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

4 02 THE CHARLOTTE MEDICAL JOURNAL
lived in Chattanooga, Tenn., where he i? toms without interrupting pregnancy in a
well known and highly esteemed. number of cases given up as hopeless, and
Dr. Thomas graduated in 186S from sent to the hospital to have labor induced.
Washington University School of Medicine, The finger will often serve as a dilator, and
Baltimore, Md. in every case the greatest care must be used
not to rupture the membranes. Rectal feed-
Dr.A.T Gotten, a well known and highly >"S: ".ay have to be used in desperate
esteemed physician of Raleigh, N. C, died '^^^^^^
in Rex Hospital in that citv on November
the 10th. Until eight years ago, when his The Alabama Medical Journal, Sepiembc>\
health failed. Dr. Gotten was one of the -^9(99.
most prominent physicians in Wake County, The Doctor aad Proprietaries.— Dr. C.
but at that time he was forced to give up L. Murphree says be ethical. A doctor i.s'
his practice. always shy of the druggist who attempts to
Dr. Cotten graduated from the College of practice near medicine over his counter
Physicians and Surgeons, Baltimore, Md., and conducts a gonorrheal clinic in his back
in 1879, and was granted license to practice room. You can be assured that the medimedicine
in 1884. After his graduation he cal profession appreciates good work and
was for a long time associated with Dr. will be quick to co-operate with anv phar-
Ilerndon, who was his first medical instruc- macist who is reliable and shows that he
tor. can be trusted. Though the doctors may
have surrendered and abandoned the phar-
Dr. Nathaniel Williams, one of the most mocopea in the past they now show a disprominentphysiciansof
Tidewater, Virginia, Position to return, and in many cases with
died at his home in Hampton, Va., on No- exclamotions of surprise and wonder, that
vembor the ISth. Heart failure is supposed they ever permitted themselvee to forget a
to b the cause of his death. He was sixty- pharmacopea and to grope m fields which
six vears old when he died. He was a
l^ave brought confusion and doubt,
medical student in Jelferson Medical Col- The Management ol the Heart in Conlege,
Philadelphia when the Civil War be- valcscence.— Dr. B. H. Hamrick believes
gan, and left college to become a surgeon that in convalescence from diphtheria the
ill the Confederate service. After the war heart should be examined regularly for
he returned to Jefferson College and grad- several weeks. Sudden cessation of the
uated from that institution in 1868. Since heart's action may take place as late as the
his graduation, he has been practicing medi- sixth or seventh week, due to neuritis of the
cine, in Hampton, where he has become cardiac nerves. This tragic termination
very prominent as a practitioner. would be most deplorable. At times the
... .^x— ^^ ~^.^ phenomena of heart failure are rather slow
Review of Southern iVledical Literature
'" '^^^'^ developments
come weak and rapid,
The pulse may be
or more rarely become
slow, while the extremities become
Awerican Practitioner a7id News, September, cold, the temperature falls and there super-
1909. venes in a few hours all the signs of col-
Pernicious Vomiting af Pregnancy.— lapse. So any symptoms during convales-
Dr. W. B. Doherty believes that as there is cence that point to the involvement of the
a toxemia present in the majority of these heart should be carefully observed, and the
cases, we should direct our measures ac- patient prevented from putting undue strain
cordinglv. Malpositions of the uterus must on the heart whatever. The importance of
be corrected, a catafrhal cervicitis treated this point cannot be too forcibly impressed,
with peroxide of hydrogen, Churchill's Tr. As a routine, where indicated, such drugs
of Iodine, or a solution of Nitrate of Silver, as iron, quinine and strychnine may be
10 to ,30 gr. to the ounce. Should the va- administered to advantage,
gina or cervix be hypersensitive, a solution
of cocaine 10 or 15 per cent, may be used. Journal-Reeord of Medicine, Sept., 190^.
If the cervix be stenosed and rigid, it Kidney oi Pregnancy.— Dr. J. B. Craumay
be dilated somewhat, though this pro- mers points out that if the kidney disease
cedure should be postponed as long as pos- exists before pregnancy, well marked symi)sible
owing to the risk of producing abor- toms will develop in the earlier months,
tioii. Edgar slates that he dilated the in- The appearance of the first symptoms after
ternal OS in primiparse, curetted the cervi- the sixth month usually justifies the assumpcal
canal, scraped the cervix free from tioii that the disease has had its origin durerosions,
applied pure carbolic acid to the ing pregnancy and is nothing more than
cervix and canal and relieved the symp- the temporary disturbance of that condi-