409 MEDICAL SOCIETY OF THE MISSOURI VALLEY. The approaching meeting of this Association, in Council Bluffs, Iowa, September 19th, promises to be one of unusual interest, and an excellent program is being prepared by Secretary Thomas. It will appear in the next issue of THE HERALD. A new feature will characterize this fall meeting in the shape of a delightful excursion to the Hot Springs of South. Dakota, concerning which we have received the following letter: SECRETARY'S OFFICE, COUNCIL BLUFFS, IOWA, Aug. 1, 1895. EDITOR MEDICAL HERALD:-An excursion to the Hot Springs, S. D.,. September 19th, has been tendered the members of the Medical Society of the Missouri Valley, and their wives, by the F. E. & Mo. Valley and the B. & M. Railway Companies. This outing will occur during the annual meeting of the Society at Council Bluffs, la,, leaving on the afternoon of September 19th and returning the 22d. The excursion will be under the charge of Dr. D. Macræ, to whom application for Pullman berths must be sent, and to whom a remittance of $3.00 must be made to secure the same. The total Pullman car expenses for (double) berth will not exceed $10.00 for the three days. All arrangements must be completed prior to September 1st. DR. F. S. THOMAS, Secretary. We hope to see a large attendance of members, and none should neglect to bring their wives, sweethearts, and children, and enjoy the treat so generously furnished by the railway companies. A HERALD representative will accompany the special train to see that all happenings of note are duly reported in book form. Send in your names at once and secure your berths in the special Pullman sleepers. A VOICE FROM THE SOUTH. 231⁄2 WHITEHALL STREET, ATLANTA, GA. EDITOR MEDICAL HERALD:-From the present outlook, the "Cotton States and International Exposition" will be one of the "events" in the history of our country, and especially of the South. Realizing the immense number of physicians who will be present, from all parts of the United States and other countries, I have decided to offer my mite of Southern hospitality to my visiting brethren. Therefore, I extend a cordial invitation to any physician who may visit our city, to make my office his headquarters. Send mail, telegrams, etc., in my care, and I will cheerfully engage rooms, etc., in advance for any one if advised to do so. The only request I make is to enclose postage for letters of inquiry, which will be cheerfully answered. For any services I may render no fee, commission, or any perquisites whatever, will be received or expected. Fraternally yours, GEORGE BROWN, M. D. 410 THE MITCHELL DISTRICT MEDICAL SOCIETY. The Mitchell District Medical Society lately held in the Opera House at West Baden Springs, Indiana, was a very interesting and successful meeting. The attendance was large and many interesting and instructive papers were read. There were visitors from Chicago, Cincinnati, Indianapolis, Louisville and St. Louis, among them Dr. Lanphear, of St. Louis, who read a paper on "Some Surgical Sins;" Edmund Andrews, M. D., LL. D., of the North Western University, Chicago; Jas. H. Etheridge, A. M., M. D., of Rush Medical College, Chicago; Dr. Ferdnand Henrotin, of the Chicago Polyclinic; Wm. L. Rodman, B. S., M. D., of the Kentucky School of Medicine, Louisville; Thos. H. Stucky, M. D., of the Hospital Medical College, Louisville; Joseph H. Eastman, M. D., LL. D., of the Central College of Physicians and Surgeons, Indianapolis; and Joseph Ranschoff, M. D., F. R. C. S., of the Ohio Medical College, Cincinnati. The officers for the ensuing year are Edmund Andrews, M. D., Chicago, President; G, W. Burton, M. D., Mitchell, Secretary; W. V. Morgan, M. D., Indianapolis, Corresponding Secretary; Samuel Kennedy, M. D., Shelbyville, Ind., Chairman of Committee on Program. 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He believed with Dr. McIntyre that there are entirely too many men trying to do abdominal surgery. There are now too many careful, skillful, experienced operators in every part of the country to justify the inexperienced operator in attempting to do other than emergency work. Abdominal surgery is not as easy and successful as it has been pictured; and the sooner the majority of doctors learn to keep out of the belly the better it will be for humanity. He condemned the short insision as it is best to make an opening sufficiently large that when the patient is placed in the Trendelenburg posture the operator can see as well as feel the condition he has to contend with DR. C. C. MORRIS, in replying, said the present tendency on the part of gynaecologists is to drift toward non-interference n many of the cases heretofore regarded as strictly operable. As to Dr. Lanphear's objections to catheterization of the Fallopian tubes, if one is very careful there is not so much danger as he claims and as to the cure, of course care has to be taken in the selection of proper cases. Where there is only one chamber-one cyst-of the tube containing the serous fluid catheterization may permanently relieve it by establishing constant drainage. Ignipuncture through the vagina has also been recently suggested. Resection of the ovary is certainly growing in favor. DR. J. N. M'INTYRE, in closing, remarked: I was an army surgeon and general practitioner for many years before I engaged in my specialty of abdominal surgery, and it is in retrospection at my own incompetency of a few years ago that determines my assertion in regard to the inability of the general surgeon to compete with the specialist in abdominal and pelvic surgery. Their statistics cannot be so good as those of the man who does nothing but special work-just as the general surgeon cannot compete with the ophthalmologist in the extraction of cataract Antiseptic must be kept out of the abdomen, with the exception of mild solutions of peroxide of hydrogen which may be employed for washing out the pelvis when a pus tube has been ruptured. Sɔ far as the mania for belly-cutting is concerned it cannot be too strongly condemned and the same is true of purely exploratory laparotomy. In the hands of an experienced operator like Dr. Lanphear it is perhaps all right, but it is never justifiable in the work of beginners. We recently had presented at our local society a report of seven cases subjected to laparotomy with five deaths. This was the work of an amateur. Would those pleading for general practitioners to operate call this a good showing? Certainly not. The probabilities are that had an experienced operator done this work all seven patients might have been saved. Five lives sacrificed to the ambition of an inexperienced surgeon! And these were mostly exploratory operations. It is to be granted that in a measure most laparotomies are exploratory, as Dr. Lanphear says, but an experienced operator knows pretty definitely what is in the abdomen he is to open and goes prepared to remove anything which it is possible to take away-not merely to see what is there and then close the belly up, doing nothing. Regarding the short incision mentioned by Dr. Hall, the consensus of opinion is in favor of the |