,,! ,,hospital ,,bullet9 ,publi%$ ,mon?ly 9 ! ,int]e/ ( ! ,m$ical ,dep>tm5t ( ! ,univ]sity ( ,m>yl& ,,price #a4jj ,,p] ,,ye> ,contributions invit$ f ! ,alumni ( ! ,univ]sity4 ,bus9ess ,address1 ,baltimore1 ,md4 ,ent]$ at ! ,baltimore ,po/ (fice z ,second ,class ,matt]4 ,,vol4 ,v ,,baltimore1 ,,md41 ,,may #ae1 #aiji ,,no4 #c ,,?ree ,,esophageal ,,cases4 ,,by ,,ri*>d ,h4 ,,john/on4 ,m4 ,d41 ,lectur] on ,l>yngology 9 ! ,univ]sity ( ,m>yl&1 ,surgeon to ! ,presbyt]ian ,hospital1 ,baltimore4 ,! esophagoscope has pass$ ! exp]im5tal /age 9 ! diagnosis & treatm5t ( esophageal lesions4 ,its usefulness has be5 demon/rat$ s (t5 t x w\ld seem sup]flu\s to dilate ^u its value4 ,its use1 h[ev]1 is n z g5]al z x %\ld be4 ,!re are /ill ^? :o consid] esophagoscopy unnecess>y or impracticable4 ,at ! ,presbyt]ian ,hospital we h _h num]\s in/ances ( its practicability1 & ) u x has become ! r\t9e practice to exam9e all pati5ts compla9+ ( obscure esophageal symptoms4 ,dr4 ,*evali] ,jackson records ! case ( a pati5t ^: only symptom 0 a lump on swall[+4 ,%e appe>$ to be a neura/h5ic1 & 8 advice to h ! esophagus exam9$ 0 ignor$ by ! family physician4 ,two mon?s lat]1 ) ! pati5t e!riz$ = a radical antrum op]ation1 he pass$ ! esophagoscope & f\nd a malignant gr[?4 ,?ree int]e/+ cases h rec5tly come "u my obs]vation1 & !y illu/rate s well ! value ( ! esophagoscope ,i %all report !m some:at 9 detail4 ,! fir/ pati5t 0 se5 ) ,dr4 ,e4 ,b4 ,freeman2 %e 0 #fg ye>s old4 ,! morn+ be=e %e came to ! hospital1 :ile eat+ ham1 %e swall[$ a l>ge piece t _h n be5 suffici5tly ma/icat$4 ,x lodg$ 9 ! introitus esophagi & rema9$ !re4 ,:5 %e came to ! hospital %e _h swall[$ nei!r solid nor liquid food = ne>ly ?irty-six h\rs4 ,a half h\r be=e exam9+ ! esophagus %e 0 giv5 a hypod]mic ( morphia & atropia4 ,) ! pati5t 9 ! sitt+ position ! ?roat & upp] end ( ! esophagus 7 ane/hetiz$ ) #aj p] c5t solution ( coca9e4 ,jackson's l>yngeal speculum 0 introduc$ & ! l>ynx pull$ =w>d4 ,a l>ge mass resembl+ some:at an ulc]ative epi!lioma 0 se51 & prov$ to be ! piece ( ham4 ,dr4 ,freeman & ,i remov$ x piecemeal ) ,pfau's =eign body =ceps4 ,x requir$ ab\t =ty-five m9utes to remove x entirely4 ,! pati5t /ood ! ordeal well1 & 0 able to g home ! same aft]noon4 ,= ab\t a week %e _h temp]ature1 c\gh & expectoration1 b ultimately made a good recov]y4 ,9 ?is case ! esophagoscope probably sav$ ! pati5t an esophagotomy4 ,! second pati5t 0 a female1 ?irty-?ree ye>s old1 ref]r$ to me by ,dr4 ,j4 ,f4 ,*isolm1 ( ,savannah4 ,:ile at an oy/] supp] %e attempt$ to swall[ a l>ge oy/]1 ) ! result t %e *ok$ = a few seconds & !n _h a s5se ( fulness 9 ! region ( ! l>ynx4 ,! next day %e _h "s difficulty 9 swall[+1 s t %e took only liquids4 ,! second day aft]w>d swall[+ 0 decid$ly pa9ful2 %e grew rapidly worse1 until ! f\r? day h] condition 0 s]i\s4 ,%e rea*$ ?is city ! morn+ ( ! fif? day1 ) a temp]ature ( #ajj degrees & extreme pro/ration4 ,! exam9ation ( ! esophagus 0 made "u e!r ) ! head 9 ! ext5d$ position4 ,no =eign body 0 f\nd1 b ! upp] end ( ! esophagus 0 r$1 swoll5 & edemat\s1 & seem$ to be clos$4 ,! pati5t 0 giv5 cold milk & ice bags to ! ?roat4 ,= two days %e suff]$ excruciat+ pa9 on swall[+1 & x look$ z if we w\ld h to resort to rectal fe$+4 ,! next day !re 0 slight amelioration ( ! pa91 :i* gradually disappe>$4 ,9 ?is case ! esophagoscope enabl$ u to see at once t a =eign body 0 n pres5t1 & t ! symptoms 7 due to a sev]e1 acute inflammation1 probably caus$ by a piece ( %ell atta*$ to ! oy/]4 ,i 0 ask$ by ,dr4 ,a4 ,m4 ,%ipley to exam9e a pati5t :o _h be5 ref]r$ to him = probable canc] ( ! /oma*4 ,! man 0 sixty ye>s old & _h _h "s tr\ble 9 swall[+ = ab\t two mon?s4 ,attempts to pass ! /oma* tube 7 unsuccessful4 ,! pati5t 0 exam9$ 9 ! sitt+ position aft] coca9e ane/hetization4 ,no difficulty 0 exp]i5c$ 9 pass+ ! esophagoscope4 ,ab\t ?ree in*es bel[ ! cricoid c>tilage ! progress ( ! in/rum5t 0 arre/$ by a tumor p>tially clos+ ! esophageal lum54 ,! esophagoscope %[$ t ! tumor 0 too l[ = removal4 ,9 ?is case ! pati5t c be dilat$ ?r\gh ! esophagoscope & made m com=table = ! %ort "t he has to live4 #iai ,nor? ,*>les /reet4 ,,syphilitic ,,o/eo-,,p]io/itis4 ,,by ,c4 ,g4 ,,moore1 '#ji4 ,s5ior ,m$ical ,/ud5t4 ,! bony manife/ations ( syphilis occur z second>y & t]ti>y lesions1 & z ,keyes1 ( ,new ,york1 has po9t$ out1 ^! s-call$ 8nodes0 are simply local p]io/eal conge/ions1 accompani$ by s]i\s effusions )\t cell hyp]plesia4 ,any bone 9 ! body may be affect$ by syphilis1 b c]ta9 ( !m suff] by pref]5ce1 su* z ! ?9 bones ( ! nose & ph>ynx--t is1 ^? expos$ to climatic *anges & injuries1 su* z ! bones ( ! skull1 ulna1 tibia1 etc4 ,we mu/ call special att5tion to injury z a p[]ful pre-dispos+ cause ( bone syphilis1 =1 :5 we consid] t bone lesions may be ! only manife/ations ( exi/+ syphilis1 ) ! pres5ce ( a bone lesion be=e u1 ) an antec$5t hi/ory ( an injury1 we mu/ n =get t we may ov]look ! true nature ( ! disease1 & h5ce mu/ be con/antly on ! al]t = ! syphilitic ta9t4 ,lanc]eaux classifi$ ! bone lesions "u ?ree heads1 viz43 7a7 ,inflammatory o/eo-p]io/itis4 7b7 ,gummy tumor ( bone4 7c7 ,dry c>ies1 atrophic =m4 7#a7 ,inflammatory o/eo-p]io/itis is ! mo/ frequ5t =m1 & is *>act]iz$ by inflammatory ph5om5a1 vascul>ization & exudation ( a s]io-glut9\s mat]ial4 ,x may be ei!r diffuse or circumscrib$1 & locat$1 z its "n implies1 9 ! area ( contact ) ! osse\s & p]io/eal surfaces4 ,! pa9 is a*+1 acute1 ?robb+ or bor+ 9 "*1 :ile t5d]ness ^u pressure & p]cussion is mo/ exquisitely excruciat+4 ,! diagnosis ( inflammatory o/eo-p]io/itis is comp>atively easy1 if we rememb] ! *>act]i/ics1 viz41 an oval1 pa9ful1 boggy or ev5 h>d bony lesion1 accompani$ by nocturnal exac]bations ( pa91 ) a concomitant or antec$5t hi/ory ( syphilis4 ,o/itis ) p>5*ymat\s ?ick5+ is some:at less positive 9 its "*1 b ) nocturnal pa9s :i* are usually con/ant4 7#b7 ,gummy tumor ( bone develops ei!r "u ! p]io/um1 9 ! sub/ance ( bone1 or 9 ! m$ull>y canal4 ,x is simply an int5sification ( ! process f\nd 9 ! inflammatory =m j describ$1 ! diff]5ce be+ t ! cell hyp]plasia is m abundant4 ,mu* ( ! new mat]ial collects 9 a circumscrib$ space1 & be+ m rapidly =m$ & less capable ( organization1 x entails m pr(\nd lesions by its retrograde metamorphosis4 ,g5]ally tumor ( ! bone is1 !re=e1 a mu* m s]i\s =m ( disease ?an o/eo-p]io/itis4 ,9 ! long bones ! m$ull>y canal is ! usual seat ( deposit4 ,! bone becomes hyp]trophi$ 9 a por\s mann]1 ! ,hav]sian canals & canaliculi become enl>g$ & fill$ ) a gummy mat]ial :i* resembles a solution ( gum arabic4 ,9 ! flat bones1 especially ! cranial bones1 ! cancell> tissue is attack$1 & may cause a sep>ation ( ! two tables1 & (t5 necrosis ( "o or ! o!r plates results4 ,if x happ5s to be ! inn] "o :i* und]goes c>i\s deg5]ation1 bra9 symptoms w develop4 7#c7 ,dry ,c>ies4--,accord+ to ,vir*[1 dry c>ies is always due to syphilis4 ,?is affection is a m9iature gummy o/itis4 ,ar\nd "o ( ! vascul> canals ! gummy mat]ial is deposit$1 ?is gummy mat]ial be+ lat] absorb$1 leav+ a /ellate induration4 ,?is goes on leav+ a funnel-%ap$ depression1 its po9t lead+ into ! diploe1 :i* may be pla9ly appreciat$ by palpation4 ,! ess5tial features ( ?is c>ies is ! fact t no seque/ra are =m$1 no pus extrud$1 nor is ! sk9 b r>ely involv$4 ,! foll[+ is a case ( syphilis 9 :i* o/eo-p]io/itis develop$3 ,on ,janu>y #bbnd1 #aiji1 ,r4 ,b41 age #ce1 :ite1 a h\sewife1 appli$ to ! ,m$ical ,dep>tm5t ( ! ,univ]sity ,hospital ,disp5s>y = treatm5t1 compla9+ ( rheumatism 9 h] back & a sore %94 ,! pati5t has be5 m>ri$ #ad ye>s & has _h f\r *ildr52 ! two elde/ are ! only ones n[ liv+4 ,?ree ye>s ago %e gave bir? to a full-t]m *ild :i* only liv$ a few m9utes aft] expulsion4 ,"o ye> lat] %e gave bir? to ano!r *ild1 :i* 0 n at full t]m1 b ab\t six mon?s advanc$4 ,%e says two days previ\s to ?is bir? %e fell d[n /airs & /ruck on h] abdom54 ,:5 ! *ild 0 born its ?igh 0 fractur$1 & ! physician :o att5d$ h] said ! fracture 0 caus$ by ! fall4 ,h] fa!r di$ n9e ye>s ago1 at ! age ( #fh ye>s1 ( apoplexy2 h] "m 0 kill$ a few ye>s ago 9 an accid5t4 ,%e has two bro!rs & ?ree si/]s1 all liv+ & 9 good heal?1 z f> z %e kn[s4 ,%e is at pres5t liv+ ) h] husb&1 & says he is app>5tly well & s\nd1 b dr9ks heavily1 & :5 "u ! influ5ce ( liquor abuses h] a great deal4 ,pati5t d5ies ev] hav+ _h tub]culosis1 syphilis1 diph!ria1 typhoid1 sc>let fev]1 mal>ia1 grippe1 gonorrhoea1 or any ( ! n]v\s or malignant diseases4 ,%e sometimes has a sore ?roat :5 %e takes cold1 b x only la/s a few days4 ,%e has compla9$ ( rheumatism 9 h] back & limbs = ! pa/ ?ree or f\r ye>s1 & ?9ks x is worse at night4 ,pati5t nev] compla9$ ( any tr\ble o!r ?an ^? m5tion$ until ?ree ye>s ago1 :5 h] ?ird *ild 0 born4 ,%e says t at t "t h] hair fell out1 & an eruption1 :i* it*$ slightly1 broke out all ov] h] body1 includ+ h] face1 b only ext5d$ d[n h] arms z f> z h] wri/s4 ,?is la/$ a few weeks1 !n seem$ to subside1 b nev] entirely disappe>$1 & :5 %e gave bir? to ! /ill-born *ild1 "o ye> lat]1 x broke out aga9 worse ?an be=e4 ,%e w5t to ,dr4 ,mc,elfresh1 :o treat$ h] = ab\t ?ree weeks1 giv+ h] "s m$ic9e to take int]nally1 also "s sulphur o9tm5t4 ,%e = a "t got "s bett]1 b ow+ to h] circum/ances 0 unable to cont9ue treatm5t ) ,dr4 ,mc,elfresh1 & has done no?+ = h] condition until ! pres5t "t4 ,= ! pa/ f\r mon?s %e has be5 suff]+ ) a pa9 9 h] "r %92 ?is has be5 gradually gett+ worse1 & "o week ago began to swell & cause h] consid]able pa91 be+ worse at night1 & sometimes hurt+ h] s mu* t %e is unable to sleep1 h5ce h] reason = com+ to ! disp5s>y4 ,^u que/ion+ h] 9 reg>d to h] g5]al heal?1 %e says %e feels z well z %e ev] did1 ) ! exception ( ! previ\sly m5tion$ pa94 ,h] appetite & dige/ion are good1 & h] b[els are regul>1 & %e has no lung1 he>t or kidney tr\ble4 ,%e has _h no heada*es1 nausea1 or vomit+1 & h] m5/rual p]iods h always be5 regul> & pa9less4 ,^u exam9+ pati5t ,i f\nd h] to be well n\ri%$ & well develop$1 weigh+ #adb p\nds4 ,h] color 0 good & h] pupils ab\t normal 9 size1 react+ to light & accommodation4 ,bo? patella reflexes 7 abs5t1 also ,romb]g's sign1 & !re 0 no enl>gem5t ( ! ma/oid1 epitro*le>1 po/-c]vical or +u9al gl&s4 ,h] pulse 0 #hd to ! m9ute1 regul> 9 rate & =ce4 ,! t5sion & volume 0 good2 h] temp]ature 0 #ih4f4 ,h] he>t 0 normal 9 size1 & on auscultation ! s\nds 7 cle> & no murmurs 7 he>d4 ,! expansion ( bo? lungs 0 good1 ! respirations be+ #bj to ! m9ute4 ,p]cussion & auscultation 7 negative2 all ! abdom9al organs seem$ to be normal4 ,!re 0 an ec*ymotic area "u h] left eye1 :i* %e says 0 caus$ by h] husb& /rik+ h] two ye>s ago :5 intoxicat$4 ,!re 0 a circul> r$di% macul> papul>1 non-it*+ eruption :i* does n disappe> on pressure1 v>y+ f ! size ( a bird %ot to t ( a nickel1 & is conf9$ to h] back1 *e/1 %\ld]s & arms1 mo/ pr(use on ! left side1 & is n se5 on ! l[] limbs at all4 ,on h] left %\ld] "s ( ^! lesions h develop$ into pu/ules1 :i* h become infect$ & slightly ulc]at$2 ^! give h] slight pa94 ,9 ! corn] ( h] m\? is a sc> :i* looks l ! initial sign ( lues1 b %e claims x appe>$ a few weeks aft] ! break+ out on h] body4 ,on exam9+ h] m\? no mucus pat*es or sc>s 7 f\nd4 ,%e n[ has an o/eo-p]io/itis on ! ant]ior aspect ( h] "r tibia4 ,x is mod]ately swoll51 slightly r$d5$1 & is v pa9ful 7! pa9 is a*+1 acute & bor+ 9 "*7 on pressure1 & on tapp+ ! bone ) my f+] above & bel[ ?is po9t x caus$ h] int5se pa94 7,pati5t claims %e has nev] receiv$ any injury 9 ?is location47 ,^u consult+ ,dr4 ,mc,elfresh1 he rememb]$ ! case & said t he _h treat$ h] = a %ort "t ab\t two ye>s ago = ! initial symptoms ( syphilis1 b s9ce !n has nev] se5 h]4 ,%e is n[ receiv+ ! mix$ treatm5t ( protiodid ( m]cury1 gr4 1 ) a saturat$ solution ( potassium iodid ?ree times a day1 />t+ h] on t5 drops1 !n increas+ x "o drop ea* "t tak54 ,i reque/$ h] to return :5 ! m$ic9e is f9i%$4 ,,discussion ,,by ,,dr4 ,,w>n] ,,holt1 ,,( ,,wa%+ton1 ,,( ,,! ,,pap] ,,on ,,! ,,*emical ,,co-,,relation ,,betwe5 ,,! ,,saliv>y ,,gl&s ,,& ,,! ,,/oma*1 ,,by ,,john ,c4 ,,hemmet]1 ,,( ,,baltimore4 ,read ,be=e ! ,society = ,exp]im5tal ,biology & ,m$ic9e1 ( ,new ,york1 ,meet+ 9 ! ,rockefell] ,in/itute = ,m$ical ,rese>*1 on ,decemb] #af1 #aijh4 ,dr4 ,holt said 9 "p3 8,?is exp]im5tal /udy by ,dr4 ,hemmet] is n1 z x might appe> to be1 only an inquiry into ! physiology ( a limit$ "p ( ! dige/ive app>atus1 b x is an attempt to solve a biologic problem & to get at ! broad basic pr9ciples t und]lie ! *emical co-relation ( ! organs4 8,:5 a work] occupies himself ) ! effect ( ! extirpation ( "o organ ( dige/ion ^u ! organs 9 ! next segm5t ( ! dige/ive app>atus1 he naturally ?9ks ( ph5om5a ( exclusion or loss ( function 9 "o or ! o!r ( ! segm5ts foll[+ ! "o extirpat$1 b in/ead ( ph5om5a ( exclusion x is conceivable t ^? ( exagg]at$ activity 9 ! o!r segm5ts ( ! dige/ive tube might result4 8,= 'a priori' we _c "k :e!r ! influ5ce t "o segm5t ( ! dige/ive tract ex]ts ^u ! succe$+ segm5t is t ( /imulation or ( inhibition1 or ( bo?1 viz41 ( /imulation "u "o set ( conditions & inhibition "u ano!r set ( conditions4 ,9 ! inve/igation ( ! problem ( a *emical co-relation betwe5 ! saliv>y gl&s & ! /oma*1 ,dr4 ,hemmet] has done m]itori\s "w1 a great "p ( :i* x has be5 my good =tune to obs]ve & assi/ 9 p]sonally2 ?\gh ,i am a physician 9 ! employm5t ( ! gov]nm5t at ,wa%+ton1 ,i consid] myself a po/-graduate /ud5t ( ,pr(essor ,hemmet]4 ,i h se5 p]sonally f\r ( 8 animals t _h successfully be5 nurs$ ?r\gh ! ,pawl[ op]ation & extirpation ( ! saliv>y gl&s aft] mon?s ( ! mo/ try+ "w4 ,x requir$ a great deal ( p]sev]ance to p]si/ 9 ?is k9d ( "w1 especially :5 "s ( ! be/ animals t _h em]g$ safely f ! vicissitudes ( ! op]ation = an accessory /oma* & f ! removal ( all ! saliv>y gl&s on "o side ( ! head succumb$ to ! ?ird op]ation 9 ! attempt to remove ! rema9+ saliv>y gl&s on ! o!r side4 8,! hi/ory ( ^! op]ative failures1 ?\gh !y w nev] be told1 con/itute a l>ge "p ( ! m]it ( ^? :o h work$ ) ,dr4 ,hemmet] 9 ?is rese>*4 ,no matt] :at ! f9al outcome ( ! future inve/igation ( ?is problem w be1 :e!r affirmative or negative1 ! intr9sic value ( su* "w w be appreciat$ by all :o are to ! lea/ degree conv]sant ) ! hi/ory ( physiology4 ,n[adays we are too liable to =get ! h>d plodd]s 9 exp]im5tal "w :o h />t$ ! solution ( a problem1 & :5 ! la/ ^w has be5 said ! work] ( ! beg9n+ is g5]ally =gott54 8,9 ?is connection ,i desire to quote an expression ( ,pr(4 ,william ,h4 ,wel* conc]n+ ! m]it ( ! "w ( ex-,surgeon ,g5]al ,/]nb]g1 done s9ce ! fir/ ,yell[ ,fev] ,commission 0 appo9t$1 9 #ahgi 7see ,m$ical ,news4 ,june #ba1 #aijb4 p4 #aaih74 ,dr4 ,wel* said 't ,/]nb]g's "w ) yell[ fev] w\ld /& =ev]2 t x 0 a common ?+ 9 ^! busy days to =get ! /eps :i* l$ up to an important discov]y4 ,all t ,dr4 ,/]nb]g _h done 9 ! /udy ( yell[ fev] 0 necess>y "w1 & x _h to be done j 9 ! way t he did x4 ,! gr\nd _h fir/ to be cle>$4 ,if x 7 n s1 ! discov]y _h n be5 possible2 & lat] discov]]s !mselves w\ld h _h to hunt out ! l>ge ho/ ( microorganisms :i* ,dr4 ,/]nb]g _h describ$ & laid aside4' 8,& simil>ly ,i c say ( ,dr4 ,hemmet]'s ef=ts t1 no matt] :at ! ev5tual outcome ( ?is problem w be1 all t he has done 0 necess>y "w1 & x _h to be done j 9 ! way t he did x4 8,j "o m idea & ,i %all h f9i%$4 ,x conc]ns ! demon/ration ( su* rese>* "w 9 places at a di/ance f ! exp]im5tor's laboratory4 ,su* demon/rations are always att5d$ ) great difficulty4 ,!y usually require f\r animals1 two or ?ree janitors to transport !m1 & z _m laboratory assi/ants z ! director ( ! laboratory c manage to take ) him4 ,! te*nique ( ^! op]ations1 ! high-grade s5sitiv5ess ( op]at$ animals1 ! ref9em5t ) :i* *emical te/s %\ld be made1 all require = _! safe conduct t ! exp]im5tor %\ld "w only ) ^? m5 :o are us$ to 8 sy/em4 ,! animals !mselves are always influ5c$ 9 "o way or o!r by ! pres5ce ( /rang]s4 ,i rememb] 9 "o animal :i* 0 demon/rat$ on ,m>* #ag?1 at ! ,univ]sity ,hospital1 ! demon/ration at :i* ,dr4 ,satt]?waite 0 pres5t1 a mo/ unexpect$ *ange 9 ! quality ( ! ga/ric secretions took place4 ,?is 0 a control animal :i* _h und]gone no op]ation :atev]4 ,he 0 simply tak5 along to %[ ! proteolytic p[] ( a normal dog & comp>e x ) ! op]at$ dogs4 ,8 ga/ric juice _h be5 previ\sly te/$ on sev]al occasions1 & always f\nd to be ( regul> /&>d1 b on ! night ( ! demon/ration be=e ! ,m$ical ,society ?is animal's ga/ric juice 0 practically inactive1 conta9+ no ,,hcl nor peps94 8,dr4 ,hemmet] has already in=m$ y t 9 "s animals ! loss ( ga/ric juice aft] extirpation ( ! saliv>y gl&s is only tempor>y1 & t 9 v>y+ "t--9 "s cases ?ree weeks1 9 o!r animals ?ree to f\r mon?s--!re is a gradual resumption ( ga/ric secretion4 ,?is resum$ secretion1 h[ev]1 nev] becomes z effective z x 0 9 ! same dog be=e an op]ation4 ,! "q :5 to beg9 to make obs]vations on an op]at$ animal dep5ds entirely ^u ! /ate ( ?is animal2 if ! dog eats 8 food ) appetite1 he has no fev]1 & 8 dige/ion appe>s to be satisfactory2 !n ! obs]vations may be begun1 ev5 if x is only "o week or t5 days aft] ! la/ op]ation4 ,"o ( ! mo/ valuable animals t 0 us$ 9 ?is s]ies ( exp]im5ts 0 s injur$ 9 ! ef=t to transport him to ano!r laboratory t he c\ld n be us$ = fur!r exp]im5tation4 ,! dog /ruggl$ s 9 8 hold] :ile he 0 be+ transport$ 9 a wagon t ! p>tition ( true mucosa :i* sep>ates ! accessory f ! pla9 /oma* 0 brok5 ?r\gh4 ,?is _h happ5$ once be=e 9 transport+ a dog f ! laboratory to ,dr4 ,hemmet]'s c\ntry place1 & 8 associates 9 ! ,m$ical ,faculty1 becom+ aw>e ( ! great labor & co/ involv$ 9 su* op]ations1 & ! r>ity ) :i* !y succe$1 advis$ t no fur!r ,pawl[ dogs be s5t to o!r laboratories40 ,,an ,,int]e/+ ,,case ,,( ,,scrotal ,,h]nia4 ,,by ,g4 ,e4 ,,b5nett1 '#ji4 ,s5ior ,m$ical ,/ud5t4 ,pati5t--,george ,kolubah]4 ,age--,sixty-six ye>s4 ,occupation--,at pres5t a f>m]2 =m]ly work$ z labor] 9 /one qu>ry4 ,compla9t--,pati5t ent]$ ! hospital on ,janu>y #ba1 #aiji1 compla9+ ( great pa9 & discom=t 9 ! "r +u9al region & 9 ! scrotum ( ! same side4 ,physical ,exam9ation--,inspection %[$ an enorm\sly enl>g$ scrotum1 m m>k$ on ! "r side1 & a prom95t swell+ along ! "r +u9al canal1 :i* 0 mo/ m>k$ :5 /&+4 ,m>k$ discoloration on ! sk9 ( ! scrotum & inn] side ( bo? ?ighs1 probably due to use ( c\nt]-irritants4 ,palpation--,mass s(t & freely movable1 %[+ no sk9 atta*m5ts2 slight impulse on c\gh+4 ,slightly pa9ful on pressure4 ,"s gurgl+ :5 manipulat$4 ,p]cussion--,slightly tympanitic4 ,rem>ks--,cont5ts ( ! sacs 7 =c$ into abdom9al cavity aft] prolong$ manipulation1 return+ to orig9al condition z soon z pressure 0 tak5 away4 ,hi/ory ( pati5t %[s no?+ ( int]e/ except t ( ! pres5t condition1 :i* began sudd5ly tw5ty ye>s ago4 ,:ile lift+ a heavy block ( /one _h a feel+ z ?\gh some?+ _h 8giv5 away0 9 8 "r side4 ,?is s5sation 0 imm$iately foll[$ by "o ( int5se pa9 & g5]al discom=t4 ,! day foll[+ ! pati5t notic$ a small lump 9 ! "r +u9al region t disappe>$ on pressure1 return+ :5 he lift$ any heavy object4 ,= eighte5 ye>s ! condition gave him no s]i\s discom=t except = ! we>+ ( a truss & becom+ l>g]4 ,two ye>s ago ! truss 0 disc>d$ z be+ useless4 ,"o week ago conditions grew sudd5ly worse1 & pati5t 0 conf9$ to b$4 ,has suff]$ a great deal ( pa9 & has be5 unable to sleep4 ,on ,janu>y #bb1 #aiji1 pati5t 0 op]at$ ^u by ,pr(essor ,w9sl[4 ,op]ation z foll[s3 ,pati5t 0 br\ght to ! op]at+ room at #aa4cj ,a4 ,m41 ane/hetiz$ & prep>$ = an aseptic op]ation4 ,incision ab\t five in*es 9 l5g? 0 made p>allel to ,p\p>t's ligam5t & imm$iately ov] ! +u9al canal1 pass+ ?r\gh ! sk9 & subcutane\s fat4 ,! ext]nal r+ hav+ be5 expos$ a groov$ director 0 pass$ into same1 pass+ "u ! aponeurosis ( ! ext]nal oblique muscle2 fib]s ( same 7 split1 us+ ! director z a protective guide4 ,! sac 0 expos$ & c>efully dissect$ free f its surr\nd+ tissues1 & ^u exam9ation 0 f\nd to be cont9u\s ) ! cov]+ ( ! te/acle 7giv+ ! appe>ance ( a cong5ital h]nia74 ,! sac 0 next op5$ & f\nd to conta9 small inte/9es & a ,meckel's div]ticulum4 ,foll[+ ?is ! inte/9es 7 replac$ 9 ! abdom9al cavity4 ,digital exam9ation ?r\gh ! int]nal r+ %[$ ! bladd] to be adh]5t to ! p]itoneum at ! m>g9 & t[>d ! m$ian l9e4 ,! sac 0 ti$ close to ! int]nal r+1 cut free4 ,! di/al portions ( ! sac 7 drawn upw>d1 br++ ! te/acle into view2 sac 0 cut close to same & sutur$ s z to enclose ! great] "p ( x4 ,! m>g9s ( ! int]nal oblique & transv]salis muscles 7 sutur$ to ,p\p>t's ligam5t by a mattress suture4 ,! aponeurosis ( ! ext]nal oblique 0 re-e/abli%$ into normal position by sutur+1 & ! sk9 clos$ by subcutane\s silv] wire suture silk hav+ be5 us$ = all o!r sutures4 ,/]ile dress+s 7 !n appli$ & c>dbo>d spl9ts to keep limb immobile4 ,!n b&ag$ ) cr5ol94 ,! pati5t left ! op]at+ room at #a ,p4 ,m4 9 good condition4 ,notes ( ,int]e/-- ,t a h]nia1 app>5tly cong5ital1 %\ld n h made an e>li] appe>ance4 ,! pres5ce ( a ,meckel's div]ticulum 9 ! sac1 ?is be+ ! condition t gives rise to a true ,ri*t]'s h]nia4 ,t a h]nia ( s l>ge proportion %\ld h caus$ s little tr\ble to ! pati5t4 ,pati5t recov]$ 9 v %ort "t1 leav+ ! hospital 9 good condition4 ,,! ,,tea*+ ,,( ,,! ,,specialties4 ,,by ,,hiram ,,woods1 ,m4 ,d4 ,read ,be=e ! ,univ]sity ( ,m>yl& ,m$ical ,association1 ,april #ba1 #aiji4 ,tea*+ specialties to und]graduates mu/ be c>efully sep>at$ f ! same tea*+ to po/-graduate /ud5ts4 ,! latt] may be suppos$ to h giv5 su* ?\ght to _! future c>e] z to h rea*$ ! conclusion t !y wi% to devote !mselves to a c]ta9 l9e ( "w4 ,x is n ^! m5 :om ,i propose to discuss1 save to say1 9 pass+1 t ! av]age six weeks' or two mon?s' c\rse (f]$ by po/-graduate s*ools is totally inadequate4 ,z a rule su* c\rses attract a l>ge numb] ( m5 :o d little m ?an foll[ ! cl9ical "w ( "s well-kn[n speciali/ & pick up :at !y c4 ,ei!r prolong$ hospital exp]i5ce1 z int]ne or cl9ical assi/ant1 or a special individual c\rse1 ) a compet5t tea*]1 is ne$$ = a dec5t f\ndation 9 special "w4 ,x seems to me t ) und]graduate "w ! fir/ important /ep is to secure ! att5tion ( ! m51 & conv9ce !m t !re is some?+ 9 ! special c\rse wor?y ( notice4 ,!re is a /ate ( m9d1 n unnatural to ! und]graduate1 reg>d+ specialties4 ,mo/ ( !m propose to beg9 pr(essional life z g5]al practition]s4 ,!y ?9k !y w nev] h use = k 9 ! s-call$ specialties1 & t ! little !y w ne$ 9 ord] to get a pass+ m>k c be easily cramm$ at ! close ( ! session4 ,z a matt] ( fact1 x is easy to frame que/ions s t ?is 8cramm$0 in=mation is ( little use1 & ! mo/ lib]al grad+ h>dly ev] br+s su* m5 up to a pass+ m>k4 ,! m5tal attitude ( ^! m5 is unju/ to !mselves1 _! tea*] & ! pati5ts :o1 9 ! ne> future1 w entru/ to !m _! physical welf>e4 ,! v t]m 8g5]al practition]0 implies a g5]al k ( m$ic9e4 ,if "o lives 9 a city1 :]e ! s]vices ( speciali/s are readily obta9$1 he may1 if he desires1 refuse c]ta9 cases1 & take only su* z he wants--say su* z belong to int]nal m$ic9e4 ,b 9 s do+ he becomes a speciali/ himself1 & if he has neglect$ a prop]ly prep>$ special c\rse = und]graduates :ile a /ud5t he w miss in=mation ( great use to him z an int]ni/4 ,_m m51 h[ev]1 d n practice :]e speciali/s are easily obta9$1 &1 p]=ce1 mu/ take cases :i* w\ld logically come "u "o or o!r ( ! recogniz$ specialties4 ,"h is a pr(essional responsibility :i* x is ! aim & duty ( a special tea*] to enable 8 /ud5t to meet4 ,may ,i illu/rate by direct+ att5tion to two tr\bles :i* x is my own privilege to expla9 to our /ud5ts8 ,iritis1 9 eye1 & acute otitis m$ia1 9 e> diseases1 are v common tr\bles4 ,bo? are1 z a rule1 readily diagnos$1 & bo? (f] good prognosis4 ,yet ! responsibility = eyesight 9 "o1 & may be life 9 ! o!r1 may dep5d on ! diagno/ic ability & !rapeutic res\rces ( ! man :o fir/ sees ! case4 ,m5 are bl9d & *ildr5 dead because a g5]al practition] has n kn[n en\gh ( :at 0 (f]$ him :5 a /ud5t to make a correct diagnosis4 ,! r$ eye has be5 call$ conjunctivitis & treat$ ) nitrate ( silv]1 9 spite ( ! abs5ce ( purul5cy1 :ile ! small1 inactive pupil has escap$ notice4 ,! e> pa9 has be5 call$ 8e>a*e0 )\t an aural exam9ation1 a hops bag & opium h be5 ord]$1 & ! doctor has gone home ) t false s5se ( security :i* is s dang]\s4 ,:y8 ,if 8 tea*] has kn[n 8 bus9ess1 x is n because he 0 n told h[ to look = iritis & acute inflammation ( ! drum1 b because he _h n giv5 ! subjects suffici5t ?\ght to get !m drill$ into 8 ?9k+ app>atus4 ,probably he c\ld tell ! diagno/ic po9ts ( iritis1 if ask$1 or ! signs ( e>-drum inflammation2 b ?is 0 8cramm$0 in=mation1 n "p ( 8 real k4 ,if x is ! duty ( ! /ud5t1 anticipat+ g5]al practice1 to ?9k ab\t ! specialties taught dur+ 8 und]graduate c\rse1 x is /ill m ! duty ( 8 tea*] to pres5t him only su* ?+s z ! g5]al man ne$s4 ,he w make a griev\s blund] if he tries to make speciali/s ( 8 m54 ,8 selection ( subjects %\ld be limit$ to ! diseases :i* are ( common occurr5ce1 & /ress %\ld be laid on diagnosis4 ,if "o kn[s1 fir/1 :at to look =1 & secondly h[ to recognize signs & symptoms1 he w g5]ally f9d prop] treatm5t4 ,tr\bles :i* w\ld lead ! pati5t to g to ! speciali/ prim>ily1 )\t consult+ 8 family physician1 %\ld receive little att5tion4 ,two o!r classes ( lesions 9 su* organs z are usually h&$ ov] to speciali/s %\ld receive att5tion 9 ! und]graduate c\rse--^? :i* are apt to cause remote or reflex di/urbances1 & ^? :i* are def9itely symptomatic ( c5tral lesions4 ,! fir/ %\ld1 9 my judgm5t1 be dwelt ^u only to su* an ext5t z to enable ! /ud5t to "k causative relation & me?od ( diagnosis4 ,treatm5t1 unless v simple & easily )9 ! rea* ( ! m$ical man--i4 e41 ! g5]al practition]--%\ld be giv5 little "t4 ,z to ! second class1 e neurologi/ kn[s t ,tabes ,dorsalis w\ld (t5 be diagnos$ e>ly1 & prop] treatm5t in/itut$1 if ! physician _h kn[n ! mean+ ( association ( ga/ric crises ) ,argyll-,rob]tson pupil1 & _h se5 en\gh ( ^! ?+s to h !m 9 8 e-day ?\ghts4 ,"o c\ld pres5t _m o!r illu/rations1 b ?is %[s :at is meant4 ,) ! /ud5t conv9c$ ( ! necessity ( ?9k+ ab\t ! specialty taught1 ! in/ructor c>eful 9 selection ( 8 subjects1 a duty re/s on ^? :o fix ! curriculum4 ,x is unfair to /ud5ts to use f\r ye>s = "w :i* c be done 9 ?ree4 ,i believe t ! object ( ! e/abli%m5t ( a f\r-ye> c\rse 0 to furni% a ye> 9 :i* /ud5ts1 fre$ f ! responsibility ( exam9ations1 might h "t = guidance 9 cl9ical obs]vation4 ,! ideal plan1 9 my judgm5t1 is to get rid ( didactic lectures & exam9ations by ! end ( ! ?ird ye>1 & to devote ! f\r? to cl9ical obs]vation4 ,g5ito-ur9>y "w1 gynaecology1 rh9ology1 neurology1 oph?almology1 otology1 _c be le>n$ f text-books or lectures1 at lea/ 9 su* a way z to become integral p>ts ( a man's daily ?9k+4 ,& to my m9d ?is is ! only special in=mation :i* w help ! g5]al practition] 9 8 daily "w4 ,a few h\rs sp5t 9 a l>ge cl9ic br+s m in/ruction ?an a :ole ye> ( lectures4 ,! p]sonal contact ( man to man1 ! ex*ange ( ?\ghts & impressions1 are :at s9k 94 ,a /ud5t is n to be blam$ if he fails to att5d ^! opportunities :5 he kn[s t 9 a few weeks he mu/ face ! ordeal ( exam9ations on ! didactic "w1 & t ! result ( ^! w det]m9e 8 graduation4 ,to put into a few words my idea ( tea*+ specialties--x is ! duty ( ! /ud5t to realize t no?+ is put into ! und]graduate c\rse :i* is n important to him2 x is ! duty ( ! tea*] to select only :at is important to ! g5]al practition]2 x is ! duty ( ! s*ool au?orities to s arrange ! curriculum z to give /ud5ts en\gh "t to obs]ve special practice p]sonally1 9 small sections1 s t :at is taught may be s impress$ by obs]vation z to become a real factor 9 _! m$ical ?\ght4 ,a ,,case ,,( ,,sporadic ,,cret9ism4 ,,by ,e4 ,,sanborn ,,smi?1 ,m4 ,d4 ,class ( #aijj1 ,macon1 ,mo4 ,k>l ,b4 is ! son ( /urdy p>5ts1 bo? ( :om 7 born & re>$ 9 ! ,swiss ,tyrol4 ,he _h nev] develop$ l ! o!r *ildr5--01 9 fact1 mu* small] at five & a half ye>s ?an ! f\rte5-mon?s-old baby4 ,he 0 dull1 placid1 tak+ no note ( 8 surr\nd+s1 sitt+ or ly+ j :]e he 0 left1 & nev] ev9c$ any disposition to play or conv]se ) ! o!r *ildr54 ,i saw ?is *ild on ! #d? day ( ,janu>y1 #aijh1 9 a purely accid5tal mann]4 ,! p>5ts _h be5 told by _! att5dant t ! *ild _h ei!r rickets or 0 an idiot1 & !y 9 consequ5ce _h kept ! *ild 9 ! backgr\nd = two or ?ree ye>s1 be+ v mu* *agr9$ & mortifi$ at ! prospect ( be>+ ?r\gh life ! burd5 ( hopeless idiocy4 ,! *ild _h su* classical symptoms ( cret9ism t ,i ask$ p]mission ( ! family to treat him = a:ile1 ?\gh x requir$ "s p]suasion1 because ( ! fact t !y felt x 0 "t & money wa/$4 ,on ! #e? day ( ,janu>y1 #aijh1 ! *ild 0 five ye>s & a half old1 tw5ty-eight in*es 9 height1 circumf]5ce ( *e/ tw5ty-"o1 abdom5 tw5ty-?ree4 ,he 0 giv5 "o & "o-half gra9s ( ?yroid extract twice daily1 ! dose be+ gradually increas$ until he %[$ signs ( irritability1 ) accel]at$ pulse4 ,! *ild's extremities soon w>m$ up1 ! circulation became bett]1 ! hair began to gr[1 ! *ild = ! fir/ "t 9 its life walk$ & talk$1 began to take note ( surr\nd+s & to play ) ! o!r *ildr54 ,j "o ye> aft] ! beg9n+ ( ! treatm5t--,janu>y #e1 #aiji--! *ild 0 ?irty-five & ?ree-qu>t] in*es 9 height1 *e/ tw5ty-?ree1 abdom5 tw5ty-?ree4 ,?is disease1 sometimes kn[n z cret9oid or myxo$emat\s idiocy1 0 fir/ describ$ by ,fagg 9 #ahga4 ,s9ce !n a numb] ( cases h be5 publi%$1 bo? 9 ,engl&1 on ! ,cont95t & 9 ,am]ica1 %[+ t ! disease is n conf9$ to any "o c\ntry4 ,:ile ! disease is comp>atively r>e1 cret9s are m common ?an 0 =m]ly suppos$4 ,! disease seems to be 9 reality a pa*yd]mat\s ca*exia1 & x is n[1 ,i believe1 well e/abli%$ t x is caus$ by cong5ital abs5ce ( ! ?yroid gl& or to ! pres5ce ( some?+ :i* aboli%es its functions4 ,little is kn[n z to ! causes ( its de/ruction or aboli%m5t ( function4 ,z a rule only "o case occurs 9 a family1 ! o!r memb]s pres5t+ no?+ abnormal 9 _! m5tal or physical developm5t1 h5ce ! t]m sporadic4 ,x has be5 m frequ5tly report$ 9 ! ,tyrol1 9 ,switz]l&1 a co9cid5ce :i* makes ?is *ild's case all ! m int]e/+1 9 t bo? its p>5ts are physically & m5tally well up to p> & ! o!r *ildr5 possess ev5 m ?an ! av]age intellig5ce4 ,symptoms--,! symptoms are practically id5tical ) ^? ( ! myxo$ema :i* foll[s ! removal ( ! ?yroid gl& 9 adults4 ,! symptoms ( cret9ism 9 mo/ cases 9 infants make _! appe>ance dur+ ! fir/ ye>1 occasionally1 h[ev]1 n until ! *ild is ?ree or f\r ye>s ( age4 ,! appe>ance ( ! cret9 is v /rik+1 & s *>act]i/ic t :5 once se5 ! disease c h>dly fail to be recogniz$4 ,! *ild is mu* dw>f$1 ! f+]s & toes are %ort & /umpy1 ! cutane\s tissues seem to be ?ick & boggy1 b d n pit on pressure1 z 9 ord9>y o$ema4 ,! facies is extremely *>act]i/ic4 ,! head seems l>ge = ! body1 ! fontanel is op5 until ! eigh? or t5? ye>1 ! =ehead is l[ & ! base ( ! nose broad1 s t ! eyes seem unusually wide ap>t4 ,! lips are ?ick1 ! m\? half op5 & ! tongue protrudes slightly1 ! *eeks are baggy & ! hair is co>se1 %ort & /raight1 & ! sk9 has ! peculi> lea!ry feel ( elephant sk94 ,! abdom5 is p5dul\s1 l>ge1 /reak$ ) prom95t ve9s1 & rem9ds "o ( rickets4 ,! sk9 is dry1 ! voice husky & r\gh4 ,!re is b "o ^w :i* describes ! peculi> clumsy mann] ( walk+--t ^w is waddle4 ,! *ild actually waddles l a duck4 ,! temp]ature is always subnormal1 & "o ( ! ?+s ! "m w always call to y\r att5tion is ! fact t ! *ild has su* cold h&s & feet & requires s mu* m cov] ?an ! o!r *ildr54 ,cret9s are dull1 placid & good natur$1 nev] qu>relsome4 ,treatm5t--,!re is no t5d5cy t[>d spontane\s improvem5t4 ,^! cases h until ! la/ few ye>s be5 consid]$ hopeless & condemn$ to a life ( idiocy4 ,really1 9 ! treatm5t ( cret9ism 9 ! adult m>vel\s results h be5 got f ! adm9i/ration ( ! dri$ & dessicat$ extract ( ! ?yroid gl& ( ! %eep4 ,?is has l$ to its use 9 ! myxo$ema ( infancy4 ,! results are a/\nd+4 ,! *ild gr[s m5tally & physically1 takes note ( surr\nd+s to :i* x =m]ly paid no att5tion :atev]1 & c be taught almo/ z well z a p]fectly normal *ild4 ,9 all cases ! ?yroid extract mu/ be kept up indef9itely1 ! dose be+ gradually increas$1 o!rwise ! improvem5t ceases at once4 ,,items4 ,at ! comm5cem5t ( ! ,univ]sity ,hospital ,s*ool = ,nurses1 held ,may #e?1 ! foll[+ nurses receiv$ _! diplomas4 ,! address to ! graduates 0 deliv]$ by ,dr4 ,a4 ,m4 ,%ipley3 ,miss ,elizabe? ,getz5dann] 0 ! presid5t ( ! class1 & ,miss ,lucy ,b4 ,squires 0 ! secret>y4 ,^? :o receiv$ diplomas 73 ,miss ,ca!r9e ,mabel ,dukes1 ,m>yl&4 ,miss ,anna ,may ,gre51 ,nor? ,c>ol9a4 ,miss ,laura ,s*ley ,*apl9e1 ,we/ ,virg9ia4 ,miss ,l\ise ,dorsey ,pue1 ,m>yl&4 ,miss ,grace ,s*oolfield ,tull1 ,m>yl&4 ,miss ,annie ,l\ ,wahm1 ,s\? ,c>ol9a4 ,miss ,eva ,sidney ,*apl9e1 ,we/ ,virg9ia4 ,miss ,beulah ,ophelia ,hall1 ,georgia4 ,miss ,elizabe? ,getz5dann]1 ,m>yl&4 ,miss ,emily ,lav9ia ,ely1 ,m>yl&4 ,miss ,lucy ,bright ,squires1 ,nor? ,c>ol9a4 ,miss ,g]trude ,h$wig ,tews1 ,g]many4 ,miss ,hel5 ,m>y ,robey1 ,m>yl&4 ,miss ,blan*e ,almond1 ,virg9ia4 ,miss ,lillie ,book] ,c>t]1 ,virg9ia4 ,miss ,m>y ,b>ton ,saulsbury1 ,m>yl&4 ,miss ,v]a ,wright1 ,m>yl&4 99 99 99 99 99 ,! alumni ( ! ,univ]sity w be pa9$ to le>n ( ! rec5t illness ( ,pr(4 ,s4 ,c4 ,*ew4 ,,! ,,bullet9 is glad to report t he is n[ convalesc+4 ,no memb] ( ! ,faculty is m e/eem$ & belov$ ?an is ,pr(essor ,*ew4 99 99 99 99 99 ,dr4 ,leon>d ,o4 ,sloane1 ( ,juneau1 ,alaska1 :o has be5 visit+ ,baltimore = sev]al weeks1 has left ! city4 ,he came to ?is city to avail himself ( ! opportunities = cl9ical in/ruction (f]$ by ?is ,univ]sity1 & 0 mu* pleas$ ) ! "w he 0 able to see at ! ,univ]sity ,hospital1 ! ,woman's ,hospital1 ! ,hebrew ,hospital & at ,bay ,view4 ,he is physician to ,/4 ,ann's ,hospital1 at ,juneau1 & is a progressive & able memb] ( our pr(ession4 99 99 99 99 99 ,9 ! rec5t exam9ations held = commissions 9 ! m$ical corps ( ! ,unit$ ,/ates ,army1 ,dr4 ,j4 ,s4 ,fox1 "o ( ! surgeons at ! ,/4 ,francis ,xavi] ,hospital1 0 a successful conte/ant1 & ! ,w> ,dep>tm5t has notifi$ him t he w be commission$ a fir/ lieut5ant & w be ord]$ to proce$ to a po/ 9 ! ,we/4 ,"o hundr$ doctors took ! exam9ation = ! appo9tm5ts1 b only ?irte5 7 successful4 ,dr4 ,fox1 :o w be "o ( ! y\nge/ surgeons 9 ! ,army1 0 high up 9 ! li/ ( ! =tunate ones4 ,dr4 ,fox is a son ( ! late ,dr4 ,t4 ,s4 ,fox1 ( ,batesburg1 :o 0 a di/+ui%$ surgeon 9 ! ,conf$]ate ,army4 ,he is a nephew ( ,mr4 ,j4 ,t4 ,fox1 ( t t[n4 ,dr4 ,fox is tw5ty-n9e ye>s ( age1 & 0 born 9 ,batesburg1 ,s4 ,c4 ,aft] complet+ ! high s*ool at t place he ent]$ ,ri*mond ,college1 ,ri*mond1 ,va41 & 0 !re = ?ree ye>s1 :5 he ent]$ ! ,m$ical ,college at ,baltimore4 ,f\rte5 mon?s ago he came to ,*>le/on to accept an appo9tm5t z "o ( ! h\se surgeons ( ! ,/4 ,francis ,xavi] ,infirm>y1 & dur+ 8 /ay 9 ?is city has made a f9e record = himself1 & n[ has _m fri5ds "h4 ,z soon z 8 commission arrives he w leave "h = ,=t ,sam ,h\/on1 ,texas1 ! /ation designat$ 9 ! ord]s ( ! ,w> ,dep>tm5t4 ,!re are at pres5t sev]al troops ( ! ,?ird ,cavalry & a battalion ( light artill]y f ! ,?ird ,field ,artill]y ,regim5t /ation$ at ?is important po/1 :i* is consid]$ to be "o ( ! mo/ agreeable army po/s 9 ! ,s\?4 ,on ,octob] #a1 ,dr4 ,fox w be ord]$ to report to ,wa%+ton1 :]e he w be detail$ to att5d ! ,army ,m$ical ,college = a p]iod ( eight mon?s4 99 99 99 99 99 ,! ,c\ncil on ,ph>macy & ,*emi/ry & ! ,bo>d ( ,tru/ees ( ! ,am]ican ,m$ical ,association h adopt$ a vote ( ?anks to ,daniel ,base1 ,ph4 ,d41 pr(essor ( analytical *emi/ry1 ,dep>tm5t ( ,m$ic9e1 ,univ]sity ( ,m>yl&1 = 8 co-op]ation & assi/ance 9 inve/igat+ products & = special rese>* "w done at ! reque/ ( ! ,c\ncil4 ,x has be5 def9itely decid$ t ! new op]at+ room :i* is to be built at ,/4 ,joseph's ,hospital is to be d$icat$ to ! memory ( ,dr4 ,isaac ,ridgeway ,trimble1 :o di$ ( septicemia aft] p]=m+ an op]ation ^u an infect$ kidney at ! hospital1 z a result ( :i* ! pati5t liv$4 ,a tablet be>+ ,dr4 ,trimble's "n & ! incid5ts surr\nd+ 8 m>tyr-l dea? w be plac$ 9 ! op]at+ room4 99 99 99 99 99 ,dr4 ,john ,r4 ,w9sl[ read a pap] on 8,a ,case ( ,tub]culosis ( ! ,fauces & ,l+ual ,tonsils1 ,caus$ by ,tub]cul9 ,injections10 be=e ! ,section on ,l>yngology & ,rh9ology1 ,friday1 ,m>* #bf1 #aiji4 ,at ! same meet+ ,dr4 ,j4 ,n4 ,reik read a pap] on 8,! ,pres5t ,/atus ( ! ,surgical ,treatm5t ( ,purul5t ,disease ( ! ,nasal & ( ! ,aural ,cellul> ,spaces3 a ,comp>ison40 99 99 99 99 99 ,dr4 & ,mrs4 ,a4 ,duvall ,atk9son1 :o h be5 sp5d+ a few days 9 ,wa%+ton1 h return$ to _! home1 #ibd ,nor? ,*>les /reet4 99 99 99 99 99 ,"u ! title ( lead+ m5 ( ,m>yl&1 8,! ,/>0 has ?is to say conc]n+ ,dr4 ,l\is ,mc,lane ,tiffany3 ,dr4 ,l\is ,mc,lane ,tiffany is n only "o ( ! be/-kn[n m5 9 ,m>yl&1 b enjoys a reputation t is int]national z an op]at+ surgeon4 ,he has p]=m$ successfully _m unusual & difficult op]ations1 & has contribut$ mu* to 8 pr(ession by orig9al rese>*4 ,he 0 born 9 ,baltimore1 ,octob] #aj1 #ahdd1 & is relat$ to ! well-kn[n ,mc,lane family ( ,m>yl& & ,delaw>e4 ,he receiv$ 8 ba*elor ( arts degree f ,cambridge ,univ]sity1 ,engl&1 9 #ahff1 & ^u 8 return to ,baltimore ent]$ ! ,univ]sity ( ,m>yl& z a m$ical /ud5t1 8 degree z doctor ( m$ic9e be+ conf]r$ ^u him 9 #ahfh4 ,he soon atta9$ prom95ce 9 8 *os5 "w4 ,= _m ye>s he has be5 pr(essor ( ! pr9ciples & practice ( surg]y at ! ,univ]sity ( ,m>yl&4 ,he has be5 op]at+ surgeon ( _m ( ! ,baltimore hospitals1 has p]=m$ op]ations on prom95t p]sons all ov] ! c\ntry1 & is ! au?or ( a numb] ( treatises on p>ticul> phases ( surg]y4 ,dr4 ,tiffany help$ to f\nd ! ,m>yl& ,cl9ical ,society1 is a memb] ( ! ,m$ical & ,*irurgical ,faculty ( ,m>yl& & an active or honor>y memb] ( _m o!r societies4 99 99 99 99 99 ,rec5tly !re 0 unveil$ at ,/4 ,timo?y's ,*ur*1 at ,catonsville1 ,md41 a beautiful memorial w9d[ design$ & execut$ 9 ,favrile glass to ! memory ( ,dr4 ,*>les ,g4 ,w4 ,macgill1 :o 0 presid5t ( ! ,fir/ ,national ,bank ( ,catonsville & a physician widely kn[n 9 t "p ( ,baltimore c\nty4 ,?is memorial1 ! subject ( :i* is ,/4 ,luke1 is 9 ?ree panels1 ! figure ( ! evangeli/ be+ 9 ! c5t] op5+1 :ile a spl5did l&scape is c>ri$ out 9 ! two side panels4 ,on a scroll c>ri$ by ,/4 ,luke is ! text3 8,= to "o is giv5 by ! ,_s ! gifts ( heal+40 #a ,cor41 xii3 #h-i4 ,at ! base ( ! w9d[ is ! d$icatory inscription3 8,9 ,lov+ ,memory ( ,*>les ,g4 ,w4 ,macgill4 ,born ,may #aj?1 #ahcc4 ,di$ ,april #bh?1 #aijg40 99 99 99 99 99 ,at ! com+ meet+ ( ! ,am]ican ,m$ical ,association ,dr4 ,h5ry ,d4 ,fry1 ( ,wa%+ton1 w read a pap] on 8,an ,ov>ian ,abscess ,conta9+ a ,lunbricoid ,worm ,)9 ! ,cavity20 ,h4 ,d4 ,hynson1 ,ph>4 ,d41 8,! ,national ,=mul>y3 ,its ,g5esis1 ,"* & ,exig5t ,utility40 99 99 99 99 99 ,dr4 ,w4 ,l4 ,h>t1 class ( #aijf1 fir/ lieut5ant1 ,unit$ ,/ates ,army1 has be5 ord]$ to accompany ,company ,g1 ,eng9e]s1 to ,san ,francisco1 ,cal41 & !n to return to ,wa%+ton ,b>racks1 ,d4 ,c4 99 99 99 99 99 ,! foll[+ physicians h cons5t$ to act z admitt+ physicians1 ,m>yl& ,/ate ,sanatorium3 ,dr4 ,gordon ,wilson1 ,baltimore2 ,dr4 ,*>les ,h4 ,conley1 ,adam/[n2 ,dr4 ,guy ,/eele1 ,cambridge2 ,dr4 ,paul ,jones1 ,sn[ ,hill2 ,dr4 ,h5ry ,fitzhugh1 ,we/m9/]4 ,drs4 ,guy ,/eele & ,c4 ,h4 ,conley are memb]s ( ! ,bo>d ( ,manag]s4 ,dr4 ,a4 ,m4 ,%ipley1 class ( #aijb1 has be5 elect$ consult+ surgeon to ! ,syd5ham ,infecti\s ,hospital1 & ,dr4 ,h4 ,o4 ,reik1 ( #ejf ,ca!dral /reet1 consult+ otologi/s4 99 99 99 99 99 ,dr4 ,h4 ,e4 ,palm]1 ( ,tallahassee1 has be5 elect$ presid5t ( ! ,florida ,/ate ,m$ical ,association = ! ensu+ ye>4 99 99 99 99 99 ,! m>riage ( ,miss ,elizabe? ,p4 ,elliott1 daught] ( ,mrs4 ,w>r5 ,g4 ,elliott1 to ,dr4 ,gordon ,wilson1 associate pr(essor ( m$ic9e 9 ! ,univ]sity ( ,m>yl&1 w take place on ,saturday1 ,june #e1 #aiji4 ,! c]emony w be p]=m$ at #f o'clock at ,old ,/4 ,paul's ,prote/ant ,episcopal ,*ur*1 ,*>les & ,s>atoga /reets1 by ! rector1 ,rev4 ,ar?ur ,b4 ,k9solv+4 ,ow+ to m\rn+ 9 ! bride's family1 ! m>riage w be a quiet affair4 99 99 99 99 99 ,ano!r w$d+ ( int]e/ to take place 9 ,june is t ( ,miss ,lila ,holmes ,tr5holm1 daught] ( ,mr4 ,glov] ,holmes ,tr5holm1 a graduate ( ! ,tra9+ ,s*ool = ,nurses ( ! ,univ]sity ,hospital1 & gr&daught] ( ! late ,pr(4 ,julian ,*i%olm1 to ,dr4 ,walton ,a4 ,hopk9s1 class ( #aijc1 ( ,annapolis1 ,md4 99 99 99 99 99 ,at ! annual meet+ ( ! ,cecil ,c\nty ,m$ical ,society1 held 9 ,elkton1 ,md41 ,april #bi1 #aiji1 ,dr4 ,c4 ,p4 ,c>rico1 ( ,*]ry ,hill1 0 elect$ presid5t = ! ensu+ ye>4 99 99 99 99 99 ,dr4 ,george ,h4 ,/eu>t1 class ( #ahih1 is locat$ at ,ottoman1 ,va4 99 99 99 99 99 ,pr(4 ,samuel ,c4 ,*ew1 ! ne/or ( ! ,m$ical ,faculty ( ! ,univ]sity ( ,m>yl&1 is conf9$ to ! ,univ]sity ,hospital ) a bad attack ( grip4 ,dr4 ,*ew is "o ( ! olde/ & mo/ belov$ ( ! m$ical frat]nity ( ,baltimore4 ,he has be5 connect$ ) ! ,univ]sity ( ,m>yl& = m ?an fifty ye>s1 graduat+ ) ! class ( #aheh4 ,all ( u wi% ,dr4 ,*ew a rapid re/oration to 8 =m] good heal?4 ,=ty pr(essional m5 7 pres5t ,may #a1 #aiji1 at ! ,colonial ,hotel1 :]e ! f\r? annual reunion & banquet ( ! ,p5nsylvania ,bran* ( ! ,g5]al ,alumni ,association ( ! ,univ]sity ( ,m>yl& 0 held4 ,dr4 ,eug5e ,f4 ,cordell 0 "o ( ! gue/s2 o!rs 7 ,dr4 ,*>les ,p4 ,noble1 presid5t ( ! ,p5nsylvania ,bran*1 & ,dr4 ,j4 ,c4 ,beale1 secret>y & treasur]1 bo? ( ,philadelphia4 ,! banquet 0 held 9 ! new assembly room1 :i* 0 ta/efully decorat$ ) plants1 fl[]s & ! colors ( ! ,univ]sity4 ,! banquet committee consi/$ ( ,drs4 ,z4 ,c4 ,my]s & ,s4 ,k4 ,pfaltzgraff1 ( ,york2 ,j4 ,s4 ,class5 & ,j4 ,c4 ,beale1 ( ,philadelphia4 99 99 99 99 99 ,x is report$ t ,dr4 ,john ,cox ,keaton1 class ( #aijg1 ( ,georgia1 has be5 %ot 9 ! abdom5 by an irate husb&4 99 99 99 99 99 ,at ! annual meet+ ( ! ,cecil ,c\nty ,m$ical ,society1 held at ,elkton1 ,dr4 ,/4 ,clair ,spruill spoke on 8,surgical ,conditions ( ! ,"r ,side ( ! ,abdom540 99 99 99 99 99 ,! ,new ,york ,m$ical ,j\rnal says conc]n+ ! ,april #ac? meet+ ( ! ,philadelphia ,p$iatric ,society3 8,! pap] ( ! ev5+ 0 read by ,dr4 ,compton ,riely1 ( ,baltimore1 on ',! ,e>ly ,diagnosis & ,treatm5t ( ,pott's ,disease4'0 99 99 99 99 99 ,! foll[+ ( our alumni are ^u ! /aff ( ! ,hospital = ! ,wom5 ( ,m>yl&1 ,john /reet & ,lafayette av5ue1 ,baltimore3 ,dr4 ,*>les ,h4 ,riley1 ,dr4 ,j4 ,mason ,hundley1 ,dr4 ,ar*ibald ,c4 ,h>rison1 ,dr4 ,rob]t ,t4 ,wilson1 ,dr4 ,samuel ,t4 ,e>le & ,dr4 ,george ,w4 ,dobb94 ,dr4 ,g4 ,w4 ,billups1 class ( #aijf1 is resid5t physician4 99 99 99 99 99 ,mr4 & ,mrs4 ,william ,t4 ,s*ultze1 ( #hbb ,new+ton av5ue1 ,baltimore1 h ann\nc$ ! engagem5t ( _! daught]1 ,dr4 ,anna ,d4 ,s*ultze1 a graduate ( ! ,woman's ,m$ical ,college & resid5t physician ( ! ,good ,sam>itan ,hospital1 to ,dr4 ,john ,r4 ,ab]crombie1 dean ( ! ,woman's ,m$ical ,college1 a graduate ( ! ,univ]sity ( ,m>yl& ( ! class ( #ahie1 & at pres5t in/ructor 9 diseases ( ! sk91 ,univ]sity ( ,m>yl&4 ,no date has be5 fix$ = ! w$d+4 99 99 99 99 99 ,at ! com+ meet+ ( ! ,am]ican ,m$ical ,association ,dr4 ,i4 ,s4 ,/one1 ( ,wa%+ton1 w read a pap] on 8,"s ,m9or ,gynecologic ,matt]s ,:i* ,are ,(t5 ,ov]look$40 99 99 99 99 99 ,dr4 ,*>les ,h4 ,m$d]s1 ( ,baltimore1 :o su$ ! ,we/]n ,m>yl& ,railroad = #e1jjj = s]vices r5d]$ 9 a collision f\r ye>s ago1 0 r5d]$ a v]dict = #aej4 99 99 99 99 99 ,at ! annual meet+ ( ! ,montgom]y ,c\nty ,m$ical ,association1 held 9 ,rockville1 ,april #bj1 #aiji1 ! foll[+ ( our alumni 7 elect$ to (fice = ! ensu+ ye>3 ,vice presid5t1 ,dr4 ,wm4 ,l4 ,lewis1 ( ,k5s+ton2 secret>y-treasur]1 ,dr4 ,john ,l4 ,lewis1 ( ,be!sda4 99 99 99 99 99 ,! ,baltimore ,city ,m$ical ,society has elect$ our alumni to ! foll[+ (fices = ! ensu+ ye>3 ,presid5t1 ,dr4 ,jacob ,h>tman2 bo>d ( c5sors1 ,dr4 ,r&olph ,w9sl[4 99 99 99 99 99 ,dr4 ,g4 ,lane ,taneyhill1 ( ,baltimore1 is a memb] ( ! ,h\se ( ,delegates ( ! ,am]ican ,m$ical ,association f ,m>yl& at ! pres5t meet+ ( ! ,am]ican ,m$ical ,association1 at ,atlantic ,city4 99 99 99 99 99 ,dr4 ,a4 ,e4 ,ew5s1 ( ,atlantic ,city1 0 a memb] ( ! ,committee on ,section ,meet+s at ! rec5t meet+ ( ! ,am]ican ,m$ical ,association4 ,dr4 ,daniel ,j5if] also _h ! honor & pleasure ( s]v+ ^u ?is committee4 ,dr4 ,j5if] 0 also a memb] ( ! ,committee on ,po/-(fice & ,telephone4 ,dr4 ,a4 ,e4 ,ew5s also s]v$ on ! ,committee on ,badges4 99 99 99 99 99 ,dr4 ,?omas ,a4 ,r4 ,kee*1 class ( #ahef1 & ,mrs4 ,kee*1 ( ,wa%+ton1 ,d4 ,c41 celebrat$ at _! home1 #daf ,b /reet1 nor!a/1 on ,april #ac1 #aiji1 ! fiftie? anniv]s>y ( _! m>riage4 ,! h\se 0 beautifully decorat$ ) cut & pott$ plants4 ,a collation 0 s]v$4 ,! family are ( ,engli% desc5t1 hav+ emigrat$ & settl$ 9 ,s\!rn ,m>yl& ab\t #agej4 ,dr4 ,kee* is a son ( ! late ,rev4 ,john ,re$] & ,susan ,p4 ,kee*4 99 99 99 99 99 ,dr4 ,john ,h]b]t ,bates1 class ( #aijg1 ( ,=e/ ,p>k1 ,baltimore1 a =m] resid5t physician ( ,bay ,view ,hospital1 & until rec5tly a resid5t physician at ! ,*ur* ,home & ,infirm>y1 has locat$ at #djjb ,ma9 av5ue1 ,=e/ ,p>k4 99 99 99 99 99 ,! ?ird annual banquet ( ! ,g5]al ,alumni ,association ( ! ,univ]sity ( ,m>yl& 0 held ,?ursday1 ,april #bb1 #aiji1 at ! ,eutaw ,h\se1 ,baltimore4 ,ab\t #ij 7 pres5t4 ,! affair 0 a ?or\ghly enjoyable occasion1 b m en?usiasm w\ld h be5 evid5t if m ( ! memb]s ( ! v>i\s faculties _h be5 pres5t4 ,! ,ph>maceutical ,dep>tm5t1 ) less pr(essors ?an ! o!r dep>tm5ts1 _h mo/ memb]s pres5t4 ,! spee*es 7 witty & in/ructive1 & teem$ ) expressions ( loyalty to ! ,univ]sity4 ,z (t it]at$ & reit]at$1 ?is body is ! only real live alumni body at ! ,univ]sity ( ,m>yl&4 ,x has be5 do+ s9ce its inception1 & is /ill do+1 & if ! ,univ]sity ev] be rejuv5at$ mu* ( ! cr$it w be due to ! con/ant agitation ( ?is body = a l>g] & bett] univ]sity4 ,mo/ alumni banquets consi/ ( a fe$1 good1 bett] or worse1 z x might happ5 to be1 & a slew ( spee* arti/s ( m or less r5[n1 :o bubble ov] ) big words ( enc\ragem5t & pr$iction1 b re/ on _! o>s "h4 ,inde$1 ! societies exi/ = a banquet once a ye> & a cyclone ( hot air4 ,:at d words accompli%8 ,no?+4 ,x is action t ! ,univ]sity ( ,m>yl& ne$s1 & m ?an any?+ else m5 ( action--/rong m51 broad-m9d$ m51 m5 :o c subord9ate _! success to ! success ( ! in/itution1 m5 9 e s5se ( ! ^w4 ,i am glad to say ! ,g5]al ,alumni ,association has an abundance ( m5 ( su* "* among its memb]%ip :o are do+ some?+ = ! good ( ! ,old ,univ]sity1 & :o h an object 9 view4 ,:at is ?is object8 ,! creat+ ( ways & means = ! bett]m5t ( ! ,univ]sity4 ,at ! bus9ess meet+ imm$iately prec$+ ! banquet ! foll[+ recomm5dation ( ! special committee appo9t$ = ! purpose ( =mulat+ a plan = ! p>ticipation ( ! alumni 9 ! managem5t ( ! ,univ]sity 0 adopt$ unanim\sly4 ,! plan provides t ! ,bo>d ( ,reg5ts ( ! ,univ]sity %all be enl>g$ by ! addition ( five memb]s1 "o ea* f ! five dep>tm5ts1 :o %all h _h _! degrees = #aj ye>s or m4 ,x provides = ! election ( a committee on nom9ations1 to consi/ ( ! presid5t ( ! association & "o repres5tative f ea* ( ! five dep>tm5ts4 ,?is committee %all select ?ree repres5tatives f ea* ( ! five dep>tm5ts z nom9ees = ! alumni 9 good /&+ 9 ! association to vote ^u4 ,votes may be ca/ 9 p]son or by mail4 ,aft] ! election ( ! five memb]s ( ! c\ncil !y %all det]m9e by lot :o are to s]ve = "o1 two1 ?ree1 f\r or five ye>s1 respectively4 ,any vacancy is to be fill$ by ! rema9+ memb]s ( ! ,alumni ,c\ncil f ! dep>tm5t f :i* ! memb] 0 orig9ally *os54 ,! secret>y ( ! ,g5]al ,alumni ,association %all act z ! secret>y ( ! alumni reg5ts1 :o %all select _! own *airman = "o-ye> t]ms4 ,! committee consi/$ ( ! foll[+ well-kn[n alumni ( ! five dep>tm5ts ( ! ,univ]sity3 ,m$ical--,dr4 ,b4 ,m]rill ,hopk9son & ,dr4 ,e4 ,f4 ,cordell4 ,ph>macy--,dr4 ,john ,f4 ,hancock & ,dr4 ,j4 ,emory ,bond4 ,d5tal--,dr4 ,l4 ,h4 ,f>9holt & ,dr4 ,joseph ,c4 ,heuisl]4 ,law--,messrs4 ,b4 ,h[>d ,haman & ,jas4 ,w4 ,b[]s1 ,jr4 ,academic 7,/4 ,john's ,college7--,dr4 ,j4 ,fr$]ick ,adams & ,dr4 ,a4 ,l4 ,wilk9son4 ,no fur!r action1 h[ev]1 c be tak5 9 ! matt] until approv$ or veto$ by ! ,bo>d ( ,reg5ts4 ,! presid5t1 ,john ,b4 ,?omas1 ,ph>4 ,d41 introduc$ ! toa/ma/]1 ,h5ry ,p4 ,hynson1 ,ph>4 ,d41 :o 0 9 a p>ticul>ly bright & witty mood4 ,! speak]s 73 ,hon4 ,j4 ,b>ry ,mahool1 ! ,mayor ( ,baltimore2 ,john ,c4 ,hemmet]1 ,m4 ,d42 ,addison ,mullik91 ,esq41 ,,ll4 ,b42 ,*>les ,casp>i1 ,ph>4 ,d42 ,jo%ua ,w4 ,h]+1 ,m4 ,d41 ,comptroll] ( ! ,/ate ( ,m>yl& & a graduate ( ! class ( #ahee1 ( ,we/m9/]1 ,md4 ,^? :o 7 n pres5t d n "k :at !y miss$4 ,x 0 a live banquet1 some?+ do+ e m9ute1 & ! committee 9 *>ge ( ! arrangem5ts are to be congratulat$ ^u ! ?or\ghness ) :i* !y accompli%$ _! task4 ,committee--,t4 ,o4 ,heatwole1 *airman2 ,oregon ,milton ,d5nis1 ,,ll4 ,b42 ,eug5e ,hodson1 ,ph>4 ,g42 ,ar?ur ,m4 ,%ipley1 ,m4 ,d4 ,among ^? pres5t 73 ,william ,t>un1 ,dr4 ,j4 ,w4 ,bird1 ,j4 ,huff1 ,dr4 ,compton ,reilly1 ,j4 ,cromwell1 ,dr4 ,r&olph ,w9sl[1 ,dr4 ,r4 ,b4 ,hayes1 ,c4 ,v4 ,mace1 ,l4 ,m4 ,all51 ,dr4 ,r4 ,h4 ,p4 ,bay1 ,dr4 ,i4 ,j4 ,spe>1 ,h4 ,h4 ,ri*>ds1 ,dr4 ,j4 ,f4 ,hawk9s1 ,dr4 ,w4 ,v4 ,s4 ,levy1 ,t4 ,m>%all ,we/1 ,s4 ,w4 ,moore1 ,i4 ,h4 ,davis1 ,dr4 ,c4 ,v4 ,mat!ws1 ,f4 ,j4 ,val5t9e1 ,e4 ,b4 ,h[ell1 ,a4 ,p4 ,sc>bor\gh1 ,g4 ,f4 ,dean1 ,g4 ,a4 ,bunt+1 ,john ,c4 ,uhl]1 ,c4 ,s4 ,gr9dall1 ,dr4 ,j4 ,c4 ,hemmet]1 ,dr4 ,a4 ,m4 ,%ipley1 ,john ,h5ry ,ke5e1 ,dr4 ,rob]t ,l4 ,mit*ell1 ,judge ,h4 ,/ockbridge1 ,n4 ,h4 ,d4 ,cox1 ,dr4 ,j4 ,h4 ,holl&1 ,dr4 ,*>les ,casp>i1 ,jr41 ,h4 ,p4 ,hynson1 ,f4 ,v4 ,rhodes1 ,j4 ,e4 ,h5g/1 ,o4 ,c4 ,h>ris1 ,a4 ,s4 ,b9swang]1 ,dr4 ,/4 ,clair ,spruill1 ,dr4 ,e4 ,f4 ,cordell1 ,dr4 ,na?an ,w9sl[1 ,dr4 ,j4 ,m4 ,hundley1 ,daniel ,base1 ,dr4 ,*>les ,e4 ,sadtl]1 ,addison ,mullik91 ,h4 ,w4 ,jones1 ,dr4 ,g4 ,lane ,taneyhill1 ,dr4 ,l4 ,b4 ,h5kel1 ,jr41 ,dr4 ,i4 ,g4 ,dickson1 ,f4 ,j4 ,s4 ,gorgas1 ,dr4 ,t4 ,o4 ,heatwole1 ,j4 ,w4 ,b[]s1 ,jr41 ,dr4 ,j4 ,w4 ,h]+1 ,alfr$ ,e4 ,kemp1 ,osc> ,b4 ,?omas1 ,j4 ,b4 ,?omas1 ,eug5e ,w4 ,hodson1 ,john ,f4 ,hancock1 ,w4 ,m4 ,f\*1 ,d4 ,r4 ,mill>d1 ,emory ,bond1 ,c4 ,a4 ,volkm>1 ,frank ,black1 ,h4 ,p4 ,hynson1 ,j4 ,w4 ,we/cott1 ,dr4 ,c4 ,h4 ,m$d]s1 ,b4 ,elliott1 ,dr4 ,eug5e ,cordell1 ,l]oy ,oldham1 ,a4 ,r4 ,dohme1 ,b4 ,a4 ,lilli*1 ,oregon ,milton ,d5nis1 ,l4 ,w4 ,f>9holt1 ,t4 ,e4 ,latim]1 ,ambrose ,murphy1 ,dr4 ,h5ry ,k5n>d1 ,dr4 ,h]b]t ,zepp4 ,! 8,cl9ic10 ! ye> book ( ! ,college ( ,physicians & ,surgeons1 ,baltimore1 :i* has j be5 issu$1 is d$icat$ to ! memory ( ! late ,dr4 ,isaac ,ridgeway ,trimble1 :o gave 8 life t ano!r's might be sav$4 ,dr4 ,trimble 0 a graduate ( ! ,univ]sity ( ,m>yl&1 class ( #ahhd1 & at ! "t ( 8 dea? 0 ,pr(essor ( ,anatomy 9 ! ,college ( ,physicians & ,surgeons4 99 99 99 99 99 ,dr4 ,a4 ,j4 ,edw>ds1 class ( #ahih1 ( ,bri/ol1 ,t5n41 is sp5d+ a few days ar\nd ! ,hospital r5ew+ old acqua9tances4 99 99 99 99 99 ,dr4 ,lu!r ,b>e1 ( ,we/m9/]1 ,md41 0 a rec5t visitor to ! ,univ]sity ,hospital4 99 99 99 99 99 ,! banquet ( ! ,m$ical ,alumni ,association w be held on ! ev5+ ( ,may #ca1 #aiji4 99 99 99 99 99 ,dr4 & ,mrs4 ,b4 ,m]rill ,hopk9son1 :o h be5 sp5d+ ! week at ! ,hotel ,*amb]l91 ,old ,po9t ,com=t1 ,va41 h return$ to ! city4 99 99 99 99 99 ,! ,univ]sity ( ,m>yl& baseball team defeat$ ! ,mid%ipm5 on ! ,naval ,academy gr\nds rec5tly by ! score ( #b to #j4 ,&]son1 ! box arti/1 /ruck out tw5ty ( ! middies4 ,! team ?is ye> has be5 m ?an successful1 & comp>es favorably ) ! teams ( ! l>g] colleges4 ,x is und\bt$ly ! premi] team ( ,baltimore ?is ye>1 & 9 any o!r in/itution w\ld ar\se untold en?usiasm by its notable victories4 99 99 99 99 99 ,dr4 ,fitz ,r&olph ,w9sl[1 class ( #aijf1 ( ,h9ton1 ,va41 paid a fly+ visit to ! ,hospital rec5tly4 99 99 99 99 99 ,dr4 ,j4 ,w4 ,h]+1 class ( #ahee1 ( ,we/m9/] & ,/ate ,comptroll]1 :o has be5 visit+ 8 son & daught]-9-law1 ,dr4 & ,mrs4 ,joseph ,t4 ,h]+1 at ! ,/4 ,paul1 ,baltimore1 has return$ to 8 home1 9 ,we/m9/]4 99 99 99 99 99 ,among/ ^? :o respond$ to toa/s at ! rec5t banquet ( ! local bran* ( ! ,hav]=d ,college ,alumni ,association 0 ,dr4 ,h5ry ,m4 ,?omas4 99 99 99 99 99 ,dr4 ,fitz ,r&olph ,w9sl[ writes f ,h9ton1 ,va41 9 ! ,valley ( ! ,%5&oah1 ! g>d5 spot ( ,virg9ia1 & = picturesque sc5]y unexcell$ 9 no "p ( ! _w1 t he is do+ nicely4 ,he has se5 ?ree goitres & he>d ( a wond]ful cure = ! same f an old m\nta9 woman4 ,%e took h] own m$ic9e1 & claims to h be5 b5efit$1 s he gives ! recipe3 ,put y\r h&s beh9d y\r back1 b5d ov] & take a horse's head betwe5 y\r tee?4 ,un=tunately1 he =got to f9d out ! /atuo quo ( ! horse1 s y might try ! dead or ! quick1 z suits y\r conv5i5ce4 ,h] goitre is /ill v app>5t1 b1 sad to relate1 %e has no tee? left ) :i* to f9i% ! job4 ,?is is only "o specim5 ( ! gross ignorance & sup]/ition ( ! hill p4 ,!y treat or mi/reat !mselves (t5 :5 ill pr9cipally by mak+ teas ( v>i\s h]bs1 su* z boneset1 etc4 ,skunk oil is a panacea bo? int]nally & ext]nally4 ,he expects no respectable disease c live 9 ! same neighborhood ) su* an odorif]\s m$icam5t4 99 99 99 99 99 ,dr4 ,john ,*apla9 ,trav]s1 class ( #ahie1 ( ,cambridge1 :o rec5tly left = ! ,philipp9es1 :]e he w ent] ! gov]nm5t s]vice1 gave a f>ewell ent]ta9m5t be=e leav+ at ! resid5ce ( ,capt4 ,james ,c4 ,leon>d4 99 99 99 99 99 ,dr4 ,j4 ,clem5t ,cl>k1 sup]9t5d5t ( ! ,spr+field ,/ate ,hospital1 presid$ at ! ?ird meet+ ( ! ,m>yl& ,psy*iatric ,society1 :i* 0 held at ! ,sykesville in/itution4 ,among ^? pres5t 73 ,drs4 ,j4 ,c4 ,cl>ke1 ,m>%all ,l4 ,price1 ,wm4 ,f4 ,wohw>tz1 ,r4 ,r4 ,norris1 ,f4 ,j4 ,flann]y4 99 99 99 99 99 ,x gives u pleasure to ann\nce t ,dr4 ,*>les ,h4 ,mayo1 ( ,ro*e/]1 ,m9n41 "o ( ! r5[n$ ,mayo bro!rs1 has accept$ ! invitation ( ! ,faculty ( ,physic to deliv] a c\rse ( lectures on diseases on ! ?yroid gl& 9 ! fall4 99 99 99 99 99 ,dr4 ,lee ,coh51 ( ,baltimore1 w read a pap] at ! com+ meet+ ( ! ,am]ican ,m$ical ,association on 8,po/ ,op]ative ,tonsill> ,ble$+3 ,its ,surgical ,control1 ) ,m5tion ( ,cases20 ,dr4 ,r4 ,l4 ,r&olph1 ( ,baltimore1 on 8,rod5t ,ulc] ( ! ,cornea20 ,dr4 ,samuel ,!obald1 ( ,baltimore1 on 8,reflex ,aural ,neurosis ,caus$ by ,eye ,/ra91 ) ,report ( ,cases40 99 99 99 99 99 ,"o ( ! m>k$ developm5ts ( ! ,democratic ,/ate ,c5tral ,committee 0 a practically unanim\s s5tim5t 9 favor ( ! r5om9ation ( ,dr4 ,jo%ua ,w4 ,h]+1 class ( #ahee1 = ,/ate ,comptroll]4 ,/ate & c\nty lead]s 7 outspok5 9 _! op9ion t ,dr4 ,h]+'s popul>ity ?r\gh\t ! /ate1 z well z 8 excell5t record z ,comptroll]1 make 8 nom9ation virtually a matt] ( c\rse4 99 99 99 99 99 ,! condition ( ,dr4 ,r4 ,a4 ,w>r51 ( ,hot ,spr+s1 ,va41 class ( #aijg1 :o 0 op]at$ on rec5tly at ! ,univ]sity ,hospital = app5dicitis1 is report$ to be favorable4 99 99 99 99 99 ,dr4 ,r&olph ,w9sl[ desires to ackn[l$ge c>ds f ,drs4 ,m4 ,zaki & ,m4 ,teufik1 #aff ,moham$ ,aly /reet1 ,cairo1 ,egypt4 ,^! are two ( our popul> ,egyptian /ud5ts1 & are locat$ z not$ above1 :]e !y h met ) unexpect$ success4 ,drs4 ,heilig1 ,moose1 ,k]r & ,pe>l/9e1 f\r ( our rec5t ,s\!rn alumni1 paid _! respects to ! ,univ]sity rec5tly4 ,! ?ree =m] are locat$ 9 ,nor? ,c>ol9a1 ! latt] 9 ,s\? ,c>ol9a4 99 99 99 99 99 ,! la/ regul> meet+ ( ! ,univ]sity ( ,m>yl& ,m$ical ,association 0 held 9 ! amphi!atre ( ! ,univ]sity ,hospital1 ,w$nesday1 ,april #ba1 #aiji1 & ! program 0 z foll[s3 #a4 8,prelim9>y ,tra9+ ,necess>y = ,^? ,contemplat+ ! ,/udy ( ,m$ic9e10 ,dr4 ,r&olph ,w9sl[2 #b4 8,! ,tea*+ ( ,!rapeutics10 ,dr4 ,c4 ,w4 ,mit*ell2 8,! ,tea*+ ( ! ,specialties10 ,dr4 ,hiram ,woods4 ,! meet+ 0 well att5d$ & ! pap]s 7 bo? in/ructive & int]e/+4 ,dr4 ,a4 ,m4 ,%ipley1 ! presid5t1 occupi$ ! *air4 ,?is is ! la/ meet+ ( ! society until ! fall4 ,dr4 ,woods' pap] appe>s else:]e 9 ?is numb]4 99 99 99 99 99 ,dr4 ,ri*>d ,h4 ,john/on1 ( ,baltimore1 w read a pap] on 8,b5ign ,tumors ( ! ,turb9ate ,bodies ,cl9ically & ,pa?ologically ,consid]$10 at ! com+ meet+ ( ! ,am]ican ,m$ical ,association4 99 99 99 99 99 ,! ,c\ncil on ,m$ical ,education ( ! ,am]ican ,m$ical ,association 9 its annual report has ?is to say conc]n+ college m]g]s3 ,ano!r enc\rag+ fact to be not$ is ! m]g]s be+ made among m$ical s*ools :]eby /rong] s*ools are result+4 ,notably 9 ,indiana1 all ( ! regul> s*ools 9 ! /ate m]g$ into ! m$ical dep>tm5t ( ,indiana ,univ]sity1 :ile 9 ,k5tucky all ( ! m$ical s*ools m]g$ into ! ,univ]sity ( ,l\isville4 ,9 ,c9c9nati ! two regul> s*ools m]g$ into ! ,univ]sity ( ,c9c9nati2 9 ,m9nesota ,haml9e m]g$ into ! m$ical dep>tm5t ( ! ,univ]sity ( ,m9nesota4 ,!re are num]\s o!r cities :]e m]g]s might be br\ght ab\t if ^? int]e/$ 9 g5]al education & ^? 9 m$ical education 9 ea* city w\ld "w toge!r to secure !m4 ,= example1 if all ! m$ical colleges ( any l>ge city1 su* z ,*icago1 ,philadelphia1 ,/4 ,l\is or o!rs1 c\ld be m]g$ into "o great univ]sity m$ical s*ool1 su* z are to be f\nd 9 ,b]l91 ,p>is or ,vi5na1 x w\ld be ( ! greate/ possible advantage to m$ical education 9 ,am]ica4 ,9 ! evolution ( g5]al & m$ical education 9 ?is c\ntry x is becom+ m & m evid5t t a well-r\nd$ univ]sity ne$s a /rong m$ical dep>tm5t1 & x is n[ equally cle> t a m$ical s*ool _c rea* ! highe/ /age ( its developm5t except z ! m$ical dep>tm5t ( a /rong univ]sity4 ,x is evid5t t )9 a few ye>s ! m$ical s*ools ( ?is c\ntry w1 ) few exceptions1 be ! m$ical dep>tm5ts ( univ]sities4 ,=tunately = ! m$ical s*ool1 ! univ]sity ne$s ! m$ical s*ool q z mu* z ! m$ical s*ool ne$s ! univ]sity1 s t almo/ any indep5d5t m$ical s*ool ( real m]it c secure desirable union ) a univ]sity4 ,& ?is *ange w solve mo/ ( our pres5t problems 9 m$ical education4 ,s9ce our la/ conf]5ce !re h be5 five important m]g]s ( m$ical colleges by :i* n9e m$ical s*ools are replac$ by f\r /rong] ones4 ,^! m]g]s 7 z foll[s3 #a4 ,at ,l\isville1 ,ky41 ! ,l\isville & ,hospital ,m$ical ,college1 ! ,k5tucky ,s*ool ( ,m$ic9e & ! ,univ]sity ( ,l\isville ,m$ical ,dep>tm5t unit$1 reta9+ ! "n ( ! ,univ]sity ( ,l\isville ,m$ical ,dep>tm5t4 ,?is leaves b "o regul> m$ical college 9 ,l\isville1 :]e !re 7 five colleges two ye>s ago4 ,z a direct result ( ?is m]g]1 ! s*ool has receiv$ #be1jjj f ! city ( ,l\isville1 & /eps h be5 tak5 to build a new city hospital1 :i* is to be l>gely "u ! control ( ! m$ical s*ool4 #b4 ,at ,c9c9nati ! m]g] betwe5 ! ,m$ical ,college ( ,ohio & ! ,miami ,m$ical ,college has be5 complet$1 ! new s*ool to be ! ,m$ical ,dep>tm5t ( ! ,univ]sity ( ,c9c9nati4 ,! build+ ( an enorm\s new city hospital has already be5 />t$ ne> ! univ]sity campus1 & a new m$ical college build+ w be erect$ adjo9+ ?is hospital4 ,! outlook = ?is new s*ool is v enc\rag+4 #c4 ,! ,keokuk ,m$ical ,college1 ,college ( ,physicians & ,surgeons1 locat$ at ,keokuk1 ,i[a1 has turn$ all its prop]ty & good w ov] to ! ,drake ,univ]sity1 ,college ( ,m$ic9e1 at ,des ,mo9es1 ,i[a4 ,amalgamation ( ! ,coop] ,m$ical ,college ) ,lel& ,/an=d ,univ]sity is ann\nc$4 ,h5ce=? ! ,san ,francisco in/itution w be designat$ ! ,s*ool ( ,m$ic9e ( ,/an=d ,univ]sity4 ,! affiliation 0 giv5 approval sometime ago1 & x only rema9$ = ! bo>d ( tru/ees ( ! ,univ]sity to =mally accept ! gift4 ,:y c't ! indep5d5t m$ical colleges ( ,baltimore come toge!r8 ,su* an ev5t w\ld accrue to ! be/ int]e/s ( all conc]n$1 & w\ld greatly t5d to elim9ate ,baltimore z "o ( ! d>k spots ^u ! m$ical educational horizon4 ,,nurses ,,w9 ,,diplomas4 ,9 spotless :ite & amid a b[] ( fl[]s1 #af pretty "y wom5 7 h&$ _! diplomas ye/]day z graduates ( ! ,univ]sity ,hospital ,s*ool = ,nurses by ! ,dean1 ,pr(4 ,r4 ,dorsey ,coale4 ,!re 7 #ag nurses to graduate ?is ye>1 b "o ( !m1 ,miss ,ca!r9e ,m4 ,dukes1 is s]i\sly ill & c\ld n att5d4 ,aft] ! conf]r+ ( degrees ,dr4 ,ar?ur ,m4 ,%ipley gave ! "y nurses advice z to _! future4 ,! op5+ pray] 0 deliv]$ by ,rev4 ,edw9 ,b4 ,niv]1 rector ( ,*ri/ ,prote/ant ,episcopal ,*ur*1 & b5$iction 0 pron\nc$ by ,rev4 ,dr4 ,hemsley1 ( ,oakl&1 ,md4 ,! hall ( ! ,univ]sity 0 cr[d$ ) fri5ds & relatives ( ! graduates4 ,x 0 decorat$ ) c>nations & pott$ palms1 & ar\nd ! pill>s 0 tw9$ black & r$ bunt+1 ! ,univ]sity colors4 ,! nurses1 prec$$ by ,pr(essor ,coale & ,dr4 ,%ipley1 ent]$ ! hall 9 pairs1 c>ry+ b\quets ( ,m>gu]ites4 ,dr4 ,%ipley said t mu* ( ! nurses' tra9+ _h be5 "u 8 sup]vision1 & he felt a p]sonal int]e/ 9 !m4 ,wom51 he said1 inv>iably sc>$ him1 b someone in=m$ ! physician t 0 n always s1 = ,dr4 ,%ipley is to become a b5$ict today4 8,y h *os5 a "w t is second to none 9 ! _w10 said ,dr4 ,%ipley4 8,y h be=e y possibilities t are almo/ limitless4 ,y are on ! ?re%old ( a life t is to be ( y\r own mak+1 = ! *ief dang] ( ! individual nurse is drift+4 ,x is s easy to =get ! old-"t /&>ds & call !m old-fa%ion$4 ,old-fa%ion$ !y may be1 b !y h /ood ! te/ ( g5]ations ( correct liv+ & ?9k+40 ,at night ! graduates 7 giv5 a f>ewell reception & dance by ! und]graduates4 ,disp5s>y ,report1 ,april1 #aijh1 to ,april1 #aiji4 ,,( ,,univ]sity ,,hospital ,dep>tm5t4 ,new ,cases4 ,old ,cases4 ,surgical #a1gjc #d1ddh ,m$ical #a1gji #c1aii ,g5ito ,ur9>y #gfe #b1icc ,n]v\s #cii #a1iga ,wom5 #gcc #a1bgi ,/oma* #dba #a1ajh ,?roat & ,nose #fbb #a1jci ,*ildr5 #gfa #iig ,eye & ,e> #gab #ijc ,sk9 #dgc #ijg ,tub]culosis #aij #gjc ,or?op$ic #ca #abj ------------ ------------ #h1eai #ai1fji ,total new cases #h1eai ,total old cases #ai1fji ------------ ,gr& total #bh1abh ,,john ,,h\ff1 ,m4 ,d41 ,disp5s>y ,physician4 ,,disp5s>y ,,physicians ,,& ,,*iefs ,,( ,,cl9ic4 ,m$ical ,dep>tm5t--,dr4 ,j4 ,m4 ,craighill1 ,*ief ( ,cl9ic2 ,drs4 ,w4 ,h4 ,smi?1 ,g4 ,c4 ,lock>d1 ,j4 ,f4 ,o',m>a1 ,r4 ,c4 ,metzel1 ,h4 ,j ,maldeis1 ,a4 ,b4 ,hayes1 ,h4 ,d4 ,mc,carty1 ,e4 ,s4 ,p]k9s1 ,j4 ,f4 ,adams1 ,h4 ,l4 ,s9sky1 ,cl>ke1 ,todd4 ,surgical ,dep>tm5t--,dr4 ,john ,g4 ,jay1 ,*ief ( ,cl9ic2 ,drs4 ,m4 ,t4 ,cromwell1 ,t4 ,a4 ,tompk9s1 ,jr41 ,j4 ,f4 ,adams1 ,j4 ,h4 ,smi?1 ,r4 ,b4 ,hayes4 ,/oma* ,dep>tm5t--,dr4 ,r4 ,a4 ,w>n]1 ,*ief ( ,cl9ic2 ,dr4 ,w4 ,w4 ,ei*5b]g]4 ,n]v\s ,dep>tm5t--,dr4 ,j4 ,f4 ,hawk9s1 ,*ief2 ,drs4 ,g4 ,m4 ,settle1 ,f4 ,j4 ,wilk9s1 ,n4 ,m4 ,ow5sby4 ,?roat & ,nose ,dep>tm5t--,dr4 ,h4 ,c4 ,davis1 ,*ief ( ,cl9ic3 ,dr4 ,l4 ,j4 ,goldba*4 ,eye & ,e> ,dep>tm5t--,dr4 ,e4 ,e4 ,gibbons1 ,*ief ( ,cl9ic2 ,dr4 ,wm4 ,t>un4 ,wom5 ,dep>tm5t--,dr4 ,wm4 ,k4 ,:ite1 ,*ief ( ,cl9ic2 ,drs4 ,h4 ,w4 ,br5t1 ,e4 ,s4 ,p]k9s1 ,r4 ,l4 ,mit*ell4 ,g5ito ,ur9>y ,dep>tm5t--,dr4 ,wm4 ,d4 ,scott1 ,jr41 ,*ief4 ,sk9 ,dep>tm5t--,dr4 ,j4 ,r4 ,ab]crombie1 ,*ief4 ,*ildr5's ,dep>tm5t--,dr4 ,a4 ,b4 ,l5nan1 ,*ief2 ,dr4 ,h4 ,s*o5ri*4 ,tub]culosis ,dep>tm5t--,dr4 ,gordon ,wilson1 ,*ief4 ,or?op$ic ,dep>tm5t--,dr4 ,compton ,riely1 ,*ief2 ,dr4 ,s4 ,dem>co4 ,,john ,,h\ff1 ,m4 ,d41 ,disp5s>y ,physician4 ,,m>riages4 ,dr4 ,wm4 ,b4 ,w>!n1 class ( #aije1 ( ,b>t[1 ,ga41 an ex-resid5t gynecologi/ 9 ! ,univ]sity ,hospital1 & "o ( ! mo/ popul> memb]s ( 8 class1 a hale fell[ & "o ( ! mo/ loyal alumni ( ! ,univ]sity ( ,m>yl&1 0 m>ri$ at ,macon1 ,ga41 ,april #ae1 #aiji1 to ,mrs4 ,sallie ,bell ,newsom1 ( ,davisboro1 ,ga4 ,! ,bullet9 & fri5ds ( ,dr4 ,w>!n ext5d to him _! be/ wi%es = a long1 successful & happy m>riage4 99 99 99 99 99 ,mrs4 ,lav9ia ,e4 ,?omas has issu$ c>ds ann\nc+ ! m>riage ( h] daught]4 ,miss ,alice ,saund]s ,?omas1 to ,dr4 ,edw>d ,b>ney ,smi?1 class ( #aijg1 on ,april #ba/1 #aiji1 at ,cre$s1 ,virg9ia4 ,dr4 & ,mrs4 ,smi? w be at home aft] ,may #a1 #aiji1 at ,woodleigh1 ,n4 ,c4 99 99 99 99 99 ,! m>riage ( ,miss ,hel5 ,a%by1 daught] ( ,pr(4 ,?omas ,a4 ,a%by & ,mrs4 ,a%by1 to ,mr4 ,h>ry ,t4 ,gidd+s1 ( ,baltimore1 took place ,april #bh1 #aiji1 at ! resid5ce ( h] p>5ts1 #aabe ,madison av5ue1 ,baltimore4 99 99 99 99 99 ,miss ,edna ,wright1 only daught] ( ,mr4 ,k4 ,j4 ,wright1 a prom95t m]*ant ( ,hurlock1 ,md41 & ,dr4 ,g4 ,rog] ,my]s1 a well-kn[n physician ( ,hurlock1 7 m>ri$ ,w$nesday aft]noon1 ,april #bh1 #aiji1 at ! home ( ! groom's p>5ts4 ,rev4 ,l4 ,f4 ,m4 ,my]s1 ( ,philadelphia1 a bro!r ( ! groom1 (ficiat$ at ! c]emony4 ,aft] a honeymoon sp5t at ,atlantic ,city & o!r ,nor!rn po9ts ( int]e/1 ! c\ple w make _! home at ,hurlock4 99 99 99 99 99 ,miss ,julia ,c4 ,*]bonni]1 ( ,baltimore1 & ,dr4 ,eug5e ,f4 ,raphel1 class ( #aijf1 ( ,:eel+1 7 m>ri$ at ,/4 ,ann's ,ca?olic ,*ur* ,m>* #ab1 #aiji1 by ,rev4 ,c4 ,f4 ,?omas1 assi/$ by ,rev4 ,wm4 ,m4 ,clem5ts4 ,! bride 0 giv5 9 m>riage by h] fa!r1 ,capt4 ,a4 ,v4 ,*]bonni]4 ,h] maid ( honor 0 ,miss ,jeannette ,raphel1 si/] ( ! groom4 ,! groom 0 att5d$ by 8 bro!r1 ,alexis ,a4 ,raphel4 ,among ! u%]s 7 ,dr4 ,j4 ,holmes ,smi?1 ,jr4 ,dr4 & ,mrs4 ,raphel w make _! home at ,:eel+1 ,w4 ,va4 99 99 99 99 99 ,dr4 ,ar?ur ,m>riott ,%ipley1 class ( #aijb1 = a numb] ( ye>s assi/ant resid5t surgeon1 & lat] sup]9t5d5t ( ! ,univ]sity ,hospital1 n[ associate pr(essor ( surg]y1 ,univ]sity ( ,m>yl&1 0 m>ri$ ,may #f1 #aijh1 at ,eutaw ,place ,bapti/ ,*ur*1 at #h4cj ,p4 ,m41 to ,miss ,julia ,armi/ead ,joynes1 daught] ( ,mr4 ,tully ,armi/ead ,joynes1 ( ,baltimore4 ,,dea?s4 ,dr4 ,hugh ,a4 ,maughl91 class ( #ahfd1 ( ,baltimore1 di$ ,saturday1 ,april #ag1 #aiji1 at 8 home1 #aba ,nor? ,broadway1 ,baltimore4 ,dr4 ,maughl9 0 a prom95t memb] ( ! ,gr& ,army ( ! ,republic4 ,rev4 ,j4 ,wynne ,jones1 pa/or ( ,abbott ,memorial ,*ur*1 ,highl&t[n1 :o is ! *apla9 ( ,wilson ,po/1 ( :i* ,dr4 ,maughl9 0 a memb]1 conduct$ ! fun]al s]vices4 ,burial 0 9 ,gre5m\nt ,cemet]y4 99 99 99 99 99 ,dr4 ,newton ,cl>k ,/ev5s1 class ( #ahge1 a memb] ( ! ,l\isiana ,/ate ,m$ical ,society1 di$ at 8 home1 9 ,ama1 ,janu>y #bh1 #aiji1 ag$ #fb4 99 99 99 99 99 ,dr4 ,h[>d ,e4 ,mit*ell1 class ( #ahhb1 ( ,ell]slie1 ,md41 di$ at ! ,we/]n ,m>yl& ,hospital1 ,cumb]l&1 ,md41 ,april #f1 #aiji1 #dh h\rs aft] hav+ be5 /ruck by a tra91 ag$ fifty-f\r4 99 99 99 99 99 ,rec5tly at ,cavite1 ,philipp9e ,isl&s1 ,mrs4 ,m>y ,gibbs ,morris1 wife ( ,dr4 ,lewis ,morris1 class ( #ahij1 surgeon ,unit$ ,/ates ,navy1 0 ga!r$ unto h] fa!r4 ,h] husb& 0 born 9 ,baltimore1 & is ! son ( ! late ,capt4 ,c4 ,manigault ,morris1 comm&] ( ! ,florida1 ,conf$]ate ,/ates ,navy4 99 99 99 99 99 ,dr4 ,william ,hung]=d ,burr1 class ( #ahhd1 a memb] ( ! ,am]ican ,m$ical ,association1 = f\r ye>s surgeon 9 *>ge ( ! ,santa ,fe ,sy/em ,hospital & surgeon to ! ,cl>k ,coal ,company1 ,gallup1 ,new ,mexico1 di$ 9 ! ,santa ,fe ,hospital1 ,albuqu]que1 ,new ,mexico1 ,april #ac1 #aiji1 f pneumonia1 ag$ =ty-n9e4 99 99 99 99 99 ,dr4 ,edg> ,t4 ,duke1 "o ( ! mo/ prom95t physicians ( ,allegany c\nty1 di$ ,april #c at 8 home1 on ,b$=d /reet1 ,cumb]l&1 ! result ( an attack ( pneumonia4 ,he 0 #dc ye>s old1 a son ( ,major & ,mrs4 ,j4 ,e4 ,duke1 & 0 a native ( ,*>le/[n1 ,w4 ,va41 com+ to ,cumb]l& ) 8 p>5ts :5 a "y man4 ,he /udi$ ph>macy ) ! late ,dr4 ,john ,f4 ,za*>ias1 & lat] read m$ic9e "u ! late ,dr4 ,g4 ,ellis ,port] at ,lonacon+1 graduat+ at ! ,univ]sity ( ,m>yl& 9 ! class ( #ahia4 ,dr4 ,duke 0 9 love ) 8 pr(ession1 & 0 = a numb] ( ye>s secret>y ( ! ,allegany ,c\nty ,m$ical ,association4 ,he 0 prom95t be=e ! association = 8 special pap]s1 & 0 also prom95t on ! *ur* lecture plat=m4 ,h>dly a *ur* 9 ,cumb]l& b t has _h ,dr4 ,duke's s]vices4 ,he 0 a memb] ( ,*os5 ,fri5ds' ,lodge1 ,no4 #cd1 ,indep5d5t ,ord] ( ,odd ,fell[s1 ( :i* body he 0 secret>y = "s ye>s1 & also a pa/ presid+ (fic]1 & 0 connect$ ) o!r frat]nal organizations4 ,dr4 ,duke 0 also a memb] ( ! ,am]ican ,m$ical ,association1 ! ,m$ical & ,*irurgical ,faculty ( ,m>yl& & ! ,tri/ate ,m$ical ,association4 ,he assi/$ 9 organiz+ ! ,we/]n ,m>yl& ,hospital ,tra9+ ,s*ool = ,nurses & 0 "o ( ! lectur]s4 ,he 0 an eld] & ! ,sunday s*ool sup]9t5d5t 9 ! ,presbyt]ian ,*ur*4 ,he 0 not$ = 8 k9dness4 ,he 0 also active 9 ! ,"y ,m5's ,*ri/ian ,association & 0 *airman ( ! boys' "w committee4 ,8 fa!r is a prom95t ,conf$]ate vet]an4 ,8 fun]al took place ,?ursday aft]noon1 ,april #ae1 f ! ,fir/ ,presbyt]ian ,*ur*4 ,at ! pres5t "t ,dr4 ,duke's ag$ "m is v ill4 ,dr4 ,duke leaves a wid[1 =m]ly ,miss ,g>dn]2 8 p>5ts1 "o bro!r1 ,mr4 ,h>ry ,k4 ,duke1 & "o si/]1 ,mrs4 ,m>y ,campbell1 all ( ,cumb]l&4 99 99 99 99 99 ,dr4 ,edw>d ,pontney ,irons1 an alumnus ( ! ,univ]sity ( ,m>yl&1 & "o ( ! olde/ physicians 9 ! city1 di$ ,sunday1 ,april #d1 #aiji1 at ! home ( 8 si/]1 ,mrs4 ,william ,p4 ,l[ry1 #ajbc ,h>lem av5ue4 ,he 0 #hd ye>s old4 ,he 0 born 9 ?is city1 a son ( ,dr4 ,james & ,rebecca ,irons1 :o 7 ( ,engli% & ,fr5*-,iri% ance/ry1 & desc5dants ( ! e>li] settl]s ( ! /ate4 ,he ent]$ bus9ess & 0 v>i\sly employ$ 9 a numb] ( ! ,s\!rn ,/ates4 ,9 #ahfc he return$ to ?is city & ent]$ ! ,univ]sity ( ,m>yl&4 ,aft] graduation 9 #ahfe1 :5 ! ,civil ,w> 0 ne>+ its end1 he act$ z assi/ant surgeon 9 ! ,(fic]s' ,hospital at ,annapolis4 ,a ye> lat] he w5t to ,alabama1 b rema9$ only a %ort "t4 ,he return$ & op5$ a practice "h1 :i* he ma9ta9$4 ,he retir$ f active "w ab\t sev5 ye>s ago4 ,at t "t he 0 subord9ate m$ical exam9] = ! ,royal ,arcanum1 ( :i* he 0 a memb]4 ,he 0 also a memb] ( ! ,masons1 ! ,baltimore ,m$ical ,society & ! ,m$ical & ,*irurgical ,faculty ( ,m>yl&4 ,9 #aheg he m>ri$ ,miss ,anna ,rebecca ,sewell1 a daught] ( ,?omas ,h4 ,sewell1 a ,baltimore manufactur]4 ,a daught]1 ,mrs4 ,james ,w4 ,ramsey1 is ! only survivor4 99 99 99 99 99 ,dr4 ,b5jam9 ,frankl9 ,laughl91 class ( #aijd1 di$ at 8 home1 at ,de] ,p>k1 ,md41 ag$ #ca ye>s4 ,he fir/ locat$ at ,bla9e1 ,w4 ,va41 :]e he practic$4 ,he 0 tak5 ill at ,k+wood1 ,w4 ,va41 "s mon?s ago1 & 0 lat] s5t to a ,baltimore hospital1 b he %[$ no signs ( improvem5t4 ,he 0 a son ( ,dr4 & ,mrs4 ,j4 ,w4 ,laughl91 ,de] ,p>k1 & a bro!r ( ,hice ,laughl91 a prom95t ,baltimore & ,ohio (ficial1 ,grafton1 ,w4 ,va4 ,dr4 ,george ,c4 ,f>n&as1 class ( #aheb1 ( ,baltimore1 di$ ,sunday1 ,april #d1 #aiji1 at 8 home1 #agba ,m>yl& av5ue1 ,baltimore1 ( old age4 ,! fun]al took place f 8 late home1 #agba ,m>yl& av5ue4 ,dr4 ,f>n&as 0 #hj ye>s old4 ,be=e ! ,civil ,w> he _h a l>ge practice1 b gave x up s t he might travel4 ,he 0 well kn[n to ! old] g5]ation ( ,baltimoreans4 ,! s]vices 7 conduct$ by ,rev4 ,j4 ,h4 ,eccle/on1 rector ( ,emmanuel ,*ur*4 ,! honor>y pallbe>]s 7 ,dr4 ,n4 ,k4 ,keirle1 ,dr4 ,james ,m4 ,craighill1 ,dr4 ,samuel ,t4 ,e>le1 ,mr4 ,?omas ,h4 ,rob9son & ,mr4 ,wm4 ,p4 ,trimble1 ( ,h>=d c\nty4 ,burial 0 9 ,gre5m\nt ,cemet]y4 99 99 99 99 99 ,mrs4 ,virg9ia ,blackwell ,c>d]1 ag$ #ch ye>s1 wife ( ,dr4 ,george ,m4 ,c>d]1 class ( #ahia1 ( ,cumb]l&1 ,md41 di$ ,m>* #ag1 #aiji1 aft] a /ruggle ( two weeks aga9/ ! ravages ( a ma/oid abscess4 ,mrs4 ,c>d] 0 prep>+ to visit h] si/]1 ,mrs4 ,gay ,breton ,l]\x1 9 ,d\glas1 ,ga4 ,sudd5ly %e 0 /rick51 & :5 an op]ation became necess>y ,mrs4 ,c>d] insi/$ t h] husb&1 a surgeon :o has kept con/ant vigil ! la/ two weeks1 p]=m ! op]ation4 ,! op]ation 0 app>5tly v successful1 & ,mrs4 ,c>d] 0 improv+1 :5 complications 9 ! =m ( typhoid fev] set 94 ,pr(4 ,c4 ,w4 ,mit*ell1 ( ,baltimore1 & ,drs4 ,j4 ,t4 ,walk] & ,h>ry ,hyl& ,k]r1 ( ,wa%+ton1 7 call$ by ,dr4 ,c>d]1 & all said ev]y?+ possible 0 be+ done = h]1 b held out no hope4 99 99 99 99 99 ,mrs4 ,c>d] 0 ! daught] ( ,?omas ,callan1 ( ,n>r[s ,p>k1 &1 besides h] husb&1 leaves a little son 7,rob]t ,callan ,c>d]71 two bro!rs 7,george ,s4 ,callan1 ( ,duffields1 ,w4 ,va41 & ,*>les ,t4 ,callan1 ( ,little ,orleans1 ,md471 & "o si/] 7,mrs4 ,l]\x74 ,miss ,m>y ,l4 ,callan1 a si/]1 0 accid5tally dr[n$ 9 ! ,potomac at ,little ,orleans4 ,9 ,pneumonia ! inspir$ air %\ld be ri* 9 oxyg5 & comp>atively cool1 :ile ! surface ( ! body1 especially ! ?orax1 %\ld be kept w>m1 le/1 becom+ *ill$1 ! action ( ! phagocytes 9 _! battle ) ! pneumococci be inhibit$4 ,antiphlogi/9e 7,inflammation's ,antidote7 appli$ to ! *e/ wall1 front1 sides & back1 hot & ?ick1 /imulates ! action ( ! phagocytes & (t5 turns ! scale 9 favor ( recov]y4 ,cr\p4--,in/ead ( dep5d+ on an emetic = quick action 9 cr\p1 ! physician w d well to apply ,antiphlogi/9e hot & ?ick f e> to e> & d[n ov] ! int]clavicul> space4 ,! results ( su* treatm5t are usually prompt & gratify+4 ,antiphlogi/9e hot & ?ick is also indicat$ 9 ,bron*itis & ,pleurisy ,! ,d5v] ,*emical ,mfg4 ,co4 ,new ,york ,c]ta9 z x is t a s+le act+ cause c br+ ab\t any "o ( ! sev]al anomalies ( m5/ruation1 j s c]ta9 is x t a s+le rem$ial ag5t--if prop]ly adm9i/]$--c effect ! relief ( any "o ( ^? anomalies4 ,! s+ul> efficacy ( ,ergoapiol 7,smi?7 9 ! v>i\s m5/rual irregul>ities is manife/ly due to its prompt & direct analgesic1 antispasmodic & tonic action ^u ! entire female reproductive sy/em4 ,ergoapiol 7,smi?7 is ( special1 inde$ extraord9>y1 value 9 su* m5/rual irregul>ities z am5orrhea1 dysm5orrhea1 m5orrhagia & metrorrhagia4 ,! creators ( ! prep>ation1 ! ,m>t9 ,h4 ,smi? ,company1 ( ,new ,york1 w s5d samples & exhau/ive lit]ature1 po/ paid1 to any memb] ( ! m$ical pr(ession4 ,,transcrib]',s ,,notes #a4 ,sil5tly correct$ typographical errors4 #b4 ,reta9$ ana*roni/ic & non-/&>d spell+s z pr9t$4 #c4 ,enclos$ italics font 9 und]scores4 #d4 ,enclos$ bold font 9 equals4