the perforation of a typhoid ulcer situated in the appendix. In reply to a question he remarked that a typhoid ulcer in the appendix was more prone to perforate early than one situated in another part of the intestine.

Dr. Wm. H. Porter then read a paper upon "Nucleins," which we publish elsewhere in this JOURNAL.

Dr. Frederic S. Dennis followed with a paper upon "The Triumphs of Surgery-Some Observations on Tumors."

Dr. Geo. H. Knight read a paper upon "The Feeble Minded," and Dr. J. C. Kendall upon "The Prophylaxis of Tuberculosis." Meeting then adjourned.

The semi-annual meeting of the Litchfield County Medical Association was called to order by President Wiggin October 8th at 11.45 A.M., at the Hawkhurst Club, Litchfield. Drs. J. W. S. Gouley and Chas. Phelps of New York were present as invited guests. The Secretary read the minutes of the special meeting in July, which were approved. The President read a letter from Secretary Wordin of the State Society concerning the elections of Drs. Dennis and Bulkley as members of the County Association. Drs. Munger, MacLaren and North were appointed upon the Committee on Nominations.

Dr. Kendall reported the following interesting case:

C. J., forty-seven years old, a farmer and milkman, with no peculiar family history, had for about a year and a half complained of severe pains in the head, so that at times he was compelled to stop work. He ate little, told but few of his pain, which, as was afterwards found out, was so oppressive as to almost obliterate his sight, he being unable at such times to distinguish the color of his milk tickets.

One hot day in June, while hauling hay, he drove his team up to a closed gate. His helper opened the gate, and the horses starting suddenly, the farm hand heard an exclamation of "Oh!” and turned in time to see the farmer fall to the ground. He was not thrown, but fell doubled up. He landed on the occiput, seemed stunned, but was able in a few minutes to get into the team and ride home. Dr. Kendall was called at once, and found patient in a semi-comatose condition. There was no vomiting, he was able to walk, no lesion on the scalp, only a slight abrasion in the occipital region which scarcely bled. There was no suggestion of sunstroke. Pulse sixty-six, temperature normal. When asked, patient said his only pain was in his head. He seemed to have all the powers of voluntary movements.

On the fifth day he seemed fairly well, walked about, seemed to see and recognize everything, but spoke only when questioned. Temperature then was 99° and never over. On the sixth day oedema of the lungs set in, and pulse rose to one hundred and sixty, respiration forty-two. Death occurred on the seventh day. Autopsy of the brain showed no trace of violence, nor fracture from contre-coup.

Dura was adherent closely to bone; no effusion or pus. A small spot on the superior occipital region on both sides was slightly congested.

The inferior surface on left side, near the fissure of Sylvius, was soft with some effusion. Physician thought it a case of cerebral hemorrhage.

Dr. Phelps thought that the patient suffered from early epileptic attacks, and that the soft spots were those of limited contusion. These were scarcely sufficient to account for the symptoms, and there was probably a general contusion of the brain substance.

Dr. Gouley thought it probable that sepsis might have hurried

matters.

Dr. Wiggin presented a patient upon whom he had, during May of this year, performed vaginal hysterectomy. The patient, a married woman, forty-six years of age, had enjoyed fairly good health till about ten months prior to the operation, when she became unable to work on account of a severe pain in her right inguinal region. A vaginal examination had revealed a retro-placed uterus accompanied by a hard, nodular, immovable, sensitive mass to the right, and slightly posterior to it. The condition was diagnosticated as malignant disease of the right ovary. The operation was a modification of that of Machenrodt of Berlin, for vagino fixation. The anterior vaginal wall was incised from a point beginning one-third of an inch below the meatus urinarius, and continuing to the junction of the cervix with the vaginal wall. The flaps had then been dissected from the bladder, a transverse incision at the cervico vesical junction had been made, and the bladder separated from the uterus by blunt dissection with the finger. The peritoneum had been incised, and the fundus of the uterus had been seized with a pair of bullet forceps and anteverted. The finger was passed into the peritoneal cavity and reached the nodular mass with difficulty. As the uterus and tubes were in a fibromatous condition they were removed, and when the tumor was reached it proved to be composed of phleboliths of the size of cherry stones. The patient made a good recovery, complaining at no time of bladder symptoms. She resumed her ordinary

labors about July 1st. At the present time the anterior vaginal wall shows no trace of operative interference.

Dr. Kendall then read a paper on Proto-nuclein. mended it for trial.

cess.

He recom

Dr. Rogers remarks that he had tried it in two cases with sucOne case was that of chronic bronchitis; the other was an exophthalmic goitre which had not been relieved even by thyroid extract; 1gr. doses were given for six weeks. Patient is now able to work and gaining constantly.

Dr. Page read a short article on pneumonia. He thought it certainly contagious and that exposure to cold was rarely a cause

Drs. Munger and Mac Laren agreed with him and thought that strict prophylactic treatment should be enforced in all cases. Dr. Phelps made some remarks on "Operative Treatment of Fractured Patella" which will be published in a later edition of this JOURNAL.

Dr. Gouley read a paper on "Retention of Urine during Urethritis" which will also appear in this JOURNAL.

The Committee on Nominations then presented their selections for the various officers, who were elected. President: Dr. Elias Pratt. Vice-president: Dr. W. L. Platt. Clerk: J. C. Kendall. Committee on Membership; Dr. Hanchett. Reporter, Dr. Sedgwick. Fellows: Drs. Goodwin, Bissell, North, Rogers and French. Alternates: Drs. MacLaren, Munger, Page, Hanchett and Curtiss. Delegates to the American Med. Asso.: Drs. Wiggin, Ford, E. H. Welch and Hanchett.

Committee on Membership reported the following gentlemen who were elected. Honorary members: Dr. H. W. Welch of Baltimore and Drs. H. W. Porter, J. W. S. Gouley and Chas. Phelps of New York.

Active members: Drs. F. S. Dennis, Norfolk; T. B. Bulkley, Norfolk; C. I. Page, Litchfield; J. R. Knowlton, Litchfield; S. G. Howd, Winsted; W. S. Richards, Winsted; Hd. D. Moore, Danbury; J. E. Staub, New Milford.

The President read his address at the banquet. Meeting adjourned at 2:30 P. M.

NEW HAVEN COUNTY MEDICAL SOCIETY.-The regular semiannual meeting was held at Meriden, October 17, 1895, the President, Dr. O. J. D. Hughes, occupying the chair. Dr. C. S. Lamb of New Haven, and Dr. G. H. Townsend, of Branford, were admitted to membership in the society, and Dr. E. W. Davis of Seymour, was nominated for membership.

Dr. G. Eliot had drafted a set of by-laws based upon the rules previously governing the society, and asked for its acceptance. This was referred to a committee consisting of Drs. Mailhouse, Eliot, and Fleischner, to be reported and acted on at the next regular meeting.

Dr. Mailhouse offered the following resolutions, which were passed:

In consideration of the fact that large numbers of graduates of colleges, which are recognized in this State as legal and reputable, are being rejected by examining boards in other States where the possession of such diplomas is not sufficient in itself to entitle the holders thereof to practice; and

Whereas, As a consequence of the foregoing facts, this State has become the dumping ground from other States of undesirable practitioners; and

Whereas, In our opinion it behooves the State, for its own protection, to guard against such an invasion, it is

Voted, By the New Haven County Medical Society, that the attention of the various County and the State medical societies, and the various committees on legal and reputable colleges, be called to this state of affairs, and that (pending legislative action) the latter be requested to so revise such lists as to limit, according to their judgment, the number of those entitled to practice simply upon registration, without examination. Further, be it

Resolved, That the State Committee on Legislation be instructed to advocate the amendment of the law so that all candidates for registration be required to pass an exainination, as is required in New York, Pennsylvania and many other States.

President Hughes gave the annual address, for which he was given a vote of thanks, his subject being "Hygienic Influences."

The question for discussion was "The Use and Abuse of Hypnotics." Dr. F. B. Tuttle, of Naugatuck, who was to read a paper on "Use of Hypnotics," was absent, and Dr. W. G. Daggett, of New Haven, read a paper on "The Abuse of Hypnotics." He gave a general history of hypnotics, including the newer ones, their special effects, etc., and said they should only be used to help out other treatment. He also said the physician must be very careful in prescribing hypnotics, as the patient very often acquires the habit of using them. Dr. Daggett was given a vote of thanks by the society for his able paper. The question was discussed by Dr. Fleischner, who regards the newer hypnotics, sulfonal and paraldehyde, as very good, yet being objectionable in some respects. He regards chloral as the safest and best hypnotic and gives it in very large doses.

Mrs. Dr. Moody spoke of using morphia and chloral combined-also mentioned one physician who had great success in producing sleep by prescribing whiskey-a teaspoonful taken just before retiring.

Dr. Osborne said that the reason that many things, like the whiskey mentioned above, were successful as hypnotics, was that they dilate the blood vessels of the surface of the body and anæmia of the brain results and sleep follows. He also thought that, as one of the most prolific causes of the formation of drug habits was repetition of medical prescriptions, druggists should retain all prescriptions. Drs. Goodyear, Bellosa, and Cornwall also discussed the question, but were conservative in regard to the amount of chloral which should be used. Dr. Eggleston favored chloral, and thought it a safe hypnotic in large doses. Dr. Barber favored sulfonal.

The subject for discussion at the next meeting at New Haven in April will be "Diagnosis and Treatment of Cancer." Dr. Foote will speak on "Cancer of the Head and Neck," Dr. Carmalt of New Haven on "Cancer of Chest and Abdomen," and Dr. Beckwith on "Cancer of Pelvis and Extremities." The dissertators will be Drs. C. R. Conkey, L. B. Bishop and J. L. Gartland.

The officers elected were:

President, Dr. Gustavus Eliot, New Haven; Vice-President, Dr. C. S. Rodman, Waterbury; Clerk, Dr. J. H. Townsend, New Haven. Executive Committee: Dr. G. Eliot (ex-officio), Dr. Bellosa, Dr. E. B. Heady, Dr. E. T. Cornwall and Dr. J. H. Townsend (ex-officio).

Standing Committees: Censors, Drs. S. D. Gilbert, J. M. Benedict and N. Nickerson; Credentials, Drs. C. E. Munger, F. P. Griswold and J. H. Townsend; Biographical Sketches, Drs. F. E. Castle, W. L. Bradley and M. N. Chamberlin; Public Hygiene, Drs. F. W. Wright, L. E. Cooper and A. J. Tenney: County Reporter, Dr. Jay W. Seaver.

The society voted to present a testimonial to the retiring President, Dr. Hughes, for his zeal in the society's welfare. The meeting then adjourned.

NEW LONDON COUNTY ASSOCIATION.-The semi-annual meeting was held at Norwich, Conn., October 3d, 1895, at 2 P. M., with an attendance of twenty members.