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EATON COUNTY

At the annual meeting of the Eaton County Medical Society which was held in Charlotte, December 5th, the following officers were elected: President, Doctor J. D. McEachran, Vermontville; Vice-President, Doctor C. B. Wasson, Bellevue; Secretary-Treasurer, Doctor Phil. H. Quick, Olivet; Delegate, Doctor F. R. Blanchard, Eaton Rapids. After the election of officers, a timely and interesting program was carried out.

GENESEE COUNTY

At the meeting of the Genesee County Medical Society held November 9th the following officers were elected: Presdient, Doctor C. H. O'Neil; VicePresident, Doctor C. D. Chapel; Secretary, Doctor D. D. Knapp; Treasurer, Doctor A. Patterson; Medico-Legal Officer, Doctor R. H. Niles; Member of the Board of Directors, Doctor Noah Bates; Delegate, Doctor Ed. Diamond, and alternate, Doctor A. H. Blakely.

Doctor A. H. Hume, of Owosso, Michigan, President of the Michigan State Medical Society, gave an interesting talk. Luncheon was served and it was noted that in future all food would be served in country style in accordance with the gastromic conditions of our worthy President.

GRAND TRAVERSE-LEELANAU COUNTY At the regular meeting of the Grand TraverseLeelanau County Medical Society held in Traverse City, December 2nd, 1918, the following officers were elected for the ensuing year: President, Doctor J. J. Brownson, Kingsley; Vice-President. Doctor Frank Holdworth, Traverse City; Secretary-Treasurer, Doctor H. V. Hendricks, Traverse City, Michigan. Doctor J. B. Martin, of Traverse City was elected a member of the Medico-Legal Committee.

INGHAM COUNTY

The annual meeting of the Ingham County Medical Society was held at the home of the retiring President, Doctor C. V. Russell.

The new elected offices are: President, Doctor John G. Rulison, Lansing; Vice-President. Doctor Fred M. Huntley, Lansing; Secretary-Treasurer, Doctor Earl I. Carr, Lansing.

Doctor and Mrs. Russell entertained the Society and their wives at dinner previous to the meeting.

JACKSON COUNTY

The annual meeting of the Jackson County Medical Society was held at the W. A. Foote Memorial Hospital, Thursday evening, December 5th, and the following officers were elected: Doctor Walter R. Snow. President; Doctor M. S. Vaughn, VicePresident; Doctor W. L. Finton, Secretary; Doctor L J. Harris, Treasurer; Doctor F. Rose, Delegate; and Doctor F. W. Rogers, Alternate.

The Society paid a touching tribute to Doctor J. A. McQuillan who was killed in action in France, and the absent members of the Society who are in the service were given a vote of confidence.

KENT COUNTY

At the annual meeting of the Kent County Medical Society held December 18th, the following officers were elected:

President, Dr. H. J. Vandenberg, Grand Rap ids; Vice-President, Dr. P. L. Thompson, Grand Rapids; Secretary-Treasurer, Dr. A. V. Wenger, Grand Rapids; Assistant Secretary, Dr. V. M. Moore, Grand Rapids; Defense League, Dr. G. L. McBride, Grand Rapids; Delegates, Dr. J. D. Brooks, Grandville; Dr. S. L. Rozema, Grand Rapids; Dr. A. V. Wenger, Grand Rapids; Alternates, Dr. J. Kremer, Grand Rapids; Dr. C. W. Brayman, Cedar Springs; Dr. D. G. Houghton, Caledonia; Magic Lantern Artist, Dr. G. L. Bond, Grand Rapids.

Book Reviews

THE SURGICAL CLINICS OF CHICAGO, Volume II., Number V.. 87 illustrations. Published by the W. B. Saunders

Co., Philadelphia and London.

The Surgical Clinics of Chicago is an always welcome visistor. No surgeon's Journal list is complete without a copy of same. It would be impossible to select one individual subject as all of them are distinct contributions and of special value. The subject presents profound interest for the general practitioner and surgeon alike.

FEEDING.

PRINCIPLES AND PRACTICE OF INFANT By Julius H. Hess. M.D., Philadelphia, F. A, Davis Co., 1918. 338 pages. Illustrated. Price $2.00.

This manual is more of a guide for students and teachers in clerical work. A greater condensation in the modern theory and practice of infant feeding could be made. The favorite feeding practice of the author shows a somewhat pessimistic condition. The author goes into detail in the management of feeding the premature infant. He favors Finkelstein's classification and presents a good and instructive guide on the principles of infant feeding.

MENTAL DISEASES, a handbook dealing with diagnosis and classification. By Walter Vose Gulick, M.D., Assitant Superintendent of the Western State Hospital, Fort Stellacoom, Washington. Illustrated. C. V. Mosby Co., St. Louis, Mo. Price, $2.00.

This book deals with classification and diagnosis. The classification gets rid of many of the obscure divisions and attempts to classify the different psychoses under each causative department. Anatomical structural changes are not shown. Numerous cases with differential symptoms are reported. In all it is an attempted classified psychoses and is a handy and ready reference.

CLINICAL MEDICINE FOR NURSES. By Paul H. Ringer, M.D. Published by the F. A. Davis Co. Price, $2.00. The writer presents a subject that shows advanced ideas for the already over burdened nurse. Its attempt would make them become, if its teachings were followed, good diagnosticians and practitioners. It is concise, well written and more fitting. to be added to the group of student clinical medicine.

INFORMATION FOR THE

TUBERCULOUS. By F. W. Wittich, A.M., M.D., Instructor in Medicine and Physician in charge of tuberculosis dispensary in the University of Minnesota Medical School; Visiting Physi cian to University Hospital, Minneapolis. C. V. Mosby Co., Publishers. C. V. Mosby Co., St. Louis, Mo., $1.00. All tuberculars are anxious to know all about their individual conditions. In the compilation of this work the author has endeavored to inform the tubercular of his exact condition in language that is by them best understood. The anatomy of the lung, the tubercular bacillus, its action, its association with the other organs and the effect upon the lung is so nicely told that any layman can understand. The three cardinal principles of cure-rest, diet, and climate, are so nicely interwoven that by following the same, good and valid results could be obtained. It should be read by every tubercular as it will disabuse their mind of the many prevailing fallacies.

MANUAL OF OTOLOGY. By G. Bacon, A.B., M.D., F.A.O.S. Assisted by Truman Lawrence Saunders, A.B., M.D., Seventh Edition, revised and enlarged. 583 pages with 204 illustrations and 2 plates. 12 mo. Lea & Febiger, New York and Philadelphia, 1918. $3.00.

Doctor Bacon's works have so long been a recognized manual on Otology by the specialist that each succeeding edition gives us all the advanced ideas. The "Running Ear" his chapter on chronic middle ear discharges if read by the general practitioner would show him the dangers which might result therefrom which are not so generally known and patients referred to their proper place for treatment. The interpretation of Nystagmus, vertigo, nausea, and vomiting in relation to diseases of the labyrinth and the conservatism advised in their treatment is well worth careful consideration.

Miscellany

PUBLIC INFORMATION ESSENTIAL IN
STATE BOARD ACTIVITIES.

By Geo. L. LeFevre, M.D., F.A.C.S., ·
Muskegon, Michigan.

In handling the subject assigned me, namely, "Public Information Essential in State Board Activities," I was not sure from which angle I was supposed to deal with the subject; the standpoint of the "Public" or that of the "State Boards," or both. I am sure, though, that the public is far more in the dark as regards our activities than we are as to their needs. They have something else to occupy their minds, and as you all know,

"Just at the brink of danger-not before— God and the doctor they implore. But when danger is past and all is righted, God is forgot and the doctor slighted." The public sees 'through a glass darkly, but some day face to face," and that time is not far distant. The world war, the calling of hundreds of doctors to the colors, the diminution in the number of medical students and medical schools is rapidly producing a scarcity of doctors that will soon arouse the public to the due necessity of concerted action in order to secure competent physicians.

The public should know, through the medium of publicity, that the State Boards are the "S. O. S." of their existence, that they are public benefactors, serving without compensation, to protect from subluxation acrobats, bath-tub-healers, newspaper specialists and therapeutic vultures and quacks. German kultur is as logical as their ministrations. I have heard that the State Boards and medical schools are being accused of being responsible for the increase in the number of new cults, due to increased requirements for an M.D. degree. I resent such accusations and feel, yes know-that the public alone is responsible for their existence. So long as people are willing to trust their health and life to these uneducated, unscientific, advertising quacks, there is always occasion for their existence; but the minute the public is educated to the fact that the blacksmith is just as safe to repair your watch as they are to cure pathological conditions-just that minute will they cease to exist. The public must be taught that our efforts are to place at their disposal educated, scientific physicians and surgeons, men and women who can be trusted to give efficient service.

It seems to me that those who seek relief from these quacks are "like an infant crying in the night, an infant crying for the lights with no other language but a cry." Publicity must furnish them the light and it is the language of publicity that we must furnish them. Public information is essential in State Board activities.

Furthermore, in looking over the number of students examined this year as compared with a few years ago, I feel that the public should be made aware of the fact that in spite of the marked increase in population that we are graduating fewer doctors each year. It is only a question of time until the public will suffer from the lack of competent medical and surgical attention. This fact should be brought home to them, students entering high school should be shown the possibilities awaiting them in our profession, and that we are just as anxious, if not more so, to give our O. K. and aid in their preparation, as we are to prevent the unscrupulous cults from carrying on their quackery. Also these students should be advised as to what schools they should enter in order to be able to appear before all State Boards for examination without any question as to their eligibility to take said examinations, and in order that they may receive reciprocity if so desired.

I could spend much more time upon this subject, but I feel it is not necessary, for you all see the dire necessity of bridging that gulf that lies between our State Board activities and the public. I can not help but feel if they knew of our work and our labors to benefit mankind as a whole, that we would receive enthusiastic support from them and that all quackery would be crucified and our legitimate schools filled with bright young men and women now and always.

Further, I would suggest that our patriotic doctors who have left their practice and enlisted in the service should be given universal reciprocity upon their return.

OUR HONOR ROLL.

County Secretaries are requested to report the names of all members in the Service.

Bay County.

Dr. F. S. Baird, Bay City; Dr. F. W. Brown, Bay City; Dr. S. L. Ballard, Auburn; Dr. C. V. Crane, Tawas City; Dr. V. H. Dumond, Bay City; Dr. E. Goodwin, Bay City; Dr. E. S. Huckin, Bay City; Dr. H. P. Lawrence, Pinconning; Dr. R. C. Perkins, Bay City; Dr. F. H. Randall, Bay City; Dr. R. E. Scrafford, Bay City; Dr. M. R. Slattery, Bay City; Dr. P. R. Urmston, Bay City.

Benzie County.

Dr. C. P. Doyle, Frankfort.

Branch County.

Dr. W. J. Bien, Union City; Dr. W. A. Griffith, Coldwater.

Calhoun County.

Dr. J. T. Case, Battle Creek; Dr. E. M. Chauncey, Albion; Dr. James Elliott, Battle Creek; Dr. R. V. Gallagher, Battle Creek; Dr. J. G. Gage, Battle Creek; Dr. W. Haughey, Battle Creek; Dr. G. C. Hafford, Albion; Dr. A. A. Hoyt, Battle Creek; Dr. J. J. Holes, Battle Creek; Dr. C. W. Heald, Battle Creek; Dr. T. Kolvoord, Battle Creek; Dr. A. C. McCurdy*, Battle Creek; Dr. W. N. Putman, Battle Creek; Dr. A. H. Ross, Battle Creek; Dr. A. J. Read, Battle Creek; Dr. R. D. Sleight, Battle Creek; Dr. R. C. Stone, Battle Creek; Dr. L. H. Tower, Battle Creek; Dr. E. Van Camp, Athens; Dr. C. G. Wencke, Battle Creek,

*Died in France, November 28th, 1918.

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Dr. G. H. Bahlman, Flint; Dr. C. S. Ballard, Flint; Dr. M. W. Clift, Flint; Dr. C. P. Clark, Flint; Dr. Henry Cook, Flint; Dr. V. H. DeSomoskeoy, Flint; Dr. J. W. Evers, Flint; Dr. G. R. Goering, Flint; Dr. B. Goodfellow, Clio; Dr. J. N. Houton, Flushing; Dr. J. Houston, Swartz Creek; Dr. J. G. R. Manwaring, Flint; Dr. F. B. Miner, Flint; Dr. R. S. Morrish, Flint; Dr. W. H. Marshall, Flint; Dr. J. W. Orr, Flint; Dr. A. T. Pauell, Flint; Dr. K. G. Pratt, Flint; Dr. F. E. Reeder, Flint; Dr. W. C. Reid, Grand Blanc; Dr. A. J. Reynolds, Flint; Dr. E. C. Rumer, Flint; Dr. H. E. Randall, Flint; Dr. F. A. Roberts, Flint; Dr. B. R. Sleeman, Linden; Dr. W. H. Winchester, Flint; Dr. L. S. Willoughby, Flint.

Gogebic County.

Dr. C. D. Collins, Ironwood; Dr. G. J. Curry, Watersmeet; Dr. E. B. Stebbins, Ironwood.

Grand Traverse-Leelanau County.

Dr. G. A. Holliday, Traverse City; Dr. G. M. Johnson, Traverse City; Dr. W. D. Mueller, Traverse City; Dr. E. L. Thirlby, Traverse City. Gratiot-Isabella-Clare County.

Dr. Ralph E. Dawson, Blanchard; Dr. C. B. Gardner, Alma; Dr. C. D. Pullen, Mt. Pleasant; Dr. A. R. Mussell, Clare; Dr. B. J. Sanford, Clare; Dr. T. P. Vanderzalm, Blanchard.

Hillsdale County.

Dr. W. R. Atterbury, Litchfield; Dr. T. H. E. Bell, Reading; Dr. B. F. Green, Hillsdale; Dr. E. A. Martindale, Hillsdale; Dr. H. C. Miller, Hillsdale; Dr. I. J. Stoner, Jonesville.

Houghton County.

Dr. J. F. Barton, Calumet; Dr. R. B. Harkness, Houghton; Dr. H. M. Joy, Calumet; Dr. N. S. MacDonald, Houghton; Dr. P. D. MacNaughton, Calumet; Dr. J. D. McKinnon, Calumet; Dr. F. F. Marshall, Pequaming; Dr. V. L. Oler, Kearsarge; Dr. B. H. Olmsted, Calumet; Dr. L. M. Power, Hancock; Dr. James Rhines, Laurium; Dr. D. D. Todd, Adrian; Dr. A. R. Tucker, Mohawk; Dr. L. E. Werry, Calumet.

Huron County.

Dr. A. E. W. Yale, Pigeon.

Ingham County.

Dr. H. S. Bartholomew, Lansing; Dr. C. L. Barber, Lansing; Dr. M. L. Cushman, Lansing; Dr. F. J. Drolett, Lansing; Dr. Clara Davis, Lansing; Dr. C. W. Ellis, Lansing; Dr. J. A. Humphrey, Lansing; Dr. M. L. Holm, Lansing; Dr. H. B. Knapp, Lansing; Dr. H. W. Landon, Lansing; Dr. R. R. McCrumb, Lansing; Dr. C. H. Murphy, Lansing; Dr. H. A. Miller, Lansing; Dr. A. E. Owen, Lansing; Dr. R. A. Pinkham, Lansing; Dr. J. G. Rulison, Lansing; Dr. M. Shaw, Lansing.

Jackson County.

Dr. W. B. Anderson, Jackson; Dr. H. D. Brown, Jackson; Dr. R. Cooley, Jackson; Dr. C. R. Dengler, Jackson; Dr. C. E. De May, Jackson; Dr. W. H. Enders, Jackson; Dr. H. L. Hurley, Jackson; Dr. Thos. Hackett, Jackson; Dr. R. G. Hendricks, Jackson; Dr. W. Lake, Grass Lake; Dr. R. H. Leece, Munith; Dr. D. B. Marsh, Jackson; Dr. J. J. McCormick, Jackson; Dr. C. D. Mumro, Jackson; Dr. Fred Main, Jackson; Dr. J. A. McQuillan*, Jackson; Dr. J. O'Mara, Jackson; Dr. E. S. Peterson, Jackson; Dr. G. Seybold, Jackson; Dr. G. E. Winter, Jackson.

*Killed in France, October 26, 1918.

Kent County.

Dr. H. J. Beel, Grand Rapids; Dr. H. Blackburn, Grand Rapids; Dr. R. C. Breece, Ada; Dr. J. S. Brotherhood, Grand Rapids; Dr. F. A. Boet, Comstock Park; Dr. A. M. Campbell, Grand Rapids; Dr. L. H. Chamberlin, Grand Rapids; Dr. J. R. Coryell, Grand Rapids; Dr. B. R. Corbus, Grand Rapids; Dr. C. W. Deaver, Grand Rapids; Dr. P. J. De Pree, Grand Rapids; Dr. H. W. Dingman,

Grand Rapids; Dr. J. C. Foshee, Grand Rapids; Dr. C. M. Freeman, Ada; Dr. T. D. Gordon, Grand Rapids; Dr. H. A. Grube, Grand Rapids; Dr. J. T. Hodgen, Grand Rapids; Dr. J. N. Holcomb, Grand Rapids; Dr. W. D. Lyman, Grand Rapids; Dr. J. C. Kenning, Grand Rapids; Dr. F. C. Kinsey, Grand Rapids; Dr. W. D. Lyman, Grand Rapids; Dr. J. H. Muller, Grand Rapids; Dr. A. M. Martin, Grand Rapids; Dr. A. A. McNabb, Grand Rapids; Dr. A. G. McPherson, Grand Rapids; Dr. L. E. Sevey, Grand Rapids; Dr. R. R. Smith, Grand Rapids; Dr. A. B. Smith, Grand Rapids; Dr. F. N. Smith, Grand Rapids; Dr. R. E. Toms, Grand Rapids; Dr. R. T. Urquhart, Grand Rapids; Dr. P. Ver Meulen, Grand Rapids; Dr. W. E. Wilson, Grand Rapids; Dr. S. M. Wells, Grand Rapids; Dr. J. B. Whinnery, Grand Rapids; Dr. F. C. Warnshuis, Grand Rapids.

Manistee County.

Dr. Lee Lewis, Manistee; Dr. A. A. McKay, Manistee; Dr.. H. McMullen, Manistee; Dr. W. Norconk, Bear Lake; Dr. L. Ramsdell, Manistee.

Marquette County.

Dr. I. Abrahanson, Negaunee; Dr. A. V. Braden, Ishpeming; Dr. H. T. Carriel, Marquette; Dr. W. B. Lunn, Marquette; Dr. C. J. Larson, Negaunee; Dr. I. Sicotte, Michigamme; Dr. L. L. Youngquist, Marquette.

Menominee County.

Dr. C. R. Elwood, Menominee; Dr. W. R. Hicks, Menominee; Dr. E. V. McComb, Menominee; Dr. H. T. Sethney, Menominee.

Muskegon County.

Dr. C. M. Colignon, Muskegon; Dr. H. S. Cole, Whitehall; Dr. B. R. Eastman, Muskegon; Dr. W. L. Herick, Whitehall; Dr. F. W. Hannum, Muskegon; Dr. V. S. Laurin, Muskegon; Dr. F. N. Morford, Muskegon; Dr. E. S. Thornton, Muskegon.

Oakland County.

Dr. F. S. Bachelder, Pontiac; Dr. S. A. Butler, Pontiac; Dr. L. G. Campbell, Birmingham; Dr. L. A. Farnham, Pontiac; Dr. F. D. German, Franklin; Dr. G. W. MacKinnon, Oxford; Dr. E. E. Orton, Pontiac; Dr. G. P. Raynale, Birmingham.

Oceana County.

Dr. C. Day, Clinton; Dr. G. F. Lamb, Pentwater.

Ontonagon County.

Dr. E. J. Evans Rockland; Dr. E. A. Florentine, Ewen; Dr. J. L. Kelliher, Phoenix; Dr. E. A. Linger, Rockland; Dr. D. L. Lutes, Victoria.

Sanilac County.

Dr. H. H. Angle, Snover; Dr. J. C. Webster, Peck; Dr. C. G. Woodhull, Decker.

St. Clair County.

Dr. I. P. Bowden, Port Huron; Dr. F. V. Carney, St. Clair; Dr. G. M. Kesl, Port Huron; Dr. A. J. MacKenzie, Port Huron; Dr. D. W. Patterson, Blain; Dr. G. Waters, Memphis; Dr. W. G. Wight, Yale.

Tuscola County.

Dr. F. P. Bender, Caro; Dr. W. C. Garvin, Millington.

Washtenaw County.

Dr. James F. Breakey, Ann Arbor; Dr. H. B. Britton, Ypsilanti; Dr. R. B. Canfield, Ann Arbor; Dr. H. W. Emerson, Ann Arbor; Dr. N. B. Foster, Ann Arbor; Dr. C. George, Jr., Ann Arbor; Dr. H. Malagan, Ann Arbor; Dr. Reuben Peterson, Ann Arbor; Dr. V. C. Vaughan, Ann Arbor; Dr. U. J. Wile, Ann Arbor.

THAT FLU STUFF.

If you have a tummy-ache,
It's the Flu!

If you're weary when you wake,
It's the Flu!

Is your memory off the track?
Is your liver out of whack?
Are there pimples on your back?
It's the Flu!

Are there spots before your eyes?
It's the Flu!

Are you fatter than some guys?
It's the Flu!

Do your teeth hurt when you bite?
Do you ever have a fright?
Do you want to sleep at night?
It's the Flu!

Are you thirsty when you eat?
It's the Flu!

Are you shaky on your feet? ·
It's the Flu!

If you feel a little ill
Send right off for Doctor Pill,
He will say, despite his skill:
"It's the Flu!"

He won't wait to diagnose,
It's the Flu!

Hasn't time to change his clothes,
It's the Flu!

For two weeks he's had no rest,
Has no time to make a test,
So he'll class you with the rest-
It's the Flu!

-Cincinnati Enquirer.

The public, they are wild
About the Flu!

Some of them act like a child
About the Flu!

“Olin's” diagnosis is the best When he pulls down his vest, The doctors know the rest About the Flu!

-Editor.

NEW AND NON-OFFICIAL REMEDIES.

Lutein Tablets-H. W. and D., 2 Grains.-Each tablet contains 2 grains of lutein (the fully developed corpora lutea of the hog, dried and powdered). Hynson, Westcott and Dunning, Baltimore. Md. (Jour. A.M.A., Nov. 2, 1918, p. 1485).

OF THE

Michigan State Medical Society

Vol. XVIII

ISSUED MONTHLY UNDER THE DIRECTION OF THE COUNCIL
GRAND RAPIDS, MICHIGAN, FEBRUARY, 1919

Original Articles

INFLUENZA AND INFLUENZA PNEU-
MONIA. AN ANALYTIC REPORT OF
THE CLINICAL FINDINGS IN
131 CASES OF EPIDEMIC
INFLUENZA.*

DAVID MURRAY COWIE, M.D.

AND

PAUL WEBLEY BEAVEN, M.D.

ANN ARBOR, MICHIGAN.

From September 23rd to November 11th, 131 cases of influenza were admitted to the Contagious Service of the University Hospital, Thirty-one of these had a complicating bronchopneumonia. Of these thirty-one cases nineteen were admitted with uncomplicated influenza, and developed signs of pneumonia under our

care.

Twelve were admitted to the service because of the fact that broncho-pneumonia already complicated the influenza. In other words, approximately 15 per cent. of the cases admitted without pneumonia developed it, and this figure could be taken as representing the percentage of pneumonia developing in this locality.

Our first case of influenza was admitted nine days before the epidemic became general. This case was a soldier visiting from Massachusetts where an epidemic of influenza prevailed. His symptoms were typical of the disease as we later came to observe them. Several cases seen in this city by one of us, prior to this case, developed unexplained fever, headache, more or less marked gastro-intestinal symptoms with absence of leucocytosis. About the same time. two other cases (children) were observed, being sent into the Contagious Hospital, diagnosed scarlet fever by a local physician. These patients complained of general pain throughout the body. They had a moderate cough; the throat was slightly reddened; the cervical

*From the Department of Pediatrics and Contagious Diseases, University of Michigan Hospital.

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No. 2

glands were slightly enlarged and the temperature was moderately high. There was no leucocytosis. There was a punctiform rash over the face and upper chest, slight mouth pallor; no strawberry tongue or kidney complications developed, and no desquamation occurred during their fifteen days' stay in the hospital, nor has there been any observed by the family up to the time of this report.

These cases represent the bizarre manifestations of the beginning of the epidemic in this locality. Indeed, there were not a few cases of gastro-intestinal disease with headache which, at first, suggested ileocolitis, appendicitis and typhoid, but which did not measure up, and which, now, we know were cases of influenza.

The patients who are reported here are chiefly students belonging to the S. A. T. C. and nurses from the Training School of the University Hospital. This report includes only cases sent to the Contagious Department of the University Hospital, and does not include broncho-pneumonia cases transferred to us from other departments in the hospital which were caring for influenza cases. Because of the sudden 'development of the epidemic and the enormous amount of work entailed upon members of the staff, it was impossible for us to carry out any definite line of investigation. Careful physical examinations and careful daily notes were made in all cases. It occurred to us that it might be of general interest to record the clinical findings. We regard the points presented as trustworthy.

Most of the influenza patients entered with the symptoms of coryza. They complained of backache, headache especially marked over the orbits and a few general pains throughout the body. The great majority of them were almost Even those patients completely prostrated. who showed no marked febrile excursion complained of exhaustion. A small percent of the cases had marked chills. An irritating bronNausea chial cough was a constant finding.

and vomiting were also noted as initial symptoms.

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