September, 1917, he was stationed with the field hospital, No. 134, at Camp Cody. From there he went to Camp Dix in August, 1918. On September 1, 1918, he was sent in advance of his division to attend the medical school at Langres, France, and later served as battalion surgeon of the first battalion of the 26th Infantry. He fought during the MeuseArgonne campaigns with Colonel Roosevelt until the signing of the armistice. He was commissioned captain on August 14, 1918. He was discharged from the army in December, 1918, and returned to Davenport to resume his medical practice. He was a member of Trinity Episcopal Church in Davenport. Irwin S. Boles was born December 9, 1844, in Trumbal county, Ohio, died at Shellsburg, April 1, 1921. He was a son of Silas and Martha Boles. The family came to Mt. Vernon, Iowa, when the subject of this sketch was nine years old. Irwin Boles graduated from Cornell College, and in 1871 commenced the study of medicine at Cleveland, Ohio, completing the course in 1874. Dr. Boles was a veteran of the Civil War. He enlisted in 1864 in Co. C, 47th Iowa Volunteer Infantry, and served until the close of the war, when he was honorably discharged. He was married to Miss Sarah Bowe of Shellsburg on February 6, 1876. Dr. Rilla Grafton Hay, aged seventy-one, a beloved alumnus of the Iowa University College of Medicine, class of 1873, is dead at Los Angeles, California, where she had practiced forty-five years, being the first woman to be granted a license to practice medicine in California. She was the wife of Rev. John C. Hay, formerly a valued pastor of the Christian church of Iowa City, and pastor of the Central Christian church of Pueblo, Colorado, during a period of twelve years. They were married when she was sixteen. At Pueblo, also, Mrs. Hay served as head of the gynecological department of the State Insane Asylum, and was active in opening a Pueblo Hospital for women. Surviving are her husband and two sons, John C., Jr., and George R. Hay; and two daughters, Virginia, and Mrs. E. H. Gates, of Los Angeles. The body will be cremated at Los Angeles. Dr. R. P. Berry, West Union, died April 17, 1921. Dr. Berry was born August 3, 1862, in Lindsay, Ontario, Canada and graduated from the medical department of McGill University, Montreal in 1888, coming immediately to Clermont where he practiced his profession for twenty-seven years. Six years ago he came to West Union thus broadening his territory of usefulness. Dr. Berry was an undefatiguable worker. The life of a country practitioner must of necessity be a hard one and Dr. Berry was on the go almost every hour of the twenty-four and his life has paid the forfeit. He was ever the "good physician" and the wise counsellor of the afflicted, and with his passing people are saying "what shall we do now, for we have lost our doctor." Many a household was represented at the services and many a tear was shed for the physician who had responded to his last call. Dr. Berry lived a simple life and in his few hours of leisure enjoyed reading and study. He possessed a remarkable memory and by virtue of his personality counted among his close friends men prominent in public life. He achieved success in a financial way as well as professionally, organizing the State Bank of Clermont and acting as its president for many years, retaining his interests there during life. He was also active in organizations, holding membership in the Knights of Columbus, Knights of Alhambra, the Modern Woodmen and a charter member of the B. P. O. E., of Oelwein. In politics he was a progressive republican. Dr. Horace Lee Husted, 104 West Fifth street, for some years a practicing physician here and later principal of the Muscatine high school, passed away at 10 o'clock this morning at the University Hospital at Iowa City. His mother, Mrs. W. L. Cope of this city, was with him at the time of his death. He had been in failing health for some years. He was forced to give up his practice because of physical incapacity, and later recovered to the extent that he accepted the principalship of the local high school. He underwent a number of operations in the hope of regaining his health. The last operation was performed at the Iowa City hospital one week ago. Following his graduation from the college of medicine at the University of Iowa, he entered upon the practice of that profession here. When he was forced to resign from the local school because he found the responsibilities of that position too taxing on his limited physical powers he accepted a position as physician at the Clarinda, Iowa, hospital. His condition became serious about six weeks ago and he returned to Muscatine. Last week, following consultation, it was decided that another operation was imperative and he was removed to the varsity institution. Dr. Husted is prominently known in Muscatine. He spent the greater part of his life here. While connected with the local high school he was particularly interested in the welfare of the boys and took a leading part in scout work. He was a member of Trinity Episcopal church. The remains were brought to Muscatine for burial. -Muscatine Journal and News Tribune. Dr. Carl Anderson Arnold, died at his home in Des Moines, April 4, 1921, aged thirty-one years, from tumor of the brain. Dr. Arnold was born at Warren, Pennsylvania, September 16, 1899. He was a graduate of Drake University, Class of 1912; and of Washington University Medical School, St. Louis, 1914, and did post-graduate work at Harvard Medical School in 1920. He was a member of the Union Park Methodist Church, Des Moines, and of the (Continued on Adv. Page xvi) Half a million baby appetites must be satisfied And many of these are "bottle" babies because they cannot have their own mother's milk. Most babies are born healthy and would continue to be healthy if they could remain under the doctor's care. MEAD'S DEXTRI-MALTOSE puts infant feeding where it belongs-in the hands of the doctor. The Mead Johnson Policy Mead's Infant Diet Materials are advertised only to the medical profession. No feeding directions accompany trade packages. Information regarding their use reaches the mother only by written instructions from her doctor on his own private prescription blank. Interesting Literature. Samples also MEAD JOHNSON & COMPANY When writing to advertisers please mention The Journal of Iowa State Medical Society 5821 OBITUARY . (Continued from Page 226) Brotherhood of American Yeomen, Polk County and Iowa State Medical Societies, and the American Medical Association. Dr. Arnold's integrity of character, his interest in all things that contribute to the uplift and well-being of mankind, and his affability endeared him alike to patient, friend and colleague. His untimely death at the beginning of a useful life is mourned by many. He is survived by his father and one sister. Resolution passed at the meeting of the Polk County Medical Society held May 31, 1921 Whereas, Divine Providence has removed from our membership by death our beloved friend and associate Dr. Carl Anderson Arnold. Be It Resolved, That in his death this Society has lost one of its most promising and brilliant members. We shall miss his gracious smile, his warm friend. ship, his fraternal interest. We desire to extend to his family our regret at their loss and assure them of our deepest sympathy in their bereavement. Be It Resolved, That a copy of these resolutions be sent to the family, the Iowa State Medical Journal, and a copy be spread upon the permanent record of this Society. M. L. Turner, MARRIAGES Dr. W. F. Skelley and Miss Ella B. Gilroy of Davenport. Dr. Frederick Howard Kelley of Goldfield and Miss Lillian Ida Isch of West Bend, April 15, 1921. Dr. C. F. Osborne of Hampton and Miss Anna Cronin, also of Hampton, April 12, 1921. Dr. Allan Gordan Feller and Miss Mary J. Reynolds of Oskaloosa. They will make Van Meter, Iowa, their home. MME. CURIE'S FIRST AMERICAN CONTRIBUTION The July issue of the Medical Review of Reviews will contain a lengthy original contribution by Mme. Curie entitled "The Radio Elements and Their Applications." It is, we believe, the first and only contribution which this noted scientist has made to an American publication and is extremely valuable. A copy of the July issue containing it will be sent gratis to any physician making the request. Address the Medical Review of Reviews, 51 East 59th street, New York. BOOK REVIEWS A TEXT-BOOK OF THE PRACTICE OF By James M. Anders, M.D., Ph.D., L.L.D., The rapid development of the science of medicine has made it necessary to publish new editions of standard text-books with increasing frequency. The author, and the previous editions, are so well known that no introduction is necessary, and we shall only mention some of the particular things that have been brought out or modified. The World War has had an important influence in amplifying certain facts in relation to certain diseases. Typhus Fever, Cerebrospinal Meningitis, Pneumonia, Exophthalmic, Goitre, Tuberculosis, Diseases of the Heart, Nephritis, Focal Infections, and some other diseases, that a new edition seemed called for. The opportunity to study certain forms of disease under unusual conditions gave experienced internists a new insight into facts of special importance in the study of disease in relation to. which the last word had been said. The study of syphilis has received a new impetus because of its relations to many forms of degenerative disease and we have a wider conception of the heart and its diseases of which there has been of late, great opportunities for study. LABORATORY MANUAL OF PHARMACOL- By A. D. Bush, B.Sc., M.D., Professor of The purpose of this book is to furnish a manual for students in pharmacology and to this end charts are formulated which may be filled in for the study of materia medica and the pharmacological preparations including the therapeutic application. In part second, we find a discussion including charts for experiments on animals. The student in pharmacy may find in the manual, a valuable guide in the scientific study of medical substances, their preparation and their affects. Jowa State Medical Society VOL. XI DES MOINES, IOWA, JULY 15, 1921 THE RELATION OF THE FAMILY DOC- DONALD MACRAE, JR., M.D., F.A.C.S., Members of the Iowa State Medical Society Your President offers this seeming complex subject for your most earnest consideration, not with a view to simply relieve himself of the annual obligation as the head of your organization, nor of offering any original thought; but rather to cover as briefly as possible a few of the outstanding and vital problems confronting the profession today. Problems which, if left unsolved may jeopardize the future of medicine as well as the health and happiness of mankind. As President of the Iowa Society, I shall attempt to discuss the various subjects from an Iowa viewpoint for the following reasons. First-We are familiar with the situation. Second-As members of the American Medical Association we should be interested in the conduct of all states, but, the responsibility of obligations to the citizen and to ourselves in this particular commonwealth rests upon the shoulders of the Iowa profession. Third-Geographically, on account of our large rural population and small cities, problems to be solved, differ materially from those confronting the more densely populated centers of the East. Again, the State of Nevada, for instance, with a small population scattered over a very wide area, presents quite another kind of problem to solve, if proper medical attention is to be received by her citizens. "The General Practitioner"-Much has been said and written of late concerning this prehistoric bird, as some seem to class him. Iowa still boasts of her many conscientious general practitioners and yet, we must view with alarm the gradual decrease in their numbers. The *President's Address, Iowa State Medical Society, May, 1921. No. 7 young men are flocking to the cities, only the older ones remaining in the small villages. Dr. Sampson, (Creston), makes the following observation: "MEDICAL PRACTITIONERS-In 1918 Iowa had 4004 registered practitioners of medicine, of whom approximately 3600 are in active practice and 3000 are general practitioners. This would be one doctor, to every 800 population. Here again the distribution bears interestingly on our problem. In our cities, such as Des Moines, for example, there is one doctor to every 420 population, while in some of the rural counties the ratio is as low as one to 1100. "Another interesting fact is the high average age of doctors practicing in less densely populated regions, and where hospital facilities are lacking. In sixteen agricultural counties studied, the average age of doctors in towns under 2000 population was fifty-two years, while in other localities studied, where hospital service is provided, the average age of the doctors is forty-six years. "In three adjoining counties of southwestern Iowa, the average ages of resident doctors are as follows: County No. 1, average 57 years; county No. 2, average 58 years; county No. 3, average 47 years. (County No. 3 has fairly adequate hospital service). "Problems relating to the development of efficiency in medical practice in Iowa are over 75 per cent rural. How are the smaller towns in Iowa to be made inhabitable for the modern model of medical practioners?" Dr. Sampson's answer to this, is community team work, with co-operation of doctors and laymen in the building of laboratories and so forth, for the proper detection of disease. With this program of Dr. Sampson's, I am in perfect accord. However, there is another phase of the subject which must not be overlooked. I refer to that human instinct of pride and ambition, born in the soul of the real man to do things. The general practioner of today, especially the younger man, is dissatisfied with rural practice. し The general discussions of medical subjects in journals and societies, tend to increase the irritation, and lessen his respect for his associates and himself, and finally, discouraged, he moves to a large center and becomes a "specialist," or falls in a “rut" and remains there. What is the result in this particular case? The answer is the city, already over-crowded with specialists, gains little, while the village loses all. In addition to Dr. Sampson's desire to place in the hands of every community, the laboratory and other equipment nccessary to the proper diagnosis of disease, the general practitioner, I am convinced, must not underrate his own latent power, which now seems to be the case. Has he forgotten the history of medicine? Without extensive laboratory help, medical men of the older day worked with their brains, assisted by their eyes, ears and sense of touch, yes, even their sense of smell. These men studied cases, noted symptoms, co-ordinated the various phenomena, divided and classified their meaning and named the diseases with which we are familiar today. What claim has the specialist to prior right as off-spring from men like Hunter, Harvey and Jenner? Who performed the first ovariotomy in this country other than Ephrian McDowell? Marion Sims and his persistent efforts leading to a successful operation for visico-vaginal fistula is another. Vaughan says, "I have gone quite thoroughly through the literature of cerebrospinal meningitis in this country during the first half of the 19th century, and if there was a contribution made on this subject, by a physician living in a town of more than 10,000 inhabitants, I have failed to find it." In this article Vaughan gives the names of a large number of general practitioners living in small towns, a few in the most remote corners, whose writings and observations then, are responsible for our understanding now. I could fill these pages with the names of general practitioners from small villages, whose contributions to medicine have made possible the work of today. I cannot pass this phase of my paper without a word for one, now gone to his eternal rest, whose teachings and mechanical devices saved the lives of hundreds of thousands of men on the battle fields of France and Belgium, and "lest we forget," those heroes now resting- "In Flanders Fields where the poppies blow Between the crosses, row on row," who died before England awakened to the importance of the Thomas splint. This man was Hugh Owen Thomas, born 1834-died 1891. Thomas really conceived the idea of of the splint from his father, a mere "bone setter," who had never seen the inside of a medical college. We all recognize how the rural physicians in the new era are handicapped by lack of laboratory, diagnostic and treatment facilities. We know, too, the effect it is having on their patients, but we do not "over play" the slogan "no one man can handle the situation." Is this phrase correct in every particular? Does it not have a depressing effect upon the general practitioner? Has not the laity been impressed too often with statements tending to lessen the importance of the general practitioner in his community? The writer, born in Iowa, corn fed since the cradle, and for thirty years (ten of which was general practice) in direct contact with the so called family doctor, both of the old and new type, should be in a position to offer his views reasonably intelligently at this time. Graduating from the University of Michigan, where at the time, they taught men the principles and practice of medicine, I returned to Council Bluffs, where I became associated with my father, himself a general practitioner. When the Omaha Medical College (now the College of Medicine University of Nebraska), was established, my father was made, first, professor of surgery, later professor of gynecology, and finally professor of theory and practice of medicine, and dean of the Medical College. He was the first to perform an ovariotomy in Western Iowa. His obstetrical forceps were the first in the territory in which he worked. I hope the society will pardon these seeming personal references to the message I wish to offer for your consideramy dear father, when I tell you it is the meat of tion. How few modern teachers of surgery in our leading colleges now, could suddenly be transformed into a teacher of medicine, even if taught today, as it was then? Are the medical colleges today teaching men to observe early symptoms on the living body? Are the medical colleges teaching students to be general practitioners for the rural population of Iowa? Are the young men of today flocking to the already over crowded cities, merely because they want to become specialists? Or is it for the reason that they are over trained in technical laboratory ideas, and unable to stand alone, and study the human body in the early stages of disease, when no laboratory technique could divulge the |