"CONTENTdm"@en . "http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1179642"@en . "History of Nursing in Pacific Canada"@en . "Vancouver Medical Association"@en . "1938-04"@en . "2015-01-29"@en . "1938-04"@en . "https://open.library.ubc.ca/collections/vma/items/1.0214383/source.json"@en . "image/jpeg"@en . " The BULLETIN\nOF THE\nVANCOUVER MEDICAL\nASSOCIATION\nVol. xrv.\nAPRIL, 1938\n\u00C2\u00BB1(\nNo. 7\nWmSm\n,mttr.\nIn This Issue:\nNEWS AND NOTES\nQUO VADIS, MEDICINA?\nB. C. MEDICAL ASSOCIATION\n\"\u00E2\u0096\u00A0\u00E2\u0096\u00A0\"'\" S3\nEEESSSEESBKtffil BULKETTS\n(With Cascara and Bile Salts)\n. . FOR . .\nChronic Habitual\nConstipation\nBULKETTS POSSESS ENORMOUS BULK\nPRODUCING PROPERTIES AND BEING\nPROCESSED WITH CASCARA AND\nBILE SALTS PRODUCE BULK WITH\nMOTILITY.\nWE WILL BE PLEASED TO PROVIDE\nORIGINAL CONTAINERS FOR TRIAL\nON REQUEST. ||\nWestern Wholesale Drug\n(1928) Limited\n456 BROADWAY WEST\nVANCOUVER I BRITISH COLUMBIA\n(Or at all Vancouver Drug Co. Store*) THE VANCOUVER MEDICAL ASSOCIATION\nBULLETIN\nPublished Monthly under the Auspices of the Vancouver Medical Association\nin the interests of the Medical Profession.\nOffices:\n203 Medical-Dental Building, Georgia Street, Vancouver, B. C.\nEditorial Board:\nDb. J. H. MacDermot\nDr. M. McC. Baird Db. D. B. H. Cleveland\nAll communications to be addressed to the Editor at the above address\nVol. XIV\nAPRIL, 1938\nNo. 7\nOFFICERS 1937-1938\nDb. G. H. Clement Db. Lavell H. Leeson Dr. W. T. Evvino\nPresident Vice-President Past President,\nDr. W. T. Lockhart Dr. A. M. Agnew\nHon. Treasurer Hon. Secretary\nAdditional Members of Executive\u00E2\u0080\u0094Dr. J. R. Neilson, Dr. J. P. Biloueau.\nTRUSTEES:\nDr. F. Brodie Dr. J. A. Gillespie Dr. F. P. Patterson\nHistorian: Dr. W. D. Keith\nAuditors: Messrs. Shaw, Salter & Plommer.\n. . \u00E2\u0080\u00A2\u00C2\u00A7: \u00C2\u00A7\u00E2\u0096\u00A0 . SECTIONS\nClinical Section\nDr. R. Palmer Chairman Dr. W. W. Simpson Secretary\nEye, Ear, Nose and Throat\nDr. S.'G. Elliott Chairman Dr. W. M. Paton Secretary\nPwdiatric Section\nDr. G. A. Lamont Chairman Dr. J. R. Davies Secretary\nCancer Section\nDr. B. J. Harrison Chairman Dr. Roy Huggard Secretary\nSTANDING COMMITTEES\nLibrary\nDr. A. W. Bagnall\nDr. S. Paulin\nDr. W. F. Emmons\nDr. R. Huggard\nDr. H. A. Rawlings\nDr. R. Palmer\nDinner\nDr. G. F. Strong\nDr. R. Huggard\nDr. D. D. Freeze\nSummer School\nDr. J. R. Naden\nDr. A. C. Frost\nDr. A. B. Schinbein\nDr. A.Y. McNair\nDr. T. H. Lennie\nDr. F. A. Turnbull\nPublications\nDr. J. H. MacDermot\nDr. D. E. H. Cleveland\nDr. Murray Baird\nCredentials\nDr. A. B. Schinbein\nDr. D. M. Meekison\nDr. F. J. Buller\nMetropolitan Health Board\nAdvisory Committee\nDr. W. T. Ewing\nDr. H. A. Spohn\nDr. F. J. Buller\nRepresentative to B. C. Medical Association\u00E2\u0080\u0094Dr. Neil McDougall.\nSickness and Benevolent Fund\u00E2\u0080\u0094The President\u00E2\u0080\u0094The Trustees\nV. O. N. Advisory Board\nDr. I. Day\nDr. G. A. Lamont\nDr. Keith Burwell In Obstetrical\nand Surgical Practice\nPituitary Extract (posterior lobe) 9 an aqueous\npreparation derived from the separated posterior lobe\nof the pituitary gland, holds a well-recognized place\nin materia medica.\nIn response to requests of physicians and hospitals\nthe Connaught Laboratories have made available a\npreparation of Pituitary Extract (posterior lobe).\nThis preparation is a highly stable extract, biologically\nstandardized to contain ten International units per cc.\nIt is supplied in packages of five 1-cc. vials having\nrubber stoppers which make possible the aseptic withdrawal of individual doses without contaminating\nextract left in the vials for later use. Information\nrelating to Pituitary Extract (posterior lobe) will be\nsupplied gladly upon request.\nCONNAUGHT LABORATORIES\nUNIVERSITY OR TORONTO\nToronto 5\nCanada\nDepot for British Columbia\nMacdonald's Prescriptions Limited\nMEDICAL-DENTAL BUILDING, VANCOUVER, B. C. VANCOUVER HEALTH DEPARTMENT\nSTATISTICS\u00E2\u0080\u0094FEBRUARY, 1938\nTotal population\u00E2\u0080\u0094estimated 259,987\nJapanese population\u00E2\u0080\u0094estimated 8,685\nChinese population\u00E2\u0080\u0094estimated 7,808\nHindu population\u00E2\u0080\u0094estimated. 335\nNumber\nTotal deaths 217\nJapanese deaths 9\nChinese deaths 11\nDeaths\u00E2\u0080\u0094residents only 184\nBIRTH REGISTRATIONS:\nMale, 168; Female, 173 341\nINFANTILE MORTALITY : Feb., 1938\nDeaths under one year of age 10\nDeath rate\u00E2\u0080\u0094per 1,000 births 29.3\nStillbirths (not.included in above) 7\nRate per 1,000\nPopulation\n10.9\n13.5\n22.9\n9.2\n17.1\nFeb., 1937\n17\n60.3\n6\nCASES OF COMMUNICABLE DISEASES REPORTED IN THE CITY\nJanuary, 1938 February, 1938\nCases Deaths Cases Deaths\nMarch 1st\nto 15th, 1938\nCases Deaths\nScarlet Fever 47 0\nDiphtheria 4 1\nChicken Pox ,. 172 0\nMeasles 19 0\nRubella 3 0\nMumps 73 0\nWhooping Cough 19 1\nTyphoid Fever I 2 2\nUndulant Fever 0 0\nPoliomyelitis 0 0\nTuberculosis 35 21\nErysipelas 1 0\n0\nV. D. CASES REPORTED TO PROVINCIAL BOARD OF HEALTH,\nDIVISION OF VENEREAL DISEASE CONTROL\nVancouver Hospitals and\nClinic Private Doctors Totals\nSyphilis 127 39 166\nGonorrhoea || 10 12 121\nA PRESCRIPTION SERVICE . . .\nConducted in accord with the ethics of the Medical\nProfession and maintained to the standard suggested by\nour slogan:\nPharmaceutical Excellence\nMcGill 6 OCmr,\nFORT STREET (opp. Times) Phone Garden 1196 VICTORIA, B. C.\nPage llfi EDITORS PAGE \u00C2\u00A7\n\"Tempora mutantur, et nos mutamur in illis\"\u00E2\u0080\u0094which, being interpreted,\nmeans that we cannot stand still\u00E2\u0080\u0094we must go forward or backward.\nThe Bulletin of the Vancouver Medical Association has come to one\nof the crossroads of its existence. For these thirteen or fourteen years it has\nserved its original purpose as a record of the transactions of the Vancouver\nMedical Association; gradually it has widened in scope and function, till it\nhas become in reality a provincial organ of medical opinion and activities. It\nis sent to every practising physician in the province each month.\nNow it seems that we have to take another step, and perhaps two or three.\nSome months ago the Victoria Medical Society went on record as desiring to\npublish the transactions of that Society for preservation in permanent form,\nand very courteously entered into correspondence with the Bulletin about\nthis matter. Their problem was whether they should do this independently,\nor in conjunction with us, for a time at least.\nThen the Vancouver General Hospital Staff appointed a Publications\nCommittee to explore the possibilities of putting into coherent form the\nrecords of the work being done in that Hospital by the Staff. Dr. B. J. Harrison, the Chairman of that Committee, approached us with a view to ascertaining how this might best and most economically be arranged.\nThe Bulletin's Editorial Committee feels that these two events are of\ncrucial importance, and shew a very marked progress in the medical world\nof British Columbia. There can be no doubt that both these organisations\nshould certainly do what they suggest: record and publish at suitable intervals the extremely valuable material that they both have made available.\nIt has always seemed to us, as regards the Vancouver General Hospital,\nthat it is a very great pity that all the excellent material they have is going\nlargely to waste. Time and again reviews and surveys have been made of\ndifferent aspects of this work, and from time to time these have been published. But it would be much better if this were done systematically and at\nregular intervals. The same applies to the work of our sister Medical Society\nin Victoria.\nSo we arranged, a round-table conference between Victoria, as represented\nby Dr. D. M. Baillie, the chairman of their Publications Committee, the\nVancouver General Hospital, through Dr. B. J. Harrison, the Vancouver\nMedical Association, represented by Dr. G. H. Clement, and our own Publications Committee, and discussed the matter thoroughly with our publisher,\nRoy Wrigley Ltd., as represented by Mr. Macdonald of that organisation.\nWe came to the following conclusions :\n1. That steps should be taken forthwith to throw open the columns of\nthe Bulletin to Victoria (and perhaps later to other medical\nsocieties) and to the Vancouver General Hospital;\n2. That this would entail enlargement of the Bulletin, and the assignment to each of these bodies of a definite amount of space monthly;\n3. That they would guarantee us against financial loss, but that if no\nloss were entailed, no charge would be made to them;\n4. That the set-up of the Bulletin would be to some extent altered;\nspace should be set aside for various matters: e.g., medical economics, medical history, news and notes, Library section, reviews,\netc., and, as one of the group suggested, even a column of medical\nhumour;\n5. That efforts be made to co-operate with the health authorities, so\nthat this journal would represent not only the therapeutic but the preventive side of medicine.\nPage 1^8 Other suggestions were made. We feel that we must go slowly, of course,\nand test each step as we go\u00E2\u0080\u0094but that the advance should be made. Our publisher assures us that there can be no doubt that extra advertising will be\navailable to meet the extra cost; he told us a number of pleasant things\nabout the Bulletin as an advertising medium.\nFurther details will be given from time to time, as progress is made. It\nwill be some months before we can get our new venture in working shape,\nbut we have no doubt that the step is a right one to take.\n* * * *\nAn important event, from our point of view, is the sitting of the Rowell\nCommission in Victoria, to which has been presented, by Dr. T. C. Routley,\nthe General Secretary of the Canadian Medical Association, a Brief prepared by the Executive Council of this body.\nThis brief was very carefully drawn up after the fullest possible consultation with all provinces; it may be found in the latest issue of the C. M. A.\nJournal. Reading it, we think that every medical man will commend its\nbreadth of vision and its sanity, and there is more to it than this. There is a\nrestatement, if such is necessary, of our insistence on certain things. The\nfirst is a real attempt at prevention of disease. Merely to deal with the disease\nthat is at present existing, by any means, no matter how excellent, is largely\na waste of money and effort, unless prevention and elimination of causes of\ndisease are a primary consideration. This, we insist, can only be done adequately on a national scale. The next point is the inclusion of the indigent,\npensioners, low wage-earners, casual workers and the like, as an integral\npart of any scheme of Health Insurance or the like; since here especially is\nthe need for improvement, if the rising tide of loss from disease is to be\nchecked.\nAdequate schemes of hospitalisation after a national survey are urged;\nthe provision of means of diagnosis and so on; all these to precede or at least\nunderlie any scheme of treatment. All through the brief, our opinion is\nemphasized that a sincere attempt should be made to regard and treat health\nproblems from a national rather than a provincial standpoint. How much of\nour hopes in this direction will be realised is problematical, since Canada has\nbecome so very provincial in its outlook, and vested interests of a political\nnature have been built up and have become strong; but we at least hope that\na start will be made in this, as in other directions, toward realising the dream\nof many of us, that visualises Canada as a nation and a people, rather than a\ncollection of impotent and mutually suspicious Balkan states.\nPerhaps our Brief will be a real, if small, contribution towards the\nrealisation of this devoutly wished-for consummation.\nSUMMER SCHOOL |\nBegin now to make your plans to attend this Summer School in June.\nThe programme will soon be available for publication, but meantime we can\nassure our readers that this year's menu is going to be well up to the standard\nof previous years.\nPATHOLOGICAL CONFERENCE\nEvery Wednesday, from 12 to 1, this Pathological Conference is held in\nthe Chemistry Building at the Vancouver General Hospital, under the direction of Dr. H. H. Pitts, the Hospital Pathologist. Specimens are shown and\ncases discussed, and these meetings are rapidly becoming a very important\ninstitution. All medical men are invited, and will be welcome.\nPage 149 VANCOUVER MEDICAL ASSOCIATION\nThe regular monthly meeting of the Association will be held on Tuesday,\nApril 5th, in the Chemistry Building at Vancouver General Hospital.\nThe programme for the evening will be: \"Symposium on Liver and Gall-\nBladder\": Dr. Evelyn Gee\u00E2\u0080\u0094''Physiology of the Liver and Gall-Bladder\";\nDr. H. H. Pitts\u00E2\u0080\u0094\"Pathology of Diseases of the Liver and Gall-Bladder\";\nDr. W. Graham\u00E2\u0080\u0094\"Diagnosis and Treatment of Surgical Conditions.\"\n# \u00E2\u0099\u00A6 \u00E2\u0099\u00A6 *\nThe Annual Meeting of the Vancouver Medical Association will be held\non April 26th. Members are reminded that nominations should be posted in\nthe Library prior to that date.\n* * * *\nPlans for the annual Summer School of the Vancouver Medical Association\nare well under way. The school will be held June 21st to 24th inclusive in\nthe Hotel Vancouver. The following speakers have agreed to lecture, and\nthe Committee is to be congratulated on securing again, this year, such outstanding men for the programme:\nDr. Ray F. Farquharson, Associate Professor of Medicine at the University of Toronto.\nDr. Andrew Hunter, Professor of Pathological Chemistry at the University of Toronto. Dr. Hunter is no stranger in Vancouver, as he has lectured at previous Summer Schools.\nDr. Oliver S. Ormsby, Clinical Professor, Department of Dermatology,\nUniversity of Chicago. Dr. Ormsby's book, \"Diseases of the Skin,\" now in its\nfifth edition (1937), has been added to the Library.\nDr. R. Glen Spurling, Associate Professor of Surgery at the University\nof Louisville, Kentucky, is a specialist in neurological surgery.\nDr. Waltman Walters, Associate Professor of Surgery, Mayo, Clinic,\nRochester, Minn.\nDetails of the programme will appear in next month's Bulletin.\nLIBRARY NOTES\nThe Vancouver Medical Association has been the recipient of several very\nacceptable gifts during the last month. From Dr. D. E. H. Cleveland was\nreceived a most interesting set of Austrian stamps, on which are engraved\nphotographs of famous doctors of the Vienna Medical School. These stamps\nare beautifully mounted and framed, and, as they are hung in a good light,\nhave aroused great interest among those who have seen them.\nDr. E. J. Curtis has given to the Association a copy of the last photograph\nwhich Sir William Osier had taken. This has been suitably framed and will\nhang in the reading room.\nTwo useful books were given to the Library, one, from Dr. Busteed, \"The\nPhysicians of the Mayo Clinic,\" the other, from Dr. Colin Graham, \"Diseases\nof the Ear, Nose and Throat,\" by J. Douglas McLaggan.\nRecent Additions to the Library\nThe following new articles have been added to the Oxford System of\nMedicine:\n\"The Chemistry of Proteins in Relation to Disease,\" by Dr. W. T. Salter.\n'The Vitamins,\" by Dr. E. V. McCollum.\n'Albinism,\" by Dr. F. R. Taylor.\n'Diseases of the Blood,\" by Dr. Duncan Graham.\n\"The Thymus and Status Lymphaticus,\" by Dr. D. Riesman and S. E.\nHarris.\n\"Diabetes Mellitus,\" by Dr. R. Fitz.\nPage 150\nfir\nit\n<<1 \"Arachnidism,\" by Dr. F. R. Taylor.\n\"Dystonia Musculorum Deformans\" and \"Tick Paralysis,\" by Dr. F. R.\nTaylor.\nBrain Abscesses,\" by Dr. C. M. H. Howell.\nIntrinsic Diseases of the Spinal Cord,\" by Dr. W. R. Brian.\nTumours of the Spinal Cord and Other Lesions Causing Compression,\"\nby Dr. W. R. Brian.\n\"Trophic Lesions,\" by Dr. H. Campbell.\nNew Books Added\n\"Emergency Surgery,\" by Hamilton Bailey, 1938.\n\"Surgical Anatomy of the Head and Neck,\" by J. F. Barnhill, 1937.\nYearbook, 1937, of General Medicine.\nYearbook, 1937, of Therapeutics.\nYearbook, 1937, of Neurology, Psychiatry and Endocrinology.\nHEALTH WEEK\nThe forthcoming Health Week to be held this month, from April 12th to\n14th inclusive, is an event that should receive from every medical man the\nstrongest possible support. It will be a noteworthy event, well worth urging\none's friends and patients to attend, and we believe it will attract wide\nattention and be productive of much good.\nThe Health Week is a joint effort, under the combined management of the\nVancouver Medical Association and the Greater Vancouver Health League.\nIt has the active support and co-operation of many bodies, such as the School\nBoard, the Victorian Order of Nurses, Vancouver Welfare Federation, the\nTuberculosis Division of the Board of Health, the Metropolitan Health Board,\nand many others.\nThe programme is an excellent one. It will be divided into afternoon and\nevening sessions. It is hoped to have the first session in the evening opened\nby His Excellency the Lieutenant-Governor of British Columbia and by His\nWorship the Mayor of Vancouver. This evening will be.devoted to the Cancer\nProblem.\nDietetics, Physical Training, Maternal Welfare, Dental Care, Disease as\nrelated to industry and other topics, will be dealt with. One evening will be\ndevoted to Heart and Lung conditions, the common cold, and so on.\nThe emphasis of the programme will be mainly directed to prevention of\ndisease, promotion of health, habits of life, and most particularly it is intended to stress the importance of periodic health examinations, with a view\nto early diagnosis of cancer in its curable stage, the care of the heart and\nlungs, especially in children, in order to prevent heart disease and tuberculosis in later life, and the maintenance of health in relation to work.\nSeveral prominent laymen are being invited to act as chairmen at the\nmeetings.\nAll meetings will be held in the Ballroom of the Hotel Vancouver, and\ndisplays of various sorts will be given. Films and moving pictures will be\nshewn, and every sort of interest in health will be catered to.\nDr. R. H. Fraser, the Executive Secretary of the Greater Vancouver\nHealth League, is working hard on the programme, which has been arranged\nby a joint committee of the two bodies, Dr. G. H. Clement, the President of\nthe Vancouver Medical Association, being the chairman. We bespeak the\nsupport of the medical profession in giving publicity, and all the aid they can,\nto this most noteworthy project, which is their own undertaking jointly with\nthe Health League.\nPage 151 GREATER VANCOUVER HEALTH LEAGUE\nThe Greater Vancouver Health League is becoming more and more a\nforce for good in the community of Vancouver, and we feel that some of its\nrecent activities deserve a word from us.\nThe medical profession of Vancouver knows little about the Greater\nVancouver Health League, which is one of the agencies of Vancouver Welfare\nFederation. For years it has worked more or less silently as a coadjutor to\nexisting health agencies, and a promoter of various new projects.\nEarly in its career it undertook a campaign for vaccination. The smallpox\nepidemic was on, and the antis were very vocal and were holding up the procession. The Health Departments of the City and Province were to a great\nextent handicapped by their official position from conducting any propaganda\nand the League undertook this work, and by paid ads and articles in the daily\npress was successful in overcoming the poisonous anti-social efforts of our\nopposition, to the extent that the great majority of the population was vaccinated.\nLater, it undertook to aid those who were in charge of anti-tuberculosis\nwork. Using the League office and secretarial facilities, through a grant\nsecured by the League, through publications, pamphlets, etc., prepared by\nthe League, and through other educational methods, those concerned, under\nthe energetic direction of Dr. W. H. Hatfield and his associates, including\nMr. W. Mainwaring of the Rotary Club, secured the acceptance of the public,\nand of the Government, of tuberculosis as a provincial responsibility. It is\nnow a recognised and active department of the Provincial Board of Health,\nand is so off the hands of the League.\nSimilarly, in the early days of cancer activity here, the League nurtured\nand brought to a self-supporting stage the embryo B. C. Cancer Foundation,\nby methods similar to those described above. The B. C. Cancer Foundation\nwas organised, officered, and acquired its own office and secretary\u00E2\u0080\u0094and so\nanother child of the League left the home nest and started on its own.\nVenereal disease activities, too, received help from the League, which still\nmaintains a section dealing with venereal disease and assists in publicity and\nthe dissemination of knowledge.\nMany of our readers will have noticed the large posters all over the city\non the billboards of the Ruddy-Duker Co., urging periodic examinations and\n\"visits to your doctor.\" These are put out by the Greater Vancouver Health\nLeague, which owes to the Ruddy-Duker Co. sincere thanks and appreciation\nof their generosity and public spirit in donating these spaces entirely free\nfor one month.\nThis year the League has made a new departure by engaging Dr. R. H.\nFraser as Executive Secretary. This is the first time the League has had a\nmedical man as secretary, and we feel that this is decidedly a good step to\nhave taken. Dr. Fraser is very well equipped for this job. He is a public-\nhealth man, having obtained his D.P.H. at Toronto, but he has also done\nclinical work, and so sees from the practising physician's angle. He has been\nLecturer in Physiology at Manitoba, worked with the late Dr. D. A. Stewart\nin tuberculosis work, and has been in charge of various public health projects.\nHis presence with us should augur well for the work of the League, and\nshould aid in enlisting the sympathy and active support of the Vancouver\nmedical profession.\nThe League, it must be understood, is not a medical body. It is a \"health\"\norganisation, with a mixed membership, with no affiliations or entanglements, created as an educational body mainly, to assist existing public health\norganizations in every way and by all means in its power to foster the prevention of disease and spread knowledge regarding health. But it deserves,\nwe feel, our recognition and support in ever-increasing degree, and we hope\nthat these will be given freely. The success of the League can only redound\nto the good of ourselves and those we serve\u00E2\u0080\u0094the public.\nPage 152 mm\nNEWS AND NOTES\nDr. J. E. Walker and Dr. H. Scott have moved into offices in the Medical-\nDental Building, where they have been joined by Dr. F. S. Hobbs.\n\u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6\nDr. and Mrs. W. L. Pedlow have recently returned from a motor trip to\nSouthern California.\naft $ % 3je\nDr. and Mrs. W. H. Hatfield have returned from a visit to Ottawa.\n\u00E2\u0099\u00A6 \u00E2\u0099\u00A6 sN \u00E2\u0099\u00A6\nDr. J. K. Kelly, who has been in practice in Vancouver, has left the city\nand has taken up practice at Zeballos.\n$ $ $ $\nDr. D. S. Munro, formerly on the staff of the Vancouver General Hospital,\nhas taken over the practice recently vacated by Dr. F. S. Hobbs on Fraser\nStreet, Vancouver.\n\u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6\nDr. Lillian M. Haig, wife of Dr. K. Haig, has arrived from Oklahoma and\nshe and Dr. Haig will make a permanent home in Vancouver.\n$ \u00C2\u00BBJe $ $\nDr. W. F. Emmons is spending a vacation in Southern California.\n\u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6\nWe offer congratulations to Dr. and Mrs. S. Stewart Murray on the birth\nof a son on March 2nd.\n\u00E2\u0099\u00A6 \u00E2\u0099\u00A6 \u00E2\u0099\u00A6 *\nWe also offer our congratulations to Dr. and Mrs. F. S. Hobbs on the\nbirth of a son on March 19th.\n\u00E2\u0099\u00A6 H* \u00E2\u0099\u00A6 \u00E2\u0099\u00A6\nDr. A. J. MacLachlan, Registrar of the College of Physicians and Surgeons\nof British Columbia, and Mrs. MacLachlan are spending a well-earned holiday\nin California.\n\u00E2\u0099\u00A6 * \u00E2\u0099\u00A6 \u00E2\u0099\u00A6\nDr. S. C. Peterson has resigned as director of the B. C. Division of\nVenereal Disease Control and Dr. Donald H. Williams has been appointed as\nhis successor. Dr. Peterson will enter private practice in Vancouver but will\nmaintain his connection with the Provincial Board of Health. He will be\nengaged in clinical work for the Venereal Disease Division on a part-time\nbasis.\nDr. Williams, who has come to Vancouver recently from the Mayo Clinic,\nwill take over his duties immediately.\n\u00E2\u0099\u00A6 * \u00E2\u0099\u00A6 #\nDr. and Mrs. David B. Ryall of Alert Bay are receiving congratulations\non the birth of a daughter at Victoria on March 23rd.\n\u00E2\u0099\u00A6 * * *\nDr. E. Maude Robertson of Sooke is on a month's vacation.\n\u00E2\u0099\u00A6 V 1* 1*\nDr. John Brown of Vancouver is doing locum tenens for Dr. Robertson at\nSooke during the absence of Dr. Robertson.\n^t \u00E2\u0099\u00A6 *K W\nDr. Gordon A. Lawson of Port Alice has left his practice in charge of Dr.\nE. Hough during his absence of several weeks.\n\u00E2\u0099\u00A6 * * *\nDr. G. B. Henderson of Creston visited the offices while spending a week\nat the coast. * * * *\nThe Annual Meeting of the Prince Rupert Medical Association was held\nin March, 1938. The following were elected to office: President, Dr. J. P.\nCade; Secretary-Treasurer, Dr. R. Geddes Large; representative to the Hospital Board, Dr. J. H. Carson. A motion picture, \"Modern Methods of Anaesthesia,\" was shown.\nPage 15S\n~\u00E2\u0080\u0094 Dr. C. T. Hilton of Port Alberni attended the meeting of the Board of\nDirectors of the British Columbia Medical Association in Vancouver on\nMarch 23rd. Dr. Hilton is the representative of the Upper Island Medical\nAssociation. He reports a good start on his effort to help enrol a larger membership in the Canadian Medical Association from the Upper Island and West\nCoast of Vancouver Island. This is part of the province-wide effort to give\nthis province a strong place in Federation, leading to British Columbia becoming a Division of the National organization.\n9|C 4l )|C )|C\nDr. E. D. Emery of Nanaimo, the energetic secretary of the Upper Island\nMedical Association, reports progress in the development of the programme\nfor the proposed spring meeting to be held in April, probably at Nanaimo.\n* * * *\nDr. Campbell Davidson of Qualicum Beach wrote us the other day. There\nis a challenge for Bridge open for all comers at that centre. Doctors Strong\nand Thomas may yet turn the tables on our friend.\n3JC 5p 3|C ^\nDr. Gordon Kenning, President of the British Columbia Medical Association, and Doctors Allan Fraser and Clyde Cousland crossed from Victoria\non March 23rd to attend the meeting of the Board of Directors of the Provincial Association.\n* * * *\nDr. C. C. Browne of Nanaimo has recovered from his recent illness. Dr.\nA. H. Meneely, the President of the Upper Island Medical Association, was\nreported seriously ill and we wish him a short and successful convalescence.\nn* V W *\nDr. John G. MacArthur of Prince George is away doing post-graduate\nwork. During his absence of several months Dr. E. Aiello of Vancouver is\ndoing locum tenens for him.\n* * * *\nDr. J. P. Ellis of Lytton is away on brief vacation. During his absence\nDr. T. W. Sutherland of Vancouver is carrying on the practice.\n* * * *\nWe were all greatly pleased to see Dr. Gerald Baker of Quesnel. He is\nlooking very fit.\nj)( )(c s|e a|c\nDr. Stewart A. Wallace of Kamloops attended the Board of Directors'\nmeeting on March 23rd.\n* # * *\nDr. G. A. C. Roberts of Chilliwack attended the Osier Dinner of the Vancouver Medical Association on March 1st.\n* * * *\nDr. W. J. Knox of Kelowna spent a week-end in Vancouver this month,\nwhere he visited his daughter, Mrs. H. H. Boucher.\n* \u00E2\u0099\u00A6 * #\nDr. L. A. C. Panton of Kelowna was a visitor at the coast this month.\nHe came down to meet his son Jim, who returned from the British Empire\nGames in Australia.\n* # * *\nDr. and Mrs. D. M. King of Bralorne were visitors in the Okanagan this\nmonth, when they came over for the Coy Cup hockey finals.\n* * # #\nDr. F. W. Green of Cranbrook returned recently from a holiday trip to\nthe West Indies.\n* * * *\nDr. D. Wade Davis of Kimberley is sailing March 25th on the Duchess of\nYork after a three months' stay in England and on the Continent.\nPage 154 OSLER DINNER\nThe Osier Dinner of 1938 was a noteworthy event. The attendance was\nvery large, some hundred and sixty-five members sitting down to dinner.\nVictoria honoured us by sending several of its members. Among these\nwere Dr. Gordon Kenning, the President of the B. C. College of Physicians\nand Surgeons, and Dr. T. McPherson; while New Westminster was also\nrepresented, Dr. W. A. Clarke being amongst those coming from that fair city.\nDr. L. H. Appleby was the speaker for this year, and his paper, \"Quo\nVadis, Medicina?\" is published in this issue. We believe that it will be well\nworth our while to read this paper carefully and ponder on the wholesome,\nif not always palatable, truths that Dr. Appleby here utters. Alexis Carrel\nsays something of the same kind in his \"Man the Unknown,\" when he is\ndealing with the factors of personality and character, and deprecates one-\nsidedness. Medicine is an exacting mistress, but perhaps we should appreciate her more if we had a wider range of interests and avocations.\nOSLER LECTURE, 193 8\nQUO VADIS, MEDICINA?\nLyon H. Appleby, M.D., F.R.C.S. (Eng.), F.R.C.S. (Can.), F.A.C.S.\nSir William Osier, in whose honour and to whose memory this evening is\ndedicated, addressing the Wistar Institute of Anatomy and Biology in 1894,\nmade the following statement:\n\"In the continual remembrance of a glorious past individuals and nations\nfind their noblest inspiration, and if today this inspiration, so valuable for\nits own sake, so important in its associations, is weakened, is it not because\nin the strong dominance of the individual, so characteristic of a democracy,\nwe have lost the sense of continuity? . . . We are even impatient of the^nen\nwho would recall the past. . . . Year by year the memory of the men who\nmade this institution fades from out the circle of the hills and the shadow of\noblivion falls deeper and deeper over their forms, until a portrait, or perhaps\na name alone, remains to link the dead with the quick.\"\nOne of the world's great scholars, the Chinese philosopher Confucius,\nwriting many years before Christ, said, \"If thou.wouldst learn something of\nthe future of a subject, investigate its past.\" Again, the prophet Isaiah: \"Look\nunto the rock whence ye are hewn, and to the hole of the pit whence ye are\ndigged.\"\nEarly medicine cannot be divorced from the church, and with a prevalent\nbelief in the supernatural and the lack of scientific knowledge characteristic\nof early times, illness was considered to be a visitation from the gods for\nsins or past offences, the manifestation of the wrath of an outraged Providence, or due to demoniacal possession. Treatment was its natural corollary,\nand consisted of propitiation, expiation, amulets, charms, chants, magic formulae, penance and prayer. The physical basis of disease was not appreciated.\nMost of the early centres of learning originated in connection with the various\nspas and a combination of religious temple and sanitarium developed. Treatment of sick persons was but a minor function of such organizations, and\nwas wholly in the hands of physician priests, acolytes, nurses and slaves.\nMedicine itself was largely a matter of dream interpretation, divination and\ninterpretation of signs from the gods. Treatment itself was restricted to\nbathing in sacred pools, massage, anointing with oil, and so forth. Such were\nthe beginnings of the great institutions at Cos and Cnidos, and they are\namongst the earliest recorded in history.\nWhile medicine of a sort was being practiced at these sanitaria by physician priests, there was as yet no medical profession. Medical treatment at\n[Read before the Vancouver Medical Association, March 1, 1938.]\nPage 155 Cos was something aside, and an unimportant part of the work of an institution created for other purposes. The actual birth of a profession, as distinguished from medicine itself, started with the Esclapiadae. These were a\ngroup of priests, and while theology was their main study and pursuit, the\npressure of increasing medical interruptions gave rise to a division of the\npriesthood into religious and secular Esclapiadae. It was to this secular group\nthat the care of the sick was entrusted. Certain of these centres became\nmore famous than others, and those which developed fame as curative centres\nfound that the medical work of the temples increased in importance and the\nmore purely religious aspects declined. They became real health clinics, and\nfrom their beginning as a purely treatment centre the need for teaching arose,\nthey became medical schools, and these secular Esclapiadae became the\nfounders of the medical profession. Treatment was still mystery, magic and\nhumbug, but real progress was made, the search for nostrums and cures\ninspired medical research on a physical basis, and the foundations of many\nof our basic sciences owe their origin to man's humanity to man, in his quest\nfor cures. The investigation of metals, plants and herbs for curative purposes laid the basis of chemistry. The search for healing powers among the\nstars paved the way for the development of the science of astronomy, and\nmany basic and biological sciences have their beginnings in the same unending quest.\nOne may go back to the very dawn of history and there find the names of\nmen prominent in their times for the part they played as physicians. Nor can\nwe, in these days of enlightenment, view with scorn many of their accomplishments ; many modern usages have descended from them in but slightly\naltered form, many commonplaces with them have been lost to us, or have\nbut recently been rediscovered.\nOne of the earliest was Hammurabi, King of Babylon, two thousand years\nbefore Christ. His most interesting claim to fame was his entirely modern\ngraduated scale of fees, providing different rates of medical pay for patients\nof different social rank. The higher levels of society were expected to pay\nten shekels, a freeman five and a slave two. Moreover, the practitioner must\nlearn his art amongst the slaves before being permitted to attend the freeman, and must have given evidence of accomplishment and ability among the\nfreemen before being permitted to approach the sacred persons of the\npatricians. Surely this is an ancient mandate for the popular and modern\nmethod of building a practice, which might be described as climbing over\nthe backs of the poor into the pockets of the rich.\nAlmost all of the then existing nations contributed great Men of Medicine,\nwhose names have been remembered for contributions far in advance of their\ntimes. India contributed Susutra of Benares, a surgeon who six hundred years\nbefore Christ was successfully removing the crystalline lens for cataract.\nAncient China developed a medical science, many of whose features have\nbeen rediscovered only in our town times. Chang Chung Ching, the Chinese\nHippocrates, about the time of Christ used anaesthesia and performed\nabdominal sections under its influence. He used antiseptics dissolved in wine\nand freely described their use and value in preventing and overcoming wound\ncontamination. The Chinese at that time used an instrument which we\nsmugly consider to be of twentieth century development, yet the fluoroscope\nwas accurately described by Chang Chung Ching. The science of dactylography, or finger printing, was widely used in China and was lost for two\nthousand years. Vaccination against smallpox was a routine in China for\nuntold centuries before Christ, was lost, rediscovered, and reintroduced by\nJenner twenty-seven centuries later. In general their physiology was wholly\nfanciful, their conception of disease wholly that of demonology, their pharmacy consisted mostly of those ingredients which would disgust the demon\nin possession and provoke his flight. The rise of the Confucian philosophy in\nChina dealt medicine a mortal blow. The reverence for the dead and the\nsanctity and worship of ancestors, both in Confucianism and its sister religion\nPage 156 the Tao, forbade the mutilation of bodies, and progress was halted. A survival of this same reverence for the corpse is one of the remnants of antiquity which has impeded the study of anatomy even today, though mighty\nlittle reverence is shown these same corpses prior to the evacuation of the\nsoul. The waste of the dead is one of our modern extravagances. The Chinese\ndoctor, at the time of Confucius, was employed by the state. His position was\ndetermined by the state examinations, which were repeated annually. A high\nstandard of knowledge was rewarded with a position of trust and responsibility, but only for one year. If subsequent re-examination revealed that the\nhigh standard had not been maintained, demotion resulted. Conversely there\nwas always the incentive toward study, research and improvement, since\nimproved examination results from year to year carried with them the\nreward of more lucrative appointments and higher professional standing\nand responsibility. I sometimes wonder if the wise old Chinese had not a\nsystem here over which we might ponder today, to the advantage of organized medicine.\nThe physician priests of the Pharaohs developed the art of embalming\nand desiccation to a state of such excellence that it has never since been\napproached. These same priests of the Pharaohs collected the urine of women\nbelieved to be in early pregnancy. Vessels of grain were saturated with this\nurine and a similar vessel kept as a control. The rate of germination was\nalways more rapid in the vessel of grain soaked with the urine from pregnant women. Today we have rediscovered the follicular growth hormone in\nthe urine of pregnant women and animals, and have named the method for\nits detection the Ascheim-Zondek Test, and commercially, after an interval\nof three thousand years, urine-soaked grain can be seen in the springtime\non the major stock farms throughout the world, sequestrating the pregnant\nfrom the unprofitable barren. We cannot afford even today to scorn the\naccomplishments of our predecessors, be they ever so remote.\nIt would be possible to elaborate at great length upon the great names of\nancient Greek Medicine\u00E2\u0080\u0094Hippocrates, Herophilus, Celsus, Galen, men whose\nnames are indelibly indited upon the walls of Valhalla. The springs of their\nenlightenment were the sources of the waters of wisdom that fertilized\nscientific thought throughout the ages. The Galenic tradition persisted for\ncenturies.\nThe greatest single revolutionary change in Ancient Medicine followed\nupon the coming of Christianity. The compassionate teachings of Christ came\nultimately to glorify suffering. The idea of another and better world after\ndeath helped people to bear with fortitude their various illnesses, and ultimately even to cherish them as a chastening process that was preparing\nthem for a more glorious hereafter. Christian ideology encouraged compassion toward the sick, encouraged the building of hospitals, and conferred a\nspecial grace upon those who devoted their lives to their care. Treatment,\nhowever, was wrapped in theistic abstractions, cures were miraculous in\nnature, and pharmacy was the inculcation of an unquestioning and all-\nembracing faith. The Hippocrates of the early days of Christianity was the\nprophet Elisha. Down through the dark ages, medicine survived under the\nauspices and the protecting wing of the church. They and they alone merit\nour gratitude for its survival. Learning was concentrated wholly under its\nenveloping mantle. The people were ignorant, superstitious, uncultured and\nilliterate. The old manuscripts of Greece and Rome were faithfully copied\nby monks as a labour of love, without which the early history of the world\nin general and of. medicine in particular would have been dark indeed. The\nChurch was completely dominant, medicine entirely theurgic, books wholly\nin Latin, and the great masses of the people slumbering in abysmal ignorance.\nBut a great change was to come over the world, involving medicine. The\nadvance of science was not welcomed by the church, and its protecting wing,\nunder which we had for so long survived, slowly became transformed into\nthe vice-like grip of intolerance. Anything which interfered with the purely\nPage 151 theurgic concept of life or disease was not condoned, its exponents were\nheretics, their doctrines sacrilegious, and their fate usually the stake. The\nall-powerful church bitterly resented the intrusion of science, yielded ground\ngrudgingly, step by step, and through its intolerance of scientific truth held\nup the advance of medicine and of science for centuries. Men like Galileo\nwere formed to recant and deny publicly basic principles of truth. Leonardo\nda Vinci, perhaps the most versatile and illustrious man who ever lived, was\nforced to discontinue his paintings and drawings of human musculature\nsince it was not in keeping with accepted Galenic tradition. Servetus was\nburned at the stake with his books, and his discovery of the pulmonary circulation was unknown even to Harvey. The extent to which intolerance was\ncarried is exemplified by the case of a sailor from Columbus' second voyage\nof discovery to America who appeared upon the streets of Barcelona with\nhis clothing smeared with the secretion of the rubber tree of the West Indies.\nHe was tried in consistory, and publicly burned at the stake, for daring to\nshed God's holy rain from his person. But the avalanche of scientific truth\ncould not forever be restrained. Little by little the practice of medicine\nseparated from the church, slowly the masses of the people awakened from\ntheir coma, books were printed in the native languages, transportation became less difficult, the yeast of the printed word was rising, and painfully\nthe world began to think. The Church, while doing nothing to advance medicine or science in any way, had kept its study upon a high philosophical\nplane. Like a boy plunged into the world and freed from the restraints of\nparental domination, medicine for a time ran wild. There came a great wave\nof medical humbug: prayer and expiation gave place to begoar stones and\npolypharmacy. Prescriptions were still written upon the assumption, something for the disease and something to disgust the demon; fifty ingredients\nwere not uncommon,. of which moss from the skull and dove's dung were\ninvariable. The broth from Shakespeare's witches' cauldron was excellent\npharmacy. As a general law, those who keep within restraints are seldom\nlosers, but medicine freed from the high restraints of theurgic domination\nlost much indeed. The new profession, as yet without knowledge or with but\nthe merest smattering, devoid of all cultural background, became largely a\nmatter of pompous humbug. \"While a few great names evolved, the general\nrun of doctors was of a low class and medicine was largely theurgy, amulets,\ndevil-baiting, witch stuff, barnyard and kitchen drugs and homely common\nsense. Surgery was mostly in the hands of barbers, sow gelders, executioners,\nbutchers, bath keepers and travelling mountebanks\" (Warbasse). To read\nthe records of the most eminent men of these times is to wonder at the profundity of their actual ignorance, and realizing that these men represented\nthe peaks to believe that effluvia must abound in its valleys.\nAs was to be expected, a great wave of charlatanism and quackery ensued,\nbut it was difficult without organized control to distinguish the doctor from\nthe quack. Alchemy, the philosopher's stone and the elixir of life were the\nobjects of the most intense search for centuries. The arch quack of all times\nappeared about this time, Joseph Balsamo, the Count of Cagliostro, so well\ndescribed by Alexander Dumas. He possessed the elixir of perpetual youth\nand sold it to the French nobility for fabulous sums, enjoying the protection\nof princes and the awe of paupers. The distinguished gallants of the time of\nDu Barry flocked to him to have their youth restored. Quackery, then as now,\nflourished by the unscrupulous taking advantage of established superstition\nand defective reasoning, as well as the tendency of many diseases to heal\nthemselves. The twin sisters, credulity and cupidity, go hand in hand. And\neven today many an aspermatic business man is pouring the golden grain at\nthe feet of some modern Cagliostro.\nWhile the emancipation of medicine from the domination of the church\nresulted in a wave of quackery and humbug, as was to be expected, yet noble\nminds began to be attracted to medicine. Strangely enough, very few of the\nfundamental discoveries to which medicine owes so much .were brought for-\nPage 158 ward within our profession. We have proven ourselves to be a group of opportunists, seizing upon the works of others in sister sciences and applying them\nto our own advantage. The conquest of infection has been attributed to\nLister, and rightly so, but consider the list of predecessors who, working\noutside the realm of medicine, made his achievement possible. Leonardo da\nVinci developed lenses which in time came to be perfected into a serviceable\nmicroscope, but it was not a medical man who developed it, but the janitor of\nthe town hall at Delft, Holland, Anton Von Leeuwenhoek. Leeuwenhoek\npaved the way for Pasteur, another non-medical scientist, whose work, in turn,\nled to the founding of an era. Medical research went hand in hand with\nscientific research, and not until we had broken completely away from the\nchurch and time had passed did the medical profession as we know it today\ncome into being. While the healing powers of nature serve alike both the\ndevout and the agnostic, many remnants of theurgic medicine remain, and\nevidences of our early origin may still be seen, as witness the annual cavalcades to Lourdes and St. Anne de Beaupre. Perhaps our emancipation has\nbeen too complete and could to our psychological advantage retract somewhat, for who can deny that even tonight many an anguished soul is soothed\nby the scapulars which kindly hands fasten to the breasts of the faithful.\nJust two hundred short years ago we were legally and actually associated\nwith the barbers. Legal separation took place in 1745 with the formation of\nthe Surgeons Company. The growth of beards in late Tudor times having\nbecome unpopular, shaving became more profitable than surgery, and those\nwhose duties were mostly surgical desired a separation from their less skilled\nassociates. Corruption was rampant and complaints were made of the ease\nwith which licenses could be obtained. The license itself, like some of our\nuniversity degrees, did not carry with it the right to practice, but only the\nright to be considered by the bishop of the diocese in which the licensee\nwished to set up. Surgeons were not permitted to prescribe; this was the\nspecial prerogative of the Apothecary's Guild. Anatomy was permitted only\nupon the bodies of murderers or upon those \"who, noxious in their lives,\nmade a sort of reparation to their fellow creatures by becoming useful after\ndeath.\" The obstetrician, or male midwife, might not encompass any of the\nduties of the surgeon or apothecary. One hundred and thirty-eight years ago\nthe Royal College of Surgeons was incorporated by Royal Charter, and the\nright to approve licenses, hitherto a prerogative of the bishops, became translated into their hands. While the founders and members of its Board of\nGovernors were learned men, the rank and file were ill-educated, kept open\nshop, and belonged to the social class of the small tradesman. The striped\nbarber pole of today survives as the sign of the phlebotomist.\nThe succeeding century, the one just past, gave rise to the greatest men\nof medicine; men of learning, culture and birth devoted their lives to the\nfounding of our profession upon a basis of scientific truth, culture and\nphilosophy. The glorious heritage which is ours today is the result of the\nlabours of men who lived less than a hundred years ago. If I were asked to\ncomment upon the characteristics of any great man of medicine of the past\ncentury, I should say that invariably he was a physician, a philosopher, a\ngentleman and a scholar. From the ranks of successful practitioners of a\ncentury ago came great scientists, artists, poets, dramatists, philosophers,\nstatesmen and scholars. The modern medical profession produces skillful\ndoctors. He whose memory we honour this evening, Sir William Osier, was\none of the last of a long line of distinguished philosopher physicians. Deeply\ndo I regret the passing of the old line philosopher physicians, for we have\nknown such men within our own small circle, and all of them, in the interests\nof the higher attributes of medicine, were content, if need be, to live in want\nand suffering and die in comparative poverty. For certain grave changes have\ncome over Medicine; the spirit of philosophy has gradually been displaced by\nthe spirit of big business; the works of philosophy, art and science have been\npushed aside to make way for the latest edition of Dun and Bradstreet or the\nPage 159 local copy of Who's Who. If I were asked again to describe the chief characteristics of outstanding medical men of today I should be inclined to describe\nthem as Captains of Industry. All too frequently their positions have been\ngained, not through a profound knowledge of medical classics, but through\nastute business acumen and their ability to manipulate the machinations and\nundercurrents in the maelstrom of political chicanery. Medicine was originally\na trade, was elevated to the status of an art, and is slowly degenerating into\nthat of a business, and I cannot help but wonder if today the tree of medicine\nis bearing a fruit worthy of its roots, sunk as they are deeply into the rich\nsoil of mental and moral philosophy. The advance of medical science has\nbeen so vast that the possibility of anyone acquiring more than a smattering\nof knowledge in all its branches is no more. The desire of our universities to\ninstil as much essential knowledge as possible in a limited period of time has\nled to the relinquishing of the more purely cultural from the curriculum.\nNot many students in these days enter medicine thoroughly grounded in the\nclassic languages, mental and moral philosophy; these subjects are today\neven scorned as not being essential to the earning of dollars and cents. Modern requirements tend to make a physician a man of aptitude and learning,\nbut not a man of culture.\nThe outstanding characteristic of the modern medical man as compared\nwith the great group of philosopher physicians which preceded us, is his\ninability to converse upon subjects of cultural interest. In fact, conversation\nitself is rapidly becoming a lost art, and the tendency is more and more to\ncurrent politics, golf, or talking shop. I feel that this is but a part of the\nmad whirl of the times in which we live. The admirable discussion upon\nLeisure delivered here some years ago by Rabindranath Tagore falls upon\nbarren ground. I am old enough now to have seen young men, keen, highly\ntrained, intelligent, enter our hospitals, remain awhile and, enter practice\nin a veritable transport of enthusiasm. They had set themselves an ideal\u00E2\u0080\u0094\nto make enough money to take extensive post-graduate study to fit themselves as leaders of our profession. See these same men ten years later. The\nmeans, which is the money, to attain the ideal of the young physician too\noften becomes the bright object of his desires, which in the end recedes into\nthe misty remoteness of obscurity. Something within the soul of these men\nhas died. Faster, ever faster, grows the standard of their needs; farther,\never farther, backwards recedes their youthful ideal. In ten years we find\na soul in labour, beating an endless tattoo on the endless chain of the treadmill of general practice. No time to play, forgetting how to play, he has\nneither time nor money for post-graduate work, harassed by a wife who is\nstriving to keep up with the Junior League, by the time he has either the\ntime or the money he has forgotten how to study. Early income and the\nsecond of the great primal urges has ruined the career of many a brilliant\nmedical prospect. The physician who gets out of his profession only, his pay\ncheats himself; to have earned only money is but the consolation of the\nhuckster, the satisfaction of the trencherman. I am aware that this does not\napply perhaps to the majority amongst us, and I am also aware that allowances must be made for differences in mentality, for the idea that all men\nare born equal does not apply to mental calibration. The highest class of\nmen are those whose knowledge is innate; next are those whose knowledge\nis acquired by study; after them come those who are dull-witted, yet strive\nto learn, while those who are dull-witted and will make no effort to learn\nare the lowest of the people. Unfortunately we draw our medical men from\nall four groups. If we are becoming, or have become, a group of business\nmen, could we not at least incorporate into our training some of the elementary principles of business, which would make us less susceptible to\nthe sharpshooters who prey upon us. These youhg men leave our universities\nhighly trained in the treatment of sickness; all too soon they discover that\nit is not sickness they are called upon to treat, but sick people. While the\napprentice system of medicine is dead, and perhaps well dead, its most valu-\nPage 160 able recollection is that it did teach the young physician the handling of\nsick people as well as sickness. Is it any wonder that, wholly untrained in\nworldly ways as most of these highly trained scientific young men are, the\nincidence of economic failure should be so high ? In all things success depends\nupon previous preparation, and without such preparation there is bound to\nbe failure. If what is to be spoken be previously determined there will be no\nstumbling; if affairs be previously arranged there will be no difficulty with\nthem; if principles of conduct have been previously determined, the practice\nof them will be inexhaustible. If we continue to train our young men as physicians only and then turn them out into a world of business for which they\nhave had no preparation, the middle-aged misanthrope must result: a man\ndisillusioned, hating his profession, hating his work, stooping to practices\nunbecoming to one of his heritage. Surely the sincere men and the intelligent\nmen of medicine could devise some means of preparation for these men,\ncould devise some means of permitting them to retain something of their\nearly cultural training, and to escape, for a time at least, from the gruelling\ngrind of monotonous routine.\nA partial solution has been arrived at by our American cousins, with their\nclinic or group system of medicine', where periodic release from routine with\ncontinued and assured income is made possible, for the clinic idea in medicine is the department store idea of business, organized toward increased\nefficiency at lessened cost. But the costs of medical care have not been\nlessened; they steadily increase, and all too frequently the clinic, like the\ndepartment store, is run by hirelings, while the Master summers in the Alps\nand winters on the Riviera. Perhaps a more complete solution has been\nreached by the system of army surgeons. While few of us could hold with\nthe heel-clicking, cap-dusting tomfoolery of the peacetime army, yet the\nregular hours, less arduous service, promotion by routine, regular holidays,\nregular post-graduate courses, and the odd sabbatical year of grace, have\nmore than just something to commend them. In sickness or in health these\nmen are forever freed from the besetting fear of the human race, that of a\ndependent old age. Their pension is assured. Within our ranks many a disillusioned singer of that doleful \"Song of the Shirt,\" their souls no longer\nlashed by the scorpions of ambitions, would gladly exchange.\nOne of the major tragedies of modern medicine has been the failure of\ntreatment to keep pace with diagnosis. The advance of medical science in\nall its many mansions has made it possible to effect a diagnosis which\ntwenty-five years ago could but be a matter of conjecture. Having made such\na brilliant diagnosis, one is faced with an enquiring patient: \"What are you\nable to do about it?\" Too frequently the highly skilled investigation is followed by the proverbial bottle of medicine, the effect of which is little more\nthan that of a fetish and whose value may be wholly psychological. We continue to be exploited by the wholesale pharmaceutical houses, and in many\ninstances prescribe pharmaceuticals the actual ingredients of which are unknown to us. No inconsiderable part of medical research has even been usurped\nby these wholly commercially-minded pharmaceutical houses, and- only too\nfrequently valuable discoveries are held up pending the expiry of existing\npatents. While thousands of medical men are still sentimentalized by their\npatients, a part at least of the rising tide of discontent on the part or the proletariat is due to the failure of treatment to keep pace with diagnosis. We are\nstill the victims of fad and fancy, and what looks like progress too often is\nmerely change. The present craze is prontylin, and it is being exhibited from\nthe Indian wickiups to the Palace of St. James.\nA woman who recently asked if she should not take prontylin for her\nillness, recalled to mind the satire of Trosseau: \"Yes, by all means take it,\nbut take it quickly while it still cures.\" Medical men in their prescribing have\nenveloped themselves in an aura of uncanny inscrutability, and an austere\npedantry has always been one of the dangers which threatened medicine.\nPage 161 Since medicine has encompassed so vast a field then tendency has been\nof necessity more and more towards \u00E2\u0080\u00A2 specialization and sub-specialization.\nThe natural tendency of men engaged in narrow specialties is to confine their\nlines of study to those things of direct interest in their own restricted field.\nWe have men specializing in the eye, the heart, the bones. Let us follow some\nof these men to one of our major scientific clinical conventions. The eye men\nare in the eye clinic, the bone men are in the bone clinic. The section of\nbiological chemistry is all but deserted, the physiological section is represented by the merest handful. It is becoming increasingly overlooked that the\npart is an integrate of the whole, and that to know what is best in your own\nfield requires a day-to-day knowledge of this things which are now in other\ndepartments, particularly those which have to do with the fundamental\nsciences. Where practices are rigidly limited, there also, as a rule, is knowledge\nrigidly limited. What God hath joined together no specialism or sub-specialism\ncan put asunder. The world is engaged in a mad pursuit of short cuts to\nknowledge. Our own mother country, England, alone among English-speaking\npeoples, has clung to the old-fashioned idea of an early gruelling in the fundamentals of preparation, believing that the direction in which education starts\na man will determine his future life. Modern medical training turns out an\nexcellent doctor, but not a thinker. Study without thought is vain, thought\nwithout study is perilous.\nWhen one considers the statistics published by the Committee on the Cost\nof Medical Care and comes to realize the low average income of medical men,\nit is hot unreasonable to believe that in attempts to enhance an inelastic\nincome efforts should be made to encompass feats which are beyond the\ntraining and perhaps the capacity of the individual. Many a young man has\nwatched the skilled physician collapse a lung by pneumothorax, or the\nradiologist demonstrate a lesser curve ulcer, or the surgeon excise a diseased\ngall bladder, and perceiving the apparent ease and precision with which these\nmaster craftsmen perform their duties, has without adequate preparation,\ntraining or experience attempted these undertakings himself. Not infrequently\nupon the result of these first forays will depend the future self-confidence of\nthe individual, but to them I would like to say this: That craftsmanship is\nnever an accident, but always the result of high intention, sincere effort,\nintelligent direction and skillful execution. Craftsmanship is an achievement,\nnot an inheritance. On the whole, however, I believe the medical profession\nto be as free from mercenary considerations as any other occupational group.\nI believe that under our present system of practice the fund of knowledge,\nwith respect to the fundamental principles upon which the science of medicine is based, is at its peak in the recent graduate. His knowledge of anatomy,\nphysiology and biological chemistry is never again so complete as when he\nleaves medical school. Wisdom may come, judgment may mature, but knowledge lingers only a short while unless continually refreshed. We have no\nmeasure of control over our practitioners except in a punitive sense. True,\nwe can revoke their right to practice for crimes against the state, or for\ninfamous conduct as physicians, but we have no control over the more substantial crime of men failing to keep abreast of the times, making no attempt\nto maintain the high standards of their heritage. We allow men to graduate,\nset up in practice, and while it is true we are highly organized in a scientific\nsense, present a wealth of conventions, spend thousands upon books and\nperiodicals for our libraries, yet there is no compulsion requiring attendance\nat these conventions, no rules with respect to how much a man shall read.\nThe fact that we can equip a physician to the present high standards and\nthen permit him to slowly disintegrate and deteriorate, without any form of\ncheck or supervision, is definitely not right. With profit we might turn to the\nancient Chinese system of three thousand years ago and insist that standards\nonce attained should be maintained, as determined by periodic re-examination.\nPage 162 While one can readily understand that one practicing the rigorous life of\npractitioners in unorganized communities, remote from hospital facilities,\ndeprived of the tonic of medical companionship, may gradually fall behind\nin the procession of life, it is more difficult to understand a system which\npermits men to practice in highly urbanized communities, where all facilities\nare at hand, access to which is denied them. Perhaps we in Canada cannot\nfully appreciate what this may mean, but in many large centres of the Empire\npanel practitioners have become mere sorting clerks, needing to know only\nwhen a patient is sick enough to be sent for care in an institution, in whose\nactivities the practitioner has no part.\nThe development of quackery to its present high state has perhaps more\nto do with delinquency within our own profession than we are prone to\nadmit. The neglect of chronic cases, the failure to provide relief for the\nneuroses and the borderline psychoses, and the many incurable ailments, such\nas arthritis, is the soil upon which irregular practitioners thrive. Unfortunately the defects of the individual are attributed to the profession as a\nwhole. Uncertainty in any profession breeds fads and factious cults. The\nhigher the general standards of medicine in any country, the fewer the quacks.\nWhile the quack has been with us from the beginnings of time, certain serious\ntrends are to be observed when our governments see fit to legislate in favour\nof quack organizations whose foundations are nebulous, whose colleges are\nnon-existent, and whose principles are wholly abhorrent and commercial, it\nmust certainly mean that a large force of public opinion is in support of\nthem. This is merely the corollary of the statement that a large force of\npublic opinion views our own profession with something akin to distrust.\nThe medical profession has in the past led crusade after crusade against the\ncults at great financial cost and much heartburning. I believe that most of\nthis has been ill advised, for the coercion of minorities, even though their\ndoctrines be dangerous, abhorrent and ridiculous, does more harm than the\npropagation of their theories can possibly inflict. History shows that quack\nhas succeeded quack, and that one form of quackery has succeeded another,\nbut the medical profession, from the security of her myriad bulwarks, has\nseen the sun of many empires rise and set. Our greatest security is the certainty of our knowledge. \"Medicine is confronted by a multitude of problems\nsuch as this. Their solution is surely not attained by attacks upon anyone or\nhis liberties, but by making the facts available to the public. When the\nmedical profession has done this in simple and easily understood terms, its\nduty ends. The function of the doctor is to find the ways to relieve suffering,\nto make living more secure, and to serve those who want life. He is neither\nreformer, evangelist nor policeman, nor is he called upon to depart from\nhis natural duties and go out into a world of stupidities to prevent the suicide\nof the incompetent\" (Warbasse). Less than a hundred years ago we still\ncharged admission to our insane asylums, where the mentally ill were exhibited like so many freaks in a circus. Today medicine treats the mental\ncase as a sick man and as one entitled to compassionate treatment, and if\nthere is now a large section of our people who are mentally ill, through the\nvulpine cunning of a commercially-minded group of pseudo-medical hucksters, then I think it is our duty as a profession to render them compassionate and curative treatment, difficult though such a course may prove to be.\nI cannot pass without some reference to the gentilizing influence of the\ncoming of women into medicine. Already the names of famous medical women\nare ornaments in our halls of fame. Their greatest services have been rendered in the fields of obstetrics, research, preventive medicine and child\nwelfare work. Their coming has opened an avenue of escape for the timid,\nand a sanctuary for the prude. It was the coming of women into medicine that\nbroke down the aura of reserve and hush surrounding the social diseases.\nThe frank discussions by mixed organizations today is the result of the\neducation of women by medical women, and many a musty idol has crumbled\nin the temple of traditional prudery as a result of their coming.\nPage 168 To my mind our most vulnerable weakness as a profession has been our\nfailure to realize that we have emerged, by a process of evolution, from a\nscientific, philosophic and philanthropic profession into an ultra-scientific\nbusiness. In our emergence we have failed as an organization to adopt the\nprinciples or even learn the rudiments of business into whose world we have\nslowly intruded, individually; the afternoon of life too frequently finds the\nphysician with his* future unsecured, having spent the greater part of his\nlife and earnings in the furtherance of enterprises in which he never had a\nchance. As I mature in years I am more than ever convinced the best investment any medical man can make is a heavy investment in the fundamentals\nof his own preparation, even to the extent of laying a heavy mortgage upon\nhis future. Collectively, we have repeated examples of the sudden intervention of governments into medical affairs. The coming of government-controlled medicine to England found a profession absolutely unprepared, worse\nstill, it found them without any organization and without any organized or\nconcerted thought having been given to its possibility. The story is repeated\nin nearly every country of the world where government schemes have been\nintroduced. Precipitously, organization came about; it was after the deluge\nand for salvage purposes only, attempting to save something from a wreck\nwhich could have been more easily prevented than it could subsequently be\nrepaired, confirming the wisdom of Confucius: \"Taking an untrained multitude into battle is like throwing them away.\" Our profession is still unorganized in an economic sense, and in spite of the lessons of unpreparedness in\nother countries, except for isolated non-co-operative groups, we are still peacefully slumbering. Only two classes of men never change, the wisest of the wise\nand the dullest of the dull.\nThe somewhat pitiful state of our economic affairs is mutely manifest in\nthe routine of our daily life. The state of affairs in our great general hospitals, whereby we care for such tremendous numbers of indigent patients, is\nan imposition which would not be tolerated by any other occupational group,\nand which the power of organized unity could terminate overnight. Collectively and individually we supinely submit to a civic license fee which confers\nupon us the somewhat doubtful privilege of gratuitously caring for the city's\nindigent sick. In respect to our contract practices, we permit two young men\nto enter practice in adjoining industrial communities; the one, a medical\ngiant and a financial pigmy, signs a contract which signs away his soul; the\nother, a financial giant and a medical pigmy, obtains a contract the provisions\nof which are eminently satisfactory. The one must live on skimmed milk, the\nother has cake and wine. If our national organization had a bureau of minimum standards to which all such must attain, both could at least have\nbread and butter.\nCertain grave dangers would appear to lie ahead, for the world is very\ndisturbed; the very foundations of freedom are being undermined, dictatorship succeeds dictatorship, nation is rising against nation, pogrom is succeeding pogrom, socialism displacing democracy, and the while the world is\nengaged in a mad feverish preparation which it would appear was designed\nto precipitate civilization into another colossal traumatic epidemic. \"The\ndominance of individualism so characteristic of democracy\" (Osier) is slowly\nbeing dissolved, the group is succeeding the individual, and slowly but surely\nthe state is taking away from the individual prerogatives enjoyed for centuries. Our profession is the child of the church. Yet what is happening to\nthe very mother of our profession: torn from her temples in Russia, toppled\nfrom her throne in Mexico, crushed by Communism in Spain, raped by dictatorship in Germany. If the church which gave us birth is no longer secure\nin the eyes of those who are supplanting the established order of things, how\nmuch less secure are its children!\nIn our evolution as a profession we have climbed high upon the ladder of\nrenown, but the slowly grinding mills of evolution work both ways. It\nbuildeth up but it also teareth down, as witness the extinction of species,\nPage 164 racial declinations and the vanishing of entire peoples. Medicine itself is not\nthreatened, but our established order of our dominance as individuals definitely is threatened.\nDuring the past few years a threat to our individualistic system emanated\nfrom our great sanhedrin of political propagandists; it too found us unprepared, unorganized and bewildered. Fortunately time worked in our favour\nand our education was slowly developed; slowly, surely and painfully our\nmedical men have learned the great lessons ofimilitary training\u00E2\u0080\u0094loyalty,\ndiscipline and trust in leadership. Today, as a result, along this particular\nline of economic research the medical profession of British Columbia leads\nthe unregimented medical world. But that is not enough. During our travail\nwe fought our cause alone; our sister provinces looked on with interest, but\nsent no ambassadors to our court, machinery did not and does not exist in\nother provinces which could be used in our support, and in spite of our\nstruggles other provinces of our own Dominion, with few exceptions, have\neven now no similar organizations, and continue to slumber in a state of\nheavenly lunacy, secure only in the alembic of the mind, hoping that in the\nevent of the coming of state medicine in Canada we in British Columbia may\nact as their pregustator.\nDuring the struggles during which we have just passed, and whose recess\nwe now enjoy, we found ourselves confronted not only by various and differing opinions but by various types of men within our own ranks. In our\nattempts to achieve economic unity we had to deal with a group of men who\nwere in the main frankly honest, a few were openly rebellious, others subtly\nperverse, still others artfully pliant. Criticism of the efforts of our leaders\nwas inevitable; differences of opinion were many and difficult; from time to\ntime reproaches were heard: opportunities had not been seized, insults had\nbeen left unavenged, obvious sources of retaliation had been left uncultivated. Gradually we learned the lesson that next to knowing when to seize\nan opportunity, the most important thing in life is knowing when to forego\nan advantage. That certain disciples of Judas were to be found amongst us\nwas inevitable; such men there will always be. I think that we must learn to\naccept these men without unphilosophical mourning and without chagrin.\nYet these men are difficult, for I know of no useful purpose to which a man\ncan be put upon whose word no reliance can be placed. The immortal\nphilosopher Confucius might have had such men in mind when he said:\n\"You may discuss higher things with those who have risen above the average\nlevel of mankind, but not with those who have sunk below it.\"\nI believe I am not alone in viewing with alarm the socialization of medicine, for bureaucratic control stifles initiative and socialization is a great\nlevelling process. But the great valleys of medicine will not be filled in by\nmaterial brought in from without, but from the debris which has been\nknocked off her peaks. I cannot but believe that the urge towards state\nmedicine, so evident in many parts of the world today, is in part due to the\ntolerance we have exhibited toward the evils existent within our profession,\nsome of which I have herein reviewed. For the unfortunate fact must be\nfaced that state medicine will, by release from drudgery and reduction in\ncosts, unquestionably cure many of these evils.\nPerhaps I am but pursuing the leprechaun, or what I see may be only a\nchimera, but I believe I do see clearly: that if organized medicine fails to\ntake steps within its own ranks to cure the evils of drudgery, poverty,\nroutine, deterioration and cupidity, these evils will be remedied by drastic\nforces operating from without, aided and abetted by those very malcontents\nwithin our own ranks, the vicissitudes of whose lives we have taken no steps\nto alleviate. For the church which gave us birth has survived through the\nearnestness and integrity of its proponents, through the unquestioned faith\nof its adherents, through the perpetuation of high cultural standards, through\nthe charm of its imagery, and through something of its mysticism. We, too,\nhave survived thus far for much the same reasons, but our motives and prin-\nPage 165 ciples are now subject to question, and a thinking and less romantic people\nare demanding results, and less mysticism. The threat to medicine, it is true,\ncomes from without\u00E2\u0080\u0094the danger to medicine comes from within.\nI believe the great need of the institution of medicine of the future to be\nan economic cohesion between every province, state and country which shall\nknow no boundary, race or creed, in which every individual unit shall be\nan active, interested and integrated part, such that a threat to one brings\nthe help of all. I believe that it must achieve the same high degree of excellence and importance as our scientific organization, where economic problems\naffecting medicine may be worked out by specialists, where principles of\nconduct may be formulated which shall govern the whole, for I believe you\nwill accept as a truism this statement: that those who differ in their principles cannot help each other with their plans.\nIn our emergence from a philosophical profession into the realm of business we have been neglectful of our duties, in that we have failed to make\nthe necessary observances of the golden god of business, whose name is Organization, and 'in our neglect have offended against the very heaven of Industry,\nand if in the future we fail so to do we shall, when adversity once again\nconfronts us, find ourselves in the position of the man so graphically portrayed by that great scholar Confucius, who said: \"He who offends against\nheaven has none to whom he can pray.\"\nBRITISH COLUMBIA MEDICAL ASSOCIATION\nBOARD OF DIRECTORS\nThe Board of Directors of the British Columbia Medical Association held\nits regular meeting following dinner on March 23rd, 1938.\nPresent: Dr. Gordon C. Kenning, President; Doctors W. E. Ainley, L. H.\nAppleby, Stewart A. Wallace of Kamloops, W. Allan Fraser and P. A. C.\nCousland of Victoria, D. E. H. Cleveland, N. E. MacDougall, F. R. G.\nLangston of New Westminster, H. Carson Graham of North Vancouver, Colin\nW. Graham, J. R. Naden, Walter S. Turnbull, C. H. Vrooman, C. T. Hilton\nof Port Alberni, H. H. Milburn, A. Y. McNair, G. F. Strong, E. Murray Blair,\nA. Howard Spohn, Wallace Wilson and M. W. Thomas (Executive Secretary).\nMessages were read from Doctors F. M. Auld of Nelson, C. H. Hankinson\nof Prince Rupert, J. S. Henderson of Kelowna and George T. Wilson of New\nWestminster regretting inability to attend.\n* * * *\nDr. T. C. Routley, General Secretary of the Canadian Medical Association,\nattended the meeting of the Board of Directors and with great benefit in that\nhe was able to enter into the discussion freely and learn at close range of\nmany provincial problems. His visit was most helpful.\nBRITISH COLUMBIA MEDICAL ASSOCIATION\nAll of the members of the practising profession of Chilliwack and Sardis\nmet at dinner at the Empress Hotel, Chilliwack, on March 11th. Those present: Doctors R. McCaffrey, L. A. Patten, R. W. Patten, W. E. Henderson,\nJ. D. Moore, G. A. C. Roberts and A. R. Wilson of Chilliwack; Dr. H. W. Epp\nof Sardis, and Dr. M. W. Thomas, Executive Secretary.\nThe meeting took the form of a round-table conference, and Dr. Thomas\nwas able to enter into the discussions and answer many questions. It was\ndecided that this group should form a society, and with the view of developing an organization, temporary officers were appointed, with Dr. R. McCaffrey\nas presiding officer and Dr. G. A. C. Roberts as Secretary pro tern.\nReturning from Chilliwack on Saturday and Sunday, after visiting the\nChilliwack General Hospital, which it is planned to extend or replace, thus\nfilling a long-felt need, the Executive Secretary visited the doctors in Abbots-\nford, Mission and Langley.\nPage 166 BRITISH COLUMBIA MEDICAL ASSOCIATION\n|r COMMITTEE ON PHARMACY\nSulphonimide Now Only Available on Doctors' Prescriptions\nIn accord with the resolution of the Council of the Pharmaceutical Association of British Columbia, sulphanilamide has been added to part 1 of\nschedule A of the Pharmacy Act and can be sold only on prescription after\nMarch 27th, when the amendment becomes effective:\n\"21. Para-amino-benzene sulphonimide and preparations thereof; analogous compounds and the derivatives and preparations thereof, whether described as Sulphanilamide, Prontylin, Prontosil, or any other trade-name,\ntrade-mark, or designation.\"\nBRITISH COLUMBIA MEDICAL ASSOCIATION\nThe Annual Meeting of the British Columbia Medical Association has\nbeen arranged for September 15th, 16th and 17th, at the Empress Hotel in\nVictoria.\nDr. Hans Lisser of San Francisco and Dr. Edwin G. Bannick of Seattle,\nformerly of Rochester, have been secured as speakers. In addition to these\nwe are making an effort to secure one or two surgeons from points on the\nPacific Coast. From the East we will have the President of the Canadian\nMedical Association, Dr. Kenneth McKenzie, and the General Secretary, Dr.\nT. C. Routley. They will be accompanied by Dr. L. H. Newburgh of Ann\nArbor, who is travelling across Canada in the interests of the Committee on\nNutrition of the Canadian Medical Association. There is a possibility that we\nmay have, in addition, a speaker on cancer. This should give us a well-rounded\nprogramme and ensure a successful meeting.\nBRITISH COLUMBIA MEDICAL ASSOCIATION\nThe following are the members of the General Council of the Canadian\nMedical Association: Doctors Gordon C. Kenning of Victoria, President of the British Columbia Medical Association; G. F. Strong of Vancouver, representative from British Columbia on the Executive of the Canadian\nMedical Association; Wallace Wilson of Vancouver, Chairman of the Committee on Economics of the Canadian Medical Association; J. R. Naden,\nHonorary Secretary-Treasurer, British Columbia Medical Association; D. E.\nH. Cleveland, Vice-President, British Columbia Medical Association; P. A. C.\nCousland of Victoria; C. H. Hankinson of Prince Rupert: W. J. Knox of\nKelowna; H. H. Milburn of Vancouver; G. W. C. Bissett of Duncan, President of the Victoria Medical Society; R. E. McKecllnie of Vancouver, Forrest\nLeeder and Hermann M. Robertson of Victoria, the three last named serving\nby virtue of their status as Past Presidents of the Canadian Medical Association.\n* * * *\nThe Canadian Medical Association meets in Halifax June 20th to 24th.\nPlease notify the office if you intend going. We may all travel together in a\nspecial car. Do not neglect to book your hotel accommodation early.\nA secretaries' conference will be held in Halifax on June 20th, the first\nmeeting of secretaries. It should be productive of good, and contribute largely\nto the development of the national body and provincial interrelations.\nPage 167 COLLEGE OF PHYSICIANS AND SURGEONS\nIt was reported that a broadcast from a Vancouver station could not be\napproved under the regulations made under the Canadian Broadcasting Act.\nThe programme was discontinued at once.\nSection 13, subsection 5, in their Regulations, provides: \"No continuity\nrecommending any treatment for any ailment shall be broadcast until it has\nbeen approved by the Department of Pensions and National Health.\"\nAnother interesting section is 7, wherein subsection (f) controls \"advertising matter containing false or deceptive statements.\"\n(g) deals with \"false and misleading news.\" It is interesting to note this\nnew control. It is well to watch and report on all such. Further notes appear\nin the Journal of the Canadian Medical Association, February, 1938, pages\n180 and 181. \t\nINTERIM REPORT, CANCER COMMITTEE OF\nTHE B. C. MEDICAL ASSOCIATION\nThe Board of Directors of the B. C. Medical Association at its last meeting\nin January asked the Cancer Committee to submit a concrete scheme of\ncancer control applicable to British Columbia. At its monthly meeting in\nFebruary, your committee discussed this matter rather carefully and\nappointed a small committee to draw up a report for submission to a special\nmeeting of the whole committee, called for the night of March 7th. This\ncommittee presented its report, dealing mostly with the principles involved\nrather than a concrete scheme. It provoked a good deal of discussion, out of\nwhich some rather importants points in reference to our cancer situation\nwere more or less decided on. In view of the fact that a definite scheme was\nnot laid down, it was decided in committee to submit this as an interim report\nonly, and that another sub-committee be formed to formulate a definite concrete plan.\nAs an interim report we submit: That your committee recognizes the\nincreasing importance of the problem of cancer control, both from the standpoint of the laity and the medical profession, and that leadership in this field\nshould be assumed by the medical profession. We feel that any efforts that\nwe can exert in the matter of control of cancer will have strong public support, and will well repay the profession in public esteem.\nSome three years ago the Cancer Committee of this Association initiated\na movement which resulted in the formation of the B. C. Cancer Foundation,\nwhose main objective was the unification of activities in the field of Cancer\nControl in British Columbia under the one organization. This included the\nestablishment of a central Cancer Institute and subsidiary cancer centres\nelsewhere in the province as the plan developed. The plan was in accord with\nthe recognized better ones in effect in some European countries, notably\nSweden, where cancer treatment is admittedly more advanced than it is on\nthis continent. Unfortunately the progress made by the B. C. Cancer Foundation has been a great disappointment, and we find our problem about as it was\nthree years ago. Your committee feels that with the development of the\nCanadian Medical Association programme in the matter of Cancer Control,\nwe must again get in the field very actively and formulate plans that will\ninclude not alone the national set-up but also a provincial scheme to provide\nbetter diagnostic and treatment facilities for those suffering from cancer\nthroughout B. C. A great deal of the educational work of the National Society\nwould be lost if proper treatment facilities were not available. Your committee feels that whatever is undertaken must have the whole-hearted support and endorsation of the Board of Directors.\nFortunately, during the last two years, under the chairmanship of Dr.\nJ. S. McEachern of Calgary, the Cancer Study Committee of the C.M.A. has\nbeen very active. It has been given $14,000 per year by the Trustees of the\nKing George V Jubilee Cancer Fund to carry out a scheme of cancer control\nPage 168 and study which Dr. McEachern had presented to the trustees, and which the\nExecutive of the Canadian Medical Association had previously endorsed.\nDr. McEachern, at our Annual Meeting in Vancouver last September, outlined the plan to our Association and also to the B. C. Cancer Foundation,\nand received the endorsation of the members of the Foundation. It consists of\ntwo separate but interlocking organizations:\n(a) Department of Cancer Control of the Canadian Medical Association\nwith a Board of Directors composed of:\n1. Medical men, centrally located;\n2. The chairmen of the nine provincial Cancer Committees;\n3. Full-time provincial secretaries.\n(b) The Canadian Society for the Control of Cancer, a lay-medical group.\nFor details of the plan we recommend the reading of Dr. McEachern's\nreport published in the Canadian Medical Journal of September, 1937. We\ncan now state that both organizations under it are well on the way to completion. This committee feels that it is a carefully-laid-out plan, amply supported financially, and one that it can recommend to the Board of Directors\nof the B. C. Medical Association.\nIn regard to (a), the Department of Cancer Control of the C.M.A.: Cancer study groups in all hospitals of 100 beds and over should be established\nas soon as possible, and once these are formed, a. conference of the chairmen\nof these study groups with the other members of the Cancer Committee of\nthis Association should be arranged, in order to formulate a unified plan of\nwork for these various groups. This, we feel, would accomplish much more\nthan if correspondence alone were depended on, and would create much more\nenthusiasm in the men taking part, which they in turn would tend to pass on\nto the various members of their respective groups. In this way the whole\nprogramme would get under way with the least amount of delay.\nYour Committee is also in favour of an attack on the problem of providing adequate facilities for diagnosis and treatment of cancer in British\nColumbia. This evidently would not be included in the national scheme, which\nhas to do largely with educational activities; so that a third organizatipn\nwould come into the picture, which would have to be a provincial one whose\nduty it would be to raise funds and carry out the original objectives of the\nB. C. Cancer Foundation. Whether this latter body can function in this\ncapacity, in view of its disappointing progress in the past, is difficult to state\nat the moment. We feel that it should be urged to affiliate in some way with\nthe national movement, and assist in the formation of the B. C. branch of the\nCanadian Society for the Control of Cancer. Your Committee visualizes in the\nfinal set-up of the Cancer Control programme in British Columbia that there\nwill be three separate organizations:\n(1) The B. C. Medical Association Cancer Committee, which will represent the Department of Cancer Control of the C.M.A.;\n(2) The B. C. Branch of the Canadian Society for the Control of Cancer,\nwhose activities will be largely educational in character;\n(3) A provincial organization, which shall control the provision of diagnostic and treatment facilities for cancer throughout B. C.\nThese organizations, although separate, should be interlocking to prevent\noverlapping of duties.\nThe Cancer Committee of the B. C. Medical Association should be the\nleading and correlating force in the direction of the various activities of\nthese organizations. \t\nCHICAGO TUMOUR INSTITUTE\nThe Chicago Tumour Institute opened March 21st, 1938. It offers consultation service to physicians in the diagnosis and treatment of cancer and\nradiation facilities for cancer patients. The Institute also proposed to conduct research and to offer training to physicians who may wish to qualify\nas specialists in the study and treatment of this disease.\nPage 169 CANADIAN ASSOCIATION OF RADIOLOGISTS\nThe first Annual Meeting of the B. C. and Alberta members of the Canadian Association of Radiologists in Victoria drew to a successful conclusion\nat a dinner on the evening of February 5th, 1938.\nDuring the two-day session several excellent papers were presented, one\nof which has just appeared in a supplment to the Bulletin of the B. G. Board\nof Health.\nWhile most of the papers dealt with therapeutic radiology, economic and\nallied matters received attention. Many interesting films encountered by the\nmembers present provided material for considerable discussion in the diagnostic field.\nThe enthusiasm displayed by those in attendance augurs well for successive meetings. Next year's meeting is planned for Calgary.\nVICTORIA MEDICAL SOCIETY f\nA special dinner meeting held on Friday, March 25th, at the Union Club\nin Victoria, was largely attended and provided the setting for the re-reading\nby Dr. Lyon H. Appleby of Vancouver of the Osier Oration, which had been\nespecially requested following its presentation before the Vancouver Medical\nAssociation on March 1st. \"Quo Vadis, Medicina?\" was again much appreciated.\nDrs. T. C. Routley and M. W. Thomas were added guests on that occasion. Dr. Routley addressed the Society, telling something of the trends and\nportents in National Medicine.\nCANADIAN MEDICAL ASSOCIATION\nI FEDERATION\nThe Board of Directors of the British Columbia Medical Association has\nendorsed the recommendation of its Committee on Constitution and By-laws\nin reference to joining Federation under the Canadian Medical Association\nby becoming a Division. The new proposed Constitution and By-laws of the\nC. M. A., with perhaps very minor amendments which will not affect the\nprinciples involved, will very likely be adopted at its Annual Meeting in\nJune next.\nIt will allow each Division complete autonomy over its own local affairs\nand practical control of the selection of its representation on the Executive\nCommittee, Nominating Committee and General Council of the National\nAssociation. Each Division in turn agrees to collect the annual fee, which\nwill be reduced from $10.00 to $8.00, and remit same to the Canadian\nMedical Association, and also agrees to encourage as many of its members\nas possible to become members of the C.M.A. These are the major points\ninvolved and your Constitution and By-laws Committee feels that we should\nmake every effort to make Federation an accomplishment as early as possible.\nNaturally, this cannot be done before the Annual Meeting in September\u00E2\u0080\u0094\nany action taken by the Board of Directors must be ratified by the Association\nat that time.\nIn the meantime, the matter of getting new members is the vital concern\nof your Committee on Constitution and By-laws, and your Committee urges\nany member who is not now a member of the Canadian Medical Association\nto earnestly consider making application as early as possible. The membership in the Canadian Medical Association for British Columbia was about\n370 in 1937. Your Committee is particularly anxious to bring this up to at\nleast 450 before the June meeting in Halifax; if so, our representatives at\nthat meeting will be able to throw their chests out and shout, \"Hurrah for\nB. C.\"\nH. H. Milburn, M.D.,\nChairman, Comuiittee on Constitution and By-laws.\nPage 110 WEST KOOTENAY MEDICAL ASSOCIATION\nPresident: Dr. M\nSecretary-Treasurer: Dr.\nRossland:\nDr. E. E. Topliff\nDr. H. R. Christie\nTrail:\nDr. M. R. Basted\nDr. W. A. Coghkn\nDr. D. J. M. Crawford\nDr. J. Stewart Daly\nDr. W. J. Endicott\nDr. M. E. Krause\nDr. Wm. Leonard\nDr. P. L. Wilson\nDr. J. Bain Thorn\nDr. L. B. Wrinch\nDr. L. N. Beckwith\nDr. J. L. Gay ton (M.O.H., Trail)\nCastlegar:\nDr. V. B. Goresky\nSalmo:\nDr. N. E. Morrison\nCreston:\nDr. G. B. Henderson\nDr. J. Vernon Murray\nDr. D. A. Campbell\n. R. Basted, Trail.\nWilfrid Laishley, Nelson.\nGreenwood:\nDr. J. M. Burnett\nDr. W. H. Wood\nGrand Forks:\nDr. C. M. Kingston\nDr. Windsor Truax\nNelson:\nDr. Fred M. Auld\nDr. Clare M. Bennett\nDr. L. E. Borden\nDr. B. L. Dunham\nDr. Donald W. McKay\nDr. H. H. Mackenzie\nDr. Robert B. Shaw\nDr. Wilfrid Laishley, E. E. N. & T.\nDr. F. P. Sparks (M.O.H., Nelson),\n(Pathologist, Hospital)\nKaslo:\nDr. D. J. Barclay\nNew Denver:\nDr. Arnold Francis\nNakusp:\nDr. H. F. Tyerman\nIn the Spring a\nDoctor's fancy\n\u00E2\u0080\u00A2 \u00E2\u0080\u00A2 \u00E2\u0080\u00A2\nlightly turns to\nthoughts of REST!\nNO one realizes better than the medical man the wisdom of taking a short spell of\nrest and reconditioning in the early months of the year . . . and no one has less\ntime to do it than that same medical man!\nBut with spring's arrival the tension eases a little\u00E2\u0080\u0094and the wise physician slips away\nto fill his own prescription for \"change and rest.\" ... At The SPA of Canada he\nfinds the ideal atmosphere for complete relaxation and facilities for therapeutic\ntreatments.\nSpecial rates for the medical profession.\nFor reservations please phone Trinity 2201.\nHarrison Hot Springs Hotel\nHARRISON HOT SPRINGS, B. C.\nPage 111 1 \u00E2\u0080\u00A2* *\n1$hhhh\noM\ncO\u00C2\u00AB\n\u00C2\u00BBs\n***\u00C2\u00AB\nY\\\u00C2\u00BB\n<*\nAtxce\nt\u00C2\u00BB\n\u00C2\u00BBrd \u00E2\u0096\u00A0 ^*V \"-wxe^\n^06SS:;ue*^a' \u00C2\u00BB\u00E2\u0096\u00A0\nsetxlS use^X | a*o^'\" p\^\nart <0V \u00E2\u0080\u00A2\u00C2\u00AB **\u00C2\u00BB*'\n.*\u00E2\u0080\u00A2* v..s^^.ca\ V,o\n0M*\n.oxe*'\"\"\" prof \u00C2\u00ABsS,V,0,0\u00C2\u00BB\u00C2\u00AB-\nE. R. SQUIBB & SONS OF CANADA, LIMITED\nManufacturing Chemists to the Medical Profession since 185 8 INDIVIDUAL TOWELS PREVENT WASHROOM INFECTION\nON LI WON TOWELS\n\u00E2\u0080\u00A2AizAioU Economical\nbecause the \"DOUBLE-FOLD\" means\nthat only one towel is needed per person\nThe exclusive Onliwon \"double-fold\" gives you a BIGGER\nTOWEL, although the cabinet actually occupies less space.\nThe stout fabric permits an Onliwon towel to be used like\na cloth towel\u00E2\u0080\u0094it doesn't fall to pieces in wet hands.\nThe special crepe finish imparts EXTRA ABSORBENCY.\nThese special features explain why ONE Onliwon towel is\nample for the average user and \"why Onliwon towel service\nreduces your washroom maintenance costs to rock bottom.\nAny Eddy Co. branch or distributor will gladly furnish you\nwith complete information.\nTOWELS\nTHE E. B. EDDY CO., LIMITED \u00E2\u0080\u00A2 Tissue Division\nHULL \u00E2\u0080\u0094 QUEBEC IN MILK SENSITIVITY...\n^Experimental studies show that evaporated milk is the best\nform of denatured milk to use. This conclusion is based on the\nfact that the whey proteins in evaporated milk are partially\ndenatured; practically all milk-sensitive patients are sensitive\nto the whey proteins, and the casein plays a negligible role.\nBecause the whey proteins are not chemically changed but\nonly physically modified, the child in time develops a tolerance to the proteins of raw milk through the use of evaporated milk which, incidentally, can be fed indefinitely J *\n\u00E2\u0080\u0094RATNER, BRET: J. Pediat., IX: 812, 1936\n...EVAPORATED MILK\nIS VALUABLE I\nAnd no evaporated milk\nsatisfies all requirements of\nquality and uniformity more\ncompletely than Irradiated\nCarnation Milk. In the production of this milk the high\nest standards are observed,\nfrom the selection and supervision of raw-milk sources to\nthe last step in its scientifically controlled processing.\nA BOOKLET FOR PHYSICIANS\u00E2\u0080\u0094You are invited to\nwrite for \"Simplified Infant Feeding,\" an authoritative\npublication treating of the use of Irradiated Carnation\nMilk in normal and difficult feeding cases . . - The\nCarnation Company, Ltd., Toronto, Ontario.\nCI IRRADIATED \u00C2\u00ABl jr\narnation Milk\nA CANADIAN PRODUCT - \"from contented cows\"\nCARNATION COMPANY LIMITED, 134 Abbott Street, Vancouver. THE MARGARET Convalescent and Nursing Home\nPRE OR POST-SURGICAL AND MEDICAL CASES\nMARGARET A. McLENNAN, R.N. M. J. SHENFIELD, R.N.\n1185 Harwood St., Vancouver, B. C. Seymour 2885\nTUSSOL\nTOR CHILD***'8\nCOUGHS\nLOOPING COUGH\nBRO*CHlAL ACTIONS\nOne\nDose:\nt0 two teaspoonsful\nEach fluid ounce\ncontains: \u00E2\u0080\u0094\nAmmon. Bromide\n8 grs.\nFluid Extract\nLobelia - 1 min.\nAntimony Pot.\nTart. - 1/100 gr.\nThymus vulgaris\n5 gr.\nFluid Extract\nIpecac - 1 min.\nFluid Extract\nBelladonna Lv.\n1 min.\nSyrup Tolu - q.s.\nFort the Medical\n' Profession only\nSample on\nRequest\nFRANK W. HORNER LTD.\nMONTREAL\nWINNIPEG\nVANCOUVER PETROLAGAR\n\"Agreeable and\nEffective\"\nAs an aid to establishing \"Habit\nTime\" of bowel movement Petrol-\nagar has proved to be both agreeable and effective. Petrolagar\nmixes intimately with the towel\ncontent, both increasing and softening the easily passed mass.\nPetrolagar\u00E2\u0080\u0094liquid petrolatum 65\ncc. emulsified with 0.4 gm. agar in\na menstruum to make 100 cc.\nJOHN WYETH\n& BROTHER, Inc.\nWALKERVILLE, ONTARIO\nH IN ARTHRITIS gjj\nAND RHEUMATISM\nShort Wave Therapy\nand\nComfortable Footwear\nAre Indicated\n\u00E2\u0080\u00A2\nThe use of modern Electrical and\nOrthopaedic Equipment enables us\nscientifically to carry out your\nprescription.\n\u00E2\u0080\u00A2\nIN\" ATTENDANCE:\nPIERRE PARIS, D.S.C.\nGEO. P. PARIS, D.S.C.\nO. L. STONG, D.S.C.\nPierre Paris\nFoot Clinic\nPhone:\nSey. 3778 Vancouver, B. C.\nThe Purified\nACTIVE PRINCIPLE\n1 OF\nSANDALWOOD OIL\n\u00E2\u0080\u00A2\n9\u00C2\u00BBa\u00C2\u00AB*\u00C2\u00BB ECONOMICAL\nDosage Form\nDoctor, why use ordinary sandalwood\noil when you can just as easily administer the active principle of the oil\nwith the irritating and therapeutically\ninert matter removed\u00E2\u0080\u0094and at a cost\nto your patients of only a very few\npennies more?\nYou can do this by prescribing the\nnew, economical 50-centigram capsules of\nARHEOL\n(ASTIER)\nnow obtainable in bottles of 12, 24 and\n100 capsules at $1.00, $1.75 and $6.00\na bottle respectively.\nARHEOL is the purified active principle of sandalwood oil. It is a uniform, standardized product with which\nprompt and dependable results may\nbe expected. Undesirable sequelae\noften associated with sandalwood therapy are either absent or reduced to a\nnegligible degree.\nA3-BVMA\nDr. P. Astier Laboratories\n36-48 Caledonia Rd., Toronto.\nPlease send me a sample of\nARHEOL (Astier) in the new\neconomical dosage form.\n M.D.\nStreet.\nGity Prov\t\nDr. P. ASTIER LABORATORIES\n36-48 Caledonia Road, Toronto ;l||| The New Synthetic Antispasmodic\nTrasentin \"Ciba'*\n(Diphenylacetyldiethylaminoethanolester-hydrochloride)\nSUPPRESSES SPASMS OF THE GASTRO-INTESTINAL\nTRACT, GENITO-URINARY SYSTEM AND\nOTHER SMOOTH MUSCLE ORGANS\nTafclets\u00E2\u0080\u0094bottles of 20 and 100. Ampoules\u00E2\u0080\u0094boxes of 5 and 20.\n1 tablet or 1 ampoule contains 0.075 grm.\nof the active substance.\nJCIBA COMPANY LIMITED\nMONTREAL\n13 th Ave. and Heather St.\nExclusive Ambulance Service\nFAIRMONT 80 \u00C2\u00A7\nPRIVATE AMBULANCES AND INVALID COACHES\nWE SPECIALIZE IN AMBULANCE SERVICE ONLY\nJ. H. CRELLIN\nW. L. BERT'RAND Announcing a New Portable X-Ray Unit\nI See It-Sisra iVour Own Office\n3.2 Times More Radiographic Power; New Portability; Real Value per Dollar\nImportant News\u00E2\u0080\u0094to every member of the medical profession who realizes a\nneed for a compact, flexible, easily-carried Portable X-Ray Unit that has great\nradiographic merit.\nEasy to Own, As a matter of fact, the total cost is surprisingly low. Your\ninitial investment is no more than necessary for an ordinary small x-ray unit.\nEconomical Operation. Designed by\nexperienced x-ray engineers; ruggedly\nconstructed by master craftsmen. You\ncan rely on it to give you satisfactory,\neconomical service.\nThere's more than 40 years of General Electric skill and experience in\nthe design of this powerful, easy-to-\noperate Model F-3 Portable X-Ray\nUnit. But it won't take you half of 40\nminutes to decide that it's the unit\nyou want to own; that it's ideal for\nyour need.\nOperate It in Your Own Office without cost or obligation. Just fill in and\nmail the handy coupon, today.\ng\"mm \u00E2\u0080\u0094\u00E2\u0096\u00A0 WITHOUT OBLIGATION -g\nGENERAL \u00C2\u00A9 ELECTRIC\nX-RAY CORPORATION\nson jackson uva.\nCHICAGO, III.. U.S.A.\nArrange an actual working demonstration\nof the F-3 X-Ray Unit for me in my own\noffice. A204\nName\nAddress\nCity\t\nState\ns_. STEVENS' SAFETY PACKAGE\nSTERILE GAUZE\nis a handy, convenient, clean commodity for the bag or the office. Supplied\nin one yard, five yards and twenty-five yard packages.\nESTABLISHED NEARLY A\nPhone Seymour 69%\nB. C. STEVENS CO.\n730 Richards St., Vancouver, B. C.\nS. BOWELL & SON\nDISTINCTIVE FUNERAL\nI I SERVICE\nPhone 993\n66 SIXTH STREET\nNEW WESTMINSTER, B. C.\nmsm\nBreakj|:the vicious circle of perverted\nmenstrual function in cases of|men|rrhea,\ntardy periods (non-physiological) and dysmenorrhea. Affords remarkable symptomatic\nrelief by stimulating the innervation of the\nuterus and stabilizing the tone of its\nmusculature. Controls the utero-ovafian\ncirculation and thereby ertciiurages a\nnormal menstrual cycle.\nxsmmmmM\nwx-x-x^^vx^wx-feigx\nI\nH\n\u00E2\u0080\u00A2 MARTIN H. SMITH COMPANY\n\"|L:I 'SO IAFATITTI STRUT. NIW YORK, N, T. 'fM\nw\nFull formula and descriptive\nliterature on request\nDosage: l to 2 capsules\n3 or 4 times daily. Supplied\nin packages of 20.\nEthical protective mark MHS\nembossed on inside of each\ncapsule, visible only when capsule is cut in half at seam.\ness\nH\nHI\nsis\nft?:*\nsP\nSS*\nft\nSi?\nSP\nP:\nII\nI\nH\nHI\nWB$M\n.v.*.v.'.v.-.v>%,.v.'.-.v.v.v\u00C2\u00BBw\u00C2\u00AB*tt,.\".\u00C2\u00BBM+M*:.:\n\u00C2\u00BB:-x-:::'>>:':<*:o:'Xwx:x:i\"X:x\u00C2\u00A5;\u00C2\u00A5x:x:::;::\nPipit Nttnn $c\nt\n2559 Cambie Street\nVancouver, B. C.\nColonic\nIrrigation\nInstitute\nSuperintendent:\nE. M. LEONARD, R.N.\nPost Graduate Mayo Bros.\nUp-to-date treatment rooms;\nscientific care for cases such as\nColitis, Constipation, Worms,\nG-astro-Intestinal Disturbances,\nDiarrhoea, Diverticulitis, Rheumatism, Arthritis, Acne.\nIndividual Treatment $ 2.50\nEntire Course $10.00\nMedication (if necessary)\n$1 to $3 Extra\n631 BIRKS BUILDING,\nVANCOUVER, B. C.\nPhone: Sey. 2443\n506-7 CAMPBELL BUILDING\nVICTORIA, B. C.\nPhone: Empire 2721\nFor\nArthritis\nand Chronic\nRheumatism\nPrescribe\nJLy xanthine\nAstier\n\u00E2\u0080\u00A2 Its formula \u00E2\u0080\u0094 iodo-\npropanol-sodium sul-\nphonate, lysidin bitar-\ntrate, calcium gluconate,\nsodium bicarb, tartaric\nand citric acids\u00E2\u0080\u0094supplies calcium, iodine and\nsulphur, with a powerful uric acid solvent.\nLYXANTHINE\nASTIER\nGRANULAR\nEFFERVESCENT\nclinically effects rapid\ndisappearance of tissue\ninfiltration, relieves\npain, promotes protein-\nwaste elimination, exerts\ncholagogue action.\nDOSAGE, 1 teaspoonful well\ndissolved in a glass of water\nevery morning, on an empty\nstomach, for 20 days. Rest 10\ndays. Repeat if necessary.\nPlease send Sample and\nLiterature of Lyxanthine Astier\nDr.\t\nAddress....\nCity\t\nProvince..\nL.1BVMA\nDr. P. ASTIER LABORATORIES\n36-48 Caledonia Road, Toronto MULTIVITE\n(Vitamins A, Bj, C and D)\nThe deleterious effects resulting from a general all-round vitamin\ndeficiency are not always sufficiently apparent as to permit of exact\ndiagnosis; they are, nevertheless, often of so serious a nature as to\ncause a condition of general malaise and subnormal health. Effective\nprophylactic measures are ensured by the daily administration of\nMultivite, its valuable content of Vitamins A, Bi, C and D exerting a\nfar-reaching beneficial influence on health and well-being.\nThe Vitamin A in Multivite fulfils the important function of maintaining the integrity of the mucous membrane; Vitamin Bi prevents\nthe accumulation in the tissues of pyruvic and lactic acids and the\nconsequent impairment of nerve function (such impairment playing\nan important part in many forms of neuritis). Finally, there are\nVitamin C (the anti-scorbutic vitamin) and Vitamin D (the antirachitic vitamin), each of which \"fills an important role in the maintenance of physical fitness.\nMultivite is presented in the form of a palatable pellet, being particularly convenient for administration to adults.\nStocks of Multivite are held by leading druggists throughout\nthe Dominion and full particulars are obtainable from:\u00E2\u0080\u0094\nThe BRITISH DRUG HOUSES (Canada) LTD.\nTerminal Warehouse Toronto, 2, Ont.\nMlvt/Can/3 84\n| flDount UMeasant Tftnbertafcino Co. %tb.\nKINGSWAY at 11th AVE. Telephone Fairmont 5 8 VANCOUVER, B. C.\nR. F. HARRISON W. R. REYNOLDS DISARMING\nBRONCHITIS\niiUss\nJk\nmm\n36 2**^\nGross and microscopic sections through trachea and\nbronchi in acute bronchitis,\nshowing- early ulceration and\nexudation.\nAS EVERY PHYSICIAN KNOWS, THE\nONSET OF BRONCHITIS NOT ONLY IS\nIN ITSELF SERIOUS, BUT ITS SEQUELAE\nMAY BE FAR-REACHING AND OFTEN\nDISASTROUS.\n# To abort the condition, a thick, hot \u00E2\u0080\u00A2 . \u00E2\u0080\u00A2\nAntiphlogistine\ndressing over the throat and chest is frequently\nmost effective. Its long-retained heat, hygroscopic and therapeutic qualities may alter the\ncourse of the condition and be the means of\ncompletely disarming the bronchial attack.\nGenerous clinical sample and\nliterature free on request from\nThe Denver Chemical Manufacturing Co.\n153 LAGAUCHETIERE ST. W. MONTREAL\nMade in Canada It\nc\nan\nHapp\nHere\nen\nIest we forget ^\u00E2\u0080\u0094we who are of the\nj vitamin D era\u00E2\u0080\u0094severe rickets is not\nyet eradicated, and moderate and mild\nrickets are still prevalent. Here is a\nwhite child, supposedly well fed, if\njudged by weight alone, a farm child Example of severe rickets in a sunny clirn^\napparently living OUt of doors a good Courtesy of \u00C2\u00A3. H. Cnxistopnerson, M.D., San\n/, _,, / - \u00C2\u00B0 , . \u00C2\u00B0 Dieg*o, and of \"California and Western Medicine.\"\ndeal, lnis boy was reared in a state\nhaving a latitude between 37\u00C2\u00B0 and 42\u00C2\u00B0, where the average amount of fall and wint\u00C2\u00A9\nsunshine is equal to that in the major portion of the United States. And yet such stigmalj\nof rickets as genu varum and the quadratic head are plain evidence that ricket\ndoes occur under these conditions.\nHow much more likely, then, that rickets will develop among city-bred children\nwho live under a smokepall for a large part of each year. True, vitamin D is more o^\nless routinely prescribed nowadays for infants. But is the antiricketic routinely\nadministered in the home? Does the child refuse it? Is it given in some unstandardizai\nform, purchased from a false sense of economy because the physician did not specif]\nthe kind?\nA uniformly potent source of vitamin D such as Oleum Percomorphum, admin\nistered regularly in proper dosage, can do more than protect against the grosi\nvisible deformities of rickets. It may prevent hidden but nonetheless serious malforma\ntions of the chest and the pelvis and will aid in promoting good dentition. Becaus\nthe dosage is measured in drops, Oleum Percomorphum is well taken and wel|\ntolerated by infants and growing children. Rigid bioassays assure a uniform potencj\n-\u00E2\u0080\u0094100 times the vitamins A and D content of cod liver oil*. Oleum Percomorphuml\nmoreover, is a natural product in which the vitamins are in the same rario as in cc^\nliver oil*.\nOleum Percomorphum offers not less than 60,000 vitamin A units and 8,500\nvitamin D units (International) per gram. Supplied in 10 and 50 c. c. brown\nbottles, also in 10-drop soluble gelatin capsules, each offering not less than\n13,300 vitamin A units and 1,850 vitamin D units, in boxes of 25 and 100.\n*TJ.S.P. Minimum Standard\nMEAD JOHNSON & CO. OF CANADA, LTD., Belleville, On HDHH\nAgain it's Spring\nand with it comes the need of many\nmedicinals and supplies peculiar to\nthe month. We're ready for you,\nDoctor! It's a simple matter to\nTelephone Seymour 2263\ni\nOMMALL\nMIGHT\nOpen\nNight\nGEORGIA PHARMACY\nM I T E D\nW.OEOROIA\nSTRBIT\n(Hunter $c 2f amta UtiiL\nEstablished 1893\nVANCOUVER, B. C\nNorth Vancouver, B. C. Powell River, B. C.\nPublished Monthly at Vancouver, b. C. by ROY wrigley LTD.. soo west Pender street %gSgS$\u00C2\u00A3S^S3gg%^^\nHollywood Sanitarium\nLimited\nFor the treatment of\nAlcoholic, Nervous and Psychopathic Cases\nExclusively\nReference\u00E2\u0080\u0094B. G. Medical Association\nFor information apply to\nMedical Superintendent, New Westminster, B. C.\nor 515 Birks Building, Vancouver\nSeymour 4188\nWbstminstbb 288"@en . "Periodicals"@en . "W1 .VA625"@en . "W1_VA625_1938_04"@en . "10.14288/1.0214383"@en . "English"@en . "Vancouver : University of British Columbia Library"@en . "Vancouver, B.C. : McBeath Spedding Limited"@en . "Images provided for research and reference use only. Permission to publish, copy, or otherwise use these images must be obtained from the Digitization Centre: http://digitize.library.ubc.ca/"@en . "Original Format: University of British Columbia. Library. Woodward Library Memorial Room. W1 .VA625"@en . "Medicine--Periodicals"@en . "The Vancouver Medical Association Bulletin: April, 1938"@en . "Text"@en . ""@en .