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The aurist is frequently called into these cases
A Volunteer Medical when the patient or the parents of children be
Service Corps. come alarmed and they desire a technical opin
The Council of National Defense on Feb. ion. The writer was called into a house on account of a twelve year old girl's ear "failing to
27th, authorized the following statement: break." There were four children convalescing tion of the entire medical and surgical resources
For the purpose of completing the mobilizafrom measles. Two boys had mastoditis with
of the country, the Council of National Defense discharges, one of them had a second large swell
has authorized and directed the organization of ing of the mastoid process, the first swelling had
a "Volunteer Medical Service Corps," which is completely disappeared and now the second
aimed to enlist in the general war-winning proswelling was much reduced in size. One boy was in bed with a discharging ear, while the girl had gram all reputable physicians and surgeons who
are not eligible to membership in the Medical a bulging ear drum and paracentesis was per
Officers' Reserve Corps. formed. It is nothing unusual for an aurist to meet such cases in practice and he wonders if cal profesion is made up of men whose patriot
It has been recognized always that the medithe mastoid disease is so dangerous to the ism is unquestioned and who are eager to serve mechanism of
hearing and to the life of the pa- their country in every way. Slight physical tient.
infirmities or the fact that one is beyond the At any rate, the cases of otitis media suppu- age limit, fifty-five years, or the fact that one rativa should be properly examined, by one com- is needed for essential public or institutional petent to do so, and handled accordingly. All service, while precluding active work in camp these cases invade the mastoid antrum, and this
or field or hospital in the war zone, should not fact alone is not sufficient explanation for the prevent these patriotic physicians from close commercial enterprise of an over ambitious oper- relation with governmental needs at this time. ator. With the history of the case, ostoscopic
It was in Philadelphia that the idea of such appearances previous incisions into the ear drum,
an organization was first put forward, Dr. Wila persistent profound impairment of the func- liam Duffield Robinson having initiated the tion of hearing, involvement of the static laby- movement resulting in the formation last sumrinth, or the persistent discharge of weeks or
mer of the Senior Military Medical Association months, some or all of these symptoms guide to with Dr. W. W. Keen as president--a society a proper procedure.
P. I. L.
which now has 271 members.
Through the Committee on States Activities
of the General Medical Board the matter of formThe Kansas City Medical
ing such a nation-wide organization was taken up and Surgical Club
last October in Chicago at a meeting attended by The February meeting, held at the General delegates from forty-six states and the District Hospital and the German Hospital on the 11th of Columbia. This committee, of which Dr. Edand 12th was well up to its usual degree of in- ward Martin and Dr. John D. McLean—both terest. The attendance was not as large as for- Philadelphians—are respectively chairman and mer meetings, due to the attractions offered by secretary, unanimously endorsed the project. A the Automobile Show. Some men, no doubt, smaller committee, with Dr. Edward P. Davis, went home because of lack of hotel accommoda- of Philadelphia as chairman, was appointed to tions. Everything was full to overflowing. The draft conditions of membership, the General writer finally found a bed in a private family Medical Board unanimously endorsed the comthrough the aid of Dr. Fassett. After all is said mittee's report, the executive committee—includof clinics, the pleasure and profit does not all ing Surgeons General Gorgas of the army, Braisaccrue from the lectures and operations. We ted of the navy, and Blue of the Public Health had a little visit at the General Hospital with Service-heartily approved and passed it to the Dr. Ernest Robinson and discussed abdominal Council of National Defense for final action, and ptosis; then a chat over some bed cases with . the machinery of the new body has been started Dr. Skoog, on nervous work; and a talk with by the sending of a letter to the state and county Dr. Knear at the German looking over x-ray committees urging interest and the enrollment pictures, all enjoyable and helpful. Medical ad- of eligible physicians. lancement comes most profitably and pleasantly It is intended that this new corps shall be from such association, a point here, one there, an instrument able directly to meet such civil from one who is well informed. It pays any doc- and military needs as are not already provided tor to run in to such a class of men as compose for. The General Medical Board holds it as the Kansas City club, and the most benefit most axiomatic that the health of the people at home often comes from the little talks upon the subject must be maintained as efficiently as in times of in mind, and the touch among men who lead. peace. The medical service in hospitals, medical
J. M. B. colleges and laboratories must be up to standard: the demands incident to examination of eral Gorgas, U. S. A.; Surgeon General Braisted, drafted soldiers, including the reclamation of U. S. N.; Surgeon General Rupert Blue, Public men rejected because of comparatively slight Health Service; Dr. Cary T. Grayson; Dr. physical defects; the need of conserving the Charles H. Mayo; Dr. Victor C. Vaughan; Dr. health of the families and dependents of enlisted William H. Welch. men and the preservation of sanitary conditions (Blank forms for application may be obtained -all these needs must be fully met in time of of the editor of the Medical Herald.) war as in time of peace. They must be met in spite of the great and unusual depletion of medical talent due to the demands of field and hos
The Army Surgeon's Path pital service.
Is Not a Rosy One In fact, and in view of the prospective losses A correspondent writing from Camp Funsin men with which every community is con- ton, after reporting that the disease condition is fronted, the General Medical Board believes that now on the decline, concludes: “This is a source the needs at home should be even better met now of great relief and no one in this camp will ever than ever. The carrying of this double burden forget the vigorous campaign carried on to camwill fall heavily upon the physicians, but the bat three of the most dangerous disease epimedical fraternity is confident that it will acquit demics in any army command. The path of an itself fully in this regard, its members accepting army camp surgeon is far from being rosy, from the tremendous responsibility in the highest the chief surgeon down to the last assistant unit spirit of patriotism. It will mean, doubtless, that surgeon; and when we look back on the battle much service must be gratuitous, but the medical waged against meningitis, measles and pneumen can be relied upon to do their share of giv- monia, when our surgeons worked all day and ing freely, and it is certain that inability to pay a all night, we doubt if ever a city surgeon or fee will never deny needy persons the attention weary country practitioner ever led a more strenrequired.
uous life.” It is proposed that the services rendered by the Volunteer Medical Service Corps shall be in
The Physician and response to a request from the Surgeon General
His Income Tax of the army, the Surgeon General of the navy,
For the benefit of our readers who have not the Surgeon General of the Public Health Serv
yet made a return for their federal income tax ice, or other duly authorized departments or asso
we have compiled the following information re ciations, as general administration of the corps to
garding the exemptions and conditions relating be vested in a central governing board, which is
to the professional man. to be a committee of the General Medical Board
Every unmarried physician whose net inof the Council of National Defense. The State
come for last year equalled one thousand dol Committee of the Medical Section of the Council of National Defense constitutes the Governing is required unless his net income equals or ex
lars must make a return. If married, no returr Board in each state.
ceeds two thousand dollars. Net income implie Conditions of membership are not onerous the amount remaining after deducting the prope and are such as any qualified practitioner can exemptions, which do not, however, include liv readily meet. It is proposed that physicians in- ing expenses. tending to join shall apply by letter to the Secre- The physician's income must include al tary of the Central Governing Board, who will money received for professional services, inter send the applicant a printed form, the filling out est, dividends or earnings on all investment of which will permit ready classification accord- (with the exception of liberty bonds to th ing to training and experience. The name and
amount of $5,000), rents, wages, commission data of applicants will be submitted to an Execu- and any other form of income. Exemptions t tive Committee of the State Governing Board, be deducted from the income include state, count and the final acceptance to membership will be and municipal taxes on all real estate and per by the national governing body. An appropriate sonal property; office rent, hire of office a: button or badge is to be adopted as official in- sistants, all medicines and medical supplies use signia.
in the practice of his profession; cost of opera The General Medical Board of the Council ing and maintaining automobile used in makin of National Defense is confident that there will calls; dues to medical societies, subscriptions 1 be ready response from the physicians of the medical journals, actual expenses attending me country. The Executive Committee of the Gen- ical conventions; cost of fuel, light, water, tel eral Board comprises : Dr. Franklin Martin, phones used in the office. Amounts expende chairman; Dr. F. F. Simpson, vice-chairman; for books, medical supplies, surgical instrumen Dr. William F. Snow, secretary; Surgeon Gen- or new automobiles, all improvements of a pe
manent character, are not allowed as deductions.
Advances in Items of personal expense, or items connected in
Electrotherapy any way with the support maintenance and well
The great world war has brought about great being of the family are not allowed. If a physi- changes in the medical profession and one among cian uses a portion of his home for an office, them is the important part that electricity and he may deduct a reasonable amount for office mechanical therapy is playing in the reconstrucrent.
tion of the wounded. It is conceded by highest Returns must be made before the first day authority that shattered nerves (shell shock) is of April, to the collector of internal revenue, and greatly benefited by the use of various electrical blanks may be obtained from him. Failure to
currents. Without the x-ray to aid them, the file a return will subject the physician to a pen- surgeon would be greatly handicapped in his alty of not less than $25 or more than $1,000, work, both in time of war or peace. It is almost with an addition of 50 per cent added to the a necessity that the modern physician of today
be equipped with an x-ray in his office. ElecAll the above refers to the Federal income trical treatments are actually being demanded
by the laity today and the physicians who are The State income tax in Missouri provides an not equipped to give them are losing money and exemption of $2,000, if single, and $4,000 if mar- prestige thereby. That any reputable physician ried." In addition to these income taxes, any
should fail to avail himself of the offer in this physician having a net income of $6,000 or more
issue made by the Thompson-Plaster Co., to beis required to pay eight per cent on same.
come familiar with their x-ray and combination treatment cabinet is losing a great opportunity.
This company manufactures a number of differBase Hospital No. 28
ent models and there is one to fit each individa Red Cross Unit
ual's need They accupy small space in the Kansas City Red Cross Hospital No. 28 is office, but give the very latest electrical currents not as familiar a name to Kansas Citians as Base being used by the profession, as well as the me
chanical features. It will pay you to investigate Hospital Unit No. 28, but it is the correct title of the unit that entrained for Ft. McPherson,
their goods and their methods of placing a maGa., Feb. 23. The unit was recruited, equipped chane in your office with a small amount of and cared for by the local Red Cross chapter. It cash. Their sales and service station located at
the Physicians' Supply Company is Kansas City, will remain a Red Cross organization until it is
in charge of C. F. Mills. Correspondence soassigned to a camp on reaching France.
licited. Kansas City chapter raised over $70,000 to equip the unit. Complete furnishings for a 500-bed hospital were purchased and shipped to an east
Navy Calls for ern port to be sent over with the men as soon
Binoculars as they complete their short period of intensive
Assistant Secretary of the Navy Roosevelt training in the South. Maj. J. F. Binnie will go to the camp in a few days.
announces that the navy is still in urgent need of
spy glasses and telescopes. Anyone having such Beds, surgical equipment, X-rays, linen, articles to donate should forward them to the toweling, ranges, a laundry and everything neces
Assistant Secretary of the Navy, care Naval sessary to make a portable hospital were bought Observatory, Washington, D. C. with funds raised by the people of Kansas City through the Red Cross. Besides No. 28 the Kansas City Red Cross equipped the Red Cross Am- Daughters of Confederacy Endow a Bedbulance Company No. 24, now stationed at Camp The Missouri Division of the United Daughters Funston.
of the Confederacy will be the first branch of this organization to place a bed in American Mili
tary Hospital No. 1 in France. This is a Red Treatment of Carriers
Cross Hospital, under the supervision of the in the Army Camps
American army, but is dependent upon subscrip
tions for support. The bed is endowed for a Interesting experiments are being made at the ammy camps with chlorin gas in the treatment of
year at a cost of $600. meningitis carriers. It seems reasonable that a Hoover's War Slogan-Go back to the simple gas which penetrates all the nasal passages life, be contented with simple food, simple pleasshould be more efficacious thana spray or swab ures, simple clothes. Work hard, pray hard, which can only reach a limited portion of the pas- play hard. Work, eat, recreate and sleep. Do sages. It is intended to extend these experi- it all courageously. We have a victory to win.ments to all pneumonia contacts in the future. Hoover.
Dr. C. R. Woodson, who has been at home sick with pneumonia, is convalescing.
War News “Many Thanks" to our subscribers who remitted during February. Please see adv. page 56.
CAPTAIN P. I. LEONARD, M. R. C., U. S. A. Assistant Physician Wanted-State Hospital No. 2 at St. Joseph is in need of an assistant
If you are under forty, why are you not in physician. Apply to Dr. G. Wilse Robinson,
the Medical Officers' Reserve Corps ? Rialto building, Kansas City, Mo.
As a citizen who enjoys all privileges, should Germans in Americal have won our esteem he assume no duties? “Let George do it!" Army and liking; we accept them in all respects—ex- service is not all sacrifice. The doctors now on cept as political masters. Unfortunately their active duty are enthusiastic about the inestimable masters did not realize the exception.
personal, physical and profesional benefits al
ready realized. Kansas City to the Front — The Jackson County Medical Society has made provision for
Gorgas has taken steps for the elimination taking care of those members who are in the
from the service of all incompetent medical offiservice. Members of this society have agreed to
cers. There are physical disability, mental inrefund one-third of all fees paid to them by capacity, temperamental unfitness, laziness, inpatients of those who are absent.
ability to command men, lack of education or 152 members in service.
proper training. “To many, military service
will open the gates of professional opportunity. Artificial Limbs for Disabled Soldiers—The - Not a few medical men, whom finances or other application of artificial limbs in Australia is de- matters have held in cramped environment, will scribed in a pamphlet by Sir Thomas Anderson rise through achievement in broad fields of enStuart, M. D., Dean of the Faculty of Medicine deavor they would otherwise not have known. of the University of Sydney. The writer has Many, whose educational facilities were refound great difficulty in getting disabled men to stricted, will now have chances to perfect their realize how much can be done to improve their clinical training in the wards of great hospitals lot. They tend to become discouraged with the and under the tutelage of medical officers who, irksomeness and discomfort of the unaccustomed in civil life, were great teachers and clinicians. burden of an artificial limb. Great temporary The man of ability, dwarfed by environment, will weakness and lassitude of the remaining tissues, have his chance to come to the front. Many a which are just those to which the artificial limb potential surgeon will have opportunity to learn is attached, follow severe amputations as a mat- by operative practice that which would never ter of course. These become permanent in the have been afforded him in his civil practice. case of healthy parts, however, only if left unex- Many a shrewd diagnostician will prove his abilercised. The utilization of the stump in doing ities and rise from obscurity to a high place in actual work, through the instrumentality of a the respect of his fellows before the war is over. light, inconspicuous, and suitably constructed Before military and naval forces are disbanded, artificial limb, gradually restores both strength many medical men of present average status will and vitality. The temptation which the patient have moved up into the expert class. They will at first finds almost irresistible to unburden him- seek and utilize to the fullest the tremendous self of the unaccustomed appendage soon gives professional opportunities to carry on'.”—Miliplace to pleasurable interest and pride in finding tary Surgeon. himself enabled to resume profitable occupations On Wednesday evening, Feb. 20, 1918, the from which he had believed himself forever de- Buchanan County Medical Society had a dinner barred. The artificial limb, as is pionted out, at the St. Francis Hotel, St. Joseph, Mo., in should be such that the patient likes to wear it. honor of the dedication of their service flag When the limb really fits him, the physical and presented by Dr. C. W. Fassett. Addresses were mental comfort which it brings to the wearer is made by Capt. C. E. Morton and Capt. J. F. beyond expression; it converts the desponding McGill, from Fort Leavenworth, Kan., and by into hopeful, active, useful men. The Germans the Rev. E. H. Molony of St. Joseph. Captains are supplying two limbs, one strong and simple, McGill and Morton spoke of the Army Medical provided with hook or ring, or other device, for Reserve Corps, its functions and the duties of the man's every day work, and a Sunday arm for the regular medical profession in its relation to walking out. To most patients the main thing is the country's need. Both were listened to atthat the limb should be of practical use in their tentively and both created a wholesome impreswork, but the limb and its movements should be sion upon the members. They spoke of the adnatural looking, for that will help the wearer to vantages of the Medical Reserve Corps, espeget employment.
cially to the young man. Both had made a
sacrifice in entering the corps, from a financial atrists and neurologists that probably would standpoint, and they held that the profession al- become liabilities instead of assets on the firing ways rose to the demands made upon it during line. any crisis in the history of our country.
More than 300 mental and nervous experts Rev. Molony, in a plain, practical sense talk, are on duty at the various camps. which at times became dramatic, spoke of the
Of 2,000 recruits submitted to the Schick sacrifice of offering his own sons, and if they test by experts at Camp Funston lately, 85 per had not volunteered to do their bit, they would
cent were found immune to diphtheria, the savnot have been worthy sons. At this remark the ing in antitoxin is thus evident. entire society rose to its feet and remained stand- ing in antitoxin is thus evident. ing for a minute during a profound silent con- X-ray interpreters are in great demand, as contemplation. A very impressive moment, this well as orthopedists. patriotic declaration of a man willing to sacrifice After the war re-education will demand the all for the protection not only of our own liberty, greatest attention. but for the liberty of all humanity.
There will be higher ranks for Reserve The roll of honor as read by the secretary is Medical officers in the national army for ability as follows: Maj. O. C. Gebhart, Captain T. I, and efficiency. Lynch, W. L. Kenney, P. I. Leonard, E. F. Cook, and Lieutenants G. W. Boteler, L. I. Long, O. A.
The quota of 20 per cent for St. Louis is 349, Schmid, C. Greenberg, A. S. J. Smith, F. X.
now in service 303, for Kansas City 186, now in Hartigan and H. K. Wallace.
service 134, for St. Joseph 36, now in service 19. In a monarchy everything is ordered from
Almost 40 per cent of the total staff of the mediabove and all have to obey.
cal school of Washington University has been re
leased for national military service. In our democracy we must display intelligence as an individual and as a nation, unity of telescopes as eyes for the navy.
The navy calls for binoculars, spy glasses and thought must precede unity of action. If our form of government is to live we must
Trachoma is generally introduced into posts maintain it, and, prove its superiority. Do your and camps by soldiers and laborers. France,
during the present struggle, had an epidemic Dr. R. T. Morris, in his new book on War, introduced by African soldiers and sailors. says: "The Germans, in laying stress on Dar
American medical officers exercise the greatwin's doctrine of the struggle for existence, have est vigilance with respect to trachoma, particucompletely forgotten his other doctrine of mutual larly in camps in some of the southwestern states interdependence. Instead of cultivating the good where trachoma is known to be endemic. will of other nations, the Prussians are now trying to smash them. Prussia is ‘protoplasmically Aviation Field, Arcadia, Florida.
Lieut. F. X. Hartigan is surgeon at the Dorr senile.' She is done for. In fact, any nation that deliberately wages aggressive war is abnormal.
We read that discharges of officers from the War is always a symptom of deficient brain de- Army Medical Corps are continuing at the rate velopment. Man is the only mammal that thus of fifty a week. In all, 1,050 medical officers kills his own kind. In time wars will cease.”
have been discharged since the beginning of the
war, and there have been about four thousand In August, 1914, there were approximately rejections in the medical reserve corps. 20,000 medical proctitioners in France and of this number some 14,000 have been mobilized,
Reconstruction hospitals are to be placed in while 1,500 or thereabouts have been killed or
various parts of the country where soldiers will rendered unfit for service.
be literally rebuilt. It will not be only physical Lieut. W. L. Kenney has been promoted to
but they will be made over mentally as well. Captain Kenney in January, 1918, at Ontario, VY.
Kansas City Medicos in the War-Jackson Captain P. I. Leonard is still on the waiting County, Mo., Medical Society recently ordered a list.
service flag for its office and it was dedicated Maj. O. C. Gebhart, Camp Doniphan, was a
with appropriate ceremonies at the regular meetrecent St. Joseph visitor.
ing of the society, December 11. The flag con
tains 151 stars, that number of members having Where anti-typhoid vaccines were injected joined the colors, out of a total membership of into recruits at Camp Funston recently, only one less than 400. The flag will contain one gold man in 1,000 reacted so violently as to need a
star to represent the death of Dr. W. T. Fitzday or two of hospital care.
simmons, killed in the explosion of a bomb Eight thousand men have been weeded out of dropped from a German aeroplane upon the hosthe United States army on the findings of psychi- pital where he was serving.