of every citizen and inhabitant of the state, without regard to commercial interests of the individual members of this association. Such an organization has one common purpose: the elevation of the medical profession to higher planes of knowledge, for the prevention of disease and the alleviation and cure of bodily infirmities. Failing to cure tuberculosis in the majority of cases, the medical profession has attacked the great white plague from another standpoint, viz: prevention. In the dissemination of such knowledge, having for its ultimate end the extermination, or at least its limitation, in the spread of tuberculosis, the Ohio State Medical Association is on record; and the warriors in the field, in so great a philanthropic work, are the members who compose the roll of this association. But, gentlemen, notwithstanding the worth of the medical profession, in all public measures as affecting all the people, in the doctrines of sanitation and hygiene which we preach and practice we are not without ridicule and criticism at the hands of the people. Even in Holy Writ we read that "Asa in his disease sought not the Lord, but the physician. And Asa slept with his fathers." Speaking of the afflicted woman the Evangelist St. Mark says: "She had suffered many things and had spent all she had and was nothing bettered, but rather grew worse." Poor old Job adds his compliments in his address to the medical profession, if any there was, in his day, “Ye are forgers of lies. Ye are physicians of no value." Job surely was an Osteopath. The elevation of the medical profession, like all other good things, is that evolution which comes to us as a result of knowledge. In selecting Canton as the place for your annual meeting, we believe that you have shown us great honor and have displayed the wisdom which is vested in the house of delegates. We have no medical colleges nor universities; our largest public institution is the Stark county workhouse. Mayor Turnbull informs me that it is full, and there is no room in it for doctors, but significantly adds that he thinks some ought to be there, who are not at this meeting. The greatest thing of interest we can show you in Canton is our genuine, full-hearted hospitality. The city is yours; the profession is yours; and I promise you our patients are yourswhom doctors seldom surrender; and if they do, they go to a lay member of the community. We welcome you as a profession which has done more for the physical comfort and well being of our people than any other profession in existence. Through the efforts of our profession the span of human life has been lengthened, and health has been maintained and restored to many who apply to our guild for relief. The Ohio State Medical Association stands for rational, scientific medicine. Its members have been reared in the best medical colleges in the land-many of whom have more than a national reputation. We congratulate ourselves that the academic requirements for entrance to our medical colleges means a full collegiate course, or its equivalent. The time is at hand when the medical requisites for practice equal or excel those of any other profession. Great as our state has been in furnishing political leaders and advocates of party principles, and leaders in the industrial and mechanical arts, she is equally well known in the galaxy of great and eminent physicians and surgeons. I congratulate you as an educated profession, regularly graduated and registered under the law, practicing in the full possession of the light we now have, ready with the stores of a vast and varied learning, prompt to meet sudden emergencies with the resources of an art whose history and labor stretch backward to the world's morning. Man's advancement in science and refinement has been followed by no diminution of the estimate put upon the worth and dignity of our profession. It has kept abreast with the culture of every generation, if not, in fact, in advance of its age and time. If we inquire as to the tangible results of its labors, the actual achievement of its representatives, we shall be constrained to confess that no nobler monument has been reared by genius of man than is to be found in medical science and literature. Some commanding power for good, to which all men pay spontaneous homage, must dwell in our profession, so as to draw all hearts to us in times of sickness and distress, and win all suffrages, good and bad alike. For what we virtually imitate we approve and admire. And since we delight not to imitate inferiors, we aggrandize and magnify those we imitate. Since also we are most apt to imitate those we love, we testify our affection in our imitation of the inimitable. Gentlemen, such an occasion as this, when so many representative physicians and surgeons are gathered together with such incentives and possibilities, can not but be fraught with lasting benefits, as you resume your work in your respective fields of labor. The memories of the grand old men in our profession still linger with us. If they could return to us today, what mighty transformations in the practice they would witness. They would find an age of steam and electricity; an age where children are born without pain, a la Christian Science; an age when the appendix, hunted and brought out of its dark hiding place, often post caecal, is a surgical bonanza; an age when the alimentary canal is too long; an age of bacilli and microbes, foes of mankind, and yet Methusaleh lived to be 969 years; an age when our patients get married by proxy and divorced without cause; an age when men busily and successfully engage in the practice of medicine twenty years, don't know anything, and are to be pitied rather than respected; an age of great and permanent advancement in medicine and surgery, which reflects honor upon such men as I again welcome to the home city of one of God's great, in the whole wide worldthe home of William McKinley. THORNTON'S POCKET MEDICAL FORMULARY (heretofore known as The Medical News Pocket Formulary) new (7th) edition, revised to accord with the new U. S. Pharmacopoeia, containing more than 2,000 prescriptions with indications for their use. In one leather bound volume. Price, $1.50 net. Lea Brothers & Company, Publishers, Philadelphia and New York, 1906. Dr. Thornton points out the special utility of each of the various prescriptions recommended under the headings of the respective diseases. TUBERCULOUS PERICARDITIS WITH PRESENTATION OF A SPECIMEN REPORT OF CASE.* C. W. McGavran, M. S., M. D., Professor of Physical Diagnosis Ohio W. B., male, aged 30, single; huckster by occupation; came under my observation on March 22, 1906, with the following history: Family history negative. Had the usual diseases of childhood and excepting an attack of typhoid fever in 1900, from which he fully recovered, had never been sick. No history of gonorrhea or syphilis. Has used tobacco for fifteen years, and past ten years alcohol at times to excess. In May, 1905, began to cough and expectorate thick mucilaginous material; the cough was most severe in the morning and was accompanied by considerable chest pain, principally over the sternum, at about the junction of the manubrium with the gladiolus. Has had night sweats for past six weeks. Weighs 145 lbs., having lost 18 lbs. Appetite fair, bowels regular. Although he had not been feeling well for some weeks past, he had, till a few days prior to this examination, continued at his work. Physical examination: Inspection showed anemia, enlarged right buccal gland, emaciation, sunken right supraclavicular space and limited motion in right upper thorax. Apex of heart in normal position. Palpation: Vocal fremitus increased over right apex; pulse 130, full and regular; temperature 103.4, respiration 32. Percussion: Dullness over right apex; no increase in cardiac dullness. Auscultation: In right apex I found bronchial breathing, vocal resonance increased and whispered pectoriloquey. Heart sounds were clear and distinct, second pulmonic sound sharply accentuated. Examination of sputum negative. Diagnosis: Tuberculosis involving the right upper lobe. *Read before the Columbus Academy of Medicine, May 21, 1906. The patient was sent to his home and to bed. Upon seeing him 24 hours later I found his condition practically unchanged; he coughed almost incessantly; temp. 104, pulse 108 and of good volume. On the 24th his pulse was 98, the lowest A Fig. No. 1. March 22, 1906. A-Area of dullness, bronchial breathing, reached during his illness. His temperature for the first ten days ranged from 103.5 to 104.2, then gradually subsided till on the 22nd of April it reached normal and remained so throughout, excepting an occasional rise in the evening of one B A C Fig. 2. April 6th, 1906. B-Rotche's sign-Cardio hepatic angle obliterated. C-Traube's semilunar space obliterated. |