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REPORTS FROM THE COUNTY OF ELMORE.

Report on the Obstetrics of Elmore County. By Edmunds Mason, M. D., of Wetumpka...

REPORTS FROM THE COUNTY OF GREENE.

96

Malaria and Miasmatic Cachexia. By H. B. Robinson, M. D., of Forkland......... 102 REPORTS FROM THE COUNTY OF HALE.

Report of Analysis of Urine in a Case of Hæmorrhagic Malarial Fever. By
Thomas O. Summers, Jr., M. D., Professor of Chemistry in the Southern
University, Greensboro'.

Observations of Dr. M. H. Taylor, Assistant Surgeon, U. S. A.
Observations of Dr. William Abram Love, of Atlanta. Ga...

REPORTS FROM THE COUNTY OF JACKSON.

Report on the Diseases of Jackson County. By J. S. Bankson, M. D., of Steven

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122

Report on the Surgery of Jefferson County. By F. M. Prince, M. D., of Elyton... 124 REPORTS FROM THE COUNTY OF LAUDERDALE.

The Medical Topography and Climatology and the Endemic Diseases of the Counties Adjacent to the Muscle Shoals of Tennessee River. By James Kyle, M. D., of Florence...........

131

REPORTS FROM THE COUNTY OF MADISON.

Report on the Topography. Geology, Climatology, and Diseases of Madison County. By George D. Norris, A. M., M. D., of Huntsville..

135

Report on the Surgery of Madison County. By J. J. Dement, M. D., of Huntsville.........

140

REPORTS FROM THE COUNTY OF MARENGO.

Report on the Topography and Diseases of Spring Hill. By George Whitfield, M. D..........

150

REPORTS FROM THE COUNTY OF MOBILE.

Report on the Diseases of Mobile for the year 1871. By G. A. Moses, M. D., of Mobile.......

158

Statistical Tables...........

166

Report on the Surgery of Mobile County. By John Taylor Gilmore, M. D., Professor of Surgery in the Medical College of Alabama............................................

173

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Lithotomy by a Woman....

REPORTS FROM THE COUNTY OF MONTGOMERY.

Report on the Surgery of Montgomery County. By John H. Blue, M. D., of Montgomery.

212

REPORTS FROM THE COUNTY OF WILCOX.

Report on the Surgery of Wilcox County. By John S. Lynch, M. D., of Clifton... 217

MEDICAL ASSOCIATION

OF THE

STATE OF ALABAMA.

ANNUAL SESSION OF 1872,

HELD IN HUNTSVILLE, COMMENCING MARCH 26, 1872.

FIRST DAY-TUESDAY, March 26.

The Association assembled in the Huntsville Court House, and was called to order at twenty minutes before 11 o'clock A. M., by the President, Dr. T. C. Osborn, of Greensboro.

Prayer was offered by the Rev. Dr. Ross.

The following Delegates and Permanent Members were in attend

ance:

DELEGATES.

Hale County, Greensboro Medical Society-Thos. Childress Osborn, M. D.; Thos. O. Summers. M. D.

Jackson County Medical Society-J. S. Bankson, M. D.

Jefferson County Medical Society-Mortimer H. Jordan, M. D.

Lee County Medical Society-Levin W. Sheppard, M. D.

Limestone County Medical Society-J. R. Hoffman, M. D.; M. D. Richardson, M. D.

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Madison County Medical Society-Flemming Jordan, M. D.; Geo. D. Norris, M. D.; Henry W. Bassett, M. D.; John J. Dement, M. D. Mobile Medical Society-Daniel E. Smith, M. D.; Edmund Pendleton Gaines, M. D.; George A. Ketchum, M. D.; William Henry Anderson, M. D.; Jerome Cochran, M. D.

Mobile Pathological Society-Claude H. Mastin, M. D.; William C.
Hicklin, M. D.; William Henderson, M. D.; O. L. Crampton, M. D.
Medical College of Alabama-Frank Armstrong Ross, M. D.
Providence Infirmary, Mobile-John Taylor Gilmore, M. D.
Montgomery Medical and Surgical Society-Job Sobiesky Weath-
erly, M. D.; Thomas Alexander Means, M. D.; Walter Clark
Jackson, M. D.

Perry County, Uniontown Medical Society-D. E. Barger, M. D.
Pickens County Medical Society—S. L. Bonner, M. D.
Tuskaloosa County Medical Society-John Little, Jr., M. D.
Wilcox County Medical Society-John S. Lynch, M. D.

Medical Society of North Alabama-Louis H. Sadler, M. D.; Louis
W. Desprez, M. D.; William Desprez, M. D.; James Kyle, M. D.;
Joseph P. Pride, M. D.; Andrew Jackson Sykes, M. D.; James W.
Gilbert, M. D.; Calvin A. Crow, M. D.

PERMANENT MEMBER.

George Ernest Kumpé, M. D.

N. B.-The foregoing list contains all the names on the register, but Drs. William Desprez and T. O. Summers, Jr., registered on the 27th, and Drs. J. P. Pride, A. J. Sykes, and J. W. Gilbert on the 28th.

After the calling of the roll of Delegates, the address for the Committee of Arrangements, welcoming the Association to Huntsville, was made by Dr. J. J. Dement, of the Madison County Medical Society.

DR. DEMENT'S ADDRESS.

Mr. President and Gentlemen of the Medical Association of the State of
Alabama:

In behalf of the Physicians of Madison County, I welcome you to Huntsville. This being your first annual session in this section of the State, and very few of the physicians of North Alabama having attended your former sessions, you come amongst us comparatively as strangers in person; but having, with great pleasure and pride, read your annual volume of transactions we know you all well, and are well acquainted with the purposes for which you are here assembled.

We have witnessed, with intense interest and satisfaction, the increasing strength of your organization, as it rolls from one portion of the State to another. A small volume of transactions emenated from your reörganization at Selma, one of more than doubled in size from your session at Montgomery, and another of near four hundred pages as the result of your labors at Mobile a year ago, all filled with valuable and important

matter.

We hope your present session may be still more profitable, and that each succeeding one may increase in interest and importance, and that your organization may continue to grow until every physician in this commonwealth may be enlisted under its banners; and may the day soon come when, under your searching inquiries after truth, quackery, with all its attendant ills, may be forever banished from our midst, and the practice of our noble profession be conducted in accordance with principles developed by your accumulated observation and scientific investigation. Again, gentlemen, in the name of the physicians and citizens of Huntsville, I welcome you to our city.

The Annual Address of the President was then delivered by Dr. T. C. Osborn. It will be found in its proper place.

On motion, the address of the President was referred to a committee of three, consisting of Drs. H. W. Bassett, M. H. Jordan and John Little, Jr.

The Secretary, Dr. Jerome Cochran, read his report, which, on motion, was received and approved.

ANNUAL REPORT OF THE SECRETARY.

To the President of the Medical Association of the State of Alabama: The work which has been done in my office since our last annual meeting may be briefly summed up as follows:

Soon after the adjournment of the Association I prepared the Minutes of the Proceedings, and arranged the Transactions for publication; and as soon as I could get a list of the appointments, which under the constitution are made by the President, the manuscript was placed in the hands of the printer. In the preparation of the whole võlume I acted under the instructions of the Publishing Committee. The volume itself is one of which, on the whole, the Association may well be proud; and, with one ungenerous exception, has received the commendation of the medical press all over the country. It contains three hundred and fiftysix octavo pages, and has been produced at an expense of over six hundred dollars.

I am sorry to have to add that the funds on hand proved insufficient for the payment of this amount, so that for the first time since the reörganization of the Association at Selma it has been obliged to submit to the odium of being in debt. The entire deficit was $92 75. Of this amount, to meet some urgent claims, I, with the consent of the President, raised $30 00 by the advance of their dues for the year just commencing of three of our members, namely: Dr. E. P. Gaines, Dr. Goronwy Owen, and Dr. C. Toxey. The remaining $62 75 I settled myself in order to avoid the annoyance of repeated duns. I cannot doubt that the Association will approve of this course, and make good the amounts advanced. It will be remembered that I raised towards defraying the publication of the volume for 1870 the sum of $215. I might have done something of

the same sort for the last volume if untoward circumstances had not prevented. At the time the last volume was passing through the press my health was so feeble that I was not able to canvass the city for advertisements, which I would otherwise have done.

During the month of September I prepared, by order of the President, a memorial to the Legislature of the State for the enactment of such laws as would favor the collection of physician's fees, and distributed it, together with a circular letter of the President on the same subject, to the various medical societies of the State for signatures. The memorial was very generally signed, and was presented in due time to the Legislature but that body in its wisdom did not think proper to grant the relief prayed for, and the grievance in question remains the same as before. Copies of both the documents referred to are appended to this report.

The organization of new societies has not made much progress since my last report. Indeed, only one new medical society has, so far as I know, been organized in the State, namely: the Mobile Pathological Society. I am, perhaps, somewhat to blame for this. In former years I have exerted myself to stir up the physicians of the State to the importance of organizing local societies and placing themselves in communion with the Medical Association of the State. In the year just passed, bad health, protracted during several months, and the long-continued pressure of more urgent claims upon my time, together with certain private reasons which need not be specially mentioned, have, all taken together, interposed obstacles of so serious a character in my way that I have attempted very little in this direction; and what little effort I have made has borne no fruit.

I desire to call the attention of the Association to a custom which has obtained in our previous meetings a certain sort of recognition—I mean the custom of fixing by vote of the Association some particular hour for the reading of some particular paper, so as to interfere with the regular order of business. It is certainly a custom more honored in the breach than in the observance. It retards the progress of business; makes encroachments on the time of the Association, which is always limited; and hints at invidious distinctions among the members, who ought all to stand on the same footing of perfect equality in any privilege or obligation which belongs equally to all. What right have we to assume of some particular member that he is of so much importance as to make it a graceful and proper thing to arrange for his special convenience and honor a set time for reading anything he has written? Is it not more in accordance with fair play that all shall be treated alike in this matter, each man taking his chances, and each paper presented at its own proper time.

I am directed by the Publishing Committee to state that, under all the circumstances of the case, they have deemed it proper not to include the paper of Dr. C. H. Mastin, of Mobile, on "Internal Urethrotomy," in the volume of Transactions for the past year. The grounds for this action are these, namely:-1. That to publish all the papers placed in the hands of the committee would involve an expense which the treasury of the Association was not able to meet. 2. That Dr. Mastin was not a member of the Association, and your committee doubted the propriety of publishing the productions of gentlemen who had not identified themselves with the Association. In view of these considerations the committee decided to refer the paper of Dr. Mastin back to the Association for its further consideration.

There is one other thing that I desire to mention, and that has reference to the duties, labors and responsibilities of the Secretary. It is an office of the very first importance to the Association-an office upon which, more than any other, its success and prosperity depends. It is an office

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