History of Nursing in Pacific Canada

The Vancouver Medical Association Bulletin: May, 1953 Vancouver Medical Association May 31, 1953

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OF ft
The Vancouver Medical Association
Publisher and Advertising Manager
MAY, 1953
Db. J. H. Black
De. B. C. McCoy
Past President
Dr. F. S. Hobbs
Hon. Secretary
OFFICERS 1953-54
Db. D. S. Munroe
p President
Db. Geobge Langley
Hon. Treasurer
Additional Members of Executive'.
Db. R. A. Gilchrist De. A. F. Hardyment
Db. G. H. Clement Db. Mueeay Blair Dr. W. J. Dorrance
Auditors: R. H. N. Whiting, Chartered Accountant
Eye, Ear, Nose and Throat
Dr. J. A. Irving Chairman Dr. W. M. G. Wilson Secretary
Db. J. H. B. Gbant Chairman De. A. F. Habdyment Secretary
Orthopaedic and Traumatic Surgery
Db. A. S. McConkey Chairman Db. W. H. Fahbni Secretary
Neurology and Psychiatry
De. B. Bbyson Chairman De. A. J. Wabben Secretary
Db. J. S. Madlll Chairman Db. H. Bbooke Secretary
Db. J. L. Pabnell, Chairman; Db. D. W. Moffat, Secretary;
Db. A. F. Habdyment ; Db. W. F. Bie ; De. R. J. Cowan ; De. C. E. G. Gould
Go-ordination of Medical Meetings Committee
De. W. M. G. Wilson Chairman De. B. T. Shallabd Secretary
Summer School
De. S. L. Williams, Chairman; De. J. A. Elliot, Secretary;
De. J. A. Ievine; Db; E. A. Jones; Db. Max Fbost; Db. E. F. Woed
Medical Economics
Db. E. A. Jones, Chairman; Db. G. H. Clement, Db. W. Fowleb,
Db. F. W. Hublbuet, Db. R. Langston, Dr. Robebt Stanley, Db. F. B. Thomson
Db. W. J. Dorrance, Dr. Henry Scott, Dr. J. C. Gbimson
V.O.N. Advisory Committee
Db. Isabel Day, Db. D. M. Whitelaw, De. R. Whitman
Representative to the Vancouver Board of Trade: De. D. S. Munroe
Representative to the Greater Vancouver Health League: Db. W. H. Cockcroft
Published monthly  at  Vancouver, Canada.    Authorized  as  second  class  mail,  Post  Office Department,
Ottawa, Ont.
Page 335 you could treat Diplococcus pneumoniae...or
streptococcal pharyngitis, sinusitis, and otitis
media with many therapeutic agents...
but you can treat them best with...
B >* S
to OS
Wk        Diplococcus pneumoniae
Pharyngitis (streptococcal)
Sinusitis (streptococcal)
a         Otitis media (streptococcal)
\ — Drug of choice B — Effective
ms^ssswS  wsimii_ _
-^-■--.■^0:^-     £:        —"^-^ .-::-   :.v::.
Penicillin the antibiotic of choice for treatment of the more common bacterial infectious
Oral Penicillin t.i.d. ... is easy to take, does
not interfere with meals or interrupt patient's
sleep, saves time for physician and nursing
staff. On Keefer's* dosage schedule of 200,000
units, or its multiples, t.i.d., oral penicillin
therapy is less than }/i the cost of the newer
antlDlOtlCS.        *KEEFER. C.S.. POSTGRAD. MED. 9:101. FEB. 1951
formulated for convenient t.id. dosage
Squibb 200,000 Unit Penicillin Tablets
Bottles of 12
Regular Weekly Fixtures in the Lecture Hall
Monday, 8:00 a.m.—Orthopaedic Clinic.
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.
Regular Weekly Fixtures
2nd Monday of each month—2 p.m Tumour Clinic
Tuesday—9-10 a.m Paediatric Conference
Wednesday—9-10 a.m Medical Clinic
Wednesday—11-12 a.m f Obstetrics and Gynaecology Clinic
Alternate Wednesdays—12 noon Orthopaedic Clinic
Alernate Thursdays—11 a.m Pathological Conference (Specimens and Discussion)
Friday—8 a.m. Clinico-Pathological Conference
(Alternating with Surgery)
Alternate Fridays—8 a.m. I \ Surgical Conference
Friday—9 a.m Dr. Appleby's Surgery Clinic
Friday—11 a.m. Interesting Films Shown in X-ray Department
Regular Weekly Fixtures
Tuesday, 8:30 a.m.—Dermatology. Monday, 11:00 a.m.—Psychiatry.
Wednesday, 10:45 a.m.—General Medicine. Friday, 8:30 a.m.—Chest Conference.
Wednesday, 12:30 p.m.—Pathology. Friday, 1:15 p.m.—Surgery.
2656 Heather Street
Vancouver, British Columbia
Every Monday—9:00 a.m.-10:00 a.m § Ear, Nose and Throat Clinic
11:45-12:45 p.m. Therapy Conference
Every Tuesday—11:00 a.m.-12:00 p.m '. Clinical Meeting
12:00 noon-l:00 p.m : Therapy Conference
Every Wednesday—11:45  a.m.-12:45  p.m Therapy Conference
Every Thursday—11:45 a.m.-12:45 p.m Therapy Conference
Every Friday—9:00 a.m.-10:00 a.m. |—Lymphoma Clinic
(during February)
10:15 a.m.-ll:15 a.m. (as of March 6) Lymphoma Clinic
11:45 a.m.-12:45 p.m Therapy Conference
Page 337 Mulcin
p& ft imik kilfa vdiwnm iperi
Each teaspoon of MULCIN supplies:
Vitamin A  I 3000 units
Vitamin D	
Ascorbic Acid <..
Available in 4-oz. and 8-oz. bottles.
1000 units
50   mg.
1   mg.
1.2 mg.
8   mg.
It's the taste of Mulcin* that all
children like . . . the refreshing
flavour of real orange. It's the
ready acceptance of Mulcin that
all mothers appreciate ... no
more need to coax or bribe even
finicky children.
The light, smooth texture of this
vitamin emulsion makes pouring easy. And Mulcin needs no
refrigeration; even at room temperature its potency is assured*
* Registered Trademark
of Canada, Ltd., Belleville, Ontario
Local Representative: RONALD TURNER, The Branches, Caledonia Avenue; Deep Cove 2261
STATISTICS    -    MARCH, 1953
Total populations   (estimated) -       3^q 325
March, 1953
Rate per
Number 1000 pop.
Total deaths   (by occurrence)     371 U#4
Deaths, residents only \ 330 10.1
Birth Registrations—residents and non-residents  (includes late registrations)
(Includes late registrations)
March, 1953
Infant Mortality—residents only
Deaths under 1  year of age  12
Death rate per  1000 live births  19.8
Stillbirths  (not included in above item)  8
Chicken Pox
Diphtheria Carriers	
Dysentery Carriers	
Infectious  Jaundice
Meningitis   (meningococcic)
Salmonellosis   Carriers
Scarlet  Fever	
Tuberculosis    _
March, 1953
Cases Deaths
133 —
March, 1952
Cases Deaths
100 —
1 —
1 —
136 —
244 —
1 —
80 —
1 —
13 —
1 —
128 —
13 1
51 11
Typhoid Fever 	
Typhoid  Fever   Carriers	
Undulant Fever	
Whooping Cough 	
tHiount pleasant Ittnbertafcino Co, Xtb*
Telephone: EMerald 2161
Page 339 habit
Habit Time of Bowel Movement—
not merely relief of constipation—is
secured by proper use of Petrolagar.
Petrolagar promotes development
of normally hydrated, comfortable
and easily passed stools.
Once achieved, the normal bowel
habit may often maintain itself even
though the dosage of this adjuvant
is slowly tapered off.
Supplied in bottles of 16 ft. ozs.
fequfeicd Trod* Mark
Page 340 We are publishing in this issue of the Bulletin Part VII. of the B. C. Health Survey
Report, made by Dr. G. F. R. Elliott, Assistant Provincial Health Officer, to the
Minister of Health for B.C.
One or two things must be said to make clear to the profession the exact circumstances of this Report.
There has been in B.C. for some time, in line with other provinces of Canada, a
Health Survey Committee, which considered Health Grants made by Ottawa, and made
recommendations as to these. There were several medical men on this committee. As
far as we know none of these men had any knowledge of the Health Survey Report,
or took any part in its preparation. This: is purely and simply Dr. Elliot's own report
to his minister.
The part of the Report we publish was handed to us by the B. C. Division, and
would have been published last month but that we were asked to hold it up till after
the Assembly of the Division had had time to consider it, which they will do on May
23 rd. It is true that it is only one part of a very long Report—and it is perhaps unfair
to consider it entirely by itself. With this in view, Dr. Ferguson, Executive Secretary
of the Division, has prepared a summary of the Report which we intend to publish too.
at an early date.
There is no doubt that we are gradually heading towards a very different set of
patterns of practice than those which now prevail. As a profession we have agreed that
medical services must be made available to all in the fullest measure, regardless of social
or financial status. We know that this will and must involve some radical modifications
of practice.
But there are certain things, too, on which we ourselves insist, as being for the
greatest good of the greatest number. We insist on free choice of doctor by patient,
and its reverse—we deprecate third party interference, whether that third party be
government", insurance company, or whoever else. We will not become civil servants,
working under any department of government. These _re among our most deeply rooted
principles, and we must assert them at every point.
This is a very frank document, and its recommendations are plain and to the point.
With some of them we agree—some of them are, we feel, much too radical, and too
potentially dangerous to our standards of practice: and we shall need to be alert to these
dangers.  For there can be no drawing back, if we once give up our freedom of action.
However, we would merely say this. We must not fight against inevitable trends
nor should we yield immediately to them. Let us rather strive to guide these movements,
in themselves admirable, and to be applauded, towards freer medicine and better medicine, along safe and fair lines—maintaining our standards, and showing our good faith
by doing all we can to support plans for distribution of medical costs.
Indeed, we have actually made very great strides in this direction. In many of the
provinces, and especially in British Columbia, we have agreed to work under prepaid
medical plans, and have actually taken steps to inaugurate such plans ourselves. These
are by no means perfect, to either side of the bargain, but they are a very great step
towards relieving the main burdens of sickness, in the case of a large proportion of the
population. We have gone further. We have given our strong support to a Trans-
Canada system of medical service. And in doing all this, we have not merely served
our own interests—indeed many medical men, sincere and honest in their attitude,
believe that we have sacrificed a great deal in agreeing to these plans. But we have
accepted them, and are willing to see them extended and developed to a maximum degree.
Page 345 And right here is a vulnerable point in our defenses. The public has come to see
the value of these plans, and wants to see them widened, and spread over a greater area
of the population. One thing is sure, that this same public will never agree to go back
to the old systems that existed before—especially that part of the public whose income is
in the lower brackets. We are committed, whether we like it or not, to a distributive
type of medical costs, and if this system of prepaid medical plans fails, it will not be
long before the pressure of popular demand will bring about some form of state controlled medicine, and most likely in forms that we shall not like at all.
The moral of this would seem, to us at least, that we must be prepared to support
and strengthen these prepaid plans—and must show our good faith by keeping our side
of the bargain religiously, for it is a case of bargaining, and while we have every right,
and indeed it is our duty, to maintain our own position, we must respect the rights and
reasonable demands of the other party to the bargain. Neither side can have the best
of the bargain—it must be fair to both sides.
It is hardly necessary, perhaps, to say all tins—but it is quite necessary that we
should at all times keep it in mind. And we should remember that such reports as this
gain support and justification, if they gain it at all, from the defects of our present
medical system. We are doing our best to remedy these and we believe that we can do
this better than anybody else—but there is still a great deal that needs remedying, and
we cannot be content nor free from criticism, until every person in the community can be
assured of the best of medical service at a price within their means, whatever the method
of payment may be.
We are happy to record that Dr. Murray Baird, of Vancouver, has received the
honorary degree of F. R. C. P. (London). This honour is one that he shares with Dr.
C. E. Dolman, of the staff of the University of British Columbia. Dr. Dolman received
the degree of F.R.C.P. (London) in 1951.
At a recent meeting of the Board of| Governors of the University of British Columbia, Doctor Frank Hebb was appointed Physician and Deputy Director of the University Students' Health Service.
Required for permanent northern British Columbia mining operation
and growing community.
Housing and services supplied and permanent self-contained hospital
to be built to replace temporary unit.
Apply, giving complete particulars, to
Cassiar Asbestos Corporation Ltd.,
Cassiar, British Columbia,
via Watson Lake, Y.T.
Page 346 I
- I -
Z_ —* _^#
[Library Hours
Monday to Friday I 9 a.m. - 9:30 p.m.
Saturday 9:00 a.m. - 1:00 p.m.
Recent Accessions
Eternal Eve, by Harvey Graham, 1950.
The Principles and Practice of Medicine by L. Davidson, 1952.
Rx for Medical Writings by E. P. Jordan, 1952.
Neurosurgery, An Historical Sketch by Gilbert Horrax, 1952.
The Infirmities of Genius by W. R. Bett, 1952.
Professional People by R. Lewis and A. Maude, 1952.
Guy's Hospital 1725-1948, edited by Hujohn Ripman, 1951.
Hamey the Stranger by John Keevil, 1952.
Textbook of Gynecological Surgery by Victor Bonney, 6th edition, 1952.
Surgical Clinics of North America, Symposium from New York on Cancer Surgery,
April, 1953.
Ear, Nose and Throat Diseases for the General Practitioner by William McKenzie.
Foundations of Neuropsychiatry by Stanley Cobb, fifth edition, 1952.
An Atlas of General Affections of the Skeleton by Sir Thomas Fairbanks, 1951.
Modern Practice in Infectious Diseases' by H. Stanley Banks, volumes 1 and 2,
The Library has been publishing journals received according to various sections.
The following journals are those received in Ophthalmology and Otolaryngology:
American Journal of Ophthalmology.
Annals of Otology, Rhmology, and Laryngology.
Archives of Ophthalmology.
Archives of Otolaryngology.
British Journal of Ophthalmology.
The Laryngoscope.
Eye, Ear, Nose and Throat Monthly.
\On Some Uses of a Library—
"The testy librarian of tradition, miserly of his treasure, nearsightedly buried in his
latest acquisitions, impatient of interruption, is an extinct species. And if such person
really ever existed beyond the pages of fiction it would be charitable of us to ascribe
their traits to the absent-mindedness that a most exacting task is prone to engender.
You have doubtless heard how late one afternoon the college librarian started home with
a friend, and finding it raining went back to get his umbrella. As he did not reappear
he was sought out and found confusedly looking for the object under "U" in the
Library catalogue." mk
Consecratio Medici, 1929.
Page 347
1- Vancouver
TV.  P,  S,  Mvnrnf
Dr. J   H   ^larfc
Honorary Treasurer
TV,  d.  V., T.angley
Honorary Secretary.
Dr    V    %   Hnhns
Fniror                                   -Jfi
Dr.    T.   T-T.   MarTWmof
was held on TUESDAY, MAY 5 th, in the Auditorium of the Tuberculosis Institute.
Following are the Annual Reports of Officers, Committees and Sections which were i
presented at this meeting:
Ladies and Gentlemen:
My report this evening will be short as there are numerous other reports to follow
—each of which represents some particular phase of the Vancouver Medical Association's j
work and totals up to a fair number of activities undertaken by your Association.
We have held nine monthly meetings—including the Osier dinner—and two Special j
meetings.   Also there were 10 Executive meetings and the Annual dinner. During the
past year six members have passed on whose names I shall read to you, and after reading j
the names I would ask you to stand for a moment's silence in tribute to these members:
Dr. D. B. Avison Dr. Lyall Hodgins
Dr. G. A. Greaves Dr. T. K. McAlpine
Dr. A. K. Haywood Dr. E. J. Ryan
During the year there were 51 members elected to Active membership and 19
members elected to Associate membrship. Of the Active members—32 were introduced
at later meetings. Numerous interesting programmes were arranged and I believe the
good attendance reflected the general approval of the material presented. An excellent
programme was presented at the Summer School and this also was well attended.
Our librarian requested a year's leave of absence which was granted, and her job
was taken over on a temporary basis by two assistant librarians who have carried on
very ably.
Our Osier Dinner this year was the largest ever held, and Dr. H. H. Pitts as the
Osier lecturer, gave a very excellent address. Dr. F. J. Buller and Dr. D. E. H. Cleveland
received the P.G.F. Degrees.
Your Executive this year set up a budget and the year has ended with a credit
balance of some $1200.00—all of which will be reported later by Dr. Langley—but
which I believe is very satisfactory. However, it is certainly not enough that we can
consider reducing our fees—but neither do we need any further increase.
On the whole—I believe that the year has been a good one. At the moment only
one cloud appears on the horizon and I might say that your Executive is disturbed by
a few resignations that have come from salaried doctors. They feel that the dues are
discriniinatory against them—as they cannot deduct them as an operating expense.
Hence the motion later tonight suggesting that dues for salaried doctors be lowered to
offset this apparent discrimination.
In closing I would like to express my thanks 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. I should also like to
thank Dr. Kincade and his staff for the use of this Auditorium for our meetings through-
Page 348 out the year. J would especially like to thank Mrs. Helen Dewest—our Secretary—whose
loyalty and efficiency has made this office a very pleasant duty.
E. C. McCoy, M.D.,
President (1952-53).
•fc -& ft -sir
Mr. President and Members:
11 have the honour to present the financial report of your Association for the Fiscal
Year of 1952-53, which has been duly audited by Mr. R. H. N. Whiting, Chartered
Accountant, under the date of March 31st, 1953.
Income from members' annual dues $16,805.60
Interest received:
Bank savings account : | $ 7.78
Bond interest        230.00
Revenue from Association Bulletin     1,100.00
Salaries j $ 6,800.93
Rent  4,800.00
Other Expenses  2,398.23
TOTAL EXPENSE | $ 13,9$9.16
Excess of Income over Expenditure (which does not include amount spent on
Library—books, journals and bindings) . >. $ 4,144.22
Library $ 1,538.66
Equipment        1,221.06
Excess of Revenue over Expenditure $ 1,384.50
**Salaries and rent for this year showed an increase over 1951-52 of approximately
$1,900.00. Other expenses increased only $191.00 which was due to a 3%
Provincial tax levy adjustment from the year 1948 to October 1952.
The amount of $2,920.35 was spent by the library this past year on the purchase
of books, bindings and journals for the library. You will note that this does not
come under expense items as only depreciation of books, etc., is charged to
Cash on hand and balances at banks $ 2,806.73
Bonds at cost plus interest purchased     8,328.57
Library—less depreciation 18,976.91
Furniture and equipment—less depreciation 11,863.74
INVESTMENTS (Special Funds)
Historical and Ultra Scientific Fund  (Bank) . $       644.25
Bonds at cost     2,479.38
Owing by general funds :  .16
Page 349 Stephen Memorial Fund:
Bonds at cost j $     100.00
Bank savings account 18.22
John Mawer Pearson Lecture Fund:
Bank savings account ! $     479.52
Bonds at cost plus interest purchased j     4,492.14
TOTAL ASSETS - - $50,189.62
Income from members' dues shows an increase over last year of approximately
$2,900.00. This is due in part to the increase in Active membership dues of $5.00 per
year, and in part to the increase in Active members from 478 to 517. The total membership of your Association now stands at 666 broken down as follows: Active 517;
Associate 122; Life 22; Privileged 4 and Honorary 1.
All of which is respectfully submitted.
G. E. Langley, M.D.,
Honorary Treasurer.
ft ft ft ft
The Annual Report of your Board of Trustees last year, had to do with the marked
depletion of the capital of the Association because of the move to our present quarters.
The total expense involved was some $11,362.00 and your Trustees reported that the
balance in the general savings account was $5,500.00.
During the past year, upon the recommendation of the Library Committee, books
were sold to a New York Library for the sum of $1,900.00. This capital together with
accrued bond interest permitted your Trustees to acquire $3,000 in Dominion of Canada
Bonds.   Your general savings account now stands at  $8,500.
The Historical and Ultra Scientific Fund had an accrued interest fund of $644.25,
and your Trustees have bought a $500 Dominion of Canada bond. As it was bought
in April of this year, it will not appear on the 1952-53 annual report.
The Stephens Memorial fund remains at $100. Your Board of Trustees respectfully
suggests to the new Executive Committee that the Stephen Memorial might well take
the form of a permanent plaque or remembrance in the Library, and that the Stephens
Memorial fund as such—be discontinued.
The John Mawer Pearson Lecture fund has been increased. There has been but one
lecture in the 15 years of the fund's existence. As a result your Trustees were able to
buy a $1,000 Dominion of Canada Bond from the accrued interest. The John Mawer
Pearson fund now stands at $4,550.00.
The Annual Report of your Board of Trustees suggests moderate improvement in
our financial affairs.   Such improvement must add to the health of our Association.
Respectfully submitted.
Murray Blair, M.D.,
ft ft ft ft-
Mr. President and Members:
I have the honour to present the report of your Library Committee for the year
Whereas, in the two previous years your Committee had been engaged in planning
and moving into the present attractive quarters, during the past year they were able
Page 350 jto settle down to their more normal duties of selecting and buying books and journals
for the library.
The members of your Committee have been Doctors Bie, Cowan, Gould, Hardy-
Iment, Moffatt, and myself. The two year term of office is now completed for Doctors
Hardyment, Moffatt, and myself. I would like to take this opportunity to thank all the
|members for their help and loyalty during the past year.
Early in the Academic Year, our previous Librarian, Mrs. Holmgren, was granted
I a year's leave of absence in order to proceed with her husband to Toronto.   Her position
of chief Librarian has been most admirably filled by Miss Anne Keays and Mrs. Helene
Marchfelder. I would like to tender them both our thanks for their co-operation and
for the excellent service they have given members during the year.
Library Expenses, like those in most fields, have increased somewhat over those of
the previous year. The total cost of running your Library amounted to approximately
$11,260.00. Of this amount $4,320.00 was for rent, $4,612.00 for salaries. The amount
budgeted for books, bindings and journals was $2,800.00. This amount was broken
down as follows: for books $967.00, for journals $1,000.00, and for binding $785.10.
Your Committee has managed to keep within its budget for these items. With the
continued rise in prices it is urged that, in order to keep up the high standard of the
library, this budget be increased next year.
The library has been fortunate in receiving a number of valuable gifts of books
during the past year. Our thanks are due to Doctors H. A. McKenzie, D. E. H. Cleveland, D. Collison, A. W. Wallace, E. R. Cunningham, P. McLennan, T. B. Anthony
and Wm. Boyd.
Thanks are also due to the following members who have presented the library with
5ubscriptions to journals: Doctors A. Turnbull, D. E. H. Cleveland, the V.M.A. section
of Neurology and Psychiatry and the General Practitioner's Association of Greater
Study of the library statistics which are attached to this report show that the
volume of work, done during the past year was somewhat more than that done in
1951-52. Members are again reminded that the library is open until 9:30 p.m. for five
nights a week, also that the library has a messenger service, and that there is an excellent micro-film service through which any reference anywhere in the literature can be
I would like to state that request for books from members have been welcomed
and purchases made whenever the budget would allow. It has been the policy of your
Committee to select books over as wide a range of general practice and# the specialties
as possible. Finally, I would like to stress the fact that your Committee has endeavoured,
as has been done so well in the past, to maintain this library as one of the finest journal
reference libraries in the country.
The above report is respectfully submitted.
Chairman, Library Committee.
John Parnell, M.D.,
Books Added to Library
80 new books -—'-     $   967.64
2 books purchased from Nicholson Collection at cost of $6.30
leaving balance of $158.81.
15 books purchased from Historical and Ultra-Scientific Fund at
cost of $84.10.
Page 351 Medical Journals
86 journals subscribed to at a cost of	
2 journals subscribed to from the Historical and Ultra-Scientific Fund, $15.50.
34 journals received as gifts.
47 journals received on Bulletin for Bulletin.
154 volumes  bound,   costing	
7 volumes bound from Historical and Ultra-Scientific Fund,
Supplements to Loose-leaf systems.
Dues to Library Associations	
Salaries : 1	
Stationery I	
Laundry    - _
Telephone £	
Insurance \	
Audit Fee	
S. S. & M.A. 3% Provincial Sales Tax.	
Miscellaneous (messenger service, petty cash, typewriter inspection, boxes for unbound periodicals, office expenses, etc.)
Books and Journals Loaned
Borrowed direct from Library-
Borrowed by Mail .	
Borrowed by Messenger	
Books returned by messenger-
Interlibrary Loans
Visits to Library
Members      2,121
Others I :       635
During Evening Hours (8 months)
Members  451
Others    I |  141
Bibliographies prepared ] 394
Requests for information  97S
Microfilms requested _-  54
Photostats requested	
Mr. President, Ladies and Gentlemen:
The Bulletin of the Vancouver Medical Association is entering its 29 th year of
| uninterrupted publication. Its circulation has steadily grown until we are now mailing
out more than 2000 copies monthly. These go, first, to every medical man on the
register in British (_olumbia; to the members of General Council of the Canadian Medical
Association; to libraries in Canada and the United States, as well as in exchange for
many other publications in all other parts of the world. The Bulletin has grown steadily,
not only in circulation, but also in importance as a Canadian Medical journal. Its circulation is, as we said, over 2000 a month and in this respect it is second only to the
Canadian Medical Association Journal. It is true that most of this circulation is within
British Columbia, but that fact in itself makes it of great value to those who wish to
reach the medical profession of British Columbia.
It has a very high rating from an advertising point of view—and we are able thus
to secure a considerable quantity of advertising of excellent quality.
From a financial point of view, we are in a very satisfactory position. The B.C.
Division pays us $50 a month or $600 a year—while Mr. Macdonald, our publisher,
pays us $500 a year as our share of the profits from advertising over the cost of printing.
It must be remembered that advertising is our only source of income. I would again
ask the Association to consider carefully the question of putting the journal on a subscription basis. There is no doubt that it could be enlarged and made better in every
way. We could secure more advertising and add greatly to the value of the Bulletin.
I was looking over our list of exchanges in the Library, and I think you may be
interested to hear of some of them. We have some thirty-five or more, and they cover
a large part of the globe. We exchange publications with such countries as Great
Britain, Belgium, Spain, Peru, Mexico, and India, to mention a few of them, in addition
to a large number of centres in the United States.
Many of the publications we thus receive are of a very high order—such as the
Lancet from Great Britain, as well as the Archives of Diseases of Children from the
British Medical Association—papers of the Mayo and Lahey Clinics, the Brooklyn
Hospital Journal, North West Medicine, U.S. Atomic Energy Commission publications,
etc., from the U.S.A., the Indian Journal of Medical Research from India, and many
others which are valuable additions to our library shelves.
During the past year the Bulletin, at the request of the British Columbia Division
of the Canadian Medical Association, made a section of the Bulletin available for the
use of the Division, of which the Bulletin is now the official organ. Our relations with
the Division have been most cordial, and we feel that this step has brought a great
deal of advantage to both parties concerned. The Division has had as its representative,
sitting in with the Publications Committee meetings, Dr. F. L. Skinner, and he edits the
material supplied from the Division. This is published as supplied, subject to the ordinary rules of editing and supervision, to guard against any possible legal complications
that might arise, as they have done in the past with our own material.
The Public Health Department of British Columbia, also has a section in each
issue, where it presents the latest news in public health. This section is one of the most
worthwhile parts of the Bulletin.
Your Publications Committee has held regular monthly meetings, and endeavours
to produce each issue within the month. This is not an easy matter, in our peculiar
circumstances—and with the limitations imposed by printers, etc., and the fact that
we have not a regular office setup.
Our publisher, Mr. W. E. G. Macdonald, has been a tower of strength to us. He
secures all our advertising, arranges with the printers, and is unfailingly courteous and
helpful. He has the welfare of the Bulletin very much at heart, and is very generous
with extra copies, and so on. The Committee, I think, feels that we should not make
any changes at present in our arrangements with him, unless and until we are able to
Page 353 put the publishing of the Bulletin on a regular business basis, with an editorial staff
which could assume the entire responsibility of publication.   This is, of course, the ideal!
towards which we should work, and which we hope some day to achieve.
In conclusion, I should like to express my most sincere gratitude to the other
members of the Publications Committee. They have been most loyal to the Bulletin and
to the Vancouver Medical Association, and without their help, we could not have god
on at all.
Our secretary, Mrs. Dewest, too, has been always most helpful. She is, in factj
quite indispensable, and is always most willing to 4° anything she is asked to do. I
cannot sufficiently thank her for the help she has given me at all times.
Respectfully submitted,
J. H. MacDERMOT, M.D.,
May 5th, 1953.
ft ft ft ft
Your Committee held two meetings during the year and discussed economic ^>rob
lems and also fostered a very successful general meeting on medical economics.   This
meeting was held on February 3rd.
Although the taking over of economic problems of the profession by the C.M.A.—
B.C. Division has lessened the importance of this committee, we feel that it still should
be kept active, as it could well assume importance in the future.
Respectfully submitted,
E. A. JONES, M.D., Chairman,
Medical Economics Committee
Vancouver Medical Association.
April 27th, 1953.
ft ft ft ft
Your Chairman was not called upon this year to attend any formal meetings of tlx
Red Cross but receives reports of their proceedings.
It is felt that this Committee is worthwhile.
As your present Chairman has held this position for four years, it is felt that a new
Chairman would be appropriate.
Respectfully submitted,
ft ft ft ft
Two meetings of this committee were held with the purpose of exploring methods
to enlarge its scope. It is felt that its original purpose in co-ordinating major medical
meetings and function has been fulfilled.
An effort was made, with executive approval, to list and publish all medical activities in this area. There are many smaller regular functions such as conferences, section
meetings, ward rounds and discussion groups which are not known to the Association
in general. Some of these would form valuable means of furthering post graduate education both for members and visitors to the City. Our attempt to gather this information
was not wholly successful.
The Comniittee feels that the original purpose of co-ordinating the larger stated
meetings having been fulfilled, it has now outlived its usefulness.  We therefore recom-
Page 354 mend that the Committee as set up be dissolved, and in its place a larger one with at
least five members be formed, to be known as the Committee for Post Graduate Education. On this Committee should be one member from each of the three large hospitals
and one from the Faculty of Medicine, U.B.C. Its function would be to co-ordinate,
list and publish all medical activities in this area.
Al of which is respectfully submitted.   I move the adoption of this report.
W. M. G. WILSON, M.D.,
Chairman, Co-ordination of
Medical Meetings Committee
Vancouver Medical Association
May 5th, 1953.
ft ft ft ft
The committee met on five occasions. The problem of alcoholism was discussed
from different angles. It was agreed unanimously that an alcoholic institute for the
study of alcoholism would be the most advisable means of studying the problem and for
carrying out treatment of patients in the acute phase of this disease. The proposed institute would be considered as a pilot experimental unit. It was suggested that this be built
adjacent to or in the vicinity of the General Hospital in order that its clinical facilities
as well as the bio-chemical and pathological laboratories could be utilized in the investigation of the patients suffering from alcoholism.
At the request of the Provincial Liquor Inquiry Board a brief was presented by this
committee. This received favorable comment.
Several avenues for the formation of a board of directors for the institute have been
explored. At the present time the committee is still looking for a suitable citizen to
spark this project.
It was decided to have mutual discussions with the Committee on Alcoholism of
the Community Chest Council to familiarize each group with the efforts of the other.
Iser Steiman, M.D.,
Mr. Chairman:
There has never been an official Sports Committee for the Vancouver Medical Association. No funds have ever been given from the treasury to any such activity and the
way these activities are run it seems highly unlikely any necessity will arise whereby
funds will be needed for such a Committee.
I would like to outline the programs of the participation sports now available to
the profession.
The sport attracting the largest number of participants is golf (130 members of
the profession were listed in 1952). There are at least five tournaments each year beginning in April and ending in September. Also in tarry May, the Annual Seattle-Vancouver
tournament is held—in Vancouver one year and in Seattle the next. This is the oldest
tournament of its kind on this continent, this being the 34th year of the event. Two
of our tournaments coincide with conventions. The Golf Committee manages the Summer School and the B. C. Division Golf days for the profession.
Trophies have been donated for the Golf tournaments as follows:
The Rams Horn
The Joe Bilodeau Memorial
The Worthington Cup Wm
The Lockhart Trophy
The Fisher & Burpe Cup and Replica.
Page 355 The other participating sport is Curling, which was established three years ago
and is held during the winter months at the Vancouver Curling Club—4:30 to 6:30
p.m. each Thursday. Up until now, six rinks have been competing, usually made up of
sixteen doctors and dentists. This sport too is open to all the profession.
A trophy has been offered to the Curling Club by Dr. W. J. Dorrance if participation warrants.
This report is to introduce these sports to members of the Vancouver Medical
Association and to state that they are available to all of this profession, regardless of
ability to play or handicap. In truth, they are social events of the doctors of Vancouver
as much as Thursday seems to be traditionally Doctor's "day off."
Since both of these activities are becoming increasingly popular among this group.
I wish to move that a Committee, known as the Sports Committee, be formed so that
the Golf and Curling clubs may present themselves officially, if necessary, to the Vancouver Medical Association.
Respectfully submitted.
W. G. Evans, M.D.
The Chairman, Vancouver Medical Association.
Mr. Chairman and Members:
The following is the report of the Eye, Ear, Nose, and Throat Section of the Vancouver Medical Association for the season 1952-53.
There are forty-one members in the section, and the average attendance at the
monthly dinner meetings has been twenty-six members.
During the year seven monthly meetings were held, and the final one will take
place on May 21st. Guest speakers included Dr. Harold Ridley of London, England,
Dr. F. H. Wanamaker of Seattle, Washington, and Dr. D. M. Whitelaw of Vancouver.
There were two symposia on subjects of interest to the section, and one economic meeting was held, at which Dr. McCoy and Dr. Watson were guests. A clinical meeting at
Shaughnessy Hospital, followed by papers by three residents, was held in April.
Respectfully submitted.
J. A. Irving, M.D., CM.,
Chairman, E.E.N.T. Section.
Six regular monthly meetings and two special meetings were held throughout the
year 1952-1953.
In May, 1952, Dr. Macdonald Critchley of the Institute of Neurology, London,
addressed the Section on "The History of British Neurology." In October Dr. Ranyard
West of New Zealand spoke on "Freudian Theory Today" and in November Dr. Roy
Swank of the Montreal Neurological Institute gave a paper on "The Changes in Lipoid
Metabolism in Multiple Sclerosis as Demonstrated by Paper Chromatography."
In addition to case presentations, members of the Section presented papers on a
variety of subjects. Dr. Donald Ross spoke on "The Teaching Programme and Liaison
Activities of the Psychiatric Department of the University of Cincinnati." Dr. Dekaban
gave a paper on "Congenital Abnormalities of the Nervous System." Dr. William Gibson
delivered a paper on "The Form of the Human Synapse" and Dr. Margaret Kennard gave
her experience with moving pictures of "The Ablation of the Cingulate Gyrus in Cats."
Page 356 Dr. Leyland gave an account of his work in "Reactivating Deteriorated Patients in the
Mental Hospital" and Dr. Kenning gave a paper on "Exhibitionism."
The Section has again donated the Journal of Nervous and Mental Diseases to the
Vancouver Medical Association Library.
Section of Neurology and Psychiatry.
A. J. Warren, M.D.,
* ft ft ft
There have been four dinner meetings of this section during the year. At the second
the present officers were appointed for one year term of office. A meeting was addressed
by invitation by Dr. Fred Preston.
The present membership is 13.
One new member, Dr. W. J. Thompson having been elected during the year.
A. S. McConkey, M.D., Chairman.
W. H. Fahrni, M.D., Secretary.
ft 't?J£ ft ft ft
Mr. President and Members:
Three meetings of this section have been held during the past year.
At the first meeting new officers were elected and plans for the section were discussed.
The second meeting was a dinner meeting addressed by Dr. A. Miller of Montreal,
on the subject of Vitamins as applied to children in B.C.
The third meeting—also a dinner meeting was held to honor Dr. Grover Powers,
Professor of Pediatrics of Yale University, who gave us a very interesting talk on Milk
Allergy in Childhood.
All meetings were well attended.
Respectfully submitted.
J. H. B. Grant, M.D.
Mr. President:
During the past year the radiologists of British Columbia have organized under the
Societies Act of this province as The British Columbia Radiological Society. This was
done at the instigation of the parent body, The Canadian Association of Radiologists.
Regular monthly meetings of the section have been held throughout the year,
beginning in October, and these have been exceptionally well attended. Discussions on
scientific subjects, and film reading sessions have been very interesting. Several meetings
have been devoted to business sessions in which matters peculiar to this section have been
This section, at the present time, is viewing with a great deal of interest, and not
a little concern, the recent developments that are being hinted at by both the Federal
and Provincial Departments of Health and Welfare, regarding the future practice of
Radiology, as well as including some of the other Specialist groups.
Respectfully submitted.
J. S. Madill, M.D., Chairman.
Mr. President:
As representative of the Vancouver Medical Association to the Greater Vancouver
Health League I am pleased to report on some of the valuable work being carried on by
this volunteer organization.
The Health League has five divisions and of these, the Food and Nutrition Division
is currently studying and assisting in demonstration of a nutrition program for D.V.A.
pensions and older citizens in the low income group. The Industrial Health Division is
assisting in promoting home and industrial safety and this division works with film
councils and film board in stimulating the use of Health films.
The Mental Hygiene Division was the nucleus for the founding of the B. C. Division of the Canadian Mental Health Association last year.
The Parent Education Division and the Inter-professional Education Divisions have
also been active; the former with problems relating to pre-school education and the latter
has assisted in the organizing of a Muscular Dystrophy Association, and is at present
studying an adequate home care program for stroke cases and is attempting to get the
co-operation of the various professions that are involved in such a program.
These are only a few of the activities of the organization and efforts are continually
being made to promote and advance many aspects of Health work among the citizens
of Vancouver.
This report is respectfully submitted.
W. H. Cockroft, M.D.
It is of interest to note that weekly ward rounds, medical, surgical and
obstetrical have already been arranged. These will be held on Wednesday at 10:00 a.m. and coffee will be served.
fro assist1 in general practice. Must be capable and have references.
Minimum salary $400.00 net and possibly a good deal more. Send
particulars directly fro Dr. H. A. McLean, Ceepeecee, B.C.
Page 358 i^rtfeh Columbia Hftristoit
Canadian Mthxtnl ABsartatfon
1807 West 10th Ave., Vancouver, B.C.      Dr. G. Gordon Ferguson, Exec. Secy
 Prince Rupert
Vice-President and Chairman of General Assembly—Dr. F. A. Turnbull Vancouver
Hon. Secretary-Treasurer—Dr. W. R. Brewster New Westminster,
President—Dr. J. A. Ganshorn.
President-elect-—Dr. R. G. Large-
Members of the
Dr. G. Chisholm
Dr. E. W. Boak
Dr. C. C. Browne
Prince Rupert and Cariboo
Dr. R. G. Large $
New Westminster
Dr. J. A. Sinclair
Dr. W. R. Brewster,
Dr. A. S. Underhill
Dr. C. J. M. Willoughby
Standing Committees
Constitution and By-Laws-
Medical Economics.
Medical Education-
Programme and Arrangements-
Public Health	
Board of Directors
Dr. F. A. Turnbull |
Dr. A. W. Bagnall
Dr. F. P. Patterson
Dr. P. O. Lehmann.	
Dr. G. C. Johnston
Dr. Ross Robertson
Dr. R. A. Gilchrist
Dr. J. Ross Davidson
Dr. R. A. Palmer
Dr. J. McMurchy
 Dr. R. A. Stanley, Vancouver
 Dr. W.  R. Brewster, New Westminster;
 -Dr. J. C. Thomas, Vancouver
 Dr. P. O. Lehman, Vancouver-
 Dr. T. R. Sarjeant, Vancouver
 Dr. J. A. Ganshorn, Vancouver.
 Dr. Harold Taylor, Vancouver
 . Dr. G. F. Kincade, Vancouver
Special Committees
Arthritis and Rheumatism Dr. F. W. Hurlburt, Vancouver
Cancer Dr. Roger Wilson, Vancouver
Civil Defence I Dr. John Sturdy, Vancouver
Hospital Service Dr. J. C. Moscovich, Vancouver
Industrial Medicine —\ Dr. J. S. Daly, Trail
Maternal Welfare : Dr. A. M. Agnew, Vancouver
 Dr. E. C. McCoy, Vancouver
.Dr. D. M. Whitelaw, Vancouver
Public Relations Dr.  G. C. Johnston, Vancouver
The forces for socialization of medicine are becoming stronger. You will find several of the doctors in this province who are strongly in favour of it, some who are
equally as strongly opposed, and a large group somewhere between these two poles.
With the approaching elections for the B.C.M.A. Directors and Assembly, it is
important that we all very seriously consider the opinions and beliefs of the men we
nominate and support with our vote. You will very shortly be recerving nominating
papers in this regard, and think carefully, that we may have representatives who will
truly mirror the opinions of the doctors whom they represent.
It is not my place to say which of these opinions is right, but I am anxious that
you have as much information as possible on which to base your own conclusions. There-
Page 359 fore please note all the items included in this section for this month. Immediately following this -is a letter sent to me as editor of this section of the Bulletin, with the
authors name removed at his own request. There is also a brief excerpt from a talk
given by A. Lexington-Jones of New Zealand, to the Vancouver Medical Association,
and reported in detail in the Bulletin of January 1949.
You will probably have heard of the Elliot report which is the official report of
Dr. George Elliot, assistant Provincial Health Officer, and is entitled Health Survey
Report of B.C. This is a report and has not as yet received the approval of the government or the B.C.M.A. The excepts from it following later, are those made by Dr.
Gordon Ferguson of the B.C. Medical, and are for your information. Seventy-five complete copies have been distributed to members of the General Assembly, and I understand that this will be discussed at the Assembly meeting in May.
I hope you will read all these and ponder them, and that which ever side you may
be on as to Socialization of Medicine that you will do whatever you can to learn the
policies of all candidates in the coming election, and work and vote for those who seem
to most closely express your own ideas.
Thoughts on the Implications of National Health Insurance
By a B.C. Doctor
.With the prospect of a Federal election in the offing, the demands for the immediate adoption of a comprehensive national health insurance plan, to be financed out of
general revenue, have taken on a crescendo-like character. The clamor in this respect
arises almost entirely from the ranks of the Socialists and the leaders of organized labor,
who imply (1) that the majority of people are denied adequate medical care and (2)
that, if the Government of Canada assumed the direction and costs of all matters pertaining to health, the problem would be solved.
One cannot help but feel that the first assumption is pure political rhetoric based
on a false premise. A glance at the care given Social Assistance cases in this Province
should satisfy anyone on this point.
The second conclusion seems to contain the naive belief that the standard of health
varies in direct proportion to the amount of money spent on it. How the money is
spent, or who spends it, seems to be irrelevant for the most part, except that it is tacitly
understood to be more effective if some one, other than the recipient of the service, pays
the bills.
The flaws in these socialist claims are too obvious to require consideration in these
pages. Rather, we should be concerned with the basic aims and implications of such
a philosophy, for it is of less importance what it will do to the health of the people
than what it may do to the soul of the nation. It might be worthwhile, therefore, to
briefly examine these Utopian theories to see what they are and where they are leading us.
Socialism offers us security against illness, against unemployment, against old age,
etc. It offers us less and less work and more pay. It protects us from worries and
anxieties and the necessity to 'Struggle for Existance*. It stifles those with ability but
it nourishes and protects the incompetent and the shirker. It takes from us our charities
and responsibilities, for it is a philosophy of selfishness and materialism. It reduces us
to cogs in a bureaucratic machine, bereft of initiative or thought, and ultimately and
inevitably it takes away our freedom. It is a system that appeals to the sluggard and
the coward but is anathema to the ambitious, the adventurous and the creative individual. One can scarcely imagine this type of state appealing to men like Jacques Carrier,
Champlain, Alexander MacKenzie, Breboeuf, Lalamont and a host of other great men,
who chose the dangers and opportunities of a new country to the soul crushing security
of an old.
It is almost unbelievable that a young country like Canada should be turning so
soon to premature retirement, when her development has scarcely begun.   It may be
Page 360 that we are too wealthy. Herodotus has said that 'Soft countries invariably breed soft
men'. The Israelites of the Exodus would have returned to the 'Flesh pots of Egypt'
and slavery had it not been for Moses. If they had done so the Old Testament would
never have been written.
When we see our people turning to government to help them rear their children,
to look after their aged parents and to insure them against every circumstance, it fills
one with deep concern. This tendency to lean on a paternal government is surely a sign
of a disintegrating society.
It seems paradoxical to observe that, when half the world is in chains or facing
dire poverty and our soldiers are fighting on foreign soil, our chief concern should be
how to avoid further involvement and how to secure more comfort and ease for ourselves.
This, then, is the emasculating trend of socialism. This, in essence, is its religion
of materialism and control. It is attractive and appealing on superficial examination but
this is a snare and a delusion, for ultimately it destroys the finest things we have. If we
fail to meet the challenge and succumb to it, then Western Civilization will decline.
We doctors are the first line of defense. It is our duty to protect the health of the
people from the ministrations of office seekers and their monotonous diatribe. As citizens
our responsibilities are far greater. We must realize that government controlled health
insurance is the thin edge of the wedge. If this is allowed to penetrate, the door will
be wide open for a full-blown bureaucracy. If, on the other hand, we successfully ward
off 'State Medicine' we will have rendered a great service toward the preservation of
democracy and our cultural heritage.
Excerpt from a talk by A. Lexington Jones of New Zealand
(From V.M.A. Bulletin, January, 1949)
Nobody will deny the sick of any country the right to adequate treatment, but the
cost to the country is tremendous, not because the money is being spent on the individual but because of the immense cost of administration and the abuse of the system
under a Socialist Government.   Some of these abuses I will refer to as I go along.
The questions we ask ourselves in New Zealand are
1. Are we getting our money's worth?
2. Has the system improved medical service to the people?
3. Has the system reduced the incidence of disease?
To question one I reply, most certainly not. A great part of the money we are taxed
is absorbed in the cost of adniinistration—in the payment of a large body of civil
servants and for the payment of doctors for visits that were never necessary and for
prescriptions given by them.
To question two, I again say no. The Medical Profession has so many consultations
that it is impossible for them to devote the necessary time to each patient, evaluate their
symptoms and give a careful and considered diagnosis. I do not say this in any derogatory way regarding the members of the profession. It is not humanly possible. Too
many are consulting their physician unnecessarily, taking up his time which would be
better given to people really needing his attention.
Regarding question three, the figures speak for themselves. A very small amount
of money is voted for research work. The physicians have little or no time for reading
and investigation, and little incentive to study abroad.
The system as operated in New Zealand allows of such abuse that it has almost
become a farce and I have listed a number of questions that I feel are in the minds of
you present. *
1.   Are medical services available at no cost to the patient?
My answer. Of course not, the average cost to each individual is $60.00 per annum.
To many it is not this high, but to many more a great deal higher.
fflM Page 361 3
Has it raised the status of Medical Profession?
My answer. No.   It has lowered their prestige, owing to known abuses that may be
practised by uscrupulous members.
Is it possible for unscrupulous members to be dishonest?
My answer. Blatantly so. A form could be filled in for more visits than the patient
paid to the doctors, a signature could be forged, forms could be filled in by friends
of the doctor when no visits were made.
Can the pharmaceutical benefits be made available wrongfully?
My answer.   Yes, as any prescription signed by a B.M.A. member must be filled by
the chemist without question.
Is there any competent check made of medical claims made?
My answer. No. They are checked by departmental clerks whose duty in the
main is to compute the amount for direction to the Treasury for a cheque to be
paid out to the doctor each month.
Is Socialized Medicine less costly to the patient than other schemes?
My answer.  The average cost per head is $60.00, but many people pay much more.
In a very small minority this scheme may save money.   To the great masses it is far
too high.  In 1941 medical schemes took care of people unable to meet medical fees.
Was Medicine the first profession to be brought within the orbit of state control?
My answer.   Such a step is embodied in the prepared plan for all Conimunistic
activities.   Lenin said, "Socialized Medicine is  the Keystone to the Arch of  the
Socialist state."   In New Zealand they have been true to form.
Question: Do you consider there is much waste of money in the administration of
the scheme?
Answer: Yes. An army of civil servants is engaged full time in routine work,
checking claims, etc., for all benefits under the scheme. In 1940 much of this work
was done voluntarily by lodge members or by secretaries to lodges and to doctors. Most
doctors have found it necessary to engage a full-time secretary whose work is to have
forms signed and checked, etc.
ft ft ft ft
Each year representatives are elected to the General Assembly. The representatives
are divided into two sections: those who are known as Delegates and those who are known
as Members of the Nominating Committee.
Of the Delegates, the Principal Delegates are the ones who hold the majority preference in the election. The term of office is two years, but arrangement is made so that
approximately one-half of those in Districts having multiple representation will retire
each year. These Principal Delegates form the Board of Directors of the Association.
Five of them are named to join with the officers to form the Executive Committee.
Delegates and Members of Nominating Committee elected this summer will take
over their official duties after the Annual Meeting which will be held in Vancouver on
September 23. <^m
A list of all the present elected members of the General Assembly was published
on the fly leaf of the recent News Letter.
It is important to give thought now to nominations so that your best representatives
can be sent to the governing councils of the Association. Nomination papers will be in
the mail on June 15, a few days after you read this Bulletin.
DISTRICT No. 1—Victoria representation will be 4 Delegates and 3 Members
Nons-.zting Committee. Dr. Gavin Chisholm who held the majority preference last
year will complete his two-year term. In order to provide the necessary rotation of
representation, Dr. E. W. Boak will serve only one year, but will be eligible for
Page 362 Victoria District will elect 3 Delegates and 3 Members to the Nominating Committee.
DISTRICT No. 2—Nanaimo representation will be 2 Delegates and 2 Members
Nominating Committee. Dr. Carmen Browne was elected last year to serve a two-year
term. The District will elect 1 Delegate, which position has been filled by Dr. G. B.
Helem who is eligible for re-election.
Nanaimo District will elect 1 Delegate and 2 Members to the Nominating Committee.
DISTRICT No. 3—Vancouver representation will be 14 Delegates and 5 Members
Nominating Committee. Five Principal Delegates, Drs. G. C. Johnston, Ross Robertson,
R. A. Gilchrist, J. Ross Davidson and R. A. Palmer, were elected last year to serve a
two-year term.   They have one more year to complete.
Four Principal Delegates, Drs. A. W. Bagnall, F. A. Turnbull, F. P. Patterson and
P. O. Lehmann, have served their two-year term and are retiring. They are eligible for
Vancouver District will elect 9 Delegates and 5 Members to the Nominating Committee.
DISTRICT No. A—Prince Rupert and Cariboo representation will be 2 Delegates
and 2 Members Nominating Committee. Dr. R. G. Large, the present Principal Delegate
is President-Elect of the Association and next year will be the President. Dr. Large
is not eligible for election and a vacancy occurs. Dr. L. M. Greene, the Vice Delegate,
is eligible for re-election.
Prince Rupert and Cariboo District will elect 2 Delegates and 2 Members to the
Nominating Committee.
DISTRICT No. 5—New Westminster representation will be 4 Delegates and 3
Members Nominating Committee. Dr. J. A. Sinclair will have completed his second
year and will be eligible for re-election. Dr. W. R. Brewster was elected last year for
a two-year term but most unfortunately has been ill and finds it necessary to resign
his official activities.
New Westminster District will elect 4 Delegates and 3 Members to the Nominating
DISTRICT No. 6—Yale representation will be 2 Delegates and 2 Members Nominating Committee. Of the two Delegates elected last year Dr. A. S. Underhill held
majority preference and will serve two years. Thus one Delegate is to be elected this
year, and Dr. C. J. M. Willoughby is eligible for re-election.
Yale District will elect 1 Delegate and 2 Members to the Nominating Committee.
DISTRICT No. 7—Kootenay representation will be 2 Delegates and 2 Members
Nominating Committee. The Delegates, Drs. J. McMurchy and F. L. Wilson, having
completed a two-year term are eligible for re-election.
Yale District will elect 2 Delegates and 2 Members to the Nominating Committee.
rf-OJi If auk 94^osunatiG+t
In 1948 the Government of Canada established a system of Health Grants to the
Provincial Governments in order to help develop the services in Canada. You are
familiar with all of these grants, but probably the most spectacular one was the Hospital
Construction Grant. However, there was a Health Survey Grant and monies were made
available to every province to conduct a survey and assess their health resources.
Each province conducted its survey in its own way, but in order to have some
uniformity the date of December 31, 1948 was set as the relative time for each survey.
In the Province of British Columbia the Government turned the task over to Dr.
Page 363 G. R. F. Elliot, Assistant Provincial Health Officer, and asked him to conduct the survey
and submit a report. This was done and Dr. Elliot should be commended on the thoroughness of his report. ?^g;
It is desired to make clear to all who read the Health Survey Report that this is
not a statement of Government policy. It represents only the written report of Dr.
Elliot acting on a request from his Minister. There is no doubt it will be seriously studied
by the Government, but it is true to say now that it does not represent Government
policy.  The following is quoted from the Foreword of the report:
"The survey was undertaken as a request under the National Health Grants programme to indicate the breadth and scope of the existing health programme in British
Columbia, while delineating the possible future developments. Funds supplied through
National Health Grants have permitted an accelerated expansion along previously formulated lines, so that already many of the numerous recommendations of this report
have been adopted and introduced in the health services of the Province.
While it has been possible from time to time to present specific proposals for
Ministerial and, where necessary, Cabinet approval, the report as a whole has not been
the subject of study by the Cabinet of British Columbia, and has therefore not yet
received official Government sanction. Thus, it must be clearly understood that the
report reflects the opinions and proposals of officials of the Health Branch, Department
of Health and Welfare, but in no way can be construed as Government policy."
Part VII of the Report is of interest since it seems likely that the Government of
Canada is now contemplating extending their health plan by bringing forward some
new health grants.
Gordon Ferguson.
In accordance with the terms of reference from the Department of National Health
and Welfare for this section request "Recommendations in respect to Province-wide
introduction of hospital and medical care insurance," the following observations and
recommendations are presented.
It is not necessary to elaborate upon the subject of hospital insurance, since compulsory hospital insurance under the British Columbia Hospital Insurance Service came
into effect in this Province on January 1st, 1949. The British Columbia Hospital
Insurance Service is a branch of the Department of Health and Welfare with its own
Deputy Minister, known as the Commissioner, who is responsible to the Minister of
Health and Welfare.
Comprehensive Health Insurance
There is no doubt that there is a great need for the removal of financial deterrents
in the provision of medical care.   This statement, although a fact, becomes a problem
when an attempt is made to bring out recommendations for a Provincial plan which
"would provide comprehensive medical services with no financial  barrier for all the
people in the Province.
One has only to view the experience of the various hospital insurance schemes
and the rising costs since their inception. It would appear that if any hospital insurance
plan is to pay its way, there must be provision in the original plans to cover the possibility of increasing costs of such services.
The Social Welfare Branch, Department of Health and Welfare, has also experienced rapidly rising costs in regard to the provision of medical services for persons in
receipt of various types of social assistance, which service was outlined in Part V of
Page 364 this report. Drugs used in the care of recipients of social assistance in this Province
are also provided by the Social Welfare Branch and present indications are that expenditures will also increase considerably in this regard.
The voluntary health insurance plans mentioned previously in this report have
experienced a similar increase in costs and encounter difficulties in financing their schemes
from time to time.
One must also mention the high level of income enjoyed by the medical profession
not only in this Province, but throughout Canada and the United States. It is an income
that is above all other professions, and the medical profession would naturally be most
reluctant to see this income reduced. It is also a well-known fact that organized
medicine is very much opposed to any health insurance plan which would interefere
with the patient's choice of physician or by any means interfere with the physician's
method of practice or place of practice.
At this state it might be well to refer to "The Quality of Medical Care in a National Health Program" as published by the Sub-committee on Medical Care, American
Public Health Association, 1949:
The 1944 American Public Health Association Statement recommends that "A national plan should
aim to provide comprehensive services for all the people in all areas of the country . . . Services should
be adequately and securely financed through social insurance supplemented by general taxation, or by
general taxation alone. Financing through social insurance alone would result in the exclusion of certain
economic groups and might possibly exclude certain occupational segments of the population." If such
a program, providing service for the entire population, cannot be accomplished at the outset, the plan
should at least aim toward the goal of universal coverage, and this goal should be achieved as rapidly as
Adequate and stable financing is the necessary foundation for a medical care plan of sound structure.
If social insurance is utilized, the maximum financial stability and adequacy is obtained by substantial
supplementation with general tax funds and by coverage which assures the broadest possible spread of
risk and the widest possible share of costs. Differential selection of the best risks by private insurance
agencies (so-called "contracting out") should not be permitted because it would leave the national plan
in an adverse financial position, greatly complicate administration and public participation, and expose
the'program to commercial exploitation.
Financial stability need not depend upon procedure such as "barrier" or extra payments, curtailment
in duration of service and the like, which restrict unduly the scope of medically necessary service. A
nation-wide program, with resources organized for maximum efficiency of service and with payment
methods which permit economy of operation, can achieve a highly stable financial basis. However, some
limitations on drug, dental, hospital or related services will be necessary at least initially, until the medical
and administrative resources of the nation are more adequately developed and more efficiently organized.
Whether the medical care program is financed through social insurance supplemented by general
taxation alone, it is recognized that additional support from general tax funds is necessary for construction
of needed facilities, for professional education, for research and other grants-in-aid, and for similar
functions. Such provisions of a national health program are essential to the achievement of a high quality
of care.
The principles of the above statements are sound, and perhaps somewhere here
may be the answer to comprehensive medical services for all the people without financial
barrier. However, it would appear that perhaps in this Province, which already has a
Province-wide hospital insurance scheme and.complete medical care for recipients of
social assistance, complete health insurance is not no was urgent, particularly when such
additional factors as costs and the medical profession's attitude are taken into consideration.
It is felt, however, that certain general recommendations can be made which will
allow further progress to be made toward comprehensive medical care with no financial
barrier, which, although, likely inevitable, must be approached with much study and
It is therefore recommended:
(1) That comprehensive health insurance be not introduced at present, but receive
further study;
(2) That consideration be given to the introduction of plans which would cover
some medical services and (or) certain groups of the population (see recommendations in following sections); p|j
Page 365 (3)   That in any proposed plan of health insurance Federal assistance be available
through a definite financial formula. pp
The recommendations which follow have not been listed in order of importance,
since it is felt that only after careful study and much research would it be possible
to implement any of these recommendations.
Grace Abbott once said, "Children are our seed corn," and public health pro-1
grammes have always laid particular emphasis on child health.   It may well be that in
developing plans for health insurance, children should be regarded as "seed corn".
The machinery is already present if the Family Allowance administrative set-up j
could be used. There is no doubt that the cost of the medical care of children produces
a hardship on many families, and that this cost is often at the sacrifice of needed medical
care for the parents. Such a scheme would also do much to develop future generations i
who are not only healthy but also cognizant of the value of medical care without
deterrent. This scheme should be all-inclusive in that medical care, drugs, diagnostic
aids, appliances, etc., should be provided. However, dental care should not be included
at its inauguration as sufficient dental faculties are not present.
The method of financing should be contributory by the parents, plus Government
aid. The cost per child of such a scheme will not be discussed in detail, but great care
must be exercised in determining such cost. The medical profession today are in an
enviable position regarding income, and this fact must be taken into consideration when
final costs are established after the necessary consultations and advice have been sought
from the medical profession.
It is therefore recommended:
That consideration be given to the introduction of a comprehensive health
insurance plan to cover children.
This is a field where undoubtedly the cost of medical care could be reduced if
the facilities were available to inaugurate such services.
In the diagnostic-laboratory field the difficulties that would be encountered if there
were an expansion of the present Division of Laboratories of the Provincial Health
Branch have been mentioned in Part III of this report. The cost of clinical-laboratory
work to the average out-patient is not excessive at present, but it is not always satisfactory or reliable. There is an increasing tendency in this Province for poorly trained
technicians to set up clinical laboratories. Unfortunately, such laboratories are used
to some extent. There is, however, strong evidence that organized medicine and its
insurance plans (Medical Services Association and Social Assistance Medical Service) are
taking steps at least not to recognize such laboratories as being acceptable under these
insurance plans.
Some consideration should perhaps be given to having clinical-laboratory diagnosis
carried out in recognized hospital laboratories under competent pathologists or bacteriologists. This is particularly applicable if the recommendation regarding health insurance for children is introduced and is applicable at the present time in the Social
assistance Medical Service plan. Any health insurance plan which uses the taxpayer's
funds should have these funds used where the service purchased is not only the best
but also the most economical. These conditions prevail in the divisions of laboratories
in recognized health departments, and in hospitals with laboratories under competent
supervision. In the case of the latter in this Province, there are no reasons why arrangements as outlined above could not be made with the British Columbia Hospital Insurance Service. *0£
Page 366 Diagnostic Radiology
It is in the field of diagnostic radiology that costs appear to be high and charges
excessive. These excessive charges are, in the main, due to the fact that the equipment
necessary to practise diagnostic radiology is most expensive, so that a large capital
outlay is required by any physician establishing such a practice.
However, it should be possible to substantially reduce charges to the patient by
making greater use of existing services under competent radiologists now present in
many hospitals and even enlarging such departments if found necessary. It would be
necessary to establish reduced fees to the patient, since the system would operate more
satisfactorily on a fee-for-service basis. It is emphasized that the radiologist should be
on salary, as is now in effect in this Province for radiologists practising in hospitals.
It would, in all likelihood, be necessary to subsidize hospital radiology departments
if fees to the patient are to be reduced. The amount of subsidization necessary would
depend on the extent of the reduction in standard fees recommended, and would of
necessity be subject to close yearly review as greater use was made of these diagnostic
services by the practising physician.
It is pointed out that radiologists today in Canada, due to an acute shortage, are
occupying a most enviable position regarding remuneration, and this fact must be taken
into consideration when the cost of diagnostic radiological services is being considered.
It is realized, however, that the pattern for remuneration of radiologists in this Province
may have already been set by the British Columbia Hospital Insurance Service.
Similarly, as in the recommendation for clinical laboratories, any health insurance
scheme using Government funds should be required to use the existing diagnostic
radiology services as outlined above. If this is acceptable, no great difficulty should be
encountered in developing such a programme in this Province.
Some authorities believe that diagnostic services, including both laboratory and
radiology, could best be set up as mdependent units located strategically in the centres
of population. It is felt that this approach is incorrect, since hospitals and health
departments must become more closely integrated, and that this duplication of services
should not be allowed to occur. Equipment is too expensive and skilled personnel are
too few in numbers. The organization of the Blitish Columbia Insurance Service is
established, and it is only logical that if Province-wide diagnostic services are to be
developed that they would be co-ordinated with equipment and personnel already
It will be noted that diagnostic radiology only has been covered in the above
recommendations. Recommendations on radiotherapy for malignancy have been adequately covered in the report "Care of the Cancer Patient with Special Reference to the
Province of British Columbia," by Dr. O. H. Warwick. Reference to this survey is
made in Part III of this report in the section on the Bureau of Special Preventive and
Treatment Service.
It is therefore recommended:
That serious consideration be given to the introduction of a subsidized plan
of diagnostic services (laboratory and radiology), and that the centres recognized by the British Columbia Hospital Insurance Service be used for this plan.
One of the major reasons for the increasing cost of medical care today is the cost
of drugs and allied products, but it is somewhat difficult to determine how this problem
can be met. It is realized that in the field of medicine today more and more expensive
drugs are being put on the market, and the practising physician has in the majority of
instances little recourse other than to use these newer preparations. The experience of
th Social Welfare Branch in the provision of drugs for recipients of social assistance
is evidence of the increase in the cost of drugs.
Page 367 In any form of health insurance where Government funds are being used, whether
it be for recipients of social assistance, children, or everyone, some consideration must
be given by the Government not only to the provision of drugs, but also to what drugs
can be approved under a health insurance scheme. It is felt that some definite recommendations can be made in regard to the provisions of drugs, but it should be emphasized
that these recommendations apply only in those instances where Government funds are
being used at present.
It has already been well established in this Province in the various divisions of the
Provincial Health Branch that a tremendous saving results when it is possible to purchase
drugs direct from the manufacturer. This is particularly marked in such preparations
as the antibiotics, vitamin preparations, analgesics, and biological products, to mention
a few.
Consideration should therefore be given to a plan whereby the Government would
purchase direct from the manufacturer certain drugs which would be supplied to the
people covered by any healtji insurance plan. Strong opposition to such a plan, however,
must be taken as a matter of course.
It would not likely be possible or advisable initially to dispense all drugs and biological products in such a manner, but those products previously mentioned as already
purchased by the Government direct from the manufacturer might be the ones handled
at first. Certain minor problems regarding distribution would have to be solved. In
the larger centres it might be necessary to have one central distributing centre. This
would not require a qualified pharmacist if compounding of prescriptions were not carried out, but adequate medical supervision would be required. A delivery system in
large centres might also be necessary, but the saving in the cost of drugs would more
than offset this added cost. In the rural areas there does not appear to be any reason why
the directors of the health units could not administer this service.
As pointed out previously, such a system should- be inaugurated for any health
insurance scheme where Government funds are used for the purchase of drugs and
allied products. The use of such a system would be compulsory for all individuals for
whom drugs are provided completely or partially by Government funds. It should be
introduced now for any Government health insurance scheme in effect, including the
Social Assistance Medical Service.
It is therefore recommended:
That immediate consideration be given to assuring that wherever Government
funds are used at present for the purchase of drugs or allied products, these
purchases be made direct from the manufacturer.
One cannot but feel that the day is approaching when comprehensive medical care
without financial deterrent will be an actuality in this Province. Such a programme,
however, should be introduced gradually, service by service, as the demand of the people
increases and financial support is forthcoming.
Assuming it is accepted that health insurance should be introduced gradually
through the provision of health insurance for children, diagnostic laboratory and
radiology services, and drugs and allied products, a fourth possibility as a further step
toward comprehensive health insurance might be the provision of specialist services.
This principle has already been established in this Province in the fields of cancer, tuberculosis, venereal diseases, and mental diseases in that specialized physicians in these fields
give consultative services on the request of attending physician. In addition, there are
indications that similar consultative services could be extended to the field of arthritis
through the programme of the Canadian Arthritis and Rheumatism Society (British
Columbia Division )as well as to such fields as geriatrics, paediatrics, and dermatology.
These services would be supplied by top-level specialists in their chosen fields, who
would be given an official appointment in the Provincial Health Branch.  The consult-
Page 368 ants should also have an appointment in the Faculty of Medicine, University of British
Columbia, and be on the staff of the teaching hospitals in this Province when these
facilities are organized. Payment to the consultants by the Provincial Health Branch
would in all likelihood be on a part-time retaining-fee basis. There should be no charge
to the patient.
The services and advice of these specialists should be available either by personal
consultation on referral by the attending physician or by correspondence with the
attending physician. There would be no obligation on the part of the attending physician to use such consultative services, and all requests would be made purely on a
voluntary basis. The service would not, perhaps, be widely accepted in the urban centres
at first, but it is felt that is would become popular very rapidly in the rural areas where
specialist services in many of the minor specialties are not present.
It is therefore recommended:
That as the need becomes apparent, specialist services, similar to those in effect
in such fields as venereal diseases, tuberculosis, and cancer, be extended to other
It is pointed out in an earlier section of this part of the report that although it is
realized a plan for comprehensive health insurance is needed, it does not seem feasible
or possible to make recommendations for such a plan at the present time. A gradual
increase in the services provided under hearth insurance has thus been recommended.
It should be noted, however, that a plan for comprehensive health insurance for
a community has been suggested by the Medical Services Association, a voluntary health
insurance organization in British Columbia, whose operations are outlined in Part V of.
this report. A brochure entitled "Report on Community Enrolment" gives detailed
information regarding the plan suggested for a particular community..
The community discussed in this outline has a population of approximately 35,000
As will be noted in the presentation, it would appear that to introduce a complete
community enrolment in order to give comprehensive health insurance as offered by the
Medical Services Association, a subsidy for some 4.200 inhabitants would be required.
The balance of the residents, it is expected, would be able to participate in the plan on
joint employer-employee contributions, as is now in effect in the Medical Services
Association programme.
This plan for community enrolment has the advantage that the medical profession
is naturally whole-heartedly in favour of same. It is, in fact, their plan, as the Medical
Services Association is a non-profit organization approved by the physicians of British
Columbia to provide group medical care.
One disadvantage is that although in a population of about 35,000 it would appear
that a subsidy of approximately $50,000 per year would give complete coverage; this
is only in one area surveyed in the Province. As this area is primarily industrial, it is
likely that the cost would be greater in some of the less industrialized areas. Certainly
organization would be more difficult.
In addition, this estimate has been made in a time of current prosperity. In times
not so prosperous, one would undoubtedly find that a larger and larger subsidy would
be required from the Government for such a plan. It must also be pointed out that
experience to date has shown that any contract that a government has with organized
medicine for medical care has only one experience with regard to finances, and that is
upward. The plan proposed by the Medical Services Association would therefore require
a close working relationship between the Provincial Government and organized medicine,
and the Government would of necessity require strong representation on the Medical
Services Association board of directors.
It is felt, however, that this programme should be presented in this report. It is
at least worthy of serious study, and certainly offers a plan that is acceptable to the
Page 369 medical profession. It is also to be noted that the Medical Services Association recommends the introduction of this community enrolment plan in a pilot area only at first.
The suggested area has been studied, and if the subsidy were available, it would be possible to proceed with such a pilot study.
This suggested plan for comprehensive health insurance is being presented not as
a clear-cut recommendation, but rather as one which has definite possibilities although
requiring a good deal of closer study by the Government.
It is therefore recommended:
That further close study be given to the Medical Services Association pilot plan
entitled "Report on Community Enrolment."
G. F. AMYOT, M.D., D.P.H.,
Deputy Minister of Health, Province of British Columbia
A. M. GEE, M.D.,
Director, Mental Health Services, Province of British Columbia
J|l948 - 1953
A net increase of 4,884 hospital beds of all types is the result of the hospital construction which has taken place during the past five years in British Columbia and the
construction at present under way. Included in this figure are 2,415 acute, 383 chronic,
1,854 mental and 232 tuberculosis beds.
The distribution of these additional beds by health unit area and type of care is
given in the table below. Where present indications are that construction will commence
during 1953, the number of beds resulting from such construction has been included
Page 370 as proposed construction. The number of proposed beds included in the net gain figures
in this table is 539 acute, 206 chronic, 228 mental and 51 tuberculosis.
Construction of additional beds for acute care has taken place in practically all
health unit areas of the province. When construction actually under way is taken into
consideration, there are only two areas where there is no increase in acute beds, namely,
Kootenay Lake and Saanich and South Vancouver Island. Only two projects, Mount St.
Francis, Nelson, and Western Society for Rehabilitation, Vancouver, for additional
chronic beds have been completed. Construction is proposed for the Western Society
for Rehabilitation, Queen Alexandra Solarium and Victoria Nursing Home. With the
exception of the Vancouver Preventorium, construction of tuberculosis and mental beds
are additions to the existing Provincial Government services.
The Federal and Provincial Governments contribute towards the cost of construction of acute and chronic beds up to a maximum of one-third each of the total cost.
The remainder is assumed by the municipality and the community. The Federal Government assumes the same proportion of the cost of construction of mental and tuberculosis beds, and the Provincial Government assumes the remainder. The only exception
is the proposed construction at the Vancouver Preventorium which will be financed by
funds supplied by the Preventorium in addition to the government grants.
Health Unit Area
Total All Types
East Kootenay Acute
Kootenay Lake Chronic
West Kootenay Acute
North   Okanagan Acute
South Okanagan Acute
South Central ___Acute
Upper Eraser Valley Acute
North Fraser Valley Acute
Boundary Acute
Simon Fraser . Acute
Gibson's-Howe  Sound Acute
Saanich & South Vane. Is._
Central Vane Island = Acute
Upper Island Acute
Cariboo Acute
Skeena .Mental
Peace River -Acute
Vancouver Metropolitan .Tuberculosis
Victoria-Esquimalt .Acute
Net Gain
and Proposed
- —
*  11
April 10th, 1953.
To the Members, College of Physicians and Surgeons of B.C.
Dear Fellow Members:
A short follow-up to our last letter will re-emphasize some of our problems.
It would be possible to cite very many instances in which the Doctors reports were
We are most anxious to complete workmen's claims as quickly as possible. It is
essential to have all the necessary information before we can accept a claim and assume
responsibility for a workman's care.
I have been amazed to say the least with the incompleteness of many forms. I have
opened the first file in front of me and have looked at the Surgeon's First Report, form
8. This was picked at random. The workman's age is not indicated. The writing is
difficult to read (and in some claims it is impossible to decipher). The first question
about previous physical defects is unanswered. In many claims the Doctor has seen
the patient before and has a previous claim number but has simply indicated a previous
injury, but has not indicated the previous claim number.
Questions 8 and 9 are unanswered and in this case it might be considered unneces--
sary to answer. Under almost all circumstances every question must have some indication of consideration.
A number of form 8's have been seen and the answer to question four "State nature
of injury", has been "back strain". I am sure it is impossible to accept such a statement
as adequate.  It does not indicate location, side, severity of strain nor any examination.
In the absence of adequate information with reference to examination it is difficult
for us to be sure the treatment advised is appropriate or necessary. If the case is a back
strain where physiotherapy is required it is most important that a further request for
treatment after a two week period be made and permission obtained to continue the
treatment if the case is outside of Vancouver, and is being treated by a private physiotherapist.
Recently a file was brought to my attention. It contained five consecutive progress
reports, form ll's, and the first question on all these forms was answered by a single
word "improving".
We are most anxious to cooperate to the full with the practicing physicians and
hope they will continue to assist us in the handling of our mutual problems with fewer
annoying episodes.
A "seed is being Cast upon the waters" and if you have any problems that might
be discussed, or questions that I might answer which would be of interest to the profession at large, a request from any of you would be very much appreciated.
With the very kindest of personal regards to you all, I remain
Sincerely yours,
J. R. Naden, M.D.,
Chief Medical Officer.
Page 372 n
ewd an
d Notes
Dr. Max Avren has left Victoria, B.C. and is now residing in Winnipeg, where he
is doing postgraduate studies in Pathology at Dear Lodge Hospital.
Dr. J. G. Colbert has returned from England and is now associated with the C. S.
Williams Clinic at Trail, B.C.
Dr. Doreen M. Davidson of Vancouver is doing postgraduate work at the Royal
Hospital in Wolverhampton, England.
' Dr. B. J. Hallowes has turned his practice over to Dr. A. J. Tripp.  Dr. Hallowes
is now residing at Saturna Island, B.C.
Dr. Robt. A. Laidlaw has returned to Vancouver from Los Angeles and will once
again practise in British Columbia.-
Drs. H. J. and J. van Norden will begin a joint practise on May 1st, at 2021
East 49th Ave., Vancouver, B.C.
Dr. N. F. Wishlow has moved from Lethbridge to begin practising in Chilliwack,
British Columbia.
Dr. W. Wolochow is now practising in the Broadway medical district of Vancouver.
Dr. M. C. Atnikov is now associated with Dr. H. B. MacEwen in New Westminster.
Dr. Ernest A. Campbell was elected a Fellow of the American Psychiatric Association at their national annual convention held in Los Angeles recently.
Travellers to Atlantic City for the recent meeting of the American College of
Physicians included Drs. G. F. Strong, B. Moscovitch, J. Caldwell, C. E. BYoww and
/. L. McMillan of Vancouver; Dr. T. McMurtry of Vernon and Dr. J. Marguluis of New
Dr. W. Lindsay Sharp was married on February 13 th to Miss Margaret Louise White
of Fredericton, New Brunswick, and is now residing in West Vancouver, where Dr.
Sharp is in Practise in Internal Medicine. Dr. Sharp has recently been awarded his
To Dr. and Mrs. L. C. Kindree of Squamish, a daughter.
To Dr. and Mrs. C. E. Cook of Vancouver, a son.
To Dr. and Mrs. W. A. Folk of Victoria, a son. EM
To Dr. and Mrs. R. Spicer of Victoria, a son.
To Dr. and Mrs. Vincent Smith of Victoria, a son.
To Dr. and Mrs. C. B. Henderson of Vancouver, a son.
Born to Dr. and Mrs. A. J. Beauchamp, of Nelson, a son.
For an area in Northern British Columbia on main line of
Canadian National Railways. Doctor's practice would include two
farming communities as well as two Indian reserves and an Indian
residential school. Full particulars as to. grants available from
government departments and available living quarters on request.
Enquiries should be directed to the Secretary, Fraser Lake Women's
Institute, Fraser Lake, B.C.
Communications to the Laity on Medical Subjects ^0%
All opinions on medical subjects which are communicated to the laity by any
medium, whether it be a public meeting, the lay press, or radio, should be presented as
from some organized and recognized medical society or association, and not from an
individual physician. Such opinions should represent what is the generally accepted
opinions of the medical profession.
"Discussion in the lay press on ^disputed points of pathology or treatment should
be avoided by physicians; such issues find their appropriate opportunity in the professional societies and the medical journals."    (British Medical Association's Decisions.)
"The practice of medical practitioners taking charge of columns in which answers I
to correspondents on medical questions are printed, is highly detrimental to the public
interest and most improper from a professional point of view."   (British Medical Association's Decisions.)
A physician acting in a public capacity (e.g.) a Health Officer, may issue to the
public warnings or notices regarding public health matters under his own name.
Radio Broadcasting
It is legitimate and even desirable that topics relating both to medical science and
policy and to public health and welfare should be discussed by physicians who can
speak with authority on the question at issue. In any medium of discussion,, but especially in radio broadcasting because of its vast range, it is essential that the physician
who takes part should avoid methods which tend to his personal professional advantage.
Not only should he personally observe this rule, but he should take care that the
announcer in introducing him makes no laudatory comments and no unnecessary display
of the physician's medical qualifications and appointments. There is a special claim that
physicians of established position and authority should observe these conditions, for
their example must necessarily influence the action of their less recognized colleagues.
These remarks apply particularly to practising physicians. A physician serving in a
public capacity is in a different position but even he should see to it that it is his office,
rather than himself that is exalted.
live by the old ethics and the classical rules of honesty."
-Sir Thomas Browne.
Of the Duties of the Profession to the Public
The vision of the good physician should reach beyond the welfare and cure of
humanity. The New Medicine is social as well as clinical, with new ways of distribution to the needs of the people. The New Medicine asks how the utmost possible in
service can be made most widely and instantly available, reaching beyond those who
ask to those who need but do not ask, and to those who need yet do not know they
need. Any wastage of health or life anywhere is a challenge to our profession. Our
public health measures local and general, are practical humanitarianism, influences for
face improvement as potent as the world has known. Every physician, whatever his
special training, should be officially or unofficially a servant of the State for the betterment of health. It is our privilege to be preventers of disease as well as curers, statesmen and ambassadors of health, planners of new worlds, counsellors of the people of
a new day.
Of the Relations of Physicians In and With Hospitals
The modern hospital is a new element in the care of the sick and may not yet have
become rightly adjusted in all its relations. Mutual, understanding and co-operation
between the profession and the hospitals are most essential.
Inasmuch as the positions held by members of the honorary attending staff give
them unique opportunities for enlarging knowledge, such positions should be held as
Page 374 a trust for the advancement and teaching of medical science and for the general good
of the community.
A physician may rightly apply for such an appointment but should not canvass
for it. An appointment should never be given on account of party or favoritism but
solely on account of professional standing,industry , the spirit of co-operation and the
ability and willingness to teach.
The Board of Management of a hospital has no right to dispose of the free services
of physicians except as approved by the organized profession. It is the duty of hospital
boards or executives to see that the free services of physicians are not asked for, or
given to, or exploited for those who can and should pay, or for whom payment should
be made.
"While "God's Poor" should always be cared for with charity it should be understood that the physician gives his services as an act of courtesy but not of obligation.
General Principles
Any general medical service for a nation should aim to prevent no less than to
cure disease, guard individual choice of doctor, provide consultant and specialist service,
demand from the profession regulation of the quality of professional services, interpose
as little as possible between doctor and patient, advise with the organized profession and,
if possible, arrange for nursing and hospital care.
Everything that can be urged rightly for the advance of medicine or for the
higher ideals and higher standing of the profession of medicine is, in the long run, for
the greater good of the whole community.
It is the Art and Mission of Medicine to take all that is known in fact and science
and to apply it skilfully, wisely, gratefully and beautifully to the needs of sick people,
and to the ways of life for men and nations.
"Though a cup of water from one hand may not be without its reward, yet stick not thou for
Wine and Oil for the wounds of Distressed." —Sir Thomas Browne.
L^anada 6   iVIodt   Ulniaue iKedorl
A glorious vacation adventure awaits you . . . An entire privately-owned
island exclusively your holiday domain. Miles of enchanting trails, colorful
shoreline, hidden coves and lovely beaches ... all inviting exploration. ,
Deluxe cottage accommodations. Perfect for families. Informality. Excellent salmon fishing.   Guides and_boats.   Yacht basin.   Recreational activities.
Write today for color folder.  Early reservations advisable.
c/o GANGES, B.C.
David B. Conover, Mgr.
lYz hr. scenic drive from Victoria — Princess Elaine from Vancouver
or direct plane service.
Many professional men in Canada have provided for the future
by a method that does not require a great deal of money per
month or per year to build up. . . .
^ A Retirement Fund for themselves.
^ An Educational Fund for their children.
^ An Endowment Fund for their grandchildren.
It is now possible for you to establish a personalized pension
fund, tailored to your own requirements. To illustrate—$100.00
per month invested over a period of 25 years, should grow to
a value that would allow the withdrawal Of $542.80 per month
over the following 25-year period.
Your request for information—by phone—or addressed to
G. J. Vaux, R. J. Broad or J. W. Graham
of this firm, will be answered at once by ■mail.
PAcific 9521
Page 376


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