the Association and none have been more faithful and active in promoting his welfare; his contributions to medical literature are extensive.

The Ohio Valley Medical Association.

The sixth annual meeting occurs November 9-10 in Evansville, with the following officers: Dr. A. M. Hayden, President; Drs. J. W. Stone, C. T. Hendershot, August Schachner, Vice-Presidents, and Dr. A. J. Liebr, Secretary and Treas

urer.

There are thirty-two papers in five sessions.

The evening session will hear addresses by the President and by Dr. Chas A. L. Reed, of Cincinnati. A note from Dr. Hayden of October 11th is as follows:

I see in the October number of the INDIANA MEDICAL JOURNAL an article stating the Mississippi Valley Medical Association meeting to be held at Cincinnati is the last of the Autumnal Medical Society meetings. I enclose a program of the Ohio Valley Medical Association that you may see that there will be another important medical meeting before the year closes. I say important because most of the the prominent men in the profession outside the Ohio Valley attend these meetings, and as you will see by the program quite a number of eminent men will be in attendance. We have about four hundred members with an average attendance of two hundred. The program we present to the society insures a scientific treat to all who may attend. The social feature of this meeting will be looked after in such a manner as to keep up the reputation that Evansville has gained in the past on similar occasions. I wish to extend you and your friends a cordial invitation to be with us on that occasion.

The Indianapolis Medical Society. MEETING OF OCTOBER 4, 1904. The meeting, which was the first of the year, was called to order by the President, Dr. W. N. Wishard.

The Society directed the Secretary to join with the National Life Underwriter's Association in inviting Dr. S. A. Knopf,

of New York City, to deliver an address upon "The Prevention of Tuberculosis." Drs. Hurty, Potter and White were appointed a committee to arrange for this meeting.

Dr. Wm. H. Davis, of Denver, Colo., was present and was extended the courtesies of the meeting. Dr. Davis was twenty-five years ago a member of this Society and Superintendent of the City Hospital.

The Committee upon Fee Bill reported. Upon motion the report was referred back to the committee, to report at the next meeting, Dr. J. H. Oliver to act with the committee.

The Secretary read a communication from Eli Lilly & Company, enclosing their check for $52.10 for the Indianapolis Medical Library journals.

The State Nurse's Association sent a letter of thanks for the use of the Society rooms for their recent meeting.

The scientific exercises as per program were then taken up.

I. Dr. E. D. Clark reported a case of separation of the epiphyses of the tibia and femur, simultaneously with skiagraphs illustrating the same.

II. Dr. Potter presented several photographs of Chinese clinics taken by Dr. Mary Fulton, of China, to illustrate medical missionary work.

III. Dr. Potter then read some "Campfire Reflections," upon topics, medical and social.

IV. Dr. Wm. C. White showed the specimens from and reported a case of a woman, whose case had not been diagnosed, who had a small carcinoma of the cervix uteri, and secondary growth far more extensive in the pelvis. The heart was fatty. The left kidney was involved, the pelvis of the kidney being much dilated, as also the ureter which was involved in the secondary cancerous growth. The conspicuous feature was the large and rapid secondary growth as compared with the primary.

V. Dr. L. Burckhardt reported a case of peliosis rheumatica, Schönlein's disease, also known as morbus maculosus. The patient was a woman aged 40.

The patient was operated upon in July, 1904, for a pus tube, by Dr. F. B. Noble. He had previously noticed some of the purpuric features of the patient. These

became more pronounced after the operation, though her recovery from the latter was prompt and good. Sodium salicylate seemed to control the temperature better than any other drug. The patient progressed steadily to death, with purpura, diarrhoea, fever, and progressive weakness.

VI. Dr. F. B. Wynn showed a specimen of aortic stenosis, extreme in its degree of stenosis, there having been a musical murmur during life. He made some remarks upon the supposed causation of so-called "musical" or "cooing murmurs," stating that they are most common in aortic stenosis.

VII. Dr. W. T. S. Dodds reported a case of gall-stone colic in a fleshy woman aged 55. Several stones were passed by the bowel. Operation by Dr. Dunning revealed over 400 stones, one being in the cystic duct. Recovery was prompt and with relief from her former "billious attacks."

Dr. Wm. H. Davis, of Denver, upon invitation, responded to the President's introduction to the Society.

The various papers were discussed by Drs. Guido Bell, A. W. Brayton, Kimberlin, Wynn and Pantzer. In the course of this discussion numerous cases of purpura of intense type were referred to by Drs. Brayton, Wynn and Pantzer.

Dr. Brayton called attention to Dr. Osler's series of some thirty cases studied in the last ten years, all of which had more or less severe visceral involvment. Many of them had severe colic and two were operated upon for appendicitis. In threefourths of the cases the kidneys were affected. The purpuric group is not as yet classified satisfactorily by either the dermatologists or the internalists.

MEETING OF OCTOBER 11, 1904. Upon motion, the Society voted to invite the Mississippi Valley Medical Association then in session in Cincinnati, to hold its next meeting in Indianapolis. The Secretary presented the programme of lectures at the Central Insane Hospital, given by various ailenists, and an invitation to all members of the Society, from Superin*endent Edenharter to attend these lecures on Tuesdays at 2 P. M., was extended. Upon motion, the Secretary was ordered o correspond with Dr. McCormick, na

tional organizer of the American Medical Association, to arrange for his visit to this Society, and to secure his coming, if possible, on Tuesday, October 25th.

Upon motion of Dr. Potter, the committee upon fee bill was dismissed with thanks for its work and the Society resolved to take no further action at present upon the matter of a fee bill.

Dr. J. J. Kyle read the paper of the evening upon the "Anatomy and Disease of the Accessory Sinuses of the Skull." Special attention was given acute inflammatory disease and suppuration in these sinuses. The essayist first took up the embryology of the sinuses, then the normal anatomy using lantern-projections to illustrate the acute and chronic catarrhal, and acute and chronic septic and suppurative diseases, which are the chief ones involving the sinuses. Acute suppuration may pass into chronic empyema. Disease of these sinuses is much more common than is usually supposed, and often explains otherwise obscure symptoms. Inflammations of the maxillary, frontal and ethmoidal sinuses are the most frequent.

The essayist then reviewed the symptoms of acute and chronic inflammations and suppurations of these sinuses.

The prognosis is good for life, but not so good for spontaneous cure. The treatment of suppuration is practically the same as that for suppuration in other cavities. The drainage channels should be cleared, any obstructions in the nose removed. Such good drainage failing to cure, the sinuses may have to be freely opened. The essayist described the various procedures for opening the sinuses, and the surgical measures indicated after such opening. In general, it may be said that if the sinuses are to be opened for suppuration, the openings should be thorough, so that good drainage and opportunity for local treatment, washing, etc., may be given. The Killian operator upon the frontal sinus was especially emphasized.

Neoplasms of accessory sinuses often occur. Most frequent are polypi and cysts. Fibroma, osteoma and myxoma may occur. Carcinoma and sarcoma may occur, and there is reason to believe that non-malignant growths may, as the result of long irritation, take on malignant features. The essayist reported in detail a case of

malignant growth in the ethmoid cells, recently operated upon.

In the absence of those appointed to lead the discussion, Drs. Woolen and Cline were appointed.

Dr. Woolen had seen almost the whole modern evolution in this field of sinus disease, and therefore appreciated the demonstrations of the evening. He emphasized especially the respiratory and drainage functions of the nose, and pointed out the significance of these things. The nose drains fourteen accessory sinuses. The surgery of the nose has done in this field what surgery has done in the abdomen. Drainage is the chief thing in the surgery of the nose.

Speaking of the use of solutions for washing the nose, Dr. Woolen protested against the use of fixed solutions for all cases. The strength of the solution should be prescribed in each case.

Dr. L. C. Cline said the nose was the chief seat of upper respiratory disease. We must emphasize this in connection. with laryngeal and pharyngeal disease, and with sinus disease. The overlooking of sinus disease is very common. Epidemic influenza had been a great factor in producing sinus disease, the mucous membranes being often involved in the general infection.

MEETING OF OCTOBER 18, 1904.

The paper of the evening was by Dr. Thomas B. Eastman, upon drainage of the gall-bladder as a relief for certain disorders of the liver and pancreas. (The paper is printed in the present issue of the JOURNAL. ED.)

Discussion.

Dr. L. H. Dunning. The association of diseases of the liver and pancreas is important, but there is much about it that we do not yet understand. There can be no doubt that acute pancreatitis is often dependent upon disease in the liver.

In the speaker's experience gall-stone disease as he had seen it at operation, and these included nearly 100 cases, is always accompanied by indigestion. Just what is the cause of the association of pancreatic and gall passage disease we do no know. But we should keep close observation, in order to trace the time and manner of development of pancreatic disease.

Dr. F. B. Noble. There is surely a connection between biliary and pancreatic disease. It has been shown that that bile is a violent irritant to pancreatic substance. The entrance of bile into the pancreas is made possible by the condition at the region where the liver and pancreatic ducts enter the intestines. We may speak and think of a pre-lithogenous, a lithogenous, and a post-lithogenous state and group of pathologic conditions. The speaker referred briefly to a number of disorders dependent upon cholelithiasis. Early recognition of cholelithiasis is of great importance, in order that these conditions may be prevented by prompt surgery.

Dr. Fletcher Hodges had seen much of the work of Dr. Reginald Fitz, of Boston, and had been much interested in it.

Dr. O. G. Pfaff. A few years ago we operated for gall-stones and sometimes failed to find them. We now know that we may properly operate for disease of bile-passage or pancreas without reference to the presence or absence of stones. Many persons suffering from various forms of digestive disorders are now, and many more should be, cured by surgery of the bile-passages.

Dr. A. C. Kimberlin said the differential diagnosis of gall-stones, cholelithiasis and pancreatitis, is often difficult. We do not recognize in diagnosing the cases the importance of the early history of persons who develop serious gall-stone and pancreatic disease. Hence they pass on to become surgical when they might be relieved when in the stage of bad habits which often underlies the gall-stone dis

ease.

Dr. H. O. Pantzer stated that he is convinced of the important relation between gall-passage and pancreatic disease. Drainage of the gall-bladder often gives great relief or cure to such cases. In 1892 he had drained the gall-bladder in two cases with good results. Dr. Pantzer reported a notable case of operation upon the gall-bladder-with union of bladder and bowel by the Murphy button. Leakage about the button occurred and death followed. Autopsy revealed a stone in the ampulla of Vater, and plain pancreatitis. While drainage was good, the case did well; when it became defective, the leakage and complications came. The case

was evidence of the importance of drainage of the gall-bladder.

Dr. Potter said that we must get rid of some old views regarding gall-stone pain, Jaundice, the origin of cholecystitis and the significance of the ague-like paroxysms; the so-called "hepatic intermittent fever" of Charcot, as an indication of angiocholitis and cholecystitis. These cases of "billious colic" many continue for years without suppuration. But this incomplete obstruction may develop finally an infective cholangitis.

Dr. Sterne called attention to the great frequency of stones in the gall-bladder without apparent disease. The mere presence of stones without infection cannot be considered an extremely serious matter, but the paper of the evening shows us that even in such cases, secondary disease in the pancreas may arise.

The second paper was by Dr. J. N. Hurty upon the Hygienic and Medical Exhibit at the St. Louis Exposition.

The essayist gave a list of the countries, States, cities and individuals entering into this exhibit. He showed a number of published reports referring to the progress of hygiene.

The Indiana exhibit, made under Dr. Hurty's direction, fills three cabinets, and is generally acknowledged to be a credit to our State.

Dr. Hurty was chairman of the jury of awards in the department of hygiene.

Dr. A. W. Brayton made some remarks upon the general value and attraction of the Louisiana Purchase Exhibition, and of the Congress of Arts and Sciences and the Hygienic Exhibits. A gold medal was given to the Indiana Exhibit.

NECROLOGY.

Dr. Daniel A. Thompson, of Indianapolis. Death has again entered the ranks of the medical profession in Indianapolis. Dr. Thompson touched life at many points in the family relation as son, brother, husband and father; in civic life as a good and loyal citizen; as a practitioner in his chosen field of opthalmology he was one of the most skillful, widest known and most respected and beloved by his confreres and patients. For nearly fifteen

years he had held the chair so long occupied by his eminent father Dr. James L. Thompson, now emeritus professor of the same branch in the Medical College of Indiana, and still engaged in the practice in our city and active in hospital work in its charitable institutions.

He leaves a wife, son and daughter to mourn his loss; a sister, the wife of Dr. John H. Oliver. Death has claimed within a brief period several members of the College: Dr. Ralph Morgan, an active general practitioner of great promise from typhoid fever; Dr. Eugene Davis, who was the assistant in Dr. Thompson's clinic of the same disease, and within the year Dr. John F. Geis, the professor of chemistry. All were graduates of the college; all were in the summer of life, with families and honorable and useful records as citizens and physicians.

The signal feature of Dr. Thompson's life was happiness in labor and righteousness; hope and courage, veracity in the life of the spirit; consistency of the outward and the inward life. His sympathies were broad and went out warmly to those furthest removed from the high and somewhat rarefied atmosphere in which professional men are usually supposed to pass their lives.

"Dan Thompson" has gone from us, but his name is not "writ in water." His life and work made him more than a wave of the midmost ocean which has foamed for a moment, and then sunk forever in the illimitable sea. That which lies behind in the life of a man may seem insignificant in the immense volume of human life and action, but to those who knew Dr. Thompson it is a pleasant memory and a noble example. And to them the interminable vale which lies before him is not dark and cheerless, but is lighted with pleasant dreams and visions and even with glorious hopes, and they will rest assured that wherever in the future there is virtue and knowledge and beauty, he will find a home.

The faculty of the college in general assembly appointed a committee of five members who prepared the accompanying memorial. The Indianapolis Medical Society also passed appropriate resolutions. and made them matter of record. The closing appreciation of his life was given