2. What per cent. are most of the tinctures in the new pharmacopeia?

3. Oleoresins-Name two, give dose and therapy.

4. Calomel and podophyllin-Give dose, indications for their use, physiological action and therapy.

5. Write two prescriptions, one for serious diarrhoea and one for dysentery, for an adult.

6. Heat and cold-How applied or used, and name some of the conditions or diseases in which they are useful.

7. Enemata-Describe enema to unload the bowels, and a nutrient enema, giving composition and quantity of each.

8. How would you disinfect the excreta of typhoid, and how a room that has been occupied by a patient having a contagious disease?

9. Diet-Give diet for typhoid patient, one having diabetes mellitus, and an infant, bottle-fed, six months old.

10. Describe treatment of a case of tuberculosis, giving hygiene, diet and medical treatment. Which is of greatest importance?

Practice of Medicine.

1. Give the symptoms and ordinary age limit of typhoid fever.

2. Treat a case of acute jaundice.

3. What is the cause and treatment of chorea? 4. What is the cause and treatment of scurvy? 5. Give the treatment of ophthalmia neonatorum.

6. Diagnose an enlarged spleen.

7. What is renal colic? Cause, symptoms and treatment?

8. What precautions would you use while attending a case of erysipelas or scarlatina? 9. Treat a case of moist eczema of the external auditory canal.

10. Treat chronic Bright's disease.

Physiology and Medical Jurisprudence. 1. Describe the physiology of rectal feeding. 2. What changes take place in the composition of blood as it passes through the kidneys?

3. Give the foramen of exit, the distribution and the function of the patheticus nerve (fourth cranial).

4. How is the venous blood current maintained? What arteries carry venous blood?

5. How is cartilage developed, how nourished?

6. What are amyloid foods, proteid foods? 7. Name the solids of the urine, and state the approximate amount of each voided daily by an adult.

8. Define and describe respiratory system and respiratory sounds.

9. Differentiate rigor mortis from the rigidity of hysteria and catalepsy.

10. What are the post mortem appearances peculiar to death by apnea?

Hygiene.

1. What are the essentials to a perfect hygiene?

2. What is the relative estimate of the efficiency of therapeutics and hygiene in the battle with disease?

3. What prophylactic measures are effectual in eradicating malaria, tuberculosis, puerperal septicemia, scabies and variola? 4. How is the health of young and old affected by posture, by sleep, by drug and alcoholic habits and by regular habits?

5. Through what channels do the tissue changes find an exit from the body? What evil effects of their failure to be excreted, and what bearing has hygiene upon this?

6. What conditions result from bad ventilation? How detect bad air? Give different methods of ventilation and the purpose aimed at.

7. Give the purpose and methods of quarantine, the value of health reports.

8. How educate the young as to the importance of hygienic precautions in curtailing venereal diseases?

9. Detail your directions to the nurses in the case of the new born. What diseases arise from improper hygiene here? 10. What constitutes sewage, and what the various methods of disposing of it?

Obstetrics and Gynecology.

1. Diagnose pregnancy from (1) Congestive hypertrophy of the uterus, (2) Ascitic distension of the abdomen, (3) Uterine and ovarian tumors.

2. Describe the uterus and appendages, give also the blood and nerve supply.

3. Enumerate the dangers of a prolonged labor after the first stage has been completed.

4. Give your management of an impacted breech presentation.

5. Under what conditions would you produce a premature labor? What method would you employ?

6. What diseases may arise in pregnancy as a result of this condition? Give treatment.

7. Give cause, prognosis and treatment of atresia of the vagina.

8. Diagnose ovarian tumor, and describe in full the operation for its removal.

9. Give cause, diagnosis and treatment of cystitis.

10. Describe the operation for the repair of a lacerated perineum.

I. MINUTES OF GENERAL MEETING.

The general meeting of the West Virginia State Medical Association convened in the Court House at Webster Springs, W. Va., Wednesday, June 20th, at 8:20 P. M.

The meeting was opened with prayer by Rev. B. M. Keith, of Webster Springs.

Mr. W. S. Wysong on behalf of the town delivered a warm address of welcome.

Dr. Fleming Howell responded for the Association.

President Wade delivered the Annual Address of the President. On motion it was referred to a committee, as follows: Drs. Howell, Irons and Lind.

Dr. Barber called for the physicians of Webster county to meet him next day for the purpose of forming a component society.

Adjournment at 10:20 P. M.

Thursday, 10:15 A. M.

The session was opened with prayer by Dr. S. L. Jepson.

Dr. A. S. Grimm read his paper, "Does the Profession Appreciate Sufficiently the Advantages of Union, and if Not How Can We Best Remedy the Defect?"

Dr. Wm. W. Golden read his paper, "The County Society."

The Chair here called attention to Chapter X., Section 1, of the By-Laws, in which the delivery of each paper is limited to 20 minutes. Dr. C. H. Maxwell read his paper, "Prejudice." Adjournment at 11:45 A. M.

Thursday, 2:00 P. M.

Dr. G. D. Lind read his paper, "Medical Legislation in West Virginia."

On motion Dr. J. R. Cook was here allowed to read a paper entitled "Ourselves as Others See Us," to take the place of his paper on obstruction of the bowel set for a later hour on the program.

All of the above named papers were then

discussed by Drs. Jepson, Howell, Jamison, McLaughlin, Shull and Hood. The discussion was closed by Drs. Grimm and Golden.

The paper of Dr. H. K. Owens, "A Year's Work in Obstetrics-Facts, Figures and Comments," was called for, but owing to the ab sence of its author from the hall at that time, it was read by title and referred to the Committee on Publication to print in the Journal or Transactions.

Dr. C. L. Holland read his paper, "Indications for Premature Delivery."

Owing to the absence of its author, the paper by Dr. O. L. Perry, "Puerperal Fever," was read by title and referred to the Committee on Pub lication.

Dr. Chester Ogden read his paper, "The Uterine Curette-Its Use and Abuse." Discussed by Drs. Preston, Maxwell, Henry, Strickler, Jepson, Stout, Linsz, Golden, McKinney, Powell, Irons, Cannaday and Arnett. Dr. Ogden closed the discussion.

Dr. T. W. Moore read his paper, "The Ethics of the Medical Specialist, and His Assumption of Ignorance of the General Practitioner." Discussed by Drs. Wade, Howell and Lind.

The following resolution introduced by Dr Lind was carried:

Resolved, That it is the sense of this Association, that the subject of medical ethics and the general relations of physicians to each other and to the people, should be taught as a regular branch in every medical college. Further, we recommend that the teachers in medical colleges should instruct their pupils in the importance of organization and advise them to affiliate with medical societies.

Dr. T. L. Barber read his paper, "Lessons Learned from Three Years' Use of the X-ray." Discussed by Drs. Strickler, Ogden, Golden and Branham.

Dr. C. O. Henry read his paper, "What Mental Conditions Render a Testator Incapable of Making a Will." Discussed by Drs. Hood and Dickey.

Adjournment at 5:30 P. M

Friday, 10:45 A. M.

Dr. H. B. Stout read his paper, "Thoughts Pertaining to Strictures of the Male Urethra, With Surgical Treatment-The Author's New Operation." Discussed by Drs. Powell, Cannaday, Strickler, McMillen, Mason, Barber, Hall, Hood and McLaughlin.

Dr. Golden suggested to those who, like himself, may be disposed to give this new operation a trial, that they refer to this operation as the "Sout operation" in their reports on it. Dr. Stout closed the discussion.

Dr. J. E. Cannaday read his paper, "The Diagnostic Value of the Cystoscope and Ureteral Catheter." Discussed by Drs. Powell and Mason

On motion Dr. W. C. Jamison was allowed to read a voluntary paper, "Wounds of the Dead Body."

The Secretary stated that Dr. Bovee informed him that he was unavoidably prevented from coming to the meeting. The reading of Dr. Bovee's paper was omitted.

Dr. J. E. Rader read his paper, "Acute Appendicitis."

Adjournment at 12:15 P. M.

Friday, 1:30 P. M.

The discussion of Dr. Rader's paper was taken up and was participated in by. Drs Haught, Branham, Howell, Mason and Powell. Dr. Rader closed the discussion.

Dr. S. M.. Mason read his paper, "Gall Stones."

Dr. W. W. Golden read his paper, "Rupture of the Intestines-Report of Cases."

The Secretary read a telegram from Dr. Hatfield stating that he could not be present at the meeting. As his paper was not in the hands of the Secretary its reading was omitted. Dr. J. H. Branham, of Baltimore, read his paper, "Reports of Operations from the Franklin Square Hospital."

On motion the thanks of the Association were extended to Dr. Branham for his excellent paper.

Dr. R. M. McMillen read his paper, "Alcohol." On motion further discussion of papers was dispensed with, and all unread papers were referred to the Committee on Publication.

On motion the General Meeting of the Association adjourned at 3:30 P. M., sine die. The following have registered at the meeting:

Taylor and Logan have so far made no report to us. This, together with the two direct members reported to me by the Treasurer, makes our total paid up membership 465. I know of quite a number of members who will pay up before this meeting closes, and a few will fall in line between now and the time we are ready to report our membership in print. It is safe to state that our paid up membership for this year is over 500. This is an unprecedented record in the history of our Association. Nearly every component society has made substantial gains during the year. Five new component societies were organized, named, Berkeley, Greenbrier Valley, Lewis-Upshur, Mingo and Raleigh, representing eight countries. These, together with the 26 counties comprised in the other 15, component societies, make a total of 34 counties represented in our Association out of 55 in the state. The topographical and ethnological conditions of the most of the 21 counties which are not organized are such as to constitute very small cause for discouragement. Below a certain degree of convenience of travel and below a certain number of population, medical organization becomes impracticable. The few of them which can be organized should be organized during the coming year without much difficulty. I am glad to state that we have not lost a single component society during the year.

Now that nuclei of medical societies (and some of them already have much body to them) are to be found all over the State, our main work of organization for the coming year lies in promoting their growth and increasing the strength of these organizations in every possible way. With such an eminently efficient corps of local secretaries as we are fortunate in having, our Councilors will find the task neither difficult nor unpleasant. Of course, in making this statement I am not to be understood as detracting one iota from the efficiency of the presiding and other officers of the local societies. Another year will find us entirely emerged from the confusion incident to our reorganization. This confusion caused may misunderstandings and consequent unpleasantness

to many of us, from the Secretary of A. M. A. down to the individual members of our component societies. It has also more than quadrupled the work of some of us. As one who has served the Association under its old plan, continued during both reorganizations, and has now completed three years under the new and, I will add, perfect plan, the emergence from this confusion is a source of much relief and pleasure, and I have no doubt that many of you feel the same way. Let us hope that there will be no backsliding from the present gratifying conditions, and that each of us will strive to keep our Association on the lines laid down by the A. M. A.

During this year only one suit against a member for alleged mal-practice has come to my attention. The resolution adopted regarding this matter at our last Charleston meeting still remains rather vague. I would urge upon you that a committee be appointed to report at this meeting a definite plan of procedure to protect our members in such cases. I am sure that the adoption of a definite way in such emergencies will materially add to the usefulness of our Association and of the individual members.

As a means of increasing our membership it will prove of incalculable benefit.

The matter of medical legislation is before us this year, and I wish to say that every member of the Association and the profession of this State at large look to the Association for a supreme effort in this direction. I do not wish here to dwell upon the necessity of such legislation nor upon the prospects of succeeding this time. These important phases of the subject I am sure you will ably discuss before the meeting closes, and the able members of our committee on legislation will give you an account of what has been done so far, and what had better be done in the future. But what I wish to impress upon you, gentlemen, is this, that regardless of what the result of the effort may prove to be, it is essential to the welfare of our Association that we materialize the profession's expectation. There is not another undertaking which can so well illustrate the usefulness of our Association as this one. component societies demand definite action and the profession at large is expecting it. Should we fail to make a proper effort, our Association will suffer a serious blow in its work of organization. You will perceive that I am looking at this and several other matters from the point of view of an organizer. I am taking the view that, given an Association with a membership including all the eligible phy

Our

sicians of the State, the question of accomplishing any undertaking, such as proper and needed legislation, would simply depend upon deciding to go after it. An effort commensurate with the magnitude of this undertaking will give the Association a claim on the profession of the State, and will materially hasten the realization of our hope of seeing a united profession. I believe that the idea of co-operating with the other medical bodies of the State is a good one, and I hope that we will have the Board of Health with us as we did the last time. Let us go after it armed with every advantage possible. It will take all this to accomplish our purpose. I hope that when the matter is taken up by you for discussion and action, that every member will assist in framing a proper course, and that after this course has been mapped out and the proper committee appointed to take charge of the matter, each of you will go home determined to give this committee all possible help. I will mention that among the many helpful things that you can do is to discourage physicians from making any independent efforts at having medical legislation enacted. This we certainly have a right to expect from our members. If they have certain ideas on this subject, the time and place for them is right here. Let us have the benefit of these ideas so that we can mutually agree to follow a certain course, but having agreed upon this, let there be no confusion and scattering of energy. As the chairman of the committee on legislation who had charge of our bill two years ago is not present, I have taken the liberty of touching upon this very important point, a point which he has discussed with me since our last meeting and I fully agree with his ideas.

I wish to call your attention to the fact that while we are carrying on our catalogue the names of a number of distinguished physicians as honorary members our present constitution does not provide for any such membership. To be correct in this matter we should either amend the constitution or discontinue publishing this list under this title.

The matter of fees for life insurance examinations has been occupying the attention of several of our component societies, and at least in one, namely, the Marion, definite action has been taken. The movement now on foot in the Kanawha County Society appears to me more promising than any similar one that I know of. The Association is certainly bound to give our component societies all possible help in this just cause.

In the capacity of a member of the auxiliary committee on national legislation, I have at the request of the chairman, Dr. Reed, appointed a number of associate members consisting of the secretaries of our component societies, and such members of our State Board of Health as are members of this Association. I am glad to say that we have contributed our mite to such legislation as the National Legislative Committee had on hand.

The card index system is now installed in your secretary's office, and he believes that from now on the work in this office will be much simplified.

If all the reports are true, then we have quite a number of illegal practitioners in the State. I am not referring to the osteopaths and that brand. I don't know to what extent it would prove meddling with the business of the State Board of Health should our Association take a hand in the prosecution of this class. I know this much, however, that in some places medical societies are doing good work in this direction, and I am not aware that there has been any friction on this score between them and their Boards of Health.

Since the editor of the Virginia Semi-Monthly saw fit to mention my name in connection with the movement for a State Journal, I feel that it is perhaps best that I say a word about it. In the first place let me state that the implication in the editor's circular that I was the originator of the movement is incorrect. The credit belongs to our worthy ex-President Barber. That I feel an interest in it is of course to be expected. For the information of the committee on this subject I will simply state that the number of State Association Journals is constantly growing, and among the States publishing such are some whose membership is smaller than ours. There is no question that much benefit would result to us from the publication of a Journal of our own. The argument that we had better wait till our membership is larger is no stronger than an argument would be on the part of one starting in business, that he prefer waiting with his advertising till his business is well established. We need a Journal now more than we wlil need it in the future. As a medium of information of events and movements taking place in the various component societies it will prove of much benefit. As a means of furthering the work of our committees and councilors it will repay all the effort that might be connected with its understanding. And inasmuch as complete ownership would leave us free to shape its ethical and other qualifica