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Dr. Stewart never has been a believer in

Dr. Ward-What is the diagnosis? Thought the disease due to a ruptured ova sac. Opium opium, and in this respect followed the exshould not be used at all; you cause a con- ample of his father. Has always used a little dition that you cannot relieve with salines; opium, but never quieted paristalsis with it. you put on a splint and keep the gases con- Is a firm believer in salines. Gives salines or fined. Thought too much salts per rectum some purgative at once on being called to had been given in this case; too much causes such a case. Where there is pus in the apirritation. Salines should be given without pendix you need not desist in the use of samorphia; would rather see the patients suffer lines. We do not have idiopathic peritonitis. than give morphia. Quoted from Dr. Joseph The inflammatory process produces microbes, Price, "Out of sixty cases of abdominal sec- which in turn bring pus. The heat and exutions anodynes were given in but three." dation from the inflammation causes paralysis Dr. Cushing, of Boston, says "Morphia pre- of the bowel. Opium does the same. vents absorption." Morton, of Philadelphia, using salines you have a drain of the tissues; says "One can never go wrong in using irri- they take away the products that produce ingation and drainage." Opium should never flammation, and later, pus. His experience be given to relieve pain after abdominal operations. Tait uses salines after abdominal operations. Dr. Senn uses salines to relieve inflammation after obstruction has been relieved.

In

fortifies him in the use of Salines. Would give at times % grain morphia; but each case is a law to itself. Would never give it to any amount; never to narcotism. If you give much opium you cannot tell when to operate, Dr. Longshore thought the experience of should it become necessary. Thinks statistics Topeka doctors was in favor of the salines. show that we should give salines, and if not Reported a case where a lady had had several relieved then operate. With opium you make attacks of peritonitis, and had always been a splint, make adhesions that last a lifetime. treated by morphia. She did not give morDr. Righter reported a case that had been phia even after two appeals. It generally treated with morphia, which was relieved on took three or four days treatment with opium; stopping the morphia, the bowels moving this time she was relieved in two days with salines. Would use some opium at times in failing cases to relieve pain. Her faith grows

in saline treatment.

freely.

Dr. Guibor was taught that opium was the sheet anchor. Did not know that he had ever treated a case with salines. Related having a peritonitis from gall stones himself. Salines were suggested but he could not take them; they gave me opium, and after the pain was relieved I took the salines with good effect.

Dr. Alexander-Clinical results seem to favor salines. In this case, after twenty-four hours saline treatment, the patient was evidently worse. Would not say that at the time salines were used they were not indicated. The saline treatment moves in cycles; forty Dr. McGuire thought too much stress was years ago this treatment was used. Does not put on opium as a splint; opium relieves more believe in giving opium to narcotism. Most by putting a patient in a condition that you cases of peritonitis come from fecal obstruc- can relieve in some other way. In one sense tion; remove this with salines, then use he is an advocate of opium; on the other hand opium. Not necessary to use large doses of salines to relieve inflammation. We go too much to extremes; to-day salines are the rage. Relieve gaseous distention with rectal injections.

Dr. Deweese, of Salina, thought the happy medium best. Flood the colon with fluid, apply hammamelis and hot applications externally. Small doses of morphine more useful than is generally supposed.

he had seen a case where, after all other remedies failed, saline cathartics brought a good

Does not see how any man can go to either extreme; about 3/4 of the cases will be relieved by salines, 4 by opium. Would not expect to relieve a patient of peritonitis with salines without making him easy.

result. Salines do act as a drain to the tissues.

Dr. Green-When the diagnosis is clear, he did not see why we should use opium. It had

always seemed to him that salines were the was anxious for them all to take the first form proper remedies to relieve the peritonitis. of life and compare it with the process of Would quiet nervousness, however, with disease and one will be able to comprehend opium. the processes.

Dr. Munn spoke of Clark using opium first. In the first experiments with it at Bellevue it was a failure, due to the fact that it was not pushed; when this was done the patients recovered.

Dr Lyman, of Manhattan, read a paper entitled "Pott's Fractures." The paper and discussion will be found on page 545, this number of the JOURNAL.

Dr. D. F. Longnecker read a paper on the "Recent Advancement in Ophthalmology." Dr. G. A Wall read a paper on "Ophthalmic Surgery, by permission, in order that both papers might be discussed at one time. Both papers will appear in a future number of the

Dr. Bradley in closing said, that before you have a marked typhlitis salines are indicated, but when it is well marked opium is the remedy. Would not give in every case opium to narcosis. Opium given short of narcosis does not prevent the action of the bowels. It JOURNAL. is a clinical fact that the bowels do move while Dr. M. B. Ward, of Topeka, read a paper giving opium. As to the action of morphia on the "Pathology and Treatment of Intraand opium, thinks opium more constipating Pelvic Inflammation." The paper and discusthan morphia. sion will appear in the JOURNAL.

Dr. Schenck's paper entitled, "Intussusception was read by title.

Dr. C. W. Adams of Kansas City, read a short paper on "Cysts of the Pancreas." and presented a specimen. The paper was well received, but owing to the lateness of the hour

The advisability of operating in this case was spoken of by several of the physicians, and the indications for the same pointed out. Dr. R. S. Magee reported in writing a case of "Intra-ocular Sarcoma," which was briefly discussed. Adjourned to meet in regular session Tues- was not discussed. day evening, June 3.

D. F. RODGERS, M. D.,
Secretary.

Kansas State Medical Society.

(Continued from June Number.)

Dr. J. S. Foote read a paper entitled the "Relation of Formative Matter to Disease," and exhibited some very elaborate drawings to exemplify his paper.

Dr. Bidwell opened the discussion by saying that the paper if carefully studied will be the best paper of the session. It is the A. B. C. of the whole process of disease. The best thing for each one to do, is to study the effects of irritants rather than the growth of cells. Dr. Minney Did you mean to say disease

is an entity.

Dr. Foot said it was not.

EVENING SESSION.

Society met in the Board of Trade rooms. Dr. Murdock reported a case of Hysterectomy and exhibited the uterus. He did not reduce the patient by keeping her from food prior to the operation. He made a half circular incision just above the os and easily broke up the adhesions. He left a small strip on either side of the uterus and then inserted his finger back of the uterus and was then able to tie the arteries. He left the ligatures short, and then passed his finger into the rectum and tied the fallopian tubes, left the ligatures four inches long. Operation was done in twenty-three minutes. Patient recovered.

Dr. Robinson had done a vaginal hysterectomy for prolapsus. Did not know at that time. that it ever had been done.

Dr. Ward in discussing the paper said vaginal hysterectomy is an unsurgical opera

Dr. Wright wanted to commend the paper, tion. Although being done by a good many, particularly the pictures.

gynecologists for cancer of the cervix; at the

Dr. Green said this is the work being ac- present time it is a questionable operation. complished in the medical schools. The mortality is very great unless done early

Dr. Foote said in closing the discussion, he in disease.

Dr. Daily read a paper reporting three cases of abscess of liver.

By a vote the society authorized its representatives to take such action as they may deem prudent regarding uniform legislation at the Nashville meeting, as suggested by the American Medical Journal.

W. S. Lindsay read a paper on "Neurasthenia." No discussion.

Dr. Hal Foster, of Kansas City, read a paper on "Hypertrophy of the Lateral Walls of the Pharynx." No discussion.

Your committee on sections makes the following report, namely that the scientific work of the society be divided into four sections as follows:

First-General medicine.

Second-Surgery and anatomy. Third-Obstetrics and gynecology and diseases of children.

Fourth-Ophthalmology, otology, laryn

gology.

That each section be officered by a chairDr. Sawtell reported verbally the amount of man and a secretary. That these officers shall money received to be $229 00. make all arrangements for the necessary paThe following motion introduced by Dr. pers for the section, &c. The chairman to deWard was unanimously adopted. liver an address.

Resolved, That the thanks of the Kansas Medical society be tendered the physicians of Salina; especially the committee on arrangements for the courteous treatment and cordial reception extended to the members of the State society, while in their city.

That the session of the society shall continue two full days and an evening.

That the forenoon be devoted to the business of the society and the delivery of the address of the president and chairman of section.

That the afternoon and evening shall be devoted to section work. That this work shall

On motion a hearty vote of thanks was tendered Dr. W. W. Cochrane, for his faithful labors as the treasurer of this society, for many years past, and that the secretary be instructed to send a copy of these resolutions to Dr. Cochrane Carried by standing vote. The judiciary committee made the following and evening. This we believe will very

report:

We hereby recommend that the Golden Belt Medical society, be recognized, and the delegates, Drs. W. U. King, C. H. Guibor, Z. T. Harvey, J. W. Crowley, T. U. Greene, G. E. Harvey, Junction City, and L. H. Murphey, be allowed, seats in this meeting. Further, that the delegates, who are not already members of the State society, must make application in due form and go before the board of censors, the same as all other applicants, in order to gain membership in this organizaRespectfully submitted,

tion.

L. A. BUCK, chairman. The society elected the following physicians as delegates to the American Medical Association at Nashville :

Drs. H. D. Hill of Augusta M. B. Ward of Topeka, T. L. Weaver and O. C. McNary of the Soldier's Home, W. L. Schenck of Osage City, A. H. Cordier of McPherson, J. E. Minney of Topeka, Levi Horner of Lawrence, W. A. Phillips ofSalina, J. E. Sawtell of Gypsum City, L. J. Lyman of Manhattan and F. M. Dailey of Scottsville.

be so arranged as to best meet the requirements of attendance; for instance two sections to be in session one afternoon and evening, and the remainder to the other afternoon

much facilitate the work.

We recommend the following named gentlemen as officers for the sections.

Surgery-A. H. Cordier, chairman; L. H. Munn, secretary.

Medicine-L. A. Buck, chairman; C. Klipple, secretary.

Obstetrics and Gynecology-M. B. Ward, chairman; A. Fabrique, secretary.

necker, chairman; G. A. Wall, secretary. Ophthalmology and Otology-D. F. LongRespectfully submitted,

C. H. GUIBOR, chairman.

The nominating committee recommended as place of meeting for the ensuing year Wichita, Kas.

The officers for the ensuing year are:
President, J. E. Minney, Topeka.
First Vice President, W. A. Phillips, Salina.
Second Vice President, A. B. Peters, Man-

kato.

Secretary, W. L. Lindsay, Topeka.

Treasurer, N. T. P. Robertson, Hutchinson.

Member of the judicial committee-F. M. business the association adjourned to meet at Dailey, of Scottsville.

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Extract of the Minutes of the June meeting,

held at Greenleaf, Kans., June 5, 1890

Shortly after 4 p. m., President Chase called the meeting to order and on roll call the following members were present: Drs. M. N. Gardner and E. Armstrong of Greenleaf, Dr. Harry Riding of Vermillion, Drs. D. W. Humfreville and C. W. Hardy of Waterville. Dr. R. S. Fillmore of Blue Rapids, Dr. A. J. Best of Centralia, Dr. J. S. Wallace of Barnes, Dr. Levi Chase of Irving, and Drs. Wm. O'R. Bradley and A. S. Andrews of Washington. Absent Dr. H. Humfreville of Waterville, Dr. O. C. Axter of Creenleaf, Dr. Wm. Jacobs of Washington, Dr. R. M. Hughes of Irving, and Dr. M. A. Browley of Frankford.

Minutes of previous meeting read and approved, after which several very interesting clinical cases were presented to the meeting, a free discussion following each case.

At 6 p. m, the meeting adjourned to 7 p. m. Sumptuous banquets were given to the members of the association at the residences of Drs. Armstrong and Gardner.

Promptly at 7 p. m. the meeting was called to order by President Chase and the following papers were read and freely discussed by all the members present: "Restoration of Perineum," Dr. M. N. Gardner, Greanleaf; "Uses of Antipyrine and Acetanilide," Dr. H. Reding, Vermillion; "Hepatic Abscess," Dr. Wm. Bradley, Washington; "Office Pharmacy," Dr. J. S. Wallace, Barnes.

The following officers were elected for the ensuing year; Dr. Levi Chase, president; Dr. D. W. Humfreville, 1st vice-president; Dr. Wm. Bradley, 2d vice-president; Dr. A. S. Andrews, secretary; Dr. E. Armstrong, treasurer; Drs. H. Humfreville, Wm. Jacobs and M. A. Browley, censors.

After the transaction of some miscellaneous

Dr. LEVI CHASE, President.

Greenleaf, Sept. 4, 1890, 4. p. m.

DR. A. S. ANDREWS, Sec'y.

BOOK REVIEWS.

Spinal Concussion, surgically considered as a cause of spinal injury, and neurologically restricted to a certain symptom group, for which is suggested the designation ERICKSON'S DISEASE, as one form of the traumatic neurosis. By S. V. Clevenger, M. D., &c. Philadelphia and London. F. A. Davis, publisher. 1890.

This is a most excellent review and classification of the knowledge of this subject of the present day. The author's theory of organic change in the cord is reasonable, and may prove in time to be exactly correct. The suggestion of the name "Erickson's Disease," we consider quite unscientific, and we hope for a short time when our nomenclature will be rid of such meaningless terms as Bright's Disease, &c. The volume has great merit as a medico-legal work.

STORIES OF A COUNTRY DOCTOR. By Willis P. King, M. D.

Let all who want to see the funny side of professional life, sometimes too sad to be funny, and all who want to "laugh and grow fat" over the freaks and frailties of our "poor human nature," read Dr. King's new book.

We had heard the Doctor tell some of his stories, and are glad to see them in a book, and bespeak for it a wide circulation. Not that he make money, and we sometime ask to borrow and be refused, for we too are making books in the JOURNAL, and will of course, like the Doctor, grow rich from the profits, but because the stories are good leisure hour medicine, and because the book is the last link in the proof of the Doctor's manhood; for does not Wilhelm Meistu, or some other fellow say, "To prove yourself a man you must plant a tree, get a child, and write a book."

Then this book is kingly, it breathes the spirit of its author, which is the spirit of

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Report of the Stormont Library Committee. Gowers-Diseases of the Nervous System. American System of Gynecology, 2 vols. MR. PRESIDENT:-We beg leave to make American System of Obstetrics, 2 vols. the following report of progress since our Playfair-Midwifery.

last meeting:

In January last, one hundred and fifty dollars of accumulated proceeds was placed to the credit of the Stormont Medical Library Fund, and one hundred and fifty dollars more will be added in July next.

On account of the already overcrowded condition of the State Library, accommodations could not be furnished us until recently, and it was Mrs. Stormont's desire that no books be purchased until they could be placed with the State Librarian.

Ample room has been furnished us within the past few months, and we have purchased the following list:

Gray's Anatomy.

Quain's Anatomy, 2 vols.

Klein Micro-organisms and Disease.

Gray's Manual of Botany.

Engelmann-Labor Among Primitive People.
Holden-Osteology.

Bilroth's Surgical Pathology.
Virchow-Cellular Pathology.
Pharmacopoeia of the United States,
Dalton-Human Physiology.
Fothergill-Handbook of Treatment-
Fothergill-Diseases of Sedentary Life.
Allingham-Diseases of the Rectum.
Van Buren-The Rectum.
During Diseases of the Skin.
During-Atlas of Skin Diseases.
Bramwell-Diseases of the Spinal Cord.
Wagner-Manual of General Pathology.
Skene-Diseases of Women.

Hammond-Diseases of the Nervous System.
Vogel-Diseases of Children.

Lusk-Science and Art of Midwifery.

Mann-Manual of Psychological Medicine, etc. Bryant-Manual of Operative Surgery.

Dunglison-Medical Lexicon.

Thomas-Complete Medical Lexicon.

Beard & Rockwell-Medical Lexicon.

Donders-Refraction and Accommodation.

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Campbell-The Language of Medicine.

Gross-Life of John Hunter.

Bartholow-Practice of Medicine.

Bartholow-Materia Medica and Therapeu

tics.

Keys-Genito-Urinary Diseases, etc.
Gerster-Aseptic and Antiseptic Surgery.
Shoemaker-Diseases of the Skin.
Gould-A new Medical Dictionary.

Medical and Surgical Register of the United

States.

Medical and Surgical History of the War of

the Rebellion, 5 vols.

Index Catalogue of the Library of the Sur-
geon General's Office, U. S. A., 9 vols.
Foster-Encyclopedia Dictionary.
Quain-Medical Dictionary.

Wyeth Text Book of Surgery.
Physician's Anatomical Aid (Manikin.)

The total purchase amounts to three hundred and thirty-six dollars and twenty cents. This list is composed exclusively of books

Guernsey-Plain Talks on Avoided Subjects. donated by Mrs. Stormont as a part of the

Lee-Hand Book for Coroners.

Pasteur-Life and Labors.

Lyman-Insomnia and other Disorders of

Sleep,

five thousand dollar purchase intended as a nucleus.

The accumulated proceeds of one hundred and fifty dollars from the five thousand dollars Ranney-Applied Anatomy of the Nervous endowment fund has not been used, and we recommend that it be reinvested and not

System.

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