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In his address Gov. Folk said: "The establishment of this sanitarium marks an important epoch in the history of Missouri and is a milestone in the progress of intelligent warfare against disease. It is now a demonstrated fact that consumption can be cured by the methods to be used here. It is a duty the State owes people, to save, if possible, the multitude of victims who are sacrificed each year to this malady."

The Governor failed to turn a graceful compliment to the professiyn of the State. The institution is a direct result of the initiative of the profession and its concerted action, and it is a little surprising that he failed to mention this fact.

It is gratifying to the profession that our State has inaugurated in this enterprise a campaign against tuberculosis; hitherto private ventures alone have offered to the victims of this dread disease a retreat where they may have the open air treatment under scientific supervision. The work of the institution will necessarily be confined to incipient cases, but with the growth of appreciation of its work on the part of the public there will doubtless be other like hospitals provided for more advanced cases.

The St. Louis Medical Society of Missouri.

THE long desired and much needed domicile of the St. Louis Medical Society was dedicated at the meeting of that body on September 15th, and the fact marks the beginning of a new era for the society. A report of the dedication will be found in another column. The building adjoins that of the Medical Library, on the East; it is at present a one-story structure; it is constructed with walls of a strength to allow for a second. story should there later be need. The auditorium is nearly square with a rostrum for officers and speakers on the middle north side, the seating begins with a first row about ten feet from the rostrum, and each row some six inches higher than the one in front. Two hundred and forty-five opera chairs are in place for regular use, and there is a wealth of vacant space, wide aisles and open floor at the back of the room and on the right and left of the rostrum, making an emergency capacity of double the normal. The decoration is handsome, though simple, the walls are finished in pressed and enameled brick, and the ceiling is paneled in dark oak.

The

lighting is incandescent electric and the chandeliers are very great additions to the attractiveness of the room. From the lobby to the secretary's desk telephone communication has been installed, which will lessen confus

The acoustics of the The lobby, the com

ion during meetings. room are admirable. mittee room and the coat room leave nothing to be desired.

The St. Louis Medical Society began its legal existence in 1837; during all the years since until now it has always depended upon some other organization for a meeting-place, and has been for considerable periods, at different times, in quarters where, but for the character of the body, its tenancy would not have been allowed by those in control. The scientific achievement of the society has been such from its beginning as to command the pride of its present membership, but its business management has never before been aggressive. Some four years ago the first steps were taken which have resulted in the present happy condition; reorganization, an interest in increased membership and consequent growth, the development of an esprit de corps which is both scientific and social, and has the business interest of the body for its foundation, have all been fruits of this season. The society has nearly doubled its membership within this period, and this will continue until eligible material is exhausted. With an attractive home, with a growing spirit of friendliness, and with such interesting programs as we have had for months past the society must grow. We owe much to those who have had their shoulders at the wheel for years past, and who have constantly had the welfare of the society at heart, we also owe much to the new blood which has lately come to us and has infused new life into our scientific programs and into the councils of the body.

The future of our society is in safe and conservative hands, and the outlook is happy indeed.

CARDIAC DISEASES IN DOCTORS.-Official statistics show (Amer. Med.) that 44 per cent of Austrian physicians die of heart disease.

THE NEW WOMAN IN SWEDEN.-The girls of Sweden within the past generation have entered fully into the movement for opening new careers to women, and if one of them decides to prepare for a profession, to take up literature or art, or to devote herself to some form of study or research, no one is surprised. Last year there were in Sweden three women doctors of philosophy and nine doctors of medicine engaged in the practice of their professions. There was also a lady doctor of laws, who has been appointed to a lectureship at the University of Upsala. Madame Sonia Kovalesky, the famous woman mathematician, was the first woman appointed in Sweden to a university professorship.

THE REVIEWER'S TABLE

Books, Reprints, and Instruments for this department, should be sent to the Managing Editor, Century Building, St. Louis.

PROGRESSIVE MEDICINE. Edited by Drs. Hobart A Hare and H. M. R. Landis. Volume II, June, 1906. Issued quarterly. Octavo, 368 pages. Philadelphia and New York: Lea Brothers & Co. (Price, paper, 86.00 per year; cloth, $9.00)

The contributors to the present volume of Progressive Medicine are Dr. Wm. B. Coley, who gives a very satisfactory resume of recent literature on hernia, together with much that is original, including splendid descriptions of operative technique for femoral hernia, undescended testes and for the radioal treatment of hernia in children; Dr. Edward M. Foote considers Surgery of the Abdomen, exclusive of Hernia. The peritoneum and its drainage, tuberculosis of the mesenteric glands, gastric hemorrhage and ulcer, various injuries and disorders of the intestinal tract, the appendix and the liver and biliary passages are considered in the light of the latest researches and make the section one of the most valuable. Gynecology is presented by Dr. Jno. G. Clark, who considers in an exhaustive way: Carcinoma of the uterus, the myometrium, the uterine muscle during curettage, retrodisplacement, pelvic varicosities in women, gonorrhea, etc.

Dr. Alfred Stengel considers the blood in the various anemias and in other pathologic conditions, diabetes, gout, hemophilia, Hodgkin's disease, exophthalmic goitre, etc. Under the heading "Ophthalmology," Dr. Edward Jackson considers a considerable range of the subject, his contributions being briefer but not less important and instructive than those earlier in the volume.

The contributors to the volume other than the above are: Dr. Wm. T. Belfield, Jos. C. Bloodgood, J. R. Bradford, Floyd M. Crandall, Wm. Ewart (London), Edward M. Foote, Chas. H. Frazier, Wm. S. Gottheil, D. B. Kyle, H. R. M. Landis, Richard C. Norris, Robt. B. Preble, B. A. Randall, W. G. Spiller and J. D. Steele.

THE PRACTITIONERS' LIBRARY-CARR'S PEDIATRICS. The Practice of Pediatrics by Eminent Authorities. Edited by Walter Lester Carr, M.D., Consulting Physician to the French Hospital; Visiting Physician to the Infants' and Children's Hospital, New York. In one very handsome octavo volume of 1,014 pages, with 199 engravings and 32 full-page plates in colors and monochrome. Philadelphia and New York: Lea Brothers & Co., 1906. (Cloth, $6.00 net; leather, $7.00 net; half morocco, $3.00 net.)

This volume is unqestionably one of the most important additions to medical literature which has appeared this year. Considering the importance of the branch, pediatrics has been relatively neglected by writers; many divisions of our art which are of infinitely less importance are far richer in their literature. Nevertheless we have excellent works on the subject, and we are glad to have

in this another which will rank with the most up-to-date and authoritative.

Pediatrics is a recent science. We can all remember when it was the common opinion that anyone could treat the baby, the new graduate felt that for this at least he was perbrought about changes and we now recognize fectly competent; but recent years have the fact that the most profound learning, maturity of experience, keenest diagnostic acumen and well developed therapeutic wisdom are the right of those who are infants.

This volume deals in a masterly manner with the various ills to which infants are subject, dealing at length with each subject, and very completely covering the most recent advances of knowledge in each section. The contributors to the volume are the foremost of America pediatrists, and it is a satisfaction to us in St. Louis to see among these one of our own number, Dr. Geo. M. Tuttle, who considers the Diseases of Nutrition, rachitis, scorbutus and marasmus. The chapter is a strong one.

Throughout the work there is a very proper accentuation of hygiene and preventive meas. ures, the feeding question occupies 86 pages, and as presented by Dr. Thos. S. Southworth is a classic. Equally important and equally excellent is the division of the work devoted to diseases of the alimentary tract, by Dr. David Bovaird, Jr.

This volume is one of the series announced by Lea Brothers, which purposes a comprehensive view of the major divisions of medi. cine outside of General Medicine, to wit, Gynecology, Obstetrics and Pediatrics. series should be in every medical library.

The

NEW BOOKS. Messrs. W. B. Saunders

Company announce for publication in the early fall the following works: Keen's Surgery, Its Principles and Practice (Volume I); Sobotta and McMurrich's Human Anatomy (Volume III); Webster's Textbook of Gynecology; Hill's Histology and Organography; McConnell's Pathology; Morrow's Immediate Care of the Injured; Stevenson's Photoscopy (Retinoscopy and Skiascopy); Preiswerk and Warren's Atlas of Dentistry; Goepp's State Board Questions and Answers; Lusk's Elements of Nutrition. The most important announcement is the new work on surgery, edited by Dr. W. W. Keen, complete in five octavo volumes, and containing over 1500 original illustrations. The entire work is written by the leaders of modern surgery -men whose names are inseparably associated with the subjects upon which they have written. Keen's Surgery is intended to represent the best surgical practice of today.

DEDICATION OF THE ST. LOUIS MEDICAL SOCIETY'S AUDITORIUM.*

On Saturday, September 15, 1906, at 8:30 p. m., the new Medical Auditorium of the St. Louis Medical Society was opened with appropriate ceremonies. The Auditorium is located on a piece of ground adjoining the St. Louis Medical Library building, 35th and Pine streets. It is built in amphitheater form, with about 400 opera chairs and room for many more seats for special occasions. It has a handsome beamed ceiling and dependent chain chandeliers. The walls are polished brick.

The hall was well filled when the meeting was called to order by the President of the society, Dr. George Homan. The President made an introductory speech.

REMARKS BY GEO. HOMAN, M. D. The St. Louis Medical Society; Our Distinguished Guests, Friends and Members: Three score and ten years ago, lacking a few months, this society was ordained, constituted and declared a body corporate and politic by an act of the General Assembly of Missouri, the expressed purpose of such legislation being the improvement of medical literature and science, and to give dignity, permanency and usefulness to this body.

Measured by the Scriptural standard this society has survived the full span allotted to individual human life, has reached patrichal years, but until the present hour, so far as the record shows, this corporate body has never had a roof above it that could be called its own; it has possessed no domicile, no fixed abiding place-and the exercises arranged for this evening are in celebration of the fact that finally this reproach has been put away; we meet to exchange felicitations that at last a modest foothold on the earth has been secured, a point of vantage attained from which we can with confidence press forward to better things.

For it can hardly be doubted with the wondrous outreachings of science and the zeal of workers in its many lines that this spirit will be reflected here, and our membership will be so multiplied and attendance so increased that these walls, welcome and sufficient as they now are, will soon be found too narrow and a more spacious temple will have to be provided to meet the growing pressure of scientific and professional demands.

That the present happy achievement was made possible may it is believed, without invidious reflection, be traced to the wisdom of the society in 1895 in the selection of its treasurer who upon his induction into office

*Reported by Dr. Grad wohl, St. Louis.

found claims amounting to several hundred dollars, and almost nothing in the treasury with which to meet this indebtedness.

But gradually by prudence, thrift and good management better business methods were introduced; and, after eight years of such faithful service, when he was called to the presidency a very comfortable bank account had been accumulated to the credit of the society, and from this nest-egg has sprung the edifice in which we are now assembled.

The funds thus made available for investment in this property have been supplemented by contributions secured chiefly from the membership, and while the individual response to this appeal has been liberal as a rule, all things considered, still the names of very many of our members have not as yet appeared in the list of givers to this cause, but the hope is confidently indulged that such oversights and omissions will promptly be repaired when the situation is better understood. The particulars with respect to the maturing of this project, the preparation of plans, and the prosecution of the work of construction; the canvas made for funds to carry it to completion; the furnishing and equipment and the future cost of operating the building for our uses, will all be duly presented to you by the chairmen of the several committees concerned.

There are present here tonight some who have come down from a former professional generation, and who have personal knowledge of the vicissitudes and embarrassments that beset and confronted the organized profession here in earlier years, progress being hindered perhaps by bickerings or felligerency often due to mere misunderstanding or imperfect acquaintance, and leading to occurrences that were regrettable and sometimes even injurious to the advancement of scientific work and the promotion of lasting harmony among brethren.

Happily for us of today a more pacific spirit seems now to be in the air, a disposition to cultivate peace that extends even to nations which are rivals and competitors in many fields, and if this spirit can be brought sensibly to bear in the sharp contentions of races and governments, there is small excuse for a different manifestation among those so advanced in humane civilization as the medical profession is universally conceded to be.

In illustration of feelings that are sometimes permitted to influence the actions of men it may be permissible here to repeat the ofttold story of one of the earlier English wits, for the reason that its moral has an everyday and never-failing fitness of application. Briefly, then, this noted man of letters and

1

wit was walking with a friend in London when he paused and pointing to a person across the street, said, with emphasis, "I hate that man!" In some surprise the friend asked who the person was, and why he was hated. The answer was, "I don't know him, and that is why I hate him!"

As the climate of feeling and opinion generally appears to have become more moderate, this occasion presents a most fitting opportunity to express the sincere hope that no wrongful or unkind contention between members may ever be brought across the threshold of this building; that the supreme, the controlling obligation of thorough, honest, unflagging scientific work shall never be lost sight of within these walls; that the doors shall never be closed to the truth, howsoever unwelcome it may appear at the time or by whom presented; that this rooftree shall be broad enough to afford hospitality and welcome to every honest thinker who believes that he has a new message to deliver for the betterment of his fellowmen-in short, that here is a temple dedicated to truth, science, progress; consecrated to peace, concord, unity, good will, so that the generations yet to come may be the better for our lives and labors, and gratefully say, They are justified in their works, they builded even better than they knew!

The program included the report of the chairman of the Committee on Arrangements, Dr. John C. Morfit. Dr. A. R. Kieffer, chairman of the Building Committee, reported upon the cost of the building, stating that there was a debt of about $2,000 to be cleared. He said that the building of the Auditorium would stimulate interest in the society work,

Dr. LeGrand Atwood, one of the oldest living members of the society, made an address upon "The St. Louis Medical Society in Its Earlier Years." He said among other things that his acqaintance with this society dates back to 1846, when he first attended its meetings. The first discussion he had heard upon the floor of the society was one between Drs. Wm. Johnston, Hammond and McPheeters. Notwithstanding the great changes that have taken place in the science of medicine since that, it remains to be said that the early members of this society were not fools by any means. They were as faithful to the requirements of the profession as we have been. He said that he wished the duty of speaking upon this subject had fallen to abler shoulders. He said that he presumed the honor had fallen to him because of his extreme age. (Laughter.)

tion of this society occurred on December 25,
1835, when a meeting was held in the old
Masonic Hall in this city. Dr. Wm. Carr Lane
was once president of the society. Dr. Lane
was elected eight times mayor of the city of
St. Louis, only refusing the office again be-
cause of stress of professional labor. The
speaker called attention to the greatness of
Dr. Lane from a medical as well as from a
civic standpoint, and said that he hoped that
at some future time the physicians would
succeed in having a monument erected to him
in City Hall Square. At the meeting above
alluded to, the society was formed and organ-
ized.
ized. At a meeting on January 2, 1836, the
constitution was adopted. The officers for
1836 were: Dr. J. C. Farrar, president; Dr.
Lane, vice-president; Dr. B. B. Brown, re-
cording secretary, and Dr. Y. B. Bouting,
treasurer. On January 15, 1836, the by-laws
were drafted and adopted. The first paper
read before the society in regular session as-
sembled was, "Does Epidemic Contagious
Puerperal Fever Exist in St. Louis?"

Dr. Farrar was the first American physician in St. Louis. The other physicians were French. On September 24, 1836, the St. Louis Medical Society appointed a committee to confer with the faculty of the St. Louis University, relative to the establishment of a medical school in this city.

Later in the same year, the society took up the matter of disciplining some members who were advertising in the daily papers.

The society also took up the matter of keeping a record of births and deaths which forms the basis of the present-day mortality records of the Health Department.

Dr. Barnett at this time offered a resolution governing the sale of milk, which is the first attempt at pure food legislation here.

A committee took up the matter of preventing the spread of contagious diseases.

In 1850 the society adopted the code of ethics of the American Medical Association. In 1877 the society adopted a resolution that only medical men could be appointed health commissioners of the city. In 1887, Dr. McPheeters introduced a resolution calling for the creation of a real estate and building committee, for the purpose of securing a permanent home for the society. The project

was dropped on account of inability to secure money enough to buy the property. Had the society bought the property on 16th and Locust streets, which was at that time very cheap, and held it, the gain would have been several hundred thousand dollars, as this piece of property sold for that sum a short time ago.

Dr. R. M. Funkhouser, chairman of the He said that the first attempt at organiza- Finance Committee, reported briefly tha

there was a small balance of the money subscribed by the members remaining unpaid, but that several thousand dollars had been borrowed from the bank to complete the building of the Auditorium. He stated that he was ready to receive new subscriptions to cover this loan. He was followed on the floor by Dr. Pinckney French, chairman of the Committee on Business Affairs, who received the key of the building from the president, and then forthwith addressed the members on the need of paying off the loan spoken of by Dr. Funkhouser. Dr. French proved that his reputation as a financier was well grounded by addressing the members present, and in a short time succeeding in obtaining practically all the needed money, he leading off with a generous subscription, followed by Drs. Outten, Homan and others.

Dr. W. B. Outten gave an address on the "Medical Profession of St. Louis of Today." He ascribed the difficulties in the past in the way of unification of the city's profession to the Civil War and its political effect thereafter. He said that up to 1864, the profession was powerful, influential and united in its work in St. Louis, that St. Louis was a great medical center, but that from 1864 to 1895, elements adverse to the St. Louis medical profession took deep root and hampered the work. He said that in spite of the great adversity and strife in the ranks of the profession, the St. Louis Medical College lived on. He rendered a tribute to this college for its unflinching spirit in times of adversity. For the future he predicted great things of the St. Louis Medical Society and the profession of this city. He opined that the city would rise to grea heights commercially in view of its central situation in the United States, and he predicted in a brilliant flight of oratory the commensurate professional progress.

Dr. W. G. Mcore finished the program with an address upon the "Future of the Medical Profession of St. Louis." He said that he found his text for his address in the brilliant illumination proceeding from this building as he entered it this evening: Let your light so shine that others seeing your good work will follow after you.

He called attention to the discord and lack of harmony in the profession in the past, and made a strong plea for peace and good will for the future. He called attention to the altruistic work of the men who have attended regularly the meetings of the city and state societies; men who have gone by circuitous roads of travel to state meetings, neglecting their business, purely for the purpose of maintaining an organization. He spoke of the great work of organization of local and county society, work which has been so well

stimulated by the American Medical Association. He said that this society will become the society of the young men before him. The young men must perpetuate it. Unless the young men prove faithful and true, the structure will be like a house of cards. The finest road to success is the road of peace.

RAPID SCHOOL INSPECTION.-In accordance with a law passed by the Masachusetts Legislature, all the school children in the State will be regularly examined by physicians appointed by the local health board. In Fall River, with a school population of 21,000, twelve inspectors have been appointed, and they will be required, it is stated, to com. plete the preliminary inspection of the public and parochial schools during the three school days of the first week of the fall term.

DIAGNOSIS OF GALLSTONES. - Gallstone cases almost give a precedent history of rebellious dyspepsia. In a patient presenting dyspeptic symptoms, not clearly due to some other condition, the suspicion of the presence of gallstones should, therefore, be early entertained. The presence of a tumor in the region of the gall bladder is by no means necessary to the diagnosis of cholelithiasis. The bladder may be filled with stones, and yet shrunken instead of distended. In the presence of an obstructive jaundice, at any rate, Courvoisier has pointed out that distention of the gall bladder is far more often due to malignant growth or to pressure upon the common duct than to gallstones. -Internat. Jour. Surg.

CANADA ASSOCIATION MEETING.-The thirty-ninth annual meeting of the Canadian Medical Association, held in Toronto August 20, was only an executive session, owing to the meeting of the British Medical Association. The attendance was about 75, and the chief item of business was the reception of the report of the committee on reorganiza. tion, which was presented by the chairman, Mr. I. H. Cameron. The report took the form of a proposed new constitution and bylaws patterned somewhat after the constitutions of the American Medical Association and the British Medical Association. After some discussion it was decided that the subject should be thoroughly dealt with next year. Montreal was selected as the place of meeting in 1907. Dr. A. McPhedran, Toronto, was re-elected president; Dr. H. B. Small, Ottawa, was re-elected treasurer, and Dr. George Elliott, Toronto, was re-elected general secretary.

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