History of Nursing in Pacific Canada

The Vancouver Medical Association Bulletin: August, 1926 Vancouver Medical Association Aug 31, 1926

Item Metadata


JSON: vma-1.0214558.json
JSON-LD: vma-1.0214558-ld.json
RDF/XML (Pretty): vma-1.0214558-rdf.xml
RDF/JSON: vma-1.0214558-rdf.json
Turtle: vma-1.0214558-turtle.txt
N-Triples: vma-1.0214558-rdf-ntriples.txt
Original Record: vma-1.0214558-source.json
Full Text

Full Text

A few distinctive features of
PETROLAGAR (Deshell) is a corrective, not a cathartic. It
forms no habit, permitting decreasing instead of increasing
dosage and may be discontinued when regularity is established.
Its oil content is the greatest—65% mineral oil of the highest quality.    This
means maximum lubricating power and is of paramount importance.
The oil being emulsified, leakage is practically eliminated.
Agar is the sole emulsifying agent used—no fermentative gums or soaps.
Petrolagar   (Deshell)   is particularly palatable, more like ice cream thus making
the physician's task easier;  both children and adults find it pleasant to take.
Three   years  of  satisfactory   results   in   clinical  usage  solely   under  physicians'
prescriptions, prove conclusively the therapeutic value of Petrolagar   (Deshell).
No 1 Blue Label
The palatable emul--
sion of pure mineral
oil and agaragar is
indicated in the ordinary cases of constipation and as a follow
up in severe cases
when Petrolagar Phe-
nolphthalein has been
previously  used.
Petrolagar        Petrolagar
(Phenolphthalein) (Alkaline)
No. 2 Red Label
Phenolphthalein % gr.
to the tablespoonful,
is indicated in severely constipated individuals who have used
drastic purgatives. We
recommend reducing to
Plain after one or two
No.   3   Green  Label
Contains magnesia calcined and is indicated in hyperacidity
and acidosis, and is
extremely useful in
gastric ulcer where
constipation is present.
Useful in Pyorrhea
and   acid-mouth.
No. 4 Brown Label
Indicated for those
who do not like
sweets and may be
prescribed safely for
Diabetic patients. It
is bland like the
other numbers and
while unsweetened, is
unusually   palatable.
The principle of lubrication and bulk calls for the  usage of Petrolagar Plain
in all cases unless special considerations indicate one of the other forms.
Deshell Laboratories of Canada, Limited, Dept. V.,
245 Carlaw Avenue, Toronto, Canada.
Please send without obligation, copy of Habit Time and samples of Petrolagar.
Dr.  §	
Published Monthly under the Auspices of the Vancouver Medical Association
in the Interests of the Medical Profession.
529-30-31 Birks Building, 718 Granville St., Vancouver, B. C
Editorial Board:
Dr. J. M. Pearson
Dr. J. H. MacDermot Dr. Stanley Paulin
All communications to be addressed to the Editor at the above address.
VOL. 2.
AUGUST 1st, 1926
No. 11
Dr. J. M. Pearson
Dr. F. W. Lees
OFFICERS, 1926-27
Dr. A. W. Hunter
DR.  A.  B.  SCHINBEIN Past  President
Vice-President DR.   J.   A.   GILLESPIE
Secretary Treasurer
Dr. F. W. Brydone-Jack Dr. W. S. Turnbull
Dr. W. F. Coy Dr. W. B. Burnett
Representative to B. C. Medical Association
Dr. A. C. Frost
Clinical Section
Dr. F. N. Robertson	
Dr.- L. Leeson	
Physiological and Pathological Section
Dr.   C.  H.  Bastin   '   - -       -
Dr. C. E. Brown -
Eye, Ear, Nose and Throat Section
Dr. Colin Graham	
Dr, E. H. Saunders	
Genito-Urinary Section
Dr. G. S. Gordon -       -       -       -
Dr. J. A. E. Campbell -       -       -
Physiotherapy Section
Dr. H. A. Barrett	
Dr. H. R. Ross	
Library Committee
Dr. W. D. Keith
Dr. C. H. Bastin
Dr. W. C. Walsh
Orchestra  Committee
Dr. F. N. Robertson
Dr. J. A. Smith
Dr. L. Macmillan
Dr. W. L. Pedlow
Dinner Committee
DR. C. F. Covernton
Dr. A. C. Frost
Dr. G. B. Murphy
Credit   Bureau   Committee
Dr. Lachlan Macmillan
Dr. D. G. Perry
Dr. D. McLellan
Credentials Committee
Dr. E. H. Saunders
Dr. B. H. Champion
Dr. T. R. B. Nelles
Summer School Committee
Dr. W. D. Keith
Dr. G. S. Gordon
Dr. Murray Blair
Dr. G. F. Strong
Dr. H. R. Storrs
Dr. R. Crosby ^Uhnt X-Ray Supplies "PDQ \
There are over 30 Direct Branches now estab'
lished by the Victor X'Ray Corporation
throughout U.S. and Canada. These branches
maintain a complete stock of supplies, such as
X'Ray films, dark room supplies and chemicals,
barium sulphate, cassettes, screens, Coolidge
tubes, protective materials, etc., etc. Also
Physical Therapy supplies.
The next time you are in urgent need of sup'
plies place your order with one of these Victor
offices, conveniently near to you. You will ap'
preciate the prompt service, the Victor guar-
anteed quality and fair prices.
Also facilities for repairs by trained service
men. Careful attention given to Coolidge tubes
and Uviarc quart? burners received for repairs.
Vancouver Branch   -   910 Birks Bldg
When You Need
Another Cassette
remember that Victor offers
you a Cassette thatwill do better work over a longer period
of time at a lower cost per da v.
Quality   Dependability   Service    Quick - Delivery
«, I (Price applies to Jill ~ *
Portable Remington
There are very many doctors who are
enthusiastic owners of the Remington Portable
Typewriter. This wonderful machine has the
same four bank standard keyboard and other
up-to-date features of the large typewriter.
Can be supplied with medical or drug
keyboard without extra charge.
Remington Typewiter Co.
of Canada, Ltd.
556 Seymour Street, Vancouver, B. C.
The pressure upon the Hospital accommodation throughout the city
has continued unabated during the summer months. Usually when the fine
weather sets in and spring work opens up a considerable relief on the
demand for beds is felt, particularly in the public wards of our hospitals.
This occurs partly from the diminution of seasonal, particularly respiratory, disorders and partly because many patients without settled abode
and not well enough to look after themselves during the inclement winter
season are now able to utilize their moderate stock of energy under more
favourable climatic conditions. This year, as we have said, this natural
relief upon Hospital accommodation has been more than offset by the influx of patients with ailments other than seasonal in character.
It seems futile to discuss any longer why this state of affairs should
exist or what measures can be taken to prevent it. Whatever we may
think, it is abundantly evident that the demand for beds will continue
and will continue to increase. The situation must be faced and we think
that the Board of Directors of the General Hospital have acted in a
timely manner in composing the letter which they have recently addressed
to the ratepayers of the city on this question.
The Hospital By-law, which was voted upon on July 15 th, providing
for $50,000 as the city's contribution towards the completion of the
building for the care of Tuberculosis was good as far as it went. It was
obviously required to supplement and make available the large sum already
expended on the building and to complete a very necessary work for the
health of the city. Unfortunately while it will give increased accommodation for patients afflicted with tuberculosis it will do little or nothing
to relieve the general hospital situation.
The problem requires careful consideration and in this connection we
should like to call the attention of our readers to an important leading article which appeared in the Vancouver "Province" of June 27th and
which we believe should have considerable influence on the subject. We
refer to the article under the caption of "A Medical Faculty."
It is not our purpose just now to discuss the pros and cons of a
Medical School in connection with the University of British Columbia.
It will suffice for our purpose if we say that this considerable article published in the lay press and indicating by its contents a somewhat intimate
familiarity with the medical situation in Western Canada, seems to show
that the establishment of such a Faculty is not an impractible visionary
Possibly the cry of the homeless would-be medical student looking
for a shelter, has made itself heard, or the lopsided appearance of the
University attracted attention.
Be this as it may the shadows of the coming event are evident enough
and the point we wish to make is that the hospital extension situation in
Vancouver should be considered with this in mind. No scheme of extension looking to supply the hospital needs of the near future should be
presented to the people which does not include the possibility of teaching
Page Five requirements. To ignore this and embark in such an undertaking would
be unwise and uneconomical, as the establishment of a Medical Faculty
would of necessity considerably influence Hospital affairs in Vancouver.
We have recently received from Dr. M. T. MacEachern, late superintendent of the Vancouver General Hospital, a reprint of an address read
by him before the Congress on Medical Education, etc. held in Chicago
last spring.
Dr. MacEachern's paper deals with the "Educational Opportunities in
the Open Hospital" and he has a great deal to say which is of interest particularly to the doctors of Vancouver where one of the largest and most
successful of the Institutions of this type is situated.
Of course we all know and recognize, in theory at all events, the
possibilities along this line that open hospitals possess, and at times we
lament our inability to utilize these possibilities in Vancouver to the full,
or even at all, in communal fashion at all events.
Discerning outsiders who visit us see our opportunities well enough,
and on occasion have no hesitation in pointing out the folly of their insufficient exploitation.
Not that they are entirely neglected. Individually we all profit. Some
more than others according to their zeal or ability. As Dr. MacEachern
points out the very environment of a physician who avails himself of the
privileges of a large hospital is such that knowledge soaks into him almost
vmawares, and his practice and procedure are insensibly modified and influenced by what he sees and hears around him. What Dr. MacEachern
stresses is the necessity for a more deliberate, more purposeful, more conjoint use of the great educational advantages which there is no need to
labour in the demonstration.
The burden of this paper is, of course, the Staff—the much abused,
long suffering visiting Staff, which has everything to work with except
incentive and leadership and where everything is left as between the individual and his Maker.
We suppose that is really the crux of the whole matter and the solution returns so far as Vancouver is concerned to the discussion and the
resolution of the Medical Association last Fall.
Given an adequate organization all else, all the educational possibilities which are recognizable enough and unused, will naturally take their
rightful place in the development and training of those who practice in
the hospital.
Meanwhile we would heartily endorse Dr. MacEachern's plea for better educational supervision of the Internes of the Hospital. Something
even considerable, has already been done, so far as the General Hospital is
concerned. More is required. If we accept Internes, especially undergraduates, a very real responsibility lies with the Hospital towards them
and the people among whom they will practice.
We feel sure that the present management and Staff will give full
attention to this important phase of their work.
Page Six While we have fitted our comments on Dr. MacEachern's paper especially into our own local situation, the paper itself, of course, dealt with
the question in its broader aspect. If space permits we may hope in a later
issue to give a fuller abstract for the benefit of our readers.
Once again, and it seems as if the last occasion were but a few weeks
ago, we take our typewriter in hand, to call attention to the notable programme of the Summer School which appears in our advertising columns
and elsewhere.
When a book gets into its sixth or seventh edition, that, in itself, is
some guarantee, if not of its excellence, at least of its popularity. When
the Summer School of the Vancouver Medical Association returns that
often we may be asured both of its excellence and its wide appeal. As an
institution it holds rank with any similar organization elsewhere and with
each succeeding year experience dictates and directs improvements. Particularly would we urge this meeting of September 13th to 17th on the
attention of our out of town readers. They will find the intellectual
nourishment there obtainable well worth the trip. No amusements are
provided, no extraneous matters of organization are allowed to interfere
with the scientific work of the sessions. We trust the very efficient Committee will be well rewarded for its labours by a record attendance.
Report of Case from Pathological Department, Vancouver General
Hospital Laboratories, by R. J. Wride, M.D., Asst. Pathologist
Patient, a white male, 54 years of age, a widower and lumberman,
of only fair mentality, was admitted to the Vancouver General Hospital
on March 12th, 1925 under the service of Drs. Lineham and Gordon to
whom I am indebted for the history and clinical findings. With the exception of occasional nocturia, his health prior to December, 1924, had
always been good. At that time he left his work because of hematuria
and at time of admission he rose about twice during the night to urinate.
The hematuria was characterized by blood clot at the beginning of urination followed by clear urine and then again blood. There had been pain
in the left flank, not colicky, and tenderness over the left kidney region.
At time of admission, a palpable tumour could be felt below the 11 th rib,
in the mid-axillary line on the left side.
Cystoscopy on March 18 th, 1925, revealed a normal bladder, but
with blood escaping from the left ureter. Pyelogram at this time showed
a kidney of very large size, with dilatation of pelvis and upper part of
ureter. The pelvis and calyces were incompletely filled with the opaque
solution. Radiographic diagnosis was made of kidney tumour. Subsequent
radiograph on October 19th, 1925, following a barium enema, showed a
flattening of the descending colon over the tumour mass. Extensive rare-,
faction was noted in the body of the second lumbar vertebra which was
reported as secondary metastatic growth.   Urine examinations showed an
Page Seven almst constant acid reaction; specific gravity, 1015-1022; albumen, plus
1 and plus 2; sugar, negative; casts, granular, occasional; erythrocytes,
numerous; leucocytes, occasional. Phenolsulphonephthalein test on March
23rd, 1925, showed 9.5 per cent, for first hour and 6.0 per cent, for
second hour; and on April 4, 1925, 17.0 per cent, for first hour and 17.1
per cent, for second hour. On March 17th, 1925, the blood showed 50
mgms non-protein nitrogen per 100 cc. of blood and on April 14th, 1925,
47 mgm non-protein nitrogen. Blood count, April 29th, 1925: erythrocytes 2,000,000; hemoglobin, 41 per cent.; leucocytes 8/100 with 81 per
cent, polymorphonuclears. The blood Wasserman was negative both with
cholesterinized antigen and acetone insoluble antigen.
During the patient's stay in hospital salicylates and codeine were
adrninstered for pain. Mesothorium, minums 5, was given intravenously
every five or six days. In December, 1925, the left lower extremity became almost completely paralyzed and the right partially so. Oedema of
the lower limbs developed and became progressive and most marked in the
left knee. The temperature ranged from 97-100 degrees with a pulse rate
varying from 80-115. Respirations throughout, 20-22. Death occurred
suddenly, April 10th, 1926.
April 12th, 1926, (A-26-3 8, V.G.H.)
The body was that of an elderly, emaciated white male. The pupils
were equal and regular, 3 mm. in diameter. Both lower extremities were
oedemaous below the knees, more marked on the left side. The left knee
showed much swelling, the patella riding. The gastro-intestinal tract
throughout was collapsed and not remarkable. The descending colon was
adherent to a mass in the left upper quadrant and flattened out over its
.surface, although there was no definite obstruction to its lumen. The
liver was large, (2260 grms.) the left lobe showing a tumour mass. The
gall bladder was normal. Liver and spleen showed chronic passive congestion, the latter 23 5 grms. in weight. The pancreas showed tumour
involvement of its tail. The adrenals were normal. The right kidney, 210
grms., showed a moderate hydronephrosis with multiple small calculi of
mulberry appearance in the pelvis and calyces. There was incomplete obstruction of the ureter, due to the presence of a small calculus, with
thickening of the ureteral wall 5 cm. below pelvis of the kidney. The left
kidney, 1295 grms., showed extensive tumour involvement. It was more
or less regular in outline, its posterior aspect showing the pressure outline
of enlarged lymph nodes. On section the fibrous capsule was thin, the
kidney cortex only here and there demonstrable. The circumscribed mass
showed many lobulations, with some hemorrhage, central necrosis and
softening. There was extension into the kidney pelvis with involvement
of the upper one-fifth of the ureter. The renal vein showed extension into
its lumen and, by continuity, the upper 5 cm. of the lumen of the left
spermatic vein was involved, producing a varicocele on the left side. Likewise, the neoplasm extended to the inferior vena cava, although not completely obliterating its lumen, and to the right auricle. The inferior vena
cava below the junction of the left renal vein, was not involved. The
mesenteric glands and the retro-peritoneal glands were everywhere involr
ved.   The lumbar glands, especially posterior to the left kidney formed a
Page Eight mass in size equal to that of a normal kidney. The heart, 415 grms. in
weight, was large, pale and flabby, The pericardium was normal. The
right auricle showed attached to its wall an irregular, friable tumour mass
and thrombus which was continuous with that found in the inferior vena
cava. The cavity of the auricle was almost filled with the growth. The
right ventricle and left side of the heart showed some ahtemortem clot
adherent to the chordae tendinae. There was a moderate degree of sclerotic thickening of the free margins of the valves and a slight coronary
sclerosis. The pleural cavities on both sides contained a turbid fluid, the
right 200 cc, the left 8 00 cc. Here and there the pleurae were adherent
by tumour growth. The lungs each showed scattered nodules with involvement of the hilar lymph nodes; the vertebral column revealed
tumour involvement of the 2nd, 3rd, 4th lumbar vertebrae, with recent
tranverse fracture of 3rd. The left knee joint was markedly involved in
the process.
Microscopic sections of left kidney showed atrophy of kidney tissue
with much increase of interstitial fibrous tissue. There was a chronic i-
flammatory reaction and deposition of hemosiderin. Circumscribed by
fibrous tissue was a tumour mass of a papillary character, composed of
polyhedral or columnar epithelium. The cells were for the most part of
good size and showed either a clear or granular cytoplasm, the latter predominating. The nuclei were large and here and there showed mitotic
figures. In some areas, adjacent strands of connective tissue stroma
seemed to enclose columns of cells. The tumor growth appeared to be a
papillary adenocarcinoma of the kidney, as described by Ewing, although
the reproduction of hypertrophic renal tubules, which would have ruled
out the adrenal origin, was not observed.
Sections of liver, lung and lymph nodes, showed metastic nodules
similar in morphology to the primary tumour, but with considerable central degeneration and necrosis. The growth within the lung was alveolar
in type, with papillary proliferation. Sections of the right auricle showed
a carcinomatous growth similar to that found in the kidney and infiil-
trating the endocardium which was thickened. There was no definite
infiltration of the myocardium, although the muscle cells were atrophic.
Sections of the mass within the auricular cavity showed carcinomatous
growth with degeneration.
In this case the findings were "carcinoma of left kidney with extensive metastases to regional lymph nodes, tail of pancreas, left lobe of
liver, lungs and pleurae, bilaterally, lmmph nodes at hila of lungs; the
Spine—involving the 2nd, 3rd, 4th lumbar vertebrae with fracture of
3rd; the left knee—direct extension to the left ureter in its upper one-
fifth; the left renal vein, left spermatic vein; the inferior vena cava
and upward nito the right auricle of the heart.
To the Editor,
The Bulletin, Vancouver Medical Association.
Dear Sir:
To convey to those of your readers who have not visited the Mayo
Clinic any definite idea of its scope and organization would be impossible
Page Nine in a short letter.   I will confine my remarks to the treatment of certain
types of cases only.
Having visited the Crile Clinic in Cleveland I was doubly interested
in the present methods of handling Toxic Goitre cases at the Mayo Clinic,
on the service of Dr. H. S. Plummer. Some of the impressions noted were:
1. Preoperative treatment averages 8-14 days. The cases associated
with cardiac decompensation are treated for considerable periods and so
increase the general average preoperative course. Three days postoperative
the patients are gotten out of bed and on the fifth or sixth day usually
sent to convalescent hospital.
2. Lugol's solution is given only in Exophthalmic Goitre and usually
about 30 minims daily before and after operation. After discharge the
patient is advised to take 10 minims daily for eight weeks. Cases in crisis
or delirium are given 50 to 100 minums daily until the crisis is controlled.
3. Iodine is definitely of no value in a hyper-functioning adenoma
and may do harm.
4. The decompensated cases are put at rest, Digitalis is used very
rarely and only after a prolonged rest has failed to improve the decompensated heart definitely. When used, three cc's. are given daily until
9cc's. only have been given.
5. Digitalized Goitre cases are never operated until the Digitalis is
completely eliminated as they are in danger of developing very severe and
at times fatal post operative cerebral complications.
6. In toxic cases showing foci of infection as tonsils, teeth, etc., the
Goitre is first operated and the foci of infection are later removed.
7. Subtotal Thyroidectomy is done in the great majority, lobectomy
occasionally, and ligation very rarely since using Lugol's solution as at
8. Chloral is given first place among sedatives and where vomiting
is present is given by rectum. Ten grains three times daily is the usual
dose.  Morphia is given but infrequently.
Dr. Norman Keith demonstrated a number of cases of oedema from
various causes in which he got very interesting and beneficial results. The
method of treatment has been checked up very carefully including animal
experimentation. Cases of oedema associated with cardiac conditions,
cirrhosis of the liver, or nephrosis, are put on the following regime:-
1 .Rest. 2. Ammonium chloride or nitrate, ten grms, daily for
periods even as long as a month. 3, Low water intake 1200 to 1500 cc's.
daily including the water in the food. 4. Low. sodium chloride intake,
1-4 grms. daily. 5. Low food intake while at rest, e.g. protein 40, carbohydrate 190, fat 60 grms. for a 70 kilo man. 6. Novasurol is also
being given to the resistant cases to eliminate oedema.
As much as seven and eight litres of fluid have been eliminated in one
day on this treatment and the cases apparently continue to remain free
Page Ten from oedema. He believes that ammonium nitrate is probably better than
the chloride on account ofthe possibility of and acidosis following the
liberation of the chloride. The ammonium is broken up and eliminated as
urea but shows no tendency to increase the blood urea. As increased blood
urea at the outset of the above regime usually showed a reduction to normal.
Dr. Wilder has charge of the Diabetic cases. At present he is placing
most of his cases on a diet o f protein 50 grm., total glucose content 120
grm., and fat sufficient to make a total intake of a basal requirement plus
30-70 per cent, depending on the age, activity, etc., of the patient.
He is attempting in this way to simplify the diet for diabetics. His
new Primer for both physician and patient, published by Messrs. Saunders,
will be out shortly.
Dr. George Brown is at present working on some of the problems
of vascular disease, including cases of phlebitis. The operation of lumbar
sympathectomy gives promise of great benefit in cases of Raynaud's and
Buerger's disease.
Spokane, July 1-3.
The registration this year was in the neighborhood of four hundred
and in spite of the warm weather the attendance at the meetings was
very good. The morning and evening sessions were general, the afternoon programme being run in two sections, roughly medical and surgical.
The Davenport Hotel with its famous service and pleasing arrangements proved to be very convenient as headquarters.
Dr. Howard Lillienthal gave two interesting papers, one on his work
in Surgical Treatment of Pulmonary Tuberculosis and a second; "Pulmonary Non-Tuberculous Suppuration; Its Surgical Treatment." In
the latter attention was drawn to the following statements.
(1) An abscess of the lung that has not perforated into the Bronchus should be opened early before rupture takes place. If opened previous
to rupture coughing has a marked effect in extruding the pus through
the incision and leads to early healing.
(2) Aspiration for lung abscess is never done through the chest
wall. The chest is opened and the abscess exposed. If no adhesions
are present the lung is packed around with gauze and a rubber dam
placed over it and closed for 24 hours. At the second operation and
not till then is the abscess aspirated.
(3) In diagnosing lung abscess it is necessary to examine the
patient in different positions for varying physical signs. X-ray films
should be also taken in the lateral position.
(4) On opening the chest the lung collapses. This makes it
difficult to locate foreign bodies as their position as shown by the X-ray
is changed. To avoid this an artificial pneumothorax is produced previous to taking the pictures.
Page Eleven (5) At operation for Empyema it is advisable to look for a perforation into the lung and when found the opening should be enlarged.
(6~) Septic arterial emboli are not uncommon in lung work. Headache and depressed mental condition are early prodromal symptoms.
Dr. Karl F. Meyer, Professor of Bacteriology, University of California,
proved to be a popular lecturer. The subjects discussed were: (1) Local
Immunity;  (2) Tetanus, and (3) The Prevention of Food Poisoning.
In his talk on Tetanus he drew especial attention to the following
(1) The best disinfectant in puncture wounds which are soil
infected is a solution of 5% Iodine and 70% Alcohol.
(2) Antitoxin treatment in Tetanus has probably little value except that intravenous injection neutralizes the toxin in the blood and
lymph streams. Doses of antitoxin of less than 50 thousand units are
unsatisfactory. Large doses given early, diluted in 20% Glucose solution, cleansing of the wound, nursing and sedatives are the best treatment.    Repeated doses of antitoxin are very disturbing to the patient.
(3) Intrathecal treatment with antitoxin has been of no value,
(Sir David Bruce) and has probably been harmful.
(4) Twenty-five per cent, of all people examined showed B.
Tetanus in intestines or stools. There are 5 or 6 types of the organism
but Nos. 1 and 3 types are the common ones and are used for making
(5) Prophylaxis in badly infected wounds should consist of three
weekly injections of 15 00 units of Tetanus antitoxin.
Dr. A. C. Ivy, Professor of Physiology at the Northwestern University Medical School was a worthy successor to Dr. Carlson who gave
such interesting lectures on Physiology at the Seattle meeting in 1923.
In his three morning lectures Dr. Ivy covered the newer Physiology
in regard to the Gastro-intestinal tract and also spoke of the progress
in the fields of kidney function, nutrition, metabolism and circulation.
The response of the stomach to stimuli is in three phases: (1)
cephalic; (2) stomachic; (3) intestinal phase. The latter was demonstrated in animals by producing a duodeno-oseophagostomy and making
a transplanted subcutaneous pouch of the stomach. One to two hours
after ingestion of food the stomach secretes freely. This is a result,
probably, of an intestinal hormone.
In a dog with the stomach side-tracked, a severe anaemia developed which could be controlled by the use of iron and cod liver oil
though not w^th iron alone. HCL also helped in the control of anaemia.
Cod liver oil promotes metabolism in the bone marrow.
A diet of 200 grms. of cooked liver, 200 grms. of muscle, abundant vegetables and low amount  of  fat  is recommended  for  anaemia-
Page Twelw Spleen and bone marrow increase the resistance to erythrocyte destruction.
Dr. J. Whitridge Williams, Professor of Obstetrics at Johns
Hopkins University discussed Caesarean Section, Eclampsia and Multiple
Pregnancy in three lectures. At a banquet given the last evening of the
meeting he spoke on "The Personality of Osier" and revealed many sidelights on the more humorous side of Osier's life at Baltimore.
His attitude in regard to Caesarean section was very conservative,
the number of cases in his service now being subjected to this operation
is relatively very small.
Since 1912 the treatment of eclampsia has been put on a very
conservative basis and the methods of Strogoff are being followed.
Depending on the type, 95% of cases of eclampsia can be prevented
by simple methods with sedative treatment without interrupting pregnancy. In only 5% of cases, women with high pressure, amaurosis,
etc., should pregnancy be interrupted.
The nephritic type of toxaemias do progressively worse with pregnancy and these cases should be sterilized.
Previous to 1912 the treatment of eclampsia at Johns Hopkins was
emptying the uterus and the mortality was slightly under 25%. Since
then the mortality in the mild cases has been reduced seven times and
in the severe cases to less than half.
Avoid anesthetics. In animals it has been found that lesions produced by anesthetics are similar to those found in cases of eclampsia
viz., involvement of the liver and kidneys, with increase of uric acid,
lactic acid and sugar in the blood, and a lowering of the C02 combining power, an acidosis.    Local or spinal anesthesia is indicated.
Caesarean section is being avoided in eclampsia as death rate is very
Dr. H. Lisser of the University of California gave an endocrine
clinic as well as two lectures on disturbances associated with the glands
of internal secretion.
The lecturers were without exception of a very high standard and
lack of space compels me to pass without comment the addresses of
such men as Drs. George Dock, A. W. Adson, J. B. Collip, Walter E.
Dandy, George W. Holmes, Albert Keidel, Edward H. Mason, Howard
Naffziger, H. L. Parker, George H. Semken, and Arthur Steindler.
I trust that the above notes may be of interest to a few, at, least, of
your readers.
Yours sincerely,
July 19th.
Page Thirteen NEWS AND NOTES.
Dr. C. E. Brown has returned to the City from his recent trip East.
In another column he gives an account of his visits to the Mayo Clinic
and the meeting of the Pacific North West Medical Association at
Dr. G. H. Clement and Dr. A. W. Hunter were among the Vancouver men who attended the Washington University Extension lectures in
Seattle at which Drs. George Dock, Fred W. Rankin and W. F. Braasch
were the speakers.
Dr. C. H. Bastin has received the appointment of medical referee
to the Workmen's Compensation Board left vacant by the resignation
of Dr. D. J. Miller, who has joined Dr. Marlatt in practice at Powell
Dr. W. A. Dobson has given up the offices in the Orpheum Building
recently occupied by himself and Dr. Bastin and has taken offices with
Dr. D. M. Mackay in the Vancouver Block.
Among the British Columbia men who attended the meeting of the
Pacific North West Medical Association at Spokane were Drs. A. S.
Monro, B. D. Gillies, H. A. Spohn, H. A. Rawlings, F. C. Mac-
Tavish, and C. E. Brown. Boise, Idaho, was selected as the place of
meeting in 1927, Dr. Stewart of that City being elected President. Dr.
C. E. Brown of Vancouver was elected second vice-President of the
Dr. W. C. Walsh and family spent a very enjoyable holiday at
Parksville, Vancouver Island.
Dr. J. L. Turnbull and Dr. J. H. MacDermot, with their families,
are spending the summer months at their homes on Savary Island.
An advertisement of the Vancouver Medical Association Summer
School appears in another column. Below are the names of the speakers
and a list of the subjects on which they will lecture:
SIR HENRY GAUVAIN, M.D., M.C.   (Camb.), English Orthopaedic
Two subjects to be announced later.
DR. A. S. WARTHIN, Professor of Pathology, Uuniversity of Michigan.
1. Syphilis of the Heart and Aorta.
2. The Nature of the Inherited Susceptibility to Cancer.
3. Some Unusual Forms of Diseases of Children.
4. The Causes of Renal Insufficiency.
DR. C. A. HEDBLOM, Professor of Surgery, University of Illinois.
1.    Differential   Diagnosis   and  Treatment   of  Chronic   Pulmonary
Page Fourteen 2. Phrenicotomy and Extrapleural Thoracoplasty in the Treatment
of Pulmonary Tuberculosis.
3. A Study of the End Results following Radical Amputation of
the Breast for Carcinoma.
4. The Differential Diagnosis and Treatment of Acute Abdominal
DR. GEORGE GELtHORN, Professor of Obstetrics and Gynaeology,
St. Louis University.
1. Milk Injections for Pelvic Infections in Women.
2. Syphilis in Gynaecology and Obstetrics.
3. The Treatment of Postpartum Haemorrhage.
4. Causes and Treatment of Vaginal Discharge.
DR. R. R. MacGREGOR, Professor of Pediatrics, Queen's University.
1. The  Common  Nutritional  Disturbances  of   Infancy  observed
in Practice.
2. Chronic Intestinal Indigestion.
3. Pyelitis of Infancy.
4. Intestinal Intoxication.
DR. GEORGE HALE, Professor of Medicine, Western University.
1. Nephritis from the standpoint of the General Practitioner.
2. Functional vs. Organic Cardiac Disease.
3. The Patient Complains of Dyspepsia."
4. A Confusing Syndrome.
DR. FRASER GURD, Associate in Surgery, McGill University.
1. Treatment of Fractures Involving Ankle Joint.
2. Empyema—Acute and Chronic.
3. The Treatment of Acute Perforated Appendicitis.
4. The Treatment of Compound Fractures.
Dr. Maude E. Abbott, Curator of the Medical Museum of McGill
University and a well-known pathologist, addressed a special meeting of
the Vancouver Medical Association on July 5 th, on her way East after
attending the Canadian Medical Association Meeting at Victoria. Dr.
Abbott is one of the many friends of the late Sir William Osier who are
responsible for the Memorial volume recently issued, which is Bulletin
No. IX of the International Association of Medical Museums, and Dr.
Abbott chose this book as the subject of her address at our meeting. After listening to Dr. Abbott's talk on the "beloved physician" we can
quite understand and endorse Dr. Welch's remark in his foreward to the
volume that "during the five years of preparation for the work under
the irresistible enthusiasm, zeal and indomitable energy and perseverance
of the Managing Editor, the underlying purpose has been so expanded
that there are now scarcely any aspects and no period of Osier's life
and work which have escaped attention."
Dr. Abbott's lecture was profusely illustrated by slides taken from
pictures in the book. The idea of the Memorial volume took shape at
a meeting of the Cornell University College in  1920  and the book in
Page Fifteen its present scope was made possible by the liberal assistance and support
received from the National Research Council of Washington, and the
contributions made to the publication fund by those who stood close to
Osier in his professional and private life. The classified annoated Bibliography of Osier's writings account for some 200 pages of the book.
Associated with Dr. Abbott in the compilation of this Bibliography
were Dr. E. B. Krumbhaar, Miss Minnie Blogg, Archibald Malloch,
Fielding H. Garrison and H. W. Cattell. The annotations have been
made in accordance with Osier's expressed preferencee for bio-bibli-.
ographical presentation rather than dry lists of titles.
"What then do these men not owe to him who gathers tip
their works, and in so doing recalls their achievements, and
thus labours to lift that icy pall of oblivion which descends
upon everything human."
After her talk on the Osier Memorial volume Dr. Abbott gave a"
short address on "Congenital Cardiac Disease" It is always a privilege
to hear an authority speak and those who had the pleasure of hearing
Dr. Abbott's short talk on this subject were indeed fortunate. Because
the lantern was not functioning properly the many valuable illustrations
that Dr. Abbott had provided were not available; in spite of this her
talk was most instructive. She emphasized the importance of keeping
the physiology of the circulation in mind in classifying and studying
congenital heart disease. She discussed the importance of cyanosis and
pointed out that far from being a common symptom in congenital heart
most cases did not show it. Cyanosis where present usually was evidence
of an arterial shunt, with increased pressure on the right side of the
heart causing admixture of venous with arterial blood. The commonest
type of congenital heart to show persistent cyanosis was that with a defective intra-cardiac septum associated with some cause of increased
right heart pressure, such as pulmonary stenosis. Defects in the cardiac
septum not associated with other anomalies did not produce cyanosis
except in some in which it appeared as a terminal condition resulting
from a failing left heart, with a consequent proportionate increase in the
pressure on the right side. Dr. Abbott particularly emphasized the fact
that all cases with congenital heart lesions, even those showing no symptoms, should be treated as potential cardiacs and given the treatment
usually accorded such cases.
(The Library is situated in 529-531 Birks Building, Granville Street,
Vancouver. Librarian: Miss Firmin. Hours: 10 to 1, 2 to 6.)
"Transactions of the American Proctological Society," 1926.
"Transactions of the American Laryn. Rhinol. and Otol. Society," 1925.
"Surgical Clinics of North America," Philadelphia number, December,
Page Sixteen "Diabetic Manual," E. P. Joslin, 1924.
"Medical Clinics of North America," Chicago number, March, 1926.
"Modern Medicine"   (Osier and McCrae), volumes  1,  2  and 3 of new
edition, 1926.
"Abdominal Operations," Sir B. Moynihan, 4th edition, 1926.
"Middle Age and Old Age," Leonard Williams, 1925.
"Action and Uses of Digitalis and Its Allies," A. R. Cushny, 1925.
"Tumors of the Spinal Cord," C. Elsberg, 1925.
"Dermatology," W. A. Pusey, 1925.
"Medical Diagnosis," Anders and Boston, 1926.
"Transactions of Ophthalmological Society," of the U. K., 1926.
"Surgical Clinics of North America," February, 1926.
"Archives of the Andrew Todd McClintock Memorial Foundation," 1925.
"Chemistry and Recent Progress in Medicine," J. Stieglitz, 1926.
"International Clinics," December, 1925, and March, 1926.
"Rheumatic Heart Disease," Carey Coombs.
"Collected Papers of the Henry Ford Hospital,'  (1915-1925), 1926.
"Thoracic Surgery," 2 vols., Howard Lilienthal, 1925.
"Contributions to Ophthalmic Science," by pupils and colleagues of Edward Jackson.
"Parasitic Protozoa of Man," C. F. Craig, 1926.
"Surgical Clinics of North America," San Francisco number, April, 1926.
"Obstetrics," J. B. de Lee, 4th edition, 1925.
"Urology," 2 volumes, Hugh H. Young, 1926.
"Modern Views on Digestion and Gastric Disease," Hugh McLean, 1926.
"Infant Feeding," Dennett, 3rd edition, 1926.
"Mayo Clinic" volume, 1926.
"Medical Annual," 1926.
"Neuritis and Neuralgia," Wilfred Harris, 1926.
"Osier Memorial" volume, 1926.
"Medical Clinics of North America," Chicago number, May, 1926.
"Technique of Radium Therapy,''' H. E. Pinch.
"Biological Relations of Optically Isomeric Substances," A. R. Cushny,
"Facts on the Heart," R. C. Cabot, 1926.
"Chemical Pathology," H. G. Wells, 5th edition, 1925.
A new periodical, The Journal of Neurology and Psycho-Pathology,
has  also  been ordered.     This  is  a  quarterly journal,  published  by  the
Page Seventeen British Medical Association and edited by Dr. S. A. Kinnear Wilson.
Its aim is stated to be "to supply, in the form of abstracts and critical
reviews, up-to-date information in reference to the whole field of neurology and psycho-pathology." It will also contain original articles
from the leading neurologists and psychiatrists of all countries. It is
hoped that it will prove of much interest and value to our members,
most of whom will remember the admirable addresses we had the privilege of hearing from its editor two or three years ago.
(The members who have the following are asked to return same to
the Library as soon as possible):
"Mayo Clinic" volume XVI, for 1924.
"Practice of Midwifery," by Fitzgibbon.
"Early Symptoms of Circulatory Disease," by Wilson.
"Internal Derangements of the Knee Joint," Fisher.
"Sympathetic Nervous System in Disease," by Langdon Brown.
"Pelvic Surgery," Skeel.
"Neurological Clinics," Collins.
"The Way of Life," Osier.
"Man's Redemption of Man," Osier.
"Annals of Otology," for June, 1923.
"American Journal Medical Sciences," for November, 1924.
Biological Relations of Optically Isomeric Substances by Arthur R. Cushny, M.A.M.D., L.L.D., F.R.S., Williams and Wilkins, Baltimore, 1926,
$2.00 cloth.
This, one of the Charles E. Dohme Memorial Lectures, well serves
the object of the founder of these lectures—"to promote the development of a more intimate relationship betwen chemistry, pharmacy, and
medicine." Beginning with a pleasing reference to Pasteur's work on
the isomers of the tartrates the author points out the differences between
many optically isomeric bodies from the standpoint of their physical
characteristics, their destruction by enzymes, their digestion in the animal body, and their pharmacological effect. The last named consideration is given the greatest space. With a skilful avoidance of the technicalities of crystallography and colloid chemistry the subject is presented in an entertaining and readable manner: in fact the selection and
Page Eighteen arrangement of the subject matter makes this small work a model of the
short medical monograph.—D.F.B.
Dr. R. E. Coleman, Assistant Director V.G.H. Laboratories returned from the East  (Toronto)   about the end of June.
Vacation time fortunately corresponds with a falling off in specimens for laboratory examination. Were the rush of March to occur
in July, vacations would be impossible.
The Laboratory is again carrying on a culture of Bacillus acidophilus. This culture will be carried on so long as there is sufficient
demand for it to make it worth while.
Dr. C. H. Vrooman and H. W. Hill have returned from the
second of the trips, (this time to Alert Bay) to be made investigating
the prevalence and epidemiology of tuberculosis amongst the Coast Indians. Dr. A. S. Lamb, representing the Provincial Board of Health, accompanied them and took part in the clinical examinations. Over 200
Indians underwent clinical, Von Pirquet, and X-ray (fluoroscopic) tests.
Incidentally the almost complete absence of goitre was noted.
This, with the previous trip to Bella Bella, makes a total of nearly
400 Indians of the Kwaqalas, individually examined, and many others
casually seen. The Tsimpsians (of Port Simpson) and the Haidas (of
Queen Charlotte Island)  still remain to be investigated.
Seaweed, a definite item in the food of the Bella Bella Indians, is
used at Alert Bay also, but in smaller quantities, obtained by purchase
from Bella Bella and Hartley Bay Indians, who in turn collect it on the
West Coast of Vancouver Island, for themselves and for sale. They regard the seaweed of the inside channels as not edible.
After the clinical examinations were finished, the Indian Agent,
Mr. W. M. Halliday, conveyed Dr. Hill on a two-day epidemiological
tour of the outlying canneries and villages on the Indian Department
boat "Gi-Kumill."
Dr. Guy Palmer, who during the past few months has been practising at Merritt, B.C., has left for Ucluelet on the West Coast of Vancouver Island where he will take care of the medical services at that
Dr. H. C. Wrinch of Hazleton is taking a three-months' holiday.
Dr. Geo. More of Nanaimo is relieving him.
Page Nineteen Dr. W. J. Lightburne is relieving Dr. A. J. Stuart of Mission for
two months as from July 1st.
Dr. B. Asselstine of Fernie is leaving this month for a six-weeks'
vacation in Nova Scotia.
The Fraser Valley Medical Society held its annual meeting on June
10th, when Dr. G. W. Sinclair of New Westminster was elected President, Dr. D. A. Clark of New Westminster, Vice-President and Dr. O.
Van Etter, Secretary-Treasurer. At this meeting the question of changing the Royal Columbian training school to one of a graduate nursing
staff was brought up but the doctors of the Fraser Valley Medical
Society were unanimously in favour of continuing the training school.
Professor Miller of the Department of Pathology, Queen's University, gave a paper before the Fraser Valley Medical Society on cancer
Dr. D. J. Millar, Chief Medical Referee of the Workmen's Compensation Board of British Columbia, who resigned his position with the
Board, was, on June 30th, presented by the Commissioners and Staff
with a slight token of their regard. Mr. E. S. H. Winn, K.C., Chairman
of the Board, made the presentation and remarked on the energy displayed by Dr. Miller during his term of office. He stated that the
Board always regretted the resignation of one of its Staff and in wishing
Dr. Miller every success in his new venture, trusted that his new field
of labor would be more remunerative. Dr. Miller replied in suitable
terms and expressed regret at severing his connection with the Board.
The presentation consisted of a smoker's cabinet, a case of pipes, together
with a desk model B.D. Sphygmomanometer. Dr. Miller is entering
practice with Dr. C. R. Marlatt of Powell River after a period of service
with the Workmen's Compensation Board of nearly seven years.
Report of case from the Medical Wards of the Vancouver General Hospital, service of Dr. J. M. Pearson.
Age 24.    Male.    Logger.     (B13988)
First admitted Vancouver General Hospital, December 4, 1921. Discharged, January 16, 1922.
COMPLAINT.—General weakness with dimness of vision; seeing
double at times. He gave a history of having fallen 3 5 feet from the
mast of a boat into the water striking the side of the boat in his fall.
Page Twenty This occurred in August, 1920. He laid off work for three weeks
though not showing any evident injury. On returning to work found
himself too weak to carry on and after ten days he desisted and has not
done anything since.
FAMILY HISTORY.—Is negative, and his own previous history
the same, except for an attack of typhoid fever four years previously.
On examination considerable general muscular weakness was evident, more especially in the arms and back, less evident in the legs. There
is no muscular wasting. He appears well nourished. When lying on
his back he is unable to lift himself into a sitting posture or even to
raise his head off the pillow. When he desires to sit up he rolls to one
or other side and pushes himself into a sitting position with his arms.
He is unable to raise his left arm at right angles to his body and maintain that position. The right arm appears to be stronger. Both become
fatigued readily. There is no evident ptosis, though before his admission,
patient said that left eyelid drooped. Considerable muscular weakness
is evident in jaws during eating, and patient at times assists mastication
by placing his hand under his chin. Fluids sometimes regurgitate through
nose. Some salivation is present most of the time. Appetite is fair.
Bowels regular.    Urine reported as negative.    Weight 148 lbs.
Neurologically, superficial reflexes are normal and the deep reflexes
are unaltered. No abnormal reflexes. Cranial nerves are normal except
as regards regurgitation already referred to and tiring of voice on talking. Co-ordination is normal. Gait is unaltered. There is no anaesthesia; vision is unchanged. Electrical examination of muscles of arms
shows good contraction with faradism. With galvanism muscles respond
some to O.03 M.F. others requiring O.05 M.F. Blood showed 4.616.000
R.B.C. Hg 90% W.B.C. 10,000. P.72, L22. Wasserman test of blood
was negative.
SECOND ADMISSION.—(B17835) March 22nd, 1922. Discharged November 9th, 1922. No improvement in condition. Has
had chiropractic treatment. Weight still remains at 148 lbs. General
condition appears little changed, no evident wasting or increased loss of
power. Eye examination at this time shows fundi normal, slight error
of refraction. Bilateral paresis external recti. As there was some apparent slight thyroid enlargement his basal metabolic rate was estimated
and ranged from minus 5 to plus 7. Temperature and pulse normal
throughout. Electrical reaction tests showed that if muscles such as
the deltoid and supinator longus of the arms were tested there occurred
at first a brisk reaction to faradic stimulation which was well maintained for a few seconds. After four or five stimulations a greater current was necessary to produce contraction, and after three or four more
stimulations it was impossible to produce a contraction which could be
maintained. The administration of thyroid substance in increasing doses
was tried without effect. Later large and increasing doses of strychnine
were used.    Patient was not confined to bed but walked about freely.
February 1, 1925.
-December   27,   1924.      (B53239).     Died
Page Twenty-one Patient had been lost sight of since November 9, 1922. He was reported to have kept fairly well until within the last six months. Failed
rapidly since then.
Was very considerably wasted and much weaker though still able
to walk. Had difficulty in masticating and swallowing, so that he was
only able to take very soft food. Muscular weakness was pronounced
but variable. At times, especially in the morning, he had considerable
power in his hands and arms. Towards evening less. In any event,
power of voluntary muscular contraction would rapidly diminish with
repeated or sustained effort. He talked as if he had his mouth full of
food. In appearance there seemed to be some increased coarseness of
features. His weight was now 108 lbs. (a loss of 40 lbs. since November, 1922). Temperature was normal. P. 80 to 100 and of fair quality.
Examination of spinal fluid (which was clear and not under pressure)
no cells, no increased globulin content. W.R. was negative. Muscular
electrical reactions—with continuous faradic stimulation, brisk contraction occurs, which is only maintained for a few seconds. For two
weeks previous to the end the patient complained of increasing difficulty
in respiration. This was in fact owing to difficulty in keeping his head
from falling backwards. He had to remain in bed on that account.
Death seemed to occur from respiratory failure. For a day or two he
complained of pain in his chest. Dr. Pearson saw him two hours before
he died. He was then unconscious, breathing imperceptibly, pulse regular and of quite good quality, colour pale.
The body is that of a well-developed, poorly-nourished, young white
male.    There are no external marks of violence visible.
PLEURAL CAVITIES show nothing remarkable.
LUNGS appeared negative.
HEART.—Wt. 275 gms. P.V. 65 T.V. 1.5 M.V. 8 A.V. 7 R.V.
•7 L. V. 1.5. The heart is of average size, and the coronary arteries,
valves and muscle are negative.
LIVER.—Wt. 1,150 gms. The liver is not large, and it is of a
dark red color, with poorly-defined markings.
SPLEEN.—Wt. 140 gms. The spleen is dark in color and its
markings are not sharp.
KIDNEYS.—Wt. L. 150, R. 125 gms. The kidneys are of average
size, dark in color, with no gross lesion visible.
GASTRO-INTESTINAL TRACT showed nothing remarkable.
Page Twenty-two The thymus gland weighed 15 gms. The thyroid gland weighed 2 5.8
gms. The prostate gland weighed 25 gms., and both adrenals, 15 gms.
There was no marked evidence of arteriosclerosis, but there was definite
evidence of yellowish degenerative changes, scattered here and there in
the vascular system, even involving the coronary arteries.
HEAD was opened and the membranes were negative, and the convolutions of the brain appeared dry. It had the appearance as if- there
were intra-dural pressure. The arteries were visibly distended, but no
actual congestion could be made out. The brain was not sectioned but
was put in 10% formalin in normal salt solution. The spinal cord was
taken out and put in similar solution.
Sections of the muscles of the back were made. No definite abnormal appearance was visible, but the muscles appeared small.
The brain and spinal cord sealed in jars were sent to the Department of Neuro-Pathology, the University of Minnesota Medical School
at Minneapolis.    Dr. J. C. McKinely reports as follows:
"We removed blocks from various parts of both sides of the cortex,
from the basal ganglia, midbrain, pons, medulla, cerebellum and several
levels of the cord. There is nothing in any of the sections which I can
recognize as pathologic. A small amount of serum and a few hemorrhages were present in parts of the cortical meninges, but this is a common finding in normal cases as well as those containing the most diverse
pathologic processes and I have come to consider it due to extravasations
from handling the brains post mortem. The sections sent me already
prepared appeared to be normal except Dr. Bell thought the thyroid was
not altogether normal but would not venture a definite opinion as to
the thyroid condition.
"I believe- negative findings are the rule in the nervous system in
myasthenia and consequently was not surprised in the present case.
Lymphocytic infiltrations in the skeletal muscles have occurred in some
of the cases."
NOTE:—Sections of skeletal muscle were examined by Dr. A. W.
Hunter Pathologist to the Vancouver General Hospital who reported
that lymphocytic infiltration was present but that there were signs
of pigmentation of the muscle fibres in places.
STATISTICS — June, 1926.
Total Population  (estimated)      128,366
Asiatic Population  (estimated)         10,100
Rate per 1000 of
Population per Annum
Total Deaths        121 1L5
Asiatic Deaths   13 15-6
Page Twenty-three Deaths   (Residents only)          88
Male, 126
Female,   120        246
Stillbirths, not included in above        13
Deaths under one year of age       20
Death  rate per   1000  Births     81.3
July 1, to
May,  1926 June,  1926 15,  1926
Cases Deaths Cases Deaths        Cases Deaths
Typhoid Fever .  10                 2 0                 0 0
Smallpox J  10                  0 0                  0 0
Scarlet Fever  13           0                 0 0                 0 0
Diphtheria     18            3 14 2                  8 0
Chicken-pox   70           0 68 0 10 0
Measles   | L_J 180           1 186 2 49 0
Mumps    :  111            0 45 0                   1 0
Erysipelas  2           1                  2 0                 2 0
Whooping-cough     34           1 12 0                  0 0
Tuberculosis  _ifl  7           8 13 7                  5 0
Typhoid Fever  10                 3 0                  0 0
Cases from Outside City—included in above.
Diphtheria    .         2 1 5 0 0 a
Scarlet  Fever   3 0 2 0 10
Page Twenty-four «»
■ Vancouver Medical
Sixth Annual Summer School
SEPTEMBER 13th-16th
Each of the following speakers will deliver a series
of lectures and some clinics will be arranged—
Sir Henry Gauvain, M.D.,M.C. (Camb.) English
Orthopedic Surgeon.
Dr. A. S. Warthin, Professor of Pathology, University of Michigan.
Dr. C. A. Hedblom, Professor of Surgery, University of Illinois.
Dr. George Gellhorn, Professor of Obstretics and
Gynaecology, St. Louis University.
Dr. R. R. MacGregor, Professor of Pediatrics,
Queen's University.
Dr. George Hale, Professor of Medicine, Western
Dr. Fraser Gurd, Assoc. In Surgery, McGill University.
Meetings will be held in Wesley Church
Burrard and Georgia Streets.
FEE, £10.00
Page Twenty-five "OOP
Use this journal for the purpose
of procuring business from the
Medical Profession.
Are you assisting in the
publication of The Bulletin by
patronizing our advertisers?
Page Twenty-eight  SPECIAL OFFER
Doctors9 Bags
Of Exceptional Value
Manufactured in England
Solid Cowhide Leather
Hand'sewn and rivetted frames
Adjustable bottle loops and pocket
Orders will be filled in sequence
We have a stock on hand and another shipment coming
Special price during run of this advertisement:
16 inch $12.00
18 inch      |      $13.50
A saving of about 25%
B. C. Stevens Co. Ltd.
730 Richards Street Vancouver
The OidI Drug
Co., Ltd.
Jill prescriptions dispensed
bn qualified Druggists.
l]ou can depend on the Ou?l
for ^Accuracy, and despatch.
IPe deliver free of charge.
5 Stores, centrally located.    We
would appreciate a call while
in our territory.
Fair. 58 & 59
hlount Pleasant
Undertaking Co.   Ltd.
R. F. Harrison    W. E. Reynolds
Cor. Kingsway and Main
Page Thirty v®p
Specification the Surest Guaranty
of Clinical Results
UNIFORM methods cannot be employed for the extraction
and desiccation of different glands. The best method
of handling each gland must be determined by experiment,
the processes of manufacture in each instance being designed
with reference to the peculiarities of the particular gland in
question to yield a satisfactory finished preparation.
The identity of the gland is of first importance, and this is
particularly true of parathyroids. It is very easy to confuse
other glands with the true parathyroid glands.
All glands employed by us must be normal. They are all
examined for evidence of disease. Before desiccation, all non-
glandular matter is removed; this procedure reduces the
weight of the glands as they reach us, often to a large extent.
1 The greatest care is also exercised to select and dissect only
that part of the gland which is required in the manufacture of
the product, such as the corpus luteum, from ovaries, the
anterior lobe from the pituitary body, ovarian residue from
ovaries and the posterior lobe of the pituitary. Some glands,
such as the thyroid, thymus, pineal, etc., are utilized in entirety.
Where fatty tissue is present in excessive quantity it is removed by solvents in a way to prevent injury to the active
gland substance.
To still further increase the activity of our gland products
we pass the desiccated material, after it has been finely
powdered, through sieves to get rid of the remnants of inactive
fibrous and connective tissue.
Our gland products therefore represent only the useful
parts of the raw material we receive, and for this among other
reasons contain a maximum amount of the therapeutically
active portion of the glands.
Only by specifying our gland products—by adding to his
prescription for gland products the designation "P. D. &. Co."
—can the benefits of the careful work we do be secured by the
We will gladly send literature on the gland products in
which you are interested.
Page Thirty-one •■■- KOie
Hollywood Sanitarium
tyor the treatment of
Alcoholic, Nervous and Psychopathic Cases
Reference ~ GB. Q. (^Medical ^Association
For information apply to
Medical Superintendent, New Westminster, B. C.
or 515 Birks Building, Vancouver
Seymour 4183 Westminster 288
Page Thirty-two


Citation Scheme:


Citations by CSL (citeproc-js)

Usage Statistics



Customize your widget with the following options, then copy and paste the code below into the HTML of your page to embed this item in your website.
                            <div id="ubcOpenCollectionsWidgetDisplay">
                            <script id="ubcOpenCollectionsWidget"
                            async >
IIIF logo Our image viewer uses the IIIF 2.0 standard. To load this item in other compatible viewers, use this url:


Related Items