1897 THE MICROSCOPE. 87 
The tuberculin was then continued and given about 
every fourth day, from about the first of May to June 138 
in gradually increasing doses, from 20 to 70 milligrams 
for a maximum dose, till there was finally no reaction to 
speak of to those larger doses. This was during the 
time the other four blood examinations were made, the 
increase of the young or new cells, the small lymphocytes 
being inexact harmony with a decided improvement in 
the patient’s condition in every way—in weight, appetite, 
strength, feelings, mobility of the affected joint and abil- 
ity to exercise. 
Our inability to find the bacilli tuberculosis in tissues 
evidently tuberculous in patients afterward dying of 
tuberculosis, shows that there is a pre-tuberculous state, 
of which some evidence besides the bacillus of tubercle 
must be found. Whether that evidence is to be found in 
the proper microscopic examination of the blood, or as I 
believe it does exist in the tuberculin test, there is no 
doubt in my own mind that the two methods will go 
hand in hand and verify or check each other, 
A Bacteriological Outfit. 
By H. KAHN, 
MERCY HOSPITAL, CHICAGO, ILL. 
The pharmacist of the future must be a scientific 
worker if he desires to take advantage of his opportuni- 
ties, 
The time is not far off when the educated pharmacist 
will be expected to make most, if not all, of the bacterio- 
logical and chemical examination forthe busy practitioner 
of medicine. The laboratory has come into medicine to 
stay, and there are very few physicians of the present 
day who do not place much reliance onits findings. The 
examination of sputum for tubercle bacilli, the examina- 
tion of bload for malaria plasmodia, and the testing of 
