The following papers were read and discussed:

"Clinical Observations on Some Acute Chest Diseases," Dr. T. W. Cotton, Van Buren, Mo. "Intestinal

Diverticulitis," Dr. G.

C. Purdue, Wichita, Kas.

Treasurer W. A. Camp submitted his report and asked that a committee be appointed to audit his books and ac

counts.

The following were appointed: Dr. W. H. Wilder, Birmingham, Ala.; Dr. A. S. Hawkins, Monett, Mo.; Dr. H. R. Lucas, Chaffee, Mo.

Afternoon Session.

The following were appointed to serve as the nominating committee: Dr. G. C. Purdue, Wichita, Kas.; Dr. J. A. Foltz, Fort Smith, Ark.; Dr. W. H. Miller, Birmingham, Ala.; Dr. S. A. Gassaway, New Albany, Miss.; Dr. H. R. Lucas, Chaffee, Mo.; Dr. E. A. Mayberry, Enid, Okla.; Dr. E. J. Neathery, Sherman, Texas.

Papers read:

"Vapor Anesthesia as Compared with Other Methods," Dr. J. R. Dawson, Birmingham, Ala.

"Some Cases of Head Injuries and Their Conservative Treatment," Dr. B. M. Barnett, Rosedale, Kas.

"Emergency Operations in Shock," Dr. W. H. Wilder, Birmingham, Ala. "Frequent Errors in Emergency Work," Dr. B. F. Fortner, Springfield, Mo.

Dr. James invited all the members to attend a Dutch lunch and smoker at the roof garden in the evening. The Dutch lunch and smoker was a splendid one, well attended and greatly enjoyed by all present, Dr. James being toastmaster. The Hon. T. T. Crittenden, Jr., mayor of Kansas City, was present and in addressing the surgeons accorded them a most hearty welcome.

May 26th, 1908.

The members in attendance were treated to a delightful automobile ride. over miles of Kansas City's fine boulevards, beautiful streets and the famous Cliff Drive. During the course of the automobile drive, the surgeons stopped

at his home to greet Dr. N. J. Pettijohn, assistant chief surgeon of the Employes Hospital Association of the Frisco line, and former president of the Frisco System Medical Association, who was physically unable to be in attendance at the meeting. The surgeons were very cordially received by the doctor, Mrs. Pettijohn and Miss Pettijohn.

At 10 o'clock the surgeons accepted the invitation of Dr. Sanders of the City Hospital to witness the use of tropacocain as a spinal anesthesia.

Afternoon Session.

The auditing committee made the following report, which was adopted:

We, your auditing committee, appointed to examine the books and accounts of the treasurer, beg to submit the following

We find Dr. Camp's books neatly and carefully kept and a correct account of all moneys paid in and also all paid out, together with proper receipts for the lat

ter.

During the last year the number of members registering and paying the one dollar dues was eighty-eight. Our expenses were one hundred dollars-exceeding our receipts by twelve dollars. However, our treasurer had carried forward from the previous year a balance of $180.25, making a total of $206.25. After deducting the yearly expenses of $100 we have left $106.25. From this balance, and the membership fees collected at this meeting, the expenses of the Seventh annual convention are to be paid.

We recommend that the usual fifty dollars be paid our efficient secretary and that a warrant be drawn in his favor.

We recommend that the president and secretary urge every company surgeon or physician to join the association and that the secretary be requested to collect the membership fee from each member annually, whether he attend the meeting or

President-Dr. S. C. James, Kansas City, Mo.

Vice presidents-Dr. J. W. Ballenger, Alabama; Dr. J. A. Foltz, Arkansas; Dr. H. Z. Hissem, Kansas; Dr. J. H. McNeill, Mississippi; Dr. H. R. Lucas, Missouri; Dr. E. A. Mayberry, Oklahoma; Dr. F. D. Smythe, Tennessee; Dr. W. E. Sturgis, Texas.

Secretary-Dr. A. D. Parce, St. Louis,

Mo.

Treasurer-Dr. W. A. Camp, Springfield, Mo.

Resolution was adopted to substitute the following for Article IV of the ByLaws:

The officers of this association shall be a president, two vice presidents-known as first and second vice presidents-a secretary and a treasurer, who shall be elected annually by ballot. These officers shall perform the usual duties of their respective positions, and the president shall deliver an address to the association on some important medical or surgical subject, and may also make any suggestions he sees fit to promote more interest and enthusiasm in the meetings.

There shall also be an executive committee, consisting of five members, of which the chief surgeon shall be exofficio chairman; the other four members are to be elected for four, three, two and one year, respectively, the first year; after which one member shall be elected annually to serve four yars.

Resolution adopted:

to Dr. S. C. James and other members of the Frisco System Medical Association in Kansas City for the splendid "Dutch lunch and smoker," the very enjoyable automobile ride, and numerous other courtesies extended to us.

2. That we also appreciate the untiring efforts of Mr. Taylor, proprietor of the Savoy hotel, for attention given us.

3. That the press of the city be thanked for publishing accounts of our sessions.

4. That a special vote of thanks be given to the Hon. T. T. Crittenden, Jr., mayor of Kansas City, for his excellent address, words of encouragement, and generous donation of the keys of the city while in its midst.

5. That a copy of this resolution be sent to each of the aforementioned gentlemen and that a copy of the resolution be inscribed on the permanent records of the association.

Report of necrology committee:

Dr. Robert Luedeking, St. Louis, Mo.; died Feb. 29, 1908.

Dr. S. M. Carrigan, Hope, Ark.; died March 9, 1908.

Dr. W. G. McGavic, Mardy, Ark.; died April 4, 1908.

Executive committee elected-Dr. G. W. Cale, Jr., permanent chairman; Dr. E. J. Neathery, term four years; Dr. W. N. Yates, term three years; Dr. A. S. Hawkins, term two years; Dr. F. M. Floyd, term one year.

Fort Worth, Texas, is chosen as the meeting place of the eight annual conven

tion of the association.

Resolution adopted:

By a unanimous vote of the Frisco System Medical Association, in session at Kansas City, Mo., May 25 and 26, 1908, the following resolution was ordered to be sent to Dr. N. J. Pettijohn, former chief surgeon of the Kansas City, Fort Scott & Memphis railway:

That we recall with great pleasure his efficient work for the society and his zealous interest in its welfare, his sterling character, his candor and fearless integrity, his success in private practice. and as a medical director of the great railroad system.

"Injuries and Suppurative Processes in the Hand,” Dr. L. P. Allison, Brownwood, Texas.

"Expert or Opinion Testimony" (by request), Dr. F. M. Floyd, St. Louis, Mo. "Foreign Bodies in the Rectum," Dr. H. C. Dunavant, Osceola, Ark.

Report of a Case of Ileus, Caused by a Unique Gastrolith, Dr. C. H. Cargile, Bentonville, Ark.

"Hydrophobia," Dr. H. R. Lucas, Chaffee, Mo.

"Ringworm," Dr. Wm. Frick, Kansas City, Mo.

"Reporting Case of Gastro Accretion, "Reporting Case of Gastro Accretion, Gastrotomy, Presenting Specimen, Dr. A. M. Smith, Cherokee, Kas.

"Naso-Pharyngitis," Dr. W. D. Drake, Bolivar, Mo.

"Surgical Difficulties of the Country Doctor," exhibition of improvised instruments, etc., Dr. C. E. Jones, Winslow, Ark.

"The Physician as a Crusader Against Contagious Diseases," Dr. C. M. Lutterloh, Jonesboro, Ark.

Dr. James, in well chosen words, thanked the members of the association for the honor bestowed in naming him as their president for the ensuing year. He urged their hearty co-operation in bringing about at the Eighth annual meeting unprecedented interest, enthusiasm and attendance.

Dr. John Punton kindly offered to publish the papers in the Kansas City Medical Index-Lancet.

Tri-State Medical Society. The Tri-State Medical Society of Missouri, Illinois and Iowa meets in Ottumwa, Iowa, Sept. 9, 10, 1908.

The Medical Association of the Southwest-Third Annual Meeting, in Kansas City, Mo., Oct. 19-20-21, 1908.

The third annual meeting of this association will be held in Kansas City, Mo., Oct. 19, 20, 21, 1908. The association comprises the states of Kansas, Oklahoma, Texas, Arkansas and Missouri. Dr. T. E. Holland, Hot Springs, Ark., is president; Dr. F. H. Clark, John Punton of Kansas City, Mo., is El Reno, Okla., is secretary, and Dr.

the chairman of the committee of arrangements. Kansas City has excellent hospital facilities which furnish an abundance of clinical material. This will be utilized during the week of the various hospitals on Monday morning, meeting. Clinics will be held at the No. clinics will be held during the sesand Thursday, Friday and Saturday. sions on Tuesday and Wednesday. The committee of arrangements is also tertainments for the visiting doctors making ample provision for social enas well as their wives. Everyone is and be in Kansas City during the week expected to bring his wife. Be sure of the meeting and have a good time. Please note that the Coates House has been decided on as the place for headquarters.

ON COMA.

Burton Chance of Philadelphia says that it is our duty in studying cases of coma to attend carefully to the examination of the ocular fundus. There are

distinct arterial changes in the fundus. Transient visual disturbances may arise from interference with nutrition of the cells of the retina; in like manner cerebration, psychic and physical, may be interfered with through nutritional changes. Arterial changes in the eye may culminate in rupture of the vessels and areas of the retina be blotted out, and so may there be a rupture of vessels in the brain from similar causes. The author goes into an exhaustive study of the ocular and retinal changes.-Medical Record.