WHITHER VITAMIN T'HERAPY?

36
"Our lo·days and yesterdays Are the blocks with which we build." -Lol/g/ell",,;. BULLETIN of the Mahoning County Medical VoL VIII No.5 Society May 1938

Transcript of WHITHER VITAMIN T'HERAPY?

WHITHER VITAMIN THERAPY VITAMIN THERAPY is stil in its infancy Some these as in the case of other SMAco nutritional vitamins have been isolated which are specifics for products are unique and are synthesized or extracted certain nutritional deficiency diseases such as rickets by this organization SMAco produeu represent scurvy xerophthalmia and night blindness But the creative work of S M A Corporation Researcb whole story of the value of vitamiddot Laboratories mins has not yet been told Two

In recent years much of or three vitamins are not going

S M A Corporation research to solve the entire problem of

has been focused on the isolation nutritional deficiencies purification and commercial

Almost daily new data are preparation for clinical use of presented which further widen other important vitamin prepshythe field of vitamin therapy arations As was the case with Research biologists have sugshy SMAco Carotene (PromiddotVilamiddot gested that a number of common min AI these vitamins will be ils hitherto vague as to cause made available only wben tbey may be the symptoms of mild may be offered in such wacenmiddot deficiencies trated form tbat it is practical

to give at least a theoretial The medical profession welmiddot human dosage that sbould resull

comes these discoveries How in a clinical sponse if a defimiddot

ever it is unfortunate that ciency of that particular Viti vitamin therapy progress is min exists

On~ of he many speciII dniIJned equipmeolretarded when physicians fail to unin used to produce SMAco yiemint

get expected response from Several SMAco vitamin prod vitamin preparations used in inadequate dosage ucts are now available 10 physicians Tbey may be Such experiences destroy faith in the value of prescribed for individual vitamin tberapy uncommiddot vitamin therapy plicated wilh other vilamins when indicated TheY

SMAco vitamin products and others that may beS M A Corporal ion since its founding has promiddot duced a line of specialized nutritional products offered for specific and adequate vitamin thenp~

designed to meet specific nutritional problems As merit the consideralion of discerning physicians who

the nutritional field logically includes vitamins may prescribe them knowing that they are pure

SMA Corporation has made available to the medimiddot and that the biological potencies stated arc based cal profession certain vitamin products Most of on careful assay in SMA Corporation laboralori

If ollr probltm is a III1riional ont all S M A Corporaion prodllc may btlp YOIi

Our lomiddotdays and yesterdays Are the blocks with which we build

-Lolgell

BULLETIN

~

SmAgpSMACORPORATION CLEVELAND OHIO of the

MAKERS Of fiNE NUTRlnONAL SPECIALnES

MahoningProJU(rrl of SMAco Carotenemiddotinmiddotoil SMAco CarOlenemiddotwithmiddotvitaminmiddotDmiddotconcentratemiddotin-oil

CountyAlerdex H)pomiddotAlIergic Milk Prolein S M A (Acidulated S M A

Medical VoL VIII No5 SocietyMay 1938

THE MAHONING COUNTY MEDICAL SOCIETY 161

MEDICAL CALENDAR

May 17-Dr Paul White Cardiologist Massachusetts General Hospital

June 21-Interne Competition with Case Presentations

MAY RADIO TALKS

May 6-Saving Our Mothers _ Dr J P Harvey

May 13-White Collar Hazards _ Dr P H Kennedy

May 20-Famous Doctors of the Past _ Dr L S Deitchman

May 27-Infections of the Hands Dr J L Fisher

Vol VIII-No 5 CONTENTS May 1938

PRESIDENTS PAGE 165 EDITORIAL 167

1 c()nclitio~lS relateclto toxic dJgt(~rpLion

from the Intestinal canal the consltshySORICIN TABLETS S grain REGIONAL ILEITIS 169-174

ent usc of OJicin for a reasonable pcriod Soricin Capuk 5 anJ 10

of time lJrings relief in a high percentage A T THE HEALTH DESK 175~rain

Soricin and Bile Sll(~ T abktgtof cases

Sorkin Bile Sales and Panmiddot DISPLAY PAGES 176-177The uetoxieating antiputrefaetive and crcalin T ablt~

antiprotcolytic properties of Soriein (soshy OTHERS SAY 179 dium ricinoleatc) are important facLO~s B COLI VACCINE Detoxified

PUBLIC HEALTH COMMITTEE 184with Sorici nin copinlt with such conditions as chromc

For obsti nate cascs the usc of colontoxic venino chronic hCldache assOCIated NEWS

M hacillus va(dn~ t11lrapy ill conshy 184with colon distress and consLlpatlOn i unction with Soricin is (rcqtHntl~

prdcrnJ B Culi Vaccine-[)ctoxIshy DR PATRICK REPRESENTS US 185urticaria mucous colitis allergic and fied with SorKin is avulabl (or

chronic functional diarrhea aneioncurOLlC YOUNGSTOWN COLLEGE LIBRARY 185thi pltrlo~l

edema 1I1d conditions related to bactenal

hypcrscnsitivity of the intcstinal tract SECRETARYS REPORT 187-189 ritt- for Ijt~ralurl and a ~ampJ( DR EVANS COMMITTEE ETC 189 Represented by JERRY TRAUB

BOYS GO TO TOWN 189

ANOTHER FEATHER IN OUR HAT 190

SERIES OF SUMMER GOLF MEETS 190ESTABLISHED 1828 bull CINCINNATI U S A

MEDICAL CRIER 191

MISCELLANEOUS ITEMS

L-----_-~ 1938

~ conditions ITbted to toxic ltlbsorption I from the intestinal canal the consistshyent usc of Soricin for a reasonable pcriod of time brings lClicf in a high perccntage of cases

The detoxicating anti putrefactive and alHipmteolytic propcrties of Soricin (soshydium ricinoleatc) arc important factors in coping with such conditions as chronic toxic vcrtigo chlonic headache associated with colon distress and constipation urticaria mucous colitis allergic and chronic functional diarrheaangioncurotic cdcma and conditions related to bacterial hypersensitivity of the intestinal tract

frite for literature and a

Represented bv JERRY

SORICIN TABLETS S grain Soricin Cap$us 5 ~lI1J 10

gr~in

Soricin anJ Bile Sah~ T 3blcl

Soricin Bile- Salts and P3n~

crcatin Tablets

B COLI VACCINE Detoxified with Soricin

For obstinltc ca-cs the U$~ of colon bacillus VCCIOC therapy in conmiddot

j unctiun with Sorkin is frcQllcntl~

pnfcrrcd B Coli Vaccith-Dctojmiddot fi~J wit h Sorkin is a ailabl (ltIf

thi- pllrpo~c

sample

TRAUB

7ILL IL~Il ~~-ILtt) COIllJ)(Ulj ESTABLISHED IB2B bull CINCINNATI U S A

THE MflHONING COUNTY MEDlCflL SOCIETY

MEDICAL CALENDAR May 17-Dr Paul White Cardiologist Massachusetts General Hospital

June 21-Inteme Competition with Case Presentations

MAY RADIO TALKS

May 6-Saving Our Mothers Dr J P Harvey

May 13-White Collar Hazards shy

May 20-Famous Doctors of the Past shy

May 27-Infections of the Hands shy

bull

Vol VIII-No5 CONTENTS

PRESIDENTS PAGE

EDITORIAL

REGIONAL ILEITIS

AT THE HEALTH DESK

DISPLAY PAGES

OTHERS SAY

PUBLIC HEALTH COMMITTEE

NEWS

DR PATRICK REPRESENTS US

YOUNGSTOWN COLLEGE LIBRARY

SECRETARYS REPORT

DR EVANS COMMITTEE ETC

BOYS GO TO TOWN

ANOTHER FEAiHER IN OUR HAT

SERIES OF SUMMER GOLF MEETS

MEDICAL CRIER

Dr P H Kennedy

Dr L S Deitchman

Dr ] L Fisher

May 1938

165

167

169-174

175

176-177

179

184

184

185

185

187-189

189

189

190

190

191 MISCELLANEOUS ITEMS ~

1938

161

16J

1 2 BULLETIN

ADVERTISERS LIST THE MAHONING COUNTY MEDICAL SOCIETY BULLETIN

Patronize them-they make the

Bulletin possible CLAUD B ORRIS M D President

t vl lvI SK rPP M D President-El~1

ROBERT B POLING M D Secretary

ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEE Blairs Dry Cleonilg bull 192

JAIvlES D BROWN M D Editor Bu hmo s 188

CelTtral q re Grage 186 Associate Editors Cross Drug Siores 1n Louis S Deitchrnan 111 D Vgtf S1cmley Curtis IvI D M ir Neidus hl1 D Defiance Prcducls Co 186 Myron H Sieinberq M D Chas A Gustafson M D R E Odorn Ivi D

A trim suppIn for after operation or Denver ChemicCll Mfq Co 188 Oscar A AXElson M D H E Hathhom M D Saul T markin M Dgencra wear single adjustment a

Do sons 178 straps bull firm light eight coutil or Brac~- iIj1 Buwman NT D Samuel J Klatrnan M D W X Taylor Iv D batiste prevents bunglesomrnw bullbull

Duncan Drue Co 190 conv(nicnt hook and eye closing at James L Fisher M D the side bullbull a style (or Cifry typeIpdo ProducI~ nc middotmiddot 170 of fieurc

GierlnglI 178 Business Management GalLIen A 8 Ging role 178 lvORRIS S ROSE SLUM M D Hllberdlngs bull 64 LEWIS SURGICAL 1

Inqulriea a-nd reJDj lances for advertising or subscription should be addressed to Hoc sloo R L 180 SUPPLY

28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngstovln Ohio Humphrey Drug Cobull middotmiddot 170

Isalys 166 Published monthly at 787 Wick Avenue Youngstown Ohio

Annual Subscription $200Jomes ( Weaver middot 170

Jones Ph nn cy 188

Jones S rgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kal k 192

Name Committee Phonl AddressLewis Surgical Suppl y 162 Amphogel JAMES D BROWN Editolial 7-tI12fgt Horne Savint amp Loan BldgLyons Physicians upply Co 178middot182

~IORRIS S ROSENBLUM Dusincs MantJlpr 3-G1l3 Hom~ Savings amp LDan HIdg-KaomagmaManlle Helen 180 IOHN NOLL m Proa-rnm u-fi1l9 lOt Lintoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Publie Relations amp Economics 4-1074 IStambaugh nIdI

EARL H YOUNG Sub-CornmiUtmiddotC on Economies 7-i24j 10)(1 Wilon AICnueend-lol nson amp Co Cover The new appetizer F F PIERCY Co-Chairman-- Economies 3-4189 Homl~ SHIin~s amp Loan nlchr172Mercer Scrnit rium ID E MONTGOMERY SubmiddotCom on IndiJent Relief 3-6510 Southside Bank Bldgbull BewonalCoverMerrell Wm S Co DEAN NESBIT Co-Chairman- ]JI(li)~(mt]flief 6-6703 HonHgt Sain~s amp Loan Bhl~

Morris p A 188 500 Int Units Vit Bl to 1 oz WM H EVANS SubmiddotCom on Public Relalions 4-2lol7 Dollar Bank Bldg

Photo Repredu tiens Ce 188 G 13 KRAMEil Mtd ico- Lpg-al 4-2161 Souihsidt Unit City Hospital

170 I A~lES B mRCH Post-lTaduate Day 7-3127 127 Lincoln AnnueRenners 180 Obull1 WALKER ILegislative 7-G17G Home Savin~s amp Loan Bldg

Schmidl Paul bull bull bull eHAS SCOIltIELD Public Health -2421 31 State SI Struther O

Scett CemptJny 164 1John Wyeth amp Brother LOUIS S DlltlTCIHIAN Publieity 1-2620 Cen l ral Tower CoverS A Corporation EDWARD J R~lLLY I State CorrcJpondent 3-0631 247 1( Rohin-on Hoad

Philadelphia Pa Campbell OStrouss-Hirshberqs bull 180

ELMER H NAGEL yenlemberghip and AUcndatHp J-18 13111 Market Stred Thorppson C L bull 186

II E PATRICK Social 4-2661 I 138 Lincoln AWnue 188 Rep by C H BUECHNER IfreudJey H H amp Co L G COE Co-Chuinnan Sucial 4-24~0 Honle Saving- amp Loan Bldg

Wh e s Drug Stores middot 168 524 W Ravenwood W 11 SKIPP Lay Edulation 1-2906 j2ta Lincoln AvenueI162 ADOLPH 1IAIUNlltLLl Housing and Libraqr 3-9tifi3 Central TowerWyeh lohn amp Bro Phone 25168 ]92 K 1 Relations 6-6113 IHome Sain~s amp Loan [lldg-W~1 ALLSOP HO~I)it

Yo ngstewn Printing Co 192Zemmer Co

lHar 1938

103BULLETIN162

ADVERTISERS UST THE MAHONING COUNTY MEDICAL SOCIETY 1

1 BULLETINPatronize them-they make the I

Bulletin possible CLAUDE B NORRIS M D President ROBERT B POLING M D Secrelar

11M lvi SKIPP M D President-Elect ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEEBkrirs Dry Cleonbg 192 JAMES D BROWN M D Editor Buchmans 188

Cen tral Square Garage 186 Associate Editors

Cross Drug Slores In LOClis S Deilthman Nl D W Stanley Curtis M D M W Neidu9 M D

D~fance MJlk Products Co 186 r-yron H Steinberq Ivpound D Chas A Gustafson M D R E Odom M D

D(nver Chemical Mfg Co 188 A rimsLlpport for after opet8Ition or general lcar bullbullbull single adjustment Oscar A Axelson M D H E Hathhorn M D Saul Tnmarkin M D

Dobsons 178 slrpps bull firm light WCIAhJ coutil or tlrack Ivi Bowman M D Samuel J Klalman M D W X Taylor M Dtistc prevents bunJ~csomtna convenient hook and tylt doilil~ at

Duncan Drug Co 190 James L Fisher Iv D

Eodo Products nc 170 the side bullbullbull a style fo- eVlry type of fi~urcGierings bull 178

Business ManagementGolden Age Gingerale 178

MORRIS S ROSENBLUM M DHeberdings 164 LEWIS SURGICAL HocksoJ R L 180 Inquiries and rem~ttQnCGS for odvertisinq or subscription should be oddratied toSUPPLY Humphrey Drug Co 170 28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngslovm Ohio

Iso) y s 166 Published monthly at 787 Wick Avenue Youngstown Ohio James amp iVeaver 170 Annual SubscdplJon $200

Jones Pharmacy ] 88

bnes Surgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kalak bull 192

Lewis Surgical Supply 162 Name Committee Phone Addre

Lyons Physicians Supply Co 178-182 Amphogel JAMES D BROWN EditodaI 7-5126 Home Savings amp Loan Dlug

WRRIS S ROSENBLUM Dusines llnnalJer 3-aU3 Home Savinps amp Loan BldgMcmlle Helen 180 Kaomagma IOHN NOLLJR Prog-ram 6-ijlla 101 Lineoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Public Relati()n~ amp Eeonomies 4-la74 SlamlJauh nIdI MeadmiddotJohnson amp Co bull Cover EARL H YOUNG Sub-Committee on Economics f-32j1 10fiO Wil~on AvenueThe new appetizer Mercer Sani tari urn 172 F F PIERCY Co-Chairman --Economics J-418a Ilome Snvings amp Loan Bld~

Merrell Wm S Co Cover bull Bewonal D E MONTGOMERY Sub-Com on Indircnt Relief 3-6510 S(Hlthside Banl Bldg

DEAN NESBIT Co-Chairman-JndigCnt Rltgtlief 6-6703 Home Slving-s amp Loan BIdeMorris F A 188 500 Int Units Vito BJ to 1 oz Wll H EVANS Suh-Com on Puhlic RClntilJns 4-2147 Dollar Bank nIdg-Photo Reproductions Go bull 188

bull G B KRAMER Medico-Legal j-211)J South~idoUnit City Hospi111

Renners bull 170 JAMES D JJIHCH 1)(l~tgr1(11l3tc Day 7-3127 127 Lincoln Avenu(

Schmidt Paul bull 180 O I WALKER Leg-is tali ve 7-6176 Home ampavins amp LOln Hid

Scott Company bull bull 164 eHAS SCOFIELD Puhlie Health -242J 34 Siale SI Struthers O

John Wyeth amp Brother LOUIS S DEITCHMAN Publicity 3-2620 Central rowerS M A Corporation Cover IFDWARD 1 REILLY Stale Corr($pondcnt 3-0631 2471 Hobinson Road

Strouss-Hirshbergs 180 Philadelphia Pa Campbell O

Thompson C L bull 186 ELMER H NAGEL MQmhQrship and Allendance 3-a61S 1301 Market StrQQtITreudley H H amp Co

Nhlles Drug Siores

Wye~h John amp Bro

Youngstown Printing Co

188

168

162

192 Phone 25168

524 W Ravenwood

Rep by C H BUECHNER H E PATRICK

1 G COE

W 1 SKIPP

ADOLPH MARINELLI

WM K ALLSOP

Sodal

Co-Chairmun So~ial

Lay Education

Housing and Library

HO~J)ita1 nelations

4-2fGl

4-2420

middot1-20

3-3

6-6118

138 IIincoln Avenue

llome Smting-s amp Loan Bldg

243 Lincoln Avenue

Central Tower

Jiome Savings amp Loun Bldg-

Zemmer Co 192

il1a 1938

-----

165 164 BULLETIN

THE MAHONING COUNTY MEDICAL SOCIETY

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You Nil I find C large selection of both short and

(lng sleeve Sport Shirts -- at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps --- Light Weight Hats

The Scott Company 32 torth Phelps Street

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family~and

save yourself sleepless nights

FLORENCE 1 HEBERDING Phone 2-2344

ilia

bull

lQlES AC From reading an article entitled Are Ye Vlice re-printed

ebewherc in this Ihdletin I get my cue for this month

Indeed it is easy to be pessimistic Things arc in such a mudd It iVIedieine i no exception There are problems badly needing

to be solved Organized medicine from the A NI A down had r better get a move on A tart is made in the proposed national county by county survey Thi must be done promptly and must be done right j

But it wont do Gentlemen of the A VI A to say to localities after you get this in formation as you have in essence said before

IIVe offer no suggestions no specifIC leadership you in the counties

ma~middotmiddot do nothing or if you choose to do something e hand you hereshywith the ten principle within which you must operate After you obtain this information vou would do welt to work out various

II plans this one uitableto this group of counties others suitable to other group of coullties Then youd do well Gentlemen if youd et up a field force for operating tllee plans as you did in connection with grading of the medical chools and a you and the A C S are doing in keeping hospitab up to standard

Pessimism is eas~ but optimism is well justified with us othing could be more inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to ee such fIne work as our Committees are doing

Ye believe as a principle that any action by any group if it importan tly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the dut of the Society to deal with it That principle was recognized by the hospitals in formulating their prepayment plans Real progress is a-making

Then Postgraduate Day Yords of ordinary praise arc not enough to give to our Chairmen and their Committees who worked out and dcliered to us one of the most distinguished evcnts of all our Societys splendid history Elsewhere you will find the Committees listeJ in full-they deserve your gratitude To Drs Koli Allsop Birch Klatman Louis Deitchman and Brown as Chairmen of Committees all honor and appreciation But we recognize equally gratefully the line work of their valiant men

Last but not least Drs Lahey H01Tax Kiefer and Bartclsshysaniflcing their comfort and energies for us and for those whom we serve-hat words will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B ~ORRIS M D

~-- -- shy

1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

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THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

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111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

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Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

THE MAHONING COUNTY MEDICAL SOCIETY 161

MEDICAL CALENDAR

May 17-Dr Paul White Cardiologist Massachusetts General Hospital

June 21-Interne Competition with Case Presentations

MAY RADIO TALKS

May 6-Saving Our Mothers _ Dr J P Harvey

May 13-White Collar Hazards _ Dr P H Kennedy

May 20-Famous Doctors of the Past _ Dr L S Deitchman

May 27-Infections of the Hands Dr J L Fisher

Vol VIII-No 5 CONTENTS May 1938

PRESIDENTS PAGE 165 EDITORIAL 167

1 c()nclitio~lS relateclto toxic dJgt(~rpLion

from the Intestinal canal the consltshySORICIN TABLETS S grain REGIONAL ILEITIS 169-174

ent usc of OJicin for a reasonable pcriod Soricin Capuk 5 anJ 10

of time lJrings relief in a high percentage A T THE HEALTH DESK 175~rain

Soricin and Bile Sll(~ T abktgtof cases

Sorkin Bile Sales and Panmiddot DISPLAY PAGES 176-177The uetoxieating antiputrefaetive and crcalin T ablt~

antiprotcolytic properties of Soriein (soshy OTHERS SAY 179 dium ricinoleatc) are important facLO~s B COLI VACCINE Detoxified

PUBLIC HEALTH COMMITTEE 184with Sorici nin copinlt with such conditions as chromc

For obsti nate cascs the usc of colontoxic venino chronic hCldache assOCIated NEWS

M hacillus va(dn~ t11lrapy ill conshy 184with colon distress and consLlpatlOn i unction with Soricin is (rcqtHntl~

prdcrnJ B Culi Vaccine-[)ctoxIshy DR PATRICK REPRESENTS US 185urticaria mucous colitis allergic and fied with SorKin is avulabl (or

chronic functional diarrhea aneioncurOLlC YOUNGSTOWN COLLEGE LIBRARY 185thi pltrlo~l

edema 1I1d conditions related to bactenal

hypcrscnsitivity of the intcstinal tract SECRETARYS REPORT 187-189 ritt- for Ijt~ralurl and a ~ampJ( DR EVANS COMMITTEE ETC 189 Represented by JERRY TRAUB

BOYS GO TO TOWN 189

ANOTHER FEATHER IN OUR HAT 190

SERIES OF SUMMER GOLF MEETS 190ESTABLISHED 1828 bull CINCINNATI U S A

MEDICAL CRIER 191

MISCELLANEOUS ITEMS

L-----_-~ 1938

~ conditions ITbted to toxic ltlbsorption I from the intestinal canal the consistshyent usc of Soricin for a reasonable pcriod of time brings lClicf in a high perccntage of cases

The detoxicating anti putrefactive and alHipmteolytic propcrties of Soricin (soshydium ricinoleatc) arc important factors in coping with such conditions as chronic toxic vcrtigo chlonic headache associated with colon distress and constipation urticaria mucous colitis allergic and chronic functional diarrheaangioncurotic cdcma and conditions related to bacterial hypersensitivity of the intestinal tract

frite for literature and a

Represented bv JERRY

SORICIN TABLETS S grain Soricin Cap$us 5 ~lI1J 10

gr~in

Soricin anJ Bile Sah~ T 3blcl

Soricin Bile- Salts and P3n~

crcatin Tablets

B COLI VACCINE Detoxified with Soricin

For obstinltc ca-cs the U$~ of colon bacillus VCCIOC therapy in conmiddot

j unctiun with Sorkin is frcQllcntl~

pnfcrrcd B Coli Vaccith-Dctojmiddot fi~J wit h Sorkin is a ailabl (ltIf

thi- pllrpo~c

sample

TRAUB

7ILL IL~Il ~~-ILtt) COIllJ)(Ulj ESTABLISHED IB2B bull CINCINNATI U S A

THE MflHONING COUNTY MEDlCflL SOCIETY

MEDICAL CALENDAR May 17-Dr Paul White Cardiologist Massachusetts General Hospital

June 21-Inteme Competition with Case Presentations

MAY RADIO TALKS

May 6-Saving Our Mothers Dr J P Harvey

May 13-White Collar Hazards shy

May 20-Famous Doctors of the Past shy

May 27-Infections of the Hands shy

bull

Vol VIII-No5 CONTENTS

PRESIDENTS PAGE

EDITORIAL

REGIONAL ILEITIS

AT THE HEALTH DESK

DISPLAY PAGES

OTHERS SAY

PUBLIC HEALTH COMMITTEE

NEWS

DR PATRICK REPRESENTS US

YOUNGSTOWN COLLEGE LIBRARY

SECRETARYS REPORT

DR EVANS COMMITTEE ETC

BOYS GO TO TOWN

ANOTHER FEAiHER IN OUR HAT

SERIES OF SUMMER GOLF MEETS

MEDICAL CRIER

Dr P H Kennedy

Dr L S Deitchman

Dr ] L Fisher

May 1938

165

167

169-174

175

176-177

179

184

184

185

185

187-189

189

189

190

190

191 MISCELLANEOUS ITEMS ~

1938

161

16J

1 2 BULLETIN

ADVERTISERS LIST THE MAHONING COUNTY MEDICAL SOCIETY BULLETIN

Patronize them-they make the

Bulletin possible CLAUD B ORRIS M D President

t vl lvI SK rPP M D President-El~1

ROBERT B POLING M D Secretary

ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEE Blairs Dry Cleonilg bull 192

JAIvlES D BROWN M D Editor Bu hmo s 188

CelTtral q re Grage 186 Associate Editors Cross Drug Siores 1n Louis S Deitchrnan 111 D Vgtf S1cmley Curtis IvI D M ir Neidus hl1 D Defiance Prcducls Co 186 Myron H Sieinberq M D Chas A Gustafson M D R E Odorn Ivi D

A trim suppIn for after operation or Denver ChemicCll Mfq Co 188 Oscar A AXElson M D H E Hathhom M D Saul T markin M Dgencra wear single adjustment a

Do sons 178 straps bull firm light eight coutil or Brac~- iIj1 Buwman NT D Samuel J Klatrnan M D W X Taylor Iv D batiste prevents bunglesomrnw bullbull

Duncan Drue Co 190 conv(nicnt hook and eye closing at James L Fisher M D the side bullbull a style (or Cifry typeIpdo ProducI~ nc middotmiddot 170 of fieurc

GierlnglI 178 Business Management GalLIen A 8 Ging role 178 lvORRIS S ROSE SLUM M D Hllberdlngs bull 64 LEWIS SURGICAL 1

Inqulriea a-nd reJDj lances for advertising or subscription should be addressed to Hoc sloo R L 180 SUPPLY

28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngstovln Ohio Humphrey Drug Cobull middotmiddot 170

Isalys 166 Published monthly at 787 Wick Avenue Youngstown Ohio

Annual Subscription $200Jomes ( Weaver middot 170

Jones Ph nn cy 188

Jones S rgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kal k 192

Name Committee Phonl AddressLewis Surgical Suppl y 162 Amphogel JAMES D BROWN Editolial 7-tI12fgt Horne Savint amp Loan BldgLyons Physicians upply Co 178middot182

~IORRIS S ROSENBLUM Dusincs MantJlpr 3-G1l3 Hom~ Savings amp LDan HIdg-KaomagmaManlle Helen 180 IOHN NOLL m Proa-rnm u-fi1l9 lOt Lintoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Publie Relations amp Economics 4-1074 IStambaugh nIdI

EARL H YOUNG Sub-CornmiUtmiddotC on Economies 7-i24j 10)(1 Wilon AICnueend-lol nson amp Co Cover The new appetizer F F PIERCY Co-Chairman-- Economies 3-4189 Homl~ SHIin~s amp Loan nlchr172Mercer Scrnit rium ID E MONTGOMERY SubmiddotCom on IndiJent Relief 3-6510 Southside Bank Bldgbull BewonalCoverMerrell Wm S Co DEAN NESBIT Co-Chairman- ]JI(li)~(mt]flief 6-6703 HonHgt Sain~s amp Loan Bhl~

Morris p A 188 500 Int Units Vit Bl to 1 oz WM H EVANS SubmiddotCom on Public Relalions 4-2lol7 Dollar Bank Bldg

Photo Repredu tiens Ce 188 G 13 KRAMEil Mtd ico- Lpg-al 4-2161 Souihsidt Unit City Hospital

170 I A~lES B mRCH Post-lTaduate Day 7-3127 127 Lincoln AnnueRenners 180 Obull1 WALKER ILegislative 7-G17G Home Savin~s amp Loan Bldg

Schmidl Paul bull bull bull eHAS SCOIltIELD Public Health -2421 31 State SI Struther O

Scett CemptJny 164 1John Wyeth amp Brother LOUIS S DlltlTCIHIAN Publieity 1-2620 Cen l ral Tower CoverS A Corporation EDWARD J R~lLLY I State CorrcJpondent 3-0631 247 1( Rohin-on Hoad

Philadelphia Pa Campbell OStrouss-Hirshberqs bull 180

ELMER H NAGEL yenlemberghip and AUcndatHp J-18 13111 Market Stred Thorppson C L bull 186

II E PATRICK Social 4-2661 I 138 Lincoln AWnue 188 Rep by C H BUECHNER IfreudJey H H amp Co L G COE Co-Chuinnan Sucial 4-24~0 Honle Saving- amp Loan Bldg

Wh e s Drug Stores middot 168 524 W Ravenwood W 11 SKIPP Lay Edulation 1-2906 j2ta Lincoln AvenueI162 ADOLPH 1IAIUNlltLLl Housing and Libraqr 3-9tifi3 Central TowerWyeh lohn amp Bro Phone 25168 ]92 K 1 Relations 6-6113 IHome Sain~s amp Loan [lldg-W~1 ALLSOP HO~I)it

Yo ngstewn Printing Co 192Zemmer Co

lHar 1938

103BULLETIN162

ADVERTISERS UST THE MAHONING COUNTY MEDICAL SOCIETY 1

1 BULLETINPatronize them-they make the I

Bulletin possible CLAUDE B NORRIS M D President ROBERT B POLING M D Secrelar

11M lvi SKIPP M D President-Elect ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEEBkrirs Dry Cleonbg 192 JAMES D BROWN M D Editor Buchmans 188

Cen tral Square Garage 186 Associate Editors

Cross Drug Slores In LOClis S Deilthman Nl D W Stanley Curtis M D M W Neidu9 M D

D~fance MJlk Products Co 186 r-yron H Steinberq Ivpound D Chas A Gustafson M D R E Odom M D

D(nver Chemical Mfg Co 188 A rimsLlpport for after opet8Ition or general lcar bullbullbull single adjustment Oscar A Axelson M D H E Hathhorn M D Saul Tnmarkin M D

Dobsons 178 slrpps bull firm light WCIAhJ coutil or tlrack Ivi Bowman M D Samuel J Klalman M D W X Taylor M Dtistc prevents bunJ~csomtna convenient hook and tylt doilil~ at

Duncan Drug Co 190 James L Fisher Iv D

Eodo Products nc 170 the side bullbullbull a style fo- eVlry type of fi~urcGierings bull 178

Business ManagementGolden Age Gingerale 178

MORRIS S ROSENBLUM M DHeberdings 164 LEWIS SURGICAL HocksoJ R L 180 Inquiries and rem~ttQnCGS for odvertisinq or subscription should be oddratied toSUPPLY Humphrey Drug Co 170 28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngslovm Ohio

Iso) y s 166 Published monthly at 787 Wick Avenue Youngstown Ohio James amp iVeaver 170 Annual SubscdplJon $200

Jones Pharmacy ] 88

bnes Surgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kalak bull 192

Lewis Surgical Supply 162 Name Committee Phone Addre

Lyons Physicians Supply Co 178-182 Amphogel JAMES D BROWN EditodaI 7-5126 Home Savings amp Loan Dlug

WRRIS S ROSENBLUM Dusines llnnalJer 3-aU3 Home Savinps amp Loan BldgMcmlle Helen 180 Kaomagma IOHN NOLLJR Prog-ram 6-ijlla 101 Lineoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Public Relati()n~ amp Eeonomies 4-la74 SlamlJauh nIdI MeadmiddotJohnson amp Co bull Cover EARL H YOUNG Sub-Committee on Economics f-32j1 10fiO Wil~on AvenueThe new appetizer Mercer Sani tari urn 172 F F PIERCY Co-Chairman --Economics J-418a Ilome Snvings amp Loan Bld~

Merrell Wm S Co Cover bull Bewonal D E MONTGOMERY Sub-Com on Indircnt Relief 3-6510 S(Hlthside Banl Bldg

DEAN NESBIT Co-Chairman-JndigCnt Rltgtlief 6-6703 Home Slving-s amp Loan BIdeMorris F A 188 500 Int Units Vito BJ to 1 oz Wll H EVANS Suh-Com on Puhlic RClntilJns 4-2147 Dollar Bank nIdg-Photo Reproductions Go bull 188

bull G B KRAMER Medico-Legal j-211)J South~idoUnit City Hospi111

Renners bull 170 JAMES D JJIHCH 1)(l~tgr1(11l3tc Day 7-3127 127 Lincoln Avenu(

Schmidt Paul bull 180 O I WALKER Leg-is tali ve 7-6176 Home ampavins amp LOln Hid

Scott Company bull bull 164 eHAS SCOFIELD Puhlie Health -242J 34 Siale SI Struthers O

John Wyeth amp Brother LOUIS S DEITCHMAN Publicity 3-2620 Central rowerS M A Corporation Cover IFDWARD 1 REILLY Stale Corr($pondcnt 3-0631 2471 Hobinson Road

Strouss-Hirshbergs 180 Philadelphia Pa Campbell O

Thompson C L bull 186 ELMER H NAGEL MQmhQrship and Allendance 3-a61S 1301 Market StrQQtITreudley H H amp Co

Nhlles Drug Siores

Wye~h John amp Bro

Youngstown Printing Co

188

168

162

192 Phone 25168

524 W Ravenwood

Rep by C H BUECHNER H E PATRICK

1 G COE

W 1 SKIPP

ADOLPH MARINELLI

WM K ALLSOP

Sodal

Co-Chairmun So~ial

Lay Education

Housing and Library

HO~J)ita1 nelations

4-2fGl

4-2420

middot1-20

3-3

6-6118

138 IIincoln Avenue

llome Smting-s amp Loan Bldg

243 Lincoln Avenue

Central Tower

Jiome Savings amp Loun Bldg-

Zemmer Co 192

il1a 1938

-----

165 164 BULLETIN

THE MAHONING COUNTY MEDICAL SOCIETY

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You Nil I find C large selection of both short and

(lng sleeve Sport Shirts -- at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps --- Light Weight Hats

The Scott Company 32 torth Phelps Street

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family~and

save yourself sleepless nights

FLORENCE 1 HEBERDING Phone 2-2344

ilia

bull

lQlES AC From reading an article entitled Are Ye Vlice re-printed

ebewherc in this Ihdletin I get my cue for this month

Indeed it is easy to be pessimistic Things arc in such a mudd It iVIedieine i no exception There are problems badly needing

to be solved Organized medicine from the A NI A down had r better get a move on A tart is made in the proposed national county by county survey Thi must be done promptly and must be done right j

But it wont do Gentlemen of the A VI A to say to localities after you get this in formation as you have in essence said before

IIVe offer no suggestions no specifIC leadership you in the counties

ma~middotmiddot do nothing or if you choose to do something e hand you hereshywith the ten principle within which you must operate After you obtain this information vou would do welt to work out various

II plans this one uitableto this group of counties others suitable to other group of coullties Then youd do well Gentlemen if youd et up a field force for operating tllee plans as you did in connection with grading of the medical chools and a you and the A C S are doing in keeping hospitab up to standard

Pessimism is eas~ but optimism is well justified with us othing could be more inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to ee such fIne work as our Committees are doing

Ye believe as a principle that any action by any group if it importan tly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the dut of the Society to deal with it That principle was recognized by the hospitals in formulating their prepayment plans Real progress is a-making

Then Postgraduate Day Yords of ordinary praise arc not enough to give to our Chairmen and their Committees who worked out and dcliered to us one of the most distinguished evcnts of all our Societys splendid history Elsewhere you will find the Committees listeJ in full-they deserve your gratitude To Drs Koli Allsop Birch Klatman Louis Deitchman and Brown as Chairmen of Committees all honor and appreciation But we recognize equally gratefully the line work of their valiant men

Last but not least Drs Lahey H01Tax Kiefer and Bartclsshysaniflcing their comfort and energies for us and for those whom we serve-hat words will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B ~ORRIS M D

~-- -- shy

1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

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THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

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111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

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Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

~ conditions ITbted to toxic ltlbsorption I from the intestinal canal the consistshyent usc of Soricin for a reasonable pcriod of time brings lClicf in a high perccntage of cases

The detoxicating anti putrefactive and alHipmteolytic propcrties of Soricin (soshydium ricinoleatc) arc important factors in coping with such conditions as chronic toxic vcrtigo chlonic headache associated with colon distress and constipation urticaria mucous colitis allergic and chronic functional diarrheaangioncurotic cdcma and conditions related to bacterial hypersensitivity of the intestinal tract

frite for literature and a

Represented bv JERRY

SORICIN TABLETS S grain Soricin Cap$us 5 ~lI1J 10

gr~in

Soricin anJ Bile Sah~ T 3blcl

Soricin Bile- Salts and P3n~

crcatin Tablets

B COLI VACCINE Detoxified with Soricin

For obstinltc ca-cs the U$~ of colon bacillus VCCIOC therapy in conmiddot

j unctiun with Sorkin is frcQllcntl~

pnfcrrcd B Coli Vaccith-Dctojmiddot fi~J wit h Sorkin is a ailabl (ltIf

thi- pllrpo~c

sample

TRAUB

7ILL IL~Il ~~-ILtt) COIllJ)(Ulj ESTABLISHED IB2B bull CINCINNATI U S A

THE MflHONING COUNTY MEDlCflL SOCIETY

MEDICAL CALENDAR May 17-Dr Paul White Cardiologist Massachusetts General Hospital

June 21-Inteme Competition with Case Presentations

MAY RADIO TALKS

May 6-Saving Our Mothers Dr J P Harvey

May 13-White Collar Hazards shy

May 20-Famous Doctors of the Past shy

May 27-Infections of the Hands shy

bull

Vol VIII-No5 CONTENTS

PRESIDENTS PAGE

EDITORIAL

REGIONAL ILEITIS

AT THE HEALTH DESK

DISPLAY PAGES

OTHERS SAY

PUBLIC HEALTH COMMITTEE

NEWS

DR PATRICK REPRESENTS US

YOUNGSTOWN COLLEGE LIBRARY

SECRETARYS REPORT

DR EVANS COMMITTEE ETC

BOYS GO TO TOWN

ANOTHER FEAiHER IN OUR HAT

SERIES OF SUMMER GOLF MEETS

MEDICAL CRIER

Dr P H Kennedy

Dr L S Deitchman

Dr ] L Fisher

May 1938

165

167

169-174

175

176-177

179

184

184

185

185

187-189

189

189

190

190

191 MISCELLANEOUS ITEMS ~

1938

161

16J

1 2 BULLETIN

ADVERTISERS LIST THE MAHONING COUNTY MEDICAL SOCIETY BULLETIN

Patronize them-they make the

Bulletin possible CLAUD B ORRIS M D President

t vl lvI SK rPP M D President-El~1

ROBERT B POLING M D Secretary

ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEE Blairs Dry Cleonilg bull 192

JAIvlES D BROWN M D Editor Bu hmo s 188

CelTtral q re Grage 186 Associate Editors Cross Drug Siores 1n Louis S Deitchrnan 111 D Vgtf S1cmley Curtis IvI D M ir Neidus hl1 D Defiance Prcducls Co 186 Myron H Sieinberq M D Chas A Gustafson M D R E Odorn Ivi D

A trim suppIn for after operation or Denver ChemicCll Mfq Co 188 Oscar A AXElson M D H E Hathhom M D Saul T markin M Dgencra wear single adjustment a

Do sons 178 straps bull firm light eight coutil or Brac~- iIj1 Buwman NT D Samuel J Klatrnan M D W X Taylor Iv D batiste prevents bunglesomrnw bullbull

Duncan Drue Co 190 conv(nicnt hook and eye closing at James L Fisher M D the side bullbull a style (or Cifry typeIpdo ProducI~ nc middotmiddot 170 of fieurc

GierlnglI 178 Business Management GalLIen A 8 Ging role 178 lvORRIS S ROSE SLUM M D Hllberdlngs bull 64 LEWIS SURGICAL 1

Inqulriea a-nd reJDj lances for advertising or subscription should be addressed to Hoc sloo R L 180 SUPPLY

28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngstovln Ohio Humphrey Drug Cobull middotmiddot 170

Isalys 166 Published monthly at 787 Wick Avenue Youngstown Ohio

Annual Subscription $200Jomes ( Weaver middot 170

Jones Ph nn cy 188

Jones S rgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kal k 192

Name Committee Phonl AddressLewis Surgical Suppl y 162 Amphogel JAMES D BROWN Editolial 7-tI12fgt Horne Savint amp Loan BldgLyons Physicians upply Co 178middot182

~IORRIS S ROSENBLUM Dusincs MantJlpr 3-G1l3 Hom~ Savings amp LDan HIdg-KaomagmaManlle Helen 180 IOHN NOLL m Proa-rnm u-fi1l9 lOt Lintoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Publie Relations amp Economics 4-1074 IStambaugh nIdI

EARL H YOUNG Sub-CornmiUtmiddotC on Economies 7-i24j 10)(1 Wilon AICnueend-lol nson amp Co Cover The new appetizer F F PIERCY Co-Chairman-- Economies 3-4189 Homl~ SHIin~s amp Loan nlchr172Mercer Scrnit rium ID E MONTGOMERY SubmiddotCom on IndiJent Relief 3-6510 Southside Bank Bldgbull BewonalCoverMerrell Wm S Co DEAN NESBIT Co-Chairman- ]JI(li)~(mt]flief 6-6703 HonHgt Sain~s amp Loan Bhl~

Morris p A 188 500 Int Units Vit Bl to 1 oz WM H EVANS SubmiddotCom on Public Relalions 4-2lol7 Dollar Bank Bldg

Photo Repredu tiens Ce 188 G 13 KRAMEil Mtd ico- Lpg-al 4-2161 Souihsidt Unit City Hospital

170 I A~lES B mRCH Post-lTaduate Day 7-3127 127 Lincoln AnnueRenners 180 Obull1 WALKER ILegislative 7-G17G Home Savin~s amp Loan Bldg

Schmidl Paul bull bull bull eHAS SCOIltIELD Public Health -2421 31 State SI Struther O

Scett CemptJny 164 1John Wyeth amp Brother LOUIS S DlltlTCIHIAN Publieity 1-2620 Cen l ral Tower CoverS A Corporation EDWARD J R~lLLY I State CorrcJpondent 3-0631 247 1( Rohin-on Hoad

Philadelphia Pa Campbell OStrouss-Hirshberqs bull 180

ELMER H NAGEL yenlemberghip and AUcndatHp J-18 13111 Market Stred Thorppson C L bull 186

II E PATRICK Social 4-2661 I 138 Lincoln AWnue 188 Rep by C H BUECHNER IfreudJey H H amp Co L G COE Co-Chuinnan Sucial 4-24~0 Honle Saving- amp Loan Bldg

Wh e s Drug Stores middot 168 524 W Ravenwood W 11 SKIPP Lay Edulation 1-2906 j2ta Lincoln AvenueI162 ADOLPH 1IAIUNlltLLl Housing and Libraqr 3-9tifi3 Central TowerWyeh lohn amp Bro Phone 25168 ]92 K 1 Relations 6-6113 IHome Sain~s amp Loan [lldg-W~1 ALLSOP HO~I)it

Yo ngstewn Printing Co 192Zemmer Co

lHar 1938

103BULLETIN162

ADVERTISERS UST THE MAHONING COUNTY MEDICAL SOCIETY 1

1 BULLETINPatronize them-they make the I

Bulletin possible CLAUDE B NORRIS M D President ROBERT B POLING M D Secrelar

11M lvi SKIPP M D President-Elect ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEEBkrirs Dry Cleonbg 192 JAMES D BROWN M D Editor Buchmans 188

Cen tral Square Garage 186 Associate Editors

Cross Drug Slores In LOClis S Deilthman Nl D W Stanley Curtis M D M W Neidu9 M D

D~fance MJlk Products Co 186 r-yron H Steinberq Ivpound D Chas A Gustafson M D R E Odom M D

D(nver Chemical Mfg Co 188 A rimsLlpport for after opet8Ition or general lcar bullbullbull single adjustment Oscar A Axelson M D H E Hathhorn M D Saul Tnmarkin M D

Dobsons 178 slrpps bull firm light WCIAhJ coutil or tlrack Ivi Bowman M D Samuel J Klalman M D W X Taylor M Dtistc prevents bunJ~csomtna convenient hook and tylt doilil~ at

Duncan Drug Co 190 James L Fisher Iv D

Eodo Products nc 170 the side bullbullbull a style fo- eVlry type of fi~urcGierings bull 178

Business ManagementGolden Age Gingerale 178

MORRIS S ROSENBLUM M DHeberdings 164 LEWIS SURGICAL HocksoJ R L 180 Inquiries and rem~ttQnCGS for odvertisinq or subscription should be oddratied toSUPPLY Humphrey Drug Co 170 28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngslovm Ohio

Iso) y s 166 Published monthly at 787 Wick Avenue Youngstown Ohio James amp iVeaver 170 Annual SubscdplJon $200

Jones Pharmacy ] 88

bnes Surgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kalak bull 192

Lewis Surgical Supply 162 Name Committee Phone Addre

Lyons Physicians Supply Co 178-182 Amphogel JAMES D BROWN EditodaI 7-5126 Home Savings amp Loan Dlug

WRRIS S ROSENBLUM Dusines llnnalJer 3-aU3 Home Savinps amp Loan BldgMcmlle Helen 180 Kaomagma IOHN NOLLJR Prog-ram 6-ijlla 101 Lineoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Public Relati()n~ amp Eeonomies 4-la74 SlamlJauh nIdI MeadmiddotJohnson amp Co bull Cover EARL H YOUNG Sub-Committee on Economics f-32j1 10fiO Wil~on AvenueThe new appetizer Mercer Sani tari urn 172 F F PIERCY Co-Chairman --Economics J-418a Ilome Snvings amp Loan Bld~

Merrell Wm S Co Cover bull Bewonal D E MONTGOMERY Sub-Com on Indircnt Relief 3-6510 S(Hlthside Banl Bldg

DEAN NESBIT Co-Chairman-JndigCnt Rltgtlief 6-6703 Home Slving-s amp Loan BIdeMorris F A 188 500 Int Units Vito BJ to 1 oz Wll H EVANS Suh-Com on Puhlic RClntilJns 4-2147 Dollar Bank nIdg-Photo Reproductions Go bull 188

bull G B KRAMER Medico-Legal j-211)J South~idoUnit City Hospi111

Renners bull 170 JAMES D JJIHCH 1)(l~tgr1(11l3tc Day 7-3127 127 Lincoln Avenu(

Schmidt Paul bull 180 O I WALKER Leg-is tali ve 7-6176 Home ampavins amp LOln Hid

Scott Company bull bull 164 eHAS SCOFIELD Puhlie Health -242J 34 Siale SI Struthers O

John Wyeth amp Brother LOUIS S DEITCHMAN Publicity 3-2620 Central rowerS M A Corporation Cover IFDWARD 1 REILLY Stale Corr($pondcnt 3-0631 2471 Hobinson Road

Strouss-Hirshbergs 180 Philadelphia Pa Campbell O

Thompson C L bull 186 ELMER H NAGEL MQmhQrship and Allendance 3-a61S 1301 Market StrQQtITreudley H H amp Co

Nhlles Drug Siores

Wye~h John amp Bro

Youngstown Printing Co

188

168

162

192 Phone 25168

524 W Ravenwood

Rep by C H BUECHNER H E PATRICK

1 G COE

W 1 SKIPP

ADOLPH MARINELLI

WM K ALLSOP

Sodal

Co-Chairmun So~ial

Lay Education

Housing and Library

HO~J)ita1 nelations

4-2fGl

4-2420

middot1-20

3-3

6-6118

138 IIincoln Avenue

llome Smting-s amp Loan Bldg

243 Lincoln Avenue

Central Tower

Jiome Savings amp Loun Bldg-

Zemmer Co 192

il1a 1938

-----

165 164 BULLETIN

THE MAHONING COUNTY MEDICAL SOCIETY

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You Nil I find C large selection of both short and

(lng sleeve Sport Shirts -- at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps --- Light Weight Hats

The Scott Company 32 torth Phelps Street

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family~and

save yourself sleepless nights

FLORENCE 1 HEBERDING Phone 2-2344

ilia

bull

lQlES AC From reading an article entitled Are Ye Vlice re-printed

ebewherc in this Ihdletin I get my cue for this month

Indeed it is easy to be pessimistic Things arc in such a mudd It iVIedieine i no exception There are problems badly needing

to be solved Organized medicine from the A NI A down had r better get a move on A tart is made in the proposed national county by county survey Thi must be done promptly and must be done right j

But it wont do Gentlemen of the A VI A to say to localities after you get this in formation as you have in essence said before

IIVe offer no suggestions no specifIC leadership you in the counties

ma~middotmiddot do nothing or if you choose to do something e hand you hereshywith the ten principle within which you must operate After you obtain this information vou would do welt to work out various

II plans this one uitableto this group of counties others suitable to other group of coullties Then youd do well Gentlemen if youd et up a field force for operating tllee plans as you did in connection with grading of the medical chools and a you and the A C S are doing in keeping hospitab up to standard

Pessimism is eas~ but optimism is well justified with us othing could be more inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to ee such fIne work as our Committees are doing

Ye believe as a principle that any action by any group if it importan tly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the dut of the Society to deal with it That principle was recognized by the hospitals in formulating their prepayment plans Real progress is a-making

Then Postgraduate Day Yords of ordinary praise arc not enough to give to our Chairmen and their Committees who worked out and dcliered to us one of the most distinguished evcnts of all our Societys splendid history Elsewhere you will find the Committees listeJ in full-they deserve your gratitude To Drs Koli Allsop Birch Klatman Louis Deitchman and Brown as Chairmen of Committees all honor and appreciation But we recognize equally gratefully the line work of their valiant men

Last but not least Drs Lahey H01Tax Kiefer and Bartclsshysaniflcing their comfort and energies for us and for those whom we serve-hat words will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B ~ORRIS M D

~-- -- shy

1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

Whats in a Name A nome con mecm as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous with merit then it is a thing without price

For over 45 years vie have been striving to make our nome stand for dependobility so that we might warrant the complete confidence of our potrons

We invite yo r confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

Postgraduate Assembly

The Jones Surgical Supply Co 800 Huron Road Cleveland Ohio

liay

bull

THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

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111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

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Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

16J

1 2 BULLETIN

ADVERTISERS LIST THE MAHONING COUNTY MEDICAL SOCIETY BULLETIN

Patronize them-they make the

Bulletin possible CLAUD B ORRIS M D President

t vl lvI SK rPP M D President-El~1

ROBERT B POLING M D Secretary

ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEE Blairs Dry Cleonilg bull 192

JAIvlES D BROWN M D Editor Bu hmo s 188

CelTtral q re Grage 186 Associate Editors Cross Drug Siores 1n Louis S Deitchrnan 111 D Vgtf S1cmley Curtis IvI D M ir Neidus hl1 D Defiance Prcducls Co 186 Myron H Sieinberq M D Chas A Gustafson M D R E Odorn Ivi D

A trim suppIn for after operation or Denver ChemicCll Mfq Co 188 Oscar A AXElson M D H E Hathhom M D Saul T markin M Dgencra wear single adjustment a

Do sons 178 straps bull firm light eight coutil or Brac~- iIj1 Buwman NT D Samuel J Klatrnan M D W X Taylor Iv D batiste prevents bunglesomrnw bullbull

Duncan Drue Co 190 conv(nicnt hook and eye closing at James L Fisher M D the side bullbull a style (or Cifry typeIpdo ProducI~ nc middotmiddot 170 of fieurc

GierlnglI 178 Business Management GalLIen A 8 Ging role 178 lvORRIS S ROSE SLUM M D Hllberdlngs bull 64 LEWIS SURGICAL 1

Inqulriea a-nd reJDj lances for advertising or subscription should be addressed to Hoc sloo R L 180 SUPPLY

28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngstovln Ohio Humphrey Drug Cobull middotmiddot 170

Isalys 166 Published monthly at 787 Wick Avenue Youngstown Ohio

Annual Subscription $200Jomes ( Weaver middot 170

Jones Ph nn cy 188

Jones S rgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kal k 192

Name Committee Phonl AddressLewis Surgical Suppl y 162 Amphogel JAMES D BROWN Editolial 7-tI12fgt Horne Savint amp Loan BldgLyons Physicians upply Co 178middot182

~IORRIS S ROSENBLUM Dusincs MantJlpr 3-G1l3 Hom~ Savings amp LDan HIdg-KaomagmaManlle Helen 180 IOHN NOLL m Proa-rnm u-fi1l9 lOt Lintoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Publie Relations amp Economics 4-1074 IStambaugh nIdI

EARL H YOUNG Sub-CornmiUtmiddotC on Economies 7-i24j 10)(1 Wilon AICnueend-lol nson amp Co Cover The new appetizer F F PIERCY Co-Chairman-- Economies 3-4189 Homl~ SHIin~s amp Loan nlchr172Mercer Scrnit rium ID E MONTGOMERY SubmiddotCom on IndiJent Relief 3-6510 Southside Bank Bldgbull BewonalCoverMerrell Wm S Co DEAN NESBIT Co-Chairman- ]JI(li)~(mt]flief 6-6703 HonHgt Sain~s amp Loan Bhl~

Morris p A 188 500 Int Units Vit Bl to 1 oz WM H EVANS SubmiddotCom on Public Relalions 4-2lol7 Dollar Bank Bldg

Photo Repredu tiens Ce 188 G 13 KRAMEil Mtd ico- Lpg-al 4-2161 Souihsidt Unit City Hospital

170 I A~lES B mRCH Post-lTaduate Day 7-3127 127 Lincoln AnnueRenners 180 Obull1 WALKER ILegislative 7-G17G Home Savin~s amp Loan Bldg

Schmidl Paul bull bull bull eHAS SCOIltIELD Public Health -2421 31 State SI Struther O

Scett CemptJny 164 1John Wyeth amp Brother LOUIS S DlltlTCIHIAN Publieity 1-2620 Cen l ral Tower CoverS A Corporation EDWARD J R~lLLY I State CorrcJpondent 3-0631 247 1( Rohin-on Hoad

Philadelphia Pa Campbell OStrouss-Hirshberqs bull 180

ELMER H NAGEL yenlemberghip and AUcndatHp J-18 13111 Market Stred Thorppson C L bull 186

II E PATRICK Social 4-2661 I 138 Lincoln AWnue 188 Rep by C H BUECHNER IfreudJey H H amp Co L G COE Co-Chuinnan Sucial 4-24~0 Honle Saving- amp Loan Bldg

Wh e s Drug Stores middot 168 524 W Ravenwood W 11 SKIPP Lay Edulation 1-2906 j2ta Lincoln AvenueI162 ADOLPH 1IAIUNlltLLl Housing and Libraqr 3-9tifi3 Central TowerWyeh lohn amp Bro Phone 25168 ]92 K 1 Relations 6-6113 IHome Sain~s amp Loan [lldg-W~1 ALLSOP HO~I)it

Yo ngstewn Printing Co 192Zemmer Co

lHar 1938

103BULLETIN162

ADVERTISERS UST THE MAHONING COUNTY MEDICAL SOCIETY 1

1 BULLETINPatronize them-they make the I

Bulletin possible CLAUDE B NORRIS M D President ROBERT B POLING M D Secrelar

11M lvi SKIPP M D President-Elect ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEEBkrirs Dry Cleonbg 192 JAMES D BROWN M D Editor Buchmans 188

Cen tral Square Garage 186 Associate Editors

Cross Drug Slores In LOClis S Deilthman Nl D W Stanley Curtis M D M W Neidu9 M D

D~fance MJlk Products Co 186 r-yron H Steinberq Ivpound D Chas A Gustafson M D R E Odom M D

D(nver Chemical Mfg Co 188 A rimsLlpport for after opet8Ition or general lcar bullbullbull single adjustment Oscar A Axelson M D H E Hathhorn M D Saul Tnmarkin M D

Dobsons 178 slrpps bull firm light WCIAhJ coutil or tlrack Ivi Bowman M D Samuel J Klalman M D W X Taylor M Dtistc prevents bunJ~csomtna convenient hook and tylt doilil~ at

Duncan Drug Co 190 James L Fisher Iv D

Eodo Products nc 170 the side bullbullbull a style fo- eVlry type of fi~urcGierings bull 178

Business ManagementGolden Age Gingerale 178

MORRIS S ROSENBLUM M DHeberdings 164 LEWIS SURGICAL HocksoJ R L 180 Inquiries and rem~ttQnCGS for odvertisinq or subscription should be oddratied toSUPPLY Humphrey Drug Co 170 28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngslovm Ohio

Iso) y s 166 Published monthly at 787 Wick Avenue Youngstown Ohio James amp iVeaver 170 Annual SubscdplJon $200

Jones Pharmacy ] 88

bnes Surgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kalak bull 192

Lewis Surgical Supply 162 Name Committee Phone Addre

Lyons Physicians Supply Co 178-182 Amphogel JAMES D BROWN EditodaI 7-5126 Home Savings amp Loan Dlug

WRRIS S ROSENBLUM Dusines llnnalJer 3-aU3 Home Savinps amp Loan BldgMcmlle Helen 180 Kaomagma IOHN NOLLJR Prog-ram 6-ijlla 101 Lineoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Public Relati()n~ amp Eeonomies 4-la74 SlamlJauh nIdI MeadmiddotJohnson amp Co bull Cover EARL H YOUNG Sub-Committee on Economics f-32j1 10fiO Wil~on AvenueThe new appetizer Mercer Sani tari urn 172 F F PIERCY Co-Chairman --Economics J-418a Ilome Snvings amp Loan Bld~

Merrell Wm S Co Cover bull Bewonal D E MONTGOMERY Sub-Com on Indircnt Relief 3-6510 S(Hlthside Banl Bldg

DEAN NESBIT Co-Chairman-JndigCnt Rltgtlief 6-6703 Home Slving-s amp Loan BIdeMorris F A 188 500 Int Units Vito BJ to 1 oz Wll H EVANS Suh-Com on Puhlic RClntilJns 4-2147 Dollar Bank nIdg-Photo Reproductions Go bull 188

bull G B KRAMER Medico-Legal j-211)J South~idoUnit City Hospi111

Renners bull 170 JAMES D JJIHCH 1)(l~tgr1(11l3tc Day 7-3127 127 Lincoln Avenu(

Schmidt Paul bull 180 O I WALKER Leg-is tali ve 7-6176 Home ampavins amp LOln Hid

Scott Company bull bull 164 eHAS SCOFIELD Puhlie Health -242J 34 Siale SI Struthers O

John Wyeth amp Brother LOUIS S DEITCHMAN Publicity 3-2620 Central rowerS M A Corporation Cover IFDWARD 1 REILLY Stale Corr($pondcnt 3-0631 2471 Hobinson Road

Strouss-Hirshbergs 180 Philadelphia Pa Campbell O

Thompson C L bull 186 ELMER H NAGEL MQmhQrship and Allendance 3-a61S 1301 Market StrQQtITreudley H H amp Co

Nhlles Drug Siores

Wye~h John amp Bro

Youngstown Printing Co

188

168

162

192 Phone 25168

524 W Ravenwood

Rep by C H BUECHNER H E PATRICK

1 G COE

W 1 SKIPP

ADOLPH MARINELLI

WM K ALLSOP

Sodal

Co-Chairmun So~ial

Lay Education

Housing and Library

HO~J)ita1 nelations

4-2fGl

4-2420

middot1-20

3-3

6-6118

138 IIincoln Avenue

llome Smting-s amp Loan Bldg

243 Lincoln Avenue

Central Tower

Jiome Savings amp Loun Bldg-

Zemmer Co 192

il1a 1938

-----

165 164 BULLETIN

THE MAHONING COUNTY MEDICAL SOCIETY

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You Nil I find C large selection of both short and

(lng sleeve Sport Shirts -- at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps --- Light Weight Hats

The Scott Company 32 torth Phelps Street

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family~and

save yourself sleepless nights

FLORENCE 1 HEBERDING Phone 2-2344

ilia

bull

lQlES AC From reading an article entitled Are Ye Vlice re-printed

ebewherc in this Ihdletin I get my cue for this month

Indeed it is easy to be pessimistic Things arc in such a mudd It iVIedieine i no exception There are problems badly needing

to be solved Organized medicine from the A NI A down had r better get a move on A tart is made in the proposed national county by county survey Thi must be done promptly and must be done right j

But it wont do Gentlemen of the A VI A to say to localities after you get this in formation as you have in essence said before

IIVe offer no suggestions no specifIC leadership you in the counties

ma~middotmiddot do nothing or if you choose to do something e hand you hereshywith the ten principle within which you must operate After you obtain this information vou would do welt to work out various

II plans this one uitableto this group of counties others suitable to other group of coullties Then youd do well Gentlemen if youd et up a field force for operating tllee plans as you did in connection with grading of the medical chools and a you and the A C S are doing in keeping hospitab up to standard

Pessimism is eas~ but optimism is well justified with us othing could be more inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to ee such fIne work as our Committees are doing

Ye believe as a principle that any action by any group if it importan tly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the dut of the Society to deal with it That principle was recognized by the hospitals in formulating their prepayment plans Real progress is a-making

Then Postgraduate Day Yords of ordinary praise arc not enough to give to our Chairmen and their Committees who worked out and dcliered to us one of the most distinguished evcnts of all our Societys splendid history Elsewhere you will find the Committees listeJ in full-they deserve your gratitude To Drs Koli Allsop Birch Klatman Louis Deitchman and Brown as Chairmen of Committees all honor and appreciation But we recognize equally gratefully the line work of their valiant men

Last but not least Drs Lahey H01Tax Kiefer and Bartclsshysaniflcing their comfort and energies for us and for those whom we serve-hat words will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B ~ORRIS M D

~-- -- shy

1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

Whats in a Name A nome con mecm as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous with merit then it is a thing without price

For over 45 years vie have been striving to make our nome stand for dependobility so that we might warrant the complete confidence of our potrons

We invite yo r confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

Postgraduate Assembly

The Jones Surgical Supply Co 800 Huron Road Cleveland Ohio

liay

bull

THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

Whafs in a Name A name can mean as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous ith merit then it is a thing without price

For over 45 years we have been striving to make our name stand for dependability so that we might warrant the complete confidence of our patrons

We invite your confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

I Postgraduate Assembly I

I The Jones Surgical Supply Co

800 Huron Road Cleveland Ohio III

Iii

111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

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SOARING IN FLAVOR and

SOARING IN FAVOR

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CL PP[R 8[ER

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Endo

VITAMINB1 (THIAMINE CHLORIDE)

In Sterile Solution for Injection

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Administration

in Icc Ampoules of

300 2000 and 10000 Inn Units

I Supplied in Boxes of 6middot12middot25

and 100 Ampoules

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~I

OFFICE FURNITURE

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

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For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

103BULLETIN162

ADVERTISERS UST THE MAHONING COUNTY MEDICAL SOCIETY 1

1 BULLETINPatronize them-they make the I

Bulletin possible CLAUDE B NORRIS M D President ROBERT B POLING M D Secrelar

11M lvi SKIPP M D President-Elect ELMER H NAGEL M D Treasurer

EDITORIAL COMMITTEEBkrirs Dry Cleonbg 192 JAMES D BROWN M D Editor Buchmans 188

Cen tral Square Garage 186 Associate Editors

Cross Drug Slores In LOClis S Deilthman Nl D W Stanley Curtis M D M W Neidu9 M D

D~fance MJlk Products Co 186 r-yron H Steinberq Ivpound D Chas A Gustafson M D R E Odom M D

D(nver Chemical Mfg Co 188 A rimsLlpport for after opet8Ition or general lcar bullbullbull single adjustment Oscar A Axelson M D H E Hathhorn M D Saul Tnmarkin M D

Dobsons 178 slrpps bull firm light WCIAhJ coutil or tlrack Ivi Bowman M D Samuel J Klalman M D W X Taylor M Dtistc prevents bunJ~csomtna convenient hook and tylt doilil~ at

Duncan Drug Co 190 James L Fisher Iv D

Eodo Products nc 170 the side bullbullbull a style fo- eVlry type of fi~urcGierings bull 178

Business ManagementGolden Age Gingerale 178

MORRIS S ROSENBLUM M DHeberdings 164 LEWIS SURGICAL HocksoJ R L 180 Inquiries and rem~ttQnCGS for odvertisinq or subscription should be oddratied toSUPPLY Humphrey Drug Co 170 28 Bus Arcade Phone 37425 Dr Morris S Rosenblum Home Savings and Loan Bldg Youngslovm Ohio

Iso) y s 166 Published monthly at 787 Wick Avenue Youngstown Ohio James amp iVeaver 170 Annual SubscdplJon $200

Jones Pharmacy ] 88

bnes Surgical Supply Co 168 COMMITTEE CHAIRMEN-1938 Kalak bull 192

Lewis Surgical Supply 162 Name Committee Phone Addre

Lyons Physicians Supply Co 178-182 Amphogel JAMES D BROWN EditodaI 7-5126 Home Savings amp Loan Dlug

WRRIS S ROSENBLUM Dusines llnnalJer 3-aU3 Home Savinps amp Loan BldgMcmlle Helen 180 Kaomagma IOHN NOLLJR Prog-ram 6-ijlla 101 Lineoln Avenue

McKelveys 182 Citri Cerose WALTER K STEWART Public Relati()n~ amp Eeonomies 4-la74 SlamlJauh nIdI MeadmiddotJohnson amp Co bull Cover EARL H YOUNG Sub-Committee on Economics f-32j1 10fiO Wil~on AvenueThe new appetizer Mercer Sani tari urn 172 F F PIERCY Co-Chairman --Economics J-418a Ilome Snvings amp Loan Bld~

Merrell Wm S Co Cover bull Bewonal D E MONTGOMERY Sub-Com on Indircnt Relief 3-6510 S(Hlthside Banl Bldg

DEAN NESBIT Co-Chairman-JndigCnt Rltgtlief 6-6703 Home Slving-s amp Loan BIdeMorris F A 188 500 Int Units Vito BJ to 1 oz Wll H EVANS Suh-Com on Puhlic RClntilJns 4-2147 Dollar Bank nIdg-Photo Reproductions Go bull 188

bull G B KRAMER Medico-Legal j-211)J South~idoUnit City Hospi111

Renners bull 170 JAMES D JJIHCH 1)(l~tgr1(11l3tc Day 7-3127 127 Lincoln Avenu(

Schmidt Paul bull 180 O I WALKER Leg-is tali ve 7-6176 Home ampavins amp LOln Hid

Scott Company bull bull 164 eHAS SCOFIELD Puhlie Health -242J 34 Siale SI Struthers O

John Wyeth amp Brother LOUIS S DEITCHMAN Publicity 3-2620 Central rowerS M A Corporation Cover IFDWARD 1 REILLY Stale Corr($pondcnt 3-0631 2471 Hobinson Road

Strouss-Hirshbergs 180 Philadelphia Pa Campbell O

Thompson C L bull 186 ELMER H NAGEL MQmhQrship and Allendance 3-a61S 1301 Market StrQQtITreudley H H amp Co

Nhlles Drug Siores

Wye~h John amp Bro

Youngstown Printing Co

188

168

162

192 Phone 25168

524 W Ravenwood

Rep by C H BUECHNER H E PATRICK

1 G COE

W 1 SKIPP

ADOLPH MARINELLI

WM K ALLSOP

Sodal

Co-Chairmun So~ial

Lay Education

Housing and Library

HO~J)ita1 nelations

4-2fGl

4-2420

middot1-20

3-3

6-6118

138 IIincoln Avenue

llome Smting-s amp Loan Bldg

243 Lincoln Avenue

Central Tower

Jiome Savings amp Loun Bldg-

Zemmer Co 192

il1a 1938

-----

165 164 BULLETIN

THE MAHONING COUNTY MEDICAL SOCIETY

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You Nil I find C large selection of both short and

(lng sleeve Sport Shirts -- at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps --- Light Weight Hats

The Scott Company 32 torth Phelps Street

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family~and

save yourself sleepless nights

FLORENCE 1 HEBERDING Phone 2-2344

ilia

bull

lQlES AC From reading an article entitled Are Ye Vlice re-printed

ebewherc in this Ihdletin I get my cue for this month

Indeed it is easy to be pessimistic Things arc in such a mudd It iVIedieine i no exception There are problems badly needing

to be solved Organized medicine from the A NI A down had r better get a move on A tart is made in the proposed national county by county survey Thi must be done promptly and must be done right j

But it wont do Gentlemen of the A VI A to say to localities after you get this in formation as you have in essence said before

IIVe offer no suggestions no specifIC leadership you in the counties

ma~middotmiddot do nothing or if you choose to do something e hand you hereshywith the ten principle within which you must operate After you obtain this information vou would do welt to work out various

II plans this one uitableto this group of counties others suitable to other group of coullties Then youd do well Gentlemen if youd et up a field force for operating tllee plans as you did in connection with grading of the medical chools and a you and the A C S are doing in keeping hospitab up to standard

Pessimism is eas~ but optimism is well justified with us othing could be more inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to ee such fIne work as our Committees are doing

Ye believe as a principle that any action by any group if it importan tly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the dut of the Society to deal with it That principle was recognized by the hospitals in formulating their prepayment plans Real progress is a-making

Then Postgraduate Day Yords of ordinary praise arc not enough to give to our Chairmen and their Committees who worked out and dcliered to us one of the most distinguished evcnts of all our Societys splendid history Elsewhere you will find the Committees listeJ in full-they deserve your gratitude To Drs Koli Allsop Birch Klatman Louis Deitchman and Brown as Chairmen of Committees all honor and appreciation But we recognize equally gratefully the line work of their valiant men

Last but not least Drs Lahey H01Tax Kiefer and Bartclsshysaniflcing their comfort and energies for us and for those whom we serve-hat words will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B ~ORRIS M D

~-- -- shy

1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

Whats in a Name A nome con mecm as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous with merit then it is a thing without price

For over 45 years vie have been striving to make our nome stand for dependobility so that we might warrant the complete confidence of our potrons

We invite yo r confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

Postgraduate Assembly

The Jones Surgical Supply Co 800 Huron Road Cleveland Ohio

liay

bull

THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

Whafs in a Name A name can mean as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous ith merit then it is a thing without price

For over 45 years we have been striving to make our name stand for dependability so that we might warrant the complete confidence of our patrons

We invite your confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

I Postgraduate Assembly I

I The Jones Surgical Supply Co

800 Huron Road Cleveland Ohio III

Iii

111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

23 years of Professional CLlPPfRService

e DruO In 8ff

31 Central Square BENI FRANIU1N KELLEY PH Cbull bull

Mcm germiddotSecmiddoty Product of

The Renner CompanyWe are distributors for ABBOTTS AMPOULES available at all times Youngstown Ohio

PflTRONIZE OUR flDVERTISERS AND MENTION THE BULLETIN Endo

VITAMI (THIAMINE CHLORIDE)

In Sterile Solution for Injection ~gt

Ior INTRAVENOUS I or INTRAMUSCULAR OFFICE

Administration FlTRNITURE

in Ie Ampoules of Exclusively Represented

300 2000 and 10000 Inn Units by

Supplied in Boxes of 6middot12middot25 and lOa Ampoules Ja es amp Weaver

ENDO PRODUCTS Inc Office Outfilters 395 Fourth Ave New York N Y

4middot4427 W Wood

lVay

oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

23 yems of Professionol Service

lIulnphrey Drug Co Inc

31 Central Square BENJ FRANKLIN KELLEY PH C

ManagermiddotSacmiddot y

We are distributors for ABBOTTS AMPOULES available at all times

SOARING IN FLAVOR and

SOARING IN FAVOR

bull

CL PP[R 8[ER

bull Product of

The Renner Company Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Endo

VITAMINB1 (THIAMINE CHLORIDE)

In Sterile Solution for Injection

For INTRAVENOUS or INTRAMUSCULAR

Administration

in Icc Ampoules of

300 2000 and 10000 Inn Units

I Supplied in Boxes of 6middot12middot25

and 100 Ampoules

II ENDO PRODUCTS Inc 395 Fourth Ave New York N Y

~I

OFFICE FURNITURE

Exclusively Represented

by

James amp Weaver Office Outfitters

4middot4427 WWood

lVoJ

THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

Youngstown Owned and Operated

CROSS DRUGS 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull WE INVITE OU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmacists to Serve You

Prescriptions Delivered to Your Patient

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull VE INVITE YOU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmadsts to Serve You

Prescriptions Delivered to Your Patient

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

-----

165 164 BULLETIN

THE MAHONING COUNTY MEDICAL SOCIETY

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You Nil I find C large selection of both short and

(lng sleeve Sport Shirts -- at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps --- Light Weight Hats

The Scott Company 32 torth Phelps Street

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family~and

save yourself sleepless nights

FLORENCE 1 HEBERDING Phone 2-2344

ilia

bull

lQlES AC From reading an article entitled Are Ye Vlice re-printed

ebewherc in this Ihdletin I get my cue for this month

Indeed it is easy to be pessimistic Things arc in such a mudd It iVIedieine i no exception There are problems badly needing

to be solved Organized medicine from the A NI A down had r better get a move on A tart is made in the proposed national county by county survey Thi must be done promptly and must be done right j

But it wont do Gentlemen of the A VI A to say to localities after you get this in formation as you have in essence said before

IIVe offer no suggestions no specifIC leadership you in the counties

ma~middotmiddot do nothing or if you choose to do something e hand you hereshywith the ten principle within which you must operate After you obtain this information vou would do welt to work out various

II plans this one uitableto this group of counties others suitable to other group of coullties Then youd do well Gentlemen if youd et up a field force for operating tllee plans as you did in connection with grading of the medical chools and a you and the A C S are doing in keeping hospitab up to standard

Pessimism is eas~ but optimism is well justified with us othing could be more inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to ee such fIne work as our Committees are doing

Ye believe as a principle that any action by any group if it importan tly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the dut of the Society to deal with it That principle was recognized by the hospitals in formulating their prepayment plans Real progress is a-making

Then Postgraduate Day Yords of ordinary praise arc not enough to give to our Chairmen and their Committees who worked out and dcliered to us one of the most distinguished evcnts of all our Societys splendid history Elsewhere you will find the Committees listeJ in full-they deserve your gratitude To Drs Koli Allsop Birch Klatman Louis Deitchman and Brown as Chairmen of Committees all honor and appreciation But we recognize equally gratefully the line work of their valiant men

Last but not least Drs Lahey H01Tax Kiefer and Bartclsshysaniflcing their comfort and energies for us and for those whom we serve-hat words will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B ~ORRIS M D

~-- -- shy

1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

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THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

Whafs in a Name A name can mean as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous ith merit then it is a thing without price

For over 45 years we have been striving to make our name stand for dependability so that we might warrant the complete confidence of our patrons

We invite your confidence and your patronage

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I The Jones Surgical Supply Co

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111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

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SOARING IN FLAVOR and

SOARING IN FAVOR

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300 2000 and 10000 Inn Units

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

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Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

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Pittsburgh Pa

Kalak

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RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

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THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

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2 Relation of Nicotinic Acid and Nicotinic

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J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

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policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

164 BULLETIN

TO MAKE YOUR GOLF GAME

MORE COMFORTABLE-

You will find a large selection of bOlh short and

long sleeve Sport Shirts - at $100 to $850

Golf Knickers and long Golf Hose-Jackets for rain

of Byrd Cloth - Knox Caps - Light Weight Hats

The Scott Company 32 CJVorth Phelps Street

I Say Doctor You prescribe HEBERDINGS INDIAN CREEK FARM MILK for your patients -Why not order some for your family-and save yourself sleepless nights

FLORENCE L HEBERDING Phone 2-2344

1

THE MAHONING COUNTY MEDICAL SOCIETY

]P]QIE D]~ PAC

From reading an article en titled Are V ( Hice re-printed ebcwhere in this Bulletin I get my cue for this month

Indeed it is cas) to be pessimistic Things are in such a muddle Yledicine is no exception There art problems badly needing

to be solved Organized medicine from the A M A down had better get a move on A start is made in the proposed national county by county survey This must be done promptly and must be done right

But it wont do Gentlemen ()f the A ~l A to say to localities after yuu get this information as you have in essence said bdore Ve offer no suggestions no specific leadership you in the counties may do nothing or if you choose to do something ve hand you hereshyith the ten principles within which you must operate After you obtain this information ou ould do well to work out variou plans this one suitableto this group of counties others suitable to other groups of counties Then ~oud do ell Gentlfmcn if youd set up a field force for uperating these plans as you did in connection ith grading of the mfdical schools and as you and the A C S are doing in keeping hospitals up to standard

Pessimism is easy but optimism is well justified with us othing could be 1lore inspiring than the wonderful unity and harmony of our Society I t is deeply satisfying to see such fine work as our Committees arc doing

Ve believe as a principle that any action by any group if it importantly affects the practice of medicine becomes thereby a proper subject for the Society to consider and it becomes the duty of the Society to dcal with it That principle ws recognized by the hospitals in formulating their prepayment plans Real progre is a-making

Then Postgraduate Day lords of ordinary praise are not enough to give to our Chairmen and their Committees who worked out and delivered to us one of the most distinguished events of all our Societs splendid history Elsewhere vou will find the CO1lmittees listed in full-they des~rve our grattudc To Drs ~oll Allsop Birch Klatman Louis Dcitchman and Brown as Chairmen of COl11mittees all honor and appreciation But we recogni7e equall gratefully the finc (Hk of their valiant men shy

Last but not least Drs Lahey H orrax Kiefer and Banelsshysacrificing their comfort and energies for us and for those whom we serve-what (lrds will tell them how grateful we are And what brilliance of performance Their reward must be the deep spiritual satisfaction of having done great and lasting good for the benefit of their fellow men

Theres plenty of room for optimism

CLAUDE B AORRIS U

il1ay 1938

165

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

Whats in a Name A nome con mecm as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous with merit then it is a thing without price

For over 45 years vie have been striving to make our nome stand for dependobility so that we might warrant the complete confidence of our potrons

We invite yo r confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

Postgraduate Assembly

The Jones Surgical Supply Co 800 Huron Road Cleveland Ohio

liay

bull

THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

Whafs in a Name A name can mean as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous ith merit then it is a thing without price

For over 45 years we have been striving to make our name stand for dependability so that we might warrant the complete confidence of our patrons

We invite your confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

I Postgraduate Assembly I

I The Jones Surgical Supply Co

800 Huron Road Cleveland Ohio III

Iii

111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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31 Central Square BENI FRANIU1N KELLEY PH Cbull bull

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VITAMI (THIAMINE CHLORIDE)

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

23 yems of Professionol Service

lIulnphrey Drug Co Inc

31 Central Square BENJ FRANKLIN KELLEY PH C

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We are distributors for ABBOTTS AMPOULES available at all times

SOARING IN FLAVOR and

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bull

CL PP[R 8[ER

bull Product of

The Renner Company Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Endo

VITAMINB1 (THIAMINE CHLORIDE)

In Sterile Solution for Injection

For INTRAVENOUS or INTRAMUSCULAR

Administration

in Icc Ampoules of

300 2000 and 10000 Inn Units

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~I

OFFICE FURNITURE

Exclusively Represented

by

James amp Weaver Office Outfitters

4middot4427 WWood

lVoJ

THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

Youngstown Owned and Operated

CROSS DRUGS 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull WE INVITE OU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmacists to Serve You

Prescriptions Delivered to Your Patient

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull VE INVITE YOU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmadsts to Serve You

Prescriptions Delivered to Your Patient

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

166 BULLETIN 167

]IB llU ]Il ]Il ]IE llL ]I[N f=0=thc== lVlahoning County

0 ~1 edical Society

M A y 1 9 3 8

EDITORIAL

he Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk bright and early each morning in time for breakfast a new days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

The editorial taff of lour Bulletin ha felt for ome time that the (lciet at large would be intlreted in knowshying how the grollth of the xIallOning County VIedical Society for the pat IO year ha affected the circulation of the Bulletin

Vhen the Bulletin wa firt iued it IIa ued excuiveh for our me111shyberhip and a few Jubide friend but Ilith the increaing ucces of Potgraduate days the Bulletin ha become one of the medium through Ilhich the Societ) has been able to publicize and aid In the success of this annual event

The distribution of the Bulletin is as folIOIIs

Member of the Society all the new officers of the State and local societies from ti111e to time speaker of each Potgraduate Dar and also to all the new doctors that hare atshytended Postgraduate Day llem belS 241 Non-Members and Doctors in

Youngstown Jnd surrounding towns in Ohio ) 5 I

Akron 3 I Canton 25 Clevela nd 44 Cincinnati 1 I Columbus 22 Dayton 10 New Castle ) 8 Pittsburgh 16 Sharon 18 Toledo I I Varren 26 Medical Societies 27 Doctors in 27 different cities In

Pennsylvania 6 Doctors in the following states

Kentucky Oklahoma Vest Va Massach usetts Vashington Ar kansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn Indiana 46

Total 980

1938

A )OU IliU recall a published in the lat Bulletin lIT had gone to the trouble of ending cards to everal hundred on our mailing list aking them if they wanted The Bulletin continued Becaue of the extent to which thee cani were retu rned to us and Ilith the notation expressing their desire to continue on the lit the Editorial Staff fee that it is onh jutly due thee men that the) receiv~~ a copy every month In going ovn the list of card we find that these 111en have been upporting Potgradushyate day )ear after year

Because of the wide distribution of the Bulletin and the large number of Doctors that are receiving it we feel the Bulletin must improve with each monthly iue

In order to make this improve111ent possible Ill must have the coiiperation from the members of the Society especiallv in regard to writing articles and supplying us with information that will be of in terest to everyone

Please remember that this is the Mahoning Countr Vledical Societl Bulletin your Builetin that is going out each month cltrr)ing with it the news of what your Society is doing Vith your help we can continue to improve the Bulletin and make it a worth-while magazine Vithout your help this cannot be done A thou~and doctor cant be wrong Help them to receive a 1110re worth-while publishycation b)middot coiiperating with your staff

JAMES D BROWN M D

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

Whats in a Name A nome con mecm as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous with merit then it is a thing without price

For over 45 years vie have been striving to make our nome stand for dependobility so that we might warrant the complete confidence of our potrons

We invite yo r confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

Postgraduate Assembly

The Jones Surgical Supply Co 800 Huron Road Cleveland Ohio

liay

bull

THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

Whafs in a Name A name can mean as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous ith merit then it is a thing without price

For over 45 years we have been striving to make our name stand for dependability so that we might warrant the complete confidence of our patrons

We invite your confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

I Postgraduate Assembly I

I The Jones Surgical Supply Co

800 Huron Road Cleveland Ohio III

Iii

111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

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SOARING IN FLAVOR and

SOARING IN FAVOR

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CL PP[R 8[ER

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Endo

VITAMINB1 (THIAMINE CHLORIDE)

In Sterile Solution for Injection

For INTRAVENOUS or INTRAMUSCULAR

Administration

in Icc Ampoules of

300 2000 and 10000 Inn Units

I Supplied in Boxes of 6middot12middot25

and 100 Ampoules

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~I

OFFICE FURNITURE

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

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For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

66 BULLETIN

The Man Who Walks In Your Sleep

He is the man who delivers Isalys fresh sweet creamy milk

bright and early each morning in time for breakfast a lew days supply of refreshing energy health and enjoyment Carefully

guarded by pasteurization and every known precaution from the farm to your doorstep Isalys Milk reaches you pure wholesome delicious and safe Ycur inspection of Isaly plants and stores is always welcome

This is the season of the year when milk is at its best sweet with the fragrance and freshness of new spring pasturelands Phone 40227 for home delivery to start at once

ISALYS Dairy Specialists

]31tJ ]IL JlL ]IEllL ][ N f=0=the==

Vlahonin County rvledical M A y 1 9 3 8

EDITORIAL The editorial staff of lour Bulletin

has felt for S0111e tin1l tllat the society at large oltld he intcrcsted in knOlIshyinl hull thc grclllth of the VIahon ing Count~ tIed ical Societl for the past ]() I(ars has affected the circulation f the Bulletin

Vhen the Bulletin Ias first iued it lIas used cxclusidy for our memshyhership and a fnl ~utside fricnd but lIith the increasing success of Postgraduate days the Bulletin has hccme one of the mediums through lIhich the Societ has heen ahle to puhlicize and aiel in the success of this annual elent

The distrihution of the Bulletin is as follols

vlemhers of the Society all the nell officers of the State ~nd local societies from time to time speakers of each Postgraduate Day and also to all the nell doctors that have atshytended Postgraduate Day Members 24 Non-Members and Doctors in

Youngstown (lnd surrounding towns in Ohio 51

Akron 3 Canton bullbull bull 25 ClcelJ nd 44 Cincinnati 1 Columbus II 22 Dayton 0 ~ew Castle 18 Pittsburgh 16 Sharon 18 Toledo bull ~ J I Varren 26 Medical Societies 27 Doctors in 27 differ~nt cities n

Pennsylvania 61 Doctors in the rollowing states

Kentucky Oklahoma Wesl Va --1assJChusetts )1 ashinglon Arshykansas Georgia New York Illishynois Canada Alabama Virginia Maryland Iowa Minn lndilna 46

TOlal 980

1938

As you Iill rCtal1 as published in the last Bulletin liT had ~one to thl Touhll of sending- cards to selnal hundred on our mailing list ibking them if they wanted The Bullltin continuld Becawe of the ctent to which thce cards lIere ]TturtHd to u and lIith the notations l(pressi1~

their desire to continue on thl list the Editorial Staff feels that it is onl) justl due these men that they rccei e a COPY every month In going OTr the list of cards we find that thre men ha ve been suppurting Postgradushyate da) year after ~-car

Because of the wide distrihution of the Bulletin and the lar~e numll(r of Doctors that arc recciving it IC feel the Bulletin must improyc with eacb monthl issue

I n order to make this improvelllcnt poSible lIe must ha ve the coiiperation from the lllembers of the Societ cpecially in regard to writing article and upplying us with infonnation that will he of interet to everyone

Please rememher that this i the jtIahoninl2 County Vledical Society Bullrtin your Bulletin that is going out each month carryinl2 with it th neils of lIhat your Society is rioing ith your help we can continue to impruve the Bulletin and make it a worth-while magazine Vithout your help this cannot he done A thousand doctors cant he Irong Help thcm to receive a more worth-lhile publishycation by coiiperating lIith your staff

JAMES 0 BROW7J M 0

middot138 BULLETIN

III

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THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

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111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

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Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

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Kingsbury-Schlitr-Millers Distriblltors

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PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

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SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

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Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

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policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

middot138 BULLETIN

III

Whats in a Name A nome con mecm as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous with merit then it is a thing without price

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THE MAHONING COU ITY ME ICAL SOCIETY 1amp9

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete with involvcd heginning abruptly at the a rdativelv new clinical entitmiddot known ileocecal valve where it is found in a regionl ileitis During the last its maximulll intenitl tapering off flle or six ycar csperially there have gradually a it ascends the ileum ~oral-been reported quite a fell cac l11am ly for 20 to 30 cm Since this paper of which have been diagnosed ll(for~ was published lWIITver it ha been operation Crohn Ginzhurg and Op- found that there are a fCII additiunal penbeimer in ]032 llublihed a com- fact chid of which i that the condishyplete description of tion may involve the condition and any part of the reported 1+ cases mall intestine aIllI This article is 1 evcn extend OV(f

clasic and shouid on to the lccum and be read bl ever ascending colon j n practising phyicr- the two veal folshyan Lick in thr oing the pllbli-April number of cation of the orig the S G amp O thi inal articlc rohn year revie the and hi aso iates literature and finds reported 28 more that a total of +97 calS so Ile see cases of regional that the condition ileitis have been rc- is far from ran

ported 1t l un- In Jiscusing the qllestionablv trlle pathologic anatoshythat the di~ase (X- my of the dieae isted lx-fore and Crohn sals that when found Ilas the termini1 ileum placrJ in the cate- is found thickened gory of the benign oggy and edemlshyg ran l 10m a As tou and the erol far back as 1828 is a hlotch red Juhn AberCOIllhie The mesentell of of Edinburgh de- the terminal iieulll cribed a granll- is greatly thickened lomatou lesion of and even extends the small intetine up onto the hoel The literature in this countr and Ilall for some distance There are Europe has clasitled the conditi~n va- numerous large glands in the l11esenshyriuusly as regional or terminal ileitis tery The condition is not static and chronic cicatrizing enteritis nonspe- the description above given applies to ciflc benign or infectious granuloma the bowel of one whu has been ill for of the intestine In Europe especial- prohably one vear Even with the in-Iy it is commonly known as phleg- testine in thi condition spontan(ous monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc dishystated that the disease is character- torted and broken up bv the destrucshyized clinically by fever diarrhea and tive process together with the edema emaciation and eventually obstruction giving a bullous structure to the mu-of the invol ved intestine He also cosal aspect of the intestine There lYS that the terminal ileum alone is are often small linear ulcerations

1938

168

III

BULLETIN

Whafs in a Name A name can mean as much or as little as its bearer wishes When a name through long and constant endeavor beshycomes synonimous ith merit then it is a thing without price

For over 45 years we have been striving to make our name stand for dependability so that we might warrant the complete confidence of our patrons

We invite your confidence and your patronage

WHITES DRUG STORES Dependable Prescription Druggists

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

Permit Us to Thank You for the Interest

Shown in Our Exhibit at Your Annual

I Postgraduate Assembly I

I The Jones Surgical Supply Co

800 Huron Road Cleveland Ohio III

Iii

111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

23 years of Professional CLlPPfRService

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31 Central Square BENI FRANIU1N KELLEY PH Cbull bull

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In Sterile Solution for Injection ~gt

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300 2000 and 10000 Inn Units by

Supplied in Boxes of 6middot12middot25 and lOa Ampoules Ja es amp Weaver

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

23 yems of Professionol Service

lIulnphrey Drug Co Inc

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We are distributors for ABBOTTS AMPOULES available at all times

SOARING IN FLAVOR and

SOARING IN FAVOR

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CL PP[R 8[ER

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Endo

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In Sterile Solution for Injection

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Administration

in Icc Ampoules of

300 2000 and 10000 Inn Units

I Supplied in Boxes of 6middot12middot25

and 100 Ampoules

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~I

OFFICE FURNITURE

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by

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4middot4427 WWood

lVoJ

THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

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For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

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BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

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Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

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CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

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RESPONSIBLE DRY CLEANING shy

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bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

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192 BULLETIN

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one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

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3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

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Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

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You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

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tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

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BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

168

III

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111(1 1938

THE MAHONING COUNTY MEDICAL SOClETY 169

REGIONAL ILEITIS By GORDON G NELSON M D

The literature is quite replete middotith involved Iwginning abruptl~middot at the a relatively new clinical entity known ileocccal valve where it is found in b regional ileitis During til( last its maximum intensity tapning off fin or ix years esp~cially tlwre havc graduallv as it ascends the ileum oralshyheen reported qu ite a fc cases many tv for 2() to 30 cm Since thi paper of hich hac hc~n dianoscd hefore ~IS published llOTcr it has [Well

IJpnation Crohn Ginzburg and Opshy found that there are a felV additional Iwnheimer in ] 932 published a COIllshy facts chief of rhich is that the condishyplete (Iescription ()f tion ma involvc the conditi()n and anI part of the reported ]+ cases small intcstine ltlnJ

een extcnd overThis articlc is l on to the ceCUlll andllaic and shou id ascending colon inbe read by Cery the two ears foJshypractiing ph~~ilishyI()ing till publishyan Lick in thc cation of the origshy-pril number of inal article CrtlhJlhe S G amp O this and his associatnlr revic thc reported 28 llloreIiterature and fin~

cases so C =fCthat a total of +97 that the cond itionCbCS of regional is fa r from rareileitis have been reshy

ported It is unshy in discllssing the qLwtionlbly tru pathologic ltInlttoshythat the disea~e exshy nn of the d iscase istcd before and Crohn sals that middothen found as the terminal ileum placcd in tilt cateshy is found thickened on of th~ benifTl soggy and edcmashy~ e ~ranulomas As tou and the serosa far hack a~ 1828 is a bloteln red fohn AbcIToIllhie The mesent(rv of

Jf Edinhurgh deshy the terminal iiennl scrihed a granushy is greath thickened lomatous lesion of and eren extencl~

the mall intetinc up onto the howel The literature in this countr and wall for some distance There are Emope has classified the conditim vashy numerous large glLI1ds in the n1lsenshyrioush as regional or terminal ileitis ter The condition is not static and chronic cicatrizing enteritis nonspeshy th~ description above iven applie to cific henign or infeetious granuloma the hoCl of one who has been ill for of the intestine In Europe especialshy probahly one year Even with the inshyly it is commonly known as phlegshy testine in this condition spontaneow monous enteritis resolution of the disease has occurred

In Crohns original article it is The normal intestinal folds arc disshytated that the disease is eharaetershy torted and hroken up hy the drstrucshyized e1inicallr hI fever diarrhea and tive process together with the ld l111 a emaciation a~d cmiddotventuallv obstruction giving a bullous structurr to the mushyof the involved intesti~e He also cosal aspect of the intestine There sas that the terminal ileum alone is are often small linear ulceration-

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

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I Supplied in Boxes of 6middot12middot25

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OFFICE FURNITURE

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

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Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

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BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

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Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

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CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

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received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

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192 BULLETIN

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THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

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3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

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Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

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BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

BULL TIN THE MAHO ING COUNTY MEDICAL SOCIETY 170 17

lying in a groolr on the meenteric The arc nllt found in chronic ulcerashyside of the bowel is the disease tive colitis They are thuught by

SOARING IN FLAVOR pwgngtses the exudative reaction istt ntio SOlnl to be due to the reaction againtreplaced by l fibrostenotic process foreign materialand and the l1lucoa appear atrophic with1Do t 15 occasional supniicial erosions and The etiology of the condition isSOARING IN FAVOR islands of papillary or polypoid hypershy obscure Tuberculosis yphiJis acshyAll Prescriptions fill at plasia The rosa Joses its luster and tinomlcusis and lymphosarcoma haveour tore this next month for bull

the enefU of your patients 15 above cost So send them along

23 years of Professional CLlPPfRService

e DruO In 8ff

31 Central Square BENI FRANIU1N KELLEY PH Cbull bull

Mcm germiddotSecmiddoty Product of

The Renner CompanyWe are distributors for ABBOTTS AMPOULES available at all times Youngstown Ohio

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VITAMI (THIAMINE CHLORIDE)

In Sterile Solution for Injection ~gt

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in Ie Ampoules of Exclusively Represented

300 2000 and 10000 Inn Units by

Supplied in Boxes of 6middot12middot25 and lOa Ampoules Ja es amp Weaver

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oiten l1I11IS tulwrcle like structures on ib surface A characteristic feashyture of the disease is the tend (nC toward pnforation This IIas n(t seen in am of Crohn firt cases Halligan olnIer nported one ca~e of acute free pnforation as the first ign of intra-abdolninal di~ease Arnshyhrim reported the other cae in 1935 of an individual Iho gave a history of diarrhea for ten ycars and abshydominal pain for four yrars prior to the perforation Apparently these are the only cases of acute free perforashytion rqlorted In the case reported bl Halligan the perforation II as found only aftn a painstaking search it wa mall and linear

Chronic perforation occurs Iowly enough to pertnit IIalling off hy adshyheion to a neighboring Iiscus to the parietal prritoneum or the omenshytum There is a marked tendencv to ftlnn internal fistulae fwm the il~um to thc cecum and (Im to the sigmoid Valled off ahcesses that are the rcshyult of ch ronic ptrforations when submitted to surgical drainage give rise to intractable fistulae duc to the persistence of the underlying inflamshymatory diease in the bowel

Histologically there arc Iaryinl degree of acute ubacutt and chronic inflammation Thc mucosa is uualll absent and submucosal tissue are r~shyplaced b~ Iaudar granulatilln tissue characterized bl an infiltration Ilf lymphocyte pla~ma cells large monoshynuclears and polymorplllll1uclear eosinshyphils The most invohed aler seems to be the submucosa al twugh all the II-ers arc involled as is the Tlllenten Occasionally large giant cells a~e found and this sUIlets lues Ilr tubershyculois as a possible causatilc agent

1938

been quite thoroughly ruled out as causatile factors Laboraton animals have neler sholln anI reaction to inshyjection of cui tu res made fwm lymph nodes and macerated ileum vassershymann reactions an~ negative oIany ohseners feel that the appendix has no part in the causation of the disease [here arc a fell hOIIelr Idw arc of the opinion that the appendix may be a priman factor because of the vouth of mot of the patients and the faet that about half of them hale had appendectomies In about half of the latter abnormalities of the terminal ileum 11(1e noted at the time of opershyation Jn those cases however in which there had bem no prelious appendenctonw the mucosa of the appendix was I~Ot involved altllOugll the outer coats of the organ were in flamed due to thc prescnce of conshytiguous diseae

Among the clinical features should be noted that the disease is preshydominant among young adult male Rosenblate had a case in a boy four and one-half Iears old I n the JIavo clinic series the youngest patient was nine years and the oldest sixty-two The diease in its acute form often manifests itself in a manner imilar to the onet of acute appenuiciti On the other hand it is usually chronic and characterized hy 10 of Imiddoteight progresivc anemia fever attacks of diarrhea and abdominal pain It is differentiated from colitis bl rememshybering that the diarrhea is not a marked as in the latter and there is very little if any mucou or blood in the stools There are no peri-anal fistulas or abscessts and no rectal tenesmus There is in most cases of the ch ronic tymiddotpe a definite mass IT1

the right iliac fossa

170 BULLETIN

ttelltioll I Doctors

All Prescriptions filled at our store this next month for the benefit of your patients 15 obove cost So send them olong

23 yems of Professionol Service

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SOARING IN FAVOR

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CL PP[R 8[ER

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In Sterile Solution for Injection

For INTRAVENOUS or INTRAMUSCULAR

Administration

in Icc Ampoules of

300 2000 and 10000 Inn Units

I Supplied in Boxes of 6middot12middot25

and 100 Ampoules

II ENDO PRODUCTS Inc 395 Fourth Ave New York N Y

~I

OFFICE FURNITURE

Exclusively Represented

by

James amp Weaver Office Outfitters

4middot4427 WWood

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THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull VE INVITE YOU TO VISIT OUR PRESCRIPTION DEPARTMENTS

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For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

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SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

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policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

170 BULLETIN

ttelltioll I Doctors

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lVoJ

THE MAHONING COUNTY MEDICAL SOCIETY )71

lying in a groo(~ 011 the mesenteric side of the boel As the disease progresses the exudati( reaction is replaced by 1 fibrostmotic process and the mucosa appears atrophic ith occasional superficia I erosions and iJands of papillary or polyp()id hypershyplaia The serosa loses its luster and often ~]lOWs tuberck like strtlctu res on its Stl rface A cha racteris tic feashytine of the disease is the tendll1cv toward perforation This was not S(en in any of Crohns first cases llalligan hOl(Ier reported one case of acute free perforation as the first sign of intra-abdominal disease Arnshyheim reported the other case in 1935 of an indilidual who gave a historl of diarrhea for ten vears and abshydominal pain for four I cars prior to the perforation ApPlre~tl~ these arc the only cases of actlte free perforashytion reported [n the case reported bl Halligan the perforation as fotlnd only after a painstaking search it was small and linear

Chronic perforation occurs slowly enough to permit alling off b~ adshyheions to a neighboring viscus to the parietal peritoneum or the omenshytUIll There is a marked tendency to form internal fistulac from the ileum to the cecum and even to the sigllloid Valled off abscesses that are the reshysult of chronic pnforatio1 when submitted to surgical drainage give rise to intractable fitulae dur to the persistence of the underlying inflamshymatory disease in the howel

Histologically there are varying degrees of acute subacute and chronic inflammation The mucosa is usuall ahsent and submucosal tissues arc r~shyplaced b) vascu lar granulation tissue characterized bl an infiltration of l~mphocyte pla~ma cells la rge monoshynuclear and polymorphonuclear eosinshyphik The nwst involved layer seems to be the submucosa although all the layers are involved as is the mesentery ()ccaionally large giant cells a~e

found and this uggests lues or tubershyculosis as a possihle causative agent

1938

They arc not found in chronic ulcnashytive colitis Thcy are thought by some to be due to the reaction against foreign material

The etiology of the condition i~

obscu re Tuberculosis syphilis acshytinomycosis and lymphosarcoma have been quite thoroughly rtlled out as causative factors Laboratorl animals have never shown an reaction to inshyjection of cultures made from 11 mph nodes and macerated ileum Vassershymann reactions are lwgatile ~dln

obseryers feel that the appendi- has no part in the causation of the dieasl rhere are a fe 11Oeler ho arc of the opinion that the appendi-x mal be a primary factor beclue of the you th of most of the patien ts and til( fact that about half of them have had appendectomies In about half of the latter abnormalitirs of the terminal ileum Cre noted at the time of opershyation In those cases hOelTr in which there had heen no prelious appendenctomj the Illucosa of the appendix was not il1olvcd although the outer coats of the organ were in Ilamed due to the presence of conshytiguous disease

Among the clinical features should he noted that the disease is plshydominant among ~middotoung adult males Josenblate had a cae in a bo four and one-half years old [n the vIayo clinic series the youngest patient was nine ears and the oldest sixty-to The ~) isease in its acute form - ohm manifests itself in a manner simil1r to the onset of acute appendicitis On the other hand it is usually chronic and characteriud by loss ~f ei~h t progressive anemia felcr attack of diarrhea and ahdominal pain ] t is differentiated from colitis by remelllshybering that the diarrhea is not as marked as in the latter and there is Ien little if any mucous or hlood in the stools Th~re arc no pni-anal fistulas or ahscesses and no rectal tenemus There is in most cases of the chronic tlpe a definite mass in the right ilia~ foa

II

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

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For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull VE INVITE YOU TO VISIT OUR PRESCRIPTION DEPARTMENTS

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THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

THE MAHO ING COUNTY MEDICAL SOCIETY 173172 BULLE

The clin ical cuu rse of the disease those of a partial obstJuction of the is divided by Crohn into four phases small bOIlTI Violent cramps and (I) aClite intra-abdumina disease attacks of vomiting and constipation

Youngstown Owned and Operated

CROSS DRUGS 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull WE INVITE OU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmacists to Serve You

Prescriptions Delivered to Your Patient

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Penn ylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern labor tory facilities

Address

W W RICHARDSON M D Medical Director Formuly Chief Physician State Hospital for Insane Norrisown Po

with peritoneal irritation (2) sympshytums of ulcerative enteritis (3) sympshytoms of ch ronic obstruction of the small intestine and (4) persistent and intractable fistulas in the right IOller quadrant fullowing preious drainage for ulcn or ahdominal abscess I n the first group it is impossible to distinshyguish t1llse cases preoperatively from acute appendicitis except that the symptoms develop mine slowly than in appendicitis There arc gll1eralized wlic pain and tenderness in the right lower quadrant and fever to 102 F The lIhite count is increased A ma is usually palpable now eVCl1 lIithout aLtua 1 abscess formation At operashytion the ileum is greatly thickened red and hlotchr lIith marked edema of the surrllllding structures and slight exudate of the ideal wall The l11esenten is quite thick and contains many lage glands This is called hy sOl11e a hot ileum and slllluld not be resected at this stage but allowed to subide for l~veral vleks and treated meantime as a peritonitis [n these cases lIhere an abscess has been enshycountered there is th ick grumous pus lIithout odor Strange as it may seem ome of these acute cases go on to complete resolution without resectiou but this outlome cannot he predicted

In the second phase there are s~mpshytoms of ulcerative cntnitis and the patilnts complain of colicky pain in the 101lcr abdomen or around the umbilicus There is some looseness of the bowels (three to fie movements a day) The stuol is usually of a liquid or musl1 consistenCl and lonshytain pus l11UClUS and visible or Olgt cult blood There is never an roSS hemorrhage There i constaI-a low grade fevn As the disease progresses there deveops a marked secondary anemia Considerable loss of weight and trcngth occurs and the condition passes into the tenotir phac It i said that th j is the phal~ l~lllSt comshymonly found The ymptoms are

1938

are present During this phase of the condition fistulous ron1lnunication with the colon or sigmoid lIlay give signs and symptom of colitis and mask the true nature of the disease The fourth stage is that of persistent fistulas These arc found after drainshyage of abcesses whirh were supposedly appendiceal in origin The fIstulas failed to heal even after tllO or three attempt at closure and it wa found at the time of cloure in these caes by operation that the appendix was not involved It is also lIell knolln that ordinary fistulas following the drainage of appendiceal abscese alshyways heal spontaneously or are easily l1oed by operation I t can be asshysumed then that intractable fistulas that have resited simple closure are in the absence of tuberculosis to be considered as cases of reional ileiti An unusual feature of the fIstulas is that some of them develop months after the original drainage operation where the wound has healed perfenly

The role played by the roentgenolshyogist is er~ important in the diagnoshysis of regional enteritis The barium enema sholls only negativ( results The harium meal usualh ives defishynite findings Accordin~ to Kantor these changes in the ileum are (1) a filling defect just proximal to the rerum (2) abnormality in cuntour of the last filled loop of the ileum (3) dilatation of the ileac loops just proximal to the lesion and (-+) the string sign which represents the acshytual lesion eber calls this the tlljsted cord appearance

The treatment of the disease is surshygical although eases of spontaneous resolution and cure have folllJllCd med ical care F e1son feci that su rshygica I trea tmen t is ver~ unsltisfaltor~

and that the ideal therapy is baed upon the prevention of hacil1ar~

dlstntcn The treatment should aim at ctJmpietc extirpation of the diseaed area rhi may be carried out in

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull VE INVITE YOU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmadsts to Serve You

Prescriptions Delivered to Your Patient

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

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Pittsburgh Pa

Kalak

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NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

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THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

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- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

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yourselfI THE ZEMMER CO

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CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

172 BULLETIN

Youngstown Owned and Operated

DRU s 6 EAST FEDERAL STREET

In the Stambaugh Bldg

1 WEST FEDERAL STREET In Central Tower Bldg

bull VE INVITE YOU TO VISIT OUR PRESCRIPTION DEPARTMENTS

Five Pharmadsts to Serve You

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THE MERCER SANITARIUM MERCER PENNSYLVANIA

For Nervous and Mild Mental Disorders Located at Mercer Pennsylvania thirty miles from Youngstown Farm of one hundred acres with registered tuberculin-tested herd Re-educational measures emphasized especially arts and crafts and outdoor pursuits Modern laboratory facilities

Address

II W W RICHARDSON M D Medical Director Formerly Chiej Physician State Hospital for Insane Norristoqun Pa

ilia]

THE MRHONING COUNTY MEDICRL SOCIETY

The clinical course of the disease those of a partial obstruction of the i divided by Crohn into four phases small hOle Violent cramps lI1d (I) acute intra-ahdominal disease attacks of vomiting and constipation with peritoneal irritation (2) s~mpshy arc present During this phase of the toms of ulcerative enteritis (3) sympshy condi tiun fistu luus commu nica tions toms of chronic ohstruction of the with the colon or sigmoid may give small intestine and (+) persistent and signs and symptoms of colitis and intractable fistulas in the right lower mask the true nature of the disease quad rant following previous drainage The fourth stage is that of persistent for ulcer or abdominal abscess In the fistula These arc found after drainshytirt gruup it is impossible to distinshy age of abce~ses Ilhich were supposed ly guish these cases preoperatively from appendiceal in origin The fistulas acute appendicitis except that the failed to heal even after tlO or three Slll1ptoms develop more slowly than attempts at closure aud it was found in appendicitis There are generalized at the time of closure in these cases colic pain and tenderness il the right by uperatiun tJlat the appendix was lower quadrant and fever to 102 F not il1ol ved I t is also Iell knOlll The Ihite cuunt is increased A mass that ordinal fitulas followinl the i usually palpable no even without drainage of appendiceal abscess~s alshyactual abscess formation At operashy ways heal spontaneously ur arc easill tion the ileum is great I thickened closed b operation I t can he ashyred and hlotchy with marked edema sumed then that intractahle fistulas of the surrounding structures and that have re~isted simple cosnre are slight exudate of the ideal Iall The in the absence of tuherculosis to he mesentery is quite thick and contains considered as Clses of regional ileitis man~ large glands This is called by An unusual feature of the fistulas is ome a hot ileum and should nut be that some of them develop months resected at this stage but allowed to after the uriginal drainage operation subside for several Ieeks and treated hen the yound has healed perfectly meantime as a peritol1ltls In these The role played b~ the roentgenolshycases here an abscess has heen enshy ogist is very important in the diagnoshycountered there is th ick grumous pus sis of regional enteritis The bariulll without odor Strange as it mav seem enema ShOllS only negative results some of these acu te cases eo on to The hlriuIn meal usualll lives defishycomplete re~olution without middotre~ection nite findings According to Kantor hut this outcome cannot he predicted these changes in the irum arc (I)

I n the second phase there are sympshy a filling defect just proximal to the toms of ulcerative enteritis and the cecum (2) abnormality in contour IXltients complain of colickv pain in of the last filled loop of the ileum the lower ahdomen or alound the (3) dilatation of the ileac loops just umbilicus There is some looseness of proximal to the lesion and (+) the the hOllels (three to five movements string sign Ihich represen ts the acshya dal) The stool is usualll of a tual lesion Veher calls this the liquid or musl1 consistenc al~d conshy tllisted conI lppearance tains pus muc)us and visihle or ocshy The treatment of the disease is surshycult hlood There is never anv eross gical dthough cases of spontaneous hemorrhage There is constal~t loll resolution and cure han folloed grade fever As the disease progresses medical care Felson feels that surshythere deve ops a mI rked econdary gical treatment is ven- unsatisfacton anemia Considerahle los of weight llld that the ideal rherapI is bnscd and strength occurs and the condition upon the prevention u( bacillar~

pases into the tenotic phase ] t is dysentery The treatment should aim said that this is the phase most comshy at compiete extirpation of the diseased monly found The slmjJtoms are area This mal he carried out in

1938

173

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

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Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

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Phone 4-4228

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NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

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Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938

174 BULLET1N THE lvlAHONING COUNTY MEDICAL SOCIETY 175

single ur llluitiple operatiuns deprndshying on the conditiun of the patient Simple short-circuiting operation ithshyout resection of th l lIlass relieved the S 1I1ptUlllS in about 50 of the pashyticnts on hOIll it was perforIned in a serics reported bl -Ic cr and losi Berg advucates ns~ction middotith ikocolshyostnnl~middot

The follLl ing is a rlport of a case A white American male Wb admitted to the hospital ith the complaint of swelling in the right Imvn abdomen associated with chronic constipation ovn a period of live anu one-bal f ~ ears I n Ic)2 at hich time he was 30 years old he had his appendi reshylllOVlCI He was improvld for sevnal months and then notiled a dull achshying pain in the right 100(r abdoI1en with a ensatinn of heainess in this area This was especially noticeabk if Ill tood on his feet or middottlked arw distaIKe Slnal months later he n(shyticed the sTlling and fullness and he abo became nauseated and Yllll1itcd occaionalh The nausea and vomitshying came C11 + or 5 hours after meals lor the past tll ears he has had intLrI1ittent attack~ of diarrhea at whidl time hi stools contained mushycuus hut no blood He has lost about tTnt) pounds in weight since the unslt of his preent illness The past histor~ is (middotsentially negative except that following his last uperation for reI1ual of the appendix he deelshyulXd postoperatiTe atelectasis hich required bronchoscopv Phvsical exshyamination shows a mass in the right 100lr abdomen and it is tender There is no rigidity On rectal exshyamination a mass is felt just at the tip of the examining finger The h(moglobin was 70) and the red hlood cells numbered 3570000 The hite blood cells erI 8550 with a differential count of 62) pollS 33 1~ll1phocytr and 5( eosinophiles At operation performcd under cycloproshypane anestheia the terminal ileum for a distancr of about tH) feet preshysented a bog~y or ropy appearance and it wa~ L[uitt heav~ The mesenshy

bull

tery contained many large glands and it was Try thick and rxtended well upon to the lateral alls of the h(mmiddote Thl cecum and lower portion of the ascending colon as also involved in the inHaml1latory proC6S The entire disease area as resected and an ileoshytransnrscolostolll as done bringing the side of the leum to the side of the eolon An enterostomv tuhe as then sutured into the proimal ileum The patient made an uneventful reshycovery and has gained Light and feels tine in rvery way The photushygraph shcms the gros sprcimen The pathologist report stated that the secshytion shocd chronic ulceration 1shybrosi and focal uppuration There were no giant cells found

A case of re2ional ileiti has been preented and a hrid review of the literature is i2iven I am inuebted to Dr A E Brant who has givln his permiion to report this case

Bibliography

I Crohn 5 5 Ginlbllrg 1 and Cppenheimer G D I 1 v 1 1932 Vol J l) ]) 21

Z Adams HD Surgical Clinics of Iorlh America 1917 17761

1 Bock us I-I 1 and Lee W E Annal ot Surgery 1915 102412

4 Halligln E I and Halligln H J imeriun Journal of Surgery 1917 17 491

5 Reicher F I and Mathes ivl E Annals of Surgery 1916 104601

6 Jackson S Surgery Gynecolshyogy and Obstetrics 19) 7 65 I

7 Ramiddotdin 1 S and Rhoads J E Annals of Surgery 1917 106194

8 Lick 111 Surgery Gynecology and Obstetrics 1918 66 140

-----0lt---shyAppreciation Expressed

Vords of appreciation as exshypressed hI the Ohio ~ ml Anesthesia Associati)Il to Drs A E Brant and F T VIc~ amara for their interestshying papers Co-Operative Anaesthesia by Dr Brant and Anaesthesia Shock b~middot Dr NIc ~ amara All members and guest of the Association agned it was the best Illeeting ever held

-Alice I Barth [resident

iliay

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable DiseClSes Ohio Department of Health

The recogl1ltloll of personal conshytact as a factor ill the disslmination of matHmiddot diseases was undoubtrdh suspecteJ or perhaps recognized lung before Vluscs promulgated his quarshyantine edicts and etablished his rules for the preservation of public health In tact all public health meaur(s adopted in the distance pat hO(-Tr fu tile originatld in the attempt to limit the spread of those disease hich periodically Sept across the old Hlrld and Gnlsed slleh appalling 10 of lifl-thee were all communishycable diseases

So middoth( public health began in our countn it ob iect as the conshytrol of these dices This power to control in Ohio was grantcd to the State Board of Health bl Senate Bill 90 passed by the Genel~d Asslmbly April 1+ 1886 The law authorized the council of municipalities to apshypuint hoards of health with authoriry to enforce quarantine lIlLaure for the prCention of dangerous disease anu to abate nuisanLLs ~o one had authority to act in a tonship except that in smallpox certain pOn-r were ranted the trustees

The division of communicahle dicases was formal k established in 1lt)12 Prior to this time the ork now done 1gtmiddot members of this dimiddotision was first attempted so far as possible Umiddot the Secretarv of the State Board ot Health late by a nllmbrr of part time medical inspectors and still later by an epidemiolo~~ist appointld July I 1lt)11 An act )f Icgisla tu rc passed in 1919 provided for the emplovment uf eight district health supcvisors to aid local communities in the urganshyization of health ditricts This work was completed during the year 1921 and since that time the division of communicable diseases has been enshygaged in general epidemiological pubshylic Iwalth service

193H

The actiities uf the division have to do with epidemiology immunology morbidity statistics prevention of blindnlss control of Tnereal disease and control of tuberculosi

The diision is calrd upon IH local health authorities during epi~leI11ics and also in detrrnlining the origin of sporadic GIeS in differential diagshynosis in intnpreting quarantine regushylations and for assistance in diphtheria immunization campaigns

It assists health commiioners in Schick testing tuberculin testing and in vaccination it receives anu tabushylates morbidity reports and issues a emi-nwnthly hulletin giving this inshyformation to all local health COl11shymissioners and to health departments of other states it keeps the U S Public Health Snvice informed of health conditions in Ohio bl means of reports by lrtter and by t~legram

It preparrs material on the varishyous communicable disease to be printed for public information and distribnte mall thousands of thee pamphlet

Through its Burean for the Conshytrol of Venereal Diseases and Preshyvention of B lindnes an actie proshygram i being Larrieu on in the ation-wide campaign against s~philis and its Bureau of Tuherculosis is assisting 10Lal departments not onh in tuherculin testing but abo in diagshynostic chest clinic In these dinics conducted hy tuberculosis specialists the patients arc alwa referred back to the family physicin VIany early cases found in these clinics have been hospi tal ized and restored to hea Itho

0gt----shy

New Committeemen Dr VI~Ton H Steinherg has been

assigned to the Editorial Committee Dr Samuel R Zos is added to the Lav Education Committee and to thf Prlgram Conllnittel

174 BULLETIN

single or Illultiple operations dependshy tery contained many large glands and ing on the condition of the piltient it as verv thick and extended well Simple short-circuiting operation ithshy upon to th~ lateral alls of the bowel out resection of the mass reli(ved the The CCCUIll and loer portion of the symptoms in about 50A of the pashy ascending colon was abo innl ed in tients on whom it was performed in the inHammatory process The entin a series reported by tIeyer and ROii diseltlse area was resectr~d and an i1eoshyBerg advocates resection with ileocolshy transvlTsco]ostomy was done bringin- ostomy the side of the ileum to the side uf

The following is a report of a case the colon An enterostomv tube as A white American male was admitted then sutured into the proxmal ileum to the hospital ith the complaint of The patient made an uneventful reshyswelling in the right lower abdomen cOery and has gained weight and associated ith chronic constipation feels fine in every ay The photoshyover a period of five and one-half graph shows the gross specimen The years In 1932 at which time he was pathologists report stated that the secshy30 Fars old he had his appendix reshy tions shmnd chronic ulceration fishymoved He was improved for s(veral brosis and focal suppu ration There nlOnths and then noticed a dull achshy nre no giant cells found ing pain in the right lower ahdomen A case of regional ileitis has been ith a sensation of heaviness in this presented and a brief review of the area This was especially noticeable literature is given I am indebted to if he stood on his feet or walked any Dr A E Brant who has giHll his distance Several months later he n(shy permission to report this case ticed the sclling and fullness and Bibliographyhe also became nauseated and vomited 1 Crohn B R Ginzburg L and occasionalll The nausea alld vomitshy Oppenheimlr G 0 J r M i 1932 illg came on -+ or 5 hou rs after meals Vol 99 1gt21 for the past tO vears he has had 2 Adams HD Surgical Clinics of intermittent attack~ of diarrhea at ionh jmerica 1917 17 76

which time his stools contained mushy Bockus H t and Lee W l-Annal of Surgery 1935 102 412cous but no hlood He has lost ahout

4 Hllligln E J Ind Halligan H Jtwentl pounds ill weight since the American Journal of Surgery 1917 7

onset of his present illness The past 493 history is essentially negative except 5 Reicheri F t and Malhe jv E that following his last operation for Annals of Surgery 1916104601 removal of the appendix he develshy 6 Jlckson A S Surgery Gynecol oped postoperative atelectasis which ogy and Obstelrics 1917 65 I

nquired hronchoscopy Physical exshy 7 Ravdin I S and Rhoads J E Annals of Surgery 1937 106 194amination shows a mass in the right

8 Lick M Surgery Gynecology andloer abdomen and it is tender Obstetrics 1918 66140

There is no rigidity On rectal exshy-----0gt----shyamination a mass is felt just at the

tip of the examining fir~ger The Appreciation Expressed hemoglohin as 70) and the red Vords of appreciation was exshyblood cells numbered 3570000 The pr~ssed by the Ohio l u rse Anesthesia white hlood cells were 8550 with a Association to Drs A E Brant and differential count of 62) polys 33() F T ~tIc1amara for their interestshylymphocytes and 5 eosinophiles At ing papers Co-Operative Anaesthesia operation performeu under cycloproshy by Dr Brant and Anaesthesia Shock panc anesthesia the terminal ileulll b Dr ~Icamara Ali memhers for a distance of about two feet preshy a~d guests of the Association agreedsented a boggy 01 ropy appearance it as the hest meeting ever held and it was qllite heay The mesenshy -Alice L Barth President

11([1

THE MHHONING COUNTY MEDICHL SOCiETY

AT THE HEALTH DESK By FINLEY VAN ORSDALL M D

Chief Division of Communicable Diseases Ohio Department of Health

The recognition of personal conshy The actiVIties Jf the diision have tact as a factor in the diss(mination to do with epidemiolog~ immunology

f many diseases was undoubtedly morbiditr statistics prevcntion of

suspected or perhaps recognized lung blindness control of vcnereal disease

before Joses prolllulgated his quarshy and control of tuberculosis

antine edicts and established his rules The division is calb upon hy local for the preservation of public health health authorities during epidemic In bct all puhlic health measures and also in determining the origin of adopted in the distance past huever sporadic cases in differential diagshyfutile originated in the attempt to nosis in interpreting quarantine re2ushylimit the spread of those diseases lations and for assistancc in diphtllCria which periodically swept aeross the immullization campaigns tlld world and clllsed such appalling 1t assists heal th commissionlrs in loss of life-these were all communishy Sch ick testi ng tuherclll in tesri ng and cable diseases in vaccination it receives and tabushy

lates morhidit~middot reports and issues aSo middothen public health began in semi-month I~ bulletin giving this inshyour countrr its object as the conshyforlllation to all local health comshytrol of these diseases This power missioners and to health departmentto control in Ohio was granted to the of tither states it keeps theState Board of Health 11 Senate Bill Puhlic Health Service informed ofqO passed b~ the Gene~al Assembly health conditions in Ohio In meansApril J-J 18S6 The law authorized of rcports by letter and hy t~legramthe council of municipalities to apshy

point boards of health ith authority Jt prepares material on the varishy

to enforce quarantine measures for ous communicable diseases to be

the prevention of dangerous diseases printed for puhlic information and

and to abate nuisances 0 one had distrihutes manl thousands of these pamphlets authority to act in a township except

that in smallpox certain powers ere Through its Bureau for the Lonshygranted the trustees trol of Venereal Diseases and Preshy

vention of Blindness an active proshyThe division of commlJrlicable gram is heing carried on in the

diseases was fonnalh established in ation-vide campaign against syphilis1912 Prior to thi time the work and its Bureau of Tuberculosis is nOlI done bl members of this division assisting local departm(nts not onlyas first attempted so far as possible in tuberculin tetin~ hut also in dialshybl the Secreta I of the State Board nostic chest clinics I n these dinics ot Health latel by a numher of part conducted br tuberculosis specialiststime medical inspectors and still later the patients arc always referred hack by an epidemiologist appointed July to the farnilr physicin VIanr earlyI 1911 An act If legisla tu re passed cases found in these clinics have hee in 1919 prOided for the employment hospi ta 1ized and restored to hea Ith of eight district health supenisors -----gt----shyto aid local communities in the organshy

New Committeemenization of health districts This ork as completed during the veal 1921 Dr Iyron H Steinher~ has heen and since that time the division of assigned to the Editorial Committee communicable diseases has been enshy Dr Samuel R Zoss is added to th gaged in general epidemiological pubshy Lay Education Committee and to the lic health service Prlgram Committee

1938

176 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 177

SPEAKER AT OUR NEXT MEETING

II Dr hitc was born in 1886 graduated

from HHvud College in 1908 and from

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E Blott on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

SCIENTIFIC PROGRAM

by

Dr Paul White Cardiologist

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

jHnj

bull

Hanud Jiedic11 School in I 91 I He inshy

terned on the Medical Service at the Massashy

chusetts Ceneral Hospital and wa~ medical

residcm until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

thcl~ returned as Cardiac Resident at the

lassachusetts Ceneral Hospital He has conshy

tinued On the stalT of the Ma~sachusctts Censhy

eral Hospital his title now being Physician

and On the teaching staff of the Hanard

Medical School his title lhere being Lectllrer

During the war he scrved al 5e Hospital

No6 in France He has writlcn a book

Hcart Disease published by the M1cmillan

Company (now in its second cdition) and

J small book Hcart Diseasc in Ceneral Pracshy

lice publishcd by the National ivlcdical

1300k Company bcsides many articles in various medical iournals on the clinical asshypeels of heart disease Paul White M D Cardioloqist

Dr Blatt is one member of our Medical Society who has achicvcd a fcat that few of us younger men will be ahle to duplicate He has completed this year 50 years in the practice of medicine

The Society has bestowed honorary memshybership upon him and will hold a Testimoshynial Dinner in his honor at a regular meeting May 17th As honored guests with Dr Blatt at this dinner will sit also Drs R D Cibshyson R L Whelan J r Lindsay H E Welch and Thomas J Arundel 111 of whom are honorary members

Dr I310tt was born at North Jackson in Ipril 186) He rcad medicinc with Dr Sta(ford and latcr attended Vestcrn Reserve where he was graduatcd in 1888 with a degree of MD He opened an office shortly afterwIrd in Brier Hill and during the sumshymer-married In 1907 he moved his ofshyfice to Ih~ downtown section where he is still to be seen dailmiddot attending faithfully to his office hours

Dr Blolt had a medical service of which he was chief for mJny yCln J[ Youngstown Hospital He served well and faithfully

Harmon E I3l0tt the members of the Mahonilrg Count Medical Society salute yOll and bow in r(v(renc~ lo vou [or an

Harmon E Blatt M D achievement that is truly uniejue-TifIY years of praclice and still going strong

938

176 BULLETIN

REGULAR MEETING

and

TESTIMONIAL DINNER

MAHONING COUNTY MEDICAL SOCIETY

Honors Dr Harmon E B10tt on his 50th

Anniversary in the Practice of Medicine

also his fellow Honorary Members

I~

I

SCIENTIFIC PROGRAM

by

li Dr Paul White Cardiologist ll

Tuesday Evening May 17th 630 P M

YOUNGSTOWN CLUB

~l THE MRHONING COUNTY MEDICRL SOCIETY

SPEAKER AT OUR NEXT MEETING

Dr Vhite was born in J 886 gradulted

from Harv1rd College in 1908 and from

Ibrvard Medical School in I () 1 I He inshy

terned on the Medical Service at the Massashy

chusetts General Hospiul 1I1d was medical

reident until 1914 He studied abroad with

Sir Thomas Lewis for a year in 1914 and

the returned as Cardiac Resident at the

vlassachllsetts General Hospiul He has conshy

tinued on the staft of the ivbssachusetts Genmiddot

er11 Hospital his title now being Physiciln

and on the teaching staff of the HJrvard

Medical School his title there being Lecturer

During the war he served at Base Hospital

10 6 in France He has written a book

Heart Disease published by the Ivlacmillan

Company (now in its second edition) and

a small book Heart Disease in General Pracmiddot

lice published by the National Ivledical

Book Company besides many articles In various medicII journals on the clinical asshy

Paul While M D Cardiologistpects of heart disease

Dr Blatt is one t1lem her of our IvleJical Society who has achieved a feat that few of us younger men will be able to duplicate He has completed this year 50 years in the practice of medici ne

The Society has bestowed honorHy memshybership upon him and will hold a Testimomiddot nial Dinner in his honor at a regllbr meeting May 17th As honored guests with Dr Blatt at this dinner will sit Iso Drs R D Gibshyson R E Whelan J F Lindsay H E Velch Jnd Thomas J rundel all of whom He honorary members

Dr Blatt was born at North Jackson in April 1865 He read medicine with Dr Stafford and later attended Vestern Resene where he was graduated in 1888 with degree of MD He opened an office shortly afterward in Brier Hill Jnd during the sumshymer-married In 1907 he moved his ofmiddot fice to the duwntown section where he IS

still to be seen dily attending faithfully to his office hours

Dr Blatt bad J medical service of which he was chief for many years Jl Youngstovn HospitJI He served well nd faithfull)

Harmon r Blatt the members of the Mahoning County lvledical Society salute you Jnd bow in rcvcrcucc to OU for ln lt1chievenlcnt that is truly unique_OOIiftyHarmon E Blolt M D yClrs of practice and stilI going strong

11101 1938

177

178 BULLETIN THE IvIAHONlNG COUNTY MEDICAL SOCIETY 179

OTHERS SAYshyAN EXCELLENT SKIN APPLICATION

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

BIOLOGICALS - ALL BRANDS

LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN GOLDEN AGE

Drink P psi Cola GI GER ALE Bottled IS Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyGOLDEN AGE WE FILL IT CORRECTLY

GINGER ALE CO Phone 27744

Kingsbury-Schlitr-Millers Distriblltors

DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 vVe Deliver

4middot4107

Jl1aJ

Article 1

Are We Mice

Plsimim i thl eaiest thint in the world to achieve Any old laf can reach enviable excelllnce a a pessishymit in j ut no tillle In fact to be a firt L1ass pessimist requires even less brain pOWll than to be a lolumnist or an economit

Hut to be a donor take plentmiddot of vitamins A B C D and G (anbishytion brains cou rage denJtion and iut) If any old oaf could make the Profession of vredicine You olddnt ce in it Then hy jo(n up with a drippy gang of goofs

True ellough theres pent of temptation to do it what with ail the poverty and poli ticians pol t roonery puerrhty and putridity both public and private obodv sees allv fun in working like the dev(l for day~ weeks months alld )Tars to provide eas job for hoard of bureaucratic loafshyns to support dirt louts who wont IIork and to supply grav) for grafters

Ve have built for the good of the public a great army of servants each individual of which is dedicated to tlte job of relieving the sufflring and saing lives Each mlmber has within him a triple ditilll(j vearnirw to be approved by his fellO~middots for 17is conshyformity to the highest standards of ~thics and professional skill and learnshymg

Our Postgraduate Day our monthshyly meetings our Autumn series our membership in and attendance at a dozen district State and ~ationaI Societil our flttend~1r1ce at teaching centers our stalmiddotks of books and jourshynab to read and re-read Wl aCClpt nduntarily as life-long responsibilities All laws State and I ationa reshyqlliring decency and excellence of our members Our Profession has sponsored and rnost of them it has originated n ~nlth the whole program of proshyteSSlOnal Improvement has arisln within the profession and has been

]1)38

achieved hy it I t isnt ~xactly pleasshyan t to be harassed hy propagandist who nndd snatch control from us and suhtitute methods which botl cxperience and common sense demonshystrate to he a futile way of olving medilal prohlcms They forget that I to kllo w them first hand are naturally vitally interested ill their solution arc the only group from hom all wise olution loan come and are deling all Ie can to work ou~ a solution

Oh of course there are within our own ranks a few possibly one per cellt dlO Ire no good anwa YOU

take them Ve know them ami ]ate em and the people often fall for them and hate us for gltting after them refuse to help us get rid of the paltry pups and have (en heen known to defeat us to thci r llIn hlrm by l)ing for them under oath

This failurl of lavmen to see that their interest is bould up with ours manifests itself evnvhere Puhlic officials often neglect or aetualh reshyfuse to call upon our Socilt for exshypert counsel in making n1ldilal apshypOlntment by mean of wtich thev could lommit the whole Professio to sec that the medical appointee yive~

] b good service ley seem to prefer to make political pap out of their medshyical requirements and the favored doctors intenmiddotted onlv in immeuiate advantage foolishl fall for what mut ultimately infure them as HII as the community Yes pessimism is dead easy

Hut to he an optimist under the circumstances hile tOLlgh is not impoSihle That do(-snt mean pollyshyanna tutf I t means perspective VE are still on the job VE have no corner on steadfastness high purshypose brains nor zeal for the welfare of our fellows Others-thousands millions-arc as good as VE are That somcrhing The churchl were no-ded Easter Sunday Faces of

178 BULLETIN

AN EXCELLENT SKIN APPLICATION

~~~regcopy~~ ~reg~ilreg~

Calamine and Resorcin Compound CALAMINE RESORCIN PHENOL 2 ZINC OXIDE

BORIC ACID GLYCERINE

Used in Eczema Urticaria Tetter Ivy Poisoning and various skin conditions of any irritable nature

DIRECTIONS-Apply freely with or without bandage dressing as desired

I BIOLOGICALS - ALL BRANDS

III LYONS PHYSICIAN SUPPLY CO MANUFACTURING PHARMACISTS

26 Fifth Avenue Phone 40131 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN I~

IfGOLDEN AGE Drink Pepsi Cola GINGER ALE

II Bottled amp Distributed byManufactured in One of Americas

Finest Beverage Plants The J F Giering Bottling Co Youngstown Ohio

Phone 6-2212

YOU WRITE ITshyCOLDEN ACE WE FILL IT CORRECTLY

CI NCER ALE CO Phone 27744Distributors

Kingsbury-Schlitz-Millers DOBSONS PHARMACY Hi-Life and Tivoli Beers 100 E Midlothian

PHONES 3-3333 He Deliver

4-4107

1l1ay

THE MAHONING COUNTY MEDICAL SOCIET

OTHERS SAY-Article J achieved by it I t isnt exactly pleasshy

Are We Mice ant to bl harassed h) propagandists who would snatch colltrol from usPessimisl1l is the easiest thing in the and substitute methods hich bothworld to achieve An old oaf Gill expnience and common sensl demonshyreach enviable excelllce as a pessishystrate to he a futile ay of solvingmist in just no time In fact to be a medical prohlems They forglt thatfirst class pessimist rlquirls even less we 1110 kuo them first hand arlhrain power than to he a coltullnist naturally vitally interested in their or an economist solution are the only group frum

But to be a doctor takes plmty of Ihom a Ill Ilse sol ution can COlUeitamins A H C D and G (anbishy and arc dJing all e can to ork uut tion brains couragl dlvotion lI1d a solution futs) J f any- old oaf could make the Profession of ~ledicine you nJlddnt Oh of cours( there arc ithill our he in it Then h ioin up with a own ranks a few possibly one per drippy- gang of goofs cellL Iho are no good anywa) you

take them Ve know thlm and hateTrue enough theres plenty of em and the people often fall fortrmptatinn to do it hat with all the them and hate us for getting afterPOHrt) and politicians poltroonery them refuse to help us get rid ofpuerility and putriditmiddot ooth public the paltry pups and have even heenand priate Aohody sees any fun in knoln to defeat us to thir owu harmworking like the devil for days weeb by lying for them under oathmonths and years to providc caSl

jobs for hoards of bureaucratic loafshy This failure of lannln to sec that ~rs to support dirt) louts who nJnt their interest is bOUld up ith our work and to supply gravy for grafters manifests itsd f evnywhere Public

Ve have built for the good of the officials often nedect or actual reshypublic a great army of servants each fuse to call upo~ our Society for exshyindividual of which is dedicated to pert counsel in making medical apshythe job of relicing the suffering and pointments hr means of which they sIIing liv(middots Each member has ithin could commit the whole Profesion him a triple distilled yearning to be to sec that the medical appointee giH~

approved by his fellows fur his conshy good service The~ seem to prefer to formity to the highest standards of make political pap out of their medshyethics and professional skill and lcarnshy ical requirements and the favored Illg doctors interested only in immediate

advantage foolishlv fall for whatOur Postgraduate Days our monthshymust ultimateh injure them as wellly meetings our Autumn series our as the comnllllity Y6 pessimism i membership in and attendancc at a dead easydozen district State and ]ational

Societies ou r attendance at teaching But to he an optimist under the centers our stach of booh and jourshy circumstances while tough is not nals to read and re-read we accept impossihle That doesnt l~lean pollyshy(Jluntarilr as life-lonl- responsibilities anna stuff I t mean perspective All lals State and 1ational reshy VE are still on the job middotVE have quiring deCelle) and excellence of our no corner on teadfastness high purshymembers our Profession has sponsored pose hrains nor zeal for the welfu-e and most of them it has originated of our fellolls Others-thl)usand~

In truth the whole program of proshy millions-arc as good a Vilt arc fessional improvement - has arisen Thats something The churches were ithin the profession and has been Cloded Easter Sunday Faces of

1938

179

180 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY lSIbull mighty few of those people were orn But the meek shall inherit the by hn)ocrites The fcllow who quesshy land and shall delight themselves

NOW OPEN-ON THE SECOND FLOOR tions that might well look his OInl in the abundance of peace The pan over The birds still sing tra-Ia icked have drawn the sword and the Rowers and trees and grass still have bent their hCJ to cast don have faith rnough to tr~ again and the poor and neeel~ to slay such asMATERNITY HOP the ripplin~ laughter of innocent chilshy are upright in the a~ Thcir sword

With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

MATERNITY SHOP-SECOND FLOOR

This neN shop between the Corset Department and BeclUty Salon supplies the expectant mother with suitable under and out8r apparel Our corsetieres are trained in the fitting of CAMP supports not only for general wear but also in prescripshytion coses

I

i

S ROUSSmiddot HIRSHBERGS Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN NOTHING BUT

PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market 8 Phone 24212

Youngstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-socrol Sprain Sacro-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for he Individuol Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

A1ay

bull

dren is abroad in the land Xot every higher-up is a Vhitney nor is cvery Relider a candidate for the Presishydenc of Hoboland Ve kno that there arr a thousand gCI1lrous and kind rich pcople to one ri -h Uriah I rep and that a thousand jobless and hungry alk weary miles seckin~ and praying for work to one who is content to let others fecgtd him

Ve cant mull around and do nothshying Ve must lind what is to be done and how best to do it Ve IIIUSt pu II Iith oursel vcs with the other comshylIIunit~ agencics more or less conshycerned and with the State and ashytionalVIedical Organizations Specifshyicall just now T must do an A-I bit cf surve~ing as the A 1 A asks us to do

But to grt back to optimism This implies no supine acceptance of things that arc rong- no ~es-yessing no i(lding to usurpation of human rights tn life liberty and the pursuit of hapshypiness Heaven forbid

Our icws may c1iffcr thats not important-so do our noses Our methods may prove wrong I f so we must change them But ever~thing conspires final I to enthrone the right In support of this the follcJing is proclaimed b~ perhaps the greatest possible authority

Frct not tllsel f because of evilshydons neither h~ thou envious against them that work unrighteousne s For the~ shall bc cut down like the frass and wither as the grern herb Fret not thyself hecause of hilll who pruspereth in his way hecause of the man lho hringeth wicked devices to pass Cease from anger and forsake rath Fret not thyself it tcndedl onl to evil-doing For the evil-dons shai I be cu t off

1938

shall enter into thrir on heart and their bos shall be broken

The seed of the wich-d shall be lllt off the righteous shall inherit the land for there is a happ end to the man of peaLc

In the light of all this a fellow might as ell 1i~11t it out think it out ork it out anel with Browning Trust God see all llltlr be afraid

Music Hath Charms Artide I

(The author of this [uvely bit of writing OllLe peddled in Yuun-gstcHlI -Editor)

VIany erenings when yuur writer was a six-ngtar-old cherub he went to bed ithcut saying Cood-night to his Daddy because the latter a ph~ sishyClan-mUSiCIan was aav on a con-linemen t case shy

But at 2 or 3 oclock on the followshying morning that little lael would be awakened lH the strains of soft music purring out from the gelale touch of this physician-musician upon the rich old cabinrt organ in our parlor Yes and thc little chap otdd tiptoe down the stair~ to see the pater sitting there on the hench a bit stooped with dim lights and half-dosed eITS toying with Handels Largo or somcthing from his favorite Eckard Grieg Just sitting there relaxinpound after sOllie arduous and tr~ing experience and gaining from the instrument which he fondled a placidity which could have been suppl ied h nothing else Tobacco narcotics liquor-none of these could han donc what the love of music and the concord of sweet sounds so well accomplished for that tired man

jvr~ memor~ brings back those songs of early youth and who can sa) that thn ere nut beautiful In

180 BULLETIN

NOW OPEN-ON THE SECOND FLOOR

MATERNITY SHOP With a Greatly Enlarged Section for

Fitting CAMP Scientific Supports

This new shop between the Corset Department and Beauty Salon supplies the expectant mother with suitable under and outer apparel Our corsetieres are twined in the fitting of CAMP supports not only for genewl wear but also in prescripshytion cases

MATERNITY SHOP-5ECOND FLOOR Ii

II

STROUSS - HIRSHBERG~S

Youngstowns Dependable Store for Over 63 Years

PATRONIZE OUR aDVERTISERS

NOTHING BUT PRESCRIPTIONS

bull Prompt Free Delivery

Call 4-0107

R L HOCKSTAD 268 Lincoln Avenue

AND MENTION THE BULLETIN CUT FLOWERS Vases and Bedding

Plants for Cemetery Decorations

PAUL SCHMIDT Florist

3121 Market SI Phone 2middot4212

Younqstown Ohio

SUPPORTS FOR BACK CONDITIONS FOR WOMEN AND MEN

are a Spencer Specialty Lumbo-sacwl Sprain Sacra-iliac Relaxation Faulty Posture and Mild Curvatures are Aided by Spencer Supports Designed for the Individual Patient and Specific Condition

MRS HELEN MANTLE Phone 23420 2818 Idlewood Avenue

YOUNGSTOWN OHIO

ilia

THE MAHONING COUNTY MEDICAL SOCIETY 18l

mighty fell of those people were Iorn Ill hypocrites The fellow who quesshytions that might well look his On pan over The birds still sing tnl-la the Rowers and trees and grass still hae faith enough to try again and the rippling laughter of innocent chilshydren is abroad in the land ot every hi~her-up is a Vhitncy nor is cvery Relider a candidate for the Presishydency of J-Ioboland Ve know that there are a thousand enerow and kind rich people to on~ rich Uriah Heep and tha t a thousand joblrss and hungry walk weary miles seeking and praying for work to one 110 is content to let others feed him

Ve cant mull around aod do nothshying Ve must fiud what is to be done and hall best to do it Ve must pull I ith ourselv(s with the other coll1shynlllnit agrncies 1110re or less conshycerned and with the State and ~ashytional Medical Organizations Specifshyicalh just noll e must do an A-I hit of SUrH) ing as the A M A asks us to do

But to get back to optimism This implies no supine acc(ptanee of things that are wrong no yes-yessing uo Yielding to usurpation of human rights to life liherty and the pursuit of hapshypiness Heaven forbid

Our vies may differ thats not important-so do our noses Our methods may prove wrong J f so we IIlust change them Rut everything conspires finalv to enthrone the right In support of this the following is prodaimed bv perhaps the greatest possihle authority

F ret not t1l1self because of evilshydoers neither b~ tholl envious against them that work unrighteousness For they shall be cutdown like the grass and wither as the gl ~en herb Fret not thvsel f because of him who prospereth (n his way hecause of the man who bringeth wicked deices to pass Cease from anger and forsake Hath Fret not thyself it tendeth onh- to evil-doin 101 the evil-doers shall be cut off

1938

But the meek shall inherit the land anri shall delight themsevei in the abundance of peace The wicked tltlve dran the sord an(1 have bent thei l bow to cast dOlnl the poor and needy to slay such as arc upright in the way TI1lir sword shall enter into their own heart and their holls shall be broken

The seed of the wicked shall he cut off the rif2hteous shall inherit the land for there is a happy end to the man of peace

In the light of all this a fellow might as vell fight it out think it out work it out and with Browninp Trust God see all nor be afraid

Music Hath Char Artide I

(The author of this lovely bit of writing once peddled in Youn2stown -Editor)

any cenings when your niter was a six-nar-old cherub he cnt to bed ith(ut saying Good-night to his Daddy hecawe the latter l pJlsishy

Clan-mUSlllm Ias aIay on a coushytinlnwnt case

But at 2 or 3 oclock on the followshying morning that little lad wouLd be awakened bl the strains of soft music purring out froIll the gentle touch of this physician-Iuusician upon the rich old cabinet organ in our parlor Yes and the little chap would tiptoe down the stairs to see the pater sitting there on the hench a bit stooped with dim lights and half-closed (y(S toying with Handels Largo or sO11ething froIll his favorite Erivard Grieg Just sitting there relaxing after some arduolJs and trying experience aud gaining from tile instrtlll1lnt which he fondled a placiditv Ihich could have been supplied bv nothing (lse Tobacco narcotic liquor-n(Hw of these could hae done what the love of music and the concord of sweet sounds so 111 accomplished for that tired man

yIv memor brings back those songs of early youth and dlO can say that they were not beautiful Tn

183 IlZ BULLETIN THE MfiHONING COUNTY MEDICAL SOCIETY

I~

S RGICAL APPLIANCES SCIENTIFlCALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACRO-ILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

PaTRONIZE OUR aDVERTISERS aND MENTION TIlE BULLETIN -~I

DOCTORS CANDIDLY SPEAKING-

Relax with an

ARGUS CANDID CAME A

The Sensational New Model A Hove fun wI h your friends takes ACTION sn(Jpshols even un at advNse Jighhng condillOl1s fAS An~3tiq 5X214-lnC~ 1250

14oz Loaded

mat 1rip Ie Lens 125 to 1200 shuller The new and belter way of (STREET FLOOR)takinq pictures

Other Argus Equipment Carried

iHar

bull

the Gloaming Loves Old Sweet Song The Rosan Blue Danube The Sweetest Story Evn Told So many of those old mdodies which recall stems of young love or of adolescent affairs Pricdess those associations

In jazz and slling music mam of us old-timers see little of merit Pershyhaps its because we arc aeing Pnshyhaps the gay blades of today will look back at these present tunes as we do at those of our youth But with the apparent noisy meaningless assemshybling of notes and chords and ph rases and with disregard of all rules of music-IIriting and with the loud blare of brass and beating of tom-toms as seems to be the trend of todays orchestras it would appear that we are reverting to the jungle and to the cannibal version of the Bi Apple

or must we forget the majestic old hymm Let us think only of their composition virtue without regard to the sentiment expressed in the words e sing Vho can deny that he is moved bv such symphonv

I t was my rare good fortune to sec the Highlanders marching into the battle line ill 1918 Kilted Ladies from Hell strutting their stuff down that Belgian road and with pipers blasting out 1 challenge to the enemy It has been said that one military leader took an orchestra down into the very trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard between shell~ was an inspirashytion which turned the tide of battlC Ve have heard of ships bands apshypearing on dCck and playing as the vessel sank I t has been mv own exshyprimce to enter the lobby If a buildshying IIhere lonesome men sometimes luunge and to bring out melodies from the piano and to have grizzled men come over with tears in their eyes to thank me for the memories which my amateur effort had brought back

1938

VIusic has soothed men it has driven them to acts of passion it has encou raged them to feats of valor it has led them to God

Sometimes the blare of the radio distracts us but if we choose carefully we can lind a hundred excdlent proshygraIns COIning over the air a vcs How strangc and destitute would be 1 world without music and without song-Ohio cllilclllillry Nnes

Preventable Article II[

Consider the empty desks of twenshytv-four school classrooms and ou will letter appreciate the number of Ohio children under 15 vears of a~e who died from accidentsduring 1C)37

Somcone has said that accidents do not happen but that there is 1

cause for each and a careful analysis will prove the truth of this quotation Vluch suffering and death call be preshyvented if we give more thought to it

The following information has been revealed by the Division of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents among children under 15 vears of age listed by cause and age ~roup for the year 1937

TOTAL FATAL ACCIDENTS IN HOME

Age AQe Ag-l- Total 04 l-l4 Vn(er Yl~ Yr~ 1 Yrs No 10 No

Poisoned In home (gas excepted) 19 0 19

[luce of Accidentshy

-Absorption of poisonolls

gas In home 2 3 Conf1Jgra~ion and other

burns In home 87 45 132 Mechanical suffoC1tion In

home - 47 I 48 FireJrn1S In hame_ l 4 5 Falls In lome _ 15 II 26 Other accidents In home 0 )

Total Fatui Accidents 174 62 236

182 BULLETIN

SURGICAL APPLIANCES SCIENTIFICALLY FITTED

GRADUATE LADY AND MEN FITTERS

ARCH LEATHER SUPPORTS ANKLETS

TRUSSES ELASTIC HOSIERY SACROmiddotILIAC PTOSIS

KIDNEY AND ABDOMINAL BELTS

Youngstowns Biological Depot

~I LYONS PHYSICIAN SUPPLY CO 26 Fifth Avenue Phone 40131 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE

DOCTORSl CANDIDLY SPEAKING-

Relax with an

ARGUS

BULLETIN

CANDID CAMERA

I The Sensational New Model A Have fun with vour friends takes

I ACTION snapshls even under adverse lighting condhions f45 Anastigshymat Triple Lens 125 0 1200 shuler The new and belier way of laking pictures

Other Argus Equipment Carried

5X21lnc~ 12middot50 14-oz Loaded

(STREET FLOOR)

McKELVEYS

mE MflHONING COUNTY MEDICAL SOCIETY

the Gloaming Lou~s Old Sweet Song The l-(o~ary Blue Danube The S eetest Stor) Enr Told So man) of those old melodies hich recall scene~ of young love or of adoscent affai rs Pricel CoS those associations

In jazz and swing music many of us uld-timers see little of merit Pershyhaps its hecause e are ageing Pershyhaps the gay blades uf today will look back at these present tunc as we do It those of our youth But with the apparent noiy meaningles aemshybling of notes and chords and phrases and ith disregard of all rules of music-writing and ith the loud blare of hrass amI heating of tom-tom as seenb to be the trend of todays orchestras it oullt1 appear that we arc reverting to the jungle and to the cannibal version of the Big Apple

~or must C forget the majestic old hl11ns Let uS think only of their comp~sition virtue vithout egard to the sentiment expressed in the words C ing Vho can deny that he is moved by such symphony

I twas m rare good fortune to see the H ighlalders ITlarching into the battle line in ]9]8 Kilted Ladies from Hell trutting their stuff down that Belgian road and with pipers blasting out a challenge to the enemy 1t has been said that one military leader took an orchestra down int) the vcrI trenches and that the examshyple of these unarmed musicians and the occasional melodv which could be heard betCen shell~ was an inpirashytion hich turned the tide of battle Ve have heard of ships bands apshypearing on deck and plaling as the vessel sank I t has been ml on exshyperience to enter the lohbv ~f a buildshying Ihere lonesome mel~ sometimes lounge and to hring out melodies from the piano and to have grizzled men come over ith tean- in their ees to thank me for the memories

~hbic has soothed men it has d ri -en them to acts of passion it has encouraged them to feats of alor it has led them to God

Sometimes the illart of the radio ditracts us but if we choose carefully wc call lind a hundred cC(llent proshygrlI11S coming over the air waves HoI strange and destitute would be a world ithout music and without song-Ohili jJcllillllli(rl NfWS

Preventable ArlEde II f

Consider the emptlmiddot desks of tCnshyn-four school claSSrOIIl1S and IOU will hetter appreciate the number of Ohio children under 15 vear of a2e who dicd from accidmts during 1937

Someone has said that accidents do not happen hut that there is a cause for each and a ca rdu1 ana II sis middotill prove the truth of this quotaton ~-1 uch suffering and death ((II he preshyvented if (~ give more thought to it

The following ll1tormation has been revealed by the l)i vision of Vital Statistics

Tabulated below is the number of deaths due to fatal accidents amon children under 15 years of age listed bymiddot cause and age group for the year ]937

TOTAL jATAL jCCIDE0lTS IN HOME

AJltc A~e A~l ToLnl 0-4 ~gt-lI Under

Yr Y Tlo 1 irsPlace of Arcident-No No No

Poisoned in home (gas exceptcd) _ 1 t) 0 19

A hsorption oi poisonous gs in home 2 I 3

Confllgrllion and othe hurns in homc 87 45 132

Mechanical suffocation in home 47 I Hl

Firc1lms in home___ I 4 5 Falls in home __ 15 11 26

Othcr accidents in homc 0 3 ~hich m) amateur effort had hrought -shyback Total Fatal AccideTJs 174 62 2gt6

1110 1938

83

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTL JA L vl0TOR VEHICLE JCCpoundDI0TS

Colliion wilh pedestrian 41 116 157 Cllision with olhel momiddot

tor vehicle I G 16 ) 2 Colliion with railroad

trin I 10 II Collision wirh bicycle 0 I) 13 Clli~in with horse drawn

ehide I 2 3 Collision with electric car 0 I I Collision with fixed obmiddot

Jects 0 5 5 Othn fllal Jccidenls with

automobile lt) 29 18

011 Ftl ccider1ls (8 191 260

TOTL ICBUC rl1L CepoundDENTS

(0ot socillcd wilh MolOr Vehicle) Rail roJ nOl with nlotor

chicle I) 14 SlreelcJr not wilh motor

V(hicle I)

011 other vehicles not wit h I1l(l(Or middotmiddotchiclc 5 (

rltr 1((id~nls with LlCr tran~porlJ(ioll _ o 2 2

1111 1ccidnls with air transportation o 2 2

Con (IJ~rlI ion Jne hurns -not in hOTTIe 2 1 5

Drowning _ 20 G5 85 rircgtrms-not in hom 2 17 19 Palls-not in home _ 4 [ 6 20 Olher (alJI public accimiddot

dents _ 41 29 70

Total Public Fatal Acshycidints 72 152 224

GRiND (olal in each a~c ~roup _ 314 406 720

-Ohio Heallh News

-----0---shy

PUBLIC HEALTH COMMITTEE The Publil Health Committee met

~h(Jrtly ago ith Hr~ Vlarshall and _lr~ Carnel2ie Iho represented the Parent-Teacher Association~ The dicuion dt~alt (a) with our part in the ork of the summer round-up o hildren who will enter ~chool in the autumn and (b) with our a~si~tshyance and co-operation in health cdushycation th rough the Schools and the Parrnt-[eachns Asociatiom

Dr Scofield chairman as~ured the Parent-Teachers Aociation that we shall be happ~ to help in any way we

can Effort i now bcinf directed to working out a plan of approach to the problems

At another meeting the Public Health Committee met iointlv with thc Public Health COITlIlittce of the Chamber of Commerce Plans Iere discussed for establishinl under the leadership of the Sllliety a city-wide continuous program for makinr our citv and count a morc beautiful and herlthful plaLl in Ihich to live The cffort each year Iill probably be launched and the direction given at a da of conference on our problems cndin~ Iith a dinlllr and an addre I1 a nationallv knlln leader This ill be for the COl11munitv much Ihat our Po~tgraduate [)a is for the physici~lJl Further announceshyl11ents about this Imiddotill he forthcoming ~oon

-----lt0gt----shy

NEWS TEMS By S J T

Doctors nachman BakuI Hebershyding and Saul Tamarkin attendcd the rccent mecting of the Clevehlnd Rashydiolugical Soiety in Cleveland They are all memhers Dr Heberding was elcctcd president for the coming year

Dr Joseph Barach of Pittsburgh gave an interesting and in~tructivc

talk on Diabetes to the Staff of St Elizabeths Ho~pital at its regular monthly mecting in April He stressed the high carbohydrate and low fat diet and showed bl numcrous examshyples and statistic~the rationale and cfficacy of this diet

Dr and 1r~ VlcConnell have returned from a wedding trip to Florida lVIIS VIcConneil Ias Betty Samuel of Youngstown

Dr Poling made a nice recovery from his recent operation He is conshyvalescing and expects to be back on the job soon

Dr H E Chalker has returned from Chicago where he took a two Ieeb special course in Surgery at Cook Count~middot Hospital

lIiay

lln fIrlltoriullt

3JU11l111 Arnot malklr ~ II 1888-1938

Died April 5

lln iRrmoriam

11111J QJornlHul1 illbb 1Jl1l i 1889-1938

Died April 16

DR PATRICK REPRESENTS US On Tuesday evening April 19th

at the regular meeting of the Society Dr Patrick was elccted to represent the Society on the Board of Trustees of the Associated Hospital Service Incorpora ted

The Board of Trustees will be composed of the following

Representing St Elizabcths Hospishytal Dr Chas D Hauser Youngsshyton Hospital Dr Vm K Allsop VIahoning County Medical Socicty Dr H E Patrick the Hospital management for St Elizabeths iVI r Jas Hyland and VIr HughVickshyham Youngstown Hospital NIr Al Cook and lVIr B V Stewart represhysenting business groups vr r Val ter Bender and VIr Frank V Vloucry

This project bCl2ins under sound management It offers to our memshybers as a group hospitalization so inexpensive as to make it seem imshyprudent for us not to avail ourselves of it

1938

Youngstown College Library A few years ago there was no such

thing a~ a Youngstoln College 10shydar its enrollment exceeds 1600 amshybitious yuung men and Iomen

The cost of attendance i about $22500 per year The pour youngshyster with grit and brains has a chance

The curriculum is adapted to the needs of culture as ell as vocation I t develops a wd I-rounded Ii fe

It dues good work Thc successful alumni prove that

Younbtmvn College is a great community asset It comes to all of us now for something to make its work still more effective A better Library

Let us show this organization called Friends of Young~tOnl Library that we arc Friends of Youngsshytown by supporting this librarv as simply Olle important element ot the mallY which go to make uur comshymunity a mighty good place in which to live

--

THE MAHONING COUNTY MEDICAL SOCIETY 185184 BULLETIN

TOTt rATA MOTOR VEHICLE can Effort is now being directed to ACCIDEiTS working out a pbn of lpproach to the

Collision with pcdestrian 41 J 16 157 prohlem5Collision with othcr mo- 1Jlt tUrmortam

tor vehiclc - 16 16 j2 At another meeting the Public Collision with railroad Health Committee met jointly ith

lrJi n _ _- - I 10 II the Public Health Committee of the ~htlllra Arnot lIalkrr ~ m Collision with bicycle 0 I I 13

Cham her of Commerce Plans wereCollision with horsedrawn 1888-1938 vehicle I 2 3 discussed for etahlihing under the

Collision with electric car 0 I I leadership of the Society a city-wide Died April 5 Collision with fixed obshy con tin uous program for making ou Ijects 0 5 5 cit- and count a more beautiful andOther fatal accidents with Jutomobile - 9 29 38 helthful place- in which to live The-

-- ---- effort each year will probably be Tota Fata Accidents 61l 192 260 launched and the di reetion given at a

TOTAL PUBLIC 11T day of conference on our problems ACCIDENTS ending Iith a dinner and an address

(Not 1ssociltlled with ]vlotor Vehicle) hI a nationalJv knoln leader Thi 1Jn 1lllrmor1tam Ibilrold not with motor ill be for the communitv muchvehicle J J 4 Streetcar not vIth rnOlOr what our Postgraduate Da- is for

- -DlIralrg QIornlliua 1Rrbb ti lEIIehide I 0 the physicians Fu rthn lnnounc(shy

All other vehiclls not mcnts about this ill he forthcuming 1889-1938with mOtOr vehicle I 5 6 soonFatal accidents with water transportation --- 0 2 2 ----~0gt----- Died April 16

Iatl accidents with 31 r transportation_ 0 2 2 NEWS ITEMS

ConfL1gration Jnd burns By S J T -not in home 2 j 5-

Drowning 20 65 85 Ooctors Ihchnan Baker 1I (gtbrrshyDR PATRICK REPRESENTS US Youngstown College Library

firearms-not in home 2 17 ] 9 ding and Saul Tamarkin lttended the Falls-not in home 4 J 6 20 recent meeting of the Cleveland Rashy On Tuesday evening April 19th A few years ago there was no such Othcr fatal public acCishy diological Societv in Cleveland They at the regular meeting of the Society thing as a Youngstown CoLlege Toshy

denl S 41 29 70 arc all memhers Dr Heberding was Dr Patrick was elected to represent da- its enroLlmellt exceeds 1600 amshyTotll Puhlic Fata Ac- elected preident for the coming year the Societ on the Board of Trustees bitious young men and women

cidents _ 72 152 224 Dr Joseph Barach of Pittshurgh of the A~sociated Host)itll Service The cost of attendance is about Incorporatedgave an interesting and instructive $22500 per year The poor youngshy

GRiJ) total in each a~egroup __)]4406720 talk on Diabetes to the Staff of St The Board of Trustees will be ster vvith grit and brains has a chance

)l1io Health News Elizabeths Hospital at its regular composed of the following The curricululJJ is adapted to the monthly meeting in April He stressed Representing St Elizabeths Hospishy needs of culture as well as vocation the high carbohvdrate and low fat tal Dr Chas D Hauser Youngsshy It develops a well-rounded life

PUBLIC HEALTH COMMITTEE diet a~d showed b- numerous examshy town Hospital Dr -Ttn K Allsop I t docs good work The successful ples and statistics the rationale and vIahoning County Medical SocietyThe Public Health Committee met alumni pnve that

shortly tgo with Mrs farshall and efficacy of this diet Dr H E Patrick the Hospital Youngstown College is a great VIIs Carnegie ho represented the Dr and vI rs VIcConnell have management for St Elizabeths II r communitv asset I t COmes to all of Parent-Teachers Associltions The returned from a wedding trip to las Hyland and Mr Hugh vVickshy us now or something to make its discltssion dealt (a) with our part Florida Mrs VIcConnell was Betty ham Youngstown Hospital lVIr Al work still more effective A better in the work of the summer round-up Samuel of Youngstown Cook and Mr B -T Stewart represhy Library of children Iho ill enter school in Dr Poling made a nice recovery senting business groups VI r Talfter Let us show this organization called

Bender and iVIr Frank V IVIouerythe autullJn and (b) with our assistshy from his recelt operation He is conshy Friends of Youngstown Library ance and co-operation in health edushy valescing and expects to be back on This project begins under sound that we are Friends of Youngsshycation throueh the Schools lnd the the job soon management [t offers to our memshy town by supporting this library a Parent-Teachers Associations bers as a group hospitalization so siruply one important element of theDr H E Chalker has returned

Dr Scofield chairman assured the from Chicago where he took a two inexpensive as to make it seem imshy many which go to make our COmshy

Parcn t-Teachers Association that we weeks special cou rse in Su rgery at prudent for us not to avail ourselves munity a mighty good place in which shall be happ~ to help in any wa~ we Cook Count~middot Hospital of it to live

1938IvIa)

186 BU LET] THE MflHONI G COUNTY MED CAL OCIETY 187

---I SECRETARYS REPORT IWHATS THIS

MAN CHARGED

I WITHI

(1)1I

~~~t-__ I He used his bean and parked

A Drum can be beatenhjs car al Central Square Garage

where cars are cool in Summer Clifford bull Thompsons

Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage Wick amp Commerce SI 2151 Markel SI Phone 3middot26~6

Phone 3middot5167 Youngstown Ohio

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN EVAPORATED Ninety-second

Morning Glory Milk Annual Meeting

MPROVES OHIO STATE MEDICAL

COOKING

crnd ASSOCIATION BAKING

IT WHIPS

NEIL HOUSE Fine for Bnbies

COLUMBUS OHIOand Involids

Wednesday and ThursdayDEFIANCE May 11 and 12 1938

II_MILK PRODUCTS CO

Il1a

The mceting was callcd to ordcr at 9 (JO p m April JlJ 1931J hy the Preiden t leeting II-a held at the YOUllgtown ClubmiddotThere were about Ii ty member preent The Preidellt explained that thi wa the regular meeting night hut a the Potgradllshyate rh~- came at the latter end of the mOllth he hoped thi cOllld be a buishyne mleting to dipenc with ltlIlllt

of the blline affair that Ivollid be brought to the attention of the Socieshyt~middot a a whole

The minute of the last mening I(re read and approved there In~re

no addition or correction

The application of the following doctors were read Dr Vm E laine tranferring from an aocishyate memberhip to regular membcrshyhip Dr Ralph W Bcede 1509 Iarket Strcct Dr A ] Looze II I v Commerce Street These lJlplishycation IIere turned to the censor for inlCtigatiol1

The Preident then requested a report from the COllncil of the I gtishytrict Iho reported on the activities of a ~olf asociatiun and asked if the county ociety would not donate to

thi aociation called the Golfer suciation of the Sixth Councilor District Ten cent per capita i to

he turned over frOI11 the treaun of each county society for prize fot the gol f matches

It 11t llloved and secolded that ten cent per capita be dnlyn from the treaurv and forwarded to the Golf Com~ittce of the Sixth Counshycilor Ditrict for golf prizes in the Sixth Councilor Ditrict Golf Tourshynament VIotion paed

Tlte President then explaincd that one of our me-mbers ha practiced Illedicine in our vicinitl for tiftv Iears and he felt that thi IIa an outtandshying attainment and tltat the Society lOuld honur uch an individual Thi illllil-idual being Dr H E B1ott

1)r F UZI then moved tbat Dr Blott he m~de an honorary mcmber

]Q8

of the Iahoning County VIcdical Society for outstanding enice to tht ccml1111nitl econted hI Dr SedshylIitz v[ction paed

A testimonial dinner I-a thcll dishycued b~ Dr Fuzy to be given for Dr BleJtt The Co-Chai rnlln of the Entertainlllcnt Committee Dr L G Coe aid arrang Illent had Ilot defshyiniteh becn made hut a tetinHillial dinll~r lIould be held in conjunction I-itlt the Ia~ meeting of tlte County Societ~middot if ordered by the Sucietl

It I-a moved tltat the entertainshyment COllllllittee be intructed to huld a dinner in honor of lJr Blott at the vI ay l11eeting of the vIahoning Counshyt~middot 1edical Societ~ Iotion secund(d and pased

The President then explained that the Venereal Clinic had been operatshying for ix llHlnth alld he felt then llOuld he ol11e report from the Health Department in regard tu it operation

Dr R vall aid that OJl vIal 2 1938 th~ Venereal Clinic would he in operation ix month 0 paticnt a admitted to the Clinic IIho could pay no patient wa admitted whu lIa on relief or on anI uf the ubshysidiarie of the Gove~nment The Clinic lIa operated on Tueday and FridaI of each week He thanked the men ~ho had co(gtperated to the fullet and all the pecialtie who had been called and donated their services Iithshyou t quetion

The Preidenl then explained tbat Postgraduate Day Ia going over IIith a hang and already over 100 ollt-of-toln reervation had been reshyceived

The President explained that one of the purposes of thi meetiJlg wa the dicuion and if pussible the apPToval of a Pre-Paymcnt Plan for the hospitab of vIahoning Countl

Dr AIIop Chairman of the I-Joshypital Committce explained in dcta1 the IIorking of thi plan reading

186 B U L LET I~

WHATS THIS

MAN CHARGED

WITH

(1)11

He used his bean and parked

his car at Central Square Garage I A Drum can be beaten where cars are cool in Summer II

Clifford 1 Thompsons Where Doclors Park Invalid Coach and Funeral Service

Cannot be BeatenCentral Square Garage I

Wick amp Commerce SI 2151 Markel SI Phone 326~S

Phone 3middot5167 Youngstown Ohio

paTRONIZE OUR aDVERTISERS aND MENTION THE BULLETIN

THE NillliONING COUNTY MEDICAL SOCIETY

SECRETARYS REPORT

EVAPORATED II

Morning Glory Milk II

IMPROVES I COOKING

and

BAKING

IT WHlPS

Fine for Bnbies

and Invalids

DEFIANCE

MILK PRODUCTS CO

Ninety-second

Annual Meeting

OHIO STATE MEDICAL

ASSOCIATION

NEIL HOUSE

COLUMBUS OHIO

Wednesday and Thursday

May 11 and 12 1938

The meeting lIas called to order at 9 on p Ill April 19 193H hy the President Ileeting lIas held at the Youngstollll Club There lICre about lifty nwmbers preSlnt Thl Prlsident e7plaimd that this was the regular mettin night but as the Postgrad ushyate Dav came at thl latter lnd of the nlOnth hl hoped this could be a buishyn(s meeting to dispens(~ with some of the husines affairs that would be brought to tll(~ attention of the Socieshyt~ as a Ihole

The minutes of the last meeting Ilre read lllli approved there lIere no additiolb or correction

The applications of the follolling doctors I(~r~ read Dr Vm E laine transferring from an associshyate memhership to regular membershyship Dr Jalph T Beede ISO) larket Street Dr 1 J Lom-e III V Commerce Street These applishycations were turned to the ceusors for ir1l6tigation

The President then reljuested a rlport from the Council of the Disshytrict I110 reported on the activities of a golf association and asked if the CO[lIltl societl would not donate to this ilssociatim called the Golfers sociation of the Sixth Councilor District Ten cents per capita is to hl turned over from the treasu rv of each county society for prizes fot the gol f matches

It Ias moved and seconded that ten cents per capita he drawn from the treasurr and forwarded to the Golf Comn~ittee of the Sixth Counshycilor District for gol f prizes in tht Sixth Councilor District Golf Tourshynamen t -1otion passed

The President then explained that one of our members has practiced medicine in our vicinitv for fIfty ~ear

and he felt that this Ias an outstandshying attainment and that the Socidl should honor such an individual This indilidual heing Dr H E BIott

Dr FuzI then moved that Dr matt he m~de an honoran- memher

111(1 1938

of the -[J1()ning Countl tledical Society for outstanding senicl to the community Seconded by Dr SedshylIitz lotiun passed

A testimonial dinneJ Ias then disshycussed b~ Dr Fuzy tu [w given fur Dr Hiott The Co-Chairman of the Entntlinlllent Committee Dr L G Coe said arrangltments had not defshyinitelv heen made but a tctimonial dinner 1 ould be held in conjunction I-ith the Vlay nweting of the Countl Socidl if ordered 111 the Societr

It was moved that the entertainshyment committee be instructed to hold a dinner in honor of Dr illott at till lar meeting of the lalHlning Counshyty ~ledical Societ~ Iotion secolHhd and passed

The President then explained that the Venereal Clinic had beln operatshying for ix month and he felt then should be SJJme report from the Health Department in regard to its uperation

Dr Ryall aid that on VIa 2 1938 th~ Venereal Clinic I()ul~l he in operation six months ~(l patient was admitted to the Clinic who could par no patient was admitted IIll) was on relief or on an of the suhshysidinies of the GOICYllmcnt Tlw Clinic was operated on Tucdav and Fridal of each week H c thank~d the Illen I~ho had coiiperated to the fullet and all the specialties who hld heen called and donatcd their enices withshyout question

The President then explained that Potgraduate Dal Ias going over with a hang and already Ol(l 100 out-of-town resellations had been rcshyceilmiddoted

The President (xplained that on( of the pu l poses of this meeting I-as tbc discussion and if possihle the approval of a Pre-Payment Plan for the hospitals of Mahoning Count~middot

n r A lsop Chai rman of the H osshypital Committee explained in detail the workings of this plan reading

187

THE MAHONING COUNTY lvlEDICAL SOCIETY 189188 BULLETIN

most of the constitution anrl bv-lamiddots havin~ to do with the medical care TENTH COUNCILLOR DISTRICT MEETING with the contract in full Ther~ were of those who henefit under the A

some explanations to be made and D c Laof the marl questions were asked ahout cershy I t is most pleasinl to find such a

MEDICAL SOCIETY OF THE STATE OF PENNSYLVANIA tain phases of the contract Dr Allshy fine spirit of cooperation as that sop either explained in detail or said shown by] udge Beckenbach and 1rs

TO BE HELD AT that he would have to have a better Vendlin~ This is the relationship understanding and middot(luld take the with our public officials which willBRODHEAD HOTEL BEAVER FALLS PA matter up with the Board lead to better public service

It middotas moved and seronded that ----lt1--- -shyThursday May the 12th 1938 the plan a~ ~iven by Dr Allsop for BOYS GO TO TOWN

1000 OClock A M (D S T) Pre-Payment Hospitalization be apshy The following committees deserve proved by the iVIahoning County the Societrs deep gratitude for their Medical Societv Hotion passed Vote efficient work in putting over an unshymiddotas 46 res and 1 no usually succe~sful Post~raduatc Day

H H TREUDLEY amp CO Doctor Tellemiddots Dr J C Hall Dr J Postgraduate Day

Rosenfeld Dr Andrew VIiglets DrINC James B Birch Chairn11n G A Parilla Jlmes D Brown123 E COMMERCE STREET Phone your R direct

As Dr Allsop had alreadv exshy Gordon G ielsonOFFICE SUPPLIES to us-we will deliver Samuel Tamarkinplained there was a member to middotrepreshyACCOUNT BOOKS Paul M Kaufmnsent the Vlahoning Count)1 jVIedical Ilbert J Brandt

STEEL amp WOOD OFFICE Societ on the Board of Directors of2-2483 bull 2-1048 I Joseph F NJgleFURNITURE this Pre-PavmCllt Plan Association Chas H JrLlock

Prompt Service JONES PHARMACY I Therefore t ballot was taken and Louis S Deilchman

For F F Monroe2702 Market St the two highest nominees were DrCall 3-0612 John R Buchanan Patrick and Dr i1c~middotamara Joseph Rosenfeld

On the election ballot Dr H E Sa m uel Schwebel PATR~NIZE OUR ADVERTISERS AND MENTION THE BULLETIN M H BchmanPatrick was elected

Program IJeeting middotas adjou rned at 1115 John Noll Chairl1ln p m llbert J Brandl

Prescriptions WM M SKIPP Pro-Tem Chas H arnock -----lt0gt----- A M Rosenblum

and Ivan C SmithDr Evans Committee Rings Bell Samuel Teaver

After several meetings with Judge Herman B KaufmanSick Room Supplies THE IDEAL DRESSINC H P Beckenbach and his Adminisshy Sam uel H Sedwitz J Pul HarveyFor the Relief of Inflammarion trator of Aid to Dependent Children PublicityF A MORRIS and Congestion ~1rs Vendling Dr Evans and the Louis S Deichman Chairman

Pharmacist Denver Chemical Mfg Co Sub-Committee on Public Relations Samuel H KI1tman

163 Varick Street hae completed plans to set up a C Autenreith PHONE4171 CANFIELD OHIO Herman B KaufmanNew York N Y fedical Advisory Committee to cushy

Of equal importance also is theoperate in that work The Comshyloyal support of all the memhers ofmittee will be appointed by Judge the Society and of our visitingBeckenbach The members of this friendsAdvisory Committee will consist of aPHONE 7-8136 -----0gt----shy

representative of the County Comshybull BUCHMANS missioner of Health recommended Fiftieth Wedding Anniversary

For expert PhotomiddotEngraving hr Dr Patton a dentist to be recshy Dr and ~1rs H E Blott are havshyservice A corps of skilled Engravers are ready to meel ARCH ommended 1) the President of the ing open house 1av 15 in ohservance your most exacting demands Corydnn-Pal~er Dental Society and of their 50th vVedding Anniversarv

bull UPPORTS three representatives of the IIahoning and they will he glad to welcome t1~e

Photo Reproductions Co Countv ~iledical Societ recommendshy doctors of the VIahoninl Count) INC 9-11 Bus Arcade ed hv middotthe President of -the Societv VIedical Societ and their families

334 East Federal Street The I-ark of this Ad visorI Comshy They ImiddotiIl rece(ve from 3 to 5 p m mittee middotill consist of thosemiddotnntters and frum 7 to 9 p m

1938il1t11

bull

188 BULLETIN

TENTH COUNCILLOR DISTRICT MEETING of the

MEDiCAL SOCIETY OF THE STATE OF PENNSYLVANIA

TO BE HELD AT

BRODHEAD HOTEL BEAVER FALLS PA

Thursday May the 12th 1938 1000 OClock A M (D S T)

H H TREUDLEY 6 CO Doctor INC

123 E COMMERCE STREET Phone your R direct OFFICE SUPPLIES to us-we will deliver

ACCOUNT BOOKS

STEEL amp WOOD OFFICE bull2-2483 2-1048FURNITURE

JONES PHARMACYFor Prompt Service

Call 3-0612 2702 Market St

paTRONIZE OUR aDVERTISERS RND MENTION THE BULLETIN Prescriptions

and

Sick Room Supplies ror the Relief of Jnflammation

F A MORRIS and Congestion

Pharmacist Denver Chemical Mfg Co 163 Varick Street New York N Y

PHONE 4171 CANFIELD OHIO

PHONE 7-8136 bull BUCHMANSfor expert PhotoEngraving

service A corps of skilled Engravers are ready to meet _tRCH your most exacting demands SUPPORTSbull

Photo Reproductions Co INC 9-11 Bus Arcade

334 East Federal Street

THE lJlAHONING COUNTY MEDICAL SOCIETY

most of the constitution and by-Ias having to do with the medical care with the contract in full There were of those ho benefit under the A wille explanations to be made and D C Law many questions were asked about cershy I t is most pleasing- to find such a tain phases of the contract Dr Allshy fine spirit of cooperation as that

sop either explained in detilil or silid shown by Judge Beckenbach and WI rs

that he would have to have iI hetter Vendl ing This is the relationlthip understanding and would take the with our public officials which will

matter up with the Board lead to better public service ----00gt----shyI t as moved and seconded that

the plan as given by Dr Allsop for BOYS GO TO TOWN Pre-Payment Hospitalization be apshy The following- committees deserve proved by the jVIahoning- County the Societys deep gratitude for their VIedical Society Motion passed Vote efficient work in putting- over an unshyas +6 yes and 1 no usually successful Postgraduate Da~

Tellers Dr J C Hall Dr J Postgraduate DayRosenfeld Dr Andrew iVlig-lets Dr Jlmes B Birch CIlirmn G A Parilla James D BrowJl

Gordon G NelsonAs Dr Allsop had already exshySamuel Tamarkinplained there was iI member to represhy Paul tv Kaufman

sent the VIahoning Countl ~Vledical Albert J Brandt Society on the Board of Directors of Joseph r Nagle this Pre-Pamlent Plan Associiltion CIl1S H Warnock

Louis S Deilchm1I1 Therefore a ballot WilS taken ilnd F r Mon roe the to highest nominers ere Dr John R Buchanln Patrick ilnd Dr McXamara Joseph Rosenfeld

On the rlection ballot Dr H E Samuel Schwebel M 1-1 BachmanPatrick was elected Program

Meeting was adjou med at 11 15 John Noll ChainnJJl p m 1lbert J Brandr

Wi M SK IPP Pro-Tern Chas H Varnock ---ltgt-- A M Rosenbltlm

1van C Smith Dr Evans Committee Rings Bell Samuel V Veaver

After several meetings with Judge Herman B Kaufman Slmucl H SedwilzH P Beckenbach and his AdminisshyJ Paul Harvey

trator of Aid to Dependent Children PublicitylVIrs Vendling Dr Evans and the louis S Deichman Chairman Sub-Committee on Puhlic Relations Samuel H Klarman

V C Autenreithhave completed plans to set up a Herman B Kaufman

lVIedical Advisorv Committee to coshy Of equal importance also is the operate in that work The Comshy loygtal support of all the members ofmittee will be appointed by T udge the Society and of our visitingBeckenbach The members of this

friendsAdvisorv Committee will consist of a ----ltgt---shyrepresentativr of the County Comshy

Fiftieth Wedding Anniversarymissioner of Health recolTInltnJed bl Dr Patton a deltist to be recshy Dr and Mrs H E Blott are havshy

o~mended lw the PresicJent of th ing open house l1al 15 in observance

Corvdon-PalI~ler Dental Societv and of their 50th vVeddin Anniversarv

thre~ representatives of the Mahoning and they will he glad to welcome t1 Count Vledical Societl recommrndshy doctors of the vfahoning Coullt) rd bl the President ofthe Socirt Medical Societl and their families

The work of this Advison Comshy They ill receive from 3 to 5 p m

mittee will consist of those m~tters and from 7 to 9 p Ill

~[ar 1938

189

190 BULLETIN THE MAHONING COUNTY MEDICAL SOCIETY 191

ANOTHER FEATHER IN OUR HAT 1938 Pot~raduate Ihl i nOlI it

thing of the Iast but it iolliv fittin that lIT recount ome of th~~ cen~ [Hhind the scene Your roving reshyporter mingling middotith the crl)n heard lomment like thee great da~

Bltter than a Ill meetin I ever atshytended I vordn horlw do it Such l(lmnlCnt an a ~rcat satifacshytion alld make all the time and dfort put forth bmiddot the committees IJrth hile

To nil the biggest th rill came from till mile of atifaction and pride lOwn bl (H~n memlllr of the II ashyhoning Countv Hedical Society Fach lIa intlreted in the slCce~ of the mceting and each wa aling tu lim Birch John -ull Lou Deitchshyman mel their committee Vell Done

Statitically thnc ITre +87 physishycian registered represcnting ~7 difshyferent citie and tOl[l covering a wide lrea

Vith thee few remark another chapter in postgraduate education in VIahoning Count is closed The ociety activities move forward and our time and attention mut be givcn to making thee as sUlTeful as the potgraduate meeting The comshymittees have learned much of value to aid in making the next meeting the most gigantic the mot tupendshyous and the most collossal ever Ve place another feather in our hat and march fonlarc prouurr than ever

SA~lUU J KLTMA~ M D

---~8gt-----

Series of Summer Golf Meets A erie uf monthly golf meeting

ha Ie [wen planned for thi ummer in order tu promote a more sociable contact and goou felIOlIhip itll the doctor in the 6th Cuunciler Disshytrict Thee meet to be hdu the last Veunesdal of each summer month namcly JUlie J ull August and September ill the four Jifferent

bull

countic Summit Stark iHahoning and Va~ne Thce mrets tu be held as follolls

June 29 I ()l8 Summit COllnlY lkron

July 27 1918 Wayne County WoosshylCr

Ju~ 3l 1918 Mahoninp County Youngstown

Sept 28 1918 Slark County Conlon

The esential features of these meetings Ilill he to detcrmine the team championhip of the counties and inJividual championhip of the Jitrict I ndividual handicaps ill be (tab ished so that eVIry gol fer middotil I han a guod chance to participate in the ditribution uf the ma[1 seniceshyable and ueful prize hIe team will be dltlrminnl at each llleeting bv the five owet gros scure from each count Thi makes everyone eligible forthe team which m1l vary from Illeet to meet The team chanshypionhip will be detlrmincd by the seaon total of the five low ~cores fur each of the fou I meetings

Each meeting wi II con~it of gol f in the afternoon and Jinner in the evening one fee to cover all expenses It i planned that at the Iat meeting of the year the ditrict championship will be determined Ill the loet gros score provided rhc contetant ha regitered at at least tllO of the previou meetings

Comrnille~ 6th CouJ)cilrr District G D Underwood-Stark Navarre 1 C Smith-Toyne Wooster D C Brennon-Summit Akron

-I PRESCRIPTIONS

and

SICK ROOM SUPPLIES

DUNCAN DRUG CO 158 West Rayen Avenue

Cor Elm Street

Youngstown Ohio Phone 7middot6150

ilIa

THE MEDICAL CRIER A Page 01 Sidelights News and Views from the Medical Field

bull It uSImiddotd to be quite the thing to go to Vienna for Post~raduate studl OIl that many uf thlse teacher a~e becoming refugees anc exile it might be a good idea for them to come here fur a tour of medical lectures HoI about a group from Virnna for our next Potgrauuate Day

V c note that the Toledo Acauen1 of Hedicine during April presented a serie of ten lecture on Diseascs of the Heart bl Vilhelm Dressler of Vienna Aurria Fcc for the cours~ five dollars bull Pre-iuent Ruusevelt thought it a pit that the Ditrict of Columbia Heuical Association opposed the group health asoeiation financed by the H O 1 C Ye a pity for th~ ledical Asociation And the uld Crier think it a pit that the Preishydent thought it a p(ty bull The motion pictllre a a medium for medical teaching i not being used neadv as much as it hould be Vhen four hundred doctor can sit comfortshyably IIatching an operation evenone haling an unobstructed vie cler to

the uepth of the opcn abdomen with each step explaincd there i no book no medical magazine no scat in the clinical amphitheatre hich give the same advantage Four doctors viewshying the same operation in the clinic would have a good viemiddot uf the asshysistants hacks onll ~Ioreover the patient before opertion the operation itself the gros and microscopic pashyt1l()l()g~ in the tiues removed and the patient recovered after operation can all be shown in Ies than one hour -a proce actuall~ taking Ileeks of time DeLees motion picturc on Caesarian Section i a masterpiece a is Lahey on Resection of Rectal Carcinoma At the A ~I A session last June many uf us pent hour viewshying the motiun pictu res in the VIalo exhibit

UaJl of thesc films arc available to Iedical Societies without cost CXCl~pt

]fJ38

tranportation The proper time and place for sholling them is a matter to be cOlbidcred Thc peronal appearshyance of onl( uistingllihed medical teacher is such an ingrained part of our Society program and uch a strong draing card in promoting attendance at lllceting that to dispense with it j

unthinkahlc Yet we could have both Jeeting are usual OITr bv ten thirshytv and manv memhers lin~er aftershy~ard for social pursuits The projecshytion apparatus and operator arc UlIshy

ally on the joh and to run a fll m would take onll a little extra time after the speaker paper and it dishycusion are finished Such an added attraction might bring out a larger attendance at meeting and would prove a Iecome addition to our euushycational program bull Ve Ilere agrecably surpriscr the other evening to hear the familiar voice of Dr Altdoerffer OTr the radio on the tlan on thc Street program The old Doc spoke right up with his usual assurance and anshywered the announcer questions Ve arc still trying to figure out that one ahuut the flying time between XCII

York and Chiclgo But how he can claim Scotch ancetn Ilith a name like that is a little too much Ve think he Vas just showing the old Dutch thrift bull The best one Ie heard thi month is about the lad who named the puppy Paderewk( bccause he wa the pianit dog she ever saw

-----lt8gt----shy

Congratulations Congratu lation are in oruer from

the Iahoning Drug Club to Iemshybers of the IIahoning Cuunty Vledishycal Society for their succesflll anu intereting Post~rlduate Assemhlie It is with much interest the Club watches the growth of the Society and our thirtl-five members wish to thank the pnfesion for their heart) co-opera tion

190 BULLETlj

ANOTHER FEATHER IN OUR HAT counties Summit Stark Vlahoning 1938 PostLraduate ])a is now a and Vavne These meets to be held

thing of the Iast but it is only fitting as follO~s

that n recount some of the scenes June 29 1915 Summit Countbehind the scenes Your roving reshy Akron porter mingling with the crowd heard July 27 I (ns Wayne Counly Woosshycomments like these 1 great day ter

Better than an) meeting I ever atshy Aug 11 1915 Mahoning Counl) Youngstowntended 1 wonder 1101 the- do it

Sept 28 1918 Stark County CntonSuch comments are a great satisfacshytion and make all the time and effort The essential features of these put forth il the committees vorth meetins will he to determine the while team championship of the couuties

and individual championship of theTo me the biggest thrill came from district Individual handicaps willthe miles of ltnifactiol1 and pride be estahlihed 0 that evcr) golfer Iillshown Il evuI member of the VIashyhave a good chance to participate inhoning County Vledical Society the distribution of the many serviceshyEach was interested in the success able and useful prizes (he teamsof the meeting and each was sa)ing will he determined at each meetingto Jim Birch John 011 Lou Deitchshyby the five lowest gross scores fromman and their committees Vell each count This makes ever oneDone eligible for the team hich rna) van

Statistically there Iere 487 ph)sishy from meet to meet The team chamshycians regitered representing 87 difshy pionship will he determined by the ferent cities and towns covering a scasons total of the five low scores wide area for each of the four meetings

VVith these few remark another Each meeting will consist of gol f chapter in potgraduate education in in the afternoon and dinner in the Iahonint Countv is closedl The evening one fee to cover all expenses societys lctivitie move forward and I t is planned that at the last meetinc our time and attention mut be given of the veal the district championship to making the~e as succesful as the will b~ determined bv the lowest potgrad uate meeting The comshy gross score provided the contestant mittee have learned much of value has registered at at least two of the to aid in making the next meeting previous meetings the most gigantic the most stupendshy Committee 6th Counciler District ous and the most collossal ever Ve G D UnJerwooJ-StHk avarreplace another feather in our hat and J C Smith-Vayne Vooster march forward prouder than ever D C Brennon-Summit Akron

SMvlUEL J KLATMAi M D

-----0----shy r PRESCRIPTIONS 111Series of Summer Golf Meets

and A series of monthly golf meetings SICK ROOM SUPPLIES

have heen planned for this summer in order to promote a more sociahle DUNCAN DRUG CO contact and good fellowship with l58 West Rayen Avenue the doctors in the 6th Counciler Disshy Cor Elm Street trict These meets to he held the last Vednesdav of each summer Youngstown Ohio month namely June ]uh- August Phone 76150

and September in the four different

THE IvlBHONING COUNTY vIEDICAL SOCIETY

THE MEDICAL CRIER a Page of Sidelights News and Views from the Medical Field

bull It used to be quite the thing to transportation The proper timc anti go to Vienna for Postgraduate stuoy place for showing them is a mattn to )01 that many of those teachers are be considered Ill(gt personal appearshybecoming refuiees and exile~ it might ance of some distinguished medical be a good idea for them to come here teacher is such an ingrained part of for a tour of medical lectures Herw our Society program and such a strong about a group from VieJllla for our drawing card in promoting attendance next Postgraduate Day at meetings that to dispcnse with it is

Vr note that the Toledo Acaoen1 untbinkable Yet 1( could have both

of idedicine during April presented Ieetings arc usually over by ten thirshy

a series of ten lectu res on Diseases of tv and mall memhers linLCl aftershy

the H cart by Vilhelm Dreslcr of ~ard for social pursuits Til(gt projecshy

Vienna Austria Fee for the course tion apparatus and operator arc usushy

Jlye dollars all on the job and to run it iilm I(uld take onlv a little extra timebull President Roosevelt thought it a

pit that the District of Columbia after the speakr paper and its disshy

Hedical A~sociatiou opposed the cussion arc iinished Such an added

group hedth association financed by attraction might bring out a larger

the H O L C Yes a pity for the attendance at meetings and (llJld

VIedica1 Association And the old prove a welcome addition to our edushy

Crier thinks it a pity that the Presishy cational program

dent thought it a pity bull Vc were agreeahly su rprised the bull The motion picture as a medium other enning to hear the familiar for medical teaching is not heing used voice of Dr Altdoerffer over r-he nearlv as much as it should be Vhen radio on the lIan on the Street four hundred doctors can sit comfortshy program The old Doc spoke right ably watching an operation everyone up with his usual assurance and anshyhaying an unohstructed view clear to swered the announcers questions We the depths of the open ahdomen with are still trying to figure out that one each step explained there is no book about the flying time between New no medical magazine no seat in the York and Chicago But how he can clinical amphitheatre which gives the claim Scotch ancest1 with a name same advantage Four doctors viewshy like that is a little too much VVe ing the same operation in the clinic think he was just showing the old Iould have a good view of the asshy Dutch thrift sistants backs onlv ~Ioreover the bull The best onl e hea rd this month patient bdore opertion the operation is ahout the ladv who named the itself the gross and microscopic pashy puppy Paderelski because he was the thology in the tissue~ removed and pianist dog she ever saw

------shythe patient recovered after operation can all be shown in less than one hriur Congratulations -a process actually taking week of Congratulations are in order from time DeLees motion picture on the Iahoning Drug Club to AlemshyCaesarian Section i a masterpiece belS of the Iahoning Count iVIedishyas is Laheys on Resection of Rectal cal Societ for theil succesful and Carcinoma At the A wI A session interesting Posttraduate Asemhlir$ lastT une many of us spent hours viewshy It is with much interest the Club int the motion pictures in the favo watches the growth of the Society exhibit and our thirty-five members wish to

VIanI of thesl films arl available to thank the pr~fessi()n for their hearty Vledica) Societies without cost except co-operation

i)1a 1938

191

192 BULLETIN

MARY HERALD CALL I (flC 1 oclely rilllel33112

The Youngstown Printing Co II

paTRON12E OUR aDVERTISERS

Dependable Products For The

MEDI AL PROFESSION

We manufacture a complete line of m lie-inal products of the very highest sUoudard whic1 we offer direct to members of the medical profession Every proshyduct i ready fur immediate u e easily dispensed We guarantee them true to labels and of reshyliable potency - our e t logue free on request

TUE ZEMMER CO Clemisls 10 Ihe Medical

Profession

3943-5-7 enndt SI OAkland SlelioD

Pittsburgh Pa

Kalak

aND MENTION THE BULLETIN

RESPONSIBLE DRY CLEANING shy

PLUS TEXTURIZING-

Prolongs the life of garments and restores their beauty and style Call us and judge for yourself

EARL M BLAIR INC

2607 Glenwood Ave

Phone 4-4228

CAIlUONTED ALKALINE WATER

NOT A LAXATIVE UNIFORt1 TRENGTH-PURITY

KALAK W TER CO OF NEW YORK INC 6 Churcb Street New York City

kIaJ

THE use of cows milk water and carbohydrate mixtures represents the one system of infant feeding that consistently for three decades has

received universal pediatric recognition No carbohydrate employed in this system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

bull prnf-rional ~Id h a_tine lIampl_ llead Johnon prltMla~bi to ~pert in pnUnl their r_Chintr 1Inauthied pe

--------- Mltad ]obmon amp (opan) eanSlill__ Indiana U S A --------shy

192 BULLETIN

II rPrJ1il~~il~

II II CALL II MARY HERALD Iii

- _C (7J33112 I cJc 81ocidJ~ YIZer

I1II The Youngstown Printing Co

PATRONIZE OUR ADVERTISERS AND MENTION THE BULLETIN

- III

Dependable Products til

For The I MEDICAL PROFESSION

Ve manufacture a complete I line of medicinal products of the i very highest st1ndard which we I offer direct to members of the I RESPONSIBLEmedical profession Every proshyduct is ready for immediate use I DRY CLEAIII NG shyeasily dispensed We guarantee I iII PLUS TEXTURIZING _ them true to labels and of reshy

Prolongs the life of garmentsliable potency - our catalogue and restores their beauty and fret on request style Call us and judge for

yourselfI THE ZEMMER CO

EARL M BLAIRII Chemists to the MedicalII ProfeHiOTl INC

3913-5-7 Sennett St Oakland Station 2607 Glenwood Ave

Pittsburgh Pa Phone 4-4228

CARnONATED ALKALINE WATER

THE use of cows milk water and carbohydrate mixtures represents the NOT A LAXATIVE

one system of infant feeding that consistently for three decades hasUNIFORM STRENGTH-PURITYkalak received universal pediatric recognition No carbohydrate employed in this PI U ~u 0 KALAK WATER co OF NEW YORK JoIC

system of infant feeding enjoys so rich and enduring a background of authoritative clinical experience as DextriMaltose

111ay Yl anrlfM1I prof_ion card when reqabullbulltinl MUDplell or Mtd Juhnlllon productlt to eoolHlrate In prentlnlr thir rbullbullcohinl[ u~uthnrizd perilloluI

Alead jobmin amp Compan) EVanSflillr Indiand U S A

3PYRIDINIE CARBOXYLIC ACID (Nicotinic Acid)

TABLETS

Now A vailable to the Medical Professioll

Physicians may now obtain SMflco 3Pyridine Carboxylic Acid (Nicotinic Acid) for clinical experimentation in tablet form for oral administration Two potencies are available 100 milligrams per tablet or 20 milligrams per tablet

While making no therapeutic claims SMAco 3Pyridine Carboxylic Acid we offer the following references to (Nicotinic Acid) Tablets of both poshythe literature for the attention of the tencies are scored permitting a wide physician flexibility in dosage Tablets may be 1 Treomen~ of Human Pellaqra NUh Nicoshy broken in two parts at the score

tinic Acid--middotmiddotFouts Holmes Lepovsky and enabling the physician to administer JlIkes Prcc Sec Exp BioI amp lvled 37405 any multiple of 10 milligrams as a(Nov_) 1937

dose Add Amidltl to Canine Blacktonaueshy

2 Relation of Nicotinic Acid and Nicotinic

SMAco 3Pyridine Carboxylic AcidElvehjem Madden Strong and viooley hI Amer Chern Soc 591767 (Sept) 1937 (Nicotinic Acid) is available in tablet

3 nlerapelltic Administration of Nicotinic form in the following packagesACId in Human Beings During Heollh and List No Disease -Spies Cooper and Blankenhorn Bettles of 20 One hundred-milligram (Reod before the Cenlral Society for Clinical tablets 7331 Research Chicago--Nov 1937 Te be pubshy Bollies of 20 One hundred-milligramlisned) tableis 7333

J Nicotinic Add and Ihe PellOgra Preventing Bollies of 50 Twenty-milligram (P P) Vilomin -Horris Chern amp Ind tobles 7311 61134 (Dec) 1937

Botlicos of 500 TwentymiddotmilligramS Felklgra Successfully Treoted Nih Nicoshy kIblets 7315

i1nl~ Aid-A Case Reporl-Smith D T Also available in crystcds andMD Ruffin lulkm M MD end Smith

SusGn Cower MA Jr AMA 1092054 ampoules IDee 18) 1937

You may have your pharmacist6 lcolinic Aicl and Vitamin B2-Dann W I Science 86616 (Dec 31) 1937 order any of the above pClckages in

7 Pello9ra and Nicotinic Acid An editorial the regular way or you may order -It AMA 110289 (Jon 22) 1938 Clinical Trial Packages as follows

8 Relation of Nicotinic Acid to Human Pelshy direct from us Address Dept 13-58 IOara an editorial Jrl AlvlA 1091203 1937 (Oct 9) Bottles of 20 one-hundred-milligram

tablets (SMAco 7331) each $1 of Pellogra-Spies Cooper and Blankenshy Bottles of 50 twenty-milligram toblets horn Jrl AMA 110622 1938 (Feb 26) (SMAco 7311) eGcn $1

9 The Use of Nicotinic Acid in the Treatmeni

bullSMA CORPORATION bull CLEVELAND OHIO

Makers of Fine Nutritional Specialties Producers of SMAco Carotene-in-oil - SMAco Carotene-wilh-vilamin-D-concentrate-in-oil

Alerdex - Hypo-Allergic Milk - Protein SMA (Acidulated) - SMA

Our course must be facts first then

policies based upon these facts later

(From Inaugur1i Address of President B J Hein)

BULLETIN

of the

Mahoning County Medical

Vol vm No6 SocietyJune 1938