PREFACE. THE present as well as the first volume of Transactions is the outcome of a desire to give to the medical profession in general a summary of the status of many topics which have claimed especial study both abroad and at home. The aim has been to make the subjects practically valuable, without an assumption of undue dogmatism or an attempt to arbitrarily settle disputed claims. The papers as published reflect, of course, the convictions of the authors, and as such carry with themselves their own influence as well as their individuality. They are the work of a modest, industrious, yet withal authoritative element in the profession, which for divers reasons has been silent and heretofore content to leave no legacy to posterity. A proof has at length been given that the busy practitioner can spare a moiety of his time in the cause of mutual enlightenment, and the zeal for the common good that has been displayed encourages the hope that the present volume will constitute one of a very long series. It is not too much to say that the papers read at the first annual meeting, excellent as they were, have now been paralleled both in interest and in importance. In order that the time of the reader may be economized, pains have been taken to make the index as full as possible, even to the extent of pointing out mere items of intelligence and bringing them under their proper classification. A ready plan is thus afforded to those who can not consecutively read the papers presented, and in some respects may supply the place of an epitome on the more recent topics of the hour. The names of authorities are also mentioned in the scheme as thus prepared, with their views duly and succinctly credited. A reference to the obituary page is solicited, as being a simple record of the worth of those whose names will recall many pleasant memories, mingled with the regret that their voices are no longer to be heard in work and counsel. Some of these have been "nipped by an untimely frost," while others have been garnered, ripe with years and honors. Some have fallen with a mere promise of what they might have been, others have left. a fame which has gone beyond our seas. All were averse to ostentatious display, and all deserve the tribute of a tear in secret. *** The Third Annual Meeting of the Association will be held in New York city, November 16, 17, and 18, 1886. CONTENTS. List of Fellows in Attendance at Second Annual Meeting Delegates from other Associations and Invited Guests in Attendance Address of Welcome and Report of the Committee of Arrangements. Dr. JOHN President's Annual Address.-Relations of the State to Medical Science. Dr. An Address on State Medicine. Dr. A. L. CARROLL, of Richmond County Psoitis and Peripsoitis-Their Pathology and Differential Diagnosis. Dr. S. T. 27 Shock; or the Effects of Injuries to the Nervous System. Dr. CHARLES W. Report of a Case of Insanity following Gunshot Injury to the Head; Cerebral Cyst; Aspiration; Recovery. Dr. C. F. MACDONALD, of Cayuga County 104 Rupture of the Vagina through Douglas's cul-de-sac, at the First Coitus. Dr. R. DISCUSSION ON PNEUMONIA: Questions relating to Acute Lobar Pneumonia. Dr. AUSTIN FLINT, of New York County Question 1. Is acute lobar pneumonia a primary local inflammatory disease, or is it an essential fever, the pulmonary affection being secondary thereto and constituting its anatomical characteristic? Dr. HENRY D. DIDAMA, of Question 2. What facts and rational grounds, with our present knowledge, can be cited in support of the doctrine that acute lobar pneumonia depends on the presence of a specific micro-organism? Dr. E. G. JANEWAY, of 162 monia tend to render the disease fatal? Dr. W. H. ROBB, of Montgomery Question 4. Are there known remedies or therapeutic measures capable of arresting this disease, or of exerting a curative influence by either short- ening its duration or conducing in any way to a favorable termination? Dr. THOMAS F. ROCHESTER, of Erie County; Dr. ELY VAN DE WARKER, of Question 5. Is blood-letting ever indicated in this discase, and, if so, what are the circumstances indicating and contraindicating this measure of treatment? Dr. SIMEON T. CLARK, of Niagara County; Dr. CHARLES S. Question 6. Is alcohol useful in the treatment of cases of acute lobar pneu- monia, and, if so, what are the indications for its use, and how is its use to be regulated as regards the quantity given, etc.? Dr. JOHN SHRADY, of New York County; Dr. E. D. FERGUSON, of Rensselaer County . . 184 Question 7. To what extent is it safe and useful to employ antipyretic measures of treatment in cases of acute lobar pneumonia, inclusive of the cold bath, sponging the body, or the wet sheet? Dr. GASPAR GRISWOLD, . 198 261 Question 8. Do relapses of acute lobar pneumonia ever occur during or shortly after convalescence, and does this disease involve any special lia- bility to other diseases or sequels? Dr. JOHN G. ORTON, of Broome County. 210 Address on some of the Relations of Physiology to the Practice of Medicine. Dr. AUSTIN FLINT, JR., of New York County Recto-labial and Vulvar Fistulæ. Dr. ISAAC E. TAYLOR, of New York County. 240 Recurring Luxations. Dr. E. D. MOORE, of Monroe County The Significance of certain Symptoms in Hernial Strangulations, and Rules for Treatment. Dr. FREDERICK HYDE, of Cortland County Medicinal and Dietetic Therapeutics of the Common Forms of Chronic Intesti- nal Catarrh. Dr. JOHN S. JAMISON, of Steuben County A Cursory Review of the Epidemic and Endemic Diseases of Sullivan County during the last Thirty-four Years. Dr. ISAAC PURDY, of Sullivan County. 296 Removal of an Enterolith.-Presentation of the Specimen. Dr. W. B. SABIN, Commercial Prescriptions. Dr. Henry Van Zandt, of Schenectady County Address on Pathology. Dr. EDWARD G. JANEWAY, of New York County A Case of Gall-stones, Patent and Concealed.-Exploratory Laparotomy with Autopsy Ten Weeks later. Dr. WILLIAM WOTKYNS SEYMOUR, of Rensse- 321 The Therapy of the Chlorides.-Antiseptics a Prominent and Important Factor in their Medicinal Action. Dr. NELSON L. NORTH, of Kings County. |