« ForrigeFortsett »
Dr. Mortimer Warren gave a report on the the gastric mucous membrane. He uses it as a blood units in Dr. Holden's cases. Dr. E. B. diuretic, in small quantities, not more frequently Finch opened the discussion. For the last than every two hours. eighteen months he had been struggling with a Dr. Alfred Meyer thought that this matter as case of Hodgkins' disease. He has been making well as all therapeutic measures needed, more reports of this case in the lledical Record. After than anything, to be considered with a due conseemingly fully cured, this patient has returned sideration for the personal idiosyncrasies of the on account of the reappearance of tumors. X- patient. He believed that there was more excess rays have always been reapplied and apparently in egg eating in tuberculosis than excess in water successfully. Exposures are made of ten minutes drinking in these cardiac, nephritic and gastric duration at a distance of ten inches, and 147 were
diseases. made in one series.
Dr. Beverly Robinson held to the opinion that Dr. Finch's experience in the treatment of water was most valuable in febrile conditions. He leukæmia had not been very satisfactory.
does not think the danger to the heart is usually Pertinacity he considered of the utmost im- present. portance in the X-ray treatment of those
He referred to the report of typhoid cases diseases.
treated in Paris by the use of water internally, Dr. Finley R. Cook said he had no experience with results comparing most favorably with the with the X-ray in leukæmia, but had used this
reports from Germany, where the Brand method treatment very successfully in tubercular glands.
was used. He had also cured a case of exophthalmic gotire.
Dr. Charles Cook Ransom believed there was The one case of Hodgkins' disease which he had
no better stimulant to metabolism than water cortreated had not turned out very successfully.
rectly prescribed. Dr. C. W. Allen thought it very much to be deplored that there existed so much fear as to
Dr. Charles B. Fitzpatrick had seen a number the X-rays. Undoubtedly their therapeutic
of cases where large quantities of water had been value in these diseases were much underesti
of the greatest use. He did not believe the drinkmated.
ing of water abused to any great extent in this Dr. Hermann Grad tho"ght Dr. Holding's re
city. Water is of the greatest valu, where a
toxæmia exists. sults remarkable. The differences were very great between Hodgkins' disease and leukæmia. In the
Meeting adjourned at 11 P. M. former it was not so difficult to understand how
J. J. Nutt, Acting Secretary. X-ray therapy might be of great use. In leukæmia, however, he thought we should have a care not to become too enthusiastic.
Orange County Association. The regular A paper entitled The Abuse of Water Drink
meeting of this Association was held at the ing was read by Morris Manges, M.D. He said
Russell House, Middletown, N. Y., on Wednesthat the normal amount was 1} to 2 liters a day.
day, December 21, 1904, at 2 P. M. There was Only 10 per cent. is absorbed by the stomach.
good attendance, twelve members being Excretion into the stomach may also take place. present, The more liquid taken into the body means so
Dr. E. D. Woodhull, vice-president, opened much more work for the heart. All the water
the scientific session in the absence of Dr. W. E. must be expelled by the heart. Increased drink- Douglas, president, who arrived later, and took ing of water does not cause increase in the break- charge of the meeting. Dr. C. W. Many, of ing down of albumen. Metabolism is increased, Florida, reported the case of a child 8 months but at the expense of fats and carbohydrates old, who swallowed an open safety pin which Diuresis does not depend upon the amount of
was retained in the intestinal tract for the rewater so much as upon heart pressure.
markable period of eight months before being As to the common opinion of water at meals discharged. and obesity, more food can be taken at meals if Dr. Redfield reported some peculiar cases, as large quantities of water are taken.
follows: A case of hypospadias, a case of superThe most striking abuse is seen in chronic numerary breast in a nursing mother, a case of nephritis. In heart disease the abuse is seen es- menstruation in a 5-days’-old infant, a case of pecially at the spas.
three abortions in nine months in a syphilitic Dr. Manges found the temperature of soda- mother who refused anti-syphilitic treatment, a water as obtained at the counter to be 40 degrees, case of appendicitis in which the diagnosis was and the ice-cream to be 32 degrees. This soda- in doubt with reference to urethral calculus, and water habit is much worse than eating a plate of a case of chicken-pox with a temperature of 106 ice-cream, as the latter was taken slowly.
degrees F. on the second day of the eruption Dr. Simon Baruch opened the discussion. followed by complete recovery. The greatest abuse is due to the inexact way Dr. Fancher then read a paper on “Some Perprescribing water. The internal and external sonal Experiences in the Treatment of Gonoruses of water are much alike.
rhea." This paper was thoroughly discussed by A few ounces of ice-water are stimulating to all present. Dr. Fancher was given a hearty
vote of thanks for his admirable and instructive NEW MEMBERS IN THE AMERICAN MEDICAL paper.
ASSOCIATION. At the business session, after the reading and
Calvin Thayer Adams, New York City. approval of the minutes of the previous meet- Charles P. Beaman, Ithaca, N. Y. ing, the following resolution was discussed and Howard Burhans Besemer, Ithaca, N. Y. finally laid over until the annual meeting in Janu
Bennett S. Beach, New York City. ary:
Chester Emerson Campbell, Niagara Falls,
N. Y. “That an amendment to the by-laws be made whereby the meetings of this Association shall be
Charles Eugene Douglass, Lowville, N. Y. held bi-monthly instead of monthly as heretofore,
William T. Getman, Buffalo, N. Y. and at such places in the county other than at
John C. S. Lappeus, Binghamton, N. Y. Middletown, as has been the custom since the
Edwards Jarad Loughlen, Andover, N. Y. organization of this Association."
Herbert E. Phelps, Carthage, N. Y.
Donald Lawrence Ross, Sonyea, N. Y. Dr. Distler made the following resolution,
William G. Sprague, Barker, N. Y. seconded by Dr. Dennis :
Antonio Stella, New York City. "That an amendment to the by-laws be made Frank B. Storer, Holley, N. Y. whereby there shall be elected at the annual meet- John Edward Sutton, Albion, N. Y. ing three vice-presidents instead of one as here
John S. Tanner, New York City. tofore, these vice-presidents to be from different parts of the county, and to aid the president in ADDITIONAL LIST OF MEMBERS OF THE NEW arranging a scientific meeting in the section of YORK STATE MEDICAL ASSOCIATION. the county where the meetings shall be held.”
FIFTH DISTRICT BRANCH. Unanimously carried, but ordered to lay over until the next meeting.
New York County, Warren B. Chapin, New
York; William P. Healy, New York; Hubbard Dr. Redfield called attention to the meeting of Winslow Mitchell, New York; J. Hilton Waterthe Fifth District Branch to be held at New- man, New York; Percy Herbert Williams, New burg on the first Tuesday in February.
York; Brooks H. Wells, New York; Gessel A request from the chairman of the Publica Wolf, New York. tion Committee of the State Association for Orange County, Andrew Curtin Santee, Scotchpapers read at the County Association meetings town. was read by the secretary, also a request for some one to abstract from journals and write
LEGAL NOTES. editorials for the STATE JOURNAL OF MEDICINE There seems to be renewed activity in the diwas brought up.
rection of litigation wherein malpractice is Dr. Redfield called attention to the fact that a charged, for three cases are noticed for trial, surgical fee bill was under consideration, and that two in Utica and one in Niagara County at Lockmembers from different parts of the county were port, for Monday, January 2d. It is expected to furnish the secretary with copies of the fees that one of the cases will probably be disposed prevailing in those places, but as yet no one of, another will be put over until March to be had responded.
tried at Rome, and in the third the complaint The secretary called attention to the fact that probably will be dismissed. the annual meeting occurred in January, and The last action against one of the members of thought that a nominating committee ought to be the Association is brought by a woman against appointed. On motion, the president was author- Dr. G., of this city, for an alleged improper setized to appoint such a committee, the names to be ting of the shoulder; the woman
was subseknown only to him.
quently taken to the German Hospital and there Dr. Redfield reported that the condition of attended by physicians in that institution. The Dr. J. B. Hulett, of Middletown, who had been actions seem bound to involve the acts of several ill since an injury in a railroad accident in No- different physicians and surgeons. The answer vember, had so far improved as to permit him to in this case was served on November 26th. be out again.
So far during the month of December there The secretary then presented his resignation, to has been no action brought, all of which demontake effect at the annual meeting in January, states the power which this malpractice destating as reasons for such action that his extra fense is having in stemming this tide of malduties as secretary of the State Association, to- practice suits gether with private professional work, would During the month of November the severest compel him to relinquish the office. His resig- penalty for a first offense was imposed upon a nation was received and placed on file.
midwife, Anna Dintenfass, of West 23d street, There being no further business before the who was registered in the Board of Health under Association, adjournment
made until the name of Weill and also under the name of Wednesday, January 18, 1905.
Weiss, where a plea of guilty was interposed. (Signed) CHARLES I. REDFIELD, The sentence was thirty clavs in the City Prison
Secretary. in addition to a $150 fine. Usually these fines
for a first offense, where the plea is guilty, are
OBITUARY. $50 or $70. In this particular case, after the Dr. Clarence Sumner Elebash died at his home woman had served her term in the City Prison in New York City on Tuesday, December 20, application was made to the Court for a remis- 1904. Dr. Elebash was a graduate of the New sion of the fine on December 14th, which was York University, Class of 1891.
He was a opposed by counsel, but upon the promise of the member of the American Medical Association, husband of the woman and the woman herself The New York State Medical Association and to leave the State, the Court thought that the the New York Academy of Medicine. Association should be glad to get rid of the defendant finally and remitted the fine, and the
MEMOIR OF DR. EDWIN BARNES. husband and wife have actually both left the State.
BY IRVING DEYO LEROY, M.D. Another case is one where a fine of $100 or
Dr. Edwin Barnes died at his home at Pleasant sixty days in the Penitentiary was imposed upon Plains, N. Y., January 22, 1904. He was born a palmist by the name of Atwood; the defendant in Troy, N. Y., July 28, 1844. took the alternative and served her sixty days in
He was the son of Stephen S. Barnes and the Penitentiary. On December 19th two cases were disposed
Huldah Britton Hall. His preliminary education of, one against Chira, a palmist, who was ac
was obtained in the district schools at Hyde Park, quitted, and the other against Marcella Bryan, N. Y., and also at a private school taught by also a palmist, who received the severest sentence Rev. Sherman Hoyt. in the history of punishment of illegal practice
He began his medical studies with an uncle, of medicine, six months in the Penitentiary and
Camillus Hall, M.D., at Burlington, O., where a $50 fine. The severity of these sentences by the Court
he remained a year and a half. He then entered is bound to have the desired effect of checking the Albany Medical College, but in 1864, before this illegal practice.
his course was completed, he joined the army
as a cadet on the medical staff. He served in WAR ON HOODOO DOCTORS.
the Department of the Cumberland, of West The arrest of an east-side “wizard” at the Virginia and of the East, until mustered out, instance of the State Medical Association is an
February 3, 1866. In the meantime, his degree
of M.D. had been conferred upon him by the act for the protection of the gullible public Albany Medical College, December 28, 1865, against the wiles of occult imposture of which while he was on duty at the Ira Harris Central there should be more in a city where the char- Hospital. Ten days after his return home, he latan and the fakir of this order flourish and reap
began the practice of his profession at Pleasant
Plains, N. Y., where he has since resided. On a golden harvest.
November 13, 1866, Dr. Barnes married Miss This particular professor of the black art prac- Matilda, daughter of Truman Armstrong, who tised in a region where belief in sorcery is a race with a son and daughter, survives him. inheritance. He dealt in charms to avert the
He was a member of the Dutchess County baleful effects of the "evil eye" and charged
Medical Association, an original Fellow of The
New York State Medical Association, and a roundly for them. One customer had paid $70
member of the American Medical Association, atfor incantations and magic medicine. At such
tending the meetings frequently and always credulity on the east side the west side will smile. taking a lively interest in their welfare. But in doing so let it ask of itself how many
His funeral, which took place from the Prespatrons it supplies the palmist, the fortune
byterian Church at Pleasant Plains, N. Y., was teller and the necromancer located in a more
largely attended by members of the medical pro
fession and representative citizens. fashionable quarter, and how implicitly it puts One of his conspicuous characteristics was his confidence in the shuffling of a pack of cards to sympathy and tenderness in the sick room, perforecast the complexion of the husband-to-be or sonally administering to the wants of his patients. to determine at what date a fortune will be in
There are few physicians who possess more herited from the dark man.
completely the confidence of their patients than
he did, few will be more widely missed or so In Boston this fraternity has been sharply sincerely mourned. Deeply must all regret that dealt with. New York has unwisely treated their one so capable by culture and long experience of deceptions with greater tolerance.
doing good to his fellow-men should be taken nouncement by the counsel for the State Medical
away in the full development and fruitage of a Association of a crusade against hoodoo doctors
successful career. We can only explain such
mysteries by a reference to that Higher Power generally is good news.—The IVorld, Tuesday who controls every incident of the universe. Evening, December 6, 1904.
Requiescat in pace.
MEMORIAL-WILLIAM R. PRYOR, M.D. general practice preparing himself untiringly for
the special branch of medicine to which he deMr. President and members of the County
voted his life. In 1886 he was appointed clinical Medical Association of New York: The invita
assistant to the Chair of Gynecology in the Polytion extended to me to address you this evening, clinic, and, filling all the intermediate positions, commemorating the life of our deceased friend
he was in 1895 made full Professor of Gyneand fellow-member, William Rice Pryor, I ac
cology. cepted with great hesitation and I might say reluctance; not that the subject did not appeal to
During this time and until his appointment in all that is best in me, love of friend (and with
1893 to the staff of Charity Hospital, my acmy race that stands for a great deal), admiration quaintance with him was slight. I well rememof genius, and Dr. Pryor possessed it in a high
ber the first meeting of the Board at which he degree, application of genius with acquired
was present. Then the conditions in Charity knowledge to the solution of unsolved problems Hospital, now the City Hospital, were not what in his chosen career, and he was original and in
they are to-day. At each monthly meeting resodependently solved problems--yet I accepted re
lutions were passed and sent to the Commissionluctantly because I felt that though closely and
ers informing them of defects in management, of affectionately associated with him I cannot do
poor and insufficient equipment, of the impossibiljustice to the subject.
ity of giving to the city's wards the advantages Pryor was a lovable and sweet character to
of aseptic surgery, or properly nourishing them, those who knew him best. Introduced to the
owing to the inferior character and meagerness world at a most momentous and stormy period of
of the food supplied. As a rule, these resolutions the history of this country, just before the war
were received in a perfunctory manner and placed of secession, it often seemed to me that he ab
on file. At times they were told that the Comsorbed then, while yet unborn, that strong, un
missioners did not see that the necessities pointed compromising, defiant expression of what he be
out existed, or that the appropriation did not perlieved was right or wrong, that we all recognize mit the expenditure the improvements called for
. in the fiery and heated debates of that period.
I must say that the Board rather tamely subDr. Pryor was born in Richmond, Va. His
mitted to snub and reproof. This Board, confather, Hon. Roger Pryor, for many decades has sisting of men more or less distinguished in their been one of our most esteemed and distinguished profession, giving their time and scientific knowlcitizens. Indeed, I might say that few men in edge gratuitously to the care of the city's sick our country have had such a long, eminent and
poor, men of independence and courage outside spotless career. Minister to Greece in 1855,
of the Board meeting, from month to month, saw Congressman from Virginia in 1857 to the un
their recommendations ignored or they were fortunate secession of that State, a general in the
tersely told they were making demands unnecesConfederate army, sacrificing his all for what he
sary and absurd. This treatment, I blush to rethen believed to be right; passing through the
count, was submissively submitted to with an ocfrightful war with his family suffering priva- casional mild protest. Not so with the latest
addition to our number. tions now hardly credible, a prisoner in New
Though custom and York, yet like the phonix, rising from its ashes,
tradition assigned a modest part in the discuswe find him working his way through the legal
sions to the junior member, the abuses were so ranks in New York to be one of the leaders of flagrant and the neglect of the Commissioners so the bar and obtaining the ultima thule of legal
manifest that Dr. Pryor could not sit still, but ambition-a seat on the Supreme Court Bench.
arose and fiercely and fearlessly denounced the Paternity may be an accident. Maternity is a
system and appealed to his colleagues to stand certainty. William Rice Pryor had great reason
together and exact what the city was paying for, to be proud of the maternal side of his house, and
the best possible treatment for the sick poor. he always was. Many times he told me of all he
Though some criticized and advised against any owed to his mother : the sacrifices she made, the
friction with the all-powerful Commissioners, privations she endured to make opportunities for
that nothing would be gained by antagonizing him, the constant and ever dinning into his boy
them, I and others agreed with Dr. Pryor and ish brain the ambition for high ideals, the love
the friendship that was formed that day between of truth, of bravery and honor.
him and me increased and lasted to the end. After careful training at home and at prepara- Dr. Pryor, during his connection with the City tory schools in Virginia, young Pryor entered Hospital, was an indefatigable worker. In the Princeton University, where he was distinguished, care of his patients before and after operation he not alone in letters, but in athletics, and the same exhibited a zeal and a sacrifice of personal comlove of field sports remained with him to the fort that were peculiarly his own.
Most of you, end. I am informed, during his medical student gentlemen, are familiar with the cold, bleak career, he enjoyed the reputation of being a winds of a winter's night on the East River conscientious worker, holding a fair average between Blackwell's Island and 52d street. The position in his classes. He graduated from the run over on a launch was not comfortable. But College of Physicians and Surgeons in 1881 and many a night, with river full of ice and snow from Bellevue in 1882. For four years he did and sleet pelting straight in his face, Dr. Pryor
crossed in a rowboat to see the poor waif he had have not read it—there may be something in it operated on in the daytime and carry with him and, honestly, I should have read it." some delicacy the hospital diet-sheet did not af- His mind once made up as to his diagnosis and ford-physician and samaritan.
treatment then all his thought, all his energy were During this time was laid the foundation given to embodying that decision in action, absowhence sprung his success as a teacher, operator lutely free and untrammeled by doubt or misgivand writer. As a teacher, he was lucid, direct, ing. To those who differed from him and saw enjoying great facility of expression, with a only obstinacy in the strenuousness with which happy knack of conveying his knowledge with- he upheld his opinions and sought to enforce out being prosy or verbose. Though ordinarily them, he may have seemed intolerant, aggressive of a quick, nervous temperament, impatient and and prejudiced, but those who more intimately exacting from his assistants and nurses, before knew him, who were closely allied with him and operation, yet once the operation commenced, no who had opportunities to learn on how much steadier hand, no cooler, clearer head, no accident careful thought and observation and research flurrying him, full of expedient he was equal these opinions were based, could not fail to apto every emergency.
preciate the pains he took to be right, his breadth His colleagues of the Polyclinic in their reso- of view and original thought. lutions state he deserves the highest recognition I approach now what was to me a trying for his enthusiastic advocacy of the vaginal epoch and the final one in his career, his sickness route in the surgical treatment of pathological and carrying away.
and carrying away. I will deal lightly with it, conditions of the pelvic organs of women and though I feel deeply. In the late spring, the sympfor the very great skill and originality of his toms of the fell disease that proved fatal to him technique in this work-in fact, that he did more manifested themselves and with some hopeful than any other to exploit and make popular the periods intervening continued to the end. "Devaginal method in this country. His gynecology, tails are harrowing ; enough to tell you that Dr. published in 1903, describes fully his favorite Pryor, while wrestling with what he knew himoperations and is strongly marked with his in- self to be a hopeless issue, displayed a courage, dividuality. It was written when his health was fortitude and resignation that would cast a halo already being sapped by overwork, when the day on a martyr. Early in June he showed a marked was too short for his labors. I will not now improvement that inspired us with hope and he enumerate the many original operations that yearned for the country, for the mountains, the stand unquestioned to the credit of Dr. Pryor, lakes and the wilderness of Nature he so dearly his practically bloodless hysterectomy, the treat- loved. Believing that health and vigor would be ment of puerperal sepsis, a new and rapid method restored he insisted on going to his hunting club of dealing with intra-ligamentous fibro-myomota in the mountains of Pennsylvania-Bloomin—and here permit me to do honor to one who in grove Club—where he was so beloved, the most Pryor's lifetime had the manliness and sense of popular, keen and successful sportsman of the justice to give him credit for priority in the association. Alas, he was fated to be disappointtechnique of this operation-Dr. Howard ed. His first letters to me breathed hope, but Keilly, of Baltimore. One word more to prove soon he wrote, “Dear C. J., I am going down the scientific excellence of the man, a record of hill, I am growing worse.
I wish I could see one-third of 1 per cent. in vaginal hysterectomy you, but I am afraid of the journey. I am doing in pus cases. Mr. President and Gentlemen, this everything to get well, following instructions part of his career I leave where it will receive the closely, but, old man, I am afraid we are licked recognition it deserves, I leave it to medical in this fight." The same spirit, the same grit he history.
always showed. I went to Bloomingrove and If I were asked what was Pryor's chief char- found his condition desperate. I frankly went acteristic of medical excellence, I should say a over his case with him, showing the hopelessness tireless worker, an original thinker, logically of treatment where he was, the danger of transworking out his own conclusions, honestly believ- porting him to the city, pointing out the ading in them, defending them against all comers, vantages he would enjoy when there. He said: like the knights of old or the cavalier stock from “If you think I can stand the journey, I am whom he boasted his descent. Pryor did his own satisfied, but I would like to go to St. Vincent's thinking, evolving his own conclusions, un- Hospital and have Room 33; my favorite room.” answerable if his premises were correct, ever fear- Appreciation for every little attention, a chivalless in expressing them. Every point connected rous politeness to the good sisters who nursed with his chosen work commanded from the outset him, the fondest expression of affection and his earnest, concentrated attention. He de- solicitude for his dear wife and children marked voured and digested every work published touch- the last moments of my friend. ing on his own specialty. In this he was ex- "A fiery soul, which, working out its way, ceptional, in my experience extraordinary. Once Fretted the pygmy body to decay. at dinner he, in his abrupt manner, said to me:
And o'er informed the tenement of clay, "MacGuire, such a man has published a A daring pilot in extremity ; brochure on such an operation in gynecology, and Pleased with the danger, when the waves went high, though it amounts to nothing I am ashamed I He sought the storm."