Dr. He showed by further experiment that there was absolutely less blood, comparatively speaking, in the upper parts of the lungs than in the bases. Gravitation may play a part in this phenomenon, but when we consider the blood supply necessary for celebration it must play a minor part. Kuhn, therefore, devised a plan whereby the point of force of suction in respiration was removed from the diaphragm to the upper air passages. He devised a mask, which by hindering inspiration, throws the muscles of inspiration into active service, causing thereby in the upper portions of the lungs more or less of a vacuum, or rather suction, thereby intending, by this suction, to increase, comparatively, the usual amount of blood in the apices. The mask is a simple device, fitting closely over the nose and mouth. The hindrance to inspiration is graduated by a little slide placed on the nasal chamber. By two little circular valves inspiration can only take place through the nose, while expiration on the other hand is perfectly performed through the nasal and mouth chambers. It can be easily cleaned by such powerful antiseptics as phenol and mercuric chlorid solutions. Dr. Kuhn's method of using it, is to have the patient flat upon his back, clothing loosened, and wear the mask ten minutes in the forenoon and ten minutes in the afternoon. There will be only slight hindrance to inspiration at first. The time is rapidly increased by ten and twenty minutes a day, until the patient uses the mask four hours in the forenoon and four hours in the afternoon each day. The hindrance to inspiration is also proportionately increased until the accessory muscles of inspiration are brought into visible play. A letter from Dr. Kuhn a week ago says that he is now using the mask as much as ten hours daily. As to the practical results of this treatment, I will say that I had the pleasure last summer of spending several weeks in the Charity Hospital, and watching daily, the results of this treatment. Dr. Kuhn placed at my disposal, some four hundred cases, in every stage of phthisis, together with the ward records, histories, laboratory findings, etc., and in which there was without a single exception, and I say this unqualifiedly, an amelioration, in the symptoms of each, even in the most advanced cases. Especially was noted that the cough and the fever were relieved and the patients gained in weight, strength and ambition. It was surprising to me at first that patients brought into the hospital in active hemorrhage used the mask with impunity, though at first thought one would think a mask would increase or even produce hemorrhage. Dr. Kuhn explained this to me. most conclusively by the skiagraphs of each patient having hemorrhage, both before the use of the mask and during its use. And this is a most important point. While the use of the mask does increase the muscular act of inspiration, yet a moment's thought will show that because of hindered inspiration, the actual excursion of the lung is indeed lessened; therefore, instead of violently increasing the expansion of the lung, which we know in recent date to be most harmful, we have instead the lung actually put at rest. The treatment of these patients by any measures other than that under consideration was absolutely nil. They received the regular hospital diet, with no increased fat or albumen, and they received no medicines with the exception perhaps of an occasional cathartic. Microscopical findings were most accurately kept. Points of greatest interest being the rapid elimination of the bacillus tuberculosis, the longer persistence in the mixed infected cases of the streptococci and the staphylococci, also rapid increase of red blood cells and the decrease of the white cells. I have myself observed the increase of the red cells one million in a three hours' use of the mask. This last is explained by Kuhn on the same principle that the extra effort toward ozonation at high altitudes increases the red cells. I might add that this treatment is attracting a great deal of attention throughout Europe, and most flattering reports are found in the various journals. In this country, but two or three reports to my knowledge have been made, and they, in my opinion, were too early to be of conclusive benefit. I, myself, since the first of last November, have been trying it on now about twenty cases, and without, tiring you with detail, I will say with surprisingly good results. In conclusion allow me to say, that the use of the Kuhn mask is but carrying out the principle originated by Bier; namely, that blood is our greatest physiological antagonist to the tubercular bacillus, and by proving as he has, scientifically, that the apices are relatively anemic, and thereby an easier prey for the invasion of this bacillus, he by his method increases the supply of blood to the weakened or involved parts. Kuhn himself, even in his recent letter to me claims absolutely nothing for his method of treatment other than the actual facts shown. It is yet experimental, as it has not been in use long enough for final conclusions. 124 West Seventy-seventh Street. Medical men have been sadly derelict in bringing to bear the influence on public affairs which should have been exerted by a learned and influential profession. We have tamely relinquished almost all political power and influence until, as a profession, we have almost ceased to be a factor in shaping legislation. We are largely to blame for this ourselves, as we have maintained an attitude of cold hostility toward any member of our profession who ventured to seek political preferment no matter how able and well qualified he might be. In the meantime we have begged favors when we should have been in position to have dispensed them. We should not submit to being relegated to a subordinate position. We should take a lesson from the legal profession on this subject.-Dr. Geo. T. McWorter. January, 1909 The regular Annual Meeting of the House of Delegates of the Medical Society of the State of New York will be held on January 25, 1909, at 8.30 P. M., in the Common Council Chamber, City Hall, corner Maiden Lane and Eagle Street, The Annual Meeting of the Medical Society of the State of New York will be held on January 26, 1909, at 9 A. M,, in the Common Council Chamber, City Hall, corner of Maiden Lane and WISNER R. TOWNSEND, Secretary. PROVISIONAL PROGRAM. PROVISIONAL PROGRAM FOR THE SCIENTIFIC MEETING OF THE MEDICAL SOCIETY OF THE STATE OF NEW YORK, JANUARY 26 AND JANUARY 27, 1908, IN THE COM- Address: The Modern Hippokrates, The Serum Treatment of Cerebro-Spinal Meningitis, H. A. Fairbairn, Brooklyn F. W. Sears, Binghamton, N. Y. Improvements in the Technique of the Extraction Mellers' Operation for the Removal of the Tear Sac Ophthalmia Neonatorum, Julien A. Gehrung, New York Intra-muscular Injections in the Treatment of Some of the Problems relating to Prostatectomy, Some further Observations on Prostatectomy based on one hundred Cases, J. Bentley Squier, New York Untoward Results from Diphtheria Antitoxin, Title to be announced later, W. M. Polk, New York. Trauma as an Etiological Factor in the Production Voluntary Patients in State Hospitals, President State Commission of Lunacy Voluntary Patients in State Hospitals from a legal standpoint, Hon. John Lord O'Brien, Buffalo, N. Y. Symposium on Infections of the Middle Ear of Arthur G. Root, Albany; Henry A. Alderton, Brook- lyn, N. Y.; T. Passmore Berens, New York City; Lefferts A. McClelland, Brooklyn, N. Y.; James F. McCaw, Watertown, N. Y.; Samuel J. Kopetzky, New York City.; Charles N. Cox, Brooklyn, N. Y.; Philip D. Kerrison, New York City; H. C. Haskin, New York City; Wendell C. Phillips, New York City; T. H Halsted, Syracuse, N. Y.; T. H. Farrell, Utica, N. Y.: J. A. Kenefrick, New York City; R. Johnson Held, Rabies and the Prevention of Hydrophobia, Herbert Pease, Albany The Nature of Foot and Mouth Disease, Veranus A. Moore, Ithaca, N. Y. Report on a Case of Scleroderma with Exhibition The First Interview with the Patient, W. S. Ely, Rochester, N. Y. Relative Aortic Incompetency of Muscular Origin, J. M. Anders, Philadelphia, Pa. The Relation of Ocular and Cardio-vascular Lessons from Physiology and Treatment of Cardio- Baths and Exercise in the Treatment of Heart Discussion opened by Jno. A. McCorkle, Brooklyn. "Acute Anaemia," George W. Crile, Cleveland, Ohio Therapeutic Value of Blood Transfusion, W. F. Campbell, Brooklyn, N. Y. Discussion opened by W. G. Macdonald, Albany, N. Y. E. A. Vander Veer, Albany, N. Y. C. G. McMullen, Schenectady, N. Y. "Some Congenital Abnormalities of Cervical and Nathan Jacobson, Syracuse, N. Y. Report of a case of Thorax Transfixion, E. M. Hyland, Utica, N. Y. SYMPOSIUM ON FRACTURES. Fractures of the Skull and their Surgical Treatment, Some points in the Diagnosis and Operative Treat- ment of Fractures, Lewis A. Stimson, New York Fractures of the Neck of the Femur, Compound Fractures, Martin B. Tinker, Ithaca, N. Y. Remote Results following Excision of the Shoulder Charles L. Scudder, Boston, Mass. Discussion opened by Joseph D. Bryant, New York. Volkmann's Ischaemic Paralysis and Contractures, "A Case of Leukemia with Unusual Blood Find- H. G. Webster, Brooklyn, N. Y. New Plastic Operation for Cicatricial Palato- MEETING OF THE COUNCIL. A meeting of the Council of the Medical Society of the State of New York was held at the Hotel Hampton in Albany on Saturday, December 5th at 8.30 P. M.* Present-Dr. A. G. Root, President in the Chair; Dr. Wisner R. Townsend, Secretary, and Drs. E. H. Bartley, W. A. Moore, W. M. Gibson, L. H. Neuman, S. W. S. Toms, W. J. Nellis, C. Stover and Frank Van Fleet. Minutes of the last meeting were read and approved. Dr. S. W. S. Toms presented the following for the Committee on Publication: "The Committee on Publication begs leave to report that the JOURNAL has been regularly issued during the year and that the cost to the Society will be about the same as in previous years. Estimates have been secured from reliable printers which show that the cost to the Society for transactions would be greater than the cost of the JOURNAL and the value of the JOURNAL is very great as a means of keeping the profession regularly informed as to what is going on in the State Society, District Branches, and the county organizations, besides affording the Committee on Legislation an opportunity of informing the profession of matters affecting it that may come before the Legislature. Beginning with the January issue, the Committee has decided to omit the cover. This will reduce the cost and will also diminish the bill for postage as the JOURNAL will weigh less. The tenth volume of the Directory has been issued on time and is believed to be more accurate and complete than any of the preceding volumes. Full particulars of the work of the Committee and the cost of the publications of the Society will be presented in the annual report which cannot be compiled until the close of the fiscal year, December 31, 1908." (Signed) J. C. BIERWIRTH, Chairman. Moved, seconded and carried, that it be received and placed on file. The Secretary presented the following report: "The Society moved to 17 West 43d Street on October 1st in quarters supplied for them by the Committee on Finance, acting under the resolution of the Council passed at the May meeting. The new quarters are much better arranged; the light is better, and the facilities for doing the work of the Society expeditiously and economically are superior to those in the old rooms. The Academy of Medicine being central and known to all physicians makes it a particularly desirable place for headquarters, and it is hoped that the various members of the State Society, when they visit New York, will make themselves at home in the State rooms." The Secretary recommended that the Council_urge upon the House of Delegates to request County Societies to repeal the following section in their By-Laws: "When a member removes from the State of New York permanently, he shall cease to be a member of the society and shall forfeit all right and title to any share in the privileges and property of the society, the District Branch and the Medical Society of the State of New York." The number of non-resident members is necessarily very small, and if a member who has been in good standing for years, removes from the State and desires to keep up his affiliation, it does not seem desirable to forbid him so to do, providing he is willing to pay all dues and assessments. The Council, by unanimous vote agreed to the same. The following amendments to the Constitution and By-Laws proposed at the meeting in January, 1908, were discussed and approved: Amend the Constitution, Article III, by adding a new Section 2, to read as follows: "All officers shall assume office at the close of the annual meeting of the Society." Section 2, Article III, of the present Constitution will then become Section 3. Amend the By-Laws, Chapter IV, Section 1, by striking out Section 1, and substituting therefor the following: SECTION 1. The Council shall meet at the close of the annual session of the Society, to organize for the ensuing year. It shall meet once during the months of May and December of each year, the time and place to be selected by the President, and it shall meet at such other times as occasion may arise, upon the request in writing of five members of the Council, or upon the call of the President. It should be noted that the Council has omitted the words "and outline the work" from Section I. And by adding: SECTION 2. Seven members shall constitute a quorum. Section 2 then becomes Section 3, and Section 3 then becomes Section 4. The Council recommends to the House of Delegates that all amendments relating to Council and Committee on Publication be disapproved as they conflict with the Constitution and they believe the appointment of a new standing Committee undesirable, especially as the Committee on Publication, under present amendment would elect its own Chairman, where the House of Delegates elect all other Chairmen. The present plan of a Committee to be appointed by the Council, and under its immediate control is believed to be superior to that proposed in the amendment. These amendments are as follows: Amend the By-Laws, Chapter IV, Section 2, by striking out the following: The Council shall provide for and superintend all publications and their distribution and shall have authority to appoint an editor and such assistants as it may deem necessary. The report shall also specify the character and cost of all publications of the Society during the year, and the amount of all property belonging to the Society under its control. Amend the By-Laws by adding to Chapter VII, Section I, after the words "A Committee on Arrangements the words "A Committee on Publication," and a section to read as follows: SECTION 6. The Committee on Publication shall consist of five members: The Secretary and Treasurer of the Society, and three other members. The members of the Committee, except the Secretary and Treasurer, shall be elected to serve three years each, and at the first election held after the adoption of this By-Law, one member shall be elected for three years, one member for two years, and one member for one year, and thereafter each year a member shall be elected to serve for three years. At the first meeting held after the adjournment of the annual meeting of the Society, the Committee shall select one of its members to act as chairman and he shall serve for one year, or until his successor is elected. The Chairman of the Committee shall be entitled to a seat in the Council. The Committee shall provide for and superintend all publications and their distribution, and shall have authority to appoint an editor and such assistants as it may deem necessary, and to fix their salaries. All moneys of the Society received by the Committee from any source shall be promptly paid to the Treas program would be published in the January issue of the JOURNAL. Dr. Van Fleet reported for the Committee on Legislation: That the coming session of the Legislature will see a new bill on Anti-Vivisection, and asked for suggestions. Dr. Heffron, who was unavoidably absent sent the report for the Committee on Public Health: "I find I am unable to attend the meeting of the Council this evening. The attorney for The Onondaga County Medical Society sent me a very large number of documents which had to do with the prosecution of the illegal practitioners in Syracuse. 1 am sorry to say that since the new law has come into effect we have secured only one indictment, and that was in a case so manifestly bad that no jury could fail to see it. In all the other prosecutions the reporters have written it up as if it were a comic opera and no jury has agreed upon a verdict in our favor. On the other hand, I am very glad to say that there are very few illegal practitioners in the County of Onondaga at present. We are endeavoring to do everything in our power to purify the practice of medicine but find the difficulty, which I presume every county has, of not having sufficient funds at our disposal for the successful prosecution of these cases. The attorney for the county society is out of town but has promised to send a special delivery report on the subject. If it comes early enough to get it to you, I shall certainly do so." Dr. Nellis reported for the Committee on Arrangements that the 1909 meeting would be held as usual in the City Hall, and the Dinner at the Ten Eyck. Drs. Stover, Gibson, Toms, Moore and Bartley reported on the subject of quacks and illegal practitioners in their respective Districts and all recommended that the State Society assist the local organizations in their efforts to suppress them. Moved, seconded and carried that the motion passed at a previous meeting, to have a three days' session, be reconsidered. Moved, seconded and carried that it is the sense of the Council that the Committee on Scientific Work be instructed to arrange a program for all of Tuesday and Wednesday and that no session be held Thursday. The President presented the following Resolution, which was unanimously adopted: on It is with the utmost regret that the Council of the Medical Society of the State of New York, now assembled, have learned of the death of Dr. John T. Wheeler of Chatham, N. Y., the Second Vice-President of this Society, and we desire to express our high esteem for our late friend and extreme sorrow at the termination of so useful a life. It is therefore, RESOLVED, That the President appoint a committee of three members of the Society to draft a suitable memorial, the same to be printed in the NEW YORK STATE JOURNAL OF MEDICINE and a copy sent to the family. The President appointed Drs. F. C. Curtis, Albany, S. V. Whitbeck, Hudson and H. C. Gordinier, Troy. It was also moved, seconded and carried that Dr. Neuman represent the Council at the funeral. Moved, seconded and carried that the President appoint a committee of three to make the annual report, which shall include a list of the meetings and the recommendations in regard to the amendments to the Constitution and By-Laws, and the recommendation in regard to the repeal of Section 8, Chapter II of the County By-Laws. And that the report of the Committee on Publication be included in that of the Council. The President appointed Drs. E. H. Bartley of Brooklyn, Alexander Lambert of New York, and Wisner R. Townsend of New York. There being no further business, the minutes of the meeting were read and approved. The Council then adjourned to meet on the night before the Annual Meeting, unless called together before then by the President. WISNER R. TOWNSEND, Secretary. DISTRICT BRANCHES. FIRST DISTRICT BRANCH MEDICAL SOCIETY OF THE STATE OF SECOND ANNUAL MEETING, POUGHKEEPSIE, OCT. 21, 1908. Program. BUSINESS SESSION. Amendment to By-Laws offered at the last meeting, November 8, 1907, were read and adopted: "Thirty members to constitute a quorum at a meeting for business purposes. Dr. Ernest Schmid of White Plains moved that the attention of the Westchester County Society be called to the alleged abuse at its Westchester County Alms House at East View. Carried. Dr. H. J. Boldt, of New York, moved that the First District Branch approve of its action of the American Medical Association to bring to the notice of the medical profession the abuses arising from negligence, resulting in Ophthalmia Neonatorum, and further moved that a committee be appointed by the President of the First District Branch, having a representative from each County, to inquire into the plan for the prevention of Ophthalmia Neonatorum. Carried. A Committee was also appointed to co-operate with the State Department of Health in Albany in a plan now under consideration by the Division of Communicable Diseases. The President appointed the Secretary of each County in the First District Branch as a member of this Committee. The following officers were elected: PresidentChas. E. Townsend, Newburgh; Vice-President-Theodore D. Mills, Middletown; Secretary-Charles E. Denison, New York City; Treasurer-James E. Sadlier, Poughkeepsie. SCIENTIFIC SESSION. Dr. S. W. S. Toms, President, read the opening address. Dr. H. E. Schmid, of White Plains, referring to the paper of Dr. Toms, spoke of the excellent sanitary inspection work done in White Plains. "A Successful Demonstration of the Problem of Obtaining Sterile Cow's Milk," John T. Howell, Newburgh. “A Campaign against Tuberculosis," S. E. Getty, Yonkers. "Some Observations on the Expert in Insanity," H. E. Schmid, White Plains. "The Control of Ophthalmia Neonatorum," John T. Wheeler, Chatham. "Anterior Poliomyelitis," M. W. Barnum, Ossining. "The Sequelae of Peritonitis and Post operative Sequela"-The Importance of Correcting and preventing both, Joseph Price, Philadelphia, Pa. "Some Nose, Throat and Ear Symptoms of Significant Interest in General Practice," D. S. Dougherty, New York. "The Prevention and pre-operative Treatment of Mastoiditis," W. S. Bryant, New York City. "The Detection and Treatment of Abnormal Blood Pressure," L. F. Bishop, New York City. "The Prognosis and Treatment of Abnormal Blood Pressure," Egbert LeFevre, New York City. COUNTY SOCIETIES. RICHMOND COUNTY MEDICAL SOCIETY. ANNUAL MEETING DECEMBER 9, 1908. Program. BUSINESS SESSION. The following officers were elected for the coming year: President-Eugene J. Callahan, West New Brighton; Vice-President-Walker Washington, Tottenville; Secretary and Treasurer-C. E. Pearson, Tompkinsville; Censors-William Bryan, George P. Jessup and Ernest E. Hillyer. Delegate to State Society-William C. Walser. Delegate to Second District Branch-D. P. MacGuire. Alternate-A. H. Thomas. MEDICAL SOCIETY OF THE COUNTY OF SCHENECTADY. REGULAR ANNUAL MEETING, DECEMBER 8, 1908. Program. BUSINESS SESSION. The following officers were elected: PresidentH. G. Hughes, Schenectady; Vice-President-Wm. P. Faust, Schenectady; Secretary-L. A. Gould, Schenectady; Treasurer-G. V. Johnson, Schenectady. SCIENTIFIC SESSION. President's Address: "Preventative Methods in Medicine," W. W. Goddard. MEDICAL SOCIETY OF THE COUNTY OF ULSTER. ANNUAL MEETING, KINGSTON, DECEMBER I, 1908. Program. BUSINESS SESSION. The following officers were elected for the coming year: President-James L. Preston, Kingston; VicePresident-Thomas Keator, Accord; Secretary-Mary Gage-Day, Kingston; Treasurer-E. E. Norwood, Kingston; Censors-Adelbert Mambert, Mark O'Meara, Aden C. Gates, Daniel Connelly and Albert H. Palmer. Delegate to the State Society-Elbert H. Loughran. Alternate-A. A. Stern. Delegate to the Third District Branch-Frank Keator. Alternate-Joseph Bongartz. Delegate holding over, having been elected for two years at the previous meeting-Henry Van Hoevenberg. Alternate-Geo. W. Ross. The Delegates to the State Society were instructed to vote for the continuance of the Directory. SCIENTIFIC SESSION. Annual Address, Aden C. Gates. The Eye Yesterday and To-Day, Prof Francis Valk. "Mastoiditis," J. J. Thomson. A very enjoyable dinner was served after the Meeting. TOMPKINS COUNTY MEDICAL SOCIETY. ANNUAL MEETING, ITHACA, TUESDAY, DECEMBER 15, 1908. Program. BUSINESS SESSION. The following officers were elected: President-I. M. Unger, Ithaca; Vice-PresidentHomer Genung, Freeville; Secretary-H. I. Andrews, Ithaca; Treasurer-W. Wilson, Ithaca. SCIENTIFIC SESSION. "Body Temperatures," Sutherland Simpson. "Osteopathy," H. B. Besemer. "A Conundrum," Luzerne Coville. OTSEGO COUNTY MEDICAL SOCIETY. 102ND ANNUAL MEETING, ONEONTA, DECEMBER 8, 1908 Program. BUSINESS SESSION. The Secretary reported that there were 83 physicians in Otsego County, two more than last year. A Committee of five was appointed to make a special effort to increase the membership of the Society. At the afternoon session an obituary was read by Dr. Cutler, of Oneonta, of Dr. Chas. E. Parish, of Maryland, N. Y., in which a fitting tribute was paid to the doctor as a man and a physician. The meeting was well attended, and the scientific papers, which were of a most interesting character, were as follows: Rare Surgical Cases, H. W. Boorn. Successful Treatment for some Forms of Skin Diseases, D. B. Manchester. "Ether Gas Anesthesia," C. R. Marsh. After the meeting the members dined at the Central Hotel. SCHOHARIE COUNTY MEDICAL SOCIETY. ANNUAL MEETING, COBLES KILL, DECEMBER 8, 1908. Program. BUSINESS SESSION. The following officers were elected: President-C. S. Best, Middleburgh; Vice-President -E. E. Braman, Livingstonville; Secretary-Carolyn L. Olendorf, Cobleskill; Treasurer-Le R. Becker, Cobleskill; Censor-W. T. Rivenburgh. An interesting paper on "Infant Feeding" was read by J. J. Beard and a discussion followed by C. S. Best, J. J. Miller and C. L. Olendorf. THE SUFFOLK COUNTY MEDICAL SOCIETY. BUSINESS SESSION. The following officers were elected for the coming year: President-Marcus B. Heyman, Central Islip; VicePresident-S. Busby Allen, Riverhead; SecretaryFrank Overton, Patchogue; Treasurer-Barton D. Skinner, Greenport; Censors-E. S. Moore, P. B. V. Fowler and C. E. Wells. Two new members were elected. MEDICAL SOCIETY OF THE COUNTY OF NEW YORK. ANNUAL MEETING. The One Hundred and Third Annual Meeting of The Medical Society of the County of New York was held at the New York Academy of Medicine on Monday evening, November 23, 1908. Besides the scientific session the business of the evening consisted in the election of Officers, Censors and Delegates. The following were elected: Total number of votes cast for President, 360, of which H. Seymour Houghton received 359. Total number of votes cast for First Vice-President, 360, of which John E. Weeks received 359. Total number of votes cast for Second Vice-President, 360, of which Joseph Brettauer received 359. Total number of votes cast for Secretary, 360, of which John Van Doren Young received 220 and A. Ernest Gallant, 110. Defective votes, 30. Total number of votes cast for Assistant Secretary, 360, of which J. Milton Mabbott received 180, and George D. Scott, 146. Defective votes, 34. Total number of votes cast for Treasurer, 360, of which Charles H. Richardson received 359. Total number of votes cast for Censors, 360, of which J. Riddle Goffe received 230; Charles G. Kerley, 156; Henry M. Painter, 155; Nathan E. Brill, 95; Frank H. Daniels, 75; Frederic Bierhoff, 70; Samuel A. Brown, |