phis, there will be some financial difficulties to report at the expiration of the first twelve months' experience with this journalistic bark. Looking at this matter from another standpoint, there are very few men who take the trouble to prepare a creditable paper who would be willing to have it buried in a publication that has a circulation of three, or four hundred subscribers. An author desires that the fruit of his pen shall reach an extensive circle of readers, and the claim for such attention is perfectly legitimate. We are confident that the adoption of this plan of publishing papers read before the society will result in the loss of some of the best contributors to the annual program. The publication of Transactions is a good and permanent method for the preservation of papers, but society members should be permitted to first publish their papers in a journal of their election (which the Tennessee State Medical Society now does), or else one that has not merely a limited and local circulation.

This scheme of publishing a State Society journal has beer tried many times before without success. Mississippi and Arkansas have each made an unsuccessful venture. There are a few other States that are publishing society journals, but these, almost to a unit, are poor productions from every standpoint.

Let us continue the publication of our Transactions, but don't, gentlemen, commit the society to a venture that savors so strongly of turning the grindstone for some who have the editorial bee buzzing under their bonnets.

THE BARRING OF TUBERCULOUS IMMIGRANTS. CONSIDERABLE discussion has been evoked by the action of the Treasury Department in refusing admission to consumptive immigrants, tuberculosis being classed by the department under the heading of communicable diseases. Many claim, and we find to our regret that a number of these are physicians, that this step on the part of the Government is uncalled for and without the basis of scientific certainty as to the contagiousness of this disease. Indeed, the New York Academy of Medicine has recently adopted a resolution denouncing this ruling of the Treasury Department.

While the course of the Treasury Department may be construed by some as inhumane, we can not see why the victims of tuberculosis should not be excluded as well as those of favus and other communicable diseases, which cause the rejection of a number of immigrants to this country. It is true that the degree of contagiousness of tuberculosis is still debatable, but sufficient evidence has been adduced to prove that it is at times transmitted from man to man through the medium of the air and other routes of conduction.

The consumptive immigrant is almost invariably an individual in reduced circumstances and is incompetent to earn his own living on account of his physical condition. These discased persons frequently become a charge upon the hands of the community or State, and prior to that they customarily live in surroundings so squalid, and are usually so careless as to habits, that they necessarily become foci for the further propagation and spreading of tubercle bacilli. They are undeniably a source of expense to the country, instead of being producers, and unquestionably must be more or less inimical to the health of other individuals with whom they come in

contact.

From a sentimental standpoint it does look a little hard that the father or mother or sister or brother should be refused permission to join their relatives in this country, which they have come to look upon as a haven of independence and physical health, but while this may concern a limited circle, the old law of the greatest good to the greatest number recurs here as in similar conditions, and it certainly seems unfair that this country, which already carries a heavy burden of parasites who have come to us from other lands, should be forced to assume other charges who, while they may be objects of pity, can be of no value to the community, but must always remain a source of menace. We are as yet too uncertain of our ability to cure tuberculosis to welcome these prospective patients.

DR. LEONIDAS H. LAIDLEY has been appointed to the important post of medical director of the Louisiana Purchase Exposition.

EDITOR'S NOTES.

THE WESTERN OPHTHALMOLOGIC AND OTO-LARYNGOLOGIC ASSOCIATION will hold its seventh annual meeting in Chicago on April 10, 11, 12 prox. An interesting program is promised.

THE MEMPHIS TRAINING SCHOOL FOR NURSES OF THE CITY HOSPITAL held its annual commencement exercises on Friday evening, February 14, at the hospital. Three nurses were graduated.

THE MEMPHIS MEDICAL SOCIETY enjoyed a delightful smoker at the Peabody Hotel on the evening of January 31st. There were between sixty and seventy members of the Society present, and the occasion was one to which all who attended will look back with many pleasant recollections.

THE APRIL ISSUE OF THE MONTHLY will be almost entirely devoted to the publication of papers discussing the continued types of fever more or less widely prevalent in the South. There will be articles by Drs. W. A. Evans, of Chicago, J. B. McElroy, of Stovall, Miss., H. L. Sutherland, of Rosedale, Miss., Wm. Krauss, of Memphis, and others. This issue will

be of peculiar interest to physicians of the Delta, and the issue alone promises to be worth more to practitioners than the cost of a year's subscription to the foremost medical journal in the Mississippi Valley.

THE FARBENFABRIKEN OF ELBERFELD COMPANY has requested us to inform its readers that they have recently ferreted out and exposed a gang of drug counterfeiters, who have been selling under false labels to druggists, imitations of several of their preparations, and that quite a quantity of these spurious. products has been placed on the market. Where phenacetin, sulfonal, or trional are indicated, every physician recognizes the imperative necessity for securing a pure article, therefore they should exercise great care in seeing that their patients obtain what is prescribed for them,

SOCIETY PROCEEDINGS.

MEMPHIS MEDICAL SOCIETY.

Stated meeting February 4, 1902.

The President, Dr. Alfred Moore, in the chair.

Present: Drs. Alfred Moore, Barton, Hall, Black, Rudisill, Andrews, E. M. Peete, McCown, McReynolds, Jelks, Wolff, Porter, Burns, Henning, Krauss, Gardner. Visitor, Dr. Petty.

PROGRAM.

Diagnosis and Treatment of Typhoid Fever-Dr. B. G. Henning. (See p. 133). To open discussion-Dr. Frank A. Jones. Report of Case of Abscess of Brain-Operation-RecoveryDr. M. Goltman. To open discussion-Dr. J. H. Venn.

The other members on program being absent, the entire evening was spent in the discussion of Dr. Henning's paper. In Dr. Frank Jones' absence Dr. Burns opened the discussion. He first complimented Dr. Henning's able paper. He said that he had had very little experience with typhoid fever; that he had seen while practicing in Arkansas eight thousand cases of malarial fever and only two of typhoid; these were imported. Said he did not know whether this was due to the atmospheric condition or whether the malarial germ was antagonistic to the typhoid; said the malarial and typhoid germs are rarely found in the same patient at the same time. Thought all cases of malarial fever would respond to quinin. He thought Hare was wrong in saying that headache did not. occur until fourth day in malarial fever-it was always present. Thought Widal's reaction would aid in diagnosis-would give negative reaction in malarial fever. Intestinal antiseptic would make patient more comfortable. In 20 to 30 per cent. of patients who had had typhoid, they show typhoid bacilli in the urine for ten years, and patients should be careful to disinfect the urine to protect others. Thermol was a safe antipyretic, and relieved pain. Was in favor of solid food in protracted cases.

Dr. Krauss thought Dr. Henning's paper perfect. Typhoid and malarial fever do exist some time in the same patient at the same time. Widal's reaction is not perfect. Does not think quinin will cure all cases of malarial fever. Thought that in some cases of post malaria or acute cachexia, mercury better than quinin. Said we do have in Memphis continued malarial fevers.

Dr. Black thought we had many cases of true typhoid during past fall. Said he saw many cases which showed Widal's

reaction on fifth day; thought some of these cases had no eruption; saw one case in which temperature was 106°F., and the patient recovered, while all authorities teach when temperature goes so high it is always fatal. Thought thermol best thing to reduce temperature.

Dr. Andrews said, after reading and hearing the best men, he thought much was to be learned about Southern fever yet. Had more confidence in Southern men's opinions, such as Dr. McElroy, than in library writers.

Dr. Gardner said he was called to Mississippi last summer to see his mother who had typhoid fever. Her temperature was reduced by quinin. Ten days after returning to Memphis he developed typhoid himself, while no other members of his family who were with his mother constantly developed the disease. Did not know whether he contracted it from his mother, or whether being in same locality where she contracted it, he contracted it from some source from which his mother contracted it, or whether he contracted it in Memphis after leaving Mississippi.

Dr. Peete gave history of a case of continued fever which recently occurred in his practice; was not positive as to diagnosis; had many symptoms of typhoid, but no eruption.

Dr. McCown said he had enjoyed Dr. Henning's most excellent paper. Thought Dr. Burns should be more specific in making differential diagnosis of typhoid and malarial fever. Said there were three ways of making diagnosis-first, clinical; second, Widal's reaction; third, deadhouse.

Dr. Wolff said he was much pleased with Dr. Henning's paper. Said that he saw eleven cases of malarial fever recently in city hospital, and four of them showed Widal's reaction. Thought thermol a good antipyretic.

Dr. Jelks thought intestinal antiseptics good in the treatment of typhoid; thought guiaicol and sulpho-carbolate of zinc the best. Believed in using much water by mouth and rectum, and would reduce temperature and dilute ptomains. Would also give solid food in protracted cases; such foods as beef and egg albumen; albumen was of special value as the temperature burned up the albumen in the tissues.

Dr. Moore said he could add nothing to Dr. Henning's excellent paper, and would not attempt to discuss it, but desired to thank him for the paper.

Dr. Henning said in conclusion that there was an antagonism in the malarial fever for typhoid fever, but that it was possible for them to co-exist in the same patient. Said the typhoid which we had three years ago was not the same as