PHYSICIAN'S DAILY MEMORANDUM FOR 1915

Mrs. John Sweet

While Attacking the Cause, the secondary Anemia of a constituional infection or diathesis should not be en-tirely neglected. Pepto-Mangan ("Gude") aids mightily by restoring normal condi-tions, by 1. Increasing appetite and improving digestion. 2. Rebuilding old and creating new red cells. 3. Increasing the hemoglobin. As a result, such causative therapy as is under way is encouraged and assisted in such conditions as Chlorosis, Bright's Dis-ease, Tuberculosis, Chorea, Post-Operative Devitalization, Convalescence, etc. M.J. BREITENBACH CO., New York, U.S.A. In 11 oz. bottles only. Never sold in bulk.

{black and white photograph of man}

CHARLES McBURNEY, M.A., M.D.

Charles McBurney, M.A., M.D. OF NEW YORK

This distinguished and highly respected surgeon died at his country home, Nov. 7, 1913, aged 68 years. His career was a long and eminently useful one, in the general surgical field, most of his public work being performed at the Roosevelt Hospital, where he developed many improvements of lasting value and importance in both diagnosis and technic. Dr. McBurney was graduated from Harvard University in 1866, and from the College of Physicians and Surgeons of New York in 1869. In 1889 he was appointed Professor of Surgery in the latter institu-tion, retiring in 1907, because of ill health. As a teacher and lecturer he was unusually interesting, clear and practical. As a surgeon he was perhaps best known, both to profession and laity, for his description of "McBurney's Point," in the diagonsis of acute appendicitis, and his skill in the operative treatment of that disease. As stated by one of his colleagues and biographers, "the most important part of his work in relation to appendicitis is perhaps not so well appreciated, namely, what he did to con-vince the medical profession that acute appendicitis was purely a surgical affection, requiring immediate surgical care, and this he did by constant effort in his clinics, 'precept upon precept, line upon line.'" To his patients, this markedly brilliant surgeon be-came the man of tender sympathy and human kindliness. In his relations with his colleagues, his house staff, and with men in general, he was the polished, polite, considerate and courtly gentleman, who will always be remembered most favorably by all with whom he ever came in contact.

Physician's Year Book BEING A DAILY MEMORANDUM TOGETHER WITH A MISCELLANEOUS JUMBLE OF FACTS AND SUGGESTIONS OF INTEREST AND ASSISTANCE TO THE PHYSICIAN "AS THE DAYS FLY BY" 1915 COMPLIMENTS OF M.J. BREITENBACH CO. 53 WARREN STREET, NEW YORK

[preprinted Calendar for 1915}

Friday, January 1

1 DAY PAST 364 TO COME

At the Beginning, as well as at the End of the Year, prescribe

<c>Pepto-Mangan ("Gude")</c>
as tonic, blood builder and general reconstructive.

Weather Temp.
Cold & snowing. Maude & I went to Aylmer for the Mail & took Mrs West over some things for to eat. We stayed to Mrs McHays for tea, had oysters & I found a pearl.

Drove Billey 6 miles

Sunday, January 3

3 DAYS PAST  362 TO COME

Systemic Invasion, during the prevalence of Grippe, Typhoid, or other infectious disease, can be prevented only by “toning up” the blood and tissues. Pepto-Mangan (Gude) raises the general tone of the organism, and increases vital resistance, by augmenting and enhancing the corpuscular and [hematinic richness ?] of the circulating fluid.

Weather Cold Temp. [blank]

John & I went to church. Girls & [Evelin ?] went to Sunday school. Then in the evening [Mr Covert all but Clarence was over ?].

Billy 10

Saturday, January 9

9 DAYS PAST 356 TO COME

The Special Agent Needed to fortify the cellular elements of the blood in Anemic, Chlorotic and Marasmic conditions is Pepto-Mangan (Gude). It creates and reconstructs red cells and hemoglobin and efficiently fulfils the imperative therapeutic indications and, at the same time, acts as a general restorative and [reconstitutent ?].

Weather [N.W. ?] very cold Temp.

I walked to Aylmer & stayed with Mrs Bush all night. Girls & Father came to Aylmer. John drew Grandma [Wrightman ?] a load of hay.

Billy 9. Dolly 5.

Sunday, January 10

10 DAYS PAST 355 TO COME

Points on Anesthesia—No. 2. Some attention should be given the nose, throat and mouth. If there is a catarrhal condition it should be treated, for it will cause an excessive secretion during and after the anesthesia. During the operation it produces more irritation and the secretion causes difficult breathing and predisposes to the so-called ether pneumonia; afterward it will help to keep up the nausea. These cases should receive atropin before operation. The teeth should be cleaned and the nose and mouth treated antiseptically.—Hunt; Int. Journ. of Surg.

Weather Warmer Temp.

I stayed to Stellas all day. Maude Thompson was here. John took the girls to church & then [Henn ?] & Evelin went to Sunday School. Then came here a little while, [Eugene ?] was over.

Billy 6. Dolly 5.

Monday, January 11

11 DAYS PAST 354 TO COME

The Intelligently Treated secondary Anemia, from whatever cause, is usually susceptible of distinct improvement. In addition to nutritive reinforcement, direct hematinic treatment is usually advisable and helpful. Pepto-Mangan (Gude), in such cases, is the ideal ferruginous tonic, as it is efficient in action and yet free from irritant, corrosive or constipating effect.

Weather Fine with a little snow in the afternoon. Girls came to school. John & Joe took the cow over to [Ceny ones ?].

Tuesday, January 12

12 DAYS PAST 353 TO COME

Points on Anesthesia—No. 3. The use of morphin and other alkaloids should not be a routine practice, as all people do not bear them well. They have their advantages and disadvantages. If there is no contraindication, morphin should be given in all cases where a light anesthetic is to be used, as nitrous-oxide-oxygen; also where the vapor method is employed in very nervous subjects and in those that fear the anesthetic. Morphin should not be administered where chloroform is to be given for any length of time.—Hunt; Int. Journ. of Surg.

Weather Warm Temp.

Made a quilt for Grandma [Wrightman ?] & [visited ?] her all day & stayed again all night-

Billy 5-

Thursday, January 14

14 DAYS PAST 351 TO COME

Points on Anesthesia—No. 4. The condition of the heart should be well looked into before the time of the operation, as conditions are not then at their best. A thorough examination of both radial arteries should be made by the anesthetist, so that he will be better able to judge his patient’s condition during and after the operation. It is always advisable to have your subject take a few deep breaths, with mouth closed, to see if there is unobstructed breathing. Where there is obstruction in the nasal passages a mouth prop should be used.—Hunt; Int. Journ. of Surg.

Weather Warm Temp.

I walked down as far as Maude Thompsons, then [Boyd ?] drove us out & Mrs [Bruchs ?] & we was there all day. Maude come home in the evening; Cecil Campbell drove her home I stayed all night.

Billy 5.

Friday, January 15

15 DAYS PAST 350 TO COME

In Chorea and Anemia Dr. R. W. Miller, Lecturer on Nervous and Mental Diseases and Professor of Theory and Practice of Pharmacy, University College of Medicine, Richmond, Va., states that he is strongly of the opinion that anemia as an etiologic factor in chorea is worthy of investigation, and in cases where chorea is accompanied by anemia, Pepto-Mangan (Gude) is distinctly indicated and will improve both conditions. Three cases are given in illustration.—Va. Med. Semi-Monthly.

Weather Temp

Thawing but a cold wind,

I walked home in the afternoon, as far as the corner by [Mr Skilness ?] & rode with [Isac Haney’s ?] daughter then walked the rest of the way home. I pieced six quilts for Mrs Wrightman & Estella;

Billy 5 Dolly 2½ [Dell 2½ ?]

Monday, March 15

74 DAYS PAST  291 TO COME

Indications for Gastric Lavage. The addition of antiseptics to the wash water is rarely worth while. Laxatives are most frequently useful, but even these can usually be given just as well without the use of the tube. In gastric fermentation or intestinal putrefaction, Boas likes to give magnesium salicylate in doses up to one teaspoonful three times daily. It acts at once as a laxative and as an intestinal antiseptic.—Boas; Deutsch. Med. Woch.

Weather: Warm Temp.: [blank]

We washed, Joe got home from Aylmer about [about ?] noon & Eugene & [Jas ?] came with him to dinner [Johns ?]. Girls went to school but Maudie was not well enough to go in the after[noon ?]; I guess it will be her last day at school. She stayed to Mrs [McCrays ?] until night.

Wednesday, November 10

314 DAYS PAST 51 TO COME

Indication to Operate in Otitis Media.

If in the course of a case of acute purulent otitis media (not at the beginning), or in a case of chronic purulent otitis, there is a sudden rise of temperature, say 102 or more, accompanied by a rigor, with headache and malaise, and if non-aural causes for the temperature can be excluded, and there are no symptoms of meningitis or cerebral abscess, the mastoid should be opened up and the sinus exposed without delay. Children are an exception to the rule.-Clarke and Firth; Bristol Medico-Chir. Journ.

Weather Temp.

A fine day Girls drove to school. John ploughed all day. Mr Baker was over, this afternoon and wanted us to come to tea. The second Holmes girl was married this afternoon. Joe & I cleaned the kitchen We had the window open & this wife here with bookings & mats. got a clothes booked Too thats for the bugged butter Marcal

Thursday, November 11

315 DAYS PAST 50 TO COME

A Hemogenic Stimulus

is often necessary to maintain a natural balance between waste and repair. Metabolic equilibrium depends upon a normal nutritive income, a proper interchange between blood and tissue, and a normal excretory outgo. Pepto-Mangan (Gude) supplies the necessary stimulus to cor-puscular reconstruction and hemoglobin creation in all conditions of general blood and tissue devitalization.

Weather Temp.

Rained a little this afternoon to night. Hattie came home with the girls to night. from school. Joe & I went & got some cabbage from John Widuer for crout I joacked my bees away, John has been & laughing

Mariah 6

Friday, November 12

316 DAYS PAST 49 TO COME

Treatment of Epithelioma

Seidelin reports good results from spraying ucler for two minutes with ethyl chloride, surrounding tissue being pro-tected with cotton-wool. Repeat every other day, gradually prolonging spraying until tissues keep white and hard frozen for five to seven minutes. The involved area often heals, with almost invisible scar and no recurrence, and if treatment fails the disease will not have spread but usually been considerably reduced.-Mo. Cyclop.

Weather Temp.

A fine warm day has been was working to day & yesterday. John ploughed all day. Girls drove to school Mr Leoy was over a brought Maudies dress souteron from aymin, had been was drove to Mrs Beuttys & killed his big. Joe was over to Eugenes went with leleuced helped Eugene. I braided alone week mat to day. Hattie was

{unintelligible}

Saturday, November 13

317 DAYS PAST 48 TO COME

Grippe Prostration.

Rx. Strychniae Sulph. (Hm. 0.02) ........... gr. 1/3 Pepto-Mangan (Gude) (Cc. 330-Orig. Bottle).....3xi M. Sig. Tablespoonful after meals and at bedtime. Children in proportion, according to age.

Weather Temp.

Warm enough for the bees to be out working Maudie took hattie to Ayliner, as she was agoing to London John ploughed all day, & I guess Joe worked about this buohello of corn. The girls & I was making corn mats.

Mariah 8

Sunday, November 14

318 DAYS PAST 47 TO COME

Pediatric Pointers.

In all stages of acute appendicitis in children operaiton should follow immediately on diagnosis; the signs and symp-toms may be slight, with very serious conditions in the ab-domen, and only surgeons with a very wide experience may, in rare cases, be justified in waiting for convalescence before performing their operation. In many patients with tonsils and adenoids, the tempera-ture, if carefully taken at frequent intervals, will show an increase over the normal. Here the explanation is probably to be found in a focus or foci of infective material.-Med. Times.

Weather Temp.

Cold John & I went to Eugenes then after dinner Abta & I went to Sunday school, Girls went to lehurch & stayed to Mrs Glingo for dinner then went to Sunday School & home. Mrs. Roy & Evelin was over to night. Heary fast 9 around frayen Mariah 13 Mariah 15 Billy 5

MEMORANDUM.

CAUTION.

The prescribing of an original bottle

Pepto-Mangan

(3 xi) will obviate all pos-sibility of substitution. We know upon Doctor's pre-scriptions for quantities less than an original bottle the Doctor and the patient have been defrauded alike. To be procured from Druggists generally. Prescribe an Original bottle (3 xi). Specify GUDE'S and avoid substituion. NEVER SOLD IN BULK.

{Image of Gude's Pepto Mangan} REDUCED FAC-SIMILE OF ORIGINAL BOTTLE

Do Not Crowd

an irritant, metallic salt of iron into the circulation, when the embarrassed diges-tion of the depleted anemic is unable to cope with it. When iron is needed, it is the part of clinical wisdom to order

Pepto-Mangan ("Gude")

which is acceptable alike to the marasmic infant, the chlor-anemic girl, the bed-rid-den invalid, the feeble octogenarian and the exhausted convalescent.

M.J. BREITENBACH CO., New York, U.S.A.

In 11 oz. bottles only. Never sold in bulk.

Pepto-Mangan (Gude)

COMPLIMENTS OF M.J. BREITENBACH COMPANY. 53 WARREN STREET NEW YORK CITY