Abstract of State Society Proceedings, No,. 2. Minutes of the Fifth Annual Meeting of the Louisiana State Medical Society, held at Bcgel’s Hall, 3h:svep:rt, La., April 4-5-6, 1833. Annual Report cf 1883 cf the Standing Committee on Medicine. Report of the Committee on Medical Organization. Report of the Corresponding Secretary. Roll and Post Office Addresses of Members of the Louisiana State Medical Society. Regulations of the Louisiana State Medical Society. Regulations for Parish Medical Societies. Reprinted from N. O. Medical and Snrgical Journal June, I1J8U. NEW ORLEANS: L. Graham Son, Printers, 127 Gravier StreStr 18 83. MINUTES OF PROCEEDINGS OF THE FIFTH ANNUAL MEETING OF THE Louisiana State Medical Society, HELD AT BOGEL’S HALL, SHREVEPORT, LA., APRIL 4, 5 and 6, 1883. First Day’s Proceedings. The Society was called to order by the President, A. A. Lyon, M. 1)., of Shreveport, at 11 o’clock. Twenty-one members present: Dr. C. J. Bickham of .New Orleans, announced that Dr. L. F. Salomon, the Recording Secretary, would not be pres, ent and moved that Dr. P. B. McOutchon of New Orleans, be elected temporary Secretary. Carried. Prayer was offered by W. C. Dunlap, D. D., of the Pres- byterian Church. Dr. T. G. Ford, Chairman of the Arrangements Committee, then introduced Hon. Andrew Currie, Mayor of Shreveport, who in a few appropriate remarks welcomed the delegates on behalf of the citizens. After which, Dr. T. G. Ford, introduced Dr. T. J. Allen, President of the Shreveport Medical Society, who wel- comed the delegates on behalf of the Shreveport Medical Society. Dr. C. J. Bickham moved that the reading of the minutes of the last meeting be dispensed with, they having been published in pamphlet form. Carried. Dr. moved a suspension of the rules, so that the Sec- retary could get the names of the members present, and that each member should hand in his name and parish to the Secre- tary. Carried. The following members registered their names : Allen, T. J., of Shreveport; Ashton, W. W., Shreveport ; Bemiss, S. M., Bickham, C. J., New Orleans; Billiu, D. H. Booth, A., Shreveport; Cliaill6, S. E,, New Orleans; Clay, D., 2 M., Shreveport; Davidson, J. P., New Orleans; Day, R. H., Baton Rouge; Dillard, H. T., Eagan, J. C., Ford, T. G., Shreve- port ; Fox, D. R., Plaquemines parish ; Gray, R. A., Hilliard, W*, Lyon, A. A., Shreveport; McCutchon, P. B., New Orleans; Schuppert, M., New Orleans; Scott, J. J., Shreveport; Scruggs, S. O., Cloutierville, Natchitoches parish. Twenty-one members (21'). Credentials from the following delegates were received L. H. Fisher, J. W. Allen, Shreveport Medical Society. Dr. Fox, Plaquemine Medical Society. J. P. Davidson, C. J. Bickham, M. Schuppert, P. B. Me Cutchou, New Orleans Parish Medical Society. T. G. Newton, Morehouse Parish Medical Society. Reading of Communications. The Secretary read a communication from Dr. A. B. Snell of Bayou Goula, Iberville parish, suggesting the formation of a Tri-State Medical Society of the States of Louisiana, Texas, and Arkansas, similar to that now existing between the States of Kentucky, Indiana and Illinois. Tabled subject to call. Also a communication from Dr. J. D. Hammonds, of Lind Grove, Morehouse parish, suggesting Monroe as the place for the next meeting. Tabled, subject to call. From Dr. J. E. Duffel, of Donaldsonville, Ascension parish, suggesting the formation of Parish Boards of Health, etc. From Louisiana State Pharmaceutical Association, through President Jas. S. Thibodeaux, with reference to a proposed “ Pharmacy law.” On motion of Dr. S. E. Cliaille, these were referred to the Committee on State Medicine and Legislation. Proposals for Membership. The following names were proposed : Allen, J. W., Shreveport; Armstrong, R. L., Jr., Pleasant Hill, DeSoto parish ; Baird, W. J., Collinsburg, Bossier parish; Benson, R. F., Mansfield, DeSoto parish ; Buck, W. P., Ever- green, Avoyelles parish ; Calhoun, T. L., Coty, H. C., Shreve- 3 port; Crain, P., Compte, Natchitoches parish; Dickson, W. L., Dickson’s Cross Eoads, Bossier parish; Dunn, J. A., Cotile, Rapides parish; Dunn, M. A., Montgomery, Grant parish 5 Easly, B. A., Cotile; Egan, W. L., Fisher, L. H., Shreveport; Formento, F., New Orleans; Gibbs, E. T., Mansfield; Griffin, J. F., Cloutierville, Natchitoches parish; Harrison, T. J., Montgomery; Milling, J. S., Dickson’s Cross Eoads; Mosely, W. X., Keacni, DeSoto parish; New- ton, I. J., Jr., Bastrop, Morehouse parish ; Owens, C. D., Homesville, Avoyelles parish; Sutherliu, W. K., Mansfield; Turner, W. M., Shreveport; Walker, S. F., Mansfield; Wal- ters, G. W., Collinsburg; Wise, B,, Greenwood, Caddo parish (27;. Upon motion of Dr. S. E. Chaillb, duly seconded, it was moved and carried that the rules be suspended, and that the above applicants be unanimously elected. Upon the question being put, the above named gentlemen were elected to membership. It was moved and carried that the members present com- ply with Sec. 1, Art. III., of the By-Laws before participating in the proceedings. Dr. Thomas J. Allen moved that the following dispatch be sent to the Kentucky State Medical Society, now in session at Louisville, which was unanimously carried: Shreveport, La., April 4, 1883. To the President of the Kentucky State Medical Society : The Louisiana State Medical Society, now in session in this city, sends fraternal greetings to its brethren of the Kentucky State Medical Society at Louisville, and trusts that they stand shoulder to shoulder with it in upholding the time honored code of ethics of the American Medical Association. A. A. LYON, President La. State Med. Society. The Seeretary forwarded the dispatch. Dr. R. A. Gray moved that the Eev. W. T. D. Dalzell, D. D., of the Episcopal church, be elected an honorary member. Unanimously carried. 4 Dr. Dalzell returned thanks for the honor conferred. Dr. S. E. Chaille moved that all members having reports or essays to be read be requested to hand them to Dr. W. Hil- liard, also giving the time that each paper would require. Carried. Dr. A. A. Lyon, Chairman of the Committee on Organiza. tiou, requested Vice-President J. P. Davidson to take the chair, and read the report of the committee. Dr. S. O. Scruggs moved that the report be accepted. Dr. Chaille ottered as an amendment, that the report bo received and be referred to a special committee of three. Dr. S. O. Scruggs accepted the amendment, and as amended the motion prevailed. Dr. Da‘ vidson appointed as the committee, Dr. S. E. Chaille, chair- man, Dr. T. J. Allen, Dr. B. H. Day. A motion was carried, under a suspension of the rules, that the morning session commence daily at ten instead of eleven o’clock. The Secretary read the report of the Corresponding Secre. tary, Dr. S. S. Herrick, of New Orleans, who was absent. The report shows there are fifteen parish societies, ten of which are in active operation. Total number of physicians in the State, 1042; regular, 792; irregular, 190; doubtful, 60. The report was accepted. Dr. C. J. Bickham made a statement for the Treasurer, Dr. Geo. K. Pratt, of New Orleans, statiug that the society was in debt to him in the sum of fifteen dollars. The resignation of Dr. L. F. Salomon, as secretary, was read and accepted. Dr. T. G. Ford stated that the committee of arrangements would be ready to report at the eveuing session. On motion of Dr. Chafll6 the society adjourned till 7:30 P. M. EVENING SESSION. The society was called to order by the President, A. A. Lyon, M. D., at 7:45 P. M. Dr. T. G. Ford, chairman of committee of arrangements, made his report, which was accepted. After which Dr. A. A. Lyon addressed the society. Dr. A. A. Lyon introduced Kev. W. T.D. Dalzell, D. D., who delivered the annual oration. 5 Vice President J. P. Davidson moved that the thanks of the society be tendered ltev. W. T. D. Dalzell, D. D., for his able and interesting address. Unanimously carried. On motion the society adjourned to meet on Thursday at 10 A. M. Adopted at evening session, April 5*. P. B. McCUTCHON, M. D , Temporary Recording Secretary. Second Day’s Proceedings. Thursday, April 5, 1883, The Society was called to order by the President, Dr. A. A. Lyon, at 10 A. M. Prayer was ollered by Kev. C. F. Evans, D. D., of the Meth- odist Church. The Secretary read an invitation from the Shreveport 11 Cot- ton Exchange,’’ and “ Harmony Club,” tendering the u use and privileges ” of their rooms to the Louisiana State Medical Society during its stay in the city. Dr. Chaille moved that they be accepted, and the thanks of the Society be ieturned for the same.—Carried. The following telegram from the Kentucky State Medical Society, was read: Louisville, Ky., April 4tli, 1883. To the President of the La. State Medical Society: The Kentucky State Medical Society cordially reciprocates the greeting of their brethren of the Louisiana State Medical Society, and emphatically endorses the sentiment of allegiance to the Code, and devotion to the honor and dignity of Amer- ican Medicine. L. S. McMurtry, SecVy. Telegrams from Dr. J. W. Dupree, Secretary of the Baton Iiouge Medical Association, extending an invitation on behalf of the Baton Rouge Medical Association to hold the next meeting of the Louisiana State Medical Society at Baton 6 llouge, and J. S. Charotte, Mayor of Baton Rouge, extending the same invitation on behalf of its citizens, were read. These telegrams were tabled subject to call. The election of members being iu order under a suspension of the rules, the following gentlemen were elected : Allison, L., Kingston, DeSoto parish ; Armstrong, R. L., Sr., Pleasant Hill, DeSoto parish; Clarke, A. F., Shreveport; Courtney F., Graud CarrO, DeSoto parish ; Moss, J. R., Rob- son, Caddo parish; Powell, M. B., Natchitoches, Natchitoches parish ; Roberts, A. V., Mansfield ; Tillinghost, E. S., Moore- ingport, Caddo parish; Wise, G. A., Benton, Bossier parish. Dr. R. H. Day stated that on account of the haste in ad- journing last evening, the thanks of the Society were not ex- pressed to the President for his interesting address, and he now moved, that the thanks of this Society be expressed to President A. A. Lyon, for the same; Dr. J. P. Davidson, Vice- President, seconded the motion, and requested that the Society express its thanks by a risiug vote. Carried. Dr. Lyon thanked the Society for their expressed appreciation of his efforts. Dr. Chaille moved that a committee of five be appointed as “ Nominating Committee,” to facilitate the election of officers. Dr. Bemiss moved as an amendment, that this committee be composed of the members from each parish here represented. Upon the vote being taken, the motion as amended, prevailed. Dr. C. D. Owens, of Avoyelles parish, moved that the mem- bers from each parish select a member to serve on the com- mittee, and that a recess be taken to allow the parish delegates to make the selection. Carried. When the Society was called to order, the following names were handed in and announced by the President as the com- mittee to nominate officers for the ensuing year, to be voted for by the Society. Dr. S. M. Bemiss, Orleans parish; Dr. D. R. Fox, Plaque- mines parish ; Dr. R. H. Day, East Baton Rouge ; Dr. Thos* J. Allen, Caddo; Dr. J. S. Milling, Bossier parish; Dr. 0. D. Owens, Avoyelles parish; Dr. S. F. Walker, DeSoto parish; Dr. M. A. Dunn, Grant parish ; Dr. I. J. Newton, Jr., More- 7 house parish; Dr. d. F. Griffin, Natchitoches parish ; Dr. J. A. Dunn, Rapides parish. Dr. ChailR, Chairman of the special Committee to take into consideration the report of the Committee on Organization read the following : Report of Drs. Chaille, T. J. Allen and R. 11. Day, on the Annual Report of the Committee on Organization, Chairman, Dr. A. A. Lyon. Dr. Lyon’s report contains four recommendations, viz: First. That some steps be taken to secure the prompt organization of affiliating parish societies, and as a means to this end, that copies of the Constitution of the State Society, together with the recommended Constitution for Parish Societies, be pub- lished in sufficient numbers for distribution. Resolved, That this recommendation be adopted as far as the funds of the Society may permit, and as may be consistent with other publications, which maybe required by the Society. Second—It is recommended that medical societies shall not adopt a list of fees, obligatory on members. Resolved, That the Louisiana State Medical Society has neither adopted nor proposed to adopt any such course, and that ac- tion on this matter is left to each parish or local society. Third—It is recommended that the annual fee of $5 for per- manent members should be reduced. Whereas, any reputable physician in Louisiana can now be- come a member ot a parish society, and thereafter paying only $1 per annum to the State Society; be it Resolved, That it is inexpedient to adopt this recommenda- tion. Fourth—It is recommended that the society should elect the most efficient officers without regard to geographical or other considerations. Respecting this recommendation this committee concurs therein, believing, however, that the Vice Presidents should be, as heretofore, chosen from Congressional districts and charged with the special duty of organizing parish societies in the par- ishes constituting said districts. 8 Dr. J. F. Griffin, of Natchitoches, moved that this report be received and adopted. Dr. A. R. Booth moved as an amendment that each recom- mendation be voted upon seriatim. Carried. On motion of Dr. Booth the first resolution was adopted. The other three resolutions were also adopted. Dr. Griffin then renewed his motion to receive and adopt the report as a whole. Carried. Dr. Chaille, chairman of the committee on State Medicine and Legislation, read his report, which was received and adopt- ed as a whole. Dr. Chaille then read several resolutions which would facilitate the execution of the recommendations sug- gested. Dr. C. D. Owens moved that the resolutions be received and adopted. Unanimously carried. Dr. Chaille also read a communication from Dr. J. E. Duffel, about the formation of local boards of health, etc.; and also one from James Thibodeaux, concerning a pharmacy law, etc. Dr. J. C. Eagan moved that these communications be re- ferred to the committee on State medicine and legislation, with power to act. Carried. Dr. R. H. Day offered the following preamble and resolu- tions which were adopted : Whereas, our Treasurer, Dr. Geo. K. Pratt, has failed to make his report to this body at its present session, as required by the regulations, leaving it in total ignorance of the amount of moneys received and expended by him, therefore, be it Resolved, That the Treasurer is hereby requested to make out his written report as early as possible, and transmit it to the Recording Secretary. Dr. Bemiss read an “Abstract from the Report of the Yellow Fever Epidemic iu La. in 1878.” On motion of Dr. D. R. Fox, Dr. Bemiss’ paper was re' ferred to the Publishing Committee. Dr. W. W. Ashton read an essay on “Alcohol: Its Uses and Abuses.” On motion of Dr. J. C. Egan, the essay of Dr. Ashton was referred to the Publishing Committee. * On motion the Society adjourned to 7.30 P. M. 9 Evening Session. The Society was called to order at 7.45. The minutes of the first day’s proceedings were read and adopted. Report of Committee on Nominations. Dr. Bemiss, the Chairman, reported as follows, stating that the Committee had unanimously adopted the report: For President: Dr. J. P. Davidson, New Orleans. For Vice Presidents: 1st Congressional District. .Dr. D. R. Fox, Plaquemines parish. 2nd “ “ Dr. J. C. Bickham, Orleans parish. 3rd “ “ Dr. C. M. Smith, Franklin, St. Mary’s parish. 4th “ u Dr. T. J. Allen, Caddo parish. 5th u Dr. I. J.Newton, Morehouse parish. Cth 11 u Dr. R. H. Day, East Baton Rouge parish. Recording Secretary : Dr. P. B. McCutchon, Orleans. Corresponding Secretary : Dr. S. S. Herrick, Orleans. Treasurer: Dr. F. W. Parham, Orleans. The Committee recommend Baton Rouge as the place for the next meeting, and the 2nd Tuesday in May, 1884, as the time. Dr. Challi6 moved that the report be divided, and a vote, first, be taken for the officers, and then for a place of meeting. Carried. Dr. Challi6 then moved that the officers recommended by the committee be elected unanimously. Carried. Dr. Scruggs moved, that Baton Rouge be selected as the place of meeting. Dr. R. L. Armstrong, Sr., suggested New Orleans. * Upon the question being put Baton Rouge was selected as the place of meeting. Some discussion ensued as to the time of meeting, and finally a motion by Dr. CliaillS fixing the 22nd day of May, 1884, or such a day as the President may determine for the best in- terests of the Society, prevailed. An opportunity was here offered the President elect, Dr. J, 10 P. Davidson, of thanking the Society for the honor conferred, which the Doctor did in feeling remarks. Dr. Chaille took occasion to thank the Society, on behalf of the medical fraternity of New Orleans, for the honor conferred upon them by selecting one of their number as President. Dr. S. O. Scruggs offered the following resolutions: Resolved, That the Vice-Presidents of the Louisiana State Medical Society, shall appoint a committee of five physicians from each congressional district whose duty it shall be to urge upon the representative of each parish the great necessity there is for the passage of a law which will not only protect the interests of the physicians of the State, but the great in- terests of its citizens. Further, That the Vice-Presidents shall report to the Chair- man of the Committee on State Medicine and Legislation as early as practicable the results of their efforts in behalf of the objects of this resolution. Dr. R. A. Gray, B. M. Clay, C. J. Bickham, S. O. Scruggs and S. E. Chaille (who offered amendments accepted by Dr, Scruggs) took part in the discussion. The above resolutions were finally adopted. Dr. Day read an essay on the “ Surgical Treatment of Wounds.” Discussion by Drs. Clay and Day. On motion of Dr. W.W. Ashton,Dr. Day’s essay was referred to the publishing committee. Dr. Bickham read a paper by Dr. S. S. Herrick, on “ Some Debatable Points of Small-Pox.” On motion of Dr. Bemiss the discussiou ou the above paper was postponed until Friday morning. Dr. Clay stated that there were several papers to be read by physicians from abroad and he would yield his hour as fixed in Friday’s programme to Dr. M. Schuppert, if there was no objection. There being no objection, the President so ordered. Dr. Billiu read an essay ou “Perimetric Inflammation in the Non-Puerperal Woman.” On motion of Dr. Scruggs, Dr. Billiu’s paper was referred to the publishing committee. Dr. Scruggs made a verbal report Of a case pf diabetes. 11 Several members took part in the discussion. The Morehouse Parish Medical Society, through its delegatej Dr. I. J. Newton, Jr., presented its application for admission to this Society as an affiliating society. It was moved and seconded that the application be granted. Carried. On motion of Dr. T. G. Ford the society adjourned to meet on Friday morning at 10 o’clock. Adopted at morning session, April Gth, 1883. P. B. McCUTCHON, M. D., Recording Secretary. Third Day’s Proceedings. Friday, April 6, 1882. The Society was called to order at 10:30 A. M., Dr. A. A. Lyon, presiding-. Prayer by Rev. J. A. Hackett, of Baptist Church. Minutes were read and approved. Communications were read from Dr. J. H. Ferguson, repre- senting Tilden & Co., Manufacturing Pharmacists, N. Y., and from Aug. J. Bogel, representing the Mallinkrodt Chemical Works, St. Louis. Both firms had displays in the hall where the Society met. Dr. J. P. Davidson, the newly elected President, announced the following standing committees : 1. Committees of Arrangements —Drs. «J. W. Dupree, R. H. Day, T. J. Buffington. 2. Committee on Organization—J. P. Davidson, Chairman, D. R. Fox, C. J. Bickhain, C. M. Smith, R. H. Day, T. J. Allen, I. J. Newton, Jr. 3. Committee on Necrology—The Vice-Presidents. 4. Committee on State Medicine and Legislation—S. E. Chaille, Chairman, J. P. Davidson, J. B. Wilkinson, P. B. McCutchou, J. W. Dupree, S. S. Herrick, R. A. Gray, F. W. Parham. 5. Committee on Reports and Essays—L. F. Salomon, Chairman, T. G. Ford, S. M. Bemiss, R. T. Gibbs, J. D. Ham- monds. 12 6. Committee on Publication—W. H. Watkins, Chairman, S. S. Herrick, P. B. McCutchon, F. W. Parham. M. R. Richard. 7. Judiciary Committee—A. A. Lyon, Chairman, J. B. Wilkerson, T. G. Richardson, A. B. Snell, S. O. Scruggs, O. P. Langworthy. Dr. Griffin offered the following resolution: Resolved, That this Society, recognizing the importance to the family of each member in the event of his death, of a pro- vision being made for them in cases of need, recommend that a Mutual Aid Association be formed upon the assessment plan, under the supervision of the Louisiana State Medical Society. For the purpose of carrying out the plan, the Chair be authorized to appoint a committee of five members to draft and recommend a plau and Constitution to be presented at this meeting. Dr. Bemiss objected to the resolution thinking it was out of the line of business. Dr. Day agreed with Dr. Bemiss. After some further discussion, participated in by Drs. Booth and Griffin, the resolution, on motion of Dr. Bemiss, was tabled. Dr. Bemiss offered the following preamble and resolution which was seconded by Dr. J. C. Egan and unanimously adopted. Whereas, the facilities of transportation now existing and in process of construction will shortly cause the Charity Hos- pital of New Orleans, to become the receptacle for the iudi- gent sick of a large portion of the State, therefore be it Resolved, That this Society express its approval of the efforts to enlarge the accommodation for the sick in that hospital and pledge its encouragement and aid in the futherance of that pur- pose. Under a supensiou of rules, the following were elected mem- bers by acclamation : Dr. A. H. Herring, Redlaud, Bossier par- ish ; Dr. Jas. D, Wilie, Caddo parish, postoffice, Centennial, Texas. Dr. Chaill6 spoke of the great success of the Alabama State Medical Society and the cause of its success. He thought if the Louisiana Society would adopt the same plan, it would meet with the same success. The great difficulty he said was 13 the lack of funds to publish and distribute papers of general importance to the fraternity and people. Dr. Chaill6 then moved that each member of the Society obligate himself to pay ten dollars ($10) per annum, and at the same time obligate himself to attend its sessions at least once in three years. Seconded by Dr. A. R. Booth. Dr. T. G. Al- len favored the motion, but suggested as au amendment, that the subject be divided. Wheu put to a vote, viz: (1) Those who obligate themselves to pay ten dollars ($10) per annum and attend the meetings of the Society once in three years—Aslitou W. W., Baird W. J., Bemiss S. M., Benson R. F., Bickkam C. J., Booth A. R., Buck W. P., Cliaille S. E., Clay D. M., Crain P., Davidson J, P., Dicksou W. L., Dunn J. A., Dunn M. A., Egan W. L., Fox D. R., Harrison T. J.; Hillard W., Mosely W. X. Xewton I. J., Jr., Sckuppert M., Walters G. W.—22. For obligating to pay ten dollars ($10) annually for perpetu- ating this Society: Allen T. J., Alison L., Billiu D. H., Clarke A. F., Dillard H. F., Egan J. C., Lyon A A., Moss J. R., Scott J. /., Turner W. M., Wise G. A., Wylie J. D.—12. Dr. Bemiss offered the following resolutions, which were adopted and referred, as stated therein— Resolved, That the pledge given by thirty-four members at the present session, shall mature at the present session. Resolved, That at the next session (18S4), some changes should be made in the Constitution of this Society, conferring special powers or privileges upon such members as may fully redeem their pledges annually aud perpetually. Resolved further, That these resolutions be referred to the Standing Committee on Organization for consideration and action. Dr. M. Schuppert read a paper entitled “Anti-Vaccination,” which was referred to the “ Publishing Committee,” but the Doctor objected, stating that if the Society wished it published they could order it by vote—He refused to have it referred to the “ Publishing Committee,’’ which consisted of five mem- bers. # Dr. Bemiss discussed the paper, stating that he was a firm believer in vaccination aud re-vaccination. 14 At the conclusion of Dr. Beiuiss’ remarks, he introduced the following resolutions, which were adopted. Resolved, That this Society emphatically affirms its strong confidence in the efficiency of vaccinations and re-vaccinations as the surest and only practical means of preventing the spread of small-pox. Whereas, This Society is informed that it is the practice of one or more practitioners in this State to iuocculate human subjects with lymph or pus taken from small pox patients, previously mixing it with milk or cream, therefore be it Resolved, That the practice of inocculatiug small pox by mixing any product whatever from the body of a small-pox patient with milk, cream, butter or any fluid obtained from the cow, is productive of no modification, beyond that of direct inocculation from one person to another. It does not deprive the person thus inocculated of that power to communicate the disease through the atmosphere which natural small-pox possesses and is therefore dangerous to the public health. Dr. W. J. Baird introduced the following resolutions which were adopted and referred to the Committee on State Medicine and Legislation. Resolved, That it is the opinion of this Society that all per- sons, whether male or female, practicing obstetrics or mid- wifery, should be required by law to have the same kind of preparation and the same evidence of such preparation as is now required of physicians practicing the other branches of the medical profession. Resolved, That the Committee on State Medicine should con- sider the propriety of preparing for presentation to the next session of the Legislature of Louisiana a proper bill having for its object the carrying out of the purpose'of the foregoing resolution, and to urge the passage of such a bill through the Legislature. On motion of Dr. W. W. Ashton the Society adjourned till G:30 P. M. 15 Evening Session. Society called to order at 7 P. M., by Dr. A. A. Lyou, president. Dr. D. R. Fox read a paper on Health Ordinances, etc. On motion of Dr. Bickham, Dr. Fox’s paper was referred to the committee on State Medicine and Legislation. Dr. S. O. Scruggs introduced the following preamble and resolutions in regard to the death of Dr. Warren Stone, Jr., prefacing them with a few eulogistic remarks. Whereas, Death, that busy archer with uuseen quiver and arrow has invaded the dominion of medicine and has sent to that undiscovered country from whose bourne no traveler returns, Dr. Warren Stone, Jr., the rising surgeon, the emi- nent physician, the true gentleman, the high-toned man of honor, the once breaching impersonation of charity, thus ex- hibiting to the world that the unstained mantle of a noble sire had fallen upon a noble son; be it therefore Resolved, That in the death of Dr. Warren Stone, Jr., the medical profession has lost one of its brightest and noblest ornaments, and society an exalted citizen. Resolved, That we, his confreres, mourn the loss of one whose life was so full of promise, and who, although com- paratively young in years, already had thrown over the litera- ture of his chosen profession the electric light of his genius; and when the historian, with appointed pen, shall come to write the history of medicine in Louisiana, whilst twining the laurel and the cypress, will sigh around the melancholy page and leave a garland of immortal homage lingering about the record of his death. Resolved, That a copy of this preamble and resolutions be sent to the widow of our deceased brother and that they be spread upon the records of this Society. Adopted. Dr. D. M. Clay read a paper, “ Lacerations of the Cervix Uteri—Causes, Pathology, Diagnosis and Treatment.” On motion of Dr. C. J. Bickham, the thanks of the Society were tendered to Dr. Clay for his interesting paper, and it was referred to the Publishing Committee. The Secretary read a paper ou “ Contagion: its Nature and 16 Seat,” by Dr. Chas. Hardy (who was absent), of St. Laundry parish. \ On motion of Dr. Ashton, it was referred to the Publishing Committee. A communication from Dr. J. S. Meng, of Concordia, was also read by the Secretary. Dr. Ashton called attention to Dr. A. B. Snell’s communica- tion, which was called up, and on motion of J. C. Egan was re- ferred to the Committee on Organization. On motion of Dr. J. C. Egan, the paper of Dr. S. S. Herrick the discussion of which had been postponed, was referred to the Publisming Committee, with a request that it be published, provided the author consented. Dr. Ashton offered the following which was unanimously adopted: Resolved, That the thanks of this Society be and are hereby extended4to the press of Shreveport, the Shreveport Daily Stand. ard and the Shreveport Daily Times, for zealous interest mani- fested in the accounts of our daily proceedings and to the re- porters of both journals for active and impartial interest and energy displayed in giving reports of said proceedings to the public through the medium of these valuable journals. Dr. Bickham offered the following resolutions, which were unanimously adopted : Resolved, That this Society extend to the Shreveport Medi- cal Society, and the citizens of Shreveport, its high apprecia tion and its heartfelt thanks for the successful efforts made by them to render the Fifth Annual Session of this Society emi- nently satisfactory ; and for thus infusing new life into the efforts to organize the medical profession, and to secure the co-operation of all the reputable physicians of Louisiana, in wise measures for the good of the public and of the profession. Resolved, That this Society notes with pleasure in this hall, in which our sessions have been held, the elaborate display of chemicals from the Mallinckrodt Chemical Works, presented under the direction of Mr. A. J. Bogel, druggist and pharmacist, of Shreveport; also, of instruments from Aloe Hernstein & Co. of St. Louis, presented by T. H. Morris & Co., wholesale and retail druggists, also of Shreveport, and of many elegant 17 pharmaceutical preparations from Tilden & Co., of New York, by J. H. Ferguson, M. D. Our thanks are also due and extended to Mr. A. J. Bogel, for various courtesies at his hands. The election of the annual Orator having been omitted in the proper place, it was now taken up. Ou motion of Dr. D. R. Fox, Prof. J. W. Nicholson, Presi- dent of the Louisiana State University at Baton Rouge, was unanimously elected Orator for the next annual meeting of the Society. On motion of Dr. W. W. Ashton, the President was author- ized to appoint delegates to the American Medical Associa- tion. By a vote of the Society, the privilege of thanking the Society for various courtesies, was granted Dr. J. U. Ferguson (who was not a member), representing Tilden & Co., New York. On motion of Dr. A. R. Booth, the thanks of the Society were tendered to Dr. A, A. Lyon, President, and to Dr. P. B. McCutchon, Secretary, for the satisfactory and impartial man- ner in which they had fulfilled their duties. On motion of Dr. J. F. Griffin, the Convention, at 9 o’clock, adjourned till the next regular meeting, to be held at Baton Rouge, in May, 1884. P. B. McCUTCHON, M. D., Recording Secretary. ANNUAL REPORT OF 1883 TO THE LOUISIANA STATE MEDICAL SOCIETY, OF ITS STANDING COMMITTEE ON^MEDICINE. BY THE Chairman: Stanford E. Chaillk, M. D. Members : Drs. J. P. Davidson, S. S. Herrick, C. J. Bickham, P. B. McCutchon, F. W. Parham, J. W. Dupree, G. A. B. Hayes, and'fHOS. J. Allen. Organized in 1878, this society held three other regular an- nual sessions in 1879, 1880 and 1881. The widespread aud disastrous overflow having prevented the meeting in 1882, the present assemblage in 1883 becomes our fifth session and is notable by the fact that it is the first meeting ever held out- side of New Orleans by the physicians of the whole State. The annual publications of its four previous sessions amply prove that the chief object of this society has been to bind together the reputable physicians of Louisiana, first into parish societies, and then these into this State society, in order that the just influence of an enlightened profession may be concentrated upon well considered and practical ends in- stead of being frittered away, as is still largely done, in idle complaints and ill-digested views, in discordant and impractica- ble ends. This society has constantly declared, that the most important purpose of its organization was to promote State Medicine, that is, the numerous'and important interests which involve the welfare of the public as well as of the medical pro- fession. And in as much as partial laws for the benefit ex- 9 clusively of doctors, or class-legislation, do not appertain to State medicine, such laws have not been aud should not be advocated by this Society. 2 In as much as two years have now elapsed since our last effort to influence legislation, aud in as much as some mem- bers have forgotten aud many physicians have never known what has been attempted,—it seems desirable to preface, what it is hoped to accomplish with the General Assembly in 1884, by a brief review of what this society has attempted and of what it has done or helped to do. Such a review will show that, although less has been done than has been attempted, yet, fully as much has been accomplished as could be expected by those who realize how gradually are developed all lasting reforms and human progress. Such a review will also serve to enforce the needed lesson that, since the results already at- tained have been effected by a weak organization in this soci- ety of less than one-tenth of the reputable physicians of Lou- isiana, all of these, if united in one strong organization, could accomplish far more satisfactory results. The varying effi- ciency of bodies of men to organize and thus to co-operate for the common good, is a test of the degree of their enlightenment; and those physicians of Louisiana who neglect to organize and to co-operate, and who still complain of the ignorance, indif- ference aud lack of public spirit of the people and of their representatives, deserve the pertinent iuquiry: u Why behold- est thou the mote that is in thy brother’s eyes, but perceivest not the bean that is thine own eye V1 The most important interests of State Medicine were detailed by this society in the first year of its existence. Aided by able lawyers, it adopted in 1879 its platform for reforms. This should be reiterated until familiar to every physician. Initiated by us, the realization of this platform should be persistently prosecuted, even though it should require, as is possible, generations to carry it into satisfactory execution. Adopted in order to introduce it into our present constitution, this platform is as follows : 11 The Legislature shall provide for the interests of State Medicine in all its departments, for public hygiene or preven- tive medicine, for medical education, for institutions for the sick and infirm, and for medical jurisprudence: for the establishment and maintenance of a State Board of Health 3 and Vital Statistics for the whole State, with parish or muni- cipal boards subordinate thereto: for the protection of the people from all contagious and infectious disease, and from all preventable causes of disease and death : for the protection of the people from unqualified practitioners of medicine, surgery, midwifery, pharmacy and dentistry: for the maintenance of the University of Louisiana, and its three departments of literatuie, medicine and law: for the care, education and maintenance of the destitute, sick and afflicted, of the blind, of mutes, of idiots and feeble minded children, of the insane and inebriates, in hospitals or asylums, constructed with proper regard to health as well as comfort and the interests of morality, such institutions being reudered as nearly self- suporting as is consistent with the purposes of their creation : for the protection of confidential communications made by patients to physicians: for preventing the advertisement and sale of all foeticidal drugs or instruments, and of all drugs detrimental to the interests of health and morality: for the adequate compensation of scientific experts in all cases: for the separate trial of criminals alleged to be iusaue on each issue—first, that of insanity—and that adequate time and op- portunity shall be given to medical experts to test the question of insanity : no persons shall be allowed to tesitify as expert witnesses to matters of scientific opinion, except those recog- nized as competent experts in such matters by their own profession, as organized under the laws of this State: only qualified practitioners shall be expert witnesses in the courts to medical facts; the legal duties of coroners shall be assigued exclusively to experts in law, and their medical duties ex- clusively to experts in medicine. ADDITIONAL INSTRUCTIONS TO THE COMMITTEE. If any article of the Constitution of 1879 provides that privileges, to have effect agaiust third persons, must be recorded, the following proviso should be made : Provided, That the fees due physicians and surgeons, the wages of nurses, and the bills of druggists and apothecaries, for professional services rendered, and medicines furnished 4 during the last illness, shall enjoy the privilege conferred by law even as to third persons, without recordation.” In addition to the first introductory generalization in this platform, there are thirteen sentences devoted to specifications. In regard to these, the laws of Louisiana were either sileut, or detective, or insufficient. What gains have been made since our platform was adopted ? By our eflorts, the Convention was induced to include, in our present Constitution of 1879, substantially our introduc- tory generalization, also three of our thirteen specifications ; and, in addition, our last or thirteenth specification was disposed of so satisfactorily, that it was removed from our platform. A detailed report of the important gains secured in our Constitution was published in the proceedings of our third session (1880), and special reference will hereafter be made to the three specifications introduced into said Constitu- tion, and particularly to those two of these which still remain unregarded by our legislators. It should not be forgotten, that our General Assemby has full power to enact the laws, which all the specifications in our platform would necessitate, even, as to those specifications, the execution of which is not commanded by the Constitution. Hence, while much was gained, nothing was lost, and our efforts for progress should be persisted in before every General Assembly which may hereafter meet. By incessant reiteration of our just demands for the common welfare, the public, their representatives and our own profession, will eventually be educated to appreciate these demands, and, year by year, progress will be made. While this Society has good cause to congratulate itself upon what it accomplished with the convention of 1879, it has no cause for gratification in what was done for State Medicine by the General Assembly of 1880. Effort was made to induce this assembly to enact, not only such laws as were required by the new constitution, but also such laws as were required by those specifications in our platform which were omitted from said constitution. But, the assembly of 1880 was so over- whelmed with the work forced upon it by the constitution of 1879 that apparently no time could be found for, nor was any 5 encouragement given to those laboring in behalf of the still inappreciated interests of State Medicine. However, three laws were enacted which deserve recording, viz.: “ Act No. 20. To prevent the adulteration of articles used as food; to prevent the sale of unwholesome and tainted provisions, the slaughtering of cattle, etc., for food when in au unhealthy condition, and to prevent the lauding of dis- eased animals within certain described limits. Approved March 3, 1880.” “ Act No. 32: To regulate the practice of dentistry in the State of Louisiana. Approved March 10,1880.” “ Act No. 129 : To give physicians, legally authorized to practice their profession, a lien and privilege [limited to $15], for medical services rendered to any person on the crop of said person, etc. Approved April 10th, 1880.” Excepting these three acts, nothing of interest to State Medicine was accomplished by the General Assembly of 1880. It should not be forgotten, however, that the Third Annual Session of this society was not held until near the time of adjournment of the General Assembly of 1880, therefore that this society had no opportunity to exercise any other influence than that inaugurated at its second session (1879) which was in truth its first workiug session. In order to influence the meeting of the General Assembly in 1882, your Committee on State Medicine presented, at your fourth sessiou (1881) its Annual Keport, which was unani- mously adopted as a petition to the General Assembly. This report or petition covers twenty-six pages of your published proceeding for 1881. It advocates the adoption of laws on fourteen subjects and, in most instances, specifies in detail the laws advocated. Laws were enacted on four of these fourteen subjects, and there were four additional laws enacted on sub- jects of interest to State Medicine, but not advocated specially by this Society. These eight laws deserve record, and the four, which were not specially advocated and which benefit only two special localities and not the State at large, will be first recorded. “ Act No. 40: To amend and re-enact Section 1, Art. 14 of 6 1877, entitled “ An Act to provide for the disposition of offal, garbage, night soil and dead animals within the parishes of Jefferson, Orleans and St. Bernard, and to provide for the dis- position of offal droppings of slaughter houses and dead animals in said parishes. Approved June 26th, 1882.”—pp. 52-3, Acts of 1882. “Art. No. 85: Enlarging the powers and duties of the Board of Health in the city of New Orleans, requiring the inspection of all buildings and premises tcithin the city limits, and enforcing cleanliness and an adequate water-supply on all premises. Approved July 5th, 1882.”—pp. 106-9, Acts of 1882. “ Act No. 115 : To provide for the punishment of person or persons removing, tearing down or destroying small-pox or yellow fever flags, in premises where such cases may' be. Approved July 6th, 1882.”—p. 165, Acts of 1882. This law applies, apparently", solely to the parish of Orleans. “ Act No. 121: To establish a Charity Hospital in the city of Alexandria. Approved July 6th, 1882.”—pp. 168-170, Acts of 1882. The remaining four of the eight laws, enacted in 1882, in the interest of State Medicine and specially advocated by this Society, were as follows: Act No. 31 (approved June 26th, —pp. 44_6, Acts of 1882), regulates the practice of medicine and surgery in Louisiana, after December 31st, 1882; Act No. 69 (approved July 1st,—pp. 89-90), regulates quarantine charges at the Mississippi Biver Station; Act No. 82 (ap- proved July 5th,—pp. 103-5), defines and punishes the adulteration of drugs, food and drink within this State; and Act No. 92 (approved July 5th,—pp. 114-5), provides for the organization of local boards of health in the State of Louisi- ana. This last Act is verbatim the one advocated by this Society, as the best practicable law under present circum- stances for inaugurating a system cf local boards. The Act for regulating quarantine charges is not as recom- mended by this Society. Our recommendation was that, in as much as the existing tax on tonnage had been declared unconstitutional, vessels should be taxed proportionately to 7 the number of persons on board ; but Act No. 69 regulates the tax by the classification of vessels, into steamships, ships? brigs, schooners, etc. Judge Monroe, of Orleans parish, has decided (see Times-Democrat, January 8th, 1883), that this Act is also unconstitutional, and this decision, together with several others in the United States, to similar effect, render it probable that the Act, recommended by this Society, would, if adopted, have met with the same fate. In fact, it seems that courts are not likely to sustain laws imposing any quarantine fees on a vessel, unless the fees be for services exclusively to benefit the vessel, and not for services which benefit the pub- lic rather than the vessel. If these decisions and this conclusion prove to be correct, then the Legislature will be forced, in order to maintain our quarantine stations, to make an appropriation therefor out of the taxes paid by that pnb- lic which demands these quarantine stations to protect them from communicable diseases. Of the fourteen subjects embraced in our petition to the General Assembly of 1882, it was understood that the influence of this Society would be exerted specially and chiefly iu favor of a law regulating the practice of medicine, not only because of the importance of this subject, but also because the Con- stitution commands the General Assembly to enact such a lawT; this command being one of the three specifications introduced from our platform iuto the Constitution. The result of this effort of our Society was the enactment in 1882 of “ Act No. 31,—relative to the practice of medicine and surgery,’’ which Act is, with a few trivial exceptions, verbatim as recommended by this Society. Those who may be disposed to criticize this Act, are referred for our justification to our published Annual Reports of 1880 and 1881, and are again reminded that, usually, there is a very wide difference between the desirable and the attainable, and that lasting reforms have very modest beginnings. Having now completed the proposed review of what this Society has attempted and accomplished, since 1878, iu behalf of State Medicine, it is claimed that the results have been fully as great as could have been reasonably expected and are sufficiently satisfactory to encourage new efforts, 8 Consideration must now be given the chief object of this report, which is expressed in the important question :—What shall be done at this and what at our succeeding sessions to influence our next General Assembly, which will not meet until May 14th, 1884, aud, therefore, after even our next session ? Your Committee on State Medicine advises you as follows: A petition to our next General Assembly should be adopted now : this petition should be published in sufficient number to distribute one copy to every member of the General Assembly and to the most influential physicians in every parish of this State, whether they be members of this Society or not; every physician should be urged earnestly to use his influence with his own legislative candidate or representative, in order to secure his support, in the General Assembly, in favor of the measures advocated in our petition: this petition should be published promptly aud long prior to our next election, in order that candidates may be duly informed of our demands,—demands which they can be induced to heed better before than after their election, which is not to take place until Tuesday, April 17th, 1884: our petition should renew those demands, which, though unanimously approved by us, have not yet been acted upon by the General Assembly : and, in as much as we are not likely to secure favorable action upon all of our demands, either at the next or at any other single session of our Legislature, we should choose therefrom those deemed of greatest immediate consequence, and use our chief influence in favor of these preferred measures. The petition should present our various demands in their order of preference, founding this on their practicability as well as on their importance. None of these demands are deemed of greater consequence, than the renewal of our unanimous advocacy in 1881 for a bona fide State Board of Health, in place of our present so- called “ Board of Health of the State of Louisiana,” whose power and membership have been thus far limited almost ex. clusively to one single parish out of the total fifty-niue parishes of this extensive State. In this connection, all should be 9 reminded, and especially physicians who reside elsewhere than in the single parish referred to (Orleans), that our present law gives to the Governor the nomination of four out of the nine members of the present Board of Health; that this law does not require that these four appointments shall be made from citizens of Orleans or other special parish ; that, nevertheless, our present Governor, though not a citizen of said parish, has followed the precedent established by his predecessors, and made his appointments solely from citizens of New Orleans; and, finally, that no complaint has ever been made by citizens or physicians of the country parishes, respecting this limitation of the Governor’s patronage to a single parish. It is idle to expect a veritable State Board unless the country parishes can realize its utility and will insist upon their unquestionable right to adequate representation upon such a Board. Hence, whether Louisiana is to have a veritable State Board or not depends chiefly on the physicians and citizens of other parishes than Orleans. There will now be submitted for your consideration and action the following petition to the General Assembly of Louisiana. [The action of the Louisiana State Medical Society on this petition renders it more convenient for the publishers to in- terpolate at this place, as a preface to this petition, the following circular letter authorized by said Society.] CIRCULAR LETTER TO THE LEGISLATORS, REPUTABLE PHYSI- CIANS AND OTHER ENLIGHTENED CITIZENS OF LOUISIANA, INTERESTED IN THE PROGRESS OF STATE MEDICINE. The succeeding petition of the Louisiana State Medical Society was unanimously approved, not only by said Society at its Fifth Annual Session at Shreveport, April 5th, 1883, but also on March 30th, by the Orleans Parish Medical Society, and, on April 21st, 1883, by the N. O. Medical and Surgical Association. The object, of forwarding copies of this petition to those who may receive it, is to give timely information of what it is 10 desired shall be accomplished by the General Assembly, which holds its next session at Baton Kouge, on May 14th, and the members of which are to be elected on the preceding April 17th, 1884. Confidence is felt that, if no other citizens of this State than its reputable physicians should unite in bringing their influence to bear on those personal friends who are yet to be elected members of the next General Assembly, satisfactory, if not complete, success would be secured. The progressive prosperity of Louisiana depends on the capacity of its intelligent citizens to co-operate for the common welfare. It would be specially discreditable to the medical profession, which claims superior enlightenment, if the reputable physi- cians of this State should prove their incapacity to co-operate in behalf of measures which are calculated to benefit every citizen of Louisiana, as well as every physiciau. Every physician and every citizen, who may receive this petition and approve it, is earnestly urged to manifest his approval by his works, which will be appreciated, and not by his words which will be little valued. In order that what each one may effect may be best utilized, every recipient of this petition is requested, by the Louisiana State Medical Society, to report to the undersigned, as promptly as practi- cable after the election of April 17th, 1884, the names and addresses of those members elected to the next General Assembly who will, as also of those members who will not, favor by voice and vote the measures advocated in the petition. STANFORD E. CHAILLE, M. D., Chairman of the Committees on State Medicine of the Louisiana State Medical Society and of the Orleans Parish Medical Society. New Orleans, May, 1883. P. O. Box 1689, New Orleans. PETITION OF THE LOUISIANA STATE MEDICAL SOCIETY TO THE GENERAL ASSEMBLY OF THE STATE OF LOUISIANA. Reputable physicians of Louisiana, convened at the Fifth Annual Session of the State Medical Society, held at Shreve- 11 port, April 4tli to 7th, 1883, respectfully submit to the members of the General Assembly, the succeeding considera- tious and petition in behalf of the public welfare, as involved in the important but neglected interests of State Medicine. The General Assembly’s attention to this petition is specially well deserved tor the two obvious reasons that, in the first place, the medical profession is most interested in and better informed on this subject than is any other class of citizens; and, in the second place, while each member of the General Assemby is required to “solemnly swear” that he will support the Constitution, its Article No. 178,contains a clause, neither permissive or advisory, but mandatory, aud as fol- lows : “ The General Assembly SHALL provide for the interests of State Medicine in all its departments.” The present xietitiou embraces nine subjects, which unques- tionably appertain to one of the four recognized departments of State Medicine, viz: Public Hygiene, Medical Education, Medical Jurisprudence and Public Institutions for the sick and infirm,—and these nine subjects are as follows: 1. State Board of Health. Article No. 178 of the Constitution specially commands that “The General Assembly shall provide” “for the establish- ment and maintenance of a State Board of Health.” Although there is a “Board of Health of the State of Louisiana,” in name, still, in fact, the General Assembly has never yet established, much less maintained, a veritable State Board of Health. The following facts render this obvious: March 15tb, 1855, the law organizing the present board was enacted; its purpose was specially to establish a quarantine for New Orleans; this board was composed of nine members—six to be appointed by the Governor and to be confirmed by the Senate, and three to be elected by the New Orleans City Council; and, although the jurisdiction of this board was limited to New Orleans itself and to the three quarantine stations which command its maritime approaches, yet said board was entitled “The Board of Health of the State of 12 Louisiana.” Front i855 to 1883, fifteen additional laws have been enacted in reference to this board $* however, all of these laws, with two exceptions, specially to be referred to, have merely increased the power and efficiency of the board as a quarantine and municipal board of health for New Orleans alone, without extending its jurisdiction. Successive govern- ors and senators, from 1855 to the present day, have shown their appreciation of the fact that this#board was a municipal and not a State Board, by invariably appointing and confirm- ing solely citizens of New Orleans as its members, thus uniting with the City Council to form a board exclusively of such citizens. The General Assembly likewise showed its appreciation of the same fact by Act No. 80 of 1877, which decreased the slight resemblance to a State Board, then pre- sented by the present board, in as much as it reduced the appointees of the. Governor from six to four members, and increased the appointees of the City Council from three to five, thus giving the city appointees a majority on a board which our governors have continued to form exclusively of citizens of New Orleans. It is a legislative fiction to denomi- nate a board, thus restricted in membership and power to a limited section of this State, the “ Board of Health of the State of Louisiana,” and it is a legislative abuse to confer on a board, thus constituted, authority over the extensive and numerous population and the diversified interests of this great State. However, in spite of the Constitution, the last General As- sembly protracted this fiction and perpetrated this abuse, by enacting two laws which gave to the present board, for the first time since its origin, authority which should be exercised Solely by a veritable State Board. For, Act No. 31 of 1882, regulating the practice of medicine throughout the State, makes this board the executor of this law ; and Act No. 92 of 1882, providing u for the organization of local boards of health in the State of Louisiana,” requires these to be “auxil- * The total sixteen laws referred to are Acts Nos. 336 of 1855; 4, 215, 269 of 1858 ; 14 (Extra Session) of 1870; 68 of 1876; 14, 37, 80,84 of 1877; 40,85 ofl880; 31,69, 82, 92 of 1882. 13 iary to and to act in harmony with the State Board of Health and to make thereto their annual reports. These two Acts, thus extending the authority of this municipal board through- out the State, render it all the more imperative that the General Assembly shall obey the Constitutional mandate to establish and maintain a veritable u State Board of Health.” And, in as much as Act No. 92 of 1882 empowers NewOrleaus, as every other locality, to organize its own local board, there remains still less excuse for designating its municipal board as the State Board, and for substituting the former, which is not required by the Constitution, with the latter which is so required. The facts and views now stated justify the following Eecommendations. A veritable State Board of Health should be at once estab- lished. To this board should be transferred all the power aud authority outside of the parish of Orleans, which existing laws confer on the present so-called “ Board of Health of the State of Louisianaaud, to a New Orleans Board of Health, organized exclusively by the city authorities, should be trans- ferred all the power aud authority which existing laws permit the present Board of Health to exercise within the limits of the parish of Orleans. The members of a State Board should represent every section of the State, either by congressional districts or by other sub-divisions, which should not be less than seven, aud to no single locality should be given a more numerous representation than its relative population aud tax- ation entitle it to. A large minority certainly aud probably a majority of the members should be reputable physicians, and there should be a civil engineer, a lawyer, aud a represen- tative of commercial interests, as members of this board. All members should be selected for, among other considera- tions, their knowledge of aud interest iu sanitary matters j and their term of office should not be less than four years. While the governor or other State authorities should have the appointment of all members, it is believed that the medical profession, as represented by the Louisiana State 14 Medical Society, should have the nomination or a potent influence in the selection of the medical members of the State Board, as is the case in Alabama, Mississippi, North Carolina, South Carolina and probably some other States. The State Board should be authorized to select a small executive committee, whose members could, because of proximity of residences, readily assemble at any time; and this executive committee should be given, especially in emergencies, all the power and authority of the full board, until such time as a quorum thereof should hold ameetiug. Such a State Board should be established, and would require for its maintenance an annual appropriation, adequate for an efficient quarantine, for all other duties imposed by law, and for the salaries of the President and Secretary of the Board, as also for the travelling expenses unavoidably incurred by the members. An appropriation, inadequate for these purpo- ses, would result necessarily, in a State Board, representing solely another legislative fiction. If established and main- tained, as indicated, then, and then only, will be fulfilled the solemn oath of members of the General Assembly to support that Constitution which declares that this Assembly u shall provide for the establishment and maintenance of a State Board of Health.” In addition, Louisiana will then have a State Board which would command the respect and confidence of its neighbors, a board which would develop a strouger and more wide spread iuterest in sanitation throughout the State, and a board which would eventually greatly promote the vital cause of public health and, therefore, of public wealth. In any case, whether the General Assembly coincides or not with the views above advocated, it is respectfully insisted that there are two provisions of our present laws which should be amended. First Appointment of Members of the Board of Health. The first sentence, Section 1, Act No. 80, p. 110, of the Acts of 1877, reads : “ The Board of Health of the State of Louis- iana, shall hereafter consist of nine members, four of whom Two Amendments. 15 shall be appointed by the Governor, by and with the advice and consent of the Senate, and five of whom shall be elected by the Council of the City of New Orlaans.” It is earnestly urged that this sentence shall be so amended that the last fourteen words shall be made to read, u five of whom shall be appointed by the Mayor, by and with the advice and consent of the Council of the City of New Orleans.” The same principle is in- volved in the selection of both State and city members, and the method adopted in the former should be also applied to the latter. It has long been proverbial that u corporations have no souls,” all contrivances by which official responsibility is divided and diminished are most objectionable, and while the election of city members by the Council is wrong in theory, ex- perience proves it to be mischeivous in practice. Second—The Resident Physician of the Mississippi River Quar- antine Station and his Salary. Misplaced responsibility, as well as divided responsibility, is most objectionable. A striking instance of misplaced respon- sibility occurs in the tirst sentence, sections 3042 and 3039, pp. 592-3 Rev. Stats., 1870, wherein the law directs that the resident physician of the Mississippi River Quarantine Station shall be appointed by the Governor; that his salary shal be $5000 per annum, and that he shall be authorized to employ an assistant at $2000 per annum. It is urged that public opinion, and also the fundamental principle on which depends the existence of a board of health, unite in lixing on the Board of Health, rather than on the Governor, the responsibility for the ad- ministration of the Mississippi River Quarantine Station 5 and therefore that the law should be so amended, that the Board of Health should have the same power to appoint, fix the salary of, and control the officers and employes at this sta- tion, that said Board has, in respect to all other sanitary officers and employes, whether these be located in New Orleans or at all the Quarantine stations other than the one at the Mississippi River. (See Sec. 3041, p. 593, Rev. Stat., 1870.) It is deemed important that,—if the present laws should be so amended as to confer on the Board of Health the 16 power to appoint the Resident Physician of the Mississippi River Quarantine Station, and also his assistant—the amended law should not fail to confer on the Board, at the same time, the power to fix their salaries; for, if this were neglected, there is reason to fear that the appointment even of the members of the Board would be politically so managed as to be dependent on and subordinate to their pledges in behalf of some favored candidate for the office of Resident Physician of the Missis- sippi River Quarantine Station,—an office which now has a salary of $5000, now confers another salary of $2000, and now distributes other patronage; so that this one office rivals, in re- spect to patronage, that Board to which it should be entirely subordinate. II. Confidential Communications. Art. 178 of the Constitution also specially commands that, 11 the General Assembly shall provide’’—“ for protecting con- fidential communications made to medical men by their pa- tients while under professional treatment, and for the purpose of such treatment.” Several States have laws which secure this protection. Among these States are New York and Iowa, and their laws are as follows, the law of Iowa deserving the preference. The New York law reads: “A person duly authorized to practice physic or surgery shall not be allowed to disclose any information which he has acquired in attending a patient in a professional capacity [without the consent of such patientj, and which information was necessary to enable him to attend in that capacity.” The Iowa law reads: “No practising attorney, counselor, physician, surgeon, minister of the gospel, or priest of any denomination, shall be allowed, in giving testimony, to disclose any confidential communications properly entrusted to him in his professional capacity, and necessary and proper to enable him to discharge the functions of his office according to the usual course of practice or discipline. Such prohibition shall not apply to cases, where the party, in whose favor the same are made, waives the rights conferred.” See the u Code of Iowa, 1873,” p. 565, Sec. 3643. 17 Among many criticisms on the operation of these laws, none have been observed unfavorable to them. III. Sanitary Instruction All men, who have devoted study to the subject, have be- came, convinced that not only public wealth but also public morality depend to a large extent on public health, and that the progress of this depends on gradually replacing the pres- ent gross ignorance and baneful prejudices of the people with sound knowledge of at least the elementary laws of Hygiene. On this subject, that profound philosopher, Herbert Spencer, teaches as follows: “ Knowledge which subserves direct self-preservation by preventing loss of health is of primary importance. We do not contend that possession of such knowledge would, by any means, wholly remedy the evil. For, it is clear, that in our present phase of civilization,men’s necessities often compel them to transgress; and, it is further clear, that even in the absence of such compulsion, their inclinations would frequently lead them, spite of their knowledge, to sacrifice future good to present gratification. But we do contend, that the right knowl- edge impressed in the right way, would effect much; aud we further contend that as the laws of health must he recognized be- fore they can be fully conformed to, the imparting of such hnowl- edge must precede a more rational living—come when that may” On this same subject the distinguished moralist, the Rev. Clias. Kingsley, declared that, 11 the art of keeping one’s self alive and well,’’ “ will, in some more civilized age and country, be held a necessary element in the school course of every child, just as necesary as reading, writing and arithmetic.” In fine, at the present day all those most eminent as stu- dents of educational problems unite with sanitarians in insisting that the knowledge of Hygiene should be popular- ized ; that it should be taught sufficiently to convince men that health and disease are, to large extent, in their own hands; that, among other means, to this end, there is one which is indispensable ; and that this one is the teaching of Hygiene in all schools, and especially in the public schools, 18 A beginning must be made and the sooner the better for the common weal of Louisiana, More thau thirty years ago Massachusetts* made its beginning. Inasmuch as this has borne good fruit, the Geueral Assembly of Louisiana is respectfully urged to adopt some such law as the one enacted by Massachusetts in 1S50, which law is as follows: “ Section 1. Physiology and Hygiene shall hereafter be taught in all the public schools of the State, in all cases in which the School Board shall deem it expedient. “ Sec. 2. All school teachers shall hereafter be examined in their knowledge of the elementary principles of Physiology and Hygiene, and in their ability to give instruction in the same. “ Sec. 3. This act shall take effect on and after the day of , 18—.” IV. Compensation of Experts. The quostiou, whether a court can force a medical expert to testify without securing him adequate compensation, has in recent years excited so rnnch interest that medical societies have even resolved to raise the issue and force the courts to a decision. This was done in Indiana, and the following facts are pertinent to this question. English courts have decided that a scientific expert need not attend a subpoena, that his testimony cannot be forced, and that he must be compensated. In 1877 the Supreme Court of Alabama decided to the con- trary; but also in 1877, a circuit court of West Virginia con- curred in the English view; in 1878, Judge Clark, in the case of the ‘‘State of Texas vs. Jasper Weathers,” decided that he “ knew of no law to force a physician to attend court, and tes- tify as an expert, without compensation;” and, also in 1878, the Supreme Court of Indiana, reversing the decision of a lower court, maintained the expert’s right to compensation. The Iowa Code of 1873, page 593, sec. 3814 (and probably the laws of some other States), wisely provides that “ witnesses called to testify only to an opinion, founded on special study and no doubt other Statea require the study of Physiology and Hygiene in public schools. 19 Or experience in any branch of science, or to make scientific of professional examinations, and to state the results thereof, shall receive additional compensation, to be fixed by the court, with reference to the value of the time employed, and the degree of learning or skill required.” This law grants all the medical profession demands, and its enactment by the General Assembly of Louisiana is urgently recommended. V. Medical Expert Testimony. All authorities on this subject, whether medical or legal, have long united in denouncing the inefficient methods, per- petuated by Anglo American laws, for securing the “best attainable evidence ” respecting the opinions of skilled wit- nesses, in reference to the conclusions which medical science may be justified in drawing from the medical facts in the case. Under our laws, not only are plaintiff and defendant permitted to summon such expert witnesses as each may see fit and as each may find susceptible to prejudice and even to bribery, but also to summon so-called experts, who, notoriously to their own profession, are not experts in any proper sense of the word. The inevitable result is that nearly every great trial, whose issue depends on the evidence of medical experts, brings to light proofs of scandalous partisanship on the part of these witnesses, and disgraces the science of medicine as well as of law. Although this evil has been often and justly denounced and although many remedies have been proposed, it is none the less true that neither Great Britain nor any one of the United States have yet succeeded in adopting any satisfactory remedy for the evil. A solution of this problem deserves the consideration of the statesmen and legislators of Louisiana. It is believed, by those who have given most study to this subject, that justice would be better promoted by limiting expert witnesses to those selected by the courts or to those selected by the mutual agreement of the parties to the suit. 20 YI. Trial op Persons Accused of Crime, and Al- leged to be Insane. The legal methods adopted for the trial of persons accused of crime when alleged to be insane are faulty, and the follow- ing consideration are urged upon the attention of the General Assembly: It is conceded that, within this century, unfortunates have been legally murdered for illegal acts, the product of disease and not of a tn 25 20 4 1 1 East Baton Rouge... 18 15 3 1 1 1 9 8 1 18 17 1 1 13 8 1 4 10 6 4 16 13 i 2 2 2 12 11 l 1 1 8 5 l 2 1 8 5 l 2 1 1 15 12 i 2 1 1 11 10 1 1 1 11 11 9 2 7 1 14 11 2 1 25 23 1 1 2 1 2 29 18 11 278 195 24 59 14 18 7 26 22 2 2 10 8 1 1 18 17 1 1 17 14 2 1 1 7 5 2 14 13 1 1 1 17 11 6 2 2 3 2 1 10 7 2 1 9 9 1 1 3 3 1 1 50 43 2 5 1 3 9 7 1 1 1 2 15 13 2 1 7 5 2 6 4 2 1 1 1 14 13 1 6 6 2 26 11 3 12 5 2 6 4 2 2 Washington 5 3 2 9 7 2 1 1 West Baton Rouge... 4 2 2 6 5 1 10 10 16 5 11 Total 1042 792 60 190 42 39 22 Names When Meetings Held. No. ot Principal Officers. Parishes. OF Found- Mem- Eemarks. Societies. KD. Where. When. hers. President. Secretary. Ascension Medi- 1879. None for seve- Hopes of re-organiza- cal Society. ral years. tion- Avoyelles 1878. No report. Supposed to be extinct. May, No repoit. 1878. Shreveport Medi- cal Society. 1866. Shreveport. Monthly. 1st 22 T. J. Allen, M. D. J. W. Allen, M. D. Tuesday. East Baton Kouge.. Eaton Bouge Me- dical Associan Beorga- nized, 1874. According to adjounment. Monthly. 15 Rich’d H. Day, M. D. J. W. Dupree, M. D. Organized before the war. No report. Supposod to be extinct. Montgomery Me- dical Club. 1879. Montgomery. Monthly. M. A. Dunn, M D. N. T. Willims, M . D. The successor of the Grant Parish Medi- cal Society. Keorga- St. Martinsville Attakapas Medi- Grand Coteau, First Tuesday Attakapas Parishes. dical Associa- nized New Iberia, in May and 26 Frank Thomas. M. D. r. G. Blnchet, M. D. tion. 1876. Franklin. Morgan City. December. Iberville Medical 1878. None for three “ Supposed to he de- funct." Association. years. No Beport. Supposed to be extinct. Madison Parish , 1880. Tullnlah. At Call of Pre- G. T. Trezevant, M. D. Wm. Kelly, M. D. Medical Society si dent Orleans ParisL April, Uniuersity of Monthly. Last 55 C. J, Bickhain, M. D. Dr. P. B. McCutehon, liec. Medical Society 1878. Louisiana. Monday. Dr. S. S. Herrick, Gorresdg N. 0. Med. an3 Snrg. Associa’u Decern. University oflWeekly. Satur- 52 D. C. Holliday, M. D. A. Nolte. M. D. Has not adopted Code 1873. .Louisiana. day. of Ethics. Plaquemines Par- ish Med. and Surg. Associa’n Medical Aseoci'n Point© Coupee Parish. Noy.15 Pt.-a-la-HaChe Quarterly. J. B. Wilkinson. M. D. Peter Eandolph, M. D. Geo. A. B. Hays, M. D. A. Tircuit. M. D. 1875. May, and Buras. New Texas and 6 Meetings rare, on ac- count of overflows 1878. New Eoad. and bad roads. St. Landry Medi- Beorga- nized, 1872. Opelousas. Monthly. 12 Vincent Boagni, M. D. James Bay, M. D. Founded1 in 1860. In- cal Society. corporated, 1852. Table B. Table of the Local Medical Societies in Louisiana. 38 Roll and Post Office Addresses of Members of the Louisiana State Medical Society, brought down to the close of the Session of 1883. A. 1. Aby, T. Y., Monroe, Ouachita Parish. 2. Alison, II., Shreveport, Caddo Parish. 3. Alison, L., Kingston, DeSoto Parish. 4. Allen, J. W., Shreveport, Caddo Parish. 5. Allen, T. J., u 11 u 6. Armstrong, R. L., Sr., Pleasant Hill, DeSoto Parish. 7. Armstrong, R. L., Jr., “ u “ 8. Ashton, W. W., Shreveport, Caddo Parish. 9. Austin, W. G., 178 Jackson street, New Orleans. B. 10. Baird, J. W., Collinsburg, Bossier Parish. 11. Beard, J. C , 146 Caroudelet street, New Orleans. 12. Bemiss, S. M., University Building, NewT Orleans. 13. Benson, R. F., Mansfield, DeSoto Parish. 14. Bezou, n., 169 North Rampart street, New Orleans. 15. Bickham, C. J., 220 Jackson street, New Orleans. 16. Billiu, D. H., Shreveport, Caddo Parish. 17. Blanchet, L. G., Now Iberia, Iberia Parish. 18. Booth, A. R., Shreveport, Caddo Parish. 19. Booth, W. B., Buras, Plaquemines Parish. 20. Brumby, G. McD,, Delhi, Richland Parish. 21. Buck, W. P., Evergreen, Avoyelles Parish. c. 22. Calhoun, T. L., Shreveport, Caddo Parish. 23. Carrington, P. S., 297 Chippewa street, New Orleans. 24. Carter, J. H., corner 2nd and Camp streets, New Orleans. 25. Chains, S. E., 24 South Rampart street, New Orleans. 26. Chastant, A., 180 Common street, New Orleans. 27. Clarke, A. F., Shreveport, Caddo Parish. 28. Clay, D. M., “ u “ 29. Coty, H. C., “ “ “ 30. Courtney, F., Grand Cane, DeSoto Parish. 31. Crain, P., Campte, Natchitoches Parish. 39 D. 32. Dabney, T. S., 388 Magazine street, New Orleans. 33. Davidson, J. P., 1 Baronne street, New Orleans. 34. Davis, J. L., Providence, East Carroll Parish. 35. Davis, J. T., , Bossier Parish. 36. Day, R. H., Baton Rouge, East Baton Rouge Parish. 37. DcRoaldes, A., 415 Decatur street, New Orleans. 38. Dicksou, W. L., Dickson’s Cross Roads, Bossier Parish. 39. Dillard, II. T., Shreveport, Caddo Parish. 40. Driefus, E., 150£ Baronne street, New Orleans. 41. Dunn, J. A., Cotile, Rapides Parish. 42. Dunn, M. A., Montgomery, Grant Parish. 43. Dupree, J. W., Baton Rouge, East Baton Rouge Parish. 41. Duval, C. A., liouma, Terrebonne Parish, E. 45. Easly, B. A., Cotile, Rapides Parish. 46. Egan, J. C., Shreveport, Caddo Parish. 47. Egan, W. L., Shreveport, Caddo Parish. F. 48. Faget, 0., 281 North Rampart street, New Orleans. 49. Faget, J. 0., 281 North Rampart street, New Orleans. 50. Fish, J. S., Alexandria, Rapides Parish. 51. Fisher, J. A. G., 168 Felicity street, New Orleans. 52. Fisher, L. II., Shreveport, Caddo Parish. 53. Ford, J. S., New Orleans. 54. Ford, T. G., Shreveport, Caddo Parish. 55. Formento, F., 81 Esplanade street, New Orleans. 56. Fox, D. R., Jesuit’s Bend, Plaquemine Parish. 57. Fiaucez, J. P., Yeruiillionville, Lafayette Parish. 58. Freidrichs, A. G., 155 St. Charles street, New Orleans. 59. Freison, W. F., Keachi, DeSoto Parish. GO. Gates, A, S., Franklin, St. Mary Parish. 61. Gazzo, J. B. C., Sr., Thibodeaux, Lafourche Parish. 62. Gazzo, J. C. B., Jr., Thibodeaux, Lafourche Parish. 03. Gibbs, R. T., Mansfield, DeSoto Parish. G. 40 61. Griffin, J. F., Cloutierville, Natchitoches Parish. 65. Givens, Alonzo, Mandeville, St. Tammany Parish. 66. Gourier, A. K., Bayou Goula, Iberville Parish. 67. Gray, K. A., Shreveport, Caddo Parish. 68. Guilbean, F., Grand Coteau, St. Landry Parish. H. 69. Hammonds, J. D., Liudgrove, Morehouse Parish. 70. Harrison, T. J., Montgomery, Grant Parish. 71. Hays, G. A. B., Happy Jack P. O., Plaquemine Parish. 72. Hebert, N. M., Point a-la-Haehe, Plaquemine Parish. 73. Henderson, J. B., 505 Magazine street, New Orleans. 71. Henry, S. L., Carrollton, New Orleaus. 75. Herrick, S. S., 127 Carondelet street, New Orleans. 76. Herring, A. H., Kedland, Bossier Parish. 77. Hilliard, W., Shreveport, Caddo Parish. 78. Hines, C. T., Summerlield, Claiborne Parish. 79. Holliday, D. C., 27 Camp street, New Orleans. 80. Holt, Joseph, 107 Prytania street, New Orleans. J. 81. Jamison, David, 250 Baronne street, New Orleaus. 82. January, D. P., St. Joseph, Tensas Parish. 83 Jones, Joseph, corner of Washington and Camp streets, New Orleans. 81. Johnson, John, Chemist, Charity Hospital, New Orleans. K. 85. Kelly, Win., Tallulah, Madison Parish. L. 86. Langenbecker, C. O., corner Napoleon Avenue and Jer- sey street, New Orleans. 87. Langworthy, O. P., Clinton, East Feliciana Parish. 88. Larcade, J. A., St. Gabriel P. O., Iberville Parish. 89. Layton, Tlioruas, 67 Chartres street, New Orleans. 90. LeMonnier, Y. K., 59 St. Louis street, New Orleans. 91. Lewis, E. S., 61 Esplanade street, New Orleans. 92. Loeber, F., 161 Baronne street, New Orleaus. 41 93. Logan, S., 42 Baroune street, New Orleans. 94. Love, A. C., Donaldsonville, Ascension Parish. 95. Lyon, A. A., Shreveport, Caddo Parish. 90. Lyons, J. J., 219 Carondelet street, New Orleans. M. 97. Maguire, A., Jeannerette, Iberia Parish. 96. Matas, R., 19 Baroune street, New Orleans. 99. McCullough, R. C., Waterproof, Tensas Parish. 100. McCutchon, P. B., 973 Magazine street, New Orleans. 101. Mercier C. S., Carrollton, New Orleans. 102. Miles, A. B., Charity Hospital, New Orleaus. 103. Milling, J. S., Dickson’s Cross Roads, Bossier Parish. 104. Milner, U. R., Marengo, near Camp street, New Orleans 105. Minvielle, G. P., Jeannerette, Iberia Parish. 100. Mitchell, W. S., 193 Louisiana Avenue, New Orleans. 107. Mosely, W. X., Keaclri, DeSoto Parish. 108. Moss, J. R., Robson, Caddo Parish. N. 109. Newell, D. S. , Tensas Parish. 110. Newton, I. J., Jr., Bastrop, Morehouse Parish. O. 111. Owens, C. D., Holmesville, Avoyelles Parish. 112. Parham, F. W., Hotel Dieu, New Orleans. 113. Patton, G. F., 13 Carondelet street, New Orleans. 114. Perkins, L. G. Clinton, East Feliciana Parish. 115. Pope, B. A., 152 Canal street, New Orleans. 110. Postell, P. S., Plaquemine, Iberville Parish. 117. Powell, M. B., Natchitoches, Natchitoches Parish. 118. Pratt, G. K., Chartres, street near Canal street, N. O. 119. Pugh, T. B., Napoleouville, Assumption Parish. R. 120. Randolph, 1\, Pointe Coupee Parish. 121. Richardson, T. G., University Building, New Orleans. 122. Richards, M. R., 19 Baroune street, New Orleans. 123. Roberts, A. V., Mansfield, DeSoto Parish. 42 124. Sampson, , Madison Parish. 125. Saudell, Wm., Monroe, Ouachita Parish. 126. Salomon, L. F., 19 Barouue street, New Orleans. 127. Sauvage, B.., 223 Canal street, New Orleans. 128. Schmidt, II. D., Charity Hospital, New Orleans. 129. Sclmppert, M., 179 Carondelet street, New Orleans. 130. Sclmppert, W. E., 179 Carondelet street, New Orleans. 131. Sell wing, S. 1)., Plaquemine, Iberville Parish. 132. Scott, J. J., Shreveport, Caddo Parish. 133. Scruggs, S. O., Cloutierville, Natchitoches Parish. 134. Shepard, E. T., cor. Napoleon Avenue, & St. Charles sts., New Orleans. 135. Sigur,,N. L., Morgan City, St Mary Parish. 136. Smith, C. M., Franklin, St. Mary Parish. 137. Smith, Howard, cor. Josephine and St. Charles sts., N. O. 138. Snell, A. B., Bayou Goula, Iberville Parish. 139. Sutherlin, W. K., Mansfield, HeSoto Parish. T. 140. Tebault, C. IL, 7 North street, New Orleans. 141. Tillingliast, E. S., Mooringsport, Caddo Parish. 142. Turner, W. M., Shrevepert, Caddo Parish. u. 133. Underhill, G. B., 1 Baronne street, New Orleans. y. 144. Vance, Thos. J., Minden, Webster Parish. 145. Yeazie, H. A., 159 Baronne street, New Orleans. 146. Yon Seydewitz, P., 377 Customhouse street, New Orleans w. 147. Walker, S. F., Mansfield, DeSoto Parish. 148. Watkins, J. M., 57 St. Charles street, New Orleans. 149. Watkins, W. H., cr. Franklin and Josephine sts., N. O. 150. Watters, G. W., Collinsburg, Bossier Parish. 151. Whitworth, W. T., Greenwood, Caddo Parish. 152. Wilie, J. D., Centennial, Texas. 43 153. Wilkinson, J. B., Buras, Plaquemines Parish. 154. Wilkinson, C. P., Buras, Plaquemines Parish. 155. Williams, A. B., Baton Rouge, East Baton Rouge Parish. 15G. Wise, B., Greenwood, Caddo Parish. 157. Wise, G. A., Benton, Bossier Parish. 158. Wise, J. H. P., Morgan City, St. Mary Parish. 159. Woolf, T. J., New Iberia, Iberia Parish. Alphabetical List of Parishes Represented in the Louisiana State Medical Society, the Membership of each Parish being also Alphabetically arranged. No. Parishes. Doctors. No. 1. Ascension Love, A. C 1 2. Assumption Pugh, T. B 1 3. Avoyelles Buck, W. P.; Owens, C. D 2 4. Bossier Baird, J. W.; Davis, J. T.; Dickson, W. L. ; Herring, A. H.; Milling, J. S.; Watters, J. W.; Wise, G. A 7 5. Caddo Alison, H.; Allen, J. W. 5 Allen, T. J.; Ashton, W. W.; Booth, A. R.; Billiu, D. H.; Calhoun, T. L.; Clarke, A. F.; Clay, D. M.; Coty, H. C.; Dillard, H. T.; Egan, J. C.; Egan, W. L.; Fisher, L. H.; Ford, T. G. ; Gray, R. A.; Hilliard, W. 5 Lyon, A. A.; Moss, J. R.; Scott, J. J.; Tillingliast. E. S. ; Tur- ner, W. M.; Whitworth, W. T.; Wilie, J. D.; Wise, B 25 6. Claiborne Hines, C. T 1 7. East Carroll Davis, J. L 1 8. DeSoto Alison, L.; Armstrong, R. L., Sr. 5 Armstrong, R. L., Jr. j 44 No. Parishes. Doctors. No. Benson, R. F. ; Courtney. F.; Frieson, W. S. ; Gibbs, R. T.; Mosely, W. X.; Roberts, A. V. ; Sutherlin, W. K. ; Walker, S. F. 11 9. East Baton Rouge. .Day, R. H. ; Dupree, J. W.; Wil- liams. A. B 3 10. East Feliciana Langwortby, O. P. ; Perkins, L. G 2 11. Grant Dunn, M. A.; Harrison, T. J 2 12. Iberia Blancbet, L. G.; Minvielle, G. P. ; Woolf, T. J 3 13. Iberville Gourrier, A. R.; Larcade, J. A. ; Postell, P. S. ; Snell, A. B. ; Scbwing, S. D 5 14. Lafayette Francez, J. P 1 15. Lafourche Gazzo, J. B. C., Sr.; Gazzo, J. B. C., Jr 2 1G. Madison Kelly, Win., Sampson 2 17. Morehouse Hammonds, J. D.; Newton,I. J., Jr 2 18. Natchitoches CraiD, P.; Griffin J. F.; Powell, M. B.; Scruggs, S. 0 4 19. Orleans Austin, W. G.; Beard, J. C.; Re- miss, S.M.; B(zou,H.; Bickham, C. J.; Carrington, P. S.; Car- ter, J. H.; Chaille, S. E.; Clias- taut, A.; Dabney, T. S.; Da- vidson, J. P.; DeRoaldes, A.; Driefus, E.; Faget, C.; Faget, J. C.; Fisher, J. A. G.; Ford, J. S.; Formeuto, F.; Friedrichs, A. G.; Henderson, J. B.; Hen- ry S. L.; Herrick, S. S.; Hol- liday, D. C.; Holt, Joseph ; Jamison, D.; Joues, Joseph; Johnson, J.; Langenbecker, C. O.; Layton, T.; LeMounier, Y. R.; Lewis, E. S.; Loeber, F.; 45 No. Parishes. Doctors. No. Logan, S.; Lyons, J. J. ; Mc- Cutchon, P. B.; Mercier, 0. S.; Miles, A. B.; Mitchell, W. S.; Matas, R.; Milner, U. R.; Par- ham, F. W.; Patton, G. F.; Pope, B. A.; Pratt, G. K.; Richardson, T. G.; Richards, M. R.; Salomon, L. F., Sau- vage, R.; Schuppert, M.; Scliup- pert, W. E.; Schmidt, H. D.; . Shepard, E. T,; Smith, How- ard; Tebault, C. H.; Uuder- hill, G. B.; Yeazie, H. A.; Yon- Segdewitz, P., Watkins, J. M.; Watkins, W. H 59 20. Ouachita Aby, T. Y.; Sandel, W 2 21. Plaquemines Booth, W. B.; Fox, D. R.; Hays, G. A. B.; Hebert, N. M.; Wil- kinson, J. B,; Wilkinson, 0. P. 0 22. Point Coupee Randolph, P 1 23. Rapides Duud, J. A.; Easly, B. A.; Fish, J. S 3 24. Richland Brumby, G. McD 1 25. St. Landry Guilbeau, F 1 2G. St. Mary Gates, A. S.; Maguire, A.; Smith C. M.; Sigur, N. L.; Wise, J. H. P 5 27. St. Tammany Givens, A 1 28. Tensas January, D. P.; Newell, D. S.; McCullough, E. C 3 29. Terrebonne Duval, C. A 1 30. Webster Yance, P. J < 1 30 Parishes represented. Total number of Doctors 159 46 REGULATIONS OF THE LOUISIANA STATE MEDICAL SOCIETY. CONSTITUTION. PREAMBLE, TITLE AND OBJECTS. The Louisiana State Medical Society, reorganized January 15, 1878, shall have for its objects : (1) The union in this Society of all the reputable members of the regular medical profession in the State, and co-opera- tion with the medical profession throughout the United States, in sustaining the American Medical Association; (2) The advancement of State Medicine, i, e., of Public Hy- giene (or Preventive Medicine), of Medical Education, of Med- ical Jurisprudence, and of Public Institutions for the sick, and the infirm; (3) The cultivation of medical knowledge, and particularly of such parts thereof as may be of special importance to this State; (4) The elevation of professional character and attainments, and the promotion of the welfare, in all matters relating to medical science, of the profession, and of the public. ARTICLE I. Mode of Government. Section 1. This society shall be governed by such regula- tions as shall be specified in its Constitution, By-Laws and Ordinances (or Resolutions) ; and, as to matters not so speci- fied, it adopts the Common Parliamentary Law and the Code of Ethics of the American Medical Association. Sec. 2. Any suspension or alteration of the Constitution shall require a unanimous vote, unless proposed in writing at a preceding annual session, in which case a vote of two-thirds of the voting members present shall be required ; provided that an amendment germane to the subject, shall be in order, and may be adopted, though not submitted, at a preceding annual session. The By-Laws may be suspended or altered by a vote of two- thirds, and the ordinances by the vote of a majority at auy reg- ular meeting. 47 ARTICLE II. Members. Section 1. (Qualifications.) Every physician fo be a mem- ber of this Society, must be (1) a graduate of a reputable med - ical college, (2) socially and professionally in good repute, (3) obedient to the Code of Ethics, and (4) a subscriber to the regulations of this society. Sec. 2. Men of worth and culture, occupied in pursuits cal- culated to directly promote the objects of this society, may, though not graduates in medicine, be elected members of this Society. Sec. 3. There may be five classes of members, viz.: (1) Dele- gates, (2) Permanent members, (3) Associate Members, (4) Honorary Members, and (5) Members by Invitation ; provided that whenever more than one-half of the parishes of this State shall each have an Affiliated Medical Society, and shall be rep- resented in this society by not less than one hundred delegates present at the annual session, a majority of said delegates shall have the power to prohibit the election of any additional permanent members. Sec. 4. All members shall have the right to take part in the proceedings, but only delegates and permanent members shall have the right to vote. Honorary members and members by invitation shall not be assessed. Sec. 5. (Delegates.) Every Affiliated Medical Society, State Medical College, and State Medical Institution—in this State and in good standing—shall have the privilege of appointing one delegate, and one additional delegate for every five phy- sicians, regular members of said society, or of the medical staff of said public institutions. No delegate shall be received unless the dues, of his Society or institution, to this society shall have been paid; and the sum total to be paid for a delegate shall be equal to the amount annually assessed on each permanent member. Sec. 6. (Permanent members.) (1) Delegates and such other persons as possess fully the qualifications for membership in this society, may be elected permanent members, (2) Permanent members, resident in parishes having no affil- iated medical society, are charged with the paramount duty of aiding to organize such a society ; and, no physician shall be a permanent member, who has been refused membership in the affiliated society of his parish, uuless there be satisfactory evi- dence that such refusal has not been due to his disqualification to be a member of this society. Sec. 7. A delegate, who may be a permanent member, or vice versa, shall cast but one vote. Sec. 8. (Associate Members.) Every member of an affiliated medical society, which has paid its dues to this Society, shall be an associate member thereof. 48 Sec. 9. (Honorary Members.) Honorary Members shall never exceed twenty in number, and shall require the ballots of three-fourths of the voting members preseut at an annual session. Sec. 10. (Members by Invitation.) Members by Invitation maybe elected, to hold connection with this society only dur- ing the session at which they were elected, on the recommend- ation of the Committee of Arrangements. ARTICLE III. Officers. Section 1. The officers of this Society shall be, one Presi- dent, a Vice-President for each Congressional District of Louis- iana, provided that each of such districts be represented by a delegate, or a permanent member, whom this society may deem it advisable to elect to the office, one Recording Secretary, one Corresponding Secretary, and one Treasurer, who shall also be Librarian, until such time as the society, by a vote of two- thirds of the voting members present at an annual session, may determine to elect a Librarian, as well as a Treasurer. Sec. 2. Only physicians who are delegates or permanent members shall be elected officers; and the President, the Sec- retaries, and the Treasurer must be chosen from those in at- tendance at the annual session. Sec. 3. The President and Vice-President shall serve for the term of one year; the Secretaries, and the Treasurer and the Librarian shall serve for the term of three years. But every officer shall continue in office until his successor is duly elected and installed. Sec. 4. The election of officers shall be on a day preceding the last day of each annual session, but their term of office shall not begin until the close of the last day, except, so far as the cooperative action of the President elect may be required for the transaction of business at the ensuing annual session, such as in the appointment of the committees. ARTICLE IV. Section 1. Such Standing and Special Committees may be appointed as this society may deem necessary, for the purpose of preparing and arranging business for the annual sessions, and for carrying into effect the orders of the society not other- wise assigned. Sec. 2. The following Standing Committees shall be ap- pointed at each annual session, viz.: 1. Committee of Arrangements. 2. Committee on the Organization of the Medical Pro- fession. 3. Committee on Necrology. Committees. 49 4. Committee on State Medicine and Legislation. 5. Committee on Scientific Essays, Reports, Original Papers. G. Committee on Publication. 7. Judiciary Committee. Sec. 3. Committees shall be appointed as follows : The Chairman, by the President with the approval of the President elect or of the society ; and the remaining members by,the President, the President elect, and the Chairman; except in the cases following, viz: (1) The Committee on Organization shall consistof the Presi- dent (as chairman), the Vice-Presidents, and the Corresponding Secretary; (2) The Recording Secretary, the Corresponding Secretary and the Treasurer and Librarian, shall be members of the Com- mittee on Publication ; (3) And said committee shall have power to appoint sub- committees of experts ; (4) The President shall have power to appoint members on sub-committees of the Judiciary Committee, and to fill all vacancies on committees. Sec. 4. Members of a committee shall be responsible for the work assigned it in the order each name on the list is an- nounced ; and inaction of the chairman shall not justify the inaction of other members of the committee. ARTICLE V. Section 1. The society shall select annually an orator, whose duty it shall be to deliver at the ensuing annual session a pub- lic address designed to interest a non-professional audience in the objects of this society. Annual Orator. ARTICLE VI. Section 1. Delegates to the American Medical Association, and those State Medical Societies and other scientific bodies in which this society may deem it advisable to be represented, shall be elected annually : or, otherwise, shall be appointed by the President. Delegates from this Society. ARTICLE VII. Section 1. Funds shall be raised by the society for meeting its current expenses and awards. Thse funds may be obtained by an equal assessment upon each of the permanent members, and by assessment of a like sum upon every afliliated society and medical institution for each delegate to which said society and institution is entitled, by au equal assessment on all the members of affiliated societies ; by fines j by the sale of its publications ; and by voluntary contributions. Funds and Appropriations. 50 Sec. 2. The funds may be appropriated (1) for defraying the expenses of the meetings, (2) for enabling the officers and the committees to fulfill their respective duties, conduct their cor- respondence, and procure the materials necessary for their cor- respondence and reports ; (3) for publishing the proceedings, memoirs and transactions of the society ; (4) for the salaries of officers ; (5) for the establishment and support of a library ; (6) for the encouragement of scientific investigation by prizes and awards; and (7) for defraying the expenses incidental to scien- tific investigations under the instruction of the society, where such investigation have been accompanied with an order on the Treasurer to supply the funds necessary for carrying them into effect. ARTICLE VIII. Section 1. While it is deemed advisable that there should be only one Parish Medical Society, for the purpose of uniting in a single organization, all reputable physicians resident in each parish ; there may, none the less, be established several societies in one parish, each society to be composed of members residing in a political subdivision of the parish ; and there may be established one society for physicians resident in sev- eral adjaceut parishes (i.e., district societies), or in subdivisions of two or more adjacent parishes. Sec. 2. (1) No physicians shall be members of affiliated societies, except those qualified to be members of this society. (2) Any physician refused admission to, suspended or ex- pelled from an affiliated society of his parish, shall have the right to appeal to the State Medical Society, but he shall neither become nor continue to be a member of said society, unless the facts in the case have been duly investigated by the Judiciary Committee of said society, and favorably decided by said society. Sec. 3. An affiliated society may adopt any regulations which contain the provisions required by the State Medical Society, and do not contravene any of its regulations. Sec. 4. Every affiliated society aud institution shall pay to the State Medical Society its assessment, which shall not ex- ceed tor each delegate, to which said affiliated society or insti- tution is entitled, the amount assessed on each permanent member of the State Medical Society. Affiliated Societies. ARTICLE IX. Meetings. Section 1. A regular animal session shall be held at such time and place as the society may select, and the president may call a special meeting for the transaction of business of paramount importance. Sec. 2. This society shall adopt an “ Order of Business” and such “ Rules ” as maybe necessary to conduot the pro- ceedings of the meetings. 51 BY-LAWS. Mode of Government. ARTICLE I. Section 1. (Quorum.) Twelve members entitled to vote shall constitute a quorum. # Sec. 2. (Mode of voting.) Permanent members, members by invitation and officers, shall be elected by the ballots of a majority of the voting mem- bers present. The mode of voting in all other cases—except where differently specified in the constitution—shall be by the viva voce vote of a majority; provided that one-third of the voting members present shall have the right to demand the record of the yeas and nays. ARTICLE II. Members. Section 1. Every member, in attendance at the annual ses- sions, shall, prior to the permanent organization of the session, or before taking part in the proceedings after the session has been organized, sign the regulations of the society, inscribing his name and address in full, the title of the medical institution by which and the year when graduated; and, if a delegate, the title of the affiliated society or institution from which he re- ceived his appointment, and shall pay all sums due to this society. Sec. 2. Every delegate must present a written appointment from the affiliated society or institution which he represents. Sec. 3. No person shall be elected a member of this Society unless recommended by two members as possessing fully the qualifications for membership; and, at the request of two mem- bers, a recommendation to membership shall be submitted to the Judiciary Committee for investigation and report, before action shall be taken thereon by the Society. Sec. 4. Any member may resign, provided that he has paid all dues, and that there be no charges against him. Any mem- ber neglecting two successive years official notifications to pay his dues, shall forfeit membership, and shall not be re elected until said dues shall have been paid. Sec. 5. No voting member present shall be excused from voting, except by a majority of those present. Sec. 6. No member shall be required to read his own manu- * As amended from fifteen at Annual Session of 1881. 52 script; provided that a member known to be a good reader, be ready to act as his substitute. Sec. 7. Medical men, or men learned in the collateral branches of science, on a visit to the place of the Annual Ses- sion, may be permitted to attend meetings, on being introduced by a member of this society. Sec. 8. Any person desiring to become a member, during the interval between the Annual Sessions, shall forward his appli- cation, endorsed with the recommendation of two members, and accompanied with the annual fee, to the Recording Secretary, who shall record the name on a special list for “ temporary members.” All privileges of the society shall be granted to such temporary members until the first meeting of the society, when the Constitution and sections 1 and 3, Article II, of these By-Laws shall be enforced. ARTICLE III.-DUTIES OF President. Section 1. (1) The President shall a, preside (assisted by the Vice-Presidents) at all meetings; b, appoint all committees as provided in sec. 3, Art. IV, of the Constitution; c, suspend until the next meeting any officer guilty of flagrant malfeasance or neglect of duty, and fill ad interim any such, and all other, vacancies that may occur ; rt annually in January to the Vice-President of its district (or if there be no such officer then directly to the President ot this society), the following facts as they existed on the preceding last day of December, viz: 1st, any changes in its regulations, its general condition, the names alphabetically arranged, of its officers and members, their postoffice addresses, institution, where and year when graduated, and cessation and refusal of member- ship during the year with the causes thereof; and 2d, a regis- ter of all practitioners of medicine of the parish or of the politi- cal sub-division in which said affiliated society is located, in accordance with the directions in (4) sec. 2, Art. Ill, of these By-Laws. These reports shall be forwarded by Vice-Presi- dents to the President, and by him to the Corresponding Sec- retary. Sec. 6. Every affiliated society shall forward to the Record- ing Secretary (for reference to the Committee on Scientific Essays and Reports), thirty days before the Annual Session, any such original papers as it may deem worthy of the consid- eration of this society, and of publication in its annual Trans- actions, and shall also forward to the Recording Secretary, prior to the annual session, a list of its Delegates to this so- ciety. Sec. 7. Affiliated societies, through their Delegates, or otherwise, shall have the privilege of nominating the Vice- President of this society for the Congressional District in which said affiliated societies are located. N. B.—Recommend Constitution for Parish Societies, and form for Annual Reports. ARTICLE IX. Meetings. Section 1. The annual session shall begin on the , and shall continue from day to day, until all of its business be transacted. During the session there shall be two meetings daily, one at 11 A. M., and one at 74 P. M. Order of Business. Sec. 2. The Older of Business shall at all times be subject to the vote of two-thirds of all the voting members present • 62 and until permanently altered, except when for a time sus- pended, it shall be as follows : (1) Call to order. (2) Announcement of the members in attendance by the Re- cording Secretary. (3) Reading and correction of the daily minutes. (4) Reading the notes of absentees, provided these contain any facts of importance. (5) Election and registration of new members. (6) Report of the Committee of Arrangements. (7) Any business, requiring early attention, may, by permis- sion, be introduced. (8) Address of the President, and the annual oration at the time and place recommended by the Committee of Arrange- ments. (9) Reading and consideration of, with action on, the reports of officers; of Standing and of Special Committees] of Affiliated Societies, and of delegates from this society. (10) Election of officers, delegates, etc., and selection of the next, place of meeting. (11) Appointment of the chairmen of committees. (12) Reading and consideration of scientific essays, reports and original papers. (13) Unfinished business. (14) New business. (15) Announcement of committees. (16) Reading rough minutes of the session about to close. (17) Adjournment. Rules. Sec. 3. (I) The reading of no report, original paper, etc., shall, in its delivery, exceed thirty minutes, unless by special permission of the society ; provided tliat summaries of, and ab- stracts from such manuscripts as would exceed thirty minutes in the reading, may be read, and that such manuscripts shall be referred in whole to the Committee on Publication. The opportunity for debate shall be furnished immediately alter the reading of every paper, but the time for debate shall be limited to thirty minutes, unless extended by vote of the society. (2) No member shall be permitted to address the society un- til his name and residence have been distinctly announced, and any such member may be required to speak from the stand. No speaker in the debate of any one subject, shall, unless by permission of the society, exceed ten minute*, nor speak more than once, until every member choosing to speak shall have spoken, nor shall he speak more than twice without the per- mission of the society. (3) A member shall not interrupt another while speaking, unless to call him to order or to correct a mistake j aud such 63 interruption shall not be considered as speaking in debate, to the violation of the above rule (2). (4) A vote shall not be reconsidered at the same meeting by a smaller number than was present at its passing. (5) When a question is before the society no other motion shall be received ; except, (a) to adjourn, (b) to lay on the table, (c) to postpone indefinitely, (d) the previous question, (e) to postpone to a definite time, (f) to commit, (g) to amend, or (h) the main question ; which several motions shall have prece- dence in the order they are arranged. A motion to adjourn, to lay on the table, and to postpone indefinitely are not debatable. (0) When the previous question is demanded, it shall take five members to second it; and when the main question is put, under the force of the previous question, and negatived, the question shall remain under consideration the same as if the previous question had not been enforced. (7) When a report is read, it is thereby received ; and when received, it may at any time be considered, and in whole or in part, may by vote of the society be accepted, and it is thereby adopted. 64 REGULATIONS OF TUB PARISH MEDICAL SOCIETY. CONSTITUTION. PREAMBLE, TITLE AND OBJECT. The Parish Medical Society, organized shall have for its objects : (1) The union in this society of all the reputable members of the regular medical profession, residing in this parish, and co- operation with the medical profession throughout the State in sustaining the Louisiana State Medical Society. (2) The advancement of State Medicine—i. e., of Public Hygiene (or Preventive Medicine), of Medical Education, of Medical Jurisprudence, aud of Public Institutions for the sick and the infirm ; (3) The cultivation of medical knowledge, and particularly of such parts thereof as may be of special importance to this parish aud State; (4) The elevation of professional character and attainments, and the promotion of the welfare in all matters relating to medical science of the profession aud of the public. ARTICLE i. Mode of Government. Section 1. This society shall be governeed by such Regula- tions as may be specified in its Constitution, By-Laws and Ordinances (or ltesoiutious ;) and, as to matters not so specified, it adopts the Common Parliamentary Law and the Code of Ethics of the American Medical Association. Sec. 2. Any suspension or alteration of the Constitution shall require a unanimous vote unless proposed in writing at a preceding regular meeting, in which case a vote of two-thirds of the voting members present shall be required; provided that an amendment germaiu to the subject shall be in order, and may be adopted, though not submitted, at a previous meeting. The By-Laws may be suspended or altered by a vote of two-thirds, aud the Ordinances by a majority at any regular meeting. 65 ARTICLE II. Members. Section 1. (Qualifications.) Every physician to be a mem- ber of this society, must be (1) a graduate a of reputable medi- cal college, (2) socially aud professionally iu good repute, (3) obedient to the Code of Ethics, aud (4) a subscriber to the Regulations of this society. Sec. 2. Men of worth aud culture, occupied in pursuits cal- culated to directly promote the objects of this society, maj, though not graduates in medicine, be elected members. Sec. 3. There may be two classes of members, (1) Regular Members, and (2) Honorary Members. Honorary Members shall not be assessed, shall not have the right to vote, aud shall require, for election, the ballots of three-fourths of the members present at a regular meeting, succeeding a regular meeting at which they have been proposed for Honorary Membership. ARTICLE III. Officers. Section 1. The Officers of this society shall be, oue Presi- dent ; Vice-Presidents, oue Recording Secretary who shall also be Treasurer, and one Corresponding Secretary who shall also be Librarian. Sec. 2. Only physicians, who are regular members, shall be elected officers. Sec. 3. The President and Vice-Presidents shall serve for the term of one year, and the Secretaries for three years, said term to expire at the annual meeting ; but in no case shall an officer vacate his place until his successor has been chosen. ARTICLE IV. C o m mittee s. Section 1. Standing Committees shall be appointed on (1) The Eflicient Organization of this society; (2) Judiciary; (3) State Medicine and Legislation ; (4) Scientific Essays, Reports and Discussions j (5) Publicatiou. Sec. 2. Special Committees, and additional Standing Com mittees may be appointed at the discretion of the society. Sec. 3. The chaiiman of any committee shall be appointed by the President, and the remaining members by the Presi- dent, with the consent of the chairman, or of the society ; ex- cept, as to the Committee on Efficient Organization, which shall be composed of the President, the Vice-Presidents, aud the Corresponding Secretary ; and as to the Judiciary Com- mittee, the members of which may be increased at the discre- tion of the society, by the election of additional members. 66 ARTICLE V. Annual Orator. Section 1. The society shall elect annually an orator, whose duty it shall be to deliver a public address designed to interest, in the objects of this society, a nou-professioually audiouce. ARTICLE VI. Delegates. Section 1. Delegates to the Louisiana State Medical So- ciety, to the American Medical Association, and to such other scientific bodies, as this society may deem advisable that it should be represented in, shall be elected annually, or in default thereof, be appointed by the President. ARTICLE VII. Funds and Appropriations. Section 1. Funds shall be raised by this society for meeting its current expenses and awards, by an equal assessment on each of its regular members. Sec. 2. Funds may be appropriated, (1) for defraying the expenses of the meetings, (2) for enabling tne officers and the committees to fulfill their respective duties, conduct their cor- respondence, and procure the materials necessary for their records and reports, (3) for the payment of such equal assess- ments as may be imposed on affiliated societies by the State Medical Society for its support, (4) for publishing the pro- ceedings and transactions of this society, (5) for establishing a library, and (6) for the encouragement of scientific investiga- tions. ARTICLE VIII. Meetings. Section 1. There shall be not less than one regular meeting monthly, oue of which shall be the annual meeting, for the election of officers, the presentation of annual reports, the an- nual oration, and for such other proceedings as may be directed. Sec. 2. The President shall call a special meeting whenever he may deem proper. Sec. 3. The society shall adopt an u Order of Business” and such other u Rules” as it may deem necessary to conduct pro- perly the proceedings of the meetings. 67 BY-LAWS. ARTICLE I. Mode of Government. Section 1. (Quorum.) regular members shall constitute a quorum. Sec. 2. (Mode of Voting.) Regular members and officers shall be elected by the ballots of a majority of the regular members present. The mode of voting in all other cases, ex- cept when otherwise specified in the Constitution, or when otherwise determined by the society, shall be by viva voce vote of a majority ; provided, that one-third of the regular members present shall have the right to demand the record of the yeas and nays. ARTICLE II. Members. Section 1. Every member must, before taking part in the proceedings, sign the regulations of this society, inscribing his name and address in full, and the title of the institution by which, with the year when, graduated ; and must pay all sums due by him to the society. Sec. 2. No person shall be elected a member of this society at the same meeting when his name may be proposed, or un- less recommended by two members as possessing fully the qualifications for membership. In any case, at the request of two members present, such proposal for membership shall be submitted to the Judiciary Committee for report at the follow- ing meeting. Sec. 3. Any member may resign, provided that he has paid all dues, aud that there be no charges against him. Any mem- ber neglecting two official notifications to pay his dues, shall forfeit membership aud shall not be re-elected until said dues shall have been paid. Sec. 4. No member present shall be excused from voting, except by a majority of those present. Sec. 5. No member shall be required to read his own address, report, essay, or other paper; provided that a member, well known to be a good reader, be ready to act as his substitute. Sec. C. Medical men or men learned in the collateral brauches of science, on a visit to Parish, may be per- permitted to attend meetings on being introduced by a member of this society. 68 ARTICLE III—OFFICERS, DUTIES OF— President. Section 1. The President shall (a) preside, with the assist- ance of the Vice Presidents, at all meetings; (b) appoint all committees, as provided in Section 3, Article 10, of the Consti tutiou ; (c) fill ad interim all vacancies that may occur (d) call special meetings; (e) inspect the records and archives of the society and report any inaccuracies and delinquencies in refer- ence thereto; (f) approve or disapprove all requisitions on the funds of the treasury ; (g) give a casting vote when necessary ; (h) act as chairman ot the Committee on the efficient organiza- tion of this society; (i) report, at the close of his term of office, what has been accomplished to promote the objects of this society, recommending such measures as he may deem neces- sary to promote these objects more effectively : (j) and perform all such other duties as this society, custom and parliamentary usage may require. Vice-Presidents. Sec. 2. (a) Such Vice Presidentas the President or the society may elect shall in the absence of the President from the meet- ing or from the chair, discharge his duties, and if all these officers be absent, the society shall elect a President pro tern ; (b) each Vice-President is charged with the special duty of promoting the efficient organization of the society, and shall be a member of flie committee for this purpose. Recording Secretary and Treasurer. Sec. 3. (a) This officer shall keep one or more books for the record of (1) the regulations of this society (with any further chauges thereof arranged for ready reference), the names of members subscribed thereto (see Section 1, Article II, By- Laws), and a list of officers and members alphabetically ar- ranged ; (2) the minutes of the proceedings; (3) the receipts, expenses, debts, credits, and property of the society, (b) He shall give notice, when necessary, of meetings, of any special duty imposed on a member, of the fees due by each, and of election to membership in the society, (c) He shall collect all fees and other sums due, notify delinquents of the necessity for prompt payment, and report the names of persistent de- linquents to the society, (d) He shall report annually the financial condition of the society, recommending such measures as he may deem necessary. Corresponding Secretary and Librarian. SEC. 4. (a) This officer shall keep one or more books for the record of (1) the coirespondence of the society; (2) the cata- 69 logue of its books and scientific property, and (3) the alpha- betical registration of all practitioners of medicine in Parish, on December 31st, of every year. The alphabetical list shall, as far as practicable, record the names, residence, in- stitution by which, and year when graduated, of every prac- titioner in Parish, dividing these into three classes, viz.: Practitioners of unquestionable good standing; practi- tioners of unknown or doubtful repute, designating which; and irregular practitioners, designating whether homoeopaths, eclectics, Thompsonians, etc. (b) He shall be a member of the Committee on the Efficient Organization of this society. (c) Pie shall present an annual report, which shall contain, among othtr tilings, a list of deaths, removals and arrivals (for permanent residence) of practitioners in Parish during the year, closing with the last day of the year. ARTICLE IV. COMMITTEES—DUTIES, ETC. Standing Committee on the Efficient Organization of this Society. Section 1. This committee composed of the President (as chaiman,) of the Vice-Presidents, and of the Corresponding Secretary, shall devise and recommend measures to promote the efficiency of this society ; ami shall report annually all measures necessary to be adopted, in order to support the State Medical Society, and to maintain affiliation therewith. Judiciary Committee. Sec. 2. (a) This committee shall consist of not less than .... members. (b) It shall take cognizance of, and report upon, questions ot an ethical or judicial character that may arise in connection vith this society ; shall investigate the status, if questionable, of any member, or of any person proposed for membership, and shall consider all questions of a personal character, such as complaints, protests, etc. (c.) A charge against a member of this society, must be made in writing to the President, who shall report the charge to the society, as also to the accused member, and refer it to the Judiciary Committee—the members of which may be in- creased at the discretion of llie society. The Judiciary Com- mittee shall, after due notice to the accused member, investi gate the charge ; shall keep an accurate written record of the facts and evidence in the case; shall prepare a summary of the chief facts agreed to by both parties, and of those in dis- pute with the evidence pro and con thereon, adding thereto the recommendation of each member of the committee; which 70 reccommendation shall be to dismiss the charge, to exonorate, to fine, to reprimand, to suspend, or to expel the accused member. All the proceedings of the committee shall be re- ferred to the society for final action thereon, at a meeting to which all the members have been summoned, with notice of the special business to be disposed of. A vote of two-thirds by ballot, of all members present, shall be required to expel a member; a majority,* by recorded yeas and nays, shall effect the decision of any issue involved, other than expulsion. (d.) If, after due notification, an accused member fail to appear at the time and place of trial, he shall, unless satis- tory excuse be rendered at the time, be consulered as admit- ting the truth of the charges against him, and shall be liable to sentence accordingly. Committee on State Medicine and Legislation. Sec. 3. (a) This committee shall consist of not less than members, and shall, from time to time, report to the so- ciety upon the condition, needs and prospects in parish of each one of the four branches of State Medicine. (b) It shall recommend the enactment, repeal, or modi- fication of such State laws aud parish ordinances, relating to medical interests as it may deem advisable, presenting these recommendations iu the form aud words, which it is proposed shall be enacted. Committee on Scientific Essays, Reports, Discussions. Sec. 4. (a) This committee shall consist of not less than members, (b) It shall make provision for and have general supervision over the scientific proceedings of the meet- ings ; select a list of essayists, and reporters, aud of subjects for discussion, to the end that each meeting of the society may be made instructive and attractive to the members, (c.) It shall particularly encourage the consideration of all medical subjects of special importance to the parish, and to this State. Committee on Publication. Sec. 5. This committee shall consist of not less than members, and the Chairman of the Committee on Scientific Essays, etc., the .Recording Secretary and Treasurer, and the Corresponding Secjetary aud Librarian shall be members of said committee, with the Recording Secretary and Treasurer, as Chairman thereof. It shall discharge the duties usually assigned such a committee; and in the discharge of these duties it shall require that there shall be attached to the pub- lished reports aud origiual papers belonging to this society the following: “ The Parish Medical Society, although pub- lishing or recommending for publication the reports of com- 71 mittees, original papers of its members, etc., holds itself irre- sponsible for the opinions, theories, and criticsms therein con- taired, except when otherwise decided by special resolution.” It may refer to to the Louisiana State Medical Society any specially meritorious report, essay, or paper. ARTICLE V. Annual Orator. Section 1. An orator shall be elected at a regular meet- ing to deliver an address at the succeeding annual meeting. He need not be a member of this society. ARTICLE VI. Delegates. Section 1. The Committee on Organization shall recom- mend to the society at appropriate times members for election -or appointment as delegates ; notifying the society of the num- ber, which this society is entitled to, of delegates to the State Medical Society, and to the American Medical Associaton. ARTICLE VII. Funds and A})propriations. Section 1. The annual fee due by each regular member shall be, until otherwise ordered by the society, Sec. 2. Funds may be disbursed by the Treasurer for the payment of (1) the necessary expenses of the meetings; (2) the necessary expenses of officers and committees; and (3) the assessment of the State Medical Society—upon a requisition signed by a member and approved by the President. Funds shall not be disbursed for other purposes unless approved by vote of the society. ARTICLE VIII. Section 1. The regular meetings shall be held, until other- wise ordered by a majority of the society, in , ou the The annual meeting shall be the regular meeting in the month of Meetings. Order of Business. Sec. 2. The order of business shall at all times'be subject to the vote of two-thirds of all the members present; and until permanently altered, except when for a time suspended, it shall be as follows: 72 (1) Call to order; (2) reading and consideration of the min- utes; (3) reading of communications; (4) proposals for mem- bership; (5) report of officers and of committees and action thereon; (6) election of members; (7) unfinished business; (8) new business; (9) reading of original papers and discus- sion thereof; (10) debate on a subject selected by the Com- mittee on Scientific Essays, etc., and announced at a previous meeting, to be opened by a member appointed by the Presi- dent; (11) relation of cases and of medical news; (12) ar- rangement and announcement of scientific work for the follow- ing meeting; (13) adjournment. Rules. Sec. 3. (1) The reading of no report, essay, or original paper shall in its delivery exceed thirty minutes, unless by special permission of the society, and no speaker shall, in debate on any one subject, exceed ten minutes, nor speak more than once, until every member, choosing to speak, shall have spoken—nor shall he speak more than twice without leave of the society. (2) A member shall not interrupt another, while speaking, unless to call him to order or to correct a mistake, and inter- ruptions for these purposes shall not be considered as speaking in debate. (3) A vote shall not be reconsidered at the same meeting by a smaller number than was present at its passing. (4) When a report is read it is thereby received ; and when received it may at any time be considered, and in whole or in part may, by vote of the society, be accepted, and thereby is adopted.