CHARTER and BY-LAWS OF THE Society, OF THE COUNTY OF CAMDEN, STATE OF NEW JERSEY, AND TABLE OE FEES. Adopted 1846, Revised 1877. CAMDEN, N. J. : PRINTED BY S. CHEW, COR. FRONT AND MARKET STREETS. 1877. CHARTER AND BY-LAWS OF THE District Medical Society OF THE COUNTY OF CAMDEN, STATE OF NEW JERSEY, AND TABLE OF FEES. Adopted 1846, Revised 1877. CAMDEN, N. J.: PRINTER BV S. CHEW, COR. FRONT AND MARKET STREETS. 1877. CONSTITUTION. ARTICLE I. Title of the Society. The title of this society shall be, “The District Medi cal Society of the County of Camden, State of New Jersey.” ARTICLE II. Objects of the Society. The objects of this society shall be the advancement of knowledge upon all subjects connected with the heal- ing art; the organization of the profession in connec- tion with the American Medical Association, the eleva- tion of the character, and the protection of the rights and interests of those engaged in the practice of medi- cine, and the study of the means calculated to render the medical profession most useful to the public, and subservient to the interests of humanity. ARTICLE III. Members of the Society. The society shall consist of regular physicians, sub- ject to the provisions of Article I of the By-Laws. 4 ARTICLE IV. Election of Members. Section i. Every candidate for membership shall be proposed, in writing, by three members who have per- sonal knowledge of his qualifications. Section 2. Every proposition for membership shall state the place and date of graduation, and other facts relating to the candidate, which may aid the censors in the performance of their duty. Section 3. Every proposition for membership shall be referred to the censors, who shall inquire into the character and standing of the candidate proposed, and report at the next meeting as to his eligibility for membership, but no ballot shall be taken until the sub- sequent meeting, when, if two-thirds of the ballots deposited shall be in favor of the candidate, he shall be declared duly elected. Section 4. No candidate for membership who is rejected shall be again proposed within twelve months thereafter. Section 5. Candidates for membership shall be bal- lotted for in the following manner: The presiding officer shall appoint two tellers, who shall affix the name of each candidate on the cover of a separate compartment of the ballot box, and shall place the said ballot box in a position not open to the observa- tion of any other than the member at the time of voting. No member present shall be excused from voting, except by the consent of the society. When all the members present have voted the tellers shall 5 proceed to count the votes deposited, and they shall present a written report of the result to the President, who shall then announce the election of those candi- dates who have received the requisite number of ballots. Section 6. A member elect before being admit- ted to the full privileges of membership, shall sign the Constitution and By-Laws of this society, a copy of which shall be furnished him at the time, pay the initiation fee, and be present at one of the meetings ; but if he shall neglect or refuse to comply with these conditions, without a reasonable excuse, for the space of six months his election shall become void. Section 7. When a member elect is present for admission into this society, the presiding officer shall address him as follows : “ Having been duly elected a member of the District Medical Society of the County of Camden, you do solemnly declare, that, so long as you shall continue a member of the same, you will comply with all its laws and regulations, and use your best endeavors to promote its objects.” To which the member elect shall respond affirmatively. ARTICLE V. Certificate of Membership. Section i. Every member shall receive a certificate of membership signed by the officers of the society, in the words following : 6 “ The District Medical Society of the County of Camden, State of New fersey. ’ ’ “This is to certify, that , has been duly elected a member of this society, on the day of , A. D. 18—. “In testimony whereof, the seal of the Society and the signatures of the President and Secretary have been hereto affixed, this day of , A. D. 18—. , M. D., President, , M. D., Record Sec’y.” ARTICLE VI. Resignation of Members. All resignations of membership shall be made in writing, and be accompanied with a certificate from the Treasurer, that all dues to the society have been satisfied ; but no member shall be permitted to resign while charges are pending against him. ARTICLE VII. Censicre and Expulsion of Members. If any member shall violate the laws or regulations of this society, upon a charge in writing against him being presented to the Censors, it shall be their duty to notify the accused member of the same, and if, after a due investigation, they consider the charge to be sus- tained, they shall report the case with their decision to the society, at its next stated meeting, notifying the accused member of the time when the said report is to be made. If the accused member shall fail to come forward and exculpate himself he shall be reprimanded, 7 suspended or expelled, by a vote of two-thirds of the members present; but no vote for the reprimand, sus- pension or expulsion of a member shall be taken, excepting at a stated meeting, at which not less than twenty members are present, and of which meeting and report of the Censors due notice has been given. ARTICLE VIII. Officers of the Society. Section i. The officers of the society shall be a President, a Vice-President, a Recording Secretary, a Treasurer and five Censors, and a Nominating Com- mittee of three members, who shall be elected by ballot at the annual meeting in May, and shall serve until their successors are elected. At the stated meeting in May five Censors shall be elected, one to serve for one year, one for two years, one for three years, one for four years, and one for five years ; and annually thereafter one Censor shall be elected for five years. All other officers shall be elected annually. Nominations for Officers. Section 2. Nominations for officers and delegates shall "be made at the stated meeting in May, and no member shall be put in nomination who is in arrears for the annual contribution of the current year. ARTICLE IX. Meetings of the Society. Section i. The stated meetings of the society shall be held on the second Tuesday in May and November. 8 Section 2. Special meetings may be called by the President whenever requested in writing by five mem- bers of the society. Section 3. For the transaction of the ordinary bus- iness of the society, twelve members shall be a quorum. But for scientific and literary purposes, unless an actual count be called for, a quorum shall always be presumed. For the election of officers, members and delegates, or for altering the Constitution and By-Laws, fifteen mem- bers shall be a quorum. For the reprimanding, sus- pension or expulsion of a member, twenty members shall be a quorum. ARTICLE X. Funds of the Society. Section i. An annual contribution of two dollars shall be due and payable by each member at the annual meeting in May or November, and also any assessment the society may deem needful. Section 2. Members elect upon signing the Consti- tution, shall pay to the Treasurer an admission fee of five dollars. Section 3. Every member neglecting or refusing to pay the amount of his contribution for six months, and if in arrears at the close of the year (application for the amount having been made by the Treasurer), he shall be reported to the society as delinquent, with the amount of his arrearages, and in case payment be not made within six months thereafter, he shall forfeit his right of membership; which forfeiture shall be duly reported to the society by the Treasurer. 9 ARTICLE XI. Code of Ethics. This society adopts as a part of its regulations, bind- ing upon all its members, the Code of Ethics adopted by the American Medical Association. ARTICLE XII. Election of Delegates. Delegates to the American Medical Association, the Medical Society of the State of New Jersey, and to adja- cent District Medical Societies, shall be elected annu- ally, at the stated meeting in May, by ballot; provided, however, that by the unanimous consent of the mem- bers present, the election may be made viva voce. ARTICLE XIII. Amendments. This Constitution shall not be altered or amended, unless the proposed alteration or amendment be made in writing, at one of the stated meetings, and receive the assent of two-thirds of the members present at the subsequent stated meeting. BY-LAWS. ARTICLE I. Of Members. Section i. To entitle a person to membership in this society, he must be a citizen of the county of Camden, a graduate of at least one year’s standing of a respecta- ble medical school, and of good moral and professional reputation. Section 2. No physician removing into this county shall be eligible for membership, until after he has been engaged one year in the regular practice of medicine within the county. Section 3. Any physician who shall procure a patent for a remedy or instrument of surgery, or who recom- mends patent remedies or nostrums, or who shall enter into an agreement with an apothecary to receive pecuniary compensation or patronage for sending his prescriptions to said apothecary, or who makes any reduction in the fee bill of this society because of owning a drug store, or who prescribes a proprietary or copyright remedy without knowing its composition, 12 or who shall hereafter give a certificate in favor of a patent remedy or instrument, shall be disqualified from becoming or remaining a member. ARTICLE II. Duties of Officers. Section i. The President shall preside at the meet- ings of the society, preserve order, and perform such other duties as custom and parliamentary usage may require. At the close of his term of office he shall de- liver a public address. Section 2. The Vice-President shall, when called upon, assist the President in the performance of his duties and during his absence, or at his request shall officiate in his place. Section 3. The Recording Secretary shall keep cor- rect minutes of the proceedings of the Society, which, when approved, he shall fairly transcribe in a book to be kept for that purpose. He shall have charge of all papers belonging to the society, except those appertaining to the office of Treasurer. He shall send to each member due notice of all meetings of the society, stating in the said notice the names and residences of the candidates to be bal- lotted for, and the special business to be transacted. He shall notify the society of its meetings, and of the decease of any of its members. Section 4. The Treasurer shall receive all moneys belonging to the society and disburse the same as di- rected by a warrant signed by the President and coun- tersigned by the Recording Secretary. 13 On or before the Second Tuesday in May, he shall furnish to the Nominating Committee a list of the names and places of residence of members, who are elegible as officers and delegates in accordance with Sec. i, Art. VIII, of the Constitution. Section 7. The Censors shall inquire into the char- acter and standing of all candidates for membership, and report in writing as to their elegibility at the next stated meeting. They shall investigate any disagree- ment which may occur between members, and endeavor to restore harmony. When a member is charged with an infringement of the laws of the society, or the Code of Ethics, the Censors shall fully and impartially investigate the same, and if they deem the charge to be well founded, shall report the case to the society at its next stated meeting, together with their decision. ARTICLE III. Meetings of the Society. The stated meetings shall be held at u o’clock, A. M. Adjourned and special meetings shall be held at such hours as shall be particularly designated. ARTICLE IV. Order of Business. Section i. All meetings of the society shall be called to order at the appointed hour by the President, or in his absence by the Vice-President. In the event of the absence of the President and Vice-President a chairman pro tempore shall be appointed. 14 Section 2. At the stated meetings the business shall be conducted in the following order : 1. The Recording Secretary shall register the names of the members present. 2. The minutes of the last stated meeting shall be read. 3. Members elect shall be introduced. 4. Unfinished business shall be considered. 6. Reports of Officers and Committees shall be heard. 7. Propositions for membership shall be received. 8. Candidates for membership shall be ballotted for. 9. Amendments to the Constitution shall be con- sidered. 10. New business shall be considered. 11. President’s address. 12. Election of officers of the society. 13. Auditing Treasurer’s account. 14. Adjournment shall be in order. ARTICLE V. Amendments. These By-Laws may be altered or amended at a stated meeting by a vote of two-thirds of the members present; provided that a written notice of such amend- ment or alteration be presented at the meeting of the society next preceding said stated meeting. CODE OF MEDICAL ETHICS. Adopted by the New Jersey Medical Society. ARTICLE I. Duties for the support of professional character. Section i. Every individual, on entering the pro- fession, as he becomes thereby entitled to all its privi- leges and immunities, incurs an obligation to exert his best abilities to maintain its dignity and honor, to exalt its standing, and to extend the bounds of its usefulness. He should, therefore, observe strictly such laws as are instituted for the government of its members; should avoid all contumelious and sarcastic remarks relative to the faculty, as a body; and while, by unwearied dili- gence, he resorts to every honorable means of enriching the science, he should entertain a due respect for his seniors, who have, by their labors, brought it to the elevated condition in which he finds it. Section 2. There is no profession, from the members of which greater purity of character, and a higher stan- dard of moral excellence are required, than the medical; and to attain such eminence, is a duty every physician owes, alike to his profession and to his patients. It is 16 due to the latter, as without it he cannot command their respect and confidence, and to both, because no scien- tific attainments can compensate for the want of correct moral principles. It is also incumbent upon the faculty to be temperate in all things; for the practice of phy- sic requires the unremitting exercise of a clear and vig- orous understanding; and, on emergencies, for which no professional man should be unprepared, a steady hand, an acute eye, an unclouded head, may be essen- tial to the well-being, and even to the life, of a fellow creature. Section 3. It is derogatory to the dignity of the pro- fession to resort to public advertisements or private cards or hand-bills, inviting the attention of individuals affected with particular diseases—publicly offering advice and medicine to the poor gratis, or promising radical cures; or to publish cases and operations in the daily prints, or suffer such publications to be made ; to invite laymen to be present at operations, to boast of cures and remedies, to adduce certificates of skill and success, or to perform any other similar acts. These are the ordinary practices of empirics, and are highly reprehensible in a regular physician. Section 4. Equally derogatory to professional char- acter is it, for a physician to hold a patent for any sur- gical instrument or medicine, or to dispense a secret nostrum, whether it be the composition or exclusive property of himself or of others. For, if such nostrum be of any efficacy, any concealment regarding it is inconsistent with beneficence and professional liberality; and, if mystery alone give it value and importance, 17 such craft implies either disgraceful ignorance or fraud- ulent avarice. It is also reprehensible for physicians to give certificates attesting the efficacy of patent or secret medicines, or in any way to promote the use of them. ARTICLE II. Professional services of physicians to each other. Section i. All practitioners of medicine, their wives and their children, while under the paternal care, are entitled to the gratuitous services of any one or more of the faculty residing near them, whose assistance may be desired. A physician afflicted with disease is usually an incompetent judge of his own case ; and the natural anxiety and solicitude which he experiences at the sick- ness of a wife, a child or any one, who, by the ties of consanguinity, .is rendered peculiarly dear to him, tend to obscure his judgment, and produce timidity and irresolution in his practice. Under such circum- stances, medical men are peculiarly dependent upon each other, and kind offices and professional aid should always be cheerfully and gratuitously afforded. Visits ought not, however, to be obtruded officiously ; as such unasked civility may give rise to embarrassment, or interfere with that choice on which confidence depends. But, if a distant member of the faculty, whose circum- stances are affluent, request attendance, and an honorarium be offered, it should not be declined ; for no pecuniary obligation ought to be imposed which the party receiving it would wish not to incur. 18 ARTICLE III. Of the duties of physicians as respects vicarious offices. Section i. The affairs of life, the pursuit of health, and the various accidents and contingencies to which a medical man is peculiarly exposed, sometimes require him temporarily to withdraw from his duties to his patients, and to request some of his professional brethren to officiate for him. Compliance with this request is an act of courtesy, which should always be performed with the utmost consideration for the interest and character of the family physician, and when exercised for a short period, all the pecuniary obligation for such service should be awarded to him. • But if a member of the profession neglect his business in quest of pleasure and amusement, he cannot be considered as entitled to the advantages of the frequent and long continued exercise of this fraternal courtesy, without awarding to the physician who officiates the fees arising from the dis- charge of his professional duties. In obstetrical and important surgical cases, which give rise to unusual fatigue, anxiety and responsibility, it is just that the fees accruing therefrom should be awarded to the physician who officiates. ARTICLE IV. Of the duties of physicians in regard to consultations. Section i. A regular medical education furnishes the only presumptive evidence of professional abilities and acquirements, and ought to be the only acknowledged right of an individual to the exercise and honors of his 19 profession. Nevertheless, as in consultations the good of the patient is the sole object in view, and this is often dependent on personal confidence, no intelligent regular practitioner, who has a license to practice from some medical board of known and acknowledged respect- ability, recognized by this association, and who is in good moral and professional standing in the place in which he resides, should be fastidiously excluded from fellowship, or his aid refused in consultation, when it is requested by the patient. But no one can be considered a regular practitioner, or fit associate in consultation, whose practice is based on an exclusive dogma, to the rejection of the accumulated experience of the profession, and of the aids actually furnished by anatomy, physi- ology, pathology, and organic chemistry. Section 2. In consultations, no rivalship or jealousy should be indulged; candor, probity, and all due respect, should be exercised towards the physician having charge of the case. Section 3. In consultations, the attending physician should be the first to propose the necessary questions to the sick ; after which the consulting physician should have the opportunity to make such further inquiries of the patient as may be necessary to satisfy him of the true character of the case. Both physicians should then retire to a private place for deliberation ; and the one first in attendance should communicate the direc- tions agreed upon to the patient or his friends, as well as any opinions which it may be thought proper to express. But no statement or discussion of it should take place before the patient or his friends, except in the presence of all the faculty attending, and with their 20 common consent; and no opinions or prognostications should be delivered, which are not the result of previous deliberations and concurrence. Section 4. In consultations, the physician in attend- ance should deliver his opinion first; and when there are several consulting, they should deliver their opinions in the order in which they have been called in. No decision, however, should restrain the attending physi- cian from making such variations in the mode of treat- ment, as any subsequent unexpected change in the char- acter of the case may demand. But such variation, and the reasons for it, ought to be carefully detailed at the next meeting in consultation. The same privilege belongs also to the consulting physician, if he is sent for in an emergency, when the regular attendant is out of the way, and similar explanations must be made by him at the next consultation. Section 5. The utmost punctuality should be observed in the visits of physicians when they are to hold con- sultation together, and this is generally practicable, for society has been considerate enough to allow the plea of a professional engagement to take precedence of all others, and to be an ample reason for the relinquish- ment of any present occupation. But, as professional engagements may sometimes interfere and delay one of the parties, the physician who first arrives should wait for his associate a reasonable period, after which the consultation should be considered as postponed to a new appointment. If it be the attending physician who is present, he will of course see the patient and prescribe ; but if it be the consulting one, he should retire, except in cases of emergency, or when he has 21 been called from a considerable distance, in which latter case he may examine the patient, and give his opinion in writing and under seal, to be delivered to his associate. Section 6. In consultations, theoretical discussions should be avoided, as occasioning perplexity and loss of time; for there may be much diversity of opinion con- cerning speculative points, with perfect agreement in those modes of practice which. are founded, not on hypothesis, but on experience and observation. Section 7. All discussions in consultation should be held as .secret and confidential. Neither by words nor manner should any of the parties to a consultation assert or insinuate, that any part of the treatment pursued did not receive his assent. The responsibility must be equally divided between the medical attendants,—they must equally share the credit of success as well as the blame of failure. Section 8.' Should an irreconcilable diversity of opin- ion occur when several physicians are called upon to consult together, the opinion of the majority should be considered as decisive; but if the numbers be equal on both sides, then the decision should rest with the attending physician. It may, moreover, sometimes happen that two physicians cannot agree in their views of the nature of a case, and the treatment to be pursued. This is a circumstance much to be deplored, and should always be avoided, if possible, by mutual concessions, as far as they can be justified by a conscientious regard for the dictates of judgment. But, in the event of its occurrence, a third physician should, if practicable, be called to act as umpire ; and, if circumstances prevent the adoption of this course, it must be left to the patient 22 to select the physician in whom he is most willing to confide. But, as every physician relies upon the recti- tude of his judgment, he should, when left in a minor- ity, politely and consistently retire frorh any further deliberation in the consultation, or participation in the management of the case. Section 9. As circumstances sometimes occur to ren- der a special consultation desirable, when the continued attendance of two physicians might be objectionable to the patient, the member of the faculty whose assistance is required in such cases, should sedulously guard against all future unsolicited attendance. As such consultations require an extraordinary portion of time and atten- tion, at least a double honorarium may be reasonably expected. Section 10. A physician who is called upon to con- sult, should observe the most honorable and scrupulous regard for the character and standing of the practitioner in attendance; the practice of the latter, if necessary, should be justified as far as it can be, consistently with a conscientious regard for truth, and no hint or insinu- ation should be thrown out which could impair the con- fidence reposed in him, or affect his reputation. The consulting physician should also carefully refrain from any of those extraordinary attentions or assiduities which are too often practiced by the dishonest for the base purpose of gaining applause, or ingratiating them- selves into the favor of families and individuals. 23 ARTICLE V. Duties of physicians in cases of interference. Section i. Medicine is a liberal profession, and those admitted into its ranks should found their expecta- tions of practice upon the extent of their qualifications, and not on intrigue or artifice. Section 2. A physician, in his intercourse with a patient under the care of another , practitioner, should observe the strictest caution and reserve. No meddling inquiries should be made—no disingenious hints given relative to the nature and treatment of his disorder ; nor any course of conduct pursued that may directly or indirectly tend to diminish the trust reposed in the physician employed. Section 3. The same circumspection and reserve should be observed when, from motives of business or friendship, a physician is prompted to visit an individ- ual who is under the direction of another practitioner. Indeed, such visits should be avoided, except under peculiar circumstances ; and when they are made, no particular inquiries should be instituted relative to the nature of the disease, or the remedies employed, but the topics of conversation should be as foreign to the case as circumstances will admit. Section 4. A physician ought not to take charge of, or prescribe for a patient who has recently been under the care of another member of the faculty in the same illness, except in cases of sudden emergency, or in con- sultation with the physician previously in attendance, or when the latter has relinquished the case, or been 24 regularly notified that his services are no longer desired. Under such circumstances, no unjust and illiberal insin- uations should be thrown out in relation to the conduct or practice previously pursued, which should be justified as far as candor and regard for truth and probity will permit; for it often happens that patients become dis- satisfied when they do not experience immediate relief, and as many diseases are naturally protracted, the want of success, in the first stage of treatment, affords no evidence of a lack of professional knowledge and skill. Section 5. When a physician is called to an urgent case, because the family attendant is not at hand, he ought, unless his assistance in consultation be desired, to resign the care of the patient to the latter immediately on his arrival. Section 6. It often happens, in cases of sudden illness, or of recent accidents and injuries, owing to the alarm and anxiety of friends, that a number of physicians are simultaneously sent for. Under these circumstances, courtesy should assign the patient to the first who arrives, who should select from those present any additional assistance that he may deem necessary. In all such cases, however, the practitioner who officiates should request the family physician, if there be one, to be called, and, unless his further attendance be requested, should resign the case to the latter on his arrival. Section 7. When a physician is called to the patient of another practitioner, in consequence of the sickness or absence of the latter, he ought, on the return or recovery of the regular attendant, and with the consent of the patient, to surrender the case. 25 Section 8. A physician, when visiting a sick person in the country, may be desired to see a neighboring patient who is under the regular direction of another physician, in consequence of some sudden change or aggravation of symptoms. The conduct to be pursued on such an occasion is to give advice adapted to present circumstances ; to interfere no further than is abso- lutely necessary with the general plan of treatment; to assume no future directions, unless it be expressly desired; and, in this last case, to request an immediate consultation with the practitioner previously employed. Section 9. A wealthy physician should not give advice gratis to the affluent ; because his doing so is an injury to his professional brethern. The office of a physician can never be supported as an exclusively beneficient one ; and it is defrauding, in some degree, the common funds for its support, when fees are dis- pensed with which might justly be claimed. Section. 10. When a physician has been engaged to attend a case of midwifery, is absent, and another is sent for, if delivery is accomplished during the attend- ance of the latter, he is entitled to the fee, but should resign the patient to the practitioner first engaged. ARTICLE VI. Of Diffcretices between Physicians. Section i. Diversity of opinion, and opposition of interests, may, in the medical as in other professions, sometimes occasion controversy and even contention. Whenever such cases unfortunately occur, and cannot be immediately terminated, they should be referred to the 26 arbitration of a sufficient number of physicians, or a court-medical. Section 2. As peculiar reserve must be maintained by physicians towards the public, in regard to profes- sional matters, and as there exist, numerous points in medical ethics and etiquette through which the feeling of medical men may be painfully assailed in their inter- course with each other, and which cannot be understood or appreciated by general society, neither the subject matter of such differences nor the adjudication of the arbitrators should be made public, as publicity in a case of this nature may be personally injurious to the individuals concerned, and can hardly fail to bring discredit on the fa.ultv. ARTICLE VII. Of Pecuniary Acknowledgments. Some general rules should be adopted by the'faculty in every town or district, relative to pecuniary acknowl- edgments from their patients ; and it should be deemed a point of honor to adhere to these rules with as much uniformity as varying circumstances will admit. ARTICLE VIII. This Society adopts the code of ethics established, or that may be hereafter established by the American Medical Association. NEW TABLE OF FEES, AND RATES OP' CHARGING FOR MEDICAL AND SURGICAL SERVICES, ESTABLISHED BY THE NEW JERSEY STATE MEDICAL SOCIETY, AT THE ANNUAL MEETING IN MAY, 1874, FOR THE FUTURE GOVERN- MENT OF ITS MEMBERS. OFFICE BUSINESS. Advice, j $i oo to 5 oo “ by letter, 5 00 “ 15 00 “ at night, double. “ in venereal diseases (payable in advance), 5 00 “ 2 5 00 In cases requiring the applications of remedies the charge to be doubled. Application of galvanic battery, 1 00 3 00 Leeching, cupping, opening abscesses and other minor surgical opera- tions, 1 00 “10 00 Vaccination, 2 00 5 00 Catheterization, 3 00 5 00 Excising Uvula, 3 00 4 4 5 00 “ Tonsil, 10 00 “ 15 00 Extracting tooth or cutting child’s gums, 5° 4< x 00 28 Examinations with instruments as speculum, laryngoscope, ophthol- moscope, sphygmograph, etc., $3 00 to 20 00 Certificate in case of illness, or for a Life Insurance Policy, 3 00 “ 5 00 MISCELLANEOUS. Chemical and microscopical exami- nations of Urine, $5 00 “ 30 00 Chemical analysis in case of poison or suspected poison, 50 00 “ 300 00 Other chemical or microscopical examinations to be charged accord- ing to the trouble and expense in- volved Post Mortem, v 10 00 “ 30 00 “ if subject is exhumed, 30 00 “ 100 00 Each assistant is entitled to a fee. Opinion as an expert, 30 00 “ 200 00 Efforts for the restoration of the poisoned, 5 00 “ 50 00 Efforts if stomach-pump is used, * 20 00 “ 100 00 Efforts for the restoration of the drowned, 10 00 “ 100 00 Administration of anaesthetics, 10 00 “ 100 00 GENERAL PRACTICE. Ordinary visits, $2 00 to 5 00 (If the distance exceeds one mile, a half-dollar for each mile may be added.) 29 Advice given to other patients at the same visit to be charged as office business Visits after 9 o’clock P. M. or before 7 A. M., or in haste, or in extraordinary circumstances, to be charged double. Remaining in attendance all night, $10 00 to 20 00 Detention, in addition to visit, per hour, 1 00 “ 2 00 Visits in contagious diseases to be charged according to the trouble and exposure involved, 4 00 “ 10 00 Consultation visit (mileage to be added), 5 00 “ 50 00 Attending physician entitled to consultation fees. Administering enema, in addition to charges for visit, 1 00 “ 3 00 Administering hypodermic injection, 1 00 “ 2 00 Other special services to be charged as in office business. MIDWIFERY. Ordinary case, $15 00 to 100 00 (With visits the first week.) Case requiring version or forceps, 20 00 “ 150 00 Craniotomy or caesarean section, 50 00 “ 200 00 Induction of premature Labor, 30 00 “ 100 00 Attendance in case of Abortion, 10 00 “ 40.00 Visits after the first week or extra visits during the first week, to be charged as in general practice. 30 In any case when detained in con- stant attendance longer than six hours, an additional charge per hour may be made as in general practice. SURGERY. Visits and consultation same as in general practice. Wounds, each dressing, |2 oo to io oo “ requiring ligaturing of ves- sels, io oo “ ioo oo Simple fractures, first dressing : Bones of Hand, 5 00 “ 10 00 “ Forearm, Arm or Shoulder, 10 00 “ 40 00 “ Foot, 5 00 “ 15 00 “ Leg, 20 00 “ 50 00 “ Thigh or Hip, 30 00 “ 100 00 “ Spine, Ribs or Sternum, 10 00 “ 50 00 Compound fracture to be charged one-half more. Dislocations, reduction of: Bones of Thumb or Fingers, 5 00 “ 20 00 “ Wrist or Elbow, 15 00 “ 50 00 “ Shoulder, 15 00 “ 50 00 “ Toes, 5 00 “ 10 00 “ Ankle, 10 00 “ 30 00 “ Knee, 30 00 “ 75 00 “ Hip, 50 00 “ 150 00 Clavicle, 10 00 “ 30 00 “ Lower Jaw, 10 00 “ 30 00 31 Amputation or resection (of extrem- ities) $10 oo to 200 oo Trephining, 20 00 “ 75 00 Paracentesis abdominis or thoracis, 10 00 “ 30 00 If the aspirator is used the charge is to be doubled. Removal of Tumors from external surface of body by incision, liga- ture, electricity or cautery : Small, non-malignant, 5 00 “ 30 00 Large or malignant, 50 00 “ 200 00 Aneurism by ligature, or compression, 50 00 “ 150 00 Ovariotomy, or removal of tumors from uterus, 100 00 “ 500 00 Lithotomy, or Lithrotity, 100 00 “ 300 00 Tracheotomy, oesophagotomy, or pharyngotomy, 30 00 “ 100 00 Herniotomy, 50 00 “ 150 00 Reduction of hernia by taxis, 5 00 “ 30 00 Extraction of foreign bodies from nasal or aural passages, 5 00 “ 15 00 Extraction of foreign bodies from trachea or oesophagus, 10 00 “ 50 00 Operations for the relief of congeni- tal deformities as hare-lip, etc., 20 00 “ 100 00 Operations for Fistula, 30 00 “ 200 00 “ upon the Eye and Ear, 10 00 “ 200 00 “ “ Genito-Urinary Organs, 30 00 “ 100 00 “ “ Rectum, 30 00 “ 100 00 “ Auto plastic, 50 00 “ 200 00 32 “ Orthopedic, $20 00 to 75 00 The Assistant Surgeon is entitled to charge half fees. All other medical services not specified to be charged accordingly. It is earnestly recommended by the Society, that bills for professional services be rendered as often as once in six months. Any number of visits made in a single day should be charged at not less than the usual rate, since cases requiring such frequent visits must involve more than ordinary responsibility; and many of the visits must be paid at inconvenient hours. Professional services are entitled to compensation at the time the same are rendered. In the cities and towns in the State contiguous to the cities of New York and Philadelphia, the rates of charg- ing for medical and surgical services may reasonably correspond with the rates of those cities. ORGANIZATION. The District Medical Society of the County of Camden was organized at Haddonfield, New Jersey, August 14th, 1846, under a warrant from the New Jersey Medical So- ciety, dated May 12th, 1846, and issued to the following licensed Physicians and Surgeons :— Jaqob P. Thornton, M. D. Richard M. Cooper, M. D. James Risley, M. D. Charles D. Hendry, M. D. Othniel H. Taylor, M. D. Isaac S. Mulford, M. D. The following Officers were elected at the above meet- ing:— President, James Risley, M. D. Vice President, Othniel II. Taylor, M. D. Secretary, Richard M. Cooper, M. D. Treasurer, Jacob P. Thornton, M. D. PRESIDENTS OF THE SOCIETY. 184G to 1847, JAMES S. RISLEY, M. D. 1848 to 1851, ISAAC S. MULFORD, M. D. 1852 to 1853, CHARLES I). HENDRY, M. D. 1854, A. DICKINSON WOODRUFF, M. D. 1856, JOHN W. SNOWDEN, M. D. 1856, OTIINIEL II. TAYLOR, M. D. 1857, THOMAS F. CULLEN, M. D. 1858, SYLVESTER BIRDSELL, M. D. 1859, JOHN V. SCHENCK, M. D. 1860, BOWMAN HENDRY, M. I). 1861, NAPOLEON B. JENNINGS, M. D. 36 1862, HENRY E. BRANIN, M. D. 1863, J. GILBERT YOUNG, M. D. 1864, JOHN R. STEVENSON, M. D. 1865, H. GENET TAYLOR, M. 1). 1866, ALEXANDER MARCY, M. D. 1867, JAMES M. RIDGE, M. D. 1868, JON A. J. COMFORT, M. D. 1869, ALEXANDER M. MECRAY, M. D. 1870, J. ORLANDO WHITE, M. D. 1871, RICHARD M. CfoOPER, M. D. 1872, ISAAC W. HEWLINGS, M. D. 1873, JOHN V. SCHENCK, M. D. 1874, ‘RICHARD M. COOPER, M. I). 1875, JOHN W. SNOWDEN, M. D. 1876, ALEXANDER MARCY, M. D. 4877, EDWIN TOMLINSON, M. D. LIST OF THE MEMBERS OP THE DISTRICT MEDICAL SOCIETY, OF THE COUNTY OF CAMDEN, STATE OF NEW JERSEY, WITH THE DATES OF ELECTION. * Denotes deceased members, t Denotes resignation of members, t Denotes removal from the county. II Denotes expelled. 5 Denotes dropped from the rolls. t Jacob P. Thornton 1846. # Richard M. Cooper 1846. 4 James Risley 1846. # Charles D. Hendry ...... 1846. # Othniel H. Taylor 1846. # Isaac S. Mulford 1846. I A. D. Woodruff 1847. # bowman Hendry 1847. § Daniel M. Stout 1847. t Benjamin W. Blackwood 1847. John V. Schenck 1848. II Edward J. Record. . * 1848. 38 John W. Snowden 1849. * John J. Jessup 1849. $ Robert M. Smallwood 1849. § Jacob Gregg 1850. Thomas F. Cullen 1850. § Sylvester Birdsell....... 1850. § Ezekiel C. Chew 1851. I B. Fullerton Miles 1852. II G. W. Bartholomew 1854. t Richard C. Dean 1854. N. B. Jennings 1857. * W. G. Thomas ....... 1857. * Henry Ackley 1859. H. Genet Taylor 1800. Henry E. Branin 1800. J. Gilbert Young 1803. John R. Stevenson 1803. Alexander Marcy 1804. James M. Ridge ....... 1800. 1 Jona. J. Comfort 1800. 1 Peter Y. Schenck 1807. II. A. M. Smith 1807. Alexander M. Mecray . . - . . . . 1867. 1 J. Y. Achuff 1807. 1 T. F. Smith . 1807. t John M. Sullivan 1807. J. Orlando White 1808. I. W. Hewlings 1870. Randal W. Morgan 1870. J. W. McCullough 1871. John R. Haney 1871. D. Parrish Pancoast 1871. 1 R. B. Okie 1871. Isaac B. Mulford 1871. Thomas Westcott 1871. 39 § W. II. Ireland 1871. George W. Boughman 1871. Edwin Tomlinson 1872. C. H. Shivers. . . . . . . 1873. Maximilian West 1875. E. B. Woolston 1876. E. L. B. Godfrey ....... 1876. W. P. Melcher 1876. James A. Annstrong 1876. Thomas G. Rowand ...... 1876. E. J. Snitcher 1876. D. W. Blake 1876. W. A. Davis 1877. Dowling Benjamin 1877. John S. Miller 1877. HONORARY MEMBERS. Rev. Joseph F. Garrison, M. D., Camden. A. D. Woodruff, M. D., Maryland. Richard C. Dean, M. D., U. S. N. Peter Y. Schenok, M. D., St. Louis, Mo. At the annual meeting of the District Medical Society of the County of Camden, held May 9th, 1876, the follow- ing committee were appointed to revise the Constitution and By-laws of the Society: IT. Genet Taylor, M. I). John V. Schenck, M. I). James M. Ridge, M. D.