Medical News

Leo Reich, of Akron, has located in Cleveland.
Chas. C. Ward, of Wilmington, is on the sick list.
D. F. Burton has removed to the Pythian Temple.
Grant Whittlesey is now located in the Lennox Bldg.

G. Hess and wife, of Ashland, have gone on an extended trip through the south.

E. W. Baker, of Fremont, is on a two weeks hunting trip at Hudsonville, Mississippi.

Robert Rice, of Fremont, who has been quite ill for some time at his home, is improving slowly.

E. W. Brown, for years with The Whittlesey Optical Co., has opened an office in the Schofield Bldg.

Paul D. Hale, of Dayton, who has been quite ill for some time at the home of his father, is improving slowly.

Dr Maynard, of Elyria, leaves February 6, for London, England, where he will take a post-graduate course in that city.

Minnie Meek, of Zanesville, left a short time ago for an extended western trip. She expects to return in the early spring.

Dr Fisher, of Lebanon, read a very interesting paper before the Green County Medical Association at Xenia at their last meeting.

Dr and Mrs. Sperry, of Oberlin, have left their home for an extended trip to the Pacific coast. The Doctor will lecture en route.

J. W. Lowe, of Chargrin Falls, has been honored with an election to the office of secretary for the Lake County Medical Society.

Dr de la Barre, of Port Clinton, who has been enjoying a much needed rest at his winter home in Florida, returned home February 1st.

Jerome Bland, of Bucyrus, who has been critically ill at Hot Springs, Arkansas, is much improved and hopes are entertained for his speedy recovery.

C. V. Schneider, formerly of Cleveland, formerly interne at Cleveland City Hospital and House Surgeon at Huron Street Hospital, has located at Fullerton.

George W. Ryall and wife, of Wooster, are contemplating leaving in the spring for several months in Europe. Dr Ryall expects to take an advanced course in surgery.

B. R. LeRoy, of Chagrin Falls, returned home from an eight months' sojourn in the canal zone of Panama. He expects to return to the tropics with his family next summer.

S. H. Large, of this city, who has been studying abroad for the past eight months, will return about March 1st. Dr Large's practice will be limited to ear, nose and throat.

The Lorain County Medical Society met January 11 with a large attendance. Dr Hart, of Elyria, read a paper on "Fractures of the Femur" and Dr Pitsele one on "Lupus Vulgaris."

The Crawford County Medical Society held a meeting January 30 at Crestline, at which time Dr Rayl read a paper on "The Prevention of

Pneumonia," and Dr Fitzsimmons gave a report of a case of gun shot wound. There was also a report and discussion of the Galion organization. The next Session of the Ohio State Medical Society will be held in Canton, May 8, 9, 10 and 11. Sessions and exhibition halls will take place

at the Auditorium. Banquet, night of May 10 at the Portland.

The Hamilton Academy of Medicine, met in Hamilton on January 18. The general subject was, Tonsillitis, Diphtheria and Acute and Chronic Laryngitis. Important papers were read and very ably discussed

J. H. Miller, of Delaware, read a paper on "Diphtheria," at the February meeting of the Delaware County Medical Society. This meeting was unusually well attended and interest in Society affairs is on the increase.

The Wayne County Medical Society met in Orrville, January 16. The meeting was presided over by Dr Ryall, of Wooster. Dr Blankenhorn, of Orrville, read a paper on "Etiology and Pathology of Typhoid Fever," and Dr Hay one on "Ex-ophthalmic Goitre," and Dr Paul on "Pneumonia."

The Annual meeting of the Trumbull County Medical Society was held on January 24, at the office of F. K. Smith, Masonic Temple, Warren. The business session at which the election of officers for the coming year was held opened at 2:30. Later the Society and guests were addressed by Martin Friedrich, of this city.

The following are the officers of the Stark County Medical Society: president, A. B. Walker, Canton; corresponding secretary, Frank W. Gavin, Canton; treasurer, George F. Ziminger, Canton; executive committee, Harry P. Pomerine and J. F. Marchand, Canton, Leon B. Santee, Marlboro, and Wm. C. Steele, New Berlin, Neal W. Culbertson and Dan'l W. Gans, Massillon.

The Fairfield County Medical Society held its regular meeting on January 16. The following papers were read. "Arterio Sclerosis," G. A. Beery; "Angina Pectoris," H. M. Hazelton. These papers were discussed by Drs Miller, Rauch, Mason, Harman, Trout, Plum, Samson, Roller and Alford. Much interest is being manifested in the society meetings and they are being well attended.

The Eighth Councilor District Medical Society of Ohio was held at Marietta, January 11. The program was as follows: "A Little Talk About Gallstones," J. G. Albers; "Gallstones," C. L. Bonnfield; "Typhoid Fever," G. W. Hixson; "Pneumonia," C. U. Hanna; "The Medical Expert," N. T. McTeague; "The Care and Commitment of the Insane," Chas. S. McDougal; "The Treatment of Scalds and Burns," B. F. Barnes.

Members of the Medical Association of Clark, Fayette, Clinton and Warren Counties, were the guests of the Greene County Association, on January 25, when C. A. L. Reed, of Cincinnati, addressed them on "Panama." After the meeting an elegant banquet was enjoyed at the Grand Hotel. W. A. Galloway, of Xenia, was toastmaster and toasts were responded to as follows: "The Physician as a Specialist," C. Minor, Springfield; "The Physician's Hobby," R. M. Hughey, Washington C. H.; "The Physician as a Philanthropist," Hershel Fisher, Lebanon; "The General Practitioner," R. M. Trimble, New Vienna; "The Physician in Politics," B. R. McClellan, Xenia.

Sudden, unexpected death under an anesthetic without adequate cause in a patient in good condition before the administration of the anesthetic and continuing so throughout the operation until a moment before the fatal termination, is the untoward result that the surgeon may be called upon to face at any moment. The following case was admitted during my senior service as House-Physician to the Boston Lying-In Hospital, service of Dr Charles M. Green, to whom I am indebted for permission to report this case. At 11:20 p, m., February 24, 1905, Mamie M. was admitted to the Hospital and the following history obtained. Married, 28 years of age, second pregnancy, three weeks ago the patient had a sudden hemorrhage from the vulva.

A second hemorrhage, occuring on the evening of patient's admission to the Hospital, a physician was called, who put in a vaginal pack and advised the patient's immediate removal to the Hospital. Diagnosis,-placenta previa. Physical examination showed a young mulatto woman of about 30 years of age, well developed and nourished. Tongue, pupils and chest negative, abdomen enlarged to the size of a pregnancy at term. The fetal heart was strong and regular, its rate 136 and heard in the left lower quadrant. Position O. L. A. No edema.

The vaginal packing was removed and found to be about half soaked with fresh blood. A few small clots were found in the vagina. The cervix admitted the tip of the middle finger which came in contact with the edge of the placenta. Head was not engaged. The vagina was repacked and a nurse was directed to watch for signs of hemorrhage at the vulva and to report the same or the increased rate of either maternal or fetal pulses.

On February 25, about 10 hours after admission, on remov

ing the vaginal packing the os was found to admit two fingers. Bleeding was slight. Under ether (primary) the vagina was tightly packed. February 26, about 24 hours later, after having had slight uterine contractions all day, the os was found to admit two fingers readily. The patient complained of little or no pain. The fetal heartbeat was 140, strong and regular. About seven hours later, the patient had another slight hemorrhage. The maternal and fetal hearts were unaffected. This time the vagina was left empty.

On February 27, ether was started at 10:02 a. m., and eight minutes later, after catheterization of the bladder, manual dilatation of the os was begun, which was found to be partially taken up and to admit the tips of three fingers. The position of O. L. A. was confirmed. The dilatation was completed and internal podalic version performed in the usual way by Dr Green. The hemorrhage was slight and was noticed to be of venous color.

Just after the turning of the child and before the arms could be freed, respiratory trouble was noticed and the breathing speedily became shallow. The ether was immediately discontinued and artificial respiration started. The pulse taken at the beginning was 120 of good quality and had shown no cause for anxiety until respiratory difficulty was noticed, when it speedily became irregular in volume and rate. For about one minute after artificial respiration was started there appeared to be a slight improvement. The respirations again became weak and after a few seconds stopped altogether. The extraction of a strong and healthy baby weighing nearly nine pounds was completed about a minute before respiration ceased. The child, although under the influence of the ether, breathed immediately. Artificial respiration was contiued for 15 to 20 minutes on the mother and heroic medical stimulation given hypodermically without avail, the patient dying about 10:20 a. m., 18 minutes after the ether was started and about 10 minutes from the time of the beginning of manual dilatation of the os. There was no evidence of rupture of the uterus.

PATHOLOGICAL REPORT.

BY J. OSCAR RICHARDSON,

Assistant Pathological Mass aschusetts General Hospital.

In February, 1905, at the request of Dr Green, I made a post mortem examination of the body of a woman who had died suddenly and unexpectedly during delivery which, other than for

the totally unexpected death of the patient, presented nothing at all unusual.

The body at the examination, which was made shortly after death, (4 hours), was that of a mulatto woman of 28 years of age, very well developed and nourished. There was a well marked pigmentation of the nipple areolae and on section the tissue of the breasts yielded a considerable amount of thin grayish cloudy fluid.

Between the umbilicus and the pubes a large firm resistant mass was felt through the abdominal wall and which section. showed to be the uterus.

The peritoneal cavity contained a very slight amount of pale clear fluid and the peritoneum everywhere was intact, smooth and shining.

On section of the uterus its cavity was found empty and the mucosa generally clean with here and there a few shreds of grayish red fibrinous material. In the region of the os the mucosa presented two irregular superficial tears but neither here nor elsewhere in the uterus was any condition found that was at all remarkable. The vaginal walls were intact and smooth.

The uterus laid open measured 21 cm. in length with a width of 16 cm. at the fundus. The circumference of the os was 18 cm. and the wall of the fundus 2 cm. thick. Section of the fallopian tubes and ovaries showed a normal appearance and the left ovary contained a corpus luteum. The bladder and uterus, on section, were of normal appearance. The kidneys together weighed 382 grams and were easily stripped of their capsules, leaving a smooth surface. On section, the tissue presented normal markings with a cortex measuring 5 mm. The liver which weighed 1520 grams presented on section a fairly firm rather homogeneous tissue of a pale brownish color. There were no stones in the gall-bladder which was of normal appearance and the bile ducts were free. The pancreas, on section, was not remarkable and the duct of Wirsung was free. Section of the adrenals showed a normal appearance. The spleen was silghtly enlarged and weighed 249 grams. On section, its tissue was firm, rather dark red in color with well marked follicles which throughout the section surfaces as small rather firm grayish masses varying from 1 mm. to 2 mm. in greatest dimension. On section, the esophagus, stomach and intestines showed normal mucosa and their walls were, intact. About the head of the pancreas and along the aorta the retroperitoneal lymphatic glands