The San Francisco Call. Newspaper, January 9, 1898, Page 18

18 THE SAN FRANCISCO CALL, SUNDAY, JANUARY 9, 1898. Hfi\\ would vou suggest that ; ,-00,000 could be invested * this community with the object * ccompiishing the greatest eatest number of ths longest possible ¥ ER Here are problem subr sional men a ) solutions of the above I can 2 s ‘timag- I ine myselt | having a mill- | i ion of dollars { of my own. If { I had it, I = = could do mo better with it than what I am trying to do with th ns of others—ex- pend it for t otion of the higher educ n. Ve strengthens the best in the community helps all the | others. “Th s room for the man of force, and he r room for many.” M can only be profitably used to e to help themselves. Charitie end in the simple trans- fer of su ince, degrade rather than strengthen, unless administered with the greatest wisdom. The charity which strengthens the wisdom and vir- tue of men is an influence which can never degrade and which grows more potent as the years go on. : AFTS I would invest the entire sum in some | permanent securities, such as Govern- ment bonds = Dopine X o[ “lNGLE GEOHGEY | per cent in- BROMLEY. | terest on the | entire am- l—————————— ount. That would be about $40,000 a vear, counting out the rainy weeks. I would put about 100 men at work at $1 50 a day, or some small amount, and I would have them at all times engaged in doing some great work for the adornment or betterment of the city. | I would first level Telegraph Hill. T would then build a fine boulevard and park in that part of the city, after which I would dedicate a part of the to the erection of monuments and other works of art of a character that would adorn the city and make it famous world over. From year to year I would various works of this cter, all of which would | keep at least 400 women and chil- dren and 100 of the men of their house- holds from abject want. In hiring men to carry out the plans proposed I would | look to the employment of married men | honest administration, and give | pk | existing State and religious societies accumulated interest for a year or two | or those having women and children or aged parents dependent upon them for sustenance. I cannot think of any- thing that would be of greater advan- tage to the masses or for a greater length of time. . .. I would establish industries where an honest man could earn honest wages, maintain his manhood, and at ‘the IRVING M. SCOTT, i same time | PRESIDENT UNION | Sbe , thme | IRON WORKS. State. I | would not TTEAER A S dollar to any charity.Organized charity weakens self effort, encourages depend- ence, and breeds organized pauperism. There are a great many industries in our midst that can be developed with a million dollars, under intelligent and em- The ment to all worthy people. can and should care for the truly in- capable. .. First—One hundred thousand dollars to unfortunate families, in sums vary- ing from $1000 t o $5000. The selection of PRESIDENT KELLOGG, UNIVERSITY OF b e n e fici- l CALIFORNIA. aries to be care fuly and made with a view to increased us the part of the families a: 3 to enable them to give a better educa- tion to promising sons and daughters. Second—One hundred thousand dol- lars in local benefactions—e. g., a town library, a hospital or an organization for the improvement of road the | beautifying of a village. The possible objects of such benefactions are nu- merous. Third—Two hundred thousand dol- lars for a memorial building in some really first-class institution of learn- ing. Fourth—Threehundred thcusand dol- | | lars for a library fund in the same in- stitution. |- Fifth—The remaining $300,000 for the endowment of four chairs of instruc tion in the same institution, which, as | at present advised, would be the Uni- 1‘ versity of California. ) What would I do Well, with a as the greatest desideratum in this country | just now is truth, I PROFESSOR E. A. ROSS, LELAND STANFORD JR. H - UNIVERSITY. o o teld = “the truth, the whole truth and nothing but the truth” about all matters of legiti- | mate public interest. Such a news- | paper ‘would not be lily white, but it | would not need to be so yellow that a | decent man would blush to be seen | picking it up from his porch. It would | still seek to reach the wide public, but to endow a | n e wspaper that would million? | would use it | | it would not harp so much on murder- | ers and bruisers that fathers of famil- | fes would feel obliged to forego it. Such a newspaper would be the organ of no party, exponent of no class, tool of no selfish private interest. It would be neither radical nor conservative, save as truth is radical or conservative. It would stand very little for opinions or views, but would see that the facts on every public issue get before the great American jury. Such is my Utopia. e the sin of the world and that one of the . great factors | NELLIE BLESSING life is the EYSTER. possess10 n SR P 1T “ mind in a soundbody; believing,also, that thereis States to-day under 50 years of age who is not injured directly or through poisons—alcohol, tobacco and opium— | upon either mind or body, had I the | I would use it in the education of the | present generation concerning the nat- | versus the influence of these three poi- sons upon the individual, the home, I would have the children of both sexes taught by the most intelligent | trance of these poisons into their | bodles as they would the nearness to Believing, as I do, that ignorance is of success in |1 of a sound | scarcely a man or woman in the United inheritance by the effects of the three distribution of one million of dollars | ural laws of health, physical and moral, society and the Government. and zealous teachers to avoid the en- |an open keg of gunpowder with a ,» | lighted fuse. penditure of one million of dollars, backed by sci~nce and wise vigilance, in another « «™ ter of a century home protection through prohibition would be the first law in the land and the problem under the caption of “Progress and Poverty” be solved by the applica- tion to it of the univ al, practical common-sense which would then be the product of a level-headed nation. .. 1 I believe that through such an ex- { It T had a million dollars expend in ( | | to | REV. | | this commun- | F RopRRAND. . | {8 SERETE would I do with ittomake it productive of the greatest good for the greatest number of people and for | the longest period? A million dollars seems a big lot of money. In the hands of a shrewd busi- ness man it might be made to yleld ten or more per cent, especially if he take some risk in ventures with a part of it. A million dollars as trust funds must be ted as safely as private, and so could scarcely be made to yield more than 4 per cent net. | | If this sum were given to me to use | for our city's uplift, I would establish | an institutional thurch. Such a church | for the masses, rightly managed and sufficiently endowed, would result in the greatest good to the greatest num- ber of people for the largest period. It is conceded on all sides that the churches are the strongest moral force in a community. The “down-town dis- tricts” are being deserted by many of our churches simply because there is no money to maintain them there. Every pastor who has advocated such re- moval of his church would gladly have stayed if it were possible—a million dollars would just about suffice. I would take a couple of hundred thousand, buy a suitable lot in the midst of the down-town district and erect a commodious building of brick and stone, fire-proof. It should have plenty of light and be adorned with works of art and other appointments which tend to the uplifting and refining of men and women. It should have a number of cheery rooms, with concert and lecture hall and auditorium for preaching services. With the income of the remaining $800,000, which at 4 per cent net would be $32,000 per annum, I would place the best evangelical preacher obtainable in the United States in charge and give him several assistants as Bible readers, teachers and visitors of both sexes. I would have free classes of instruction similar to the Y. M. C. A, only open to both sexes. I would have courses of lec- tures, concerts, etc., to educate and en- tertain. To fully elucidate my plan wouldrequiremore space than you will give men, but from what has been said you can catch the idea. I do not be- lieve a million dollars could be made productive of so much good to the whole community in any other way. Now for the million! I would give the preference of its disposi INA D. : ot | COOLBRITH. il ‘?‘I“‘“r’r’\‘y | own sex. Wo- men are mnot cared for as numerously as they were in the old days, by the sons of men. More and more and in daily increasing numbers they are thrust into the world to do its battles for themselves and others. I would like to provide training schools in which these girls and women wage-earners might be educated and thoroughly fitted Yor some occupation, or occupations, that would insure their | freedom from slavery as well as want. I would connect therewith sick wards and medical attendance for those in need of such; temporary homes for the homeless and unemployed, and free in- telligence offices; and as woman does | not live by bread alone any more than man, 1 would have in connection there- | with libraries and reading rooms, lec- | tures and music, that the mind and | heart might be fed as well as the body, and life be endowed with its greatest humanizing and moral influences, hope and happiness. I would at once open res- cue - homes in | ] ! i 1 ! MRS.MAJOR | | different quar- { ROBINSON. - dierent quat \ { city, with ad- ' jacent halls for mission services every night and three times on Sunday. | | My life work as an evangelist,and my | labors of the last twelve years among | those of our brothers and sisters whom the world calls “fallen,” have convinced me that the greatest good to the greatest number lies in this direc- tion. . It is interesting to think over how I would dispense a million dollars if it were en- trusted to me for pub- lic distribu- —— tion, with the object of doing the great- est good to the greatest possible num- ber of worthy persons for the greatest length of time. In the above statement there are three factors to be considered. First, the good itself; next, the recipient; | third, the time. In order that the greatest possible good might be accom- 1pllshed with a million dollars, and at | the same time extend furthest both in point of numbers and time, it should | be circulated or distributed in different directions; not all the money should be spent on one class of people, but it should be used so as to include all | classes. I think that a large part of | the money, say one-fifth, should be | used for private charity; that is, for | people whose cases do not come before public institutior's. No one has more of this kind of work under his notice than a millionaire, to whom all needy people apply, many of whom do not | care to ask aid from the societies or the public. The rest of the money, I think, should be devoted to public ends; | that is to say, should be placed in the hands of competent men, as.a board of | directors, to use for the benefit of re- | leased convicts; to set thenr on their | feet again and give them another start |in life. The homes for the aged and | disabled, the orphan asylums, the shel- RABBI M. S. LEVY. J[ | tively could obtain no other work. large portion might be well expended in furnishing and equipping some large manufactories wherein hundreds of men would be employed, and only those should be given the positions who po:}l- n this’ way, the army of the unemployed would be diminished greatly in num- bers, and many loafers would be en- couraged to make an honest living. raras I would dispense the million dollars in founding and endowing a propa- ganda, to be composed cof PROFESSOR FRANK the ablest, best and SOULE. most sin- et e SO cerely earn- est men in the world, whose lifelong la- bor of love it should be; to check and stay, by counsel and example, the flood of avarice, selfishness, vulgar display and inglorious lack of patriotism which shames our present era; who should bring home to the hearts of the people an assured knowledge of what consti- tutes a true and noble life—a perfect comprehension of contentment and un- selfish happiness, and of the means of their attainment. These devoted teach- ers should convince all men that wealth, beyond the needs of comfort and refinement, is unhappiness to the possessor and injustice tc his fellow men; that the source fror: which flows a contented and happy spirit is a sound body, a healthy and disciplined mind and an ambition to leave man- kind better for one's having been in the world. . . I would build a beautiful mural wall around Golden Gate Park, with splen- did statues | and bas re- | liefs all a- | long theline. | It is a fact ' that there is nothing in the world so beneficial to mankind as the contemplation of works of art. This would reduce the amount of crime in the community by lifting people’'s minds to high and holy things. LYMAN 1. MOWRY, ATTOR NEY. P There is not the slightest question in my mind that the most sensible and humane — thing 1o | px.|UDGE WILLIAM P. do with | such a sum LAWLOR. of rgobn £y} wouls e to A spend as much of it as possible for the endowment of a first-class hospital for the unfortunate who are stricken down friendless. Our local hospital is a disgrace to civilization. I would have the money so expended as to build and | tering homes, the hospitals—all should receive a portion of the money. Then ‘ | I think some of it should be used for | | the endowment of manual training | | and agricultural schools for poor chil- | | dren, where they could have a home | | to which would be attached this school | wherein they could learn to be mseful | | citizens when of age, and I think a | endow a fine place, where the ill would be treated as’ well as it is possible for modern medical science to treat them. It is bad enough to be without funds when one is well, but think of the tor- | ture suffered by the sick when they have not a dollar and have not where to lay their heads. A big hospital is .the scheme. O surgical operation of modern | times has so startled the medi- | cal world as that performed ptember in Zurich, Switz- d, by Dr. Carl Schlatter. ted of removing the 1ach from a woman by cut- ting it from natural appendages, thereby removi ting the pat health. At gaining in light work. its t to regain her normal present the woman is weight and is able to do “It is a wonderful operation,” says | one physiclan, while another insists that it is simply an exceptional case. A third will state that it is due more to luck than good management that the woman lived more than a day or so. To the lay mind all this seems inco- herent and incomprehensible, and the question is asked: “Does the removal of a person’s stomach without causing said person’s death hold out any hope for the lessening of human suffering in the years to come?” But it is likely that to get .a direct answer to this from the medical world would be an impossible task. Here you may ask, “Why?” The answer to this is that the medi- cal men haye been surp . A num- ber of old theories have been disturbed and as yet doctors have not had time to find out just where they stand. It has been taken for granted for some centuries that the stomach was & vital organ equally as important al- though not so sensitive as the heart. A trifling wound to the heart will cause death, but it does so because a trifling tial removement. Drs. partial obliteration of the stomach Czerny and his pupils, for purposes of anatomical study. remnant and had fulfilled gastric g a tumor and permit- | LOOCO00000000ICO00000000000000C000000) ® CASES WHERE THE STOMACH HAS BEEN P@R- TIALLY REMOVED. HIS IS POSITIVELY THE FIRST CASE OF COMPLETE EX- CISION OF THE STOMACH. All recorded cases are, w Langenbuck, Maydl are on record for performing partial excisions. Professor Schur- chart of Stelten removed almost all of a woman’s stomach in 1895. The patient lived for two vear$ and the autopsy held at her death showed that from the cardiac stump of a new stomachal pouch withca- pacity of one pint had been formed. Removal of Stomachs From Animals. It has been known for some time that dogs are able to survive the interesting physiological observation was made as long ago as 1878 by Scriba and Kaiser. “Czerny dog” survived the operation for five years and was then killed small part of the cardiac end of the stomach had not been excised, and it was further seen that a small sack had gradually formed from this l00000 0000 000000B 0000000 000000000C000000000) REMARKABLE FCAT OF MODERN — SURGERY wound deprives the heart of the ability to perform its functions, which is equivalent to removing it entirely. With the stomach there is a difference. This organ can be injured without fa- tal results to its owner, for small por- tions of it can be removed without causing serious results. But it has al- | ways been noted that the quantity re- moved corresponded to the health of the person afterward. The more that has been removed the greater the struggle of the individual to live. In all previously reported cases of surgi- cal operations on the stomach death | has resulted after a short time when | there has been a large quantity of the Lstomach removed. Physicians never | attempted to remove the whole stom- ach because the removal of large parts of it so frequently resulted in death. It is for these reasons that the Zurich operation is regarded by many of the profession as “an exceptional case.” It is said that the result of the Zu- rich operation is the proving of cer- tain theories. For instance: It has long been believed that the intestines were of greater importance than the stomach. Now there can be no doubt of it, since it is shown that they can digest enough food to sustain life. Sev- eral other pathological suppositions are also set at rest. In performing an operation like the one that has just startled the medical world a great many things must be considered before the wonder of it all can be realized. To €0 handle the pa- tient that life shall be sustained during the operation is enough of itself to give Dr. Schlatter all the honor ca- ithout exception, instances of par- Krontum, Hacken and and the loss of its functions. This Indeed. the so-called The post mortem showed that a functions. A WOMAN’'S STOMACH REMOVED, AND SHE IS | pable of being granted by the medical profession. The task occupled two hours and a half. The operation itself was really a simple one. As Dr. Schlatter describes it, he proceeded by first making an incision that laid open the abdomen. The patient was kept under anesthetics and antiseptics were freely used. The stomach pre- sented itself in the form of a hard lump. The tumor was movable. The stomach was then entirely ex- cised and a small coil of intestine was united to the aesophagus. This made a perfect connection between the ali- mentary canal and the bowels. The joining of the two tissues at the points of cutting was a most delicate opera- tion. They were bound together with sutures and great care had to be ex- ercised to so do the work that perfect healing would follow. But while this was being done, the heat of the body had to be kept up and hemorrhages to be guarded against. Presses, bands and bandages had to be used, and the greatest care exercised to prevent any contamination. After the cutting and sewing were all done the organs were allowed to drop back into. their places, the opening in the abdomen was sewed up, and the operation was finished. Had there been the slightest mistake the woman would have died in a few hours. Had steril- ization not been perfect mortification would have set in and death followed. But all went well and- Mary Landis is alive to-day, even though she has no stomach. T TECHNICAL DESCRIPTION OF THE CASE. BY DR. CARL SCHLATTER. HE personnlfi‘sewutlon forming the subject of this paper relates case 1 completely excised the stomach, even beyond its cardiac extremity, and then.restored the continuity of loop of small intestines into the lower end of the oesophagus. HISTORY OF ' THE PRESENT T to a woman 56 years 6ld. In her the alimentary canal by stitching a CASE: Anna Landis, aged 6 years, silk-weaver by occupation, claims| that cancer is hereditary in her fam- | ily. She often complained of nevere“ pains in the stomach. Medical trent-l ment had never afforded her any re- lief. Ever since the spring of 1897 the attacks of vomiting were of daily oc- currence. Progressive emaciation also | ensued. Several weeks before her ad- | mission to the hospital at Zurich a | physician told her that she had a | ABLE TO EAT AND WORK AS USUAL—WHAT AMERICAN AND EUROPEAN EXPERTS THINK OF THE EXTRAORDINARY OPERATION. tumor of the stomach. On September 6, 1897, acting for Pro- fessor Kronlein, I performed laparot- omy under morphine-ether anaesthe- sla and with strict anticepsis incision in the median line extending from the eusiform process to the umbilicus. As I had anticipated the entire stomach presented itself in the shape of a hard mass extending from the eardiac to the pyloric extremity. 3 : Diag_ram showing how incisions were made to remove the stomach. The stomach is shown in white and where the cuts were made isin gray. The two gray ends were brought together and joined so as to camy on the. process of digestion, Strangely enough, the tumor was freely movable. It was readily lifted out of the peritoneal cavity. Three rather soft lymph nodes were found at | the greater curvature near the pyloris. The stomach being diseased in toto a gastro-enterostomy was impossible. I at once decided to attempt to excise | the entire organ or take recourse in a | | Junostomy. o I first freed the stomach | from all its attachments at the greater |and lesser curvature. The stomach | was then forcibly dragged downward, S0 as to enable me to reach the oesoph- agus. The left lobe of the liver had to be constantly held upward by an as- sistant. A Still forceps was next fastened closely to the cardlac end of the tumor. Then the stomach was severed direct- ly beneath the oesophageal extremity. | As the oesophageal appeared somewhat | oblique I proceeded to place a small occluding suture at the gastric wound. The same steps were now repeated at the pyloric end of the stomach. I next mobilized the duodenum as far as pos- sible toward the head of the pancreas. I next tried to pull the duodenal openingupward toward the cesophageal cleft. It was only with considerable difficulty that the tube could be made HILE it would be manifest W 5 % erably overrated. 3. Fluids and solids constituting plete digestion and assimilation witl 4. absence of gastric activity. 5. Typical vondting may' occur 6. 7. The most important office of foods and fluids. It also fulfills t swallowed solids and liquids. pletely and satisfactorily performed mentary canal. organisms. 10. arrest putrefatic changes in the int 11. Its antiseptic and bacterial ©000000000000000000000000000000000000000000000000000 ©000000000000000000000000000 Dr. Wendt was sent to Zurich by several New York medical societies to specially investigate the Schlatter operation. generalizations on the strength of the single case so boldly rescued and ably described by Dr. Schlatter, it seems at’least justifiable to formulate the following conclusions: The human stomach is not a vital organ. 2. The digestive capacity of the human stomach has been consid- A gain in weight of body may take place in spite of the total The general health of a person need not immediately deterior- ate on account of removal of stomach. reservoir for the reception, pulmonary preparation, and propulsion of 8. The chemical functions of the human stomach may be com- 9. Gastric juice is hostile to the development of many microbe The free acid of normal gastric secretio: to touch. It was manifestly impossible tc join them by direct suture. I there- fore invaginated the duodenal vein and closed the opening by a double suture. I then searched for a suitable coil of small intestine. Beginning at the duo- denal jejunal fold, I followed down the intestine for about fifteen inches. The presented knuckle of intestine I grasped and pulling it over the trans- verse colon I placed it against the oesophageal slit. A piece of this in- testine about five inches in length was | secured between two Walker clamps. Theoesophageal and duodenalclamps were then removed, the femur having remained in position for over two hours. On dropping back the organs into the abdominal cavity the sutured pertions showed marked retraction up- ward toward the oesophageal part of the diaphragm. The abdominal wound was closed in the ordinary way by silk ligatures. Less than eight ounces of ether had been employed" during the narcosis, which had fortunately been a very quiet one. x Pulse after the operation, ninety-six a minute, steady and of fair volume. Theré had been cnly very slight loss of blood during the operation, which, however, had lasted nearly two hours and a haif. ©0000000000000000000000000000000000000000000000000000000 rny CONCLUSIONS IN THE CASE. By Dr. E. C. Wendt. ly unfair to indulge in sweeping ordinary diet are capable of com- hout aid of the stomach. without a stomach. the human stomach is to act as a he useful purpose in regulating by the other divisions of the ali- has no power to estinal tract. potency has been overestimated. ©0000000000000000000000000000000000000000000000000000 ©0000000000000000000000000