President

OFFICERS FOR 1920

First Vice-President

Second Vice-President

Secretary

Treasurer

L. J. Dandurant

H. S. Conrad

T. M. Paul O. C. Gebhart .J. M. Bell

Censors-J. I. Byrne, 1920; P. I. Leonard, 1921; F. H. Ladd, 1920-1921-1922.

Delegates-F. H. Spencer, 1920-1921; Daniel Morton, 1920-1921.

Alternates-A. E. Burgher, 1920-1921; W. M. Minton, 1920-1921.

Council-O. C. Gebhart, expires 1920.

Meetings held first and third Wednesdays, 8 p. m., in Commerce Club rooms.

Public Health and Legislation-C. R. Woodson, Daniel Morton, P. I. Leonard.

Program-H. W. Carle, F. H. Ladd, A. L. Gray. Library-H. K. Wallace, H. J. Ravold, E. S. Ballard. Medical Service-W. H. Minton, 1920; H. W. Carle, 1920-1921; T. M. Paul, 1920-1921-1922.

Membership-F. H. Spencer, C. A. Good, Jno. Doyle. Tuberculosis-O. C. Gebhart, J. I. Byrne, Thos. Redmond.

Economics-Caryl Potter, W. J. McGill, H. S. Forgrave.

Good Milk-E. S. Ballard, O. C. Gebhart, J. F. Owens.

Regular meeting of the Society held at the Commerce Club rooms, January 21, 1920. Thirty-four members present, Dr. L. J. Dandurant in the chair. The minutes of the previous meeting were read and approved, after which the president announced his appointment of committees to serve for the ensuing year. (See committees above.)

On motion the president was instructed to take out a membership in the "Commerce Club" in the name of the Society. The treasurer's report was read and referred to the executive committee. The executive committee recommended that the contract with the Medical Herald be renewed.

On motion of Dr. Morton, seconded by Dr. Woodson, a warrant was ordered drawn on the treasurer to renew the subscription for Medical Journals with the City Library, to the amount of $87.45.

The following bills were read and a warrant drawn on the treasurer to pay same:

Lon. Hardman, $3.65; Secretary, $1.50; Multi Letter Company, $1.35; News Corporation, $2.50.

House Bill No. 5123, which is now before Congress was read and unanimously endorsed. This bill was intended to prevent transmission through the mail of advertising relating to the treatment of venereal and sexual diseases.

Dr. O. C. Gebhart was nominated and unanimously elected to serve as secretary for the ensuing year. He was instructed to publish in the next issue of the Bulletin the resolution adopted on April 2, 1919, which reads as follows:

"Resolved-That any member of the Buchanan County Medical Society who operates in the Osteopathic Hospital or Savannah Sanitorium or consults with Osteopaths or any Unetheal Cult be dropped from the roll of membership."

The following resolution by Dr. Minton, seconded by Dr. Schmidt, was adopted:

"Resolved-That this Society endorse the Venereal Clinic; amended by Dr. Potter, to read as follows: ""The Society approves of the Venereal Clinic provided the committee for the management of same be composed of 3 members of the Red Cross Committee, 3 members of the City Board of Health, 1 member of the Buchanan County Medical Society; seven in all.'"

This motion prevailed and the Society thereupon elected Dr. J. F. Owens as their member of the committee.

Considerable discussion took place regarding the advisability of discontinuing quarantine of smallpox cases and commended the Board of Health and the

School Board for their action in excluding from school children and adults who had not been vaccinated for five years, and commended that the vaccination requirements be made more rigid. There being no further business for the Society, the meeting adjourned. W. F. Goetze, Secy.

STANDARDIZATION OF LABORATORY TESTS

So long as laboratory tests employed by practitioners of medicine are simple, there is little opportunity for confusion in their interpretation. However, errors of interpretation are likely to occur in the use of complex reactions or when uniform standards are not adopted. Several years ago the writer of a paper on scabies asserted that all persons with scabies had albuminuria; subsequent investigation showed that the test for albumin which was used was so delicate that it showed the presence of albumin even in normal urines. Many of the modern laboratory tests, such as the Widal and Wassermann reactions, are extremely complicated. The technic of these tests has been gradually modified by different observers so that now many systems of performing the tests are in use. In a recent article by Kolmer and Flick, (Am. J. Syphilis 3: 541, 1919) eight different methods of performing the Wassermann test are compared, and it is demonstrated that each gives different results. The same thing is true of the Widal reactions, as has been pointed out by Dreyer. Obviously, it is desirable that every one who discusses the results of the Widal reaction or of the Wassermann reaction should refer to the same thing. When this is not the case, the figures regarding the validity of a given test presented by different observers are not comparable, and confusion rather than enlightenment results. The time has come when these tests should be standardized throughout the world. Such standardization need not exclude further experimentation on any of the tests in question, and provision should be made for the reconsideration of the standards at stated intervals. As a step in this direction the U. S. Pharmacopeia already has a section on Diagnostic Reagents and Clinical Tests which, thus far however, is chiefly concerned with the strength and purity of reagents. The United States government maintains a Bureau of Standards, and it is possible that through this organization or some similar one the important work of standardizing laboratory tests can be accomplished. In any event, the work needs to be done. Jour. A. M. A., Dec. 6, 1919.

Indications:

Dropsy of any origin, Bright's Disease,

Valvular

Diseases,

Heart Trouble following Influenza, Cirrhosis,

Anasarca.

Anedemin Chemical Company, Inc.

Chattanooga, Tenn.

treat.

Send sample and booklet.

Notes on Reliable Remedies

Important Reprint-Armour and Company, Chicago, will be pleased to send a reprint of Frederic Fenger's article "On the Seasonal Variation of the lodin Content in the Iodin Gland" to any physician who will ask for it. This paper records work covering more than twelve months, which work was done in the Research Laboratory in Organotherapeutics of Armour and Company.

"Combat the Flu with lodine" is the very timely ggestion offered by the Iodum-Miller Co., in an effective announcement appearing in the medical press. Keep the nostrils and upper air passages septic by the daily use of Iod-izd-oil (Miller) and ou will prevent the infection; while the administraon of Iod-izd-carbon (Miller) will asepticize the tire intestinal tract, an important point fully Recognized now by the best clinicians. Be prepared for your "flu" cases by ordering a supply of these preparations at once. See announcement on adtertising page 59 of this issue.

Valesco-Creosote Administration-The profession is long recognized that creosote should be classed ong the "essential drugs." But creosote, because : its acrid taste and irritating effects, has created r itself antagonisms and has been used only under ompulsion. For many years indifferently successful fforts have been made to get creosote in a form in hich it could be administered without irritation and without creating repugnance. This has at last

been accomplished with real success and Valesco is the result. With Valesco it is possible to get creosote saturation, a condition most desirable in the more acute and the more severe pulmonary affections. Valesco makes possible a demonstration of the real worth of creosote. In the hands of dependable clinicians Valesco is doing a work in tuberculosis remarkable. It has been developed that in these cases saturation should be established and maintained for considerable periods. In pneumonia and influenza Valesco is producing equally happy results. Here quick saturation is desirable and should be maintained until the disease is under control. No physician can afford to fail to avail himself of this new and important agent. The Valesco manufacturers invite correspondence and promise co-operation. Write them.

An Unusual Booklet-A new and very attractive pocket booklet on "Influenza, Colds and Catarrh," has recently come to our notice. It presents in concise, readable form some interesting facts regarding the history and etiology of the disease, with hints as to dosage, etc. This booklet may be read with profit by every physician and druggist in the country. Typographically, it is exceptionally good, and the illustrations are interesting. Copies may be obtained free of charge by writing to H. K. Mulford Company, Philadelphia, Pa.

"I prescribe Tongaline very frequently as a remedy for excess of uric acid, which is often the cause of rheumatism, and it is my sheet anchor for that condition. I also find tongaline very beneficial in muscular pains due to a sluggish liver and inactive bowels. When a patient comes to me complaining of soreness all over, I place him upon tongaline, and it has never disappointed me."

The Dionol Company.

(Signed)

-M. D.

The Dionol Company.

Ill., Nov. 18th, 1919.

The Dionol Co.

Dept. 27

864 Woodward Ave., Detroit, Michigan.

The Prophylaxis of Industrial Infection-While "Safety-First" has obviated the occurrence of many preventable industrial accidents, the incidence of infection following injuries in shops, mills, factories, offices and stores is still one of the greatest problems with which the physician has to contend. Industrial first-aid and surgery make many special demands on the physician. Of these demands, that for an efficient, non-toxic and cleanly antiseptic is one of the most constant. The physician using Dioxogen has no trouble in this direction, for he has learned to appreciate its unique advantages as a thoroughly reliable antiseptic in the routine prophylaxis of industrial infection. Extended experience in practical, every-day surgery has concllusively demonstrated that Dioxogen is peculiarly adapted for efficiently cleansing infected wounds, or dressing fresh cuts or abrasions. No other antiseptic is so prompt in its control of suppuration, so gratifying in its promotion of tissue repair, or so satisfactory for allround use. A supply of Dioxogen in the workshop clinic, and a bottle in the first-aid chest or surgical grip, gives the industrial physician and surgeon the comforting assurance that he is prepared to meet any demand for antiseptic treatment and prophylaxis. In purchasing a peroxide of hydrogen it is essential to make sure that it is free from adulteration and irritating qualities. It must also be of constant, unvarying character as well as high germicidal potency. By definitely specifying Dioxogen and insisting on its use medical men will protect themselves and the best interests of their patients.

This

authority that pneumonia patients really die from acidosis. A reduction of the normal alkalinity of the blood always favors pathological changes. It is coming to be recognized that diminished alkalinity of the blood is brought about by several different factors operating, among which is the retention of acid products of tissue or food katabolism. suggests therefore, not only the administration of proper alkaline agents, but also of mild eliminants; such a combination for example, as is supplied in the form of Thialion. This is not by any means a new or untried product, having been on the market for a number of years and given most satisfactory results in the treatment of what used to be called uric acid manifestations. Thialion is pleasant to take, efficient in action, satisfactory in results. A sample and literature may be obtained by writing to The Vass Chemical Company, Danbury, Conn.

The Nervous Irritability of Women-Women frequently consult the physician complaining of extreme nervous irritability, this interfering with their sleep and the management of their households. Their nervous systems are in a constant state of hypersusceptibility to unusual or even ordinary influences. In the treatment of these patients the utmost care in the choice of remedial agents must be taken so that a condition worse than the original is not substi tuted. Pasadyne (Daniel) is a most excellent sedat ive and of marked suitability for these cases. It pro duces definite sedation, reduces nervous irritability and gives the patient much needed sleep. No harm ful effects attend its use and habit formation need not be feared. Pasadyne (Daniel) is merely a con centrated tincture of passiflora incarnata. Use it when a sedative is indicated. A sample bottle may be had by addressing the laboratory of John B. Daniel, Inc., Atlanta, Ga.

Renewing Our Acquaintance—There are, no doubt, many physicians who have been in practice for years who can recall having used, with a great deal of benefit, two preparations formerly marketed by the Crittendon Company of New York, viz: “Hydroleine" and "Colden's Liquid Beef Tonic." It is apt to be true of medicinal preparations as it is true of individuals that "out of sight is out of mind." It is absolutely unnecessary to more than refer to the recognized and accepted value of cod liver oil as a therapeutic agent. Unfortunately however, preparations of cod liver oil are, as a rule, divisable into two classes: those in which an attempt has been made to make the product so palatable that the oil has been so changed as to lose in therapeutic value, or, on the other hand, where a good quality of oil is used, the preparation has been unpalatable or unpleasing and therefore soon became objectionable to the patient. Neither of these objections applies to Hydroleine, which is probably the most pleasant and palatable form of cod liver oil that is obtainable. The patients will not object to its use and the beneficial results that follow it will soon convince the doctor of its therapeutic value. In Colder's Liquid Beef Tonic, there is afforded a means by which the careful physician can stimulate the digestive processes, increase the production of diFestive juices and thus put his patient in better shape than can be done either by the administration of enzyms on the one hand, or of merely nutrient beef products on the other. How this preparation acts is described in an interesting booklet under the title of "The Colden Way" which will be sent to any physician together, with samples of the product on request to the Century National Chemical Company, 86 Warren St., New York City.

Dr. Copeland, health commissioner of the City of New York, says, "Various diseases of the nervous

system, eye, nose and throat follow influenza." Dr. Royer, health commissioner of Pennsylvania, adds tuberculous conditions are also prone to occur. A check on such conditions is simply, raise resisting power. The following may be used as an example: E. R. influenza; pneumonia. Father died of tuberculosis. On the 14th day the temperature was 100 F., cough very distressing and sputum bloody, was very weak. Comp. Phos. Tonic (Dowd) was ordered, 30 drops in milk 30 minutes after nourishment, t i d. In three days temp. normal, cough 50 per cent less, no blood; gained eight pounds in two weeks; there was perfect recovery. Probably the homeopathic profession are right in claiming phosphorus is a specific in disease of the lungs.

Removing Suspicion-No matter how efficient a person or thing is, it always proves a handicap if there exists the least doubt or suspicion as to the safety of the work performed. Digitalis is a very good example of this. The therapeutic value of digitalis is beyond question. Unfortunately however, there are several drawbacks that accompany its use. It is often difficult to get a dependable preparation. There are, sometimes, cumulative action and effects which lead to very unpleasant symptoms. A certain proportion of patients cannot take digitalis in sufficient dosage for a sufficient length of time to have it prove entirely beneficial. It has of course, in addition to its action and effect upon the heart, a certain amount of diuretic action, but this again, is more or less uncertain. The older school of physicians recognized the diuretic effects of squill, they realizing that it often irritated both stomach and kidneys, its use never became popular. Laboratory research has resulted in the discovery that there are several active principles in squill, some of which exert a marked deleterious action upon the body, while others are without any unpleasant or danger

ous features. Two of the active principles of squill, scillitoxin and scillipicridin strengthen the heart's action, prolong systole and are without cumulative effects as well as acting as marked diuretics. The combination therefore, of these two active principles together with oxydendron and sambucus supplies to the physician a therapeutic agent which is most valuable and at the same time, entirely safe. Such a combination has been before the medical profession for a number of years under the name of Anasarcin tablets and all physicians who are not familiar with the great value of this preparation should send for interesting literature and samples sufficient for clinical trial, to the Anasarcin Chemical Company, Winchester, Tenn.

A New Booklet-For many years it was comparatively easy for the laity to purchase narcotics. This produced many habitues of opium and its alkaloids and likewise cocaine. Very drastic legislation became necessary to curb this evil. One result of this is that physicians, who have always been very scrupulous in their use of narcotics, often find it quite inconvenient to prescribe what they regard as legitimate and entirely necessary amounts of narcotic drugs, particularly opiates. Physicians, however, are coming to realize that opiates are more or less dispensable in many conditions where they have heretofore been considered necessary. They have been casting about for the most suitable substitutes that could be prescribed without restriction by law, that would not tend to habit formation. In

this connection it is gratifying to note the cooperation offered by Eli Lilly & Company in the way of a vest pocket reference entitled "Standard Anodynes, Sedatives and Hypnotics." In this edition there are more than ninety items mentioned which are nonnarcotic, but which may be employed for anodyne, sedative or hypnotic effects. Others are listed which contain small amounts of opiates, but require a federal record of sale only. This booklet should prove very helpful to physicians generally, since it not only mentions products, but gives brief descriptions of therapeutic application and dosage. Physicians will profit by requesting copies of this booklet from Eli Lilly & Company, Indianapolis.

advantages of

Advantages of Bromidia-The Bromidia (Battle) over extemporaneously prepared bromide mixtures lie in the purity of the drugs entering into its composition, the exactness with which it is compounded and the even balance of its formula. These features give it a decided therapeutic advantage over hastily prepared bromide mixtures, and reduce the possibility of untoward effects, quite likely to happen with the use of extemporaneously prepared mixtures. For many years Bromidia (Battle) has been the favorite sedative with thousands of careful and exacting clinicians. This continued use is evidence of its high value. In sleeplessness or excessive nervous irritability bromidia (Battle) is productive of the desired results. A further advantage is that it may be continued over long periods.