I98
THE
BRITISH
JOURNAL
OF
TUBERCULOSIS
PREPARATIONS A N D APPLIANCES. A NEW
STETHOSCOPE.
D a s . ]. KILPATRICK REID and W . Owen-Morris have introduced a new form of B i n a u r a l Stethoscope, the general form of which is indicated in the a n n e x e d figure. ~ T h e inventors, being of the opinion that existing types of stethoscope are lacking as effective clinical i n s t r u m e n t s and oftentimes too c u m b e r s o m e and expensive, have introduced a form which they consider combines t h e handiness of a pocket phonendoscope with the a d v a n t a g e s , as r e g a r d s clearness of t r a n s m i s s i o n of sounds, of the old-fashioned single stick wooden stethoscope. T h e new i n s t r u m e n t possesses s e p a r a t e ear-pieces, w h i c h are m a d e to twist into the ears of the exarnining doctor. T h e chest-piece is of l i g h t composition, durable, and causes no pull on the ears as do some h e a y y phonendoscopes. T h e lumen of the transm i t t i n g tube is constant throughout, and by tapering at the joints between the tube and the chest- and ear-pieces all dead space for " b a c k w a s h " is eliminated. T h e chest-piece is protected b y a r u b b e r cap to ensure comfort for the patient, and is believed to m a k e for clearness in transmission. T h e essential features of the inTHE KILPATRICK REID AND s t r u m e n t are its exceptional good powers of OWEN-MORRIS BINAURAL conduction and its c o m p a c t n e s s and conSTETHOSCOPE. venience for carrying in the pocket. HELP
FOR
THE
DEAI~o
Auscultation or the act of listening to sounds in the chest and interpreting their m e a n i n g with a view to the diagnosis of a n y departure from health is a clinical p r o c e d u r e of the u t m o s t i m p o r t a n c e to the medical adviser. Skill in auscultation is only attained after considerable experience in the e x a m i n a t i o n of p u l m o n a r y and cardiac cases and other patients afflicted with intra-thoracic lesions. U n f o r t u n a t e l y not a few medical practitioners suffer serious curtailment in their powers of hearing. F o r m a n y of these there are now available m e a n s w h e r e b y their restricted a u d i t o r y powers can be restored or improved. Deaf and hard of h e a r i n g doctors should know that Mr. R. H . D e n t has i T h e K i l p a t r i c k R e i d and O w e n - M o r r i s S t e t hos c ope is supplied by Messrs.
R. Sumner and Company, Ltd., 40, Hanover Street: Liverpool. Price ios. 6d. net.
PREPARATIONS
AND
APPLIANCES
I99
introduced an " ARDENTE " S T E T H O S C O P E . 1 B y means of an ingenious and skilfully hidden microphone e m p l o y e d in connection with a binaural stethoscope of the c u s t o m a r y t y p e an effective aid to auscultation is provided for m a n y deaf doctors. Certainly all m e m b e r s of the profession engaged in active practice who are experiencing a restriction of their p o w e r s t h r o u g h increasing deafness should take steps to ascertain if the " ARDENTE" stethoscope will help them. M a n y tuberculous patients in sanatoria and elsewhere who find their h a p p i n e s s and usefulness limited by deafness will be well a d v i s e d to undergo careful t e s t i n g so as to find out if one of the series of "ARDENTE" will not prove of assistance. T h e " ARDENTE is scientifically constructed, a r t i s t i c a l l y produced, and is easily employed. I t has to be a d j u s t e d to the special r e q u i r e m e n t s of each patient, when it can be m a d e true-to-tone, capable of conveying sounds from all ranges and every angle, and is so employed that head noises are relieved, the h a n d s are left free, and t h e patient m a y engage in conversation without strain and can enjoy music and wireless or take part in professional, business, and public duties. A r r a n g e m e n t s can be m a d e for t e s t s to be carried out in the rooms of a n y medical adviser, or if so desired at the home of a n y patient. Mr. D e n t has a r r a n g e d for centres for doctors and clients at Manchester, Glasgow, E d i n b u r g h , Cardiff, Newcastle, and B i r m i n g h a m . Mr. Dent, as originator of his " AR~ENTE," covers it by his g u a r a n t e e and service system at home and abroad. Moreover, fittings can be successfully carried out from prescriptions or detailed particulars, so t h a t distance is no obstacle to effective e q u i p m e n t with the " ARDENTE " speciality.
-N-
"
A SANITARY
THERMOMETER.
A clinical t h e r m o m e t e r , unless used according to hygienic rules, m a y be a carrier of infection. T h i s is especially the c a s e when the t h e r m o m e t e r is n e g l i g e n t l y e m p l o y e d according to oral or rectal methods. T h e busy ~4 p r a c t i t i o n e r and even the tuberculosis officer in his domiciliary visits m a y not always be able to find means at hand for the r a p i d bacteriological cleansing of the THE ,," SIMclinical t h e r m o m e t e r . T h i s difficulty and danger can be PLEX ASEP solved by using the " S I M P L E X " A S E P T I C C L I N I C A L T H E R - TIC CLINICAL MOMETER.2 I t can be carried as easily as a fountain pen, T H E R M O M E a n d provides an e v e r - r e a d y aseptic t h e r m o m e t e r . T h e TEa. t h e r m o m e t e r , which is of the best E n g l i s h manufacture, Sectional view supplied with m a g n i f y i n g lens, and h a v i n g the N a t i o n a l (exact size). P h y s i c a l L a b o r a t o r y Certificate, fits into a receptacle which contains a 2 per cent. solution of carbolic acid or other germicide. A slot on each side of the outer case allows the doctor or nurse to see at a 1 ,, Ardente " is supplied by Mr. R. H. Dent, Oxford Street, W. t. -~ The " Simplex" Aseptic Clinical Thermometer is supplied by Coates and Cooper, 4 I, Great Tower Street, E.C, 3- Price complete, 8s. 6d.