the method of sudden withdrawal of the drug. The treatment he advises is in the main that described by Dr. Lambert. Bishop believes in first training the patient by a preliminary treatment to determine the amount of drug required to maintain metabolism by his self-created needs. Most users are taking larger amounts than they need; any patient can be cut to his physiologic amount almost immediately if attention is paid to his elimination. A grain every four hours is a good average maximum, and with many the amount is still less. Elimination should go to adequate catharsis and not to the point of excessive purging. Lambert's treatment is a treatment of extreme elimination and rapid but not sudden withdrawal, accompanied by the administration of belladonna to the point of full physiologic effect, estimating the periods of cathartic and drug administration on the basis of the average time required for cathartic action and morphin elimination in the chronic drug user. Bishop describes at length his method and his modifications of the Lambert treatment. He employs continued doses of calomel, one-half grain every two, three or four hours during a whole or part of the treatment, aiding occasionally by castor oil and salines. The treatment should be individual, as individuals vary as to their reaction to the drug, and the doses and intervals should be adapted to the patient's requirement. The stools are not, in his opinion, a reliable index of elimination. Indications for cutting treatment are found in the condition of the patient; after a certain period he is apt to become restless and feel sick at his stomach, but does not want morphin for relief. Bishop believes this indicates the final morphin elimination, and he gives heavy catharsis and cuts treatment. After this the patient generally sleeps, but, if not, may be given a hypnotic. During treatment, overloading of the stomach is disastrous, and careful regulation during convalescence is very important, as the patients are apt to be ravenous and indiscreet. The complications of treatment and convalescence are described in some detail. The importance of competent nursing is emphasized. Prognosis as regards permanent cure must always be guarded. In cases starting innocently and ignorantly in otherwise normal individuals, after the addiction is removed and the patients remain in good environments, relapses will probably not occur.

Eye Strain.

Cobbledick, in the Practitioner for May, 1912, defines eye strain as an effort, mostly unconscious, entailed in struggling

against a refractive error or defective muscle balance, which must be regarded as an undue wear and tear of the eyes, in as much as it prevents the optical apparatus from working at the greatest mechanical advantage. The headache caused by it is most likely to be confounded with that due to toxic absorption, neurasthenia, hyperesthesia of the nasal septum, or obstruction of the middle nasal fossa. In many cases the general health must receive attention, in addition to the correct fitting of glasses.

Sex Relationship.

In a series of papers presented before the Section of Public Health, at the State Conference of Charities and Correction, N. Y., we find a most earnest and sincere plea to the mothers urging a plan of systematic instruction of the sex problems to the child, beginning as early as the third year, or as early in life as the child begins to question its mother as to the source of origin. Atention is called to the fact that evasive replies to these early questions will lead to a continuation of this attitude of postponement on the part of the mother, while the child seeks its answers elsewhere. A barrier has been, unconsciously, built between child and parent that will never be destroyed.

If on the other hand, the mother endeavors to impart to the child some knowledge as to its origin and gradually teaches the growing child the sex relation in plant and animal life, she gradually leads up to the time when the boy or girl can be told its source of origin and the wonderful way nature has provided for rehabitation, so that on reaching maturity, there will be implanted in the young mind a respect and reverence between. the sexes that will go further towards eliminating our present day evils than any other method.

One of our promising young men died the other day, after having combined fifty years of life within twenty. The Ladies' Aid society said his death was due to cigarettes, but the doctors who had seen the tibial brand knew differently. Poor old cigarette! How many burdens you have to bear.

We heard a physician say the other day: "Skin diseases may be divided into two classes-those curable by sulphur and the ointments, and those all h-l couldn't cure." Verily, brother, there is something in that statement.

RECEIPTS.

Receipts from the Nebraska State Medical Association, Feb. 1911..$

Total from State Association...

From advertising and other subscriptions..

Total receipts

301.25

Showing net profit of the year to be applied on old indebtedness of

$450.27.

Very truly yours,

WESTERN MEDICAL REVIEW.

A. F. JONAS, President.

HENRY L. AKIN, Sec'y and Treas.

It was moved, seconded and carried that the president and secretary of the Association be empowered to use their own discretion with reference to the giving out of lists of the Association membership.

The following report of the Auditing Committee was received and on motion the same was adopted:

To the House of Delegates, N. S. M. A.:

Your Auditing Committee submits that they have examined the records and books of Secretary Aikin and Treasurer von Mansfelde, and find same correct.

We persistently urge that the Constitution and By-Laws be adhered to in the transmission of money to the Secretary and Treasurer of the Nebraska State Medical Association, and that the Treasurer of this Association furnish the proper blanks to the County Societies at cost price, for the execution of these recommendations.

MARY A. QUINCY,

L. M. SHAW,

C. F. BURCHARD,

J. P. GILLIGAN,

A. E. WANEK,
R. R. HOLLISTER.

Dr. McConaughey was called to the chair and presided during the reading and adoption of the report of the Committe on Revision of By-Laws.

The Committee on Revision of the By-Laws presented their report. The same was considered seriatim, and later, on motion of Dr. von Mansfelde on behalf of the committee, the report was adopted as a whole.

Two amendments to the constitution were read and laid over, under the rules, for one year.

Dr. Hildreth offered the following resolution, and moved its adoption. The motion was seconded and carried:

Whereas, it is conceded to be one of our functions and duties to educate the public in matters pertaining to health and sanitation,

Resolved, That when any paper read before our State Medical Association contains matter suitable for educating the public in questions pertaining to health and sanitation, our President and Secretary are hereby empowered to abstract such papers-subject to the approval of their authors -and with due recognition of the writers of such papers, present the abstracts for publication in the daily press, over the signature of the President and Secretary of the State Medical Association.

E. O. Weber of Saunders County introduced the following resolution, which was unanimously adopted, after which the House adjourned to meet at 7:30 Thursday morning, May 9.

RESOLUTIONS.

(1) Resolved, That we, the members of the Nebraska State Medical Association, in annual convention assembled at Lincoln, Nebraska, this 8th day of May, 1912, do hereby express most enthusiastically our absolute and unbiased support of the Senator Owen bill, which is now pending before our national congress. We believe that this bill should be enacted into law and that by such enactment, with a national health bureau as provided, the greatest conservation resource of the whole nation will be procured, viz: the conservation of the race.

(2) Be it further resolved that we extend greetings to our honorable members from Nebraska who represent us in the United States senate and to our honorable representatives in the lower house of congress. And as we feel that these representative men will not be influenced by derogatory statements, malicious attacks or prejudiced opinions, it will simply become necessary for the Nebraska State Medical Association to say to them that this organization, one thousand in membership and representative of the entire state, will stand by their favorable action and affirmative vote on this measure.

(3) Be it further resolved that a copy of these resolutions be mailed to each of our United States senators and representatives in congress. Adopted May 8, 1912.

Signed.

Signed.

President State Medical Association.

Secretary Nebraska State Medical Association.

FOURTH SESSION.

Lincoln, Nebraska, Thursday, May 9, 1912.

At 8:30 o'clock A. M. president pro tem Dr. von Mansfelde called the House of Delegates to order.

Roll call showed a quorum present, after which the minutes of the last session were read and approved.

The following members were appointed to serve in place of absent members of the house from their respective counties:

Dr. H. L. Wells, Cuming County.

Dr. M. L. Hildreth, Burt County.

Dr. G. B. Dent, Lincoln County.

Dr. Robert McConaughey, York County.

Dr. J. W. Ackley, Adams County.

The nominating committee presented the following list of names of persons nominated for the various offices:

For President-Dr. A. I. MacKinnon, Lincoln; Dr. S. C. Beede, David City; Dr. I. N. Pickett, Odell.

Vice Presidents-Dr. W. B. Kern, Ingleside; Dr. D. T. Quigley, North Platte.

Secretary-Dr. J. M. Aikin, Omaha.

Treasurer-Dr. J. S. Welch, Lincoln.

Corresponding Secretary and Librarian-Dr. A. C. Stokes, Omaha.

Delegate to the American Medical Association-Dr. von Mansfelde,

Ashland.

Alternate-Dr. E. A. Steenberg, Aurora.

Coucillors-First district, Dr. Lemere, Omaha; Second district, Dr. E. W. Rowe, Lincoln; Third district, Dr. J. A. Wagoner, Humboldt; Fourth district, Dr. H. L. Wells, West Point; Ninth district, Dr. S. M. Moore, Gothenburg.

Dr. D. T. Quigley having been elected as vice president, Dr. G. B. Dent of North Platte was nominated and elected to fill the vacancy in that district.

The president appointed as tellers, Dr. Buckley of Broken Bow, and Dr. E. O. Weber of Wahoo.

There being no further nominations for president, ballot was taken on the names presented by the nominating committee. The first and second ballots resulted in no election. On the third ballot 46 votes were cast, of which Dr. Pickett received 27, Dr. MacKinnon 18 and Dr. Beede 1. Dr. Pickett was thereupon declared elected president of the Association for the coming year.

For vice presidents no further nominations were offered and on motion duly seconded, the Secretary was instructed to cast the ballot for Dr. Kern and Dr. Quigley, named by the nominating committee, and these gentlemen were declared elected as Vice Presidents of the Association.

For Secretary no further nominations were made and by order of the House the President was instructd to cast the unanimous ballot for Dr. J. M. Aikin of Omaha, and declare him elected Secretary for three years. For Treasurer, in addition to the nomination of Dr. J. S. Welch by the committee, Dr. A. S. von Mansfelde was placed in nomination. The ballot resulted in 46 votes, of which Dr. von Mansfelde received 30 and Dr. Welch 16. The Secretary declared Dr. von Mansfelde elected as Treasurer for three years.

For Corresponding Secretary and Librarian, Dr. H. W. Orr moved that the President cast the ballot of the House for Dr. Stokes. The motion prevailed, and Dr. Stokes was declared duly elected.

For delegate to the A. M. A., Dr. von Mansfelde, the nominee of the committee, declined, and requested that Dr. A. D. Nesbit be elected to that position, and under instructions from the House, the Secretary cast the unanimous ballot for Dr. Nesbit as delegate for two years.

Dr. A. E. Steenberg of Aurora was elected in the same manner as alternate.

The following councilors were elected, as named by the Nominating Committee: First district, Dr. Lemere, Omaha; Second district, Dr. E. W. Rowe, Lincoln; Third district, Dr. J. A. Waggoner, Humboldt; Fourth district, Dr. H. L. Wells, West Point; Ninth district, Dr. S. M. Moore, Gothenburg; Eleventh district, Dr. G. B. Dent, North Platte.

After a recess in which the members listened to the address of Dr. Fischer, of Cincinnati, in the general sessions, the House reassembled.

Dr. Long moved the re-election for the ensuing year of the men who have served the past year on the Committee on Public Policy and Legislation, being Drs. W. H. Wilson and H. W. Orr of Lincoln, Dr. E. O. Weber of Wahoo, Dr. A. D. Nesbit of Tekamah, and Dr. Joseph M. Aikin of Omaha.

The motion was seconded and carried.

. The members of the Committee on the Care and Prevention of Contagious Diseases, Dr. H. Winnett Orr of Lincoln, Dr. Robert McConaughy of York and Dr. D. T. Quigley of North Platte, were on motion re-elected to serve for the coming year.

The following invitation from the Omaha Commercial Club for the meeting of 1913, was received, and accepted with thanks.

Dr. Jos. M. Aikin, Sec'y Nebraska Medical Association,

Omaha, Neb.

My Dear Sir:

On behalf of the Commercial Club of Omaha it gives me great pleasure