Dr. Caleb Edward Iddings Diaries

the time of operation the heart was rapidand irregular. The administration of Pepto-Mangan (Gude) was begun on the 27th in dose of a teaspoonful. This was increased to two teaspoonfulls the second day and a tablespoonful the third day, given three times a day after meals. Convalescence was rapid. Heart action quickly stedied. Discharged May 17, well. Case 2.- Mrs. K. D., aged 28, admitted April 8. Diagnosis: bleeding hemorrhoids and some obscure abdominal condition. History of severe pain in right side and lower back. Profuse leucorrhoea. Anaemia

[continued on connected page.] was very marked. Second sound of heart was much accentuated. Operation April 12. Cevix was mechanically dialated and endometrium curetted. The abdomen was opened in the median line and vasricose veins found in the right broad ligament. These were tied off. Pelvic organs were otherwise normal. The hemor rhoids were treated andby clamp and cautery. Pepto-Man gan (Gude) was started the second day, as in Case 1, and increased in the same way. Convalescence was uneventful. Paitent's color returned. Discharged May 11, in good condition.

Thursday, May 8th Women's Charity Club Hospital.-- Continued. [Indentation] Case 3.-- Miss M. M., age 26, admitted April 25. Diagnosis: retroversion and tubo-ovarian abscess. History od profuse metrorrhagia. Has flowed most of the time since March 1. Patien very weak and anaemic. Appetite poor. Constipated. Mucous membranes all pale. Operation April 28. Cervix was first dialated mechanically and the endometrium curetted. Large amounts of tissue were removed. On opening the abdomen both Fallopian tubes were found to be filled with pus and the uterus soft and friable. Ovaries, tubes and the body of the uterus were accordingly removed. As [Cont. Friday May 9th Women's Charity Club Hospital.- Continued. might be expected, the patient was greatly exausted. Pepto-Mangan (Gude) was begun in half teaspoonful doses. It was well borne and was increased, until at the end of four or five days she was taking full doses after each meal. Convelescence was so rapid that on May 24 she was discharged well. [indentation] Case 4.-- Miss C. B. C., age 35, admitted May 1. Diagnosis: ovaritis. History of burning in abdomen and down legs for last two years. Considerable leucorrhoea. Extremely nervous. Appetite poor. Constipated. Sleeps

Badly. Operation May 3. Left ovary was found prolapsed, enlarged and adherent, and was therefore removed. Pepto-Mangan (Gude) was given on May 4, in half teaspoonful doses, increasing the succeeding days. Nervousness soon lessened, appetite returned and convalescence progressed. A stitch abscess retarted matters somewhat, but in spite of that she was discharged July 16, in greatly improved condition. The nervous disturbance was practically gone. Case 5.-- Mrs. M. E. McK., age 27, admitted May 1. Diagnosis: lacerated cerix, endometritis. History of

[continued nect page] headache and backache, with bearing-down pains and leucorrhoea, since the birth of her child eight years ago. Eats and sleeps poorly. Bowels are, howeer, regular. Heart action weak and irregular. Operation May 3. Cervical canal was dialated and the endometrium steamed for forty seconds. Cervix was then repaired. Pepto-Mangan (Gude) was begun at teaspoonful doses. It was well borne, dose rapidly increased, and improvement was marked. Patient was discharged May 17, in good condition.

Monday, May 12 Continued.== [Indentation] Case 6.== Miss M. F. C., age 23, admitted May 3. Diagnosis: dysmenorrhoea. History of extreme pain with catamenia, since menstrual life began (at 13), in the centre of abdomen and also in back and head. Patient's general condition seemed good. Operation May 5. Tubes and ovaries were removed and the uterus fixed to the abdominal wall. Pepto-Mangan (Gude) was given as soon as practicable. Patient grew better rapidly and was discharged well, May 29.

[Continued followed page] Tuesday May, 13th Case 7.---Mrs. I.M.K., age 43, admitted May 3. Diagnosis: metrorrhagia. History of pain in back and sides and profuse uterine hemorrhage. Constipated. Sleeps poorly, but eats pretty well. Uterus found retroerted. Opertation May 5. Ovaries, tubes and body of uterus removed. Pepto-Mamgam (Gude) was administered on the second day in half teaspoonful doses. As no vomiiting ensued it was increased to full doses. Unfortunately a stich abscess interfered with an otherwise satisfactory convalescence, and it was June 21 before she was discharged well.

Dec. 22, 1900. Dr. B.F. Hyatt, Ottumwa, Iowa, says: " Gude's Pepto-Mangan is a favorite prescription of mine for anaemia and general debility. Permit me to report one case of the many for which I have prescribed Pepto-Mangan (Gude). Gearge R., age 10, had a severe attack of cerebro-spinal fever two years ago. Unconscious a grteater part of the time for forty days (sick 100 days). Pepto-Mangan (Gude) was the first remedy that seemed to rouse the system from the shock. Under its continued use he has completly recovered."

GUDE'S FOR ANAEMIA, CHLOROSIS, PEPTO= AMENORRHOEA, DYSMENORRHOEA, MANGAN CHOREA, RICKETS, BRIGHT'S DISEASE, and a GENERAL TONIC and RE-CONSTITUTIVE. Specify Gude's (contents of an original bottle size xi.) and thus aoid substitution

December 24, 1900. Dr W. H. Bandwell. Orleans, Neb.. says: " Miss. N., aged 17, attending high school and working almost day and night. Ceased mentruating and commenced coughing in the winter of 1899-1900. At the time she came under my care she could not sleep and had epileptiform systoms. Took her away from all her studiesm put her on Gude's Pepto-Mangan, a teaspoonful t. i. d., gradually increasing to a tablespoonful. She began to improve from the first and in three months was in her usual good health.'

March 1, 1901. Dr. A. J. Haile, East Atlanta, Ga., says: "It is a pleasure to inform you that I found your Pepto-Mangan (Gude) to be an excellent tonic and proved a blessing in my practice. Shall always be glad to use such a preparation and shall do so with a feeling of confidence of being rewarded with results entirely satisfactory to myself and Patients."

May 9, 1901. Dr. W. H. T. Hamill, Phillipsdale, R. I., says: " There is nothing that I can say that would add to the merits of Pepto-Mangan (Gude), already lauded. My results have been the same as with others-grand. I am now using it in a case of Bright's disease. In a majority of cases Bright's disease iron is in great demand by the whole system and physcian aims to supply it without disturbing any of the digestive functions. If he orders Pepto-Mangan (Gude), his aim will be crowned with bullseye results."

January 7, 1901. Dr. J. H. Gratton, Detroit, Mich., says: " Pepto-Mangan (Gude) used by me shows that the product does everything that is claimed for it, and is reliable. Have used it in malaria, anaemia, chlorosis, with very satisfactory results, and am now prescribing it in my practice whenever indicated."