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is to be congratulated upon the way in which he has succeeded in incorporating the best work of the modern anatomists. The student of today as well as the student of ten or twenty years back, will turn with pleasure to the familiar diagrams and the familiar arrangement and will appreciate keenly, the incorporation of the newer work in his favorite text-book of anatomy. In spite of the wealth of production, it is doubtful if any single volume will ever replace Gray's work in the estimate and affection of the medical student and physician. The press work, paper and typography are all that the publisher's imprint implies. The index which concludes the volume is unusually satisfactory.

Medical News

W. R. Scott, of Dayton, is ill.

T. N. B. Whiteleather, of Carrollton, is on the sick list.
Margaret Fulton, of Portsmouth, is recovering from grip.
Mabel Tibbott, of Toronto, O., is ill with an ulcerated jaw.
C. L. Morgan, of Alliance, has returned from a trip to Detroit.
J. H. Staughton, of Covington, Ky., has recently located in Middle-

town.

Dr Showman is confined to his home at North Baltimore with an attack of appendicitis.

H. W. Elson, of Athens, has returned from a trip to New York, where he delivered a lecture.

Secord H. Large, who has been in Europe for the past eight months, is back again in Cleveland.

B. R. LeRoy, who recently returned from the Panama canal zone, been confined to his room with malarial fever, but is out again.

has

Walter M. Gaines has returned to Troy from Anderson, Ind., where

he was called on account of the illness of his wife.

Dr Marquis and wife left with a party from Lisbon, recently, for a southern trip. They will not return until warm weather.

Dr and Mrs. D. G. Palmer will leave their home in Geneva soon, for a couple month's outing at Englewood, Florida.

Dr and Mrs. C. C. Booth have returned from Florida, where they have been for some time. They report a very enjoyable trip and both are in excellent health.

A. J. Hill, of Minerva, has sold property and practice to A. Thomas, of that place, and will locate in Canton, after taking a post-graduate course in eye and ear work, in New York and Philadelphia.

The Sandusky County Medical Society held a monthly meeting in Fremont, on March 2nd, and elected M. Stamm president to succeed the late Robert H. Rice.

The Iowa Medical Journal calls attention to the January number, which contains a complete and carefully corrected directory of Iowa physicians, with other interesting data.

The regular monthly meeting of the Miami County Medical Society was held Thursday afternoon, March 2nd, at the Piqua Club Rooms. A paper on "Disease of the Lungs," was read by W. N. Unkefer.

The Crawford County Medical Society held an interesting meeting at the Y. M. C. A. building, Friday evening, February 23. There was a good attendance and interesting addresses were given. After the business meeting an elaborate banquet was served.

The Lorain County Medical Society met at the Hospital on February 13, with quite a large attendance. Very able papers were read and discussed and arrangements completed for the annual banquet. The papers were as follows: Dr Hurd, "Diphtheria"; Dr Burley, "The Subjective and Objective Treatment of Iritis"; Dr Cameron, “Diphtheria”.

The Belmont County Medical Society held its regular bi-monthly meeting at the Windsor Hotel, Bellaire, Wednesday afternoon, February 28. The program was as follows: Address of retiring president, John C. Archer; Medical Treatment of Appendicitis, president, Dexter W. Boone; Surgical Treatment of Appendicitis, Van W. Marsh; discussion opened by J. A. Hobson; Echoes from the Mayo Clinic, James O. Howells; volunteer papers.

The twenty-third regular session of the Lake County Medical Society was held at 8 p. m. Monday, February 5, in the Assembly Room of the Parmly Hotel, Painesville, O. The program was as follows: Clinical Cases; An Informal Account of the Progress in the Diagnosis and Treatment of Rectal Diseases, Thomas Charles Martin, of Cleveland; the selection of a representative with a paper, to be presented at the coming session of the State Association; the consideration of the Proposed Medical Legislation.

A meeting of the Canton Medical Society was held on March 2. The Paper of the evening was read by W. C. Steele, of New Berlin. His subject was "Haemoptysis". The paper caused considerable discussion. Reports of cases were made by Harry A. March and W. H. Weaver. At the next meeting an out of town doctor will speak on "Tuberculosis". For this meeting an invitation will be extended the general public. The meeting will be held in the Grand Opera House or the assembly room of the City Hall.

The monthly session of the Hancock Medical society was called to order Thursday night, March 1st, at 8:30 o'clock in the council chamber by the president, E. G. Hersh, of McComb. The minutes of the last session were read and approved. Dr Don C. Hughes and Dr L. S. Woods, of Rawson, were first on the program for interesting papers, but were absent, hence the secretary called Dr. A. H. Linaweaver, the third named on the program. The doctor's paper on the subject "Urinology" was treated in a very able manner, showing a scientific and practical knowledge of the theme. The paper was said by some to be the best treatise on the subject that they had ever heard.

The discussion was made quite interesting by Drs Tritch, Beardsley and Firmin. In the discussion each gave his practical experience gained by scientific research and careful study.

Dr J. M. Firmin read a paper on "Ureanic Poisoning." This sub

ject as well as the one preceding it, was excellent from every point of view. The discussion following was very interesting and many ideas were exchanged.

Dr J. V. Hartman read a paper on "Typhoid Fever." The discussion of this paper was quite lengthy.

Those engaged in discussion fever were Drs Hersh, Firmin, MacLachlan, Beardsley, Tritch and Linaweaver.

Just before the close of the session the names of Dr E. George, of Vanburen; and Dr R. B. Taylor, of Arcadia, were recommended to the society for admission as members. By a unanimous vote they were admitted.

The committee on entertainment reported that it had arranged to invite the Allen county society to attend the April meeting. They will be asked to arrive in the city early in the evening and attend a banquet that will be arranged in their honor by the local society.

The second annual banquet of the medical profession of Lake County was held at the Parmly Hotel. The true spirit of fraternity seemed to prevail and the first was intellectual as well as physical.

The newly elected officers assumed their respective stations and all went well. At the banquet table were seated Dr Dudley P. Allen, of Cleveland, professor of theory and practice of surgery, and clinical surgery in Western Reserve University medical department; and Dr James A. Dixon, of Ashtabula, as guests of the society. The home members were: Drs House, Hawley, Sherman, Carmedy, Grauel and Merriman of Painesville; Drs Quayle, Good and Winans of Madison; Drs. Lowe and Ingersoll of Mentor; Dr Black of Perry; Dr Moore of Willoughby; Dr York of Fairport; and Dr Stork of Wickliffe.

After partaking of a sumptuous repast served in good style, the medics repaired to the assembly room and were immediately called to order by Dr Quayle, the newly elected president. The formal preliminaries were omitted and Dr Allen was introduced to make a half-hour talk on "Appendicitis".

In the absence of Dr Amidon, who was selected to lead the discussion of the surgical side of the question, Dr Dixon, of Ashtabula was called upon and responded in an able manner.

Dr House, leader of the medical side, was next called on and made a most excellent defense.

A general discussion followed, but the lateness of the hour prevented as full and free an expression as was desired. Dr Allen, in his reply to the various questions, handled each with no small degree of adroitness A rising vote of thanks was tendered Dr Allen for his visit and instructive presentation of the subject.

The annual banquet of the Summit County Medical Society was given February 13th, at the Buchtel Hotel. The following officers were elected: Dr A. B. Walker, president; H. H. Jacobs, treasurer; J. H. Seiler, secretary. The presidents of the various county societies are the vice presidents. Mr. F. Clark Miller, of Massillon, consular, elected by the state.

The next meeting will be at Orville on the second Tuesday in August. State meeting will be held at Conton in May.

Those who were present at the banquet were: C. E. Ebright, W. S. Chase, J. G. Grant, George J. Wagoner, R. C. Kendig, G. T. Rankin, J. H. Seiler, H. C. Theiss, E. L. Mather, G. W. Stauffer, J. M. Pumphery, D. L. Bowman, E. A. Montenyohl, B. L. Millikin, C. W. Millikin, E. W. Barton, H. H. Jacobs, W. W. Leonard, A. E. Foltz, C. S. Hiddleson, Walter R. Parker, C. E. Held, M. D. Stevenson, L. S. Wise, J. H. Weber, W. J. Emery, A. S. Underwood, C. T. Hill, J. N. Weller, M. V. Halter, S. Morgemoth, W. C. Stern, Armin Sickerman, James P. Boyd, A. Rowland H. V. Taggart, J. A. Hulse, C. E. Norris and A. F. Sippy, William Weygant, Beacon Journal, Carl Moore, Press of Akron.

Out-of-town guests were: B. F. Bebe, Cincinnati; H. B. Middleton, Cuyahoga Falls; Bert Rodenbaugh, Barberton; Walter G. Stern, Cleveland; Charles Aldrich, Cleveland; R. D. Gibson, Youngstown; B. R. Starr, Hudson; W. C. Steele, New Berlin; A. B. Walker, Canton; J. H. Tressel, Alliance; J. Warbuston, Tallmadge; A. H. Stall, Barberton; A. H. Bill, Cleveland, and H. I. Cozad, Cuyahoga Falls.

Dr. L. S. Ebright acted as toastmaster, and toasts were given as follows: "The Doctor of Forty Years Ago," Dr G. L. Starr, Hudson, O; "The Modern Health Officer," Dr. Bert Rodenbaugh, Barberton, O.; "The Doctor and His Automobile," Dr. C. S. Hiddleston, Akron, O.; "Doctoring," Dr. L. R. C. Eberhard, Akron, O.; “Original Poem,” Dr. A. E. Foltz.

Dr Walter R. Parker, of the University of Michigan, gave a splendid address on the "Science of Seeing."

WARREN TRIENNIAL PRIZE-MASSACHUSETTS GENERAL HOSPITAL. The Warren Triennial Prize was founded by the late Dr. J. Mason Warren in memory of his father, and his will provides that the accumulated interest of the fund shall be awarded every three years to the best dissertation, considered worthy of a premium, on some subject in Physiology, Surgery, or Pathological Anatomy; the arbitrators being the Physicians and Surgeons of the Massachusetts General Hospital.

The subject for competition for the year 1907 is on Some Special Subject in Physiology, Surgery, or Pathology.

Dissertations must be legibly written, and must be suitably bound, so as to be easily handled. The name of the writer must be enclosed in a sealed envelope, on which must be written a motto corresponding with one on the accompanying dissertation.

Any clew given by the dissertation, or any action on the part of the writer which reavels his name before the award of the prize, will disqualify him from receiving the same.

The amount of the prize for the year 1907 will be $500.

In case no dissertation is considered sufficiently meritorious, no award will be made. Dissertations will be received until April 14, 1907.

A high value will be placed on original work.

Boston, February, 1906.

HERBERT B. HOWARD,

Resident Physician.

The Cleveland

Medical Journal

VOL V

APRIL, 1906

Pathology of Tuberculosis of the Kidney

BY H. J. WHITACRE, M. D., CINCINNATI, OHIO

No 4

It is a matter of much regret that I must first apologize to this Academy for appearing before you without a prepared paper. This has occurred through a misunderstanding as to the date of your meeting. Only 36 hours ago did I know that I was expected to appear tonight instead of the third week in February, one month later.

The pathology of tuberculosis of the kidney is a subject that has interested me very much however, and with the aid of specimens that I have from my collection I hope to be able to present the essential features of this disease. Our treatment of tuberculosis of the kidney has been much impeded by three gross errors in our conception of the pathology of this disease. In the first place, these cases have been studied pathologically on the autopsy table; after death as resulted from the lesion; or in cases in which the kidney lesion was a part of a general tuberculous process. Secondly, the unfortunate term urogenital tuberculosis has held full sway in our conceptions of this disease. This term implies a coincidental infection of these two tracts. In the third place, tuberculosis of the urinary tract when progressive has been looked on as an ascending affair, therefore an ineradicable disease.

Subsequent studies have disproven all of these early concepts and we now know that tuberculosis of the kidney can occur as a primary lesion, that it is confined to one kidney for a long time, and that it is a curable disease. Clinical experience has confirmed these pathological conclusions, since surgical operation for the removal of a tuberculous kidney has resulted in a permanent cure of such patients. Cases of general miliary tuberculosis and

Reproduced as nearly as possible from extemporaneous remarks made in a discussion of this subject before the Cleveland Academy of Medicine, January 19, 1906

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