NEWS AND NOTES. Friendship belongs to the eternities and knows nothing of death, which belongs to the illusions. We are not shedding any tears for John McLachlan, but we do very keenly regret that he has left no successor to take up his work in the University city, which has never yet, we believe, been without a representative of our art since it first became established in the country.
HINTS ABOUT HEARTS. A word of caution, therefore, is necessary: dont run away with the idea that shoulder tip pain is always due to the liver and gall-bladder; indeed it is rather rare from this cause. Along with shoulder-tip pain there will very often be pain also in right or left supra-spinous fossa, in the various abdominal disorders.
HINTS ABOUT HEARTS. Mitral stenosis usually attacks the patient before puberty. In this the blood pressure is high. The ring at the mitral valve opening remains at childish size, and does not grow pari passu with the heart. The left ventricle remains small and weak, because of the lessened blood current. There is a thrill felt in mitral stenosis, ending with a short sound or snap, or some other abnormal noise, which may vary from day to day.
ELASTICITY OF THE CARDIAC MUSCLE. No complete solution of any problem can be reached by leaving out one of the essential factors. It resembles the attempt to solve a complicated problem in Higher mathematics, with one or more of the essential factors left out.
ELASTICITY OF THE CARDIAC MUSCLE. It is a well-known fact that many patients suffer from angina pectoris, whose coronary arteries are perfectly sound; such cases, I believe, are entirely due to the loss of elasticity of the cardiac muscle. We know that on any effort an extra amount of blood is sent to the heart, and the heart cavities must dilate slightly to accommodate this extra quantity, and the more severe the effort the greater the extra amount sent to the heart.
NEWS AND NOTES. IT is with deep regret that we have to record the death of our valued contributor, Dr. John McLachlan, of whom Dr. Burford has written an appreciation which appears elsewhere in this issue and which we most profoundly endorse. It is a happiness to us that we are able to publish what may be called his “swan song,” being the last articles written by him.