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Important Bills in the New York Legislature.*
POSITION OF MEDICAL BILLS AT CLOSE OF SESSION OF THE NEW
YORK STATE LEGISLATURE. + Assembly Bill No. 150. Left in committee. Assembly Bill No. 429. Senate bill substituted. Assembly Bill No. 435. Left in committee. Assembly Bill No. 613. Third reading March ist. Assembly Bill No. 818 (1128). Hearing before
Hearing before Governor April 4th. Assembly Bill No. 846. Third reading March 14th. Assembly Bill No. 847. Third reading March 2 ist. Assembly Bill No. 589. Sent to the city clerk April 6th. Assembly Bill No. 629. Left in committee. Assembly Bills Nos. 636 and 637. Left in committee. Assembly Bill No. 904 (1614). Hearing before Governor
April 5th. Assembly Bill No. 1010 (163, 853). Sent to Senate Feb
ruary 2 ist. Assembly Bill No. 721 (1945). Hearing before Governor
April 3rd. Assembly Bill No. 724. Left in committee. Assembly Bill No. 1119 (423). Passed Assembly, Feb
ruary 22nd, and sent to Senate. Assembly Bill No. 1058. Hearing before Governor April
gth. Assembly Bill No. 1153. Passed Assembly March 22nd;
sent to Senate. Assembly Bill No. 1229. Third reading March 7th. Assembly Bill No. 1262. Sent to Senate March 2 ist. Assembly Bill No. 1338. Left in committee. Assembly Bill No. 1509. Second reading March 22 nd. Assembly Bill No. 1562. Hearing before Governor April
gth. Assembly Bill No. 1581. Left in committee. Assembly Bills Nos. 1439 and 1496. Left in committee. Assembly Bill No. 1705. Hearing before Governor April
6th. • By courtesy of the Committee on Legislation of the Medical Society of the State of New York.
† Por titles see ALBANY MEDICAL ANNALS of February, March and April, 1900.
Assembly Bill No. 1840 (993). Third reading March 13th.
Amended and passed
March 2 1 st.
Left in committee.
ernor April gth. Senate Bill No. 1407 (904, 1614). Hearing before Gov
ernor April 5th.
JAMES E. BRENNAN, M. D.
Dr. James E. Brennan (A. M. C., 1889), died suddenly at Mechanicville, N. Y., March 23, 1900.
Dr. Brennan was well known to the younger graduates of the Albany Medical College as one of the most successful students.
He was regarded as the leading member in the class of 1889, and received the Nellis prize for the student passing the best senior examination, his graduating thesis was accorded first mention, and he secured on competitive examination, the first appointment to the staff of the Albany Hospital. This success represented most diligent application to his studies and hard work, which resulted in a physical break-down during his interne service in the Hospital. He was left with a shattered constitution, which lasted throughout the succeeding ten years. There were periods of temporary improvement of short duration, which permitted attempts at practice, his last
settlement at Mechanicville having been made only a few days before his death. He was ambitious and energetic, thoroughly honorable in all his relations both with his patients and professional colleagues, a pleasant companion, and the unfortunate result of his ambition leaves among his many friends in Albany a feeling of sincere regret that a career which promised much should have terminated so soon.
FRANCIS M. Hamlin, M. D. Dr. Francis M. Hamlin (A. M. C., 1868), died on the I th of March, 1900, after a prolonged illness.
Edited by H. Judson Lipes, M. D. THE MEDICAL SOCIETY OF THE County of ALBANY.-Meeting held April 18th, 1900, in Alumni Hall.
The following members were present: Drs. Archambault, Babcock, Blair, Blumer, W. H. George, W. S. Hale, Hennessy, Hun, Lipes, Macdonald, MacFarlane, McCulloch, C. H. Moore, Mosher, Root, Theisen, Wiltse. The meeting was called to order at 9 P. M., Dr. Van Allen in the chair.
1. Reading the minutes of the last meeting. It was moved by Dr. Mosher that as the minutes had already been printed they should be adopted as printed. Motion seconded and carried.
No minutes of special meetings. 3. No reports of commi ees.
4. Application for membership. The name of Dr. A. W. Elting was proposed by Dr. MacFarlane.
5. No motions or resolutions. 6. No miscellaneous business. 7. Reading of papers.
Dr. HENNESSY read a paper on “Some Points in the Making of a Plaster Jacket."
Dr. Van Allen declared the paper open to discussion.
Dr. BLUMER asked Dr. Hennessy if he had had any experience in cases of Pott's disease, with paraplegia, with the treatment proposed by Dr. J. K. Mitchell, the father of Dr. S. Weir Mitchell ? The treatment consisted in the intermittent suspension of the patient by an apparatus similar to that used in the cases of locomotor ataxia.
Dr. Hun referred to a case which he had seen treated in a similar manner to the Mitchell method, by means of a chair which was devised by Dr. Case. The results were not very good. He thought that the prognosis in children was usually good with the simple plaster jacket treatment. The case to which Dr. Hennessy referred in his paper was older than most cases and had been neglected for some time.
Dr. Blair mentioned a case where suspension treatment had been used, and later the plaster jacket, the case having recovered. The bone was treated with a weak solution of nitric acid.
In closing the discussion Dr. Hennessy stated, in reply to Dr. Blumer's question, that he had not tried the suspension treatment. In the case mentioned in his paper he had simply been called in to put on a jacket.
Dr. Wiltse then read a paper on “The Management and Treatment of Pertussis."
Dr. Van Allen declared the paper open to discussion.
Dr. Blair stated that he thought whooping-cough was usually looked upon too lightly and that it was a much more serious disease than was generally supposed. He thought there was no specific treatment but that each case must be studied and treated differently. Like hay fever there were three sets of causes involved, i. e., the external disturbing cause, the diseased condition of the mucous membrane, and poor resisting powers. As regards the use of quinine he thought the value lay in the tonic effect. Air and sunlight were very important factors. Regarding the Moncorvo treatment he thought that this observer narrowed the application to too small an area, as in all probability the germ of whooping-cough could be found in the whole upper air tract. Dr. Blair said that he used hot medicinal inhalations, together with tonic treatment, and has had very good results. At present he uses quinine, baths and fresh air, spraying with benzoinol, resinol, etc., through the nose. This method of spraying can be used in even very young children. He uses an olive-pointed nasal tip, and sprayed hourly or half-hourly. Crying did not interfere with the treatment. Another application which he had found to be harmless and bland, to be used at night time, was to place at the foot of the bed a cupful of strong ammonia, and a cupful of salt mixed with sulphuric acid. This produced a strong non-irritating vapor and as there was no direct medication leading to struggling on the part of the child, there was no tax upon its strength.
Dr. MacFarlane then read a paper on “Disturbances in Gastric Motility; their Significance."
Dr. Van ALLEN declared the paper open to discussion.
Where he had been operated upon there was a scar about four inches in length in the median line, which was usually about the length required, Dr. Macdonald said. At the time of operating the anterior wall of the stomach was adherent to the edge of the ribs and the liver. These portions were loosened up, and the stomach was removed from the abdominal cavity, and the posterior wall exposed by tearing through the gastric and colic omentum. In this way the last fixed portion of the duodenum was exposed. The jejunum was anastomosed with the stomach and the free portions of the duodenum and jejunum were then connected with the Murphy button. The object in connecting the duodenum and jejunum
was to prevent regurgitation of bile into the stomach. As a rule this posterior anastomosis is preferable to the anterior one. Dr. Macdonald said that he regarded Dr. MacFarlane's paper as a valuable contribution. He thought that many stomach cases did not receive proper attention. The new methods of stomach examination had opened up new fields, especially for the surgeon. All of the operations could not be discussed as there were so many of them, but he wished briefly to refer to the early diagnosis of cancer of the stomach. Many surgeons think that when the tumor is palpable there is no chance of recovery; nevertheless, Dr. Macdonald thought that an operation in these cases often produced much temporary relief. As in intestinal carcinoma colotomy often markedly ameliorated the symptoms for a time, so in carcinoma of the stomach a gastro-jejunostomy is of some benefit. The operation prolongs life and relieves suffering. In some cases after the operation there has been great gain in weight. One patient Dr. Macdonald knew of had gained seventeen pounds. In early cases the more radical operation was advisable. The diagnosis must be made by chemical and microscopical examination. Dr. Macdonald stated there was some doubt in his mind as to which group of cases survived the longest, those with early and extensive operation or those in which simply an anastomosis was performed. In the former cases the risks to the patient were very great. Within the past year he had had six cases in which he had performed anastomosis all of which had temporarily recovered. Two of these operations were done for carcinoma, and two for stenosis from ulcer. He thought the operation for anastomosis was a wise one in cases of simple dilatation especially with the poorer classes who could not regulate their diet properly. In cases of carcinoma, even though there was considerable infiltration, if the blood condition was good an operation was justified as palliative.
Dr. Hun stated that he was much interested in Dr. MacFarlane's paper. He was convinced of the practical importance of the newer methods of stomach examination. The paper, he stated, was beyond his powers of criticism. There was one point upon which the author laid stress, which he thought was more or less theoretical, i. e,, that a diminution of motility distinguished organic disease from a neurosis. We may have nervous cases with paralysis, as well as those with excessive motion.
Dr. MACFARLANE, in closing the discussion, referred to Dr. Hun's remarks by stating that he thought most cases of gastric neurosis were associated with increased motility. In general exhaustion you might have some loss of motility, but it was not marked unless organic disease was also present, and what he wished to emphasize was that the chemistry of the secretion of the stomach was relatively of little value compared to the motility. He thought that when the determination of the loss of motility was made by the general practitioner, he should be very suspicious of grave changes. If the general practitioner felt he could not give the case proper attention he should early turn it over to the specialist or the surgeon.
A motion to adjourn was then made, seconded and carried.
T. F. C. VAN ALLEN,