of St. Louis, Secretary; Dr. W. L. Dayton, of Lincoln, Neb., Treasurer.

St. Louis was selected for the next annual meeting.

The following names were added to the list of honorary members: Dr. Geo. Stevens, of New York; Dr. St. Clair Thompson, of London; Dr. R. Coen, of Vienna, Austria; Dr. E. J. Moure, of Bordeaux, France; Dr. J. Sendziak, of Warsaw, Russia; Dr. Marcel Natier, of Paris, France; Dr. C. Zion, of Dantzig, Germany; Dr. A. A. Cuye, of Amsterdam, Holland.

The new members elected were as follows: Dr. J. A. Caldwell, of McKinney, Tex.; Dr. O. Joachim, of New Orleans; Dr. W. H. Baldinger, of Galveston, Tex.; Dr. J. S. Mott, of Kansas City, Mo.; Dr. J. S. Lichtenberg, of Kansas City, Mo.; Dr. J. W. Bettengen, of St. Paul, Minn.; Dr. J. W. Chamberlin, of St. Paul, Minn.; Dr. H. M. Stareky, of Chicago; Dr. R. Brunson, of Hot Springs, Ark.; Dr. Max Thorner, of Cincinnati; Dr. J. W. Scales, of Pine Bluff, Ark.; Dr. E. H. Singleton, of Marshalltown, Ia.; Dr. F. C. Ewing, of St. Louis.

Tuberculosis in the Insane.

The

Dr. H. H. Tomlinson, superintendent of the St. Peter's Asylum, Minnesota, published in the New York Medical Journal, March 11th, an interesting paper on the observations and findings. as to phthisis in the insane. period of his study covers from January, 1895, to 1898, during which time fifty patients succumbed to the disease. None of these had their condition thus diagnosed on admittance, and tuberculosis appears to have originated during their residence. The special type of the disease, in the great majority of these cases, was a peculiar one. There was little emaciation until shortly before death, and rational signs were largely absent or not so marked as cases outside the institution. Attention was generally first called to these cases by the elevation of the temperature, general weakness, and sweat

ing.

The course of the disease was often greatly prolonged, and even after the

patient had taken to his bed he might continue a merely vegetative existence for months or even a year. The condition of the lungs on postmortem was also peculiar; the cavities were few and small, the lung heavy, its tissue dense, the basis often only a mass of dense fibrous tissue, and the only normal appearing portions were found in the middle and anterior regions of the lungs. Dr. Tomlinson calls attention to the close resemblance existing between these conditions and those of bovine tuberculosis, except that in the latter, the animals having been killed, the stages are not so advanced. Undoubtedly the conditions must have existed for a long time before attention was called to them.

The Doctor recapitulates his paper by stating that phthisis in an old institution like St. Peter's is relatively more common than in the general population; for the last year covered by the paper, the percentage of deaths 46. It is most common among degenerates, in whom the lungs and kidneys are both likely to be affected with the connective-tissue degeneration described. He considers this tendency to connectivetissue degeneration to be especially a manifestation of inherent defect, in other words, a symptom of degeneracy. In seventy-two post-mortems made during the period, he found all more or less involved as to the lungs and kidneys. In no case was there a perfectly healthy condition found. therefore accounts for the relative frequency of tuberculosis in the insane to this original defective tendency of the organism, rendering them the more liable to infection and morbid conditions favored by the overcrowding, etc., in such institutions.

He

Medical authorities of Great Britain are considering with alarm the enormous increase of cancer cases in that country. A recently prepared table of statistics shows that while in 1840 the proportion of deaths from cancer to total death-rate was only one to 129, it has steadily increased, and in 1896 was one to every 22 of the total death-rate.

THE LOUISVILLE JOURNAL

.. OF..

"Each State, county, and district. medical society entitled to representa

The Columbus Meeting of the American Medical Association.

The Columbus meeting promises to outstrip all other meetings of the Association, both in regard to attendance. and entertainment. Dr. Starling Loving and his numerous committees are hard at work, and an immense attendance is already assured. The chairmen of the different sections say that not only is space rapidly filling up by contributions, but that the nature of the papers is above the ordinary in ability. The younger men in the profession all over the country are evidencing an interest in the coming meeting, and many are sending in their applications for membership. That they and all others may understand the exact rules, etc., we append the

ANNUAL ANNOUNCEMENT.

The fiftieth annual session will be held in Columbus, Ohio, on Tuesday, Wednesday, Thursday, and Friday, June 6, 7, 8, and 9, commencing on Tuesday at II A. M.

"The delegates shall receive their appointment from permanently organized State medical societies, and such county and district societies as are recognized by representation in their respective State societies, and from the medical departments of the Army, Navy, and Marine Hospital Service of the United States.

Members by Application. -Members by application shall consist of such members of the State, county, and district medical societies entitled to representation in this Association as shall make application in writing to the treasurer, and accompany said application with a certificate of good standing, signed by the president and secretary of the society of which they are members, and the amount of the annual membership fee, $5.00. They shall have their names upon the roll, and have all the rights and privileges accorded to permanent members, and shall retain their membership upon the

same terms.

Each delegate or permanent member, when he registers, is requested to record the name of the Section, if any, that he will attend, and in which he will cast his vote for Section officers.

Secretaries of medical societies, as above designated, are earnestly requested to forward, at once, lists of their delegates.

Also, that the Permanent Secretary may be enabled to erase from the roll the names of those who have forfeited their membership, the secretaries are, by special resolution, requested to send to him, annually, a corrected list of the membership of their respective societies.

Orations: On Medicine, James C. Wilson, Philadelphia; on Surgery, Surgery, Floyd W. McRae, Atlanta, Ga.; on State Medicine, Daniel R. Brower, Chicago.

Chairman Committee of Arrangements, Starling Loving, Columbus. Amendments offered by W. L. Wills, California:

Constitution, Article IV-Officers. Amend to read: "The following officers, viz President, four Vice-Presidents, Treasurer, Librarian, Secretary, Assistant Secretary, and Chairman of Committee of Arrangements, shall be nominated by a special committee of one member from each State represented at the meeting, and shall be elected annually by the vote on a joint ticket, and shall hold office until their successors are elected."

Sections.-The Chairman of each Section shall prepare an address on the recent advancements in the branches belonging to his Section, including such suggestions in regard to improvements or methods of work as he may regard important, and present the same, on the first day of the annual meeting, to the Section over which he presides. The reading of such address need not occupy more than forty minutes.". By-Laws.

"A member desiring to read a paper before a Section should forward the paper or its title and length (not to exceed twenty minutes in reading) to the secretary of the Section at least one month before the annual meeting at which the paper or report is to be read."-By-Laws.

Rochester, Minn., Chairman; M. L. Harris, Chicago, Secretary.

Obstetrics and Diseases of Women. A. H. Cordier, Kansas City, Mo., Chairman; W. D. Haggard, Jr., Nashville, Tenn., Secretary.

Materia Medica, Pharmacy, and Therapeutics. - Thomas H. Stucky, Louisville, Ky., Chairman; Leon L. Solomon, Louisville, Ky., Secretary.

Ophthalmology.-Casey A. Wood, Chicago, Chairman; Charles H. Williams, Boston, Secretary.

Laryngology and Otology. — Emil Mayer, New York, Chairman; Christian R. Holmes, Cincinnati, Secretary.

Diseases of Children. - Henry E. Tuley, Louisville, Ky., Chairman; L. D. Boogher, St. Louis, Secretary.

Physiology and Dietetics.-J. Weir, jr., Owensboro, Ky., Chairman; Lee Kahn, Leadville, Col., Secretary.

Neurology and Medical Jurisprudence. Frederick Peterson, New York, Chairman; Hugh T. Patrick, Chicago, Secretary.

Cutaneous Medicine and Surgery.W. T. Corlett, Cleveland, Ohio, Chairman; J. M. Blaine, Denver, Col., Secretary.

State Medicine. Arthur R. Reynolds, Chicago, Chairman; W. P. Munn, Denver, Col., Secretary.

Stomatology.-George V. I. Brown, Milwaukee, Wis., Chairman; Eugene S. Talbot, Chicago, Secretary.

Wm. B. Atkinson, Permanent Secretary, 1400 Pine Street, Philadelphia.

The New Editor of the Journal of the

American Medical Association.

Dr. Joseph Eastman, of Indianapolis, one of the trustees of the American Medical Association, has given the following communication to the Indiana Medical Journal regarding the appointment of Dr. George H. Simmons, of Lincoln, Neb,, to the edito

"At the annual meeting of the board of trustees of the American Medical Association, held in Chicago, February 17, 1899, the candidates for the editorial chair made vacant by the death of Dr. John B. Hamilton were given. a competitive examination and their merits and their endorsements thoroughly canvassed. This examination resulted in the election of Dr. George H. Simmons, of Lincoln, Neb., Secretary of the State Medical Society and editor of the Western Medical Review.

"Dr. Simmons is not connected with any medical college. He is forty-six years of age. After passing through the common schools he studied at Tabor College, in Iowa. He graduated from the University of Nebraska during the time that Prof. A. R. Benton, of Indianapolis, was Chancellor of that institution. Professor Benton writes to one of the trustees: 'I have known Dr. Simmons from a boy. While in the university he was an earnest and capable student. His subsequent professional career has fully justified my expectations of him.' Dr. Simmons taught school in Lincoln, Neb., two years before he studied medicine. He also won a hundred-dollar prize for an essay, offered by the Kansas State Board of Agriculture. This proved an introduction to newspaper work, which furnished him the means of pursuing his medical studies. He graduated from Rush Medical College and afterwards was two years in Europe, spending the time in Berlin, Vienna, Paris, Glasgow, Edinburgh, and London. He had a love for editorial work, and made a special effort to study the means and methods of conducting the London Lancet and the Journal of the British Medical Association. Mr. Ernest Hart favored him in his investigations. Re

Lincoln, Neb. His ability as an organizer in his State and in the American Medical Association has been proven. His editorial ability was endorsed by letters from some of the best known American editors, notably one from Dr. Hobart A. Hare, of Philadelphia.'

Kentucky State Medical Society.

The Kentucky State Medical Society will meet in Louisville, May 17-19. Some activity is already noticeable among the profession in the State in regard to this meeting. The fact has been apparent for a number of years that interest in the annual meeting was decreasing, and that the attendance was diminishing. What the real reason was no one seemed to know; but it is fair to presume that the different District Societies divided interest with the State Society. Even granting that this is the real reason, it is difficult to understand why the members of any District Society could not also attend the annual meeting of the State Society. But very few days would be required to attend both. It must be remembered that it is the busy doctor who attends medical societies. At the coming meeting much business of importance is to be transacted, the chief being the suggestion of the retiring President, Dr. J. M. Mathews, that the constitution of the Society be changed so as to make a membership depend on a membership in a County Society. This will, of course, necessitate the organizing of a society in every county in the State. Such a procedure would, it is thought, throw new life into the State Society, which is now waning, and bring the different county members more in touch with the general profession. Extensive arrangements are being perfected to entertain the society in royal style.

Dr. John G. Cecil has already appointed his committees, and they have gone to work in earnest. It is to be hoped that there will be a very large attendance. Dr. David Barrow, of Lexington, is the President, and Dr. Steele Bailey, of Stanford, Secretary.

An Association of Proctologists.

A number of surgeons throughout the Union have interested themselves in the organization of an American Association of Proctologists, to meet at Columbus, Ohio, during the meeting of the American Medical Association. A decided interest has been manifested by many very prominent surgeons in this meeting, and it is expected that a good organization will be effected. It

is true that rectal diseases have been very much neglected by both the physician and general surgeon, and it is expected by this organization to elicit. more interest in this important branch of surgery. Particulars of the meeting can be had by addressing Dr. Wm. Beach, 515 Pennsylvania Avenue, Pittsburgh, Pa.

Louisville & Nashville-Pennsylvania

R. R. Special to Columbus. Arrangements have just been completed as we go to press for a special train to be run over the Louisville & Nashville and Pennsylvania R. R. from New Orleans, via Louisville and Cincinnati, to the meeting of the American Medical Association, at Columbus, O., June 6-9.

The rate has been fixed at one fare for the round trip from all points, which will insure a splendid attendance at this meeting. Full particulars will be published in the next issue regarding the A. M. A. Special over L. & N. and Pennsylvania R. R.

The Coming Age.

The April issue of this delightful and instructive magazine will contain an article by Prof. Uri Lloyd, the author of "Etidorhpa," on "Do Physicians and Pharmacists Live on the Misfortunes of Humanity?" As the price of a single copy is only 20 cents, it will pay every physician to buy it and read this interesting article from the pen of Mr. B. D. the distinguished author. Flower, the founder of the Arena, is editor-in-chief of The Coming Age, and the office is 506 Olive Street, St. Louis.

Letters Received.

The following letters addressed to the Journal have been received during the month of March and contents noted: Dr. J. F. Adams, Bagdad, Ky.; Dr. G. H. Albright, Barbourville, Ky.; Dr. Brower, Hawarden, Ia.; Dr. J. T. Berry, LaGrange, Ky.; Dr. Milton Board, Hardinsburg, Ky.; Dr. T. Cleaver, Lebanon, Ky.; Dr. C. J. Cook, Belmont, Ky.; Dr. W. A. Conklin, Leitchfield, Ky.; Dr. T. C. Coons, Chilesburg, Ky.; Drs. J. R. and J. J. Clark, Marion, Ky.; Dr. A. J. Driskill, Grand River, Ky.; Dr. Geo. E. Davis, Lawrenceburg, Ky.; Dr. L. B. Dean, Adams, Ky.; Dr. B. C. Falconer, Lexington, Ky.; F. Eager, Hopkinsville, Ky.; Dr. R. Dr. Wm. Farmer, Fairmont, Ky.; Dr. A. H. Freeman, Briensburg, Ky.; Dr. J. G. Furnish, Burlington, Ky.; Dr. T. H. Garvin, Horse Cave, Ky.; Drs. Garr and Aitken, Flemingsburg, Ky.; Dr. J. T. Gingles, Kirksey, Ky.; Dr. Guthrie, Franklin, Ky.; Dr. Cyrus Graham, Henderson, Ky.; Dr. J. P. Heaverin, Owensboro, Ky.; Dr. J. A. Jemison, Eminence, Ky.; Dr. Ŏ. S. Kash, Moorfield, Ky.; Dr. W. C. Keen, Burkesville, Ky.; Dr. E. Kelly, Lebanon, Ky.; Dr. J. M. Lutz, McWhorter, Ky.; Dr. S. W. Luten, Cayce, Ky.; Dr. C. J. Lockhart, Cayce, Ky. ; Dr. Ensor, Ky.; Dr. J. A. Lewis, Georgetown, Ky.; Dr. W. M. Miller, Millersburg, Ky.; Dr. J. W. Meador, Custer, Ky.; Dr. A. M. Morrison, Goshen,