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iss. 102 (September, 1918) - Digitised Collections

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White (Washington) and Jelliffe (New York) (the two latter are the editors of the first American quarterly on the subject, "The Psycho-Analytic Review"), indicate the strength of the movement. Soon there was no sound in the dark except the steady breathing of the sleepers.

DODGEBROTHER5 ROADSTER

THE IDEAL DOCTOR'S CAR

Canada Cycle & Motor Co

One might as well play marbles or feed the family canary matutinally for all the good it does." A deviation of one-eighth of an inch from the right line is sufficient to practically ruin a stroke. It is not surprising that a large number of medical men play golf, as it enables them to get exercise when they have a spare hour at two, and affords them a complete rest from the cares and troubles of medical life.

Most clubs hold "ladies' days" frequently, which give every golfer ample opportunity to learn the virtues of self-control and patience, for, as Mark Twain said: "To be a golfer, you must learn a language of again". . For those who want an exciting pastime, for those who want exercise, for those who want a complete break from studying and for those cynics mentioned before, there is only one thing to say: Try it and see.

Who's

Your

Tailor ?

The Mutual

The purpose of this short article is to relate a method used in this laboratory to distinguish between a throat containing "Meningococci", i.e. a definite "cerebro-spinal fever carrier", and therefore probably infectious, and one containing other related Gram-negative Organisms, and as far as we know at present, probably non-infectious. It is not claimed that any of this work has the special merit of being entirely original, but the methods employed have, so far as can be judged, proved very satisfactory, even if one can decide with reasonable certainty between an infectious and non-infectious throat, in these cases, a considerable amount of unnecessary isolation with the risk of infection, however small, of the actual carriers during isolation, besides the unnecessary expenses and the time lost in training — a very real factor in these critical days — will be saved. In the military sense, a "Postive Throat" meant a throat which, on examination of a swab taken from the Nasopharynx, showed a number of Gram-negative Diplo-.

As for the primary swab, the wire should be bent at an angle of about 45 degrees at the working end, it should pass out of sight behind the well of the Uvula in the Nasopharynx, which should be completely hidden, especially in the front wall. and staining carefully stained with the Gram method. If the smear shows a number of Gram-Negative Diplococci, the next step is to find out whether they are Meningococci or not, and for this result a culture from the nasopharynx is necessary.

BOWLES' Flat-Iron STETHOSCOPES

WARNER & WEBSTER

Dam man & Co

A thick 20-26 gauge curved sterile platinum wire, looped at the end in the usual manner, is passed into the nasopharynx as before, gently enclosing as much of the anterior wall and sides as possible, and withdrawn without contamination of the tonsils, tongue, or any part of the oral cavity, and under aseptic precautions, a 4-inch Petri dish is inoculated with o'ascitic agar, the lid replaced, and the plate then incubated in the inverted position for 24 hours. The use of the thick platinum wire may attract negative criticism, but we have found it to be very effective, and its use has the great advantage that if the inoculation of the plate is done lightly and on a large scale, the colonies of organisms tend to have to be more discreet, and therefore easier to examine than with a sterile swab; furthermore, there is no reason why a reliable result should not be obtained by the use of a wire which can pass into any angle of the nasopharynx and bends easily forward on the anterior wall. The colonies resembling Meningococci are then picked by a thin platinum wire, stained and examined microscopically for confirmation and assurance.

Having seen and examined several hundred plates, one can dispense with quite a number of confirmatory studies. The characteristics of the meningococcal colonies can be taken from any of the textbooks and I do not intend to list them; but the main points to follow are that they are only semi-transparent and tend to be discreet with clear edges (in a plate), but often merge when numerous into a "cottage loaf" formation, some are decidedly unpleasant, but not all, and the colonies are soft and emulsify easily.

James Jennings

SEARS'

MRS. GLADISH,

University

In the colonies now selected, Gam-negative Diplococci are free of any definite color (some colonies tend to be slightly yellow, but never anything so definite as chromogenic), are soft and emulsify easily, and are free f: contamination a sub-culture is made on ascitic agar, and stored at room temperature in the dark, and another on agar, and incubated. The meningococcus will neither grow at room temperature on ascitic agar nor on ordinary agar at the temperature of incubation to any extent, so that one test confirms the other if both agree; if both show definite growth, it is fairly certain that the organism is not Meningococcus. If there is doubt or no growth is obtained, further subcultures should be made on ascitic agar or serum agar tubes containing the various sugars at 1.5 per cent.

Although ascitic agar is not normally used for fermentation tests, the tubes can be made neutral enough to use litmus as an indicator, and are particularly useful for a confirmatory test where the organisms will not grow on the agar. So we assume that any Gram-negative Diplococcus that will neither grow on ascitic agar at room temperature nor on agar at incubation temperature and that ferments.

James Little

T. BULL,

BOOKS

Melville & Mullen

It simply deals with certain aspects in the evolution of the civil status of the man of medicine. Further, that I may not be misjudged, I must confess that I am but the Struggling Student, of whom John Earle, in his delightful and inimitable "Microcosmography," wrote: — "His invention is no more than the invention of his papers, and his pair of eavesdroppers there, and his disposal of them is as much as the bookbinders, a setting or slip of it together. The late Professor Hearn says in his "Aryan Household" that the Magi and Druids "are the learned men of the land wash; they, or rather a particular class of them, interpreted dreams; they were experts in the use of divination. stick, and generally in a kind of magic which we would probably now call elementary natural philosophy." Herodotus compared the Magi to the Egyptian priests, who were the middlemen of their time.

Hearn says that 'they are usually described as scientists in the old Irish records. , surgeon to Edward III., was probably the first medic in England to receive a gun licence; it is sad to tell that it was not bestowed for scientific achievements, for we read that the story was bestowed on the solemn duty of his own home to once entertain three monarchs--the kings of England, Scotland, and France.

AUSTRAL

BECK'S MICROSCOPES

Gaunt & Co Proprietary

This important position of the man of medicine is preserved only among wild races. Now that British statesmen, after long and arduous toil, have created the idea that scientists are useful, in many ways cattle, one wonders how the spectacle of the doctor came to be. In the year 1518, the doctors of London were enlisted, while the barber-surgeons were enlisted in 1540.

They were subject to the competition of charaters, as are their prototypes of the present day, as evidenced by the fact that in 1543 an Act of Parliament was passed for the protection of numerous irregular practitioners, who were interfered with by their incorporated rivals. This paternal interest in the profession shown by Parliament does not presuppose any great respect for it; if we can judge from the literary works of the period.

Special Notice to Melbourne University Medical Students

Medical Text Books - Note Books, etc

London Tavern

He says: “The doctor's most unfaithful act is to let a man breathe (i.e. at his last breath), and his pretense is that death and he are quarrelsome and must not meet, but his fear is that the corpse should die. to bleed." 65 Geon, Gross, was accustomed "to give his knife one last good touch on his boot—even on the sole, and then use it immediately from the first cut to the last." As they threaded the needle, they directed the silk by moistening it with germ-filled saliva and rolling it between germ-filled fingers. Knowing this, we cannot help but think that these surgeons must have forgotten the example of their professional forefathers, for centuries ago the trepanation of the skull was a common practice with a comparatively low mortality, and even Earle is forced to admit that the surgeon " is a reasonable clean man, according to the scabs he has to deal with."

We have often seen sentences like this: - "The operation was completely successful, but unfortunately the patient died." Let's ex-. This entry is reminiscent of Chaucer's Pardoner, with its collection of relics such as the "pork bone" glass.

OPERATING COATS

Lincoln Stuart & Co

FRANCIS&C°

CHEMISTS

It appeared to stop short at the upper third of the thigh, and there was no swelling above Poupart's ligament. Its upper margin extended to the costal margin, while below it was continuous under Poupart's ligament external to the. femOral vessels, with a distinct swelling in the upper third of the thigh. The spinal movements were very limited, as was to a lesser extent that of the left hip.

Some of the results of this clumsiness are evident in the recent "affairs" at the Nat. Coma. Your poignant mention of the gentleman with the traumatic rupture of the urethra, which we thought best to hold on to.

Zpicuta

Have previously seen frequent calls for old boys to write for the paper, so thought of a few incidents on our trip. Dear Sir, - The "Speculum" of September 17th has just reached me after what appears to have been a complete tour of the globe. To get rid of the former, you will accept excuses (due to a bad memory and the effects of a worse climate) and a settlement under separate cover.

A bloodthirsty man has few opportunities: and goes only in the power of what can be. It has been made clear that capital sunk in the land will not be thrown away - for the fertility is truly astonishing.

EDITORIAL NOTICE

This would ultimately be to our advantage and increase the value of our ad columns.

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RAMSAY

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VICTORIA BUILDINGS,

RAMSAY'S

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Andrew Ray, Chair, Archives Advisory Board On behalf of the University of Melbourne Archives and the Library today, welcome to this happy and important celebration marking the