CHAPTER X.-RULES OF CONDUCT. The principles set forth in the Principles of Ethics of the American Medical Association shall govern the conduct of members in their relations to each other and to the public.

CHAPTER XI.--RULES OF ORDER.

The deliberations of this Association shall be governed by parliamentary usage, as contained in Robert's Rules of Order, unless otherwise determined by a vote of its respective bodies.

CHAPTER XII.-COUNTY SOCIETIES

Section 1. All county societies now in affiliation with the State Association or those that may hereafter be organized in this State, which have adopted principles of organization not in conflict with this Constitution and By-Laws, shall. upon application to the House of Delegates, receive a charter from and become a component part of this Association.

Sec. 2. As rapidly as can be done after the adoption of this Constitution and By-Laws, a medical society shall be organized in every county in the State in which no component society exists, and charters shall be issued thereto.

Sec. 3. Charters shall be issued only upon approval of the House of Delegates and shall be signed by the President and Secretary of this Association. The House of Delegates shall have authority to revoke the charter of any component county society whose actions are in conflict with the letter or spirit of this Constitution and By-Laws.

Sec. 4. Only one component medical society shall be chartered in any county. Where more than one county society exists, friendly overtures and concessions shall be made, with the aid of the Councilor for the District if necessary, and all of the members brought into one organization. In case of failure to unite, an appeal may be had to the Council, which shall decide what action shall be taken.

Sec. 5. Each county society shall judge of the qualification of its own members, but, as such societies are the only portals to this Association, every reputable and legally registered physician who is practicing, or who will agree to practice, non-sectarian medicine shall be entitled to membership. Before a charter is issued to any county society, full and ample notice and opportunity shall be given to every such physician in the county to become a member.

Sec. 6. Any physician who may feel aggrieved by the action of the society of his county in refusing him membership, or in suspending or expelling him, shall have the

a majority, may permit him to become a member of an adjacent county society.

Sec. 7. In hearing appeals the Council judgment will best and most fairly present may admit oral or written evidence as in its the facts, but in case of every appeal, both as a Board and as individual councilors in district and county work, efforts at conciliation and compromise shall precede all such hearings.

Sec. 8. When a member in good standing in a component society moves to another county in this State, his name, upon request, shall be transferred without cost to the roster of the county society into whose jurisdiction he moves.

Sec. 9. A physician living on or near a county line may hold his membership in that county most convenient for him to attend, on permission of the society in whose jurisdiction he resides.

Sec. 10. Each county society shall have general direction of the affairs of the profession in the county, and its influence shall be constantly exerted for bettering the scientific. moral and material conditions of every physician in the county; and systematic efforts shall be made by each member, and by the society as a whole, to increase the membership until it embraces every qualified physician in the county.

Sec. 11. Frequent meetings shall be encouraged, and the most attractive programs arranged that are possible. The younger members shall be especially encouraged to do postgraduate and original research work, and to give the society the first benefit of such labors. Official position and other preferences shall be unstintingly given to such members.

Sec. 12. At the time for the annual election of officers each county society shall elect a delegate or delegates to represent it in the House of Delegates of this Association, in the proportion of one delegate to each twenty-five members or major fraction thereof, and the secretary of the society shall send a list of such delegates to the Secretary of this Association at least sixty days before the annual session.

Sec. 13. The Secretary of each county society shall keep a roster of its members, and a list of the non-affiliated registered physicians of the county, in which shall be shown the full name, address, college and date of graduation, date of license to practice in this State, and such other information as may be deemed necessary. He shall furnish an official report containing such information, upon blanks supplied him for the purpose, to the Secretary of this Association, on the first day of January of each year, or as soon

thereafter as possible, and at the same time that the dues accruing from the annual assessment are sent in. In keeping such roster the Secretary shall note any changes in the personnel of the profession by death, or by removal to or from the county, and in making his annual report he shall be certain to account for every physician who has lived in the county during the year.

Sec. 14. The Secretary of each county society shall report to the KENTUCKY MEDICAL JOURNAL full minutes of each meeting and forward to it all scientific papers and discussions which the Society shall consider worthy of publication.

CHAPTER XIII. AMENDMENTS.

These By-Laws may be amended by any annual session by a two-thirds vote of all the delegates present at that session, after the amendment has laid upon the table for one day.

REPORT OF THE COUNCIL.

To the House of Delegates:

In accordance with the provisions of the Constitution and By-Laws, we have the honor of submitting this, our annual report:

It is a matter of some congratulation that on the first day of September, 170 more of our members had paid their dues than had done so a year ago. This indicates greater activity by the hard-working secretaries of our good county societies. It does not mean that we have more members, but that we have more members in good standing. The problem of getting the members to pay their dues on January first when they are due, while real, is not our greatest one. Those who pay later, pay exactly the same dues as the ones who pay promptly, but they do not receive the JOURNAL during that period of the year before they pay, are not eligible for protect ion, by the medico-legal committee, are not eligible for reciprocity with any of the states with which Kentucky reciprocates, cannot be indorsed for appointment as insurance examiners; but after all, the real problem is to have each county society do such work as will cause its membership to be anxious to pay their dues at the proper time. After all the work and all the energy expended for the past fifteen years, we still have many counties whose societies are even yet paper organizations and the individual doctors in these counties are still "pegging along", barely realizing they are members of the profession, without receiving the great value that comes from organization in the attrition of mind against mind at the monthly meeting, and the opportunity of helpfulness that comes from doing real thinking and real work together.

It is a partial pleasure to report that the deficit in the operation of the JOURNAL reported last year is not only entirely wiped out, but that the JOURNAL for this year shows a net profit of $2,363.32. From this should be deducted $450.00 paid by the Jefferson County Society in satisfaction of its deficit of $858.38 for last year, leaving an actual profit of the JOURNAL for the current year of $1,913.32. It is important for the membership to realize, however, that this profit is in dollars and cents and that it indicates an actual loss in the value of the JOURNAL. Since the March issue we have been deprived of the Jefferson County number, which, while most expensive. was one of the most valuable parts of the work of the Association. The Jefferson County Medical Society is not only much the largest one, furnishing as it does about onesixth of the total membership in the State, but it meets so regularly, has such a splendid average membership and is scientifically able to conduct its scientific work in such a way as to make it available for the JOURNAL, that the full publication of its proceedings is of the greatest importance. The medical profession of Louisville can look back with becoming pride to the leadership which they have held, not only in State, but in national medical matters, for the past seventy-five years To maintain this leadership it is essential to them not only that they shall remain abreast of medical progress, but that they shall actually demonstrate to the profession elsewhere that they are worthy of confidence, both personally and as to scientific attainment. It ill becomes such a profession as composes the Jefferson County Medical Society to hide their light under a bushel. Unfortunately, the Association has not such financial means as would enable it to publish the full proceedings of the Jefferson County Society without doing an injustice to the five-sixths of the membership outside of that body. This most important matter is respectfully placed before the House of Delegates for its consideration. It seems clear that some equitable arrangement should be arrived at so that the profession of the State and the profession of Louisville may both have the benefit of the full scientific proceedings of the weekly meetings held in Louisville.

It is interesting to note that the treasurer reports a net cash balance of $5,983.70 this year as against $3.486.02 last year. The total assets of the Association on September 1st, 1915 are $8,140.64 as against $5,635.80 on the same date last year, showing a net increase of $2.504.84 for the current year.

Special attention is called to the report of the Medico-Legal Committee, indicating that attorneys' fees, court costs, and all other ex

penses have amounted during the fiscal year to $2,074.80, a decrease of $865.50 from last year. The report of this Committee will indicate the extent of the service rendered. From a careful survey of the suits of the eightythree cases which have been brought since the establishment of this Committee, the Council is of the opinion that the expenses of these suits, every one of them unjust and most of them mere blackmail, would have been five or ten times as much under the old haphazard way where they were defended by the individual doctor without assistance from an expert central office. We expected the expense to increase this year, and congratulate the Medico-Legal Committec upon the excellent services which it has rendered at a decreased cost to the Association. The Medico-Legal Committee was established in 1909. Its income and expenses for each year since its establishment is shown is the following tables indicating that it has practically been selfsustaining:

The experience of the Medico-Legal Committee has been of the utmost value to the profession. The individual members must understand the increased danger of malpractice suits and govern themselves accordingly. In every instance, now, as always, a patient should be told the exact truth in regard to possible dangers and complications from the condition from which the patient suffers, and a reliable and competent consultant should be called in every doubtful case. Before the establishment of the Medico-Legal Committee it had been commonly supposed that most malpractice suits were brought against surgeons and other specialists. On the contrary it has been found during the past six years that more than ninety-five per cent of the suits have been brought against general practitioners in the country or small towns.

The Council cordially commends the activity, wisdom, economy, and general effectiveness which has been shown by the MedicoLegal Committee and our counsel in the conduct of the important matters coming under their jurisdiction.

The net profit of $1,913, 32 for the JOURNAL for the current year is a matter of considerable pride, we feel sure. to the entire membership. Sometimes we believe every doctor in Kentucky realizes the value of the JOURNAL

to our membership and we feel sure that we have demonstrated that a medical journal may be conducted honestly and at the same time profitably. We have tried to keep cont stantly before our membership, and the income of the JOURNAL indicates that in this we have been successful, that this remarkable showing can not be continued without an even more effective support of our advertisers in the future, by the profession of the State. This statement is repeated from our report of last year, for the sake of additional emphasis. It is not a square deal for our members who are the owners of the JOURNAL and who get all the good there is in it, not to give our advertisers at least an equal opportunity. When one is purchasing something, he is urged to at least write to the advertisers in the JOURNAL and if he cannot give the best quality and the best price, that is his fault and not ours, but it is certainly up to us to give him an opportunity to do business with us, if he helps us to run a creditable JOURNAL. The importance of this to the individual member is emphasized by the fact that, after careful investigation, the Council is so sure that there is not a single firm among our advertisers which is not worthy of patronage, we stand ready to make good any money lost by one of our members, occasioned by a misstatement from any of our advertisers. So far as we know, no other medical or any other publication has ever made this practical guarantee of its advertisers. We accept no dishonest advertisers in our JOURNAL, and after five years' experience, we feel confident that our methods are perfected to a point where we will not be deceived, and are willing to relieve our members of risk in dealing with our advertisers and our advertisers products. If all of our members will adopt a plan already in force in many societies, of not only preferring those manufacturers and sanitariums which make their announcements through our own JOURNAL, but of calling the attention of all those who seek the patronage of the profession to the fact, we will not only have no difficulty in furnishing our members with a satisfactory organ, but within a few years we can develop a sufficient reserve fund to undertake the protection of aged physicians, and such other things as have been the dreams of our profession.

At the meeting of the Council in Newport last year, the contract for printing the JourNAL was let to the Times-Journal Publishing Company, incorporated, for two years on the following contract:

This contract made and entered into by the Kentucky State Medical Association, incorporated, party of the first part, and the Times-Journal Publishing Company incor

porated, party of the second part, witnesseth: That the party of the second part hereby agrees to publish for party of the first part the KENTUCKY MEDICAL JOURNAL on the paper of the quality furnished, the body of the JOURNAL to be printed in 10 point De Vinne type, the discussions and similar matter to be in 8 point De Vinne type, not more than onethird of each issue to be advertising matter, set by hand, each Jefferson County issue to consist of 48 pages, 2,500 copies in consideration of the sum of $160.00 per month; and each regular issue to consist of sixty-four pages, 2,500 copies, in consideration of the sum of $200.00 per month, or eighty pages, 2,500 copies, in consideration of the sum of $250.00, or of ninety-six pages, 2,500 copies, in consideration of $300.00 per month. It is further agreed that the party of the second part agrees that the JOURNAL shall be mailed to the members before midnight on the 26th day of the month preceding issue, subject to a penalty of ten dollars ($10) for each twenty-four hours, or fraction thereof delay.

It is further agreed that one-third of the copy of the Jefferson County number shall be in the hands of the printer on the 26th day of the month preceding issue, one third on the 1st day of the month of issue, and the remaining one-third on the 5th day of the month of issue; the advertising forms to close on the 1st day of the month of issue.

It is further agreed that one-third of the copy for the regular number shall be in the hands of the printer on the 5th day of the month before issue, one-third on the 10th and one-third on the 16th day of the month before issue.

It is further agreed that the copy shall be correct, and the party of the second part agrees to pay twenty-five (25) cents for each typographical error not contained in the copy, galley proofs and page proofs are to be submitted to the editor, and it is agreed that it shall be read and returned within twenty-four hours after its submission.

It is further agreed that the second party shall furnish envelopes, the return card to be printed on same at the rate of $1.00 per thousand which shall be addressed by the first party, and the JOURNAL shall be put in envelopes and mailed by the second party.

It is further agreed that this contract is to be continued for two years, beginning this, December 1st, 1914.

Witness our hands and seals this day and date above named.

KENTUCKY STATE MEDICAL ASSOCIATION (Inc.)

By E. RAU, Chairman Council. TIMES-JOURNAL PUBLISHING COMPANY, (Inc.) By W. J. DENHARDT, Manager. We have had the reports of the Secretary

and Treasurer audited by Mr. B. P. Eubank, Public Accountant, of Bowling Green, Kentucky, and submit his report herewith.

It will be noted again this year, as for the past seven years, that each item of expense and income are set forth so plainly, that not only every county society and its Delegates, but every member of the Association may know the details of our business affairs which are of interest and importance to every one of us. The Council and your officers will continue to work with the most careful attention to its every detail. It is to be remembered at all times that we are entirely under the control and direction of the members of the county societies through their duly elected delegates. If anything is being done wrong, if there is any way of improving it, if newer methods or better management will more nearly accomplish the purpose of this Association, we beg that it be submitted to the House of Delegates for its action at this session so that in the future conduct of the affairs of this Association we may best promote the purpose set forth in its Constitution and charter "to federate and bring into one compact organization the entire medical profession of the State of Kentucky, and to unite with similar associations in other states to form the Amercan Medical Association with a view to the extension of medical knowledge, and to the advancement of medical science; to the elevation of the standard of medical education, and to the enactment and enforcement of just medical laws; to the promotion of friendly intercourse among physicians, and to the guarding and fostering of their material interests; and to the enlightenment and direction of public opinion in regard to the great problems of state medicine, so that the profession shall become more capable and honorable within itself, and more useful to the public in the prevention and cure of diseases, and in prolonging and adding comfort to life.”

Respectfully submitted,

ERNEST RAU, Chairman.

A Simple Prophylaxis Against Lousiness.Eyesell recalls the old observation tha tworkers in sulpher mines escape malaria. It is now easy to see that mosquitoes could not exist in the presence of sulphur vapor which contains more or less hydrogen sulphide. The author now proceeded to dust precipitated sulphur over all body linen and underwear. Garments were reversed and the sulphur brushed in with special reference to seams, ete. As thus applied the sulphur is presumably inert, but when the garments are worn the perspiration activates the sulphur. The latter is also efficacious against bedbugs, fleas, stinging diptera and other vermin.-Muench. Med. Woch.