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other channels. Kindly bear in mind that a most hearty and cordial welcome will be extended to all who may attend.

DEAR DOCTOR:

NEW ORLEANS, LA., March 7, 1906.

As one eligible to membership in the Association of Medical Officers of the Army and Navy of the Confederacy you are cordially invited to attend the next meeting of that body, to take place in the metropolis of the South, New Orleans, at the time of the general U. C. V. Reunion, April 25th, 26th, and 27th.

The meeting will be held in the building of the Medical Department of the Tulane University of La., cor. Canal & Villere Sts. Opening session 10 A. M., Wednesday, April 25th. Papers both interesting and instructive on the medical history of the Civil War will be read and discussed.

Railroad fare only ONE CENT A MILE each way.
We look forward to having you with us on this occasion.
Don't disappoint us.

Fraternally,

Committee of Arrangements,

STANFORD E. CHAILLE, M. D., Hon. Chairman.
HERMANN B. GESSNER, M. D., Chairman.

Editorial.

THE TENNESSEE STATE MEDICAL ASSOCIATION

THE seventy-third annual meeting will be held in Memphis beginning Tuesday morning, April 10, and lasting three days. In addition to such matters of business as will come before the House of Delegates, all indications point to an unusually interesting and entertaining session. The President's Address will be delivered at the evening session of the first day. For the evening session of the second day the Committee of Arrangements have now under way a very attractive feature, being a Symposium" on the very important subject of Tuberculosis, at which will be considered in a series of papers occupying the hours from 8 to 10 P. M., after which there will be a banquet provided by the medical profession of Memphis.

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The following papers have so far been promised the Secretary, and others will be added to the list. The essays and papers will be arranged as much as may be possible in groups considering allied subjects.

"A Case of Laparotomy - A Clinical Study," by T. J. Happel, M. D., of Trenton.

"Uterine Fibroids," by E. M. Holder, M. D., of Memphis.

"The Surgical Treatment of Uterine Fibroids," by J. W. Barksdale, M. D., of Memphis.

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Tuberculous Peritonitis," by Richard Douglas, M. D., of Nashville.
Cholecystotomy," by Battle Malone, M. D., of Memphis.

"Nephrolithotomy, with Subsequent Nephrectomy," by W. D. Sumpter, M. D., of Nashville.

'Extra-Uterine Pregnancy, with Report of Cases," by Richard Barr, M. D., of Nashville.

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'Abortion, with Report of Cases," by D. A. Walker, M. D., of Tren

"Peculiar Condition Complicating Pregnancy

A. F. Richards, M. D., of Sparta.

Report of a Case," by

"Fever Occurring in the Puerperium," by J. T. Altman, M. D., of Nashville.

"Gastro-Enterostomy for Chronic Digestive Disorders," by W. D. Haggard, M. D., of Nashville.

"Traumatic Lesions of the Gall-Bladder," by Jere L. Crook, M. D., of Jackson.

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'Clinical Report of Removal of Osteo-Sarcoma, Including One-half of the Lower Jaw," by Duncan Eve, M. D., of Nashville.

"Growths in the Scrotum," by McPheeters Glasgow, M. D., of Nash

ville.

"Local and Regional Anesthesia in Rectal Surgery," by A. B. Cooke, M. D., of Nashville.

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Treatment of Fractures of the Shaft of the Femur," by S. R. Miller, M. D., of Knoxville.

"Club-Foot," by R. B. Macon, M. D., of Clarkesville.

"Vesical Fistulæ in Women,” by W. A. Bryan, M. D., of Nashville. "Shall We, or Shall We Not?" by L. A. Yarbrough, M. D., of Covington.

"Triponemia Pallidum of Syphilis," by Wm. Litterer, M. D., of Nash

ville.

"The General Practitioner's Treatment of Pulmonary Tuberculosis," by J. A. Hardin, M. D., of Sweetwater.

"The Strenuous Life and its Effects in Disease," by S. T. Rucker, M. D., of Memphis.

"A Case of Acromegaly," by W. S. Lawrence, M. D., of Memphis. "The Author's Experience in the Treatment of Amoebic Dysentery,

which Disease He has Found Indigenous in Memphis Territory," by Jno. L. Jelks, M. D., of Memphis.

"Chronic Gastritis," by H. B. Kincaid, M. D., of Memphis.

"Acetanilid, Its Use and Abuse," by W. E. Sypert, M. D.,of Baxter. "Pterygium, Its Relation to Refraction of the Eye," by Geo. H. Savage, M. D., of Memphis.

"Report of a Case of Glaucoma of Unusual Interest," by J. L. Minor, M. D., of Memphis.

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Acute Congestion of the Kidneys," by M. Goltman, M. D., of Mem

"What Criteria are Safest in Estimation of Renal Lesions," by Raymond Wallace, M. D., of Chattanooga.

'Rachitis," by Chas. P. McNabb, M. D., of Knoxville.

"Diagnosis of Diseases of Children," by M. M. Cook, M. D., of Col

umbia.

"Significance of Disturbed Reflexes," by Michael Campbell, M. D., of

Bearden.

"The True Neuroses of Functional Nervous Diseases," by Y. C. Buford, M. D., of Memphis.

"Hemorrhage in and around Nerve Tissue," by Hazel Padgett, M. D., of Nashville.

"Cerebellar Tumors," by Henry Posert, M. D., of Memphis.

"The Druggist as the Physician Sees Him," by J. U. Roach, M. D., of LaFollette.

"Doctor and Druggist," by J. L. Andrews of Memphis. "Ethical Medicine," by I. A. McSwain, M. D., of Paris.

"The Necessity of a Uniform National Health Organization," by E. A. Timmons, M. D. of Columbia.

CINCINNATI SANITARIUM.- We have just received the thirty-second annual report of this most excellent establishment for the treatment of mental and nervous diseases. It continues to show a most commendably high percentage of recoveries in the cases treated, which has for so many years been its marked feature. For the year ending Nov. 30, ult., the "daily average" of inmates was the highest in the history of the institution, and would have been larger but for lack of room-space, which, however, will soon be remedied, as plans for the erection of additional buildings are now in the hands of the architects.

The total number receiving treatment during the year was 276, with 78 discharged recovered, and 63 improved, with 14 deaths. From the tabulated report we find that in its thirty-two years of most successful existence there has been a toal of 4,220 cases treated; recoveries, 1,889; improved, 1,397; died, 288. Of these deaths we notice the following as

being among the leading causes: General paresis, 74; exhaustion, 81; senility, 28; meningitis, 23; heart disease, 14; apoplexy, 13; epilepsy, 10; and only three from accident.

CYSTOGEN-LITHIA TABLETS.- This effervescent tablet is of interest tc physicians as it affords the means of employing the uric acid solvent and genito-urinary antiseptic properties of Cystogen, augmented by the alkaline and solvent action of the lithia salt.

The value possessed by the salts of lithia as uric acid solvent, diuretic and anti-acid are available in this preparation. It is a most happy combination, displaying all of the desirable effects of both Cystogen and Lithia. The effervescence brings about a quick solution in water, producing a perfectly tasteless solution. Water that is too cold retards the effervescence. It may therefore be conveniently taken at meal time in a full glass of water. In cases where this method of administration is contraindicated, it may be taken between meals, always dissolved in considerable water.

These tablets being effervescent, need to be protected from atmospheric conditions, and for this reason are packed in glass tubes containing one dozen tablets in each. Three tubes are packed in a small cardboard box. A tube may be conveniently carried in a vest pocket, so that patients may be expected to take the medicine with regularity. Samples supplied to physicians on request to the Cystogen Chemical Company, St. Louis, Missouri.

FIGHTING TUBERCULOSIS.- President Roosevelt has recently issued an order which has for its object "eliminating and preventing tuberculosis among the employees of the public service." Rules are to be printed and transmitted to all Federal buildings, and these rules must be observed. "The non-obedience of such rules shall, in the discretion of the head of the department, be considered a just cause for separation from the service." The order also provides: "Whenever there is a doubt with regard to any person in the Government service as to whether said person is afflicted with pulmonary tuberculosis, an order shall be issued for said person to present himself (or herself) at one of the Government laboratories for examination, and to present the department, from the director or other authorized officer of the said laboratory, a certificate showing the result of said examination. If a Government laboratory is not accessible the laboratory investigation shall be made at Government expense."

All public buildings, workshops, etc., are to be thoroughly examined by surgeons assigned to that duty, and reports will be made on sanitary conditions that are immediately remediable and also on conditions requiring structural changes. The Government will wage war against tuber

culosis in all its departments with the view of eliminating or preventing it. This is a wise move on the part of the Government, which has facilities and authority for such work. This crusade should be followed by state and municipal governments. These latter become very active in the enforcement of rigid rules and regulations when an epidemic of some disease threatens, but are serenely indifferent to the ever-present danger of tuberculosis, which destroys thousands where yellow fever, cholera, smallpox, etc., destroy hundreds. With Federal, state, and municipal governments actively engaged in a campaign of prevention and elimination of tuberculosis, reinforced by medical and civic societies, the greatest enemy of human life would soon cease to reap the terrible harvest it now does.

STUBBORN CASES OF RHEUMATISM.- Many stubborn cases of rheumatism respond rapidly to the influence of “Tongaline.” This product, representing the highest degree of pharmaceutical skill, contains the salicylates in an unusually potent form, inasmuch as they are not obtained by synthesis but are extracted from the purest oil of wintergreen. In addition to their potency as anti-rheumatics they possess an additional advantage in not deranging the most sensitive stomach.

Physicians who appreciate the progress of honest pharmacy will find in "Tongaline" a product worthy of their highest commendation and confidence.- International Journal of Surgery, February, 1906.

PROPER MEDICATION AND CHEERFUL COMPANY.- During the past two months, we have met with more la grippe than anything else, and the number of cases in which the pulmonary and bronchial organs have been very slightly or not at all involved, has been greater than we have noted in former invasions. On the contrary, grippal neuralgia, rheumatism, and hepatitis have been of far greater frequency, while the nervous system has also been most seriously depressed.

With each succeeding visitation of this trouble we have found it more and more necessary to watch out for the disease in disguise, and to treat these abnormal manifestations; consequently we have relied upon mild nerve sedatives, anodynes, and tonics rather than upon any specific line of treatment. Most cases will improve by being made to rest in bed and encouraging the skin and kidney action, with possibly minute doses of blue pill or calomel. We have found much benefit from the use of Antikamnia and Salol Tablets, two every three hours in the stage of pyrexia and muscular painfulness, and later on, when there was fever and bronchial cough and expectoration, from an Antikamnia and Codeine Tablet every three hours. Throughout the attack and after its intensity is over, the patient will require nerve and vascular tonics and reconstructives for some time.

In addition to these therapeutic agents, the mental con

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