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tion, by the Chairman of the Committee of Arrangements.

2. Divine Invocation.

3. Address of Welcome.

4. Response to Address of Welcome. 5. Introduction of the President.

6. President's Address. By Frank J. Lutz, M. D., St. Louis, Mo.

7. Report of the Treasurer.

8. Report of the Secretary.

9. Report of Committee of Arrangements. 10. Miscellaneous Business.


Tuesday, May 4, 2 o'clock p. m.

1. Reading of Minutes of Morning Session. 2. Report of Committee of Arrangements. 3. Report of Committee on Publication. 4. Report of Executive Committee.

5. Appointment of Nominating Committee. 6. Appointment of Judicial Committee.


7. The Treatment of Functional Nervous Affections Due to Trauma," by Dr. John Punton, Kansas City, Mo. Discussion to be opened by Drs. H. N. Moyer and H. T. Patrick.

8. "Relief and Hospital Departments," by Dr. Frank H. Caldwell, Waycross, Ga. Discussion to be opened by Drs. W. B. Outten and George Chaffee.

9. "Relation of Railway Companies to State Boards of Health," by Dr. G. P. Conn, Concord, N. H.

10. "An Exhibition of the Various Devices for the Determination of the Color Sense of Railway Employes," by Dr. C. W. Tangeman, Cincinnati, O. Discussion to be opened by Drs. John F. Fulton and J. A. White.

II. The Beneficial Influence Exercised by Railway Hospital Associations Upon the Morals of Employes," by Dr. Geo. W. Hogeboom, Kansas City, Mo.

12. "Accidental or Railway Surgery," by Dr. C. B. Stemen, Fort Wayne, Ind. Discussion to be opened by Dr. W. B. Outten.

13. Observations Upon and Reasons for a More Complete Physical Examination of Railway Employes," by Dr. Henry F. Hoyt, St. Paul, Minn. Discussion to be opened by Dr. W. D. Middleton.


Wednesday, May 5, 9 a. m. 1. Report of Minutes of Last Session. 2. Report of Committee of Arrangements. 3. Report of Special Committees. 4. Miscellaneous Business.


5. Treatment of Fracture of Humerus, Radius and Ulna, with Involvement of WristJoint," by Dr. H. L. Getz, Marshalltown, Ia. Discussion to be opened by Drs. D. S. Fairchild and A. D. Bevan.

6. "A Case of Intercondyloid Fracture of

the Femur," by Dr. F. W. Schmidt, Riverdale, Ill. Discussion to be opened by Drs. A. I. Bouffleur and A. L. Cory.

7. "Cardinal Principles in Amputations," by Dr. A. I. Bouffleur, Chicago, Ill. Discussion to be opened by Dr. J. B. Murphy.

8. "A Case of Osteo-Sarcoma from Railway Injury," by Dr. Rhett Goode, Mobile, Ala. Discussion to be opened by Drs. A. I. Bouffleur and L. Hektoen.

9. "The First Care of the Patient in Railway Traumatism," by Dr. A. L. Fulton, Kansas City, Mo. Discussion to be opened by Drs. W. B. Outten and W. A. McCandless.

10. "Plaster of Paris and the Difficulty of

Applying it to Recent Fractures," by Dr. A. C. McClanahan, Red Lodge, Mont. Discussion to be opened by Drs. A. D. Bevan and Alton.

II. Hernia as a Factor in Personal Damage Suits," by Dr. John B. Hamilton, Chicago, Ill. Discussion to be opened by Drs. W. B. Outten and J. B. Murphy.

12. "Dislocation of Hip-Joint with Report of Cases," by Dr. Solon Marks, Milwaukee, Wis. Discussion to be opened by Drs. J. N. Jackson and J. B. Hamilton.

13. Wounds of the Neck," by Dr. F. W. Thomas, Marion, Ohio. Discussion to be opened by Drs. C. N. Kibbler and C. D. Evans.

14. "Amputations in the Lower Extremity, How and Where They Should be Performed,' by Dr. W. R. Hamilton, Pittsburg, Pa. Discussion to be opened by Drs. W. P. King and S. S. Thorn.


Wednesday, May 5, 2 p. m.

1. Reading of Minutes of Morning Session. 2. Reports of Special Committees.


3. Traumatic Infections and Their Treatment," by Dr. W. T. Sarles, Sparta, Wis. Dis-cussion to be opened by Drs. H. F. Hoyt and A. I. Bouffleur.

4. "Vinegar in Surgery," by Dr. Evan O'Neill Kane, Kane, Pa. Discussion to be opened by Drs. W. S. Caldwell and A. L. Fulton.

5. "Tetanus," by Dr. J. E. Tefft, Springfield, Mo. Discussion to be opened by Drs. L. Hektoen and W. A. McCandless.

6. "Report of a Case of Fæcal Fistula; Successful Use of Murphy Button," by Dr. A. C. Wedge, Albert Lea, Minn. Discussion to be opened by Dr. J. B. Murphy.

7. Problems and Principles," by Dr. Jabez N. Jackson, Kansas City, Mo. Discussion to be opened by Drs. A. L. Fulton and E. F. Yancey.

8. "Our Problems," by Dr. Thomas H. Briggs, Battle Creek, Mich. Discussion to be opened by Drs. T. W. Miller and S. S. Thorn. 9. "Are We Too Hasty in Amputating in

Cases of Compound Fracture?" By Dr. W. S. Hoy, Wellston, Ohio.

10. "Antisepsis versus Asepsis in Accidental Surgery," by Dr. Jas. T. Jelks, Hot Springs, Ark. Discussion to be opened by Drs. J. B. Murphy and W. B. Outten.

II. "Traumatism of the Hand," by Dr. J.D. Milligan, Cincinnati, Ohio. Discussion to be opened by Dr. J. A. Barr.

12. "Drainage in Surgery," by Dr. W. S. Caldwell, Freeport, Ill.


Thursday, May 6, 9 a. m.

1. Reading of Minutes of Last Session. 2. Report of Committee of Arrangements. 3. Election of Officers: President, Secretary and Treasurer.

4. Report of Committee on Nominations. 5. Report of Judiciary Committee. 6. Selection of Place of Next Meeting. 7. Miscellaneous Business.


8. "Shock in its Relation to Permanent Injury," by Dr. Thos. O. Summers, St. Louis, Mo. Discussion to be opened by Drs. Rheet Goode and Davis.

9. "The Treatment of Shock," by Dr. Jas. H. Letcher, Henderson, Ky.

10. "Brain Abscess," by Dr. W. A. McCandless, St. Louis, Mo. Discussion to be opened by Dr. E. W. Andrews.

II. "The Treatment of Burns," by Dr. E. W. Lee, Omaha, Neb. Discussion to be opened by Drs. F. H. Caldwell and W. R. Hamilton.

12. "A Case in Practice," by Dr. A. Clark, Elgin, Ill.


13. "Medicine and Surgery and Their Votaries of To-day," by Dr. M. E. Alderson, Russellville, Ky. Discussion to be opened by Drs. E. R. Lewis and J. B. Murphy.


A surgical clinic will be given by Dr. J. B. Murphy at Cook County Hospital, corner of West Harrison and Honore streets. Members should take "Harrison and Adams" street cars or "Van Buren" street, or "Ogden Ave." trailers on "Madison St." cable line to Honore street, or Metropolitan "L" cars to Ogden


The sessions of the convention will be held in the auditorium of the Medinah Temple, at the corner of Fifth avenue and Jackson street.

The Association headquarters will be at the Auditorium Hotel, at the corner of Michigan. avenue and Congress street. The management offers a rate of $3.50 a day on the American plan and $1.50 a day European plan. The Victoria Hotel, corner of Michigan avenue and

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Section 1. The members of the Association shall consist of two classes, active and honorary.

Sec. 2. The active members shall be surgeons of railway companies at the time of their admission to membership, provided, however, that when a surgeon is once a member, his retirement from the service of the company shall not forfeit his membership.

Sec. 3. The honorary members shall comprise such persons, not necessarily railway surgeons, as may from time to time be elected, and accorded the usual privileges of such membership.

Sec. 4. All propositions for membership shall be made in open session, referred to the executive board, and on their report, elected by a two-thirds vote of the members present, provided, however, no report shall be made or election held on the same day of the session that the name is proposed.


Section 1. The officers of this Association shall consist of a president, five vice-presidents, a secretary and an assistant secretary, a treasurer, also an executive board of seven. All of whom shall be elected annually by ballot, to serve until their successors are elected, except the executive board, four of whom shall be elected in even years and three in odd years.

Sec. 2. Nominations may be made at the morning session of the second day, limited to five for each office, and for the executive board to twice the number to be elected.

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the opening of the afternoon session of the second day, a majority of all votes cast necessary to elect, and after the second ballot, if no election, all but the two receiving the highest number of votes shall be dropped, and the ballot confined to the two so designated. Of the executive board, a member receiving a majority shall be elected, until the number is full, the lowest being dropped on each ballot.

Sec. 4. All officers elected shall assume their several stations before the close of the morning session of the third day.


Section 1. The president shall preside at all regular and special meetings and perform all the other duties that custom and parliamentary usage may require, and deliver an address at the annual meeting over which he presides.

Sec. 2. In the absence of the president, the vice-presidents shall perform the duties of his office in the order of their election.

Sec. 3. The secretary shall keep a record of the proceedings of all meetings and draw all orders on the treasurer for the payment of bills, shall attend to all correspondence of the business of the Association, notify all members of meetings, and upon request of the chairman, give notice of meetings of committees during recess of the Association, and upon request of the president, shall issue such circular letters regarding the business of the Association as may be deemed desirable, and shall be ex-officio a member of the committee on arrangements.

Sec. 4. The treasurer shall have immediate charge of the funds and property of the Association, shall collect all dues, giving his receipt therefor, pay out money only on the order of the secretary, countersigned by the president, and shall give bond to the president to faithfully account for all funds coming into. his possession belonging to this Association; the amount of the bond to be determined by the executive board. He shall also make a written statement to the president of the financial condition of the Association one month after the annual meeting. He shall communicate each year with all members who have not paid their annual dues and solicit payment of

the same.

Sec. 5. The executive board shall fix the annual dues and membership fee, subject to the approval of the Association, and act as a committee on credentials, audit all accounts, and, in conjunction with the other officers of the Association, hold any necessary meetings in the interval between sessions deemed desirable and necessary in the interests of the Association, and such a conjoined action shall be deemed an action of the Association as a whole.

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A Committee of Arrangements, five members.

A Committee of Transportation, three members.

A Committee of Necrology, three members.

A Committee of Publication.

The first three of whom shall be appointed and announced by the president before the adjournment of the final session.

Sec. 2. Special committees may be provided for at the pleasure of the Association. Sec. 3. The committee on arrangements, a majority of whom shall be actual residents of the town or city in which the annual meeting next succeeding their appointment is held, provided there are that number of resident members, shall be required to provide suitable accommodations, including committee rooms, together with a list of hotels and rates per day; to receive and announce all essays, memoirs, and publish the title and name of the author of the same in the programme for the meeting, which programme shall be sent to all members entitled to seats in the annual meeting at least three weeks prior to the date of such meeting, and make any other necessary arrangements.

Sec. 4. It shall be the duty of the committee on transportation to ascertain the terms and conditions upon which the various railway lines will carry the members to and from the place of meeting, and to notify each member of the Association through the committee of arrangements, or otherwise, of the same at least one month prior to the annual meeting.

Sec. 5. The committee on necrology shall report annually brief biographical notes of the deceased members, and preserve statistical and other memorial records of the society.

Sec. 6. The committee on publication shall be composed of the president, secretary and treasurer, and shall have charge of preparing for the press such of the proceedings of the society as may be ordered to be published. And they shall have full discretionary powers to omit from the published transactions any part or whole of any paper that may be referred to it by the Association unless especially instructed to the contrary by the vote of the Association.


Section 1. The annual meeting of this Association shall be held between the first and last Mondays of May in each year, at the place agreed upon by the Association the preceding year, the particular date to be fixed by the executive board, and notice sent to each member of the Association not later than October

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pointed, shall not be continued on such committee, or appointed on any other, unless a satisfactory excuse is offered.


Section 1. No amendments or alterations shall be made in any of these articles except at an annual meeting, when they shall be proposed in writing, laid over one day, and if not more than ten opposing votes, shall be adopted, otherwise they shall lie over until the next annual meeting, and then adopted only by two-thirds vote of all the members in attendance.

Eucaine in Minor Surgery.

Dr. Thomas Jefferson Yarrow Jr., resident physician, Episcopal Hospital, Philadelphia, writes as follows to the New York Medical Record:

The following is a brief report of the use of eucaine hydrochlorate in a series of thirty-five minor surgical operations, performed in the surgical dispensary of the Episcopal Hospital, Philadelphia, service of Dr. Adinell Hewson.

Method of using: A heat-sterilized aqueous solution of the drug was used, ranging in strengths from one and one-half to ten per cent. The field of operation having been thoroughly prepared, an aseptic elastic ligature was applied, and ten to thirty minims were slowly injected by a hypodermic syringe into and about the point of operation. The ligature was retained until the operation was pleted.


One of the advantages that eucaine possesses over cocaine is that, while the latter drug is decomposed during heat sterilization, the eucaine is not, and retains its full anæsthetic power.

The aseptic ligature was applied, when possible, above the seat of operation, and in only two cases was any physiological action of the drug observed. These two cases had marked slowing of the pulse for about five minutes, the pulse being slow, full and strong, about 56 to 63 per minute.

Eucaine did not seem to produce ischemia of the part, such as is observed during the use of cocaine. After the removal of ligature, free bleeding occurred in nearly all the cases immediately. In this it differs from cocaine, which by its vasomotor constriction often delays hemorrhage.

In conclusion: Eucaine may be used successfully in all of the minor surgical operations in which cocaine has been formerly employed. Eucaine appears to have advantages in that it can be rendered sterile in solution by boiling. Its physiological effects are slight, if any, when used in moderate quantities. There appears to be no throbbing pain after operation. In the average case, twenty minims of a four per cent solution are required to produce complete and satisfactory local anæthesin.

Notes of of Societies.

The Central of Georgia Railway Surgeons' Asso


As we go to press the seventh annual meeting of the Central of Georgia Railway Surgeon's Association is being held at Macon, Ga. The following is the programme:



Reading minutes of last meeting.

1. Paper-"Aseptic Surgery in Railway Practice," Dr. J. D. Dasney, Birmingham, Ala.

Discussion by Drs. P. L. Hillsman, A. C. North, O. G. Singleton, H. A. Jones and G. R. Trimble.

2. Report "Interesting Cases of Traumatic Surgery," Dr. A. K. Bell, Madison, Ga.

Discussion by Drs. M. G. Hatch, W. P. Ponder, J. A. Callaway, J. G. Dean and F. H. Bloodworth.

3. Paper-"Emergencies; Attention to Wounds and Primary Dressings," Dr. W. H. Philpot, Geneva, Ga.

Discussion by Drs. W. L. Des Portes, R. H. Taylor, C. L. Atkeson, J. A. Goggans, J. A. McKnown.

4. Report--"Some Interesting Cases of Cases of Traumatic Surgery," Dr. A. B. Bennett, Opelika, Ala.

Discussion by Drs. H. B. McMaster, W. T. Simpson, C. M. Pope, W. M. Bullard, B. R. Doster

5. Paper "How to Prepare a Fractured Femur or Other Bone for Transportation," Dr. C. H. Richardson, Montezuma, Ga.

Discussion by Drs. W. B. Prather, L. E. Broughton, M. A. Baldwin, W. C. Bateman, H. P. Cooper.


6. Remarks—"The Use and Abuse of Adhesive Plaster," Dr. W. H. Elliott, Savannah, Ga.

Discussion by Drs. J. I. Darby, H. M. Hunter, W. H. Doughty, Jr., W. H. Rogers,

E. B. Terrell.

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Address of welcome.

Reports of officers and committees.
Applications for membership.

April 6-Afternoon Session-1:30 p. m. Dr. J. W. Fowler, Dubuque, "The Cause and Treatment of Epilepsy."

Dr. E. J. Senn, Chicago, "Gonorrhœcal Synovitis."

Dr. Robert O. Cross, Kansas City, "The Treatment of Pulmonary Tuberculosis by the Hypodermic Method."

Dr. H. H. Vinke, St. Charles, Mo., "Presentation of a Cretin-Remarks on Treatment with Thyroid Extract."

Dr. A. C. Klebs, Citronville, Ala., "The Necessity of Special Institutions for the Treatment of Pulmonary Tuberculosis."

Dr. J. K. Bauduy, St. Louis, "Unconscious Cerebration."

Dr. W. Scheppegrell, New Orleans, "The Collapse of the Nasal Alæ as an Etiological Factor in Diseases of the Respiratory Passages."

Dr. O. Beverly Campbell, St. Joseph, "A Plea for the Early Recognition and Operative Treatment of Cancer of the Uterus."

Dr. C. E. Ruth, Keokuk, "Talipes EquinoVarus, Surgery of."

April 6-Evening Session-8 p. m. President's Address, Dr. A. H. Cordier, Kansas City.

Dr. Alexander Hugh Ferguson, Chicago, subject unannounced.

Dr. J. M. Allen, Liberty, Mo., "Serum Therapy, with Report of Cases."

Dr. F. B. Dorsey, Keokuk, Ia., "Ventrofixation of the Uterus-Report of Cases."

Dr. F. Reder, Hannibal, "Lumbago."

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