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the constitution and by-laws. It was the intent of Articles for publication under Editorial Communica- the originators of these articles that the annual tions must be accompanied by the name of the author.

meeting of the County Association should come No name will be used in the publication unless requested by the writer. All such articles can be sent to

first, in order that the officers and delegates Dr. C. E. Denison, 68 West 71st street, New York City. elected might know the needs of the county units,

and so be prepared to present them at the annual A COMMUNICATION FROM THE PRESIDENT. District Branch meetings, which follow in May Το the County Associations and District and June. These meetings in turn lead up to the Branches:

annual meeting of the State Association, where Greeting—At the beginning of the new year all matters are discussed and decided. All the it seems proper that we, as a medical organiza- County Associations are therefore requested to tion, should consider how we can best employ follow the prescribed regulations of the constituour opportunities to benefit our individual mem- tion and by-laws in the transaction of business, bers and accomplish the objects for which our or- and especially in reference to the date of the anganization stands.

nual meeting. The year is opening most auspiciously. Every At the approaching annual meeting, Fellows County Association can take inspiration from the will be elected to the number of one for every ten November meeting of Ulster and of New York members to represent their respective counties in Counties. The meeting of the Ulster County the annual meeting of the Council and Fellows, Association at Kingston, November 21st, was re- to be held on the third Monday in October, 1905. ported as one of the most interesting and most It is important that the Fellows chosen shall be largely attended in its history. All the profession men who will attend the annual meeting, and will of the county, members and non-members, were represent the sentiments of their respective invited, with the result that the membership roll County Associations. The experience of the was largely increased before the meeting ad- County Associations having the largest attendjourned. The November meeting of the New ance has shown that this is best accomplished York County Association was phenomenal in its by arranging an attractive program of scientific attendance, the audience overflowing into the ad- papers and discussions. Make the meetings at all joining reception and refreshment rooms. The times, and especially the annual meeting, so atlist of new members here also showed that Asso- tractive that the men of the county cannot afford ciation membership has advantages which are ap- to stay away. One or two men may be invited preciated by the practicing physician.

from a neighboring county or city, men who can The annual meetings of the County Associa- speak with authority on their special subject. Artions will be held during the first four months of range with members of your own Association to the year. It is important that these annual meet- open the discussions, and the result will be all *ings convene at the time prescribed by the by- that could be desired. Such a program requires laws, and in accordance with strict parliamentary time and thought on the part of the officers, and and constitutional provisions, so that the proceed- cooperation of the members. ings may at all times be free from any and all Three years ago a club was organized within technical objections.

the Association, known as the Conference Club. There is wise purpose in these provisions of The object being to consider, from time to

time, the interests of the Association, and how Greater New York, should be eligible to member-
they can be best subserved. Membership in the ship by the payment of annual dues, all other
club is accorded to all the elective officers of the members by the payment for the dinners which
State, District Branch and County Associations they'attended. The other provision was, that
and members of all standing committees. The the management of the club should be intrusted
club meets three times during the year. This or- to the officers and Executive Committee, con-
ganization has been of great service in keeping sisting of the chairman of the six standing com-
the constituent branches in touch with each other, mittees of the State Association.
cultivating mutual confidence and esteem, and At a later meeting Dr. Wiggin proposed, and
knitting together State, Branch and County As- it was carried, that membership at any time in
sociations into one organic whole. The dates of the club makes the member eligible for continu-
the next two meetings have been determined and ous membership by payment of dues. This was
are announced in another column of this JOURNAL. to keep up the interest of those who had been at

Nothing contributes more to the esprit de corps one time officers or members of the committees,
of our members than attendance upon these meet- and also that other members might benefit by
ings of the Conference Club, and we earnestly their experience.
hope that all who are eligible will make a special The first president was Dr. E. Eliot Harris,
effort to attend the coming meetings.

and the secretary, J. Riddle Goffe. They both (Signed) J. RIDDLE GOFFE, President. served until March 18, 1903, when Dr. Emil

Mayer was made president, and Dr. J. J. Nutt, THE CONFERENCE CLUB OF THE NEW YORK secretary and treasurer. Since its organization, STATE MEDICAL ASSOCIATION.

the club has held a number of delightful dinThis club was organized in 1901, when, pur- ners, and many subjects of interest have been

discussed. suant to an invitation sent out by Dr. E. Eliot Harris, there assembled in the private dining

At the meeting held December 14, 1904, Dr.

Wisner R. Townsend was elected president, and room of the Yale Club, on the evening of December 20, 1901, the following gentlemen, all Dr. J. J. Nutt, secretary and treasurer. members of the State Association:

It was resolved that two dinners be held in 1905, Drs. J. W. S. Gouley, F. H. Wiggin, E. E.

on Saturday, February 25th, at the Yale Club, 30 Harris, A. A. Hubbell, E. M. Alger, E. L. Cox,

West 44th street, New York City, at 7.15 P. M., C. E. Denison, A. Lambert, G. T. Harrison, E.

and on Saturday, April 29th, at the same place D. Ferguson, J. C. Bierwirth, C. E. Quimby, and hour. The dues were fixed at $5 for the F. P. Hammond, P. Syms, E. Mayer, H. Arrowensuing year for resident members or for nonsmith, F. W. Loughran, R. Kalish, M. L.

resident members $2.50 for each dinner, and all Maduro (deceased), J. J. Nutt, J. R. Goffe,

those desirous of joining were requested to comJ. A. Wyeth and Mr. J. T. Lewis.

municate with Dr. J. J. Nutt, secretary and After an excellent dinner, Dr. Harris stated

treasurer, 2020 Broadway, New York City. It is the object of the meeting to be the organization hoped that every member of the Association who of a club whose purposes and aims were to ad

is entitled to membership will join, as he can thus vance the best interests of the Association, and

show his interest in the organization, and he promote a friendly feeling between the officers will not only enjoy a good dinner, but will have and those serving on committees. It was thought those who have been placed in control of the

the pleasure of becoming better acquainted with desirable to hold a series of dinners, after which subjects might be discussed that were of special State. District Branch and County organizations interest to the profession apart from the strictly

for the ensuing year. Many topics of interest scientific subjects, which properly belonged to

will be presented for discussion, and it has been medical meetings. It was felt that if the men

the experience of those who are members, that knew each other better that matters of interest

these informal talks have not only been entercould be more freely discussed at such meetings taining, but of great value. The proceedings are than at the business meetings either of commit

not published, so no one need feel any hesitancy tees or of the associations.

in freely expressing his views. Through the courtesy of Dr. Lambert it was

Due notice will be given by the secretary in made possible to have future meetings at the

advance of the meeting to all members, but Yale Club, where the dinner provided would be

should, by any chance, a member fail to receive far better for the same money than could be

his notice, it is hoped that all will feel that they secured at restaurants, and where the necessary

are expected to be present on February 25 and privacy for full and free discussion might be April 29, 1905. had. No formal constitution and by-laws were

ISLAND HOSPITAL FOR CONTAGIOUS DISEASES. adopted, the idea being that the meetings should The Government plans to raise an island in the be as informal as possible. The founders made upper bay near Ellis Island and build a hospital but two requirements, one that all officers and for the reception of contagious diseases. Dr. members of committees of the State, District Thomas Darlington, president of the Board of Branch, or County Associations, resident in

Associations, resident in Health, is in hearty accord with the scheme and

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says there is not a particle of danger from it to THE OPERATIVE TREATMENT OF FRACthe health of the people of New York or those

TURES OF THE PATELLA. nearby in New Jersey. The wind would carry

It is beyond question that the operative treatno infectious taint and no taint of the kind would

ment of recent fractures of the patella yields get into the water.

more satisfactory results than the non-operative "Under modern conditions hospitals where treatment. In spite of the known dangers of an cases of contagious diseases are cared for are operation, the tendency at present is to operate not centers of dissemination of those diseases. more frequently. This is mainly due to improveWhat happened at the time of the Slocum

ment in the mode of procedure. It seems needdisaster was sufficient demonstration of that fact. less to state that not all fractures of the patella Survivors of that disaster were actually clothed need be operated upon to obtain satisfactory rein the disinfected and scalded garments that had sults and that there are contraindications which been worn by persons suffering from contagious need to be taken into account. It is in the class diseases. We carefully kept track of every in- caused by indirect violence and known as “tear" stance of that kind and in not a single case was fractures and in “combination” fractures or those disease contracted. Nor did anybody contract caused by a combination of direct and indirect disease from the hospital nurses, who were all violence that operative treatment is very strongly about in the crowd ministering to the survivors. indicated. People lay on the grass all about the hospital. In these fractures there is a decided separation There was not a case of anybody contracting of the fragments with interposition of the torn disease.

periosteum and considerable laceration of the "With the hospital the Government proposes capsule on either side of the bone. Great stress to build there might be means of reducing the is laid upon the importance of the torn capsule, number of persons with contagious diseases who, and Joseph A. Blake (Journal of the American under present conditions, get to the city. At all Medical Association, October 1, 1904), in a reevents such a hospital would avoid danger to the cent article states that “the indications for operpatients from transporting them, and I believe ation consist, then, not in the extent of injury would tend to diminish the danger of their

to the patella itself, but to the lateral extensions diseases being spread. I hope the hospital will of the insertion of the quadriceps extensor be built as speedily as possible.”

muscle." He refers to them as the lateral

patella ligaments and considers their function PURE MILK.

so important that he is led to state “that when The Health Board of New York, under the these structures are torn as in ‘tear' fractures, no presidency of Dr. Thomas Darlington, is making operation based on the suture of the patella alone vigorous war on the sellers of impure milk. No is correct. The lateral patella ligaments should milk can be sold in the city without the per- be sutured as well.” He relies mainly on the mission of the Health Department, and the source sutures of these ligaments and uses only enough of the milk supply being known, it is essential to fine catgut sutures to unite the torn periosteum know the character of the dairies. Special agents of the patella. The injury is exposed through a were sent to Blooming Grove, Orange County, curved transverse incision and all manipulations and they visited the dairy owned and operated are performed with instruments. The torn ligaby the Metropolitan Milk and Cream Company. ments are united by two chromic catgut or kangaThey found the floor of brick and stone dilapi- roo tendon sutures; the sutures are introduced dated, puddles of dirty water in places, and the on either side and as close to the fragments as drainage broken or stopped up. The ground possible and tied only after both are in place. about the creamery was saturated with filth and A few additional sutures are used to close the had an offensive odor. There was dirty water in extensions of the tear. the milk-room tanks, the water for washing The advantages justly claimed for this method the cans was taken from a spring in the center are its "simplicity and ease, the avoidance of of the buildings, and a horse was stabled in one prolonged manipulation and traumatism, which of the rooms of the dairy. Cans marked butter- is unavoidable when the fragments are bored for milk were examined and found to contain skim- sutures; the exertion of the lines of the restrainmed milk and water. Several bottles containing ing force in the most efficient direction, the aba preserving fluid were, on analysis, found to solute coaptation, use of absorbable sutures and contain formaldehyde. The Department of Health its rapidity." revoked the license of the Metropolitan Company. Blake does not wait for the effusion to subside, In connection with securing pure milk in the but operates as soon as is convenient after the large cities of the State Dr. Darlington has held injury. He used this method for the last three several conferences with Dr. W. C. Greene, of years and during this time sutured twenty-three Buffalo, to extend the system of examination and fractures of the patella, all healing by first incontrol of the dairies supplying milk to the deal- tention and resulting in bony union and satisers in the large cities. It is expected to carry factory function in all cases which he could trace. forward the work among the cities of the second Surgeons are somewhat at variance in regard to class and thus practically cover all the milk sup- the times which they allow to elapse between the ply in this State.

time of injury and the operation. E. Eliot

(Medical News, January 11, 1904), in a report could ever return, would be brought back to the sufferupon thirteen cases of uncomplicated fractures ing. Situated as it is between the ocean and Long of the patella, advises delay until the extravasa

Island Sound, what a haven of refuge it would be to

the despairing sick. But no, it is made a luxurious retion in the joint subsides, and waits up to the sort for criminals, and the poor tuberculous sufferer tenth day before he operates. He also found who might be restored to health is exiled from all he marked laceration of the capsule on both sides of

loves and holds most dear, is pointed at as the leper of

old and is really transformed into a useless burden on the patella, and lays great stress upon the exact

society. The tuberculous patient has his rights as well suture of the torn capsule. J. A. Hutchinson as the public." (Annals of Surgery, October, 1904), reports six We have already on Blackwell's Island the Phthisis operative cases and reviews the subject from the Infirmary, and on North Brothers Island the Rivertime of Lister's first operation. His views are in

side Sanatorium, and in spite of the fact that only cases

in the advanced stages of tuberculosis reach these inaccord with most of the recent writers. He post- stitutions, really wonderful results are obtained by the pones the operation for seven to ten days after simple hygienic and dietetic treatment and the exthe injury and operates through a curved trans- cellent climatic advantages these islands offer. I would verse incision with the convexity downward, not

not wish to have the criminals transferred to any un

hygienic locality where disease would likely be added unlike the incision employed by Eliot. Stress is

to their punishment or confinement. But I agree with laid upon careful suture of the lateral expan- the distinguished president when he says that the sion of the tear, early massage and passive mo

honest citizen when sick and suffering should be given tion. He points out the importance of a quick

the preference of a salubrious locality. What seems

to me of equally great importance is that we should operation, the use of rubber gloves, continuous

have our sanatoria for consumptives as near the city irrigation with salt solution and all manipulation as possible so that nostalgia is not added to the suffercarried out with instruments. The operation ing of the poor consumptive. Since he has had to leave proposed and practiced by Blake is a great im

his home let us give him at least opportunity to see his

loved ones from time to time without too much loss of provement upon the older methods and has many

time and expense to them. It matters less to the unpoints to recommend it; not the least of these are fortunate criminal whether he is removed a few hours the avoidance of boring the bone and the use of

more or less from New York. Ever since the Goodsellabsorbable sutures. Not being necessary to pass

Bedell law was signed by Governor Odell the finding of sutures through the bone shortens the time neces

a suitable locality for a sanatorium has been made

well-nigh impossible. Let us hope that the suggestions sary for operating and diminishes the necessary of Dr. Quinlan will be listened to and our beautiful manipulations to a minimum, thus diminishing islands be utilized for the treatment of our consumptive the dangers of infection very materially. Though poor. Very sincerely yours,

S. A. KNOPF. the operation for recent fractures of the patella At the fourth annual conference of the New is not difficult, it should never be performed un- York State Sanitary Officers, held in Albany, Deless the strictest asepsis is possible. Hutchison

cember 15 and 16, 1904, a resolution was unaniquotes Lord Lister, who, before commencing his first operation, made the following statement: mously passed in favor of repealing the Goodsell“No man was justified in performing this opera

Bedell law. tion unless he could say with a clear conscience that he considered himself morally certain to

WRITE. avoid the entrance of any septic mischief into the wound.” This quotation should be con

One should write what he sees, or thinks he sidered by all who contemplate the performance sees, and not feel that he must limit his writing of an operation for fracture of the patella. to mere compilation, though, of course, refer

ences to the opinions held by other writers are SANATORIA FOR CONSUMPTIVES.

not objectionable. Whenever anything impresses New York, November 16, 1904.

one as out of the ordinary, that is the thing to Editor New YORK STATE JOURNAL OF MEDICINE, study and report. By doing so he will broaden

64 Madison Avenue, City. DEAR SIR - You were good enough to honor me by

his own mind and possibly assist others to underasking for a few words of comment on the admirable stand similar conditions. Do not be afraid to inaugural address of our new and very distinguished president, Dr. Francis J. Quinlan. If I should dwell

report facts because they are not in keeping with on and comment all the various and useful subjects the so-called "authorities.” Mistakes in medicine, dealt with in that admirable address, the comment would be as long as the original communication, and this, I

as in every other department of life, are handed know, you would not wish. You will find it natural down from generation to generation until some then if I pick out for comment the subject in Dr. Quinlan's address which is nearest my heart, namely,

strong spirit observes the error and dares to the provision of sanatorium facilities for the consump

combat it. tive poor in our great metropolis. Here is what the distinguished new President of the

Writing makes a careful man and the carelargest medical association of New York has to say on ful man is the safest and best doctor. Writing this subject : “Let the physician urge that proper places for one's journal and society gives one a perbe provided for those suffering both with acute and chronic diseases. Look at that beautiful island lying

sonal interest as nothing else can. Therefore, east of this great city, a refuge placed by the hand of

by all means write and, of course, write the best God, where all the healing powers of Nature-air, light, sun-have their fullest sway, and where health, if it you can.—Kentucky Med. Jour.

Association News.

late Dr. Barnes, which was read and ordered

spread on the minutes. Dr. LeRoy gave a short The secretaries of the county and district branch

history of a case of spinal apoplexy which he organizations are requested to furnish the business thought to be a rare condition. Dr. Van Etten office a program of the meetings to be held, and after gave a history of a case in which two leading the meeting a full report of the proceedings, all items physicians diagnosed cancer of stomach, in which of interest, such as deaths, marriages and personals of

the subsequent history proved to be incorrect. the members.

Dr. Wood gave a history of a case of twisted gall-,

bladder, which had puzzled several surgeons. COUNTY ASSOCIATION MEETINGS FOR

He also reported a case of rapid return of JANUARY

malignant disease of the removal of ovary for, Rensselaer County, Tuesday, January 3d. cancer, and also reported case of dilatation of (Annual.)

the heart greatly improved by the treatment at Allegany County, Tuesday, January 10th. Nauheim. On motion, adjourned. (Annual.)

(Signed) Guy C. BAYLEY, Kings County, Tuesday, January 10th.

Secretary, Pro Tem. Niagara County, Tuesday, January 10th. (Annual.)

Erie County Association.—The meeting of this Wyoming County, Tuesday, January 10th.

Association was held December 12, 1904, at 8.30 (Annual.)

P. M., in the University Club, Buffalo, N. Y. Warren County, Wednesday, January 11th.

Dr. Roswell Park read a paper on “The His(Annual.)

tory of Surgery in America. New York County, Monday, January 16th. Þr. Vertner Kenerson reported nine cases,

Chautauqua County, Tuesday, January 17th. illustrating six different points in diagnosis and (Annual.)

treatment (to be published later.) Orange County, Wednesday, January 18th. The meeting adjourned at 10.30. (Annual.)

(Signed) David E. WHEELER, Rockland County, Wednesday, January 18th.

Secretary. (Annual.)

Cortland County, Friday, January 20th. (Annual.)

New York County Association.-The State Westchester County, Thursday, January 26th. meeting of the New York County Medical AssoColumbia County, Tuesday, January 31st.

ciation was held at the Academy of Medicine, (Annual.)

New York City, December 19, 1904. Lewis County, Tuesday, January

Meeting called to order at 8.30 P. M., by the

31st. (Annual.)

president, Dr. Francis J. Quinlan. In the abMonroe County, Tuesday, January 31st.

sence of the secretary, Dr. W. R. Stone, the reading of the minutes of the last meeting were

omitted, Dr. J. J. Nutt, corresponding secreCOUNCIL MEETING.

tary, acting as secretary. Minutes of Executive The next meeting of the Council of The New

Committee were read and approved. The folYork State Medical Association will take place lowing candidates were elected : Drs. Brooks H. January 5, 1905. All communications should be Wells, Jerome M. Waterman, Percy H. Williams addressed to the Business Office, 64 Madison

and William P. Healy. avenue, New York City.

A memorial to Dr. William R. Pryor was given by Dr. C. J. MacGuire.

The Treatment of Leukæmia and PseudoDutchess County Association.—The regular leukæmia by the X-rays, with Illustrative Cases, meeting of this Association was held at Vassar

was read by Dr. Arthur Holding, who is in Brothers' Hospital, October 26, 1904. The meet- charge of the laboratory in connection with ing was called to order by the president, Dr. Le- Cornell University Medical College. Roy, at 2.15, Dr. Bayley acting secretary, and Dr. Holden thought that there were two facts Drs. Van Etten and Wood present.

which explain the action of the X-rays in these Tiling read a paper on the Widal' reaction, diseases. First, in lower animals the greatest as modified by Flicker, showing results, and ex- changes from exposure to X-rays have taken plaining the simplicity of the procedure, and its place in the lymph nodes and glands; second, convenience for the busy practitioner. Dr.

many cases of tubercular adenites have been reBayley presented a healthy appendix which he ported as cured by X-rays by thoroughly trusthad removed this morning under protest, at the worthy men. urgent request of its owner ; also a large fibroid After a short review of the literature of cases uter us with tubes and ovaries, which he had of leukæmia and pseudo-leukæmia, and some removed this morning, which was interesting statistics upon cases reported, he presented two from a secondary growth of large size attached cases, one of spleno-myllog leukæmia and the to it by a very small pedicle.

other of pseudo-leukæmia, showing improvement Dr. LeRoy presented a memorial notice of the on X-ray therapy.

Dr. von

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