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Is invaluable in the surgical treatment of Bur- satti or summer sores, actinomycosis, fistulous withers, poll evil, trephining of the nasaj ^nd facial.si noises of the head, etc. In abdominal laparotomies a i or 2 per cent solution is very suitable for irrigating the ab- dominal cavity during operations. No toxic absorb- tion need be apprehended from the use of Creogen as is the case with Phenol or Hydrargri Bi Chloride. Creogen does not blacken surgical instruments, de- stroy their polish or injure their edg^e. As an anti- septic it covers the field of veterinary surgery in a most efficient manner. It answers equally well for the simplest as well as for the most complex and deli- cate surgical operations. If you are annoyed with cases of chronic psorop- tic, sarcoptic or symbiotic mange, or other forms of scabetic diseases of the skin among your equine, bo- vine or canine patients, that has previously resisted your best efforts to cure, a trial of Creogen will quick- ly convince you that it is without an equal for such dis- eases. There is no pharmaceutical preparation that will yield you larger dividends in your practice, than Creogen. Send for a sample. Its free. 1 gallon, $^-50» 5 gallons, $6.50, 10 gallons, $12.00, prepaid. W. J. HARTIN CHEMICAL CO., PHAR/VIACEUTICAL CHEMISTS, KANKAKEE, ILLINOIS. 10 SANMETTO A POSITIVE REMEDY IN DISEASES OF THE GENITO-URINARY ORGANS OF THE HORSE AJSTD DOO. Doctor, when vou have a Horse or Dog suffering from KIDNEY, BLADDER OR URETHRAL TROUBLE —Nephritis, Cystitis, Urethritis— OR FROM ANY IRRITATION or INFLA.nMATION of the URINARY TRACT —Frequent, Scant or Bloody Urine — ORDER SANMETTO Sanmetto U largely ttse^, viii + 804 pages. Price 85 oo. Dlaeases of Cattle, Sheep, Goats and Swine. By Prof. Dr. G. Moussu and Jno. A. W. Dollar, M.R.C.V S , F.R.S.E., etc. Stu- dents, teachers, and practitioners of veteri- nary medicine and surgery have demanded a complete but concise textbook on the subject. The past twenty years hive wit- nessed many important discoveries. The greatest minds in the world of bacteriology and pathology have been enlisted in the study of disetvses of cattle, and advances have been registered which it i- the object of the present work to set forth in the few- est and simplest terms. Size 6x954, 78s pages, 3»q illustrations and (4) four full oage plates. Price $8.7.s. Second edition, revised 0/ Handbook of Meat Inspection. By Prof. Dr. RoiiuRT OsTKRTAG, trans. by E. V. Wil- cox, A.M., Ph.D. Veterinary Editor Ex- periment Station Record, introduction by John R. Mohlkr, A.M , V.M.D., Chief of Pathological Division, U. S. Bureau of Ani- mal Industrv. The wo k is EXHAUST- IVE and AUTHORITATIVE because of Dr. Ostertag's extended and exceptional experience. It is altogether a book greatly needed and has ai once become the STAN- DARD authority upon the subject. Cloth, 6>ix9Ji,9J0 pages, 260 illustrations, x col- ored plate. Price 57.50. A Treitlse on the Parasites and Parasitic Diseases of the Domesticated Animals. By Prok. L. G. Neumann. Tran. and edit, by Gkorgk Flkminc, F.R.C.V S. etc. Sec- ond Edition Revised and Edited by Prof, Jamks .MacQukhn, F. R.C.V. S. Cloth. (>}i X ro. xvi + 698 pages, 365 illustrations. Price. «6.75. Catechism of the Principles of Veterinary Surgery. By VV. E A. Wvman, .M.D.V., V.S. Author of " The Clinical Diagnosis of Lameness in the Horse," " Tibio-Pero- iieal Neurectomy," translator of DeBruin's " Bovine Obstetrics," etc. Attention is called to the following points: It is ar- ranged in the form of question and answer, each quesiion being answered in a scien- tific and practical way. It deals exhaust- ively with tumors, a subject heretofoie ne- glected, and takes into consideration, thoroughly, American as well as European investigations, offering practical hints never before in print. Cloth, size 6x9, 317 page.s. Price I3.50. Thi'd edition (orersoo more pages) of the Manual of Veterinary Hygiene. Bv Vet- erinary Captain F. Smith, M R.C.V. S. Author of' A Manual of Veterinary Physi- ology. " Cloth, 5'/i x 7^, 1036 pages, 355 il- lustrations. Price $4 75. A Manual of General Histolog:y. By Wm. S. GoTTHKiL, M. D. Late Professor of Path- o ogy in the American Veterinary College, New York. etc. Second edition revised; cloth, 5'/x8; 152 pages, 63 illustrations. Price $1 00. The Veterinarian's Call Book 'Perpetual). • By RoscoK R. Bkll, D. V. S. Editor of the ''.\merican Veterinarv Review." Re- vised Edition for igo6. One volume, con- venient size for the pocket, bound In full flexible leather, with flap and pocket. Pri'-e $1.25. A Treatise on Epizootic Lymphangritis. By Captain W. A. Pallin, F. R. C V. S. Cloth. sK x8}4. 00 pages, with 17 full-page illustrations. Price {1.25. Cattle Tuberc'jlosis. By Haroi-i> Sessions, F. R. C V. S., etc. Second edition . The book formerly written in conjunction with Dr. Legge has praclicallv been re-written, as many fresh experiments have been made and so many new regulations intro- duced. Tuberculosis is one of the most se- rious diseases the community have to face. Size 5 X 7'^, vi + 120 pages. Price $1.00. Any of the above books will be sent prepaid for the price. Send for our New Complete Descriptive Catalogue. WILLIAM R. JENKINS, 851 and 853 Sixth Avenue, cor. 48th Street. New York. 12 (,05^ h (T ,. l^i AMERICAN Veterinary Review, EDITED BY PROF. A. LIAUTARD, Member of the Central Society of Veterinary Medicine (Paris), Honorary Fellow of the Royal College of Veterinary Surgeons (England), Foreign Corresponding Member of the Academy of Medicine of Bruxelles (Belgique). ROSCOE R. BELL, D.V.S., and ROBERT W. ELLIS, D.V.S. WITH THE COIXilBORATION OF Prof. W. J. COATKS, M.D.. D.V.S., New York- American Veterinary College. Prof. O. Schwarzkopf, D.V.M.. U. 8. Army. Prof. P. J. Cadiot, of the Alfort School, France. Prof. W. L. Williams, V. S., President New York State Veterinary H'dlctil Society, Ithaca, N. Y. Prof. S. Stewart, Kansaa City Veterinary Col- lege, Kansas City, Mo. M. H. McKiLLiP, M.D.,V.S.,ofMcKllllp Veteri- nary College, Chicago, 111. JoHH J. Repp, V.M.D., Sec'y A. V. M. A., PhUa- delpbla. Pa. Wm. Hkbbebt Lowe, D. V. S., President A. V. M. A., Pateraon, K. J. Prof. M. H. Rettnglds, University of Minne- sota, St. Anthony Park, Minn. Wm. H. Dalhymple, M R,C.V.S., Veterinarian Louisiana Agricaltural Experiment Station, Baton Kouge, La. D. ARTHUR HroHES. Ph. O , D. V. M., Govern- ment Inspector, East St Louis, 111. Prof Leonari) Pearson, Dean Vet. Dept, University of Penn.,etc., Philadelphia, Pa. L. A. .Merili.at, V. S., Chicago Veterinary Col- lege, Chicago, 111. D. E. SALMON, M. U.V., former Chief U. S. Bu- rean of Animal Industry, Washington, D. C. Prof. ViRANTS A. MoKUE. New York Stat* Veterinary College, Ithaca, N. Y. RICHARD P. LYMAN (Harvard), Hartford.Conn^ And several others. Volume XXIX. NEW YORK: PUBLISHED BY THE EDITORS, 509 WEST 153d STREET. 59774a 7. (5.. 5^ As ft \ » American Veterinary Review. Correspondents will please note the change in address of Dr. Roscoe R. Bell, from Seventh Avenue and Union Street, to jio East Second Street, Borough of Brooklyn, New York City. EDITORIAL. EUROPEAN CHRONICLES. Paris, France, February 15, 1906. What is Navicular Disease? What are the etiology and the pathogeny? These are the two important questions that are treated in a study published in Professor Leclainch^'s Revue by Mr. Pecus, Army Veterinarian, an indefatigable work- er, and a prolific writer on very interesting subjects. The answer to the first question I may be allowed to answer at some length ; that to the second more briefly. The definition given of this disease by French writers varies. For Cadiot and Almy, it is a synovitis of the navicular joint, complicated with tendonitis and osteitis. Lesbre considers that the osteitis of the small sesamoid is consecutive to traumatism of the perforans tendon sliding upon the sesamoid groove. An- other author thinks that it is an osteitis of the navicular bone with cartilaginous decortication, with wearing out of the ten- don and synovitis as sequelae. By others, again, the disease is classified as osteism or osteitis from ovtxviorV. {osteite de fatigue). Mr. Pecus considers it as a symptom of dry arthritis, and without giving the opinions of more authorities on this ques- tion, he says that from the above definitions it is clear that there is a great difference in the appreciation of the intimate essence of this affection, which was spoken of at the beginning of the I EDITORIAL. 19th century. At any rate, la^ng aside for a moment the ques- tion of the real etiology, Mr. P! asks: if, after all, the altera- tions of the navicular apparatus constitute the entire affection of navicular disease, and in answer says he does not believe it, and that he will show that this affection is always accompanied by polyarticular lesions, with peripheric and sometimes central vascular and nervous lesions, which are the evident imprints of the passage of a general infection of the organism. The observations that were gathered by Mr. Pecus, five in number, show that if the small sesamoid or navicular bone is affected with non suppurative chronic osteo-myelitis with dry tendo-synovitis, there are also in many arthrodias of the affected leg positive lesions of dry arthritis, which are not looked for, and yet have never been absent in the autopsies he has made. The following is the resume of those autopsies : Observation i. — A twelve-year-old horse, destroyed for fracture of the right humerus, shows lesions of right anterior navicularthritis, dry polyarthritis,, endocarditis on the left side. The polyarthritis involved almost all the articulations of the right fore leg. Obs. 2. — Mare, eleven years old, died with double pulmo- nary congestion. Navicular disease of both fore feet ; symmet- rical lesions of dry arthritis from the knees down, neurotomy of the right anterior leg. Obs. J. — Horse, six years old, destroyed because of anterior laininitis and navicularthritis. Myelitis and encephalitis ; dry arthritis of the four extremities ; aortitis. Obs. 4. — Horse, 11 years old, died of diaphragmatic hernia, with violent haemorrhage into the pleural cavity. Navicular disease of the four extremities ; generalized lesions of dry arth- ritis. Obs. 5. — Mare, 17 years old, severe navicularthritis, with fracture of the navicular bone. Disparition of the plantar ap- oneurosis ; insertion of the perforans directly on the small sesa- moid ; dry polyarthritis. EDITORIAL. S To resume : At the examination of all the joints of the ex- tremities of these five subjects, symmetrical lesions have been found in a greater or lesser number, reminding of the dry arth- ritis or chronic rheumatism of man, and among them those of the radio carpal, carpo-metacarpal, metacarpo and interphalan- geal, which we may say are always present in navicular disease ; and in their presence, concludes Mr. Pecus, one is justified in considering this disease of horses as a symptom of a general af- fection belonging to the great catagoryof the arthropathies, and peculiarly of dry arthritis as a mode of special termination of all species of chronic arthritis, be it of rheumatismal origin, due to traumatism, or resulting from an infection. * * * No ; navicular disease is not only an affection of the small sesamoid apparatus; the post-mortems just considered have shown that many other articulations will present symmetrical lesions which existed on subjects affected with navicular disease, and if these polyarticular lesions class navicular disease among arthropics it is evident that vasculo-nervous lesions must also be found in connection with them, as it is observed in man suffering with those affections. Let us see if there were : For arteries : they were evident. In Obs. 3 and 4 lesions of mesarteriitis and endarteriitis of the plantar arteries were well marked. For veins : In Obs. 2, 3, 4, and in another animal the dig- ital and plantar veins were found also more or less diseased, with endo, meso and periphlebitis. For nerves: those which had not been submitted to surgi- cal interference, had not been divided, showed lesions of sclero- sis of the interfascicular connective tissue — that is, perifascicu- lar neuritis. To resume : All the lesions met with in these observations of navicular disease can be gathered into two large groups : (i) Local lesions, of the navicular apparatus ; (2) general lesions, (a) polyarticular reminding of dry arthritis or chronic rheuma- 4 EDITORIAL. tism ; (b) vascular and nervous lesions which may be periphe- ral and sometimes central. Indeed, in the spinal cord of the subject of Obs. 3, the inferior longitudinal fissure of the cord had disappeared in some part. All the lesions had for charac- teristic that they were not only symmetrical on the anterior ex- tremities, but also on the hind legs, but in lesser degree. In relation to the etiology and pathogeny, the author enters into a long consideration and comparison of the nature of navic- ular disease, and the possible effects of general infection of the organism, and resumes his remarks by saying : We, then, will say that a first serious infection during youth may have left in the animal chronic inflammatory lesions, upon the bloodvessels and peripheric nerves and sometimes on large vessels and ner- vous centres ; also on the various arthrodias, on the bony mar- row of the navicular bone and sometimes on that of other parts of the skeleton. All those lesions of infection of an absolutely healthy animal, may occur in a predisposed, arthritic, herpetic, or on a low conditioned organism, such as may be produced by physical overwork, acute disease, distemper, pasteurellose, rheu- matism, etc., and then appears the manifestations of the affec- tion which in reality is but a symptom of non-suppurative chronic infectious osteo-myelitis, accompanied by dry tendo- synovitis upon the leg affected with vasculo-sclerosis of an ani- mal which has become or was born arthritic. In relation to the hereditary nature of the disease, Mr. Pecus, without solving the question, concludes on the necessity of excluding from reproduction all male and female subjects affected with navicular disease, no matter of what extent. * * Radium in Rabies. — Will radium, besides all the wonder- ful properties which we already know it to possess, enter into the domain of practical therapeutic use? is a question which seems to be justified, according to the notice printed in the Bulletin of the Academy of Sciences^ which I find recorded in the Semaine Veterinaire. It says : EDITORIAL. " Tizzoni and Bougiavanni have already mentioned the de- stroying action of the rays of radium upon the rabid virus when applied in vivo and in vitro. They complete and confirm their previous researches in a recent communication." The rabid virus, decomposed in vitro by an exposure of 4, 6, or 36 hours to radium, is transformed into an excellent vaccine, which, inoculated in the eye of a rabbit, in one-drop dose, con- fers to this animal immunity against the virus of a dog made by subdural injection. In vivo radium has also a powerful destroying power. A subdural inoculation made on a rabbit does not give it rabies, if the animal is submitted to the rays of radium for one hour during eight consecutive days. tVith animals inoculated for several hours in the eye or on the tract of the sciatic nerve, the curative effect of radium is most marked. The intensive treatment is very efficacious ; all the animals are saved if treated 48, 86, or even 96 hours after the subdural inoculation of Vtt c.c. of fixed virus diluted in bouillon. Even if the animal already shows a febrile condition, a loss in the initial weight, a marked weakening of the hind legs, a favorable result can be obtained, and from these results the authors conclude that treatment with radium rays will save an animal from death, even if rabies is already declared. Under the influence of the treatment the nervous symptoms will sub- side, the fever diminishes, and general improvement will take place, to be followed by recovery, while the control animal will die. These effects obtained by radium are not by vaccination or serotherapy, and, therefore, radiotherapy is more indicated than either of them. How Many Slaughtered Animals Can an Inspector Examine in One Day? — This is a question which has been discussed for a long time among German sanitary veterinarians, and no doubt will prove interesting for those of other countries. EDITORIAL. The Revue Gene rale reports from the Zeitschrift fur Fleisch und Milchhygiene the following extracts : Henschel, of the Berlin Abattoir, admits that in one day one inspector can examine 75 bovines, or 200 pigs, or 250 calves, or 400 sheep ; these figures can be increased by one-third or by one-half in cases of need. Falk, of Stettin, remarks rightly that it is difficult to give figures. The conditions of inspection are numerous. If the service is made by only one inspector, there will be bacteriologic or microscopic examinations which will take much of his time. Therefore, in this question, the only point in view must be the simple pure examination, without consideration of more precise observations to be made later. With new obligations imposed on the inspectors by new regulations, K. Muller, of Stettin, gives the following figures : 7 minutes for a bovine, 3 for a pig, i ^< for a calf, or for a sheep, 7 for a horse. Six hours of work only can be demanded of the inspector, with two rests of half an hour each. With those con- ditions the total of animals examined can be considered as fol- lows, providing the inspector has an assistant to take his notes : 52 bovines, or horses, 120 pigs, 240 calves, or sheep. Opel, of Cologne, allows only 3 minutes for a steer, i for a pig, 45 seconds for a calf, or a sheep. He also admits six hours of inspection, but gives three rests of half an hour each, leaving them only 270 minutes of effective work, which allow the inspec- tion of 90 bovines, or 270 pigs, or 360 calves or sheep. At Co- logne the inspector (veterinarian, of course,) has three assistants. According to Gohler, a veterinarian can examine in six hours about 75 bovines, 300 pigs, or 360 sheep or goats. Tu- berculous, measly, septic animals or those slaughtered by neces- sity are not included in these figures. Taking an average of those indications, an inspector ought to examine daily, say, 73 adult bovines, or 220 pigs, or 280 calves, or 340 sheep. I would be glad to hear from our inspectors in the large cities in the United States, and particularly from Chicago. EDITORIAL. 7 The Microbian Flora of the Nasal Cavities of Horses. — The presence of some microbes, pathogenous for man and for animals, has been made out in forages, in surrounding atmosphere, in the digestive canal, and in the respiratory tracts ; and the search for those microbes in the healthy organisms pre- sents, to the point of view of the pathogeny of diseases, a great in- terest. Many are those who have already entered into this line of investigation. Dr. D. de Angelis, working in the Labora- toire de Recherches of Alfort, has directed his in a field which he believes not yet explored, and has recorded under the title of " Microbian Flora of the Nasal Cavities of the Horse " what he has found. His observations were made on ten horses, aged between six and twelve years. The material to study was obtained with the greatest asepsy possible with metallic threads carrying a ball of wadding, which was afterwards placed in sterilized tubes. Cultures were then made immediately on proper media. The nasal cavities of horses are, of course, ex- ceedingly rich in microbes, and among the many were strepto- cocci, staphylococci, cocco-bacilli, Bacillus sublitis^ streptobacilli of various species and fungi. The streptococci and staphylo- cocci were found in the material obtained from the ten horses, and it is with them that the Doctor made his principal experi- ments on mice, rabbits, guinea-pigs, and horses. His conclu- sions are : (i) that in the nasal cavities of horses there are con- stantly one streptococcus and one staphylococcus which have no pathogenous power for small laboratory animals, but which are able to give rise in horses to the apparition of very character- istic local and general troubles ; (2) that by the morphologic or biologic characters, and the aspect of their cultures, these mi- crobes are identical with corresponding and already known pathogenous types ; (3) that repeated inoculations of their cul- tures to a horse docs not confer apparent immunity against the appearance of a local lesion nor of the general symptoms. The Use of Mallein as a Curative Agent. — A short while ago, in looking over the Review of August, 1905, my at- EDITORIAL. tcntion was called to a resolution passed at a meeting of the Minnesota State Veterinary Medical Association, which related to a circular sent out by the Pasteur Vaccine Co., in which the curative properties of mallein in glanders were claimed, and mallein recommended for treatment. The resolution first de- nounced the suggestions and claims of the P. V. C, and second- ly recommended that all members of the Association, "if any such have been misled by such advertisement into using mallein as a curative agent shall hereafter desist from using the same, inasmuch as it is detrimental and dangerous, and it is not to be recommended in practice." The eflFects of this and possibly other resolutions coming from veterinary societies could not be overlooked by the P. V. C. without concern ; and, as one of the results, I received the visits of the President and of the General Secretary, who came to explain to me what they thought the cause of the trouble. It seems that the redaction of the circular was due to the misinterpretation of an over-zealous representative of the company, who from the directions and documents he had received thought he was justified in stretching the facts so as to reach better results. I could not do otherwise than criti- cize the circular, and endorse to some extent the resolutions of my friends in Minnesota. I am happy to say that the offi- cers of the Pasteur Vaccine Company have recognized the error that has been committed, and the result will be the immediate issuance of an entirely revised circular, in which all allusions to the cure of glanders by mallein will be removed, and a very satisfactory addition made at my personal request, viz. : " as far as possible^ supplies of this article will be made to the profession only?^ * * * I think it is the moment or never to say "all's well that ends well." May I, however, in conclusion, make a few remarks upon the whole affair, which may serve to remove some of the severe effects that the Minnesota resolution may give rise to, and mod- EDITORIAL. 9 ify them. The qnestion of the curative powers of mallein have already been discussed here ; I have tried to keep our readers posted as to what had been done in Europe by Nocard ; our es- teemed collaborator, Dr. Schwarzkopf, has made known in the Review results which cannot be ignored. The writings found in European literature are speaking for themselves. Then what? What do we read in that superior work of Nocard and Leclainche, " Les Maladies Microbiennes," page 199 : "A com- plete cure is certainly possible at the beginning of the infection. The destruction of the bacilli and the cicatrization of the le- sions take place in some animals without any interference, and they are specially assisted by various medications, and principally by inoculations of mallein." At page 252 : "Mal- lein has*a curative action in certain forms of recent infection. Helman has obtained the recovery of a glanderous horse, and its complete immunization. Semner and Itzkvoitch have observed the recovery of a case of experimental glanders in a colt. Pila- vios, Bonome, Vivaldi, Jones, Schindelke, etc., have observed the cicatrization of glanderous lesions, or the complete recovery under the influence of repeated inoculations of mallein." And not in France only, but in Germany, Semner writes : " A first point is beyond doubt. Glanders may be cured under appro- priate treatment." In -the presence of such facts, is not the error committed by the P. V. C. excusable; and is it not another to ask all desist- ment in resorting to mallein ? Do not use it as a curative agent, no more than any other drug ; but do not ignore the value of work done by such men as those I have mentioned above. * ♦ * Answers to Correspondents. — A few answers to my pri- vate mail from America. Dr. Daniel Lemay : — I have received your note, and was un- able to answer it in my last " Chronicles " from want of positive information. Prof. Cognot, whom I met since, and to whom I presented your request, told me that the subject of the applica- tion of atnbryl in the treatment of wounds was still under ex- 10 EDITORIAL. perimental consideration, and that the apparatus was not yet in the market. It seems that it will take a couple of months before your request can be granted. Be assured that I will not neglect it. Dear Old Friend L. McLean: — Your letter arrived late, and the veterinary mouth speculum some ten days later. Your little circular and the plate adjoined to it told me of the instrument and of its advantages. As you say, it certainly commends itself to the profession for its simplicity and adaptation for almost all kinds of manipulations about the mouth. No doubt it will prove indispensable to many, and I can assure you I would have had it in my instrument box. There is no further fear for one to have his hands scratched, and attendants to sick horses, assis- tants, nurses, or stablemen, will certainly ask for a vest-pocket veterinary mouth sfteculum when giving a bolus to a sick horse. I showed the little jewel at the Soci^te Centrale this morning, and it met with great success. Dr. E. L. Lewis {Waxahachie^ Texas): — There are quite a number of veterinary publications here, but if you wish that which I think the best, it is that published by Prof. Leclainche, of the Veterinary School of Toulouse, H^ Garonne. If you will write to him, you can, for the sum of 15 francs, receive the Re- vue Generate de Medicine Vetcrinaire^ semi-monthly. You had better mention my name, or that of the Review. I am sure there will be no delay. I wrote to Prof. Leclainche to send you a sample copy. Dr. S. H. Ward {St. Paul, Minn) : — I have transmitted your request to Mr. Carre and Prof. Vallee, and they have prom- ised me to send you the publications on the subject. A. L. IS THE TICK TO GO? A strong movement is now on foot to secure the cooperation of the Federal Government and State authorities to put into operation the system that has been evolved by the long study of the life-history of the Bo'dphilus annulatus, which is almost a guarantee of its eradication from the cattle herds of the South- ern States. The subject of Texas fever was thoroughly and EDITORIAL. 1 1 intelligently treated in a long article in the March Review, from the pen of Dr. D. Arthur Hughes, who devoted a large amount of time to the collection of data from first hands, and placed his information and conclusions before our readers in that clear and decisive manner characteristic of all of his writ- ings. It is unnecessary here, therefore, to do more than to tell of the shaping of the means which are underway to set in mo- tion the machinery for the extermination of the etiological fac- tor in the great Southern scourge. A bill carrying an appropriation of $100,000 has been in- troduced in Congress by Mr. Ransdell, of Louisiana, and a meeting was arranged for with the Committee on Agriculture of the House, at which representatives of the Federal Depart- ment of Agriculture and a number of representative Southern men were present. These included Secretary Wilson, of the Department of Agriculture ; Dr. A. D, Melvin, Chief of the Bureau of Animal Industry; and Drs. Marlatt and Hunter, of the United States Bureau of Entomology. The delegation from the South was made up of Profs. H. A. Morgan, of the Tennes- see Experiment Station ; A. M. Soule, Virginia Experiment Station ; Col. R. J. Redding, Georgia Experiment Station ; Mr. Wright, Assistant Commissioner of Agriculture of Geor- gia ; Dr. Tait Butler, State Veterinarian of North Carolina ; Dr. Ferneyhough, State Veterinarian of Virginia ; Dr. W. H. Dalrymple, of the State University and Experiment Station of Louisiana ; Mr. August Mayer, Shreveport, La., and others. The importance of the subject was fully recognized by the com- mittee and the time allotted to the conference was extended to permit of a thorough discussion of the subject from all points of view. Each of the gentlemen was given a hearing, and Sec- retary Wilson, who was the last speaker, reviewed the subject in extenso, urging that the appropriation asked for be granted in the interests of the South, stating that large amounts of money had been given by Congress for the eradieation of animal dis- eases in other sections of the country, and it was their duty to assist the South to get rid of a condition which had for so long 12 EDITORIAL. been an incubus on her live-stock industry. As a matter of fact, Secretary Wilson pointed out that it was this very disease which gave Germany her first excuse to discriminate against meats from the United States. In a comprehensive and patriotic article in the New Orleans Picayune of March i, Dr. W. H. Dairy mple, one of the con- ferers referred to, reviews the entire discussion by Secretary Wilson, and points out a practical method to deal with the sub- ject. Concluding, he says: "We believe the cattle tick is doomed to extermination in the South. But it is a big prob- lem, and will require the most hearty cooperation of all con- cerned, viz., individuals, local and State authorities, and the National Government, through its Department of Agriculture. Let us all get to work ! American ingenuity, pluck and prog- ress cannot be thwarted by a problem of this kind, however large it may appear. It is possible of solution with uniform effort. Let us get at it ' all together.' " Later information foreshadows the passage of the enabling Bill, and when it does pass the money will become available at once, so that the Department may send its experts into the field without delay to begin a campaign of education among stock- men as to how to get rid of ticks as early as possible. When this great task shall have been accomplished the American veterinary profession will have added another bright diamond in the diadem which it has been fashioning ever since the Bureau of Animal Industry was created. Pleuro-pneumo- nia, foot-and-mouth disease, dourine, Texas fever (?) ! Will tuberculosis fall under the educational batteries of the modern veterinarian ? "THE JOURNAL OF TROPICAL VETERINARY SCIENCE." We have received the first number of the above quarterly journal, published at Lahore, India, and edited by H. T. Pease, M.R.C.V.S., etc., Principal of the Punjab Veterinary EDITORIAL. 13 College, Lahore ; F. S. H. Baldrey, F.R.C.V.S., etc., Professor of Sanitary Science in the same school, and R. E. Montgomery (on special duty for the British Government investigating the diseases of camels). The editorial introduction, explanatory of the field which It desires to cover, is as follows : " The investigation of the diseases of animals in tropical and sub-tropical countries has assumed such magnitude of re- cent years, and its vital importance in connection with the welfare and progress of the British Empire has become so widely recognized, that we feel no apology is needed for the publication of a periodical dealing with a subject that has ac- quired the dimensions of a special study and almost, if such were ever possible, that of a science apart " It is now above a quarter of a century since the late Pro- fessor J. H. Steel, recognizing the demands of the times and foreseeing with a foresight characteristic of the man the re- quirements of the future, instituted the Quarterly Journal of Veterinary Science in India. This was in the infancy of the era of tropical research, at a time when Veterinary Surgeon Griffith Evans published his observations on the first known pathogenic trypanosoma, and Laveran made known the discov- ery of the parasite of malaria. " One has only to glance over the scientific publications of the present day to appreciate the strides that have been made in the advancement of our knowledge of the Tropical diseases of man and animals, and to recognize how inseparable is one from the other ; the further the research the more intimate becomes the union. Trypanosomiasis, spirillosis, piroplasmosis, anchy- lostomiasis, bilharziosis, filariasis and many others, are affec- tions common to both, research into the nature of which is of importance to veterinarians and medical men alike. "During the last two decades public attention has gradually, but none the less surely, been directed to this most important branch of social economy, until at the present time it has been found imperative for every Dependency and Colonial Posses- sion to maintain a veterinary staff for the investigation of the indigenous stock diseases. " This brings to our mind the question, is there in reality any disease of animals confined geographically to any one coun- try in the world ? What is more widespread than Texas fever. 14 EDITORIAL. or to be more exact bovine piroplasmosis ? Every year the names of new countries have to be added to the already long list of those invaded. Perhaps we might make an exception in the case of South African horse sickness and a few diseases of a simi- lar type, though it remains to be seen how many years will elapse before an identical condition, differing perhaps somewhat in virulence or receptivity, is diagnosed elsewhere. How many suspected the presence of dourine in this country five years ago ? All knew that they were dealing with a serious disease, but few associated it with what was supposed to be confined almost en- tirely to Algeria. The same is true of others recently detected — haeinorrhagic septicaemia, white scour, etc. May it not be equally so of many other conditions which we are told do not exist in India? How are we to know? Those of us who make India the country for our life's work have but little opportunity of gaining a personal experience of the diseases most prevalent in other climes ; we have to depend upon the word pictures given by our confreres beyond the seas, whose excellent and valuable reports for the most part remain hidden from our sight, are found embodied with a mass of statistical figures irrel- evant to the subject at the conclusion of an Official Blue Book, or published in a language which may not be known to the or- dinary worker, and only accessible to a very small majority of those veterinarians in other countries to whom the work would frequently be of inestimable value. " This condition of afiFairs does not tend to widen our knowl- edge of the diseases of animals, and their geographical distribu- tion, or to prepare those of us whom the exigencies of the Ser- vice may remove elsewhere, for the due appreciation of the pathological states prevailing in the new sphere. " It is with the object of providing a means for the bringing about of that international interchange of ideas demanded by modern research, and of affording a medium for the publication of articles dealing with veterinary pathology and the allied ■sciences, as met with in all tropical and sub-tropical countries, that this journal is instituted. It is earnestly hoped that all in- terested in the subject will further this object by communicat- ing the results of their inquiries to us for publication." The Journal is well gotten up, in arrangement and typo- graphical excellence, and the contents of the first number are interesting and valuable. The leading articles are : " A New Species of Trypanosoma Found in the Blood of Rats, together EDITORIAL. 15 with a New Metrical Method of Standardizing the Measurements of Trypanosomata," by Prof. A. Lingard, Imperial Bacteriolo- gist to the Government of India ; "Observations on Bilharziosis Among Animals in India," by R. E. Montgomery, M. R. C. V. S., I. C. V. D. ; " Some Observations on Normal and Rinderpest Blood," by Captain F. S. H. Baldrey, F. R. C. V. S., etc.; "Tibarsa Surra — Trypanosomiasis in the Camel," by H. T. Pease, Principal Punjab Veterinary College ; " Through What Agency is the Trypanosoma Evansi Carried Over from One Surra Season to Another," by Prof. Lingard. These leading articles are well illustrated, some in colors, and constitute splen- did contributions to our rapidly developing knowledge of tropi- cal diseases. In " Notes and Extracts," which complete the number, we observe that two articles from the Review of last July are given place, viz.: Dr. M. J. Myers' " Diseases Prevalent in the Philippine Archipelago," and Dr. Dalrymplt's notes on "The Tick Theory." To all who are interested in tropical diseases (and what veterinarian is not?) we cordially commend the Journal of Tropical Veterinary Science^ subscriptions to which should be forwarded to Messrs. Thacker, Spink & Co., Calcutta (price 17^. 6v A. I.iautard. M H., V. M.. from the Rn'ue Vittrinaire. Ig CH. BESNOIT. observations and from the minute study of the classical descrip- tions and from the classical documents recorded in our profes- sional journals, have for object to show the importance and the difficulties of the differential diagnoses of these various lesions, and to present as far as possible their essential elements. COMMON SYMPTOMS. Division. — Although identical to themselves in their general outlines, ventral hernias of bovines have, however, some differ- ential characters, according to the causes which have produced them. To this point of view, they must be divided into trau- matic and spontaneous. The traumatic are due to the crushing action of blunt ob- jects upon the stretched muscular abdominal walls, such as kicks, horn blows, falls, etc.; they are called recent or acute when they have existed but a few days, and old or chronic when of two or three weeks' standing, the local inflammatory symp- toms of the first stage having subsided. Spontaneous hernias develop by themselves, without exter- nal violence. According to some, they are due to excessive and long distension of the abdomen, as by repeated or gemellar pregnancies, by hydramnios, ascites, etc., among old and worn out animals ; for others it is the exaggerated weight of the di- gestive organs in heavy feeders ; and finally with others (Moussu) they must be attributed to atrophying nutritive trou- bles of the abdominal walls due to unknown causes. However this may be, under any of these influences, the abdominal mus- cles become distended, emaciated and thinned, the weak mus- cular fibres, pulled apart, separate, are torn, and a fissure is the result ; this, little by little, enlarges, becomes a slit, and soon through it abdominal organs pass and locate under the skin. Acute Ventral Hernia. — During the hours following the traumatism, the accident is indicated by the appearance, at any point of the abdomen, of a swelling, varying in size from a fist to a man's head. This swelling appears suddenly, immediately after the blow, and develops so rapidly that in a few hours it VENTRAL HERNIA IN BOVINES. T9 has reached serious dimensions. On the spot the hairs are sometimes off, or there are marks of superficial excoriations, in- dications of the original cause. To the touch, the lesion seems slightly painful, not hot, somewhat fluctuating all over ; it is soft and pufFy, or again tense and rather elastic, according to the seat it occupies and the time of digestion. Taxis permits of a quick reduction of the protruding organ, and in the centre of the enlargement is then felt the tear in the abdominal wall, whose exact dimensions can be appreciated, through the skin, by the introduction of several fingers or of the entire hand. After twenty-four hours the characters are changed ; local and general phenomena of reaction occur. On a level with the lesion and at its periphery there appears a large oedema, which manifestly interferes with the explorating manipula- tions, and rapidly spreads in thickness and in superficies, prin- cipally downwards. This reaches its maximum of dimen- sion towards the fourth or fifth day. At that time the thick- ness is such that attempts at reduction and exploration of the hernial opening are nearly impossible. At the same time, the appetite fails, the temperature rises, some tenths of a degree, indicating fever, which is often very slight and even some- times missing. After five or six days the symptoms diminish in severity. Gradually the oedema is reduced from upwards downwards, and has completely disappeared between the twelfth and fourteenth days, seldom later. The fever, when it exists, subsides, appe- tite returns as soon as the progression of the local symptoms has stopped. Then, free from the oedematous swelling which surrounded it, the lesion can be explored easily ; it has all the characters of old or chronic hernias. Chronic Ventral Hernia. — In this form the hernia is mani- fested by a soft, elastic, or semi-puffy tumor, fluctuating, indo- lent, without oedema on its surface or in its periphery. Redu- cible at first, it may remain so indefinitely. In Other instances, the organs which form it contract adhesions with the internal face of the cutaneous sac, and then it becomes irreducible. The 20 ^H. BESNUIT. hernial opening is easily felt, especially after the reduction. It is manifested by the presence through the abdominal walls of an indurated ring, thick, fibrous, resisting, which surrounds the base of the protruding mass. Besides, the tumor increases in size after meals ; but, however, this sign may be concealed and overlooked when the hernial opening is of small size. Finally, the general condition is as satisfactory as possible ; digestive functions, principally, are performed regularly. The hernia grows more or less rapidly. After several months, it may have reached enormous proportions. Adenot has seen a ventral hernia measuring 0.70 centimetres in length and im.07 centimetres in width. I have myself often seen ven- tral hernias dropping down to the hocks, and which were more than 0.80 centimetres in length and in width. In those cases the hernial cavity, in free communication with the abdomen, contained a large portion of the abdominal organs ; in them were found principally a large portion of the rumen, almost the entire intestinal mass, and even a gravid uterus in its entirely, when the female was pregnant. When developed in the neigh- borhood of the udder, these large hernias slip under it, and push it upwards. The organ is then displaced obliquely or vertically, and rests upon one of the lateral faces of the hernial tumor. (Fig- 3-) When of little size, ventral hernias are compatible with life, and even permit of working or fattening of the animals ; but when large, they, with time, give rise to digestive troubles which bring on loss of flesh and marasmus, prevent the animal from working, render it unfit for the butcher, and oblige the owner to send it to the knacker. spontaneous Vetitral Hernia. — Under this form, ventral hernia takes from the start the characters of a chronic type, but its evolution is different. Marks of traumatism, local and general phenomena of reac- tion, oedema and fever, all are missing. Without appreciable cause, at a given time, lliere appears, on the inferior abdominal wall, a small swelling, soft and flue- VENTRAL HERNIA IN BOVINES. 21 tuatin^, elastic or puffy, more or less elongated and reducible, thanks to a hernial opening quite large and evenly elongated. First of little importance, the hernia enlarges, slowly, but grad- ually and regularly, especially during gestation, by pressure and the passage of the foetus through the slit of the abdominal muscles. During that time the animal loses its appetite, and gradually becomes thin. After several months, in consequence of the excessive increase of the hernial opening, whose edges are no longer easily detected, the lesion has reached consider- able size : there is almost no longer any separation between the abdominal and the hernial cavities, and the largest portion of the abdominal contents is directly lodged under the skin. At this advanced period, the general condition suffers. At first the animal becomes, dull, has no appetite, no rumination, and the respiration is irregular ; then diarrhoea sets in, rapid ema- ciation and marasm follow ; finally, after a long period of permanent decubitus, the animal dies, or has to be killed by the knacker. DIFFERENTIAL DIAGNOSIS. The preceding description of the symptoms and mode of de- velopment are in general sufficient for a summary diagnosis. It is, however, proper to be able to be more precise : (i) to fix the characters which permit us to distinguish the different varieties of ventral hernias ; (2) to look into the elements of the differ- ential diagnosis in doubtful cases when confusion with other lesions of similar appearance might be possible. A ( i) Hernia of the Rumen. — This variety is not observed in very young animals, on account of the small size of the gas- tric reservoirs at that time of life. Its seat is almost exclusive- ly on the left side, downwards or in the middle region, towards the hypochondria. Often, even after the disparition of the oede- ma of the first stage, it is not well defined in its periphery and remains poorly diffused. The alimentary mass that it contains renders it puffy to the touch. Reduction by taxis is possible, at least during the first weeks; but it is always difficult, and if 2i CH. BESNOIT. the hernia is a little large and heavy, it is often necessary to have the animal cast and placed in the right lateral or in the dorsal position. In this case also the rumen descends, leaves the superior part of the abdomen, and the hollow of the flank is much marked. Finally, percussion gives a dull sound and auscultation fails to reveal any abnormal sound, (2) Hernia of the Intestine. — This hernia can be observed during youth ; yet it is more frequent in adults. It is general- ly admitted that its seat is on the right side, but, as will be seen further on, this rule is subject to numerous exceptions. It is met with the same frequency in all regions of the abdominal walls ; and even, exceptionally, on the thoracic wall, at the level of the hypochondria, by perforation of the intercostal muscles and of the diaphragm (Cadiot and Almy, and Guittard) ; indeed, it is known that in cattle this last muscle is very concave and inserted further than in the horse on the cartilaginous circle of the hypochondriac region, and that, besides, pushed forward by the large weight of the stomachs, it lays quite intimately on rather an extensive surface of the internal face of the thoracic walls. The tumor which is formed by the hernia is soft and elastic, with, sometimes, puffy or hard spots disseminated in its thickness, which are due to the presence of small alimentary masses. With rare exceptions, reduction is possible by simple taxis and without throwing the animal ; it is easier to reduce it when it is located low than when it is high, but in these last instances the return of the trouble, once it is reduced, is less rapid. Percussion gives a more or less tympanitic resonance, and auscultation perceives borborygms or gurgling noises, which are more marked and often become very loud during and im- mediately after the manipulations of the reduction. (3) Herniaofthe Abomasum. — Hernia of this organ is rare. Firmly attached to the right sac of the rumen, it is displaced with difficulty. It appears more frequently in sucking calves than in adult animals. This is due to the enormous size of the abomasum and its more intimate contact with the abdominal walls during the first periods of life. However, it is not excep- VENTRAL HERNIA IN BOVINES. 23 tional in adults, as it is proved by the numerous observations of Deguilhem, Serres, Dandrieux, Guittard, and Delsol. It is con- stantly located on the inferior part of the right flank, although Guittard has recorded one case where it was in the left flank. Considering the position and the normal relations of the aboma- sum, resting on the right sac of the rumen, it is difficult to un- derstand the possibility of such location, unless by an anatomi- cal abnormality. It develops ordinarily back of the hypochon- dria, a few centimetres from it ; in adults, where the organ is less developed and lodged more deeply in the concavity of the diaphragm, it may also appear in one of the last intercostal spaces (Deguilhem). Always rather of small size, it has seldom more than 15 to 20 centimetres in diameter ; when it is larger, it is because the hernia is mixed and that by a free tear in the flank the abomasum and some intestinal circumvolutions have escaped (Dandrieux). Then the intestine forms the essential part of the tumor, and the dominating symptoms are those of hernia of the intestine. It is almost always elongated and often piriform. To the touch it feels soft, fluctuating, and gives the sensation of syrupy or pulpous contents, due to the specific na- ture of the food in the abomasum, milk or chyme. The hernial ring, elongated and sometimes elliptical, is her- metically closed by the protruding organ widely spread around it. Reduction is easy, but requires pressure of the whole mass, with both hands, on the whole extent of the tumor, from its summit to its base. Return of the trouble occurs rapidly and takes place as soon as the taxis ceases. Percussion gives a dull sound ; auscultation reveals no special noise. (^) Hernia of the Rumen on the Right Side. — The rumen being located in the left flank, it is comprehensible that, as we have already said, hernia of this organ should ordinarily occur on that side. Exceptionally, however, it may develop on the right, but then it is necessary that : (i) the rumen be largely distended by the food the animal has just taken, so as to take intimate contact with the right abdominal wall, and (2) that the 24 CH. BBSNOIT. hernial opening should have large dimensions. In those condi- tions the exit of numerous intestinal circumvolutions always accompany that of the rumen, and a mixed hernia is the result. This is always of very large size and by its characters remind one both of the hernia of the rumen and that of the intestine. It is dififuse, not well defined, still less than in case of left hernia, especially towards the upper part. It is soft, fluctuating, or elastic in the parts corresponding to the intestinal loops, harder and more puffy with the rumen. Reduction by taxis is difficult, if not impossible, and must always be attempted in the decubital position. The puffy regions do not give any noise on auscultation, while borborygms may be heard over the intestines. f fj Intestinal Hernia on the Left. — The seat for intestinal hernia is on the right, where it may occupy any region of the abdominal wall, from the linea alba to the hollow of the flank. It may, however, although it is true much more rarely, be met with in the left flank ; but then it exclusively occupies the lower regions, under the rumen, in the neighborhood of the udder or between this and the fold of the stifle. It may be simple, alone, or associated with hernia of the rumen. In the first case, it is formed through an opening suf- ficiently large to allow the exit of the intestine, but too small to let the rumen pass ; it then offers all the classical characters of the right intestinal hernia. In the second case, it is developed by the passage of the rumen and of the intestine through a her- nial opening, primitively large or progressively enlarged by the pressure of the gastric reservoirs, the intestine passing under the rumen to become in relation with the left inferior abdominal wall. The characters of that hernia are those of the mixed her* nia on the right. I have observed several cases of intestinal hernia to the left, and figures i and 2 show two of them. Cow No. I had a simple intestinal hernia, measuring 70 cen- timetres in length and 45 in width, about ; it occupied the en- tire lower region of the abdomen, from the stifle and udder to the sternum. It had developed through a small opening situated VENTRAL HERNIA IN BOVINES. 2fi Fig. 1. Intkstinal Hernia. immediately below the fold of the stifle, in which were engaged numerous circumvolutions of the small intestine and a few from the colon. The rumen was not displaced. The diagnosis was easy, the lesion presenting all the classical signs of intesti- nal hernia. Fig. 2 shows an intestinal hernia to the left, mis- taken for an abscess. We will consider that case further on. Fig. a. Lkft Intkstinal IIkknia and Absckss. (6) Uterine Hernia. — Also called hysterocele. It is fre- quent in old cows and develops, during gestation, at thepostero- 26 CH. BESNOIT. inferior region of the abdomen, on either side, but oftencr on the right than on the left. It is large, and presents all the as- pects of big intestinal or mixed hernias. Inguinal, the diagno- sis is easy, but sometimes is complicated with the presence in the hernial sac of numerous intestinal circumvolutions mixed with the gravid uterus. Hysterocele is characterized by a regular and constant in- crease of the tumor, which often reaches fabulous proportions. Besides, methodical exploration reveals the presence of a foetus in the hernial sac ; by palpation some hard and movable parts are felt; auscultation discovers the cardiac sounds, if gestation is advanced, and careful watching may sometimes detect the motions of the fcetus. At any rate, the rather frequent pres- ence of the intestine with the uterus in the hernial sac is indi- FiG. 3. Intkstinal AND Uterine Hernia— Post-Partum. cated by greater fluctuation and by borborygms through auscul- tation. Fig. 3 represents a mixed hernia of the uterus and of the small intestine, on the left side, immediately after delivery. Fig. 4 is that also of a mixed hernia, but before delivery, in the eighth month of gestation : it is bilateral, more voluminous on the right than on the left side. B ( r) Abscess. — Two cases may occur that we will consider VENTRAL HERNIA IN BOVINES. 27 successively : a ventral hernia may be taken for an abscess or vice versa an abscess of the abdominal walls may be taken for a ventral hernia. (a) Ventral Hernia Taken for an Abscess. — The error is possible and even quite easy under some circumstances. First of all, the hernia at the start gives rise to the appearance of local inflamma- tory phenome- na similar to those of ab- scess ; they may be sufficient to deceive. In the second part, the hernia may co- exist with an abscess. Wheth- er it develops consecutively to the inflam- mation of the contents of the hernial sac (Bouley) or, on FiC 4. INTKSTINAL AND UTERINE HERNIA ( Ante-PaRTUM). t h f POntTflrV has been primitive and has become complicated with hernia by the work of suppuration of the abdominal wall. In the first case, the error is possible but exceptional. It can occur only at the beginning of the trouble and cannot last beyond the time necessary for the resorption of the oedema and of the exudates — that is, more than five or six days. It is due to the detection of a swelling, which is hot, painful, oedematous, principally fluctuating, giving rise to slight febrile reaction. The fact that there is no increase in size after meals, that the tumor cannot be reduced, the absence of a hernial opening, and, above all, the progressive, quick, and relatively considerable increase of 28 CH. BESNOIT. the lesion will almost always insure a diagnosis. In the doubt- ful cases it will be sufficient to wait five or six days to see all the signs of local inflammation disappear. If, finally, one can- not wait, an exploring puncture and rectal exploration will give precious information. The puncture made with a fine sterilized trocar is without danger, and will reveal the nature of the contents of the hernial sac — pus or food. For the rectal exploration it will, if the seat of the lesion can be reached with the hand, reveal the presence of the perforation through the muscular structure of the abdomen. An example of this error of diagnosis has been related by Deguilhem. It was a tumor formed on the level of one of the last intercostal spaces, about the size of a fist, hard on its bor- ders, fluctuating in its centre, and irreducible. With such char- acters an exploring puncture was indicated, as it would have prevented the opening of this supposed abscess and the serious sequelae which would occur from that unfortunate surgical in- terference. In the second case, the diagnosis is more delicate. When the hernia is associated with an abscess, the characters belong- ing to this one are first mixed with those of the hernia, but after a few days they are more prominent than them ; tliey con- ceal them. Error is then easy, not only at the beginning, but also beyond the period of local reaction of hernias, as even at that time the characters of the abscess are not clearly appreci- able. Nevertheless, when an exploring puncture shall hav-e re- vealed the presence of pus in a tumor of the abdominal walls, the possibility of a hernia co-existing with the abscess must al- ways be admitted and prudent action indicated. Yet, in some cases, a slight increase in the size of the tumor after meals, a quick and important progress in the lesion and in the most for- tunate circumstance, the constancy of the hernial opening, by taxis or rectal exploration, will render suspicion of the nature of the accident and finally insure the diagnosis. Examples of mistakes of this nature are numerous. To men- tion only a few, I will relate briefly those of Ledoyen, of Dela- VENTRAL HERNIA IN BOVINES. 29 marre and of Daprey. The cow observed by Ledoyen had on the flank, since the previous day, a swelling as big as two fists, and consecutive to a blow from the horn of another animal. First taken for an haematoma, the tumor soon changed in characters, progressively increased in size, became fluctuating in the centre, with thinning of the skin, and then was considered an abscess. Puncture gave escape to pus and to an intestinal loop. Surely the diagnosis was delicate ; yet the rapid and enormous increase of the tumor, notwithstanding the well-marked signs of abscess, ought to have created suspicion of the co-existence of hernia with the abscess. . . . Delamarre has reported two cases of premammary intestinal hernia, one primitive, the other consec- utive to an abscess of the same region, punctured and emptied six weeks before. Puffy and fluctuating, these tumors A\ere taken for abscesses, and erroneously punctured. Their peculiar situation, immediately in front of the udder, and their clinical characters, are sufficient to explain the error of diagnosis. . . . Daprey has also mentioned five cases of intestinal hernia of the flank wrongly considered as return of abscesses opened and re- covered for several weeks. These last observations show with what circumspection one must act before deciding in a case of apparent abscess of the abdominal walls, even and especially when the lesion is located about the udder. Among several personal examples, I will again mention on this same subject the following case : A worn-out cow (Fig. 2) brought to the school for surgical exercises, had, on the lower part of the left flank, a tumor, rather elongated and about the size of a decalitre. It was hard, very adherent by its base to the abdominal walls, irreducible, and besides with detectable hernial opening. Above and back of it there was a fluctuating point which accidentally ulcerated, during one examination of the animal. Quite a large quantity of pus escaped. The cow was not in calf ; the hollow of the left flank was not dropped and the tumor did not increase in a sensible manner after meals. We discarded at first the supposition of a hernia of the rumen or of the uterus, to admit simply that of a large abscess. Al- 30 CH. BESNOIT. though the irreducibility of the tumor and its hardness on one side, and on the other the rarity of intestinal hernia in the left flank, rendered the existence of this last lesion rather doubtful, we thought of the relative frequency of cases where the two ac- cidents co-exist, and we decided to resort to an exploring punc- ture. This gave escape to an alimentary substance, and we came to the conclusion that both an intestinal hernia and an abscess co-existed. The post-mortem confirmed this diagnosis, and showed that the great hardness and the irreducibility were due to the fact that, instead of being lodged directly under the skin, the intestinal circumvolutions had slipped between the various muscular layers of the region, which thus contributed to a certain degree to the formation of the walls of the hernial pouch. (b) Abscess Taken for a Ventral Hernia. — Abscess of the abdominal walls, especially if of rather old date, are some- times manifested by local phenomena of reaction, badly mark- ed, more or less attenuated, and whose precise meaning is not understood. In this case a hernia may be suspected. But if, in those conditions, error is easy and more frequent than in the preceding instances, it is also very much less serious. Indeed, either the diagnosis being doubtful, one will wait in expectation and the abscess will open of itself, or again a surgical section will be resorted to, which will be a fortunate one, as it will in- sure a hasty escape to the pus, and realize a more rapid recovery of a benignant accident. Exploring puncture, followed by free incision, with methodic and prudent exploration of the cavity of the abscess, constitute the most precious means of diagnosis. As an example, I will recite the following personal observa- tion : A cow (Fig. 5) has for several weeks had on the middle region of the left flank, immediately back of the hypochondria, a tumor, due to a traumatism. At first small, it has rapidly in- creased in size, little by little descending into the lower parts, so as to reach to the mammae. The veterinarian who treated her, after a few days of observation, concluded that it was an incurable hernia of the rumen, and sent her to the school for the surgical class. VENTRAL HERNIA IN BOVINES. 31 Fig. 5 — ABSChss ..1 na. Flank nia (uterine or intestinal) When I saw the animal I observed the presence, on the left infero-lateral part of the abdomen, from the cord of the flank to the premammary region, of a large irregular tumor, bosse- lated at some points of its sur- face, more prominent towards the middle part of the flank and immediately in front of the udder. It is hard, except at the most prominent parts, which are fluctuating. It does not en- large after meals ; is irreduci- ble and painful, especially at the fluctuating spots. All these characters make us throw aside the idea of a ventral her- There is no need to think of an abdominal cyst, as the characteristic and extensive fluctuation is not present. Notwithstanding the enormous dimensions o{ the tumor, we concluded that it was a large abscess, primitively developed on the flank, and having made its way towards the lower regions, to finally reach the premammary region, where a new purulent collection had formed. Exploring punctures made on the fluctuating spots confirmed the diagnosis immedi- atelv. The abscess was opened, freely incised in front of the udder, and seven or eight litres of pus escaped. In exploring the cavity with the finger first and then with a probe, a fistulous tract was traced which ran up the superior part of the flank, where a counter-opening was made. Drain tubes were put in place, and after six weeks, with antiseptic injections, cauteriza- tion of the fistulous tracts, etc., the cow was returned to her owner entirely recovered. Omphalo-Phlcbitis. — In calves hernia of the abomasum is not absolutely rare. We have seen it, located on the inferior ab- dominal wall, near the linea alba, between thi.s and the inferior part of the hypochondria. Then it is situated not far from the 32 CH. BESNOIT. umbilicus, and can be, at the beginning, at the period of inflam- matory reaction, mistaken for oniphalo-plilebitis or for abscesses around the umbilicus from umbilical infection. In such cases, any surgical interference must be very cautiously resorted to. A.t any rate, the elements for the differential diagnosis are about identical with those that we have mentioned in cases of simple abscesses of the other regions of the abdominal walls. The in- crease in size after meals, reducibility of the lesion, the existence of more or less elongated hernial opening, and in doubtful cases the result obtained by an aseptic exploring puncture, will insure the diagnosis of the hernia. (j) HcBmatoma. — Any violent contusion may give rise to the formation of an haematoma, a liquid tumor constituted by the escape of blood in the subcutaneous cellular tissue. The traumatism lacerates or destroys the connective tissue, while at the same time it produces numerous vascular ruptures, followed by bloody or sero-bloody important infiltration. Soon the es- caping blood collects in the lacerated parts, separates, pushes away and raises the teguments, coagulates more or less com- pletely, and the bloody tumor is formed. Developed on the abdominal wall, this lesion may be taken for a ventral hernia, at a superficial examination, on account of its situation, its form, its size, which sometimes is enormous, or of the fluctuation which characterizes it, and the slightly indu- rated zone which soon surrounds it. Yet it is quite easily differentiated from it, at least in the beginning, by the crepitation that it gives and which consti- tutes a pathognomonic sign. This crepitation gives a sensation somewhat analagous to that felt in squeezing a piece of lung tissue : it is due to the crushing under the pressure of the fingers of the clots of blood accumulated in the cavity of the haematoma. According to the importance of the coagulation within the cav- ity, the crepitation may be generalized to the entire tumor or only localized to the deep parts and associated with the fluctua- tion. And, besides, the tumor is irreducible and does not increase VENTRAL HERNIA IN BOVINES. 38 in size after meals. Moreover, it is soft, very depressible, and nothing is easier than to observe the absence of the hernial sac ; the peripheric induration cannot be mistaken for it ; and, at any rate, rectal examination would, in most cases, reveal the integ- rity of the abdominal walls. Finally, if some doubt still re- mains, an exploring puncture will settle the diagnosis by allow- ing the escape of pure blood or of bloody serosity. Later the lesion disappears by slow resolution or undergoes cystic transformation, when it assumes all the characters of large serous collections. Confusion between haematoma and ventral hernia is not exceptional. We have already mentioned the case of Ledoyen relating to a cow having a tumor on the flank, with wide base, quite well defined, hot, painful, and not depressible, taken at first for a bloody tumor, but in reality due to the association of an abscess with an intestinal hernia. Fig. 6 represents an enormous haematoma of the middle re- gion of the right flank in a cow brought to our clinic. The lesion was a little hard and tense, but uniformly fluctuating and slightly ,T^ * __ crepitating in its deep parts. On ac- i f j||L count of its large size and of its M ^ y* stretched condition, it was difficult to y < \ ■ depress ; attempts at reduction as well as researches for the hernial ring re- mained fruitless, and our students concluded it was an intestinal hernia. Puncture with a sterilized trocar gave escape to almost pure blood, and es- tablished the diagnosis. (^) Cyst. — The large serous collec- tions that are observed on the walls of the abdomen, due most commonly to the cystic formation of big hoema- tomas, have more than one character of some ventral hernias, and princi- FlC.. 6.- HiCMATOMA ON THB Flank. 34 CH, BESNOIT. pally of chronic intestinal hernias. Like these latter, they arc soft, depressible, uniformly fluctuating, and without inflamma- tory manifestations. But, on the other side, they do not enlarge after meals, they are accompanied by dropping of the hollow of the flank, they are not reducible by taxis, and not the slightest mark of abdominal perforation can be detected ; besides these, auscultation fails to reveal any peculiar noise and exploring puncture gives escape to an abundant quantity of serous fluid. Fig. 7 —Abdominal Cvsr. The elements of the differential diagnosis are not, however, so clearly marked. Some years ago I reported the clinical story of a cow affected with an enormous abdominal cyst (Fig. 7), in which they were most all missing. This animal presented a large swelling on the left infero-lateral side of the abdomen. It had made its appearance several days after the last parturi- tion, and had regularly enlarged, spreading laterally, and finally running up towards the left flank. Little by little it had reached very large dimensions, spreading forward as far as the hypochondria and sternum, behind to the stifle and even along the median line as far as the perineum. At the same time the digestive functions became poor, diarrhoea had set in, and the animal lost considerable flesh. This lesion presented well all the characters common to VENTRAL HERNIA IN BOVINES. 35 cysts and chronic intestinal hernias ; softness, elasticity, fluctu- ation all over and uniform, absence of inflammatory symptoms, but the specific symptoms of cyst were almost all missing. To the touch and palpation the tumor seemed partially filled with pufiFy, thick matter, which could be supposed as being caused by accumulations of semi-solid faecal matter in the intestinal circumvolutions ; it was simply due to partitions in the cyst and to the presence in these cavities of the cyst of numerous clots of fibrin. The diarrhoea, which had lasted a long time, had pro- moted a marked dropping of the right flank. The cyst, bound internally by the wall of the abdomen, pushed it back into the abdominal cavity and in such a manner that after each meal the digestive viscera, being full, pressed upon the abominal wall, pushed it outwards, and, with the cyst, the tumor then seemed to increase in size after meals. Finally, even the mode of development of the tumor seemed to plead in favor of a diag- nosis of hernia, as it had appeared almost immediately after parturition to gradually acquire proportions, which surpassed very much the ordinary dimensions of serous collec- tions. It is true that the attempts made to reduce it had failed, and that, with rectal exploration, the hernial opening could not be found ; yet this had no great importance, because the great size of the tumor made exploration difficult and even prevented the hand from feeling the abdominal wall. Under these conditions, exploring puncture was the indication ; made, it allowed the escape of five or six litres of citrine serous fluid, and decided the true nature of the tumor — an abdominal cyst. One must not, however, believe that this last sign may be suflRcient, by itself, and in every case, to establish the diagnosis of hernia. Indeed, I had often met with ventral hernias where the internal face of the hernial sac had degenerated into a se- creting cystic membrane and where the intestinal circumvolu- tions were floating in a large quantity of serous liquid. In such case a hernia could be taken for a cyst, as the following case will prove : 30 CH. BESNOIT. The cow represented in Fig. i was suffering with a very large swelling of the lower portion of the left flank. It was in- tended to use her for the clinical examination of students. A few of them having heard of it, went to the owner's barn to ex- amine her at ease. At first they thought it was an intestinal hernia, but hesitated a little on account of the situation of the lesion on the left flank, and also in having failed to reduce it. They then tried to insure their diagnosis by an exploring punc- ture. As a rather large quantity of serous fluid escaped, they changed their first opinion, and soon the news spread among the students that the cow which was to be presented at the clinical examination was suffering with an abdominal cyst. It was an error, as the animal was affected with left intestinal hernia, com- plicated with a collection of several litres of serosity in the her- nial sac. A last example of error between a cyst and a hernia is the following: A veterinarian sent us to be operated a cow suffer- ing, according to his diagnosis, with an o/d and curable intesti- nal hernia. Indeed, the animal had on the right flank a tumor extending from the fold of the stifle upwards. It was elongated, irregular, a little contracted in its middle, hard above, soft, fluctuating, and filled with liquid in the lower part. This lesion was never tense nor elastic ; it was irreducible, and the most careful external and internal exploration failed to detect any opening in the abdominal walls. No borborygms were heard at auscultation. Under such conditions, I found that my col- league had made a mistake. Nevertheless, I decided to make an exploring puncture with a fine aseptic trocar. A serous, rosy liquid escaped. The trouble was a biloculated cyst, the tumor being slight- ly contracted in its middle and having different characters above and below the contractions. The extirpation of the cyst was done immediately, followed by quick and complete recovery. ( To be continued in the May number.') DISPENSARY HINTS. 37 DISPENSARY HINTS. By Prof. (Vkorgf, Judish, Amks, Io\va. Presented to the Annual Meeting of the Iowa Veterinary Association at Ames, January, 1906. After five years of impatient waiting the Eighth Decennial Revision of the U. S. P. finally made its appearance in July and became the official standard September ist, 1905. Whilst the volume made its appearance two years later than usual, yet we can well excuse the delay on account of the excellence of the work. Many drugs and preparations heretofore unofficial were deemed of sufficient importance to merit recognition. In look- ing over the text we find that the present official pharmacopoeia recognizes 958 articles — the 1890 mentioned 994. One hundred and fifty-fiv^e articles were dismissed by the committee of revi- sion and 121 added. The titles of a number of official sub- stances were altered. Synonyms are rarely given and it is to be hoped that practitioners and pharmacists will cease using them as they lead to no inconsiderable confusion. Under the head of approximate measures we find that the following values should be used : "4 cc=i fluid drachm = teaspoonful. "8 cc-i 2 fluid drachms— dessertspoonful. " 16 cc=4 fluid drachms = tablespoonful. " The standard temperature for the solubility of substances in liquids, for taking specific gravity, and for volumetric oper- ations, is 25° C. or 77° F." In the former revision it was 15° C. or 59° F. This change was made because it would serve the convenience of the greatest number of pharmacists and labora- tory operators. Laboratories and pharmacies will come neai'^r registering -j-]^ F. the year around than 59° F. In September, 1902, a convention composed of delegates from nearly every civilized country, met at Brussels and was styled The Interna- tional Conference for the Unification of Medical Formulas. The title explains the object of the conference. This body recommended the uniform strength of 10 per cent, for tinctures GEORGE JUDISH. of potent drugs, i per cent, for solutions of arsenic and that i c.c, of fluid extract represent one gramme of the drug. Our arsenical solutions and fluid extracts were of the strength recommended by this body, but it necessitated changing the strength of a number of the ofiicial tinctures. The most striking changes occur in the strength of tincture of aconite and tincture vera- trnm. Tincture of aconite formerly represented 35 per cent, of the root, veratrum 40 per cent. — they are now 10 per cent, tinctures. The tinctures of cantharides and strophanthus in- stead of representing 5 per cent, of drug, have been increased to 10 per cent. The tinctures of belladonna, digitalis, gelsemiiim and hyoscyamus were decreased 5 per cent, so as to conform to the international standard. The general rule is that tinctures of potent drugs contain or represent 10 per cent, of the article, the less potent 20 per cent. It is well to remember that all of the official preparations of opium contain or represent 10 per cent, of powdered opium, except the fluid extract and camphor- ated tincture. The lattei contains -j\ of i per cent. Oleate of mercury is 5 per cent, stronger than formerly, containing at present 25 per cent, of yellow mercuric oxide. Syrup iodide of iron contains but 5 per cent, of ferrous iodide, formerly lo per cent. This change was necessary in order to comply with the recommendations of the International Conference. Unguentum acidi carbolici is now official as unguentum phenolis, and con- tains about 3 per cent, of phenol instead of 5 per cent. One part of pancreatine U. S. P. 1900 must digest at least 25 parts of starch, whilst the standard was not fixed by the former pharma- copoeia. Saccharated pepsin was very wisely dismissed by the Committee of Revision. Pepsin is employed by the veterinarian in treating gastric disturbances of dogs and the younger domes- ticated animals. A great variety of wines, elixirs, essences and solutions of this ferment have been placed on the market, each manufacturer claiming his article to be especially meritorious. In this connection let us remember that pepsin is only active in an acid solution and is destroyed by an alkali. The presence of 25 per cent, or more of alcohol renders it worthless and when DISPENSARY HINTS. 3t heated in acidulated solution to 212° F. it loses its powers. Pan- creatine and pepsin in solution are incompatible. If the solu- tion is alkaline, the pancreatine destroys the pepsin, if acid, the pepsin destroys the pancreatine. Pepsin is usually and very properly prescribed in an acid solution. Yet we should not forget that its proteolytic power is rapidly destroyed by the presence of more than j'g^ of i per cent, of hydrochloric acid. It is in- compatible with alcohol, alkalies, chloroform, ether, the salts of many metals, tannic and gallic acid. It is advisable to employ only the scale pepsin, avoiding the proprietary preparations so highly exploited by polished salesmen. Many, in fact most of the proprietaries may sacrifice efficiency for palatability and pharmaceutic elegance. The titles of the more important arti- cles that were changed are as follows : Acidum arsenosum is now official as arsenii trioxidum Acidum carbolicum " " " " phenol Acidum chromicum " " " " chromii trioxidum Aloe barbadensis " " " " aloe Aloe socotrina " " " " aloe All hydrochlorates " " " " hydrochlorides Chloral " '' " " chloratum hydratum Ext. digitalis fl. " " " " fluid extractum dig. Resorcium *' " " " resorcinol Salol " *' " " phenylis salicylas Sodii hyposulphis " " " " sodii thiosulphas Sodii sulphocarbolas " " " " sodii phenolsulphonas Tinctura veratri viridis " " " " tinctura veratri Zinci sulphocarbolas " " '' " zinci phenolsulphonas A proprietary preparation, commercially known as Antiphlo- gistine, has been favorably received by both human and veter- inary practitioners. A similar but more excellent preparation is now official under the title of cataplasma kaolini. It is pre- pared by heating 577 grammes of finely powdered kaolin in a suitable vessel for one hour at a temperature of 2i2°K. A wa- ter bath should be employed as higher temperatures may cause darkening of this material. After having heated the kaolin for 40 GEORGE JUDISH. the prescribed time, mix it intimately with 45 grammes of boric acid and then incorporate the mixture with 375 grammes of glycerine. Then add ;^ gramme of thymol, previously dis- solved in a mixture of 2 grammes of methyl salicylate and ^ gramme of oil of peppermint. Mix thoroughly and keep in air- tight containers. This product may be prepared with compara tive ease and at considerable profit. Acetous fluid extracts are official for the first time. Those official are lobelia, sanquina- ria and squills. Fluid extracts prepared with a menstruum of acetic acid are just as reliable and as permanent as those made with alcohol. Prejudice in favor of alcohol is the only thing that stands in the way of their general use. They should ap- peal strongly to the veterinarian as cost is greatly in their favor and nothing is lost in the way of permanence or therapeu- tic value. Acetic acid fluid extracts, however, should never be prescribed with the carbonates as effervescence will ensue. Should the prescriber desire to combine solution of arsenic with these fluid extracts the solution of arsenious acid should be used instead of solution of potassium arsenite. The latter will cause effervescence for reasons already stated. Compound solution of cresol, official as liquor cresolis com- positus, was made official to displace the proprietary prepara- tion known as Pearson's creolin. It may be prepared by dissolv- ing 80 grammes of potassium hydroxide in 50 grammes of wa- ter in a tared dish, then adding 350 grammes of linseed oil and mixing thoroughly. To this mixture add 500 grammes of cre- sol and stir until a clear solution is produced. Finally add sufficient water to make the final product weight 1,000 grammes. Ointments are frequently employed by veterinarians and are often prepared in a haphazard manner. Well do I remember of seeing a veterinarian mix his ointments on a wooden box that served the triple purpose of seat, shoe shining stand and ointment slab. Such indifference cannot be too strongly con- demned. On account of the liability of many ointments to be- come rancid or decompose, they should be prepared only in such quantities as may be used within a reasonable time. Never re- DISPKNSARY HINTS. 41 use an ointment pot or jar without first thoroughly cleaning it. Lard, a mixture of lard and wax, petrolatum and wool fat or lanolineare the bases generally used in their preparation. The best lard for pharmaceutic purposes is what is commercially known as leaf lard. This should be purified by washing and should be free from salt. The greatest disadvantage of this base is its proneness to become rancid. Heat and moisture favor the development of rancidity. To overcome this tenden- cy the U. S. P. directs that it be heated with benzoin. Bat if the lard is incorporated with beeswax or resin the benzoinating process becomes unnecessary ; these materials acting as preserva- tives, also rendering the lard more firm. This is very desirable, especially in the summer time. Many farmers treat the medi- cines intended for their live stock with indifference. After ap- plying an ointment it is frequently placed on the window sill, to remain there, exposed to the sun, until it is again time to use it. Sometimes the box is deposited, lid down, and when again desired the ointment has melted and is spread on the boards. Lard, however, possesses the property of absorbing about 15 per cent, of water or aqueous liquids and is itself readily ab- sorbed by the skin. Ointments prepared with this base, like all salves, should be kept in a cool, dry place, heat and moisture favoring decomposition. Petrolatum is the most unchangeable of ointment bases. Petrolatum of good quality should alwa)S be selected ; the cheaper varieties are likely to contain some acid and are irritating. It is not absorbed as readily as lard and is well adapted for ointments where a slow, continuous action is desired. Some difficulty is experienced in incorpor- ating fluids with this base. This may be overcome by adding yellow wax or mixing wool fat with it. Wool fat (adeps lanse) is the purified fat of the wool of sheep. It should not contain more than 30 per cent, of water and is miscible with twice its weight of that liquid. The addition of not less than 25 per cent, of petrolatum produces a less sticky, stringy base and is manipu- lated with greater ea.se. Great caution should be exercised in the preparation of ointments intended for the eyes. Ointment 42 GEORGE JUDISH. of yellow mercuric oxide is often prescribed, and as usually prepared is very gritty, thus acting as an irritant until the se- cretions break up the particles. This may be overcome and a perfectly smooth ointment prepared by first triturating the oxide witii a small quantity of distilled water. Where solids are to be mixed with an ointment base the better procedure is to reduce the substance to a very fine powder and mix it with a portion of the base to a uniform mixture, then adding the balance. This method insures a smooth ointment, the solid being uniformly distributed throughout the mass. When preparing an ointment of corrosive chloride of mercury I would advise dissolving it in alcohol by triturating in a mortar, then incorporating the solution with the selected base. Oint- ments of solid extract. — Use of mortar better than ointment slab. When prescribing or dispensing eye waters nothing but distilled water should be used. Always rinse the container with distilled water to remove any dust that may have found its way into the bottle. Eye waters should be perfectly free from any substance that might act mechanically. Therefore, collyria should always be filtered. If the prescriber has ordered a salt to be dissolved in water and the salt is in excess, make a saturated solution and throw away the balance. Greater care should be exercised in the preparation of hypodermic solutions. Use sterile water and prepare them as wanted for use. Aqueous solutions, especially of alkaloidal salts, decompose rapidly and should not enter into the list of stock solutions. Never prescribe or dispense alka- loidal salts with alkalies and unless the mixture contains not less than 15 per cent, of alcohol and then the amount of alkaloid must be small. Alkalies precipitate alkaloidal salts as alkaloids and these are insoluble in water, but they are soluble in alcohol or hydroalcoholic liquids. Chloral hydrate in the presence of alcohol is decomposed, chloral alcoholate, a very irritating: sub- stance being formed. Chloral should always be dispensed in aqueous solutions. One of the best vehicles for the administra- tion,of this substance is acacia, in the form of syrup or mucilage. DISPENSARY HINIS. 43 Alcoholic liquids should never be combined with strong or sat- urated solutions of salts, as the liquids will not mix. We fre- quently meet with this incompatibility in diuretic mixtures. The physician will combine saturated solutions of potassium citrate or acetate with spirit of nitrous ether. When it is de- sirable to combine a tincture of a resin or one insoluble in water, the water should be quite cold and the tincture added to the water in a fine stream ; never add the water to the tincture. By adding the tincture to the water, the precipitation takes place in minute particles and is readily reincorporated by shaking. The medical profession, and by this I mean all of the profession, has always denounced patent medicines in no uncertain terms. Medical men, it seems, have fallen into a common error with the laity by calling proprietary remedies patents and consider- ing real patent medicines as perfectly legitimate. A patent medicine is one for the manufacture of which a patent has been granted. Before granting the patent right the person or corporation seeking this privilege must give a very minute description of all the materials entering into the remedy, and the exact technique of its manufacture. Thus you see, after seventeen years, any one possessing the necessary ability and inclination, may prepare this same product. Not only may they make the product, but the public also falls heir to the trade name. Proprietary remedies are protected, as a rule, by our copyright laws. The composition of this class of remedies is known to the manufacturer only, and his right to both name and formula is perpetual. As a rule the proprietary prepara- tions, used by practitioners of medicine, are sold at ridiculously high prices in order that the promoters may pay for the neces- sary advertising, and enrich themselves in a few short years. We frequently find that these remedies were discovered by third rate doctors or bankrupt druggists. By using them the doctor gradually loses sight of his therapeutics and finally finds himself hopelessly entangled in the meshes of proprietaiyism. The blame for the growing tendency to self medication may, in part, be traced to the practitioner's habit of employing ready 44 GEORGE JUDISH. prepared, convenient, pleasing to the eye, propiietaiies, or hop- ing to add dignity to the title ethpharniacal preparations. Com- pressed tablets or tablet triturates of tinctures, or fluid extracts, or of volatile drugs, are a delusion and should never be used. In conclusion, I will say that every veterinarian should do his best to write prescriptions correctly. The standing of a com- munity or a profession depends upon the ability and character of its units. The practitioner's prescription is an index to his ability, at least such is the opinion of the laity. Having the best interests of your profession at heart, I urge you to write pre- scriptions carefully, correctly and neatly. The use of paper bags, scraps of wrapping paper, etc., instead of prescription blanks should not be tolerated. It indicates carelessness and indifference and on the prescription file is a constant ad for the writer's slovenly methods. After many years of experience as a pharmacist, I can truthfully say that some of the worst and some of the best prescriptions that I have had the pleasure of filling were written by veterinary practitioners. "Do you think the automobile will displace the horse?' asked the young woman. " It will," answered the farmer, as he gazed down the road, "if it hits him." In the grand floral parade of the Midwinter Fiesta in Hono- lulu, Hawaii, on Feb. 23, Master Marcus Monsarrat won first prize as a juvenile cowboy. The young equestrian is a son of Veterinarian W. T. Monsarrat, and will accompany his father to the meeting of the A.V.M.A., at New Haven, in August. A STORY of affection for an animal is behind the following advertisement, which appeared in nearly all the New York dai- lies for a week in February last, while the advertiser, who had come on from Iowa, searched through many of the large stables of Gotham in quest of the subject of the advertisement : " FINE SORREL MARE SOLD IN IOWA; weight about 1,200; coming 5 years old ; white face, left hind leg white nearly to knee, with slight wire scratch on same leg ; I raised her and want to get her back ; reasonable reward for information for right animal. MARE, Eagle office." The advertiser stated that his superintendent sold her during his absence to a New York dealer, and he has grieved over her loss ever since. IMPERIAL GERMAN MEAT INSPECTION LAW, 46 THE IMPERIAL GERMAN MEAT INSPECTION LAW: ITS APPLICATION AND EFFECTS. THE GERMAIN FOOD ANIMALS AND MEAT INSPECTION POLICY COMPARED WITH THAT OK THE UNITED STATES. By D. Arthur Hughes, Ph. D., D.V.M., Cornell University. The American system of inspection of food animals and meats, and the work of the Bureau of Animal Industry gener- ally, have excited the admiration of such notables as Sir John McFadyean, the Principal of the Royal College of Veterinary Surgeons of London, and Professor Robert Ostertag of Berlin, the authority on inspection of animals and meats and editor of the Zeitschrift fur Fleisch und Milch-hygiene — the most re- markable magazine of its kind in Europe. Sir John McFad- yean is a conspicuous representative of the British people who are our largest purchasers of fresh and prepared meats ; while Professor Dr. Robert Ostertag is a no less conspicuous represen- tative of a country which has made the animals and meat trade with it difficult. The contrast between the attitudes of the two countries to the trade in this respect, is as striking as the con- trast between the effects the policy of the German inspection is said to have had upon Germany, and the effects of the American system of inspection upon American interstate and foreign com- merce. What then could be more enlightening to the American veterinarian than to mark the results of the apparant unwisdom in the one; and wisdom in the other? I. THE IMPERIAL GERMAN LAW AND ITS APPLICATION. In order to clear the way for a study of the effects of the law in Germany and a comparison of the German policy with the American policy, I shall speak of the provisions of the Ger- man law itself. The provisions that may concern us refer: i, To the veterinarians to be chosen for the inspection ; 2, the in- spection districts ; 3, the cooperation of revenue officers, inspec- tors and police for carrying out the law ; 4, to what part of the trade the law is applied ; 5, the main provisions referring to the 46 D- ARTHUR HUGHES. domestic trade ; 6, the main provisions referring to the import trade ; 7, the taxes. /. The veterinarians to be chosen for the inspection. There are two references in the law to the choice of inspec- tors. " As inspectors are to be appointed officially recognized veterinarians or other persons who have demonstrated a suffi- cient knowledge."* " The Bundesrath is authorized to issue regulations deter- mining whether persons possess sufficient knowledge to act as inspectors."! Of a truth Germany and France are the leaders in veterinary education, in number and equipment of veterinary schools and in the magnificence with which they are supported. Twenty-two years ago the voice of Dr. Law protested that while in America there was not, at that time, a single veterinary col- lege supported by the State or national governments, there were then in Europe no less than thirty-three State veterinary col- leges. Even after the lapse of twenty-two years we can only count three or four well-organized State veterinary colleges, while the number in Europe has further increased and the in- telligence they have shown in extending their influence and making their impress in the scientific work of the respective governments for the public health, for care of artillery and cavalry horses, and the treatment of flocks and herds, has been marvellous. Twenty-two years ago, according to Dr. Law's report on Education in Veterinary Medicine in Europe,;}: the learned men from these numerous State veterinary colleges, at the International Veterinary Congress of 1883, were seriously <3iscussing the lenghtening of the professional veterinary course to five solid years, that is including the summers — indeed in «ome of these colleges the course was already five years, and in many four. The congress voted " for admission to veterinary * Artie. 5. \ J. The Imperial German Meat Inspection Law, June 3, 1900. Gesetz, betreffend die Schlachtveh und Fieishbeschau, Vom. 3, June, 1900. j- Artie. 22, \ I. X Annual report B. A I. 1884 Pp 341-350. IMPERIAL GERMAN MEAT INSPECTION LAW. 47 Studies one must be bachelor e's lettres or is sciences^ that is to say, he must have finished his studies in the secondary educa- tion." In other words, as early as 1884 t^^^ requirement for entrance to these colleges was equal to our bachelor's degree in arts ; while the professional training continued onward four and five years beyond that. So to-day the German and French veterinarians,beyond cavil, are among the best representatives of veterinary learning in the world. The men chosen to take charge of food animals and meats for the German government in the capacity of " inspec- tor or deputy inspector " are all men fitted for their work in one of the veterinary colleges supported by the State. They always have had a stiff preliminary training and a professional training under men who devoted all their time to teaching, re- search or only such professional practice as appertained to the hospital work of the college. The inspectors are so thoroughly trained that they are proficient in all branches of the govern- mental inspection — chemical examination of preserved meats to test for unlawful preservatives, microscopic inspection for communicable parasitic diseases, ante-mortem inspection and post-mortem inspection as rigorously conducted under the Ger- man law. As is characteristic of German scholarship, the train- ing is almost fearfully minute and detailed. We have nothing in our language to compare with Ostertag's work on meat in- spection which is the standard throughout Germany ; nor would a magazine like the Zeitschrift Jur Fleisch und Milch- hygiene^ which flouiishes in Germany, perhaps be able at pres- ent to exist here. It is true, much of the inspection in Ger- many is done by " stock inspectors," which correspondent to "stock examiners" in the American service, whose duty is to detect and set aside unwholesome meats, without necessarily knowing to what the unwholesomeness is due, and thus save time for the regular inspector. But this saving of the time and expense for additional inspectors can hardly be avoided in any country ; and no harm can come as long as all matters are re- ferred to the veterinarian in charge. 48 D- ARTHUR HUGHES. 2, The inspection districts. "In order to accomplish the inspections," says the law, " inspection districts shall be established ; for each of such dis- tricts shall be appointed at least one inspector and one deputy inspector."* The federated governmental authorities are to form the districts and appoint the inspectors. It must be remembered that no quarter is exercised in Ger- many in the matter of supervision of the home and foreign meat trade. The whole of the home output as well as the foreign im- portations are alike subject to inspection. Germany, it must also not be forgotten, has not that power of the central authorities over the commerce between the States as is true of the federal government in America. Germany is a confederation and many of the States in the confederation have State rights pecu- liar to them and undisputed by Prussia.! Hence the appoin- tive power of the individual States. The inspection of home products is therefore largely in the hands of the State authori- ties. However, the foreign importations are inspected under the supervision of the customs office. For this purpose, Ger- many, comparatively small a country as it is, is divided by law into no less than two hundred and fifty (250) foreign meat in- spection offices scattered everywhere along the customs lines of her borders, and the seaboard, and within the country. There is therefore no possibility of animals or meats escaping the customs officers or the rigorous inspection. J. The cooperation of revenue officers^ meat inspectors and police Jor carrying out the law. For the carrying out of the law the revenue officers, meat inspectors and police, work hand in hand. Any one who knows the number of police there are, the power they have in a martial nation like Germany, the espionage they exercise in all details assigned to them as part of their prerogative and the strictness with which they carry out the letter of the law, will understand •Art. 5. §1,2. 1 1 refer here to the ZoUverein or agreement between these States and FrussU^ at the time of the formation of the confederation. IMPERIAL GERMAN MEAT INSPECTION LAW. 49 that its provisions are certainly carried out. When animals are turned aside as unsatisfactory to the inspectors, or when meats (carcasses or their parts, or prepared meats) are not up to the standard, the police immediately have them in charge, which is a guarantee in Germany that they will be satisfactorily disposed of. In the import trade animals and meats are first and last in charge of the revenue officers stationed along all customs lines and guarding entrance. The inspection stations are either at or near the customs offices; the inspectionofficers working with the revenue officers and each accountable to the other. Should the imported animals or meats be satisfactory, the revenue offi- cers have them under seal for collectible duties ; if not, they must be carried out of Germany by the agent of the importer under customs escort, 4. To zv hat part of the trade the law is applied. German meat and animals inspection, without any exception whatsoever, is extended to all animals and meats intended for food throughout every part of Germany and to all animals, fresh carcasses, their parts or prepared meats, desired by outsiders to be imported. The words of the law referring to the domestic trade are : " Neat cattle, swine, sheep, goats, horses, dogs, the meat of which is intended to be used as food for man, shall be subjected to an official inspection both before and after slaugh- ter. By decision of the Federal Council (Bundesrath) the obli- gatory inspection may be extended to other food animals."* With regard to the import trade the words of the law refer spe- cifically to both prepared and fresh meats. The prohibition of mast preserved meats is definite and cannot be gotten around. " The importation past the customs line of meat in hermetically sealed cans, or in other similar vessels, of sausages and other mixtures made from chopped meats is prohibited. "f The super- vision of fresh carcasses or parts is strict. " Fresh meat may be imported past the customs line only in entire carcasses, but the carcasses of neat cattle (with the exception of calves) and of * The Imperial I^w, Art. I, § i. t Art 12, § I. 50 D- ARTHUR HUGHES. swine may be cut into halves. The pleura and peritoneum, lungs, heart, kidneys, and, in case of cows, the udder also, must be attached to the carcass in natural connection."* Prepared meats, for the most part, therefore, are absolutely prohibited from entrance. Though frozen meat is included un- der fresh meat by a later proclamation, the difficulty of impor- tation of fresh meat from across the seas in entire carcasses, with the parts named attached, can hardly be overcome. The Bun- desrath in a further proclamation requires the neck, trachea, larynx and head to be attached in natural position. The blood of each animal i s considered as a " part " under later regula- tions. The blood of each animal, without being salted, must accompany the carcass. All in all the restrictions are such that importation of fresh meats from beyond the seas is made almost impossible.! J. The main provisions referring to the domestic trade. The provisions for inspection of animals and meats in the domestic trade are as elaborate as German scientific erudition can make them ; each regulation is definitely detailed ; and each detail is fortified by penalties which will require its being car- ried out with certitude. The main points refer to ante-mortem inspection; the ordinary post-mortem inspection; the special post-mortem inspection of horses, asses, hinnies, mules and dogs ; the chemical inspection or prohibitions ; the trichinae exami- nations. An ante-mortem inspection must be made of all animals except those which may die from disease or injury before the post- mortem examination occurs ; but the latter in no case can be put into trafi&c as fresh meat. If an animal is not killed with- in twenty-four hours after ante-mortem it must be reinspected before death. The post-mortem rules are more stringent. If an animal is found only partly fit for food it must be sterilized, not sold as fresh meat, and can only be sold at all by persons with a special license and in rooms with placards stating that * Art. 12. §1,2. t Proclamation of the Bundesrath, June 24, 1903. IMPERIAL GERMAN MEAT INSPECTION LAW. 51 this class of meat is there for sale. If an animal or carcass is condemned outright it passes into the hands of the police for destruction, usually by burning. Though we cannot here go into the minutae of the law, we may say that every detail of the law on these two inspections is guarded by major and minor penalties. There is a penalty of 1,500 marks (about 350 dol- lars) for a person who knowingly acts in contravention of the law, trafiics in forbidden meat or fraudulently affixes or alters the government marks.* While there is a minor penalty of 150 marks (about 35 dollars) for numerous small offences. Solipeds and canines require a special inspection. After in- spection they must be marked in German as such, sold under special license, the dealer must sell the flesh in a separate room, and place signs on the meat designating whether it is horse, mule or dog. For violations of these rules there are particularly heavy penalties.f In addition there are also special articles in tht law touching the industrial preparation of any meats for traffic. " No materials or kinds of processes shall be used which are capable of imparting to the wares a condition injurious to health." The Bundesrath is to determine how far this rule is " applicable to special materials and kinds of processes which are apt to conceal an unwholesome or inferior quality of the wares." + The result of which has been that an imposing chemical examination of preserved meats has been set up in Germany. Not only this, the imperial German law has special provisions for inspection of pork for trichinae, but this inspec- tion is left to the will of the separate States. § 6. The main provisions referring to the import trade. Thd" provisions referring to the entrance of meats or carcas- ses into Germany, the prohibitions and restrictions, are elabor- ately detailed in two proclamations of the imperial senate and published by the chancellor as special supplements to the regu- lar documents of the Imperial Health Office. |i They are called ♦ Art. I, 2, 6, 7. 8, 10, II, 26. fArt 18, §1105. t Art. 21, §1,3. 5 Art. 24, § I. II Vcr5fTentlichungea des Kauerlichen Gesundheitsamt. 52 D. ARTHUR HUGHES. the Meat Inspection Customs Ordinance of February 3, 1903, and " concerning the marking of inspected foreign meat " of February 10, 1903. Of those things which are prohibited from importation into Germany we have already spoken of hermetically sealed meats and carcasses which are not entire and with the organs like the heart, lungs, etc., attached as required by law, so we need to note but two other provisions. First meats preserved with bor- acic acid, formaldehyde, alkali and alkaline earth hydroxides and carbonates, sulphurous acid and its salts, hyposulphites, hydrofluoric acid and its salts, salicylic acid and its compounds, chlorates, are all prohibited from importation. Second, with the exception of hams, bacons and casings (cleaned and salted intestines), all pickled or salted meats of less than 8.8 lbs. weight are forbidden from entrance. As frozen or fresh meats not in entire carcasses, hermetically sealed meats, preserved meats and pickled meats are forbidden, this is tantamount to a blockade against foreign trade. * For all animals and meats brought to the German borders there have been laid down a mass of specific administrative pro- visions binding the customs officers, meat inspectors and police, in a code of regulations which cover the surveillance of animals or animal products from the moment they approach the frontier to the time they are finally allowed to pass into the German traffic. The goods are received by the customs house, then turned over to the inspection office under customs seal or espion- age. The inspector is put under oath for customs returns ; while customs officers and inspectors keep check on one another's work in tedious detail. Even the complete minutae of the book- keeping are provided for in the ordinance. At the same time no mistake can be made, even by the most erring intellect, as to the customs fees, inspection fees, the disposition of condemned or refused meats by the police or cus- toms officers.f • Meat Inspection Customs Ordinance, Art. i, § i to 6. f Meat Inspection Customs Ordinance. Art. 2 to 28. IMPERIAL GERMAN MEAT INSPECTION LAW. 53 7. The taxes or fees. The imperial German meat inspection law, and the procla- mations based upon it, have specific regulations on fees to be charged for inspections and other costs. These are chargeable both on all animals and meats produced in Germany, as well as all imported meats and meat products. In the domestic trade the fees take the form of meat inspec- tion expense charges, license fees required from vendors of second class meats sterilized by the inspectors, from dealers in soliped and canine meats, from dealers in meats which have been regularly passed. The chemical and trichinae inspections are all paid for by special fees. Besides, the police department is not backward in securing major and minor penalty fees from breakers of the meat inspection law in the course of the inspec- tion, or when the inspected meats pass into the trade.* But when we consider the charges for inspection of imported meats and meat products, this part of the subject becomes more interesting to us. These were announced in a proclamation of the Imperial Senate March 4, 1903, and made effective at o^ce."^ The fees include the customs charges, the meat inspection charges, and the compensations for faking and sending samples, reports, entering on inspection books, making out certificates, marking the meat, travel of experts. The ordinary fees cover : first, fresh meat ; second, dressed meat. For fresh meat: cattle per head, 59.5 cents; calf, per head, 17.8 cents ; hog, per head, 17.8 cents ; sheep or goat, per head, 14.2 cents; soliped, per head, 71.4 cents. For dressed meat : intestines per 2.2 lbs., 24 cents ; bacon per 2.2 lbs., 47 cents; other dressed meat per 2.2 lbs., 9.5 cents. The fees at least, for intestines, must be 9.5 cents ; for other dressed meat at least 1 1.9 cents. In case of appeal from a test, when the whole * The meat inspection law, Art. 26-28. Art. 24-18, 21. f The ordinance concerning fees for the inspection of meats imported past the'customs line, Fiamburg, March 4, 1903. 54 D. ARTHUR HUGHES. consignment must be examined, or in dissimilar consignments, the dressed beef fees are doubled. For the preparation of whole carcasses or fresh meats for inspection — cutting, hanging, lay- ing out parts — an additional charge of 20 per cent, of the named fees is provided. The special fees cover trichinae and chemical inspection. For trichinae inspection : entire hog, 23.8 cents. The common fee for detection of forbidden preservatives is 59.5 cents a con- signment.* To show the rigor of the law we may say. First, 1,000 tubs of lard of 25 lbs. each would require for taking sam- ples, examination for preservatives, examination for purity and sealing, about $ 1 7.85. Second, 100 pieces of pork shoulders, each 6.6 lbs., would cost for general inspection, examination for preser- vatives and trichinae, $15.11. Third, 100 pork bellies, weigh- ing net 992 lbs., would take for general inspection, chemical and trichinae inspection, $16.91.! High as these inspection charges may be thought to be by some, to them must be added the German tariff duties. Under the new German tariff law of 1902, which went into effect March i, 1906, the following are the rates for cattle. hor.ses and hogs. If there is not settled a reduction by special treaty the rates are: cattle, $4.28 a kead ; horses, $21.42-85.68 a head; hogs, $4.28 a head. If agreement by treaty is obtained : cattle,^ $1.90 a head ; horses $7.14-28.56 a head ; swine, $2.14 a head.:}: According to associated press despatches of February 23, 1906, America has been given the reduced tariff rates until June 30, 1907. II. THE ALLEGED EFFECTS OF THE IMPERIAL MEAT INSPEC- TION LAW IN GERMANY. After several years of discussion and agitation the law passed, and received the imperial signature June 3, 1900. The * Consular Reports No. 1424 Meat Inspection fees ordinance. March 4, Aug. 21, 102. Pp. 45. 1903. Art. i to 6. t Consular Reports No. I435. September 4, 1902. P. 4. X Consular Reports No. 2252. May 8, 1995. P. 9. IMPERIAL GERMAN MEAT INSPECTION LAW. 55 part prohibiting meat in hermetically sealed cans went into ef- fect October i, 1902 ; the code of regulations became effective April I, 1903. The whole law, including the meat inspections customs ordinance, and the ordinance concerning meat inspec- tions fees, has, therefore, been operative about three years.* During the last few years, under the new law, certain econ- omic changes are alleged to have taken place in Germany. First, it is said, there has been a decline of the import trade, both from beyond the frontiers, and from beyond the seas ; sec- ond, that prices of food stuffs have risen ; third, that there has been some dissatisfaction with the law ; fourth, that the poor have resorted to cheaper material for food. /. Decline of the import trade. Consul General Mason, of Berlin, f has supplied us with in- formation on the decline of the import trade in fresh and cured meats into Germany since 1900. For the first three months of 1902 the receipts of fresh meats were 5,776 tons ; January to March, 1903, 3,250 tons. The decline was noticed, particularly in fresh and salted pork and upon preserved meats : fresh pork and hams, tons, 19,120 to tons 4,905 ; slightly salted pork, tons 6,865 to tons 2,338 ; hams, cured, tons 2,522 to tons 975 ; bacon, cured, tons, 9,839 to tons 2,469 ; sausages, tons 105 to tons 82. The first figure, in each case, is the import for 1902 ; the second figure, for 1903, When it is remembered that the United States largely controlled this trade, we can see the effect on American commerce. The prevailing opinion seems to be that, in order to increase the importation, the frontiers should be opened to a free passage of animals and fresh meats. A national mass meeting of 2,000 representative butchers and meat venders was held in Berlin in the summer of 1905. The gist of its declaration was: "Ger- man agriculture has repeatedly demonstrated that, in spite of •Consular Rejjorts, No. 1303, March 31, 1902. T. i. No. I410, August 5, 1902. P. I. No. 1394, July 17, 1902. p. I. f Daily Consular Reports, No. 2246, May I, 1 905. Pp. 9-IO, 56 D. ARTHUR HUGHES. contrary assertions, it is not capable of supplying Germany suf- ficiently with animals for butchering. The rules and regula- tions now existing with reference to the importation of such animals, through quarantine measures, have such a paralyzing effect that these rules and regulations are almost equivalent to a prohibition of imports." The resolutions close with a most ur- gent appeal for opening of the frontier to the free importation of cattle and swine, with only such veterinary regulations as will give real protection to German flocks and herds from con- tamination, and preserve the public health.* 2. Rise of the prices of food stuj^s. We may see the rapid rise of prices between 1904 and 1905 on each hundredweight (no lbs.) of the live animal by com- paring the following two sets of figures, the first of which rep- resents the price in 1904 ; the second that of 1905. f Animal. Calves Cattle Hogs. Sheep 1904. 515.47 to I19.04 14.28 to 15.47 13.00 to 14.28 14.28 to 15.47 1905. 5i6.66 to $21.42 17.85 to 20.23 15.47 to 16.66 17.85 to 20.47 The retail prices are correspondingly increased. Fresh pork now sells by leading meat dealers in Berlin for 24 cents a lb., beef steaks at 35 34 cents a lb., veal for 35 cents a lb,, and mut- ton for 28^ cents a lb. These are prices entirely beyond the reach of working people. The dealers say that the prices are due to the limited supply of animals and to cost to them, due to the meat inspection law.J The International Association of Hotel Owners of Berlin, in a petition to the Government for relief from the meat inspection law, says that geese cost 24 •Daily Consular and Trade Reports, No. 2381, Oct. 9, 1905. P. 3-4. No. 2318. July 26, 1905. P. 4. f Daily Cons, and Trade Reports, No 2388, Oct. 17, 1905. P. 10 X Daily Cons, and Trade Reports, No. 2381, Oct. 9, 1905. P. 2. IMPERIAL GERMAN MEAT INSPECTION LAW. 67 cents and chickens 7 cents more than last year (1904) — due to the general rise of prices resulting from scarcity of food prod- ucts. * What is true of Berlin is true of the other cities of Germany, prices have been rising rapidly. In Baden the increase in price for the best class of beef is ij cents for 2.20 lbs. ; for second class beef i}i cents for 2.20 lbs. ; for veal i)4 cents for 2.20 lbs. ; for mutton i cent for each 2.20 lbs. ; for pork 2^ cents each 220 lbs. Trier and Breslau pay 43 cents for 2.20 lbs. of pork ; Coblentz and Neuss 45 cents ; Hanau 47 cents ; and Aachen 50 cents.t The capital reflects the general condition in Germany, and in Berlin, during the last five years, the prices paid for beef and pork far exceeded the average paid in the surrounding capitals except St. Petersburg. J. The alleged dissatisfaction with the law. During the last twelve months there has been apparently some dissatisfaction at what is supposed to have been the effect of the law. In the autumn of 1903 the national (German) as- sociation of hotel and restaurant keepers met, and addressed to the imperial chancellor a protest against the law in which they asserted that meats are rapidly becoming more scarce in Germany.^ The magistracy of Upper Silesia recite to the im- perial ministry the conditions in that part of Germany and make a similar appeal. Brunswick demanded the removal of the duty on cattle and hogs. While similar demands it appears have been sent in to the ministry by Munich and Leipzig. In Northern Schleswig twenty-nine communities protested against the scarcity of meat. The public, in mass meeting, or the city councils of Dortmund, Darmstadt, Niirnberg, Stuttgart and Cologne have it is said done the same thing. The import city of Hamburg has followed her sister cities and the capital, Ber- • Daily Cons, and Trade Reports, No. 2388, Oct. 17, 1905, P. 12. f Daily Con*, and Trade Reports, No. 2397. Oct. a7. l9oS- P- 3- X Daily Consular and Trade Reports, No. 3381, October 9, 1905. P. a. 58 D. ARTHUR HUGHES. lin, charging the scarcity of meat to the meat inspection law.* ^. The poor obtain cheaper food. Since horse meat retails in Berlin at 8 to lo cents a pound, as compared with beef which retails at present at 35 J^ cents a pound, the poor have, during the last few years, resorted largely to its use in that city. Consequently, up to 1905, the sales of horse flesh in the city enormously increased. In 1895 the number of horses consumed was 7,267 ; in 1900 10,815 ; in 1904 13,000. The last figure represents 3,990,000 lbs. of horse flesh eaten in Berlin in 1904. The proportion of horse flesh used in Breslau in 1904 was greater than in Berlin. In South- ern Germany the consumption of horse flesh is still greater with a constant increase. t Unfortunately even the price of horse flesh is rising rapidly. This being so, and as dog flesh is no longer obtainable, num- bers of municipalities it is reported, buy carloads of fish at the seaport towns and sell them at cost to the citizens. This has been done in Solingen, in towns in Westphalia, Posen and Ba- varia.]: III. THE OBJECTIONS TO THE IMPERIAL GERMAN MEAT INSPECTION LAW. At the heart of the alleged failure of Germany to supply suf- ficient animal food for the populace at reasonable prices is the fact that Germany is one of the European countries which, for hundreds of years, has been compelled to import, and will in the future be compelled so to do. She is one of the overcrowded nations of Europe which must import foreign flesh foods be- cause of the scarcity of her home supplies. Russia in Europe has only 24,000,000 head of cattle and 35,000,000 sheep for her 90,000,000 people. Neither Germany nor France have as- many animals though both have as many people. Germany and France, like Great Britain and Ireland, which have only 11,000- * Daily Consular and Trade Reports, No. 2388, Oct. 17, 1903. P. lo-ii. No. 2335, Aug. 15, 1905. K 5. t Daily Consular Reports No. 2246; May I, 1905. Pp. lo-ii. X Daily Consular Reports, No. 2388, Oct. 17, 1905. P. 12. IMPERIAL GERMAN MEAT INSPECTION LAW 59 ooo cattle, 6,000,000 hogs and 34,000,000 sheep for 40,000,000 people, must each import flesh foods. The United States, Argentina, Australia and Canada are the four countries which have the surplus of animals for the teem- ing millions of people of the European continent. The two factors of success in the trade are distance and amount of live stock. The United States is nearest to Europe, while she has 60,000,000 head of cattle, 62,000,000 hogs, 46,000,000 sheep for her 83,000,000 people. Australia is farthest from Europe. Argentine is far distant with 27,opo,ooo cattle and 110,000,000 sheep for her 6,000,000 people. Yankee celerity should carry us soonest to Europe with our surplus.* As Germany cannot supply her own demands she must look beyond the frontiers or over the seas for supplies. But the meat obtainable from the surrounding countries is not sufficient in quantity to meet her needs ; nor have those countries sufficient quantities to meet their own demands. Germany has therefore in the past been a large importer from the United States. Very large as the trade of America is with Germany it is not nearly as large as the needs of the country indicate ; besides, during the last few years, it has been declining. Our imports to Ger- many of meat, meat products and dairy products, was second only in size to our trade with Great Britain. "Witness the dif- ference though between 1,221,900 lbs. — our importation to Germany, and 35,398,244 lbs. — our importation to Great Britain. t IV. THE GERMAN FOOD ANIMALS AND MEAT INSPECTION POI-ICY COMPARED WITH THAT OF THE UNITED STATES. Nothing could be more striking than the contrast between the United States and Germany in the origin, application and effects of their food animals and meat inspection law. ♦ See Daily Cons, and Trade Reports, No. 2397, Oct. 27, 1905, Pp. 3-4. t 2lst Annual Report B. A. I. 1904. P. 489. 60 D- ARTHUR Hl/UHES. In agricultural productiveness the contrast between the two countries is striking. Germany is forced to import to keep even within reasonable bounds of the demand for meats. The United States production of animals and meats is enormously in excess of American needs. There must be an outlet for this ex- cess in farm production. The American animals and meat in- spection was developed for the furtherance of two things : the interstate and foreign trade. How was this done? In the main, as follows. The endea- vor has been, first of all, to prevent disease among animals coming into this country. For this purpose there is an inspec- tion at foreign ports, by inspectors of the Bureau of Animal In- dustry, of all animals to be sent here ; further, there is a quarantine on the American seaboard of animals coming into our country. The endeavor has been, secondly, to prevent diseases among live animals being carried from one part of the country to an- other, or from this country abroad. This is done by the inspec- tion by the Bureau of Animal Industry, at our seaboard, of all live animals for export ; and by the quarantines, within the country, against our animal plagues. Thirdly, the endeavor has been the prevention of disease among dead animals (car- casses or their parts), being hurtful to consumers at home or abroad. This has been done by the meat inspection service of the Bureau of Animal Industry, which has an oversight of all meats which are to pass into the interstate or foreign trade. The animals and meats inspection service of this most important Bureau of the Department of Agriculture, now covers the ante-mortem inspection of animals, and the post mortem inspec- tion of carcasses at 151 establishments in 51 cities, or the bulk of live animals, carcasses or parts in the interstate or foreign trade. Of cattle, sheep, calves and hogs, there were inspected ante-mortem 64,613,383 ; of cattle, sheep, calves and hogs there were inspected, post-mortem, 39,500,370, all during the fiscal year closing 1904. Of these 89,175 whole carcasses, and 132,602 parts of carcasses, were condemned and tanked.* 2lst Annual Report. B. A. I , I904. P. 12. IMPERIAL GERMAN MEAT INSPECTION LAW. 61 We have in mind in this work the forestallment of the diffi- culty of having our meats or animals challenged as hurtful to man or animals, in order that our domestic and foreign trade should be stimulated to its highest activity. We wished to find a sale for our millions of tons of meats and meat products and our countless number of animals with the government as- surance that neither, because of disease, would be hurtful to man or beast. Our success in this matter is borne out in the British trade. At no time have our meats, which passed American inspection, been found to be unwholesome in Great Britain. Our live animals are not challenged ; nor our canned goods ; nor our frozen (fresh) meats. The contrast between the German and American food ani- mals and meat inspection laws is brought out strongly when we consider the cost of the inspections to the respective countries. In Germany every step in the inspection is marked by fees, which, heavy enough as they are for the German owners, are heavier to the importer. There are fees for ordinary inspection, for chemical inspection and for trichinae inspection. In Amer- ica practically no inspection fees are charged, though recently it has been decided to charge the owners for labels and stamps placed on passed meats or receptacles containing them. For the many millions of stamps and labels used it is estimated that the total cost will be only seventy thousand dollars a year. There is no charge for the quarantine at seaports, for ante-mor- tem or post-mortem inspection at official stations, for the ani- mals quarantines in the country at large, for trichinse or chem- ical work, for the work of stamping or labelling or sealing cars. All of this is paid for by appropriations from Congress and when the money appropriated is divided up it is found to amount to the insignificant sum of a particle of a cent for each inspection.* The contrast is also great between the dissatisfaction and un- popularity which the German law is alleged to have caused in * See the official reports of the R. A. I., in which thisstatement is verified. 62 D- ARTHUR HUGHES. Germany and the satisfaction and popularity of the American law in America. The unpopularity of the German law in Germany is apparently oased : first, on the fact that it shuts out importation of canned goods and sausages and there is little output of these pro- ducts in that country ; secondly, it greatly decreases the imports of fresh meats and limits the supply. The satisfaction and popular- ity of the American law in America is shown : first in the de- mand for increase of inspection privileges and the extension of the inspection to all abattoirs ; second, in the warm support the work of the Bureau of Animal Industry has always had from the veterinary and agricultural press throughout the land ; third, in the pride shared by the people and its scientific leaders and ex- pressed always in warm praise of the efforts of the Bureau of Animal Industry in behalf of the public health and commercial success. The American food animals and meat inspection system, as it has been developed during the last fifteen years, that is since 1891, is true to the American idea of how any great system, in- dustrial or governmental, should be developed. Germany platted out a law perfect in every detail, as far as law making goes, and put all parts into operation, in 1903, fire-new from the law mak- er's minds, and many parts evidently novel and untried before. On the contrary the American system was built up gradually in keeping with the scientific and commercial needs of the country. There is practical good sense in the development of a system such as that over which the Bureau of Animal Indus- try is administrator, the various parts evolved as experience with questions of public or animal health warranted or as commer- cial conditions or needs demanded. The American food animals and meat inspection regulations, developed on authority resting in the fundamental law of 1884, which founded the Bureau of Animal Industry, and that of 1891, which set into operation the meat inspection service, have been a success. The German food animals and meat inspection law of 1900, if we can judge by conditions said to prevail in Germany, has, so far, in some respects, apparently been a failure. EVKRY-DAY EXPERIENCES. 63 EVERY-DAY EXPERIENCES. By E. H. Shei'ARd, V, S., Cleveland. Ohio. Read at Meeting of Ohio State Veterinary Medical Association, January, I906. I come before you to day with only a few thoughts on the practical side of our every-day work, with a note or two on cases that some of us see only perhaps once in a life-time. There is no one so bright, no one with such a long and extended practice, who cannot meet nearly every week with something new, some condition to him unknown, some phenomenon whose cause and effect differs from any he has yet seen or read of as recorded. Just stop for a moment and think, that among the millions of people who inhabit this earth, there are no two alike, either in looks, thought or deed ; no two the same. And as I look back over my records of cases treated, take the disease pneumonia, for an instance; of all I have treated in an activ^e practice of nearly i8 years, there are no two alike, no two whose pulse, temperature or lung affection, whose strength, appetite, and ner- vous symptoms, or any one condition the same. Take the com- mon misfortune, nail prick ; there are never two alike, as to size, depth, location, parts injured, nervous conditions, lame- ness, length of time of recovery, or death. Here are two interesting samples which came under my ob- servation : One picked up a small nail on the road, the punc- ture being near the point of the frog ; the horse became so lame it could hardly walk ; a horseshoer removed the nail, thinned the surrounding horn, poured in some of his " dope " (a sure cure) and sent the man and his beast on his way, the man congratulating himself that the accident occurred near a shoeing shop and was treated at no expense ; but the horse growing lamer at each step, becoming more excited at each rod, could soon go no further, and dropped to the ground in the road. He was rolled onto the grass in the ditch and I was ordered to come and see what was best to do. You can well imagine my surprise when after hearing the above related circumstances, 64 E- H. SHEPARD. and reaching my patient, I found him just dying, in what I could only term as " tetanic convulsions" ; every muscle seemed tense to its very utmost, the jaws set as in the worst case or tetanus, the limbs stiff and rigid, each muscle feeling like wood, with head and tail elevated and as tense as the rest of the body. Post-mortem revealed a badly fractured os pedis and all surrounding parts terribly congested. The second case occurred in a heavy work horse, who gath- ered in a No. 20 spike ; it entered about the centre of the frog, passed upward directly posterior to the navicular bone and flexor perforans tendon to about the lower third of the os suffrSginus, where it broke through to the outside, and when I raised the foot both extremities of the spike were exposed. Upon appli- cation of a forcep to withdraw it the animal struggled, with the result that it was torn out directly to the rear, leaving a large, gaping, bleeding wound. Treatment was given, this being at about II o'clock a. m. The next morning the horse being not lame^ he was put into the harness and hitched to his usual load of stone, weighing from four to five tons, and never missed a day or a load, the wound healing very rapidly. Now, while these two cases — one of them especially — did not admit of treatment, the other making its quick recovery, are only odd and interesting, I have mentioned them to illus- trate one point in particular, and that is the great difference in the nervous organism of different animals, and, because of that fact, we as practitioners should never neglect to consult the ner- vous economy of the animal in hand. Many an appearing hope- less case may be turned towards recovery by steadying that bal- ance wheel of the animal economy. In a lively, hurried practice we are liable to become heedless and careless, and ofttimes as we look back over the treatment given some case which did not turn out to our satisfaction, we think of many common sense things which could have done no harm, and quite probably might have aided to a much better result. There are many things about our every-day work which EVERY-DAY EXPERIENCES. 65 are exceedingly easy to some of us, and aggravatingly hard to others. The things which are hard for us to do we do as little as possible. Just now, for one instance, how many graduated veterinary surgeons I have seen who could not examine a horse's mouth to even their half satisfaction. Whenever you put a speculum in a horse's mouth, even one of the most approved pattern, he will fight it to a greater or lesser extent, and it is always in the way of the hand and arm, and especially so if instruments are used. The art of examining the mouth by the eye, even when a strong light is used, is far, /«r from satisfactory. The only way to my mind to thoroughly examine the mouth and its contents is by the hand, with, so to speak, an eye in the end of each finger ; and, further, you can only examine thoroughly one side of the mouth with the one hand and the other hand should be just as skillful in the other side of the mouth. I find trouble in the mouth of different kinds too numerous to mention. Decayed teeth, broken teeth, snags, foreign bodies (as needles, pins, pieces of wire, cobs, roots, pieces of wood, and abscesses, cuts, tears, etc.) are the principal things found. Never yet but twice have I found a mouth that I could not search carefully and thoroughly and be able to state the exact condition of such a mouth. In my practice I have only found two horses that would not allow me to examine and put my hand in their mouths. One of them tried to shake hands with me, and missing my hand tore open my vest from top to bottom. To him I said " you are welcome," and if the mouth must be searched I will lay you down before again attempting it. The older members here will remember that years ago I brought to this our annual meeting the skull of a mare con- taining a seventh molar, which had opened a way through the basilar process of the superior maxillary, making an opening into the throat and doing much damage. For years I have been looking for seventh molars in a live horse, and this last fall I found two, one on either side of the lower jaw, and ex- 66 E. H. SHEPARD. tending upward, just enough to begin to cause trouble. I operated on them, cutting off the exposed points, and smoothing the stubs down nicely with the float. There are many ways of examining the mouth with the hand and I differ from the majority, but will demonstrate my way in the clinic if called upon. And there is not one of us who cannot easily learn to do a simple thing in the right way. In the dressing of teeth, which to some of us is almost an every-day occurrence, I do not believe any man can do a first- class job, so to speak, unless he works always with one hand in the mouth. That one hand is his guide ; it carries the working parts of his instrument right where the work is needed and tells you instantly when you have done enough and when your work is finished. The other hand going into the mouth on the other side does likewise, thereby resting each hand or arm in turn. And your dressing of each side is done straight in the line of the teeth and there is no awkward cross work to be done, nei- ther do you dress one side more than the other, because both sides are easy and alike to do, and again, not one-half of the vet- erinary dentists have their files placed in their floats in the, to my mind, proper manner. I do not believe any work upon the teeth should be done with the />ush stroke. It can be done just as well with the draw stroke^ and with a hundred times less danger of frightening or, what is worse, injuring the animal. Now in this connection, as I am talking of the manipulation of the horse's mouth, I wish to give you an example of a case which came to my office several years ago. As I was standing in the door of my infirmary talking to a friend one day, I saw a man driving a team towards me, and I remarked to my friend, " Here comes a man with a sick horse." The off one could scarcely walk ; its head hung low and its every effort showed exhaustion. As he stopped before me he asked in a gruff voice, " Is the Doctor here ?" to which I an- swered, " Right here." " Well," said he, " there is a sick mare and I have driven her all the way from Kirtland (which was over 20 miles); she has been ailing nearly two weeks. Two EVERY-DAY EXPERIENCES. 67 doctors with their papers have seen her, and all the quacks in my country have tried to save her ; but she can't eat, and if she isn't cured soon I'll never ^^// her home again." My eyes had been busy, and I said, "Does she try to eat f'' " My, yes!" he answered, "but she can't swallow anything but water and thin gruel." I unbuckled one cheek piece to the bit and slipped the bit from her mouth, raised the head and slipped one hand back into her mouth — clear back between the upper sixth molars, I found something, and slipping a finger around it gave a quick pull and brought out a crooked gnarled piece of wild cherry root, resembling the letter Y, and that was all ; but which, the mare or the man, was more pleased, no one could say. The grass I gave the mare she swallowed before it was half masti- cated and kept begging for more ; the man danced and laughed and pounded me on the shoulder till I began to think he meant something. He told me she had been treated for sore throat and he did not know what all, while the outside of her throat was blistered. So, you can see that the ability to examine the mouth is a help at all times, and the more dexterous and smooth you are the better impression you give, and your success is cor- respondingly greater. Now, as I remarked before, new things will continually come to us, and many times they are a decided help in more ways than one. I wish to cite you a case which I treated the past fall, as it has a distinct feature to it which was a surprise to me. I was called one morning to come in haste, and found a fine looking mare sweating, trembling and breathing hard. I inquired into the history of the case, and found she had been coughing a little for some days, but eating well and feeling good, and, as the day was Friday, and the owner wished to. make a long drive on Saturday, he had called in a friend to ad- vise him whether it was best and safe to drive her. The friend said he thought so, but he could give her a dose which would make her all right ; so the owner told him to go ahead. He told thc'owner to get him a full pint of lamp oil, which he 6g E. H. SMEPARD. poured into a long-neck bottle, and getting up on the manger, threw her halter strap over a beam, pulled up her head and poured it down her, never wasting a drop, as he expressed it. I gave a laugh and said: " Did you give this mare a pint of lamp oil?" " Yes," said he, " and he gave it to her through the nose." " Well," said I, "he has killed your mare; she will die. A part of it, at least, has gone down her wind pipe into her lungs, and you now have a good case of mechanical bron- chitis." I took her pulse and temperature. Found the pulse 72, and temperature 104. This at 11 o'clock, a. m. I gave immediately raw linseed oil, and a mild stimulant, and left more to be given. I returned at 2 p. m., and the pulse re- gistered 84 ; the temperature, to my surprise, was so high that I took it three times to be sure that I made no mistake; each time it stood at 109!° ; at 5 P. m., the pulse was 106, and the temperature 108* °. At 8 P. M. the pulse had dropped to 84, but the temperature still stood at 1081*^. The next morning the pulse had dropped still lower and was 72, the temperature 105 f and so on for the next eleven days, her pulse fluctuating; at no time lower than 52, while her temperature varied also, never lower than 103" nor higher than 105°. The bronchial conditions continued with consider- able pneumonia, and she wasted and lost flesh, going on steadily towards the inevitable end, death, which occurred on the twelfth day. This was the highest temperature I have ever taken and I quote it simply for that fact, and also to show you how smart some of our Cleveland quacks are. Cases will come to us .whose condition and symptoms are such as we have never been taught, read or recorded, or seen before, nor even dreamed of. There may be cases that might .be caused or brought about in several different ways, or perhaps no man can give a reasonable cause for. But we get them just the same. Again, we get cases which, search and examine as we may, quizzand cross examine the owner and driver, and rack our throbbing brains as we will, we cannot name the trouble and here with these mystifying cases is where each one of us can add EVERY-DAY EXPERIENCES. 69 to or take away from our reputations. Each one of us may be good as veterinary surgeons, and each one have his specialty, yet there is some part of our work that each one can do better and with more success than he can do the rest. I predict that in a few years in all large cities we will have specialists in the different parts of the work. The good work has already begun and specialists in the one branch of lameness are quite common. But that man to make a success must have not only theoretical but practical ideas on the mechanism of the foot in all its parts, as well as a thorough knowledge of all the muscles which make up the locomotory apparatus of the horse. In dentistry, you all know the specialists are innumerable, and the majority are nothing more nor less than "fakirs," espe- cially the "traveling gentry." We will have the abdominal specialists and the respirator}' specialists, and in some places, not in the cities, there will prob- ably be obstetrical specialists, for good men in that line are hard to find. The men who make surgery a specialty will also have a place. But when that time comes no one will be able to con- fine himself entirely to his specialty. There will be room and work for all, and I believe as the years roll by and our people become more and more educated up to the value of the veteri- nary surgeon, in like ratio will his calling rise in their estima- tion and his life work will be a financial success. " I FIND THE Review a source of great profit in my work, besides being of much interest and pleasure. " — (John Oliver^ V.S.^ Columbus^ Miss.) In the ten years' existence of the State Board of Veterinaiy Examiners of Pennsylvania, it has issued 180 licenses to prac- tice veterinary medicine and surgery in that State. Under the old registration law, when any one who had ever seen a horse was allowed to register, 1,975 names were recorded. Under the new law, compelling a registration with the Examiners, about 800 will be the result. In a review of the reregistration. Dr. Hoskins, the secretary, gives some interesting figures, which we hope to publish in the near future. 70 W. A. STUHR. PATHOLOGY AND TREATMENT OF FEVER. By Prop. W. A. Stuhr, Ames, Iowa. Presented to the Annual Meeting of the Iowa Veterinary Association, at Ames, January, I906. In no branch of the science of medicine, perhaps, can there be observed more notable changes than have taken place in therapeutics in the last few years. In fever, for example, the most important phases of the treatment are almost diametrically opposed to those of but a few years hence. The successful physician has come to a full real- ization of the powers of nature and recognizes in her his great- est aid in his fight against disease. This has stimulated many careful and painstaking investi- gations of all phases of disease and as a result the many serums, vaccines, and toxins have been discovered and brought to light. These products include almost all of the specifics known to therapeutics to-day, and all are produced as a result of the body's own activity. The thought is therefore very strongly impressed that the body itself is the origin of the real antidotes and that it behooves us to study its methods. It has only been of recent years that the therapeutist has realized, that in order to logically select his means of relief, he must be thoroughly familiar with the needs of the system. That is, he must understand the changes of structure and of function which take place in the diseased body, as well as the protective mechanisms of the body, which have been developed during the course of its evolution. Thus, if the body naturally endeavors to protect itself again.st the ravages of disease by increasing its number of leucocytes, whose purpose it is to destroy, or, by their secretory activity, to manufacture a substance which will neutralize the products of the invading germs ; or by elaborating an antitoxin through its own cellular activity ; or by increasing the functions of the elimination, etc., it should be the purpose of the therapeutist to PATHOLOGY AND TREATMENT OF FEVER. 71 resort to all justifiable means of increasing the number of leu- cocytes ; to employ, if possible, a specific antitoxin, or to aid in the functions of elimination in every consistent manner. This transference of the practice of therapeutics from an unreliable to a logically sound basis has succeeded in elevating it from the level of an empiricism to the dignity of an applied science. Let us therefore apply the idea just expressed to the subject of fever and ascertain, if possible, the reason for the present form of treatment. Fever may be described as representing that pathologic state characterized by such phenomena as elevation of temperature, and altered metabolism, associated with increased activity of the circulatory and respiratory systems, and functional and struc- tural changes in the tissue of the body. Although the high temperature, or pyrexia, is a prominent symptom of fever, it is by no means always present. Thus, in some forms of septicaemia, all the other symptoms of fever may be present, while there is no elevation of tem- perature. Indeed it is believed that the bacteria, or their products, are responsible for the tissue changes and that the pyrexia may be only in certain instances. The causes of fever have been grouped as traumatic and in- fectious. Although traumatic fever is not at all uncommon, by far the greater number of cases of fever are due to specific causes. We have, therefore, to deal with the effects produced by living organisms and their products. Pyrexia is regarded as being the result of toxic disturbances of the nerve centres concerned in heat regulation, the degree of elevation of temperature depending upon the afl[inity of the toxic product for the heat centres. Since the toxic products are elaborated by bacteria, it may be considered that the elevation of temperature is an index of the intensity of the infection. Therefore, since the temperature in most instances varies 72 ^\- A. STUHR. directly with the intensity of the infection, most authorities contend that the febrile reaction is of a defensive nature and is to be looked upon with favor. From a bacteriological standpoint, this seems to be true. For instance, most pathogenic bacteria grow best at the tem- perature of the body, or 37°C. In fever, the temperature may rise to 40°C., or higher, at which point the activities of some bacteria are much inhibited. The high temperature does not lead to serious results unless excessive or prolonged. The altered bodily functions are dependent upon distur- bance of metabolism. The accelerated pulse in fever, however, as Brunton and Liebermeister have proven, is due to the action of heat upon the heart. It has been expeiimentally demonstrated that their injec- tion of bacterial products will cause a marked loss of body weight, which may be progressive and lead to death. Tissue changes produced by bacteria include almost all those known to pathology. They may, however, be grouped under two headings, namely : those of a degenerative or necro- tic character and which are the direct result of damage, and those of a reactive or defensive character. The former depend upon the virulence of the organisms and their ability to establish themselves in the tissue. These are the cause of the symptoms of disease. The latter represent the defensive resources which have been developed by the body. The structures most concerned in the protection of the body are the leucocytes and the fixed cells of the tissues. It is a well-known fact that, in the various bacterial dis- eases, certain changes occur in the organs and tissues which are due to the action of bacterial products in circulation in the blood. This is observed in the degenerative changes in the cord and peripheral nerves following the injection of the pro- ducts of the diphtheria bacillus. Cloudy swelling, fatty degeneration and coagulation necrosis PATHOLOGY AND TREATMENT OF FEVER. 73 are the lesions commonly presented. These degenerative changes, in such important organs as the liver, heart, kidneys, muscles, etc., interfere with their functions, and not unfrequent- ly are the direct cause of death. Hence the great importance of increasing the power of resist, ance of the body, and thus inhibiting the production of bacterial toxins. Since we believe in the parasitic theory of disease, we can- not assume that recovery has entirely taken place until all of the organisms which cause the disease have been destroyed or otherwise gotten rid of. That numerous bacteria are eliminated from the body in the various secretions and excretions can be seen from the fact that these, in many instances, are hi^^hly infectious and are capable of spreading the disease to other animals. This, however, does not account for the complete disappear- ance of the organisms in those instances where recovery takes place. Some other protective resource is chiefly responsible. If, for example, germs are introduced into .the tissues, set- ting up a local infection, there is called forth a reaction, char- acterized by a series of interesting phenomena which we desig- nate inflammation. If such an area were examined under the microscope, it would be seen that the most important and the most apparent of these phenomena would be the vast accumulation of leuco- cytes. What is true of such local infections is likewise true of acute general infection. Thus the entire field of acute infectious diseases has been studied and, as a result, the statement is made that, with only few exceptions, in every case there is a leucocytosis, the extent of which varies with the severity of the infection. An interesting classification of diseases derived from a study of the leucocytes reveals the fact that those diseases which man- ifest an initial leukopenia which is maintained throughout their duration almost invariably run an asthenic and fatal course. On 74 W. A. STUHR. the other hand those diseases which show a marked increase in leucocytes are characterized by more favorable termination. We are informed by good authority that cases of pneumonia in which leucocytosis is absent, or but slightly marked, are in- variably fatal. It appears, therefore, that leucocytosis is a decidedly favor- able symptom and that the leucocytes are intimately concerned in the protection of the body. Admitting this to be true, it remains to explain how they accomplish such favorable results. The exhaustive experiments of the celebrated Metschnikoff have done much to explain the phenomenon. To sum up the results reported, we may say that the leucocytes, which accumu- late in the area of infection, undergo a process of disintegra- tion by which they liberate a substance that is disseminated throughout the body and which has the power, not only to neutralize the bacterial products, but also to attenuate the bac- teria themselves, so that they may be taken up and destroyed by the leucocytes. This being true, it is reasonable to suppose that the greater the number of leucocytes present, the more powerful will be the resistance of the body. In addition to the protection offered by the leucocytes, against the bacteria themselves, the body is further protected against the products of bacterial growth by the organs of elimi- nation, such as the kidneys, skin, bowels," etc., which excrete the poisons and thus by preventing accumulation, often over- come fatal poisoning. Further the tissues themselves, as Ehrlich has so aptly ex- plained, in response to the action of the toxins, elaborate sub- stances which react with the toxins producing nontoxic com- binations. These procuded of cellular activity are the so-called antitoxins. Artificial leucocytosis may be either physiologic or thera- peutic. Physiologic leucocytosis follows digestion of foods rich in proteids, exercise, massage, cold, etc. Of these, cold properly used and frequent feeding of small amounts of proteids, are the PATHOLOGY AND TREATMENT OF FEVER. 75 most practical in veterinary practice. Cold, in addition to in- creasing the number of leucocytes, exerts a most favorable anti- pyretic influence without any of the depressing effects of the majority of the ordinary fever remedies. It acts as a general tonic and stimulant and by its abstraction of heat serves to re- lieve nervous and circulatory excitement. Fui;ther, the introduction of cold water into the system cither by ingestion or in the form of enemas will, by its diuretic effect, maintain the action of the kidneys and assist very mate- rially in the elimination of the effete products of metabolism and of bacterial growth, which are responsible for the depres- sion manifested. Cold as an antipyretic is employed, practically, in form of enemas, cold drinks, or sponging of the surface of the body con- joined with brisk rubbing with coarse cloths. As for the first method several gallons of cold water may be introduced high up in the posterior bowel and allowed to remain until the tempera- ture drops to within about two degrees of normal. This pro- cedure should be repeated whenever the temperature shows a tendency to rise. A bucket containing cold water should always be placed conveniently about, as a drink of this kind is always helpful. Cold may be applied externally in the form of sponge baths. Cold applied by means of coarse cloths or dashed on and fol- lowed by brisk rubbing until dry. This latter is absolutely necessary in treatment of fever. The patient should then be covered with a blanket. This may be repeated at frequent intervals to get the effect of stimulation or as often as the temperature begins to rise, to control pyrexia. Therapeutic leucocytosis. — Numerous medicinal agents have the power of increasing the number of leucocytes. Among the most important may be mentioned nuclein, nucleinic acid, peptone, pepsin, camphor, etc., administered subcutaneously or intravenously. Tonics, stomachics, notably gentian, also increase the number of leucocytes. 76 W. A. STUHR. Certain gland extracts, as of the spleen, thymus and bone marrow exert a marked effect. Nuclein especially seems to be a reliable agent and numerous reports from the medical profes- sion indicate that it is not only absolutely safe, but has been used successfully for several years. Blood counts show that it will double the number of leuco- cytes in a short time and some reports show an average in- crease of 75 per cent, in the number. Being an albumin, nuclein is digested by the gastric juice and therefore must be given intravenously or subcutaneously. In conclusion, therefore, since experimental and practical obser- vations have all shown without question that hyperleucocytosis is a decidedly favorable symptom in those diseases characterized by increase in the number of leucocytes, it seems that we should aid nature in her struggle against disease by artificially increasing the number of leucocytes in every justifiable manner. The more familiar we become with the manifestations of disease, the farther we drift from the old practice of therapeutics, which indeed is largely empirical. Thus many of the antipyretic remedies which have been so extensively employed in the past are being dropped from use because they are too depressant. In fact they produce, in some instances, change in the tis- sues similar to those resulting from the bacterial poisons them- selves. This is notably true of those organic and inorganic com- pounds which interfere with the ozonizing power of haemoglobin and of which the coal tar derivatives, such as acetanilid and its class, are examples. I trust that this brief review of the subject of fever will serve to illustrate the dependency of therapeutics upon pathol- ogy and also to stimulate a closer study of the workings of the body in disease in order that we may be prepared to deal with it more rationally. Have you written to your Senators and Congressmen, in behalf of the Army Veterinary Bill ? Do it now. DISINFECTION. 77 DISINFECTION. By Prop. R. R. Dykstra, Ames, Iowa. Presented to the Annual Meeting of the Iowa Veterinary Association, at Ames, January, I906. My object in presenting this paper to you this evening is not for the purpose of announcing any new or startling discov- eries, but more to bring back to your minds afresh the thoughts which were instilled in them during our college days, and if I can accomplish this purpose, I will feel more than amply re- paid for my efforts in this matter. Before proceeding with my paper, allow me to offer a defini- tion of a disinfectant, of an antiseptic and of a deodorant, terms which are often confused. Disinfectants or germicides are agents which destroy the microorganisms causing infectious and contagious diseases, fer- mentation and putrefaction. Antiseptics are agents which prevent the growth and develop- ment of microorganisms, occasioning fermentation, putrefaction and disease ; more especially the micrococci producing suppu- ration. Deodorizers or deodorants are agents which destroy or coun- teract a foul odor. They are not necessarily antiseptics or disin- fectants. Considerable confusion exists in relation to the terms disin- fectant and antiseptic, because the latter is often described as an agent which inhibits the growth or destroys the life of the microorganisms of fermentation, putrefaction and disease. This definition makes antiseptic synonymous with disinfectant. The distinction exists, however, according to common usage, that while disinfectants may, in dilution, act as antiseptics, antisep- tics are not often disinfectants, and in the nature of things are not strong enough to kill germs, although they may hinder their growth. Antiseptics may then be regarded as a subdivi- sion of disinfectants. The two terms are unnecessary and mis- leading, as either might embrace both interference with the 7t< R. R DYKSTRA. growth and destruction of microorganisms. Disinfection may fall short of sterilization ; i. e.^ death of all germs. Boiling a fluid containing microorganisms wholly destroys them ; but while disinfectants may destroy the germs of disease, they often fail to kill more resistant and harmless organisms, as the Bacillus subtilts. The scope of antisepsis has been extended by some authors to include agents which destroy the toxic prod- ucts of bacteria and prevent their absorption. A discrimination between disinfectants and antiseptics may be made in relation to their connections with the body. Those agents employed to kill germs, in matter distinct from the liv- ing body, are disinfectants, while those agents applied on the surface, or introduced within the body, may be classed as anti- septics, since they can rarely be used in such strength as to kill all microorganisms without injuring or killing their host. Let us pass from these definitions to the knowledge which a disinfector should possess. The success of the disinfector lies in personal attention to the minutest details. He must know the best method of disin- fecting or purifying rooms, barns, sheds, pens, cars, or any place where many animals are assembled and where latent or unrecog- nized cases are constantly suspected or are actually occurring to contaminate the surroundings. Germs are little things and it is the little things that count in this kind of work. The disinfector •who is satisfied to leave the process in the hands of an inexpe- rienced person, with a few words of instruction, cannot expect to obtain trustworthy results. In no other work is the watch- word that " vigilence is the price of success " truer. The disin- fector must give personal surveillance to the whole process, the inaterials, the strength of solutions, modes of application, and must be present to guide and direct every step of the operation with the same conscientiousness and thoroughness with which ithe surgeon assures himself of every detail of asepsis in] his operating room. It is true that the means and methods employed to rid a stall of infection clo.sely resemble those used in the operating room. DISINFECTION. 79 but it Stands to reason that in the former case they can rarely be carried out with the same exactness and certainty as in the latter, where everything is arranged and constructed with this end in view. In the surgical clinic nothing short of steriliza- tion is safe, while in the great majority of disinfection done to prevent the spread of epizootic diseases, measures that fall far short of sterilization will suffice. A great deal may be learned by a thorough inspection. To be sure we cannot see the germs with our unaided vision, but we can see the dirt and moisture and other conditions that pre- sent a favorable medium for the growth and multiplication of the pathogenic microorganisms. While the old idea that filth and unsanitary conditions dreed disease^ is wrong, it is neverthe- less true that these conditions keep the infectious principles alive and favor their propagation. It is therefore plainly the duty of the disinfector not only to destroy the actual infection, but also to eradicate all the conditions that would act as breeding places and disseminators of infection. The disinfection of barns, sheds, pens, cars, ships, and all ob- jects that have been exposed to infection, must of necessity be greatly in excess of the actual requirements. This is one of the difficulties met with in attacking an invisible foe. A barn might readily be disinfected and rendered safe by applying a few gills of one of the germicidal solutions to a small spot or limited area ; but as we cannot see the germs, it is necessary to applv our disinfecting agents to every inch of surface of the barn and all its contents, in order not to miss that particular infected spot. As our knowledge of infection becomes more exact, our processes of disinfection become more precise. At first disin- fection was directed by a shot gun process, in a general sort of blunderbuss way, against everything, but now that we know the habits and habitat of each one of the particular microorganisms, we can concentrate our efforts with more exactness upon the particular object of media liable to infection, with every assur- ance of eradicating the danger. In other words, it is quite as important to know what to dis- 80 R- R- DYKSTRA. infect as how to disinfect, and a very thorough knowledge of the subject of the causes and modes of transmission of the com- municable diseases is the most useful weapon the disinfector has in his fight against the spread of infection. It has been laid down by Parkes that, in order to apply the process in disinfection in a scientific manner, we should know, ist, the nature of the contagion or disease-producing agent ; 2d, the means by which this is spread ; 3d, the effect produced on it by the action of the disinfectant used for its destruction. In the present light of our knowledge we must regard the contagia as consisting of particles of living matter ; this will hold good whether the disease in question be glanders or scab- ies. It is unnecessary here to enter into the subject of disease germs, and the arguments in favor of or against their specific power. They are undoubted and exist in all diseases capable of producing their like by inoculation, and though the poisons of rabies and some other diseases have not yet actually been seen, it must be held that they are as undoubted as the poisons of an- thrax or tuberculosis. The means by which disease poisons are spread, are through direct contact with the diseased fluids of sick animals ; by water or food, soiled by their body fluid ; by air containing particles given off from their skins and lungs, or carried up by the process of evaporation from the infected ground on which they stand ; by contact between healthy animals and men who have been attending on the affected ones ; by the sale and conveyance about the country of hides, horns, flesh, offal, bones, tallow, excrement, etc., of affected animals ; by the superficial burial of carcasses and the bringing to the surface, through animal agency, of the particulate poisons of the dead ; and through placing healthy animals in sheds, stables, railway cars, wagons, ships, etc., which have been occupied by diseased ones. Such are the principal modes by which specific diseases are conveyed, of which we have had many practical examples in the country, the cattle plague being the most notorious. The sanitary measures which have, therefore, to be enforced DISINFECTION. 81 to prevent the spread of disease are obvious. The public dec- laration of the infected area ; the drawing of a sanitary cordon around it for a distance, which must be governed by the infec- tious nature of the poison ; the absolute cessation of communi- cation between the infected area and the outside world, and the immediate destruction of affected animals, are the first measures to place in force. The difficulties of a thorough carrying out of tliese principles may be readily appreciated ; they can only be enforced by a veterinary sanitary police powerfully supported by the law. The foregoing measures can, if properly applied, be abso- lutely certain of limiting the disease to the infected area. In this we have enormous advantages over the human hygienist, who is allowed much less control over public liberty, and more- over cannot carry out that golden principle of limiting the spread of a contagious disease by the immediate destruction of the diseased patient. The stress of modern activities demands disinfecting pro- cesses that are instantaneous in their action, all-pervading in their effect, cheap, harmless and free from any unpleasant odors, though the latter is not an essential. Such perfect disinfectants are not known. It requires time, money and the expenditure of well-directed and intelligent energy to accomplish satisfac- tory disinfection. GENERAL USE OF DISINFECTANTS. Air, sunlight, heat and water are naturally the best disinfect- ants. Air scatters and dilutes microorganisms, making them pathologically inactive. There is no more effective way to dis- infect a stable, in which animals are living, than by free venti- lation with pure air. It is well known that animals are less liable to contract infectious diseases in the comparatively pure air of the country than in the closely crowded and ill ventilated city buildings. Likewise the contagious diseases of children mostly occur in winter, when they are herded together in schools and in poorly ventilated dwellings. To attempt to disinfect the air surrounding a patient is the height of absurdity. The gen- 82 R- R- DYKSTRA. eration of chlorine and sulphurous acid gases for this purpose, although recommended in some text books, is futile, and by ir- ritating the respiratory mucous membrane, accomplishes more harm than good, since a congested surface offers a more suitable field for bacterial growth. Air, on the other hand, may be a medium of infection when contaminated with dust containing pathogenic bacteria. Sunlight is prejudicial to the vitality of bacteria, whereas, the bacterium of tuberculosis will live almost indefinitely in damp, dark places, but quickly succumb to sun- light and dry air. Sunlight and pure air are, then, imperative for both the immediate and preventive treatment of germ dis- eases. Heat is the most powerful agency for disinfection at our command. Dry heat, to be efficacious, must be applied at a temperature of 284° F. for three hours to kill all bacteria and spores ; but this degree of heat scorches most fabrics and de- stroys many materials. Boiling water quickly kills all non- spore bearing pathogenic bacteria, and these include most of the organisms causing the common contagious and infectious dis- eases (tuberculosis and anthrax excepted). Two hours of con- tinuous boiling will not destroy the most resistant of microor- ganisms— the spores of the hay bacillus — but moist or saturated steam, at 230° F. will infallibly kill any spores whatsoever within a few minutes. Fire is the most complete disinfectant, because it not only destroys germs, but their food and products. Water, like air, dilutes germs and aids oxidation and destruction of organic matter ; but again, like air, drinking water may be the source of infection when sufficiently contaminated. The disinfection of a stable requires a very thorough appli- cation of all the resources at the hand of the disinfector. The conditions met with in a stable render the disinfection doubly hard, not only on account of the accumulation of organic filth, which has worked into the many crevices and saturated the woodwork, but on account of the high resistance of the anthrax and tetanus spores, for which stables are sometimes disinfected. In addition to these diseases, stables require disinfection on ac- DISINFECTION. 83 count of tuberculosis, glanders and pleuro-pncumonia, and vari- ous diseases of man, as well as those of domestic animals. It is advisable to give the stable a preliminary fumigation, preferably with sulphur, in order to destroy surface infection and the ver- min which always infect these places. The preliminary disin- fection is especially important in the case of plague, glanders, tuberculosis, or any of the exanthematous diseases, not only to prevent the spread of infection, but as a safeguard for the disin- fection. Then remove all small articles that need disinfection. The blankets should be wrapped in moist bichloride sheets and boiled, steamed or burned. Buckets, currycombs, brushes, stall tools and other equipment that has been in contact with sick animals or with infectious materials, should be mechanically cleaned with hot carbolic solutions in which they may be al- lowed to soak over night. Metallic or wooden objects or utensils should be given a thorough preliminary cleansing with a stiff brush and hot water and soap and then boiled or immersed in a hot 5^ solution of carbolic acid or a 2||solution of trikresol for several hours. Leather articles, as harness or equipment, should receive a similar preliminary cleansing and be scrubbed with either a strong solution of bichlorid of mercury or carbolic acid. All hay and grain should be removed from the racks and man- gers, and all bedding from the floors. After its careful collec- tion at some designated point the refuse should be saturated with petroleum and destroyed by fire. The stable must now be soaked with a strong antiseptic so- lution applied with a hose, or splashed on all surfaces by means of mops. The floors, corners and stalls must be saturated with the solution. On account of the presence of so much albumi- nous matter — phenol or one of its derivatives is preferred for this purpose to sublimate solutions. Now scrape out the debris from all cracks in the floors and walls ; collect it for burn- ing, then clean the woodwork with hot lye or a strong alkaline soap solution, and follow with another general hosing with the antiseptic liquid. After several days exposure to air and sunshine the interior 84 K. R. DYKSTRA. of the stable should receive a fresh coat of whitewash, applied thickly, and prepared from lime, freshly burned shortly before the time of use. The watering troughs are very apt to be infected, especially in dealing with glanders. In all instances, not only the troughs and watering buckets should be disinfected, but the water re- maining in them, for often there is no drain or sewer, and this water poured on the ground may be a source of subsequent in- fection. The water may first be disinfected by the addition of a suitable amount of any of the ordinary soluble germicides. The troughs are then to be mechanically cleaned, thoroughly removing all organic matter, and then applying a strong germi- cidal solution to both the inside and the outside. For metal lined troughs the use of bichlorid of mercury is, of course, in- applicable, and for such carbolic acid, trikresol, formalin or po- tassium permanganate is recommended. Most antiseptics are poisonous and must, therefore, be finally washed out of the trough or buckets by ^lushing with fresh water and then air- ing in the sunlight before they are again used. Strong car- bolic solution or formalin should be poured down all pipes or drains. Sometimes the ground in the immediate vicinity of the stable will need some attention ; lime will generally be found most useful for this purpose. Carcasses and excreta are to be disinfected and disposed of according to the nature of the dis- ease with which they are affected and this we will now consider. We know that with most of the specific diseases, special parts are affected from which the poison is discharged from the system ; thus the diarrhoea of cattle plague, the nasal discharge in glanders and influenza, the desquamation in variola, the sub- cutaneous serum in anthrax, the saliva in foot-and-mouth dis- ease, the aerial particles in pleuro-pneumonia and tuberculosis, etc., are all means by which the water, air, food, soil and build- ings are infected, and capable of reproducing the disease unless disinfected. It is clear that the discharges from the body should be de- DISINFECTION. 85 stroyed by fire, the faeces and litter burned, the soil on which the patient has stood disinfected by litter being burned on it, and the ground to the depth of six or twelve inches dug up and buried with the carcass. It is evident that the extent to which disinfection has to be carried mu.st depend upon the character of the disease we are trying to eradicate. Glanders and cattle plague would certainly require to be dealt with on the above lines, but when we come to such diseases as influenza, or scabies, our methods of disin- fection may undergo modification to the extent considered nec- essary by the peculiar nature of the disease. Our measures would not be complete unless the persons in attendance on the sick animals are disinfected. Their clothing should be boiled or baked, preferably the latter, and their bodies thoroughly washed, particularly the hands, which should be perfectly disinfected ; attention should be paid to the nails of these persons ; they should be cut short and thoroughly cleaned. • The disinfection of hides, flesh, horns, hoofs, bones, tallow, etc., is recommended, because when we are dealing with dis- eases where these may convey the poison, nothing less than en- tire destruction by fire or chemical processes should be carried out. The flesh is an important economic consideration, but we cannot conceive that the flesh of diseased animals can be fit for human consumption. During the progress of an epizootic, dogs or other small ani- mals should be prevented entering the infected area, and if found should be destroyed. SURGICAL ANTISEPSIS AND ASEPSIS. It may be fitting, and not out of place to briefly outline here the rise of antisepsis and asepsis in veterinary surgery. Since the days when Lister introduced antisepsis, surgery has advanc- ed in a manner which appears, however, like retrogression. It is now conceded that asepsis can be attained more satisfactorily and safely without the general use of antiseptics, for antiseptics, as has been noted, inflict a certain amount of damage upon the 86 R. R. DYKSTRA". denuded surface, and, in so far, lessen the resistance of the body to the inroads of bacteria. Modern surgery attempts to secure a comparative asepsis by mechanical cleanliness, which is more efficient, simpler, and harmless to the body. Antiseptics are in- dicated to assist asepsis in the toilet of the unbroken skin, and when sepsis has already occurred or is unavoidable. The gross neglect of aseptic precautions, often seen in the operations of veterinary surgery, would be considered criminal practice in human surgery. Asepsis is nevertheless very difficult to secure in the lower animals living among filthy saroundings and lying on faecal dis- charges. In addition to these disadvantages, the trouble of controlling animal movements during operation, and of keep- ing dressings in place, make the attainment of asepsis em- barrassing and frequently impossible. The more common ad- ministration of anaesthetics would facilitate asepsis by prevent- ing movements of the patient and contact of the operative field with dirt. • But there are all degrees of infection, and while, with the best methods of securing cleanliness at our command, it is im- possible to completely sterilize normal skin and tissues, yet the surgical result may be perfect. Therefore, in surgical oper- ations, we should endeavor to secure as small an amount of in- fection or dosage of microorganisms as possible, consistent with existing environment and conditions. The following aseptic technique is especially applicable in the case of any surgical operation undertaken upon a non-in- fected part. If it is possible to carry out all the details and the result is successful, healing should take place without suppur- ation. Operations upon suppurating and infected areas should be conducted with cleanliness, and antiseptics are more desirable, particularly HgOg and corrosive sublimate i-iooo. To prepare the surface of the body for operations, the hair is first clipped and shaved, the skin is thoroughly scrubbed with a bru^h, green soap and water for five minutes and then with cor- DISINFECTION. 87 rosive sublimate i-iooo. After the skin is incised, there is no further necessity for antiseptics, unless the wound i3 already in- fected, or becomes so by exposure to air, or contact with dirt. Theliands of the operator, including the finger nails, should be brushed until clean with green soap and water and then with Hy Clg i-icxx) solution. Instruments are thoroughly scrubbed with soap and HgO and boiled for ten minutes in an aqueous so- lution of sodium bicarbonate (i teaspoonful to one quart) and then placed in a 20 per cent, solution of boric acid, or removed to a sterile towel. Pledgets of sterile cotton or gauze only should be used to soak up the blood in order to clear the field of operation. If irrigation is desirable, normal salt solution, i heaping teaspoonful to the quart of sterile water, is appropriate. Noth- ing else but this is allowable within the non-infected abdominal cavity. Sutures of silk and needles are prepared by boiling in water for 30 minutes. The area about the operative field is to be surrounded with cloths or towels, which have been boiled or baked, and the instruments may be laid on these. Dressings may consist of gauze which has been exposed for three hours to dry heat at 140° C. or 2840° F., or placed in an oven of an ordinary cooking stove, in closed tin cans, until it becomes scorched and slightly brown. The same gauze may be used for sponges. Unsterilized articles are not to be suffered to come in contact with the operation. Wound infection from exposure to the air and other media is prevented by immediate dressing and bandaging or by collo- dion application. The Pennsylvania State V. M. Association will here- after have a three-day meeting, with one full day devoted to a surgical clinic. This Association fought hard against the in- troduction of clinics as a part of its programme, but the great in- terest and value which they have for the membership forced them in, and the Review predicts for this organization fuller attend- ance and a larger enrollment of the qualified members of the State. 88 REPORTS OF CASES. REPORTS OF CASES. * * Cartful obitrvation makes a skillful practitioner, but his skill dies with him. By re- cording his observations, he adds to the knowledge 0/ his profession, and assists by his facts dm building up the solid edifice of pathological science. ' ' A BROKEN CATHETER — A PIECE REMAINS — HORSE WORKS. By E. C. Thurston, D. V. S., Sydney, N. Y. The following report is presented on account of its being somewhat out of the ordinary cases met with. The patient, a bay draft gelding, was brought to my infir- mary during my temporary absence from the city, his ailment being a simple colic. A teamster (one of the kind who knows it all) happened to be present and gave his diagnosis as " water- colic," saying that if he had one of those tubes (meaning a catheter) he would soon relieve him. Finding a catheter in the office, and without either softening or oiling the instrument, he proceeded to catheterize the animal, the consequence being that by forcing it, the catheter buckled on itself ; there was a slight flow of urine, tinged with blood, after which the clever gentleman commenced to withdraw the catheter, it stuck ; so, in order to release it, he gave a sharp pull, breaking off about four inches, which remained in the animal's body. When I arrived, about half an hour after, the patient was standing and straining from the irritation. On examination, I could feel about two inches of the broken portion of the catheter extending backwards over the brim of the pubis. After carefully ananipulating at intervals for upwards of six hours, I was unable to trace the remainder. I then decided that the only plan was to make an incision in the perineal region and remove the obstruc- tion. This was done with the hope that the innermost portion might be grasped with forceps or that the spiral wire in the catheter would assist in withdrawing it. vSuch, however, was not the case, as the removal of the portion grasped in the for- ceps brought only the wire, the linen portion remaining. Realizing the impossibility of removing the latter, the incision was sutured and the patient catheterized. This occurred some four months ago. The animal has worked every day since, re- mains in good health, except that occasionally the penis will hang pendulus. At such times, micturition is intermittent and more or less difficult. Will any Review reader favor me with anv suggestion or description of any other mode of operation which might have REPORTS OF CASES. 89 been more successful. Though the patient does his work, and does not seem to suffer to any extent, I cannot but feel that per- haps something further might have been done. FREAKS OF WIRE — FRACTURE OF INFERIOR MAXILLA — INDI- GESTION— ERGOTISM. * By Dr. R. C. Hill, West Alexandria. Ohio. I have here a few cases to report — not that they were diffi- cult cases, or took an extra amount of skill ; but peculiar in a way, as all three cases originated from the same cause, afflicted different parts, and misleading at first sight as to their diagnosis. Fracture of the Inferior Maxilla. — ^The horse was driven to hospital with a running sore on inferior maxilla. Opened it up, could apparently feel bone ; gave an injection to be used once a day. I met the owner several months later, and he said place was still running. I insisted that he drive him in so I could give him a more thorough examination, which he did. I opened wound so as to admit finger and found supposed loose piece of bone. Took a small pair of forceps to remove it and, to my surprise, pulled out a wire that was five inches long. Indigestion. — Owner stated his cow was " off her feed," and " lost her cud," and I gave him some medicine such as a cathar- tic and stomachics. He came in next day and said cow was no better and wanted me to come and see her. I found cow stand- ing ; did not care to move. On examining condition of stom- ach found out she could move, as she handed me one of those " good mornings" peculiar to the cow. After farther examina- tion, found very sore spot in left flank, on the order of a small abscess. Opened it and found wire about eight inches long, that had penetrated stomach. Ergotism. — I was called to the country to see steer with supposed broken leg ; owner stated he had been lame for a week or ten days and was getting worse every day, and that he could feel the bone. On arrival patient was down. We got him on his feet, and, to my surprise (while I had never seen a case), thought I had a typical case of ergotism (such as is shown in the Government book on cattle). After inquiring if he had been feeding rye, said he had not ; so I had to make farther ex- amination. I cleaned parts nicely and could apparently feel the bone in front of leg and at the sides and also at back part. So I began to look for the severed tendons, but could not find any. After a little farther manipulation I found a rough place, * Read at Meeting Ohio State V. M. A.. January, 1906. 90 REPORTS OF CASES. and the cause was apparent. Took a small pair of forceps, un- twisted the wire and removed it, which laid fully three quarters of an inch in from outside of leg. The patient being relieved at once, the owner, greatly surprised, but still very much bored that he had not been able to discover the wire a week ago be- fore leg had swollen. The steer made a nice recovery. ACCIDENTAL SURGERY.* By Walter Shaw, V. S., Dayton, Ohio. Since I became a member of this Association, I remember of but one or two cases of accidental surgery being reported. One of those was the accidental removal of the uterus of a cow in which the result was disastrous. Judging from this, it would seem that accidents in surgery are of very rare occurrence, or are considered of little or no importance to veterinary surgery. Still it seems to me that if all accidents were reported and care- fully studied, it would be of benefit to some of us. The case I wish to direct your attention to is one of acci- dental cystotomy. Some mouths ago I had an opportunity to witness a veterinary surgeon perform laparotomy on a female puppy several months old. The animal had been left at the doctor's office thirty-six hours before, and had been put in a stall two feet square. It was given plenty of water but nothing to eat, and left there to become in condition for the operation. Thirty minutes before the patient was put on the operating table, it was given hypodermically three-eighths of a grain of morphine. After the field had been prepared for the operation, the surgeon carefully made an incision through the skin and abdominal muscles. He then took up the peritoneum with a pair of forceps, but the bladder being greatly distended, had extended into the abdominal cavity, and was taken up with the peritoneum, and withr the first stroke of the scalpel, to the sur- geon's surprise, he had performed cystotomy. The urine es- caped freely through the incision. The operator did not lose his nerve, but held to the forceps and elevated the viscns in such a way as to allow the urine to escape outside of the ab- dominal cavity. When the bladder was emptied, the inci-^ion was closed with cat-gut sutures ; the edges were turned in, and the sutures inserted through the external coats only, the perito- neum from either side being brought together in apposition. The ablominal operation was then completed, and the inci- sion was closed in the usual way. As it would have been a dif- * Presented to Ohio State V. M. A., January. 1906. REPORTS OF CASES. 91 ficult matter repeatedly to pass a catheter, and as the doctor did not have a suitable one at hand, it was considered best to put the patient back in the small stall without food or water for twenty-four hours. This was done to lessen the secretion of urine. At this juncture the patient had shown no constitution- al nor local disturbance, and had urinated twice. She was then given two tablespoonfuls of warm milk night and morning for the next three days. The milk was then increased to three ounces twice a day for four days. When she was discharged, the abdominal wound was healed, and the animal was in good condition. DENTIGEROUS CYST. By W. S. De Hay, D. V. S., Mt Pleasant, S. C. In making a report on surgery, it has been the custom to relate some of the more recent operations, but as the majority of the members of the profession are subscribers to some of the veterinary journals, I will not discuss matters already familiar, but will present a case that I regard peculiar as well as interesting. A black horse, nine years old, was brought lo me January lo, 1906, for treatment of a fistulous opening at the antero ex- ternal part of the base of the right ear. This condition had ex- isted for five years. The animal had been treated by several quacks, who had tried to '* eat out the pipe ■' until the horse was of a sensitive disposition. He had changed owners several times because the trouble appeared incurable. I cast the patient and removed a lot of dried exudate, and inserted a probe into the fistulous opening, which was on a level and one inch in front of the inferior point of the aperture of the concha. The tract passed downward toward the squamosal bone. The probe came in contact with a hard substance, which could be detected by manipulation. An incision was made two inches in length, beginning at the fistulous opening, toward the eye. Upon inserting the finger what seemed to be the crown of a huge molar tooth could be made out. By inserting the molar extractors I removed the tooth with dif- culty, it being necessary to get assistance until it was loosened. It approached cuboidal in form, and measured on an average of 2 J^ inches in each direction.* It weighed three ounces. I treated the case afterwards as I would an ordinary wound, and got an uneventful recovery. *To confirm this statement, Dr. Dc I lay forwarded the tooth to the Revifw office, and it is now in our possession. 92 ARMY VETERINARY DEPARTMENT. ARMY VETERINARY DEPARTMENT. THE BRITISH AND AMERICAN ARMY VETERINA- RIAN. Dr. Edmund Burke, Assistant Principal of the Bengal Vet- erinary College, Calcutta, India, paid a pleasant visit to the of- fice of the Review on March 21. Dr. Burke was on his way home, having been taking a post-graduate course at the Grand Rapids Veterinary College during the winter. He has been on a year's leave of absence, and expects to arrive in Calcutta about May 3. The Doctor is a native of England, and is a brother of Veterinarian Burke, of the British Army Veterinary Depart- ment, retired. He has lived in India for twenty-four years, and has been in his present position for over twelve years. He gave an interesting account of educational matters in India, and his recital brought to our mind the irony of justice to the veteri- nary profession, for while the British Government maintains five veterinary colleges in the Indian country, it has held aloof from its home schools with inexplicable consistency, save in the in- stance of the recently endowed Dublin College, although we have been told that Camden Town has or is soon to receive a sop from the hand that does so much for schools in far-away India. In the Bengal College there are 150 students, while Lahore has larger classes — all free. Most of the graduates go into the service of the Government, but they are free to follow their inclinations, and may enter private practice, if they prefer. Although five schools are turning out graduates in goodly num- bers yearly, and, notwithstanding that the great majority enter the Government service, the demand for veterinarians by the Crown exceeds the supply. We recite these facts not in criti- cism, but in contrast to the absolute disregard of our own War Department for the needs of the military arm of the govern- ment in a veterinary service which will attract men of education and character, rather than causing those brave men who entered the service for the avowed purpose of improving it, to hang their heads in shame in the presence of military veterinary of- ARMY VETERINARY DEPARTMENT. 93 ficers of high rank in the armies of all civilized countries in the world. However, our service is young, and it is only in the past few years that any considerable number of men of the best type have joined the veterinary branch, and from all we hear they are making a deep impression as to their worth upon the military authorities, and their reward is certain to arrive in the shape of recognition and grade, which will cause a blush of pride instead of shame when they meet their veterinary con- freres of the armies of other lands. England has a splendid and honorable veterinary department in her army, but it did not come in a day, nor a year, nor a decade, but it was meted out slowly and in little lifts until the beginning of the reign of King Edward, when the reorganization placed it upon its pre- sent high and satisfactory basis. Our own President Roosevelt, with his fine sense of justice, and his oft-quoted slogan of '' a square deal," having an intimate personal knowledge of the needs of the military service, would not permit this condition of affairs to exist if it was brought forcibly to his notice ; but in the multiplicity of the demands upon his time, and most of them of vital importance to the welfare of the nation, he has not the opportunity to give this subject sufficient attention to see the opera bouffe that is being played in the army. Indeed, the par- lies responsible for this condition are the military authorities, not the executive ; but, when these blind men cannot be made to see, the keener eye of a higher authority should be turned in that direction. What friend of the veteiinarian will call Presi- dent Roosevelt's interest into operation in behalf of this import- ant branch of the military service of our country ? THE SCHOOL OF APPLICATION FOR CAVALRY AND FIELD ARTILLERY, U. S. A. TRAINING SCHOOL FOR FARRIERS. Object : — To train enlisted men in the art of horse-shoeing and in the care of sick and injured horses owned by and used in the U. S. Army. This school was established several years ago, at no little 94 ARMY VETERINARY DEPARTMENT. expense, at Fort Riley, Kas., the approximate centre of the United States. The officers are as follows : Commandant — Colonel of Cavalry. Secretary — Captain of Artillery. Director — Captain of Cavalry. Instructors — Two Cavalry Veterinarians; one Artillery Vet- erinarian ; one Civilian Veterinarian (this latter veterinarian being a civil service appointee, instructor for the School of Slioeing). Practical instruction is conducted by the different veteri- narians at the large new hospital recently erected, which by the way is one valuable adjunct to this Military Post ; more of them are contemplated being built at large posts in the difTer- ent States. Several hours daily are devoted to the stable care and man- agement of both healthy and sick animals. Recitations in com- modious lecture rooms are conducted one hour daily to each class of fifteen or more men. Theoretical Training. — A simple, plain but thorough text is followed, one which can be easily learned and committed by the average soldier. Anatomy, physiology, first aid and treatment of the ordinary diseases, accidents and injuries are fully taught. Conformation of horses suitable for military purposes, is another subject that is carefully gone into. Strict adherence to technical terms is not followed, common terms being applied when practicable ; however, it has been found that the average man entering this course is capable of learning intelligently and applying technical terms quite readily. Several subjects are dissected during each session, which extends over a period of four months, so giving each member of the different classes an opportunity to familiarize himself with fhe anatomical parts of the cadaver. Medicines. — During the short course given, time will not allow a careful or even a preliminary study of chemistry ; even therapeutics can only be glanced at. We do, however, teach the principles of " first aid " and render many men competent to treat ordinary ca«:es under emergency. A man thus quali- fied, upon examination of a Battery or Troop of horses, can usually detect the early symptoms of disease, by virtue of his physiological and anatomical knowledge of the subject. The Character and Material of our Men. — Men of several COLLEGE COMMENCEMENTS. 95 years service, men of good cliaracler only, those recommended by their organization commanders and those having shown previons mental ability, are desired and chosen for this work. Men from all mounted organizations in the States are chosen twice a year, this with the object of keeping in the ser- vice a constant supply of trained and useful assistants. Discip- line in the school applies to all as in the regular service and is under the supervision of the Director, who is a staunch friend to the veterinarian. The military student, however, makes an attentive and " eager-to learn " pupil for several reasons; he feels that he is receiving useful knowledge, it relieves the rou- tine of drill and other military work, he feels better satisfied with his pay and it brings him in closer relation with his charge, the horse. L. E. WiLLYOUNG, Veterinarian Artillery Corps. PERSONAL. Walter R. Pick, veterinarian ist Cavalry, writes from Fort Sam Houston, Texas, under date of March 14: "I take this opportunity of informing you of a very pleasant two hours spent by Dr. Power, of the A. C, and myself with Veterinary Director- General Rutherford, of Canada, who remained a few hours in Sar Antonio on his homeward trip from Old Mexico. The Doctor is looking well and states that the Southern climate has improved his health." COLLEGE COMinENCEIVlENTS. San Francisco Veterinary College. — The following were graduated from this college at the 1906 examinations, re- ceiving the degree of D. V. S. : Isaac E. Newson, Fort Collins, Col. ; A. G. Fisk, Reno, Nev. ; J. E. Knauss, Logansport, Ind. Alvie McDaniels, Biggs, Cal. ; A. B. Byles, M. C. P., Victoria B. C. ; G A. Rosenberger, Ph.G., Selma, Cal. ; Robert Wad dell, Concord, Cal. ; Joseph Tognotti, San Francisco, Cal. Harry Rosenberry, Auburn, Cal. ; F. T. Notz, Corning, Cal. John Iverson, Chualar, Cal. ; Wm. F. Reardon, HoUister, Cal. Chas. Price, Santa Ana, Cal. ; George Taylor. Redding, Cal. and Arch. Asbill, Middletown, Cal. 96 EXTRACTS FROM EXCHANGES. EXTRACTS FROM EXCHANGES. HUNGARIAN AND GERMAN REVIEW. By Adolph Eichhorn, D. V. S., Bureau of Animal Industry, Great Bend, Kansas. The Transibility of the Gastrointestinal Canal of Newly-Born Animals for Bacteria and Genuine Albu- minoids [A. Uffenheimer\. — The author found through feed- ing experiments that the gastro-intestinal canal of the newly- born guinea-pig will not transit the Micrococcus tretragenus^ the anthrax bacillus and the Bacillus prodigtosus. On the other hand, the transibility was observed in the newly-born guinea- pig (also old) of Tubercle bacilli^ which made the animals tuber- culous, even after one feeding of a small quantity of culture material ; the tubercular infection ensued either from the buccal cavity or from the gastro-intestinal canal, and in most cases without causing lesions in the mucous membranes. Feeding experiments with a specific haemolytic serum with cow's milk casein and white of an egg, proved no resorption, and conse- quently no formation of antibodies, while diphtheria and tetanus antitoxins passed in small quantities into the blood of newly- born guinea-pigs. From these experiments the author con- cludes, that in the newly-born guinea-pig in general, neither bacteria nor genuine albuminoids are taken up by the gastro- intestinal canal, with the exception of Tubercle bacilli 3Lr\(\ anti- toxins.— (Muench. Med. Wochenschr.) To the Question of the So-called Germinativr Tuberculosis in Animals [/. Karlinskt]. — From three bucks in which testicular tuberculosis was produced by direct injec- tion of Tubercle bacilli \n\.o the testicles, K. received offsprings with tubercular changes, while the mother animals proved on autopsy perfectly healthy. From these the author concludes, that the transmission of tuberculosis from the paternal organism to the ^gg through the semen is quite possible and does not occur as seldom as it is generally believed. Therefore, a care- ful selection of breeders and their testing with tuberculin ap- pears very essential. — (Zeitsch.f. Thiermed.) An Amputation of the Uterus in a Cow \^R. Mayer"]. — The author was called to attend to a cow which calved three hours previously, and in which soon after the expulsion EXTRACTS FROM EXCHANGES. 97 of the foetus, the uterus prolapsed. The owner replaced partly the uterus, and to prevent a further prolapse he applied a checking bandage. On arrival of the author the cow laid on the ground straining severely ; the uterus was considerably prolapsed on both sides of the bandage; its color was blackish red, and at the places where pressed by the bandage it was oedematous. M. cleansed the uterus from the remains of the placenta, bathed the same in a cold boracic acid solution and applied massage to the organ. As the replacing was fruitless after one hour of hard work, and the cow could not be induced to stand, and also as the eleva- tion of the hind part proved unsuccessful, M. holding the uterus quite high, so as to prevent the intestines from slipping be- tween, ligated it, and attached to the string two pieces of wood, having two assistants to draw on them every two — three minutes, thereby tightening the ligature. Following this he severed the uterus about five cm. behind the ligature; he ligated a profusely bleeding vessel and replaced the stub into the abdominal cavity after pouring pure creolin on the same. On the following day the animal refused to eat, but on the third day she got up, eating well ; after 14 days the string dropped off, and after six weeks only very slight discharge was present. The secretion of milk remained continually plentiful. — ( IVochenschr. /. Thierh. u. Viehz). True Primary Pearly Disease of the Peritoneum IN A Child [Z>r. A. Uffenheimer\. — Tuberculosis in the form of pearly disease is of very rare occurrence in human beings. Up to date only four such cases are recorded in the literature. Another such case was observed by the author, which also is remarkable, as it apparently represented a primary infection through the intestinal canal. This case occurred in a one-year- old boy, who died after a prolonged illness. At the autopsy it was found that the serous membrane covering the intestines con- tained numerous flat, round nodules, of grayish-red color, in sizes from a millet seed to a pea. At several places, the nodules confluated up to a size of a ten-cent piece. Some were sur- rounded by marked infection of the bloodvessels. Similar nod- ules were found on the mesentery. Some of the new formations were attached with thin fibres to the intestines ; some again were suspended in the abdominal cavity. Most of the nodules were located on the small intestines; however, the large intes- tines were also affected to some extent. Ftirther. there was found tuberculosis of the liver, spleen, lungs and brain. Ac- cording to the author, this case can be considered as a tubercular 98 EXTRACTS FROM EXCHANGES. infection through the intestines. The lung affection can only be traced back to a haematogic origin, as the corresponding lymph glands were normal. Considering the source of the in- fection the author believes that an infection of bovine origin can be excluded, as the child always received the milk boiled or pasteurized. On the other hand, it appeared very likely that the father infected the child, in whom tuberculosis was proven. — {Muench. Med. IVochenschr.) Reduction of the Death Rate From Tuberculosis. — Robert Koch in a speech on the occasion when receiving the Nobel prize at Stockholm, remarked besides other things that in Prussia since 1886, from year to year a reduction in the death rate from tuberculosis is recorded ; in spite of the fact that the popu- lace is increasing. At the present 20,000 less people die from that cause than 20 years ago. The reduction in this time amounts to 30%. Also considerable improvement is noticed in this respect in England and Sweden, while in Austria-Hungary the death-rate is the same to-day as it was at the time of the discovery of the Tubercle bacilli. GERMAN REVIEW. By J. P. O'Leary. D. V. S., Bureau of Animal Industry, Buffalo, N. Y. Variations of the Agglutinine and Precipitins Con- tents OF the Blood During Glanders Infection \^Dr. Benome]. — B. has selected the following main points from his investigations : (i) That the blood serum of the horse and the ass shows a considerable increase of the agglutinine contents during the experimental glanders infection as well as during the artificial immunizing against the glanders bacillus. This increase has no relation to the severity of the infection and seems to appear more rapidly if the inoculation of the glanders bacilli takes place through the abraded nasal mucous membrane than if it had happened through the normal digestive tract. (2) The agglutinating power of the blood of the glandered horse is raised during the mallein reaction. This rise, which can reach a very high degree, is nevertheless transitory, it bears no rela- tion to the intensity of the thermic reaction caused by the mal- leinization ; it is, however, always of organic reaction and ac- companied by an oedematous swelling at the point of inocula- tion. (3) In horses that have ceased to react to mallein and in which a more or less marked organic reaction takes place, there EXTRACTS FROM EXCHANGES. 99 appears during the malleinization a considerable increase in the agglutinating power of the blood serum. This increase of the agglutinative properties has considerable value in the diagnosis of certain suspicious forms of glanders. (4) The behavior of the blood serum with regard to its agglutinative properties toward the glanders bacillus shows many analogies with the behavior of the whole body toward mallein poisoning. As in this, the agglutinine contents may show considerable variations and even become weakened to the normal degree, although the horse re- mains glandered. This diminution of the agglutinative prop- erties of the blood serum of doubtful glandered horses can be explained by the formation of other kinds of antibodies out- side ; that is, through the anti-complements, which by neu- tralizing the normal complements hinders the phenomena of agglutination. This assertion is founded on the result of the successful reacting experiments which took place through the addition of the sera of healthy horses, cats and men. (5) Warm- ing for an hour at 52 to 56 C. the serum of glandered animals (horses, cats, and guinea-pigs) does not destroy the agglutin- ative power entirely, and that warming for one hour at 62 to 65 C. destroys it completely. The agglutinative power returns if normal sera from other animals is added in the proportion of I to 2 or I to 3 to serum which is made ineffective through heating. The complement of the normal feline serum reacts much better than that of normal human serum on the aggluti- native power of heated horse serum. The complements in the case of guinea-pigs is about the same as that of human. (6) The agglutinines are always found in larger quantities than precipitines in the serum of glandered horses, cats and guinea- pigs. The filtrate of bouillon cultures of glanders contain no sub- stances precipitable by serum whatever, or in quantities scarcely perceptible. Larger quantities of precipitable substances on the other hand are found in the plasma taken from fresh organs (spleen) of glandered cats and the aqueous glycerine extract from fresh or dried agar cultures of glanders. This difference is explained by the assumption that the filtrate of bouillon cultures of glanders bacilli contains the soluble toxines of the glanders bacilli only and not the proteins, which on the contrary are found in larger quantities in the aqueous glycerine extract of the glanders cultures triturated with powdered glass. — {Central- blatt fur Dak. Parisit. unci Inf. Krank.) Contribution to Our Knowledge of the Stuttgart Canine Epizootic [Dr. Jacob Wo/iimutH]. — The author next 100 EXTRACrS FROM EXCHANGES. speaks of the symptoms of what on account of the locality in which it first appeared was called the Stuttgart infectious disease of dogs, which as we know are those of a severe gastro- enteritis with ulcerative processes in the oral cavity and intes- tinal tract, which make their appearance rapidly and usually terminate fatally. After recounting the results of 49 post-mor- tems W. speaks of therapeutic measures. He advises, if pos- sible, early in the disease, the frequent flushing of the stomach and intestines with warm, thoroughly diluted liquid disinfect- ant solutions (creolin, lysol, bacillol, etc.,) the body being kept warmly clothed (wrapped up). To combat the debil- ity the hourly administration of a tablespoonful of pure, strong warm black cofifee, and to prevent vomition 15 drops of ethereal tinct. of valerian, three times daily. When the appetite returns two to four doses daily of bismuth subsalicylate and sodium bi-carbonate ad O. 5. — {Tier. Centralblatty 190^^ No. 8.) Concerning the Possibility of the Dissemination of Tuberculosis Through the Use of Salted Meats \_Tozv- sig], — Towzig alludes to the fact that the meat of tuberculous animals from which the diseased parts have been removed, is de- clared free, notwithstanding there can be present sufficient in- fected material in the lymph spaces and in the muscular in- terstices. That salting and smoking does not destroy the spores. In a series of experiments Towzig has attempted to demonstrate in the Hygienic Institute at Padua by inocula- tion upon guinea-pigs the danger of infection from Salami sausage made from the meat of tuberculous animals. (Tow- zig's experiments must be viewed in the light of scepticism, since many other careful investigations long since proved the untenability of the results of his investigations.) — (Munchene Med. Wochenschrift^ No. 2g.) Bloody Milk. — Tierarzt Horst reports the case of a newly- bought cow in the advanced stage of pregnancy which in testing for milking qualities gave a dark red milk from all four teats and which in consistency and fluidity resembled milk. Examina- tion of the udder proved an absence of manimitis. Microscopi- cal examination revealed the presence of innumerable red blood corpuscles ; the Bacillus prodigiosus was not found. He advised the owner to wait until the cow calved ; this event occurred in due time. The red milk disappeared the first daysaftei calving and the animal is now the best milch cow on the premises. — Berliner Tier. Wochenschrift^ No. 24.) EXTRACTS FROM EXCHANGES. ICl ENGLISH REVIEW. By Prof. A. LiAUTARD. M. D., V. M, A Case of Abdominal Strangles [//. D.Jones, M. R. C. 1 . 5.]. — Recently bought, this Irish gelding, six years old, has not been well since purchased. Lays down often, appetite capri- cious, yet in fair condition ; mucous membranes pale, pulse small, temperature loi F. He was placed under observation, as he presented nothing definite for a diagnosis. His condition remained about the same, as related by the owner. He had no abdominal pain, appetite very poor, faeces very small and dry, and he constantly laid down. His temperature registered once I02.6. By rectal examination a huge mass could be detected, on the right side, a little back of the kidney. It was fairly hard and felt heart-shaped, with the apex toward the anus. It was slightly movable. As the case seemed to be hopeless, no special treatment was prescribed, and the animal was turned loose in a small paddock and watched. After two months he died, and at the post-mortem the large mass, which weighed i8 pounds, proved to be an abscess, to which the small intestine was adher- ent. Streptococci of strangles were found in the pus. The case was evidently the abdominal form of that disease. — (Veterinary Record, Oct. 14, 190^;.) Curious Foreign Body in the Lung \^ James Smith, M. R. C. V. S]. — Record of the post-mortem of a three-year-old bul- lock, which was suffering with pneumonia, and as he was getting worse, was slaughtered. At the dressing of the carcass an ab- scess was found under the pleura, near the apex of the right lung, containing about four ounces of very foetid pus. In it was found the end of a briar, which on being traced up was seen entering from a small to a larger bronchial tube and terminating at the bifurcation of the trachea. It measured & foot and a half in length, and had 15 thorns and two dead leaves on it. — (Vet- erinary Record, Oct. 14, 190^.) A Strange Abnormality in a Two-Year-Old Ridgling \^R. Mason, M. R. C. V. S.]. — At the time of the operation a large mass was found on the right side, to all appearances too large to pass through the inguinal ring. There were adhesions, which had to be broken up, so as to free the mass. By gentle and .steady traction it was then brought down into the scrotum easily, and proved to be an abnormally large testicle, having on 102 EXTRACTS FROM EXCHANGES. its side, attached to it, a smaller soft testicle. Each of the organs had its own well-developed spermatic cord. The testicles were united by a thick round cord about three inches long, Siamese- twin fashion. The colt made a good recovery, and the opera- tion was a success in modifying the disposition of the colt. The author asks if a similar condition had ever been observed by others. — (Veterinary Record^ Oct. 21^ 1905.) Unusual Case of Milk Fever [/. H, Parker^ M. R. C. V. vS".]. — A five-year-old pure-bred Jersey cow calved May 3, and on the 4th is found down unable to rise. Seen that morning by the author, she is quite comatose, and, looked at casually, ap- peared as if she was dead. The udder is injected with air fil- tered through cotton wool containing a little iodoform, and the spine is stimulated. In the evening at 6 o'clock she is up and feeding. The next morning, 5th, she is found down again, comatose, and in as bad condition as the day before. Air is in- jected every two hours. In the evening she is improved, resting ou her sternum, and the next morning is up and appears all right. She is down again on the 7th, comatose. Same treat- ment is renewed, and she slowly recovers ; it took her a week. She showed during that time partial loss of power — now it seems in the fore part of the body and again in the hind quarters. The right hind leg is swollen, and pits on pressure. On the 17th she has sloughing of the skin on the back of the fetlock, followed on the 24th by that of the inside claw. , A leather boot was made, into which the toe was dressed, allowing of the formation of a brittle kind of horn. Finally the cow got entirely well, and has fattened two calves during the summer. — (Veterinary Rec- ord^ Nov. ^, 190^.) Papillomatous Growths in the CEsophagus of a Heifer \_R. J. Hickes]. — For the past few months this animal, which is two years old, has had repeated attacks of choking, and lately these have become so frequent that the oesophagus shows marked distension after feeding. For a while the diet has been entirely milk, thick gruel of oatmeal, and linseed ; but after a month of this regime the animal has lost flesh rapidly. The CESophagus then from the angle of the jaw to the entrance to the chest is distended and nearly the thickness of a man's arm. Supposing the presence of a jabot within the thoracic cavity, slaughtering is recommended. When the oesophagus is removed and opened the mucous membrane in its whole length is found covered with warty growths. Some of these are of the thickness of a finger and an inch and a half long, not differing EXTRACTS FROM EXCHANGES. 103 much in appearance from the papillomatous growths so fre- quently found growing on the skin of young cattle. — {Veterinary Record^ Nov. ii^ 190^.) Cystic Testicle in a Cryptorchid Horse [R. /. Hickes\. — This is the record of an operation performed on a three-year- old coaching stallion, which had not been castrated earlier be- cause of the absence of one testicle — that of the right side. The steps of the operation were well performed, and the hand intro- duced in the abdomen. On tracing the spermatic cord, instead of finding the testicle, a large object was discovered, giving the impression of a largely distended urinary bladder. This object was adherent to the floor of the abdomen, from which it was de- tached with some difficulty. Finding it too large to pass through the opening and to be withdrawn from the abdomen, it was punctured with an exploring needle and drained of its con- tents until sufficiently reduced to be brought out to light, when the operation was concluded with the ecrazeur. The cyst was afterwards refilled at the water tap to its previous state of dis- tension, as far as it was possible to judge, and its contents mea- sured nearly 39 fluid ounces. No portion of the normal gland tissue of the testicle could be found in connection with the cyst, and the condition of the epididymis was normal. — (Veterinary Record^ Nov. 11^ ^90^-) Hydronephrosis in a Cow \^A. Spreull^ F. R. C. V. S.']. — This is the record of the case of a cow in which an accurate diagnosis of her ailment had not been made, as, although ap- parently very sick, she had not presented any special symp- toms, beyond intestinal disturbances, manifested by a very pro- fuse foetid diarrhoea, and an unhealthy, itching coat. Tonic treatment and nutritious regime was prescribed, which seemed to improve her for a while, but one morning she was found by her owner in a dying condition, and she was killed at once. Her carcass was found well nourished, fairly fat, and free from any kind of disease, except toward the kidneys. These on being removed were found to weigh respectively ten and sixty-three pounds. The large kidney was one of hydronephrosis, probably due to obstruction of the ureter. Almost the entire substance of the organ had disappeared under the pressure of the accumulat- ing urinary secretion, and the organ was represented by a series of thin-walled cavities, containing a yellowish-white, turbid but not putrid liquid. The smaller kidney, although weighing ten pounds, was not cystic, and its enlargement appeared to be due to hypertrophy. — {four, of Camp. Pathology and Therapeutics.) 104 EXTRACTS FROM EXCHANGES. Perineal Hernia in a Dog {^Geoffrey Lwesey^ M. R. C. y, 5,]. — Suffering from rectal impaction, an Irish terrier, about ten years old, was brought to the author. The rectum was enormously distended and it took considerable time and trou- ble to remove the faecal collection. Since then a swelling ap- peared and gradually increased until it assumed large propor- tions. The dog grew worse, had other impactions, and, al- though repeated enemas were given, became a sad sight. An- other impaction had been removed, but the swelling was always there disfiguring the animal, situated as it was on the right side of the tail and anus, pushing the anus over to the left. The skin over the tumor was easily compressible with the fingers, and felt like the inflated walls of a cavity. Rectal examination gave no clue to the nature of the swelling. The prostate was enlarged and painful. Although the swelling was slightly in- fluenced by the position of the dog, it could nevei disappear entirely. An operation was decided upon. The swelling was incised, a cavity exposed, from which escaped a large piece of omentum. The diagnosis was evident. The omentum was re- placed, kept in the abdomen, and stitches applied. This part of the operation was more diflficult than anticipated. " The skin and fascia forming the roof of the growth offered a good hold. Four good deep stitches were inserted between the roof and floor of the sac, thus obliterating the cavity without injuring or interfering with the rectum. A strip of skin was slipped from the edges of the outer wound and a row of closely placed interrupted sutures of silk worm gut inserted, the surface washed with perchloride, dried and covered with the prepara- tion 'new skin '(?) over cyanide gauze." The dog did well and the hernia never recurred. — {Veterinary Journal^ Nov., 1905-) The New York State Board of Health has burned the barns on the Scarsdale Estate (formerly the country home of the late merchant-prince A. T. Stewart), as they were declared to be a breeding place for glanders. Seven horses found on the prem- ises suffering from glanders were shot. Vaccinating the Soil is greatly encouraged by the U. S. Department of Agriculture. This department is sending out packages of bacteria for the purpose of fertilizing the soil. These microbes have the power of taking nitrogen from the air and storing it in the soil, and thereby greatly increasing the yield of peas, beans, etc. CORRESPONDENCE. 105 CORRESPONDENCE. THE ETIOLOGY OF AZOTURIA. Los Angeles, Cal., February 20, 1906. Editors American Veterinary Review : Dear Sirs: — I have just finished reading Dr. Presslei's pa- per on azoturia, and, while I think his ground is absolutely un- tenable, it shows what a diversity of opinions men may have on the same subject. Azoturia is one of the most frequent diseases we have in California. I have seen many hundreds of cases; some died in two hours, others lived for six weeks ; some got well that I did not think had a ghost of a chance, and others died that I thought had no right to. We have it at any season, after enforced idleness, regardless of temperature ; more common in winter, as that is the season when rains interfere with work ; not because it is cold, as there is hardly a day in the year that the thermometer will not go up to 60". Have seen it after one day's lest, and in one instance where the horse had not been out of a small corral for a month. I cannot see that sex makes any difference, or that one at- tack increases the fatality or violence of a subsequent one ; have known horses to have a light attack five or six times, that would be partially due to increased knowledge of the driver, who would immediately stop at the first symptoms. I don't believe there can be any doubt about the disease being caused by an over-accumulation of albumen in the system, but what the pathology is and what chemical change takes place will take a different shaped head than mine to find out. In this State, 99 out of 100 horses are fed barley grain and reform of grain hay, either wheat, oats or barley, mostly the all very rich in albumen. When I lived in Kansas twenty <^ -'o, where the prevailing feed was corn and prairie hay, "*Ma^ -^ ^as almost unknown, and when it did occur it was ^M ^'*^'orse. ^^./PiJO(|, ^ ,f j„ tiie Southern States where corn is fed, vet- •.'^,^^'^ -H^y J, ,^ '**op o^ee a case. Of course, they work mostly mules, and I have tItVer seen or heard of a mule having it. Th,^reVi'^'^*^ of the cases here are light attacks that pass c-f^ Sii^^Vent down! nursing and treatment, but of those that g^* alert for informa- is very great. .^ I iiave met a Now, I want to ask a few questions throu^ 106 CORRESPONDENCE. and I hope it will receive a hearty response from every State in the Union ; so that when published it will give us a mass of data that will be valuable : Is azoturia common in your locality? Is it very fatal ? Have you ever seen it in mules? What kind of hay and grain is fed in your State mostly? What season of the year is it most prevalent? A concise and early answer to the above, sent to the Ameri- can Veterinary Review, will confer a great benefit to all veterinarians. Don't think there will be so many that yours will not be needed. R. T. Whittlesey. THE INJURIOUS EFFECTS OF MALVA PLANT. Santa Barbara, Cal., Feb. 15, 1906. Editors American Veteritiary Review : Dear Sirs : — Is the common malva plant (Malva Borealis)y which grows so extensively upon the cultivated and pasture lands of the Pacific Coast, ever injurious to stock? Scientific botanists say no, it cannot be, for it belongs to a harmless natural order of plants. The Department at Washington, in reply to my query, stated that the only previous intimation of such a suspicion that had been reported to them had been from a veterinarian in Arizona. The majority of stockmen will look at you in amazement when such a question is proposed, because they know that stock of all kinds eat it readily and seem to thrive upon it when other green feed is scarce. But some of the more ob- serving stockmen, and especially butchers, while admitting that stock will thrive upon it, claim that if stock which has been feeding upon it for some time are called upon for any unusual amount of exercise, symptoms of a sort of nervous collapse are liable to develop suddenly, and, if the affected animals are still urged on, they are liable to go down and probably never get up. During our drouth of a few years ago pastures were dried up, f*^-i/of^ll kind was scarce and high priced. When the rains packages 01 TiaR.(:«ii<» g^st vegetation to spring up, and soon fur- 1 hese microbes havfclusive food for a large portion of our stock, and storing it in ,xie to put the horses to work the alarm was yield of peas, ^ CORRESPONDENCE. 107 sounded that some new disease was prevailing among the horses of this locality, from the effects of which a number had died. Horses that seemed alright when harnessed in the morning would give out and go down while at work. Colts that were being transferred from one pasture to another a few miles dis- tant went down on the road. Investigation showed that the same symptoms developed in cattle when called upon for unusual ex- ercise. My first experience was for a patron who owned a number of horses and was depending upon the green feed, which was al- most exclusively malva, to support them. He had caught up four head and brought a moderate sized load to town, a distance of about three miles. On arrival, noticing that one hoise was sick, he drove at once to my place. When 1 went out the animal was standing in a team with head down, legs braced, muscles all quivering, the respirations quick and shallow. In fact, presented a case that might easily have been mistaken for acute indigestion. We had to go about four blocks to the stable. I was fearful that she would go down before we could get there. Imagine my surprise on seeing her grab a mouthful of hay as she staggered past the manget into a box-stall, where she dropped down, heaved a big sigh, just as a person will do when ex- hausted, and began munching away at the hay. I gave a dose of eserine and pilocarpine. She soon seemed to be getting ea.s- ier, and I left, returning in about one hour and a half. I found her standing at the rack eating hay, the medicine having oper- ated. This same patron had a similar case a few days later. I was out when he called ; the horse was left at the stable with- out any treatment, with orders for me to attend to it as soon as I arrived. It was about one hour and a half later when I returned and found the horse standing at the rack eating hay apparently as well as the one I had treated. I made up my mind that I had something new to deal with, so set about investigating it. This same owner had other horses affected later, and found that if they were allowed to stop and rest as soon as the first symptoms appeared, they would soon recuperate, while one or two that were taken on the road home, and that he urged on, endeavoring to get home, went down and took several days to recover. From what I could learn in all cases where death occurred, the animal had been urged on until it collapsed and went down. Since that time I have been always on the alert for informa- tion concerning the effects of feeding malva. I have met a 108 CORRESPONDENCE. number of stockmen who have noticed the same effects that I have mentioned, and I have met with several cases that I diag- nosed as malva poisoning, and investigation proved that in each case the animal had been subsisting largely upon malva for sometime. With a complete change of feed, it requires sometime be- fore the animals cease to show the effects of the malva when called upon for unusual exertion. Have any of the readers of the Review noticed any ill effects from the use of malva, and can any one explain the nature of the disease ? Respectfully yours, James H. Hester, V. S. IN RECOGNITION OF THE DISCOVERER OF THE SCHMIDT TREAT- MENT. Weeping Water. Nebr., March 17, 1906. Editors American Veterinary Review : Dear Sirs: — I take pleasure in sending a translation from a Danish newspaper, which I am sure will be of interest to the veterinary profession in America. " Last October it was unanimously decided by the Royal Danish Agricultural Society to present Veterinarian I. I. Schmidt, of Kolding, Denmark, the Gammeleje Honor Prize, the first time it is to be presented. The Society individually has also honored Mr. Schmidt by presenting him a large silver loving cup, accompanied by a diploma with the following in- scription : ' The Royal Danish Agricultural Society has here- with the honor to present you the Society's largest Silver Cup, which we beg of you to accept as an evidence of the admiration and gratefulness that the Danish Agriculturist cherishes towards you for the valuable discovery of successfully treating Parturi- ent Paresis.' " Would it not behoove us as veterinarians of the United States, who have reaped such a great benefit from this discovery, to in some way show Mr. Schmidt an evidence of our apprecia- tion? Respectfully yours, H. Jensen. THE ITALIAN EXPERIMENTS WITH BOVOVACCINE. New York, Feb. 26th, 1906. Editors American Veterinary Review : Dear Sirs: — Again referring to the correspondence en- titled " The Present Status of Vaccinations against Tubercu- losis in Cattle," appearing in your January number of the pres- CORRESPONDENCE. 109 ent year, we beg to say that we have recently received informa- tion in regard to the experiments with von Behring's bovovac- cine by the Italian Commission, of which the article referred to speaks. From the information received (which came in the form of a private communication from Prof. Belfanti, of Milan, to Prof, von Behring), it would appear that the experiments are as yet not finished. Prof. Belfanti, in referring to the two vaccinated calves, which had subsequently been subjected to a test-inoculation with tubercular virus, of bovine origin, and which upon slaughter were found to be slightly affected with localized tubercular lesions, writes the following : "We have received the impression that a resistance against the injected virus had actually been established, and that the lesions of tuberculosis as found had probably developed during the period between the first and second vaccinations, owing to the fact that in the region where these experiments were being conducted, tuberculosis was especially prevalent." Inasmuch as these experiments were begun with 15 animals, only four of which have so far been reported upon, it is evident that we must await the final report, which is due to appear very soon, before any conclusions can be drawn. Very respectfully, C. BiSCHOFF & Co. It is not the amount of knowledge a man has that makes him a good physician ; it is the amount he uses. — (Exchange). *' The March Review was a whopper and no mistake. The Chicago inspectors have repeatedly expressed their admir- ation for the work which the Review is doing. — (Z>. Arthur Hughes^ Vet. Ins.^ Commissary Dept.^ U. S. Army^ Chicago.^ Total Value of Animals on farms $3,600,000,000 ! This in a word is the showing in Nezv England Homestead's annual inquiry into the numbers and values of animals on the farm at an early January date. The sum named, difficult to grasp in its vastness, is nearly $300,000,000 more than the total value of live stock on the farms a year ago. Every branch of animal husbandry shows gratifying gains, nowhere so marked as in horses. The figures indicate that the general price tendency is upward, the possible exception being beef cattle, which show an average price very much as a year ago. Compared with the low point of some years ago, when everything was very much depressed, prices in some instances have more than doubled. no BIBLIOGRAPHY. BIBLIOGRAPHY. The Pathology and Differential Diagnosis of Inffctious Disf.asks of Ani- mals. By Veranus Alva Moore, B.S. , M.D, , Professor of Comparative Pathology, Bacteriology and Meat Inspection, New York State Veterinary College. Second Edition, revised and enlarged. Illustrated. Ithaca, N. Y.: Taylor & Carpenter, 1906. This important text-book was first issued about three years ago, and it was received by the profession with that confidence which the great reputation of its author justified, being regarded as an exposition of the subject by one who is not only a very hard student in his chosen field, but one with vast experience and exceptional opportunities, as well as natural adaptability. In the second edition Dr. Moore (who gracefully and gratefully dedicates his work to the man who has done so much for com- parative pathology, Dr. D. K. Salmon), has taken advantage of the advances that have been made in the study of the various infections of animals, and the work in its present form, while condensed into the fewest words commensurate with a clear statement of all the accepted knowledge upon the nature of in- fectious diseases, may be regarded as a complete presentation of the pathology and differential diagnosis of the various infections. The classification of infectious diseases according to their etiological factors is undoubtedly the most rational and best method, and the author adheres to a system of description which omits nothing that is essential in their study. For in- stance : The successive sub-headings in the study of an indi- vidual disease include the name and its synonyms, cliaracteriza- tion, history, geographical distribution, etiology, symptoms, morbid anatomy, and differential diagnosis, together with an extensive bibliographic reference. The book is divided into fourteen chapters, and the follow- ing gross resuniS of their subjects will give an idea of the extent of the field covered : Chapter I., general consideration of etiolo- gy, infection and specific infectious diseases; Chap. II,. dis- eases attributed to wound infection ; Chap. III., diseases caused by bacteria — genus, streptococcus ; Chap. IV., diseases caused by bacteria — genus micrococcus ; Chap. V., diseases caused by bac- teria— genus bacterium ; Chap. VI., diseases caused by bacteria — genus bacillus ; Chap. VII., diseases caused bv bacteria — family spirilliaceae ; Chap. VIII., diseases caused by fungi ; Chap. IX., diseases caused by protozoa — genus piroplasma ; Chap. X., diseases caused by protozoa — genus ameba ; Chap. XI., dis- eases caused by protozoa — genus trypanosoma ; Chap. XII., BIBLIOGRAPHY. HI infectious diseases for which the specific cause is not yet deter- mined ; Chap. XIII., immunity and protective inoculation; Chap. XIV., disinfection. The Review commends most heartily this splendid product of the great energy of probably the most capable author in this country upon a subject which is his life-work. The publishers have done full justice to the work in the matter of typography and general excellence of the materials used. It is safe to say that every library which aspires to possess the best works on all veterinary subjects must have in a prominent place Dr. Moore's book, or else abandon its title to completeness. *^ Diseases of the Horse's Foot. By H. Caulton Reeks, F. R. C. V. S., author of " The Common Colics of the Horse." Chicago : Alex. Eger, I906. The virtual ///r^r^ created among veterinar> practitioners by the work on " Colics " by Mr. Reeks, resulted in his under- taking the preparation of the present volume on that other seat of practical problems for the practicing veterinarian, the horse's foot. He has gone about the subject in that energetic and de- cisive manner that characterized his maiden effort, with the result that he now offers to his confreres a complete treatise upon the diseases of the intricate structures of the essential organ of locomotion. We have carefully examined this volume, and nothing appears to be omitted which was best in other text- books, while much is offered which is new and original with its original author. He goes at the subject in a systematic man- ner, taking first the regional anatomy, then general physiologi- cal and anatomical observations, methods of examining the foot, general remarks on operations on the foot, faulty conformation, diseases arising from faulty conformation, wounds of the kera- togenous membrane, inflammatory affections of the keratogenous apparatus, diseases of the lateral cartilages, diseases of the bones, and diseases of the joints. Under the above classification nothing is overlooked, while throughout the whole range of the subjects the individual judgment of a close and intelligent observer stand out boldly, giving the work a much greater value than is pos- sessed by those which simply codify from the writings of others. Alex. Eger, of Chicago, places the work on the American market, in a manner worthy of its valuable contents. All who have read the '* Common Colics of the Horse," will readily be- come owners of this work on the foot, besides a vast num- ber who find that specialization on lameness necessitates the ownership of every good addition to the literature of the dis- eases of the feet. 112 SOCIETY MEETINGS. SOCIETY MEETINGS. VETERINARY ASSOCIATION OF MANITOBA. The annual meeting of this Association was held in the City Hall, Winnipeg, on Tuesday, Feb. 13th, 1906, at 9.30 a. m., the President, Hon. D. H. McFadden, in the chair. The fol- lowing were present : — Drs. Bradshaw, of Portage la Prairie ; Cook, Virden ; Cruikshank, Deloraine ; Dunbar, Winnipeg ; Harrison, Glenboro ; Hayter, Birtle ; King, Souris ; Irwin, Stonewall ; C. Little, Winnepeg ; M. Little, Pilot Mound ; Leslie, Melita ; Mack, Neepawa ; Martin, Winnipeg ; Milloy, Morris ; McFadden, Emerson ; McArthur, Hartney ; McGilvray, Winnipeg ; Ovens, Swan River ; Rowcroft, Birtle ; Rombough, Morden ; Scurfield, Crystal City; Stevenson, Carman ; Simpson, Yorkton ; Swenerton, Carberry ; W. Thomson, Minnedosa ; Torrance, Winnipeg ; Whaley, Glenboro ; Welch, Roland ; Williamson, Winnipeg; Woods, Winnipeg ; and Young, Rapid City. The minutes of the previous meeting having been read and adopted, the auditors presented the following auditor's report ; " This is to certify that we have this day examined the books of the Manitoba Veterinary Association and find them cor- rect. A. E. Williamson. " Chas. Little." On motion of Drs. Stevenson and McGilvray, the report was adopted. REPORT OF THE SECRETARY-TREASURER AND REGISTRAR. The Secretary-Treasurer and Registrar then presented the following report : " The past year seems to have been a prosperous one for the veterinary profession, the high price of horses and the preva- lence of disease combining to make veterinary practice prof- itable. " Unfortunately it does not seem to have rendered our members any more prompt than usual in the payment of their dues, and I am sorry to report that sixteen are in arrears. It is to be hoped that these will pay up promptly in the new year. " Our Association has lost two members during the past year, one. Dr. A. R. Douglas, having left the province ; the other, Dr. Walter Hurt, of Whitewater, died at the Winnipeg General Hospital, January i8th, last. Walter Norman James Hurt SOCIETY MEETINGS. 113 was the son of Lieut. Hurt, a naval oflScer, and a member of an old Derbyshire family. He was born in 1875 ^"<^ came to America about fourteen years ago, and after living in Colorado a short time, came to Canada, entered the Ontario Veterinary College, and graduated in 1896. After practicing in Ontario for some time he came to Manitoba and registered in July, 1898, practicing at Belmont and afterwards at Whitewater. His fatal illness arose from a slight injury received while on horseback, the horse stumbling and throwing him against the pommel of the saddle. Microbic invasion followed the injury, his leg be- came immensely swollen, and despite all that medical science could do he passed away after a long illness. He was greatly respected in his district and will be a loss to the community in which he lived. He was buried in St. John's Cemetery, several members of this Association attending the funeral. "As Registrar I beg to report the following new members registered after passing the required examination : D. A. Mc- Arthur, Hartney, McKillip, '05 ; Wm. Thomson, Minnedosa, McKillip. '05 ; M. B. Stiver, Elgin, Ont., '95 ; T. Z. Woods, Winnipeg, McKillip, '05; H. Bradshaw, Portage la Prairie, Ont., '89; M. S. Kennedy, Elm Creek, McKillip, '05; L. H. McQueen, Selkirk, M.R.C.V.S., '06 ; Hugh Ovens, Swan River, Ont., '81. The total membership of the Association is now 86. "As Treasurer I beg to submit the following financial state- ment : ^''Receipts. — Annual fees, $128.00; examination fees, $200.- 00; interest, $77.8— $335.78; Balance 1905, $249.44. Total, $585.22. '■'■Expenditures. — Printing and advertising, $95.70; grants and prizes, $11.55; expenses of meetings, $19.10; stamps and stationery', $30.90 ; Secretary's salary, $45.35 — $202.60 ; balance, 1906, $382.62. F. Torrance, Secretary-Treasurer^ Upon motion of Drs. Dunbar and Little, the report was adopted. president's address. The President then addressed the meeting, expressing his pleasure at seeing the large gathering of veterinarians from all parts of the province. He was glad to hear from the reports of the Secretary- Treas- urer that the Association was in such a prospyerous condition. It had now passed its period of weakness and was a strong, vigorous organization, and could point with pride to the best Veterinary Act on the statute books of any country. During 114 SOCIETY MEETINGS. the past year he had looked into the standing of the veterinary profession in various countries, especially with regard to educa- tion, and had reached the conclusion that Canada was very much behind the rest of the civilized world in this respect. In European countries the average period of tuition was six or seven terms of six months each. In England four years was required, in America three years is the minimum with the ex- ception of two private institutions, the Grand Rapids Veterinary College and the Ontario Veterinary College. He was glad to know that the profession in Ontario was alive to the necessity of better veterinary education, and was moving for the estab- lishment of an up-to-date veterinary college, and from personal knowledge on the matter he believed the Government of Onta- rio was going to take the matter up and establish a veterinary college in connection either with Toronto University or the On- tario Agricultural College. He thought it would be wise for this Association to take steps to make known to our brethren in Ontario that we sympathize with the efforts they are making to elevate the standard of the profession. In conclusion he thanked the members for their attendance and hoped they would find it a pleasant as well as a profitable meeting and assured them that, whether in active practice or not, he would do all in his power to advance the interests of the profession. (Applause). * The election of officers resulted in the following : — President —Hon. D. H. McFadden. Vice-President — W. E. Martin. Secretary-Treasurer and Registrar — P\ Torrance, Winnipeg. Other Members of Council — W. A. Dunbar, Winnipeg ; J. A. Stevenson, Carman ; R. D. Scurfield, Crystal City, and C. D. McGilvray, Winnipeg. Examiners — Drs. Martin, Stevenson and Torrance. The annual fee was fixed at two dollars. Dr. Dunbar read a paper on a case of " Tumor of the Mam- mary Gland of a Mare " successfully removed, and exhibited the specimen weighing ii lbs.* The meeting then adjourned till evening. On re-assembling at 7.30 P. m. Dr. Mack, of Neepawa, read a paper on " Puerperal Apoplexy," which was well dis- cussed. Dr. McGilvray then read the following paper upon " Glan- ders " : * Dr. Dunbar's paper and the discussion thereon will appear in the May Review. SOCIETY MEETINGS. 115 GLANDERS.* By C. D. McGiLVRAY, V. S., Winnipeg, Manitoba. " In dealing with this snbject it is my intention to do so chiefly with the end in view of placing before this Association what I might term as the, at least to me, 'enlightened practi- cal experiences ' gained during the past year whilst engaged in control work, dealing with outbreaks of glanders. " Prevalence. — Outbreaks have been numerous during the past year, and the number of animals which it has been neces- sary to slaughter on account of being aflFected with glanders has been largely in excess of any previous recorded year in Manitoba, as shown by departmental reports. (In Health of Animals reports issued by Manitoba Department of Agricul- ture for years 1902, 1903 and 1904 and report for year 1905 of the Health of Animals branch, Dominion Department of Agriculture, which shows an increase in prevalency,") "The increase in prevalency has no doubt been due largely to the lack heretofore, prior to Feb. ist, 1905, of an adequate and effective policy of dealing with outbreaks. " Past Methods of Dealing with Outbreaks. — Prior to Feb- ruary, 1905, at which time Manitoba was brought under the Federal Animal Contagious Diseases Act, in many of the outbreaks of glanders the clinically affected animals were the only ones dealt with and destroyed, the remaining contact ani- mals on the premises being entirely overlooked and no definite steps taken at the time of inspection to ascertain their actual freedom from the disease, except by quarantining for a short period, at the end of which, if they did not develop any visible clinical symptoms, they were released as being healthy ! Nan seqiiitnr. " As you are no doubt aware, quarantining in the case of contact-infected animals to be of any avail would require to be an extended one of months and years, as an animal can be af- fected with an occult, latent or concealed pulmonary glanders and may remain so even for years, appearing to all outward ap- pearances healthy, but nevertheless diseased. " Again, when the necessary steps were taken to ascertain the actual condition of the contact animals on the premises as to health by the nse of mallein, and where these contact ani- ♦In a private 'cUer Secretary Torrance says: "I commend to your esjiecial notice Dr. McGilvray's essiy on t»landers. He has had a wide experience during the past year, having devoted his whole time to the suppression of glanders in this Province, and his paper is original in the best sense of the word. IIG SOCIETY MEETINGS. mals did react to the test, slaughter was not in all cases en- forced owing to the lack of an adequate compensation policy (as no provision was made as to the compensation for animals slaughtered, except wherein provided for by the rural munici- palities). The non-enforcement of slaughter of these contact- infected animals which had reacted to the mallein test may be excusable, as these animals, although diseased and dangerous, still possessed a certain value to their owners, as their useful- ness for work was not impaired. " However, on the other hand, no valid reason can be given as to why these animals were allowed to be retained indefinitely by their owners without any definite restrictions and limita- tions being placed upon them. Under the then existing condi- tions what could and no doubt did occur in some instances, was twofold. Firstly, the owners now being in possession of an in- formation and knowledge leading them to suspect these contact animals as a result of the mallein test (an information and knowledge to which they had no moral right and under exist- ing conditions never should have had), and, secondly, on the other hand, being given to understand that these contact ani- mal were healthy, without any definite steps having been taken to ascertain such by the use of mallein, they were very often thus, both knowingly and unknowingly, disposed of by their owners to some unsuspecting purchaser, thus giving rise to what might be termed a migration of contact-infected animals from one part of the province to another, constituting new areas of infection and giving rise sooner or later to outbreaks of glanders in what had hitherto been a healthy district. This has also occurred from the importation of the same class of contact-infected animals from the western ranges and the United States. "Whilst glanders has been considered for 'ages past' both by professional men and intelligent horsemen as a disease which on account of its nature should be controlled and eradi- cated if possible, still the bete noir has apparently been what measures to'adopt and enforce as a means of effectually control- ling and eradicating outbreaks. "The methods adopted by those engaged in this control work, not only here but elsewhere, have been varied, showing a wide divergence of opinion and method on the part of those engaged in such work, exhibiting in some instances not only a lack of knowledge as to the true nature of glanders, but a total unfitness for such work. This probably can be accounted for SOCIETY MEETINGS. 117 in part by the unsound teachings which many of us have ob- tainied in certain veterinary institutions at the feet of far more mysterious than otherwise enlightened teachers ; also from cer- tain text books which have taught that glanders was not a very contagious disease, and that it was easily recognizable, as it was characterized by an inodorous unilateral discharge from the left nostril, which was associated with a visible ulceration of the nasal inucosiE under alse, enlargement and induration of the sub-maxillary glands which became adherent to the bone ; or by the presence of farcy buds or ulcers on the limbs or body, and that a horse affected with glanders will show either one or more of these classical symptoms. All such text books, teach- ers and teachings, should, if not already there, be relegated to the category of ' derelicts and ancient historians,' as the true and unvarnished fact is that the majority of horses are not af- fected with clinical glanders showing plainly visible symptoms, but are affected with an occult, latent glanders (concealed pul- monary) without presenting any of the classical train of plainly discernible symptoms. Let us look with impartial eyes at the list of classical symptoms which many of us have had thus in- stilled into our minds and see how they compare with the act- ual symptoms presented. " Discharge from the Nostrils. — The discharge is usually from one nostril, but can and does very frequently take place from both, especially in advanced cases. It is not limited to the left nostril, but can and does take place from either right or left. (The left probably a little more frequently than the right, which no doubt has given rise to the erroneous impression that the left only was diagnostic.) " The discharge, no matter from which nostril, is invaria- bly of an adhesive (starchy) nature, which varies in color and consistency (in early stages it is quite thin), usually appearing gradually as a leaden, greyish or greenish-yellow color, some- times tinged with blood (as when the ulceration has affected vessel walls,) is very often not only slightly odorous, and in many cases distinctly so. The discharge very often ceases from time to time, appearing periodically. " Very often there is piesent a slight but persistent adhesive muco-purulent discharge from the inner canthus of either eye. ** Ulceration o/ Nasal Mucoscr. — When the disease is accom- panied by a more or less profuse nasal discharge there are usually present ero.sions and ulceration of the mucosae of the upper air passage, but only in a very small percentage of the 118 SOCIETY MEETINGS. clinical cases which have come under my observation has the ulceration been situated under the alse and visible, its situation being far more frequently located higher up, either in the nasal chambers, sinuses, larynx or trachea and thus invisible to the unaided eye. In the absence of visible ulceration of the nasal mucosae we should therefore not exclude the possibility of glanders being present, as a visible ulceration under the alae is the exception and not the rule the more frequent visible condition being a roughness and slight discoloration of the nasal mucoscE. " Ulcerations of the raucous membrane quite often heal and leave a cicatrix. " Enlargement and Induration of Sub-maxillary Glands. — This condition is characteristic of the large majority of clin- ical cases and may be present even in the abscence at that par- ticular period of observation of any visible nasal discharge. " This enlargement is due to and results from irritation of the mucosae of nasal cavities and absorption of poisonous pro- ducts. " However, while we find an indurative bosselated condition of the sub-maxillary glands very frequently in glanders, still only in a very few, indeed, do we find that these glands have become adherent to the bone, although quite often adhering to the skin and tissues covering them. Where slight enlargement and chronic induration of the sub-maxillary glands is present which, for want of a better term I call ' woodiness,' even in the absence of any visible nasal discharge, we should al- ways be suspicious of that individual animal as being possibly glandered (this has been proved by the large number of these which will react typically to mallein). The sub-maxillary glands affected in glanders of horses seldom suppurate, although I have noticed in several cases a purulent focus and typical farcy bud in the skin over the gland. " Enlargement and induration of the glands is not such a frequent accompaniment of glanders affecting mules as in horses. The swelling of the glands may subside from time to time and resume almost normal condition, hence we should not be misled by such occurrences. " Farcy Buds and Ulcers. — Very often the first indication is the presence of a chronic cellulitis and lymphangitis affecting one or both hind limbs, which is usually persistent, and finally breaks out in little ' blebs' on any part from the fetlock up to the perineum, exuding at first a tenacious amber-like fluid, and later forming ulcers. SOCIETY MEETINGS. ] 1& " In some cases boils and typical farcy ulcers will affect the fore limbs (frequently around fore-arm) and the hind limbs be perfectly normal. Nodules and boils may appear on any part of the body quite suddenly and sometimes disappear again, but more frequently break out and discharge. " It has been made painfully apparent to me during the past year, in spite of the assertions made by some supposed authori- ties, to the effect that glanders was not a very contagious dis- ease, that it is a very contagious disease to contact horses, and also a great deal more treacherous and insidious in its nature than ordinarily credited. Further I am convinced these sup- posed authorities who maintain that glanders is not a very con- tagious disease, have not had any extended practical experience with glanders, and it also shows the superficial nature of their observations, which have not likely extended further then deal ing with an affected animal, and its stable companion. '' Present Methods of Dealing with Outbreaks. — Through the efforts of Dr. J, G. Rutherford, Veterinary Director-General, this province was brought for the first time (during Feb., 1905,) under the Federal Contagious Diseases Act, which provides for the compensation of owners, for animals destroyed for glanders, by authorized inspectors. The supervision and control of this work having thus been assumed by the Veterinary Director- General, the policy embodied in the regulations relating to glanders drafted by him, was adopted as a means if possible of effectively dealing with and eradicating outbreaks. This policy in brief is that all animals affected with or suspected of being affected with glanders, shall be submitted to the mallein test, and all which react to the test shall be forthwith slaughtered. Compensation being paid to owners, for animals slaughtered, as wherein provided for by the Federal Contagious Diseases Act at the rate of two-thirds the animal's value, with the maximum valuation of $150 for one animal. Any animals, which on ac- count of a typical or doubtful reaction, are not slaughtered at time of first test, but are ordered to be kept in quarantine, sub- ject to retest at expiration of 40 days, at the end of which time if they fail to react, are released. If on the other hand they re- act, they are forthwith slaughtered, and owners compensated as wherein provided for. In the event of any owner objecting to the slaughter of any animals (not showing any clinical symp- toms) which have given a typical reaction to a first mallein test, these animals are placed underdose quarantine restrictions and must not be allowed to be stabled with other healthy no ' SOCIETY MEETINGS, horses, and are to be fed and watered in separate utensils. "Owners in such cases forfeit any right which they other- wise may have had to compensation, and these animals are re- tested at the end of 40 days from time of first test, and again at end of 60 days from the second test. If they again react typically to these subsequent tests, slaughter is enforced ; if on the other hand they fail to react and show no clinical evidence of glan- ders, they are classed as ceased reactors. They are then allowed to be retained as ceased reactors by their owners, under the fol- lowing restrictions, contained in a departmental form duly served on owners, viz.: — That these animals are not to be sold or other- wise disposed of, and are to be kept available for inspection at any time, by a duly authorized veterinary inspector, and as a means of identification, these animals are branded E.R. on right hoof, and in the event of an animal dying in the interim between visits of inspection, the owner must produce the branded hoof in verification thereof. It will thus be seen that any animal to which, to say the least, ' suspicion must attach ' are not allowed to be lost sight of. In view of the foregoing, and with our pres- ent knowledge of glanders, it is apparent that these methods are commendable and will bear close scrutiny, and should tend towards eradicating outbreaks, and that with the least material sacrifice. "The chief aim and object in control work in dealing with glanders must be to restrict all traffic and migrations of reactors, and contact-infected animals as 'invariably where you find an outbreak of glanders in what has hitherto been a healthy stud, that such outbreaks have originated from, and been caused by the introduction on to the premises of an animal affected with occult glanders, and which was not at the time of its introduc- tion showing any of the well marked discernible clinical symp- toms, but was to all outward appearances apparently healthy, though nevertheless diseased.' The idea is prevalent and maintained by some that a glandered horse is only capable of transmitting infection when clinically affected, either with a visible nasal discharge or farcy ulcers. Such, however, is erro- neous and a fallacy, as while no doubt the animal with the pro- fuse nasal discharge is certainly a more dangerous one than the occult affected animal, still nevertheless the latter must also be considered dangerous if only from the fact that they may develop clinically at anv time. " Even, however, in the absence of any well marked clinical symptoms, if we just consider that an animal can be affected SOCIETY MEETINGS. 181 with a primary pulmonary glanders, involving a considerable area of lung tissue, with suppurating foci, discharging bacilli- laden discharges into bronchi and which are in turn expelled with the normal expiratory movements, still not showing any well marked manifestation of disease, then all doubt should at once be removed as to the dangerous nature and infectiveness of a large number of these occult cases. " Modes of Infection. — Some writers and authorities have claimed and asserted that the watering troughs are the chief if not the only methods by which infection is conveyed from one animal to another. Others again are equally confident and assert the respiratory tract is the chief channel of infection, while others claimed to have proved by all sorts of experi- ments (?) that it only takes place by direct transmission from animal to animal, by means of the nasal discharge (borne out by their actions in only dealing with afiFected animal, and its stable companion). Such quibblings are, however, of little sig- nificance, as undoubtedly infection can and does take place by either of these modes and channels, as well as by other meth- ods, viz.: — *' a. Cohabitation : — This is the chief factor in an oiitbieak, where animals are kept housed closely together, under poor hy- gienic conditions, we always find the disease in a more virulent form, with a consequent larger percentage of infected animals. " b. Intermediary and mechanical means of infection : — This includes infections by means of infected utensils and arti- cles in use ; feed, litter, watering troughs, etc., reinfections from infected premises, attendants, etc. " c. Direct transmission from animal to animal : — This fre- quently occurs where animals are stable companions. " d. Aerial infections : — This would occur from bacilli-laden atmosphere where diseased animals are kept housed closely to- gether, finely divided discharges could be suspended in the atmosphere, on particles of dust or moisture, and thus be carried to and infect horses remotely situated in the same stable. " e. By inoculation : — This could occur through abrasions or wounds either accidentally or experimentally. " f. Hereditary transmission : — I have seen foals showing unmistakable evidence of glanders, soon after birth, from a glanderous dam ; of course conclusive proof as to congenital disease could only be adduced, while foetus was in utero^ or at birth by microscopical and bacteriological examinations ; still, neverthele.ss, I am of the opinion that foals may in some 122 SOCIETY MEETINGS. cases inherit the disease, in ntero^ from a glanderous dam. '' Malleinization. — In spite of all writings and contentions to the contrary, I am convinced that mallein in the hands of competent veterinarians possessed of sufficient professional acu- men to discriminate between atypical reactions, which may be obtained in horses suffering from conditions other than gland- ers, and those typical reactions obtained in testing in actual out- breaks of the disease, is a reliable (not infallible) diagnostic agent, and should be used as an aid to the diagnosis of doubtful cases, and as a means of testing contact animals to detect occult cases, and in such where the reactions are typical, that the cor- rectness of mallein can be verified in at least 95 per cent, of the cases. It is frequently asserted that mallein is unreliable be- cause horses suffering from some other condition and febrile diseases than glanders will react. To this my answer is that this is a wrong application, and that any one who is not pos- sessed of sufficient discernment and acumen to differentiate and eliminate these atypical reactions (usually trifling thermic in- creases) had better transfer his labors to other channels, and not deprecate and bring into disrepute a reliable diagnostic agent as a result of lack of knowledge, incompetency and wrong applica- tion. " At the outset I may say that no hard and fast rule can be lai,d down as to what does and does not constitute a reaction, and the possibility of determining a uniform reaction to the mallein test, which could be applied classically to all animals submitted to the test, diseased or otherwise, appears to me at present as chimerical and ambiguous, as I fail to see how it can be done by any set ' rule of two,' as a great deal must, and does depend on existing conditions, as well as on the ' Man Behind the Gun.' " In submitting horses to the mallein test the following fac- tors should always be kept in view, and if followed would re- duce mistakes to the minimum : "(/.) Testing in Actual Outbreaks of dander s.-'^\\&x^ one or more animals on the premises are showing unmistakable clini- cal symptoms of glanders we must consider all of the contact ani- mals on the premises as being possibly infected, and their con- dition as regards freedom from the disease can only be ascer- tained by the use of mallein. " Under these existing conditions any reactions obtained as results of mallein inoculation must be ascribed to glanders in- fection. Even slight reactions obtained under such conditions SOOETY MEETINGS. 183 must not be overlooked or ignored, as the degree of thermal re- action is not an infallible criterion of the degree of infection, and in any cases of doubtful reaction the animal should not be given the benefit and classed as healthy, but should be classed as at least suspicious until satisfied otherwise by retest, after a period of from ten to twenty days has elapsed. The overlook- ing, or ignoring slight reactions obtained in contact-infected animals is the stumbling block of the novice and spells failure in control work, as he who does so will be confronted later by a large number of secondary outbreaks and re-infections. *' Where the thermal reaction recorded and taken at intervals of two hours from the eighth to the eighteenth hour after injec- tion reaches 1.5° F., but does not exceed 2.5° F., over a normal initial temperature, taken prior to injection, and is unaccom- panied by any typical local infiltration at point of inoculation or any constitutional disturbance (loss of appetite, increased res- pirations, etc.,) we should consider such as an atypical or doubt- ful reaction, considering animal as suspicious and hold for re- test. When the same degree of thermal reaction is obtained and is accompanied by either a typical local infiltration at seat of inoculation or constitutional disturbance, animal should be considered as diseased. " When the thermal reaction recorded and taken as above reaches and exceeds 2.5° F. over a normal initial temperature taken prior to injection and presents a mallein curve (consisting of two summits or peaks and a plateau) or a gradual sustained rise of temperature we should, even in the absence of any or- ganic reaction, consider animal as diseased. " When we have atypical local infusion or infiltration at seat of inoculation and constitutional disturbance present, even in the absence of any marked thermal reaction, we should consider animal as diseased. High initial temperatures recorded prior to injection in contact animals in actual outbreaks should always be considered as due to incubative glanders infection, and should be classed as diseased, until satisfied otherwise by retest, no mat- ter how they act under the mallein inoculation, as sometimes the high initial temperature will decline (a drop or decline re- action) while in other cases the same or slightly increased tem- perature will be steadily maintained. " In the event of those recorded with high initial tempera- tures giving a typical local infiltration at point of inoculation and constitutional disturbance they should be classed as diseased irre- spective of thermic variations. 1%^ SOCIBTY MEETINGS. " (2.) Testing Animals Suspected of Infection. — When we are in possession of authentic knowledge and a previous history of animals having been in close contact with other clinically dis- eased animals for any lengthened period, even in the absence of any clinical symptoms amongst the individuals under control, we should consider them as being contact-infected, and classifica- tion of reactions obtained should be based similar to testing in actual outbreaks. " (j.) Testing Animals where Syinptorns Presented are Indic- ative of Conditions other than Glafiders. — Very frequently where an owner has a considerable number of horses which have become affected with any of the various infectious respiratory catarrhal conditions, and has been unfortunate enough as to in- cur the loss of several animals, he becomes imbued with the idea that his stud may be affected with glanders. Or, as sometimes occurs, the attending veterinarian is not quite sure of his diagnosis, or has been unsuccessful in his treatment he may * hedge,' and as a means of ' cover ' suggests to the owner the possibility of it being glanders, thus putting the ' onus of decision' upon the control veterinarian. " Under all such conditions and circumstances it is well to keep in view the fact that we are dealing with a skeptical laity ; hence it may be expedient and incumbent upon the control vet- erinarian to submit such animals to the mallein test. Before submitting such animals to the test (especially where a number of animals are under control and observation) it is advisable to make a thorough physical examination of each and arrive at a rational diagnosis. It will be found when a number of under control are to be tested, that many of them will prior to injec- tion exhibit high initial temperature, and under mallein in- oculation, when the temperature is recorded at intervals of two hours taken from the eighth to the eighteenth hour after injec- tion, that the same temperature is only slightly increased or decreased (does not show a decided drop or decline reaction and is steadily maintained, presenting no mallein curve or peak) and that the typical local infiltration is absent. It will also be found that where the initial temperature was normal prior to injection, that the temperature recorded after injection will only be but slightly increased, seldom if ever reaching io4°F., and unaccompanied by any constitutional disturbance or typical local infusion, hence are atypical reactions. Contrast results of testing such animals with those obtained in testing animals in actual outbreaks of glanders, and it will be found in the lat- SOaSTY MEETINGS. 126 ter that there will be decided increases of temperature after in- jection reaching sometimes 105° F. and 106° F., also presenting very often a mallein curve, and accompanied in many instances with the typical local infusion and more or less constitutional disturbance. " Testing of Healthy Animals. — In submitting horses to the mallein test without any previous authentic source of infection it will be found that a characteristic reaction is seldom obtained and the temperatures recorded after Injection seldom exceed 2.2°F. over a normal initial temperature, and is unaccompanied by a typical local infiltration or constitutional disturbance. When the thermic reaction recorded, however, after injection in presumably healthy horses exceeds 2.5°F. over a normal initial temperature taken prior to injection and presents a mallein curve, or a gradual rise of temperature which is sustained for some time and is accompanied by a typical local infusion or constitutional disturbance, even in the absence of any authentic previous history of exposure to infection, we should consider it as a characteristic reaction indicating glanders, and either de- stroy animal or place in quarantine for retest. " Conditions and Influences which may Affect Temperature of Animals Submitted to Mallein Inoculation. — In speaking of a normal initial temperature taken prior to injection it would ap>- pear that in Manitoba during the greater part of the year that a normal initial temperature must be considered as one which does not exceed ioi.8°F. (the average normal temperature of horses in Manitoba from April to December is apparently IOI.2°F.) " In submitting horses to the mallein test they should in all cases be placed under normal conditions, fed and watered as usual. During hot weather stables should be kept well venti- lated and cool as a physiological increase of temperature can be induced in horses during extremely hot weather if kept in close ill-ventilated stables. " During cold weather animals submitted to the test should be prevented from taking a sudden chill, kept away from un- due cold draughts; if necessary body should be blanketed. Horses submitted to the test should not be exercised until after period of recording temperatures has elapsed. All animals sub- mitted to the test should be properly restrained and controlled, so that temperatures can be taken without undue resistance or excitability. " Local Fraction or Sivelling at Poi"f of Tuondation. — In 126 SOCIETY MEETINGS. judging of a typical local infusion it depends not so much on its actual size as measured in inches across its surface as on its nature, re-shape and size, situation, tenseness, presence of heat and pain. The typical reactionary swelling is nearly circular in outline and has the tendency of increasing its area fiom the eighth hour after inoculation, and at the same time extends to and involves the deeper seated underlying muscular tissues, to which the skin becomes closely adherent ; to the touch it is tense, hot and extremely painful. Cord-like swellings may ex- tend (from central swelling) towards point of shoulder, causing pain and difficulty of shoulder movement when exercised ; when the infiltration assumes such a nature as outlined it should be considered as a typical local infusion irrespective of its surface measurements. " Wliere a circular infiltration is atypical it rarely exceeds a diameter of three inches across its surface and will be found to be non-painful, soft and moveable, and does not extend to, nor affect the underlying muscular tissues, but remains localized to the skin ; does not perceptibly increase its area after the eighth hour, and has the tendency to become absorbed and disappear before the twenty-sixth hour has elapsed and does not extend towards shoulder joints nor causes stiffness. "Oblong infiltrations should be carefully noted, as even when of large size they are frequently atypical as a dependent oedema may result from the manner in which the skin has been held, causing a loose oblong fold of skin which may become in- flated (where a large sized syringe has been used) at injection. These oblong atypical oedematous infiltrations become rapidly absorbed after the eighth hour and should be differentiated from the cord-like swelling, extending from typical circular reaction, ary swelling. They do not extend to or involve shoulder joint, are soft to the touch and not painful, are localized to the super- ficial tissues and do not extend to nor affect the muscular tissues. " Mallein as a Possible Curative Agent. — During the past four years mallein has been lauded by some as a curative agent ; however, I am satisfied that the usefulness of mallein in the control of glanders lies not in any supposed curative effects which it may possess, but in its sensitive diagnostic properties, and should be used as a means of eradication instead of a ' pos- sible curability.' " At the outset as a possible curative agent at best it could only have an arresting influence during incubative periods, or early stages of infection, as during later stages it certainly has SOCIETY MEETINGS. 127 no arresting, nor curative influences, but instead accelerates the course of the disease. " The recoveries attributed to mallein treatment have been based largely on the assumption that because a number of horses will cease to react when treated at intervals with mallein that they are cured. To this I must take exception, as the fact of a horse having ceased to react is not an infallible criterion of a permanent recovery (proved by ceased reactors becoming clini- cally affected subsequently). " No doubt a number of horses undergo recovery from a glanders infection, and it is more reasonable to suppose that these are natural recoveries as a result of phagocytic influences and bactericidal resistance of the animal economy than as a re- sult of a mallein treatment /^r se. " A number of these so-called recoveries are more apparent than real ; some animals recover from primary lesions of the nasal passages, the ulcerations heal, leaving a cicatrix, the dis- charge ceases, and glands become normal, but very often while the primary lesions affecting the head have disappeared, a sec- ondary infection of the lungs has resulted, constituting an occult, latent or concealed pulmonary glanders, in which state some ani- mals may continue indefinitely without presenting any outward symptoms of disease." DISCUSSION. Dr. Simpson: — "I would like to ask Dr. McGilvray if he has ever had a clinical case that did not react? Also do ab- scesses ever follow the injection?" Dr. McGilvray: — "Yes, clinical cases quite frequently do not react, but as a rule these have a high initial temperature and are very advanced cases, and reaction is usually an organic and not a thermal one. These cases have a high temperature from absorption of toxic products of the disease and are not always sensitive to the mallein injection. The absence of ther- mic reaction in these cases is counterbalanced by the organic reaction and this, taken with the clinical symptoms, enables a positive diagnosis to be made. As to abscesses after injection — it is absurd to talk of aseptic injections. We can clip off the hair and wash the site selected with an antiseptic solution, but everyone knows that is not suflficient to sterilize the skin, yet abscesses are extremely rare, and when one does form the horse has usually reacted and the abscess develops into a typical farcy ulcer." Dr. Dunbar: — "Dr. McGilvray made use of an expression Ills SOCIETY MEETINGS. which I confess I hardly understand as it seems to involve a con- tradiction in terms. He said the mallein test was a ' perfectly reliable but not an infallible one.' I would like him to explain." Dr. McGilvray : — " I don't think there is anything contra- dictory in the expression. What I meant to express was that mallein should be used for testing glanders outbreaks, and not on horses suffering from influenza or other febrile complaints. Such a horse might have his temperature run up after a mallein injection from the natural course of the disease he was suffering from, and this might be wrongly taken for a mallein reaction. Again, repeated mallein injections will induce a tolerance in horses so that after a time they may fail to react although still diseased." Dr. Torrance: — "I am sure I voice the sentiments of the members present when I say that we have seldom had the pleasure of listening to such an interesting and able paper as that presented by Dr. McGilvray. It is a valuable addition to the literature of the subject, and the Association is to be con- gratulated upon having it read before them. It deals so fully with the subject that it leaves little to be said, but I would like to ask Dr. McGilvray as to the infectiousness of pulmonary or latent glanders. Has he seen outbreaks of glanders that could be traced to a latent case showing no clinical symptoms? I would also ask what proportion he finds between the clinical cases destroyed and those that simply react without other evi- dence of disease ?" Dr. McGilvray : — '* I might cite the Rath well outbreak of glanders as illustrating the infectiousness of a non-clinical case. Thirteen horses on the premises were tested and eleven reacted typically and were destroyed. A mare had been disposed of some months previous to Inspector Molloy's visit, and on trac- ing her up it was found that she had infected various premises at widely separated points, and outbreaks of glanders occurred at Stockton, Wawanesa, Rounthwaite and Lipton, which could be distinctly ascribed to her presence among the horses for periods of from one to three months. In each of these out- breaks one or more clinical cases developed, yet the owners de- clared that the mare which brought the infection had never shown any visible nasal discharge or other symptoms of disease. She was finally shipped to Lipton, Sask., infected horses in the car with her, developed clinical symptoms herself, and was de- stroyed. There is also the Boissevain outbreak. In this the owner purchased a team of apparently healthy horses from a SOaBTY MEETINGS. 129 stud where clinical cases of glanders had been destroyed. The team was separated and mated differently some two months be- fore the premises were inspected. On testing, one of the origi- nal team and its new mate reacted typically to mallein, and showed after injection slight clinical symptoms (niuco-purulent discharge from inner canthus of eye, and tenderness and slight swelling of the submaxillary gland). They were destroyed. Neither had shown any symptoms previous to injection, there had been no glanders in this particular district, and there ap- peared to be no possible source of contagion other than this con- tact-infected team. As to the proportion between clinical cases and reactors, I may say that I have tested about i,ooo horses during the past year, and for every clinical case of glanders I find two or three reactors." Dr. Molloy : — "I have destroyed 209 cases of glanders, and 83 of these were clinical." Dr. McFadden : — " In the early days in this province we had to deal with glanders without the advantage of the mallein test. The Mennonite Reserve was badly infected during the period between '85 and '90, but in two or three years it was practically stamped out. I recollect one outbreak occurring among the horses of a large firm of contractors. 328 head of horses went into winter quarters and only 91 came out ; it was with these 91 I had to do. Every horse of these 91 was roped and careful- ly examined, and 16 were condemned and shot. The remainder came out all right. Dr. McGilvray's paper is an excellent one, and meets my views on glanders better than anything I have read. No doubt it will be printed and widely read, and there is just one criticism I would like to make. The opening remarks might be construed into a slur upon the veterinarians who had preceded him in the work. Now, these gentlemen are mem- bers of this Association, and I don't think Dr. McGilvray has any intention of putting an affront upon them." Dr. McGilvray : — " It was not the individuals I was criti- cizing, but their system. I have no wish to cast a slur on any- one, but there is no excuse for a man visiting and revisiting a farm at intervals of six weeks and at each visit destroying one or more animals for glanders." Dr. Dunbar : — " It has been stated that glanders has not hitherto been considered as contagious a disease as it really is. Some facts seem to support the old view. I know a man who drove a team for years. One of these contracted glanders, and discharged from the nose for a year at least before he 130 SOCIETY MEETINGS. was destroyed. His mate worked with him all this time yet did not catch the disease, and I had frequent opportunities of see- ing him for a year afterwards." Dr. McGilvray : — "Such cases maybe explained on the theory of natural immunity, but a year is not a sufficient period to keep an animal under observation, as the disease may re- main in an occult state for longer than that." Dr. McFadden : — *'l can cite a case similar to Dr. Dunbar's, that seems to prove that sometimes glanders is not very conta- gious. A livery man had a fine mare, which was especially val- uable for livery. Glanders broke out in his stable, and several horses had to be destroyed ; the remainder, being quarantined for 30 days, were then released as healthy. This wai> before the days of inallein. The mare passed into the hands of a man named Vance, and although I wished to get her I was afraid to do so until two months later. I bought her and had her for two months more, working every day in the livery and appar- ently healthy. One day I happened to notice her as she drove up to the stable after a long drive, showing a slight discharge from one nostril, and enlargement of one gland. I had her put into a shed apart from the other horses. She developed glanders, but not one of the eighteen livery horses that she had been with for eighteen months took the disease." Dr. McGilvray : — " Dr. McFadden's case simply bears out my contention that quarantining for a period of 30 days is of no avail as to deciding freedom from disease." Dr. McArthur then presented a paper on " Tinea Sycosis."* The President: — "The next order of business is to award the prize for the best essay presented at this meeting. As the conditions limit the competition to those who have never pre- viously contributed, the question is to decide between Dr. Mack and Dr. McArthur. A ballot will be taken and the same scru- tineers are invited to act." The ballot resulted in awarding the prize, on a close vote, to Dr. Mack. Dr. Whaley : — " I have recently had a case of what I think was tuberculosis in a horse. I have been told that horses can- not have tuberculosis and I would like to know if any member present has had a case." Dr. Martin : — "I reported a case of tuberculosis in a horse at one of the previous meetings of this Association. Tubercu- *Will be published in a later number of the RfcVlE\\ , SOCIETY MEETINGS. 131 losis is rare in the horse, yet we do come across a case once in a while." The President : — " Gentlemen, this is one of the best meet- ings we have had, and yet we must, if we would progress, aim at something still better. I would suggest that your executive have your instructions so that the next meeting should not be crowded into one day. The members who are going to read papers should let the Secretary know some time before the meeting so that a programme could be issued and the members would come prepared to discuss those papers." Dr. Martin: — "I would suggest a banquet for next year, and perhaps it might be possible to arrange a trip to the new agricultural college." The President: — "Another matter that we should take up is veterinary education. I think our Secretary has some re- marks to offer." Dr. Torrance : — "You are well aware of the efforts which the veterinary profession is making towards improving the status of the profession by raising the standard of veterinary education in Ontario. A deputation of leading veterinarians recently waited on the Minister of Agriculture, the Hon. N. Monteith, with a petition from the veterinary profession re- questing the Government of Ontario to take up the matter of establishing an up-to-date veterinary college for Ontario. The reply of the minister, while, of course, non-committal, was en- couraging, and leads us to hope that something definite is about to be done. I have also a private letter from Dr. Ruther- ford, which con6rms the idea that the Ontario Government may establish, or aid materially in the establishment, of a new veterinary college, either in connection with the Ontario Agri- cultural College, or as a faculty of Toronto University. What seems to be most essential at the present juncture is a united effort on the part of all the members of the veterinary profes- sion to push the matter through. It would be presumptuous for this Association to petition the government of another province, but we can at least strengthen the hands of our brethren in Ontario by expressing our sympathy with their efforts, and I would therefore beg to move the following resolu- tion : — " Whereas, The veterinary surgeons of Ontario are en- deavoring to elevate the standard of the profession by the es- tablishment, under government auspices, of a veterinary col- lege with a standard adapted to modern requirements ; and 132 SCKHETY MEETINGS. " Whereas, Under the proposed arrangements, the interests of Prof. Andrew Smith are to be fully recognized ; *' Resolved^ That this, the Veterinary Association of Manito- ba, desire to express their sympathy with the efforts of the pro- fession in Ontario, and their earnest desire to see the establish- ment of a veterinary college having a curriculum of not less than three terms of six months each ; and that copies of this resolution be sent to the Secretary of the Committee and the Secretaries of the various Associations in Ontario." The motion was seconded by Dr. Whaley and carried unani- mously. The following resolutions were then adopted : — " That 300 copies of the proceedings be printed and dis- tributed." " That the semi-annual meeting be held in the city of Win- nipeg." " That Drs. C. Little and C. D. McGilvray be the auditors for the ensuing year." " That a hearty vote cf thanks be tendered the City Coun- cil for the use of the committee room." " That a hearty vote of thanks be tendered the essayists." The Secretary announced that essays had been promised for the next meeting by Drs. Martin and King. The meeting then adjourned. F. Torrance, Secretary. NEBRASKA VETERINARY MEDICAL ASSOCIATION. The meeting was called to order Monday, January 5, at 2 P. M., in room 305, Agricultural Hall, at the State Farm, Lincoln, Neb., by the President, Dr. C. A. McKim, the following mem- bers being present : J. S. Anderson, John A. Berg, M. T. Ber- nard, J. J. Drasky, H. L. Feistner, J. H. Gain, H. N. Hall, J. L. Hoylman, H. Jensen, C. A. McKim, A. T. Peters, V. Schaefer, R. Ebbitt, P. Simonsen, J. D. Sprague, Geo. Sprenger, E. F. Stewart, Geo. P. Tucker, and W. A. Thomas. Minutes of last meeting were read and approved. The following gentlemen were elected to membership of As- sociation : W. H. Cole, G. A. Meixel, W. H. Tuck, W. A. Wal- ther, A. A. Munn, J. C. Myers, J. A. Royce, M. D. Strong, A. W. Carmichael, G. Baxter, T. H. M. Knaak, A. H. Krull, R. A. Huntley, I. W. McEachran. This additional membership has brought the Nebraska As- SOCTETY MEETINGS. 133 sociation into the ranks of the thriving and pushing^ associations of America, and is the direct result of the law passed to reg- ulate the practice. The law looks very innocent, but the results are very satisfactory. Dr. A. A. Munn, of Kearney, presented a paper on " Azotu- ria." It was thoroughly discussed by Drs. Schaefer, Huntley, Jensen, Strong, Hoylman, McEachran, Bernard, and Anderson. Dr. Anderson reports good results from intravenous injections of normal salt solutions, twice in 24 hours. Dr. Hoylman recom- mended the internal administration of turpentine. Dr. Drasky reported an outbreak of rabies near Crete, Ne- braska, with a great loss of horses, cattle and sheep. The State Veterinarian, Dr. C. A. McKim, reported several outbreaks throughout the State. Dr. Carmichael read a paper entitled " The So-called Corn- Stalk Disease," recommending the use of sodii hyposulphite and quinine. Dr. A. T. Peters gave a very interesting account of the work done by the Experiment Station along the line of mould poison; it develops that there are as many different kinds af mould as there are diseases, each producing different symptoms, and re- quiring different treatment. Dr. Peters has promised us a full report of his work in the near future. The meeting was then adjourned to meet at 8 p. m. at the Lincoln Hotel for a banquet. Shortly after 8 o'clock 33 of the happiest looking veterina- rians in the State of Nebraska were seated around the banquet table in the club room of the Lincoln Hotel. Dr. ^L H. Rey- nolds, of Minnesota, was the guest of honor. After the elegant eight-course menu was disposed of, and while inhaling the fra- grant fumes of the havanas, our versatile friend, Dr. A. T. Peters, acting as toastinaster, called upon the following gentle- men, who. in well chosen language, responded to the following toasts : " The Veterinarians in the Philippines," J. J. Drasky ; *'Our Veterinary Law," R. A. Huntley; "The Younger Mem- bers of the Nebraska Veterinary Medical Association," J. C. Mevers ; "The Association in '94 and Now," J. S. Anderson; " The Veterinarian in Nebraska in the Early Seventies and To- Day," W. A. Thomas; "Cement," H. Jensen; "The Globe- Trotter," R. Ebbitt ; "The Future of the Nebraska Veterina- rian," P. Simonsen ; " State Boards and Sanitary Laws." M. H. Reynolds. This was the first time in the history of the Ne- braska Association that its members had gathered around the 134 SOCIETY MEETINGS. banquet table, and so well pleased were the members present with this our first banquet that it was decided to make this feature a permanent one. Tuesday, January i6, at lo a. m., the members of the Asso- ciation assembled in the new Stock-Judging Pavilion on the State Farm for a surgical clinic, and several interesting opera- tions were skilfully performed. This feature of our meetings will be improved upon, and in the future be held in private. At 2 P. M. the meeting was called to order in the new Agri- cultural Hall, by Dr. G. R. Young, of Omaha, the President, Dr. McKim, being temporarily absent. Under the head of " Reports of Cases," Dr. Hoylman report- ed great losses of horses and cattle in the western part of the State from what the doctor thought to be corn-stalk disease. The symptoms presented were first coma, delirium and death. The usual symptoms, as most of the practitioners in the State had observed it, is first delirium, then coma and death. A thorough discussion of the subject decided that the cause of the trouble was due to some form of poisoning by moulds, as some of the animals had not been near a corn field. Treatment sug- gested : One-half ounce doses of potassium iodide every six hours, preceded by 1 5^ pounds of magnesium sulphate. Dr. Reynolds spoke of the great similarity of symptoms be- tween corn-stalk disease and what they in Minnesota call hsemor- rhagic septicaemia ; he considers these two diseases very closely allied. Dr. J. S. Anderson gave a very interesting report on his op- erations for roaring. The doctor gave a detailed description of his method, which had resulted satisfactorily in most cases ; one failure was reported, and the entire structure exhibited ; the an- imal, whenever it attempted to swallow, would choke, and even- tually died from traumatic pneumonia. Dr. Anderson's surgi- cal skill is recognized all over this Western country. The Association unanimously endorsed the Army Bill. H. Jensen, Secretary. NORTH DAKOTA STATE VETERINARY ASSOCIA- TION. The annual meeting was called to order at Fargo, Jan. 17, 1906, at 10.30 A. M., with President Treacy in the chair. Roll- call revealed the presence of the following members : Drs. Anderson, Chisholm, Cosford, Crewe, Davidson, Dunham, SOCIETY MEETINGS. 135 Fisher, Fisher, Martin, Robinson, Taylor, Treacy, Van Es, Walker, Winsloc. The minutes of the preceding meeting were read, and, upon motion, were duly approved. The Committee on Legislation, through its Chairman, Dr. Treacy, made report on its work and the desired changes se- cured during the last legislation. Report adopted. The Finance Committee reports a balance of $47.75 in the treasury. Report adopted. The application for membership of Dr. Thos. Sims, of Bot- tineau, N. D., was received. Dr. Sims was elected to member- ship under suspension of the rules, as otherwise his application would have to be laid over until the following annual meeting. The election of officers for the ensuing year resulted in the election of the following : President — E. J. Davidson, Grand Forks. Vice-President — A. A. Walker, Casselton. Treasurer — B. C. Taylor, Hillsboro. Secretary — J. A. Winsloe, Cooperstown. It was moved by Dr. D. E. Fisher, and seconded by Dr. Martin, that a Committee on Resolutions be appointed by the Chair. Motion carried. The following members were ap- pointed ; \'an Es, Crewe and Cosford. It was also moved and seconded that Drs. Fisher, Martin and Taylor act as a committee to formulate plans for the better en- forcement of the laws covering veterinary practice and to inter- view the local members of the Examining Board with a view to securing a statement in regard to the number of permits and certificates issued, fees, etc. The following members were appointed as the Committee on Legislation : Drs. Robinson, Crewe and Treacy. The meeting then adjourned until 2.30 p. m. At the appointed hour the meeting was called to order, with Vice-President Robinson in the chair. No business being brought up for discussion, the reading of papers was now taken up. The first paper was read by Dr. L. Van Es and was entitled "Clinical Phases of Influenza."* The paper was discussed by all members present. The following paper was read by Dr. J. W. Robinson, and was entitled, "The Spaying of the Heifer."* The paper was discussed by Drs. Ramsay, Treacy, Cosford, Davidson and Foster. • Will be published in an early numl)er of the Rkview. 136 SOCIETY MEETINGS. The next paper was read by Dr. B. C. Taylor and dealt with " The Treatment of Hernia with Nitric Acid."* This paper was thoroughly discussed by Drs. Robinson, Winsloe and Ramsay. Some time being yet available, Dr. Van Es volunteered a re- port on a case of "Carcinoma of the Maxillary Sinus,"t and submitted photographs, drawings, and wet specimens of the case. It was moved and seconded that the Secretary be instructed to furnish the American Veterinary Review with copies of the papers read and of the proceedings of the meeting. On motion of Dr. Van Es, and seconded by Dr. Treacy, the Chairman was instructed to appoint a Committee on Programme : Appointed Drs. L. Van Es, Chairman ; J. W. Dunham and D. Fisher. After some remarks on the value of a good live stock asso- ciation and a better understanding among the various members of the profession by Drs. Ramsay and Foster, the meeting ad- journed until the following day, which, according to resolutions passed during the previous meeting, was to be devoted to clinical work. On January i8 the members met at the Stock Judging Hall of the Agricultural College, where the following cases were presented : Sequestrotomy of the lower jaw and expulsion of molar, by Drs. Davidson and Taylor. Removal of carcinoma of orbit by Drs. Martin and Cosford. Cunean tenotomy and cautery for spavin, by Dr. Foster. Cautery for spavin, by Dr. Sims. Cautery of spavin, by Dr. Chisholm. Operation for papillomatosis of oral mucosa, by Dr Walker. Cautery of spavin, by Dr. Dunham. Spaying of heifer, by Drs. Cosford and Robinson. Extraction of molar, by Dr. Hinebauch. Expulsion of molar, by Drs. Fisher and Burton, Besides the cases operated on, the following were exhibited : Bursatti ; synovitis and peri-arthritis of hock-joint ; obstruction of upper air passage ; lymphangitis of hind leg. The following veterinarians were in attendance during the meeting and the clinics: Drs. O. F. Anderson, Christine ; J. Burton, Wheaton, Minn. ; J. P. Chisholm, Lisbon ; vS. E. Cos- ford, Jamestown ; W. F. Crewe, Devil's Lake ; E. J. Davidson, * Published in 'News and Items," this number Review. t Will be published in an early number of the Rf.vikw. SOCIETY MEETINGS. 137 Grand Forks; J. W. Dunham, Fargo; D. Fisher, Grandin ; G. D. Fisher, Hope ; J. P. Foster, Huron; F. J. Glynn, Aberdeen ; T. D. Hinebauch, Tower City ; M. Holcomb, Fargo ; J. A.Kierman, Aberdeen, S. D. ; R. G. Lawton, Watertown, S. D. ; L. A. Nut- ting, Great Falls, Montana ; C. H. Martin, Valley City, N. D. ; R. A. Ramsay, Denver, Colo. ; J. W. Robinson, Coal Harbor, N. D. ; Thos. Sims, Bottineau ; B. C. Taylor, Hillsboro, N. D. ; R. H. Treacy, Fargo ; L. Van Es, Agricultural College ; A. A. Walker, Casselton ; J. A. Winsloe, Cooperstown. C. H. Martin, Acting Secretary. VETERINARY MEDICAL ASSOCIATION OF NEW YORK COUNTY. The regular monthly meeting was called to order January 3, 1906, at 8.30 P. M., Dr. Roscoe R. Bell, the President, in the chair. Roll-call was dispensed with. Minutes of the previous meeting were adopted as read. Members present : Drs. T. A. Keller, C. W. Shaw, R. Dick- son, K. B. Ackerman, J. L. Robertson, C. Schroder, Roscoe R. Bell, C. E. Clayton, F. C. Grenside, J. E. Ryder, R. W. Ellis, R. W. McCully, R. S. Mackeller, and D. J. Mangan. Visitors : Drs. W. Reid Blair, Leonard Pearson, J. V. Lad- dey, C. S. Atchison, Morris, Castor, Hendren, Hayes, King- ston and Clarence J. Marshall. Also, students of the New York- American Veterinary College. Dr. Leonard Pearson delivered an address on the " VIII. International Veterinary Congress." The Doctor told of the origin of the Congress, its methods, purposes and its prosper- ity. Incidentally he spoke about the fine veterinary school in Budapest. Dr. W. Reid Blair, of the New York Zoological Park, read a paper on " Actinomycosis of a Salivary Gland in a Grizzly Bear.* Dr. Blair exhibited some specimens of this condition. Dr. J. V. Laddey spoke of his experiences in the Philippine Islands. The Secretary read all the names that were on the veterina- ry registers of New York, Kings and Queens Counties. The President said he would have them printed in proof form, for the next meeting. Dr. Charles Lamensdorf was elected member of the Asso- ciation. * Pablisbed in March Rkvikw. 138 SOCIETY MEETINGS. The By- laws were suspended and Dr. Leonard Pearson was unanimously elected an honorary member of the Association. Drs. W. Reid Blair and J. V. Laddey each received a vote of thanks for their efforts towards the evening's entertainment. The meeting was then adjourned. D. J. Mangan, Secretary. * * * The regular monthly meeting was called to order by the President, Dr. Roscoe R. Bell, on February 7, at 8.30 P. M. The roll was dispensed with. Minutes of previous meeting were adopted as read. Members present : Drs. R. S. Mackeller, A. O'Shea, C. E. Clayton, R. W. Ellis, W. C. Bretherton, C. W. Shaw, F. C. Grenside, T. A. Keller, Wilfred Lellmann, D. J. Mangan, Ros- coe R. Bell, J. L. Robertson, and C. Schroder. Visitors : Drs. Blair, Schreiber, Assing, Childs, Brotheridge, and S. Strauss, M. D. Also, students of the New York- Ameri- can Veterinary College and others. Dr. Bell read a letter, which he received from Dr. Williams, the President of the State Society, regarding the practicing of veterinary medicine in New York State without a license. Members and visitors suggested various methods to be em- ployed in getting evidence against violators of the veterinary law. Dr. Bell had copies of the Greater New York Veterinary Registers, which were distributed among the members. Discussions on azoturia, iodi, kali and influenza, which were taken up separately, brought out some valuable informa- tion. Dr. S. Strauss asked the members if they came across any car- cinomatous tumors he would be glad to receive them and pay for same. This request was followed by a discussion on malig- nant tumors. The following gentlemen were proposed for membership : Drs. R. Schreiber, H. J. Brotheridge and J. E. Assing. Owing to the fact that there were few of the Board of Cen- sors present it was decided to act on the propositions without their endorsement. The applicants were therefore duly elected members of the Association. Dr. Clayton moved and it was regularly seconded, that the Association have its Treasurer pay John Brooks, the janitor, $2.00 per month for services rendered on meeting nights. Meeting adjourned. D. J. Mangan, Secretary. SOCIETY MEETINGS. 139 WASHINGTON VETERINARY MEDICAL ASSOCIA- TION. The United States College of Veterinary Surgeons held its twelfth annual banquet Saturday evening, February 24th, 1906, which celebrated its twelfth birthday. The college is young but healthy and prosperous for its age. The banquet was held at Freund's, where all similar func- tions are held, and the dining hall was beautifully decorated with flowers and flags ; the tables were covered with college colors, — black and orange, and the students as well as their guests were all clad in evening dress. Tile toastmaster, Mr. R. H. Duenner, class of '06, with a kind word of welcome, bade the guests and students to be seated. A very well arranged and tempting menu was placed before them, and after every one had done justice to the eatables, cigars were lighted, and the evening turned into one of toast and stories. Dr. Lamb, M. D,, a guest, responded to *' Reversions ". He told how he had watched the growth of the institution and how it had struggled in its younger days, but now success was com- ing and the horizon was clear and prosperity was the only pos- sible thing. Dr. C. Barnwell Robinson, V. S., Dean, spoke on the " Duties of the Practitioner." He pointed out the methods in which a practitioner should shield his profession. He said the field was calling for men, and that the men would always have plenty to do. He outlined work for the men and told how they should protect themselves, protect the animal, and protect the client. His remarks received much attention and were generously ap- plauded. Prof. G. A. Prevost, LL.B., one of the trustees of the college, spoke of the great meaning of the college motto, " Vestigia Nulla Retrorsum." He said one's footsteps should never turn back- wards, but keep up the steady, forward movement ; if we ever found ourselves slipping backward faster than we were going forward, simply turn around, and our progress in the forward direction would be gained. Dr. C. M. Emmons, M.D., gave an interesting talk on "Stu- dents vs. Professor." He told how a student looked from a professor's standpoint — the schoolroom platform, how he saw the wise thoughts of the students through the examination paper. This talk received much attention from the students and they applauded heartily. 140 SOCIETY MEETINGS. C. C. Weeks, representing the graduating class, delivered a clever talk, telling the juniors and freshmen how it felt to hold the dignified position of a senior. G. H. Grapp, '07, returned thanks for the kind words of '06, and H. S. Gamble, '08, represented the freshmen. The banquet was under the careful supervision of a com- mittee of E. P. Yeager, '06, chairman ; Dr. H. Bosley, '03, treas- urer ; G. H. Grapp, '07, secretary; M. P. Smith, '06; C. B. Shoemaker, '08 ; R. C. Talty, '07 ; I. A. Phinney, '08. The guests of the evening were : Dr. F. B. Gage, U. S. A.^ Dr. S. B. Lamb, and J. P. McDonough. Others present were the faculty and classes as follows : Prof. G. A. Prevost, Dr. Frazier, Dr. C. B. Robinson, Dr. H. Bosley, Dr. C. M. Emmons^ Dr. C. C. Walker, Dr. M. H. Walmer, Dr. E. S. Walmer, Dr. Drake, Dr. J. C. Heide, Dr. W. W. Alleger, R. H. Duenner, O. H. Gratz, E. Hartley. J. P. Keifer, C. J. Fry, W. S. Pollard, E. P. Yeager, M. P. Smith, W. F. Davis, C. C. Weeks, R. W. Wolf, J. H. Bakelaar, R. C. Talty, F. Meisenheimer, A. C. Stever, H. F. Hungleford, A. A. Pearson, E. L. Thornton, R. E. Ferney- hough, C. M. Mansfield, R, B. Blume, E. H. Drake, R. M. Corey, G. H. Grapp, R. J. Cooley, A. Monk, H. S. Gamble, C. B. Shoe- maker, L. Prevost, I. A. Phinney, C. F. Sapp, T. A. Metcalf, J. H. Donahue, H. H. Adair, and J. L. Vega. C. M. Mansfield, Chairman Pub. Comm., Wash. Vet. Med. Asso. MASSACHUSETTS VETERINARY ASSOCIATION. The regular monthly meeting was held Wednesday evening, January 24th, at 8 P. M. There were fifteen members present. In addition to the regular business, it was voted the President be instructed to have the Secretary call a special meeting before the hearing at the State House on the bill for compensation to owners of glandered horses. Dr. Rogers reported an interesting case of an Irish terrier dog. First noticed that he would not follow, later showed pain, cried out, got up, turned around and laid down again. Vomited one day only, bowels loose, appetite good, assumed position of acute gastritis and would continually lap inside of hind leg. X-ray showed nothing. operation. — Found intussusception of about four inches of intestine with adhesions of outer walls with fibrous bands. Dog recovered. Meeting adjourned at 10.45 P- ^• F. J. Babbitt, Secretary. THE NORWICH PHARMACAL COMPANY Specialists in the manufacture of STANDARD PHARMACEUTICALS, such as, U. S. P. Assayed and Standardized Fluid Extracts, Tinctures, Medicinal Syrups, Elixirs, Spirits, Wines, Cordials, Powders, Pastes, Embrocations, Lozenges, Hypodermic and Compressed Tablets, Surgical Dressings and Bandages, etc. SYRUP OF i EUCALYPTUS COMPOUND. With Belladonna prepared especially ( for veterinary use. i For the treatment of Coughs, Bronchitis, Laryn- gitis, Pneumonia, etc., in horses, cattle and dogs. Endorsed and prescribed by prominent veterinarians, with remarkably successful results. VETRINOL (Veterinary Unguentine). Ideal antiseptic astringent ointment for Bums, Sores and Inflammatory Skin diseases. VETRINOL DUSTINQ POWDER. A dry dressing for Saddle and Collar Galls and all open sores on animals. KAODERMA. A soothing, antiphlogis- tic preparation, composed of Dehydrated Aluminum Silicate, Boric Acid, Salol, Gaultheria and Eucalyptus, combined with chemically pure Glycerine. SAN-KREO. A synthetic antiseptic and disinfectant — non-car- bolic— non-poisonous. One part to IOC of water makes a safe, effective germicide for treating all live stock. ZEMACOL (Eczema Colloid). A specific for all eczematous conditions of cutaneous surfaces. CAPSICOL (Solidified Embrocation). The best and handiest counter-irritant. Takes the place o( liniments, blisters, etc. THE NORWICH PHARMACAL COMPANY Main Officu. NORWICH. NEW YORK. Branchcji NEW YORK and CHICAGO. NEW YORK OFFICE ■ 70 and 72 Fulton St 'Phone 3028 John. jQr We make a specialty of preparing Private Formulas. Send yours in and get our prices. Write u« for complete price catalogue, listing all goods of our make. CREOQEN = MARTIN (The Veterinarians Antiseptic.) Is invaluable in the surgical treatment of Bur- satti or summer sores, actinomycosis, fistulous withers, poll evil, trephining of the nasal and facial sinuses of the head, etc. In abdominal laparotomies a i or 2 per cent solution is very suitable for irrigating the ab- dominal cavity during operations. No toxic absorb- tion need be apprehended from the use of Creogen as is the case with Phenol or Hydrargri Bi Chloride. Creogen does not blacken surgical instruments, de- stroy their polish or injure their edg^e. As an anti- septic it covers the field of veterinary surgery in a most efficient manner. It answers equally well for the simplest as well as for the most complex and deli- cate surgical operations. If you are annoyed with cases of chronic psorop- tic, sarcoptic or symbiotic mange, or other forms of scabetic diseases of the skin among your equine, bo- vine or canine patients, that has previously resisted your best efforts to cure, a trial of Creogen will quick- ly convince you that it is without an equal for such dis- eases. There is no pharmaceutical preparation that will yield you larger dividends in your practice, than Creogen. Send for a sample. Its free, i gallon, $1.50, 5 gallons, $6.50, 10 gallons, $12.00, prepaid. W. J. HARTIN CHEWICAL CO., PHARMACEUTICAL CHEMISTS, KANKAKEE, ILLINOIS. 10 SANMETTO A POSITIVE REMEDY DISEASES OF THE GENITO-URINARY ORGANS OF THE HORSE AIsTD DOO. Doctor, wlu-u vou have a Horse or Dog suffering from KIDNEY, BLADDER OR URETHRAL TROUBLE -Nephritis, Cystitis, Urethritis— OR FROM ANY IRRITATION or INFLAHMATION of the URINARY TRACT —Frequent, Scant or Bloody Urine— ORDER SANMETTO Sanmetto Is largely used in Veterinary Practice for the above troubles and has been found Worthy and Reliable. It is also strongly endorsed and much used iu AZOTURIA — many cases reported cured with it. Sanmetto acts as a vitalizing tonic to the Genito* Urinary Organs. It is eliminated from the System almost entirely through the Kidneys •ad Bladder— hetice Us soothing, healing and tonic power upon the entire Urinary Tract. To avoid substitntion, order in original package, thus : R 8ANMBTTO— one bottle— original package. DotM : — For Horse, one half to one ounce three times a day. For Dog, one teaspoonful three times a day. Price One Bottle, |i.oo. Case of One Dozen Bottles, {S.oo. Sold by all Reliable Druggitta Pamphlet on application. OD CHENI. CO., New York. 11 NEW Veterinary Publications OF NVILLIAM R- JEINKIINS, 851 and 853 SIXTH AVENUE, N. W. Cor. 48th Street, NbW YORK. Third Edition, Revised and Enlarged. Veterinary Materia Medica and Tlierapea- tlcs. liy Kknelm VVinslow, B. A. S., M.D.V.,M.D.(Harv ). The most complete, progressive and scientific book on the sub- ject in the English languaee. That three editions should be required to mett the de- mand (or such a work in about as many years attests its worth. Thoroughly re- vised and rewritten, much new matter added to bring the book up to date. Cloth, 6K*9^». viii +804 pages. Price 8600. Diseases of Cattle, Sheep. Goats and Swine. By Prof. Dr. G. Moussu and J.vo. A. W. Dollar, M.R.C.V.S , F.R.SE., etc. Stu- dents, teachers, and practitioners of veteri- nary medicine and surgery have demanded a complete but concise textbook on the subject. The past twenty years have wit- nessed many important discoveries. The greatest minds in the world of bacteriology and pathology have been enlisted in the study of disef^ses of cattle, and advances have been registered which it U the object of the present work to set forth in the few- est and simplest terms. Size 6xgl4, 78s pages, 32q illustrations and (4) four full page plates. Price $8.75. Second edition, revised qf Handbook of Meat Inspection. By Prof. Dr. ROBKRT OsTKRTAG, traus. by E. V. Wil- co.\, A.M., Ph.D. Veterinary Editor Ex- periment Station Record, introduction by John R. Mohlkr, A.M . V.M.D., Chief of Pathological Division, U. S. Bureau of Ani- mal Industry. The wo k is EXHAUST- IVE and AUTHORITATIVE because of Dr. Ostertag's extended and exceptional experience. It is altogether a book greatly needed and has at once become the STAN- DARD authority upon the subject. Cloth, 6M«9^.9»o pa^es, 260 illustrations, 1 col- ored plate. Price $7.50. A Treatise on tlie Parasites and Parasitic Diseases of the Domesticated Animals. By Prof. L. G. Xkumann. Tran. and edit. by George Flkming, F.R.C.V S. etc. Sec- ond Edition Revised and Edited by Prof, Jambs MacQuhbn, F. R.C. V. S. Cloth. 6>i X 10. xvi -I- 698 pages, 365 illustrations. Price 86.75. CatecliUm of tlie Principles of Veterinary Surgery. By \V. E A. Wvman, M.D.V., V.S. Author of " The Clinical Diagnosis of Lameness in the Horse," " Tibio-Pero- neal Neurectomy," translator of DeBruin's " Bovine Obstetrics," etc. Attention is called to the following points : It is ar- ranged in the form of question and answer, each quesiton being answered in a scien- tific and practical way. It deals exhaust- ively with tumors, a subject heretofore ne- glected, and takes into consideration, thoroughly. American as well as European investigations, offering practical hints never before in print. Cloth, size 6x9, 317 pages. Price $3.50. Third edition (over soo more pages) of the Manual of Veterinary Hyg:lene. Bv Vet- erinary Captain F. Smith, M R.C.V.S. Author of- A Manual of Veterinary Physi- ology. " Cloth, 5>i X ^%, 1036 pages, 355 il- lustrations. Price I4. 75. A Manual of General Histoloev. By Wm. s. Gottheil, M. D. Late Professor of Path- o ogy in the American Veterinary College, New York. etc. Second edition revised; cloth, 5'/4x8; 152 pages, 68 illustrations. Price {I 00. Tbe Veterinarian's Call Book f Perpetual ). By Roscoe R. Bbll, D. V. S. Editor of the ''American Veterinarv Review." Re- vised Edition for 1906. One volume, con- yenjent size for the pocket, bound in full flexible leather, with flap and pocket. Prire I1.25. A Treatise on Epizootic Lymptaangltis. By Captain W. A. Pallin, F. R. C V. S. Cloth. 5% x8}^. 00 pages, with 17 full-page illustrations. Price $1.25. Cattle TnbercQlosis. By Harold Sessions, F. R.C. V.S. , etc. Second edition The book formerly written in conjunction with Dr. Legge has practically been re-written, as many fresh experiments have been made and so many new regulations intro- duced. Tuberculosis isoneof the most se- rious diseases the community have to face. Size 5 X 7ii, vi + 120 pages. Price $1.00. Any of the above books will be sent prepaid for the price. Send for our New Complete Descriptive Catalogue. WILLIAIVl R; JENKINS, 851 and 853 Sixth Avenue, cor. 48th Street, New York. 12 American Veterinary Review. Correspondents will please note the change in address of Dr. Roscoe R. Bell, from Seventh Avenue and Union Street, to jio East Second Street, Borough of Brooklyn, New York City. EDITORIAL. EUROPEAN CHRONICLES. Paris, France, March 15, 1906. Animal Diseases in the Tropics. — At this time, when the subject of tropical diseases is about to receive, and, indeed, is already receiving in some colleges the attention it deserves, I have been reading over the reports presented on the subject at the Congress in Budapest — those of Piot Bey, of Egypt ; of Prof. Lignieres, of Buenos Ayres ; and of Dr. A. Theiler, of Pretoria. As this last one covers better and in a more general way the consideration of these diseases in relation to domestic animals, I think a brief resume of his report, as it appears in the wotk of the Congress, may be of interest. * * % The term " tropical diseases " is used mainly to include those which occur in warm countries. It has, therefore, a specific etiological signification, which characterizes diseases of warm climates, whcr«i, however, there frequently exiat a certain num- ber of zoonoses, but, nevertheless, not specific to tropical coun- tries. Anthrax fever and symptomatic anthrax cannot be con- idered as true tropical diseases. On the other hand, diseases arc found in temperate countries which, generally, are more us 146 EDITORIAL. frequently observed in warm climates, and which present the typical character of tropical affections. These are especially the piroplasmoses, caused by endoglobular parasites. Further than that, at various intervals diseases have been described in warm countries which were found later also in temperate cli- mates ; thus the propriety of considering them as exclusively tropical may be questioned. Among these are actinobacillosis, bursattee, farcy of cattle, and epizootic lymphangitis. Actually some diseases, like dourine and sheep variola, which were in other times met in cold countries, exist in warm zones. Con- tagious diseases, as rinderpest, contagious pleuro pneumonia, and glanders are widely distributed in the tropical regions of the Old World ; some of them have been known there for cen- turieS) and it may be said that these countries are their real home. It would be wrong to apply the name of tropical to these afiFections, since they do not possess any of the character- istics of tropical diseases. Certainly there are specific causes which are favorable for the existence of the diseases mentioned, but these must be looked for in the primitive civilization of the native population and the common religious conceptions of epi- demics. On that point an improvement is noticeable in South Africa, where the most fatal diseases have been successfully treated by inoculation. ♦ Epizootics observed only in warm climates by Dr. Theiler are classified as follows : (i) Those due to vegetal organisms; (2) Those due to extravisible organisms ; (3) Those due to protozoic organisms. Among the diseases of the first group, hsemorrhagic sep- ticaemia of sheep and the disease of Argentine called " entequi," are the only ones considered as exotics. The other hsemorrha- gic septicaemias, such as anthrax fever and symptomatic an- thrax, are, in general, observed more in warm than in cold countries ; but heat and dampness cannot be held responsible for their appearance, as is often done. The real cause for their EDITORIAL. 147 existence is to be found in the want of knowledge of the cattle breeder regarding their true nature. Blood diseases due to spirillae are not considered by the author as belonging to this class, because they are transmitted by intermediate hosts, es- pecially the ticks, and because they present consequently the typical character of a tropical protozoic disease. This applies to the Brazilian fowl disease and the South African spirillosis of cattle. * * * In the consideration of the diseases of the second class, con- tagious diseases are excluded, as they are found all over the world. There remain three South African diseases, the horse- pest, the catarrhal fever of sheep, and the heart-water of cattle, sheep and goats. The first two have some common peculiari- ties, but they are not identical, as they can be inoculated only on animals of respective species. All the observations and deduc- tions based on experiments show that these diseases are propa- gated by the bites of night insects. The author tells of a pro- cess of inoculation which has been worked out and consists in the simultaneous injection of serum and of virus, which give an attenuated disease. Heart-water is an inociflable disease, transmitted under natural conditions by the tick Amblyomwa hebracum. The nymphoe and the adults transmit the disease. TliQ three diseases j ust mentioned have this in common, viz. : that the immunized animal does not hold the virus in its blood, as is the case with some piroplasmoses. w * in The third group includes the diseases due to protozoa. The piroplasmoses are first described and classified in two secondary groups. In the first are found red water or Texas fever, the pi- roplasmose of the horse, of the dog, and probably also that of sheep, characterized by a typical and big piroplasma. This group differs distinctly from the second, which has a small piro- plasma as the pathogenous agent and to which belongs the tropical piroplasmosis of cattle. iThe piroplasmoses of the first group are inoculablc to animals of the same species with blood 148 EDITORIAL. from sick and from immune animals, which is not the case with the tropical piroplasmose. * * The various diseases met in warm countries are considered as identical, as South African experience has proved that the immunity acquired in foreign lands, holds good, with but few exceptions, against redwater of South Africa ; besides which the ticks that act as hosts for the same parasites belong to the same genus or are only varieties of the same species. European hsemoglobinuria is transmitted by a different species of tick, hence it is possible that there are different varieties of Piropiasma bigeminuvi. Dr. Theiler draws attention to the fact that the Piropiasma bigerninum is not met with in the im- mune ox under its usual shape, but in a form similar to that of tropical piroplasmoses. In the report the disadvantages of in- oculation with immune blood are well discussed, and attention is called to the danger resulting from the simultaneous inoculation against bovine pest in regions where Texas fever is epidemic. To this day there are no experimental researches to show by what tick the equine piroplasmose is transmitted. • * * * It is, however, about certain that the disease is communi- cated by ticks, an opinion which is corroborated by daily obser- vations. The tick which propagates canine piroplasmosis is, on the contrary, well known; it is the Hemophysalis leachi. Experience shows this peculiarity, that the infection passes through the egg, the larva, and the nympha only to be communi- cated by the sexual adults. The author has prepared a serum against this disease, and confirms the fact that the blood of the immunized animal from which serum is derived remains in- fected. Tropical piroplasmose differs in every way from Texas fever. The immunity which is acquired against the last disease does not protect from the former. In addition to this, quite a differ- ent species of tick transmits the disease, viz., Rhipicephahis appendiculatus. The infection does not go through the ^^g : EDIT0RIA4>. 149 it is taken tip by the larvae and the nymphae, and is communi- cated exclusively by these and by the adults. * * Tropical piroplasmosis is of paramount importance to South Africa. It threatens to ruin the cattle industry. Inoculation of Koch i? a failure. Strict legislation is essential and eradica- tion possible ; since it has been proven that an infected area purifies itself provided all susceptible stock is removed for at least fourteen months. Fencing of all infected farms is to-day ordered. Other prophylactic measures are also suggested, dip- ping among them. But dipping with various parasitical reme- dies is useless in regions already infected, unless the infected herd is removed to clean ground. Periodic dipping may pre- vent the disease, as it may kill all the ticks. * * In a second part of the report, Dr. Theiler treats of the dis- eases caused by protozoa, studying them all, except dourine, because of their great importance to South Africa, and calling especial attention to the fact that some tropical tripanosomiases are propagated by biting flies and that the same probably applies to all of them. In conclusion, the author says : Typical tropi- cal diseases are blood diseases propagated by extoparasiies, whose development is much favored by the conditions of warm cli- mates. Among the various causes responsible for the introduce tion of tropical diseases in South Africa are : colonizing of these countries, trading of cattle, development of mining industry* and war. Finally, the appointment of veterinarians possessing bacteriologic knowledge imposes itself as collaborators on the administrative staff of all and any new countf>' where tropical and other diseases annually decimate the live stock. * * * Belgian Experiments with Bovovaccine. — In the An- nales de Druxelles for F'ebruary there is among the original articles the report of the Committee appointed by the Secretary of Agriculture of Belgium to estimate the value of the method of von Behring, the anti-tuberculous vaccination. It seems as 150 EDITORIAL. if all that had been claimed for it had not been demonstrated again and again. At any rate, the Belgian Committee was composed of Director D^give, Mr. Stubbe and Mr. Mullie, vet- erinary inspectors, and Prof. Lienaux. The experiments were conducted upon eight animals, which were divided into three groups, to be submitted to three different modes of infection — by inoculation, by injection of the virus, and by cohabitation. In the first group were 3 animals and 2 controls, in the second 2 animals and 2 controls, in the third 3 animals and 3 controls. Without entering into the minutise of the experiments, I may resume briefly the results of the post-mortems. In the first series, two inoculated by subcutaneous injection, when killed presented " quite a number of small chalky nodules in the lungs — four chalky nodules in a pharyngeal lymphatic gland," other- wise nothing abnormal. In the other, " all the organs were healthy except two mesenteric lymphatic glands, where a case- ous nodule was found." The witness had generalized tubercu- losis. The third animal of that series, inoculated by intrave- nous injection, when killed was in a cachectic condition; nothing else. In the series of animals infected by ingestion, one presented when killed no lesion whatever ; the other had a retropharyngeal gland suppurating, but no bacilli in the pus ; all the other organs sound. The two witnesses were more or less extensively diseased. Finally, in the test by cohabitation, one had five softened pulmonary deposits, some nodules in the bronchial, mediastinal and mesenteric glands. The other two animals had no lesions. The three controls had all lesions, which varied more or less in the lungs and lymphatic glands. * * * By a careful reading of the entire experiment there may be found some points which will seem obscure and difficult to make agree with the conclusions of the report. At any rate, here they are: (i) The insertion of the virus-vaccine of Behr- ing has not given rise to tuberculosis. That which it gives is an attenuated form of the disease, not progressive and spon- taneously retroceding. (2) Vaccinated animals generally resist EDITORIAL. 151 natural contamination. (3) The r-csistauce of the vaccinated can be overcome by the inoculation of large doses of active virus. (4) In practice, it will be necessary to keep, as much as possible, vaccinated animals away from infected locali- ties during the whole time that they will be under the influ- ence of the virus-vaccine. (5) It will be prudent to postpone the vaccination of calves in stables where broncho-pneumonia prevails. ♦ * « Italian Experiments with Bovovaccine. — In my notices of the experiments that have been carried out on the Continent to test the value of the bovovaccine of Behring, I have not made any remarks upon those that took place in Italy at Mortara, whose results were said to have raised an unbounded enthusiasm and were to be celebrated by a great feast. The reasons for my apparent neglect were that I feared the experiments had not been carried out in the very best manner, and I did not want to express an opinion before all was well known. It is not yet, but the journals of Milan are now and then coming out with partial results of the experiments. Four vaccinated bovines were slaughtered on January 18. One of them had tuberculous lesions of the mediastinal lymphatic glands and a caseo-calca- reous nodule in the lung. One paper publishes an article which shows that " the vaccination of Behring promotes actively the infection among vaccinated which are placed in a contaminated centre. The vaccinated are hypersensitive during the time necessary for the impregnation of immunity, and it is to that error of experiment that the partial failure of the results is due." In the Giornale della R. Societa^ Prof. Mazzini, who was the director of the experiment, answers that it was precisely to test this point that the experiment was held, viz. : if the method of Behring, acknowledged as theoretically correct, could enter into practice in Italy, and principally in regions where tuberculosis is prevalent. The slaughtering of the vaccinated will go on. 152 EDITORIAL. The Present Status of Immunity Against Tubercu- losis.— This experiment of Brussels comes to substantiate once more a fact which has been made evident, viz. : that it is possi- ble to immunize with a certain activity bovines by introducing into their organisms varieties of bacilli of a different specific ori- gin, and principally those of human origin, and if a new con. firmation was necessary, as remarks Leclainche, in the Revue Gcnkrale of February, that confirmation has been given since 1902 by the conscientious researches of Thomassen and of Pearson. But, as we have said before, there is a great distance to travel between the immunization of laboratory to practical vaccine. And, indeed, as Leclainche adds : " The recent experiments of Budapest, of Mortara, of Melun, of Brussels, have shown us that the method of Behring has many inconveniences. We already know that it is dangerous for animals that have some pulmonary lesion. We know that it is also dangerous in infected centres, promoting actively the development of latent infections among the vaccinated. And we are only at the beginning. The ob- jections of Marks and Casper to the vaccination were perfectly just, and we appreciate the significant reserve of German veteri- nary journals and of the practitioners." Can we from the cool consideration of all those critics and facts come to the conclusion that antituberculous vaccination will not be realized at a future time ? No. New methods are studied in every direction, new experiments are made, and have already given satisfactory results. We know that even their value is tested outside of the laboratory, but on farms, and from all that it is possible to say that under some special conditions and with 2l proper vaccine the operation can give positive results without all the objections that exist at present. Let us wait ! * * * Feeding of Army Horses with the Residue from THE Kitchen. — The Revue Ghikrale gives a concise ac- count of an experiment which has been published in the EDITORIAL. 153 Zeitschri/t fur Veterinarkiinde in relation to this subject. The ration of artillery horses is so small in the German Army that experiments have to be made to substitute different food from that which is generally used, but which proves so in- sufficient. A curious experiment has been made which con- sisted in the utilization of the remains from the kitchen, which are sold at very low price to fatten pigs. The horses belonging to a battery of campaign artillery were the subjects of the ex periment. They received a varied menu consisting of the fol- lowing : Meat of beef, pig, smoked meat, lard, sausage, fish and fish-balls, beans, potatoes, rice and milk, onions, carrots, dried vegetables, soups of various kinds, coffee, cocoa, tea, dried fruits, etc., etc. These various foods were given diluted in water, so as to form a kind of mush, which was thrown over the food that formed the ordinary ration. A kind of selection was made of the fortunate animals which would be allowed to partake of the treat, and these embraced those in bad condition, reduced in flesh, having a capricious appetite. They all took it with avid- ity. The experiment lasted two months, and after that length of time the horses of the battery were the fattest among all those of the regiment, and the number of colics, which had been pre- viously quite large, had diminished in noticeable propor- tion. For an herbivora, feeding on sugar and molasses, to drop to a common omnivorous diety, like us weak mortals, is a change indeed. I wonder if some swill dealer is not at the bottom of this? * BiBUCX>RAPHV. — To-day my bibliographic notes will be on foreign works. First, a glance at a German pamphlet, by Prof. Dr. Ostertag, of the Imperial Veterinary School of Berlin. Prof. Ostertag is already well known in America — personally, as some of his grad- uates are there ; professionally by the numerousworks hehaspub- lished, and principally by his "Hand- book of Meat Inspection," which through tlic translation of Dr. E. V. Wilcox has become 154 EDITORIAL. the classical work of America. The Professor has visited the United States, and has published his impressions under the title of "Das Veterinarwesen der Vereinigten Staaten von Nord Amerika," in a little work of 150 pages with 17 illustrations. As my knowledge of German is very limited [it is wonderful how little a fellow knows], I cannot enjoy all the good things the Professor has said of America ; yet I have been able to un- derstand the greater part of what he says of our schools, which, either private or branches of universities, he has visited in New York, Philadelphia, Chicago, Kansas City, San Francisco, Ames, Ithaca, etc. His remarks on most of them are very cor- rect— indulgent in some, severe for others, and complimentary for a few. In reading that portion of the book, I recognized the names of many of my old friends, who certainly can but feel proud of the deserved recognition they receive in the writings of Dr. Ostertag. Besides the part where veterinary institutions are spoken of, and which I confess was the most attractive for me, there are descriptions of a few American diseases which he observed, and, above all, the consideration of the inspection of meat, which is of peculiar interest to the author. The work of the Bureau of Animal Industry and all that concerns the sani- tary work done by it, is most interesting. I am quite sure the work will be read in America with great pleasure (at least, by those who are not as ignorant as I). The publisher is Richard Schoetz, Luisenstrasse, No. 36, Berlin. * The second work I have on my table is from St. Petersburg. A Russian work always finds me at home, especially if it is printed in French, as is the case with the " Archives des Sciences Bibliogiques," published by the Imperial Institute of Experimental Medicine. There ! I am in the presence of dif- ferent material ; indeed, this book contains an article on " The Regeneration of the Superrenal Capsulae," by Mr. Labzine ; "A Case of Infection of Pest in Laboratory," by Dr. Zabolotny ; a study " On the Elastic Tissue of the Ventricles of the Heart in the Normal and Pathological State," by Dr. Pojariski ; a work EDITORIAL. 165 on " The Anatomo-Pathologic Alterations of the Superrenal Capsulae During an Infection by Streptococci," by Mr. Labzine ; and then contributions to the study of infection through the air, to the study of lipasis, etc. The work is handsomely illus- trated with colored and photographic plates. * * I have, besides, to acknowledge the receipt of the Chicago Veterinary College Quarterly Bulletin No. 2 ; the announce- ment of the annual meeting of the Pennsylvania State Veteri nary Medical Association ; the Constitution and By-Laws of the Ohio State Veterinary Medical Association ; and the Appendix of the Board of Veterinary Examiners for the State of Maine, wherein an alphabetical list of all persons who have a legal right to practice veterinary medicine, surgery and dentistry is published. I find that of a total of 95 there are 36 graduates and 59 non-graduates, 8 of whom are licensed to practice den- tistry only. A. L. EDUCATIONAL PROGRESS (?) IN NEW YORK STATE. When the veterinary schools in New York State were by law placed under the control of the Board of Regents the require- ments imposed upon matriculants were raised from a simple elementary examination conducted by the head of each school to ascertain if the applicant was capable of understanding what would be taught him, to 24 academic counts, which are the equivalent of a two-year high .school certificate. The effect upon the classes by this sudden lifting of the requirements for entrance was to greatly diminish them ; but the quality of the students accepted was vastly improved, and it was felt that the ends secured justified the sacrifice of quantity. The schools which depended upon the revenue obtained from student fees were content, and were willing to bear their burden in consid- eration of the evident uplift of veterinary education thereby. This standard was considerably higher than that of any other State in the I'nion where a veterinary school was located, and some of the most careful students of the educational problem 156 EDITORIAL. thought that the Empire State, leading the van by a wide mar- gin, was fulfilling her mission of "excelsior." But the law demanded that she must go still higher, in company with the schools of human medicine, seemingly unmindful of the fact that veterinary education in this country is in its infancy, and that we had just made a great stride from the merest rudiments of any basic requirements to quite a high degree of classical knowledge. The Regents demanded 48 counts for veterinary matriculants, or the equivalent of a four-year high school course. The effect of this tremendous bound was immediate and decisive : it was a flood-gate placed in front of the doors of the colleges, for not a student matriculated in the two New York City schools, which had hitherto had, under the old system, large attendances, and under the 24-count requirement fairly large classes. Even the Regents were appalled at the destruction wrought, and they soon recanted, reducing the requirements temporarily to the former standard of 24 academic counts. At this point it remained until January, 1905, when it was again boosted, not by slow degrees, but suddenly, to the four-year high school equivalent again. Under the lesser requirement students were permitted to enter upon their studies even though they had but a small percentage of academic counts, providing the lack- ing ones were secured as they progressed with their technical training. But when the student was called upon to fulfill the higher demand he was required to be in possession of 36 points upon entering, the remaining twelve to be made up before be- ginning his second term. As a result of the return to 48 counts, one of the schools of the State, which had been going rapidly forward numerically, had its freshman class cut down from fifty in 1904-5 to about twelve in 1905-6. The effect upon the other school — there were now only two schools in the State, the two old city colleges having amalgamated — was not so marked in diminution of numbers, since its former classes were not large, but the new conditions imposed put an effectual barrier against its progress. We are informed by the Dean of this school that forty young men were refused admittance, although they were EDITORIAL. 157 prepared to qualify under the 24-count system, and these young men, better educated by far than is demanded by most other col. leges of the country, were forced to go to lower-grade schools elsewhere or else abandon the study of veterinary medicine altogether. Not content with virtually stifling veterinary education in the State of New York, the Regents announce that, beginning with June, 1906, the standard will be further raised to 60 counts, although it is claimed that this is only an apparent elevation, and that it is really an adjustment of the values of the various component elements, and is included in the. four-year course. The statement accompanying their announcement is not lucid, and to the ordinary lay mind is clumsily set forth. A gen- tleman who has had considerable experience in deciphering Regents' enigmas places 54 counts as the total of the new order. Whatever be the correct interpretation, the fact is very plain to those who are willing to see that veterinary educa- tional progress in the Empire State has received an effectual estoppel that is almost a crime against reason on the part of those responsible for the condition. Meantime in the colleges of other States the enrollment of students was never so great as at present, and the list of gradu- ates in any one of several of such schools at the recent com- mencement exercises outnumber all three classes of both the colleges of New York. This statement is not intended to esti- mate the quality of the students ; but to make the point that the ranks of the profession of the country are being filled almost totally without the aid of New York, and how can the latter be contributing to veterinary progress when it fails to attract a sufficient number of students to make it worth while taking her into serious account in the great body of new recruits. We do not imagine that any one who has read this publica- tion for any length of time will accuse it of a lack of regard for veterinary progress, for it has steadfastly advocated a reason- able, regular advance in entrance requirements wherever the science is taught, as well as a lengthening of the terms and a 168 EDITORIAL. strengthening of the curricula whenever conditions will per- mit ; it does not defend, but strongly condemns, those institu- tions which refuse or fail to press forward with the educational advancement of the age. It has uniformly advocated in its pages the lifting of the latter class of schools higher and higher until the American veterinary diploma shall mean something definite. It believes that New York should lead in this up- ward movement, keeping well in front, demonstrating to its sister States the feasibility of the advancement, by securing plenty of students of the best class. But when New York commits educational suicide by putting the bars so high as to prove to the rest of the country that the effort is a failure, she excites derision and retards progress by discouraging other States in making efforts to raise their standards. The student, less colleges of New York are a menace to advancement in vet- erinary science in other sections, and they are not contributing enough practitioners at home to supply the death list in the ranks of the profession. What the result of this will eventu- ally be on legislation may profitably be taken into considera- tion, and the sooner the Regents return to a safe and sane policy the better it will be for the cause of veterinary education in this country. Full classes of well-educated students are better collateral than rooms full of empty benches in colleges which pride themselves on unreasonably high standards. THE NEW HAVEN MEETING OF THE A. V. M. A. Elsewhere in this number of the Review will be found a vigorous letter from Secretary John J. Repp addressed to the members of the national organization in relation to the forty-third annual meeting, which will be held at New Haven, Conn., August 21, 22, 23, and 24. It is less than four months off, and the membership should be actively preparing to signal their return to New England by making the 1906 convention a more glorious factor in professional progress than Cleveland, St. Louis, Ottawa, Minneapolis, or any of the red-letter gather- ings since the new century began. The association spirit is EDITORIAL. 16ft Stronger to-day than ever, and the national association should be its highest exemplar, for it should set the standard in all that is best in the body professional. The idea is well appreci- ated by its officers, but few of the members tarry to consider the great anxiety and responsibility borne by those who are chosen to guard its interests by looking after all the details of the annual gathering. The Secretary's task is beset by innu- merable difficulties, and, strange to say, the preparation of his literary program is largely a matter of personal solicitation rather than voluntary. Even the latter few break in upon him at the eleventh hour, after he has worried for weeks over their failure to respond to his oft-repeated invitation. It is unfair to treat a faithful officer thus, and all who intend to contribute papers or other material should in justice to Secretary Repp notify him at once, thus permitting him to arrange his pro- gram and see the weak links in the chain. President Lowe early in his administration called for one thousand recruits to the membership, using his personal efforts to have every member bring in at least two new ones. Stupen- dous task though it is, it is not impossible if each one will do his part well. Resident Secretary White, of Tennessee, in a letter printed elsewhere, pledges every eligible veterinarian in his State ! Secretary DeVine, of New York, is writing in all directions in behalf of the idea, and others are working along the line President Lowe has indicated. It must be remembered that increased membership cannot be obtained at the time of the meeting, for by a new rule, adopted at St. Louis, the appli- cation must be in the Secretary's hands thirty days before the convention. There are usually many visitors to the sessions, and stimulated by the association spirit applications were form- erly poured in at every seating of the Executive Committee ; but now all such opportunity to swell the roll is lost, and the recruits must be deliberate seekers after fraternal recognition. This arrangement imposes greater responsibility on the mem- bers to do missionary work in behalf of the organization, for many men feel that they must have a personal invitation — nay, 160 EDITORIAL. a personal appeal — to do a thing which is for their everlasting benefit and a thing which is their plain duty. New England and the entire East are put upon their sec- tional pride this year, for, having nursed the Association in its infancy, it returns a vigorous adult, strong in numbers and in- fluence, with a standard of excellence set at a high mark by the West and the North. Little Connecticut may be relied upon to have perfect arrangements for a successful meeting, but Mass- achusetts, and New York, and Pennsylvania, and New Jersey, and all their sister States must be prepared to attend in full complement and to see that a programme of surpassing excel- lence is provided. This, of course, is difficult of concerted ac- complishment ; but every member must do his individual duty, and out of it all the result cannot be in doubt. While pride will prompt the East to neglect nothing, the membership everywhere should feel it a privilege to contribute to the program and to lay aside the arduous duties of their careers in the heat of Aug- ust, and, with their families to make it more enjoyable, journey to the land of the nutmeg and partake of the good things now being arranged by the loyal sons of Connecticut. Get ready for New Haven ! THE SAN FRANCISCO DISASTER. The unprecedented disaster on the Pacific Coast has awak- ened throughout the world a greater confidence in the nobility of human nature and the brotherhood of man. Such sympathy and succor were never recorded in the history of the world, and the sad event has its redeeming lesson in bringing man to a closer reliance upon the Great Creator. While no definite news has reached us of the fate of our brother veterinarians, it seems impossible that all could have escaped without at least great financial loss, not only individu- ally, but in the destruction of the property of those whom they served. Veterinarians everywhere will extend to them not only sincere sympathy, but will doubtlessly contribute materially to their relief from their great distress. VENTRAL HEKNIA IN BOVINES. 161 ORIGINAL ARTICLES. DIAGNOSIS AND TREATMENT OF VENTRAL HERNIAS IN BOVINES.* Resume; of clinical lectures. By Ch. Besnoit, Professor of Bovine Pathology at the Veterinary School of Toulouse. • (Continued from Pafrejd, April Review.) (j) Tumor. — It is scarcely possible to make a mistake be- tween hernias and tumors ; the suddenness of their apparition and the relative rapidity of their development are sufficient, be- sides their other peculiar characters, to avoid the error. There are cases, however, where hesitation is allowed ; that is when the walls of the hernial sac are very hard or have undergone fibrous or bony degeneration. I have already spoken of a hernia in which the intestinal circumvolutions, instead of being placed under the skin, had slipped between the various muscular layers of the abdomen ; the walls of the hernial sac being formed by the skin and by parts of the muscular layers of the region, had become very hard, and made exploration very difficult. It can be understood that under such conditions, especially when the lesion is well circumscribed, and of small size, a tumor might be suspected. The error is so much easier when, sometimes, the various layers forming the walls of the hernial pouch are submitted to a low kind of irritation which brings on progressive induration and increases their hardness. In these cases exploring puncture and rectal exploration will give information on the contents of the sac and on the presence of an abdominal opening : they constitute the best elements of the differential diagnosis. Hamoir and Masson have recorded an interesting observa- tion of the ossification of the sac of one voluminous ventral her- nia in a cow, which, without information on its origin and de- * Translated by A. Liantard, M. !>., V. M., from the /*<««/ Vitirinaire. 162 CH. BESNOIT. velopment, one might easily liave taken for a trne neoplasm on the road to calcareous transformation or partially ossified. The animal had carried for a year, on the inferior part of the left flank, immediately inside of the fold of the stifle, a well circum- scribed hernia, hemispherical, as big as a man's head, which little by little had become densified on its surface, and finally was very hard. The cow was killed and the autopsy showed that the walls of the hernial pouch were composed, in almost their whole ex- tent, of bony plates of several millimeters in thickness, and united by densified fibrous tissue. The contents consisted of only a few loops of the small intestine, adherent together and to the fibrous parts of the sac. This transformation of the walls of the hernial pouch ren- dered the hernia almost inexplorable, and no doubt that if pos- itive information on its development had been obtained, the diagnosis would have been difficult. In such cases rectal ex- ploration, and principally exploring puncture made on spots in the wall not ossified, seem to form the best means of investiga- tion ; and yet I am convinced that they would not be sufficient to avoid errors in cases where a true tumor was undergoing cal- cification or ossification. (6) Abdominal Distension. — Of all the lesions which we have so far studied the differential diagnosis of, there is none which comes nearer to hernias and whose positive diagnosis is more delicate than pseudo-ventral hernias by distension of the abdominal walls. Those distensions are frequent in bovines, much more so than would be supposed in the presence of the silence of authors on this subject ; as up to this day they have scarcely been mentioned except by Mr. Detroye. It is true that Prof. Moussu seems to allude to them ; but he mixes them with spontaneous ventral hernias, for which he claims a pathogenic theory, which can evidently be applied only to simple abdominal distensions. There exists, indeed, a fundamental difi'erence between these last lesions and spontaneous hernias. These occur, like the VENTRAL HERNIA IN BOVINES. 163 former, by themselves, without external violence, under the simple influence of an exaggerated weight applied upon the in- ferior abdominal walls, more or less reduced in resistance, the muscles stretch, become thinner, and then give away, allowing the ectopia of the abdominal organs, which then come and lodge themselves under the skin. On the contrary, the others are not accompanied by abdominal laceration ; the various layers con- stituting the abdominal walls, muscles and aponeurosis, are not submitted to any appreciable alteration except a certain amount of reduction in their thickness ; they simply allow an excessive distension under the pressure of the viscera, and consequently a hernial opening is never present. The pathogeny of these distensions is established easily. For Prof. Moussu they result from the progressive sclerosis of the abdominal walls. Following "troubles in the nutrition of the wall, whose cause it is difficult to perceive, the elastic layer gets atrophied and does not fulfill its function of an automatic surcingle ; the muscular layer progressively becomes sclerotic from the linea alba towards the lateral parts, and, the elasticity being there no longer, it gets thin and allows its distension." The absence of any muscular lesion in my personal observations, as well as in those of Mr. Detroye, does not agree with this theory ; if, then, the mode of development admitted by Prof. Moussu is possible, it does not seem to take place in the majority of cases. Mr. Datroye believes that a "sudden pressure from inside the abdomen, made upon the abdominal walls, during a jump or a fall, produces a partial rupture of the aponeurotic fibres ; that the weight of the gastric mass promotes afterwards the pro- gressive elongation of the fibrillae, that have remained intact, but insufficient to preserve to the abdominal surcingle its normal passive resistance." It would seem to me rational to admit also the possibility of a slow and gradual distension by the simple action of the weight of the abdominal organs worn out by old age, chronic diseases, or repeated gestations. Indeed, the dis- ease is observed only exceptionally in youth ; my observations were all in aged or more or less worn-out cows. 164 CH. BESNOn. Pseudo-Hernias by Abdominal Distension is met either on the right or left side ; in the latter case it resembles hernia of the rumen ; in the former, the intestinal or the mixed hernia. They may be classified under two distinct clinical types : (i) circumscribed and well-defined tumefaction ; (2) diffused tume- faction or dropping belly. Both forms occur indifferently either to the right or left side. The first type (Figs. 8 and 9) is characterized by a clinical aspect -absolutely similar to that of hernias ; the swelling is well circumscribed, the outlines well marked. The exact diagnosis is delicate, as the distension, occurring slowly, is overlooked at the beginning. We are called only when the lesion is old and large in size, presenting all the characters of chronic hernia, of the rumen on the left side, or of the intestine or uterus on the right. The only element of differential diagnosis rests on the absence of the hernial opening ; but on one side, one has to deal with a heavy mass, at times enormous, which renders all at- tempts at reduction very difficult ; and on the other, the very dependent situation of the portion of the distended wall, with the presence in its interior of abdominal organs, and principally the rumen, very often render the internal exploration per rectum almost impossible. This form of distension occupies exclusively the most de- pendent part of the flank, a little below the fold of the stifle. It corresponds anatomically to the aponeurotic triangle formed between the muscular portions of the great and small oblique and the transverse of the abdomen ; on this level the wall is composed entirely of superposed layers of aponeurosis; it is there that it offers its minimum of resistance. The second type (Figs. 10, 11, 12, and 13) constitutes in gen- eral a lesion much more voluminous than the preceding; but it is diffused, badly defined, with irregular outlines, gradually losing themselves with the remainder of the abdominal wall ; the belly is, so to speak, dropping and pushed on one side of the abdomen, to the right or to the left. At the beginning, when the lesion is not yet well marked, there can be no possi- VENTRAL HERNIA IN BOVINES. 166 ble error as to its nature ; but later, when the distension has assumed great proportions, it often resembles those large ventral hernias with hernial openings measuring sixty or seventy cen- timeters in size, through which the greater part of the abdomi- nal viscera (rumen on the left side, intestine, uterus, and even part of the rumen on the right side) were out of the belly and lodged in an enormous subcutaneous pouch. The diagnosis may then present real difficulties. It can be established only after a positive assurance of the absence of any tear in the ab- dominal walls ; but, considering the large size of the distension and the enormous mass of organs that it contains, this explora- tion will always necessitate the decubital position of the animal, and demand long and difficult manipulations for the reduction. In many instances our advanced students called to examine quite a number of cases of abdominal distension have always almost unanimously made a diagnosis of ventral hernia — evi- dent proof of the difficulty that exists in the differential diag- nosis of these two kinds of lesions. Two observations of the first type have been recorded by Mr. Detroye — one to the left, one to the right. In the first case, it was a small cow brought to the abat- toir to be slaughtered because of a very large and incurable hernia. A puffy tumor, two or three times as big as a man's head, was situated on the lower region of the left flank ; explor- ation indicated on that level an evident displacement of the ru- men, but did not allow the detection of any tear in the abdomi- nal wall. After death, the minutest dissection of the various musculo-aponeurotic layers of the region was made. It showed that the abdominal wall was perfectly intact in every layer ; there was only a simple pushing outwards of the intercrossed aponeurosis of the great and small oblique and of the transver- salis muscles ; the fleshy portions of these muscles had resisted, and, bounded above, forward and behind the basis of the pseudo-hernia, which downwards was limited by the external border of the rectus abdominis and the tunica abdominalis. Every one of these muscles were normal ; the stretched 166 CH. BESNOIT. Fig. 8. Lkft Abdominal Distension— Circumscribku Type. aponeurosis alone was slightly thinner and had its fibres spread apart. The second ob- servation related to a pseudo-hernia, a little smaller, and developed in the same region of the right flank of a cow in her eighth month of pregnancy. The anatomical peculiar- ities of the lesion were exactly the same as in the pre- ceding case, but the distended region was occupied by the uterus. I have myself observed several cases of abdominal disten- sion with the two types described above. Here I will record a few of the most prominent characteristics. Circumscribed Type. — i. A very old cow (Fig. 8), bought for surgical exercises, had on the lower part of the left flank, immediately in front of the stifle, a large puffy swelling, regu- larly round, well defined and about 40 centimetres in diame- ter. With the animal kept in standing position, the explora- tion made in every direction, was difficult, and no hernial open- ing could be found. Still the regular contractions of the rumen could be well felt under the skin. I believed it was a hernia of the rumen, but reserved my diagnosis on account of the failure of the manipulations for reduction and the non-existence of ap- preciable muscular tear. The lesion being incurable, the animal was slaughtered. At the autopsy the careful dissection of the abdominal wall re- vealed that this was intact and that the rumen was entirely lodged in the abdomen. The tumor occupied the triangular space VENTRAL HERNIA IN BOVINES. IG7 of the lower part of the flank, bounded inside by the external border of the rectus abdominis, behind by a small portion of the crural arch and the interior border of the fleshy portion of the small oblique, forward and outside by the posterior border of the fleshy portion of the transverse abdominis. It was due to a distension of the superposed aponeurotic layers of the region and constituted by a simple diverticulum of the abdominal cav- ity in which was received a rather large portion of the rumen. In the composition of the wall of this diverticulum entered suc- cessively from inwards outwards : the peritoneum, the aponeu- rosis of the transverse, small and great oblique muscles of the abdomen, the tunica abdominalis, a thin band of the pannicu- lus, and the skin. All these structures were considerably thinned, but were intact, except the aponeurosis of the small oblique. Thinner than the others, there were in its central por- Fl( 9 Lbft AanoMiNAL Oistbnsion-Cir- CUMSCRIHKD TVPK. Fig. 10. - Left Abdominal Distbmsion— Dif- FUSCD Typ«. tion and in the direction of the muscular fibres, two elongated openings, parallel, one 20 centimetres long, the other 10, sep>- arated by a hard fibrous cord, 2 centimetres around, resulting from the pushing outwards, by eccentrical pressure, of the fibres of the border of those openings. These two openings cer- 168 CH. BESNOIT. tainly had nothing to do in the etiology of the lesion ; they were simply due to the rupture of a few fibrillae of the muscles promoted by the excessive thinness of the aponeurosis, and the wide separation of their constituting fibres. 2. The cow represented in Fig. 9 had on the left flank a tumor similar in all points to that of the preceding cow : it oc- cupied the same situation, had nearly the same size, and pre- sented the same anatomical peculiarities, even the tearings. The aponeuroses were distended and their fasciculi thinner and wide apart ; but there was no rupture, and the surrounding fleshy parts had no appreciable lesion. The diagnosis was particularly difficult, although the pre- ceding case made me suspect the exact nature of the second. Disused Type. — i. Figs. 10 and 11 relate to a very old cow, in which during the gestation that preceded her last preg- nancy a small tumor had developed in the left flank. Already in the first months of her last gestation this tumor had increas- ed in size, and became larger than a man's head. Seven months gone in her condition, she was brought to me ; then the lesion was very large, as can be seen in Fig. II. The whole left inferior part of the abdomen was involved in a dif- fuse swelling, without marked out- lines, spreading gradually over the outer surface of the abdomen. The belly was dropping, pendulous, pushed to the left and downwards, so to speak, while the right side, on the contrary, seemed normal. Manipulation with the hand reveal- ed in this tumor the presence of an enormous puffy mass ; evidently it was the rumen, whose contractions p._ , , ^ could be seen through the skin. Fig. II— Left Abdominal Distension ^ ° -Diffused tvpk. Finally all attempts at reduction re- VENTRAL HERNIA IN BOVINES. 169 mained fruitless, even while the animal was lying down in dorsal decubitus ; an opening could be detected in the rausculo- aponeurtic walls of the abdomen. Rectal examination was impossible, as the rumen occupied the entire diseased region. On account of the great extent of the lesion, of its diffuse aspect, and especially of the absence of any hernial opening, the supposition of hernia of the rumen was laid aside, although it was thought of at first, and a diagnosis was made of a simple unilateral abdominal distension. The autopsy confirmed the diagnosis in showing the integrity of the abdominal walls, which were only very thin on the left side, especially towards the aponeurotic region of the flank, by the pressure exercised by the rumen packed with food to such an extent that its own walls were thinned and distended. 2. A cow (Figs. 12 and 13), about ten years old, in good fleshy condition, is brought to the clinic for a voluminous swell- ing of the right side of the abdomen. This swelling is general- ized and diffused, but more marked towards the inferior regions of the flank ; the belly is dropping and on the right side arrives Fig. ij. Right Abdominal Distbnsios— Dipfusio Type. 170 CH. BESNOIT. to the level of the hock. The perfect integrity of the abdomi- nal wall is immediately made out by external palpation as well as by rectal examination. It only seemed distended, a condi- tion which is also indicated by the large size of the foramen of the right mammary vein, which is twice as big as that of the opposite side. On the left side the abdomen presents nothing abnormal. Finally, the right hip of the animal (Fig. 13) is much lower than the left, result of an old fracture of the external angle of the ilium. Evidently the case was one of unilateral abdominal distension of the right side and not a ventral hernia. Without being difficult, the diagnosis, however, demands a close examination of the animal ; a comparison between Figs. 12 and 14, which represents a mixed ventral hernia of the gravid uterus and of the intestines, will show how the aspect of a simple distension may at first glance be mistaken for a true hernia. It is probable that repeated gestations with heavy and large products may have reduced the resistance of the musculo-aponeurotic zone of the right flank, the foetus being always, in cows, pushed to the right by the rumen. Then under the regular and constant pressure from the digestive organs, this same zone has gradually given away and the belly has dropped. The fracture of the ilium has besides somewhat contributed to accentuate this dropping in, giving rise to a low- ering of the small oblique abdominalis and a 'relaxation of its aponeurotic fibres. The condition of the animal is con- sidered incurable, and she is slaugh- tered. The post-mortem confirmed the diagnosis, and showed that, not- . , J- 1 «i f , ^^ Fig. 13. Right Abdominal DisTEN Withstanding the fact that the disten- sion-diffused tvpf. VENTRAL HERNIA IN BOVINES. 171 sion was localized to the right flank, it was due, as in the pre- ceding case, to the pressure from the rumen, which in its enor- mous proportions came in contact with the right abdominal wall and pushed it outwards. 3. This last observation relates to an old, thin, worn-out cow, without any commercial value, which was brought to our surgical exercise. Her photograph was not taken, but the lesion that she presented had the same general aspect as those exhibited in Figs. 12 and 13. Fii;. 14. iNTHSTtNAi. AND Utkrink Hbrnia ( Ante-Partum). Five or six days before she was brought to our clinic, the cow had presented on the right flank a small diffuse tumefac- tion, in which, according to the owner, a sucking noise told of the presence of liquid. The days following the swelling had disappeared, and, always according to the owner, the abdomen had suddenly dropped. When I saw the cow the abdomen dropped on the right, simu- lating at first glance a ventral hernia. Error was so possible that 172 CH. BESNOIT. the external exploration of the abdomen revealed the presence on the right side of a kind of subcutaneous slit, lo or 12 centimeters long, with borders slightly thickened, and situated at the middle part of the flank, in an almost vertical direction, yet slightly ob- lique from upwards downwards and from backwards forwards. But a more careful examination revealed that this opening was incomplete and did not go through the entire abdominal wall nor allowed entrance into the abdominal cavity. Besides that, the wall of the abdomen could be felt all over under the skin, and rectal exploration showed, even better than external manipula- tion, that the abdominal wall was not perforated. Consequently it was a case of simple unilateral abdominal distension of the right side, complicated with a partial giving away of the aponeurotic region of the flank. Taking into con- sideration its situation and direction, in all probability this giv- ing away as involved in Case i, circumscribed type, the aponeu- rotic fasciculi of the small oblique muscle. As to the etiology, it seems to me it rests on the basis ad- vanced by Mr. Detroye : In this thin and worn-out cow, the right abdominal wall has little by little been stretched, worn out, and reduced in thickness by numerous gestations ; at a given moment a violent blow has been followed by a partial aponeurotic giving away, manifested by the oedematous swell- ing at the beginning : The abdominal surcingle being less re- sisting and insufficient to support the weight of the viscera, has become overstretched and the abdomen has suddenly dropped. The post-mortem, followed by the dissection of the right ab- dominal wall, confirmed the diagnosis. There existed in the aponeurosis of the small oblique, near the fleshy portion, a slit, 12 centimetres long, with thick borders, congested, infiltrated, and covered with clots of blood, indicating its recent formation. The other musculo-aponeurotic layers were thinned out, but free from any lesion. TREATMENT OF VENTRAL HERNIAS. All the methods preconized in the treatment of umbilical hernia in the horse, have by turns been recommended and re- VENTRAL HERNIA IN BOVINES. 1?3 sorted to against Ventral hernias of bovines, yet they are far from having the same valne, and, besides, the best among them answer to very different indications. On this last point of view, it is proper to snccessively stndy the treatment of recent, that of old, and that of spontaneous hernias. RECENT OR ACUTE HERNIAS. The method with bandages has, in all times, been employed by preference in the treatment of recent ventral hernias. Its object is to keep the hernia reduced during the time necessary for the complete cicatrization of the accidental opening of the musculo-aponeurotic wall of the abdomen. It cannot be effica- cious except at the very beginning of the accident. Later, the borders of the hernia sac have separately cicatrized, and even long reduction of the hernia is powerless to allow them to unite again. Bandages with pads^ analagous to those that some practi- tioners employ against umbilical hernia of colts, and made on the same principle as those used by human surgeons to relieve crural and inguinal hernias, have been recommended by Serres. In reality, they are most frequently inefficacious, at least with adults. On account of the ovoid form of the abdomen, they are easily displaced, slipping forwards or backwards of the point where they have been applied. As recovery requires that the pressure upon the hernia be constant and lasting, these band- ages, then, demand an incessant watching, and on that account are so inconvenient that to-day they are ignored by almost the totality of practitioners. With young calves the general form of the abdomen, rather regularly cylindrical, lends itself better to their application and they give better results in them. With this method Serres has obtained in three weeks the recovery of a hernia of the abomasum in a three-months-old calf; in twenty days, that of another of the same kind in a steer six or seven months old ; and in fifteen days, that of a large intestinal hernia of the left side in a five-year-old cow. Simple retaining bandages^ with cloth or linen, have the same inconveniences as the preceding, except, however, when 174 CH. BESNOIT. by some means they are made to adhere to the skin of the ani- mal. One of the best of these kind is the one described by Bouley, consisting in applying over the hernia, after reduction, a thick coat of chopped oakum, glued with a mixture of black pitch and turpentine melted together. The reduction of the hernia is not always easy while the animal stands up. However, if it is quiet, and when the lesion, not too large, is situated sufficiently far back to be reached through the rectum, one may be assisted in his manip- ulations of taxis, if, with one hand introduced through the anus and placed over the hernial orifice, the exit of the abdom- inal organs is prevented while the retaining bandage is com- pleted. In all other cases it is better to cast the animal ; al- though decubitis is not so favorable for the application of the bandage, but it facilitates considerably the manipulations of re- duction. Once the hernia is reduced, with the animal cast or standing, a coat of agglutinative mixture is spread rapidly over the skin, on the spot occupied by the hernial swelling, and on a surface extending much beyond its boundaries ; while this coat is still warm a pad of chopped oakum is laid on ; then another coat of pitch, and over this a piece of pasteboard, soft but solid, is placed, and also coated with the agglutinative preparation. Finally a linen band, 12 or 15 metres long, and 10 centimetres wide, also covered now and then with the sticking mixture, is rolled carefully around the body of the animal, thus forming an immovable bandage, having great rigidity and being firmly fixed. If the bandage is applied close to the sheath, it is necessary to place on each side of it small hard rolls of oakum to avoid pressure on the urethra. (Serres.) Although this contentive bandage is easy to apply, and is excellent in its effects, it is not perfect. It can evidently be better fixed than the bandage with pads, held only by a surcin- gle, but in summer the adhesive mixture may get soft, and the bandage be displaced by sliding off. To prevent this the pitch mixture can be replaced by hard gelatine glue melted. I have VENTRAL HERNIA IN BOVINES. 175 had recourse to it often and derived good results from it. A plate of pasteboard of a size slightly larger than that of the hernia is glued directly over the skin with several rolls of band- age firmly tight and glued on to the pasteboard, on the skin and in between the layers of bandage. The animal is watched for a while until the glue is cold, and after an hour or two, when it is dried, the bandage is hard and firmly secured. During the whole treatment the animal shall be kept at rest, to avoid the chances of displacement of the apparatus, and a proper diet to avoid overloading of the digestive apparatus should be recommended. Applied at the very beginning of the trouble, this method of fixed bandages of contention may give good results. They constitute a solid pressure, which holds the hernia reduced dur- ing the time necessary for complete cicatrization of the abdom- inal opening, say one month, six weeks, or two months, ac- cording to the case. Yet they do not give the same results in all cases of recent hernia. Very efficacious when it is small, easily reduced, and situated in the superior regions of the flank, and having a small opening, all of which are unfavorable con- ditions for the return of the hernia, after being reduced — but they will most ordinarily fail, on the contrary, with a large and heavy hernial mass, situated low down, with very large hernial ring, which after reduction are most favorable for another exit of the intestinal loops, which may slip under the bandage, be pressed upon and injured. In such a case the contentive bandage may, at best and un- der most favorable conditions, bring on improvement, but it is powerless in promoting final recovery. It is in this way that in case of an enormous hernia of the rumen in a cow seven months pregnant, Larrony was able to have her reach the time for normal delivery, and to obtain a great reduction of the size of the lesion, by the application to the end of gestation of a pitch bandage ; it is true that afterwards the hernia still existed, but it was sufficiently reduced to allow a second gestation to go on under conditions entirely normal. 176 ^H. HKSNOIT. Experience shows also that the recovery of ventral hernias with bandages is much more easy to contain in youth than in adult life. Indeed, in the first periods of life, besides the general form of the abdomen, more favorable, as we have said, to the application of bandages and their final fixidity, the work of cic- atrization is much more active and more rapid. The result is that the chances of recovery from ventral hernia by this mode of treatment, quite good in young bovines, rapidly diminish later, and are nearly all gone in advanced years. Treatment with bandages is then only indicated when the animal is young, carries a recent hernia, of small size, with re- duced opening situated on the upper part of the abdomen. In the other cases, failure will be almost certain, and then it is much better to resort at once to the treatment by operation^ of little danger in bovines, relatively easy to carry out, and much more certain in its efficacy. At any rate, I consider the operation as the method of choice in all cases of hernia, recent or old, and I will never hesitate to operate on all ventral hernias of medium size that come before me. Of course, the owner has to be taken into consideration ; if, frightened by the idea of a bloody interference, he hesitate?, in cases where the age of the patient, the size and situation of the hernia, and so forth . . . one may try the fixed con- tentive bandage. But, taking into account the number of fail- ures, much hope cannot be given, and if, after a few weeks, no appreciable improvement is noticed, the operation must be re- sorted to. As to the other curative treatments of hernia (irritating fric- tions, caustics, pressure upon the sac, ligature, etc.) they may have been used only exceptionally, and that in the treatment of acute ventral hernia. However, Delsol has obtained in a cow, in the space of a month, recovery of a right intestinal hernia, existing for four days and as big as a melon, by using friction with 30 grammes of nitric acid, made for five minutes. Marlot, Jr., has also recorded two observations relating to a cow and to a calf affected with right intestinal hernia of recent formation VENTRAL HERNIA IN BOVINES. 177 and oedematous, which he treated by the process of suture ap- plied with the Marlot pincer. These cases are exceptional, and in reality these modes of treatment are only attempted with chronic hernias. OLD OR CHRONIC HERNIAS. As long as the origin of a ventral hernia goes back more than three weeks, bandages are useless. " The edges of the hernial opening are covered with a fibrous border, with little vascularity, and unable to form an obturator covering." (Cadiot and Almy). "In those conditions," as Serres wrote, "nothing can be expected from the use of contentive bandages, and it is in vain that in many instances we have employed them." They can only act as palliatives, by preventing the escape of abdomi- nal organs from their normal relations and also in allowing the use of the animal for a variable length of time. Nevertheless, old ventral hernias may be submitted to a useful treatment and it is wrong to accept in an absolute man- ner the idea of the incurability of chronic hernia. " To have some chances of success with such lesion," Bouley has said, " the intestine must not have had time to accustom itself to remain outside of the abdomen, and the borders of the opening through the ventral walls time to cicatrize. . . . When some days have already elapsed and the edges of the opening have cica- trized apart from each other, the chances of success are very limited, even when by the application of a bandage, the intes- tines are prevented from passing through it. . . . Once e.s- tablished, ventral hernia becomes rebellious to treatment, and it is best to leave the animal live with the infirmity rather than to resort to risky operations." This opinion was too'absolute, as in reality it is possible to obtain the recovery of some chronic hernias by a certain num- ber of methods of various efficacity. Irritating or caustic fric- tions, irritating injections into the hernial sac, suture, ligature, compression with the clamp, etc., are methods which are con- stantly used in the treatment of chronic ventral hernias in horses. They can also be applied to bovines, and if their use is 178 CH. BESNOIT. much more limited, say even exceptional, it is because the own- ers consent rarely to have their animals treated, and prefer send- ing them to the slaughter-house for butchery. Irritating or blistering frictions (sinapism, ointment of an- timony, or the neutral chlorate of potassium) have for object to promote the formation of an oedematous swelling, which re- duces the hernia by pressing the organs back into the abdomen, and then forms itself into a closing cicatricial tissue. Em- ployed sometimes with success, in exomphalus of colts, these frictions have given poor results against ventral hernia of bovines, almost all on account of the large size of those lesions and also from the difficulty in promoting the forma- tion of a fibrous pad, obturating and sufficiently wide and resisting. The same can be said of the perihernial irritating injec- tions. First recommended in human medicine, this method consisted at first in the injection of saturated solution of salt be- tween the neck of the hernial sac and the surrounding tissues, with the object of developing a plastic inflammation with fibrous neoformations. with retraction of the tissues, hence ob- taining contraction or obliteration of the hernial opening. Later the salt solution was replaced successively by diluted alcohol, decoction of oak bark, artificial serum, and recently by chlor- ide of zinc to the tenth. Tested in veterinary medicine, these in- jections have given good results only in exomphalus of small size. Ventral hernias in bovines could never be benefited by them, only in the exceptional cases, where the lesion would be of very small dimensions. Caustic frictions (nitric and sulphuric acids), recommended first by Dayol in the treatment of exomphalus of colts, act in the same way. They have often been employed with success against ventral hernia of all species of animals. In bovines, where old hernias are ordinarily large, the number of complete recoveries by this method is rather limited, always on account of the difficulty presented in cases with wide hernial opening. Gouse has recorded a final recovery obtained in three weeks VENTRAL HERNIA IN BOVINES. 179 with a left ventral hernia treated with one friction of i6 grammes of nitric acid. Besides, this method is dangerous, and requires close watch- ing every instant. There is danger of premature and acciden- tal sloughing of the eschar, and also serious accidents, such as eventration, formation of artificial anus, peritonitis, etc, ac- cidents which are so much more to be feared when the hernia is large, requiring more energetic interference. The method cannot be recommended. Compression zvith clamp^ ligature^ or suture of the hernial saCy after reduction of the hernia, have for effect to promote a rapid mortification of the sac while on the opening a closing fibrous pad is organizing. Numerous modus operandi pertain to this surgical method. They have all been frequently em- ployed, with more or less satisfactory results, in the treatment of most varieties of hernias in horses, especially in cases of om- phalocele. Against ventral hernia of cattle they have, on the contrary, been seldom used, on account of the ordinary large size of the lesion, they have proven as unsatisfactory as the pre- ceding methods, and on that account are not to be recommended. I will not speak of them, but merely mention the principal ones. Ligature is the simplest method of all. It consists in run- ning through the sac, after reduction of the hernia, two metal- lic pins, disposed cross-like, and applying above them a loop of cord, tightened sufficiently strong to promote a slow mortifica- tion of the sac. Suture is made, after reduction, by using the plate of Man- gol, the nippers of Benard or of Marlot, so as to make it more regular. With this method Marlot, Jr., has obtained the radi- cal and rapid cure of ventral hernias in several bovines ; he has also observed that in these varieties of hernia reduction was easier to obtain and the application of the suture made with much less difficulty when the animal was kept standing instead of being cast. Compression of the sac, always after complete reduction, 180 CH. BESNOIT. can be made with straight or curved clamps or witli special nippers. Degive has recently described a new modus operandi in which to the compression is added the suture of the hernial ring. The hernial sack being opened with all necessary care, the protruding organ being reduced, one or two metallic needles are passed through the skin and the edges of the hernial open- ing; above that a hernial nippers is applied, the needles are withdrawn, and the nippers kept in place by horse-shoe nails implanted under them, through the skin and the edges of the hernial ring ; two cords secured together on the back of the animal support the weight of the nippers. For Degive this method is superior to any in cases of large ventral hernia with wide hernial ring. It can be resorted to in all domestic animals. (To be concluded in the June Rrview.J The Chicago Veterinary College has 308 matriculants for the session of 1905-06, and gradusted 98 at the March ex- aminations. Tlie Kansas City Veterinary College had 302 students enrolled, with 78 graduates. A BILL framed to abolish the sale of broken-down horses has been passed by the Massachusetts legislature and signed by the Governor. Particulars are not at hand stating who is to be authorized to say when a horse is broken down or what is to be -done with horses so declared. The Anti-Docking Bill has passed the New York Assem- bly and advanced to a third reading in the Senate. It seems that this year no protests have been filed at Albany either by the dealers or private owners. In all its provisions it is sub- stantially a copy of the Colorado law, which has been in force since 1899. It provides for the registration of all docked horses in the State within one year, and makes the mere possession of an unregistered docked horse after the expiration of that time a misdemeanor punishable by fine or imprisonment, or both. By many horsemen it is deemed to be impossible of enforcement, and by some lawyers it is said to be unconstitutional. That its enactment into law would be a serious blow to the trade in fine carriage horses of the fashionable type is believed by nearly all dealers. In other years the mere introduction of the bill, says the New York Herald^ has been the signal for a mild panic in the horse market, but for some reason it has not occasioned a ripple of excitement this season. AfrriNOMvcosis mistaken for tuberculosis. ibl ACTINOMYCOSIS MISTAKEN FOR TUBERCULOSIS AT POST-MORTEM FOLLOWING THE TUBERCULIN TEST. By Veraxus A. Moore. New York State Veterinary Collece, Ithaca, N. Y. The long and successful use of tuberculin in tlie diagnosis of tuberculosis has shown that it is one of the most accurate diagnostic agents known to veterinary science. There are, however, those who still feel that it is not to be trusted. The recognized exceptions, such as cases far advanced in the disease and those where there is an arrest in the disease process with a tendency to encapsulate the lesions, are used as arguments against the efficiency of tuberculin as a diagnostic agent. Again, to prove that tuberculin is not as reliable as it is gener- ally accepted to be, its opponents cite cases where it is alleged to have failed to produce a reaction and yet the animal was suffering with active tuberculosis, A number of such cases have come to my notice and in every instance the error has been in the diagnosis of the disease and not in the action of the tuberculin. Recently a case of this kind was investigated in which an actinomycotic growth was mistaken for a tuberculous one. The possible confusion in the differential diagnosis be- tween these two diseases, when the lesions are restricted to the lungs, renders this case worthy of note.. A herd of cattle consisting of about lOO cows was officially tested by a representative of the State Department of Agricul- ture. Five animals gave a decided reaction and upon post-mor- tem examination they were found to be tuberculous. Shortly after the test was made, one of the old cows that did not react to the tuberculin was slaughtered because she was not "doing well." Upon examination it was found that one of her lungs was badly diseased. It was promptly reported that the tuberculin test had failed, because the disease was not sufficiently advanced to attribute the failure to the existence of extensive lesions. It happened to be my good fortune to examine this case before the affected lung was destroyed. 182 VERANUS A. MOORE. The lesions were located in the anterior part of the princi- pal lobe of the right lung. They consisted of one large mass of dark (pigmented), spongy-like tissue about eight inches in diameter, surrounded by a sharply defined fibrous wall (Fig. i). There were several smaller masses, from one to two inches in diameter, of a similar growth in the adjacent lung tissue. A close examination showed the tissue to be that of Actinomycosis. In one side of the larger actinomycotic growth, there were two or three small pockets containing pus. In a thin layer on the blade Fig. I. A photograph of a section of the lung: through a small actinomycotic area, (i) Actinomycotic tissue, (2) the wall of fibrous tissue separating the diseased focus from the normal lung tissue. of a knife, the pus exhibited minute yellowish clumps that could be seen with the unaided eye and with a hand lens their charac- ter could be determined. The tissue itself was thickly studded with the clumps of the ray fungus. Sections of the new growth contained areas thickly sprinkled with the fungus as shown in Fig. 2. A higher magnification of one of these masses shows the fungus growth with surrounding giant cells. The fact that actinomycosis is not a very common cause of lesions in the lungs may warrant a somewhat detailed description of actinomycosis, more especially in the lungs of cattle. Actinomycosis may attack any organ of the body. It is ACTINOMYCOSIS MISTAKEN FOR TUBERCULOSIS. 183 more commonly found about the head, tongue or jaw, but not infrequently it occurs in the lungs, liver, spleen, intestine and uterus. In fact, all organs and tissues seem to be susceptible, and, like tuberculosis, actinomycosis may become generalized. Assmann considers generalized actinomycosis to be more com- mon than is generally supposed. He gives a description of eleven such cases. Thus we see that " lumpy jaw " and " wood- en tongue " do not circumscribe the range of activities of the ray fungus. In actinomycosis of the lung the infected tissue presents, in its early stages, a very characteristic appearance. The lesions do not consist of necrotic lung tissue, as in tuberculosis, so much Fig. 2. A photograph of a section of the Fig. 3. — -A phoiograiiii umier higher mag- actinomycotic tissue showing se.eral clumps nification of one of the clumps of the ray fun- ofthe ray fungus. gus. It shows the fungus mass with a few of the club ends radiating from it, the giant cells surrounding it and the new formed tissue farther from the fungus. as a mass of tissue composed of clumps of the ray fungus sur- rounded by tissue composed for the greater part of epithelioid and spindle-shaped connective tissue cells, among which giant cells may appear. This replaces the lung tissue. The ray fungus is very frequently surrounded by a zone of giant cells. As the new formed cells increase in number, they press against the tissue surrounding them. The new formed actinomycotic tissue has ordinarily a glistening appearance. It is often cov- ered with a gray muco-puruleut substance which gives it the 184 VERANUS A. MOORE. appearance of dead tissue. To the toucli, when one attempts to pick it out, it gives the sensation of a wet, rubber sponge. It is not removable except by tearing or cutting it away. There is usually a firm and quite thick fibrous capsule surrounding it. Miliary actinomycoses have been described. This is quite rare and consists of minute yellowish nodules that often become cal- carious. Occasionally the actinomycotic tissue becomes firm, resembling the fibrous tissue of scirrhous cord. In these cases the diagnosis is made by finding the ray fungus in little pockets filled with the characteristic actinomycotic new growth. In the usual form, the muco-purulent substance contains small yellow- ish granules that are readily detected, in thin layers, with the unaided eye. In the growing actinomycotic tissue they are readily found as illustrated in the case described. If these few facts relative to this disease will be kept in mind, unfortunate errors in the differential diagnosis will be avoided. Dr. D. F. Luckey, State Veterinarian of Missouri, is having a number of the best herds of the State carefully examined for tuberculosis. These examinations are made upon solicitation of the owners, vvho are realizing the importance of freeing their herds from this disease. An American Elephant Ranch. — Pasadena^ Cal.^ April i6. — An elephant ranch in South Pasadena is to be established soon. The purpose of several capitalists is to breed the animals for circuses and shows. [How large an acreage will it require to feed the animals and how many female elephants will it re- quire to make this enterprise profitable, with such slow results? — (L. E. WiLLYOUNG.)] The American Saddle-Horse Breeders' Association has ten- dered to the National Horse-Show Association a special prize of $500 for an exhibition of registered saddle-bred horses at Madison Square Garden next fall. One of the conditions is that the judge must be an American saddle-horse expert. The imported English dealer judge, who has held exclusive sway at the national show for three or four years, is becoming very un- popular with American breeders, since the type of horse that has been most esteemed in this country is unrecognized by him, if the English type is in the class, however poor a specimen the latter may be. EMPYEMA OF THE VACIAL SIKUSIS OF THE HORSE. 185 EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. By W. L. Williams, Professor of Surgery, New York State Veterinary Collkgb. Ithaca, N. Y. A Pap«r presented to the New York State Veterinary Medical Society, September, 1905. Under the title of empyema of the facial sinuses wc desire to include all collections of pus in the frontal, maxillary and turbinated cavities because of their community of origin and symptoms. In general, empyema of the sinuses expresses itself by a foetid nasal discharge from the affected side or sides, bulging of the face over the affected region, dullness upon percussion over the area filled with pus and dyspnoea in such cases as cause a displacement of the turbinated bones towards the septum nasi. These symptoms are subject to various modifications according to location, cause and extent of the empyema. The causes are exceedingly varied but such a vast majority of them fall within two great classes, dental affections and ma- lignant tumors, that we are generally warranted in suspecting one of these two unless there aie data to indicate otherwise. Among 23 cases of empyema selected from our clinic, i6 were traced to pathologic conditions of the teeth, 5 to malignant tumors and the cause of 2 was undetermined. Aside from these two most common causes, empyema may result from fractures of the bony walls of the sinuses with chronic infection and necrosis of tissues, or from the entrance into the sinuses of foreign bodies either from the nostril through the normal communication shown opposite N in Figs, i and 2, Plate I, or otherwise. It is further alleged, without direct proof so far as we have been able to learn, that catarrhal inflamma- tions of the nasal mucosa extend by continuity, through the normal avenue of communication, into the sinuses and there in- tensify to such a degree as to cause the formation of an amount of pus which can neither be absorbed nor escape through the communicating passage into the nostril. It has been claimed that glanders has thus extended into the sinuses and caused 186 W. L. WILLIAMS. empyema of them, but the claim apparently dates back prior to our knowledge of the bacillus malleus or of mallein as a diag- nostic agent. It is highly probable that most cases of empyema of the sinuses attributed to glanders are errors in diagnosis. It is quite common to meet with cases of empyema of the sinuses in colts of one to three years in which the owner alleges that it has followed strangles, but with an extensive opportunity for investigating the question in a practice where this class of cases were very common it was found that the allegation of strangles was based upon the occurrence of extreme dyspnoea prior to the nasal discharge, but there had been no formation of abscesses in the lymphatic glands and no history of strangles at the time among non-immune associates. Such a history was wholly in harmony with the ordinary course of simple follicular odon- tomes undergoing purulent destruction. We have had no rea- son to believe that strangles ever results in empyema of the sinuses. The allegation that other forms of catarrhal inflammation of the nasal passages extend by continuity into the sinuses and cause empyema apparently rest upon equally vague data. The passage of food particles into the sinuses during vomi- tion, or in the return of food through the nostrils as a result of pharyngeal paralysis or other serious disturbance to degluti- tion has been clearly verified by finding the food therein upon post-mortem examination, and similar cases have occurred where a horse in being strangled in muddy water, has, during forced respiration, driven sand and mud into the sinuses. The proportion of cases referable to dental affections and to malignant growths will vary with the age of the animals. Our clinic draws its cases largely from a region in which very little horse breeding is done and a vast majority of cases entering are adult or aged. In a breeding district the ratio of dental disease to malignant new growths is very much greater. Most cases of empyema of the sinuses occur while the animal is young, but some varieties of dental affections occur only in the very aged ; malignant tumors are almost constantly confined to the aged. EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 187 Of the 1 6 of our cases traced to dental disease, 13 were due to aberrations of, or defects in their development, so that the foundation for the empyema was laid prior to the eruption of the ofiFending organ. While in some of ihese cases the develop- ment of the empyema was deferred till adult age, by far the greater number occurred during early life, from the second to the fifth year. The diagnosis of empyema of the facial sinuses usually offers little difficulty but the dififerential diagnosis as based upon the varying causes, and to serve as a basis for prognosis and method of handling may call for much higher skill. The nasal discharge of empyema of the sinuses is almost always very foetid but in some cases due to undetermined causes the fcetor may be very slight or unrecognizable. So far as our observations have gone empyema due to dental disease or malig- nant new growths is always quite foetid. In cases of dental origin there is a characteristic odor due to the infection having pro- ceeded from the mouth and increases in intensity and repugnance as the amount of food in the sinuses. It is virtually the odor of decaying food particles, in a suppurating mass, largely gain- ing its infection from the oral cavity. The fcetor from empyema due to a malignant tumor may be quite as great but usually differs in character, resembling more the odor of animal tissues which are rapidly breaking down. The nasal discharge is usually unilateral but in one of our 23 cases the discharge was bilateral and symmetrical due to simultaneous disease of the first molar in each superior arcade. The quantity of nasal discharge varies greatly in different cases and at different times in the same case. It is almost always constant but in some instances is remittent. It varies also in consistency, is frequently quite thin, partly attributable to the fact that the solid constituents tend to become precipitated and remain in the cavities as inspissated pus. The discharge is more or less viscid and adheres somewhat to the noslrils. It is frequently flocculent in character, and varies greatly in color, at times being tinted by the coloring matter or particles of food. 188 W. L. WILLIAMS. Facial bulging is strongly suggestive of empyema but not conclusive. It is usually more marked in young animals with soft bones, while in aged horses it may be almost wholly absent. In malignant tumors the bulging is usually very marked as soon as the tumor is well advanced. The bulging is partly depend- ent upon the inter-sinusal pressure but very largely due to the inflammatory processes at work in the bones themselves. The pressure of pus within the sinuses can not be very great usually because it promptly breaks its way through the inner wall of the various sinuses, constituted of the thin, semi-cartilaginous turbinated bones, and theieby escapes into the nasal passage The avenue of escape of the pus from the sinuses into the nasal passage is by some supposed to be through the normal commu- nication between these cavities as shown beyond the dotted lines from N in Figs, i and 2 in Plate I, but a study of these figures will show clearly that a filling of the sinuses with any substance will close the communication firmly, its borders acting as valves and preventing exit. If we examine Plate II, we note a food mass, F, in the maxillary sinus which extends upwards into the frontal sinus at F' where it breaks through the superior turbi- nated bone into the nasal passage. A similar condition is noted at B, in Plate III, where pus and food find an exit into the nasal passages from the inferior maxillary sinus thiough the internal wall of the inferior turbine. Such exits naturally prevent great bulging from pressure from within so long as the contents are of a character that may thus escape, but in cases of malignant growths as shown in Plate V, where the sinuses are mainly occupied by the neoplasm and contain but a small quantity of pus the pressure from within may have a very important influ- ence in determining the amount of facial bulging. The principal causes of facial bulging other than empyema are cystic and other odontomes, cystic lachrymal duct, osseous and other benign neoplasms and osteoporosis. The lachrymal cysts are "largely in the region of the lachrymal bone, the cystic odontomes may vary in location ; but they are each dif- ferentiated from pus and solid neoplasms by the fact that they PLATE I. Fig. I. Transverse section of the right half of the face of an adult horse just behind the last molar, viewed from the front. F, frontal sinus ; N, nasal sinus opposite its communi- cation with the superior maxillary sinus, SM ; IM, the posterior wall of the lateral chamber of the inferior maxil- lary sinus ; IM^, median portion of the inferior maxillary sinus ; NF, conduit of the super-maxillary portion of the trifacial nerve ; M^, a small segment of the posterior fang of the third molar. Fig. 2. Transverse section of the left half of the face of the same animal between the second and third molars. S, sound in the lachrymal duct. Between S and N are seen the communications between the frontal and inferi- or maxillary sinuses and the nasal cavity. SM, antero- inferior wall of the superior maxillary sinus. Other let- tering same as Fig. i. •woila irAoiv. bn lo 1: tihli lo :••>:;; IliiW itn:' bnB .''i "fS" PLATE II. Cross section of aged horse in front of 2d molar show- ing food masses in sinuses. The other portion of this specimen is shown in Fig. i of Plate IV. ST, superior turbinated bone, forming the median wall of the frontal sinus, impacted with food masses, F', and showing an opening through which the food masses es- caped into the nasal sinuses ; S . . . S, sound pass- ing from the food mass, F, in the superior maxillary sinus through its communication with the frontal to the smaller food mass, F' ; NT, trifacial nerve ; IT, inferior turbinated bone ; M2, second molar. PLATE II ST..j_ IT / MZ PLATE III. Left half of the anterior portion of the superior maxilla of an aged horse showing inter-dental alveolar periostitis with fistula extending from the alveolus of the second molar into the maxillary sinus, causing empyema with eventual discharge of pus into the nasal chamber through the inferior turbinated bone. Fig. X. A, necrotic cavities resulting from impaction of food between the teeth ; a larger excavation is seen just in front of the third molar, M^ ; S, sound passing through alveolar fistula from the alveolus of the second molar, re- moved, into the maxillary sinus ; B, pathologic commun- ication between the inferior maxillary sinus and nasal cavity after traversing the superior compartment of the turbine and its median wall. The opening is nasal wards from the antero-inferior wall of the inferior maxillary sinus. Fig. 2. The palatine surface of the same specimen looking directly upon the grinding surface of the teeth. The second molar has been removed to expose the fistula from the alveolus into the sinus, through which a sound, S, is inserted. The spaces between the second and third premolars and between the third premolar and the first molar are visible. The teeth themselves are free from dis- ease, the pulp cavities obliterated by age. »' PLATE III FIG 1. FIG. II. .VI 3TAJ PLATE IV. Fig. I. Portion of same specimen as Plate II, looking directly upon the grinding surface of the teeth. S . . . S, sound passing through the first molar, Mi, into the max- illary sinus, leading to enormous impactions of food masses at F. and F^. Other letters correspond to Plate II. Fig. 2. Sagittal section through two grinders, show- ing mechanical arrangement to prevent the impaction of food between them, viewed from the lateral side. S, sinus ; PP, pulp cavity ; C, external cement ; C^, infundib- ular cement ; Er, erosion extending from the defective C towards the pulp cavity ; W^, contiguous enamel plates standing above the dentine in a manner to deflect food particles from the line of division between the two mem- bers and prevent its impaction between them. The two organs approach each other at their crowns, forming a truncated cone of movable sections, or an arch ii. two sec- tions, which close tightly at the apex when pressure is applied in the process of closing the jaws. Fig. 3. Transverse section through the long axis of the first superior premolar showing failure of the infun- dibular cement. C, external cement ; C, infundibular cement area de- void of cement substance and lined directly by the in- fundibular enamel E^, and showing an extensive erosion at Er, caused by decomposing food particles and finally opening into the adjacent turbinated cavity through Er''. Fig. 4. Transverse section of an equine grinder. C, external cement layer ; C^ infundibular cement layer ; E, external enamel ; E' infundibular enamel ; P, pulp cavity. Fig. 5. Table surface of Fig. 3 with corresponding lettering. < PLATE V. Malignant tumors involving the facial sinuses and causing empyema. Fig. I. Palatineviewof three cases of malignant neo- plasm. A. I , portion of tumor on lateral side of dental arcade ; 2, extent of tumor on the median or palatine side of the arcade. B. 3, a small pedunculated portion of the tumor projecting into the nasal cavity ; 4, a necrotic cavity in the palate containing food particles which had been forced in between the teeth and tumor and pushed up to this point ; the dotted line of 4 passes over a promi- nent, spheroidal enlargement of the tumor ; 5, an area over which the buccal mucosa remains intact to be suc- ceeded by another denuded area, 6. C. 7, tumor on the median side of the dental arcade ; 8, tumor showing through the zygoma ; 9, portion of tumor on lateral side of dental arcade. Fig. 2. Sagittal view of the specimens shown in Fig. i. A. I, outline of body of tumor filling the posterior nares and nasal cavity ; 2, palatine portion ; 3, portion ol tumor extending along the superior surface of the bony palate ; 4, spheroidal tumor ; 5, adhesion between the palate and inferior turbine ; 6, intact buccal mucosa, below which is shown another denuded area 7 ; 8, 9, tumors invading respectively the superior and inferior turbinated cavities in E and C. .C. 10, mass of inspissated pus in inferior turbine; II, tumor on median side of dental arcade. PLATE V. FIG. I. PIG. II EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 189 cause increased resonance. The bulging of osteo-porosis offers little difficulty in differentiation, from the fact that it is usually symmetrical and supported by other symptoms while empyema is almost always unilateral. While in osteo-porosis and cystic odontomes there may be nasal discharge it differs from that of empyema in being essentially a mucoid excretion resulting from forced respiration through a narrowed air passage. It consequently resembles much in appearance the nasal discharge of heaves. It is not foetid. Percussion over the sinus affected with empyema reveals dullness over the entire area occupied by pus. Soft tissues, like in malignant tumors, produce a like dullness, as does also any solid or semi-solid body. Dullness over the sinuses is like- wise caused by any marked thickening of the soft tissues cover- ing the bone. Dullness is a relative term and the technic of percussion needs be carefully applied. We determine the ques- tion of dullness largely by a comparative percussion of the sound and healthy sides, or by percussing the sinuses of a dis- eased animal and comparing with a healthy one. This cannot be very safely done in the stall, since if one side of the face bears a different relation to a resonant wall from the opposite one, there will occur a confusing variation in resonance be- tween two normal sinuses. This may be largely overcome by changing the position of the head, in relation to the surround- ing walls, repeatedly during our examination. We recognize three grades of resonance in percussing the sinuses : increased, normal and decreased. Writers on surgery generally mention but two conditions : normal and decreased resonance, but our clinical records show three cases of distinct increase, while in previous experience among large numbers of colts this condition was not at all rare. Whenever a cyst, dis- tended with lymph or serum, occupies one of the facial sinuses it becomes increasingly resonant. They almost always are of dental origin and consist usually of simple follicular cysts or compound follicular odontomes. In one case we met with a bulging over the area of the lachrymal bone in an aged horse 190 W. L. WILLIAMS. which we diagnosed as a cystic dilation of the lachrymal duct. Possibly other cases of inter-sinusal cysts are of a like character, but in all cases the cyst, filled with lymph or tears, is to be con- stantly differentiated from empyema by increased resonance. In our first case of follicular cyst, in comparing the two sides of the face, we trephined the less resonajtt, in spite of the bulging on the other side, found a normal smws and later trephined the opposite side and removed a large cyst. Curiously enough, af- ter an extended experience with these cases the last one to enter our clinic was sent us by a practitioner with the remark that we would heed trephine upon the comparatively dull but really normal side. In percussing the sinuses we consequently need select a sound sinus as a basis for comparison. Assured of a normally resonant sinus as a basis for comparison, a dull area indicates the occupation of a part or all of the sinus by pus or other non-resonant substance, or of an important thickening of the soft tissues covering the bone or a thickening of the bony walls themselves. Tenderness over the empyemic sinus is sometimes very evi- dent, the patient showing signs of pain upon percussion over the affected area. The determination of the cause of a case of empyema is more important and difficult than the diagnosis of its presence, since upon the correct interpretation of its etiology must be based our prognosis and handling. Empyema of the sinuses of dental origin in colts from a few months to two and rarely three years of age is quite generally due to the purulent breaking down of a follicular cyst or of a compound follicular odontome, or they arise from the projection into the sinuses of large masses of solid dental tissues which by their volume and position cause pressure necrosis of the soft parts. The simple follicular cyst is responsible for a large ma- jority of the cases of empyema in one and two year old colts, usually following a period of severe dyspnoea, loosely referred to as strangles by the owner. This class of cases are largely attributable to accessory tooth germs, which develop in the sinuses only and do not show them- EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 191 selves by any abnormality discoverable in the oral cavity. This want of evidence in the mouth heightens the tendency to false- ly attribute them to strangles. Another important class of cases of empyema of dental ori- gin are referable to an arrest of development of teeth normally located in the alveoli and which were apparently normal or ap- pro .xiinately so in their early stages of development. These have their foundation prior to the eruption of the tooth and usually develop their symptoms when the animal is from three to six years old, though they may be delayed until a later date in life. The arrest in development usually occurs at one of two points ; either there is a defect in the central infundibulum of cement or the two contiguous dentinal plates fail to fuse. This is illustrated in Figs. 2, 3, 4 and 5 of Plate IV. In Fig. 2 at C is shown the central cement tract, which is defective, and in the one at the right there is a large, eroded cavity, from which the necrosis has extended at Er into the den- tine and nearly into the pulp cavity. In Fig. 3 there has appar- ently never been any infundibular cement, C, but simply a cavity instead into which food particles with bacteria entered and finally produced a large erosion cavity, Er, which extended in every direction, through enamel and dentine and eventually at Er' into the pulp cavity, inducing purulent pulpitis, the pus from which, moving in the direction of the least resistance, would in a molar most likely escape into the sinus and produce empyema. In the other form, an examination of Fig. 4 will show that the two dentinal plates bounding the pulp cavity, P, on either side, are normally fused at the tooth crown, but when an arrest in fusion occurs, as is not infrequent, then the pro- longation of the pulp cavity, P, is opened by wear and infection of the pulp follows. These two processes are essentially different in character. In the former the infection of the pulp occurs through an ero- sion which destroys and penetrates layers of enamel and dentine, is a slow process which may require years for its accomplisli- 192 W. L. WILLIAMS. ment : the other is unassociatad with disease of the dentinal tissues and consists in an exposure and suppuration of the pulp as the result of attrition. Naturally the latter occurs generally in younger animals than the former. Once purulent pulpitis is established the pus finds exit in the direction of least resistance. The infection having entered through the long axis of the tooth with the opening at the table surface impacted with food particles, the pus can not usually find exit in this direction. It may find its way through the alveolus alongside the tooth into the mouth ; if a molar it will probably escape into the sinuses, causing empyema ; in the pre- molars it may escape upon the face externally, into the nasal chamber direct, or into the turbines and later into the nasal passages. The changes in the tooth crowns in these cases are not uniformly of a detectable character while still in their posi- tion in the alveoli. The small opening at E' of Fig. 5, Plate IV, may be seen in a premolar, as in this illustration, but this is an unusually large orifice and even it could not well be de- tected in a molar. When the infection of the pulp is due to non-fusion of the dentinal plates the opening on the table of the tooth is usually far more minute than in the former and con- sists generally of an almost invisible slit through which it is difficult to pass a wire as large as a horsehair. Two conditions frequently help in our diagnosis of these cases. If in a case of empyema we can find alongside of a tooth, whose fangs project into the sinus, a separation of the gums from the side of the tooth we may feel assured that we have found the offending tooth. In other cases we find the molar split in two or more pieces, which also indicates that the empyema is dental in origin and that the split molar is the of- fending member. The splitting is antero-posteriorly and occurs either through the central cement area, E' in Figs. 2, 3, 4 and 5 of Plate IV, or between the two dentinal plates at D. Some authors assert that teeth become fractured by biting upon hard substances, such as pebbles, but I have not been able to see a case of splitting except as a result of diminished resistance be- EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 193 cause of the arrest in development in the dentinal plates or in- fundibular cement areas. Other conditions may be present which will indicate that the empyema is of dental genesis. In some cases the tooth has become loosened in its alveolus, dropped out and left behind a communication into the sinus through which food passes, in others we have found the tooth, along with food masses, pushed up into the sinuses. It is not always possible to promptly identify the offending tooth nor to verify our opinion that the case is of dental origin. This is well illustrated by No. 4418 of our clinic, wherein a four- year-old mare was presented with empyema of the inferior maxil- lary sinus on February 6, 1900. A diagnosis of dental origin was made, but the identification of the affected tooth could not be made by examination of the tooth crowns, nor could any definite information be gleaned after trephining and removing the ac- cumulated pus. She was reentered on October 9, of the same year, trephined, the diseased tooth not identified, the discharge largely ceased, the foetor continued to some extent, there was no facial bulging. She was entered a third lime on March 2, 1903, with mark- ed bulging of the face, very foetid nasal discharge, emaciation, quidding of food, first superior molar on the affected side split into numerous fragments. The offending tooth having been identified, complete and permanent recovery promptly followed our handling. In many of these cases when the examination of the tooth crowns fails to determine the cause of the empyema or to iden- tify the offending tooth, we may obtain definite evidence after trephining by digital exploration of the sinus, and identifying therein the naked, necrotic tooth fang. In those cases where the lateral fangs are affected this is comparatively easy as a rule, but when the necrosis is of the median fangs it is difficult to reach, as the communication between the tooth and sinus is on the median side of the nerve conduit, in the median com- partment of the sinus, IM', Figs, i and 2, Plate I. If the nc- 194 W. L. WILLIAMS. crosis involves the median fang of a premolar the escape of pus being through the turbine or directly into the nasal cavity, it is very difficult to discover the naked, necrotic portion. The grinders do not all suffer from purulent pulpitis with like frequency, hence a study of the tendency of a certain tooth in the arcade to become affected may aid us in our search by permitting a concentration of our efforts. In our cases with i6 traceable to dental origin, 13 were due to an arrest in the de- velopment of the tooth tissues, and among these were 8 cases of the first molar, 2 of the second molar and 3 of the premolars. The 3 premolars caused empyema in the turbines while the first and second molars affected the maxillary sinuses. A third, and somewhat numerous, class of empyema due to dental origin is found in aged animals when the teeth are worn out. As the crowns of the teeth are worn away by attrition the fangs are gradually pushed out of the alveoli, the pulp cavity becomes obliterated, the central infundibulum disappears, the enamel becomes exhausted, the tooth remnant decreases in its antero-posterior diameter and is narrower at the gums than upon the wearing surface, permitting and inviting the lodgement and decomposition of food between them, leading ultimately to an alveolar periostitis, which, following along between the tooth and alveolar wall, finally pierces the adjacent sinus, admits food into it and establishes empyema. Authors loosely state that even in young horses, alveolar periostitis arises from such lodgement of food between the teeth and its decay, or by food being pushed into the alveolus along- side the tooth, ultimately reaching the pulp, inducing pulpitis and finally causing empyema by escaping into the sinuses. There are no data known to the writer to support this conten- tion, and in all our cases, and all specimens we have been able to examine, pulpitis is uniformly a result of an infection which has reached the pulp through the tooth crown, traversing either the unsealed fissure between the two dentinal plates or through the central^cement area. There is scant opportunity for food parti- cles to insinuate themselves between the gums and shaft of the EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 195 tooth, and if they did so and bore ordinary germs of wound infec- tion, an early suppuration would probably throw ofiF the foreign body or even did it extend deeply into the alveolus it would not likely invade the highly vascular tooth pulp, but be deflected into less active tissues. In cattle we find an infection invading the alveolus from the buccal cavity in the one affection of actino- mycosis, but here the dental pulp rarely, if ever, suffers, though the teeth become loosened in their alveoli. If we examine Fig. 2, Plate IV, we will observe that the contiguous teeth are divergent at their fangs and convergent at their crowns. This arrangement pervades the entire arcade and converts it into a truncated cone of six movable sections with the fangs as a base. When the jaws are forcibly closed, the same pressure forces the crowns against each other so firmly as to preclude the possibility of food particles being impacted between them. In addition to this provision it will be noted at E", that no cement exists between the two grinding surfaces at the top, the enamel being in immediate contact, and on the table surface these plates stand up, cone-like, above the adjacent dentine, dividing the food as a knife would and forcing the particles aside. Taking these two factors, in conjunction with the practically uniform absence of food particles between the teeth in young horses, makes it exceedingly improbable that alveolar periostitis so arises until the animal is quite aged. Comparing Plate III, from an aged horse, we see at A in Fig. I, interdental cavities in the alveoli which have resulted from the decomposition of impacted food ; further back, a yet larger cavity is noted on the palatine border of the alveolus of the sec- ond molar, which has been removed. As a result of this de- composition of food particles the erosion has made its way alongside the tooth fang into the inferior maxillary sinus as in- dicated by the sound in both figures. This form of empyema is not rare in the aged. Probably far more rare is the allied form of empyema as illustrated in Plate II and in Plate IV, Fig. i. In this case the first molar is worn away except a mere vestige, in the centre of which occurs an opening, possibly suggesting an 196 W. L. WILLIAMS. originally defective cement area ; through this food has become impacted, the tissues have eroded away, the food entered the inferior maxillary sinus, destroyed the partition between it and the superior, escaped upwards into the frontal at F' and destroy- ing its median wall escaped into the nasal sinus. The age of the animal, the worn-out teeth, the impacted food between them, perhaps the discharge of the food particles or its coloring matter with the pus from the nostrils usually serve well to diagnose the origin of this form of empyema without trephining into the food-impacted sinuses. The 5 cases of empyema of the sinuses due to the presence of malignant neoplasms in the sinuses, which we have included in our statistics, all originated in the dental alveoli. The teeth are normal but loosened in their alveoli, separated from each other so that food may impact between them, the neoplasm in- volves the tissues along the lateral side of the arcade as well as the median side and the palate, the gums are detached from the teeth, tumehed, bleed easily ; the teeth can be readily pushed from side to side with the fingers. The facial bulging is gen- erally marked, the filling of the sinuses leads to dyspncea, or still more marked difficulty of respiration may be provoked by the extension of the tumor into the fauces. These characters are well shown in Plate V. The differentiation between the empyema of dental origin from that of malignant neoplasm prior to trephining is not always practicable, but is generally comparatively easy. The separation between the gums and teeth usually differ widely in character in the two groups. In the cases of dental origin, if the separation be present, it is almost always limited to a single tooth or to a small area on one side, generally the median, of one tooth, the separated border of the gums is not swollen, is regular and sharp in outline, and presents for identification a mere fissure between the tooth and gums. In the malignant neoplasms, as shown in Fig. i, Plate V> the antero-posterior area of the tumor, in A, is indicated by the dotted line, 3, and includes the second and third premolars and EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 197 all the molars, in B the extent of the tumor is essentially the same, while in C the new growth only involves the alveoli of the molars. In each case there was a distinct tumor involving the palate, the gums were widely separated from the teeth, the neoplasms denuded of epithelium and bled easily on touch. In neither case was there clinical evidence of cancer cachexia. In order to complete our differentiation it is frequently essen- tial to make exploratory trephine openings. Some have sug- gested, and practiced, the making of numerous holes with a small gimlet or drill in preference to the trephine. Good reason for this does not appear. A competent clinician can determine by percussion the area of unnatural resonance. Wholly unnecessary doubt has been thrown upon this point by Malkmus when he asserts in his "Clinical Diagnosis" that when a sinus is only partly filled with pus the change in resonance is unimportant or unrecog- nizable. If we examine Plate I, we may understand how a small collection of pus or other non-resonant matter might be lodged in IM' without markedly changing the resonance of the sinuses, but such a condition is exceedingly rare and if present in this minor degree it is highly improbable that it can be dis- covered by the small borings. If in the compartments marked IM and SM, we have constantly found that so small an amount as one fluid ounce is detectable by percussion. A ^ or ^ inch trephine opening will heal without blemish in a few weeks and is less dangerous than a gimlet hole. If the latter is used, some of the borings may drop into a healthy sinus and induce empy- ema, while an ample trephine opening affords efficient exit. If a sinus is not diseased there is no warrant for a gimlet hole ; if it is diseased there is no valid objection to making an opening through which the character and extent of the disease may be determined and remedial measures applied. The location of the trephine opening may vary greatly. If the cause of the empyema has been determined prior to the trephining it should be made with special reference to conven- ience in dealing with it. If a given tooth is suspected of being 198 W. L. WILLIAMS. the cause the trephine opening should be in close proximity to its fang. When the cause is quite undetermined the trephine opening should be near the lower part of the affected sinus, in a position to most likely afford ample drainage, or it may be made at any part of the bulged or dull area. Great variations will be noted in the bony walls of the sinus- es. In some cases, whether the result of dental affections or of malignant tumors, the walls are very thin and soft so that the trephine drops through almost at once ; some are so thin and soft that a trephine is superfluous and the opening can be made with a strong scalpel. In other cases the walls are sclerotic, almost as hard as the shaft of a long bone, and greatly increased in thickness, making the trephining very tedious and diffi- cult. After making the opening the contents and mucous lining are to be carefully examined. Malignant tumors usually reveal themselves as soft, friable and highly vascular masses more or less completely filling the sinuses, the surrounding spaces being filled with pus. In cases of interdental, palatine or other fistulse leading from the oral cavity into the sinuses, food particles are very likely to be found in varying amounts. Tumors of dental origin are readily identified by experienced operators by their physical characters. As already observed, when empyema in young horses is due to defective cement or dentine areas, if not already diagnosed by examination of the mouth, are largely identifiable by discovering the roughened, exposed, necrotic area on the tooth fang. The presence of food in the sinuses indicates a communica- tion with the mouth, but food may rarely be forced from the nostril through the normal communication into the sinuses. A disk of bone from a prior trephining has been found floating in the sinus, and in one case a large piece of cheese cloth, lost by the attendant, while caring for the wounds after a prior opera- tion was found in the affected cavity. Broken-down odontomes leave all varieties of tooth tissues. EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 199 cement masses, ivory, irregular masses of tooth tissues of vary- ing sizes. In obscure cases the search should be thorough and repeated. The number of trephine openings is not material and enough should be made, if necessary, to permit thorough examination of all available parts. Reflected light aids much in some cases, at times the metal probe is very useful, but wherever it is possi- ble the surgeon's finger is the best exploratory sound. When we have fully determined the cause we are in a posi- tion to make a reliable prognosis. In case of such malignant neoplasms as we have illustrated, there is no hope for recovery or benefit by any known method of handling. In the extremely aged animals with worn-out teeth and with fistulae from the mouth to the sinuses, permitting food particles to pass from the mouth into them, it is rarely worth while attempting to handle it, the possibility of effecting a cure is re- mote, the condition is likely to reappear in connection with another tooth, and, at the best, the teeth are probably all practi- cally worn out and the animal virtually useless. The only hope for recovery is by removing the tooth or teeth which occupy the alveoli through which the fistula passes, denuding the surface of the fistula and hoping thereby to secure closure of the pas- sage. Or we may plug the fistula in some cases with gutta percha. In cases of empyema due to odontomes which can be surgi- cally removed without extreme mutilation of the face, and it is exceedingly rare to meet inoperable cases, their removal, with ample provision for drainage and disinfection offers an excel- lent prognosis. In cases dependent upon defective cement or dentine areas, leading to purulent inflammation of the tooth pulp with escape of the pus into the sinuses, the removal of the tooth with ample provision for drainage and disinfection offers a highly favorable prognosis, the recovery being prompt and permanent. If pos- sible, the tooth should be drawn with forceps, otherwise it must be repulsed after trephining. In repelling such teeth we 200 W. L. WILLIAMS. greatly prefer the complete removal of the skin, subcutem and periosteum over the disc of bone to be removed by the tre- phine, in order that there shall be no damaged soft tissues to obstruct the exit of pus or to become infected by the flow of discharges over them. After trephining and definitely locating the fang of the affected tooth we prefer to cut away the exter- nal alveolar plate from the lower border of the trephine open- ing down into the mouth, laying bare the lateral surface of the tooth throughout its extent. The tooth may then be repulsed with punch and mallet, or comminuted with the aid of the bone chisel and the fragments carefully removed. Great precision need be exercised in removing all fragments of dental tissue, since otherwise the part cannot heal. It is also essential to prompt recovery that ample drainage be provided for eajh portion of the affected sinus. In case of the maxillary sinuses we need provide drainage for the lateral and median compartments, indicated by IM and IM' in Fig. 2, Plate I. For IM we secure good drainage by making our trephine open- ing close against the zygomatic ridge and at the most anterior part of the cavity. In order to secnre ample drainage for IM' we need make an opening through the inferior turbine into the nostril below the dotted line, IM'. This nasal opening should be large and kept quite open for 24 to 48 hours by drawing through it, and retaining there, a .strip of cheese cloth or other suitable material. In order to make this opening with facility we need make a second trephine opening near the tear duct, S, Fig. 2, Plate I, through which the operator can pass a finger against the turbine, then with the other hand pass an instru- ment of sufficient rigidity and length and slightly curved at the end, up the nostril until it is felt by the finger within the sinus ; at the proper point force the instrument through the tur- bine into the sinus, enlarge the opening sufficiently and draw the strip of cheese cloth in through the trephine opening, out through the nostril and tie the two ends together on the side of the face so that it may not become dislodged. A metal mare catheter, a Eustachian catheter, or a long, curved pair of human uterine EMPYEMA OF THE FACIAL SINUSES OF THE HORSE. 201 dressing forceps will answer for the purpose of making the opening in the turbinated bone. In rare cases nature has pro- vided proper drainage, but usually it is not complete. In Platelll, Fig. I, at B, the opening is not direct through the turbine into the nostril, but through the floor of the inferior maxillary sinus into the upper compartment of the turbine and from this it opens into the nostril in such a way as to afford imperfect drain- age Cor the maxillary sinus and adds to the difficulty by involving the first compartment of the inferior turbinated bone. In order to have been perfect, this opening needed to be nearer to the palate and farther towards the ethmoid along the direction of the dotted line passing to B. An even more defective exit for the contents of the sinus is seen in Plate II, where the food mass, F, must be forced up- wards along the direction of the sound, S, to escape through the damaged superior turbine, instead of escaping directly into the nostril on a level of the dotted line, F. Drainage having been provided its efficiency should be maintained by keeping the exits free. The empty alveolus should be kept plugged for the double purpose of keeping food from passing into the sinus, and air from entering the mouth through the trephine opening when the animal attempts to drink. Water starvation occurs to some extent unless this pre- caution is taken. The trephine wound should be left wholly open from the first, affording immediate exit for pus and freely admitting air and light into the cavity. As soon as the per- manency of the opening through the turbine is assured, it too is to be left wholly free, the cheese cloth strip being omitted. It is erroneous to regard the lining of the sinuses as a wound which needs be closed against air and light, but it needs be looked upon as a suppurating mucous membrane which is nor- mally in comparatively free communication with the air passages. The after treatment consists of daily irrigations with warm tatiseptics. If the cause has been detected and removed and ample drainage secured, the suppuration should at once cease ind the discharge thereafter be unimportant. If the discharge 202 W. L. WILLIAMS. is considerable after the first 24 hours, either the original cause still exists or the drainage is inefficient and the operation should be amended accordingly. J In those cases of empyema from undetermined eauses we can only give ample drainage and disinfect. If our search has been sufficient to exclude the continued existence of the origi- nal cause we may expect satisfactory results. As soon as the case is convalescent, when the discharge from the sinuses has virtually ceased, which may be as early as 48 hours after operating, if the patient is otherwise robust and healthy, it may be returned to work, if the surroundings are such as to not make the appearance of the wound a serious obstacle. The animal is quite as well off, so far as the affected parts are concerned, at work as at rest. Out of fourteen candidates, the Indianapolis Veterinary College graduated ten at the March examinations. Three hundred and F[FTy covers were laid for the Kansas City Veterinary College annual dinner served at the Coates House, March 6th, 1906. These dinners continue to prove more and more popular with the alumni and students of the institution. The State Veterinary Examining Board of Missouri has issued 450 certificates to practice in that State — 267 were to non-graduates, 4 only of whom were registered under the ex- amination clause ; 183 certificates were issued to graduates, 23 of whom passed the Board examination, the others being regis- tered previous to the time limit stipulated in the Missouri law. Of those holding State certificates only 9 reside outside of the State. Dr. Cozier (C. V. C), of Bellingham, Washington, con- ducts an extensive hospital to accommodate his large practice. The building was erected last year, and is 48 feet wide, 84 feet deep, and two stories high. There are ten double stalls, four of which are box stalls, and both large and small kennels for dogs and cats. There are also on this floor the office, store rooms, laboratory, and operating room, the latter being equipped with operating tables for horses and dogs, while the laboratory has most of the modern paraphernalia. The upper floor is de- voted to sleeping rooms, feed room, toilet and elevator. THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 203 THE EDUCATION OF THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. By L. H. Pammel, Ph. D., Prof, of Botany. Iowa State College op Agriculture and Mechanic Arts. Presented to the Annual Meeting of the Iowa Veterinary Association at Ames, Januarj'. 1906. On more than one occasion I have discussed the importance of the veterinarian to the community. I speak to you not as a veterinarian, but from the standpoint of the layman. I have been deeply interested along the lines of work of the veterina- rian. The day has happily gone by when the veterinarian is looked upon as a mere horse doctor, or that such epithets should be applied to him. The veterinarian is really one of the most important persons in every community. He should occupy a commanding position. Nothing has done .so much to retard the progress of veteri- nary medicine in this country as the quack and the subject of quackery. He has elusively persuaded the average man in the community that he knows all about the treatment of animals. The science of veterinary medicine in all parts of the country should unload itself as rapidly as possible from these imposi- tions. It is my opinion that the veterinarian should be most thor- oughly trained in the biological, physical and chemical sciences. In addition he must be a thoroughly trained veterinarian. He should have general chemistry, qualitative and quantitative ; phy- siological chemistry ; zoology, vertebrate and invertebrate ; com- parative anatomy, and botany, especially morphology, physio- logical and some general systematic botany. I would especially emphasize among botanical lines, poisonous plants and bacteri- ology and general morphology. There are certain zoological stu- dies, it seems to the speaker, that properly belong to the more technical part of the teaching of veterinary science and are as important as materia medica, pharmacy, etc. But under the head of chemistry the subject of physiological chemistry is important. 204 L. H. PAMMEL. as it embraces a thorough knowledge of the subject of feeds and feeding. There should be a combined course in which chemistry, botany and zoology are important adjuncts to each other. In my judgment the veterinarian should occupy a very im- portant place in every community, for sanitary reasons. The veterinaran needs above all a thorough scientific training in all the sciences that underlie his profession. We owe to the veter- inarian much along the line of comparative pathology and comparative anatomy. We also need in the veterinary profes- sion more research men, men who would dignify their calling by papers of great importance. Much has been done by such men as Dr. Bang, who has stamped his individuality on the laws that exist in Denmark on the subject of tuber- culosis and general inspection. To the Frenchman Nocard, whose profound researches on tuberculosis are the admira- tion of the scientific world. Dr. Salmon, who was long head of the Bureau of Animal Industry, did much not only to encourage purely research work of the Bureau of Animal Hus- bandry of the National Department of Agriculture, but greatly influenced present opinions on various contagious diseases, particularly tuberculosis. He stood in defense of his position like a stone wall where many people looked askance at his po- sition. I say all honor to a man who had the courage of his convictions and expressed them in spite of opposition. Kitt, Ostertag and Drs. Kerhoff have placed the whole subject of meat and sanitary inspection on a high plane in Germany. These men had not only an excellent training in their chosen work, but the whole range of sciences. The profession owes much to Englishmen like Williams. I think we are all agreed that a course in veterinary science should be strong in these branches that pertain to the profes- sion. On these I shall expand a little later. The earliest establishment of a veterinary school was in Lyons, France, in 1762 ; the second one was Charenton, France, in 1763, and the third at Toulouse, France. Veterinary medical education is comparatively young in the United States, although THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 205 the celebrated Dr. Benjamin Rush made an attempt to establish a veterinary school in 1806 in the University of Pennsylvania. Another attempt was made to establish a veterinary school in the fifties, by Dr. George Dadd, in Boston. In 1857, an act for the incorporation of the New York College of Veterinary Sur- geons was signed at Albany, but nothing came of this effort. The New York College of Veterinary Surgeons was opened on November 23, 1864, with Dr. Liautard as the first professor of anatomy, operative surgery and clinics. The progress of work in connection with veterinary education in this country is known to most of you, as it is comparatively recent. When this the first school in the United States was establish- ed, there was little demand for work of this kind. The only use for graduates was to treat fancy bred stock in our larger cities. Gradually, however, the country practice increased, but not as it should, because too many stock-breeders and farmers con- sulted quacks. The inspection of meat for export called for an increased lot of men in the profession. The demand for this class of trained men has been greater than that for professional work in country and city. An important matter connected with every branch of this profession is the training required of the person desiring to en- ter the profession ; this means that the entrance requirements to the veterinary school or college must be made more rigid. In most of our colleges little attention has been paid to the en- trance requirements ; in fact many of the students who are at the present day pursuing the course of veterinary medicine can- not even claim to have graduated from a high school. The two- and three-year courses in the veterinary schools and col- leges are so crowded with strictly technical work that the stu- dents do not have time to give any attention to English, Latin or any of the so-called cultural studies. If the veterinarian is to take his place among the other professional lines of work, more attention should be paid to these cultural studies. I take it the veterinarian should be a leader in his community, and to do this he should be a broadly educated man. He should be 206 L. H. PAMMEL. able to write a good paper in English. He should be able to read one or two modern languages because a great deal of good literature is published in foreign languages ; for instance, he should be able to consult the late periodicals in French and German, to say nothing of the excellent literature which is found in Danish. I most heartily commend an article by Dr. D. Arthur Hughes, who is not only a Ph. D., but a Doctor of Veterinary Medicine, on the importance of the thorough, trained scholar. The broadest and best training possible is needed by the veterinarian if he is to occupy the commanding position he is to take in the future. He not only would include in the curricula French, German and a great deal of science, but let this science be of the best kind. Let it not be of the superfi- cial, the pseudo-science or veneer. In the well chosen words of Dr. Arthur Hughes, — " Yet, strangely enough, many of them have not been placed in strong light before young men of natural aptitude for the work. Still less, never if I mistake not, has there been a complete presentation of the demands for the highest success in the various branches of the profession. Men have been too apt to allow their minds to dwell upon evils about them — the amusingly ignorant quack and his quackery — and the minds thus clouded, to forget the other side of the picture." The day is at hand for highly trained veterinarians, the op- portunities are great. Dr. Hughes says, and I want to quote at length, — "The stigma upon this profession, if there is a stig- ma, is caused by a too low standard of education. That is a false notion, and ludicrous, because it is so false, that men whose lives are given to studies in comparative medicine are of neces- sity inferior in mind. We might as well apply the axe to the root of the tree and say that this groundless opinion is based upon the observation of the public that the veterinarian in this country has not had the amplitude of knowledge demanded of him by his science, that thoroughness of training expected of a professional man, that positive familiarity with the many branches and recent advances in comparative medicine and bi- THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 207 ology which it is accustomed to expect of a scientist. A change will come in public opinion when ignorance, always the butt of the satirist, is displaced by knowledge ; when the standard of education for admission of members to the profession is raised to cover the advances in modern medicine ; when the graduates have a familiarity with, not a few, but all the branches of vet- erinary science in a degree at least equal to that required in Europe. French, English, and more particularly German standards of education have remodelled the universities in this country during the last twenty-five years and made them the pride of the nation. When a similar change comes over the veterinary colleges in America we will have a training suit- ed to American conditions, at least as valuable to us as that of Alfort is to France ; Giessen, Dresden and Berlin are to Ger- many, and the Royal College of Veterinary Surgeons is to the British world. When such a change comes, our graduates will be those of a long and thorough training, proved knowledge and scientific efficiency. It is time that the veterinary profes- sion should be undecided in some things. Plain speaking is likely to bring out the truth. The ungarnished truth is that in our training we are lapping far behind Europe. There are not and cannot be any short cuts to a thorough knowledge of vet- erinary medicine as it is taught and practiced in the old world. If we bemoan the state of things in the profession, the fault is entirely in ourselves. We need a fuller equipment for our work. We need to go over in our preparation every branch of the many branches of the science, conscientiously and faithfully. We must of needs be masters in observation and the record of ob- servations, skilled in the theory of medicine and practiced in clinical medicine, abreast of the times in pathology and bacte- riology, adepts in posology and not mere amateurish dabblers in drugs. We must be sterner and more intense students, wider in our reading. We must in our preparation for the study of medicine have a knowledge at least equal to that required in human medicine and in our medical training we must cover the whole field earnestly and consistently. In this age, which is 208 L- H. PAMMEL. tingling with intellectual activity, when advances in science occur hourly, when there is such zest in research — who are we that we should be so foolish as not to know what is required of us ? The standard of our training must be raised. The time required for our training must of needs be longer. The times require it, and the state of the profession demands it." Those who have had some work as instructors in the classroom can appreciate fully the importance of a longer time for training. Therefore I want to make a plea for higher entrance require- ments for the veterinary course to our schools and colleges. In looking over the work in the University of Pennsylvania, which may be looked upon as ranking high among colleges, I find the entrance requirements to the veterinary course as fol- lows: Candidates who have received a collegiate degree, or who have passed the matriculate examination of a recognized col- lege, or who hold a certificate covering the requirements stated below, from a recognized normal or high school, are admitted without examination. Other candidates for admission are re- quired : (i) to write an essay of about three hundred words, as a test of orthography and grammar ; (2) to pass an examina- tion in elementary physics (as in Gage's Introduction to Physi- cal Science). Graduates of recognized veterinary schools requiring three years' attendance may enter the third year with- out examination. Students who have attended one or more sessions in a recognized veterinary school will be allowed credit for time, but must pass an examination upon entrance. Grad- uates of recognized colleges of pharmacy are admitted to the first year w'ithout an entrance examination ; and, on passing examinations in general chemistry, materia medica and phar- macy, are excused from attending lectures in those branches, and from performing the corresponding practical work in the chemical and pharmaceutical laboratories. The entrance requirements to the New York State Veteri- nary College, Cornell, are as follows : Candidates for admission to the State Veterinary College, except those specified below, THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 209 must pass satisfactory examinations in the following subjects : I. English. 2. American history and civil government. 3. Plane geometry. 4. Algebra, as much as is contained in the larger American and English text-books, and any three of the following: 5. Elementary French. 6. Elementary German. 7. Latin grammar and Csesar. 8. Virgil, Cicero, and Latin composition. 9. Entrance Greek. 10. An amount of any group of the following, making the equivalent of two years of high school work : physics, botany, geology, vertebrate zoology, invertebrate zoology, advanced French, advanced German. Students are admitted without further examination on the Re- gents' Veterinary Student Certificate. The New York law re- quires a four year course of successful high school work equiva- lent to 48 academic counts. Efforts are being made to raise the standards of entrance re- quirements to the veterinary course in the Iowa State College, in order to allow of a better training. The following comparative table shows the required work for the degree of Doctor of Veterinary Medicine in the New York Veterinary College, the University of Pennsylvania and the Iowa State College ; the numbers given here are university or college counts. The usual time for a clinic being from 2-3 hours. Anatomy Animal Husbandry Botany Bacteriology Conformation and soundness . . Chemistry and urinary analysis Hippology Horseshoeing 2 o 2 Infectious Diseases "j Meat and Milk Inspection, Par- V . 5 10 6 asitism and Sanitary Science j Jurisprudence 2 4 i Materia Medica and Pharmacology 36 6 U. of Penn. Cornell. Iowa. No. Counts. No. Counts. No . Counts. 15 23 24 3 21 5 0 5 5 6 3 2 9 8>^ II 2 210 L- H. PAMMEL. 4 2 8 6 6 lO 8^ 12 i8 24 2 2 6 O See Parasitism 8 Medicines, Theory and Practice. . 19 12 12 Microscopy, Histology and 1 87 Embryology / Obstetrics and Zootechnics .... 6 Physiology 14 Pathology 5 Surgery 17 Surgical and Medical clinics ... 36 Diagnosis and Therapeutics ... 6 Thesis and Research o Zoology 3 Total 155 132! 165 It will be seen from the above outline of the courses given in the three institutions that the veterinary department of the Iowa State College lays considerable stress on the subject of animal husbandry work, Cornell giving three hours, while our institution gives twenty-one hours. This is perhaps more than is actually needed. The subject of animal husbandry is cer- tainly of great importance to the veterinarian. The veterina- rian above all should be familiar with every branch of the live- stock industry. He should be familiar not only with the prop- er aspects of breeding, but the fundamental laws in zoology, taking up such problems as heredity and environment. As factors in development of an animal, Cornell University lays some emphasis on the subject of research. This, too, is emi- nently proper, because the veterinarian should not only be a well-informed man, but he should be familiar with the research methods. Hippology should be given an adequate space in the veterinary curriculum. The veterinarian engaging in the mil- itary service will find abundant opportunities for his skill. Some stress, it seems to me, should be laid on forage plants and the chemistry of feeding. From what I have said it is very evident that the require- ments in the future for a veterinarian shall be much more dras- tic than they have been. Laws should be enacted in various States which would give us not only a better trained profession THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 211 but a better system of local and State inspection. The prob- lems are certainly sufficiently important to warrant it and to demand prompt action. Let us take up a few of the problems : Our attention naturally turns first to the subject of milk and milk supplies. We know that fresh milk practically contains no organisms except as they come in through the fore milk. While it is not possible to obtain by ordinary practice sterilized milk, yet the number of organisms may be very materially re- duced by the proper care of milk. As to the number of organ- isms found in milk the following figures will give us some idea. Con, in his Agricultural Bacteriology, reports as follows: — Number of Bacteria per CC. In fore milk, 55,000 At close of milking, 00 In fore milk, 97,000 At close of milking, 500 Now city milk contains a very large supply of organisms, chiefly because it is transported a long distance, allowed to stand, probably also with the accumulation of some dirt. It is believed by bacteriologists that the number of organ- isms present in milk is a pretty good indication of the sanitary condition of the same, at least this method of investigation is relied upon in several of the Eastern cities and some of the Western. For instance, the town of Montclair, N. J., having a population of 13,962, the health inspector, Mr. M. O. Leighton, has carried on a bacteriological examination of milk delivered in the city. His investigations extended over a period of two or three years and proved to his satisfaction that the sanitary condition of dairies can be safely judged by the number of bac- teria in the product. All the samples of milk which he exam- ined in this connection had been bottled at the dairies, and so far as possible they were taken from the evening milking, their age, when examined. The inspection of dairies by the veterinarian, as the inves- tigations of Mr. Leighton show, is, therefore, an important piece of work. It is a part of the veterinarian's business to see that the stables are so constructed where good drainage can at all times be secured. There should be ample provision for light 212 L. H. PAMMEL. and ventilation and the manure troughs should be built in such a way as to facilitate the cleaning. Mr. Leighton states with reference to the examinations of milk from good clean dairies, — " The cattle in these stables are carefully groomed, fed upon wholesome food, and regularly attended by a veterinarian. The attendants employed are kept personally clean, and are provided with every facility for maintaining their cleanly condition throughout the milking period. Of highest importance are the dairy houses in connection with these first three establishments. In them are provided tight steam chests, in which all utensils necessary in the preparation of the product for the market are exposed to steam under pressure and thoroughly sterilized. The other principal features in connection with the dairy houses are the coolers over which the milk flows as soon as it is drawn from the cows, from whence it goes to the bottler and is bottled immediately." One might think that it would be next to impossible to have clean dairies and surroundings, only in the finer equipped establishments, but Mr. Leighton found that in one of the old- fashioned stables, where great care was used, in spite of the rough projections, innumerable cracks and all the disadvan- tages common in country stables, there are evidences of care and attention everywhere. The explanation to him of the first high results noted at the beginning of the record brought about all the alterations suggested. The owner is an ideal dairyman in spite of his poverty. The demand for inspection is not only required where milk is delivered in the cities, but for those who are using milk in dairies and creameries. Mr. Wilbur J. Fraser, of the University of Illinois, states the case as follows : " There are, and doubtless always will be, certain men producing milk who, from the slovenly methods they practice, are a disgrace to the dairy business. Such laws should be enacted, and such a system instituted, as will compel these men to be decent in their practices in handling milk or quit the business. It is time the dairymen moved in this mat- THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 213 ter and asked for inspection. If they do not, the public will soon do so, and when such matters are taken in hand by those who do not have the necessary technical information on the subject, the business may be injured and injustice done to honest dairy- men who are putting out a good grade of milk." There are many dairies in the State of Iowa that supply milk to city patrons that should not be permitted to operate. We have before us the deplorable condition of certain dairies not very far distant from the college here at Ames. I have been upon farms in this State during the past few seasons where the dairy cattle waded in mud up to their ankles and these places are sometimes pointed out as being model farms in all that per- tains to the management of that institution. Now, you may ask why should the veterinarian be called upon to inspect what seems not in his profession. I take the ground that the whole subject is one of health and disease ; that where such bad conditions prevail it naturally leads to disease of some kind and the only one capable of clearly defining these diseases is the veterinarian ; hence, this matter of inspection should properly belong to him. He may call in, of course, as many expert bacteriologists as he desires, but for an opinion as to dis- eases and general management of this inspection, the veterina- rian's certificate should be required. When we come to con- tagious diseases we know that a number of the same are transmitted through milk. It is no longer disputed that food like milk, oysters, do transmit typhoid fever. Swithinbank and Newman make this statement : " We have seen that the disease is commonly spread by pol- luted excreta ; in its early stages by alvine discharges, in its later stages and during convalescence, in a certain number of cases, by the urine ; that the bacillus may remain in the body for long periods after convalescence, and hence apparently healthy persons may carry about and possibly disseminate the seeds of the disease for months or even years ; that the bacillus may be voided in countless numbers during such periods ; that under certain circumstances such discharges, or the dried dust 314 L. H. PAMMEL. resulting ultimately therefrom, may contaminate water or milk ; that when this accident occurs, a comparatively small pollution may lead to a widespread epidemic among persons consuming such water or milk ; and finally, that there is some evidence to suppose that the virus of the disease may remain dormant but alive for long periods of time in a saprophytic stage of existence. But little reflection will be necessary to convince any careful observer that an intelligent appreciation of these facts is of essential importance in considering the relationship of polluted milk to typhoid fever, or as, in part, explanatory of spasmodic or apparently spontaneous or repeated out- breaks." Schnder arrived at the following conclusions concerning six hundred thirty-eight epidemics of typhoid fever studied by him : " It seems that 70.8 of such epidemics were produced by drink- ing infected water, 17 per cent, by drinking infected milk and 3.5 per cent, from other forms of food, 9 per cent, by wearing the clothes of the typhoid patients, dust, etc." The following statement of the subject will be of interest in this connec- tion. Sedgwick in his " Principles of Sanitary Science and Public Health " makes the following interesting comments of the spread of typhoid fever in the village of Marlborough, Mass., through skim milk. " In August and September, 1894, a small epi- demic of typhoid fever appeared in the city of Marlborough, Mass. Various ' theories ' of the cause of the outbreak were held or suggested, and the local newspapers contained numer- ous letters on the subject, some alleging that the water supply was infected, some that the sewers were to blame, and some that accumulations of filth, especially dump-heaps, were respon- sible. The localization of the cases, however, not only dis- proved these theories but also suggested milk as the probable cause. It soon became evident, nevertheless, that none of the regular milkmen were involved, the cases apparently deriving their milk supplies from a variety of different sources. Event- ually, however, it turned out that there existed within the city THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 215 itself a creamery from which was despatched daily a wagon loaded with skimmed milk (separator milk), and that nearly all the cases of typhoid fever had been supplied with such skimmed milk either from this wagon or directly from the creamery itself. Further investigation showed that the driver of the skiramed-milk wagon was at the time of the inquiry living on the upper floor of the creamery, and just recovering from a severe attack of typhoid fever. This young man had not only been the driver of the wagon, but had also worked over the milk, transferring it, filling cans, and otherwise making him- self useful about the creamery." We come now to the subject of the conveyance of other in- fectious diseases, namely, scarlet fever and diphtheria. These diseases will be treated collectively although there is no rela- tion between them from a bacteriological standpoint. There seems to have been evidence for a long time that scarlet fever is conveyed by milk. As early as 1882 the medical inspector under the government local board of North London thought he had pretty good evidence of the conveying of scarlet fever through milk. In this case, however, it was supposed by Mr. Power that the disease occurred in the animals on a certain farm. Dr. Klein, investigating the question at the time, ob- tained negative results in most instances. Swithinbank and Newman record the evidence of yarious outbreaks of scarlet fever as due to milk as follows : City. Year. Cases. Deaths. Handsworth 1876 37 4 Fallowfield, Manchester 1879 ^ 35 Paddington arid Bayswater 1880 Families 84 Halifax 1881 510 86 Greenock 1882 20 Dundee 1883 17 4 Sutton Goldficld 1891 40 5 Glasgow 1892 - 236 II Hastings 1893 40 i Beverly and Salem 1901 60 11 Now turn to the subject of diphtheria. We find that the 216 L. H. PAMMEL. evidence of transmission is usually supposed to be much better than in scarlet fever, but the facts do not bear it out. What relation does the subject of diphtheria bear to the oc- currence of the somewhat similar disease in lower animals, and how far may the veterinarian be called upon to prevent out- breaks of this disease, is a question of practical importance. There is no longer any doubt in the minds of bacteriologists and sanitarians that the organism described by Klebs in 1883, and since known as Klebs-Loffler bacillus, is the cause of this dis- ease, the organism having been found in the false membrane in patients suffering from this disease and time after time found to be the cause. It is a well-known fact that the diphtheria organ- ism produces in addition to the false membrane, general poison- ing, muscular weakness, and tendency to albuminuria. It is further recognized that certain other bacteria are concerned in producing secondary complications, such as suppuration, and gangrenous conditions. It is a well-known fact also that there are other organisms resembling the Klebs-Loffler bacillus that so closely resemble it in some of its culture and morphological characteristics and the clinical symptoms produced by them that it is difficult to diagnose the cause unless cultures of the Klebs-Loffler bacillus are made. As to the distribution of the organism and nature the re- ports are somewhat conflicting. It is a well-known fact that dried diphtheria membrane kept in the presence of light and at room temperature contains living and virulent diphtheria bacil- lus at the end of several months. The same results have been obtained with bacilli obtained from cultures kept on dried threads. It is therefore very evident that this organism has considerable vitality. On the authority of Prof. Sims Wood- head : " the persistence of the diphtheria bacillus for periods up to eight weeks is of very common occurrence whether antitoxin be given or not ; indeed, the majority of cases appear to retain bacilli in the throat for from two to nine weeks." Other cases might be cited, but it is not necessary to enter into detail on this occasion. THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 217 Suffice it to say that the veterinarian should also be our guardians for outbreaks of this kind. Let us briefly turn our attention to this subject of tuberculo- sis. No other disease in modern times has attracted so much attention as the subject of tuberculosis, because of the large number of deaths annually occurring: in all parts of the civilized world, and also because it so widely affects bovine animals. The organism discovered by Koch in 1882 as the cause of this dis- ease certainly has had a most important bearing upon the sub- ject of the treatment of the disease. The disease, at first sup- posed to be hereditary, although known to be contagious as early as 1843, when Klenke had produced tuberculosis in rab- bits by intravenous injection of tubercular material. But to Villemin belongs the credit of having first carried on systematic experiments in proving that this disease is contagious. In a recent general summary of the subject by Dr. Harris, the following essential facts are given : Variety of Tuberculosis. — This has been the subject of re- peated investigations during recent times, especially so since the address of Koch at the Congress of Tuberculosis in 1901 in which he made the statement that human and bovine tubercu- losis were distinct, and that if a susceptibility of the human subject to the latter exists, infection is of very rare occurrence — so rare that it is not advisable to take any measures against it. Previously to this, Theobald Smith had pointed out differ- ences between human and bovine tubercle bacilli, the most im- portant being that the latter possesses a much higher virulence to the guinea-pig, and other animals, and in particular that hu- man tubercle bacilli, on inoculation into oxen, produce either no disease or only local lesions without any dissemination. He also found that the bovine bacilli on cultivation grow less vig- orously for a time, and tend to be shorter and straighter than the human bacilli. Koch's conclusions were based chiefly on the result of his inoculations in the bovine species with human tubercle bacilli, the result being confirmatory of Smith's, and, secondly, on the supposition that infection of the human 218 L. H. PAMMEL. subject through the intestine is of very rare occurrence. Muir and Ritchie in their recent text-book on the subject of bacteriology (the American edition edited by Dr. Harris) en- tirely disagree with the opinions expressed by Koch and hold to the view expressed by many of the English, French and Danish veterinarians. They say that the ox is little suscep- tible to human bacilli may be accepted, but it does not follow that the converse is true, namely, that the human subject can- not be infected from the bovine species, seeing that bovine tu- bercle bacilli have been found to have a greater virulence for all animals tested than bacilli from the human subject. More- over, there are cases, notably those recorded by Ravenel, in which direct inoculation of the human subject with bovine tu- bercle has occurred. Even if the human subject is little sus- ceptible to bovine tuberculosis, it is quite likely, in view of the large proportion of young subjects exposed to infection, that the number of cases of tuberculosis produced in this way is by no means small. And, furthermore, although the ox is little sus- ceptible to human tubercle bacilli, tuberculosis with general infection has been produced in calves by means of them on more than one occasion. Such a result has been obtained by Ravenel, and also, in this country, by Delepine. There are also facts which go to show that tubercle bacilli cultivated from lesions in young children have a higher degree of viru- lence for animals than those obtained from adults ; that is, they resemble more the bovine bacilli ; this is what on« might ex- pect if the bacilli in question had come comparatively recently from the tissues of the ox. As at present the subject is still under investigation in this and other countries it would not be justifiable to dogmatise, but in the meantime, we see no sufl5- cient reason to depart from the view entertained up to this time, that the tubercle bacilli infecting mammals are of one and the same species, though differences in virulence obtain and that milk containing tubercle bacilli is a highly important source of infection to the human subject. It may also be added that tubercle bacilli obtained from other mammals than the ox THE VETERINARIAN AND HIS RELATION TO THE COMMONWEALTH. 219 generally correspond more closely, as regards their virulence or inoculation, with bovine than with human bacilli. This seems to me to be a fair statement of the case. You arc at liberty, of course, to take whatever view you choose. The evidence, it seems to me, is that we are dealing with a somewhat polymorphic species which occurs under slightly varying conditions in bovine animals, man and fowls. The organism, it seems to me, as it occurs in bovine animals is con- tagious to man. Whether you accept these views or not it is certainly pertinent to the question whether cattle and all forms of meat should not be inspected. The claim has been made by several packing-house people that hogs coming from certain dairy districts are much subject to intestinal tuberculosis ; that they have observed a relationship existing between tuberculosis and the use of milk from creameries. May we not also ask therefore that all meat supplies should be inspected whether for export or interstate commerce. Should not our common- wealth demand or make provisions for a district inspection. Every county, or when the city is large enough, should have an abattoir where all kinds of live stock should be inspected. There is no reason why the people of Europe should have more wholesome food than we are enjoying. If we are to have in- spection we should have inspection both of the live and slaugh- tered animals. If the inspection that I have in mind shall be carried on by the veterinarian, it means that he should be broadly educated and that he will occupy a commanding posi- tion in the community. I must, therefore, maintain, that nothing in the way of education is too good for the veterina- rian. Let the calling of the veterinarian be dignified by the laymen and the profession itself. Let an active body of laymen by the help of the veterinarian secure more favorable legisla- tion to secure better and more wholesome food. This great commonwealth with its wealth of live stock should secure the passage of the best inspection laws of any State in the Union. With good inspection and the eradication of tuberculosis from our herds, there will be a larger demand for our blooded stock. 220 REPORTS OF CASES. REPORTS OF CASES. ** Careful observation makes a skillful practitiontf^buthis skill dies with him. Byre- cording his observations^ he adds to the knowledge of his profession^ and assists by his facts in building up the solid edifice of pathological science.^^ DIAPHRAGMATIC HERNIA.* By Dr. G. W. Kinsey, Wheeling, W. Va. Noticing an article in the December number of the Ameri- can Veterinary Review by Dr. E. L. Moore, of the Dakota Agricultural College, describing a case of diaphragmatocele, whose symptomatology differed so radically from the one I had occasion to visit professionally, about the same time, I thought perhaps a recital of this case would be of some interest to the profession. The animal was a bay gelding, five years old, weighing about 1 200 pounds, and belonged to a farmer who lived about ten miles from town. While on his way to market one afternoon between three and four o'clock the horse was watered at a road- side trough near the top of a hill, perhaps a half-mile long. On going down the hill a short distance the owner noticed the horse twisting his tail and showing signs of pain. When I saw the animal, about an hour and a half afterward, he presented the following symptoms : Temperature normal, pulse full and rather soft, bowels loose, spasmodic pain, with an inclination to walk as the pains came on. During the two hours that I was with him he laid down but twice, and rolled furiously from side to side, perhaps half a dozen times. There was a slight distension of the nostrils, which became more prominent as the case progressed. Perhaps the most dif- ferential symptom from a case of spasmodic colic was the pecu- liar stiff elevated position of the head and neck without looking around or turning to one side. This horse perspired none while I saw him, and was practically under control at all times. Medicinal treatment had little effect. The patient was seen again about four hours later and a half hour before he died, and presented the same symptoms, somewhat aggravated, except the pulse had become hard and wiry, the nostrils more dis- tended and the breathing short and hardly perceptible ; no in- clination to lie down and moving continually. ♦Presented to the Annual Meeting of the Ohio State V.M.A., Jan 16, 1906. REPORTS OF CASES. 221 On post-mortem the following morning the chest cavity was found to contain some five to six gallons of blood or highly colored serum and about fifty feet of the small intestines with the attached peritoneum. These bowels had passed through the foramen dextrum or lower opening in the diaphragm, which is for the passage of the posterior vena cava. For fifty feet of bowel to pass through this opening and be lodged in the chest cavity would seem almost incredible and perhaps would be more interesting from the standpoint of morbid anatomy. No gas had accumulated in the bowels in either cavity to amount to anything ; those in the abdomen were scarcely colored or in- flamed, while those in the thorax were haemorrhagic, black and filled with blood. The lungs were very light, floated upward and perhaps one-third their natural size. The patient probably died from intoxication, as no oxygen could be taken into the blood. The history of the horse was that he had never been sick before in his life. He lived scarcely nine hours after the attack. The exciting cause was probably the drink of water and imme- diately going down the hill. I gave a diagnosis of colic with volvulus and probably or possibly a rupture of the diaphragm. An unfavorable prog- nosis was given. The symptoms presented by the case reported by Dr. Moore are as follows : — Animal bathed in perspiration, pulse imper- ceptible, respiration labored, temperature 103.8 ; pawing with the front feet occasionally, looking around, lying down and usually stretching out on one side. Rectal examination revealed the presence of a few balls of faeces, dry and unmasticated. The attendants stated that dur- ing the preceding night the patient had frequently sat on his haunches like a dog for several minutes at a time. The history of this case was that he had received a bushel of oats on Thurs- day, was taken sick on Friday, and died Sunday morning about two o'clock. He had twelve to fourteen feet of bowel impris- oned in the thoracic cavity and lived perhaps forty hours. These are the cases that require some mental strain in order not to fall down, as we seldom meet with them in practice. While the anatomical conditions are almost the same, the out- ward manifestations may be quite different. One of these cases had nearly four degrees of fever, the other had none. In one the pulse was imperceptible, in the other full. In one the bowels were constipated, in the other relaxed. One had a ten- dency to look around, lie down and roll, the other to go straight 222 REPORTS OF CASES. ahead. One perspired freely, the other very little ; and in con- clusion I might add that about the only symptom in common was that they both died. A DIMINUTIVE FOAL WITH CONVULSIONS. By William W. Yard, D. V. S., Denver, Colorado. On March 12th I was called to jjo to the headquarters of a circus eight miles from Denver. Upon arriving I found a colt which had been born early in the morning in convulsions. The mother was a small circus pony. Upon investigation I found that about an hour after the colt was born it was taken with convulsions, which were repeated all through the day up to this time, which was 2.30 p. m. In making an examination as to the cause. I found that the colt was so small that it could not reach its mother's teat to nurse. It was exactly 12 inches high, 18 inches long, and at this time weighed 14 pounds. The hostler told me the colt had tried to nurse at first, but could not, and that nothing passed either the bowels or kidneys. Not having nursed the mother, it was evident that not having the essential physic which the new-born gets from the colostrum or first milk, a physic was indicated. Upon looking over the stock of drugs which a circus generally carries, nothing of this kind could be found. The colt was getting weaker after each paroxysm, so as a last resort an egg was beaten up and given the patient. At the expiration of an hour the bowels moved freely, and by five o'clock in the afternoon the colt was up and walking around. I presume water would have had the same effect. The fact of the liquid causing a shock to the intestinal walls started the vermicular motion of the intestines. The colt is perfectly well, and will start on its summer tour with its mother April 3d. As THE Review goes to press it learns that the veterinari- ans of Baltimore, Md., have started to raise a fund for the relief of the veterinarians of San Francisco, many of whom lost every- thing they possessed in the world including their homes. Al- ways foremost in every movement for the advancement of the well being of the profession. Dr. Wm. Dougherty called a meet- ing of the practitioners of the Monumental City to consider means of raising funds for the immediate succor of our brethren on the Pacific Coast, and a respectable sum was subscribed at once. The subscription list was thus started, and all subscrib- ers to the Review are invited to unite with the Baltimoreans. REPORTS OF CASES. 223 staked: a case of emergency.* By J. H. McLeod, V. S., Charles City, Iowa. On February ii, 1905, an urgent call came by 'phone to visit a Shorthorn cow. She was four years old, carrying her second calf, and shortly due. While talking to the owner was informed that the cow, while attempting to jump out of the yard, got impaled on a fence stake, the owner finding her in that condition, and by hard lifting he succeeded in getting her off the stake and into the barn. Was also informed that the case was a desperate one, as the abdominal contents were protruding from the incision. The weather was below zero, the drive 11 miles and the out- look for a recovery on the whole very bad, and so informed the owner to that efiFect. He would not agree, however, and an at- tempt at least should be made to relieve the cow. On arrival my patient was standing in stanchions with a very distressed appearance. Had laid down and got up several times. On the off side and in the inferior diaphragmatic region was the injury, and protruding therefrom quite a large portion of the stomach and omentum. The animal was quite offen- sively inclined, and would kick wickedly when an attempt was made at examination. The hopples were quickly applied and the cow placed on her back, the four feet securely locked to- gether, and all made fast to the top of the row of stanchions. The wound and that part of the stomach and omentum protrud- ing (being very dirty and covered with white frost), were care- fully washed and disinfected with warm creolin solution and returned to the abdomen. The wound needed nothing only trimming of the ragged edges and stitching, which was done with a small seton needle, and a three-inch cotton bandage in- terrupted X stitch through the whole integument, deep into the muscles and skin, leaving a tube at lower aspect of the wound for drainage, and dressed throughout with boracic acid. The cow was allowed to get up, which she did with some help. Sloppy feed ordered for a few days. The stitches were removed in ten days, when there was good union throughout the wound, and complete recover- remarkable fecundity in domestic animals. The following extraordinary cases came to the Review al- most simultaneously, and are so remarkable as to constitute records in each instance, so far as we have been able to learn. •Preientcd to the Annual Meeting of the Iowa Vetf rinnry Association, January, 1906. 224 REPORTS OF CASES. Seven Calves at One Parhirition. By J. F. Winchester, D. V. S., Lawrence. Mass, On March 20, 1906, on the farm of Mr. H. S. Hill, Pleasant Valley, Methuen, Mass., a Durham cow, weighing 1. 100 pounds, gave birth in two hours, to SEVEN CALVES, comprising four males, weighing 30 pounds each, and three females, weighing 25 pounds each. All of these calves died during or directly after birth. The cow did well. Five Lambs at One Parturition. By W. Reid Blair, D. V. S., New York Zoological Park. These FIVE LAMBS were found in titero in a Chinese domes- tic sheep, of the fat-tailed variety. The ewe died as tlie result of congestion and oedema of the lungs just at approaching parturi- tion. The lambs were fully developed in every respect, the average weight being about three pounds, and the largest one measured 18 inches in length. SURGICAL ITEMS. 25!5 SURGICAL ITEMS. By Drs. Louis A. and Edward Merillat, Chicago, III. CRYPTORCHID CASTRATION ON THE OPERATING TABLE. From lime immemorial a certain particular position has been regarded as a sine qua non in cryptorchid castration. It was thought that the casting harness that firmly flexed the hind legs upon the pelvis and spread them apart as far as their elasticity would permit was the ojte and the only attitude that rendered this operation possible. Miles, others before him and many very skilful operators since his demise are responsible for this widespread impression. Prof. Williams (February Review, 1906), tries to prove this erroneous and says so in no equivocal terms. We have it that a cryptorchid horse was suc- cessfully castrated upon an operating table. The cryptorchid Miles' method offtecutliiit .. u^y,^ ,<>• ' spreader " to still farther part tbe lets. Ill I'luviked 226 SURGICAL ITEMS. was no ordinary one. Several veterinarians had failed to find the hidden testicle. The inguinal channel as a result of the past bungling attempts to find the testicle was blocked with an abundance of scar tissue. But in spite of these obsta- cles the operation was successfully performed on the operating table and no incident marred the convalescence. Forsooth, the the operation was a success. Surely, after this, the old saying " There is nothing new under the sun," will no longer stand the acid test. On the one hand is the picturesque Miles, silling flat upon the tail of a ridgling secured in the barn-yard with sixty feet of rope, while on the other is the modern surgeon, gowned in immaculate white, with his cryptorchid on a scrupulously clean operating table, under profound anaesthesia. This is, indeed, a transformation, but before adopting the method as a standing one let us see if it is as ultra-practical as we might be led to believe. This is a very pertinent proposi- tion. It deserves to be well thrashed over before jumping wildly and enthusiastically at a conclusion, which might easily lead one into a very critical situation. We will admit that the operation in question has shown that a cryptorchid can be successfully castrated upon a special operating table providing the subject is tinder profound ances- thesia. But has it shown the practicability of the method ? We think not. In the first place the ordinary operating table will not answer the purpose. While standing upon the floor at the p-itient's buttocks the operating region is out of reach and if one climbs upon the table its narrow edge will be found decidedly uncomfortable. It is, in fact, an impossible position on the ordinary table. Furthermore, it is positively dangerous both to patient and surgeon to lift a hind leg "ceilingward " without first administering a general anaesthetic. A horse in that posi- tion, not anaesthetised, will always tug violently with the up- lifted leg and thus bruises the hip and strains the member. I would warn veterinarians who o])erate for revenue against this practice. Besides, will general anaesthesia ever be universally administered for ridgling castration 1^ If not the operating table will have to be eliminated and the old method revived. The finality of the argument is that with the ropes the operation is finished and the patient is at the feed box, little the worse from the ordeal, before the tabled patient can be anaesthetised. Fur- thermore, anaesthesia is superfluous in cryptorchid castration. The operation does not provoke long-continued suffering. There is some pain while incising the skin and a sharp pang when the SURGICAL ITEMS. 227 testicular cord is emasculated, but otherwise there is no pain that will compare with the discomfort of taking and reviving from the anaesthetic. Furthermore, while championing the cause of the operating table as so very practical for riddling castration, it must not be forgotten that few such operations are performed in the hospital. These are nearly all out-of-door operations. The surgeon must go to his patient with a portable restraining apparatus. We have tried both the table and the rof^es for such opera- tions, including ablation of the mammae, dissection of scirrhous cords, and reduction of strangulated hernias, and have found that the latter places the seat of operation in a much more acces- sible position than the former, even if an anaesthetic is used. Finally, it is absolutely wrong and positively misleading to claim too much for any one of the various methods of restrain- ing the horse for surgical operations. Some operations are much more easily performed upon the operating table, others in the stock, others with the ropes (or harness), and still others with the single sideline in the standing position. To claim that any one is particularly perfect under all circumstances is quite as wrong as to condemn either one as being entirely useless. They all have their good points, they all have their appropriate places, and none are universally satisfactory. The selection of the method of restraint is no small item in any given equine surgical operation. It is a problem that should be decided only after intelligent consideration. Certain indi- viduals, certain morbid processes and certain seats of disease de- mand particular restraining methods if all of the small things which contribute to a practitioner's success is thought worth while. It is quite as wrong to cast and tie up a horse on the table or ropes for a trivial operation as it is to attempt a major procedure in the standing position. And, again, a horse that complacently submits to an operation of considerable magnitude (firing, for example,) might have fought the recumbent restraint most violently. It is also as harmful and as foolish to anaes- thetize unnecessarily as it is to omit the anaesthetic during a long painful dissection. These recommendations might be enumerated indefinitely. The only point we wish to make, however, is that of correcting an erroneous impression that any one apparatus for securing horses is absolutely perfect under all circumstances. The veterinarian who is daily engaged in oper- ating on all-comers (the draft-horse, the cab-horse, the coach- horse, the broncho, the cheap plug, etc., etc.), in all different 228 SURGICAL ITEMS. states of health and for all manner of diseases, will very soon discover the patent defects of any single apparatus and will very soon learn to duly respect the good points of each of the stand- ard methods. The ropes will always retain their place among the expe- dients to secure the large animals, because a large majority of all surgical operations are performed outside of the hospital, if not because certain ones are greatly facilitated by their use. It is wrong to ignore them in training the student. They will be compelled to use them more frequently than their polished ta- ble in the hospital. It is a sin of commission to stigmatize them and a sin of omission to fail to teach their appropriate use. Many a neat surgical operation is performed with their use every day. * Fractured Premaxilla; caused with a ratchet moulh speculum, reported in the March number of the Review. The Ontario Veterinary College has graduated more than 3,000 men in the 44 years it has been established. Thp: veterinarians of Kansas who attended the Missouri Valley Association in Kansas City in February, held a special meeting to consider plans of campaign for procuring a veteri- nary practice law in that State at the hands of the next Legis- lature. The veterinarians of the State are waking up to the fact that the practice laws recently enacted in the adjacent States of Nebraska and Missouri are causing a great influx of non-graduate practitioners into Kansas. EXTRACTS FROM EXCHANGES. 229 EXTRACTS FROM EXCHANGES. GERMAN AND HUNGARIAN REVIEW. By Adolih Eichhorn, D. V. S.. Bureau of Animal Industry, Great Bend, Kansas. A New Remedy Against Tuberculosis {Extract p^om a Lecture delivered before the German Agricultural Society^ by Prof. V. Behring]. — The bovovaccine introduced by the author into practice, has the mission to immunize young cattle against tuberculosis, which then will produce in the course of a few years milk adapted for the nourishment of babies. To accom- plish quicker this purpose it would be recommendable to inocu- late at the present milking cows ; for this object, however, the bovovaccine is impracticable on account that a dose of the same, which would prove harmless for newly-born animals, would prove fatal to older animals with symptoms of oedema of the lungs. While the introduction of material containing the liv- ing bacilli under the skin is not accompanied with that danger, however, the results of the inoculation are doubtful on account of a large quantity of the inoculated material remaining under the skin, thereby producing local tubercular processes which then retards the process of immunity. This kind of preventive inoculation of cows is also dangerous for the reason that from the local tubercular nodules, living tubercle bacilli may enter the circulation, and from there into the milk. The author an- nounced before the Congress of Tuberculosis at Paris, a new anti-tubercular product which will not possess the described danger and still accomplish immunity in cattle. This prcduct, however, must also be injected into the blood, and its produc- tion is so expensive and lengthy, at the same time very unstable, that its practical use would undoubtedly meet considerable ob- jection. Lately, however, he succeeded in producing by a new method a material which does not contain living bacilli, yet it possesses the immunizing qualities. The new product, which is named by B. ''■ tuberculase^'*'' is a yellow semi-solid mass, does not spoil in transportation and is not very expensive ; animals ought to be injected with it several times in from 2-4 weeks. With this product H. has not only treated cows free from tuber- culosis, but also those which appeared clinically healthy, yet their milk was contaminated with tubercle bacilli. During the treatment of these cows the bacilli disappeared from the milk. 230 EXTRACTS FROM EXCHANGES. This observation suggests the hope that it will be possible to apply this product successfully against human tuberculosis. On cows, however, which would suggest an infection similar to that of human tuberculosis, this material has not yet been ex- perimented on ; therefore the above described hopes are not yet based on experimental results. Notwithstanding, B. is of the belief that the material will be a success ; while he does not be- lieve that it will effect cures in severe affections of human tuber- culosis, but in cases of young people, applied at an early stage, it will prevent the extending of the tubercular process, so that with the aid of nature it will accomplish a cure and consequently it will also prevent new infections. B. will not deliver the mate- rial to the public before next fall ; his experiments will before long prove their benefit and success, and he is gradually near- ing his object to procure milk from cows, with which he will be able to immunize babies against tuberculosis. — (AUatorvosi Lapok.) YoHiMBiN Hydrochloricum (Spiegel) — A NEW Aphro- DISfAC AND A SPECIFIC AGAINST IMPOTENCE [//. Holter- bach'\. — The bark of the yohimbehe tree was for the first time brought to Europe in the year of 1895, after some explorers noted in German Kamerun, that the natives prepared of the same through boiling an effectful and harmless aphrodisiac. Its active principle, yohimbin, was discovered two years later by Spiegel. He isolated from the bark two alkaloids ; a yellow substance, the yohimbenin, and a white, yohimbin. The yohimbin hydrochloricum appears as white crystals, which are slightly soluble in cold water, but very soluble in distiUed hot water. In the form of tablets the drug remains unchanged, while the solution is very unstable. At the An- imal Physiological Laboratory of the Agricultural Institute of Berlin the first experiments were carried out to study its medical properties. The following was established : i. The different species of animals reacted in different ways to yohim- bin. 2. When administered in small doses the only result noticeable was a very pronounced effect on the genitals, an action peculiar to yohimbin only. 3. Bad effects of any kind could not be noticed, and are po«;itively excluded. The action was general and local. The former manifested itself in in- creased liveliness of the animals, which after increasing the dose, reached a state of very great excitement. The local action manifested itself in a moderate hypersemia of the mucous membranes ; in rabbits the ears, in dogs the muzzle EXTRACTS FROM tXCHANGES. 231 were of a brighter red, and warmer, due to a dilatation of tlie bloodvessels. The astonishing changes were noticed on the genital apparatus. The testicles swelled in a few minutes, sometimes immediately, and remained in that condition for about one hour. The effect on the penis appeared shortly after ; in the dog it became reddened, swelled easily, and passed into a very strong erection. It is remarkable that an injection of yohimbin into castrated dogs was also followed by erectio penis, the same way as in uncastrated dogs. Consequently the cause of the erection must lie in direct irritation of the erection centre. The hyperaemia of the genitals lasts generally for a few hours, then disappears gradually (with it also the erection) without leaving any after effects. Notwithstanding daily in- jections, lasting for four weeks, of yohimbin, no bad aftereffects were noticed on animals ; in the same way no inflammatory changes on the genitals. Yohimbin in large doses, however, acts poisonous on respiration and heart's action ; the blood pressure falls constantly from the moment of injection, the pulse beats decrease correspondingly in number. Therapeuti- cally the preparation is especially adapted for the treatment of impotence in males, of which the principal cause is generally neurasthenia. The author has successfully treated with yo- himbin animals which suffered from nervous impotence, con- sidering in this class all such cases in which after a very care- ful examination no cause could be detected ; especially in bulls and stallions he has many good results recorded. An accurate determination of the dose in proportion to weight has not yet been established. The author recommends on his experience Ihe following doses : Dog, 0.002-0.005 gm. 3 times daily ; hog, 0.05, 3-5 times daily; bull, 0.1-0.3, 3-5 times daily; stallion, o.i, 3 times daily. The preparation can be adminis- tered subcutaneously or per os. — (Deuisch. Tier. Wocheiischr.) Thk Treatment of Spavin with Perforating Firing WITH Frohner's Known Method. — Eighteen cases of spavins were treated recently in the German Army. From these 11 re- covered, 5 improved, while in 2 the treatment brought no results. With Hoffmann's method 7 cases were treated, of which 4 recovered and 3 improved. The following 2 cases are noteworthy : In one, eight days following the firing an amber- colored yellow discharge ran from the highest perforating canal ; after two weeks a fluctuating swelling appeared on the outside of the hock, from which about two tablespoonfuls of pus were removed ; following this 30 gm.of Lugol's solution were inject- 23"2 EXTRACTS FROM EXCHANGES. ed into the abscess, after which complete recovery took place. In the other case, 13 punctures were made i cm. apart on the spavin ; six days afterward the skin, which was painted with ich- thyolcollodium, sloughed off. The wound healed in four weeks and after eight weeks not a trace of the lameness could be no- ticed.— { Allatorvosi Lapok.) MORPHiUM Anesthesia. — Rosenbaum recommends in larger (healthy) horses for the purpose of anaesthesia larger doses of morphium ; before castration he injects i gm., in treat- ing prolapse uteri 1.5 g. of morphium, and the excitement and straining cease. — {Allatorvosi Lapok.) GERMAN REVIEW. By J. P. O'Leary, D. V. S , Bureau of Animal Industry, Buffalo, N. Y. Calving Fever (Parturient Fever) {^Kreistierdrzt David]. — D. has been occupied with the study of parturient fever and its origin. This skilful practitioner, who died sev- eral months ago, conjointly with his assistant Karnetzky, made accurate notes of the symptoms, temperature, success or failure of the treatment ; likewise of atmospheric and dietetic condi- tions of the animals. His reports are extremely interesting and deserve full consideration. They are reported verbatim as fol- lows : " We have come to certain important conclusions other than those usually given in the text-books. Before all, we are not satisfied with the theory which tells us that the etiology of the disease is based upon the formation of toxines, whether they originate in the udder or uterus ; particularly since the use of the air treatment. That theory concerning the etiology of a disease is doubtless the best by which enforced explanations may be given. Dr. Arnsohn was first to express the thought that par- turient paralysis was due to an arterial anaemia of the brain, induced by a forcible diversion of blood to the udder. This purely physical theory, which was not elaborated by the origi- nator, we consider an important one according to our observa- tions. By means of this theory all the symptoms of parturient fever can be easily explained, surely more easily than by any other chemical, bacteriological or physical theory which has been advanced thus far. We shall try, therefore, to substantiate this purely physical theory. Thomassen (quoted according to Franck's Obstetrics) has arranged the following five questions. EXTRACTS FROM EXCHANGES. 233 which any theory of parturient paresis must answer : (i) Why this disease is present exclusively in cattle ? (2) Why in later life (that is, after the birth of the third calf)? (3) Why in good milch cows which have calved easily? (4) Why this disease appears at least 48 hours before or after calving? (5) Why this disease develops suddenly and also disappears rapidly ? If an intense congestion of one organ (the udder) in this case, pro- duces anaemia of another organ (the brain), the udder must have possessed in the first place a prodigious receptive faculty for blood. This faculty is present among all our domesticated ani- mals only in the udder of cows and especially in the udder of good milch cows. Young cows as a rule give less milk than older ones. Usually the highest point of milk production in most cows does not take place until they have calved at least three times. The function of the udder and the congestion of that organ is at its maximum 36 to 72 hours after calving. Thus questions i to 4 are decided — only with regard to question 4 it may be further said that according to our experience milk fever occurs only before calving when the animal has acquired an udder teeming with rich milk and usually if the owner upon those grounds permits the milking of the cow before calving. The conditions which usually appear after calving were there- fore present before calving. The congestion of the udder pres- ent at this time, increased by the irritation of milking, becomes greater and greater, and consequent ansemia of the other organs resulting affects most the highest lying organ in the erect ani- mal, namely, the brain. The question as to why it is that only animals having an easy birth are victims of the disease, is ex- plained as follows : In cases of difficult parturition the act is tardy ; it brings a continuous flow of blood to the genital tract, which is not the case in eas) and rapid births. Further, we must consider, that with difficult parturition there is a physio- logical disturbance in the functions of the other organs of the body ; also of the mammary gland. Consecjuently the forma- tion of milk is not so great ; also the blood diversion is not ne- cessitated. We must bear in mind the close connection between the digestive apparatus and milk production. It happens fre- quently, that through simple indigestion, the milk production of the animal may be essentially diminished. According to our opinion, no theory can explain question 5 as satisfactorily as the one we have been discussing, and we maintain that the well-known Schmidt-Kolding toxine theory is completely over- thrown. The mammary gland at the maximum of its activity 234 EXTRACTS FROM EXCHANGES. necessitates a vast supply of blood. At this time we have no scientific investigations regarding the quantity of blood ; partic- ularly when we are discussing animals ; for example, cows with parturient fever which have been dry for some time and conse- quently the blood flow to the udder has been slight. There takes place a complete reversal in the conditions of the circula- tion, namely in the sudden and rapid milk secretion, that a physical balance does not take place. The animal becomes paralyzed. If the disturbance of the circulation became bal- anced by repelling the flow of blood, through infusion of water or better pumping in of air or in rare cases spontaneously. The anaemic brain as a result of oxygen regains its function and ex- cepting slight debilitating morbific influences remain until those latter symptoms also disappear. For the reason that through the infusion of clear water or air into the udder of animals often has the same embarrassing result as through means of the infu- sion of potassium iodide solution, proves according to my idea that not the toxine theory but the physical theory we have been discussing is the correct one. The relater further states that he frequently missed the subnormal temperature which has been mentioned by most recent observers as characteristic. In only four out of 59 cases the temperature was less than 37.3 C. In the remaining cases the temperature varied between 37.3 C and 38.8 C. D. agrees with the observations of older veterinarians that cold is a predisposing factor and because the irritation of cold increases the blood congestion of the udder. D. observed a large number of parturient fever cases after atmospheric changes, with consequent falling of the barometer. — (Veroff aus den Jahres-Veterinar-Berichteti der beaynteten Tierdrzte Preus- sens fi'ir das Jahr 190 j. II Teil. S. J2-jj.) Concerning Fixed and Floating Membranes in the Vitreous Humor of the Horse's Eye [Z^r. Theodor Schmidt] . — S. occasionally inspected large stables of horses on account of moonblindness. He found between 10 and 15 per cent, of all the horses inspected affected with fixed and floating membranes of varying sizes in the vitreous humor. In two cases only out of about one hundred he could detect these membranes by the aid of the ophthalmoscope ; in the remainder, however, it neces- sitates a special method of examination. This was accomplished by means of the Priestly-Smith lamp. The light is thrown into the eye as much as possible perpendicularly to the vertex of the cornea. At the same time the lens of the lamp inust be held at a distance 35 to 45 mm. from the cornea, and the head of the EXTRACTS FROM EXCHANGES. 235 observer must be close to the lamp. It needs first some practice until the eye of the observer has accommodated itself to the vit- reous humor of the horse's eye ; for it is apparently always di- rected first on the cornea or papillary plane. When one has ac- quired the necessary practice, it is very easy to recognize the delicate thin grayish-white web-like formations suspended in the vitreous humor ; stretched curtain-like antero-posteriorly or appearing only in suspended threads and floating membranes. Many of the membranes seem as if studded with little crystals, others appear to be woven into thicker threads which cross one another and at the point of intersection exhibit little bodies resembling particles of meal. These membranes are found in horses which have suffered from moonblindness, also in those animals which have never been attacked with an inter- nal inflammation of the eyes. According to the observations of S., however, it is most frequent in horses between the ages of 6 and 14 years. Visual disturbance could not be traced to these membranes ; concerning their nature and significance, there is yet no light on the subject. Possibly one has to deal with path- ological growths which reflect themselves on the fibril and fibril-nets found normally in the vitreous humor. — {Monatshefte fur Prak. Tierheilkunde, XVII, 3I 4 heft, 5. 166,) Dr. J. H. McNeil, of Ames, Iowa, made a trip to New Orleans, La., in March. Drs. L. a. and Edward Merillat, Chicago, 111., have been selected by the Chicago Live Stock Exchange as its vet- erinary advisors. An Old Timer's Experience of Veterinary Surgery. — In the early days of Manitoba, Treasurer W. F. Thomas of Melita, Man., had a painful adventure which is detailed as fol- lows in a recent issue of the Hartney Star : While duck shoot- ing the accidental discharge of his gun badly fractured one of his arms and as no medical aid could be secured mortification of the injured member had commenced when Mr. Dann, a vet- erinary surgeon (now of Deloraine), looking for land, happened to call at the shanty. This gentleman with more than ordinary skill and with no other instruments than a sharp knife and a handsaw proceeded to cut off the injured arm. The operation was exceedingly painful as no chloroform could be obtained to deaden the pain. Mr. Thomas made a good recovery, the oper- ation being performed over twenty-five years ago, and has since filled his place in the community with honor to himself. 236 CORRESPONDENCE. CORRESPONDENCE. IMMUNIZATION OF CATTLE AGAINST TUBERCULOSIS. Extract from an Article by Prof. Dr. Robert Koch, Prof. Dr. W. ScHuTz, Prof. Dr. L. Neufeld and Dr. H. Miessner. (A report of work conducted in the Institute for Infectious Diseases in Berlin and in the Pathological Institute in the Veterinary High School in Berlin. From the Zeitschrift fur Hygiene und Infectionskrankheiten, Vol. 5 1, No. 2.) " Von Behring, in company with his colleagues Romer and Ruppel, has reported upon a considerable number of experi- ments that they have carried on for the purpose of immunizing cattle against tuberculosis, and, from the results obtained, he recommends a method for the practical immunization of cattle by intravenous injections with a certain strain of human tuber- cle bacilli (Culture I). The plan relates to the immunization of calves but a few months old, for the purpose of gradually devel- oping a herd free from tuberculosis. As to the metliod em- ployed, von Behring at first recommended, provisionally, the intravenous inoculation of cattle from five to seven months old with his culture in a first dose of o.ooi grm. and, after four weeks, with a second injection of 0.025 g^m. Later, he recom- mended a first dose of 0.004 grm. and a second of o.oi grm. Still later, he recommended the use of the same culture after it had been dried at a low temperature in vacuum ; the first dose to consist of 0.004 grni. and the second, which should be given at the earliest 12 weeks after the previous injection, to consist of 0.02 grm. of dried substance. The inoculation shall, as a rule, be applied only to calves of from three to four months of age and only exceptionally to older animals up to two years and then only after they had been tested with a negative result with tuberculin. The vaccine is said to keep in this dried state for one month. " To this time, von Behring has published no experiments in which an animal has been immunized in accordance with the method he recommends and in which the result of the immuni- zation has been determined by a control inoculation. On the other hand, a number of cattle immunized by him in different ways have undoubtedly possessed sufficient immunity to protect them for a time against tuberculosis inoculations fatal to control animals. Among such animals described in his first report are numbers 8, 10, 11, 16, 17 and 20. It was, however, found upon post-mortem examination that the majority of these cattle were not free from lesions of tuberculosis. In some, indeed, there CORRESPONDENCE. 237 were extensive lesions, which may be due in part to the test to which they were subjected with virulent material and in part to the injections that were made during their earlier treatment. All of these cattle, before they were tested with virulent mate- rial, were inoculated, either intravenously or subcutaneously, with bovine tuberculous material of low virulence. This is a preliminary treatment that both von Behring and Romer re- peatedly say should be entirely excluded in practical work. Most of the above named animals had, beside this, repeated in- jections of human tubercle bacilli (two had nine such injec- tions). In what way the immunity was obtained in these cases cannot be determined positively. " The later experiments that are reported by Romer seem to us to furnish even less proof upon the question of immuniza- tion, and because proof is lacking to the effect that the culture of bovine tubercle bacilli that he used for testing immunity was sufficiently virulent. On the contrary, a review of his curves shows that bovine tubercle bacilli No. i8, which was used most, did not have high virulence, at least in May, 1903. May 26, 1903, two control cattle were inoculated intravenously with 0.0005 S^^^- ^^ ^^^s culture (^in one of these animals it is probable that all of the material did not actually go into the veins), and on the 6th and 13th of October, 1903, these cattle were killed. The findings in the first animal were : In each of four glands one or two nodules from the size of a pin head to that of a grain of millet seed, with few tubercle bacilli ; the inter- nal organs free from lesions. The second animal did not at any time show fever and aside from two glands with caseous or calcareous nodules there were in the apex of one lung three calcareous tubercles, each about the size of a grain of millet seed, with a few bacilli. The same culture administered sub- cutaneously July 5th, 1903, to a control bovine animal in a dose of 0.0025 g^n^' produced less marked lesions, as was shown when the animal was killed August 29th. Therefore, the cat- tle that were tested with this culture during the period above referred to, during which the virulence of the culture was be- ing tested, need not necessarily be regarded as having been im- munized. Romer reports but one single animal (No. 44) that developed acute, progressive tuberculosis after inoculation with this bovine culture. It was inoculated intravenously in Au- gust, 1902, with 0.01 grm. of the culture. This, however, is an animal that had been immunized approximately after the method that von Behring recommends for practice, in that it 238 CORRESPONDENCE. had received two injections (o.oi and 0.02 grm.) of Culture I of human tubercle bacilli and, beside these, two injections of the Arloing culture. It became very ill after the injection of bovine tubercle bacilli and when it was killed eight weeks later it was found to have generalized tuberculosis of the lungs. Romer remarks that this failure may be due to the fact that this animal No. 44 (which at the beginning of the experiment weighed 146 kg.) was already too advanced in age. But this explanation does not accord with our own nor with Hutyra's observations. " As to the second strain of bovine tubercle bacilli (2015) used by von Behring, there is no evidence as to a test of its virulence for cattle. Of course it cannot be expected that for every tuberculosis experiment upon large animals that a con- trol animal shall be sacrificed, but, from time to time, and in connection with every large series of experiments, it is unquali- fiedly necessary to establish the virulence of the bovine culture, if the experiments are to be convincing. It must be regarded as strange that Romer recommends a method of immunization upon a basis of experiments in which the few control inocula- tions that were made resulted negatively. " In one place, von Behring reports upon five calves, one of which received preliminary treatment with one injection of human tubercle bacilli. Culture I, and the others with several injections with the same culture. All, together with a control animal, were inoculated intravenously with 0.0005 S^^- of bovine tubercle bacilli of the strain No. 18, which apparently had been kept in vacuum for twenty-four days. Since the con- trol animal was not fatally infected and since there is no post- mortem report upon this animal, nor upon the five experimental calves, it is not possible to draw conclusions as to any immunity that may have resulted in these cases. " Von Behring has expressed himself particularly with re- gard to the use of tubercle bacilli dried in vacuum. Experi- ments in my own institute show that the herein described pro- tective inoculation with Culture I of human tubercle bacilli produced considerable resistance against following inoculations, but not to the extent that acutely fatal doses of bovine tubercle bacilli are well withstood. " One can summarize the experiments of von Behring and his fellow workers by saying that they show the possibility of immunizing cattle, but not a satisfactory method of immuniza- tion. CORRESPONDENCE. 239 "In order to make it possible to obtain an unprejudiced trial, von Behring has sent a number of animals that he has protectively inoculated to other investigators to be tested, but these cattle also were not in any way treated by a method that von Behring recommends for practice. On the contrary, they had received numerous injections of different materials. While, as a result of these experiments, it is quite impossible to draw a conclusion as to the efficiency of the procedure that is recom- mended for practice, they do not, indeed, in all cases, even show that the animals in question were immunized. On one hand, most of them were not subjected to an infection that was fatal for control cattle ; on the other hand, some of the cattle, although they were not tested with highly virulent material, were afterwards found to contain lesions of tuberculosis. " Lorenz received [from von Behring] two calves, one of which had eight and the other fourteen injections with tuber- culous material. The material used by Lorenz for testing the immunity of these animals was of so low virulence that while the control animals inoculated subcutaneously showed moder- ately intense local reactions, when they were killed only very slight lesions of tuberculosis were found in the internal organs. Moreover, there is no post-mortem report in the two animals that were treated and so, of course, there is no evidence that they were immunized. " Schlegel subjected to test two cattle immunized in Mar- burg. One of which (No. 14) had received nine and the other (No. 40) three injections of tuberculous material. In this con- nection it is especially to be noted that animal number 14 was treated eight times with the culture (I) of human tubercle bacilli that is recommended for practical use. The doses were progressive and varied from 0.005 to 0.4 grm. and were injected into the veins. In the first test both experimental cattle and one control animal were inoculated with a piece of tuberculous gland from a bovine animal. No difference could be observed between the effect upon the exp)eri mental cattle and the control animal excepting that the last one became more sensitive to the action of tuberculin, a point upon which Ri3mer lays special weight. But Romer overlooks the possibility that the sensi- tiveness to tuberculin of experimental cattle can be dulled as a result of repeated injections with tul)crculous material. There- after, these three cattle were inoculated intravenously, together with two additional control cattle, with 0.0005 grm. of bovine tubercle bacilli. This is the case that was referred to above in 240 CORRESPONDENCE. which the strain of bovine tubercle bacilli No. i8 showed itself as of such low virulence for control cattle. The previously treated animal No. 14, gradually emaciated ; when it was killed about three months later small nodules were found in the mediastinal glands also in one lung and in one kidney, which contained tubercle bacilli. The control animal first mentioned, which had twice received injections of parts of bovine tubercu- lous lesions, showed numerous nodules in the lungs, kidneys, spleen and in a number of lymphatic glands. The other two control cattle, which had received bovine tubercle bacilli but once, and then in the veins, showed, as already mentioned above, either no lesions or very small lesions in the internal or- gans. There is as yet no record upon the post-mortem examina- tion of the second animal that had received protective treat- ment. " Two cattle were sent to Eber to be tested. One of them (No. 9) had been treated with eight intravenous injections and one intraocular injection ; for the purpose of testing its immu- nity, it was four times inoculated with emulsions of lesions of bovine tuberculosis administered subcutaneously or intraven- ously. Only the material that was used for the fifth (intraven- ous) injection (o.oi grm. of a culture of bovine tubercle bacilli) was of sufficient virulence to kill two control cattle after twenty- eight and thirty-eight days respectively. The immunized ani- mal was killed in a highly diseased condition five and three quarter months later and showed numerous caseous nodules in the lungs and kidneys, and also tuberculous basilar meningitis. As to the result of the test of this animal, and of the animal No. 46, Eber says : ' The resistance of the previously treated cattle was not absolute ; with sufficiently heavy dosage, both animals became ill as a result of a tuberculous infec- tion.' " The experiments of Hutyra resulted very much more favor- ably. Hutyra used in part the original vaccine material of von Behring and also three different fresh cultures of his own of tubercle bacilli of human type. It is to be noted that one of these last named cultures was obtained from a monkey. The experimental calves of Hutyra ranged in age from three and a half to twelve months. Of Behring's vaccine Hutyra injected first, 0.004, second, o.oi grm. in some cases ; in other cases, the second injection consisted of 0.04 grm. Of his own culture, he used 0.005 gr^- and 0.025 S^^- respectively. The period be- tween vaccinations was about forty days ; from the second vac- CORRESPONDENCE. 241 cination to the infection the period was from seven to eight weeks. The dose for testing resistance was 0.02 grm. of von Behring's bovine culture No. 18. This was injected in one case subcutaneously, in others intravenously, and its virulence was always tested on control animals. Four of the ten vaccinated cattle were fed the same culture for a period of fourteen days, in addition to being inoculated intravenously. Of the ten vacci- nated animals, there was no immunization in one case [treated with von Behring's vaccine], for the animal died of miliary tuberculosis at about the same time as the control animals, that is about five weeks after the infection. After all of the control animals had died of miliary tuberculosis of the lungs, the other cattle were killed after two and a half to three months. None of these animals were entirely free from tuberculosis. On the contrary, there were in all nodules in the internal organs con- taining tubercle bacilli and in some lymphatic glands. These lesions were in part of rather slight extent ; in part they were extensive. It is worthy of remark that the fresh cultures made by the author himself gave distinctly better results than von Behring's original vaccine. In view of the quantity of infectious material that was used for testing these animals, the virulence of which was regularly controlled, there can be no doubt that these experimental ani- mals of Hutyra, in most part possessed a considerable degree of immunity. " In addition, Thomassen has published a report, according to which he has succeeded in producing a considerable degree of immunity against bovine tuberculosis in two calves by inject- ing them intravenously with human tubercle bacilli. When these calves were tested by control injections of bovine tubercle bacilli they showed only slight lesions of tuberculosis in the lungs, while the control calf inoculated at the same time, with the same quantity of bovine tubercle bacilli, died of generalized tuberculosis at the end of nineteen days. Thomassen immu- nized a second animal by intraocular injection. This experi- mental calf was free from tuberculosis. " A year before this, Pearson and Gilliland had had good success in immunizing two calves. They treated two calves for a period of two months by intravenous injections of human tubercle bacilli in increasing doses until, altogether, the calves had received 0.16 grm. At the end of another period of two months, both experimental calves and two control calves were given an injection of bovine tubercle bacilli into the trachea. 242 CORRESPONDENCE. At the end of a further period of two months, all the calves were killed. Upon post-mortem examination it was found that the experimental calves were free from tuberculosis, while the con- trol calves showed numerous lesions in the lungs and in many lymphatic glands." ♦ * * * To the above, it should be added that the authors have made many experiments of their own, described at length in their paper, which show that they have used a system for protecting cattle against tuberculosis by vaccinating them with a fresh, moist vaccine different from that of von Behring and essentially the same as that used for several years in the work of the Penn- sylvania State Livestock Sanitary Board. The results of their .work are most encouraging and go far to confirm the work of others to the effect that the fresh, moist vaccine gives a higher degree of immunity and is more effective than the dried and weakened vaccine of von Behring. * * * The paper is closed as follows : "We feel that we are justified in concluding, as a result of these experiments, that the problem of the immunization of cattle against tuberculosis is solved, to the extent that we now know the conditions under which in laboratory experiments animals may with great certainty be protected against large quantities of the most virulent tuberculous material. And we can say, as with regard to other diseases, that even in tubercu- losis a true immunity may be produced, the possibility of which was generally doubted a few years vago, and that this may be done by the use of comparatively simple methods and with a high degree of certainty. " But we must remember that, for the present, this applies only to laboratory experiments. Although in our cases the infection was severe — probably many times as severe as under natural transmission of the dis- ease— still, the natural conditions are different and one can de- termine only in practice how the artificially immunized animal will be affected. '* For experiments in practice we advise that protective in- oculation shall be carried out in all respects as closely as possi- ble in accordance with the methods that we have found to be most successful in laboratory experiments." Columella. CORRESPONDENCE. 243 DIPS FOR CATTLE TICKS. Santiago de las Vegas, Cuba, March 21, 1906. Editors American Veterinary Reviezv : Dear Sirs : — Cuba in common with other tropical coun- tries is thoroughly infested with the cattle tick, which consti- tutes the greatest pest that the Cuban cattle grower has to con- tend with. The Cuban cattle tick {Bodphihts australis) is a slightly diflFerent variety from the cattle tick of the South- ern United States {B. anmilatus\ but is for all practical pur- poses identical. They transmit the organism of Texas fever as do the cattle ticks of the Southern United States, but this is of relatively small importance to the damage they do as parasites. I have recently visited a ranch where 225 out of 500 recently imported Southern immune cattle died from the parasitic effects of cattle ticks. The cattle were simply " shingled " with them and the owner, who could read English and had consulted a report of the United States Bureau of Animal Industry in which " hand-picking " the ticks was suggested, cast serious re- flections upon the intelligence of the author of the referred to bulletin. During the past year we have been devoting a good deal of attention to experimenting with various remedies in or- der to find a cheap, efficient and easily applied medicine that would destroy cattle ticks without injury to the animal. In our experiments we tried a large number of remedies — practically everything that we could devise or that others could recom- mend. Among them were various coal tar preparations that are advertised for this purpose, emulsions of kerosene and crude petroleum, solutions of tobacco, etc., but none gave satisfactory results. All the remedies were tested by applying them to tick- infested animals. Among a great number of remedies tried only three proved efficient in killing the ticks, and are as follows : Cebadilla i lb., mixed with Aguardiente (a moderately strong alcohol) 5 gallons. The ground cebadilla seed is placed in the alcohol and allowed to stand for two days before using. The medicine is applied by hand washing. It is a very efficient remedy, kills all ticks and does not in- jure the cattle. The only objection is its cost. The cebadilla costs about 25 cts. per lb., and the aguardiente from 10 to 12 cts. per gallon. We also tried a variety of crude petroleum, sold under the trade name of "Tickicidc," which conforms to the require- 244 CORRESPONDENCE. ments of the United States Bureau of Animal Industry in its specific gravity and per cent, of sulphur. This was efficient in killing ticks, but had the following serious objections : (i) Its cost, about 8 cts. per gallon in Cuba ; (2) When treated animals are allowed in a pasture the oil from the cattle taints considerable grass, so cattle will not eat it ; (3) The most se- rious objection of all is its effect upon the cattle. The oil seems to close the pores of the skin and is such a good conduc- tor of heat that, in this climate, the animals suffer greatly from the heat, and if the cattle are not in fair physical condition se- rious losses are liable to follow. The remedy which has given us the best results, all things considered, is a solution of arsenic. We first tried the South African dip and then the Australian official dip, both arsenical dips, and both gave us good results ; but both had the serious objection, that of boiling a large quantity of the solution for a long time. We modified both the above formulae into what we call the Cuban dip. This formula can probably be im- proved upon and we are still working along this line : Arsenious acid, 8 lbs. Soda carbonate, cryst., 24 lbs. Yellow soap, 24 lbs. Pine tar, i gallon. Water, 500 gallons. Dissolve the arsenic in 20 gallons or more of water by boil- ing for thirty or forty minutes. When dissolved add to 100 gallons of water. Dissolve the soap and soda in 20 gallons of boiling water, first shaving the soap, and while boiling add the pine tar in a thin stream and stir until it is dissolved. Mix this with the arsenical solution and add sufficient water to make 500 gallons. We have used this solution as a hand dressing and by apply- ing with a spray pump with excellent results. We have not had an opportunity to use it in a dipping vat. This solution kills the ticks and does not irritate the cattle, but it does cause some irritation to the thin skin of the arms of men who work in the solution for more than two days. I understand the United States Bureau of Animal Industry have tested some arsenical dips, but seem to have abandoned their use in favor of Beaumont crude petroleum. The arsenical dips are successfully used in South Africa and the official dip of Australia is an arsenical solution. A government commis- sion in Uruguay, appointed to test various proprietary remedies, OBITUARY. 245 recommended the arsenical dips above all others. The Cuban dip can be made here for less than one cent per gallon for cost of materials. I should be glad if any veterinarians in the Southern States would try this solution and report upon it. N. S. Mayo. THAT CANADIAN DIPLOMA MILL — CORRESPONDENCE WHICH EXPLAINS ITSELF. Memphis, Mo., March 31, 1906. Editors American Veterinary Review : Dear Sirs : — The veterinary law lately enacted in our State is causing some of the " hoss doctors " no little concern, as the enclosed application will show. As this is a rare speci- men, I thought it would be of interest to the profession. Yours truly, E. Bratnerd, D. V. S. "Jan. 8, 1906. Dr. Brainerd, V. S., Dear Sir: i understand that you as assistant State veternary if so of Mo. i would Like to Have a Permit to Practis as i Have Bin in Veternary Practis in Clark Co. for 15 years and Have diploma under Kanada. Kaldeg will you Pleas inform me about the matter. This School was enterd according to act of Congress in the year of 1896 By J. E. Hodgins and T. Hasket in Libraran of Congress at Washington D. C. Will you give me some advise about the matter as i Have severl Patrons on Hands i will come up and see you. Resp. — — — " P. S. Please tell me if Diploma Prom this school is all Right in U. S." OBITUARY. DR. CONSTANT LAKE, PORTSMOUTH, OHIO, a graduate of Ontario Veterinary College, and member of the Ohio State Veterinary Medical Association, died suddenly and unexpectedly at i o'clock on the morning of March 15. His death was not only a great shock to the family, but to his many friends as well, few of whom even knew he was ill. He had taken cold and went to bed, but his illness was not thought serious. He expired without even awakening the family. Dr. Lake was born in Wooster, Ohio, in 1849. He was a good citizen, led an exemplary life and will be missed. w. H. gribble. 246 ARMY VETERINARY DEPARTMENT. ARMY VETERINARY DEPARTMENT. SCHOOL OF APPLICATION, U. S. ARMY. ENLISTED MEN OF THE CAVALRY, FIELD ARTILLERY AND ENGINEER CORPS TRAINING SCHOOL FOR HORSESHOERS. The United States Army applies the proper term horseshoer to the "smithy," while farrier, relating to iron, covers a multi- tude ; the name is still employed among foreign armies to the enlisted men found at the forge. Our farrier truly represents the stable orderly, or in many instances the stable sergeant, a non-commissioned officer, who is directly responsible to the organization commander for all horses under his supervision. The school for horseshoers was established during the in- fancy of this school with the same object in view, to have a constant and sufficient number of available competent men on hand for this important purpose of shoeing horses in the differ- ent branches of the service. Instructors in Charge. — Director of School, Captain of Cav- alry ; Senior Instructor, a veterinarian, civilian, practical horse- shoer and a graduate of Harvard University, Veterinary Depart- ment ; one civilian, practical horseshoer ; one enlisted man, chosen by reason of his proficiency in the art of shoeing and a former graduate of this school. The Pupils Chosen /or this Course. — The class numbers about fifty-five men. As with farriers, men of good character, intelligent, able-bodied and well developed muscularly, are chosen by their respective organization commanders, one man each term, men who may possibly have been engaged in this work previous to entering the Army service. As practice per- fects, a green man, if willing and able, soon learns to do good work, even though he may be slow at first. As all Cavalry and Artillery horses are shod monthly, the smith in each organization divides the work in such a manner as to render the shoeing of several horses daily. He becomes thoroughly familiar with the condition of the foot of each and everv horse before him and it is seldom that trouble arises, pro- ducing lameness, since trained men from this school have been employed in this work. It is interesting to note the requests from many old enlisted men, horseshoers in the service, who wish to take this course. Theoretical Work. — A concise, practical and intelligent text- ARMY VETERINARY DEPARTMENT. 247 book, compiled by the profession, is followed, one hour daily being devoted to recitation, with the senior instructor in charge. The anatomy and physiology of the entire foot is carefully and thoroughly taught. The horseshoer's tools and their uses are also taken up, every man becoming familiar with the name and usage of each ; the forge and economic use of fuel, heating of iron and steel, are subjects carefully taught. Practical Work at the Forge. — Several hours daily are de- voted to the work on the floor of the large school shop. The supply of horses on hand being sufficient, no trouble is experi- enced in selecting good and fit subjects for the beginner. Considerable time is spent in the preparation of the sound hoof ; the art of modeling a shoe after a pattern follows, then the application of a plain shoe. In the Army, conditions permitting, all horses are shod with a plain shoe, without calks of either kind. Later calked shoes are made, their application taught, the subject of gaits entered into, confirmed or corrected by use of special shoes. Pathological Shoeing. — This subject is later taken up ; sore feet, corns, side-bones, quarter-cracks, etc., are provided for ; horses that have developed faulty hoofs after several years of valuable service, are, in many instances, rendered further use- ful by the careful application of properly made, special shoes. Methods of restraint among refractory horses and mules are also taught and in many cases these animals are permanently subdued in a humane manner. The system employed has worked admirably ; the Army se- cures a large number of efficient horseshoers, and to those men who leave the service at the expiration of enlistment, it affords a means of livelihood. Among sound feet, with intelligent and competent horseshoers, the shoe will eventually not be a neces- sary evil. The Director. — He is an officer of the mounted service, a thorough and true equestrian in every sense, having been select- ed by the War Department for this purpose by virtue of excep- tional qualifications possessed, a true lover of the horse, an intel- ligent understanding and an inherent disposition to cultivate the close relation of each and every animal presented ; this, with a general knowledge of breeding and husbandry, the selec- tion of horses for mounted and traction purposes, especially fits him for the important position he occupies. 248 ARMY VETERINARY DEPARTMENT. The efforts of this officer, Captain W. C. Short, 13th U. S. Cavalry, are constantly enlisted in behalf of the veterinarian. h. E. WiLLYOUNG, VtHerinarian Artillery Corpt, * * « PERSONAL NOTES. Veterinarians Lusk and English, 2d Cav., recently ar- rived in the States from the Philippines, after a two-years' tour of duty. Veterinarian Lusk takes station at Fort Assinniboine, Mont., and Veterinarian English goes to Fort Snelling, Minn. Dr. Charles A. Rapp, Veterinarian 3d Cav., resigned from the Army on Feb. 15. His reasons for severing his connection with the service were that *he could see no future for the Army veterinarian. Veterinarian Dead. — Seattle^ IVas/i., April 16. — Henry N. Couden, a veterinarian in the United States Army and son of the Rev. Henry N. Couden, the blind chaplain of the National House of Representatives, died to-day. He was stricken with heart disease while riding back to Fort Lawton last evening and rolled off his horse, suffering a fracture of the spinal column. Dr. Couden only recently graduated from a college of veterinary surgery in Chicago. — [Kansas City Times and Star.) [There is no record of this veterinarian being in the service of the U. S. Army (Regular).— L. E. W.] Dr. Claude H. Case, of Akron, Ohio, has just recovered from a three-months illness due to an infection of the bone, involving the radius and ulna above the wrist, which very much resembled tuberculosis. It started after testing a herd of cattle (out of which six reacted to tuberculin) and the holding of post-mortems on two of the most advanced cases. The re- moval of a part of the bone is gradually bringing about recovery. Dr. Veranus a. Moore, of the New York State Veterinary College, will address the members of the Veterinary Medical Association of New York County at their May meeting on " The Agglutination Method for the Diagnosis of Glanders." His address will be in the nature of a preliminary statement of the method now in use and the results being obtained. He purposes presenting a paper on the subject at the August meet- ing of the A. V. M. A., and our readers are promised the full text of Dr. Moore's report. COLLEGE COMMENCEMENTS. 249 COLLEGE COMMENCEMENTS. ONTARIO VETERINARY COLLEGE. At the closing exercises of this school, March 29, the follow- ing received diplomas : Cecil Scott Anderson, Waterford. Ont. ; Herbert Anderson, New York City; Artie B. Angell, " Taneytown, Md., U. S. ; Stewart W. Armitage, Manitou, Man. ; George S. Arnett, Knowlesville, N. Y., U. S. ; Howard B. Atkinson, Edgeley, Ont. ; J. S. Atkinson, Marinette, Wis., U. S. ; Charles E. Attale, Port of Spain, Trinidad, B. W. I. ; W. H. Barrett, Port Dover, Ont. ; John P. Beck, Cavetown, Md., U. S. ; Alder A. Black, Searl- town P. E. I. ; James Scott Bone, Paisley, Ont, ; Harry H. Berry, Brantford, Ont. ; Howard B. Brady, Millersville, Pa , U. S. ; John F. Bracy, Rockwood, Ont. ; Frank T. Burnett, New York City, U. S. ; Van. V. Botkin, Muncie, Ind., U. S. ; John G. Buie, Michel, B. C. ; Frederick T. Cairns, Forest, Ont. ; John L. Carolan, Dobbs P>rry, N. Y., U. S. ; Earl H. Carter, Toledo, Ohio, U. S. ; Charles M. Casey, Syracuse, N. Y., U. S. ; Edwin B. W. Cavell, Howell, Mich., U. S. ; Francoise de F. .L Chaumont, Oak River, Man. ; Victor V. Christie, Island Brook, P. Q. ; R. E. Christopher, Armstrong, Iowa, U. S. ; Donald L. Clark, Delhi, N. Y., U. S. ; James Fielding Cottrill, London, Eng. ; Thomas F. Craig, Niagara Falls, N. Y., U. S. ; Glenn W. Cronkite, Alma, Mich., U. S. ; Volney Manning Curry, Leslie, Mich., U. S. ; Daniel J. Cronin, Chelsea, Mass., U. S. ; E. Beverley Cowan, Orono, Ont. ; J. Graham Davidson, Niagara ^alls, Ont. ; Amos H. Dyson, Jamestown, N. Y., U. S. ; C. Ed- gar Edgett, Moncton, N. B. ; John A. Espindola, La Plata, Ar- gentina ; Col. E. Edmunds, Ardsley, N. Y., U. S. ; Wm. Austin Ferr, Put-in-Bay, Ohio, U. S. ; Louis P. F'oss, Cincinnati, Ohio, U. S. ; Royal G. Flowers, Lyndonville, N. Y., U. S. ; A. Scott Gebbie, Howick, P. Q. ; George H. Gerlach, Elmore, Ohio, U. S. ; Eugene L. Hannon, Pittsfield, Mass., U. S. ; Charles Ed- ward Hayes, West Sliefford, P. Q. ; Charles Head, Buffalo, N. Y., U. S. ; A. Frank Hill, St. Johnsbury, Vt., U. S. ; Arthur D. Howden, St. Louis Station, P. Q. ; Aubrey G. Husband, Wawa- nesa, Man. ; Frederick Hutchinson, Cheltenham, Ont. ; Joseph Johnson, Stoughton, Wis., U. S. ; Chas. A. Joynt, North Au- gusta, Ont. ; James Jones, New Liskeard, Out. ; Robert Ken- well, Mount Eaton, Ohio, U. S. ; Henry F. Kirkby, Walton, Ont. ; Judson Kellogg, Ripon, Wis., U. S. ; Thos. J. Kain, Totten- 250 COLLEGE COMMENCEMENTS. ham, Ont. ; R. Harry Leadley, Cookstown, Ont. ; W. H. Tul- loch Lee, Boissevain, Man. ; Beverley M. Leigh, Columbus, Miss., U. S. ; C. Douglas MacCormack, Jamaica, B. W. I. ; Alexander McFadzean, Waldemar, Ont. ; Walter H. McKenzie, Oakville, Man. ; Donald McMillan, St. Louis de Gongagne, P. Q. ; Charles H. McNab, Rosemont, Ont. ; C. O. Maconachie, Guelph, Ont. ; Wm. Frank Madill, Orillia, Ont. ; Stanley Thomas Martin, Winnipeg, Man. ; C. Ernest Miller, Peru, Ind., U. S. ; Earl W. Miller, Rockford, Ohio, U. S. ; John Joseph Montgomery Brantford, Ont. ; C. A. Minshall, Verogua, Wis., U. S. ; Milton E. Muma, Arkona, Ont. ; Achibald S. Miller, East Aurora, N. Y., U. S. ; William H. Moffatt, Picton, Ont. ; Reginald Edward Murray, Cooksville, Ont. ; William G. Moore, Petrolia, Ont. ; Maynard S. Nighbert, Pittsfield, 111., U. S. ; William T. Patton, Paris, Ont. ; Harry W. Pegg, Holland Landing, Ont. ; William Reid, Nassagaweya, Ont. ; James Mar- shall Reilly, Rupert, P. Q. ; John Martin Rice, Salhouse, Nor- folk, Eug. ; Charles D. Ritter, Allentown, Pa., U. S. ; Albert B. Ritter, Pennsburg, Pa., U. S. ; Abram W. River, Cresco, Iowa, U. S. ; George Avery Root, Milville, N. Y., U. S. ; Charles W. Ruttan, Wingham, Ont. ; Henry W. Sheurer, Bright- on, 111., U. S. ; Earle F. Schofield, Greenwich, Conn., U. S. ; William F. Sirett, Glendale, Man. ; Clarence D. Smith, Justus, Ohio, U. S. ; William Cyril Steele, Grenada, B. W. I. ; Clark E. Swail, Randboro, Que. ; Herbert R. Sharp, Moosomin, Sask. ; D. Crozier Tennent, London, Ont. ; John A. Thomas, Shreve, Ohio, U. S. ; Thomas Thompson, Oakdale, Ont. ; Hosea B. Tur- ney, Marysville, Ohio, U. S. ; George S. Thorneywill, Char- lottsville, Va., U. S. ; Samuel S. Westgate, Pickering, On^; Andrew Fenwick Wilson, Portage La Prairie, Man. ; A. New- ton Wilson, Howick, P. Q. The gold medal for the best general examination, donated by the Ontario Veterinary Association, was won by C. E. Attale, of Port au Spain, Trinidad. GRAND RAPIDS VETERINARY COLLEGE. The exercises were held in the College Auditorium on Thursday evening, March 29, and the following received diplo- mas: Arntz, Wm., Sheridan, Mich. ; Brown, J. R., E. Boston, Mass. ; Bucher, C, Whitehouse, Ohio ; Bordner, L. A., So- Wayne, Wis. ; Byrnes, M. R., Friend, Nebr. ; Burke, E., Cal, COLLEGE COMMENCEMENTS. 251 cutta, India ; Compton, A. L., Morrice, Mich. ; Coomer, W. E. Bay City, Mich. ; Corkill, Jos., Mauch Chunk, Pa. ; Craig, D S., Hanover, Ont. ; Cash, G. B., Fremont, Mich.; Carr, Jas. F. Muskegon, Mich. ; Dunning, Glenn, Emmett, Mich. ; Draper J. P., Camlachie, Ont. ; Eiler, F., Chapin, 111. ; Edwards, W. C. Cambria, Wis. ; Elzinga, H., Grand Rapids, Mich. ; Fitzpatrick Wm., Mt. Holly, N. J. ; Fitzwater, M. C, Canton, Pa. ; Gaha gan, W. H., Porter, Pa. ; Glass, B. F., Prophetstown, 111. ; Hut son, E. J., Webberville, Mich. ; Hobart, Geo, R., Ithaca, Mich. Hansen, J. W. G., Sheridan, Mich. ; Hostetter, H., Topeka Ind. ; Kells, R. E., Arthur, Ont. ; Knox, H., Picton, Ont. Livengood, A. G., Elk Lick, Pa. ; Leary, D. H., Darlington Wis. ; Law, J. J., Nashville, Mich. ; Life, N. L., Jane Lew, W Va. ; Menold, G. J. ; Thompsonvile, Mich. ; McBreen, P. L. Mahonoy, City, Pa. ; Morel, Jules F., Mons, Belgium ; Moyle Isaac, Waterford, Wis. , Monroe, H., Ilion, N. Y. ; McMasters J., Key, Ohio ; Marble, F. E., Indian Falls, N. Y. ; Miller, J M., Avilla, Ind. ; Ocobock, C. F., Paw Paw, Mich. ; Peterson L., Carl, Mich. ; Parks, J. L., Ft. Fairfield Me. ; Pearson, Geo. Pickney, Mich. ; Rock, J. F., Marinette, Wis. ; Ramsey, Roy Pierson, Mich. ; Roseberry, F. M., Marion, Ohio; Rommeck W., Detroit, Mich. ; Stevens, H. L., Farmington, Me. ; Scoville Glenn, Clarksville, Mich. ; Scherz, F. J., Rice Lake, Wis. Saner, Aug., Grand Rapids, Mich. ; Snyder, E. D., New Lon don, Ohio; Smith, W., Lehighton, Pa.; Timms, J. M., Pitts- ford, Mich. ; Whitney, J. G., Union Grove, N. Y. ; Walters, Ezra, Carleton, Mich. ; Wilson, R. H., Toronto, Ont. ; W^ool- ston, Chas., Bauer, Mich. ; Zimmerman, Israel, Bridgeport, Conn. UNITED STATES COLLEGE OF VETERINARY SUR- GEONS. At the twelfth annual exercises of this college fellowship degrees, in recognition of research work in veterinary science and valuable contributions to the literature of the profession, were conferred upon Charles F. Dawson, M. D., D. V. S., State Veterinarian of Florida ; James G. Ferneyhough, B. S., D. V. S., State Veterinarian of Virginia, and Robert W. Summers, D. V. S., a professor in the college. The graduates were: John R. A ufente, Illinois ; William Francis Davis, Maryland ; Robert Henry Duenner, Tennessee ; Charles Jefferson Frey, New York; Oscar Ilarrv Gratz, Penn- 252 COLLEGE COMMENCEMENTS. sylvania ; John Philip Kiefer, District of Columbia ; William S. Pollard, Massachusetts ; Mann Page Smith, Virginia ; Clar- ence Clayton Walker, A. B., M. D., District of Columbia ; Cor- nelius Campbell Weeks, Illinois, and Eddie Powell Yager, Vir- ginia. McKILLIP VETERINARY COLLEGE. After the annual banquet, which was attended by professors, students and friends of the college, the commencement exercises were held in Handel Hall. The degree of M.D.V. was conferred upon the following :— S. T. P. Nichol, E. P. Johnson, D. C. Tre- loar, H. H. Halverson, C. H. Mainhart, F. W. Morgan, E. J. Cun- ningham, E. E. McDaniels, G. W. Neff, A. R. McBurney, B. E Sherman, H. N. Thompson, O. E. Lindburg, F. P. St. Clair, F J. Verduin, C. F. Blair, J. O. Fenstermacher, H. N. Couden W. Meiser, T. B. Harries, M. Guillaume, J. E. Standsbury, J W. Haffer, B. F. Hudson, G. H. Peters, C. L. Lumby, G. F Flaherty, W. F. Miller, J. W. McLaughlin, G. A. Barnes, E. J Peck, O. L. Prien, P. W. Flickinger, W. Hilton, S. Robinson E. L. Knight, A. C. Stoltzman, J. M. Mulick, E. S. Hess, C Muth, O. J. Matthias, C. H. Schultz, C. B. Estey, F. L. Skra- ble, J. F. Mack, M. Vanderhack, E. B. Shaw, C. W. Lassen, H. G. Thompson, L. A. Wilson, R. D. Mankin. INDIANA VETERINARY COLLEGE. The fourteenth annual commencement of this college was held March 30, 1906, at ' Das Deutsche Haus,' Indianap- olis. Diplomas were granted the following : Howard Danner, Indianapolis; Frank J. Douglass, Indianapolis; Byron Eckols, Indianapolis ; William H. Heaton, Nora, Ind. ; Ora W. Hiner, Butler, Ind. ; Geo. Charles Koehnlein, Dwight, 111. ; Stephen G. C. Kelly, Noblesville, Ind. ; Jacob B. Kingery, Cutler, Ind. ; Benjamin F. Mauck, Owensville, Ind. ; Bert Rodibaugh, New Augusta, Ind. Charles Wriland, owner of Sir Albert S., 2.03^, says he has discovered a new system of feeding and training, by which he can fit a harness horse for racing with about one-half the work and in one-half the time ordinarily required to get one ready. He feeds a light bran mash with a handful of flaxseed added every day in the early spring, and says it works wonders in hastening the preparation. SOaETY MEETINGS. 253 SOCIETY MEETINGS. MISSOURI VALLEY VETERINARY ASSOCIATION. The semi-annual meeting of this Association was held Feb- ruary 12, 13 and 14, 1906, in the lecture-room of the Kansas City Veterinary College, N. W. cor. 15th Street and Lydia Ave., Kansas City, Mo. The meeting was called to order at 9.30 a.m., Feb. 12, by President Dr. J. S. Anderson, of Seward, Neb. This meeting was the largest in point of attendance and proved to be the most interesting of any held in the history of the organization. There were 120 veterinarians and 300 stu- dents in attendance. The following is a partial list of the mem- bers and visiting veterinarians : THE ATTENDANCE. Missouri. — Drs. E. J. Netherton, H. McConnel, F. F. Brown, A. T. Kinsley, S. Stewart, C. E. Steel, E. A. Van Antwerp, R. P. Poage, A. J. Munn, L. Champlain, J. D. Cooper, B. F. Kaupp, G. W. Merker, R. C. Moore, O. J. Phillips, W. E. Martin, L. D. Brown, T. S. Hickman, W. R. Cooper, A. D. Knowles, H. T. Doak, M. A. Peck, R. B. Grimes, J. B. Wood, J. Robards, O. Olson, C. Hubbard, J. H. Slater, W. B. Welch, A. W. James, J. G. Eagle, C. E. Hart, A. Trickett. S. A. Peck, R. L. Allen, J. B. Williams, J. W. Chenowith, H. J. McCartney, B. P. Rainey, F. M. Starr, D. F. Lucky, W. H. Gatchell, A. Byrd, E. M. Hendy, H. Bradley, W. L. West, T. B. Craycroft, Wm. Yenner, C. Con- ley, L. R. Baker, M. C. Lint, M. A. Sappington, C. M. McFar- land, F. N. Elwell, C. H. Bugbee, B. Yenner, O. Stingley, G. E. Bufin. Kansas.— T>\s. D. O. Knisley, G. J. Roach, H. S. Maxwell, R. H. Hayes, M. C. Lint, J. C. Young, N. V. Boyce, C. H. Davies, W. E. Flanders, M. C. Campbell, F. W. Roach, W. F. Smith, C. B. McClelland, W. N. Hobbs, C. Saunders, T. W. Hadley, W. T. King, E. H. Kilian, J. Tyler, R. Dill, F. S. Schoenleber, A. T. Jones, C. M. Crandall, X. I. Richmond, F. Jellen, O. M. Norton, E. Biart, C. A. Monney, L. A. Licking, T. C. McCasey, G. Mutzigcr, C. B. Kerns, W. Saylor, H. Dumbault, W. J. Guil- foil, D. M. Allen, G. M. Fox. Nebraska. — Drs. J. S. Anderson, H. Jensen, A. T. Peters, P. Simonson, J. D. Sprague, C. A. McKim, E. F. Stewart, D. C. Scott, G. A. Meixcl, A. N. Reber, H. T. Hahn, R. A. Huntley, G. W. Smith, F. E. Johnson. *^54 SOCIETY MEETINGS. Indian Territory. — Dr. W. J. McAlister. Oklahoma.— T>x. G. W. Roach. Iowa. — Drs. F. A. Andrews, H. E. Pinkerton, E. McNair, W. H. Jenkins, S. T. Miller. NEW MEMBERS. The following names, duly vouched for and favorably pass- ed upon by the Board of Censors, were elected to membership: Missouri. — Drs. C. R. Treadway, C. E. Hart, L* Champlain, J. G. Eagle, S. Sheldon, R. P. Poage, E. A. Van Antwerp, C. M. McFarland, E. M. Hendy, L. R. Baker, A. W. James. Kansas.— Tirs. T. C. McCasey, C. B. Kern, F. S. Schoenle- ber, T. A. Jones, S. M. Regan, H. Dumbault, F. N. Elwell, H. S. Maxwell, J. D. Sprague, E. H. Kilian. Nebraska.— Tits. E. F. Stewart, C. A. McKim, F. E. John- son. PAPERS AND DISCUSSIONS. The first paper was presented by Dr. Hugh McConnel, of Marshall, Mo., on " Mad Itch in Cattle." The Doctor gave an interesting account of an outbreak designated under the above heading. Some of the symptoms observed were switching the tall, followed by stamping of hind feet and kicking. When re- leased from stanchion would begin biting hind quarters and limbs, particularly the extremities about fetlocks, and also lick- ing various parts of the posterior extremities, viz., udder, about tail, inside hind legs, etc. ; would also back up against objects and rub. Red spots on and swelling of the vulva to a moderate degree, also prolapsus of the rectum, occurred in two or three cases within five to ten hours previous tp death. The prolap- sus did not appear to be from straining. These were symptoms as observed 12 to 18 hours after first taken ill. Later symptoms were those of kicking and biting and general restlessness. Later the animal would get down and unable to rise. The loss of power was first noticed in the hind limbs, then loss of power in the anterior extremities ; finally the animal would be unable to rest on the sternum. The temperature ranged from 100 to 102° F. Death usually occurred in two or three days. Post-mortem findings : — Nothing was found abnormal in the various compart- ments of the stomach, and rumen contained ingesta, among which was found millet seed. A point brought out later in the discussion was that in many of the outbreaks the cattle had been fed millet. Hsemorrhagic spots were noticed the entire length of the large intestines. The vulva was congested, which SOCIETY MEETINGS. 256 was probably due to rubbing, as the reddened parts were only superficial, not extending back to the rectum. There was evi- dence of intestinal irritation. The subject was thoroughly dis- cussed by Drs. Peters, Netherton, Anderson, Champlain, L. D. Brown, Kinsley and Moore. Among the interesting points brought out were : that many such outbreaks were caused by feeding mouldy feed, especially millet. The question was raised as to whether it was a toxic substance produced by mould. Many such outbreaks have been reported from time to time in the Missouri Valley. The next paper presented was by Dr. Lloyd Champlain, of Kansas City, Mo., subject, " One Medico-Biological Problem." This paper was very scientific and was greatly appreciated. Dr. E. A. Van Antwerp presented a paper on " Parturient Paresis." This paper brought out a lengthy discussion Dr. H. Jensen, of Weeping Water, Xeb., reported that he had re- lieved comatosed condition in cattle due to corn-stalk disease by inflation of the udder with oxygen. He also recited an inter- esting experience he had in making an effort to kill a horse by administering strychnine hypodermically. The weather was 25 degrees below zero ; the horse was led out to the timber and 10 grains of sulphate of strychnine were given subcutaneously. In the course of an hour an attendant came and said the horse was not dead. To his surprise upon examination he found the report to be true. Ten grains more were administered in a like manner ; the Doctor went home thinking surely the quantity would destroy life. About two weeks later he saw the owner, who told him he had to "knock the horse in the head." The Doctor attributed the extreme cold as combatting the tetanic spasms of the muscles. Meeting adjourned. Luncheon was served in the Kansas City Veterinary College. THE CLINIC. The clinic was called to order at i p. M. in the clinic amphi- theatre of the Kansas City Veterinary College, under the direc- tion of Dr. F. F. Brown. Case No. /. — Resuscitation of Dog (Clinician, Dr. C. E. Steel, St. Joseph, Mo.). — A dog, weighing about 25 pounds. w§is chloroformed. The anaesthesia was pushed till the animal had apparently ceased the respiratory act. Three drops of 2 per cent, hydrocyanic acid were placed on the tongue and artificial respiration applied. In a very short time the animal gasped for 256 SOCIETY MEETINGS. air, muscular tremor was uoted and the dog regained his feet in three minutes' time. The patient showed no ill after-effects as result of drugs. The rule for giving dilute hydrocyanic acid for the purpose of resuscitation is one-eighth drop per pound body weight. Case No. 2. — Contraction of Flexors of the Metacarpus — operation^ Tenotomy of Flexor Metacarpi Externus and Medius (Operator, Dr. R. C. Moore, Kansas City, Mo.). — A bay gelding was presented at the clinic in which there was a contraction of the flexors of the metacarpus, a condition commonly known as " bucked knee." The operation consisted of subcutaneous tenotomy of the flexor metacarpi externus and medius above where the two tendons blend. The operation was successful in relieving the condition. Case No. j. — Stringhalt — Operation^ Peroneal Tenotomy (Operator, Dr. R. P. Poage, Shelbina, Mo.). — The animal was operated on in a standing position. A side line and " twitch " were used as means of restraint. The tendon was severed above the theca. Case No. 4. — Laminitis (Clinician, Dr. Chas. Treadway, Kansas City, Mo.). — The case presented was one that had prac- tically made a recovery. The treatment of the case in the acute stage consisted of pulv. alum in one drachm doses every hour for five days, then one-half this amount for the next twenty days. For the first twenty days ice and bran poultices were kept on his feet, later he was kept in water bath four or five hours a day for two months ; in three and a half months he was put to work, apparently recovered so far as usefulness was concerned. A ridge on the horny wall marked the hoof. A slight drop of the OS pedis was also present. Case No. c;. — Results of Quittor Operations (Clinician, Dr. R. C. Moore, Kansas City, Mo.). — Three cases were given to il- lustrate a talk to be given in the evening. In these three cases the quarters were smooth and apparently in normal condition, as a result of the use of iodoform, oakum and tar bandages — a condition that would not have existed had the usual treat- ment been followed after the operation. Case No. 6. — Loco Poisoned Horse (Clinician, Dr. A. T. Peters, Lincoln, Nebr.). — A bay gelding, nine years of age, was presented. The horse showed an unsteady gait when moved, was very nervous ; the animal was practically blind. On being exercised the symptoms were more aggravated. The Astragy- lus molissimus^ or wolly loco, is a plant that grows 10 to 14 SOCIETY MEETINGS. 257 inches high, leaves resemble the leaves of the locust tree (except leaflets are shorter) ; they grow from a short stem, from which develops the blossom and later the pods which contain the seed. The plant retains a pale green appearance all winter and ani- mals acquire a habit of eating it when the other herbage is scarce. Its poisonous influence is exerted upon the nerve centres. Case No. 7. — Demonstration of Viscera of Horse (Clini- cian, Dr. B. F. Kaupp, Kansas City Mo.). — A horse had been previously prepared for the demonstration. The attention of the veterinarians was called to the various organs, in re- gard to their relation to precipitate a discussion in regard to the value of surgical operations. The development of the maxillary sinuses in various individuals ; the relations and location of the velum pendulum palati, pharynx, oesophagus, and bloodvessels and nerves adjacent to them ; the position of the heart and its relation to the front leg. The various abdominal organs and relations and also pelvic organs were exposed. By the removal of the gluteal muscles and sacro- sciatic ligament the true relation of the pelvic viscera was seen. By a careful dissection of the abdominal muscles, nerves and bloodvessels supplying the part were demonstrated, and by their partial removal and removal of part of the posterior ribs all abdominal viscera were demonstrated. Likewise the mus- cles between and covering of the ribs were removed and the lungs inflated by means of a bellows. Case No. 8. — Demonstration of Post-Mar tern Findings (Clinician, Dr. A. T. Kinsley, Kansas City, Mo.). A horse, a gray gelding, eight years old, had been ill two weeks previous to death. Diagnosis, pleuro-pneumonia. Laminitis was a com- plication, which was observed four days before death. The pleuritic exudate was organized ; a portion of ribs showing parietal pleura ; also lungs were exhibited ; a portion of the left anterior lobe of lung had become degenerated, forming an ab- scess. The heart also contained an ante-mortem clot, which reached from the left auricle into the aorta. Case No. g. — Stomach Tube Demonstration (Clinician, Dr. D. O. Knisley,Topeka, Kansas), — Dr. Knislcy demonstrated the passage of the new stomach tube after his own idea. It con- sisted of a double tube. He preferred passing it through the mouth, using a mouth speculum. In passing the tube, he used the stylet in the tube. After reaching the stomach, the stylet was withdrawn, water was introduced through one compart- SOCIETY MEETINGS. ment and returned through the other one, so that the stomach could be thoroughly cleansed. The doctor also demonstrated a new float, run either by electric motor or hand motor, the lat- ter such as used on clipping machines. The stone was cylin- drical and made of carborundun. Meeting adjourned. The evening session was called to order at 7.30 p. m. by the President, Dr. J. S. Anderson. PAPERS AND DISCUSSIONS — CONTINUED. The first paper presented was on the subject of " Sarcomato- sis," by Dr. A. T, Kinsley, of the Pathological Laboratory of the Kansas City Veterinary College. The paper was illustrated by aid of the projection apparatus and reflectoscope. After a discussion of the subject, slides and photos of a few interesting cases observed during the past year were presented. The fol- lowing is a brief description of these cases : Case 18. — January 31, 1905. Animal, grade Holstein cow, six years old. History : Cow wandered off to herself, lying down much of the time, emaciation. Symptoms : Tem- perature 104.2, hypersensitive in right hypochondriac region, constipation, agalactia. Clinical diagnosis : Impaction, com- plicated with enteritis. Post-mortem : Tumors observed in the abomasum, duodenum, and jejunum. Microscopic diagno- sis : Lympho-sarcoma. Case ^7. — March 27, 1905. Animal, bay gelding, seven years old. History : Capricious appetite, emaciation, cough ; dis- ease continued for about five weeks. Diagnosis : Suspected glanders. Post-mortem : Nodules in lung. Pathological diagno- sis. Small round-celled sarcoma. Case JO. — March 12, 1905, Animal, horse, aged. His- tory : Growth in eye appeared three months previously : Diagnosis : New growth, probably sarcoma. Pathological diagnosis : Small spindle-celled sarcoma. Case JQ. — May 14, 1905. Animal, aged brown gelding. History : Horse was a private carriage horse and was noticed to tire easily. Symptoms : Venous pulse, increased precordal area, weakness ; all of the symptoms became more marked and the horse was destroyed. Diagnosis : Obstructed venous cir- culation. Autopsy : Extensive new growth involving peri- cardium, mediastinum and pleura. Diagnosis path. : Small round-celled sarcoma. Case 4^. — August 2, 1905. Animal, aged bay gelding. SOCIETY MEETINGS. 259 History and symptoms : The horse was observed to urinate only with difficulty ; loss of flesh and energy ; enlargement up- on the glans penis ; was operated upon ; the horse was returned to the hosipital for treatment Nov. 5, 1905, but was con- sidered an unfavorable case and destroyed Nov. 20, 1905. Au- topsy : A large area of necrosis was found involving the su- perior wall of the bladder, also the pelvic flexure of the great colon and local peritonitis. Pathological diagnosis : Sarcoma. Case //. — September i, 1905. Animal, horse. History: Horse was noticed to be unthrifty ; was given a few days' rest, but did not improve ; sent to hospital and on examination an enlargement was found on left inferior maxilla ; the teeth were examined and found to be practically sound ; the enlargement was diagnosed a new growth and the horse was destroyed. Autopsy : An enlargement of the left inferior maxilla. The bone being practically all absorbed ; the lymphatic glands of the head and cervical region not involved. Pathological diag- nosis : Mixed-celled sarcoma. Case 4g. — September 22, 1905. Animal, pointer dog. History : Dog was noticed about July ist to be less active and was not inclined to eat ; these conditions gradually increased until the dog was brought to the hospital. Symptoms : Emaci- ated, weakness, large abdominal growth, apparently fixed. The tumor involving the gastro-splenic omentum was removed in the clinic and microscopically was found to be a lympho- sarcoma. Case ^2. — October 2, 1905. Animal, dog, black water span- iel. History and symptoms: Dog was noticed to breathe with difficulty and was sent to the hospital for treatment ; upon ex- amination an enlargement was found in the nasal chambers and involving the velum pendulum palati ; the growths were re- moved by thermo-cautery, but the dog died in a few days. Path- ological diagnosis : Large spindle-celled sarcoma. Case 54. — May 17, 1905. Animal, gelding, mule, about two years of age. History: About April i, 1905, a growth was noticed on the eyelid, which gradually increased in size ; was removed in May, again in July. Clinical diagnosis : New growth. Microscopical diagnosis : Spindle-celled sarcoma. Case 65. — October 25, 1905. Animal, mule. History : The mule was purchased in March and at this time a small growth was noticed on the left inferior eyelid ; also some rough- ened areas on the right inferior eyelid ; the growths increased in size and the animal was sent to the hospital for treatment ; 260 SOCIETY MEETINGS. a portion of growth from left superior eyelid was removed and examined microscopically and was found to be a spindle-celled sarcoma. Case 66. — November 4, 1905. Animal, cow, five years old. History : Killed at the packing-house and condemned because of an omental spherical growth about 10 inches in diameter, which wasfound microscopically to be a spindle-celled sarcoma. Case 68. — November 10, 1905. Animal, cow, four years old. History : Killed at the packing-house and the ovary was noticed to be about the size of a basket ball and was found on examination to be an alveolar sarcoma. Case yo. — December 4, 1905. Animal, draft bay gelding, eight years old. History : Horse was in the hospital July 29, '05, for treatment of what appeared then as "granulated eyelids." December 4, '05, horse returned to hospital with a growth in the subconjunctival tissue of the left superior eyelid. The growth was dissected out and was found to be a small round- celled sarcoma. Case yj. — December 18, 1905. Animal, hog. History: Killed at packing-house. Autopsy : Mesenteric lymphatics much enlarged, stomach walls thickened, spleen slightly en- larged. Microscopical diagnosis: Lympho-sarcoma. Case 81. — January 4, 1906. Animal, lamb. History : Sheep killed at packing-house ; and an enlargement noticed in pericardial sac. Microscopic diagnosis : Small round-celled sarcoma. In a summary the Doctor stated that the subject of sarcoma- tosis was important on account of its prevalence in lower ani- mals. Important in giving diagnosis and prognosis on account of its malignant nature. In 15 cases the following tissue was involved : Lymphatic system, 7 ; eye and surrounding tissue, 4 ; lungs, I ; bone, i ; nasal chamber, i ; ovary, i. This paper was discussed by Drs. Champlain, S. Stewart, Schoenleber, Jensen, Slater, Moore and others. Dr. Schoenleber asked if there was any way whereby new growths could be grouped so that the practitioner could upon macroscopic examination say to his client whether or not the malady was curable. Dr. Kinsley stated that if the growth " creaks " when sec- tioned by knife he could give a favorable prognosis after remov- ing growth. But if it was soft and the thumb could be pushed through it, as is possible in malignant growth of sarcoma, an unfavorable prognosis may be made. There is no well-defined SOCIETY MEETINGS. 261 line of demarkation between the sarcomatous tissue and that tissue that is healthy. In one horse upon which an autopsy was held the spleen was found to weigh 30 pounds. Upon mi- croscopic examination it was found to be a melano-sarcoma. Dr. Jensen stated that his method of treatment of new growths of a fibroid nature was to inject in tissue around growth a mixture of oil thuja, 3 i, alcohol, 3 viij. This produces a sloughing, after which was applied a mixture of oil thuja, 3 i, vaseline, 3 xvj. Applied twice a day. The next paper was presented by Dr. C. McFarland, St. Joseph, Mo., subject, " Psoroptic Scabies of Cattle ; Symptoms and Differential Diagnosis." This paper was very thorough and interested all present. It was followed by one by Dr. W. L. West, of Kansas City ; subject, " Heart to Heart Talk." The Doctor in his witty way gave some good advice along business lines, and social conduct of the profession. Dr. Jensen, Weeping Water, Neb., then gave an interesting talk upon the subject of " Therapeutical Agents : Their Prepa- ration and Uses." The Doctor is a close student of medicines, and their therapeutical application, and is always an interesting talker. Among agents discussed was the use of collargolum, loc.c. of a 2 per cent, solution, given intravenously in purpura haemorrhagica. The use of the fluid extract of echinacese given in one-ounce doses per orum every two hours in septicaemia. The intravenous injection of 30m. formalin to 60 c c. water, also recommended for septicaemia. Adrenaline was used with good results in conjunctivitis, and the operation of arytenecto- my, but had given unfavorable results in spaying operation, pre- venting healing by first intention. Campho-phenique may be used as a local anaesthetic and as an antiseptic. It is readily soluble by addition of a little alcohol. In flatulent colic the Doctor preferred using as an antiferment eucamphol 3 i in one pint of water. The next paper was presented by Dr. D. O. Knisley, of To- peka, Kansas ; subject, " Acute Indigestion in the Horse : Its Treatment." Meeting adjourned. SECOND DAY — FEB. 1 3, I906. Meeting was called to order at 9 a. m. by President Ander- son. The Secretary read regrets of inability to attend from Drs. 262 SOCIETY MEETINGS. W. D. Hammond, Wayne, Nebraska ; M. R, Trumbower, Mo- nett, Mo., and W. Warren, of Sedalia, Mo. The first paper was presented by Dr. D. F. Lucky ; subject, " Plant Poisoning of Cattle." This paper recited the history of an outbreak of a fatal disease among cattle in the southern part of Missouri. The discussion was participated in by Drs. L. D. Brown, Maxwell, Anderson, Peters, McKim, Kaupp, Kinsley, Schoenleber, and others. Dr. Peters in discussing poisoning in cattle by plants stated that in young cane stunted by drouth he had noted fatal results in from 8 to 15 minutes. The cattle ap- parently died without a struggle. An analysis of some of the plants showed 60 to 80 per cent, prussic acid, the quantity de- creasing as plant became larger. It is believed that prussic acid is due to the action of an enzyin on a glucocide and that it is held in solution through plant nourishment. As soon as plant life is cut short by harvesting the prussic acid volatilizes and con- sequently the cured plant has no injurious effect upon animal consuming it. Dr. Lucky discussed the subject of poisoning by crotolaria sagitalis (rattle-box plant). Some of the symp- toms noted are : becoming lazy, yawning, standing resting one leg, hip dropped, etc. Meeting adjourned. STOCK JUDGING. At 2 p. M. the veterinarians in attendance assembled in the fine stock pavillion, Kansas City Stock Yards, where a demon- stration of cattle judging was given by Prof. W. J. Kennedy, of the Iowa State College. A Shorthorn bull was first presented. A talk upon the value of the animal from beef standpoint was discussed. The various parts in regard to their value upon the block was thoroughly discussed and comparison drawn between the two leading beef breeds, viz., Herefords and Shorthorns. The talk brought out many points of value. The Hereford men are making an effort to breed cattle with heavier loins and hind quarters and with lighter fore quarters. Meeting adjourned. tITERARY PROGRAM RESUMED. 7.30 P. M. Meeting called to order by Dr. Anderson. The first paper presented was by Dr. H. T. Hahn, F'alls City, Neb. The paper included a report of a cas^e in which a foreign body had entered the thoracic cavity, penetrating the lung tissue. The wound was cleansed and treated with antiseptic precau- tions. It healed and the animal made a perfect recovery. SOCIETY MEETINGS. 263 Dr. F. M. Starr, Odessa, Mo., presented a paper ; subject, " Cattle Poisoned by Fungi on Elders." Some of the symptoms of the cattle poisoned were : Sub-normal temperature, diarrhoea, oedema of sternum, accelerated respiration, pulse scarcely per- ceptible, nervous, would lie apart from the balance of bunch. The treatment administered was one pound Epsom salts and one ounce pulv. belladonna. No deaths occurred. Discussion was taken part in by Drs. Norton, Lucky, and Knowles. Dr. W. Warren of Sedalia, Mo., sent his paper on " Quittor," which the Secretary read at this time. The paper was discus- sed by Drs. S. T. Miller, Moore, and others. Dr. Moore gave an excellent talk upon the methods employed at the Kansas City Veterinary College in treating quittor. After operation, which consists in removing the lateral cartilage and diseased tissue, the parts are sterilized with formalin solution, then mop- ped dry with aseptic cotton and parts filled with iodoform. Some oakum, which is filtrated with iodoform, is placed over the wound, then firmly bandaging the parts down with tar bandages. The bandages are left on for four or five weeks. Out of ten cases only one proved a failure. In this case the flap consisted of scar tissue due to previous operation. The bandages are six yards of unbleached muslin. Two dozen are prepared at one time, placed in a can and pine tar poured over them. In a few hours the tar has thoroughly penetrated all parts. It is found that the tar does not soak into the band- ages if they are made from muslin that has been starched and bandages tightly rolled. Meeting adjourned. IN THE STOCK YARDS AGAIN. Meeting again reconvened 8 A. m. February 14, 1906, in fine- stock pavillion at Kansas City Stock Yards. Prof. Kennedy said : " Among the qualities a good judge must possess is first to be a close observer : to see things quickly and accurately. Second, judgment : to be well balanced in his judgment. Third, ideal type of the animal in mind which he is judging. Among things to keep in mind were, first, market demand. The type that brings the highest price. To keep in mind the breeding of heavy parts that bring the highest value upon the block ; second, breeding type of the animal, which includes color, weight, conformation, various points of dcvelop- tnent of head and neck, fore quarters, body, and hind quarters. The idea was first to determine the weak and then the strong 26 1 SOCIETY MEETINGS. points of the individual. The length and depth of the body, lowness to ground, straightness of top and under lines. Things to be observed in observing from behind are width of quarters, straightness of legs ; from in front, character of head, width of forcquarters, constitution as determined by width and depth of chest. Compact and smooth quarters, softness of skin, cov- ering^ of ribs, back, loins, etc., and mellowness of coat, were among the other points mentioned. The buyer of beef cattle should bear in mind : — the killing percentage, proportion of cut in back, loin and hind quarter, the quality of meat. Under points that indicate good feeding qualities were mentioned : — Deep in the flanks, low to the ground, smoothness of hips, tail, heads straight and low. Among the important points to be taken into consideration from breeding standpoint of Shorthorn are : General appearance ; conformation ; length, width, and depth, low to the ground ; quality and natural flesh ; width between the eyes ; shape of heads and horns and color. In this type red, red and white or roan are allowable. Color of nostrils should be clear, etc. ; bone should be medium size ; small joints ; head not too heavy ; straight in the legs and not down in the pasterns. Three heifers and three bulls of Shorthorn and the same numbers of Hereford were presented in their turn and those present were provided with score cards and each tried his hand at judging. At lo o'clock the judging adjourned and a meeting contin- ued at the horse sales pavillion, where a talk upon the breeding and judging of horses was given. Some of the interesting points in Professor Kennedy's remarks were : The man who breeds horses without type and simply has horses to sell is a failure from a financial standpoint. In the market demand for horses the draft horse occupies one of the most prominent places. They are easily reared, and when sound or serviceably sound are of high market value. The price of such animals is gauged by the weight of said animal. Each additional loo pounds from 1600 to 1800 raises the value $25; from 1800 to 2000 pounds $50 ; every 100 pounds over 2000 pounds $100. The prices of heavy harness, carriage and coach horses are arranged in like manner. The heavy harness, carriage and coach horse wear collar and back pad, may not be over 14 hands, and weigh 1000 to 1300 pounds ; should be good action, plump in form. The prices of such range from $200 to $3000. Those 15 to 16 hands are the most popular. The roadsters should have trottting speed with finish ; head and neck should SOCIETY MEETINGS. 265 be clean cut ; not so plump as the coach horse. The European plain-gait saddle horse has short tail and mane and can walk, trot, canter. The American gaited saddle horse has long tail and mane and can walk, trot, canter, pace, foxtrot, etc. The gaited saddle horse sells for a higher price than the plain gaited. A type of coach and draft horses was presented and a talk on the various points of each was made. Among the points brought out were that the draft horse should be low to the ground ; wide across the heel ; the width across the heel should be one-half the distance from the toe to the heel. A horse with an upright pastern is regarded as prone to develop side bones. Adjourned to luncheon. At 2 P. M. the judging of horses was resumed. Three Belgian stallions were presented ; all in attendance were pro- vided with score cards. The experience in judging of the va- rious types of horses under so competent an instructor as Pro- fessor Kennedy was greatly appreciated by all. In his visit to Belgium he observed that horses worked at an age of i8 months were consequently shod younger and as a result possess smaller feet. Two draft geldings furnished by Swift & Co. were pre- sented and scored ; J. Crouch & Son also furnished German coach and Percheron stallions. Meeting adjourned at 5 p. m., ending the most interesting meeting in the history of the Association. B. F. Kaupp, Secretary. MICHIGAN STATE VETERINARY MEDICAL ASSO- CIATION. The twenty-fourth meeting was called to order by President H. S. Smith, of Albion, in Parlor A, Downey House, Lansing, Feb. 6, 1906. City Attorney O. J. Hood, representing the Mayor of Lan- sing, gave an address of welcome in a very neat and pleasing manner, which was responded to very appropriately by Dr. G. W. Dunphy, of Detroit. The following members were present at roll-call : — Drs. Henry M. Armour, Litchfield ; W. L. Brcnton, Detroit ; J. Black, Richmond ; Hal L. Bellenger, Plainwell ; F. M. Blatch- ford, Brighton ; W. J. Byers, Charlotte ; Wm. Coxc, Mayville ; D. W. Curtis, Cadillac ; D. Cumming, Port Huron ; T. G. Duff, St. Louis; Frank Duncan, Ithaca; C. C. Dauber, Sturgis; G. 266 SOCIETY MEETINGS. W. Dunphy, Detroit ; J. S. Donald, Bay City ; W. H. Erwin, Howell ; M. E. Elzinga, Grand Rapids ; R. F. Erwin, Alma ; Geo. Fitchett, Caseville ; Thos. Farmer, Grand Blanc ; H. M. Gohn, St. Johns ; Geo. D. Gibson, Adrian ; James Harrison, Maple Rapids ; W. S. Hamilton, Chelsea ; Wm. Jopling, Owos- so ; J. J. Joy, Detroit ; C. L. Jones, Monroe ; A. McKercher, Lansing ; R. W. McDonald, Flint ; Geo. C. Moody, Mason ; Robertson Muir, Grand Rapids ; H. Wynn Nobles, Hastings; C. C. Petty, Lake Odessa ; Wm. J. Rook, E. Holland ; J. B. Stevens, Yale; H. S. Smith, Albion ; C. C. Slaght, Macon ; Z. Veldhuis, Freemont ; Geo. Waddle, Kalamazoo ; Geo. A. Wa- terman, M. A. C. ; C. A. Waldron, Tecumseh ; J. C. Whitney, Hillsdale ; J. E. Ward, Perry ; P. W. Wooley, Lapeer. Honorary members present : Drs. H. P. Baker, Lansing ; Prof. Chas. E. Marshall, M. A. C. Visitors present :— Drs. W. L. Mills, Peru, N. Y. ; T. L. Mc- Connell, Warsaw, N. Y. ; E. I. Rishel, Sturgis ; A. E. Alexan- der, Williamson ; W. A. Haynes, Jackson ; W. F. Carr, Bay City; D. S. Kriill, Union City; R. C. Rolls, Eaton Rapids; H. E. Rea, West Branch ; John W. Will, Flushing ; and T. H. Buckingham, Stockbridge. Ladies present : — Mrs. S. Brenton, Mrs. J. C. Whitney, and Mrs. G. W. Dunphy. Dr. H. S. Smith delivered his address as President, which was as follows : president's address. " Ladies and G-entlemen and Fellow- Practitioners : " Tt affords me great pleasure upon this occasion, the 24th annual meeting of the Michigan State Veterinary Medical Asso- ciation, to most cordially welcome you as you assemble once more in counsel for the further advancement and edification in behalf of the noblest of all professions, viz., administering to the wants of our dumb friends who cannot help themselves but suffereth and complaineth not. I commend in you this spirit of determination, which brings you together year after year, to glean and exchange knowledge that you and your fellow-practi- tioner may be of greater value in assisting the onward and up- ward progress of your profession ; and may your earnest endeav- ors be rewarded by the success they deserve, viz., by placing our noble profession on the plane it belongs with its sister pro- fession, and this reward surely must come, and which can only be reached by seeking for those qualities which ennoble us SOCIETY MEETINGS. 2o7 and qualify us that we become indispensable as professional cit- izens in the community in which we labor, hence thus we will raise the standard of the veterinarian far above where his kind have so long held him. So let us always be mindful of the fact that each and every act of ours, whether professionally or other- wise, are the only means by which our clientele and the public may determine our standing and through which we may re- ceive and maintain professional respect and appreciation, and as we are individually so shall we be collectively as a State asso- ciation ; and establish professional respect and appreciation throughout our State. And the same verdict may be applied to us as a national association or body, from which is determined our standing as a body of national benefactors and contributors to America's science. Hence, it is not far-fetched in saying that we as professional individuals are directly responsible in a de- gree for the standing of the same in the eyes of the veterinary world, and I believe that this was the sentiment of the pioneer members of our association when they met together twenty-four years ago and organized this association from which has result- ed a great deal of good, which you and I are to-day unconscious- ly enjoying. Since that time the pioneer members and the in- creasing membership have worked consistently for its better- ment and should have accomplished all that could be desired were it not for rivalry and contending influences ; and I wish that every qualified practitioner within our State would feel it incumbent upon him to consider himself responsible as an in- dividual for our professional standing in Michigan, for we arc its sponsors in the eyes of the veterinary world, and if Michigan does not keep apace with the wonderful strides which are being made throughout this and other countries we individually and collectively are responsible and must stand the reflection of crit- icism by our professional brethren of other States. Whereas, if, on the other hand, we raise the standard, so do we rise and merit all honors to our profession that other States are enjoying, as all other principal States have succeeded in obtaining satisfac- tory legislation to control the practice of veterinary medicine, it is with regret that we are obliged to acknowledge our veteri- nary legislation in Michigan falls far short of the ideals of us who are members of the Michigan State Veterinary Medical Association, and now I appeal to the younger members of our professson and also to those who are about to join our Associa- tion today ; in the name of the profession you represent and in honor of the various colleges from which you have graduated 268 SOCIETY MEETINGS. and for the sake of the standing of the veterinary profession in the State of Michigan, to extend to us your best endeavors and active assistance in furthering the progress of our profession, and I assure you if every qualified practitioner in the State of Michigan will but place a shoulder to the wheel with us in our endeavors, we will accomplish our object and each individual practitioner will reap a lasting benefit, and be the means of causing our State to become a more important factor in Amer- ica's scientific progress. We have reason to look upon some of our sister States with envy and pride in the rapid strides that they are making and the recognition that they are demanding and being rewarded ; among them Pennsylvania. With gratifi- cation we note that within the last year she has made appropri- ations of $200,000 for research in her veterinary and agricultural pursuits, also sent the Dean of their veterinary department as a delegate and representative to the World's International Medical Congress at Budaptst this year. But all this was not given without being asked for ; she first proved herself worthy of such a demand, then demanded and received it, thus proving that scriptural passage, ' Ask and ye shall receive, etc' This same stands good for Michigan, when we prove ourselves worthy of it. A word here with reference to our sanitary laws and commissions might not be amiss. While Michigan to-day is en- joying the good fortune of being as free and if not freer from in- fectious and contagious communicable diseases than any other State, she may not always be so favored by this good fortune ; while our commission has been a careful and watchful one, al- ways exerting the best of their abilities in behalf of the State, and deserve credit for the work done in the past, taking into consideration their limit of appropriation, etc., which prevents them from having suitable and proper means of carrying on experimentations with the various diseases of our country, and which are liable at any hour to crop out within our State and from which much valuable time would be lost before the proper methods of control and eradication might be inaugurated, and the financial loss of the live-stock industry in the meantime would suffer fourfold the amount necessary for maintaining a suitable place and provide an annual salary for a qualified vet- erinarian, who could then devote all his time and attention to said commission, and I am strongly in favor of having our State veterinarian paid a salary sufficient that he can devote his en- tire duties to research and experiments of such as would be of value to said commission and State and that a suitable place be SOCIETY MEETINGS. 269 provided for him, if not otherwise by having privilege and ac- cess to the bacteriological department of our Agricultural Col- lege in Lansing, Mich., and if such arrangements could be made the said State Veterinarian to locate permanently in Lansing during his term of ofl5ce, and devote his entire attention and best services to this work, which is impossible to obtain now under the system of paying them per diem. Still we have as a nation been slow in realizing the needs for such work ; so much so, that the Germans, who are considered a plodding nation, find it opportune to express themselves by an article, which appear- ed in the Seuchen Versuchsstationer^ and was copied by our American Veterinary Review a few months ago, which reads thus : " 'It is strange that the United States, with their vastly great- er live-stock possessions, have not before this made more ample provisions for investigation concerning diseases of animals and for veterinary education.' " Yet I feel that we can accept this with a German accent. However, we as a profession cannot but accept with regret that 'our country continues to be the only one of the leading nations of the world that maintains as civilians those who are engaged as veterinarians in our army service,' and you and I as individ- uals must stand for this criticism for not qualifying our demands to the extent that they will be recognized by the head of our military department and government. So let us get to work and do our share in remedying this neglect by uniting in a spirit of friendship and mutual cooperation, which are the essential factors in the solution of all difficult problems. Let us bury all bickerings and prejudices, which have retarded the advancement of our profession in the past, and continue the progress that has been made until the standing of the veterinary profession in Michigan becomes the envy of our sister States and a credit to the nation we represent professionally." After the President's address, the following gentlemen made application for membership : A. McKerracher, Bay City, Mich., O. V. C. '78. Ralph C. Harris, Fenton, O. V. C. '04. W. A. Haynes, Jackson, Chicago College, '03. A. E. Alexander, Williamson, O. V. C. '93. B. C. Smith, North Branch, O. V. C. '03. A. H. Macbeth, Battle Creek, O. V. C. 'Sg. H. E. Rea, West Branch, O. V. C. '02. John W. Will, Flushing, O. V. C. '97. 270 SOCIETY MEETINGS. Dan Hisey, Saginaw, West Side, O. V. C. '94. R. C. Rolls, Eaton Rapids, O. V. C. '94. D. S. Krull, Union City, O. V. C. 'cx). T. H. Buckingham, Stockbridge, O. V. C. '92. T. H. Attridge, Harbor Beach, Detroit College, '94. W. F. Carr, Bay City, O. V. C. '05. A. W. Simeral, Kalamazoo, Uni. of Missouri, '05. The applications were referred to the Executive Committee, which recommended as follows, that Drs. Haynes (vouchers Joy and Dunphy), Alexander (Smith and W. H. Erwin), B. C. Smith (Smith and Black), Carr (Dauber and Mix), Attridge (Smith and Black), Macbeth (Smith and Bellinger), Krull (Smith and Armour), Rolls (Smith and Black), Rea (Smith and Black), Will (Smith and McDonald), Hisey (Sutherland and Smith), and Buckingham (Smith and Black), be admitted to mem- bership, and that the applications of Drs. McKerracher and R. C. Harris be laid over, as they were unaccompanied by the re- quired fee. Also that the application of A. W. Simeral be held up until the college from which he graduated be investigated, and, if after investigation the Secretary and President be satis- fied. Dr. Simeral, upon the payment of fee, be admitted. Moved and supported that the rules be suspended and that the Secretary be instructed to cast the vote of .this Association for the following gentlemen : Drs. Alexander, Haynes, B. C. Smith, Carr, Attridge, Macbeth, Krull, Rolls, Rea, Will, Hisey, and Buckingham. Carried. The Secretary then cast the ballot and President Smith de- clared the gentlemen elected to membership. Moved and supported that the President appoint a commit- tee to ascertain how many would attend the banquet. Drs. Dunphy and Joy were appointed as such committee. On mo- tion the President also appointed a committee to arrange for transportation to the M. A. C. Dr. Bellenger was appointed as such committee. The annual report of the Secretary and Treasurer was read, and referred to the Financial Committee. Dr. James B. Bradley, Michigan Auditor-General, gave an address, which was very much appreciated. He spoke in a com- plimentary manner of the veterinary profession and the good that was being done in stamping out disease, of the vast impor- tance of the horse, of the strides of the veterinary profession in the past few years and the importance of the veterinarian in guarding the public against impure meat products. SOCIETY MEETINGS. 271 Moved and supported that we give Dr. Bradley a vote of thanks for his able and interesting address. Carried by rising vote. Correspondence was read from Governor Warner, Repre- sentative Morrice and from absent members, which was received and placed on file. REPORTS OF COMMITTEES. Legislation. — Dr. Wells, chairman, being absent, this report was laid over until the following day. Intelligence and Education. — Dr. Jopling reported quite fully for this Committee. He spoke of the fine improvement on veterinary lines. Thought it was good policy to get the professors at the M. A. C. to give us their support and good will. Was pleased to see two of them on our program. Speaking of the financial aid extended to the Veterinary Depart- ment of the University of Pennsylvania, he hoped such assist- ance could be procured from our State to establish a veterinary department at our Agricultural College, or at the U. of M. Finance. — Dr. Nobles, speaking for the Committee, said they had examined the books of the Secretary and Treasurer and found everything correct and a balance on hand of $70.10. Disease. — Report postponed until the following day. Moved and supported that we adjourn until 7 o'clock p. M. Reconvened at 7.30 p. m. ELECTION OF OFFICERS. Election of officers was first in order. Moved and supported that the President appoint two tellers. Drs. Joy and Duff were appointed. The following were elected : President — James Harrison, Maple Rapids. First Vice-President— R. W. McDonald, Flint. Second Vice-President— T. G. Duff, St. Louis. Third Vice-President — George D. Gibson, Adrian. Secretary-Treasurer — J. Black, Richmond. Directors — Hal L. Bellenger, Plainwcll ; H. M. Armour, Litchfield; W. L. Brenton, Detroit; J. B. Stevens, Yale; A. McKercher, Lansing; D. W. Curtis, Cadillac. CASE REPORTS Dr. J. C. Whitney's report on " My Experience With Crib- bcrs " was well received. The Doctor claimed good results from surgical treatment, but in every case it would recur after six or eight months. Dr. Joy in discussing this subject asked 272 SOCIETY MEETINGS. for a difference between a cribber and a wind-sucker, claiming they are different conditions. The Doctor was of the opinion that in the wind-sucker air was swallowed and that it caused indigestion and poor condition. Dr. Dunphy said he did not believe air was swallowed or sucked into the stomach. Dr. Armour thought it was possible. Drs. Smith and Duff also took part in the discussion of this subject. Dr. R. W. McDonald read his case report, "A Supposed Case of Rabies." He cited a case that came under his observation in which a dog showed the symptoms of rabies after being bitten by another dog, supposed to be rabid. The for- mer was destroyed about 14 miles from home. The owner went out and got the head, which Dr. McDonald sent to Dr. Marshall, Bacteriologist of the M.A.C. The latter injected some of the brain into rabbits and got no reaction. Dr. Muir discussing this case, said that he had seen but very little rabies in dogs, but had seen much among horses and cattle. Prof. Marshall said that the brain sent him by Dr. McDonald was in such a state of decomposition that the results might not be re- liable and that possibly the dog might have been rabid. He also claimed that the period of incubation might be as short as 7 or 9 days, according to virulence of the virus. Dr. Dunphy also made this claim, but the period was usually from 14 to 24 days. In cows from 13 to 27 days. Dr. Armour's experience was 13 to 47 days. Adjourned to banquet at Church Parlors of the Episcopal Church. MICHIGAN AGRICULTURAL COLLEGE — FEB. 7TH, 9.30 A. M. Met in the stock-judging class room for clinic, where the following operations were performed : Operation consisting of dividing the tendon of the peroneus muscle for stringhalt, by Dr. Hal L. Bellenger. Operation upon an alleged cryptorchid. Dr. Dunphy. Operation of trephining for the purpose of exploring a facial fistula. Dr. Geo. M. Moody. This operation revealed a tooth deposit that was in a caries condition and was thought to be the cause of the fistula. Adjourned to the Veterinary Laboratory, where Dr. McDon- ald operated on a bitch, performing ovariotomy, and Dr. Dunphy operated on a wry tail. 1.30 P. M. — Chapel, M. A. C. Meeting called to order by President. Roll-call. SOCIETY MEETINGS. 273 Prof. D. C. Smith, of the Experimental Station of the Agri- cultural College, being in a hurry to be excused, was called upon for his address upon *' Live-stock and Public Health." Among other things, the Professor said there was a great difference in the action of tuberculin owing to the quality, and he thought a pure article should be provided by the State authorities and be placed in the hands of every veterinarian requiring it. In con- clusion he extended the good will of the M. A. C. to the visiting vets and asked them to look over their live-stock and farm and to come again. Upon motion, a vote of thanks was extended to Prof. Smith for his contribution to our program. Dr. James Harrison read an interesting paper upon an inter- esting subject, viz : " Chemical Knowledge of Food Stuffs as an Aid to Diagnosis." Dr. Veldhuis read a very interesting paper entitled, " Im- pressions Received at the A. V. M. A." The Committee on Legislation through Dr. H. M. Gohn made a report at this time. Dr. Gohn stated that owing to op- position from those high in the council of the powers, that nothing was accomplished this year. Dr. Black reported that when conditions existing were discovered efforts were with- drawn owing to the hopelessness of our prospects and that only about $22 had been expended for this purpose during the year. Dr. Harrison advised the necessity of beginning our efforts by educating the farmers and enlisting them in our behalf. Dr. H. S. Smith also advised this course. Committee on Diseases was also called upon to make its re- port. Dr. Dunphy, chairman, gave a very interesting talk and exhibited some specimens of intestinal calculi found in the ali- mentary tract of one of P. D. Co.'s laboratory subjects. A nail formed the nucleus arid the deposit was apparently cement, sup- posed to come from the floor through the animal licking. Dr. Dunphy called upon Dr. J. B. Stevens, of Yale, to report a mys- terious disease he had encountered at Byron, Michigan. Dr. Stevens said the outbreak occurred in a stable of imported stal- lions. The symptoms were as follows : temperature from 103 to 107 F., painful grunt with each breath, with each expiration the blood would spurt from both nostrils with a gush and would continue until the discharge would be as clear as water, head pendulous, constipated, urine dribbling almost continuously. The majority of those stricken recovered after a long and criti- cal period of convalescence. No such disease had been encoun- tered by any of the gentlemen present. 374 SOCIETY MEETINGS. Dr. George A. Waterman, Professor of Veterinary Science at the M. A. C, gave an address at this time entitled " Thoughts." The Executive Committee reported favorably upon A. E. Alexander's application, and recommended that Dr. Wilkinson be suspended for the non-payment of dues and given the privi- lege of making application as a new member. The report and recommendation were received and adopted. Moved and supported that a meeting of this Association be held in Detroit next fall during the State Fair. Arrangements and date to be left to the officers. President-elect Harrison was called upon and after a short address he appointed the following standing committees : Intelligence and Education. —Dr. F. M. Blatchford, Brigh- ton ; Dr. H. L. Bellenger, Plainwell ; Dr. J. B. Stevens, Yale. Diseases. — Drs. Z. Veldhuis, Fremont ; William Jopling, Owosso ; Prof. C. E. Marshall, M. A. C. Finance. — Drs. C. C. Petty, Lake Odessa ; George Fitchett, Caseville ; H. Wynn Nobles, Grand Ledge. Legislation. — Drs. C. A. Waldron, Tecumseh ; J. E. Ward, Perry ; C. C. Dauber, Sturgis. Resolutiofis. — Drs. W. H. Erwin, Howell ; W. H. Wilkinson, Holley ; C. C. Slaght, Macon. Press.— Vixs. W. L. Brenton, Detroit ; D. S. Krull, Union City ; D. W. Curtis, Cadillac. Clime— T>rs. S. Brenton, Detroit ; J. J. Joy, Detroit ; G. W. Dunphy, Detroit. Moved and supported that we adjourn to meet in Detroit, State Fair time. Carried. J. Black, Secretary. TEXAS VETERINARY MEDICAL ASSOCIATION. Pursuant to a call issued by President Flowers, the mem- bers assembled at the Fair Grounds, Dallas, March 19, for their fourth annual meeting. It having been decided by the Execu- tive Committee that the programme this year should consist of clinics and an evening session only, the members proceeded thence to the commodious hospital of Dr. L. E. Warner, at 186 Thomas Ave., where several cases, gathered through the efforts of the Dallas members, Drs. Flowers, Warner and Langley, awaited their attention. After these were inspected, examined and discussed, several successful operations were performed by Drs. Bray, Lewis, Marstello and Francis. An interesting and SCKIETY MEETINGS. 275 spirited discussion ensued upon the exhibition of several other interesting cases. This concluding the first part of the day's program, the members separated to meet again at the Elite at 8 p. M., where a very enjoyable and delightful menu awaited them. For an hour or two the pleasures of the table added zest to social and fraternal converse, while matters professional were touched upon informally. At its conclusion the regular order of business was entered upon as follows : Roll-call : — The following members responded : Drs. M. Francis, College Station ; F. G. Cook, Paris ; W. G. Langley, Dallas ; L. E. Warner, Dallas ; Jas. Lewis, McKinney ; Wm. M. McKellar, Ft. Worth ; S. G. Bittick, Ft. Worth ; G. R. Flowers, Dallas ; A. 15. Flowers, Dallas ; T. A. Bray, El Paso ; W. A. Knight, Houston ; E. L. Lewis, Waxahachie. The minutes of the last annual meeting were read and ap- proved. The Executive Committee submitted the following report : " We, the Executive Committee of this Association, have examined the applications and credentials of the following ap- plicants for membership, and recommend them to the ballot of the Association : Drs. Ross Marstello, College Station ; T. W. Watson, Corsicana ; L. E. Johnson, El Paso ; R. W. C. Lowry, Amarillo; J. C.Brown, Cleburne." (Signed) " A. E. Flowers, President. " T. A. Bray, Vice-President. " W. G. Langley, Treasurer. "E. L. Lewis, Secretary." Treasurer Langley submitted the statement of receipts and expenditures since last meeting, which was approved. The admission of new members now being in order, the fol- lowing names were presented, as per report of Executive Com- mittee, and upon ballot were unanimously elected to mem- bership : Ross Marstello, D. V. M., Ohio State Univ., '06, College Station. T. W. Watson, V. S., Ontario, '87, Corticana. L. E. Johnson, D. V. M., U. of Pa., El Paso. R. W. C. Lowry, D. V. S., K. C. V. C, '05, Amarillo. J. C. Brown, D. V. S., U. of K. C, '04, Cleburne. The application of Dr. J. W. Burby, of San Antonio, held over from last meeting, was now considered, and it being shown that the error was unimportant. Dr. Burby was unanimously elected to membership. 276 SOCIETY MEETINGS. The election of officers for the ensuing year resulted as follows : President— T. A. Bray, El Paso. First Vice-President — L. E. Warner, Dallas. Second Vice-President — Jas. Lewis, McKinney. Secretary — E. L. Lewis, Waxahachie. Treasurer — M. Francis, College Station. Under new business, the program for the next meeting came up for discussion. Dr. Lewis, of Waxahachie, moved that we include a series of brief papers along practical lines to be presented and read at the next meeting. Dr. Langley moved a committee composed of the President and one member on place of meeting, be appointed to map out program as suggested. Carried. A vote of thanks was extended Dr. Warner for his cour- teous invitation to the Association to utilize his finely-equipped hospital for the morning clinics. A vote of thanks and appre- ciation was also extended the retiring officers of the Associa- tion, for their zeal in behalf of the Association and profession during the past year. Photographs of the operations at the morning clinics hav- ing been taken by a city photographer, it was moved by Dr. Warner, duly seconded, that they be purchased by the Associa- tion, provided same proved satisfactory. Carried. Dr. Langley was appointed as a committee to pass upon and purchase one for each member. Dr. Bray here exhibited a specimen of sarcomatous growth from the eye of a steer. This growth, it seems, is not uncommon in some regions, and is of an insidious and serious character, involving the entire orbit, the soft tissues and membranes adja- cent to eye, and finally enveloping entire head. Upon micro- scopical examination its cancerous nature was apparent, it be- ing composed of round cells seemingly of embryonic connective tissue, with traces of epithelial which had the appearance of in- vaginated conjunctivae. The Doctor stated the lesion was most prevalent among "white faces," and always attacked the choic- est of the herd. He attributed them to infection by the horn fly. Dr. Fallsetter testified to seeing the same in the horse and mule. One of the horses was an Albino. He noted a gradual enlargement of the membrana nictitans. Treatment of six weeks of no avail. Enucleation was performed, he finding generalized necrosis of ball and bones of orbital fossae. Most cases observed began in summer. Dr. Marstello stated he saw SOCIETY MEETINGS. 277 two cases in horses and one in dog. In his opinion, it began in horses on the cornea and in cattle on membrana nictitans. After operating on horse he had a recurrence. It was the con- sensus of opinion of all who had had similar experience that medi- cinal treatment was futile, and the only satisfactory method was extirpation of all parts involved. Dr. Falsetter, of Dallas, was called upon and responded in a happy and feeling manner, expressing his pleasure in being a guest upon such an auspicious gatheiing of the profession of the State. He prophesied great things for the future of the pro- fession and urged ceaseless effort toward the uplifting and pro- gression of the members as useful and honored citizens of the commonwealth. Dr. Falsetter is one of the pioneer veterinary surgeons of the Lone Star State, having settled here many years ago, when veterinary surgeons were almost unknown. Judge Hawkins, of the Sanitary Commission, also a welcome guest of the Association, on being called responded in a felici- tous speech, concluding with an earnest appeal that members take cognizance of the paramount importance of sanitary work in that it is fraught with so much that is vital and important to the welfare of any community. He emphasized the growing appreciation by the public of the intelligent efforts of trained men along these lines, and of its equal importance when studied and exercised by the veterinary practitioner, who is, and should be, in conjunction with the practitioner of human medicine, his coadjutor and colleague in the guardianship of public health and hygiene. While the attendance at this, our 4th annual meeting, was not as large as we hoped, still it was a very satisfactory and en- joyable one. The membership is steadily increasing, and it will not be long before we will have an association of which the State can well be proud. Veterinary legislation, as in the past, will be our slogan in the future, and this obtained all other matters will be easy. Recognition and protection are absolutely essential to establish for all time the status, socially and pro- fessionally, of the veterinarian. That " unique antique '* of blow and bluster, of buckskin and blasphemy, that 4-plied quintessence of gall and galluses, the " hoss doctor " of old, so long the weap- on with which the public hurled contempt at the profession, and for whose fat catalogue of sins of commission and omission the qualified veterinarian has had to bear the brunt and burden, will soon attune his unwashed ear to the requiem sounding in the distance. 278 SOCIETY MEETINGS. There being no further business before the Association, on motion of Dr. Francis, duly seconded, the Association adjourned, subject to the call of the Executive Committee. E. L. Lewis, Secretary. CONNECTICUT VETERINARY MEDICAL ASSO- CIATION. The annual meeting was held at Hotel Hartford, Hartford, February 6, 1906, and was called to order by the President, Dr. Gardner, at 11.30 A. m. The following responded to roll-call : — Drs. C. L. Adams, H. E. Bates, F. F. Bushnell, H. C. Balzer, G. T. Crowley, G. E. Corwin, Jr., B; K. Dow, J. H. Gardner, L. B. Judson, J. H. Kel- ley, P. T. Keelev, R. P. Lyman, G. W. Loveland, R. D. Mar- tin, E. C. Ross, J. E. Underbill, H. Whitney, C. R. Witte, and H. L. Tower. Visitors : — Drs. B. D. Pierce and Harry Lukes, Springfield, Mass. ; J. A. McLaughlan and L. T. Dunn, Providence, R. I. ; C. T. P'rye, River Point, R. I. ; R. H. Davis, Bridgeport, Conn. : W. H. Pullen, Greenwich, Conn. ; G. A. Smith, New Haven, Conn., and H. O. Averill, Washington Depot, Conn., Commis- sioner of Domestic Animals, also an honorary member of the Association. Minutes of the previous meeting were read and approved. Letters were read by the Secretary from the honorary mem- bers, replying to notices informing them of their election to honorary membership in the Association at its last meeting. It was voted that the letters be placed on file as property of the Association. Several other communications were read and laid on the table until other business could be transacted. Reports of the Secretary and the Treasurer were read and accepted. The Board of Censors reported unfavorably on the applica- tion of George A. Smith, V. M. D. A ballot was called for, re- sulting in a unanimous rejection of Dr. Smith's application. The following applications for membership were read and referred to the Board of Censors : Robert Holt Davis, D. V. S., N. Y.-A. V. C, Bridgeport. W. H. Pullen, V. S., O. V. C, Greenwich. William J. Glasgow, V. S., O. V. C, Springfield, Mass. The election of officers resulted as follows : President — Dr. G. W. Loveland. SOCIETY MEETINGS. 279 First Vice-President— Dr. J. H. Kelley. Second Vice-President — Dr. R. D. Martin. Secretary — Dr. B. K. Dow. Treasurer — Dr. Harrison Whitney. Board of Censors — Drs. Thos. Bland, J. H. Gardner, F. F. Bushnell, L. B. Judson, and J. E. Underbill. Adjourned for dinner at 12.45. Reconvened at 2.30 P. M. Under the head of new business, it was voted to pay the Secre- tary a salary of $25 a year, to begin with the ensuing year. Dr. R. P. Lyman presented a bill from Attorney Garvan, of Hartford, for $100, balance for services in securing the present veterinary law for the Association. Dr. Gardner made a mo- tion that Dr. Lyman see Lawyer Garvan and inform him that the Association considered he had received sufficient fees for his services and that the Association could do no more. Motion seconded and carried. A letter was read from the Secretary of the Massachusetts Veterinary Association, asking if the Connecticut Association would accept financial assistance from their Association to make the New Haven meeting of the A. V. ^L A. a New Eng- land convention as far as possible. It was voted that the Con- necticut Veterinary Medical Association thanks the Massachu- setts Veterinary Association for their kindly offer of finances and cooperation towards the entertainment of the A. V. M. A. in New Haven next August, and that as the Connecticut Veteri- nary Medical Association has invited the National Association, they desire to make it a State affair. The Connecticut Veteri- nary Medical Association would be pleased to accept and ac- knowledge any financial aid that the Massachusetts Veterinary Association may offer, and requests that a delegate or delegates from their Association be selected to serve upon the local com- mittee of arrangements. Motion made and seconded that the Association be a committee of itself to entertain the A. V. M. A. at the New Haven meeting, with a sub-committee composed of seven mem- bers, to be appointed by the President. Motion carried. The President appointed for the sub-committee, Drs. Ingram, Kelley, Ross, Whitney, Bland, Martin and Lyman. Dr. Ross announced that suit had been brought against the Association by Dr. F. G. Atwood, who was expelled for unpro- fessional conduct at the annual meeting in 1904. The papers were served on Dr. Ross, setting forth the claim of $1,000 dam- ages.- After the papers specifying the claim for damages had .280 SOCIETY MEETINGS. been read, Dr. Lyman presented Dr. Atwood's resignation as a member of the Association and tendered his dnes to date, saying Atwood claimed he was not legally expelled from member- ship and was therefore still a member of the Association. He stated he had talked the matter over with Dr. Atwood several times, and that Atwood had agreed to withdraw the present law suit if the Association would accept his resignation. This announcement started a lively discussion, in which most of the members freely and vigorously participated After the case had been argued long and earnestly, it was voted that, provided Dr. Atwood will withdraw his suit against this Association, and make sworn affidavit signifying in writing over his signature that he will not bring further suit against this Association col- lectively or against any individual of this Association, that may have a bearing upon the lines of the present suit, his resigna- tion will be accepted at the next meeting of this Association, and that he shall discontinue all further advertisement or publica- tion of this affair. The Secretary was instructed to notify Dr. Atwood of this action. Dr. Ross, chairman of the Committee on Resolutions on the death of Dr. Nathan Tibbals, offered the following : " Whereas, It has pleased God in His infinite wisdom to call from this world our esteemed and honored professional brother, Nathan Tibbals, at the close of a long life of useful- ness and success in his profession, and of kindness and assist- ance to all with whom he came in contact ; be it " Resolved^ That we, the Connecticut State Veterinary Med- ical Association, individually and as a body, pause for a mo- ment to express our regret at the loss of so honorable a member of our Association and so good and true a friend of veterinary medicine, and to convey to his relatives and friends our sympa- thy in their bereavement and sorrow." It was voted that the resolutions be adopted and spread on the records of the meeting and a copy be sent to the family of the deceased. After the business of the meeting had been transacted. Com- missioner on Domestic Animals H. O. Averill, an honorary member, gave a short address on sanitary conditions of keeping cattle in stables. Dr. C. R. Witte read a paper on " Tuberculosis." Dr. R . P. Lyman read a paper on " The Veterinarian in Connecticut : His Attainments and His Possibilities."* * Published in the March Review. SOCIETY MEETINGS. 281 Dr. B. D. Pierce, of Springfield, Mass., gave an interesting description of an outbreak of rabies in Massachusetts and his experience in tracing the origin of the various cases. Dr. L. T. Dunn, of Providence, R. I., spoke of the work his Association was doing toward veterinary legislation. An interesting discussion followed each paper and address. It was voted to hold the semi-annual meeting in New Haven at call of the President. Meeting adjourned at 5.45 p. m. B. K. Dow, Secretary. VETERINARY MEDICAL ASSOCIATION OF NEW YORK COUNTY. The regular monthly meeting was called to order at 8.30 p. M., Dr. C. Pv. Clayton, the Vice-President, in the chair. Roll-call dispensed with. Minutes of previous meeting adopted as read. Members present : Drs. J. E. Ryder, C. E. Clayton, E. B. Ackerman, J. L. Robertson, J. E. Assing, C. Lamensdorf, Ros- coe R. Bell, R. S. Mackeller, T. A. Keller, R. Dickson. D. J. Mangan, C. W. Shaw, J. J. Foy, R. J. Schreiber, T. G. Sher- wood, A. O'Shea, W. Lellmann, G. F. Bowers, R. W. McCully, R. W. Ellis, G. H. Berns, and F. C. Grenside. Visitors : Drs. F. H. Miller, W. Reid Blair, T. S. Childs, A. Silkman, and Hayes ; also students of the New York-American Veterinary College. Dr. F. H. Miller read a paper on " Observations Made in the Diagnosis and Treatment of Parasitic Dermatitis of the Dog."* Dr. Bell then took the chair, and a very instructive discus- sion followed on Dr. Miller's paper. Dr. Wilfred Lellmann spoke on " Some Interesting Facts," during which he told of the results he has obtained in the use of bovovaccine. The Doctor's talk was very conservative, and he reminded the members that science has no country. Dr. Miller reported a couple of dog cases ; he recited the history of each, and Dr. Blair reported the results of a micro- scopical examination of one of them. Dr. F. C. Grenside read a paper on " A Veterinarian at the Horse Show."* The discussion which followed revolved itself around a great number of practical facts, and settled some ques- tions on the problems which a veterinarian meets at the horse show. Will be published in % later number of the Kfvikw. 2SZ SOCIETY MEETINGS. The subject of illegal practicing was then taken up and a motion was made and carried to establish a prosecuting fund by the aid of voluntary subscriptions. Dr. Clayton moved to appoint a prosecuting committee of three. Dr. Ackerman moved to amend Dr. Clayton's motion ; instead of three, have the committee composed of four members, the fourth being the President of the Association. The original motion and its amendment were duly seconded and carried. Dr. Ackerman moved, it was seconded and carried that the committee be empowered to employ agents and an attorney. The President appointed the committee, which consists as follows : D. J. Mangan, chairman, E. B. Ackerman, C. E. Clay- ton, Roscoe R. Bell. Meeting adjourned. D. J. Mangan, Secretary. MAINE VETERINARY MEDICAL ASSOCIATION. The quarterly meeting was held at Belfast, April nth, 1906, and consisted of a clinic at the hospital of Dr. Darling during the afternoon, at which a number of interesting cases were pre- sented for treatment. Different operations were performed by all members present, and each case was thoroughly and ably discussed by all. The clinic proved, as usual, to be a drawing card, and twelve members turned out and helped to make a most interesting and profitable afternoon. At 7 o'clock the members adjourned to the Windsor Hotel, where a hearty supper was thoroughly enjoyed. The regular business meeting was called to order at the Windsor Hotel at 8.10 P. M., President, Dr. Blakely, in the chair. The following members answered to roll-call : Drs. Blakely, Augusta ; F. E. Freeman, Rockland ; Lord, Portland ; Joly, Waterville ; Darling, Belfast ; McGillicuddy, Bath, and R. E. Freeman, Dexter. Vis- itors present were Drs. H. L. Stevens, Farmington, and Wm. Jackson, Belfast. The minutes of the last meeting were read and approved. The application of Dr. Pugsley, of Ashland, was read and accepted, and it was voted that he be made a member upon pay- ment of initiation fee and signing Constitution and By-laws, and the Secretary was authorized to write him of same. Moved, seconded, .and carried, that the Secretary notify all members who are back in dues to pay up to date or be suspended, and that the Secretary is to hold back certificates until all dues are paid. SOCIETY MEETINGS. 283 I Moved and carried that the books of the past Secretary and Treasurer be audited by the Executive Committee. Moved by Dr. Lord that the President look into the matter of Dr. W. H. Spear, of Portland. Carried. In the matter of our new veterinary law, Dr. Freeman made complaint against one so-called horse doctor in his county, and asked the help or advice of the Association. Moved by Dr. Mc- Gillicuddy, of Bath, and seconded by all members present, that Dr. Freeman employ counsel and prosecute this man, and that the Association stand by what he does. Carried. The next subject being the reading of papers. The Associa- tion had the pleasure of listening to a paper by Dr. A. Joly, of Waterville, entitled "Hog Cholera and Swine Plague." This was a fine paper, and the Doctor reported cases where he used the serum treatment with very gratifying results. This paper was fully discussed by all members present. Dr. F. E. Freeman, of Rockland, was excused from reading paper by reporting a number of cases, especially where he per- formed csesarian section on the hog and bitch with very flatter- ing results. Distemper in dogs was fully discussed by all members and all different remedies in the treatment of the disease were discussed. Tuberculosis was discussed by all members, and was very interesting. Voted that the next meeting of the Association be held in Augusta at Hotel North the second Monday in July. Papers to be read by Drs. F. E. Freeman and W. S. Lord. Communications to be read by Drs. Murch and Salley. A vote of thanks was extended Dr. Darling, for the valuable clinic he prepared for the meeting ; also to Dr. Joly for the able paper that he read. Meeting adjourned at ii p. m. R. E. Freeman, Secretary. INDIANA VETERINARY COLLEGE ALUMNI ASSOCI- ATION. This Association met March 30, at 2 P. M., at the College Building. Roll-call developed the fact that it was the best at- tended meeting it has had. Ten new members were admitted. It was ordered that a banquet should follow the next meeting. One of the main features was that of urging the new members 284 SOCIETY MEETINGS, to spend much time reading veterinary publications, books, new literature, etc., including especially the American Veterinary Review. Officers elected for the ensuing year were as follows : President — Dr. J. J. Herron, Tipton, Ind. Vice-President — Dr. H. Alhersmeier, Indianapolis, Ind. Secretary-Treasurer — Dr. Ferd. A. Mueller, Indianapolis, Ind. Ferd. A. Mueller, Secretary. AMERICAN VETERINARY MEDICAL ASSOCIATION. FORTY-THIRD ANNUAL MEETING, NEW HAVEN, CONN., AUGUST 21 TO 24, 1906. 5246 OsAGB Ave., Philadelphia, Pa., April 16, 1906. To the Members of the American Veterinary Medical Associa- tion : As has been previously announced through the columns of the Review, the next meeting will be held at New Haven, Connecticut, August 21 to 24, 1906. The date being only four months distant it is necessary for us to become active in prepara- tion of the program. It is, therefore, requested that the mem- bers very soon send to this office the titles of their papers for this meeting so that the question as to the character of the pro- gram may be settled early. There are many who defer their decision in regard to attendance until they know what the pro- gram is going to be. An early announcement of the contribu- tors and their subjects will aid greatly in getting a large attend- ance. The report of the Cleveland meeting has been sent out and is now in the hands of the members. It is the largest book yet issued and is replete with good things. This book is certainly worth as much as the yearly dues, so that in this item alone each member has returned to him the annual outlay for his membership. In each case the report has been sent to the ad- dress last furnished to the Secretary's office. If any member has failed to get his copy, it is likely due to a change of address of which this office has not been notified. In this connection I should like to call attention to the fact that it is important to inform the Secretary immediately upon changing address. Our membership should be much greater than it is. There are many good men scattered all through the country who ought in their own interest as well as that of the profession to be mem- bers. Each member has a duty to perform in directing these SOCIETY MEETINGS. 286 men into our organization. Our growth would be more rapid if our missionary spirit were stronger. The amendment adopt- ed at St. Louis requiring the application for membership to be in the Secretary's office thirty days before the meeting, resulted in fewer than usual securing election at Cleveland. Now that plenty of notice has been given this should no longer stand in the way, and the record at New Haven should far exceed that of any previous meeting. Remember that the application must be in before July 23, 1906. Application blanks and informa- tion will be furnished by your resident secretary or by this of- fice. The list of resident secretaries may be found in the report of proceedings. Let each one determine now to contribute his full share to the success of the meeting and start at once with the aim to ac- complish glorious results at New Haven. Sincerely yours, John J. Repp, Secretary. * * ♦ A MODEL RESIDENT SECRETARY. Editors American Veterinary Review: Dear Sirs : — I am sending you the following letter to print as a sample of the sort of enthusiasm which if generally rhown would soon swell our membership to the point at which it should be. My hope is that it may act as a ferment to the entire num- ber of Resident Secretaries, yes, even to the whole Association. Respectfully yours, John J. Repp, Secretary. "Nashville, Tenn., March 25. 1906. " Dr. J. J. Repp, Philadelphia, Pa. " Dear Doctor Repp : — Your circular letter to Resident Secretaries received and contents carefully noted. It is quite an explanatory production and is O. K. for the purpose for which it is intended. I also received the copies of Constitution and By-laws and application blanks. Please send me about three or four more of each, as I am liable to need them. I expect to visit each and every eligible veterinarian in Tennessee and make a personal appeal for his membership in the A.V. M. A. I feel almost safe in promising to put the application of every eligible man in this State \\\ your hands before the New Haven meeting. Yours truly, G. R. White." A despatch from Fort Dodge, Iowa, dated April 16, says: ** M. Stegner, a veterinarian, stooped over the bedside of his dying wife to catch her last words today and fell dead beside her." 286 NEWS AND ITEMS. NEWS AND ITEMS. Dr. M. R. Thynge, of Morton, N. Y., has located in Char- lotte, Mich. Prof. Curie, the discoverer of radium, was killed by being run over on April 19. Dr. F. V. Matthews has established a nice practice and a very neat veterinary hospital in McKeesport, Pa. Prof. Wm. L. Zuill, formerly of Philadelphia, Pa., is[pro- fessor of laryngology and rhinology in the College of Physicians and Surgeons of Los Angeles, Cal. Dr. Wm. Nicholson has been appointed city veterinarian of Allegheny, Pa., succeeding Dr. C. W. Boyd, owing to changes in political administration and authority. Dr. Harry E. Emery, of Pittsburgh, Pa., has lately built a large six-story pressed brick building, which he uses as a hos- pital, shoeing forge, boarding and sale stable. Dr. Judson Black, Secretary of the Michigan State Asso- ciation, has been reelected Treasurer of his municipality by a small majority, although his political party is about 200 in the minority. Drs. a. B. Sexmith, of South Lyons, Mich., and C. C. Mix, of Coldwater, Mich., graduates of the Ontario Veterinary Col- lege, took a postgraduate course at the Chicago Veterinary College during the term just closed. Dr. VV. E. Wight has built an elegant residence and a com- modious veterinary hospital in the aristocratic section of Pitts- burgh, Pa., after having amassed a comfortable fortune in seven years in general practice in Pennsylvania. Dr. Jas. Harrison, of Maple Rapids, Mich., President of Michigan State Veterinary Medical Association, has been ap- pointed health officer in his town after a contest in which the Doctor and two M. D.'s were participants. The Nocard Monument. — At the last meeting of the Committee for the erection of the Nocard Monument it was de- cided that the ceremony will take place in the School of Alfoit, France, in the forenoon of June 24, 1906. Any of our readers contemplating visiting Europe this summer should make a note of this date, and be present at this important function. Dr. D. O. Knisley, of Topek a, 'Kansas, is the inventor of a new design of stomach tube for use in the horse. It differs from other tubes in being double to permit the injection of fluid through a lesser and thinner walled compartment, and thereby NEWS AND ITEMS. 287 thin the stomach contents that it may flow more freely out through the larger and more rigid walled compartment. The Washington State College, Pullman, Wash., an- nounces the establishment of a four years' course in veterinary science, leading to a Bachelor's degree. We observe a full com- plement of veterinarians in the faculty, including Sofus B. Nelson, D. V. M., professor of veterinary science ; Maynard Rosenberger, D. V. M., bacteriology and pathology ; Kirk W. Stouder, D. V. M., anatomy and surgery ; Wyatt E. Ralston, D. V. M., obstetrics ; and Otto Menig, D. V. S., ophthalmology, while the allied branches are in charge of experienced teachers and specialists. "The Rapid Diagnosis OF Rabies," by Langdon Froth- ingham, M.D.V. (Austin Teaching Fellow in Bacteriology, Harvard Medical School), is the title of a splendid article in the Journal of Medical Research for April, 1906. The recent ex- tensive outbreak of rabies in Massachusetts has given Dr. Frothingham an opportunity to study the two chief methods of rapid diagnosis — the pathological changes in the nerve ganglia and the presence of the so-called Negri bodies. Among the conclusions of Dr. F. the following are noted : "The presence of Negri bodies is diagnostic for rabies, and, if found, animal inoculation is unnecessary. . . . The Amnion's horn is the most likely place to find Negri bodies ; if not found in impres- sion preparations of Amnion's horn, they must be sought for in sections. . . . If no Negri bodies can be found, and there are no lesions in the Gasserian ganglion, a negative report may be made ; but if persons have been bitten, animal inoculaticns are advisable to allay apprehension." The Agglutination Method of Diagnosing Glanders is being extensively tested by Dr. Veranus A. Moore, of Cornell, in connection with several practitioners of Brooklyn, the latter of whom supply Dr. Moore with specimens of blood from glan- dered or suspected cases. The results of the testing have been so accurate as proven by clinical symptoms, by subsequent de- velopment and by post-mortem findings that enthusiasm has been aroused, and Dr. (ieorge li. Berns is fitting up in his Brooklyn hospital a laboratory for the use of Mr. Cassius Way, assistant to Dr. Moore, where the tests can be made immediately after the withdrawal of blood. Dr. Way will spend his summer vaca- tion in Brooklyn, and the practitioners will keep him well sup- plied with material, as it is always accessible in this hot-bed of glanders. Dr. Ackerman, veterinarian to the Health Depart- 388 NEWS AND ITEMS. inent, has had some rcniaikably accurate diagnoses from Dr. Moore. Veterinarians of New York City are urged to cooperate with Mr. Way to the end that a thorough test of the new method may be had, and accurate data furnished for the pa- per which Dr. Moore is preparing for the New Haven meeting of the A. V. M. A. WHAT REVIEW SUBSCRIBERS SAY. " The Review is better than ever. It is the ' solid extract' of the profession." — (/. Payne Lowe^ D. V. S., Passaic^ ^- J-) " I could not do without the Review as its arrival is al- ways a source of great pleasure." — {F. E. Andersotiy Fine/lay^ Ohio.) " We consider the Review a very valuable publication, and indispensable to veterinarians." — {Drs. Jones and [ones^ Blan- ches ter^ Ohio.) •'If a veterinarian intends to be up-to-date he must be a faithful student of the A>^Eruisiana State V. M. Ass'n.. Twin City V. M . Ass'n Hamilton Co. (()hio> V. A Mississippi State V. M. Ass'n.. Date of Next Meeting. Aug. 21-24, '06 July 12-13, '06 Call of President Sept. I1-12 13 June 20. Monthly, Call Exec. Com. Monthly. July 9, 1906, Place of Meeting State Fair week April, 1907. July 12, 1906. Call ol Prest. Not Stated. 1st Wed. May 1st Wed. ea. mo July 12,1906. July, n, 12, '06 2d Tues. May 1st Mon. in June June and Dec. Mch.Je.Sep.Dc Jan.Apl.Jy.Oct, July, 1906. Jan, 8-9. '07. I St & 3d Thur, of each month, April each yr. Monthly. Augost, 1906. N. Haven, Ct Asbury Park New Haven. Buffalo. Reading. Paterson, N.J, Boston. Augusta. Ottawa. Detroit. 141 W. S4thSt Bloomington. Sheboygan. Decatur. Winnipeg. Name and Address Secret a ff. 141W. S4thSt Columbus, Pittsburgh Rocht'r.N.V. Minneapolis. Philadelphia. Denver. Providence. San Francisco Ix>s Angeles. Brookings. Topeka. I.ect R'mlji. val Un'y Mon. New York. Mon. & Que. Pullman, Wa, Cincinnati. Agricultural College. J. J. Repp. Phila., Pa. \V. H Lowe, Paterson. B, K. Dow. Willimantic. G. T. Stone, Binghamton. W, G. HuyeU. Wemersville. H. K, Berry, Paterson, N. J. E. L. Lewis, Waxahachie. F. J. BabbiU, Lynn. Mass. R. E. Freeman, Dexter. A. E. James, Ottawa. Judson Black, Richmond. W. C. Miller, N Y. City. F. H. Harr, I'ana. S Beattie, Madison. C. M. Walton Rantoul. F. Torrance, Winnipeg. T. B. Carroll, Wilmington. C. H. Sweetapple, Toronto. D. J. Mangan. N. Y. City. W. H.Gribble.Wash'nC.H. F. Weitzell, Allegheny. F. F. Brown, Kansas City. J. H.Taylor,HenricUa,N.Y. H. C. Simpson, Deniscn, la. C. A. Mack, Stillwater. C. J. Marshall, Philadelphia A. W. Ormeston, 102 Her- man St.,Germantown,ra. M. J. Woodlifle, Denver. B. F. Kaupp, Kansas City T. E.Robinson, Westerly, R I J A. Winsloe, Cooperstown. C.H. Blemer,San F^rancisco. J. A. Edmons, I^s Angeles.* E. L, Moore, Brookings. HansJenson.WeepingWater Hugh S. Maxwell, Salina. J. P. A. Houde, Montreal. F. R. Hanson. N. Y. City. Gustave Boyer, Kigand.P.Q. D. A. Piatt, Lexington. Wm. D. Mason. Pullman, E. M. Bronson, Indianapolis. A. T. I'eters, Lincoln, Neb. E. P. Flower, Ba on Rouge. S. H Ward, St Paul, Minn. iI.onisP, Cook, Ciminnaii. iJ. C, Robert, Agricultural r College. PUBLISHERS' DEPARTMENT. Subscription price, $3 per annum, invariably in advance ; foreign countries, $j.6o; students while attending college, $2 ; single copies, 2^ cents. Rejected manuscripts will not be returned unless postage is forwarded. Subscribers are earnestly requested to notify the Business Manager immediately upon changing their address. Make all checks or P. 0. orders payable to American Veterinary Rsriew. The fact that the benching and feeding of the dogs, the penning, caging and feeding of the poultrj-. pigeons, cats and pet stock at the following exhibitions have been entrusted to Spratt's I'atent (America) Limited, during the past season is significant of two very important points : first of the confidence that the dog owning public has learned to place in this experienced firm in its particular line, and second, of the great benefit that a firm possessing the experience and facilities of this one, is to exhibitors of small stock. Following is the list of shows that entrusted their livestock's welfare to them : The Westminster Kennel Club Dog Show, Madison Square Garden, New York City, the L.K.A. Kennel Club, Mineola, L. I., New York Poultry Show, Madison Square Garden, Englewood Poultrj' Show, Boston Poultry Show, Mechanic's Bldg. , Duquesne Kennel Club Dog Show, Pittsburgh, Pa., and the Lynn and Haverhill Dog Shows. Port Richmond Dog and Poultry Shows, Staten Island, Scranton Poultry Show, The Diamond State Poultry Show, Wilmington, Del., Wolverine Kennel Club Dog Show, Detroit, Mich., Memphis, Tenn. Dog Show, Cincinnati Poultry Show, Cleveland Fanciers Poultry Show, Rutherford Poultry Show, Wisconsin Kennel Club Dog Show, Milwaukee, Wis., Washington, D. C. Dog Show, Mineola Poultry Show, Dover Poultry Show, Trenton Poultry Show, Buffalo Dog Show, Newark Poultrj' Show, Paterson Poultry Show, and .several others. We are also making arrangements a the present time for the Atlantic Q\\.y Dog Show, St. Louis Dog Show, San Francisco, Cal. Dog Show and a number of others. The List of Veterinary Biological Products of the Pasteur Co., Ltd., is certainly very interesting from a veterinary practitioner's view point ; appealing to him no matter in what part of the world his field lay. A careful perusal of the list is convincing c♦♦»♦♦♦♦♦♦♦ A vehicle that penetrates the epidermis with remarkable rapidity carrj'ing its incorporated remedial agent to the underlying tissues, where it is immediately absorbed Some of the drugs that are emulsified in this vehicle, ready for the veterinarians use, are : Iodine Vasogen containing io;{ Iodine. Iodoform Vasogen ** 3% iodoform. Creosote Vasogen •• 20% Creosote. Pyoktanin Vasogen *• a^ Pyoktanln. (In four ounce hottles.) PYOKTANIN VASOQEN is a very valuable preparation to the veterinary prac- titioii'-' ■.•'• him ill a convenient ana p neirating vehicle, this valuable drug with its anti<>' ' ctant and anagelsic properties augmented by the (act that the vehicle will ' ' M the mo«t remote corners and recesses of wounds. Hence its advan- tage ;■.. ......Lineiit of foot wounds. IODINE VASOQEM— positively not irritating, it used to great advantage in cases of tendunitis; when well "worked" into the tendons, it frequently obviates the necessity of blistering, or firing and blistering. Alao valuable to soften and absorb in nuiny other conditions in both horses and dogm. iOOOFORn VASOQEN. used wherever Iodoform is indicated, and CREOSOTE VASOQEN for couRhs, etc. Manufactured by VASOOENFABRIK PEARSON & CO., HAHBURQ. GERMANY. LEHN & FINK. Sole American AgenU. 120 William Street. New York. ►♦♦ »»♦♦♦♦♦♦ ♦♦♦♦♦♦»♦ < V ♦♦♦♦♦♦♦♦ ♦♦♦♦♦♦♦♦ ♦♦X ta II isi Popuioi Hipmiiiiiii; Syiii! wim me u\m Meiicai Piiiiessioi. I I S & DiMRNsiONs (IK Case— ^^ inches in length, »% inches wide, a inches deep. VETERINARY HYPODERMIC SYRINGE. In Morocco case, velvet lined, containing two straigfit needles, one-halfcurved needle for intra venous injection, one trocar and canula, and twelve tubes for Hypodermic Tablets. Our Syringes are substantially made, especially for the use of Veterinary Sur- geons, with strong glass barrel of three drachms capacity, protected by fenestrated meta) cylinder, with rings for thumb and fingers. By removal of the lower metal end, one or more tablets may be placed directly in the syrinfc — replacing cap and attaching needle, water can then be drawn in upon the tablets and solutioB effected by shaking the syringe. Our syringes are made with needles to attach either by slide or screw-thread. In orderiac specify which is preferred. Price of Syringe and case complete l4.oo (reduced from $5.00.. Extra Needles, straight I .35 Extra Needles, curved •• 35 Extra Trocar and Canula. — .50 BUNTIN DRUG GO'S VETERINARY BULB SYRINGE For admiaistering Liquid Medicines to Horses and Cattle by the Moi:th or Rectnm Every Syringe has Firm Name Stamped on the Rard Rubber Pipe LENGTH loVi INCHES CAWCiTYi tatouncES^ Consists of a substantial soft rubber bulb to which is attached a very strong, hard rubber pipe. In giving mca- icine or food with this Syringe there is no danger of in- juring the anima is mouth or breaking the Syringe; any quantity, from a teaspoonful to two ounces may be given at one injection. BUNTIN DRUG CO., TERRE HAUTE, INDIANA Maanfacturers of Veterinary Hypodermic Tablets and Hypodermic Syringes (Length 10 J^ inches.) Prices Bulb Syringes, 750. each; per half doz., $4.00 ; per doz., $7.50. BUNTIN DRUa COIVIRANY, 600 Wabash Avenue TERRE HAUTE, INDIANA EIMER & AMEND, Agents, 305-311 Third Ave., New York. 14 BUiNTIN DRUG CO.'S SOLUBLE HYPODERMIC TABLETS. VETERINARY. "4 «>5 IM Il6 "7 Ii8 X lOI lai 119 isa •5» IM "4 "5 i«7 l«4 laS >»5 i»9 136 IS7 »«3 IS3 tS4 ISS i«6 iss IS4 «*7 146 i«a I3« :s •53 ••9 1*9 >4< 143 110 •44 «45 III 111 ;:2 •4» rn tabc ol w ubiett. . |o la ::l:|f;j 80 33 25 60 Aconitine, Crj'stals i-40Kr., Acoiiitiiie, Crystals I-30KI' ■ Aconitine, Crystal* i-aogr.. Aconitine, Cry'stals l-iogr.. Aconitine, Crystals i~6gt.. Aconitine, Crystals ...I-4g:r. Arecoline Hydrobrom Hsr.. Arecoline Hydrobrom igr.. Atropine Sulphate I- 4K''-- Atropine Sulphate l-agr.. Atropine Sulphate igt.. Barium Chloride Comp (Ellis) i {Barium Chlor 7S'S-\ Digitaline i-ia gr. j Cardiac Tonic — (Digitaline, Pure < Sparteine Sulph .. . . (strychnine, Nitrate Cocaine Muriate i gr Cocaine Muriate I-X grs Cocaine Muriate a grs Cocaine, 4>< grs. for Veterinary Anesthesia — ) (One tablet dissolved in i drachm of water makes an 8-per cent, solution.) Colchicine «- 4gT Colcbicme i- agr i 00 Colic (Knowles) 54 ( Morphine Sttlph 'grs.) ^ Atropine Sulph 1- 4 gr. > (Aconite Cryst i-ao gr. ) Coniine Hydrobromate I- a gr 43 Coniitie Hydrobromate i gr 60 Digitaline, Pure I- 8 gr ao Digitaline, Pure i- 4 g^" 35 Ergotine a grs 18 Ergoline 4 g" »7 Eserine Salicylate i- 4 gr 50 Eserine Salicylate i- a gr ... 75 Eserine Salicylate i gr 125 Eserine Salicylate iK C* » S* Eserine Compound • i 00 (Eserine Salicylate 1-41T.) •< Pilocarpine Muriate i-agr.y (Strycbnine i- 8gr. ) Eserine and Pilocarpine i 50 J Eserine »-sgr.l ) Pilocarpine i gr.J Colic (Forbes) 175 f Eserine Salicylate i gr- i ( Pilocarpine Mar 3K gr>- f Hyoscyamine Sulphate, Crystals I- 8 gr — Hyoscyaminr Sulphate, Crystals t-4g' — Morphine Sulphate I gr..., Morphine Sulphate iM gts .. Morphine Sulphat* , a gr.... Morphine Sulphate sK grs •• Morphine Sulphate 3 grs.... Morphine ana Atropine I MorphineSulph iKgrs. I I Atropine Sulph K gr. f Morphine and Atropine f Morphine Sulpb iKgrs. I ( Atropine Sulpb K gr. i Morphine and Atropine . I Morphine Sulph • gr*. ( I Atropine SulpB 1-4 gr. I Morphine and Atropine f Morphine Sulph »% grs. ( ( Atropine Sulpb i-4 gr- 1 Nitroglycerine i-iogr.. Nitroglycerine , I-5 gr 35 45 Pilocarpine Muriate, Crystals I-* gt. Pilocarpine Muriate, Crystals , I gr........... 90 Pilocarpine Muriate, CrysUls. 1% fft I 10 Sodium Artenite , , I gr •••••• la Strychnine Sulphate i-4 gr la Strychnine Sulphate I-t gr 13 Strychnine Sulphate............ ,, I gr 14 Veratrine Muriate I-4 gr la \cratrinc Muriate i-> gr 14 Please order by number. Q—4» —»t post-paM U aay part CalU4 StatM ar Canada apaa raaalpt 15 •a Xi .a .2 s o H a o n <=> 5 n ^•C • — C a o 0^2-3 unHM O -O a •^ -a 5 'eg* I- E o w • 8- feS < Q I — -> — (/) ^^ 1 < t prtr*. n mi The Dcchery Auto-Cautcry. A Compact Instrument. Simple in Operation and always ready for Use, producing the maxi- mum heating effect without the use of compres- sion bulbs. NO VETERINARIAN'S OUTFIT COMPLETE WITHOUT ONE. PRICE, $30.00. WALTER F. SYKES & CO., Sole U. S. Agents, 85 Water Street, New York City STOVAINE. TRADE MARK REQISTERED. THE IDEAL LOCAL ANAESTHETIC FOR VETERINARY USE, COMPLETELY REPLACING COCAINE. Public Demonstrations at tlie following Clinics have confirmed its superiority over Cocaine : Connecticut Veterinary Medical Association, Bridgeport, Aug. i, 1905. American Veterinary Medical Association, Cleveland, 0., Aug. 15-18, 1905. New York State Veterinary Med. Society, Ithaca, N. Y., Sept. 12-15, IS05. The American Veterinary Review of October 1905, says : " STOVAINE substituted cocaine in most all of the large clinics held in ^ connection with the recent meetings, and in every case with the most grati- ^ tying results." Send /or Literature. WALTER F. SYKES & CO., 85 Water Street, New Yorlt. 1J2 Chestnut St., 396 Atlantic Ave., Philadelphia, Pa. Boston, Mass. Western Agents: R. R. STREET tc CO., 184 Washineton St., Chicaro, 111. 16 TALLIANINE (REGISTERED TRADE MARK) Diagram show-ing the increase in the consumption of Tallianine since its introduction to the profession in 1901 to the end of the first six months of 1905. 240OO TUBES 23 22 %i 20 J9 /I' If /6 ,, tS ,i /*- i3 12 ,i 41 W 9 7 6 5 k- 3 Z / 1901 1902 1903 1904 SEND FOR DESCRIPTIVE LITERATURE. 1905 Address' WALTER F. SYKES &. CO. 85 Water Street, New York. 133 ChettDBt 8t i»6 Atlantic At«. rWUdelphlt, Pi. Boston. Matt. WMtera Aetata 1 I. E STREET * CO . IM Waaklnrton St . Cklcaro. lU T NEW YORK UNIVERSITY. Hew York-llwrlGafl Veterinary College. ( New York College of Veterinary Surgeons, chartered 1857, and the American Veterinary Col- lege, chartered 1875.) Session 1905-1906 began October 2d, 1905. Write for new catalogue and all Information to A. LIAUTARD, M.D., V.H., DEAN, 141 West 54th Street, New York City. NEW YORK STATE VETERINARY COLLEGE, ESTABLISHED AT BY CHAPTER 153, LAWS OF 1894. The best equipment for scientific and practical instruction, for undergraduates and pott- graduates. Most varied practice for students in the free clinics. Regular graded course, three years of nine months each. Entrance by Regents' "Veterinary Student Certificate," or by examination, September isth, 1905. Matriculation September 23d, 1905. Jt Jt Jt Tuition Free to New York State Students. For extended annonncement Address, Professor JAMES LAW, F. R. C. V. S., Director. ONTARIO VETERINARY COLLEGE, Limited, 40, 42. 44 «nd 46 TEMPERANCE STREET. TORONTO. CANADA. Patrons. — Governor-General of Canada and Lieutenant-Governor ol Ontario. SESSION 1 90S- 1906 BEOAN OCTOBER Ilth. All Experienced Teachers. ... Fees, $65.00 per Session. Prof. SMITH, V.S. (Edin.) F.R.C.V.S., Etc., Principal. CHICAGO VETERINARY COLLEGE 2537 and 2539 State Street, Chicago, Ills. Organized and Incorporated tuder the Laws of the State of Illinois, 1883. leplar Session connnences tte first week In Octo&er Iq eact gesL For Prospectus giving all information as to curriculum, fees, etc, addrew (be Secretary JOSEPH HUGHES, M.R.C.V.S.. 3537 and 3539 State St., Chicago, lllflt. 18 eSTABLISHeO l8Si. INCORPORATED 1897 EIMER & AMEND, . Wholesale OrugsTi^ts, 0^ 20S,207,209&211Ttliri]Hve., \ - N. Y. CITY. Make a Specialty of all Drugs, Extracts, Tinctures, Chemicals, etc., etc., used in Veterinary practice.. E. & A.'s Veterinary Glycerin Suppositories. Sulfglycerole for skin lesions. Sulfglycerole Oint. for scratches. PLANTENS Improved Empty Veterinary For Oral and Rectal Medication. CAPSULES TRIAL BOX BY MAIL 25 CENTS. ORAL : i-a, i, a, 3, 4, 7, 8 and 12 drachmt RECTAL: i x-2, i and 1-2 ounce. IMPREGNATION CAPSULES for Mares. Sample Box 30 Cents. ESTABLISHED IN NEW YORK IN 1836. N. PLANTEN & SON, 93 Henry St., Brooklyn, N. Y. Have Removed to NEW LABORATORY— 93 Henry Street, Brooklyn, N. V. "The Pioneer American Capsule House." AUnu(«cturtr> of SupeHor Filled and Empty Gelatine Capsules. I:ncaptulln|{ Private rormulx a Specialty. ly "SANITAS'' EMBROCATION Is used by leadinsr Veterinarians — in preference to other lini- ments— on account of its streng^th, ready absorption and Antiseptic qualities. **SANITAS" CRUDE DISINFECTING LIQUID. The best preparation in the niarlerformed by a competent veterinarian and on healthy calves, are absolutely harmless. " (2). These vaccinations are a great protection against the artificial infec- tion of tubercle virus. Doses which kill non vaccinated control animals within a short time, do not in the least affect vaccinated calves. " It has not as yet been fully proven whether the vaccination has a curative effect on such calves which were already tubercularly infected prior to the vac- cination and, further, whether the vaccinated animals will be as immune against natural infection as against artificial infection. Lastly, the question whether this vaccination of calves will protect them during their life time has not as yet been decided. Naturally, these last three questions can be only definitely decided after a number of years, and after the general introduction of the method into practice. Von Behring answers these points already at the present time in the afl&rmative, and states important proofs which cannot be discussed in the columns of this paper. ' ' The established fact of the absolute harmlessness and the ifnmunity against artificial infection with tubercle virus must suffice for us to undertake the introduction of Bovovaccine with enthusiasm and on as large a scale as possible. I am fully convinced that the sooner this is done, the sooner these last questions will be settled, and bovine tuberculosis conquered. " I will here state briefly, that in the last two years I have lost, out of 84 calves vaccinated according to von Behring, but one, and this in consequence of an intervening disease." Quite recently there appeared in the May number of the American Veterinary Review, of May, 1906, a reference to the experiments made with Bovovaccine by the Italian Commission, whose results were said to have raised unbounded enthusiasm and were to be celebrated by a great feast. The detailed report of these results has not yet reached us. Dr. Paul H. Roemer, of Marburg, in a lecture given at Darmstadt, Germany, on Jan. 6th. 1906, reports that up to that time, three and one-half years since the introduction of von Behring's method of pro- tective inoculation into practice, a total of about 70,000 cattle had been bovovaccinated. Literature on this topic will be mailed to any one on request. C. BISCHOFF & CO.. 451-453 Waahington Street, - - - New York City. 13 i-f • ' ' •-« g>. .. 'yV COI^PS OF . Hcation in America. Address Robt. W. Ellis, Business Manager. 50Q West i52d Street, New York City. IH CREOQEN=MARTIN (The Veterinarians Antiseptic.) Is invaluable in the surgical treatment of Bur- satti or summer sores, actinomycosis, fistulous withers, poll evil, trephining of the nasal and facial sinuses of the head, etc. In abdominal laparotomies a i or 2 per cent solution is very suitable for irrigating the ab- dominal cavity during operations. No toxic absorb- tion need be apprehended from the use of Creogen as is the case with Phenol or Hydrargri Bi Chloride. Creogen does not blacken surgical instruments, de- stroy their polish or injure their edg^e. As an anti- septic it covers the field of veterinary surgery in a most efficient manner. It answers equally well for the simplest as well as for the most complex and deli- cate surgical operations. If you are annoyed with cases of chronic psorop- tic, sarcoptic or symbiotic mange, or other forms of scabetic diseases of the skin among your equine, bo- vine or canine patients, that has previously resisted your best efforts to cure, a trial of Creogen will quick- ly convince you that it is without an equal for such dis- eases. There is no pharmaceutical preparation that will yield you larger dividends in your practice, than Creogen. Send for a sample. Its free, i gallon, $^-50' 5 gallons, $6.50, 10 gallons, $12.00, prepaid. W. J. riARTIN CHEMICAL CO., PHARMACEUTICAL CHEMISTS, KANKAKEE, ILLINOIS. 14 SANMETTO A POSITIVE REMEDY DISEASES OF THE GENirb-URINARY ORGANS OF 'rhlhl HORSE J^NT> Doa. Doctor, when you have a Horse or Dog suffering from KIDNEY, BLADDER OR URETHRAL TROUBLE -Nephritis, Cystitis, Urethritis— OR FROM ANY IRRITATION or INFLAMMATION of the URINARY TRACT — Frequent, Scant or Hlootlv Urine — ORDER SANMETTO Sapmetto is largely used in Veterinary Practice for the above troubles and has been foond Worthy and Reliable. It is also strongly endorsed and much used in AZOTURIA— many cases reported cured with it. Sanmetto acts as a vitalizing tonic to the Genito Urinary Organs. It is eliminated from the System almost entirely through the Kidneys •od Bladder— hence its soothing, healing and tonic poww upon the entire Urinary Tract. To avoid sutwtitution, order ia original package, thus : R 8AWMBTTO-one bottle-original package. Dou:— For Horse, one liaU to one ounce three times a day. For Dog, one teaspoonful three tiroes a day. Frioe One Bottle, |i.oo. Case of One Dozen Bottles, fS.oo. Sold by all Reliable Druggitta Pamphlet on application. OD CHEM. CO., New York, 19 NEW Veterinary Publications OF WILLIAM R. JENKINS, 851 and 853 SIXTH AVENUE, N. W. Cor. 48th Street, NbW YORK. Third Edition, Revised and Enlarged. Veterinary Materia Medica and Ttaerapen- tlca. By Kknklm Winslow, B. A. S., M.D.V.,M.D.(Harv.). The most complete, progressive and scientific book on the sub- ject in the English language. That three editions should be required to mett the de- mand for such a work in about as many years attests its wortli. Thoroughly re- vised and rewritten, much new matter added to bring the book up to date. Cloth, 6Kx9%. viii + 804 pages. Price S6.00. Diseases of Cattle, Sheep, Goats and Swln^. By Prof. Dr. G. Moussu and Jno. A. W. Dollar, M.R.C.V.S , F.R.S.E., etc. Stu- dents, teachers, and practitioners of veteri- nary medicine and surgery have demanded a complete but concise text-book on the subject. The past twenty years have wit- nessed many important discoveries. The greatest minds in the world of bacteriology and pathology have been enlisted in the study of diseases of cattle, and advances have been registered which it is the object of the present work to set forth in the few- est and simplest terms. Size 6x9^, 78.S pages, 32g illustrations and (4) four full page plates. Price $8.75. Second edition, revised of Handbook of Meat Inspection. By Prof. Dr. Robert Ostertag, trans, by E. V. Wil- cox, A.M., Ph.D. Veterinary Editor Ex- periment Station Record, introduction by John R. Mohlbr, A.M . V.M.D., Chief of Pathological Division, U. S. Bureau of Ani- - mal Industry. The wo k is EXHAUST- IVE and AUTHORITATIVE because of Dr. Ostertag's extended and exceptional experience. It is altogether a book greatly needed and has at once become the STAN- DARD authority upon the subject. Cloth, 6KX9K.920 pages, 260 illustrations, i col- ored plate. Price $7.50. A Treatise on the Parasites and Parasitic Diseases of the Domesticated Animals. By Prof. L. G. Neumann. Tran. and edit, by George Fleming, F. R.C. V S. etc. Sec- ond Edition Revised and Edited by Prof, James MacQuehn, F. R.C.V. S. Cloth. 6Ji X 10, xvi -|- 698 pages, 365 illustrations. Price S6.75. Catechism of the Principles of Veterinary Surgery. By W. E A. VVvman, M.D.V., V.S. Author of " The Clinical Diagnosis of Lameness in the Horse," " Tibio-Pero- neal Neurectomy," translator of DeBruin's " Bovine Obstetrics," etc. Attention is called to the following points : It is ar- ranged in the form of question and answer, each quesiton being answered in a scien- tific and practical way. It deals exhaust- ively with tumors, a subject heretofore ne- glected, and takes into consideration, thoroughly, American as well as European investigations, offering practical hints never before in print. Cloth, size 6x9, 317 pages. Price $3.50. Third edition iover soo more pages) of the Manual of Veterinary Hygiene. By Vet- erinary Captain F. Smith, M R.C. V.S. Author of" A Manual of Veterinary Physi- ology. " Cloth, 5^ x 7^, 1036 pages, 355 il- lustrations. Price $4.75. A Manual of General Histology. By Wm. S. Gottheil, M. D. Late Professor of Path- o'ogy in the American Veterinary College, New York. etc. Second edition revised ; cloth, 5'/4x8; 152 pages, 68 illustrations. Price $1 00. The Veterinarian's Call Book Perpetual). By RoscoE R. Bell, D. V. S. Editor of the ''American Veterinary Review." Re- vised Edition for 1906. One volume, con- venient size for the pocket, bound in full flexible leather, with flap and pocket. Pri'-e $1.25. A Treatise on Epizootic Lymphangitis. By Captain VV. A. Pallin, F. R. C V.S. Cloth, %y^ x8}4, 00 pages, with 17 full-page illustrations. Price |i. 25. Cattle TubercQlosis. By Harold Sessions, F. R.C. V.S. , etc. Second edition The book formerly written in conjunction with Dr. Legge has practically been re-wrilten, as many fresh experiments have been made and so many new regulations intro- duced. Tuberculosis is one of the most se- rious diseases the community have to face. Size 5 X ^y^, vi -j- 120 pages. Price Ji.oo. Any of the above books will be sent prepaid for the price. Send for our New Complete Descriptive Catalogue. WILLIAIVl R. JENKINS, 851 and 853 Sixth Avenue, cor. 48th Street, New York. 16 American Veterinary Review. JUNE, 1906. Correspondents will please note the change in address of Dr. Roscoe R. Bell, from Seventh Avenue and Union Street, to jto East Second Street, Borough of Brooklyn, New York City. EDITORIAL. EUROPEAN CHRONICLES. Paris, France, April 15, 1906. The Etiology of Stringhalt. — For a number of years Prof. R. Bossi, director of the Veterinary School of Turin, has published very interesting articles relating to the study of some clinical forms of the symptom known as chronic stringhalt — the chronic " harper " of the French. In those various publications the following conclusions were presented : (i) There exists among equines and bovines a form of chronic stringhalt, due to a sudden displacement of the patella^ over the internal border of the femoral trochlea, beyond the normal limits. The displacement is essentially identical to those resulting from "cramps," but differs from these by its duration. This form of stringhalt differs from others by the *' patellar cracking," which is heard at every step of the animal, by the mode of displacement of the leg, and because it can always be cured by section of the internal tibiopatellar liga- ment. (2) There exists in solipeds a second form of chronic string- halt which is very often observed in dry arthntis of' the hock. In this there is no patellar cracking, and it is characterized by the specific mode with which occurs the flexion of the hock and of the fetlock. With this form section of the tendons, aponeu- 291 292 EDITORIAL. rosis or ligaments have no effect, because it is an alteration of motion with reflex origin. (3) On rare occasions a third form of chronic stringhalt is observed in equines, which Hartwig has described, and which is due to the retraction of the muscle-stretcher of the fascia lata. This can be cured by section of the retracted muscle. There is also chronic stringhalt which can be called nervous^ observed in horses and also in dogs. It is associated with chronic lumbago, rheumatismal or traumatic, or, again, belonging to chorea. Here there is no patellar cracking, and myotomy or tenotomy is powerless. There is no doubt that complete or partial removal of chronic stringhalt by section of the peroneo-phalangcal muscle has been observed, and, again, that the operation has failed on many oc- casions. This difference in results can be easily explained ; similar^ these forms of stringhalt are not identical — they differ in their causes and various lesions as much as in their nature and seat. Dieckerhoff has called " idiopathic " stringhalt that which he said was due to retraction and shortening of the tibial apo- neurosis^ and he recommended the division of that aponeurosis as it passes over the hock. If this failed, section of the pero- neus was to be performed. Finally, Prof. Bossi concluded that there were evidently six forms of chronic stringhalt, some curable, others incurable, and further studies were desirable. * The above considerations, which I concisely resume from an article in the Revtie Generate of Leclainchc\ are accom- panied by the records of three cases of chronic stringhalt, which were treated by three different surgical operations, which by the results show that these three forms are curable, viz. : patellar stringhalt^ that due to retraction of the peroneo-phalangeus muscle, and the symptomatic of dry tarsal arthritis. The first case, that of a donkey, was cured by double neurotomy of the EDITORIAL. 293 sciatic and anterior tibial nerves. The symptoms had disap- peared when the animal arose from the bed where he had lain during the operation. It was due to dry arthritis. The second case was that of a gelding which had stringhalt in both hind legs, due to dry arthritis or retraction of the peroneus muscle. To complete the diagnosis, arthritis was treated by counter- irritation without any success. Tenotomy was then performed on both legs. The result was not immediately manifest, but after a few days improvement was evident, and complete re- covery followed. The case was certainly not arthritic in na- ture. The third case was that of a horse affected with patellar stringhalt in both legs, existing for several months. This ani- mal was treated by the subcutaneous section of the internal tibio-patellar ligament and also of the surrounding aponeurotic fascia. Recovery was not immediate, but gradually became complete. It was a case of patellar stringhalt, easily recognized by the presence of the patellar cracking and the peculiar action in flexion of the extremity. This new addition by Prof. Bossi to this troublesome affec- tion is no doubt of great interest. * * Antituberculous Vaccinations. — In a general review of this subject, published in the Journal of Zootechnie^ Prof. Nicholas classifies the methods resorted to under two principal headings, preventive and curative vaccination. Preventive vaccination has been attempted for a long time by the use of serum from hyper-immunized animals, by toxines secreted by the specific bacillus itself, more or less attenuated, and from human or bovine origin. With serotherapy the results have been uncertain ; while favorable with the serum of cattle in some instances, with that of cattle and dog only failures are recorded. With toxines also the results have been contradictory. A certain degree of resistance is given to rabbits by some experi- mentators ; with others the results are negative. Tried for a long time, tuberculin docs not give immunity. 294 EDITORIAL. With the use of the bacillus itself, obtained from various sources, favorable results have been obtained in many cases. Introduced through intravenous injections, or subcutaneously, human or bovine viruses have given immunity — if not absolute, at least to such a degree as to allow animals to resist natural infection. By intravenous injection^ de Schweinitz and Schroeder, and McFadyean, show at various dates that cows submitted to viru- lent inoculations in series obtained high resistance to tubercular infection. Then came the great discovery of Behring, a method which gives a refractory state to the young bovines submitted to intravenous injections of tuberculous virus of human origin. The experimenters of the whole world set to work to control Behring's method. Thomassen, Pearson and Gilliland, Schroe- der, Schlegel, Lorenz, Eber, Hutyra, Saas, Carper, Marks, Streilinger, in Germany, in Hungaria, in Italy at Mortara, in France at Melun, in Belgium at Brussels — and what is the gen- eral conclusion : the results obtained are different according to the experimenters; if it has great advantages, there are cer- tainly objections ; innocuous and efficacious at Melun, it does not meet with the same results everywhere, and the lack of resistance observed sometimes is due to causes to be looked into. Why should immunity last for only one year when Pear- son and Gilliland have obtained one immunity resisting for two years, at least to permanent natural infection ? By subcutaneous injection. Arloing resorts to this method, and also to the preceding, in using bacilli of human and bovine origin. He has obtained great resistance and almost complete immunity with a given dose of very virulent bovine bacilli. He hopes to soon obtain a virus which will not be exposed to the complications observed in Behring's method. Lignieres also claims to be able to vaccinate by only one subcutaneous injection. He uses the human bacillus. The re- sults obtained by this method during the experiments at Melun show that it needs improvement. EDITORIAL. 295 There are two other methods of preventive vaccination which have been tried. Aviary Bacillus. — The immunity granted in this way is only temporary, not lasting and less solid than that obtained from bacilli of other origin. It is not used by any one. Bacilli of Cold-Blcoded Animals. — Turtle, lizard, and fish are the sources from which the bacilli are obtained. Friedmann succeeds to great immunity with the bacilli of the lizard, and claims to give immunity to cattle and to man [he operated on himself]. But the results are disapproved of by others. Klim- mer, with bacilli from fish (carp), has succeeded in immunizing rabbits and cattle. By his method, subcutaneous or intravenous, there are left no lesions, no general accidents. The method is practical, and gives immunity lasting a year and a half. * * Curative Vaccination. — Based upon serotherapy, or upon the use of bacilli of any origin, very virulent or attenuated, it has given only illusive results. It is not the same, however, by the use of the soluble products secreted by the bacillus of Koch. Heymans has obtained the recovery of tuberculous cattle by placing in the peritoneum or in the subcutaneous connective lissue, back of the shoulders, cultures of the bacillus of Koch in collodion sac. At the Congress of Tuberculosis of Paris lately Prof. Behring made known his communication on the curative vaccination of tuberculosis by his new TC, which so far has given the best results in laboratory tests. Behring hopes to apply his method to man. Let us wait. After all, how do we stand? Preventive inoculation has not said its last word. It has, indeed, given excellent results in the hands of many experimenters. Its practical use is already accepted in many places. Arloing is still working at his method, which will no doubt prove successful ultimately. Lig- nic-res may improve his process, and - - - well, we have not yet heard from Prof. Valine, who, with Df. Roux, is carrying out a series of experiments with a senim from horses: an equine 296 EDITORIAL. serum against a bovine disease. Let us see what the learned Professor of Alfort said at the Soci^t^ de Medecine V^t^rinaire Pratique at one of its late meetings : " The possibility of vac- cinating horses against tuberculosis has not been mentioned until now. On this account it seems to me interesting to make known some attempts which I have been making for the past few months. If anti-tuberculous vaccination of horses has no practical interest, since this animal contracts that disease so seldom, it is very important to lay down the experimental rules of a deep immunization of this species of animal, which would suggest this subject as a choice for the production of serums in general, a serum possessing interesting specific qualities. The various anti-tuberculous serums prepared to this day have an action on the tuberculous organism, more or less marked, but in all cases insufficient. These sera are obtained by the treat- ment of subjects destined to their production, with soluble products, extracted from cultures of the bacillus of Koch or from the bacilli themselves, after a special treatment. As far as I know, there exist no horses hyper-vaccinated with the plainly virulent tuberculous bacilli. I have succeeded in obtain- ing in three horses satisfactory results in this direction. These subjects were treated successively with increasing doses of human bacilli, first attenuated, then with bacilli in full viru- lency, killing guinea-pigs, in six or seven weeks, and giving rise in horses, in five milligram doses, to tuberculous lesions with lasting reaction by tuberculin. * * " The following is the condition of one of those subjects : Percheron mare, in excellent condition of health. Does not re- act to tuberculin : " Days of Experiment. Inoculation. Weight of Animal. " ist . . 6 millig. bacilli, attenuated culture of equine bacilli 515 Kil. ''49th . .10 " " " human tubercul. 528 " "95th . 15 " " virulent " " 531 " >'i33d . 25 " " " " " 540 " • 187th . 20 centigrams " " 543 " " 220th .50 " " " " 544 " " 260th. 75 " •■ •• " 547 ' EDITORIAL. 297 " The increase in weight of the animals, their general good condition, are proofs of their perfect resistance. Each virulent inoculation is followed, at the beginning, with quite strong febrile reactions, which last forty-eight hours. As the treat- ment goes on, these reactions diminish. No matter at what time the animals are tuberculined, the well-marked reactions of the beginning of the immunizing treatment entirely stop later on, whether the operation is performed in the fifteen days fol- lowing the virulent inoculation or several weeks later." It remains to be established what the specific qualities are of serum of horses thus treated, and if the horse is not more apt to furnish an antituberculous serum more than the hyper-vac- cinated bovine. * * * Prof. Lanzillotti-Buonsanti's Silver Anniversary. — In one of the late numbers of the Clinica Veterinarian print- ed as a special issue, there was an account of the ceremony which took place at the Royal Veterinary School of Milan to celebrate the twenty-fifth anniversary of the nomination of Prof. Lanzillotti-Buonsanti as Director of the School. In the presence of officials representing the Secretaries of the Interior^ of Agriculture, of Public Instruction, and before the delegates of the veterinary schools of Italy, with representatives of various public authorities, and a very large number of visitors, Prof. Sertoli, in a long speech, reviewed the professional life and work of the Professor, and presented him with an artistic certif- icate handsomely illustrated in memory of the ceremony. Prof. Korner, in the name of the Secretary of Agriculture, gave Prof. Lanzillotti a magnificent gold medal, and announced that by the kindness of the King the Professor was raised to the degree of Knight of the Order of Saints Marvine and Lazare. A subscription had been opened by the members of the pro- fession to create an institution to be known as the Lanzillotti Institute. But, according to the desire expressed by the learned Director, the amount collected will be used to grant prizes to young veterinarians so as to encourage them in the study of in- 298 EDITORIAL. fectious diseases of animals. The Clinica Veterinaria of Feb- ruary 3 contained an excellent likeness of the Professor. * * Poisoning of Horses by "Snow Drop." — In glancing over the February issue of the Agricultural Journal of the Cape of Good Hope my attention was called to an article from Acting Director of Agriculture, Dr. Hutcheon, M. R. C. V. S., on the poisoning of horses by CEnithogalum Thyrsotdes, or " Chinker inchee." Although the article is well illustrated by a colored plate of the plant, my botanical knowledge did not permit me to locate it, and on researching I found this definition of the " snow drop," as it is also called. " Snow drop " or " silver bill " tree, an American shrub or small tree [Halesia tetraptera\ with white bell-shaped flowers in clusters. From this I concluded that the accidents referred to by Dr. Hutcheon might be ob- served in America — hence this short notice. It seems that various numbers of horses at different places in the colony had died after partaking of forage where flower-heads of "snow drop " were. The symptoms had been those of acute gastro- enteritis, accompanied by a dull, depressed, stupid effect on the mucous system. Experiments were carried out by the Department of Agri- culture to see the effects produced by the eating of forage con- taining the plant, some animals being fed by the dry flowers and others with freshly-gathered leaves of the tree. In the majority of cases the post-mortem lesions were about similar, viz. : " heart and spleen normal ; slight congestion of the lungs, kidneys and liver. There are areas of fatty degeneration of the liver. There is intense inflammation of the gastric mucous membrane and that of the intestines throughout its extent." In the report one man is said to havt lost two horses by this plant, another three, and a third lost five out of fourteen cases, etc. These facts have given rise to much inquiry and created considerable excitement. Purgative treatment is recommended as the one which is indicated to clear the intestines of its irri- tating contents. EDITORIAL. 299 National Veterinary Congress of France. — By the time this reaches our friends in America the Vth. Congr^s National Veterinaire [yes, another !] of the Veterinary Socie- ties of France will be in session. This Congress will be known hereafter as the Nocard Congress^ because taking advantage of the presence of veterinarians from all over France, the monu* ment to Nocard will be unveiled, a professional ceremony where I think all subscribers should have been officially invited and asked to represent in an official capacity. It might not have been convenient for the many who subscribed in America to come over, but I am sure some one will come to Europe about that time, and he might be a delegate from all. But, of course, this is only my personal idea of how to show the appreciation of the handsome gift sent from America to the illustrious mas- ter that Nocard was. But let me come back to the Vth French National Veteri- nary Congress. I do not know exactly the questions which will be brought before the meeting, and, after all, perhaps there will be none which would, strictly speaking, be of interest to American veterinarians. And, yet, there will be one which I think cannot be ignored at this time, when in the States the question of " Reforms in Veterinary Education " is still, I hope, the subject of important investigation. I will give in brief the resunii- oi the report made by the chairman of the Committee, and my next will contain the resolutions adopted. * * * The first demand made by the chairman is the abolition of the internal for the students. In the French schools veterinary students are boarding students. External is the rule in all the establishments of higher education, except military schools. Why should it be different in veterinary colleges? A higher degree of education than the one required should be demanded of the candidate at matriculation. Not only is the present degree of bachelor of classic or modern school obli- gatory, but a diploma of superior studies in a faculty of sciences, viz., the P. C. N., which means Physics, Chemistry, and Natu- SOO EDITORIAL. ral History, is demanded. This obligation would justify the claim to Doctorship, which could be but a proper recognition of the scientific standing of the veterinarian who would have it. A. V. D. (Veterinary Doctor) imposes itself. The third question treated by the chairman is a serious and delicate one. It touches the situation and recruiting of the teaching bodies of schools and of the program of the curricu- lum. In relation to the recruiting of the teaching board, it is necessary " to create grades of assistants, repetitors, demonstra- tors, adjunct and titular professors, a regular hierarchy with a firm base and sufficient remuneration to attract and hold men of scientific value, specialized, giving their exclusive time to their duties. The suppression of one or perhaps two schools might be advantageous." The faculties should elect their dean, who would be the director of the school, and the position should be held only for ten years — a decanal — subject to a reelection, of course. Free students we have. Higher degree of education is a stone hard to move in some of the States. A Doctor degree we have in all its various forms. Proper recruiting of our teaching bodies, by graded adaptation and graded education of candidates, is unknown to our schools. The idea of reducing the number of schools for the benefit and improvement of one is a question impossible of consideration. Limit of office for the dean or director of a school is scarcely admissible with us, where so many of our schools are private undertakings. And, yet, with the many objections which can be brought forward by our American confreres^ the demands made by the chairman of the committee can certainly be a source of thinking for the mem- bers of the committee of the A. V. M. A., to whom this question of " reform " has been given for consideration. More on this subject later. * * * Our Apologies to the Washington State College. — In my January (1906) " Chronicles," in introducing a letter I EDITORIAL. 301 had received from the fair librarian of the Washington State College, at Pullman, asking to exchange a large list of " back numbers " for others which she did not possess, I remarked that it was " very strange that this party should not have seen fit to notify the Review of its error in sending duplicates for such a length of time, without probably having paid for them." In making this statement I was woefully wrong in my hasty con- clusion, which was arrived at without any data whatever from the business office. By a letter I have received from Prof. S. B. Nelson, he explains that some complete volumes and others nearly complete were given to the institution, and many other duplicates were purchased, along with other works, from a Chi- cago bookseller ; and at no time have duplicates been received from the publication office. It is seldom that I am led into the making of a statement for which I do not have some data to guide me, but whenever I am wrong I grasp the first opportun- ity to set myself right. To the Washington State College, and its librarian, I offer sincere apologies, and trust they will consider that the wrong done them was by the head, not the heart. Bibliography. — In closing this, I have to acknowledge the receipt of several bulletins, such as those of the San Francisco and Chicago veterinary colleges, the Archiva Veterinarian of Bucharest, and the first number of the Journal of Tropical Veterinary Science. This latter journal was fully considered in the April Review, and I simply here address the editors my best wishes. A. L. THE ASSOCIATION OF FACULTIES AND EXAMIN- ING BOARDS. At the 1905 meeting of the American Veterinary Medical Association, during a delightful sail on Lake Erie, thoughtfully tendered by the veterinary hosts of Cleveland, the Association of Veterinary Faculties and Examining Boards of North 30 '2 EDITORIAL. America was reorganized, after a lengthy discussion of its charac- ter and purposes. In this discussion it was shown that little could be done to compel schools to adopt uniform standards of requirements for entrance or graduation, or for length of term or character of curriculum, and that any approach toward a more uniform standard than now exists can only be secured by mutual agreement. It was, therefore, considered feasible to have as components of this organization representatives of the various schools, of the examining boards, and of the American Veterinary Medical Association, from whom a working com- mittee of three from each interest can be secured. This Asso- ciation is to meet annually during the session of the National body, and the feeling seemed general upon adjournment that some good could be accomplished in the matter of establishing a minimum requirement among all schools represented in the composite organization. One element of power to enforce the standard agreed upon is the right of the examining boards to fix upon uniformity in the examinations for license. Many States of the Union have laws requiring the examination of candidates seeking to prac- tice within their confines, and those having secured laws with- out this provision can, we believe, with comparatively little effort, effect similar legislation. There are now but few States in which veterinary medicine flourishes to any extent which do not legally recognize the profession, and every year witnesses the decrease of their number.- The greatest power for equalizing the quality of veterinary education in this country, therefore, is vested in the examining boards, and if this strength is exerted wisely, there should be a general betterment of conditions throughout the land. We fully realize that many obstacles are to be overcome be- fore the organization becomes effective ; but if the membership will take up the infant effort inaugurated last year at the ap- proaching Hartford meeting with earnestness and a desire to accomplish something, we have much faith in their ability to do so. EDITORIAL. 303 AMERICAN VETERINARY MEDICAL ASSOCIATION. The meeting at New Haven is drawing near, and Secretary Repp announces elsewhere in this number the program of papers secured to date. While their quality assures a high-class meet- ing, the number is inadequate for so important an occasion, and those who usually delay sending in their names until just before the li^t closes should take into account the injury and the anxi- ety which they occasion, and should at once notify the Secretary of their intention and subject. The outline of the arrangements for the holding of the sessions and the entertainment of the large number expected are well advanced, while the clinic details are in the hands of a strong committee. The Massachusetts Association has named a committee of three of her best sons — W. L. La Baw, L. H. Howard, and J. F. Winchester — to act in conjunction with the Connecticut vet- erinarians in working for the success of the convention of 1906. "Veterinary Notes of the Russian Army in the Far East," by Col. John Van R. HofF, United States Army, who was with the Army of the Czar in Manchuria for observation on behalf of our Government, will be published in the " Army Veterinary Department" of the July Review. The author has gathered some data of great value to the veterinary pro- fession concerning the diseases of the animals in charge of the military veterinarians, both those employed in the campaign and those used for food, together with their treatment and mor- tality. Particularly does his interesting account bring forward in most favorable light the great service of sera in the preven- tion of epizootics of the most fatal infectious diseases, and shows their almost indispensable value where large bodies of animals are congregated. The profession will, we are sure, feel deeply grateful to the Colonel for the pains he has taken in collecting these facts and for his kindness in permitting the Review 10 publish them. 304 W. L. WILLIAMS. ORIGINAL ARTICLES, THE ETHICS OF VETERINARY DENTISTRY. By W. L. Williams, Professor of Surgery, New York State Veterinary College. "An Address delivered before the Pennsylvania State Veterinary Medical Association, at Philadelphia, March 7, 1906. During the past few decades there has developed in Ameri- ca a conspicuous tendency to interfere with the teeth of horses and an attempt has been made to dignify the practice by the appellation of "Veterinary Dentistry." The unique position attained by this alleged profession or professional branch of veterinary surgery is attested in a variety of ways. 1. More has been written upon this subject in America than in all other countries combined, we having two pretentious volumes under the title of veterinary dentistry, besides much current literature. In other countries there is found much valuable literature in veterinary periodicals ; Clark has contributed a valuable vol- ume in his " Horses Teeth," and recently Ostertag has furnished the profession with a most scholarly and valuable work upon this subject in his section on diseases of the teeth in Bayer and Frohner's " System of Surgery and Obstetrics," but so far as we are aware, no pretentious volume upon veterinary denti.stry alone exists outside of America. 2. American veterinary colleges largely have, attached to their faculties, a professor of veterinary dentistry and presuma- bly give a special course in that subject. Great stress is laid upon this feature in the announcements of some of the shorter course veterinary colleges with low matriculation requirements, becoming less conspicuous among the longer course institutions with more rigid requirements for entrance. 3. A perusal of the catalogues of the manufacturers of vet- erinary instruments show a special emphasis upon dental appa- §• THE ETHICS OF VETERINARY DENTISTRY. 60b ratus by American firms as compared with foreign houses. The instruments are excessive in number, complexity, cost and re- strictions by patents. 4. Graduates of American veterinary colleges largely adver- tise themselves as specialists in dental work and actively solicit it. Many of them conspicuously display elaborate and showy diplomas in veterinary dentistry, and in all their advertising matter, bill heads, letter heads, and professional (?) cards draw attention to their special preparation for this work. In many cases, familiar to us all, the stationery bears a picture of the veterinary dentist himself, heroic in size and pose, filing the teeth of a horse. 5. American horse owners, trainers, coachmen and stable- men have been firmly led to believe that a very large proportion of the diseases and vices of horses are referable to defective teeth and the veterinary dentist is sought as a universal panacea. Under these conditions it is not strange for us to believe that more work is done upon the teeth of American horses by legal veterinary practitioners than upon the teeth of all other horses in the world combined. Let us here assert, lest we be misunderstood, our high appre- ciation of the economic and humane value of scientific veteri- nary dentistry. During our 27 years as practitioner or as teacher of clinical surgery, no class of work has demanded of us a higher degree of skill, none has yielded more satisfactory results. For the purposes of this address we wish our title, ethics, to signify the conscientious performance of our duty, according to all available knowledge, toward our patient, our client, and, so far as its interests may be concerned, the public. It is not enough that ethics should demand of us a conscientious appli- cation of the knowledge in our possession, that would place a premium upon ignorance, but calls for an honest use of all knowledge which, by proper diligence, we may be able to acquire. It docs not stop at what our writers on veterinary dentistry may teach, as these writings may be wanting in au- thority ; it does not cease at what is taught us in college, the 300 W. L. WILLIAMS. faculty may not have possessed a true veterinary dentist ; it does not terminate with graduation from a special course in veterinary dentistry under a noted professor of this subject and the receipt therefrom of a diploma in dentistry, the professor may have been wanting in scientific attainments, or possessed a very feeble, undeveloped conscience; it must rest finally and permanently upon a conscientious search for the truth with the animal itself as a basis, taking into account all anatomical, phys- iological and clinical data. This renders our ethics somewhat elastic, since it recognizes that one may be able to see and learn more than another and consequently has a duty which leads him further than his colleague, whose field of vision is more confined. Veterinary dentistry, or the processes known by that name, is almost wholly confined to the horse, partly because he suffers more frequently and seriously from dental diseases than other domestic animals ; very largely for the reason that he submits tamely, without material restraint, to prolonged and important dental interference ; and, perhaps above all else, be is held in highest esteem by his owner, who, under false ideas of the facts, permits unwarranted liberties with these essential organs under the delusion that such interference is for the well being of the horse. The horse is practically the only animal in which den- tal operations are extensively carried out upon sound teeth. It has been stated that women sometimes have the visible teeth of pet dogs filled with gold in order to make them conspicuous, and the breeder removes the tusks of the boar to prevent him from injuring other live stock. Aside from these, sound teeth of animals go practically untouched. All the teeth of the horse are subject to deformity, disease and injury, and all at times require surgical handling. The incisors are the most freely open to inspection, were probably the first teeth of the horse to be subjected to surgical handling, and continue to be interfered with in a greater va- riety of ways than any others. They are really less subject to disease than either the canines or grinders, but their position THE ETHICS OF VETERINARY DENTISTRY. 307 renders them very liable to accidental injury. They are also frequently deformed or are abnormal in number. They consti- tute our most valued criterion in determining the age of horses, and have long been subjected to disguising operations in horses offered for sale or trade. The temporary incisors are prema- turely removed from colts in order to hasten the eruption of the permanent ones and cause the horse to sell for a higher price because of the appearance of greater maturity. Fortunately for our profession, this operation is carried out almost wholly by the dealer, it being very simple and easily done by any one. The perniciousness of this fraudulent operation cannot well be denied. It places an immature animal in work for which it is not ready, leading to premature breaking down, the loss to the community of what would have been a valuable animal had it been humanely handled, and deceives the purchaser into pay- ing an adult price for a colt, causing him an important mone- tary loss. An older and more grossly deceptive operation for the disguising of the age of horses is the process of bishoping, in order to make the animal appear younger. The operation has been left largely throughout all history to the low, disrepu- table horse dealer, but at times the veterinarian has done the work for the dealer. In modern veterinary literature, when men- tioned at all, it is usually merely done to condemn it and place the veterinarian on his guard when examining horses for soundness. More recently, Merillat has included it in his".\nimal Dentistry" under the title of " Artificial Anomalies," and gives all the details for performing the operation in the most deceptive manner. He does not commend it beyond giving it so prominent a place in a volume presumably dedicated to scientific dentistry, but there is a want of that vigorous condemnation which seems to us demand- ed. Bishoping does no good and very scant harm to the teeth and causes the animal no pain. The important question is the decep- tion of the buyer. We know of no tenable ground upon which a veterinarian can justify his performing this operation, and can- not see how he can escape the self-conviction that when he 308 W. L. WILLIAMS. bishops the mouth of a horse he has attempted a fraud against a prospective purchaser. Should the buyer call upon the oper- ator for an opinion as to the age of the animal, if he has not previously surrendered all claim to ethical principles, he will have placed himself in an embarrassing position, if, after hav- ing received a fee from the seller for doing an operation in order to enable him to deceive the buyer, he now turns upon his dis- honest client of yesterday and discloses the fraud to his later employer. But Merillat claims that the skilful veterinarian can so bishop the mouth of a horse as to deceive himself, and thereby be placed in helpless subserviency to his own fraudulent operation for which he has accepted a professional (?) fee. If he detects his own fraud and exposes it to the buyer, he offends the seller from whom he has already received a fee ; if he keeps the secret and accepts another fee from the buyer he doubles the fraud and his fees for committing it. In attempting to condone such operations some veterinarians resort to the plea of inevita- bility, that the fraud will be perpetrated by some one and so should be done artistically (not scientifically, for science is truth), and the veterinary practitioner had best do the work, and accept the fee. Such an attitude strikes at the foundation of all professional ethics and marks the boundary between science and charlatanry. In 1889, during a particularly unsteady epoch in the den- tistry of animals in this country, Hinebauch made an unsuc- cessful attempt to dignify as scientific, and give a permanent place in animal dentistry, the filling of horses' teeth. The chapter was written by " veterinary dentist " Sayre and included by Hinebauch in his " Veterinary Dentistry." Fortunately, it failed to meet with any notable response and no one took the trouble to point out its absurdity. As described by Sayre, the work was limited to healthy teeth, where it admittedly could not be effectively applied. It was a comparatively harmless piece of nonsense, for which only a few horse owners, with more money than intelligence, paid fees to the few " veterinary den- tists " who did such work. We do not wish to be understood THE ETHICS OF VETERINARY DENTISTRY. 309 as absolutely condemning the filling of the teeth of horses or other animals. There may be cases where it is proper and prac- ticable, but we cannot approve the filling of normal infundibuli in the incisors of young horses, nor attempting the absurdity of filling defective cement or dentine areas in the crowns of grind- ers where the trouble is not recognized or recognizable until the tooth is irretrievably lost. Sayre admits that in the first molar, where this condition is most frequent, the filling is impossible. Hinebauch attempted, with more success, to dignify another questionable operation upon the incisor teeth, that of resection in order to allow the grinders to come together. He says : " They (the incisors) occasionally need to be shortened more or less, especially if the horse is not allowed to run at pasture, and is fed on hard food, such as whole corn and oats. The molars do not come together near enough to thoroughly grind the food." Merillat condemns this heresy in commendably vigorous lan- guage and points out the fact that the shortening of these teeth prevents their apposition, interferes as a consequence with food prehension, and the operation, unless very carefully done, is liable to cause serious fracture of the crowns. It is well known that the teeth of horses are pushed out of their alveoli in inverse proportion to the resistance encountered and that their degree of use influences their rate and extent of protrusion only in so far as attrition shortens them. If two functioning teeth of a horse oppose each other they are each pushed out of their alveoli until they come in contact and thereafter they advance at precisely the rate that their crowns are worn away by attrition or otherwise removed. If one of these teeth is missing its antagonist is pushed out until it may reach and wound the vacant alveolus. Reversing this hypothesis of too long incisors, it could as well be claimed that horses living a comparatively wild life on ranges where the soil is very sandy and stony and the herbage very scant and short, would have their incisors worn so short that they could not come together and the pre- hension of food would thereby be interfered with or pre- vented. The reasoning is parallel. The operation is largely 310 W. L. WILLIAMS. carried out upon aged horses with teeth so worn out that they can no longer effectively grind food whether the incisors be long or short, present or absent. We have seen no clinical evidence of good arising from the resection of the incisors. In some instances such a result might be claimed where other teeth, which were actually interfering with mastication had proper care at the same time or other unfavorable conditions were re- moved, after which the animal improved in condition. The incisor arcades are far narrower than those of the grinders, and in the process of mastication, if they projected so far as to come in contact would be worn away more rapidly than the grinders. Since the process of mastication in the horse is accomplished largely through lateral motion of mandible, the fixed point being the temporo-maxillary articulation, the incisors move over a greater distance than the grinders and undergo a correspond- ing greater wear. It should be further remembered that if the incisors and grinders come in like contact during mastication, the presence of food between the grinders would conserve their wear while the incisors without food between them, their in- tensely hard, milled surface coming together, would cause them to wear" away rapidly and bring about a properly adjusted con- tact. Horses, like men, can adjust the dental contact so that in the normal state, the incisors can be brought in contact while the grinders are held apart and vice versa^ but such an adjust- ment could have no permanent influence upon the extension of the teeth. We can find no reason, from any possible view point, for concluding that normal incisors grow to an injurious length and interfere with mastication in animals not allowed to graze. We have not been able to see any appreciable difference in the length of the incisor teeth of grazed and stabled horses. Fur- thermore, there is a strong tendency in teeth to diminish in power of resistance as their use decreases, which again may serve to aid in maintaining the balance between the various arcades. The incisors are further interfered with in cases of cribbing, the veterinarian being, at times, asked to saw down between the teeth with the hope of curing the vice, making it possible THE ETHICS OF VETERINARY DENTISTRY. 311 for food to become impacted between them and cause disease. In other cases the veterinarian is asked to extract or break off some of the incisors for the same purpose. No evidence exists, \vithin our knowledge, that the condition of the teeth has the remotest relation to the cause of cribbing nor that any known method of changing these teeth can be^neficially influence the habit. We have experimentally completely destroyed the sensory nerve supply to all the incisors in both arcades without exerting any influence whatever upon the vice beyond the tend rness of the wounds during the time of healing. We can consequently find no warrant for interfering with these teeth for the cure or amelioration of cribbing. We meet frequently with deformities, diseases and injuries of the incisors in which surgical handling is so clearly ethical and mandatory as to call for no comment in our discussion. The canine teeth of the horse virtually escape questionable operations although essentially functionless, so that meddling might be given vent on them rather than the incisors and grind- ers. They are the only teeth of the horse to suffer from caries comparable to that affection in man, being the only ones in which, under any probable conditions, dentine is exposed on other than a wearing surface ; exposed dentine, not in wear, de- cays, dentine in wear does not decay. Such decay is at times induced by accident, or by error in cutting too deeply to blunt a sharp-pointed canine which has cut the tongue or lips. The little supernumerary premolars or " wolf teeth " have claimed a very large share of dental charlatanism and being alike harmless and valueless have awakened little protest against the meddling from which they suffer. Considering their small size andinoflensiveness '* wolf teeth " have had to endure more than their quota of defamation. The principal change against these rudimentary organs is that they cause periodic ophthalmia ; a charge of too long .standing to determine the date or cause of its origin. It has followed the horse to the very corners of the earth, even into climates where *' moon blindness " is unknown. Hine- bauch says: "Ophthalmia, both periodic and simple, may re- 312 W. L. WILLIAMS. suit from teething. " The removal of supernumerary teeth acts as a counter-irritant and may possibly be followed by a remission of some of the ophthalmic symptoms." He approves of their re- moval. Merillat concedes alike their uselessness and harmlessness, ex- cept that in rare cases they may possibly interfere with bitting, for which reason he countenances their removal. In ophthalmic diseases he strongly urges their extraction " owing to the popu- lar prejudice against them." It seems to us that we are unwarranted in advising an opera, tion for the removal of an organ because under certain condi- tions it may interfere with the comfort of an animal unless the possibility cannot be predetermined or the operation cannot well be performed after it has caused some annoyance. In these teeth it seems to us that an intelligent veterinarian could determine in each case if a wolf tooth would or would not interfere with the bitting process and its removal be advisable. The size, form and direction should show the practitioner whether it can ever cause an abrasion of the cheek from bit pressure. Little harm can come from leaving wolf teeth till they actually interfere with bitting and then removing them. Does " popular prejudice " render a painful and useless opera- tion ethical ? The veterinary practitioner is a public teacher, he is licensed as such in many of our States, in some common- wealths he is educated at public expense and has an ethical duty to the people of special significance. He is the licensed guardian of the live-stock interests and the adviser and teacher of the horse owner. The veterinarian goes to the legislature asking for practice laws, that the practice of veterinary surgery shall be limited to scientific men like himself, and having at- tained these laws we are urged by him to perform a useless operation in obedience to " popular prejudice," to perpetuate an ancient superstition and carry out the dictates of bygone cen- turies. Any man who has extracted wolf teeth knows full well that it is a painful operation, as shown by the resistance of the animal, not only causing transient suffering, but rendering timid THE ETHICS OF VETERINARY DENTISTRY. 313 animals afraid of manipulations about the mouth thereafter. The grinders are subject to many forms of disease and defect and offer the most important field for beneficent dentistry. The affections are largely very serious in character, causing great suffering to the animal, inducing emaciation and weakness from partial starvation and frequently jeopardizing the life of the animal. These demand a high order of surgical skill and do not involve, in the ordinary way, questions of ethics. The great mass of dental work unassociated with dental disease is per- formed upon the grinders of the horse. The superior maxilla being much narrower from side to side than the inferior maxilla, the grinding surface of the two arcades meet on an inclined plane, the superior teeth being longer on the lateral side while the lower ones are longer on their median aspect. This bevelled wear em- phasizes the plicae into which the tooth tissues are thrown and results in sharp dentate projections, consisting chiefly of enamel, on the outer border of the superior, and the inner of the in- ferior arcades. These prolongations serve a highly essen- tial function in grasping and dividing the food masses into smaller portions and giving the teeth a firm hold upon the food while their milled surfaces effectively crush and grind it. The influence of these sharp and bevelled tooth edges upon the well- being of the animal is variously interpreted, there being a wide- spread conviction among many stock owners and veterinarians that the grinders were badly made, have become obsolete in form and require great modifications at the hands of the veter- inary dentist to make them fit to fulfill modern requirements. Much theorizing has been done regarding the influence of do- mestication upon the teeth of the horse ; we hear little of such influence upon the teeth of other domestic animals. One of these theories is suggested by Merillat who says : *' The use of the bit through innumerable generations appears to have rid the interdental space of the premolars" (wolf teeth). As neither history nor tradition reaches back to the period when equus caballus had not been domesticated and bitted by man it is dif- ficult to determine what effect the bit has exerted upon his 314 W. L. WILLIAMS. teeth. One certainty which is largely overlooked by theorists is the fact that supernumerary teeth increase in frequency and size as the intensity of domestication. The more highly bred and fed, and correspondingly the more promptly and constantly bitted, the more constant and larger the wolf teeth. The more vigorous, the larger the horse, the more likely he is to develop supernu- merary molars of the same size as the normal ones, which may be placed in front, behind, or at either side of the normal dental arcade. Clinically, therefore, instead of tending to obliterate teeth, domestication does the opposite. Similarly it is urged that alleged changes of food in domes- tication has produced important changes in his grinder.*, espe- cially that the horse now eats largely unground grains. Grains, like horses, have been used by man as far back as history or tradition leads us, and it is fair to assume that the eating of grain by the horse is not a recently acquired habit ; it is highly probable that in prehistoric times man did not grind the food for him and that the grains were as hard ten thousand years ago as they are now. Based upon these alleged changes from the natural state, the sharp edges of the grinders are charged with being the cause of many of the ills of the horse, to overcome which, extensive changes are made by the veterinary dentist. Sharp grinders are variously alleged to cause ophthalmia, debility, inappetence, bolting of food, slabbering, shaking of the head, side pulling, lugging on the bit, shying, indigestion, constipa- tion, diarrhoea, running away, standing still, (balking) and numerous other ills. Since all grinders of the horse are very sharp and armed with pointed denticles of enamel at their prominent edges, it is well to enquire how we may fix the line of delimitation be- tween the normally and abnormally sharp tooth ; or if the normal form of the teeth is incorrect, is one of nature's gross blunders, in what manner and degree it is essential to modify them? Upon what basis are we warranted in changing their form? Let us critically examine the clinical evidence of the alleged injuries from sharp grinders. We may divide them THE ETHICS OF VETERINARY DENTISTRY. 316 into two categories : interferences with mastication and through this with digestion and nutrition ; and disturbances in driving or riding due to painful injuries of the soft parts in the presence of the bit. Mastication may be interrupted by either mechan- ical or pathologic impediments. It is alleged that in some cases, without disease, the mandi- ble is so much narrower than the maxilla as to produce a scis- sor mouth of such an extreme degree that mastication is well nigh impossible. These cases must be very, very rare, certainly the vast majority of scissor mouths are the result of painful disease of a tooth or teeth and depend upon, instead of causing, bad mastica- tion. In such case it is clear that the alleviation of the cause commands our first attention and only secondarily do we need overcome the shear mouth to restore proper mastication. If the offending tooth is timely removed no shear mouth results. In the extremely rare cases said to occur as an anomaly without disease, it is difficult to see how the shortening of the wedge- shaped teeth can greatly relieve the condition as the inferior maxilla will still be too narrow and good mastication impossible. If one tooth is lost or worn completely away the antagonist tends to push out till it reaches and abrades the soft tissues in the vacant alveolus. The posterior tooth in either the mandibular or maxillary arcade may be placed somewhat posterior to its antag- onist and a portion grow out so long as to penetrate and wound the soft parts opposite ; the same condition usually ensues in case of supernumerary molars, which being located frequently be- hind the normal teeth have no antagonist. So in cases of dis- eased, misdirected or split teeth and partially detached tempo- rary crowns we meet with serious impediments to mastication. But all these constitute a very small part of the popular veterinary dentistry, most of it is directed to the removal of th^ sharp points on the outside of the superior and the inner side of the inferior arcades of otherwise sound and normal teeth. The mere sharpness of these edges arc a distinct aid in mastication and are always sharp in a normal mouth, the more normal the 316 W.. L. WILLIAMS. tooth, the sharper. They cannot obstruct the lateral mastica- tory movements of the jaws because that movement in itself prevents their attaining such proportions. If mastication is in- terrupted because of wounds to the soft parts from the sharp edges these injuries are readily found. In this case the wound needs be of a character clearly sufficient to establish a case. There are probably few toothed animals which do not occasionally abrade the cheek as a result of accident or inattention during^ mastication and if we will carefully search the cheeks of horses, many of them will reveal some slight trace of old or recent abrasion. Does the mere trace of an abrasion of the cheek or tongue warrant surgical interference with the teeth? If we answer in the affirmative we shall need to rasp the teeth of well-nigh every horse and, were the mouths of dogs, cats, pigs, cattle, sheep and goats examined, we should probably find similar conditions in them ; it is certainly true of man. There is little reason to believe, either, that blunting the teeth of horses will stop or even lessen the frequency of these accidental abrasions. In order to warrant the inference that a given abrasion constitutes a sufficient cause for surgical interference with the teeth, we need clearly establish the fact that the injury is recent, that it is sufficient to cause pain as verified by sensitiveness to the touch, that the condition of the tooth or teeth which caused the injury is such as to show that the abrasion was not a single accident of no consequence but that it will necessarily be con- stantly or frequently repeated during the process of mastication. We are then warranted in so modifying the offending tooth or teeth as to avoid the recurrence of the injury, but this gives us no right to meddle with the other teeth which have caused no injury. If we apply this rule in our daily work, we shall cut or rasp few teeth and wear out very few rasps. In considering the influence of sharp teeth upon bitting we should weigh the evidence carefully. If an animal shies, slab- bers, side-pulls, lugs on the bit or runs away it is not proof that his teeth require surgical attention. THE ETHICS OF VETERINARY DENTISTRY. 317 Dribbling of saliva may arise from a great variety of causes, among the least frequent of which is sharp teeth, the most com- mon and inexcusable being improper bitting and reining. In many cases of slabbering the cause is to be found in the lodg- ment of grain beards or other foreign bodies in the mouth, in stomatitis from any cause, in foods like white clover which cause intense ptyalism, etc. These cannot be cured by cutting or rasping the teeth. Lugging, side-pulling and other related vices are rarely due to the condition of the teeth, but, on the other hand, the existence of these tend to cause injury to the surrounding soft parts through their being violently pressed against them. The vicious habit must be overcome before it is worth while to blunt the teeth ; after the habit has been corrected the teeth do not need attention. In turf horses, espe- cially in colts, where they are compelled to bear heavily upon the bit, the cheeks may be pressed violently against the edges of the first and, possibly, second superior premolars in a manner to abrade the parts and call for the artificial dulling of normal teeth in order to accommodate the parts to special artificial conditions ; these changes should be confined logically, to the first, or first and second superior premolars, and the others left unharmed. In contrast with this view of our professional duty, we find that in many large establishments, the veterinarian recommends the dulling of the grinders in well-nigh all the animals, operates upon them and receives liberal fees therefor. In speaking with a veterinarian who practices largely among running horses, he stated that he rasped the teeth of practically all horses belonging to his clients once or twice annually, and when the necessity for it was challenged, he confessed its use- lessness, its injury to the teeth, the unethical character of the work, and condoned his course upon the basis that, did he refuse to do it, others would accept and he would suffer a correspond- ing monetary loss. We shorten the life of a tooth by at least the amount we remove, be that i per cent, or lo per cent. If we cut away the projecting edges we remove chiefly enamel and at its thickest part, so that the wearing of the teeth is hastenrd 318 W. L. WILLIAMS. more than it would be by the removal of an equal amount of dental tissue from other parts. Of greater importance than the loss of the healthy tooth tissue is the modification of the form of the tooth and a decrease in its efficiency as a grinder. A still more serious injury lies in the fact that the operation serves to distract attention from the real cause of disease and delays appropriate treatment. Ostertag remarks that many horses are treated by coachmen and blacksmiths for sharp teeth when suffering from some serious internal disorder needing im- mediate and skilful handling, but as a result of the meddling with the teeth, are not presented to a competent veterinarian at the appropriate time, resulting in increased suffering to the ani- mal and unnecessary loss to the owner. Such cases are familiar to every practitioner, only in this country it is generally the veterinary graduate who performs the needless dental operation instead of the coachman or blacksmith. A horse was presented at my clinic for side-pulling, with a request that his teeth be rasped. The teeth were normal and the case was diagnosed an unilateral cerebral disease which ac- counted for the tendency to veer constantly to one side, making it difficult, and at times impossible, for the coachman to keep the horse in the road. Another veterinarian found abrasions of the cheeks on the side towards which the horse turned, the teeth were liberally rasped, the coachman discharged as incompetent, our profes- sional skill denounced and a roseate prognosis given. A few days later, while some distance out of the city, the horse with the smoothed teeth took his mate, the coachman, carriage and ladies out of the road, over an embankment. The ladies walked home and the horse was sold ; a sovereign remedy for sharp teeth which cause side-pulling. If still living, the time of that unfortunate animal is probably still largely occupied in side- pulling, changing owners and having his teeth rasped. A valuable roadster was presented at our clinic because t)f great weakness which was attributed to sharp teeth ; they had been rasped but supposedly not enough. Examination showed THE ETHICS OF VETERINARY DENTISTRY. 3 19 the teeth so smooth from rasping as to interfere seriously with their grinding power, while valvular disease of the heart ex- plained the weakness. In another case presented for sharp teeth, the patient was found suffering from pneumonia, so that the examination of the teeth was delayed until recovery from the pulmonary affection had occurred. It was then found that the quidding of food and other symptoms referred to the teeth (which were normal) were caused by a fixation of the tongue due to an osteom occupying the median raphe. This fixation probably caused the pneumo- nia by interfering with deglutition, leading to the inhalation of food particles. The removal of the osteom alleviated the trou- ble and restored the patient to usefulness. One of the most harmful phases of the indiscriminate dulling of the grinders, is the overlooking of really serious dental dis- orders, while deluding the owner with the popular remedy and preventing him from seeking competent advice. If a horse shows good evidence of dental affection, no pains are taken by the typi- cal veterinary dentist to discover and combat the real difficulty, but the rasp or forceps is brought into requisition, and after a con- siderable amount of harm has been done by removing a part of their substance and an unjust fee has been collected fordoing an animal an irremedial injury, the patient is left to continue to suf- fer from a painful and dangerous dental affection. This is well illustrated by a case recently occurring in our clinic, a horse be- ing entered with the history that for some weeks previously the patient had shown sharp pain in drinking, quidded her food and exhibited other signs of interference with mastication. Two veterinary dentists had each rasped her teeth without result, and the animal was constantly losing in flesh and condition. Examination revealed a separation of the gums from the inner side of one of the inferior molars and a diagnosis of purulent inflammation of the dental pulp, with escape of the pus into the mouth alongside of the affected tooth was made, the tooth ex- tracted and our diagnosis fully verified. Here two veterina- rians* fees for doing damage had left the animal to suffer for 320 W. L. WILLIAMS. weeks from a very painful affection not devoid of danger to life, had prevented the owner from securing competent advice, and had robbed him of the use of an animal for a long period. It may be urged that these two veterinarians had not been efficient- ly taught in the diagnosis of such cases, that their professor of veterinary dentistry overlooked this one point, that their books on dentistry were clear on sharp teeth but cloudy on diseased, that their text-books on surgery were silent on this one point, that they overlooked it and that some or all of these facts should condone their failure. Professors and authors are not wholly responsible for the shortcomings of all practitioners ; the load would be too heavy for so imperfect a body of men to bear. Because such practitioners are unable by their methods to prop- erly diagnose such a case does not justify them in guessing that rasping the teeth and collecting a fee will meet all the require- ments of ethics. We hold it was their duty to learn the facts and apply them. They should have known that sharp teeth alone do not cause pain when the animal is drinking, nor cause the quidding of food, and knowing these things should have searched for, and found, the only tell-tale fact discoverable upon examination, the separation of the gums from the side of the tooth and that this with the history, indicated unmistakably a purulent pulpitis and called for the prompt extraction of the hopelessly diseased organ. If they did not learn it from professor or book they were in duty bound to take the lesson from the much greater teacher, clinical observation. We hold them in violation of ethics, not because they did not know how to correctly diagnose the case, but for the reason that they had not learned an available piece of information, which their professional calling makes obliga- tory upon tJaemii,^ Our definition of ethics neither stops nor hesi- tates at what one knows, but proceeds immediately to what he should know by diligent study of his profession in college and practice. In order to attain this ethical standard, the veterina- rian must be an earnest and conscientious student from the beginning of his college career to the end of his service as a veterinary practitioner. THE ETHICS OF VETERINARY DENTISTRY. 321 In the veterinary practice of to-day there is no feature more disgraceful than the wholesale rasping or cutting away of horses' teeth. Instrument makers vie with each other in devising a great variety of instruments, each one claiming the highest effi- ciency. Adjustable floats were introduced to increase the de- struction of teeth at a diminished cost to the veterinary dentist and more recently there have been placed on the market power floats, efficient engines of destruction, by which great damage can be inflicted upon normal teeth at a minimum expenditure of time and labor. We do not condemn the instruments nor their proper use. Dstertag well says : " It is the duty of the veterinarian, in districts where the sharp-tooth-mania is rampant, to discreetly expose its evil results by his teaching and thereby strive to counteract the tendency to diagnose ' sharp teeth ' as a cause of deficient nutrition except when a careful search of the oral cavity demonstrates that a degree of sharpness of the teeth exists which possesses an actual clinical importance." "Sharp- tooth-mania " is a peculiarly happy word which forcibly ex- presses an evil apparently more widespread in America than in any other country. According to Ostertag the practice in Ger- many is chiefly confined to coachmen and blacksmiths while in this country it unfortunately pervades the veterinary profession to a regrettable and disgraceful degree. This " sharp-tooth- mania " is so deeply rooted in the minds of our horse owners and has been so industriously fostered by our alleged expert veterinary dentists that no early relief from its baleful influence is probable, but it seems to us that the time is opportune to be- gin a campaign against the evil among ourselves. Our writers on veterinary dentistry cannot be charged with directly advis- ing or commending much of this work but there is a want of that vigorous condemnation so richly deserved. I do not ex- pect you to all agree with me ; it is not essential that any one of you should. We only hoped that we might say something which would cause serious, conscientious study, that some of you would ponder over these thoughts during your daily work as 322 W. L. WILLIAMS. teacher, practitioner or student and be led to take a higher and better stand in the ethics of veterinary dentistry. I ask no one to accept my views as his ethics ; the conscientious per- formance of my duty in relation to the teeth of animals, accord- ing to the best I have been able to learn from men, books, and animals is ethical veterinary dentistry for me and a like appli- cation on your part is equally ethical for each of you. Neither have I selected this topic as an isolated one without relation to veterinary ethics as a whole, but simply as a concrete example of a great mass of ethical problems which affect our profession. Veterinary societies formulate ethical codes, forbidding certain forms of advertising, stating how consultations shall be con- ducted, condemning patent medicines and instruments ; good enough in their way but impotent to elevate the members of the profession until first they attain to the foundation of profes- sional ethics, the conscientious application of all available scientific knowledge to our daily work, first being just to our patients, second to our patrons and finally to our colleagues. We can define our proper relations to our colleagues and fix ethical codes for them but the more fundamental things are be- yond written laws and depend upon an awakened conscience. With our present rapid advancement in veterinary education we should be able to discern a well-marked upbuilding of a higher type of veterinary ethics, of a nobler manhood among veterinarians. A Pastor's Surgery Saved a Hen. — Lower Albany^ N. J. — An industrious hen, which Pastor Anderson, of the Baptist church, prized highly, fell a victim to her appetite the other day and neglected her duty. The dominie discovered that she had not eaten wisely, but too well, for her craw resembled a small balloon. He resolved upon heroic measures, and, with a small, sharp knife, he essayed the role of surgeon. Making an incision in the neck of the hen he was surprised to discover a big bunch of grass, held together by a few yards of string. Re- moving the obstruction, sewing up the wound and applying necessary disinfectant made the operation highly successful. The hen is laying once more. — (Phi/a. Record.) VENTRAL HERNIA IN BOVINES. 323 DIAGNOSIS AND TREATMENT OF VENTRAL HERNIAS IN BOVINES.* RESUME OF CLINICAL LECTURES. By Ch. Besnoit, Professor of Bovine Pathology at the Veterinary School of Toulouse. {Continued from page /So, May Review.) Really speaking, all methods of tieatment by compression of the sac, in cases of very large hernia, which are the rule in bovines, may prove useless and produce only a simple reduc- tion in the size of the lesion ; several reapplications are then necessary to reach a radical recovery. They have, besides, an objection — viz., to leave after the sloughing of the clamp or nippers a broad wound, whose cicatrization is always very slow. From what we have seen, it is shown that none of the pre- ceding methods can be recommended against chronic ventral hernias of bovines. If in a few rare cases of peculiarly small hernias they have given good results, those are exceptional facts, upon which a rule cannot be established. Dangerous sometimes, they often give only a simple improvement, and possible return is likely to follow their use, which necessitates new surgical interference. At any rate, even in granting that they have a real curative value, their use could not be generalized in the presence of numerous contra-indications. I have already said that old ven- tral hernias of bovines occur most always through a wide ab- dominal tear and reach enormous size ; in such conditions it would be temerity to hope to obtain the organization of a fibrous pad sufficiently thick and firm to resist the pressure of the ab- dominal organs. With the preceding methods one would cer- tainly reach a sure failure or at least an incomplete result, fol- lowed by an early return of the trouble. And, again, the preceding methods require, first, the reduc- tion of the protruding organ, and consequently can be applied •Transl«te better to make a selvage suture with strong aseptic silk thread or fine silk fishing line. Besides, as in such cases there remains an excess of skin, it is prudent, so as to allow t\}f adhesion of the cutaneous and muscular layers and obtain the complete and immediate disappearance of the cavity, to excise first a more or less wide piece of skin on each side — melon-slice shape. The operation is completed by the application of an anti- septic dressing, with a bandage in belt rather firmly tightened. I generally dust the wound with iodoform ; it may also be pro- tected with gauze and aseptic wadding. A bandage 12 or 13 metres long and 15 wide is rolled around the body. It acts as ■ a surcingle, having for object, first to assist the adhesion of the skin in preventing the gathering of serous exudates under it, and, again, it supports the muscular suture against the pressure of the abdominal viscera. The operation ended, the animal still asleep, is left on the bed. After a certain time, which varies, generally several hours, it gets up. It is prudent, however, during the anaesthesia, to turn it over once or twice ; paralytic accidents may be avoided, they being sometimes the result of too long decubitus on one side. Aftercares and Seqiielce. — During the two days following the operation, there appears in the neighborhood of the seat of the operation and in dependent regions, an oedematous swelling due to a serous exudatijon of inflammatory nature. If this swelling is small and remains stationary, there is no need to worry about it ; it will disappear by resorption. If, on the contrary, the swelling is large and increases rapidly, one must interfere at once or the pouch will soon be transformed into a cystic cavity. The bandage being taken off, the lowest stitches of the cutaneous sutures will be removed, or, again, a counter-opening shall be made in the most dependent part and a drain-tube introduced. VENTRAL HERNIA IN BOVINES. 333 The serous discharge will at first be abundant, but will soon subside, and cicatrization will go on regularly. In the most fortunate case this will take place by first intention, and nothing remains to be done until the time comes to remove the sutures of the skin. I have obtained this result once in a case where the incision was 70 centimetres long and where a flap of skin of the same length by 20 centimetres in width had been removed. Sometimes, however, the subcutaneous pouch becomes in- fected, either by the sutures or the counter-opening above alluded to. As soon as suppuration appears, the stitches that are involved must be taken out and the hernial cavity treated as an ordinary wound. This complication is, nevertheless, without danger ; it does not promote peritonitis, because as soon as it appears — that is, after four or five days — the wound of the muscles and aponeurosis is already closed ; all it does is to retard the final cure. A slight febrile reaction appears sometimes in the evening of the next day after the operation ; it is always without im- portance and of short duration. For a few days, careful regime is indicated, small quantity of selected food in small bulk, farinacious and cooked roots, to avoid a too strong push outwards of the digestive organs against the musculo-abdominal suture.s. Eventration and peritonitis, so much feared in previous times during or after this operation, are, so to speak, no longer to be feared, at least among bovines. The first is avoided by anaesthesia, which does away with all expulsive efforts from the operated ; the second is almost impossible, because of the excep- tional resistance of the peritoneum of ruminants to infections and also of the aseptic measures recommended. Results. — These vary with the situation, the size, and the nature of hernias. Those situated in the superior region of the flank are, generally, formed through a narrow opening, small, and have little tendency to enlarge. It is easier to hold them reduced, and the suture has not to support the weight of the abdominal viscera. In these conditions the cicatrization is 334 CH. BESNOIT. quick and regular. On the contrary, lacerations in the lower abdominal regions spread rapidly under the pressure of the ab- dominal organs ; the hernia soon becomes very large and the suture is too extensive to be able to assist the weight of the viscera. However, I have been able to obtain recovery in a case of hernia situate(l on the inferior abdominal wall which had an opening measuring 50 centimetres in length. Likewise, hernias of the intestines or of the abomasum are in general easier to cure than those of the rumen, which are always much larger. However, one must never allow himself to be impressed by circumstances even apparently very unfavorable. One must always bear in mind,(i) that no curative method is as good as that by the operation ; (2) that wonderful recoveries have been obtained ; (3) that in case of failure there always remains the possibility of selling the animal for butchery in the few days following the operation, as soon as the anaesthetic used has been eliminated. (a) Few French veterinarians have, since about a century, attempted this operation and obtained encouraging results with methods which are certainly less perfect than the one we have just been considering. Most of these observations relate to re- cent hernias ; one only, Serres, speaks of an old injury. In 1828, Peyron operated upon two cows afifected with large intestinal hernias at the lower part of the right flank, one 20, the other 14 days old. The treatment was incision of the her- nial opening, closed with furrier's suture, quilled suture of the skin, and a bandage around the body. In the two cases the re- covery was complete in three weeks after the operation. A few years later, 1837, Dandrieux also obtained in a cow by the same operation complete recovery in 20 days of an enor- mous mixed hernia of the small intestine and the abomasum only one day old. In 1844 Terrien mentioned the recovery by operation of two cows : they had large intestinal hernias, one for five days, the other only one day, strangulated in one and occupying the VENTRAL HERNIA IN BOVINES. 335 whole extent of the right flank as far as the udder. It took one month for complete cicatrization. The treatment consisted in reduction after incision of the ring, suture of the abdominal muscles first quilled suture of the skin, firm bandage around the whole. Serres also says that he had often resorted, with success, to the operation for intestinal hernia, but does not give any record of recovery of recent hernia. Other similar cases have also been recorded by Guittard, Lamoureux, and Mesnard. One of the cows observed by Guittard had a large mixed hernia of the abomasum and of the intestine, five or six days old, situated in the left flank. It was treated by incision of the skin, incision of the abdominal opening, reduction, selvage suture of the abdominal muscles with strong waxed cord and quills, dressings of camphorated alcohol. Recovery was com- plete in a month. Another cow, pregnant for eight months, had for fifteen days in the left flank a large hernia of the caecum and large colon. Operation and recovery as in the preceding case. Lamoureux has treated a large intestinal hernia of the left flank with the operation. Incision of the skin, reduction of the intestine, suture of the muscles with waxed cord, creolin dress- ing held in place with quills on the cutaneous edges, and tight bandage around the body. Recovery was slow on account of the slow elimination of the cord used as ligature. It took two months. Finally, Mesnard has recorded a very interesting recovery in a cow, suffering for two days only with a strangulated ventral hernia, which was obtained by following the modern rules of asepsy. The very narrow hernial ring was closed with two stitches of catgut, one applied on the aponeurotic and deep por- tion, the other on the muscular. The skin wound was closed, hairs of Florence and a coat of iodoform collodion laid upon it. Three days after the wound was closed by first intention. As I have said, there exists in our literature, at least as far 336 CH. BESNOIT. as I know, but one observation of radical cure by operation of an old ventral hernia in bovines. It is from Serres. A cow had for five months on the lower part of the right flank an in- testinal hernia of very large size. After incision of the skin, incision of the hernial ring, the intestine was reduced, the edges of the muscular opening were excised and then brought to- gether with furrier's suture, involving altogether the muscles and the tunica abdominalis ; a dressing held by quills was laid upon the wound and held in place by moderately tight band- age covering the whole. A month after the operation the ci- catrix was complete, and twenty-five days after the animal de- livered in the best condition. (b) I have myself for several years operated on all the ven- tral hernias that came under my observation at the clinics of the school. I will select among those that I have followed three cases of interesting recovery. Observation I — Recent Hernia. — One day a five-year-old cow presented on the lower part of the right flank a small ovoid tumor, which in the few days following increased rapidly. In- deed, on the low part of the flank, on a level with the fold of the stifle, there is a large spherical tumor (Fig. i), measuring 40 Fig. 1 —Intestinal Hernia (Before Operation). VENTRAL HERNIA IN BOVINES. 337 centimetres in diameter. It is not painful, soft, fluctuating, de- pressible, and cedematous ; it is also reducible, and taxis reveals in the upper part of the lesion a solution of continuity in the muscular wall of the abdomen ; this is narrow, elongated, and measures lo centimetres in length with 2 or 3 in width ; gene- ral condition is good, only slight diarrhoea and now and then colics. Evidently it is an acute intestinal hernia due to an un- known traumatism. The animal is a first-class milker ; the operation is decided upon and performed nine days after the accident. After twenty-four hours' fasting, the animal is prepared — the whole right flank is carefully shaved. Before the operation, 100 grammes of chloral are given in rectal injections in two doses, twenty minutes apart. The animal is cast on the left side and anaesthesia completed with chloroform. The field of operation is washed and disinfected with sublimate solution. Opposite the hernial opening a cutaneous incision is made, 15 centimetres long ; the hernial pouch, with no serous lining, is exposed and found filled with loops of the small intestine and the uterus, whose condition indicates a recent delivery. The intestine is a little congested. The uterus is first reduced, then the intestine, without much difficulty, and the hernial opening is closed with sterilized catgut by interrupted sutures. It in- cludes the various muscular layers of the abdominal wall, fol- lowing the direction of the fibres. Two rows of stitches are necessary : one deep on the small oblique, the other superficial on the great oblique and abdominal tunic; both layers are su- tured together afterwards. The hernial pouch being emptied, washed, and aseptized, a third selvage suture is applied on the edges of the skin with cord sterilized in boiling water. Iodo- form on wound, collodion, pad of aseptic cotton, and a roller, 15 metres, form a content! ve bandage. No febrile reaction and general condition excellent for a few days. Still, there is serous exudation in the subcutaneous sac ; there is a large ccdcmatous swelling forming and bulging in front and back of the bandage. The dressing is removed, the 338 CH. BESxorr pouch is punctured with a fine trocar and three litres of a sero- bloody fluid escape. Kight days after the operation the exuda- tion has returned, but the cicatrization of the skin having taken place by first intention it is necessary to puncture the pseudo- cyst with the actual cautery. Once the fluid escapes, the pouch becomes infected and suppurates for several weeks. A month Fin. 2 — Intestinal Hernia (After Operation'. after the operation, there only remains a small elongated tumor with indurated base. Radically cured (Fig. 2), the animal is returned to its owner, who kept her for several years. Fig. 3.— Intfstinal HhKMA (Befobb Operation' VENTRAL HERNIA IN BOVINES. 339 Observation 2 — Old Hernia. — A ten-year-old cow was brought to the clinic carrying a large ventral hernia, in exis- tence for about two months, after a normal delivery. The lesion occupies the whole of the lower part of the right flank (P'ig. 3), Teaching forward to the sternum, depressing the udder to the left and arriving rather high between the hind legs. There is a small cicatrix on the postero-inferior part, a little below the stifle. The characters are those of an intestinal hernia. On account of its great weight, the presence of a hernial opening cannot be revealed by taxis ; but in dorsal decubitus a wide circular perforation of the abdominal wall is easily detected ; through it a portion of the ectopied mass can be momentarily returned into the abdomen. The general con- dition is not too bad ; the animal is very thin, but all the gen- eral functions are normal. Notwithstanding the conditions, the operation will be per- formed. All the cares of the preceding case are here again fulfilled, and when the animal is anaesthetized, as above, it is placed in the dorsal position, with the right posterior leg stretched backwards. After disinfection the skin of the lower and posterior part of the lesion, on the level with the cicatrix, is incised obliquely from above, below, and from forward, back- ward, to the extent of about 35 centimetres. The wide subcu- taneous pouch, without peritoneal lining, is entered and found to contain almost the whole of the small intestine and a portion of the large. The hernial opening runs through two muscular layers — the small and the great oblique. They were ruptured in the direc- tion of their fibres and there were therefore two openings super- posed, crossing each other slightly, but which by their edges, stretched apart in different directions, gave the impression of a single opening, circular in form. Besides that, there was in the centre of the opening a central band, 3 or 4 centimetres thick, dividing it. into two equal parts, and formed by an inflamed and sclerosed portion of the abdominal muscles. This band inter- fered somewhat with the manipulations of reduction, as the 340 CH, BESNOIT. loops of the intestine roll around it now and then. Still, with- out much difficulty, the whole ectopied mass was reduced. With a strong catgut, and without dividing this strong band for fear of haemorrhage, two rows of sutures are applied and brought together afterwards with a few interrupted stitches. The hernial pouch was sponged, washed with boiled water and sublimate solution, and afterwards the cutaneous wound was closed with selvage sutures with strong aseptic silk cord. An iodoformed collodion dressing, covered with aseptic cotton, was applied and protected with a band of cloth rolled around the body. The animal had no febrile reaction, but two days later the hernial pouch began to enlarge by a serous exudation, which rapidly increased, and seven days after the operation it became necessary to remove the bandage, to make a puncture with the trocar and allow the escape of four or five litres of sero-bloody fluid : in the meanwhile the cutaneous wound had cicatrized by first intention. Nevertheless, the serous exudation continued, and the pouch kept on filling and increasing gradually and regularly in size. It soon assumed alarming proportions and threatened to degen- erate into a large cyst. On the twelfth day it was freely in- cised. It was then found filled with solid exudates, partitioned and divided into wide pouches, separated from each other and filled with some thirty litres of citrine liquid. To insure a perfect and rapid adhesion of the pouch with the abdominal wall, and to avoid the return of this complication, a long and wide flap of skin was removed and the edges brought together with a selvage suture with aseptic silk and a drain applied at the lower part of the wound to allow the escape of the serosity. Cicatrization then went on regularly and without suppuration in the whole extent of the stitched portion. The drained wound suppurated a little. A month later the animal was completely cured. Observation j — Old Hernia. — A cow, about ten years old, has suffered for two months and a half with a large intestinal VENTRAL HEKNIA IN BOVINES. 341 hernia, situated on the lower region of the right flank. The lesion extends horizontally as far as the hypochondria, and measures 60 centimetres in length, 40 in width, and 30 in thickness. It is easily reducible through an opening 15 centi- metres long, with thick and indurated borders, which by taxis one easily feels at the anterior and superior part of the tumor, immediately back of the hypochondria. The animal is thin and worn out, yet her appetite is good. Notwithstanding the unfavorable conditions of the size and age of the lesion with the worn-out appearance of the animal, the operation is decided upon. Fk;. 4.— Intbstinai. Hernia (Aktbr Operation). The animal, well prepared, and the anaesthesia obtained with the mixed method of Dastre and Morat, viz., injection of atro- pine and morphine previous to the inhalation of chloroform, the operation is performed as follows : After disinfection of the field of operation, the pouch is opened with an incision made on a level and in the direction of the hernial opening. A serous sac is then exposed, formed by the peritoneum in ectopia and slightly adherent to the internal face of the sac, which it lines in its whole extent. On the borders of the hernial opening it forms a shrunken, fibrous and thick cord. The hernial sac is 342 CH. BESNOIT. carefully opened with a straight bistoury, guided by a grooved directory. At once the small intestine is exposed, normal and free from any adhesions. It is easily reduced and held back with an aseptic cloth laid over it. The slight adhesions of the serous sac with the internal face of the cutaneous pouch are carefully isolated ; it is pedunculated, ligated and excised. There was, close to the ring, a small cyst, hermetically closed ; this was removed, and contained half a litre of yellowish serous fluid. After excision with scissors of the borders of the hernial opening, the edges were brought together with interrupted sutures made of catgut. Tympanism occurred during the whole operation, which required puncture of the rumen, performed with difficulty, as the animal was lying on its left side. A cu- taneous selvage suture was made on the wound with aseptic silk and covered with an antiseptic dressing of iodoformed collodion. Still under the influence of chloroform, the animal was left on the bed of straw where she had laid. When she got up she had slight paralysis of the extensors of the left anterior leg, upon which she had lain for over six hours. Nothing abnormal occurred in the following days except a slight serous effusion into the lower part of the pouch. This was opened, the fluid escaped gradually, and three weeks later recovery was such as to be considered final. Dr. Guuan C. Fagan has removed from New York City to Warwick, N. Y. Dr. Van Giessen, of the New York City Board of Health, will address the Veterinary Medical Association of New York County at its June meeting on " The Negri Bodies in the Diag- nosis of Rabies." Dr. E. A. A. Grange will present a paper on " Motor Stimulants in Horses." " The Iowa-Nebraska Veterinary Bulletin " says : " Dr. C. M. Day is conducting experiments at Council Bluffs with weeds found on the Missouri Bottom to ascertain which one is producing the peculiar disease known as the ' Bottom Disease,' from which so many horses die along the Missouri Bottom." PARASITIC DERMATITIS OF THE DOG. 343 OBSERVATIONS MADE IN THE DIAGNOSIS AND TREATMENT OF PARASITIC DERMATITIS OF THE DOG. By Frank H. Miller. D. V. S., New York City. Read at the March Meeting of the Veterinary Medical A.«sociation of New York County. Mr. President and Fellow-Veterinarians : I presume the dictates of proper form in good circles indi- cate that I should lose no time in explaining how happy I am to be present with you to-night, but the plain fact is, few men feel really happy under like circumstances, and when I have the honesty to confess that I am before you in a more or less unprepared condition, I am sure you will agree with me, that I may be here both against my will and better judgment When our esteemed brother, your President, wrote me in early January and honored me with a request that I contribute a paper for the February meeting, I pleaded the excuse of per- sonal pleasures anticipated, which would interfere with my being present in February, and gladly asked that I might be placed in line for this meeting and rashly enough suggested a subject; but as you all know, " pleasures are like poppies spread," and mine was followed by an attack of '' Grippe " ac- companied by a very marked increase in practice, some of which I think the more uncharitable of you may be inclined to believe was more or less due to our late dog show, of which I was the veterinarian in charge. Be that as it may, the combination was so strong as to force me to abandon the task of preparing a long-winded, high-sound- ing paper involving the general subject of cutaneous diseases of dogs, nor have I many regrets that this is true, for the reason that such papers are usually constructed at great expense of time and thought, yet prove of very little interest, and as a rule promote but little spirited discussion, so desirable in clinical meetings of this kind. I am not here, gentlemen, to give anything away, I am here to gather information from you and if possible to give something 344 FRANK H. MILLER. in return, and would like to narrow my observations down to those made in the routine diagnosis and treatnlent of one of the most common, as it is loathsome, of diseases, with which we as veterinarians come in contact. I refer to that form of parasitic dermatitis of the dog due to infection with the Demodex folliculorutn^ commonly, but I think very erroneously called, " Follicular Mange." So common is this disease becoming that I venture to assume that there is not one practitioner of two years' experience pres- ent, who cannot look back and recall one or more good clients lost by reason of his being charged with the treatment of this disease ; lost at times by reason of mistaken diagnosis ; but more frequently by inability to effect cures within the limits of the dog's endurance or the client's patience. Now, why is this ? Is it because this particular disease lacks the cardinal symp- toms which make its diagnosis easy and certain under all con- ditions ; or having been correctly diagnosed, is it because of the -omparative indestructibility of this parasite as compared with others, which mitigates against satisfactory treatment, or is lack of exact knowledge of the process of dissolution of the parasite also one of our causes of weakness in combatting cases ? Basing my observations as I do entirely on personal experi- ence, I am ready to admit, and that freely, that we often stand convicted upon all three of these points. I know to my chagrin that I have at times made blunders in diagnosis which were little short of crimes, by trusting myself to physical examination alone, thinking the use of the micro- scope unnecessary. I know this to be the besetting sin of gen- eral veterinarians from the number of cases which appear for examination where lengthy treatments have been followed out for all manner of diseases except the correct one. We are all prone to fall into methods of haste in this busy world, but the veterinarian who fails to demonstrate the pres- ence or absence of the demodex by the microscope in these cases before he arrives at conclusions and outlines treatment certainly PARASITIC DERMATITIS OF THE DOG. 345 is working upon his client's time and nerves and much against his own interests. The number of conditions of the skin of the dog with which this disease may be confounded by mere physical examination are tob numerous to mention, and only second in importance in arriving at an exact finding is our ability to exclude the possi- bility of the presence of two distinct diseases prevailing con- jointly, a circumstance not altogether rare, especially in kennel epidemics. Not only must we be perfectly familiar with the parasite in question, but long experience has more and more convinced me of the great value of studying the parasite as an individual, as their morphological aspects have come to bear much meaning in fixing the stage of disease and prognosis, as well as lending a most valuable (I may say the only) aid in computing the re- sults of our treatment. This observation resolves itself into an appeal for the con- stant use of tlie microscope, no matter how morally certain we may feel regarding our ability to diagnose diseases offhand. If we will only submit every single solitary case involving the mysterious loss of hair in the dog unassociated with the in- tense itching which clearly makes for sarcoptic infection to rigid microscopic investigation, we will find this dreadful dis- ease, after all, about the only one in all comparative medicine whose diagnosis can at all times be rendered absolutely error free. Not only is the diagnosis open to the gravest question when this precaution is not observed, but this disease can only be pronounced cured when after the most rigid microscopic exam- ination we can assure ourselves that the parasites are really no longer present. So much, gentlemen, for the microscope in diagnosis; I will again briefly refer to its value in treatment. Frohner has drawn attention to the great number of reme- dies known to be of more or less service in the treatment of this disease and very correctly states that their numbers alone 346 FRANK H. MILLER. would plainly indicate the difficulty in selecting a perfect cure. He has also given for our great benefit a scale showing the relative action of many drugs when brought into direct con- tact with the demodex ; but it will be noted that the time re- quired to kill the organism is in the most instances prolonged, some taking a matter of hours, as in the case of one per cent, solution of arsenic, which requires two hours to destroy them ; lo per cent, creosote kills at once ; 5 per cent, creosote up to 6 minutes ; 5 per cent, carbolic acid about 5 minutes ; pure creo- lin at once ; wood tar at once ; Peruvian balsam in 10 minutes. In running over this scale, which may be found in " Fried- burger and Frohner's Special Pathology," under the section up- on " Mange," two things will strike the attention very forcibly : First, that by far the greater number of these agents belong to the class of virulent poisons, many of them indeed to the e.s- charotics, and yet we find this small animal resisting such solu- tion as a one per cent, of sublimate of mercury for 15 minutes ; while upon the other hand we learn that he is able to live for a short period only in the presence of balsam Peru, an agent which in nowise belongs to the poisons and can be safely given by the mouth even to the carnivora in relatively large doses. What does this mean? Simply this: That the demodex enjoys life under laws somewhat different from those governing the existence of the higher organisms, and can live and thrive for a long time under conditions which would speedily destroy his host, and may be killed by agents which do not very materially affect higher animals. And this brings me directly to the main point in my obser- vations. I have ceased looking in the direction of the drastics for an ideal remedy for this disease, and turned to try and find a spe- cific among safer agents. I have cured many cases permanently by the application of balsam of Peru, creolin and alcohol, but the time required has almost invariably extended over the third month. During the past year I have learned to replace the Peru PARASITIC DERMATITIS OF THE DOG. 347 with large quantities of oleo-resin aspidii, still retaining about eight per cent, creolin, replacing one-half the alcohol (grain spirit) with methylic spirit and in the cases of the robust breeds using the latter altogether ; an advantage both as regards the cost and efficiency and without ill results of any kind. Under this treatment I am, in the great majority of instances, with equal diligence and thoroughness of application, able to cut off about one-third of the time required by the old method, reduce the expenses one-third, and inject great elements of safe- ty by cutting out all of the more deadly agents. While the aspidium has the great disadvantage of being costly and of exceedingly bad odor, it has in later years become known as one of the very safest of drugs even when given in extremely large doses. The question naturally arises as to how this drug exerts its powers as compared with those formerly used. In reply to this I can only say that in my candid opinion it kills out the dis- ease in just the same manner which other agents have done ; this not in any sense by reason of local action (in coagulating the protoplasm of the organism by dehydration), but simply and wholly by rendering the conditions of life so very unsuitable to them, as to render them incapable of reproducing their kind, and since such would of necessity be a matter of disturbed nutrition ultimately moving the death of the organism itself. This, gentleman, is my opinion, based upon general results and close examination (microscopically) of cases under treat- ment. I invariably find in such cases as are moving along toward recovery, regardless of this or any other treatment, that the first change is seldom any very marked diminution of the numbers of parasites present ; nor for quite a long period is there any perceptible change in the physical appearance of the individual organism. Finally the organism begins to show change in outline, be- coming less long, especially in the posterior parts, and from about this time onward they appear to gather pigment and finally the 348 FRANK H. MILLER. entire belly part becomes one mass of degenerative granulation, and the general outline will have become decidedly *' chunky," so to speak. These conditions, if treatment be correct, are now rapidly followed by great diminution of their numbers and early death and disappearance. In addition to these gradual and well-defined changes, I am convinced that it is a matter of retrograde evolution by reason of the ultimate disappearance of young parasites, characterized as they are by having only three pairs of legs as against the four pairs of the adult, and especially since I had several com- plete recoveries where treatment was abandoned at a point where parasites were still present, but evidently much embar- rassed in their generative possibilities, but not entirely destroyed. This, gentlemen, forms my final appeal for the value of the microscope in treatment as well as diagnosis. Its use is simply indispensable. Dr. R. a. Ramsay, recently made Superintendent of Inter- state Quarantine Service of the B. A. I., visited the Kansas City Station in March. The Horse Industry Grows. — Statistics submitted to the House of Representatives, in connection with the agricultural appropriation bill, show that there has been a notable increase both in the number and value of horses in the United States in last nine years. The aggregate of horses January i, 1906, stood at 18,718,578 against 14,364,667 at the corresponding date of 1897. Their total value increased from $452,649,396 in 1897 to $1,510,889,906. This startling rate of increase in value is no more marked than that of mules, according to the same Govern- ment authorities. There were 2,215,654 mules in 1897 and • 3,404,061 in 1906, and the values were, respectively, $92,302,- 090 and $334,680,520. If these figures are trustworthy there must have been some improvement in quality as well as note- worthy increase in numbers in the nine years, to account for all the difference. Accuracy in numbers is more easily attainable than accuracy in valuation. An enumeration is not a difficult task, whether it deals with human beings or valuable animals ; but the ascertainment of individual wealth, or the valuation of property, is a process fraught with difficulties. A HEART TO HEART TALK. 349 A HEART TO HEART TALK. Bv Dr. W. L. West, Kansas Citv, Mo. Read before the Missouri Valley Veterinary Association, February, 1906. I am not sufficiently venerable and a long way from wise enough to pose as an oracle or try to instruct the brilliant and erudite audience I see before me this evening. If any of my criticisms are too strong, you must remember that all stimulants are more or less in contact irritants, and, again, these societies are not formed for expressing mutual admiration, but for mutual benefit and improvement and nothing begets improvement more readily than good sharp criticisms if applied and received in the proper spirit. William Osier, the most famous diagnostician and teacher in the medical world to-day, said recently in an in- terview that the saddest thing to him in life was the fact that most of his former pupils were mentally dead ; this applies with more than equal force to the veterinary profession, in which a large majority of the men begin at once upon leaving college to fossilize and inspissate ; they won't buy the new books or study the old ones ; they won't buy new instruments and will hardly keep their old ones in fit condition to be seen ; they won't attend meetings of their local societies, and consider it a waste of money to subscribe for a professional journal. Now, there is no excuse for this state of affairs and the three most prominent etiological factors are ignorance, laziness and indifference. The fact that a man was so unfortunate as to have his early education neglected and have been at work when he should have been in school, is a good reason why he should be pitied, but in this enlightened age if he continues to be illiterate he is not worthy of pity, but is only entitled to the contempt of honest men, for there is no reason why any man by devoting a few minutes each day to study, or attending a night school, should not get a fair amount of education, which will then only be limited by his persistence and courage. The principal trouble with the class of which I am speaking is not that they have no 360 W. L. WEST. opportunity to acquire knowledge, but they are so badly affected with hyperplasis of the cerebrum that they do not see or feel the need of any further knowledge and have strong doubts if there is anybody wise enough to teach them anything. This is as fatal to progress as death itself, and I pity any person who is afflicted in this way. The profession is making such rapid strides in the realm of knowledge, that a man who has been out of school for five years should take a post-graduate course, brush up and make an ef- fort to move along with the procession instead of lagging be- hind and staying in the same old rut year after year. Another thing to think of is, don't let money alone be your being's end and aim, for there are many other things of far more value than money ; among them are a good name and the reputation of hav- ing some stamina, force and stability, as well as a conscience and a firm determination to do right for right's sake ; not that I despise money, far from it, but its only use or its only proper use is its ability to procure for us those things which make life worth the living and add to the happiness of those we love ; make it your servant not your master, for, with the immortal Goldsmith, we may say "ill fares the land to hastenings ills a prey, where wealth accumulates and men decay ;" not that I would coiinsel you to be reckless in your disregard for money or to spend it upon those things which are found to be vanity and froth, but would advise you to spend it in a wholesome way with due regard for the improvement of your own and your family's condition. I can do no better in pointing out to you my idea of what a veterinarian should be than to quote to you an extract from the remarks of Prof. Elliot, of Harvard, to the undergraduates, on the durable essentials of life : " Not simply by earning good livings — not by wealth — not by fame — not by excitements, but by the lasting and durable satisfactions of life are a healthy body, a vigorous, responsive, interested mind — a love of honor for honor's sake." This coming from a man than whom there is uo more polished gentleman, more ripe philosopher, or more A HEART TO HEART TALK. 351 cogent reasoner alive on earth to-day, should be accepted by us as final and complete. Keep your eyes open and be at all times keenly alive to all opportunities for acquiring knowledge, as such opportunities may arise in the unexpected ways and in the most out of way places. Right here I wish to tell you of an experience of my own where I received a valuable hint from a man who was certainly as humble and illiterate as most. I was going a few miles out to castrate some boars weighing about 400 pounds each and took this man along to help secure them. On the way, I was planning how to secure them for the operation, when the man above referred to, said, " I will show you how to hold them, if that is what you mean." When we arrived, he took a sugar barrel and laid it on the side and sprinkled a trail of corn up to and into it. When one of the boars went in after the corn, he seized him by the hind feet and with him ended up the barrel and by spreading his legs I had as good an operating table as you could ask for, with many desirable features, among which are : the hog can't hurt you, he can't hurt himself, he can't get away, and you can release him instantly. We must not get the idea in our heads that because we have some technical training that we have secured a preempted right to and a monopoly of all observation, for we meet men every day who are in the most humble walks of life whose powers of observation are wonderfully acute and logical. Some of the most useless and dangerous mistakes of veterinarians are made through ignorance induced by laziness; for instance, I knew a man who while in college was a fairly good student who, after being out a few years, while operating on a poll-evil, excised the retrehentes aurem muscle in a very valuable show horse, leaving him with an ear dropped down over the front of his face like a green patch on the eye of a blind man. This was all due to laziness ; had he looked up the anatomy of the part, separated the fibres and put in a drainage tube, he would have saved the looks of a good horse, the wrath of the owner, 352 W. L. WEST. and himself a damage suit. A veterinarian of my acquaintance was called to see a cow which was paralyzed (ante-partum). He knew he ought to perform dilation of the os and remove the calf, but it was a cold and a dirty job, and he stifled his conscience by leaving the owner some nux and trusting to luck, not Provi- dence— I don't think Providence ought to be accused of having any part in such a performance. Well, the result was, the cow sprawled around for some time after being due to calve, and at last, the owner dilated the os and removed the macerated foetus, when the cow recovered. The veterinarian lost hundreds of dollars by being too lazy and indolent to do his manifest duty. There are men who occupy prominent positions, who make most glaring mistakes — some through ignorance and some through a general inherent meanness. I have in mind a man who has long been at the head of the sanitary work in a large and pros- perous State, who has retained his office by the foulest kind of wire-pulling, and who has repeatedly been informed of abuses of the laws he is sworn to enforce, among which is the law that all animals shipped into the State shall be tested with tuberculin and proven free from tuberculosis. One neighboring State where the most conservative veterinarians assert that, two per cent, of the cattle are tuberculous, has within the past five years shipped into the State presided over by the above-named per- son, more than sixty thousand cattle, mostly for dairy purposes ; and these cattle are alleged to have been tested by agents who are selected by, and vouched for, by this man, who are in many cases laymen and in this period not one case has been reported as tuberculous. One firm who ship from one to three carloads per week get their testing done, or rather their certificates signed, for five dol- lars per week, so J have been told. There is no excuse for this and I am glad to say that the party above mentioned has no standing with the rank and file of the profession and should be fraternally ostrasized. A very common mistake made by veterinarians when first going into practice is locating their offices in livery stables. A HEART TO HEART TALK. 353 The writer had his in one for four years, and while in some cases there may be extenuating circumstances, the principle is wrong. There are many people who do not wish to bring an animal to a livery stable, there is nothing refined or elevating in the environment, and it is quite likely to breed a feeling of jealousy among other stable owners or dealers. Get an office, if possible, where you can have an operating room in connection, and keep it clean, not only of dirt, but of an undesirable ele- ment, viz., loafers. This I wish to emphasize, for nothing tends more to keep desirable clients away than to have to describe their cases before a gaping crowd of idlers. One of the worst and most dangerous phrases a veterinarian can get into the habit of using and being satisfied is, " that it will do." Now, if it is your best there is no need of qualifying it, and if it is not your best, don't allow it to get away until your very best has been done. Keep your horses in good con- dition, and don't drive a lame one, for it is certainly a bad ad- vertisement and reflects upon your ability. Keep your buggy clean and in good repair. I have seen veterinarians riding in buggies which at a distance, coming toward one with curtains flapping in the wind, resembled noth- ing so much as a vampire bat. Don't dispense your medicine in beer or other old bottles. New ones cost a very little more money. Also have neat and modest labels, affixed to all packages of drugs you send out. Keep your instruments clean, not only ordinarily clean, but sterilized. Keep an accurate record of all the work you do and the amount of money you receive for it. Don't do cheap work and don't cheapen yourself or the profession accepting a twenty-five cent fee. If any service is not worth more than that, make the party a present of it and ask them to call again. You will be respected as you respect yourself. If you con- duct yourself as a refined professional gentleman you will be so accepted by the people. On the other hand, if you associate habitually with the tough element, you will naturally be con- 364 W. L. WEST. sidered one of them. I know, of course, a man must be thrown in with some people in a business way who are undesirable as regular associates, but the fact that you would not invite them to a party at your home does not prevent you treating them in a perfectly courteous and gentlemanly way. Take an interest in the affairs of the city in which you re- side. Have some civic pride and show it by inquiring into the way the local health board is conducted ; look into the city in- spection of meat and milk and all food, and don't hesitate to let your views be known, for ii yott don't have any interest in these things, how could you expect others outside the profession to do so ? A very common mistake of veterinarians in cases of puzzling foot lameness is not removing the shoe. Always do this, no- matter if the trouble seems quite plain, and you will be repaid. I knew a case presented with a history of sudden lameness, with one ankle behind badly swollen and tender to the touch. The veterinarian to whom the case was presented looked at the foot casually, and the ankle intently, and prescribed a cooling lotion. The case was seen several times and grew worse, and when a consultation was had, by removing the shoe and by a careful searching of the foot, a large nail was found firmly embedded,, leading to a suppurating wound. Prof. Dick used to relate a case where a fracture was caused^ by a nail in the foot and the case would have been lost but for his unvarying rule "to always remove the shoe." A great and fatal mistake made by many veterinarians is in trying to get along without proper equipment in the way of books, instruments and means of restrainment. I am not advo- cating a young practitioner's loading himself up with all sorts of useless truck, most of which is simply made for sale — but no- man should try to practice without a good working library, all necessary instruments, and at least two or three different means of restrainment. In the matter of instruments, and more es- pecially in the matter of dental instruments, I have found a good many exposed for sale which must have been made by a. A HEART TO HEART TALK. 355 blind man, or, at least, the maker could certainly have never seen a horse. A good way to get useful molar extracting for- ceps, for instance, is to take a skull and saw out the external plate so as to expose the direction in which the molars are im- planted and must be drawn and have a good mechanical black- smith make a set of forceps suitable to the case. There are mistakes of omission as well as commission. If there is one plan or duty more than another that is calculated to help a man to be a better practitioner, it is in the keeping of a case-book and make it complete and a full record of the case — diagnosis, prognosis, treatment, result, and postmortem. Don't neglect the latter, for there is a great deal of satisfaction in verifying a correct diagnosis and much helpful stimulation in finding out what was the trouble, even if you are wrong. In keeping this case-book don't cheat yourself and pad it up afterwards with the diagnosis you would have made if you had seen the post- mortem first ; that won't help you any ; but make the record com- plete and absolutely true ; even if it hurts some, it will help later. While we are on this subject let me say never neglect an op- portunity to make a post-mortem if you have had the case in charge, for nothing adds more practical pathology than a series of careful and intelligent post-mortems. But there is some- thing more to a properly made post-mortem than merely open- ing the abdominal cavity and looking at the various organs ex- posed, meanwhile holding a handkerchief to the nose and stand- ing about ten feet away, which I have actually seen some veteri- narians do. Eternal vigilencc is the price of liberty ; eternal study is thej price of knowledge, and I have never yet seen a good man whol was not a reader. I have in mind at present a classmate who' was unfortunate in his inability to readily grasp essential details but very fortunate in his capacity for sustained mental effort, who by constant, earnest and intelligent digging, has placed him- self at the head of a Slate institution and is in a fair way to be a national figure of prominence. Don't be too dignified to at- tend to small details. WKen Nicholas Senn, one of the world's 366 W. L. WEST. most famous surgeons, went to Germany to study, he entered the clinic of one of the world's savants and upon entering was told to wash some bottles at a sink. He inquired if they knew who he was, and was told yes, but wash the bottles, and he washed them and thoroughly without doubt. One great and at times fatal mistake that is made every day by many practitioners is that they do not use and rely upon the help given them by the use of anaesthetics. I have even known men to perform oophorectomy in bitches without using an anaes- thetic, and in fact I did so once myself, but only once, and I am willing to give a bond that I will never do so again, for I can still hear the cries of the poor beast, and I have much less re- spect for myself every time I think of it. It does not seem necessary to use much time in argument in support of the more routine use of anaesthetics, for they are humane, their use ren- ders difficult and dangerous operations safe and harmless, they add to the respect for skill with which the surgeon is regarded by the community, and finally the special skill of the trained anaesthetist is acquired by the constant, careful and continued use of these agents. I hope I have not, from my somewhat emphatic criticisms of the profession in general and some members of it in particu- lar, given you the impression that I am a pessimist — far from it ; but I don't think it a wise plan for us to let a too brilliant optimism blind us to our palpable faults. I believe in the veterinary profession, and I believe it the grandest and most noble vocation in which a man can spend his life. What can be more calculated to lead to the highest realms of peace and happiness than a life spent in the alleviation of the ills and pains of our dumb friends? Gentlemen, I thank you for your kind and thoughtful attention. Twenty-seven veterinarians took the Civil Service exami- nation for meat inspector at Kansas City, April i8th. "The Review is constantly improving in quantity and quality. I read it regularly with pleasure and profit."— (^C A. Cary, B. S,, D. V. M., Ala. Exp. Std., Auburn, Ala.) SPAYING THE HEIFER. 367 SPAYING THE HEIFER. By Dr. J. W. Robinson, Coleharbor, N. D. Presented to the 1906 Meeting of the North Dakota Veterinary Medical Association Spaying the heifer is an operation simple enough to the surgeon who has acquainted himself with the work by experi- ence, but to the beginner it seems rather hard to find the proper literature on the subject. At least in my case, I could find but very little practical information outside of surgeons in active practice. The method I have used is according to the valuable infor- mation I have received from Dr. Treacy, who kindly helped me by letters, as I was unable to be with him while operating. The following outline of the work is intended for field work only, as in spaying on the range we must be quick and practical and cannot spend much time on sepsis. In fact, my experience has proven to me that the operation is much less dangerous if performed quickly than if much time is taken with the hand in the abdominal cavity searching for the ovaries. Season. — I would prefer spaying at the ordinary castrating season, when the weather is fine and the grass has a good start. Age. — I prefer operating on yearlings, or what might be termed last year's calves, as they seem to stand the operation well, and at this age there is very little danger of any being pregnant. Mode of Confinement. — I prefer throwing and tying as for branding ; that is, throwing by a slip noose on the hind legs and then tying the front feet, when down, in a similar manner, stretching the ropes tightly to opposite fence-posts in the corral. Point of operation. — The left side just anterior to the angle of ilium. Clip the hair and wash the surface with a lysol ox crcolin solution. Instruments. — Curvcd-bladed castrating knife, Miles' spay- ing shears, Miles' spaying needle, and plenty of strong silk. operation. — Make an incision with a curved blade of cas- trating knife, about four inches long, in a downward and for- 358 J. VV, ROBINSON. ward direction, keeping as high up as possible and cutting only through the skin and fascia. Now, with the fingers, divide the muscles in the direction of their long fibres. If the opening cannot be made large enough in this way, the knife can be used at either end, being careful not to cut more muscle fibres than necessary, as such a procedure would prevent the closing of the wound and delay healing. When the opening is large enough, insert the hand and puncture the peritoneum with the middle finger, being sure to use force enough to thrust directly through, as if moderate pressure is applied with several fingers, the peri- toneum will separate from the muscles, thus allowing the hand to pass between. When the abdominal cavity is entered, keep the hand high and directed backward into the pelvic cavity and search for the left or upper ovary, which varies in size from a common bean to a walnut, according to size and age of the ani- mal. For the beginner it is often difficult to distinguish be- tween the ovary and lymphatic glands of this region, but after a little practice, it can easily be distinguished by its firm mem- brane. When located, grasp the ovary between the thumb and fore- finger, being careful that no intestine or omentum is included. Insert the shears, guiding the curved points along the arm and hand, open slightly and cut with short snips, keeping close to the thumb and forefinger. Remove the ovary and search for the other, which is removed in a like manner. Sew the skin with a X-suture, using heavy floss silk, leav- ing the peritoneum and muscles to take care of themselves. Dress the wound with Squibb's compound alum powder, or boric acid and iodoform. After-care. — Give access to good, clean pasture, away from old corrals or cattle sheds. "Artificial Impregnator in Horse Breeding" is the title of Circular No. 5 of the Oklahoma Agricultural Experi- ment Station, Stillwater, Oklahoma, Dr. L. L. Lewis, Veterina- rian. Full instruction on its use is giv^en, with a consideration of the various methods and instruments. ANIMAL PARASITES OF TEXAS. 359 ANIMAL PARASITES OF TEXAS. By Joseph W. Parker, D. V. S.. San Antonio, Texas. In view of the importance of ectoparasites from a live-stock sanitary point of view, and the considerable number of veter- inarians interested in this work, the following notes with refer- ence to parasites found in Texas are offered : Amblyomma Maculatum. — Reported by the writer in August, 1905, from De Witt and Live Oak Counties, Texas. Found on cattle, horses, sheep and dogs. Specimen classified by Bureau of Animal Industry, Washington, D. C. This tick was found only in or about ears, usually inside concha, never deep in ear like R. spinosum. Usually gathered in clusters, even when few. It may be readily distinguished from other varieties of the Ambly- omma by the markings of the scutem. The scutem of female bears antero- laterally two diamonds and postero- laterally two triangular splashes of irridescent silver-bronze, on a '^cxjivhoy a. maculatum. ground of a reddish color. These figures seem very regular. The scutem of the male bears silver-bronze markings of symmet- rical geometric figures on a reddish ground, the most notable and regular being two imperfect triangles antero-laterally. The markings of the male, however, are subject to considerable vari- ation. The female A. maculatum attains a greater size than any other tick known to the writer, one specimen being y\ inch long hy \l inch broad. Male ,'f, inch by 'h inch. The rostel- lum being very long and heavily armed, frequently causes wounds that afford access of screw-worms, resulting in lop-ears ('•gotch ears"), because of which the tick is locally called a gotch tick. A considerable number of fatalities is said to occur, resulting from screw- worm infection. 360 JOSEPH W. PARKER. Rhipicephalus Sangoineus. — Reported for Texas by- writer in 1905. Have found it only on dogs. This tick very closely resembles Bo'dphihis afimilattis in general details, exam- ination with a lens being necessary to positively distinguish. Main points of difference are : (i) Stigmata of females are blunt commas. (2) Stigmata of males are elongate commas, lateral anal plates rather small, internal anal plates long, and a tail is sometimes present. (3) Legs of both sexes rather larger and darker red than those of B. anmilatus. (4) Replete female somewhat smaller than B. anmdahis. The shape of the stig- mata varies somewhat, in one specimen being almost round like that of B. atimUatiis. A number of cattle closely associated with dogs infested with R. sanguineus have been examined without finding these ticks. Argas Miniatus. — The Mexican chicken tick. A para- lytic fever has been repeatedly observed among chickens in- fested with A. miniatus. The clinical phenomena point to an infective disease conferring a transcient immunity, and the tick as the agent of transmission. In one infested yard, during 1905, eighty per cent, of chickens introduced from other yards exhib- ited the paralysis within eight to twelve days after introduction ; most recovered, and only a few were subsequently affected, though nothing effective was done to exterminate the ticks and they were numerous throughout the year. Experimental infestation gave negative results. Circular Xo. 91 of the Bureau of Animal Industry is a preliminary report of "The Life History of the Twisted Wire- worm ///^wrvw^^/j contortus) of Sheep and Other Ruminants," by B. H. Ransom, B. Sc, A. M., Scientific Assistant in charge of the Zoological Laboratory. Abattoir for Horses. — It is reported that the consump- tion of horse meat at Nuremberg, where a few years ago it was quite insignificant, has now increased so greatly that the facili- ties for horse slaughtering at the municipal abattoir have be- come insufficient, and the City Council has' been obliged to con- •^sider the construction of a new abattoir for horses, the cost of which is estimated at $43,000. REPORTS OF CASES. 361 REPORTS OF CASES. '* Cartfui observation makes a skillful practitioner, but his skill dies with him. By re- cording his observations, he adds to the knowledge of his profession, and assists by his facts in building up the solid tdifice of pathological science.'^ DIAPHRAGMATIC HERNIA IN A TWELVE-YEAR-OLD MULE. By C. A. Carv, B. S.. D. V. M., Auburn, Ala. The mule had been resting for lo weeks with what appeared like gonitis in the left hind limb, but had been treated for bone spavin and sesamoiditis. During this time it ran in a lot with a few horses, and occasionally had access to a lot where cattle were fed cotton-seed meal and hulls. On two or three occasions it had colic attacks, which yielded to the ordinary domestic remedies of soda, etc. What seemed to be a fourth attack of colic called me to the case on March 23. I found the mule with- out fever, normal pulse, and suffering from colicky pains, mani- fest by uneasiness, getting up, lying down, etc. In the left rib region four ribs were fractured and a marked indenture, as often found in cases of osteo-porosis. The lameness history, the broken ribs, and the colic from indigestion, led me to suspect osteo- porosis. The mule was sent to the hospital and was treated for colic and in course of 24 hours seemed to be free of pain and eating grain and hay. The broken ribs being movable and sen- sitive, I expected pleurisy might develop. On the third day my assistant called me to see the pumping breathing of hydro- thorax or pleurisy with effusion. Auscultation and percussion did not indicate that the effusion had risen very high in the thorax. Hence, we waited a few hours and the labored breath- ing disappeared and respirations became nearly normal. The temperature was then 103 to 105 F., and pulse rapid, 80 per minute. That night the mule died. Post-mortem revealed a rupture of the stomach ; quite a quantity of food in abdominal cavity ; abdomen full of red serum ; peritonitis ; liver, spleen and kidneys engorged with blood. Thorax, quite a quantity of red serum, but not as much as was found in abdomen. Pleura was only slightly inflamed. Lungs almost normal. The double colon and csccum were in the left lung cavity ; not strangulated nor inflamed, and contained apparently normal semi-liquid ma- terial and no more gas than usual. A piece or fold of the mesentery and omentum had at some previous period passed through an opening between the spleen and stomach and 362 REPORTS OF CASES. another opening on the left side of the tendonous portion of the diaphragm and become fixed to the inner surface of a fracture of the nth rib. The hernial opening in the diaphragm was 2^^ inches in diameter, and the opening between the spleen and the stomach was about the same size. The edges of each opening were smooth and entirely healed, showing that they were not recently made. No doubt the immediate cause of death was the rupture of the stomach. But how could a twelve-year-old mule do hard dray work up to within ten weeks of its death with such a diaphragmatic hernia? Possibly it occurred some time during the ten weeks. Explanation of Plates. I. — The lower end of the ribs point upward in the picture. D is the abdominal surface of diaphragm. R lies between enlarged places of two broken ribs that have become united b}- false, movable union. To the enlarged broken rib at the right of R is attached the fold of mesen- tery and omentum after the fold ( M) passes through the old hernial opening in the diaphragm. The opening is held open by piece of wood stick placed transversely above the R. M \^ the omentum and (chiefly) mesentery fold, which passes through an old opening {O) between the stomach {ST) and the spleen {SP) and then the hernial opening in the left part of the tendonous portion of the diaphragm, and is firmly at- tached to the enlarged part of the nth rib that had been fractured and united by false union. //. — Shows the thorax open ; three fractured ribs and double colon and caecum that passed through the hernial opening in diaphragm into the left lung cavity. REPORTS OK CASES. 363 CARCINOMA OF THE MAXILLARY SIN^S AND ALVEOLAR PRO- CESSES IN THE HORSE.* By L. Van Es.. M. D.. V. S., Agricultural College, N. D. During the summer just past, the writer was consnhed in regard to a case occurring in a patient of Dr. J. \V. Dunham, Fargo, N. D. The horse, gelding, from fifteen to seventeen years old, had for sometime shown some difficulty in mastication. While this was being observed a more or less diffused swelling appeared over the left maxillary sinus. A small opening was drilled into the sinus by Dr. Dunham, from which escaped a small quantity of a clear limp fluid having the appearance of blood serum. As no pus was to be detected and as none of the molars showed any lesions on their face, it was not deemed justifiable to proceed any further in the matter, and after prescribing daily irrigation with an antiseptic solution the case was kept under observation' for several days. During that time there was an increase and extension of the swelling and when the case was seen by the writer the enlarge- ment had extended well under the zygomatic arch, was more or less oedematous and rather painful on pressure. The left side of the face had a bulging appearance from the eye downwaid. The left nostril showed a muco purulent discharge which at times was tinged with blood. The sub-maxillary lymphnodes were enlarged, indurated and very tender to the touch. The opening made into the sinus had not yet healed and a common probe could be introduced without difficulty. In.«;erl- ing the instrument without any force it seemed to follow a canal leading towards the last molars, which, as indicated by the probe, seemed to be eroded on their roots. When the probe was pushed in with a little more force it readily found its way iito the oral cavity, a manipulation followed by bleeding from the parts. After the withdrawal of the probe it was noted that the odor so characteristic of necrotic bone could be detected. Manual examination of the mouth revealed an ulcerated condition posterior to the last molar. The ulcer seemed to be deep and formed a cavity which was filled with tissue debris and quite a quantity of food stuffs. Another feature of the case was the almost cotnplete atrophy of the masseter muscle, on the side involved, which was probably the result of non use. • Presented to Meeting of North Dakota V. M. A., Tnnuary, 1906. 364 REPORTS OF CASES. Fig I Fic. 2 Fig RtPORTS OF CASES. 365 The general condition of the gelding was not bad, although the attendant informed us that there had been a considerable loss of flesh, apparently due to the diflBculty in mastication and swallowing. Owing to the erosion to the root of the last molar and the evident presence of dead bone, it was recommended that the tooth be removed and any dead bone thoroughly curetted away. This was done on the following day by Dr. Dunham. The tooth removed was the last molar and the doctor stated that it would not have been difficult to remove three or more teeth on the same side, as they seemed to.be implanted into a soft nodular mass with which the greater part of the cavity seemed to be filled. Upon examination of the tooth removed, it was found that some of this tissue was still attached to the molar, and from its appearance and the result of the finding during the operation, malignancy was suspected. With a view of deciding this point, the tissue was prepared for microscopic examination, which revealed that the growth in question was a typical carcinoma. Consequently the destruc- tion of the animal was advised. This advice was acted upon some two weeks later, and the head turned over to the writer for post-mortem examination. During the interval the enlargement of the face and sub- zygomatic region had steadily increased, while the horse itself showed the effects of malnutrition and cachexia. .\t the time of the post-mortem it was found that the open- ing into the sinus had nearly healed. After removal of the skin and soft structures over the involved area, the bony plates of the superior maxillary, lachrymal and malar bones were care- fully removed. At some places it was necessary to use the chisel for this purpose, but in others the bones were so softened that they coiild be readily removed with a knife; in fact, part of the external and the orbital plates of the lachrymal bone had been entirely absorbed, while in some parts of the superior maxillary bone the osseous tissue had been so thoroughly infil- trated by the tumor mass that the two could not be completely separated. .•\fter the removal of the bony coverings, the tumor pre- sented itself as a lobnlated, nodular structure filling almost completely the maxillary sinus and reaching into the naspl chamber, without, however, obstructing the air passage. P« low it had infiltrated the alveolar processes of the superirr niaxillarv bone to quite an extent. Posteriorly the alveolar 366 REPORTS OF CASES. tuberosity is entirely necrotic, while the palatine bone also shares in the erosion. From this region the tumor structure reaches towards the orbital cavity, while further inward the muscular wall of the pharynx was infiltrated and immobilized by it. At one place where the nasal cavity, merges into the pharynx the tumor had actually broken through the mucous membrane and a nodule of the size of a large hazel-nut protruded into the air passage. Microscopically the cancer proved to be of the glandular type, but otherwise did not present anj special features. The stroma is moderately developed, while but few sections show any degenerative changes in the epithelial islands. A higher magnification reveals the presence of numerous cells undergoing division, as shown by the karyokinetic figures representing all the stages of the process. KRRATIC OR IRRKGUI.AR P.'\RTURIKNT PARESIS.* By Dr. E. A. Van Antwerp, Brookfield, Mo. In choosing this much talked of subject — one that has had papers in untold numbers written about it — I do not expect to bring out or advance any new ideas of the pathology or thera- peutics, but simply put before you in as few words as possible my experience with three cases of this disease, which has be- come a desirable one to handle, thanks to the discovery of the great benefits derived from iodide of potash, then of oxygen, later of sterilized air, and very frequently the latter is used with- out sterilizing. We no longer dislike to hear a patron say that he has a case of ''milk fever" — as it is commonly called — but now we are rather pleased to pit our skill against one of these cases, and if given half a chance can save the "best cow," for the owner will generally tell you it is the best one in the herd. Such were the conditions surrounding the first case I wish to mention. Case No. /. — On the morning of July 27, 1904, I received a call to come and see a cow that could not get up ; had been found down about 7 a. m. It was nearly 9 o'clock before I saw her. I found a very nice specimen of native or cross-bred cow ; she was unable to get upon her feet (a.s I made no minutes of the case I cannot say about her pulse, respiration, etc., as thev have passed my recollection). She held her head firee from the *Read before the Missouri Valley Veterinary Association, February, 1906. REPORTS OF CASES. 367 ground and swallowed a small dose of stimulants. Later there were administered a saline purge and nerve stimulant, with am- moniacal liniment to the spine. I left instructions for her care, es- pecially to prevent her getting into a lateral decubitus, and prom- ised to call again in a couple of hours. Upon returning, I found the cow had been allowed to get away from the support and was lying at full length upon her side, with quite a quantity of food at the nostrils, which had regurgitated from stomach. Her eyes were nearly closed, profuse lachrymation, no reflex sensibility ; when rolled upon the sternum she would toss her head about, and when resting it would be placed at her side in the charac- teristic position of a case of paresis. Upon further inquiry I learned that the cow had been fresh four weeks ; there was an entire absence of milk in the udder at this time, and she had given very little the night before. In fact, at time of second call she presented many of the symptoms of a case of parturient paresis, but for the four weeks past fresh had me guessing. Per- haps these conditions would have been very plain to many of you, but I have failed to see any description of a case so late af- ter the period of calving. I hurried back to the office, got the necessary boiled water, syringe, etc., gave cow my regular treatment for parturient paresis and was very much pleased to see an improvement in an hour and felt I was doing all right. After waiting about two hoiirs from first injection I again inflated the udder, and, being obliged to attend to some other calls, gave rigid instructions as to keeping cow in proper position and left my assistant to look after them. I returned in about three hours to find the cow up and in a fair way to make a complete recovery. Case No. 2. — On April 8, 1905, I received a 'phone call from a friend south of town. His Jersey cow was sick and acted somewhat weak in hind parts ; owner believed she had been hurt. I asked some questions, among others if the cow was fresh, and was told she would not be for two months. I arrived at the farm and found a grade Jersey cow in a box stall. The casual observer would observe nothing wrong. I was in- formed that the cow left the stable that morning to all appear- ances perfectly well. When driven up at night she appeared weak in her hind legs, stumbled and nearly fell when going in the barn. When caused to move she would stagger about and almost fall down. After such an exertion her pulse would be- come accelerated to nearly an imperceptible degree, her respi- ration become hurried, but when left to herself would soon be 368 REPORTS OF CASES. nearly normal. While the expression of her face with the drooping ears, half closed eyes, head carried low, showed the action and look of a cow coming down with parturient paresis, I could fit7d no inculcations of an injury. I learned that she gave no milk that night, the usual amount being about three or four quarts to a milking. I administered a purgative and gave stimulant. About an hour later I determined to try treatment of the udder. I obtained a household syringe, cleansed the same, disinfected the udder, got all the articles clean and ready by disinfection, then inflated the udder with sterilized air, and repeated the same in a couple of hours. About this time I could see a little improvement in the cow and at midnight she was decidedly better. In the morning the owner reported the cow apparently as well as usual with absence of milk, of which she did return to her former amount. Case No. j. — On the evening of May i8, 1905, in answer- ing a 'phone call, a lady's voice told me to hurry over and see Uncle Jack's cow. She said the cow was down and couldn't get up, and she believed it would be dead before I could get there. I had some trouble in calming the lady enough to find out where I would find Uncle Jack and his cow. I proceeded to answer the call, and found a nice Jersey cow down and mak- ing repeated efforts to get on her feet. She would rise part way and then fall broadside unless supported upon her sternum. When supported up in latter position, she would toss her head about and let fall at her side, assuming characteristic position of parturient paresis. Her eyes were amaurotic, no reflex action, sterterous breathing, air also being passed through mouth, caus- ing cheeks to puff in and out with each respiration. The cow was somewhat bloated, which made it quite necessary to keep her upon her sternum. 1 leafned from owner that the cow had been fresh about four months, that she did not have any milk in her udder that morning, her usual amount being about 8 quarts. After a careful examination, I decided it was a case of belated parturient paresis, and believing it unsafe to give medicine per orum, I injected a solution of potassium iodide into the udder. This treatment was given again at 7.30 P. m. Some im- provement was observed. She became more quiet. At 10.30 the treatment was repeated. At midnight, thinking patient might be chilly, I picked np an old piece of carpet to throw over her, but it had hardly touched her back before she made a successful effort to regain her feet, and after a little stumbling about walked into the barn. REPORTS OF CASES. 869 Tliis is a review ot these cases to the best of my recollection. I called them erratic parturient paresis, they being so far out of the usual time. These are the only cases of this kind I have observed in 20 years of practice and several years previous spent upon a dairy farm. One would not have hesitated in making a diagnosis of par- turient pare^is had these symptoms appeared at the usual time. I based my diagnosis on effect of treatment to the udder, which produced favorable changes in the condilioi; of the patient in an hour or two. If they were not parturient paresis, what were they ? CARTILAGINOUS QUITTOR.* By Dr. W. Warren, Sedalia, Mo. On October 23. 1905, a gentleman brought in a mare that was extremely lame, and asked me to take a look at her and see if I thought anytiiing could be done for her. The horse was an •ordinary road mare, weighing about iioo pounds, 14 years old. He gave the history of the case as follows : In July she cut her right front foot on a barb wire across the outside quarter at the heel, making a deep, ugly looking wound which extended across the heel through the coronary band arfd about half an inch into the hoof. The wound at first apparently healed, as readily as cuts of this nature usually do, but in a short time it broke out again and then showed a tendency not to heal. The mare had been so lame she would not use the foot, only just to touch the toe to the ground. Upon examination I found a fistula just above the middle of the upper margin of the lateral cartilage on the outside of the foot, which by probing I found to extend down into the foot inside the cartilage, and could feel the bone exposed a little. From the direction of the fistula I judged the necrosis on the os pedis was very near the pedal joint ; there was some fcetor to the discharge, which indicated bone necrosis. I advised an operation, to which the owner consented. I decided to operate next day. The foot was placed in a poultice for 24 hours to soften the horny structures. The following day I called Dr. Bradley to assi.st me in the operation. We confined the mare on her left side by means of casting harness. The diseased foot was extended by means of a stick, and traps to fasten it so as to keep it as still as possible, and a solution of cocaine was injected over the plantar nerves and the parts cleansed with strong for- ♦Re«d before • Meeting of the Missouri Valley Veterinary Association, February. 1906 370 REPORTS OF CASES. malin solution and soap. The hoof was rasped down as thin as possible, then a tourniquet applied above the fetlock, then re- moved the wall of the hoof from the heel around to within about an inch of the centre of the toe, made an incision through the sensitive lamina along the base of the lateral cartilage, then dis- sected the cartilage from the sensitive lamina, made an incision through the cartilage and dissected it loose from the inner structures of the foot. Upon removal of the cartilage, I found a sinus which contained about half an ounce of pus, cleansed this thoroughly, then curetted it thoroughly. I found a necro- tic tract extending upward and forward in the coronary band. This was curetted, a dressing of iodoform and acetanilid applied, covered with absorbent cotton and bandages. I removed the ropes from the mare ; she seemed to be suffering considerably from shock and did not seem inclined to get up. A stimulant was administered and the animal lay about an hour, then I spoke to her, and she got up and seemed to feel pretty well. I placed her in a box stall, gave some water and small feed of oats, which she ate. I renewed this dressing in 3 days, then again in 3 days, at the end of which time it was found that all the necro- tic tissue had not been removed. Anothei tract seemed to be present. A dark spot was found, which was swollen above the sur- rounding tissue. I took some chloride of zinc and applied to this point and pressed it into the tissue as much as I could, then applied dressing as before. In two days I redressed it and found it healing nicely. After that I dressed it once a week for several weeks. It did not appear to be as sore from the time I dressed it the second time as it was before the operation. Within two weeks after the operation she put her entire weight on the foot, and I think she will go as sound as she did before she was in- jured. I would not have dressed this quite as often had I not wanted to watch the place that I did not get thoroughly cu- retted out at first. I did not report this case to teach any one else anything especially, but to show that it is an operation that can be done without an operating table, etc. I heard a party remark here last fall at one of our conventions when Dr. Brown was operating on a foot that it was not necessary to watch him, as we could not do such operations in the country with the ground for an operating table. I think the principal thing is to go after it the best way you can with what you have to work with and use every precaution possible for preventing REPORTS OF CASES. 371 septic material entering the wound during the operation, then thoroughly irrigating the wound with a strong antiseptic solu- tion of some kind before applying the dressing. By doing this I think we can obtain good results many times when we feel reluctant to undertake the task. A BAD CASE OF LAMENESS.* By C. J. Hrckard, Wheatland, Iowa. On June 24 last, I was called by a farmer, John Miller, living north of Calamus, to see a lame mare. On examination, I found that there was a small opening at the heel of the right front foot, and by probing found that it extended inward and upward about I Vj inches. There was a little pus escaping and mare was quite lame. I took probe-pointed bistoury and enlarged opening and injected a solution of carbolic acid, and then placed a small piece of sulphate of copper in edges to keep them from healing too soon, and bandaged, advising the owner to remove same in about 12 hours, and then syringe it out with warm water and inject some creolin solution. Also told him to attend to it in this way twice a day. On July II he 'phoned me and said that it did fine for a while and lameness was just about gone and it was all healed up, but now it had broke again and mare was very lame, and for me to come over again and see her. So I drove over and found her in bad shape. He told me that the leg had been swollen very badly, and was very hot from the foot up above the knee, and that a neigh- bor woman came over and saw it and told him that a good cow- manure poultice would be the last and only resort. So he and the hired man took a pants leg and started for the cow barn, she following. She watched them filling the bag far a while, then becoming disgusted by their slow work, took it from them and proceeded to fill it with her hands. After she finished filling it she took it to the barn, and having them hold the horse, slipped it on the leg. This was left on al)ont 24 hours, and when re- moved found that it had broken in four places, one anterior above ankle, two posterior above and below ankle, and one on outside just above ankle. It seemed that the entire region was rotten. T injected a solution of creolin through all the openings, which connected, and then covered the entire leg from foot up with Antiphlogis- • I're*enteolis. A. T. Peters, Lincoln, Neb. K. P. Flower, Ba-on Rouge. S. H Ward, St Paul, Minn. Louis P. Cook, Cincinnati. J. C. Robert, Agricultural College PUBLISHERS* DEPARTMENT. Subscription price, $3 per annum, invariably in advance ; foreign countries, $j.6o; students while attending college, $2 ; single copies, 2J cents. Rejected manuscripts will not be returned unless postage is forwarded. Subscribers are earnestly requested to notify the Business Manager immediately upon changing their address. Make all checks or P. 0. orders payable to American Veterinary Review. SffiiitBfttt ^^^"^ '^^ ^^^ FRANCISCO. (CREOLIN-PEARSON) ^ large quantity of CreoHn-Pearson / -fcsa i> m enough to make over half a million pounds of -iJf^^K/iJ this ideal disinfectant, was donated and for- _i^ yP^ _*, j^ ^ ,LL. warded by Merck & Co. to the authorities of 7j TO /^ ^R B i»L San Francisco, immediatel}- after the earth- ^2| tV — . jt^ — . ^S| (juake and fire had destroyed that beautiful /ju _i^ ^ 1 ji jfe- city. The shipment was accompanied by in- |1P /<— . I* VJ =^ structions as to its most effective use, printed ^ Bk ^ '^ '/n '" several languages. The accompanying il- •£5: PE1 tA* :MJ1 /^ lustration, giving directions in Chinese for 'm m) m, i^ 1W the use of Creolin, shows that the Celestials W E9 ^ ^ ^ were not forgotten. •5^J ~h T\^ 2iE l^ The enterprise and courage of the mem- bers of the San Francisco drug trade were clearly exemplified during the recent disaster. Before the fire was ex- tinguished they placed large orders with the manufacturing chemists. One house ordered 30,000 pounds of Antiphlogistine, and altogether over 100,000 pounds were shipped to the coast upon order within a week. On a steamer from New York, running up the California coast at the time of the earthquake, were 35,000 pounds of Antiphlogistine, and upon orders from the home ofiice, the emergenc}' hospitals were liber- ally supplied free of charge. Alkaloidal Medication, has come to stay alike in veterinary practice and human medicine, and its oral administration in canine practice is one of the greatest steps in advance, that has been made in the last decade. Abbott's small granules possess many advantages over the large tablets prepared by some other houses ; the two principal be- ing, their easy administration and ready solubility'. VETERINARIANS WANTED. Wanted. — One veterinarian in every city or town to act as agent for the famous Schwartz Combination Instruments. Write at once for circulars, testimonials and agent's discount. Everything fully covered by patents. Frank G. Lang, 242 Van Buren Ave., Bay City, Mich. REVIEWS WANTED. Any one having October or December, 1903. September, 1905 or March, 1906, that they are willing to sell, will kindly communicate at once with the Business Manager of the American Veterinary Review, Robt. W. Ellis, 509 West I52d St , New York. Prof, von BEHRING'S BOVOVACCINE immunizes cattle against tuberculosis. 70,000 head of cattle bovo- vaccinated and records prove complete success. It is worth in- vestigating ; write us for literature on this most important subject. ANTITETANIC SERUM a cure for tetanus, as well as a most reliable preventive. TUBERCULIN-Behringwerk. IRISOL, a powerful antiseptic and disinfectant, stable, non-toxic, clearly soluble in water. FOWL CHOLERA SERUM, a reliable remedy and preventive against the infection of Cholera. This Serum gives results. GALLOGEN, The ideal intestinal astringent, a distinct chemical (CkH.o*). compound, is an insoluble preparation of the tannic acid group (100 per cent.) ; of great value in diarrhoea and infec- tious intestinal catarrh of cattle and horses. DYMAL, The most efficient remedy in wounds of evgry Oi'CcH.OH.cooia character, purulent inflammation, mallenders, horse-pox, etc., a siccative antiseptic dusting powder. SAPODERMIN, a soap containing Albuminate of Mercury ; solu- ble, with great penetrating power; neither toxic, corro.sive, nor irritant. In all parasitic skin diseases. NENNDORF SULPHUR SOAP. C. BISCHOFF & CO., 451-453 Washington Street, NEW YORK. CREOGEN = MARTIN (The Veterinarians Antiseptic.) Is invaluable in the surgical treatment of Bur- satti or summer sores, actinomycosis, fistulous withers, poll evil, trephining of the nasal and facial sinuses of the head, etc. In abdominal laparotomies a i or 2 per cent solution is very suitable for irrigating the ab- dominal cavity during operations. No toxic absorb- tion need be apprehended from the use of Creogen as is the case with Phenol or Hydrargri Bi Chloride. Creogen does not blacken surgical instruments, de- stroy their polish or injure their edg^e. As an anti- septic it covers the field of veterinary surgery in a most efficient manner. It answers equally well for the simplest as well as for the most complex and deli- cate surgical operations. If you are annoyed with cases of chronic psorop- tic, sarcoptic or symbiotic mange, or other forms of scabetic diseases of the skin among your equine, bo- vine or canine patients, that has previously resisted your best efforts to cure, a trial of Creogen will quick- 1\- convince you that it is without an equal for such dis- eases. There is no pharmaceutical preparation that will yield you larger dividends in your practice, than Creogen. Send for a sample. Its free, i gallon, $'-50» 5 gallons, $6.50, 10 gallons, $12.00, prepaid. W. J. HARTIN CHEMICAL CO., PHARMACEUTICAL CHEMISTS, KANKAKEE, ILLINOIS. 10 SANMETTO A POSITIVE REMEDY DISEASES OF THE GENITO-URINARY ORGANS OF THE HORSE iVI^D DOO. Doctor, when vou have a Horse or Dog suffering from KIDMEY, BLADDER OR URETHRAL TROUBLE — Ncphriti*!, Cystitis, Urethritis — OR FROM ANY IRRITATION or INFLAMMATION of the URINARY TRACT —Frequent, Scant or Bloody Urine — ORDER SANMETTO Sanmetto is largely used in Veterinary Practice for the above troubles and has be«n foand Worthy and Reliable. It is also strongly endorsed and much used in A7.0TURIA— toany cases reported cured with it. Sanmetto acts as a vitalising tonic to the Genito Lnnary Organs. It is eliminated from the 8y«tem almost entirely through the Kidneys asd Bladder— hence its soothing, holing and tonic power upon Ihe entire Urinary Trad. To avoid subatitntion, order in original package, thus : R SANMETTO-one bottle -original package. Dotmt—ror Horse, one half to one ounce three times a day. For Dog, one teaspoonful three times a day. Price One Bottle, |i.oo. Case of One Dozen Bottles, fS.oo. Sold by all Reliable Druggiala Pamphlet on application. OD CHEM. CO., New York. 11 EVERY VETERINARIAN SHOULD OWN Second edition, revised of Handbook of Meat Inspection. By Prof. Dr. Robert oster- TAc;, trans, by E. V. Wilcox, A.M., Ph.D., Veterinary Editor Experiment Station Record ; introduction by John R. Mohler, A.M.. V.M.D., Chief of Pathological Division, U. S. Bureau of Animal industry. The work is EXHAUSTIVE and AU- THORITATIVE and has at once become the STANDARD authority throughout the world. Cloth, 6^ xg^, 920 pages, 260 illustrations, i colored plate. Price $7.50. Diseases of Cattle, Sheep, Goats and Swine. By Prof. Dr. G. Mous.su and Jno. A. W. Doll.vr, M. R. C. V. S., F. R. S. E. , etc. Students, teachers, and practitioners of veterinary medicine and surgery have demanded a complete but conci.se text-book on the subject. The pa.st twenty years have witnessed many important discoveries. The greatest minds in the world of bacteriology and pathology have been enlisted in the study of diseases of cattle, and advances have been registered which it is the object of the present work to set forth in the fewest and simplest terms. Size 6x9>^, 785 pages, 329 illustrations and (4) four full page plates. Price $8.75. OTHER IMPORTANT NEW BOOKS. Third Edition, Revised and Enlnifrrd. Veterinary Materia Medica aod THerapeu tics. Bv IChnklm Wi^si.ow. B. A S., M L) V.,M.D.( Harv). I'hemosl conip'eie, proijressive and soieiilific hook on ihe sub- ject ill the EriKlish language. It is now the recognized auihoriiy and text-hook. Cloih,6'Xx95i, viii + 804 pages. Price S6 00 A Treitise on the Parasites and Parasitic Diseases of tbe Domesticated Animals. By Pri.k. L. G. Neumann. Tran. and edit. by G. Flkming, F.R.C.VS. etc. Second Edition Kev. and Edit, by Pkof J. Mac- QuKKM. Cloth, xvi -I- 698pages,365 illus. Price 56.75. Catechism of the Principles of Veterinary Surgery By W. E A. Wv.vian. M U.V., V.S Author of •' The Cliniral tJitgno.si'; of Lanieiies.s in the Horse," tran<;l«ior of DeBruin's " Bovine ()bst«-trics,'' etc. It is. arranged m the form of question and ans- wer, each quesitoii being answered in a srieiuific and practical way. Cloth, 317 pages. Price I3.50. Third edition over 500 morr pages) of the Manual of Veterinary Hygiene. Bv Vet- erinary Captain F. Smith, M R.C.V.S. Cloth, 1036 pages, 355 illus. Price $4 75. A Mannai of General Histology. By Wm S. GoTTHhiL, M. U. Second rditioii revised ; cloth; 152 pages, 68 illus. Price Ji. 00. The Veterinarian's CaU Book Perpetoal 1. By RoscoH R. Bkll, D. V. S. Editor o( the ' American Veterinaiy Review " Edi- tion for IQ06. One vol., convenient for the pocket, bound in full flexible leather with flap and picket. Price |i. 25 A Treatise on Epizootic Lymphangitis. By I'APTAiN W. A. Pallin, F. R. C V. S. Clolh Price $1.25. Cattle Tuberculosis. By Haroi d Skssionc, F. R C V.S, etc. Second edition For- merly written in coni'inction with Dr. Legge; practically re-written. 120 pagts. Price Ji. 00. Any of the above books will be sent prepaid for the price. Send for our New Complete Descriptive Catalogue. WIUUIAM R. JEINKIINS 851 and 853 Sixth Avenue, cor. 48lh Street. New York. American Veterinary Review. JULY, 1906. Cories/>i>ttiifiits will pUase note the change in address of Dr. Noscoe A'. Hell, front Seventh Avenue and Union Streit, to jro East Second Street, Borouf;h of Brooklytiy New \ork City EDITORIAL. EUROPEAN CHRONICLES. Paris, France, May 15, 1906. ViRULENCY OF MiLK FROM TUBERCULOUS ANIMALS. — Tllis subject has been the occasion of many experiments and obser- vations, which the general practitioner probably has not had the opportunity to follow. The virnlency had already been demonstrated before the discovery of the bacillus of Koch, whether the milk was taken by ingestion or inoculated. Yet, while some recognized it as infections only in the case of mam- mary tuberculosis or very advanced disease, others demonstrated that tile bacillus could be found in the healthy udder, by micro- .scopic examination, and also when pulmonary tuberculosis, not far advanced, existed. The Journal 0/ Zobtechnie has published from the pen of Prof. Nicholas a very interesting review, which I here resume. In 1899 Rabinovitsch, by experiment, and contrary to Oster- tag, had come to the conclusion that not only in incipient tuber- culosis and without apparent sign of mammitis, but also in the latent form of that disease, detected only by reaction to tuber- culin, the milk may contain tuberculous bacilli. In the same year the researches of Adami and Martin, and again those of Rabinovitsch, show that cows which have no other symptom than the faculty of reacting to tuberculin, may eliminate tuber- culous bacilli, and that clinical examination cannot be utilized 411 \ 412 EDITORIAL. to recognize the infectious qualities of the milk of those cows. Besides these positive hc\<. tbe following deserve attention : Miiller (1899), Ascher (1899), O.^lcrtag (1901), and Weeney ob- tained negative results .with the milk of cows which only re- acted to tuberculin; Stenstrom, experimenling with fifty react- ing cows, some of them having only latent tuberculosis and the others disease more or less detectable by clinical symptoms, has obtained only negative results by inoculation to guinea-pigs and rabbits. Gehrniann (1895), then with Evans (1901), have re- vealed the presence of the bacillus of Koch, in the milk of cows having reacted but carrying no tuberculous lesions of the udder. The question is then studied by a committee, presided over by Dr. Mohler, at Washington. Experiments were carried out with the greatest care, made upon fifty-six cows having reacted to tuberculin, and in ten of which clinical symptoms were present. At the post-mortem of all these cows, the udders were free from lesions, and yet in the milk of thirteen of them there were tu- berculous bacilli, and their infectious power was shown by in- oculation, feeding, and microscopic examination. After all these, Moussu, in 1904, has shown that in some cases, in cows " without marked clinical signs of tuberculosis," the udder may carry or eliminate bacilli in sufficient quantity to contaminate guinea-pigs by inoculation. In 1905 he proved that the milk of those animals may give tuberculosis to sucking calves. * * * All these positive facts, confirming those already advanced by Mohler, justify the following conclusions : (i) Tuberculous bacilli may be detected in the milk of tuberculous cows, even if the udder does not present sericrs lesions, either macroscopic or microscopic. (2) This udder may eliminate tuberculous bacilli in suffi-' cieut quantity to transmit tuberculosis to animals of experiment through the digestive tract as well as by inoctilatiou. (3) In tuberculous cows the udder may become affected at any time. EDITORIAL. 413 (4) The presence of tuberculous bacilli in the milk of tu- berculous cows is not constant and varies from one day to an- other. (5) Cows that secrete milk containing tuberculous bacilli may have such limited tuberculosis that reaction to tuberculin is the only means by which it can be detected. (6) Clinical examination or general condition of the ani- mals do not allow conclusions as to the infectious properties of the milk. (7) The milk of all cows that have reacted to tuberculin must be considered as suspicious and be sterilized before being used. (8) It would be better to eliminate all tuberculous cows, especially for milk production. * TuBERCULASE. — On Feb. 8 last, Prof, von Behring made a communication on the "Struggle Against Bovine Tuberculosis and the Hygienic Production of Milk," which was published in the Deutsche Tierarztliche Wochenschnft. Its object will, no doubt, interest our readers, even at this late date. First of all, Behring states that bovovaccination, which con- sists in the intravenous inoculation of living human bacilli, has for object the immunization of young calves; but such process is not applicable to human tuberculosis. As far as calves are concerned, all that remains to be done is to have bovovaccina- tion enter general practice ; this is the business of the agricul- turists, and already in some parts of Germany it is as common as the antivariolic vaccination in man. Sound milk will then be readily obtained. But, in some cases, even under the most favorable conditions, several years will always be required before a number of cows protected against tuberculosis will be found to supply the alimentation of children. To shorten this period of time, it is necessary to think of the vaccination of subjects more advanced in years. This, how- ever, is not without danger, as it is not rare for a dose of bovo« 414 EDITORIAL. vaccine, perfectly harmless for new-born calves, to kill older bovines with symptoms of acute oedema of the lungs. As to the inoculation ot bovovaccine under the skin, the results are not certain, and, again, it may be the starting centre of a local tuberculosis, from which bacilli may escape to pass into the blood and into the milk. A second point in the question corresponds to the produc- tion of the T C announced at the Congress of Paris in 1905. It is known that it is a preparation which does not contain living virus, and consequently unable to allow dangerous bacilli to pass into the milk. But this preparation must also be injected into the circulatory system and its preparation requires such care and expense that its practical use presents the greatest difficulties. * * The third point is the object of the present communication. The author indeed declares that he has discovered a special method by which he preserves the immunizing power of the tuberculous bacilli while destroying their vitality. The product thus obtained has proven itself experimentally very efficacious in subcutaneous injection. Behring calls it tuberailase. It is a semi-fluid preparation, of waxy aspect, which can be transported pretty well, and is of such price as will not prevent its use in general practice. It can be injected not only once or twice, but several times in the space of fifteen days to a month. As subcutaneous injection demands no special technic, it can be done by everybody. Behring has treated with it not only bovines free from tuber- culosis, but also cows which in appearance healthy, had virulent tuberculous bacilli in their milk. In a few weeks the bacilli disappeared. This observation opens up a perspective full of hope to the point of view of the value of tuberculase in the fight against human tuberculosis. Yet, and he especially insists on the point, the author has not experimented on bovines having lesions comparable to EDITORIAL. 415 those of luiinan pulmonary phthisis, and he claims no scientific basis to admit that this tuberculase can be resorted to in the treatment of such affection. At any rate, at the Congress of Paris he did not intend to speak of a curative agent for pulmo- nary phthisis, but of a product which used in young ani- mals was able to prevent the development of the disease, and perhaps to act upon the already existing tuberculous centres in such a manner that recovery by the natural forces of the organ- ism could not be interrupted by a new infection. The discov- ery of tuberculase is a step forward in that direction. Children might from now on be vaccinated with it. For the author, the results of this discovery will be appreciated in a short time and will keep their value for a hundred years or more. * * * The Use of Tuberculin in Dogs. — Late in March I re- ceived from Ohio a letter of inquiry on the use of tuberculin in dogs. The letter got mixed with other papers, and it was only lately that it again came before me. Desirous of getting for my correspondent the proper information, I made several in- quiries, and at this late date I send my answer, with apologies for my seeming neglect. I have asked several good authoritifs here, and the following is the information I have obtained : From Prof. Cadiot, who writes to me on the use of tuberculin in the diagnosis of tuberculosis in dogs : " In this, as in other animals, tuberculin is used in subcutaneous injections, after clipping of the hair and disinfection of the skin with alcohol and sublimate. The injection is usually done in the region sit- uated back of the shoulder. . . . The quantity of the mate- rial to inject varies according to the size of the animal. For dogs of medium or of large size, one cubic centimetre of diluted tuberculin is used. For small dogs half a cubic centimetre. "To declare with certainty that an animal is tubeioulous it is necessary that : the thermic reaction reaches or goes beyond 1.5°. If the hyperthermia goes above 0.8° the animal is a sus- pect and another test is indicated. The absence of reaction does not necessarily imply the absence of tttberculosis ; but 416 EDITORIAL. these errors of tuberculin are rare and observed only in animals extensively diseased and in which the clinical signs are suffi- cient for a diagnosis." Ao^aiii, it is recorded and printed in classical works: "Tu- berculin, without giving positive indications, often gives in- formation which is sufficient to confirm the suspicion. The reaction is between one and two degrees." Prof. Vallee, of Alfort, endorses the above, but considers that tuberculin is not as positive in dogs as it is in other animals — and Mr. Drouin, who I understand made numerous experiments in this direction and gathered some thousand observations, considers the use of tuber- culin in dogs as very uncertain, and doubtful in many instances. * * * Canine Diseases in Tunisia. — European dogs will do well to avoid the climate of Tunisia, as it is very fatal to them. Those which escape are very few and they do not transmit the immunity which they have acquired. But what are the causes of this exceptional mortality ? There are four diseases which are serious and fatal to them ; distemper for one ; rabies, which is kept endemic by the native dogs ; a peculiar miasmatic fever, with its septicsemic and anaemic forms, and finally vermiform diseases, the most important of which is oesophageal spiroptero- sis. Tnis affection is so frequent that it can be said that no dog escapes it during its life — lucky if he does not die with it. The disease seldom passes overlooked, as it is manifested by symptoms more or less serious and sometimes ending in death. They have severe spells of coughing, ending in the ejection of small quantities of glairy substances. Sometimes there is chorea of the diaphragm, giving rise to vibrations of the cheeks analogous to those observed in labial cough. The appetite is lost, the animal loses flesh. Without fever at the beginning, the temperature soon goes up to 40,° 40.5° C. The animal becomes very nervous and agitated. It soon drops into a ca- chectic condition and dies, unless to save it more suffering it is chloroformed. The most careful post- mortem reveals no patho- logical lesions ; all the organs of the thoracic and abdominal EDITORIAL. 417 cavities as well as the nervous centres are normal. The ceso- phigus alone shows something, viz. : globular nodules, of vari- ous sizes, perhaps as big as a large nut ; it is a pouch with thick walls, divided into small cavities by fibrous bands, and filled with Spiioptiva sangninolentcey easily recognized by their colo- ration. This pouch has a small opening, which allows of the escape of the parasite. The author of this communication, which I have read in the Record de Mi'decine Veterinaire^ mentions that sometimes the dog recovers from all the bad symptoms, although it takes time for all the parasites to pass away from the oesophagus. The treatment which has given him the best results has been the administration of spirits of turpentine in oil. * * * Report of the Bureau of Animal Industry. — The twenty-first annual report of the Bureau of Animal Industry for 1904 has reached me. It arrived late, and I was beginning to fear that I had been forgotten. But I was well rewarded for the waiting, as the report for 1904 contains very interesting material. First, there is a concise biography of Dr. E. A. de Schweinitz, the late Chief of the Biochemic Division, and one of Major H. E. Alvord, of the Dairy Division. The two articles pay deserved professional review of the good work done by those two clever members of the Bureau. After that we enter into articles of essential interest (of course, as usual, hand- somely illustrated), viz. : " The Danger of Infection with Tuber- culosis by Different Kinds of Exposure," by Dr. E. C. Schroeder and Mr. W. E. Cotton ; " Enzymes in Corn stalks and their Re- lations to Corn-stalk Disease," by T. M. Price, Ph.D.; " Bacillus Necrophorus and Its Economic Importance," by Dr. J. R. Mohler and Dr. G. B. Morse ; " Koot-rot of Sheep," by Dr. Mohler and H. J. Washburn ; " Etiology of Hog Cholera," by Drs. Dorset, Bolton and McBrydc ; " Experiments Concerning Tuberculosis," etc., etc. An analysis of any of these valuable articles is scarcely possible within the limited space of these ''Chronicles," and I must recommend those interested to secure the Report. 418 EDTTOKIAL. Towards the last part of tlie work a resume is given of llie status of contagions diseases of domestic animals for the past year in ten foreign countries: Belgium, Denmark, France, Ger- many, Great Britain, Hungary, Italy, Netherlands, Norway and Sweden. I have looked in this Report for similar statistics for the United States, but, with the exception of the introduction made by the Chief of the Bureau in his report headed " Control of Contagious Diseases," I did not find what I expected. And, yet, it certainly must be intended for it, as I noticed records of investigations and researches made on scab in sheep, cattle and horses, on venereal disease of horses, on trichinosis, on foot-rot in sheep, on tuberculosis, black-leg, Texas fever, hog cholera and swine plague, and glanders, all of which are spoken of, with other miscellaneous subjects relating to work done by the Bureau. And, should this be intended to correspond to the sanitary bulletins of European countries, is it not strange that no men- tion is made of two diseases which no doubt exist in various parts of the United States, viz. : anthrax and rabies? Is it to be supposed that, like pleuro-pneumonia and foot-and-mouth disease, they have been wiped out? If so, this is the first knowledge I have had of it. For rabies it may be ; but for anthrax? If it is, why should the sale of vaccine against it be so booming? Or is there not an error likely to induce a fal.se security among the interested parties, breeders, etc., etc.? * * * " Proceedings " of the 1905 Meeting of the A. V. M. A. — I found on my table a few days ago the " Proceedings " of the American Veterinary Medical Association for the year 1905. No doubt, it has already been looked at by many of our readers and by the members of the Association, and, therefore, all the good I might say of it and its contents would be of little importance. I have, however, to say a word or so about two parts of the ' Proceedings." I have read with much attention the report of the Committee on Intelligence and Education, and principally that part due to EDnORIAL. 411> Dr. G. R. White, on the schools, and, after perusing the various answers which he received from the many schools in the United States and Canada, I am, at page 163, brought to the "summary of suggestions made by the officials or representatives of the various veterinary institutions as a solution of the educational problem." These suggestions are twenty-one in number, and among those which I read some are but the sanction of the con- clusions I presented two years ago in my paper to the Associa- tion on " Educational Reforms " : uniform entrance require- ments, uniform curriculum, uniform graduation requirements, uniform degrees, have the laws of all the States the same as regards entrance requirements — all with the reorganization of the Association of Veterinary Faculties and Examining Boards, and inspection of the colleges by the same. Congratulating myself on the probable influence my paper had on the question, I looked foi the action of the Association on the report of Dr. White, expecting to find it discussed, amended, corrected — in fact, acted upon. And all that I can find is that the reading and discussion on some parts of the report of the committee was postponed (page 32), and, of course, Dr. White's part was — and nothing more. Is it possible that no action has been taken, and that the suggestions made, as they were, by the '■'■ officials or representa- tives 0/ the various veterinary institutions'''' have been entirely ignored ? Such an amount of good work as that recorded by Dr. White deserved better consideration. * • The " Proceedings " this year are full of very interesting and valuable papers. To examine all will require more space than is at my immediate command. There is among the many good ones (such as the report of the Committee on Diseases, the arti- ficial immunization of cattle against tuberculosis by Pearson and Gilliland, the pathology of tuberculosis by Carl Schulin, the unusual lesions of tuberculosis by Harrison, etc.), one which, I believe, deserves a special interest, "The Spavin Group of Lamenesses," by W. L. Williams, C. W. Fisher, and D. H. Udall. 4-^0 F.niTORIAL Of course, to fully appreciate this paper one needs to read it quietly and carefully, and no doubt the few remarks, resuming the subject, which were presented instead of reading the whole paper, have failed to give a good idea of the scope embraced by the authors. 1 have read it carefully, and, already prepared to receive the ideas through a somewhat similar article to which I alluded in a previous " Ciironicle," I think this gathering of affections, heretofore considered as different, almost under one head by their similarity of lesions, of their locations, etc., is a great advance in the classification of those various causes of lameness. To bring those affections under the heading of one constitutional disease, manifested by similar and parallel lesions in various joints, is certainly a great pathological simplicity that Dr. Williams and his assistants have done well to present before our profession. I have no doubt that he anxiously awaits the opinions of his professional friends. I am glad to give him mine. The "Review" the Largest Veterinary Journal Printed in the English Language. — Well, there is no use to deny it ; the Review has struck an unusual record — one that has not been beaten. I thought the April issue, No. i of Vol. XXX, might speak about it ; it did not ; and as I did not receive it until late 1 was unable to recall just what the record was until to-day. By the close of Volume XXIX the record was established — 1429 pages in one volume (say, 1500 pages with the Index), quantity and quality, of course. 15CO pages! — an increase of 500 pages (one-third) in five years — there were but 1045 pag^s in Volume XXV. The twelfth number alone had 250 pages. It is the record of veterinary journalism I No other monthly veterinary magazine has ever reached that size. The Veteri- narian in its great day scarcely reached a thousand pages — 838 in 1876, 1048 in 1868 (the largest volume). Will the Review stop at its latest figures? It is doubtful ; but it seems as if some changes are becoming necessary. I fear FDITORIAL. 4"21 the size of the bound volume may be unpleasant for many, and if 1500 pages must Ve the limit of the volume, or should it be larger, would it not be a good plan to divide the year into two volumes? What do the subscribers of our journal say to this? * Duplicate Numbers. — Perhaps this may please some of our readers: I have the following duplicates that any subscrib- er can have to fill missing ones by writing for them : Vol. XXVIII— Nos. 3, 4, 6, 7, 8, 10, II, 12; Vol. XXIX— Nos. i, 2, 3. 5y 8, 9, 10, II, 12. A. L. FEDERAL MEAT INSPECTION. Since the last number of the Review was issued, the sub- ject of the conditions in the abattoirs of the country, particu- larly of Chicago, has formed a scandalous sensation in the newspapers, not only of this country, but of the whole world. In the wake of all the serious accusations, heralded from the highest office in the land, great good will eventually flow lo the live-stock and packing-house industries, and in time the meat products of America will not only regain their lost position in the markets of the world, but will take a higher and broader plane and more extensive development than they have ever known. But this will be obtained at a fearful immediate cost to the gigantic live-stock interests — so great that its contempla- tion is bewildering and impossible. The more sober-minded, practical observers believe that the reforms secured could have been brought about with less injury to our wealth and good name by adopting more rational and less sensational means. The newspaper hero of the hour (and only of the hour), Upton Sinclair, who first scandalized American meat pioducts in his novel, "The Jungle," is a man totally lacking in experi- ence in abattoir methods, with a stiong tendency to magnify what he beheld in his visits to Packingtown. It would be diffi- cult for an untrained observer, in the presence of blood and offal, to analyze the situation and finely appreciate the pres- 422 EDITOKIAL. ence or lack of sanitation under such circumstances. Blood is apt to be regarded by such laymen as an impurity, particularly if coagulated and trampled, while to the expert it is as whole- some and pure as affecting the surroundings as the most pic- turesque cut of meat in the tidy butcher's ice-box. Localized tuberculosis of a mesenteric gland is regarded as rendering the carcass unfit for human consumption by the literary reformer, while the highest authorities of the world believe it perfectly proper to pass such meat for human alimentation. Then the committee sent to Chicago to investigate the sensational accu- sations of Mr. Sinclair were about as unaccustomed to such sights as he, and were as much horrified at what they saw as the yellow press has been in printing their findings. The great surprise to the contemplative mind is that the President did not despatch on this important mission gentlemen who aie familiar with and trained in this work, not only in the United States, but those who have studied the conditions in the great abattoirs of Europe, who know what is normal and what is pathological, what constitutes slaughter-house sanitation and the lack of it. The Review is convinced that much could have been done to improve the conditions, and gradually have insti- tuted the reforms which are to follow the nauseating mess with which the papers have teemed, without dealing such a stunning blow to this great source of national wealth, while holding the country up to the derision of the world. Statistics show that for the eleven months ending with May the total exportation of meat products to about seventy five foreign countries and colo- nial possessions was $182,000,000, an increase of more than sixty per cent, in the past decade, the United Kingdom being our largest customer. From everywhere come reports of the almost total ostracism of our goods in these countries, and it will be a long time before we regain our lost ground. It will be a fearful sacrifice, and the load will be heaviest upon the stockman and farmer. Yet the great house-cleaning will bring salient reforms, quick and complete. Could these have been secured through more conservative means? Not so precipitately EDITORIAL. 423 surely ; but they could have been effected gradually if the au- thorities worked persistently and intelligently to that end. A sane business man would not institute reforms by publishing his shortcomings to his customers ; he would set about the work in the way calculated to do the least injury to his business. In the few years that Federal meat inspection has been in operation in the United States, it has performed wonderful ser- vice, hampered as it has been by lack of funds and men. Its system of supervision has been admired and lauded wherever its methods were known ; but Congress has ever acted nig- gardly in responding to the entreaties of the Bureau for larger appropriations, so that its watchfulness could be extended to all abattoirs having to do with foreign and interstate trade, and the recent request of the Secretary of Agriculture for additional funds to secure extra inspectors for the augmented trade with Germany was met with derision, and instead of $125,000 asked for, he was given but $20,000. The head of the Bureau has always recognized the necessity for more thorough inspec- tion, and the late Chief persistently sought extension of the work ; but Congress has been so parsimonious that it has utterly failed to protect the great interests of meat production, and finally by a precipitous move paralyzes for the time being at least the entire foreign trade, as well as greatly diminishing the consumption at home. And when it is all over, we believe that it will be shown that conditions were not one-tenth as bad as they were painted by the amateurs whom the President entrusted with such an im- portant mission. Investigation of the Stock Yards will be undertaken by interests which want and will have the truth, and the work will be done by men who understand what they are doing. The first of these investigations was begun on June 20 under the joint committee of the Chicago Commercial Asso- ciation, the Illinois Manufacturers' Association, and the Chicago Medical Association. The experts delegated to make the in- spection were Dr. W. A. Evans, professor of pathology at the University of Illinois; Dr. Maximillian Herzog, Chief of the 424 EDITORIAL. Bureau of Science of the Philippines ; Dr. A. T. Peters, pro- fessor of veterinary medicine at the University of Nebraska ; Dr. M. P. Ravenel, pathologist to the Pennsylvania State Live Stock Sanitary Board ; and Dr. Ludwig Hektoen. What their report will be the Review has no right to anticipate ; but we venture to say that there will be a vast modification of the accounts that preceded it. It will, however, not receive the same publicity, and the damage done can only be repaired by long and thorough inspection by experts under wise guidance. Elsewhere we publish the call of the Civil Service Com- mission for one hundred and fifty veterinarians to take the ex- amination for meat inspectors, under the bill introduced by Senator Beveridge and amended in the House under the lash of the President, who saw that unless drastic measures were promptly employed the danger to the country would be in- creased a hundredfold. It was not a time for compromise nor equivocation, and he did well to insist on the most thorough reform in the inspection system. Even with this greatly augmented force, the inspection ser- vice will not be adequate if the business of the country ever assumes its former proportions ; but as the bill carries a perma- nent appropriation of $3,000,000, a great many more can be secured at the miserly salary of $1200 per annum. , Since the assigned sum is so generous, would not the ends sought be served more thoroughly if the compensation of the inspectors was raised to an amount where men would be attracted to the service through their adaptability rather than by their necessities? All's well that ends well. Although the meat producers, and the packers, and many collateral interests must suffer, along with the country's reputation, the end will bring a better in- spection service at one bound than we could have obtained in gradual advances in a long time ; the Government's guarantee upon her products will slowly but surely restore the confidence of the world, and in time we will be upon a sounder and more substantial basis than we ever were at home and abroad. EDITORIAL. 425 FEDERAL CONTROL OF HOG CHOLERA. And now comes from Minnesota a proposition for national control of hog cholera, looking toward final eradication. Con- gressman McCleary (Minnesota) has a bill which provides a federal appropriation and a plan of cooperation with the various states and territories chiefly interested. The plan contemplates police sanitary control measures and methods as the primary consideration. Older members of the A. V. M. A. will remember that Dr. Reynolds presented a paper at the Omaha meeting arguing the feasibility of state control methods as applied to this disease, and detailing the methods then on trial in Minnesota. It is evident that national control and possible eradication of hog cholera would be enormously expensive ; but enormous expenditures in this work would be justified by the annual losses, which run well up in the millions, and which must continue to increase under present conditions. So far as the Review is in- formed, Minnesota is the only state which attempts any serious control work with this disease. The results in this state, although, perhaps, only partially successful, working as they are without any cooperation from surrounding states, seem to justify the labor and expense which they are putting into it. In any case, this seems to be a movement which deserves national encouragement. LAST CALL FOR THE NEW HAVEN PROGRAM. Secretary Repp issues an appeal for more papers and more applications for membership in the American Veterinary Medi- cal Association in this number of the Review, It is the last opportunity he will have to speak to the members through this journal in behalf of the New Haven meeting, for when the August number is issued, the official program will have been mailed to them. Therefore, the present moment is the time jor action by those who desire to contribute either papers or mem- bers, and the opportunity should not be lost, for the East must 426 EDITORIAL. see to it that the forthcoming convention not only does not fall below the magnificent gatherings of the past few years in the Middle West and in Canada, but that the record of yearly im- provement which has regularly marked our progress is not broken in the land which gave birth to the National Associa- tion and nourished it almost unaided for a quarter of a century. We are fully assured that it is for no lack of love for the organ- ization, for no lack of competent men to prepare the abundance of material at their command — but the state of professional ac- tivity is and has been so strenuous that most practitioners feel reluctance in undertaking such work, while the old enemy, pro- crastination, is largely responsible for their tardiness in respond- ing to the oft-repeated invitation of the Secretary. This latter cause will some of these days work injury to the Association. Let it not be so at New Haven ! In the August Review we will publish the program in detail and with illustrations — of the personnel of the officers in charge of the meeting in Connecticut, and notable buildings in the convention city ; but it will be on the eve of the conven- tion, with all in readiness for the great event. Are you ready for New Haven ? VETERINARY EDUCATION IN NEW YORK. It is more than probable that this subject will form the most important topic of discussion at the Buffalo meeting of the State Society in September. It appears that our editorial remarks in the May number have brought the profession to a realization of the gravity of the situation, and papers are announced from at least two sources, while our information is that most of the active minds in the organization are preparing to be in readiness for in- telligent discussion of the elements which seem to be con- tributing to our obliteration from the field of educational ac- tivity, which but a few years ago was centred in the American metropolis. VETERINARY PROGRESS. 427 ORIGINAL ARTICLES. VETERINARY PROGRESS. By M. H. Reynolds, University of Minnesota, St. Anthony Park, Minn. Presented to the Twin City Veterinary Medical Association, April 19, 1906. It is not my intention to argne that young men should study veterinary medicine in preference to other professions. Some young men are especially adapted for the practice of law, others for the practice of human medicine and still others for the prac- tice of veterinary medicine, and every young man should take up the profession which he conscientiously believes to be the one in which he can do the greatest good for society as a body, and himself as a unit. Young men are occasionally deterred from the study of vet- erinary medicine by a fear that they would not be so highly thought of in the community as if they studied human medicine or law or theology. I became convinced years ago that regardless of profession or business, providing it is an honorable one, men are usually given about the social rank and recognition that they deserve. If a lawyer or physician is uncultured in speech and ungenlle- manly in manner he is ranked as a boor, regardless of the fact that he is a member of a highly honored profession. If a veter- inarian is well educated and a gentleman, he is recognized as such. I know plenty of veterinarians in this State who arc so recognized and treated, and I am personally acquainted with veterinarians alllover the United States who are recognized as scholarly gentlemen. In 1890 the two years' course was common all over the United States and Canada. There were but few exceptions. The change to a three-year course was so rapidly made during the early 90's that within a few years there were but two veter- inary schools of any prominence in the United States or Canada ( 428 M. H. REYNOLDS. that granted diplomas at the completion of a two years' course. We now have at least two four-year schools. Nearly every State in the union having within her borders a reasonable number of veterinarians has State and local veter- inary associations, which meet regularly and discuss professional matters just as do similar associations of physicians. For 43 years we have had a national association. A few years since we decided to enlarge and the name was changed from the United States Veterinary Medical Association to the American Veterinary Medical Association. None but graduates of col- leges which furnish satisfactory courses of at least three years are eligible to membership. Our current literature is abundant. But after the young man has finished the high school, aca- demic or collegiate course and then this prescribed three or four year veterinary course and graduated, what does the world offer him ? What business prospects or what opportunities to gain reputation are there to justify the time and expense involved ? It is not my intention to paint the prospects for a young veter- inarian in untrue colors, for every intelligent veterinarian and stockman knows that veterinary practice during past years has had its ups and downs; but the stockmen themselves, the busi- ness men in our great cities and our medical brethren have suf- fered something from this same condition. There is a present ratio of three farm animals to each human being, and less than one veterinarian for each ten physicians. The live stock valu- ation in the United States was estimated several years ago at $2,000,000,000. Two hundred and fifty million dollars worth of live stock were then sold annually in Chicago. I give these figures to illustrate the need for veterinary service, and the relative scarcity of the supply, not for the purpose of giving an impres- sion that veterinary practice is a universal bonanza, for there are practitioners in veterinary as in human medicine who can scarcely keep their laundry bills paid. The Government Bureau of Animal Industry is now ofiFering positions for veterinarians as meat and live stock inspectors at VETERINARY PROGRESS. 429 the great slaughter-houses and ports of entry or shipment. Bu- reau inspectors must be graduates of recognized veterinary col- leges. It has been so ordered by Congress. The Government is already employing a large number of trained veterinarians in these capacities and the work is growing. In nearly every state and territory there is a position for a state or territorial veterinarian or an officer with equivalent duties, and places for a number of deputies. Many of our large cities have city veterinarians in constant employ. There are places in our agricultural colleges and experiment stations for veterinarians who have a taste for work as teachers and experi- menters. But granting the importance of all these things, we must still recognize that the great field for our graduates must always be that of actual practice. The percentage of young men who will go into actual practice must always be very large in pro- portion to that of those who enter these other fields, and is not the prospect for the general practitioner encouraging? Veteri- narians in private practice are all making good livings. Some of them are accumulating considerable wealth. There can be no question concerning the existence of a con- siderable number of desirable locations for practice. To illus- trate this point, I may say that I have recently been conducting correspondence with veterinary colleges and recent graduates) in an effort to induce a number of desirable men to take up practice in our State during the coming year. I have been able to state that we have 31 county seats in Minnesota without graduates ; at least 13 other places that offer desirable locations, where men could be located without injurious competition. Quite a number of young men have written me concerning de- tails for the various places suggested, and in their letters they made mention of the fact that they already had very desirable places in mind, and would like assurances that Minnesota could offer something still better. I recently assisted a very worthy young man to select a loca- tion for practice in this State. I wrote for him to prominent 430 M. H. REYNOLDS. men in several places, and it was surprising, even to one famil- iar with the situation, to realize how anxious the live stock breeders and farmers in general were to have reliable men locate in their various neighborhoods. It is certainly not at all com- mon for residents of Minnesota cities to make active efforts to induce young physicians or lawyers to locate in their midst. In other words, there is already a sufficiency, if not a general sur- plus in these two lines, and a very evident deficiency in our own. PROGRESS. I suggest a few thoughts to illustrate progress in certain lines. The bacteriology of pleuro-pneumonia has been partially cleared up by the discovery of organisms so minute that our most perfect microscopes are unable to define them for the observer. Competent bacteriologists have pronounced the work in this case as free from flaws and there is apparently no reason why we should not accept it. If the specific germ of one disease is too minute for microscopic study, there may be many others. Recent work seems to place hog cholera over in this list. There are several diseases of animals, the specific cause of which has persistently eluded the bacteriologists and it is possi- ble that in this we have an explanation. New methods of bac- teriological work may now solve these hitherto impossible prob- lems. The history of Texas fever presents another triumph. It has been but a few years since the origin and nature of this dis- ease was a mystery. It is difficult to give a definite idea of the seriousness of this disease. A large portion of all cattle in the United States, south of a certain line, are either affected by it or have been rendered immune by infection while young, but re- main sources of danger for northern cattle. Southern cattle could not be shipped north for pasturage or market except dur- ing cold months. Northern cattle could not be shipped south for the purpose of improving southern stock without almost complete loss. Great business interests were constantly dis- turbed and the loss to both southern and northern states was VETERINARY PROGRESS. 431 serious. We now have the etiology of this disease before us, as an open book. Southern cattle free from living ticks may now be shipped north without danger. Government veterinarians have been experimenting for some time with dips for destroying the ticks so as to remove the last obstacle to the movement of southern cattle northward at all seasons of the year. Not only that, but it is now quite apparent that young cattle may be im- munized and be safely shipped into the southern states. This means the possibility of improving the southern cattle, and you are doubtless aware of the immense cattle interests of the south, particularly of Texas and southwestern Louisiana, —all this to the credit of our profession. The problem of tuberculosis in the human family and among domestic animals is perhaps the largest, and it may prove the most difficult problem which medical men have ever been compelled to face. Dubard's discovery of tuberculosis in fish was such a revelation that it is unsafe to even speculate concerning the limitations of this disease. Here we have a bacillus, varieties of which can exist in different animal bodies through a range of temperature of from 50 degrees F. in carp to 1 10 degrees F. in birds. Are these varieties of the bacillus of tuberculosis which are capable of altering from one to the other? Competent research work seems to indicate that this may be the case. If this bacillus can gradually adapt itself so as to thrive in a variety of animal bodies, whose normal temperature vary from 50 degrees F. to 110 or over, then the possibilities as to dis- tribution and saprophytic existence of this microorganism are almost bewildering. Sanitarians in the field of veterinary medicine have taken hold of the problem, large as it is, and considerable has already been accomplished. But a few years have passed since we had the first positive information as to the specific nature of the dis- ease. We now have a diagnostic test for the presence of this disease which is as nearly infallible as any method of diagnosis in the whole realm of medicine. It gives us positive evidence as to the presence of the disease, even when the lesions are very 432 M. H. REYNOLDS. recent or slight in extent ; and, so far as known, the errors that may be charged to tuberculin are nearly all in cases that can be diagnosed on clinical evidence without the aid of tuberculin. Widespread interest in bovine tuberculosis has been aroused. Cattle breeders and dairymen are becoming informed as to the nature and extent of the disease. The views of breeders, espe- cially, have changed very much during the past few years. When tuberculin first informed us that a serious percentage of highly bred cattle was tuberculous it naturally aroused the op- position of breeders and owners. But as it became more and more evident that their cattle were actually diseased and that tuberculin was an accurate test as to the presence or absence of the disease, the more intelligent breeders naturally came over and it is now safe to say that there are comparatively few cattle breeders in the United States or Canada who do not believe that bovine tuberculosis is seriously prevalent and that tuberculin is an accurate diagnostic. It is becoming rather common for breed- ers to purchase stock subject to test or with certificate of test. It is no longer necessary to found a herd of pure bred stock with tuberculous animals, and it is possible with the aid of tubercu- lin to free a herd from this disease. In view of work that has been done in Denmark and Ger- many and by experimenters in this country, it is very evident that it is not only practical but possible to breed tuberculosis out of a herd. This is based upon the demonstrated fact that a very large percentage of healthy calves can be reared from tuber- culous dams, providing the calves are removed from the mothers soon after birth and reared upon the milk of healthy cows or upon the sterilized milk of the dams. It is now quite generally recognized that dairymen should not be permitted to sell milk which comes from untested cows, for any city food supply, and a number of cities are making the tuberculin test a condition for issuance of license. Minneapolis was the pioneer in this and deserves great credit. St. Paul has an ordinance similar to the one in force in Minneapolis, and the work for that city will soon be well under way ; so has Duluth and other smaller places. VETERINARY PROGRESS. 433 Surgery. — There are several operations commonly done by surgeons in human practice that we make no attempt to per- form. It is scarcely possible in general veterinary practice to furnish ideal conditions during operations, and we cannot con- trol our patients to the same extent after the operation. Rut in spite of these difficulties, veterinarians are now able to do really good surgery. Operations are usually performed as a matter of business, as far as the owner is concerned. Sentiment does not play so im- portant a part, but we have reason to be fairly well pleased with the veterinary operative surgery of to-day. An accurate knowledge of anatomy enables us to use cocaine as an aid in the diagnosis of obscure lameness. If we anaesthe- tize the sensory nerve supply to a certain muscle, or to an entire articulation, and the horse which previously went lame, after- ward goes sound for a time, we have fairly satisfactory proof as to the exact location of the injury. To illustrate : A patient came to the University Veterinary Hospital with a badly swollen ankle and a history of injury while in training on the track several years ago. Examination easily demonstrated that trouble at the ankle was responsible for some of the lameness; but upon further examination I found an unusually bad case of thrush, and while considering the advisa- bility of a certain operation for relief, the question arose as to what part, if any, of the lameness was due to thrush. I cocain- ized the posterior digital nerves just below the ankle and noticed that the horse continued to go lame as before. I then cocainized the plantar nerves just above the ankle and in from 12 to 15 minutes the horse was apparently free from lameness. I had then located the trouble causing lameness. Veterinary surgeons are now doing quite a long list of r\^y>- rectomies for the relief of lameness and the results ppproaching isfactory on accurately diagnosed and well selccte-tain formula are cutting the median nerve for the relief of 'peculiarities of back tendons, ring bones and various foot troubM to me that we plantar nerves, one or both, just above the ankljncertain thera- 434 M. H. KEYNOLDS. navicular disease, corns, etc. ; the digital nerves just below the ankle chiefly for navicular disease. We do neurectomies of the anterior and posterior tibial nerves, external saphenous and mus- culo-cutaneous, for the relief of spavin and other forms of lame- ness in the posterior limb. We divide the motor branch from the eleventh cranial nerve to the sterno-maxillaris muscle, and the bellies of the sterno omo-hyoid muscles to prevent a horse from cribbing and cure the habit. The cunean branch of the flexor metatarsus tendon is frequently divided for the relief of spavin lameness. We have a new operation, which is probably superior to the old arytenectomy for the relief of roaring. Laparotomies are fairly common ; for instance, in cryplorchid castration, ovariectomies, removal of foreign bodies from the alimentary canal, and for volvuli. Medicine. — Until recently parturient apoplexy, commonly known as milk fever, was one of those diseases which every veterinarian was anxious to avoid. A call to attend a case of parturient apoplexy was very much like a call to attend a funeral. We now have a treatment that is apparently specific. We can now administer a cathartic and evacuate the ali- mentary canal of a horse in 25 to 30 minutes by the hypodermic or intratracheal use of eserine sulphate, either alone or in com- bination with atropia or strychnia. I have discussed veterinary education, veterinary sanitation, a few operations from the domain of surgery, and a few points in disease and treatment work, to illustrate something of what the modern veterinarian is doing and the progress he has made. It seems to me that the general trend of actual practice is to- ward greater certainty in diagnosis, and greater assurance of definite results in treatment. I will illustrate: We have mallein as a practically certain diagnostic for glan- a numbeiiiaye tuberculin as a similar diagnostic for tubercu- for issuance^iodern veterinarian may, by the skilful use of deserves grea accurate knowledge of anatomy, make a much one in force itjagnosis in certain cases of lameness than was be well undejsible ; he may make an early and reasonably VETERINARY PROGRESS. 435 positive microscope diagnosis of anthrax, by simple prdlcedure. In a study of prevention we see the same general trend of affairs. Texas fever may now be prevented by calf inoculation, and thus new blood be introduced for the purpose of improving southern cattle. We have a very satisfactory preventive vaccine for sympto- matic anthrax, and for true anthrax. We have a serum for tetanus that is at least very useful and apparently quite reliable as a preventive of this disease. There is one vaccine already before the public with reasonable assurance of successful opera- tion for the immunizing of cattle against tuberculosis, a thing of vast importance. We may prevent the general infection of a stable with glanders by early testing of doubtful cases with mallein. It is possible and altogether practical to prevent milk fever and azoturia with reasonable certainty by intelligent management of diet and exercise. Heaves is easily preventable. The introduction of infectious abortion may be guarded against and even when this disease has gained foothold in a herd it may now be eradicated with a reasonable outlay of time and ex- pense and with considerable certainty. As illustrating this same thought in connection with treat- ment, we are able to treat milk fever with great certainty of results. The modern veterinarian's method of dealing with navicular disease is much more positive in operation and satis- factory in results than the old line treatment. We have the stomach tube, which is apparently coming into use for treat ment of certain gastric troubles; and even for old fashioned colic we have the Reek's treatment, which is at least definite, and which is based upon precise theories ; its users follow out a ^definite line of treatment, and apparently secure a higher per- ders. We .^f recoveries than was formerly attained, losis. The Pt mean to suggest that we are rapidly approaching cocaine and an'^cific lines of treatment, that is, a certain formula more positive c' disease regardless of the individual peculiarities of previously po-'-^'thcr considerations, but it docs seem to me that we quite rapidly out of the old haze of uncertain thera- 436 M. H. REYNOLDS. peutics, and doubtful diagnosis, and helpless or blind prevention. And finally we have this encouragement, that a large num- ber of States have now placed upon their statute books veteri- nary practice acts which at the least recognize in a public and legal way the profession, and promise ultimate freedom from quackish competition, and even promise increased compensation. This is a matter cf the greatest importance, even though the immediate benefits of these Acts for men now in the field are not very apparent. We need only to look ahead a term of 25 or 50 years to see that they are of the very greatest importance to our profession. Are not all these conditions encouraging? Have we not good reason to face the future with great confidence ? Contribution to Veterinary Dentistry. — The follow- ing item is from The Scrap-Book^ April, 1906, page 353 : "The greatest dental operation on record was performed upon an ele- phant in the City of Mexico. The aching tooth was twelve inches long and fourteen inches in diameter at the root. After Mr. Elephant had been securely fastened with chains, his mouth was pried open and a quantity of cocaine was applied to deaden the pain. When this was done a hole was bored through the tooth and an iron bar inserted. Then a rope was twisted around the bar and four horses attached." The Minnesota State Live Stock Sanitary Board has succeeded in closing the large, open watering fountains in both St. Paul and Minneapolis and has substituted a more sani- tary plan. They have also put into operation a regulation which provides for tuberculin testing of all cows that come into the South St. Paul Stock Yards from other states, and which are to go out of those yards for dairy or breeding purposes. Both St. Paul and Minneapolis have tuberculin test ordinances which have been in operation for several years. This gives Minneapolis and St. Paul dairymen an opportunity to replenish their herds with tested cows. This movement also adds an- other veterinarian to the working force, making five in constant service in addition to the veterinary members of the Board. This Board is making a good record, and Dr. Ward as Secre- tary and Executive Officer, deserves a goodly share of the credit. VON BEHKING's PkOTEiniVE INOLLATION. 437 EXPERIENCES WITH VON BEHRING'S PROTECTIVE INOCULATION AGAINST TUBERCULOSIS IN CATTLE. By District-Veterinarian Schricker, Groenenbach, Germany. Translated by ]oHS V. LaDDKY, D. V. S., from Wochmsckrift fur Tierheilkunde und Viehzucht, Vol. jo, No. 7. It is now three years since von Behring^s method of the pro- tective inoculation of calves against tuberculosis has been trans- ferred from the confines of bacteriological experiments into gen- eral practice and already favorable conclusions on achieved im- munity have reached publicity. It may still take another six to eight years until a final and definite decision in regard to the attainment of a life-long immunity in vaccinated animals is ar- rived at, but for preliminary consideration and in the interest of a general introduction of this protective inoculation method the publication of the following observations might be of value. At the Eighth International Veterinary Medical Congress in Budapest, two essayists on this theme, Dr. Hutyra and Dr. Roe- mer, expressed themselves to the effect, that the vaccination method, which is harmless for cattle and easily carried out in practice, enhances the resistance of such cattle against artificial tubercular infection to a very considerable degree, and that the question, whether and to what degree immunity attained in this way will be able to resist natural infection, could not be answered definitely for the present, but that, in the interest of a large statistical collection, it would be necessary to further the introduction of the protective inoculation method into general practice under the diversest natural conditions, /'. ^., in severely, medium and lightly infected herds. The immunity of protectively inoculated animals towards artificial infection may be considered as proven by several ex- periments, /. ^., those reported by Dr. Lorcnz, in No. 48 qf the Berliner Tierarztliche Wochenschri/t^ of 1903, also by experi- ments which Valine and Moussu recently performed in Paris, where 13 calves, which had been vaccinated the year before, and 13 control animals were inoculated, part subcutaneously 438 JOHN V. LAUDEY. and part intravenously, with virulent cultures of tubercle bacilli, and whereupon all control animals became severely infected with tuberculosis, three even died of this disease, while none of the protectively inoculated animals became infected with tubei- culosis. It is now still necessary to ascertain whether this immunity will also resist the daily influence of natural infection in tuber- cularly infected stables, and whether von Behring's assumption, that the immunity lasts for the animal's life-time, will be found corroborated in practice. In this direction the Belgian Commission of State Veterina- rians has expressed itself very favorably, perhaps in considera- tion of the short period of observation too optimistically ; this Commission declares, after extensive observations and experi- ences, that " The Belgian Stock of Cattle will be protected after a few years from tuberculosis through the vaccination, and that thereafter an infection of man through cow-milk need be feared no longer." Further, Ebeling- Woldegk reports in No. I. of the Ber- liner Tierdrztliche Wochenschrift^ of 1905, that up to that time he had vaccinated 1126 calves without any detrimental consequences ; of these he had so far dissected 2n head, of which 36 head were found to be entirely free from tuberculosis ; one animal, which had been vaccinated at the age of 7 months, and, as a febrile reaction reaching 105.8° F. allows us to believe, was probably already tubercularly infected at the time of vaccina- tion, showed tuberculosis of the bronchial glands. Since two years I have undertaken the protective inocula- tion of all the young stock of seven herds, of which, it must be mentioned, six were highly tubercularly infected, while one was almost free from tuberculosis ; up to the present, 76 ani- mals have been vaccinated without any resulting harm. (In regard to the technique, I refer to an article in No. 18 of this publication, of 1904.J In one establishment a general tuber- culinization of the herd, consisting of 58 animals (exclusive of calves up to four months of age), preceded the protective inocu- VON behring's ppotective inoculation. 439 lation ; 39 head of this herd reacted to this test. In this herd also the non-reacting young stock up to two years of age were vaccinated, while in the other establishments only calves up to four months of age were subjected to the vaccination. The reaction upon the first and second inoculations was mostly a mild one, and, excepting a cough, only a few of the animals, especially those of a more or less advanced age, showed a mild, febrile elevation of temperature, without any symptoms of a systemic disturbance. Suckling calves as a rule show no reaction whatever. Only two animals presented disturb- ances of a somewhat serious nature ; to these I will again refer later. The vaccinated animals are all in a thriving condition, and present a smooth and glossy coat. Of the vaccinated animals, three have so far been dissected, viz. : two yearlings on account of tympanites, and a three-year- old primiparous cow, on account of metritis ; this last animal was vaccinated at the age of two years, after it had responded negatively to a tuberculin test. These three animals originated from two tubercularly infected establishments. While the two first-mentioned animals, which had been vaccinated as suckling calves, were found to be entirely free from tuberculosis, the cow was found to have tubercular calcification of the bronchial glands, as well as an isolated cherry-pit sized tubercular nodule in the lung; the other organs and lymphatic glands were free from tuberculosis. This may be an instance where tuberculin failed, and where the animal was already tubercularly infected at the time of the vaccination ; however, it may also be the case, that the protective inoculation is only successful when admin- istered to young animals, and that for this reason von Behring has recently indicated four months as the extreme age limit, while formerly it was recommended that in exceptional cases also animals at the age of four months to two years could be submitted to the vaccination process ; however, only then, when they were entirely free from any signs of tuberculosis, and an injection of tuberculin would cause no reaction whatever. For the purpose of ascertaining whether protectively inocu- 440 JOHN V. LADDEY. lated animals could withstand strong natural infection, I sub- mitted, in the case of the above-mentioned establishment, where 67 per cent, of the entire herd had reacted to tuberculin, all those animals, a total of eight, which I had vaccinated a year before, at the age of from 4 weeks to 3 months, to a tuberculin test. Of these eight animals, none had reacted to the vaccina- tion. The method in which the young stock of this farm is raised, consists in allowing the calves to suckle their dams for a month, and then feeding them raw milk for another six months ; in winter, spring and fall, the young stock is kept in the stable with the older cattle of the herd, in summer on a separate pasture. As a dose 0.5 c.c. tuberculin was considered amply sufficient for these yearlings, which reacted in the following manner : XT T • .• Following Day No. Injection ° ' 7 p. M. 5 A. M. 7 A. M. 9 A. M. 12 M. I I02.2°F. io2.6°F. I02.2°F. 103. i°F. ioo.8°F. 2 101.7 " I03-5 " I03-I " ^"3-3 " 101.8 " 3 101.5 " 004.0 " 103.6 " 103.6 " 101.5 " 4 101.7 " 103.8 " 102.4 " 102.2 " 103.3 " 5 100.8 " 102.6 " 102.0 " 101.8 " 101.7 " 6 101.3 " 102.7 " 102.0 " 102.7 " loi.i " 7 101.8 '• 104.0 " 102.4 " 102.9 " 101.5 " 8 101.5 " 104.5 " 104.0 " 103.3 " 102.6 " (As none of the animals showed any fever, and as the tempera- ture curve was already declining in all the animals, the taking of temperatures was not continued after 12 noon.) The dam of Nos. 1-5 had reacted upon tuberculin with tem- perature elevations of: 1.9, 2.2, 2.1, 2.6, and 1.9° C, respect- ively ; the dam of No. 7 had not reacted, and Nos. 7 and 8 had been bought as calves to add to the herd. In connection with the tuberculinization of protectively inoculated animals, it must be mentioned that according to Dr. Roemer, Director of the Experiment Section of the Hygienic Institute at Marburg, and Collaborator of von Behring, "expe- rience teaches that a hypersensitiveness to tuberculin makes its appearance following the protective inoculation ; a tuber- culin test, therefore, gives a positive reaction in cases where VON behring's protective inoculation. 441 no tubercular foci can be demonstrated in the organism." As the above table shows, this hypersensitiveness to tuber- culin might have found expression in the fact, that all the ani- mals showed short and slight elevations of temperature ; how- ever, a typical reaction did not take place in any one of them. When the circumstance is now considered that, according to our experience, animals in the first stage of tuberculosis, which stage alone can enter into consideration in young animals, with- out clinical signs, react the strongest, and when it is further considered that, 0,5 c.c. tuberculin is a strong dose for young animals, then one could arrive at the conclusion, that none of the vaccinated animals is affected with tuberculosis. Neverthe- less, so as not to be partial to protective inoculation, I will re- gard the reaction of animals No. 3 and 8 as positive, but even then this result could be called a favorable one, when compared with the results shown by the sixteen non-vaccinated animals which had been tuberculinized the previous year at the age of from y{-i}4 years; ten of this group have reacted positively, and six negatively. The relation of the results by comparison is as follows : Reaction. Positive. Negative. Non-vaccinated animals 62 per cent. 38 per cent. Vaccinated animals 25 " 75 " Guided by a desire to draw for these investigations upon subjects predisposed by heredity and exposed to severe natural in- fection, I therefore subjected another i ^^ year old animal, which had been kept in a tubercularly infected stable, and protectively inoculated in February and May of the previous year. The sire of this yearling was destroyed one month before the birth of the latter, on account of pulmonary tuberculosis, complicated by chronic tympanites ; the yearling's dam, a secundiparous Swiss cow, was destroyed about two months after the birth of the former, also on account of pulmonary tuberculosis ; the experi- ment animal was, therefore, at all events by heredity very strongly predisposed to tuberculosis. The animal had reacted upon the first inoculation with a febrile elevation of tempera- 442 JOHN V. LADDEY. ture (up to 40.5° C.) lasting^ 2 days, and a somewhat diminished appetite, which lasted several days ; upon the second inocula- tion it reacted only with a slight elevation of temperature and without any systemic disturbances. A few months after the second inoculation this animal, which had always been poor in flesh and rough-coated, suddenly thrived. The tuberculin test gave the following result : Time of Following Day No. Infection 7 p. M. 5 A. M. 7 A. M. 9 A. M. II A. M. IP. M. 9 . . . . 102. 9°F. 103. 6°F. 104. o°F, ioi.3°F. 100. 4°F. ioo.4°F Thus we have also here the same phenomenon as in the aforementioned animals — febrile elevations of temperature of short duration, but no typical reaction ; this animal should be looked upon as not affected with tuberculosis. I further subjected to the tuberculin test a 1 14^-year-old bull from another tubercularly infected herd. This experiment ani- mal, which had been protectively inoculated in January and April of the previous year, was also hereditarily strongly predis- posed. The animal's sire (the same as in experiment animal No. 9) was destroyed about one month before the birth of the yearling, on account of tuberculosis, and its dam, a primiparous cow, about four months after the birth of the yearling, on ac- count of tuberculosis of the lungs and mesenteric lymphatic glands. This young bull had already reacted very strongly upon the first inoculation, but still stronger upon the second inoculation, so that on the second day after the inoculation there still existed a temperature of 107. 2°F., with chills, anorexia and general sys- temic disturbances, which caused the somewhat anxious owner to send for me. From the third day after the inoculation the general condition became improved, the appetite slowly re- turned, and the fever moderated (103.3° ^0 Tuberculinization of No. 10 gave the following result : 7'™<=.°f Following Day Injection 6 30 P.M. 5 A.M. 7 A.M. 9 A.M. II. A.M. I P. M. 3 P.M. 5 P.M. 102. 6°F. 105. 4°F. io6.o°F. io6.3°F. io6.9°F. io6.o°F. 105. 6°F. I04.7''F. VON behring's protective inoculation. 443 This animal, therefore, was the only one of the ten experi- ment animals which had shown a typical reaction. In compari- son with the reaction of all the other vaccinated animals, this ex- cessively febrile reaction (combined with general systemic dis- turbances and lessened appetite following both the first and sec- ond inoculations) which Xo. lo had presented, as well as the strongly hereditary predisposition, would indeed justify us in concluding that the animal in question was already at the time of vaccination affected with tubercular lesions. According to von Behring, protective inoculation is only successful when the animal to be inoculated is not already in- fected, or, when the animal has received infection through tuber- culous milk, but where no lesions have as yet become established; therefore, if the disease is still in its incubation period. This latter condition might have been the case in animal No. 9. If, however, tuberculous lesions already exist, when, therefore, the disease must be considered as already manifested, then it is impossible to check the progress of this disease by protective inoculation. This might well have been the case in experiment animal No. 10. In combining the post-mortem findings and the results of tuberculin tests, the following conclusions must be arrived at : It is possible, through the protective inoculation of calves of less than four months of age, to enhance to a considerable degree the resistance of such vaccinated animals against severe natural infection, in so far as said animals are not already affected with tubercular lesions. As far as the indications for protective inoculation are con- cerned, I am of the opinion that it is to be made use of in all severely infected establishments where an energetic method of eradicating tuberculosis has become an economic necessity. The introduction of this protective inoculation procedure into mod- erately and mildly infected herds might be welcomed in the interest of a collection of more extensive statistics ; the neces- sity for this, however, does not exist in view of the fact that th« correctness of the method has still not yet been definitely 444 JOHN V. LADDEY. decided. It might be well, therefore, to confine this immuniza- tion method to the offspring of manifestly tuberculous dams and sires. Even if this immunity should only last 2-3 years, the advan- tage derived therefrom would still be great enough in that the second principal factor in the eradication of tuberculosis from infected herds, that of raising offspring free from tuberculosis, would be better served than by the methods heretofore em- ployed. It would obviate the necessity of separating the young stock from the older cattle, which method is not easily carried out and in many cases of a doubtful effect ; it would further also be rendered unnecessary to raise calves on sterilized milk, which as experience teaches us often unfavorably influences the development of the calf. Eradication of tuberculosis from in- fected herds would therefore be materially simpler than hereto- fore, and could be brought to a successful termination by the following regulations : (i) Protective inoculation of the young stock possibly al- ready at the age of 3-4 weeks, as well as of all newly added ani- mals under four months of age. (2) Tuberculinization of newly added animals over four months of age. (3) The quick removal of dangerously tubercular animals. Another much discussed point entering into the eradication of tuberculosis — the question whether manifestly tubercular animals should be bred from, has been placed in a different light through the researches of von Behring. Von Behring an- tagonizes the teachings of hereditary disposition to tuberculo- sis ; he maintains that tubercular infection can be traced mainly to infected milk received in the first few weeks of life ; the de- cisive influence of the transmission of tuberculosis is therefore to be attributed, not directly to heredity, but entirely to the dam in cases where the calf receives the infective milk in a non- sterilized condition. As essayist, he expressed himself in a similar sense on this subject at the Eighth International Veteri- nary Medical Congress at Budapest ; he contended that tubercu- VON behring's protective inoculation. 446 losis can be transmitted by the parents directly to the offspring; to a very slight extent only in cases of extensive generalization of the disease, and that hereditary disposition, in regard to the origin of tuberculosis in the domesticated animals was a matter of secondary consideration. Of this new theory, that tuberculosis is not hereditary, many practitioners and experienced breeders will surely not be so easily convinced ; the costly experiences made with tuberculosis by continued in-breeding are direct proofs against this theory. In accordance with this acceptation, the above-mentioned young bull (No. lo), which will .soon attain the age of puberty, could without hesitation be admitted to service in the already tuber- cularly infected herd. I should certainly hesitate to give the owner that advice, in spite of the bull's good conformation and noble pedigree (his sire had been bought in Switzerland for 1500 francs, and his dam insured for M. 700). Until such a time when the verdict has been pronounced, that protective inoculation definitely im- munizes all animals, including those hereditarily predisposed, against tuVjerculosis, it will always be advisable to continue to act upon the lessons learned through experience, by introducing new blood to such tubercular infected herds ; this can be accom- plished to a large extent by the addition of young serviceable bulls which have responded negatively to tuberculin. Dr. Charles H. Leavitt (C. V. C, '06) has sailed on the transport Dix^ from Seattle, Wash., with army horses for Manila, P. I. The Fiss, Doerr & Carroll Horse Company sold 36,000 horses last year for an average price of $166 a piece, including second-hand auction animals. The Misslssippi Valley Veterinary Medical Associa- tion, at its meeting in Monmouth, Illinois, Feb. 22, passed the following resolution : " Resolved^ That so long as the office of State Veterinarian is held by an empiric, it shall be considered an unprofessional act for any member of this Association or for any graduate veterinarian to serve as Assistant State Veteri- narian." 446 LOUIS p. COOK. NITROUS OXIDE ANESTHESIA IN ANIMALS. By Louis P. Cook, D. V. S., Cincinnati, Ohio. Presented to the Twenty-third Annual Meeting of the Ohio State Veterinary Medical Association, January 1 6, 1906. The aim of this paper is to lay before this Association the de- tails of a series of experiments conducted for the purpose of de- termining the value of nitrous oxide as an anaesthetic for veteri- nary use. This agent has been used to a very limited extent by veterinarians, and I have been unable to obtain from literature accurate details of its effect on animals. Chloroform and ether, the anaesthetics in common use, have many disadvantages, the most notable being the stage of excitation produced by them before anaesthesia, often long delayed, develops. This stage of excitement makes the use of such agents more or less dangerous to the patient, and the length of time, usually from ten to twenty minutes, required to anaesthetize an animal, often proves embarrassing to the operator. The length of the period of ex- citement may be shortened and the advent of anaesthesia hast- ened by the rapid administration of chloroform, but I believe it to be the opinion of experienced veterinarians that such prac- tice is exceedingly risky. True, anaesthesia has often been pro- duced in the horse with chloroform in three or four minutes, but disastrous results, too, have not been infrequent. On ac- count of the slow and uncertain action of chloroform and ether the veterinarian generally operates without the use of anaesthet- ics, even though anaesthesia would make the operation safer for the patient and easier for the operator, as well as more humane. The more general use of anaesthetics by veterinarians would make veterinary surgery appear more scientific and less like butchery. It, therefore, seems to me that veterinarians, in the interest of their profession, ought to seek for some practicable anaesthetic. The physician finds the same fault with chloro- form and ether. Lately nitrous oxide or " laughing gas," originally used al- most exclusively by dentists, has come into very general use NITROUS OXIDE ANiESTHESIA. 447 with physicians, who use it to produce primary anaesthesia, which it does in about thirty seconds, and which can be kept up by the use of very little ether. Appliances have been in- vented for the use of physicians for its administration alone or in combination with ether. Having witnessed its administration to a number of individuals and the prompt and comparatively safe manner in which anaesthesia was produced by it, I decided to try it on horses and dogs. The subjects held for dissecting pur- poses at the Cincinnati Veterinary College furnished ample ma- terial. A hood somewhat like the ordinary nose feeding bag, but smaller, was constructed of leather, rubber and brass, which when adjusted to the animal's head fits neatly. The mechanism of this hood permits the admission of fresh air, chloroform, or gas, alone or in any combination, or in its being made absolutely air-tight. The method of producing anaesthesia is like this : The hood is adjusted, either before or after casting the animal or placing it upon the operating table. The fresh air inlet is allowed to re- main open, permitting the animal to breathe freely until the operator is ready to administer the anaesthetic. When all is ready the fresh air inlet is closed, excluding fresh air entirely; simultaneously the nitrous oxide is turned on, which on pass- ing through the chloroform chamber carries with it the chloro- form vapor, and the hood at once becomes filled with the com- bination. The animal takes a few deep inspirations, when usu- ally, in from thirty to sixty seconds, and with very little strug- gling, complete anaesthesia, with muscular relaxation, etc., de- velops. The gas is then shut off and the chloroform and fresh air inlets at once thrown open, allowing the inhalation of both chloroform and fresh air, with which a proper state of anaesthe- sia may be maintained indefinitely and with the use of very lit- tle chloroform. I have administered nitrous oxide alone for fully three minutes without producing anaesthesia, though the animal was nearly asphyxiated. When mixed with a very little chloroform, however, nitrous oxide readily anaesthetizes, consciousness returning in from one to three minutes after its administration is 448 LOUIS p. COOK. discontinued, but analgesia lasts for some minutes longer. The advantage of this method is that anaesthesia can be safely produced in a minute or two, and without any excitement or struggling. Nitrous oxide is practically harmless. It has little effect on the action of the heart, and the small amount of chloroform required to be used with it is insufficient to percept- ibly weaken the organ. The gas is sold in tanks of different sizes, with stopcock, tubing, etc., attached. Tanks costing two dollars contain suffi- cient to anaesthetize a dozen or more horses. I have adminis- tered the gas to some thirty horses and about half this number of dogs, and experience has taught me that it must be given to animals rapidly and entirely free from air and in combination with a small amount of chloroform. I am deeply interested in nitrous oxide anaesthesia in ani- mals, and I should be pleased to hear from any member of this Association who has had any experience on the subject. Dr. L. Van Es, of the North Dakota Agricultural College and Experiment Station, recently took an active part in a meet- ing of the State Medical Association — a good example for all veterinarians who can possibly follow it. Rabies has recently threatened two well-known members of the veterinary profession. Drs. A. H. Baker, of Chicago, and Geo. E. Corwin, of Connecticut, each of whom was bitten by a dog he was attending. Both at once took the Pasteur treatment and escaped serious consequences. The former made extensive duplicate bacteriological investigations, and the Negri bodies were readily and plainly visible in sections of the nervous system of the dog which inflicted the wound upon his hand. Dr. L. a. Merillat, of Chicago, who conducts " Surgical Items " for the Review, writes from the Yellowstone National Park, Wyoming, under date of June 7 : "If the Review should be left without a ' Surgical Item ' for July this card will explain the reason. I am here doing a number of surgical operations for the Yellowstone Park Transportation Co. It is very cold here, with snow every day. Tourists have just begun to arrive. The grandeur here cannot be described." CLINICAL EXAMINATION OF THE BLOOD. 449 THE CLINICAL EXAMINATION OF THE BLOOD IN VETERINARY PRACTICE. By Samuel H. Burnett, New York State Veterinary College, Ithaca, N. Y. From about the middle of the nineteenth century active in- vestigations have been in progress on the condition of the blood in man and to a less extent in the domesticated animals. At first these were confined largely to observations on the number, size and shape of the red corpuscles, then came studies of the varieties of the white cells and the other elements found in the blood. About fifteen years ago enough had been learned con- cerning the condition of the blood in healthy and in diseased persons, and the instruments had been perfected to such a degree that an examination of the blood could be a valuable aid to the practitioner. Since that time the examination of the blood has taken its place among the other physical means of arriving at a diagnosis, and is now used by thousands of physicians and surgeons. In the better hospitals blood examinations are about as much a matter of everyday routine as the examination of the urine. "The examination of the blood," DaCosta^ states, "is capable of throwing light upon the diagnosis in so wide a range of condi- tions that it is difficult to single out any disease in which it may not be of some utility, either as positive or negative evidence." The kind of information afforded by the clinical examination of the blood has been divided by Cabot* into three classes, namely ; it "gives us (a) a ready-made diagnosis in a few diseases; (b) side lights on a good many obscure conditions ; and (c) the fre- quently great assistance of a negative report." Examples of the first class arc found in malaria, leukemia, surra, Texas fever and filariasis. In the second class are such affections as sec- ondary anemia, chlorosis, sepsis, intestinal helminthiasis, hsetn- ^ DaCosta. Clinical hematology, second edition, 1905 * Cabot. Clinical examination of the blood, fifth edition, 1904. 450 SAMUEL H. BURNETT. orrhagic diseases, suppurative processes. Finding that the blood is normal is very often of great assistance, as it enables one to differentiate from the diseases that produce changes in the blood. Hodgkin's disease is diagnosed by a blood examination, yet the blood is normal in the early stages, this serving to distinguish this affection from leukemia, which produces marked changes in the blood but has otherwise similar symptoms. In typhoid fever the blood is nearly normal, this often being of great help in distinguishing it from affections showing somewhat similar symptoms but producing an increase in the number of leucocytes. Besides its value in diagnosis, the blood frequently gives most important indications as to prognosis and treatment, and is of value in examinations for soundness. For example, in pneumonia there is ordinarily an increase in the number of leucocytes. If instead of there being an increase the number is below the normal it is a very bad sign. During the course of this disease the reappearance of the eosinophiles is a favorable sign, indicating that the crisis is passed. In an anemia in which the hemoglobin is much lessened while the number of red cor- puscles remains nearly normal, that is, the coloring matter in each corpuscle is lessened, the indications for a prompt improve- ment under administration of iron are good ; while but little improvement is to be expected where the amount of hemoglobin in each corpuscle is normal, and practically no improvement when the hemoglobin index is above normal, iron being prac- tically contraindicated in the more severe cases where the blood shows very large red corpuscles, each having an increased amount of hemoglobin. In examining a horse for soundness, as suggested by Moore, the blood may reveal the presence of morbid processes not evident by other physical symptoms. For. example, a deeply seated suppurative process may be overlooked on an ordinary examination, yet the blood show a marked in- crease in the polynuclear leucocytes. In subjects infested with tape worms or intestinal round worms there is ordinarily an increase in the number of eosinophiles in the blood. Without multiplying examples, it may be seen that the blood offers excel- CLINICAL EXAMINATION OF THE BLOOD. 451 lent facilities for judging as to whether an animal is in a state of health or not. A great mass of data has been accumulated concerning the changes found in the blood in the several diseases to which hu- man flesh is heir. The books and pamphlets containing these data would make a good sized library. As regards the blood of the domesticated animals but comparatively few clinical obser- vations have been made. Careful studies of the blood have been made in Texas fever, in infectious leukemia in chickens, in tri- chiniasis in swine and in surra. Clinical examinations from the clinic here of less than a hundred cases of horses, dogs and cows suffering from various disorders are recorded. A consider- able amount of work has also been done on the blood of animals in the course of experimental investigations. All told, the available data on the blood of the domesticated animals is mea- ger; yet the importance of these is far greater than mere num- bers indicate because, as Moore, Haring and Cady ^ have pointed out, '' they show that the changes that occur in the blood of the horse" and, we may add, in the other animals studied " follow very closely those that take place in the human subject under like pathological conditions. This fact being fairly well established makes it possible for us to draw somewhat fully from the demonstrated facts in human hematology to aid us in the in- terpretations of the findings in horses " and in other animal "blood." Though only a beginning has been made, yet it is not as though we were building from the very foundation. As soon as the normal condition of the blood in the several kinds of ani- mals is determined, we are ready to make use of clinical ex- aminations. A series of investigations on the blood of the domesticated animals have been in progress here for about four years. As a result of this work, together with that done else- where, we have available at the present time a working knowl- * Moore, V. A., Haring, C. M., and Cady, H. J. The clinical examination of the blood of the horse and its value to the Teteriuarian. Proceed. Am Vet. Med. Attn., 1904, p. 284. 452 SAMUEL H. BURNETT. edge of the blood of the horse, cow, sheep, dog, cat, rabbit and guinea-pig. In an ordinary clinical examination of the blood the things of value are : — the number of red corpuscles, the number of leucocytes, the amount of hemoglobin or coloring matter, the percentage of the several varieties of leucocytes, the pathological changes in the red corpuscles and in the leucocytes. The third of these, the amount of hemoglobin, may be obtained by an inexpensive instrument. The others require a micro- scope ; but aside from the microscope the apparatus is not expensive. It requires some training to learn to make an ex- amination quickly and accurately, but it does not take so long as it does to learn the heart and lung sounds. To get the amount of hemoglobin is no more trouble than to take the tem- perature, and requires less time. The amount of coloring matter in the blood tells one whether anemia is present and if present to what degree. Making a guess as to the presence of anemia by the appearance of the mucosae and skin or finding the amount of hemoglobin present in the blood, is very like the difference between taking the temperature with the finger or using a clinical thermometer. A good illustration of the uncer- tainty of making a diagnosis of anemia from appearances alone, occurred very recently when two persons came to the laboratory to have their blood examined. One, Miss A, was pronounced by her physician to be anemic, while the other, Miss B, was pronounced to be typically normal. The blood examination, much to the surprise of the attending physician, showed that Miss A had a high normal amount of hemoglobin, while Miss B was anemic. This example, which is only one among a considerable number that might be given from my experience, is all the more instructive to us when we consider that changes in the appearance of the skin and mucosae are much more easily seen in man than in animals. CLINICAL EXAMINATION OF THE BLOOD. 453 Every one has cases in his practice where the symptoms are obscure or point about equally to two or more conditions requir- ing widely different methods of treatment. In such cases one needs all the assistance one can get. Often in just such cases as these the blood points the way to a correct diagnosis. It enables us to see a little farther, a little deeper into the processes that are going on in the tissues. Take, for example, cases of verminous embolism in the horse, due to Sclerostoma equinum. Haring's study of four cases showed that in each horse there was an increased number of eosinophils in the blood. The value of his findings is self-evident in differentiating between spasmodic colics caused by this parasite and those due to intes- tinal obstruction or causes other than parasites. The value of a blood examination is not so much that it enables us to make a diagnosis by its use alone, though there are several conditions in which the blood alone is sufficient. In the great majority of cases it is to be considered with all the other symptoms avail- able, as simply one kind of objective symptom. For this reason I think that it will not tend to supplant careful observation and study of the other symptoms ; but that, on the contrary, by causing us to observe more critically and study our cases more carefully, it will help us to see more clearly what changes are going on in the tissues and organs. Dr. G. E. Corvvin, Jr., of Lakeville, Conn., was recently bitten by a rabid dog which he was examining, and three per- sons belonging to the family of the animal's owner were also victims. Ail took the Pasteur treatment in New York. The Doctor is known to our readers through his occasional contri- butions. We trust that his preventive treatment has been en- tirely successful. Drs. C. E. and J. S. HoLLiNGSWORTH, of the firm of Hol- lingsworth Bros., La Salle, 111., have recently moved into their new Veterinary Hospital. It is built of hollow concrete blocks, having a floor capacity of 36 feet x 115 feet, two stories high, is covered with a slate roof, is electric lighted, furnace heated, with commodious well ventilated stalls and boxes, and is equipped with a Kyle operating table and an ambulance service. 454 B. F. KAUPP ACONITE POISONING. By Dr. B. F. Kaupp, Kansas City Veterinary College, Kansas City, Mo. Presented to the Meeting of the Missouri Valley Veterinary Association, Feb., 1906. Among those who medicate horses for their various ail- ments are some who have not had the school training which fits one to competently prescribe. Among the drugs used, and often used in poisonous doses, is aconite. That one could, with certainty, recognize the symptoms of a horse given an overdose, he must know the various conditions of impaired functions it produces. The following is a report of one experiment. The subject was a gray gelding, aged, but in good health. The following table shows the effects of a poisonous dosage upon this hoise : Time. Remarks. 1 Temp. Resp. Pulse. 12-27 ' 9.10 A. M. Heart regular and strong. Given 2 ! drams fluid ext. aconite root, P. D. 99.2 17 35 9.30 A. M. Movements of swallowing, champing of the jaws. Head protruded. Defe- i cation. Restless. 99.2 20 40 9.40 A. M. Defecation. Heart weak and irregu- lar. Continuous movement. Swal lowed 24 times per minute. 38 9.50 A. M. Defecation. Rectal muscles relaxed. Slight perspiration. Slight bloating. 9.55 A. M. Defecation. 99.9 40 9.56 A. M. Defecation. Passage of flatus. La- 1 bored respiration. Grunt at each exhalation. 10 40 9-57 A. M. Defecation. Continuous movements of deglutition, 34 times a minute. 10.10 A. M. Two drams more of the aconite were administered per orum in i oz. of water. 10. II A. M. Defecation. Not so restless Pass- age of flatus. 10.13 A. M. Defecation. Excrements more soft. Again restless. 10.15 A. M. Grunting during exhalation. 99.9 13 10.17 A. M. Defecation. ACONITE POISONING. 455 Time. I0.20 A. M. 10.25 A. M. 10.30 A. M. 10.35 A. M. IC.37 A. M. 10.40 A. M. 10.45 A. M. 10.50 A. M. 10.57 A. M, I 1. 00 A. M. 12.30 P. M. 1. 00 P. M. 4.00 P. M. 5.00 P. M. 11.30 P. M, 13-28 Remarks. Temp. Cuticular surface more moist. Con- tinuous movements of deglutition, 42 times per minute. Defecation. Head protruded. Champing of jaws. Passage of flatus Heart irregular but stronger. Respiration more difficult and grunt during exhalation. Passage of flatus. Pulse irregular but now weaker. Defecation. Passage of flatus. Movements of deg- lutition now 36 per minute. Per- spiration more profuse. Colicky symptoms. Efforts to lie down, but was not permitted to do so. Defecation and passage of flatus. Colicky symptoms more acute. Lying down, then up. Salivation. Still champing jaws. Movements of deglutition and other symptoms same. Not so restless. Trembling. Heart very weak. Bloated. Tapped cfecum. Escape of gas followed. Colicky pains continue. Salivation. Head protruded. Difficult respira- tion. Defecation. Dilated nostrils. Respiration not so labored. Heart weak and very fast. Colicky. Given I gr. strychnia sulph. and i dram fluid extract convallaria per orum in I ounce of water. Increased salivation. Labored respi- ration, perspiring freely. Two oz aromatic spts. ammo, administered per orum. Given i dram f. e. convallaria. Res- piration not labored. No saliva- tion or champing of jaws. Move- ments of deglutition subsided. 'Violent efforts as if to vomit. For a few minutes breathing was labored Colicky. The attack lasted five minutes. Bloated. Colicky. Difficult respira tions. Died. An autopsy was held. 99-9 103.5 102.5 102. 5 Resp. 18 26 26 Pulse. 72 72 After the carcass had been skinned, the abdominal cavity 456 B. F. KAUPP. was opened ; food was found among the abdominal viscera. Upon further investigation it was found that the stomach was ruptured upon the greater curvature for a length of six inches. Haemorrhages were found over the serous membranes of the stomach, lungs, heart and kidneys, and also in the substance of the right kidney. The liver was congested. The right auricle and ventricle were two-thirds full of black, clotted blood. An ante-mortem clot half the diameter of the pulmonary artery was found. There was only a small quantity of dark non-coagulated blood in the left auricle and ventricle. By text-books aconite is described as being a cardiac and respiratory depressant, also diaphoretic and diuretic. Locally it relieves pain, on account of its sedative action upon the sen- sory peripheral nerve endings. In poisonous doses it kills by respiratory arrest. In the above single experiment that was conducted, the most prominent derangements were : Movements of swallow- ing, champing of jaws, salivation, irritant to stomach and bowels, leading to spasms ; respiration, heart beat and blood pressure are lowered ; pulse irregular ; respirations slow and difficult, especially the expiratory effort. Dr. Adolph Eichhorn, B. A. I., editor of " German and Hungarian Review " for this publication, has been transferred from field duty in Kansas to laboratory work in Washington. A Quaint Recipe. — The following from an old book is given as " an excellent cure for the murrain in cattel " : Take for every beast a quart of old wash and a good quantity of hens' dung, and lay the latter to steep eight or ten hours, and then strain the dung forth, and break to every beast two rotten eggs into the fore-named juice; and give to everyone two penny- worth of spikward, and blend all these together and give it the beast ; but first let blood, both sick and sound, and separate the sick from the sound. Drench both horses and swine, for they are both apt to take the disease. Bury the dead deep in the ground, so that dogs cannot get at the carcase. — (Farm and Home.) ACUTE INDIGESTION IN THE HORSE. 457 ACUTE INDIGESTION IN THE HORSE : ITS TREAT- MENT. Bv Dr. D. O. Kxisley, Topeka, Kansas. Read before the Semi Annual Meeting of the Missouri Valley Veterinary Association, Feb. 12, 13, 14, 1906. My subject is " Acute Indigestion of the Horse," a trouble that is by no means unfamiliar to you all, and one that is sure to cause all of us, at times, to consider what to do first. Going into the details of etiology and pathology of the cases, I consider it is only time lost, as all of you have had your time of study along this line, so shall omit that and try to give \ou a short outline of the symptoms usually found in these cases when called in the early stages. I usually find this trouble in the heavy or work horse, rarely in the trotter or thoroughbred, and in one instance only in a mule. The work horse with us seems very prone to the disease. The patient on one's arrival may or may not be down ; it will usually be restless, getting up or down, frequently turning around, slight belching and regurgitation, respiration labored, and short, pulse at this time not very much affected ; tempera- ture practically normal. If convenient in these instances, I usually give linseed oil and turpentine or eucalyptolin in ^<^-oz. doses. If the case is relieved, I always feel thankful, for such cases rarely are, and as the distension of the stomach increases so do the symptoms of distress ; breathing becomes very much harder, the patient becomes more restless, can neither lie down nor stand with any comfort, will turn around quickly in the stall, seemingly not knowing what to do, nostrils will be opened wide, and at this time are usually very red, pulse becomes wiry and irregular, belching from the stomach very noticeable, and very frequently a bloody-looking fluid mixed with particles of feed will return through the nose, which fluid has a very sour and disagreeable odor. About this time it is up to the practi- tioner to do something, as it seems that the different remedies that have been given during the progress of the disease have 458 D- O. KNISLEY. apparently been thrown away, or, in other words, have not given the patient any relief. There should be something done to re- lieve such awful distress of the patient. Especially will the owner of the horse, if he is around, make suggestions to do this and that, when the practitioner knows well himself that as far as giving medicine is concerned, he has done all he can and that no good could come of the suggestions. To satisfy the owner, something must be done, and at this point I shall try to explain how I have consoled myself as well as the owner. My first at- tempt was made on a case similar to the foregoing description in my paper. The case came to the hospital apparently nearer dead than alive. I could see no good in trying to give medi- cine. At every inhalation the mouth was opened wide so as to admit more air, the mucous membranes were pale blue. I did not take time to find out the pulse or temperature, but pro- ceeded at once to the office and got a piece of ^-inch rubber hose, II ft. long, and a mouth speculum, and started for my patient, calling an assistant to follow me. I first oiled the tube, then placed the speculum in the patient's mouth, having the assistant hold the horse to prevent swaying from side to side. I introduced the rubber tube, passing it through the mouth and oesophagus into the stomach without any trouble. The pres- sure in this case was so great that it forced the bloody-looking fluid through the hose. About i^ pailfuls came away with a good deal of ground corn and bran. After the discharge had stopped, I removed the tube, and left the horse in the open air. Twenty minutes later I gave three drachms of digitalis. About one hour later I placed the horse in a box-stall ; three hours later the horse was eating hay slowly and appeared bright, but upon being moved showed soreness. I thought that due to the muscular exertion the animal had gone through. During the next two days I gave stimulants every four hours. On the fourth day the animal went home and was put to work. The next case that came to the hospital was not in as bad condition as the first, still so bad that there was great distress, breathing very hard, belching gas continually. I decided to ACUTE INDIGESTION IN THE HORSE. 459 pass the tube as in the previous case, but success was not as easily won as I had anticipated. In this instance I had a great deal of trouble in getting the hose into the oesophagus. It re- peatedly entered the trachea. I was persistent and finally succeeded, but for some reason things did not work as before. I got only a small amount of gas on its entrance, and, not being satisfied with this, I got a bucket of water and a funnel and proceeded to fill the hose so as to get suction. After the hose was full I let it drop on the ground and about half a pail of bloody-looking fluid ran out, when the hose appeared to clog up. I again filled it from the bucket, and again lowering it quite a lot of fluid and some feed returned. When it quit this time I removed the hose and took the horse to a box-stall and gave the following: Whiskey, 5 ij 5 soda hyposulphate, 5 ij ; water, 3 viij. I gave nothing further and the horse went home the next morning. Now arose the question of how to do away with some of my troubles with such cases, and from that time on, as cases came and went, I would try to devise some plan to stop the clogging, as it interfered a great deal in some cases. Finally, I conceived the idea of a double tube — one in which I could use an influx of air or water and thereby either blow it open or use the water pressure to force it back. I spoke to a particular friend of mine, and he thought it a great scheme, and at once said he would finance the scheme if I would follow up the experimental part of it, which I agreed to do. On this plan we proceeded, first making a drawing on paper and sending this drawing to different rubber companies. After five or six companies refused to do anything for us, it looked discouraging ; still we kept writing and finally found a firm who said they would venture to make one and stated price for same. By return mail the money was sent with the drawing, and in due time the tube returned, according to my idea, but at my first attempt to use it, I was greatly disappointed. I could not do one thing with it. It was entirely too limber. I could not get enough press- ure to make it pass. Yet not being satisfied that it was useless. 460 D- O. KNISLEV. We got a stilette for the same. The next trial was a great suc- cess. I had no trouble whatever in passing the tube, and the results were very satisfactory, so much so that I have made note of a few cases that I thought might be of interest to some of you, at least. Up to the present time I think I have passed this tube on at least 40 head and have not had a failure. Oct. 26, a bay mare, belonging to Whitaker Bros., came to the barn at 4 P. M., very acute, would scarcely be induced to walk ; breathing very labored ; walked with a straddling gait. Put on the wash rack and passed the tube. At once about one pailful of bloody-looking fluid came away. The mare was greatly relieved. Gave alcohol and soda hypo. Half an hour later I gave 15 drops of aconite, followed by two or more doses one hour apart. The mare staid at the hospital four days and then went home to work. Nov. 4, same mare came to barn at 6.30, breathing very hard and short ; distension of the stomach so much that the colored man said, " Doctor, I guess she's a goner this time." I passed the tube and drew off about one pail of that bloody fluid and about two quarts of corn chop. Relief was given at once. Gave 20 drops of aconite. No further treatment. Mare went home next morning. Nov. 4, Omnibus Company's gray horse, aged, came to barn at 5.30 p. M., breathing short and labored, in great distress, continually getting up and down. Was given one dose of oil of turpentine. Within twenty minutes horse was growing worse ; broke out in sweat and could scarcely be kept on his feet. Was brought in and the tube passed, more than a pail of bloody fluid coming away. Relief was at once shown. Gave one dose of alcohol and soda hyposulphate. Horse did not lie down any more and went home next afternoon. Nov. 17, bay filly, four years old, was brought to the hos- pital and could scarcely travel. Breathing was performed with great difficulty, bloody exudate and feed were running from both nostrils. I passed the tube at once and drew off about 4 or 5 quarts of bloody fluid. Then I gave ^ ounce of eucalyptolin in ACUTE INDIGESTION IN THE HORSE. 461 capsule. The filly was greatly relieved, but still kept on belch- ing. One hour later I passed the tube again, draining o£F about '/< pailful. Again I gave ^ ounce of eucalyptolin. The filly was still in a good deal of distress, and in an hour I passed the tube again for the third time, draining off about 73 of a pail of fluid. This was more than I had gotten at either of the other times. I then gave alcohol and soda hyposulphate. One hour later gave three drachms digitalis and an hour later gave three ounces whiskey with soda hyposulphate. Mare was given no further treatment, and left the hospital on the 19th, two days later. Nov. 18, black horse, owned by W. J. Burchard, came to the barn at 10.30 A. m., in great distress, badly bloated. I tapped the colon at once, which gave relief. I then gave one- half ounce eucalyptolin in capsule. The colon refilled, and I tapped it again at i p. m. ; horse quite restless. Gave two grains of morphine hypodermically ; no relief apparent ; breathing very hard and labored. At 2 P. m. I passed the tube and a pailful more of the bloody fluid came away. Then gave the alcohol and soda hyposulphate and tr. ginger. At 2.30 the horse was resting easy, and went home next morning at 10 o'clock. Nov. 21, Mr. King's cream mare was very badly bloated at 5.30 p. M. I tapped the colon at once, then drew ;^ pail fluid from its stomach and gave alcohol, soda and ginger. Colon refilled and was again tapped at 9 P. M. Gave digitalis and hyp. soda. One hour later gave y* ounce eucalyptolin ; left the mare at 2 a. m., resting easily. She went home in the morning. Nov. 23, bay horse, owned by Lawrence Ellis, weighing about 1400 pounds, came to barn at 3 40 P. m.; had been sick two hours, belching slightly, very acute pains; could scarcely get him out of wagon. Gave Yi ounce of eucalyptolin in capsule, waited three quarters of an hour and then passed the tube, a full pail of fluid coming away. Then gave the alcohol, soda hyposulphate and ginger, and put the horse in a box-stall. He laid down, and in about half an hour got up and went to eating hay. No further treatment. Horse went to work next morn- ing as usual. 462 D. O. KNISLEY. Dec. I, was called at 4 p. m. to see a bay horse, weight 1700 pounds. I found the horse down, not much distressed, bloated slightly, breathing short, pulse not much affected. I gave ^ ounce eucalyptolin in capsule. In half an hour the horse got worse, more bloated and restless. I advised taking him to the hospital. On arrival I gave i quart raw linseed oil and 2 ounces turpentine. At 8 P. M. the breathing was very short and labored, pulse growing wiry and animal getting restless. At 8.30 brought in and passed the tube, removing fully a pail and a half of fluid and at least a quart of corn chop, some pieces as large as half kernels. I then gave alcohol and soda hyposul- phate. At 9.30 gave twenty drops of aconite. At 11.00 gave three drachms of digitalis. No further treatment. Horse went home at 8 a. m. Dec. 24, called 4^ miles in the country to see a pony be- longing to J. A. Sieben, Had been sick about an hour ; found her down and was unable to make her get up. She was in great distress ; breathing hard and short ; belching particles of feed and bloody fluid from both nostrils ; mucous membrane pale blue. I passed the stomach tube at once, a pailful of fluid and feed came away. Then I gave 3^ ounce of eucalyptolin. In about twenty minutes she got up and was at once started for town. No further treatment was given. Mare went home next afternoon. Jan. I, 1906, mare had been driven 45 miles, came to R. Col- vin's barn sick. I was called at once, and found her down ; breathing hard and considerable belching. I gave y, ounce eucalyptolin ; waited forty minutes. Mare grew worse in every way ; breathing harder ; she was very uneasy ; could scarcely keep her on her feet. I passed the tube. But in this case there was hardly any fluid. I then gave another dose of ^ ounce eucalyptolin. No further treatment was given. She called for her feed in the morning, but none was given. Was hooked up and driven 16 miles without any further trouble. A TREATISE ON DOG DISTEMPER. 463 A TREATISE ON DOG DISTEMPER, WITH SPECIAL REFERENCE TO TREATMENT. Bv J. C. Butcher, Lima, Ohio. Presented to the Twenty-third Annual Meeting of the Ohio State Veterinary Medical Association, January i6, 1906 I hesitate to take up a subject so little discussed at our meet- ings, on which literature is so deficient, so far from conditions met with in actual practice, and so at variance with successful treatment. Dog distemper is so easily confused with congestive chills; in fact, when we have to deal with but one case (that is, when we have not the contagious form), we can be reasonably sure that a severe chill was its starting point. Another reason for this confusion is the uncertainty of symptoms. The normal pulse varies more in the various breeds of dogs than in any other ani- mal. This is undoubtedly caused by the inherited weakness of the heart valves, brought on by over-exertion and rapid cooling. Secondly, we find all temperaments possible among dogs, and in no animal do we have the variance of care, surroundings and diet, which we find given dogs. When called to treat a dog, we should remember that in no animal is the anamnesis so important — the care and kind of food the dog may have had ; duration of the ailment, etc. Now, what do we usually find when we suspect a case of dog distemper? On inquiry, we will nearly always find the dog to have been off on some excursion of a day or two, and as a result its condition resembles " a heavy cold" in the human subject. We may well term it a congestive chill, in which all secretions and excretions are completely checked. Some veterinarians persist, however, in calling everything dog distemper. A few cases to illustrate : Was called to a neighboring city to see a large Newfoundland dog, which had become greatly emaciated and covered with a scaly coat. An anamnesis simi- lar to the following was obtained : This dog had not eaten any- 464 J. C. BUTCHER. thing in two weeks ; had become paralyzed and had defecated but once, and that a very small amount, in eleven days, and constantly grew worse under the veterinarian's treatment for distemper. My treatment was an enema of five quarts of warm water, massage of bowels for one-half hour; administered five minims of croton oil, and after another half hour's massage, by ardent admirers of the dog other than myself. Then appeared before our eyes a splendid result of an effort at producing an endless chain, which was as gratifying to the dog as it was nau- seating to his admirers. The dog recovered in ten days. Another, a fox terrier, which had also been treated for dis- temper, having all characteristic symptoms, and in addition a marked soreness of the bowels. Was told that the bowels had not responded to a cathartic. An enema was impossible and caused great pain. An examination revealed the fact that an injury of some sort had caused the rectum to become entirely occluded on account of an injury to the muscular walls, hence an enema was impossible. An incision each way, followed by curetting, afforded relief, and recovery followed in ten days. Hence, even in distemper, correct diagnosis is as much an essential as in any other line of our profession. Another important symptom in cases that have progressed for ten days to two weeks is in the appearance of the mucous membrane. How familiar to all of you is the icteric appear- ance, and how important this symptom should be in outlining our treatment. This indicates that the liver is congested with the waste products from many internal organs and is unable to secrete them as bile; but why? you will ask. There are two reasons for this : First, constipation of the bowels ; second, the inflamed and congested condition of the organ. As a relief to the first, enemas and ordinary cathartics are sufficient. For the second, begin as soon as the cathartics have taken effect by giv- ing podophyllin in one-fourth grain doses, six hours apart, until the liver has begun secreting bile in sufficient quantity to re- lieve the congestion of all internal organs and the distemper has disappeared. But you will say the kidneys must be looked A TREATISE ON DOG DISTEMPER. 465 after, which is very true, but do as medical journals tell us — that nothing will purify and build up the circulation as will spirits of turpentine, given in small doses, and when called in the early stages of the disease we will find that nothing will give the speedy relief as will 5-10 m. of turpentine given in a tablespoonful of castor oil. Vou will perceive from the above that I am not taking my instructions from dog fanciers, who are continually looking for better results from bottles of some favorite " cure all " than from their veterinarian, A veterinarian of Lexington, Kentucky, recently said to me : " My treatment of K. N. O. 3 and strychnia, which was very successful in Detroit, has no effect whatever in Lexington ;" but since he has begun dealing with the facts of the case and not so much of hearsay, his treatment has been much more suc- cessful. As well may we expect a few drops of some one's highly recommended and ever famous colic remedy to cure a case of constipation of two or three days' standing, as to expect any specific drug to be a bonanza to us in treating dog distemper. Hence, you will not be surprised when I say I no more fear a case of dog distemper than I do pneumonia in a horse, and if you follow the treatment given above you will readily agree with me. The trouble has not been that dog distemper will not yield to proper treatment, but rather that we have paid no attention whatever to the actual conditions, and have given treatment for something foreign to the disease itself. Dr. Wm. Dougherty, of Baltimore, sailed for Europe the first of June for health and pleasure. He expected to be present at the unveiling of the Xocard Monument, and to rclurn in lime to be at the New Haven meeting of the A. V, M. A. The Tennessee vState Board of Veterinary Medicai Examiners held their first meeting for the examination of can didates for certificates of permanent license in Nashville on June 13. Up to that time forty-three certificates of permanent license had been issued. Dr. George R. White, of Nashville, is Presi- dent, and Dr. M. Jacob, Knoxville, is Secretary. 46S REPORTS OF CASES. REPORTS OF CASES. ' ' Careful observation makes a skillftd practitioner^ but his skill dies with him. By re- cording his observations, he adds to the knowledge oj his profession, and assists by his facts in building up the so:id tdifice of pathological science^ LEUKEMIA. By A. T. Kinsley, M. Sc. D. V. S., Kansas, City, Mo. Virchow and Bennett described leukemia in 1845. Kelsch and Vail lard made some observations upon the same disease in 1880 and at that time they thought it was infectious. A. M. Lucet reported a case in an ox and one in a dog, 1886, and thought the cause was of bacterial origin. Other cases have been reported occasionally, but the literature, and especially Ameri- can literature, is quite meager upon the subject. The reason for the scarcity of veterinary literature on leuke- mia may be traced to two causes : (i) The owner usually does not wish to feed and care for an incurable animal, and it is usually immediately disposed of ; (2) since leukemia is not a com- mon malady, probably the instructors in veterinary colleges have not considered it of sufficient importance to discuss it in the course of study, or, again, the veterinarian may have a clear cut perception of the theory of leukemia and be capable of diagnosing it and yet hesitate in reporting cases. Leukemia, as usually considered, is a pathological condition characterized by an hyperplasia of the cellular elements of lymph nodes, spleen or bone marrow, accompanied by an excess of leucocytes in the blood. The leucocytes to some extent in- dicate the lymphoid tissue affected. Hodgskin's disease has been defined as a pathologic condi- tion characterized by hyperplasia of lymphoid cellular elements without any marked change in the cellular elements of the blood. Leukemia differs from Hodgskin's disease only in the increased leucocytes in the blood, and it is probable that the two condi- tions are only different degrees of the same pathological condi- tion. The increased number of leucocytes in the blood may be the result of the hyperplasia of the lymphoid tissue surrounding, and by pressure occluding, the efferent lymph vessels thus pre- venting the exit of the lymphoid cells, or, the hyperplastic cells may become detached and occlude the vessel. The cause of the above conditions being unknown, it would be unwise to say that they are positively identical ; but since they are so closely related, are we not justified to call them the REPORTS OF CASES. 467 Fig. I.— Showing Enlarged Prkscapi-lar and Precrural Lvmph Nodes. FlU. 11.— «I) bNLAKCKD PRKSCAPULAR LVMPH NODE. {.V EmLARCBO PRBCR17RAL LVMfH NOOS. 468 REPORTS OF CASES. same thing; ? In fact, Nocard practically affirmed their identity. The lymphoid tissue involved has been used as a basis for classification of leukemia, hence lymphatic, splenic and medul- lary leukemia, but the different types are only rarely distinct and it is questionable if such a classification is justifiable. The following is not reported as a positive case of leukemia, but rather a questionable one. A six-year-old pregnant cow of common breed was purchased at the Kansas City Stock Yards. The right and left prescapular glands were very much enlarged and the right precrural slightly enlarged, general conditions otherwise good. (See Cut i.) She was placed in comfortable quarters and fed chop and hay. A record was kept of tempera- ture, respiration and pulse. A blood count and blood smears were made daily. The following table shows the blood count during the period of observation : Red White Proportion. Corpuscles. Corpuscles. White to Red. Date. Feb. 3 4 5 7,120,000 7,000,000 7.040,000 6 6,800,000 7,040,000 8 6,800,000 9 6,600.000 10 6.800.000 II 6,400,000 12 6,200,000 13 6,400,000 14 6,000,000 15 5,800,000 16 5,600,000 17 5,400,000 18 5,600,000 19 5,600,000 20 5,400,000 21 5,200,000 White Corpuscles. 23,700 25,000 24,000 24,000 23.500 22,600 22,000 23.500 23,000 22,000 40,000 37-500 41,000 46,600 43,200 43,000 56,000 60,000 65,000 300 280 290 280 310 300 300 290 280 280 160 160 140 120 "125 130 IOC 90 80 Practically all the white blood cells were lymphocytes, only one eosinophile cell and a very few polymorphonuclear leuco- cytes being observed in the entire time of ob.servation. From Feb. 3d to 12th, inclusive, the blood indicated noth- ing abnormal. On the 14th the cow gave birth to a premature calf, which died on the 17th, and of which a careful post-mortem examination was made without finding anything abnormal. On the 13th there was a marked increase in leucocytes; how- ever, in this case it is a doubtful indication of leukemia because the period of parturition is normally accompanied by a marked REPORTS OF CASES. 469 leucocy tosis, which may be evident for oue week or more. Un- fortunately the cow died on the 21st. Autopsy. — The post-pharyngeal, tracheal and prescapular lymph glands very much enlarged, the parietal pleura contained some lymphatic growths ; the valves of the heart were thick- ened and contained some vegetative growths ; the 2d, 3d, and 4th compartments of the stomach were surrounded by diffuse lymphatic growths ; the mesenteric lymphatic glands very much enlarged, also Peyer's patches. The spleen and liver were prac- tically normal, but the gall bladder was surrounded by a thick layer of lymphoid tissue. Sections of the involved lymphatic nodes were obtained and a careful examination made of them. The cells closely resem- bled small lymphocytes. They were separated by a small amount of intercellular substance, which aids in differentiating leukemia from lymphosarcoma. The neuclei indicated rapid cell multiplication by the karyokenetic figures present. Another case was reported from the Stock Yards, the sub- ject being a two-year old steer, in which the precrural glands were almost as large as a man's head, and the prescapular glands were very much enlarged, as is shown by Cut 2. The steer died before a blood count was obtained. Other cases have been re- ported by the B, A. I. inspectors as leukemia in cattle and hogs, but the complete post-mortem records have not been made and no blood counts were obtained. Note. Dr. Champlain photographer. URETHRAL CALCULUS IN THE DOG.* By Pierre A. Fish, Ithaca, N. Y. The patient, a male coach dog, four years of age, weighing about fifty pounds, was brought to the clinic t May i, 1905. The history, as given by the owner, was to the effect that the dog appeared to be in a normal condition up to within about 24 hours of the time that he reached the clinic. Attempts at mic- turition were unsuccessful, although the animal used his best efforts. An examination of the urethral tract was made externallv and a small movable mass was detected at the proximal end of the bone of the penis. A small sized catheter was also passed, * Presented at the Meeting of the N. Y. Sute Veterinary Medical Society, Ithaca, N. v., Sept., 1905. f N. V. Sute Veterinary College. 470 REPORTS OF CASES. but met an obstruction, easily distinguished by a peculiar grat- ing sound and by the fact that the catheter would go no farther. The use of the catheter confirmed the external examination and as it was quite evident that the mass could not be forced out through the urethra, the patient was prepared for an operation. Anaesthesia was effected by the injection of one-half grain of morphine sulphate hypodermically and the inhalation of ether. The operative area was shaved, disinfected, and a longitudinal incision was made on the left side of the sheath at the proximal end of the penal bone. The cut was continued through the urethra directly to the obstruction, and a calculus of irregular form and about the size of a small pea was removed. It was planned to draw the accumulated urine from the bladder with a catheter after the calculus was removed, but be- fore this could be accomplished, the patient passed a consider- able quantity of urine without assistance, through the urethral incision. The wound was disinfected with sublimate solution and the urethral incision sutured with catgut ; the dermal inci- sion was also loosely sutured with the same material. The fol- lowing day the stitches were removed from the external wound and some clots of blood removed. The sheath and testicles were considerably swollen. Thermofuge was applied locally and eight grains of ichthyol were given internally three times a day to relieve the inflammation. Urination occurred in a nor- mal manner except that the urine last expelled was of a bloody character. The wound was dressed daily with sublimate solu- tion and dusted with compound alum powder. The swelling of the sheath soon yielded to the treatment, but the orchitis continued. After a few days more of the same treatment, this condition also improved. The temperature hung about 103°. The highest temperature recorded was 103.8'^. Two weeks after the operation, 5 grains of sodium benzoate were administered three times dailv and the ichthyol discon- tinued. The dog was discharged May 16, and the owner ad- vised to continue the sodium benzoate and to dress the wound, which was not quite healed, with the sublimate solution. On June 10, the dog was returned with symptoms similar to those exhibited May i. The dog could pass only a few drops of urine at a time. The catheter showed an obstruction at the base of the bone of the penis as before. An operation was im- mediately performed similar to that of May i, except that the incision was made upon the right side of the sheath. The cal- <:ulus this time was not much more than a half as large as the REPORTS OF CASES. 471 previous one, and with it came a still smaller one. In both operations, there were in addition to the larger calculi a few smaller ones of about the size of a pin-head. In this operation the urine was not passed through the wound as before, and there was doubtless, less infection, because there was scarcely any swelling of the sheath, and the wound appeared to be in a healthy condition. There was some orchitis, how- ever, which gradually improved without special treatment. The procedure and treatment in the second operation were very sim- ilar to that of the first, except that ichthyol was given for a shorter period and a tablet of calcalith three times a day was substituted for the sodium benzoate. The calcalith (a combi- nation of calcium, lithium and colchicine) was given with the idea of its forming combinations with the phosphates and elim- inating them through the intestinal canal, thereby decreasing the elimination through the kidneys. Shortly after the first operation the urine was examined for phosphates, and the normal amount was found to be more than doubled. A partial analysis of the calculus was made. Phos- phates and carbonates were found to be present, probably in combination with lime as a base. For three months there was no return of the trouble, and the owner reported the dog to be in as apparently a normal condition as ever. On Sept. 13, the dog was returned by the owner. (The dog was exhibited at the State meeting, then in session). There was considerable orchitis and swelling of the sheath. On the left side of the sheath, near the scrotum, there was an opening in the skin from one to two centimetres in diameter. It ap- peared as if some urine escaped through this orifice, but an attempt to pass a catheter through it was not successful. An attempt to pass the catheter through the penis was likewise unsuccessful at first, although it was passed later. The swollen condition of the parts made an external examination for calculus very difficult. The dog was placed under morphine-ether anaesthesia and the skin orifice enlarged and the incision carried down to the urethra. A catheter was easily passed through this orifice into the bladder. A catheter was also passed the full length of the penis without obstruction, indicating that no calculus was pres- ent in the urethra and probably no stricture. The wound was dressed antiseptically but not sewed. On the day after the operation, there was no trouble in pass- ing a catheter and drawing some of the urine. A small opening 472 REPORTS OF CASES. now appeared in the skin, upon the right side of the sheath, as if there might be pus present, although none was seen. Tem- perature ioi°. The wound was dressed and injected with com- pound iodine solution (Lugol's). The swelling of the sheath soon decreased, as did that of the scrotum, although more slowly. The urine at first passed through the wound, but on the sixth day after the operation it was observed to pass normally through the penis. Within two weeks the swelling and orchitis had disappeared and the wound was healing nicely ; but at this time the dog was not feeling so lively as hitherto, and soon gave evidence of sickness by refusing his feed and developing a slight rise in temperature. The treatment consisted of tonics and antipyret- ics, without much appareut change in his condition. Although not improved in his health, he was taken home by the owner after the third week and the treatment kept up. The dog, how- ever, grew weaker, and two weeks after he was taken home he wandered away and never returned. It is much to be regretted that an autopsy could not have been held. It was brought out later, that just previous to the last attack the owner had washed the dog in a creek, and he believed that the dog had taken cold at this time. The swelling of the sheath and scrotum may have been caused by this cold bath, as the tis- sues in the above named parts were probably weakened from the previous operations, and therefore more susceptible — the effect ultimately extending through the whole system, and being more or less responsible for the fatal ending, notwithstanding the fact that the wounds were healing nicely and that the surgical part of the case was apparently successful. A SUPPOSED CASE OF RABIES.* By Dr. R. W. McDonald, Flint, Michigan. About Nov. 30th last a family vacated a house and by some means imprisoned a cocker spaniel dog in the house vacated. Ten days later, the discovery being made, and the dog being released, at once began to act strangely; he ran amuck for a number of blocks, having bitten or attempted to bite a number of dogs, among the number being a spotted coach dog belong- ing to J. B. Wilson. He was reported to the police and was destroyed. About ten days later the Wilson dog began showing a quarrelsome disposition by biting his daily companion, a * Presented to Annual Meeting of Michigan State V.M.A., Feb. 6, 1906. REPORTS OF CASES. 473 female of the same breed, also four or five other dogs in the immediate vicinity. At 6 p. m., on following Mr. Wilson, he was noticed to skulk behind, and on arriving home he refused to remain in the house, as was his custom, also refused to eat, nothing serious being thought of it at the time. About 9 p. m. Mr. W. received a telephone, about four miles distant, asking what they had done to Duke ; they said he came there about 7 P. M. This place in question is one where the Wilson family, also the dog. frequently visited. The dog remained till next morning, and was apparently nervously affected, as the eyes were bloodshot and also showed a nervous tremor. He left there, and, instead of going home, took a westerly direction, and, after having gone four miles, he forced a fight with a farm- er's dog. From there he still pressed on, and overtook a man that was gathering ashes ; followed him till nightfall. The next place he was heard from was where a prayer meeting was being held ; when the meeting was dispersed he followed an old gentleman home, and on arriving at the house he forced the farmer's dog to peacefully repose in some of the outhouses, while he occupied comfortable quarters behind the kitchen stove. Next morning he again forsook hospitality and evidently had Horace Greeley's advice in mind, for he again went West. Dur- ing the day, as far as we know, he had three fights with farmers' dogs ; in one he forced one of the eyes out of its socket and left it entirely exposed ; this dog had to be destroyed. The party owning the last dog attacked, telephoned ahead to a neighbor to watch out for a mad dog, which he did, and destroyed him. This occurred on a Friday. On Monday Mr. Wilson heard the dog had been destroyed : he drove about 14 miles to the place and exhumed the dog's head, and I in turn sent the brain to Prof. Marshall, and after 20 days' wait he informed me that the ani- mals injected did not show any bad results, indicating that the dog did not suffer from rabies I might say, that, so far as can be learned, dogs were the only animals that he attacked, and also his mode of attacks was confined to the heads of his antagonists. Now, gentlemen, from Prof. Marshall's investigation, the animal did not suffer from rabies; and, if not, what was the malady i PLUGGING A CARIOUS TOOTH WITH GUTTA-PERCHA. By G. L. Meholin, V. S.. Fairfax, S. D. March 10, a large aged bay gelding was brought to my in- 474 REPORTS OF CASES. firmary with a very foetid discharge from the left nostril, and the fourth upper molar upon examination proved to be mostly decayed — so much so that I could not get sufficient hold of it with forceps to extract it ; so I decided to trephine, which I did the next day. I found the facial sinuses literally packed full of the most foul and offensive masticated food, mostly hay in dif- ferent stages of decay, that I have ever seen, and I have had considerable experience with decayed teeth and different dis- orders of the teeth and facial sinuses. There was probably as much of this, including the pus, as a pint tin-cup would hold, and contained many hard, spongy, little balls of masticated hay, which I presume were moulded in the cavity of the tooth and forced up by the accumulation of more in the alveolar and tooth cavity, since these were mostly in the lower portion of the accu- mulation. The opening into the nasal cavity was at the very upper and inside corner of the sinuses, accounting for the fact that none of the accumulation had filtered through into the nasal cavity and been discharged, as it did not, as near as I could determine and from what the man told me who owned the animal. I irrigated this accumulation, and removed it nearly all through the opening made by the trepine, and punched out the tooth and treated for several days with mild antiseptic irriga- tions, but the alveolar cavity would not granulate to any pur- pose, while the discharge from the nostril ceased and the wound became sweet and clean and healthy otherwise. On the 29th I gave horse a heavy feed, and all the good hay he would eat, and what water he wanted, and in the afternoon I cast him and cleaned the mouth and cavity nicely and irrigated wound as usual and plugged the cavity (which was yet larger than a large sized walnut and seemingly not granulated a particle) with gutta-percha and irrigated with cold water and allowed him to rise. Did not give him any feed until the next day late, when the gutta-percha was thoroughly set and as hard as it ever would be. I saw this case some few days ago and the plugging is still intact, and he is doing very nicely. I, of course, lowered the corresponding lower molar as much as possible, and there is no grinding wear on the plugging as there was on the tooth ex- tracted, since the lower molar had grown much longer than the ones adjoining it on either side. This animal was probably 18 or 20 years old, but quite healthy, and I think his age the cause of the alveolar cavitiy not granulating. REPORTS OF CASES. 475 ACCIDENT WITH CHLOROFORM. By A. W. Whitehouse, V. S., Laramie, Wyoming. I have a good deal of trouble in my dental work, partly with the range horses which have been roughly broken but never gentled, and which have no intention of having their mouths interfered with at all, and partly with those whose mouths are infested with the beards of the foxtail grass (wild barley — hor- deum jubatum), which causes painful ulcers and fistulse, and consequently the most vigorous resistance. It has recently been my practice to put these cases under partial anaesthesia in preference to throwing and securing them. I have had a muz- zle constructed out of an ordinary feed bag. The upper part has a strap to draw it snug round the face. The leather bottom is cut out and hinged, with a couple of straps stitched at each end across its inner face to slip the rag under. A leather cup is strapped on snugly over this hinged flap. From one to two ounces of chloroform will produce in about lo minutes suffi- cient dullness to allow of about 15 minutes' quick work, even in a very vicious animal, and they generally stand up. My case was a bay work horse, 16 years old, that needed fil- ing, and had a bad foxtail fistula from below the tongue and coming out just back of the junction of the rami. I put on the muzzle and gave him an ounce and a half of chloroform. I no- ticed his jaws working, but paid little attention, supposing he was trying to push the rag away with his lips. After 8 minutes, as he was still in the excited stage, I got ready another ounce on a fresh rag. I then opened the cap of the muzzle and found that the first rag had disappeared. Reaching as far as he would let me in his mouth I could not feel it, nor could it be detected from outside. Crumpled up this rag was rather larger than a man's fist. I then had him thrown and applied a Sharp & Smith speculum in a hurry. I could now feel part of the rag in a tight wad back of the last right molar. It was wadded too tightly to take hold of with the fingers, and I had to use a forceps to withdraw it. The last part withdrawn was in a long tail, and I have no doubt it had entered the cesophagu.s. The result was a very profound anaesthesia considering the small amount of chloroform used, and a rather bad pulse for about a minute. I shall have to put a piece of wire netting across the muzzle, which will prevent a repetition of the accident. I fancy, however, that the occurrence is very un- usual. 476 EXTRACTS FROM EXCHANGES. EXTRACTS FROm EXCHANGES. GERMAN AND HUNGARIAN REVIEW. By Adoli'H Eichhorn, D. V. S., Bureau of Animal Industry, Washington D. C. The Course of Infection in Feeding Tuberculosis [y. Bartet^ from the Pathologic- Anatomical I iislitute^ Viennci\. — The author concludes in this work the final results of the experimental studies which he commenced in 1904. (i) Rab- bits and guinea-pigs received one dose of a floating culture, dropped into their empty mouths. It developed a cervical, bronchial, and mesenteric lymph gland tuberculosis, apparently without producing changes on the respective mucous mem- branes. (2) If tubercle bacilli in the form of floating cultures were mixed with the food, principally the mesenteric lymph glands showed the infection. (3) Still more marked were the mesenteric lymph glands in an exclusive participation of the affection, when pieces of tubercular organs were fed. Notwith- standing that the tissue macroscopically appeared normal, mi- croscopically tuberculosis of the epitheloid cells were proven. Oftentimes the presence of tubercle bacilli in the lymphatic tissue was only established through experimental inoculations, in some cases with direct cultivation. The different extensions of the processes, according to the methods of feeding (Nos. i, 2, 3) deserve full consideration. In one case B. proved the presence of tubercle bacilli in an experimental animal, 104 days after one feeding of tubercle bacilli ; they were found in the tonsils, cer- vical and mesenteric lymph glands. The author concludes, on the ground of these results, that tuberculosis does not have to manifest itself at the regional lymph glands near the place of infection. Therefore, according to B. (accepting that the con- ditions in animals can be applied to men), in the prevention of tuberculosis uniform attention must be paid to all modes of en- trance. An infection of distant groups of lymphatic tissues is possible from an entrance at another place ; while the regional tissues are macroscopically and microscopically normal, yet in the extensive propagation of tubercle bacilli they may be pres- ent at both places. According to B., an invasion of tubercle bacilli through the intact mucous membrane, is not only occa- sional after receiving once tubercular bacilli into the digestive tract, but is regular ; through this passage, of course, the bacilli EXTRACTS FROM EXCHANGES. 477 become attenuated, so that sometimes their presence cannot be established by any method, while later, in spite of the absence of microscopical lesions, they are proven frequently (through culture or animal experiments). In most cases the bacilli which were isolated in the second stage could not produce specific changes. Their virulency is reduced, but they are reproduc- tive and remain only for a period in the stage of latency. — (Hygienhche Rundschau.) The Course of the Natural Infection of Tuberculo- sis IN Guinea-Pigs [/. Bartel and F. Spieler]. — In considera- tion that the experiments relating to the mode of infection of tuberculosis were partly up to the present carried out under unnatural conditions, therefore the authors tried by another just as simple method as a recommendable way to attain their ob- ject. A large number of guinea-pigs were given to board with a family affected with tuberculosis. Hereby a series of the animals were kept in cages, to the others perfect freedom was granted. The animals were called for at different intervals ; they were observed for some time, then killed, and a minute bacteriological examination made, as well as cultures inoculated from the various organs; also experiments of transmission to other guinea-pigs were followed. The results of the experi- ments are very remarkable. Most of the animals kept in the cages showed swellings of the cervical lymph glands, frequently rapid emaciation, without the possibility of disclosing the pres- ence of tubercle bacilli. In two cases of this series, however, a pronounced tuberculosis of the lymph glands and organs devel- oped. Still more frequently were found the animals of the other series infected with tuberculosis. Occasionally the pres- ence of tubercle bacilli in the lymphatic tissue was proven by inoculations, though the tissues showed not the specific tuber- cular changes. Further, it is important that in a large number of those cases in which early affections of the lymph glands were demonstrable, not the bronchial glands but the cervical and mesenteric glands were affected. Based on these observa- tions the authors believe — especially considering the infection of the child organism — that the importance of the ''buccal cavity and intestinal canal," as a point of entrance for the tubercle bacilli, outweighs bv far the direct entering of the bacilli into the deeper respiratory passages, and to which authors are attach- ing too much importance. This holds not only to tuberculosis in general, but also for lung tuberculosis. — (Hygienische Rundschau.) 478 EXTRACTS FROM EXCHANGES. A Case of Sadomia and Sadism iGrundmann\. — One night a hotel keeper was awakened by a painful bellowing of one of his cows. He hastened to the stable and found one of bis animals in a serious condition, and thought it advisable to slaughter the cow immediately. The autopsy revealed the fol- lowing changes : the lips of the vulva and also the vagina swol- len, the mucous membrane highly reddened ; in the connective tissue around the rectum numerous haemorrhages ; in the wall of the rectum a rupture about 3-4 cm. long ; the mesentery, colon, the right lobe of the liver, the omentum and the diaphragm showed lacerations, also the superior part of the right lung had similar injuries ; the pleura revealed extensive haemorrhages. Similar injuries were noticeable on a nine-month old heifer, this one showing symptoms of sickness since that same morn- ing, and later had also to be slaughtered, as the condition be- came more aggravated. The examination proved that one of the stable employes had sexual intercourse with the heifer, and then standing up on a stool tried the same performance on the cow ; the cow kicked, threw the man from the stool to the ground. He then took a pitchfork and pierced its pole into the rectum of both animals as far as he could. The court sentenced him to six months in the penitentiary and to the loss of his citi- zen rights for three vears. — ( BerL Thierarzt. IVochenschr ) ENGLISH REVIEW. By Prof A. Ijautard. M. D., V. M. Sarcoma of the Sub Lumbar Lymphatics in a Horse [IV. H. Brooke, ^f. R. C. V. S.'\. — The subject of this record was a brown gelding, 14-15 years old, which three years previous had to be tracheotomized to be able to work. He did it up to this last sickness. Six months ago he appeared to be in bad condition, feeding precariously. There was nothing very marked, and yet it looked as if something was wrong in the digestive apparatus. After a time the bowels became relaxed and kept in that condition until his death, when the excreta were almost liquid and of an extremely unpleasant odor. The teeth had been fixed, his feeding and watering carefully attended to. Was it tuberculosis? Tested with tuberculin, the result was entirely negative. There were no parasites in the bowels. KXTKACTS FROM EXCHANGES. 479 The author concluded that the trouble was probably a lymphatic obstruction or tumor. His condition became so bad that the animal had to be destroyed. At the autopsy it was found that the small intestine was much shrunken and contained but a little ingesta. The large intestine was scarcely half its ordi- nary size. The bloodvessels of the intestines were dilated and contained blood of a deep venous tint. Along the margin of the large intestine there was a chain of tumor-like enlarge- ments. Above the ileum, a short distance from the caecum, a lobulated growth of encephaloid consistency, weighing four pounds, was found. Under the kidneys there was a great mass of tumors, involving the posterior part of the root of the mesen- tery, weighing a little over 40 pounds. It was irregularly spherical, and in its centre were found some lymphatic glands, with the lobes widely separated by the invasion of the tumor. Through it ran bands of fibrous nature, interspersed with soft masses of encephaloid consistency. The nature of these growths, made out by the microscope, was sarcomatous and composed of round cells. — (Journal of Camp. Path, and Ther.) On the Use of Beta-Eucaine and Adrenalin as Local Anaesthetic [£". IVallis Hoare, F. R. C. F. 6^].— Three con- ditions are essential for a local anaesthetic to fulfill : (1) it should be non-toxic in ordinary amounts; (2) it should prove effectual in rendering the part into which it is injected perfectly anaesthetized ; (3) it should not exert any injurious effect on the tissues so as to interfere with healing. For the author these conditions are met by the combination of B. eucaine and adrenalin chloride, to which are added the effects of the last mentioned agent, rendering the superficial structures practically bloodless by the contraction of the capillaries. The solution used by Mr. Hoare consists of B. eucaine hydrochloride gr. I 6th in each 16.9 minims (practically one per cent.) of water, combined with adrenalin chloride gr. i-2000th. Diluted with four volumes of normal salt solution it forms the solution to use as a local anaesthetic. Mr. Hoare has used the concentrated so- lution in canine practice for the removal of tumors, injecting 15-20 minims around the base of the growths, at different points, according to the size, waiting ten minutes before operat- ing. Half an ounce of the solution has been injected without any toxic effect whatever. Its use in horses is rather limited, although in the case of a nervous, well-bred mare the author was able to remove a large, very deefvseated tumor by the in- 4S0 EXTRACTS KkOM EXCHANGES. jection of three drams of the solution in amounts of 30 minims in different parts of the growth. No pain was manifested and no restraint resorted to. The solution keeps well, even after the bottle containing it has been opened once or twice. For the author this new compound will find its application in many cases where chloroform or any other means of anaesthesia are con- tra-i ndicated. — ( Veterinary Record.) Extrusion of Bowel — Recovery \^John Renfrew., M. R. C. V. S.\. — The question put by the author at the end of his record is : "Why did this animal not collapse? The bowels were out, filthy stable, and were all the time in the arms of an assistant whose clothes had not been sterilized for a day or two. . . . " Why, indeed ? A horse had a suppurating cord ; at intervals the discharge stopped, and an abscess was the result. When opened and drained the horse resumed work. This con- dition lasted for some time, when one day, an abscess having formed, an assistant of the author called to open it. In doing so, the horse made a plunge and the small intestine escaped through an abdominal wound, to be fortunately received and held in the assistant's arms. The position was critical and the surroundings as undesirable as could be imagined. " A dimly- lighted railway arch in the centre of the city, with not a breath of fresh air, no attempt at drainage, and a dung pit in one of the empty stalls." To throw the horse meant probable injury to the bowel ; so it was decided to return them into the abdomen with the animal standing. After cleaning the hands and instru- ments as well as possible, the bowels and clothes holding them were thoroughly disinfected with a 10 per cent, solution of car- bolized glycerine in tepid water, and slowly but successfully returned into the abdomen, an operation which, however, was considerably facilitated by the shape of the patient's abdomen. The wound in the abdominal wall was eight inches long; the edges, cleaned and disinfected, were brought together with twelve interrupted sutures of silk and eucalyptus tape, all of the structures being caught together in the sutures. The wound was sponged with spirits of turpentine, painted over with collodion, and a pad of antiseptic lint placed over it. It healed by first intention, but the discharge from the suppurat- ing cord remained. — (Veterinary Record.) Fracture and Removal of the Head of the Femur [£*. Hibbard, M. R. C. V. 5.].— A Landseer Newfoundland dog, aged seven months, was brought to the author for a very severe lameness of one hind leg, the result of an accident, the dog hav- EXTKACIS FROM kXCHANGES. 481 ing been run over by a cart. A diagnosis of fracture of the femur was made and a treatment applied, which, after six weeks, proved without result. The dog being useless, in his condition, an operation of stitching the pieces of bone with wire suture was suggested and accepted by the owner. The dog was pre- pared, put under chloroform, and the operation started by cut- ting the tissues down to the loose pieces of bone. This was found to consist of the complete head of the femur entirely loose from the body of the bone. Instead of attempting wiring the fragments of bone, the head of the femur was dissected out and removed. The wound was treated antiseptically and cica- trized without complication. The dog is now three years old ; he is slightly lame, as could be expected with a leg shorter than the other, but he is otherwise in perfect health, and seems to have no pain whatsoever. — (Veterinary Journal.) Suppuration of the Head of the Femur {W. Paner^ M. R. C. V.S.']. — A large Great Dane bitch, lo years old, in jumping in a wagon knocked herself against the seat and hurt herself so badly that she grunted with pain and became very lame. She remained walking on three legs and very seldom put or rested her paw on the ground. A diagnosis was made of tendonous lesions of the hip joint and a treatment prescribed of hot fomentations with applications of sedative lotions. This treatment was kept up, but the pain seemed to increase, espe- cially when the leg was carried in abduction. Yet no enlarge- ment of the joint was visible nor any crepitation detected. After three months of treatment, there being no improvement, the animal was destroyed. At the post-mortem the head of the femur was found almost all gone, macerated as it had been in suppuration of the bony cancellated structure of the femur, which was diseased in the two superior thirds of its length. — ( Veterinary Journal. ) Interesting Crvptorchid [E. Hatch, M. R. C. VS., and Fred. Hobday, F. R. C. V.S.\. — A cart colt, two years old, is a regular nuisance to his owner. He mounts all animals that come close to him, geldings, mares, and even cattle. He must be castrated. It is a case of hypospadia. Looking at him cas- ually from behind he has the appearance of a female. From what should be the vagina protrudes a malformed penis, which when in erection measures ten inches in length. There are two mammse, well developed, and the teats arc pierced normally. The animal is cast and chloroformed. Search is started for the testicles. One is found in the perineum, almost subcutaneously, 482 EXTRACTS FROM EXCHANGES. and about six inches below the badly formed penis. Tt is of normal size. The other, which is much smaller, is found in the abdominal cavity. Recovery progressed without trouble. — (Veterinary Journal.) Undiagnosed Foreign Body \^M.R. C. F. 5.]. — The his- tory of this cat is vague. Aged one year, he has refused food, and seems to be in pain, rolling on the floor and flinging out somewhat like a horse with spasmodic colic. When these acute symptoms have subsided, there seems to be nothing abnormal about him, and all that is seen amiss is a little swelling around the extremity of the left wing of the atlas, which is small, hard and not painful. Expectant treatment is prescribed. Next day condition apparently improved. Animal is brighter; swelling perhaps a little larger. On the third day, if the condition is a little better, the swelling is evidently larger and softer, which is more marked the following day. The swelling bursts open, leaves a little opening just below and behind the wing of the atlas. On manipulating the swelling, the presence of a foreign body, not previously suspected, is made out, and through the orifice of the abscess a thin sewing-needle, two inches long, is extracted, carrying with it a long piece of thread. Of course recovery was rapid and uneventful. — (Veterinary Record.) Diaphragmatic Hernia [/. R. //.]. — This black gelding is difficult to shoe. Taken one day to the shop, he allowed three shoes to be put on without much trouble. But when it came to the fourth he became restless and means of restraint had to be resorted to. The use of a sideline made him more violent, and finally he was put in stocks, with two broad leather bauds passed under his belly, with crossbars behind and in front of him. He was not tied, but held by a man. He was quieted and the shoe could be tacked on ; he was noticed to sway twice in the stocks, sank down, and was dead. At the post-mortem, on opening the abdomen and chest it was found that the sternal flexure of the colon was displaced forward and entered the chest through a large opening of the diaphragm. The muscular por- tion of the muscle was completely torn from the xyphoid carti- lage and partly from the ribs on either side. The edges of the torn muscle had the appearance of having been ruptured be- fore death. The heart and lungs showed all the characters of asphyxia, which was certainly the cause of death by pres- sure upon the lungs of the displaced viscera. — (Veterinary Record.) ARMY VETERINARY DEPARTMENT. 483 ARMY VETERINARY DEPARTMENT. NOTES ON THE VETERINARY SERVICE OF THE RUSSIAN ARMIES IN THE FAR EAST, 1905. By JoHX Van Rensselaer Hoff, A.M., M.D., Colonel, Assistant Surgeon- General, U. S, Army, Alilttary Observer. The Veterinary Corps of the Russian Army was organized on the lines of the Medical Corps, of which Department it was until recently a part, but in the East was an independent fac- tor of the Sanitary Department. The Russian veterinarian is educated in his profession, and so far as I could see had about the same standing in the Army as the physician, with whom he took rank in the "civil grade," the senior veterinarian having the assimilated military rank of Major General. During peace times there are, according to existing regula- tions, veteri nary />^r5^««(?/ and wrtA'rzV/ (hospitals) with mounted units as follows : Cavalry and cossack regiments, detached squadrons or sotnias, and cadres of the cavalry reserve. Artil- lery brigades and mortar regiments, horse artillery and cossack batteries, train battalions. The veterinary hospitals must receive all sick public ani- mals and the private mounts of officers, for all of which forage is authorized. The regulations are quite specific as to the in- terior economy of veterinary hospitals; they require that such shall consist of three subdivisions : First, for convalescents or slightly sick ; second, for seriously sick, and, third, for infec- tious diseases (quarantine). The duties of the veterinary sur- geon are also prescribed in detail in the veterinary regulations. In war, sick horses are treated in veterinary organizations at the front, in the train, and at the depots. The veterinary hospitals of the first two categories follow their respective or- ganizations and are designated by their names — those of the third are assigned for the care of the reserve horses, and the animals attached to corps, and are designated by numbers. The first named, being with troops, are practically always organized ; the list of such is as given above. The veterinary hospitals of the second category are for the trains of the infantry, rifle and reserve divisions, cavalry and cossack divisions, pontoon divis- ions and military transport. The hospitals of the third category are assigned one to each corps. These may be supplemented in case of necessity by additional 484 ARMY VETERINARY DEPARTMENT. veterinary hospitals assigned to separate horse reserves, or to fortresses. Veterinary hospitals for the division trains are established by the division commander, for the pontoon battalions by the corps or detachment commander, and for the transport by the chief of communications. The hospitals with horse reserves are under the supervision of the chief veterinary surgeon of the military zone ; those with the corps are under the corps' chief veterinarian. T\\c personnel oi a depot veterinary hospital and the money allowance for the same are as follov/s : Officials. Superintendent of hospital .... Ass't veterinarian Senior feldsher. . Junior feldsher. . Sergeant clerk . . Yearly allowances. Original pay* *R K R K 420 360 34 25 24 38700 33300 3 3 [60 25135 24100 Increase. R K R K 63000 54000 582 498 64 48 1 90 36!oo Table money Orig. increase. R K R K 0060000 00300100 80 553 276 0 0 0 "3 "> 0 0 c s r ■J) VIII CJ vet II IX vetlll * A ruble is worth about 51 cents U. S, C. The staff of a veterinary hospital is based on the require- ments of one hundred patients. Military veterinarians have the same rights as military phy- sicians with corresponding allowances for quarters, subsistence, and servants. Feldshers and sergeants receive clothing and subsistence in addition to the above. One soldier is allowed per three horses under treatment. The senior veterinarian of the depot is in command of it and is charged with its administration ; he is accountable for the public property pertaining to the hospital, including the public funds for subsistence of personnel and patients, and all record.s. He is responsible for the discipline of the />^rj^««^/, and is authorized to issue orders thereto, which are entered in the hospital order book. He has the rights of a regimental commander in administering his command. Veterinary hospitals in the theatre of operations receive their supplies of medicines, surgical instruments and dressings, etc., from field veterinary dispensaries and temporary supply depots. The following schedule indicates the diseases for which horses should be admitted to hospitals in war time. I might ARMY VETERINARY DEPARTMENT. 485 State here that in battle regular veterinary first aid stations were established in the different fighting organizations. Causes of admission to train veterinary hospitals : Severe wounds, sore backs or shoulders, lameness from diseased feet, etc., varicocele, severe diseases of the eye and exhaustion requir- ing rest and nourishment. The depot hospitals receive cases of like character. Destruction is ordered in the following conditions : Glan- ders, madness, complicated wounds, fractures, paralysis, wounds of joints, etc., in which the cost of cure is likely to exceed the value of the animal, complicated sprains, hoof rot. The following was the form of register used in veterinary hospitals : Name and duties of Horse. Disease. CO . V 1 s -o n s o.ti n V 1 ♦* a o w 1 •SI y,o ^ •o ll i'S t-^ 0) V to Is ^ u 5 ■*-• 'C 2 c .2 ^ 2 o v c t-H a < Q H 5 »— > 5 ! Month and day of admission and discharge of each horse is entered in column "recovered," "transferred," or "died." Animals admitted to a train hospital were accounted for on the forage requisition of the divisional train or on that of the organization where the hospital was located, but their subsist- ence was independent of the hospital as a special detachment. Professional reports were rendered to the chief veterinarian. Commanders of organizations at the front were required to evacuate all animals that could not be treated with the com- mand, to train or depot hospitals. Such animals were supplied with halters, nose-bags, brushes, currycombs and blankets, and accompanied by a certified ration return. When recovered the animals were returned to their commands with a like certified ration return. When it was impracticable to return the horse to his command he was turned into the nearest horse depot or other organization as might be directed. All veterinary hos- pitals were subjected to inspection bv field army veterinary inspectors. The foregoing somewhat desultory account will at least in- 486 ARMY VETERINARY DEPARTMENT. dicate that Russia had given considerable attention to organiza- tion for the care of the animals of her armies in the Far East, and I will now endeavor to show something of what was accom- plished by the Veterinary Department. The following is based npon an official statement made by the Chief Veterinary Inspector of the Army of the Rear, who was impressed with the fact that the problems for solution by the Veterinary Department in the Far East where mutatis mu- tandis quite as difficult as those of the other branches of the service. The long journey across Asia subjected the horses to con- stant exposure to anthrax, which is enzootic in that region. This disease manifested itself among Russian horses in the in- testinal form, caught from food or stable litter, with a mortality of from 50 to 80 per cent., and there was every reason to expect a possible epizootic and certainly a considerable loss from this infection. Preventive inoculations of antitoxin introduced by Professor Langsh, of Kasan, Russia, were used with most satis- factory results. Dr. Dorbrotvorsky reports that this invaluable remedy can be used at any time or place without interfering with the use of the animal, and it is undoubtedly due to Langsh's serum that the army horses escaped an epizootic of anthrax. Glanders is universal in Manchuria, but was so effectively controlled by sanitary measures, constant inspection, immediate isolation and destruction in declared cases that the actual loss was less than one in 1,000. Surra did not appear among the Russian animals. In this connection it is stated that the forage obtained in Manchuria, corn, oats, barley, kaoliang beans, bean- cake, shu-mi tzu {y)\\\ rice) straw and even ^^ V, A Mississippi State V, M. Au'n.. Dale of Next Meeting. Aug. 21-24, '06 July 12 13, '06. Call of President Sept. II- 12 13 June 20. Monthly. Call Exec. Com. Monthly July 9, 1906. State Fair week April, 1907. July 12, 1906. Call ol Pres t. Not Stated. Vacation . 1st Wed. ea.mo July 12,1906.. July, II, 12, '06 2d Tues. May 1st Mon. in June June 18-19 June and Dec Mch.Je.Sep, Dc Jan. A pi. Jy, Oct July, 1906. Jan. 8-9. '07. I St &3d Thur. of eachmonth. April eacbyr. Monthly. August. 1906. PUceof Meeting N. Haven, Ct Asbury Park, New Haven Buffalo. Reading. Paterson,N.J Boston. Augusta. Ottawa. Detroit. 141 W. 54th St Bloomington Sheboygan. Decatur. Winnipeg 141 W. 54th St Columbus. Pittsburgh. Rocht'r.N.Y Minneapolis. Philadelphia Denver. Omaha, Neb. Providence. San Francisco Ijos Angeles. Brookings. Topeka. Lect. R'm La- val Un'y Mon New York Mon. & Que. Pullman. Wa. Cincinnati. Agricultural Colleee. Name and Address Secreisrv. J. J. Repp Phila., Pa. W. H Lowe, Paterson. B. K. Dow. Willimantic. G. T Stone. Bingbamton. W. G. Huyett. Wemersville. H. K. Berry, Paterson, N J. E. L. Lewis, Waxahachie. F. J. Babbitt. Lynn. Mass R. E. Freeman, Dexter. A. E. James, (Jttawa. Judson Black, Richmond. W. C. Miller, N Y. ( ity. F. H. Parr. Pana. S Beattie, Madison. C. M. Walton Rantoul. F. Torrance, Winnipeg. T, B. Carroll, Wilmington. C H. Sweetapple, Toronto. D. J. Mangan N. Y. City. W H.Gribble.Wash'nC H. F. Weitzell. Allegheny. F. F. Brown, Kansas City. J. H. Taylor, Henrietta,K Y . H, C. Simpson. Deniscn. la. C. A. Mack, .Stillwater. C. J. Marshall, PhilBdelj hia A. W. Ormeston, 102 Htr- man St.,Germantown,' a M.J. Woodlifie, Denver. B. F. Kaupp, Kansas Cily T.E. Robinson. Westeriy.R 1 J A. Winsloe, Cooperstown. C H. Blemer, San Francisco. J. A. Edmons, Los.Angelef. E. L. Moore, Brookings. Mans Jenson, Weeping Water Hugh S. Maxwell, Salina. J. P. A. Houde. Montreal. F. R. Hanson, N. Y. City, f'lustave Boyer. Rigand.P.Q. n A. Piatt. Lexington Wm. D. Mason. F'ullman. E. M Bronson, Indianapolis A. T. Peters, Lincoln. Neb. E P. F'lower, Ba on Rouge. S. H Ward, St Paul. Minn Louis P. Cook, Cincinnati. J C. Robert, Agricultural Colleee PUBHSHERS* DEPARTMENT. At this season when horses cannot be spared from their work, and splints, spavins and curbs appear, Mist. Argenti Comp. is a wonderful convenience to the veterinary practitioner who is fortunate enough to have it in stock. Throw Light on It with "The Rayflex Flash Light." This in- genious little apparatus has a telescopic focusing arrangement which permits of enlarging and contracting the field of beam instantly, and at will ; making it exactly suitable for various cavities, by adjusting it to their various sizes. Messrs. Sharp and Smith, of Chicago, have placed the above instrument within reach of any practitioner for $2.00. Dr. J. C. MiLNEs IS Looking for His Brother Practitioners WITH A Gun. Look out for him at the foot of page 7 (adv. dept.) William R. Jexkixs' Already Attractive List of Veterinary Publications is rendered even more so this month. This enterprising house spares no expense in placing at the disposal of English speaking veterinarians, translations from works of able European writers, in a manner that has always distinguished their publications. Veterinarians from out of town can always pass a pleasurable and profitable hour in examining some of these works, and will always receive a hearty wel- come to the Veterinary Department. ASSISTANT WANTED. Wanted. — A Veterinary Assistant to work nights. Must be competent to treat colic cases, etc. No one need answer this who is looking for an easy snap, but to a good, honest worker a permanent position is open. Address, Hard Work, care American Veterinary Review, 509 W. iS2d .St., New York. Good paying practice — growing city, 18, 00c population — only graduate — good mining country surrounding. Owing to other business will sell. P. S. Will sell hospital and instruments and medicine also. Address, Dr. S. H., care A! Will sell hospital and instruments and medicine also. iMERic^N Vet. Review, 509 W. i52d St., New York. PRACTICE FOR SALE. In Missouri, income J2500 a year In city of over 12,000. Only graduate in county. Rare chance. Price $500 with horse, rig, and office fixtures Address, Veterinary Surgeon, 107 N. Williams St , Moberly, Mo. FOR SALE. Practice in a very fertile farming section of the South. Reason for selling, going into other business. Apply Practick, care American Veterinary Review, 509 W. I52d St., New York, N. Y. REVIEWS WANTED. Any one having April, October or December, 1903 September, 1905 or March. 1906, that they are willing to sell, will kindly communicate at once with the Business Manager of the American Veterinary Review, Robt. W. Ellis 509 West I52d St . New York. THIS SPACE TO LET. COLLEGE OF VETERINARY SCIENCE OF WEST VIRGINIA UNIVERSITY. Large Faculty of Specialists ; well equipped laboratories ; thorough courses ; practical instruction ; varied clinics daily ; fees and expenses moderate. A three years graded course, and a special course for practitioners. For Catalogue address, JAWES A. WAUQH, V. 5. Dean, 13a Washington Street, - - . - PITTSBURGH, PA. ♦♦♦♦♦♦♦♦»♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦ ^ V ASOO BIN ^ A vehicle that penetrates the epidermis with remarkable rapidity carrying its incorporated remedial agent to the underlying tissues, where it is immediately absorbed Some of the drugs that are emulsified in this vehicle, ready for the veterinarians use, are : Iodine Vasogen containing 10$ Iodine. Iodoform Vasogen '• si Iodoform. Creosote Vasogen •* aot Creosote. Pyoktanin Vasogen '• 3% Pyoktanln. (Ill Tour ounce bottles.) PYOKTANIN VASOQEN is a verv valuable preparation to the veterinary prac- titioner, fcivinfc him in a convenient and p netrating vehicle, this valuable cirui; with its antiseptic, dismrectaiil and anafcelsic properties augmented by the fact that the vehicle will carry them to the mo»t remote corners and receises of wounds Hence its advan- tage ill the trealiiieiit of foot wounds. IODINE VASOQBN-positively not irritating, is used to great advantMjte in cases of tendonitis: when well "worked " into the tendons, it frequently obviates the necessity of h1i5(priiiK, or firing and blistering Also valuable to soften and absorb in many other conditions in both horses and dogs. lODOFORn VASOQEN. used wherever Iodoform is indicated, and CREOSOTE VASOQEN for couxhs, etc. Manufactured by VASOGENFABRIK PEARSON & CO.. HAHBURG, GERMANY. ^ LEHN & FINK. Sole American Agents. 120 William Street. New York. >♦♦♦♦♦♦♦♦♦♦♦♦#»••♦♦♦»»♦♦»»»♦»♦♦♦ 1» : DiMENsioMS OF Casb— 6^ inches in length, 2% inches wide, a inches deep. VETERINARY HYPODERMIC SYRINGE. In Morocco case, velvet lined, cuniainiuK two straight needles, one-half curved needle for intra irenous injection, one trocar and canula, and twelve tubes for Hypodermic Tablets. Our Syrluges are subataiitially made, especially for the uae of Veterinary Bar- (eona, with strong gltiss barrel of three drachms capacity, protected by fenestrated metal cylinder, with rings for thumb and fingers By removal of the lower metal end, one or more tablets may be placed directly in the syringe —replacing cap and attaching needle, water can then be drawn in upon the tablets and solutioa effected by shaking the syringe. Our syringes are made with needles to attach either by slide or screw-thread. In orderiat •«pecify which is preferred. Price of Syringe and case complete $4.00 (reduced from Ss.oo.. Extra Needles, straight 1-35 Extra Needles, curved 35 Extra Trocar and Canula 3* BUNTIN DRUG GO'S VETERINARY BULB SYRINGE For administering Liquid Medicines to Horses and Cattle by the Moirth or Rectom Every Syringe has Firm Name Stamped on the Hard Rubber Pipe LtNGTH 10/X INCHCS CAFRCITT EJOUnCES incnTOKar imrj Consists of a substantial soft rubber bulb to which is attached a very strong, hard rubber pipe. In giving- mea- -~k' t " — icine or food with this Syringe there is no danger of in- juring the animal's mouth or breaking the Syringe; any quantity, from a teaspoonful to two ounces may be given at one injection. BUNTIN DRUG CO., TERRE HAUTE, INDIANA Maasfactorers of Veterinary Hypodermic Tablets and Hypodermic Syringes (Length loH inches.) Prices Bulb Syringes, 75c. each; per half doz., $4.00 ; per doz., $7.50. BUNTIN DRUG COMPANV, '600 Wabash Avenue TERRE HAUTE, INDIANA EIMER & AMEND, Agents, 305-311 Third Ave., New York. 14 American Veterinary Review. AUGUST, 1906. Correspondents will please note the change in address of Dr. Roscoe R. Bell, from Seventh Avenue and Union Street, to 710 East Second Street, Borough of Brooklyn, New York City. EDITORIAL. EUROPEAN CHRONICLES. Paris, France, June 24, iqo6. The Unveiling of the Monument to Nocard. — I have just returned from Alfort, and want the Review to have this news as quickly as possible and as early as it will be published in Europe. As I wrote our American friends some time ago, to-day was selected for the ceremony of unveiling the Nocard Monument. If the subscription has been international, and if funds have been contributed from every part of the world, the representa- tion from veterinarians has not been. Thousands were pres- ent, of course ; but they were French veterinarians. Dr. Lyd- tin, of Baden, was the official delegate from German veterinary societies ; Dr. Perroncito, from Italy ; a few from Belgium were also there — but those were all. Letters of excuse, however, were many. Our esteemed friend. Dr. William Dougherty, of Baltimore, and myself took upon ourselves to represent the United States — not officially, however. American veterinarians contributed too handsomely to the fund to have their admira- tion for Nocard stop there. The ceremony resembled all similar occasions. Handsome decorations, plenty of good music, very large attendance, and with all that comparatively fine weather, made the whole thing a perfect success. There were several speeches made. Prof. 5«7 518 EDITORIAL. Chauveau, although eighty years old, and of delicate health, delivered a masterly review of the work done by Nocard. Prof. Leclainche, of Toulouse, as one of his scholars and co-workers ; Dr. Roux, of Pasteur Institute, as one of his intimate friends, and several others, told the audience many peculiarities of the life of the subject of the ceremony. The Secretary of Agricul- ture, who represented the Government of the Republic, took advantage of the ceremony to deliver several decorations. It is unnecessary for me to review in this short notice the speeches that were made ; I may do so later on. I enclose a view of the Monument, which has been placed in the Cour d^'honneur of the Alfort School, in company with the statues of Bourgelat and Henri Bouley. * « Conclusions from the Melun Experiments. — The last reports on the experiments at Melun to test von Behring's EDITORIAL. 519 bovovaccine lias been made public, and the following scien- tific conclusions have been presented. (i.) A first mild and cured attack of tuberculosis confers to the organism a very marked, but incomplete, resistance to a new infection. (2.) Vaccination by Behring's method is harmless for ani- mals kept, during the time necessary for immunization and the six consecutive weeks, away from all accidental infection. (3.) Vaccination permits the animals to resist for several months natural contagion by cohabitation with infected animals. (4.) The method grants a resistance truly great to the most severe modes of experimental infection. (5.) The immunizing bacilli used by Behring constitute true vaccines. Indeed, they are resorbed in subjects kept in media free from contamination, without giving rise to pulmon- ary lesion, or its annexes, lymphatic glands, and without leav- ing virulent remains, as observed by the authors who have used as vaccine human bacilli insufficiently attenuated. (6.) Perfect emulsion of the vaccine is essential for the innocuity of the operation. (7.) It is indicated not to vaccinate any subject which pre- sents signs of pulmonary trouble. (8.) The immunity conferred by Behring's method against tuberculosis is not absolute ; as for all bacterian diseases, it can be overcome by the inoculation of a strong dose of virus. (9 ) The persistent presence in bronchial glands of the vac- cinated animals of virulent bacilli introduced during the con- trol tests cannot be considered as against the method ; the bacilli of Koch, even killed by various processes, arc very slow to resorb. (10.) These conclusions are limited only to the Melun ex- periments, which, after all, are only a large laboratory test, and they cannot extend to interference in an infected centre. The report of the complete experiment has been published, and I will be glad to send a copy to any of our friend^ who may ask for it. 5'10 EDITORIAL. Milk and Tuberculosis Again. — Dr. A. Calmette, the Director of the Pasteur Institute of Lille, in France, has just claimed a discovery which is causing a certain sensation. Up to the present time it is said that milk is not dangerous providing it is sterilized. Boiling it at loo degrees for five or six minutes seems to be the best precaution against possible infection with tuberculo*iis. Late experiments by Dr. Calmette and Mr. Breton upset this idea. In a communication made to the Academic des Sciences, Dr. C. declared that after years of study and re- peated experiment, he came to the conclusion that the inges- tion of tuberculous products, even when sterilized by heat, was dangerous for subjects already affected by tuberculosis, and could be injurious for animals free from that disease. The ex- periments were conducted on guinea-pigs. Six of these eat dried bacilli ; six others received injections of the same bacilli into the peritoneum. Two weeks after, they received in six meals, at intervals of five days, five milligrammes of bovine bacilli, at each time, heated at loo degrees during five minutes, and mixed with cut-up carrots. All the pigs of the first series lost flesh rapidly and died on an average in forty-one days. Those that had received injections died in thirty one days. Among the pigs used as witnesses, two died in thirty seven days, the others lost considerable flesh. Consequently, the repeated ingestion of small quantities of tuberculous bacilli, killed by heat, hastens death considerably, as would also the repeated injection of small doses of tuber- culin. With healthy animals those dead bacilli give rise some- times to serious disorders absolutely similar to those observed when non-tuberculous animals are made to eat small doses of tuberculin. Final conclusion : Milk, even sterilized, must be prohibited from use for food with man, and especially for children, if it comes from tuberculous cows. Sterilization is powerless in re- moving all danger. Milk containing dead tuberculous bacilli stimulates the development of tuberculosis in those that are af- fected with it. EDITORIAL. 521 The Entrance of Air Into Veins. — I have recently read an extract from the Archiv fi'ir Wissenschaftliche und Frak- tische Tierlieilkunde relating to this subject by Dr. Richter, of the Dresden Veterinary School, which may be considered as one of actual interest at present, when intravenous injections have entered the domain of daily practice. Many experiments have already been made, and still opinions differ very much as to the result of this accident. For instance, Kilt and Vogel fear the entrance of a few bubbles of air into a syringe of Pravaz. For Moeller a small quantity of air is without danger, although sometimes it is followed by death ; and, again, even very large quantities are harmless. Bayer doubts a fatal result, and Hare does not believe that death ever takes place. To solve the question, experiments are necessary. Cases of death by aeramia have been often recorded. The experiments of Wepfer, as it is called, is but a manner of killing animals by introduction of air into their veins, and many are the authors who have recommended it — Chabert, Rey, Peuch, Vachetta, Passet, and others. Dr. Richter has also experimented, first upon eleven horses. In the exposed jugular he introduced a rubber tube, through which he blew his own breath by two or three insufflations. The effect was positive in all the cases ; his eleven horses died, and since then he has killed in a similar way four horses, three dogs and seven rabbits. " I consider," says Dr. Richter, "as sufficiently proved that the entrance of air into veins can be followed by death." * * * In the presence of such authority, I hesitate to mention? however, only one experiment that I made many years ago. I had read records of fatal cases following the accident and wanted to see the effects. I had a horse to destroy. I opened his jugular, introduced a blow pipe, and blew into it a small quantity of air. I waited ; no result — no change. I renewed the insufflations, and kept them up for a short time. It gave rise, of course, to great general disturbance of respiration and 522 EDITORIAL. circulation, but after several hours I was obliged to kill the poor brute, which was suffering greatly. Was the first step of my experiment imperfect, and the quantity of air insufficient? Was it necessary that a larger quantity be introduced ? What quantity of air may cause death ? Dr. Richter answers. He has made experiments upon 40 horses, injecting with the syringe of Pravaz of 40 c.c. size, 10, 30, 40, 100, 200 c.c, etc., without producing alarming symp- toms, in 21 horses. In others he injected 1,000 c.c. without in- terruption. One only exhibited some disturbance of its equi- librium. The conclusion is that that quantity (1,000 c.c.) is the extreme dangerous limit. If the injection is more than one litre, the animals become sick and surely die after the insuffla- tion of eight litres. * Ik What is the cause of death after the entrance of air in a vein ? For many, the heart is dead. But Vachetta, Passet, Wolf and others have seen the heart beating after death. Panum, Ribbert, Hauer, Passet, Wolf, have observed that the heart is distended by foaming blood, and also the pulmonary artery. The interference in the circulation of that artery and its ramifications by air inixed with the blood soon gives rise to the complete arrest of the bloody and is the cause of deaths says Dr. Richter. Yet another supposition might be entertained, viz. : a gaseous embolus of the arteries of the brain : a possibil- ity which can be admitted, not only in the bloodvessels of the brain, but also in those of the spinal cord, of the heart, etc., and yet is realizable only when more than one litre of air has been injected. Dr. R. considers the lung as constituting the natural protection of the organism against air entering the veins^ which would constitute for the organism a great danger if it was not ^''filtered out'''' in the lung. * * The therapy against gaseous emboli is powerless. Vene- section seems to have succeeded in a few cases. Prophylaxy, by careful attention in the steps of a surgical operation to EDITORIAL. 523 prevent the introduction of air, is the important question. * * Changes in Animal Temperature Under Various Influences. — Numerous are the observations that have been recorded upon the changes of animal temperature under various influences. Dr. Richter, of Dresden, has made known a new series of researches, which have been published in several Euro- pean scientific organs. The conclusions resumed in Leclainche's Revue are as follows : (i.) Any movement gives rise to an elevation of temperature. (2.) The surrounding temperature being at 2i°C., aftera long walk, a rise maxima of 0.4° is an average obtained after 48 minutes. (3.) During a trot, the thermometer rises slightly during the first 15 minutes ; it increases after 25 to its maxima up to 1.55°, the surrounding temperature being 18.5°. (4.) The highest elevation, observed after a long trot, has been 2.5°. (5.) After a long exercise, either walking or trotting, the temperature reaches its highest point more or less rapidly, in general to run down afterwards. (6.) The proportion of the hyperthermies observed after walking and trotting is as i : 7.5. (7.) After a walking exercise of 60 to 90 minutes, the tem- perature rises gradually, to return to normal about 75 minutes after. (8.) After a trot of 20 to 30 minutes, the temperature runs down rapidly during the first quarter of an hour, and slower af- terwards, to return to normal on an average in two hours. (9.) The duration of the running down of the temperature is not in proportion to its rising. (10.) Sex, breed, or age, have no influence upon the rising or dropping of the temperature. (II.) There is no difference in the thermic variation be- tween healthy horses and those that suffer from surgical dis- eases. 624 EDITORIAL. (i2.) In horses affected with diseases of the respiratory ap- paratus, except heaves, the hyperthermia after a trot goes one- tenth of a degree higher than with sound horses. After two hours' rest the temperature is still higher than the normal by an average of 0.15° in 40 per cent, of the diseased animals. (13.) There is no difference in the variations between healthy horses and those which have heaves. (14.) With these last, the dropping of the temperature is very slow : in the first quarter of an hour it is only one-eighth of the rising ; after two hours, the temperature is still 0.4° above the normal, and 0.35° after two hours and a half. (15.) The quickest dropping observed in emphysematous horses has been one hour and three-quarters. (i6.'> In horses suffering with immobility, the rise after a trot is 0.45° less than in healthy animals. (17.) A sub-febrile temperature of 38.5° is reached in dummy horses after 15 minutes' rest and in about three-quar- ters of an hour in all others. * * A " Dung-Bag " for City Horses. — Years ago a man came to my office with an idea which he thought he would pat- ent, and he wanted my opinion on his invention. This con- sisted in the application of a basket to receive the droppings of a horse while at work, with the main object of having the streets of New York kept cleaner. The idea might be con- sidered as good, but the plan was simply horrid — the basket secured under the animal's tail by some means or other, I do not now remember. I merely recall this incident to show that, after all, the old proverb finds daily application: "there is nothing new under the sun." Our contemporary, the Veterinary News^ in its issue of May 5, under the title of " The Cleanliness of Our Public Thoroughfares," calls the attention of its readers to an arrangement having the same object, and is the invention of Dr. J. A. Calantarients, of Scarborough. " It consists of a suit- able receiver or dung-trap fixed to some convenient part of the EDITORIAL. 626 vehicle, as the axle of the front wheels, for example, and a shoot or collector of some flexible waterproof material attached at one end to the breech-strap and at the other end to an outlet tube extending from the top of the receiver in the direction of the animal's breech. The receiver or dung-trap contains an open-topped drawer or removable lining, which can be with- drawn and replaced by its handle at the back of the receiver. The shoot or collector has an expanded trough-like shape near the breech just large enough to catch the dung, but narrows down to the diameter of the inlet tube. . . Whether the animal is standing or running, its dung is caught by the shoot or collector and travels by gravity along the same into the re- movable drawer, which can be removed, emptied and cleaned periodically. There is a valvular arrangement at the inlet tube of the receiver to allow the dung to pass freely into the receiver, but to prevent any smell coming out." * * * Reeks' " Diseases of the Horse's Foot." — I had read in the English veterinary journals notices and reviews of a new woik, " Diseases of the Horse's Foot," by H. C. Reeks, F.R.C. V.S., and, ignorant that a copy had been sent to my co-editor for review in our monthly, I wrote Mr. Alex. Eger, the Ameii- can publisher, for a copy of the book, which he very kindly sent to me, and for which I here thank him. In the meantime, the Review for April reached my office, and there also I read the pompous article oflFered to our readers. I was naturally much interested, and regretted my demand upon the Chicago publisher, when the book came a few days later. One can imagine how I examined it. I will be frank : I was disap- pointed. Not that the book is bad — far from it ; but I have failed to discover in it the wonderful superiority I expected, and all I could say when I got through was, as the Engli.sh re- viewers had said : It is an " interesting and instructive com- pilation," presented " under the form of a very useful, practical and serviceable manual." It is well arranged, has some good illustrations, and improves the descriptions by the records of a 526 EDITORIAL. few interesting cases. There is, however, among the plates one (Fig. 43) which is puzzling to me. I cannot very well see how this method of adjusting a side-line preparatory to fixing the hind leg upon the fore can be carried out ; if it is, it must be with much more difficulty than with the methods described in other classical works. But, perhaps the plate is badly made. Yet the description agrees with it. However, it is not of very great importance, and can scarcely diminish the value of the work, for which the author deserves credit. * A New Work on the Exterior of the Horse. — Every member of the veterinary profession, and, I might add, every connoisseur of horses in America, knows of that excellent work, " The Exterior of the Horse," the translation that Prof. S. J. J. Harger, of Philadelphia, made of the French work of Goubaux and Barrier. It would seem that this magistral work would have reached, as a classical book, the boundaries of excellency to which one could pretend, and that no other work on the sub- ject could be published. It seems not. Why ? Because, although superior as it is, it is a work to which all interested in horses must refer, and, yet, on account of its size, it is not suffi- ciently didactic, and, above all, because it is limited to the study of the external forms of the horse, and ignores the other principal domestic mammalia, with which the veterinarian ought to be as familiar as with the horse. A new work has just been issued, by the house of Houzeau & Asselin : " Precis d'exterieur du Cheval et des princi- paux mammiferes domestiques" (''Compendium of the Ex- terior of the Horse and of the Principal Domestic Mammalia "), by Prof. F. X. Lisbre, of the Lyon Veterinary School, comes more as a classical work, which offers the students in veteri- nary schools the opportunity to obtain a knowledge that no other similar work presents. Let me analyze briefly. After the introduction, the first chapter is on the eye of horses, donkeys, mules, cattle, sheep, goats, camels, lamas, swine, dogs and cats. The second chap- EDITORIAL. 527 ter treats of the coats and their peculiarities in horses, other solipeds, large and small ruminants, swine, dogs and cats, with consideration of the description of an animal. The third and fourth chapters are on the centre of gravity, attitudes and move- ments and gaits. In the fifth chapter we come to the study of the various regions of the body — the trunk and the extremities, with their individual subdivisions. In this chapter, as in the first and second, the dififerences in the other animals are also considered. Proportion in horses, other solipeds, and in cattle, occupy the sixth chapter. The seventh treats of the selection of saddle and draught horses. The eighth speaks of the ex- amination at the time of sale. The Compendium is a work of nearly 450 pages, hand- somely gotten up, and is illustrated by 280 figures, some of which are very good, several are inferior, and many rather poor- They spoil the appearance of this excellent addition to veterinary literature. * * Degrees in Veterinary Medicine. — I have been favored by a concise announcement from the Washington State Col- lege at Pullman, which brought the pleasing news of the estab- lishment of a four-year course in veterinary science, which will lead to a Bachelor's Degree. Indeed, in that announcement it is stated that the curriculum of the Department of Veterinary Science will cover four years of two semesters each and that the graduates will receive the degree of Bachelor in Veterinary Science. On another page of the announcement it is stated that in the School of V^eterinary Science the curriculum will be only three years of two semesters each and that the graduates will receive the degree of Doctor in Veterinary Medicine. Here I am puzzled. In my copy of Webster's Dictionary I am told that a Baccalaureate or degree of Bachelor is \\\^ Jirst or lowest academic degree conferred by universities and colleges, and that a Doctor is one who has taken the highest degree con- ferred by a university or college, or has received a diploma of the highest degree. 528 EDITORIAL. As the ciirriciilum is about the same in the two schools in question, with perhaps covering more subjects in the former, where economic science, English, German, and pharmacy Latin are introduced, I am at a loss to explain why a Baccalau- reate ^^inferior degree) should ask four years when the Doctorate (superior degree) requires but three. Anyhow, the increase to four years is a good move, and the Washington State College deserves credit for being one of the first to inaugurate it. Communications and Pamphlets Received. — In the Agricultural Journal of the Cape of Good Hope ^ April issue, an article by Tho. Bowhill, F.R.C.V.S., covering the subject of pasteurella of adult cattle, of sheep, goats, swine, horses, and ostriches. In the " Abstracts of the Laboratory of Veterinary Physi- ology and Pharmacy of the New York State Veterinary Col- lege," sent to me by Prof. P. A. Fish, I find articles on " Ure- thral Calculus," "The Efifect of Sulphurous Acid upon Peptic and Tryptic Digestion," "Status of Therapeutics," "Effect of Sulphurous Acid upon the Urinary Constituents," all by Prof. Fish. By H. J. Milks, " Arecolin Hydrobromate ;" by A. J. Beverley, " Ergot as an Abortifacient ;" by F. McNair, " The Structure and Function of the Digestive Tract of the Chicken." I have received also a reprint on " The Rapid Diagnosis of Rabies," by Dr. Langdon Frothingham ; the report of State Veterinarian L. Van Es, to the Governor of North Dakota ; a number of pamphlets from the Bureau of Animal Industry, among which I notice : " Etiology of Hog Cholera," by Drs. Dorset, Bolton and McBryde ; " External Parasites of Hogs,'» by Dr. E. C. Stevenson; "The Gid Parasite in American Sheep," by B. H. Ransom ; " Cattle, Sheep and Hog Feeding in Europe," by W. J. Kennedy ; " Bacillus Necrophorus and Its Importance," by Dr. J. R. Mohler and G. B. Morse ; " Necrotic Stomatitis," by the same authors ; " Texas Fever with Method for Its Prevention," by Dr. J. R. Mohler, and a note on the EDITORIAL. 529 " Life History of the Twisted Wircworm of Sheep and Other Ruminants," by B. H. Ransom. A. L. GOVERNMENT INSPECTION OF MEATS. In the July number of this publication the above subject was reviewed in its various aspects, not alone the sensational methods adopted to secure a very desirable law, and the conse- quent paralysis of the export trade in American meats, but we there made a very positive prediction that when the smoke had cleared from the battlefield it would be found that conditions were not nearly so bad as they had been painted by an out-of- place literary romancer and a committee of amateurs sent to do work which should only have been entrusted to experts of national reputation. The more one contemplates this peculiar selection of a committee whose report meant so much to Ameri- can live-stock interests, the more does the action of the President seem out of harmony with his usual thorough conception of great problems. We confess to having been imposed upon by the lay press in the matter of the personnel of the committee of experts selected by representative commercial and scientific associations of Chicago, for in our narrative of its formation appears the name of a mythical Dr. Hektoen^ instead of that of our distin- guished collaborator, Dr. M. H. Reynolds, professor of veteri- nary science in the University of Minnesota. This committee made a careful study of the conditions in the large packing- houses of Chicago, working conscientiously for two weeks, and, in the words of a member of it, "made an honest report." Our prediction in the July number concerning the anticipated find- ings of this committee was : " We venture to say that there will be a vast modification of the accounts that have preceded it;" and we print the conclusions of that body in justification of our prophetic vision : " As a result of this investigation we ourselves have no hesitancy instating that the meat products of the well- known firms at the Yards are wholesome and proper for food." 630 EDITORIAL. Some criticism is made of ventilation facilities, toilet rooms and* old floors. But they fail utterly to produce any justification for the harrowing stories furnished by "The Jungle " or the Presi- dent's committee, and it thus becomes a scientific refutation of the reports which have cost the country so much in money and so dearly in reputation. In a review of this document by one of the leading stock papers of the country, the Breeder's Gazette^ it says : "The entire tenor of the report is such that it deepens the regret at the precipitate action, based on viis/ead- ing information^ which has thrown American goods into disre- pute the world over. The (committee's) report should be bul- letined abroad as widely as the report of the two untrained observers, to whose report all the damage to trade has flowed." What has been done, however, cannot now be helped, and the patriotic thing to do under the circumstances is for all to unite in a grand effort to impress the world with the fact that the United States now has the safest law for the consumer on earth. Not a pound of meat nor meat products can clear from a port of this country unless it bears the Government label, and the Secretary of Agriculture can be thoroughly relied upon to withhold its stamp of approval unless the law has been rigidly complied with "from the pasture to the package," as well as in the sanitary conditions under which it was prepared. Elsewhere we print the " Meat Inspection Bill " in full, and commend its careful perusal to all veterinarians. A vast army of inspectors are needed to carry out its provisions, and it is likely that, in securing this large number where so few of our best men are willing to accept such position at the low salary which it carries, many incompetents will be accepted, and the service may suffer some in its personnel. Having dealt so libe- rally with the whole subject in the matter of appropriation. Congress could have redeemed itself by raising the efficiency of the service through increasing the pay of the inspectors to a sum commensurate with the character of the work demanded. In another section of this number we reprint an editorial EDITORIAL. 531 from the representative stock paper referred to above calling for the establishment of a veterinary college at the Union Slock Yards at Chicago to give special training in meat inspection in connection with the great clinical advantages offered by the lo- cation. While the Review is at variance with the policy pursued in bringing about needed reforms in the inspection service, it has no quarrel with the results secured by the veterinary pro- fession. So far as the latter is concerned, such an uplift could not have been obtained for this branch of our science in a de- cade of the most rapid progress we could have hoped for. We make one more prediction : In five years from the present date, no man having knowl- edge of live-stock conditions can be found who will not acknowledge that the end justified the very harsh means em- ployed. THE ASSOCIATION OF FACULTIES. Do not forget that the Association of Veteiinary Faculties and Examining Boards will hold its first meeting since its re- organization at New Haven during the A. V. M. A. meeting. It should be fraught with vital importance to the welfare of veteri- nary education in America, which is greatly in need of some harmonizing and strengthening influence. At last year's meet- ing the President, Dr. W. Horace Hoskins, was instructed to ap- point a committee of three from each of the factors composing the organization (the colleges, the examining boards, and the A.V.M.A.) to present a plan to realize the objects of the organi- zation. We sincerely trust that the duties imposed upon its President have been fulfilled, though we have not heard of any such movement. Dr. Tait Butler, Raleigh, N. C, is Secretary, and has l>een corresponding with those likely to take active in- terest in its affairs, urging them to come prepared to contribute to the solution of the problems which the Association was or- ganized to solve. 532 EDITORIAL. ALL ROADS LEAD TO NEW HAVEN. Most veterinarians who can will turn their footsteps toward the beautiful city in Connecticut which will this year be the seat of the annual meeting of the American Veterinary Medical Association. The Review is glad to be able to present in this number a detailed program of all that has been arranged for the benefit and comfort of the members and guests, including the papers, the clinic, the exhibits and diversions, together with the arrangements for travel and accommodation. We felicitate the Association upon the prospect of a great gathering of veterinarians, and a season of much educational value and social pleasure. The Review for September will give a faithful picture of the salient points of interest, so that those who are prevented from attending may be recompensed so far as descriptive writing can do so. DR. SALMON GOES TO URUGUAY. Dr. Daniel Elmer Salmon, late Chief of the United States Bureau of Animal Industry, has accepted a position with the Uruguayan Government to organize and conduct a department upon somewhat similar lines to the one which he instituted and brought to such a high state of perfection in this country, and for which grand work he was so poorly paid and shabbily treated. Although his new government is but an infant when compared with that to which he gave the most vigorous years of his life, his salary is considerably larger, being $6,000 in gold and all of his living expenses. The entire veterinary profession of America wishes him un- bounded success in his new field, and many years of health and happiness. Civil Service examinations to fill vacancies in the meat inspection service were held all over the country on June 25, and another is called for Aug. 8. SYMPTOMATIC ANTHRAX. 633 ORIGINAL ARTICLES. SYMPTOMATIC ANTHRAX. By Charles F. Dawson, M. D., D. V. S., Veterinarian Florida State Board of Health ; Experiment Station Vet- erinarian, Jacksonville, Fla. Synonymy. — Black-leg ; black-quarter ; quarter ill ; (Ger.), rauschbrand ; (Fr.), charbon symptomatique ; emphysematous anthrax. Definition. — An acute, fatal, infectious, bacterial disease of cattle, manifested by fever, anorexia, lameness, hot, painful tu- mors on the neck, shoulder, back, thigh or elsewhere, which become emphysematous and exude black, frothy blood when excised. Geographical distribution. — It prevails as a local disease in Europe, Asia, Africa, Australia and North America. Hence, climatic conditions do not govern its distribution. In America, it prevails extensively in the cattle-raising States, and to a lesser extent in nearly every State of the Union. It is least prevalent in winter. Outbreaks are most frequent in the spring and in dry seasons. In damp, undrained, uncultivated pas- tures, the disease prevails to a greater extent than in drained, cultivated pastures. A pasture becomes infected by a first case, or by the droppings of carnivorous birds and dogs that have eaten the carcasses, and by streams and air currents. Infected pastures may remain as such for a number of years, this being especially true of uncultivated pastures having a clay subsoil. Animals susceptible. — The disease usually occurs in animals six months to two and one-half years old, but may attack those younger or older. Fat yearlings are most susceptible, while suckling calves are rarely affected. This latter peculiarity may be explained by the fact that the suckling calf is a carnivorous animal, or that it is protected for the time being by an immu- nizing principle in the milk of the dam. The vast majority of 534 CHARLES F. DAWSON. the older animals resist the disease probably because of im- munity naturally acquired by previous mild attacks. In cattle where black-leg appeared for the first time, it is probable that animals of all ages would contract the disease. While the dis- ease is primarily one of cattle, it sometimes attacks sheep and goats. Experimentally, it may be inoculated into sheep, goats and guinea-pigs, as well as cattle. Horses, asses, mules, dogs, cats, swine, poultry, rabbits and man are insusceptible ; that is to say, the microbe of the disease will not grow in the bodies of these animals under ordinary circumstances. Some immune animals can be made susceptible by the subcutaneous injection of mixed cultures of the bacillus of black-leg and Bacillus pro- digiosus^ or with Proteus vulgaris ; by the simultaneous injec- tion of an organic acid ; by insoluble substances, such as plas- ter of Paris ; by dirt and hair that may be carried under the skin by the inoculating instrument ; by mechanical injury to the tissues from blows and surgical operations. An animal in- oculated at a given point, and operated upon at another point, will likely develop the disease at or near the point operated upon. In the experience of the writer, a guinea-pig was inocu- lated with black-leg virus in the thigh. The skull was then trephined. The animal promptly died of black-leg, localized in the face and neck muscles. If sterilized, old cultures of the black-leg bacillus be injected subcutaneously or intra-abdomi- nally into rabbits, the animals will die of a rapidly-progressive emaciation, or toxaemia. The results would probably be the same where the carcasses of animals dead from black-leg were eaten by some carnivorous animals, or by man. It is well-known that black-leg is more fatal to grades and pure-breds than to common stock ; also that an animal in tine condition will take the disease more readily than one in poor condition. This is explained on the theory that in the prime animal, the microbe finds a more suitable pabulum in which to multiply. Infection may occur in punctured wounds, scratches, or through abraded portions of the alimentary tract. Spores may be absorbed and deposited by the blood in SYMPTOMATIC ANTHRAX. 535 distant parts where they find suitable conditions of growth. Etiology. — The cause of black-leg is a rod-shaped bacillus, measuring from 3 to 10 micromillimetrcs in length and about 0.5 micromillimetres in breadth. It forms spores, and when sporulating, the bacillus becomes shorter and thicker. It is known under several names : Bacillus anthracis symptomatici^ Bacilhis chauvae^ Bacillus of Rausbrand and Bacillus anthracis emphysematosi. The spore is formed in the body of the bacil- lus and it may be located either in the end or centre of the cell. In the former case, the bacillus becomes club-shaped and in the latter, it assumes a spindle shape. Spores frequently form in the animal body, a point in differential diagnosis between this microbe and that of malignant oedema^ which it greatly re- sembles. Biologically considered, the microbe of black-leg is an anaerobic, motile, spore-bearing, rod-shaped organism, hav- ing a morphology which varies with its culture medium. It ferments weak solutions of glucose with the simultaneous pro- duction of CO 2, and an explosive gas. Under anaerobic condi- tions, it grows well on all ordinary culture media, liquefying gelatine. Being a strict anaerobe, it cannot multiply in the cir- culating blood. When it is present in the blood, it has gotten there by absorption from local lesion. It is found in the blood extravasations of the local lesions when the blood in these sit- uations has become stagnated and saturated with toxin. Its spores may be found in all the more vascular organs of the body. It begins to multiply only when inoculated, either by accident or design, into the non-vascular connective tissue. Hence the organism may be injected into the circulating blood, and not cause the disease. If, however, the operator allow the microbe to enter the connective tissue of the wall of the artery or vein, or other parts the disease will promptly set in. In cul- tures, and in the discase-exudatc, the microbe may be observed varying in its morphology as follows : ist, as straight, motile bacilli of uniform thickness throughout, singly and in pairs ; 2d, as spindle-shaped, club-shaped, spore-bearing bacilli, the shape being determined according as the spore is located cen- 536 CHARLES F. DAWSON. trally, or at the pole of the cell ; 3d, as free spores which have been set free by the degeneration of the cell-wall and contained protoplasm. Black-leg may be confounded with anthrax and malignant oedema ; hence, for the sake of brevity and conciseness, the fol- lowing table stating the main biol6gical characters of the microbe of each of these diseases is given below : — Bacillus of Black-Leg. 3-10 microms X O-S microms Ends rounded. Occurs singly and in pairs. Does not form filaments. Anxrobic. Motile. Sporulates in living body. Does not multiply in blood stream Fatal principally to cattle. Ferments sugars. Produces gas Not fatal to rabbits. Tumors large and gassy. Bacillus and spores present in decomposed body. Bacillus of Anthrax. 5-IO micromsX 1 . 25 microms Ends square. Occurs in chains. Does not form filaments. ^-Erobic. Non-motile. Does not sporulate in living body. Multiplies in blood stream. Fatal to most animals. Does not ferment sugars. Does not produce gas Fatal to rabbits. Tumors small and hard Bacillus decompose with body. Spores only present. Bacillus of Malignant CEdema. 3-5 microms X I microm Free ends rounded. Ends in apposition square. Occurs in chains. Forms filaments. Anrerobic. Motile. Does not sporulate in living body. Does not multiply in blood stream. Not fatal to cattle. Ferments sugars. Produces gas. Fatal to rabbits. Tumors large and gassy Bacillus and spores present in decomposed body. E^ect of disinfectants. — As with all other spore-bearing microbes, that of black-leg is very resistant to the disinfecting effects of heat, chemicals, light and desiccation. While the vegetating microbe is very readily killed, the spore will live for years in the soil, buildings, harness, etc. It may be subjected to cold many degrees below zero and yet retain its virulence. It may be heated in dry air at 200° F. for an hour without be- ing destroyed, although its virulence will be somewhat lessened. If subjected to super-heated steam for 20 minutes, it is de- stroyed ; but will retain its vitality in boiling water for an hour. In practise, none but the more potent chemical reagents need be employed as disinfectants, namely : mercuric chloride, in y^ p.c. solution, carbolic acid, in 5 p.c. solution, the dilute mineral acids, quick-lime, chloride of zine, and strong solutions of any of the recently invented coal-tar disinfectants, fire. Symptomatology. — The disease runs a rapid course, ending SYMPTOMATIC ANTHRAX. 537 fatally in from one to three days. Its chief characteristic is the formation of a tumor which, in some cases, is preceded by fever, and in others, is followed by the same. This tumor, small at first, rapidly increases in size, pits on pressure, and finally attains a size of one to two feet in diameter. In rare cases, the whole body is affected. Pressure upon the tumor now produces a crackling sensation, because of the gas impris- oned in the tissues. The swellings may appear upon any part of the body ; but they are generally confined to the denser mus- cular portions. Hence we find them on the thighs, neck, shoulders, and in the lumbar region and sacrum. Less fre- quently they are located in the palate, tongue and pharynx. They never occur below the knees, or hocks, or on the end of the tail, or ears. The swelling is at first hot and painful, but soon becomes cold in the centre, and that part may be incised without causing the animal to flinch. The main characteris- tics, then, of the swellings are the crackling upon pressure, or a gurgling sound is emitted when the hand is passed over them. Upon percussion, a tympanitic note is produced. The centre is insensitive, dark in color, and in a condition of dry gangrene. They are cold, and when incised, a dark red, frothy, foul-smell- ing, bloody fluid flows from the wound. Frequently smaller swellings become confluent, and in this manner the whole body may become swollen. The lymphatic glands may become in- volved, and these can be felt as little tumors under the skin. In addition to, and as a result of these conditions, the fol- lowing general symptoms may be enumerated : Sudden loss of appetite, general depression, high fever, lameness, labored breathing, colicky pains, moaning, increasing weakness, decline of fever, subnormal temperature and death. In some cases, the general symptoms precede the tumor-formation. Although the disease is generally a fatal one, cases, mild in character have occurred, with recovery in old animals. This observation is especially true in the artificial infection of cattle. Frequently these fail of infection, even when inoculated with large doses of active virus. 538 CHARLES F. DAWSON. Pathological anato7ny. — Upon inspection of the carcass, it is found much bloated, with the escape of a bloody froth from the mouth, nose and anus. A limb is generally much swollen and crepitant. The skin covering the swelling is dry and gan- grenous. The connective tissue beneath it is infiltrated with blood which contains gas bubbles. At times, this tissue is in- filtrated with yellow gelatinous material. The affected muscular tissue is dark, red or yellow, emphysematous, dry in the older portions of the tumor, and moist in the more recently affected parts. The emphysematous or spongy portions are, from their distended condition, much lighter than the more solid parts. When stroked, they crepitate and exude a frothy, tarry, foul- smelling liquid. The contained gases are inflammable, and are supposed to be carburetted and sulphuretted hydrogen. The same degenerative changes take place in the internal muscles, namely, those of the tongue and throat, as occur in the skeleton muscles, when the disease is located in them. When the lymphatic glands participate in the disease process, the lymph vessels are distended with gas. There are generally little or no changes in the abdominal cavity, unless the inflammatory process has involved the peri- toneum, when a blood-red exude of considerable amount may occur. Yellow, gelatinous and hsemorrhagic infiltrations fre- quently occur in the serous membranes and in the tissues adja- cent to the kidneys. The mucous membranes of the stomach and intestines are sometimes congested and contain hsemor- rhagic areas ; in which cases, the contents of these viscera will be stained with blood. In the thoracic cavity, the parietal pleurae may be infiltrated with blood, and the pleural cavities may contain a sero- sanguinous exudate. The lungs, pericardium, myocardium and endocardium will be infiltrated with haemorrhages. The heart muscle is soft and easily torn. As the microbe cannot vegetate in the circulating blood, this is not visibly affected during life ; but after death, when all the oxygen has disappeared, the germ multiplies with great SYMPTOMATIC ANTHRAX. 639 rapidity, anaerobic conditions having been established. The decomposition of the body is peculiar. For instance, if a hind quarter is the location of the disease, that part of the body will resist putrefaction much longer than the unaffected portions, because the black-leg microbe has, in its growth, produced sub- stances which are inimical to the ordinary germs of putrefac- tion. Diagnosis. — We have first to differentiate black-leg from malignant oedema, which it not only resembles, but because both germs have several points in resemblance, to wit : both microbes are anaerobic ; both are motile ; both produce spores, and both produce crepitating, gassy tumors. Neither microbe vege- tates in the circulating blood. The history of the outbreak is an important element in arriving at a correct diagnosis. Black-leg is restricted to certain infected districts, while malignant oedema may appear in a susceptible animal anywhere, as the microbe is universally present in the soil, in the spore stage. Malignant cedema attacks man, the horse, rabbits and pigeons, but is rare in cattle. The microbe of black-leg is not pathogenic for man, horses or rabbits. Both organisms are about the same length, but the cedema bacillus is twice as broad as that causing black- leg. The cedema bacillus does not form spores in the living tissues, while the black-leg bacillus does. The former forms filaments in the local lesion, while the latter does not. Both germs are fatal to guinea-pigs, but only one, the cedema bacil- lus, is fatal to rabbits. Another disease, anthrax, may be confounded with black- leg, although there arc wide differences, both in the respective lesions, and in the two microbes, as well. Being an aerobe, the anthrax microbe is found vegetating in the circulating blood or other highly vascular organs. It grows in chains, and always presents its spore centrally, without causing bulging of the cell walls, as is the case with both the foregoing organisms. Spore production occurs after death, or when the supporting tissue has become impoverished. The bacillus of anthrax is always square on the ends, is non-motile and produces a cottony 640 CHARLES F. DAWSON. growth upon the surface of the ordinary solid culture media. It does not produce gas ; hence the swellings produced in an- thrax are not gassy. In an outbreak of anthrax, several differ- ent kinds of animals may be affected ; horses, cattle, sheep, hogs, of all ages ; while in black-leg, the disease will be con- fined to young cattle. Of the ordinary experimental animals, rabbits, guinea-pigs and mice succumb to anthrax inoculation, while rabbits do not take black-leg. Finally, anthrax may be inoculated upon a superficial wound or into the blood stream, being aerobic ; while the microbe of black-leg, being anaerobic, must be inoculated into an air-free tissue. In black-leg, the muscle tissue always contains gas, and the spleen and blood are perfectly normal. In anthrax, the muscle tissue never con- tains gas, and the spleen is much swollen. The blood, in an- thrax, is dark and tarry and coagulates, if at all, very feebly. The blood in black-leg is normal in appearance. The germ of black-leg may be confounded with some of the gas-producing invasive bacteria, but enough has been said concerning the biology of the black-leg bacillus to render their differentiation easy, in the laboratory. Prognosis. — This must always be unfavorable. While there can be little doubt that cases, now and then, recover, it is the exception that they do. Doubtless there are many instances where exposed animals take the disease in a clinically unnotic- eable form, gaining an immunity thereby. The writer has had considerable experience in attempts to produce a fatal attack by artificial inoculation, and has, in several instances, noted a severe reaction, lasting several days, which ended in final re- covery, with atrophy of the affected muscles. Hence, we must conclude that animals do, sometimes, recover from attacks nat- urally acquired, and it is possible that very many, if not all animals grazing on infected pastures have at one time or another contracted the disease in a clinically unnoticeable form. In the severe form, it is such a malignant disease, and runs such a short course, that an unfavorable prognosis is always to be given. Therapeutics. — It is evident that there is little to be done itt SYMPTOMATIC ANTHRAX. 541 the way of treatment. Those who believe in the saying that " while there's life, there's hope," would naturally turn their attention to the local lesion. The swelling may be freely in- cised, as soon as it appears, and packed with cotton soaked in strong disinfectant solutions, such as bichloride of mercury, carbolic acid, and the like, these being necessary to kill the spores which form early. The injection of strong carbolic acid into and around the tumor would be the better and safer method, as there is the added danger of infecting the pasture with the discharges when incisions are made. In a case of malignant oedema in a horse, this method was adopted by the writer, with a favorable result ; not, however, without the loss of considerable tissue. The acid was injected hypodermically, in drachm doses, three times a day, for three days. Ligation of the limb to stop circulation and absorption, and free incisions into the tumor, have with one author met with some success. The parenchymatous injection of air or oxygen into the affected tissues would also be logical treatment, if thoroughly done. Various barbarous methods are resorted to by laymen and illiterate practitioners in the way of treatment. If any of these do any good, it is brought about by the resulting depletion which robs the system of the pabulum on which germs grow. The following is from the Annual Report of the Bureau of Anfmal Industry for 1898: "I roped and dragged the animal through a pond of cold water and cut off the end of its tail, and it came out all right." *• I started him on a run and kept it up for three miles. Then he seemed easier and recovered. But ninety-nine times out of a hundred they will not run, but just lie down and die." " A 2-year-old steer took lame in the morn- ing with a large swelling on the hind leg. A man on horse- back dragged the animal for half an hour, when it began scouring, and in the course of a few days it had recovered." " I saved three out of four by nerving or bleeding them in the foot and running them. One I cured by nerving and giving 20 drops of aconite every two hours. I tried the same on a number of others without effect." 543 CHARLES F. DAWSON. Hygiene. — Evidently the most important hygienic measures arc to avoid grazing on infected pastures, and the total destruc- tion by fire of animals that have died of the disease. Such pastures may be cultivated and planted to other crops, or may be used for horses, or other insusceptible animals. As a means of preventing the spread of the disease, the most radical police regulations must be carried out. All infected animals should be at once cut out of the herd and allowed to die at a place where the body can be entirely destroyed by fire. No part of the body should be reserved, nor should the carcass be dragged across the pasture. Burning is best accomplished by digging a trench, piling wood over it and placing the animal on top of the pile. Sufficient wood must be used to evaporate the water from the body, after which the carcass will burn of itself. The contents of the stomachs and intestine will fall into the pit, which is now to be filled up with soil from a nearby place. In some localities where wood is scarce it will not be practicable to cremate the carcass. In such cases, the only course left is to bury the animal deeply at the place where it dies. Dead bodies &hould never be thrown into streams. The grave should be at least six feet deep, and to one side of the carcass so it can easily be tumbled in. Lime should be thrown in upon the carcass in a layer four inches thick. Then the top surface of the soil upon which the animal has lain should be shoveled into the grave, and the whole covered. Should stones or wood be handy, a layer of these, if large enough, would pre- vent dogs from digging down to the carcass, and thereby scat- tering the virus. Burial should not be permitted near the water supply, or a stream. On farms or ranches where black-leg pre- vails, it would be economy to fence off a lot, place all affected animals in it, and bury or burn them there when they die. Hay or grass from such a lot should not be used. Prophylaxis. — This consists in measures which have for their object the fortification of the animal against infection. It has been noted by those who have had practical experience with black-leg, that the disease seems prone to attack most SYMPTOMATIC ANTHRAX. 643 readily animals in good flesh, while sickly or poor animals are not so readily attacked. Therefore, the artificial reduction of vitality by setons or rowels, or by the administration of laxa- tive or purgative medicines, has been much in vogue by stock- men. The seton or rowel is placed in the dew-lap or shoulder, and consists of passing a piece of rope through or under the skin at these points. The ends are tied or spliced, and it is frequently pulled on to keep up an intense irritation and set up a profuse suppuration, which lowers the vitality of the animal. Sometimes the rope is soaked in irritating substances before its introduction. Garlic is sometimes inserted under the skin for the same purpose. The seton should be used, if at all, only as a temporary expedient, and be removed in a week or ten days. This method is much practised in England, although two emi- nent English veterinarians, Stockman and McFadyean, are of the opinion that the seton is not only of no value, but may ac- tually favor the production of the disease. Stockman cites the following as evidence to support his view : " At the request of a client, whose losses from black-quarter are annually very high, a friend of mine setoned fifteen yearlings. For some reason a sixteenth animal was not setoned. The sixteen animals were all pastured on the same meadows. All the setoned animals died of black-quarter, and were survived by the one that had not been setoned. In the light of such evidence, it would seem that if the temporary expedient of reducing vitality is to be re- sorted to, the better method would be the reduction of the feed, and the production of free catharsis, until the other safer pro- phylactic method, that of protective inoculation, could be carried out. Protective inoculation. — To Arloing, Corncvin and Thomas, three French scientists, belong the honor of demonstrating that animals can be protected from a fatal attack of the disease by inoculating them with small amounts of black-leg virus. They discovered, that while the subcutaneous and intramus- cular inoculation of the virus causes death, the intravenous and intratracheal inoculation causes a harmless attack, and that 544 CHARLES F. DAWSON. immunity from a future fatal attack was thereby produced. At Chaumont, in 1880, they inoculated thirteen animals by in- travenous injection of filtered, watery extract of a black-leg tumor. At the same time, they inoculated subcutaneously, twelve animals with part of the same virus. Of these twelve inoculated subcutaneously, nine died of black-leg from the in- oculation, while of those inoculated intravenously all not only survived the inoculation, but six months later showed them- selves immune to a subcutaneous inoculation of the virus. Although they proved conclusively that perfect immunity to black-leg could be established by the intravenous and intra- tracheal injection of the strong virus, the methods were not practicable, because the jugular vein and trachea had to be laid bare in each case, and great care had to be exercised in intro- ducing and withdrawing the syringe needle to prevent any of the virus entering the connective tissue either in the wall of the vein or trachea, or that surrounding them. They subsequently chose for the site of the inoculation, the subcutaneous tissue in the end of the tail, where they found only a temporary swelling was produced in most cases. In some cases, however, the swelling spread to the rump and caused death, or the tail be- came gangrenous and sloughed off. Evidently such methods could not be adopted in private practice. They and other scientists, who were attracted to the subject by their discoveries, attempted the production of attenuated or weakened cultures and virus to which the name vaccine is now applied. In every case, the object sought was the subjecting of the system to the toxin produced by the growing microbe. Roux's vaccine was made by first growing the microbe in bouillon, then sterilizing these cultures by heat, and then filter- ing off the dead microbes through a porcelaine filter. The filtrate or toxin only was used as the vaccine. In 1883 Arloing, Cornevin and Thomas, who maintain a bacteriological laboratory at Lyons, France, invented a method of preparing a black-leg vaccine which is known as the " French method," " Arloing's method," or as the " Lyons method." SYMPTOMATIC ANTHRAX. 545 The virus is obtained by grinding up fresh tissue from a black-leg tumor, adding water, and then pressing out the spore- containing juice from the pulp by means of a press or piece of linen. This juice is then poured in thin layers upon plates and dried at 35°C. The resulting scales are then ground into a fine powder, and put into bottles as stock virus. When vaccine is to be prepared, the powdered virus is mixed in a mortar with twice its weight of water. The semi-fluid mass thus formed is then spread on glass dishes, in layers about yV inch in thickness. The dishes are then placed in a thermo- stat at a temperature of ioo°C., and are allowed to remain there for seven hours. The contents of the plates, now converted into a dry brown scale, is removed and ground into a fine powder. This powder constitutes what is known as No. i vaccine, or ist lymph. Second vaccine, or 2d lymph, is pre- pared in the same way, except that it is subjected to a much lower temperature, 90° to 93°C. for the same length of time. These two preparations are spoken of as " double vaccine." In apply- ing them, doses of i centigramme for each animal are dissolved in as many cubic centimeters of sterile water, and filtered through a piece of clean, wetted linen, or cotton. Each animal receives subcutaneously at a convenient point, such as the shoulder, one cubic centimeter of the filtrate. Ten days later No. 2 vaccine is prepared, and injected similarly. These pro- cedures cause a very mild and unnoticeable attack of black-leg, which confers a future immunity for eighteen months. Hence, yearlings or older animals will have passed the susceptible age. by the time the artificially-produced immunity disappears, and animals under one year old should be revaccinated the following year, because they would still be of a susceptible age when the protective influence of the vaccine had waned. Thousands of animals were protected by this method in France, Switzerland and Germany. Hess reports the vaccina- tion of nearly 150,000 head during the ten years from 1885 to 1894, in Berne, with a loss of 5 head per thousand. Sperk, in 1885, vaccinated 925 animals. These were sent to graze on 546 CHARLES F. DAWSON. badly infected pastures in the Tyrolean Alps. None of them died. During 1886, 2,140 cattle were vaccinated in Salzburg, with a loss of only 4 head, while out of 9,160 non-vaccinated animals in the same place, 86 head died with black-leg. In Baden, where the government compels vaccination, and pays for all that die from it, there were, in 1886 to 1894, only three death claims out of 3,567 animals vaccinated. Although such brilliant results were obtained from the ap- plication of Arloing's double vaccine, the method was not alto- gether satisfactory to the veterinarian or his client, as it entailed a double handling of the cattle and became quite expensive. It remained for Professor Kitt of the Veterinary College in Munich, Bavaria, to invent a method which removed the ob- jectionable features of the double vaccination. He discovered, while employing the double vaccine of Arloing, that Arlo- ing's second vaccine could by safely used, in many instances, without a previous vaccination with the first vaccine. Kitt now prepared a " single " vaccine, as it is called, and even used virus which had been heated for only six hours at a tempera- ture of from 85°-90° C. He obtained favorable results with this vaccine, and it immediately became very popular with the profession, as it removed the objections attendant upon the use of a double vaccine. From 1890 to 1892, in Salzburg, only 5 head out of 4,112 vaccinated, died. In Bavaria, there were no deaths among 167 protected cattle. Equally favorable results were obtained in other places, except in Lower Austria, where a rather high percentage of deaths occurred from the vaccin- ation. This misfortune was somewhat of a blow to the adherents of the single vaccine, and the Arloing method, double vaccina- tion, was again adopted. Kitt, recognizing the great inequality of the vaccine, made from the flesh of animals affected with black-leg, and because of the great amount of detail necessary in preparing the vaccine, turned his attention to the prepara- tion of a vaccine consisting of attenuated (weakened) cultures of the microbe. This method has never become popular, and SYMPTOMATIC ANTHRAX. 547 is essentially a laboratory method, being wholly unsuited for field work on a large scale. Kitt's, and others successes in the use of a single vaccine, notwithstanding some misfortunes in its use, paved the way for future experimenters in this line. In 1896, the United States Bureau of Animal Industry took up the work of preparing a safe "single" vaccine, according to the Kitt method. The results of preliminary experiments in the field with the single vaccine prepared by the Bureau were so satisfactory that immediate steps were taken to produce the vaccine on a large scale with the view of ultimately stamping out this cattle scourge in the United States. The method of Kitt was the basis upon which the Bureau " single " vaccine was prepared. Slight modifications were necessary on account of the tremendous demand for the vac- cine, these demands amounting to about 700,000 doses a year. The Annual Report of the Bureau of Animal Industry for 1898 gives the following table of statistics, compiled from re- ports from stockmen in the states where black-leg prevails as a cattle scourge, and who used the Bureau " single " vaccine. Table Showing the Number op Cattle Vaccinated, and the Per- centage OP Loss Bepore and Apter Vaccination. State or Number of Reports 164 71 140 53 37 20 22 15 522 Number of Cattle Vacci- nated. Average Annual Loss from Black-leg. Per Cent. Died Before Vaccination. Died After Vaccination. Territory. Number. Per Cent. Number Per Cent Texas Nebraska . . Kansas Colorado Oklahoma . . . Indian Territory. North Dakota . . South Dakota . . 50,609 20.893 19.508 12,609 7.915 7.418 6,118 2.299 13 17.2 II 12.8 17-5 17-5 12.75 12.75 1,462 796 919 230 471 504 133 74 4.589 2.95 380 4.76 1.83 596 7.81 2.18 332 227 52 "5 138 37 95 25 II 0.45 0.25 0.56 1.09 0.47 1.28 0.41 0.48 Total .... 127.369 U 3.63 700 0.54 Preparation of the vaccine. — The virus from which the vac- cine is made is obtained either from an animal which has died from natural infection, or from one which has died from an arti- 548 CHARLES F. DAWSON. ficial inoculation. The dark, spongy portions of the meat from the affected parts are freed of all fat and fascia, and are cut into strips of about one-half inch thickness. These are then threaded upon strings in a dry, cool, airy, fly-tight room for ten days, to dry. When thoroughly dry, these strips are reduced to a powder, by grinding. This powder is then passed through a 20-mesh sieve to free it of connective tissue and coarse parti- cles. To each gramme of the meat-powder, or virus, are added two cubic centimetres of water. Mix in an inverted, round- bottom bell-glass with the hand, or a spoon. Spread the dough thus formed in a layer one-quarter inch thick upon a ground glass plate or marble slab, and cut cakes therefrom by means of tin pans, three inches in diameter, and one-sixteenth inch deep, in the same manner as cakes are cut from dough, with the exception that the pans are slid sidewise on the slab and not lifted from it. This method insures an even distribution of the dough in the plates which is not attainable in any other way. The pans are then placed on wire-bottom trays in a ther- mostat kept at about 93 °C. for six hours. The thermostat should be so ventilated that the added water is all eva- porated in about three hours. At this time the cakes should begin to curl up, and at the end of the sixth hour, they should be thoroughly dry. To prevent the cakes from adhering to the bottoms of the pans, they should be smeared with vaseline by means of a sponge. The cakes should not be removed too suddenly from the oven, as they are somewhat prone to re- absorb moisture ; but they are to be left in the open oven to cool off gradually. When cool, the cakes are put into jars or boxes in a moisture-free atmosphere. They are subsequently passed through a coffee-mill seven or eight times, to reduce them to a very fine powder. The mill for grinding the vaccine should never be used for grinding the original virus, and considerable care must be taken throughout the process to keep the vaccine and virus separated. In fact, the vaccine should be prepared in a separate room provided with its own apparatus. Persons SYMPTOMATIC ANTHRAX. 549 handling the virus should not take part in the handling of the vaccine, as unattenuated spores are liable to get into the vac- cine, and cause a fatal infection in the animal upon which it is used. For sieving the vaccine, an 80-mesh sieve is used. The top layer of the cakes is difficult to pulverize and is almost insol- uble, so it is better to discard that part which is not sufficiently fine after seven or eight passages through the mill. The vac- cine should be tested for strength and immunizing properties. Testing the vaccine, — The vaccine is prepared for testing by dissolving one hundred milligrammes, or ten calf doses, in ten cubic centimetres of sterile water, by grinding in a mortar, and filtering off the insoluble portions through a thin, wetted layer of cotton or linen. The filtrate, which should measure ten cubic centimetres, is the vaccine, and it should be of a light brown color. Each cubic centimetre, is then a calf dose. Two or three guinea-pigs receive intramuscularly three- fourths of the calf dose, or three-fourths of a cubic centimetre of the filtrate. The same number receive one-half the calf dose or one-half a cubic centimetre, and three others receive one- fourth the calf dose. Their temperatures are recorded daily. Ten days after their temperatures have become normal, the animals should be tested for immunity, and the inoculation of a minimum fatal dose of the unattenuated virus. As every lot of virus differs in virulence from every other, the fatal dose must be pre-determined. This is done by inoculating several guinea- pigs with varying quantities of strong virus, beginning with one-tenth milligramme, and increasing the dose for each suc- ceeding animal by one-tenth milligramme. The minimum fatal dose for an unprotected pig is the size dose for testing the im- munity of the vaccinated ones. The test is not always satisfactory when carried out on guinea-pigs. Experience has shown that a vaccine which causes a noticeable temperature reaction in guinea-pigs which receive the three-quarter, and one-half calf dose, is safe. Should a vigorous guinea-pig die from the small dose, the indications 550 CHARLES F. DAWSON. are the vaccine is insufficiently attenuated, and it might pro- duce black-leg instead of preventing it. Such vaccine should be discarded, or it may be moistened with an equal weight of water, heated at 90° C for two hours, and be re-tested. A typical test would be observed in a lot of guinea-pigs which showed a rise of two or three degrees in temperature, as a result of the vaccination, and no reaction as a result of a sub- sequent inoculation with the minimum fatal dose of unattenu- ated virus. As a matter of fact, this is not always obtained, the pigs often showing discordant results. Sometimes, those which receive the smallest dose of vaccine show the greatest reaction. Where possible, it is better, safer, and more to the point to carry out the test upon range cattle. A " double " vaccine may be made upon the foregoing plan by attenuating one preparation at 97°C. for six hours, and an- other preparation at 90° C. for six hours. These are to be tested similarly to "single" vaccine, making the injections at ten-day intervals. There can be little doubt that the double vaccina- tion is the safer, and it is recommended in pure-bred or high- grade animals. In any event, the veterinarian should explain the relative value of the two methods to his client, and should, everything else being equal, advise " double " or even a third vaccination in the case of valuable animals. The vaccine is prepared for use in vaccinating calves in the same manner as directed for testing on guinea-pigs. The injections are made into the subcutaneous tissue of the shoulder. For attenuating the virus, or making the vaccine, I have used with success, a specially-made, hot-air oven, instead of the expensive oil oven. The temperature in such an oven is very easily regulated, and it can be put to other uses, when desired. It consists of a galvanized-iron cylinder with a ventilating pipe entering the cone-shaped bottom. This cylinder is surrounded by another two inches greater in diameter, and they are fastened together by iron straps. The outer cylinder extends to the floor and supports the inner cylinder. Outside of all, is an inch jack- et enclosing completely a dead air space. The whole is cov- SYMPTOMATIC ANTHRAX. 551 ered with asbestos. The cover fits loosely over the top of the cylinders, is double, and when down in its place, its bottom rests upon a felt-lined flange of the inner cylinder, making a tight joint. The space between the top and bottom of the cover then becomes continuous with that between the inner and outer cylinders. Six tubulations pass through the cover, and connect with the interior of the oven. These serve for regulator, ther- mometer, and for gauging the rapidity of moisture evaporation. A small opening in the top of the cover allows ventilation for the Bunsen burner below, from which the heat is derived. Other kinds of black-leg vaccine. — The enormous demand for this vaccine, and the more or less difficulty and expense in ap- plying it has stimulated those interested in the commercial as- pect to gain trade by marketing their vaccine in simpler form. Some stockmen who, for reasons best known to themselves, have applied the vaccine, by simply cutting through the skin, and pouring the dry vaccine powder into the incision, the re- sults being dire, in many cases. One commercial concern markets the vaccine in cords which have been soaked in liquid vaccine, and then dried. They sup- ply a needle, and with this a certain length of cord is passed under the skin in seton fashion. Another firm markets the vaccine in pill form. This pill is quite small, being made in a very condensed form by ridding the vaccine of much of its insoluble substances. It is inserted under the skin by means of a spring trochar. The pill dis- solves quite readily, and if made of good vaccine, it would seem there could be no objection to its use. This firm, which also supplies the vaccine in powder form, reports satisfactory pro- gress with the pill. At the suggestion of the writer, Mr. Roy Davis, Professor of Physics in the University of Florida, has invented a very in- genious automatic magazine, spring trochar for inserting these pills under the skin. The instrument is perfect in its mechan- ism, and can be constructed to carry fifty pills or more. It is of convenient size for carrying in the pocket, and with each pull 562 CHARLES F. DAWSON. on the piston a pill is placed in the point of the hollow needle by pneumatic pressure, and is ejected therefrom, under the skin, by pressure upon the piston. The writer has shown that an aseptic fluid vaccine may be prepared by the practitioner at his oflSce, where conditions arc generally more favorable for such work than in the home of his client, or in the field. Its main advantages lie in the fact that it is ready for immediate use, and renders the carrying of the cumbersome filtration outfit unnecessary. It is made as follows : The vaccine powder, say one hundred doses are placed in the mortar and rubbed up with twenty cubic centi- metres of clean water. To this paste thus formed are added eighty cubic centimetres of glycerine. After thorough mixing with the pestle, the solution is strained through a cloth of sufficient coarseness to allow a coffee-colored liquid to pass through. The filtrate is the vaccine, and it may be carried in a bottle in the pocket along with the syringe. Should any re main unused, it could be kept for the next engagement. Dr. J. B. Tiffany, of Columbia, Mo., has accepted a tempo- rary appointment in the B. A. I. and is stationed at So. St. Joseph. Dr. W. F. lyAVERY, of the Kansas City meat inspection force, has recently been transferred to Chicago, where it is said he will have charge of the night inspection force. " Progress of the Veterinarian in the Philippine Islands" (illustrated), by David G. Moberly, D. V. S., Chief Veterinarian, and Robert H. McMullen, D. V. S., Veterinarian, Bureau of Agriculture, Manila, P. I., will appear in the September Review. Few veterinarians residing in New York and adjacent States should fail to attend the New Haven meeting Aug. 21-24 ; but if for any reason they are unable to be present, they should take advantage of the State meeting at Buffalo Sept. 11, 12 and 13. Secretary Stone presents a program elsewhere that is sufficient to make a veterinarian's mouth water. The clinics of the New Yorkers are always of a high educational value, and the Buffalo- nians are determined to keep abreast of the standard set by Brooklyn and Ithaca. CLINICAL EXAMINATION OF THE BLOOD. 563 CLINICAL EXAMINATION OF THE BLOOD OF NOR- MAL CATTLE. By William Wallace Dimock and Mulford Conklin Thompson. Thesis Presented to the Faculty of the New York State Veterinary College, Cornell University, for the Degree of Doctor of Veterinary Medicine, 1905 The amount of work done and the literature on this subject are very limited, done chiefly by Smith and Kilbourne in their investigations on the nature and etiology of Texas fever in cat- tle. They have given the number and size of the red cells. They have counted some leucocytes, but on account of the small number which they counted do not consider the results accurate. Bethe and Malassez have also counted and measured the red corpuscles. Stoltzing has also counted the red cells. Gulliver and others have measured the red cells. Hirschfeldt has worked with the leucocytes from a morphological stand- point and has described four varieties. Hayem has counted both the red and white cells and estimated the haemoglobin of Bos Indicus^ a closely allied species. The object of our study has been to obtain data regarding the conditions found in the normal blood of the cow and at the same time to examine and note any changes found in pathologi- cal cases that presented themselves, thus giving some idea of what we may expect to find under normal conditions, and alsa bringing out as far as possible the clinical importance of blood examinations in the bovine species. In our work we have determined as accurately as possible the number of red and white corpuscles per cubic m.m., mak- ing a differential count of the latter and giving the percentages and numbers of each variety. The haemoglobin has also been estimated in each case. We have made a careful study of methods of obtaining blood for examinations, as an easy and rapid method is essential to success and accuracy. After sev- eral trials we selected a point on the tail one to one and one- half feet from the body as being most satisfactory, and an area on the lateral side to avoid puncturing the artery on the lower 564 W. W. DIMOCK AND M. C. THOMPSON. ^sidc of the tail. The hair was clipped from the area selected, washed with water, disinfected with 5 per cent, carbolic acid, Tewashed and dried with alcohol. The puncture was made with a spring fleam. The blood was immediately drawn into pipettes and films spread on slides. The red and white cells were counted from the same preparation. The blood was di- luted i-ioo with Toisson's diluting fluid. The apparatus used for counting was Thoma's hematocytometre with the Zappert- Ewing ruling. In counting the red cells one hundred squares were counted by each of us on different slides, thus each check- ing the others work, and if the results did not agree, the count was discarded and a satisfactory re-count made. In counting the leucocytes the entire number on the ruled space was counted. In staining for differential counting Jenner's stain was used entirely. The haemoglobin was determined by use of Gower's and Oliver's hemaglobinometres. In some cases the results were checked, one by the other, and found to agree closely. The blood examined was taken from the Cornell University dairy herd, each animal being at time of count, so far as we were able to determine, in a normal condition. Those exam- ined were from two to nine years of age. The few abnormal cases examined are from those which have been brought to the college clinic. The red corpuscles in the circulating blood of mammals are cup-shaped, as has been demonstrated by Weidenrich, and con- firmed by Lewis. We have found this to be the case in the blood of the cow. The cup-shaped form may be seen in the counting chamber in fresh blood diluted with Toisson's fluid ; but after standing a short time they assume a bi-concave form. The size of the red corpuscles as determined by Smith and Kilbourne is five to six microns ; by Bethe 4.6 to 7.2 microns; by Malassez, 6 microns ; by Sussdorf, 5.6 microns ; and by Gulliver, 5.95 microns. There are five varieties of leucocytes, lymphocytes, large CLINICAL EXAMINATION OF THE BLOOD. 555 mononuclears, polynuclears, eosinophiles, and mast cells. The lymphocytes are two to three times as large as the red cells, and have a reticulated structure. The nucleus is very large and circular, occupying nearly the entire cell. The cell body api>ears as a narrow rim surrounding the nucleus. The nucleus does not stain nearly so deeply as does the cell body. The mononuclears vary greatly in size : from two to six times as large as the red cells. Like the lymphocytes they have a reticular structure. The nucleus is horse-shoe shaped, but often irregular, and occupies much less of the cell than does that of the lymphocyte, frequently not over one-half. When compared with the lymphocyte the cell body does not stain so deeply. The polynuclears are larger than the lymphocytes but not so large as the large mononuclears. The nucleus is iu two or more parts, these being connected by thread-like bands, though sometimes they appear as a large bent nucleus. The nucleus appears to have a reticulated structure and stains a dark blue. In the cell body are very fine granules which stain a pinkish hue, giving the appearance of this color to the entire cell body. The eosinophiles are of about the same size as the polynu- clears. The nucleus occupies from one-third to one half of the cell body and stains a faint bluish color, and appears to be bi- or tri-lobed ; the lobes being connected by stout bands. The cell body contains many large acidophile granules. These have a circular outline and stain a bright red color. The mast cells are about the same size as the eosins. The nucleus is sometimes bi-lobed ; the lobes being connected by a strong band, but more often it appears as a large single bent nucleus. It is frequently hidden by the many large basophile granules contained in the cell body. These granules take a deep blue color, and are about the same size as those of the eosins ; they are circular or oval in outline. The results of our examination of twenty-one normal, and four pathological cases are given in the following table and summary. 556 W W, DIMOCK A\D M C. THOMPSON. d r 5 *5 ^ <:, > > ^ ^ ^ ^ N ^ ^^ >3 '^ >^ ^ H «><4 ^ K ^ '^ »? 1- «^ o v3" VO <>■ '^^ 0 % t ^ ^ ^ »-toothm ania " is not so very " deeply rooted," and it is not the " Most disgraceful feature of veterinary prac- tice to-day," as Williams would have us believe, even though we do admit that much of the dentistry performed on horses is useless or, if you will, harmful. That the " Wholesale rasping and cutting away of horses' teeth " is senseless, useless and harmful, is not denied, but that the operation is practiced by the representative members of the profession in America, to the extent implied by this expression, we desire to flatly contradict) The veterinarians of the West, Middlcwest and Northwest (the only ones with whom we have an intimate acquaintance, are not wholesale tooth -raspers. They are sensible, fairly well educated, professional men who learned as freshmen students that the sharp teeth found on all molars of all horses arc a part 578 SURGICAL ITEMS. of the normal grinding apparatus and not universally harmful. Later in their college course they have learned that under cer- tain circumstances " sharp teeth " require surgical interference, and this much no sane man will deny and all conservative veterinarians will concede. The fact is, tooth-filing is often so strikingly effectual in correcting or preventing certain conditions that horsemen are easily led to believe that the operation is a universal necessity. The veterinarian who stands stubbornly to the position that the operation is always unnecessary drives the horseman to the blacksmith, the coachman, etc., to have the rasping done, as Ostertag admits is the case in Germany. Pshaw, the way we are becoming prey to the " foreign-made " theory is as sicken- ing as it is an exemplification of our weakness. The way we swallow, digest, quote, and defend any old expression from over the water must make us appear as weak imitators in the eyes of our foreign colleagues. The American has taken time by the forelock and has demonstrated, not only the method, but also the good results of horse dentistry, and our foreign colleag- ues, slow to accept and always ready to snub or condemn American ideas, have never accepted tooth-filing as an opera- tion worth teaching to the student. Under certain circumstances tooth-filing is little less than an absolute necessity. For example, in "schooling" a young coach horse filing the first molars is a real help, a real necessity, otherwise the mouth becomes sore and prevents further training until healed. The second attempt wounds the mouth again and so on until the tough resulting scars afford adequate protec- tion. The same might be said of the roadster^ the hunter and Xht park hack. Men experienced in managing this class of horses know too well the value of tooth-filing to be deceived by any statement to the contrary. Imagine, if you can, the unten- able position of a veterinarian who would attempt to prove the harmlessness of enamel points that repeatedly wound the seat of the bit, and imagine the success of a practitioner who would insist upon healing up these sores without removing their cause as a protection against future injury. True enough, as Wil- liams suggests, these wounds will heal and leave harmless scars, but what is the behavior of the youngster while the mouth is being wounded over and over, and while nature is vainly attempting to lay down a tough sclerotic surface on the cheek to protect it against further injury, and what has been the result of the training? What might have developed into a fine SURGICAL ITEMS. 579 gaited saddle horse or a good " mouthed " coach horse has in- stead become a crazy-headed idiot. For this class of horses dentistry needs no defensive arguments among the experienced, and the novice soon learns its value. The veterinarian, prac- ticing dentistry among running horses, whom Williams inter- viewed and from whom he wrung a confession of being a confidence man, is precisely like all men of his class. The same man would have been content with a bottle of colic medi- cine without knowing its contents or the method by which it brought results. If he had studied his art, if he had been prop- erly taught, he would have been saved the humiliation of con- doning his course upon any basis other than that his operations made it possible for the trainer to get the best possible speed out of his charges. In the race where competition is keen, the slightest abrasion in the mouth of a horse is a matter of no small moment. The thoroughbred horse is generally so sensi- tive, so fussy, so obstinate that his successful training is impos- sible until every sharp point capable of irritating or wounding the seat of the bit is removed. The self-confessed confidence man whom Williams calls a veterinarian was as ignorant of the good he did as he was of the harm he was capable of doing by filing the teeth too much and too often. The existence of this class of veterinarian shows plainly the need of better and more instruction in horse dentistry, instead of a campaign of educa- tion against the art. There is absolutely no danger from a man frank enough to make such a confession, were he properly educated. The tooth-filing operation recommended above is, of course, a limited one. It consists of filing the buccal borders of the first and possibly the second superior molars and the anterior table angle of the first inferior molars. Its object is simply that of preventing the abrasions or simple irritations of the buccal mucosa which are so manifestly harmful to the class of horses above enumerated. It is generally unnecessary in the Jarm ^rj^, the draft horse ^ delivery wagon horse^ the family horse or any class of horses not closely bitted and rigged. Only occasion- ally a firy horse of these classes will pull heavily enough to wound the cheek upon the jagged enamel points, and thus make the operation necessary. Filing the enamel point on the back molars is another sub- ject. Williams claims that the wounds upon the cheeks of horses are trivial affairs that will heal without dental interfer- cnce. He compares them to the accidental biting of the check 580 SURGICAL ITEMS. of the human being. In this his error is palpable. Accidental wounding of the cheek of horses by biting up the folded mu- cous membrane between the molars never occurs. The accident would be quite a physical impossibility. The wounds of the horse's mouth other than those caused by the bit generally oc- cur at the level of the fifth molar, and are caused in a gradual manner by the action of the masseter muscle upon the enamel points, which are always specially prominent at this point. These wounds, sometimes trivial, are not infrequently the causes of considerable discomfort. In size and gravity they vary from mere erosions of small dimensions to large excavations the size of a silver dollar. Often the mucous membrane is so completely de- stroyed that considerable time elapses before its epithelium will regenerate sufficiently to re-cloth the breach. The scientific treatment of such a condition is plain. Either the cause must be removed or else the subject must be allowed only a soup diet for a few weeks to allow the wound to heal. If we grant that tooth-filing is essential in the treatment of the buccal abrasions caused by the bit, and the more aggravated ones caused by mastication, can wholesale, universal tooth-rasp- ing be defended in the guise of preventive treatment? Here- in lies the solution of the controversy. By drawing a line be- tween the sharp teeth that do or will at some near future time cause abrasions and those that never wound the mouth the indication and the contraindication for the tooth-filing operation is determined. It is by drawing this line that the ethical dental operation is separated from the non-ethical. In making the decision the veterinarian, knowing that the entire removal of the enamel points diminishes the grinding capacity of the teeth, will select only the aggravated case and will sacri- fice only the sharp points of the protruding enamel, and that only at points where they are capable of creating wounds. These, we believe, are the tenets of the thinking veterinarians of the day, which if true should pacify the disturbed minds of the few who foresee naught but calamity for the American veteri- narian unless a great campaign of education is immediately in- augurated to stay the impending havoc of the horse dentist. It is not denied that a great many conditions existing in horses are erroneously attributed to the teeth by the layman, and the veterinarian failing to detect the real cause, files the teeth in lieu of a rational treatment or as expectant treatment pend- ing the development of phenomena that reveal the actual causative factor. Sometimes in some communities horses are SURGICAL ITEMS. 581 submitted to the veterinarian with the unqualified instruction to file the teeth without previous consultation as to its advisabil- ity, leaving the honest practitioner to choose between perform- ing the operation or else preparing to deliver a lecture on the physiology of mastication. That is, either the teeth must be filed or the client told flatly that it is unnecessary and harmful. Leaving aside the tendency to decide in favor of performing the operation on account of the monetary gain, it is the plain duty of the veterinarian to abide by the client's wishes. It is not ex- pected of a practitioner to attempt single handed to correct im- pressions held for generations. The remedy must come from the profession as a whole. " We must begin a campaign of education among ourselves," as Williams puts it, is hitting the nail on the head. The veterinarian is either a diplomat or a pauper. He must yield to the popular prejudices of his com- munity to a certain extent and for a time at least. Since time immemorial the successful therapist has yielded to the " popular prejudice." The physician, the surgeon, the dentist and the veterinarian have yielded to it and probably always will. The accepted treatment of to-day is the '* popular prejudice " of to morrow. What we do to-day in the name of science will be the " popular prejudice " of the next generation. The scientist leads the layman. To succeed in practice the "popular preju- dice " must be respected a great deal more then the pharmaco- poeia. Men who ignore it seldom live to see the good that re- sults from their theories. A second or third generation may admire their epitaphs, but living they were laughed off the stage. The veterinarian of today in certain communities who would trouble to lecture the owner of a horse on the harmless- ness of wolf teeth, when his antecedents, himself and his chil- dren are all positively convinced of their harmfulness, runs some risk of being called an idiot besides losing a patient and a client. These actions on the part of professional men, might better be winked or whispered instead of written, in spite of the fact that they play no small part in a practitioner's success. Of course such recommendations have their bearable limitations. There must be a distinction made between them and faking, pure and simple. In this connection, it can be truthfully men- tioned that horse dentistry offers no greater opportunity for fak- ing, for dishonest methods, for unnecessary therapeutics, than any other part of the healing art. The unscrupulous will per- form any kind of unnecessary operations, knowing them to be such, while the honorable practitioner limits his unnecessary 582 SURGICAL ITEMS. therapeutics to harmless treatment. Is there living to-day a practitioner of wide experience who has never administered treatment, for strategical reason, that could be of no possible service to the patient ? We dope, we cut, we advise in the man- ner to best serve our patients, our clients and ourselves, disre- garding scientific principles, as seldom and as little as possible, but as surely as the welfare of all concerned demands. To claim that successful practitioners, either human or veterinary, do less, is a gross misconception of the facts, and to attempt to change this attribute of practitioners is as foolish as it is impos- sible until such time as all mankind has materially changed its tactics in the struggle for existence. What Prof. Williams would have us believe is debasing to science might easily be in- terpreted as an effort towards self-preservation. If a horse is brought to my hospital with inflamed eyes I would extract its wolf teeth. If asked as to their effects upon the eyes I would tell the truth. If a horse is submitted with instructions to ex- tract its wolf teeth, out they come without further comment. This is but one of many similar situations met every day in a busy professional life. They might be enumerated ad infini- tum. We read elsewhere in Prof. Williams' oration of two veteri- narians who filed and filed and filed the molars of a horse that later proved to be suffering from an inflammatory condition of a single tooth. These two tooth-rasping vets, failed to locate the real seat of irritation, true enough, and they erred in filing the molars much more than men of better judgment would have done, but in the matter of diagnosis they did no worse than many of us frequently do. Dental inflammations in their incipient stages are not so very easily discovered from the cursory examination we are generally compelled to depend upon. A veterinarian in practice is usually expected to make the dental diagnosis in the standing position by palpation and inspection, without much ceremony. The conclusions must be based upon speculation largely. It is only when the horse is cast and placed in position for operation that the exact diag- nosis is made possible. It is often impossible to convince a client that a horse must be cast for no other purpose than that of making an examination of a suspected tooth. Witness the case reported by Williams himself in his article entitled " Em- pyema of the Facial Sinuses of the Horse " (Am. Vet. Review, Vol. XXX, No. 2). A four-year-old mare was presented for treatment February 6th, 1900, and the diagnosis was made SURGICAL ITEMS. 589 March 2, 1903. Here is a case of dental inflammation in which three years elapsed before Prof. Williams was able to make an accurate diagnosis. The mare was trephined twice previously, and each time was presumably placed in position specially appropriate for making the most careful examination of the oral cavity. Still the poor mare went on and on, until the face bulged and the decayed tooth was " split into numer- ous fragments." Then the appropriate treatment was given, and the mare, after three years of suffering, was promptly and permanently cured. What a pity it is that a poor animal must suffer so long before it becomes possible for the veteri- narian to afford relief. IS" this not a beautiful exemplification of our deficiencies ? Here is a mare brought to the " Mecca of Science Veterinary ^^^ and was twice forced to go away disap- pointed with human ability to relieve pain. Why? Incompe tency? No. No one would charge Prof. Williams with in- competency. His work along this very line is too well known and, yes, too well appreciated, to make good any such insinua- tion. It is the difficulty of making the dental diagnosis at this stage that prolonged the poor mare's suffering, and the reitera- tion of the history of the case here is made frankly without in- tent to belittle or ridicule, but for the chuckling satisfaction it must be to other poor devils who have bumped the same bumps over and over, in places where deficiencies count for much more than they do in the free clinic. As to bishoping. — Bishoping is a fraud. No veterinarian should perform the operation under any circumstances. It is not professional services. It is unprofessional services. I con- fess to having performed the operation a number of times in years gone by, but fortunately for myself I have reformed. In those years I performed the operation at the request of men whose minds were admittedly stronger than my own. I learned to do it well, so well that many a veterinarian was de- ceived by my work. In writing my book " Animal Dentistry, etc," I carefully considered the advisability of describing the operation, fearing the criticism it must surely arouse from some source or other. After deliberate consideration it was de- cided to give the operation a place on the grounds that the stu- dent or veterinarian should know the method as well as the crime^ in hope that the former may assist in disclosing the lat- ter. If the volume " presumably dedicated to scientific dent- istry," has been debased, the loss is my own, but if scientific horse dentistry is the sufferer I promptly apologize for my 584 SURGICAL ITEMS. shortsightedness. It is very doubtful if any harm has been done, however. Our students and the members of our profes- sion have been so many years out of the kindergarten that it is very doubtful if their set minds could be poisoned so easily. The man who would proceed to commit any given crime upon learning the method of committing it, would sooner or later have learned the method, if not in one way then in another. Bishoping for generations had been performed with very crude hand instruments, and the results obtained deceived no one who possessed the least knowledge of horses' teeth from the stand- point of determining age. The work was always so *' raw " that it was always detected in advance of the other changes by which age is determined. The bishoped mouth, in fact, was not intended to deceive any one except the unsuspecting novice. Now-a-days, things have changed. Bishoping is done so well, under favorable circumstances, that no expert will de- tect it, unless a very careful and special examination is made. This new departure, this new danger into which we have fre- quently seen members of the profession fall, renders its pub- licity particularly defensible, even in a scientific (?) book. Every real valuable operation^ medicine or method^ has been abused at some time after its introduction into the medical pro- fessions. The professions are prone to run riot with every new acquisition. The new remedy is always overdone for a time. So it was with tooth-filing. A valuable operation and an easy method of performing it was introduced into the veterinary pro- fession. The manifest benefit, here and there, was heralded as an argument in favor of its universal application. To-day, in our sober senses, we are learning its real worth, its real indica- tions, and we are engaged in teaching our new recruits this knowledge, which time alone could have evolved. The danger point has been passed. Prof. Williams should have delivered his oration on " The Ethics of Horse Dentistry " twenty years ago. * * A FEW SURGICAL SUGGESTIONS. 1. In suturing the skin always so adjust the stitches so as to bring only raw surfaces into apposition. Infolded edges will not reunite. 2. Never draw sutures too taut in tying the knots after the edges are brought together and always preserve enough skin in an operation to render apposition possible without .stretching SURGICAL ITEMS. 585 the skill. Taut stitches are seldom effectual ; the tissues caught within them becomes strangulated ; a favorable field for infec- tion is created ; and they always leave an indelible blemish. In short, always avoid tension whenever possible. 3. In removing stitches after the edges of a wound have united cut them near the skin so that no part of the exposed portion of the thread is drawn through the stitch tract. A well healed wound is sometimes infected in this manner. 4. An English surgeon is earning the reputation of leaving no scar after his operations, by making bevelled incisions thiough the skin instead of cutting directly through it at a right angle with the surface as is usually done. The slant or bevelled incision heals without leaving any visible scar tissue at the surface of the skin. Primary union of the epithelium occurs before the underlying connective tissue blocks its prompt regeneration. In the legs of horses where the skin is thick the method has given exceptionally flattering results. 5. In castrating horses in the standing position always make an extra effort to place the emasculating instrument as high up as possible before crushing off the cord. The one bane of ''standing castration" is the great difficulty of removing enough cord with the testicle. Some have recommended cut- ting of the cremaster muscle to let the testicle fall well out of the scrotum, but this is not always easily accomplished and it always prolongs the operation somewhat. There must be no delay in castrating horses in this manner. The operation to be successfully done must be promptly executed and finished be- fore the horse has gotten into the fighting mood. The opera- tion is always marred if there is any delay. 6. In trephining the skull it is not necessary to excise a piece of skin. A straight incision, dilated with retractors to- admit the trephine, is sufficient and it leaves a much smaller hairless scar. The removal of a piece of skin the size of the circular trephine has been abandoned by the best practitioners. 7. /// repulsing superior molars of old horses always make preparations to prevent a permanent channel between the alveo- lar cavity and the sinus. A large hole in such an osseous en- vironment especially after the reactive forces have been greatly diminished by age, will only heal under the most favorable con- ditions and often will refuse to heal at all. A very satisfactory plan is to wedge a piece of gutta percha between the crowns of the two teeth bounding the vacant alveolar cavity, without forcing it into the depths of the cavitv. The wedge is applied 586 SURGICAL ITEMS. on the second day after the operation when no blood clot will accumulate beneath it. 8. If it is divine to prevent surgical pain it is still more divine to prevent discomfort, shock or even death from the loss of blood. All surgical operations should be made as near blood- less as possible. Every possible drop of blood should be pre- served to the patient. The loss of blood, especially when com- bined with pain, diminishes the vital forces to the minimum and thus retards healing and favors fatal or harmful infections. 9. In performing long, painful, sanguinary operations, a thermo-cautery in the hands of a third assistant is very useful to touch up the bleeding spots as they appear. Oozing places and spurting vessels can be promptly closed without interrupting the operator and thus greatly decrease the duration of the dis- section. The Missouri Valley Veterinary Association has ap- pointed a committee, of which Dr. Sesco Stewart is chairman, to again invite the A. V. M. A. to meet in Kansas City, in 1907. On account of continued illness, all the show horses of Mr* Eben D. Jordan, of Boston, are to be sold. This announcement will be received with genuine regret by all devotees of horse shows, for he stood for all that was best and loftiest in the gentleman's sport. Most, if not all, the splendid Hackneys which he exhibited were of his own breeding. We regret to announce the death of the wife of Dr. W. A- Thomas, late State Veterinarian of Nebraska. In the June Re- view it was stated that after 25 years' residence in Lincoln, he would remove to Weaubleau, Mo., to engage in stock farming. It was while he was preparing to leave for his new home that Mrs. Thomas was taken ill, and after a short sickness died. The Doctor and his three daughters have the sympathy of the profession in their great bereavement. Kansas Mules to Alaska. — The Kansas mule will be used by railroad and grading contractors in Nome, Alaska. A carload of twenty-four Kansas mules left Kansas City recently for Seattle. There they will be loaded on a steamer and sent to a point near Nome, where they will be transferred to a small boat which can enter the shallow harbor at Nome. The mules were bought in Kansas and shipped by Robertson S: Co.'s mule buyer at the stock yards. EXTRACTS FROM EXCHANGES. 587 EXTRACTS FROm EXCHANGES. BELGIAN REVIEW. By Prof. A. LiAUTARD. M. D., V. M. Vermiform Aneurisms and Consecutive Throm- bosis [Zroaenepoel'\. — A colt, aged i8 months, was brought to the author for treatment, presenting the following symptoms : Having walked about 8 kilometres, the animal seemed exhausted ; his pulse was weak, quick and irregular, heart beating strongly and could be heard all over the chest. The visible mucosae were pale and anaemic ; respiration slow and regular — all the signs of an animal in miserable physiologic condition. There was diarrhoea, which appeared after a pro- tracted constipation ; it was liquid, yellowish and foetid. In three weeks it brought the horse to the condition of a skeleton. Tuberculinization gave negative results. A treatment of naphta- line, tincture of iodine, tannin, arsenious acid, and milk ad libitum was prescribed, and the animal placed under observa- tion. After ten days it was found one morning that the colt had struggled much during the night. Standing up his body balanced upon his legs, and he had to be supported to avoid falling. ^Iade to walk, the staggering increased, and the left diagonal biped refused to move forward ; the left fore and right hind legs had to be dragged with ropes to make them advance. Returned with difficulty to his stable, the horse dropped, ex- hibited symptoms of violent colic, and died. At the post-mortem the lesions were found on the spleen, digestive canal and arteries. Thespleen weighed ten kilogrammes; in its centre there was a sequestrum as big as a man's head ; the splenic artery was obstructed in its centre. The organ was adherent to the diaphragm, stomach, small and large intestines. The stomach, atrophied, showed the lesions of chronic gastritis. The small intestines, congested and ecchymosed, had its mucous membrane thickened. The colon had a mucous membrane black, friable, and engorged with venous blood, and the caecum was covered with numerous little tumors, lodging the larvae of sclerostoma. The arterial lesions were immense, and all of thrombosic nature. In the great mesenteric it was old, adherent, and soft- ened here and there. In the aorta the clot was recent. The axillary, humeral, and radial of the left fore leg, as also the 688 EXIRACTS FROM EXCHANGES. femoral and popuital ol ihe right hind leg were completely ob- literated. The clot extended also into the renal and the hepatic arteries. The splenic is entirely closed by an old clot, partly purulent. As complications of these conditions there were : cardial hypertrophy, stasis of the kidney, cirrhosis of the liver and pulmonary emphysema. {Anna/es de Bruxelles^Jan.^ ipoS.) Observations of an Enzootic Outbreak of Periodic Ophthalmia in the Horse {Mr. Rtgatix^ . — The infectious nature of periodic ophthalmia has been demonstrated by Dr. Dor, who has found a micrococcus resembling the pyogenes staphylococcus in the exudate of the anterior chamber of a dis- eased eye, and his observations were confirmed by Tchoubar- owsky, who also found a staphylococcus in the same condition, and succeeded in reproducing the disease experimentally. The causes of the affection, according to writers, vary : lymphatism, heredity, stables ill ventilated, dark and badly kept, age of den- tition, damp or marshy ground, etc. The influence of soil seems to be a serious cause, since emigration has portected horses from the disease. The following observations may throw light on this. It occurred on a farm where some twenty horses were kept. Since fifty years no periodic ophthalmia had been there. The stables were clean, well ventilated, and white- washed twice a year. Stock kept in best condition. Case /. — End of January, 1904 ; two-year old gelding; right eye bathed with tears, conjunctiva injected, contraction of the pupil, hy- popion. Left eye taken day after. Treatment by iodide of potassium. Recovery in a week. Relapse two months later in both eyes. One of them is lost. Case II. — March 19, with this colt, a stallion of 29 months is placed for companionship. Nine days later he has suspicious symptoms in the right eye, which was pronounced periodic ophthalmia by a professor of the Veterinary School of Brussels. The left eye is soon affected also. Both eyes were the seats of relapses. Case III. — Three- year-old mare ; left eye diseased ; cured with same treatment ; relapse a month after. Case IV. — Thirteen-months-old colt, taken in May, has other attacks in June and July, and became blind. Case V. — Filly of ten months, affected in May in the left eye first and the right eye after ; has relapses in July and August ; blind in the end in both eyes. Case VI. — Mare of ten years, has an attack at the farm in May in the right eye. Sold, she has since had nothing abnormal with her eyes. Case VII. — Mare of eleven years, attack in right eye in June, is sold in October apparently sound. Case VIII. — Two-year-old colt «XTKACTS FROM EXCHANGES. 689 has never had anything at the farm ; is sold at a fair in Febru- ary, 1905, and a few days after reaching his new owner has periodic ophthalmia. Obscure Cases. — From time to time lachryniation and contraction of the pupil have been ob- served among the horses of the farm. For the author the outbreak was evidently one of periodic ophthalmia, in which the influence of contagion cannot be denied. — (Annales de Bel- giq.,Jan., igo6.) Fatal Hemorrhage from Genitals in a Sow — Pe- culiar Abnormality of the Pavilion \^Mr. Gueldu\. — Outside of those that occur before or after delivery, those kind of hceniorrhages are not frequent. They aie more commonly ob- served in cows and in dogs, where their uterine organ is easily detected in the discovery of myomas or fibromyomas of that cavity. There are, however, cases where their origin is situ- ated more deeply, as the present case indicates. A sow had well delivered in October last, and the author was called to see her on Jan 3. He found her lying, indifferent to what was go- ing on around her, the skin slightly cyanotic. She refuses all food, has had no passage for some time ; her rectal temperature is normal. Constipation is suspected, and purgative ordered. Three days later she seems better ; appetite is improving, but has passed a large quantity of blood by the vulva. Her tem- perature is low, the ears drooping ; mucous membranes and skin are very pale. Haemorrhages returned and the sow died. Post- mortem : Carcass almost bloodless. Liver and hepatic glands full of tubercles. Genital apparatus free from disease, except on one of the ovaries, where there is a tumor as big as a large egg, smooth and shining on its surface. It is red in color. It is at- tached to the fallopian canal, which dips into it with the broad ligament through an elliptical orifice. The borders of this are hard and look natural. The tumor is formed of clotted blood, arranged in concentrical layers, and surround the ovary, which is apparently sound. Evidently the hjcmorrhage came from the ovary. — (Annales de Belgiected and condemned *' all such products found unsound, unhealthful, and unwholesome, or which contain dyes, chemicals, preservatives, 59ft THE NEW MEAT INSPECTION LAW. or ingredients which render such meat or meat food products unsound, unhealthful, unwholesome, or unfit for human food, and all such condemned meat food products shall be destroyed for food purposes, as hereinbefore provided, and the Secretary of Agriculture may remove inspectors from any establishment which fails to so destroy such condemned meat food products : Provided, That, subject to the rules and regulations of the Sec- retary of Agriculture, the provisions hereof in regard to pre- servatives shall not apply to meat food products for export to any foreign country and which are prepared or packed accord- ing to the specifications or directions of the foreign purchaser, when no substance is used in the preparation or packing there- of in conflict with the laws of the foreign country to v,?hich said article is to be exported ; but if said article shall be in fact sold or offered for sale for domestic use or consumption then this proviso shall not exempt said article from the operation of all the other provisions of this Act. LABEI.LING OF FOOD PRODUCTS. That when any meat or meat food product prepared for in- terstate or foreign commerce which has been inspected as here- inbefore provided and marked " Inspected and passed " shall be placed or packed in any can, pot, tin, canvas, or other recepta- cle or covering in any establishment where inspection under the provisions of this Act is maintained, the person, firm, or corporation preparing said product shall cause a label to be at- tached to said can, pot, tin, canvas, or other receptacle or cover- ing, under the supervision of an inspector, which label shall state that the contents thereof have been " inspected and passed " under the provisions of this Act ; and no inspection and ex- amination of meat or meat food products deposited or inclosed in cans, tins, pots, canvas, or other receptacle or covering in any establishment where inspection under the provisions of this Act is maintained shall be deemed to be complete until such meat or meat food products have been sealed or inclosed in said can, tin, pot, canvas, or other receptacle or covering under the supervision of an inspector, and no such meat or meat food products shall be sold or offered for sale by any person, firm, or corporation in interstate or foreign commerce under any false or deceptive name ; but established trade name or names which are usual to such products and which are not false and decep- tive and which shall be approved by the Secretary of Agricul- ture are permitted. THE NEW MEAT INSPECTION LAW. 597 INSPECTION OF SANITARY CONDITIONS. The Secretary of Agriculture shall cause to be made, by experts in sanitation or by other competent inspectors, such in- spection of all slaughtering, meat canning, salting, packing, rendering, or similar establishments in which cattle, sheep,swine, and goats are slaughtered and the meat and meat food products thereof are prepared for interstate or foreign commerce as may be necessary to inform himself concerning the sanitary conditions of the same, and to prescribe the rules and regulations of sani- tation under which such establishments shall be maintained ; and where the sanitary conditions of any such establishment are such that the meat or meat food products are rendered un- clean, unsound, unhealthful, unwholesome, or otherwise unfit for human food, he shall refuse to allow said meat or meat food products to be labeled, marked, stamped, or tagged as " inspected and passed." NIGHT INSPECTION. That the Secretary of Agriculture shall cause an examina- tion and inspection of all cattle, sheep, swine, and goats, and the food products thereof, slaughtered and prepared in the es- tablishments hereinbefore described for the purposes of interstate or foreign commerce to be made during the nighttime as well as during the daytime when the slaughtering of said cattle, sheep, swine, and goats, or the preparation of said food products is conducted during the nighttime. TRANSPORTATION OF UNINSPECTED PRODUCTS PROHIBITED. That on and after October first, nineteen hundred and six, no person, firm, or corporation shall transport or offer for trans- portation, and no carrier of interstate or foreign commerce shall transport or receive for transportation from one State or Terri- tory or the District of Columbia to any other State or Territory or the District of Columbia, or to any place under the jurisdic- tion of the United States, or to any foreign country, any car- casses or parts thereof, meat, or meat food products thereof which have not been inspected, examined, and marked as " in- spected and passed," in accordance with the terms of this Act and with the rules and regulations prescribed by the Secretary of Agriculture : Provided, That all meat and meat food prod- ucts on hand on October first, nineteen hundred and six, at es- tablishments where inspection has not been maintained, or which have been inspected under existing law, shall be exam- ined and labeled under such rules and regulations as the Secre- 598 THE NEW MEAT INSPECTION LAW. tary of Agriculture shall prescribe, and then shall be allowed to be sold in interstate or foreign commerce. COUNTERFEITING OF LABELS PROHIBITED. That no person, firm, or corporation, or officer, agent, or employee thereof, shall forge, counterfeit, simulate, or falsely represent, or shall without proper authority use, fail to use, or detach, or shall knowingly or wrongfully alter, deface, or destroy, or fail to deface or destroy, any of the marks, stamps, tags, labels, or other identification devices provided for in this Act, or in and as directed by the rules and regulations prescribed here- under by the Secretary of Agriculture, on any carcasses, parts of carcasses, or the food product, or containers thereof, subject to the provisions of this Act, or any certificate in relation thereto, authorized or required by this Act or by the said rules and regu- lations of the Secretary of Agriculture. INSPECTION OF ANIMALS AND CARCASSES INTENDED FOR EXPORT. That the Secretary of Agriculture shall cause to be made a careful inspection of all cattle, sheep, swine, and goats intended and offered for export to foreign countries at such times and places, and in such manner as he may deem proper, to ascertain whether such cattle, sheep, swine, and goats are free from dis- ease. And for this purpose he may appoint inspectors who shall be authorized to give an official certificate clearly stating the con- dition in which such cattle, sheep, swine and goats are found. And no clearance shall be given to any vessel having on board cattle, sheep, swine, or goats for export to a foreign country until the owner or shipper of such cattle, sheep, swine, or goats has a certificate from the inspector herein authorized to be appointed, stating that the said cattle, sheep, swine, or goats are sound and healthy, or unless the Secretary of Agri- culture shall have waived the requirement of such certificate for export to the particular country to which such cattle, sheep, swine, or goats are to be exported. That the Secretary of Agriculture shall also cause to be made a careful inspection of the carcasses and parts thereof of all cattle, sheep, swine, and goats, the meat of which, fresh, salted, canned, corned, packed, cured, or otherwise prepared, is intended and offered for export to any foreign country, at such times and places and in such manner as he may deem proper. And for this purpose he may appoint inspectors who shall THE NEW MEAT INSPECTION LAW. 599 be authorized to give an official certificate stating the condition in which said cattle, sheep, swine, or goats, and the meat there- of, are found. And no clearance shall be given to any vessel having on board any fresh, salted, canned, corned, or packed beef, mutton, pork, or goat meat, being the meat of animals killed after the passage of this Act, or except as hereinbefore provided for ex- port to and sale in a foreign country from any port in the United States, until the owner or shipper thereof shall obtain from an inspector appointed under the provisions of this Act a certificate that the said cattle, sheep, swine, and goats were sound and healthy at the time of inspection, and that their meat is sound and wholesome, unless the Secretary of Agriculture shall have waived the requirements of such certificate for the country to which said cattle, sheep, swine, and goats or meats are to be exported. That the inspectors provided for herein shall be authorized to give official certificates of the sound and wholesome condi- tion of the cattle, sheep, swine, and goats, their carcasses and products as herein described, and one copy of every certificate granted under the provisions of this Act shall be filed in the Department of Agriculture, another copy shall be delivered to the owner or shipper, and when the cattle, sheep, swine, and goats or their carcasses and products are sent abroad, a third copy shall be delivered to the chief officer of the vessel of which the shipment shall be made. PENALTY FOR VIOLATIONS OF LAW. That no person, firm, or corporation engaged in the inter- state commerce of meat or meat food products shall transport or offer for transportation, sell or offer to sell any such meat or meat food products in any State or Territory or in the District of Columbia or any place under the jurisdiction of the United States, other than in the State or Territory or in the District of Columbia or any place under the jurisdiction of the United States in which the slaughtering, packing, canning, rendering, or other similar establishment owned, leased, operated by said firm, person, or corporation is located unless and until said per- son, firm, or corporation shall have complied with all of the provisions of this Act. That any person, firm, or corporation, or any officer or agent of any such person, firm, or corporation, who shall vio- late any of the provisions of this Act shall be deemed guilty of 600 THE NEW MEAT INSPECTION LAW. a misdemeanor and shall be punished on conviction thereof by a fine of not exceeding ten thousand dollars or imprisonment for a period not more than two years, or by both such fine and imprisonment in the discretion of the court. APPOINTMENT AND DUTIES OF INSPECTORS. That the Secretary of Agriculture shall appoint from time to time inspectors to make examination and inspection of all cattle, sheep, swine, and goats, the inspection of which is here- by provided for, and of all carcasses and parts thereof, and of all meats and meat food products thereof, and of the sanitary conditions of all establishments in which such meat and meat food products hereinbefore described are prepared ; and said in- spectors shall refuse to stamp, mark, tag, or label any carcass or any part thereof, or meat food product therefrom, prepared in any establishment hereinbefore mentioned, until the same shall have actually been inspected and found to be sound, healthful, wholesome, and fit for human food, and to contain no dyes, chemicals, preservatives, or ingredients which render such meat food product unsound, unhealthful, unwholesome, or unfit for human food ; and to have been prepared under proper sanitary conditions, hereinbefore provided for ; and shall per- form such other duties as are provided by this Act and by the rules and regulations to be prescribed by said Secretary of Agriculture ; and said Secretary of Agriculture shall, from time to time, make such rules and regulations as are necessary for the efficient execution of the provisions of this Act, and all inspections and examinations made under this Act shall be such and made in such manner as described in the rules and regulations prescribed by said Secretary of Agriculture not in- consistent with the provisions of this Act. BRIBERY OF INSPECTORS A FELONY. That any person, firm, or corporation, or any agent or em- p\oy6 of any person, firm, or corporation who shall give, pay, or offer, directly or indirectly, to any inspector, deputy in- spector, chief inspector, or any other officer or employ^ of the United States authorized to perform any of the duties pre- scribed by this Act or by the rules and regulations of the Sec- retary of Agriculture any money or other thing of value, with intent to influence said inspector, deputy inspector, chief in- spector, or other officer or employe of the United States in the discharge of any duty herein provided for, shall be deemed guilty of a felony and, upon conviction thereof, shall be pun- THE NEW MEAT INSPECTION LAW. 60l ishcd by a fine not less than five thousand dollars nor more than ten thousand dollars and by imprisonment not less than one year nor more than three years ; and any inspector, deputy inspector, chief inspector, or other ofiBcer or employe of the United States authorized to perform any of the duties pre- scribed by this Act who shall accept any money, gift, or other thing of value from any person, firm, or corporation, or officers, agents, or employes thereof, given with intent to influence his official action, or who shall receive or accept from any person, firm, or corporation engaged in interstate or foreign commerce any gift, money, or other thing of value given with any pur- pose or intent whatsoever, shall be deemed guilty of a felony and shall, upon conviction thereof, be summarily discharged from office and shall be punished by a fine not less than one thousand dollars nor more than ten thousand dollars and by im- prisonment not less than one year nor more than three years. INSPECTION DOES NOT APPLY TO FARMERS AND RETAIL BUTCHERS. That the provisions of this Act requiring inspection to be made by the Secretary of Agriculture shall not apply to ani- mals slaughtered by any farmer on the farm and sold and trans- ported as interstate or foreign commerce, nor to retail butchers and retail dealers in meat and meat food products, supplying their customers: Provided, That if any peison shall sell or offer for sale or transportation for interstate or foreign com- merce any meat or meat food products which are diseased, un- sound, unhealthful, unwholesome, or otherwise unfit for human food, knowing that such meat food products are intended for human consumption, he shall be guilty of a misdemeanor, and on conviction thereof shall be punished by a fine not exceeding one thousand dollars or by imprisonment for a period of not ex- ceeding one year, or by both such fine and imprisonment : Provided also, That the Secretary of Agriculture is authorized to maintain the inspection in this Act provided for at any slaughtering, meat-canning» salting, packing, rendering, or similar establishment notwithstanding this exception, and that the persons operating the same may be retail butchers and re- tail dealers or farmers ; and where the Secretary of Agricul- ture shall establish such inspection then the provisions of this Act shall apply notwithstanding this exception. $3,000,000 APPROPRIATED FOR INSPFXTION. That there is permanently appropriated, out of any money in the Treasury not otherwise appropriated, the sum of three bO'2 THE NEW MEAT INSPECTION LAW. million dollars, for the expenses of the inspection of cattle, sheep, swine, and goats and the meat and meat food products thereof which enter into interstate or foreign commerce and for all expenses necessary to carry into effect the provisions of this Act relating to meat inspection, including rent and the em- ployment of labor in Washington and elsewhere, for each year. And the Secretary of Agriculture shall, in his annual estimates made to Congress, submit a statement in detail, showing the number of persons employed in such inspections and the salary or per diem paid to each, together with the contingent ex- penses of such inspectors and where they have been and are employed. Dr. C. J. Morrow, of Shelby, Ohio, has again entered the meat inspection service and reported for duty at So. St. Joseph in June. Drs. Plummer and Tempany, of the U. S. Artillery post at Fort Riley, Kansas, attended the Missouri Valley meeting at Omaha. Dr. William Swan, of New York, has moved his office to the American Horse Exchange, Dr. Ryder having transferred his office to Twenty-fourth Street. Dr. E. a. a. Grange interested the members of the Veter- inary Medical Association of New York County very much at the June meeting with his paper on "Motor Stimulants in Horses." He has conducted a number of experiments with the most popular formulae for this purpose, and the details of their actions were very interesting. The Civil Service Examination for meat inspectors held in April did not yield enough eligibles to meet the demand for the public service, hence a special examination was held on June 25th. If sufficient inspectors could not be secured under normal conditions, where will the supply come from for the much larger number now needed ? The Last Roundup of Wild Horses. — Wilso?i Creek^ Wash.^ May 4. — The last big roundup of horses in Eastern Washington has been in operation the past ten days, and about 3.000 of the wild equines have been brought into the corrals. The country ridden thus far has mostly been broken and moun- tainous. Shipping will begin about May 14. While a round- up is always an exciting incident, there has been little of acci- dent or much out of the ordinary, considering the large number of riders engaged. CX)RR ESPONDENCE. 603 CORRESPONDENCE. NEWSPAPER VS. SCIENTIFIC RECORDS — THE CASE OF OOM PAUL (even HIS NAME WRONG.) New York Zoological Park, New York, June 30, 1906. Editors American Veterinary Review : Dear Sirs: — Your letter enclosing clipping from the newspaper relative to the Lorenz operation on our small eleph- ant has just reached me. You will always be safe in placing but little confidence in the many sensational stories about the Medical Department at the Park. I used to feel called upon to deny many of the " wonderful " operations performed by me (in the newspapers), but most of them are so utterly ridiculous that I have paid little attention to them of late. I am very glad you did not reproduce the clipping in the Review, as it is a badly exaggerated version of a very simple incident. This story with numerous variations (according to the fertility of the reporter's brain) has been published and republished all over the country, as well as in some of the papers in Europe (clippings having reached us from Paris newspapers). The facts of the case are these : Several months ago our young African elephant developed very weak ankles behind, and they got so bad that I found it necessary to provide some artificial support for them. The Crown Surgical Co. made two stiff braces reinforced by iron and with adjustable straps so that the position of the ankles might be altered gradually. Be- sides the braces for the ankles, calcium phosphates in milk is being given daily, with the result that the little fellow has greatly improved during the past two months, and I have every reason to believe that the treatment will be entirely successful. I intend keeping the braces on the ankles for perhaps a year longer. They have been taken off several times lately and I find the ankles practically straight, but do not think it advis- 604 CORRESPONDENCE. able lo leave ihem off for somft time yet. The elephant was captured very young, which probably accounts for the weakness^ You will see by these few notes that the story is not very startling. I enclose photograph of the braces on the young ele- phant, whose name, by the way, is " Congo," not " Oom Paul." He did not fall out of the feed trough. The braces do not weigh anywhere near 40 pounds. He was not knock-knetd in the hind legs. Paralysis was not apparent to me. While a close observer of animal nature, I have not been able to detect any unusual demonstration of Congo's love for his benefactor. Sincerely yours, W. Reid Blair. LEGAL TEST OF A VETERINARY CORRESPONDENCE SCHOOL'S STANDING — AN INTERESTING CASE FROM THE NATIONAL CAPITAL. Washington, D. C, June 21, 1906. Editors American Veterinary Revieiv : Dear Sirs: — Here in the District of Columbia we have no law regulating the practice of veterinary medicine and surgery, and consequently any one desiring to do so can announce him- self to the public as a veterinarian. During March a colored man by the name of Kennedy brought a horse to our office affected with fistulous withers, stating that he had had the horse treated by one Dr. John W. Price, also colored, who claimed to be a qualified veterinarian. Kennedy informed us that he had made an agreement with Dr. Price to the effect that he (Price) was to cure the horse or receive no compensation. The fee was to have been $8.00. Kennedy informed us that the horse had been operated on by Price, he using a razor to make the incision. There was a long cicatrix, perhaps six inches in length. The fistula was not cured, as it was discharging profusely. Dr. Price, however, claimed that the horse was cured, and had entered suit against Kennedy for the recovery of eighteen dollars, for professional services rendered. Kennedy failed to have proper testimony present when the case was called, and Price obtained judgment for the sum of eight dollars and costs. Kennedy failed to pay the judgment, and on Saturday, April 2ist, the horse was seized by a deputy marshall and placed in the hands of Price to feed and keep clean only. On the following day Price, upon his own responsibility, CORRESPONDENCE. ^05 placed a seton in the animal. Kennedy, in the meantime, had satisfied the judgment and arrived at Price's place just as Price was finishing the operation. Kennedy immediately took the horse and showed him to the deputy marshall, and from theie brought him to our hospital. We made an exploratory examination and found that the seton did not follow the fistulous tracts, but ran through healthy muscular tissue only. As Price had given a bond to the deputy marshall, for the safe-keeping of the animal, Kennedy immediately brought suit for damages. We had, iu the meantime, learned that Price was a supposed graduate of the Ontario Veterinary Science Association, also of the Detroit Dental College, another correspondence institution. The evidence produced at the hearing of the case was suffi- cient to convince the judge that Price was an imposter and he quickly awarded Kennedy damages to the amount of $25, Price appealing. Mr. Morris, an agent of the Humane Society, was present, and thought there was sufficient cause to arrest Price for cruelty to animals. This was done, and at the trial Price produced the so-called diploma of the Ontario Veterinary Science Asso- ciation, swore on the stand that he had attended the above named place /« /^^i^w, had made dissections, attended clinics, etc., and had received his degree as regularly and legally as any veterinarian. Our Dr. Dunn's testimony was to the effect that the above named place was, to the best of his knowledge, not a regularly organized veterinary college, but merely a correspondence school, and that Dr. Price was not, as he claimed, a qualified veterinarian. There being no other veterinarians present to corroborate Dr. Dunn's testimony, the Judge gave Price the benefit of the doubt and dismissed the case. A few days later Dr. Dunn and Mr. Morris (the P. C. A. So- cielv Officer) received a letter from a firm of colored attornevs to the effect that they had been instructed by Price to enter suit for damages amounting to 55000 for libeling and slander- ing him in his profession as a veterinary surgeon. The attorneys, however, were liberal enough to inform us that the matter could be settled without suit, if we felt so in- clined. I wish to state, however, that we are not so inclined. We are firm in our belief that Price has committed a per. 606 CORRESPONDENCE. jury when he swore under oath that he had attended the afore- mentioned college in person, and, with the aid of the Review and its readers, we think that it would be an easy matter to produce evidence that will bear out our opinion, namely : That the Ontario Veterinary Science Association, of London, Ont., and Dr. John Price, graduate of said college, are both frauds and impostors. It seems to us a shame that an impostor of the above- mentioned type should be allowed to swindle the unsuspecting public, especially in the Capital of the United States. We would state, however, that there is a bill pending now which will regulate veterinary practice in the District of Columbia. Yours respectfully, Grenfeli. & Dunn. VETERINARY PROGRESS. Covington, Kentucky, July 9, 1906. Editors American Veterinary Reviezv : Dear Sirs: — It is a good thing that all of us do not have the same opinion, because if we did, we all would love the same girl, and then Dr. Reynolds' contribution in the July number of the Re- view contains among others two or three points which might be considered overenthusiastic. It is not my desire to belittle any of the many efforts, literary or otherwise, which the Minne- sota veterinarian has made, but in his lecent paper on page 434 he very plainly states that division of the motor branch from the nth cranial nerve to the sterno-maxillaris muscle, etc., prevents a horse from cribbing and cures the habit. All of us who operate frequently know that the results obtained from such surgical interference are negative in the long run. If the Review was only read by experienced men, who are able to differentiate between right and wrong of what is given them in print, statements like the above would matter but lit- tle, but it so happens that young professionals read and accept them as facts, to be disappointed later on. For that reason the author of any paper cannot be two cautious before exhibiting his mental merchandise. On page 435 one reads " Heaves is easily preventable." The term "heaves" covers a multitude of sins, and it is to be admitted that some of the diseases which — from a scientific point of view — constitute " heaves " are preventable, but to state that " heaves " is easily preventable is an overenthusiastic state- ment. W. E. A. Wyman. ARMY VETERINARY DEPARTMENl. 607 ARMY VETERINARY DEPARTMENT. ARxMY NOTES. Examinations for Army Veterinarians. — An examina- tion for candidates to the Army service, with a view of select- ing qualified veterinarians to fill existing vacancies, was sched- uled to be held at Fort Riley during May. No veterinarians appeared before the examining board. An Electric Heater has supplanted the kerosene and alcohol lamp for small water-bath or like purpose, at the Fort Riley Veterinary Hospital. The rank of the Legion of Honor has been conferred per- sonally by the President of France upon James McLaughlin, of the horse importing firm of McLaughlin Bros., Columbus, Ohio. Mr. McLaughlin lives chiefly in France. The title implies that its possessor has been of great .service to mankind. A resolution was adopted by the Missouri Valley Veteri- nary Association at its meeting held in Omaha, Nebraska, invit- ing the A. V. M. A. to hold its meeting for 1907 in Kansas City, Mo., and appointed a committee of three to present the in- vitation at the meeting to be held in New Haven, Conn. Dr. W. L. Williams visited Brooklyn in July and per- formed his operation for roaring on several subjects. His method is considerably different from any previously described, and he has had a sufficient number of favorable results to rec- ommend it. He will describe the technic at the New Haven meeting of the A. V^. M. A. May His Shadow Nev^er Grow Less. — "Honolulu Bill" Monsarrat is going to attend the American Veterinary Medical Association's annual convention in New Haven; coincidentally he will root for Hawaii. The genial doctor's promotion work,^ however, may be punctuated with enquiries as to whether all bills in Honolulu are as big as he. — (HoJiolulu Advertiser^ June 24.) A Complete Change will occur in the personnel of the official veterinarians at the next exhibition of the Horse Show Association of America, Drs. Sheppard, Sherwood and Ryder (who have held office for a number of years) retiring. It is ru- mored that Dr. E. A. A. Grange and Dr. H. D. Gill will be chosen in their stead, while the third member of the staff has not yet been selected. 608 SOCIETY MEETINGS. SOCIETY MEETINGS. AMERICAN VETERINARY MEDICAL ASSOCIATION. FORTY-THIRD ANNUAL MEETING, AUGUST 21 TO 24, 1906^ AT NEW HAVEN, CONN. Philadelphia, Pa., July 18, 1906. Editors American Veterinary Review : Dear Sirs: — I take pleasure in submitting the following program for the Forty-third Annual Meeting of the American Veterinary Medical Association to be held in New Haven, Connecticut, August 21-24, 1906: Headquarters. — The headquarters of the Association will be at the Tontine Hotel, 149 Church Street. This hotel is oper- ated upon the European plan, rates $1.50 to $2.00 per day. An excellent cafe is attached. There are good restaurants in the immediate vicinity. Hotel Garde, 42 Meadow Street. American plan, with bath $3.00; without bath $2.50. Hotel Davenport, corner Court and Orange Streets. Ameri- can plan $2.50. New Haven House, 996 Chapel Street. American plan $4.00 to $5.00 per day. The Local Committee has a list of other hotels and boarding houses in which accommodations may be had if desired. Res- ervations should be made in advance by writing Dr. J. H. Kellcy, No. 70 Olive St., New Haven, Conn. Place of Meeting^. — The sessions will be held in Harmony Hall, No. 9 Elm Street. This is only two blocks from the hotel headquarters. special Committee Meetings. — Monday, August 20, 1906 : Executive Committee at i p. m.; Publication Committee at 4 p. m. Special Exhibit.— Dr. W. Reid Blair, of the New York Zoological Park, New York City, will make an exhibit of path- ological specimens representing various diseases of wild animals. Others are expected to add to this exhibit. PROGRAM. First Day^ Tuesday., August 2t ^ igo6. 8.00 A. M. Meeting of Executive Committee. 10.00 A. M. Association assembles. Address of Welcome, Hon. John P. Studley, Mayor of New Haven. SOCIETY MEETINGS. 609 Response by Dr. J. G. Rutherford, of Canada. President's address. Roll-call. Submission of the Minutes of the previous meet- ing as presented in the annual report and in the records kept by the Secretary. Unfinished business. Report of Executive Committee. Admission of new members. Reports of Regulai Committees: Intelligence and Education. Diseases. Finance. Publication. Local Arrangements. Necrology. Resolutions. I2.00 Noon. Adjournment. 2.00 P. M. Association assembles. Reports of Special Committees : Army Legislation. Report of Secretary. Report of Treasurer. Report of Resident Secretaries. Discussion of Reports. Election of Officers. 5.00 P. M. Adjournment. 8.00 P. M. Reception to all members and visitors in the parlors of the Tontine Hotel. Second Day ^ Wednesday^ Augmt 22, igo6. 10.00 A. M. Association assembles. Reports of Committees. PAPERS AND DISCUSSIONS. 1. "Some Surgical Operations on Bovines " — Dr. J. C. Robert, Mississippi. 2. " Arecoline Hydrobromide"— Dr. P. A. Fish ,New York. 3. " The Agglutination Method of the Diagnosis of Glan- ders "— Drs. V. A. Moore, W. J. Taylor and W. Giltner, New York. 4. "Our Insect. Enemies" — Dr. W. H. Dalrymple, Louis- iana. 610 SOCIETY MEETINGS. 5. " The Angora Goat and Sheep Industry of New England in Danger" — Dr. J. B. Paige, Massachusetts. 6. " The Veterinarian as a Business Man " — Dr. D. Arthur Hughes, Illinois. 12.00 Noon. Adjournment. 2.00 p. M. Association assembles. Reports of Committees. PAPERS AND DISCUSSIONS {Continued). 7. " Eradication of Mange Among Cattle in the West " — Dr. A. T. Peters, Nebraska. 8. " Tuberculosis in Swine "—Dr. Richard Ebbitt, Ne- braska. 9. " Symptoms and Gross Post-mortem Lesions of Hepatic Cirrhosis in Cattle" — Dr. W. H. Pethrick, Nova Scotia. II. "The Veterinary Service of the United States Army and the Military Veterinarian " — Dr. Charles H. Jewell, United States Army. 11. "Practical and Applied Surgery" — Dr. C. C. Lyford, Minnesota. 12. "Sentiment a Factor in Meat Inspection" — Dr. S. Stewart, Missouri. 5.00 p. M. Adjournment. 8.00 P. M. Association assembles. Reports of Committees. PAPERS AND DISCUSSIONS (Continued). 13. "The City Milk Supply" — Dr. Austin Peters, Massa- chusetts. 14. " Notes on the Surgical Relief of Roaring " — Dr. W. L. Williams, New York. 15. '' Practical Aspects of the Treatment for Roaring " — Dr. J. S. Anderson, Nebraska. 16. " Present Status of the Crusade against the Southern Cattle Tick "—Dr. Tait Butler, North Carolina. 17. "Recent Developments in Immunization against South- ern Cattle Fever " — Dr. J. W. Connaway, Missouri. 10 00 p. M. Adjournment. Third Day^ Thursday^ August 2j^ ipo6. 10.00 A. M. Association assembles. Reports of Committees. PAPERS AND DISCUSSIONS (Continued). 18. " Encephalitis in the Horse " — Dr. M. Francis, Texas. 19. "The Negri Bodies in the Diagnosis of Rabies" — Dr. L. Frothingham, Massachusetts. tl VrcE-Pw». J. Q RUTHERFORD. ViCI-Pree. W. H. DALRYMPLE. ViCE-Pres. E. H. SHEPARD. Vict-PRIS. C. E. COTTON. President WM. HERBERT LOWE. VicE-Pre». R. P. LYMAN. TuiAtuNlR 0. R. WHITE. SlCNITAMv JOHN J. REPP. Limarian W. L. WILLIAMS. OFFICERS OP A. V. M. A., I905-06. CONVENTION HALL, A. V. M. A. — HARMONY HALL. WOODBRIDGE HA. w,-,; . ERi>lTY. SOCIETY MEETINGS. 611 20. "The Veterinary Schools of Europe" — Dr. Leonard Pearson, Pennsylvania. 21. "National Control of Hog Cholera "—Dr. M. H. Rey- nolds, Minnesota. 22. "The Management of Tuberculosis in Vermont " — Dr. F. A. Rich, Vermont. 23. " Veterinary Practice in the Logging Camps of Canada " — Dr. Thomas Thacker, Ontario. 24. "Veterinary Education in the United States" — Dr. D. S. White, Ohio. 12.CXD Noon. Adjournment. Fourth Day^ Friday^ August 24^ igo6. 9.00 A. M. Surgical and Medical Clinic. The Clinic will be held in a tent in the rear of Harmony Hall in which the sessions will be held. This is only two blocks from the hotel headquarters. Seats will be arranged so that all may witness the demonstrations. The following will take part in the clinic : Dr. G. H. Berns, Brooklyn, N. Y.; Dr. W. L. Williams, Ithaca, N. Y.; Dr. A. H. Baker, Chicago, 111.; Dr. G. R. White, Nashville, Tenn.; Dr. W. L. LaBaw, Boston, Mass.; Dr. R. C. Moore, Kansas, City, Mo.; Dr. L. A. Merillat, Chicago, 111 ; Dr. E. C. Beckett, Boston, Mass.; Dr. J. W. Adams, Philadelphia, Pa.; Dr. Leonard Pearson, Philadelphia, Pa. Among the demonstrations will be operations for roaring, dentigerous cyst, schirrous cord, exostosis of the inferior maxilla, cartilaginous quittor and shoe-boil. There will also be demon- strations of anaesthesia, casting and restraint, diagnosis of lame- ness, neurectomy for the relief of lameness, and a number of medical cases. John J. Repp, Secretary. * * M ARRANGEMENTS FOR THE CONVENTION. The Local Committee of Arrangements, composed of Dr. E. C. Ross (Chairman), Dr. J. H. Kelley, and Dr. H. Whitney, of New Haven ; Dr. R. D. Martin, Bridgeport ; Dr. H. E. Bates, South Norwalk ; Dr. Thos. Bland, Waterbury ; Dr. G. W. Love- land, Torrington, and Dr. R. P. Lyman, Hartford, have held frequent meetings, resulting in the compilation of a program suf- ficiently complete in detail to allow of publication, and which is furnished to the Review by Dr. Lyman. It is as follows : The headquarters of the 43d Annual Convention will be the Tontine Hotel, 149 Church St. There the meetings of the Executive Committee will be held, beginning Monday, August 612 SOCIETY MEETINGS. 20th. The convention hall, Harmony Hall, is situated at 9 Elm St., where also ample space is provided for the Clinic, August 24th. This building, only three or four minutes walk from headquarters, furnishes ideal accommodations for the ses- sions, committee rooms and also excellent opportunities for the display of exhibits ; the latter without interfering with the business of the convention. THE PROGRAM OF ENTERTAINMENT. The program furnished for the entertainment of members and friends of the members comprises a visit, Tuesday after- noon, to the Yale Campus to inspect the various buildings, among which are Woolsey Hall, Dining Hall, Gymnasium, Museum and indeed many others. Upon Tuesday evening an informal reception will be held in the parlors of the Tontine. This will afford an opportunity for the ladies to renew former acquaintances and meet the many new ones that it is hoped will attend the annual A. V. M. A. gathering. Tuesday morning at 10 o'clock the Convention will be opened in the presence of Mayor Studley, Mayor of New Haven, who has kindly offered to give the address of welcome. On Wednesday morning the committee have arranged a trolley ride to Woodmont, skirting along the shore in a beauti- ful scenic trip, returning in time for luncheon. The afternoon will be devoted to a carriage drive around Lake Whitney, visit- ing Farnum and English Parks, and Soldiers' Monument. The evening entertainment will be a trip to White City, Savin Rock (certainly the Coney of Connecticut). Another trip is planned for Thursday morning, visiting Light House Point. This trip offers a beautiful view of the sound. New Haven Harbor and Fort Trumbull. Thursday afternoon the members will take a breathing spell and are in- vited in company with their friends to an excursion upon Long Island Sound, this trip affording a view of the Connecticut shore, and the placid waters of the Sound furnishes a guarantee that all may fearlessly venture thereon. Returning, ample time will be allowed for resting and so prepare for the famous annual banquet in the Banquet Hall of the Tontine, an occasion that it is hoped will be the cause of most pleasant memories for a long time to come. Friday, during the time devoted to the A. V. M. A. Clinic, the visitors will be given an opportunity for sight seeing and shopping about the city. HEAOOUARTERS, A. V. M. A. -TONTINE HOTEL. SCHOOI. OF FORESTRY. YALE UNIVERSITY. SOCIETY MEETINGS. 618 THE CLINIC. The Clinic will be held in rear of the convention hall and demonstrations will be made by many veterinarians prominent in the profession. Among those that have already offered to assist the committee are : Drs. Merillat, Baker, Beckett, LaBaw, Moore (R. C), White (G. R.), Williams (W. L.), Berns, Adams, Pearson, and others. The outline of the clinic as thus far completed will consist of a demonstration of various methods of casting and restrain^ ing animals for surgical purposes, by Dr. G. R. White, and operations upon animals for the relief of roaring, dentigerous cyst, scirrhous cord, exostosis of inferior maxillary bone, cartil- aginous quittor, shoe-boil, and others. Cases for diagnosis are to be furnished by members of the local committee. PATHOLOGICAL EXHIBIT. Dr. W. Reid Blair, of New York, offers an exhibit of pathological specimens that will be on exhibition in a room adjoining the convention hall. Dr. E. C. Ross, ii Orange St., New Haven, is Chairman of the Local Committee, and will answer all inquiries in reference to local arrangements. TRANSPORTATION. Negotiations for reduced rate of fare have not at this writing been quite completed, but have progressed so far as to assure a rate of one and one-third fare for the round trip, certificate plan. Full details will be set forth in the official program. MISSOURI VALLEY VETERINARY ASSOCIATION. The twelfth annual meeting was held in the City Hall at Omaha, Nebr., June i8th and 19th, 1906, with Dr. J. S. An- derson, President, in the chair. The following members and visiting veterinarians were present : — Drs. J. D. Tempany, E. H. Biart, A. Plummer, C. J. Hinkley, L. A. DeCow, A. A. Munn, G. Springer, R. A. Huntley, A. W. Carmichael, I. W. McEachran, B. F. Kaupp, H. L. Ramacciotti, G. A. Kav, C. R. McCoppin, C. A. Swanson, G. J. Collins, E. E. Trabert', G. W. Merker, J. K. Strayer, H. Jensen, R. L. Rhea, V. Schaefer, C. E. Stewart, J. L. Hoylman, G. A. Meixel, E. O. Odell, H. Cran- dall, C. D. Wilson, C. Goodwin, J. Vincent, S. Stewart, J. S. Anderson, J. R. Ebbitt, S. T. Miller, D. H. Miller, W. R. O'Neill, R. Lovell, G. R. Young, F. L. O'Neill, H. C. Simpson, R. Gabler, J. W. Haxby, C. E. Baxter, C. D. Williams, T. W. 614 SOCIETY MEETINGS. Gidley, C. K. Paine, B. Fisher, J. Berg, J. J. Drasky, W. H. Tuck, W. N. Van Nordheim, C. A. McKini, E. F.' Stewart, H. L. Feistner, P. Simonson, A. Alexander, M. T. Bernard, J. C. Myers, D. C. Scott, J. A. Dresback, P. Juckniess, and others. The Hon. J. C. Dahlman, Mayor of Omaha, made an inter- esting opening address, which was responded to by Dr. S. Stewart, of Kansas City. The President's annual address fol- lowed, after which the routine business was attended to. The President appointed Drs, W. R. O'Neill, H. Jen.sen and V. Schaefer on Board of Censors in place of absentees. The following names, duly vouched for and favorably passed upon by the Board of Censors, were then elected to membership : Missouri : Drs. D. B. Leininger, A. D. Knowles, J. K. Calli- citte, J. P. F. Smith, J. Robards, E. S. Dickey, H. Robbins, S. F. Loffer, J. M. Mayes, J. Stafford, D. E. Warner, B. Deuell. Kansas : Drs. J. V. Lacroix, E. F. Jameson, A. E. Amend, O. Einmitt, E. C. Cravens, E. J. Drake, C. J. Young, W. A. Lyons, H. R. Collins, L. R. Feuteck, R. F. Bourne. Iowa : Drs. A. J. Abarr,W. Elery, R. D. Abarr, C. E. Stewart, B. Fisher, H. C. Simpson, C. E. Baxter, T. W. Gidley. Nebraska : Drs. D. C. Scott, J. C. Myers, R. Lowell, E. Eb- bitt, C. A. Swanson, G. Springer, J. A. DeCow, P. Juckniess, J. E. Strayer, H. Pew, C. R. McCoppin, G. J Collins, E. E. Trabert, H. A. Reagor, D. F. Stouffer, R. Gabler, E. Van Nord- heim, E. K. Paine. Oklahoma .-—Drs. M. H. Rhoades,W. B. McAlister, E. Pugh, E. D. Kennedy. Texas : — R. L. Rhea. Illinois : — Dr. F. L. Saunders. The following officers were elected for the ensuing year : President — Dr. S. Stewart, Kansas City, Mo. First Vice-President — Dr. H. L. Ramacciotti, Omaha, Nebr. Second Vice-President— Dr. S. T. Miller, Council Bluffs, Iowa. Secretary-Treasurer — B. F. Kaupp, Kansas City, Mo. Board of Censors — Drs. G. J. Collins, R. Ebbitt, Nebraska ; C. E. Stewart, Iowa ; Dr. E. H. Biatt, Kansas ; Dr. G. W. Merker, Missouri. Dr. John Tempany, who has spent the major portion of his life as an Army veterinarian, and who is now stationed at Fort Riley, Kansas, was elected an honorary member. SOCIETY MEETINGS. 616 Dr. H. Jensen, of Weeping Water, Nebr., gave an interesting talk on the " Sequelse of Castration." The snbject was discussed by Drs. Hoyhnan, C. E. Sle>*art, Drasky, Vincent, Schaefer, Simpson, Young, Jensen, and others. There was a great varia- tion in the methods of operating. Dr. C. E. Stewart stated that his method of operation was to cut off the cord as close as possi- ble to the inguinal canal and preferred using an emasculator. Dr. H. Jensen believes that to cut the cord long, the dangling end becomes infected and contributes to the cause of schiirous cord. Dr. J. J. Drasky believed the cause of hydrocele or " water seed " was due to the tunic closing and healing at end, forming a sac receiving the peritoneal fluids through inguinal canal. Dr. J. Vincent stated that he slit the tunic as high as possible, then with the emasculator cut off cord, including tunic, as high as possible, being sure the slit in skin and tunic was 4 or 5 inches long. His experience was that schirrouscord involved both cord and tunic, or outer covering of cord ; that he had not seen " water seeds " follow the method he has em- ployed. Dr. S. T. Miller gave an interesting talk upon the subject of periodic ophthalmia. After reciting the history of many of these cases he gave his methods of operating and results of same. A small incision is made in the cornea at the corneo-scleral juncture, allowing the aqueous humor to escape ; frequently a small quantity of purulent material is found in the lower part of the anterior chamber. This operation relieves intraoc- ular tension and rids the anterior chamber of the small quan- tity of pus and often gives relief for a long time. Dr. V. Shaefer's treatment is as follows: — K Atropine sulph., 15 grs.; adrenalin, i : looo, i oz. A few drops is injected into the eye twice or thrice a day, then a i : lOOO bi- chloride pack is placed upon the eye. If pus accumulates in the inferior portion of the anterior chamber, operation is ad- visable. A vertical incision is made in opening the chamber. Eighty per cent, of the cases are reported to recover if the treatment begins in the early stages Dr. S. Stewart stated that in the first or forming stage he had good results by shad- ing the eye and using a solution of atropine. Dr. Miller's experience was that the lens in the advanced stages became irregular in shape. Oftentimes the capsule ruptures and the lens is displaced anteriorly. Dr. J. S. Anderson noted adhesion of iris to lens, making the use of atropine advisable in the treatment of the disease. 616 SOCIETY MEETINGS. He attributed the opacity of the lens due to the extension of inflammation from the iris by contiguity of tissue. Dr. R. Ebbitt raised the question as to whether it was a constitutional disease or due, as some authors have stated, to cer- tain climatic conditions that exist in certain localities, or from gas from manure, etc. Dr. E. C. Hart not being present to offer his paper on pneu- monia, the President called upon Dr. S. Stewart to open a dis- cussion. Dr. A. Plummer stated that there was very little pneumonia found in the cavalry horses owing to their good treatment and stabling. One interesting case was reported in which "Tallianine " was used the second day ; loc.c. was given intravenously ; in all five tubes were used. The patient re- covered. Dr. H. Simpson then reported a peculiar case of lameness. Next the subject of omphalo-phlebitis was discussed by Drs. Schaefer, Jensen, Anderson and others. Dr. Schaefer states that it was present in both colts and calves in Nebraska. Dr. Jensen's treatment when the infection becomes generalized was 5 grs. collagyrum and 60 c.c. water, given intravenously once a day and repeated for three days. Dr. Anderson has found in holding autopsies that the umbilical vein and ureter were filled with pus, which may rupture and cause a fatal peritonitis. It has been his plan to curette the umbilical vein by means of a long slender probe and gauze, gauze being preferred to cotton on account of the danger of leaving some particles of cotton in the vein, then swab out with carbolic acid and turpentine, equal parts. Dr. Simpson uses injections of creolin. Before adjournment Dr. J. J. Drasky moved that Dr. S. Stewart, H. L. Ramacciotti and J. S. Anderson be reelected to invite the American Veterinary Medical Association to meet in Kansas City, Mo., in 1907. Seconded and carried. The Association accepted the invitation of the Ak-Sar-Ben to be their guests at their den at 8 p. m. At 9.30 A. M., June 19th, the meeting was again reconvened, with President Anderson in the chair. Dr. J. J. Drasky reported two interesting cases, one in which the animal breathed with great difficulty during both inhalation and exhalation. Upon examination the left arytenoid cartilage was found to be as large as three walnuts, partially ossified. The second case was that of a supernumerary eye, which was located in the supra-orbital fossa. An interesting discussion of operations on roarers and the results of same were participated SOaETY MEETINGS. 617 in. Dr. Miller asked how long after operation before recovery was complete. Dr. Anderson stated that his experience was that the results varied from a few days to three months. He also stated that he did not think that ossification or ulceration of incised laryngeal cartilage was as common as some writers would lead us to think. Dr. S. Stewart gave an interesting talk upon the subject of vaccinating cattle against tuberculosis, which was freely dis- cussed by Drs. Rhea, Ebbitt, Kaupp, and others. Dr. Rhea stated that in his experience in vaccinating calves that the bo- vovaccine would produce a reaction the same as follows tuber- culin injection if the calf be infected. At 1.30 p. M. a clinic was held at Dr. S. T. Miller's hospi- tal, 29 Fourth Street, Council Bluffs, Iowa. Case No. i. — A case was presented in which to all appear- ances the corpora nigra were abnormally developed, almost en- tirely occluding the pupillary opening. Other parts of the eye appeared normal. Case No. 2. — A cow with actinomycotic tumor in soft struc- tures of the left side of face was presented. Removal of tumor was performed by Dr. D. H. Miller, of Des Moines, Iowa. Case No. j. — Cryptorchid ; operator. Dr. J. W. Haxby, Vil- lisca, Iowa. Case No. 4. — Cryptorchid ; operator. Dr. C. E. Stewart, Chariton, Iowa. Case No. ,-. — A case was presented in which there was con- siderable enlargement in the region of the right maxillary sinus. The animal was placed upon an operating table and operated upon by Dr. J. S. Anderson, of Seward, Nebr. Considerable new growth was curetted out, which afterwards was submitted to Dr. A. T. Kinsley, of the Kansas City Veterinary College, for diagnosis. Upon microscopic examination it was found to be a fibroma undergoing a mucoid degeneration. Case No. 6. — A black gelding was presented with fistula of withers, which was operated on by Dr. P. Simonson, Freemont, Nebr. Case No. 7. — Ovariotomy in bitch ; operator, Dr. D. C. Scott, of Omaha, Nebr. Case No. S. — Cribber; operation, tenotomy of sterno- maxillaris tendon ; operator, Dr. B. F. Kaupp, Kansas City, Mo. Case No. g. — C»"yptorchid ; operator. Dr. J. Vincent, Shenan- doah, Iowa. 618 SOCIETY MEETINGS. Case No. /o. — A black dog of common breed, noticed twenty- four hours previous to show signs of incoordination of move- ments. At this time would continually roll from left to right, sometimes would whine. It was thought a slight fullness ap- peared over the left hemisphere. Ether was administered by Dr. Kaupp and operated on by Dr. Anderson. No injury was found to skull in that region, so it was decided to destroy the dog and make an examination to determine if possible the cause of action. A considerable clot was found in the region of the medulla, which probably caused the pressure on the parts that governed the powers of coordination. Case No. it. — Collie dog, which has just recovered from an attack of distemper, was presented. Diagnosis, chorea as sequela of distemper. Case No. 12. — A bay gelding of about 1,000 pounds was pre- sented. Case No. ij. — A bay horse, weighing 1,200 lbs., was pre- sented with an enlarged hock of the left leg. Diagnosis, spavin. Prognosis of any treatment, unfavorable, due to the fact that it involved the tibio-tarsal articulation. Case No. 14.. — A bull terrier pup was presented for the pur- pose of having ears trimmed. Operated on by Dr. D. H. Miller, Des Moines, Iowa. Case No. /j. — A bay mare, weighing 1,100 lbs., was pre- sented with a neoplasm involving the lid of right eye. Oper- ated on by Dr. S. T. Miller, Council Bluffs, Iowa. The neoplasm was given to Dr. Kinsley, who made a microscopical examination, and pronounced it a fibrosarcoma. By vote of the Association, the semi-annual meeting will be held in Kansas City, Mo. At 8 P. M. a banquet was held, which ended this interesting and instructive meeting. B. F. Kaupp, Secretary. MINNESOTA STATE VETERINARY MEDICAL ASSO- CIATION. ( Continued from July number^ THE RELATION BETWEEN HUMAN AND BOVINE TUBERCULOSIS. By Dr. W. Amos. " The subject of my paper, ' The Relation Between Human and Bovine Tuberculosis,' has absorbed considerable interest of SOCIETY MEETINGS. C19 late years and has been quite interesting to me for some time. " There has been considerable discussion on the subject and it has received a great deal of attention from scientific experi- menters. For the sake of clear understanding we can consider it from three different standpoints. '• First : — Direct experimental transmission of tuberculosis from man to animals. " Second : — Clinical evidence of its transmission from ani- mals to man. "Third : — The theoretical considerations. "The transmission of disease from man to animals is suscep- tible to direct experimental proof. As early as 1868 some of the French observers proved the possibility of infecting cattle with tuberculosis from man. The experiments were carried out on animals selected from localities where tuberculosis was unknown. In 1879 Bollinger succeeded in transmitting tuber- culosis of man to cattle ; and others have made similar emperi- ments. We may mention Klebs, Kitt, Crookshank, and more recently Thompson, Nocard, Weslinhoffer, Max, Wolfe, Fibiger, Jenson and others. The most noteworthy were the experiments of Hamilton and Young. They began with twenty calves, of which nineteen were inoculated with human material, and of these fifteen developed tuberculosis, while four resisted inocula- tion. The diagnosis in all fifteen cases was made by micro- scopic examination as well as by reinoculation of guinea-pigs, which showed tubercular lesions. This gave conclusive evi- dence of transmissibility of human tuberculosis to cattle. " The second phase of the subject and the one that interests us most is the transmission of tuberculosis from cattle to men. "This is rather more difficult to prove as here we are de- prived of the direct experimental evidence. We have, how- ever, a number of cases reported in which accidental inocula- tion has taken place. Dr. Ravenel, of Philadelphia, reports four such cases, two of which occurred in assistants in his own lab- oratory. In both these cases the source of infection was known, without any doubt in his mind, to be bovine, which was proven by the excision of the lesion, inoculation of guinea-pigs, and the isolation of the bacillus in pure culture. Other cases have been reported by Pfieffcr, Hartzell, Muller, and Trautman. " Froje reports the case of a young butcher in good health and with no hereditary tendency who cut his left fore-arm slightly while working on a tuberculous cow. The wound healed under treatment, but six weeks later showed signs of in- 6*^0 SOCIEXy MEETINGS. flammatory action, a tubercle formed on the internal side of the elbow. There were two small fistulj3e on the fore-arm and en- largement of the ulnar and axillary lymph glands ; a month later the middle fore-arm was covered with granulations, which steadily increased in area and, in spite of treatment, at the end of two months more assumed the character of lupus. Histolog- ical examination at this point proved the tuberculous character of the disease. Two years after the injury Froje found an ab- scess which extended into the deep muscular layers. The pus contained tubercle bacilli and the tissues showed typical tuber- culous lesions. In this case all possibility of infection from human source was excluded. This, of course, shows only the direct inoculation. " We have still farther to consider inoculation by ingestion. There has been considerable controversy on this subject, some contending that there is a possibility of inoculation in that way, while others, and of good authority, claim the contrary, but gathering up the evidence from both sides we see that it is pretty conclusively proven that inoculation by ingestion is possible. " It has been proven repeatedly by experiments that inges- tion is an easy way in which to infect animals and we have evidence brought forward by good authority that in mankind this mode of infection occurs also. It must be admitted, how- ever, that in the clinical cases we are liable to find in all of them some defect, as it is almost impossible to exclude posi- tively all other sources of infection. The evidence that we have, however, is as good as that we have in many cases which we admit to be by inhalation. It is generally accepted by all who worked along these lines, that inhalation of dried sputum or infected air is the chief source of infection from man to man, yet if strict proof of this is demanded very little positive evi- dence can be brought forward. Of the cases of clinical infec- tion I will cite the one reported by Dr. Gosse, of Geneva. His own daughter was infected and died of tuberculosis by drink- ing the milk from a cow with tuberculosis of the udder. The doctor performed a post-mortem and gave the results to the sci- entific world. " Directly in line with infection by ingestion comes the con- sideration of post-mortem evidence of primary intestinal tuber- culosis. In England we have a general average, as reported, of about 25 per cent. Prof. Kneppe, of Germany, says that the percentage of primary intestinal tuberculosis in that country is SOCIETY MEETINGS. 621 from 25 per cent, to 35 per cent, of all children dying from tuber- culosis. " Perhaps the strongest evidence that we have of the infec- tion of human beings by the bovine tubercle bacillus is the finding of bovine tuberclt bacillus in the intestines of children who died of intestinal tuberculosis. The first of these cases re- ported was from the laboratory of the Pennsylvania State Live Stock Sanitary Board, the material having been sent by Dr. Alfred Hanet, of the Children's Hospital of Philadelphia. In his pathological report he states that it was the clearest case of intestinal tuberculosis that he had ever seen. The organism was isolated in pure culture and found to respond in every way with bovine tubercle bacillus. " It is stated that bovine tubercle bacillus has a pathogenic power greatly in excess of that shown by the human bacillus in all the experimental animals tried ; the bovine tubercle bacillus, it is reported, shows this excess of virulence. In the different animals in which these experiments have been tried there is no case in the literature so far in which one single species of animal is more susceptible to the human tubercle bacillus than to the bovine, and farther this greater virulence of the bovine bacillus has been shown by whatever method of inoculation has been used. Now, then, if all other animals succumb more quickly to the bovine bacillus than to human, would it not be strange if man, one of the most susceptible beings, should show an immunity to the most virulent form of tuberculous virus known. I think we are safe in concluding that this increased virulence must hold good for man also, at least we can consider it as being possible and be guided accordingly, especially in the treatment and handling of all cases where the predisposing cause of the disease or, in other words, of the infection is hard to find, especially if there runs a very virulent course in human. In such a case, in my judgment, it would be advisible to investigate the food supply, such as milk, which by the way is considered by human practitioners as the best diet in all wasting diseases, also the meat used in feeding the sick. Right here I wish to say that it is not only for the benefit of the sick that we should be on the lookout for such a source of contagion in the food supply, but it will be of still more benefit to the rest of the family if they are warned of the danger where such a condition exists. Here, on a timely warning depends the future welfare of the rest of the family as well as the sick ones. ** In conclusion, I would say that I have written this paper SOCIETY MEETINGS. for the purpose of calling the attention of the members of this association to this form of contagion of the disease tuberculosis so that if any one of us should be so unfortunate as to have such a condition to deal with to make a thorough investigation of the case and make a clinical report to the society. Should I be successful in starting a fruitful investigation in this direc- tion by the members of this association then this paper will have served its purpose." DISCUSSION. President Price : We have listened to Dr. Amos' most thor- ough paper on this much-discussed subject, and I look for a thorough discussion. Dr. Amos : There is one question I would like to ask: What number of cases in calves do you find compared with cases in the grown-up animals ? We have with us a number of Federal meat inspectors, who may be able to tell us. It was suggested that Dr. Ketchum had a paper relating to this subject and that the discussion follow his paper. Dr. Ketchum : The question was as to the percentage of calves that were found affected on post-mortem. My paper does not touch on that at all. It has altogether to do with the number of parts that are affected with tuberculosis. It might be well, perhaps, before giving my paper to state that the per- centage of calves is not very large as compared with the num- ber of cattle. I do not remember exactly what it is ; we do not, however, find a great many calves as compared with the number of cattle affected with tuberculosis. President Price : The result of investigations by the Hol- landers, who have done it most thoroughly, has been that calves are very seldom born tuberculous and that by feeding them with healthy milk they can be raised absolutely free from tuber- culosis, which would carry out Dr. Ketchum's experience. Dr. Ketchum then presented his paper. THE INCREASE OF TUBERCULOSIS AMONG SWINE. By F. D. Ketchum, M. D. C. " The statement that tuberculosis of swine is prevalent and is showing a steady and rapid increase will probably be of interest to the members of this association. " Writers on animal tuberculosis have taught that though this disease was quite common among cattle it was rarely found among swine. A few years ago this was undoubtedly true, as inspectors of the Bureau of Animal Industry did not observe. SOaSTY MEETINGS. 6'^3 until about the year 1900, that the number ot hog carcasses condemned for tuberculosis showed a marked increase over pre- vious years. " During the fiscal year 1898 and 1899 there were slaugh- tered under Federal inspection 44,841,779 hogs, of which 4,021 were condemned for tuberculosis. That is, an average of one case of tuberculosis was found in about every 11,152 hog car- casses inspected. "In the fiscal year 1900 there were inspected at slaughter 23,428,996 hogs, of which 4,379 were condemned for tubercu- losis, or one in about every 5,350, which is an increase of more than 100 per cent, of the average for the two preceding years. ** Now, in order not to try your patience too much with statistics, it may be said that the disease has shown a steady in- crease since that time. In 1903, the last year for which com- plete statistics are available, one hog in each 1,076 was con- demned for tuberculosis. The statistics for 1904-05 have not yet been published, but will probably show about the same rate of increase as did the years from 1900-03. " It is interesting to compare the number of cattle found to be affected with tuberculosis during the same periods. In 1898 and 1899 there was one beef carcass condemned for tuberculosis in each 1,259 carcasses inspected. In 1903 one in each 717. In other words, the number of cattle condemned for tuberculosis increased approximately 75 per cent, during the six years from 1898 to 1903 inclusive, while the number of hogs condemned for that disease increased more than 1,000 per cent, during the same years. Or, to make the comparison in another way, in 1898 and 1899 ^" average of one beef carcass was condemned for each 1,259 inspected, while in 1903 an average of one and three-fourths carcasses were condemned for each 1,259 inspected. In 1898 and 1899 one hog carcass was condemned in each 11,- 152 carcasses inspected, while in 1903 nearly eleven carcasses were condemned for each 11,152 carcasses inspyected. " It is also worthy of note that the number of hogs con- demned for tuberculosis in 1903 exceeds by more than 1,000 the number condemned for both hog cholera and swine plague. *' In commenting on tuberculosis the Secretary of Agricul- ture in his report for 1905 says: 'It is not uncommon to find herds of dairy cattle where 50 to 90 per cent, of the animals arc affected with this disease, and in our meat inspection service there have been found in some large abattoirs nearly 3 percent, of hogs with tuberculosis.' 624 SOCIETY MEETINGS. " In looking for the cause of this extensive increase of the disease among swine, we naturally attribute the source of infec- tion, in a large percentage of cases, to cattle. With the present knowledge of the transmissibility of bovine tuberculosis, it is readily understood that the feeding of milk from cows affected with the disease will cause infection in a large per cent, of the animals so fed. Creameries to which the milk is hauled, run through a separator, and all the milk gathered at one time or during one day is placed in a tank from which it is distributed to farmers and stock feeders for feeding purposes, are probably responsible, to quite an extent, for the spread of the disease. If there is one herd or even one cow affected among those sup- plying a creamery with milk handled in this way, then all the milk with which that from the affected cow or cows is placed is contaminated, and every pig or calf fed with it is exposed to in- fection. " It would seem that the danger from this source might be almost entirely eliminated if the milk were thoroughly steril- ized after being put through the separator. Some creameries are now sterilizing the milk before returning it to the farmers and stock feeders, but this innovation is too recent to show re- sults. *' Another source of infection, and one which cannot be too much reprehended, is the practise of allowing hogs to eat the carcasses of animals which die a natural death or the viscera of those slaughtered for food. In allowing this there is danger of causing the spread of not only tuberculosis, but other contagious diseases as well. "The yarding of cattle and hogs together in the same sheds and pens where the hogs eat food which has been picked over by the cattle and also their droppings, is another source from which hogs may become affected. " In one instance which came under the observation of the writer fifty-four hogs out of a carload of 76 were condemned for tuberculosis. On investigating the origin of this infection it was found that more than 50 per cent, of the cattle owned by the man who raised these hogs were affected with tuberculosis ; that these hogs had been kept in the same pen with the affected cattle, had eaten grain and food left by them, and that at least one of the cattle had died and the hogs had eaten the carcass. " In the way of prevention nothing new can be suggested. The present methods seem to be inadequate, chiefly, perhaps, because of opposition on the part of a majority of the owners of SOCIETY MEETINGS. 625 valuable herds of cattle, who do not have them tested on account of the loss which would follow if a number were found to be diseased. The only remedy now known is to test all cattle and slaughter those that react. Until this can be done sterilize the milk before feeding it and keep hogs and cattle separate as much as possible. " Unless something efifeclual is done soon to better these con- ditions, the live stock industry will receive a check from which it will not recover for years, and too much cannot be said to attract the attention of stockmen to this important subject and to bring about the adoption of measures which will tend to stop this rapid spread of tuberculosis." DISCUSSION. President Price : Dr. Ketchum's paper is now open for dis- cussion. I think it is a subject in which we are deeply inter- ested. Dr. Beebe : I am quite a firm believer that there is a large number of cases of tuberculosis both in man and animals result- ing from infected food, especially milk. Von Behring has done a large amount of work along this line and he claims that young animals are especially susceptible to tuberculosis because the intestinal mucosa is imperfectly developed at that time, which consequently allows the organisms to pass through the mucosa into the lymphatic sy.stem. He has shown further that infection is this way may result in a localization of the disease in the lungs. He also advances the theory that there is a large percentage of young animals that become infected that will not show lesions until a considerable length of time after the infec- tion has taken place, but the lesions develop months afterwards. I think the majority of people who are authority on this subject do not agree with Von Behring that the lesions develop months afterward, but I am of opinion that in young animals there is a large percentage of them that become infected from the use of milk from tuberculous animals. President Price: Dr. Beebe being our bacteriologist, I think will have to explain to us where the leucocytes originate, whether in the intestinal canal or elsewhere. Some of our most recent investigators claim that the intestinal mucosa gene- rates the leucocytes, and it is in the intestinal mucosa that all obstruction or infection of parasites takes place. Where the intestinal mucosa is destroyed or weakened by invasion of im- perfectly digested material, a toxemia results which destrovs 6?6 SOCIETY MEETINGS. the vitality of these cells which become leucocytes, conse- quently their activity is lessened and infection takes place. Dr. Beebe : I do not know that I can say anything on that point. I think perhaps Dr. Price is better prepared than I am. He seems to be familiar with the production of the leucocytes and I will not attempt to discuss their production. Dr. Gould: In speaking of the pasteurization of milk, I believe that we have a law regarding this, and I think the creameries should be called to account. I know in my own practise I find several outbreaks of hog disease, possibly due to milk from creameries, and I think the law is quite plain on it if it is carried out. Another thing I noticed in the B7'-eedei'^s Gazette is an advertisement of a sale by Edwards & Co., and they advertise the fact that they have had the Bang system in effect for many years and can give a bill of health with every animal. I think it is a sign that breeders are looking into this fact, and it will only be a matter of time when every live-stock breeder of any account will have to assure his patrons that he can give a clean bill of health. Dr. Amos : Regarding the pasteurization of milk, it is getting where the creameries only get the cream. I think I can say that in Steele County 25 per cent, of the farmers have their own separators and only take cream to the creameries. Dr. Gould: The buttermilk is taken back to the farm. President Price: I would like to ask Dr. Ketchum if in these cases of infection of hogs he has been able to trace it up to the milk supply. Dr. Ketchum : Owing to the way hogs are usually handled at the large abattoirs it is impossible in most cases to locate the farm from which a certain hog or a certain lot of hogs origin- ate. All the hogs bought during the day are thrown together and then sorted according to grade and are killed in lots as sorted. Hogs from one carload may be slaughtered in half a dozen or more lots, and as 25 to 50 carloads, each from a differ- ent locality, are frequently slaughtered in one day, it is im- possible to trace any of them back to the farm. In only a few cases, the one mentioned in my paper and a few others where the disease was suspected, have we been able to trace hogs back to the farm where they originated. IMMUNITY. By Dr. W. L. Beebe. " Inasmuch as in the last few years much work has been done SOCIETY MEETINGS. 627 to elucidate the theory of immunity, it seems a fitting time to give a brief resume of the result of some of the investigations. "By immunity we mean the non-susceptibility toagi\en disease, or to a given organism, either under natural or acquired conditions. Certain species of animals are normally immune to certain infectious diseases ; for instance, horses are immune to black-leg and cattle are immune to glanders. That is to say, when they are exposed to infection under natural conditions. From this fact, however, it does not follow that when the organ- isms of the respective diseases are introduced into the body by artificial methods of inoculation, pathogenic effects may not fol- low. This is exemplified experimentally by infecting a rabbit with swine plague, although they do not do so under normal conditions. Therefore, it follows that immunity is of varying degrees; such a thing as absolute immunity is scarcely known. "It may be well to consider race immunity here, although it properly belongs to acquired immunity. This form of im- munity is probably an acquired tolerance, due to natural selec- tion and inheritage. If, for example, a susceptible species of animal is exposed to the ravage of some infectious disease, the least susceptible will survive and may bring forth young who will be likely to inherit this special character. " The tendency to continuous or repeated exposure to the same pathogenic agent will eventually be to establish a race tolerance and there is reason to believe that such has been the effect in the case of some of the infectious diseases in man ; e.g., syphilis and small-pox, which prevail with great severity when introduced to a population free from the disease. A very re- markable instance of race immunity is that of Algerian sheep against anthrax, a disease which is very fatal to other sheep. "In addition to this general race immunity we have indi- viduals differing in resistance to the action of pathogenic bac- teria which may be natural or acquired. A very marked differ- ence in susceptibility is shown in hog cholera : the most susceptible contract the disease early in the outbreak and die off rapidly, while in the more resistant animals the period of in- cubation and duration of the disease is longer. " But these resources of nature upon which natural immun- ity depends may be neutralized by various agencies which de- mand consideration. It has been shown by exp)criment that animals normally immune may be infected by the addition of certain substances to cultures of pathogenic bacteria. Thus Arloing was able to produce symptomatic anthrax in animals 628 SOCIETY MEETINGS. naturally immune by mixing with cultures various substances, such as carbolic acid, pyrogalic acid, etc. Further, certain foods or drugs in the food may reduce the resisting power of the host. Behring asserts that he has demonstrated by experiment that white rats lose their immunity for anthrax by feeding them on a diet exclusively vegetable in character, or upon the addition of phosphate of lime to their food. " Perhaps, therefore, the harmless parasitic organisms on the respiratory and digestive mucosa? identical in morphology and cultural characteristics to certain disease-producing germs, such as swine plague, hsemorrhagic septicaemia, etc., may be- come pathogenic under similar conditions. For instance, the resisting power of the host may become lower from dietetic, hygienic or other conditions, thus allowing the organisms to gain foothold in the tissues and acquire disease-producing prop- erties. " Acquired immunity is that obtained by the introduction of organisms, or their products, in sufficient quantities into the system, or by an adequate amount of serum of another animal highly immunized against a specific organism. The former is called active, while the latter is called passive. Active immun- ity is obtained by (a) injections of the organisms either in an attenuated condition or in sublethal doses or by sublethal doses of their products ; i.e., (using this term in a rude sense) of their toxins. By repeated injections at sufficient intervals the doses of organisms or of the products can be gradually increased ; or, the. same amount of an organism of greater virulence or a toxin of greater strength may be used. By this method a very high degree of immunity can be developed. An attenuated organism is used in black-leg, anthrax, and chicken cholera, vaccination, €tc. Such a method as this is, however, only preventive, as the immunity must be developed before the onset of the disease. " Passive immunity is produced by introducing into the sys- tem serum from another animal that has previously been highly immunized against a specific organism by some one of the meth- ods for producing active immunity. This serum when injected into the system produces immediate effect and can thus in many cases forestall the disease if infection has taken place, or if the disease has declared itself it has a decided therapeutic action. This is the form of immunity obtained when antitetanic or antistreptococcic serum is used. Notwithstanding its imme- diate action it has the drawback of being very transitory in its effects. If, for instance, it is necessary to produce immunity SOCIETY MEETINGS. 629 immediately and have it effectual for a considerable length of time, it will be necessary to make injections at intervals. " In the foregoing pages I endeavored to touch briefly upon the different kinds of immunity and how they are produced ; but now let us consider why they are caused. It is the desire of the bacteriological workers to learn as much as possible about the cause of certain phenomena, the same as it is with the in- dustrious veterinarian to endeavor to ascertain the cause of certain complicated cases. Therefore many bacteriologists have worked with untiring efforts for years on this phase of the sub- ject and now offer the following quite plausible solution of the problem. " If a pathogenic organism or its products are introduced in- to the body, the system at once begins to fortify itself against this unwelcome invader by throwing out atomic bodies into the plasma which join themselves to the poison molecule, on ac- count of the great affinity they have for it, and thus make the toxin inert. " The quantitative experiments of Ehrlich upon diphtheria toxin and the filtration ones by Martin and Cherry with the same, and also upon snake venom, seem to prove that the inter- action between toxin and antitoxin is a chemical combination analogous to the combinations of an acid with a base ; e. g., silver nitrate and H. CI., an innocuous compound being formed. And it is thought that the rules of the interactions are the same as those in chemistry. Thus, cold retards, while concentration and warming hasten the combination and a lapse of time is re- quired for the complete interaction to take place. A mixture of toxin and antitoxin kept in contact for a short time may still be toxic, but after a longer time becomes non-toxic. If a certain definite amount of diphtheria antitoxin, which may be termed one immunizing unit, be mixed with varying quantities of a given toxin, an amount of the toxin which is exactly neutra- lized by this amount of antitoxin — that is, by one immunizing unit — can always be determined. Ehrlich found, for example, on using one-tenth of an immunizing unit of antitoxin, that the quantity of a certain toxin which was exactly neutralized was .24 c. c. On making an analogous determination with one im- munizing unit the maximum amount of toxin which could be given with it without producing any effect, that is, was exactly neutralized, was found to be 2.4 c. c. just ten times the previ- ous amount. It was shown that antitoxin does not pass through a Chamberland porcelain filter that had been previously soaked 630 SOCIETY MEETINGS in hot gelatin, while bacterial toxin will pass through. As the toxin is not held back by the filler, whereas the antitoxin is, this provides a physical means of separating them, providing they have not reacted upon each other. Martin and Cherry mixed diphtheria toxin with sufficient antitoxin to make them completely neutralize all the toxin. This mixture was allowed to remain in contact at 30°C. for two hours, and was then fil- tered through the gelatin filter. The filtrate was found to be quite innocuous. If the toxin had remained unaffected it pre- sumably would have passed through the filter. As it did not do so the conclusion is that it had entered into some sort of chemical combination with the large antitoxin molecule. '• Another method was employed with snake venom. One of the toxic constituents of snake venom may be heated to 90"^ C. without injury, whereas the snake venom antitoxin or antiserum is rendered inactive by heating to 68°C. for ten minutes. Martin and Cherry made mixtures of antiserum and venom and at stated intervals removed small portions, heated them at once to 68°C. to destroy the antitoxin and injected into animals. It was found that when the antivenin and venom were kept in contact for only a short time, two to ten minutes according to the amount of venom, death ensued; whereas when kept in con- tact for a longer period the animals in all cases lived, showing that as for all chemical combinations time is an important factor. These experiments seem to prove that the neutraliza- tion of toxin by antitoxin is due to a chemical union or com- bination. The toxic action of toxin in vivo would also seem to be due to a chemical union between the two ; and Ehrlich assumes toxin made up of molecules that possess two different combining groups : one, which may be designated the hepto- phore group and unites with the heptophile group of the cell, while the other may be designated the toxiphore and united with the toxophile group of the cell. If toxophile group be absent, the toxophore group of the toxin is unable to act, and no toxic action follows. This union is similar to the way a key fits into a lock and only certain forms of toxophore and hepa- phore groups will fit certain forms of toxophile and heptophile groups. Ehrlich suggests that the heptophile and toxophile groups subserve normal functions in the animal organism, and that they only incidentally, and by pure chance, possess the capacity to unite with this or that toxin, for it is inconceivable that these atomic groups should exist simply for the purpose of fixing various toxins. Now if an animal be injected with a SOCIETY MEETINGS. 631 sublethal dose of toxin, the toxin becomes united by its hepto- phore group to the heptophile group of the cell bioplasm that fits. The union is a firm and enduring one, and the heptophile or receptor involved cannot exercise their normal physiological functions while this union lasts. Now Weigart has worked out the theory that such a defect is replaced by regeneration. Therefore, new heptophile groups similar to those which have been thrown out of action by the union with the toxin, are re- produced, and if more toxin be injected, again unite with it and this union of receptor and heptophile, similar to those which have been thrown out of action by the union with the toxin, are reproduced, and if more toxin be injected, again unite with it, and the union of receptors with toxin and regeneration of the receptors be repeated again and again, and the cells become educated as it were to reproduce the necessary receptors in ever increasing quantity. This accounts for the immunity which may be induced by gradually increasing doses of toxin. Whereas at first the cells possess comparatively few of the re- ceptors in question and a small amount of toxin would there- fore create a serious defect or lesion, when these receptors have become very numerous much more toxin may be injected with- out injury ; that is, an immunity exists. But Weigart has shown that simple replacement does not take place, the com- pensation proceeds far beyond the necessary limits until at last the receptors are produced in such excess that the majority are no longer capable of remaining attached to the cells, but become free in the blood. This excess of receptors in the blood is anti- toxin. The antitoxin represents the receptors reproduced in excess during regeneration and theref'-re pushed off from the bioplasm of the cells and so coming to exist in a free state in the blood. " These facts hold good for diphtheria and tetanus which seem to be different from most other infective diseases, such as anthrax, chicken cholera, haemorihagic septicaemia, etc. The former are essentially diseases produced by the absorption of soluble toxin, while the microorganisms remain for the most part localized. In anthrax, fowl cholera, etc., on the other hand the toxins are apparently to a large extent inherent in the bioplasm of the bacterial cells. If an animal is highly im- munized to one of these organisms it is found that its serum has little protective properties when injected into another animal. " Experimental evidence goes to show that there are two GS'^i SOCIETY MEETINGS. substances at least which are concerned in this reaction : one a specific immunizing body different for each microbe are found in the serum only after treatment." DISCUSSION. President Price : We have all listened to Dr. Beebe's very interesting and explicit explanation of immunity, a subject which has puzzled all of us for a number of years and which he has explained very fully and thoroughly. It is a subject which has been heretofore in the dark to everybody, including the most scientific investigators. We would be glad to hear from some of those present. Dr. Lyford: May I ask Dr. Beebe a question? He speaks of tetanus and I want it better brought out that the germ in tetanus is not in the blood, that it is simply localized ; that is, the main poison that passes through the nerve medium. Dr. Merillat gave us a very nice paper on that in Chicago a few weeks ago. One of the things that was very interesting to me was the question of inability to kill the germ. The question of what was required to kill the germ, and the question of treating the germ in any other place except locally at seat of inoculation, and he claimed that even boiling 5 to 15 minutes would not kill the germ — that hydrochloric or carbolic acid, or any of the other antiseptics or escharotics were little better than water comparatively, and in killing a germ that there was probably no way of getting rid of it even with a hot iron thrust into it, unless very thoroughly seared. Many of these experi- ments had been tried, and it seemed very heroic treatment. He said that creolin and all of those things were just as good as nothing. I do not remember of his speaking of iodine, but said that extirpation was about the only way to get rid of it, as immediately around the wound the germs were localized, and he claimed that was about the only way to get rid of the toxic effect. If you cut it out early enough before the toxins have developed through the system, you stood a good chance of cut- ting off the supply. Of course, a very severe case of tetanus having generated, a good deal of the effects of toxin and toxin poisoning would be much more certain. If gotten at in time, your chances would be better. I thought Dr. Beebe might give us a few more points on it, and though not connected directly with his paper I would be glad to hear more of the tetanus germ if he could give it to us under that head. Dr. Beebe : Tetanus is a disease in which the union of the SOCIETY MEETINGS. 633 toxin and nervous matter is very well marked ; for instance, if we take a certain amount of nervous matter from the central nervous system and mix thoroughly with toxin that is produced by the tetanus germ and inject it into a susceptible animal the result is that the animal will live providing there is sufficient nervous matter to unite with all of the toxin present, whereas if the toxin was injected without the nervous matter the animal would die in a very short time from tetanus, thus showing that there is a sort of chemical combination or union between the two substances. As Dr. Lyford mentioned, the organism re- mains localized, while the toxin is supposed to travel along the nervous trunk. The toxin unites with the nervous matter very firmly ; for example, if the toxin had become united with the nervous matter it seems almost impossible to break this union. As I mentioned in my paper, this union resembles the way a key fits into a lock. When antitoxin is used it must be admin- istered very early before this combination takes place, for after the toxin has become united with the nerve elements the anti- toxin has no effect whatever. If it can be used early enough the antitoxin will unite with the toxin and thus make the toxin inert. President Price : I will call on Dr. Gould. He has had success with probably the most rational treatment of this disease. Dr. Gould : Since I read a paper here I treated a case, but it was one of those cases that might have gotten well any way. The animal could eat. The hip, back and neck muscles were quite hard, but the animal consumed quite a large quantity of acid. It was a case, as I say, that would probably have gotten well any way. President Price: Sajons, of Philadelphia, has lately intro- duced a theory that the secretion of the ductless glands are essential to immunity. The ductless glands have always been looked upon as something strange. We did not know what they were there for. Sajons has introduced a theory that these ductless glands are entirely essential to life, that if you destroy these glands life's functions cease. In regard to tetanus he claims that the secretion of the adrenals is entirely essential to the oxidations that take place in the body. You can destroy the brain and remove it in sections from birds and life con- tinues, but if you destroy the pituitary bodies you destroy life. These are small bodies in the human brain. The posterior is the smaller one, according to his theory. These glands control 634 SOCIETY MEETINGS. th« thyroids and the thyroids through their secretion control the activity of the adrenals. The one is entirely dependent on the other and through their activity and secretions life is continued. In tetanus, we have, as Dr. Beebe has explained, a chemical combination taking place between the toxin and the nervous matter which is indestructible, the same as you have between tannin and iron. Dr. Sajons' theory is to stimulate the adrenals and by their secretion stimulate the life processes, causing the destruction of bacteria and their toxins. How are we going to do this ? He claims that carbolic acid is an active stimulant to the adrenals. Unfortunately we always try to give something to quiet the nerves ; cannabis indica, bromide, quinine, — every one of which destroys the activity of the adre- nals. Here we are giving antagonistic remedies, the action of one overcoming the other. If we are going to give carbolic acid treatment we have to stick to carbolic acid and give it alone, and nothing with it. Otherwise we are giving something that overcomes the stimulation that the carbolic acid produces, and we get no benefit from our "carbolic acid treatment." Dr. Gould : I did not use carbolic acid with the intention of stimulating those adrenal glands, but since talking with Dr. Price I think the action is a great deal more reasonable than I first supposed it to be, because it does have a paralyzing effect on the nerves, especially to the muscles, and we get stimulating action in that way, where, if we used chloral hydrate, we would not get that stimulating effect on the adrenals, but would get a deadening effect at the time we get our paralyzing effect on the motor nerves. Reasoning along this theory that would be the ideal remedy for tetanus. This case I speak of was one of those slow cases. Of course, it had been showing symptoms of tetanus for probably a week before I saw it, just gradually get- ting worse, and even with the carbolic acid treatment the disease apparently did extend somewhat, gradually subsiding after that. Whether it was due to the action of the acid, of course I do not know. I did not get the animal to consume a great quantity of the acid. The patient was about ten miles from home, and I had to trust the owner to give it, but the animal consumed some of the acid. President Price : In regard to that, I would state, that you can overstimulate the adrenals, the same as you can overstimu- late a person with alcohol. Remember that overstimulation al- ways results in paralysis. SOCIETV MEETINGS. 630 NEW YORK STATE VETERINARY MEDICAL SOCIETY. ANNUAL MEETING, SEPT. II-I3, BUFFALO. The forthcoming meeting promises to be of very great in- terest. The literary program, not yet complete, is already highly attractive in the wide range of subjects and high char- acter of the contributors. The papers on veterinary education in New York, one by a distinguished educator, the other by an equally prominent practitioner, with the relation of education to license and practice, will inevitably induce a discussion which will appeal to each member of the profession. A repre- sentative of the State Educational Department is expected to be present to participate. Dairy and milk inspection are to be thoroughly considered and the program is rich in papers having a direct interest to veterinary practitioners. The list of papers is not complete and important additions are expected. The clinic, as has been the rule in the past, is to be made a very prominent feature. The local committee has secured suitable accommodations for the meetings and a complete announcement of the convention will be issued shortly. It is expected that the Genesee Hotel will be headquarters. The program as far as completed is as follows : " Veterinary Education in New York," Dr. James Law, Ithaca. " Veterinary Education in New York," Dr. E. B. Acker- man, Brooklyn. " Dairy Inspection," Dr. H. D. Gill, New York. " Dairy and Milk Inspection," Mrs. C H. Cocke. *' Municipal Milk Inspection," Dr. W. G. Hollingworth, Utica. " Rabies : A Discussion of its Etiology, Diagnosis, Dis- semination and Control," Dr. Veranus A. Moore and Mr. Cas- sius Way, Ithaca. " A Supposedly Tuberculous Cow that Failed to Tubercu- lin," Dr. S. H. Burnett, Ithaca. " One Way of Treating Toe- and Quarter-Cracks," Dr. Ros- coc R. Bell, Brooklyn. " Peculiar Fatal Cases with Post-Mortcm Notes," Dr. Louis Juliand. '♦ Canine Toxremia," Dr. P. A. Fish, L. S. Backus, and Ward Giltner, Ithaca. 636 SOCIETY MEETINGS, " Influenza or Shipping Fever," Dr. W. G. Dodds. " Influenza or Shipping Fever," Dr. E. E. Dooling. " Typhoid Influenza," Dr. George H. Berns, Brooklyn. " Eczema : Clinical and Post-Mortem Notes on ' Sy- sonby '," Dr. William Sheppard, Sheepshead Bay, " Fracture of the Sesamoid Bones," Dr. J. h. Wilder, Brook- lyn. " Milk Fever," Dr. Wilson Huff, Rome. " Observations on Colics, Volvulus and Intussusception," Dr. J. F. DeVine, Goshen. " Local Anaesthesia," Drs. W. S. Eggleston and J. F. Miller. Subject not yet stated. Dr. J. W. Corrigan, Batavia. Exhibition of Pathologic Specimens, Dr. W. Reid Blair, New York Zoological Park, New York. PENNSYLVANIA STATE VETERINARY MEDICAL ASSOCIATION. This Association will hold its semi-annual meeting at Gettysburg, Pa., Sept. i8th, 1906. A good program has been arranged and a very enjoyable meeting is anticipated. C. J. Marshall, Secretary. At the annual meeting of the Missouri Valley Veterinary Association, at Omaha, Neb., in June, fifty-five new members joined this flourishing organization. At its present rate of in- crease, it will be but a short time before it will outnumber the A. V. M. A. A REPORT of an auction sale of branded horses at Portland, Ore., states that two carloads were recently sold at an average of $35. Some years ago when salt horse was being barreled at the Linnton, Ore., cannery, the same sort of animals sold at $1.50 per head. " The Iowa-Nebraska Veterinary Bulletin " states that Drs. Peter Simouson, E. F. Stewart, H. Jensen, J. S, Ander- son, Richard Ebbitt, C. A. McKim, and A. T. Peters are mak- ing arrangements to attend the New Haven meeting of the A. V. M. A. Drs. J. S. Anderson, H. Jensen, J. H. Gain, and C. A. Mc- Kim attended the Nebraska Stock Growers' Association at Al- liance. They had a very large tent, 40x60, under which hun- dreds of stockmen were seated to witness operations performed by these gentlemen. — (Iowa-Nebraska Veterirtary Bulletin. ) NEWS AND ITEMS. 637 NEWS AND ITEMS. Birth.— To Dr. and Mrs. Charles E. Clayton, New York, July 6, a daughter. Dr. William H. McIntosh, veterinarian, died June 3, 1906, at Morristown, N. J. Five Veterinarians took the civil service examination for meat inspectors at Chicago on April 18 and four did like- wise on June 25. Dr. Nelson S. Mayo, Chief of the Cuban Bureau of Ani- mal Industry, will be in attendance upon the New Haven meeting of the A. V. M. A. Dr. Wm. Herbert Lowe has been reappointed to the full term of three years on the New Jersey State Board of Veteri- nary Medical Examiners. Dr. Elishu Hanshew, of Brooklyn, has installed a new Humane Operating Table in his hospital at 125 Carlton Ave., supplanting an old-fashioned one. Dr. John V. Laddey, of Arlington, N. J., has bought the late Dr. Mcintosh's practice at Morristown, N. J., and has moved to that place to practice his profession. Dr. William Herbert Lowe has passed the New Jersey State Examination for Sanitary Inspector of the first class and was licensed as such by the Board of Health on June 23. Rabies has claimed many victims around New York this summer, not only dogs, but humans and large domestic animals. This should not be, where the Negri bodies can be so quickly discovered, and inoculation can so certainly prevent the develop- ment of the disease. Glanders appears to be quite prevalent in New Jersey at present. Dr. Lowe was called from the Secretary's chair at the Asbury Park meeting of the Veterinary Medical Association of New Jersey to investigate an outbreak, where a comparatively large number of horses were found to be affected. Drs. Robert W. Ellis, George H. Berns, and Roscoe R. Bell, of New York, attended the Asbury Park meeting of the Veteri- nary Medical Association of New Jersey on July 12-13. Many of the members and visitors availed themselves of the opportunity to enjoy the delightful seaside resoit by bringing along members of their families. A Valuable Kentucky Trotting Mare, owned by James Mclntrye, an actor, summering at Bergen Beach, N. Y., was bit- ten by a mongrel dog, evidently suffering with rabies, was at- 638 NEWS AND ITEMS. tacked three weeks later with rabid symptoms, which rapidly developed until he struck, bit and chewed his fore-leg nearly off, seizing the wood work of his stall with his teeth, breaking them off down to the gums. After forty-eight hours of terrible suffering he was destroyed. Dr. S. H. Gilliland, M. D., V. M. D., Bacteriologist for the State Live Stock Sanitary Board of Pennsylvania, is at present at Saranac Lake. As a result of hard work in connec- tion with sickness and death in his family his health failed and he was compelled to take a much needed rest. His friends are pleased to learn that his health is improving and his physicians are hopeful that he will soon be restored to his usual good health. Hon. H. C. Adams, of Wisconsin, member of the House Committee on Agriculture, who was such a conspicuous figure in the recent fight on the Meat Inspection Bill, died at Chicago en route to his home. He had long hung to life through his indomitable will power, his health having been very bad for many years. He was the author of the " Adams Act," which doubled the annual governmental appropriation for the state ex- periment stations. A Well-known Veterinary Pathologist is engaged in investigating azoturia, and has progressed sufficiently far to state that he has succeeded in reproducing the symptoms in large rabbits, including the characteristic paralytic knuckling in the hind legs, trembling of the flanks, dark-colored urine, and on post-mortem paleness of the gluteal muscular tissue. He has about passed his promise to give the profession a preliminary report upon his investigations at one of the early meetings of the Veterinary Medical Association of New York County. He is certainly advancing on a path that leads to glory, for practi- tioners will rise up and call him blessed if he succeeds in dis- covering the etiological factor, which will greatly aid in indi- cating both therapy and prophylaxy. The Official Veterinarians of the Horse Show As- sociation OF America, who have held office year after year for more than a decade, were this year summarily removed and replaced by others. Those who were replaced are among the most prominent in this country, being men of high character and great experience. They are Drs. Wm. Sheppard, of Sheeps- head Bay ; Thomas G. Sherwood and J. Elmer Ryder, of New York City. No reason was assigned for the change, but rumor has it that it owes its occurrence to a difference of opinion be- tween the veterinarians and a member of the Horse Show Com- NEWS AND ITEMS. 639 mittee, a layman, who placed his judgment against those of the oflBcial veterinarians, and took his revenge by securing their re- moval. It is said that the circumstances were as follows : A saddle horse called " Poetry of Motion," has a white face, and the skin was irregularly pigmented about the muzzle and nos- trils, as is often seen in such horses. The oflBcial noticed this and called the attention of the veterinarians to it, suggesting that the animal was affected with variola, and should not be al- lowed to compete. Their decision was against him and the horse was shown and took one or more blue ribbons. Their places have been filled by the appointment of Dr. H. D. Gill and Dr. E. A, A. Grange, while the third member had not yet been decided on when this item was written. It is said that the position has been offered to Dr. Leonard Pearson, of Phila- delphia. $94,000,000 IN Automobiles Now on the Scrap Heap- 80,000 Cars in Use ; 40,000 Abandoned. — Statistics of auto- mobile registrations published in the Herald a few days ago are full of interest to horsemen as throwing light on the lasting qualities of the latest mechanical substitute for the horse. These statistics show that up to June i, 1906, 121,369 automo- biles had been recorded in the United States since the laws compelling registration went into effect a few years ago. About forty thousand of these automobiles are now out of com- mission, according to the records of the Motor Directories Com- pany, leaving something like eighty thousand in use if this es- timate is to be relied on. It seems probable, however, that both the number registeied and the number in use are over- estimated, since it is a matter of common knowledge that very many machines — perhaps a majority of all those registered in some States — are registered in duplicate in two or more States, thus swelling the totals on the face of the returns far beyond the actual number existing. That the number "laid on the shelf " has been overestimated, or even fully estimated, by the automobile people themselves is not likely, to say the least. Taking the figures without question as they stand it must seem most surprising to disinterested observers of the development of the motor vehicle that out of 121,369 cars thus far registered 40,000, or practically one-third, are already on the scrap heap. When it is remembered that in New York, and probably in other States as well, the records show thsU nearly one-third of the whole number of cars registered have been running only about one year these figures become strikingly significant of the 640 NEWS AND ITEMS. short life of the average automobile. Registration figures in New York indicate that the selling price of the average auto- mobile is about $2,360. It will, therefore, be seen that the 40,- 000 machines thus far put out of commission represent some- thing like $94,400,000 in cost, if not in value, and this is exclusive of money paid out for repairs before the cars were finally abandoned. The American people are rich, and they have the name of being lavish if not extravagant in their ex- penditures, but it remains to be seen whether they will con- tinue to foot the bills for automobiles at this rate after the nov- elty of the new toy has worn off. Expert horsemen and ex- perienced carriage builders have all along maintained that the life of the automobile must be short, and the expense of keep- ing one necessarily very heavy, owing to the tremendous strain to which the delicate and intricate mechanism is subjected when driven at high speed over rough roads. They have pre- dicted just what the records now seem to show, that the average automobile would not last more than one year, and that the cost of the machine, repairing it, keeping it and running it would prove to be too great for the general public to bear. — (New York Herald, July 22.) Wanted — A Great Veterinary School. — Provision has been made in the packinghouse law for inspection that in- spects. A very large force of capable inspectors will be required. We must have them. The eyes of the world are upon us, the international spotlight is turned toward us. The necessity ex- ists for a great veterinary school in which men may be thor- oughly qualified to inspect meats on the hoof and in the carcass — a school where all diseases common and uncommon among domesticated animals maybe exhibited in the clinics and where students may obtain an education in animal husbandry such as they need to enable them to apply properly their knowledge of pathological conditions. The application of such knowledge has but half its use in the absence of a thorough accurate and extended knowledge of physiological copditions. We must have inspectors trained to their work. The Government calls for 400 of them now. Their work is in the stock yards of the country, and it is therefore plain that we should have men trained at the stock yards. The greatest stock yard plant in the world is in Chicago. It follows then that the place for this great veterinary school is at the .Chicago yards. The Union Stock Yard & Transit Co. has ground to spare. It has funds. It. has enterprise. It sees opportunities and grasps them. The 641 International is a monument to its interest in the welfare of stockgrowers and it is not difficult to believe that if the need of a veterinary college at the yards were properly presented to the stock yards officials the result would be a building for a veteri- nary school greater than any in existence to-day and a faculty the like of which the world can not show. It is not generally kuown that the greatest veterinary school so far built is in Cal- cutta. Everything that the wealth of the greatest empire in the world and the intelligence of the brightest minds in the veteri- nary profession could devise has been lavished on that school in India, but the new American school should be greater still. No secondary place will serve the United States. A world's trade is at stake. We must have the school commensurate with the needs of the whole round globe. Disease takes strange forms. This is a wide country and many very different conditions, cli- matic and otherwise, are included in it. For years it has been the custom of men in the country to use the big stock yard markets as a dumping ground for every animal that was of no- farther use to them. Comparatively few veterinarians engaged in a general country practice have ever seen such a varied as- sortment of diseases as may be seen any Thursday — "canner day " — in the Chicago yards. When a man's hogs begin to die off in an alarming manner he gets the drove to market just as quickly as he can. The great yards are used as dumping grounds. It may be possible in time to force men to dispose of diseased stock in the country, but that time will come about when they quit taking a chance or when the knowledge is forced upon them that diseased animals must be condemned and tanked and that all the shipper will get out of them will be the privilege of paying the freight and commission charges. A force of inspectors educated to an acquaintance with every detail of this traffic in diseased cattle, schooled by daily contact with all the clinical advantages offered in this market, would quickly teach shippers that the local disposition of diseased cat- tle would be far more advantageous, and then the problem would be largely solved. It is a fact, well known throughout the coun- try, that some kind of a price can be obtained for diseased cattle at the big markets, and the cupidity of human nature will surely lead to the risk of getting caught in unloading such stock, especially if it is thought that the inspection is inade- quate from lack of inspectors or inefficient by reason of their ignorance or want of experience. A certain means of diminish- ing the traffic in diseased stock is to put oti watchmen who 642 NEWS AND ITEMS. have been educated for the specific purpose of such examina- tions and trained in the very arena in which they are to operate upon the completion of their education. Independent of these considerations — which in themselves are suflBcient to claim the favorable attention of the Union Stock Yard Co. — is the fact that the opportunities for general clinical work are far greater at the Chicago stock yards than at any other point in the world. A medical education without clinical work is very lame. It is an imposition on the public to put out medical graduates to ac- quire experience at the expense of the pocketbooks or perhaps the lives of their patrons. The most conscientious of our young doctors serve their time as hospital internes and thus acquire valuable experience under the very best training. The Chi- cago yards, with their daily run of diseased stock, in a year's time sounding almost the entire gamut of the non-contagious diseases and including some not in that category, such as hog cholera, afford opportunity even more extensive and valuable than falls to the experience of the ordinary hospital interne. Vast improvement has been made in our veterinary practice the past decade. The " hoss-doctor," too often an undesirable as well as a costly type in a community, has been giving way gradually to educated young men who have made use of all the available opportunities in acquiring an education in veterinary medicine, but it is only too well known that there is much room for improvement in the courses and instruction in our veterinary colleges. The leaders of the profession acknowledge and lament this fact. They have made much progress toward the amendment of this condition, but much work remains to be done. Such schools are not money-makers. In fact some of them have gone as far in the perfection of their courses and in- struction as their funds will possibly permit. If such a cor- poration as the stock yards company would erect a suitable building and provide an endowment sufficient to command su- perior talent in the faculty, such a school would soon become the Mecca for students the world over, as nowhere else are such opportunities available. Surely argument should not be necessary. We content ourselves with the presentation of these facts, confident that they will receive the most earnest consider- ation. Beyond shadow of doubt the founding of a great veteri- nary school at the yards would most surely and quickly coun- teract in the eyes of the world the evil consequences of the unfortunate handling of the meat inspection measure. {Breed- ers^ Gazette, July ii.) VETERINARY MEDICAL ASSOCIATION MEETINGS. 643 VETERINARY MEDICAL ASSOCIATION MEETINGS. Secretaries are requested to see that their organizations are properly included in the following list. Name of Organization. American V. M. Ass'n , Vet. Med. Ass'n of N. J Connecticut V. M. Ass'n New York S. V. M. Soc'y. . . Schuylkill Valley V. M. A..,, Passaic Co V. M. Ass'n , Texas V. M. Ass'n Massachusetts Vet. Ass'n. . . . , Maine Vet Med Ass'n Central Canada V. Ass'n Michigan State V. M. Ass'n. . Alumni Ass'n N. Y.-A. V. C. Illinois State V M. Ass'n Wisconsin Soc. Vet. Grad Illinois V . M . and Surg. A. . . Vet. Ass'n of Manitoba , North Carolina V. M. Ass'n. . Ontario Vet. Ajs'n V. M. Ass'n New York Co.. . Ohio State V. M. Ass'n , Western Penn. V. M. Ass'n. . Missouri Vet. Med. Ass'n. ... Genesee Valley V. M. Ass'n.. Iowa State V. M. Ass'n , Minnesota State V. M. Ass'n. Pennsylvania State V. M. A.. Keystone V. M. Ass'n , Colorado State V. M. Ass'n. . . Missouri Valley V. Ass'n Rhode Island V. M. Ass'n North Dakota V. M. Ass'n California State V. M. Ass'n.. . Southern Auxiliary of Califor- nia State V. M. Ass'n. . . . South Dakota V. M. A Nebraska V. M. Ass'n Kansas State V. M. Ass'n Ass'n Midicale Vetemairc Francaise " Laval," Alumni Association A. V. Col.. Province of Quebec V. M. A. , . Kentucky V. M. Ass'n Washington State Col. V. M, A. Indiana Veterinary Association. Iowa- Nebraska V. M. Ass'n. . Louisiana State V. M. Ass'o.. Twin City V. M. Ass'n Hamilton Co. (Ohio^ V. A Mississippi Sute V. M. Au'n. . Date of Next Meeting. Aag. 21-24, '06 Call of President Sept. 11-1213 Dec. 19 Monthly. Call Exec. Com. Monthly. State Fair week April, 1907. Callot Prest. Not Stated. Vacation. 1st Wed. ea. mo Sept. 18 2d Tues. May 1st Mon. in June January, 1907 June and Dec. Mch.Je.Sep.Dc Jan.Apl.Jy.Oct. Jan. 8-9, '07. I St & 3d Thur. of eacbmonth. April cachvr. Monthly. Place of Meeting N. Haven, Ct Jersey City. New Haven. Buffalo. Reading. Paterson,N.J. Boston. Ottawa. Detroit. 141W. S4thSt Sheboygan. Decatur. Winnipeg. 141 W. 54th St Columbus. PitUburgb. Gettysburg Philadelphia. Denver. Kan. City, Mo. Providence. San Francisco Los Angeles. Topeka. Lect. R'm La- val Un'y Mon. New York. Mon. & Qae. Pullman, Wa. Name and Address Secretary . Angntt. 1906. Cincinnati. Agricultural College. J. J. Repp, Phila., Pa. W. H Lowe, Paterson. B. K. Dow, Willimantic. G. T Stone, Binghamton. W. G. Huyett, Wemersville. H. K. Berry, Paterson, N. J. E. L. Lewis, Waxahachie. F. J. Babbitt. Lynn, Mass. R. E. Freeman, Dexter. A. E. James, Ottawa. Judson Black, Richmond. W. C. Miller, N Y. City. F. H. Barr, Pana. S Beattie, Madison. C. M. Walton. Rantoul. F. Torrance, Winnipeg. T, B. Carroll, Wilmington. C. H. Sweetapple, Toronto. D. J. Mangan. N. Y. City. W. H.Gribble.Wash'nC.H. F. Weitzell, Allegheny. F. F. Brown, Kansas City. J. H. Taylor.Henrietta.N.Y. H. C. Simpson, Denison, la. C. A. Mack, Stillwater. C. J. Marshall, Philadelphi* A. W. Ormeston, 102 Her- man St.,Germantown,ra. M. J. Woodlifle, Denver. B. F. Kaupp, Kansas City. T.E.Robinson.Westerly.R.l J A. Winsloe, Cooperstown. C. H. Blemer, San Francisco. J. A. Edmons, Ix)S Angeles. E. L. Moore, Brookings. Hans Jenson, Weeping Water Hugh S. Maxwell, Salina. J. P. A. Houde, Montreal. F. R. Hanson, N. Y. City. Gustave Boyer, Rigand.P.Q. D. A. Piatt, Lexington. Wm. D. Mason, Pullman. E. M. Bronson, Indianapolis. A. T. Peters, Lincoln, Neb. E. P. Flower, Ba»on Rouge. S. H Ward, St. Paul, Minn Louis P. Cook, Cincinnati. [J. C. Robert, Agricultural I College. PUBLISHERS* DEPARTMENT. Subscription price, $3 per annum, invariably in advance ; foreign countries, $3.60; ttudents while attending college, $2 ; single copies, aj cents. Rejected manuscripts will not be returned unless postage is forwarded. Subscribers are earnestly requested to notify the Business Manager immediately upon ♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦ V ASOQ EN ^ A vehicle that penetrates the epidermis with remarkable rapidity carrying its incorporated remedial agent to the underlying tissues, where it is immediately absorbed Some of the drugs that are emulsified in this vehicle, ready for the veterinarians use, are : ♦ Iodine Vasogen containing lojt Iodine. Iodoform Vasogen •' 3% Iodoform. Creosote Vasogen •• 30^ Creosote. Pyoktanin Vasogen •• 3% Pyoktanin. (In four ounce bottles.) PYOKTANIN VASOGEN is a very valuable preparation to the veterinary prac- titioner, K<^a#^#>^^^A^AA^AAA • W WW WW WVW ▼▼▼▼▼▼▼▼▼*▼▼▼▼▼ WW-^ -WW -^ -w-w -w -w-ww-w^ www 18 Dimensions of Case— 6H inches in length, aH.incbet wide, a inches deep. VETERINARY HYPODERMIC SYRINGE. In Morocco case, velvet lined, containing two straight needles, one-halfcurved needle for intra TCBOus injection, one trocar and canula, and twelve tubes for Hypodermic Tablets. Our Syringes are substantially made, especially for the ase of Veterinat^ Sar- S«ons, with strong glass barrel of three drachms capacity, protected by fenestrated metal cylinder, with rings for thumb and fin^rs. ■ Bv removal of the lower metal end, One or more tablets may b* placed directly in the syrinfc —replacing cap and attaching needle, water can then be drawn in upon the tablets and solutioa affected by shaking the svrin^e. Our syringes are made with needles to attach either by slide or screw-thread. In orderiat specify which is preferred. Price of Syringe and case complete l4-oo (reduced from ls-00-. Eatra Needles, straight > .35 Extra Needles, curved 35 Extra Trocar and Canula 50 BUNTIN DRUG GO'S VETERINARY BULB SYRINGE* For administering Liquid Medicines to Horses and Cattle by the Month or Rectnm Every Syringe has Firm Name Stamped on the Hard Robber Pipe LENGTH I0H INCHES Consists of a substantial soft rubber bulb to which is attached a very strong, hard rubber pipe. In giving mea- . , .. Ill I icine or food with this Syringe there is no danger of in- juring the animal's mouth or breaking the Syringe; any quantity, from a teaspoonful to two ounces may be given at one injection. BUNTIN DRUG CO., TERRE HAUTE, INDIANA Maanfactorers of Veterinary Hypodermic Tablets and Hypodermic Syringes (Length lo^ inches.) Prices Bulb Syringes, 75c. each; per half doz., $4.00 ; per doz., 97.50. BUNTIN DRTJO COMRANY. 600 Wabash Avenue TERRE HAUTE, INDIANA EIMBR & AMEND, Agents, 305-311 Third Ave., New York. 14 BUNTIN DRUG CO.'S SOLUBLE HYPODERMIC TABLETS. »M "5 IM Il6 •«7 III X ■•I ISI 119 I5« 1*1 1*4 "5 ••J "7 ••4 111 l«5 119 136 "J7 III lU IS4 •ss 4« IS* VETERINARY. r«t lnb« el 10 Mblctt. Aconitine, Crystals .. 1-40 gr |o la Aconitinc, Cry*t*l* l-SOgr •- '3 Aconitine, Crystals l-aogr 15 Aconitine, Crystals l-l9gt 17 Aconitine, Crystals . i~tgr as Aconitine, Crystals ...I'AgT 77 Arecoline Hydrobrom J» C" 100 Arecoline Hvdrobrom '... i gr i 80 Atropine Sulphate i- 4 C 15 Atropine Sulphate I- a gr 18 Atropine Sulphate i gr 33 Barium Chloride Comp (Ellis) 18 (Barium Chlor.. 7Kr». ) (Digitaline — i-ia gr. j Cardiac Tonic as ( Digitaline, Pure i-io gr. l < Sparteine Sulph ^ i- 5 gr. V (.Strychnine, Nitrate x- 8 gr. ) Cocaine .Muriate.. 1 gr 35 Cocaine Muriate i-H gr« 45 Cocaine Muriate > crs 55 Cocaine, 4^ ^rs. for Veterinary Anesthesia i 10 (One tablet dissolved in i dracbia of water makes an t-per cent solMtimi.) Colchicine I-4IT 60 Colchicine i-agr i oe Colic (Knowles) 54 (Morphine Sulph >(<>.) •< Atropine Sulph I- 4 gr. V (.Aconite Cryst i-Mgr. J Coniine Hydrobromate I- 3 gr 43 Coniine Hydrobromate I gr 60 Digitaline, Pure l-8gr ao Digitaline, Pure i- Agr 35 Ergotinc ><<> 18 Ergotine ,. 4C* »7 Eserine Salicylate i- 4IT So Eserine Salicylate l-tgr 75 Eserine Salicylate I gr las Eserine Salicylate ■;. ... iH Sn 190 Eserine Compound I 00 (Eserine Salicylate i-4gr.) -< Pilocarpine Muriate i- a gr. > (strychnine 1- 8gr. j Bserinc and Pilocarpine 1 s* i Eserine i-agr.l I Pilocarpine I gr.j Colic (Forbes) a 75 {Eserine Salicylate i gr. I Pilocarpine Mnr sHu*- 1 HyoscyamineSnIpbate, Crystals i-tgr — Hyoscyaminc Sulphate, Crystals I- 4cr Morphine Sulphate I gr,,,, Morphine Sulphate t% gn .. Morphine Sulphate S gr Morphine Sulphate.... 'H gn .. Morphine Sulphate 3 grs Morphine ana Atropine t Morphine Snlph i}ign.t I Atropine Sulph H gr. ) Morphine and Atropine f Morphine Sulph iH C**. t I Atropine Sulph . W IT. I Morphine and Atropine t Morphine Snlph aglB.1 ) Atropine Sulph 1-4 ffT- I Morphine and Atropine 43 / Morphine Snlph sKffn>l \ Atropine Solpb t-4gr. ( Nitroglycerine I-Mgr 3S 40 Nitroglycerine. IS gr. Pilocarpine Muriate, Crystals t-€ gr. PilocarT>ine Muriate, Crystals • I gr 90 Pilocarpine Muriate, Crystals t% gft i 10 Sodium Arsenite , t gr la Strychnine Sulphate ••••••..•• 1-4 gr it Strychnine Sulphate ••••••*. ......... !-• gT..... 13 Strychnine Sulphate I gr I4 Veratrine Muriate I-4 gr It \eratrin« Muriate l-> gt 14 Flense order hy nnmber. 9—4» seat »est-»al4 U anf M^t raltsd SUtes or Canada aM" raselpt af ^ri—, 15 ^ "3 o o H d o PQ o 5 n ^1^ ♦ Sao = F- & unnw . •>• k 1 § < '^ a 1- £ g- feS •-5 o 3 tfi Xi 3 a> 111 Q o a. u .J GB I 2 < NEW YORK UNIVERSITY. lew Tort-gmericaii Yelerlnary Colleoe. ( New York College of Veterinary Surgeons, chartered 18S7, and the American Veterinary Col- lege, cliartered 1875.) Session 1906-1907 will begin October ist, 1906. Write for new catalogue and ail information to A. LIAUTARD, M.D., V.n., DEAN. 141 West S4th Street, New York City. NEW YORK STATE VETERINARY COLLEGE, ESTABLISHED AT BY CHAPTER 153, LAWS OF 1894. The best equipment for scientific and practical instruction, for undergraduates and post- graduates. Most varied practice for students in the free clinics. Regular graded course, three years of nine months each. Entrance by Regents' " Veterinary Student Certificate," or by examination, September istb, 1905. Matriculation September 33d, 1905. jt jt jit Tuition Free to New York State Students. 7or extended annoancement address, Professor JAI\AES LAW, F. R. C. V. S., Director. ONTARIO VETERINARY COLLEGE, Limited, 40, 42. 44 and 46 TEMPERANCE STREET. TORONTO, CANADA. Patrons. — Governor-General of Canada and Lieutenant-Governor ol Ontario. SESSION 1906-1907 BEGINS OCTOBER llth. All Experienced Teachers. . . - Fees, $65.00 per Session. Prof. SIVIITH, V.S. (Edin.) F.R.C.V.S., Etc., Principal. CHICAGO VETERINARY COLLEGE 2537 and 2539 State Street, Ctiicago, Ills. Organized and Incorporated under the Laws of the State of Illinois, 1883. Ifipiar Session comineaces tde first week in octoDer in eact gm For Prospectus giving all information as to curriculum, fees, etc, addrew Ae Secretary JOSEPH HUGHES. M.R.C.V.S.. 3537 and 3539 State St., Chicago, lUik 16 e5TABLISHFD tSSt. INCOHPORATED IS97 EIMER & AMEND, Wholesale Drugg^ists, 205,207,2091211 TtllrdHve., N. Y. CITY. Make a Specialty of all Drugs, Extracts, Tinctures, Chemicals, etc., etc., used in Veterinary practice.. E. & A.'s Veterinary Glycerin Suppositories. Sulfglycerole for skin lesions. Sulfglycerole Oint. for scratches. PLANTENS Improved Empty Veterinary For Oral and Rectal /Vledication. CAPSULES ORAL : 1-2, 1, 2, 3, 4, 7, 8 and 12 drachms RECTAL: i 1-2, i and i-a ounce. TRIAL BOX BY MAIL 25 CENTS. IMPREGNATION CAPSULES for Mares. Sample Box 30 Cents. ESTABLISHED IN NEW YORK IN 1A36. N. PUNTEN & SON, 93 Henry St., Brooklyn, N. Y. "The Pioneer American Capsule House." MwuUcturtn of Supcrlor Filled and Empty Gelatine Capsules. CapauUtIng Privat* Formula* a Specialty. "SANITAS" EMBROCATION is used by leading Veterinarians — in preference to other lini- ments— on account of its strengtii, ready absorption and Antiseptic qualities. -SANITAS" CRUDE DISINFECTING LIQUID. The best preparation in the market used in Stables and Kennels, etc., throughout the U. S. Write for full particulars and samples. THE *'SANITAS" CO., Ltd. 636 to 642 West 55th Street, NEW YORK CITY. Hir-Cusbion Rubber l)or$e-$boe Pad$ STANDARD OF THE WORLD. Physiologically and Mechanically Correct. The most important invention in the history oi horseshoeing. Any veterinarian who will study the principles under lying the Air-Cushion Pads cannot withhold his approval of them for physiological and pathological shoeing of horses for work on hard roads and streets. Navicular disease, subacute and chronic laminitis, quarter and toe cracks, and any condition where concussion should be reduced. If it gives such relief to sore horses, it must be ideal for sound ones. Write for Booklet " C " with Testimonials by Eminent Veterinary Surgeons. REVERE RUBBER CO., (Sole Manufacturers) Boston, New York, Pittsburg, Chicago. New Orleans. 18 SEE THAT CUSHION? It fills with air at each step. That's what breaks concussion. That's what prevents slipping. That's what keeps the foot healthy. That's what cures lameness. New Veterinary Books. HOBDAY. Surgical Diseases of the ers. By the late Richard V. Tuson. Sixth Dog*and Cat. By F. T. G. Hobday, Edition. Revised and Edited by James F.R.C.V.S. With Chapters on Anesthe- Bayne. F.C.S. Late Professor Royal Vet- tics and Obstetrics (Second Edition of Ca- erinarj- College. Cloth, $2.50 net. nine and Feline Surgery). Syo 366 Pages. CUYER. Artistic Anatomy of Ani- 241 Illustrations. Cloth, J3.25 net. ^j^i. By E. Cuyer. Translated by George FRISDBURGER AND FROHNER. Haywood 8vo., 341 Pages, 143 Illustra- Veterinary Pathology and Therapeutics. t'ons. Cloth, f3. 25 net. Authorized Translation by Capt. M. H. MKRRILLAT. Animal Dentistry and Hay«s, F. R. C. V. S. Edited by John Diseases of the Mouth. By Louis A. Dunston, M.R C.V.S . two volumes, 8vo., Merrillal, V.S , 8vo. Illustrated. Cloth, Each, $4.00 net. jg.OO net. Pharmacopeia. Including Outlines of REEKS. Diseases of the Horse's Materia Medica and Therapeutics. Forthe Foot. By Reeks 8vo. .480 Pages, 165 Use of Veterinary Students and Practition- Illustrations. Cloth f4.00 net. Largest Stock of Veterinary Books in this country. Catalogues gratis. W. T. KEENER & CO., MEDICAL BOOKSELLERS, PUBLISHERS AND IMPORTERS. 90 Wabash Ave., Chicago. GRUBEL & CO. Manufacturers of Standard Pharmaceutical Preparations of Highest Quality. We have everything you may want in the medical line and only sell Veterinarians and Physicians. All orders promptly shipped. Your private formulas put up in package ready to dispense our specialty. Antiphlogistic Poultice Cat- aplasm of Kaolin, U- S. P. or made per your order. Fluid Extracts, Tinct., Syrups, Ointments, Liniment Powders, Powdered Drugs, Oils. Tablets of all kinds for Canine practice. Dusting Powders and Surgical Dressings. We solicit your patronage. Temporary Office: 143 WEST 84th ST.. NEW YORK. 10 Syrup of Eucapinc Comp. Eucalvptu* Honey, 12 mln. White Pine Bark. 4 ira. OrlDdrlla Robucta, 4 »ra. Wild Cherrv Bark, 2 era. Balm QUead Buda, 1 gr. Blood Uoot Sf- Saasafra* Bark, ylh Verba 5anU. M Chiorolorm, Morphine Acetate. 1*64 fr. H mln. SpU Nit. Ether, Handling horses made easy by using the Veterinarian's Favorite Ambulance. RECH-MARBAKER CO., SPEQALISTS DESIGNERS. MAKERS OF HIGH GRADE AMBULANCES. Girard Ave. and 8th St., PHILADELPHIA, PA. Send for information and catalogue. 20 The Hut The Be; It allows the The animal is < position. It reqi The horse i' adjusted, the h desired f>ositio: quine Operating Table. y Operating Table in the World. r detail requisite to rigid asepsis and antisepsis le, and the surgeon is in a safe, comfortable lan to handle the largest sized horse, able as into a padded stall, the slings are quickly sed off his feet and turned to right or left, or any rse resting comfortably on the mattresses. The Table is 9 feet high, 3>^ feet wide, and 12 feet long. When turned over it requires a room 14 feet wide and 16 feet long, 10 feet high to allow the operating of it easy and convenient. Prices, terms, etc., cheerfully furnished to all interested. CORRBSPONDSNCE SOUCITBD. The Humane Equine Operating Table was patented May 16, 1905. Other patents are pending Manufactured by THE BRADWOOD MFG. CO., 125 Water Street, NEW HAVEN, CONN. 141 THE INDIANA VETERINARY COLLEGE Chartered by SUU of IndUna, 1892 8 12-8 14-8 16-8 18 E. MARKET STREET Most practically equipped for modern veterinary teaching with build- ing, equipments, an able and experienced corps of teachers. A THREE TERM graded course beginning each term with first Monday in October and ending following April ist. Tuition 1st term $75, 2d term $75, 3d term $85, or all in advance $200 Catalogue and information furnished by Prof. FERDINAND A. MUELLER, Ph. Q., V. S., Sec'y <^/^ ^S9 E. WASHINOTON ST., INDIANAPOLiS. IND. SOBKIGerHlDlBSTETBIGflL OPEPOKS, By W. L. WILLIAMS, Professor of Surgery and Obstetrics, New York State Veterinary College, Cornell University. A handbook of 220 pages on the chief veterinary operations including surgical anatomy, technic and dangers and difficulties to be overcome. Profusely illustrated with numerous figures in the text and 34 full page plates most of which were prepared specially for this work and are of unusual artistic and educational value. The book is printed on the best procurable paper. Dr. A. LiAUTARD says of it : — " The work is gotten up in fine style and printed on paper to which veterinary publications are not accustomed. Yet it is a good move. The last part relates to obstetrical operations..! am sure it is a good part, .if not the best."... Dr. D. S Whitk, Dean of the College ot Veterinary Medicine, Ohio State Univer- sity says it is " the most practical, pithy and compact treatise of the kind I have seen." Dr. M. H. Reynolds, University of Minnesota referring to the unusually elab- orate text and illustrations on trephining of the facial sinuses says: — "The cuts showing the sinuses are especially satisfactory. ..they show me, and probably others some things which they have often desired to see whtn it was not convenient to make a dissection for. the purpose. . . .am very much pleased with the book in every way " Dr. D. H. Udall, Professor of Surgery, Ohio State University :—" The tyttem of obstetrical operations described is simple and practical." Published and for sale by the author at $2.50 prepaid. W. L. WILLIAMS. Ithaca. N. Y. Incorporated under Cbapter 138, of Vol. 3, Howell's Annotated Statutes of the State of Michigan. Regfular Session G)mmences the Last Wednesday in Srotcmbct and Ends the Last Thursday in March, Annually. OOVBRNBD BY THB RULES OF THB 4. V. M. A. FsBB FOB The Entibe College Yeab abe $85.00 with absolutely no extra charges, not even for final Examination or Diploma. GRAND RAPIDS VETERINARY COLLEGE, MICHIGAN. 22 BINDING SECT. APR 5 1966 SF American Veterinary Medical 601 Association Journal A5 V.29 pt.l cop. 2 PLEASE DO NOT REMOVE CARDS OR SLIPS FROM THIS POCKET UNIVERSITY OF TORONTO LIBRARY STORAGE '^■>] li/'f^" ^tl 1 rit'^'*-