of Dr. Clark's character which led to his success in life, as well as to the high standing in the community where he has so long lived.

Dr. Clark attended college at Canonsburg, Pa., until the last session of the senior year, and afterward pursued his medical education under Dr. Stevens, of Washington, Pa., and attended one course of lectures at the University of Pennsylvania, being unable, on account of limited means, to take a second course. He settled at Elizabeth, Allegheny Co., Pa., in 1844, but returned to Washington in 1849, where he has since continued in the active and arduous pursuit of his profession, having become the oldest active practitioner of medicine in this place.

Dr. Clark was a physician of high integrity, of genial manners, assiduous in his attention upon all, without distinction, who called for his professional skill; pursuing his profession with zeal and earnestness, he was a true friend and Christian gentleman. Taking an active interest in all the improvements of the town, educational and material, he stood in the front rank as a citizen, and his loss is deeply felt by the whole community. He left a widow and six children.

REPORT OF THE WESTMORELAND COUNTY MEDICAL SOCIETY.

Dr. G. L. HUMPHREYS reports the following cases:

CASE I. I was called on Feb. 6th to see Mrs. A., German, aged 30, at 3 A. M., and found her in the first stage of labor; the os uteri being too high up in the pelvis to be readily examined, and the pains coming on rather slowly, I left, and was again summoned at 4 P. M. Found the os uteri dilating and the pains severe. By 6 P. M. the uterus was fully dilated, membranes ruptured, and everything indicating a speedy delivery, when the expulsive efforts became weaker, and the fœtus ceased to make any progress. I then made a careful examination, but could find no disproportion between the size of the head and the pelvis. After waiting half an hour, and finding no improvement, I proceeded to deliver with the forceps; in this I had no difficulty, so far as the head was concerned. Laying the forceps aside, I began to make gentle traction, but with no success. I then hooked my finger in the axilla, and after much difficulty succeeded in delivering the shoulders. Congratulating myself and patient that all would soon be over, I seized the fœtus by the shoulders (it had apparently been dead some days) and proceeded with the delivery, but found it no easy task, as it required over thirty minutes' very strong traction before the body was born. On examining the fœtus the cause of delay was very apparent, its abdomen was immensely swollen and filled with water, which had acted on the principle of a wedge, becoming constantly tighter until the largest part had passed the brim of the pelvis. I failed to procure a post-mortem examination, but found on inquiring that she had had nine children, seven of which had been still-born, the one previous to the last having hydrocephalus. The placenta was abnormally large and very much nodulated. The mother made a good recovery.

CASE II C. E.; male; German, æt. 24. Patient first seen on Monday, March 18th. Symptoms: Intense pain in the back and loins, principally referred to the region of the sacrum; slight fever; pulse 100 beats to minute; tongue covered with a moist white fur. The patient referred the pain in his back to a sprain from lifting at

barrel of oil. I ordered dry cups to his back, and gave him a stimulating liniment.

Tuesday. Face intensely red, with some swelling-the surface of the body had a peculiar mottled appearance of a dull red, with intervening spaces of waxy whiteness. The eruption, or more properly discoloration, seemed to be situated more beneath the skin than upon the surface, bearing no resemblance to measles. Patient slept well, had no appetite, but was perfectly rational, showing no symptoms of delirium. I then pronounced the case one of smallpox, having attended his wife in an attack of the same two weeks previous.

Wednesday. Surface of body, more especially on back and shoulders, showing spots of ecchymosis; conjunctiva injected; face much swollen; slight hemorrhage, mixed with a tenacious mucus from the bronchial tubes. At this time he was much annoyed with nausea, and as some of the spots appeared like the eruption of purpura, I concluded I had a case of variola hemorrhagica, and gave a doubtful prognosis. He had been up to this time taking acid. nitr. mur. dil. with salicylic acid and a refrigerant mixture.

Thursday. Rash developed into a complete efflorescence on the back. Legs and arms still mottled, a few papules developed on feet, ankles, and wrists; very restless, but not delirious. No bronchial hemorrhage, but an infiltration of blood beneath the conjunctiva. Complains of sore throat, and can take no nourishment. Ordered potas. chlor., spts. ammonia aromat., and milk punch. Seen in the afternoon of the same day; his face had a haggard expression. Sordes had collected on the teeth. He complained of a violent pain in his stomach; was delirious; had hæmaturia, his urine resembling a decoction of logwood. He finally died at 3 A. M. Friday in great agony. He had been vaccinated when a child in Germany, and had three large marks on each arm. This, I think, shows the imperative necessity of frequent vaccinations. His child, which I vaccinated with bovine virus, after the period of eruption in the mother, was effectually protected. Four other cases occurred in the immediate neighborhood, all communicated from an attendant, who took charge of the body.

I have also to report four cases of burns, three occurring from an explosion of gas in a coal mine, and one from accidental contact with a stove, setting fire to the clothing of the patient, a girl of twelve. In this case the burning included the whole of the limbs and body, the only parts escaping being the feet and face. The other three were severely burned about the face and hand, and I report them to call attention to a plan of treatment advised by Dr.

S. F. Walters, of the Massachusetts State Dental Society, namely, the application of bicarbonate of soda, either in a saturated solution or as a dry powder. I found it to ease pain and smarting in a few minutes, and the patients were surprised and grateful at the prompt relief afforded. The dressings were kept constantly wet with the solution. I allowed the vesicles to remain until the third day before I punctured them. I then dressed them with zinci oxidum, tinct. opii, and adeps; and having treated a number of burns, I am satisfied they healed much sooner than if the vesicles had been punctured immediately. In the severe case, the skin felt like sole leather, being burned to a crisp. She had been very restless before my arrival, requiring several persons to keep her in bed, but after the application of soda, with a roller bandage over the entire body and limbs, she became quiet and fell into a gentle sleep. Knowing the case to be hopeless, I ordered morphia sulph. in grain doses as often as required. She died fourteen hours after the accident. The application of a saturated solution of soda bicarb. I believe to be entirely satisfactory, as regards the relief of pain, and is certainly a much more elegant dressing than the filthy oils and liniments in general use.

REPORT OF THE YORK COUNTY MEDICAL SOCIETY.

THE Committee appointed to prepare the Annual Report of the York County Medical Society reports: That the Society still holds its monthly meetings, and the membership continues to increase. The county has been remarkably free from epidemics of a serious character during the entire year; sporadic diseases, as usual, prevailed, but the diseases have generally been of a mild type.

Perhaps the Committee are justified in the remark, that the interest in the Society has of late not been so active as it was one year ago. Members absent themselves from the meetings (it is feared) without a reasonable excuse; some are excusable on account of their great distance from the place of meeting, but we are inclined to think that some love the financial features of the profession better than its instructive advantages; still we rejoice in being able to report that the Society is kept alive and in good running order by many active workers in the vineyard. At the meetings many subjects of interest to the profession have been discussed, and much valuable information thereby obtained. Pneumonia and its treatment was the topic, under consideration at several meetings, and the discussions we think were of benefit to the members. During the year several interesting and valuable papers were read. We record only short extracts from them.

Topographical Sketch of the County, by Dr. FREY, Glen Rock. Dividing our State broadly into three great divisions, or belts, our county is embraced in the southeastern or sea-board division. Its surface is one of scattered hills, with several ridges of more elevated land, as the Conewago Hills, rising perhaps from six to eight hundred feet above tide-water, and in one or more instances culminating in isolated mountains of trap-rock, as notably the Round Top. The principal streams of the county are the Codorus Conewago, Muddy Creek, and other smaller ones, whose heads are perhaps 300 feet above tide-water, and emptying into the Susquehanna River. Our soil is chiefly of a gray micaceous nature, and its surface is supplied with numerous rivulets of sparkling pure