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ligence and right living of the fathers and mothers. The United States leads the world in wealth, but stands one-third down the list in infant mortality. Home making means more to the country than any other occupation. Society must regulate health and economic and moral conditions. Every baby has the right to be well born and well cared for. Babies cared for by their mothers have seven times the chance to live that "bottle" babies have.

Dr. Riggs of St. Paul, reported on "Certain Nervous Phenomena in Pernicious Anemia." In several cases the nervous phenomena have long preceded the presence of any blood findings. The cord symptoms are much like those of ataxic paraplegia and in some cases distinct mental symptoms, such as those of dementia paralytic, are observed. Some clinical cases were reported and the literature reviewed. Salvarsan was recommended intravenously for treat

ment.

Dr. J. W. Cokenower, of Des Moines, Iowa, read a paper on "Infected Joints from Diseased Tonsils and Teeth or Other Dis eased Parts of the Body." He drew attention to the fact that very many chronic joint disturbances heretofore classed under the general name of rheumatism were, in fact, due to septic absorption from some focus, or atrium, of disease situated far from the joint. He cited cases of chronic multiple joint disease which were due to infections about the mouth, especially of the teeth. Other cases were mentioned where the tonsils were to blame.

Dr. A. F. Jonas, of Omaha, chairman of the Surgical Section, in his address struck the keynote of the difference between surgery of the past and the surgery of the future. The time was not many years ago when surgery was largely a matter of mechanics and such pathology as came under the surgeon's consideration was largely the pathology that could be determined by the naked eye. The surgeon of today must be as thoroughly drilled in the methods of the research laboratory and must be as skilled a pathologist as an operator if he wishes to keep pace with the rapid advance of surgical science.

Dr. B. W. Sippey, of Chicago, reported on the examination of the cerebrospinal fluid of 150 patients by means of Lange's Goldsol test. His study showed the method to be of great value in diagnosis. The utmost care is necessary in the production of the gold solution, otherwise the method is not complicated. The presence of blood

in the spinal fluid interferes with this reaction as with "Nonne's." All syphilitic processes react with a maximum intensity in dilations of 1 to 40 to 1 to 80. Non-syphilitic organic processes react with a maximum intensity at a dilution of 1 to 640.

Dr. C. C. Bass, Tulane University, was awarded the A. M.A. gold medal for his exhibit on "The Cultivation of Malarial Plasmodia in Vitro " Certificates of merit were awarded to E. F. Smith, United States bureau of plant industry, for an exhibit of "Cancer in Plants;" to Dr. Lillian South, for an exhibit of "Intestinal Parasitic Diseases," and to Dr. L. B. Wilson, Rochester, Minn., for his exhibit of "The Histology of Goiter."

Dr. L. Harrison Mettler of Chicago, discussed the symptomatology of multiple sclerosis. In the eyes of some men this is the most common of organic nervous diseases, others believe it very rare. Dr. Metler considered the autopsy findings necessary in order to make a positive diagnosis unless we are dealing with a very typical case, as of the Charcot type. In view of this it is impossible to determine the exact frequency of the disease. The most valuable signs of the multiple sclerosis are: a certain type of optic atrophy, intention' tremor, speech disorder, and signs of motor involvement, the motor signs less marked than in lateral sclerosis. The disease most commonly confused with multiple sclerosis is a disseminated encephalo-myelitis. the discussion it was pointed out that the Wassermann reaction and the study of the cerebrospinal fluid enable one to make the distinction in many cases.

ELECTION OF OFFICERS.

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Four ballots were taken before Dr. Vaughan was declared the choice of the delegates. On the first ballot Dr. Vaughan was third on the list, with Drs. Rodman and Wishard in the lead. On the first ballot the vote stood: Wishard, 32; Rodman, 25; Vaughan, 24; Ellis, 17, and Deaver, 15. Dr. Deaver, the lowest man, was eliminated.

On the second ballot the vote stood: Wishard, 39; Rodman, 33; Vaughan, 27. and Ellis 17.

On the third ballot third ballot Dean Vaughan

showed his strength, tieing Dr. Wishard for the first place. The vote was Vaughan, 40; Wishard, 40, and Rodman 36.

When the final ballot was being taken the interest grew intense. Dr. Vaughan made a steady advance, however, and the final vote was: Vaughan, 63; Wishard, 53.

The election of the other officers was practically unanmious. An interesting situation arose when the name of Dr. Lillian South had been presented. The name of Dr. Sol G. Kahn of Utah already had been presented. Before the matter was put to a vote, a Utah man arose and said: "Utah has allowed women to vote for many years. Our state was one of the pioneers in recognizing woman as the equal of man. We do not want to run a candidate against a woman. It places us in too delicate a position. For that reason we withdraw the name of Dr. Kahn for third vice-president."

The name of Dr. Kahn was then presented for the office of fourth vice-president and the election made unanimous.

Other officers were elected as follows: First vice-president, Dr. W. P. Conway, Atlantic City, N. J.; second vice-president, Dr. Frank C. Todd, Minneapolis; fourth vice-president, Dr. Sol G. Kahn, Salt Lake City, Utah; secretary, Dr. Alexander R. Craig, Chicago (re-elected); treasurer, Dr. William Allen Pusey, Chicago (re-elected).

The following new trustees were elected: Dr. W. W. Grant, Denver, Col.; Dr. Frank J. Lutz, St. Louis, Mo.; Dr. Oscar Dowling, Shreveport, La., and Dr. Thomas McDavitt, St. Paul, Minn.

The new president, Dr. Victor Clarence Vaughan. is one of the most eminent medical men in America. He is 62 years old. He has been head of the department of medicine and surgery at the University of Michigan since 1890.

In 1904 he was president of the Michigan State Board of Health. He served in the Spanish-American War, taking part in the Santiago campaign. He was major and surgeon of the Thirty-third Michigan volunteers. In 1900 he was made surgeongeneral of the Spanish American War Veterans. In 1908-1909 he was president

of the American Physicians' Society. He is the contributor of more than 150 original pages to current medical and scientific literature and is widely known as an author on medical subjects.

Samuel Hopkins Adams, a magazine writer, who has had much to do in exposing certain injurious nostrums, was made an associate member of the association.

The standing Committee on Transportation and place of meeting selected Atlantic City for the 1914 convention. It had considered Louisville, New Orleans, Washington, St. Louis, Chicago, New York and Atlanta. Dr. Curran Pope made an eloquent appeal for Louisville.

Symposium on Rheumatism.

The August issue of the Medical Herald will contain a Symposium on Rheumatism, with papers from Drs. Woodson Moss, Wm. Engelbach, W. T. Wootton and E. H. Martin.

Dr. Wm. J. Mayo Doubly Honored.

It is gratifying to note that Dr. Wm. J Mayo has been made the recipient of a high honor from France, having been elected foreign correspondent of the Academy of Medicine of Paris. In London next month Dr. Mayo will have conferred upon him a degree from the Royal College of Surgeons of England.

Dr. O. C. Gebhart has succeeded Col. Joseph Corby as president of the St. Joseph Board of Health.

The Missouri Association of Ophthalmologists elected Dr. B. N. Moulton president; Dr. Geo. Bedell vice-president, and Dr. Oliver Abel secretary. The next annual meeting will be held in Kansas City in 1914.

The "Medical Record," formerly published in Kansas City, by Dr. A. L. Fulton et al., is dead. The Medical Herald is now the only medical magazine published in Kansas City territory, succeeding the Kansas City Medical Index-Lancet in 1911.

KA

MEDICAL ASSOCIATION OF THE SOUTHWEST

ANSAS CITY will entertain this society on October 7-8,1913, Dr. W. T. Wootton of Hot Springs, president. Dr. J. A. Witherspoon, president A. M. A. will deliver an evening address. Sessions will be held at the Coates House, which will also be headquarters. Clinics will be held in the hospitals before and following the meeting. A cordial welcome

extended to visiting physicians.

Medical News

KANSAS CITY.

Dr. W. H. Schutz returned July 1st from a fishing trip to Lake Ida.

Dr. and Mrs. C. L. Cooper spent the month of June in New York.

Dr. Dora Greene Wilson is spending the summer at Long Beach, Calif.

Dr. and Mrs. Geo. B. Norberg are very proud of Geo. B., Jr., just arrived.

Dr. John Hatten Robison and Miss Odah Baldridge were married June 11th.

Dr. and Mrs. Owen Krueger sailed from New York June 25th for a summer in Europe.

Dr. John Punton sailed from New York

Dr. Fred B. Kyger and Miss Lucile Stacey Hutchenson were among the June nuptials. After a honeymoon they will return to Kansas City in July. Dr. Kyger is one of our established young physicians with a good future.

Dr. Russell L. Hodge recently resigned from the General Hospital staff to sail June 20th for Vienna. Under the auspices of the American Medical Association of Vienna he will devote his time to the study of surgery. He was married June 19th to Miss Margaret Stella Campbell.

GENERAL.

Dr. C. C. Haskell, director of the Department of Experimental Medicine, Dr. Severance Burrage, director of the Biological De

July 3d for a visit with home folks in Eng- partment, and Dr. C. S. Woods, medical

land.

Dr. Connelly Anderson's office was broken into and the safe jimmied and $143 stolen June 10th.

Dr. C. A. Revelle has been appointed police surgeon under the new commissionership, vice Dr. Eugene Caubaugh, resigned.

The Herald is in receipt of a card from Dr. James P. Henderson, who is in London doing some good post-graduate work in

surgery.

Dr. Evan Shelby Connell, son of Dr. W. A. Connell, graduated from Tulane University June 4th, making the highest grade in a class of 87.

Dr. Wm. Arthur Millington and Miss Cornelia Hinsburg were married June 11th. They will be at home after July 1st at Kimberly, Nev.

Dr. J. B. Mercer and Miss Ida Mayer, of Kansas City, Kas., are spending a honeymoon in the West after a pretty wedding at the Baltimore Hotel.

Dr. Leon Rosenwald, of the Argyle Building, is now giving his time to consultation and diagnostic practice in urology, including functional renal tests, cystoscopies and urethroscopies.

Dr. J. Archie Robertson's $3,000 auto

mobile was taken from the street curb by an unknown. The last report was that the doctor was paying his "nickel as you

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Dr. P. T.Bohan has been made Professor of Clinical Medicine, and Dr. Jesse E. Hunt, Associate Professor of Medicine, and Dr. Wm. Waddel Duke, Assistant Professor of Medicine, in the Kansas University.

counsel, all of Eli Lilly & Co., attended the meeting of the American Medical Association at Minneapolis during the week of June 16th.

eral weeks in St. Joseph and Kansas City Dr. K. H. Hall, of St. Louis, spent sevlast month, detailing for the Arlington Chemical Co. and the well-known products of this firm, as well as for the New York Pharmacal Association, of Yonkers, N. Y. Dr. Hall is one of the type of detail men that is always welcomed by the doctor.

Frank R. Eldred, director of the Scientific Division of Eli Lilly & Co., received. the degree of Doctor of Pharmacy from the Medico-Chirurgical College of Philadel

phia, at the June commencement. Mr. Eldred is well known in pharmaceutical and chemical circles by reason of his investigations which have been published from time to time by the pharmaceutical and chemical

press.

Dr. A. L. Walters will become connected with the Department of Experimental Med. icine of Eli Lilly & Co. in July. Dr. Walters is a graduate of Purdue University with a degree of B. Sc. in 1904, and spent the four years following his graduation in the Botanical Department of the Lilly Company. In 1908 he resigned to enter the medical department of Johns Hopkins University, and received the degree of Doctor

of Medicine in 1912, since which time he has been engaged in hospital work as an interne at the Providence City Hospital, R.I., and at the Johns Hopkins Hospital, Baltimore. In addition to his medical training, Dr. Walters is also a graduate pharmacist, and is especially qualified to carry on work in experimental medical lines.

The Doctors' Library

"Next to acquiring good friends, the best acquisition is that of good books."-C. C. Colton. Surgical Clinics of John B. Murphy, M.D., at Mercy Hospital, Chicago. Volume II. No. 2. (April 1913). Octavo of 171 pages, illustrated. Philadelphia and London: W. B Saunders Company, 1913. Published Bi-Monthly. (Price per year: Paper, $8.00; Cloth, $12.00.) This volume of Dr. Murphy's Clinics contains a larger number of cases than has been reported in any previous number. The cases also cover a wider range of surgical conditions. Fewer bone cases are cited than in the other volumes. It can be said that every one of the 164 pages is replete with surgical suggestions.

and theories of immunity lead to the principles governing all our modern methods of nursing, and determine in particular all the details of surgical technic.

The chapter on dieting is compiled chiefly from the dietaries in use in various hospitals, especially the above named.

Veterinary Bacteriology. A Treatise on the Bacteria, Yeasts, Molds and Protozoa Pathogenic for Domestic Animals. By Robert Earle Buchanan, Ph.D., Professor of Bacteriology in the Iowa State College of Agriculture and Mechanic Arts, Division of Veterinary Medicine, etc. 214 illustrations. Pp 516. Philadelphia and London: W. B. Saunders Company, 1912. (Price $3.00.)

The book before us appears to be a most excellent presentation of the essential facts with which a well-trained veterinarian should nowadays be familiar. The facts are well selected and, as far as a rather careful reading has shown, the information is accurate and up-to-date. The book is divided into six sections, of which the first deals with the morphology, physiology, and classification of bacteria, the second with laboratory methods and technique, and the third with the relation of bacteria to disease. The last named includes an excellent, though brief, chapter on anaphylaxis. Section IV deals with pathogenic bacteria, Section V with pathogenic protozoa, while the final section is devoted to infectious diseases, the specific cause of which is as yet unknown. The book concludes with an excellent index.

Modern Methods in Nursing. By Georgiana J. Sanders, formerly Superintendent of Nurses at the Massachusetts General Hospital, Boston. 12 mo. of 881 pages, with 228 illustrations. Philadelphia and London; W. B. Saunders Company, 1912. (Cloth, $2.50 net.)

In writing these chapters the author has used a great deal of material from the many excellent lectures given in one or other training-school with which he has been connected, and for the practical and technical details, he has gone into those adopted by the leading hospitals in America, as well as those with which his own work had made him familiar, especially the Polyclinic Hospital, Philadelphia, and the Massachusetts General Hospital, Boston.

The chapters on elementary bacteriology

The Operating Room and the Patient. By Russell S.
Fowler, M.D., Chief Surgeon First Division,
German Hospital, Brooklyn, New York. Third
Edition Rewritten and Enlarged. Octavo
volume of 611 pages with 212 illustrations.
Philadelphia and London: W. B. Saunders
Company, 1913. (Cloth, $3 50 net.)

This book is to be recommended for its completeness and the simple yet thorough manner in which the author treats the various subjects. It is a veritable storehouse of helpful practical surgical suggestions well illustrated, and covering the ground fully in twenty-three chapters. This edition is brought up-to-date, and should prove a part of the library of every student of modern surgical technic.

The Modern Treatment of Nervous and Mental Diseases. By eminent American and British authors. Edited by William A. White, M. D., Superintendent of the Government Hospital for the Insane, Washington, D. C., etc., and Smith Ely Jeliffe, A. M., M. D., Ph. D., Adjunct Professor of Diseases of the Mind and Nervous System in the Post-Graduate Medical School and Hospital, New York, N. Y., etc. Two octavo volumes, containing about 900 pages each, illustrated. Philadelphia and New York: Lea & Febiger, Publishers, 1913. (Per volume, cloth, $6.00, net.)

This volume is a collection of monographs by seventeen American writers and two English writers, each contributing one of the nineteen chapters. The title is attractive inasmuch as the average text-book on nervous and mental diseases is conspicuous by the omission of convincing therapeutic instructions. But this book aims to treat diseases preventively as well as medicinally, studying the man as a biological unit, and also in his social relations. The psychical side of life is here viewed as worth while as well as the physical. The doctrines of nervous and mental hygiene are emphasized as social organization reconstructives, severely chastising therapeutic nihilism, the result of medical myopia, seeing only "individual examples and results of human accidents," and letting "false therapeutic cults" into the medical Thus a broad therapeutic scale is promulgated, presenting a prophylactic, a preventive therapy and even the prevention as pictured in the application of eugenics

arena.

to heredity, based on the biologic theory of Mendel. The term "insanity" is severely but properly criticised as a "relic" of that time when all brain disorders with predominant mental symptoms were considered one disaese. "Insanity has no place in the present order of things-certainly not in medicine and probably better not in law." Lung diseases as a unit would be condemned as a chapter in a modern text on medicine.

As a scientific contribution this "Modern Treatment of Nervous and Mental Disease" is all that the title infers. It is, however, to be studied and not read else it over-shoots the reader's grasp. The reader should not confuse the modern treatment;" overlooking it, in searching for the stereotyped text-book drug treatment, else he be disappointed. For instance, Adolf Meyer learnedly discusses paranoia from the definition to its characteristics, flitting along the historic by-ways, bordered by scientific and poetic descriptives unto end, awakening no drug therapy as the subject would indicate.

Again, E. E. Southard, in his confident manner, most entertainingly presents "Mental Diseases of Somatic but Extranervous Origin." Especially is his "Typhoid Fever Psychoses" of more than usual interest. But he devotes ten pages to what Kraepling, Bonhoeffer and "I" said and at the point of an expected therapeutic revelation he drops the reader with: "But this is in the bosom of the future the results depend upon fresh clinico-pathological insight and new work by immunologists and

chemists.

Further, H. A. Cotton, treating "Hyperthyroidism," utilizes twelve pages to say: "That a combination of surgery and rest cure is the method of choice and will cure most of the patients, even those in the most critical condition."

Contrasted with the no drug therapy Clarence B. Farrow advises treating the advises treating the sleep disorders of manic-depressive insanity with a glass or two of beer, 5 to 15 grains of veronal, 10 to 20 grains of trional, chloral bromide and opium, or, "a course of bromides" with small amounts of opium, 4 to 1 grain doses. In resistive cases" he "subdues" them and "promotes" sleep with grain of morphine and 1-150 to 1-100 grain of hydrobromate of hyoscine. This is going some and all with no systematized explanation to guide the practitioner who sees but few cases and needs guidance. In part it sounds like Belleview Pavilion practice twenty-five years ago and the general practice of police detention. The in

formation certainly is not from the records of a modern psychopathic institution as narcotism is not curative in the therapy of mental diseases.

The modern treatment of "Alcoholism and the Alcohol Pscy hoses" by H. W. Mitchell is prevention. Therapeutically he rightly mentions the Towns-Lambert treatment as introductory to the "Proprietary Cures" (p. 302). Its the old story of hyoscine and belladonna with their insane delirium provoking proclivities and no curative action. Mitchell says: "The great number of selfstyled "cures" that are exploited for the alleged treatment of alcoholism, and the actual enrichment of their promoters, are recommended by many practitioners, who, from ignorance or indifference, are thus giving tacit approval to quackery." But here are Mitchell's hypnotics in delirium tremens: "chloral, morphine, hydrobromate of hyoscine, trional, sulphonal, veronal and the bromides." In this list sulphonal is the only non-delirium producing drug. Hyoscine and morphine are dangerous narcotics in alcoholic delirium. Trional provokes confusion and depression of mind and often adds damage to an already acutely damaged kidney function. Sufficient bromide to control alcoholic delirium often causes unrecognized bromo-delirium and the death is thought to be due to "Wet Brain."

The criticism here is an antiquated treatment, an unsystematized treatment, not made simple or plain that the practitioner can grasp it. A large number of drugs thrown into a text without reason for their application only add confusion to the nonexpert physician's procedure. He must meet and treat these cases and needs "The Modern Treatment of Nervous and Mental Diseases." Were he an expert he would not need the text. However, there is much in this volume of the modern trend which makes it valuable and desirable. S.G.B.

John O' Jamestown-A Novel. By Vaughan Kester.

Illustrated by M. Leone Bracker. Indianapolis: Bobbs-Merrill Company. ($1 35 net.) John O' Jamestown is a narrative based on the founding of Virgina. It is a story of Lord De la Warr, Powhattan, John Rolfe, Pocahontas and "Jack the Spaniard." One figure painted full-length, dominates the canvas, however. It is John Smith, the hero of the founding of the colony, a figure of humor and courage, brilliantly real and glowingly alive. With the same remarkable power of imagination that created Bob Yancy in The Prodigal Judge; Shrimplin in The Just and the Unjust, and Virginia in The Fortunes of the Landrays,

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