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YOUNG.-On the 3rd March, 1902, at Kilbride, Edgecliff-road, TEXT-BOOK OF PHYSIOLOGY, Vol. I. and II., edited

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loo, by the Rev. T. B. Tress, father of the bridegroom, assisted

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pa pers please copy. ATLAS AND EPITOME OF LABOUR AND OPERATIVE OBSTETRICS, O. Schaeffer, M.D. W. B. Saunders










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be addressed The Manager.Ellis, L.S.A. Philadelphia : F. A. Davis Co.

Contributors will have to pay the cost of illustrations BACTERIOLOGICAL DIAGNOSIS. By W. D. Emery, accompanying their articles.

M.D., B.Sc. Lond. London: H. K. Lewis.
Rough NOTES ON REMEDIES. By W. Murray, M.D.,
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HUDSON'S “ EUMENTHOL JUJUBES (Registered) THE MEDICINAL PLANTS OF THE PHILIPPINES. By T. are a Gum Jujube containing the active constituents

H. Pardo de Tavera, M. D. Translated by Jerome of well-known Antiseptics, Eucalyptol, Thymus Vulg., B. Thomas, jnr., M.D.

Pinus Sylvestris, Mentha Arv., with Benzo-Borate of MANUAL OF PHYSICAL DIAGNOSIS FOR THE USE OF Sodium, etc., and exhibit the antiseptic properties in a

STUDENTS AND PHYSICIANS. By James Tyson, fragrant and efficient form. Sold by all chemists, tins M.D., fourth edition.

1s. 6d. Are Antiseptic, Prophylactic, reduce SensiPHYSIOLOGIC THERAPEUTICS. Edited by S. S. bility of Mucous Membrane.

Cohen, M.D., Vol. VI., Dietotherapy and Food in Mr. W. A. Dixon, F.I.C., F.C.S., Public Analyst of Health, by N. S. Davis, jor., M.D.

Sydney, after making exhaustive tests, says : - " There CLINICAL HÆMATOLOGY. By J.C. DaCosta, jnr., M.D. is no doubt but that “Eumenthol” Jujubes have a DISEASES OF THE DIGESTIVE ORGANS IN INFANCY wonderful effect in the destruction of bacteria and AND CHILDHOOD. By Louis Starr, M.D., third preventing their growth.

I have made a comedition,

parative test of “Eumenthol ” Essence and Creosote, DISEASES OF THE INTESTINES. By J. C. Hammeter,

and find that there is little difference in their bacteri. M.D., Ph.D., Vol. I.

cidal action.”

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new editor, Dr. Rennie, promises by his vigorous

conduct of the journal to fulfil, and more than THE POLICY OF THE NEW SOUTH WALES fulfil, the sanguine hopes we entertained on his


appointment. Annual Address at the Annual General Meeting of

The profession and the public are under a this Branch.

great obligation to this and to former GovernBy J. Foreman, M.R.C.S., Sydney,

ments for the practical sympathy they have so RETIRING PRESIDENT.

consistently extended to the sick poor, and for the liberality with which they have provided

those noble hospitals by which Sydney is disThe report of the Council deals with the most tinguished. important matters that have engaged the at- The present Premier is a large hearted, tention of the Branch during the year, and the kindly man, who sympathises with the suffering members are to be congratulated on the success poor, and gives practical effect to his sympathy that has attended the year's work. Papers of by adding to our hospital accommodation as a high order of merit, and showing considerable its urgent needs seem to require. In this and research and observation, have been read, and in many other ways the Premier has shown his the discussions have been useful and instruc- desire to co-operate with our profession in tive. A great deal of praise is due to our ex- alleviating the sufferings of the sick. cellent Secretary, who spared neither time nor One great and necessary reform, I am happy trouble in discharging his onerous duties. Dr. to state, has been carried out in the Sydney Crago has carried out his work as Treasurer in Hospital with regard to paying patients. It is his usual satisfactory manper. The Gazette a great pity that the abuse of paying patients Committee (Drs. Knaggs, Crago and Worrall) ever crept in, and it reflects great credit on the in the management of the Journal have earned authorities of the Hospital that they have the the thanks of the members for the time and courage, even though late in the day, to confine trouble they have expended.

the Hospital to its proper use, that is, for the It is with very great regret the Council re- benefit and attendance of those who are sick ports the death of so many members during the and indigent. year. Amongst these were two, both of whom While dealing with this subject I may venI knew very well, and of whom I wish to make ture to call your attention to the abuse of special mention. First, that of Dr. Wright, a private wards in connection with some of the kind, courtly gentleman in every sense of the so-called charitable institutions of the city. word. The younger generation of the profes- Charity is charity, and money-making is moneysion does not understand the amount of grati-making. It is best to keep them separate, and tude it owes him as a model at once of courtesy the man who accepts money from the private and professional courage. It requires a mind wards of his institution really ought not to try of the highest order, and courage of the highest to pass himself off as a person engaged in type, to withstand blackmail, and this we furthering a work of charity. In Melbourne found when it was required in Dr, Wright. they manage things better in this respect, for The Victoria Cross is given for courage in the we saw in the newspaper that Judge Hodges field. What reward is commensurate to courage decided that the honorary medical officer of an Jike his ? Dr. Dagnal Clark was for some years institution has no right to claim fees from any a member of the Council ; he was of a stamp person admitted for treatment, even in the that I hope the Councillors will always be, private wards. To these gentlemen I would giving every question careful consideration, and say avoid the appearance of evil, and let your slow to make up his mind. When once he had attendance on the charitable institutions be formed a definite course he kept to it unflinch- really for the cause of charity, without the ingly; there was nothing weak-kneed about inducement of money. I understand that the him. These are types of men we can ill afford majority of the members of the staffs on these to lose.

hospitals are against the practice. It is to be During the year Dr. Knaggs resigned the hoped that they will be able to settle the editorship of the Gazette, after holding that matter amongst themselves without its having position since its inception, six years ago, and to come before a meeting of the Branch later on. he was accorderi a hearty and well-merited vote It occurred to me that perhaps the most of thanks at a meeting of the Branch. Our interesting subject on which to address you would be a consideration of some of the ordinary and meeting the consequent expenses, and so troubles that boset us in our daily professional they insure against such a contingency on just life. In one way they have been of great the same principles as they insure their lives. advantage in that they have welded us together The medical profession has always recognised in a manner heretofore uuknown in our pro- this, and has always been ready to recognise fession in Australia, and I think we may well difficulties requiring adjustment for the benefit be proud of the part which this Branch of the of both parties, but these contracts were only British Medical Association has played in the intended for the inclusion of persons whose matter. So conspicuous has been its excellence incomes were so small that, whilst they wished in this respect that I venture to prophesy before to avoid sacrificing their self respect by relying this year is over every medical practitioner who on charity for medical attendance, they enis not at present on the roll in this State, but deavour to make it worth a medical man's while who is worthy of becoming a member, will to devote proper attention to them by assoapply for election. It seems to me that some ciating themselves together for this specific of our members are hardly sufficiently impressed purpose. Of course a medical man on his part with the far-reaching consequences of the ques- has to guard against being imposed upon by tions with which we have to deal, or by the people whose position should preclude them benefits to be obtained by united action. Our from contract attendance, and whilst we conunion is for defence and not for aggression, for sider anyone with an income of £200 a year, or the protection of our less prosperous members, less, a fit and proper person to be included not for the imposition of hard conditions on under these contracts, so long as it is effected the public. Medical practitioners, as a body, through what we recognise as a legitimate cannot be accused of being business men, but benefit society, persons with incomes over that even the dullest of us can learn from others, limit should be excluded, as they would be and the examples we see of co-operation levelled practically obtaining attendance under false against us are sufficient to show us that only pretences, and I cannot understand how any by standing loyally by each other can we avoid right-thinking, self-respecting man, in such a the traps that seem to be continually laid for position, would take advantage of a quibble and us.

In none of the provinces of Australia is demand that he is entitled to the medical our profession so well organised or so har

so har- benefits of such society, which never were, and monious as in New South Wales, and, to my never can be intended for those in


circummind, we owe this result entirely to the British stances. I have seen it stated in the papers Medical Association, which has already done that the members of lodges having over £200 so much good, but which I believe and hope is do not aggregate more than 5 per cent. only in its first youth. In future it will be as of the total members on the roll, and that of essential a qualification for the good man to these but very few avail themselves of the club belong to the British Medical Association as to medical attendance. If this is so, what posbe on the list of legally qualified medical prac.sible objection can there be to admittiog titioners--in fact, it will be something better, the principle which we consider vital? The for it will show that in addition to being legally societies have succeeded in cutting the medical qualified he is willing to stand shoulder to officers' fees down to a minimum, and it has shoulder with his fellow practitioners in defence always struck me as being one of the most of the just claims of the profession.

extraordinary phases of human nature that, Now let'us consider what this Association where questions of

health concerned, has done in the past year, and first of all as people, as a rule, liko to get advice on regards clubs. The proper and intelligent basis the cheap, forgetting that, in other departfor the formation of a club or medical benefit ments of life, with which they presumably are society does not seem to be clearly understood better acquainted, what is cheap is commonly by a great many either of the profession or of nasty. We are not, as I said before, business the public. The public, because they enter people, but other considerations enter into into an association, think they have a right to medical practice that are entirely foreign to demand the services of medical men on any other professions. The public cannot complain terms they may choose to formulate, whether of the profession for its selfishness, when its these meet the requirements of the other side main object is not only to make people healthy, or not. Now that was not the original idea of but to prevent their getting ill. We have no contract practice. Contract practice was, and better example of this at the present time than is, and must only be for the benefit of those the measures now being taken by the medical who cannot afford to take the risk of being ill | profession to stop the cpidemics that have cost

a year


the country so much, and the examples we have these gentlomen the right to compel us to had of their practically stamping out typhoid attend them as a society? This is a matter that and smallpox. The same position is evidenced can only be arranged by mutual agreement, in their actions with regard to medical benefit and, although any society has a perfect right to societies, which can never be entirely, say to our Association—we should like you to ought not to be merely a matter of £ s. d., and attend us, we, on our part, have an equal I cannot understand why the guiding spirits of right to decline if we consider the conditions these societies cannot take a broader view of unsuitable. The concession of 258., instead of the matter. There is no more certain thing in 168. and 178., which they are so fond of quotthis world than that you never get thirteen ing, reminds me of what took place in the pence for a shilling, and if you are going to cut birth-place of this society in Victoria, where down people in any walk of life who are serv- the members, at the commencement of their ing you, you may be quite sure you get no career, made lots of promises, and gave their more than the value of your money, and I medical attendants 25s. a year instead of the should have thought that it would have been ordinary rate. Now it is not yet a very old to the interests of the societies to obtain the institution (I believe it has lasted about six best talent available (and they have some very years), but in that short period they have good men), and that to ensure generous at- managed to sweat the profession in Victoria by tendance they would not have scrupled to have reducing the payment to 12s.6d, and, from paid thein fairly ; instead of this the chief aim what I can hear, if they try they will soon seems to be to screw the doctor to the lowo-t have no difficulty in reducing it still further. possible rate, to be most exacting in their rules Here in New South Wales in our dealings with regarding his attendance, and then wonder this Association we intend to take as our motto why relations are so often strained. As a body the old principle of " Principüs obsta,",

, there is no class of people on earth so easy to deal with an evil before it becomes confirmed, get on with as inedical men, but to take and we have not the slightest intention of deadvantage of their needs and the competition livering ourselves, bound hand and foot, to the that necessarily ensues cannot be to the advan- tender mercies of the Australian Natives' Astage of those who engage their services. . See sociation, as our unhappy brethren in Victoria, what has happened to this M.U.0. The able from their own accounts, seem to have done. men who attended them previously have Let the Australian Natives' Association carry resigned under circumstances of which you are out their own ends, whatever they may be, but fully aware, and they have now four medical let them refrain from attempting to impose on officers who are not members of the British us by masquerading in the guise of an honest Medical Association. I need say no more.

benefit society. Their real aim is something Another of the petty troubles which beset us very different, and they only pretend to the arises out of the action of a body known as the character of a friendly society in order, by Australian Natives' Association. Whether this their scheme of medical benefits, to attract Association is an embryo Africander Bond, or shoals of members. It is not my province to whether its aims are the most philosophical comment on any actions of the medical profesand desirable in the world, has absolutely sion in another State, but, if what one hears nothing to do with us as a profession, but when is true, and from letters written by members of they claim medical benefits because they are a the profession there, the Australian Natives' registered friendly society, it is in that respect, Association, in its dutiful friendly capacity, has and in its medical aspect only, that we have a taken control of the elections of the medical right to object, and that we do strongly object men in the different hospitals, which elections is evident from the decision not to enter into unfortunately are made by the subscribers contract relations with them, which was unani generally, instead of through an intelligent mously carried at a meeting of the profession committee. This has had the effect of practispecially convened for the purpose of discussing cally silencing a great many voices in the proit. It seems a strange thing that any society fession in a manner which must be obvious to should arrogate to itself the right to say to a all of you, and what more pitiablo sight can body of educated men-you will have to do there be than that a body of educated this, or that, whether you like it or not. Surely gentlemen should be under the thumb of an we have a right to a say in the matter. Surely organisation which is masquorading under the we may not unreasonably form our opinion as false pretence of being a friendly society, and to whether any particular society is entitled to at the same time using the medical benefits as the benefits of contract practice. . Who gave the great inducement to members joining. This

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is what happened in one of their art unions :- proposal. In fact, the threat is what the Amongst other arguments used to induce mem- Americans call a “bugaboo,” horrid in fancy, bers to enrol themselves were some shouting meant to frighten weak people, but when you

take out, “Here is a chance of a fortune for a bob, it by the throat there is nothing in it. Every and medical attendance at 3d. a week.” When sober, industrious practitioner can always make the medical benefits were first mooted by the his way, and he is not the one to lend himself Australian Natives' Association our Secretary, to such questionable ways. No, gentlemen, you Dr. Hankins, waited on their President and need not fear the bugaboo. The organizer, or, asked him if they proposed to have any wage as some would call' him, the wire-puller, is fearlimit. He replied, “No; they could not have fully and wonderfully made, and I advise you any wage limit, otherwise they could not com- to beware of hiin. He toils not, neither does pete with the other benefit societies, who were he spin, but he takes good care to live on not bound by any such limit. We are going the fat of the land, for he has the knack of to act on business principles, and we shall be making other people work for him. The latest guided by the law of supply and demand." | work of his hands is known as the “CommonAnd this reply was given by a protectionist wealth Benefit Society," a worthy fellow of the M.P. But we often find that political prin- notorious Peoples' Prudential, and I believe the ciples, however strongly proclaimed, are only offspring of the same brain. It is intended, as I translated into action when great voting power am informed, to be a kind of cave of Adullam is affected. The politicians think we have no for the established benefit societies, where such power. It is for you, gentlemen, to show everyone who is discontented can take refuge. they are mistaken. Some of the vapourings of The prospectus promises mountains and marvels, the Australian Natives' Association are rather but I strongly advise you to have nothing to umusing than otherwise. They tell us, for- do with it, or with any association except the sooth, that they mean to crush us by the aid bona fide benefit societies. We are determined of Parliament, and that they will get an Act not to enter into contract practice with any passed compelling respectable members of the other society beyond those already existing, British Medical Association to meet in consul- which were established solely for mutual help tation the outsiders, whom they will be in time of sickness. For those who do not care obliged to employ as their medical officers. to join one of these excellent institutions, there It is said that an act of Parliament can do any is the Sydney and Suburban Medical Society, thing except make a man a woman ; but I think where any one with an income of £200 or we must add another limitation to its power, under can be attended by the best men in the for no Act of Parliament could bring a respect- profession, and where, if a consultation is able practitioner to consult with a man who is necessary, it can be obtained at half-fees from outside the pale of decent practice Another any member of the British Medical Associatiou. threat which these gentlemen are good enough I must congratulate the Society on its success to use against us is to the effect that they will and the Secretary, Dr. O'Hara, is deserving of bring new medical men to the various country overy praise. towns, and other places, to act as rivals to the I notice that at the Adelaide Congress of the

men already established. We have often heard Australian Natives' Association, the President * this kind of thing before. I have been told that said that if the medical profession desired to nearly thirty years ago the same threat was

the friendly societies they would have used in Sydney when the societies endeavoured

to pay for it.

How cleverly he tries to draw at that time to squeeze the medical men. They the public away on a false scent. He knows, threatened to introduce young practitioners or he ought to know, that there is no such from England, and so crush the opposition of intention ; and, that there may be no excuse for the established doctors ; but their threats came any further misrepresentation, I state authorito nothing, and so it will be with the Austra- tativoly that the profession not only has no lian Natives' Association if they try it. “Surely idea of trying to break up a legitimate friendly in vain is the net spread in the sight of any society, but that we recognise their extreme bird," and he would be a very foolish bird who usefulness, and that it is to the mutual advanwould set himself in opposition to his follow- take of persons with small incomes and of practitioners so as to bring the whole profession professional men that the club system should under the heel of the Australian Natives' Asso- be maintained on just and proper lines. Every ciation. I think better of my fellow-practitioners, bona fule benefit society posseses our respect, and and I feel sure that no man of character would will always receive every assistance in our lend himself for a moment to such a suicidal power ; but sham benefit societies, whose real

break up

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