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Michigan State Medical Society.

The Journal of the Michigan State Medical Society, Volume 3

. (page 35 of 93)

A discussion of the symptoms of those diseases
which are not infrequently confused with appen-
dicitis, and incorrectly diagnosed as such. The
symptoms common to various abdominal diseased
conditions, with especial attention to poirts of differ-
entiation, are emphasized. Method of abdominal
examination personally pursued.



2. Report of a Case of Cellulitis of Arm and

Forearm I. D. LOREE, Ann Arbor.

Cause, duration and treatment. Pathology— Con-
dition corresponding to Phlegmonous Erysipelas of
older texts. Palliative and radical treatment both
early and modem. Necessity of early intervention.

3. Diabetic Gangrene

Stuart E. Galbraith, Pontiac.

Etiology, symptoms and treatment. Consideration

of indications for surgical treatment. When should

operation be performed? Prognosis, sequelae of

operations.

4. Cancte of the Rectum'. Report of cases

J. A. MacMii^i^an, Detroit.
Comparative ease and tremendous importance of
early diagnosis. Requisites of early diagnosis,
t. Frequent rectal examinat^ns. '

2. Thorough examinations.

3. Indications for thorough examination of the
rectum.

4. Methods of examinations

1. Digital examination.

2. Anascope, Proctoscope. Fenestrated anascope.

3. Microscopic examination of portions of de-
tached tissue.

5. Treatment—Objects

1. Relief of suffering.

2. Prolongation of life.

(I) A large percentage of these patients should
have the benefit of a radical operation and in
many cases this operation is not necessarily
formidable.
^ (2) Palliative measures

1. Colostomy.

2. Currettage.

3. Cutting sphincture.
4 Opium, etc.

6. Report of cases.

5. Some Diseases of the Rectum, and the Treat-

ment

C. G. Darung, Ann Arbor.

6. Primary Carcinoma of the Ureter. Report of a

case

Wm. F. Metcalf, Detroit.
Etiology, Pathology, Diagnosis, Prophylaxis,
report of the case. Other cases in the literature.

7. Chronic Suppurative Otitis Media, its Impor-

tance and Treatment

Don M. Campbeli*, Detroit.
An important disease from the standpoint of expect-
ancy of life as well as interference with the special
sense of hearing and the comfort and usefulness of
the individual. Treatment— Medicinal— Surgical-
Cases— Conclusions.

8. History of the Mastoid and Radical Operation

on the Middle Ear, with Demonstration of
Anatomical Specimens

Emii, Amberg, Detroit.

Surgical interference in the middle ear suppuration
may be dated from the year 1782. Since about four
decades surgical interference was re-«stablished and

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PROGRAM OF ANNUAL MEETING.



Jour. M.S. M.S.



iMised on a more thorough scientific fonncUtion.
Schwartz of Halle is the most prominent pioneer.
Then the so called radical operation was added to
the Mastoid operation. Difference of the two
methods. When is a Mastoid operation indicated?
When is a radical operation indicated? Why is it not
only more safe but frequently absolutely necessary to
open the Mastoid early? The operation is more
simple, the dangers are less great, recovery quicker.
What can the general practitioner do from the stand-
point of prophylaxis and from the standpoint of
treatment? Anatomical specimens illustrating the
remarks.



THIRD DAY, FRIDAY. MAY 27th

1.30 P. M. STANDARD

Election of Chairman and Orator of Section,

1. The Advantages of Early Operation in Hip

Joint Disease

E. C. Tayi^or, Jackson.

2. Congenital Dislocation of Hip. Reduction by

Lorenz Method

Angus McLean, Detroit.

Btiology, presentation of symptoms, most suitable
period of reduction. Bloodless method of treatment.
Skiagraphs showing position of head of Femur
before and after treatment.

3. The Closure of Wounds

H. W. Yates. Detroit.

The skin can not be made aseptic and therefore
needles carried through it distribute bacteria in their
path. All wounds should be closed with as little
injury to them as possible; the edges should be
coapted but not drawn taut. In a majority of the
ordinary accidental wounds and a fairly representa-
tive number of operation wounds, suitable closure
can be made by the use of adhesive plaster strips.
The fewer stitches through the skin the less infection
do we have.

4. Interpretation of Radiographs

Preston M. Hickey, Detroit.

Subject to be considered from two standpoints.
I. The excellence of the radiograph.
* 2. The experience of the interpreter.

Definition of Radiograph: Physical laws involved
in its production. Essentials of a technically good
radiograph. Methods of examination of negatives.
Training and experience of the one who interprets
radiographs. Importance of understanding radio-
graphic anatomy. Errors may also arise from pre-
conceived ideas. Ulility of stereoscopic images.

5. Amblyopia from Methyl Alcohol Used Cosmet-

ically

Daniei* Con boy, Bad Axe.

I^iterature on Methyl alcohol amblyopia is recent.
Dangers in use of patent medicines and similar
mixtures containing inferior and cheap alcohols.
Previous cases of wood alcohol, blindness due to
drinking or inhaling same in confined space. Present
case due to its use to cut the "oiliness*' of face and
remove blemishes. Vertigo and almost total blind-
ness occurred. Immediate diagnosis of toxic origin
made from symptoms. Removal of cause and treat-
ment leads to recovery in six weeks.



6. Adventurers in Surgery

C. T. Newkirk, Bay City.

7. Tracheotomy

J. A. Heasi«EY, Grand Rapids.

Foreign bodies are drawn into the trachea by
suction. Different location of foreign bodies in the
trachea. The different kinds of foreign bodies in
the trachea . Method of maki ng diagnosis of foreign
body in the trachea and bronchi.

Characteristic symptoms by which we are able to
make a differential diagnosis between fordgn bodies
in the trachea ahd oesophagus. How to know tke
exact location of a foreign body. Method of operat-
ing for foreign body with a special reference to the
extremely low operation and lodgement in the
bronchi.

8. Postoperative Exophthalmic Goitre. Report

of a case

S. Edward Sanderson, Detroit



SECTION ON OBSTETRICS AND
OYNECOLOQY



Chairman— 1«. S. Griswoi^d, Big Rapids.
Secretary— Fi/)RENCE Huson, Detroit.



FIRST DAY, WEDNESDAY, MAY 25th

1.30 P. M. STANDARD

I . The Operative Treatment of Cystocele and Pro-
cidentia Uteri

John N. Bbi«l, Detroit.

The cause of failure in superficial denudation and
transverse, antero-poaterior, or purse-string approxi-
mation of the denuded areas. The sound anatomies!
and surgical principles underlying the successful
operative repair of cystocele and procidentia uten.
A brief description of the operation and report of



2. A Case of Malformation of the Internal Genitals

with the Reproductive Glands in the Iwabia
Majora Charlies L. Patton, Ann Arbor.

3. A Report of a Case of Epithelioma of the Vulva

A. C. Reed, Ann Arbor.

4. Dysmenorrhcea

Jeanne E. Sous, Ann Arbor.

Clinical history of a number of cases to illnstrate
the subject. Etiological and pathological consideia-
tion of same.

T'/rix/m^M/— General and local and especially that
by means of electricity.

5. A Plea for Early Trachelorrhaphy

T. S. Sands, Battle Creek.

When we realize that the great majority of chronic
ailments of women are the result of neglected
lacerations of the cervix and 75 percent, of malignant
growths of uterus are the result of same cause. I feel
justified In calling your attention to this common,
yet all important condition. By the term early
trachelorrhaphy I do not mean immolate repair of
cervix, which I think is unwise and dangerous unless
demanded to prevent serious hemorrhage^
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May, 1904.



PROGRAM OF ANNUAL MEETING.



217



6. A Report of Five Cases of Sarcoma of the Uterus

Rai<ph L. Morse, Ann Arbor.

7. Chorio-Bpithelioma Malignum. Report of case

W. F. METCAI^F, Detroit.

DiagMasts - GTX3aa and microscopical appearancea.
Gcnentl symptoms: Anaemia, etc. Differential
Hydatidiform mole. Retained placental remnants.
Fibroids. Polypi. Cancer.

Treatment — Prelimiftary to certain diagnosis.
Hsrsterectomy, subsequent observations. Metastasis.
Constitutional.



SECOND DAY. THURSDAY, MAY 26th

1.30 p. M. STANDARD

1. Pregnancy; Hygiene of Pregnancy; Mechanism

and Management of Labor

Frank H. Weaver, Charlotte.

2. Injuries of the Parturient Canal Due to Child-

birth, their Causation, Diagnosis and Treat-
ment

James E. Davis, Detroit.

fniroductioH— The facts relative to the pathological
findings suggest unmistakably a preventive
etiology.

Argnment—UnumcT^tlon of avoidable and unavold
able lesions, the prevention of the former and the
care of the latter. The obstetrician should be pre-
pared to make necessary repairs during the early
puerpcrium. The preparation for such repair work
outlined. Objections considered.

Copic/usions — The obstetrician has limited his
science and art The reputation of the obstetrician
and the rights of the patient demand the recognition
and complete immediate repair of lesions resulting
to the parturient canal at the early part of the
pnerpcrium.

3. The Use of Rubber Gloves as a Prophylaxis in

Obstetrics.

F. J. W. Maouire, Detroit.

The paper will contain bacterialogical research
work made from cultures taken from writer's hands,
also the reports of over one hundred cases of instru-
mental delivery in wlfich the patients were protected
by the use of rubber gloves.

4. Ectopic Pregnancy

Mortimer Wii^lson, Port Huron.

By ectopic pregnancy we understand pregnancy in
which the ovum is anchored and develops to a
greater or less degree at some place outside of the
uterine cavity. This place may be in the tube within
the uterine wall, the tube proper, the ovary, or the
peritoneal cavity.

Etiology -Stenons of tube sacculation or rugosity
of its lining, adhesions causing rending of the tube
with stenosis, adhesions of the fimbriae preventing
normal action.

Course of development of foetus. Varying accord-
ing to nutriment and environment

5rM//aiiU— Variation in menses, breasts, shedding
uterine oasts.

Diagnosis— To be made from symptoms and phys
ical examination.



Treatment— The ideal way is to operate before
rupture occurs. When rupture has occurred operate
as soon as you can get some reaction from the shock
and loss of blood.

Brief narration of six cases.

4. Continued.— KepoTt of a Case of Extra-Uterine

Pregnancy

George C. H afford, Albion.

These cases not so much mentioned in text-books

as formerly. Cases more ntre than formerly.

Reasons for. The great mystery of former times.

Probably they will grow less in future.

5. Bright*s Disease and Pregnancy.

W. H. Sawyer, Hillsdale.

5. tConiinued. —CeiVise and Treatment of Puerperal
• Eclampsia

A. N. Coi^WNS, Detroit.
Importance of subject.— I«ack of appreciation of
gravity of the condition. Causes unproven.' Specula-
tion upon causes. Danger signals. Prompt inter-
ference demanded if condition not permanently im-
proved by treatment. Necessity of terminating preg-
nancy. Methods of treatment mechanical and
medicinal. Great value of veratram viridi. Con-
clusions.

6. Eclampsia and Vaginal Cesarean Section

I. H. Carstens, Detroit.

Mild attacks of eclampsia can be controlled by
veratrum and other remedies until labor can be
induced by slow methods.

Severe attacks occurring one after the other and
threatening the life of the patient can be saved only
by prompt delivery. This can best be done by
vaginal cesarean section.

7. Clinical Cases.

J. G. Lynds, Ann Arbor.

I. Fibroid tumor in a patient with absence of vagina
and all internal organs except one rudimentary
ovary.

a. Pseudohermaphrodite. Operation for formation
of vagina, results:

5. Vaginismus. (A) Vaginismus with thick firm
hymen. Conception without intromission. I^bor.
Cure. (B) Vaginismus. Vulva normal. Concep-
tion without intromission, labor at term. Vaginis-
mus unchanged.



THIRD DAY, FRIDAY, MAY 27th

1.30 P. M. STANDARD

Election of Chairman and Orator of Section,

I. Hysteria; Its Relation to Obstetrics and Gyne-
cology Geo. F. Buti«er, Alma Sanitarium .

There should be a distinction between hysteria and
hysteroid states. The first is a psychic instability
affecting the central nervous system, removing the
checks on the local innervation of structures and
organs whereby they acquire undue action. This
increased activity is followed by local exhaustion
and perchance secondary local morbid states which
persist after the hysteric explosion ^las disappeared

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PROGRAM OF ANNUAL MEETING.



Jour. M. S. M. S.



7.



These conditions affect the organs of nutrition, oxid- ^^
ation, and elimination as well as the genitalia.
Disorders of these organs through emotional exalta-
tion and secondary depression often produce nerve
tire and auto-intoxication with hysterical results.

Removal of the genital morbid state removes a ^*
predisposing and continuing etiologic factor, but
does not remove the more important secondary
etiologic factors— nerve tire and auto-intoxication
which it has set into action, hence gynecology will 6.
not suffice.

Pregnancy being a new factor introduced into an
organism which disturbs the physiologic balance
hitherto existing is, according to Virchow's defini'
tion of pathology, a pathologic, but nosologic state
considered from the standpoint of the mother. As it
involves early undue assimilation and later under
elimination it sets up nerve tire and auto-intoxica-
tion, hence its frequent hysteroid aspect.

Grafted on a degenerative or neurosal enfeebled
organism from involution, traumatism, essential
fevers, auto-intoxication, etc., it often upsets the
feeble nervous balance and produces the hysteric
constitution.

2. Physiologic Therapeutics in Gynecology
' J. H. Kbllogg, Battle Creek.

There is no branch of medicine in which the
natural or medicinal agents, which are include^
under the general title "Physiologic Therapeutics,'*
render greater service than in the special depart-
ment of gynecology. Hydriatic measures afford the
most effective means for combatting acute and
chronic pelvic inflammations, preparing patients
for important surgical procedures, and bringing them
to successful recovery after grave operations.

Massage, manual and mechanical Swedish move-
ments,*^ and various special forms of gymnastics are
essential factors in the curative treatment of chronic
pelvic congestions and displacements of pelvic viscera .
Electrotherapy renders essential aid in the treatment
of various circulatory disturbances, and painful dis-
orders of the pelvic region. Phototherapy and
thermotheraphy are also capable of rendering valu-
able service in this class of disorders, accomplishing
certain results which can not be so well secured in
any other way. This paper endeavors to present
in some detail the technique of the various methods
by which the physiologic agents mentioned, and
others, may be utilized in>the various disorders the
treatment of which is commonly referred to Gyne-
cologists.

3. Infection of the Biliary Tract

H. W. LONGYEAR, Detroit.

Three vulnerable points in the peritoneal cavity
through which pathogenic germs may enter, viz,:
female genital tract, appendix vermiformis and
biliary tract. Infection of biliary tract may be with
or without gall stones. Severe symptoms occur as
result of occlusion of ducts, either by inflammation
or by mechanical means, when invaded by patho- i.

genie germs. Mild symptoms, resembling malaria, '2.

occur without occlusion. Cause of fever in such 3.

cases often obscure. 4.

Typhoid and colon bacillus 'most common form. 5,

Medication of use to allay cholangitis and to pro- 6.

mote drainage. Incision and drainage usually nee- 7.

essary to radical cure. Complete disinfection of tract 8.

not practicable. I/>ng continued drainage occasion- 9.

ally necessary. 10.

An effective bile-fistula pad for collecting the bile 11.

and preventing the soiling of clothing and dressings. 12.



The Diagnosis and Treatment of Intraligament-
ous Ovarian Cysts

Roi«i«AND L. PARBftETER, Ann Arbor.

Renal Hemattiria of Unexplained Origin. Re-
port of a case with Cessation after Nephro-
tomy ' Benjamin R. Schbnck, Detroit.

Appendicitis. Personal Conclusions based upon
Two Hundred Operative Cases

Wm. Bishop, Bay City.

Symfiioms—F^nistent localized tenderness the only
constant symptom.

Z>{a^05u— Persistent localized tenderness the only
S3rmptom necessary for diagnosis.

7>^a/i»^n/~Persistent localized tenderness cUways
an indication for immediate removal of the appendix
vermiformis.

The Relation of the Appendix to Pelvic Disease,
based upon a' Clinical and Microscopical
Study of Two Hundred Cases

Rbubbn Pktbrson, Ann Arbor.



OPPICBRS OP THE SOCIETY

President— Vf II. P. Brbakby, - - - - Ann Arbor,

First ytce-Presideni—GKO. C. Hafford, - - Albion.

Second Vice-President— W . S. Walklby, Grand Haven.

Third Vice-President— C. S. Cope, - . - - lonia.

Fourth Vice-President— W. E. Chapman, - ' Cheboygan.

Secretary— \. P. Biddlb, Detroit.

Assistant Secretary— Gvy 1,. Connor, - - - Detroit.

Treasurer— Gbo. W. Moran, - - - - Detroit.



OPKICERS OK SECTIONS

Genera/ Medicine— RAI.VU H. Spencer, Grand Rapids, Chair-
man; H. B. BRiTTON, Ypsilanti, Secretary; David Inglis,
Detroit, Orator^

Surgery, Ophthalmoiogy and Otology— 1>. E. WELSH, Grand
Rapids, Chairman; Jno. W. Moorb, Atlantic Mine, Sec-
retary; H. E. Randall, I«apeer, Orator,

Obstetrics and Gynecology— \,. S. Grxswold, Big Rapids,
Chairman; Plorencb Huson, Detroit, Secretary; A, N.
Collins, Detroit, Orator.



BOARD OP COUNCII^RS
(Chosen one from each Congressional District.)

Leartus Connor, Detroit, Chairman.

A. E. BuLSON, Jackson.
W. H. Haughby, Battle Creek, Secretary.
G. D. Carnes, South Haven.
D. E. Welsh, Grand Rapids.
C. B. Burr, Flint.
M. WiLLSo;<i, Port Huron.
S. I. Small, Saginaw.

B. H. McMullen, Cadillac.
H. B. I<ANDON, Bay City.
W. T. Dodge, Big Rapids.
Theo. a. Felch, Ishpeming/

Digitized by ^



JGoo^'Z



May, 1904. PROGRAM OF ANNUAL MEETING. 219

DELEGATES TO ANNUAL MEETING
MIchiiTAn State Medical Society, at Grand Rapids, May 35, a6 and 37, 1904

Delefcate Alternate

Allegan W. H. Bills, Allegan Sara T. Chase, Otsego

Alpena J. D. Dunlap, Alpena S. T. Bell, Alpena

Barry J. M. Elliott, Jonesville J. w. Rigterink, Preeport

Bay John McUtrg, Bay City F. K. Rugglbs, Bay City

Benzie E. J. C. Ellis. Benzonia H. J. Kinne, Frankfort

Berrien W. I,. Wilson, St. Joseph F. R. Belknap, Benton Harbor

Blanch H. W. Whitmore. Quincy K. R. Williams, Coldwater

Calhoun J. H. Rked. Battle Creek F. A. Waples, Battle Creek

Cass E. A. Planck, Union j. H. Jones, Dowagiac

Charlevoix 7 C. A. Sweet, East Jordan ' ,

Cheboygan r C. B. Marks, Cheboygan E. B. Tweedale, Cheboygan

Chippewa Geo. J. Dickison, Sault Ste. Marie R. K. Johnson, Sault Ste. Marie

Clinton A. O. Hart. Maple Rapids .....F. C. Dunn, St. Johns

Delta O. E. Young«uist, Escanaba H. W. Banks, Eacanaba

Dickinson-Iron B. E. Manchester, Cr>'stal Falls R. H. Sturgeon, Iron River

Eaton G. B. Allen, Charlotte

Emmet Gfx). W. Nihart. Petoskey Jas. B. Brown, levering

Genesee ?...J. C. Willson. Flint H. R> Kiles, Flint

Gogebic J. R. Moork, Ironwood G. I«. I/x)pe. Bessemer

Grand Traverse A. Rosenth.\l Thompson, Traverse City H. B. Garner, Traverse City

Gratiot I. N. Brainerd, Alma Stiles Kennedy, St. I<ouis

Hillsdale

Houghton A. I. Lawbaugh. Calumet J. G. Turner, Houghton

Huron '. D. Conboy, Bad Axe C. B. Morden, Pigeon

Ingham S. H. Culver, Mason H. A. Haze, lousing

Ionia G. A. Stanton, Bclding E. F. Beckwith, Ionia

Iosco M.J. Conant. Tawas City E. D. Merritt, Oscoda

Isabella : P. E. Richmond, Mt. Plea.sant C. M. Baskervillb, Mt. Pleasant

Jackson N. H. Williams, Jackson J. C. Kugler, Jackson

Kalamazoo A. Hochstein. Kalamazoo * H. Ostrandkr, Kalamazoo

Kent S. C. Graves, Grand Rapids jNo. Brady. Grand Rapids

*' O. I*. Dales, Grand Rapids I,. A. Roller. Grand Rapids

.Lapeer Hugh McColl, Uipeer W. J. Kay, I^peer

I^nawce C. Kirkpatrick, Adrian D. Todd, Adrian

Uvingston A. W.Ccwper. Fowler\'ille J, E. Egbert, Howell

Macomb Jas. Yates, Raseville H. G. Berry, Mt. Clemens

Manistee H. D. Robinson, Manistee A. 8. Payne, Manistee

Marquette A. W. Hornbo<jen, Marquette T. M. Cunningham. Marquette

Mason W. C. Martin. Scottville F. W. Graham. Aldington

Mecoate^ I*. S. (Iriswold, Big Rapids Joseph McNeece, Morley

Menominee Edward Sawbridge, Stephenson H. A. Venn em a, Menominee

Midland F. .\. Towsley, Midland W. H. Brock, Midland

Missaukee J. W. Decker, I«ake City J. Vermeulen, McBain

Monroe P. S. RtxjT. Monroe Geo. F. Heath, Monroe

Montcalm L,. S. Crotskr. Edniore F. R. Blanchard, I^ke View

Newaygo N. Dk Haas, Fremont ; G. W. Nafe, Fremont

Oakland Robert Johnston'. Milford Wm. Aitcheson, Ortonville

O. M. C. O. R. O t,. A. Harris. Oaylord C. C. Curnalia, Roscommon

Oseeola H. I*. Foster. Reed City A. Holm, Ashton

Ottawa A. Vander Veen, Grand Haven F. Hofm a. Grand Haven

Saginaw M. D. Ryan, Saginaw J. N. Kemp, Saginaw

Sanilac G. S. Twkkdie, Sanilac Centre T. S. Kingston, Croswell

Schoolcraft. J. M. Sattlkk, Manistique (*. M. I«ivin<.ston, Manistique

Shiawassee ^ D. H. I«amb. Owosso A.I*. Arnold, Owosso

St. Clair C. B. Stock well, Port Huron A. E. Thompson. St. Clair

St. Joseph Marden Sabin. Centreville J. R. Williams, While Pigeon

Tuscola A. I,. Seklkv. Mayville A. E. Copp. Tuscola

VanBuren N. A. Williams, Bangor J. C. Maxwell. Paw Paw

Washtenaw John H. Wkssinger. Ann .\rbor Refben Peterson, Ann Arbor

Cv RENT'S (;. Darling. Ann Arbor c;KOR(iE Dock. Ann Arbor

Wayne E. L. Sih'RLY, Detroit A. N. Collins, Detroit

W. F. Mktcalf. Detroit F. B. Tibb a ls. Detroit

" Willis S. ANDERSON. Detroit J. N. Bell, Detroit

H. W. I/>N<i yea K, Detroit Max Ballin. Detroit

" K. (;rNSt>Lrs, Detroit H. R. Vakney, Detroit

'* .' H. E. Safford, Detroit I^. E. Mai re, Detroit

Wexford E. B. Babcock, Kalkaska S. C. Moork, |^aSill«e^i-«^T/>

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22p



PROGRAM OF ANNUAI. MEETING.



Jour. M. S. M. S.



DEI^EGATES TO THE AMERICAN MEDICAI,
ASSOCIATION

H. O. Walker, Detroit.
V. C. Vaughan, Ann Arbor.

Two to be elected for two years.



MISCEI.LANEOUS



MICHIGAN MEMBER OF THE NATIONAI, I,EGISI.A-

TIVE COUNCII, OF THE AMERICAN MEDICAI«

ASSOCIATION

Emil Amberg, Detroit.



PERMANENT COMMITTEES

ON SCIENTIFIC WORK

Wm. F. Brbakry, Ann Arbor, Chairman,
A. P. BiDDLE. Detroit, Secretafy.
Ralph H. Spencer, Gr&nd Rapids.
D. B.^^W»L5H, Grand Rapids.
I«. S. Griswold, Big Rapids.
H. B. BRITTON, Ypsilanti.
John W. Moore, Atlantic Mine.
Florence Huson, Detroit.

ON ARRANGEMENTS

D. Emmett Welsh, Grand Rapids, Chairman.
S. C. Graves, Grand Rapids.

C. H. Johnston, Grand Rapids.
U. De Vries, Grand Rapids.

E. Bingham, Grand Rapid.s.
R. H. Spencer, Grand Rapids.
W. H. Catlin, Grand Rapids.

F. J. I«EB, Grand Rapids. '

ON legislation and public policy
W. H. Sawyer, Hillsdale, Chairman.
James W. Inches, Saint Clair.

D. B. Cornell, Saginaw.

ON VITAL statistics

H. B. Baker, l«an.sing. Chairman.
A. H. Rockwell, Kalamazoo.

G. G. Barnett, Ishperaing.

scientific exhibit committee for the
meeting of 1904
Thaddeus Walker, Detroit, Chairman.
A, M. Campbell, Grand Rapids.
A. W. Crane, Kalamazoo.
P. M. Hickey, Detroit.
A. S. Warthin. Ann Arbor.



SPECIAI^ COMMITTEES
TO secure data regarding prevalence of venereal

diseases in MICHIGAN

A. E. Carrier, Detroit, Chairman.
Ralph H. Spencer. Grand Rapids.
J AS. F. Break ey, .^nn Arbor.

TO PETITION THF; LEGISLATURE FOR AN APPROPRIATION

FOR THE ESTABLISHMENT OF A PROPERLY EQUIPPED

S.\NITARIUM FOR THE TREATMENT OF THE

EARLY STAGES OF TUBERCULOSIS

B. D. Harison, Sault Ste. Marie.
H. J. Hartz, Detroit.

J. B. Whinery, Grand Rapids.
Benjamin F. Horner, I^ake Odessa.

C. N. Sowers, Benton Harbor.



All meetings are held on Central Standard Time
at the SI. Cecilia Buildings cor. Fulton and Barclay
Streets.

The Scientific Exhibit will be found in the St.
Cecilia Building.

The Exhibits will be found in the Ball Room,
2d Floor, St. Cecilia Building.

All meetings will be called to order promptly on
time.

^ Bach member in attendance shall enter his name
in the Registration Book, indicating the County
Society of which he is a member. Please do not
fail to register upon arrival at the St. Cecilia
Building.

Only members who are registered are entitled to
vote.

The ballot box Tor the el cet i ou of Bresideni will

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