History of Nursing in Pacific Canada

The Vancouver Medical Association Bulletin: May, 1951 Vancouver Medical Association May 31, 1951

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The Vancouver Medical Association
Publisher and Advertising Manager
MAY, 1951
OFFICERS 1951-52
Dk. J. C. Grimson Dr. E. C. McCoy Dr. Henry Scott
President Vice-President Past President
Dr. Gordon Burke Dr. D. S. Munroe
Hon. Treasurer Hon. /Secretary
Additional Members of Executive:
Dr. J. H. Black ' Dr. George Langley
Dr. G. H. Clement Dr. A. C. Frost Dr. Murray Blair
Auditors: Messrs. Plommer, Whiting & Co.
Eye, Ear, Nose and Throat
Dr. N. J. Blair Chairman Dr. B. W. Tanton Secretary
Dr. Peter Spohn Chairman Dr. John W. WmTELAW-Secretary
Orthopaedic and Traumatic Surgery
Dr. D. E. Starr. Chairman Dr. A. S. McConkey Secretary
Neurology and Psychiatry
Dr. F. E. McNaib Chairman Dr. R. Whitman Secretary
Dr. Andrew Turnbull Chairman Dr. W. L. Sloan Secretary
Dr. A. F. Hardyment, Chairman; Dr. J. L. Parnell. Secretary;
Dr. F. S. Hobbs, Dr. J. E. Walker, Dr. E. France Word, Dr. D. W. Moffatt
Go-ordination of Medical Meetings Committee:
Dr. J. W. Frost Chairman Dr. W. M. G. Wilson Secretary
Summer Sch ool:
Dr. Peter Lehmann, Chairman; Dr. B. T. H. M-arteinsson, Secretary;
Dr. A. C. Gardner Frost; Dr. J. H. Black; Dr. Peter Spohn:
Dr. J. A. Irving.
Medical Economics:
Dr. F. L. Skinner, Chairman: Dr. W. E. Sloan. Dr. G. H. Clement,
Dr. E. A. Jones, Dr. Robert Stanley, Dr. F. B. Thomson, Dr. R. Langston
Dr. Gordon C Johnston, Dr. W. J. Dorrance, Dr. Henry Scott
Y.O.N. Advisory Committee
Dr. Isabel Day,  Dr. D. M. Whitelaw, Dr. R. Whitman
Representative to the B.C.   Uedieal Association: Dr. Henry Scott
Representative to the Vancouver Board of Trade: Dr. E. C. McCoy
Representative to Greater Vancouver Health League: Dr. J. A. Ganshorn VANCOUVER MEDICAL ASSOCIATION
Founded 1898; Incorporated 1906.
(Spring Session)
FEBRUARY 6th—GENERAL MEETING—Devoted to Medical Economics.
MARCH 6th—OSLER DINNER—Dr. H. A. DesBrisay, Osier Lecturer.
APRIL 3rd—GENERAL MEETING   (Speaker to be announced).
xMAY 28th to JUNE 1st (inclusive)—ANNUAL SUMMER SCHOOL.
FIRST TUESDAY—GENERAL MEETING—Vancouver Medical Association—T. B.
Clinical Meetings, which members of the Vancouver Medical Association-are invited
to attend, will be held each month as follows:
Notice and programme of all meetings will be circularized by the Executive Office
of the Vancouver Medical Association.
Refresher Courses for the General Practitioner
SURGERY—February 12 th, 13 th, 14th, 1951.
EYE, EAR, NOSE and THROAT—March 5 th, 6th, 7th, 1951.
OBSTETRICS and GYNAECOLOGY—April 9th, 10th, 11th, 1951.
Regular Weekly Fixtures in the Lecture Hall
Monday, 12:15 p.m.—Surgical Clinic.
Tuesday—9:00 a.m.—Obstetrics and Gynaecology Conference.
Wednesday, 9:00 a.m.—Clinicopathological Conference.
Thursday, 9:00 a.m.—Medical Clinic.
12:00 noon—Clinicopathological Conference on Newborns.
Friday, 9:00 a.m.—Paediatric Clinic.
Saturday, 9:00 a.m.—Neurosurgery Clinic,
edition, 1950.
Regular Weekly Fixtures
2nd TUESDAY of each month—11 a.m & TUMOR CLINIC
(Specimens and Discussion)
(Alternating with Surgery)
Regular Weekly Fixtures
Tuesday, 8:30 a.m.—Dermatology.
Wednesday, 10:45 a.m.—General Medicine.
Wednesday, 12:30 p.m.—Pat.iology.
Thursday, 10:30 a.m.—Psychiatry.
Friday, 8:30 a.m.—Chest Conference.
Friday, 1:15 p.m.—Surgery.
Tuesday, 9:00 a.m. to 10:00 a.m. (weekly)—Clinical Meeting.
llpl'-B. C. Surgical Society Meeting Dates:
Spring Meeting, March  30th-31st—Vancouver Hotel   (open  to  all members  of  the
Publishing and Business Office — 17 - 675 Davie Street, Vancouver, B.C.
Editorial Office — 203 Medical-Dental  Building, Vancouver, B.C.
The Bulletin of the Vancouver Medical Association is published on the first of
each month.
Closing Da^e for articles is the  10th of the month preceding date of issue.
Manuscripts must be typewritten, double spaced and the original copy.
Reprints must be ordered within 1 5 days after the appearance of the article in question, direct from the Publisher. Quotations on request.
Closing Date for advertisements is the   10th of the month preceding date of issue.
Advertising Rates on Request.
Page 182 women
When growth, menstruation, pregnancy, convalescence or dietary
restrictions increase a woman's demands for iron ...
**Up to the age of menopause, women
require from two to four times more
. iron than do men... Pregnant women
aiso have a higher requirement... iron
requirements are increased ... at
puberty (especially in girls) ..."
Goodman, L., 2nd Gilman, A.: The
Pharmacological Basis of Therapeutics.
New York.The Macmillan Company, 1941,
p. 1110, 1115.
tReznikoff, P , and Goebel, W  F. J  Clin.
Investigation   16:547,1937.
S/BGON trademark rvstiteratV
gMW or fmovs
For Hypochromic Anemias
BETTER TOLERATED: Fergon is only slightly ionized, therefore virtually nonastringent, nonirritating, essentially free of
gastro-intestinal distress.
BETTER ABSORBED: Fergon—stabilized ferrous gluconate—is
soluble and available for absorption throughout the entire pH
range of the gastro-intestinal tract.
BETTER UTILIZED: Comparative clinical studies show ferrous
gluconate to be better utilized than other forms of iron.t
Indicated in the treatment and prevention of anemias due to
iron deficiency; especially valuable in patients intolerant to
other forms of iron.
Average adult dose is 3 to 6 (5 grain) tablets; for children, 1 to
4 (2 Vi grain) tablets or 1 to 4 teaspoonfuls of elixir daily.
Supplied as 0.325 Gm. (5 grain) tablets, bottles of 100 and
500; 5% ehjrir, bottles of 6 and 16 fl. oz.
New York 13, N. Y,    Windsor, Ont.
Total population — estimated...
Chinese population — estimated.
Other   —   estimated	
Total deaths   (by  occurrence)" .. ''jjft_ s  510
Chinese   deaths    ,     27
Deaths,  residents only \:V?W\ -  458
(Includes late registrations)
 "-fffej||-  418
—E ...J. 423
March, 1951
Deaths under 1 year of age S r     21
Death rate per 1000 live births  ''^BBfelil--    ^.4
Stillbirths   (not  included in  above  item) .       4
March,   1951
Cases       Deaths
Scarlet Fever | 94
Diphtheria • ig| —
Diphtheria Carriers . —
Chicken Pox 14 5
Measles 5 8
Rubella   21
Mumps .- 7 2
Whooping Cough     6
Typhoid Fever —
Typhoid Fever Carriers  —
Undulant  Fever ffigi —
Poliomyelitis , . —
Tuberculosis 5 4
Erysipelas      3
Meningitis , 	
Infectious Jaundice	
Salmonellosis Carriers.
Dysentery Carriers	
Influenza  3 33
Cancer   (Reportable, Resident) _fc  76
March,  1950
Cases       Deaths
8 —
92 68
Page 183 { CONNAUGHT>
Liver Extract Injectable is prepared specifically for the treatment of
pernicious anaemia. The potency of this product is expressed in units
determined by actual responses secured in the treatment of human cases of
pernicious anaemia. Liver Extract Injectable as prepared in the Connaught
Medical Research Laboratories has the following advantages:—
1. Assured potency—Every lot is tested on cases of
pernicious anaemia.
2. High concentration of potency—Small dosage
and less frequent administration.
3. Low total solids—Discomfort and local reactions
occur very infrequently because of the high purity
of the product.
Liver Extract Injectable (15 units per cc.) as prepared by the
Connaught Medical Research Laboratories is supplied in packages containing
single 5-cc. vials and in multiple packages containing five 5-cc. vials.
Liver Extract for Oral Use in powdered form is supplied in packages
containing ten vials; each vial contains extract derived from approximately
one-half pound of liver.
University of Toronto Toronto, Canada
Established  in  1914  for Public Service  through  Medical  Research  and   the  development
of Products for Prevention or Treatment of Disease.
MEDICAL-DENTAL BUILDING, VANCOUVER, B.C. There seems to be a tendency, in these modern days, when anything goes wrong,
or when things do not go right, to blame it on the medical profession. When Hospital
Insurance blows up in the face of its sponsors, we are told that it was because the doctors
were sabotaging it—when people complain of the shortage of hospital beds, it is because
the doctors are keeping their patients in too long, or sending in cases that should never
have been in at all—or they are just exaggerating, since there is no real shortage at all,
and so on. Some years ago, when the B. C. Health Insurance Act proved to be inoperative, again, of course, it was the doctors who were entirely to blame.
These, of course, are medical matters in which we do have an active concern, and
though we deny categorically that we are the ones responsible for the mistakes and
ineptnesses of other people, still we are not entirely surprised that our profession should
in some way be linked with the medical problems that have arisen, by those who are
looking for alibis and a suitable scapegoat. But recent press reports seem to indicate that
we are being picked on again, this time by those who are interested in the military
establishments of Canada.
Recently, we saw a report in the press that Major-General Pearkes, V.C., a very
eminent soldier, whom we all admire as a soldier, has been criticising the medical profession for not enlisting in greater numbers for service in Korea. He said, we were told,
that only two medical men had offered their services.
We cannot say anything about that, as we have no means of verifying or confuting
this statement. But it was the rest of his speech to which we take exception. He is
reported to have said that most of the cost of the education of a medical student is paid
for by the State, and therefore he felt that the State should receive a greater return than
it is doing, for the money it has spent.
We feel that this argument is full of holes, and we should like to indicate some of
In the first place, why single out medical men? All education is a function, to a
great degree, of the State, and is so recognised in all countries. And as far as university
education is concerned, we do not suppose that any of the students, in any of the
faculties, pay for more than a fraction of the cost of their education, in fees. This is
certainly true of engineers, and the departments of technical training, where the cost
of equipment, technical teaching, and so on, is so high that no adequate fees to cover
it could be obtained from the students.   Even in the Arts course, this is true.
The medical man's .training represents from eight to ten years of his life, and
probably represents more actual cash outlay on his part than is the case in any other
profession. He is not a boy when he graduates—he is more likely to be over than under
thirty—he is often in debt—his education has mortgaged his future heavily. If he has
started in practice, he has had to make a heavy investment, in office equipment and rent,
in a motor-car (nowadays an inescapable essential of practice), and so on. He must
think very hard and long before he can lightly volunteer for military service.
Here we would like to say one or two things most emphatically. The first is that
we believe it can be shown beyond the shadow of a doubt, that the record of the medical
profession during the two Great Wars, both in voluntary enlistment and in service
generally, is every bit as high as that of any other profession. This was shown particularly in the last war, when the percentages of the medical profession enlisting in the
Page 184 Armed Forces was so high that it left the country as a whole woefully short, in many
areas of medical practitioners. This was true, even before compulsory service was
Secondly, we should like to say that, in our opinion, the only fair and equitable
method of securing men, medical or others, for the Armed Forces of the country is
some form of compulsory military service, such as is enforced in the United States, in
Great Britain, and indeed in most of the free countries of the world. When this is
done, the armed forces can obtain all the men and women they need, under equal and
equitable conditions. As long as it is left to a man's individual decision, there will be
inequities, and men will think a long time before they throw up everything they have
worked for, at so great an expense of time and money. But if the call does come in real
earnest, with or without compulsory service, we can assure General Pearkes without fear
of contradiction, that he will have no cause to complain of the patriotism or devotion
to their country, of the members of the medical profession of Canada.
• • • •
April 11th, 1951.
Dr. J. H. MacDermot
Editor, The Bulletin
1701 West Broadway
Vancouver, B. C.
Re: Annual Meeting C.M.A. in Montreal in June
Dear Sir:
We have received information from the Trans Canada Air Lines regarding special
group travel fares in connection with the above convention.
Group travel fares are available to parties of ten or more travelling together to
the same destination. While it is necessary that the party travel as a group on the going
portion, this is not a requirement on the return.
Under this plan the round trip fare Vancouver-Montreal is $290.20 per person,
a saving of $36.20 over the regular round trip fare. On a one-way basis, the group
travel fare would be $163.25 per person.
Reservations may be made with Mrs. Florence Wilkie, Convention Representative,
The above is submitted for the information of members of the profession who may
plan to attend the C.M.A. convention.
Yours very truly,
Executive Secretary,
cc Secretary, Vancouver Medical Association.
Associate in Obstetrics. Preferably certified, who would assist
in surgery in a busy General Practice, with a view to forming a clinic
group.   Apply in writing to—
or Phone: NORTH 2231
Page 185 I
Monday, Wednesday and Friday 9:00 a.m. - 9:30 p.m.
Tuesday and Thursday 9:00 a.m. - 5:00 p.m.
Saturday  ] 9:00 a.m. - 1:00 p.m.
Recent Accessions
American Diabetes Association, Proceedings of Annual Meeting, 1950.
City of Chicago Municipal Tuberculosis Sanitarium, Collected Studies, Vol.  8,  1946-
Harris, Seale—Woman's Surgeon: The Life Story of J. Marion Sims, 1950  (Nicholson
Kinsella, V. J.—The Mechanism of Abdominal Pain, 1948.
Medical Clinics of North America—Symposium on Diseases of the Skin, March, 1951.
Sperry, W. L.—The Ethical Basis of Medical Practice, 1950 (Historical and Ultra-
Scientific Fund).
Titus, Paul—The Management of Obstetric Difficulties, 4th edition, 1950.
Walshe, F. M. R.—Diseases of the Nervous System, 6th ediiton, 1949.
Ward, G. E. and Hendrick, J. W.—Diagnosis and Treatment of Tumors of the Head
and Neck, 1950.
Wilkins, L.—The Diagnosis and Treatment of Endocrine Disorders in Childhood and
Adolescence, 1950.
FLORENCE NIGHTINGALE, 1820-1910, by Cecil Woodham-Smith.   London: Constable & Co. 1950. pp. 615 illus.
An outstanding new biography based on six years of delving into old letters and
documents has recently appeared-and Mrs. Woodham-Smith has done an amazingly
interesting bit of writing.
Florence Nightingale was born into upper class Victorian society. Her father was a
rich dilettante and her mother a society figure. Florence travelled on the Continent,
attended innumerable balls and parties and came very close to marriage. But inner voices
made her choose a much more arduous vocation. She had early shown an interest in
nursing and spent hours poring over governmental hospital reports. The war in the
Crimea was her big test and ably did she surmount it. With a small group of women,
carefully selected for character and good morals she took on the first nursing task in
history. The filth of the hospitals and barracks at this time is unbelievable—more
soldiers were dying from disease than were being killed in battle. The resolute band of
women brought order and cleanliness out of one of the worst muddles of British military history. But this was not the end. Back in England after the end of the Crimean
War, Florence fought tooth and nail for reforms in the British War Office. It was
not an easy fight as a great many powerful political figures were arrayed against her
Page 186 but no matter what the odds she fought on to ultimate victory. We sometimes think
of her as the founder of the nursing profession and this she no doubt was; but ithis
biography brings out all the other great achievements she made for the good of humanity.   I can highly recommend this book to anyone interested in the history of medicine.
—F. S. H.
Appleby, L. H., Discussion on the Treatment of Advanced Cancer of the Rectum.
Proceedings of the Royal Society of Medicine 43:1071-1074, December, 1950.
Bagnall, A. W., The Painful Back.   Canadian Medical Association Journal 64: 107-111,
February, 1951.
Christopherson, E. (and Kidd, H. M.), Broncholithiasis.   Canadian Medical Association
Journal 64: 142-146, February, 1951.
Freundlich,  J.  Pitts,  H.  H.,  Abdominal  Aneurysm.    Canadian  Medical  Association
Journal 64: 250-252, March, 1951.
McCoy, E. C, General Practice—Parts I and II.   Canadian Medical Association Journal
63: 602-603, December, 1950 and 64: 71-73, January, 1951.
McKechnie, R. E., Calculi of the Salivary Glands.   Western Journal of Surgery, Gynecology and Obstetrics 59: 153-155, April, 1951.
Patterson, F. P. and others., Fifty Years of Orthopaedic Surgery in Canada.   Journal
of Bone and Joint Surgery 32B: 587-600, November, 1950.
Spohn, P. H. and Campbell, C.  G., Persistent Vomiting Due to Chalasia.   Canadian
Medical Association Journal 64.: 126-128, February, 1951.
Young, M. D. (and Griswold, H. E.)—Situs Inversus of the Abdominal Viscera with
Levocardia.   Circulation 3: 202-214, February, 1951.
(J. I. Chambers, Administrator)
Room 917, 16 East Hastings Street, Vancouver, B. C.
April 19th,  1951
The College of Physicians and Surgeons,
925 West Georgia Street,
Vancouver, B. C.
Dear Sirs:
Following a recent review, this department has been advised that its authority to
pay for ambulance services extends only to payment for such services to those persons
who are in receipt of direct social allowance through this office, and does not include
services to those in receipt of assistance from the Old Age Pension Board, Mother's
Allowance Board, or other agency.
It will be appreciated if you will convey this information to all members of your
Yours Very truly,
Page 187 Dr. J. H. MacDermot—Editor, The Bulletin,
Vancouver Medical Association,
1701 West Broadway,
Vancouver, B. C.
Dear Doctor MacDermot:
Re: Pharmaceutical Benefits under the National Health Plan in Australia
We are attaching herewith a report that we have received on the above subject
from the Office of the Secretary of the Canadian Medical Association.
This subject was discussed at a recent meeting of the Executive of the B. C.
Medical Association and they suggested that this report be passed on to the Editor of
the Bulletin to use as he sees fit.
Yours very truly,
Executive Secretary.
Last October, the Honorable Sir Earl Page, Minister of Health for Australia,
launched a national health plan which he proposes to introduce by stages, one of the
first being what he calls Pharmaceutical Benefits. He sent us two booklets dealing
with these Benefits. These were passed on to Dr. J. K. W. Ferguson, Chairman of the
Committee on Pharmacy, for study and report. In his reply, Dr. Ferguson states as
"There is little doubt that this Act represents a generous gift by a paternal Government to the people of Australia. However, as is common with such gifts, it seems likely
that there will be much ingratitude and criticism of it. Many drugs which are recognized
as useful and even necessary in the treatment of serious disease are omitted. I have listed
over 30 of these in pencil on the back of one of the pamphlets. It is hard to see why
these were omitted except on the grounds that they are relatively inexpensive and may
often be used for the treatment of trivial complaints. Their absence from the list is
bound to be irritating to the public, to say nothing of the medical and pharmaceutical
professions. It is perhaps unfair to criticise the arrangements of the lists but one cannot
help noticing a large number of trade names which, nevertheless, are not inclusive of
all firms producing similar products. This, I am sure, will give rise to continuous agitation by pharmaceutical manufacturers.
"It is very hard, indeed, to think of a way of providing drugs to the public without
payment, and also avoid waste and extravagance. One feels that some form of partial
payment by the recipient would be more desirable."
Front accommodation is available for a general practitioner or medical
partnership in the new centre on the corner of Broadway and Commercial Drive. Heating, ventilation and janitor services are provided. The
establishment of a practice in this well populated and prosperous suburban shopping district is well worth your consideration.
626 West Pender Street
MArine 8411
Vancouver, B. C.
Ladies and Gentlemen, my remarks tonight will be brief, as there are many reports
from various committees of this your Association to follow.
The past year has been a very busy one and, in a way, I feel it has been a turning
point as we start out on the second half century of organized Medicine in this city!
Shortly after taking office one year ago, it was my duty to ask you to make a choice
between continuing the library as an independent unit or amalgamating it with that of
the medical school. Your decision in this matter left no doubt in the minds of your
executive as to your choice. Plans have gone along in this matter and it is hoped that
in the near future we will be able to occupy our allotted space in the new Academy
of Medicine Building at 10th and Burrard.
The anticipated cost of this venture will undoubtedly create a great burden on the
funds of your Association and it is hoped that some of the more affluent members may
see fit to bestow a part of their worldly wealth towards this noble cause.
There stands in the library today a board which is headed by the name of Wm.
Osier with a gift of $100. There is still room for a lot more names on that board, and
I am sure your new executive would be willing to add another board if necessary.
Your Association started on another new venture in the past year—that of Public
Relations. This has produced considerable criticism from some quarters, some good and
some otherwise. Much pioneer work has been done by this committee and I am sure
their experience will be a great help to those who undertake this work in the future.
Shortly after your executive took office, the Editorial Board of the Bulletin and
the Association were served with a writ for libel by the Carlisle Schools. Legal aid was
sought on behalf of those concerned and after considerable correspondence, a committee
was appointed to investigate the curriculum of this school and their findings were in
agreement with those in the Bulletin Editorial, namely, that they could not recommend
such a school.
No further procedure has been taken in regard to the Writ to date.
j The question of hospital beds or the lack of them has been continually to the fore in
the past year.
Recently, a committee has been set up under the chairmanship of Mayor Hume
consisting of representatives from the City Council, Board of Trade, various hospital
Boards, B. C. Hospital Association and two representatives from your Association.
Your Secretary, Dr. McCoy, and myself have been acting on that committee which
has held two meetings to date. Progress has been slow, but we feel it is a step in the
right direction.
Everyone concerned agrees that there is a shortage of beds, but it would appear
that the city and province are not in accord as to whose responsibility it is to build
more beds.
In turning from the Economic to the Scientific side of our progress in the past
year, we have been more fortunate.
The programs produced throughout the year by the various hospital staffs were
excellent, and we were particularly fortunate in having such excellent papers at the
general meetings.
In closing I would like to express my gratitude to all the members of the Executive
and to the various standing and special committees whose labours during the past year
have made it possible to carry on the business of the Association. T would also like to
thank Dr. Hatfield and his staff for the use of this Auditorium throughout the year.
I would especially like to thank Mrs. Helen DeWest the Secretary, whose loyalty
and attention to detail have made this office a pleasant duty. ^
Mr. President and Fellow Members:
I submit herewith the financial report of your Association for the Fiscal Year
of 1950-51, which has been duly audited by Messrs. Plommer, Whiting & Co., Chartered Accountants, under date of March 31st, 1951.
Income from members' annual dues	
Interest received:
Bond Interest       525.23
Bank Savings Account  4.44
Profit on Association Bulletin _~	
Salaries    : ; j $5,179.46
Rents I $ 2,805.00
Less rents received from   (C.P.&S.)  1,000.00 1,805.00
Other Expenses  1 yij| S  3,457.54
Excess of Income over Expenditure (not including amount spent
on Library books, journals and binding) m&	
Library   _1_IM j $1,518.01
Equipment    m ~       95.88
Excess of Revenue over Expenditure .__
NOTE:—The Association spent approximately $2,506.51 on the
purchase of books, journals and bindings for the Library.
This does not come under expense items as only depreciation of the library is charged to expense.
Present value bonds at cost— •	
Cash on hand and balances at banks 	
Library  —  less   depreciation	
Furniture and equipment—less depreciation	
Purchases of furnishings for new quarters	
Historical and Ultra Scientific Fund:
Bank Savings account I —-     669.53
Bonds at cost iM.  2,479.38
Owing by general fund  .16
Stephen Memorial Fund:
Bank Savings account. ||j  12.14
Bonds at cost_||L - |  100.00
John Mawer Pearson Lecture Fund:
Bank Savings account  1,120.91
Bonds at cost T -'—  3,553.75
$ 4,091.02
$  1,613.89
$ 2,477.13
$ 3,149.07
Page 190 Income from members' dues shows a very substantial increase over last year of
approximately $4,800.00. In most part, this increase is due to the raise in fees of Active
members from $20.00 to $30.00 per year, and of Associate members from $5.00 to $7.50
per year. The register also shows the following increase in memberships. 23 active
members and 5 associate members elected; 11 associate members and 3 active members
to be elected this evening; 8 active and 5 associate membership applications still pending
election in the Fall, making a total of 55 new members for the year 1950-51. Full
membership now stands at 620.
We deeply regret that our numbers have been depleted by the deaths of those members reported by our President.   They are sadly missed.
Rspectfully submitted,
Honorary Treasurer.
Mr. President and Members:
Your Board of Trustees herewith submit their Annual Report.
The Treasurer's report, contains a statement of the monies in the various funds
over which the Trustees have control. Also a detailed report of these funds was published for your information, in the February issue of the "Bulletin". This leaves very
little for your Board of Trustees to report.
As general expenditures are still on the increase, it was felt that it would not be
advisable to make any new investments at this time, therefore all interest from bonds
has been deposited to the credit of the various savings accounts.
Acting on instructions from the Executive Committee, who by order of a motion
passed at the General Meeting of December 5 th, were authorized to withdraw $7,500.00
from the General Savings for the purchase of furniture and fixtures for the new
quarters in the Academy of Medicine Building, your trustees have sold bonds amounting to $2,000.00 for this purpose. The proceeds from this conversion have been placed
in the General Account, and the balance of bonds to make up, the full amount will be
sold in the near future.
Respectfully submitted,
Mr. President and members:
I have the honour to present the report of the Library Committee of the Association for the past year and in doing so, I would like to say that it has been a very active
one indeed.
The decision of the College of Physicians and Surgeons of B. C, to erect an
Academy of Medicine building, was welcomed by members of the Committee, as it was
by the profession as a whole. The planning of the library in the new building was
decided last summer, and the work of the Committee during the year has been mainly
upon the lighting and furnishings. Regarding the furnishings, the Committee has given
very careful consideration to them during several meetings and we have spared no time
and trouble in trying to furnish the Library in good taste so that it will have an appeal
to members of the Association. The estimates submitted to the Executive for furnishings were approximately $1,000.00 over the sum of $7,500.00 set aside for furnishing
the Library, but, we feel that this is not excessive in the light of present day prices.
Quotations were received from various library supply firms in the United States, Can-'
ada and Great Britain regarding steel stacks, and the order was finally placed, with the
Page 191 approval of the Executive, with a firm in London, England, who, gave us a very reasonable estimate. The Committee feels that it is fortunate in having placed this order,
with a guarantee of delivery, as early as it did, with the shortage of steel today. With
continual rising costs, especially in wool, the Committee felt that it would be wise to
choose carpeting for the two Reading Rooms, and a wall to wall Broadloom was chosen
with the aid of an interior decorator. Material for drapes for these same rooms was also
chosen. Numerous estimates for other furnishings were received and orders for these
items have been placed with the approval of the Executive. We are assured that all these
orders will be ready when the building is completed at the end of July.
Passing on to matters more closely related to books, during the year, the Committee asked for recommendations from the B. C. Surgical Society regarding the
Surgery Section in the Library. The majority of these recommendations have been
carried out and the Committee is more than grateful to Dr. Rocke Robertson and his
committee who did this work for us.
For the first time, the Committee has worked on a strict budget during the year,
and we have found that it has been of great advantage. From our budget of $2800.00
for books, journals and binding, we had a credit of $374.02 at the end of the fiscal
year, however, one has to take into account books and journals ordered which were not
received by the end of the year.
It is the policy of your Committee to build up a strong journal library as we feel
that it is the recent literature, rather than text-books, that is of greatest value to us
today. With this object in mind, we are trying, within our means, to subscribe to as
many good periodicals as we can and during the year new subscriptions were taken out for
Acta Medica Scandinavica, Acta Chirurgica Scandinavica, Annals of the Royal College
or Surgeons, the Australia and New Zealand Journal of Surgery, the British Medical
Bulletin and an exchange of publications arranged with the Yale Journal of Biology
and Medicine.
Each year brings numerous gifts and donations to the Library and during the pasr
twelve months, we have been very fortunate once again. Another $100.00 was given
by Dr. W. B. McKechnie, of Armstrong, and the C. S. Williams Clinic, of Trail, presented a sum of $100.00, both donations going into the Historical and Ultra-Scientific
Fund, and for these generous gestures the Committee would, once again, like to express
their sincere appreciation. Then, through the kind offices of Dr. Neil M. McNeill, the
Committee was very fortunate in obtaining a valuable collection of Osleriana through a
Mrs. A. M. Taylor, once a friend of the Osiers at Oxford, and now of this city, and
to both, the Committee are very grateful. This Osier Collection will be displayed in
the new library together with other Osier mementoes that the Library already possesses.
Gift subscriptions to the Library were given by Doctors A. Turnbull, H. H. Milburn,
and the Section of Neurology and Psychiatry, wih gifts of books and journals from
Doctors D. F. Busteed, Cleveland, Christopherson, Hardyment, Herstein, W. D. Keith,
C. S. Ryan, G. L. Watson and D. H. Williams.
With the establishing of small medical libraries in the three large hospitals in the
city, the work of interlibrary loans has risen enormously and from the figures presented
in the attached statistical summary, you will see that the number of these loans sent
out last year rose to 325 from a 69 in the previous year. Though these loans entail
a great amount of work, your Committee feel that the Library is being of greater
service to the medical profession in the city. As there have been no conclusions from
the Library Survey Committee of the B. C. Medical Association, regarding library
facilities, to members of the profession outside the City of Vancouver, your Library
Committee sent out a circular letter to all non-members in the Province (with the
approval of the Executive ) explaining the facilities of the Library for associate members. Unfortunately, the response was poor, though we had been led to believe that
more members of the profession outside the city were interested in library privileges.
The attention of the Committee also turned to the question of cataloguing and a
Page 192 recommendation was made to the Executive that as soon as space is available, the task
of re-cataloguing the Library should start. We feel that this task is imperative as there
are many old books uncatalogued and we feel that members of the Association should
be fully aware of the holdings of the Library from a good catalogue. As a preliminary
to the cataloguing work to be done, the Committee received permission to purchase' a
proper cataloguing cabinet which is now in the Library.
From the attached statistics, you will see an indication of the day to day work done
in the Library and as already mentioned the interlibrary loan figures show the greatest
increase together with the number of books sent out by the messenger service. Through
the librarian keeping current bibliographies of -subjects frequently requested, the work
of compiling bibliographies for members has been reduced comparing the figures with
last year.
Through expanding the Library Notes in the Bulletin, the Committee has endeavoured to create a further interest amongst members in the Library, and we hope to
continue with this project in the future.
Towards the end of the year, the Committee inaugurated a Reprint File for reprints
of papers published by members of the Association, and we ask all members who have
articles published, to send copies of reprints along to the Library.
In closing, I would like to thank the members of the Committee for their untiring
work during a difficult year and, in particular, to Dr. Turvey, who is retiring after
eight years of faithful service; his active interest in the growth of the Library will
always be remembered. I would also like to thank Miss Berkeley, our librarian and Mrs.
Briscoe, her assistant, for their service during the past year.
Respectfully submitted,
Chairman, Library Committee.
General Collection
61 new books added at a cost of — $. 476.05
25 gifts (others received but not catalogued as yet)
4 books purchased from Nicholson Collection, at a cost of       10.05
Leaving a balance in this Collection of $185.86
■ v8 books purchased from Historical and Ultra-Scientific Fund j     170.50
^§3 $ 656.60
83 journals subscribed to at a cost of j| - ■ -SSt-$ 1052.77
2 journals subscribed to from Historical and Ultra-Scientific Fund _JlL       15.50
37 journals received as gifts
45 journals received in exchange
167 H
179 volumes bound at a cost of | i |	
29 old volumes rebound-—cost from Historical and Ultra-Scientific Funot
.$  802.77
$  872.77
Supplements to loose-leaf systems of Medicine. 1 I $ 79.54
Dues to library associations  |  32.08
' Miscellaneous  53.25
$  164.87
Borrowed direct from Library 1__  3075
Borrowed by mail ___ | I | '_     225
Borrowed  by messenger  wMMtM i .     335
Books returned by messenger      |» __L	
Interlibrary loans
. Out  - I J| ---W 325
InJL j  .       29
Members   \ 1 1 1 2     .    ._ 2174
Others j j |  988
During Evening Hours
Members   ■- -lllSlll 155
Others ; -  4 5
Bibliographies prepared   ffi.  358
Requests for information  611
The work of the past year has been mainly along regular lines—and no radical
changes have been made in the Bulletin. We have, however, had our share of excitement during the year.
The first departure from our usually serene course was when your Editor wrote
an editorial dealing with the matter of laboratory tests, and urged the setting of some
sort of standards for all who undertook to do laboratory work for medical men, and
for all those who wish to take training which will fit them for this work. Violent
exception was taken to this Editorial by a certain trade school in the city, and a suit
for libel was brought against the Publications Committee, enjoining also the Vancouver
Medical Association through its executive, as the V.M.A. is owner of the Bulletin.
Writs were issued and so far this is all that has been done. Our Executive consulted counsel, who advised us wisely and is watching our interests. We do not feel
that it would be wise at this juncture to discuss this matter further—but would
merely say that the only object of the Editorial was to emphasize the necessity for
proper and adequate training of all who are to do laboratory work—^-and the necessity of
insisting that any person or organization undertaking the training of laboratory technicians should fulfil certain minimum requirements—such as those laid down by the
Canadian Society of Laboratory Technologists.
We should like here to thank the Council of the College of Physicians and Surgeons,
and the Executive of the Vancouver Medical Association, for their support and encouragement in this matter. At some future date we hope to be able to furnish a full report.
- Our second appearance in the lime-light of publicity was in the matter of Hospital
JErisurance. Here we should like to say that our only reason for entering the debate at
all was that we felt that mis-statements had been made, that we, as a profession, had
been blamed for things that were in no way our responsibility^and that a clear state-
Page 194 ment might well be made. There was no intention to enter into any political battle;
and we feel strongly that we should at all times mind our own business; but also that
it is our business, definitely, to provide the public with the true facts in any case,
where those facts are within our province. We are glad to see that a Public Relations
Committee is in process of formation, o§e, of whose main functions will be to collect
accurate and complete data and facts, and see that the public gets these when necessary.
During the year we have tried, as far as possible, to appear at regular dates—but
this is not always easy—as there is always some stop-press stuff at the last moment.
Reprints are still one of our headaches—and we urge all those who want reprints
to apply early—and to remember that their articles are being held in type which is
needed for other articles coming up.
Financially, the Auditor's report shows how we stand, we have a surplus for the
year—and any apparent discrepancies may be traced to the fact that the Auditor's year
and the calendar year differ by three months. Our own calculation is that we are at
least $825.00 ahead. There is also a matter of debts that were* collected during the
year. These were owing as at March 31st, 1950—and amounted to $361.00. This
would make a total of $1186.00—and there is still $75.00 due to us from Mr. Mac-
donald for the first three months of 1951.
As regards our association with Mr. Macdonald, I feel that it has been most satisfactory. He has had to do all the securing of advertising, and all the work of publishing. It will be seen that as regards the advertising income, this has grown steadily. It
is an intricate business, and unless we are prepared to install a complete business system,
with a business manager, a paid secretary, and the employment of agents, we could not
hope to undertake the work. My own impression, shared by the Publications Committee, is that we should not, at present, at any rate, undertake it—and that we should
continue our present arrangement at least for another year. It will be noted that Mr.
Macdonald proposes to pay $500.00 instead of $300.00 for the next year, if this is agreed
During the year I have been approached as Editor by a Committee from the B. C.
Medical Association, with a view to exploring the possibility of making the Bulletin
more effective from the provincial point of view, and more representative of all parts
of the Province. I am assured that the members of the B. C. Medical Association, outside Vancouver, value the Bulletin highly, and look for it monthly. This requires, of
course, most careful consideration. I should like, in the meantime, to bring forward
the following points:—
The financing of the Bulletin is done through its advertising. In addition, the
B. C. Medical Association pays $600.00 yearly; for which it secures distribution to all
its members in B. C. (some 900-1000 outside of Vancouver) and to the members of
Council of the Canadian Medical Association, of which we are a division. We also send
a great many copies to Libraries and other places. The number distributed monthly
is growing steadily.
Mr. Macdonald, our publisher, assures us that the Bulletin could be safely enlarged,
and more advertising secured. If the Bulletin was widened to include a greater coverage
of the Province, more advertising outside Vancouver could be secured. He feels that
a considerable increase could be made.
The question next arises, about the amount of work necessary in the Editorial
Department; and we must consider two questions here:—
First, the employment of a full time Editor on a salary. Such a man could devote
time to attending meetings, travelling to various centres, securing papers, news, details
of local interest and importance and so on.  He would need adequate secretarial help.
The business part of the enterprise might, and probably eventually should be,
directly under the control of the Association—in the meantime, a working arrangement similar to the one now operating could be maintained.
Page 195 The second important question we must face is the putting of the Bulletin on a
subscription basis. This would probably be necessary if we are to have an adequate
Editorial staff. There are many advantages in having the journal on a subscription
basis especially from the advertising standpoint, and to enable us to meet the growing
demand for the Bulletin from many sources. It would put our finances on a business
We believe that the Bulletin could be built into a Journal that every man in the
Province would want regularly, and which he would find well worth his while.
We feel that an early conference should be held between representatives of the
Vancouver Medical Association, the B. C. Medical Association, and perhaps the Council
of the College of Physicians and Surgeons. One thing is quite clear to us, The Bulletin
is the offspring of the Vancouver Medical Association, and has grown to maturity
through the support of that organization. It has considerable sentimental value to us
for this reason.
Secondly, it is a commercial asset to the Association; and its value in this regard is
growing. But it must be remembered, in all fairness, that a great deal of this prosperity
is due to the fact of its province-wide distribution. The Circulation Audit Board is a
hard-boiled organization and its reports are based on one thing only, the actual proven
size of the circulation of any journal. And our charge for advertising, as well as our
appeal to advertisers, is based on the reports of the C.C.A.B. Without our provincial
circulation, our income would be very much reduced. It is true that the $50.00 a
month paid by the B. C. Medical Association does not pay for the cost of sending the
Bulletin to members outside Vancouver—but even without this, the increased circulation, so the increased advertising thus obtained more than compensates for this
It would be good policy and good business to see that the Bulletin keeps on growing. We cannot stand still—and I am sure we can move forward. We shall have our
own office in the new Academy of Medicine building, shortly, and this will be very
It is with great pleasure that I acknowledge the loyal work of the members of the
Committee, who have given so much help to the Bulletin. Mr. Macdonald, our Publisher, has been a tower of strength to us, and it is a pleasure to work with him. And last,
but by no means least, we owe a great deal to Mrs. DeWest, who has acted as our secretary, stenographer, liaison officer, and in any other capacity where she could be of
assistance, and has filled all her posts most efficiently.
I move the adoption of this Report—
ASSOCIATION  (report of activities, 1950-51)
The committee first met in August, 1950, and reviewed the entire field of medical
economics. There were several minor recommendations sent to the executive of the
V.M.A., to be forwarded to the provincial committee of points to be brought up at
the V.M.A. meetings.
Further meetings were held in order that these points would be preserved as
thoroughly as possible. As a result of this, on 7 November, '50, a portion of the general
meeting of the V.M.A. was turned over to the medical economics committee. The
question of hospital beds was raised, and after considerable discussion a strong resolution
suggesting the advantages of decentralization of hospitals was passed by the meeting.
This motion was communicated to the various health authorities and the daily newspapers. There can be no doubt that this action started considerable controversy, which
though failing to achieve our objective at this time, emphasized that, in future, the
government should consider the medical profession when embarking on such undertak-
Page 196 ings. It is hoped, therefore, that though ineffective at this time, this action may be
helpful at some future date. As this discussion took considerable time, no further
matters were brought up.
The committee then began preparing for a full economic session on February 6th,
1951.  A very complete discussion of economics was brought up at this time including:
1. The extent to which the people of B. C. are pre-paying for medical care via
approved and non-approved health schemes.
2. Federal employees health plan.
3. Unauthorized schemes attempting to make lists of doctors willing to accept
a 25% discount.
4. Medical prepaid plans in general.
5. Workmen's Compensation Board and Chiropractors.
6. $50.00 fee of the College*—during which a great deal was said in favour of
increasing our public relations.
7. S.A.M.S., including a report by Dr. Skinner on the meeting of the Advisory
8. Hospital beds.
All of these points brought out very marked opinions by members of the association.   A motion originated from the floor, and was passed to the effect that:
"The V.M.A. go on record to the effect that the recent statement by Premier Johnson to the Board of Trade, on January 25 th, and the Hon. A. D. Turnbull, Minister of Health, on the radio, February 5 th, do not represent the true situation as
encountered by their members, who find that they are consistently unable to get
hospital beds for acute cases."
Statement by Dr. Gordon Johnson, chairman of the Public Relations Committee,
in answer to Mr. Turnbull's talk, was read and adopted—and issued to the press with
the above mentioned resolution.
Your committee felt this was a most successful session as there were many points
brought out for open discussion.
The Committee feels, in order to increase the number of men actively interested
in Medical Economics, it would be advisable as a general programme, that no member
be re-elected after three years on the committee.
During the fiscal year, this Committee has been a one-man committee, namely
your Chairman.
The Previous year, under the able Chairmanship of Dr. Gordon Johnston, this
committee recommended that the Red Cross set up collecting stations in the various
hospitals in the City, so that the relatives and visitors could donate blood at any time.
No definite answer was given. Your Chairman felt that this was a' definite and sure
method of obtaining donors, ana rather than forming a committee and having unnecessary meetings, set about the task himself.
Consultation was held with the heads of the Blood Transfusion Committees of the
Vancouver General and St. Paul's Hospital, and letters obtained stating that these
hospitals would grant the space and facilities, whereby the Red Cross would be able to
obtain blood from relatives and friends during visiting hours. St. Paul's Hospital
agreed to supply, as well, all the technical help in taking the blood. We asked the
Vancouver Branch of the Red Cross to allow us to try this for a trial period of six
months. .
Page 197 A meeting was held with the Provincial Board of the Red Cross. Both the Van-
pouver Branch and the Provincial Board were unanimous in this idea. At the National
meeting held in Toronto in June of this year, the entire project was turned down by
the National Director.
The Vancouver Branch and the Provincial Red Cross Board were most disappointed.
Your Chairman would like to point out to the Vancouver Medical Association
the great deal of work, time and effort that the Vancouver Branch of the Red Cross are
giving in trying to obtain sufficient blood for the City hospitals. Every attempt is
being made through the use of radio, the newspaper, telephone, labor unions, movies and
mails to entice the public to donate blood. As it is National Headquarters of the Red
Cross that has the final say, the hands of the local Committees are tied.
However, your Chairman is of the opinion that we, as medical men, could and
should do more in helping the Red Cross to obtain more blood, and strongly recommends
the continuance of the Blood Transfusion Committee.
Respectfully submitted,
Your Committee held its first meeting on September 12th, 1950.  It interpreted its
functions as follows:
1.    Avoidance of conflicting dates of all local Clinical meetings.
Your committee maintains, in our Secretary's office, facilities for the listing of all
proposed meetings, and thereby warning those interested of impending conflicts. The
responsibility then rests on the shoulders of those who are planning the meetings to
make any necessary re-arrangements. We are prepared to help them in this. Occasionally, and obviously, conflicting meeting times will occur, and this usually happens when
a visiting speaker arrives on short notice. Other than this, conflicts will only occur
if and when responsible parties do not notify this committee of their planned meeting.
We recommend that this service be continued, and that all interested medical organizations be reminded annually of its availability. Following is a list of organizations to be
Vancouver General Hospital Medical Services Association
St. Paul's Hospital Workmen's Compensation Board
Shaughnessy Hospital Essondale Mental Hospital
Children's Hospital Cancer Clinic
Grace Hospital B. C. Surgical Society
St. Vincent's Hospital Western Society for Rehabilitation
St. Joseph's Hospital All Clinical Sections of the V.M.A.
U.B.C. Medical School and B.OM.A.
2. Reminding those responsible of their impending Clinical meetings, and stimulating them to get in an outline of their program in time for proper publicity.
3. Publicizing the Clinical meetings of the Vancouver Medical Association.
We have maintained, and, we think, improved the regular announcements in the
"Bulletin"—have placed weekly posters in the various hospitals, and have continued
to send out the weekly announcements through the mail to each individual. In addition
we have inaugurated a bill fold card, which we hope you have found useful.
4. Discussing and possibly making recommendations as to further functions of
this or related committees. g||| ||«|
(a) Re providing opportunity to present papers by members of the Vancouver
Medical Association who are not members of any hospital staff. It was considered that
it could be done only by creating special meetings for this purpose, or by requesting
Page 198 the various hospital staffs to permit these papers at their meetings. Your committee
considers this an important problem, but no action was taken. We would recommend
that the hospital staffs be sounded as to their reaction in this matter.
(b) Re co-ordination of material presented at the various clinical meetings with
a long term view-point, in an attempt to make sure that no important phase of current
medical practise is being neglected. At the present time, this is done in a haphazard
manner, depending on the general process of groups automatically avoiding topics that
have been recently presented. This is probably the only practical method in the present
circumstance. However, consideration has been given (a) to reviewing in detail the
topics presented during the past year or years and making suggestions to presenting
groups, of topics that are being neglected or—(b) and which would probably be more
useful—-outlining in advance a rough syllabus for the future, which might serve as a
useful guide, checking off items as they had been presented.
5. Your committee assumes that its duties cover only the period of the year
from October 1st to May 1st, during which our regular clinical Tuesday night meetings
are being held.
In conclusion, we wish to thank the various hospital staffs for their co-operation
throughout the year and in particular we wish to thank Mrs. Dewest for her very
efficient attention to detail.
Respectfully submitted,
R. A. Stanley, M.D., Chairman.
Secretary, Vancouver Medical Association,
925 West Georgia, Vancouver, B.C.
Dear Sir:
Re: Committee for the Study of Alcoholism—-1950
The Committee for the Study of Alcoholism consisted of
(a) Dr. D. M. Whitelaw
(b) Dr. W. C. Gibson
(c) Dr. Iser Steiman
(d) Dr. E. A. Campbell
(e) Dr. W. D. Panton
(f) Dr. L. A. Patterson
During the year, we have had excellent co-operation from Dr. E. C. McCoy,
Dr. D. W. Moffatt and other interested members of the Vancouver Medical Association.
Progress has been made. The Vancouver Board of Trade has stated their willingness
to co-operate in an establishment of an Alcoholic Foundation. The Alcoholic Anonymous have been active and helpful in preliminary organizational detail.
At present the situation is as follows:
(a) Vancouver Board of Trade, Alcoholics Anonymous and your Committee
have reached a general agreement that an "Alcoholic Foundation of British Columbia"
should be organized immediately.
(b) A List of Nominees for a Board of Directors has been compiled and is now
subject to revision.
(c) Dr. D. M. Whitelaw has agreed to approach one or all of three individuals
with a view to their sponsoring an early organizational meeting to establish a Board
of Directors and institute the procedure necessary for application for a Provincial
(d) Following this early organizational meeting, one can expect the rapid growth
of the Foundation, the selection of a site and the development of facilities which are
so desperately needed for the classification and treatment of 25% of the drunks which
are considered to have a medical and/or psychiatric disability not amenable to treatment by the Alcoholics Anonymous movement.
Page 199 The Committee's work on this project has included, for example, a very gratifying
interview with the City Council. Industry is behind such a Foundation. Government
has expressed an encouraging interest. Community Chest and Allied Civic Betterment
Organizations wish to participate.
The generally considered opinion is that an Alcoholic Foundation will probably
be realized this year.
Because of the excellent work done in Committee and because of his studied knowledge of this problem, I should like, Mr. Chairman, to nominate Dr. D. M. Whitelaw
as Chairman of the Committee for the study of alcoholism for the coming year.
Respectfully submitted,
Yours very truly,
L. A. Patterson, M.D.
One year ago your out-going Executive discussed the problem of Public Relations.
It seemed to us at that time that many individuals and organizations were taking undue
liberties with the Medical Profession and it was obvious that the Government had
entered the field of health in a big way and in a way that promised to become bigger
and more permanent. The problem seemed so serious and the possibility of losing our
autonomy seemed so real that some immediate action appeared necessary.
From our own standpoint we had absolutely no means of defending ourselves.
Our organization was weak, there was considerable dissension in our ranks and we had
little or no means of communication with members of the profession or the public at
large. It was decided therefore to have a Public Relations Committee.
Its activities and accomplishments during the year have been reported to this Association on one or more occasions and will not be repeated again.
Certain conclusions based on our experience were arrived at. These may be briefly
summarized as follows:
1. That adequate Public Relations are essential for the welfare of the Medical
2. That a properly selected Public Relations Committee should represent the.pro
fession as a whole and therefore should be a committee of the British Columbia
Medical Association.
3. That this committee should have adequate funds for this purpose and especially
to procure full-time help. The latter should probably consist of a doctor who
would act for both the Public Relations Committee and the Economic Committee.
4. That action is considered urgent.
These proposals have already been presented to this Association and to the Directors
of the British Columbia Medical Association and both bodies have endorsed them 100%.
The executive of the B. C. Medical Association are now, I believe, negotiating with
die Council for the necessary funds.
Respectfully submitted and I move its adoption.
Gordon Johnston.
In addition to the regular meetings of the Section, special meetings were held on
two occasions during the past year to hear papers given by visiting Paediatricians.
On November 6th, 1950, Dr. Harry Ebbs, Associate Professor of Paediatrics, University of Toronto, addressed the Section on "Liver Disease in Acute Infections." On
November 30th, 1950, an open meeting of the Section was addressed by Dr. Donald
Page 200 Court,. Lecturer at Durham University, Newcastle-on-Tyne. His topic was "The Study
of Health and Disease in an English City."
The Section wishes to take this opportunity of expressing their deep regret at the
passing of one of their members in the person of Dr. Alexander Lang.
Respectfully submitted,
C. J. Treffry, M.D., Chairman.
The average attendance at our meetings during the past year has been 24. The
number of paid up members is 36.
To date we have had eight dinner meetings at the Shaughnessy Golf Club. Our
guest speakers were—Dr. K. Swan, Professor of Ophthalmology from Portland, Dr.
A. W. Bagnall, Dr. Bede J. Harrison, Dr. Scott-Moncreiff from Victoria, Dr. M. Weaver,
Dean of Medicine at the University of British Columbia and Dr. Rocke Robertson,
Professor of Surgery at the University of British Columbia.
We have inaugurated a new type of meeting once a year which was held this year
on April 19th. A clinical session with presentation of cases at the Shaughnessy Hospital
started at 2 p.m. The Instrument Companies, etc., have an opportunity to demonstrate
their products.   After dinner the residents each present a 20-minute paper.
Our last meeting of the year in May is preceded by a golf tournament which is
becoming very popular.
I hereby respectfully submit this as an annual report for 1950-51.
N. J. Blair, M.D.
624 Vancouver Block,
Vancouver, B.C.,
April 18, 1951.
E. C. McCoy, M.D., Honorary Secretary
Vancouver Medical Association,
203 Medical-Dental Building, Vancouver, B.C.
Dear Doctor McCoy:
I take this opportunity of reporting from the Orthopaedic Section regarding the
activities for 1950-1951.
The meetings were held at dinner once a month, this year, at which time discussion
of current problems referable to our field took place. The greatest concern of course,
was the Fee Schedule again, but the arrangements were amicably concluded with reference to various aspects of our surgery such as Roger Anderson fixation, and open
reduction, etc.
There was also considerable discussion regarding the crippling diseases of children
survey and its influence on our general over-all program for the care of the crippled
child. At the same time, the political implications with reference to the medical staff
at the Solarium were discussed.
Dr. F. P. Patterson on one occasion, discussed his trip to England and the meeting
in Chicago of the American Academy of Orthopaedic Surgery was also discussed.
At the most recent meeting, Dr. Patterson outlined in an unofficial way, some of
the changes that were taking place in preparation for the medical school.
Dr. Cameron S. Allen was admitted as a member of the group and Dr. W. J.
Thompson as an associate member.
There were no scientific papers given this year, the time being devoted to discussion
Page 201 amongst the entire group primarily for the coordination of the St. Paul's, Children*s
Hospital and Vancouver General group.
It was a profitable year, characterized by general co-operation of the entire membership.
Yours truly,
D. E. STARR, M.D., Chairman.
Regular monthly meetings of the section have been held throughout the Fall and
On September 29th, we had Dr. Ebaugh as guest speaker; on November 6th, Dr.
Stokes was our guest at a dinner meeting; Clinical meetings have been held at the Vancouver General Hospital on November 27th and at Shaughnessy Hospital January 29th;
at the February 26th meeting, two members of the University Committee studying
*the Duokhobours, Dr. A. J. Shulman and Dr. S. Jamieson, reported on the psychiatric
and socio-economic aspects of the Doukhobour life; at the April 2nd clinical meeting
we were the guests of Hollywood Sanatarium.
The annual meeting for the section will be a dinner meeting and clinical presentation at the Crease Clinic on April 30th.
The section has voted to continue its donation of the Journal of Nervous and
Mental Diseases to the Vancouver Medical Library.
F. E. McNAIR, M.D.,
Chairman, Psychiatric Section.
The President of the Vancouver Medical Association, April 9th, 1951.
Vancouver, British Columbia
Dear Sir:
As your representative to the British Columbia Medical Association, I wish to make
the following report:
The British Columbia Medical Association has been very active during the past
year and there are a number of changes which have been adopted which are of interest
to the Vancouver Medical Association.
The President, the Secretary, and various speakers of the British Columbia Medical
Association have visited the district Medical Societies and have been well received. They
spoke of the business affairs of the associations as well as on various clinical subjects.
A new constitution and new bylaws of the British Columbia Medical Association
have been adopted and now they have been approved in Victoria by the Registrar under
the Societies Act. Under this new constitution a number of changes have been made.
The Committee on Economics is being relinquished by the College of Physicians and
Surgeons and will be administered by the British Columbia Medical Association. We
anticipate this change will come into effect in 1952.
The resolution of the Public Relations Committee of the Vancouver Medical Association has been approved and adopted by the Board of Directors of the British Columbia
Medical Association. When the Public Relations Committee of the British Columbia
Medical Association has been able to carry out this resolution it should improve the
public relations of the Vancouver Medical Association. The relationship between the
Vancouver Medical Association and the British Columbia Medical Association during
the past year has been very harmonious and some progress has been made in the questions
of economics and public relations.
I move the adoption of this report.
Representative  to  B.C.M.A.
Mr. President and members of the Vancouver Medical Association,
The Representative to the V.O.N. Advisory Board was called upon once this past
year. Miss Creasor, the Superintendent of the Victorian Order of Nurses, asked for a
ruling from this Association on a plan which the V.O.N, wished to carry out. Under
this plan, the V.O.N, nurses were instructed that in cases where they encountered
a reaction following an intramuscular injection, they should administer not more than
three minims of adrenalin, 1-1000 sol. and repeat this dose in not less than half an hour,
if they were unable to get in touch with the doctor in charge and the reaction was
This recommendation was forwarded by me to the Executive of this Association
where it was discussed and the procedure approved.
I would like to take this opportunity of pointing out that the office of V.O.N.
Advisory Committee was set up in response to a request from the V.O.N, that a committee of the Vancouver Medical Association be formed on whom they could call for
advice in any matter relating to the care of the sick by the V.O.N, nurses. For some
years there was a committee of three elected to act in this manner. A few years ago the
name was changed to Representative to the V.O.N. Advisory Board and one member
elected. This latter position does not really fulfill the desire of the V.O.N, for a subcommittee on whom they can call for advice. If it is in order I would like to recommend
that the office be changed to the "Vancouver Medical Association Advisory Committee
to the Victoria Order of Nurses," and that at least three doctors be appointed to serve
in this capacity.
Respectfully submitted,
May 1st, 1951.
Secretary, Vancouver Medical Association,
Vancouver, B. C
Re: Representative to Greater Vancouver Health League
Dear Sir:
It has been by privilege to attend a few executive meetings of the Greater Vancouver Health League as your representative.
Doctors are participating actively in the work of the Greater Vancouver Health
League. Again, food and nutrition studies of great value to the community are a continuing project. Industrial hygiene is being studied. Neuro-psychiatric section is
actively in work dealing with mental hygiene, child guidance and allied endeavour.
The Greater Vancouver Health League is seeking, by every means within their
power to improve knowledge and management of many of our social problems.
Respectfully submitted,
Your very truly,
Ladies and Gentlemen:
Acting as your representative to the Health Bureau of the Vancouver Board of
Trade, I attended several meetings of that body under the chairmanship of Dr. L. A.
Several matters pertaining to the Public Health were investigated, chief of these
(1) Use of X-Ray machines by commercial companies in sales of footwear without
adequate protection for operator or customer.
(2) Formation of a Metropolitan Hospital Council, the purpose of which is to aid
in planning further hospital construction.
(3) Further study in the matter  of Alcoholism in its  relation  to the Public
It is felt that considerable progress was made in the discussions and your representative feels that this liason between the Vancouver Medical Association and the
Board of Trade is a very useful relationship that merits continuation.   The chairman
of the Health Bureau for the coming year is Dr. Don Moffat.
All of which is respectfully submitted.
Grandview Medical  Dental Building
KErrisdale 5295-L
The Programme Committee of the B. C. Medical Association have allotted
a small space for Scientific Exhibition at the Annual Meeting, October 2nd-5th,
Would anyone desiring space in this exhibition please communicate with
the undersigned within the next month.
Department of Pathology,
j^Hl Vancouver General Hospital.
Potassium is an essential ion in the organism and alterations of any magnitude are
associated with profound changes in the metabolism of the body and its cells.
It is the chief action of the muscle cells and most other cells of the body and is
present in much greater concentration in the cells than in the serum. Levitt1, working
with dogs, has shown the average concentration of potassium in the muscle cells is
about 115 m.Eq. per liter or about 23 times the concentration in the serum. (Normal
human serum levels range from 4 to 5.4 m.Eq. per liter or 16-21 mgms. %).
Work done over the past fifteen years has exploded the old conception of impermeability of cell membrances to potassium and sodium ions. Recently, Moore2 reported
studies with radio-active isotopes of potassium, sodium and heavy water which confirmed
this. Injected heavy water reached equilibrium with total body water in 120 minutes.
Radio-active sodium reached equilibrium with extra-cellular sodium in 60 minutes and
with total body sodium in 24 hours. Radio-active potassium reached equilibrium with
total body potassium in 15 hours.
It would appear that the cell membrane is slowly permeable.
Hoffman3 believes that the unstable equilibrium between cell potassium content
and serum potassium content is maintained by the oxidative energy of the cells. He
points out that cellular anoxia tends to send the potassium out of the cells in exercise,,
agonal states etc.
fott\U * 10m^(».T «*«*}
lt£ Av&t   for  l£«<r «r c*^ »*W.
Figure 1.  (Hoffman) Normal Distribution of Body Potassium.
Figure 1 is a schematic presentation of the potassium distribution in the body
according to Hoffman3. It is self explanatory. The main factors controlling the level
of potassium in the serum depend on the daily intake in the food and excretion by the
renal mechanism. In the average daily diet there is 2.7-3.9 gms. potassium ingested.
About 10% is excreted in the faeces.  The remainder is excreted through the kidneys.
The mechanism of renal excretion of potassium differs from that of sodium,
chloride, or bicarbonate. (Berliner4). As well as simple potassium filtration, there is
active secretion of potassium into the lumen of the tubules. The amount of potassium
in the urine contributed by secretion is unknown. The kidney also has the capacity to
reabsorb potassium from the tubules. It has been demonstrated that the amount filtered
exceeds the amount excreted by a considerable margin. Re-absorption of potassium'
probably occurs in the proximal convoluted tubule and secretion in the distal tubule.
Though depletion of body potassium does not necessarily result in low renal potassium output, the kidney has the ability to limit excretion of potassium to neglible
amounts. Potassium clearances vary from zero to values approaching twice the rate of
glomerular filtration showing a great capacity of variation (Berliner). The regulating
factors, however, are not clear. |||
In general, it would appear that the renal mechanism is designed more to excrete
Page.205 potassium when it is in excess, rather than conserve it during deficiency. Extra-renal
influences which could effect renal excretion of potassium have been searched; for. It is
known that steroids of the adrenal cortex enhance excretion. Patients treated with
ACTH or Cortisone show increased potassium excretion, and these hormones may
produce a condition of hypokalaemia. It is not clear whether this is a direct tubular
effect or whether excretion is augmented indirectly when sodium is retained. The
neuro-hypophysis, through its anti-diuretic hormone could conceivably affect excretion
of potassium. Under physiological circumstances, however, it would appear that these
factors are of little importance. |%#
In general, the mechanism for potassium excretion, unlike that of sodium, for
example, does not appear to be subject to extra-renal influences which decrease excretion,
but all known factors act in the opposite direction.
A number of events are constantly interfering with the equilibrium between extracellular and intracellular potassium. These rapidly raise or lower serum potassium temporarily and are not reflected in cellular potassium levels due to slow permeability of the
cell membrane.
Berliner4 discusses these factors which, in brief, are as follows:
1. Factors tending to increase serum potassium:
(a) Increased potassium intake.
(b) Oliguria or anuria.
(c) Dehydration  (contracts extracellular fluid volume).
(d) Tissue breakdown or anoxia (with every gram of nitrogen broken down
there is released 2.4 grams potassium).
(e) Adrenal cortical deficiency.
2. Factors tending to decrease serum potassium:
(a) Decreased potassium intake.
(b) Increased renal excretion.
(1) diuresis
(2) alkalosis
(3) adreno-cortical activity
(c) Dilution of extracellular fluids with potassium-free fluids, (e.g., glucose
and saline solutions).
(d) Vomiting or diarrhoea: (40 m.Eq. potassium per liter in gastric juices,
10 m.Eq. per liter in normal faeces, 10 to 20 times that amount in
(e) Glucose uptake by the cells (glycogenesis), carries potassium from the
extracellular fluid into the cells of liver muscle. This is increased
by glucose ingestion, insulin and epinephrine. (The fall in potassium
levels occasioned by this factor is neglible in normal people, but where
potassium deficiency exists, as in diabetic acidosis, serious effects may
One should be alert for the development of potassium deficiency in a number of
clinical conditions in which the above factors play a role.
1. Prolonged maintenance of body fluids with salt dextrose solutions.
2. Severe diarrhoea   (e.g., infantile diarrhoea), bowel fistulae, prolonged gastric
suction. j§y||       , sPll .!-': ■'*•■.
3. The presence of dehydration, shock or when severe tissue anoxia; "-m'i''-
4. During alkalotic states. ' v ,\"•• ^..••.
5. Deficiency develops during development of diabetic coma—becomes ^apparent
during the recovery stage. • ;-'-v-:i :^
6. Occasionally in certain stages of chronic nephritis with diuresis, gg     ?\:L '00:
mkfy.: 7.   Dietary deficient states with low potassium intake.   . ".*''        ,  •-•?• ■.";■■
8.   Adreno-cortical  tumours;   treatment with  desoxycorticosterone, Cortisone or
ACTH. ^   . •■   |§1|.    1 |||g
Page 206 Associated use of potassium free intravenous solutions to relieve dehydration of
any of these conditions causes dilution of the extracellular compartment and rapid
lowering of serum potassium may occur.
According to Darrow et al5, the following symptoms and signs occur with signi-
cant alterations in serum potassium levels.
1. Symptoms and signs of elevated serum potassium: ||||
(a) Listlessness and mental confusion.
(b) Numbness and tingling of the extremities.
(c) Cold grey pallor.
(d) Bradycardia and occassionally totally irregular rhythm.
(e) Peripheral vascular collapse with low blood pressure and decreased heart
(f) In a few patients with uremia a rapidly ascending flaccid paralysis without
involvement of trunk, head or bladder.
(g) Cardiac arrest.
(h)   Electrocardiographic abnormalities.   These begin at concentrations of 6.5-
7.8 m.Eq. of potassium per liter.   Always present at levels above 8 m.Eq.,
heart block appears at 10 m.Eq. per liter and above.   Death can occur at
10 m.Eq. per liter. (39 mgms. percent.)
The changes are as follows:
Peaked T waves.
Increased duration QRS complex.
Increased duration of PR interval eventually to auricular standstill.
Biphasic curve with progressive delay in ventricular conduction.
Total arrhythmia progressing to cardiac arrest.
2. Symptoms and signs of low serum potassium:
(a) Weakness and hypotonia of the skeletal muscles progressing to frank
paralysis. Usually the paralysis of legs and arms appears first and that of
the respiratory muscles later.
(b) Dyspnoea and gasping respirations with the use of the axillary muscles of
^                    respiration.   ^ ?
(c) Cyanosis—chiefly respiratory (may be partly cardiac).
(d) Abdominal distention which seems to be dependent on atonia of smooth
(e) Nausea and vomiting.
(f) Cardiomegaly and systolic murmur.
(g) Increased pulse pressure with corrigan pulse.
(h)  Elevated venous pressure and signs of cardiac failure.
(i)   Electrocardiographic abnormalities; again related to serum potassium levels
—begin to occur at concentrations below 3 m.Eq. per liter in the serum.
Prolongation of QT interval.
Decreased height or inversion T waves.
Rounded and prolonged T waves.
Depressed ST segments.
Possible P wave inversion, extrasystoles and AV block.
Interpretation of serum levels of potassium must be guarded. The finding of a
low concentration of potassium in the serum confirms the diagnosis of potassium
deficiency. However, a low serum potassium does not always develop in deficiency of
the body potassium as a whole. For example, in diabetic acidosis, contraction of the
extracellular space by dehydration may give normal serum level in the presence of
marked potassium deficiency. It is only when one has given several liters of potassium-
free parenteral fluids that the potassium deficiency becomes evident. Furthermore,"
potassium deficit in the serum may be present when serum potassium is within normal
limits.   For example: a 15% loss of potassium from the body, equivalent to about 24
Page 207 grams, may produce a serum potassium drop from 5.2 m.Eq. to 4.4 m.Eq.   If equilibrium has been established both are within normal limits.
Elkington et al6 in discussing potassium therapy, point out the wide variation of
cellular deficits of potassium as measured by the retention of the ion during therapy. The
range of deficits in m.Eq. per liter per kilogram in body weight are as follows:
Diabetic acidosis—2.4-7.9
G.I. upsets—3.8-15.6
Infantile diarrhoea—5.8-17.3
In a 60 kilogram adult in the second category there is represented a deficit of
228-936 m.Eq.
Ekington suggests a daily dose of 75-150 m.Eq. should replace the deficit in 3-12
days. This can be adrninistered by mouth in milk, gingerale or fruit juice (add 80-120
m.Eq. potassium). If intravenous route, avoid solutions with concentrations over 70-80
m.Eq. per liter, and do not infuse faster than 20 m.Eq. per hour. Potassium chloride
is easiest to use. One gram equals 13.4 m.Eq. of potassium. Therefore, 6 grams of
potassium chloride per liter of solution will give a solution with 81 m.Eq. per liter.
For severe cellular deficits Ekington suggests full doses of potassium of order of
75-150 m.Eq. daily. Continue therapy as long as serum concentration below 3.5 m.Eq.
per liter. A serum level of potassium above 5.3 m.Eq., or renal insufniciency with oliguria are contraindications of administration of the ion.
Death can occur with serum levels of 10 m.Eq. per liter (39 mgm. percent). The
causes of death are attributable to high serum levels. Due to the slow permeability of
cell membranes potassium intoxication can take place in the presence of severe cellular
deficiency. Considerable caution must be used, then when using intravenous potassium
therapy, and it is preferable to give potassium by mouth.
In the Vancouver General Hospital, where oral route is not feasible, an intramuscular route is often used in preference to intravenous for technical reasons. 150
turbidity reducing units of hyaluronidase may be added to one liter of solution to
increase ease of administration by this route. Care must be taken here, as well as in
the intravenous route, that too rapid an infusion does not result in intoxication.
Potassium intoxication may occur in the presence of decreased urinary potassium
excretion, or where there is a rapid increased intake of potassium greater than the
capacity of the kidney to excrete.
(1) In acute lower nephron nephrosis following shock, severe burns, etc., where
there is oliguria or anuria, a rapid rise in serum potassium may occur. The
same rise occurs in chronic nephritis in oliguric phases.
(2) Where intravenous potassium infusions have been given too rapidly (see
(3) Where there is increased endogenous potassium released in individuals with
poor kidney function and oliguria. This complication has occurred, for
example, in some cases of nephrosis with oliguria who have been treated with
Cortisone or ACTH. Here, potassium is released from the cells and serum
levels rise due to lack of increased urinary excretion.
Treatment of potassium intoxication presents a difficult problem. The most successful reduction of serum potassium is obtained with the use of the artificial kidney.
Serum levels may be rapidly reduced, and in acute lower nephron nephrosis the procedure may be life saving. Since the artificial kidney is not often available one may
use such measures as continuous gastric suction or alternate irrigation with hypertonic
solutions and gastric or duodenal suction in an attempt to lower potassium serum levels.
Potassium is an essential ion in the body metabolism and alterations in serum
potassium levels lead to serious clinical states both in the presence of deficit or an intoxication with the ion. In general, potassium levels are controlled in many by intake in
the food and excretion of the ion through the kidney.   Alteration in either of these
Page 208 factors may lead to alteration in potassium levels in the body.
The  common  conditions  associated  with  deficiency  and  intoxication have  been
mentioned, and management has been briefly discussed.
April 23rd, 1951.
* Presented at Seminar of the Metabolic Unit, The Vancouver General Hospital, March 9th,  1951.
*Fellow in Clinical Investigation, Metabolic Unit, The Vancouver General Hospital.
1. Levitt, M. F. and Gauding, H.:  Use of Radioactive Isotopes  to Measure Intracellular  Cation Concentrations in the Normal Dog.   Am. J. Physiol.,  159: 67   (1949).
2. Moore, F. D.: Adaptation of Supportive Treatment to the Need of the Surgical Patient.   J.A.M.A. 141:
646-653  "(Nov.  5th,   1949).
3. Hoffman, W. S.: Physiology of Potassium, J.A.M.A.  144:  1157-1162   (Dec. 2nd,  1950).
4. Berliner, R. W.: Renal Excretion of Water, Sodium, Chloride, Potassium, Calcium, and Magnesium.
Am. J. Med. 9:  541-555   (Oct., 1950).
5. Darrow, D. C. and Pratt, E. L.: Fluid Therapy, J.A.M.A.  143; 365-373   (May 27,  1950).
6. Ekington, J. R.  and Tarail, R.: The Present Status of Potassium Therapy, Am. J. Med., 9:  £00-207
(August,  1950).
7. Danowski, T. S.   Newer concepts of the Role of Potassium in Disease.   Am. J. Med. 7: 515, 1949.
Dr. W. Dodds, of Ladner, has begun a year of study at the Vancouver General
Hospital in anaesthesia.   His practice is being taken over by T. M. Brand.
Dr. F. D. McKenzie has joined the ranks of general surgeons in Vancouver.
Dr. Bruce Gates was recently married in Ontario and will continue his Marpole
Vancouver General Hospital internes have chosen the following fields:
Dr. E. N. Boettcher—medicine at the Hamilton General.
Dr. Glen Harrison—general practice in Vancouver.
Dr. Shirley Patterson—general practice in Vancouver.
Dr. Dodd Chu—medicine at the Royal Victoria, Montreal.
Dr. B. Costello—pathology at the Vancouver General.
Dr. Jock Wong—medicine at the Vancouver General.
Dr. Ted Stevenson—surgery at the Vancouver General.
Dr. Gordon Armstrong—orthopedics, Toronto General Hospital.
Dr. P. Yates—surgery at the Vancouver General.
Dr. John Boyd—obstetrics at the Vancouver General.
Dr. Roger Hicks—surgery at  Shaughnessy Hospital.
Dr. P. F. Marr—urology at the Vancouver General.
Dr. Ken Morton—surgery at Shaughnessy Hospital.
Dr. D. E. McKerricher—~opthz\mo\ogy at the Vancouver GeneraL
Dr. Helen MdKibbon—the Mayo Clinic, at Rochester.
Dr. Sid Segal—pediatrics at the Vancouver General Hospital.
Dr. Ralph Pronger—E.N.T. at Shaughnessy Hospital.
Dr. G. Ross—surgery at Bellevue Hospital, New York.
Dr. George §peakman>—-ophthalmology at San Francisco.
Dr. A. M. Wright—orthopedics in Cleveland, Ohio.
Page 209 At St. Paul's Hospital, internes chose the following:
Dr. R. C. Detwiller—surgery at Philadelphia.
Dr. Y. Chou—Toronto Sick Children's Hospital.
Dr. D. F. Dufffri—medicine at London, Ontario.
Dr. A. J. Trudel—medicine, at Shaughnessy Hospital.
Dr. George Cragg—general practice in North Vancouver in association with Dr.
D. J. Oakley.
Dr. L. Appleby—pathology at St. Paul's Hospital.
Dr. R. Sku/arok—psychiatry in Alberta.
Dr. Charles Hunt—former director of V.D. Clinics for Vancouver, has opened a
practice in West Vancouver.
Dr. Geoffrey Robinson has begun a practice of pediatrics in Vancouver.
Dr. Ben Shuman is now pediatric consultant for the department of V.D. Control.
Physicians who attended the Academy of General Practice in San Francisco in
March were Dr. Howard Black, Dr. E. C. McCoy, Dr. R. A. Stanley and Dr. McKenzie
Dr. David Mowat, of Vancouver, is now with Tuberculosis Control there.
Dr. and Mrs. Tom Osier, of Vancouver, a daughter.
Dr. and Mrs. N. A. Pickering, of Vancouver, a daughter.
Dr. and Mrs. C. B. Wilson, of Vancouver, twin daughters.  Mrs. Hill is the former
Dr. Winnifred Wilson, former PHO for North Vancouver.
Dr. and Mrs. W. D. Marshall, of Victoria, a son.
Dr. and Mrs. B. M. Fahrni, of Vancouver, a daughter.
Dr. and Mrs. W. C. Gibson, of Vancouver, a daughter.
Dr. and Mrs. Roger Wilson, of Vancouver, twin daughters.
Dr. and Mrs. Victor Hertzman, of Vancouver, a son.
T}r. and Mrs. Frank Thomson, of Vancouver, a son.
10th Avenue and Laurel Street
Vancouver, B.C.
Dear Editor:
Dr. Emily Pratt, Otologist, will speak on the above subject at the T.B. Auditorium,
corner of 10th Avenue and Willow Street, on Friday evening, June 8th, at 8:00 p.m.
Dr. George Lamont, Chief of Paediatrics at St. Paul's and Children's Hospitals, will
act as chairman for the evening.
Dr. Emily Pratt, who has spent the whole of her professional life doing children's
otology, is a Director of the American Hearing Society. She has organized a Conservation
of Hearing program for the state of New York in 1926 and a similar program for the
State of Washington in 1945.
We are hoping that all those interested in helping children who are suffering from
some degree of deafness will take this opportunity of hearing Dr. Pratt.
Yours  very  truly,
Paediatrician in Charge.
The Annual Meeting of the Southern Interior Medical Society was held at the
Plaza Hotel, Kamloops, on May 3, 1951.
''The Management of Some Common Fractures"—Dr. Frank Patterson.
"Interesting Medical Cases"—Dr. Murray Baird.
"Handling of Abdominal Emergencies"—Dr. Lyon H. Appleby.
Dr. John Gibson of Penticton was elected President and Dr. A. M. Crossland of
Vernon was elected Vice-President. Dr. Lynn Gunn addressed a luncheon meeting.
The next meeting is to be held in Penticton sometime before the second week in
Pctober, 1951.
Dr. and Mrs. G. E. Trueman entertained the visitors and members of the Society
at their home following Dr. McKechnie's address en his South American trip.
Dr. L. L. Ptak and family have left Victoria for Edinburgh, Scotland, where the
doctor will take up post graduate studies.
Dr. Kingsley Terry, Department of Veterans' Affairs, Victoria, has accepted a
position with the National Health & Welfare Immigration Service, London, England.
Dr. C. A. Forssander, formerly of the University of West Indies, Jamaica, has
joined the staff of the Victoria Tuberculosis Unit.
Dr. Gavin Chisholm is on a two months holiday in Bermuda.
Dr. Reginald Wilson of Vancouver was a guest speaker at the monthly meeting of
the Victoria Medical Society on April 2nd.
The Annual Memorial Dinner of the Victoria Medical Society was held on May 5 th,
^Empress Hotel, Victoria. Dr. Thomas McPherson delivered the Memorial Oration on
"Medical Men in History."
Dr. R. Matiko, formerly of Vancouver, has taken up practice in Victoria.
Dr. Vincent Smith has returned from a post graduate course at the University
of California School of Medicine, San Francisco.
The First Annual Spring Meeting of the West Kootenay Medical Association was
held on April 18 th, in Trail. The speakers of the evening were Drs. F. L. Wilson and
M. E. Krause, both of Trail, B.C.
A group of Nelson doctors have opened practice together as the "Medical Associate
Clinic." The group includes Drs. F. M. Auld; G. R. Barrett; A. J. Beauchamp; R.,B.
Brummitt; A. K. Gibbons; N. E. Morrison; J. R. McCullough; J. G. M. McMurchy,
^nd G. R. Callbeck.
2665 Point Grey Road
Vancouver, B. C.
Specializing in the care of medical
and  convalescent  patients.
Not just another nursing home, but a quiet hospital on the shore of
English Bay, with an unsurpassed view of the mountains and water,
where your patients will receive excellent nursing care in pleasant surroundings.
xlik Special diets carefully adhered to
Telephone—B Ay view 4213
CHerry    9667
Page 211


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