tributed to the members of the Association, the reading of it be dispensed with. Seconded. Carried.

And be it further

Resolved, That a committee, consisting of E. Eliot Harris, Julius C. Bierwirth, Alexander Lambert, Parker Syms and Wisner R. Townsend, is hereby appointed, or, in case of the disability of any of them, then of such other persons as the President may appoint in his or their place and stead, to carry out the purposes of said agreement and with full and absolute power to take any and all legal steps necessary in the premises, in the place of the said The New York State Medical Association, as may be necessary, to complete the consolidation of The New York State Medical Association and the Medical Society of the State of New York.

Dr. Townsend: I move that the Association approve and adopt these resolutions, and that a full copy of the resolutions, agreement, act of the Legislature, Constitution and By-Laws, etc., be spread on the official minutes of the meeting.

Seconded by Dr. Harris.

Dr. Amos S. Edwards said that if it was in order, he wished to offer the following amendment to the resolution introduced by Dr. Townsend:

Resolved, That after the word "that" in Section 7 of the agreement of the Joint Committee of Conference, the following words be stricken out, viz., "As soon as possible after the entry of an order for the consolidation of the corporations, the following proposition shall be submitted by referendum to the vote of the members of the Society, namely."

Seconded by Dr. Kaufmann. Discussed by Drs. Harris, of New York; Howe, of Buffalo, and Kaufmann, of Syracuse.

Dr. Edwards said he would withdraw his proposed amendment to the resolution.

Dr. Joseph D. Bryant said that as President of the Medical Society of the State of New York, he wished to assure the members of The New York State Medical Association that he would make every effort to secure the object they were working for to-day. He had sent a copy of the principles of ethics to each member of the State Society, and he was receiving assurances daily that many were warmly in favor of its adoption, and he had no doubt it would be adopted.

Dr. Harris said that under the corporation law of the State of New York a roll call was necessary for the adoption of the resolutions.

Dr. Emil Mayer moved that three inspectors of election be appointed by the Chair. Seconded. Carried.

The Chair appointed as inspectors of election, Emil Mayer, Henry A. Dodin and Daniel S. Dougherty.

The Chair stated that the result would be announced at the opening of the afternoon session.

NEW YORK, October 17, 1905.

Dr. J. Riddle Goffe, President,

New York State Medical Association: The undersigned, inspectors of election appointed under resolution of The New York State Medical Association, at its meeting held October 17, 1905, to receive and record the ballots of its members on the question of the amalgamation of The New York State Medical Association with the Medical Society of the State of New York, and the appointment of the Joint Committee of Conference as per resolutions introduced by Dr. Wisner R. Townsend, and seconded by Dr. E. Eliot Harris, beg leave to report as follows:

Ayes, 1,517; noes, 2; not voting, 295; the latter includes twelve newly elected members in New York County. Total, 1,814.

Respectfully submitted,

EMIL MAYER, M.D., Chairman; HENRY A. DODIN,

D. S. DOUGHERTY.

The President, after announcing the result of the vote, decided the resolutions adopted.

Dr. Townsend moved that the sincere thanks of the Association be extended to the inspectors of election for their faithful and arduous work. Seconded. Carried.

The President announced that he had just received the following telegram from Dr. Ferguson: "Several weeks of illness prevents my attendance. I trust all will be done wisely and well."

Dr. Denison, the chairman of the Committee on Publication, said he had just received a letter from Dr. Simmons, in regard to the supervision of medical nostrums and pure food legislation, as follows:

*Dr C. E. Denison, Chairman,

Committee on Publication, New York, N. Y. : My Dear Doctor-I find that I failed to officially call your attention to a resolution which was unanimously adopted at the last meeting of the House of Delegates of the American Medical Association. The resolution referred to was introduced by Dr. E. Eliot Harris, of New York City, and is as follows:

Resolved, That the Committee on Publication of the journals of medicine published by the State Medical Associations affiliated with this body be asked to assist the Board of Trustees in their efforts to suppress the advertisement of medical nostrums, and to cooperate in the work of securing pure food and pure drug laws in the United States. Respectfully yours,

GEORGE A. SIMMONS, General Secretary.

Dr. Frederic W. Loughran, the chairman of the Committee on Arrangements, announced that the

*Received the day after the meeting of the Council and Fellows, hence no action taken.

annual dinner of the Association would be held at the Hotel Astor on Wednesday evening, October 18th, and that tickets might be obtained from the Committee at $5 each. Among the guests who had been invited to attend the dinner were Governor Higgins, Dr. William J. Mayo, of Rochester, Minn., and Surgeon-General Suzuki, of the Japanese Navy.

Dr. John Shrady presented a brief memorial address of the late treasurer of the Association, Dr. Frederick A. Baldwin, of New York.

Dr. Gibbons, who had been appointed as delegate to the recent meeting of the Pennsylvania State Medical Association, made the following report. See page 414.

Dr. John A. Wyeth presented report as delegate to New Jersey State Medical Society. See page 402.

Dr. Emil Mayer presented Surgeon-General Suzuki, of the Japanese Navy, who thanked the members for their kind reception.

Major Louis L. Seaman, U. S. V. E., presented the two following resolutions, which were unanimously adopted:

Resolved, That The New York State Medical Association, now assembled, respectfully petition Congress at its next session to reorganize the medical departments of the United States Army and Navy on a broad basis, similar to that of the countries most advanced in military sanitation, giving to its army department an independent transport system and advisory authority over the commissary department, and to its officers equivalent rank, dignity and power to enforce sanitary measures, and to their personnel, ample measures for the proper care of the ill and injured in the service. Also

Resolved, That it petition Congress to direct that a graded course of study in sanitation and hygiene be added to the regular curriculum at the Military Academy at West Point, and at the Naval Academy at Annapolis, and that examinations in this course shall count equally with other studies in establishing the final standing of the graduate.

The following delegates from other State Associations were present at the meeting:

Dr. William J. Chandler, from New Jersey, Drs. A. M. McDonnell and A. R. Diefendorfer, from Connecticut, Dr. C. E. Chandler as substitute delegate from Vermont, Dr. Charles A. Stearns from Rhode Island, and Drs. William H. Hartzell and David I. Giarth from Pennsylvania.

SCIENTIFIC SESSION.

The President's address, by Dr. J. Riddle Goffe. See page 403.

The Abrupt Onset of Typhoid Fever, Dr. Morris Manges, New York City.

Discussed by Drs. Albert Kohn, New York City: Charles G. Stockton, Buffalo; Douglas C. Moriarta, Saratoga Springs. Discussion closed by Dr. Manges.

Lumbago, Sciatica, Pseudo-rheumatism, Dr.

James J. Walsh, New York City. Discussed by Dr. Richard H. Gibbons, New York City. Discussion closed by Dr. Walsh.

Some Experience with Apomorphia, Dr. George H. Peddle, Perry. Discussed by Dr. Sidney A. Dunham, Buffalo; Dr. Giarth, of Kittanning, Pa. Discussion closed by Dr. Peddle.

The Significance of Dysmenorrhoea at Puberty and Its Relation to Uterine Tumors, Dr. Frank DeWitt Reese, Cortland. Discussed by Dr. Mary Gage-Day, Kingston; Dr. Robert T. Morris, New York City. Discussion closed by Dr. Reese.

Typhoid Fever in Children, Dr. Louis Curtis Ager, Brooklyn. Discussed by Dr. L. E. LaFetra, New York City; Dr. Frank D. Reese, Cortland. Discussion closed by Dr. Ager.

THIRD DAY, WEDNESDAY, OCTOBER 18TH.
MORNING SESSION, 9.30 A. M.

The President announced that he would reappoint Dr. E. Eliot Harris, of New York City, as delegate to the National Legislative Council.

"Test Feces; Their Value in the Recognition of Intestinal Disturbances Taking Their Origin in Other Parts of the Digestive Tract," Dr. Heinrich Stern, New York City.

What Organized Malpractice Defense Does for the Profession and the Public, Mr. James Taylor Lewis, New York City.

Symposium on Hygiene and Preventive Medicine. (a) Protection of the Water Supply, Dr. Thomas Darlington, New York City; Ernest J. Lederle, Ph.D., New York City; Mr. Samuel Hopkins Adams, New York City. (b) Protection of the Milk Supply. Dr. Walter Bensel, New York City.

AFTERNOON SESSION.

Symposium on the Toxæmia of Pregnancy. The Acid Toxæmia of Pregnancy, Dr. Henry McMahon Painter, New York City.

The Pathology of Eclampsia, Dr. James Ewing, New York City.

Hyperemisis Gravidarum, Dr. William S. Stone, of New York City.

The Treatment of Eclampsia, Dr. Bernard Cohen, of Buffalo.

Vaginal Cæsarian Section in Eclampsia, Dr. M. Stamm, of Fremont, O.

Discussion of the entire subject by Drs. J. Whitridge Williams, Baltimore; J. Clifton Edgar, New York City: Joseph Brown Cooke, New York City; David P. Austin, New York City, and James J. Walsh, New York City. Discussion closed by Drs. Ewing, Stone and Cohen.

The President moved that a vote of thanks be extended to the readers of the papers and those who had taken part in the discussion, as many of them were present at the meeting at considerable personal inconvenience. Seconded. Unanimously carried.

Resection of the Bladder, Dr. Howard Kelly, Baltimore, Md. Discussed by Dr. Hiram N. Vineberg, New York City; Dr. Herman J. Boldt, New York City; Dr. A. Ernest Gallant, New York City. Discussion closed by Dr. Kelly.

Spontaneous Cure in Cancer; Its Significance in Relation to the Ultimate Solution of the Problem of the Cure of Cancer, Dr. Hervey R. Gaylord, Buffalo. Discussed by Drs. William B. Coley, New York City; Carlton C. Frederick, Buffalo; Mary E. Dunning, Newburgh; Charles P. Noble, Philadelphia. Discussion closed by Dr. Gaylord.

Therapy of Carcinoma, Dr. Samuel Lloyd, New York City. Discussed by Dr. William B. Coley, New York City; Harvey R. Gaylord, Buffalo; James J. Walsh, New York City. Discussion closed by Dr. Lloyd.

Mediastinal Tumors, Dr. William Francis Campbell, Brooklyn.

The Sanitorium for Tuberculous Patients, and Its Medical and Social Mission, Dr. S. A. Knopf, New York City.

At the conclusion of his paper, Dr. Knopf announced that the International Congress of Tuberculosis would meet in Washington, D. C., in 1908.

AFTERNOON SESSION.

Symposium on Cancer-Surgical Treatment. Carcinoma of Stomach, Dr. William J. Mayo, Rochester, Minn.

Discussed by Dr. John B. Deaver, Philadelphia; Dr. Willy Meyer, New York City. Discussion closed by Dr. Mayo.

Carcinoma of Intestinal Tract, Dr. James P. Tuttle, New York City.

Discussed by Dr. Arpad G. Gerster, New York City. Discussion closed by Dr. Tuttle.

A New Aid in the Treatment of Malignant Tumors. Dr. C. G. Ende, New York City.

Carcinoma of the Uterus, Dr. Charles P. Noble, Philadelphia. Discussed by Dr. Carlton C. Frederick, Buffalo; Dr. Hiram N. Vineberg, New York City. Discussion closed by Dr. Noble.

Carcinoma of the Larynx, Dr. John N. Mackenzie, Baltimore. Discussed by Dr. D. Bryson Delevan, New York City; Dr. Emil Mayer, New York City; Dr. Robert C. Myles, New York City. Discussion closed by Dr. Mackenzie.

Installation of New Officers.-Dr. Goffe, the retiring President of the Association, welcomed his successor in office, and said it was hardly necessary to recall to him the striking contrast that was presented by the conditions confronting the Association to-day, and that of a year ago. At that time they were in the throes of a struggle to amalgamate the two State Societies, a task which then seemed almost insurmountable. In addition to that, there were internal discords in their own ranks amounting almost to a revolution. Since that time the scene had completely changed. All the requirements of the law had been complied

with, the resolution had been passed carrying them into the arms of the State Society, and the prospects were that there would soon be a reunited medical profession in New York State. In the vote on the question on Tuesday, there were only two dissenters, so that it was almost unanimous. The Association was now in a condition of unity, peace and concord, and he felt that its interests would be safe in the hands of Dr. Jones.

Dr. Allen Arthur Jones, of Buffalo, the newly elected President, said it gave him great pleasure to assume the office to which he had been elected, and after such a graceful introduction on the part of his efficient predecessor, nor was he unmindful of the honor that had been conferred upon him. Dr. Goffe had spoken of the difference in the condition of the Association a year ago and what it was to-day, and the speaker said he could not do better than to emphasize those words. The difference was certainly enormous. He then paid a tribute to the efficiency of the retiring President, to whom he thought the Association owed a deeper debt of gratitude than it was possible to express. With the help of his efficient coworkers, and by tireless efforts, endless detail, by personal sacrifice and unremitting hard work, Dr. Goffe deserved no small share of the credit for bringing about the amalgamation between the two State medical bodies. He would speak also of the services rendered by the efficient secretary, Dr. Redfield, whose labors during the year had been enormous, nor should we forget the persuasive, ever-ready, Dr. Townsend, whose untiring enthusiasm had been such a factor in the great work just consummated. Nor would he forget Dr. Harris, the able parliamentarian, who had done so much to remove the legal objections to the consolidation, and in that work Mr. Lewis, the Association counsel, had also been most efficient and successful.

In assuming this office at this time, he would have a comparatively easy task, as the hard work had been done by those who preceded him. The future of this great amalgamated body was worthy of some thought. In this State, with its over seven millions of inhabitants, we would soon have a medical Society of enormous size, and he expressed the belief that it would be great not only in numbers but also in the character of its scientific achievements. It might become necessary, in the scientific work of this body, to divide it into sections, perhaps beginning with medicine and surgery, and gradually adding others as the necessity for them arose. Personally, he was in favor of having certain of the specialties discussed at all of the general meetings.

Dr. Emil Mayer moved that the thanks of the Association be extended to all the retiring officers for their most efficient services. Unanimously carried, and it was ordered spread upon the minutes of the Association.

Dr. H. Ernest Schmid, of White Plains, the newly elected vice-president, thanked the Association for the honor that had been conferred upon

him, and referred to himself as one of the posthumous children of the Association.

Dr. C. G. Am Ende moved that the thanks of the Association be extended to the visitors who had read papers and taken part in the discussion. Unanimously carried.

Dr. Goffe moved that a special vote of thanks be tendered Dr. Frederic W. Loughran, for his efficient work as chairman of the Committee on Arrangements. Unanimously carried.

The twenty-second annual meeting of the Association was then declared adjourned.

ADDRESS OF WELCOME TO THE COUNCIL AND FELLOWS.1

By J. Riddle Goffe, President of the New York State Medical Association.

A noted statesman in battling in debate for a principle that he deemed of the greatest importance, although warned that his action was destructive to his political ambitions, made the familiar declaration that he would rather be right than be president. During the trials and the work that have attended my brief term of presidency, I have with difficulty restrained the thought that there are many other things I would rather be than be president. Still, I was not unmindful at the time of my election, as I am sure you were not, of the difficulties that confronted the Association, the uncertainty of its position on the amalgamation question, and the time and work involved in bringing order out of the seeming chaos and carrying forward the wishes of the majority with dignity and determination. This condition of affairs made the selection of any one of your number as president a signal expression of your confidence, and rendered the recipient of your suffrages acutely, though humbly, conscious of the great honor conferred. It is becoming that at this time I express to you members of the Council and Fellows of The New York State Medical Association, and through you to all the members of the Association, my warm appreciation of the honor I have received at your hands. You have my sincere and heartfelt thanks.

In this connection I hasten to express my especial thanks to the Council and its individual members for their suggestions, advice and assistance in the management of the affairs of the Association. They have proved a tower of strength at all times. Thanks are also due the various committees and many individual unofficial members for the prompt response they have given to every call made upon them for assistance, and the work they have done to advance the interests of the Association.

From every point of view the result of the year's work is a subject for congratulation and encouragement. It is a source of no little pride that in the face of the troublous times that have

'Delivered at the Twenty-second Annual Meeting, held at New York City, October 16, 1905.

beset us we have not only been able to stand pat in our membership, but have actually increased it. Many of our members are also members of the County and State Medical Society. To many of these it seemed needless expense to continue the payment of dues in both, as membership in either would assure position in the united society of next year, and yet, of these, only a few have failed to pay their dues and continue their membership.

The status of our membership is as follows:

October 1, 1904, we had on our rolls 1,772 active members. During the year we have lost by delinquency in payment of dues, removals, deaths and resignation 167, but we have received 195 new members, bringing our membership up to 1,800, an increase of 28.

The great leveler, death, has been very active. in our midst during the past year. Twentythree have left us. It is truly said that

"With his sickle keen

He reaps the gilded grain at a breath And the flowers that grow between."

I will simply recall the fact that those who have thus fallen embrace many noble workers from Dr. Didima, one of the patriarchs of the profession, who had worked steadily in harness for well nigh threescore years and always stood for that which was best whether in science or personal conduct, to Dr. Churchill Carmalt, a young man of sterling worth and great promise. The sudden death of our treasurer, Dr. Frederick A. Baldwin, came as a great shock to all of us. His many excellent qualities of head and heart and his faithful performance of his official duties commanded the respect, admiration and love of all who knew him.

At a special meeting of the Association, held at the New York Academy of Medicine, March, 1904, the following resolutions, on motion of Dr. Joseph D. Bryant, were unanimously adopted:

Resolved, That the report of the Joint Committee on Conference be accepted and that the proposed agreement for the consolidation of the Medical Society of the State of New York and The New York Medical Association be, and the same is hereby approved and the President of the Association is hereby authorized and directed to execute the same in the name and behalf of the

Association, and the Secretary is hereby authorized and directed to affix the corporate seal thereto, and be it further

Resolved, That the Committee of the Association heretofore appointed for the purpose of bringing about the consolidation be and they are hereby continued as such Committee with full power and authority to do whatever may be necessary to carry the agreement into effect.

At the last meeting the following resolution was unanimously endorsed:

Resolved, That it is the unalterable desire of The New York State Medical Association that har

mony and good-fellowship should prevail throughout the entire profession of the State and to that end this Association pledges itself to use its best endeavors to secure the union of the two State organizations until that much-desired end shall have been accomplished.

In my remarks made upon accepting the office, I said: We have pledged ourselves to-day in a formal resolution to continue our efforts and use our best endeavors during the coming year to consummate the union between the two State medical organizations, so that with the expiration of this year of grace and patient waiting the medical men of the Empire State will become one united and harmonious profession. Una fidis altare commune. That has been the keynote of my administration, and has been the consuming interest of the year's work. How successfully it has been carried forward is for you to judge. The plan of campaign has been along two distinct and different lines. Knowing, as I did, the generous and altruistic spirit that animated our Association, and how completely the members were imbued with the conviction, that in thorough and complete organization of the profession resides increased power for ennobling the profession, strengthening its dignity and influence, protecting it against its enemies and advancing it to a higher plane of usefulness; realizing these conditions, I say, I was convinced that any latent or active opposition must lie in a misconception of the conditions of the amalgamation agreement and the practical working of the newly constituted Society. To overcome these seeming misconceptions, among the indifferent and actively opposed, there was opened and conducted a wide and vigorous correspondence with the hope of setting forth these apparently objectionable points in a more favorable light. This correspondence supplemented by conferences at the district branch meetings has fortunately been successful in allaying the apprehensions of many and arousing some to enthusiastic advocacy of amalgamation.

The failure of our previous efforts was due to the fact that the meeting at which the amalgamation resolution was adopted was, as decided by the court, not a legal meeting for the transaction of such important business. The question therefore arose, what constitutes a legal meeting and how can it be obtained? By the provisions of our charter the business management of the Association is vested exclusively in a house of delegates, known as the Council and Fellows. The Association itself had no by-laws except those prescribed by the Council and Fellows, and no stipulation as to what constituted a quorum. court held that under such circumstances the State law regarding corporations must obtain. This law stipulates that a quorum must consist of at least a majority of the corporate members. Provision, however, is made against the difficulty, and in most instances the absolute impossibility, of securing the bodily presence of such a large proportion of the members by a system of proxies,

The

through the working of which they may be recorded as constructively present and voting. We are all more or less familiar with this custom in the management of all the great corporations at their annual meetings. As the Association had no special method of legally notifying the members of a legal meeting, it was necessary to invoke the State law again and this stipulates that when no method is provided in the by-laws, nothing short of a personal notice meets the requirements. This, however, may be waived by the members accepting and acknowledging notice through the mails.

After careful and prolonged consideration of the subject by members of the Council, it seemed wise to that body to make a supreme effort to place all the acts of the Association directed toward amalgamation on a strictly legal basis, and so compass the entire subject that the expressed wishes of the Association should be carried through to completion, and amalgamation secured. To this end the Council at its appointed meeting in February, instructed your President to secure the best available legal talent in New York as associate counsel to our legal adviser, Mr. Lewis, and obtain from this combined talent a mode of procedure that would embrace all the requirements of the law and avoid any violence to vested rights. As you know, the eminent counsel selected was Mr. Chas. F. Brown, Ex-Judge of the Supreme Court. It seemed wise to him and Mr. Lewis that the final action upon amalgamation be taken at the regular annual meeting. They outlined a scheme for accomplishing this end, securing as far as possible the vote of every member of the Association either personally or by proxy. This commended itself to the Council and at its regular meeting, April 29th, the President was empowered to carry it into effect. Accordingly an official notice of the meeting, stating time, place and object, was mailed to every member, accompanied by a card acknowledging the receipt of the notice, and a second card instructing certain named proxies to vote in favor of amalgamation, the reappointment of the Joint Committee of Conference as formerly constituted, and the proposed amendments to the constitution. In the same envelope was a copy of the amalgamation document and a circular letter explaining the purpose of this action on the part of the President and the Council.

A large majority of the members acknowledged receipt of notice through the mails, and others responded to the personal solicitation of their fellows, but a few through carelessness or general opposition to the scheme, though warned that failure to respond would necessitate additional expense on the part of the Association, have compelled a resort to court officers. This, however, has been done and every individual member has been notified, thus giving us a legal meeting. But it has been a gigantic task.

Proxies instructing the parties named to vote in favor of amalgamation have been received from 1,497 members. This insures a large majority