1. Is this procedure a justifiable one? 2. Is it worthy of effort from a physiologic standpoint?

3. Will eventually the imprisoned ovary resemble the fibroid in its action?

4. Is it possible that pregnancy may ultimately take place?

5. Provided it does, what is the prospect for normal delivery?

Some member of the section asked Dr. Dudley what would be his reply to those interrogatories? He answered, "My mind is open to conviction. I have not yet decided the true answer of the questions propounded."

It will be seen that even with Dr. Dudley this form of ovarian transplantation is in the experimental stage. The Doctor's paper certainly opened a wide field for thought and observation.

3d. Dr. Cokenower's paper, entitled, "A Plea for More Conservative Operations on the Ovaries from a Neurotic Standpoint with a Report of Cases," elicited considerable discussion. Dr. Cokenower's position is similar to that of Dr. Dudley's, namely, that the whole matter is still in the experimental stage.

It seems to the writer on listening to the discussion of the paper that there are less positive statements this year than usual. regarding the advantages of conservative operations upon the ovary. For the last five or six years there seems to have been a great tendency among gynecologists to leave every portion of the healthy ovary behind, but during the last year the writer has seen many statements and heard many remarks by eminent gynecologists, all pointing to the fact that we are dealing with a great question which needs further study. There did not seem to exist in this section this year any inclination towards exhibiting overzeal in operative procedures. Conservatism was the rule.

Ectopic gestation came in for its share. of papers and discussion. Dr. Bovee's paper on a "Plea for More Thorough Examinations of Doubtful Specimens of Ectopic Pregnancy," developed considerable interest. His plea was for a histological examination in all specimens removed in cases of supposed ectopic pregnancy. Such has been his practice of late, and he had been surprised to find that many cases which had heretofore been classified as ectopic

pregnancy, did not present such a pathol

ogy.

Dr. Dorsett's paper on "Some Cases of Ectopic Gestation with Atypical Symptoms," opened the whole subject of ectopic pregnancy to discussion and it was enthusiasticaly engaged in for about an hour. No new principles so far as the writer was able to see were brought forward.

Dr. Pantzer's able paper upon "Multiple Abscesses of the Omentum, Following Grave Septic Peritonitis; Report of Two Cases," was closely listened to. It presented new ideas which will be found of importance when verified and accepted.

Among the eminent men who read before the section and whose papers cannot at this time be discussed, even briefly, were: Drs. Kelley, Applegate, Longyear, Lawrence, Carstens, Cullen, Craig, Bacon, Hirst, Goffe and Shoemaker.

L. H. D.

NOTES OF THE SECTION ON PRACTICE OF MEDICINE.

In addition to the isolated papers upon scattered subjects, the Section on Practice of Medicine was devoted to three groups of papers upon arterio-sclerosis, gall-bladder disease, and arthritis deformans. There was also an unsystematized group of papers upon heart disease.

The chairman was Alexander Lambert, of New York, whose management was excellent and who won the approval of those really interested by his rigorous insistence upon order and quiet during the exercises. The chairman's address was upon the adaptation of pure science to medicine.

In his paper upon pernicious anemia, Dr. Chas. G. Stockton, of Buffalo, concluded from a study of twenty-five cases, that the digestive trouble is secondary to the disease and not a causal factor in its production.

Dr. Edward F. Wells, of Chicago, continued his well-known study of pneumonia, presenting tables and charts showing the prevalence and mortality.

Discussing appendicitis from the physician's standpoint, Dr. S. G. Bonney, of Denver, emphasized the unfortunate fact that there is no definite relation between symptoms and physical signs and the degree or nature of the actual lesions in the abdomen and herein lies the source of per

anti-toxic serum in pneumonia based upon a number of hospital cases. His conciusion, which agreed with that of others in the discussion, was that the whole matter was as yet unreliable because the effects were at best so slight.

THEODORE POTTER.

WORK OF ORGANIZATION, President Musser in his address characterized Dr. McCormack, of Kentucky, as "the untiring apostle of organization." Of the States, 34 have adopted the new plan, with a total of 44,362 members.

As Alabama and Massachusetts have long had most of the important features of the Association plan, Pennsylvan'a, Virginia and Georgia are the only great States still operating under the old methods. Michigan led the procession of States in this work last year, increasing the membership from 452 to about 2,100. Texas easily takes the banner this year, with an increase from 382 to about 2,510, although several States have quadrupled their membership. What is probably still more significant, as indicating the rapid growth of the movement, over 1,600 of the 2,830 counties in the United States are more or less completely organized. While these results are almost phenomenal when compared with the past, they seem small in the light of what remains to be done before our organization is really complete. Few States except Alabama have over 50 per cent. or 60 per cent. of the eligible physicians even enrolled as members. work will cover every phase of professional work and interest, scientific, social, material and legislative, and in the very nature of things will never be completed. Instead, the assumption and proper discharge of these functions will constantly open up or develop new avenues of activity or usefulness. The real test of the plan of organization will come in each State when the first outburst of enthusiasm has passed, and county societies, the foundation for everything, are likely to disappear as rapidly as they have been formed unless their usefulness to the rank and file of the profession can be demonstrated in a very broad way.

The

Dr. McCormack is correct in his fear that a chill may follow such a fever, unless

eternal vigilance is exercis.d by the leaders.

He also recommended the formation of seven "Branch Associations," with constitution and by-laws and voluntary membership, the presidents of State Societies to be vice-presidents of the "Branches," and the presidents of these larger bodies to become in turn the vice-presidents of the National Association; that is a new set of wheels is to be inserted between the State and National Associations. For example, with Indiana as a center, Michigan, Ohio, Illinois, Kentucky, Tennessee and Missouri form the "Lake and Mississippi Valley Branch," with meetings at the same time and place of the State Associations, year after year until the "Grand Circuit" has been completed. He also urge that the State meetings be held in the fall and winter months so as not to conflict with the American Medical Association. The entire plan was opposed vigorously and was referred to the Committee on Organization to confer with the State Societies and report next year. The plan will probably be put to permanent sleep.

With all the efforts made the National Association has made a net gain during the year of but 1,494. May, 1903, there were 13,540 members; May, 1904, there were 15,039. There were 919 dropped; 188 died; 111 were not eligible; 278 did not pay their dues; 315 resigned, many on account of old age, and 27 were not found. Of the 2,413 names added to the membership list, 411 were new members and 2,002 were original subscribers afterwards transferred to the membership list. Since the union in New York is now perfected, that State which now has 1,635 members will no doubt double its list within the present year.

Indianapolis Medical Society; Final Meeting at the City Hospital.

The last meeting of the Indianapolis Medical Society until the first Tuesday in next October was held Tuesday evening, June 21st, in the open air at the City Hospital, the society coming as guests of Superintendent Martin. The tennis court at the southeast corner of the hospital grounds was used for the occasion. Seats were arranged over this space and a circle of electric lamps lighted the ground most

attractively, as it brought to the sidewalks. adjoining the meeting place all the mothers and children of the neighborhood. In addition to members of the society, the internes of the hospital, clad in white duck, and the nurses in their neat uniform, were an interested part of the audience. An orchestra furnished music and the hospital force served light refreshments.

The meeting was called to order by the venerable President Dr. W. H. Wishard, who rapped the table with a new gavel, of which he gave the history. The gavel had just been presented to the society by John Morgan, of Plainfield, who now owns the farm formerly owned by the late Dr. Thomas B. Harvey, who planted the apple tree from which the gavel had been made, nearly half a century ago, before he came to Indianapolis to become eminent in his profession.

The society in appreciation

of the gift passed a vote of thanks to Mr. Morgan.

The meeting then became one of reminiscence largely devoted to the great work that had been done in this city and for the City Hospital by Dr. Harvey.

Among those who spoke of the distinguished physician and the early and later days of the hospital were Drs. W. H. Wishard, P. H. Jameson, John M. Kitchen, Guido Bell and A. W. Brayton.

Dr. Jameson told of the beginning of the hospital under Dr. Kitchen and himself for the care of sick and wounded soldiers and mentioned with much emphasis the name of the late Dr. Livingston Dunlap, who was largely instrumental in making the hospital a city institution after the civil war.

Dr. John M. Kitchen, who was the first surgeon of the hospital in the war time, told of his coming to Indiana in 1847, going down the Wabash and Erie canal to Ft. Wayne. "It was a desolate region then," he said: "marshy and full of fever and ague, now all drained and very fertile. A newly-married couple, the groom somewhat elderly, was on the canal packet.

"His wife, who was of a poetic nature, called to him one evening from the deck: William, William, come here and hear the pretty little birds sing. We don't call them birds, said the practical husband, 'them's muskeeters." But the bride had made a very natural mistake, for the insects were about as big as humming birds.

"While this was a military hospital, we cared for about 12,000 sick and wounded soldiers. I suppose that since this has been a hospital about 30,000 persons have been treated here. I planted every one of these trees under which we are sitting tonight. I performed the first surgical operation done at this hospital, the amputation of the leg of a woman. My friend, Dr. W. N. Wishard, is the father of the present hospital. I want to compliment these young women, the nurses. They are doing a good work. It would be impossible now to conduct a hospital without them."

Dr. W. N. Wishard, who was superintendent of the City Hospital for eight years, and is called "the father of the hospital," opened the first school of nurses in the city. He spoke of the work that had been done, of the noble service that had been given to the sick by the physicians of this city, without fee or reward, and from pure love of humanity and pride in their profession.

There was a large attendance of the 240 members of the society. Great interest attached to the addresses of Drs. Wishard, P. H. Jameson and Dr. Kitchen, who collectively have practiced in this region nearly 180 years. All were surgeons of the Civil War; each of them still keeps an office and engages in medical work at the present time. It was a night for the young physicians to listen and keep silence.

Indiana Health Officer's School.

The third annual Health Officers' School for the State of Indiana was held in the Supreme Court room at the State House, Thursday and Friday, June 23-24, under the auspices of the State Board of Health.

The meeting was called to order by Dr. W. N. Wishard, president of the board. Papers were read as follows: By Dr. J. N. Taylor, of Crawfordsville, on the Advance of City Sanitation; by Dr. E. C. Loomis, of Vermillion county, on Administrative Hygiene; by Dr. Chas. R. Sowder, of Indianapolis, on Infant Feeding and the Prevention of Infantile Diarrhoea; by Dr. J. W. Hill, of South Bend, on The Need of a State Laboratory of Hygiene; by Dr. Cressy Wilbur, of Lansing, Mich., on Indiana's Vital Statistics; by Dr. John J. Kyle, of Indianapolis, on Inspection of

the Eyes and Ears of School Children; by Dr. J. S. Martin, of Marshall county, on County Health Organizations.

There was an attendance of 184 members. Dr. Arnold Klebs, of Chicago, failed to appear with his paper on the Prevention of Tuberculosis. His topic was, however, discussed. The health officers of the towns and cities met last fall in the Newton Claypool Hotel. Officers are allowed their traveling and hotel expenses. Only one other State holds similar schools. They are of great benefit to the citizens of the State.

Of the meeting the Indianapolis News said editorially:

"The meeting here of the health officers of the State is noteworthy and what they say commands attention. The suggestion that the sight and hearing of school children should be inspected commends itself, as does also the direct way suggested for getting at it. The inspection proposed is of a kind that teachers could make; and Dr. Kyle's idea that at the beginning of the school year these should make such inspection should be adopted. As was pointed out, children often suffer from defects of sight and hearing. They fall behind in their studies and are credited with being stupid, when in fact they are simply suffering the drain on the system that defects of this kind entail. For the teacher in the beginning to find those thus afflicted and to certify them to their parents as needing treatment is a service to the little sufferers, to their parents and to the city.

"The urgent resolution of the meeting that the Legislature should establish a State laboratory of hygiene should also be effective. Dr. Hill, of South Bend, and Dr. Grant, of Richmond, especially made clear that such a laboratory was greatly needed to protect the people against impure food and drink, in warding off diphtheria, typhoid and tuberculosis."

The Passing of the Indianapolis Journal.

Wednesday, June 8th, the Indianapolis Daily Journal issued its last number and the Philadelphia papers announced in their head lines that "Indianapolis was now without a Republican organ." organ feature is not of so much moment, as the News, and also the Morning Star, which bought the Journal, are independ

ent republican. The shock comes to the readers of the Journal in whose homes all over Indiana the paper has been a daily or weekly visitor for two generations, and they will not be comforted. The editor of this JOURNAL was for six years one of the editorial writers of the old Journal under the management of that greatest of Indiana editors, Mr. Elijah J. Halford, with Messrs. John New and Harry New as owners and managers. For years, on Blue Monday of the preachers, the Rev. Myron W. Reed, the greatest of Indianapolis preachers since Henry Ward Beecher, the poet James Whitcomb Riley and frequently his running mate Bill Nye, the genial business manager, George C. Hitt, "Harry" New, Mr. Halford, "Pink" Fishback, and other congenial spirits, met in the counting room of the Journal from 11 to 1, told stories of turf, field and flood, of city and daily life, and laid the plans for the week, worry and wisdom of the coming week. From this office Mr. Hitt launched Riley's "Old Swimmin' Hole and Leven More Poems," his first, and some still think his best collection of poems.

And the present writer heard their "opinions" of the editorials, scientific, educational and religious, he had written unknown to them, for the previous Saturday or Sunday edition. Here the Harrison boom was initiated, and here when Cleveland was nominated Mr. Halford instructed the political writers to put a fly. in every pot of ointment, and advised the present writer to pay especial attention to the "Apple Crop in Posey County," and the "Thingness of the Here." For the Journal suddenly became an agricultural and scientific journal until it could recover its political wind.

The Daily Journal always had dignity and literary value. Of the modern American newspapers and their editorials the Indianapolis News says there are not a score that have an "editorial page" in the old meaning of the term. Certainly with the passing of the Journal, the News is the only one left in Indianapolis of the old style of John Holliday and Elijah J. Halford.

"It may be too much to speak of the new editorials as typical of American journalism-'angels and ministers of grace defend