the head is delivered give the uterus time to recover after the strain of expulsion, so that it may gather contractile power to expel the placenta, or, at least to force it into the vagina; after that take it away. As to the question of chloroform increasing the tendency to hæmorrhage I think there is no ground for the fear. Do not give ergot, it is a bad and dangerous substitute for the forceps. Remember the old saying, 'Never spur a free horse,' and of all things, assist nature and do not force her, and when you do assist, do not half do it do not allow the uterus to exhaust itself so that it loses its power to contract, and, far worse, have post-partum hæmorrhages, and do not worry it with compression and kneading, or it may take its revenge and relax."

THREE SIGNS OF PREGNANCY.-Dr. A. J. C. Skene (Brooklyn Medical Journal) says:

First, in addition to the elasticity or softening of the uterus and its change of form, there comes with that a difficulty of mapping out the uterus. It is exceedingly difficult to outline it in some cases, and that very fact is of great value, because anything else which is likely to simulate pregnancy is more clearly defined because denser, as a uterine fibroid, subinvolution, a distended fallopian tube, or an ovarian cyst, for instance. More than that, in the early months of pregnancy the uterus grows out of proportion to its surroundings, and so its mobility, or the facility with which it can be displaced, is lessened. You will find it is more difficult to raise a pregnant uterus up out of the pelvis or toward the superior strait than in any other condition-than in cases of most, not all, small fibroids which enlarge the uterus, or subinvolution, which does the same thing. This partial fixation is rapidly overcome in the latter months of pregnancy, especially after the third month, when the function of development of the uterine ligaments is taken up and goes on rapidly.

The second sign which I would mention is the color of the mucous membrane of pregnancy, which is different from everything else-nothing simulates it. It is present in a less degree in ectopic gestation, but in normal gestation this color of the mucous membrane is not simulated by any marked condition that I know of. That peculiar bluish-violet hue, if seen a few times, is easily recognized afterward, and becomes of the greatest possible value, and I depend very largely upon it. Of course it requires a careful speculum examination in order to see it, but it is worth the trouble in doubtful cases.

The third sign is the peculiar secretion in the cervix. There is a difference between the secretion in the cervix of the pregnant uterus and that of any other pathological condition. In the pregnant uterus the cervical secretion has a whitish, opaque appearance, that at first sight is very much like the leucorrhoeal discharge in a case of muco-purulent cervical endometritis, but careful examination proves that it is not, because it contains pus, which gives the opaque appearance, while in pregnancy opacity is due to the coagulation of the albumen by the secretions of the vagina. That is characteristic of pregnancy, and occurs in no pathological condition, and is almost always present. When I find that opaque secretion of the cervix, that peculiar hue of the cervix and vagina, and the other physical signs, I am more positive of the diagnosis in the early months of preg

nancy than in the fourth or fifth month, when foetal motion is present, but, on account of a fatty abdomen is hard to distinguish.-Arch. Gyn. Obst. and Ped.

RETAINED PLACENTA AFTER ABORTION.-J. A. Winter (American Gynecological Journal) gives the history of a case in which an abortion occurred and menorrhagia and metrorrhagia supervened for the following six months when decided uterine hæmorrhage appeared. Upon the supposition that some portion of the product of the last conception remained in the uterine cavity, the writer (who had not treated the patient at the time of the abortion) ordered fluid extract of ergot, in dram doses, at intervals of two hours, until three doses were given. The following morning, upon visiting the patient for the first time, the writer was shown a specimen of placenta and organized blood clot, which had been expelled from the uterus during the night. The bleeding immediately ceased with the removal of its cause. Had the ergot failed to dislodge the mass the placenta forceps or curette would have been speedily used. During the discussion of the paper by the members of the Detroit Gynecological Society, the use of ergot for such cases was adversely criticised, for the reason that the drug is apt to cause contraction of the lower as well as of the upper portion of the uterus. In cases where the os is tightly closed, opium is advocated to relax the cervix, and the employment of ergot is to be restricted to those cases in which the os is patulous. Concerning the treatment of abortion in general, the sentiment of the society was unfavorable to the so-called expectant plan, As soon as it becomes evident that an abortion is inevitable, the only safe plan to pursue is that of emptying the uterus. In reference to methods, the finger is to be used when practicable, the placenta forceps or curette at other times. There was some difference of opinion as to the best method of dilating the constricted os uteri, either for the purpose of expelling the ovum or for the control of hæmorrhage. Braun's colpeurynter was relied upon by some members, while a tampon of iodoform gauze packed into the cervical canal (one-half to a yard long by one inch wide) was preferred by others. The thorough disinfection of the vagina, before and after the removal of the uterine contents, is obviously necessary.-Arch. Gyn., Obst. and Ped.

THE ACTION OF THE CANTHARIDINATES.-Liebreich (Therup. Monatasch, June, 1892) replies to some of the criticisms upon the use of these salts. The chief points to be decided are: (1) Whether these agents have any action on the diseased, particularly tuberculous, tissue, and if so (2) whether this effect is obtained before any disturbance is produced in other organs, such as the kidneys. The author says that the drug gives rise to an increased exudation from the capillary, and hence the beneficial action, but that there is no hyperæmia. In his cases of lupus, a steady decrease in the disease has been noted, but much time may be needed. It is impossible for changes lasting for years to be cured by a few injections. The author sets off this lengthened treatment against the relapses seen after scraping, etc. If the kidneys be healthy, these salts may be used in doses of 4 to 2 decimilligrammes without injury. If the kidneys are diseased, the treatment should not be adopted. Advanced tuberculosis should only be treated with the greatest caution, for the author says that the kidneys are often affected with lardaceous disease. Improvement has

been recorded in other than tuberculous processes, namely, in chronic laryngitis, etc. Any local application of the cantharidinates is not rational, for they thus only produce irritation. Liebreich says that in hundreds of injections made by him, there has been no more danger to the patient than from the use of mercury or arsenic.-Chicago Medical Recorder.

Gynecology.

CONSERVATISM IN OVARIAN SURGERY. Thomas (New York Medical Record) reports an interesting case of a woman, three years married; sterile, with severe pain of menstrual periods, etc. Median incision revealed small cysts of right ovary, and larger cyst of left side between broad ligament and ovary. Smaller cysts were punctured and the larger cyst enucleated, the edges of the broad ligament being brought together with fine catgut. The tube which had become detached from the ovary, was reunited by means of small gut, and the organs returned to the abdominal cavity. Recovery and painless menstruation.-An. of Gyn. and Ped.

SOME MOOTED POINTS IN OBSTETRICS AND GYNECOLOGY.-E. E. Montgomery, M. D., of Philadelphia, President of the Section of Obstetrics and Gynecology, at a recent meeting of the American Medical Association, at Detroit, addressed the Section on the above subject.

After some preliminary remarks on the work of the Section, past and future, Dr. Montgomery discussed Cæsarean section vs. craniotomy, the diminished mortality of the unborn child since the introduction of forceps, and the value of the Porro operation. He said the latter could seldom replace the improved Cæsarean section. He thought craniotomy should only be elected (1) when the child was certainly dead; (2) when still living, but repeated mechanical efforts at delivery and the physical signs indicated that the child was too feeble to long survive birth; (3) the existence of hydrocephalus or other irremediable disease in the fœtus.

The author stated that in placenta prævia labor should not be allowed to go on to term; the mortality to the mother is greatly reduced by reducing labor. There is slight chance in these cases for the child to be born alive, and the patient has a possibility of recurrent hemorrhages, any one of which may prove fatal before the physician can be secured. By induction of premature labor the patient and physician are relieved of continued anxiety, and the danger of sepsis in subsequent convalescence is decreased.

The importance of early treatment of sepsis cannot be too highly appreciated. If the case be a puerperal one, curette, irrigate with solution of corrosive sublimate, followed by simple water, or a solution of peroxide of hydrogen. Then insert iodoform gauze.

In endometritis he approved of the use of gauze packing in the non-pregnant uterus, dilatation of the uterus, curetting of its cavity, washing it out with a disinfectant solution,and then the application of some means to secure drainage. Polk's method of drainage is packing the cavity of the uterus with iodoform gauze. The grooved stem-pessaries of Wylie and Boldt also increase the activity of the circulation and promote drainage.

The Trendelenberg posture in laparotomy was highly recommended for its great advantages in every operation involving the removal of the uterine appendages.

In discussing hysterectomy vs. supravaginal hysterectomy in fibroid growths, the author expressed his disapproval of the extra-peritoneal method of treating the stump in supra-pubic hysterectomy for fibroids.

Sacral resection has been performed by Dr. Montgomery with very satisfactory results. He described the method and said its application to gynecological work was necessarily limited, but was of success in some cases which offer complications by the ordinary plans of operation.-Lancet Clinic.

OF

GENERAL RESULTS REMOVAL OF TUBES AND OVARIES. Dr. Wharton Sinkler has given some interesting facts as to the effect of the removal of these organs. In the first place, he claims it unjustifiable to remove these organs for the relief of neurasthenia and hysteria where marked disease is not found. It is an undoubted fact that cases of neurasthenia have been cured where even structural changes in the ovaries have taken place. And again, it is the fact that patients are, in some cases, more nervous after than before operation. It is claimed that cures have resulted in epilepsy and insanity, particularly in those cases associated with pain and aggravation of symptoms at the menstrual period, and, as well, these diseases have followed operations. Gain in flesh is marked only where the operation has been performed for pus tube, etc. Growth of hair on the face, change of voice and acquirement of masculine traits is very rare. Sexual appetite and faculty for the enjoyment of same unchanged, though it must be said that in time (years) it seems to diminish, which may be by the natural result of age.-Annals of Gyn. and Ped.

CASE OF NONMENSTRUATION.-Dr. Hubbard Winslow Mitchell (Med. Rec.) says: Cases are on record where impregnation has taken place in the human. female without menstruation ever having taken place and even where the hymenal membrane was not ruptured; and cases are also on record of complete sterility where menstruation has occurred regularly, and apparently in a normal manner; but in all such cases it is extremely probable that the real cause of these abnormalties can be easily detected and traced to its exact origin if a careful examination is made of each special case. It is, however, rarely indeed that we have an opportunity of seeing a young and perfectly healthy woman, normal in every function, but in whom there is a total absence of all the phenomena belonging to that special function of menstruation. In the present case this function has remained perfectly dormant from the period when puberty usually occurs to the present time.

The question may be raised, is this young woman like others of her sex, and having sexual instincts and desires? As far as is known these are entirely absent in her. The mons veneris is almost destitute of hair, and the labia are rather undeveloped. The clitoris is about normal.

A single and isolated case like the one under consideration is not sufficient to form a judgment of the effects of a total absence of menstruation, but it is extremely interesting, as it shows that this peculiar function, usually considered so important and so essen

tial to the health and well-being of an individual, may be totally wanting, and yet the woman enjoy in every other respect perfect and uninterrupted health.-Archiv. of Gyn., Obstet. and Ped.

Toxicology.

OPIUM POISONING-BELLADONNA

AND COFFEE AS ANTIDOTES.-July 21, at 7 P. M., I was hurriedly called to Mrs. M., aged thirty-two years. Found her deeply narcotized, clutching an ounce bottle with all the label torn off except so much as showed the poison mark. Her pulse was 60; there was froth on her lips; the respiration was slow; the pupils were contracted. From information gained later, she had taken 1 fluid ounce of laudanum about twenty minutes before, after drinking freely of beer and whisky with her husband during the afternoon, ending the drinking bout with a quarrel. I sent at once for a stomach pump, an ounce of ground mustard, and several quarts of strong coffee; gave hypodermically gr. atropine sulphate, then two teaspoonfuls of mustard. in a tumbler full of tepid water were poured down her throat, which was only accomplished with much difficulty; the torpor and hypnotism being very decided. A little later, by means of the finger in the throat, the patient was made to retch, and vomit a very small portion of the mustard water. More was immediately given, followed by liberal drenchings with the coffee, which had by this time had been brought in. The pulse had now quickened a little, and the pupils were not so much constracted, and we succeeded in - getting the patient on her feet, and after a tramp of a few minutes, during which she several times sank to the floor, we allowed her to rest. Another gr. atropine sulph was now administered hypodermically, more coffee was given, and she was again walked. She now vomited very freely; the pupils soon dilated, but not extremely; the pulse reached 120; she breathed fairly well. At intervals she continued to vomit; the tramps, with intervals of rest, and the coffee were all contined till ten o'clock, three hours after the poison was swallowed, after which she was allowed to go to sleep for the night. the morning there was still nausea, and headache was complained of. A full dose of magnes. sulph. had evacuated the bowels well, and small doses of bismuth subnitrate and calomel were given, with ice to suck, and a mustard plaster put on the epigastrium. The patient next morning assumed her household duties.

In

The justification for the recital of these details lies in the hope that it may help in estimating the antidotal powers of atropine; that it may emphasize the necessity for allowing intervals of rest from walking where alcoholics have been liberally used before opium, and where atropine has been administered as an antidote, and that it may tend to conduce to regularity of administration in times when excitement and disorder too often prevail. Wolfe in Times and Register.

IODIC PURPURA.-A case of generalized purpura over the trunk and the four extremities, from the ingestion of 1 gramme of iodide of sodium, is reported by Prof. Lemoine (La Medicine Moderne, No. 52, Rev. Inter, de Bibliog. Med., April 25, 1892). This case differed from others previously related in that the eruption was quite confluent, forming arborizations.

and streaks over the skin; in its generalization, and in the intense itching that was produced. The purpura appeared twice under the influence of the sodic iodide, and at an interval of fifteen days. The eruptive patches came on a few days after the administration of the drug and lasted for about a week. The patient had congestion of the kidneys and liver, and had previously suffered from albuminuria and jaundice. These latter organs could not perform their excretory functions, and it is probable, according to the author, that the iodide of sodium had to be eliminated by the skin and thus the eruption was produced. It would be interesting to examine, in cases of eruption caused by drugs, the state of the liver and kidneys, as it is probable that lesions of these organs may play an important part in the pathogenesis of said eruptions.-Med. and Surg. Reporter.

IS SALOL EVER DANGEROUS.-Hesselbach (Deutsche Medizinal-Zeitung and Fortschritte der Medicine) records a fatal case of salol poisoning, where the patient, a man suffering from acute rheumatism, with old cardiac disease and interstitial nephritis, had taken, by mistake, two drachms of the drug within eight hours, and died two days later from acute nephritis. This untoward result prompted an experimental inquiry as to which of the elements of the drug-phenol or salicylic acid-was responsible for the acute renal inflammation. He concludes that the toxic action of salol is dependent upon its phenol, and that a diseased condition of the kidney, which favors a prolonged contact of its elements with forming sulpho carbolic acid, is a decided contra-indication to the use of the drug.

On the other hand, Sahli (loc. cit.) points out that in Hesselbach's experiments the dose of salol necessary to kill a rabbit corresponded to more than sixteen ounces for an average man, while the fatal dose of phenol corresponded to a little more than two drachms. He further reaffirms that salol in greatest part is eliminated unchanged, while only a very slow disintegration takes place in the intestinal canal. This property of all the salol group, he believes, will establish their use as antiseptics in such mycotic diseases of the intestine as cholera and typhoid fever.New Eng. Med. Monthly.

Pathology.

In

ARSENICAL DEPOSIT ON THE ENDOCARDIUM IN ARSENICAL POISONING.-Mr. Chunilal Bose, Assistant Chemical Examiner to the Government of Bengal, reports a case of poisoning with white arsenic presenting interesting features of medico-legal importance. In addition to oft-reported signs of arsenical poisoning, there were bright yellow stains on the internal surfaces of both the cardiac ventricles. the left, the yellow patch extended from the apex of the heart upward, running parallel and close to the posterior border of the septum, to about half an inch below the insertion of the mitral valve, and then curved downward to a point about half an inch above the apex. In the right ventricle the yellow patch was of an irregular square shape, touching the apex of the heart with one of its sides, each side of the square measuring about 1-125 inches. The endocardium lining the smaller musculi papillares and col

umnæ was affected. Mr. Bose says it is reasonable to suppose that the yellow deposit in the heart was due to the action of sulphureted hydrogen generated during putrefaction on the arsenic deposited in the tissues. Indian Medical Gazette Practitioner.

Rhinology.

TREATMENT OF ATROPIC NASAL CATARRH.- Flatan (Wiener medizinische Wochenschrift, No. 8, 1892), describes his treatment of the abovę affection in the following manner: The larger masses of secretion are loosened by means of a dull or small-pointed sound, and then removed by forceps. The nose is then sprayed with a 10 or 15 per cent solution of peroxide of hydrogen, and the small loosened waves either blown out or taken out with forceps. nasal cavity is then plugged with 10 per cent iodol gauze, which has been passed through a mixture of vaseline, lanoline and paraffine. He covers the gauze with an ointment made as follows:

The

The treatment should be practiced daily, from four to six weeks.-Univ. Med. Mag.

Items.

AN ALARM BOTTLE FOR POISONS. A Canadian named Trottier, has invented a simple and ingenious device to be attached to all bottles containing poisons. It consists of a mechanism fastened to the bottom of the bottle, and so arranged that every time the bottle is lifted or moved it rings the bell. With a death's head for the eye, and a kind of death rattle for the ear, accidents ought to be avoided.-Med. Record.

Poulticing an ear may seem to be a simple operation, but there is, nevertheless, a right and a wrong way of doing it, and it appears that the wrong way is the one usually adopted. At least so says Dr. Albert H. Buck, of New York, in an article on aural therapeutics in the March number of the new International Medical Magazine. Dr. Buck says that while heat is one of the best remedies in painful inflammations of the middle ear and the poultice is one of the best methods of applying heat, as usually put on the poultice has little effect. What should be done, he says, is first to fill the external auditory canal with lukewarm water, the head resting on the unaffected side upon the pillow. Then a large flaxseed poultice is applied over the ear as hot as can be borne. The column of water is thus kept warm and acts as a conductor of heat between the poultice and the inflamed surface.-N. W. Lancet.

ACETANILID AS A CONSERVATIVE SUBSTANCE FOR HYPODERMATIC SOLUTIONS.-Thomas J. Keenan recommends acetanilid to replace all other substances, as glycerin, alcohol, chloroform, salicylic acid, boric acid, etc., used to prevent alteration and decomposition in solutions for subcutaneous injection. Acetanilid is superior to all the substances mentioned, in that it conserves the solutions even when added in minute quantities without modifying in any way the action of the medicine to be employed.-Pharmaceutische Zeitschrift für Russland, Satellite.

INFANTILE LACTATION.-Dr. J. Hilton Thompson, Lancet, reports the case of a male infant in which lactation began fourteen days after birth, and continued five days in the right breast and seven in the left. A small, hard, painless swelling occurred external to the left nipple but disappeared. The general

condition of the infant remained unaffected.

Sir Joseph Lister having attained the age of sixtyfive years, according to the regulations of King's College, retires from the position of clinical lecturer on surgery. He has been requested to continue his connection with the hospital for another year.

GELSEMIUM IN THE CONDITIONS KNOWN AS "STAGE FRIGHT."-Prof. Thompson had occasion last March to prescribe fluid extract of gelsemium in the dose of 10 m three times a day to students about to undergo examination, with the result that all feeling of uneasiness was abolished during the ordeal, and the students were able to tell just what they knew.

THE IDEAL

Miscellaneous.

FAMILY PHYSICIAN.-The honorable Thomas F. Bayard recently addressed the class at one of the medical colleges in Baltimore, having for his theme The Lawyer and the Doctor. It has been his fortune, he says, to be thrown in contact with not a few medical men who have been "as the salt of the earth" in their respective communities. A man who is already eminent by reason of his natural endowments may be said to double his talent by becoming a physician. It has been my personal fortune," says Mr. Bayard, "to know such a man. It has been my privilege and delight to accompany him in visits where his only medicines were the personal presence and conversation of the man himself. He had shared and had lessened their anxieties; counseled the wayward: cheered the weak-hearted; had rejoiced with them that rejoiced and wept with the weeping. And I have seen such a man so surrounded by an atmosphere of love and trust, holding as it were the heartstrings of a family in his hands, their guide, philosopher, and friend; and then I realized what a moral force in society the profession, properly comprehended and properly followed, was capable of exerting, and how relatively small a part of its usefulness was the administration of medicine.-N. Y. Medical Journal.

PROTECTIVE SUBSTANCES OF BLOOD SERUM.—Buchner (Berl. klin. Woch., May 9th, 1892) says that the bactericidal properties of fresh blood serum are easily demonstrated in the case of all bacteria. If the serum be kept at 55° C. for half an hour it loses these properties and it then becomes a good nutrient medium. Fresh blood serum from dogs also destroys the blood cells of nearly all mammals. This globulicidal action is also lost by heat at 55°, and the serum becomes a good preserving fluid for the blood cells of rabbits and guinea-pigs. The instability of these protective substances is well recognized. Precipitating reagents may carry down with them not only globulin and albumins but also the really protective substances. By dialysis the part played by the mineral salts in the bactericidal properties of the

serum has been demonstrated. If serum be diluted to 5 to 10 times its volume with 0.7 per cent sodic chloride solution these properties are not lost, whereas if distilled water is added instead, the serum becomes inactive. It has been proved that these salt solutions do not act directly on the cultures. The author believes that these salts combine with the albuminous bodies to form the protective substances. Serum made inactive by distilled water regains its powers on the addition of the sodic chloride solution after 4 or even 24 hours. The author records experiments showing the hindering effects produced by the chlorides or the fixed alkalies and also by ammonic chloride (0.7 per cent solution) upon the multiplication of colonies of enteric fever baccilli. In another series of experiments the contrast between the effects on the growth of these baccilli produced by adding such solution to active and inactive serum is demonstrated. Rabbit's serum checks the growth of enteric fever bacilli more vigorously than dog's serum and by mixing them in varying proportions it is shown that rabbit's serum is more injured by the addition of dog's serum than vice versa. As to the analogous effects in respect to the globulicidal action it is found that by mixing dog's and rabbit's serum (1 to 3) this action is quite lost. The author thinks that the bactericidal and globulicidal action of serum, and also the antitoxic effects of the serum of protected animals, consist in processes essentially similar, and that further investigation must be pursued on these lines.-Chic. Med. Reporter.

Wit and Humor.

The Arteries.

FROM A STUDENT'S DIARY.

The coronaries, like a tender word,
Their way to the heart do find;

The subclavian, right, like a link of chain,
The axillary and the innominate bind.

The brachial, like a branching limb,

The arm supplieth in man;

And divides into the radial and ulna below, To supply the wrist and hand.

The carotids, like a glass of beer,
Ascendeth to the brain and face;

The subclavian, left, from the aorta comes,
And ends at the axillary space.

The axillary begins at the border of a rib,
And, I think, at the border of the first,
At a notch in the edge which I guess is the place
Where old mother Eve had her birth.

The axillary ends at a point on the arm,
At the insertion of a muscle of the back,
Which perhaps you all know, if you don't, you may

guess,

While I am getting back on the track.

I think I left off at the subclavian, left,
Which branches direct from the aorta;
The next, we then have, is the aorta of chest
Which extends from third to last dorsal.

Here, the name changes with the region it invades, And the girls say My! it is abominable;

Prof. Bevan says with the girls, that will do," But to him you had best say "abdominal."

The abdominal ends at the fourth lumbar bone,
And the point where the iliacs begin,
And extends on below to the ileum's crest,
And divides into the ex. and the in.

The internal supplies that region behind, Whose caliber methinks must be small;

From the pats it received in youth's mischievous time, From the shingle's unmerciful fall.

The external extends from the ileum's crest

To Poupart's ligament below,

And passes through the region of man's ancient abode, Ere his entrance to this world of woe.

Under Poupart's ligament the femoral begins,

The region just under the waist;

And sends off his branches to the structures beneath,
And ends at the popliteal space.

The popliteal begins at Hunter's canal,
And descends to just under the knee.

Its branches are many and their names are funny,
If you are a student I'm sure you'll agree.

The tibial begins where the popliteal ends,
Is what I've been taught at the college;

And now I feel much better than when I began,
Because I'm not so weighted down with knowledge.
-Med. Brief.

ANNOUNCEMENTS.

The Mississippi Valley Medical Association. Will hold its Eighteenth Annual Session at Cincinnati, Wednesday, Thursday and Friday, October 12, 13 and 14, 1892. The programme is a valuable one, containing many of the most prominent names in the profession our country affords. It covers every department in medicine. The attendance will be unusually large, as Cincinnati is the center of population of the United States. Not only the scientific, but also the social part of the meeting will be of the highest order. The interest of the convention will be augmented by the meeting of the gentlemen interested in the Pan-American Medical Congress, also other bodies of medical men. Dr. Benjamin Ward Richardson has written his earnest desire to be present. The Association will be just in time and just in line for many of the gentlemen en route for the American Public Health Association in the City of Mexico. Among the many prominent gentlemen who are expected to read are the following: Dr. Hunter McGuire, Richmond, Va., President of the American Medical Association. The address on Surgery. Dr. Hobart Amory Hare, Professor of Materia Medica Jefferson Medical College, Philadelphia. The address on Medicine. Papers are expected by Drs. Reed, Ricketts, Hall, Dowling, Ayres, Connor, Ransohoff, Dandridge, Comegys, Whittaker, Zenner, Zinke, Cincinnati; Cook, Woodburn, Thompson, Indianapolis; Owen, Walker, Evansville; Lydston, Moyer, Belfield, Chicago; Matthews, Wathen, Larrabee, Reynolds, Louisville; Savage, Nashville; McGahan, Chattanooga; Dixon, Henderson; Huges, Love, Loeb, Dalton, Boerck, Bond, Hulbert, McIntyre, St. Louis; Lamphear, Kansas City; Smith, Montreal; Sutton, Murdock, Daly, Pittsburgh; Early, Ridgeway, Potter, Buffalo; Baker, Cleveland, Thorn, Toledo; Walker, Detroit; Baldwin, Columbus; Bond, Richmond.

C. A. L. REED, M. D., President, Cincinnati.
E. S. MCKEE, M. D., Secretary, Cincinnati.