ARTICLE IX.-ORDER OF BUSINESS. The following Order of Business is adopted as a By-Law of this Association, which shall at all times be subject to the vote of a majority of the members in attendance at the meeting, and, except when temporarily suspended, shall be as follows: 1. The organization of the meeting. 2. Reading the minutes of the preceding meeting. 3. Report of the Committee on Arrangements. 4. Report of the Committee on Credentials of members who have registered their names and paid their dues. 5. The calling of the roll. 6. The election of officers for the current year. 7. The reception of members not present at the opening of the meeting and the reading of notes from absentees. 8. Reception of members by invitation. 9. Reports of standing committees. 10. The reading and discussion of scientific communications as arranged by committees. 11. The reading of biographical sketches of deceased members. 12. Resolutions introducing new business and instructions to the standing committees. ARTICLE X.-AMENDMENTS. SECTION 1--No alteration or amendment in the By-Laws shall be made except at a regular meeting, and by a two-thirds vote of the members present. 1 MINUTES. FIRST DAY. MORNING SESSION. The Twenty-Eighth Annual Meeting of the Missouri State Medical Association was held at St. Joseph, Mo., May 12, 1885, and was called to order by Vice-President W. E. Evans, H. H. Middelkamp President being absent. The Rev. Dr. Runcie opened the meeting by prayer. The Mayor of St. Joseph addressed the Association in behalf of the citizens of that City. Dr. Heddens, Chairman of the Committee of Arrangements, addressed the Association in behalf of the profession of St. Joseph, extending to all the members an invitation to visit the different places of interest in the City and its environments. The addresses were responded to and the invitation accepted by the Vice-President. On invitation, Dr. Trader of Sedalia made some remarks, and moved that the Association thank the gentlemen, citizens and members of the Committee of Arrangements for their expressions of welcome. Carried. Dr. C. A. Thompson made some suggestions concerning the admission of members; stated that there had been some misunderstanding regarding the list of members for the year 1884; thought that the Committee on Credentials should have been more careful, as their report to the Secretary was incomplete. Dr. Lane of Jasper County was elected Assistant Secretary pro, tem. Dr. Trader moved that a Committee be appointed to report on the death of Dr. P. V. Schenck. Carried. Dr. Clark complained that his name had been left off the list of members for 1884. Reminded by Dr. C. A. Thompson that he had failed to register after paying his dues and receiving receipt. On motion of Dr. W. I. Heddens the Association adjourned to 2 P. M. EVENING SESSION. Association called to order by the President, Dr. H. H. Middelkamp at 2 P. M. Minutes of the last meeting read and approved. Committee on Credentials made a partial report. Dr. Hurt of St. Louis called attention to the time limited to the reading of reports and papers, and discussions. Reports limited to 30 minutes, original papers, 20 minutes, and discussions 5 minutes. President announced that the rule would be strictly enforced. Dr. Sloan moved that the Committee on Scientific Communications read the entire list of papers presented to them. Carried. Dr. Trader of Sedalia read a paper on Cholera. Discussed by Drs. C. A. Thompson, Stringfellow, Lewis, Hughes, Hanna, Hurt, Fischell, Prewitt, Heddens, Brent, Wilson, and Sloan. Dr. Trader closed the discussion. The President appointed the following Committee to draft resolutions respecting the death of Dr. P. V. Schenck. DR. T. F. PREWITT, St. Louis. DR. L. J. MATTHEWS, Carthage. DR. C. A. THOMPSON, Jefferson City. DR. H. H. MUDD, St. Louis. Dr. Mullhall read a paper on Atrophic Rhinitis. Discussed by Drs. Trader, Catlett, Harrison, Siemens, Rumbold. Dr. Mulhall closed the discussion. Referred. Dr. Todd of Kansas City asked permission to make some marks on the treatment of Cholera. Granted. re MR. PRESIDENT: It is probably known to all members of this Society who read the Journal of the American Medical Association, edited by Dr. N. S. Davis, and published in Chicago under the auspices of the Association, that in August last (No. 6, Vol. iii.) I proposed in that journal a new treatment of Asiatic Cholera, a brief allusion to which may be of interest to many present. For details of the plan proposed I will refer members to the paper mentioned, to be supplemented by yet another paper in the same journal. The prominent points of this projected treatment are two in number, to wit: First, the introduction into the system subcutaneously of large volumes of distilled water-from two to four quarts in twenty-four hours for an adult, to which have been added salts of sodium and potassium in minute but appreciable quantities, and alcohol if collapse exist or is threatened. Second, the administration of copious draughts of hot water acidulated with the dilute sulphuric acid, repeating them as fast as they may be rejected, to the utter exclusion of ice-water or other cold drinks. The subcutaneous injections are intended to replace rapidly, continuously and as exactly as may be the fluid substance of the blood now being wasted in the watery evacuations of the stomach and bowels. If absorption of the fluid thus thrown into the cellular tissue of the thigh, the arm, or the abdominal wall shall take place, it will be possible in any case to preserve the fluidity and in a great measure the integrity of the blood, and vigor of the heart's action till the danger be over.* It is believed that absorption will readily take place in these cases, for I have on more than one occasion seen patients apparently moribund quickly revive under the influence of large quantities of dilute alcohol thus introduced with an instrument of the kind described. If it shall prove that the fluid will be absorbed into the general circulation the advantage of this kind of medication is incalculable in all cases where the stomach has lost power of aborption. The plan of using hot, acidulated drinks for the relief of thirst, instead of iced drinks, as the patient always craves, and as are ordinarily given, will be readily appreciated. All bad cases are attended with an algid condition, in which the temperature often sinks below 90 degrees. Under such circumstances cold introduced into the stomach must be perilous in the extreme. Sulphuric acid is grateful to the palate, allays thirst, and is potent as a destroyer of germs. Its addition to the water taken into the stomach cannot but be beneficial. Dr. Hughes of St. Louis read a paper on Some of the Neglected or not Duly Appreciated Psychical Precursors of Brain Disease. Discussed by Drs. Catlett, Prewitt, Hurt, Mudd, and Hanna. Dr. Hughes closed the discussion. Paper referred. Dr. F. J. Lutz suggested that there should be more permanent arrangements made for the reception of books and reports sent the Society from different State Associations. On motion Association adjourned to 8 P. M. *A syringe for this purpose has been made by Geo. Tiemann & Co., 67 Chatham St., New York, by suggestion of Dr. Todd, having a capacity of four fluid ounces, and three needles of graduated sizes, suiting the instrument to all ages. It would seem that this instrument of Dr. Todd will find ready use in many ways, as for exploratory aspiration, and for the emptying of small deep-seated abscesses; also where alcohol is to be injected in large quantities in any adynamic condition. J. H. THOMPSON, Sec'y. |