the loop was a Meckel's diverticulum. It was three and one-half inches in length, and from one to one and one-half inches in diameter. It was entirely filled with a hard fecal mass, and it, as well as the incarcerated portion of the ileum, was gangrenous and seemed on the verge of perforation near its extremity.

Dr. Miles F. Porter of Ft. Wayne, Ind., has collected one hundred and forty-nine cases from the literature, and has reported thirty-five more. He concludes that the enormously high death rate is due to non-operative interference or late operations, and urges early operations in all cases of intestinal obstruction.

Case I. Mrs. H., age forty, married, two or three children, general health good, except for attacks of intestinal colic. Seen April 1, 1901, in such an attack, which had lasted twelve hours. Pulse 156 and weak, abdomen somewhat distended and the imprint of the coils of the intestines could be seen through the walls. There was fecal vomiting. The patient grew rapidly worse and died the next day.

Autopsy-A portion of the intestines was gangrenous. This proved to be a loop of the ileum about three feet long. It was firmly constricted at its base by Mecker's diverticulum, which encircled it one and one-half times. Judging from post-mortem findings, the onset must have been sudden.

Case II. Male, age about fifty. The diverticulum was found in a routine autopsy and had not caused any trouble. It was two inches long and two-thirds the diameter of the ileum to which it was attached.

Case III. Male, age about forty. This was the same as case II, except that the diverticulum was three inches in length and was slightly clubbed at its extremity. Case I had a mesentery, cases II and III did not.

Case IV. R. N., age twenty-two, male, single, laborer. Was brought down from a mining town with the history of intestinal obstruction of forty-eight hours' duration, with an abrupt onset. The patient died with general peritonitis.

There was a history of previous attacks of appendicitis.

Autopsy-Numerous adhesions from old appendicitis, and behind one of the bands was a loop of intestine six or eight inches in length.

Case V. Diverticulum was found in routine autopsy, and had not caused any trouble. It was slightly bifid at the extremity.

The Boulder County Medical Society held its regular monthly meeting at 8 p. m., Thursday, April 5, at the Physicians' Block. Those present were Drs. Dessie Robertson, Jolley, Skinner, Lucy M. Wood, Gilbert, Rodes, Johnstone, Miles, Reed, Queal, Baird, Kate Lindsay Ida S. Herr, Campbell, Allen, Trovillion, Cattermole, Mary L. Ambrook, Spencer and a number of medical students.

The minutes of the last meeting were read and approved.

Dr. J. B. Ekeley, professor of chemistry at the University of Colorado, gave an excellent talk on "A Review of Emil Fischers' Work on the Proteids." He mentioned the fact that physicians are often handicapped in their work because sufficient research work along scientific lines has not been done. Several years ago Professor Fischer worked out the sugars and the uric acid group and made these preparations synthetically. Six years ago he decided to devote the rest of his life to the proteids. Only a few months ago he published an epoch-making article upon his work.

Dr. Ekeley explained clearly and concisely, by formulae, the different steps which Fischer had to take in his work upon the proteids. He spent the first two years of the last six discovering the amido-acids. When he started only eight of the amido-acids were known and he is now able to make many more synthetically. He prepared these acids in order that he might be able to recognize them when found while doing later work with the more complex proteids. By uniting different groups of amido-acids he formed peptones.

In concluding his talk Dr. Ekeley emphasized the fact that while Fischer's work is not complete he had discovered the key note of the proteids and if he lives will complete one of the greatest pieces of research work in modern chemistry.

A unanimous vote of thanks was extended to Dr. Ekeley by the Society for his most interesting talk.

Colorado Ophthalmological Society.

The Society met in Denver March 17, 1906, Dr. W. C. Bane presiding. Attendance, 14 members, four guests, Colorado Springs, Boulder and Denver being represented.

A case of Opaque Nerve Fibres of one eye, with enlarged and elongated inferior temporal vein, was shown by Dr. Strickler. The vein was thought to be normal.

Dr. Black showed a case of retinitis pigmentosa upon which he had used the high frequency current five minutes a day for 43 days, with increase of vision from 5-12 to 5-9. Improvement of vision from no light perception to 1-60 had occurred in a case of retinal embolism, shown by Dr. Bane, following the use of the Rogers' 500 c. p. lamp for two months; and the lamp was exhibited and the patient treated by it before the Society.

Dr. Coover reported improvement in vision in two cases of conical cornea, following the use of the high frequency current.

Two cases of foreign bodies entering the eye were reported by Dr. Stevens. In the first, a sliver of steel passed through the cornea and lens, and could be seen clearly in the vitreous. It was extracted by a magnet. Uveitis developed, for which large doses of salicylate of sodium were of no avail, but the use of mercury and leeches caused the inflammation to subside. Three weeks later the lens still remained clear, the scars of penetration showing only on the cornea and the anterior and posterior capsules of the lens. In the second case, a piece of steel coated with paint entered the eye. The scale of paint could still be seen in the vitreous, but the steel had passed through probably lodging in the orbit. This patient would not consent to operation for the removal of the foreign body in the vitreous.

Dr. Libby reported a case of membranous conjunctivitis in a man aged 40, in which a membrane of diphtheritic appearance covered the conjunctiva of the lids and eye-balls except a rim of 1-8 inch width surrounding the cornea. Bacterial examinations by Dr. W. C. Mitchell failed to show the diphtheria bacillus, but revealed the xerosis bacillus in abundance, and also the staphylococcus and streptococcus. Probably the latter was the cause of the membrane. There was also a general uveitis, with corneal involvement. Vision, fingers only. Under appropriate general treatment and frequent cleansing with saturated solution of boric acid, 1-2 to 1 per cent atropin solution, and 10 per cent argyrol solution t. i. d., the membrane had disappeared, the extra ocular and intra ocular inflammation had largely subsided and the R. V., 4-15; L. V., 4-4, partly, on the fourteenth day after infection, and the tenth after instituting treatment.

A case of intense edema of the conjunctiva and lids, of three days' duration, was also reported by Dr. Libby in a patient aged 21 years. Low refractive error and absence of asthenopia at times or any previous time excluded eye strain as the cause, and no infection could be traced. Examination by Dr. E. C. Hill showed a heart markedly dilated by excessive athletics, blood pressure 89, and shortness of breath on exertion. The urine was scanty, no sugar or albumin, but excess of urea and indican. Calomel and soda, strophanthus, digitalis, and regulated diet, caused a decided reduction of the dilatation, raised blood pressure, improved breathing, normal urine, and relief of the edema in one week.

Dr. Jackson reported a case of irido-cyclitis, due to striking the water in high diving; and another from a quantity of milk from a bursting separator striking the eye, there being no other injury.

A case of sympathetic ophthalmia was reported by Dr. Davis, who had seen the case in 1892 and treated it with mercury, the exciting eye not having been removed. The sympathizing eye now showed vision of 9-10, a slight deposit on the lens capsule, and a slightly discolored iris.

Drs. Strickler, Bane and Black reported cases of blindness due to traumatism about the eye, the ophthalmoscopic examination being negative at the time; but later on atrophy of the optic nerve showed in the cases of older injury.

The need of more accurate and painstaking perimetry was discussed by Dr. Stevens, who

advised a slightly darkened room, a black background, and a white test object.

Dr. Friedman reported a case of fatal meningitis in which headache and slightly reduced vision were the only symptoms for two days. Optic neuritis was manifest on the third day; and death occurred four days later.

The question of patients pulling out their eye-lashes and even their eyebrows, was discussed. Hysteria was the assigned cause.

GEORGE F. LIBBY, Secretary.

Denver, Colo., February 9, 1906. The regular monthly meeting of the Denver Clinical and Pathological Society was held this evening in the Stedman building, Drs. Powers, Pershing, Bonney, Packard and Childs entertaining; the President, Dr. Edson, presid

ing.

Dr. Powers presented a boy of 13 years, operated six months ago for a compound ganglion of right hand involving the sheath of the tendons, the entire mass, which contained rice bodies, being dissected out, the annular ligament sewn and splint applied. The result was very satisfactory, the boy regaining full use of the hand. Discussed by Dr. Lyman.

Dr. Grant exhibited a kidney removed from a male, blacksmith, 37 years, who had suffered from attacks of renal colic since 1899, the attacks being accompanied by the passage of blood. In May, 1905, had acute rheumatism. A skiagram taken by Dr. Childs showed a mass in the pelvis of the kidney. Operation disclosed the kidney covered with a mass of small tumors, the pelvis of the kidney being occupied by a much larger tumor which, on examination by Dr. Mitchell, proved to be adenoma. Discussed by Dr. Childs, who exhibited a skiagram of the kidney, and Dr. Beggs.

Dr. Bergtold reported a case of tuberculosis, third stage, in which a bad prognosis had been given; living ten years beyond the expectancy of life. Also suggested caution in making throat examinations, and cited a case of his own in which, a few days succeeding a diagnosis of tonsolitis, the patient, a boy of seven years, appearing well during the interval, was found to be suffering from diphtheria. Discussed by Dr. Levy, who thought it best that a culture should be made from every suspicious throat.

Dr. Coover reported a case of a male of 40 years, with an enlarged spleen for two

years. Last October had acute retinitis with lost vision of left eye, there being no external evidence of cause, but at upper part of fundus a large retinal hemorrhage was observed. The right eye then became involved, then the iris of left eye, with hemorrhages into the anterior chamber. The hemorrhage lasted six weeks, and there is now no vision in either eye. Salt solution stopped the bleeding in the vitreous, but not in the retina. Discussed by Dr. Hall, who reported the case to be one of splenic leuchemia retinitis, the immediate cause being thrombosis of the deep cerebral vessels, and Dr. Stevens.

Dr. Rogers reported a case of gun-shot wound in a female, the bullet of 32-calibre striking the second dorsal vertebrae and glancing downwards and forwards to the brim pelvis. On examination the abdomen was found to be very tender and rigid, and she was suffering from epigastric pain and shock. An X-ray was taken disclosing a mass near the sacrum, which proved on rectal examination to be a piece of bone. The liver dullness disappeared, and then returned. In a few hours it was apparent that there was no perforation, as all symptoms of trouble cleared up, the bullet having followed down the psoas muscle and under the peritoneum. Discussed by Dr. Childs, who exhibited a skiagram showing the bullet 11⁄2 inches above the juncture of the sacrum and coccyx. Discussed by Dr. Stevens.

Dr. Hill reported a case of pemphagoid eruption lasting for some years, the amount of the urine daily being about a gallon, with ten times the normal amount of uric acid. The patient had a dilated heart. The treatment consisted of arsenic, strophanthus, and anhalonium, the quantity of sugar lessening under the latter. Urine and uric acid now about normal. Dr. Hershey reported a case of fibroid tumor accompanied by glycosuria, the latter being treated with anhalonium causing disappearance of the sugar, after which the tumor was removed, with recovery.

Dr. Levy reported a case of acute infection of throat, high temperature, with involvement of the lower portion of the pharynx, epiglottis and fold, also the arytenoids. The interior of the larynx, which was half filled, was covered by a streptoccic membrane.

Dr. Hall discussed the occurrence of cases of bacterial pyelitis and renal colic, due to the colon bacillus. (2) Woman of 27 years passing bubbling urine containing no sugar, the colon bacillus, however, being present.

Discussed by Dr. Hill, who thought pyelitis more common than nephritis.

Dr. Pershing reported the case of a male of 41 years, family history negative, always well till seven years before, then headaches would be brought on by exertion, coughing, etc., accompanied by pain in the right eye, reflexes unchanged, double optic neuritis, pain in right arm and spasm of the right thumb when writing. Treated with the salicylates with no benefit. Mercury and the iodides were then used thoroughly with some improvement in the headaches, but the neuritis became worse, and the hearing in the left side became impaired. Later the right disc became clearer; the left remaining the same. Dr. Pershing was of the opinion that optic neuritis reaching a high degree of intensity is ominous and usually proves to be due to tumor. Discussed by Drs. Delehanty and Stevens.

Dr. Waxham reported a case of edema of the glottis in a male, with no swelling of the epiglottis or the arytenoids, emphasizing the importance of making a laryngoscopic examination of the throat in order to determine whether intubation or a tracheotomy might be the wisest choice in a given case.

On motion of Dr. Powers, the Secretary was instructed by the Society to extend to Drs. Sewall and Bonney, who are ill, the sincere sympathy of the fellow members. The Society then adjourned. Members present, 27. Visitors 5. Respectfully submitted,

F. W. KENNEY, Secretary.

Joint Meeting of the Denver Pharmaceutical Association and the Medical Society of the City and County of Denver.

The meeting took place in the Academy of Medicine building, April 3, 1906.

Meeting called to order by President Dr. Burns at 8:45.

Minutes of the previous meeting read and approved.

Report of the Committee on Nostrums made by Chairman Dr. Grant.

Moved by Dr. Grant, seconded by Dr. Love, that report be adopted. Carried.

Dr. Lawney read memorial to Dr. Jessie McGregor. Moved by Dr. Moleen that memorial be spread on the minutes. Carried. The committee consisted of Drs. Lawney, Leibhart, Frazer and Sewall.

Dr. Taylor reported for Committee on Dr. Orentreich that the doctor had left town, leav

ing his bondsmen liable for amount of his boud. Moved by Dr. Gengenbach that report be adopted and committee discharged.

Moved by Dr. Byles and seconded by Dr. Gengenbach that a vote of thanks be given the lady members of the Society for the excellent program and luncheon at the last meeting. Carried.

Dr. Burns then made a few introductory remarks and introduced the President, Mr. Thebus, and the Secretary, Mr. Clayton, of the Denver Pharmaceutical Association. Mr. Thebus then made a few remarks as to the relations that should exist between druggist and physician, which were greatly applauded.

Under the papers of the evening Dr. Taussig read paper entitled "Can a Reasonable Code of Ethics Govern Physician and Druggist?"

Mr. C. D. Lippincott read a paper on "Polypharmacy."

Dr. Sherman Williams read paper entitled "Counter Prescribing. Its Evil Effect upon the Physician and the Druggist."

On

"The Present Condition in Pharmacy in Denver; Its Cause; and How It Could be Improved." This paper was written by S. L. Bresler. account of his absence, was read by Mr. C. J. Clayton.

Discussion followed by Mr. C. D. Ward, Mr. E. L. Sholds, Dr. Moleen, Mr. A. W. Clark, Mr. C. J. Clayton, Dr Taylor, Dr. Beggs and Dr. Blaine.

Moved by Dr Meil and seconded by Dr. Blaine that a standing committee of three be appointed by the President of this Society each year with the purpose of conferring on suitable occasions with a committee of the Pharmaceutical Association upon matters of mutual interest. Carried.

The committee appointed consisted of Drs. Meil, Moleen and Hutchinson.

Some further discussion of papers of the evening by Dr. Allen and Mr. Thebus took place.

Moved by Mr. Ward and seconded by Mr. A. W. Clark that the Pharmaceuticel Association give the County Medical Society a vote of thanks. Motion put by the President, Mr. Thebus. Carried.

Mr. Thebus then called upon Mr. Mattison, who spoke briefly of the preparations being put up by the National Druggists Association.

After a few closing remarks on papers of the evening by Dr. Williams, the meeting adjourned. T. E. CARMODY, Secretary.

Committee Report.

Your committee to whom was referred the resolutions of the Philadelphia County Medical Society on the Nostrum evil, beg leave to make the following report:

Believing the resolutions to be in the interest of medical morality and scientific therapeutics, we commend them to the consideration of this Society, and express the hope that it will endorse them unanimously, and also that of the New York Academy of Medicine on the same subject, which are made a part of our report.

Resolved, That the Secretary is hereby requested to tender the thanks of this Society, especially to Collier's Weekly, The Ladies' Home Journal and Everybody's Magazine, for their excellent work in behalf of the public health, in exposing impure drugs, impure foods and adulterated liquors.

Resolved, We deeply appreciate the power and influence of the lay press in supporting the Pure Food Bill, which recently passed the United States Senate, and is now pending in the House of Representatives.

Resolved, That a copy of these resolutions be sent to each member of congress of the State of Colorado, with the request that they support the bill as it passed the Senate.

Resolved, That a copy of these resolutions be sent to the Secretary of every County and District Medical Society in the State of Colorado with the request that they be presented to the respective Societies for their consideration and their adoption.

Resolved, That a copy of these resolutions be sent to the Journal of the Americal Medical Association; and also to the daily press of Denver, requesting its co-operation in this endeavor to promote the public health and welfare.

At a meeting held January 10, 1906, the Philadelphia County Medical Society adopted the following resolutions:

Resolved, That this Society considers it highly unethical and improper for physicians to prescribe or to sanction the use of the medical agents whose formulae and composition are kept secret or concealed. It deprecates the manuafcture and sale by pharmacists of nostrums of all kinds; it advises the public against the use of all so-called patent medicines and nostrums; it expresses its cordial appreciation and hearty endorsement of the action of the American Medical Association in their efforts to exclude advertisements of nostrums from the columns of the journal and for their

campaign against the nostrum evil; it acknowledges its obligation to and bespeaks the hearty support of those brave lay journals that have done so much to arouse popular and professional sentiment against the use of nostrums by exposing the character of the promoters of this nefarious traffic and the composition of their products; it urges on all editors and publishers, lay and medical, the exclusion from their columns of advertising of nostrums and furtherance of the crusade against their use; it urges all physicians to refrain from subscribing to and publishing their scientific papers in the medical journals that accept advertising of nostrums; it recommends the appointment by the president a committee of three to communicate in person and by correspondence with editors and publishers for the purpose of securing their co-operation in the present crusade; it calls the attention of the medical schools to the necessity of training their graduates more fully in the materia medica and in the art of pharmacy, and of pointing out the dangers from the use of nostrums, it heartily endorses the bill for the prevention of the adulteration and misbranding of foods, drugs, medicine and liquors, now pending in the United States Senate; it urges on the legislature of the state of Pennsylvania the enactment of laws supplementing the contemplated action of the federal government; it condemns the granting by the United States Patent Office of copyright trade-marks registration to the class of nostrums; and by the United States post office of the use of the mail for the exploitation of these nostrums; it requests members of the medical profession to make report of all cases of injury, death or drug habit due to the use of nostrums; it desires to give wide publicity in both medical and lay press to the foregoing resolutions embodying its views on the nostrum evil as adopted, and asking that a committee of one be appointed to promulgate these resolutions.

At a meeting of the New York Academy of Medicine, held January 18, 1906, the following resolutions were adopted and seconded, and after some discussion, adopted:

Whereas, The evil caused by the widespread use of preparations of drugs unknown and deleterious constituents inflicts a very great and growing injury on a large portion of the public; and,

Whereas, It is impossible to overcome this evil of individual effort because of the preposterous and extravagant claims made by their