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tor Inglis had a rare faculty, which was manifest in his lucid, forcible diction. His medical papers, though somewhat infrequent, showed a grasp of the subject, an exquisiteness of expression as well as studied detail, which portrayed the ordered sequence of the mental processes which produced them. Approximately two years ago Doctor Ingiis took up his residence in Ann Arbor, which was a definite retirement from a life of prolonged activity. It seemed a fitting closure for an active professional career that it stwilight should be spent among the hills and cloistered verdure of a college town.

Doctor Inglis entertained a philosophical view of life which is possessed by but very few. Не thought intensely and his judgment was mature no matter what the theme. To converse with him was a mental stimulus, or to make free use of a Biblical expression, "To touch the hem of his garment" was to come away richer than before. A certain English physician who was consulted by Theodore Roosevelt was wont to say that he felt refreshed and stimulated after visits to his office by the late lamented president. Doctor Inglis possessed this power to a degree; it is one of the inexplicable peculiarities of a strong personality. He gives cut: "Nec tamen consumebatur." We may imagine the patient of David Inglis leaving his office renewed in spirit, for verily the doctor coid

"Minister to a mind diseased

Pluck from the bosom a rooted sorrow Raze out the hidden troubles of the brain." Now that he has passed to that undiscovered country from whose bourne no traveler returns, we might imagine his uttering the remarks of Mr. Valiant-for-Truth, "My sword I give to him that shall succeed me in my pilgrimage and my courage and skill to him that can get it. My marks and scars I carry with me to be a witness for him that I have fought his battles, who will he my rewarder! When the day that he must go from hence was come many accompanied him to the river side into which, as he went, he said, 'Death, where is thy sting?', and as he went down deeper he said, 'Grave, where is thy victory?' So he passed over and all the trumpets sounded for him on the other side."

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cine was "Desultory Comments on the Rejuvi. nated Propaganda for Birth Control."

Dr. Malcolm H. Smith has located in Muskegon,

Dr. W. A. Hagen of Ravenna is desirous of selling his practice.

Dr. C. B. Burr has returned to Flint following a winter spent in California.

Don't forget to make your hotel reservations for the annual meeting in Flint.

Dr. and Mrs. George G. Caron of Detroit spent the month of March in the south.

Dr. and Mrs. W. A. Spitzely of Detroit spent a few weeks in March in Virginia Hot Springs,

Dr. James W. Inches returned to Detroit, March 27, 1922, from a month's vacation at Miami, Fla.

Dr. D. A. MacLachlan of Detroit spent the greater part of March and April in Pinehurst, N. C.

Dr. Charles H. Mayo of Rochester addressed the Kent County Medical Society at its meeting of April 26.

Engelbert Andries, father of Dr. Joseph H. Andries and Dr. Ray C. Andries of Detroit, died April 6, 1922.

Dr. and Mrs. F. J. W. Maguire returned to Detroit, March 18, 1922, from a five weeks' stay in Miami, Fla.

Dr. James M. Robb of Detroit was married, April 19, 1922, to Miss. Virginia R. Yerger of Memphis, Tenn.

Dr. and Mrs. H. R. Varney returned to Detroit the latter part of March from a month's stay in Augusta, Ga.

The engagement of Dr. James B. Seeley and Miss Irene M. Cicotte, both of Detroit, was recently announced,

A daughter, Fabel Dorothy, was born to Dr. and Mrs. Henry A. Adrounie of (Lacey) Bellevue, R. F. D. 3, Mich., April 2, 1922.

Ellis Rigby, chiropractor of Detroit, was convicted in Judge Faust's Court, March 24, 1922, of practicing medicine without a license.

Henry F. Vaughan, Health Commissioner of Detroit, talked April 2, 1922, on "The Health of the Public" over the Detroit News Radio.

Mrs. H. W. Longyear has given the library of the Wayne County Medical Society a life-sized portrait of the late Dr. H. W. Longyear.

Dr. Joseph C. Charest of Detroit was convicted

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Public Health, cases of typhoid fever cannot be released until two negative feces examinations, taken at intervals of not less than one week after clinical recovery, have been made. The object of this rule is to get rid of unrecognized and unknown typhoid carriers.

Dr. Rudolph Lamber of Battle Creek has recently been named the tuberculosis expert of the Rehabilitation Committee of the Eighth District Veterans' Bureau in Chicago. This district includes Michigan, Illinois and Wisconsin. It will be Dr. Lambert's duty to visit the tuberculosis sanitariums in these states and to report on the treatment of the ex-soldiers,

The Detroit Ophthalmological and Otological Club met April 5, 1922, at dinner as guests of Dr. Waldeck. Following the dinner, Mr. Charles F. Campbell spoke on "Three and a Half Years' Work With the Soldiers Blinded in the War," and Mr. Robert B. Irwin spoke on "Methods of Educating Blind Children in the Public Schools of Chio." Both papers were illustrated with lantern slides.

Judge T. M. Cotter of the Detroit Municipal Court decided March 23, 1922, that Miss Irene Wendler, fiancee of Dr. Charles M. George of Detroit, who is serving a sentence in the Detroit House of Correction on conviction of performing an illegal operation, was not guilty of obtaining money under false pretenses when she sold the physician's house for $28,000. It was shown that Dr. George had given her a deed to the proporty.

Archibald McGilp, W. H. Currier and Margaret Burt, Pontiac chiropractors, recently arrested on a charge of practicing medicine without a license, have been held for trial in the Circuit Court of Pontiac. McGilp and Currier were arrested for the same thing last year and were sentenced to serve 65 days in the Detroit House of Correction and to pay fines of $200 each. Governor Groesbeck released them after they had served four weeks.

In Toronto, April 11, 1922, pandemonium reigned in the Private Bills Committee of the Ontario Legislature when a deputation, numbering hundreds, swamped the committee room in support of the bill to provide the incorporation of the chiropractic college. A. W. Rebuck, representing the college, pointed out that the bill was for the ordinary incorporation of the college. Dr. Forbes Godfrey and others could find no good in the cult and opposed the bill. Incorporation was refused by unanimous vote.

The first effort on the part of any organization in Michigan to perpetuate in art the faces of this state's greatest sons and daughters was made early in April, 1922, when the Detroit Library Commission selected nine men and one woman, whose portraits will be painted on medallions by Mr. F. J. Wiley. These medallions will be hung in the Loggia of Detroit's new library. Dr. David Osborn Farrand and Dr. Douglas Houghton are two of the ten. Dr. J. B. Kennedy is a member of the present Library Commission which made the selection.

The following Michigan physicians attended the Annual Conference of the Congress on Internal

Medicine, held in Rochester and Minneapolis, April 5, 6, 7, 8, 1922-Doctors C. D. Aaron, A. D. Holmes, B. R. Shurly, W. M. Donald, W. J. Wilson, J. G. Harvey, F. G. Buesser, E. H. Sichler, H. B. Garner, F. T. Stephenson, L. F. Wendt, A. S. DeWitt, B. G. Lockwood, A. F. Jennings, H. R. Carstens, R. W. McKeen, all of Detroit, and C. H. Johnston of Grand Rapids C. G. Parnell of Ann Arbor, M. A. Mortensen of Battle Creek, and W. J. Kay, W. H. Marshall and F. G. Miner of Flint.

County Society News

ACADEMY OF SURGERY OF DETROIT

The regular meeting of the Academy of Surgery of Detroit was held at the Highland Park General Hospital on Friday evening, March 10, at 8 o'clock.

The program for the evening was as follows: "Sarcoma of the Tibia," presentation of case, Frank C. Witter; "Buried Loop Operation for Retro-Deviation of the Uterus," John N. Bell; "Portal Circulation, a Factor in Abdominal Surgery," James MacMillan.

IRA G. DOWNER, Secretary.

BAY COUNTY

A regular meeting was held at the Wenonah hotel, Monday evening, April 10, with 45 members present. Dr. W. R. Ballard entertained the society with a dinner that night and Dr. Louis Klein, Endocrinologist for Parke, Davis & Co., Detroit, gave one of the finest talks of the year on "Gland Therapy, lts Basis and Rational Application." The paper was illustrated with lantern slides and was a masterful expose of the subject.

Resolutions of respect to Dr. Russell Brown, whose recent death was announced. were adopted at the meeting.

Announcement was made of the affiliation of the Midland and Bay County Societies. Midland Society will maintain its identity in Midland but will become associate member of Bay County Society. The Midland members in attendance were given a rousing welcome.

A delegation from Saginaw attended the meeting and their presence was truly appreciated. It is hoped to have the Bay County Society cooperate with the local Rotary Club in putting on an Orthopedic Clinic in May.

L. FERNALD FOSTER, M. D.,
Secretary.

GENESEE COUNTY

The Genesee County Medical and Dental Societies met in joint session on Wednesday, April 12, 1922. Dr. Claire Straith of Detroit spoke on "Hare Lip and Cleft Palate Surgery." His address was wonderfully well illustrated by both lantern slides and moving picture films of the operations. Our members were much impressed by the possibilities of instruction in surgery by means of moving pictures.

The Genesee County Medical Society met on Wednesday, March 29, 1922, President Miner presiding. Mr. Talafierro, Deputy Collector of Internal Revenue, spoke on the Harrison Act. Dr. E.

W. Haas of Detroit gave a splendid paper on "Hypertension." He briefly reviewed the various theories presented to account for the condition. He made it very clear that the disease was not synonymous with Arteriosclerosis. He dealt very fully with the etiological factors and advised rational treatment. The very full discussion following the paper showed how well the essayist had interested his hearers.

W. H. MARSHALL,

Secretary.

GRATIOT-ISABELLA-CLARE COUNTY

The March meeting of the Gratiot-IsabellaClare County Medical Society was held in Alma Thursday, March 16, at 7 p. m. Dr. H. W. Plaggermeyer and Dr. L. W. Hull of Detroit were the speakers. Dr. Plaggermeyer talked on "The Relationship of the Prostate to the Kidneys and Heart." He explained the anatomy of the Frostate and showed by drawings how the enlargement of the median lobe pushed up the neck of the bladder gradually increasing the residual urine. This increases the back pressure on the ureter. Then the kidney has to work harder to force the urine into the bladder. As the pressure in the ureter is gradually raised from a normal of 30 m. mrcury, the blood pressure has to raise to push the blood through the glomerulae. This in turn causes cardiac hyperthrophy, so we have the complete picture.

This is a very brief synopsis. The doctor has to be heard to appreciate how plain he made the picture. One particular point he emphasized was removal of the prostate is never an emergency operation. This pressure must not be lowered suddenly, but by degrees so as to let the cardiovascular-renal system adjust itself to the new conditions.

Dr. L. W. Hull then read a number of hisstories, showing pyelograms of each with a report of the operative findings.

This is our first experience with an evening meeting. The vote was unanimous that we continue them when the train schedule permits the visiting doctors to come and return the sane day.

We have had a dispute as to whether a memThis ber could invite a homeop to our meetings. brought out the following resolution, which carried unanimously: "Resolved, That it is no violation of medical ethics for a member to invite to the meetings of this society any interested person."

E. M. HIGHFIELD, M., D.,
Secretary.

MEETING OF THE NORTHWESTERN MICHIGAN CLINICAL SOCIETY

Meeting of the Northwestern Michigan Clinical Society was held at Cadillac, Mich., March 23, 1922. The following members were present:

Dr. Coates, Kaleva; Dr. Decker, Lake City; Dr. Yoe, Big Rapids; Dr. Neihardt, South Boardman; Dr. Fralick, Maple City; Dr. Holdsworth, Traverse City; Dr. Swartz, Traverse City; Dr. Burwell, Kalkaska; Dr. J. F. Doudna, Lake City, and Drs. C. E. Miller, G. D. Miller, David Ralston, J. M. Wardell, S. C. Moore, W. Joe Smith, J. F. Gruber and O. L. Ricker, Cadillac.

The program for the day, which was in charge of Drs. Moore and Smith of Cadillac, was opened at Mercy Hospital at 2 P. M., with one of the Grand Rapids teams of the Michigan State Medical Society: Dr. R. J. Hutchinson, Surgery. Dr. C. H. Karschner, Internal Medicine; Dr. S. C. Moore, X-Ray.

The doctors were met by Cadillac physicians and were entertained at Mercy Hospital for Loon luncheon.

Dr. Hutchinson opened the Clinic with a surgi cal operation of T. B. glands bilateral of the neck. Dr. Moore gave a short talk on the value of X-Ray in these cases.

Following this was a very interesting paper given by Dr. Karschner on diseases of the right upper quadrate. This paper dealt principally with gall bladder infections. The paper was a timely one and brought out a lengthy discussion from physicians present. Following Dr. Karschner's paper, Dr. Moore again took charge of the meeting and discussed several cases of gastro intestinal trouble and interpreted X-Ray findings in these cases.

A very interesting case was presented by Dr. Gruber, in which the case of an Hour Glass Stomach was brought out and demonstrated how same could be confused with nervous contraction of the stomach being relieved by administration of Belladonna. Several interesting cases were exhibited later, being patients at the Hospital.

The meeting adjourned and reported at the Hotel McKinnon at 6:30, where an elaborate banquet had been prepared and 22 physicians were seated at same. Election of officers followed the banquet, with the following results: Dr. S. C. Moore, Cadillac, President; Dr. J. M. Wardell, Cadillac, Vice-President; Dr. O. L. Ricker, Cadillac, Secretary and Treasurer.

A motion was made to allow all bills to be paid in connection with this meeting by the present Secretary and Treasurer. Another motion was entertained by Dr. Wardell to thank the Grand Rapids doctors for the elaborate program which they had prepared. Following were reports from various members relative to the continuation of the Society, which were heartily endorsed by. all presSentiment seemed to b in favor of continuing the Society, even though we possibly would only exchange sessions between Cadillac, Manistee and Traverse City.

nt.

Dr. Coates, member of the Manistee Society. spoke for that Society, assuring us that we would receive an invitation to a Clinic to be held at Manistee during the month of May. During the evening the Secretary's report was received, which showed the Society was in a prosperous condition from the financial standpoint and the retiring Secretary assured the members present that he greatly appreciated their efforts in helping to make the Society a success.

S. C. MOORE.

SHIAWASSEE COUNTY

The April meeting of Shiawassee County Society was held in Owosso at the Memorial Hospital on the evening of April 11. A good attendance was present, and in the absence of the speaker of the evening, Dr. L. F. Rice of Owosso conducted a quiz on the heart which served to refresh the memory on the anatomy and physiology of this important organ. Naturally some of us "flunked,"

but the meeting was an important one and quite a departure from the usual.

W. E. WARD, Secretary-Treasurer.

MACOMB COUNTY

At a monthly meeting of the Macomb County Medical Society held at Mount Clemens on March 15, fourteen members were present. We had as guest Dr. F. B. Walker of Detroit, councillor for this district, who addressed the members relative to medical affairs.

VICTOR HUGO WOLFSON, M. D.,
Secretary.

Correspondence

The Editor of The Journal of the Michigan State Medical Society:

Due to the fact that cetrain newspapers in Detroit published statements that the Board of Registration in Medicine had conferred upon Dr. Adolf Lorenz, the Austrian surgeon who recently was a guest of the City of Detroit, an honorary certificate of medical registration, or license, I will ask you to publish the following correction appearing in the Detroit Free Press, Sunday, March 26:

"LORENZ PERMIT LEGALLY GIVEN "Surgeon Qualified for State License, Officer of Board Explains.

"The Michigan State Board of Medical Examiners did not violate any law of the state or any rule of the board in giving Dr. Adolf Lorenz, famous Vienna surgeon, a certificate authorizing him to practice surgery in Michigan, Dr. B. D. Harison, secretary of the state board, said Saturday.

"Examined in Chicago

"Dr. Harison called The Detroit Free Press to explain that the certificate, or license, to Dr. Lorenz was given upon the reciprocal indorsement of the Illinois medical board, which issued a license to Dr. Lorenz in 1903 after he had passed a prescribed medical examination in Chicago.

"Dr. Harison explained that issuance of the license to Dr. Lorenz really was nothing more than a courtesy to an internationally distinguished surgeon, because the Michigan medical act exempts reputable and legally registered medical men who are registered and licensed in other states or countries.

"Dr. Lorenz, Dr. Harison said, did not come under the provisions of the state medical act because he had previously been registered, not only in Illinois, but in Austria, and his practice in Detroit in consultation with the city's leading hospital heads and registered medical practitioners was and is absolutely legal,

"Operation Cuts Red Tape

"At the request of Mayor Couzens and with the' approval of Governor Alex J. Groesbeck, the usual red tape was dispensed with in Dr. Lorenz's case, Dr. Harison concluded.

"Dr. Harison said he wanted to explain the issuance of the license to Dr. Lorenz because the state medical board has been critcised considerably by persons who were under an unwarranted im

pression that he was not qualified to practice in Detroit."

B. D. HARISON, Secretary.

Book Reviews

NEOPLASTIC DISEASES. A treatise on Tumors. By James Ewing, M. D.. Sc. D., Professor of Pathology at Cornell University Medical College, New York City, Second edition, revised and enlarged. Octavo of 1054 pages with 514 illustrations. Philadelphia and London: W. B. Saunders Company, 1922. Cloth 212.00 net.

It is the object of this work to present within reasonable space and in accessible form the main features of the origin, structure and natural history of tumors.

Up to a very recent time it has been the prevailing impression that tumors fall into a limited number of grand classes in which the forms occurring in the several organs are so nearly related as to be virtually identical. Hence the practical physician or surgeon has been content to regard all fibromas, sarcomas, or cancers as equivalent conditions without regard to the organ involved, and on this theory to treat the members of each class alike. Upon this theory also it was legitimate to conceive of a universal causative agent of malignant tumors and thus to subordinate many very obvious differences which clinical experience has established in the origin and behaviour of different related tumors.

I believe that this point of view has greatly retarded the progress of the knowledge of tumors, and it has been the writer's effort to combat such a conception, so far as present knowledge permits. He has endeavored to analyze the numerous etiologic factors which meet in such diverse fashions in the inception of tumors, to emphasize the general dependence of clinical course upon histologic structure, to trace the histogenesis to the last degree, impressing its essential importance when known, and to enumerate and contrast the more striking clinical features which are often highly characteristic of different tumors.

No one would think of confusing lobar pneumonia with pneumonic plague, although both are examples of acute exudative pneumonitis, but it is quite the rule to identify for statistical studies several equally different forms of mammary cancer. The former diseases are related only as forms of inflammation, the latter only as types of neoplasia. From this point of view it may safely be said that there are more distinct clinical and pathologic entities within the groups of neoplasms than exist outside of them.

While a great volume of information regarding the clinical phenomena of the main forms of tumors is available in special works on medicine, surgery, and the specialties, the task of unraveling their separate varieties, tracing their mode of origin and growth, and establishing the nature of the less common forms, falls to the lot of the pathologist. For the final classification of tumors must depend chiefly on histogenesis and structure. Present-day oncology is chiefly concerned with these topics and the space devoted to them can safely be reduced only when our knowledge is much further advanced.

In spite of several laborious years spent in the task the writer acknowledges disappointment with the results attained in many departments, but can only claim that the effort to preach tumor as

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