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BULLETIN
OF THE
University of Maryland School of Medicine
AND
College of Physicians and Surgeons
Successor to The Hospital Bulletin, of the University of Maryland, Baltimore Medical College News, and the Journal of the Alumni Asso- ciation of the College of Physicians and Surgeons.
Vol. VI
JULY, 1921
]^o. 1
ANNUAL ANNOUNCEMENT. SESSION 1921-1922
CALENDAR
1921-1922.
SCHOOL OF MEDICINE.
September 19 to 24, Inc. — Examiuations for advanced staudiug.
October 3 — Regular session begins.
November 24 — Closed (Thanksgiving Day).
December 21 — Christmas recess begins after last lecture period.
January 4 — Lectures resumed 9 A. M.
February 22 — Closed (Washington's Birthday).
April 13 — Easter recess begins after last lecture period
April IS — Lectures resumed. 9 A. M.
June 1 — Commencement.
OEGA^S^IZATIOjN'
THE UNIVERSITY OF MARYLAND
Control of the University of Maryland is vested in a Board of nine Regents, appointed by the Governor and confirmed by the Senate for terms of nine years each. The General administration of the University is vested in the President. The University Council is an advisory body, composed of the President, the Assistant to the President, the Director of the Agricultural Experiment Station, the Director of the Extension Service, and the Deans. The University Council acts upon all matters having relation to the University as a whole, or to co-operative work between the constituent groups. Each school has its own Faculty Council, composed of the Dean and members of its faculty ; each Faculty Council controls the internal affairs of the group it represents.
The University has the following educational organization : The College of Agriculture, The School of Engineering, The School of Liberal Arts, The School of Medicine, The School of Law, The School of Dentistry, The 'School of Pharmacy, The School of Education, The School of Chemistry, The School of Home Economics, The Graduate School, The Summer School,
The Department of Military Science and Tactics, The Department of Physical Education and Recreation.
The Schools of Medicine, Law, Dentistry and Pharmacy are located in Baltimore; the others in College Park, Marvlaud.
BOARD OF REGENTS
OF THE
UNIVERSITY OF MARYLAND.
Samuel M. Shoemakeb, Esq., Chairman Term expires 1925
Robert Grain, Esq Term expires 1924
John M. Dennis, Esq., Treasurer Term expires 1923
Dr. Frank J. Goodnow Term expires 1922
John E. Raine, Esq Term expires 1921
C. C. Gelder. Esq Term expires 1920
Dr. W. W. Skinner, iiecretary Term expires 1919
B. John Black, Esq Term expires 1926
Henry Holzapfel, Jr., Esq Term expires 1927
Albert F. Woods, A.M., D.Agr., President and Executive Officer.
THE UNIVERSITY COUNCIL,
Albert F. Woods. A.M.. D.Agr President
H. C. Byrd, B.S Assistant to the President
P. W. Zimmerman. M.8 Dean of the College of Agriculture
T. H. Talliaferro, C.E., Ph.D Dean of the School of Engineering
Frederick E. Lee, Ph.D Dean of the School of Liberal Arts
Henry D. Harlan, LL.D Dean of the School of Law
J. M. H. Rowland, M.D Dean of the School of Medicine
E. Frank Kelly, Phar.D Dean of the School of Pharmacy
T. O. Heatwole, M.D., D.D.S Dean of the School of Dentistry
R. P. Cotterman, M.S Dean of the School of Education
H. B. McDonnell. M.S.. M.D .Dean of the School of Chemistry
M. Marie Mount, A.B Acting Dean of the School of Home Economics
G. O. Appleman, Ph.D Dean of the Graduate School
H. J. Patterson, D.S.C Director of the Experiment Station
Thomas B. Symons. M.S.. D.Agr Director of Extension Service
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
AND
COLLEGE OF PHYSICIANS AND SURGEONS.
MEDICAL COUNCIL:
ARTHUR M. SHIPLEY, M.D.
GORDON WILSON, M.D.
HARRY FRIEDENWALD, A.B., M.D.
WILLIAM S. GARDNER, M.D.
STANDI SH McCLEARY, M.D.
JULIUS FRIEDENWALD, A.M., M.D.
J. M. H. ROWLAND, M.D.
ALEXIUS McGLANNAN, A.M., M.D.
BARTGIS McGLONE, A.B., Ph.D. HUGH R. SPENCER. M.D.
H. BOYD WYLIE, M.D.
CARL L. DAVIS. M.D.
WILLIAM H. SCHULTZ. Ph.B.. Ph.D.
BOARD OF INSTRUCTION
BOARD OF INSTRUCTION.
EMERITUS PROFESSORS.
Randolph Win slow, A.M., M.D., LL.D Surgery
Samuel K. Mereick. M.D Rhinology and Laryngology
(lEORGE W. Dobbin, A.B., M.D Obstetrics
HiKAM Woods, A.M., M.D Opthalmology and Otology
Charles G. Hill, A.M., M.D Psychiatry
A, C. Pole, M.D Anatomy
J. Frank Crouch, M.D Clinical Oiilithalmology and Otology
Charles O'Donovan, A.M., M.D., LL.D. . .Clinical Medicine and Pediatrics
John R. Winslow. A.B., M.D Rhinology and Laryngology
Edward N. Brush, M.D Psychiatry
L. E. Neale, M.D., LL.D., Professor of Obstetric!<.
John C. Hemmeter, M.D.. Ph.D., Sc.D., LL.D.. Professor of Clinical Med- icine.
Arthur M. Shipley, M.D., Professor of Surgery.
Gordon Wilson, M.D., Professor of Medicine.
William Royal Stokes, M.D., Sc.D., Professor of Bacteriology.
Harry Friedenwald, A.B., M.D., Professor of Opthalmology and Otology.
Archibald C. Harrison, M.D., Professor of Surgery.
Cary B. Gamble, Jr., A. M., M.D.. Professor of Medicine.
William S. Gardner, M.D., Professor of Gynecology.
Standish McCleary, M.D., Professor of Pathology and Clinical Medicine.
Julius Friedenwald, A.M., M.D., Professor of Gastro-Enterology.
J. M. H. Rowland, M.D., Professor of Obstetrics and Dean of the Faculty.
Alexius McGlannan, A.M., M.D., Professor of Surgery.
Thomas C. Gilchrist, M.R.C.S.. L.S.A.. M.D., Professor of Dermatology.
G. Milton Linthicum, A.M.. M.D., Professor of Diseases of the Rectum and Colon.
W. B. Perry, M.D., Professor of Clinical Gynecology.
Tilghman B. Marden, A.B.. M.D.. Professor of Histology and Embryology.
J. Mason Hundley, M.D., Professor of Clinical Gynecology.
R. Tunstall Taylor, A.B., M.D., Professor of Orthopedic Surgery.
Jos. E. GicHNER, M.D., Professor of Clinical Medicine and Physical Thera- peutics.
Charles AY. McElfresh, M.D., Professor of Clinical Medicine.
Irving J. Spear, M.D.. Professor of Neurology and Clinical Psychiatry.
C. Hampson Jones, M.D., CM. (Edinlmrgb ». M.r>.. Professor of Hygiene and Public Health.
John Ruhrah. M.D., Professor of Pediatrics.
Charles F, Bl.^ke, A.M., M.D.. Professor of Proctology.
Frank Dyer Sanger, M.D., Professor of Diseases of Throat and Nose.
BOAED OF INSTRUCTION 7
Babtgis McGlone, A.B., Ph.D., Professor of Physiology.
H. R. Spencer, M.D., Professor of Pathology.
H. Boyd Wylie. M.D., Professsor of Physiological Chemistry.
Cabl L. Davis. Professor of Anatomy.
W. L. ScHrLTz, Ph.B., Ph.D., Professor of Pharmacology.
S. Griffith Davis, A.B., M.D., Professor of Anaesthesia.
G. Carroll Lockard, M.D., Professor of Clinical Medicine.
Charles E. Brack, Ph.G., M.D., Professor of Clinical Obstetrics.
Harvey G. Beck, M.D., Sc.D., Professor of Clinical Medicine.
Albertxjs Cotton, A.M., M.D., Professor of Orthopedic Surgery and Roent- genology.
Andrew C. Gillis, A.M., M.D., Professor of Neurology and Clinical Phychiatry.
Joseph H. Branham, M.D., Professor of Clinical Surgery.
Bernard Purcell Muse, M.D., Professor of Clinical Obstetrics.
Wm. T. Watson, M.D., Professor of Therapeutics.
Charles L. Summers, M.D., Professor of Pediatrics.
Anton G. Rytina, A.B., M.D., Professor of Genito-Frinary Diseases.
Henry J. Walton, M.D., Professor of Roentgenology.
Nathan Winslow. A.M., M.D., Cinical Professor of Surgery.
Page Edmunds. M.D., Clinical Professor of Genito-Urinary Diseases.
Walter D. Wise, M.D., Clinical Professor of Surgery.
Edgar B. Friedenwald, M.D., Clinical Professor of Pediatrics.
Compton Riely', M.D., Clinical Professor of Orthopedic Surgery.
Sydney M. Cone, A.B., M.D., Clinical Professor of Orthopedic Surgery and Associate in Pathology.
W. S. Smith, M.D., Clinical Professor of Gynecology.
Joseph W. Holland, M.D., Clinical Professor of Surgery.
A. J. Underhill, A.B., M.D., Clinical Professor of Genito-Urinary Diseases.
E. B. Freeman, B.S., M.D., Clinical Professor of Gastro-Enterology.
J. C. Lumpkin, M.D., Clinical Professor of Surgery.
T. Feed Leitz, M.D., Clinical Professor of Gastro-Enterology.
J. W. Downey. M.D.. Clinical Professor of Otology.
Hugh Brent. M.D., Associate Professor of Gynecologj\
Melvin Rosenthal, M.D., Associate Professor of Genito-Urinary Surgery and Dermatology.
Hubert C. Knapp, M.D., Associate Professor of Medicine.
Abraham Samuels, Ph.G., M.D., Associate Professor of Gynecology.
Whxiam W. RequaSdt, M.D., Associate Professor of Surgery.
George W. Mitchell, M.D., Associate Professor of Diseases of Throat and Nose.
Lewis J. Rosenthal, M.D., Associate Professor of Proctology.
J. R. Abercrombie, A.B., M.D., Associate Professor of Dermatology.
C. C. CoNSER. M.D., Associate Professor of Physiology.
H. J. Maldeis, M.D.. Associate Professor of Medical Jurisprudence.
J. Dawson Reeder, M.D., Associate Professor of Proctology.
8 BOARD OF INSTRUCTION
H. C. Blake, M.D., Associate Professor of Clinical Surgery.
Frank S. Lynn, M.D., Associate Professor of Surgery.
G. M. Settle, A.B., M.D., Associate Professor of Neurology aud Clinical
Medicine. C. C. W. JuDU, A.B., M.D., Associate Professor of Medicine. Elliott H. Hutchins. A.B.. M.I)., Associate Professor of Surgery Thomas R. Chambers, A.B., M.D., Associate Professor of Surgery. R. W. LocHER, M.D., Associate Professor of Operative and Clinical Surgery. H. D. McCarty, M.D., Associate Professor of Clinical Medicine. O. Glenn Harne, A.B., Associate Professor of Pharmacology. John Evans, M.D., Associate Professor of Roentgenology. Clyde A. Clapp, M.D.. Associate Professor of Ophthalmology and Otology. Edward A. Looper, M.D.. D.Oph., Associate Professor of Ophthalmology
and Otology. J. F. Lutz, A.B., M.D., Associate Professor of Clinical Pathology.
F. W. Hachtel, M.D., Associate Professor of Bacteriology. R. M. Chapman, M.D., Associate Professor of Psychiatry. Wm. J. Caeson, Associate Professor of Pathology.
Wm. H. Smith. M.D., Associate in Clinical Medicine.
E. H. Hayward. M.D., Associate in Gynecology.
R. C. Metzel, M.D., Associate in Clinical Medicine.
John E. O'Neill, M.D., A.ssoGiate in Clinical Medicine.
Geo. a. Strauss, Jr.. M.D., Associate in Gynecology.
H. K. Fleck, M.D., Associate in Ophthalmology and Otology.
Joseph I. Kemler, M.D., Associate in Ophthalmology and Otology.
Henry T. Collenberg, A.B., M.D.. Associate in Clinical Pathology.
G. F. Sargent, M.D., Associate in Neurology and Clinical Psychiatry. George Murgatroyd. M.D.. Associate in Rhinology and Laryngology. J. Harry Ullrich. M.IK, Associate in Gastro-Enterology.
J. McF. Bergland, M.D., Associate in Obstetrics. v
R. G. WiLLSE, M.D., Associate in Gynecology.
Sam'l W. Moore, D.D.S., As.sociate in Anaesthesia.
Frank J. Kirby, M.D., Associate in Surgery.
Harry M. Robinson. M.D.. Associate in Dermatology.
Theodore Morrison. M.D., Associate in Gastro Enterology.
L. H. Douglass,, M.D.. Associate in Obstetrics.
W. F. ZiNN, M.D., Associate in Nose and Throat.
W. I. Messick, M.D. .Associate in Clinical Medicine.
M. Randolph Kahn, M.D.. Associate in Ophthalmology.
E. A. Knorr, M.D., Associate in Ophthalmology.
W. H. Daniels, M.D.. Demonstrator of Orthopedic Surgery. W. Arthur Darby. M.D., Demonstrator of Orthopedic Surgery R. L. Mitchell. M.D., Instructor in Gynecology. Benjamin Pushkin. M.D.. Instructor in Neurology.
F. L. Jennings, M.D., Instructor in Surgery. E. E. Mayer. M.D.. Instructor in Medicine. W. G. Queen, M.D., Instructor in Anaesthesia.
BOARD OF INSTRUCTION
Hakris Goldman, M.D., Instructor iu Urology. George McLean, M.D., Instructor in Medicine.
D. CoBBiN Streett, M.D., Instructor in Clinical Medicine.
A. M. Evans, M.D., Instructor in Surgery.
C. C. Habliston, M.D., Instructor in Clinical Medicine.
KicHARD Dresser, M.D., Instructor in Patliology.
C. L. JosLiN, M.D., Instructor in Pediatrics.
W. H. TouLsoN, M.S., M.D., Instructor in Urology.
Maurice Feldman, M.D., Instructor in Gastro Enterology.
Charles Keid Edwards, M.D., Instructor in Surgery.
Harold E. Wright, M.D. Instructor in Physiology.
Frank N. Ogden, M.D., Instructor in Physiological Chemistry.
Martin Sloan, M.D., Instructor in Medicine.
E. S. Johnson, M.D., Instructor in Surgery. Harry M. Stein, M.D., Instructor in Medicine. M. J. Hanna, M.D., Instructor in Anatomy.
L. A. M. Krause, M.D., Instructor in Clinical Pathology.
H. M. Foster, M.D., Instructor in Surgery.
FiBMADGE K. Nichols, A.B., M.D., Instructor in Physiology.
E. p. Smith, M.D., Assistant in Operative Surgery, John S. Fenby, M.D., Assistant in Pediatrics.
J. A. Skladowsky, M.D., Assistant in Neurology. John Houtf, M.D., Assistant in Pediatrics.
F. K. Kearney, M.D., Assistant in Surgery. T. K. Galvin, M.D., Assistant iu Gynecology.
G. W. Bowden, M.D., Assistant in Surgery.
F. H. Machin. M.D., Assistant in Obstetrics. Horace Byers, M.D., Assistant in Medicine. Joseph E. Gately, M.D., Assistant in Dermatologj'. DwiGHT MoHR, M.D., Assistant in Surgery.
H. R. Lickle, M.D., Assistant in Medicine. Wm. Michel, M.D., Assistant in Medicine.
G. L. Zimmerman, M.D., Assistant in Medicine. J. G. M. Reese, M.D., Assistant iu Obstetrics. Amos Hutchins, M.D., Assistant in Surgery. W. H. Ingram, M.D., Assistant in Pediatrics.
B. J. Ferry. M.D., Assistant in Pediatrics. H. H. Warner, M.D., Assistant in Pediatrics. J. F. Hawkins, M.D., Assistant in Pediatrics. Joseph Sindler, M.D., Assistant in Gastro-Enterology. MiLFORD Levy. M.D., Assistant in Neurology.
B. T. Baggott, M.D., Assistant in Medicine.
J. W. Martindale, M.D., Assistant in Medicine.
C. A. Reifschneider. M.D., Assistant in" Surgery. W. R. Gerathy. M.D., Assistant in Surgery.
S. Demarco, M.D., Assistant in Surgery. Jack M. Hundley, M.D., Assistant in Surgery.
10
rXIVERSTTY HOSPITAL STAFF
(). n. Lloyd, M.D.. Assistant in Surj^ery.
Clyde N. Marvel. M.D., Assistant in Surgery.
EvEBARD Briscoe, M.D.. Assistant in Surgery.
W. J. Todd. M.D.. Assistant in Pediatrics.
I'KRCY B. Hardcastle. M.D.. Assistant in Pediatrics.
John H. Tbaband. M.D.. Assistant in Pediatrics.
C. E. GoLDSBOROuciii. M.D.. Assistant in Pediatrics.
SrsANNE Parsons, A.B., M.D., Ph.D., Assistant in Obstetrics
L. K. Fargo, M.D.. Assistant in Genito-Frinary Diseases.
UNIVERSITY HOSPITAL STAFF.
Siirffcons.
Randolph Winslow. A.M.. M.D., LL.D. Arthir M. Shipli y. M.r>.
Joseph W. Holland, M.D. Page Edmunds, M.D.
Nathan Winslow, A.M., M.D. Frank S. Lynn. M.I».
Phi/sicians.
Gordon Wilson, M.D. G. Carroll Lockard. M.Ik.
Charles W. McElfresh. M.D. Jos. E. Gichner. M.D.
EoscoE C. Metzel. M.D. Wm. H. Smith. M.D.
Gantro Enterologists. JuLHTs Friedenwali). A.M.. M.D. John C. Hemmeter, Ph.D.. M.D.
()l)hthalm()h)gi>it>^ and Otolof/ists.
Harry Friedenwald, M.D.
William Tarun. M.D. Hiram Woods. A.M.. M.E>.
E. A. LooPER, M.D.
Lari/ngoloffist. Edward A. Looper. M.D.
Proctologisis. G. Milton Linthicltm. A.M.. M.D. J. Dawson Reeder. M.D.
(hthopf'dic i^urgeonsi. R. TuNSTALL Taylor. .\.B., M.D. Compton Riely. M.D.
yeurologisi. Irving J. Spear. M.I>.
(Icnito-Uriuar!) i^urgcoufi. A. J. I'NDERHILL. A.B.. M.D. Page Edmixds. M.r>.
U::^IVERSITY HOSPITAL STAFF 11
• Pediatrician.
Charles L. Summers, M.D.
Pathologists.
Standish McCleaby, M.D. Hugh R. Spencer. M.D.
H. J. Maldeis, M.D.
Roc ntgeno logis t. Henry J. Walton, M.D.
RESIDENT STAFF. Kenneth B. Jones, M.D., Medical Superintendent.
Resident tiurgcon. C. C. Horine, M.D.
Resident Gynecologist. L. H. Brumback. M.D.
Resident Physician. F. A. HoLDEN, M.D.
Resident Obstetrician. J. G. M. Reese, M.D.
Resident Pediatrician, George E. Wells, M.D.
Assistant in Outdoor Obstetrics. L. J. Rigney, M.D.
Dental Interne. Joseph W. Voelker.
Internes.
L. FREEiDOM, M.D. G. R. Joyner, M.D.
C. F. Fisher, M.D. D. S. Fishek. M.D.
A. V. McCoy, M.D. S. H. Culver, M.D.
J. T. Sowers, M.D. V, Joska, M.D.
T. P. CVRourke, M.D. J. W. Seay, M.D.
R. J. Plyler, M.D. J. W. GUYTON, M.D.
R. J. Kemp, M.D.
12
UNIVERSITY HOSPITAL DISPENSARY STAFF
UNIVERSITY HOSPITAL DISPENSARY STAFF.
J. A. Skladowsky, M.D., Dispensary Physician. Miss G. McKereghan, Head Nurse.
H. M. D. CoRBiN Stbeett, M.D. H. R. LiCKLE, M.D. Horace Byebs, M.D.
Medicine. Stein, M.D., Chief of Clinic.
S. R. Clabke. M.D.
G. L. Zimmebman, M.D.
Wm. Michel, M.D. W. G. Clopton, M.D.
Surgery. Fbank S. Lynn, M.D.. Chief of Clinic. H. M. Foster, M.D. C. R. Edwards, M.D.
W. R. Johnson, M.D. E. S. Pebkins, M.D.
E. S. Johnson, M.D. D. E. Fay, M.D.
C. A. Reifschneideb, M.D.
Pediatrics.
Charles L. Summebs, M.D., Professor of Pediatrics.
C. L. JosLiN, M.D., Chief of Clinic.
J. F. IiAWKix.s, M.D. Wm. G. Todd, M.D. H, H. Wabnee, M.D. Peibcy p. Hardt, M.D.
J. S. Fenby. M.D. B. J. Febby, M.D, John Houff, M.D.
W. H. INGBAM, M.D,
John H. Tbaband, M.D.
C. R. Goldsborough. M.D.
Gynecology. R. G. Willse, M.D., Chief of Clinic.
R. L. Mitchell, M.D. T. K. Galvin, M.D.
J. M. Hundley, Jr.. M.D. Nathan Winslow. M.D.
Geo. A. Stbauss, M.D.
Obstetrics.
L. H. Douglass, M.D., Chief of Clinic.
F. H. Machin, M.D.
Eye and Ear.
Harry Fbiedenwald, M.D., Professor of Ophthalmology and Otology.
H. L. SiNSKY, M.D.. Chief of Clinic.
Nose and Throat. E. A. LooPER, M.D.. Chief of Clinic.
E. Mubg.xteoyd. M.D.
F. B. Andebson. M.D.
MERCY HOSPITAL STAFF. 13
Skin.
H. M. Robinson. M.D., Chief of Clinic.
J. E. Gately, M.D. J. A. BxrcHNEss, M.D,
Stomach. J. H. UrxBicH, M.D., Chief of Clinic:
Orthopedics.
R. TuNSTALL Taylob, A.B., M.D., Profe-ssor of Orthopedic Surgery.
CoMPTON RiELY, M.D., CMcf of Clinic.
W. H. Daniels, M.D. H. L. Wheeler, M.D.
W. H. Darby, M.D.
Gewito-Urinnry. A. J. Underbill. M.D.. Chief of Clinic. W. H. CouNciLL, M.D. W. H. Toulson. M.D.
'Neurology.
Irving J. Speab, M.D.. Professor •/ yeurologi/.
G. M. Settle, M.D.. Chief of Clinic.
J. A. Skladowsky. M.D. B. Pushkin, M.D.
Proctology.
G. Milton Linthicum, A.B., M.D.. Professor of Proctology.
J. D. Reeuer. M.D.. Chief of Clime.
Tuberculosis.
J. E. O'Neill. M.D., Consultant.
C. C. Habliston, M.D.. Cfiief of Clinic.
X-Ray.
Harry J. W-alton, M.D., Roentgenologist.
Miss Sue W. Shbiver, Technician.
Social Service. Miss Mary Glackin. Directress.
MERCY HOSPITAL STAFF.
SURGICAL DIVISION.
Surgeons. Archibald C. Harbison. M.D. Alexius McGlannan. M.D.
W. D. Wise. M.D. C. F. Blake, M.D.
14 :\IK1J(Y HOSPITAL STAFF.
Ass()(i(it( Siirtjrijits, Elliott H. Hutchixs. M.D. Hakvey B. Stonk. M.] t.
R. H. LocHKR. M.I». A. M. Evans. M.]>.
Thomas K. Chawbkbs, M.l >. WH-i.iam W. Kkqiardt. M.D.
F. L. .iKNNl.MiS. M.I).
Af<xistiiiit Sur!jroii.s: Amos Hutchiks, M.D. F. X. Kkakm.v. M.1>.
I. O. RincELY, M.D. (). S. I.LOvu. M.D.
EVERARD RRlStOE. M.D.
Ol)hthahnoh}fiist ami Otnloijist. Harky Friedexwald. M.D.
A.ssociatr.s. H. K. Fleck. M.D. .J. W. Downey. M.D.
Rhinol Off i fits (tiiil Larjiiiffoloffisis. Frank D. .Sanger. M.D. Georde W. Mitchell, M.D.
Assistant^. W. F. Zinn, M.D. Raymond McKexzie. M.D.
Proctologi'<t. Charles F. Blake. M.D.
Assistoiit. L. J. Rosenthal. M.D.
Orthoijfdir SKrffroii. .\lbertus Cotton. M.D.
A-ssoctatr. H. E. Rogers. M.D.
Urologist. A. G. Rytixa, M.D.
Assistant. A. J. GiLLLS. M.D.
ME1>ICAL DIVISION. J'hiisiciaiis.
WlLLL\M E. Eo«K\VOOD. M.D. ("AKV K. (iAWKLE. M.D
Standish McCleary, M.D. H. (J. Keck. M.D.
MEKCY HOSPITAL STAFF. lo
Associafesi. HUBEKT C. KiSAFP, M.D. E. E. Mavek. M.D.
C. ( . W. JuDD. M.I). Bartus p. Baggott. M.D.
Assistants.
Martin F. Sloan. M.I). G. D. McLean, M.D.
J. W. Martindale, M.D.
GastrD-EntcrolOf/ists. JuLit's Friedenwald. M.I).
Associates. T. Freherick Leitz. M.D. Theodore Morrison, M.D.
Assistants. Maurice Fei.dman. M.D. Joseph Sindler, M.D.
Peiliatrist. John Ruhrah. M.D.
Associate. KiKiAi; B. Friedenwald, M.D.
.\(Hiol<tf/ist ami I'si/chiatrist. Andrew ('. (iillis. M.D.
Assistaiit'<. L. A. M. Krause. M.D. Milford Levy, M.D.
Deninitolof/ist. Melvin Rosenthal. M.D.
OBSTETRICAL DIVISION.
Obstetricians. Geo. W. Dobbin. M.D. . Charles K. Brack. M.D
Associate OJistdiiciaiis. E. v. Smith. M.D. T. K. Galvin. M.D.
GYNECOLOGICAL DIVISION.
(Itinecolof/ists. V^uliam S. Gardner, M.D Abraham Samuels, M.D.
16 MEKCY HOSPITAL DISPENSARY STAPF '
Associate Gynecologists.
T. K. Galvin, M.D. E. p. Smith, M.D.
George Stbaiss. M.D.
PATHOLOGICAL DIVISION.
Pathologists. Standish McCleary, M.D. Hugh R. Spen'ceb, M.D.
Clinical Pathologist.
H. T. COLLENBEBG. M.D.
Technician — Sister M. Joan, Ph.G.
DEPARTMENT OTO-NEIROLOGY. J. W. Downey, Jr., M.D.
X-RAY DEPARTMENT.
Radiographers, Albertus Cotton, M.D. Harby L. Rogers, M.D.
MERCY HOSPITAL— RESIDENT STAFF.
J. J. Ibwin. Chief Resident.
C. F. Foley, M.D. K. W. Golley. M.D.
F. A. RiES, M.D. J. S. Grabill, M.D.
F. H. Pacienzo, M.D. C. E. Hawks, M.D.
J. B. Ryon, M.D. H. V. Uffelman, M.D.
J. E. Koplowitz, M.D. Oscar G. Costa, M.D.
DISPENSARY STAFF OF MERCT HOSPITAL.
Surgenj.
Supervisors. Alexius McGlannan, M.D. W. D. Wise, M.D.
Attending Surgeons. A. M. Evans, M.D. O. H. Lloyd. M.D.
D. S. Mohr, M.D. Clyde Marvel, M.D.
F. L. Jennings, M.D. A. F. Hutchins. M.D.
F. X. Kearney, M.D. Everard Briscoe, M.D.
MEECY HOSPITAL DISPENSARY STAFF
Genito Uiiiiorii Siinjerii. Supervisor. A. G. Rytina, M.D.
A. L. TUMBLESON, M.D.
Harris Goldman, M.D.
Attend inp Surgeons.
J. F. HOGAX. M.D. Orthopedic Surgeru.
H. C. KXAPP. M.D. A. J. Gir-Lis. M.D.
ALUEBirS COTTOX. M.E>.
Harry L. Rogers. M.D,
Medicine. Supervisor, Wm. F. T.ockwood.
Martin F. .Sloan. M.D.
Attendimj Physicians
J. W. Martindalk. M.D.
B. T. Baggott. M.D.
Diseases of Stomach. Supervisor. Jllius Friedenwald. M.D.
T. Frederick Leitz, M.D. Theodore Morrison, M.D.
L. A. M. Krause, M.D.
W. S. Gardner, M.D.
E. V. Smith. M.D. T. K. Galvin. M.D.
W. F. Zinn. M.D.
Attending Phiisicians.
Xervous Diseases. Supervisor, A. C. Gillis
Attending Physicians.
Wm. J. Todd. M.D.
Diseases of Women. Supervisors.
Attending Surgeons.
M. Feldman. M.D. Joseph Sindler. M.D.
Milford Levy. M.D.
A. Samuels, M.D.
H. Palmisiano. M.D. C. F. J. Cot-GHLiN. M.r».
Diseases of \iiftp and Throat.
R. F. McKenzee. M.D.
Diseases nf Ei/f and Ear. H. K. Fleck. M.r». Joseph Kemler, M.D.
J. W. DowxEY. Jr.. M.D. M. Raskin. M.L*.
KERXA>' HOSPTTAI, STAFF
y( in<)-()toli>(/!/. J. W. DowxEY. Jr.. M.D.
I'roctologji. L. J. Rosenthal. M.D.
D<r>iiutolo(j!i. Melvin Rosenthal. M.D.
i^ocial Scrrirr Department.
Katherine a. Monahan, R.X.. Director. Catherine Campbell. R.N., Assistant. Claba E. Connery, R.X.. Vhirf Dlspensarij yurve Helen M. Moore, Register.
THE JAMES LAWRENCE KER^A^ HOSPITAL AAD INDUSTRIAL SCHOOL OF MARYLAND FOR CRIPPLED CHILDREN.
R. Tlnstall Taylor. A.B.. M.D.. ^<urgeon-in-Chief.
A-tsoriate S u rgro ns. Sydney' M. Conk. A.R.. M.D. Albertus Cotton. A.M.. M.D.
COMPTON RlELY. ^M.D.
Atteiiiliiu; (Did Di^innsan.i Surgeons. W. H. Daniels. M.D. • W. Arthir Darby. M.D.
I iistnirtors in Comctire (iiininastics. Miss Anita Renshaw Presstman. Miss Elizabeth Emory
Miss Mary H. Lee. J'rinciiml of School.
Miss .\nna Ciianulee. Kinil< rgnrtncr mid I iidiistrial Icaeher.
i\o< nt(i< no}ogii<tN. Henry J. Walton. M.D. J. F. Lurz. M.D.
• Attending PUixtic Surgion.
John Staige Davis. B.Sc. M.D.
KERXAX HOSPITAL STAFF 19
Atttmlinfj f'hiiNiciaii. Benjamin Tappax. K.A.. M.D.
Attouiiiif/ Huvfieon. A. M. Shipley. M.D.
Attviiilinij Larntif/olist. F. B. Andkrsox. M.r>.
Attend intj Drnnatotof/ist. JoHx R. Abercrombu:. A.B., M.I>.
Attend iiifj Patholof/i.st. Howard J. Maloeis. M.I*.
Attendin;/ [ roloffist.
Gideon Timberlakk. M.D. \
Attending (h-iili-<t and .{iirisl. William Tahun. M.I>.
Attendin;/ \eiind(tf/i.-tf. Ihmxg .J. Speak. M.I>.
Attendin;/ Dentists. G. K. P. Tkuitt. D.D.S. J. B. Bell. D.D.S.
< 'on-snltin;/ Snir/eons. W. S. Halstead. A.B.. LL.D.. H.Sc M.D. .1. M. T. Finney. A.B.. M.D. Randolph Winslow. A.M.. M.r>.. I,I..D. .Vrchibald ('. Harrison. .M.D.
Consult in;/ I'hiisiciiins. Thomas E. Brown, A.B.. M.I>. Llewellys F. Barker, A.B.. M.D.
Thoma-s B. Fuixher. A.B.. M.D. William S. Thayer. A.B.. M.D.
Consiiltinf/ Oritli-st. Hiram Wood.'^. M.D.
Consnltin;/ Ijiriinyoloist. John X. Mackenzie. A.B.. M.D.
Disjiensorii and S(jri(il Seiviee Xiirse. Miss Mabel Brown, R.N.
20 BAY VIEW HOSPITAL STAFF
STAFF OF THE CITl HOSPITAL AT BATTIEW.
Thomas R. Boggs. S.B.. M.D.. Physician-in-CMef.
Abthuk M. Shipley, M.D.. Surgeon-in-Chief.
H. D. McCarty, M.D.. Phj/sician-hi-Chief to the Municipal Tuberculosis
Hospital. John R. Cash. M.D., Pathologist.
CONSULTING STAFF.
Ophthalmologist. James J. Mills, M.D.
Otologist. William TABf n. M.D.
Oytiecologist. R. G. WiLLSE, M.D,
Urologist. W. H. TorLSON, M.D.
Largynologist. Frank Dyee .Sanger, M.D.
Pediatrician. John Ruhrah. M.D.
Neurologist. Henby M. Thomas. M.D.
ST. ELIZABETH HOME.
Attending Physicimis.
Edgar B. Friedenwald, M.D.
Frank Ayd, M.D.
Surgeon. Alexix^s McGlannan. M.D.
yeurologist. A. C. GiLLis, M.D.
ST, Vincent's asylum stafi* 21
STAFF OF NURSERY AN» CHILD'S HOSPITAL.
Attending Physicians. Edgar B. Fbiedenwald, M.D. Harry Goldberg, M.D.
Consulting Physicians and Surgeons.
John Ruhrah, M.D. Wm. S. Baee, M.D. Wm. F. Lockwood, M.D.
Ai^ERTUs Cotton, M.D.
Oculist and Aurist. Harry Fbiedenwald, M.D.
Superintendent. Mrs. O. V. Jones.
ST. VINCENT'S INFANT ASYLUM.
Visiting Physicians. Charles O'Donovan, A.M., M.D. J. E. Poulton, M.D.
Eugene H. Haywabd, M.D. J. K. B. E. Seegar, M.D.
F. J. Powers, M.D.
Visiting Surgeon. Alexius McGlannan, M.D.
Visiting Oculists and Aurists. J. Frank Crouch, M.D. Clyde E. Clapp, M.D.
Visiting Orthopedic Surgeons. Sydney M. Cone, A.M., M.D. Compton Reilly, M.D.
Visiting Proctologist. G. Milton Linthicum, A.M., M.D.
Pathologist. Sydney M. Cone, A.M., M.D.
MATRICULATES, UNIVERSITY OF MARY- LAND SCHOOL OF MEDICINE AND COLLEGE OF PHYSICIANS AND SURGEONS. 1920—1921.
POST-GRADUATES AND SPECIAL STUDENTS.
Name State
Chapman, Arthur Wm New York
Feinstein, Elliott Maryland
Hunt, Kose B Maryland
Lang, Robert Gibson West Virginia
Name State
Mayoral, Joaquin Cuba
Pritchard, Ruth S Bahama Islands
Wiener, Joseph New- York
FOURTH YEAR CLASS.
Name State
Aubrey, John Forsyth Maryland
Badagliacca, Francis Lucian. . New .Jersey
Barnes, Bruce New Jersey
Benson, Carl Fisher Maryland
Bernardo, John Ralph Delaware
Boniiglio, Vincent Maryland
Bose, Jogesh Chandra, B. S Maryland
Broadrup, Earl Edgar Maryland
Castro, Andres G Costa Rica
Costa, Oscar G Porto Rico
Culver, Samuel Hearn Delaware
Dorf, Herman Jacob New York
Fisher, C. F West Virginia
Fisher, Daniel Sebastian Maryland
Foley, Charles J Maryland
Franklin, Joseph P., B. A Alabama
Freedom, Leon Maryland
Gardner, Willetts Walton, A. B..New York
GoUey, Kyle Wood Maryland
Grabill, J. Stanley Maryland
Guyton, John Willis Maryland
Hawks, Cyrus Eugene Virginia
Heitsch, Hubert Messner Michigan
Kobgood, Legan Henry, B. S.,
Massachusetts
Hoheb, Albert Salomon Porto Rico
Holofcener, Julius I Maryland
Jaffe. Albert Maryland
John Baxter, S Virginia
Joska, Vincent Vernon Maryland
Joyner, George Richardson Virginia
Keegan, Daniel Francis, B. A. . Connecticut
Kemp, Richard Joseph Maryland
Lass, Louis New York
Luban, Benjamin New York
McCoy, Arley Von, A. B. . . . West Virginia
Martinez, Ezequiel Porto Rico
Matthews, Stanley Wm .... North Caroln*
Name State
Monniger, Arthur Cecil Pennsylvania
O'Rourk, Thomas Rutter Maryland
Pacienzo, Frank Anthony Maryland
Paulson, Moses Maryland
Peters, Edgar Allan Poe, B. S. . . Kentucky
Pillsbury, Harold C Maryland
Plyler, Ralph Johnson, A. B.,
North Carolina
Pokomy, Joseph Maryland
Quinones, Norberto A Porto Rico
Reynolds, Francis A ilassachusetts
Ries, Ferdinand A Maryland
Romilly, Harold A Virginia
Ryon, James Barry, A. B Maryland
Sabin, Fred C New York
Savage, Philip J Connecticut
Schilling, Jesmond Wm Pennsylvania
Seay, Thomas Waller Virginia
Sherman, Solomon Maryland
Shircliff, EUiott Walter Maryland
Shubert, Felix S Pennsylvania
Skvarla, John Augustus New Jersey- Sowers, Jacob Long, B. S., North Carolina
Stone, Saul Gordon Ohio
Szczerbicki, John Valentine. ... Maryland
Tilghman, Stanley J ilaryland
Timko, Louis Michael Pennsylvania
Wangler, Herman Ernest New York
Ward, Edwin E Maryland
Weinkauf, Ferdinand Michigan
Wells, George Edward Maryland
Wiest, Paul Foreman West Virginia
Wilkerson, James Herbert Maryland
Williams, Mortimer H Virginia
WUson, W. Wellford. Phar. D., Maryland
Wolfe, James Clinton New Jersey
Yeager, Leslie Arno. B. S Marvland
MATRICULATES 1920-1921
23
THIRD YEAR CLASS.
Name State
Bailey, Harry, B. A Connecticut
Bolewicki, Peter Edward, A. B., Maryland
Buchness, Anthony V., A. B Maryland
Champe, Jr., Ira Preston . . . West Virginia
Doshey, Louis Jacob, B. A New York
Fleischmann, Berthold, B. S. . . New York
Freidus, Elias New Y''ork
Fritz, Julius Dudley New York
Fulton, William James Maryland
Ginsberg William, B. A New Y''ork
Goldmann, Bernhard Alexander,
Pennsylvania
Gollick, William A., B. S New Jersey
Gordon, Herbert New York
Greenbaum, Leonard Harry Maryland
Groff, Morris New York
Hatfield, Daniel S West Virginia
Halley George C Idaho
Harman, Robert Dave, B. S . .West Virginia Hollister, William, B. S.. . .North Carolina Horowitz, Herman Jack, B. S., New Y^ork
Huff, William, B. A Virginia
Ingram, David N Maryland
Keefe, George G., A- B Connecticut
Kerdasha, Geo New Jersey
Krager, John J., B. A Maryland
Kunkowski, Andrew Maryland
Lang, Milton Charles Maryland
Lawson, Lawrence Wells, B. A.,
West Virginia
Name State
McCoy, C. Glen, A. B West Virginia
Mercier, Albin Scott, A. B Maryland
Middlemiss, Wm. Robert, B. S Utah
Morgan, Edw. Nicholas New York
O'Connor, John Andrew, A. B. . .Maryland
Noll, Louis, B. S Connecticut
Payiie, John Edward, B. S., West Virginia
Peters, H. Raymond, B. A Maryland
Pittman, Henry Lee North Carolina
PuUen, Guy Foote Connecticut
Rhodes, Bricey Milton Florida
RndisiU, John David, A. B.,
North Carolina
Salzberg, Abraham New York
Saporito, Archibald R New Jersey
Sekerak, Arthur Joseph Francis,
Connecticut
Scotellaro, Nicholas J New York
Shannon, George Edmon Maryland
Shapin, Sydney New Y'ork
Shapiro, Louis Mendelsohn, B. A.,
Connecticut
Sternberg, Harry New Y''ork
Stovin, Joseph Samuel, Ph. B., Connecticut
Stout, Philip David, B. A Tennessee
Sweet, Samuel Waterman, B. S.,
New York
Trynin, Aaron H., B. A New York
Warfield, Jr., John Ogle, A. B.,
Pennsylvania
Linke, Julian P New Jersey Wilson, Thomas Norwood, A. B., Maryland
Name State
Beck, Nathaniel M., A. B Maryland
Berkson, Morris I Pennsylvania
Cortese, Anthony Edward .... New Jersey
Dart, Frederick Bond Connecticut
Desane, Joseph New York
Edmonds, John Milton Michigan
Evatt, Clay Wclbourn South Carolina
Feraca, Salvadore J New York
Gillum, Donald A Maryland
Glass, Benjamin E New Jersey
Goldberg, Ben New York
Gutowski. Joseph Matthew ... New Jersey
Hagerman, Paul West Virginia
Harp, J. Elmer Maryland
Hirsch, Philip New Y''ork
Hundley, Jr., John T. T., A. B. . . Virginia
Keith, Marion Yates North Carolina
Kenney, Joseph R., A. B. . . . Pennsylvania
Knipp, George S Maryland
Kraut, Arthur Milton New Jersey
Ksrper, Frederick Pennsylvania
Long, Ira C, A. B North Carolina
Love, Jr., Wil'iam S., A. B Maryland
*Note — Not in attendance.
SECOND YEAR CLASS.
Name State
McLean, Herbert, B. A New Jersey
McVay, Edward A., A. B. . . . Rhode Island *Maurillo, Dominick Francis, A. B.,
New York Newcomer, David Redenon, B. S.,
Maryland
Parson, Willard Sigsbee Pennsylvania
Peterman, James Elmer Pennsylvania
Pontery, Herbert New Jersey
Povalski, Alexander William.. New Jersey
*Rio, del Juan Porto Rico
Rothfuss, Paul A., B. S Pennsylvania
Ruche, Harry Charles Pennsylvania
Schorr, Richard New York
Shealy, Walter Hal, B. A.. .South Carolina Smith, Charles Franklin .... Pennsylvania Steincrohn, Peter Joseph. .. .Connecticut
Sussman, Abram Alles Maryland
Touhey, Thomas Joseph Delaware
Ware, Jr., Harry Hudnall Virginia
Wasserstrom, Sidney New York
Weinert, Henry V New Jersey
White, Robert Stanislaus .. .West Virginia
24
MATRICULATES 1920-1921
FIEST YEAE CLASS.
Name State
Allen, Moore Lowry Utah
Anderson, Albert Louis Maryland
Antonius, Nicholas New Jersey
Austerlitz, John, Fhax. D Maryland
Barnes, D. Keith Utah
Bartlett, Jr., Charles Wm Florida
♦Battlstini, Pedro Arrache .... Porto Bico
Bentz, Felix Connecticut
Bershatsky, William New York
Bleier, Louis New York
Boyd, Kenneth Bray Maryland
Briglia, Nicholas Natale .... Pennsylvania
Carter, Carl John West Virginia
*Davila, Jose Estebau Porto Rico
Bdelman, Edward Isidor New York
Fisher, Harry Richard New York
Flax, Ira Isador New Jersey
Friedman, Bernard New York
Friedman, Irving New Jersey
Gattens, Wilber Elton Maryland
Gottlieb, Bernard Norman New York
Granoff , Joseph F New York
Greiflnger, Marcus Harry New Jersey
Grimm, Wilson O West Virginia
Grossblatt, Philip New Jersey
Hamilton, Dewey Dallas . . . West Virginia
Howell, Clewell, B. S North Carolina
Jacobson, Philip Maryland
Kauffman, Aaron W Pennsylvania
Koons, Earle Weant, B. S Maryland
Knox, Joseph Clyde North Carolina
Kraczyk, Michael Joseph New Jersey
Blratz, Fred William Maryland
Lailey, Paul Francis Pennsylvania
Lehman, Julius New York
Leibensperger, George F. . . . Pennsylvania
Levlne, Samuel New Jersey
McLane, William Oliver, B. S. . . Maryland
Marciniak, Edward S New Jersey
Marsh, James T., A. B Maryland
*Note — Not in attendance.
Name State
Marton, Samuel New York
Maseritz, Isidore Maryland
Megahan, Burke Pennsylvania
Messinger, Benjamin New York
Miller, Benjamin Maryland
Miller, Jacob Maryland
Miller, Jose G Maryland
Molinsky, Meyer New York
Moriarty, Louis Connecticut
Morris, Philip New York
Morrison, Jr., William Henry,
Pennsylvania
*Muno2, Justo Luis Porto Rico
Nash, A. E New Jersey
Nelson, James Wharton, A. B. . . Maryland
Neustaedter, Theodore New York
Nocera, Domingo Porto Rico
Norment, John E., A. B Maryland
Oyler, Ralph Ziegler, B. S. . . Pennsylvania
Pachtman, Isadora Pennsylvania
Perry, Arch. H North Carolina
Pitkowsky, Louis New York
♦Rodriguez, VirgUio Ortiz .... Porto Rico
Sarubin, Benjamin Maryland
Scagnetti, Albert New York
Scheindlinger, Morris I New York
Schlenger, Leo Brenner New Jersey
Schultz, Louis Ariel New York
Scimeca, Antonio Adolfo New York
Seliger, Robert V New York
Shapiro, Ralph N New Jersey
Tabershaw, Arnold Leon New York
Taub, Samuel New York
Theuerkauf, Frajik Joseph. .Pennsylvania
Urbanski, Adrian Xavier New Jersey
Weiner, Hymen L. Pennsylvania
Weinstock, Alex. A New York
Whaley, Thomas Bravard Maryland
Woodyard, Edwin Sayre. . . . West Virginia Zaslow, John New York
GRADUATES 1920-1921 25
GENERAL SUMMARY OF STUDENTS ATTENDING THE UNIVERSITY OF MARYLAND, SESSION OF 1920-21.
College of Home Economics 21
College of Agriculture 218
College of Engineering 114
'College of Liberal Arts 76
College of Education ^ 40
The School of Chemistry 30
The Graduate School 23
The Summer School. 1920 208
The Department of Militai-j- Science and Tactics 194
School of Medicine 252
School of Law 474
School of Dentistry 157
School of Pharmacy 75
Total 1,882
GRADUATES, UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
AND COLLEGE OF PHYSICIANS AND SURGEONS,
JUNE 1, 1921.
Name State Name State
Aubrey, Johii Forsyth Maryland John, Baxter S Virginia
Badagliacca, Francis Luciaii..New Jersey Joska, Vincent Vernon Maryland
Barnes, Bruce New Jersey Joyner, George Richardson Virginia
Benson, Carl Fisher Maryland Keegan, Daniel Francis, B.A. . Connecticut
Bernardo, John Ralph Delaware Kemp, Richard Joseph Maryland
Bonfiglio, Vincent Maryland Lass, Louis New York
Bose, Jogesh Chandra, B. S Maryland Luban, Benjamin New York
Broadrup, Earl Edgar Maryland McCoy, Arley Von, A. B. . . .West Virginia
Castro, Andres B Costa Rica Martinez, Ezequiel Porto Rico
Costa, Oscar G Porto Rico Matthews, Stanley William. North Carolina
Culver, Samuel Heam Delaware O'Rourk, Thomas Rutter Maryland
Dorf, Herman Jacob New York Pacienzo, Frank Anthony Maryland
Fisher, C. F West Virginia Paulson, Moses Maryland
Fisher, Daniel Sebastian Maryland Peters, Edgar Allan Poe, B. S.. .Kentucky
Foley, Charles J Maryland Pillsbury, Harold C Maryland
Franklin, Joseph P., B. A Alabama Plyler, Ralph Johnson, A. B.,
Freedom, Leon Maryland North Carolina
Gardner, WUletts Walton, A. B. .New York Pokomy, Joseph Maryland
GoUey, Kyle Wood Maryland Qulnones, Norberto A Porto Rico
Grabill, J. Stanley Maryland Reynolds, Francis A Massachusetts
Guyton, John Willis Maryland Ries, Ferdinand A Maryland
Hawks, Cyrus Eugene Virginia Romilly, Harold A Virginia
Hobgood, Legan Henry. .. .Massachusetts Ryon, James Barry, A. B Maryland
Hoheb, Albert Salomon Porto Rico Sabln, Fred C New York
Holofcener, Julius I Maryland Savage, Philip J Connecticut
Jaffe, Albert Maryland Schilling, Jesmond Wm Pennsylvania
26
PRIZEMEN
Name State
Seay, Thomas Waller Virginia
Sherman, Solomon. Maryland
Shircliff, Elliott Walter Maryland
Shubert, Felix S Pennsylvania
Skvarla, John Augustus New Jersey
Sowers, Jacob Long, B. S., North Carolina
Stone, S. Gordon Ohio
Szczerbicki, John Valentine .... Maryland
Tilghmaii, Stanley J Maryland
Timko, Louis Michael Pennsylvania
Name State
Waugler, Herman Ernest New York
Ward, Edvdn E Maryland
Weinkauf, Wm. Ferdinand. Michigan
Wells, George Edward Maryland
Wiest, Paul Foreman West Virginia
Wilkerson, James Herbert Maryland
Williams, Mortimer H Virginia
WUson, W. Wellf ord, Phar. D. . . Maryland
Wolfe, James Clinton New Jersey
Yaeger, Leslie Amo, B. S Maryland
PRIZEMEN.
T'uiversity Prize — Gold Medal Oscar G. Costa
Certificate of Honor James Heebert Wilkerson
Certificate of Honor Charles Frederick Fishfb
Certificate of Honor Ferdinand A. Ries
Certificate of Honor John Ralph Bernardo
Certificate of Honor Jogesh Chandra Bose
Clinical Medicine Prize Charles F. Fisher
In the tliird year tlie Jose L. Hirscti prize of $50.00 was awarded to John Ogle Warfield, Jr.. for the hest work in Pathologj' during the second and tliird years.
THE UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
AND
COLLEGE OF PHYSICIANS AND SURGEONS.
As a result of the merger accomplished in 1915 the combined schools offer the student the abundant resources of both institu- tions, and, in addition, by earlier combination with the Balti- more Medical College, the entire equipment of three large medical colleges.
The School of Medicine of the University of Maryland is one of The oldest foundations for medical education in America, rank- ing fifth in point of age among the medical colleges of the United States. It was chartered in 1807. under the name of the College of Medicine of Maryland, and its first class was graduated in 1810. In 1812 the College was empowered by the Legislature to annex three other colleges or faculties, of Divinity, of Law, and of Arts and Sciences, and the four colleges thus united were "con- stituted an University by the name and under the title of the University of Maryland."
Established thus for more than a century, the School of Medi- cine of the University of Maryland has always been a leading medical college , especially prominent in the South and widely known and highly honored throughout the country.
The beautiful college building at Lombard and Greene Streets, erected in 1814-1815, is the oldest structure in America devoted to medical teaching. Here was founded one of the first medical libraries and the first medical college library in the United States.
Here for the first time in America dissecting was made a com- pulsory part of the curriculum ; here instruction in Dentistry was first given (1837), and here were first installed independent chairs for the teaching of Diseases of Women and Children (1807) and of Eye and Ear Diseases (1873).
The School of Medicine w^as one of the first to provide for adequate clinical instruction by the erection in 1823 of its own hospital, and in this hospital intramural residency for the senior student was first established.
28 CLINICAL FACILITIES
In 1913 Juncture was brought about with the Baltimore Medi- cal College, an institution of 32 years* growth. By this associa- tion the facilities of the Bchool of Medicine were enlarged in fac- ulty, equipment and hospital connection.
The College of Physicians and Surgeons was incorporated under the Legislative enactment in 1872, and established on Hanover Street in a building afterwards known as the Maternite. the first obstetrical hospital in Maryland. In 1878 union was effected with the Washington University School of Medicine, in existence since 1827, and the College was removed to its present location at Calvert and Saratoga Streets. By this arrangement, medical control of the City Hospital, now the Mercy Hospital, was ob- tained, and on this foundation in 1899 the present admirable college building was erected.
CLINICAL FACILITIES.
HOSPITALS AND DISPENSARIES. UNIVERSITY HOSPITAL.
The University Hospital, which is the property of the Faculty of Physic of the University of Maryland, is the oldest institution for the care of the sick in the State of Maryland. It was opened in September, 1823, under the name of the Baltimore Infirmary, and at that time consisted of but four wards, one of which was reserved for eye cases. By successive additions this hospital was increased to more than fourfold its original accommodations, there being added to it a large clinical amphitheatre, a students' building for the accommodation of the thirty clinical assistants, and a nurses' building for the accommodation of the pupils of the Training School for Nurses. The yearly increase in the num- ber of patients seeking admission to the hospital, however, more than kept pace with the increase in accommodations, and the Faculty therefore erected an entirely new and modern hospital of fully double the capacity of the former building.
The University Hospital is constructed of brick and Tennessee limestone in the Colonial style of architecture, fronting 175 feet upon Lombard Street, and about the same on Greene Street. It is sui)plied with the most modern and approved system of heat-
CLINICAL FACILITIES 29
ing, ventilation, etc., and equipped with all modern requirements and conveniences for the care of the sick, and for the clinical instruction of the students of the University.
It is one of the largest and finest hospitals owned and con- trolled by any medical school in America, and in point of archi- tectural beauty, convenience and completeness of arrangements and equipment compares favorably with other hospitals.
An important adjunct to the hospital is the postmortem build- ing, which is constructed with special reference to the instruction of students in pathological anatomy.
The hospital is situated opposite the University building, so that the student loses no time in passing from the lecture halls to the clinical amphitheatre, dispensary and wards.
A portion of the hospital is used as a marine hospital for for- eign seamen. The great importance of Baltimore as a shipping point brings into her harbor many vessels from all parts of the world, and the sick sailors who are cared for in the wards of the institution give the students an opportunity to observe a large variety of diseases. Another considerable portion of the building is used as a Municipal Hospital, and contains charity beds sup- ported by the City of Baltimore. This department of the hospital is taxed to its utmost capacity to afford accommodations for the patients seeking admission.
Owing to its location, being the nearest hospital to the largest manufacturing district of the city, the University Hospital re- ceives for treatment a very large number of accident cases of all kinds, both slight and serious. These cases, as well as patients suffering from the various diseases of our own climate, occupy the beds, and add greatly to^ the facilities of clinical teaching enjoyed by the school. The facilities for clinical instruction have been greatly enlarged by an appropriation by the State of Mary- land for the support of free beds for patients from the various counties.
MERCY HOSPITAL.
The Sisters of Mercy first assumed charge of the Hospital at the corner of Calvert and Saratoga streets, then owned by the Wash- ington University, in 1875. By the merger of 1878 the Hospital came under the control of the College of Physicians and Surgeons, but the Sisters continued their work of administering to the patients.
In a very few years it became apparent that the City Hospital, as it was then called, was much too small to accommodate the
30 CLINICAL FACILITIES
rapidly growing demands upon it. However, it was not until 1888 that the Sisters of Mercy, with the assistance of the Faculty of the College of Physicians and Surgeons, were able to lay the cornerstone of the present Hospital. This building was completed and occupied late iu 1880. Since then the growing demands for more space has compelled the erection of additions, until now there are accommodations for 351 patients.
In 1909 the name w^as changed from The Baltimore City Hos- pital to Mercy Hospital.
Mercy Hospital is located in the center of a city of 750,000 inhabitants, and is under the exclusive medical control of the College of Physicians and Surgeons. It adjoins the College build- ing, and all surgical patients from the public wards are operated upon in the College operating rooms. This union of the Hospital and College buildings greatly facilitate the clinical teaching, as there is no time lost in passing from one to the other.
Mercy Hospital is the hospital of the United Kailways and Electric Company of Baltimore City, and receives patients from the Baltimore & Ohio Eailroad Company and from the Pennsyl- vania Kailroad Company and its branches.
During the calendar year of 1920 there were treated in the various departments of this hospital more than 20,000 people.
FKANKLIN SQUARE HOSPITAL.
The Franklin Square Hospital has a capacity of 112 beds. Dur- ing the year ending December 31. 1920, 1,505 cases were treated in the hospital, and 1,280 patients were treated in the dispensary. Ten hundred and thirty-nine surgical operations were performed in the hospital. .
LYING-IN HOSPITALS. MATERNITY HOSPITAL OF THE UNIVERSITY OF MARYLAND.
This institution is also the pro]>erty of the Faculty of Physic and under its exclusive control and direction, and is conducted with the special purpose of furnishing actual obstetrical experi- ence to each member of the graduating class.
New accommodations have been provided in the general hospi- tal, and the Maternity Department now offers better facilities than ever before, while the large increase in clinical material has made it possible to offer excellent opportunities for post-graduate work.
CLINICAL FACILITIES 31
THE WEST END MATERNITY.
The West End Maternity adjoins the Franklin Square Hospital and furnishes an abundance of clinical material, which is under the control of the Faculty of Physic.
OUT-PATIENT CLINIC AND DISPENSARY.
In connection with the University Hospital an out-door obstet- rical clinic is conducted, in which every case has careful prenatal supervision, is attended during labor by a graduate physician and graduate nurse — one senior student also being present — and is visited during the puerperium by the attending student and grad- uate nurse. Careful prenatal, labor and puerperal records are kept, making this work of extreme value to the medical student, not only from the obstetrical standpoint, but in making him ap- preciate the value of social service and public health work.
NUMBER OF PATIENTS.
During the year ending December 31, 1920, the number of pa- tients treated in the Lying-in hospitals connected with the School was as follows :
Number of Confinements in Hospitals 348
Number of Confinements Out-Patient Department 904
Average number of cases seen by each student of the graduating class 18
THE MUNICIPAL HOSPITALS— BAY VIEW.
The clinical advantages of the University have been largely in- creased by the liberal decision of the Board of Supervisors of City Charities to allow the immense material of these hospitals to be used for the purpose of medical education. There are daily visits and clinics in medicine and surgery by the Staff of the hospitals. The autopsy material is unsurpassed in this country in amount, thoroughness in study, and the use made of it in medical teach- ing.
The Municipal Hospitals consist of the following separate hos pitals :
The General Hospital, 160 beds.
The Hospital for Chronic Cases, 8S beds.
The Municipal Hospital for Tuberculosis, 190 beds.
City Detention Hospital for Insane, 450 beds.
32 CLIXICAL FACILITIKS
THE JAMES LAWRENCE KERNAN HOSPITAL AND INDUSTRIAL SCHOOL OF MARYLAND FOR CRIPPLED CHILDREN.
This institurion contaiiih^ seveuty-iive beds for the active treat- ment of deformities. It is situated at "Radnor Park," a colonial estate of seventy-five acres at Hillsdale, within the western city limits, reached by trolley.
This institution has city, state, endowed and private beds and every modern facility for the treatment of orthopedic cases as well as a most beautiful park-like environment and farm, and is closely afiBliated with the University of Maryland, for bed-side instruction.
ST. TINCENrS INFANT ASYLUM.
The facilitiess of this institution, containing 250 infants and children, have been kindly extended to the University of Maryland by the Sisters of Charity. This large clinic enables this school to present to its students liberal opportunities for the study of dis- eases of infants and children.
INSTITUTIONS FOR THE TREATMENT OF THE INSANE AND
FEEBLE-MINDED.
The SHEPrARD and Enoch Pratt Hospital for the Insane. This institution is one of the most modern hospitals for the treat- ment and care of the insane in this country. It is well endowed and its superintendent is R. M. Chapman, M.D., Clinical Pl'ofes- sor of Psychiatry at the University of Maryland. In this hospital intensive treatment and study of mental diseases is carried on, a large number of the patients entering voluntarily. The students under the direction of Dr. Chapman and his assistants in a series of clinics are shown the early manifestations and the various stages of mental diseases, the methods of treatment, and their effects.
Mount Hope Retreat for the Insane. This hospital contains an average of 750 patients and is attended by Dr. Chas. (t. Hill, Professor of Psychiatn' of this faculty. Under the direction of Dr. Hill and his assistants the students are given opportunity for the study of large groups of patients showing all phases of vari- ous mental and nervous disorders.
UlSPEXSAEIES 33
DISPENSARIES.
The dispensaries associated with the University' Hospital and the Mere}' Hospital are organized upon a uniform plan in order that the teaching may be the same in each. Each dispensary has the following departments: Medicine, Surgery. Children, Eye and Ear, Genito-Urinary, Gynecology, Gastro-Enterology, Neurol- ogy, Orthopedics, Proctology, Dermatology, Throat and Nose, and Tuberculosis.
All students in their junior year work in the departments of Medicine and Surgery each day in one of the dispensaries.
All students in their senior year work in the special depart ments one hour each day.
Some idea of the value of these dispensaries for clinical teach- ing is shown by the number of patients treated. For the year 1920 about sixty-seven thousand visits were made to the dispen- saries.
In addition to these the Dental Department, situated upon the grounds of the L'niversity, conducts a daily clinic which is open to medical students.
University Hospital Dispensary Report. January 1. to December 31. 1920. J. A. Skladoaski. M.D., Dispensary Physician.
■Department. yew Cases.
Skin 2,561
Children 1,318
Obstetrical 1,285
Surgical 841
Eye and Ear 1,014
Gynecology 598
Medical 725
Genito-Uriuary 557
Neurology 126
Orthopedics 92
Gastro-Enterology 103
Nose and Throat 3-53
Tuberculosis 122
Proctology 32
9,727 25.007 34.734
|
0?rf Cases. |
Total. |
|
4,412 |
6,973 |
|
4,219 |
5,537 |
|
2,811 |
4.096 |
|
3,247 |
4,088 |
|
1.575 |
2.589 |
|
i,6as |
2,236 |
|
1,502 |
2,227 |
|
1,480 |
2.037 |
|
1,682 |
1.S08 |
|
1,067 |
1,159 |
|
713 |
816 |
|
442 |
795 |
|
171 |
293 |
|
4S |
80 |
|
New. |
Total. |
|
933 |
3.300 |
|
S46 |
1,473 |
|
416 |
1,121 |
|
418 |
858 |
|
556 |
1,258 |
|
221 |
681 |
|
31 |
64 |
|
262 |
893 |
|
40 |
68 |
|
46 |
71 |
|
85 |
213 |
|
219 |
441 |
|
1.734 |
21,927 |
34 LABORATORIES
Mercy Hospital Dlsiiensurii Nciiort. .January 1 to December 31, 1920. B. S. Hanna. M. D., Dispensary Physician.
Dispensary Clinics. Old.
Surgical 2,367
Medical 627
Gynecological , 705
Eye and Ear 440-
Nose and Throat 702
Neurological 460
Pediatric 33
(Jastro-Intestinal 631
Dental 28
Proctological 25
Orthopedic 128
Dermatological 222
Genito-Urinary Surgery 20.193
Total 26,561 5.807 32.368
LABOKATOEIES.
ANATOMICAL LABORATOBIES.
Tliese laboratories are in charge of the Professor of Anatomy and his assistants. The University has recently built its own storage and embalming plant, which supplies an abundance of anatomical material. Anatomical material is furnished in abun- dance, free of charge.
LABORATORY OF EXPERmENTAL PHYSIOLOGY.
This laboratory occupies the first floor of Gray Laboratory; it includes a large student laboratory, with capacity of forty stu- dents, a room completely equipped for mammalian experimenta- tion, a stock-room, and an office for the professor in charge. Witliin the same building there is an animal room in which there is kc})t a constant supply of material for experimentation and demonstration. The laboratory is equipped with ample appara- tus: there is a complete set of student apparatus available for each group of two students, wliile the special apparatus for lab- oratory experimentation and class-room demonstration is ade- quate for the needs of the courses.
laboiiatorip:s t3o
LABORATORY OF PHYSIOLOGICAL CHEMISTRY.
(See page 52.)
LABORATORY OF HISTOLOGY AND EMBRYOLOGY.
This laboratory is fully equipped for teaching Histology and Embryology.
There is a large collection of charts, specimens and apparatus ii«ed in teaching. The necessary equipment for the practice of technique is provided.
LABORATORIES OF PATHOLOGY AND BACTERIOLOGY.
The subject of special bacteriology is taught during a portion of the second year in a well equipped laboratory containing steriliz- ers, water baths, and other necessary equipment for this purpose.
The subject of histopathology is also taught during the second year in a properly equipped laboratory. The details concerning this work are described under the subject of Department of Path- ology and Bacteriology.
The instruction in gross pathology is obtained during the third year by attendance upon the autopsies at the University Hospital and the Mercy Hospital, and special instruction in this subject is also given by demonstrations with a large amount of pathologi- cal material at the City Hospitals situated at Bay View. The subject of gross pathology is also taught in the third year by means of lectures and demonstrations to sections of the third year class and a special effort is made to apply this subject to the explanation of the symptoms and clinical signs of disease. The instruction in autopsy technique is also given personally to small gi'oups of students.
LABORATORIES OF CLINICAL PATHOLOGY.
These laboratories are fully e^uipi>ed for the study of practical laboratory work in its relationship to clinical medicine. Each student is sui)plied with a locker, containing sufficient apparatus for any ordinary examination.
The wards and out-patient departments of the hospitals furnish an abundance of material for study.
By reason of individual e(iui]:nient. much work outside of class hours is expected of the student.
The class rooms are adequately lighted, and are conveniently situated for teaching purposes.
36 AX:XUAL APPOINTMENTS
LIBRARIES.
The University Library, founded in 1813 by the purchase of the collection of Dr. John Crawford, now contains 14,259 volumes, a tile of 58 current journals, and several thousand pamphlets and reprints. During the year ending December 31, 1920, 141 volumes were added. It is well stocked with recent literature, including books and periodicals of general interest. The home of the Library is Davidge Hall, a comfortable and commodious building in close proximity to the class rooms and the laboratories of the Medical Department. The Library is open daily during the year, except in August, for use of members of the Faculty, the students, and the profession generally.
The Library of the Medical and Chirurgical Faculty of Mary- land, containing many thousands of volumes, is open to the stu- dents of the school. The leading medical publications of the world are received by the library and complete sets of many jour- nals are available. Other libraries of Baltimore are the Peabody (181,000 volumes) and the Enoch Pratt Free Library (355,817 volumes).
All these libraries are open to the students of the school with- out charge.
The proximity of Washington places the immense libraries of the national capital at the disposal of the students of the school.
ANNUAL APPOINTMENTS.
On February first of each session the following annual appoint- ments are made from among the graduates of the school :
TO THE LTMVERSITY HOSPITAL
Medical Superintendent. ,
Five Senior Residents, viz :
Two Resident Surgeons.
One Resident Physician.
One Resident Gynecologist and Obstetrician.
One Resident Pattiologist. Thirteen Junior Residents on a rotating service.
A number of students are appointed each year. at. the close of tlie session, as Clinical Assistants in the University Hospital for the summer months.
REQUIREMENTS FOR MATRICULATION ST
TO THE MEBCY HOSPITAL.
Chief Resident Physician. Six Resident Surgeons. Four Resident Physicians. One Resident Gynecologist. One Resident Obstetrician.
TO THE MARYLAND GENERAL HOSPITAL.
Medical Superintendent: Four Senior Residents, viz :
One Resident Surgeon.
One Resident Physician.
One Resident Gynecologist.
One Resident Obstetrician. Eight Junior Residents on a rotating service.
Each resident serves a term in every department, including the pathological laboratory and the Maryland Lying-in-Hospital.
Many appointments to other hospitals of Baltimore are made annually, to which graduates of this school are eligible.
REQUIREMENTS FOR MATRICULATION.
Admission to the course in medicine is by a completed Medical Student Certificate issued by the State Department of Education of Maryland. This certificate is obtained from the Department of Education on the basis of satisfactory credentials, or by examina- tion and credentials, and is essential for admission to any class.
The requirements for the issuance of the Medical Student Cer- tificate are:
(ai The completion of a standard four-year high school course or the equivalent, and in addition,
(bi Two years or sixty semester hours of college credits, in- cluding chemistry, biology, physics, and English.
Women are admitted to the Medical Department of this Uni- versity.
(A) DETAILS OF THE HIGH SCHOOL REQUIREMENT.
1. Graduation from an accredited high school after pursuing a four-year course based upon an eight-year elementary course or its full equivalent ; or
2. Successfully passing entrance examinations in the following subjects:
38 KEQUIREMENTS FOR MATRICULATION
(a) Required Eleven (11) Units.
Units.
English, 4 years 3
Elementary and Intermediate Algebra 1
Plane Geometry (first five books) 1
Two j'ears of a foreign language 2
Two of the three sciences — Biology, Chemistry, Physics 2
American History and Civics 1
Ancient History or English History 1
(h) Elect ires. Four (4) Units.
(1) History and Political Science:
Ancient History or English History •. 1
Mediaeval and Modern History 1 or 1-2
General History 1 or %
Civics Vl'
Economics Vo
(2) Language:
French 2 years 2
German 2 years 2
Greek 2 years 2
Hebrew 2 years 2
Italian 2 years 2
Latin 1 or 2 years lor 2
Spanish 2 years 2
(3) Mathematics: ,
Advanced Arithmetic Vo
Advanced Algebra 1
Plane Trigometry y^
Solid Geometry Vs
(4) Science :
Physics. Biology or Chemistry 1
Physical (Geography and Geology 1
Astronomy 1,2
Physiology and Hygiene V2
(5) Vocational and cultural subjects:
Agriculture 1
Bookkeeping 1
Commercial Geography , i,i
Domestic Science 1
^ iilechanical 1 and 2 % each
Drawing -^ Freehand 1 and 2 1/2 each
Manual Training ■„. i
Music 1
Stenography 1 or 2
EEQUIREMENTS -FOB MATRICULATION 39
One unit in any subject is the equivalent of work in that subject for five periods per week for a year of at least thirty-six weeks, periods to be not less than forty-five minutes in length. One unit is equivalent to 2 semester credits or 2 points.
(B) DETAILS OF THE COLLEGE REQUIREMENT.
(/. The preliminary college course shall extend through two col lege sessions of at least thirty-two weeks each of actual instruc- tion, including final examinations.
6. In excellence of teaching and in content, the work of this pre- liminary college course shall be equal to the work done in the freshman and sophomore years in standard colleges and universi- ties.
c. This preliminary college course shall include courses in phy- sics, chemistry, biology, and English, each course to embrace at least six, eight or twelve hours of work in each subject, as shown in the schedule following.
SCHEDULE OF SUBJECTS OF THE TWO-TEAR PRE-MEDICAL COLLEGE COURSE.
Sixty Semester Hours Required. ^eme<iter
Required Courses : Hours.
Chemistry (a) 12
Physics (b) , ■ 8
Biology (c) ; . S
English Composition and Literature (d) 6
CouBSES Steongly Urged: A modern foreign language. Comparative vertebrate anatomy Psychology Social science
A semester hour is the credit value of sixteen weeks' work consisting of one lecture or recitation period per week, each period to be of not less than fifty minutes' duration net, at least two hours of laboratory work to he considered as the equivalent of one lecture or recitation period.
(a) Chemistry. Twelve semester hours required, of which at least eight semester hours must be in general inorganic chemistry, including four semester hours of laboratory work. In the inter- pretation of this rule, work in qualitative analysis may be counted as general inorganic chemistry. The remaining four semester hours required shall consist of work in organic chemistry.
40 KEQUIREMENTS FOE MATRICULATION
(b) Physics. Eight semester lioius required, of which at least two must be laboratory work. This course presupposes a knowl- edge of plane trigonometry.
(c) Biology. Eight semester hours required, of which four must be laboratory work. This requirement may be satisfied by a course of eight semester hours in either general biology or zoo- logy, or by courses of four semestei' hours each in zoology and botany, but not by botany alone. The requirement may be satis- fied also by 6 semester hours of college biology, including three semester hours in laboratory work, if preceded by a year tone unit) of high school biology.
(d) English COxMposition and Llterature. The usual intro- ductory college course of six semester hours, or its equivalent, is required.
POST-GRADUATE STUDENTS.
Graduates in medicine desiring to take the work of The senior year without being candidates for the degree and. therefore, with- out examination, may receive a certificate of attendance on com- pleting the full course satisfactorily.
The requirements for graduates in medicine admitted to the fourth year class as candidates for the degree of Doctor of Medi- cine are the same as those enforced against undergraduates ad- mitted to advanced standing.
COMBINED COURSE IN ARTS AND MEDICINE.
Students who have completed the junior year in our School of Liberal Arts and who have made an approved choice of electives may, if they desire, do the entire work of the senior year in the medical school of the University. If they successfully complete the work of the first medical year they are graduated with their class with the degree of Bachelor of Arts.
By taking advantage of this privilege a man may complete the Undergraduate and Medical courses in seven years.
During three of these years or until he has completed the work of the junior class he is a resident student in the School of Lib- eral Arts at College Park, Maryland, and for four years he is a student in the Medical School in Baltimore.
At the end of the fourth year he receives the A.B. degree, and at the end of the seventh vear the M.D. degree, but credit from
REQUIREMENTS FOR. MATRICULATION 41
the Medical School cannot be accepted in subjects for which credit has already been given in the School of Liberal Arts.
The same privilege is allowed students of St. John's College, Annapolis, Maryland.
Special premedical courses have been arranged in our School of Liberal Arts at College Park and also by St. John's College at Annapolis.
RULES.
1. All students are required to stand the spring examinations unless excused by the Dean. No student will be permitted to advance from a lower to a higher class with conditions.
2. Should a student be required to repeat any year in the course he must pay regular fees.
.3. A student failing in final examination for graduation at the end of the fourth year will be required to repeat the entire course of tli» fourth year and to take examinations in such other branches as may be required, should he be again permitted to enter the school as a candidate for graduation.
4. The general fitness of a candidate for graduation will be taken into consideration by the Faculty as well as the results of his examinations.
All the above rules, as well as the fees stated below, relate to the year ending June 1, 1922, only. The right is reserved to make changes in the curriculum, requirements for graduation, fees and all the regulations whenever the Faculty deem it expedient.
FEES.
Matriculation fee (paid each year) $5.00
Tuition fee (each year) 250.00
Brealvage fee (each year) , 10.00
Special and i"e-exauiination fee 5.00
I
Ko fees are returnable, except unused portion of breakage fee. Tuition fees are due and payable during October. The above fees apply to all students who matriculate in this institution in any class for the session beginning October 3, 1921.
42 PRIZES
t^PECIAL COURSES.
Auatomy $75.00
Physiology •. 75.(K)
Pathology 7r..00
Embryology 75.00
Bacteriology 75.(K)
Physiological Chemistry 75.00
I'harmacology 75.00
Clinical Laboratory (four months ) 100.00
X-Ray (four months) 150.(t0
Orthopedic Surgery (four months) IjO.OO
Genito-Urinary Diseases (four months) 150.(h1
Gynecology and Gynecological Pathology 100.00-150.00
( 6 weeks $25.00
Obstetrics. Out-door ^^ ^ ^^^^^^^^^ .^^
( 6 weeks 50.00
Out-Door and In-Door j ^ ^^^^^j^^ ^^^^
(Clinical Surgery ] SurgeryJ Operative Surgery L By arrangement
I Surgical Pathology I
Medicine By arrangement
Laboratory Technician Course, including Bacteriology and Clinical
Pathology .$150.06
If the courses are taken during holidays or if special super- vision is desired or additional material required, the charge is made accordingly.
FACT'LTY PRIZE.
To stimulate study among the candidates for graduation, the Faculty offers a Gold Medal to the candidate who passes the best general examination. Certificates of Honor are awarded tc the five candidates standing next highest.
.70S1-: L. TTIRSCH PRIZE.
A prize of -$50.00 is given each year by Mrs. Jose L. Hirsch as a memorial to the late Jose L. Hirsch, formerly Professor of Path- ology in this school, to the student in the third year who has done the most satisfactorv Avork in Pnthologv.
SCHOLARSHIPS 43
SCHOLAE SHIPS.
The Dr. Samuel Leox Frank Scholarshu".
This scholarship, established by Mrs. Bertha Kavner Frank as a memorial of the late Dr. Samuel Leon Frank, an alumnus of this T'niversitT. entitles the holder to exemption from the pay- ment of the tuition fee of that year.
It is awarded by the Trustees of the Endowment Fund of the University in each year upon nomination of the Medical Council, "to a medical student of the University of Maryland, who, in the judgment of said Faculty, is of good character and in need of pe- cuniary assistance to continue his medical course."
This scholarship is awarded to a second, third or fourth year student only, who has successfully completed one year's work in the medical course, and no student may hold such scholarship for more than two years.
The Charles M. Hitchcock Scholarships.
From a bequest to the School of Medicine by the late Charles M. Hitchcock, M.D., an alumnus of the University, two scholar- ships have been established which entitle the holders to exemption from payment of tuition fees for the year.
These scholarships are awarded annually by the Medical Coun- cil to students who have meritoriously completed the work of at least the first year of the course in medicine, and who present to the Faculty satisfactory evidence of good moral character and of inability to continue the course without pecuniary assistance.
The Randolph Winslow Scholarship.
This scholarship, established by Prof. Eandol]»h Winslow, M.D.. LL.D.. entitles the holder to exemption from the payment of the tuition fee of that year.
Ir is awarded annually by the Trustees of the Endowment Fund of the University, upon nomination of the Medical Council, to "a needy student of the Senior, Junior, or Sophomore Class of the Medical School.
"He must have maintained an average grade of 85% in all his work up to the time of awarding the scholarship.
"He must be a person of good character and must satisfy the Medical Council that he is worthv of and in need of assistance"
44 scholaeships
The University Scholarships.
Two Scliolarsliips are awarded by the University. One to a stu- dent of the Department of Liberal Arts appointed by the Presi- dent; the other, which entitles the holder to exemption from payment of the tuition fee of the year, is awarded annually by the Medical Council to a student of the Senior Class who presents to the Medical Council satisfactory evidence that he is of good moral character and is worthy of and in need of assistance to complete the course.
The St. John^s Scholarship.
This scholarship is awarded annually by the Medical Council upon the nomination of the President of St. John's College.
It entitles the holder to exemption from the payment of the tuition fee of that year.
Frederica Gbhrmann Scholarship.
This scholarship was established by bequest of the late Mrs. Frederica Gehrmann and entitles the holder to exemption from payment of tuition fees. This scholarship is awarded to a second year student who at the end of the year passes the best practical examination in Anatomy, Physiology, Physiological Chemistry and Pharmacology.
NOTICE TO STUDENTS.
The personal expenses of students are at least as low in Balti- more as in any large city in the United States. The following- estimates of student's personal expenses for the academic year of eight months have been prepared by students, and are based upon actual experience:
Itcnt.s. Low.
Books $27
College Incidentals 20 ^
Hoard, eight mouths 200
Room rent C4
Clothing and laundry .""lO
All other expenses 25
Total Jr'38G $029 $095
|
cragc. |
Liberal. |
|
$48 |
■ $75 |
|
20. |
20 |
|
250 |
275 |
|
80 |
100 |
|
80 |
150 |
|
50 • |
75 |
OKGANIZATIOX OF THE CUERICULUM 45>
Students will save time and expense upon Their arrival in the city by going direct to the School of Medicine on the rniversity grounds, N, E. corner of Lombard and Greene Streets, where the vSuperintendent of Building's, who may be found at his office on the premises, will furnish them with a list of comfortable and convenient boarding houses suitable to their means and wishes.
The Dean will, if desired, attend to the collection of checks and drafts for students.
For further information apply to
J. M. H. Rowland. M.D.. Deon, Lombard and Greene Streets.
ORGA^'IZATION OF THE CURRICULUM.
The following curriculum is the result of a thorough re vision of teaching in this school in order to meet modern re- quirements. The multiplication of specialties in medicine and surgery necessitates a very crowded course and the introduction of electives will very soon be depended on to solve some of the difficulties.
The curriculum is organized under eleven departments:
1. Anatomy (including Histology and Embryology).
2. Physiology.
3. Chemistry (including Physiological Chemistry).
4. Pharmacology and Materia Medica.
5. Pathology.
6. Bacteriology.
7. Medicine (including Medical Specialties).
8. Surgery (including Surgical Specialties i .
9. Obstetrics.
10. Gynecology.
11. Ophthalmology and Otology.
The instruction is given in four years of graded work.
Several courses of study extend through two years or more, but in no case are the students of different years thrown together in the same course of teaching.
The first and second years are devoted largely to the study of the structures and functions of the normal body, and laboratory work occupies most of the student's time during these two years. .
4(j ORGAiN'IZATIOX OF THE CUKKICULUM
Home iutiofluctory instruction in Medicine and Surgery is given in the second year. The third and fourth years are almost en- tirely clinical.
A special feature of instruction in the school is the attempt to bring together teacher and student in close personal relationship. In many courses of instruction the classes are divided into small groups and a large number of teachers insures attention to the needs of each student.
In many courses the tinal examination as the sole test of pro- ficiency has disappeared and the student's final grade is deter- mined largely by partial examinations, recitations and assigned work carried on throughout the course.
AKRAIVGEMENT OF CLASSES.
All the teaching of the freshman class is done at Calvert and >>aratoga Streets. All the teaching of the sophomore class is done at Lombard and Greene Streets.
The junior class has three hours of didactic teaching each morn- ing. For clinical instruction and laboratory work this class is divided into two sections and the year into semesters. Each sec- tion will work for one semester at the University Hospital and one semester at Mercy Hospital.
The senior class is divided into two sections and for this class I he year is divided into semesters. Each section receives clinical instruction for one semester in the University Hospital and the Mercy Hospital. In the afternoon the whole class is assembled and has two hours of didactic teaching each day.
This distribution of the classes is made in order to utilize to the best advantage the laboratory space and to bring the students into daily contact with patients in both of the hospitals and dis- pensaries.
DEPARTMENT OF ANATOMY, INCLUDING HISTOLOGY AND EMBRYOLOGY.
C. T>. Davis. M.D Professor of Anatomy
TiLGiiMAX B. Marden, A.B., M.D.,
I'rofessor of Histology and Embryology and Assistant in Anatomy
.7. W. Holland, M.D Associate Professor of Anatomy
M. ,]. Hanna. M.D Assistant in Anatomy
First Year. Didactic. Five hours each week for thirty-two weeks. Each day, preceding the laboratory period, a quiz and demonstration of from 40 to 50 minutes is held, covering the lab- oratory work for the day.
ORGANIZATION OF THE CUERICULUM 47
Laboratory. Eighteen hours each week for sixteen weeks. Twelve hours each week for sixteen weeks. This course includes a complete dissection of the human body, including the central nervous system. Abundance of good material is furnished and the student is aided in his work by competent demonstrators. Practical examinations are held at frequent intervals throughout the session and each student will be held to strict account for material furnished him. Each student is furnished a skeleton and a deposit is required to insure its return in good condition at the end of the session.
Second Year. Didactic. Three hours each week for six weeks. Lectures, recitations and conferences.
Laboratory. Seven hours each week for six weeks. This course is devoted exclusively to Neuro-Anatomy. A complete dissection of the human brain is required. This is followed by a study of the tiber tracts of the spinal cord and brain, special models and preparations being used for this part of the course.
Histology.
First Year. Lectures, recitations and laboratory work, nine hours each week during first semester; three hours each week during second semester. The most important part of the work will be done in the laboratory, where each student will be pro- vided with a microscope, apparatus, staining fluids and material necessary for the preparation of specimens for microscopical ex- amination. An important aid to the course is the projection microscope which is used for the projection upon a screen of mag- nified images of the specimens actually used in the laboratory.
A large number of completely prepared sections are loaned to the students for study. This materially reduces the time other- wise required by the student for the preparation of sections and insures the best possible class of materia] for study.
Embryology.
i.ectures, recitations and laboratory work; six hours each Aveek during the second semester.
This course includes the study of the development of the chick, nnd the fundamental principles of mammalian embryology. In the laboratory, the hen's egg will be studied in its various stages nf development, and sections of the chick at different ]^eriods of
4S OEGANIZATIOX OF THE CUEKICULUM
iuciibatiou Mill be made aud studied microscopically. The latter part of the course will be devoted to the study of sections through dift'erent regions of a mammal.
tUpecial emphasis is laid upon the development in the human.
DEPARTMENT OF PHYSIOLOGY.
Bautgis McGlone, A.B., Ph.D.. F.O.C.P Professor of Physiology
Charles C. Conser, M.D As.sociate Professor of Physiology
Harold E. Wright, M.D Instructor iu Physiology
FiRMADGE K. Nichols. M.D Assistant iu Physiology
The course in Physiology extends throughout the First and Sec- ond Years. It consists of a series of lectures, covering the field of human physiology, laboratory work, demonstrations, and frequent recitations. It is constantly in the mind of the department that this course is introductory to the study of medicine. The recita- tions cover the subject-;natter of the lectures and the experiments performed in the laboratory.
First Year. 1. This course includes lectures and recitations upon the physiology of the blood and circulation, respiration, muscle and nerve, a portion of the central nervous system, and special senses, and such chemical and physical facts as are neces- sary for a proper undei*standing of the physiology taught. Tw'O lectures and a recitation weekly throughout the year. Dr. Mc- Glone, assisted by Dr. Wright.
Second Year. 2. Didactic instruction. During this year the remaining topics of physiology are covered by lectures and demon- strations. As in the first year frequent recitations will be held. The subject-matter includes the physiology of digestion and secre- tion, nutrition, metabolism, internal secretion, and the cranial central nervous system. Lectures, demonstrations, and recita- tions, three hours per week. Dr. McGlone, assisted by Dr. Con- ser.
:^>. Experimentnl Pluf^iiolog}/. This is a laboratory course in the dynamics of muscle and nerve, studies in circulation and respira- tion, and physiology of the special senses. Apart from the acqui- sition of the facts of physiology, the student is taught to observe accurately, record carefully the results of his observations, and from these results draw an independent conclusion. He is also trained in the use of instruments which are of value to him in his clinical years. Three hours weekly throughout the year. Drs. McGlone, Conser and Wright.
OEGANIZATIOX OF THE CrRBICULUM 49
4. Elective Course in Physiological Technique. This course is offered to Sophomores. Three hours per week. Second semester.
5. Special Mammaltaii Physiology. This is a laboratory course intended for advanced Laboratory students (optional) who may wish to do special work in this line of physiology. Hours to be arranged. Dr. McGlone.
6. Research in Physiology. Properly qualified students will be admitted to the laboratory, which is well adapted for post gradu- ate study and special research. Hours will be arranged to suit individuals. Dr. McGlone.
PHARMACOLOGY AND MATERIA MEDICA.
William Hexky Schcltz. Ph.B., Ph.D Professor of Pharmacolog>'
O. Glenn Harne, A.B Associate Professor of Pharmacology
1. Pharmacology. Materia Medica and Prescription Writing required of all second year medical students during the first semester. Didactic, three hours a week ; Laboratory, three hours a week.
This course is a prerequisite to all other courses in Pharma- cology. Special emphasis is laid upon laboratory methods of ob- servation and of intelligent note-taking. The essentials of pre- scription writing are taught and the student is introduced to the oflScial pharmacopoeal preparations.
Xot only is the student taught intelligently to use the United States Pharmacopea and the National Formulary, but the princi- ples underlying the establishing of some of the most practical receipts are attacked from a didactic point of view,
2. Systematic Ph<irmacology. Eequired of all second v^ear medi- cal students. Three hours a week during the year, tAvo lecture periods and one period for quiz and general conferences. Special care is taken to adapt the material to the practical needs of the medical student. * Emphasis, however, is laid upon the pharmaco- logical action of drugs as a pure science in order that a critical attitude toward drugs may be instilled. As the student masters the pharmacology of an important drug, its dosage, incompatibili- ties, and practical applications are driven home by systematic assignments of prescription writing, quizes, and conferences.
3. Pharmacodynamics. — Second semester. Eequired of all sec- ond year medical students. Prerequisite pharmacology 1. Lab- oratorv, six hours a week.
•50 ORGAXIZATIOX OF THE CURRICULUM
The course runs parallel with pharmacology 2. Being a labora lory course it furnishes much didactic material used in the class conterences and lectures of pharmacology No. 2.
As the student's ability in handling biological material de- velops, experiments involving the more difficult technic of phar- macological experimentation are introduced. Special emphasis is laid upon the student's ability to handle live tissues and to make first-hand observations of a given drug's action, regardless of what standard text-books teach.
Class conferences, discussions, and the reading of assigned pa- pers are used to supplement the laboratory and lecture. lu these conferences the professor in charge attempts to summarize the class work as a whole, thereby properly coordinating it. It is by these means that the student acquires a critical and scientific atti- tude toward official and neic and non-official remedies. The study is limited for the most part to such drugs as are known to have a <]efinite pharmacological action and therapeutic value.
4. Special Pharmacodynamics. (Credit according to work done. I This course is open to advance students and special workers
who desire advanced training, or who wish to pursue some special problem in Pharmacolog}' or Toxicology. Hours to be arranged. Professor Schultz.
5. Research in Pharmacology and Chemo-Theiapy. Properly qualified students are admitted to the laboratory Avith a view to their carrying on original investigations in drug action. The newly equipped laboratories are well adapted for post-graduate study and research in Pharmacology. Hours will be arranged to suit the applicant. Professor Schultz.
DEPARTMENT OF PATHOLOGY.
Hugh R. Spencer, M.D Professor of Pathology
Standish McCr.EARY. M.D Professor of Pathology
♦Sydney Cone. M.D Associate Professor of Pathology
Wm. J. Carson. M.D Associate Professor of Pathology
Richard Dresser. M.D Assistant iu Pathology
Courses of instruction in pathology are given during the sec- ond, third and fourth years. The courses are based on previous study of normal structures and functions and aim to outline the natural history of disease. The instruction is made as practical as ])Ossible that the student may become familiar with the appear- ance of organs and tissues iu disease and may be able to correlate anatomical lesions with clinical symptoms and signs.
ORGANIZATION OF THE CURRICULUJM 51
1. General Pathology and Histo-pathology. This course l^4 given to second year students, it includes the study and demon- stj^ation of disturbances of the body fluids, disturbances of struc- ture, nutrition and metabolism of cells, disturbances of fat, car- bohydrate and protein metabolism, disturbances in pigment met- abolism, inflammation and tumors. The laboratory course con- sists in a daily preliminary lecture, after Avhich the student is given microscopical sections for study, (iross material from autopsy and from the museum is demonstrated in conjunction with the microscopical study.
2. Applied Pathology^ including Gross Morbid Anatomy and Morbid Physiology. Third year students: In this course the special relationship of the gross and microscopical lesions to clin- ical symptoms and signs is emphasized. Fresh material from autopsy collected at the various hospitals is demonstrated and supplemented by a study of the respective autopsy protocols.
Special stress is laid upon the study of the infectious diseases and where possible the causative agents are studied.
3. Autopsies. Third year. Autopsy technic is taught to small groups of students by special instruction a^ autopsies performed at the various hospitals. Students are required to assist at the autopsy, study the organs, examine the microscopical sections, make cultures and prepare autopsy protocols.
4. Clinical Pathological Conference. Fourth year. Mate- rial from autopsies is studied with reference to the clinical history and gross and microscopical anatomj', the course is illustrated with sections of fixed material or lantern slides.
5. Advanced Work in Pathology. Properly qualified students will be permitted to carry out advanced or research work along the lines of experimental pathology. Adequate space and equip- ment is available.
DEPARTMENT OF BACTERIOLOGY AND IMMUNOLOGY.
Wm. Royal Stokes, M.D., Sc.D Professor of Bacteriologj-
Frank W. Hachtel. M.D Associate Professor of Bacteriologj-
Instruction in special bacteriology is given in. the laboratory to the students of the first year during one semester. This includes the various methods of sterilization and preparation of culture material, the study of pathogenic microorganisms of vegetable origin, and the bacteriological study of water, milk, sewage, and other such materials. The bacteriological diagnosis of the infec- tious diseases is also included in this course. Animal inocula-
■DZ OEGAXIZATIOX OF THE CUERICULUM
tions and autopsies are performed in connection with the bacteria .studied and diagnoses by means of serum reactions are also given. In the third year the various animal parasites are demonstrated and the diseases produced by these organisms studied by means of gross specimens, stained sections and lantern slides. The prin- ciples of general bacteriology are taught in didactic lectures given once a week throughout the entire first year, and these lectures include the structure of bacteria, the various facts concerning their biological properties, infection and immunity.
The general principles of immunology are described in a weekly lecture to the second year class throughout the firs^t semester and practical experiments in immunology are demonstrated to the second year class in laboratory sessions of two hours held thrice weekly throughout the first semester.
DEPARTMENT OF PHYSIOLOGICAL CHEMISTRY.
K. Boyd Wvlie, M.D Professor of Physiological Cliemistry
Frank N. Ogden, M.D Instructor iu Pliysiological Cliemistry
The course in Physiological Chemistry comprises laboratory work, special laboratory demonstrations, lectures and discussions of extracts prepared by students, from current literature.
Laboratory Work. The regular class work in the laboratory is carried on in two sections, throughout the year, each section spending Tuesday or Thursday morning from 9-12 in the labora- tory.
During these first periods, study is directed to the chemistry of proteins, carbohydrates, fats and extractives. Later these substances are subjected to the action of enzymes, and such hy- drolytic products capable of production in the laboratory are studied. Following this work, the main tissues of the body, along with its chief secretions and excretions, are investigated. The former, briefly; the latter, more thoroughly; a great deal of atten- tion being given to the quantitative estimations of blood, urine, feces and stomach, contents.
Special Laboratory Demonstrations. These special demon- strations take place three afternoons a week, during the second semester. A group of six or eight men are assigned to the execu- tion of the more complicated tests on blood, urine, gastric con- tents and feces. In this work, emphasis is laid ou. those tests which ))ear more or less on pathol(»gical conditions.
Ample opportunity is aft'orded, in this afternoon work, for ex- perimentation with new methods and for reseach work.
CLINICAL I^^STEUCTION 53
Lectures. The lectures are given in one hour periods, for three days a week. They are designed to furnish the student with a clear understanding of the practical work, and at the same time, to supply the theoretical material necessary to complete a well- rounded course. Wherever of practical benefit to the student, the abnormal as well as the physiological aspects of the subject under discussion are always considered.
Extracts of Current Literature by Students. This depart- ment was instituted to stimulate the student's interest in the concurrent literature associated with this subject.
Periodically, during the year, students are appointed to present to the class extracts of articles of special interest from a physio- logical chemical standpoint. The paper thus presented is dis- cussed by other students, previously appointed for the purpose.
MEDICAL JURISPRUDENCE.
H. J. Maldeis. M.D Baltimore City Post Mortem Physician
Third Year. One'hour each week for one semester.
Inasmuch as Medical Jurisprudence teaches the application of every branch of medical knowledge to the needs of law, civil or criminal, this course embraces the following: — Proceedings in criminal and civil prosecution ; medical evidence and testimony ; identity in its general relations ; sexual abnormalities ; personal identity ; impotence and sterility : rape ; criminal abortions ; signs of death; wounds in their medico-legal relations; death, natural and homicidal ; malpractice ; insanity and medico-legal autopsies.
CLINICAL INSTRUCTION.
DEPARTMENT OF SURGERY.
Arthur M. Shipley, M.D Professor of Surgery
Archibald C. Harrison, M.D Professor of Surgery
Alexius McGlannan, A.M., M.D Professor of Surgery
Joseph H. Branham, M.D Professor of Clinical Surgery
Nathan Winslow, A.M., M.D Clinical Professor of Surgery
Walter D. Wise, M.D Clinical Professor of Surgery
Joseph W. Holland, M.D Clinical Professor of Surgery
J. C. Lumpkin, M.D Clinical Professor of Surgery
William W. Requardt. M.D Associate Professor of Surgery
54 CLINICAL, INSTRUCTION
H. C. Blake, M.D Associate Professor of Clinical Surgery
Frank S. Lynn. M.D Associate Professor of Surgerj-
Elliott H. Hutchins, A.M., M.D Associate Professor of Surgery
Thomas R. Chambers, A.M., M.D Associate Professor of Surgery
R. W. LocHER, M.D. .Associate Professor of Operative and Clinical Surgery
E. H. Hayward, M.D Associate in Surgery
Frank J. Kirby, M.D Associate in Surgery
F. L. Jennings, M.D .Instructor in Surgery
A. M. Evans, M.D Instructor in Surgery
E. P. Smith, M.D Instructor in Operative Surgery
Charies Reid Edwards, M.D Instructor in Surgery
H. M. Foster, M.D Instructor in Surgery
E. S. Johnson, M.D Instructor in Surgery
F. X. Kearney, M.D Assistant in Surgery
G. W. Bowden, M.D Assistant in Surgei'y
DwiGHT MoHB, M.D Assistant in Surgerj-
Amos Hutchins, M.D Assistant in Surgery
C. A. Reifschneider, M.D Assistant In Surgery
Wm. R. Geraghty, M.D Assistant in Surgery
S. Demarco, M.D Assistant in SurgeiT
O. H. Lloyd, M.D Assistant in Surgery
Clyde Marvel, M.D .Assistant in Surgery
Everard Briscoe, M.D Assistant in Surgery
The teaching is in the Anatomical Laboratory and the dispen- saries, wards, clinical laboratories and operating rooms of the University and Mercy Hospital, and in the wards and dead-honse of the Municipal Hospitals at Bay View.
Instruction is given by means of lectures, recitations, dispen- sary work, bedside instruction, ward-classes, and clinics. The work begins in the second year, and continues throughout the third and fourth years.
Second Year.
Topographic and surgical anatomy, 15 hours a week for the first semester. The course is designed to bridge the gap between anatomy in the abstract, and clinical anatomy as applied to the study and practice of medicine and surgery.
The teaching is done in the anatomical laboratory, and students are required to demonstrate all points, outlines, and regions on the cadaver. Underlying regions are dissected when necessary to bring out outlines and relation of structures. Didactic lectures two hours weekly, augmented by demonstrations with specimens, charts, and cross-sections. Dr. Holland.
CLINICAL INSTRUCTIOlSr 55
SURGICAL TECHNIQUE.
The course includes history taking, first aid treatment, demon- stration of use of tourniquet and other emergency appliances and f?urgical dressings, bandages, plaster, adhesive plaster, suture ma- terial, solutions; their preparation and use.
It includes also non-operative therapeusis, asepsis and anti- sepsis, the study of circulatory and respiratory failure, prepara tion of patients, dummy operations and written description of operation, splints, bed frames, bone plates, grafts and local an aesthesia.
Lectures and conferences, two hours a week for one semester. Dr. Edwards.
Third Year.
Principles of surgery and general surgery, two and a half hours a week throughout the year to the entire class, lectures, recita- tions, and clinics. Dr. Shipley.
The class is divided into groups and receives instruction in his- tory-taking, gross pathology, and surgical diagnosis — at the bed- side and in the deadhouse of the Municipal Hospitals at Bay View. Drs. Shipley, Lynn and Dresser.
Operative Surgery. Instruction is given in operative surgery upon the cadaver and on dogs. The class is divided into sections, and each section is given practical and individual work under the supervision of the instructors. Dr. Frank S. Lynn, assisted by Drs. Locher, Hayward, E. S. Johnson, N. Winslow, Edwards, Foster, Eeifschneider, Geraghty and Demarco.
Fractures and Dislocations. One hour a week for one semester. This course consists of instruction in the various forms of frac- tures and dislocations and their treatment, and serve as a prepar- atory course for clinical work. Dr. Wise.
Surgical Dispcnsarjj. Lender supervision, the student takes the history, makes the physical examination, attempts the diagnosis, and. as far as possible, carries out the treatment of the ambu- latory surgical cases in the University and Mercy Hospitals. Mercy Hospital — Drs. Amos Hutchins, Mohr, A. M. Evans, \Mieatou, Kearney, Lloyd and Marvel. I^niversity Hospital — r»rs. Edwards. E. S. Johnson and Foster.
Fourth Year.
Regional Surgerg. Surgery of the abdomen and abdominal wail, including hernia. Two hours a week for (me semester to the entire closs. Dr. Harrison.
56 • CLINICAL INSTRUCTION
Surgery of the head, neck, spine, and chest. Two hours a week for one semester to the entire class. Dr. McGlannan.
Clinics. A weekly clinic will be given at the Mercy and Uni- versity Hospitals to one-half the class throughout the year. As far as possible this is a diagnostic clinic. Mercy Hospital — Drs. Harrison and McGlannan. University Hospital — ^Dr. Shipley,
Surgical Pathology. A weekly exercise of one hour at Mercy Hospital for one semester, at which specimens from the operat- ing-room and museum are studied in the gross and microscopi- cally, in relation with the case history. Dr. McGlannan.
Industrial Surgery. Operative and post-operative treatment of accident cases, with instructions as to the relationship between the state, the employee, and employer, and the physician's duty to each. One hour a week to sections of the class throughout the year. Dr. Edmunds.
Clinical ClerksJiip. The personal study of assigned hospital patients, under supervision of the staffs of University and Mercy Hospitals, history taking, and physical examinations of patients, laboratoiy examinations, attendance at operations and observa- tion of post-operative treatment.
Ward Classes. Ward class instruction in small groups, will consist of ward rounds, surgical diagnosis, treatment and the after care of operative cases. Mercy Hospital — Drs. Harrison, McGlannan, Wise, Elliott Hutchins, Evans and Locher. Univer- sity— Drs. Shipley, Holland, Edmunds and Lynn.
ANAESTHESIA.
Third Year.
Lectures on the history of anaesthesia, general physiology of inhalation of anaesthetics, special physiology of each anaesthetic, methods of administration, inhalation, colonic, intravenous, com- plications and preventive methods, including artificial respiration and post-anaesthesia treatment of patients. One hour weekly for one semester. Dr. S. Griffith Davis.
Anaesthesia in obstetrics, one lecture. Dr. J. McF. Bergland.
Fourth Year.
During the clinics and operations before small groups, each stu- dent will be required to administer anaesthetic under the direc- lion of an instructor. University Hospital — Drs. Queen and ^foore. Mercy Plospital — Drs. Kearney and Kidgely.
CLINICAL INSTEUCTION 57
DERMATOLOGY.
T. Caspar Gilchrist, M.R.C.S., L.S.A., M.D Professor of Dermatology
Melvin Rosenthal, M.D Associate Professor of Dermatology
John R. Abercrombie, A.B.. J.D Associate Professor of Dermatology
Harry M. Robinson. M.D Associate in Dermatology
Joseph E. Gately, M.D Assistant in Dermatology
Clinical conference one hour each week to entire class. This course will consist of demonstrations of the common diseases of the skin. Dr. Gilchrist.
Dispensary instruction, l^niversity Hospital, Mondays, Wednes- days and Fridays in the diagnosis and treatment of the common skin diseases. Dr. Abercrombie. Dispensary instruction, Mercy Ilospiral, Dr. Rosenthal.
ORTHOPAEDIC SURGERY.
R. Tunstall Taylor. A.B.. M.D Professor of Orthopedic Surgery
Albertus Cotton. A.M.. M.D Professor of Orthopedic Surgery
CoMPTON RiELY. M.D Cliiiical Professor of Orthopedic Surgery
Sydney M. Cone. A.B.. M.D Clinical Professor of Orthopedic Surgery
W. H. Daniels, M.D Demonstrator in Orthopedic Surgery
W. Arthur Darby, M.D Demonstrator in Orthopedic Surgery
H. L. Wheeler, M.D Demonstrator in Orthopedic Surgery
In this course didactic, clinical, bedside and out-patient instruc- tion will be given. This instruction is provided in the University Hospital Amphitheater and Dispensary, Mercy Hospital and Dis- pensary and Kernan Hospital and Industrial School for Crippled Children at ''Radnor Park," and in the Dispensary of same at Gl'O West Lombard Street.
Lectures, clinics and quizzes will be held at each of the hospi- tals once a week. In addition, a weekly bedside clinic will be held for smaP sections of the class at "Radnor Park."
Tlie course will cover instruction in special methods and in- struments required in this surgical specialty, including X-Ray trcliuique; Wolff's law; tuberculosis of bones and joints; defor- mities of the feet; non-tuberculous deformities of the feet and joints; the paralyses; the bursal, tendinous and muscular condi- tions producing orthopedic affections; rickets; scurvy; osteoma- lacia; chondrodystrophies; wry-neck and the use and application of orthopedic apparatus.
08 CLIXIOAL lA^STBUCTIOX
ROENTtJENOLOGY AXD RADIOTHERAPY.
llKNUY J. Wai.tox. M.l > Professdi- of l{oeutiieii<ilo;iy
Albektus (]'otton. A.m.. M.I > I'rofessor of Koeutsenology
John Evans. M.1> Associate Professor of Roeiitj;eiiology<i
Chaklks Rf.11) Kdwakds. A.P>.. M.]) Iiistnictoi' in Koeiitiieiiolojjy
(iisliuetioii is liiveii in ilie hisloiy, physics, jiiid ]»i:u(ica] ap- ]ilica;i(>n of Roentgen Kays and Kadiuni. Ks])e(ial eft\n-\ is made fu deiijousfiate the nse of the Roentgen Itay in diagnosis l)y in- slvnction in botli lluoioseopy and plate reading, one hour a week to section of the fonrtli year class thronghont the yeai-.
The stndent is also taught the practice, aj»j>lication of Kadiuni and Koenlgen rays as therajieutic agents. In the X-ray labora- tory and in the hos]»ital wards students are shown the use of these ligeiHs in the treatment of disease.
DISEASES OF THE THROAT A>D NOSE,
1>1)\VAK1) A. LOOPKK. ^I.D..
riinieal Professor of Diseases of tbe Throat ami Nose Fkank Dyer Sanger, M.D. . . .Professor of Diseases of tlie Tliroat and Nose (Jeorge W. Mitchell. ^I.D..
Associate Professor of Diseases of the Tlu-oat and Nose (iiooRGE MuRGATKovi), M.D .... Associate in Diseases of tbe Throat and Nose Frank Anderson. M.D Assistant in Diseases of the Throat and Nose
TiHUD Ykak. Clinical Lectures. One hour each week ihrougli- our the session. Drs. Loopei- and Sanger.
FoiUTH Yi:ai!. Disjjensary instruction daily in small sections al 1h,e T'niversity and ^fercy Hospitals. Ward classes one hour e.uh week at the I'nivei-sity and Mercy Hos])itals.
GENITO-URINARY DISEASES.
.Vnton (i. Rytina, A.B.. M.D I'rofessor of (ienito-I'rinary Diseases
I'AGE Edmunds, M.D Clinical Professor of (Jenito-T'rinary Diseases
A. .T. I'NDERHiLL, A.B.. M.D .. Clinical Professor of (Jenito-Trinary Diseases
IIarrls (lOLDMAN Associate in Cenito-rrinary Diseases
A. .7. GiLLis. M.D Instructor in (ienito-lrinary Diseases
W. II. ToTTLSON. M.D Tnstrnctor in (ienito-rrinary Diseases
L. K. Fargo. M.D Assistant in Oenito-Frinary Diseases
CLIXICAL IXSTRUCTIOjS' 59
Instruction in (Jenito rrinarv Suigery is given to tlie members of the senior class, from both a j)raetical and didactic standfioint. The course includes everything pertaining to modern urology. such as urethroscopy, cystoscopy, ureter catheterization, renal functional tests, X-ray, pyelography, blood urea estimations, etc. The teaching consists of clinics in the am^jhitheatre, ward rounds, and attendance by members of the senior class u}»on out-patients in the dispensary. In the latter department there were about r>0.t)(Ml visits nuuie during the past year, and ample facilities are afforded the students to see a large variety of every type of venereal disease. They are first instructed in the method of tak- ing a gen i to-urinary history, are shown the technicpie of ure- throscopy, cystosfopy. urethral instrumentation, rectal massage, demonstratitais of the spirochaete pallida, and administration of ^alvarsan.
DISEASES OF THE COLON AND RECTUM.
G. Milton Linthicum. A.M.. M.D.,
Professor of Diseases of Rectum and Colon
Charles F. Blakk. M.D Professor of Diseases of Rectum and Colon
J. Dawson Reedek. M.D..
Associate Professor of Diseases of Rectum and Colon
ForcTH Yr.AR. This course is for instruction in diseases of the Colon, Hligmoid Flexure, Rectum and Anus.
One lecture a week throughout the first semester will be given in the Clinical Amphitheater of the Hospitals. The lecture will cover the essential features of the Anatomy and Physiology of the large intestine; as well as the various diseases to which it is sub- ject. The importance of diseased conditions and malpositions (»f the intestines, in relation to systemic disturl>ances. will be empha- sized by demonstrations.
In small groups, the students will be taken into the wards and dispensaries of the University and Mercy Hospitals, where differ- ent phases of the various diseases will be taught by direct obser- Ti'tion and examination. The use of the proctosco]»e and sigmoi- dosco]»e in examination of the rectum and sigmoid will l)e made fainiliar to each student.
A course' in Proctoscopy may be given in the City Hospitals at Bav V'^ew. where abundance of material is always obtainable
60 CLINICAL, INSTRUCTION
DEPARTMENT OF MEDICINE.
>»
GoBDOX Wilson, M.D Professor of Medicine
Gary B. Gamble, Jr., A.M., M.D Professor of Medicine
Sta^dish McCleary, M.D Professor of Clinical Medicine
Jos. E. GiCHNER, M.D Professor of Clinical Medicine
Charles W. McElfresh, M.D Professor of Clinical Medicine
G. Carroll Lockard, M.D Professor of Clinical Medicine
Harvey' G. Beck, M.D., Sc.D Professor of Clinical Medicine
Hubert C. Knapp, M.D Associate Professor of Medicine
C. C. W. JuDD, A.B., M.D Associate Professor of Medicine
H. D. McCARTi', M.D Associate Professor of Medicine
Wm. H. Smith, M.D Associate in Clinical Medicine
R. C. Metzel, M.D Associate in Clincial Medicine
W. I. Messick, M.D Associate in Clinical. Medicine
E. E. Mayer, M.D Instructor in Medicine
George McLean, M.D Instructor in Medicine
D. Corbin Streett, M.D Instructor in Medicine
C. C. Habliston, M.D Instructor in Medicine
Harry M. Stein Instructor in Medicine
Martin Sloan Instructor in Medicine
Horace Byers, M.D Assistant in Medicine
H. R. LicKLE, M.D Assistant in Medicine
Wm. Michael, M.D Assistant in Medicine
G. L. Zimmerman, M.D Assistant in Medicine
B. T. Baggott, M.D Assistant in Medicine
J. W. Martindale, M.D Assistant in Medicine
CLINICAL MEDICINE.
Third Year. Lectures and recitations on the principles of medicine, for three hours a week throughout the session. Clinical conference, one hour each week throughout the session.
Fourth Year. Lectures, recitations and clinics to the entire class four hours a week throughout the session.
A clinical pathological conference is held once a week through- out the session, at which the material obtained at autopsy is studied in relation to the clinical findings.
The whole class, divided between the two hospitals and again subdivided into small groups, receives beside instruction twelve hours a week throughout the session and has the care of the hos- pital patients under the direct supervision of the hospital staff taking all histories, making the ])hysical examinations, doing rcH]uisite laboratory tests, following and recording the progress of the disease in the individual patient.
CLINICAL INSTRUCTION 61
PHYSICAL DIAGNOSIS.
t^EOOXD Year. Didactic lectures and practical demoustrations in the medical topograph}' and the physical conditions in health, preparatory to the course in physical diagnosis in the third year. Two and one-half hours each week during one semester.
Third Year. The class is divided into small groups, and each section receives instruction for the entire session in the medical dispensaries of the hospitals. During the second semester the students under the supervision of instructors examine and treat patients in the medical dispensaries. During one semester small groups are sent for the afternoon to the city hospitals at Bay Mew for special instruction in history taking and physical diag- nosis. Two hours a week throughout the year are devoted to phy- sical diagnosis. Full class conferences one hour a week through- out the session.
THERAPEUTICS.
Third Year. This course is supplementary to that on clinical medicine, and an effort is made to familiarize the student with the practical treatment of disease. The course is divided into general therapy, specific therapy and physical therapy. Two and one-half hours per week throughout the year is devoted to these branches.
Fourth Y'ear. Special consideration is given to the practical, application of therapeutic principles in bedside teaching.
TUBERCULOSIS.
A practical course is given in the tuberculosis dispensary and at the Municipal Tuberculosis Hospital to small groups, the abun- dance of material, both of "incipient" and ''advanced cases," making this course of value in the practical recognition of the physical signs of the disease.
GASTRO-ENTEROLOGY.
Julius Friedenwald, A.M.. M.D Professor of Gastro-Eiiterology
John C. Hemmeter, M.D., Ph.D., f^c.D.. LL.D.Professor of Clinical Medicine
T. Fred. Leitz, M.D Clinical Professor of Gastro-Enterology
E. B. Freeman, B.S.. M.D Clinical Professor of Gastro-Enterology
J. Harry Ullrich, M.D Associate in Gastro-Enterology
Theodore Morrison, M.D Associate in Gastro-Enterologj-
Maurice Freeman. M.D Instructor in Gastro-Enterology
Joseph Sindler. M.D Assistant in Gastro-Enterologj-
02 CLINICAL. INSTRUCTION
Fourth Year, Clinic recitations and demonstrations to each half of the class for one hour a week throughout the session. Dis- pensary instruction to small groups throughout the en fire session. Practical instruction in the wards in the differential and clinical <liagnosis and demonstrations of the newer methods of diagnosis in gastrointestinal aff'ections.
PEDIATRICS.
John Ruhbah, M.D I'rofessor of Pediatrics
Charles L. Summers, M.D Professor of Pediatrics
Edgar B. Friedenwald. M.D Clinical Professor of Pediatrics
C. LoRiNG JosLiN. M.D Instructor in Pediatrics
W. H. Ingram, M.D Assistant in Pediatrics
John S. Fenby, M.D Assistant in Pediatrics
J. F. Hawkins. M.D Assistant in Pediatrics
Howard H. Warner. M.D Assistant in Pediatrics
John Houff. M.D Assistant in Pediatrics
B. J. Ferry, M.D ." Assistant in Pediatrics
Wn.LiAM J. Todd. M.L> Assistant in Pediatrics
Percy P. Hardt. M.D Assistant in Pediatrics
John H. Traband. M.D Assistant in Pediatrics
C. K. GoLDSBOROUGH. M.D Assistant in Pediatrics
Third Year.^ Lectures and recitations to the entire class one hour weekly throughout the year.
Fourth Year. Lectures and recitations one hour weekly to the entire class. Also a weekly clinical lecture is given throughout the year, where the character of disease is fully demonstrated and the students, in groups, are given opportunity for personal exami- nation of cases.
In addition, during this year the sfudeuts, in groups, attend the Children's dispensary daily, and are here given the opi)ortunity to examine all cases under the su[»ervision of competent in- structors.
NEUROLOGY.
Irving J. Spear, M.D Professor of Neurology
.Vndrew C. Gillis, A.m., M.D Professor of Neurology
G. M. Settle. A.B., M.D .Associate Professor of Neurology
Ben.iamin Pushkin, M.D Instructor in Neurology
J. A. Skladowsky, M.D Assistaait in Neurology
Third Y'ear. Lectures and recitations two hours each week to entire class throughout one semester. This course com}»rises the
CLINICAL INSTRUCTION 6^3
study of the anatomy and [»hysiology of the nervous system, the method of neuiological examination, and ielati(>nshi]t of signs and symptoms to pathological conditions. The material at the Univei-sity and Mercy Hospitals is available.
Fourth Year. Clinical lectures and recitations, one hour each week throughout the entire session.
Clinical Conference, one hour each week to the entire class. This subject is taught at the University and Mercy Hospitals. All cases pi-esented at these clinics are carefully examined; complete written records are made by the students who demonstrate the cases before the class. These cases are usually assigned one or two weeks before they are presented, and each student in the class must ]jre])are one or more cases during the yeai-.
WaifJ r/u.y.s I ii.stniction. In small sections, two hours eadi week duiing the entire year at the Cni versify and Mercy Hos- pitals. In these classes the students come in close personal con- tact with the cases in the wards under the supervision of the in- structor.
Disi)(nfi(ii If I ni^iruciion. Small sections are instructed in the dis})ensaries of the University and Mercy Hospitals four after- noons each week. In this way students are brought into cimtact with nervous diseases in their earlier as well as later manifesta- tions.
Electro Therapeutics. Instruction in the uses of the various types of electrical apparatus is given by lectures and demonstra tions in the clinics, the ward classes, and the out-patient dc^part- ment.
PSYCHIATRY.
R. M. Chapman. M.D Associate Professor of Phychiatry
(J. F. Sargf:nt. M.D Associate in Clinical Psychiatry
FoT KTH VKAit. This subject is taught by means of didactic and clinical lectures. Abundant material is at the command of this <lei)artment in the various institutions which are jtresided over l)y the teachers in psychiatry. The student is brought into con- tact with the early manifestations of mental disease in the dis- jiensaries of the University and Mercy Hospitals, and in a series of clinics opportunity is afforded to observe the course and later manifestations of the disease, often in these same patients, at the Sheppard-Knoch Pratt Hos])ital, Mount Hope Retreat, and City Detention Hospital.
64 CLINICAL INSTRUCTION
HYGIENE AND PREVENTIVE MEDICINE.
C. Hampson Jones, M.D., CM Professor of Hygieue aud Public Healtti
Third and Fourth Years. In each year one lecture every week to the entire class throughout the session. A quiz will be sub stituted for a lecture whenever it is considered advantageous to do so. The lectures to the third year class will encompass all of The fundamental subjects, air, water, soil, food, disposal of wastes, etc.. leading to the fourth year, when communicable diseases of all kinds will be considered in groups and singly. State and Federal laws to promote and protect public health will be con- sidered during the presentation of groups of diseases.
DEPARTMENT OF OBSTETRICS.
J. M. H. Rowland, M.D Professor of Obstetrics
L. E. 'Skale, A.m., M.D., LL.D Professor of Obstetrics
Bernard Purcell Muse, M.D Professor of Clinical Obstetrics
Charles E. Brack. M.D Clinical Professor of Obstetrics
J. McF. Bergland Associate in Obstetrics
L. H. Douglass, M.D Associate iu Obstetrics
F. H. Machin, M.D Assistant In Obsterics
J. G. M. Reese, M.D Assistant in Obstetrics
SusANNE R. Parsons, A.M., M.D., Ph.D Assistant in Obstetrics
Third Year. Lectures and recitations two hours each week by Drs. Neale and Rowland to entire class. Special obstetric and gynecologic pathology three hours each week under the direction of Dr. Gardner to class sections in the Pathologic Laboratory. Clinical Obstetrics (bedside and manikin work) three hours each week at the University Hospital by Dr. Neale and his assistants, and at the Mercy Hospital by Dr. Brack.
Examinations, one at the end of .first semester and final one at end of the year. The results of these examinations, considered in conjunction with the student's practical work, will determine the grade for the year's work, which grades, if sufficient to give stu- dent advanced standing, will count as one-half of the final grade in Obstetrics.
Fourth Year. Lectures and Clinical Conferences. Two hours each week to the entire class. Drs. Neale and Rowland.
Ward Classes and Operative Obstetrics (Manikin work). Four hours each week to sections of the class. Dr. Douglass.
Students are required to attend obstetric cases before, during and after confinement in the University Hospital, as well as in
CLINICAL INSTRUCTION 65
the out-patient department. Each student is required to conduct and make accurate records of at least twelve confinement cases. These out-patient cases are conducted under the supervision of post-graduate instructors, two in number, who devote their whole rime to this work.
Mid-year and final examinations will be held, the results of which, considered in conjunction with clinical work and recita- tions, wdll make up the remaining half of the final grade.
This School is peculiarly fortunate in the clinical material available for this important branch of medical teaching; 1,250 cases in the hospital and out-patient department make a prac- tical inexhaustible clinic.
DEPARTMENT OF GYNECOLOGY.
William S. Gardner. M.D Professor of Gynecology
J. Mason Hundley, M.D Professor of Clinical Gynecology
HrcH Brent, M.D Associate Professor of Gynecology
Abraham Samuels, M.D Associate Professor of Gynecology
Geo. A. Strauss, M.D Associate in Gynecologj"
R. G. WiLLSE, M.D Associate in Gynecology
T. K. Galvin, M.D Assistant in Gynecology
Jack M. Hundley, M.D Assistant in Gynecology
Third Year. Didactic Work. A course of twenty lectures and recitations in the second semester. Dr. Hundley.
Lahoratorij. Special pathology, both gross and microscopical, studied in connection with the clinical history of each patient from which the specimen was derived, two hours each week dur- ing the first semester. Drs. Gardner, Strauss, Samuels, Brent, Galvin and Jack M. Hundley.
Fourth Year. Didactic Work. Lectures and recitations, one hour each week throughout the session. Dr. Gardner.
Clinical Work. Six hours weekly for one trimester. In this course a student writes the clinical history of each patient in the ward, makes a general physical examination, including the blood and urine, before the patient is brought before the class. One student under supervision gives the anesthetic, a pelvic examina- tion is made by six students, and any operation required is then done before a section of the class small enough to see clearly what is being done and how it is done. On a subsequent day the whole group examine microscopically sections prepared from material removed from patients that have been before them.
66 CLINICAL liSTSTEUGTlON
DEPART3IE1NT OF OPHTHALMOLOGY AND OTOLOGY.
Harry Fru;denwalo. A.B.. M.D. . .Professor of Uiilitlialniology and Otology
J. \V. Downey, M.I > ( 'liuical I'rofessor of Otology
Clyde A. Clapp, M.D. . . .Associate Professor ttf Ophtluiliiiology and Otology
H. K. Fleck, M.D Associate in Opbtbainiology and Otology
Joseph I. Kemler, M.D Associate in Opbtlialnmlogy and Otology
M. Randolph Kahn, M.D Associate in < >i)litlialniology and Otology
K. A. Knorr. M.D Associate in Oiilitlialniology and Otology
Thirl* Year. Course in Refraction and in the llitcrnal Dis- eases of the Ei/e. ouce weekly, October to Decemltev. Di-. Clapp.
Voarses in the Diseases of the Ear, twice weekly, October to December. Dr. Downey.
Practical Courses in OphtJiahnoseopij, once weekly, in secticms. ]hs. Fleck and Kemler.
Fourth Year. Course in Diseases of the J'Ji/e. once weekly (hiring year. Dr. Harry Friedenwald.
Clinics in Diseases of the Eye and the Ear, weekly. Drs. Harry Friedenwald and Downey.
lUspensarii Instruction, elective course daily in small sections.
The courses in Ophthalmology and Otology are designed to familiarize the students with the common diseases of the eye and ear, their recognition and treatment, with a view to meet the needs of the general practitioner. Special emphasis is laid uiK»n the relation between diseases of the eye and the ear and syste- matic diseases of other organs.
LABORATOKIES OF CLINICAL PATHOLOGY.
John Lutz. M.D Associate Professor of Clinical Pathology
Henry L. Collenberg, M.D Associate in Clinical Pathology
I.. A. M. Krax:s. M.D Assistant in Clinical Pathology
During the third year the student is tluu'oughly drilled in the technique of the usual clinical laboratory work, so that he is able (o j)erform all routine examination which may be called for dur- ing his fourth year, in connection with the work in the wards and dispensary. In addition he is trained to do bacteriological and serological work as will fit him to occupy an assistant's position in a civil hosjjital laboiatory where modern public healtli and epidemiological work is carried <tu.
The practical W(»rk is supplemented by a series of didactic lac- tui-es and demonstrations in which the eutire teaching statf of
CLINICAL IXSTEUCTION 67
the depaitinent takes an active part. The inicio.scopieal, ebein- ical, baetei-iological and serological study of blood, exudates and transudates, gastric juice, feces and urine are successively taken up, and special attention directed to the clinical significance of the findings.
Clinical jjarasitology and advanced bacteriology, both froui the standpoint of the infecting agent and the carrier, are given care- ful consideration.
The entire course is thoroughly practical. Each student is pro- vided with a niici-oscope, blood counters and hemoglobin<^»niete]- for his exclusive use, and every two students with a special labor- atory outfit for all routine purposes.
During the fourth year the student applies what he has learned during the ]U'eceding year in the laboratories of the various attili ated hos]ji1a]s. He is also supplied with a laboratory outfit which is sufficiently complete to enable him to work independently of the general equipment. Special instructors are available during ceitain hours to give necessarv assistance and advice.
68
SCHEDULE
FIRST YEAR SCHEDULE — FIRST SEMESTER.
|
Hours. |
Monday. |
Tuesday. |
"Wednesday |
Thursday. |
Friday. |
Saturday. |
|
A. M. 9 to 10. 10 to 11. |
Histology and Embryology Laboratory. r 1 ( |
Bacteriology |
||||
|
Embryology. |
Dissecting. |
|||||
|
11 to 12. |
Physiology. |
Histology. I Physiology. |
Histology. |
Physiology. |
||
|
P. M. 12 to 1. |
Lunch and Transfer Period. |
|||||
|
1 to 4. |
Anatomy and Dissecting. |
Classes in Anatomy and Dissecting at Lombard and Greene Streets ; all other classes at .Streets : all other classes at Calvert and Saratoga Streets.
FIRST YEAR SCHEDULE— SECOND SEMESTER.
|
Hours. |
Monday. |
Tuesday. |
Wednesday |
Thursday. |
Friday. |
Saturday. |
|
A. M. 8.30 to 9.30. |
Histology and Embryology Laboratory. |
Bacteriology |
||||
|
9.30 to 10.30. |
Embryology. |
Dissecting. |
||||
|
10.30 to 11.30. |
Physiology. Histology |
Physiology. |
Preliminary Physiological Chemstry. |
Physiology. |
||
|
11.30 to 12.00. |
Lunch. |
Immunology |
P. M. 12 to 2.
Bacteriology.
Laboratory.
and Serology
(11.30- to
12.30).
2 to 2.30.
2.30 to 5.30.
Transfer Period.
Anatomy
and
Dissecting.
Classes in Anatomy and Dissecting, and in Immunology and Serology at Lombard and Green*, •Calvert and Saratoga" Streets.
SCHEDULE
69
SECOND YEAR SCHEDULE— FIRST SEMESTER.
|
Hours. |
Monday. |
Tuesday. |
Wednesday. Thursday. |
Friday. |
Saturday. |
|
|
A. M. 8.30 to 9.30. |
Physiology. |
Laboratory : Physiology. Section A. Physiological Chemistry, Section B. |
Physiology. |
Laboratory : Physiology, Section B. Physiological Chemistry, Section A. |
Physiology. |
|
|
9.30 to 10.30. |
Physiological Chemistry. |
Physiological Chemistry. |
Physiological Chemistry. |
Pharmacology |
||
|
10.30 to 11.30. |
Pathology. |
Pharmacology |
Pathology. |
Pathology. |
||
|
11.30 to 12.30. |
Pharmacology |
Lunch and Transfer Period. |
Immunology and Serology. |
|||
|
12.30 to Lunch. 1.30. ' |
Immunology and Serology Laboratory. |
Immunology and Serology Laboratory. |
Surgery. Surgery. |
|||
|
1.30 to 2.30. |
Pharmacology Laboratory. |
Medicine. |
Medicine. |
|||
|
2.30 to 3.30. |
Surgical Anatomy. |
Surgical Anatomy. |
||||
|
3.30 to 4.30. ; |
Surgical Anatomy. |
Surgical Anatomy. |
||||
|
4.30 to 3.30 |
Classes on Tuesdays, Wednesdays, Thursdays and Fridays from 12.30 to 5.30, at Calvert and Saratoga Streets ; all other classes at Lombard and Greene Streets.
SECOND YEAR SCHEDULE— SECOND SEMESTER.
A. M.
8.30 to
9.30.
Physiology.
9.30 to 10.30.
10.30 to 11.30.
11.30 to 12.00.
P. M.
12 to 2.
Physiological Chemistry.
Pathology.
Laboratory : Physiology, Section A. Physiological Chemistry, Section B.
Physiology. ! ,
I Laboratory:
• 1 Physiology,
Physiological Section B.
Chemstry. j Physiological
j Chemistry,
_, , ! Section A. Pharmacology I
Pharmacology
Physiological Chemstry.
Pathology.
Lunch.
Pathology.
Laboratory.
2.00
to
5.00.
Laboratory:
Pharmacology
Section A.
Physiological Chemistry, Secton B.
Laboratory: Pharmacology Section A. Physiology, .'^ect'on B.
I ^ , I Laboratory .
1 Laboratory: pharmacology j Pharmacology! Section B. Electives. , Section B. j Physiological Physiology, | Chemistry. I Section A. ! Section A.
Physiology.
Pharmacology
Pathology.
Medicine (11.30 to 12.30).
All classes at Lombard and Greene Streets.
SCHEDULE
THIRD YEAR SCHEDULE.
|
Hours. |
Monday. |
Tuesday. |
Wednesday |
Thursday. |
Friday. |
Saturday. |
|
A. M. [ |
||||||
|
8.30 to |
Medicine. |
Pathology. |
Therapeutics. |
Surgery. |
Pathology. |
Surgery. |
|
9.30. |
||||||
|
9.30 to |
||||||
|
10.30 |
Pediatrics. |
Surgery. |
Obstetrics. |
Medicine. |
Therapeutics. |
Medicine. |
|
Pliy.sical. |
Physical |
Physical |
Physical |
Physical |
Physical |
|
|
:jia.^no8is. |
Diagnosis. |
Diagnosis. |
Diagnosis. |
Diagnosis |
Diagnosis |
|
|
10.30. |
|
|||||
|
1 |
Ojierative |
Operative |
Operative |
Operative |
Operative |
Operative |
|
to |
Surgery. |
Surgery. |
Surgery. |
Surgery. |
Surgery. |
Surgery. |
|
1.30. |
1 ispensary. |
Dispensary. |
Dispensary. |
Dispensary. |
Dispensary. |
Dispensary. |
|
; |
Lunch and |
Lunch and |
Lunch and |
Lunch and |
Lunch and |
Luncli and |
|
; |
'i'ransfer |
Transfer. |
Transler. |
Transfer. |
Transfer. |
Transfer. |
|
Neurology. |
||||||
|
p. M. |
(first |
|||||
|
1.30 |
semester). |
Neurology |
||||
|
to |
Medical |
Otistetrics. |
|
3bstetrics |
(first sem- |
|
|
•2.30. |
Clinic. |
Gynecology (second semester) . |
ester). |
|||
|
Gynecology Laboratory |
||||||
|
2.30 |
(second semester) . |
Clinical |
||||
|
to |
Pathology |
Pathology. |
Legal |
Clinical |
Clinical |
Medicine |
|
3.30. |
Medicine (first semester) . |
and |
||||
|
Pathology |
Pathology |
|||||
|
Gvnecology |
Gross Pa- |
|||||
|
3.30 |
L.i.boratory (second |
thology at |
||||
|
to |
semester) . |
1 |
||||
|
Laboratory |
Laboratory. |
Laboratory |
Laboratory |
Bav View. |
||
|
4.30 |
i Anaesthesia (first 1 semester). |
i |
||||
|
Eye and I |
'ar — October |
3 to December |
||||
|
4.30 |
21. (Exami |
nation. Decern! |
er 21.) |
Practical |
||
|
Physical |
Therapeutics — |
January 9 to |
Physical |
Obstetrics |
||
|
to |
February 15. |
(Examination |
. February 15.) |
Diagnosis |
||
|
Nose and ' |
rhroat — Febru |
iry 20 to Apri |
1 |
Ophthalmos- |
||
|
, 5.30. |
25. (Exami |
nation, April 2 |
5.) |
copy |
. |
From 10.30 A. M. to 1.30 P. M. the class is divided into two sections, one section reporting at Calvert and Saratoga Streets, the other at Lombard and Greene Streets.
Classes on Wednesdays. Thursdays and Fridays from 1.30 to 5.30 at Calvert and Saratoga Sts.
Proctology — Wednesdays and Fridays, 1.30 to 2.30, for ten lectures, April 11 to May 12. inclusive.
SCHEDULE
71
FOUETH YEAR SCHEDULE.
|
Hours. Monday. |
Tuesday. |
Wednesday |
Thursday. |
Friday. |
Saturday. |
|
Ward Classes A. M. i 9.00 1 Medicine, to 1 Surgery, 11.00. 1 Obstetrics. |
Ward Classes Medicine, Surgery, Gynecology. |
WdTiX Classes Medicine, Obstetrics. X-Ray. 9-10. Surgery, 10- 11. |
Ward Classes .Medicine, Surgery Gynecology. |
Ward Classes Medicine, Surgery. Proctology, |
Ward Classes Medicine, Surgery, Gynecology. |
|
1100 Orthopedic 1200. ' S»i-gery. 1 |
Medical Clinic (University) Surgical Path. (Mercy) |
Clinical Surgical Pithological Clinic. Conference, i |
Medical Clinic. |
Pediatrics Clinic. |
|
|
P. M. 12 00 Dispensary to Lunch and 2.00. ' Transfer |
!)isi)ensary and Luni-h |
Dispensary and Lunch and Transfer |
Dispensary and Lunch |
Dispensary and Lunch |
Dispensary and Lunch |
|
o nn I>ei7ma'tology 2;00 1 Clinic J° !(Full class at •'■0°- , Univ. Hosp.) |
Neurology Clinic ■ |
Eye and Ear Clinic Full class at I'liiv. Hosp. |
Genito-Uri- nary Clinic |
Gastro- Enterology Clnic |
Psychiatry Clinic |
|
3.00 to ?,.?.o. |
j Transfer, i |
Transfer. |
Transfer. |
||
|
.3.30 to „ ,. . 4.30. Pediatrics. |
1 Surgery. 1 Obstetrics. |
Surgery. |
Neurology. |
1 |
|
|
4.30 to 5.30. j Medicine. |
Eye. |
Medicine. |
Gynecology. |
Hygiene and Prev. Medicine. |
The Senior class is divided into two sections, ^yhich report, one at Lombard and Greene Streets, the other two at Calvert and Saratoga Streets, for one semester each, then rotate at the end of tlie first semester on January 28, 1922,
Each section of the class is divided into three groups — Medical, Surgical and Special, These groups will rotate on the following dates :
FIRST SEMESTER. SECOND SEMESTER.
1st period, Oct. 3 to Nov. 5. 1st period, Jan. 30 to Mch. 4.
2nd period. Nov. 7 to Dec. 10. 2nd period, Mch. 6 to Apr. 8.
3rd period, Dec. 12 to Jan. 28. 3rd period, Apr. 10 to May 13.
The schedules are identical for liotli sections, except as noted on Mondays, from 2 to 3 P M., and on Tuesdays from 11 A. M. to 12 noon.
All lectures from 3.30 to 5.30 P. M. are to be attended at Lomtiard and Greene Streets
72 TRAINING SCHOOL FOR NURSES
THE UNIVERSITY HOSPITAL TRAINING SCHOOL FOR
NURSES.
Miss Lucy Ann Marshall, SupeHntendent of Training School.
The University of Maryland School for Nurses, established in the year 1889 for the purpose of instructing women in the art of earing for the sick, is now entering its thirty-second year.
The University Hospital is a large general hospital containing about 250 beds, and is equipped to give young women a thorough course of instruction and practice in all phases of nursing work.
Unusual advantages are offered to student nurses because of the varied services and well-thought-out curriculum, taught by qualified instructors and members of the Medical Stafif of the Uni- versity.
The Nurses' Home, while not a new building, has been recently renovated and is comfortable and cheerful.
Candidates wishing to obtain the course of instruction must apply personally or by letter to the Superintendent of Nurses. Those applying by letter should enclose a statement from a clergy- man testifying to good moral character, and one from a physician certifying to sound health and unimpaired faculties. No candi- date will be considered who is not physically fit. Applicants must not be under 19 or over 35 years of age. They must show that they have graduated from a high school or have the equivalent of such a degree of education. The Superintendent of Nurses de- cides as to the fitness of the candidate for the work and the pro- priety of dismissing or retaining them at the end of their pro- bation term. She may also, with the approval of the Committee, dismiss a pupil from the school at any time for misconduct or inefficiency.
The course of instruction covers a period of three j'ears.
Classes are admitted in February and March and September. Student Nurses are on duty eight hours during the day, and ten hours w^hen on night duty, except during the first six weeks of the preliminary period, when four hours are spent in the wards and four hours in the classroom.
When the work will permit a half day is allowed on Sunday. The term of night duty is two months during each year.
Sickness: Pupils when ill will be cared for gratutiously. All time lost for sickness or any other cause must be made up.
TRAINING SCHOOL FOR NURSES 73
Should the authorities of the school decide that through the time lost the theoretical work has not been sufficiently covered to per mit the student to continue in that year, it will be necessary for her to continue her work with the next class.
Allowances : Students are allowed flO.OO each month, after the first three months, to defray the expenses incidental to her train- ing, uniforms, etc. Students receive lodging, board and a rea- sonable amount of laundry work from date of entrance. Stu- dents receive flS.OO per month during their second year and- .|20.00 per month during their senior year. Sufficient books for students' use are supplied by the hospital.
Vacations : ^'acations are given between June and September. A period of three weeks is allowed the student after the comple- tion of the first and second years.
Examinations : Examinations are held after each course of study and lectures, and the standing of the student at the end of the year is based upon the results of these examinations and the general character of the work throughout the year.
The diploma of the school will be awarded to those who have satisfactorily completed the full term of three years and have passed successfully the final examinations.
Graduates University Hospital, Class 1921. Student Address
Mary Belle McDaniel Maryland
Susan Paulino Neady Pennsylvania
Christine Minnis Pennsylvania
Zadieth Violet Reese Maryland
Buby Lee Roister North Carolina
Claribel Hampton North Carolina
Anna Elizabeth Woods Maryland
Jessie Geraldine Rhodes , North Carolina
Louise Lee Bateman Maryland
Kate Womack Hogshead North Carolina
Mary Cutter Fisher . Maryland
Norma Lavada Gaver Maryland
Ruth Elizabeth Gorman Maryland
Helen Eugenie Reamy Virginia
Helen Margaret Childs Maryland
Blanche Lee Martin North Carolina
Isabelle Jean Hanna Maryland
Julia Rebecca Smith Maryland
74 THE MEECY HOSPITAL TRAINING SCHOOL FOR NURSES
THE MERCY HOSPITAL TEAINING SCHOOL FOR NURSES.
The Mercy Hospital Training School for Nurses, conducted by the Sisters of Mercy and connected with the College of Physicians and Surgeons, was organized and incorporated under the general laws of the State of Maryland in 1899. Its first students were graduated in 1901 ; and on the passage of the bill for registration in 1904 the Sisters of Mercy, connected with the Hospital serv- ice, received certificates as registered nurses.
The Training School was affiliated with the Board of Regents of the State of New York in 1906; and in the same year the Alumnae Association was incorporated, having been previously connected with the Associated Alumnae of the United States. The graduates, as active members, have been much interested in the movements of the Maryland Association of Graduate Nurses, to whom they have given every encouragement to uplift the pro- fession in its many works of district nursing, tuberculosis cam- paign. Red Cross movements, etc.
The requirements for entrance are: Highest moral standing, health, intelligence and a High School education or Us equivalent. The age limit is- twenty to thirty-five years.
After a three months' probation, candidates, if they possess the necessary qualifications, are admitted to the Training School proper, receiving five dollars a month wherewith to secure text- books, etc., the education they receive being considered their compensation. The right is reserved to dismiss pupils for any cause which may be deemed sufficient by the Sister Superior or Superintendent.
The course of training comprises three years of theory and ]»ractice. The clinical advantages are exceptional. The medical, surgical, orthopedic, gynecological, obstetrical, children's and dietetic departments give valuable practical experience. The nurses are taught the theory of nursing by class recitations and demonstrations by efficient Sister instructors. Supplementing this training is a course of lectures from the professors of the University of Maryland School of Medicine and College of Phy- sicians and Surgeons, who are untiring in their efforts to keep the School abreast with modern scientific developments.
Graduates, 1921. Name Address
Sister Mary Consilia Arkansas
Anne Marie Baker West Virginia
Katherine Ann Blickenstaff Maryland
Dorothy Mae Chenoweth Maryland
EasnOWMENT FUND 75
Ella Clatterbuck Pennsylvania
Sabina P. Concannon Maryland
Eachael Darby Pennsylvania
Kathryn Marie Cowling Pennsylvania
Mary Agnes Dunnigan Maryland
Frances Esther Hatfield Maryland
Beatrice Frances Hilton Pennsylvania
Mary Adeline Hoffnagle Pennsylvania
Mary Genevieve Keef er Pennsylvania
Anna Catherine Lavell Massachusetts
Buth Woodring Lykens '. Pennsylvania
Mary Virginia McKay Maryland
Martha Evelyn Newman Maryland
Henrietta Marie O ' Flynn New York
Elizabeth Marie Oswald Pennsylvania
Mary Helen Bathbone West Virginia
Georgie Cecelia Eeid Maryland
Eileen Ann Bice Pennsylvania
Agnes Eleanor Byan West Virginia
Isabelle Schultz West Virginia
Billie A. Sharpe West Virginia
Lexavae Stanley West Virginia
Buth Ellen Stigers Maryland
Nathalie E. Vetra Maryland
Maude Cecelia Walbert Maryland
Horace A. Wilson Maryland
ENDOWMENT FUND.
The following, all Alumni of the University, constitute the Board of Trustees of this Fund :
Hon. Heney 8tockbridge, LL.D. .Stuart S. Janney, Esq.
Harry Adler, M.D. John B. Thomas, Ph.G.
Charles Maekell, LL.B. B. Merrill Hopkinson, M.D.
Arthur M. Shipley, M.D.
This Board is incorporated by act of the Legislature of the State, its legal title being *'The Trustees of the Endowment Fund of the University of Maryland," and is independent and self-per- petuating, filling itself any vacancies. Its powers are limited to the expenditure of the interest derived from the fund, which is to be applied in the discretion of the Board for the benefit of the University. Contributions, donations and bequests are solocited from Alumni and friends. They may be made to the general or University Fund, to the Medical Fund or to any other department of the University. If intended for the School of Medicine, they may be given to the general medical fund or to some special ob- ject, as building, research, library, pathology, hospital, publica tion, laboratories, gymnasium, scholarship, medal, prize, etc., in
76 FORMS OF DEVISE OR BEQUEST
which case the wishes of the donor will be strictly regarded. At- tention is invited to the ''Charles Frick'Kesearch Fund," already established in memory of that distinguished investigator. Checks should be made payable to B. Merrill Hopkinson, M.D.. Treasurer. Professional Building, Baltimore, Md.
FORMS OF DEVISE OR BEQUEST.
To School of Medicine.
I give, devise and bequeath to the Regents of the University of Maryland, a coiijoration incorporated under the laws of the State of Maryland, for the
benefit of the Faculty of Physic
(Here state amount or describe property.)
To Endowment Fund.
I give, devise and bequeath to the Trustees of the Endowment Fund of the University of Maryland, a corporation incorporated under the laws of
the State of Maryland, for the benefit of the Faculty of Physic
(Here state amount or describe property.)
TOU^STG MEN S CHRISTIAN ASSOCIATIOISr
ALUMNI ASSOCIATION.
MEDICAL DEPARTMENT.
President.
J. B. SCHWATKA, M.D.
Vice-Presidents. J. M. H. RowL-^^ND, M.D. R. P. Bay, M.D. €!UY Steele, M.D.
Secretari/. W. S. Love, M.D.
Treasurer. C. U. Smith, M.D.
77
W. B. Perry. M.D. W. Wise, M.D.
Executive Committee. 3. C. Lumpkin, M.D.
H. W. Brent, M.D.
B. M. HoPKiNSON, M.D.
Alumni Advisory Committee. Randolph Winslow, M.D.
R. L. Mitchell, M.D. William J. Todd, M.D.
HiBAM Woods, M.D. F. R. Malone, M.D.
'Seci'ologist. W. J. Todd, M.D.
YOUNG MENS CHRISTIAN ASSOCIATION OF THE UNIVERSITY OF MARYLAND.
The Y. M. C. A., since its establishment twentj-one years ago, has had a splendid influence in helping to mould the character of the students at the rniversity.
All students in each department of the University are eligible to active or associate membership. Membership in the University Association enti- tles the holder to special privileges in the City Association. Bible and Mission Study Classes and Social Service Work are promoted by the Asso- ciation and every effort is exerted to build morality and strong Christian character.
78 YOUNG MEN S CHKISTIAN ASSOCIATION
A committee will be on hand in Davidge Hall at the opening of the ses- sion to welcome all new students to the University. This committee will be glad to render assistance in securing comfortable rooms and boarding houses, and will extend every other courtesy possible. Each new student will be handed a copy of the handbook, a publication issued by the Y. M. C. A., containing valuable information.
All young men who intend to enter the University are cordially invited to share in the privileges and work of the Association.
The otiicers named will be glad to furnish any information desired in re- gard to the Association, and will be glad to render any assistance. Corre- spondence should be addressed to the president, William Hollister.
INDEX
Alumni Association 77
Annual Appointments 36
Board of Instruction 6
Board of Regents 4
Calendar .... 2
Consolidation of Schools 27
■Curriculum 45
Dispensaries 33
Dispensary Staffs :
Mercy Hospital 16
University Hospital 12
Expenses, Students' 44
Fees 41
■Graduates 25
Hospitals:
Franklin Square 30
James Lawrence Kernan 32
Maternity Hospital of the Univer- sity of Maryland 30
Mercy Hospital 29
Mount Hope Retreat for the Insane 32
Municipal Hospital 31
Sheppard and Enoch Pratt Hospital
for the Insane, The 32
St. Vincent's Infant Asylum 32
University Hospital 28
West End Maternity 31
Laboratories :
■ Anatomical 34
Clinical Pathology 35
Histology and Embryology 35
Pathology and Bacteriology 35
Physiology 34
Physiological Chemistry 35
Pharmacology 49
Libraries 36
Matriculates 22
Medical Council 5
Postgraduate Students 40
Prizes 42
Prizemen 2ii
Requirements for Matriculation 37
Rules 41
Schedule 68
Scholarships 43
Special Courses 42
Staffs:
City Hospital at Bay View 20
James Lawrence Kernan Hospital. 18
Mercy Hospital 13
Nursery and Child's Hospital.... 21
St. Elizabeth Home 20
St. Vincent's Infant Asylum 21
University Hospital 10
Training School for Nurses:
Mercy Hospital 74
University Hospital 72
University Council 4
University of Maryland. Organiza- tion of 3
Young Men's Christian Association.. 77
re I rrsB ™
m^ ,A
UNIVERSITY OF MARYLAND
BULLETIN
OF THE
SCHOOL OF MEDICINE
Vol. VI OCTOBER, 1921. ]^o. 2
REPORT OF TWO CASES OF SYPHILIS SIMULATINa EPITHELIOMATA.
By H. >I. Robinson, M.D.
When one engages in dermatological work, it is comparatively common to meet with chronic ulcerative lesions of the face, a definite diagnosis of which can be made only with difficulty. Often because of the fact that syphilitic lesions can assume such various aspects, and among other ulcers can imitate so closely epithelio- mata, a complement-fixation or therapeutic test, or microscopic examination, is necessary to determine the diagnosis.
Since, by far (90%). the commonest of the chronic ulcers of the face are lues and epitheliomata, the emphasis should be laid upon the chief diagnostic points of these two diseases. Typical cases illustrating this difficulty of diagnosis are here recorded, with photogi-aphs.
1. Case of Gumma simulating Epithelioma-
A. E. P.; aged 30; married; white; male; American born; chemist by profession. He denies any exposure to venereal infec- tion before marriage, and any disease of the genitalia at any time.
History of Eruption — One year after marriage, there appeared a small pea-sized nodule on the face about half an inch below the right lower eyelid. The lesion remained the same for about two months, when it became soft and was opened by his wife with a needle. A brownish fluid oozed out and in a few days an ulcer was formed, which retained its original size and shape till his first visit for treatment, three weeks later. Since the ulcer formed there has been no discharge or bleeding. There was slight pain at times.
Physical Examination — No scars nor other eruption can be found on the body other than the present lesion. A thorough search was made for the remains of an initial lesion on the penis, but none was found. Half an inch below the right lower eyelid, there is a large bean-sized, oval ulcer, one quarter by one-half inch in diameter. When first seen, the lesion had a dark brownish crust, the removal of which exposed a clean-cut ulcer. This ulcer had a reddish, ragged, irregular base, with a small amount of grayish exudate. Edges were slightly indurated ; depth was about one-eighth of an inch.
A definite diagnosis could not be made on clinical grounds only. A basal cell epithelioma seemed to be the most probable diagnosis, yet syphilis as a cause could not be ruled out. The history, etc., slow growth, chronicity, edges slightly indurated, very scant dis- charge, slight but variable pain, and, there being no history of syphilis or its accompanying signs, was in favor of a diagnosis of cancer. Against that diagnosis were the facts that the edges were not sufficiently indurated, the color was too dark red, and it was rather too deep to be altogether certain that it was a roden ulcer.
Gttmma of Face.
The patient was again closely questioned for a history of initial sore or other skin eruption. He was positive that he had never had an eruption of any kind, except a fever blister on his upper lip fourteen months before. On further questioning, he said that the fever blister had remained in situ for two months, during which time four physicians had seen it, diagnosing it as herpes simplex. On examination, the scar of this so-called herpes was discernible. The blood was then examined by the complement- fixation test. The report was returned positive. There still remained some doubt as to whether the positive complement-fixa- tion test definitely indicated that the lesion was syphilitic. It was, therefore, decided to try the therapeutic test. Patient then received six injections of Arsenobenzol 0.5 gram between October 25th and ISTovember 19th. The blood reaction following the last injection was doubtful, but the lesion had entirely disappeared, leaving only a soft scar.
A differential diagnosis of Gumma and Epithelioma;
Epithelioma (Basal Cell).
Occurs usually after 40 years.
No history of syphilis nor
accompanying symptoms or
signs.
Usually on face and head.
Pain slight, if any.
Discharge, small amount,
often bloody.
Bleeds easily.
Edges of basal cell type are
hard and indurated.
Very slow growth.
Gnmma.
1. Occurs before 40 years of age.
2. Very often history of syphilis.
3. Usually on lower extremities.
4. Painless.
5. Discharge profuse and puru- lent.
6. Does not bleed easily.
7. Edges not indurated.
8. Moderately rapid growth.
2. Case of Chancre simulating Epithelioma.
This case is interesting principally because the lesion was very similar to another of a different diagnosis on a patient who came to the clinic a short time previously. These cases were not as difiicult of diagnosis as the first case cited, the age of the patients and duration of the lesions figuring largely in the diagnosis.
A, S. ; single; white; female; aged 20; store clerk. Denies genital exposure and previous eruption of any kind. Is engaged
to be married and had been kissing very
much.
Chancke of Lip.
History of Eruption — Five weeks before coming to the clinic a small lump appeared on her upper lip. In a few days this lump became moist and ulcerated. Patient says the lesion has retained its original size. Some home remedies were tried without result, and patient was then brought to the clinic by her fiance, who is receiving treatment for ccrebro-spinal syphilis. Her fiance had no eruption at the time, but the laboratory findings in his case were as follows:
Blood (Wassermann) — Positive.
Cerebro-Spinal Fluid (Wassermann) — Positive.
Gold Chloride — Positive paretic curve.
Globulin — Positive.
Description of Lesion — On the upper lip, slightly to the left of the mid line, there is a round ulcer about five-eighths of an inch in diameter. Edges are raised and slightly infiltrated, showing a well defined margin (Fig. 2). Infiltration and exudation slight in amount. Xo apparent palpable glands ; little crusting; no pain.
3. Case of Epithelioma (Basal Cell Type).
B. R, ; aged 54 ; married ; white, male, mechanic. Denies vene- real disease and any eruption, except present lesion.
History of Eruption — Two years ago on the lower lip there appeared a small pimple, which gradually ulcerated and grew in size during the first eighteen months. For the last six months there has been no appreciable growth.
Epithelioma of Lip.
Description of Lesion — On the lower lip, somewhat to the right of the mid line, there is a well defined, round, superficial ulcer, about one-half inch in diameter ; no exudation. Crust thin, brown- ish, and slightly tenacious. Edge is thin, indurated, and glisten- ing in appearance. Practically no infiltration ; no pain.
In these latter two cases, the diagnosis of chancre in Case 2 and of epithelioma in Case 3 was partially decided by the duration of the lesions, the former being acute and the latter chronic; and finally by a dark field illumination examination in Case 2 and a
biopsy in Case 3. Spirochsetes were found in the dark field and epitheliomatons pearls in the biopsy.
From this illustration of the value of these examinations, it is urged that greater resort be had to routine complement-fixation (Wassermann) test and biopsies.
OPEN THORAX.
By Nathan Winslow, M.D.
Owing to the fear of collapse of the lung, with death from asphyxia, intrathoracic surgery had made but slight progress until the Great War demonstrated that surprisingly large openings in the chest wall are not necessarily fatal. The observations of Duval and Piery had much to do with the changing of the prevalent notion that compression of the lung was fatal and had to be guarded against by cumbersome apparatus if the interior of the chest was to be attacked successfully. These men have demon- strated the lung to be open to operative attack with the hope of a reasonable meed of success without recourse to any special safe- guards to combat pneumothorax. E. A. Graham, Annals of Surg., 1921, LXXII, 170, advances the view that on open pneumo- thorax on one side produces practically an equal amount of com- pression of both lungs instead of entire collapse of one lung with the maintenance of respiration by the other. If this were not true, he states, the establishment of atmospheric pressure within a pleu- ral space would never prove fatal regardless of the size of the wound, as the other lung would be capable of maintaining life. Similarly, he says, a bilateral open chest should always be promptly fatal. Both experimental and war experience controvert the old conceptions. Experimentally, it is easy to demonstrate that a defi- nite quantitative relationship exists between the size of the opening in a penetrating chest injury in any individual and the danger of death. The important factor is the amount of air which enters the chest from the outside with each inspiration. Theoretically, the approximate size of the maximum opening compatible with life if the mediastinum has a normal mobility can be accurately ascer- tained, but practically the opening must be somewhat smaller, since the extra work performed by the muscles of respiration to estab- lish compensation increases the amount of air required, and the presence of toxemia, infection and other factors increasing the level of metabolism will decrease the safety limits of the maximum size of the opening. In a person of 3700 c. c. vital capacity, Graham advances 8 sq. in. as the largest opening for which com- pensation can be made if the mediastinum has a normal mobility. He states it makes but little difference if the pneumothorax be uni
or bilateral, provided the combined areas of tbe openings be not in excess of the 8 sq. in.
In this connection I desire to report a case of multiple stab wounds penetrating' the thoracic wall. One of the wounds was sufficiently large to afford an unhampered view of the lung expand- ing and contracting with each expiration and inspiration. The lung was compressed to less than half of its normal size and crowded against the posterior wall of the thorax. The lower mar- gin during expiration barely reached the 4th rib on a level with the anterior axillary line.
C. W., a colored man, married, aged 35 years, was stabbed in the chest with a large penknife by his brother-in-law in a quarrel about 6 P. M., May 6, 1920. There were two wounds in the lower part of the left side of the chest, the upper and larger some four inches long between the 7th and 8th ribs and centering on the anterior axillary line, the lower between the 10th and 11th, an inch in length. Beneath the skin of the latter was a large hema- toma which caused a bulging of the integument. The respiration was embarrassed, the pulse accelerated and the expression anx- ious. He complained of severe pain in the chest on the injured side. Palpation, percussion and auscultation showed the lung to be partially collapsed. Operation was advised and accepted.
Operation (5/6/20) — Ether Anesthesia — Iodine Technic — Exploration and
Suture — Cured.
In retracting the upper wound, the pleura was found to be open for three inches of its extent and the left lung collapsed to about one-half of its volume. The wound tract was iodinized and a debridement done and the wound closed tight. The lower wound was enlarged, and when traced to the bottom was likewise found to enter the pleural cavity. It was handled in the same manner as the upper lesion, after having removed the clotted blood. A small amount of free blood was detected in the pleural cavity. The dia- phragm was not injured. The patient was returned to bed in good condition. His temperature never went above 100, pulse 100, and respiration 30. By 5/13/20 all were normal and the man was discharged cured 5/16/20.
Although the cl(>sure of a gaping wound in the chest wall is desirable in order to overcome embarrassed respiration, do not regard it as the essential object. Such an operation is in reality an incomplete one. Extraneous matter must be removed, lacera- tions appropriately handled, hemorrhage checked, and sepsis com- batted before the external trauma is sealed. Eecent experience has shown that compression is a beneficent rather than a malign influence in that it serves a useful purpose in checking hemor-
rliagc and by permitting' when occasion demands eventration of the hmg, lobe by lobe, palpation, incision, resection and replace- ment of the lung- in the thorax — acts impossible of accomplish- ment if the lung be expanded. Intrathoracic surgery has come into its own, and either an accidental or artificial open thorax is not the serious affair it was once supposed to be. Lacerations of, hemorrhage from, foreign bodies in, tumors and abscesses of the lungs are attacked now by surgeons boldly and with almost as little concern as the same conditions within the peritoneal cavity. For this we have to thank the experience gained in the war,
*BEFERRED PAIN OF SOME ABDOIVfllVAL CONDITIONS. By Leon Freedom, MJ).
There are certain subjective symptoms which are of exceedingly great, although varying, importance in diagnosis, especially pain, and, even though pain may not be diagnostic, it may furnish an important clue as to the nature of the disease. On the other hand, in many common diseases, there may be an absolute lack of any pain or tenderness, so that a most important symptom is missing. Since pain is purely subjective, its intensity can only be estimated by the assertions of the sufferer and the diiferences in susceptibil- ity of races, as well as individuals, must be taken into considera- tion, i. e., Semitic being so hypersensitive as compared to Teutons and Slavs, neurotics, etc.
The manner of life greatly modifies the susceptibility. One used to hardships has great endurance. Christian Scientists refuse to admit, etc. Expectant apprehension increases it and often is its origin. Some understate the pain they suffer from pride, while others magnify without any thought of deceiving the physician. This is most likely due to the subconscious egotism of their illness and desire to get better by impressing the physician with the severity of their condition.
There are several things, however, which, if carefully investi- gated, will prevent deception, and that is — in the presence of really severe pain, respiration is rapid, pupils are dilated, the skin is moist with perspiration, pulse is often tense. There is a feeling of faintness and often a quite large amount of limpid urine is passed within a short period. These all, however, are not so fre- quently present.
We know there are many varieties of pain, varying from a dull ache to a sudden sharp or acute pain, and we are aware of the diag- nostic value of the character of pain — i. e., the acute pain of acute pleurisy or joint involvement.
♦Read before the Randolph-Winslow Surgical Society, January 25, 1921.
9
What concerns us here is the diagnostic importance of the seat of pain.
Head explains referred pain in this way: When a powerful stimulus is applied to an organ which normally possesses a low degree of sensibility, the pain produced is felt in the part which is relatively more sensitive. Consequently, the tenderness of the skin in visceral disease is due to the passing of sensory impulses from a diseased organ to its corresponding spinal segment, these impulses causing a disturbance in the segment of such a nature that any additional impulses coming from the skin surface, with which this is connected, will be increased and modified so as to produce abnormal or painful impressions which are referred in consciousness to the part of higher sensitiveness, the skin. Accord- ing to Bevan : referred pain is the name given to that class of pain in which the irritation occurs along the course of the nerve fibers, and the pain is felt as being produced in the somatic peripheral distribution of. the affected nerve or nerves. These are three places where the irritation may cause referred pain :
1. Cord. When irritation is in cord, the pain sensation is referred along the pain paths of the same side of the lx>dy.
2. Lesions of the post roots. That is, girdle pains of locomotor ataxia, transverse cord tumors.
3. Lesions occurring somewhere on the nerve circuit. This makes up the largest class. If the lesion occurs on the trunk, pain is always referred to a point distal to the area at which it occurs ; but if the irritation is on a branch, it may be referred to the periphery in an area proximal to that in which it occurred.
Reflected pain differs from referred pain. In the former, the stimulus is carried to the sensory ganglia or to the cord and then transferred from the sensory filaments of the neuron primarily affected to those of a secondary neuron. The stimulation is then carried in the neuronic pathway to the brain, and is perceived as coming from the distribution area of the 2nd neuron ; the difference from referred pain being that, in referred pain there is a mis- reference of the pain by the sensorium, while in reflected pain there is a transference of painful stimuli from one neuronic sys- tem to another. These deflections have an anatomical basis (ac- cording to Lickley), for recent researches show that the nerve cells (in a segment) of the cord undergo degeneration as a result of any lesion in the corresponding segmental distribution area. This confirms the hypothesis that stimuli causing pain arise from direct irritation from pathological changes in the cord, and are not due simply to a transfer of stimuli from one set of cells to another.
The most numerous and important of reflected pains are those due to pathological changes in the intestinal viscera. Viscera
10
themselves have no pain sensation, as elicited by ordinary pain- producing stimnli. They can be cut, torn, sutured, etc., without producing pain ; they are insensible to heat and cold, yet they do have a sense of their own which tells of their well-being, especially when distended. When viscera are irritated the stimuli are car- ried to the cord and react on cord cells ; the impulses are produced and sent out as motor impulses or are carried to the brain and perceived as painful. At the same time, the adjacent set of cells becomes irritable and react abnormally to all stimuli reaching them from the periphery. These are the so-called hyperalgesic zones of Head. These zones are not always present over the area of the involved viscera (as explained by McKenzie) that, in the course of development the tissues, which in a low form of life must immediately have covered the organ, become displaced. In this way, several peculiarities in pain production may be explained.
Why do we have pain in the testicle in ureteral colic ? In early foetal life, the testicle was very high in the abdomen and was sup- plied by the first lumbar segment. Then it journeyed through the abdominal ring to the scrotum, always retaining its same nerve supply. The ureter, likewise, receives its nerve supply from the same segment, so that when irritation occurs in the ureter, the pain is often referred to and is felt as arising in the testicle, which at the same time is tender. In renal colic, the skin of the scrotum being supplied by the sacral nerves, the deep coverings of the testicle are always hyperalgesic, because they are in relation with the same cord segment as the kidney (Bevan). In kidney involve- ment, the nerve supply coming from the tenth, eleventh and twelfth dorsal and first lumbar segments, all the tissues supplied by the following nerves arising in these segments by the ilio-hj'^po- gastric, also ilio inguinal, genito-crural, external, middle and inter- nal cutaneous and obturator nerves may be involved, so we can see how widespread referred pain may be, even to the anus, rectum, labia majora and in some cases as far down as the ankle.
Dr. Howard Kelly says that 60 per cent, of cases having ill- defined, right-sided pain have disease of the kidney. In a study of 300 cases of abdominal pain in disease of the kidney and ureter by Cecil, the classical pain, beginning in the region of the superior lumbar triangle and radiating to the lower abdomen, genitalia and thigh, was present in only 21 cases, and in 20 per cent, of these cases the pain was so misleading as to cause operation for gall bladder and appendix; in 28 per cent, of the cases of stone, the pain was limited to the abdomen.
A condition frequently overlooked is hydro-nephrosis or hydro- ureter, as shown by Hunner, due either to stone formation or ure-
11
teral stricture, in which pain occurred in the right and left upper and lower abdomen and back, in either or both ; and was so mis- leading as to be diagnosed ptomaine poisoning, acute gall bladder or appendix.
Dr. Braasch, of the Mayo Clinic, states that fully half of the patients with lesions in the right kidney and ureter have had opera- tions on adjacent organs; while the kidney and ureter conditions were passed over unrecog-nized. He states that at the Mayo Clinic it is now the custom to refer every patient with abdominal pain, which has not been definitely identified by abdominal examination, for an X-ray examination of the urinary tract and then to the urologist. For every case in which (1) pus and blood is found in urine; (2) or history of either; (3) every doubtful abdominal tumor.
Dr. Fowler, of Washington, declares: "In any case of abdom- inal pain, when in doubt, suspect the kidney." Dr. Hyman, of New York, when in doubt, always cystoscopes and uses X-ray examination, especially in chronic cases.
Peritoneal. Pain produced by three things : ( 1 ) inflammation, (2) hemorrhage, (3) new growths. MacKenzie found that the peritoneum is not supplied by nerves, but the sub-peritoneal tissue is abundantly supplied ; the same nerves going to the abdominal muscles ; therefore the rigidity when peritoneum is affected.
Occasionally cases occur in which there is no pain ; may be due to quantity of pus, or to the rapid destruction of nerve endings or impairment of their efficiency (Bradford) ; this frequently occurs in puerperal sepsis. In tuberculosis peritonitis, pain is frequently confused with referred pain from visceral involvement.
Stomach disorders are referred to the epigastrium and to the back between the posterior borders of both scapulse and opposite the spinous process of the fifth dorsal vertebra. Pain often circles around from one of these areas to the other, and they are often tender to touch. Authorities disagreed as to the exact area; but Head places the points of maximum tenderness opposite the ninth and tenth. As a matter of fact, it may be felt in any area from the fifth to the ninth dorsal vertebra, especially the maximal points of tenderness in this area.
In gastric pain it is necessary to inquire into (1) the character of pain, (2) time and manner of appearance, (3) relation to ingestion of food, (4) duration of pain, (5) previous attacks, etc. In gastric ulcer, pain is dull and boring, begins at the entrance of food into the stomach, usually in the epigastrium and slightly to the left, although it is claimed by many that the position of the ulcer on the stomach as well as the position of the stomach influences the site of pain. Some conditions frequently causing
12
pain in the epigastriiuu and simulating gastric pain are: (1) gall- stone colic, (2) cholecystitis, (3) pyloric and duodenal ulcer, ac- cording to Bevan, (4) acute pancreatitis, (5) angina pectoris, (6) acute appendix, (7) renal colic, (8) gastric carcinoma, (9) aortic aneurism, (lO uterine and ovarian disorders. (11) inter- costal neuralgia, and other nervous diseases such as locomotor ataxia, etc.
Intesiijial pains. Pain is usually imperfectly localized, but after much consideration over the matter, MacKenzie has come to the following conclusions : That (1) if the lesions are of small gut, the pain is reflected to the anterior abdominal wall in the interval between the navel and xyphoid. (2) If in large gut. the pain is felt slightly below the navel. (3) In lesions of the rectum and sigmoid, it is felt directly above the pubes. Xearly all painful intestinal lesions are circum-umbilical. In appendicitis this is very common, that as pathology progTCsses the site of pain is changed from the umbilical region to the right lower quadrant. In diseases of small gut, pain is generally felt above umbilicus ; in large gut. l:>elow. A peculiar characteristic, and one which fre- quently holds true, is that in large gut diseases, pressure on the abdomen over the site of the colon (which, in its transverse divi- sion is above umbilicus, and in ascending and descending to either side of it) will produce pain in the mid-abdominal zone, without, in many cases, producing pain at the point of pressure. In lesions of small intestine the contrary holds true, for pressure below causes pain above the umbilicus.
If the pain that is felt closely resembles that of stomach, as is often the case in duodenal ulcers, and examination of stomach does not reveal any abnormality, suspect the duodenum. It is very common of the duodenum, because of proximity to stomach, to produce disturbances similar to gastric. In some cases, intes- tinal pain from disease is felt in the back in one or the other lum- bar region. Pain in the back generally alternates with pain in the anterior abdominal wall. As a rule, both are not coincident. Visceral pain depend? for its localization largely upon the fixity or mobility of the organ affected. The more fixed the part, the more constant the pain. In movable small gut. the localization is diffuse and centralizes chiefly about umbilicus. In fixed parts, the pain is usually felt where they are joined to the abdominal wall.
As to the special parts of the rectum, colon, appendix and anus : Colon — the pain in colon disease, especially impaction, seems to be most pronounced in right or left hypochondriac, accordinir to its seat, and frequently referred along the anterior lateral or posterior
13
aspects of thigh. Rectum — local conditions, such as ulcer, new growth, stricture, etc., since the rectum is highly insensitive to pain, the pain is frequently referred down the back part of the thigh, even to the penis, or labia in female. Pain may be referred to the rectum in diseases of the uterus, ovary, tubes, prostate, post- urethra and vesical trigone, associated with constant desire to go to stool. Nervous conditions frequently cause rectal referred pain, epilepsy, locomotor ataxia crises, neuralgia and hysteria.
Anus. Is extremely sensitive, and organic conditions are never difficult in diagnosis.
Appendix. Is connected to the tenth and eleventh spinal seg- ments, which supplies also the recti abdominal muscles ; there- fore causing rigidity arising from the intra-abdominal changes of appendiceal involvement; principally at McBurney's point.
Pain may be referred to the abdominal wall of the same side, or to the tunica vaginalis testis and also to the sacro-iliac region. It may be transferred at a higher or lower level on the same or opposite side of the abdominal wall. Conditions frequently simu- lating appendicitis are: (1) colitis, (2) intussusception, (3) gall stone, (4) renal colic, (5) ovarian, (6) tubal disease, (7) hydro- nephrosis, (8) sciatica, (9) lumbago, (10) ectopic pregnancy, (11) strangulated hernia and peritonitis. Chermise describes a, condition occurring in lues, flu and hysteria in which much pain occurs about McBurney's point.
Diseases of liver, gall bladder and ducts : may be affected by inflammation, obstruction from new growths or bodies, adhesions, displacement, etc. The nerve supply is chiefly sympathetic, but the fifth and sixth dorsal segments help the gall bladder and the eighth, ninth and tenth help the liver. The intercostals, as was frequently thought, do not supply the liver.
The vagus also assists in liver innervation; so many cases of common duct diseases, especially when the area near the junction of the hepatic and cystic duct is involved, the pain producing stimulus is carried through the branch from the adjacent sympa- thetic ganglion to the left vagus, and thence to the fourth and fifth dorsal segments, from whence it is reflected to the chest wall in the distribution area of these segments. This explains why pain is sometimes felt on the left anterior wall of the chest at about the level of the fourth and fifth costal cartilages ; sometimes confused with pneumonia. Pain in the right shoulder also fre- quently occurs in liver disease. This is explained by the stimuli being referred through the right phrenic; the diaphragm being involved by a lymphangitis spreading from an inflamed liver or gall bladder.
14
The liver and gall bladder are insensible to pain — i. e., pres- sure, heat and cold, as well as faradic stimulation. However, pull- ing on the common duct or tilting of liver will cause pain.
With the abdomen relaxed, place the hand flat on the anterior surface with finger tips deviated toward the liver, and palpation carried on in the usual way, etc. If during the acme of inspira- tion pain is felt, it indicates a peri-hepatitis or gall bladder dis- ease. In peri-hepatitis the pain frequently radiates to the front, of the right shoulder.
This may be differentiated from gall bladder disease by request- ing patient to sit upright, remove fingers to region of gall bladder and request patient to take a deep inspiration. Should there occur a sudden stopping of inspiration, accompanied by a grunt, gall bladder disease is indicated.
Tenderness at Mayo Eobson's point is supposed to indicate inflammation of the gall bladder or ducts; this tenderness lies along a line extending from the top of the ninth costal cartilage to the umbilicus. The point of greatest tenderness lies on this line, 1 inch to the right of the umbilicus.
Murphy differentiates gall bladder pain and tenderness from lesions of other organs.
Place patient in sitting position, bent well forward, hands rest- ing on knees. The examiner now stands behind patient and places his hand, with the palm flat against the abdomen immediately below ribs on right side. Tell patient to take deep breaths. After each expiration the examiner's hand follows the abdominal wall until it approaches closely to the affected gall bladder and adja- cent tissues, when suddenly the patient ceases breathing with a gasp and complains of severe pain. This indicates the hand has touched inflamed tissues.
In gall bladder disease the patient frequently complains of pain radiating to right nipple and backward to the shoulder blade and thence to the lumbar region. Schmidt claims that radiation of pain into the genitals with retention of urine may occur. Pain may radiate to the right iliac fossa and be confused with appen- dix, although oftentimes both are simultaneously involved.
Pain referred to a distance seldom occurs except in neurasthen- ics, in which they might complain of pain radiating to the back of the head and down the spine. The location, direction and radia- tion of pain helps distinguish gall bladder pains from that due to kidney, duodenum or stomach. If the gall bladder is inflamed, pressure over it will cause pain to appear in the right shoulder and in the epigastrium, to the right of the median line; remem- bering the classical most tender area is at the junction of the ninth and tenth costal cartilage and costal arch. Schmidt claims that in
15
gall bladder disease there is a point of tenderness over the acro- mion. Pressure at this point causes pain which radiates to gall bladder; vice versa, pressure over gall bladder causes pain v^hich radiates to this area.' He said that this condition occurs in liver abscess and subphrenic inflammations and seem to be most pro- nounced when diaphragm is involved.
Gall duct pain is located in epigastrium; may be referred to anterior chest wall at about the fourth to sixth left costal carti- lage. Pain from cystic duct disease may be referred to right of vertebral column, between the eighth and eleventh dorsal vertebrae, while hepatic duct pain may be referred to the right hypochon- drium, to the thigh, and even to the head and neck. In some cases, it has been mistaken for angina pectoris; in other cases it may begin in the epigastrium and radiate over the abdomen to the right sub-scapular region and has been felt even in the right lumbar region ; has been known to radiate to the left shoulder.
Pancreas. Closely related to the pancreas are the large sympa- thetic ganglia ; pressure on these ganglia causes a disturbance which is reflected as pain through the medullated nerves supplying the body wall. Pressure on the superior mesenteric vessels and nerves causes pain referable to the small intestine; should inflammation extend to other organs, we get signs and symptoms of their in- volvement in addition to pancreatic lesions. The Pancreas is al- most entirely surrounded by duodenum, on either side by kidney, the common bile duct passes through its substance. Consequently, any one part affected influences the others.
Schmidt says it is well to think of possibility of pancreatic lesions in all cases of apparent peritonitis or intestinal obstruc- tions, as well as colicky abdominal pain following epigastric blows or trauma. If in these conditions no indication is found in the urine, but glycosuria appears spasmodically or constantly after attacks of pain, this should strongly suggest pancreas. Our opin- ion is much strengthened if stool examination shows insufficient digestion of albumin and fats and the physical examination justi- fies consideration of pancreatic disease. The pain in pancreatic disease, when present, is generally in the left epigastrium, and radiates to the left inguinal region, or to the back under the left scapula (different disease from gall bladder, which radiates under right scapula). Should the pain be present in the epigastrium; and radiate around to both sides of the thorax, it generally indi- cates a calculus. If the coeliac plexus is involved, pain radiates to cardiac region and resembles angina pectoris. Because of the absence of peritoneum on the posterior surface of the pancreas and of the intimate relationship which it has to the post abdominal
16
wall, pressure made to either side of the second or third lumbar vertebra is also provocative of considerable pain.
Acute pancreatitis, a condition only diagnosed after finding fat necrosis when a low abdominal incision has been made for sus- pected ulcer or low abdominal conditions, is frequently overlooked.
Fitz says, suspect acute pancreatitis in a previously healthy person, or one who has had previous attacks of indigestion, when suddenly seized with violent pain in epigastrium, followed by vomiting and collapse, and in twenty-four hours by a circum- scribed epigastric swelling, tympanitic or constant, with slight rise in temperature.
In pancreatic disease, pain may radiate to the back, between the shoulder, to McBurney's point, to the legs and to the lumbar re- gion.
Spleen.. Involvement of the spleen frequently results in ten- derness over the splenic area, but very few lesions cause acute pain, although when pain is absent there is a feeling of pulling or drag- ging in the left hypochondrium, or a sense of tension in the splenic area or dragging in the epigastrium. A very significant feature of splenitis is tenderness of the left pneumogastric, and in a series of 10 cases reported by Embleton, in 6 the left pneumogastric was tender in pressure and in 2 to the right.
Frequently pain of splenic involvement is found referred in the •shoulder over the acromion process and at the junction of the middle and upper thirds of the upper edge of the trapezius muscle'. The classical pain area is known as Signorelli's spleen point ; near the intersection of the left fifth intercostal space and the mid cla- vicular line.
In conclusion, use the following method of localizing the viseus causing the reflected pain :
1. Determine if, in connection with it, there is an associated area of hyperalgesia.
2. Delimit the area of hyperalgesia as nearly as possible, and orient it with a cord segment.
8. Find out the organs supplied by this segment.
4. ^ Examine the organ or organs for disease.
5. See if the pain can be reproduced by manipulation of the organ.
17
EDITORIAL
THE NEW PROFESSOR OF MEDICINE.
Expressions of satisfaction are being heard everywhere upon the appointment of Doctor Maurice C. Pincoffs as professor of medi- cine and director of the medical department in the University of Maryland. Doctor Pincoffs has been for a number of years with Doctor L, F. Barker as an assistant. He is a young man of excel- lent attainments and pleasing personality, who comes to us highly recommended. The appointment marks an epoch in the history of the University of Maryland in that the new professor is obligated to devote a certain number of hours of each day to teaching pur- poses. Dr. Pincoffs is a gTaduate of the Johns Hopkins University and a veteran of the Great War in which he served with great dis- tinction, his work meriting the commendation of his superiors. He was also for some time a resident physician in the Municipal Hospital at Bay View. He is well trained, and we feel sure is a distinct acquisition to the teaching force of the University. "The Bulletin" bespeaks for him much success and its co-operation in making his administration both profitable and creditable. Doctor Pincoffs' appointment came as a result of Doctor Gordon Wilson refusing to serve as the head of the medical department any longer. "The Bulletin" is sorry that Dr. Wilson saw fit to relin- quish the leadership of this department, and desires to express to him on behalf of its readers its sincere appreciation of his long, faithful, and capable service to the University of Maryland. It is glad to announce, however, that the institution will not entirely lose the signal attainments of Dr. Wilson in that he will remain a member of the teaching body and continue to deliver in his cff'ect- ive and inimitable way a course of lectures as of yore.
TO OUR OLDEST LIVING MEDICAL ALUMNUS, GREETINGS- DOCTOR CART B. GAMBLE, CLASS OF 1846.
For a long time "The Bulletin" has been under the erroneous impression that the oldest living alumnus of the University of Maryland's Medical Department was Doctor John J. R. Krozer, class of 1848, who died February 22, 1921. At that time there was a graduate living who antedated Dr. Krozer's graduation by two years — ^Dr, Gary B. Gamble, Sr., class of 1846. Though 96 years old, it is stated that Dr. Gamble's mind is still unclouded.
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He is the son of Col. Robt. Gamble, of Gamble's Hill, Richmond, Va., and Letitia Breckinridge, a descendant of Gen. James Breck- enridge, candidate for the Presidency against Abraham Lincoln, and the father of Dr. Gary B. Gamble, Jr., class of 1887, a pro- fessor of medicine in the University of Maryland and ex-Major, M. C., TJ. S. A., in the Great War. Dr. Gamble, Sr., was born at Grove Hill, Botetourt County, Va., in 1825. When but one year old Dr. Gamble's father moved to Florida. At ten years of age he was sent to a school in Richmond, going thence to Washington and Lee College, then to the University of "Virginia, where he was grad- uated with the class of 1845. He then entered the Medical De^ partment of the University of Maryland, graduating with the degree of M. D. in 1846. Soon thereafter he returned to Florida, where he practiced his profession until the outbreak of the Civil War, when he joined up with the Confederacy and was assigned to the First Florida Volunteer Regiment as surgeon, with the rank of Major. At the battle of Shiloh he was captured by the Yankees, but was later exchanged and rejoined the Confederate Army, in which he served until the close of the struggle. After the war he came to Baltimore, where he practised medicine with much success and credit to himself and his Alma Mater until the early years of the present century. Since his retirement he has moved to Re- lay, Maryland, where he makes his home with a grandson, Edward B. Lowndes. "The Bulletin" extends to Doctor Gamble its most sincere wishes and congratulations on a life so ripe with experi- ence and good deeds, and hopes that he will be spared for many years to come.
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ITEMS
Amongst the Fellows of the American College of Surgeons are:
William H. Arthur, M.D., 2130 Le Roy Place, Washington, D. C, Colonel M. C, U. S. Army, retired; Howard Elmer Ashbury, Phar.G., M.D., 1903, 810 St. Paul Street, Baltimore, Md.; W. Wayne Babcock, M.D., P. & S. 1893, Professor of Surgery and Clinica*l Surgery, Temple University, 2033 Walnut Street, Philadelphia, Pa.; Charles Bagby, Jr., A.B., M.D., class of 1904, Associate in Experimental Neurology, Johns Hopkins University, the Latrobe Apartments, Baltimore, Md.; Julian Meredith Baker, B.Sc, M.D., class of 1879, 503 Main Street, Tarboro, N. C-; Edgar Garrison Ballenger, M.D., class of 1901, Associate Professor of Genito- urinary Diseases, Emory University, 805 Healey Building, At- lanta, Ga.; Charles W. Banner, D.D.S., M.D., class of 1899, Banner Building, Greensboro, N. C; Frank L. Barnes, M.D., P. & S., 1896, 1408 Rosalie Avenue, Houston, Texas; Robert Parke Bay, M.D., class of 1905, Professor of Oral Surgery, University of Maryland, 1800 N. Charles Street, Baltimore, Md.; John J. Bell, M.D., P. & S., 1901, 661 W. Eighth Street, Erie, Pa.; John Mc- Farland Bergland, B.Sc, John Hopkins University, 1904, Associ- ate in Obstetrics, University of Maryland, 4 W. Biddle Street, Baltimore, Md.; Daniel Albert Berndt, M.D., P. & S., 1896, 1304 Gallia Avenue, Portsmouth, Ohio; Edward J. Bernstein, M.D., class of 1887, 507 Fine Arts Building, Detroit, Mich; William N. Bisphan, class of 1897, Colonel M. C, U. S- Army, Washington, D. C; Dougal Bissell. B.Sc, M.D., class of 1888, 219 W. Seventy- ninth Street, New York City; Hugh Ratchford Black, A.M., M.D., class of 1883, Spartanburg, S. C; Edward Maurice Blackwell, M.D., class of 1890, Commander, M. C, U. S. Navy, Washington, D. C; Charles French Blake, P. & S., 1893, Professor of Proc- tology, University of Maryland, 20 E. Preston Street, Baltimore, Md.; Herbert C. Blake, M.D., B.M.C., 1905, Associate Professor of Surgery, University of Maryland, 1014 W. Lafayette Avenue, Baltimore, Md.; Rupert Blue, M.D., D.Sc, D-P.H., class of 1892. United States Public Health Service, Washington, D. C, formerly Surgeon General, U. S. P. H. S.; James Bordley, Jr., M.D., class of 1896, 330 N. Charles Street, Baltimore, Md.; John B. Boucher, M.D., p. & S., 1894, 25 Charter Oak Avenue, Hartford, Conn.; Wil- liam St. Clair Bowen, M.D., class of 1888, Clinical Professor of Obstetrics, George Washington University, The Farragut, Wash- ington, D. C; Charles Emil Brack, Phar.G., M.D., P. & S., 1895, Professor of Clinical Obstetrics, University of Maryland, 500 E. Twentieth Street, Baltimore, Md.; Hugh Brent, M.D., class of 1903, Associate Professor of Gynecology, University of Mary- land, 16 E. Chase Street, Baltimore, Md.; Roger Brooke, M.D., B.M.C., 1900, Colonel, M. C, U. S. Army, Washington, D. C; George Corbin Bryan, M.D., B.M.C., 1896, 217 Baker Building, Walla Walla, Washington; George McClellan Burroughs, M.D.,
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B.M.C., 1900, 5 Broad Street, Danielson, Conn.; Arthur Parker Butt, M.D., P. & S., 1895, 205 Randolph Avenue, Elkins, W. Va.; Harry Francis Byrnes, M.D., B.M.C., 1904, 4 Chestnut Street, Springfield, Mass.
It will be pleasing to his friends wherever located to know that Doctor Henry L. P. ISTaylor, a veteran in point of service to hu- maility, is still actively engaged in the practice of his profession. Doctor Naylor is a graduate of the class of 1860, It is given to but few doctors to serve man over a period .of sixty-one years. Snch is Doctor IS^aylor's record. And be it to his everlasting glory he has always kept abreast of the times. He has seen medicine pass through many fads and fancies and from one basic discovery to another. Those which proved their usefulness he adopted. We are glad to state that today his mind is as active as ever and that he is still as of yore practicing his profession with credit both to himself and his alma mater.
Doctor Kenneth B. Jones, class of 1911, has assumed charge of the University Hospital, as superintendent, vice Dr. Harry M. Stein, class of 1914, superintendent during the last three years, resigned to enter private practice in Baltimore. Dr. Stein will limit his practice to internal medicine. He is well prepared, and was a capable, conscientious and most acceptable superintendent. The best wishes of "The Bulletin" go with him in his new under- taking.
Doctor Robert L. Felts, class of 1898, is located at Durham, !N^. C. He is at present attending the medical and pediatric clinics at the University Hospital.
Doctor Milton R. Walter is located at 167 West Seventy-first Street, jN'ew York City.
Doctor Howard J. Maldeis, class of 1903, has resigned as visit- ing pathologist to the University Hospital. He has opened a laboratory of clinical pathology at 605 Park Avenue, Baltimore, Md. He is prepared to do all sorts of blood work, urine and gas- tric analyses and tissue examination.
Doctor A. L. Fehsenfeld, class of 1909, and Mrs. Fehsenfeld, of Baltimore, are receiving the congratulations of their friends on the birth of a baby boy.
Doctor 'N. de Cadorna, class of 1920, is serving as a medical interne at the Maryland General Hospital.
Doctor John William Metcalf, class of 1920, is a surgical resi- dent in the Maryland General Hospital.
Doctor George LeRoy Wissig, class of 1920, is a gynecological resident in the Maryland General Hospital.
Doctor Lynn H. Brumback, class of 1920, is a gynecological resident in the University Hospital.
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_ Doctor John G. M. Eeese, class of 1920, is the resident obstet- rician in the University Hospital. •
Doctor Jack Hundley, late resident gynecologist in the Uni- versity Hospital, has opened offices at 1009 Cathedral Street, Balti- more. He limits his practice to gynecology and abdominal sur- gery.
DoctoT Zeb. Hooper, late surgical resident in the University Hospital, has returned to his home in North Carolina.
Doctor W. F. Sappington, class of 1901, has been commissioned a Major in the M. C., of the United States Army.
Doctor John C. Woodland, class of 1915, Captain M. C, U. S. A., is stationed at Camp Meade.
Doctor Everett Le Compte Cook, class of 1914, Captain, M. C, U. S. A., is stationed in Panama, He was a recent visitor to the University Hospital when on leave of absence.
Doctor Henry A. ]N"aylor, class of 1900, is president of the Baltimore County Medical Society.
Doctors J. C. Brogden and C. C. Hoke have opened offices at Y36-37 Mayo Building, Tulsa, Okla.
Doctor FitzEandolph Winslow, class of 1906, has removed from Baraboo, Wis., to Hayden, Arizona, where he is engaged in the practice of surgery.
Doctor William J. Coleman, class of 1908, late Lieut-Colonel, U. S. Army, and formerly medical superintendent at the Univer- sity Hospital, has been re-elected medical superintendent of the Maryland General Hospital.
Doctor George Perry Eoss, class of 1915, late Captain, U. S. Army, has located at Skaneateles, New York, where he is engaged in the practice of his profession.
Doctor Arthur M. Shipley, class of 1902, late Lieut.-Colonel, M. C, U. S. Army, has been cited by Surgeon General Ireland, M. C, U, S. A,, and recommended for the Distinguished Service Medal for service rendered in France as director of the surgical department in Evacuation Hospital No, 8, It is both satisfying and gratifying to his many friends to hear that Dr. Shipley's service has been deemed worthy of this recognition. It is said that Dr, Shipley's teams were the best organized of any of the surgical teams in the American Expeditionary Force.
Doctor W. S. Eankin, class of 1901, Secretary of the North Carolina State Board of Health, was the speaker at the De Lamar course lecture at Johns Hopkins School of Hygiene and Public Health, April 11, 1921. His subject was "Certain Important Principles of State Health Administration." Doctor Eankin has attained an enviable position amongst the health officials of the
22
country. He is a young man of extraordinary ability and reflects credit upon his Alma Mater.
It will be gratifying to his friends to hear that Doctor F. W. Rankin, class of 1909, is considered one of the most skilled assist- ants that has served at the Mayo Clinic.
The General Alumni Association of the University of Maryland held its annual banquet May 28, 1921, at the Hotel Southern, Baltimore. This in all probability will be the last public func- tion of this organization, as it is proposed to fuse all of the alumni associations of the University into one body, to be known as the Alumni Association of the University of Maryland. This is as it should be. There has always been too much division of interests at the University, and the reorganization of the various alumni associations into one component body is a step in the right direction. A school is wh^t its alumni make it, no more, no less. A strong, active alumni association means a strong University of Maryland ; a weak, inactive alumni association or series of alumni associations means a weak, struggling University of Maryland.. Realizing that the several departments have interests peculiar to the special school, the plan of reorganization will in all probability take the form of a series of chapters for the several departments, with a strong central body directing the whole. At any rate, the officers elected at this meeting are to hold office only until some sort of an arrangement is consummated when the General Alumni Association will cease to exist. It has done a good work in that it has shown the necessity of one association for all of the schools. Its work is accomplished. It must give way for changed times and changed conditions.
Doctor William Royal Stokes, Professor of Bacteriology in the University of Maryland and, since 1896, City and State Bac- teriologist, is recovering from a nervous breakdown. Here's hop- ing that he will soon be well.
Doctor L. A. Riser, class of 1908, is assistant to the State Health Officer, South Carolina, and is located in Columbia, S. C. He writes that Doctor Roy Finney, class of 1920, made the high- est grade of any of the participants before the State Board of Medical Examiners of South Carolina at the Fall 1920 examina- tion, and Doctor Paul E. Knotts, class of 1920, was second. He also states that Doctor Finney's grade is the highest ever made before the State Board of South Carolina. "The Bulletin" de- sires to extend its sincerest congratulations to these two men who so nobly have upheld the prestige of their Alma Mater.
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The graduates of the 1921 class, University Hospital Training School for JSTurses, are:
Mary Belle McDaniel Maryland Julia Rebecca Smith Maryland.
Zadieth Violet Reese Maryland. Susan Pauline Neady Penna.
Anna Elizabeth Woods. .Maryland. Christine Minnis Penna.
Louise Lee Batemen. .. .Maryland. Ruby Lee Reister No. Car.
Mary Cutter Fisher Maryland. Claribel Hampton No. Car.
Norma Lavada Gaver Maryland. Jessie Geraldine Rhodes. ..No. Car.
Ruth Elizabeth Gorman. Maryland. Kate Womack Hogshead. ..No. Car.
Helen Margaret Childs. .Maryland. Helen Eugenie Reamy Virginia.
Isabelle Jean Hanna Maryland. Blanche Lee Martin No. Car.
Doctor A. L. Wilkinson, class of 1903, is Secretary of the Balti- more County Medical Society.
Doctor H. 0, Eeik, class of 1891, is director of the Department of Ophthalmology and Oto-Laryngology in The American Insti- tute of Medicine, ISTew York.
The following is the report of the Woman's Auxiliary Board for the the past year :
Swiftly as a feather falling from an eagle's flight has sped away the last twelvemonth, and today the Woman's Auxiliary Board stands facing a New Year, for which the mysteries of Fate and Time hold in their silent laps the destinies of the members. Happiness we desire in abundant measure, but that is not all. What we should more earnestly crave is the life of the soul; for, as has been said by a great writer, "It is not at all a question of the quantity of what we do, but of the quality," and if our hearts are full of the light of God, it shall be ever well with us.
Behind the Woman's Auxiliary Board lies a year of superb endeavor, of extended usefulness, of new fields conquered and occupied.
Our membership has been increased to 160; our views, our visions, have been enlarged; our hearts opened still more widely to the cry of the helpless and the poor.
May I not recite, then, some of the things that have been done?
New lights have been installed all through the Free Wards at a cost of $175.00. The Children's Clinic, where thousands of babies are saved, is headed in the Woman's Department by two of our members, to whom the physicians in charge give every praise for efficiency. In the larger general clinic, where thou- sands are helped back to life, one member heads the women workers and many others work under her. Two rummage sales, realizing over $550.00, under the leadership of another member; still another, whose health prevents her taking an active part in the work of the Board, has given $10,000.00, the interest from which is to be used in work throughout the Hospital; while still another member has interested a great woman's organization.
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The Daughters of the American Revolution, in establishing a bed in the Maternity Ward at a cost of $1,000.00. Many card parties and evening affairs have been given by various members, which have swelled the coffers of the treasury and have been expended in deeds of mercy. A beautiful custom instituted the past year, and which I hope will always be continued, is the presentation to an honor nurse of the graduating class of a class pin as a recognition of her excellence, and I would recommend that the Board draw ever closer to the nurses, and help them in every way in their beautiful work. Twice a year $6000 is donated to aid in keeping up the linen in the Free Wards. The Monthly Committee all through the year have scattered comforts, dainties, books and magazines among the convalescent patients, and at the Xmas Tide decorated the Hospital, filled trees with gifts and given an entertainment and banquet to all.
Indeed, it is not too much to say that no call for help, no request for assistance, has been disregared. Even $10000 has been put aside to purchase the Rockefeller serum to be used in desperate cases of pneumonia.
And then in the Autumn, as a culmination, came the drive for funds for the Nurses' Home, and so hearty and generous was the response of the Woman's Auxiliary Board that often in the weekly reports their committees exceeded in amounts brought in those of their male associates.
In addition to the beautiful new Nurses' Home which the Board expects to do much in furnishing, we are hoping for a Child's Hospital built from the church across the way, and I beg that each and every member of the Board will feel a keen responsibility, and will throw herself into the work for these two magnificent additions with all the capability and enthusiasm that lead to success.
And now to you, dear members of the Woman's Auxiliary Board, I extend my thanks and express my gratitude for the unvarying courtesy, unfailing co-operation and charming friend- ship which you have ever shown me since I have been your President. The two years have passed all too swiftly and have indeed been those of pleasure and satisfaction, and I am proud to hand over to my successor a Board larger in numbers, more extended in usefulness, more eager in good works, than has ever before been the lot of the Woman's Auxiliary Board of the Uni- versity Hospital of Maryland.
Florence Maclntyre Tyson
Mrs. Frederic Tyson, 251 Preston St., West, January 7th, 1921
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At the Annual Commencement, held at the Lyric on June 1, 1921, the following men were granted the degree of M. D. :
John Forsyth Aubrey. . .Maryland. Thos. Rutter O'Rourk Maryland.
Francis Lucian Badagliacca. .N. J. Frank Anthony Pacienzo. .Maryland. Bruce Barnes N. J. Moses Paulson Maryland.
Carl Fisher Benson Maryland.
John Ralph Bernardo. . .Delaware.
Vincent Bonfiglio Maryland.
Jogesh Chandra Bose, B.S Md.
Earl Edgar Broadrup. . .Maryland.
Andres G. Castro Costa Rica.
Oscar G. Costa Porto Rico.
Samuel Hearn Culver. . .Delaware.
Herman Jacob Dorf New York.
C. F. Fisher West Virginia.
Daniel Sebastian Fisher. Maryland.
Charles J. Foley Maryland.
Joseph P. Franklin, B.A., Alabama.
Leon Freedom. Maryland.
Willetts "Walton Gardner„A.B..N. Y.
Kyle Wood Golley Maryland.
J. Stanley Grabill Maryland.
John Willis Guyton Maryland.
Cyrus Eugene Hawks Virginia.
Legan Henry Hobgood Mass.
Albert Salomon Hoheb, Porto Rico.
Julius I. Holofcener Maryland.
Albert Jaffe. Maryland.
Baxter S. John Virginia.
Vincent Vernon Joska. ..Maryland. Geo. Richardson Joyner. .Virginia. Daniel Francis Keegan, B.A., Conn. Richard Joseph Kemp.. .Maryland.
Louis Lass. . New York.
Benjamin Luban. . New York.
Arley Von McCoy, A.B West Va.
Ezequiel Martinez Porto Rico.
Stanley Wm. Matthews . .North Car.
Edgar Allan Poe Peters, B.S Ky.
Harold C. Pillsbury. . . . . . .Maryland.
Ralph Johnson Plyler, A.B. . .No. Car.
Joseph Pokorny. Maryland.
Norberto A. Quinones. .. .Porto Rico. Francis A. Reynolds. .Massachusetts.
Ferdinand A. Reis Maryland.
Harold A. Romilly Virginia.
James Barry Ryon, A.B.. . .Maryland.
Fred. C. Sabin New York.
Phillip J. Savage Connecticut.
Jesmond Wm. Schilling Penna.
Thomas Walter Seay Virginia.
Solomon Sherman Maryland.
Elliott Walter Shircliff Maryland.
Felix S. Shubert Pennsylvania.
John Augustus Skvarla, New Jersey. Jacob Long Sowers, B.S.. .North Car.
S. Gordon Stone Ohio.
John Valentine Szczerbicki Md.
Stanley J. Tilghman Marj'land.
Louis Michael Timko, Pennsylvania. Herman Ernest Wangler, New York.
Edwin E. Ward Maryland.
Wm. Ferdinand Weinkauf, Michigan.
George Edward Wells Maryland.
Paul Foreman Wiest. .West Virginia. James Herbert Wilkerson, Maryland.
Mortimer H. Williams Virginia.
W. Wellford Wilson, Phar.D Md.
James Clinton Wolfe. . . .New Jersey. Leslie Arno Yeager, B.S., Maryland.
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MARRIAGES
Doctor Walter D. Wise, Clinical Professor of Surgery in the University of Maryland, was married July 27, 1921, to Mrs. Hugh McMillan, of Colorado Springs, Colorado.
DEATHS
Doctor James Foster Means, Claremore, Okla., B. M. C, class of 1892, Captan, M. C, U. S. A., died July 9, 1921, of aortitis, aged 55 years.
Doctor Howard M. Kemp, of Bloomington, Maryland, class of 1881, died suddenly March 14, 1921, of heart trouble while on a professional visit to a patient. Doctor Kemp was bom at Bloom- ington 62 years ago, and practiced there 35 years. He served several terms in the Maryland House of Delegates as a member from Garrett County.
Doctor Louis C. Carrico, of Bryantovni, Maryland, class of 1885, died suddenly March 13, 1921, of heart disease. He was one of Charles County's most pi eminent physicians, and for years had been recognized as one of the Democratic leaders of that county. He was 60 years old. He was born in Charles County, and was educated at Charlotte Hall Academy and Rock Hall Col- lege. He was graduated in medicine from the University of Maryland and began the practice of medicine in 1885. Previous to that he had been a school teacher. He was School Commis- sioner for Charles County from 1888 to 1892. In 1891 he was elected a member of the House of Delegates of the Maryland Legis- lature, and in 1893 to the State Senate. Doctor C. P. Carrico, of Cecil County, is a brother.
Doctor J. Horace Jenkins, class of 1901, of Elkton, Maryland, died August 22, 1921, aged 44. He had been ill a week and was removed to a hospital in Wilminigton, where he died. He was a native of Georgia. After graduating he returned to his native State, later to remove to Elkton,
Doctor John S. Green, class of 1882, one of the leading physi- cians of Baltimore County, died suddenly August 2, 1921, of heart disease. Doctor Green was 64 years old. Doctor Maurice Green, of Hamilton, and Doctor John S. Green, Jr., are sons. Since graduating in 1882, Doctor Green has practiced his profession at Glenarm. He was wide and favorably known, a conscientious practitioner, a true and loyal friend to the University of Mary- land.
Doctor John G. Jay, class of 1871, of Baltimore, died April 1, 1921, of heart disease, aged 72. Doctor Jay was born in Harford
27
County. After graduating from Delaware College, he studied medicine at the University of Maryland, graduating with the class of 1871. He then became associated with the late Doctor Christopher Johnston. For many years he was professor of an- atomy and surgery at the Woman's Medical College, Baltimore. Later he became assoeiae professor of surgery and then clinical professor of surgery and finally emeritus clinical professor of sur- gery in the University of Maryland. Doctor Jay is said to have performed the first successful Caesarian section in Maryland. Dur- ing the Spanish-American War, Dr. Jay was chief surgeon to the Fifth Maryland Eegiment, Infantry, United States Volunteers.
Doctor George Glanville Rusk, class of 1867. of Baltimore, died April 14, 1921, of pneumonia, aged 74. Dr. Rusk practiced medicine for many years in the eastern section of the city, where he was widely and favorably known.
Doctor Reuben Saunders Toombs, of Memphis, Tenn., Wash- ington University, class of 1866, a former secretary of the Miss- issippi State Medical Association and one of the founders of the University of Tennessee, and professor of materia medica, clin- ical medicine and medical ethics in the University of Tennessee until 1918, as well as a Confederate veteran, died July 15, 1921, at Lexington, Ky., aged 77.
Doctor Logan Lindsay Banner, Castlewood, Va., P. & S., class of 1884, died June 29, 1921, from general paresis, aged 63. From 1897 to 1905 he served as a member of the United States Board of Medical Examiners for Pensioners.
Doctor J. E. Foscue, class of 1901, of Jamestown, IST. C, died suddenly November 9, 1920, while on a professional call.
Doctor Leo Karlinsky, class of 1906, of Baltimore, died June 13, 1921, after an illness of five days. He was 36 years of age and a resident of Baltimore all of his life.
Doctor Joseph S. Raborg, class of 1867, of 1202 Mt. Royal Avenue, Baltimore, died June 12, 1921.
Doctor Charles R. Foutche, of Berkeley Springs, W. Va., P. & S., class of 1885, died April 12, 1921, of a complication of dis- eases, aged 59. After graduating he first located at Parsons, W. Va., but ten years ago moved to Berkeley Springs.
Doctor Edward P. McDevitt, class of 1875, of 2432 :N"orth Charles Street, Baltimore, died March 8, 1921, of heart disease, aged 66.
28 BOOK REVIEW
The Anatomy of the Nervous System, from the Standpoint of Development and Function. By Stephen W. Ranson, M.D., Ph.D., Professor of Anatomy in Northwestern University Medical School, Chicago. Philadelphia and London: W. B. Saunders Company, 1920; cloth; $6.50 net. During the last twenty-five years much work has been done in clearing up obscure points in the anatomy of the nervous system. These investigations have added not only to our knowledge of the structure of this system, but also of its physiological and pathological manifestations. The above men- tioned book was projected with the idea of creating greater inter- est as well as pleasure in the study of nerve anatomy by inter- spersing amongst the pages its relationship to physiological and pathological processes. Everywhere the book teems with illustra- tions between the normal and abnormal anatomy and the related problems of physiology and pathology. By stressing this feature and emphasizing the practical applications to which a thorough knowledge of the anatomy can be applied in the solving of neuro- logical problems more interest should be aroused in the study of an otherwise dull subject. Dr. Ranson is surely to be congratu- lated upon presenting a purely laboratory and basic subject in such an attractive garb. The tone of the book is conservative, the language is simple, direct, the style is excellent, the illustrations are appropriate and well executed — all points which should com- mend it to the good graces of the student and general practitioner desirous of gaining a working knowledge of neurologial anatomy. The author is imbued with the right pedagogical spirit when he says for physiological and chemical neurology a knowledge of con- duction pathways and functional localization is essential, and this information can best be acquired in connection with the course in anatomic neurology.
A Text-Bool- on Pathology. By W. G. MacCallum, Professor of Pathology and Bacteriologv^ in the Johns Hopkins Fniversity, Baltimore. Second Edition, Thoroughly Revised. Pliiladelphia and London: W. B. Saunders Company, 1920. Since the first appearance of this book important advances have been madp in certain fields of pathology. In order to make this material avail- able, MacCallum has incorporated these discoveries in a second edition which is just off the press. The war afforded unexcelled opportunities to study pathologically certain types of disease, for instance, influenza and its complicating pneumonia and empyema. Measles also offered a fertile field for these industrious investi- gators, likewise cerebro-spinal meningitis, war wounds, the effects of poison gas, those maladies that follow in the wake of cold.
29
hunger, starvation. The latest information on these diseases and a mass of other material equally as important to a proper apprecia- tion of the subject has been incorporated in the above book.
MacCallum has follov^^ed the same plan in presenting the sub- ject as in the earlier edition. He holds the view that all disease is due, to some injury. Tumors, he admits, offer a stumbling block to this plan inasmuch as their causes are still undetermined. After a few chapters devoted to the general principles of pathology, the writen then takes up the various types of injury and their immedi- ate and remote effects and finally tumors. With Chapter nine begins the story of the defense of the body against injury, with a complete description of inflammation and its manifestations, fever, immunity, the acid-base equilibrium of the body, new growth and tissue repair, healing of wounds, illustrative examples of inflammatory processes, destructive and reparative processes, phys- ical, chemical, etc. The author has presented the subject in a most attractive and instructive way. It is a model of concise and clear thinking. It is amongst the best of the modern pathologies.
Diagnostic and Therapeutic Techntc. A Manual of Practical Procedures Employed in Diagnosis and Treatment. By Albert S. Morrow, M.D., late Lieut-Colonel, M. C, U. S. A., attending surgeon to the City Hospital an