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FERRY, N. S., M.D., 82

Fever, combined typhoid and malarial,

Fevers, potassium chloride in, 45
Fevers, the differential leucocyte count as
an aid to the diagnosis of, 586
Fibroma and pregnancy, diagnosis of
uterine, 263

Fistulæ, superior pelvi-rectal abscess as

a cause of extensive and obstinate, 528

"Fool friend, the," 266

Formulary, the Medical News pocket, 335

Fractures of the radius between the in-

sertions of the pronator muscles, the

treatment of, 99

Fractures, the treatment of, 167

Gall-bladder disease, some remarks on

the diagnosis and treatment of, 113

GALLOWAY, F. W., M.D., 561
Gelatin, subcutaneous injections of. 589
Genitals, abnormal development of, 473
Genito-urinary and venereal diseases and
syphilis, Taylor on, 559

Goitre, exophthalmic: resume of cases

and their treatment, 135

GOLTMAN, M., C.M.. M.D., 1, 138, 357

GREENE, RALPH N., M.D., 521, 525
Gynecology, atlas and epitome of opera-
tive, 222

Gynecology, Dudley's, 560

HALL, D. M., M.D., 360

HAPPEL, T. J., M.D., 287


Hay fever, the serum treatment of, 101, 594

HAYNES, E. E., M.D., 144

HAYNIE, W. R., M.D., 474
Health, the quest for, 267

Heart and circulation in pregnancy and
the puerperium, the, 44

Heart and its treatment, valvular disease

of the, 195

Heart disease, prevention of, 660

Hematoma of the nasal septum, double,

Hemophiliac, obstinate nasal hemor-

rhage following removal of a septal
spur in a, 576

Hemorrhage, fundal incidental and cer-
vical unavoidable, 66

Hemorrhage, with hystero-spasms, vica-
rious nasal, 100


Hernia, case of strangulated, 369

Hernia, origin of, 256

HOLDER, E. M., M.D., 233

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JELKS, JOHN L., M.D., 431

Kidney, studies upon the capsule of the,

KRAUSS, WILLIAM, M.D., 225, 450

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MAURY, JOHN M., M.D., 420

MAY, W. L., M.D., 473

MCCOWN, O. S., M.D., 89, 174
MCELROY, J. B., M.D., 509
MCGEHEE, J. L., M.D., 353, 505
308, 576

MCRAE, W. W., M.D., 18

Mechano-therapy, a text-book of, 336, 448

Memphis and Shelby County Medical

Society, proceedings of, 110, 162, 220,

273, 329, 383, 444, 499, 554, 612

Metabolism and nutrition, clinical trea-
tise on the pathology and therapy of
disorders of, 391

Medical annual, the international 221, 389
Medical dictionary, the American illus-
trated, 54

Medical epitomes, Lea's series of, 560

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Ophthalmology, Juler's, 222

Ophthalmology, modern, 446

Osteomyelitis of the spine and acute sup-
purative perimeningitis, acute infec-
tious, 252

Otitis in children, acute, 597


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RAINES, N. F., M.D., 141
RANDLE, E. H., PRÓF., 313

RAWLINS, JAMES S., M.D., 393, 630
RAY, W. D., M.D., 18

Reaction, a clinical study of the Diazo, 532
Rectum, ulcer of the, 464

Reflexes of nasal origin, abolished, 203
Refraction: normal and abnormal, 516
Rhinorrhea accompanied or not by syco-
sis of the upper lip, the bacteriology
of the nasal mucus in, 540

ROBINSON, W. S., M.D., 187, 472, 524

Roentgen rays in therapeutics and diag-

nosis, the practical application of the,

336, 503

Roentgen ray technique, practical points

in, 225

Telephone, the danger of infection which
lurks in the, 634

Testicle, castration for tuberculosis of

the, 482

Tetanus, Fourth of July, 325

Tetanus, report of a case, recovery, 239

Therapeutics, a system of physiologic, 280

Therapeutics, Hare's practical, 671
Throat and bronchial troubles, preva-
lence and cause of, 313

Throat, tertiary syphilitic lesions of the,


tuberculosis, 335, 390

Tuberculosis and heart disease, 583
Tuberculosis, bovine, 106

Tuberculosis, open air treatment of, 530
Tuberculosis, the early signs of pulmo-
nary, 658

Tuberculosis, the physical signs and the

sputum of incipient pulmonary, 585

Tuberculosis, the suppression of, 558

Tuberculous patients, what to send and

where to send them, 663

TURNER, B. F., M.D., 346, 460, 647

Typhoid fever, 340, 470

Typhoid fever in its earliest stages, dif-

ferential diagnosis of, 97

Typhoid fever, internal antisepsis in, 349

Typhoid fever on the heart and vessels,

on the late effects of, 196

Ulcer, indications for intervention in

gastric, 591

United States, medical education in the,

United States, suicides in the, 488
"Universe, riddle of the," reply to Er-
nest Haeckel's, 279

Urea-excretion in gout and lithemia,

Urethritis, treatment of chronic poste-

rior, 431

Urine, examination of the, 336, 616

Utero-ovarian artery, or the genital vas-

cular circle, 391

Uterus, cancer of the, the abdominal and
pelvic lymphatics, and their relation-
ship to, 103′′

Uterus, operative treatment of retrover-
sion of the, 323

Uterus, rupture of the, report of a case,

Uterus, tumor of the, the final results of

the Apostoli treatment in some cases

of fibroid, 441

Visiting list, the Medical News, 55, 672

Visiting list, the physician's, 50, 672

WALKER, D. A., M.D., 454
WATSON, W. T., M.D., 281
Women, a text-book of, 51

Wounds, streptococcic infection of, 29
Year-books, the practical medicine series
of, 335, 391

Yellow fever, some characteristics of

stegomyia fasciata which affect its

conveyance of, 317

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THE first deliberate attempt to cure chronic Bright's disease by a surgical operation was made by Dr. Geo. M. Edebohls, of New York, in 1901. The publication of the first series of cases by Edebohls was revolutionary, to say the least. In the spring of 1902 I was at Johns Hopkins Hospital and saw a young man who had had his kidneys decorticated four weeks prior to my visit, when he was referred from the medical to the surgical ward by Prof. Osler. This patient's normal weight was 120 pounds. At the time of operation he weighed 178 pounds 58 pounds waterlogged. When I saw him he was ready to leave the hospital, weighed 127 pounds, confessed to feeling well, and the urine, while not normal, was clearing rapidly. Strips of kidney tissue removed at the time of operation and examined confirmed the diagnosis of chronic parenchymatous nephritis. Scarlet fever in childhood was the probable etiological factor.

I also saw a girl of 15 operated upon by Prof. Halsted. She had had scarlet fever when seven years old, and was referred to the surgical wards, like the previous case, after everything

*Read before Tri-State Med. Assn. (Miss. Ark. & Tenn.) Memphis, Nov. 18, 1903 Vol. 24--1

had failed to relieve her in the medical wards, and this at the hands of Prof. Osler and his assistants. General dropsy was marked, the fluid literally pouring from the incised tissues. I watched this patient's progress for ten days, when she was passing almost twice the normal amount of urea, the albumin and casts continuing about the same as before the operation. I heard Professors Osler and Halstead talk these two cases over; they considered the results remarkable as far as they One month later Dr. Follis, the first assistant surgeon, writes: "The patient is doing well. Dropsy is disappearing; headache is gone, and she thinks she is very much improved; so do I. Albumin and casts are about the same."

Last spring, at the New Orleans meeting of the American Medical Association, the subject of renal decortication as a cure for Bright's disease received considerable attention at the hands of the surgical section. The opinion conservatively expressed by conservative men was, "There is something in the operation." Dr. McArthur, of Chicago, who had hitherto opposed the measure, related a case where he was almost compelled to do the operation by force of circumstances in a young girl after everything else had failed to relieve her in the medical wards of the Cook County Hospital. He conceived the idea of operating first on one kidney, and then, if ureteral catheterization should prove that the urine from the operated kidney was improving, he would operate on the other kidney. "The improvement," he said, "was remarkable," and after several weeks he operated on the other kidney, and again improvement was noted. Dr. McArthur closed his remarks with the words, "There is something in the operation.”

Armed with these facts, and coming face to face with an advanced case of chronic parenchymatous nephritis in a prominent business man of this city, with dilated heart and fast increasing dropsy which resisted every remedial measure adopted, I made bold to advise the operation, feeling that it was the only thing that promised any relief. Dr. J. M. Maury saw the patient with me and concurred in this opinion.

I took the patient, who is 50 years old, to New York. When eleven hours journey from our destination he suddenly went into collapse and spat up several mouthfuls of blood.

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