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OFFICIAL ANNOUNCEMENTS

MINUTES OF THE GENERAL MEETING
OF THE SIXTY-FIFTH ANNUAL SES-
SION OF THE KENTUCKY STATE
MEDICAL ASSOCIATION, HELD
AT LOUISVILLE, SEPTEMBER
21, 22 AND 23, 1915.

SEPTEMBER 21, 1915.-MORNING SESSION. The Association met in the First Christian Church and was called to order at 9:30 A. M., by the President, John J. Moren. Louisville.

Prayer was offered by Dr. E. L. Powell, Pastor of the First Christian Church.

PRAYER BY DR. POWELL

We thank Thee, our Father, for this meeting of men whose lives are consecrated to the healing ministry. We thank Thee for the sense of obligation no less than the privilege which they feel in giving their talents and their powers to this high work. We pray they may be brought consciously under the influence of their noble calling, and that they may link it up with Thine which is divine, for surely the impulses of these men to give themselves to such work are heaven-born, and all the work of training for this ministry must be done conscientiously with reference to the great good, the benevolent and beneficient good which can be wrought through this ministry. We thank Thee for the presence of this Kentucky State Medical Association, meeting in this place under these auspices, giving to all of us an uplift that perhaps otherwise would not come to us in view of our environment. We pray for the services here, the sessions that are to be held here, and that they may be of such profit and of such pleasure that these men shall go forth from this place and from this city under the influence of higher conceptions of their work, and with a greater and finer resolution give themselves whole-heartedly to this splendid ministry. We ask Thy blessing upon all of us as we try to bring ourselves into relationship with Thee. We know that all work, if it be honest work, if it be work done in the name of humanity, and in the interest of humanity, is sacred work, and we ask that Thou wouldst impress upon the medical profession a sense of the sacredness of this work in which they are engaged. We come to ask for the forgiveness of our sins; we pray that they may be brought into closer relationship with all that is true and beautiful and good, and we ask Thy benediction upon all of us, and finally, after we have done our work, as best we can, conscious of our limitations and weaknesses, may we renew our services under different conditions and under

a new sense. We ask all this in the name of Jesus Christ, our Lord. Amen.

THE PRESIDENT: The Sixty-fifth Annual Meeting of the Kentucky State Medical Association is now open and ready for the regular program.

The first thing in order is an Address of Welcome by Dr. Curran Pope, of Louisville, a man who needs no introduction to this audience. (Applause.)

ADDRESS OF WELCOME BY DR. POPE Mr. President, Ladies and Gentlemen of the Kentucky State Medical Association:

You do not know what a pleasure it is to me to be permitted to-day to stretch forth my hand, as did Paul, and welcome you in our midst. Louisville and Kentucky have reason to be proud of this medical organization, composed of men who are earnest in their efforts, to attain the highest possible scientific work and, at the same time, to uphold all of these tenets that have ever marked medical men in social intercourse with their fellow beings. We have to stop for a moment and realize the wonderful value of an organization like this. Stop and think for a moment of what practical educational value it is to each and every one of you to come once a year to these meetings and refresh not only your older knowledge, but the acquiring of all the newer knowledge that is presented to you at each and every meeting. You not only occupy the position of a member of this Association, but you are in your turn an educator of the public, and an educator of the individual, for the doctor, at all times, is placed in such a position that his influence and power are ever that of educator as well as adviser. It is largely through the influence the influence of the organized bodies of medicine that the medical student has been raised to the level of a better education, both scientifically and otherwise, and, it seems to me, that at all times, an institution of this character should be backed up with the strength and the power of its body politic in all of those measures that have to do with the general education of the public and the broader education of the individual.

We see what has been accomplished in tuberculosis by the force of the educational propaganda put out by the medical associations and by medical men as individuals. The doctor in his community, as a rule, exercises a great deal of influence with the lawmakers and incidentally in law-making. All of us have doubtless realized the uselessness, the futility of law-making where there is not back of it the sentiment of the community, and it is this sentiment in the community that you physicians should, at all times, exercise in its bearing upon the law-maker and in shaping

the making of laws. Law-making should be rather a practical matter than a theoretical

one.

The practical needs of medicine to-day make it necessary that laws should be enacted, in order that county health officers may be put in each and every county of the State; and our common sense and fine scientific knowledge show that it is useless to try and make eugenic laws. Laws based upon laws in medicine are all right, but as we have to-day only a mass of data and no laws of heredity, it would be almost impossible to formulate a eugenic law that would be worth the name. Physicians must put forth their power and exert their efforts along practical lines, realizing that it is better to obtain the working needs of the hour rather than to try and put upon the statute books laws that have their basis in, not science and fact, but sentiment. Never should we forget that the millenium is not coming as yet.

I welcome you to Louisville, first, in the hope that the communications, both scientific and social, between you will be for your benefit, for your intellectual uplift, and for all those things that the real and true physician seeks, and each and every one of you, loving this Association, at all times and upholding its tenets, should look for the day when you can with truth and interest write upon the medical banner of the State, that each and every physician in each and every county is a member of the Kentucky State Medical Association. (Applause.)

Gntlemen, you are agents de facto, and you should certainly feel the responsibility and see to it that none of the lost sheep are left without the fold. Remember, that as doctors, or better still, physicians, that each and every one of you is a center for the propagation of and the upholding of all those tenets, not alone in medicine, but those that go to make up the social fabric, the political fabric and the moral fabric, and that any man who is not aligned in this direction and under this banner is derelicit to the highest ideals of the profession that he represents. The doctor has, is, and always will be like the Nazarene, a man of peace, and it is to be hoped that some of this influence may possibly be exerted to prevent the terrible horrors, the terrible sacrifices, and the unhappiness that fall and follow in the wake of war. Ever, from time immemorial, has the doctor been not alone a man that did not wish for war and slaughter, but he has ever been an individual upon battlefields and in hospital that has ministered to the saddest parts of great strife, and medical men should continue at all times, to stand opposed to everything that constitutes the bru tality of war. (Applause.)

Louisville is a city that promises you a diversity of entertainment, and we will positively assure you that you shall not suffer from the monotony that a certain physician suffered from who went up to Rochester, Minnesota, recently. He said that shortly after leaving the station he saw Mayo street, and then he saw Mayo Park; he saw the Mayo Clinic, the Mayo Hospital, the Mayo this and the Mayo that. He saw the Mayo Foundation, until his patience was stretched just a little bit, and longing for solitude, he wandered toward the edge of town and ran across a measly kitten. The kitten so coincided with his personal feelings, that he began to stroke the back of this little kitten and finally said, "Whose little kitten are you?" and the kitten replied, "May-ew!" (Laughter.)

We promise you in Louisville that there will be no such monotony, but an absolute diversity at any and all times.

In the name of the Jefferson County Medical Society, whose guests you are; in the name of the City of Louisville and of Jefferson County, Kentucky. I welcome you. In her behalf I extend to you the best of wishes for a useful and happy meeting, full of succulent and scientific food and cheer, such as only true hearts and gallant courtesy can extend We welcome you to your labors, scientific and heavy though they be, yet are no doubt the labors of Cupid and Psyche rather than those of Hercules. When you have learned and profited by the many excellent essays on your program, let me warn you that we have prepared a feast for you in the presence of your friends, where, amid the clanking of silver. the clinking of glasses and silver-tongued oratory, we will extend to you a Kentuckian's welcome to a Kentuckian, and hope that among these surroundings the night will be filled with gladness and the clouds that infest the day,

"Will fold their tents like the Arabs,
And silently steal away."

(Loud applause.) THE PRESIDENT: To respond to the Address of Welcome, I take great pleasure in man who calling upon Dr. W. L. Heizer, a needs no introduction to this audience. (Applause.)

RESPONSE TO THE ADDRESS OF WELCOME BY DR. HEIZER.

Mr. President, Ladies and Gentlemen of the Kentucky State Medical Association.

On Saturday last your efficient Secretary walked into my office and said, "I have been delegated by the Council of the Kentucky State Medical Association to ask you to respond to the Address of Welcome. I said. "Who is to deliver the Address of Welcome?"

He replied, "Dr. Curran Pope of Louisville." "Well," I said, "The Council in its wisdom has decided after firing its forty-two centimeter gun to light a firecracker." "Yes," he replied with more candor than is his usual custom. The Council desires to bestow added honors upon the Jefferson County Medical Society and Dr. Pope by contrast," so I am the goat. (Laughter.)

On a hot July morning in 1912, after three or four hours' ride over the mountainous roads of McCreary County, I rode up to a little log cabin with a board roof, a rusty stovepipe sticking out at the top, and was greeted by fifteen breeds of dogs represented in two mongrels, and welcomed by a big mountaineer who met me at the gate and gave me one of the sincerest invitations which I have ever received. He said, "Howdy Won't you light, come in, set down and rest and git yer dinner? Can you beat it? (Laughter.)

Dr. Pope, in his address, couched in the most masterful English which he commands, has reminded us of our ideals. He has shown our obligations to the people, to ourselves, and to the Association. He has set before us the high standard which we must attain, but through it all I seemed to hear repeated the sincere, warm welcome of that mountaineer, "Howdy! Won't you light, come in, set down and rest and git yer dinner?" We will glad ly do that for several reasons. We have brought our wives, sweethearts and mothers and daughters with us we want you to meet them socially and learn to appreciate them as we have learned to do. Again, we recognize that in the medical profession of Jefferson County you have a great many good, great men, and we have had enough experience to know that behind every great, good man there is a greater and better woman. We want our women folk to meet yours, that ours may be benefitted thereby and perhaps their task of keeping us out of mischief and making us better men may be made easier thereby.

And again, our women folk want to parade up and down your thoroughfares of trade, peep in at the wonderful shop windows loaded with beautiful things, make mysterious excursions into the innermost recesses of your large department stores. I am sure many of us will have a common experience this night. You will walk into the Seelbach Hotel, step

into an elevator and be whirled to the nth floor and as you push open the bed room door you will find it dimly lighted with a sort of soft, "in the gloaming" effect. This has been dexteriously achieved by your wife's turning off the central ceiling light and hanging a bath towel or one of your socks over the bracket light. From the shadowy depths there will emerge the most charming of all wo

men, your wife, her hair done up extra nice, her face evenly powdered and her gown more becomingly arranged than usual. She goes softly up to you and lays her hands gently upon your shoulder and looking up into your eyes with that delightful lovelight which you become to suspicion is artificial, she makes a few speeches in that wonderful voice which she knows how to assume upon special occasions. You begin to be suspicious that something is going to happen. You are sure when you look down at her lips puckered sweetly waiting for the usual salutation, and count. the folds of the mucous membrane, that your suspected diagnosis is confirmed. A financial pucker! You match this with one that is entirely different from the one you gave her at the real puckering time, and without being too hurried, so as to avoid a rude awakening, you reach your hand down into your trousers pocket and say gently, "Pardon me, my dear, for passing from the sublime to the ridiculous, but how much may I have the pleasure of giving you to buy that new fall suit and hat. With the sweetest expression in the world and with well assumed surprise she asks, "You dear darling! How in the world did you ever happen to know that I had thought of such a thing?"

The next day as you are strolling down the streets you pass by McCauley's and think of have had in the the pleasant times you "roost," passing by the Avenue you can almost smell the smoke and powder of the wonderful melodramas of by-done days, and you think of the good time the other boys had at the zoo at Second and Jefferson. You pass by a shop window and look at a perfectly magnificent pair of trousers "Ninety-nine cents a leg;" you look down at your own frazzled pair, feel of your empty purse, think how beautiful your wife looks in her new suit and hat and decide that she will look a great deal better by "contrast" if you will wear your old pair. Likewise, you will pass by a show window full of shirts marked down to forty-eight cents, and for consolation go into one of your soft drink stands where they sell soda water. limeades, sweet milk, buttermilk, gin fiz-I mean ginger ale. I see one of my extra dry temperance friends shaking his head ominously as if I were going to make some preposterious suggestion. I was once instructed by a drunken man with whom I had gotten

into an argument concerning the scriptures to go out and sleep with a calf and learn something by absorption. You do not have to drink anything alcoholic in Louisville. You can get it by absorption, breathing it in. In certain districts here in town as you pass through you get the impression that you are being anesthetized with the old A. C. E. mix

ture with chloroform and ether let out. (Laughter.) But, gentlemen of the profession, we have seen a great change in that sort of thing. I am told that in years gone by a large per cent of the membership would get under the tables at the banquets. In eight years I have only seen three of our men under the influence of too much liquor. The medical profession has developed to the point that this sort of thing has gone out of style. (Applause.) I think we have no occasion for fear or uneasiness on that score, because we are not going to drink too much of what we should not drink; we are not going to see the things we should not see; and we are not going where little white kittens ought not to go, because our mothers, our wives and daughters are here, if not in person they are here in spirit which is the most hallowed presence of all.

We are glad to come here to meet with the leaders of the medical profession so that we can have our views criticised or approved. We expect to get intellectual refreshment and a mental feast. We are glad to come here because since we met in this city three years ago the great Louisville University has been enlarged, its teaching force augmented, its usefulness demonstrated, and it has added excellent laboratories with a fine equipment. The University now has alltime, well trained, well paid men, and we want you to know that the medical profession of Kentucky is behind the University of Louisville to a man. (Applause.) We are now glad to send our brothers and sons and friends to this Institution, realizing that in it medical education second to none in this country can be secured. We are going to support you in every way we can in the efforts to get financial aid from the State legislature in order that this great Institution of medical learning may be put upon a permanent and more satisfactory basis. Again, we are glad to come to Louisville to take advantage of the opportunity to see the great Louisville City Hospital. All of us know of its efficiency, but many of us have not had the opportunity to see its wonderful construction and adaptability of caring for the needs of the sick; and as we study its structure, its usefulness, its purposes, we cannot help but say that it is a concrete expression in brick and mortar and iron of the desires of the medical profession to serve unselfishly the people in the matter of protecting their health and lives, and that this expression is a voice from the Jefferson County Medical Society for "We know what master laid thy keel, What workman wrought thy ribs of steel, Who made each mast and sail and rope, What anvils rang, what hammers beat, In what a forge and what a heat Were shaped the anchors of thy hope."

The Kentucky State Medical Association is ready to acknowledge its debt of gratitude for this altruistic unselfish work of that great master and workman, doctor, surgeon, and fitting representative of the Jefferson County Medical Society, Dr. Ap Morgan Vance.

And so, Dr. Pope, recognizing the sincere and cordial expressions of welcome from you, appreciating the lofty aims which you have set before us, we seem but to hear the simple and hearty greetings of that splendid mountaineer, "Howdy! Won't you light, come in, set down and rest, and git yer dinner?" Our answer to that, gentlemen of the Kentucky State Medical Society, is that "We will, thank you, sir, we will."

THE PRESIDENT: I want to assure you, that your President. your retiring President, will not bore you with any address. There is only one thing I want to say, gentlemen, and I would like very much indeed to say this. namely, that the Kentucky State Medical Association in some way or other should support, advocate,or try and deveolp a means by which they can secure a postgraduate course at the University of Louisville. (Applause.)

Dr. Pope has mentioned education. I am in favor of medical education. There are a lot of us who do not have time to keep abreast of the new things in medicine. It is almost impossible to do that; yet if we could go to an institution of some kind and get a review of two or three days of the new things, it will be great help to us.

At the Newport meeting I suggested a course on fractures, and through the kindness of the University we succeeded in having that. The success of that was beyond our expectations. Men want it, and I am quite sure it can be arranged through the University and it will be a good thing. Tath is the only thing I ask you to consider as far as I am concerned. It is the only remark I have to make to you as your retiring President, unless it be, I fear the doctors of the State do not appreciate the value of the Medico-Legal Committee and the benefits they derive from it.

ant.

My work as President has been very pleasI have not had any strenuous duties to perform other than to sign checks. My only regret is that the checks did not come to me; they came to me to sign them, and then I sent them away. Otherwise, I have had very little to do, and many of the little things that have come to me have been only a pleasure to do. I feel that I was working for my fellow doctors, as good fellows as have ever lived, as fine a body of men as has ever lived in the State of Kentucky. They are the best fellows in the world; but unfortunately we throw a little mud at each other once in a while that we

should not do. Please, do not do that! (Applause.)

THE PRESIDENT: The Address of the President will be delivered to-night at the Seelbach Hotel, and the Committee of Arrangements will tell you about the entertainment that has been furnished for that evening. So at 8:15 tonight, you will hear the Address of the distinguished physician, your President, Dr. J. W. Kincaid, who will now take the Chair as President of the Kentucky State Medical Association. (Applause.)

PRESIDENT KINCAID: Gentlemen of the Kentucky State Medical Association: It affords me greater pleasure than I am able to express to be with you to-day in the capacity, which I am now assuming, as presiding officer over your deliberations. Remarks that are generally appropriate to such an occasion will be delivered to-night at the entertainment at the Seelbach Hotel. The Secretary says that ladies are especially urged and requested to be present on that occasion; that the entertainment is as much for their benefit as it is for the members of the Association. So it is to be hoped that all of the members who have. brought ladies will bring them out to-night, and those who did not bring ladies with them may, as in the days when various medical colleges existed here, bring their acquaintances with them. (Applause.)

We will now have a report from the Chairman of the Committee of Arrangements, Charles W. Hibbit.

C. W. HIBBITT: I will tell you that we have tried to arrange to fill up your hours. As the President stated, the President's address has been changed from this morning to to-night at 8:15 at the Roof Garden of the Seelbach Hotel. Following the President's Address we will have some specially selected moving pictures, and I hope you will ail enjoy them. We particularly ask that the ladies be present.

At 2:30 P. M., on Wednesday the ladies will go on an automobile trip and will return to the city at about 5:30 or 6:00 P. M. At 8:00 P. M., the ladies are expected to meet ir the parlor of the Seelbach Hotel and be escorted by the Ladies' Reception Committee to the theater.

Wednesday at 7:00 P. M., we will have a banquet at the Seelbach Roof Garden, which will be given to the visiting members of the Kentucky State Medical Association by the members of the profession of Jefferson county. This banquet will be entirely informal, and we expect you all to be present.

Any further special arrangements we may have will be placed on the blackboard from time to time. (Applause.)

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B. W. Wright, Bowling Green, followed with a paper on "Lobar Pneumonia."

These two papers were discussed together by Drs. Barbour, Tuley, Solomon, Anderson, Hermann, Shirley, Burnett, Boggess, Reddick, Dixon. Stewart, Collins, and the discussion closed by the authors of the papers.

O. O. Miller, Louisville, read a paper entitled "A Plea for the More Thorough Examination of Patients Presenting Symptoms Referrable to Tuberculosis."

Discussed by Drs. Wilson, Morrison, Curry, Weidner, Reddick Simpson, McCormack, Lock, Mudd, Richmond, and, in closing by

the author of the paper.

O. P. Nuckols, Pineville, delivered the Oration in Medicine, on the subject "To-day and Yesterday in Medicine."

On motion, the Association adjourned until 2:00 P. M.

FIRST DAY AFTERNOON SESSION. The Association re-assembled at 2:00 P. M., and was called to order by the President.

B. J. O'Connor, Louisville, read a paper entitled, "Medical Treatment of Incomplete Abortion," which was discussed by Drs. Speidel, Atkinson, and in closing by the essayist.

J. W. Pryor, Lexington, read a paper entitled, "Some Observations on the Ossification of the Bones of the Hand," with lantern demontsrations.

T. W. Moore, Huntington, West Virginia, read a paper (by invitation) entitled, "Facts in Ophthalmology Essential to the General Practitioner," which was discussed by Drs. Dahney, Ray, Scott, Bledsoe, Wells, Carpenter. Pfingst, and discussion closed by the essayist.

M. L. Ravitch, Louisville, read a paper entitled, "Commoun Sense in Dermatology." N. T. Yager, Louisville, followed with a paper on "Focal Infections.”

This paper was discussed by Drs. Ravitch, Moren, Casper, Purcell, Anderson, Miller, and in closing by the essayist.

L. S. Givens, Cynthiana, read a paper entitled "Complications of Middle Ear Suppurations," whcih was discussed by Drs. Thomasson, Biedsce, McClure, Reynolds, and discussion closed by the essayist.

C. A. Moss, Williamsburg. contributed a paper upon "The Head Cold; Parts Involved and Some of the Results."

Discussed by Drs. Lederman, Dabney, Kincaid, and in closing by the essayist.

C. E. Purcell, Paducah, read paper entitled, "Diseased Tonsils; What Shall We Do With Them?"

Discussed by Drs. McClure, Dabney, Rey

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