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Notes of Societies.

National Association of Railway Surgeons.

Official report of the proceedings of the Ninth Annual Meeting, held in St. Louis, Mo, April 29, 30 and May 1, 1896.

APRIL 29-FIRST DAY, MORNING SESSION.

The association met in the Pickwick Theater, and was called to order by the chairman of the committee of arrangements, Dr. W. B. Outten, at 10:35 a. m. Dr. Outten made a brief report on behalf of the committee.

He then introduced Dr. M. C. Starkloff, health commissioner of St. Louis, who delivered the address of welcome, published elsewhere in this issue, which was responded to by Dr. F. J. Lutz of St. Louis, as follows:

Dr. M. C. Starkloff: Sir, I return to you in the name of the National Association of Railway Surgeons, thanks for the expressions of welcome which you have just voiced. I feel confident that the profession and the people of this fair city will redeem every pledge which you have made for them. The great city of St. Louis is no stranger to this association, nor do its members feel that they have come as strangers.

The rapidly progressing age in which we are so fortunate as to live is typified by nothing more perfectly than by the railroad, and no unimportant factor in the management of the "iron horse" is he who is represented by membership in this association. The wisdom which prompts precaution against accident has not been unmindful of the necessity for providing means and methods for the correction of injury, the alleviation of suffering and the protection of the health of the traveling public, as well as of those engaged in the perilous vocation of railroading.

In order to carry out more successfully the duty assigned to us as co-laborers in the advancement of modern means of travel, we make these annual pilgrimages. We endeavor to exchange experiences, to learn from our fellow surgeons, to observe the work of those conspicuous in the various departments of surgery, and to take with us into the field of our individual labors what may be conducive to the advancement of our profession.

The encouragement which we receive from you, the representatives of this great metropolis, cannot fail to incite us to still greater efforts, and I again thank you in the name

of this association for your words of wel

come.

Dr. Outten then presented the president of the association, Dr. J. B. Murphy of Chicago, who delivered the presidential address, published elsewhere in this issue.

The treasurer, Dr. E. R. Lewis of Kansas City, read his report, which, on motion of Dr. Brock, was referred to an auditing committee.

REPORT OF THE TREASURER.

To the members of the National Association of Railway Surgeons:

Gentlemen: It is with pleasure I am enabled to state that during the past year all old bills as well as new have been paid to date, and we open this meeting free from debt, and with an active working membership of nearly 1,200, every one of whom is imbued with the benign character of our work. Already many members who could not attend this meeting have, by mail, paid their dues for the coming year. No effort has been put forth to recruit our association, although I feel that in the future such effort should be made, for we are to-day building upon a rock, engraving our work upon its face, where time itself cannot eradicate it.

Our membership continues to represent not alone the United States, but Canada and Old Mexico. Illinois leads with 116 members, Iowa second with 106 members, Missouri third with 97 members, Kansas fourth with 86 members, Pennsylvania fifth with 84 members.

We have received during the year $5,580, and have paid the Railway Age and Northwestern Railroader $3,348, for new members registering during the year. We also paid the old debt we owed the Railway Age

and Northwestern Railroader, which was amicably compromised, the association holding a clear receipt for the same on the old account. We have also settled an old bill with one of our members, who was generous enough to share liberally this expense with the association. It will be seen that we have been enabled to clear up these old debts, and leave the association free from debt, with enough money to close up the accounts of the present year.

Twenty members had registered for the coming year before I left home, and everything bids fair to make the coming year the most

satisfactory since the organization of the association.

The auditing committee will find vouchers for every dollar expended during the past year,, and I shall be pleased to turn the books over to that committee as early as possible for them to audit same.

E. R. LEWIS, Treasurer.

The secretary, Dr. D. Emmett Welsh, then read his report as follows, and on motion it was adopted:

SECRETARY'S REPORT.

The secretary begs leave to report the following: Number of letters sent out from this office, 1,341; number of vouchers drawn as per order of the chairman of the executive committee, thirty-two, viz.:

Voucher No.

146. June 5, '95, for A. J. Mullen, Chr. Ex. Com...... June 5, '95, for E. R. Lewis, Treas....

152.

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147.

148.

149.

150.

151.

June 5, '95, for Union Printing Co., Kansas City June 5, '95, for Union Bank Note Co., Kansas City.. June 5, '95. for Union Bank Note Co., Kansas City.. June 5, '95, for "Railway Surgeon," Chicago. June 5, '95, for W. B. Outten, St. Louis 153. June 29, '95, for S. S. Thorn, Toledo, Ohio. 154. July 1, 95, for D. E. Welsh, cancelled. 155. July 1, 95, for D. E. Welsh, Sec'y. 156. June 25, '95, for D. E. Welsh, Sec'y.. 157. July 3. '95, for Union Bank Note Co.. 158. July 11, '95, for E. R. Lewis, Treas. 159. Aug. 7, '95. for Union Bank Note Co.. 160. Aug. 7, 95, for D. E. Welsh, Sec'y. 161. Sept. 5, '95, for D. E. Welsh, Sec'y.

10.00

8.95

25.00

25.00

162. Sept. 6, '95, for A. J. Mullen, Chr. Ex. Com

24.05

163. Sept. 6, '95, for E. R. Lewis, Treas.

125.00

164. Oct. 8, 95, for D. E. Welsh.

25.00

165. Oct. 8, '95, for Union Bank Note Co.

2.50

166. Nov. 4. '95, for "Railway Surgeon," Chicago.

36.49

167. Nov. 4, 95, for D. E. Welsh

25.00

168. Nov. 4, '95, for S. S. Thorn, Toledo, Ohio

3.00

169. Nov. 7, 95, for E. R. Lewis, Treas..

21.65

170. Dec. 4, '95, for D. E. Welsh, Sec'y.

171. Dec. 11, '95, for E. R. Lewis, Treas

125.00

172. Dec. 11, '95, for A. J. Mullen, Chr. Ex. Com.

173. Jan. 15, '96, for D. E. Welsh, Sec'y......

174. Feb. 8, '96, for D. E. Welsh, Sec'y.

175. Feb. 29, '96, for D. E. Welsh, Sec'y. 176. March 7, '96, for Union Bank Note Co.. 177. March 7, '96, for E. R. Lewis, Treas. 178. April 9, '96, for D. E. Welsh, Sec'y..

Total...

25.00

59.19

25.00

25.00

25.00

2.50

126.30 25.00

$1,137.58

The secretary thanks the officers for their hearty co-operation with him during the past year in his endeavor to discharge promptly the duties of his office.

On motion the association adjourned until 2 p. m.

FIRST DAY AFTERNOON SESSION.

The association re-assembled at 2 p. m. and was called to order by the president.

Dr. Outten stated that he had received an invitation from the Anheuser Busch Company, inviting the association to visit their brewing establishment, and that arrangements had been made to make this visit at 5 o'clock.

The president called for the report of the committee on publication.

Dr. Outten recommended, on behalf of the committee, that the arrangement for the publication of the Railway Surgeon be continued

for another year with the present publishers, unless there was some objection on the part of the members.

On motion, the report of the committee was accepted.

The report of the executive committee was next in order, and was read by the temporary chairman, Dr. J. A. Barr, as follows:

REPORT OF THE EXECUTIVE COMMITTEE.

Gentlemen: Owing to the illness of Dr. Mullen, the chairman of this committee, we are unable to make a complete report.

Those parts of President Thorn's address, which were referred to the executive committee, have received our careful consideration, and we desire to make the following report relative thereto:

1. In reference to the incorporation of this association, we are unanimous in the belief that such a step should be taken and recommend that the executive committee be authorized to perfect a legal organization.

2. In reference to the creation of a committee, which shall formulate all legislation, we recommend that all legislative matters be referred to the legislative committee, consisting of fifteen members present, to be appointed by the president, at the first session, whose reports shall be acted upon without discussion. J. A. BARR, Chairman, pro tem.

The report of the committee was discussed by Drs. Eddy, Outten, Hoy, Bouffleur, Lane, Pierce, after which, on motion, it was adopted.

Dr. T. H. Briggs of Battle Creek, Mich., read a paper entitled, "Surgical Treatment of Injuries of Spinal Cord and Column," which is published in this issue.

The paper was discussed by Drs. Bouffleur, Hoy, Outten, Barr, Jackson and Murphy.

Dr. S. R. Wooster of Grand Rapids, Mich., followed with a paper entitled, "Rupture of Bladder with no Evidence of External Injury."

Discussed by Drs. Craig, Daugherty, Outten, Best, Buchanan and by the author of the paper.

Dr. Cassius D. Wescott of Chicago read a paper on "Traumatisms of the Eyeball," which was discussed by Drs. Welsh, Ball and the author.

The president then appointed the nominating committee, as follows:

Dr. A. Craig, Columbia, Pa.; Dr. C. D. Wescott, Chicago, Ill.; Dr. B. F. Riordan, Toronto, Can.; Dr. F. Lawrence, Bangor, Mich.; Dr. J. F. Oldham, Wichita, Kan.; Dr. W. H. Elliott, Savannah, Ga.; Dr. C. W. P. Brock, Richmond, Va.

On motion of Dr. Outten, the secretary was instructed to send a resolution of cheer and good will to Dr. J. B. Murdoch of Pittsburg, also expressing the regret of the association at

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his absence at this time. The resolution was unanimously adopted by a rising vote. On motion, the association adjourned until 8 p. m.

FIRST DAY-EVENING SESSION.

The association re-assembled at 8 p. m., and was called to order by the president.

The minutes of the preceding sessions were read and approved.

Dr. D. Emmett Welsh of Grand Rapids, Mich., read a paper entitled, "Color Blindness," which was discussed by Drs. Hoy, Wescott and Outten, and Dr. Welsh closed the discussion.

President Murphy then introduced the Hon. Alexander G. Cochran of St. Louis, general solicitor of the Missouri Pacific Railway, who delivered an address upon the "Relations Which Exist Between the Legal and Surgical Departments of Railroads." (Published elsewhere in this issue.)

Dr. Brock moved that a rising vote of thanks be extended to Mr. Cochran for his very interesting address, which was seconded and unanimously carried.

Dr. A. Alt of St. Louis read a paper entitled, "Tumor of the Lachrymal Gland."

Dr. James M. Ball of St. Louis contributed a paper on "The Eye Symptoms of Brain Tumor," but before reading it exhibited a sarcoma of the choroid which he had removed from the patient a few days before.

The paper was discussed by Dr. Wescott. On motion, the association adjourned until 9 o'clock Thursday morning.

SECOND DAY-MORNING SESSION.

The association met at 9 a. m., Murphy in the chair.

with President

The minutes of the preceding session were read and approved.

The secretary read two communications from Mr. Clark Bell of New York City, which, on motion, were ordered spread upon the minutes and published in The Railway Sur

geon.

Dr. Ward, chairman of the committee on revision of the constitution and by-laws, reported the work of this committee, and a motion was made and carried to have the report printed in the Railway Surgeon, so that the members could digest it and be prepared to act on it at the next meeting.

Dr. E. R. Lewis of Kansas City read a paper entitled, "One Fallacy Regarding Ununited Fracture, with Report of Cases," which was discussed by Drs. Jay, Crook, Thorn, Hoy, Daugherty, McCrea, Lane, Howard, Nash and Lewis.

Dr. Outten read a letter from Dr. J. B. Murdoch of Pittsburg, in which the doctor regretted his inability to attend the meeting.

A communication was also read from Dr. Thomas H. Manley, regretting his not being able to attend the meeting.

Dr. J. M. Dixon of Springfield, Ill., read a paper entitled, "Tetany From Traumatism."

Dr. C. W. Tangeman of Cincinnati contributed a paper on "The Value of Examinations of Sight, Color Sense and Hearing in Railway Employes." This paper was discussed by Drs. Ball and Wescott, and the discussion closed by the author of the paper.

Dr. A. I. Bouffleur of Chicago followed with a paper entitled, "A Plea for Delay in the Amputation of Tissue of Doubtful Vitality, with Special Reference to the Treatment of Such Tissues," which was discussed by Drs. Daugherty, Hoy, Pierce, Hungate, Peck, Jackson, and Jay, and the discussion closed by the essayist.

On motion, the association adjourned until 2 p. m.

SECOND DAY-AFTERNOON SESSION. The association reassembled at 2 p. m., and was called to order by the President. The minutes of the preceding session were read and approved.

Dr. Robert Barclay of St. Louis read a paper entitled, "Better Methods of Testing the Hearing of Railway Employes," which was discussed by Dr. Welsh.

Dr. Outten took the chair at this juncture and President Murphy addressed the association on the "Conservative Treatment of Injuries to Large Vessels."

Discussed by Drs. Bouffleur, Summers, Daugherty, Outten, Jelks, Hungate, and the discussion closed by Dr. Murphy.

Dr. Thos. O. Summers of St. Louis read a paper on "Railway Neurasthenia," which was discussed by Drs. Outten, Hoy, Punton, Daugherty, Lanphear and Barclay.

Dr. A. H. Levings of Milwaukee, Wis., contributed a paper entitled, "Restoration of Nerves after Injury, Experimental Research and Clinical Observations," which was discussed by Drs. Outten and Thorn.

On motion of Dr. Thorn, a rising vote of thanks was extended to Dr. Levings for his very valuable and interesting contribution.

Dr. J. J. Buchanan of Pittsburg contributed a paper entitled, "Capital Operations Without an Anæsthetic and the use of Large Saline Infusions in Acute Anæmia."

This paper was discussed by Drs. Kane, Elliott, Daugherty, Jay, Pierce, Hoy, Barclay, Outten, Martin, Eddy, Trainer, Greenley, and the discussion closed by Dr. Buchanan.

The president announced as the auditing committee, Drs. Ward, Briggs and Eddy.

He also announced the judicial or legislative committee as follows: Drs. W. B. Outten of

Missouri, S. S. Thorn of Ohio, C. W. P. Brock of Virginia, S. R. Wooster of Michigan, A. O. Williams of Iowa, J. E. Luce of Wisconsin, E. R. Lewis of Missouri, C. D. Wescott of Illinois, W. J. Eddy of New York, W. R. Hamilton of Pennsylvania, W. E. Lincoln of Minnesota, Bruce L. Riordan of Canada, W. R. Priest of Kansas.

On motion of Dr. Hoy, seconded by Dr. Elliott, the association then adjourned until 8

p. m.

SECOND DAY-EVENING SESSION.

The association reassembled at 8 p. m., with President Murphy in the chair.

The president introduced Dr. John B. Deaver of Philadelphia, who delivered an address entitled, "Review of the Symptoms and Diagnosis and the Indications for Treatment of Intra-Abdominal Injuries Without External Evidence of Violence."

Dr. Outten moved that a vote of thanks be extended to Dr. Deaver for his excellent address. President Murphy requested that a rising vote be taken, which was unanimous.

Dr. W. B. Outten of St. Louis read a paper entitled, "A Study of Synthetic Metabolism in the Healing of Granulating Wounds."

The paper was discussed by Drs. Lanphear, Daugherty, Broughton, Hoy, Summers, Mudd, Lewis, Lee, Lane, Trainer, Murphy, and discussion closed by Dr. Outten.

Dr. Wellinton Adams of St. Louis gave a demonstration of the Roentgen or "X" ray, and made some remarks on the value of these rays to the scientific physician and surgeon.

Dr. Geo. W. Crile of Cleveland, O., then showed some stereopticon views of deformities. following fractures, after which the association adjourned, to meet at 9 a. m. Friday.

THIRD DAY-MORNING SESSION.

The association met at 9 a. m., and was called to order by the president.

The minutes of the preceding session were read and approved.

Dr. A. J. Fulton of Kansas City read a paper entitled, "Inflammation of Bone."

The paper was discussed by Drs. Kane, Daugherty, Martin, Hungate, Murphy, and discussion closed by the author of the paper.

The election of officers was next taken up, with the following result:

President-Dr. Frank J. Lutz of St. Louis,

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feeling of gratitude at the continued confidence of the association, and said he was sorry that he could not in the future serve the association better than he had in the past.

The president then called for the report of the committee on nominations, which was read by Dr. Wooster, as follows:

Vice-Presidents-Dr. W. R. Hamilton, Pittsburg, Pa.; Dr. J. H. Letcher, Henderson, Ky.; Dr. W. J. Eddy, Oswego, N. Y.; Dr. J. Alexander Hutchison, Montreal, Can.; Dr. A. C. Wedge, Albert Lea, Minn.; Dr. Rhett Goode, Mobile, Ala.; Dr. Edward W. Lee, Omaha, Neb.

Executive Committee-Dr. A. I. Bouffleur, Chicago, two years; Dr. J. N. Jackson, Kansas City, two years; Dr. J. A. Duncan, Toledo, O., two years; Dr. J. B. Murphy, Chicago, one year; Dr. S. S. Thorn, Toledo, O., two years; Dr. W. D. Middleton, Davenport, Ia., two years, and Dr. A. J. Barr, McKees Rocks, Pa., one year.

Honorary Members-Dr. John B. Deaver, Philadelphia, Pa.; Hon. Chauncey M. Depew, New York City; Hon. Alexander G. Cochran, St. Louis, Mo.; Dr. J. W. Ayer, Capetown, South Africa; Dr. H. Darling, Capetown, South Africa; Mr. B. S. Josselyn, Kansas City, Mo., general manager Kansas City, Osceola & Southern Railway.

On motion, the report of the commitee was adopted.

When the association came to consider the place of next meeting, Dr. Brock moved that this matter be placed in the hands of the executive committee, and that as soon as the committee has decided on the place of meeting, it be made known through The Railway Surgeon. Carried.

The cities of Pittsburg, St. Paul, Chicago, Toledo and New York were suggested for the benefit of the executive committee.

Under the head of "Special Committees," no reports were made.

Dr. Hoy moved that the association continue in session until all the business and the reading of papers had been disposed of, so that when the convention did adjourn it could do so sine die. Carried.

Dr. Ward of the auditing committee, stated that, in view of Dr. Hoy's resolution, this committee would be unable to report to the association, and he therefore asked the privilege that the committee be empowered to prepare its report and place it in the hands of the executive committee.

On motion, this request was granted.

The president-elect, Dr. Lutz, in accepting the office of president, said: "Members of the National Association of Railway Surgeons:When Dr. Thorn informed me, on my arrival here, that the undeserved and distinguished honor of being elected president of this asso

ciation had been conferred upon me, I thought it was an after-thought of night before last on his part, and that he was guying me. I yet do not believe it. I really feel, gentlemen, that I do not deserve this position. On the other hand, I feel to be elected president of this association is worth the ambition of any man's lifework. I want to say for myself, that I do not think it is intended as a personal compliment to me at all, but is rather an expression of good will on part of the association for the surgeons of the great city of St. Louis, and of this great state, and as such I take it, and I thank you all heartily for this expression of your confidence, which I hope will not be illy-founded. I assure you that I shall endeavor to the very best of my feeble ability to continue in the footsteps of the illustrious gentlemen who have occupied this position in the association, and I would ask each and every member to contribute his mite toward making the future meetings as successful as those of the past have been. Again, gentlemen, I thank you, one and all, most cordially." (Applause).

Dr. Emory Lanphear of St. Louis, Mo., read a paper entitled, "Why Railroad Surgeons Should Not Try to Practice Aseptic Surgery," which was discussed by Drs. Crile, Elliott, Fulton, Thorn, Daugherty, McCrae and Jelks, and the discussion closed by Dr. Lanphear.

Dr. W. J. Eddy offered the following resolution:

Resolved, That a vote of thanks be extended to Dr. W. B. Outten, editor of The Railway Surgeon, and Dr. C. D. Wescott, assistant editor, for their untiring devotion to the success of the journal and for the efficient manner in which they have edited the same.

Seconded by Dr. Elliott, and unanimously carried.

Dr. Barr offered the following resolution: Resolved, That inasmuch as the place of the next meeting of this association has been placed in the hands of the executive committee, we ask that the committee, as soon as it decides on the next place of meeting, announce the same in The Railway Surgeon, so that the members may be able to make their arrangements accordingly.

Seconded and carried.

Dr. W. S. Caldwell of Freeport, Ill., read a paper entitled, "Nephritic Calculi," which was discussed by Dr. Jelks.

Dr. Evan O'Neil Kane of Kane, Pa., read a paper entitled, "An Aluminum Clamp Artery Compressor to Supersede the Ligature."

Dr. Barr reported on behalf of the committee on resolutions, as follows:

Resolved, That we extend a rising vote of thanks to our worthy president for the able and efficient manner in which he has discharged his duties; also that a vote of thanks be tendered to the committee of arrangements and the reception committee.

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Seconded and unanimously carried.

The retiring president, Dr. Murphy, said: "I take this opportunity to thank you for your very kind and courteous treatment of me during the sessions. I am very grateful to each and every one of you. I also thank you for the excellent papers which you have presented and for the forcible and, at times, spirited discussions that you have entered into on the papers presented.

"From your conduct at this meeting, I think the motto placed at the heading of the programme on the seventh page should be adopted as a motto for this association: 'Let us be resolute in our pursuits, but gentle in the manner of pursuing them.' I think that exemplifies your conduct through this entire meeting. Again, I thank you for your kindness to me. (Loud applause.)

"I think Dr. Outten, the chairman of the committee of arrangements, deserves our sincere thanks, also the local profession, who have given us so much attention while we have been here in a quiet way, and I will ask the members to rise and extend a vote of thanks to both Dr. Outten and the local medical profession of St. Louis."

The vote was unanimous.

There being no further business before the association, either scientific or otherwise, President Murphy, on motion, declared the meeting adjourned sine die.

The New Hampshire Medical Society.

The one hundred and fifth annual meeting of the New Hampshire State Medical Society is being held as we go to press, June 1 and 2, at Concord, N. H.

The following is the scientific programme: Dissertation.-"Medicine of To-day." By D. E. Sullivan, M. D., Concord. Discussion opened by E. A. Clark, M. D., Concord.

Report on Surgery. "The Treatment of Several Tendons." By W. A. Megrath, M. D., Loudon. Discussion opened by W. H. Mitchell, M. D., Loudon.

Essay. "Before and After Treatment of Laparotomy." By A. F. Wheat, M. D., Manchester. Discussion opened by D. S. Adams, M. D., Manchester.

Dissertation.-"Modified Milk as a Food for Infants." By A. K. Day, M. D., Concord. Discussion opened by Geo. Cook, M. D., Concord.

Report.-"Gastro-Intestinal Diseases of Children." By I. G. Anthoine, M. D., Nashua. Discussion opened by M. H. Felt, M. D., Hillsborough.

Report.-"On Physical Exercise and Athletics." By J. W. Staples, M. D., Franklin Falls. Discussion opened by F. A. Stillings, M. D., Concord.

Dissertation.-"Myxeodema." By G. W.

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