One twin was dead, the other and the mother recovered. The doctor emphasized the importance of keeping the vagina as near sterile as possible. Not to make any unnecessary vaginal examinations, if possible make only rectal examination. This subject was discussed by Drs. Pankhurst and Brainerd,

Dr. R. B. Smith of Alma read an interesting paper entitled "The Indications for Mastoid Operation." This was discussed by Dr. M. F. Brondstetter.

The secretary's annual report was read and accepted.

The following officers were elected for 1922: President, C. T. Pankhurst of North Star; vice president, H. V. Abbott of Shepherd; secretary, E. M. Highfield of Riverdale.

The annual meeting was held at the Wenonah Hotel. Monday evening, December 12th. The meeting began at 6 P. M. with a sumptuous banquet, the compliments of the retiring president, Dr. G. M. McDowell.

At the business meeting following, the Society recommended to the Board of Trustees of the Bay City Hospital that, on account of the institution's inadequate facilities and equipment, it be abandoned and that the Board drect its efforts toward the establishment of a new modern hospital in Bay City.

The Society decided to proceed with the prosecution of the quacks in our community.

Owing to a desire to meet at the members' homes hereafter, the Society decided to revert to the old custom of holding evening meetings. It was also recommended that the Bay County Society would hold more "Ladies' Nights" for the members wives.

The Sercretary's report gave a resume of the year's work and showed a society with 62 members, all active and with their dues paid to date.

The Treasurer's report revealed a flourishing year with a substantial balance on hand.

As a fitting close of a successful administration, Dr. McDowell read one of the most entertaining and interesting papers ever heard by the Society. The doctor had his Scotch wit well tuned up and between his serious thoughts dealing with Medical Legislation, State Medicine, Quacks, etc., were mingled personal pleasantries appreciated best by the local members.

The Society proceeded then to the election of officers with the following results:

President, Dr. A. J. Zaremba; Vice President,

Dr. Paul R. Urmston; Secretary-Treasurer, Dr. L. Fernald Foster (re-elected); medico-legal advisor, Dr. A. F. Stone. delegates to State meeting, Dr. G. M. McDowell, Dr. V. H. Drummond; alternates, Dr C. A. Stewart, Dr. M. Slattery.

The meeting was attended by 45 members and was a very enthusiastic closing for a prosperous past year.

Adjournment at 11 P. M.

At a regular Society meeting held Monday evening, November 28th, Dr. A. D. La Ferte of Detroit gave a clinic and paper on "Orthopedic Conditions." The meeting was one of the most interesting of the year. There was a large attendance and the interesting subject was thoroughly discussed. L. FERNALD FOSTER, M. D., Secretary.

KALAMAZOO COUNTY

Kalamazoo, Dec. 16, 1921. At the annual meeting of the Kalamazoo Academy of Medicine, held December 13, 1921, the following officers were elected:

President, Dr. B. A. Shepard, Kalamazoo; vice president, Dr. N. L. Goodrich, South Haven; second vice president, Dr. Malcolm Smith, Allegan; third vice president, Dr. C. H. McKain, Vicksburg; secretary, Dr. W. G. Hoebeke, Kalamazoo; treasurer, Dr. L. J. Crum, Kalamazoo.

Delegates to the State Society are Dr. G. L. Bliss and Dr. A. S. Youngs of Kalamazoo, and Dr. R. P. Stark of Allegan.

Alternates are Dr. F. C. Panoyer of South Haven, Dr. Dan Eaton of Kalamazoo, and Dr. C. D. Hudrutt of Otsego.

Board of censors: Drs. R. Vaughan of Plainwell and A. L. Robinson of Allegan were elected for one year, and Drs. R. U. Adams and A. S. Youngs of Kalamazoo for three years

W. G. HOEBEKE, Secretary.

ACADEMY OF SURGERY OF DETROIT

The fourth regular meeting of the Academy of Surgery of Detroit was held on Friday evening, 8 December 9th, 1921, at Grace Hospital, at o'clock.

Mecting called to order by the president. Roll call. Those present: Drs. Darling, Kelly, J. Andries, Bell, Yates, Knight, Boulter, MacMillan, Herschman, Brooks, Palmer, Meyers, Shawan, Cassidy, Blain, Clinton, Seymour, Witter, C. Kennedy, Potter, Penberthy, McLean, Cullen, Walker, Downer, Barrett, Hewitt. Guests present: Dr. Babcock, Dr. McLean and several of the resident Staff of the Hospital.

Minutes of the last meeting read and accepted. Resolutions prepared by Drs. Alexander W. Blain and Clark Brooks, on the death of Dr. Theodore A. McGraw, who was an honorary member of the Academy, were read by Dr. Blain, and were as follows:

Whereas, death has removed from our ranks one of the most illustrious, if not the most illustrious member of our Society, whose contributions to the Art and Science of Surgery have done much to bring prominence to our City and State, be it therefore

Resolved, That the Academy of Surgery of De

Witter, McLean and Kelly.

Discussion:

Drs.

"Some Bone Plates Left in Situ"-George P. Meyers. Discussion: Drs. Cassidy, Penberthy, Knight, Palmer and Meyers.

Following the closing of the scientific program, the Academy was made guests of Grace Hospital at a lunch.

The third regular meeting of the Academy of Surgery of Detroit was held on Friday evening, November 11th, 1921, at St. Mary's Hospital, at 8 o'clock.

Meeting called to order by the president. Roll call followed by reading of the minutes of the last meeting.

Resolutions prepared by Drs. Herbert Hewitt and Grover Penberthy, on the death of Dr. deNancrede, who was an honorary member of the Academy, were read by Dr. Penberthy. Resolutions accepted as read.

Program of the evening as follows:

"Pneumoperitoneum," with lantern slide demonstrations-Joseph Andries. Discussion: Drs. Shawan, MacMillan, Kelly, Boulter, Cassidy, Yates, Herschman, Blain and Joseph Andries.

"Lacerations of the Cervix," with lantern slide demonstrations-Alexander W. Blain. Discussion: Drs. Raymond Andries, Darling, Yates, Shawan, Boulter and Blain.

The meeting adourned.

IRA G. DOWNER, Secretary.

State News Notes

COLLECTIONS

Physicians Bills and Hospital Accounts collected anywhere in Michigan. H. C. VanAken, Lawyer, 309 Post Building, Battle Creek, Michigan. Reference any Bank in Battle Creek.

The Michigan Department of Health is glad to receive applications from physicians for full-time work in the state penal and correctional institutions. Address Deputy Commissioner, Michigan Department of Health, Lansing.

At a special meeting held in Detroit, November 27, 1921, the Michigan State Homeopathic Medical Society unanimously passed resolutions of protest against the proposed consolidation of the Homeopathic College and the Department of Medicine and Surgery at the University of Michigan.

The Detroit Ophthalmological and Otological Club gave a Subscription Dinner December 7, 1921,

Following the dinner, Dr. H. S. Gradle of Chicago read a paper on "Estimating Compensation for Eye Injuries."

Thieves broke into the home of Dr. Eugene Smith, Jr., of Detroit, November 27, 1921, and stole about $1,000 worth of jewelry.

November 29, 1921, Arthur L. Rose, a Cadillac chiropractor, was found guilty, by direction of the Court, of practicing medicine without a license.

The late Joseph W. Dailey left the Protestant Orphan Asylum, Woman's Hospital, and the Home of the Friendless, all of Detroit, $20,000, to be divided among them.

Dr. and Mrs. Allan C. Fullenwilder, formerly of Detroit, have moved to Hartford Avenue, Redford.

The Detroit Society of Neurology and Psychiatry held their second meeting of the year 1921-1922 in the Medical Building, Detroit. The program consisted of case presentations.

Mrs. Smith, wife of Dr. M. B. Smith of Fenton, died December 1, 1921, of diphtheria.

Dr. Robert McCarrison of London, England, delivered an address on "Faulty Foods in GastroIntestinal Disorders" before the Wayne County Medical Society December 5, 1921. The paper was illustrated with lantern slides.

The $250,000 yacht, "Tamarac," owned by Dr. Torrey of Detroit, was totally destroyed by fire December 4, 1921, in Albermarle Sound, N. C. Dr. Torrey, three guests and crew escaped uninjured.

Twenty-six candidates for the position of Superintendent of the Detroit Receiving Hospital took the Civil Service examination December 5, 1921.

Dr. D. L. Dunlap of Detroit has recently been appointed Manager of the Fellowcraft Athletic Club's basket ball team. Dr. Dunlap was formerly a member of the University of Michigan track team, physical director at Syracuse University and at Allegheny College.

Dr. William Y. Kennedy of Detroit is Chairman of the Athletic Committee of the Fellowcraft Athletic Club,

The report of the president of Yale University for 1920-1921 states that hereafter three years of collegiate work will be required of all applicants entering the Yale Medical School.

Recently Dr. A. D. Holmes of Detroit gave a check for $100 to the General Library Endowment Fund of the Wayne County Medical Society.

November 22, 1921, Governor Groesbeck ordered the release from the Detroit House of Correction of William H. Currier and Archibald McGilp, Pontiac chiropractors, sentenced to serve 65 days and pay $200 each for failure to obtain a license. The governor said they were released on the understanding that they will not practice in Michigan

until the Supreme Court has passed on their appeal from the directed verdict of Judge Gillespie of the Oakland Court. Judge Gillespie states that he had given McGilp and Currier an opportunity to appeal before sentenced if they would cease practicing, pending the decision, but they refused. They had served 22 days of their sentence.

A campaign is on for Library Contributing Members in Wayne County Medical Society. Each subscriber promises to pay $10 a year to help support the library of the Wayne County Medical Society.

The appeal from the directed verdict of Judge Gillespie in regard to McGilp and Currier of Pontiac is the beginning of the campaign of the Michigan Chiropractors Association to test the constitutionality of the Michigan Medical Act. If the Supreme Court upholds it, they will force its amendment in the next legislature or at least they will try to do so.

At their recent meeting the Board of Trustees of the American Medical Association appointed a special committee to report on the question of pay clinics, diagnostic clinics, and group practice. The general concensus of the special committee was that pay clinics have come into the field to remain permanently; that it is the duty of the Association to study the subject and to offer fundamental principles and policies which should be followed in the conduct of such clinics, group practice and diagnostic clinics. During the next three months a committee of three will make, if possible, a survey of certain existing diagnostic clinics and private groups to obtain full information of the methods of administration and policies under which such institutions are conducted and report to the Board of Trustees at their February meeting.

Beginning January 1, 1922, the dues for each active member of the Wayne County Medical Society will be $15 a year. This amount includes the dues to the Michigan State Medical Society.

The Annual Conference of Health Officers and Public Health Nurses, conducted by the Michigan Department of Health and the Michigan Public Health Association, was held in Lansing, November 28 to December 2, 1921.

Dr. P. M. Hickey gave a talk on "Missions in California," with lantern demonstrations, and Dr. B. R. Shurly read a paper on "Climatic Treatment of Tuberculosis," with charts, before the Detroit Academy of Medicine, November 22, 1921. Following the evening's program, the Fellows and their guests were entertained by Dr. Shurly and Dr. Hickey.

Dr. A. M. Wehenkel of Detroit was chosen, November 21, 1921, Superintendent of the Roosevelt American Legion Hospital, established at Camp Custer for the treatment of tubercular former service men.

Several Detroit physicians discussed the importance of diagnosis in relation to preventive medicine, November 22, 1921, before the Detroit Unitarian Laymen's League. Dr. Frank Sladen spoke

on "Modern Diagnosis," Dr. C. W. Hitchcock on "Nerves," Dr. John T. Watkins on "Blood Pressure and Its Value in Preventive Medicine," and Dr. H. W. Plaggemeyer on "The Kidney in Relation to Preventive Medicine."

The special committee appointed by the Board of Trustees of the American Medical Association to consider the question of pay clinics, diagnostic clinics, and group practice, states that the principles, deemed basic, are: (1) that patients should be received by the clinics only when sent by family physician or received with his knowledge and approval; (2) that so far as possible the patient should be returned to the family physician with written information and suggestions; and (3) that the fee, charged by such clinics, should not be less than that usually charged in general practice (to prevent competition of the clinic with the general practitioner).

The East Side Physicians Association of Detroit met November 24, 1921. Dr. S. Kahn read a paper on "Focal Infections as Cause of the Nephritides." Dr. J. E. Davis, in a short address, recommended that the city be divided into districts (each district to have a chairman and secretary), that these districts be surveyed as to their needs for medical social work, and that welfare centers or local clearing houses be established from which medical cases could be referred to physicians living in their respective zones. The society appointed a committee for the purpose of developing a constructive program of public health activities for the physicians of this society and of Wayne County. Dr. H. W. Pierce introduced a motion whereby steps will be taken to have the various medical associations (as the East Side, West Side, Highland Park, etc.) become recognized branches of the Wayne County Medical Society.

The Detroit Society of Internal Medicine gave a dinner at the University Club, November 14, 1921, to Dr. H. A. Christian of Boston.

The Detroit Medical Club recently presented the Wayne County Medical Society with a check for $50, in appreciation of the courtesies extended them in the use of the dining room for their meetings and dinner.

In the organization of the reserve force of the United States Army, the following medical assignments have been made: Colonel Angus McLean, Corps Surgeon for the 16th Corps (composed of the 85th Division (Michigan), 86th Division and 101st Division); and Colonel B. R. Shurly, Major E. W. Bolo of 310th Medical Regiment.

The examination of 4,056 children in the elementary grades of the Detroit schools (all of whom had an avoirdupois considerably under the standard weight for their age) disclosed that 3,018 (74 per cent) were suffering from some physical defect. This report of the Detroit Department of Health shows that 1,422 of these children had enlarged or diseased tonsils; that 597 had defective teeth. that 273 had faulty vision, and that 186 had heart abnormalities, A large number of miscellaneous defects were also found. Recommendation slips have been sent to the parents of

ical Deuartment. The resolution declared it to be the sentiment of the Board that the two medical schools be combined and that the special committee appointed be directed to make a report in detail at the next meeting of the Board. Regents W. H. Sawyer, Victor Gore, J. E. Beale, W. L. Clements, J. O. Murfin and B. Hanchett voted unqualifiedly for the consolidation; Regent L. L. Hubbard voted for it with reservation, and Regent F. B. Leland voted unqualifiedly against it.

Dr. Max Ballin read a paper on "Classification of Goitre fro man Ethological Point of View" before the Detroit Academy of Medicine, December 13, 1921.

Dr. and Mrs. Frank Sladen of Detroit announced the birth of a daughter November 30, 1921.

Dr. W. A Hackett of Detroit was recently appointed head of the Power Boat Regatta Committee of the Inter Lake Yachting Association for 1922.

In 1913 the death rate from typhoid fever in Detroit was 26.3 per 100,000. Between 1914 and 1915 the clorination system was put into practice, when the death rate dropped to 12.7. In 1918, when most of the young men were away to war, the death rate was 7.4. In 1914 it again dropped to 5.1. The Department of Health attributes this to army vaccination and to the fact that mos of Detroit's milk is now pasteurized. With the installation of the filtration plant, the Department expects a further decrease. Most of the deaths due to typhoid fever last August occurred on the East Side and among people who bathed in the Detroit River where it is contaminated by the sewage from Connor's Creek.

Announcement was made December 10, 1921, by the Civil Service Commission that Dr. Thomas Gruber, Superintendent of the Hanneman Hospital, Rochester, N. Y., will be the next Superintendent of the Detroit Receiving Hospital. The doctor obtained the highest marks in the examination.

The newly organized Highland Park Exchange Club elected December 5, 1921, Dr. G. M. Livingston second vice president, and Dr. Frank Suggs, director.

According to Dr. Hugh Cabot, there were only nine homeopathic schools in 1915 in the United States. In 1921 this number was reduced to five, with a total attendance of 447.

The following physicians attended the banquet given Admiral Sims by the Detroit Chapter, S. A. R., at the Hotel Statler, Detroit, December 6, 1921: Drs. M. T. Baker, Ray Connor, J. A. Inches, C. W. Hitchcock, H. D. Jenks, S. H. Knight, F. W. Robbins, W. P. Manton, H. W. Hewett, F. B. Walker, Angus McLean and B. R. Shurly.

The Detroit Medical Club held its regular monthly meeting in the Medical Building, December 15, 1921. Dr. H. W. Yates read a paper on "The Therapeutics of Abortion."

The Detroit Department of Health recently made a study of the Detroit Athletic Club's pool

and the following conclusions are drawn: 1. That a high turnover rate and uniform distribution around the pool are most desirable features in a swimming pool treatment. 2. That the bacterio

logical standard is the only one upon which we may safely judge the condition of a pool and any method of treatment employed should be frequently checked by bacteriological examination of the pool. 3. That the supplying of a ihgh grade of water to a well designed pool in large quantities will give a fair bacteriological result. 4. That sterilization by ultra violet rays of swmming pool water, if properly operated, gives a water in the pool which compares favorably with the Treasury standard for drinking water.

A son, James, was born to Dr. and Mr.s J. E. Maunders of Detroit, November 29, 1921.

The regular meeting of the Detroit Society of Internal Medicine was held in Detroit November 28, 1921. The main presenter was Dr. T. A. McGraw, Jr. (The Influence of the Endocrine Glands on Body Growth); the literature presenter was Dr. H. M, Rich (Tuberculosis), and the clinical presenter was Dr. L. F. C. Wendt (Hyperthyroidism) Drs. T. A. McGraw, Jr., H. M. Rich and C. E. Vreeland were elected members of the Executive Committee. Dr. Fred Buesser was elected Secretary.

Dr. J. T. Case of Battle Creek, who departed for Europe for a six weeks' trip last October, while returning to Paris on November 21st, was seized with a suppurative appendicitis and operated upon at the private hospital of Prof. Gasset. His recovery is well advanced. Dr. Case sailed for home December 18th.

In compliance with the arrangements made in Philadelphia, the Michigan Section of the American College of Surgeons will combine with the Ohio Section in the holding of the 1922 meeting. The meeting date has been set for December 8 and 9, 1922, at Cincinnati, Ohio.

Dr. D. Emmett Welsh of Grand Rapids will leave for California the latter part of January for his winter vacation.

Dr. J. H. Burley has presented to Almont his home for hospital purposes. An organization of a hospital association has been perfected to receive the gift. Capacity for twenty-five patients will be provided. Dr. Burley will make his home in Port Huron.

In a five-day campaign ending December 17th, the city of Flint raised $73,109 for the new Woman's Hospital. In spite of considerable business depression, this is a splendid demonstration of Flint civic spirit. A very fine building with spacious grounds has been secured on Lapeer St. Ths building will be remodeled at once and fully equipped. When this is done, the present Woman's Hospital on Harrison St. will be closed. The new hospital will care for maternity and pediatric cases.

The following candidates filed applications for the examination for superintendent of the Detroit Receiving Hospital: David Downing, Edmund

Bolio, John Keating, Frederick Heazlit, Andrew Denike, Maxwell Silver, James Crofelt, Patrick Looby, Russell Atchison, Clayton Benjamin, all of Detroit; George Kenny, Eloise; Thomas Gruber, Rochester, N. Y.; Harold Law, Dearborn; Edward Fisher, Dearborn; Charles Sanborn, Washington, D. C.; C. C. McCullough, Chicago; W. H. Curtiss, St. Louis. Frank Deacon, Chicago; Charles Strotz, Philadelphia; James Hammers, Embreeville, Pa.; Clement Doherty, Richland Center, Wis.; Paul Waldron, Chicago; Chester Carlyle, Chicago; H. H. Puirton, Conetoe, N. C.; N. A. Springer, Baltimore, and Donald Morrill, Ann Arbor.

Any one with half an eye can see that the people are losing confidence in the doctors-they have lost confidence in and respect for the medical profession, and instead of conditions getting better they are growing worse. Who is to blame for such a condition of aairs? Why, as usual, the doctors themselves.

In the first place think of a class of professional men letting a bunch of half baked pinheads like the chiropractors put things over on them without making any effort to combat their propaganda of advertising. Why not get up a fund to counteract such stuff and tell the people what the profession has done for them This will help the people to see things in their proper light.

Another thing I would advise is that the doctors help put through legislation requiring an examination of physicians in regard to new things in medicine and surgery, say every two years. There are too many "dead ones." Think of a doctor not knowing what "lethargic encephalitis" is or what the positive Wassermann test signifies! You say that can't be possible. It is, for I know them. And those are not the only things they don't know.

Another thing that would help to establish the confidence of the people is to kick out of our societies a bunch of "shysters" who go into a home and throw the other doctor's medicine out of the window; who go out on the street and solicit