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Geo. W. Finley, Brazil.

W. R. Davidson, Evansville.
J. Lewis Hicks, Arcadia.

Chas. W. McIntyre, New Albany.
John L. Morris, Columbus.
Geo. F. Beasley, Lafayette.

E. P. Easley, New Albany.
M. A. Austin, Anderson.
W. J. Sandy, Martinsville.
M. F. Johnston, Richmond.
J. E. King, Richmond.
J. F. Barnhill, Indianapolis.
Perry Woolery, Heltonville.
S. B. Elrod, Raglesville.
Geo. L. Keiper, Lafayette.
S. F. Teaford, Paoli.
A. J. Hermann, Logansport.
E. O. Harrold, Marion.
W. A. Fankboner, Marion.
Edwin Walker, Evansville.
James Wilson, Wabash.
O. K. McKittrick, Plainville.
M. O. DeVaney, Indianapolis.
B. H. Roark, Jamestown.
C. W. Campbell, Hammond.
W. T. S. Dodds, Indianapolis.
A. P. Fitch, Lebanon.

C. A. Daugherty, South Bend.
G. V. Woolen, Indianapolis.
D. W. Stevenson, Richmond.
T. C. Hood, Indianapolis.
Whitefield Bowers, Michigan City.
E. T. Sherwood, Linton.

W. H. Stemm, North Vernon.
S. C. Waters, Middletown.
Geo. W. Willeford, Washington.
J. R. Ball, Lebanon.
H. Herr, Washington.
G. D. Miller, Logansport.

D. Brooks Smoot, Washington.
O. B. Johnson, Lizton.
Geo. W. Combs, Indianapolis.
Miles F. Porter, Ft. Wayne.
E. D. Clark, Indianapolis.
John J. Kyle, Indianapolis.
D. L. Kahn, Indianapolis.
J. R. Eastman, Indianapolis.

J. G. Nehrbas, Winona Lake.
W. W. Sloan, French Lick.
J. R. Crowder, Sullivan.
C. F. Briggs, Sullivan.
Doris Meister, Elwood.
J. I. Maris, Paoli.

C. T. Hendershot, Cannelton.

C. E. Boyd, West Baden.
Theodore Potter, Indianapolis.
Frank B. Wynn, Indianapolis.
Chas. F. Pectol, Paragon.
M. S. McCormick, Eminence.
E. E. Kelso, Eminence.
R. O. MeAlexander, Indianapolis.
O. G. Pfaff, Indianapolis.
G. Reynard, Union City.
A. W. Brayton, Indianapolis.
A. P. Buchman, Ft. Wayne.
J. T. McFarlin, Williams.
Albert E. Bulson, Jr., Ft. Wayne.
David C. Peyton, Jeffersonville.
David Ross, Indianapolis.
M. V. B. Newcomer, Tipton.
Jonas Stewart, Anderson.
J. McLean Moulder, Kokomo.
Chas. R. Sowder, Indianapolis.
A. W. Hayden, Evansville.
Geo. T. McCoy, Columbus.
Edgar Cox, Kokomo.
S. J. Young, Valparaiso.
Paul J. Barcus, Crawfordsville.
Charles F. Hope, Coatesville.
Louis W. Smith, Wabash.
A. J. Hostetler, Shipshewana.
B. F. Teters, Middlebury.
A. S. Jaeger, Indianapolis.
Robert Hessler, Logansport.
J. A. Little, Logansport.
C. F. Keegan, Chandler.
W. A. Hewins, Chandler.
Morris Drake, Shelbyville.
John W. Selman, Greenfield.
Frank W. Selman, Greenfield.
E. G. Blinks, Michigan City.
S. C. Dove, Westfield.
O. C. Neier, Indianapolis.
W. B. Fletcher, Indianapolis,

W. R. Cravens, Bloomfield.
U. B. Smith, Olio.

J. H. Calvert, Milton, Ky.
L. P. Luckett, Terre Haute.
Jas. F. Parks, Cumback.
John R. Andrews, Rivervale.
R. Belt, W. Terre Haute.
R. O. Miller, Terre Haute.
Z. H. Fodrea, Westfield.

J. C. Trueblood, Loogootee.
C. K. Bruner, Greenfield.

M. G. Moore, Vincennes.
Luella M. Schneck, Indianapolis.
Urbana Spink, Indianapolis.
A. B. Knapp, Washington.
C. H. Emery, Bedford.
H. C. Burcham, Albany.

Wm. M. Holten, New Harmony.
C. A. Caplinger, Wallace.
G. W. Proudley, Fair Oaks.
F. H. Austin, N. Madison.
J. W. McClure, Butlersville.
Geo. L. Ireland, Winslow.
Thos. B. Eastman, Indianapolis.

W. T. Lawson, Danville.
Frank Kennedy, Goodland.
H. O. Pantzer, Indianapolis.
J. F. Gillispie, Greencastle.
T. N. Braxton, Loogootee.
W. H. Bright, Martinsburg.
F. W. Kienzle, Greensfork.
J. E. Ferrell, Eden.
J. II. Ford, Indianapolis.
John F. Finley, Palmyra.
W. H. Link, Indianapolis.
Irvin Lindenberger, French Lick.
W. J. Young, French Lick.
C. P. Lenthart, Galena.
R. E. Baker, Orleans.
J. M. Jenkins, Cortland.
F. F. Page, Indianapolis.
H. A. Duemling. Ft. Wayne.
E. R. Sisson, Maxwell.
S. A. Whitsitt, Kent.
T. B. Noble, Indianapolis.
Emma J. Collop, Indianapolis.
F. L. Stallings, Caborns.
R. H. Gerard, Crawfordsville.

CONTENTS.

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SUNSHINE AND SHADOW IN MEDICAL ENDEAVOR―Jos. D. Bryant, New
York City

THE PREVENTION OF POST OPERATIVE PARESIS AND ADHESIONS OF THE
INTESTINES-L. P. Luckett, Terre Haute....

MESENTERIC CYSTS-O. G. Pfaff, Indianapolis.

INSTITUTIONAL PRACTICE-Harry Sharpe, Jeffersonville.

SURGERY OF THE STOMACH-H. O. Pantzer, Indianapolis..

264

THE CARE OF THE INSANE AT HOME-Jennie Jenkins, Assistant Phy-
sician at Eastern Indiana Hospital for Insane at Richmond...............

CHOLECYSTITIS-Chas. J. Cook, Indianapolis.

PAGE.

THE TONSILS, OR A PLEA FOR TONSILLECTOMY-David W. Stevenson,
Richmond

308

THE RATIONAL TREATMENT OF HERNIA-Jos. Rilus Eastman, Indianapolis......

317

FRACTURES OF THE PATELLA-J. H. Ford, Indianapolis.

329

THE DIAGNOSIS OF GALLSTONE DISEASE-M. A. Austin, Anderson..... 348 GALL-BLADDER SURGERY—T. C. Kennedy, Shelbyville.........

361

LUMBAR EXPLORATORY PUNCTURE-J. A. McDonald, Assistant Physician, Central Hospital for Insane.

372

CLINICAL STUDIES IN EUROPE-Edwin Walker, Evansville ......
THE DIAGNOSIS OF INTRACRANIAL COMPLICATIONS OF SUPPURATIVE EAR
DISEASES-John F. Barnhill, Indianapolis.....

383

393

SYMPTOMS INDICATING IMMEDIATE OPERATIVE PROCEDURE IN BRAIN
INJURIES-D. C. Peyton, Jeffersonville.

402

....

THE MINERAL WATERS OF ORANGE COUNTY-John L. Howard, West
Baden.

413

THE ERYTHEMA GROUP OF SKIN DISEASES AND THEIR VISCERAL LES-
IONS-A. W. Brayton, Indianapolis..

426

REPORT OF COMMITTEE ON NECROLOGY-G. W. H. Kemper, Muncie... 438
REPORT ON TUBERCULOSIS-Theodore Potter, Indianapolis....
REPORT OF COMMITTEE ON STATE

466

MEDICINE AND HYGIENE-J. N.

Hurty, Indianapolis......

469

REPORT ON PATHOLOGICAL EXHIBIT-F. B. Wynn, Indianapolis..
REPORT OF THE PROCEEDINGS OF THE COUNCIL-A. E Bulson, Jr., Ft.

474

Wayne.

475

REPORT OF THE HOUSE OF DELEGATES-F. C. Heath, Indianapolis.... 479 REPORT OF SECRETARY-F. C. Heath...

481

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PROGRESSIVE MEDICINE.

BY PRESIDENT GEORGE T. M'COY, M. D., OF COLUMBUS, INDIANA.

Fellow Members of the Indiana State Medical Association, and Invited Guests:

We have assembled upon this occasion to celebrate the fifty-sixth anniversary of the organization of the Indiana State Medical Association, and by the courtesy of my distinguished fellows I have been honored with the presidency of this session. In accordance with time-honored precedent, one of the pleasant duties which falls to me is that of delivering the annual address.

To the older members of this association, those who have been active workers in it since the days of its birth, my words must be those of congratulation on its successful history; but to all of us belong anticipations for its future. Perhaps no greater contrast can be pictured than that offered by the retrospect and the outlook of the modern physician. This is an era of action, and the workers are sometimes apt to be so engrossed in their duties and speculations that they fail to give due credit to those who have gone before them, and who have hewn down the forests of darkness and doubt, leaving them the legacy of a vista of refined thought, and of physiological as well as pathological facts.

In the hurry and rush of the strenuous life, the struggle for fame and riches, we sometimes fail to appreciate how much we owe to the pioneers of the past, who accomplished far more than they realized, and builded better than they knew. But reverence for age is a fair test of the vigor of youth, and insolence or indifference toward the old and the past, whether in individuals or nations, is a sign of weakness rather than of strength.

In celebrating the fifty-sixth year of its existence this association stands tonight upon the record of its past. Its former presiding officers, from Dunlap to Stewart, have been men whose names

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