country doctor may regret that professional fellowship in his community lacks a certain zest, but his field is an elysium, though he know it not. We are told that one class of Omaha specialists work on a fifty per cent basis, while another class fixes the fee at one hundred and fifty per cent of its par value and pockets it all. The Principles of Ethics govern you see. The eternal medicine doctors, the internists, dermatologists and neurologists, true to therapeutic tradition and the teachings of the Council of Chemistry and Pharmacy of the American Medical Association are wont to fling at the more or less terrified rural practitioner who timorously consults them, well known standard and accepted pharmaceuticals, of which melachol, Stortz's extract and Peahen's Bromides are shining examples. It augurs much that no village or second-class city pharmacist can fill an Omaha doctor's prescriptions. If not perchance couched in a rare and forbidding chirography, such prescription calls for a proprietary so rare, and hence unobtainable at home, as to duly impress the patient with the idea that he is to have something beyond the ken of both his family physician and his pharmacist, and so the prescription is returned to Omaha to be filled. But, with all your eccentricities, we still like you. We like you so well that for years we have sent you our best cases and we have so impressed our respective communities with your wisdom and your skill, and our own shortcomings, that the dear people are beginning to flock to you and to your hospitals, without our knowledge assistance or consent. A comparison of hospital facilities published in last month's Western Medical Review (you may have read it, although most of us do not read our own journal) shows that Omaha has more hospital beds than Kansas City, Denver, St. Paul or Minneapolis with double the population. In a direct manner you have paid for these facilities, but indirectly, we of the state at large and our patients have contributed the money. And here is where I wish you to take me seriously, for I do hope to make a point. The time is at hand for the establishment of hospitals in the smaller communities, by the communities, or by the communities in conjunction with the physicians. It is, I believe, an open secret, that private hospitals in the smaller communities, with rare exceptions, do not pay. It seems however entirely reasonable, that if the physicians of a given community could get to a basis of mutual understanding, and would then appeal to the community which they serve, that an organization could be formed that would maintain a hospital suitable to the needs of that community. The local profession might perhaps, reasonably be expected to assume half of the burden. The number of surgical cases originating in every community is really amazing when one stops to count them. It has been estimated that there are enough hemorrhoidal cases in an average county to keep one surgeon busy operating for a whole year, and enough neglected hernia cases to keep one surgeon busy for perhaps two years, not to mention gallstones, appendices and the like. These people would almost without exception, prefer to remain at or near home for operation. Surgeons, local or metropolitan, according to the wishes of the patients, could be requisitioned to do the operating. Thus, would the community be better served, the patient better staisfied the rural profession better qualified through more varied experience, and would retain that which from every view-point of eternal justice belongs to it. "But what of the specialist?" He will then move to the smaller town. General session convened at 9 o'clock Wednesday morning, May 3, Dr. Lord presiding. Oration on Surgery by Dr. C. P. Fall, Beatrice, chairman of Section on Surgery, "Tubal Pregnancy." Thursday morning at 9 o'clock general session was convened in the banquet room of the Rome hotel, Dr. Lord presiding. Oration on Medicine, "The Progress in Medicine During the Past Year," by Rodney W. Bliss, M. D., Omaha, Chairman of the Section on Medicine. Dr. Wilkinson announced that the following officers had been elected by the House of Delegates: President-Dr. A. D. Nesbit, Tekamah. Vice President-Dr. N. T. Johnson, Upland. Vice President-Dr. V. Lucas, North Platte. The Recording Secretary, Dr. Wilkinson, the Corresponding Secretary, Dr. Orr, and the Treasurer, Dr. von Mansfelde, all hold over until next year. Councilor from the Ninth District-Dr. E. L. Smith. Councilor from the Tenth District-Dr. E. A. Creighton Councilor from the Eleventh District-Dr. D. T. Quigley. Councilor from the Twelfth District-Dr. H. H. Bellwood. Delegate to the American Medical Association-Dr. A. R. Mitchell. Adjourned to meet in sections. SURGICAL SECTION. Surgical section was convened at 2 p. m. Tuesday at the Rome hotel, Dr. Fall, chairman, presiding. Development of X-Ray Localization with special reference to the Bone Sweet apparatus for localization of foreign bodies in the eye. W. H. Mick, Omaha. The Localization and Extraction of intra-ocular bodies. Early attempts at localization and extractions; present technic with plates from illustrative cases. James M. Patton, Omaha. Dscussions. History and Remarks on a Case of Congenital Stenosis of the Pylorus treated surgically. Geo. Haslam, Fremont. No discussion. Traumatisms of the Kidney. B. B. Davis, Omaha. Discussions. The Vacuum Treatment of the Nose, Ear and Tonsils. H. B. Lemere, Omaha. Discussions. hotel. chair. Adjourned to meet at 9:30 Wednesday morning. Tuesday evening, 7:30 p. m., the annual dinner was given at the Rome Wednesday, 10 a. m., the Surgical Section convened, Dr. Fall in the Dr. F. A. Edwards, Omaha, read a paper on "A Case of Traumatic Epilepsy." Discussions. Dr. R. R. Hollister, Omaha, read a paper on "Ruptured Intestine Due to Injury." Discussions. Dr. A. P. Condon, Omaha, read a paper on "Fixation Abscess in the Treatment of Septic Conditons." Discussions. Dr. H. P. Hamilton, Omaha, read a paper on "Some Remarks on Drainage." Discussions. Adjourned until 1:30 p. m. Wednesday, 1:30 p. m., the Surgical Section met, Dr. Fall presiding. Dr. D. C. Bryant, Omaha, read a paper on "The Operation for Acute Mastoiditis." Discussions. Dr. E. L. DeLanney, South Omaha, read a paper on "The Surgical Treatment of Congenital Umbilical Hernia with Report of a Case." Discussions. Dr. R. D. Mason, Omaha, read a paper on "The X-Ray in Surgery." Discussions. Dr. A. R. Mitchell, Lincoln, read a paper on "The Influence of Metabolism on Surgical Shock." Discussions. Dr. A. C. Stokes, Omaha, read a paper on "Etiology and Treatment of Prostatic Abscess." Discussions. Dr. D. T. Quigley, North Platte, read a paper on "Report of a Case of Ruptured Liver and presentation of a patient operated upon." Discussions. Adjourned to meet 9:30 Thursday morning. Thursday, 10 a. m., the Surgical Section convened, Dr. Fall presiding. Dr. Stokes moved that a nominating committee of three be appointed by the chair to select the chairman and secretary for next year. Motion seconded and carried. The chair appointed Dr. Stokes, Dr. J. E. Summers and Dr. Steenburg. Dr. Gifford read a paper on "Some Experiences with Infection of the Lateral Sinus from Otitis Media." Discussions. The nominating committee reported that they had selected Dr. A. I. McKinnon of Lincoln, chairman, and Dr. James Patton, Omaha, secretary. It was moved, seconded and carried that the report of the nominating committee be accepted. Dr. J. E. Summers, jr., Omaha, read a paper on "The Surgical Treatment of Chronic Indurate Ulcer of the Posterior Wall of the Stomach." Discussions. Dr. A. I. McKinnon, Lincoln, read a paper on "The Prostate." cussions. Dis Dr. F. B. Hollenbeck, Lincoln, read a paper on "Methods of Skin Grafting." Discussions. MEDICAL SECTION. The Medical Section was called to order at 2:00 P. M., of May 2nd, by Dr. Rodney W. Bliss of Omaha, Nebr., who presided as Chairman. The first paper, on "The Practice of Medicine as a Life Calling-Its Success and Failure," by Dr. F. A. Butler of Harvard, Nebr., was not read at, this time due to the absence of Dr. Butler. Dr. H. L. Akin of Omaha, Nebr., read his paper on Chronic Diarrhoea. Previous to discussion of this subject, Dr. Bliss, announced that as there were probably quite a number of visitors, who were also interested in the various subjects which would be brought up, he desired them to consider themselves at liberty and welcome to take part in the discussion. Remarks were made by the following: Dr. D. C. Hilton, Lincoln, Nebraska. Dr. T. L. Putman, Shenandoah, Iowa. Dr. H. L. Akin, Omaha, Nebraska (Closing). Three papers composing a Symposium on Cancer, were read by the following doctors: Dr. J. M. Mayhew, Lincoln, (Early Diagnosis of Cancer). Dr. D. C. Hilton, Lincoln, (A Synopsis of Recent Experimental work in Carcinoma). Dr. H. H. Everett, Lincoln, (Surgical Aspect of Cancer). Remarks were made by the following: Dr. H. J. Lenhoff, Lincoln, Nebraska. Dr. W. O. Henry, Omaha, Nebraska. Dr. Adams, Lincoln, Nebraska. Wednesday, May 3, 9:30 a. m. Paper by Dr. F. A. Butler, Harvard, Nebr., on The Practice of Medicine. Dr. Mary Strong, Omaha, Nebraska. Dr. Edmunds, Nebraska City, Nebraska. Dr. W. H. Wilson, Lincoln, Nebraska. Dr. Quincy, Ashland, Nebraska. Dr. F. S. Owen, (Closing). Motion made that this paper be referred to the Committee on Public Policy and Legislation. Motion carried. Paper on "Heredity," by Dr. A. E. Mack, Omaha, Nebraska. Remarks by the following: Dr. Edmunds, Nebraska City, Nebraska. Dr. Mary Strong, Omaha, Nebraska. Dr. Munro, Omaha, Nebraska. Dr. Mack, Omaha, Nebraska, (Closing). Dr. C. W. Pollard of Omaha, Nebr., gave a practical demonstration of the "Care of the Patient in Confinement," demonstrating some special apparatus. No Remarks. Afternoon Session, 2 p. m. Paper on "Therapeutic Value of Salvarsan," with report of cases by Drs. E. J. Angle and J. J. Snipes. Remarks by Dr. Alfred Schalek, Omaha; Dr. Thos. Truelsen, Omaha, Nebraska. Paper on "The Venereal Diseases, Their Causes, Prevention and Cure," read by Dr. W. O. Henry of Omaha, Nebraska. Remarks by Dr. Sanders of Holdrege, Nebr., and Dr. Somers of Omaha, Nebr., with closing remarks by Dr. Henry. Paper read by Dr. W. H. Wilson of Lincoln, Nebr., on "Preventive Medicine." Remarks by Dr. Merriam, Omaha, Nebr., Dr. Hildreth, Lyons, Nebr., and closing remarks by Dr. Wilson of Lincoln, Nebraska. Paper read by Dr. L. A. Merriam, Omaha, Nebr., on "Infectious Diseases." Remarks by Dr. Munro, Omaha, Nebr., and Dr. Young of Omaha, Nebr., and closing remarks by Dr. Merriam. Paper read by Dr. Alfred Schalek, Omaha, Nebr., on "Recent Advances in Syphilology." No Remarks. Paper read by Dr. G. A. Young, Omaha, Nebr., entitled "Some Useful Points in Neurological Practice." No Remarks. Paper read by Dr. Thos. Truelsen, Omaha, Nebr., on "Some Considerations in the Therapeutic Use of Hydrochloric Acid and Pepsin." No Remarks. Paper by Dr. W. D. Bridges, Omaha, Nebr., on "Simple Pleurotomy vs. Rib Resection in Recent Empyema." No Remarks. Wednesday P. M., session adjourned at 5:30 P. M. Thursday Morning, May 4, 1911. Meeting called to order at 10:30 A. M. by Dr. Bliss. Dr. R. A. Bliss, nominated as Chairman, but declined. Dr. J. H. Vance, Omaha, Nebr., nominated and elected as Chairman. Dr. H. L. Wells, West Point, Nebr., nominated and elected Secretary. Paper on "Epidemic Cerebro-Spinal Meningitis." Five cases and five recoveries, by Dr. Millard Langfeld, Omaha, Nebraska. No Remarks. Paper on "Aids in the Differential Diagnosis of Mental Disorders," by Dr. Jas. M. Aikin, Omaha, Nebraska. No Remarks. Paper on "Acute Head Injuries, Especially as Viewed from a Neurological Standpoint," by F. E. Coulter. No Remarks. Paper on "Dyspepsia, Due to Myasthenia Gastria," by Dr. A. O. Peterson of Omaha, Nebraska. Paper on "Miscarriages, Not Obstetrical," by Dr. Lue Sutherland of Grand Island, Nebr., was not read. Paper on "Hospital vs. Home for Cure of the Sick," by Dr. H. W. Orr, Lincoln, Nebraska, read by title. Paper on "Modern View of Meningitis," by Dr. H. N. McClanahan, Omaha, Nebraska. Paper on "The Wasserman Reaction," by Dr. A. Sachs, Omaha, Nebraska. Paper on Migraine, Its Etiology, Symptomatology and Treatment," by Dr. Jno. Monroe Banister, Omaha, Nebraska. Session adjourned at 12 M. RED CROSS ANNOUNCEMENT. The American Red Cross announces, in connection with the International Conference of the Red Cross which will be held at Washington, D. C., in May, 1912, that the Marie Feodorovna prizes will be awarded. These prizes, as may be remembered, represent the interest on a fund of 100,000 rubles which the Dowager Empress of Russia established some ten years ago for the purpose of diminishing the sufferings of sick and wounded in war. Prizes are awarded at intervals of five years, and this is the second occasion of this character. These prizes in 1912 will be as follows: 1 of 6,000 rubles. 2 of 3,000 rubles each. 6 of 1,000 rubles each. The subjects decided upon for the competition are: 1. Organization of evacuation methods for wounded on the battle field, involving as much economy as possible in bearers. 2. Surgeon's portable lavatories for war. 3. Methods of applying dressings at aid stations and in ambulances. 4. Wheeled stretchers. 5. 6. 7. Support for a stretcher on the back of a mule. Easily portable folding stretcher. Transport of wounded between men of war and hospital vessels, and the coast. 8. The best method of heating railroad cars by a system independent of steam from the locomotive. 9. The best model of a portable Roentgen-ray apparatus, permitting utilization of X-rays on the battle field at the first aid stations. It rests with the jury of award how the prizes will be allotted in respect to the various subjects. That is to say, the largest prize will be awarded for the best solution of any question irrespective of what the question may be. Further information may be obtained by addressing the Chairman, Exhibit Committee, American Red Cross, Washington, D. C. Very respectfully, CHARLES LYNN, Major Medical Corps U. S. Army, Chairman Exhibit Committee. DAWSON COUNTY MEDICAL SOCIETY. The second quarterly meeting of the Dawson County Medical Society was held in Cozad, April 14, 1911, at the room of the Cozad Commercial Club. Dr. A. E. Wade delivered the president's annual address, his subject being, "The Discovery of Vaccination by Jenner as the Beginning and Basis of Modern Serum and Allied Theraphy." He was followed by Dr. R. R. |