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DEDICATION OF THE ST. LOUIS MEDICAL found claims amounting to several hundred SOCIETY'S AUDITORIUM.*

dollars, and almost nothing in the treasury

with which to meet this indebtedness. On Saturday, September 15, 1906, at 8:30 But gradually by prudence, thrift and good p. m., the new Medical Auditorium of the management better business methods were St. Louis Medical Society was opened with introduced; and, after eight years of such appropriate ceremonies. The Auditorium is faithful service, when he was called to the located on a piece of ground adjoining the presidency a very comfortable bank account St. Louis Medical Library building, 35th had been accumulated to the credit of the so. and Pine streets. It is built in amphithea- ciety, and from this nest-egg has sprung the ter form, with about 400 opera chairs and editice in which we are now assembled. room for many more seats for special occa The funds thus made available for investsions. It has a handsome beamed ceiling ment in this property have been supplemented and dependent chain chandeliers. The walls by contributions secured cbiefly from the are polished brick.

membership, and while the individual reThe hall was well filled when the meeting

sponse to this appeal has been liberal as a was called to order by the President of the

rule, all things considered, still the names of society, Dr. George Homan. The President

very many of our members have not as yet made an introductory speech.

appeared in the list of givers to this cause, REMARKS BY GEO. HOMAN, M. D.

but the hope is confidently indulged that

such oversights and omissions will promptly The St. Louis Medical Society; Our Distin. be repaired when the situation is better un

guished Guests, Friends and Members: derstood. The particulars with respect to

Three scure and ten years ago, lacking a the maturing of this project, the preparation few months, this society was ordained, con- of plans, and the prosecution of the work of stituted and declared a body corporate and construction; the canvas made for funds to politic by an act of the General Assembly of

carry it to completion; the furnishing and Missouri, the expressed purpose of such leg

equipment and the future cost of operating islation being the improvement of medical the building for our uses, will all be duly preliterature and science, and to give dignity, sented to you by the chairmen of the several permanency and usefulness to this body.

committees concerned. Measured by the Soriptural standard this There are present here tonight some who society has survived the full span allotted to have come down from a former professional individual human life, has reached patri.

generation, and who have personal knowlcbal years, but until the present hour, so far edge of the vicissitudes and embarrassments as the record shows, this corporate body bas that beset and confronted the organized pro. never bad a roof above it that could be called fession here in earlier vente

fession here in earlier years, progress being its own; it has possessed no domicile, no hindered perhaps by bickerings or felligerency fixed abiding place—and the exercises ar.

often due to mere misunderstanding or imranged for this evening are in celebration of

perfect acquaintance, and leading to occur. the fact that finally this reproach has been rences that were regrettable and sometimes put away; we meet to exchange felicitations even injurious to the advancement of scien. Ibat at last a modest foothold on the earth titio work and the promotion of lasting bar. bas been secured, a point of vantage attained mony among brethren. from which we can with confidence press for Happily for us of today a more pacific ward to better things.

spirit seems now to be in the air, a dispo. For it can bardly be doubted with the sition to cultivate peace that extends even wondrous outreachings of science and the to nations which are rivals and competitors zeal of workers in its many lines that this in many fields, and if this spirit can be spirit will be reflected here, and our member- brougbt sensibly to bear in the sharp conship will be so multiplied and attendance so tentions of races and governments, there is increased that these walls, welcome and suffi. small excuse for a different manifestation cient as they now are, will soon be found too among those so advanced in humane civili. narrow and a more spacious temple will bave zation as the medical profession is univer. to be provided to meet the growing pressure sally conceded to be. of scientifio and professional demands.

In illustration of feelings that are someThat the present happy achievement was times permitted to influence the actions of men made possible may it is believed, without in- it may be permissible here to repeat the oft. vidious reflection, be traced to the wisdom of told story of one of the earlier English wits, the society in 1895 in the seleotion of its for the reason that its moral has an everytreasurer who upon his induction into office day and never-failing fitness of application. *Reported by Dr. Gradwohl, St. Louis.

Briefly, then, this noted man of letters and

wit was walking with a friend in London tion of this society occurred on December 25, when he paused and pointing to a person 1835, when a meeting was held in the old across the street, said, with emphasis, “I Masonic Hall in this city. Dr. Wm. Carr Lane hate that man!” In some surprise the friend was once president of the society. Dr. Lane asked who the person was, and why he was was elected eight times mayor of the city of bated. The answer was, “I don't know him, St. Louis, only refusing the office again beand that is why I hate bim!”.

cause of stress of professional labor. The As the climate of feeling and opinion gen- speaker called attention to the greatness of erally appears to have become more moderate, Dr. Lade from a medical as well as from a this occasion presents a most fitting oppor civic standpoint, and said that he hoped that tunity to express the sincere hope that no at some future time the physicians would wrongful or unkind oontention between mem succeed in having a monument erected to him bers may ever be brought across the threshold in City Hall Square. At the meeting above of this building; that the supreme, the con alluded to, the society was formed and organ. trolling obligation of thorough, honest, un- ized. At a meeting on January 2, 1836, the flagging scientific work shall never be lost constitution was adopted. The officers for sight of within these walls; that the doors 1836 were: Dr. J. C. Farrar, president; Dr. sball never be closed to the truth, howsoever Lane, vice-president; Dr. B. B. Brown, reunwelcome it may appear at the time or by cording secretary, and Dr. Y. B. Bouting, whom presented; that tbis rooftree sball be treasurer. On January 15, 1836, the by-laws broad enough to afford hospitality and wel. were drafted and adopted. The first paper come to every honest thinker who believes read before the society in regular session asthat he has a new message to deliver for the sembled was, “Does Epidemic Contagious betterment of his fellowmen-in short, tbat Puerperal Fever Exist in St. Louis?”. here is a temple dedicated to truth, science, Dr. Farrar was the first American physi. progress; consecrated to peace, concord, uni- cian in St. Louis. The other physicians ty, good will, so that the generations yet to were French. On September 24, 1836, the St. come may be the better for our lires and Louis Medical Society appointed a committee labors, and gratefully say, They are justified to confer with the faculty of the St. Louis in their works, they builded even better than University, relative to the establishment of a they krew!

medical school in this city.

Later in the same year, the society took up The program included the report of the the matter of disciplining some members who chairman of the Committee on Arrange- were advertising in the daily papers. ments, Dr. John C. Morfit. Dr. A. R. Kief. Tbe society also took up the matter of fer, chairman of the Building Committee, re- keeping a record of births and deaths wbich ported upon the cost of the building, stating forms the basis of the present-day mortality that there was a debt of about $2,000 to be records of the Health Department. cleared. He said that the building of the Dr. Barnett at this time offered a resolu

Auditoriuin would stimulate interest in the tion governing the sale of milk, which is the · society work,

first attempt at pure food legislation here. Dr. LeGrand Atwood, one of the oldest A committee took up the matter of preventliving members of the society, made an ad. ing the spread of contagious diseases. dress upon “The St. Louis Medical Society In 1850 the society adopted the code of in Its Earlier Years." He said among other ethics of the American Medical Association. things that his acgaintance with this society In 1877 the society adopted a resolution that dates back to 1846, when he first attended its only medical men could be appointed health meetings. The first discussion he had beard commissioners of the city. In 1887, Dr. Mcupon the floor of the society was one between Pheeters introduced a resolution calling for Drs. Wm. Johnston, Hammond and Mc- the creation of a real estate and building Pheeters. Notwithstanding the great cbanges committee, for tbe purpose of securing a perthat have taken place in the science of med. manent home for the society. The project icine since that, it remains to be said that was dropped on account of inability to secure the early members of this society were not money enough to buy the property. Had the fools by any means. They were as faithful society bought the property on 16th and Lo. to the requirements of the profession as we cust streets, wbich was at that time very have been. He said that he wished the duty cheap, and held it, the gain would have been of speaking upon this subject had fallen to several hundred thousand dollars, as this abler shoulders. He said that be presumed piece of property sold for that sum a short the honor had fallen to bim because of his time ago. extreme age. (Laughter.)

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 sub- stimulated by the American Medical Assoscribed by the members remaining unpaid, ciation. He said that this society will bebut that several thousand dollars had been come the society of the young men before borrowed from tbe bank to complete the him. The young men must perpetuate it. building of the Auditoriud. He stated that Unless the young men prove faithful and he was ready to receive new subscriptions to true, the structure will be like a house of cover tbis loan. He was followed on the floor cards. The finest road to success is the by Dr. Pinckney French, chairman of the road of peace. Committee on Business Affairs, who received the key of the building from the president, and then furthwith addressed the members on the need of paying off the loan spoken of by

RAPID SCHOOL INSPECTION.-In accord. Dr. Funkbouser. Dr. French proved that

apce with a law passed by the Masachusetts his reputation as a financier was well

Legislature, all the school cbildren in the grounded by addressing tbe members present,

State will be regularly examined by physi. and in a short time succeeding in obtaining

cians appointed by the local bealth board. practically all the needed money, he leading

In Fall River, with a school population of off with a generous subscription, followed by

21,000, twelve inspectors have been appointed, Drs. Outten, Homan and others.

and they will be required, it is stated, to com. Dr. W. B. Gutten gave an address on the plete the preliminary inspection of the public “Medical Profession of St. Louis of Today," and parochial schools during the three school He ascribed the difficulties in the past in the days of the first week of the fall term. way of unification of the city's profession to DIAGNOSIS OF GALLSTONES. – Gallstona the Civil War and its political effect there.

cases almost give a precedent bistory of re. after. He said that up to 1864, the profession

bellious dyspepsia. In a patient presenting was powerful, influential and united in its

dyspeptic symptons, not clearly due to some work in St. Louis, that St. Luuis was a great

other condition, the suspicion of the presence medical center, but that from 1864 to 1895,

of gallstones should, therefore, be early enelements adverse to the St. Louis medical

tertained. The presence of a tumor in the profession took deep root and hampered the

region of the gall bladder is by no means work. He said that in spite of the great ad.

necessary to the diagnosis of cholelithiasis. versity and strife in the ranks of the profess

The bladder may be filled with stones, and ion, the St. Louis Medical College lived on.

yet shrunken instead of distended. In the He rendered a tribute to tbis college for its

presence of an obstructive jaundice, at any unflinching spirit in times of adversity. For

rate, Courvoisier has pointed out that disten. the future he predioted great things of the St.

tion of the gall bladder is far more often due Louis Medical Society and the profession of

to malignant growth or to pressure upon the this city. He opined that the city would

common duot than to gallstones. -Internat. rise to grea' beights commercially in view of

Jour. Surg. its central situation in the United States, and he predicted in a brilliant fight of oratory CANADA ASSOCIATION MEETING.–The thir. the commensurate professional progress. ty-ninth annual meeting of the Canadian

Dr. W. G. Mcore finished the program Medical Association, held in Toronto August with an address upon the “Future of the 20, was only an executive session, owing to Medical Profession of St. Louis." He said the meeting of the British Medical Associathat he found his text for his address in the tion. The attendance was about 75, and the brilliant illumination proceeding from this chief item of business was the reception of building as he entered it this evening: Let the report of the committee on reorganiza. your light so sbine that others seeing your tion, which was presented by the chairman, good work will follow after you.

Mr. I. 8. Cameron. The report took the He called attention to the discord and lack form of a proposed new constitution and byof harmony in the profession in the past, and laws patterned somewhat after the constitumade a strong plea for peace and good will tions of the American Medical Association for the future. He called attention to the and the British Medical Association. After altruistic work of the men who have attended some discussion it was decided that the subregularly the meetings of the city and state ject should be thoroughly dealt with next societies; men who have gone by circuitous year. Montreal was selected as the place of roads of travel to state meetings, neglecting meeting in 1907. Dr. A. McPhedran, Totheir business, purely for the purpose of ronto, was re-elected president; Dr. H. B. maintaining an organization. He spoke of Small, Ottawa, was re-elected treasurer, and the great work of organization of local and Dr. George Elliott, Toronto, was re-elected county society, work which has been so well general secretary.

SOCIETY NOTES

the Elks Club. Dr. O. Beverly Campbell, of

St. Joseph, was unanimously chosen as presTRI-STATE (ALABAMA, GEORGIA, TENNES- ident of the society for the eng

ident of the society for the ensuing year and SEE) MEDICAL SOCIETY.—The eighteenth an- other officers were elected as follows: Dr. W. nnual meeting of tbe Tri-State Medical So. F. Milroy, Omaba, first vice-president; Di. ciety of Alabama, Georgia and Tennessee, C. 0. Thienbaus, Milwaukee, second vicewill be beld at Chattanooga, October 2-4, president; Dr. Donald Macrae, Council 1906. Reduced rates have been obtained from all points in Alabama, Georgia, Tennessee, Mississippi, Louisiana and Florida, and an unusually large attendance is assured. The preliminary program includes an excellent list of papers from leading medical men of the South. Strong pressure will be brought to bear to ultimately convert this organization into a branch of the Americal Medical Assooiation—The Association of the Southeastern States, and recommendations will be made at this meeting. Physicians desiring to read papers should send their titles at once to the secretary, Dr. Raymond Wallace, Chattanooga, Tennessee.

MISSISSIPPI VALLEY MEDICAL ASSOCIATION.—The next event of National interest. will be the annual meeting of this association, which will occur on November 6, 7 and 8, at Hot Springs, Ark., under the presidency of Dr. J. H. Carstens, of Detroit. A program of more than usual merit has been prepared by the efficient secretary, Dr. Tuley, including three orations, by President Car

O. B. CAMPBELL. M. D., St. Joseph, Mo. stens, and Drs. Frank P. Norbury and Florus President-elect Medical Society of the Missouri Valley. F. Lawrence. Extensive preparations have been made by the profession of Hot Springs

Bluffs, treasurer (re-elected); Dr. Chas. for the entertainment of members, their wives

Wood Fassett, St. Joseph, secretary (reand daughters, and a cordial welcome awaits

eleoted). The secretary's report showed the them. Reduced rates will be in effect on all

prosperous condition in which the society lines of railway, the Missouri Pacific and Iron

finds itself at the close of the year, baving Mountain System offering special service

gained furty-four new members and losing and through trains for the occasion. For

but one. The annual Missouri Valley excurfull particulars regarding rates, call at city

sion to the A. M. A. was made a subject of ticket office, or write the editor of the FORT

special comment, and the secretary expressed

the opinion that the next trip to Atlantic City NIGHTLY.

would be even more enjoyable, if possible, MEDICAL SOCIETY OF THE MISSOURI VAL- than the last. Following is a list of members LEY. --The nineteenth annual meeting of this admitted at this meeting: Robert R. Hollis. society was held at Council Bluffs, Septem. ter, F. W. Lake, L. B. Bushman, Alfred ber 6 and 7, with an attendance of 125, Dr. Schalek, S. Cole Little, and O.W. Pollard, of Jno. E. Summers presiding. The program Omaha; J. H. Gassan, Albert V. Hennessy, included twenty-five papers, and the discus. T. B. Lacy, Jr., John F. Sprink, of Council sions were most interesting and instruotive. Bluffs; Halsey M. Lyle, Kansas City; Wil. Among the guests at this meeting, who read liam H. Chapman, Ingleside, Neb.; William papers, were Dr. Emil Reis, of Chicago; Dr. H. Anderson, Dunlap, Ia.; J. N. Medill, L. L. Uhls, superintendent of the State Hos. Persia, la.; J. R. Hollowbush, Rock Island, pital for Insane, Osawatomie, Kaš.; Dr. Leo Ill. ; James W. Lehan, Dunlap, Ia.; C. V. M. Crafts, Minneapolis; Dr. Alfred Schalek, Artz, Hastings, Neb.; H. P. Duffield, Mar. Omaha; Dr. E. W. Clark, president of the shalltown, Ia. ; Charles L. Mullins, Broken Iowa State Medical Society, who responded to Bow, Neb.; W. R. Young, Ausley, Neb.; H. the address of welcome given by Congressman D. Spencer, Oakland, Ia.; W. F. Pierce, Smith of Council Bluffs. The society was Carson, Ia.; L. L. Uhls, Osawatomie, Kas. royally entertained by the local members at Tbe papers and discussions will appear in the the street carnival, and given a reception at Medical Herald, the society's official journal.

[graphic]

partment Stati.

REPORTS ON PROGRESS man 53 years old, had one epileyptiform Comprising the Regular Contributions of the Fortnightly De.

seizure and one attack of syncope apparently at the onset of the malady. The pulse

was slow, venous pulsations in the neck were INTERNAL MEDICINE.

absent, slight arterio-sclerosis and hypertro

phy of the beart. A brief sojourn at “Bad 0. E. LADEMANN, M. D.

Nanheim" afforded no relief. The patient

died two years after the apparent onset. Blood Pressure and Pigmentation in Addi

During the course of the disease the pulse son's Disease. -Short (The Lancet, Aug. 4,

ranged from 37 to 19. The third patient, a 1906) publishes a case of Addision's disease,

woman, 51 years old, suffered from syncopal on which many observations were made on attacks, slow pulse, venous pulsations in the the bood pressure. He summarizes his paper veins of the neck and cardiac hypertrophy as follows: The symptoms of Addison's dis. The pulse rate averaged 40 per minute ease ure due to vasomotor paralysis. This is due to absence of adrenalin, the normal es Spontaneous Rupture of the Heart in a Case citant of the sympathetio perve endings, from of Senile Dementia — Miller's (Boston Medithe blood. The pigmentation is due to vas- cal and Surgical Jour., Aug. 2, 1906) patient cular relaxation of the skin causing exag- was a man 83 years old, who had a spontane. gerated functional activity of the pigment ous rupture of tbe heart as a result of myocells. The most promising line of treatment, malacia cordis, the acoident being determined on theoretic grounds, is the adninistration by mental and physical excitement. The of vasoconstrictors of prolonged action; digi. rupture occurred at the site of an old infarct talin has given good results in one oase. near the top uf the left ventriole. The age of A Case of Acute Rheumatism, Hypyrexia;

the patient, the condition of the arterial sys

tem, were favoring conditions almost invariaRecovery.-Smith (The Lancet, Aug. 4, 1906)

bly cited in cases of spontaneous heart rup. records a unique case of rheumatism with ex.

ture. The pre-existing myocardial disease, cessive pyrexia in a man 54 years old. On the

anemic necrosis, is regarded as a less frequent eighth day of the illness the temperature by

cause of heart rupture than other degeneramouth registered 107.2 deg. F. with a pulse

tive diseases of the niyocardium. rate of 128 beats per minute. Just prior to using an ice pack the temperature in the rec Id.-Palmer describes a remarkable case of tum rose to 109.3 deg. A three-quarters of spontaneous rupture of the heart in a man, 36 an hour application of the pack resulted in years of age. The rupture occurred in the reducing the temperature to 107 deg. F. The pleural cavity and was probably determined autbur finds only two cases recorded in Birt. by the obliteration of the pericardial cavity ish literature where a recovery followed so through the formation of adhesions which ex. high a temperature in rheumatism, and in isted over the greater surface of both auricles both of these cold baths had been employed. and ventricles. The patient presented the Stokes-Adams Disease. Steiner (Buston

physical signs and symptoms of aortic aneur

ism, accompanied by symptoms of pressure Molical and Surgical Jour., Aug. 9, 1906)

on the left recurrent laryngeal nerve. The says that Stokes-Adams disease is an affec

slight enlargement of the descending portion tion whicb presents clinically the following

of the aortic arch present could not bave posfeatures: (1) A slow pulse, usually perma

sibly been responsible for this clinical picnent, but sometimes paroxysmal, falling to

ture. The coronary arteries were in an ad. 40, 20, or even to 6 beats per minute; (2)

vanced stage of arteritis, while the systemic cerebral attacks which consists in vertigo

vessels were normal. of transient character, syncope, pseudoapo. plectiform attacks or epileptiform seizures; Intermittent Peatosuria and Glycosuria.and (3) visible auricular impulses in the Kaplan (N. Y. Med. Jour., Aug. 4, 1906) di. reins of the neck, the beats varying greatly, vides pentosuria into: (1) Chronio pentosuria, as 2:1 or 3:1 rbythm being the most com- occurring wben the excretion of pentose in mon (Osler). During the last three years the the urine is constant, and when glycosuria author has seen three cases, wbich be details. cannot be induced after the ingestion of The first patient, a man, aged 77, had recur- one hundred grams of glucose. (2) Aliment. rent syncopal attacks in the same month at ary pentosuria occurring in individuals who intervals of a year or more, a slow pulse, cannot oxidize large amounts of pentosans venous pulsation in the neck, arterio-solero. introduced with the food, exerting a portion sis and cardiao hypertrophy. There was a of the pentosan as pentose; wben the articles gradual improvement during the further containing these pentosans are excluded from course of the disease. The second patient, a the dietary the pentose disappears from the

anaotiform attacharacter, syansists in ve

, nock, curioupileptilor, pseudertigo

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