and management of each; (3) Give management of placenta previa; (4) Describe the female pelvis, and give its outlet measurements; (5) Give diagnostic points in a face presentation, and how you would manage same; (6) Give four positive signs of pregnancy and how early each can be determined; (7) How would you manage a hand presentation? (8) Describe in detail the management of prolapsed funis; (9) Give the symptoms and diagnosis of postpartum hemorrhage, and describe in detail the management of same; (10) Give five indications for the use of the forceps.-G. L. BABER, M. D., Winnsboro.

PATHOLOGY.-(1) Classify and describe each variety of fibroid tumors of the womb; (2) Discuss cancer of the stomach; (3) Describe the morbid tissue changes in locomotor ataxia; (4) Define (a) thrombus, (b) embolism. What pathological condition might result from the presence of the latter? (5) Having a patient sick with typhoid fever in the third week and a sudden severe pain in the right illeo-cecal region sets up, the patient is cyanosed, temperature sub-normal, and all the symptoms of severe shock, what would you suspect? (6) Patient consults you for intense and persistent headache, and the pain is always worse at night, what would you think might be the cause of the headache? (7) Give the pathology of diphtheria, and some of its sequelae; (8) Describe the morbid anatomy in acute catarrhal dysentery; (9) Give the pathology of acute pericarditis and how may such lesions terminate? (10) Name some of the lesions in hereditary syphilis.

of

PHYSICAL DIAGNOSIS.-(1) What are the methods physical diagnosis? (2) Give the physical signs of pleuritic effusion; (3) Give the symptoms of acute pericarditis; (4) Differentiate between gastric cancer and gastric ulcer; (5) Define kyphosis, scoliosis and lordosis; (6) Give differential points of diagnosis in lobar pneumonia and acute phthisis; (7) Give normal blood pressure for young adults and name diseases in which we are most likely to find hypertension and hypotension; (8) How would you diagnose a case of rickets? (9) What are the symptoms of hepatic abscess? (10) Give the diagnostic signs of retro-pharyngeal abscess.-S. L. SCOTHORN, Dallas.

PHYSIOLOGY.-Define the science of physiology; (2) Define the terms metabolism, anbolism and catabolism; (3) Name the digestive ferments, giving origin and function of each; (4) Name the eliminative organs of the body, and tell what is eliminated by each; (5) Define the purpose, chemistry and mechanism of respiration; (6) What are the functions of the lymphatic system? (7) Define a reflex arc; (8) Give the amount of urine passed per day by an adult, together with its normal color, reaction and constituents; (9) How may the amount of urine be physiologically increased or diminished? (10) Give the functions of the skin.

SURGERY.-(1) A woman comes to you with a lump in her breast, what steps would you take in order to make a diagnosis? Suppose you diagnose cancer, how would you treat it? (2) What tissues are divided in the operation for oblique inguinal hernia? (3) What surgical landmarks of the elbow-joint would aid you by their position in diagnosis between a fracture of the upper end of the radius and a posterior dislocation of the ulna? (4) What are the symptoms of fracture of the spinal vertebra with pressure? Give symptoms of traumatism of about the ninth dorsal vertebra in which the cord is entirely severed; partially severed; (5) Define paraphymosis; phymosis; epispadias; antisepses; sepsis; suppuration; inflammation; shock; coma. What is a serum; vaccine; phylacogen? How would you treat a stellate fracture of the patella? (6) Name the inflammatory diseases of bones. How should a case of acute suppurative osteomyelitis be treated? What is a fracture? What is a dislocation? Differentiate between fracture and dislocation. Name the two essential principles in treatment of fracture; (7) Describe in detail the operation of lumbar puncture. What are the indications for this operation? (8) What is the differential diagnosis between septicemia and pyemia? (9) Why do foreign substances such as bullets, splinters, pieces of glass, etc., cause suppuration when embedded in tissue? (10) Give indications and contra-indications for salvarsan [606] in the treatment of syphilis. administration.-E. B. OSBORN, M. D., Cleburne.

NEWS

Technic of

SAN MARCOS SANITARIUM.-The San Marcos Sanitarium was incorporated December 18, 1913. It has a capital stock of $15,000. The incorporators are Drs. W. C. Williams, L. L. Edwards and C. W. Raetzsch.-San Antonio Express. NEW SANITARIUM FOR GRANGER.-Dr. D. M. Cooke of Granger, has leased the upper story of the Stefka building in Granger, and has fitted up the entire second floor for hospital purposes. The equipment is all modern, and the hospital now ready for use.-San Antonio Express.

DR. BASCOM LYNN RESIGNS POST AT CARLSBAD.-Governor Colquitt recently appointed Dr. Joseph D. McKnight of Brady, McCullough County, as Superintendent of the State Tuberculosis Sanitarium at Carlsbad, to succeed Dr. Bascom Lynn, resigned. The resignation of Dr. Lynn becomes effective January 1.-Houston Post.

GEORGIA SURGEONS' CLUB TO HAVE EUROPEAN TOUR.-Under the auspices of the Georgia Surgeons' Club, a sixty days' tour of the surgical clinics of Europe is being arranged for representative Southern surgeons, to wind up at the meeting of the Congress of Surgeons of North America in London the latter part of July, 1914. Those interested may

secure details of the trip from Dr. R. M. Harbin, SecretaryTreasurer, Rome, Georgia.

HOLLAND'S CLEAN TOWN CONTEST.-The Clean Town Contest conducted by Holland's Magazine, though not yet concluded, has been one of the most successful in the entire series. Ninety towns enrolled and were inspected by Dr. M. M. Carrick, Medical Director of the public health campaign. The contest has narrowed down to two towns, Brownwood and Bonham. The result will be announced January 15th in the Holland's for February.

HOUSTON ANTI-TUBERCULOSIS DISPENSARY OPEN. - The Houston Anti-Tuberculosis Dispensary was opened December 10th, with a reception. Every educational, medical, municipal, and social body in the city, was invited to be present and inspect the equipment. Dr. W. S. Lockhart and Judge W. H. Ward made short talks on different phases of tuberculosis. Actual work of diagnosing cases of tuberculosis was commenced December 11th.-Houston Chronicle.

LIABILITY OF CHARITY HOSPITALS.-It has been a pretty well settled principle of law for a number of years that charity hospitals-and this means that class of hospitals that is conducted as "no-profit" institutions-could not be held in damages for the neglect of a nurse or other "servant." The matter had not, however, been threshed out in the higher courts, and now the Supreme Court of Nebraska hands down a decision upholding this view of the law. A patient who was insane committed suicide. The fact that the patient was paying for his care made no difference to the Supreme Court, because the money applied not to private profit, but to the benevolent purposes of the institution.-The Modern Hospital.

QUARANTINE WILL STILL BE IN FORCE.-Governor Colquitt, in a proclamation November 28, 1913, revoked his proclamation of quarantine of April 1, 1913, which proclamation was to take effect on or after December 1, 1913. The section of the proclamation relating to entrance of vessels into Texas ports when vessels have been infected with contagious diseases will remain in full force.

"I furthermore declare quarantine on and after December 1, 1913, against any person or persons infected or liable to be infected with smallpox, yellow fever, cholera, typhus fever, Bubonic plague, or other dangerous direct communicable diseases, whether within or without the State of Texas."-Houston Post.

DISPOSITION OF INSANE CONVICTS.-Answering an inquiry propounded by the penitentiary commission, the attorney general's department held that under the law, where a convict is insane when discharged from the penitentiary, and if he is so adjudged by a court of competent jurisdiction within 30 days after his discharge, the expenses incident to the adjudication and to his maintenance until placed in the asylum and the expense of conveying him to the asylum, must be borne by the prison commission; also that all convicts who become insane after being confined and before discharge must be adjudged insane by the County Court of the County where the convict is kept, the expense of which is to be paid in a similar way by the commission.-Houston Chronicle.

HEALTH OFFICERS TO STUDY HEALTH RESORTS.-The whole question of treatment of migratory tuberculosis patients is involved in an investigation just started by the public health service. With a view to legislation or interstate quarantine regulations, Surgeon Paul Carrington has been assigned to investigate in California; Past Assistant Surgeon A. D. Foster in North Carolina, and Past Assistant Surgeon E. A. Sweet in Texas, to ascertain how traveling affects tuberculosis victims, the health of railroad employes and passengers on trains in which such persons travel; the health of the communities in which they settle, and to clear up other economic problems.

Health officials say there is a natural drift of persons affected with tuberculosis toward the high table lands of the Southwest, the pinewoods of North Carolina and the marine climate of California.-Fort Worth Record.

THE RAILWAY SURGICAL ASSOCIATION OF THE SOUTHWEST.The Railway Surgical Association of the Southwest held its fourth annual meeting in the Doctors' Club Rooms in El Paso, December 12-13. The following program was rendered: Address of Welcome, President H. H. Stark of the El Paso County Medical Society; Response, Dr. S. D. Swope, Deming, N. M., President of the Railway Surgical Association; President's Address, The Importance of Decompression in In

juries of the Head; Southwestern Medicine, Dr. R. E. McBride, Las Cruces, N. M.; Lantern Slides of Pathological Lesions of the Throat, Dr. E. R. Carpenter El Paso; Pericarditis, with a Specimen, Dr. J. R. Gilbert, Alamagordo, N. M.; Open Treatment of Fractures, Dr. R. L. Ramey, El Paso; Value of X-Ray in Diagnosis of Aneurism and Other Clinical Cases, Dr. J. W. Cathcart, El Paso; Principles and Technique of Bone Transplantation, with Lantern Slides, Dr. W. L. Brown, El Paso; Relation of Syphilis to Injuries, Dr. E. B. Rogers, El Paso; Examination of the Eye for Railway Service, Dr. H. H. Stark, El Paso; Some Cases of Ununited Fracture, Dr. James Vance, El Paso; Surgery Under Difficulties, Dr. J. G. Holmes, Alamogordo, N. M.

THE NATIONAL CONFERENCE ON RACE BETTERMENT.-The National Conference on Race Betterment will hold its next meeting in Battle Creek, Michigan, January 8-12, 1914. Workers of international and national reputation will take active part in the proceedings. The following are a few of the subjects to be presented: The National Department of Health, Prof. Irving Fisher of Yale University; Factory Degeneration, Rev. Newell Dwight Hillis; The Importance of Frequent and Thorough Medical Examination of the Well, Dr. Victor C. Vaughan, Ann Arbor; Some Suggestions for a More Rational Solution of the Tuberculosis Situation in the United States, Dr. S. Adolphus Knopf, New York; An Experiment in the Use of Schools, Mrs. Ella Flagg Young, Chicago; Marriage and Genetics, Dr. C. A. L. Read, Cincinnati; The Delinquent Child, Judge Ben B. Lindsey, Denver; The Bad Boy, Hon. Jacob A. Riis, New York. Among moving pictures and lantern slides which will be shown during the conference, are the following: Industrial Welfare Work, The Fly Pest, Boil Your Water, Sanitarium Day at the Battle Creek Sanitarium, The Man Who Learned, The X-ray, Brain and Nerves, and many others of equal value. Exhibits have been loaned the Conference by the National Child Welfare Exhibition Committee of New York, the American Association for Study and Prevention of Infant Mortality, Michigan State Board of Health and the Michigan State Tuberculosis Society. An extensive collection of health cartoons will also be shown. There are no dues or assessments in connection with membership in the Conference. An ample fund for its maintenance has been provided by a friend of the Race Betterment Movement. Miss Emily F. Robbins, of Battle Creek, is secretary.

HOSPITAL TIME EXTENDED.-At the request of the Texas Public Health Association, Dr. Ralph Steiner, State Health Officer, has extended for three months, from December 1, the time given to counties having cities of ten thousand population and over, to comply with the provisions of the county hospital law.

Under Section fifteen of the law, it is mandatory upon the commissioners' courts of all counties having cities of ten thousand population and over to take action toward the establishment of a county hospital, either by the use of current funds, by the issuance of county warrants, or by calling an election for issuing bonds for this purpose. In all such counties separate and special provision must be made for the care of cases of communicable disease, tuberculosis patients, maternity cases, and for the temporary care of the insane until they can be sent to the State institutions.

The counties of Bexar, Johnson, Tarrant, Hunt, Navarro and El Paso have complied with the law.

The counties of Travis, Jefferson, Cameron, Dallas, Grayson, Harris, Galveston, McLennan, Webb, Harrison, Lamar, Bell, Tom Green, Bowie, Anderson, Smith, Taylor, Potter, Nueces, Cook and Wichita are delinquent. Under the time extension, granted by the State Board of Health, the commissioners' courts of these counties are given until March 1, 1914, to comply with the law.

The county hospital law is designed to secure a system of hospitals for the care of the sick and the prevention of disease. The death rate from tuberculosis and other communicable diseases in the State will be decreased in proportion to the number of hospitals erected.-Press Bulletin, Texas Public Health Association.

BOUILLON CUBES NOT CONCENTRATED MEAT ESSENCE.-The belief of many people that bouillon cubes are concentrated meat essence and of high nutritive value, has been shattered by a recently issued bulletin of the Department of Agriculture which says, that while there valuable stimulants or flavoring agents they have little or no real food value and

are relatively expensive in comparison with home-made broths and soups. This bulletin (No. 27) compares the contents and food value of bouillon cubes with meat extracts and home-made preparations of meat.

The ordinary commercial bouillon cubes, according to this bulletin, consist of from one-half to three-fourths table salt. As they range in price from 10 to 20 cents an ounce, purchasers of these cubes are buying salt at a high price. The cubes do contain a small amount of protein (muscle-building material) in addition to their stimulating properties, and the makers of most of the cubes make no advertised claim that they are concentrated beef broth or essence. However, many housewives believe that they are and that they possess high nutritive value, especially for invalids. This is not the case. The fact that the cubes sell for from 1 to 2 cents each, and each cube makes a cup of broth, misleads the housewife into believing that she is securing meat extract cheaply when really she is buying it in an expensive form.

According to analysis of these cubes, besides the common salt which constitutes from 49 to 72 per cent. of the total weight, the amount of meat extract ranges from 8 per cent. in the poorest brands to but 28 per cent. in the very best. The third important ingredient is plant or vegetable extract, which constitutes from 3 to 30 per cent. This plant extract is useful because of its flavoring properties but has slight, if any, nutritive value.

MORTALITY STATISTICS IN THE UNITED STATES.-The mortality statistics of the United States for 1912 have been published recently by the Bureau of the Census, Department of Commerce. It is the thirteenth annual report of the series which began in 1900, and was prepared under the direction of Dr. Cressey L. Wilbur, chief statistician for vital statistics. The mortality statistics do not include the entire country, but only those States and cities in which the registration of deaths is approximately complete. The "registration for deaths area" embraces nearly two-thirds of the total estimated population of the United States in 1912.

The total number of deaths registered was 838,251, corresponding to a death rate of 13.9 per 1,000 population. The rate is the lowest on record, that for 1911, previously the most favorable year, being 14.2. The year 1912 was also unusually healthful abroad, a new low mortality figure of 13.3 per 1,000 being established for England and Wales.

Tuberculosis markedly decreased, although it still causes a vast number of unnecessary deaths-90,360, or 149.5 per 100,000 in 1912. This was over 10 per cent. (10.8) of the total mortality. Next came organic diseases of the heart, with 86,179 deaths (adding endocarditis, they slightly exceeded tuberculosis), acute nephritis and Bright's disease (62,267), pneumonia (51,495), congenital debility and malformations (48,596), cerebral hemorrhage and softening (46,797), cancer (46,531), and diarrhea and enteritis of infants under 2 years of age (42,482). There were 63,385 deaths from external causes, of which 49,775 were due to accident, 9,656 to suicide, and 3,954 to homicide. The suicide rate (16 per 100,000 population) was slightly lower than that for 1911 (16.2) and is the same as the average for 1906 to 1910.

Typhoid fever, with 9,987 deaths (16.5 per 1,000), showed a notable decrease.

TEXAS STATE CONFERENCE OF CHARITIES AND CORRECTIONS.The Texas State Conference of Charities and Corrections held its fifth annual session in Fort Worth, November 30th to December 2nd. The address of welcome was delivered by Mayor Milam, and the response by Prof. C. S. Potts, Austin. The following program was rendered: Charity and Social Service, Dr. J. A. Rice, Fort Worth; Supervision of Amusements, Dr. W. S. Lockhart, Houston; Status of Child Labor in Texas, Hon. J. A. Starling, Commissioner of Labor Statistics; What the State Federation of Labor and Local Unions Are Doing Toward the Enforcement of Child Labor Laws, Mr. C. W. Woodman, Fort Worth; Compensation to Needy Mothers, Dr. Theo Y. Hull, San Antonio; The Gatesville Boy, Supt. A. W. Eddins, Gatesville; The Transformation at Gatesville, Mrs. E. W. Bounds, Marlin; The State's Duty to the Delinquent Girl, Prof. Patrick Henry, Fort Worth; European Health Conditions, Dr. John S. Turner, Dallas; Report of the Work of the State Medical Association, Dr. Holman Taylor, Fort Worth; Report of Committee on County Hospitals, Mrs. R. J. Newton, San Antonio; Sanitary Measures on the Isthmus, Dr. J. S.

Lankford, San Antonio; Better Babies, Mrs. Kitty Barry Crawford, Fort Worth; Medical Side of the Social Evil, Dr. K. H. Beall, Fort Worth; Methods of Dealing with the Social Evil, Dr. Geo. W. Benn, Dallas; Mental Hygiene, Dr. Thomas W. Salmon, Secretary National Association for Mental Hygiene, New York; discussion by Dr. John Preston, San Antonio; Passing On as a Method of Charitable Relief, Miss Flora Saylor, Dallas; Standards and Tests of Efficiency in Settlement Work, Miss Sybil Campbell, Houston; Practical Results of the Amended Family Desertion Law, Mr. Noah Roark, Assistant County Attorney, Dallas; Charities Endorsement, Rabbi George Fox, Fort Worth; Present Prison Conditions in Texas, Capt. Ben E. Cabell, exChairman Prison Commission; Prison and Penal Problems, Mr. Tom Finty, Jr., Dallas; Report of Committee on Organization and Finance, Rabbi I. Warsaw, Waco. The next meeting will be held in San Antonio in 1914. Mr. Robt. J. Newton was elected secretary.

SOCIETY NEWS

EL PASO DISTRICT-No. 1.

Dr. F. P. Miller, El Paso, Councilor.

District Society-Dr. S. C. Gage, Abilene, President; Dr. W. R. Smith, Colorado, Secretary.

COUNTY SOCIETIES, SECRETARY AND DATE OF MEETING.

El Paso-Dr. C. P. Brown, El Paso; 1st and 3rd Mondays, September to May, inclusive.

Reeves-Ward-Pecos-Dr. O. J. Bryan, Pecos.

THE EL PASO COUNTY MEDICAL SOCIETY met in El Paso December 1, and elected the following officers for 1914: President, Dr. H. W. Crouse; vice-President, Dr. Hugh S. White; secretary-treasurer, Dr. C. P. Brown; censor, Dr. L. G. Witherspoon; delegate, Dr. R. L. Ramey; alternate, Dr. W. L. Brown. Dr. H. H. Stark was elected editor of the society Bulletin. Resolutions of sympathy were extended Dr. G. Werley on account of the death of his wife.

The annual banquet was held December 12th. The members of the Railway Surgical Association of the Southwest were guests. The affair was a success from start to finish, and the committee in charge deserves praise for their untiring efforts.

DISTRICT PERSONALS.-Dr. W. E. Sturgis of San Antonio, visited El Paso in December.

Dr. Hamilton of Houston, made an extended visit to El Paso during December.

Dr. J. A. Pickett of El Paso, has returned from Indiana, where he was called on account of a death in his family. Dr. G. Werley of El Paso, who was operated on recently at Johns Hopkins, is now at work again.

Dr. T. W. Grace of El Paso, expects to resume his practice after a year's vacation, spent on his plantation at Port Lavaca.

Dr. C. M. Hendricks of El Paso, has returned from a hunting trip in the mountains near Deming, N. M.

Dr. E. B. Rogers of El Paso, made a visit to Alamogordo during the latter part of November.

Dr. N. T. Moore of El Paso, has returned from New Orleans where he spent three months.

Fisher-Stonewall-Dr. J. H. Walker, Sylvester; 1st Tuesdays January and March.

Haskel-Dr. M. W. Rogers, Rule; 2nd Wednesday quarterly. Jones-Dr. A. McK. Jones, Anson; 3rd Tuesday monthly. Mitchell-Dr. T. J. Ratliff, Colorado; 2nd Monday January, April, July and October.

Nolan-Dr. A. A. Chapman, Sweetwater.
Scurry-Dickens-Kent-Dr. S. B. Kirkpatrick, Snyder.
Taylor-Dr. W. A. V. Cash, Abilene; 2nd Tuesday monthly.

PANHANDLE DISTRICT-No. 3.

Dr. W. C. Dickey, Memphis, Councilor. District Society-Dr. J. C. Anderson, Plainview, President; Dr. J. J. Crume, Amarillo, Secretary.

Secretaries of Sections-Surgery. Dr. F. B. Bryan, Childress; Medicine, Dr. E. H. Snyder, Canadian; Gynecology and Obstetrics, Dr. B. L. Jenkins, Clarendon; Pediatrics, Dr. S. P. Vinyard,

Amarillo; Eye, Ear, Nose and Throat, Dr. C. R. Hartsook, Wichita Falls.

COUNTY SOCIETIES, SECRETARY AND DATE OF MEETING. Childress-Dr. F. B. Bryan, Childress; 1st Tuesday monthly. Collingsworth-Dr. J. S. Wilkins, Wellington; 1st and 3rd Wednesdays monthly.

Deaf Smith-Dr. H. V. Reeves, Canyon; 2nd Tuesday monthly. Dallam-Hartley-Sherman-Dr. R. L. Owens, Dalhart; 2nd

Tuesday.

monthly.

Donley-Dr. T. H. Ellis, Clarendon; 1st Thursday monthly. Foard-Dr. R. L. Kincaid, Crowell; 2nd Monday quarterly. Floyd-Motley-Briscoe-Dr. L. V. Smith, Floydada. Hale-Swisher-Dr. E. F. McClendon, Plainview; 1st Tuesday Hall-Dr. W. C. Mayes, Memphis; 2nd Tuesday monthly. Hardeman-Dr. M. L. Turney, Quanah; 2nd Thursday monthly. Hemphill-Roberts-Lipscomb-Ochiltree-Dr. H. C. Caylor, Canadian: 1st Tuesday monthly. Lubbock-Crosby Dr. C. F. Clayton, Lubbock; 1st and 3rd Tuesdays monthly.

Potter-Dr. J. H. Harvey, Amarillo; 2nd Monday monthly. Wichita-Dr. D. Meredith, Wichita Falls; 2nd Tuesday monthly. Wilbarger-Dr. Richard W. Hix, Vernon; 3rd Monday monthly. A COMMUNICATION.

To the Members of the Panhandle District Society:

I desire to call your attention to the regular meeting of the Society, to be held at Clarendon, January 20-21, 1914, which is the third Tuesday and Wednesday, respectively. Programs have gone forward and I wish to urge that each member take communion with himself and see whether it is possible for him to be with us on this occasion. I feel that each member owes it to himself, to his patients and to the Society to attend this meeting. It has been said that constant attendance on the meetings of a live medical society is worth as much as a regular post-graduate course in medicine. I believe this is largely true, and each of us owes it to his patrons to better ourselves in scientific knowledge in every way possible. If it were a corporation in which we all held stock, instead of a medical seciety, we would doubtless be on hand or know the reason why. Indeed, organized medicine is in the nature of a corporation and each member is a stockholder. A member who earns three thousand dollars per year may be said to own thirty thousand dollars' worth of stock. His influence and earning capacity is largely what organized medicine makes it, through the better equipment gained by attending scientific sessions of the various bodies thereof. I trust each member will do the right and the loyal thing and be present at this meeting, unless providentially prevented.

Fraternally,

W. C. DICKEY, Councilor Third District. Memphis, Texas, December 15, 1913.

THE CHILDRESS COUNTY MEDICAL SOCIETY met in Childress, December 16th. Seven members were present. Election

of officers for 1914 was as follows: President, Dr. H. D. Barnes, Childress; vice-president, Dr. R. W. McFerran, Childress; secretary-treasurer, Dr. F. B. Bryan, Childress, re-elected; delegate, Dr. R. W. McFerran; alternate, Dr. R. B. Wolford, Childress.

Dr. McFerran reported an interesting case of polyhydramnios, estimating the fluid at five gallons.

Dr. Jernigan reported a case of untoward symptoms in both mother and child following the use of twenty drops of pituitary extract.

Dr. Bryan reported an interesting case of hydatidform mole, the specimen being expelled enmass.

THE HALL COUNTY MEDICAL SOCIETY met December 16th, with a good attendance. The election of officers for 1914 resulted as follows: President, Dr. W. S. Miller, Estellene; vice-president, Dr. J. Q. Durham, Memphis; secretarytreasurer, Dr. W. C. Mayes, Memphis; censor, Dr. Wilson, Memphis; delegate, Dr. W. S. Miller, Estellene; alternate, Dr. J. M. Ballew, Memphis.

Dr. Ballew presented a paper on Treatment of LaGrippe. He said that he seldom saw a case of lagrippe uncomplicated; that the stomach, lungs, ears and nervous system bear the brunt of the attack. He considers the treatment of complications most important, and does not believe in drastic purgatives because of the already existing depression, and the probability of aggravating this condition by such measures. He uses salicylates; thinks that ammonium salicylate in possible lung involvement, better than aspirine; uses phenacetine for high temperature, and heat for pain. Thinks rest is essential.

Dr. W. Wilson said that he finds otitis media the most frequent complication. Prefers calomel as the initial purgative; likes large doses of salicylates.

Dr. Dickey said that he, considers an initial purge im

portant. He follows with large doses of salicylates, hot drinks and stimulants. Says daily action of the bowels is necessary.

Dr. C. F. Wilson said he regards lagrippe as serious, and looks after the temperature carefully.

Dr. Mayes said that the complications of the organs of the special senses are easily prevented by early vigorous treatment; that these organs should have special attention from the first as to cleanliness.

THE LUBBOCK-CROSBY COUNTY MEDICAL SOCIETY met in Lubbock, December 2nd, with a good attendance. Officers for the ensuing year were elected as follows: President, Dr. R. J. Hall, Lubbock; vice-president, Dr. O. F. Peebler, Lubbock; secretary-treasurer, Dr. C. F. Clayton, Lubbock, re-elected; censor, Dr. J. T. Hutchinson, Lubbock.

Dr. Peebler read a paper on Acute Suppurative Otitis Media in Childhood. Except for degrees of severity, these cases present the same clinical picture, the history and cause being different in each case. A muco-purulent discharge is always from the drum cavity, the greater per cent of mucous the less the destructive action to the middle ear structures. To see the entire auditory canal and drumhead the auricle must be drawn downward in infants and young children, instead of upward, as in adults. Drumhead almost as large in infancy as in adult life. If it seems small or horizontally inclined, it is because we see only a part of it, or that we see it obliquely. Polyp formation, following continued discharge, is serious as the mastoid or brain may be affected by an obstructed flow. The case may simulate meningitis from an involvment of the mastoid antrum which can be relieved by an incision of the bulging on the upper and back wall of the auditory canal. Paracentesis is necessary when the drum-head bulges. He finds calomel and vaseline useful for excoriation; carbolic or salicylic acid may be added for puritis. Careful cleansing is essential. Politzerisation by the Politzer bag or compressed air outfit, preceded by nasal cleansing, and followed by the cleansing of the auditory canal and dusting with boric acid or Squibb's alum powder, is the essential local treatment, the former to be continued for a time after the discharge ceases. The cleansing and dusting should be done as often as indicated by the discharge. In chronic cases a gauze wick, saturated with a twenty per cent. solution of zinc sulphate in glycerine, and 1/200 gr. atropin sulphate to the application, left in two days, is a useful measure. In the meantime a solution of alcohol, menthol and camphor should be dropped in the ear several times a day.

Dr. C. F. Clayton read a paper on the Treatment of Uterine Hemorrhage. All the practical, well-established rules of treatment were presented, and special mention was made of the Momberg belt, which has given the author satisfactory results; and he considers it worthy of a trial in any case of post-partum hemorrhage.

THE POTTER COUNTY MEDICAL SOCIETY met in Amarillo, December 8th. Eight members were in attendance. The annual election of officers resulted as follows: President, Dr. R. S. Killough, Amarillo; vice-president, Dr. G. T. Vinyard, Amarillo; secretary-treasurer, Dr. J. H. Harvey, Amarillo; censor, Dr. I. Rasco, Amarillo; delegate, Dr. G. T. Thomas, Amarillo; alternate, Dr. G. T. Vinyard; Committee on Public Health and Legislation, Drs. D. T. Hanson, E. A. Johnston and S. P. Vinyard, all of Amarillo. Thomas reported a case of tetanus.

Dr.

THE WICHITA COUNTY MEDICAL SOCIETY met December 10th, in Wichita Falls. Sixteen members were present. Dr. W. C. Dickey of Memphis, Councilor, and Dr. McLean of Denver, Colorado, were visitors. The following officers were elected for the coming year: President, Dr. J. E. Daniel, Wichita Falls; vice-president, Dr. J. L. Gaston, Wichita Falls; secretary-treasurer, Dr. D. Meredith, Wichita Falls; censor, Dr. J. C. A. Guest, Wichita Falls; delegate, Dr. C. R. Hartsook, Wichita Falls; alternate, Dr. W. W. Swartz, Wichita Falls. Drs. Hargrave and Shirey of Wichita Falls, and the Drs. Clark of Iowa Park, were elected to membership.

Several interesting talks were made concerning the com. ing year's work. The society is soon to launch a campaign for a City and County Hospital under the new law. Dr. Bell, Mayor of Wichita Falls, made an interesting talk on what the city is trying to do along the lines of public health and asked the support of the society in all such work, especially in the matter of having a food inspector.

DISTRICT PERSONALS.-Dr. J. W. Snyder of Childress, had the sad misfortune to lose his wife, October 25, 1913. Dr. J. H. Christler, Dallas, one of the pioneers of the Childress County Medical Society, visited in Childress during December.

Drs. S. P. Vinyard, Amarillo; W. C. Dickey, Memphis; W. S. Miller, Estellene; H. D. Barnes, Childress; J. T. Horton, Quanah; D. Meredith and S. H. Burnside of Wichita Falls, visited the North Texas, December 9th and 10th, at Fort Worth.

Dr. W. Wilson, Memphis, visited Childress in December.

SAN ANGELO DISTRICT-No. 4.

Dr. S. C. Parsons, San Angelo, Councilor. District Society-Dr. J. W. Ellis, Lampasas, President; Dr. J. M. Horn, Brownwood, Secretary. Next meeting in Ballinger, November, 1914.

COUNTY SOCIETIES, SECRETARY AND DATE OF MEETING. Brown-Dr. E. L. Howard, Brownwood; 2nd Tuesday monthly. Coleman-Dr. R. H. Cochran, Coleman; 1st Thursday monthly. Lampasas-Dr. W. D. Francis, Lampasas; 1st Tuesday March, June, September and December.

McCulloch Dr. J. S. Anderson, Brady; 1st Monday monthly. Menard-Kimble-Dr. J. V. Dozier, Menard.

Runnels-Dr. E. R. Walker, Ballinger; April and December. Tom Green-Dr. L. C. G. Buchanan, San Angelo; Tuesday before full moon.

SAN ANTONIO DISTRICT-No. 5.

Dr. W. A. King, San Antonio, Councilor. District Society-Dr. William Meyers Seguin, President; Dr. J. A. McIntosh, San Antonio, Secretary.

COUNTY SOCIETIES, SECRETARY AND DATE OF MEETING. Bexar-Dr. C. E. Scull, San Antonio; from October to May, 1st Thursday, Section on Eye, Ear, Nose and Throat; 2nd Thursday, Section on Medicine; 3rd Thursday, State Medicine, Public and Personal Hygiene; 4th Thursday, Obstetrics and Gynecology. Comal-Dr. L. G. Wille, New Braunfels; 2nd Saturday quar

terly.

Guadalupe-Dr. N. A. Poth, Seguin; 1st Tuesday monthly. Gonzales-Dr. J. W. Hildebrand, Gonzales; 1st Monday

monthly.

Karnes-Dr. R. C. Youngblood, Falls City; bi-monthly. Kerr-Kendall-Gillespie-Bandera-Dr. Wm. Lee Secor, Kerrville; 1st Monday alternate months.

La Salle-Frio-Dr. R. L. Graham, Cotulla; meets on call. Medina-Dr. J. H. Fletcher, Hondo; 2nd Wednesday monthly. Uvalde-Edwards-Dr. C. R. Myrick, Uvalde; 1st Tuesday

monthly.

Val Verde-Dr. D. A. York, Del Rio; 1st Monday monthly.
Wilson-Dr. J. W. Oxford, Floresville; quarterly.

THE COMAL COUNTY MEDICAL SOCIETY met in New Braunfels in regular session in December. The following officers were elected to serve during 1914: President, Dr. J. F. Barnwell, Johnson City; vice-president, Dr. A. H. Noster, New Braunfels; secretary-treasurer, Dr. Louis G. Wille, New Braunfels; delegate, Dr. L. G. Wille; alternate, Dr. Henry Leonard; censors, Dr. Noster and Dr. Leonard.