BULLETIN OF The Vancouver Medical Association EDITOR: DR. J. H. MacDERMOT EDITORIAL BOARD DR. D. E. H. CLEVELAND DR. J. H. B. GRANT DR. H. A. DesBRISAY DR. D. A. STEELE Publisher and Advertising Manager W. E. G. MACDONALD Sl^ 'Jjjg&i VOL. XXVI SEPTEMBER, 1950 NUMBER 12 OFFICERS 1950-51 Db. Henry Scott Db. J. C. Grimson Dr. W. J. Dorrance President Vice-President Past President Dr. Gobdon Burke Db. E. O. McCoy Hon. Treasurer Hon. Secretary Additional Members of Executive: '$M* Dr. J. H. Black Db. D. S. Munboe TRUSTEES Db. G. H. Clement Db. A. C. Fbost Db. Mubbay Blair Auditors: Messrs. Plommeb, Whiting & Co. SECTIONS Eye, Ear, Nose and Throat Dr. N. J. Blair. Chairman Dr. B. W. Tanton Secretary Paediatric Dr. J. R. Davies Chairman Dr. C. J. Tbeffby Secretary Orthopaedic and Traumatic Surgery Dr. D. E. Stabb Chairman Db. A. S. McConkey. Secretary Neurology and Psychiatry Db. F. E. McNaib Chairman Db. R. Whitman Secretary Radiology Db. Andbew Tubnbull Chairman Db. W. L. Sloan Secretary |§J STANDING COMMITTEES Library: Db. E. Fbance Wobd, Chairman; Db. A. F. Habdyment, Secretary; Db. F. S. Hobbs, Db. J. L. Pabnell, Db. S. E. C. Tubvey, Db. J. E. Walkeb Co-ordination of Medical Meetings Committee: Db. R. A. Stanley. Chairman Db. W. E. Austin.' Secretary Summer School: Db. E. A. Campbell, Chairman; Db. Gobdon C. Laege, Secretary; Db. A. C. Gabdneb Fbost; Dr. Peter Lehmann; Dr. J. H. Black; Dr. B. T. H. Marteinsson. Medical Economics: Dr. F. L. Skinner, Chairman; Dr. E. C. McCoy, Dr. T: R. Sarjeant, Dr. W. L. Sloan, Dr. J. A. Ganshorn, Dr. E. A: Jones, Dr. G. Clement. Credentials: Dr. G. A. Davidson, Dr. Gordon C. Johnston, Dr. W. J. Dorrance Special Committee—Public Relations: Db. Gordon C. Johnston, Chairman; Dr. J. L. Parnell, Dr. F. L. Skinner Representative to B. C. Medical Association: Db. W. J. Doebance Representative to V.OhN. Advisory Board: Db. Isabel Day Representative to Greater Vancouver Health League: Db. L. A. Patterson l-ffji j! ^rndicatecl in: Cardiac dropsy, hypertensive heart pain, and following coronary thrombosis. ^Arvailable ad: C.T. No. 691 Theobarb Containing: Theobromine 5 grs. Neurobarb V2 Qf. (Pheonbarbital) Sod. Bicarb. > 5 grs. C.T. No. 691A Theobarb Mild Containing: Theobromine 5 grs. Neurobarb .— Vi gr. (Phenobarbital) Sod. Bicarb. » 5 grs. C.T. No. 694 Theobarb-Calcium Containing: Theobromine 5 grs. Neurobarb. Vi gr. (Phenobarbital) Calcium Carbonate .._> 5 grs. This sodium-free tablet is especially indicated in cardiac edema. Packaged in bottles of 100, 500 and 1,000 LEWORTH CHEMICAL CO. LTD., TORONTO, CANADA AN ALL CANADIAN COMPANY . . . SINCE 1879 Representatives: Mr. V. Garnham, 3228'West 34th Avenue, Vancouver, B.C. Mr. F. R. Clayden, 3937 West 34th Avenue, Vancouver, B.C. VANCOUVER MEDICAL ASSOCIATION PROGRAMME FOR THE FIFTY-THIRD ANNUAL SESSION (Fall Season) Founded 1898; Incorporated 1906. OCTOBER 3rd—GENERAL MEETING—Speaker: Professor G. W. Pickering, Professor of Medicine, University of London. Subject: "Pain in Peptic Ulcer." NOVEMBER 7th—GENERAL MEETING—Speaker: Mr. L. Detwiller, Commissioner British Columbia Hospital Insurance. Also time devoted to MedicaL Economics. NOVEMBER—ANNUAL DINNER (date and place to be announced). DECEMBER 5th—GENERAL MEETING—Speaker: Dr. Sydney M. Friedman, Professor and Head of the Department of Anatomy, University of British Columbia. All General Meetings will be held in the Auditorium, British Columbia Tuberculosis Institute. CLINICAL MEETINGS, which members of the Vancouver Medical Association are invited to attend, will be held each month as follows: SECOND TUESDAY—SHAUGHNESSY HOSPITAL. THIRD TUESDAY—ST. PAUL'S HOSPITAL. FOURTH TUESDAY—VANCOUVER GENERAL HOSPITAL. FIFTH TUESDAY (when one occurs in the month)—CHILDREN'S HOSPITAL. Notice and programme of all meetings will be circularized as usual by the Executive Office of the Association. $| THE BULLETIN Publishing and Business Office— 17-675 Davie Street,'Vancouver, B.C. Editorial Office — 203 Medical-Dental Building, Vancouver, B.C. The Bulletin of the Vancouver Medical Association is published on the first of each month. Closing Date for articles is the 10th of the month preceding date of issue. Manuscripts must be typewritten, double spaced and the original copy. Reprints must be ordered within 15 days after the appearance of the article in question, direct from the Publisher. Quotations on request. Advertisements Closing Date for advertisements is the 10th of the month preceding date of issue. Advertising Rates on Request. NARAMATA SCHOOL FOR GIRLS Grades 1 to 9 NARAMATA, B. C. A successful Boarding School for Junior Girls situated on the Okanagan Lake. The most healthful climate for growing girls. Individual instruction in school work. Recreational life includes riding, swimming, tennis and skating. Prospectus on Request Page 297 ih § Vasoconstriction g: combined with antibiotic therapy in NEO-SYNEPHRINE (brand of phenylephrine) with CRYSTALLINE PENICILLIN In upper respiratory tract infections, topical application of penicillin to the nasal cavity has a decided bacteriostatic action against typical respiratory pathogenic microorganisms. To provide clear passage for-such therapy, Neo-Synephrine is combined with penicillin— shrinking engorged mucous membranes and allowing free access of the antibiotic. Neo-Synephrine—a potent vasoconstrictor— does not lose its effectiveness on repeated application ... is notable for relative freedom from sting and absence of compensatory congestion. NEO-SYNEPHRINE with CRYSTALLINE PENICILLIN Stable • Full Potency Supplied in combination package for preparing 10 cc. ot a fresh buffered solution containing Neo-Synephrine hydrochloride 0.25% and Penicillin 5000 units per cc. New York 13, N. Y. Windsor. Ont. Neo-Synephrine, trademark reg. U. S. & Canada 443 SANDWICH STREET WEST, WINDSOR, ONTARIO ■& f»\ ^L /

I«* °f thorough cooking and d»«g, «**£ *** <%*ted. It is paiatetre, convert^* t**1* economical to use. MQUIRES NO COOKtNO 8*D John so v * C«-j PABENA... precooked oatmeal specified by physicians PABENA* is oatmeal, and has the rich, full oatmeal flavor. Its nutritional qualities and its vitamin and mineral content are similar to those of Pablum.* PABENA is valuable for infants and children who are sensitive to wheat, and is an ideal first solid food. PABENA, like all Mead's products, is advertised only to the medical profession. *T. M. Beg. i ■ I NsMta.™**.....* EACH TEASPOONFUL (4 cc.) CONTAINS V Thiamine 5 mg. V Riboflavin 1.0 mg. V Niacin 5.0 mg. V *Pyridoxine 5 mg. V *d-Pantothenic Acid 2.5 mg. V *Biotin 004 mg. Also contains significant amounts of the lesser known factors as found in rice bran extract. *The significance of these vitamins in human nutrition is not yet established. ELIXIR B-COMPLEX B-PLEX fcv.tarodTN4.MMk Cafergone (E.C. 110) Oral Migraine Therapy ► I I I CAFERGONE is the first highly effective oral preparation providing rapid and sure relief to the migraine sufferer. Each tablet contains: 1 mg. ergotamine tartrate 100 mg. caffeine (Free Base). . i . "Practically all of the patients in this series had previously used ergotamine tartrate to abort or relieve headache and they uniformly stated that E.C. 110 was more effective than ergota- mine used alone1'' . . . {Horton, Ryan & Reynolds, Proc. Staff Meet., Mayo Clin., 23:105,1948). . . . "Although E.C. 110 (CAFERGONE) was developed primarily for the relief of the migraine attack, it is uniformly effective and has a much wider range of usefulness in the relief of headache of all other types, especially typical and atypical histaminic cephalgia" . . . {Hansel, Ann. Allergy, 6: 155 — 16h 1949). . . . "CAFERGONE . . . definitely seems to be an excellent preparation to use to abort headaches, especially those of the migraine and histaminic cephalgia types" . . . {Ryan, Postgrad. Med., 5: 330, 1949). Literature and samples available on request, SANDOZ PHARMACEUTICALS LTD. SANDOZ «-s 391 ST- JAMES STREET WEST MONTREAL, P.Q. non-caloric sweetener stays sweet §:. . . even in cooking, baking, canning NOTE IE NAME SODIUM If ith SUCARYL Sodium, Abbott's new non-caloric sweetening tablets, your diabetic and reducing patients will have immeasurably greater freedom in menu-planning—for now even those foods prepared by cooking, baking or canning can be sweetened without adding forbidden calories or carbohydrates. And whether used in cooking, or simply added to hot or iced drinks, SUCARYL has no b/ffer after-taste when used in reasonable amounts. Reports of clinical trials convey the enthusiasm with which patients have accepted SUCARYL. They not only welcome its wide range of uses as contrasted with saccharin, which loses its sweetness in cooking processes, but are virtually unanimous in their preference for the taste of SUCARYL. Each eighth-gram tablet of SUCARYL Sodium is equivalent in sweetening power to one teaspoonful of sugar. Tablets are effervescent to shorten dissolving time, grooved for easy separation to suit individual tastes. Supplied in bottles of 100 tablets, at pharmacies only. TRADE MARK (CYCLAMATE SODIUM, ABBOTT) • Non-caloric sweetener for Diabetic and low-calorie diets ABBOTT LABORATORIES LIMITED - MONTREAL Naturally . j • the Product of Choke VIBELAN B.D.H THE ENTIRE VITAMIN B COMPLEX (unfortified) "Not primarily because of the content of thiamine, niacin and riboflavin but rather as a source of other B Complex nutrients not yet synthesised"—Jolliffe, Norman, J.A.M.A. 129:9, 613. Each daily dose of three teaspoonfuls of Vibelan B.D.H. represents proportionate amounts of all the factors normally found in the following natural sources:— and is standardised to contain: Rice Bran.... 300Gms. Thiamine Natural... 1.80 mgm. Fresh Liver... 15 Gms. Riboflavin Natural... 2.25 mgm. Brewers' Yeast 3 Gms. Nicotinamide Natural 15.0 mgm. DOSE: One teaspoonful three times a day. Issued in bottles of 4 and 16 fluid ounces THE BRITISH I DRUG HOUSES (CANADA) LIMITED f TORONTO CANADA 5-50B JfrcZZ- jfi»t QiuctC yZjUe/t&KCZ * vv QUESTRIN ^COMPOUND The product with J the PLUS factors Treatment of oestrogen deficiency symptoms with Questrin Compound presents several advantages: • The addition of vitamin B complex assures adequate concentration of B factors which are essential for the full capacity of the liver to metabolize oestrogenic hormones. • Questrin Compound contains natural oestrogenic hormones. • Questrin Compound is orally active, readily absorbed and rapidly effective. "QUESTRIN" COMPOUND 10 M "QUESTRIN" COMPOUND 5 M &CT. No. 430 'Satf S.C.T. No. 429 "Sort Coloured Pink Coloured Orange Each tablet contains: Questrin, equivalent to the §p*$. Each tablet contains: activity of Questrin, equivalent to the activity of sodium oestrone sulphate 1.25 mg. sodium oestrone sulphate.... 0.625 mg. plus plus Brewer's yeast concentrate.... 100 mg. the same factors listed under Thiamine HO 3 mg. S.C.T. No. 430 Riboflavin 2 mg. Niacinamide 10 mg. DOSE Pyridoxine HCI 1 mg. 1 to 3 tablets daily. Calcium d-pantothenate 5 mg. Ascorbic add 25 mg. MODES OF ISSUE Vitamin D 500 LU. Bottles of 20 and 100 tablets. *"QUESTR1N"—"SmmT brand of naturally occurring, orally active, water soluble, oestrogenic conjugates (equine), standardized colori metrically and by ^J^gj^z^ biological assay. Charte* &§r*o*st&&>. MONTREAL CANADA GttOO&t ) \\ OSTOCO" DROPS An Aqueous Preparation W MULTI-VITAMIN THERAPY INFANTS and CHILDREN OSTOCO DROPS contain vitamins A, D, B, and C which aid growth and normal function of the body, together with Iodine for prophylaxis against Iodine deficiency. DIRECTIONS FORMULA Infants — 5 to 10 Ostoco Drops (0.25 to Each cc contains: 0.5 cc) from precision dropper added to Vitamin A 8,000 Int. units one feeding bottle of the day's supply. Vitamin D 4,000 Int. units when cool. Shake well and use this bottle Vitamin Bi 4 mg. for the next feeding. Vitamin C...... .* 120 mg! Children— 5 to 10 Ostoco Drops (0.25 to *Niadnamide 10 mg. 0.5 cc) daily, mixed thoroughly in a glass- Sodium iodide 0.02 mg. ful of milk or cocoa. *Not dedared on label. If desired Ostoco Drops may be administered directly into the mouth. MODES OF ISSUE Bottles of 8, 15 and 30 cc with precision dropper. ekvik* §.3ttxttt&&>. MONTREAL CANADA ifiSL tfheA*t M/M/Vf/ISAMHEAP pjfers& McKenna & Monism Limited Bmf&giccft and Pharmaceutical Chemists Montreal Canada: NOW...in Chemotherapy of tuberculosis Streptomycin Calcium Chloride Complex Merck PAS Para-Aminosalicylic Acid Merck (and the Sodium Salt) Dihydrostreptomycin Sulfate Merck MERCK & CO. LIMITED MONTREAL * TORONTO • VAllEYFIELD Merck Antituberculosis Agents Streptomycin Calcium Chloride Complex Merck PAS Pa ra-A m in osa I i c y I i c Acid Merck (and the Sodium Salt) D i h ydro *t rept e mycin ■ Sulfate Merck Clinical experiences have demonstrated that the administration of xanthines |RaS double coronary^cfifculation and allow a greater amountj^(^rl^fcMbe#erformed. tach CBlftV® ss»4 fcttfcl art***' «^#ttt ^6» ;>\ Att fofl»«ftfte ?tf jWS^tt* »»MMS> (tt-tt 1*1 6«0 So4\utn 6\oav« Bo*e' tf oOW_ tf- M* fft. ROUGIER FRERES, 350 Le Moyne Street, MONTREAL (1) An average can of SWIFTS STRAINED PORK gives babi/allthis/ 28% IRON R.D.A/ 55% NIACIN R.D.A.* 45% PROTEIN R.D.A.* 46% THIAMINE R.D.A. 337 RIBOFLAVIN R.D.A.* ats^Babiesh PIUS! 75% of the phosphorus* and 12% of the calories baby requires every day. Current Clinical Meat Feeding Studies REPORT No. 5 EFFECT OF MEAT IN THE DIET OF A LARGE GROUP OF INSTITUTIONALIZED CHILDREN This study was established to investigate the effects of including Swift's Strained Meat in the infants' diet for periods of at least a year in length. Numerous observations have been made and the results are being tabulated to obtain information on the relationship of dietary meat to growth, blood composition, incidence and severity of infections, and general well-being of infants. This study is part of an extensive clinical research program now being conducted through grants-in-aid made by Swift's. Baby's limited capacity demands that foods in his diet be qualitatively and quantitatively high in essential nutrients. Meat is such a food. That's why so many doctors recommend a daily serving of Swift's Meats for Babies early in life. Excellent Protein Source All Swift's Meats for Babies offer an excellent source of complete, high-quality proteins and iron. These nutrients are all required by infants in optimum amounts every day. Six Meats for Variety To help establish nutritionally sound eating habits, Swift's offer a complete variety — in either Strained or Diced form —beef, lamb, pork, veal, liver, heart. All six, 100% meat, are trimmed to reduce fat content to a minimum. All are carefully cooked, ready to serve. *3}4 ounces, approximately 700 gm. per can. All approximate percentage figures above based on Recommended Dietary Allowances of National Research Council for an infant under one year, except figurefor phosphorus, which is based on TJ. S. Food and Drug Minimum Daily Requirement for a one-year-old baby. Note: Protein percentage applies for infant under one year weighing 22 pounds. The above figures will necessarily vary according to natural variances in meat. All nutritional statements ntade in this advertisement are _ accepted by the Council on Foods and Nutrition of the American Medical Association. 5WI FT... /bre/nosf/tame /Wmea/s .. rifcsf/b Jere/ef a/to*c///r/ca//y test /00% /tfea/s Ar8a6/es g^^>.^^;-^::v^y^v-^^^^^::Mj^^raH; if m *M NllLfe oxteW m Mll# ,F Hi*! Six physicians' helpers, qualified — every one! 1 DRYCO . . . an easily digested, vitamin fortified infant food, which hastens recovery of birth weight, and supplies optimum nutrition during the early months of most rapid growth. Because of its high protein, low fat and moderate carbohydrate content, Dryco enables you to prescribe a formula with a wide range of adjustment for the special as well as the normal feeding case. 2C.M.P. PROTEIN MILK ... a high- protein, lowered fat and low carbohydrate acidified milk. It has been used with great success for infant feeding in cases of diarrhoea in the bottle fed infant, dyspepsia, malnutrition due to gastro-intestinal disturbances, coeliac disease, and as a feeding for the premature infant when breast milk is not available. 3 CM. P. LACTIC ACID MILK ... is spray-dried pasteurized milk inoculated with a culture of lactic acid bacilli and incubated to a definite acidity. CMP. Lactic Acid Milk has all the excellent qualities of the freshly prepared product, and in addition is uniform and stable. It is easily and quickly reliquefied for instant use. A MULL-SOY ... an emulsified soy ^* bean food used as a replacement for milk in cases of milk allergy in infants, children and adults. It is palatable, well-tolerated and easy to digest. Mull-Soy diluted with equal volume of water contains all the essential nutritional properties of average cow's milk. 5 BORDEN'S EVAPORATED MILK ... a pure, fresh whole milk evaporated to double concentration, and homogenized for extra smoothness and ease of digestion in infant feeding formulas. Vitamin D increased. 6KLIM . . . spray-dried, powdered milk containing all the valuable nutritive qualities of fresh whole milk. A simple effective means of providing extra milk solids without increasing the total bulk of the diet. The spray drying process results in soft filocculent easily digested curd particularly desirable in infant feeding formulas. ' Formula Foods Professional Literature on request. Mailed, postage paid, to any physician in Canada. Formula Foods Department Spadina Crescent, Toronto 4, Ontario THE BORDEN COMPANY, LIMITED. » EXCLUSIVE iMMJUICE LIMITED FAir. 0080 NW. 60 OXYGEN THERAPY SUPPLIED ON YOUR ORDER. 24 HR. SERVICE J. H. CRELLIN W. L. BERTRAND 0?& When prescribing Ergoapiol (Smith) for your gynecologic patienls, you have the assurance that it can be obtained only on a written prescription, since this is the only manner in which this ethical preparation can be legally dispensed by the pharmacist. The dispensing of this uterine tonic, time-tested ERGOAPIOL (Smith) —only on your prescription — serves the best interests of physician and patient. INDICATIONS: Amenorrhea, Dysmenorrhea, Menorrhagia, Metrorrhagia, and to aid involution of the postpartum uterus. GENERAL DOSAGE: One to two capsules, three to four times daily—as indications warrant. In ethical packages of 20 capsules each, bearing no directions. Literature Available to Physicians Only. ERGOAPIOL (smith) Ethical protective mark, M.H.S., risible only - when capsule is cut in half at seam.. MARTIN H. SMITH COMPANY 180 LAFAYETTE STREET HEW YORK ItiEJti 1 C. MEDICAL CENTRE LIBRARY -ty of British Columbia Li1 DATE tv'f, SEF " Jf