PHYSICIAN'S DAILY MEMORANDUM FOR 1919

The Time-Tried Tonic

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FLOWER-GUESSING GAME.

1. My first wears my second on her foot. Lady's slipper. 2. A Roman numeral. IV. (Ivy). 3. The hour before my English cous-in's tea. Four o'clock. 4. Good marketings. BUtter and eggs. 5. A very gay and ferocious animal. Dandelion. 6. My first is often sought for my second. Marigold. 7. A young man's farewell to his sweeheart. 8. Her reply to him. Sweet William. 9. The gentler sex of the Friend persuasion. Quaker ladies. 10. Its own doctor. Self-heal. 11. My first is as sharp as needles, my second is as soft as down. Thistle-down. 12. My first is a country in Asia, my second is the name of a prominent New York family. China Aster. 13. My first is the name of a bird, my second is worn by cavalrymen. Larkspur. 14. A church official. Elder. 15. A very precise lady. Primrose. 16. A tattered songster. Ragged robin. 17. My first is sly but cannot wear my second. Fox-glove. 18. The color of a horse. Sorrel. 19. A craze in Holland in the seven-teenth century. Tulip. 20. My first is an implement of war, my second is a place where money is coined. Spearmint. 21. A disrespectful name for a physi-cian. Dock. 21. Fragrant letters. Sweet peas. 23. My first is a white wood, my sec-ond is the name of a yellowish Rhenish wine. Hollyhock. 24. What the father said to his son in the morning. "Johnny-jump-up."

{photograph of a man} EDWARD GAMALIEL JANEWAY, M.D

Edward Gamaliel Janeway, M.D.

This justly celebrated American physician, who achieved an international reputation because of his skill as a pathologist and diagnostician, passed away on Feb. 10, 1911, at the age of 70. His medical course, which he commenced in 1860 at the College of Physicians and Surgeons, New York, was interrupted by the civil war, in which he took part as an acting medical cadet. He later graduated from the above institution and at once established himself in New York City where he continued in active practice almost up to the time of his death. His career was one of rapid advancement and it has been given to but few physicians to embrace and so thoroughly take advantage of the many opportunities afford-ed him for both public and private service. As teacher, author, sanitary authority, and hospital attendant and consultant he became widely known and justly famous. Probably no other physician in the Easter Section of our country was so often sought after as diagnostician and consult-ant among all classes of people and by his pro-fessional colleagues generally. HIs loss will no doubt be seriously felt by his patients, by the many physicians who have been accustomed to call upon him for advice and assistance, as well as by the many public hospitals and institutions with which he was connected and to which he devoted so much of his valuable time.

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."

1912

COMPLIMENTS OF M.J. BREITENBACH CO. 53 WARREN STREET, NEW YORK

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Jan Wednesday 1

Rained all day turned much colder to night. Melba & I fixed the sheep pen & put them in for the first time.

Jan Thursday 42
Eugene's birth day. Melba & I washed & to night we went to Aylmer. Maudie was not so well this morning & John was down to Alberts & Shed & John cut wood for Albert, as he was ill. John drew rails all the four noon.

Mariah 6.

Jan Saturday 6 4

I moved off & on all day John was to Aylmer. I finished packing the bag packed the Kelley {Shrine?}

Mariah 6-

Jan Saturday 6 4

I moved off & on all day John was to Aylmer. I finished packing the bag packed the Kelley {Shrine?}

Mariah 6-

Jan Monday 22 6

started in fine, but snowed before noon, & kept it up all day. Melba & I went to Aylmer & {took?} some chickens & eggs to Mrs Pickering, & some ice cream to Wilfred Bring home, John was out & roted, the men that get in was, Me Jaggart, Heill, Miller, Ashton & McKenney,

Mariah E

Jan Tuesday 23 7

He killed seven chickens & took four to Mrs Pickering Melba & I took them. George {Afterello?} was here for a load of hay. John has been tearing down fence, snowed & blew a lot last night, & frezeing tonight, Paid Dr haelo in freee today Mariah E miles

Jan Wednesday 24 8

Bayde helped John draws rails all day, John wasn't very well this morning, Ed Thompson & May got Albert Hoover old horse to Bill. very mild this morning, but high wind to night.

Jan Thursday 20 9

Very blustery & snowing a little to night & blowing very hard. Ms Coy was here for dinner, & this after noon she & John put a window in the neat ride of the pig pen, where I keep the chickens Melba framed nearly all the afternoon I fried the hen house

Jan Friday 28 10

High wind all the four noon & snow blowing some time so you can hardley see & cold, a little more quiet this afternoon. John went to will this morning, over to Ms {Couis?} this afternoon, & down to Albert to night. Prestin sent ms a lot of papers, had a letter from two James, Era was one

Jan Saturday 27 11

nice day but cold. Eugene, Aleta, & baby John was here for dinner Mr Dance was here after dinner & Aleta went home with him. Eugene took John to Aylmer & then he stayed for supper

Jan Sunday 22 12

Grim but cold, Martha was taken sick this morning & had Dr Ruielain Come & he called it {neuritis?} Father went for Ms Ostraude but she had the flue & coulden't come, I have a raging head ache,

Mariah 4 1/2 miles

Monday 13

a perfect day, very sloppy & muddy, Eugene brought Grace here to help me, Bath my patients are better. Grace & I went to Aylmer this afternoon

Mariah 6 miles

Jan Tuesday 2 14

Dull day but very warm. Grace & I did a large washing, but Dad rinsed & bleed them & carried the water all out & {came?} in for {two?}. Mother sat up a little while, Mr Jan awagner was there this afternoon, Cecil came with their team & {illegible} wood

Jan Wednesday 15-

Grim day, Aleta John & {Yeam?} Appleford, was over for dinner & tea, the three girls went to Aylmer, Grace & I ironed all the evening, besides staying on the pond, Pa {road?} down as far as Ed Thompsons with Clarence

Mariah b miles

Jan Thursday 18 13

A fine day Jruvo & Mary Mathews was here for dinner & tea. Then they went to the show, & home then Lawn brought Jruvo back Dad was risiting to night Mother was a little better & help me come to day two Coy was over this morning

Jan Friday 15 17

A fine day snow all gone. The roads are muddy. Weren Patman was here sawing wood. Jruvo, Melba & Grace went to Aylmer. I have been well eneough to help all day. Eugene left a heffer here, that he bought of Heart Draper.

Mariah b.

Jan Saturday 16 18

A fine day Eugene, Aleta, & baby, here for dinner, & tea like {illegible} bees were out. Finished sawing wood. Melba took Grace home & was to Aletas for dinner. Aleta was sick all night. Jruvo is here. John went to {illegible} smile. Billy B

Jan Sunday 7 19

A fine day. Eugene, Aleta & baby was here. Eugene took Aleta to Dr, & they was here for dinner & tea. Jruvo made Maudie {miss?} Le Jammes yesterday

Jan Monday 8 20

A fine day. Many came for Jruvo before dinner John took a grist to mill. Then threw wood in the wood shed. Maiden S Audrah was here this afternoon. Eugene was here. {Came?} horses home all had the distempers but Billey. Eugene was here a little while to night after he killed Lewises bees, & went to Aylmer, the Bone cow had her calf

Jan Tuesday 9 21

Fine day but hoyy. We washed & ironed some of them. {Heayel?} Dance was in a few minutes. John went to Aylmer with Eugene to see some young cattle

Jan Wednesday 10 22

A very foggy day & to night is fiece {fierce}, can't hardly see, for the fog. Alma Snelgrove & lelouhe was here this afternoon & I took them home. I was to Aylmer this morning. Eugene was here this afternoon a few minutes on his way to the station to meet Mr Dance John {Avuo?} Manuve Billy j

Jan Thursday 11 8 3

A very rainy day John was to shed this afternoon. Charley Marehanut Came for the little calf

Jan Friday 12 24

Fine John threw wood in the wood shed

Jan Saturday 13 25

Fine all day but rained a little to night. We washed & Melba & I went to Aylmer. {Aleie?} & leliffad came up this evening. John finished putting the wood in the wood shed Billey 5

Jan Sunday 14 26

A fine day. Grace came back. Eric Abell Mina Patman & {Urvina?} was here for tea.

Jan Friday 14 27

Jan Monday 27

Fine day. Ms. Mrs. very muddy. Melba took Grace & went from here. I sewed all day. John finished piling wood. Billey 11

Jan Saturday Tuesday 27 28

Cloudy nearly all day. Roads very muddy. Mrs Johnston, that wood to the stella Me Jaggart & Anna was with her, they waas here for tea. Melba took Grace & went for her. John went to Aylmer this morning & took Grace this afternoon he has been burning the chips & was over to Billey Darises same of the time where they was sawing wood. Mark, Cecil & Clarence help Billey.

Billey 10

Wednesday

Monday, January 29

29 DAYS PAST 337 TO COME

To Repair Corpuscular Disintegration is the urgent indication after the destruction of the parasites, in malarial infection. Pepto-Mangan (Gude) initiates and accomplishes hematic renconstruction, as it acts as a creator of new red blood cells and a re-creator of those partially destroyed. It also stimulates the for mation of hemoglobin and acts as a general tonic reconstituent.

Weather Temp.

An nice day only had a few snow flurries & snowed about an inch last night. I took Grace this morning & got an new lace curtain for the pauloue bedroom, Aleta & little John was here for dinner. Mr Dance brought them on his way to Aylmer. Eugene came for them & was here for supper. Bill was sawing wood this afternoon. Bayde helped John draw hay

Billey D

Melba went for Grace

Thursday

Tuesday, January 30

30 DAYS PAST 336 TO COME

A Bedside Widal Test.

Dr. G. Gilman reports a bedside method of Widal testing which comsumes little time and gives results withing a few hours. The test solution is a formalized culture of the typhoid bacillus, which can be procured from any pathological laboratory and will keep any lenght of time. In a small vial are placed 48 drops of the test solution, and to this are added two drops of the patient's blood. The tube is corked, well shaken, and set aside for three to five hours. A clear supernatant liquid indicates positive, a turbid liquid a negative reaction. The same technique may be used for other agglutination tests. Weather Temp.

Looked like a storm, but didn't. I took Grace went with the milk wagon, & I got my chair that I had mailed that Mrs Bingham gave me. Melba went for Grace & John came home with them he has been helping Ed Thompson, {illegible} the old seal house that they used for a hen {illegible}

Billy

Friday 22 eggs

Wednesday, January 31

31 DAYS PAST 335 TO COME

"Facile Princeps" in its Class.

The ever-present problem of how best to restore the vitality and resistance of the exhausted patient must include a consideration of the preferable hematinic. Pepto-Mangan (Gude) is "easily leader" in this field, as it is at once palatable, tolerable, non-irritant, non-corrosive, non-constipating, almost immediately absorbable, and promptly efficient in blood reconstruction.

Weather Temp

Cold and very bright. I took Grace and took my music lesson. Pa took grist to mill and went to Shed's this afternoon. Mother and I went to Kingsmill Aunt Bell and Uncle Levis were here for a few minutess this afternoon.

Thursday, February 1

32 DAYS PAST 334 TO COME

Syphilo-Dermo-Urologic Aphorisms.

Theoretically, the detection of stone in the bladder is a comparatively easy maneuvre. Occasionally, the symptoms described by the patient point to vesical calculus and, despite all efforts, it cannot be detected by the sound. This may be occasioned by the fact that the stone has lodged behind the prostate. By tilting the hips well up above the level of the shoulders the calculus may become dislodged, roll down to the base of the bladder, and then be easily found.—Amer. Journ. of Derm.

Weather Temp

Fine but cold. Pa went to town and got Mike shed. Eugene and Aleta were here for dinner, about 4 o' clock. Baby stayed while they went to town. Grace invited me to come out and stay till Sunday. Alma and Claske brought Maud in some candies, then went on to town.

Thursday

Friday, February 2

33 DAYS PAST 333 TO COME

A Quick and Satisfactory Way.

To revive, restore and reconstruct one should preferably begin at the foundation. In almost every case of systemic depletion the blood is "below par." There is no quicker or more satisfactory way of reparative process than by starting up the reparative process than by means of Pepto-Mangan (Gude).This palatable and tolerable combination of iron and manganese in organic form is a veritable "prop" to the functionally disturbed blood.

Weather Temp.

A lovely day thawed a little, rather good wheeling. Melba & I went to Church this morning. Mrs Rogers gave an address. Mr Mitchell preached a memorial service, his toy was John

                                 {llehap?} 14 vers       it was

for Grace. McGinnis & Boughner, that died with the flue. Grace came over, to night, Aunt Bell went to church with us Mariah 18

Monday

Saturday,Febuary 3

34 DAYS PAST 332 TO COME

Treatment of Pneumonia.

The great needs of the body in pneumonia are plenty of air, water and rest. Over-feeding and wrong feeding ar responsible for a loss of energy used up in an attempt to digest, assimilate, and excrete unsuitable foods. Meat broths are not useful because they make no energy and tax the kidneys. Sugar is a valuable energy-producing food and leaves nothing but water and carbon dioxide to be eliminated. Failure to keep the patient in a horizontal position so as to aid the heart in carrying on the circulation is responsible for many deaths.—Dr. G. Werley: The Hospital.

Weather Temp.

Nice day, but cloudy towards night. Sprinkle rain this evening. Ms. Coy, Cecil, Clarence helped Pa kill two pigs before dinner. Father {reshape?} the roads to-day. Mother and I racked the yard and had bon fises. Took and went for Grace. Eugene was her to-night. Ms. Coy came over and helped take in pigs. Then Cecil ame latter.

Mariha s-

Tuesday

Sunday, February 4

35 DAYS PAST 331 TO COME

Tardy Recovery

from the depleting effects of a constitutional infection is especially characteristic of La Grippe convalescence. While immediately restorative measures are often indicated to combat prostration, a hematinic reconstituent is also needed. Pepto-Mangan (Gude), to which the proper dose of strychnine is added, is a peculiarly efficient reconstructive in such cases. Weather Temp.

Rained last night & this morning & was very foggy. Melba took Grace & Melba & I went for her & got Maudie an new sing for her birthday tomorrow. John cut up the pigs & went to John dearters sale. Aleta & little John was here for dinner. John got one hundred weight of sugar

Billey 8 Mariah 6

Wendnesday

Monday, February 5

36 DAYS PAST 330 TO COME

Ether-Practical Administration. No. 2,

Except when specifically contraindicated a thorough cleansing of the intestinal tract is of manifest advantage. The administration of a mild purgative one or two nights previous and an enema several hours before the operation is good routine. But an enema, improperly given as to method or too late as to time, may be productive of much annoyance during the operation.—Dr. J. B. Bogan; N. Y. Med. Journ.

Weather Temp.

Cold We washed & Melba did nearly all the ironing. John took Grace when he went for a bag of salt. Melba went for her. John has made the brine for the park, & he & Mark was down to Shed's this afternoon & to night he is over to Ms Coves.

Billey 5- Mariah 5

Tuesday, February 6

37 DAYS PAST Thursday 329 TO COME

In the convalescent stage of La Grippe nothing will more quickly and certainly restore the strength and repair the blood than

Pepto-Mandan ("Gude")

the ideal hematinic and general tonic.

Weather Temp.

John was away all afternoon don't know where A fine day with rather cold wind, had a few snow flurries last night. Melba took Grace & the buggy wheel to town, Melba went for Grace but Ms Coy brought the wheel home. Melba finished the ironing. I have been making Melbas under skirt & was George hevello came for a load of hay. John put the beenie one, but meet man 6- Billey 6-

Friday

Wednesday, February 7

38 DAST PAST 328 TO COME

Surgical Hints.

In making a deep incision for whitlow it is important not to lay open a tendon sheath from end to end owing to the great danger of sloughing of the tendon. In osteomyelitis it is always advisable to open up the bone even before the presence of pus can be positively determined, in order to prevent abscess, pyemia, or necrosis.-Int. Jouru. of Surg. Weather Temp.

lovely day but cold. Took Grace and music lesson. Went after her. Gean came after Grace and stayed for supper. Pa swaed wood at Ms. Cois. I have Mother has been tying out the lard all day.

Bill s- Mariha s-

Thursday, February 8

39 DAYS PAST Saturday 327 TO COME

In the Various Life Processes

iron is essential, as it is the vital oxygen-carrying element of the blood. In anemic states Pepto-Mangan (Gude) furnishes iron (and manganese, its oxygenating partner) in a form peculiarly acceptable to the digestion, promptly absorbable and readily appropriable by the blood. Weather Temp.

I made soap to day

A fine day Good wheeling a few little flakes of snow. John went to Kingsmill this afternoon, down to sheds to night, & sawed wood for Ms Coy this fournoon. Head to make brine again for the meet as the other leaked off. Melba & I went to Aylmer for the mail. Eugene was over to night & stayed untill nearly ten & then went to Aylmer

Billey 3 Mariah 5

Friday, February 9

40 DAYS PAST Sunday 326 TO COME

A Non-Irritating Depilatory.

Depilatories containing the sulphides of barium, strontium and calcium and an inactive substance like chalk, talc or starch are extremely irritating to the skin. This can be avoided by preparing them hot. To prepare such mixtures 1.5 grams of strontium, or an equivalent quantity of barium or calcium sulphide, are triturated with 2 grams of starch and & grams of water and the mixture heated to boiling, with continuous stirring. Upon cooling, a creamy mixture is obtained, which is as efficacious as the mixture prepared in the cold and does not hurt the skin.—Med. Brief.

Weather Temp.

Cloudy Snowed a little off & on snowed some last night, but of no account. Gene Appleford brought Grace to night & she & Melba went to church. Been a high fly day. John went a way with Billey this afternoon & to night is gone

Billey Mariah 6

Saturday, February 10

41 DAYS PAST Monday 325 TO COME

After the Subsidence

of the acute symptoms of any infectious disease the special desideratum is the prompt initiation of a blood-building campaign. Pepto-Mangan (Gude) builds, revives and re-creates the devitalized circulating medium, increases the appetite and absorptive capacity, augments bodily resistance, hastens convalescence and acts as a general hematinic and tonic reconstructive. Weather Temp.

A fine day We washed Melba took Grace & she walked home here. The Dr & Billey was out & the Dr social Maudie hip was coming down. John drew manure

Billy b

Sunday, February 11

42 DAYS PAST Tuesday 342 TO COME

Ether-Practical Administration. No. 3.

The prophylactic hypodermic injection of atropine and of morphine or codeine, is generally an assistance though not routinely used in our cases. The injection should be given a half or one hour before, and the dose of the hypnotic need not be large. The latter seems to be of special value in those cases which will awaken to experience new found pain.-Dr. J. B. Bogan; N. Y. Med. Journ. Weather Temp.

Fine all day but snowing to night Melba took Grace & Melba & I went for her. I went in to the high school a few minutes to see {the?} Aide Clarence helped John draw straw in the {dreien?} barn

Bayde Thompson has brought the Adams Bingham place

Monday, February 12

43 DAYS PAST Wenesday 323 TO COME

In Most Cases of Chronic Illness

the restoration of normal function, the reinforcement of vitality, and the fortification of the power of resistance. are the important therapeutic indications. Pepto-Mangan (Gude) is not simply a temporary restorative, but also a real blood constructor, and thus assists absorption, assimilation and nutrition generally. Weather Temp.

Snowed last night hot was foggey this morning, & by noon it was all gone Melba took Grace as far as Bogen's carners didn't go any farther because the hors balled {illegible}. Melba went for Grace, & me ironce ironed all day. John was up to Lewises for grans seed this four noon & drew manure this afternoon

Mariah 8 Billey 3

Tuesday, February 13

44 DAYS PAST Thursday 322 TO COME

Surgical Hints.

Next to rheumatism, tuberculosis is the most common of all affections of the joints, although in the early stage the symptoms may be so obscure as to make a diagnosis extremely difficult. In young children caries of the mastoid process with abscess formation may occur without involvement of the inner ear, and without fever, pain or other constitutional symptoms.-Int. Journ. of Sura. Weather Temp.

Hazey looking all day & to night it is raining hard. Melba took Grace & to night Melba & I started for her we meet Me Mitchell & Evie Abell coming here, so I came home with them. Melba went on John has been resting all day besides doing his chores. Maiden & Audrah was in to night

Mari 6 Billy 4

Wenesday, February 14

45 DAYS PAST Friday 321 TO COME

Profound Anemia From Any Cause.

R Liq. Potas.Arsenitis. (Cc. 4.0-8.0) 3i-3ij Pepto=Mangan (Gude). (Cc.330-original bottle) 3xi M. Sig.-Tablespoon after each meal. Children in proportion. Weather Temp.

Rained all day last night & some this morning. Melba took Grace & had had her music lesson. Went for her to night Melba was a going home with Grace but the roads was so muddy, they didn't go. John helped Bayde this afternoon down on his place. Hayel was in to see Maudie. Carl wanted out in the road. Ms Coy was here this afternoon

Milly b- Mariah b-

Thursday, February 15

46 DAYS PAST Saturday 320 TO COME

Hoarseness.

Ten drops of dilute nitric acid, three or four times a day, in sweetened water, is recommended for this condition, by Ellingwood. Singers and public speakers will find this an excellent remedy. If immediate benefit is required, use three or four drops on a square of loaf sugar, and allow it to dissolve on the tongue slowly, drawing the air into the lungs over it.—Therapeutic Record Weather Temp.

A very dissagreable day misting, raining some & snowing to night. The ground is quite white & mud something fiece. Colder tonight. Grace didn't go home last night. I put a quilt on the frences this afternoon, & have of off now & all lasted ready for to stitch on the machine. John was over this afternoon with Cecil the others all went to Aylmer. John & Grace put up a grist for chopp but he didn't go

Friday, February 16

47 DAYS PAST Sunday 319 TO COME

Correct the Blood Fault

A depleted blood state is frequently the causative factor of neurasthenic conditions. In such cases nervous equipoise cannot be fully restored until the hemic defect is corrected. In conjunction with other indicated measures, Pepto-Mangan (Gude) assists materially in the re-establishment and maintenance of neural equilibrium and general systemic reconstruction. Weather Temp.

Cold & froze very hard last night, roads like bricks, standing on euds. Only saw one {pig?} pass to day, & that was {Frunch?} Snelgroves. I was over to Ms Coves to nigh. Melba & Grace came for me. Clarence & Eva came over & Cecil went away. Melba & I was down for a walk, to Bayde's John was away for dinner at Lewise's I guess

Saturday, February 17

48 DAYS PAST Monday 318 TO COME

"Don'ts" in Appendicitis. No.1

I. Do not treat your patient medicinally; a, when there are signs of peritonitis, b, when the temperature keeps on increasing, c, when a distinct tumor is felt in the right iliac fossa, d, when the pulse is slow, temperature low with local signs of peritonitis, and the appendix is becoming gangrenous, e, when there is sudden absence of pain, f, when the mononuclear percentage is over thirty, g, when acceleration of pulse is out of proportion to temperature, h, when the symptoms are severe soon after onset, i, when there have been previous attacks.-Chideckel: Med. Record. Weather Temp.

Cold We washed & hung out the clothes but it came quite a {suno?} storm Dr McLay & Bert was out. Maudie suffered something awfull with her hip last night & to day untill to night. John went to mill this day noon & went for Grace to night

Mariah 2 1/2 Billey 6

Sunday, February 18

49 DAYS PAST Tuesday 317 TO COME

Chlor=Anemic Blood States.

To obtain lasting results and rebuild and revivify the depleted blood of the anemic invalid, permanent reconstructive measures must be resorted to. Pepto-Mangan (Gude) furnishes not only a stimulus to vitality, but also a general reconstituent in all cases characterized by hemic poverty and general denutrition. Weather Temp.

Snowed eneough last night, had it have been wet for sloughing, but as it was like sand, it was no good. John has been hepling Ed Thompson all day move his hen house. Grace road with {Yeall?} Baker & I went for her to night. Maudie is better. I stopped in to Ed Thompsons a little while on my way after Grace. I quilted Melbas first quilt to day. Melba did the work

Mariah 5

Monday, February 19

50 DAYS PAST Wenesday 316 TO COME

Cheap Typhoid Disinfection.

Whitewash (lime slaked in water) will efficiently disinfect typhoid stools. Simply pour into the vessel containing the stool an equal quantity of ordinary whitewash. After standing two hours the entire mass is completely sterilized. It may be emptied into the privy or into a hole dug for that purpose.—Med. World. Weather Temp.

Muddy & warm. Melba took Grace & went for her. John was helping Mr Ed Thompson I have been putting on a quilt & Melba has been ironing. Albert & Balley was up to have me help her with some mittens show her how to knit them,

Mariah 10

Tuesday, February 20

51 DAYS PAST Thursday 315 TO COME

To Disapate Neurotic States,

the general "tone" of the organism must be supported and increased. Neurasthenic symptoms are, not infrequently, due to anemic conditions. In such cases Pepto-Mangan (Gude) improves the quantity and quality of the vital elements of the blood, supplies oxygenating power, and augments vitality generally. The most nervous and "finicky" of patients take it readily without objection. Weather Temp.

Cold to night. I {haved?} & muddy but the air seemed cold. Ms Claire came home with Melba & after dinner Melba went for Aunty Maude. Bayde & Ed was helping John draw hay & other. Melba went for Grace. Ed went home & after tea Bayde & his mother went home. Eugene was here for dinner on his way home from Aylmer

Billy 8 Mariah 5

Friday

Wenesday, February 21

52 DAYS PAST 314 TO COME

Syphilo=Dermo=Urologic Aphorisms.

It is not an unusual matter for an arthritis or an iritis to occur, during the course of a gonorrhea. It must be borne in mind that the same conditions are apt to supervene in subsequent attacks of the gonorrhea. It is also a good idea to inform such patients that they may expect such to be present, at some future time.—Amer. Journ. of Derm. Weather Temp.

Snowed nearly all day. Melba took Grace to school and went for her. Melba brought Mrs. Thompson up when she came from taking Grace to school this morning. Melba went over to Ms. Appleford's with Grace. Mama took Mrs Thompson home after supper. Mother took my quilt off quilting frames to night. Recevived some little rose bushes from Jessie M. Good. Cats had an awful fight, ha ha.

Thursday, February 22

53 DAYS PAST Saturday 313 TO COME

To Impart Vital Power.

and to quicken the formation of erythrocytes and hemo-globin, nothing is equal to Pepto-Mangan (Gude). It establishes, sustains and maintains the vitality of the circulating fluid and thus meets the imperatively necessary therapeutic indication in Anemic, Chlorotic and generally devitalized conditions. Weather Temp.

Warm Started to rain & sleet about four to night. Aleta came for dinner, left baby with us & she went to Aylmer with John, where she had her tea she went home in the rain. Mr Dunlop went down to view Baydes farm this fournoon & was there about one hour & a half. I quilted Maudies quilt that my mother pieced to night. Maudie has stayed up all day to day

Billey 5

Friday, February 23

54 DAYS PAST Sunday 312 TO COME

Improving a Plaster Cast.

In many instances in the use of plaster-of-Paris dressing, Where it is desired that the dressing last for several weeks or more, we are much troubled with the crumbling and cracking of the plaster-of-Paris dressing, no matter with how much care it may be applied. This difficulty may be considerably obviated by the use of paint on the outside of the plaster-of-Paris dressing, when the dressing has been completed.-Medical Brief. Weather Temp.

A dissagreable day rained a little & snowed some off & on, roads something fierce. Gene Appleford, brought Grace & Melba home. Alice & Clifford was up & brought Maudie a box of candies & some {lupin?} the only saw two pigs go the roads to day. John has been home all day. {Came?} gene Sweet went for Mrs Ostrauder, to help care for mrs Duesbery. Melba Grace & Gene was over to Alitas for dinner

Saturday, February 24

55 DAYS PAST Monday 311 TO COME

Anemia of Neurotic Origin

The causal neurosis having once been remedied, the resultant blood poverty is amenable to steady and rapid improvement through direct hematinic therapy. Pepto-Mangan (Gude) is the one non-irritant, distinctly palatable, easily tolerable, and readily assimilable hemic reconstructor especially applicable in such cases. Weather Temp.

A lovely spring day. We washed & the clothes got dry. Roads very muddy. Melba took Grace & went for her. John has been drawing Maneese. Bayde tapped some maple trees up to Emilys {M?} Cecil {Cauq?} hello. I put Melbas quilt to geather this afternoon. I am to tired for anything.

Sunday, February 25

56 DAYS PAST Tuesday 310 TO COME

Don't in Appendicitis. No. 2.

2. Do not treat medicinally if the patient happens to be a child; peritoneal involvement and abscess formation are very early features in children.3. Do not confound appendicitis with Dietl's crisis, typhoid fever, hip joint disease, stercoral typhlitis, intestinal lithiasis, intestinal obstruction, cholecystitis with distention, perinephritic abscess, tuberculous peritonitis, extrauterine pregnancy, renal colic, carcinoma of the cæcum, hypochondriasis and hysteria. 4. Do not diagnosticate appendicitis if pressure along the descending colon causes no pain in the right iliac fossa.-Chideckel; Med. Record. Weather Temp.

Cloudy but snowing to night, warm. Melba took Grace. I went for her, was in to see Maude Thompson on my way down. I was in to the Dr. Melba did nearly all the ironing. John took Dr Pickering a load of oats, & was down to Sheds' this afternoon. Melba & I was agoing to the Baptist tea but it snowed so hard we diden't go

Mariah 5 Billey 5

Monday, February 26

57 DAYS PAST Wednesday 309 TO COME

The Pale and Tired School Girl

needs something more than regulation of studies, fresh air and nourishing, easily digestible food. A blood count will almost always show a certain degree of Anemia, usually of the Chlorotic type. For such patients Pepto-Mangan (Gude) is especially indicated as a non-irritant, non-constipating, ferruginous tonic and reconstituent, which promptly overcomes the existing blood impoverishment. Weather Temp.

Snowed some Cold & Melba took Grace & went for her. Cecil was over to Dr McBay was here & said that Maudie was to much better she could get up every day now. John wanted to go th to the sale but it was so cold he diden't go, shed & his wife was up this evening

Billey 5 Mariah 5

Tuesday, February 27

58 DAYS PAST Thursday 308 TO COME

Surgical Hints

Avoid multiple small incisions in palmar abscess, since they prevent proper drainage and may lead to stiffness of the hand. A single adequate incision is preferable for these reasons, and also because it affords a clearer view of the site of disease, so that pus pockets are much less likely to be overlooked.-Int. Journ. of Surg. Weather Temp.

Cold but warmer than yesterday. John went to Ms S Ashtons for the cultivaton & whiffeltees that Eugene bought for him. Grace was taken sick with the flue to night & his Father come for her & the Dr was out to see her. Aleta was here & left Johnie while she went to Aylmer, then she cam back for tea, Melba took Grace but Aleta brought her home

Billey 5

Wednesday, February 28

59 DAYS PAST Friday 307 TO COME

To Initiate Blood Renconstruction

in devitalized states of the organism, some stimulus to hematogenesis is required. Iron and manganese,in organic combination, are the most efficient agents with which to accomplish this purpose. Pepto-Mangan (Gude) is the most eligible and available of such combinations, because of its palatability, ready tolerability and ab-sorbability, and its promptly efficient hematinic action. Weather Temp.

Windy and warm. Rained abouted five o'clock and raining now. Thundered and lightning. Went with Ms. Coy to take music lesson. Ms. Coy Cecil Guy helped take the cultivator off the wagon. Washed to day and ironed curtains cleaned bed room and swept the other rooms. Pa went over to Ms. Cox's this afternoon. Paid telephone dues. Grace was no worse to day.

Thursday, February 29

60 DAYS PAST 306 TO COME

Ether-Practical Administration. No. 4.

The simplest apparatus is the most practical and convenient for the administration of ether by the "open" or "drop" method. Ether, an inhaler, and a towel folded lengthwise are the essentials. Petrolatum, gauze sponges, a pus basin, tongue forceps, mouth gag, and the usual stimulants are at times necessary, and, if possible, should be at hand.-Dr. J. B. Bogan: N. Y. Med. Journ. Weather Temp.

Friday, March 1

61 DAYS PAST Saturday 305 TO COME

The Cellular Elements of the Blood

must be fortified in order to bring about any substantial improvement in cases of Anemia, Chlorosis, Marasmus, etc. Therefore some agent to create red cells and hemoglobin is urgently indicated. Pepto-Mangan (Gude) promptly and efficiently fulfils this imperative therapeutic indication and, at the same time, acts as a general restorative and reconstituent. Weather Temp.

Cold this morning but thawed a little this afternoon. Rained hard last night & lightened. The lightening struck the lumber over the creek, at Eugenes Maudies hence hurt her badly to day. Ms Coy was over this afternoon. Cecil was here this fournoon. We were all home all day. Eugenes horses got in his barn & ate to much chopp. Dr Pickering was there & says they will come all right

Saturday, March 2

62 DAYS PAST Sunday 304 TO COME

A Drink in Acute Nephritis.

Unless dropsy is present, the patient may be given to drink freely of a beverage consisting of a dram or two of potassium bitartrate added to a pint of boiling water, flavored with lemon juice and a bit of lemon peel. The mixture should be allowed to cool before drinking.—Med. Standard. Weather Temp.

A lovely day thawed but froze hard to night. John went to Eugenes to day, for dinner & tea. Melba & I went down to Ms C Thompson this afternoon for an hour & to night Maudie, melba & I went to church. the Caverley girls was out & stayed for tea. This is the first Maudie has been out for three months.

Mariah 13 Billey 8

= Sunday, March 3

63 DAYS PAST Monday 303 TO COME Parasitic Anemia caused by hook=worm, the malarial plasmode, tape worm or other intestinal parasite, is promptly amenable to the corpuscle=building power of

Pepto-Mandan ("Gude")

Weather Temp.

A lovely day & muddy. Maudie & I went to Aylmer, the first time Maudie has been out for three months she went & took a french lesson of Ettie Stewart. I went & called on Ms Dr Auguatice a while. John drew manure this fournoon & went to mill this afternoon.

Mariah 3 Billey 5

Monday, March 4

64 DAYS PAST Tuesday 302 TO COME

Syphilo=Dermo=Urologic Aphorisms.

Vesical hematuria is a contition that varies much, according to its causes. If it be due to stone in the bladder, it is usually moderate and it becomes apparent or is increased by bodily movements. If this hemorrhage be persistent or proluse, and is not influenced by bodily exertion, the fact pomts to the presence of a tumor as the causative agent of the bleeding. Amer. Journ. of Derm. Weather Temp.

A beautiful day. Warm as spring, needed no coats on. Saw two robins. Aleta took her father to the station and left John here. She came back for supper. Mrs. Van Wagner was up all afternoon. Pa went to Kinneys sale with Shed and Albert. Sent Grace's parcels with Aleta.

Tuesday, March 5

65 DAYS PAST Wednesday 301 TO COME

The Rational Method

of restoring the menstrual flow, in cases of suppression or irregularity, is to overcome the chlor-anemic state which usual operative factor. Pepto-Mangan(Gude) is, in this sense, a physiologic emmenagogue, as it re-establishes menstruation without exciting or irritating the generative system. Weather Temp.

Snowed last night & has kept snowing, off and on all day. & blowing the wheeling is pretty tough for the wheels loads up with mud & snow. Albert was up. John was over to Marks this afternoon. I finished Melba deep lace for her underskirt & have three scallops done to Maudies.

Wednesday, March 6

66 DAYS PAST Thursday 300 TO COME

Ringworm.

A four-per-cent. solution of formaldehyde in glycerin is highly extolled as a remedy in this affection. All grease should be first removed with oil turpentine, followed by soap and water. Then apply the formaldehyde glycerin, and repeat several times for about an hour. One prolonged treatment of this kind is usually sufficient.-Clinical Review. Weather Temp.

Nice day. Cold this morning but thawed this afternoon. Maud and mother went to town. Dad went to Cutton's sale with Shed and Albert. I did all the chores and all the work. ha.

Mariah 5

Thursday, March 7

67 DAYS PAST Friday 299 TO COME

Indications of Vitality.

Forcefulness and energy are the attributes of good health and serve as indications of the vitality and sufficiency of the blood. Lack of force and reduced energy, in a large majority of instances, indicate a more or less devitalized blood stream. Pepto-Mangan (Gude) raises the blood standard by supplying the essential material (iron and manganese) for increasing the solid, vital elements of the blood—the red cells and hemoglobin. Weather Temp.

A fine day. Maudie & Melba went to Aylmer this morning. We ironed. John drew manure. Bayde was up for tea.

Mariah 5

Friday, March 8

68 DAYS PAST Saturday 298 TO COME

"Dont's" in Appendicitis. No.3.

5. Do not rely on Blumberg's sign alone (pressing the hand over McBurney's point and lifting the hand up suddenly; the return of the wall will give rise to a short acute pain). It is present in all cases of peritoneal inflammation. 6. Do not treat medicinally if Blumberg's sign is present. You are dealing with a peritonitis. 7. Do nothing that will interfere with the integrity of the skin, hence make no application of mustard, oil of turpentine, or hot water.-Chideckel; Med. Record. Weather Temp.

Cold with east wind & sleet to night. John drew manure this morning, & this afternoon he went to Aylmer this afternoon. To night Maudie & I went to Aylmer to for to see about Maudies ear & to get me some medicine

Billey 5 - Mariah 5-

{Burn mark}

Saturday, March 9

69 DAYS PAST Sunday 297 TO COME

Theraputic Suggestion

The following prescription o especially serviceable in the treatment of Malarial Anemia, Chorea and Chronic Skin affections: R Liq. Potas. Arsenitis. (Cc. 4.0-8.0) 3i-3ij Pepto-Mangan (Gude). (Cc.330-original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Muddy & rained & snowed last night & to day all day. We all went down to Shed's for dinner. Melba & I went to church to night. Mr Mitchell preached from Genesees 18 ch 20 ver

Billey 2 Mariah 6

{Burn mark}

Sunday, March 10

70 DAYS PAST Monday 296 TO COME

Anesthetist.

An expert anesthetist is quit note every change, and can so "nurse" his patient that it is seldom he has any anxiety from the appearance of untoward symptoms. These difficulties may turn up in the hands of the. less experienced, who must at times give an anesthetic, and who must, there-fore, get the most thorough training possible. No man can have confidence in his power to administer an anesthetic safely who has not a very clear idea as to what constitutes a danger signal and a definite knowledge of how to proceed instantly and without hesitation to get his patient into a safer condition.—WV. Rankin: The Practitioner. Weather Temp.

Muddy & snowed this afternoon. John was down to Ed Thompsons this four noon, and has gone over to see how Ms Coy is. The Dr was there this afternoon & was in here. Ms Coy has an absess. the girls & I have started a rag mat for Melba, Maudie drew the flowers on it

Monday, March 11

71 DAYS PAST Tuesday 295 TO COME

An Easily Appropriable Form

of iron feeds the red blood cells and thus supplies fuel for the vital fire in Anemic, Chlorotic and generally devitalized conditions. In addition to a judiciously selected food supply, it is the part of wisdom to order Pepto-Mangan (Gude), the ideal hematinie in such cases, by virtue of its organic ferruginous and manganic content, in non-irritant, readily absorbable and non-constipating form. Weather Temp.

Thawed. Melba & I took Maudie to school for the first in over three months. Melba went for her, & Melba & I went down to Ms Caverlies & & changed a raffet. John & Bayde went to Penhales for clover seed. Ed came as for as here & then walked home. John has gone over to see how Ms Coy is

Billey 5 Mariah 14

Tuesday, March 12

72 DAYS PAST Wednesday 294 TO COME

Syphilo=Dermo=Urologic Aphorisms

In formulating a diagnosis of syphilis the fact that there is an absence of a history should have little or no weight. This is especially true in hereditary luetic manifestations. It is for this reason that most reliance is to be placed on objective symptoms, as they are independent of all subjective sensations in a patient.-Amer. Journ. of Derm. Weather Temp.

Maud drove herself to school. Mother went over to Mr. Cox's, and he is no better. Shed is going up to stay with Mr. Cox. Pa went to Ms. Abells to a meeting to night. Pa went to mill this this fournoon. Smuty was in a fight. Maud got her new shoes Tuesday.

Mariha 5

Wednesday, March 13

73 DAYS PAST Thursday 293 TO COME

A Deficiency of Blood Iron

in Anemia and its congeners is apparent in the pallor of skin and mucous membranes. Improved systemic oxygenation is impossible without a sufficient modicum of organic iron in the vital fluid. Pepto-Mangan (Gude) furnishes both iron and manganese in shape for almost immediate utilization in the formation of a richer and a redder blood. Weather Temp.

Cloudy & a high wind all day. Cold, east wind. We washed. Maudie went to school. John was out to the reform connection. Aleta & Mr Dance brought baby & left him, while her & her Father went to Aylmer. Mr Coves absess broke this morning. Shed & George Danis sat up with him all night. Mr Lanian was here a little while to day.

Mariah 5

Thursday, March 14

74 DAYS PAST Friday 292 TO COME

"Don'ts" in Appendicitis. No. 4.

8. Do not give any food, not even water. 9. Do not allow your patient to move in bed. It will hasten perforation. 10. Give nothing that will increase peristalsis either of small or large intestine. II. Give no drug that will paralyze the nervous tone, that will prevent expulsion of infectious discharges, or that will mask the symptoms. 12. Do not give too favorable a prognosis, no matter how mild the case may seem to be.—Chideckel; Med. Record. Weather Temp.

Cold east wind blowing all night & all day & still at it you can't hardly feed the cattle. It was pack Freins sale. John Albert & Shed went to it. Eva Clarence went & they left little Hurbert with us. The Dr was over to Ms Coves to night & says Ms Coy is coming along fine. Melba & I have been pulling the rago in her mat to day. It froye {by?} hand last night, that it froze the tomato plants up stan's

Mariah 6

Friday, March 15

75 DAYS PAST Saturday 291 TO COME

Even Rebellious Child,

who generally resists attempts at medication, rarely objects to Pepto-Mangan (Gude), because it is distinctly pleasant to the taste. No one can consistently refuse this efficient general tonic, as it is free from irritant or astringent properties, does not stain the teeth and is devoid of constipating action or effect. Weather Temp.

A nasty rainy cold day. Aunt Emma Kaiser died last night. Mother went over to see Ms. Coy this morning. Maud went to school and came home at noon. We ironed. Millinery opening to day

Mariah 6.

Saturday, March 16

76 DAYS PAST Sunday 290 TO COME

The Inflamed Eye.

The laity should be instructed never to bandage or poultice an inflamed eye unless it be on the advice of some one who knows what is best. Simple ocular inflammations subside under aseptic conditions in a few days. The eye remedies for such cases are hot water, boracic acid, dilute camphor and alum water, and occasionally cocaine for the relief of pain.-Exch. Weather Temp.

Rained all day untill towards evening then it quit. Ms Appleford & Gene brought Grace over. Melba, Grace & I went to Church.

Billey 5

Sunday, March 17

77 DAYS PAST Monday 289 TO COME

Malarial Anemia

R Liq. Potas. Arsenitis. (Cc. 4.0-8.0) 3i-3ij Pepto-Mangan (Gude). (Cc.330—original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Rained all day roads something fierce. Guy Ostrander came in for dinner on his way home from the factory as the roads were as bad, the horses was nearly tired out. Maudie & Grace went to went to school. Melba & I washed. The Girls went down & got Maude Abell for to make Grace a dress

Mariah 6

Monday, March 18

78 DAYS PAST Tuesday 288 TO COME

Ether-Practical Administration. No.5.

Care should be taken that the preliminary preparation of the site of the operation be not awe inspiring, but be made as simple as possible. In regard to clothing the main requisite is warmth. A gown opening down the back is sufficient, provided warm blankets are used as covering. The anæmic, the emaciated, or the aged would better have the extra protection a thick undershirt provides.—Dr. J. B. Bogan; N. Y. Med. Journ. Weather Temp.

Dull & windy & chilly & muddy. But to night it is freezing. Maudie & Grace went to {sehal?}. John was down to Shed's this four noon & over to Marks this afternoon. Maude Abell sowed untill dinner & then after she walked home to go to an annivesetry down at summers corner's. I ironed & Melba has been cleaning the up stains

Billy 6

Tuesday, March 19

79 DAYS PAST Wednesday 287 TO COME

Oligochromemia

is the term used to denote a reduction of the normal percentage of hemoglobin in the individual red cells and is a characteristic feature of Chlorosis. Pepto-Mangan (Gude), because of its promptly available iron and man-ganese, 1s a creator of vital hemoglobin and, because of its non-irritant character, and ready tolerability, is peculiarly efficient in the treatment of Chlorosis and Chlor-Anemia. Weather Temp.

Warm and bright. Mother and I went to Aylmer this afternoon and got Maud a suit. Maud was here making Grace's dress. Pa went to town this afternoon and got some lumber.

Mariha 5 1/2 Billy 5 1/2

Wednesday, March 20

80 DAYS PAST Thursday 286 TO COME

Surgical Hints.

The presence of intussusception in an elderly person points to a malignant growth as the causative agent. In the use of iodin in skin disinfection it is important to refrain from washing the part with water for several hours before the application.—Int. Journ. of Surg. Weather Temp.

A lovely day bees all out & I fed them. I went to Aylmer with Maudie & Grace, for to get some more lining for Maudies cat & walked back as for as Ed Thompsons then road hence with Thomas Boncer Bayde helped John draw a load of hay, then went to Emlies to tap the trees over & this afternoon John went to Mr Coves. Maude Abell started Maudies dress

Billy 5

Thursday, March 21

81 DAYS PAST Friday `285 TO COME

The Vital Standard.

The general health is physiologically "below par" when the functional activity of the blood, i. e., its oxygen carrying power, is insufficient to maintain the vital force at its proper standard. Pepto-Mangan (Gude), by increasing the blood supply of the hemoglobin, restores a normal metabolic balance. Weather Temp.

Cloudy & cool. The bees diden't come out to day. Gene Appleford came over to night, & Maude Abell is going to make her a dress. Maude Abell has gone away with Charley, is coming back. Bayde was up & helped John draw hay & haulter the little caft. Melba took the girls & went for them

Billy 5 Mariah 5

Friday, March 22

82 DAYS PAST Saturday 284 TO COME

Pulse Relation to Stature.

Illustrating the well-known physiological law that the frequency of the pulse rate increases in inverse ratio to the size of the animal, a writer in a recent number of Cosmos (Paris) gives the following interesting conclusions in comparative physiology: The average pulse rate was 30 pulsations per minute for elephant; 40 in the horse; 50 in the ass and mule; 70 in man; go in the dog; 150 to 200 in the rabbit; 670 in the mouse. The ratio of 4 to I between pulse and respiration is maintained throughout.—Jour. Nat. Med. Asso. Weather Temp.

A beautiful day beeswas out a little at noon. Gene Appleford went home this afternoon. Melba & Grace went to Aylmer to night. We made Genes dress to day.

Billy 5

Saturday, March 23

83 DAYS PAST Sunday 283 TO COME

Normal Metabolism is Interfered With

unless the blood contains a sufficiency of iron-rich hemo-globin, the vital element of the vital fluid. Pepto-Mangan (Gude) furnishes, in immediately available form, the organic iron and manganese necessary to increase and encourage the oxygen-carrying capacity of the blood, by creating hemoglobin and red cells. Weather Temp.

A beautiful day, bees all out as though they was swarming. Melba & Grace went to Ms Applefords for dinner, & to Eugenes for dinner. I took Melba Maudie out to the Drs, & had her boil opened under he ear.

Billy 5 Mariah 13

Sunday, March 24

84 DAYS PAST Monday 282 TO COME

Gynecological Hints

All late operations for perineal laceration in order to be successful must contain the following elements: I. They must extend well up the posterior vaginal wall. 2. The denudation must go through the entire thickness of the mucosa. 3. The stitches must be inserted into the tissues so as to catch the muscle.—Int. Journ. of Surg. Weather Temp.

Very warm, froze last night. Melba & I drove to Kingsmill & went to st Thomas & got her a new cape coat. Maudie & Grace went to school. John helped Ed & Bayde, to take Palley & her calf down to Ms Thompsons to wean, the calf, brought Palley home Ms Coy was over

Mariah 5 Billy 3

Monday, March 25

85 DAYS PAST Tuesday 281 TO COME

That Anemic State,

due to toxic or metabolic causes, with destruction of the albuminous elements of the blood, and known as hemolytic Anemia, requires prompt and direct attention. Pepto-Mangan (Gude) reconstructs old, broken down red corpuscles and creates new ones, without disturbing digestion or causing constipation. Weather Temp.

A lovely day. Melba went & got Maude Abell & took her home. Maudie & Grace went to school. Ms Caverley came & got a load of hay this morning & to night came & got eight of Melbas Rabbits. Ms Coy was over, this morning. M I ran a {Gotlhet?} hook in my finger & I almost thought the world, was coming to an end. Maude Abell finished Maudies suit the first suit she ever had

Billy 6 mariah 6

Tuesday, March 26

86 DAYS PAST Wednesday 280 TO COME

Ether-Practical Administration. No. 6.

To provide against certain unfortunate contingencies aris-ing, it should be the anesthetist's constant aim to ascertain some essential facts by personal examination and inquiry. Better a little repetition than a dead or damaged patient. The removal of false teeth, rings, other constricting bands, the presence of stiff joints, nasal obstruction, etc., should be a matter of personal knowledge of the anesthetist, and this knowledge will relieve him of the responsibility of many untoward results that might otherwise ensue.—Dr. I. B. Bogan; N. Y. Med. Journ. Weather Temp.

Cloudy & warm. Raining to night. Maudie & Grace went to school. Melba & I went to Aylmer & paid for Maudies suit that we got at Strattons, & got an new hat for Melba. John helped Bayde got two loads of rails back in the field Melba & I washed. Mark was over & brought some fresh fish.

Mariah 5 Billy 8

Wednesday, March 27

87 DAYS PAST Thursday 297 TO COME

The Primal Necessity

in asthenic, anemic and generally devitalized conditions is a promptly acting and efficient hematinic, such as Pepto-Mangan (Gude). Its blood-building elements are so readily absorbable and appropriable, and its palatability and general acceptability are so pronounced, as to render it the ideal hematic reconstructive.

Raw & Cold with west wind blowing hard all day & few snow flakes like sleet Girls went to school. Melba ironed & I have been mending nearly all day & so hers Melba. Maudie paid for Melbas hat.

Mariah 6

Thursday, March 28

88 DAYS PAST Friday 278 TO COME

Surgical Suggestions.

When a foreign body in the nose is not easily removable with forceps, remember Félizet's simple method-the injection of warm water into the opposite nostril. Use a syringe or douche nozzle that snugly fits the naris. Begin gently and slowly, then increase the force. As the resistance suddenly ceases, the foreign body is shot out (or at least is dislodged) by the pressure of the fluid reflected from the posterior wall of the pharynx.—Amer. Journ. of Surg. Weather Temp.

Cold raw month, west wind, but thawed a little. Maudie & Grace went to school, & Melba went & took her music lesson. Ms Appleford came for Grace, & had her supper & brought my syrup, three gallons. John went for the girls & to see about a hamass. Mark was over & got some eggo to sit.

Mariah 5 Billy 5

Friday, March 29

89 DAYS PAST Saturday 277 TO COME

The Repair and Waste of Blood and Tissue

depend upon normal oxygenation of the circulating fluid. When there exists an essential "iron lack" in the blood, normal exchange and interchange are deficient in both character and extent. Pepto-Mangan (Gude) supplies the necessary hemoglobin-producing material, in promptly assimilable form, in Anemic, Chlorotic and Marasmic conditions. Weather Temp.

Cold north east wind, blowing hard all day. Maudie went to school. Eva & Hurbert was over this morning, & this afternoon Eva & Clarence went to Jed Trims sale & Eva brought a white sewing machine & Hubert stayed with no. Eugene was here for dinner & stayed a long time after dinner. Melba has a terible cold & we have been making lace only Melba helped John to put up a grist. Willsons Milles barns burned last night

Mariah 5

Saturday, March 30

90 DAYS PAST Sunday 276 TO COME

Rickets.

Wiener emphasizes the importance of enteroptosis, which he claims is always a sequel of preceding rachitis. He also calls attention to the invariable connection of enteroptosis with every case of scoliosis. The importance of early and energetic mechanical treatment of the bones, joints and muscles of the thorax is emphasized, especially as by this treatment many cases that would otherwise develop tuberculosis will be saved from the latter malady. Weather Temp.

Cold to night with north east wind blowing. Melba & I was over to Alitas, & had a lovely day. Mr Dance & Eugene was to church. Maudie & Grace have gone to church. Melba & I stayed for dinner & tea

Mariah 13 Billy 5

Sunday, March 31

91 DAYS PAST Monday 275 TO COME

The Periodic Estimation

of erythrocytes and hemogiobin percentage almost invariably demonstrates an increased functional efficiency of the blood after the regular use of Pepto-Mangan (Gude). This hematinic tonic quickens all of the normal anabolic efforts of the economy and thus assists materially in the absorption, assimilation and systemic appropriation of the nutritional elements of the natural food stuffs. Weather Temp.

Raw & cold high wind. Girls went to school. Shed scraped the roads, down the side road. John went to mill this morning. Blake Miller was assessing, & was here for tea. Then went around & stayed to Marley Kings all night

Billy 5

Monday, April 1

92 DAYS PAST Tuesday 274 TO COME

Syphilo=Dermo=Urologic Aphorisms.

Epididymitis is a condition that is subject to a relapse and, if such occur, even in the absence of a discharge, an examination of the prostate should always be made. This will be found of much use in the treatment of the case, as the latter organ may also need attention.—Amer. Journ. of Derm. Weather Temp.

High wind blowing from the north. Girls Maude & Grace went to school. John was away all the four noon, don't know where. Melba & I washed & the clothes get dry. Eugene & Aleta went to Aylmer & left the little boy here, he can say every thing that you ask him to say. Mr {Hovner?} left the grass seed. Lewis was down to day

Mrs Curde's Birthday

Tuesday, April 2

93 DAYS PAST Wednesday 273 TO COME

In a Large Proportion of Cases

met with in daily practice, a rational therapy requires the intelligent use of an efcient hemoglobin contributor. Pepto-Mangan (Gude) is preferable to other hematinics, because it is, at once, palatable, non-irritating, non-con-stipating and distinctly efficient as a corpuscle constructor and hemoglobin creator. Weather Temp.

This our wedding day. A fine day, glad to say, it rained the day we was married. Maudie & Grace went to school. I finished the wide spider webb lace for Maudies skirt. Ms Young helped John to {put?} up the hitter nut tree.

Mariah 6

Lewis & Bell was her a little while on their way from Aylmer

Wednesday, April 3

94 DAYS PAST Thursday 272 TO COME

Ether-Practical Administration. No. 7.

With body warmly covered the patient lies in the dorsal position, arms at sides, and head as low as conformation of the neck and shoulders permit. In other words the head should be lowered so that the depressor muscles of the lower jaw just lack tenseness, which position must not cause in that particular individual excessive backward tilting of the head.—Dr. J. B. Bogan: N. Y. Med. Journ. Weather Temp.

Warmer looked like rain all day. Then started to sprinkle after dinner but hasen't rained much. Mr Young s was here all day, helping John draw up the butter nut tree & draw manure. Grace & Maudie went to school. Melba ironed & I have been nithing lace since dinner. This four noon we raked up the yard some of it & burned it Mariah 6

Thursday, April 4

95 DAYS PAST Friday 271 TO COME

Post=Malarial Reconstruction.

A distinct indication in the after-treatment of Malarial infection is the improvement of the vital resistance of the blood. Pepto-Mangan (Gude) quickly and efficiently restores the integrity of the red cells that have become more or less disintegrated by the plasmodium, increases their hemoglobin content and constructs new erythrocytes to replace those destroyed. Weather Temp.

Warmer foggy this morning but cleared up still it stayed cloudy. Rained hard last night & the roads are very muddy again. Grace Melba Maude & I all went to Aylmer this morning this afternoon Melba went for them. I got Melba a new green dress. John went fishing this afternoon with shed & Albert & got seven. Eugene sent over seven by Gene. Appleford. Daskey came in last night & had a big caft nearly all white

Mariah 6 Billy 8

Friday, April 5

96 DAYS PAST Saturday 270 TO COME

Cancer of the Stomach

should be as curable as cancer of the breast, but unfortunately it is usually neglected until a period when cure is out of the question. It has been our habit in the past to wait too long for a diagnosis. It is conceded that when cancer of the stomach can be positively diagnosticated, it is too late to expect a cure by operation; therefore we are brought to the position that cancer of the stomach should be prevented-in other words, we should operate in the precancerous stage, namely during the period of precancerous ulcer.—Dr. Parker Syms; New York Med. Journ. Weather Temp.

Dull day. John helped Mr Young draw a load of straw from here for Mr Young. John Shed & Albert went fishing before dinner John got two one louge one & one small one. Maudie & Melba went to Aylmer to night. Then after awhile John went down with George Davis & came home with the girls. Mariah 5-

Saturday, April 6

97 DAYS PAST Sunday 269 DAYS TO COME The Anemia of Bright's is usually benefited by direct hematinic treatment with

Pepto-Mangan ("Gude")

which is especially valuable because it does not disturb digestion or irritate the kidneys. Weather Temp.

Rained harde this morning & last nig Ms Coy was over. Girl's went to church. Claire brought Grace over. I was over to Mr Coves & then to Clarence a little while on my way home.

Mariah 5

Sunday, April 7

98 DAYS PAST Monday 286 TO COME

Surgical Suggestions.

Chronic ulcers of the face situated in the area between lines drawn from the outer end of the eyebrow and the upper border of the ear above, and the angle of the mouth. and the lobe of the ear below, are usually epitheliomata of the basal-celled variety and they are comparatively non-malignant.—Amer. Journ. of Surg. Weather Temp.

Rained last night & off this morning & again to night. Jit turned colder to night with quite a high wind & raining Maudie & Grace went to school. Bayde was here for dinner, he was up to the place. This afternoon Ed & Bayde have been cleaning up that timothy seed in the driven basn. John helped Yuy take the milk & this afternoon he helped Ms Coy take a load of oats.

Billy 3

Monday, April 8

99 DAYS PAST Tuesday 267 TO COME

Systemic Reconstruction

is the one essential therapeutic requirement in conditions characterized by general constitutional depression. This is especially true after Prostrating infections. Pepto-Mangan (Gude) is a general restorative of marked efficiency, which acts pleasantly and certainly as a hematinic reconstituent. Weather Temp.

A rainy day. John drew two loads of oats for Ms Coy. Charley Marchant came & got Darkey a little calf, it had navel trouble or we would have realed it. Ms Thompson & Bayde were up cleaning up timothy seed. Maudie & Grace went to school. Melba & i have been making lace & tatting all our spare time.

Mariah 6

Tuesday, April 9

100 DAYS PAST Wednesday 266 TO COME

Ether-Practical Administration. No. 8.

Preparatory to placing the inhaler over the nose, a little petrolatum is smeared over the lips, nose, and adjacent skin surface. Over the eyes are placed several thicknesses gauze and over this an end of the folded towel, the gauze protecting from the vapor and the towel being an effective barrier to the liquid itself. Personally I prefer to place the inhaler immediately on the face, though in some cases it may be desirable to start with it several inches above and gradually lower it.-Dr. J. B. Bogan; N. Y. Med. Journ. Weather Temp.

Cloudy most of the day & wind blowing quite a lot to night. Ms Dance brought Melba a little lamb, that the mother would not own, so Aleta sent it over to Melba. Maudie & Grace went to school, Ms Thompson & May was here all day cleaning timothy seed. They took Estellas bureau home

Billy 5

Wednesday, April 10

101 DAYS PAST Thursday 265 TO COME

The Bloodlessness of General

or what is sometimes termed Nutritional Anemia, requires special dietetic attention. In addition to this a stimulator of hemic vitality, such as Pepto-Mangan (Gude), is distinctly useful for the purpose of encouraging hemato-poiesis and acting as a general tonic to both blood and tissues. Weather Temp.

Started to rain to night & a little this morning, & looked like it all day. We washed but left the clothes in the rinse water. Melba was down to Ms Caverlies this morning, after taking Grace & Maudie to school. Melba went for them. Ed & May was up cleaning timothy seed & Bayde & Madge were riding around town. I have bein brading Melbas green poplin dress.

Billy 9 Mariah 6

Thursday, April 11

102 DAYS PAST Friday 264 TO COME

Asphyxia of the Newborn.

Freund describes an ingenious method of treating asphyxia neonatorum. He calls the method placental aëration. The placenta is delivered manually as soon as the child is born and is seen to be asphyxiated. The child is placed in warm water and the placenta held with the maternal surface up-ward, the cord not being cut as yet. A stream of oxygen is turned on to the maternal surface of the placenta, whereupon the child recovers its color, the pulse comes up and respiration is established. Then the cord is cut.-Critic and Guide. Weather Temp.

Cloudy and windy. Boyd was here for dinner, and helped Pa clean up seed oats all day. Cecil was over to night. Ms. Appleford came for Grace early and stayed for tea. Ms. Thompson, and Mae took rest of seed to be cleaned. Mother finished braiding bottom of jumper.

Billy 5.

Friday, April 12

103 DAYS PAST Saturday 263 TO COME

To Overcome the Lassitude,

anorexia, dyspnea and headache of the Chlor-Anemic invalid and to dissipate the characteristic pallor, Pepto-Mangan (Gude) is "par excellence," the one palatable, tolerable and dependable hematinic. It quickly relieves the unpleasant symptoms, increases strength and weight, and restores the feeling of "well being." Weather Temp.

Rain Rain off & on all day. Maudie & Melba went to Aylmer. Ms Coy was over this morning. Ms Young came for a load of hay & John drew it for him, he was here for dinner, & they took it after dinner. I picked a roaster for Mrs Pickering & he came W two dollars & nine cents. Girls got me a new pan of rubber. Melba took Grace & went for her. Maudie stayed home & studied

M Billy 5

Saturday, April 13

104 DAYS PAST Sunday 262 TO COME

Gynecological Hints.

A warm vaginal douch should be at least four quarts in amount and of temperature of frome 110 to 120 degrees F., usually 115 degrees F. It is well at add a heaping tablespoonful of common salt to each two quarts of a simple douche. This should always be given at a time when the patient can remain in the recumbent position for at least an hour.-Int. Journ. of Surg. Weather Temp.

Diden't rain & to night it is a lovely moonlight night, but the roads are a fright. Melba & I went to church, and sat with Mrs Port & Edna. Grace came over to night.

Mariah 6

hel

Sunday, April 14

105 DAYS PAST Monday 261 TO COME

Convalescence From Pneumonia.

R Strychniae Sulph. (Gm.0.02) gr.1/3 Pepto=Mangan (Gude). (Cc.330- original bottle) 3xi M. Sig.-Tablespoonful after each meal. Children in proportion. Weather Temp.

A fine day, been all out. Ms MeCaullum came out & worked at the garden fence. John helped Mark sow grass seed this morning & went to mill. Charley Marchants came for oats, & Cecil Caug hell came for oats

Billy 5 Mariah 5

Mcl

Monday, April 15

106 DAYS PAST Tuesday 260 TO COME

Diet in Gout and Uricacidemia.

G. Bessau and J. Schmid have analyzed the common foodstuffs and find that the muscles of various animals contain approximately the same amount of purin nitrogen. High percentages were present in liver, kidney, thymus and lungs and in the smaller fishes, such as herring, sardine and an-chovy. Eggs, milk, cheese, cereals and fruit are permissible, since they a either fire from bosties forming aric acid on lowed with the exception of spinach, mushrooms, peas, beans and lentils. This is not usually taken into consideration in ordering a diet.-Therap. Monatshft. Weather Temp.

Raining, this morning & rained & snowed some, the largest flakes I ever saw as large as fifty cut pieces. Melba would run out & catch them on the dustters mop. Ms Mc Caullumn was here all day. Maudie took Grace & I went for her it poured rain. John went for fence {poato?} Ms Coy Billy 10 was over.

Tuesday, April 16

107 DAYS PAST Wednesday 259 TO COME

The Depleted Organism

is placed in a better position to withstand or "ward off" systemic infection if the formation of functionally active, oxygen-bearing hematin is aided and encouraged by the administration of Pepto-Mangan (Gude). In the last analysis, the germicidal activity of the blood is dependent upon its hemoglobin content. Weather Temp.

Rained all day, poured sometimes. Maudie took Mr MeCaullem home & went to school. Grace stayed home here. Ms Coy, Cecil, & Albert was here this afternoon. Maudie brought home a new set, of dishes, trimmed with gilt a dinner & tea set. I made a skirt for Grace, & fined Melbas old white dress over

Billy 6

Wednesday, April 17

108 DAYS PAST Thursday 258 TO COME

Ether-Practical Administration. No. 9.

Coughing, choking or swallowing will generally promptly cease on stopping the drop for a moment and, on resuming, making a more gradual increase. By the time the ether is falling in a steady stream unconsciousness will generally supervene. Then the towel may be gradually folded around the mask so as to partially exclude the air. Then to prevent the increased ether content of the inspired mixture causing spasm or reawakening reflexes additional ether should not be poured for a moment or two when it should be given as freely as possible to full anesthesia.—Dr. J. B. Bogan; N. Y. Med. Journ. Weather Temp.

Cloudly & rained a little this morning. Sun shone some this afternoon. Then to night it clouded over again, & to night it is raining hard. John went to Kingsmill. This morning, Jo Ms Coves all the afternoon, & to Alberts & Sheds to night. Maudie went to school this fournoon, then she went to the beemer after dinner & waited for the mail Billy 5

Thursday, April 18

109 DAYS PAST Friday 257 TO COME

Easily Evident.

The "iron need," in Chlorosis, is unquestionable and is readily noted, by the practiced eye, in the peculiar pallor of the skin and mucous membranes. Such an "iron need" is best supplied in the form of a palatable, tolerable, non-irritant, easily assimilable compound, i.e., Pepto-Mangan (Gude). This organic combination of iron and manganese meets every indication without injuring the digestion or inducing a constipated habit. Weather Temp.

Fine we washed. Gene came for Grace. Melba went for her music lesson, but it was Yard friday & Mrs Campbell was gone

Billy 5

Friday, April 19

110 DAYS PAST Saturday 256 TO COME

Rectal Fistula.

Rawson Pennington recognizes only three alternatives in the treatment of this condition, viz., simple incision, the injection of bismuth paste, and incison or excision with immediate suture. Suturing should be done by Lembertizing the incision from its termination in the rectum to the anus.-Exch. Weather Temp.

Fine Albert scraped the roads. Girls went to Aylmer after dinner. Maudie got a new hat. John went this morning & got his new harness, dobell. John went to the factory with Guy to night. Ms Cox & Mrs was over to night

Mariah 5

Saturday, April 20

111 DAYS PAST Sunday 255 TO COME

The Distributor of Life.

The necessary molecule of the blood is iron-without iron the hemoglobin would be useless as an oxygen-carrier and could not perform its function as the distributor of the very "breath of life.' In Chlorotic and Anemic conditions the need of iron is unquestioned. Pepto-Man-gan (Gude) is distinctly preferable in palatability, eligibility and therapeutic efficiency to any other form of ferruginous material Weather Temp.

Rained but the girls & I went to church & to night. Maudie took Mrs Cox, as Melba was not well & we stayed home. Cleared off this afternoon.

Mariah 10

Mc 1/2

Sunday, April 21

112 DAYS PAST Monday 254 TO COME

Surgical Suggestions.

In a case of known or suspected visceral carcinoma, the finding of small nodules in or just beneath the skin is of vast diagnostic and prognostic importance. If an excised nodule is shown to be cancerous this will at once establish both the diagnosis and the futility of operation. In cases of intra-abdominal carcinoma these superficial metastases are curiously, most often found in the skin to the left of and below the umbilicus.-Amer. Journ. of Surg. Weather Temp.

A beautiful day. Maudie & I took nine skips of bees out to day & Melba did the dinner. Melba is not very well. Claress a Miller came out this afternoon & brought a drove of little kids with her. Stewley Maton & the two Kiser boys was out this afternoon Ms McCallum came out about noon & has been helping us. Bayde was here for dinner & he & John went to Ms McCudies for tile George Nevells came for a load of hay

Mcl

Monday, April 22

113 DAYS PAST Friday 253 TO COME

A Certain Index

of the vital integrity of the blood is the finding of relative sufficiency of iron-holding hemoglobin, as a result of the hematologic test. Pepto-Mangan (Gude) "makes good" the ferric deficiency which exists in Anemic, Chlorotic and Marasmic conditions, and acts thus as a corpuscle constructor and hemoglobinogenetic. Weather Temp.

Lovely & warm. I went to Aylmer & got some new wire for the little garden. John took the junk man a load of hay. I got some medicine for Melba. John & Ms Mc have been fiveing at the garden fence. Clifford was up & brought me a package of aster seeds. Cecil was over. George Davis got stuck in the ditch with his car down the side road & Clarence Skinner had to draw him out

Mariah 5

Mcl

Tuesday, April 23

114 DAYS PAST Wednesday 252 TO COME

The Urine in Diseases of Infancy.

In an analysis of the urine in 667 children, Morse and Crothers have found that, putting aside diseases of the gastrointestinal tracts, albuminuria and casts are more often found in pneumonia and meningitis than in other acute diseases of infancy. They disagree with other writers on the frequency of nephritis following otitis media and eczema. They also show that in infancy nephritis rarely produces edema, while conversely, edema in infancy is usually due to some cause other than disease of the kidneys. Weather Temp.

Very warm. We put in part of the little garden. John took Charley Marchant a load of straw then in the afternoon, John & Ms Mc Callumn put up the little garden fence. Ms Miller Maude & McLay came for a sitting hen.

L

Mr Mc l

Wednesday, April 24

115 DAYS PAST Thursday 251 TO COME

In Most Instances

the operative cause of Amenorrhoea and other menstrual irregularities is Anemia of greater or lesser degree. To restore regularity the hemic defect should be directly treated. Pepto-Mangan (Gude), by overcoming the deficiency of red cells and hemoglobin, is almost invariably successful in restoring regularity, unless serious organic disease is responsible for the anemic state. Weather Temp.

Very cold. Snowed off & on all day but not very much, ground frayen to night, with a cold north west wind. Maudie took Ms Mc home to night. Mc & I cleaned part of the cellar to day. John went to mill this norning. Got eight lambs

Billy 5

Thursday, April 25

116 DAYS PAST Friday 250 TO COME

Ether-Practical Administration. No. 10.

There are but a few subjects in whom it is not of advantage to turn the head to one side and to keep it in that position throughout the anesthesia. In this way accumulated mucus and salva are easily drained from the mouth and nose. and it is seldom necessary to hold the jaw forward, but, if necessary, this is accomplished with the minimum of fatigue to the anesthetist and of soreness to the patient.—Dr. J. B Bogan; N. Y. Med. Journ. Weather Temp.

Cold & snowed a little. Alice & Clifford Skinner was up to night & we sugared off for them. Froze hard last night.

Friday, April 26

117 DAYS PAST Saturday 249 TO COME

Relative Freedom From Infection,

during the prevalence of Typhoid, Grippe, Malaria, etc., depends upon the physiologic resistance of the tissues, which, in turn, is largely dependent upon hematic sufficiency. Pepto-Mangan (Gude), by its reconstituent properties, establishes a blood supply of sufficient structural and functional integrity to withstand morbific influences. Weather Temp.

A liittle warmer to day but cold again to night. Aleta & Eugene went to Aylmer & left little John with us. Maudie went to Aylmer brought me a new pair of shoes. Eugene & his man was here againon their way to Aylmer again to night Ms Coy was over this morning. John drew two loads of pasts home from Aylmer

Mariah 5

Saturday, April 27

118 DAYS PAST Sunday 248 TO COME

Gynecological Hints.

The standard solutions of nitrate of silver for use in gynecological practice are as follows: 1. For the cervix, 40 grains to the ounce. 2. For the vagina, 30 grains to the ounce. 3. For the external genitals, 15 grains to the ounce. Frequent and painful urination in women is often due to urethritis which can be cured by the proper use of solutions of nitrate of silver.—Dr. R. Waldo: Int. Journ. of Surg. Weather Temp.

A fine day. Looked like rain to night but diden't. Maudie went to church this morning & took Mrs Van Wagner. To night the girls & I went. Grace came to night while we was gone to church.

Mariah 10

Sunday, April 28

119 DAYS PAST Monday 247 TO COME

An Invasion of the Blood

by the plasmodial organism of paludal disease results in the partial destruction of the red cells. Therefore a corpuscle constructor is always needed in the treatment o. post-malarial Anemia. Pepto-Mangan (Gude) not only creates new erythrocytes, but also increases the hemoglobin necessary to augment the oxygen-carrying capacity of the vital fluid. Weather Temp.

Rained last night, some this four noon. Star light to night. Maudie & Grace went to school. Mark & Cecil was to st Thomas to day on the Hatty walker tyle. We washed & tagged the sheep have two more lambs that makes ten in all

Mariah 5

Monday, April 29

120 DAYS PAST Tuesday 246 TO COME

Sciatica.

Spray the limb over the sacro-sciatic notch with an ounce of sulphuric ether, used with a common nasal spray. The finer the stream thrown by the spray the more rapid the freezing effect. Ethyl chloride may be used, but gives no better results, and is more expensive than ether.-Exch. Weather Temp.

Warm & bright Mr Mc came this morning. Maudie & Grace went to school. John & Mc drew manure on the garden & ploughed it. Melba & I went to Aylmer & then after tea we went to Kingsmill. We put up the grape vine

Billy 8 Mariah 5

Thursday, April 30

121 DAYS PAST Wednesday 245 TO COME

A Therapeutic Trio

of marked value, upon which to depend in the treatment of all devitalized conditions, consists of (I) An abundance of nutritious food; (2) Plenty of fresh air; and (3) Pepto-Mangan (Gude). This combination constitutes a trinity that always shows results in tuberculosis and other chronic conditions, whenever results are possible. Weather Temp.

Fine all day but raining some to night. Maudie & Grace went to school. Mc & I have been cleaning the yard & doing chores. John has been disking, all day for the first. Ms {Blute?} was around inspecting trees, was here for dinner. I have been sewing on Graces to night

Mariah 5

Wednesday, May 1

122 DAYS PAST Thursday 244 TO COME

Syphilo=Dermo=Urologic Aphorisms.

It is a matter of some alarm to the family and to the doc-tor, if he be young, to observe a suppression of urine in scariatina. Here again, diuretics are to be avoided like a pestilence. The proper treatment to apply is the use of hot packs. If the case shows weakness of a marked character and threatening symptoms of collapse enteroclysis of physiologic salt soiu-tion will be found of much benefit. Hypodermoclysis may also be employed with benefit.—Amer. Journ. of Derm. Weather Temp.

Rained. John took sixty bushells of oats to Dr Pickering. Cecil was over. Bayde & Ed brought Pallie's calf home. Had a rain bow to night. Maud & grace went to school

Friday, May 3

124 DAYS PAST Saturday 242 TO COME

Surgical Hints.

Filiform bougies for examining urethral strictures can be easily improvised from ordinary round whalebones as sold in the shops. The ends should be made flexible by scraping with a knife. In the use of elastic bandages and stockings for varicose veins the patients should be directed to remove them on retiring, and reapply them in the morning before leaving the bed.-Int. Journ. of Surg. Weather Temp.

Fine this morning but about noon started to rain & kept it up off and on & is still raining. Ms Young came & helped John this four noon. They did the first seeding in the field along the road by George Davises. Ms Mc came out with Billy & helped all day. Melba & I went to Aylmer to night. Ms Cox was over worked Palley for the first Mariah E

Saturday, May 4

125 DAYS PAST Sunday 241 TO COME

The Frequently Recurring Stain

upon the vital bank account due to the excessive loss of blood during the climacteric period, gradually brings about a condition of Anemia. Pepto-Mangan (Gude) serves to restore the vitality and sufficiency of the vital fluid and thus renders the patient better able to withstand the drain upon vitality due to the menopause. Weather Temp.

Rained off & on all day. But the girls went to church & it dident rain untill they nearly got home & then it poured. Earl brought Melba home from church. The cow stable broke down in the night & Mr Cox helped John fix it up. Then to night Mr & Mrs Cox came over. I walked down to the woods

Mariah 5

Sunday, May 5

126 DAYS PAST Monday 240 TO COME

Treatment of Hyperidrosis.

Excessive sweating of the feet or of the other portions of the body is best treated, according to Gerson, by wringing out the stocking or other portions of the underwear in a mixture of one part of formalin (40 per cent.) and four parts of alcohol. The underclothing does not suffer and the skin seems to tolerate this method of applying formaldehyde better than the usual local applications with a brush.—Mediz. Klinik Weather Temp.

Warmer & diden't rain for a wonder. Maudie & Grace went to school. John went to Aylmer & got Billy {shod?}. Billie Davis brought out some medicine for the little lamb. I have been working on Grace's dress all day

Billy 6 Mariah 5

Monday, May 6

127 DAYS PAST Tuesday 239 TO COME

The Lying=In Period

is not infrequently complicated by an excessive loss of recud a dire attentient poste incient Anemia, which and child. Pepto-Mangan (Gude), in conjunction with proper nutritive measures, quickly stimulates corpuscular reconstruction and hemoglobin formation and thus serves to materially hasten puerperal convalescence. Weather Temp.

Warm but very windy. Billy and Boyd were here for dinner. Dad went to town and took Boyd's plow and ploughed Augustines garden. Annie Mc Jaggart and her mother were here for supper. Dad scrapped the roads to-day. Mother finished Grace's dress. I made, Grace a handkerchief of blue tatting

Tuesday, May 7

128 DAYS PAST Wednesday 238 TO COME

Indication for Opening the Ear Drum. No. 1.

1. Earache is but a warning of perhaps dangerous disease, the pain of which may be masked by opiates to the ultimate risk of the patient's life. 2. If the drum-head be much reddened or bulging, or if fluid be detected, or if the earache be very severe and not relieved by general and local treatment within 24 hours, it is advisable to incise the membrane at once before it bursts, as the character, location and extent of the tissue-destruction is thereby limited 3. Pain is relieved at once by a free incision, the course of the disease is shortened, the symptoms mitigated, and sequela prevented by this and appropriate after-treatment.—H. V. Wurdemann; Northwest Medicine. Weather Temp.

Lovely hot day. Bayde was here for dinner & they carried out the other rare stones. We washed. John & Bayde filled in Baydes tyle & measured off some fence for John. Melba & I went down to Mr Caverlies for some straw bery vines. Girls went to school

Mariah 15

Wednesday, May 8

129 DAYS PAST Thursday 237 TO COME The ills of the aged require gentle, yet efficient treatment.

Pepto-Mangan ("Gude")

is peculiarly adapted to the needs of the elderly invalid, as it is free from harshness or constipating effect. Weather Temp.

A fine day but cloudy most all day. Mr Young & Mr Mc have helped us all day. We put the big garden in to potataos & onions. Girls went to school. John has finished seeding one field. Maudie took her lam down yesterday for Frank Class to mount.

Mariah 5

Thursday, May 9

130 DAYS PAST Friday 236 TO COME

Indications for Opening the Ear Drum. No. 2.

4. If the case be seen after spontaneous perforation, the hole in the drum-head will often be found to be too small or poorly adapted for proper drainage, and it may be advisable to enlarge it by a free incision. 5. The little operation gives but temporary pain, and if the physician does not make too much of a show. will be tolerated by any patient, who will be thankful for the relief afforded his symptoms. 6. Meddlesome after-treatment should be discouraged, as when the diseased part is protected from further infection, and the discharge not too frequently removed, the case will usually run a mild course.-H. V. Wurdemann: Northwest Medicine. Weather Temp.

Windy & cold, looked like rain nearly all day. Maudie & Grace went to school. Mrs Appleford came for Grace. Melba took the girls & went for them. I sat six hens to day. Ms Coy was over this morning & helped John fix the drill tounge. John cultivated this afternoon.

Marie 13

Friday, May 10

131 DAYS PAST Saturday 235 TO COME

Sluggish Metabolism

characterizes chronic illness and indicates a disturbed balance between nutritive income and excretory outgo. Alterative treatment is incomplete without the aid of an efficient hematinic. In most cases the patient is anemic and needs such a product as Pepto-Mangan (Gude), as a general blood constructor and contributor of vital force and energy. Weather Temp.

Rained last night & all day. Maudie went to Aylmer & to Maude Mc Layo. John has gone with Clarence Cox to night. Cecil Cox was ver this afternoon. I have a large swelling on the back of my hand.

Mariah 5

Saturday, May 11

132 DAYS PAST Sunday 234 TO COME

Surgical Suggestions.

To allay the pain of a burn of the first degree, almost at once, it is only necessary to drench the wounded surface with seltzer water which may be applied to the wounded surface by means of a seltzer syphon. This liquid is refreshing, alkaline and anesthetic, and is an easily available method which, in the case of a sudden emergency, it is well worth remembering.—Amer. Journ. of Surg. Weather Temp.

Rained all day. I took mother to the doctor about her hand and she has nearly blood poisoning. Ms. Appleford brought Grace over after supper as Clase took the horse.

Mariha 5.

Sunday, May 12

133 DAYS PAST Monday 233 TO COME

For the Aged Patient

harsh, unpleasant, irritant salts of iron are quite unneces-sary, when a ferruginous tonic is indicated. Pepto-Man-gan (Gude) is entirely free from the disadvantages above referred to and never causes digestive disturbance nor constipation. Weather Temp.

Lute fair and real warm. Dad took grist to mill this afternoon. Mother's hand is better. Mother and i went over to Mrs. Clarence Cox's to-night to hear the new organ. Eugene go dear old midia back to day.

Mariah 5-

Monday, May 13

134 DAYS PAST Tuesday 232 TO COME

Mistaken Diagnosis. No. 1.

1. Never make a diagnosis of uremia in a patient seen for the first time in an acute illness characterized by coma or convulsions. Such diagnoses rarely turn out right. 2. Never make a diagnosis of ptomain poisoning without definite chemical evidence. General peritonitis or a tabetic crisis is usually the correct diagnosis. 3. Make no diagnosis of hysteria, neurasthenia or psycho-neurosis in a patient whose symptoms begin after the forty-fifth year. The actual diagnosis is likely to be arterio-sclerosis, hyperthyroidism, dementia paralytica, or pernicious anemia.-Cabot; Journ. Am. Med. Assoc. Weather Temp.

Fine and very hot. Mother and I took out some of the bess and Boyd came up for dinner and helped take out the rest. Daly John was here all day. Aleta went to St. Thomas and came home with the girls. Aunt Bell and Uncle Lewis were here and saw the baby manha took a streak

Mariah 6.

Tuesday, May 14

135 DAYS PAST Friday 231 TO COME

Any Form of Iron

exercises its therapeutic activity in exact ratio to its assimilability, and freedom from irritant properties. absorbability epso-Mangan (Gude) presents its iron (and manganese) content in the form of organic peptonates, and in condition for almost immediate appropriation by the blood and tissues, without exercising any harsh or intoward action upon the gastro-intestinal mucosa. Weather Temp.

Very fine and very hot day. Father sowed a little grain to-day and Ms. Youngs helped him. Annie Mc Jaggart and I went to town and her mother stayed with mother. Mother's hand a little better.

Mariha 5 1/2

Wednesday, May 15

136 DAYS PAST Thursday 230 TO COME

Wound Dressings. No. 1.

Unless wounds are suppurating very freely, as a general proposition they are dressed too often. Peroxide of hydrogen injected into cavities and sinuses often carries the injection further into uninvaded tissues. Peroxide is also too strong to apply to newly healed tissue. Sterilized gauze without dusting powder is sufficient protection for any clean surgical wound.—Dr. L. Sexton; Va. Med. Semi-Monthly. Weather Temp.

Rained some. Maudie & Grace went to school. Melba & I went to the Dr with my hand it was all gathered in one spot {illegible}. I went down to Baydes & got some {vians?} & sent Mrs Binghams flavor {Rox?} with Sam

Mariah 10

Thursday, May 16

137 DAYS PAST Friday. 229 TO COME

Do Not Crowd

an irritant metallic salt ot iron into the circulation, by giving same when the embarrassed digestion of the more or less depleted anemic is unable to cope with it. It is the part of clinical wisdom to order Pepto-Mangan (Gude), which is acceptable and tolerable alike to the marasmic infant, the chlor-anemic girl and the feeble octogenarian. Weather Temp.

Rained and poured down something twice. The road was covered from here to the east barn. Ms. Appleford came after Grace with the milkwagon and went to town after potatoes. Pa went down and helped Boyd bring up his young cattle. No trase of poor Smuty.

Friday, May 17

138 DAYS PAST Saturday. 228 TO COME

Wound Dressings. No. 2.

Sterile water, saline solution, or very dilute antiseptic solu-non should always be given preference over the stronger antiseptics, which, in destroying the pus cocci, at the same time destroy the new epithelial tissue by which granulating wounds are covered. There is no better protection against infection than the free application of large sterilized pads or dressings with which they should be abundantly covered.—Dr. L. Sexton; Va. Med. Semi-Monthly. Weather Temp.

Rained off and on all day. Dad went to town this morning and took his rubber boots out. Went with George came home with Andrew. Maud and Mother went to see about her hand. Some better. I finished ironing. Uncle Lewis was here this afternoon. No trase of Smuty.

Mariha 5

Saturday, May 18

139 DAYS PAST Sunday 227 TO COME

A Favorite Combination

Not infrequently arsenic is needed in combination with a Palatable, assimilable, organic preparation of iron, such as Pepto-Mangan, as in profound Anemias from various causes, in Malarial Anemia, and in Chorea, as follows: R Liq. Potas. Arsenitis. (Cc. 4.0-8.0) 3i-3ij Pepto-Mangan (Gude). (Cc.330-original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

A lovely day. Eugene Alita & baby was over. Hellen {Barnunm?} & Marjerore Ackhart brought Grace. The girls have gone to church. Methodist, Ms Cox was over this morning

Mariah 5

Saturday, May 18

139 DAYS PAST Sunday 227 TO COME

A Favorite Combination

Not infrequently arsenic is needed in combination with a Palatable, assimilable, organic preparation of iron, such as Pepto-Mangan, as in profound Anemias from various causes, in Malarial Anemia, and in Chorea, as follows: R Liq. Potas. Arsenitis. (Cc. 4.0-8.0) 3i-3ij Pepto-Mangan (Gude). (Cc.330-original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

A lovely day. Eugene Alita & baby was over. Hellen {Barnunm?} & Marjerore Ackhart brought Grace. The girls have gone to church. Methodist, Ms Cox was over this morning

Mariah 5

Monday, May 20

141 DAYS PAST Tuesday 225 TO COME

Poorly Nourished, Semi-Marasmic Children

require a reconstructive that is rapid and certain in its action.The organic iron and manganese in Pepto-Mangan (Gude) are so easily tolerated by the stomach and so quickly absorbed into the blood that the appetite returns, the color improves, and strength and weight increase rapidly and appreciably. Weather Temp.

Rained last night & this four noon. Mr Cox was over this morning & Pa is over there to night. John went down to Ms Young's this afternoon. Melba & I fived the orchard fence. Girls went to school. Frank Smith & wife were up for eggs to set.

Billy 5 Mariah 6

Tuesday, May 21

142 DAYS PAST Wednesday 224 TO COME

Surgical Suggestions.

Rupture of the urethra occurring between the posterior layer of the triangular ligament and the scrotum is one of the most serious accidents in surgery, and demands immediate operation. Overdistention of the bladder due to neurasthenia, hysteria, shock or prolonged voluntary retention may be overcome by administering a rectal enema consisting of a pint of warm water and an ounce of glycerin. -Amer. Journ. of Surg. Weather Temp.

Dull all day. Raining hard to-night. Mother and I took a load of cans to the dump and then went on to fish, but were unfortunate. Dad went to town with a grist and got his rubber boots, which were fixed. We raked, mowed, and did a great deal to the lawn.

Mariha 5 1/2

Wednesday, May 22

143 DAYS PAST Thursday 223 TO COME

Imperfect Red Cells,

from whatever cause, need reparation and reconstruction. The administration of Pepto-Mangan (Gude), regularly and continuously, constitutes a "feeding" rather than a "drugging" process, as it supplies the erythrocytes with the essential vitalizing hematics, iron and manganese, in palatable, tolerable, non-irritant, non-constipating and promptly available form. Weather Temp.

Rained last night. But fine to day. Girls went to school. Melba & I went to Aylmer for to get some paper for the front room. Mc was here all day. We had a swarm of bees, but they went back.

Billy 5 Mariah 6 Pally 5

Thursday, May 23

144 DAYS PAST Friday 222 TO COME

Post-Operative Purgatives.

After operations, especially upon the abdominal cavity, the salines serve the purpose best. Calomel often acts as an irritant, and increases fecal obstruction by producing a spasm of the bowel.—Exch. Weather Temp.

A fine day. I put some super on the bees. Maudie & Grace to school. Melba took them & took her lesson. I went for them & to the Doctor, with my hand. We gathered dandalines for wine, second lot. Cecil was over & then we all went home with him.

Mariah 10

Friday, May 24

145 DAYS PAST Saturday 221 TO COME

After the Febrile Period

of the malarial attack, a rapid reconstruction of erythrocytes is needed to restore the vital elements of the blood that were destroyed by the plasmodium. The organically combined iron and manganese in Pepto-Mangan (Gude) are so promptly absorbed that the blood cells are rapidly repaired, and their hemoglobin renewed, in all conditions of Anemia, Chlorosis and general vital deterioration. Weather Temp.

Very foggy this morning & has looked like rain nearly all day but hasen't. Melba went to Eugenes this morning. John seeded about three acres. Maudie & I finished putting the super on the hives. Bayde had his second swarm of bees to day.

Mariah 6 1/2

Saturday, May 25

146 DAYS PAST A Sunday 220 TO COME

Ether-Practial Administration. No. 11.

Within a reasonable limit, quality, not rate, is the pulse consideration; and depth, not rate, of the respiration. As to the pupil, use it more as an arbiter when necessary to decide two seemingly opposed factors, or to decide the importance, when otherwise all seems well, of the presence of certain conditions, as cyanosis, stertor, continued rigidity, or an increasing rapidity of pulse, or shallowness of respiration.— Dr. J. B. Bogan; N. Y. Med. Journ. Weather Temp.

Fine day but chilly. Melba stayed all night over to Aletas & she & Aleta came home to day. Then Eugene brought Grace over & took Aleta home. The three girls have gone to Church. John & I was over to Clarences. Mr Cox was over

Mariah 12

There will be a total eclipse of seen May 28th, 1919.

Sunday, May 26

147 DAYS PAST Monday 219 TO COME

Sepsis, Suppuration or Hemorrhage

invariably result in a drain upon vitality which must be compensated for before normal health can be restored. Pepto-Mangan (Gude) is a reconstructive and reconstitu-ent of unquestioned activity and can be thoroughly depended upon to hasten convalescence after any exhausting illness. Weather Temp.

A lovely warm day. Maude & Grace went to school. Had two skips of bees, both went togeather. John finished seeding the ten acres. Mr Young helped him. Turned old Mariah out for the first. Had six little chicks hatch. Melba has been making tops & bottoms for the hives

Mariah 5

Monday, May 27

148 DAYS PAST Tuesday 218 TO COME

Mistaken Diagnosis. No. 2.

4. Diagnoses of tertian malaria in patients whose symptoms resist quinin more than three days are almost invariably wrong. 5. Bronchial asthma beginning after 40 usually spells heart or kidney disease. 6. Epilepsy beginning after 40 usually means dementia paralytica or cerebral arteriosclerosis.—Cabot; Journ. Amer. Med. Assoc. Weather Temp.

A fine day. Maudie & Grace went to school. Mr Young helped John. Little Kate had a heiffer calf. Melba started painting the ceiling. I had the swarm of bees that swarmed yesterday come out again to day, but we took a card of brail with a green cell in it, & I think they will stay.

Mariah 5

Tuesday, May 18

149 DAYS PAST A fin Wendnesday 217 TO COME

In Full Dosage.

To overcome and combat degenerative factors, regenerative measures must be adopted and persisted in. In addition to the general nutritive and hygienic care of the patient, Pepto-Mangan (Gude) should be given, in full dosage, regularly and persistently, to restore, rebuild and revivify the red blood cells, to increase the percentage of hemoglobin and to reinforce vitality generally. Weather Temp.

A fine day. Finished seedaince at last, sowed the little field down by the words last. Mr Young was here all day. John was sick untill about three, he went down & sowed the field. Melba finished painting the ceiling, & then we have been tearing the paper & plaster off the kitchein Mariah 6

Wednesday, May 29

150 DAYS PAST Thursday 216 TO COME

Syphilo-Dermo-Urologic Aphorisms.

The accurate determination of a syphilitic roseola is, at times, a difficult matter for an inexperienced hand to diag-nose. In such a case the erythematous macules, produced by the bites of insects, closely simulate the specific eruption and a little attention will enable anyone to easily differen-tiate the two. Subjectively, the insect-bite itches, the leutic eruption does not; objectively, the former has a bright scarlet punctum near the center, the latter does not. Naturally concomitant symptoms of syphilis will aid in corroborating the diagnosis.-Amer. Journ. of Derm. Weather Temp.

Warm. Girls to school. I washed & then we worked at the kitchen. Mr Caverley was out & helped with the bees. John worked on his corn ground

Mariah 5

Thursday, May 30

151 DAYS PAST Friday 215 TO COME

Antitoxin Therapy,

in addition to the profound diptheritic poisoning due to severe Klebs-Loeffler infection, is more than likely to induce a secondary Anemia, which requires early and efficient hematogenetic medication. Pepto-Mangan (Gude) is especially adapted for administration to children, because of its distinct palatability, ready tolerability and prompt absorbability. Weather Temp.

Warm. Girls went to school. Melba & I was getting the kitchen ready for to plaster. John worked on his corn ground Mr & Ms Appleford, & Gene & Mc came for Grace

Mariah {10?}

Friday, May 31

152 DAYS PAST Saturday 214 TO COME

Gynecologcial Hints.

Non-absorbent cotton is the best material from which to make vaginal tampons. Absorbent cotton, if used, will collect discharges and so lose its resiliency, while lamb's wool will frequently irritate the vagina, especially in cases of vagi-nitis. Heavy linen and silk thread are the best materials to use for strings on tampons.—Dr. R. Waldo; Int. Journ. of Surg Weather Temp.

Warm. Wall home all day. Mr Coudon came & plastered the kitchen. John went to Lyons & got four pigs. John worked some on his corn here in the evening

Mariah 13

Saturday, June 1

153 DAYS PAST Sunday 213 TO COME

The Periodic Estimation

of red cells and hemoglobin, ie., the hematologic blood test, is a definite guide and sure index to the degree of improvement of the Anemic or Chlorotic patient. The Progression is always upward when Pepto-Mangan (Gude) is the hematinic employed. Weather Temp.

Very warm. We were all home all day. Mr Cox was over a little while.

Sunday, June 2

154 DAYS PAST Monday 212 TO COME

Ether-Practical Administration. No. 12.

The presence throughout of stertor or a slight degree of cyanosis need not alarm unduly, but should certainly cause increased watchfulness sinc. its presence is always indicative of obstruction to the passage of air, though such interference may be exceedingly slight. Many of the more ple-thoric exhibit cyanosis from the initiation and throughout the anesthesia without apparent significance, but in the arterio-sclerotic cyanosis is apt to be the precursor of danger. Of especial importance in all such cases is the dictum to give the "minimum amount of ether necessary to attain the desired end"-Dr. J. B. Bogan: N. Y. Med. Journ. Weather Temp.

hot Mr Mills papered the parlor & the dining som ceiling. Melba & I went to Aylmer to night & got some potatos that Mr Mills & Mrs Augustine gave us. Girls to school. John ralled his corn ground. Ms. Herbert brought some winter onions

Mariah 10

Monday, June 3

155 DAYS PAST Tuesday 211 TO COME

When La Grippe is Epidemic

a general reinforcement of vitality is indicated, for the purpose of warding off bacillary invasion and its unfortunate consequences. Pepto-Mangan (Gude) restores the structural integrity and sufficiency of the erythro-cytes, increases their hemoglobin content, and acts pleasantly and certainly as a general systemic reconstituent. Weather Temp.

Warm. I took my waist off to milk. It was so hot. Girls had a holiday for the Kings birthday. Melba & I went to Aylmer in the morning then after dinner Maudie Melba & Grace & I cleaned the parlor.

Mariah 5

Tuesday, June 4

146 DAYS PAST Wednesday 210 TO COME

Mistaken Diagnosis. No. 3.

7: Typical migraine is often a symptom of unrecognized brain tumor or chronic nephritis. 8. Most cases of "bronchitis" mean tuberculosis, bronchopneumonia or multiple bronchiectasis cavities. 9. Aside from the immediate results of acute infections (such as scarlet fever, diphtheria, tonsillitis and pneumonia) "acute" nephritis usually turns out to be chronic.—Cabot; Journ. Am. Med. Assoc. Weather Temp.

Hot. Rained never saw, warmer weather. Girls went to school. Melba & I have been cleaning the parlor dining room & bedroom but havent it finished. Ms Bogen & Authur was out. Had the third swarm of bees but Maudie put them back. John finished shearing the sheep halter. I bollands took the second real calf of shiver Mari 3

Wednesday, June 5

157 DAYS PAST Thursday 209 TO COME

To Tone and Reconstruct.

Quite often the physician wishes to prescribe strychnia with iron, especially when prostration is marked; when the heart needs toning; after Pneumonia and in the after treatment of severe grippal infection. R Strychniæ Sulph. (Gm.o.0z) gr.1/3 Pepto-Mangan (Gude). (Cc.330—original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proporion Weather Temp.

Rained some last night we put the carped down in the dining room & bedroom. M & G went to school. John went to mill harrowed his corn after dinner.

Mariah 5

Thursday, June 6

158 DAYS PAST Friday 208 TO COME

Foreign Bodies Under the Nails.

If it is found impossible to obtain any hold on the body after cutting the nail down, one should soften the nail over the foreign body with a 10 per cent solution of caustic potash. and then scrape away the softened portion till the body is exposed.—The Hospital. Weather Temp.

A fine day. We washed a big washing. McC w was here. girls went to school, & Grace went home from Aylmer. Melba took them & went for Maudie. John was cultivating the summer of all on. Lewis was here for Cabbage plants

Mariah 12

Friday, June 7

159 DAYS PAST Saturday 207 TO COME

A Normal Quantum

of functionally active red cells and hemoglobin, renders morbine invasion unld1ikely, in the presence of an epidemic of La Grippe or other infectious disease. Pepto-Mangan (Gude) aids the restoration of normal blood integrity and potency in anemic, marasmic and generally "run down" conditions. Weather Temp.

A warm day. Turned quite cold to night. Maudie went to Aylmer this afternoon. John & Maudie drove Pally to Eugenes to night. Melba & I cleaned home. I papered the kitchen McCm was here. John drew manure after dinner. I finished putting in the garden Pally 13 Mariah 5

Saturday, June 8

160 DAYS PAST Sunday 206 TO COME

Prevention of Scarlet Fever.

During the first four days, commencing at the earliest possible moment, Milne has pure eucalyptus oil gently rubbed in morning and evening, all over the body from the crown of the head to the soles of the feet. Afterward this is repeated once a day until the tenth day of the disease. The tonsils he always swabs with a 1 to Io phenol solution every two hours for the first 24 hours, rarely longer. For 26 years Milne has used pure eucalyptus oil in this way. When this treatment is commenced early, he asserts, secondary infection never occurs and complications are unknown.—British Medical Journal. Weather Temp.

Rained to night but fine all day. Girls went to Church, & it rained some before they got home. Shed & Albert & Elsie was here. Mr Appleford. Gene Ground wa & May come with Grce. The Two Braudt boy's & Mary come & took the Girls for a car ride

Mariah 5

Sunday, June 9

161 DAYS PAST Monday 205 TO COME

The Vital Solvency

of the patient must be maintained at all hazards: Anemia must be combated and nutritive reenforcement encouraged and increased. Pepto-Mangan (Gude) begins at the foundation, by increasing the vital element of the blood, thus. indirectly hastening absorption and insuring the Weather Temp.

A lovely day. Girls went to school. John drew manure this four noon, & helped Billy plant corn this afternoon. We finished papering the kitchen. We let Billy davis have old Billy to plant mark his corn ground

Mariah 6

Monday, June 10

162 DAYS PAST Tuesday 204 TO COME

Syphilo-Dermo-Urologic Aphorisms.

When dealing with the bladder, it must always be borne in mind that this viscus is very susceptible to irritative in-fuences, and that an inflammation may be easily brought on. It is principally for this reason that the residual urine, that is in it, must be completely removed before making any instillations of nitrate of silver or other medicated solutions. Unless this precaution is taken untoward symptoms of a marked character will set in and ultimately lead to the development of a chronic cystitis which, in itself, is a most troublesome and inconvenient condition, often requiring a surgical operation.—Amer. Journ. of Derm. Weather Temp.

Hot. Had a swarm of bees. Mr Mc dew wa here & helped John draw manure. We have been cleaning bronse, & planting out tomatoe plants.

Mariah 5

Tuesday, June 11

163 DAYS PAST Wednesday 203 TO COME

An Appetizer, Tonic and Reconstructive

is needed after scarlatina, diphtheria, measles, etc. Otherwise convalescence is apt to be unduly slow in the case of children whose nutrition is "below par." Pepto-Mangan (Gude) relieves anemic conditions, stimulates the appe-tite, tones the organism generally and acts as a mild but thoroughly efficient general reconstituent. Weather Temp.

A fine day. We washed. Mrs Van Wagnor, was up to night. John & Mc C drew manure all day. Ms Cox was over for her cabbage plants

Mariah 5

Wednesday, June 12

164 DAYS PAST Thursday 202 TO COME

Ether-Practical Administration. No. 13.

Respiration simply rapid, say 30 or 40, need seldon: be viewed with gravity, but not so any irregularity of rhythm or extreme shallowness,-such qualities should always be viewed with suspicion. Likewise a marked change in the quality or rate of the pulse is important. It might be well to remember, in this connection, that preceding the return of reflexes with accompanying vomiting there may be an apparently unexplainable. change for the worse in the pulse. As before said, it is in such cases that reference to the eye is of much value.-Dr. J. B. Bogan: N. Y. Med. Journ. Weather Temp.

Cool this morning. I went to Aylmer. John & Mc have been drawing manure all day. I got vanish & paint for the kitchen

Billy 5 Mariah 5

Thursday, June 13

165 DAYS PAST Friday 201 TO COME

The Solid Elements

of the vital fluid must be restored and reconstructed if the treatment of post-malarial anemia is to be ultimately suc-cessful. In other words, the "restitutio ad integrum" of the blood is the definite aim and object in this condition. If Pepto-Mangan (Gude) is regularly administered, after the paludal poison has been neutralized, it can be definitely depended upon to restore and re-create red cells and hemoglobin. Weather Temp.

Very hot, had one of the worst storms. The lightning struck line telephone posts & the hickory tree by the last barn. Tore the posts all to pieces. Mr Appleford came to Aylmer & brought Grace & Maudie home. The roads was flooded & everything. Melba took her lesson

Mariah 5

Friday, June 14

166 DAYS PAST Saturday 200 TO COME

Surgical Hints.

In case of ischiorectal abscess extending down to the rectal wall, it is generally advisable to abstain from opening into the bowel and establishing a fistula, with its disagreeable features. If properly drained, many of these abscesses will heal without perforating into the rectum.-Int. Journ. of Surg. Weather Temp. 94 Warm. Melba & I went to the cementary to night & this afternoon the Girls & I went down to Mr Chalks to Maude Abells; shower. She got a fine lot of presents & we all had a lovely time & had lunch, then home. Ms Mc Lay came here last to night when the Dr was a going up to see Audrah, Paris

Mariah 10 miles

Saturday, June 15

167 DAYS PAST Sunday 199 TO COME

Post Typhoidal Anemia.

R Lig. Potas.Arsenitis. (Cc. 4.0-8.0) 3i-3ij Strychnia Sulph. (Gm.o.o2) gr. ⅓ Pepto-Mangan (Gude). (Cc.330 original bottle) 3xi M Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Very hot. Girls went to church. Clair brought Grace over to night. Our phone is burnt out with the storm

Mariah 5

Sunday, June 16

168 DAYS PAST Monday 198 TO COME

Mistaken Diagnosis. No. 4.

10. Acute gastritis and gastralgia usually mean appendicitis, gall stones or peptic ulcer. II. Pus in or near the liver is often mistaken for serous or purulent pleurisy, for it produces identical signs in the right chest posteriorly. 12. An x-ray of the shin-bones may give the first hint of an active syphilitic process in the joints or internal viscera.-Cabot: Journ. Am. Med. Assoc. Weather Temp.

Warm. 92 I washed to night. Melba & I went to the Chatuaqua. Aunt Bell was here on her way to Aylmer & brought some eggo for me to set. Girls went to school. I was over to Ms Coves this morning to use their phone

Mariah 5 - Billy 5 -

Monday, June 17

169 DAYS PAST Tuesday 197 TO COME

No Harsh or Untoward Action

is ever noted when Pepto-Mangan (Gude) is selected as the preferred hematic and tonic. It is so free from irritant properties and so promptly absorbable and assimilable as to render it the most generally eligible and acceptable of all reconstructives in anemic and generally devitalized conditions. Weather Temp.

A hot day. Girls went to school. Melba went to the chate with Aunt Bell this afternoon, & to night. Melba & Maudie have gone. I was over to Mr Coves this morning. Eva was over here. Eugene & Aleta & John was here for dinner. Had lightening rods put on the north barn. Men here for dinner Mariah 10

Tuesday, June 18

170 DAYS PAST Wednesday 196 TO COME

Mistaken Diagnosis. No. 5.

13. Systolic or presystolic murmurs, heard best at the apex of a markedly enlarged heart, rarely mean valve lesions. 14. Diastolic murmurs at the base of the heart are very uncertain evidence of aortic disease unless there are characteristic jerkings in the peripheral arteries. 15. Myocarditis is a diagnosis which should never be made clinically.—Cabot; Journ. Am. Med. Assoc. Weather Temp.

Maude Abell 92 was married at noon to day. Maudie & Melba was at her weeding march & they gave her a lovely pin set in pearls. Melba helped waite on tables. I went to Aylmer this morning & took Grace to school, & we got her a set of coffee spoons. Clarence Cox helped to cultivate corn & John ploughed all day

Mariah 17

Wednesday, June 19

171 DAYS PAST Thursday 195 TO COME

In the Last Analysis

the germicidal potency of the blood is dependent upon its hemoglobin content. By encouraging and aiding the formation of functionally active, oxygen-bearing hematin. Pepto-Mangan (Gude) places the depleted organism in a better position to withstand constitutional infection. Weather Temp.

Warm. Girls went to school. Melba went to the Chau at night. Maudie & Grace went after school. Aleta & little John was here for dinner. Aleta went to get her teeth filled. Charley Clarke was here for to get money for Mr Mitchell. John ploughed

Mariah 10

I put were dozen on bees. John & Clarence Skinner & men scraped the road.

Thursday, June 20

172 DAYS PAST Friday 194 TO COME

Syphilo-Dermo-Urologic Aphorisms.

It is not good practice to completely empty an acutely distended bladder at one sitting Its rapid and sudden collapse produces both pain and anxiety in the patient, and it may also tend to produce a more or less hemorrhagic cystitis. This last condition may furthermore develop a tendency of becoming chronic and possibly lead to ulterior complications that may be difficult to control and still more so to cure.— Amer. Journ. of Derm. Weather Temp.

Warm but John ploughes not so hot. Mr & Ms Appleford came for Grace {red mark}. Maudie & Melba have gone to the chaue to night. We have been {red mark} putting the carpet down in the east bedroom up stairs. I went to the woods to night got strawberries & built fires. Cecil was over Eugene was here

Mariah 10

Friday, June 21

173 DAYS PAST Saturday 193 TO COME

Quantitative Anemia

is that condition of bloodlessness due to actual loss of volume of the circulating fluid. After the loss has been checked, Pepto-Mangan (Gude) performs "yeoman's service" by creating hemoglobin and constructing new red cells. It is palatable, readily absorbable, promptly tolera-ble, and free from constipating effect. Weather Temp.

A fine day. Melba & Maudie went to Aylmer, then to the Chautauqua. John went to mill & to Aylme. Melba & I went to Kingsmill. John ploughed

Mariah

Saturday, June 22

174 DAYS PAST Sunday 192 TO COME

Surgical Hints.

In fracture of the anatomical neck of the humerus greater tuberosity moves with the shaft, but this is not the case in fracture of the surgical neck. To ascertain this apply the index finger of one hand to the tuberosity, while rotating the shaft with the other.—Int. Journ. of Surg. Weather Temp.

A lovely day. Shed's & Albert's was all here for dinner. Girls & I went to hear Mr Mitchells fare well sermon

Mariah 5

Sunday, June 23

175 DAYS PAST Monday 191 TO COME

The Necessary Material Aid

to initiate blood and tissue reconstruction should be afforded to the patient suffering from the Anemia of Malnutrition. While this condition cannot be entirely overcome by hematinics alone, a non-irritant, promptly absorbable, non-constipating ferruginous tonic, such as Pepto-Mangan (Gude), assists decidedly in any general upbuilding regimen adopted by the physician. Weather Temp.

A fine day. Maudie diden't go to school. Melba & I went to Aylmer. Maudie had a swarm of bees & Anna McTagart came & got then. Melba sold two pans of rabbits. Sold our wool to B Bingham

Mariah 5

Monday, June 24

176 DAYS PAST Tuesday 190 TO COME

Ether-Practical Administration. No. 14.

After the operation is over and the ether withdrawn, the management of the case continues to be of vital importance. Some one should remain with the patient until he is rational. The room should be darkened and quiet. A dry gown and warm bedding should be provided. Liquids may be allowed early. Should there be great thirst, the result of excessive vomiting, salt solution by rectum will relieve. The subsequent diet should be governed by the nature of the opertion, permitting a full diet as soon as the best interests of the patient allow.—Dr. J. B. Bogan; N. Y. Med. Journ. Weather Temp.

A fine day. Sprinkled a few drops to night. I went down in the woods & hunted straw berries. John finished his ploughing & cultivated at the corn. Lewis w here. I was to Kingsmill sent the rabbit back. Grace came over Mar 6

Tuesday, June 25

177 DAYS PAST Wednesday 189 TO COME

After Excessive Menstrual Losses.

R Liq.Potas.Arsenitis. (Cc. 4.0-8.0) 3і-Зіj Strychniae Sulph. (Gm.o.o2) gr. ⅓ Pepto-Mangan (Gude). (Cc.330—original bottle) 3хі M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Rained off & on all day John went to Aylmer with Lewis this morning. They came back for dinner then John went up with Lewis after dinner. Went Bell brought him home. Melba took Grace & went for her. Mary Braudt & her brother came & took Maudie home with them. Albert was up. I washed & hoed in the garden Mariah 1

Wednesday, June 26

178 DAYS PAST Thursday 188 TO COME

To Remove Wax From Ear.

Syringing with a solution of sodium bicarbonate containing some glycerine is very efficient; the wax is gradually softened and easily removed. When it is desired to remove the wax at once, hydrogen peroxide is remarkably efficacious. Fill the external meatus with H2O2 let it remain a few minutes. The cerumen will become softened and disintegrated, and can be easily removed by syringing with warm water.—Medical Summary. Weather Temp.

Warm & has looked like rain. I went to Kingsmill this morning & got me a new print dress. Melba took Grace & went for he. Clifford was up to night. John warmed the hands out on the road this morning & was sick all the afternoon

Mariah 13

Thursday, June 27

179 DAYS PAST Friday 187 TO COME

The Neurotic Invalid

almost always presents a deficiency of the vital elements of the blood, i.e., the essential erythrocytes and their contained hemoglobin. Pepto-Mangan (Gude) overcomes the blood poverty that is so often responsible for neurasthenic conditions, by supplying the immediately available ferric and manganic elements necessary to true hemic reconstruction. Weather Temp.

Fine. Mr Appleford & Ms came for Grace & her Aunt & Ms. Melba took her to school & waited for her. John helped to grade the side road after dinner. Cultivated corn also.

Mariah 5

Melba went to Aylmer. Mr Cox went to St Thomas for shingles.

Friday, June 28

180 DAYS PAST Saturday 186 TO COME

Syphilo-Dermo-Urologic Aphorisms.

Enlarged tonsils are not always necessarily due to hyperplasia and necessitating removal of the guillotine or snare. Many enlarged tonsils are hard to the touch, so much so as to be indurated. An examination of the secretion will reveal the spirocheta pallida and lead to the discovery of a chancre of the tonsil that is affected.—Amer. Journ. of Derm. Weather Temp.

Fine Maudie & I went down to Mr Caverleyo & picked twelve quarts of straw berries & did up six cans. Then I went to Kingsmill got a {hundied?} of sugar for eleven dollars. John harrowed his summer follow & cut thistle this afternoon Clarence helped him M 14

Saturday, June 29

181 DAYS PAST Sunday 185 TO COME

A Stimulus to Blood Construction

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 corpuscular reconstruction and hemoglobin creation in all conditions of general blood and tissue devitalization. Weather Temp.

A fine day but cool. Melba & I went to Church in the morning & after dinner. Mr. C Skinner & wife alie & Clifford. John & I went to the stalter Gully & to Burwell. Maudie Melba & Mr Braudt Young people went to Burwell. I was over to Mr Coxes in the evening

Maudie 5

After dinner John & Ms Chute cut thistles. Eva was over twice

Sunday, June 30

182 DAYS PAST Monday 184 TO COME

Syphilis vs. Tuberculosis of the Larynx.

The character of the voice will aid in the diagnosis. In tuberculosis the voice is weak, often a mere whisper, but in syphilis the voice is strong but hoarse. The cough of phthisis is more troublesome and characteristic than the syphilitic cough; the expectoration is more profuse, and complete aphonia, which is common in tuberculosis and sometimes comes on comparatively early in the disease, is quite rare in syphilis. The pain in advanced cases of tuberculosis of the larynx is much greater and more distressing than in a case of syphilis.—Dr. Henry Parrish; New York Med. Journ. Weather Temp.

A fin day. cave this morning but grew warmer through the day. I went to Mr Caverleys for straw berries then after dinner I went to Aylmer. After supper Melba & I took Mr Chute home & brought home three big boxes. John Cultivate corn. Mr Chute disped the summer fallow before dinner Mar 17

Monday, July 1

183 DAYS PAST Tuesday 183 TO COME

The Puerperal Patient,

if at all anemic, requires special attention during the period of gestation, in order that she may be thoroughly prepared for parturition and lactation. Pepto-Mangan (Gude is so thoroughly palatable and agreeable, and so easily tolerable, that the most fastidious prospective mother takes it readily and with marked benefit. Weather Temp.

A warm day. I went berrying this morning. I then went up & helped Anna Mc Jagart with her bees. Melba & I went to Aylmer for medicine for the Lilly cow. John was working in his wheat ground & cutting thistle Albert was up

Mar 12

Tuesday, July 2

184 DAYS PAST Wednesday 182 TO COME

Syphilo-Dermo-Urologic Aphorisms.

The Wassermann reaction when found to be positive, in a case, is a justification for an immediate resort to active anti-Syphiltic measures. It is not necessary to wait tor secondary symptoms to appear; the Wassermann is sufficient.-Amer. Journ. of Derm. Weather Temp.

Hot day. Mother and Alice went berrying. We had swarm of bees. Pa went to Eugene's. We had a terrible time with the cow. Mr. Chute was here all day working on the ground. Ms. Chute went home with Dr Augustine

Mariha 13.

Wednesday, July 3

185 DAYS PAST Thursday 181 TO COME

After the Expulsion of the Parasites,

the Anema of Hookworm disease should be vigorously. combated. Pepto-Mangan (Gude) has been found, by numerous mom correction ver the blood impoverishment and general devitalization incident to Hookworm disease. Weather Temp.

Very warm. I went berrying with Alice. Melba washed mr Chute & John cut thistles. Melba & I went to Aylmer for boxes

Mariah 5

Thursday, July 4

186 DAYS PAST Friday 180 TO COME

Mistaken Diagnosis. No. 6.

16. Besides the direct evidence afforded by the history and the various methods of physical and chemical examination, diagnosis profits much by taking account of certain familiar pathologic chains or groups of them. Given one or two members of the group it is often wise to act as if the other were present provided, of course, that the direct evidence in no way contradicts us 17. Cerebral localization applied to tumors, hemorrhages and the like is still in its infancy. 18. The clinical diagnosis of the so-called diseases of the blood is the easiest and safest in medicine.—Cabot; Journ. Am. Mea. Assoc. Weather Temp.

Very warm Mr Chute & John was to Eugene all day. I picked cherries for Aunt Bell. John took the big horses & Palley

Friday, July 5

187 DAYS PAST Saturday 179 TO COME

The "Finicky" and Fastidious Patient,

as well as the rebellious child who ordinarily resists medication, will readily take Pepto-Mangan (Gude) without objection, as it is distinctly pleasant to the taste, always well borne, and entirely free from irritant, corrosive, or constipating properties. Weather Temp.

Rained. John helped Eugene draw hay. Shed bought our neet for Sunday. I went and picked cherries up at Aunt Bell. I went to Kingsmill for newstand for the cow

Billy 3 Mariah 10

Saturday, July 6

188 DAYS PAST Sunday 178 DAYS PAST

Gynecological Hints.

A large majority of gynecological patients suffer from constipation which greatly aggravates their disease. Aceu-mulations of feces push the uterus out of place, retard the circulation of all the pelvic organs, and produce general anemia due to toxin absorption. In the selection of laxatives those are to be preferred which will give a normal daily evacuation of the bowels.—Dr. R. Waldo: Int. Journ. of Surg. Weather Temp.

Rained last night & misted a little this morning. Shed was up & Mr Cox. Melba & I went & took Ms ban to church.

Mariah 6

Sunday, July 7

189 DAYS PAST Monday 177 TO COME

A Fourfold Combination

of rest, nutritious food, fresh air in abundance, and Pepto-Mangan (Gude), is especially serviceable for the purpose of overcoming the Anemia due to direct hemorrhagic loss from any cause. The ordinary hematologic test always demonstrates the promptness with which the ferric and manganic elements of Pepto-Mangan (Gude) restore the red cells and hemoglobin in such conditions. Weather Temp.

I went with Alice Skinner rasp-berrying, got about twelve quarts. John got his horses shod & Mr Chute came & cultivated the full wheat ground before dinner then after dinner they mowed hay by the last barn the first they have cut. Melba did the work & got dinner Mariah 2

Monday, July 8

190 DAYS PAST Tuesday 176 TO COME

Syphilo-Dermo-Urologic Aphorisms.

When a patient is entering, or has entered into the second. ary stage of syphilis, care should always be taken to examine his eyes, as well as his eye-lids. This is the period when iritis, conjunctivitis, and other symptoms of the infection, are prone to declare themselves. It is well to discover these, in time, because remedial measures are then of more use than later on, when the pathological changes have become more pronounced.-Amer. Journ. of Derm. Weather Temp.

A fine day. Cold at night. We washed, sprayed the potataes & I went to Aylmer. Eugene & Delbert Mr Chute & John have been at the hay all day. Same people came here to night enquring the way to Clarence Skinner

Mariah 5

Tuesday, July 9

191 DAYS PAST Wednesday 175 TO COME

Normal Oxygenation

of blood and tissue is necessary to insure the "give and take" of repair and waste. When there exists an essential "iron lack" in the blood, normal exchange and interchange is deficient in both character and extent. Pepto-Mangan (Gude) supplies the necessary hemoglobin-producing material in promptly assimilable form, in Anemic, Chlorotic and Marasmic conditions. Weather Temp.

A fine day. I went to Aylmer & took the vinegar bottl barell to get a new hoop on it. Eugene Delbert & Aleta & little John were here all day. Aleta has been helping me make me a new dress. The boys broke a mower tongue hay rope & the neck yaok tongue had bad luck all day Melba ironed Mariah 9

Wednesday, July 10

192 DAYS PAST Thursday 174 TO COME

Nose and Throat Aphorisms.

Enlarged tonsils frequently shrink when adenoids are removed. In removing adenoids, place blade of curette behind uvula, raise as high as possible at the same time lowering handle, then curette the entire width of naso-pharynx first in median line them on both sides. After bleeding has stopped look in pharynx for any shreds of tissue that may be left and remove with scissors. Frequent attacks of cold in the head in children is alone almost conclusive evidence of adenoids.-Med. Council. Weather Temp.

A fine day but cold & windy to night. Melba & I went for the vinegar barrel to night to Aleta & Eugene & {Dr?} & Mr Chute was here was here. Aleta finnished my dress. Aleta & Melba was to Aylmer for a hay fork rope. I went berrying & gave them to Aleta's

Mariah 11

Thursday, July 11

193 DAYS PAST Friday 173 TO COME

The Vital Element of the Hemoglobin

is its organic iron. Hemoglobinemia is the blood deficiency especially characteristic of Chlorosis. Pepto-Man-gan (Gude) stipplies the iron and manganese, in quickly absorbable form, to fortify and increase the hemoglobin of the vital fluid. It does this without disturbing diges-tion, and is, unquestionably, the most agreeable, dependable and generally available preparation with which to accomplish this necessary purpose. Weather Temp.

Fine Mr Chute Eugene & Delbert was here all day Del was home. They finished cutting the south field by the last barn. Maudie was trying her ejames. I put the vinegar back & went berying, Melba did the work

Mariah 6

Friday, July 12

194 DAYS PAST Saturday 172 TO COME

Surgical Suggestions.

For wiring bones iron wire is stronger than silver, and can be had at any hardware store. No operation for hemorrhoids should be done without a thorough examination of the heart and abdomen to discover etiologic obstructive conditions. If a patient with acute gonorrhea is kept in bed on a restricted diet, the saving of time in the cure will amply repay him for the confinement -Amer. Journ. of Surg. Weather Temp.

It rained a little eneough to stap baying. They finished started cutting the wheat. Mr Chute cut some but Eugene & Dell had to go home early. Dad was sick this afternoon, so Ms. Chute shocked it up before super. Mother was down to Mrs. Van. Wagners this morning.

Mariah 6 1/2

Saturday, July 13

195 DAYS PAST Sunday 171 TO COME

A Clinical Reminder.

We have frequently referred to the complete compatibility of both arsenic and strychnia with Pepto-Mangan (Gude), in any desired proportion. The following R is especially indicated in "Grippe," Pros-tration, Weak Heart, etc. R Strychniz Sulph. (Gr.0.02) gr.⅓ Pepto Mangan (Gude). (Cc.330-original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Fine. Melba & I went to church twice had a fine sermon. A man by the name of Smith preached. John was sick yesterday but better to day. We turned the Lilly cow out for the first since she was sick to night.

Mariah 10

Eugene & Delbert was here & Eugene broke the mower, had to go to Aylmer

Sunday, July 14

196 DAYS PAST Monday 170 TO COME

Gastric Lavage in Cholelithiasis.

Lavage of the stomach is one of the best methods by which to overcome recurrent vomiting, so annoying, and, in some cases, so threatening to the patient's life. Lavage at times will stop biliary colic as well as morphine, and it is the best of methods in treating gastritis, atony and dilatation.-Dr. R. F. Chase; Boston Med. and Surg. Journ. Weather Temp.

Fine sprinkled a few drops to night. Finished cutting the wheat & finished the south ten acres of hay & have been cutting on this side. Melba took Maudie & she is a going to stay to Mr Clines to night. Mr Chute came back with Melba. Mr Young helped Mar 10

Monday, July 15

197 DAYS PAST Tuesday 169 TO COME

The Over-tired Business Man,

and the overworked neurasthenie, do not require temporary stimulation, but general vital reinforcement. Pepto-Mangan (Gude) is especially adapted to the needs of these patients, as it is entirely devoid of the objectionable features of most iron preparations. It is distinctly pleasant, free from harsh action upon the stomach, and does not constipate. Weather Temp.

A fine day. Mr Chute was here. Maudie stayed at mrs Clines all night. I went to mill & brought Maudie home to night. We washed. John & Mr Chute drew hay this afternoon

Mariah 7

L Adams came for current

Tuesday, July 16

198 DAYS PAST Wednesday 168 TO COME

Syphilo-Dermo-Urologic Aphorisms.

The iritis which occurs in the course of syphilis is, as a rule, of that variety known as plastic. This form is one that is also seen, in some cases, as an accompaniment of interstitial keratitis, in congenital syphilis. An uncommon form of syphilitic iritis is that observed in late secondary or in tertiary lues. In this form there exist yellowish-red nodules near the pupillary and ciliary borders of the iris, but not in the intermediate zone. The circumcorneal injection of blood-vessels will also be noted.-Amer. Journ. of Derm. Weather Temp.

A fine day. Eugene Mr Chute Dell & Mr Young was all here. We had a wind storm or a small cyclone that went through the wheat field & took one shief as high as the hickory tree & blew several of them up several feet. Melba took Maudie & went after her Maria 11

Wednesday, July 17

199 DAYS PAST Thursday 167 TO COME

In a Large Proportion of Cases

met with in daily practice, a rational therapy includes the use of an efficient hemoglobin contributor. Pepto-Mangan (Gude) is preferable to other hematinics because it is, at once, palatable, non-irritating, non-constipating and distinctly efficient as a corpuscle constructor and hemoglobin creator. Weather Temp.

A fine day. The men was all here drawing hay. Maudie finished her {ejames}? & cutting all day.

Mariah 6

Thursday, July 18

200 DAYS PAST Friday 166 TO COME

Uterine Curettement. No. 1.

Sharply pointed instruments must be avoided. The uterine sound, if used at all, should have a good-sized knob. We get very little information by the sound which cannot be obtained by bimanual examination. The uterine applicator, which some operators use to remove uterine secretions, especially those of the metal-screw variety, I have seen do harm, as the point, becoming uncovered of cotton, is liable to bore into and through uterine tissue.-Dr. F. Foerster: Am. Journ. of Clin. Med Weather Temp.

A fine day. Finished drawing hay & drew in three loads of wheat. Eugene went home after dinner, left Albert & Fred. Maudie went to Aleta, as Mr Bainards & Auntie Jeepler was there. I went berrying for the last time. Maudie came home to night. Mr Cox brought a new car to day. Cecil went to St Thomas for a {biscmce?}.

Mariah 13

Friday, July 19

201 DAYS PAST Saturday 165 TO COME The Chlorotic Anemia of young girls is peculiarly responsive to the prompt and certain blood building action of

Pepto-Mangan ("Gude")

Many series of blood tests have definitely proved its value in this and all Anemic conditions. Weather Temp.

A warm day. Finished halling in the wheat Mr Young; Mr Chute helped. Maudie went to Kingsmill for bread. Melba & I went & got peas for Sunday dinner. Mrs Van Wagnor went with us

Mariah 6

Sunday, July 20

202 DAYS PAST Sunday 164 TO COME

Surgical Suggestions.

A uniform enlargement of one buttock, developing spontaneously and not of subcutaneous origin, is probably due to a subgluteal lipoma. Here, too, however, a hydroma must be thought of. A psoas abscess occasionally points in the outer part of the groin (i. e., close to the anterior spine of the ilium). When there is no evident spinal deformity to suggest the diagnosis the swelling is apt to be mistaken for a growth.- Amer. Journ. of Surg. Weather Temp.

Very warm. Mr Braudt's young people was all here for dinner. Maudie, Melba & I went to church. Huster Wright preached

Mariah

Sunday, July 21

203 DAYS PAST Monday 163 TO COME

Increased Oxygenating Capacity

must be imparted to the blood stream to relieve Anemia and allied conditions. A relative deficiency of oxygen is usually due to a lack of hemoglobin and erythrocytes, the oxygen-bearing elements of the circulating fluid. Pepto-Mangan (Gude), by virtue of its promptly available organic iron and manganese, efficiently stimulates the formation of the essential blood-enriching constituents, and thus insures a better supply of oxygen to cell and tissue. Weather Temp.

Warm. Maudie & I took some black currents to Ms Dave Adams. Caught some fish & put them in the water tank. Got some peas. Mrs Adam's gave Maudie a canary. John went to Aylmer & John got his cheque mark. Cecil & Clarence came & took John for a ride in the new car Mariah 5 Billy 3

Monday, July 22

204 DAYS PAST Tuesday 162 TO COME

Nose and Throat Aphorisms.

In chronic laryngitis and plaryngitis, look for atrophie rhinitis, as this latter trouble is frequently the cause of the two former by reason of the fact that the inspired air not being properly moistened in the nose absorbs the moisture from the pharynx and larynx, thereby causing a constant irritation. Any nasal obstruction may cause the same condition by forcing the patient to breathe through the mouth.-Med. Council. Weather Temp.

A warm day. I washed. Maudie & Melba went to Aylmer early for to get Billy shod & do numerous other things. Cecil was over a little while with his new car. The girls made a rabbit pen or box. John worked his summer follow

Billy 6

Tuesday, July 23

205 DAYS PAST Wednesday 161 TO COME

A Blood Conservator.

Overwork, stress or strain will not infrequently result, in the final instance, in general denutrition and anemia. The cause being once removed or remedied, an upbuilding campaign is in order. Pepto-Mangan (Gude) is of distinct value as a blood constructor and conservator in such cases. It not only increases the number of erythrocytes but also aids in their vitalization. Weather Temp.

Warm. Maudie ironed we was all home all day.

Wednesday, July 24

206 DAYS PAST Thursday 160 TO COME

Syphilo-Dermo-Urologic Aphorisms.

Urinary suppression in infants is a condition that is so rare that, as a rule, it is advisable to exclude the probability of a mechanical obstacle to the urination; or, of a congenital deformity, by the passage of a soft rubber catheter. This exact method of determining the condition should never be forgotten.—Amer. Journ. of Derm. Weather Temp.

Warm. Maudie went to Aylme. Aleta & John was here for tea. John was cutting thistles. Got old Mariah shod

Mariah 6

Thursday, July 25

207 DAYS PAST Friday 159 TO COME

An Upbuilding Trinity.

The Anemia of Innutrition so frequently observed in patients of all ages, is symptomatic of a general devitaliza-tion. Fresh air, nourishing food and Pepto-Mangan (Gude) constitute a reconstructive trinity of marked and certain value, the last named agent increasing the oxygen-bearing capacity of the blood stream, and thus aiding directly in the absorption and appropriation of the increased food supply. Weather Temp.

Warm. Had the telephone girls out to night Evie Anna Smith Jeva Augen, belma Harris, Miss Herbert Mabell Fitspatric, Genta Mills & Leva, Alice Lewis. Grace & Gene Appleford. Genta brought them. I went to Aylmer

Mariah 5

Friday, July 26

208 DAYS PAST Saturday 158 TO COME

Uterine Curettement. No 2.

The dilator, as in common use, is a dangerous instrument, those with a screw-lock even more so than those where manual force is used. The shanks ought to be parallel; if they diverge at this point, the instrument is liable to tear the uterine tissue opposite the os internum, the rent may extend into the free abdominal cavity, but usually runs into the broad ligament. Dressing forceps used in the endeavor to remove débris are risky, when pointed. Severe injuries, such as piercing the uterus and bringing down through the rent a loop of in-testine, have been reported.—Dr. F. Foerster; Am. Journ. of Clin. Med. Weather Temp.

Very hot. Grace & Gene went home this afternoon. Maudie & I went to Charley March auto for beef & them to Aylmer. Clifford came up & patched Melbas wheel

Mariah 7

Saturday, July 27

209 DAYS PAST Sunday 157 TO COME

The Anemia of Tuberculosis.

R Liq. Potas. Arsenitis. (Cc. 4.0-8.0) 3i-3ij Pepto-Mangan (Gude). (Cc.330—original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Hot & a strong south west wind blowing all day. The girls & I was home all day. John was away this morning some place.

Sunday, July 28

210 DAYS PAST Monday 156 TO COME {ink spill}

Surgical Hints.

In cases of severe injury demanding amputation it is often advisable to defer operation for twelve to twenty-four hours, until the patient is in a better condition for the anesthesia. To operate immediately on patients addicted to alcohol and with full stomachs. greatly increases the risks of pneumonia, nephritis, or embolism after etherization.—Int. Journ. of Sura. Weather Temp.

Fine Monday rained Sunday night. I washed. We ironed some. Maudie & Melba went to Aylmer.

Mariah 5

Monday, July 29

211 DAYS PAST Tuesday 155 TO COME

To Prevent Re-Infection.

Anti-periodic treatment must, of course, be employed to neutralize paludal poisoning, but, after the plasmodium is destroyed and eliminated, fresh infection must be guarded against. Pepto-Mangan (Gude), by restoring the structural integrity of the red cells, and increasing their hemoglobin content, establishes the power of the blood to successfully resist secondary malarial infection. Weather Temp.

A fine day. I went berrying with Cecil & his mother got a lot of berries. Ms McLay & Mis I have was out in the afternoon. Cecil was over in the evening. John hoed his potatoes. John went to Kingsmill

Mariah 8

Tuesday, July 30

212 DAYS PAST Wednesday 154 TO COME

Early Sign of Pott's Disease,

Angelescu has noticed that caries of the spine generally begins in the anterior segment, and consequently that traction on the anterior longitudinal ligaments is painful in these cases even where there is nothing else to suggest the vertebral process. He has the patient lie on the back and arch the body, resting only on the back of the head and the heels. This position induces pain in the diseased area or the pain is so severe that the patient is unable to asume this attitude.—Exch. Weather Temp.

Looked like rain. Melba & I had a chase for the cans up to aunt Bell. Them Melba & I went to Aylmer. Billy Bates was here nearly all the afternoon. John has been working on his summer fallow. Mr Cox came over & helped him onlade the wheat raking

Mariah 8

Wednesday, July 30

213 DAYS PAST Thursday 153 TO COME

Attacked and Consumed.

The vital elements of the blood, i.e., the red cells, are invaded and destroyed by the malarial plasmode. In such instances the construction of new erythrocytes and the reconstruction of those partially destroyed is the main therapeutic indication. Pepto-Mangan (Gude) furnishes, in readily tolerable, promptly assimilable form, the ferric and manganic elements necessary to such constructive and reconstructive work. Weather Temp.

Rained all day & part of the night. Girls went to Kingsmill & got a hundred weight of sugar

Mariah 3

Thursday, August 1

214 DAYS PAST Friday 152 TO COME

To Palpate the Spleen.

In working with nervous or fleshy individuals, by having the patient sit or stand with the chest and shoulders loosely hanging forward (as is naturally done by many who stand and sit incorrectly), the physician also standing, or sitting, facing the patient and to his left, can insert the fingers of the left hand far under the ribs and determine the character of the spleen in a manner otherwise impossible.-Dr. C. Well-man; Interstate Med. Journ. Weather Temp.

A fine day. Cod at night. Maudie & I went to Aylmer. The girls had some girl friends in for the evening. Maudie forgot some parcels & had to go back. John was down & helped Ed Thompson thrash in the afternoon

Mariah 5 Billy 5

Friday, August 2

215 DAYS PAST Saturday 151 TO COME

To Ward Off Physical Bankruptcy

the resisting power of cell and tissue must be restored and revitalized. Pepto-Mangan (Gude) furnishes, in readily available form, the material necessary to build up the structure of the red cells and to create hemoglobin, the important vitalizing agent of the circulating fluid Weather Temp.

A lovely day. Grace & Gene came last night & went home this afternoon. Maudie & I went to Aylmer. Mr Young & John have been cutting weeds this four noon & thrashed for Mr Cox this afternoon. I took the little one eyed her last night & put he with some little chickens about five weeks old that the mother left & she is loving them bens Mariah 5

Saturday, August 3

216 DAYS PAST Sunday 150 TO COME

Syphilo-Dermo-Urologic Aphorisms.

It should not be forgotten that a syphilitic mucous patch comes suddenly in the form of one or of several lesions. A mucous patch is distinguished from a smoker's plaque by this fact for the latter comes on slowly. The mucous patch is soft and not indurated, and whilst it looks severe it is of but short duration. When it manifests itself it is best to begin a search for other signs or symptoms of syphilis as they are very apt to be present.—Amer. Journ. of Derm. Weather Temp.

A fine day. Maudie went & got Ms Lambert & Eva, brought them out for dinner & supper. Then took them home. Melba was ill all day

Mariah 10

Sunday, August 4

217 DAYS PAST Monday 149 TO COME

Profuse Blood Loss

from acute hemorrhage must be compensated for. First of all, by saline infusion to replace the volume of Auid, and subsequently, by recreation of red cells and hemoglobin. Pepto-Mangan (Gude) is the most available agent for the latter purpose, as it is so readily tolerable and immediately absorbable as to insure the rapid and complete assimilation of its blood-building ferruginous and manganic elements. Weather Temp.

An nice day. Raining to night. We washed John helped me. Maudie went to Aylmer for binding twine, had to pay twenty seven dollars a hundred for it. Brought Ms Chute home with her for half a day. At noon & this afternoon they started cutting oats

Mariah 6

Monday, August 5

218 DAYS PAST Tuesday 148 TO COME

Uterine Curettement. No. 3.

As to curettes, we should recognize only the sharp curette as proper. To do any efficient work with the blunt curette, especially those of smaller sizes, means the employment of too much force; the very word "blunt" is liable to invite carelessness. Of sharp curettes we ought to use the larger size in preference, the smaller sizes being only useful after the cavum uteri has been thoroughly explored the larger instrument, for cleaning the cornua.-Dr. F. Foerster; Amer. Journ. of Clin. Med. Weather Temp.

A warm day. Sewed an dress for Maudie & Melba all day. Went to Charley Marchants for some green corn, & to Aylmer. Maudie Melba & I went. Ms Chute was here & they cut the oats back by George davises Ma 7

Tuesday, August 6

219 DAYS PAST Wednesday 147 TO COME

When Regularly and Steadily Given

in conditions of Anemia, Chlorosis, etc., Pepto-Mangan (Gude) brings about a progressive increase in the number of, and as shown by the e character add quality be subjective symptoms (weakness, anorexia, dyspnea, etc.) are dissipated and the normal pink color returns to lips, cheek and conjunctiva. Weather Temp.

Hot & muggey. Maude went to Kingsmill. Eugene came for Maudie to help them thrash. I sewed all day. John cultivated las summer fallow this four noon. Mrs Cox was over to night. The two Autron boys came & took two more rabbits to night

Mariah 3

Wednesday, August 7

220 DAYS PAST Thursday 146 TO COME

Surgical Hints.

Evidence is accumulating that fractures of the femoral neck, which formerly were believed to occur almost exclusively in aged persons, are not infrequent in children or adolescents. Cases of sprains in the region of the hip in young persons, if at all severe, should be carefully examined with the view of determining the possible presence of a fracture of the neck of the femur with the aid of the x-ray.—Int. Journ. of Surg. Weather Temp.

A fine day. Melba & I went to Aylmer & got her two new house dresses, & some other bargains, John helped Albert thrash

Mariah 6

Thursday, August 8

221 DAYS PAST Friday 145 TO COME

Restoration of the Physiologic Balance

must be accomplished in Anemic and Chlorotic conditions. A paucity of hemoglobin, with a deficient iron content, is usually associated with corpuscular insufficiency. Pepto-Mangan (Gude) constructs new and restores impaired erythrocytes, and thus restores the physiologic "status quo.” Weather Temp.

Cold last night but warmer to day cold to night. I made one of Melbas dresses. John went to mill & got his wagon tines set. This afternooon he hoed corn. Mark was, over a little while to night. Anna MeJaggant was down

Friday, August 9

222 DAYS PAST Saturday 144 TO COME

Silver Salts in the Urethra.

The "penetrating action" of silver salts, which is so frequently praised, is not needed in the posterior urethra as much as in the anterior. In the posterior urethra silver nitrate acts better than inthe anterior, while in the latter the newer silver salts are to be preferred, as being more penetrating.—Med. Review of Reviews. Weather Temp.

A fine day. Melba & I went to Aylmer & got the ties, set on the little baggy. John & Mr Chute half of the ten acres this afternoon & drew in oats after dinner. We saw Madam spence fall down {me?} town to day

Mariah 5

Saturday, August 10

223 DAYS PAST Sunday 143 TO COME

The Sensible Method

of attacking Anemia and consequent general denutrition, is to supply the material in which the blood is deficient. Pepto-Mangan (Gude) is the ideal hematic restorative, and it throws no strain upon the functions of digestion, assimilation or excretion, and is, at the same time, pleasant to the taste, readily tolerable and devoid of constipating action. Weather Temp.

A fine day. Melba & I went to Church this morning, and to night old mariah went so fast people thought she was running away, but we thought it fun. Mr Crood-field preached to day.

Mariah 11

Sunday, August 11

224 DAYS PAST Monday 142 TO COME

Syphilo-Dermo-Urologic Aphorisms.

The special care of the mouth and teeth, in syphilitics, should always be insisted upon by the attending physician. This is necessary, not alone as a measure of cleanliness, but also to act as a prophylactic, against the formation of mucous patches, and to place the buccal mucous membrane in a better condition to resist irritating influences.—Amer. Journ. of Derm. Weather Temp.

A fine day. Melba & I got ready to go to Mr Appleford's & they had thrasher, so after dinner I went for Maudie out at Eugenes. John Mr Chut & Mr Youngs have been drawing in oat all day

Mariah 13

Got Maudies new fall coat $10.00

Monday, August 12

225 DAYS PAST Tuesday 141 TO COME

Of Distinct Auxiliary Value.

An important factor in the successful treatment of the marasmic infant is nutritive and blood-glandular reinforcement. While Pepto-Mangan (Gude) is not directly nutritive, it is of distinct auxiliary value, as it so improves the quantity and quality of the blood as to influence for the better, the absorption and assimilation of the child's food. Weather Temp.

Rained, to night. John went to Aylmer & got his horses shod & this afternoon he went to Eugenes, for his Manure spreader. Girls & I went to Aylmer & down to see the aireplain & to see jessey Marchant's baby a little boy born saturday

Mariah 7

Wednesday

Tuesday, August 13

226 DAYS PAST 140 TO COME

To Relieve Thirst After Abdominal Operation.

The very best friend we have in alleviating discomfort and thirst after abdominal operations is the normal saline solution injected per rectum, prepared by using ordinary table salt (not Cerebos), about 80 grains to a pint of water previously boiled, and cooled down to a temperature of 100 degrees Fahr. This is not only useful to lessen thirst, but to combat shock and in cases of collapse the temperature of the normal saline solution should be 105 degrees Fahr. Weather Temp.

Hot but windy. Had picknic to-day. Melba and Maud were a Yertic Mill's party which started at 2.00 P. an. and stayed for lunch. Aireoplane flew over Aylmer many times lower school report came out. Albert + Cecil were here to night. Elie {Ersltine?} is sick, but a little better to-day. Eva came over to see of she could have Herbert with us to morrow byt we were going away & going to have company.

Wednesday, August 14

227 DAYS PAST Thursday 139 TO COME

An Urgent Indication.

Nutritional rebuilding is essential for the relief of the general Anemia of devitalization, or that form of blood poverty which follows or is dependent upon general mal-nutrition. Pepto-Mangan (Gude) provides the material for corpuscular and hematic reconstruction, stimulates the oxygen-carrying function of the vital fluid, and thus assists in the general reconstruction of the organism as a whole. Weather Temp.

Dull, rained in evening. I went after Ms. Chute before dinner. After dinner went after Elve Stuart. Maud and I took Ms. Chute home after supper. Sam Caverly's barn burnt down to-night.

Mariah 15 1/2

Thursday, August 15

228 DAYS PAST Friday 138 TO COME

Adhesive Plaster in Wound Dressing.

In applying adhesive plaster to retain dressings following a surgical operation, the surgeon is frequently annoyed by the failure of the plaster to stick to the skin. This difficulty can readily be overcome by spraying with ether the surface to which the plaster is to be applied. The ether causes the skin to dry quickly and the adhesive plaster quickly takes hold. Cotton should always be placed on the gauze. By so doing, the plaster not in, contact with the skin run be readily turned back by cutting in the centre. The dressing can be changed, and by the us of tape the adhesive bar lage is again adjusted, thus avoiding the annoyance and pain of removing the plaster at each dressing.—Dr. John. Young Brown; Interstate Med. Journ. Weather Temp.

Rained last night. Melba & I went to Aylmer this afternoon. Mr Chute helped cut oat all day. Cecil was over to night

Mariah 7

Richie is sick to night. Dorset was sick all day.

Sunday, August 18 17

231 DAYS PAST Saturday 16 135 TO COME

General Tonic Reconstructive.

R liq.Potas.Arsenitis. (Cc. 4.0-8.0) 3i-3ij Strychniae Sulph. (Gm.0.02) gr. ⅓ Pepto-Mangan (Gude). (Cc.330—original bottle) 3xi M. Sig.—Tablespoonful after each meal. Children in proportion. Weather Temp.

Cloudy & rained to night a little very high wind, blew nearly all the shack's over they they had put up. Mr Chute cut oats all day had some bad luck the binder broke, but they fixed it Mr Youngs helped. Maudie went to Aylmer & mad rabbit cups all the rest of the day. I was up to George Davises & got sweet corn. They finished cutting oats up at the north end. We came Mariah 7

Monday, August 19 18

232 DAYS PAST Sunday 17 134 TO COME

Nose and Throat Aphorisms.

After removing polypi do not dauterize stumps. Inflammation may set in and cause septic meningitis. Before operating on the turbinate bones give for three days ten grains of sodium bromide twice a day. This will reduce hemorrhage. Pus between middle turbinate and outer wall of nose may be due to frontal sinusitis. In acute disease of the frontal sinus there is a marked increase of pain on blowing the nose. Pus between middle turbinate and septum is probably due to inflammation of sphenoidal sinus.-Med. Council. Weather Temp.

Rained at morn. Girls went to Church to night. Shed & Albert was up. Mark, & Cecil was over this morning. Eugene Aleta & little John was here for dinner & tea. Mr Dance has gone out west

Mariah 5

Tuesday, August 20 19

233 DAYS PAST Monday 18 133 TO COME

A Nutrition Conveyor.

The oxygen necessary to combustion must be supplied to the tissues in full measure, in order to successfully maintain normal nutritive exchange. The organic iron of the hemoglobin is the "nutrition conveyor." Hence the essential importance of such an assimilable, ferruginous reconstructive as Pepto-Mangan (Gude), in Anemic, Chlorotic, Marasmic and generally devitalized conditions. Weather Temp.

Rained. Melba & I went to Aylmer & got a grist ground stoped to Ms Ed Thompsons to get out of a hard shower & had our dinner. TA blew so hard that st blew two large peach limbs off full of peaches. Mr Chute & Young was here

Mariah 5

Wednesday, August 21

234 DAYS PAST Tuesday 19 132 TO COME

Surgical Suggestions.

When seeking the cause of an obscure or indefinite abdominal pain, and especially of a pain in the loin, make a careful microscopic examination of the centrifugalized urine. Renal calculi sometimes cause only mild, irregular pains, and the finding of a few red blood cells in the urine may be the first clue to their presence.-Amer. Journ. of Surg. Weather Temp.

Rained a little this morning. Lewis was down a little while Maudie & Melba went to Aylmer. Eugene was here for dinner. Mr Chute was here & they finished cutting the oats, down by the wood's hoed corn in the four noon. Yesterday & to day we have been making things for little John

Mariah 5

Thursday, August 22

235 DAYS PAST Wednesday 20 131 TO COME

An Available Iron Contributor

is an every day requisite in medical practice. Normal blood integrity cannot exist without a relative sufficiency of iron to act as the bearer of oxygen to the body tissues. Pepto-Mangan (Gude) "makes good" this vital deficiency and acts as a dependable and available contributor of iron (and manganese) to the vital fluid. Weather Temp.

Cloudy off and on. We washed Mr Chute & Mr Youngs were here & helped draw in oats after dinner.

Friday, August 23

236 DAYS PAST Thursday 21 130 TO COME

Diagnosis of Coma.

It is of primary importance in cases of coma to ascertain if the patient can be roused, and the most effective stimulus for this purpose is firm and deep pressure on the supra-orbital nerves, by getting the thumb-nail into the supra-orbital notch. If no effect is produced by this method, you may take it for granted that the case is more serious than alcoholic coma alone.—Mr. Chas. Gibbs: Hospital. Weather Temp.

Rained last night & to day. Faired up after dinner. JOhn drew three loads of gravel for McJaggart's pit. Aleta came & brought little. John & took Maudie to a social at Simpsons at L jans. Mr Chute & Youngs came but it rained & they had to go home. Maudie + Melba ironed Mariah 12

Saturday, August 24

237 DAYS PAST Friday 22 129 TO COME

The Profound Anemia

that sometimes follows the invasion of the blood by the malarial plasmode is due to the corpuscle-consuming action of the parasite. Prompt hematogenesis is distinctly indicated and Pepto-Mangan (Gude) is an ideal preparation with which to pleasantly and effectually repair the damage. Weather Temp.

A lovely day. Maudie & I took Melba to Aylmer in the morning & she was to Ms Cluies for dinner then they went to tilson bouge & Melba had some teeth filled. Then in the evening Maudie & I went for her. Mr Young & Chute helped draw in oats. Maudie & I started taking honey off Mar 10

Sunday, August 25

238 DAYS PAST Saturday 28 128 TO COME

Spinal Douching.

The water used should, to begin with, have a temperature not below 80° F., and be gradualy cooled down. If commenced too cold it may give rise to headache or giddiness. The spinal cord appears to be directly stimulated by the shock of the cold water, and the stimulus is reflected to the peripheral and visceral nerves, notably the sympathetic gan-glia. This bath is useful in functional torpor, with numbness or slight paralysis of limbs, constipation and phosphaturia, producing a bracing effect and a pleasant glow. —The Hospital. Weather Temp.

Rained some after dinner but dried off eneough so that Mr Chute & John drew in the last load of oats in the woods. Finished the harnest to day. Maudie & her Father have gone to Aylmer

Mariah 5

Monday, August 26

239 DAYS PAST Sunday 24 127 TO COME

Directly Essential.

A sufficiency of red cells and hemoglobin is directly essential to quicken nutritive exchange and to pave the way for a more normal metabolism in conditions of chronic illness. Pepto-Mangan (Gude) acts as a corpuscle constructor and hemoglobinogenetic in such cases and performs this necessary service without deranging digestion or producing a constipated habit. Weather Temp.

Rained a little. Girls went to Church to night. Mr Appleford & Eugene came over to night intending to go to the Toronto four tomorrow.

Mariah 6

Tuesday, August 27

240 DAYS PAST Monday 25 126 TO COME

Syphilo Dermo-Urologic Aphorisms.

A swelling in the inguinal region that is painful to the touch should be very carefully examined as it may be one of several conditions, each of which has a certain degree of impor-tance. Of course, the condition will be called an inguinal adenitis which it may or may not be. If the swelling is red, tender and fluctuating, it is apt to be a chancroidal bubo. Look for the chancre. If the color is bluish, the pain on pressure intense and there is no fluctuation, the lesion is probably a gonorrheal bubo. If the pain is marked, the color of the skin normal, look for an inflamed undescended testicle. -Amer. Journ, of Derm. Weather Temp.

Rained off & on only a little at a time. Maudie & Melba went to Aylmer. The Caverley girls was out this evening a little while. John Eugene Mr Appleford & Mr Chute went to Toronto four this morning We have been canning pears all day Mariah 10

Wednesday, August 28

241 DAYS PAST Tuesday 26 125 TO COME

The Primal Necessity,

in cases of acute anemia from traumatic causes, is a re-genesis of the blood. While, in many instances, an increase in the volume of the circulating fluid is essential, the good results following saline infusion are increased and accentuated by the prompt and regular administration of Pepto-Mangan (Gude), which augments the corpuscular integrity of the blood and materially increases its hemoglobin percentage. Weather Temp.

Rained. We went up to Aunt Bells to night. Maudie & Melba went to Aylmer & got Little John down by the corner. Carlton & Kayel took Aleta to her Uncle Frank Leesons feneral. Then they came back here & got him

Mariah 8

Thursday, August 29

242 DAYS PAST Wednesday 27 124 TO COME

Ivy Poisoning.

No scratching; no ointments in the acute stage; no bandages (which would tend to spread the poison to adjacent surfaces) ; any protector, if necessary, should be a loosely applied dressing of absorbent cotton, kept moist at all times and changed frequently; frequent® and copious washings with luke-warm water and an unirritating soap; the inflamed surface is best handled by means of rubber gloves; after washing the parts apply a 2-4 per cent. warm solution of potassium permanganate, which completely neutralizes any poison with which it comes in contact. After the acute stage is past ointments are permissible.—Med. Times. Weather Temp.

Very cold. Girls & I went to Aletas & Aunt Bell lent me her fur coat it was so cold. We had an nice time. Maudie & Melba have gone to the depot for the men. They have come rls report a good time

Mariah 18

Friday, August 30

243 DAYS PAST Thursday 28 123 TO COME

The Anemia of Adolescence

is not a negligible quantity and should never be ignored. The correction of improper hygienic conditions, and in-judicious habits of feeding, should be supplemented by the use of a non-irritant, readily absorbable, non constipating hematic, such as Pepto-Mangan (Gude). Weather Temp.

Sprinkled a little. Girls went to Aylmer. Albert was up. John disked the wheat ground drew a load of gravel. This afternoon & to night he has gone to Boncer. We Maudie & I washed. Maudie has been ironing. To night we canned plums & pears. Melba is teeth having a bad time with her

Mar 5

Saturday, August 31

244 DAYS PAST Friday 29 122 TO COME

Nose and Throat Aphorisms.

In examining larynx do not pull the tongue hard enough to wound the frenum. If necessary a little gauze may be placed between the teeth and tongue to protect it. Always warm mirror to prevent clouding. Have patient bend toward operator, as this makes examination easier. Sounding the letter "e" arches the palate and at the same time depresses the tongue. The letter "a" arches the tongue and interferes with the view of the larynx.—Med. Council Weather Temp.

A fine day. Girls & I went to Aylmer after supper, & the girls went to Mable {Fitspatricp's?} for the evening & I stayed to Mrs Clines. Maudie finished ironing & John drew gravel

Mariah 6

August 30

Sunday, September 1

245 DAYS PAST Saturday 3 {smuged} 121 TO COME

Children's Ills,

even when apparently mild in character, frequently result in Anemia of greater or less degree. Because of its palatability, ready tolerability and prompt absorbability, Pepto-Mangan (Gude) is especially indicated in the vari-Outs forms of Anemia met with in pediatric practice. Weather Temp.

Rained last night & about five to night. It rained & the lightening struck Charley Phelpe's barn & burned it, all his oats a thousand bushells, his hay & straw stack one little calf. Melba went to Aylmer with Aunt Bell. We have been canning pickels. John drew two loads of gravel

Monday, September 21

246 DAYS PAST Sunday 31 120 TO COME

A Simple Method of Testing Milk

consists in setting aside in a living room an ordinary drinking glass, wider at the top than at the bottom, filled with milk, and covered with anything, until it has congealed; in summer about one day, in winter two. The milk now presents in one distinct layer its cream on top of the congealed portion, and if good no water underneath; the poorer milk may, how-ever, show up to half a teaspoonful of water, but more water than this is sure not to have come from the cow.—Dr. C. Weather Temp.

Rained a little. Eugene's was over for dinner. Maudie Melba & I went to Church

Mariah 6

Monday September 1

Sprinkled a little to night. Clair Appleford Margerie & Mrs Appleford & Grand mothe Ackhart came with Ackhart's new car & brought Grace Cecil took the girls for a drive in his new car to night. John has been drawing gravel. Bayde Thompson was married to day.

September the 2 Tuesday. A fine day. Jessie Marchant & I went down to Mrs Roy Chute for tomatoes. Maudie & Grace started for school, & was to Ms Clines for dinner. John got the big horses shod & after dinner went & helped Ed Thompson draw oats. Maudie brought Grace & I home then went back to Mrs Clines for the tomatas Mariah 11

Tuesday, September 3

247 DAYS PAST 119 TO COME

Renewal and Reconstruction.

Renewal of hemoglobin and reconstruction and re-crea-tion of red blood cells must be accomplished in conditions of vital under-capitalization, from whatever cause. Pepto-Mangan (Gude) supplies the ferric and manganic elements in assimilable form, for the purpose of overcoming the blood deficiency, the essential cause of the trouble. Weather Temp.

Wednesday. A fine day. Aunt Bell & Jessie Scott was here this afternoon she came yesterday. Girls to school. Melba & I did to tomatoes all the fournoon. Have put up fifty nine quarts. Mr Cox is over. John helped Ed Thompson thrash this fournoon & worked his summer allow after dinner Mar 10

Wednesday, September 4

248 DAYS PAST Thursday 118 TO COME

Syphilo-Dermo-Urologic Aphorisms.

Lupus erythematosus has usually been Cooked upon as a disease that is very difficult to treat successfully. Dr. William S. Gottheil has announced that, in his experience, no treatment is so efficacious, manageable, painless, and rapid as that by means of solid carbon dioxide. The method of using it is. in the form of a stick lightly pressed for twenty to fifty seconds at a seance.—Amer. Journ. of Derm. Weather Temp.

A fine day.Cool to night. Girls went to school. Mrs McLay was out. Bert brought her & she brought us a basket of peaches. Melba & I went to Kingsmill & got three dozen ceulers. John sowed his wheat & Melba & I washed

Billy 3 Mariah 6

Thursday, September 5

249 DAYS PAST Friday 117 TO COME

The Natural Ruddy Color

characteristic of good health is absent in the case of the chlor-anemic patient; the cheeks, lips and conjunctivae are devoid of the normal blood tint, and the feeling of "well being" is absent. Pepto-Mangan (Gude) promptly and efficiently raises the color index of the blood, dissipates the sickly, greenish pallor of the complexion and imparts a general feeling of "well being." Weather Temp.

A warm day. We ironed & canned peaches. Mr Cox was over & helped John furrow out the wheat field. Girls went to school. Margoery Ackart & Clair came for Grace. Lewis thrashed & John sent Mr Young to help him

Mariah 6

Friday, September 6

250 DAYS PAST Saturday 116 TO COME

Skin Grafting on Large Surfaces. No. 1.

1. Do not graft until the surface is well granulated and healing has begun, 2. Take skin from person to be grafted when possible. 3. Use silver nitrate the day before to prepare the field instead of shaving or scraping the granulated surface at the time —Ther. Gazette. Weather Temp.

A warm day. Melba & I went to Aylmer. John helped Lewis trash. Melba & I was in to Ed Thompsons worn way home from Aylme Mr Young helped Lewis & was here for seepper. I gave him a kitten

Mariah 6

Saturday, September 7

251 DAYS PAST Sunday 115 TO COME

Tuberculous Anemia.

Plenty of food, air and sunchine are distinctly supplemented by

Pepto-Mangan ("Gude")

the one efficient preparation of iron that builds blood without disturbing the digestion. Weather Temp.

A warm day. Lewis, Bell, & Jesse Scott was here for dinner. Grace came to night her Grandma & Gene brought her. Girls went to Church. Mark & Cecil took John down to see the areoplain, & then they went around by the north for a drive

Mariah 6

Sunday, September 8

252 DAYS PAST Monday 114 TO COME

Skin Grafting on Large Surfaces. No. 2.

4. Wash with salt solution and wipe dry with sterile gauze before placing grafts. 5. Place grafts around the edge near the skin border, laying them directly from the razor without immersing them. 6. Lay grafts smoothly and press out all air bubbles.— Ther. Gazette. Weather Temp.

Mothers birthday. A very hot day. We washed. Girls went to school. Cecil was over. Eva was over. Eugene was here after dinner & brought some clover seed for his Father. They went down to Alberts & got a little calf. John has been drawing Manure

Mariah 5

Monday, September 9

253 DAYS PAST Tuesady 113 TO COME

The Practical, Successful Physician

does not overlook the fact that Pepto-Mangan (Gude) is readily taken and tolerated by invalids of all classes. This is certainly an important advantage. It is always well borne, never disturbs the digestion, does not stain the teeth and is entirely free from constipating action. Weather Temp.

Warm but turned cold to night. I put old Mariahs blanket on to night, when I turned her out. Girls went to school. Melba & I went to Aylmer this afternoon. Aunt Bell & Jessie Scott went over to Aletas for the day. John has been drawing manure all day. Cecil was over. Melba ironed

Billy 6 Mariah 5

Tuesday, September 10

254 DAYS PAST Wednesday 112 TO COME

Skin Grafting on Large Surfaces. No. 3.

7. Cover grafted area with a single layer of gauze, which leave in place for a week. Cover this with a thick pad of gauze wet with salt solution, then a layer of absorbent cotton, then a firm roller bandage. 8. Remove all dressings, except single layer daily. Cleanse with salt solution and apply fresh dressings as before. Ther. Gazette. Weather Temp.

Rained. Lewis & Jessie Scott was here for dinner then they went to Aylmer & Jessie stayed here for tea & then Melba & I took her home to Aunt Bells. John drew manure after dinner. Edna Port came & stayed all night. Cecil took Albert & Shed to London {Bain?} Billy 3 Mariah 5

Wednesday, September 11

255 DAYS PAST Thursday 111 TO COME

The Embarrassed Digestion

of the depleted anemic should not be punished by the administration of any of the old-time corrosive, irritant, astringent, metallic ferruginous salts. Pepto-Mangan (Gude) is readily tolerated by the most sensitive gastro-intestinal mucosa and does not produce or encourage a constipated habit. Weather Temp.

Rained to night about five. John helped Billy Davis thrash this four noon, & this afternoon drew manure. Girls went to school

Mariah 5

{Back cover of diary}

Pepto-Mangan (Gude)

Compliments of

M. J. BREITENBACH COMPANY.

53 WARREN STREET

NEW YORK CITY,