relation to tbe TlUrd Stage ol Labor.—
Hart, in the ICdinburg Medical Journal, says:
When Porro, in lS7n, performed Ca.'sarean
section accordingto his well known method.
he not only made the first distinct advance in
the perfecting of that operation, but gave
obstetricians specimens on which the phenomena
of the third stage could be studied
in a way no other natural experiment has
since afforded.
Since 1SS6, when Barbour published the
most oustanding and able paper on such
specimens, the whole question of the third
stage mechanism has beeu debated without
any final agreement as to its nature,
and, indeed, at present an apathy on this
subject has come over ti.ie profession
over both investigator and practical obstetrician.
The real reason of this blight on investigation
has been that the question has
usually been investigated on the supposition
that the separation must take place
in such a way as to check heemorrhage,
i. e., during pain, and any view as to
its occurrence by any other mechanism,
after a pain, for instance, has been viewed
with the greatest suspicion, especially by
the general practitioner, to whom the
"relaxation after a pain" is anathema,
and "uterus like a cricket ball," the only
safe and satisfactory descriptive term.
Matthews Duncan held strongly that the
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placenta separated from shrinkage of the
I^lacental site, and when confronted with
the fact fact ascertained by Barbour—that
a shrinkage from 7 ins.x7 ins. to 4 ins.
x4 ins. did not bring about separation
merely remarked in the well-deserved eulogy
he gave Barbour, that he had no doubt
tlie placenta separated at a lower shrinkage
area.
After some leagth treating the pros and
cons, the doctor points out the following
faults:
1. The placenta is separated, or an attempt
is made to separate it, during the
pains—the wrong mechanism of separation,
I hold.
2. The uterus does not get the necessary
rest between its contractions, and thus inertia
is brought on.
3. When partially separated, the expression
may tear off the bulk of the placenta
or membranes from an unseparated
portion
The seeond method is to keep the hand
permanently on the uterus, wait for pains,
and not to compress the uterus unless there
are indications for it, the main one being
haemorrhage. The size of the uterus should
be noted, and only when its bulk markedly
diminishes, indicating separation,
should gentle expression of the uretus or
—