READ ALL THE JOURNAL. We had the opportunity of dropping in the other day on two of our colleagues in another town, and found them very much interested in the discussion of a paper they had read in the Medical Journal published in a distant state. After listening for awhile, I asked them if they had looked over the current issue of the KENTUCKY MEDICAL JOURNAL. They said they had failed to read one of the orations, because they said orations were generally more words than thoughts. We then read this particular oration together. It solved their problem for them. There is some article in almost every Journal that will solve some problem for you, or which will enable you to solve one for some other fellow. If you find anything in the Journal, you disagree with, write us about it and we will print your letter in the forum. Especially if any articles contain any case reports, send them to us. Many of our readers will constantly find their problems solved in our advertising pages. It is well to remember that the JOURNAL guarantees our advertisers for their advertised products. In other words, we take all the risk of any financial loss from dealing with any of our advertisers. There is no other medical or lay publication which does this. In return for this, our advertisers pay us more in proportion to our subscription list than is paid most medical journals. This means that they know it pays to be in a select list like ours. In order that it may continue to pay better, it is essential that more of our readers read the advertising pages. If you are going to buy anything, give our advertisers an equal chance, and if they don't offer you better goods at better prices, buy elsewhere, but read through the pages, to-day, and see if you cannot write a letter of inquiry to someone of them about something they advertise. CARREL'S SOLUTION.. We have had a number of queries as to the formula of the antiseptic solution which has been recommended by Dr. Carrel. as a result of his experience in the European War. It is made, as follows: Dissolve in a large bottle 140 drams dry carbonated soda with ten litres of sterile water: add to this 200 drams of fresh chloride of lime and shake well; every 30 minutes, siphon off the clear fluid into another bottle through a cotton slug, and add 40 drams boric acid to the clear fluid. the DR. CHARLES H. TODD. Notwithstanding his advanced age, death of this noble man, who had earned and received signal and continuous honors froin through a long and happy life, within less his home people and his chosen profession than three weeks after the Hopkinsville meeting, where young and old alike gave him such a cordial reception, as could not but make his knew and loved him. heart glad, death came as a shock to all who tion and a peculiar glory to him and his life The ancestry of Dr. Todd was an inspirahad in it many of the elements of romance. His paternal grandfather, Thomas Todd, of Virginia, was an honored friend of Washington and Jefferson, and an associate justice of the Supreme Court of the United States. His father, Colonel Charles S. Todd, was chief of staff officer to General William Henry Harrison during the war of 1812, was appointed United States Minister to Russia by President Harrison in 1840. His mother was the daughter of Isaac Shelby, first governor of Ken. tucky, and by this side of his family he was a nephew of Dr. Ephriam McDowell, the father of ovariotomy. Dr. Todd was born in Shelby county, Kentucky, November 6, 1838, and received much of his education at Frankfort under that distinguished tutor, Professor B. B. Sayre. He went to New Orleans for his medical education in 1858; was a resident student of the Charity Hospital for more than a year, and upon his graduation in 1861 was chosen by the faculty of the University of Louisiana as as sistant physician to the insane asylum at Bayou Sara. but resigned this position upon the outbreak of the Civil War, a few months later, and went to Virginia as assistant surgeon in the Sixth Louisiana Regiment. was made full regimental surgeon under Stonewall Jackson in 1862 and was in active field service until the final surrender of Lee at Appomattox. The close of the war left him in an impoverished country, with a a superabundance of friends as poor as himself, and, undaunted, he selected Owensboro as a location and made the trip of about 600 miles on horseback, covering a period of twenty-two days, to a community which gave him a reception which he never forgot, and where he soon built up a large and lucrative practice. As soon as a living for her was assured, he married Miss Rosa Burwell, of Virginia, a cultured, gifted woman, who was the inspiration and guide of his life until her death only a few years ago. His home people showered honors and offices upon him during a long life, and the medical profession of his county and State seemed proud to do likewise. He was ap pointed a member of his county board of health when the law creating it was passed in 1878, and served continuously in this capacity, and as county health officer and county medical referee, until his death. He was elected president of the State Medical Society at Frankfort in 1878 and had the honor and pleasure of presiding at the great meeting at Danville the following year, when the monument to his uncle, Dr. Ephriam McDowell, was dedicated, with Dr. Samuel D. Gross as the orator. Quiet and gentle as a woman and observing the golden rule in his dealings with his professional brethren and others in his daily life, his memory is a precious memory which will linger with us always, if we believe: "There is no death, the Stars go down And ever near us though unseen, The deer immortal spirits tread For all the Universe is lifeThere are no dead." AN INNOVATION. Under the above title, Dr. Warnshuis, in the Journal of the Michigan State Medical Society, tells of one of the best things we have yet seen done by a county society for itself. The Jackson County (Michigan) Medical Society secured the presence of Dr. Cabot of Boston for a week. Every morning during that week Dr. Cabot conducted a Clinic at one of the local hospitals. Each evening there was held a meeting at which Dr. Cabot delivered a lecture. Many cases were presented, their etiological, pathological, diagnostic features were discussed and their treatment outlined. As a result of this week of study, under a great master, there are going to be better doctors in Jackson county. This is one of the best suggestions we have yet seen for making better and more effective physicians. We trust some Kentucky county will do likewise. BREEDING FLIES. An interesting Bulletin from the Bureau of Entomology, of the U. S. Department of Agriculture, directs attention to the demonstrations that the breeding of flies in manure can be prevented by treating the substance with calcium cyanide and acid phosphate, which, at the same time, increased the fertilizing value of manure. Copies of the report containing this practical suggestion and many others of value can be secured by writing to your Congressman or Senator at Washington. SCIENTIFIC EDITORIALS. TREATMENT OF DERMATOSES DUE TO NEPHRITIS. Both dermatologists and general practitioners often meet with dermatoses that are caused by constitutional conditions. In renal disorders, especially the nephrites, persistent dermatoses are met with quite often. Sometimes the dermatoses are comparatively easy to manage, as is usually the case with those due to oxaluria, but the skin condition is very apt to be stubborn where acute or chronic nephritis is the cause especially in the latter type. Treatment of the skin condition alone may result in temporary improvement, but recurrences are almost sure to occur very soon. In order to secure permanent disappearance of the dermatoses it is necessary to treat the underlying condition. The dermatoses that are most often seen accompanying nephritis are acute eczema, scarlatiniform erythemas, and pruritus. The external treatment consists in the application of very mild lotions, such as calamine or an alcoholic boric acid solution. The success of the treatment, however, depends mainly on the efficacy of the treatment of the nephritis. In acute nephritis the patient should be kept in bed until entirely well or until the acute condition has passed into the chronic type. It is not always so easy to determine when either of these points have been reached, but is better to keep the patient in bed too long than to allow them to get up and go about too soon. Certainly the patient should be kept in bed until he shows great improvement, until the total quantity of urine, the urea elimination and specific gravity are normal, until the albumen has decreased to a minimum and the number of casts and renal cells are small. When the patient is first allowed to get up there may be a transient decrease in albumen and casts; this should be carefully watched and if it does not soon diminish again the patient should be returned to bed. In those cases in which the acute nephritis becomes a chonic one it may be impossible to get the urine free from a certain amount of albumen and casts; these are not to he viewed with such alarm, but the persistence of erythrocytes, renal cells, or a large number of leucocytes is a sign of an active process still going on and the rest-treatment should be kept up until urinary examinations show that it has disappeared for some time. In mild and favorable types of acute nephritis the albumen may disappear entirely, in dicating that very little permanent damage has been done. Even if a small amount of alhumen persists, but the urea-excretion is good and there are no renal or blood-cells in the urine, we may assure the patient that only a limited amount of permanent damage has been done. Such persons may resume their duties and should be good life insurance risks. The persistence of even the slightest number of renal cells or erythrocytes is an indication for care on the part of the patient; the diet should be kept low in proteids especially meats containing much purin, and all irritation to the kidney, whether from excessive fatigue, alcohol, highly seasoned foods, or drugs, should be carefully avoided. As to the diet, in general, at the onset of an attack of acute nephritis, sugar sweet fruits and fruit-juices and gruels made of cereals, are acceptable; meats, spices, alcohol and coffee and tea should be omitted; if there is any oedema the quantity of fluids ingested should be kept very low, especially in the absence of toxemia. Formerly it was generally taught, on the authority of such men as Von Noorden, that the amount of chlorides ingested was to be reduced to as low a figure as possible, but our experience has been that in many cases the administration of chlorides, together with alkalies, is beneficial. We also believe that We also believe that theobromin is indicated in many of these cases. In the cases of chronic nephritis complete rest is necessary only when there is oedema or hematuria or cardiac embarassment. However, the patient should be warned against fatigue, since it increased the strain on both heart and kidney. Meat should be allowed in moderation only, owing to the extractives it contains. Many physicians warn chronic nephritics against eating eggs, evidently on the theory that if the kidneys are excreting albumen a decrease in the albumen in the food will lessen the percentage of albumen in the blood and thus decrease albumen leakage through the kidneys. This theory has no scientific basis. The albumen which appears in the urine is blood albumen, and the more of this albumen that is lost the more the blood needs protein food from which to replenish its stock. There is no data to prove that an increased percentage of albumen in the blood increases the amount in the urine; the case is in no way analogous to the escape of sugar through the kidney, which increases with the concentration of sugar in the blood, and which is due to too high a sugarconcentration in the blood and not to increased kidney permeability. Albuminuria is due to a diseased condition of the kidney itself, wherein the kidney cells are unable to prevent the serumalbumen in the blood from passing through them into the renal tubules. is there any evidence that the passage of albumen through the renal epithelium causes any damage to the cells like the damage to renal cells from the irritation of concentrated sugar solutions. The valid reasons for a low Nor proteid diet in chronic nephritis are: first, that proteids are often accompanied by extractives which are irritating to the renal epithelium, and second, that a high protein intake means a large amount of urea to be excreted. Therefore, while there is justification for a low proteid diet in the presence of a diminished ability to excrete urea, in the absence of this there is no justification for the restriction of such non-irritating foods as eggalbumen or milk albumen. In cases which are not too grave a small amount of meat may be allowed; as far as is known there is no difference between the meats, whether dark, white or red, as far as may be indicated by the color. There is a difference between the meat from one animal and that from another animal, even between the adult and young of the same specics: thus, it has been established that veal has a higher percentage of the purins than beef and is therefore more irritating to the kidney. Liquids should be restricted to a certain degree; alcohol forbidden; exercise should not be too violent; whatever tends to raise blood-pressure, such as excitement, worry, anger, and strong emotions of any kind, should be avoided as much as possible. Hot climates are usually better for such patients. than cold climates, but higher altitudes than one mile, sometimes even less, may be quite unsuited to the nephritic. M. L. RAVITCH and S. A. STEINBURG. Disinfection of War Wounds.-Barbarin has served during the war at a base hospital from 20 to 40 kilometers back from the front, and he has had opportunity to note the effect of the disinfectants applied at the first dressing station, as well as in his own service. He insists on drain ing from the lowest point; this nullifies the action of the Carrel continuous irrigation technic, and he seeks to accomplish the same purpose in another way. He lays a pile of scraps of agar on a square of gauze, making a very loose bag of it by drawing up the edges and tying them together. This bag of agar is then fitted into the wound, the corners of the gauze projecting above and spreading out over the surface. A drain tube projects below at the lowest point of the wound. The agar is then profusely watered with Dakin's solution or other disinfectant. It swells and thus spreads the wound and opens up the recesses while bringing and holding the disinfectant against the tissues. The disinfectant is poured in anew every two or three hours or can be supplied by the drip method with a Carrel tube, one end set deep in the agar, the other projecting above the wound. He says in conclusion that the early disinfection possible with this simple. means, which does not interfere with the transportation of the wounded, realizes results beyond the fondest dreams, the wounds healing infinitely earlier and more completely. OFFICIAL ANNOUNCEMENTS men, who are going in and out in various communities as leaders with their special mental KENTUCKY STATE MEDICAL ASSOCIA- equipment and advantages they have had, TION. OFFICIAL MINUTES OF THE SIXTY-SIXTH ANNUAL MEETING HELD AT HOPKINSVILLE, OC TOBER 25, 26 and 27, 1916. OCTOBER 25.-FIRST GENERAL MEETING. The Association met at the First Christian Church, and was called to order at 9:30 A. M., by the President, J. W. Kincaid, Catlettsburg, who said: It gives me very great pleasure to meet you all again and to see you here. I am sorry, owing to the inclemency of the weather and the difficulty of making train connections, that there are not more present at the opening session. Doubtless before the meeting is closed, we will find an attendance here that will gratify our expectations. Reverend J. N. Jessup was introduced and delivered the following invocation. INVOCATION. We come Father, this morning, with the consciousness that these men are interested in all things that interest us for good; wherefore we more readily come to thee. First of all, we desire to lay here upon this altar our thanks for Thy manifold mercies, Thy loving kindness, and Thy tender care. We thank Thee, Oh God, for the light and the love and the beauty and glory of this day. It is a great and good day in the history of the world— the very best day the world has ever seen. It is the best because it is the last. for each succeeding day in the world's history shall be better than the preceding day, and we shall carry into it the accumulated righteousness. goodness and helpfulness, and fraternity and love of all preceding days. And so tomorrow will be better than to-day because we shall carry into it more of helpful service. We thank Thee, Oh Father, for all agencies that will help to make the world better and brighter and life more worth while. In fact, never were there more agencies working for the good of humanity, and never was the sum total offered so great as it is to-day. Most of these humanitarian institutions are already pushing themselves onward and upward as the ministy of healing. We thank Thee, our Fatber, for this depart ment of scientific research, and we pray that Thy blessings may rest upon this department of humanitarian effort, whose object is to heal wounds and drive away disease and give strength in place of weakness. Wherefore we pray that Thy blessings and the light of Thy countenance shall rest richly upon those assembled here today, and grant, Oh God, that these men, these representative must necessarily have a larger grasp of life than the average man; they must necessarily have a wider vision of life than the average man as they go out and in before the people of their communities. Wherefore we beseach Thee to let Thy blessings rest upon these meu today and upon all of us and direct us into the proper channels, and when the day's work is done may they have that rest which they so richly deserve. We pray for all of these things through Jesus Christ, our Lord, Ameu. THE PRESIDENT: We will now have an address of welcome by Hon. T. C. Underwood, Hopkinsville, on behalf of the city. ADDRESS OF WELCOME BY MR. UNDERWOOD. Mr. President, Ladies and Gentlemen: It is not what one says nor yet the way he says it that really counts, but what he means, and I assure you that my intentions are honorable, and so I simply say, you are welcome, welcome to our choicest hospitalities, for I am a person of a few words, although they are sometimes overworked. (Laughter.) our natural I only wish that I had the inexhaustible verbal resources of Webster-Noah, who built the Ark, and the transcendant the transcendant genius of Shakespeare, and my tongue had been touched with the magic wand of Apollo, the god of eloquence, that I might fittingly welcome you. that the people of this community would not For we have no wondrous words of welcome heartily endorse. Besides, it is so delightful and so novel to have a lot of doctors visit us and not have to worry about the fee. We are glad to have you, not only on account of your attractive personalities and graciousness, but for many other reasons. For one, you are the conservators of health, and that to the average man is the most important thing in all the world, for upon it depends the happiness and the welfare of his household. Then, too, it has a very importmight be written on the intimate connection ant hearing upon public morals, for volumes might be written on the intimate connection between crime and disease, and then next to the weather we are having now it is the greatest incentive to conversation. We say, "How are you?" The Frenchman says "Combein vous apportez vous?" The German "Wie sounds like a hay fever explosion. It all Gehst," and the Russian something that sounds like a hay fever explosion. It all means about the same thing; its the universal salutation, and whenever it is uttered it advertises the doctor, however ethical he may be. The poet has said: "We may live without poems Here in Hopkinsville we have three bakeries and a drug store on every corner. The Scripture is right when it says "Man cannot live by bread alone." If the ladies get together, two or three of them, to discuss their ailments, it is a sort of organ recital. (Laughter.) I was chosen to greet you to-day, not merely on account of my pulchritude, nor my prominence, but on account of the rather undue familiarity I have had with doctors. Perhaps it was an ancestress of mine spoken of in Mark 5:25, or thereabout-"She had suffered many things of many physicians." (Laughter.) Really, it speaks volumes for my present constitution that I am able to be here at all. Perhaps it was a doctor instead of a politician who said "What is the constitution between friends?" I have tried them all-allopaths, homeopaths, osteopaths, sometimes fearing that every path might lead like the path of glory, and still appearing before this assemblage as I do to-day, I feel rather like a freak blage as I do to-day, I feel rather like a freak because I never had my tonsils removed nor have I lost my vermiform appendix. I have never been opened by mistake. (Laughter.) We are especially glad to have the state doctors with us because we cherish the hope that as a result of their deliberations, conferences, caucuses and discussions some plan may be evolved by which we may eat, drink and be merry without to-morrow's fate staring us out of countenance. Bill Nye once wrote: "I'd rather have a good alimentary, Than be covered all over with passemen terie." And we all know that "Some little bug is going to find us some day, Some little bug will creep behind us some day, "In the days of indigestion, it often is a question As to what to eat and what to leave alone, Every microbe and bacillus has a different way to kill us And in time they all mark us as their own. There are germs of every kind in any food that you may find In the market or on the bill of fare; Drinking water's just as risky as the so-called deadly whiskey, And it's often a mistake to breathe the air. "Eat a slice of nice fried onion and you're fit for Dr. Munion, Apple dumplings kill you quicker than a train Chew a cheesy midnight rarebit and a grave you'll soon inhabit O, to eat at all is such a foolish game; Eating huckleberry pie is a pleasant way to die, Sauerkraut gives softening of the brain, When you eat banana fritters every undertaker titters And with joy the casket-makers go insane." Yes, we are glad to have you because yours. is the noblest and most useful of all professions. There is none other that requires so much learning, so much training, so much skill, so much patience, and so much inspired common sense. To you we confide our innermost secrets. To you we commit unhesitatingly the lives and safety of our loved ones. You have no eight hour day; you are ready to work every hour in every day to relieve pain, to combat all the ills that flesh is heir to, to grapple with the grim monster himself, to others, and you do it with a self-sacrificing pour out your lives to prolong the lives of glorious and Christ-like. Truly, we welcome allegiance to duty, a courage, a heroism that is you to our hearts and to our homes. (Loud applause.) ADDRESS OF WELCOME FOR CHRISTIAN COUNTY MEDICAL SOCIETY. H. C. BEAZLEY, Hopkinsville, delivered the following address of welcome: Mr. President, Ladies and Gentlemen: As a representative of the Christian County Medical Society, it gives me great pleasure to welcome you to-day in her name. For a year we have been joyfully anticipating this meeting, and, at last, we are made happy by the confirmation of our hopes. The day is at hand and you are with us. We are glad to look into your faces and see there the earnestness, the ambition, and the hope characteristic of every medical body. Nothing great in this world can be achieved without enthusiasm. Out of it is born the will to do, the soul to dare, prophetic of suc cess. We believe that the presence of so large a body of representative physicians of Kentucky pressages a successful meeting, and it is the sincere hope of the Christian County Medical Society that the hours you spend with us may be pleasant ones, and that after you return to your homes, and resume the cares, the joys and the burdens which make up the substance of your lives, that the memory of these days may linger long to help you and to cheer. The sunshine and the shadows of twelve months have come and gone since our last state meeting. Twelve months of progress, of earnest endeavor; twelve months of investigation in an unlimited field of science; twelve months of therapeutic administration of the needs of suffering humanity. You come to-day bringing with you the re |