College of Medicine in 1841. Coming to Oregon in 1852, he located on a donation land claim near Eugene. He began the practice of his profession soon afterward, also took surveying contracts in Oregon and Washington. As surveyor he laid out the town of Eugene City in 1853. He was elected to the Territorial Legislature in 1854, served in the Rogue River Indian War in 1855-56 as First Lieutenant, and as surgeon in the Medical Department. Dr. Patterson was Chief Clerk in the Surveyor-General's office, then located in Eugene, from 1858 to 1863, when he resumed the practice of medicine. He was elected State Senator on the Democratic ticket in 1870, and was largely instrumental in securing the State University for Eugene. In 1874 he compiled a series of school books, several of them being used in the public schools all over the Coast for a number of years. In 1882 he was elected School Superintendent of Lane County, and served in that capacity three terms.

Portland City and County Medical Society.-The meeting of this Society, held on December 21st, at Elks' Hall, in the Marquam Building, ended in a very pleasant and merry social event, with a full attendance and in holiday array. The following toasts were responded to in a merry vein: Good Fellowship-J. F. Dickson.

Restrospections-Judicial-Succinct.-S. E. Josephi.

Rays of Light, from X to Z, Exclusively So-Otto S. Binswanger.
"The Physiological Moment"-Franklin Cauthorn.

"Let Me Add, Therefore, Along Those Crematorial and Therapeutic Lines, I do, and I do not believe"-J. F. Bell.

Confident Anticipations, Strictly ex-Cathedra-Kenneth A. J. Mack

enzie.

Should We Always Tell the Truth?-William Jones.

A Call on Easy Street-Andrew J. Giesy.

A Prospector and His Dream-Andrew C. Smith.

A Story-Herbert W. Cardwell.

Professor Epping and Dr. William Campbell entertained those present with several well-selected vocal numbers. Altogether it was a most enjoyable evening.

Metatarsalgia.

Stern (American Medicine, Feb. 6, 1904) says the cause of metatarsalgia or Morton's disease is a flattening of the transverse arch of the foot, a condition analogous to flat foot. It is more common in the rich and in those who wear shoes made to order. The pain is intense, often radiates up to the foot and may last from a short time to 48 hours. Most people

afflicted with this condition remove the shoe as soon as the pain comes on. The Whitman insole is recommended. In mild cases the application of a narrow strip of adhesive plaster around the foot transversely will relieve the symptoms. The Whitman plates may be improved by pads of soft rubber in order to give the necessary elasticity. In inveterate cases excision of the fourth metatarso-phalangeal joint may be re.

quired.

HENRY WALDO COE, M. D.

Editor-in-Chief

WOODS HUTCHINSON, A.M.,M.D.
Managing Editor

PORTLAND, OREGON

The Officers of The State Medical Societies of Oregon, Washington
Idaho, Montana and Utah

W. Carlton Smith, M.D., Salem

(For Roster see adv page 10)

W. O. Spencer, M.D., Huntington
F. M. Shaw, M.D., Ashland

Jessie M. McGavin, M.D., Portland

C. S. Baldwin, M.L., alt Lake City

G. S. Armstrong, M.D., Spokane
Charles James, M.D., Tekoa
Alice M. Smith, M.D., Tacoma
Ed. E. Maxey, M.D., Boise
Jno. A. Donovan. M.D., Butte

Address all communications regarding papers, subscriptions, advertising or business matters to the MEDICAL SENTINEL, Marquam Building, Portland, Oregon.

PORTLAND TO BE A GALA SESSION OF THE A. M. A.-Everything continues to point to not merely an average, but an unusually large and enthusiastic session of the American Medical Association next July.

Enquiries as to accommodations and expressions of intention to attend are being received both by the committee and by numbers of physicians in Portland constantly. One excursion train, including Niagara Falls, Lake Minnetonka, Yellowstone Park and Butte, Montana, is already planned for, as will be seen by a note in another column. Several other excursions of this sort are in process of arrangement. The excellent work of the Lewis and Clark Fair in spreading abroad reports and pictures of Oregon's natural beauties, as well as the work done by the various committees and individual physicians, seems to be bearing fruit beyond the expectations of its originators. The preparations to take care of this splendid representative body are meeting with equal success, and the committees report a most cordial and enthusiastic response to their requests for entertainment, place of meeting, and funds. They have already secured the option upon convenient and commodious places of meeting for all the sections and for the general session. Accommodations for five thousand visitors have been secured, and a program of entertainments and excursions is being laid out which will insure our visitors against experiencing a single dull moment the whole of their stay within the limits of the State.

As a sample of some of the preparations which are being made. may be mentioned a proposed session of the Association to be held upon

river steamers and barges, one section on each, while a trip is made up the Willamette, or up or down the Columbia.

The Committee on Finance has received such cordial and liberal responses to its solicitations already that it predicts little doubt of its. ability to raise at least twenty-five thousand dollars for the purpose of caring for the members on their arrival.

With the Coast of the Rolling Pacific on one side, the snowcapped mountains on the other, and the rivers at our feet, Portland is an ideal place for a charming and restful Summer vacation.

THE FIRST "BIRTHDAY" OF THE OREGON STATE BOARD OF HEALTH.-Children are always interesting, and particularly so if they happen to be one's own; as the Oregon State Board of Health is emphatically a child of the medical profession of the State, and its creation the result of a series of conscientious efforts on its part finally carried to success by the eloquence and personal influence of its President, Senator Andrew C. Smith, of Portland, we feel sure that its birthday celebration in the form of its first biennial report, which appears in part in another column, will be read with interest, and even pardonable pride by our subscribers.

The Board has been fortunate from the start in commanding the united and enthusiastic support of the medical profession, the press of the State, and the more intelligent element of the public, and feels sure the success which has seemingly followed its efforts is largely due to this magnificent aid.

It is seldom that a plan for the benefit of the public, conceived and carried out by medical men, is appreciated in its true light by public opinion as affected by the press, and we, therefore, feel justified in quoting the following sentences from a most kindly and appreciative editorial in The Oregonian of December 18th, as showing that the importance of the physician's sphere of influence in the community is really coming to be appreciated.

"It is not too much to say that this document is one of the most interesting and valuable State papers that has in many years been compiled for the information of the Legislature, and of the people. Dealing with contagious diseases and its success in checking their spread; with the question of water supply and its availability and menace as a germ-carrier; with school hygiene, and the sanitary measures required to promote it; with the possibility and necessity of procuring a pure milk supply, and with important bacteriological investigations, it covers a wide range of human interests of a distinctively vital type. "In each of these special lines of effort and of some others the Board has labored with patience, vigilance and efficiency, and with a gratifying measure of success. It has demonstrated in the brief period of eighteen months covered by its work the potency of vigilance, of intelligence, of hygiene, of sanitary science and of official authority in preventing epidemics of the most actively contagious diseases and in reducing fatalities as the result of such diseases to the minimum.

"The only distinct note of alarm that is sounded is that which

dwells upon the unchecked prevalence and fatality of typhoid fever. Distinctly a filth disease, its water-borne germs find access to hygienic. homes, perhaps far from their source of culture, and suffering, fatality, anxiety and large waste in resources, both of vitality and money, result."

"From the showing made through this report it will be seen that the more actively contagious diseases are more readily controlled and more certainly eradicated than are those that are classed as communicable diseases. Typhoid fever is not classed as a quarantinable disease, and consumption only partially so. The fight against them is, therefore, an open one,, waged in the home and in special wards of hospitals. Yet the mortality from either is greater than that from any one of the more actively contagious diseases, contact with which all prudent people shun.

"As an educational force, disbursing knowledge upon the cause and prevention of disease, insisting upon hygiene as a preventive, isolation as a remedial agency, and prudence as a guide in the great realm of physical conditions, the value of the State Board of Health is inestimable. Such recommendations as it makes to the State Legislature looking to an increase in its power and usefulness may well receive the cheerful and unanimous indorsement of that body. And thoughtful people, to whose prudence and plain common sense direct appeal is made upon the importance of sanitation, school hygiene, the purity of the water and milk supply, the common and filthy habit of expectoration in public places, etc., will be wise if they follow with all diligence these suggestions for the promotion of health by barring out disease."

STATE SANATORIUM FOR CONSUMPTIVES.-After careful consideration, it has now been practically determined that a bill looking to the establishment of a State institution will be introduced at the coming Legislature. In this, as in so many other medical matters, the public will look to the medical profession for advice and direction, and we wish to urge most strongly upon every member of the profession the feeling that the success or failure of this proposal lies very largely in his hands; if he will take such opportunities as come in his way of speaking a good word in favor of such an institution, and explain its absolute necessity as a factor in the great fight against tuberculosis, it will do more than any other one influence to bring the legislators to agree to its establishment.

Communications will be sent to every medical society in the State, as well as to the Council of the State Medical Society, asking them to formally endorse the proposed bill and to send an official letter to all representatives and senators in their district, and if possible to send representatives to the Legislative reception being arranged at Salem by the Marion County Medical Society.

In the meantime, if every member of the profession will but use his personal influence with each and every member of the Legislature

with whom he is acquainted, in favor of this bill, its success is practically assured.

We need not remind the physicians of the State that New York, Ohio, Massachusetts, and several other of the leading States have already established such institutions, and as many more are planning their establishment in the near future. Its creation by the State Legislature would place Oregon well forward in the van of sanitary progress.

The Sentinel will gladly welcome discussion through its columns as to the precise form which should be taken by such an institution, whether one large permanent building and camp in a single location, or as to whether it should be a central establishment of moderate size and accommodations distributed in other areas of the State, so as to give the patients the benefits of the change either in altitude or climate. Oregon is possessed of remarkable advantages for the treatment of this disease in the wide range of variety or suitable climate which can be secured within her borders at comparatively little expense in the way of transportation. The range can be carried all the way from the sea level to the snow line; from the Italian climate of the Rogue River Valley and the Siskiyous to the bracing Colorado vigor of the inland plateau; from the mild, moist and refreshing air of the sea coast over into the desert region where the precipitation is scarcely five inches a year. Change from one of these climates to another would undoubtedly be an important factor in hastening the rapidity of the cure.

AGAIN THE OSTEOPATH AND HIS LITTLE BILL.-We are just in receipt of a most interesting and pointed letter from Senator Wilson, of Pullman, Washington, which will be found in full in another column, which calls attention most pungently and aptly to a situation. which the medical profession in both Oregon and Washington might as well make up their minds to face. There was a determined attempt made in the Legislatures of both States last year to have some sort of legislation formally recognizing the osteopaths as legal practitioners, by the formation of a board of examiners in osteopathy, with power to issue certificates; and this would have almost certainly, in Oregon at least, have become a law had it not been for the vigorous opposition and skillful strategy of the medical members of the Legislature, notably Senators C. J. Smith, A. C. Smith and Kuykendall.

As Dr. Wilson very shrewdly suggests, we had probably better make up our minds to ask for something definite and positive, instead of endeavoring to maintain an attitude of exclusion. This latter. attitude fully, as we know it in our heart of hearts and consciences to be warranted, does not appeal to the public, and exposes us to charges of arrogance, jealousy and monopoly, which unfortunately have considerable weight with the popular mind. Last year we succeeded in getting the bill voted down. To do this this year is going to be even more difficult than before, and The Sentinel would suggest, that it would probably be the wisest plan to profit by Dr. Wilson's suggestion, take the bull by the horns, and introduce a bill of our own providing