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With What Shall

turned from the front where he made an inspecWe Win the War?

tion of medical facilities in France and England. After all the factors have been discussed, and He will make report to Secretary Baker soon. It

that the sofrom every angle, we must confess that the so

is hinted that his next assignment may take him called "morale" stands out the over-shadowing to Italy. Secretary Baker has paid a hiol factor as a war winner. Henry Seidel Canby to Gen. Gorgas in a recent letter to Congress. brings out this thought most forcibly in Harp- Co-incident with the promotion of Main ers for November. He says:

General Ireland, was the appointment of Briga"With every desire not to preach, and after dier-General Robert E. Noble, to take the place unusual opportunities of seeing how vital is the vacated by General Ireland as surgeon-general need of food, guns, money, and material organ- of the A. E. F.. with the rank of moins ization of every kind if we intend to win this General Noble has been associatel with General war. I say that morale, which for us is moral Gorgas for many years and has a wide experience earnestness, is the great hope and the first prac- in sanitation and the administrative work of the tical necessity. One finds such earnestness in office. He is well qualified to assume the head France: one finds it in Great Britain roused to of the medical division of dogged intensity; one finds it in Ireland in curious fanatic extremity. Raemaekers, the cartoonist, told me at the front one night that he

Dr. S. Grover Burnett, who has been ill for hoped Holland would join us 'to save her moral

several weeks, is convalescing. being. But here in America it is backed by simplicity of character, by a consciousness of unex

Dr. W. F. Morrow and Miss Jean Broadwell, hausted strength, and by such energy as the

Kansas City, were married on November 2. Dr. world has scarcely seen since the days of the Nor

and Mrs. Morrow will be at home after Novenmans.

ber 15, 6007 McGee St. "Moral earnestness, and not the mere need of self-defense, carried England through the dark

Free Wassermans—Dr. H. De Lameter, health spring of 1918. I have talked in the last six

director of St. Joseph, desires to offer the service months with English political leaders of every

of the Laboratory in making Wassermanns free party. Some commanded my whole-hearted re

of charge to those who are unable to pay the spect; others were clearly time-servers, driven by

usual fee for the test. Physicians having patients events; some represented policies I distrust; and

•apply for diagnosis and treatment for syphilis yet I found in one and all an unexpected convic

should satisfy themselves before referring them tion that what England did infinitely mattered,

to the Health Department, they are worthy of aid and an impressive willingness to admit responsibilities beyond their own little group, to America,

Dr. Geo. Chaffee, of Brooklyn, New York even to the next generation in Germany."

City, has located in the city of Binghamton, N.

Y., and has opened an office at 100 Hawley St. The New Surgeon-General

He will limit his practice to modern operative of the Army

bone surgery and to consultations. Dr. Chaffee To succeed Major General Gorgas, the presi- has been on the surgical staff of the Polvclinic dent has appointed as surgeon-general of the Hospital in New York City, for the past twentyarmy, with the rank of major-general, Dr. Mer- five years, where he has had the benefit of ritte W. Ireland, M. C., U. S. A. The record of seeing and treating a large number and great Gen. Ireland in the medical department has fitted variety of surgical cases. him particularly for the high position which he is now to occupy. Gen. Ireland has served in the gurnutimuninn Gunumunium mamma Commuominnum? medical department since 1891. He has seen service in the Philippines and in Mexico. When we entered the war, he accompanied General Pershing to France as chief surgeon of the sout enimmmmmmmmgjyComotomotomontentcommitmmatoristimin e ja American expeditionary forces, with the rank of brigadier general and more recently was ad Dr. Homer Cutler Crowell died Oct. 24th, vanced to surgeon general of the expeditionary after a long illness, aged 66 years. Dr. Crowell force. The appointment gives universal satis- was a graduate of the University College of Medfaction and it is predicted that Major-General icine of Burlington, Vermont, 1875. The next Ireland will prove a worthy successor of the ten years were spent in New York and South much esteemed and highly honored Gorgas. America. He then returned to New York City, Major-General Gorgas, who was retired for age, and after fitting himself for the special practice has been recalled to the service and has just re- of gynecological surgery he located in Kansas

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City in 1888. Dr. Crowell did the first hysterect- Strange as it may seem, no one has recom-
omy done in Kansas City. For some years he mended tobacco smoke as a preventive of the
was professor of gynecology in the University "Spanish flu.”
Medical College. His teaching, his diagnostica

diagnostics In old K. C. it required the combined eloquence

in old k C it require ability, his judgment and operative technic made

of sixteen physicians, several trained nurses, and him an attractive clinician. To the medical south

the president of the Chamber of Commerce to west Dr. Crowell contributed much to the prog

convince the mayor and president of the Health ress of real gynecological surgery in his best

Board that influenza was contagious and that activity, at the same time enjoying the distinction of being the only specialist in that line in

a strict closing ban was imperative. Kansas City who resisted the temptation to wan- 1 And, by the way, this man Parsons, president der amuck into the field of general surgery. of the Chamber of Commerce, is some producer. While progressive, Dr. Crowell was often petú- It was entirely through the instrumentality of the lant to the commonplace, everyday adversities to C. of C. that the ban was put on and kept on. the extent of marring his own personal greatness; Mr. Parsons is local manager for Parke, Davis but with all this, deep down in his heart, he was & Co., and he has reflected credit upon his firm penitent as a child and never understood that by his activities in the local health situation. any should take umbrage. The writer visited The malicious story that doctors had been him from New York in 1889; the county society caught inoculating men in service with influenza was "mossbacked, non-progressive and arro- germs and had been shot in consequence has been gant” toward younger, aggressive members. We turned upon the Great Lakes Naval Station, folsuggested an academy of medicine as a vent for lowing its rejection by authorities at numerous the young man's superfluous energy. Plans for army posts throughout the Middle West. Capt. organization were left with Dr. Crowell till our W. A. Moffett, commandant at Great Lakes, said return to and location in Kansas City the spring that he had been almost swamped with telegrams, of 1889, when the first meeting was called for inquiring about the lie, and asked that a blanket the organization of the Kansas City Academy denial be issued. He denied a yarn to the effect of Medicine. Thus Dr. Crowell became the that whisky in large quantities had been used in "father" of the Academy of Medicine and its first combating influenza, stating that absolutely no president. To the proceedings of the Academy whisky had been used at Great Lakes. of Medicine Dr. Crowell contributed the very best of his professional accomplishments. The !!

? | We have time and again, in this column, profew remaining old members of those days, with

tested against the politically appointed Health Dr. C. Lester Hall, chairman of arrangements,

Board, with its lay president. The K. C. Star tenderly cared for him in his last days of mental

recently contained an editorial which hits the nail and physical dissolution. Dr. Crowell was mem

on the head: ber of the A. M. A., the Missouri State, the Jack

A Dangerous Health Board Head

What sort of a man has Kansas City as president son County, the Missouri Valley and the South

of the hospital and health board? Throughout the west Medical Societies.

S. G. B.

epidemic he has acted much more like the representa

tive of the interests that would have put their own Allan J. Hughes—We deeply regret having to profits above human lives, rather than like the guardannounce the death of Mr. Allan J. Hughes, man

ian of the public health.

W. P. Motley has opposed the measures that were ager of the Physicians Supply Co., Kansas City,

necessary in fighting the epidemic, and he told a meetwhich occurred on October 7th, at Camp Meade, ing of the motion picture men yesterday that he had Maryland, of pneumonia. Mr. Hughes volun- signed the closing order under protest. Fortunately teered for the service two weeks previous to his for the welfare of Kansas City he was overruled by death. He was 29 years of age. Mr. Hughes had

Mayor Cowgill and Mr. Benjamin and Mr. Hart, the

other members of the board. a wide acquaintance among physicians, and was

It is unthinkable that this sort of man, who was highly esteemed for his business ability, honesty ready to set up his private opinion against the best and uniform courtesy, qualities which were pre medical opinion in town, should continue at the head dominant in his character.

of a board charged with guarding the city's health.
How long will the people consent to political
rule in the health department? All mortality

records were broken in Kansas City during Octo-
Carpings of Our Cynic

ber—271 deaths reported in one week, with a
total of 600 or more for four weeks ; 3,000 cases
of influenza. Many of these could have been pre-

vented by energetic measures, established early Another species of the "slacker” is the doctor and maintained rigidly. A competent director of who neither goes to war nor pays his local society public health, with full discretionary power, undues.

hampered by political laymen, is the only answer.

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problems still left open for argument. For ex

ample: Geiger seems to think that the bone inlay The Doctors' Library

graft is desirable for most of the fractures of "Next to acquiring good friends, the best

the patella. Fuller and the reviewer working acquisition is that of good books."--C. C. Colton.

together at Bellevue Hospital were apparently h amu ninungimimmmmmmmmmmmmmmmmmmmmmmmmm the first men in this country to open the knee

joint and wire fractures of the patella. Since MODERN OPERATIVE BONE SURGERY_With Special Reference to the Treatment of Fractures. By that time we have followed different advances Charles George Geiger, M. D., St. Joseph, Mo. 300 and have been so generally successful with the pages, 120 illustrations, royal octavo. F. A. Davis niethod of encircling fragments with a Kangaroo Co., Philadelphia. (Price $3.00).

tendon suture after freeing the bone surfaces, With the advent of antiseptic surgery in this that there is some question if the addition of the country surgeons departed from their established bone inlay is desirable, excepting in old ununited custom of treating simple fractures by mechani- fractures of the patella. No matter how comcal means alone and compound fractures in a plete our asepsis, bacteria are continually falling palliative way. Step by step we became bolder into every wound from the air, as may be demonand wired some of the simple fractures and many strated with Petri plates exposed in the operatcompound fractures. With the advent of aseptic ing room. The more time spent in caring for a surgery we became safely bolder still and intro fracture the more aerial bacteria will fall into duced foreign holding material of various kinds. the wound. In fractures of the neck of the femur Following the advance made by Lane, came the in elderly people we feel that a good deal more introduction of bone grafts, modeled and fitted should be said in regard to medical reports upon with the aid of bone chisels. Then came the the character of the vital organs and the general electro-operative motors with their fast running condition of the patient before introducing the saws which endangered the vitality of bone cells. question of systematic bone grafting and placing The last word now seems to have been spoken by the patient in orthopedic apparatus. Some eldGeiger with his slow running motor, although erly patients begin to fail from the moment that the irrigating apparatus seemed to avoid much they are placed in bed and one should be able to of the danger of subjecting the protoplasm of anticipate this sort of behavior before proceedthe bone cells to high temperature.

ing to do the very best mechanical surgery which Along with these various steps in the develop

will sometimes have to be left out because of the ment of bone surgery came voluminous new ideas

ne voluminous new ideas physiology of the patient. The value of the book and practical experiences recorded so elaborately is so definite that we hesitate about making any by so many authorities that the ordinary surgeon

sort of criticism of adverse character, but we asfound it extremely difficult to keep up to date

sume that the author himself wishes to perfect in the presence of specialists with perfected new any possible weak points in his argument. A technique. Most of the fractures, however, must

few errors in grammar should have been edited still be treated by the general surgeon, and this out by the publishers, who have on the whole book of Dr. Geiger's is particularly valuable be given us a handsome volume with excellent letcause it gives in a comprehensive yet brief way

terpress and valuable illustrations. a first rate resume of the entire subject. Al

ROBERT T. MORRIS. though writing as an enthusiast, the author of this book really gives us a well balanced judicial

MEDICAL RECORD VISITING LIST AND PHYSI

CIANS' DIARY FOR 1919, Revised. William Wood & view of conflicting opinions, while holding that

Company, New York City, Publishers. (Price, 30 pathe development of osteoplastic work at present

tients, $1.50; 60 patients, $1.75; 90 patients, $2.25). exceeds the development in any other branch of surgery. Some of us might be inclined to ask

This is one of the most practical and compact if work with the focal infections does not open a

little books of the year. It contains a fund of still larger vista, but without quibbling we may

useful information which the practitioner will fairly join in the inspiration found by Dr. Geiger

find of great value to have at his fingers' ends. in his bone work. The chapters relating to the

Among the valuable tables are drops in a fluid histology of cartilage and of bone, to detailed de

dram; solutions for subcutaneous injections; a scription of methods of nature's repair of bone,

diagnostic table for the contagious diseases; and and to the general philosophy of the subject maximum adult doses by the mouth. Ample should be read by all who are engaged in bone space is provided for the daily record. cash ac work. Full details of the technique of trans- count, obstetric engagements, record of vaccinaplanting bone are given so clearly that one who tions and register of deaths; besides a number of has failures in his work will understand the na- pages for miscellaneous and special memoranda. ture of his failures. When it comes to the ques- A convenient size for the pocket, this book will tion of the method of procedure in which special continue to be as popular as it has been in preforms of fracture are treated we shall find some vious years.

Organized at Council Bluffs, Iowa, September 27, 1888. Objects: "The objects of this society shall be to foster, advance and disseminate medical knowledge; to uphold and maintain the dignity of the profession; and to encourage social and harmonious relations within its ranks." -Constitution.

* * * 78 Service Stars * * *

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“Keep the Home Fires Burning'

"Carry On" the work of the Society

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"Follow the Flag"
Annual Meeting Des Moines, Iowa, Sept. 18-19, 1919
OFFICERS
J. M. AIKEN.

Second Vice-President.
CHAS. WOOD FASSETT.. Kansas City

0. C. GEBHART............ St. Joseph
President.

Treasurer.
E. J. WATSON.......... Diagonal, Ia. S. GROVER BURNETT... Kansas City
First Vice-President.

Secretary.

::Omaha, Neb.

Second vi

MINUTES OF THIRTY-FIRST ANNUAL MEETING of the spring meeting of our society during the conOF THE MEDICAL SOCIETY OF THE

tinuation of the war, and the other, the remitting of MISSOURI VALLEY

the dues of all members who have entered the serv

ice. Both were adopted unanimously. Held at Omaha, Nebraska, September 19-20, 1918 The thirty-first annual meeting of the Medical

The members of the society were entertained by Society of the Missouri Valley was called to order at

a luncheon at the Commercial Club where they were 10:30 a. m. at Hotel Fontenelle, Omaha, at 10:30 a. m.,

the guests of the Lancaster County Medical Society. Sept. 19, 1918, by Dr. H. W. Christie of the committee

The ladies were entertained by a committee under the on arrangements, who welcomed the delegates briefly

chairmanship of Mrs. H. W. Orr. Eighteen new memand introduced President A. I. McKinnon of Lincoln.

bers were added to the roll. With President McKinnon in the chair the regular

At this meeting Dr. A. I. McKinnon of Lincoln was order of business was taken up.

elected president. During the year we have lost two Upon motion of the secretary, reading of the min.

members by resignation and four members by death. utes of the last meeting was dispensed with, same

Dr. Flavel B. Tiffany of Kansas City, one of the exhaving been printed in the official journal.

presidents of our association, died on January 11th. President McKinnon appointed Drs. C. R. Woodson,

Dr. Wm. Louis Brosius of Gallatin, Missouri, died on 0. C. Morrison and H. A. Waterman as committee on

April 18th. Dr. Chas. C. Allison of Omaha, died June credentials.

19th. Dr. L. W. Littig, Iowa City, died early in The secretary read the names of several applicants

August. I would also express our sorrow at the death for membership, which were referred to the com

of Mrs. Bryant, wife of our beloved Dr. D. C. Bryant, mittee on credentials. .

and we extend to him our heartfelt sympathy. The secretary read his annual report and upon The secretary, with the acquiescence of the presimotion it was adopted. The report follows:

dent, invested $150 in Liberty Bonds, and trust this

action may meet the approval of the members. It Thirtieth Annual Report of the Secretary

will help to encourage our honored treasurer, Maj. I have the honor to submit to you the thirtieth Gebhart, who is on the western battle front, as well annual report of the secretary.

as all the other loyal members who are doing their Our last annual meeting was held at the Lincoln best for "Uncle Sam." Hotel, Lincoln, Nebraska, September 20-21, 1917, It has been truly said, and with peculiar emphasis under the presidency of Dr. C. R. Woodson of St. at this time, that "the Health of the People is the Joseph. An excellent program consisting of twenty Strength of the Nation." Every doctor's heart must papers and three addresses was disposed of. Col. thrill with pride when he contemplates the briliant J. M. Banister made us a patriotic address at the work of our Surgeon-General Gorgas and the 30,000 evening session on the “Medical Necessities of the members of the Medical Corps under him. The War," which was both inspiring and convincing. Dr. stamina and physical efficiency of the American army Woodson delivered the presidential address, taking has never been equalled in the world's history. Our for his subject the "Early Recognition and Diagnosis

Missouri Valley members have responded nobly to of Insanity.” This address was comprehensive and

the call of their country. I have noted sixty-five evidenced a thorough familiarity with the subject. names in our service flag, and I am sure one-half of Dr. E. S. Tenney, health commissioner of Nebraska, them have not yet been reported. I note with pleasgave a splendid address on the subject of the “State

ure the distinction that has been bestowed upon Dr. and the Local Health Administration." After adjourn David S. Fairchild of Clinton, Iowa, who has just been ment the members were entertained at a local theater appointed chief surgeon of the Rainbow Division. where Major Henry D. Jump of Washington, member American Expeditionary Forces, with rank of lieuof the Council of National Defense, gave us an ad tenant-colonel, somewhere in France (soon somewhere aress and showed moving pictures of the war zone. in Germany). Two resolutions of importance were enacted at this

I also wish to refer at this time to the volunteer meeting as emergency measures. One, the omission

medical service corps, in which it is proposed to en

list every medical man in the U. S. who is not already Note-If errors or omissions in the minutes are in the service. An admirable plan has been worked noted, please advise the secretary.

out by Col. Franklin H. Martin of the Council of Na

tional Defense, and I am pleased to announce that Col. Martin will be with us this evening to enlighten us on this important branch of service. Briefly stated, the Volunteer Service Corps will embrace every legally qualified physician, without reference to age or disability, who is not already holding a commission. The object is to mobilize the profession and to provide for the health of both the military and civil population of the country.

History tells us that all great wars have their compensation, and I am convinced that the present war will not have been in vain if in the evolution of events the world is given international democracy, universal prohibition and equal suffrage for women.

Most of you are no doubt familiar with President Bevan's earnest plea before the American Medical Association in Chicago. He said:

"I want to plead for the united action of the organized medical profession of this country to secure protection by law against the injury that drink is doing to our people, not as a political measure, but as the most important public health measure that could be secured. Each member of the medical profession as an individual, each county and state medical society should take an active part in the propaganda against drink, and secure national prohibition.”

I sincerely hope this society will go on record as endorsing the bills now pending in Congress favoring both national prohibition and equal suffrage.

I wish to extend my sincere thanks to the members of the local committees, and especially to the president, for hearty cooperation during the year. I would likewise extend thanks to every man whose name is on the program. He should have a star opposite his name for "Service." Every secretary who has attempted to get up a program this year will appreciate the difficulties encountered with such a large number of our best men in the service.

Respectfully submitted,

CHARLES WOOD FASSETT, Secretary. (Adopted)

The report of the acting treasurer, Dr. Chas. Wood Fassett, was read by him, and the president appointed Drs. Paul E. Gardner and J. M. Bell as an auditing committee.

Treasurer's Report-Sept., 1917, to Sept., 1918 Cash on hand Sept., 1917............$159.25 Exhibits, Lincoln ....................

.. 66.00 20 new members......

60.00 Interest .......

8.34 Cash from dues.....

507.00 Warrants 125-128...

$473.91 Bank balance ......

176.68 Liberty bonds ............

150.00

Noal, Peru, Neb.; J. C. Rockefellow, Des Moines: Collis I. Roundy, St. Joseph; G. J. Rubelman, Tecumseh, Neb.; L. F. Talley, Diagonal, Ia.; Williard L. Wilson, Falls City, Neb.; F. B. Young, Gering, Neb.

President McKinnon then called Vice-President Gardner to the chair and read his annual address, Gardner to the chair an subject, “Complemental Jejunostomy."

Upon motion of Dr. Fassett, the election of officers and selection of the next place of meeting were made a special order of business for 11 o'clock Friday morning.

The secretary announced a complimentary luncheon to be given at 12:30 p. m., by the Omaha Chamber of Commerce, to which all the visiting doctors, their guests and ladies were invited; also to the patriotic dinner to take place at Hotel Fontenelle at 6:30 p. m.

Reading of Papers The scientific work of the society was then taken up, the first paper being read by Dr. Gershom H. Hill on “Varieties of Dementia Illustrated." The paper was discussed by Col. J. M. Banister and C. R. Woodson.

The only other paper read at the morning session was by Dr. C. E. Emerson of Lincoln, “McKinnon's Jejunostomy, with Case Reports,” which was not discussed.

Adjournment was then taken to 1:30 p. m., lunch. eon being served in the private dining room of the Chamber of Commerce.

Afternoon Session The secretary read a letter of regret from Dr. Overholzer, president of the Missouri State Medical Society, stating that illness prevented his attendance.

The following papers were read and discussed:

*"Conjugated Family Syphilis of the Nervous Sys. tem," S. Grover Burnett, Kansas City. Discussed by Drs. Chas. R. Woodson, Frank B. Young, F. E. Coulter.

"Side Lights on Carcinoma,” Orry C. Morrison, Carroll, Ia. Discussed by Drs. J. M. Bell, D. T. Quisley, A. R. Mitchell.

"The Present Status of the Tuberculosis Problem." (by invitation) Francis M. Pottenger, Monrovia, Cal. (President Mississippi Valley Medical Association),

At this juncture, Col. Franklin H. Martin of Washington, D. C., was introduced. He announced that meetings would be held at various hours on Friday with the Nebraska, Iowa and Missouri members of the Council of Defense, and Boards of Control.

Further papers read and discussed were:

“Paranoia, with Special Reference to the Paranoid Tendencies of the Kaiser," Tom Bentley Throckmorton Des Moines. Discussed by Drs. Chas. R. Woodson, Frank B. Young.

"Interesting and Unusual Fractures and Dislocations, with Methods of Treatment and Results,". C. W. Hopkins, Chicago. Discussed by Drs. V. L. Trey. nor, 0. C. Morrison, Chas. R. Woodson, A. R. Mitchell, H. B. Jennings. The society then adjourned for dinner.

Evening Session The patriotic banquet on Thursday evening was essentially military in character. The center of attraction was Colonel Franklin Martin, chairman of medical affairs, Council of National Defense, Washington, D. C. His address concerned largely the Volunteer Medical Service Corps; it was a patriotic and scholarly appeal. Col. J. M. Banister of Omaha (U. S. Army, retired) reviewed the achievements of the military surgeon, and made us feel the debt we, as a

$800.59 $800.59 The credentials committee reported favorably on all applications by Chairman Woodson, who moved that the rules be suspended and the secretary be authorized to cast the vote of the society for the applicants. The vote was cast accordingly, and the following were declared duly elected to membership:

New Members V. S. Barkey, Havelock, Neb.; Carl H. Bastron, Lincoln; Frank W. Blackmarr, Chicago; L. W. Bowman, Alliance, Neb.; F. A. Brewster, Beaver City, Neb.; B. W. Christie, Omaha; F. E. Coulter, Omaha; Clara Cross, Omaha; Philip Dher, Omaha; C. B. Foltz, Omaha; J. C. Iwerson, Omaha; Warren Y. Thompson, Omaha; Porter F. Dodson, Wilber, Neb.; Carroll D. Evans, Columbus, Neb.; F. W. Johnson, Fullerton, Neb.; A. R. Mitchell, Lincoln; John E. Moore, Dorchester, Neb.; A. D. Nesbit, Tekamah, Neb.; W. T.

*All the papers read at this meeting, together with stenographic report of discussions, wil

phic report of discussions. will appear in the Medical Herald. Proofs will be submitted to authors for correction.

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