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The Secretary was instructed to write Senator B. C. Lewis and Representative R. C. Tartar at Frankfort, asking their hearty support and vote for Senate Bill No. 5,and House Bill No. 230, respectively.

The Secretary was instructed to sign the names of the entire membership of the society to the petition.

As per instructions given at last meeting, the secretary called upon the doctors of Somerset and secured a statement from them regarding contract practice for lodges, which was decidedly negative.

Later it was learned that one doctor after having suggested this canvass by the secretary, has accepted a contract with a lodge in Somerset.

As a result of this act the secretary was instructed to write to this doctor and ask that he appear before the society at its next meeting and state why he accepted a contract with a lodge. There being no further business the society adjourned.

CARL NORFLEET, Secretary.

Pendleton-The Pendleton County Medical Society met at Butler, on February 9, 1916, with the following members present, Drs. Blackerby, Blades, Brown, Clark, Daugherty, Eckler, Kendall, McKenney, Nichols, John T. Wilson, J. Ed. Wilson, Woolery, J. E. Wells, Cynthiana; and J. A. Caldwell of Newport visiting.

The meeting was called to order by retiring president J. F. Daugherty, and after a few brief remarks turned the presidency over to John E. Wilson, president-elect, who read his address to the society.

After this we proceeded to business, and as we had sustained a loss to our society in the death of Dr. W. H. Yelton, one of our most worthy members, every member of the society expressed their sympathy in his death, and resolutions of respect will be forwarded to the Journal at our next meeting. I also send a letter from the family to the society that the society requests to be printed in the Journal, which is a sfollows: Butler, Ky., Feb. 1st, 1916. Pendleton County Medical Society, Gentlemen:

We take this opportunity to express our appreciation to the members of your society for their kindness during the last illness of our husband and father, Dr. W. H. Yelton.

We have every assurance that your kindly ministrations were prompted by the high regard

in which you held our departed loved one, and it is our desire to show you the high esteem that he had for your society and its members.

On numerous occasions he spoke of the society lauding its aims and purposes, regretting his inability to attend its meetings.

While sickness kept him away in person, yet he was always with you in spirit.

He understood and appreciated the benefits to be derived from association with the physicians of the county. During his last illness he desired that a letter, to this effect, be written.

We hope it will in some measure express the sentiments which were so deeply implanted in his mind.

Again thanking you for all and especially for the beautiful floral offering, we are,

Sincerely, your friends,

MRS. W. H. YELTON AND FAMILY. We had one of the best meetings of the society for sometime, and it looks as though we are to have a very profitable year.

W. A. McKENNEY, Secretary.

Pulaski The Pulaski County Medical Society held its regular monthly meeting at the office of S. F. Parker, on Thursday, January 13, 1916.

In attendance were Drs. A. J. Wahle, J. A. Bolin, Green Cain, A. W. Cain, G. E. Jasper, S. F. Parker, Wm. Price and Carl Norfleet. Reading of minutes was deferred.

A. W. Cain reported a case in a boy, aged 5, anaemic, enormously swollen jaw, general breakdown of buccal tissue, small amount of pus, distruction of teeth.

Treatment.-Stab wound for drainage, general oral antisepsis. Diagnosis, malignancy. General discussion.

Carl Norfleet reported the following case: Young man, 23, lost arm in shredder, amputated at middle third of humerus. One month later osteomyelitis developed, general sepsis followed, patient died in two weeks.

No papers having been prepared the business of the evening was then taken up.

The Secretary was instructed to write all doctors not present and secure an agreement that they will use a 1 per cent solution of silver nitrate in the eyes of all new-born babies, immediately after birth as advised by State Board of Health.

The Secretary was instructed to call on the doctors of Somerset, not present at this meeting and learn their attitude toward contract practice of lodges.

The society will meet every second Thursday in each month and the following program has been arranged:

February (1) Meningitis, Epidemic." A. J. Wahle; (2) Anemia; Its Significance, C. Norfleet. March (1) Diphtheria; Treatment in Gen

eral Practice, J. A. Bolin; (2) Diabetes Mellitus, S. F. Parker.

April (1) Sequellae of La Grippe, Green How We Should Study Cases, W. M.

Cain; (2)
Price.

May-(1)

Points Practical in Practice, A. W. Cain; (2) Infant Feeding, T. M. Garner.

June-(1) Enteritis in Children, Brent Weddle; (2) Organic Disease of Heart, M. Warren. July (1) Nephritis, L. Hughes; (2) Organic Disease of Heart, M. Warren.

July (1) Nephritis, L. Hughes; (2) Complicated Obstetrics, J. A. Baute.

August-(1) Materia Medica, V. G. Trimble; (2) Vaccine in Typhoid, A. J. Wahle.

September (1) Disease of Gall-bladder, A. W. Cain; (2) Abscess of Liver, G. E. Jasper.

October (1) Inspection of Schools, C. Norfleet; (2) Care of Lying-in-women, G. W. Isaacs. November (1) Treatment of Fractures, S. F. Parker; (2) Scarlet Fever, N. D. Stigall. December-Election of Officers.

CARL NORFLEET, Secretary.

Pulaski The Pulaski County Medical Society held its regular monthly meeting at Dr. S. F. Parker's office, on Thursday, December 9th, 1915.

In attendance were Drs. Wm. Price, J. A. Bolin, J. A. Baute, G. W. Isaacs, J. M. Owens, A. W. Cain, Green Cain, and Carl Norfleet

Visitors from the McCreary County Medical Society were, Drs. W. R. Cundiff, R. C. Sievers, J. E. Harmon, Walter Fitzpatrick and C. E. Cain.

S. F. Parker being out of town, minutes of last meeting were deferred.

A number of interesting cases were reported and discussed in general.

This being the time for regular election of officers no papers were read.

Green Cain, of Big Spring, Texas, made application for membership in the Pulaski County and State Medical Association; his petition was referred to the Board of Censors.

The election of officers for the year 1916 resulted as follows:

A. J. Wahle, President; J. A. Bolin, Vice President; Carl Norfleet, Secretary and Treasurer; J. A. Baute, Censor; Carl Norfleet Delegate; Program Committee, A. W. Cain, S. F. Parker, Carl Norfleet.

This completed the program for the day. The society adjourned and accepted the cordial invitation of A. W. Cain for dinner at his splendid and commodious residence on Columbia street. There we were met with that hospitality typical of the Kentucky housewife. Mrs. Cain seated us to a sumptuous repast until each be came alarmed at the other fellows' capacity. After dinner a smoker and social exchange were enjoyed. All went away feeling in accord with those principles which make professional life

worth while, harmony, friendship and brotherly love. CARL NORFLEET, Secretary.

Pendleton-The Pendleton County Medical Society met at Butler, Ky., on Wednesday, March 8, 1916, with the following members present: Drs. Beckett, Blackerby, Blades, Brown, Chipman, Daugherty, Eckler, Hopkins, McKenney, John E. Wilson, J. Hadley Caldwell, of Cincinnati, O., visiting. The meeting was called to order by President Wilson. After roll call and reading of the journal, we proceeded to the business of the day.

We had a first rate report of clinical cases. One a series of three cases of syncope following right along in one man's practice. This coincidence brought out several reminiscences in the experience of our physicians.

Another the type of pneumonia that has prevailed this winter, and some of the atypical cases and complications, were discussed freely. The following papers were read:

L. T. Eckler read a paper on "Urinalysis in Life Insurance." Discussed by J. M. Blades. J. H. Caldwell read a paper on "Acute Septic Peritonitis, With Report of Case," which was well received. The doctor is one of the best young surgeons of Cincinnati, and will make his mark in the surgical world. We are always glad to have him with us.

This closed the business of the day and we all left the meeting feeling that we had been well paid. W. A. McKENNEY, Secretary.

Shelby The Shelby County Medical Society beld its regular monthly meeting the third Thursday in January, 1916, at A Hollenback's with the following members present: Drs. Perrin, S. L. Beard, Austin, F. M. Beard, Ray, E. B. Smith, Hughes and Allen. The president and vice president both being absent, the society was called to order by the secretary.

Curtis Austin read a well prepared paper on "Tonsillitis," which was discussed by all the members present. This paper was a very practical one and it, together with the discussion will prove of great benefit to the society as they had to do with a subject of almost everyday occurrence in the practice of the members.

Heretofore it has been the custom of the members to entertain the society in alphabetical order but as the attendance varied so much it was decided to add enough to the dues to cover the cost of the lunches for the year, a motion to this effect was accordingly made and seconded and passed unanimously.

By this ruling the dues will now be nine ($9.00) dollars, five ($5.00) dollars of which will be used for the entertainment feature. The following paid the nine dollars dues, Drs. Ray, Adams, Duff,

Nash, Bland, Lawrence. Austin, S. L. Beard, Perrin, E. B. Smith, Hughes and Allen.

The attendance at the December meeting being so small it was decided to hold the election of officers at the January meeting which was accordingly done with the following result: President, Harmon Nash of Finchville; Vice President Joe Perrin of Simpsonville; Secretary and Treasurer, W. E. Allen Shelbyville, R. F. D. No. 3; Delegate to State Medical Association, S. L. Beard; Alternate to be selected later. There being no further business to come before the society an adjournment was ordered.

TO THE EDITOR:

W. E. ALLEN, Secretary.

THE FORUM

Dr. Ap Morgan Vance was a member of the Medico Chirurgical Society almost from its inception and as he always wore his life as it were upon his sleeve; we his fellow members were more intimate with his character than is often the case of men of his class. Because of this intimacy it is not merely a belief with us but a knowledge, that his vigorous and active career was singularly full of credit and free from reproach of any kind. We know how his supreme energy, his unswerving integrity, his courageous frankness. his unassuming self-confidence, his generous friendship, his lavish liberality in all public and professional dealings; we know how his devotion to his family and his open heartedness in all social relations, how his supreme professional attainments and his faithful unselfishness to the helpless, all these attributes in a superlative degree combined with the wisdom of his councils, in both professional and civic affairs, made him so rare a citizen of usefulness, lovableness and worth, that it is but simple truth to say that his character left little to be desired.

TO THE EDITOR:

H. HORACE GRANT, S. G. DABNEY, CHARLES G. LUCAS.

Please allow me to call your attention, to an oversight, on the part of your printer, in my article, appearing in the March number of the JOURNAL.

If you will refer to the cuts furnished, you will notice that due credit was given Buerger, for the use of his most excellent drawings and in justice to Buerger, as well as myself, am sorry indeed that this error was made. Trusting that you will honor me, by publishing this letter in the KENTUCKY MEDICAL JOURNAL, I am, with best wishes, Cordially yours,

GEO. H. DAY.

BOOK REVIEWS

The Physician's Visiting List.-Published by P. Blakiston's Sons & Co., Philadelphia. Price $1.25. This little memorandum is neatly bound with leather, compact and simple in arrangement, and is a book that every physician will appreci

ate.

Skin and Venereal Diseases-Volume IX of the Practical Medicine Series. Published by the Year Book Publishing Company, Chicago. Price $1.35. This volume treats of Dermatoses, Gonorrhea, Diagnosis and Treatment of Syphilis, etc.

International Clinics-Volume IV. TwentyFifth Series, 1915. This book treats of Diagnosis and Treatment, Pediatrics, Neurology, Obstetrics, Gynecology and Surgery. It will be found of great value to the physician and well worth the price.

Colon Hygiene By J. H. Kellogg. Published by The Good Health Publishing Company, Battle Creek, Michigan. This book contains 381 pages. It treats of normal bowel action, the physiology of the colon, cause of constipation and habits which gives rise to constipation, diet, etc. The reader's attention is especially called to the chapter on the bowel habits of civilized men, which contains a fund of original information.

Post-Mortem Examinations-By William S. Wadsworth, M. D. Published by W. B. Saunders Company, Philadelphia. Price; cloth, $6.00; half morocco, $7.50. The manner of presentation will be found to differ very largely from that employed in other works. Some of the material is new, much has been restated in a new way, and not a little will, of necessity, be a repetition of what has often been said before. This book contains 598 pages with 304 criginal illustrations.

The Medical Clinics of Chicago-Volume I, Number 3 (November, 1915). Published by W. B. Saunders Company, Philadelphia. Price per year; paper, $8.00; cloth, $12.00. Some of the chapters in this volume are Typhoid Fever, with full discussion regarding the treatment, Gout, Cholelithiasis, Chronic Interstitial Nephritis, Hysteria in Children, Enuresis, Acute Catarrhal Jaundice, Brain Tumor, and many other of equal value.

Obstetrics, Volume VII, of the Practical Medicine Series.-Published by the Year Book Publishing Company, 327 So. La Salle Street, Chicago. Illinois. Price $1.35. These volumes are issued at about month intervals, covering the entire field of medicine and surgery, every volume being complete on the subject of which it treats for the year prior to its publication. Volume VII treats

of recent progress in obstetrics and is published primarily for the general practitioner.

Nervous and Mental Diseases-Volume X. of the Practical Medicine Series. Published by the Year Book Publishing Company, Chicago. Price $1.35. This volume has interesting chapters on Symptomatology, the Neuroses, Syphilitic Diseases of the Nervous System, Diseases of the Brain and Spinal Cord. Under Mental Diseases it treats of Insanity and the War, Dementia Praecox, Manic-Depressive Insanity, etc.

General Medicine, Volume VI, of the Practical Medicine Series.--Published by the Year Book Publishing Company, 327 So. La Salle Street, Chicago, Illinois. Price $1.50. This book contains interesting discussions on infectious diseases, diseases of the mouth and esophagus, diseases of the intestines, liver, colon, bladder and pancreas. The books of these series are of great value to the general practitioner.

Medical and Veterinary Entomology-By William B. Herms. The Macmillan Company, New York. $4.00.

In view of the importance of, and increasing interest attached to, insects as the intermediate hosts or carriers of disease, this book is timely and valuable. Certain diseases are so intimately dependent upon insects for their transmission, that, as a preventive measure, sanitarians find it far easier to wage war against the carrier than against the active etiologic organism. The book is excellent in design, profuse in illustrations and covers the field thoroughly. Its language is simple and the methods suggested for the eradication of insect pests are practical. A layman as well as a trained sanitarian or physician can read the bok with understanding and profit.

Sexual Impotence By Victor G. Vecki, M. D., Consulting Genito-Urinary Surgeon to the Mt. Zion Hospital, San Francisco. Fifth Edition, enlarged. 12mo. of 405 pages. Philadelphia and London: W. B. Saunders Company, 1915. Cloth, $2.25 net.

The subject of sex is being worn almost revealingly threadbare in the lay press. But here is a volume that needs no apology for appearing again in a new edition. Possibly some day man will be free from the evils that are a result of a misconception of sexual facts. Dr. Vecki ililluminates clearly and cleanly such facts as the general practitioner should know.

Bone-Graft Surgery-By Fred H. Albee, M. D., F. A. C. S., Professor of Orthopedic Surgery at the New York Post-Graduate Medical School and the University of Vermont. Octavo volume of 417 pages with 332 illustrations, 3 of them in colors. Philadelphia and London: W. B. Saun

ders Company, 1915. Cloth $6.00 net; Half Morocco $7.50 net.

Dr. Albee's bone-graft methods, particularly bis inlay bone-grafts, are revolutionizing bone surgery. In this new work you get for the first time all Dr. Albee's successful technic and its practical application in an ever-widening field of use. You get the fundamental principles underlying the use of bone-graft in surgery; Dr. Albee's electric motor operating outfit and technic of using it, some 85 pages and 74 illustrations of the bone-graft in treating Pott's disease and other lesions of the spine; over 100 pages and 100 illustrations on the inlay bone-graft in the operative treatment of fracture-Dr. Albee pointing out, and showing you by actual skiagrams, the decidedly better end-results obtained by his inlay methods as compared with wiring, plates, nails, and the use of other non-absorbable fixation materials.

You get grafting in fresh fractures, ununited fractures, wedge cross-sections, dorsal pegs, fixation pins, etc., etc. You get operative methods for remodeling the hip-joint; the inlay bone-graft for fixation of tuberculous knee-joints, infantile paralysis, osteo-arthopathy (Charcot's Disease), the wedge graft for habitual dislocation of the patella; bone-graft in treatment of disease and deformities of foot and leg; miscellaneous uses of the bone-graft. There are 332 original illustrations, three of them in colors.

Differentiation of Gastric Ulcer and Cancer.Zoeppritz has been applying in 462 cases of stomach trouble Gluzinski's method for determining whether the stomach shows oversecretion of gastric juice-which, he assumes, is the rule with gastric ulcer-or abnormally low secretion

which is the result of the mucous catarrh that seems constantly to accompany and precede cancer. The findings were not encouraging. Relative secretory insufficiency occurs frequently with cancer, but may be encountered also with all other kinds of stomach affections and even with merely abdominal trouble, and in the healthy stomach. When it occurs with cancer it is not an early sign, and the cancer may be far advanced without this sign being present. It was found positive in 20.6 per cent. of the ninety-two cases of gastric ulcer or its consequences, and hence the discovery of relative secretory insufficiency by no means excludes simple ulcer. In applying such tests it would be better to give two meals that are alike rather than the test breakfast and the test meal as by the Gluzinski method.

KENTUCKY MEDICAL JOURNAL

VOL. XIV.

BEING THE JOURNAL OF THE KENTUCKY STATE MEDICAL ASSOCIATION

Published Under the Auspices of the Council
BOWLING GREEN, KY., MAY 1, 1916

EDITORIAL

OUR NEW LEGISLATION.

THE ADVERTISING, FEE-SPLITTING, PURE FOOD AND MALPRACTICE LAWS.

Because of their importance it is earnestly hoped that every member of the medical profession in Kentucky will not only read, but will make a careful study of the four important laws relating to health and medical affairs secured at the recently adjourned session of the General Assembly, and published in full in this issue of the JOURNAL, under the head of Official Announcements. It will be found that these new laws, when they go into operation in June, will come very near to the every day life of each member of the profession, as it is expected they will promote the interests of the profession and public as a whole, and it is suggested that that this number of the JOURNAL be marked and filed away for future reference, and for frequent discussions with other members privately and in the county societies until all are familiar with the new order of things. Named in the order of their importance to both the doctors and people, as they impress us, the laws are:

1. THE HONEST ADVERTISING LAW.

This law was prepared by the True-Ad League of the United States, is designed to accomplish exactly what is indicated in the title, was passed through both houses of the General Assembly without opposition and, if properly

enforced, means a revolution in all advertising, including nostrums and other things in which he have a special interest as a profession. As will be seen by careful reading, under heavy penalties, it prohibits any attempt to exploit, mislead or defraud the people by false statements in any newspaper, cierular or in any other way. It is a wise and farreaching law and a sincere effort will be made to secure its enforcement.

II. THE FEE-SPLITTING LAW.

The provisions of this law are self-explanatory and, if the sentiment in its favor proves

No. 5

as strong with the profession and people as it in the General Assembly, offenders against it may expect little sympathy when they get in the courts. The purpose of the law is to prevent the spread of an evil which only reached Kentucky in recent years by importation from the richer and more populous states to the North and East of us, which is as dangerous to the best interests of the sick, and of the public as a whole, as it is degrading and debauching to those members of the profession, whether surgeons and other specialists or family physicians, who abuse the confidence of sick people, or the friends who act for them, by receiving and dividing fees upon the basis of anything except the true interests of the patient, and with the full knowledge and sonsent himself or of the friends who act for him and pay the bills. Lack of training in training in medical economics and ethics in most medical colleges, Covering these and other principles and methods lying at the very foundation of professional and business success, with the poverty and failure or partial failure in life incident thereto, has filled our ranks with men liable to yield to such a temptation as this disreputable practice offers, and criticism of the individual or the class of offenders should be tempered with sympathy, on account of the system of medical education, rapidly waning, which did not mould them for better things. It is the purpose of the organized profession to employ attorneys and inspectors here made for the support of every true to enforce these two laws, and an appeal is friend of sick humanity in doing so.

III. THE NEW PURE FOOD LAW.

This comprehensive pure food code, almost model in its thoroughness, was prepared under the supervision of the National Pure Food Association and, after careful consideration, was passed without opposition in both houses. As will be seen upon careful study, it covers every phase of the sanitary production, handling and storing of food products of every kind, and for the first time full authority is given the State and local health authorities.

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