any further history from this child; there was no elevation of temperature, therefore the condition was not due to rheumatism, and I could elicit no history of an injury.

I then turned my attention to the little girl of nine years, and asked what she came to see me for, and she said for the same reason that the older child came. She told me, however, that she had fallen at a neighbor's house and hurt herself. This injury proved to be only a scratch or two about the face, which was of little consequence.

After some careful and persistent questioning, knowing something about the history of the family, I ascertained that these two little girls went to school regularly in the morning, but every afternoon they were worked in their father's cigar factory, and the injury to their hands and wrists was due to the peculiar twisting motion they have to go through in twisting the fillings of cigars.

I immediately communicated with the Neighborhood House, asking them to look into the condition of affairs, enlisting their assistance; the parents were notified, and the children were taken out of the factory in the afternoon.

I bandaged their hands and even put splints on their wrists to give them rest, and in a short time the inflammation and swelling subsided.

Even if we do have laws which prohibit child labor in factories, as I understand the matter there is no law which will prevent the father, mother, grandfather, guardian, etc., from putting the child to work at home. This cigar factory was under the parental roof, and I understand there is no law which will prevent child labor under such circumstances. They are able to evade the law by sending the chila to school in the morning and then compelling it to work for five or six hours in the afternoon. P. F. BARBOUR, M. D., Secretary.

IRITIS AND Keratitis Due TO MUMPS.-A. Pechin (Paris) reports the case of a young recruit who suffered a severe and prolonged attack of mumps, which began the middle of February. When the patient left the hospital on April 6th there was still considerable swelling of the parotids. The latter part of April he noticed impairment of vision and redness of the eyeball, but without pain, photophobia, or excessive lacrymation. When seen the last of May there was well-marked iritis in both eyes, with some corneal infiltration in the right. Under general treatment, with atropine and hot compresses to the eyes, there was slow improvement, with restoration of full vision in the left, and V. 1⁄2 in the right.-Recueil d'Ophthal mologie.

"NEC TENUI PENNÂ."

VOL. 33.

MAY 15, 1902.

No. 10.

H. A. COTTELL, M. D., M. F. COOMES, A. M., M. D., Editors.. A Journal of Medicine and Surgery, published on the first and fifteenth of each month. Price, $2 per year, postage paid.

This journal is devoted solely to the advancement of medical science and the promotion of the interests of the whole profession. Essays, reports of cases, and correspondence upon subjects of professional interest are solicited. The Editors are not responsible for the views of contributors.

Books for review, and all communications relating to the columns of the journal, should be addressed to the Editors of THE AMERICAN PRACTITIONER AND NEWS, Louisville, Ky.

Subscriptions and advertisements received, specimen copies and bound volumes for sale by the undersigned, to whom remittances may be sent by postal money order, bank check, or registered letter. Address JOHN P. MORTON & COMPANY, Louisville, Ky.

THE NEW PRESIDENT OF THE KENTUCKY STATE
MEDICAL SOCIETY.

Dr. W. W. Richmond, of Clinton, Kentucky, who was elected President of the Kentucky State Medical Society at its forty-seventh

annual meeting in Paducah last week, is one of the best-known practitioners in the State of Kentucky. Dr. Richmond graduated twentyfive years ago, and since that time has been actively engaged in the

practice of his profession. He is a self-made man and one of nature's noblemen, a gentleman at all times and under all circumstances. He has been a most faithful laborer in the field of medicine and surgery. Notwithstanding the fact that he is remote from a large medical center he has kept up with the progress of the profession. He is faithful in attendance at all the medical societies, both State and national as well as local, and in that way has been able to keep up with the progress of medicine. It is certain that his administration will be one of great value to the profession in this State. His good example of itself is sufficient to do much in advancing the profession, and a better man could not have been selected at this particular time, when the amalgamation of the local, State, and national societies is going on. We feel sure that the profession of the State are justly proud of our new President, and that every doctor within his jurisdiction will lend him whatever aid is within his power.

Current Surgical and Medical Selections.

REUNION OF the AlumnI ASSOCIATION OF THE Louisville MEDICAL COLLEGE.-Seventy-five of the old graduates of the Louisville Medical College responded to the invitation of the committee, composed of Drs. Adolph O. Pfingst, August Schachner, and Irvin Abell, and met in business and social session at Louisville on March 25th and 26th. The business session was called to order at the college building at 2 o'clock, March 25th, by the chairman of the committee. At the election which followed, officers were elected and installed as follows: President, Dr. R. C. McChord, of Lebanon, Ky.; Vice-presidents, Drs. August Schachner and Irvin Abell, of Louisville, and Dr. H. E. McKay, of Ruddock, La.; Secretary and Treasurer, Dr. Adolph O. Pfingst, of Louisville. The graduating class of this year, numbering thirty men, were admitted to membership as a body. The Association took action on the death of Dr. George M. Warner, its late Secretary, and passed resolutions of sympathy and regret.

At the conclusion of the business meeting, the following papers were presented:

1. Asepsis of the Digestive Tract, by Dr. W. J. Leach, Class '97, Sellersburg, Ind.

2. Malaria—Its Prevention and Cure, by Dr. H. E. McKay, Class '94, Ruddock, La.

3. When to Operate for Appendicitis, by Dr. R. C. McChord, Class '75, Lebanon, Ky.

4. The Value of Some of the Early Symptoms of Pulmonary Tuberculosis, by Dr. Jas. A. Burroughs, Class '82, Asheville, N. C.

5. The Obligation Under Which the World lies to Medicine, by Dr. Arch Dixon, Class '77, Henderson, Ky.

6. Nervous Dyspepsia, by Dr. J. J. Moren, Class '94, Louisville, Ky. 7. Looking Backward, by Dr. J. E. Harris, Class '70, Bloomington, Ind. 8. Laboratory Work in General Practice, by Dr. Samuel E. Woody, Class '79, Louisville, Ky.

Much interest was manifested, and each paper was well discussed. At eight o'clock the Association met at the banquet table at the Galt House, nearly every class being represented, from 1870 to 1902, among the hundred members present. Dr. James Fowler presided as toastmaster. Toasts were responded to by Drs. R. C. McChord, A. M. Cartledge, S. E. Woody, George E. Hendon, and Roger Cahoon. Good-will and fellowship abounded and many reminiscences of college days were recalled.

On March 26th the members attended the commencement exercises at Macauley's Theatre. S. T. Taylor delivered the salutatory address. The valedictorian was C. M. Sandusky, of Kentucky. The Rt. Rev. Bishop Dudley also entertained the large audience with an interesting address.

Class honors were divided between John Richardson, jr., of Kentucky; C. M. Sandusky, of Kentucky, and C. E. Ryan, of Montana. The position of resident physician to the Louisville City Hospital was awarded to John Richardson, jr., a similar position to St. Joseph's Infirmary, of Louisville, to C. M. Sandusky.

After the exercises the Society adjourned, to meet again in 1903.

ADOLPH O. PFINGST, Secretary.

AT the meeting of the Alumni Association of the Louisville Medical College, held March 25th, action was taken on the death of Dr. George M. Warner and the following resolutions adopted:

Resolved, That the Alumni Association of the Louisville Medical College, keenly feeling the loss of our associate, desire to formally testify our appreciation of his many sterling qualities.

That in the untimely death of Professor Warner the Alumni Association has lost one of its most cherished members and our alma mater one of her ablest and most valued teachers.

His calm, clear, and forceful presentation of any subject won for him the attention and admiration of his pupils. His gentleness and consideration were the cardinal virtues of his personality, and in the delicate relations of his private life the winsomeness of his character gained for him the esteem and confidence of every one with whom he became associated.

Resolved, That these resolutions be spread upon the minutes of the Alumni Association, and that a copy be sent the bereaved family and the medical press of this city.

AUGUST SCHACHNER.
J. GARLAND SHERRILL.

TREATMENT OF INFLAMMAtory Stenosis of the RECTUM.-Navarro, of Montevideo, draws attention to a certain group of cases of stenosis of the rectum following upon proctitis, in which the narrowing of the gut does not consist in annular stricture, but in a stenosis of the rectum as a whole, sometimes extending to the sigmoid flexure. While considerable improvement may follow on regulation of the diet and of the bowels and irrigation of the rectum, together with mechanical dilatation of the narrowed gut, this is often only temporary, and the troublesome symptoms associated with stricture of the rectum, namely, threatening intestinal obstruction, discharge and tenesmus, may continue. For such cases the author recommends the complete extirpation of the stenosed bowel by the abdominoperineal method, as in dealing with cancer, and establishing an artificial anus in the left iliac region. He gives notes of three cases in which this method of treatment yielded excellent results; in two of these there was a history of syphilis, and the inflammation, suppuration, and stenosis of the rectum followed upon coitus per anum; in the third, the cause of the proctitis was not ascertained.-Rev. de Chir., Paris.

SMALLPOX AND CHICKEN-Pox. - We have on several occasions referred to the difficulties which may arise in the differential diagnosis between smallpox and chicken-pox. Some of the metropolitan boroughs have already decided to make chicken-pox a notifiable disease under the Public Health Act, and the council of the borough of Paddington has now decided to do likewise. The council also, at the meeting held on January 7th, passed two resolutions: (a) urging the London County Council to put in force the powers conferred by Sub-section 6 of Section 56 of the Public Health (London) Act, 1891, with a view to making chicken-pox notifiable throughout the metropolis; and (6) to forward copies of the resolutions to the city and borough councils of the metropolis and to the councils of all the districts within Greater London. We also urge the public health committees of other boroughs to adopt a similar course. The addition of chicken-pox to those diseases which a medical practioner is obliged by law to notify need not be a permanent one, but it might be enforced for a period of twelve months only, or until the present outbreak of smallpox has subsided. A correspondent sends us an interesting account of a family attacked with chicken-pox. Three children, aged respectively six, four, and two years, suffered from varicella at the same time. Two of the cases were of the ordinary type, but in the eldest child the eruption was very profuse and the amount of constitutional disturbance which followed was characterized by feverishness and headache. There were well-defined ulcers in the mouth and on the fauces. The child had been successfully vaccinated. In all three cases there were no premonitory symptoms, the rash being the first evidence of anything ailing the children. About a fortnight after the rash appeared on these children the mother gave birth to another child, who was born with four papules upon the body which developed into vesicles and ran the usual course without any further increase in number. Had the severe case above mentioned been an isolated one it might well have puzzled most practitioners as to whether it was one of chicken-pox or of smallpox.-London Lancet.