ADDRESS ON RETIRING FROM THE PRESIDENTIAL CHAIR OF THE |etr jjorh of j|tdraite, BY JAMES ANDERSON, M.D., DELIVERED JA.SXTXJ16, 1867. |to lark: PRINTED BY ORDER OF THE COUNCIL. 1869. ADDRESS ON RETIRING FROM THE PRESIDENTIAL CHAIR OF THE :yettt :) ork of Jjoimno, BY JAMES ANDERSON, M.D., DELIVERED JA.3SrXJA.RiY 16, 1867. fjto fork: PRINTED BY ORDER OF THE COUNCIL, 1869. Jo THE OF THE JCADEMY, This Address has been rewritten, and is published with special reference to the position of the Academy, both as to what it has done and what it has yet to do in regard to a Home. I respectfully ask every Fellow to read it, with his mind fixed on the topics presented for action and accomplish- ment. VALEDICTORY ADDRESS. Fellows of the New York Academy of Medicine : Gentlemen—In taking a final leave of tlie chair I have had the honor to occupy during the last six years, permit me to solicit your attention while I present to you, in a very brief manner, a summary of the origin, rise, and progress of the Academy. The medical profession suffered for many years from the want of an organization adapted to pro- mote social harmony and scientific culture. This want, strongly felt, was the topic of frequent con- versation, until, at the fourth anniversary dinner of “The Society for the Relief of Widows and Orphans of Medical Men,” celebrated November 18, 1846, at 579 Broadway, it resulted in a move- ment for, and the final organization of “Tlie New York Academy of Medicine.” The first record we have of any action tending toward the formation of this body is found in the Annalist, (vol. 1, page 111), in which it is stated, that at the above dinner, Doctor Alex. H. Stevens, in responding to a sentiment given by Doctor Valentine Mott, “The College of Physicians and Surgeons” said, “he congratulated the profession 4 on tlie large assemblage upon an occasion of tliis kind; tliat it was the initial step toward an esprit de corps in the profession of this city, which was the sine qua non, without which it could not sustain its dignity and command respect.” “ Instead of being anatomists of each other, the disjecta membra of the profession, they would be brought together, and become a body corporate.” A sentiment of like spirit was entertained and expressed by Doctor John Watson, in responding to the fifth toast, “The National Medical Institu- tion,” in which he remarked, “We have no common senate.” Doctor Willard Parker, being called upon, and during his remarks, “ suggested that the profession in this city organize with a code of ethics, to regu- late theprofessional conduct of its members. We had a precedent for such a movement in the legal profession; and said that among the lawyers, if a member violates their code of ethics, he was thrown over the Bar.” The second record, showing the results of expres- sions made at the dinner, may be found in the Annalist (vol. 1, 165), in which there is an account of a meeting held December 12, 1846, in the Lyceum of Natural History, No. 561 Broadway, in response to a call in the secular papers, signed by Doctors Valentine Mott, Alexander H. Stevens, and Isaac Wood. So far as I can learn, there is no record to show at what meeting, or by whom, these gentlemen were authorized to call that meeting. Tradition and living testimony, however, supplies 5 the historical deficiency, and is as follows : During the festivities of the evening of November 18, 1846, the subject of the want of a medical society to pro- mote the harmony and usefulness of the profession, was freely discussed by several members in differ- ent parts of the assembly. At a late hour of the evening, and after the president of the society, Doc- tor Delafield, had retired with a major part of the members, about forty remaining, an impromptu meeting was organized, Doctor Stevens presiding. After a full discussion, and a free interchange of opinions upon the propriety of organizing a local voluntary medical society, in order to test the sense of those present, Doctor William Rockwell moved that a committee be appointed, consisting of the presiding officers of the three leading medical institutions of this city—at that time, The College of Physicians and Surgeons, The Medical Depart- ment of the University of New York, and The Medical Society of the County of New York, who were respectively: first, Alexander H. Stevens; second, Valentine Mott; and third, Isaac Wood— with authority to call a general meeting of the pro- fession, which resolution was adojyted. In conform- ity with the instructions given by this resolution, these gentlemen issued the call for this meeting, which was held in the Lyceum, December 12,1846. This was the first action, out of which arose the future organization. At this meeting (December 12), Doctor John Stearns was called to preside, and F. Campbell Stewart appointed Secretary. Doctor Mott, in a 6 neat, earnest, and eloquent address, stated the oh. ject and purpose of the meeting, which, from the tenor of his remarks, was to promote that harmony and good will in the profession which was so es- sential to its advancement in medical science and its beneficent application to humanity. Also, for the elevation of professional character, and that honorable position to which it was so eminently entitled.* “Any swerving from the path of profes- sional rectitude must be excluded.” He was fol- lowed by Doctor Stevens, in a like train of thought, who “moved the reading of certain resolutions,” which were read and discussed separately, and are as follows: 1. “Resolved, That it is expedient to organize an Academy of Medicine in this city, which shall represent, if not embrace, the great mass of regular practitioners residing here. 2. “Resolved, That it is expedient to procure a building to be devoted to the Academy of Medi- cine, and that shall also be known as a hall, in which the regular members of the profession may meet on common ground. 3. “Resolved,, That a subscription be now com- menced for this purpose. 4. “Resolved, That a committee of eleven be now appointed to prepare a constitution and by-laws. “The third resolution being involved in the for- mer, it was passed over for the present.” The others were then adopted. * I do not pretend to give the exact words of the speakers, but the spirit, except where designated by quotations. 7 So mucli for tlie initiatory movement towards a noble voluntary medical association: “The New York Academy of Medicine,” in which the talent and influence of the medical profession of this city are brought out in behalf of science and humanity. It was a glorious triumph and an important era in the history and character of the medical body of this city. And I believe it is destined still to ac- complish great results, in promoting a fraternal re- gard in our ranks, as well as the furtherance of medical science, with all its accompanying blessings. I have now, in a very brief manner, presented all that I have been able to learn from printed records and living testimony still accessible. This latter is the only source which gives the facts of the ap- pointment of the committee who were empowered to call the meeting of December 12, 1846. Your minutes commence with the second meeting, which was held January 8, 1847. It may be asked, with great pertinence, Have the object and purpose contemplated in the organiza- tion of the Academy been obtained ? Upon this point there may be some difference of opinion. As for myself, after much personal observation and ex- perience, I believe much, very much, has been ac- complished, and upon a careful review, can be shown to the satisfaction of every one. To the honor of the profession, it is evident that there is more general harmony and sociability pre- vailing, and to a much greater extent, than ever before. Look at the roll of Fellows; it unquestionably 8 represents the body of the talent and influence of the profession in our city. I need not individualize or name them. Observe the regularity of our meetings, the num- ber of members present, the topics introduced, and the interesting discussions. Examine the papers and discussions* to be found in the first and second volumes, and a part of the third, published in the Society’s bulletin; also, the first and second volumes, and a part of the third, of the Society’s Transac- tions, in which there is much that is eminently scientific and peculiarly practical. If we have not accomplished all that could have been desired, it may be that those who feel the most, disappointed have not rendered their full quota; for if all had done what they could, there would be no reason to feel that the effort had not been a success. Yet it cannot be denied that we should have done more. The same may be said of any other society. We shall, nevertheless, compare favorably with the most active medical societies of the country. Examine our list of exchanges, on which we have some of the first medical and scientific societies of the world: “ The Royal Medical and Cliirurgical Society of London,” “The Imperial Academy of Medicine of Paris,” The College of Physicians of Philadelphia, The Smithsonian Institute at Wash- ington, &c. The increased devotion to the higher and more scientific investigations, particularly in the diseases * See addenda. 9 of the heart and lungs; the study of the nervous systems and their complications in diseases; the obstetrical department of medicine; the genito- urinary organs, and their diseases; the eye and ear; the study of physiology and pathology; the highly-interesting results of microscopical studies,* and the collateral branches of the science, such as chemistry, hygiene, Ac., Ac. The works published by some of our Fellows it does not become me at this time and place to particularize. They are many and of acknowledged ability. I regret to say, however, that there has not been rendered heretofore that efficient patronage and support, either financial or literary, to the medical journals of our city, which the best interest of our profession requires. But I have reason to believe that at present these deficiencies no longer exist. It is no more asked, “ Who reads an American book?” The high rank of our medical literature is eloquently expressed in the frequent republications, not only at home, but abroad, and in foreign lan- guages, of works emanating from our Fellows. It is also particularly gratifying to learn how frequently the papers read before-the Academy, as well as the discussions, have been referred to and translated in foreign journals, Ac. It is said by some of the most distinguished medical gentlemen of Europe, that the time has come when students will have to come to this countiy * By C. E. Isaacs, J. C. Dalton and others, Transactions, vols. 1, 2 and 3; also, R. Cresson Stiles on Cattle Disease. Report of Board of Health. 10 to pursue and finish their studies, not merely on account of the greater abundance of means and facilities, but also on account of the rapidly in- creasing ability and acquirements of the profession here. We will accept these remarks as passing compliments; but there is frequently much truth delicately expressed even in compliments. We have very recently listened to statements be- fore the Academy by gentlemen just returned from Europe, after an absence of from four months to as many years, which were in the highest degree com- plimentary, giving the results of their observations abroad, based on interviews with foreign medical gentlemen in most of the distinguished cities, and conveying to us, through our medical brethren and fellows, expressions highly gratifying to the medi- cal profession of the United States, and that too with special reference to those of our own city; acknowledging them their equals not only, but in some respects in advance, especially in surgery, and the obstetric art, the use of anaesthetics, and in the practical application of professional and scientific knowledge with which the New York Academy of Medicine has reason to be satisfied. This is gratifying, and, instead of causing us to rest, should stimulate us to redoubled energy, to still higher attainments. And now, gentlemen, what is next most needed is that which was with so much earnestness urged and advocated in the incipient stages (December 12, 1846) of the organization of this Academy ; I mean, the object set forth in the second resolution 11 passed by the meeting referred to, and second in importance only to the first, which is as fol- lows : “Resolved, That it is expedient to procure a building to be devoted to the Academy of Medi- cine, and that shall also be known as a hall in which the regular members of the profession may meet on common ground.” And now let us hear the first breathing note of desire on this important matter—the indispensable necessity of a hall for the Academy and a head- quarters for the profession. Doctor Alexander H. Stevens, in reply to the sen- timent given by Dr. Mott, in his concluding remarks expressed the hope “ that the increasing unanimity of the corps would lead soon to the establishment of a medical hall unconnected with hospitals or colleges which would contain meeting-rooms, a library, and be a headquarters of resort both for ourselves and our brethren from abroad.” Doctor John Wat- son, on the same evening, in answer to the fifth toast, said, “ that the imperfect action of the medi- cal body depended upon the want of a proper place of meeting. If the medical profession would all set to work, we should soon have an ornamental and useful one. He hoped the time would soon come when the medical clubs would come together; if so, the profession would be organized, and we should be subject to no reproach from strangers.” Such were the sentiments which found utterance during the initial stage of the formation of this, Academy. 12 Already, the profession of our neighboring 'city, Philadelphia, has a home, a medical library, com- mensurate with its wants and position in the com- munity; and shall the City of New York any longer suffer from the want of this necessary ap- pendage ? It is for you to answer. The position which this city occupies, in a nation- al point of view, as being the largest in the New World ; the great centre of finance and commerce in this country, gives it a very material influence on foreign countries, as well as our own, in all the departments of life. Our whole country looks to this city for a pro- fessional status that shall be acknowledged through- out the land. We have, in this city, three medical colleges, and the following hospitals : The New York, Bellevue, St. Luke’s, St. Vincent’s, Mount Sinai, and the Ger- man : The Roosevelt, with upwards of a million capital, and the Lenox, now in process of organi- zation, .) Its effects on Vision, by H. D. Noyes, (c.) Its relation to Pregnancy, by G. T. Elliot. (d.) The Therapeutics of Albuminuria, by J. M. Smith. 12. Barker, B. F., on Albuminuria, as affecting Preg- nancy, Parturition, and the Puerperal State, and discussed at large. G. T. Shrady, M. D., Jas. L. Banks, “ Louis Elsberg, “ E. E. T. Arnold, “ Austin Flint, “ John Ordronaux, “ L. A. Bodenstein, “ J. W. Sheppard, “ Admitted to Fellowship. E. Rosenberg, M. D., Sylvester Teats, u H. D. Noyes, J. H. Vedder, “ J. W. Draper, “ J. W. Barstow, “ G. P. Cammann, “ D. H. Hastings, u E. B. Belden, M. D. 26 1863— Papers Read and Topics Discussed. 1. Sands, A. L., Fracture of the Lower Jaw, treat ed with vulcanized rubber splint. 2. Hewitt, H. S., read a report of one thousand five hundred surgical cases in the hospital at Frederick, Md. 3. Smith, J. L., on Cyanosis. Parts of two meet- ings. 4. Buck, Gurdon, on Hernia. Discussed, Ac., on parts of two meetings. 5. Percy, S. Ik, on Veratrum Yiride. Larger part of four evenings. 6. Jacobi, A., opened the discussion on Cyanosis. 7. Parker, Willard, on Hospital Gangrene. 8. Austin Flint read a paper on the management of Pulmonary Tuberculosis, with a special ref- erence to the use of alcoholic stimulants. 9. Discussion on the same, by W. Detmold, B. W. McCready, and others. 10. Elsberg, L., on the Laryngoscope, Ac. Reception of the Medical Stall of the Russian fleet in our harbor, and entertainment by the President, and a subsequent reciprocity on board ship. 27 11. Blmnenthal, M., on Vulvo-Vaginitis. William H. Van Buren, Ch’n. Report on the exemption from military service, Ac., at the request of the Surgeon-General. 12. Squibb, E. R., remarks on the new United States Pharmacopoeia. Two meetings. 13. Foster, S. C., Annual Biscourse. 14. Van Buren, W. H., on Certain Diseases of the Rectum, and the treatment. 15. Draper, J. W., delivered the Annual Discourse. Admitted to Fellowship. A. N. Bell, M. B., W. H. Chamberlain, “ J. C. Braper, Jean Louis Guggenbuhl, Austin Flint, Jr., M. D., II. D. Ranney, “ Jos. A. Kerrigan, w M. D., Cor. Fellow. The following obituaries were delivered: Of Richard S. Kissam, by A. K. Gardner. Of Jacob Harsen, by John G. Adams. Of Jean Louis Guggenbuhl, by John G. Adams, Cor. Secretary. Of George P, Cammann, by J. L. Learning, Of G. W. Tucker, by W. C. Roberts, Of John Miller, by J. R. Van Kleek. 28 1864—Stated Meetings, 19; Adjourned, 1. Papers Read and Topics Discussed. 1. Squibb, E. II,. continued his remarks on the U. S. Pharmacopoeia. 2. Wood, J. R., on Necrosis, and rejiroduction of Bone. 3. Gardner, A. K., on the Non-Specific Character of Gonorrhoea. 4. Markoe, T. M., opened the discussion on Surgi- cal Diseases of the Rectum. 5. Noyes, Id. D., on Strabismus. 6. Discussion on the Diseases of the Rectum re- sumed. 7. Peaslee, E. R., on Ovarian Tumors and Treat- ment, excepting Ovariotomy. 8. Draper, W. H., on Cerebro-Spinal Meningitis and the discussions thereon. 9. Draper, J. C., on Insensible Perspiration. 10. Bumstead, F. J., opened the discussion of Vene- real Diseases of the Rectum. 11. Parker, W., opened the discussion on Cancerous Diseases of the Rectum, by appointment. 12. Peaslee on Ovariotomy. 13. Bell, A. N., on Communicability of Typhus Fever. 14. Detmold, W,, opened discussion on Strabismus, 29 15. Hamilton, F. H., on the Ultimate Effects of Anaesthesia, in major operations. 16. Discussion on the same. Admitted to Fellowship. S. W. Francis, M. D., B. A. Satterlee, “ U. S. A., Frank II. Hamilton, “ N. M. Freeman, “ J. R. McGregor, “ H. P. Farnham, “ W. H. Thomson, “ W. F. Thoms, “ Nelson J. North, “ William Gilfillan, M.D., James L. Little, “ W. B. Bibbins, Martin Payne, “ S. H. Smith, “ W. J. Sloan, U. S. A., James J. Connolly, “ L. Fleet Speir, “ W. C. Anderson, “ 1865—Stated Meetings, 18 ; Special, 1. Twice no quorum, in consequence of very in clement weather. -Papers Head and Topics Discussed. 1. Loomis, A. L., on the Non-Stimulating Treat- ment of Typhus Fever. 2. Parigot, J., on Lunacy Legislation; by invita- tion. 3. Flint, A., opened the discussion on Loomis’s paper; continued for three meetings. 4. Krackowizer, E., opened the discussion, by ap- pointment, on Pyaemia, which was continued for two meetings. 5. Hewitt, H. S., read extracts from his Medical Report of the Army of the Ohio, Ac. 6. Harris E., Hygienic Experience of New Orleans. 7. Sayre, L. A., Dislocations of the Thigh, Ac. 8. Post, A. C., on Gunshot Fracture of the Thigh. 9. Congenital Cleft Palate, by N. W. Kingsley; Rubber Plate, Ac. 10. Bulkley, H. D., opened discussion on Pneu- monia. Admitted to Fellowship. C. McMillen, M. D., G. Furman, “ J. Lawrence, u F. A. Burrall, R.Cresson Stiles, u Sigismund Teller, “ Thomas S. Bahan, M. D., Timothy Childs, “ Henry M. Field, “ J. W. Ranney, “ D. B. St. JohnRoosa, “ Thomas B. Stirling, “ 1866—Stated Meetings, 19; Special, 2; Ad- journed, 2. Papers Read and Topics Discussed. 1. Thomson, W. H., on Elimination of Disease. 2. Elliot, G. T., on Induction of Premature Labor. 3. Buck, Gurdon, on Autoplastic Surgery. 31 4. Metcalf, J. T., opened the discussion on Epi- demic Cholera, by appointment. 5. Clark, Alonzo, exhibited some plates of Piro- goif and Cruveilhier, on the Pathological Anatomy of Cholera, with remarks. 6. Roberts, W. C., Infectio-contagiousness of Cholera. 7. McCready, B. W., by appointment, opened the discussion on Alcohol. 8. Griscom, J. H., Malignant Influence of the Dis- eases of the Uterus. 9. Cholera discussed at several meetings, and the following papers presented by the Committee on Public Health: (a.) Smith, S., on Prevention and Relief. (/;.) Squibb, E. R., on Disinfectants. (