Dr. McLaughlin felt indebted to Dr. LaGarde for the history of this most interesting case and for the presentation of the specimen. With respect to the origin of this extensive disease, had there been any injury of the arm from which the process could have arisen? Also, were there any patches of vascular degenerations elsewhere, or was there any sign of general distribution of the disease? This point was of interest and importance, because with such extensive degeneration in the arm it would be supposed that the cause would be operative elsewhere with the production of telangiectatic patches throughout the body. Dr. W. P. Carr said that the question had been asked if it would not have been better practice to have taken the arm off at the shoulder joint on account of the liability of the fragment of the humerus to grow and thus produce a conical stump. He thought that Dr. LaGarde was to be congratulated on having saved a portion of the humerus, because even two or three inches of stump may be of the greatest service to the patient. For the sake of conferring this benefit, it seemed to Dr. Carr worth while to leave as much bone as possible and perform whatever secondary operation might become necessary. He spoke of a case in point: a farmer whose arm had been amputated so as to leave only a few inches of the humerus, and who made much use of the stump, and used it entirely to secure the reins while riding, guiding the horse by the swaying of his body. Dr. LaGarde, replying to Dr. McLaughlin, said that there had been no history of injury in this case. Careful search of the body revealed no evidence of telangiectasis beyond the arm originally affected. As to the election of the site of amputation, there had been no question at the time of the operation but that the arm was removed well beyond the confines of the disease. He was glad to hear Dr. Carr commend the amputation through the humerus; that course had commended itself to his own judgment, but he felt that he might have been wrong in not going through the joint. That point cannot yet be definitely determined. A NEW MEDICAL SOCIETY has been formed, called the Women's Medical Society of the District of Columbia, with the following named officers: President, Dr. Mary Parsons; Vice President, Dr. Sofie Nordhoff Jung; Recording Secretary and Treasurer, Dr. Emma L. Erving; Corresponding Secretary, Dr. Mary O'Malley. Already two meetings have been held, at the second of which there were nineteen members present and at which Dr. Erving read an instructive and amusing paper on Orthopedics. PROCEEDINGS OF THE MEDICAL SOCIETY OF THE DISTRICT OF COLUMBIA. Wednesday, October 6, 1909.-The President, Dr. E. A. Balloch, presided; about 75 members present. The following candidates were elected active members: Dr. D. S. Lamb, for the Committee on History, reported that the history had been printed and bound, and that 300 copies had been received and were ready for distribution, which would be made by the delivery company-that being the most economical way. Dr. McLaughlin, from the Committee to negotiate with the Cosmos Club upon the subject of an Assembly Hall, reported progress, and the committee was continued. Dr. J. T. Kelly read the paper for the evening: "Caesarean Section. Should the Obstetrician be a Specialist ?" Discussed by Drs. A. F. A. King, Fry, Jack and Stavely. See p. 263. Wednesday, October 13.-The President, Dr. Balloch, presided; about 65 members present. The following were elected members by invitation: Lieut. Col. Louis A. LaGarde and Capt. Chas. F. Craig, Medical Corps, U. S. A. The Chair announced the death of Drs. George C. Burton and Charles A. Ball, and appointed the following committees to report suitable resolutions of respect: For Dr. Burton-Drs. Brumbaugh, Perry and D. S. Lamb. For Dr. Ball-Drs. Franzoni, Vaughan. and Pool. The Chairman of the Historical Committee was authorized to present copies of the "History" as follows: To the Library of Congress, 2 copies; the Carnegie Library, I copy; the Surgeon General's Library, 1 copy; Miss Cordelia Jackson, I copy. The Corresponding Secretary was authorized to send program cards to the officers attending the Army and Naval Medical Schools. Dr. D. S. Lamb presented specimens as follows: 1. Pneumonia, with Calcareous Deposits at the Root of Lung. 2. Syphilis of the Liver, together with Syphilitic Lesions in Spleen and Heart and Subphrenic Abscess. See p. 290. Case of Pneumonia.-The lung weighed 41 ounces, just about twice the normal weight; showed both red and gray hepatization; some exudate on the pleura. The lung was much pigmented, as also were the bronchial nodes; the latter also showed points of calcification, probably of tuberculous origin. The patient was a colored man, a laborer, age 43; was admitted to hospital and died the next day; his pulse was 110 to 120; respirations, 50. The necroscopy showed a well-nourished body; firm, old adhesions of lungs; right lung pneumonic; left lung edematous. Heart large, weight 16 ounces; some old pericarditis; atheroma of ascending aorta; white clots in the cavities extending into the connecting veins. Liver fatty; spleen weighed only 5 ounces and was much pigmented. Kidneys small and granular; weighed respectively 2 and 3 ounces. The brief time that the man was under observation and his low condition precluded securing information that, in view of the small size of the kidneys, would probably have proved to be a very interesting case. Dr. Roy read a paper entitled: "The Therapeutic Value of Ions." Discussed by Dr. Barton. See p. 276. Dr. Werber read a paper entitled: "Junod's Hyperaemic Derivations," and presented specimens of the apparatus and a patient in whom strangulated hernia had been reduced by Junod's method. Discussed by Drs. Nichols, W. P. Carr, E. P. Magruder, Hooe and E. L. Morgan. See p. 281. Wednesday, October 20.-The President, Dr. Balloch, presided; about 60 members present. Dr. McLaughlin, for a committee appointed as provided for by resolution of Dec. 3, 1908 (the other members being Drs. S. S. Adams and Prentiss Willson), reported that the committee had arranged for a smoker complimentary to the members of the Historical Committee, to be held at Rauscher's Nov. 17th. Dr. D. S. Lamb, Chairman of the Historical Committee, reported the receipt of acknowledgments from the libraries to which copies of the History had been given. He also presented a bill for printing, binding and distributing the History, the amount being $1,653.28. The original bid for this work was $1,323.75, and he explained the reasons for the increase. Dr. Hooe moved that the report be accepted and the bill paid. Seconded. Dr. Lamb offered as an amendment that $1,000.00 be paid upon the bill, and the balance liquidated as the Treasurer becomes enabled by the receipt of funds. The amendment was accepted and the motion, as amended, carried. The Chairman of the Historical Committee was authorized to place insurance to the amount of $1,000.00 on the copies of the History in storage. Dr. Hasbrouck presented the following specimens: 1. Lipoma of the Scrotum; 2. Lumbricoid Worm in the Appendix; 3. Primary Carcinoma of the Omentum. Dr. Kelley presented a specimen of Calculous Pyelonephritis. Discussed by Drs. H. A. Fowler, Chappell, I. S. Stone and Kelley. Dr. Erving presented a specimen of Chondroma of Femur. Discussed by Drs. Van Rensselaer, Groover and Erving. Chondroma of Femur.-A colored man, laborer, 43 years old, presented himself for treatment at Freedmen's Hospital for a growth in the upper thigh. One year before admission he had begun to have pain and disability in the limb. His family and previous histories were negative. There was no history of traumatism. Examination disclosed a hard mass just below and in front of the great trochanter; a diagnosis of sarcoma was made. Dr. Jack made an amputation at the hip, followed by good recovery of the patient. Examination of the specimen at the Army Medical Museum resulted in the histological diagnosis of chondroma, originating in the medulla of the bone. Dr. Van Rensselaer asked what Dr. Erving thought of the chances for recurrence in this case. As the tumor was very high in the thigh it seemed likely that the chances of recurrence were very great. Dr. Groover asked if all the other bones were examined for other possible foci of disease. Dr. Erving replied that the operation went through tissues well clear of the tumor, which in addition was well encapsulated. There was no evidence of escape from the original site of development. Careful examination failed to find any tumor formation in any other bones. Dr. Owen presented a specimen of Anomalous Subclavian Artery. Discussed by Dr. D. S. Lamb. See p. 291. Dr. H. M. Smith presented specimens of Epidemic Carcinoma of the Thyroid in Fishes. Discussed by Drs. E. L. Morgan, Snyder, I. S. Stone and H. M. Smith. See p. 313. Dr. D. S. Lamb presented for Dr. T. V. Hammond specimens of melanotic cancer of the heart and kidneys. Man, age 35, fairly well developed, was admitted to Providence Hospital, Sept. 26, 1908, with a history of having had a contusion of the middle of the outer side of right thigh two months previously; it pained him at times, but healed up. The glands in the right groin became enlarged and were excised; they were black and sarcomatous. He left the hospital November 12th. Was readmitted March 8, 1909; very weak; had lost about 20 pounds in weight. There were many black nodules scattered over the body, hard to the touch, and varying in size from a pea to a walnut. He rapidly became weaker, and died April 29th. The post-mortem examination showed a widespread dissemination of small, black nodules; metastases in all the organs and tissues. Dr. Lamb said that it was worth while noting the very rapid termination of this case, the rapid progress of the disease and the early fatality being characteristic of melanotic cancers. The history did not state whether there was any tumor at the site of the injury on the thigh; the first tumors to be noted were in the groin. Dr. Hammond replied that there was no tumor at the site of injury on the thigh, only a dark blotch. Wednesday, October 27.-The President, Dr. Balloch, presided; about 55 members present. An appropriation of $11.50 was made, to pay the premium on $1,000.00 fire insurance on 600 copies of the History of the Society held in storage. Dr. Paul B. Johnson resigned his membership. Dr. A. F. A. King suggested that a formal report should be made by the Historical Committee, signed by all the members thereof, setting forth what had been done, the amount of moneys expended and other pertinent facts. The Chair ruled that such a report would be proper, and the chairman of the committee stated that such a report would be made before the committee was discharged. Dr. E. L. Morgan submitted a letter from the Librarian of the Public Library of the District of Columbia, asking for an expression of the desire of the Society with regard to the disposal of certain medical publications, originally deposited by the Society in that Library. The letter was referred to the Executive Committee for consideration and report with recommendations. Dr. Hasbrouck presented a patient showing the results of a plastic operation to relieve the disability from extensive adhesions between the arm and chest wall, the adhesions being the result of a burn. Discussed by Drs. J. Ford Thompson, Shands, W. P. Carr and Hasbrouck. See p. 311. Dr. W. P. Carr presented specimens as follows: 1. Osteomyelitis. Discussed by Drs. L. Eliot, J. Ford Thompson, Jack and Carr. See p. 308. 2. Dermoid Cyst of the Testicle. See p. 314. Dr. Randolph read the paper for the evening, entitled: "Four Years in Tuberculosis Dispensary Work." Discussed by Drs. Kober, E. L. Morgan, Williams, H. P. Parker, Woodward, Chappell and Randolph. Wednesday, Nov. 3.-The President, Dr. Balloch, presided; about 75 members present. The Treasurer presented his report for October, showing: Receipts, $848.00; disbursements, $1,019.50. Dr. F. H. Harrison, U. S. N., was elected a member by invitation. In response to a request from the Health Officer, a committee was appointed to coöperate in the revision of the Health Department's pamphlet on Hygiene of Infancy: Drs. S. S. Adams, Acker and McLaughlin. Dr. Louis A. LaGarde, U. S. A., presented a specimen of Te |