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

{Back cover of diary}

Pepto-Mangan (Gude)

Compliments of

M. J. BREITENBACH COMPANY.

53 WARREN STREET

NEW YORK CITY,