cal profession ought certainly to call forth retaliatory measures. But the last straw certainly is put on when such freak legislation is even presented to a State Legislature as occurred in a Western State during the last session, and this bill is still pending action. Its provisions are as follows:

1. A law compelling all physicians to give duplicate prescriptions in English so that they can be read by any one. Also giving in English, on prescription, name of trouble for which prescription was given.

2. A law compelling all physicians to give duplicate prescriptions, one for the druggist and one for the patient.

3. A law compelling the county clerk to publish every three months a list of doctors who had deaths occur of patients under their charge, giving number of deaths after each

name.

4. A law providing that where a physician prescribes morphine or opium for the cure or relief of a patient, and the patient acquires the habit therefrom, that charges may be brought against said physician, and upon conviction, he shall be sent to the penitentiary.

5. A law prohibiting a physician from charging more than the following scale of prices for calls: Between 7 A. M. and 6 P. M., $1; between 6 P. M. and 7 A. M., $1.50.

6. A law providing that should a patient not receive any benefit from a physician's treatment, that the physician cannot collect his bill.

7. A law providing that in case of death of a patient while under the physician's care or treatment, bill for services must be cancelled.

Truly, the noble profession of medicine must have sunk very low in the eyes of the legislators of that State if any such enactments can be even seriously entertained. If in that legislature there had been several physicians, such a bill would not even have come to a first reading.

We most emphatically do not advocate party politics of the gambling-house, saloon and brothel stripe. Politics has sunk to such low estate only because of its neglect by professional and business men. To raise it out of its present filth and mire is the first duty of the best citizens, and physicians should not shirk their share of the work. The sins of omission must be atoned for as well as the sins of commission.

G. S.

HABILE HABILIMENTS FOR HOT
WEATHER.

Remember calling professionally on a family on a very hot day and the lady of the house begged pardon for her appearance, saying: "I only wear enough clothing to save myself from arrest this very hot weather." We have much to She was not far wrong. learn as to clothing in hot weather in our climate, which, though not so long of duration as some, is yet quite trying in the summer. We should note how they dress in India and in Egypt, where they must dress with due reference to the temperature. They dress just sufficient to save themselves from arrest. One of the happiest beings is a black negro in a white suit with a yellow "bandanner" on a red-hot day. White clothing reflects the heat rays of the sun, but not the actinic rays, which pass through them readily. To as nearly imitate the happy hot-weather negro as possible, we should wear black or yellow underclothing under the white clothes to supply the missing pigment of the negro. The natives of hot countries wear white clothing, and it is well that we should imitate them, but we must not forget that they are supplied with a pigmented skin which forms a natural armor to the actinic rays of the sun, from which they have no fear.

Dr. Sambon, discussing this subject in the Journal of Tropical Medicine and Hygiene, February 15, 1907, to avoid the weight and thickness of several layers of cloth, advises the use of a fabric composed of several layers of white and colored threads, woven in such a way as to produce a warp or outer surface of white and a woof or inner surface of black, red or orange. A cloth with heatreflecting outer surface and an opaque inner surface layer will, he thinks, meet all the requirements of comfort and protection for garments for use in tropical countries. It seems to have fallen to the United States and Great Britain to open up the tropics and make them safely habitable, and it becomes us to study the conditions for the benefit of those soldiers and civilians who must go there, and to profit by this study for our own summer comfort.

E. S. M.

MISSISSIPPI VALLEY MEDICAL

ASSOCIATION.

The thirty-third annual meeting of the Mississippi Valley Medical Association will be held at Columbus, O., October 8, 9 and 10, 1907, under the Presidency of Dr. H. Horace Grant, of Louisville, Ky. The orator in Medicine will be Dr. George F. Butler, of Chicago, Ill., and the orator in Surgery Dr. Frank D. Smythe, of Memphis, Tenn. The Association is doing commendable work in furthering the cause of medical research, by offering a prize of $100 for the best original essay upon some medical or surgical topic. The Committee of the Association to decide upon this contest is composed of Drs. Hugh T. Patrick, of Chicago, C. H. Hughes, of St. Louis, and A. H. Cordier, of Kansas City.

Preparations are being made on an extensive scale for the entertainment of members and guests by the profession of Columbus, with the following Committee of Arrangements: Chairman, F. F. Lawrence; Secretary, Charles J. Shepard; Treasurer, William E. Davis; Committee Ways and Means, J. W. Clemmer; Entertainment, J. U. Barnhill; Transportation, W. J. Means; Exhibits, W. J. Means; Reception, J. H. J. Upham; Press and Information, Frank Winders; Halls and Meetings, Earl Gilliam; Badges, J. E. Brown; Registration, Wells Teachnor, Ladies, Mrs. W. D. Hamilton.

The following is a list of papers which have been offered up to August 15, and there are many promises for papers from other well-known men in the Valley.

I. A. Abt, Chicago, Ill. Urinary Infections in Children.

Charles J. Aldrich, Cleveland, O. The Psychoses of Pneumonia.

M. A. Austin, Anderson, Ind. The Kidney Surgically Considered.

Carl Beck, Chicago, Ill. Gastric Ulcer.

M. R. Burker, Chicago, Ill. When Should Gastric Ulcer be Treated Surgically?

A. D. Barr, Jersey City, N. J. The Relation of Metabolic Ferments to Metabolism; Especially in Diabetes Mellitus and Tuberculosis.

Charles E. Barnett, Ft. Wayne, Ind. VesicoUrethro-Vaginal Fistula.

J. E. Cannaday, Hansford, W. Va. Treatment of Pus Tubes.

T. D. Crothers, Hartford, Conn. The Relation of the Doctor to the Alcoholic Problem.

George B. Evans, Dayton, O. Local Anesthesia versus General in Ano-Rectal Surgery.

George W. Finley, Brazil, Ind. Gastro-Enteritis. Frank W. Gavin, Canton, O. Medical Inspection of Public Schools.

A. E. Halstead, Chicago, Ill. Cancer of the Thyroid Gland.

M. L. Heidingsfeld, Cincinnati, O. Some Clinical and Differential Features of Syphilis, as Demonstrated from Lantern Slides and Wax Models.

Earl Harlan, Cincinnati, O. The Frequent Interdependence of Dislocated Kidney, Gall - Bladder Trouble and Appendicitis.

Marc Ray Hughes, St. Louis, Mo. of the Stigmata of Degeneracy.

Anomalies

G. Frank Lydston, Chicago, Ill. Plastic Work on the Urethra-A New Operation.

Harold A. Miller, Pittsburg, Pa. Pregnancy Complicated by Pulmonary Tuberculosis.

J. B. Murphy, Chicago, Ill. Pleuritis and Its Surgical Aspects.

C. M. Nicholson, St. Louis, Mo. Primary Abdominal Pregnancy.

Curran Pope, Louisville, Ky. The Value of PhysioTherapeutic Methods in Chronic Diseases.

D. C. Peyton, Jeffersonville, Ind. Tuberculosis of the Bones of the Feet, with its Treatment.

Charles A. L. Reed. Cincinnati, O. Important but Frequently Disregarded Clinical Phases of Movable Kidney.

Merrill B. Ricketts, Cincinnati, O. Treatment of Stump in Appendectomy.

H. H. Roberts, Lexington, Ky. Gastric Ulcer. Albert E. Sterne, Indianapolis, Ind. Radical and Palliative Operations for Cerebral Hemorrhage.

Mark D. Stevenson, Akron, O. Purulent Conjunctivitis in Infants and Adults.

George P. Sprague, Lexington, Ky. Drug Addictions.

George B. Twitchell, Cincinnati, O. Internal Rotation and Lacerations of the Perineum.

Frank B. Walker, Detroit, Mich. Treatment of Inguinal Hernia in Children.

Edwin Walker, Evansville, Ind. What We Can Not Do with Purgatives.

A. U. Williams, Hot Springs, Ark. Some Cases of Re-infection with Syphilis.

C. E. Briggs, Cleveland, O. Volvulus of the Entire Mesentery of the Small Intestine, with Report of a Case.

Sanger Brown, Chicago, Ill. Medico-Legal Notes. J. Rawson Pennington, Chicago, Ill. The Sigmoidal Factor in Pelvic Diseases.

Bernard Asman, Louisville, Ky. Cancer of the Rectum.

Robert C. M. Lewis, Marion, O. the Bladder.

Hugh F. Lorimer, Chillicothe, O. Diagnosis of Gall-Stones.

Neuroses of

The Early

Dr. Edwin Ricketts is preparing a paper for our readers on a most unusual condition-the obstruction of the common duct due to ptosis of gall-bladder without the presence of gall-stones.

THE CEDAR POINT MEETING. "The greatest trust between man and man is the trust of giving counsel."-BACON.

The young and immature are prodigal of their advice. But the day comes when they are content to take it. To accept counsel from the wise is an act of self-preservation. And so men congregate and discuss and listen, and when they disperse each, like the bee, is carrying to his home the mint and marjoram of discourse to be changed into the honey of experience. We are to meet in a few days at Cedar Point to compare notes, to taste the sweets of society, to give our mite and to receive what we are prepared and ready to assimilate and to use. New friendships will be engendered, old bonds of affection strengthened and made more secure.

In the language of the Ohio State Medical Journal, "It will do your patients good to leave them for a few days." This is a pleasantry, of course, but it will certainly do your future patients much good to leave them for a space, and to prepare yourself for greater responsibilities and a better understanding of their needs, when they arise.

The sixty-second annual meeting of the Ohio State Medical Association promises to be well attended. Everything has been done to foster the kindliest feelings of those who will be present. The appeal to both the spiritual and the material man will be strong and irresistible. Hotels are there in abundance, amusements have been provided lavishly, and as for the intellectual feast, it will be most satisfying.

EDITORIAL NOTES.

OLD men and little children will have their modicum of attention at the forthcoming meeting of the Canadian Medical Association, September 11, 12 and 13, at Montreal. The subjects for discussion in surgery and in medicine will be "Enlargement of the Prostate" and "Epidemic Cerebro-Spinal Meningitis." H. D. Rolleston, of St. George Hospital, London, England, will journey to the land of promise and deliver his views on the fatal meningeal disease. Canadian phy

sicians are waking up to the great benefits of organization.

THERE is much unfavorable comment by the medical profession of Virginia on account of the imposition of a special license tax in the sum of ten dollars upon all who have practiced five years or less. Those who have been in practice a longer time and have acquired sufficient skill to be of special service to suffering humanity, are taxed twenty-five dollars annually if located in a city, and fifteen dollars if a country practitioner. The Virginia Medical Semi-Monthly rightly characterizes this as an imposition. Special efforts are being made to influence legislators at the beginning of the next session, January, 1908, to have the law repealed.

JOSEPH ROBBINS, in the Illinois Medical Journal, tells how physicians in small towns and villages can have the advantage of a goodsized and well-selected collection of books. The physicians of Quincy, Ill., have formed an association for the purpose of establishing a medical library. Each member contributes an initiation fee of five dollars, and subsequently yearly dues of four dollars. The society has been in existence a decade, with an average membership of fifteen. Nine hundred dollars have been paid into the treasury and invested in periodicals and books. Each journal as received and read is passed in rotation to the members, to be retained for one week. The latest books are always on hand, and opportunity is given to each to consult them whenever feasible. Donations have been made frequently. The library is a good working library, and has contributed much to the success of Quincy physicians. The indirect advantages are not inconsiderable. Members meet each other on an equal footing, jealousy is reduced to a minimum, and socially much enjoyment is derived from this excellent institution.

ALEXANDER MORISON, in an article on "The Treatment of Some Cases of Serious Heart Disease" (Folia Therapeutica), speaks of a class of cases, characterized by serious

syncopal failure without venous stasis, associated with loss of muscular contractility, in which the assistance of the surgeon is imperatively demanded. He must aid the physician to render the drug treatment effective. To accomplish this the organ must be free in the chest to contract and dilate without impediment. "If, from external adhesion, it is tethered to rib or lung, or from its size has encroached upon the intra-thoracic contents, room for movement must be made." This, according to Morison, can be best accomplished by the removal of sufficient rib and cartilage in the precordia.

IT may be of advantage for you to fix firmly in your mind the various meeting places of the sections at the Cedar Point convention. To save time is to lengthen life. Glance over the list and note where your interests lie:

St. Mary's Hospital is treating thirty cases of typhoid fever at the present time.

Dr. Frank Scheerer has returned from a visit to Buffalo and other Eastern points.

Dr. J. Richard Smith has returned from a trip to Florida. Rather unusual place to visit in summer time. The mosquitoes shortened his stay.

In our local news columns, August 17, the statement was made that Drs. C. L. Bonifield and Brooks F. Beebe were avowed candidates for the presidency of the Ohio State Medical Association. The statement that Dr. Beebe was a candidate was unauthorized by that gentleman. Dozens of his friends have assured THE LANCET-CLINIC that they would support him for the position, and it was taken for granted that this had the sanction of Dr. Beebe, but the doctor informs us that he is emphatically not a candidate for the position.

Dr. George W. Moore, of Price Hill, has now associated with him Dr. E. N. Estes, of Warrenton, Ky. Dr. Estes' health failed about a year ago, but a sojourn in the blue grass has fully restored him.

Dr. R. D. Maddox has consented to assume charge of the department of hygiene in THE LANCETCLINIC, the first contribution to which will be found in this issue. In the words of a seeker for enlightenment, "There seems a lamentable lack of information in reference to the hygiene of the sick-room." The importance of this department cannot be overestimated. We invite attention to it.

We take this from the current weekly report of the Board of Health: "The nurses of the Tuberculosis 'Dispensary will be at the service of any physician who wishes them to call upon any patient requiring their services. The nurses will be glad to take instructions from the physician, and will assist him in any way in their power. The Dispensary will be well supplied with literature, and this will be sent anywhere upon the request of physicians, The object of the dispensary is to help in the fight against tuberculosis, and physicians can greatly aid us if they will make use of our facilities."

ABOUT ten years ago, realizing the needs of this community, a branch hospital for tuberculosis was established. Dr. B. F. Lyle was appointed medical director, and retained that position through four consecutive city administrations, but was superseded at the incoming of the present régime. During all that time Dr. Lyle was coming more and more to a realization of the need of a sanitarium for the afflicted who were able and willing to pay for proper care. The consummation of his planning has come, a delightful spot in the western hills of Cincinnati having been secured for the purpose. Dr. Lyle's years of special training and practical work in tuberculosis make him eminently fit to have charge of such an institution, and he is deserving of every success for his initiative and enterprise.

NEWS NOTES.

Memphis, Tenn., has established a free dispensary. The Atlanta (Ga.) School of Medicine has decided to become co-educational. No change in the faculty will be made.

Jacksonville (Fla.) physicians are threatened with prosecution for failing to report cases of typhoid fever, according to law.

Vigo County (Ind.) leads all other counties in that State in the number of cases of typhoid fever, says the Terre Haute Star.

Wooster, O., was the scene of the eighth session of the Union Medical Association of the Sixth Councillor District of Ohio, August 13. There are three sessions a year.

Eight physicians of the Fulton County (Ga.) Medical Society have been summoned to appear before that body to answer a charge of violation of

ethics in "rushing into print" during the recent prohibition camhibition campaigh.

Dr. E. Guy Hopkins, City Bacteriologist of Richmond, Va., offered his resignation to the Board of Health, August 12, and Dr. A. W. Freeman, medical examiner of the department, was designated to act until his successor is chosen.

The quarterly report of the Wheeling (W. Va.) Health Officer of the statistics of the city of Wheeling for the months of April, May and June, shows the small total of 191 deaths from all causes. Of the total deaths, 22 were from phthisis pulmonalis.

Here are precautions with a vengeance! An ordinance was passed recently by the authorities of Hope, Ind., forbidding any person suffering from a contagious disease to enter the town without a special permit from Dr. Hurty, Secretary of the State Board of Health.

Mrs. Lydia Overholser, aged ninety-four, died at Eaton, O., August 8. The old joke about a person dying without the aid of a physician was almost literally true of her. She had throughout her long life never required a doctor's advice until within a few hours of her death.

A new medical library has recently been started in Springfield, O. The trustees of the Warder Public Library have appointed three physicians to "organize and maintain the same." The physicians are Dr. C. H. Kay, President; Dr. Noah Myers, VicePresident, and Dr. T. M. Reade, Secretary.

The Adams County (O.) Medical Society met at the court-house, West Union, on August 21. An interesting programme was presented. Drs. Wade Thrasher, Brooks F. Beebe and Chas. M. Paul, of Cincinnati, read papers. Dr. Frank Smith is president of the society, and Dr. O. T. Sproull is the secretary.

According to reports in the lay press Georgia physicians in all parts of the State organized with a pledge that no life insurance examination would be made for less than the old fee. In the smaller towns and in the country, solicitors who had secured an application for insurance, began to find it impossible to get a doctor to make the examination.

The following is the State Medical Board the Governor of Texas appointed under the new law, and the school of medicine to which they belong: Dr. Ed. Becton, Greenville, old school; Dr. James D. Osborne, Cleburne, old school; Dr. W. B. Collins, Lovelady, old school; Dr. G. B. Foscue, Waco, old school; Dr. J. J. Dial, Sulphur Springs, old school; Dr. J. D. Mitchell, Fort Worth, homeopath; Dr. M. E. Daniels, Honey Grove, eclectic; Dr. R. O. Brazwell, Mineral Wells, physio-medico; Dr. R. W. Collins, El Paso, osteopath; Dr. J. T. Crow, Dallas, homeopath; Dr. J. P. Rice, Fredericksburg, eclectic.

Seven delegates, five of them from Washington, will represent the United States Government at the International Congress of Hygiene and Dermatography, to be held in Berlin, September 23-29, 1907. The five delegates from Washington will be Surgeon-General Wyman, of the Public Health and Matine Hospital Service; Medical Inspector, J. C. Beyer, U. S. N.; Maj. Walter D. McCaw, U. S. A. ; Dr. George M. Kober, and Dr. H. L. E. Johnson. Tke other two delegates are Dr. Mayzck P. Ravenel, Professor of Bacteriology at the University of Wisconsin, and Dr. L. A. Flick, Medical Director of the Phipps Instititute, in Philadelphia.

THE TUBERCLE BACILLUS.

THE number of patients in the Columbus, O., tuberculosis camp August 1 was twenty-four; number in camp during July and August, forty-four. Daily average of expenses for each patient, eightyone cents for June and sixty-one cents for July. Three thousand five hundred and sixty-three meals were served.

HON. CLEM DUNBAR and Hon. W. H. Burwell, joint authors of the bill in the Georgia House for the purpose of securing an appropriation of $20,000 with which to establsh a State sanitarium for the treatment of consumption, said recently: "The sentiment in favor of establishing such a retreat for the sufferers of the great white plague in Georgia is overwhelming in the General Assembly, and as soon as the money is in sight it will be appropriated for this purpose.

THE New York Committee on the Prevention of Tuberculosis has begun the distribution of a million circulars on consumption, printed and supplied by the Department of Health. About 650,000 of these are in the form of a catechism for the use of school children, the remainder being small pocket cards printed in red and black English, German, Italian, Swedish and Yiddish, and designed for the instruction of the public in general. These cards describe briefly the nature of consumption and explain that bad air, poor food and dust are chief among the conditions that bring on the disease.

OBITUARY.

Dr. C. P. Dinsmore, Littleton, W. Va., died August 8 from the effects of eating fungi which he had mistaken for mushrooms.

Dr. Simeon Stapp, the oldest physician in Bartholomew County, Ind., is dead at his home at Hope. He was born near Madison, in March, 1827, and moved to Hope in 1849.

Dr. Philip H. Strausz, aged forty-six, died at Toledo August 9, of ulcer of the stomach. He was an authority on diseases of the stomach, and readily diagnosed his own case. He was State Health Officer of Florida some years ago.

Dr. W. H. Link, aged fifty-six years, died at Indianapolis, Ind., August 10. He formerly practiced surgery at Petersburg, Ind., and was at the time of his death clinical professor of obstetrics in the State College of Physicians and Surgeons in Indianapolis.

Dr. Joseph Graham, of Charlotte, N. C., died at the residence of his son, Dr. W. A. Graham, August 13. He was born in Newbern on April 13, 1837, and was in his seventy-first year. His college days were spent in the University of North Carolina, where he entered in 1853, graduating four years later.

Dr. Joseph F. Esnor, died August 9, at Columbia, S. C. He was seventy-two years old. He was born in Butler, Bath County, Maryland, December 13, 1834. He was graduated in medicine from the University of Maryland in 1861. In the early part of the war between the States he entered the United States army as assistant surgeon, being appointed subsequently surgeon with the rank of major. He remained in this service seven years. In 1868 he became medical purveyor for the freedman's bureau in South Carolina. In 1870 he was appointed superintendent of the lunatic asylum of Columbia, resigning therefrom in 1878.