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demonstrated how long a child could be kept alive with the respirations numbering one hundred per minute; the child had been sick two days before Dr. Osborne saw it; the respirations then were 105 per minute; pulse 178; the respirations stayed at 100 for forty-eight hours then gradually went down to fifty-five on the fifth day; the lower lobe of the left lung was affected; carelessness in keeping up the temperature of the room between the doctor's visits resulted in the lower lobe of the right lung becoming affected. The respirations again reached the 100 mark, but the child lived three days longer. Dr. Osborne used cactus for the heart and the pulse was good to the last. The doctor spoke highly of the use of cactus as it does not contract the arterioles.

Dr. Ring reported a case, a detailed account of which appears elsewhere in this issue of the JOURNAL.

Dr. Beckwith opened the discussion on the subject of the evening--Broncho Pneumonia-with

a very interesting and instructive paper on the pathology of the disease; the paper was illustrated by microscopic specimens of pneumococci and streptococci and drawings by Prof. Delafield of New York. The paper was an elaborate treatise on this feature of the disease and was fully abreast of the latest scientific research. A spirited discussion followed the reading of the paper. Dr. Lindsley said that authorities disagree upon the treatment of the disease.

Dr. Fleischner uses alcohol; does not give ammonium chloride or carbonate; does not treat heart or the temperature until it reaches 105° F.; uses properly applied poultices and has secured good results from the use of turpentine; gives tonics during the course of the disease and in convalescence.

Dr. Gilbert said: “We must support the powers of life; we must be very watchful of pneumonia following an attack of whooping cough.” Dr. Eliot believes in the use of anti-pyretics for this disease; for the cough he uses ipecac and opium; externally uses turpentine; he has about given up the use of quinine. Dr. Osborne said: "It is important to watch the respirations." He does not like to give opium; wishes the child to cough some.

The following resolution was adopted by the society:

Voted, That in examinations for lunacy ordered by the Probate Court, the fee to be charged for the same by members of the New Haven Medical Society shall be no less than five dollars for each examination.

After adjournment the association partook of a collation served in the club dining-room.

A special meeting of the New HAVEN CITY MEDICAL ASSOCIATION was held Friday evening, March 13th, 1896, at the residence of the President, Dr. M. Mailhouse.

Doctors S. J. Maher, M. C. O'Connor, and G. Eliot were appointed a committee to draft resolutions relative to the death of Dr. Edward G. Madden.

The following resolutions were adopted:

Whereas, God in his wisdom has with sudden summons taken from this life our esteemed fellow member, Dr. Edward G. Madden, be it

Resolved, That the New Haven Medical Association deeply mourns the loss of one of its younger members, a man of great activity and energy, whose career, already one of marked success, gave promise of still richer fruition; and that the community loses a careful, kindly, and capable physician, who for ten years ministered to the suffering with sympathy, discretion and success.

It was voted to attend the funeral in a body. Meeting then adjourned.

WATERBURY MEDICAL Association. The monthly assembly occurred on the evening of Monday, March 2d. Considerable interest is manifested in these gatherings, the attendance averaging over two-thirds of the membership.

Dr. Goodenough opened a discussion of the subject of leg ulcers, exhibiting a case upon which Thiersch skin-grafting had been employed with remarkable success.

Dr. Graves read a paper upon Acute Rheumatism.

Both subjects were freely discussed. Meeting then adjourned.

At the semi-annual meeting of the Middlesex County Medical Society which occurs on Tuesday, April 28th, in Haddam, among others, the following papers will be read: “Abdominal Massage in the Treatment of Certain Uterine Diseases," by Kate C. Mead, M.D.; "How shall Testamentary Capacity and Criminal Responsibility be Determined by our Courts," by J. Francis Calef, M.D.; “Thyroid Treatment of Basedow's Disease," by Frank K. Hallock, M.D.

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The semi-annual meeting of the Hartford County Medical Association will occur in Hartford Wednesday, April 15th; Tolland County Medical Association in Rockville, Tuesday, April 21st;

Fairfield County Medical Association in Bridgeport, Tuesday, April 14th; New Haven County Medical Association in New Haven, Thursday, April 16th, when Dr. C. J. Foote will discuss "Cancer of the Head and Neck;" Dr. Carmalt, "Cancer of the Breast and Trunk," and Dr. Beckwith, "Cancer of the Pelvis and Extremities."

The New London County Medical Association will meet in New London, Thursday, April 2d. At this meeting Dr. W. S. C. Perkins will read a paper on “Pneumonia," and Dr. M. M. Johnson of Hartford, will remark upon “Apper dicitis."

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The meeting of the Windham County Medical Association will occur in Putnam, Tuesday, April 14th.

HOSPITAL AND CLINIC NOTES, ETC.

GONORRHEA IN A Boy TEN YEARS OLD.—The following case of gonorrhoea in a boy ten years of age, in which the probable source of infection was found, was recently seen in Dr. Sperry's Clinic at the New Haven Dispensary, and a few days later in that of Dr. Moulton. The history was simply that of pain on micturition and a slight purulent discharge from the urethra, first noticed by the patient two or three days before he came to the clinic. There was slight inflammation around the meatus. While gonorrhea was suspected Dr. Moulton decided to have an examination of the pus to confirm or disprove the diagnosis. In the microscopic examination biscuit-shaped organisms were found in the pus cells, as described by Neisser, readily discolorizing when treated by Gram's method. As the presence of gonococci in the urethral discharge from so young a patient seemed somewhat surprising, Dr. Bartlett determined to attempt to find a probable source of infection in order to satisfy himself that the organisms seen might not be the pseudo-gonococci described by Lustgarten. At the boy's home it was found that he slept at times in the same bed with some of the other children. The oldest of these was a girl between fourteen and fifteen years old. Upon being asked if she had any kind of disease she readily admitted that she had had what she supposed was gonorrhea for about four weeks, and that there had been a considerable discharge of pus from the genital tract. An examination confirmed this and the microscope showed gonococci in the pus cells. She insisted, in what seemed to be a straightforward story, that if her

brother had contracted the disease from her it must have been accidentally. This might seem the more possible from the fact that her own uncleanliness had allowed the purulent discharges to collect about the genitals and the brother had slept close beside her, four of the children being crowded into the same bed.

OSTEOBLASTIC SECTION FOR THE REMOVAL OF Blood Clot.An infrequent and interesting operation was recently performed by W. H. Carmalt, assisted by T. H. Russell, attending surgeons at the New Haven Hospital, and a brief history of the case is worthy of notice. The subject, a strong, apparently healthy but somewhat obese man, while returning from work slipped on the ice his forehead striking on the flagstone walk; partially stunned for the moment he was soon able to continue his journey and felt no serious results until later in the evening, when his speech became inarticulate and his breathing was somewhat labored. These conditions becoming worse, Dr. Carmalt was called in and found contusion, abrasion of the skin and a slight swelling of the forehead, but continued careful search failed to discover any fracture. At this time his pulse was 60, of good tension, respiration 22, deep but not stertorous, pupils of both eyes moderately but uniformly dilated and responding sluggishly to light, and several attempts to vomit were made during the visit. It was impossible at this time to determine whether the patient was suffering from intoxication or cerebral lesion. He resisted attempts at examination of his head with his left hand but did not voluntarily move the right although this arm resisted attempts to move it, showing that it was not absolutely paralyzed. Dr. Carmalt was summoned again the following morning about 7.30 o'clock. The patient had not returned to consciousness dur. ing the night, his pulse and respiration had remained practically the same, and he had involuntarily urinated. His left pupil was now widely dilated, the right one somewhat contracted, and it was evident that the man was suffering from compression due to intracranial hemorrhage. An operation was advised, and for this purpose he was removed to the New Haven Hospital at noon. By this time his breathing had gradually become stertorous but his heart's action was good.

Osteoblastic section was then made in the temporal region. A flap of bone and soft tissue of an irreguiar horseshoe shape, about an inch and a halk by two inches in general outline, with convexity upwards was removed, and immediately on exposing the dura mater quantities of blood clot appeared at the upper

portion of the opening, while at the lower portion pronounced bulging outwards of the dura was apparent. The clots were spooned out and all the area in the neighborhood was washed with a sterilized salt solution. No rupture of the middle meningeal artery was discovered. A mass of blood appeared to be situated anteriorly and above the opening, and it was thought that the ruptured vessel might be found at this point. Accordingly another similar osteoblastic flap was removed from the frontal region and here a great amount of clotted blood (not less than a teacupful) was washed out, but the bleeding vessel was not found. At this point the man's puise suddenly and rapidly began to fall, his respiration became shallow, operative procedure was at once dispensed with and the wounds closed. The hemorrhage at this time had ceased, due to weak action of the heart. Death occurred shortly after removal from the table.

The point of interest about the case was the fact that after the receipt of the injury the man retained consciousness for quite a considerable time, and then a gradual onset of paralytic symptoms increasing to general coma followed, death resulting from a gradual loss of cerebral function due to pressure.

ITEMS OF INTEREST.

One-third of the men who wished to enter the British army last year were rejected on account of defective eyesight, bad teeth or flat feet.

An epidemic of influenza has been raging lately in Philadelphia. It seems to be generally followed by pneumonia.

Many cases of yellow fever are reported in Cuba, especially on the southern coast.

An addition to the Pennsylvania Hospital for the insane is being built at the cost of $50,000.

Miss Louise Aldrich Blake, who is curator of the Anatomical Museum at the Royal Free Hospital, London, is the first woman to win the title of Master of Surgery.

Dr. Northrop in a late medical review reports three cases of typhoid fever in children of thirteen, sixteen and twenty-two months of age, all being in the Stamford epidemic.

In thirteen years, ending January 1st, 1895, 3,680 cases of typhoid fever were admitted to the Boston City Hospital, 284 of these being under the age of fifteen.

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