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SOUTHERN CALIFORNIA
PRACTITIONER

A MEDICAL, CLIMATOLOGICAL AND SOCIOLOGICAL MONTHLY MAGAZINE. This journal endeavors to mirror the progress of the profession of California and Arizona.

Established in 1886 by Walter Lindley, M.D., LL.D.

DR. GEORGE E. MALSBARY, Editor and Publisher.
Associate Editors,

Dr. Walter Lindley, Dr. W. W. Watkins, Dr. Elbert Wing, Dr. Ross Moore, Dr. George
L. Cole, Dr. Cecil E. Reynolds, Dr. William A. Edwards, Dr. Kaspar Pischel,
Dr. Andrew W. Morton, Dr. H. D'Arcy Power, Dr. B. J. O'Neill,
Dr. Otto G. Wicherski, Dr. Charles H. Whitman, Dr. Edward

T. Dillon, Dr. C. G. Stivers, Dr. Boardman Reed.

Address all communications and manuscripts to

EDITOR SOUTHERN CALIFORNIA PRACTITIONER,

Subscription Price, per annum, $2.00.

500 Auditorium Building, Los Angeles, Cal.

EDITORIAL

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TREATING TUBERCULOSIS. The modern treatment of tuberculosis is far removed from the former practice of watchful waiting until the patient succumbs to the disease. The sanatorium or sanitarium treatment of tuberculosis is advocated largely by those who are financially interested in such institutions, either directly or indirectly. The training the tuberculous patient receives in a sanatorium or sanitarium is of very great value. various times over-enthusiastic zealots have proposed taking care of all tuberculous patients in public institutions at the expense of the State. Did you ever compute the cost of such an undertaking? For example, the Los Angeles County Hospital has accommodation for about two hundred cases of tuberculosis, whereas Los Angeles city has about a thousand deaths a year from that disease. Don't know how many cases of tuberculosis there are in the county of Los Angeles nor in the State of California, but there are more than enough to render any such plan impracticable.

Furthermore, it would be a superherculean task to induce all such patients to enter public institutions for treatment or segregation.

So that for a long time to come these patients must be taken care of in private practice. It is pretty generally agreed that the general practitioner and in fact all practitioners of the healing art should be adept in the early recognition of tuberculosis. Fortunately the training of the physician enables a positive diagnosis to be made, through physical examination, the demonstration of the tubercle bacillus, the application of the tuberculin test, and the modern method of radiographing the chest. Mistakes or errors in diagnosis are usually due to carelessness. Only too often an opinion is expressed without removing the clothing from the chest for a physical examination and without examining for the tubercle bacillus or the tuberculin reaction or the use of the X-Ray.

It is not sufficient to make the diagnosis of tuberculosis and advise the

patient to go to a sanatorium or sanitarium. In the great majority of cases the physician, and especially the general practitioner, must treat these patients. A brief or protracted stay at an institution is practicable in many instances, and is of great value in teaching the patient how to live safely at home. In the great bulk of cases such instruction must be given by the physician in private practice or the patient will not be properly instructed. This is a part of your duty, which you should not neglect. Help these patients to make their homes safe habitations for themselves and their families.

Do not neglect the treatment of these patients. Tuberculin therapy, the use of gas-injection of the pleura in selected cases, and the outdoor life day and night, are so well known that they need but be mentioned. Above all, remember that the patient is a being. It is cruel to neglect the psychic element in these cases. Sup

human

pose that you, yourself, were such a patient, how would you like to be placed next to a far advanced case, as is the custom in the long rows of beds in our County Hospital? Would it have a beneficial effect upon your appetite and spirits? Undoubtedly many a case would do far better at home, under congenial surroundings, with such instruction and care as could be given by a well trained tuberculosis visiting

nurse.

PHTHISIOPHOBIA.

In an article under this caption in the New York Times, December 29, 1914, Dr. S. Adolphus Knopf, the well known phthisiotherapeutist, discusses at some length the decision of Supreme Court Justice Blanchard annuling the marriage between Sarah and Joseph Sobol because the latter was suffering from an incurable attack of tuberculosis. "If a man, knowing that he is tubercalous and in a stage when he can trans

mit the disease to his prospective bride, deceives her by pretending to be in normal health, he is committing a crime by entering into the marriage relation and the annulment of such a marriage is absolutely justified. If, on the other hand, one of the married couple, either husband or wife, develops the disease in the course of the married life, submits himself or herself to proper treatment and training in observing the precautions necessary to avoid transmitting the disease to others, and obeys the preventive measures conscientiously, it would be inhumane and incredibly cruel to encourage the lawful separation of such a couple. The honest, conscientious consumptive is no more dangerous to associate with than any well person. We know tuberculosis can be prevented, and when treated at the right time and in the right way be cured in the majority of instances." We would suggest that it would be well for physicians to make it a point to combat the present-day tendency toward phthisiophobia.

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CONGRATULATIONS.

It affords us very great pleasure to acknowledge receipt of the announcement of Mrs. Edward B. Spalding of the marriage of her daughter, Helen Louise, to Dr. Philip Mills Jones, Wednesday, December 30th, 1914, at San Francisco. We sincerely hope that they will be happy forevermore. There has been a marked improvement in Jones' disposition, which we hope will be permanent, for he's a jolly good fellow. The happy couple will be at home after March 1st at 169 Twenty-fifth avenue, San Francisco. We promised to keep the matter quiet, but marriage will out.

DR. E. S. MCKEE INJURED. While motoring from Los Angeles to Oakland, Dr. Malsbary had an accident near Exeter. A broken beading

on a rear tire led to a blowout, the coupling rod to the gears broke, and the machine turned over. Dr. and Mrs. Malsbary escaped with minor injuries, but Dr. McKee, of Cincinnati, sustained an impacted fracture of the neck of the femur. The fraternity of autoists was well demonstrated through the help extended the party at the time of the accident. Mr. F. W. Carl, of Exeter, practically took charge of the rescue of the wreck, in which he was helped by all the autoists that came in sight. First aid was proffered by Dr. Saylin, formerly of El Monte and now conducting a sanitarium of good repute

at Exeter. Dr. McKee was just completing a zigzag trip around the world, and this was his first accident after traveling more than seventy thousand miles. He was sent to Berkeley by train. After a couple of weeks in the Roosevelt Hospital, he is now visiting San Diego on crutches. He declares he is free from pain and glad that the accident was no worse. Dr. Malsbary injured both wrists, but had them firmly bandaged and drove the car on into Oakland, some two hundred miles. He grieves chiefly because he injured a friend, and declares that one such experience is more than enough.

EDITORIAL NOTES

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Dr. A. D. Long was recently elected president of the San Diego City Board of Health, vice Dr. R. E. Austin, retired.

Dr. W. H. Smith has recently returned to his post at the Long Beach Sanitarium after some post-graduate with the Mayos.

Dr. Delmer L. Cassellman of Los Angeles, at one time the family physician of President Grant, died January 11th at Ocean Park at the age of 62 years, after an illness of three months.

Dr. R. W. Brace has entered a partnership with Dr. D. J. Prather, of Modesto. Dr. Brace is a Jefferson Medical College man, who has seen service under the British in the Bahamas.

Assemblyman Brown, of Los Angeles, has introduced a bill that would permit dentists practicing five years in another State, to be admitted to practice in California without examination.

Assemblyman Gelder, of Alameda, is sponsor for a bill that would bar the use of arsenia, any alkaloid, cocain or its salts, alpha or beta eucaine or their salts by dentists in putting patients at

ease.

The penalty for violation is made a misdemeanor.

Dr. Milton A. Barndt, of Milwaukee, at one time president of the Wisconsin medical examining board, is a recent addition to the profession of Long Beach. The doctor is well known as an oculist and aurist.

The following are the new officers of the Ventura County Medical Society: Dr. Harold B. Osborne, of Fillmore, president; Dr. Stockwell, of Ventura, vice-president; Dr. Ralph Homer, of Ventura, secretary and treasurer.

At the annual meeting of the Eye, Ear, Nose and Throat section of the Los Angeles County Medical Association, held Jan. 4, 1915, the following officers were elected: Chairman, Hill Hastings, M.D.; vice-chairman, W. D. Dilworth, M.D.; secretary, C. G. Stivers, M.D. Delegate to the County Association, W. H. Dudley, M.D.

The Dietetic and Hygienic Gazette, which is just completing the thirtieth year of its existence, has been purchased by The Critic and Guide Company, and beginning with January, 1915, will be consolidated with The Critic and Guide, and the combined journals will be under the editorship of Dr. William J. Robinson. The offices of publication are at 12 Mt. Morris Park W., New York City.

Probably the most commendable bill thus far introduced is one providing for the abolishment of capital punishment. Where the death penalty has been eliminated, it has been well shown that the old idea is erroneous, that would ascribe to legal execution a demonstrable deterrant effect upon the illegal taking of life. Murder has not increased in those states in which capital punishment has been abolished. Two wrongs don't make a right.

BOOK REVIEWS

CHILD TRAINING AS AN EXACT SCI

ENCE. A Treatise Based upon the Principles of Modern Psychology, Normal and Abnormal. By George W. Jacoby, M.D., Fellow of the New York Academy of Medicine, Member of the American Medical Association, American Neurological Association, and New York Neurological Society, Consulting Neurologist to the Hospital for Nervous Diseases, the German Hospital, the Beth Israel Hospital, the Red Cross Hospital, and the Infirmary for Women and Children in the City of New York. With illustrations. Funk & Wagnalls Company, New York and London, 1914. Price: $1.50 net, by mail $1.62.

This is a very attractive work on the subject, which is viewed from the mental, moral, and physical aspects. There is much common sense in it. On page 333 we note the following: "If the educator follows in practice a theory he has constructed in advance, he may suffer the greatest disappointments, for symptoms and their proper treatment differ not only in different children

but they also keep changing in each individual.’ The truly successful pedagog must take cognizance of the individuality of the child, losing sight so far as possible of the so-called average child, which is only a theoretic concept.

THE CLINICS OF JOHN B. MURPHY, M.D., at Mercy Hospital, Chicago. December, 1914. Published Bi-Monthly by W. B. Saunders Company, Philadelphia and London. Price: $8.00 per year, six numbers.

The Clinics have been paying more and more attention to vaccine therapy, which continues to increase in popularity with both physicians and surgeons. The discourses of Dr. Murphy are so well reproduced in the Clinics, that you can almost imagine you are attending one of his clinics.

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