. American X-ray journal . insurance men. Well, one may pertinently ask. who bet-ter than the life insurance companies hasreason for taking a serious interest inpublic sanitation? They profit by everyadvance in medical discovery and prog-ress; they toil not, neither do they spin;. they sow not, but they do reap the mostdirect advantage from every lessening ofthe death-rate. It is strange that an en-lightened selfishness is not recognized astheir policy, if not duty.—AmericanMedicin e. Errors in Diagnosis of Ureteral Calculus. BYRON KOBINSON, B. Iii this brief note I wish to present acase which
. American X-ray journal . insurance men. Well, one may pertinently ask. who bet-ter than the life insurance companies hasreason for taking a serious interest inpublic sanitation? They profit by everyadvance in medical discovery and prog-ress; they toil not, neither do they spin;. they sow not, but they do reap the mostdirect advantage from every lessening ofthe death-rate. It is strange that an en-lightened selfishness is not recognized astheir policy, if not duty.—AmericanMedicin e. Errors in Diagnosis of Ureteral Calculus. BYRON KOBINSON, B. Iii this brief note I wish to present acase which with the x-ray Jed to an er-roneous diagnosis. A man forty-six yearsof age came from an adjoining State toconsult me in regard to an illness whichhad afflicted him for some fifteen the past eight months he bad beenunable to work. He had lost considerableflesh. Physical examination revealed nopalpable abdominal lesion. Appetite wasdefect ive. Urinalysis demonstrated casts, epithelium. Vesical in-. Flg. 1.—Cut to illustrate the common location o£ureteral calculus (W, Y, Y, Z). Also P and Paindicate the location of the phleboliths found inmy case. At P two small and one large phlebolithare noted. Pa shows two small phleboliths. S., M. D., CHICAGO. spection revealed gonorrheal cystitis of asevere type. The bilateral ureteral cath-eterization could be accomplished for twoand one-half inches only. In drawingthe catheter from the ureter the uretergrasped the catheter so firmly that theureteral orifice followed it in the shape ofa cone. A severe endo-ureteritis complete evacuation of the tractusintestinalis two Eoentgen pictures weretaken. Each showed three distinct shad-ows with definite location, dimension andcontour along the left pelvic ureter. Thepatient was carefully prepared for opera-tion for five days by draining the tractusintestinalis and tractus urinarius. Bergner who was in- consultationduring the catheterization was as
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