DR. MARTIN read portions of Dr. Powell's original paper relative to the history of external application.

DR. CLARK wished to know what strength of alcohol was used for antidotal purposes in the stomach cases.

DR. MARTIN thought that the full strength-95 per cent. was indicated.

DR. STORCK believed that 50 per cent. solution was all that was necessary. He feared that gastritis would follow the use of full strength.

DR. PERKINS especially warned the physicians against the ordinary alcohol found in small drug shops. If carbolic acid is to be used, great care should be taken in obtaining the 95 per cent. alcohol. He insisted that it was necessary to apply the alcohol freely and for some minutes, fifteen if necessary, until all sense of burning had entirely ceased. Dr. Perkins referred to a case of erysipelas of the face, near the eyes, in which he had used the carbolic acid and alcohol treatment, painting the entire surface that was involved, except a small margin of skin below the lower lid. The entire process was controlled, with the exception of that portion of the erysipelas area, which was left untouched for fear of injuring the conjunctiva. Dr. Perkins believed that the antidotal effect of alcohol was based not upon the dilution, but upon chemical change.

DR. JACOBY wished to call the attention of the Society to the fact that it was quite necessary to rub the alcohol into the skin and not simply put it on the painted surface.

DR. ROBERTSON mentioned that he had found olive oil a very good and controllable and reliable vehicle in which to incorporate carbolic acid.

DR. BLUM spoke upon the lesser danger of the use of the strong solution than in that of the weak. He referred to Dr. Powell having used the pure acid as a mouth wash, followed by the antidote, in which there was no bad results. He also referred to the case reported by Dr. Fenner, in which 5 per cent. carbolic solution was irrigated into the bowels accidentally, followed by alarming symptoms.

DR. DUPUY next wished to bring before the Society the very interesting question of adrenalin and its constitutional effects, especially its control of hemorrhage when administered internally. In his specialty he had used it quite frequently with

very happy results. Several cases of epistaxis that proved to be uncontrollable by packing and the usual surgical procedure for such cases, had been quickly checked by the internal administration of twenty drops of a 1 to 1000 solution every two or three hours. In several cases he had not touched the pack, but simply administered the adrenalin solutions internally, which was followed by complete relief.

DR. BLUM said that he used a suprarenal extract in a case of hemoptysis, which acted well for 24 hours, but he found the secondary effect bad.

DR. CLARK spoke of the experimental work being carried on by Dr. Crile, of Cleveland, on the use of adrenalin in dogs, when injected intravenously. From these experiments, it was indeed hopeful that a very valuable and life-saving agent was being developed. In these experiments the animals were bled until all external evidence of heart action had ceased, when the solution would be injected intravenously, to be followed by a gradual restoration of the heart action. It seems that the powerful influence produced on the circulation by this drug is dependent upon the specific property as a vasomotor constrictor.

DR. DABNEY believed that where the method by mouth administration failed he thought it advisable to use the solution hypodermically.

DR. DUPUY, in conclusion, said that the drug owed its action to its influence upon the sympathetic system, being primarily a vasomotor constrictor. The discussion had been opened mainly for the purpose of discussing its effect upon hemorrhage, when administered internally. Dr. Dupuy mentioned several more cases in which the remedy had been effectual, and also believed that it would prove to be a most valuable agent in the treatment of intestinal hemorrhage in typhoid fever, as well as hemopty sis. He believed that adrenalin was to suprarenal extract what cinchona was to quinin. The solution put up by a very reliable drug house, 1 to 1000, he had found a most satisfactory method of administration.

The President has appointed the following Standing Committees:

SCIENTIFIC ESSAYS AND DISCUSSIONS-Dr. L. G. LeBeuf, Chairman. Dr. W. M. Perkins, Dr. E. J. Huhner, Dr. I. I. Lemann, Dr. Gordon King, Dr. E. D. Fenner.

JUDICIARY-Dr. M. J. Magruder, Chairman. Dr. A. Nelken, Dr. R. J. Mainegra, Dr. J. J. Ryan, Dr. Hugh Kelly, Dr. Edmund Moss.

STATE MEDICINE AND LEGISLATION-Dr. Isadore Dyer, Chairman. Dr. Paul Michinard, Dr. W. T. O'Reilly, Dr. A. G. Friedrichs, Dr. A. J. O'Hara, Dr. H. A. Veazie.

LIBRARY-Dr. S. P. Delaup, Sub-Chairman. Dr. J. C. Derbofen, Dr. A. Jacoby, Dr. E. W. Jones, Dr. L. L. Cazenavette. PUBLICATION-Dr. S. M. D. Clark, Chairman. Dr. Jules Lazard, Dr. N. F. Thiberge.

PRESIDENT'S ADDRESS-Dr. T. S. Dabney, Chairman. Dr. M. M. Lowe, Dr. E. D. Martin, Dr. J. Barnett.

SECRETARY'S REPORT-Dr. Philip Asher, Chairman. Dr. A. Maylie, Dr. J. S. Hebert, Dr. H. N. Blum.

LIBRARIAN'S REPORT-Dr. C. N. Chavigny, Chairman. Dr. C. J. Miller, Dr. A. B. Gaudet, Dr. J. B. Guthrie.

NECROLOGY-Dr. E. L. McGehee. Dr. Felix Larue, Dr. E. H. Walet, Dr. S. L. Théard.

Louisiana State Medical Society Notes.

NEXT MEETING IN NEW ORLEANS, TUESDAY, WEDNESDAY AND THURSDAY, APRIL 28, 29, and 30, 1903.

President, Dr. Isadore Dyer, New Orleans; Recording, Secretary, Dr. Wm. M. Perkins, 163 University Place, New Orleans; Corresponding Secretary, Dr. A. G. Friedrichs, 641 St. Charles [street, New Orleans; Treasurer, Dr. H. S. Cocram, 124 Baronne street, New Orleans; Chairman, Committee of Arrangements, L. G. Le Beuf, 830] Canal street, New Orleans.

PLANS ARE BEING VIGOROUSLY PUSHED for the meeting. As the American Medical Association meets here only five days later, a large number of physicians of the State will doubtless take advantage of the unusual opportunity of attending two such important meetings on one trip. The annual gatherings of the representatives of the medical profession of the State are becoming increasingly interesting and popular, and it is hoped that at the meeting the number of new members enrolled will

show that the physicians of Louisiana are as energetic as those of our sister States in organizing for mutual benefit and progress.

New Orleans will welcome her guests with her accustomed hospitality. A reception at the Palm Garden and a smoker at one of the clubs, besides the annual banquet, are contemplated. The Tulane Medical College has extended the hospitality of its rooms for the meeting.

It is hoped that the rates extended to the American Medical Association will be applicable to the State meeting also, in order to offer every inducement for physicians from the parishes to attend both.

LIST OF SECTIONS WITH SUBJECTS ANNOUNCED:

Ear, Nose and Throat: Dr. Gordon King, New Orleans, Chairman. Subject for discussion: Diseases of the Accessory Cavities. Diagnosis and Treatment.

Neurology and Mental Diseases: Dr. C. D. Simmons, Dutchtown, Chairman. Subject: Acute Ascending Paralysis with Report of two Rapidly Fatal Cases.

Surgery: Chairman, Dr. F. W. Parham, New Orleans. Subject for Discussion-Appendicitis and the proper attitude of the surgeon as well as the physician towards it.

Diseases of Children: Chairman, Dr. E. M. Dupaquier, 819 Orleans street, New Orleans. Subject for Discussion-Typhoid Fever.

All members interested are requested to make a clinical report of their cases, with special reference to the following points:

1. The occurrence of typhoid fever is increasing.

2. The true condition is often unrecognized, especially in nurslings. Its peculiarities are many and quite misleading.

3.

4. Its practical management, especially at the age of two years or thereabouts, is far from easy.

5. Its relation to tuberculosis is decidedly marked.

6. Prevalence and severity in the white and negro races, in the foreignborn and in the native-born of foreign or native parentage.

7. Cases of continued fever, neither malaria nor typhoid, in which drug treatment causes undue mortality among children.

The Chairman, whose address is given above, would be glad to correspond with the members of the Society about this or other subjects in his Section.

General Medicine: Dr. R. B. Paine, Mandeville, Chairman. Subject for discussion: Recent Advances in the Treatment of Diarrhea.

Genito-Urinary Diseases: Dr. A. R. Trahan, Lafayette, Chairman. Subject: The Pathology and Treatment of Chronic Gonorrhea.

Obstetrics and Gynecology: Dr. C. Jeff Miller, New Orleans, Chairman. Subject: Treatment of Gonorrhea in the Female.

Dermatology: Dr. J. N. Roussel, New Orleans. Subject: Ringworm of the Body Considered in a General Way.

Sanitary Science: Dr. R. L. Randolph, Alexandria, Chairman. Subject: Facts Relating to the Transmission of Yellow Fever.

Oral Surgery: Dr. A. G. Friedrichs, New Orleans, Chairman. Subject: The Wisdom Teeth.

Miscellaneous Papers: Malarial Hemoglobinuria, by Dr. L. Lazaro, Washington. On the Use of Colored Lantern Slides in the Teaching of Anatomy, Pathology, Surgery and Obstetrics, with Exhibition of Slides, by Dr. Edmund Souchon, New Orleans. Inguinal Hernia with Resection of the Bowel; Report of Cases by Dr. J. M. Batchelor, New Orleans. Chronic Gonorrhea in the Male, by Dr. A. Nelken, New Orleans.-a. Pathological Histology of Secretions.-b. Internal Antiseptic Therapy in Acute and Chronic Pathological Processes, by Dr. H. L. Ducrocq, of Lafourche Crossing. Report of Cases of Empyema, by Dr. J. F. Oechsner, New Orleans. A Few Surgical Wrinkles, by Dr. F. W. Parham, New Orleans. Hernia of the Ovary, Operation, Recovery and Radical Cure, by C. J. Ducoté, Cottonport. Some Notes on Treatment of Phthisis Pulmonalis, by Dr. L. G. LeBeuf, New Orleans. Phlyctenular Ophthalmia in the White and the Negro, with remarks on local treatment, by Dr. H. D. Bruns, New Orleans. Delayed Operation for Appendicitis, by Dr. E. D. Newell, St. Joseph.

American Medical Association Notes.

NEXT MEETING IN NEW ORLEANS, MAY 5, 6, 7 AND 8, 1903.

GENERAL OFFICERS OF THE AMERICAN MEDICAL ASSOCIATION, 1902-1903. President, Frank Billings, Illinois; First Vice President, J. A. Witherspoon, Tennessee; Second Vice President, G. F. Comstock, New York; Third Vice President, C. R. Holmes, Ohio; Fourth Vice President, James H. Dunn, Minnesota; Secretary-Editor, George H. Simmons, Illinois; Treasurer, Henry P. Newman, Illinois; Chairman Committee of Arrangements, Isadore Dyer, 124 Baronne Street, New Orleans, La.

THE SOUTHWESTERN PASSENGER BUREAU has made about the same arrangements as the Southeastern, which was announced in the last issue. They furnish us the following data:

RATE. One regular, first-class fare for the round trip.