COUNTY SOCIETY REPORTS

Barren-The Barren County Medical Society met in Dr. Botts' office, Glasgow, September 20, 1916.

Members present, Drs. Botts, Biggers, Miller, Smock, Howard, Taylor, White, Jones, E. D. Turner, Depp, Acton, Sidden's and York.

President Smock called the society to order at 10:30 a. m.

J. B. White and W. F. Britt presented some interesting clinical cases which were discussed by all the number present.

Adjourned to meet at 1 o'clock p. m.

Afternoon Session.

An hour was spent reporting and discussing cases met with in actual practice by several members. The discussions were lively, and highly enjoyed by all.

E. D. Turner read a valuable paper on "Hemiplegia." The paper was listened to with marked interest, and was discussed at some length by Miller, Botts, Howard and others.

Motion carried that Dr. Turner's paper be sent to the Journal for publication.

There being no further business, the society adjourned to meet October 18th, 1916, at 10 a. n. J. MORGAN TAYLOR, Secretary.

Ballard The Ballard County Medical Society has its regular meetings the second Tuesday in each month, our last meeting, September 11, 1916, at Lovelaceville, was attended by eleven members of the society. We only have fifteen active members in the county. The other few have retired from practice and do not take any interest in the society. We had a splendid program and much interest manifested by every member which is always the case at the meetings.

J. S. Johnson of Barlow, moved to Paducah to practice his profession and the society has appointed H. V. Usher as secretary to fill out the unexpired term.

H. V. USHER, Secretary.

Carlisle The Carlisle County Medical Society met in Cunningham, in the home of Dr. and Mrs. D. S. Robertson, at 10 o'clock a. m., on September 5th, with the following doctors present: Burnett Benson of the German Hospital, New York City; Hazel P. Mosby of the Mayo Clinic (a member of this society); Dr. Robertson of Cunningham; Peas, Kirbyton; Hocker, Dunn, and Jackson, of Arlington; Crouch, Payne, Marshall, and Wm. L. Mosby, of Bardwell.

The minutes of the last meeting were read and approved. Committee on arrangements reported and the report accepted and committee was discharged.

W. Z. Jackson read a paper on the "Etiology and Treatment of Poliomyelitis.

J. T. Marshall read a paper on "Symptoms and Treatment of Poliomyelitis.

These papers were well prepared and fully discussed by all the doctors present with reference to the present prevailing epidemic eliciting considerable interest. Dr. Benson relating cases seen in New York and Dr. Hazel P. Mosby cases and sequella as seen in Orthopedic Department of Mayo Clinic.

Dinner was now served by Mrs. Robertson and some good lady friends, which was sumptuous, well prepared and much enjoyed by all present.

R. T. Hocker, being afflicted with glaucoma did did not write his paper as is his custom, but talked to the subject of "Etiology and Pathology of Insolation" bringing out many interesting points. J. T. Dunn read a paper on the "Treatment of "Insolation," He uses ice or hydrotherapy for "He temperature above 104 degrees F., digitalis etc., heart exhaustion, he prefers hot water, blankets, strychnia and stimulants, etc.

These papers were discussed by all members present which developed much interest.

W. Z. Jackson was elected as delegate to the coming State Medical Association with Dr. Dunn as alternate.

The society extended a vote of thanks to Dr. and Mrs. Robertson (especially the latter) for the splendid hospitality and elaborate dinner served by them to the delight of all present.

The society adjourned to meet in Bardwell the first Tuesday in December.

WM. R. MOSBY, Secretary.

Muldraugh Hill-The Muldraugh Hill Medical Society was called to order by Dr. D. W. Gaddie at 11 a. m., in the Court House, with twenty-four members present. None of the officers were present therefore nominations were in order for chairman. Dr. Gaddie was nominated by Dr. Lutz. Dr. R. T. Layman put the question which resulted in the election of Dr. Gaddie. In the absence of the secretary Dr. Horine was elected to act as secretary. The reading of the minutes were dispensed with.

J. R. Wathen presented a case of intestinal obstruction due to Meckel's diverticulum. The patient, a man aged 26, had been operated one year previously for an acute appendicitis. This operation was done in California by a man who had made an incision about two inches in length. Probably due to this short incision the surgeon overlooked the Meckel's diverticulum. He emphasized the necessity of making an incision of sufficient length to thoroughly explore the abdominal cavity.

Irvin Abell, in opening the discussion, agreed and emphasized that the incision should be of sufficient length to thoroughly explore the cavity.

A. D. Wilmoth called attention to the high mortality of cases of Meckel's diverticulum as illustrated by reports from Dr. Halsted.

R. T. Layman presented a case for diagnosis. This patient had been presented about a year ago. The opinion at that time was that the patient had tertiary syphilis. He received iodides. with some improvement, later he developed pleurisy, with effusion. A pint of fluid was withdrawn and examined by the State Laboratory. The report from the laboratory showed that the material was negative as to tubercle bacilli. Nothing else was discussed in the laboratory report.

A committee composed of doctors Strickler, Pope and Willmoth was appointed to examine the patient and report as to his present condition. The report was presented by Dr. Pope who sail that, the unanimous opinion was that this man had syphilis. This confirmed the former report. No discussion of this case.

M. L. Ravitch and S. A. Sternberg contributed a paper entitled "The Relationship of Feeding in Infantile Eczema." Following the reading of the paper, the Society adjourned for dinner. After dinner the members motored out to the Lincoln Farm where the meeting was continued in front of the Lincoln Memorial Building. Owing to the forced absence of Dr. Gaddie, the meeting was presided over by Dr. Willmoth, who called for the first paper at 1:45 p. m.

J. S. Lutz read a paper entitled "Duodenal Ulcer from the Practitioner's Standpoint." Curran Pope in discussing the paper emphasized the great value of the X-ray.

H. J. McKenna said that careful history of such cases was most important, and would help in making a diagnosis in 90 per cent. of the cases. Irvin Abell emphasized the importance of careful history taking.

J. S. Lutz in closing said that he believed that it was quite difficult before perforation to absolutely diagnose a case of duodenal ulcer.

Curran Pope delivered an address on "Lincoln" which was a masterpiece, and which was enjoyed not only by the members of the society, but by a number of visitors to the Farm.

J. R. Wathen read a paper on "A Satisfactory Technique in Prostatectomy." This was illustrated by a number of original drawings.

W. A. McKenna opened the discussion and complimented the essayist.

Irvin Abell said that he had used a technique somewhat similar to that of Dr. Wathen, but that he saw in the technique as employed by Dr. Wathen many points of superior advantage, and that he intended following Dr. Wathen's technique in the future.

J. R. Wathen, in closing, said that his mortality had been reduced considerably by the employment of the technique as described in his

paper.

I. J. Greenwell read a paper on "Toxicology.” E. F. Horine read a paper on "Acidosis, Its Determination, Treatment, and Significance." Following the reading of the paper the apparatus of Marriott for the determination of carbon di

oxide tension in the alveolar air was demonstrated. Dr. Pope in discussing the paper emphasized the great value of studies in acidosis. Adjournment at 4 p. m.

E. F. HORINE, Secretary.

McLean-The McLean County Medical Society met at Calhoun, Ovtober 12 and elected officers for the ensuing year. The following officers were elected: R. S. Ford, president; E. F. Mitchell, vice president, and W. W. Spicer, was re-elected secretary. W. L. Haynes was elected as Delegate to the State Meeting at Hopkinsville. A good many of the doctors in this county are not members of the county medical society. The next meeting will be in November.

W. W. SPICER, Secretary.

Owen-The Owen County Medical Society met at the office of Dr. J. W. Botts. George Purdy, president, presided and the following members answered to roll call: Drs. George Purdy, J. C. B. Foster, W. E. Foster, J. W. Botts, K. S. McBee, D. E. Lusby and J. H. Chrisman.

As we had no regular program the time was employed discussing clinical cases.

J. W. Botts reported a case of fracture below ankle joint and dislocation of both bones of forearm with fracture of radius in a man sixty-seven years old. This case also suffering with retention of urine.

K. S. McBee reported a case of injury in automobile accident followed with paralysis of right side.

Following is the program for the October meet

tucky Privy in this county. A privy for the graded schools was discussed. Dr. McCormack was so full of this subject and so deeply interested in it; that it took some tact, to draw ihm away, without appearnig to be rude.

Medical Organizations, the Doctor, the Journal, Typhoid Vaccine, Diphtheria Antitoxin, and other biological products were discussed briefly by the members present.

We were pleased to have Dr. Cain with us and he accepted the opportunity to give one of his very quiet and encouraging talks about the doctor Glad to have you come any and organization. time, doctor.

Hot tea was served about 10 o'clock with the hope that it would add some joy and comfort to all present.

A. T. McCormack was in Somerset on the 19th to attend the "Niger's" trial and found time to come with Dr. Cain to Monticello to visit our society. They left for Somerset at 11:15 p. m. J. F. YOUNG, Secretary.

The Grant Magnet As Aid in Extracting Scraps of Metal from the Brain.-Rocher shows by illustration show the magnet causes waves in the brain tissue which help to mobilize the bullet or scrap of shell. The attraction should always be applied so as to draw the bullet out by the path it entered. He has made a special study of the subjet on cadavers, and points out the dangers to be avoided. When the foreign body is in quite deep, he interposes a narrow steel funnel, 5 cm. long, fitting over the tip of the magnet. It is important to draw the bullet out by its tip, and under control with the Roentgen rays it is possible to guide and draw the tip around to the best position for its extraction from the tissues.

Blastomycotic Meningitis.-Goto's patient was a member of the legislature, 61 years old. A three page clinical chart of his case is given, with three colored plates showing the necropsy find

A. S. Cash, C. C. Rankin, O. M. Carter, J. S. Hart, J. W. Bryant, W. L. Baker, A. W. Cain, of Somerset; A. T. McCormack, of Bowling Green; J. F. Young, were present.

The society, by common consent, left all the work of the society undone for the present evening. and gave to our distinguished vistors the right of way.

The meeting was entirely informal and all the more delightful, because it gave a greater opportunity for a free and open conversation to each one present.

A. T. McCormack led in a talk on the Kentucky Sanitary Privy, with our very popular banker, Mr. W. L. Baker, drawing him on by asking him a lot of very appropriate questions. Mr. Baker and the writer are pioneers in building the Ken

of mice inoculated with the cerebrospinal fluid. The main symptoms had been headache, tinnitus, deafness, persisting "cold in the head," anosmia and diplopia, with pains in the right leg and reduced sensibility in the right trigemnal region. During the seven month's course there was no fever until toward the last, when symptoms of meningitis became pronounced. From the first were noticed right abducent paralysis and atrophy of the right half of the tongue. The fluid at lumbar puncture the fifth month was under high pressure and contained blastomycetes and 3 or 5:1,000 albumin. No point of entry for the plastomycetes could be discovered, but innumerable blastomycotic nodules were found on the pia, containing blastomycetes and giant cells in profusion.

THE FORUM

Whereas, in the providence of God, Dr. Cecil Hudgins, of Olive Hill, Kentucky, on the 28th day of September, 1916, was called to pass the way of all the earth:

Resolved, By the Medical Association of Carter County, Kentucky, in regular session at the office of Dr. G. B. O'Roark, in Grayson, Kentucky, October 10th, 1916, That in the death of Dr. Hudgins, this association has lost an esteemed member-a man of unsullied honor, of highest professional skill, and whose observation of the code of ethics, governing an honorable physician, was complete.

That, the County has lost one of its best citizens, and the profession one of its most worthy members.

Resolved, That the sympathy of this association is most sincerely extended to his bereaved wife, and family, and that a copy of these resolutions be furnished them; that they be published in the county papers and spread on the records of this association.

TO THE EDITOR:

J. W. STOVALL,
W. A. HORTON,
T. T. BAYS,

H. M. FULTS,
G. B. O'ROARK,

Committee.

On page 451 of September number of the JOURNAL I notice your comments on "Criminal Abortion." First, that it is against public policy to defend any one accused of a crime. Why? Does accusing a man make him guilty? This doctor must have had standing with the profession, else he would not have been a member of the Association. Could not a reputable doctor be wrongfully accused?

Your second reason is splendid. But because he has been accused does that make him a criminal abortionist?

Doctor, from the face of your article I fear that you are over-anxious to jump at conclusions. My motto would be, were I a member of the Medico-Legal Committee, to stand by any member of this Association accused of any crime, coming in the scope of the practice of medicine until proven guilty beyond a shadow of a doubt. I will cite you a case in my own life's history:

Some twelve or fourteen years ago a young lady came into my office, and related to me, her case of suppressed menstruation, she was a girl of about eighteen or nineteen years of age, one of whom I had never suspicioned of partaking of the forbidden fruit" vet she was so insistant that she should be given something to start the menstrual flow, that I became suspicious and told her I had nothing in

the office but would write a prescription that would eventually give her the desired results. I wrote a simple prescription, I do not recall just now what, but one if brought into court would vindicate me of any criminality.

Either that night or the next I was called in haste, she had fallen in a dead faint, and one of the family told me she had been wasting, and had been taking gun powder. When I found her she was lying on a bed, hastily thrown there with her clothes on, and recking with blood, almost pulseless. I gave a hypodermic of nitroglycerine and strychnina, loosened her clothing, removed soiled garments, and relieved her of about two and one-half or three months' foetus. I could have been accused and I know I was innocent. I should he glad to have your further views either personally or editorially. Fraternally yours,

G. B. O'ROARK.

How the Government is Meeting the Malaria Problem. Four per cent. of the inhabitants of certain sections of the South have malaria. This estimate, based on the reporting of 204,881 cases during 1914, has led the United States Public Health Service to give increased attention to the malaria problem, according to the annual report of the Surgeon General. Of 13,526 blood specimens examined by Government officers during the year, 1,797 showed malarial infection. The infection rate among white persons was above eight per cent., and among colored persons twenty per cent. In two counties in the Yazoo Valley, 40 out of every 100 inhabitants presented evidence of the disease.

Striking as the above figures are, they are no more remarkable than those relating to the reduction in the incidence of the disease following surveys of the Public Health Service at thirtyfour places in nearly every State of the South. In some instances from an incidence of fifteen per cent.,in 1914, a reduction has been accomplished no less than four or five per cent., in 1915.

One of the important scientific discoveries made during the year was in regard to the continuance of the disease from season to season. Over

2,000 Anopheline mosquitoes in malarious districts were dissected, during the early spring months, without finding a single infected insect, and not until May 15, 1915, was the first parasite in the body of a mosquito discovered. The Public Health Service, therefore, concludes that mosquitoes in the latitude of the Southern States ordinarily do not carry the infection through the. winter. This discovery indicates that protection from malaria may be secured by treating human carriers with quinine previous to the middle or May, thus preventing any infection from chronic sufferers reaching mosquitoes and being transmitted by them to other persons.

PROCEEDINGS OF SCIENTIFIC SESSION AND HOUSE OF DELEGATES. On other pages of this issue, will be found the proceedings of both the scientific session and the House of Delegates, at the Hopkinsville meeting. The many matters of importance were considered in the House of Delegates. Our efficient stenographer reproduces every word that was uttered, so that the men who stay at home can know what was said and done by their representative. It was a most valuable meeting.

Our annual meetings are of value, just in proportion as the members take an interest in them.

COUNTY OFFICERS.

During December, the annual meeting of the County Societies will be held and new officers will be elected. It is of especial importance that your present county secretary be reelected in every county where he is doing good work, and that you try somebody else in every county where he is not. It is not always the secretary's fault, entirely that the county society is not doing well, but it is unfortunate if he cannot secure the cooperation of his fellow members to a sufficient degree to make a live society. It is trite to say that the Doctors cannot be interested; it is also untrue. Many of our counties which have bad roads and few doctors are holding regular meetings which are thoroughly well attended, and, if a live program is organized and delivered at each meeting, there is no difficulty in getting the members to come. Many of the county societies collect the annual dues for the next year at the December meeting. This is an excellent plan, and saves the secretary a lot of trouble and all the members are assured against delinquency.

The coming issues of the JOURNAL will be of

No. 12

great interest and value, as they will contain all of the proceedings of the Hopkinsville meeting, as well as current papers from the county societies. If every member will take a little more interest in his county society during 1017, than ever before, we can advance the usefulness and value of the Profession to itself and to the people of Kentucky, by just that much.

INDEX.

In this issue of the JOURNAL, will be found. the elaborate and complete Index for the 1916 Volume. It will be noted that the contents of this volume are indexed by subjects and cross indexed by Authors, so that each of our members can see just how much he has contributed to the value of the JOURNAL. If you have not done your share this year, will you not help some during 1917?

DETAIL MEN.

Out of every ten detail men who come into your office, eight come from firms which are using the Medical Profession-you, included -to advertise wares which are useless or worse. The conscientious physician wants to know how he can choose between the good and bad detail men. Those who have been in constant attendance at the State Medical Meeting and have heard the discussion of medical advertising in the JOURNAL for the past ten years, have no difficulty in the solution of this problem. Ask Mr. Detail Man if his firm advertises in your State Journal! Ninety-nine cases out of every hundred, if they do not, it is because they cannot get in. Remember, that out of every three applicants for advertising space, two are refused. Our advertising columns are published primarily for the benefit of our readers, and, it is not only important that you take advantage of things we advertise for your benefit, but it is almost of equal importance that you beware of things we are not advertising.