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most troublese regards the bron phenacetin toes not hesitate to
entire progress of which the patient was either comatose or wildly delirious.
Dr. A. A. Klein spoke of the frequent occurrence of purulent otitis following “la grippe."
Dr. F. W. Elliott has lost but two cases of pneumonia following “la grippe,” in each of which the patient was addicted to the alcohol habit.
Dr. W. H. Lougee has always believed that “la grippe" was a neurosis and not contagious. One object of his treatment has always been to allay the condition of irritability which almost always exists, and to effect this he does not hesitate to give opiates. He also relies on phenacetin to reduce high temperature. He regards the bronchial type of the disease as the most troublesome; the first, or spasmodic stage of this type should be relieved by sambucus, but this remedy has disappointed him in this respect. The disease rapidly runs into the suppurative stage in which he has found hepar, mercurius, and aconite most useful. In regard to Dr. Warner's use of nitric acid in puerperal albuminuria it was his opinion that the cases would have recovered spontaneously, and doubted the efficacy of nitric acid in true Bright's disease.
Dr. Gardner spoke of the very gratifying results he had obtained from the use of the cold pack in the treatment of albuminuria.
Dr. A. J. French wished to call attention particularly to the profound effect of “la grippe” upon the nerve centers as the probable cause of many of the reported sudden and otherwise unaccountable deaths. Thinks that the disease is due to an atmospheric influence. Believes in the microbe theory.
Dr. O. S. Sanders regards discussion as to the etiology of “la grippe" as rather profitless. Thinks there is a great deal of speculation about the cause of disease, and that when we draw away from the totality of symptoms we get upon an open sea of doubt and uncertainty. Thinks that with the law of similars and good common sense the patient stands the best chance of recovery from “la grippe” or anything else.
This closed the discussion, and at 1 P. M. the meeting adjourned to Hotel Thorndike, where a very satisfactory lunch was served to 106 members.
The meeting was again called to order at Steinert Hall, at 2.30 P. M., by L. D. Packard, M.D., the President being unavoidably absent.
Dr. I. T. Talbot offered the following resolution:
Resolved, That the thanks of the Massachusetts Homæopathic Medical Society are hereby tendered to the State of
Massachusetts for the aid received through the State officials whereby the Massachusetts Homeopathic Hospital has been greatly enlarged and its usefulness increased ; to the City of Boston and the generosity of many individuals for the erection of a fine Dispensary building, and to the Trustees of Boston University for the spacious addition to the School of Medicine ; and we pledge our influence as a society to assist these institutions to fully meet the responsibilities which rest upon them. Carried unanimously.
The following resolution was also adopted :
Resolved, That a committee of three on the part of the Massachusetts Homeopathic Medical Society, together with one from each of the other Homeopathic Medical Societies and institutions of the State, be appointed by the Executive Committee of this society to have charge of and represent the Homeopathic interests of this State at the Columbian Exposition or Fair, to be held at Chicago in 1893.
Dr. J. Wilkinson Clapp, in behalf of the Faculty of Boston University School of Medicine, invited the Society to hold its next semi-annual meeting at the new college building. By vote of the Society this invitation was accepted.
REPORT OF COMMITTEE ON OBSTETRICS.
Walter Wesselhoeft, M.D., Chairman. A few cases of puerperal albuminuria without convulsions. John J. Shaw, M.D.
DISCUSSION Dr. E. P. Colby has had the rare privilege of having under continuous observation for a period of eighteen years a patient, with albuminuria. At his first attendance upon the woman, eighteen years ago, her labor was normal, but at a previous confinement she had had albuminuria and convulsions. He has at intervals examined her urine since that time, and always found albumin until two years ago, when, at the climacteric, the albumin gradually disappeared, the headaches grew less frequent, and the woman was now apparently well.
Dr. J. Herbert Moore wished to remind the members that a congestion of the Malpighian tufts may cause albuminuria without the coexistence of true tubular nephritis, and spoke of the frequent existence of nephritis without albuminuria.
Dr. J. P. Sutherland said that the question of the relation of albuminuria to convulsions is not so important as that of nephritis to convulsions. Scarcely a pregnant woman will go to term without the occurrence of albuminuria, yet in the ma
jority of these cases the urine will show no diminution of the excretion of urea and no casts. Has seen actual nephritis existing and yet no sign of convulsions. REPORT OF COMMITTEE ON DISEASES OF CHILDREN.
J. H. Sherman, M.D., Chairman. Subject :- Diphtheria, including Intubation. 1. Treatment of Diphtheria, with Report of a case. J. H. Sher. man, M.D.
Discussion opened by L. D. Packard, M.D. 2. Intubation. Eloise A. Sears, M.D. Discussion opened by Horace Packard, M.D.
DISCUSSION. Dr. L. D. Packard thinks that a certain number of cases of diphtheria are doomed from the very inception, in spite of the most careful and scientific treatment known to-day. Has had very good success in the treatment of this disease with such remedies as phytol., bapt., merc. bin., etc.
Dr. James Hedenberg gave a brief and interesting resumé of the history of diphtheria in this country, and spoke in regard to the difference of opinion as to the identity of croup and diphtheria, urging physicians to err in this matter on the side of caution.
The tellers then announced the result of the annual election, as follows: President, L. D. Packard, M.D., South Boston. Vice-Presidents, Alonzo Boothby, M.D., Boston; John P. Sutherland, M.D., Boston. Corresponding Secretary, J. Wilkinson Clapp, M.D., Brookline. Recording Secretary, Frank C. Richardson, M.D., Boston. Treasurer, Herbert Clapp, M.D., Boston. Librarian, Horace Packard, M.D., Boston. Censors, H. P. Bellows, M.D., Boston ; N. Emmons Paine, M.D., West Newton; Walter Wesselhoeft, M.D., Cambridge; John L. Coffin, M.D., West Medford ; A. J. French, M.D., Lawrence.
It is a pleasure to report the presence at the meeting, of Dr. Robert G. Reed, of Woonsocket, R. I., as a delegate from the Rhode Island Homeopathic Medical Society.
REPORT OF COMMITTEE ON NERVOUS AND MENTAL DISEASES.
Frank C. Richardson, M.D., Chairman. Subject :- Syphilitic Neuroses. 1. General Syphilitic Neuroses. Frank C. Richardson, M.D. 2. Cerebro-Spinal Syphilis, with remarks on Treatment. E. P.
DISCUSSION. Dr. N. Emmons Paine thinks that the most frequent manifestation of nervous syphilis is general paresis. Considers that at least three-fifths of the cases of general paresis occurring in the male are of syphilitic origin, and probably every case in the female. Where a patient came into the epileptic state after thirty years of age he, with other observers, had come to regard the case as surely of specific origin. Wished to mention a peculiar form of mental disorder which seemed almost pathognomonic of syphilis. Illustrative of this was the case of a woman who was admitted to the hospital with all the symptoms of acute mania, but suddenly became quiet, childish, then in a week or two developed total loss of memory, lasting for a long time; she had kali iod, and made a good recovery. A man with the same general excitement at first soon developed the same indescribable forgetfulness, absolute amnesia, but under the iodides made a rapid recovery. Both these cases were known to be of syphilitic origin; they were not cases of general paresis, and the lesion was, in all probility, cortical.
Dr. J. L. Coffin thinks that exclusive of these cases depending upon new growths, syphilitic neuroses are among the most difficult conditions to diagnose. Speaking of syphilitic headache, he thought that severe pain is most likely to occur from syphilitic meningitis, and he has seen these cases cured by gelsemium, cimicifuga, etc., as well as by the iodides and mercurials.
Dr. N. Emmons Paine, speaking of the difficulty of making a differential diagnosis between cerebral tumors, said that he had in one case sent sections of the same tumor, made as closely together as possible, to two eminent pathologists. One called it a glioma, the other a gumma.
Dr. N. W. Rand reported a case diagnosed syphilitic tumor, presenting marked cerebral symptoms which had developed while the patient was under the iodide treatment. After trying various methods of treatment he finally prescribed merc. cor., gr. 1-100 t. d., and from that time the man began to improve, and the cerebral symptoms have now entirely disappeared.
The following committee was appointed by the Chair to take into consideration the recommendation of the executive committee, that the Society adopt the Australian ballot system: Drs. E. P. Colby, I. T. Talbot, Alonzo Boothby, F. B. Percy, F. P. Glazier. Adjourned at five o'clock.
FRANK C. RICHARDSON, Recording Secretary.
BOSTON HOMEOPATHIC MEDICAL SOCIETY. The regular monthly meeting of the Boston Homæopathic Medical Society was held at the Women's Industrial Union, 264 Boylston street, Thursday, February 4, 1892. President Henry A. Spalding in the chair.
The records of the last meeting were read and approved.
John H. Bennett, M.D., was elected to membership, and the name of A. D. Bowman, M.D., was proposed for membership.
Dr. Emily A. Bruce exhibited an orange-seed that had remained in the bronchial tubes six weeks, and was expelled in a paroxysm of coughing
Dr. Martha Mann presented an irregular P-shaped piece of calcareous deposit that had been expelled during coughing.
Dr. Talbot opened the discussion with a few suggestions upon the removal of foreign bodies from the air passages. He said parents and friends usually complicated matters by interfering unnecessarily. First find out by delicate probing where the substance is, and what it is.
The blunt movable hook was a very serviceable instrument, but the probang or expanding brush usually removed the mucous membrane rather than the substance sought.
Several cases had occurred in his practice where different substances had been swallowed.
One child swallowed a glass stopper. Tracheotomy was performed, but the stopper was not found. After eight months the child had a fall, which started it out of the trachea.
A second case was of a child that swallowed a watermellonseed and died on the third day of pneumonia.
A third case swallowed a bean. Tracheotomy was performed and the child recovered.
Dr. Packard reported several cases of foreign bodies in the air passages.
Dr. Spalding followed with cases occurring in his practice.
Drs. Sherman, Powers, Hines and Batchelder also reported cases. The meeting adjourned at 10 o'clock.
M. E. MANN, M.D., Secretary.
MEDICAL ATTENDANCE IN THE JURY.Room. - The sanctity of a jury-room appears to be so well guarded that, even in case of sudden sickness, a physician may not enter except after due process of law. In the Foss will case, tried recently in Boston, the jury were deliberating when, late in the evening, one of them was suddenly attacked with what proved to be a stroke of apoplexy. The officer in charge notified the deputy-sheriff, who, not having authority to let any one into the juryroom, drove across the city and informed the sheriff, but even this official was not high enough to act, and another expedition started in search of the judge. As the latter happened to be at home, the requisite order was obtained to summon a doctor. - Ex.