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of the

Michigan State Medical Society

The Official Organ of the State and County Medical Societies.

PUBLISHED MONTHLY UNDER THE DIRECTION OF THE COUNCIL.

Vol. IV

January to December, 1905.

A. P. BIDDLE, Editor,
GUY L. CONNOR, Managing Editor,

57 West Fort Street,

Detroit, Michigan.

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President, B. D. Harison....... Sault Ste. Marie First Vice-President, Don M. CAMPBELL..Detroit Second Vice-Pres., WM. M. EDWARDS. Kalamazoo Third Vice-Pres., RICHARD R.SMITH, Grand Rapids

Fourth Vice-Pres., John W. Moore. Atlantic Mine Secretary, A. P. BIDDLE .... ..........Detroit Assistant Secretary, Guy L. CONNOR...... Detroit Treasurer, Geo. W. MORAN .............Detroit

Michigan Member of the National Legislative

Council of the American Medical Association. EMIL AMBERG .........

............Detroit

PERMANENT COMMITTEES

Board of Councilors and Councilor Districts.

Term expires First-LEARTUS CONNOR, Chairman..1909 ......, Detroit Second-A. E. BULSON............1907........ Jackson Third-W. H. HAUGHEY, Secretary.1909 ... Battle Creek Fourth--G. D. CARNES.............1905 ... South Haven Fifth-D. E. WELSH ..............1905. . Grand Rapids Sixth-C. B. BURR.....

................... Flint Seventh-M. WILLSON .......... 1905....... Port Huron Eighth-S. I. SMALL..............1907 ....... Saginaw Ninth-B. H. McMULLEN..........1907 .......Cadillac Tenth-H. B. LANDON .............1905 ...... Bay City Eleventh-W. T. Dodge ...........1909 .... Big Rapids Twelfth—THEo. A. Felch.........1907 ..... Ishpeming

On Scientific Work. B. D. HARISON, Chairman.............. Sault Ste. Marie A. P. BIDDLE, Secretary........

........Detroit JOHN J. REYCRAFT....

....... Petoskey E. C. TAYLOR ......

...... Jackson A. N. COLLINS................

....Detroit H. B. BRITTON..

...........Ypsilanti

. . Ypsilanti JOHN W. MOORE....

.... Atlantic Mine FLORENCE HUSON ....

..............Detroit

On Scientific Exhibit. A. S. WARTHIN, Chairman................... Ann Arbor P. M. Hickey...................................Detroit P. M. Hickey. D. M. COWIE, Secretary.....................Ann Arbor

FIRST DISTRICT-Lenawee, Macomb, Monroe, Oakland

Washtenaw, Wayne. SECOND DISTRICT-Branch, Hillsdale, Ingham, Jackson. THIRD DISTRICT-Calhoun, Cass, Eaton, St. Joseph. FOURTH DISTRICT--Allegan, Berrien, Kalamazoo, Van

Buren. FIFTH DISTRICT-Barry, Ionia, Kent, Ottawa. SIXTH DISTRICT-Clinton, Genesee, Livingston, Shia.

wassee. SEVENTH DISTRICT-Huron, Lapeer, Sanilac, St. Clair. Eighth DISTRICT-Gratiot, Isabella, Midland, Saginaw,

Tuscola, (Clare and Gladwin unattached.) NINTH DISTRICT-Benzie, Charlevoix (including Antrim).

Grand Traverse (including Leela naw), Kalkaska, Man.

istee, Mason, Missaukee, Wexford. TENTH DISTRICT-Alpena (including Alcona and Presque

Isle). Bay (including Arenac and Iosco), Cheboygan, Emmet, O., M., C., O., R., O., Otsego, Montgomery,

Crawford, Oscoda, Roscommon and Ogemaw combined. ELEVENTH DISTRICT--Mecosta, Montcalm, Muskegon (in.

cluding Oceana), Newaygo, Osceola (including Lake). TWELFTH DISTRICT-Chippewa (including Luce and Mack.

inac), Delta, Dickinson-Iron, Gogebic, Houghton (in. cluding Baraga, Keweenaw and Ontona gon), Marquette (including Alger), Menominee, Schoolcraft.

On Arrangements. John ). REYCRAFT, Chairman.....

.............. Petoskey GEORGE W. NIHART.. HENRY

............ Petoskey T. CALKINS.....

......... Petoskey EDWARD A. RUNYAN.....

.... Harbor Springs ALBERT STALEY

...........Pellston GEORGE E. REYCRAFT........

....... Petoskey

On Legislation and Public Policy. W. H. SAWYER, Chairman.....

.... Hillsdale JAMES W. INCHES.....

nt Clair D. B. CORNELL.

.Saginaw F. B. TIBBALS......

..Detroit

On Vital Statistics. H. B. BAKER, Chairman......

.......... Lansing A. H. RocKWELL............................ Kalamazoo G. G. BABNETT.....

...... Ishpeming

OFFICERS OF SECTIONS

General Medicine JOHN J. REYCRAFT, Chairman...... ..... Petoskey H. B. BRITTON, Secretary....

..... Ypsilanti COLLINS H. JOHNSTON, Orator ............Grand Rapids

Surgery, Ophthalmology and Otology. E. C. TAYLOR, Chairman....

..... Jackson INO. W. MOORE, Secretary....

Atlantic Mine F. B. WALKER, Orator......

.... Detroit

SPECIAL COMMITTEES To Encourage the Systematic Examination of the Eyes and Ears of School Children

throughout the State. Walter R. PARKER, Chairman.......

.Detroit C. H. BAKER..

............. Bay City JOHN R. ROGERS....

.Grand Rapids

Michigan Member of Committee on Transporta

tion, American Medical Association. F. W. ROBBINS................................Detroit

Obstetrics and Gynecology. A. N. COLLINS, Chairman.......

....Detroit FORENCE HUSON, Secretary .....

...........Detroit R. R. SMITH, Orator....

..... Grand Rapids

Delegates to the American Medical

Association. H. O. WALKER, term expires 1905................Detroit V. C. VAUGHN, term expires 1905............Ann Arbor W. K. West, term expires 1906.. .......Calumet CHAS. B. STOCKWELL, term expires 1906......Port Huron

To Petition the Legislature for an Appropriation for the Establishment of a Properly Equipped Sanitarium for the Treatment of the

Early Stages of Tuberculosis. H. J. HARTZ, Chairman.......

..Detroit J. B. WHINERY.......................... Grand Rapids BENJAMIN F. HORNER...

Lake Odesso C. N. SOWERS....

... ...Benton Harbor J. O. COBB......

..............Detroit

President. DAVID INGLIS ................Detroit First Vice-President. ARTHUR M. HUME..Owosso Second Vice-Pres., A. W. HORNBOGEN..Marquette Third Vice-Pres., FLORENCE HUSON, Detroit

Fourth Vice-Pres., N. S. McDONALD....Hancock General Secretary, A. P. BIDDLE..........Detroit Treasurer, Geo. W. MORAN..............Detroit

PERMANENT COMMITTEES

On Scientific Work. DAVID INGLIS, Chairman....

.....Detroit A. P. BIDDLE, General Secretary.................Detroit H. OSTRANDER ..

.Kalamazoo E. C. TAYLOR.....

Jackson FLORENCE HUSON .

Detroit R. S. ROWLAND...

.Detroit F. J. LEE............

Grand Rapids R. SCHENCK..

......Detroit

BOARD OF COUNCILORS AND COUNCILOR

DISTRICTS.

Term Expires First-LEARTUS CONNOR, Chairman. .1909 ........Detroit Second-A. E. Bulson.............1907... ..... Jackson Third-W. H. Haughey, Secretary..1909 ...Battle Creek Fourth—A. H. RockweLL..........1911 .....Kalamazoo Fifth-R. H. SPENCER..............1911 ..Grand Rapids Sixth-C. B. BURR................1909 .......... Flint Seventh-M, WILLSON....... .....1911.... Port Huron Eighth-S. I. SMALL....... ....1907 ....... Saginaw Ninth-B. H. McMULLEN.... .....1907 ....... Cadillac Tenth-C. H. BAKER..............1911 ......Bay City Eleventh-W. T. DODGE...........1909 ....Big Rapids Twelfth-Theo. A. Felch..........1907 ..... Ishpeming First DISTRICT-Lenawee, Macomb, Monroe, Oakland,

Washtenaw, Wayne. SECOND DISTRICT-Branch, Hillsdale, Ingham, Jackson. THIRD DISTRICT--Calhoun, Cass, Eaton, St. Joseph. FOURTH DISTRICT--Allegan, Berrien, Kalamazoo, Van

Buren. FIFTH DISTRICT-Barry, Ionia, Kent, Ottawa. Sixth DISTRICT-Clinton, Genesee, Livingston, Shiawas.

see. Seventh District-Huron, Lapeer, Sanilac, St. Clair. EIGHT DISTRICT-Gratiot, Isabella, Midland, Saginaw,

Tuscola, Clare and (Gladwin unattached). Nintu District-Benzie, Charlevoix, (including An

trim), Grand Traverse, (including Leelanaw), Kal.

kaska, Manistee, Mason, Missaukee, Wexford. TENTH DISTRICT--Alpena, (including Alcona), Bay, (in

cluding Arenac and Iosco), Cheboygan, Emmet, O., M., C., O., R., O., (Otsego, Montgomery, Crawford, Oscoda, Roscommon and Ogemaw combined), and

Presque Isle. ELEVENTH DISTRICT-Mecosta, Montcalm, Muskegon, (in

cluding Oceana), Newaygo, Osceola, (including Lake). TWELFTH DISTRICT-Chippewa, (including Luce and

Mackinac), Delta, Dickinson-Iron, Gogebic, Houghton, (including Baraga, Keweenaw and Ontonagon), Marquette, (including Alger), Menominee, Schoolcraft.

OFFICERS OF SECTIONS

General Medicine H. OSTRANDER, Chairman....................Kalamazoo R. S. RowLAND, Secretary, 1905-1907............Detroit B. H. MCMULLEN..

...Cadillac Surgery, Ophthalmology and Otology. E. C. TAYLOR, Chairman..

... Jackson F. J. LEE, Secretary, 1905-1907............Grand Rapids A. W. CRANE, Orator...........

......Kalamazoo Obstetrics and Gynecology. FLORENCE Huson, Chairman...

....Detroit B. R SCHENCK, Secretary, 1905-1907............Detroit E. T. ABRAMS, Orator....

.... Dollar Bay Delegates to the American Medical

Association. H. O. WALKER, term expires 1907................Detroit V. C. VAUGHAN, term expires 1907........... Ann Arbor W. K. WEST, term expires 1906.... ..... Painesdale CHAS. B. STOCKWELL, term expires 1906... ... Port Huron Michigan Member of the National Legislative

Council of the American Medical Association. l'LEMMING CARROW ........

..........Detroit

On Arrangements. D. E. ROBINSON, Chairman...

......... Jackson N. H. WILLIAMS......

Jackson : TAYLOR.......

Jackson T. S. LANGFORD.......

Jackson R. GRACE HENDRICK...

Jackson On Scientific Exhibit. A. S. Warthin, Chairman ..

..Ann Arbor P. M. HICKEY.......

.........Detroit D. M. Cowie, Secretary.............

..................Ann Arbor On Legislation and Public Policy. W. H. SAWYER, Chairman..................... Hillsdale JAMES W. INCHES.....

Saint Clair D. B. CORNELL.....

..... Saginaw F. B. TIBBALS.......

SBALS.................................Detroit

On Vital Statistics. H. B. BAKER, Chairman........

..... Lansing G. G. BARNETT......

.... Ishpeming A. H. ROCKWELL....

.... Kalamazoo On Venereal Prophylaxis. A. E. CARRIER, Chairman.........

.......................Detroit W. T. HERDMAN........

...Ann Arbor A. P. BIDDLE.......

..........Detroit

SPECIAL COMMITTEES To Encourage the Systematic Examination of the Eyes and Ears of School Children

throughout the State. Walter R. Parker, Chairman........ .....Detroit C. H. BAKER..

.... Bay City John R. ROGERS........

.... Grand Rapids On the Patent Medicine Evil. C. B. STOCKWELL, Chairman................Port Huron GEO. C. HAFFORD....

.... Albion WM. F. BREAKEY..

.......... Ann Arbor

Honorary Members of the Michigan State Med

ical Society. BAILEY, DR. JOHN R............ Mackinac Island, Mich. BLISS, DR. L. M....

........... Saginaw, Mich. CAULKINS, DR. JOHN S....

.. Thornville, Mich, DUFFIELD, DR. S. P......

.... Dearborn, Mich. FRENCH, DR. S.

.. Battle Creek, Mich. HOWELL, DR. GEORGE...

..... Tecumseh, Mich. TOHNSON, DR. G. K.......

... Grand Rapids. Mich. KIEFER, DR. HERMAN.....

........Detroit, Mich. McColl, Dr. Hugh..

.. Lapeer. Mich. PERKINS, DR. JABEZ .......

.Owosso, Mich. STEWART, DR. MORSE....

..Detroit, Mich. VAN DUSSEN, DR. E. H.

.Kalamazoo, Mich.

BILLINGS, DR. FRANK.....

................... Chicago, III. CHSNER, DR. A. J...........

. . Chicago, Ill. WELCH, DR. W. H. ...

......... Baltimore, Md.

The Journal of the Michigan State Medical Society.

LIBRARY

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The presence of ascites in connection tient much worse off than before, since with disease or neoplasms which we have the examiner had failed to notice other every reason to believe have their origin lesions of the genital tract. But, by, carein the pelyis, always lends an added inter- fully studying each case, both through the est to any case. The methods of bimanual history and by careful pelvic examination, pelvic examination have been so perfected either without or with anæsthesia, an as to leave very little to be desired in the approximately accurate diagnosis can be diagnosis of the ordinary lesions of the made in the majority of cases. The diffiuterus and its appendages. I do not mean culties of diagnosis are enhanced twofold, by this statement to belittle the difficul- however, when ascites is present as a comties of gynecologic diagnosis or to give plication. The fluid within the abdominal the impression that such a diagnosis can cavity is very likely to interfere with acbe made by means of a hasty bimanual curate bimanual mapping out of the examination. Gynecology. has probably uterus and its appendages. It is not unsuffered more than any other specialty common, for example, for a malignant from superficial methods of diagnosis and tumor of the ovary to lie high up in the treatment based on the resulting errors. pelvis and be out of reach of the examinOne of the fundamental and consequently. ing finger below. Its abdominal outlines, one of the most important gynecologic on the other hand, may be obscured by the truths is that rarely does inflammatory accumulation of fluid between it and the disease confine itself to a single portion of parietes. the genital tract. Yet hardly a week passes

The difficulties thus placed in the way that I do not have cases referred to me

of the examiner should not serve as disfor certain operations which, if they had

couragements, but should ever spur him been performed, would have left the pa

on towards the goal of correct diagnosis.

By careful study of the history of each *Read before the Montcalm County Medical

case, in combination with the physical Society, July 14, 1900, at Greenville, Mich. signs, it is usually possible to arrive at a

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