Chadwick was ahead of his time, and was compelled to expend much of his energy in endeavoring to lift people up to a level where they could get a glimpse at principles and measures of sanitation that were to him clear and cogent as the light of day. To him the value of human life, and many of the means of its protection, were of the nature of selfevident propositions.

PROCEEDINGS OF SOCIETIES.

MEDICAL SOCIETY OF THE COUNTY OF KINGS.

A regular monthly meeting of the Medical Society of the County of Kings was held at the Society rooms, 356 Bridge Street, Tuesday evening, June 17, 1890, at 8 o'clock. Dr. Chase in the chair.

There were about 100 members present.

The minutes of the previous meeting were read and approved. The Council reported favorably upon the following applicants, and recommended that they be elected to membership:

Drs. Benjamin F. M. Blake, Frederick K. Priest, Joseph P. Warbasse, George Dominguez, J. F. Kuhn, R. C. Brewster, and Henry Wallace.

In regard to the application for membership in the Society of persons who are graduates of medical schools other than regular, the Council reported that the following resolution had been adopted at the May meeting:

Resolved, That it is the sense of this Council that it is not advisable to admit to membership in the Society graduates of other than regular schools of medicine, or such practitioners the admission of whom would cause schisms in the Society.

The above report was accepted and adopted as read.

The following, having been regularly proposed and favorably reported upon by Council, were declared elected to membership:

Drs. Franklin P. Miller, John F. Kent, Z. F. Dunning, Paul Heuser, Henry Alderton, Wilioughby I. Wood, and William C. Schirmer.

The Chairman announced the death of Dr. Melia, who was an applicant for membership in the Society, and whose name had been. favorably passed upon by Council, and suggested that it would be proper and in order to suspend the by-laws in order that a two-third vote might be taken to elect Dr. Melia a member of the Society and have his name placed on the rolls.

On motion, duly seconded and carried, it was so ordered, and Dr. Bodkin was appointed a Committee of One to draft a suitable memorial of Dr. Melia.

The President announced the death of Dr. Wales L. Cary, and on motion the following Obituary Committee was appointed, to report at the September meeting. (Committee) Drs. Wallace, Van Cott, and Jeffrey.

On motion of Dr. Kretzschmar, it was

Resolved, That a Committee of Five be appointed to consider the advisability of requesting the Commissioners of Charity to appoint a Board of Visiting Physicians and Surgeons for the County Hospitals in Flatbush, so that the medical profession of Kings County can have a representation in the management of the same; said committee to report back to the Society some plan for carrying out this purpose, upon receipt of which the Society can confer with the Board of Charities Commissioners, with a view of accomplishing the desired object. Under the above resolution the chair appointed the following committee Drs. Pilcher, Kretzschmar, Fowler, Bellows and Bogart.

The following applications for membership were presented:

Dr. Chas. G. Krehler, 323 South 5th St., Coll. P. and S., N. Y., 1882; proposed by Dr. James L. Kortright; Wm. M. Hutchinson.

Dr. R. P. Crandall, U. S. Naval Hospital, Univ. of Pa., 1887, proposed by H. W. Rand; Chas E. De La Vergne.

The Chair stated that the Committee on General Medicine would report in September, and the Committee on Surgery in November.

SCIENTIFIC BUSINESS.

The first paper of the evening was a brief note on "Episiotomy," by Dr. Charles Jewett, which was read, and discussed by Drs. Bartley, Wallace, Kretzschmar, Chase and Emory.

The second paper, by Dr. E. H. Bartley, entitled "Rapid and Easy Method of Determining the Amount of Urea and Sugar in Urine,' was read and demonstrated, and discussed by Drs. Jewett and Hutchinson.

Dr. Bartley also gave a brief talk upon the subject of "How Babies Shall be Fed," and presented two sample milk-cans, which were suggested as the best form in which to deliver sterilized milk to the consumer; and stated that they should make an attempt to have the sterilized milk placed on the market in such cans as the ones exhibited. Dr. Henry Conkling read a paper, entitled "The Heart in Diphtheritic Paralysis," with report of a case.

On motion, the meeting adjourned to the third Tuesday in September, 1890.

W. M. HUTCHINSON,

Secretary.

BROOKLYN PATHOLOGICAL SOCIETY.

The 314th regular meeting of the Brooklyn Pathological Society was held at the Society Rooms February 13, 1890, Dr. R. G. Eccles, Vice-President, in the chair.

Dr. Wilson presented a specimen of "Abscess of the Brain."

In the discussion, Dr. H. Messenger Ayres said: I was looking over the records of some cases which came under the care of Dr. Daniel Ayres, and found the following history of a case:

The patient had headache and bilious fever, from which he recovered; had a similar attack one month later; persistent pain over left supra-orbital region. On consultation, it was thought to be periostitis, and an incision was made down through the periosteum. formed in wound, and in healing left a large scar.

An abscess

There were still paroxysmal attacks of pain, persistent; irregular, occasional vomiting and vertigo; memory and brain functions were apparently normal. His condition remained about the same until his death. On the night of his death he had eaten a light supper, retired early, and in the early morning suffered one of the worst paroxysms of pain he had had, and cried out: "Something has given away." The autopsy proved that there had. There was found a pus cavity in the left anterior cerebral hemisphere, communicating with the anterior ventricle, pus greenish, tissue softened around the abscess, otherwise normal.

There is one point I wish to make. He complained of a radiating pain all over the side of his head, neck and shoulder.

Dr. OSGOOD.-A man had been kicked by a horse, suffering a compound fracture of the skull, quite extensive.

I saw him three months later, and he said he had been operated upon after the accident, and a piece of bone removed, 1 by 14 inches.

He was suffering from headache, nothing else, and nothing to call attention to himself except the headache. Diagnosis of the case was not made at that time; he was treated for his headache. One morning he spoke of himself, saying he had not felt better for some time; went to bed, and in one-quarter of an hour died.

Autopsy revealed dura mater adherent to scalp at. seat of injury. Beneath the dura was a capsulated abscess, some softening around it, and the portion nearest the ventricle had ruptured, discharging its contents into the ventricle.

Dr. BAYLES.-I wish to state a case which I saw at the New York Hospital. Dr. Wilson states that in his case there were no symptoms of pressure nor paralyses, no indications of abscess. In this case I

wish to relate there was every symptom of an abscess, and none was found.

A year and a half before coming under my observation he fell from a ladder; was taken to Presbyterian Hospital. Previous to his fall he had been good-natured, now was irritable, and developed epileptical attacks; was treated with bromides, and finally discharged from that institution.

Epileptic attacks again increased in frequency; came to New York Hospital; was irritable, stupid, drowsy, with a well localized pain at seat of former injury. Dr. Markoe and staff suspected that it was an abscess in the brain. Head was shaved. Dr. Markoe thought he could feel a depression at seat of injury; there was inequality of the pupils; all special senses fogged, and an e; ileptic attack every day.

So an operation was decided upon, Dr. Markoe operating. An incision made revealed no depression, still it was thought an abscess would be fouud; trephine used; button of bone removed; dura was normal; no signs of abscess; wound sutured.

Patent felt better next day, and we thought we were going to have a favorable case; but the next day he had a chill, followed by fever, and finally death.

Autopsy revealed acute meningitis; no evidence of fracture, abscess, or any injury to the brain.

Dr. FEARN spoke of a case in which autopsy revealed an abscess. The man was struck by a brick thrown at him; skull was fractured, the line of fracture running nearly around the skull. He took out three inches of temporo-parietal bone.

There were inflammatory symptoms at the seat of injury, but no evidence of abscess from time of injury till the patient died.

Dr. WILSON. I cannot say what caused the death of the patient whose case I presented.

I have watched the progress of two cases of abscess which ran along for a long period of time before death ensued. One of these, on whom Dr. Delafield made the autopsy, had been struck by a ruler; the abscess involved the gangliæ.

Dr. Wilson next presented a microscopic specimen of bacteria found in the nasal secretions in influenza.

Dr. FEARN was much interested in the paper, and stated that he had been able by the use of boric acid as a snuff to relieve the sneezing and headache which accompanied the onset of the nasal symptoms. In his own case he experienced relief in five minutes after using it.

Dr. ECCLES said he believed that antiseptic remedies gave best results. He noticed that the epidemic consisted of all degrees of severity from the mildest to the most severe. He had frequently

observed this in epidemics of scarlet fever, some cases so mild that the only symptoms were nausea and headache: so with influenza; some very slight, others with violent muscular pains, bursting headache, severe diarrhoea, and peritonitis. Man is like a wagon; you can't tell

when he will break down.

Dr. WILSON asked if any had cases of pneumonia following attacks of influenza; he was interested to know, because he found so many of the diplococci resembling the pneumococci of Fränkel.

Dr. WRIGHT states that in the normal nasal secretion there are no streptococci, while in this specimen nearly all were streptococci.

The Society then went into executive session. There being no business to be transacted, the Society adjourned.

FREDERIC J. SHOOP, M. D.,

Secretary.

At the 315th regular meeting of the Society, held March 13, 1890, the report of a case of Alcoholic Paresis was presented by Dr. Schmidt.

Jacob Wagner, twenty-eight, barber; admitted in St. Catherine's Hospital, February 8, 1890. Previous history of having consumed large quantities of alcoholics, had gonorrhoea but no chancre. Three weeks ago he noticed, while shaving a customer, that his hands felt numb and the power of extensors was impaired. This wrist-drop continued to get worse, and he began to have sharp lancinating pains in his hands and feet.

On admission, wrist-drop was very marked, slight loss of power in hands and feet, much wasting of muscles of the forearms and arms, no lead line, mental faculties clear, urine normal, heart and lungs normal, temperature 101°, pains in hands and feet very severe; complete loss of power in extensors of the hands and arms; loss of power in extensors of feet; patellar reflex gone.

Electric contractility of flexors of the hand diminished, but well marked; extensor muscles would not respond.

February 22d: These symptoms continued to grow worse. He developed edema of the hands, the feet and penis, oedema of the lungs, with dyspnoea and ascites. Experienced great difficulty in passing urine, which was diminished in amount but contained no albumen. Patient now became very weak, and finally died.

Dr. Shaw saw the case and expressed the belief in its being one of alcoholic paralysis, complicated probably by a cirrhotic liver.

The following is the report of the post-mortem examination as far as we were permitted by the family to proceed with the invèstigation :