natural breathing returned. The doctor attributed this to the administration of a sixth of a grain of morphin previous to the narcosis, which seemed to act with unusual vigor. There was no obstruction to breathing from aspiration of blood, as Rose's position was maintained. The operation was finished without difficulty and without anesthetic after the respiration had become re-established. Recourse was had to laryngotomy at once, for the reason of previous experiences which compelled laryngotomy after persistent removal per vias naturales and because the little boy from Texas did not have the time to undergo a prolonged course of training to submit to the intra-laryngeal removal. In a previous case, the well known tendency to recurrence in these cases seemed to have been overcome by the topical application of absolute alcohol from below through the tracheal opening and from above. It may, however, have been due to a spontaneous recovery.

Commencement Exercises of New Orleans Sanitarium and Training School.

The commencement exercises of the New Orleans Sanitarium and Training School for Nurses were held at the New Orleans Sanitarium on June 10 at 8 P. M. The ceremonies were informal, as only the Board of Directors, the superintendent and the senior class were present. After an address to the graduates, the president, Dr. Charles Chassaignac, awarded diplomas to the following: Miss Marguerite E. Fischer of New Orleans, Miss Maggie H. Hayes of Lake Charles, Miss Ella N. Milton of Baton Rouge. The graduates were complimented for the good practical work and the creditable manner in which they passed their examinations.

The graduates were each presented with the pin of the school as a souvenir from the institution.

The New Orleans Training School for Nurses, which is the oldest established in the city, has constantly raised its standard, and its course now extends over three years, and is a graded one. When the new sanitarium is finished, giving a greater capacity, the staff of nurses which is now nineteen strong, will have to be increased.

Editorial Department.

CHAS. CHASSAIGNAC, M. D.

ISADORE DYER, M. D.

ON MEDICA

The Aftermath.C

When, in our last number, we published a résumé of the meeting of the American Medical Association held here in May and noticed a few highly complimentary remarks culled from the medical press, we thought that the incident was closed," as the diplo

mats say.

We have seen since then a scurrilous article in a monthly publication which forms the single exception to the expressions of appreciation and good-will that have poured in from all parts of the country. The article not only calls New Orleans inhospitable, but accuses the Committee of Arrangements of combining with the hotel and boarding-house keepers to fleece the visitors.

At first, we had decided to ignore the article, considering the source, and deeming it more dignified to do so. However, a query, received from an esteemed subscriber, shows that a different view can be entertained. The letter enclosed the "Welcome" editorial from our May number and the following article from the June number of American Surgery and Gynecology, of St. Louis:

New Orleans "Inhospitality."-" Much has been said and writ ten of Southern hospitality.' It has been deserved-outside of New Orleans. If the American Medical Association ever goes to New Orleans again it will be after those are dead who attended the 1903 meeting; for from the time one's umbrella was slipt from his grip at Union Station in order that ten cents more might be charged for an hour's storage until the last hotel bill was paid, it was a case of skin the visitor,' and he was 'skinned good and hard,' as a Texas man expressed it. The worst thing about it, too was that the general opinion is that the Committee of Arrangements was particeps criminis. The complaint was general. People charged $1.00 to $3.00 a night at boarding houses where the

regular rate for board and lodging was only $6.00 to $10.00 a week soon found they could secure equally good lodging at some nearby place, not on the list,' at half the price or less. Some submitted; more changed regardless of the Committee;' practically all grumbled. At best it was a dirty deal all around, whether the Committee was in it or not. On the whole New Orleans has suffered beyond measure by the adoption of the Yankee plan' in the matter of caring for her visitors."

The letter is as follows:

"JEANERETTE, LA., JUNE 18TH, 1903. "DEAR DOCTORS—Which is true? If the St. Louis Journal is correct in its accusations, don't you think it is about time to quit boasting about the great public spirit of New Orleans, with its charity and hospitality?

"If the accusations are false don't you think its is up to you' the medical mouthpiece of N. O. and La., to speak out?

"Yours Truly,

"J. G. BOUVIER, M. D."

We are perfectly willing to speak out the moment any one else thinks it worth while and for the benefit of those who did not attend the meeting. To those who attended nothing need be said. To those who did not we only wish to say that the article which inspired our correspondent's question is a libel upon New Orleans and its medical profession, the Arrangements Committee of the A. M. A., in particular. We might give vent to many louder and angrier but less dignified expressions and perhaps be excused. More important is it to prove our statement. Here are a few of our witnesses:

The Journal of the American Medical Association itself says on May 16: "The New Orleans Arrangements were almost perfect, the general hospitality and feeling was most admirable, and the social functions passed off with delight to all."

The Medical News in the course of a lengthy complimentary article has this: "The cordial hosts of the Association can take not a little of the credit for the success of the meeting to themselves. The representatives of the American Medical Profession have learned that the phrase 'Southern Hospitality' is no empty name and that even in the midst of the business bustle of the New South there is a spirit of welcome characteristic of the Southern gentlemen, of whom the country has long been proud."

The New York Medical Journal of May 16 puts it this way: "It was felt that the hospitality of the great Crescent City would

be graceful as well as bountiful, and so it was. Every visitor who took part in the meeting left New Orleans, we feel confident, with regret that it was over."

The Cincinnati Lancet-Clinic of May 16: "The medical profession of New Orleans embraces men of the very finest and highest type to be found in any city. Their hospitality is lavish and generous to an extrame. The people, and this includes the motormen and conductors on the street railways, have the qualification of quiet politeness to every one."

The Medical Bulletin of Philadelphia for June includes the following in its article: "The guests were received in the freest spirit of Southern hospitality. The Committee of Arrangements, under the efficient direction of Dr. Isadore Dyer, had performed their important task with admirable results. Ample accommodations were provided for all the members."

Now comes the Memphis Medical Monthly for June: "New Orleans is now wearing a wreath of laurels, for she has most creditably passed through the experience of entertaining one of the largest meetings of the A. M. A. known to the history of that organization. Besides amply providing for the accommodation of the scientific work of the meeting, the medical profession and the citizens of New Orleans supplied entertainments on a scale so magnificent as to excite universal comment and give rise to unanimous praise."

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The Detroit Medical Journal for June tells its readers: The week so cool in the North was delightful in the far South, the arrangements excellent."

Listen to the Medical Herald of St. Joseph, Missouri, in its June issue: "The welcome given us was characteristic of the South, it was so genuinely cordial and so solicitous for our comfort that we feel deeply appreciative. The hotels were over crowded but we heard of none who was not well cared for."

The Pacific Medical Journal, of San Srancisco, also speaks out: "The arrangements were well carried out, and the charming hospitality of our Southern neighbors was all that could be desired."

Iowa says through its Medical Journal: "Many men who have attended almost every meeting of the A. M. A. unhesitatingly say that this was the best and greatest meeting ever held by the Association."

We have no space for further testimony, which could be furnished in large quantity, but we consider that both the standing and the number of those from whom we have quoted at random are

sufficient for any impartial jury to decide our case proven. Our evidence, we might add, has been derived from among those sources which have been governed by the instinct upon which rests the "Principles of Ethics of the American Medical Association," namely, the instinct of gentle breeding.

Incorporation of the Louisiana State Medical Society.

Pursuant to the plan of reorganization of the Louisiana State Medical Society, on June 10,1903, an act of incorporation was duly notarialized and the Charter and Regulations promulgated.

Aside from the pure matter of stability which carries with this procedure, the medical profession of the State now enjoys an appearance of power, hitherto only dreamed of. The future promises a prompt response in the organization and affiliation of local parish societies, in turn enjoying a broader privilege of membership in the State body.

* *

The objects as outlined in the Charter are both broad and strong: "To federate and bring into one compact organization the entire medical profession of the State of Louisiana with a view to the extension of medical knowledge, to the advancement of medical science, to the elevation of the standard of medical education, and to the enforcement of just medical laws; to the promotion of friendly intercourse among physicians, and to the guarding and fostering their material interests, and to the enlightenment and direction of public opinion in regard to the great problems of State Medicine; so that the profession shall become more capable and honorable within itself and more useful to the public in the prevention and cure of disease and in the prolonging and adding comfort to life."

To further those ends, the legal rights of corporation are allowed and from now on the Louisiana State Medical Society has a status in fact and in law.

New Orleans' Street Cleaning Department.

Considerable agitation recently arose regarding the street cleaning of New Orleans. Our very useful City Board of Health discovered that the streets were not quite proper, that the gutters