or five days, when it has been necessary to use as much as eight grains every three hours to control the case, one can sometimes reduce the size of the dose to four, five or six grains every three hours. Of course, while using this method, one ought to use the same care in the diet as is used in the expectant plan of treatment, and troublesome symptoms, if they arise, should be met by proper drugs. If you decide to try this treatment do not commence it in a case that has been sick for three weeks or more, and promise me if you do commence it, you will continue it for at least seventy-two hours. I expect to make but very few converts to this treatment, for I remember how slow I was to adopt it. Keep it in mind, and some day you may have a case that starts in so savagely that your judgment tells you that the patient cannot possibly last with such a fever and with such symptoms, and when the methods you have used seem to be doing no good; then, remember the phenacetin and give it a trial.

Dr. Loomis' paper excited some inquiry and some comment.

Dr. A. E. Barber wanted to know if Dr. Loomis had a doubtful case, one which had been diagnosed as typhoid remittent, the precise character of which was not determined, would he give phenacetin? How would he give it?

Dr. Loomis. As a dry powder on the tongue. If not sure of his diagnosis, he would not give it, but would wait. He gives phenacetin to children. It quiets their nervous system.

REPORT OF THE COMMITTEE

ON MATTERS OF PROFESSIONAL INTEREST IN THE STATE.

In this study of malaria the Committee assumes: First, that such a thing as malaria exists in infants and children, a statement doubted by at least one member of our Society; second, that a diagnosis of malaria in infancy and childhood can be made by the general practitioner without the aid of the microscope in most cases. There are certain difficulties in making use of the bloodexamination by the general practitioner, which are not sufficiently well recognized. The plasmodium often exists in very small numbers in typical cases of malaria, and repeated examinations must be made before it is detected. These require that quinine should be withheld several days for purposes of diagnosis, a thing often difficult to do in private cases.

In the estivo-autumnal type of fever the organisms in some cases can only be found in the splenic blood, and splenic puncture is not always warranted. If, after a consideration of these facts, we hold that a study of malaria without blood-examination is not worthy of consideration, this report will not interest us, but if, on the other hand, we think that the general practitioner is qualified in most cases to make a diagnosis of malaria without blood-examination, the report may be of interest.

All the questions asked by the Committee were suggested by looking over the more recent literature on malaria. The Committee recognize a coefficient of error in such an investigation, but have sufficient confidence in the acumen and wisdom of the general practitioner to believe that the sum total of answers in spite of individ