The Society has acted wisely and well
in her choice, and the Board of Examiners
should continue to be the bulwark and for-
tress of progressive medicine in the State
of North Carolina.
THE 47TH ANNUAL MEETING OF THE
The Medical Society of the State of North
Carolina met in Tarboro, May 22d, 1900,
at II o'clock.
The Society was called to order by Dr.
Julian M. Baker of Tarboro, Chairman of
the Local Committee of Arrangements.
Rev. J. B. Morton led the meeting in
prayer, after which Donnell Gilliam, Esq.,
of Tarboro, delivered an eloquent address
Dr. Chas. J. O'Hagan responded on be-
half of the Society.
The roll was then called and the Presi-
dent read his message.
The following committees were ap-
Credentials — Julian M. Baker, L. J. Pi-
cot, R. H. Whitehead.
Finance— C. M. Poole, H. M. Fletcher,
M. P. Perry.
Pittman P/ize— R. S. Young, R. H.
Whitehead, K. P. Battle, Jr.
Dr. J.H. Marsh read a paper on "Chronic
Cystitis," which was discussed by Drs. R.
H. Lewis, J. C. Rodman, C. J. O'Hagan,
Fletcher, Holmes, Galloway, Dodson, San-
derford, Whitaker, Bass, S. W. Battle,
Walton, Everett, and the discussion closed
by Dr. Marsh.
Dr. O'Hagan stated that Dr. Wm. O.
McDowell, of Scotland Neck, a dear per-
sonal friend of his, had been confined to his
bed for several weeks, that he was in a pre-
carious condition and despondent as to re-
covery, and he moved that a message of
condolence and sympathy be sent to Dr.
McDowell. Several members seconded the
motion, and Dr. Galloway said that he had
little sympathy with the idea of being kiiid
to a man when he is dead. He thought
THE CHARLOTTE MEDICAL JOURNAIj.
that if we had any beautiful flowers to cast
on anybody, we had better do it in the flesh
and in carrying out this idea he was hearti-
ly in favor of the motion.
The motion was unanimously carried and
the Secretary instructed to send a telegram
of sympathy to Dr. McDowell.
On motion of Dr. G. T, Sikes a commit-
tee was appointed to report on the Presi-
dent's Address, as follows : R. H. Lewis,
W. C. Galloway, J. L. Nicholson.
The Treasurer read a card from Dr. C.
G. Nichols asking that his dues be remitted
on account of loss by fire. After some dis-
cussion the matter was referred to the com-
mittee on credentials.
On motion of Dr. R. H. Lewis the fol-
lowing names were added to the honor roll
of the Society, as they had been members
for 30 years :
Dr. H. T. Bahnson, Salem.
" W. W. Lane, Wilmington.
" Wm. J. Love, "
" Jas. McKee, Raleigh.
" Willis Alston, Littleton.
" W. J. H. Bellamy, Wilmington.
The Society then adjourned to meet at
2 : 30 in the afternoon.
First Day — Afternoon.
The Society was called to order by the
President, Dr. Geo. W. Long, at 2 130
The report of the section on Gynecology
was called for and Dr. B. Ray Browning
read a paper on "Endometritis, its Path-
ology and symptoms with special Refer-
ence to Treatment."
The report of the section on Anatomy
and Surgery was then called and Dr. A. S.
Pendleton presented a paper on the "Am-
bulatory Treatment of Fractures" which
was discussed by Drs. Picot, O'Hagan,
Laughinghouse, and Bass.
Dr. M. P. Perry reported an "Unusual
case of Appendicitis."
On motion of Dr. O'Hagan, Dr. J. H.
Branham of Baltimore was accorded the
privelege of the floor.
Dr. H. T. Bass, read a paper on "Hemor-
The President announced that all essays
in competition for the Pittman Prize of
$100. should be handed to Dr. R.S. Young
not later than Tuesday night if possible.
Dr. J. H. Branham of Baltimore read a
paper on "Pylorectomy for Obstruction
due to Adenocarcinoma." After the read-
ing of the paper, the patient was exhibited
and also a section of the growth under the
On motion of Dr. O'Hagan a vote of
thanks was given Dr. Branham for his
interesting and instructive paper.
The Society then adjourned to meet at
8 :30 p. M.
First Day — Evening Session.
The meeting was called to order by the
President at 8 130 p. m.
A note was read from the Edgecombe
Club extending the privileges of its Club
rooms to the members of the Society during
their stay in the city.
Dr. K. P. Battle, Jr., Chairman of the
Obituary Committee, made his report which
Dr. J. C. Walton read a paper on "In-
Dr. Baker announced that the Edge-
combe Club would give a reception to the
Society Wednesday evening after the ex-
cises in the Hall.
Dr. C. M. Poole, Chairman of the Fi-
nance Committee, made his report.
The Treasurer presented the resignation
of James N. Cunningham, which was ac-
The President then called for report of
interesting cases. The following members
Dr. J. F. Sanderford : I was called
upon some time ago by the father of a child
5 years of age, to prescribe for the child,
suffering from nausea, but at the time I did
not see the child. He was given the child
calomel, followed by a saline. He saw me
Mornday morning. Monday afternoon
about 6 o'clock 1 saw the child. I suspected
that there was intestinal obstruction, but
on examination was unable to End any en-
largement. There was no history of grip-
ing, and I put the child on some pepsin
and watched it, and gave it calomel, i-io
grain, followed by salines. The next day
I instructed that an enema be given. Dr.
Sikes saw the child with me Thursday.
There was complete obstruction, and some
tenderness in the region of the gall bladder.
There was complete obstruction about 12
days. I think my diagnosis was that there
was an obstruction at the pyloric end of the
stomach above the bile duct, but what the
nature of this obstruction was I would like
for somebody to tell me.
Dr. G. T. Sikes : In regard to the case
Dr. Sanderford has reported we could not
say definitely and absolutely what the case
was, but our conclusion was that there was
obstruction about that part of the stomach,
and my opinion was that it was in the
stomach or in the intestine, and I based my
diagnosis at the time on the fact that there
existed a hard spot or tumor about that part
that ought to be felt by a digital examina-
THE CHARLOTTE MEDICAL ^OURNAL.
tion, and at the same time I rendered the
opinion that it was the beginning forma-
tion of some abscess, but I believe we never
had any verification of that. Of course,
it might be possible that the diagnosis was
correct, and it may have undergone an ab-
sorption or resolution without ever suppu-
rating at all. If it was not that I hardly
know what to say, or think, it could have
been. If it had been something on the or-
der of a tumor we would not have expected
that the child would be relieved and be en-
tirely well. The child got well in about
two weeks. The doctor and myself made
an application of tincture of iodine on the
outside as a counter irritant and kept up
the tonic treatment and gave a little pepsin
to support life. We tried to give as little
food as possible, from the fact that it was
only retained a few minutes in the stomach.
We did not get a chance to have an autopsy
and we have not found out yet what the
exact nature of the trouble was, but the
child got well.
President Long : I understand that
Dr. Leigh, of Norfolk, is in the Hall. We
would be glad to hear from him on any sub-
Dr. Leigh — Mr. President and Gentle-
men of the Society :
I thank you very much for this warm re-
ception. Ibringyou fraternal greetings from
the Medical Society of Virginia. I express
the earnest wish that we may see many of
you at our next meeting in the shadow of
the University of Virginia. I hardly know
what to talk to you about. I did not ex-
pect to be called upon or I might have had
something prepared. I may say a word or
two in connection with the subject of Dr.
Bass' paper on hemorrhoids. I know of
no department of surgery in which
we can get more brilliant and permanent
results than the department of rectal sur-
gery, and especially in the treatment of
hemorrhoids. I mean the thorough treat-
ment which is the operative treatment. I
do not think that enough stress is laid on
the preparatory treatment and after treat-
ment of these cases. Those of us who do
hospital work come across too often cases
of this kind which have been operated on
and in which recurrences have taken place.
I do not think a recurrence should ever
take place after an operation for hemor-
rhoids, if the patient is properly prepared,
is properly operated and has the proper in-
structions and carries out these instructions
after the operation. In preparing a case
for rectal surgery, and I will state that I
see no reason why rectal surgery should not
be done outside hospitals, but the patient
must be looked out for thoroughly. Be-
cause you have not the surrounding of a
hospital it seems to me that this is no ex-
cuse for doing incomplete work. Unless the
case is one of emergency it should be
done well. I believe the secret of failure
of rectal cases lies largely in the lack of
preparation of the patient. The alimentary
canal must be emptied completely, so that
the bowels will have no tendency to move
3 or 4 days afterwards. The patient in
this respect should be prepared a few days
before the operation and the evening before
the operation should have no solid food for
supper. That night patient should be given
a mild cathartic such as licorice powder.
The next morning a high enema, using a
tube that would enter the sigmoid flexure.
After an hour or two use a lower one. If
the water is colored at all the lower enema
should be repeated until the water is clean.
In regard to choice of operation, as Dr.
Bass, said, you cannot lay down any rule.
Indeed, I do not think a surgeon can de-
cide upon the kind of operation for hemor-
rhoids until the patient is thoroughly anss-
tajtized, and the sphincter thoroughly
stretched. After stretching the sphincter
we find out how much there is of the piles.
If the piles can be compressed and the blood
driven out, then the cautery or clamp and
cautery is indicated. This clamp and cau-
tery operation is used very extensively in
surgery. If the disease has gone on so far
as to form new connective tissue it is neces-
sary to cut away that tissue. This can be
done by the ligature method or the White-
head method. The Whitehead is a very
efficient operation but should never be done
outside a hospital. It is really an excision
of the lower end of the intestine. The re-
sults are beautiful if properly performed
land the patient properly nursed afterwards.
There are some risks, however, of the mu-
cous membrane breaking loose. The liga-
ture operation is a very satisfactory one. In
regard to the after treatment, the patient
should be kept on liquid diet until the
bowels are moved. As a rule, no opiate is
required. If there is a desire for a move-
ment deodorized tincture of opium or some
form of opium may be given to check the
movement of the bowels. In my practice
I use a tampon canula which consists of a
piece of rubber tubing around which is
wrapped three or four layers of iodoform
gauze, with vaseline rubbed into it. This
is inserted to the bowels for two purposes :
to bring an aseptic surface against the raw
surface of the gut ; the other is to permit the
passage of gases from the intestines. On
the day the bowels are to be moved we give
a saline cathartic in the morning. When
the patient has desire for movement we in-
THE CHARLOTTE MEDICAL JOURNAL.
ject through the tampon say 4 to 6 ounces
of warm sweet oil foUow^ed by soapsud
enema given with fountain syringe. The
bowels are moved without pain and the pa-
tient is put in a sitz bath. The bowels must
then be moved daily with a mild cathartic,
given in sufficient amount to cause one soft
action. After the action a sitz bath. After
the patient is well enough to leave the hos-
pital he should continue to take sufficient
cathartic to cause one soft action a day for
months afterwards. I believe this point
if strictly adhered to will prevent many re-
Dr. G. T. Sikes : I would like a word
or two about a case I had some time ago,
but I have no data except from memory.
The patient was a married lady, had been
married about three years. I was called to
her some months ago, some time about the
middle of last year possibly and treated her
from that time on for a case of endometri-
tis. The case improved very much. Up
to this time she had no conception, and af-
ter some months treatment her condition
improved very much, her general health
built up and she presented the symptoms of
conception. At first I made a diagnosis in
a month's time by Hagar's method and
told her I thought she had conceived.
Her periods did not cease absolutely, but
diminished to a minimum, and came on at
each regular time. The matter went on
and the signs of pregnancy were still not
plain to me. She also, while suffering with
the endometritis, suffered to a certain extent
with displacement of the uterus. After a
month's time or a little more I decided that
pregnancy did not exist in the uterus, but I
found in her case that the right tube was
enlarged and it continued to grow, the ute-
rine tissues remaining about the same, the
cervix still soft, and as this growth got lar-
ger, she was troubled more with the pul-
ling of the uterus to the right iliac space,
and I desisted, from the first conclusion
that she was pregnant, from the introduc-
tion of a sound, and I resorted to the eleva-
tion of the hips and lowering of the shoul-
ders, and then it was an easy matter to press
the uterus and it would fall back in place.
It got so large finally that it would be pain-
ful when it fell back, and continued to grow
like the normal pregnant uterus, and at the
end of four and a half months she felt the
foetus perfectly plain and could feel it for
nearly a month. The last time I saw her in
that condition it was a little more than five
months, and pressing the hand firmly on
the tumor, I could feel perfectly plain what
I considered to be fcEtal pulsations, and she
could feel it also, and did feel it continu-
ously until about the time for the termina-
tion of the fifth month. Before that time
I told her what my diagnosis was. She is
a very intelligent lady and her husband a
very intelligent man. My diagnosis was
that she has a case of tubal pregnancy in
the right tube. I stated to her that in the
modern advancement of surgery our sur-
geons had learned how to open the abdom-
inal cavity and take out those abnormal
pregnancies, and that possibly the foetus
might live. At the end of the fifth month
her menses came on very full, and she passed
a great deal of sloughing and mucus and,
as she explained herself , "strings." From
a few days before the menses she never felt
the movement of the fcetus at all. The men-
strual period at this time lasted her about
three weeks. She was quite feeble, but not
confined to her bed. At the end of this
time the tumor had entirely disappeared,
and there was no more pulsation and no
more sign of pregnancy. My diagnosis
was that she had a case of tubal pregnancy
that the foetus died and was partially ab-
sorbed and partially passed through the fal-
lopian tube and uterus.
Dr. \V. C. Galloway : Since I have
been in Wilmington I find a great many
cases have come to me with foreign bodies ,
in the eye, which the general practitioner
often sees. The general practitioner can,
however, usually relieve such case as well
as the eye man. All that it requires is a
steady hand and courage to go at the eye.
Fortunately I suppose I fell heir to an ex-
cellent knife that I have in my case. One
day I was operating for a case of stricture
of the duct and I did something we ought
not to do, and that was to hold a srnall sharp
Grasfl'e cataract knife in my mouth while I
was performing the operation, and the knife
slipped out of my mouth and fell on the
floor, bending the point very slightly, and
it is the most useful knife for getting things
out of the eye I have ever seen. If the
foreign body is just in the epithelium of
the cornea, the knife just dips in the epi-
thelium without cutting in any further. I
use in the eye a solution of a 4 per cent
of mur, of cocaine to relive the pain. Two
or three administrations are necessary. If
the foreign body is deep in the eye it is a
good idea to send the case to the eye man.
As simple a thing as it looks to be I have had
the general practitioner to send me a great j
many cases of foreign bodies under the lid.l
The simplest thing I know of is take a matchi
or toothpick and gently press on the upper
lid, catching hold of the cilia, and tell him|
to look down and turn out the lid when the
foreign body can be wiped off. I thro\
these things out to the general practitioner
THE CHARLOTTE MEDICAL JOURNAL.
for you can often correct these things with-
out sending to the eye man at all.
Dr. J. P. Brown : I had a patient, a
boy 14 years of age, who happened to an
accident in a cyclone, a large tree fell on
him, and in falling on the boy a large limb
struck him on the head and pitched him
over and at one place a large limb broke and
struck him in the lumbar region and on the
right thigh tore away the muscles and flesh
on the outside, breaking the femur, which
stuck in the ground four or five inches, and
the left leg was broken in two places and
partially dislocated, and the biceps of the
right arm was snagged badly. I foun the
boy in the rain. He was lying in a low
dark filthy hut on a cotton sheet. I looked
at the boy and my first impression was if he
was not dead he ought to die. I looked him
over, and he had a pretty good pulse. I
chloroformed him, straightened him out and
the more I looked at him the worse he
looked. I sat and looked at him awhile
and did not know what to do, so I went
off and left him. The next day I went back
and he was still alive. He had dirt, etc.,
in the end of the bones. In turning him
on his back this large place in the lumbar
region seemed to be very deep ; I put my
hand in it and examined it. I left him there
and called in a couple of neighboring phy-
sicians. We straightened him out and
washed him good all over. We then am-
putated the right leg up four-fifths nearly
of the femur, and I got a very decent flap.
The femur was broken in two places and
the contraction was very great, and the
way he was cared for knocked the antisep-
tic treatment out. The water used in the
operation was gotten from an old well, sur-
face water, and sorter muddy. In thirty
days from the time I amputated the right
leg I amputated the left. It was not quite
a hip-joint operation, but it was high up.
The boy is now fat, living and getting on
well. The place on the lumbar region
healed up and the boy is well, fat and
hearty. He has to lie flat on his back as
he has not enough left of his legs to sit up.
President Long : I recall several
cases of the colored race in gen-
eral surgery. I have been in the habit
of doing some surgery in a plain way,
and I do not remember to have ever had in
my practice any trouble with a negro in my
operations. I do not think it is exactly
correct to say that water is septic because
it is muddy, because the soil in my honest
opinion is not septic, and if you will give
me pure soil and pure water I will bid de-
finance to pretty nearly everything, and if
you will give me pure soil I will almost say
it. I will give you the water and the at-
mosphere for that with all its rosy visions
rest on the soil. I do not think that the
Doctor's statement would be any evidence
against the genuiness of asepsis and anti-
The Society then adjourned to meet Wed-
nesday morning at 10 o'clock.
Second Day — Morning.
Society called to order at 10 o'clock by
Telegrams were read from Drs. Levy and
Wakefield expressing regrets.
Dr. W. H. H. Cobb made the following
remarks as the hour had arrived for the
election of two members of the Board of
Mr. President, before nominations for
Medical Examiners are made, I would like
to submit a few remarks for the good of
this Society and for the benefit of suffering
humanity. My term of service expires with
this meeting, and I am in a position to speak
both feelingly and authoritatively. I am
the advocate of no candidate, not in any
sense interested in any special candidate,
but I do love the Medical Society of the
vState of North Carolina, having by its
courtesy and partiality secured the highest
honors witliin its gift, and wish to see in-
creased and perpetuated the high standard
required of its licentiates, which has great-
ly earned for the Board of Examiners of
North Carolina an enviable reputation in
all the States of this Union. We need men
of known professional standing and ability,
possessing a due sense of the responsibilities
and duties of this office, and with sufficient
firmness, or back-bone, if you please, to re-
ject all unfit applicants, even though the
applicant should be a son of his nearest
friend or dearest relative.
The President announced that nomina-
tions were in order for the two members of
the Board of Medical Examiners to serve
for two years.
Dr. G.T. Sikes said that he would nomin-
ate a man who will exactly comply with the
resolution which Dr. Cobb had just read, a
man not large enough to do it by force but
sufficiently competent to do it by skill.
And the man is Dr. T. S. McMullan.
Dr. J. T. J, Battle rose to propose the
name of a man who has the courage to act
his convictions, a man of capability and if
he should reject a candidate he could ap-
proach him so pleasantly that the candidate
would be glad to meet him. He then pre-
sented Dr. J. C. Walton.
Dr. Harris moved that the rules be sus-
pended and the secretary cast the vote of
the society for Dr. T. S. McMullan of
Hertford and Dr. J. C. Walton of Reids-
THE CHARLOTTE MEDICAK JOURNAL.
ville for members of the Board of Medical
Examiners to serve for two years.
Dr. Thos. E. Anderson, secretary of tlie
Board of Examiners made his report which
Dr. J. T. J. Battle presented a paper on
"Hypertrophy of the Pharyngeal Tonsil
and its treatment" which was discussed by
Drs. Walton and Galloway.
Dr. C.A. Julian read a paper on "Auto-
matism" which was discussed by Dr.
Dr. D.S. Morrill read a paper on "Should
Physicians supply medicines they Pre-
scribe." Discussed by Dr. O'Hagan.
Dr. J. B, Smith presented paper on
"Gall Stones with report of case."
Dr. A. G. Carr then read a paper on
"Emergencies in Obstetrics" which was
discussed by Drs. Stamps, Weaver, Marsh,
Morehead, O'Hagan, when the further dis-
cussion was postponed as the hour had
arrived for the conjoint session with the
State Board of Health.
The conjoint session was opened with an
address by Dr. O'Hagan, President pro
The secretary, Dr. R. H. Lewis, then
read his report which was adopted and
ordered printed in pamplet form for dis-
Society adjourned to meet at z 130 p. m.
Second Day — Afternoon.
The Society was called to order at 3 :30
by the President.
The committee on nominations made their
report which was adopted.
Dr. E. T. Dickinson presented a paper
The discussion of Dr. Carr's paper, post-
poned from the morning session was taken
up by Drs. Staunton, Summerell, Oscar
McMuUan, Julian, and was closed by Dr.
The Society then went into the election
of officers for 1901.
Dr. Julian M. Baker, of Tarboro, was
nominated for President by Dr. McMuUan
and on motion of Dr. Lewis the rules were
suspended and the Secretary cast the vote
of the Society for Dr. Baker.
Dr. M. H. Fletcher, was nominated and
unanimously elected ist Vice-President;
Dr. C. A. Julian, of Thomasville, 3d Vice-
President ; Dr. D. A. Stanton, of High
Point, 3d Vice-President; Dr. E. M. Sum-
merell, of Mill Bridge, 4th Vice-President.
Dr. G. T. Sikes was re-elected Treasurer,
and Geo. W. Pressly, Secretary.
Ballot was then taken on the place of
next meeting, and Durham was selected
and the choice made unanimous.
The time was left with the Local Com-
mittee of Arrangements, the President and
Dr. J. T. Beall, of Linwood, was made
an Honorary Fellow of the Society.
Dr. Carl V. Reynolds presented a paper
on "Tuberculosis," which was discussed by
Drs. Weaver and Dunn, and closed by Dr.
The question of the necessity of an offi-
cial organ of the Society came up for dis-