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nolds, Thomasson and discussion closed by the essayist.

A. E. Stevens, of Mayfield, read a paper on "The Harrison Law," which was discussed by Drs. Owsley, Atkinson, Blackburn, Seaggs, Cassady, Bush, Frazer, Mudd, McCormack, Edelin, Board, and, in closing, by the essayist. On motion, the Association adjourned until 9:00 A. M. Wednesday.

WEDNESDAY, SEPTEMBER 22, 1915.-SECOND

DAY-MORNING SESSION.

The Association met at 9:00 A. M., and was called to order by the President.

J. B. Mason, London, read a paper entitled, "Roentgen Ray in the Diagnosis of Bone Lesions," which was discussed by Drs. Keith, Aud, J. B. Murphy, and the discussion closed by the essayist.

CYRUS GRAHAM: We have with us today a Kentuckian who is the oldest living exPresident of the Kentucky State Medical Association, who practiced medicine fifty years ago in our State, and is honored and respected wherever he is known and presided over this Association at the dedication of the McDowell monument-Dr. Todd, of Owensboro. I move he be invited to take a seat on the platform. (Applause.)

Motion seconded and carried.

THE PRESIDENT: All Kentuckians are delighted to honor members of their own profession who have attained positions of eminence and pre-eminence.

I will appoint Dr. Graham to escort Dr. Todd to the platform.

C. H. TODD: Gentlemen of the Kentucky State Medical Association: I feel honored in being before you today. I can hardly realize that twenty-seven years have elapsed since I was elected President. In that time I have practiced medicine and am doing so to-day. I thank you. (Applause.)

W. Hamilton Long, Louisville, read a paper on The Limitations of Nitrous Oxid-Oxygen in Surgery and Its Recent Use in Obstetrics, which was discussed by Dr. Speidel, and, in closing, by the essayist.

W. L. Gambill, Jenkins, followed with a paper on "Surgery of the Infected Hand, which was discussed by Dr. Carpenter, and the discussion closed by the author of the pa

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creations and activities of this Association in its broad and largest sense. Colonel Maus wants to know every one of you individually. He needs your aid in helping to solve one of the greatest problems we have in Kentucky to-day, and I ask unanimous consent that Colonel Maus be given time to speak to this splendid audience so that you can know him better.

Motion seconded and carried.

COLONEL MAUS: Mr. President and Members of the Kentucky State Medical Association: I feel it a great privilege to have the pleasure of meeting you here under such favorable circumstances. Although a Marylander by birth, I feel I am no stranger to Kentucky, because about forty years ago I

was stationed in Frankfort as a medical officer at the time when the Yandells and Rogers and Miller and many famous men of your city, who have passed away, were in the zenith of their glory. One of the most important events of my life that has moulded my course more than anything else is, I took unto myself one of Kentucky's fairest women as a bride, and I assure you, although forty years have passed away, that wherever she has gone, whether at home or abroad, she has added to the luster and fame of her glorious state. (Applause.)

I really feel honored in having been appointed Secretary of this Tuberculosis Commission, although I must say it did not come of my own seeking. I have been retired from the active list of the United States Army after forty years of service, and I have been interested in the great health problems of our country, and wherever I have been it is my intention to take a deep interest in one of the greatest health problems of your State, namely tuberculosis, which, I am sorry to say, is more or less neglected throughout the entire United States.

I have been but a few days in this position, and I have not informed myself as well as I should have done as to what is being done here. From twenty-five to thirty thousand cases of tuberculosis exist here, with a death list of five thousand cases each year. Kentucky stands about third in the Union in proportion of deaths per hundred thousand from this cause. I am sorry to say the activities of the State have been small indeed. I have studied the question somewhat throughout the United States in the years past; I find many of our states, large and small, have done a wonderful amount of work along tuberculosis lines. Even small cities have been spending millions of dollars in this worthy cause. You are all aware of the Tuberculosis Act and its scope and prerogatives. I am sorry to say, that very little has been accomplished beyond

that of publicity in the State, although the Commission was authorized to ask the Fiscal Courts to build sanatoria in the various counties and districts. It is a great problem of how to handle tuberculosis in every state. You cannot handle it by one means alone. It is hoped that we will have well organized county and district sanatoria. It may be well to organize some state sanatoria, but we do know that the first thing is to make the people of the State acquainted with the dangers of the disease. Eighty per cent. of the cases in this State belong to the ignorant classes who know nothing whatever of this disease, and they are rotting away and poisoning their neighbors with this disease. In the homes mothers with tuberculosis sleep with their children, so that the elementary work on tuberculosis has scarcely been begun in this State. Very little has been done beyond sending visiting nurses to centers where it was the worst, with a view to trying to enligthen the people and to organize health societies for its amelioration. We hope after a little while Kentucky will wake up. I want to meet the phyisicians of Kentucky; I am a physician

myself; I am the son-in-law of a Kentuckian and practically your brother-in-law, and every Kentuckian here who is a son of the State is practically a brother-in-law of mine as far as the profession of medicine is concerned and by my connection with the State through marriage. Therefore, I ask you to assist us in this great work. The Governor of the State and all members of the Commission are anxious to do something.

I thank you for allowing me these few minutes to speak to you, and I am very glad to meet with you all. I hope to be able to shake hands with all of you in your own counties at your own homes and get better acquainted with you. I ask you to help me and your State and the people in cleaning up this State. If we can reduce the death rate from tuberculosis fifty per cent. in the next four or five years if we all set our hands to the wheel. I thank you very much. (Applause.)

John R. Wathen, Louisville, read a paper entitled, "The Present Status of the Surgical Treatment of Goiter," which was illustrated by numerous slides.

The paper was discussed by Drs. Jno. B. Murphy, Sherrill, Spaulding, and Hume.

J. T. McClymonds. Lexington, read a paper on "Medical Aspect of Diagnosis and Treatment of Gastric and Duodenal Uleer."

J. G. Gaither, Hopkinsville, delivered the Oration in Surgery. He selected for his subject, "A Plea for Uniformity of Treatment in Undoubtedly Surgical Diseases."

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

SECOND DAY-AFTERNOON SESSION.

The Association re-assembled at 2:00 P. M., and was called to order by the Secretary in the temporary absence of the President.

M. Casper, Louisville, read a paper on "Gastric and Duodenal Ulcer; Surgical." W. W. Anderson, Newport, read a paper on "Digitalis; Its Indication and Manner of Use."

Discussed by Dr. Askenstedt.

Hon. Fred Forcht, Louisville, read a paper entitled, "The Legal Status of the Physician and Surgeon.

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J. N. McCORMACK: I move that the thanks of the Association be tendered to Mr. Forcht for his able paper and for his fidelity and the ability he has displayed in managing the affairs of the Association in his particular field.

Motion seconded by several and carried unanimously by rising vote.

W. W. ANDERSON: I would like to make a further motion in regard to this paper, namely, that we recommend to the Editor that and that our members call attention of their it receive early publication in THE JOURNAL, borther physicians at home to this article when they return and when it is published. Seconded and carried.

W. S. SANDBACH: Inasmuch as THE JOURNAL is only mailed to the members of the Association, and these remarks are of unusual interest to non-members as well as members of the Association, I would like to suggest that our Secretary mail a copy of the issue containing Mr. Fercht's paper to every physician in the State, whether he be a member or not. Seconded and carried.

J. T. Reddick, Paducah, read a paper entitled "Difficult Presentation, which was discussed by Edward Speidel.

Edward Speidel. Louisville, gave a demonstration in obstetrics, using many splendidly selected lantern slides.

John B. Murphy, Chicago, a distinguished honorary life member, gave a talk on "Fractures, which was illustrated by numerous lantern slides. Upon motion, and amidst applause, by a rising vote, the thanks and gratitude of the Association were extended to Dr. Murphy.

G. S. Hanes, Louisville, followed with a paper entitled. "Importance of Posture in Diagnosis, Operations and Treatment of Lesions in the Rectum and Sigmoid," which was illustrated by lantern slides and motion pictures.

THE PRESIDENT: The thanks of the Association are due to Dr. Hanes for this original and unique way of demonstating to the members of the Association the latest methods of rectal specialists.

A. H. Barkley, Lexington, read a paper entitled, "A Brief Review of the More Conservative Surgery of the Female Generative Organs."

These two papers were discussed together by Drs. Carpenter, Mathews. Sherrill, Graham, Stewart, Asman, Frank; after which the discussion was closed by Dr. Barkley.

At the evening meeting held at the Seelbach Hotel, President Kincaid delivered his Address.

On motion, the Association adjourned until Thursday, 9:00 A. M.

SEPTEMBER 23, 1915-THIRD DAY-MORNING SESSION.

The Association met at 9:30 A. M., and was called to order by the Vice President, C. L. Heath.

Curran Pope, Louisville, read a paper entitled, "Therapeutic Measures Other Than Drugs.'

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The paper was discussed by Drs. Boggess, Solomon, Weidner, and the discussion closed by Dr. Pope.

F. W. Jackson, Paducah, read a paper entitled "The Use of Iodine and the Iodids in Medicine," which was discussed by Drs. Stewart, Pope, Morrison, Willmoth, Fort, Solemon, Jackson, Kincaid, and the discussion closed by the essayist.

A. L. Thompson, of Madisonville, read a paper entitled, "Heart Complications in Acute Infectious Diseases."

W. F. Boggess, Louisville, followed with a paper entitled, "A Review of Conditions Resulting from Cardio-Vascular Disturbances With or Without Organic Changes in the Heart and Vessels."

J. R. Morrison, Louisville, read a paper on "Syphilis of the Heart."

These three papers were discussed together by Drs. Solomon, Pope and Dowden.

At the conclusion of the discussion the Association went into Executive Session for the purpose of listening to a very important communication from W. L. Heizer, State Registrar of Vital Statistics.

I. N. Bloom. Louisville, read a paper entitled "Intensive Treatment of Syphilis. Discussed by Drs. McCormack and Pope, and discussion closed by the essayist.

Herbert Bronner, Louisville, read a paper entitled "Chronic Prostatitis.”

George H. Day, Louisville, followed with a paper entitled "Vermontanum (with lantern slides).'

These papers were discussed by Dr. MeKenna.

thank you gentlemen for the consideration which you have given me in presiding over your deliberations and for the close attention which you have given to the papers and discussions. I thank you very much. (Applause).

I. N. BLOOM: I move that a vote of thanks be extended to the retiring President, Dr. Kincaid, and to the other officers for the able manner in which they have conducted the meetings of this Association.

Seconded and carried.

As there was no further business to come before the meeting, on motion, which was duly seconded, the Association then adjourned sine die. ARTHUR T. McCORMACK, Secretary.

OFFICIAL MINUTES OF THE HOUSE
OF DELEGATES OF THE SIXTY-
FIFTH ANNUAL MEETING OF THE
KENTUCKY STATE MEDICAL AS-
SOCIATION, HELD AT LOUIS-
VILLE, SEPTEMBER 20, 21,
22, and 23, 1915.

MONDAY, SEPTEMBER 20,-FIRST MEETING. The House of Delegates met at 2 P. M. and was called to order by the President, John J. Moren, Louisville.

THE PRESIDENT: The first thing on the program this afternoon is the report of the Committee on Credentials, E. L. Henderson, Chairman.

E. L. HENDERSON: We have looked over the roll and found the list of delegates are the accredited delegates from the various counties.

THE SECRETARY: I would move that when the House of Delegates adjourns, that it adjourn in honor of Dr. U. L. Taylor, duly elected delegate from Adair county. During an epidemic of diphtheria Dr. Taylor traveled all over the county at the very advanced age of eighty-five, and in so doing contracted pneumonia and died within a short time. when we adjourn, I move that we do so in honor of this premier health officer of the State. He was county health officer for a longer continuous period than any other. Seconded and carried.

The Secretary called the rol! and announced a quorum present.

THE PRESIDENT: The next on the prograin is the reading of the Minutes of the House of Delegates of the 1914 session.

E. L. HENDERSON: I move that the

At the conclusion of this discussion the reading of the Minutes be dispensed with, as . President said:

Having finished the reading and discussion of the last paper on the program, I want to

they were published in full in the JOURNAL. Seconded and carried.

THE PRESIDENT: The report of the

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Public Health-C. L. Heath, Lindsay; S. J. Smock, Glasgow: J. T. Reddick, Paducah. Anti-Tuberculosis-Dunning S. Wilson, Louisville, P. D. Gillim, Owensboro; H. G. Davis, Marrowbone.

Election of Guests-S. G. Dabney, Louisville; G. H. Allbright, Barboursville; J. W. Stone, Henderson.

Division of Fees-Milton Board, Louisville; G. P. Grigsby, Louisville; R. C. MeChord, Lebanon.

Reports of Officers-C. A. Vance, Lexing ton; W. A. Guthrie, Franklin; L. S. MeMurtry, Louisville.

Finance-L. C. Redmon, Lexington; J. R. Cowan. Danville, A. W. Walden, Owingsville. Resolutions A. Scaggs, Morehead; Jacob Schultz, Logmont; W. C. McCauley, Versailles.

Contract Practice-D. C. Donan, Jr., Morganfield; S. S. Brown, Mountain Ash: Lee Chestnut, Mount Vernon.

State Medicine-J. F. Young, Monticello; B. C. Wilson, Clarkson; J. F. Knox, Bowen. Propaganda and Reform-S. J. Meyer, Louisille; L. S. Givens, Cynthiana; J. J. Adams, Munfordsville.

THE PRESIDENT: The next order of business is the report of the Secretary. (See KENTUCKY MEDICAL JOURNAL, September 1, 1915, Page 424.)

THE PRESIDENT: The Secretary's report will be referred to the Reference Committee on Reports of Officers.

We will next have the report of the Treas

urer.

W. B. McCLURE, Lexington: The report of the Treasurer and the report of the Secretary are so intimately connected that it is impossible for one to make a report without reporting on both. You have heard, Mr. President, Dr. McCormack's report which embraces mine.

I will say this, that my nerve strain was much relieved when I got a report from the auditor saying that our books balanced to a cent. This was a great relief. We are very proud of our financial showing this year, and I want to say to the members, if they will quit having damage suits against them, we will soon be on easy street. You will observe that we made a great deal of money this year out of the JOURNAL; and the medico-legal branch ran a little behind, so you see where the bulk of our money is going. I do not think that there is anything else that is necessary to say, but I want to emphasize what Dr. McCormack has said, that every member ought to go over the voucher checks, and if there is any item he is in doubt about, he

ought to inquire and see what that money was expended for. He should get hold of the voucher cheek and see what it is for.

THE PRESIDENT: This report will likewise go to the Reference Committee on Reports of Officers.

We will now have the report of the Business Manager.

LILLIAN H. SOUTH. Bowling Green, Business Manager. presented her report as (See KENTUCKY MEDICAL JOURNAL, September 1, 1915, Page 434.)

THE PRESIDENT: This report will be referred to the Reference Committee on Reports of Officers.

We will now have reports from the councilor districts.

REPORT OF COUNCILOR OF THE FIRST DISTRICT.

W. W. RICHMOND: The following is a correct report of the present membership of the First District of the Kentucky State Medical Association, and a report of the non-members, including the physicians who, in the past

year, have died, retired from practice and those who have moved out of the district.

Number of physicians originally reported, 303; number in the First District to date, 213; number of non-members heretofore reported, 90; number who have died, retired and moved, 47, and the number of eligible non-members to date 43.

I obtained the above figures from the secretaries of the 12 county societies in the First District and from the secretary of the State Association. The report of the State Secretary which is published in the September number of the JOURNAL does not correspond with this report for the reason that the Secretary in his published report omitted Trigg County Medical Society which reported five members. Adding the five members from the Trigg county society and a mistake in the addition in the Secretary's report of one member, adds 6 to the report, raising the membership of the First District from 207 to 213, an increase of one member over the membership of the past five years.

A membership of 213 with only 43 nonmembers shows the First District to be in a good condition. comparing favorably with other districts in the State.

True, we have some county societies which, though well organized, are not doing the active work they should do. This is partly due to the fact that they do not meet often enough; some of them only meeting once every three months, which is not often enough to keep the society interested in active work. A county society should meet once a month. It should have an active secretary, one who is willing to go out after members. The councilor should visit each society once a year. He should keep in touch with the secretaries and encourage them to greater efforts in getting the members to attend the meetings; he should communicate with the delinquent members, encouraging them in society work. In this way county societies can be maintained and the members educated to the importance of organization.

In the First District the county societies are all good, but a few are better than others. among the latter I desire to mention a few which deserve notice. Graves County society is one of the best in the State, mainly due to the untiring efforts of a live secretary, Dr. H. H. Hunt, who has no superior as secretary in the State. Lyon County has two stars, indicating that every doctor in the county belongs to the society. Carlisle County is one of the best. McCracken county is another good one with a large membership, a good secretary, and is doing splendid work, right up to date with peace and harmony reigning. Last, but not least, Hickman County, my

native county, with every doctor enrolled but one and he is an electic and preacher, doing more preaching than practice. He once belonged, but quit to save souls instead of lives.

THE SECRETARY: Dr. J. D. Brooks, of Paducah, a former president of the Association, is at Dr. Board's Sanitarium in this city dangerously ill, and I move that the President and Secretary send him some flowers with the good wishes of the Association; and that the President and Secretary be members of a Committee to draft a telegram to Dr. Hancock, also an ex-president of the Association, who is at present dangerously ill at his home in Henderson.

Seconded and carried.

THE PRESIDENT: Report from the Councilor of the Second District.

CYRUS GRAHAM, Henderson: I thought I had my written report in my pocket, but I find I have not. It is very difficult to keep up with Dr. Richmond because he is in a class by himself. We have in the Second District 396 doctors. 228 members and 167 non-members. During the past year I have made several visits to different places in the district, and wherever I have gone I have met with a pleasant reception. The doctors all seem to be doing their duty and, as we all know, the success of any society depends very largely upon its secretary. Several times I have written to the members that I would be there and they have asked me to come, and yet I have found it hard sometimes to get a meeting. One secretary of one of our county societies. one of the best in the district, told me that it was the hardest work he had ever done in his life. He said that practicing medicine was simply Sunday School work as compared with being a secretary of a county medical society. However, I think the Second District is doing pretty well. We have had several deaths and several physicians have moved away, but still I feel hopeful that we will do much better in the future.

REPORT OF COUNCILOR FROM EIGHTH DISTRICT.

J. E. WELLS, Cynthiana: In making my report as Councilor of the Eighth District it gives me much pleasure to report a number of counties in a flourishing condition. Bourbon County had a rousing meeting on the 16th instant. They have adapted the plan of feeding the inner man and it seems to work well with them.

Campbell-Kenton we are always proud of because they have the quantity as well as the quality. One hundred and eighteen members reported this year, an increase of eleven over

last year.

The attendance and interest in the society's work has been good all the year; during the

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