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History of Nursing in Pacific Canada
Vancouver Medical Association
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BULLETIN OF The Vancouver Medical Association EDITOR: DR. J. H. MacDERMOT EDITORIAL BOARD DR. D. E. H. CLEVELAND DR. J. H. B. GRANT DR. H. A. DesBRISAY DR. D. A. STEELE Publisher and Advertising Manager VOL. XXVI JUNE, 1950 NUMBER 9 OFFICERS 1950-51 Dr. Henry Scott Dr. J. C. Grimson Dr. W. J. Dorrance President Vice-President Past President Dr. Gordon Burke Dr. E. C. McCoy Hon. Treasurer Hon. Secretary Additional Members of Executive: Dr. J. H. Black Dr. D. S. Munroe TRUSTEES Dr. G. H. Clement Dr. A. C. Frost Dr. Murray Blair Auditors: Messrs. Plommer, Whiting & Co. SECTIONS Eye, Ear, Nose and Throat Dr. J. F. Minnes Chairman Dr. N. J. Blair Secretary Paediatric Dr. J. R. Davies Chairman Dr. C. J. Treffry Secretary Orthopaedic and Traumatic Surgery Dr. D. E. Starr Chairman Dr. A. S. McConkey Secretary Neurology and Psychiatry Dr. F. E. McNair Chairman Dr. R. Whitman Secretary Radiology Dr. Andrew Turnbull Chairman Db. W. L. Sloan Secretary STANDING COMMITTEES Library: Dr. E. France Word, Chairman; Dr. A. F. Hardyment, Secretary; Dr. F. S. Hobbs, Dr. J. L. Parnell, Dr. S. E. C. Turvey, Dr. J. E. Walker Co-ordination of Medical Meetings Committee: Dr. R. A. Stanley Chairman Dr. W. E. Austin Secretary Summer School: Dr. E. A. Campbell, Chairman; Dr. Gordon C. Large, Secretary; Dr. A. C. Gardner Frost; Dr. Peter Lehmann; Dr. J. H. Black; Dr. B. T. H. Marteinsson. Medical Economics: Dr. J. A. Ganshorn, Chairman; Dr. E. C. McCoy, Dr. T. R. Sarjeant, Dr. W. L. Sloan, Dr. F. L. Skinner, Dr. E. A. Jones, Dr. G. Clement. Credentials: Dr. G. A. Davidson, Dr. Gordon C. Johnston, Dr. W. J. Dorrance Special Committee—Public Relations: Dr. Gordon C. Johnston, Chairman; Dr. J. L. Parnell, Dr. F. L. Skinner Representative to B. C. Medical Association: Dr. W. J. Dorrance Representative to V.O.N. Advisory Board: Dr. Isabel Day Representative to Greater Vancouver Health League: Dr. L. A. Patterson -9 III is the remarkable new bronchodilator — i-(3',4'-dihydroxyphenyl)- 2-isopropylaminoethanol — affording asthmatics effective and quick relief. Sublingual Tablets for the first time enable asthmatics to abort or stop an attack any where... at home or at work... while traveling . . . by day or by night ... by this uniquely convenient roufeLof administration. Relief is usually achieved in 1 to 3 minutes. Solution for hand-bulb nebulization affords relief often in a few breaths by inhalation. SUPPLIED AS: JsupreJ hydrochloride sublingual tablets 10 mg., bottles of 50. fsuprel hydrochloride solution 1:200, bottles of 10 cc. and 50 cc. Professional literature on request INC. • NEW YORK 13, N.Y. • WINDSOR. ONT. 341M IMCAI 443 SANDWICH STREET WEST, WINDSOR, ONTARIO An extensive bibliography testifies to the outstanding advantages of treating menopausal symptoms with "Premarin". Prompt symptomatic improvement is usually experienced following "Premarin" therapy. "Premarin" at the menopause Although "Premarin" is highly potent, it is exceptionally well tolerated and untoward side effects are seldom noted. The sense of ■well-being which almost invariably follows the use of "Premarin", helps to restore the patient's confidence and normal efficiency. "Ninety-five and eight-tenths per cent. . . obtained complete relief of symptoms . . . General tonic effects were noteworthy." Perloff, W. H.: Am. J. Obst. & Gynec. 58:684 (Oct.) 1949- Supplied m tablets of 0.3. 0.625 {with or without ' -j gram phenobarbital). 1.25 and 2.5 mg conjugated estrogenic substances (equine), or as liquid containing 0.625 mg. per teaspoonful. AYERST, McKENNA & HARRISON LIMITED . Biological & Pharmaceutical Chemists Montreal, Canada 3075 ** Ortho kit WITH ZIPPER BAG a beautiful, convenient package ^discreet ^dainty ^durable ^esthetic Your patients will appreciate these most widely prescribed materials in this modern, convenient Ortho Kit. contents: Ortho-Gynol, regular size; Ortho-Creme, trial size; Ortho Introducer and Ortho Diaphragm in prescribed sizes —55, 60, 65, 70, 75, 80, 85, 90, 95 mm. active ingredients: Ortho-Gynol: Ricinoleic add 0.75%, boric add 3.0% and oxyquinoline sulphate 0.025%. Orfho-Creme; Ricinoleic add 0.75%, boric add 2%, sodium lauryl sulphate 0.28%. a.aLa Pharmaceutical Corporation \*_ '5r (Canada) Limited Toronto, Ont. ■Hi ATTENTION ! MAKE YOUR HOTEL RESERVATIONS NOW FOR THE "GOLDEN JUBILEE" MEETING OF THE BRITISH COLUMBIA MEDICAL ASSOCIATION —SEPTEMBER 26th - 29th INCLUSIVE Write to Secretary, B. C. Medical Association 203 Medical-Dental Building Vancouver, B. C. PRIVATE HOSPITAL S: • il§ for fpt w|: ^ MEDICAL, CHRONIC and CONVALESCENT PATIENTS Alouette Hospital is ideally situated northeast of Haney, in the most scenic part of the Fraser Valley. FuMy Mcensed by government and municipal standards. For reservations and full particulars apply to G. E. BISHOP, Hospital Administrator 14th Ave. and 32nd Road, Haney, B. C. Phone 53 X THE BULLETIN f Publishing and Business Office — 17 - 675 Davie Street, Vancouver, B.C. Editorial Office — 203 Medical-Dental Building, Vancouver, B.C. The Bulletin of the Vancouver Medical Association is published on the first of . each month. Closing Date for articles is the 10th of the month preceding date of issue. Manuscripts must be typewritten, double spaced and the original copy. Reprints must be ordered within 15 days after the appearance of the article in question, direct from the Publisher. Quotations on request. Advertisements Closing Date for advertisements is the 10th of the month preceding date of issue. Advertising Rates on Request. ||i| 1 ffiftWiWivw !H\ VITAMIN "Vitamin B^jper unit of weight, is the most effective antianemic substance known."spiesetal..:j.a.m.a is*slum Squibb RUBRAMIN SQUIBB vitamin B12 concentrate now in plentiful supply ► essentially painless, protein-free aqueous solution ► approximately the same cost as Liver Extract 1 cc. ampuls, each ampul containing 15 micrograms of vitamin Bi2. Boxes of 5. 5 cc. vials containing 30 micrograms of Vitamin B« per cc. Dosage for 15 microgram RUBRAMIN is the same as that for 15 unit Liver Extract. 'RUBRAMIN' ISA TRADEMARK OF E. R. SQUIBB ft SONS E. R. SQUIBB & SONS OF CANADA, LIMITED, 2245 VIAU STREET, MONTREAL MANUFACTURING CHEMISTS TO THE MEDICAL PROFESSION SINCE 1858 mmmmim VANCOUVER HEALTH DEPARTMENT CASES OF COMMUNICABLE DISEASE REPORTED IN THE CITY STATISTICS—APRIL, 1950 Total population—estimated 385,000 Chinese population—estimated 6,877 Hindu population—estimated 133 KgEs Number Total deaths (by occurrence) 448 I Chinese deaths ; 24 Deaths, residents only 394 March, 1950 Rate per 1,000 Pop. 13.9 41.9 12.3 BIRTH REGISTRATIONS—Residents and Non-Residents: (includes late registrations) Male I 448 Female * 335 933 March 1950 29.0 INFANT MORTALITY—Residents only: Deaths under 1 year of age j Death rate per 1000 live births Stillbirths (not included in above item). CASES OF COMMUNICABLE DISEASES REPORTED IN THE CITY g|p March, 1950 Cases Deaths Scarlet Fever 8 — Diphtheria . | — — Diphtheria Carriers : j— — -Chicken Pox . 126 — Measles 207 — Rubella j 370 — Mumps ! i 1 717 — -Whooping Cough . 19 — Typhoid Fever. 1 — — Typhoid Fever Carriers \ — — Undulant Fever 5 — — Poliomyelitis — — Tuberculosis—. j , 68 9 Erysipelas i 1 — Meningitis j 1 — Infectious Jaundice — — Salmonellosis 3 — Salmonellosis Carriers 1 — Dysentery : - 5 — Dysentery Carriers — — Syphilis j 24 1 Gonorrhoea 187 — Cancer (Reportable)—Resident j 92 68 March. 1949 Cases Deaths 9 — 72 15 89 — 74 61 Page 211 LIVER EXTRACT INJECTABLE 15 UNITS PER CC. Liver Extract Injectable is prepared specifically for the treatment of pernicious anaemia. The potency of this product is expressed in units determined by actual responses secured in the treatment of human cases of pernicious anaemia. Liver Extract Injectable as prepared in the Connaught Medical Research Laboratories has the following advantages:— 1. Assured potency—Every lot is tested on cases of pernicious anaemia. 2. High concentration of potency—Small dosage and less frequent administration. 3. Low total solids—Discomfort and local reactions occur very infrequently because of the high purity of the product. Liver Extract Injectable (15 units per cc.) as prepared by the Connaught Medical Research Laboratories is supplied in packages containing single 5-cc. vials and in multiple packages containing five 5-cc. vials. ALSO AVAILABLE Liver Extract for Oral Use in powdered form is supplied jrfjpackages containing ten vials; each vial contains extract derived from approximately one-half pound of liver. CONNAUGHT MEDICAL RESEARCH LABORATORIES University of Toronto Toronto 4, Canada DEPOT FOR BRITISH COLUMBIA MACDONALD'S PRESCRIPTIONS LIMITED MEDICAL-DENTAL BUILDING, VANCOUVER, B. C. *—■ ^Jhe Cdih or 6 aae 9' It is with great satisfaction that we noted during the recent Summer School in Vancouver what a good "press" was obtained in the daily papers for the work of the school. We do not remember one as good in regard to the Summer School, which is onel of the important educational events of the year, not only to us as medical men, but to the city as a whole. Recently, a new and most active committee of the Medical Association has been at work in an effort to improve public relations—and" we suspect that to them is duel not the least part of the credit for what we have said about the publicity given to the work of the Summer School, and the speakers who came here from various centres. We congratulate them most heartily on their work, and believe they are at long last on the right track. For there is no denying that in years gone by we have lamentably failed in public relations. We have tended too often to take a pontifical attitude, and have taken it too much for granted that what is of supreme interest and importance to us must necessarily be of equal matter to the man in the street, who is the man for whom the newspapers chiefly work. Through many years of experience and contact with the newspapers, we have found again and again that the press is only too anxious to meet us in this matter—and to give generously of their space and counsel—but somehow we have missed the boat. To the newspaper editor, freshness and accurate timing are the two most essential points he has to consider. There is for him a psychological moment, and if this is missed, the dish is spoiled, and not worth serving up. It is not so easy for us, perhaps, to realise this, but it is important all the same. And in the write-ups and reports given by the reporters who attended the meetings one can see the element of drama—so necessary to catch the roving eye and attract the wandering attention of the newspaper reader. Perhaps, to our rather wooden sense of dignity and propriety some of these may seem at times "not quite the thing", but it is this sugar-coating that conceals the pill of fact and knowledge that is being offered, and that tempts the reader to whom it is offered to take it—and no doubt it does him good. As one reads the articles on ACTH and Cortisone, on Dr. Moir's remarks about Canadian hospitals, on Dr. Wiener's debunking of the idea that the measles patient must be kept in a dark room, one is caught by the clever window-dressing which leads us to explore further, and find deeper and better things inside. So we can thank the press, too, for their generous co-operation. There is no doubt that if we play ball with them they will do the same with us. The idea has struck us from time to time that there are other avenues that we can and should explore, in our efforts towards better public relations. It is not that we want publicity, but that when we do have to come into contact with the public, our sincerity and our real desire to render the best service may be obvious and accepted, not because we say it, but because we prove it. As a profession, we are to some extent an interested party, and it can hardly be avoided that this should to some extent discount what we say and do. But there are certain bodies connected with public health, and working for its progress and improvement, such as the Greater Vancouver Health League, the Health Bureau of the Board of Trade, and so on, on whose membership list we find laymen as well as doctors—men and women of undoubted eminence in the community, interested in health and public welfare. If we could in some way associate ourselves more actively with them—get behind their efforts, their surveys, their investigations, and get them behind our efforts to let in the light, we feel sure that we should be able to present a wider and deeper front, to help head up each other's programmes and gradually build a better understanding and a greater sympathy in the lay mind, for what we are all trying to do, improve the health and enhance the well-being of the whole community. Page 212 S* 111 Vancouver Medical Association President Vice-President Honorary Treasurer- Honorary Secretary _ Editor Dr. W* J. Dorrance -.Dr. Henry Scott Dr. Gordon Burke Dr. W. G. Gunn -Dr. J. H. MacDermot LIBRARY NOTES Hours During Summer Months: Monday to Friday . 9:00 a.m. - 5:00 p.m. Saturday 9:00 a.m.- 1:00p.m. Recent Accessions: Adrenal Gland, The, by Hartman, F. A. and Brownell, K. A., 1949. Advances in Pediatrics, vol 4, by S. Z. Levine et al, 1949. American Goiter Association, Transactions, 1948. Louis Pasteur—Free Lance of Science, by R. J. Dubos, 1950. (Historical and Ultra-Scientific Fund). Middlesex Hospital, The, 1745-1948, by H. St. George Saunders, 1949 (Historical and Uultra-Scientific Fund). Occupational Medicine and Industrial Hygiene, by R. T. Johnstone, 1948. Personality of William Harvey, by G. Keynes, 1949 (Hisorical and Ultra-Scientific Fund). Practical First Aid by C. R. Salsbury, 1950 (Gift of the author). Principles and Practice of Ophthalmic Surgery, by E. B. Spaeth, 4th edition, 1948. Surgical Clinics of North America—Symposium on Surgical Emergencies, April, 1950. Textbook of Endocrinology, by Hans Selye, 2nd edition, 1949. Textbook of Rheumatic Diseases edited by W. S. C. Copeman, 1948. The following is a further list of journals, published by some of the American state medical associations, clinics and hospitals, taken in the medical library: Annals of Western Medicine and Surgery (Los Angeles County Medical Association). Brooklyn Hospital Journal. Bulletin of the New York Academy of Medicine. Bulletin of the Medical Society of the County of Kings, N.Y. &fS§ Bulletin of the Summit Medical Society. California Medicine. Chicago Medical School Quarterly. Cleveland Clinic Quarterly. Grace Hospital Bulletin, Detroit, Mich. Harper Hospital Bulletin, Detroit, Mich. Journal-Lancet (Minnesota, North and South Dakota and Montana). Journal of the Missouri State Medical Association. Journal of the Mount Sinai Hospital, New York. King County Medical Society Bulletin (Seattle, Wash.). Lahey Clinic Bulletin. Medical Annals of the District of Columbia. Minnesota Medicine. New York State Journal of Medicine. Northwest Medicine. Ohio State Medical Journal. Portland Clinic Bulletin. Page 213 wm Proceedings of the Staff Meetings of the Mayo Clinic. Texas Cancer Bulletin. Texas Report on Biology and Medicine. Stanford Medical Bulletin. BOOK REVIEW REGIONAL ILEITIS, by Burrill B. Crohn. New York: Grune & Stratton, 1949 pp. 229 illus. This book can be regarded as the most authoritative and complete treatise on Regional Ileitis, which disease was first fully described by the author in 1932, in which he brings up to date all the pertinent information, drawing his conclusions mainly from hs personal series of 298 cases studied over a seventeen year period, but also drawing from other reported series in the literature. The subject matter is divided into fifteen chapters, commencing with general considerations, including historical background, and passing through a complete discussion regarding the theories of etiology, none of which to date has proven satisfactory, the gross and microscopic pathology, the clinical features, the clinical course and complications, diagnosis and treatment of each of the types of the disease. All factors bearing on each particular phase or type of the disease have been carefully and methodically set out. This has resulted in considerable repetition of statement, which, in the mind of the reviewer, is the only criticism that might be levelled on this work. Particularly valuable to one interested in the disease are the numerous tables dealing with the sex and age and anatomic distributions together with a most detailed description of the pathological features and clinical course of the various types of the diseases. For the practitioner the description of the natural history of the disease, the possibilities of spontaneous cure in the various types, and the place of surgical treatment in the management of this disease are all clearly set out. The surgeon will be particularly interested in the careful analysis of the results of the types of operation which haVe been applied to this condition and he will be duly cautioned by the proportion of unsatisfactory results obtained by any procedure in all the reported series. The physician will be particularly interested in the constitutional effects of the disease that are so well described, the clubbing of the fingers, the splenomegaly, the macrocytic anaemia, all of which have been observed in proven cases and have led to confusion at times. The book is of useful size, the print is gratifyingly large and' it is excellently illustrated by drawings, photographs of surgical and autopsy material and by microphoto- graps. -^—H.R.R. Canadian Arthritis and Rheumatism Society "Appointments for diagnosis and treatment at the Arthritic Clinic, St. Paul's Hospital, are now being made through the office of the Canadian Arthritis and Rheumatism Society, CEdar 5114. Only those patients whose doctors have made appointments for them can be accepted, and doctors are asked to refer only those who cannot afford to take the full treatment privately. "Both Arthritis Clinics are booked ahead for at least six weeks." Page 214 ANNUAL MEETING OF THE VANCOUVER MEDICAL ASSOCIATION, MAY 2nd, 1950 § ft The Annual meeting was held in the Auditorium of the new Tuberculosis Building. The guest of the evening was Mr. B. M. Hoffmeister, Chairman of the Vancouver Section Red Cross Blood Donor Service. Mr. Hoffmeister gave a report on the present conditions prevailing service. He dwelt on the urgent necessity of the service, and asked the continued and increasing support of the medical men of the city. The Annual Reports of the Assoociation were given and adopted by the meeting. They are printed in this issue of the Bulletin. The Election of Officers then took place. Officers elected were as follows: President—Dr. Henry Scott. Vice-President—Dr. J. C. Grimson. Honorary Secretary—Dr. E. C. McCoy. Honorary Treasurer—Dr, Gordon Burke. Trustee—Dr. A. C. Frost. Editor—Dr J. H. MacDermot. Members of Executive—Dr. D. S. Munroe and Dr. J. H. Black. Elected to standing Committees— Library—Dr. F. Word, Dr. F. S. Hobbs. Credentials—Dr. Geo. A. Davidson, Dr. Gordon Johnston, Dr. W. J. Dorrance. Publications—Dr. D. E. H. Cleveland (2 years). Medical Economics—Drs. J. A. Gaushorn, E. C. McCoy, T. R. Sargeant (1 year); Drs. W. L. Sloan, F. L. Skinner (2 years); Drs. E. A. Jones, G. H. Clement (3 years). Representatives V.O.N. Advisory Board Greater Vancouver Health League B. C. Medical Association The following were elected to Active Membership: Dr. W. J. Fowler Dr. W. M. Hall Dr. W. C. Gibson Dr. M. E. Hall To Associate Membership: Dr. R. P. Borden, Langley Dr. H. J. Skully, New West. Dr. R. W. Dunn, New West. Dr. A. L. Swanson, Essondale^ Dr. J. S. Madill, New West. To Life Membership in the Vancouver Medical Association— Dr. G. A. Greaves Dr. J. L. MacMillan Dr. J. A. Traynor NOTICE! RESIDENT APPOINTMENTS VANCOUVER GENERAL HOSPITAL A few vacancies are available for Resident appointment in Pediatrics, Radiology, Ophthalmology and Otorhinolaryngology. Apply to: Secretary, Interne Committee, Vancouver General Hospital. Page 215 THE UNIVERSITY OF BRITISH COLUMBIA VANCOUVER, CANADA To The Editor, Vancouver Medical Association Bulletin. In February, 1950, following a policy which was already in effect in other medical schools in Canada, the National Research Council of Canada established a Dean's Committee on Cortisone and ACTH in Vancouver. The purpose was to promote clinical investigations and research with these hormones. The Committee has co-operated with the National Research Council and has established the following requirements for the presentation of a case for which an allocation of Cortisone and/or ACTH is requested: No Cortisone or ACTH is available from the National Research Council for general use by individual physicians. If the National Research Council approves a case for study then the attending physician will be asked to permit a physician assigned by the Cortisone and ACTH Committee of an approved hospital to assume complete responsibility for the management of the case without charge to the patient for these professional services. I. (1) A physician who wishes a given patient to receive Cortisone or ACTH therapy the aegis of the National Research Council should first submit a summary of the case to his local hospital committee on these substances. (2) The local hospital committee will:— (a) Have information available about the type of case likely to be considered favourably. (b) Act in an advisory capacity. (c) Forward applications to the Dean's Committee. (3) The summary, preferably typewritten, should present briefly the pertinent facts in regard to:— (a) The history and course of the illness. (b) The initial and present physical findings. (c) The diagnosis. (d) Certain studies which are considered essential:— Complete Blood Count and Sedimentation Rate. Routine Urinalysis. Fasting Blood Sugar and N.P.N. Serum Globulin and Albumin. Blood Kahn. Chest X-Ray. Electrocardiogram. (e) Depending on the type of case, other studies necessary to substantiate the diagnosis; for example: Muscle, lymph node, or skin biopsy; Organ biopsy; Sternal marrow smear or biopsy; Renal or hepatic function tests; Appropriate X-Ray studies. It will be helpful to the Committee if copies of reports on such procedures as detailed in (d) and (e) above accompany the application. Pertinent diagnostic procedures should be completed prior to submission of the summary, but studies of electrolyte balance and photographs are not required. II. A complete case record should be available to the Committee on request. In addition to the information supplied in the summary this should contain the:— (a) Complete case history. (b) Full record of a recent clinical examination of all systems. (c) Written opinions of consultants where indicated. It will not be necessary to submit this detailed record to the Committee unless it is requested. Page 216 III. (1) If the Cortisone and ACTH Committee support this request to the National Research Council, a proforma, completed by the "assigned physician" (see (2) below) and submitted to the Dean of Medicine of the University of British Columbia will be forwarded to the National Research Council. Approval of the case by the National Research Council will, in most instances, mean that the material will be available without cost to the patient. (2) The "assigned physician" will be a qualified specialist in Internal Medicine or Paediatrics selected by the approved hospital and approved by the Dean's Committee on Cortisone and ACTH. Certain other factors are recognized for the proper administration of Cortisone and ACTH. The Dean's Committee strongly recommends that treatment be under a staff team consisting of one or more approved specialists, a trained medical resident, graduate nurses, dietitians and orderlies, and with special laboratory services available. This is in view of the dangers which are inherent to treatment with Cortisone and ACTH and because clinical investigation in human metabolism must be thoroughly controlled to be of value. Hospitals desiring to participate in the British Columbia programme should obtain further details of proper hospital facilities from the Dean's Committee. Cortisone and ACTH have been studied intensively in various medical centres over the past year, or longer, and tentative conclusions are now available about the arears of greatest usefulness of these hormones. A paper delivered by Dr. Edward C. Kendall (John Phillips Memorial Lecturer) at the meetings»of the American College of Physicians in Boston, April 17 to 21, 1950, suggested that Cortisone is most useful in the following conditions: Addison's Disease, Hypopituitarism, Ideopathic hypogly- caemia, Allergic disorders, Acute rheumatic fever, Gouty arthritis, diseases of the eyes. The hormone is less effective in Rheumatoid arthritis, Disseminated lupus erythematosus, Dermatomyositis, Periarteritis Nodosa, Ulcerative colitis, Regional enteritis, Acquired haemolytic joundice, Nephrotic syndrome, Psoriasis, Multiple Myeloma, Anorexia nervosa. Cortisone appears to be of dubious benefit in Scleroderma, Pemphigus, Thyrotoxicosis, Tuberculosis, Pneumonia, Osteoarthritis, Myasthenia gravis, Nephritis, Paget's Disease, Mental diseases, Beryllosis, Liver disease, and Multiple sclerosis. Cortisone is likely to prove harmful if administered in the presence of Cushing's Disease, Diabetes mellitus, Peptic Ulcer and Sarcoidosis. The above observations pertain principally to Cortisone for, in view of the shortage of supply of ACTH, the latter is hardly available for release by the Dean's Committee at the present time. The participation of the Province of British Columbia in the National Research Council's programme to study Cortisone and ACTH has been made possible by the allocation of Public Health Grant funds under the direction of Dr. G. F. Amyot: local representatives of the Provincial Department of Health on the Dean's Committee^ are Dr. George Elliott and Dr. Charles Hunt. There is in existence, at the present time, a depot of Cortisone for which accounting is made to the National Research Council on a current basis. Certain local hospital committees, acting in co-operation with the Dean's Committee, have the responsibility of recommending cases for treatment on an emergency basis. There is some possibility that Cortisone may be made commercially available on a restricted basis at an early date. The Dean's Committee will continue to co-operate with the National Research Council in its programme of research and controlled clinical investigation. Yours very truly, JOHN EDEN, M.D., Secretary, Dean's Committee on Cortisone and ACTH. Page 217 MORBIDITY SURVEY Dept. of Health and Welfare A comprehensive survey of the incidence and prevalence of illness, and of the amounts spent on the various types of medical care, will shortly be under way throughout Canada. The survey is being conducted as a cooperative effort between the Department of National Health and Welfare and the respective Provincial Departments of Health, and comes in response to the steadily increasing demand from many quarters for reliable information on the volume and frequency of the more common types of sickness suffered by the Canadian people. The survey has been in the planning stage for the last two years, and it has already undergone a rigid working trial in both a rural and an urban area in Canada. The organization of the survey, including the determination of the information to be sought, the drafting of the questionnaires, and planning the method of enumeraion, is being carried out by the Department of National Health and Welfare, with the Dominion Bureau of Statistics providing the technical help and advice. The actual process of carrying out the enumeration has been undertaken by the respective provinces. In British Columbia, Public Health Nurses will be used as enumerators, with Health Unit Directors acting as regional supervisors. The information sought is to be obtained by means of a sample survey. In this province approximately seventeen hundred households, or about five thousand people, will be included in the sample. The sample has been scientifically chosen in such a manner that it will be representative of the province as a whole. The various economic and industrial areas of the province are included in the sample in proportion to their size in the total population, and the sample is so drawn that every person in the province has an equal chance of being included. The size of the sample set is such that the maximum sampling error will be unlikely to exceed twenty percent in any of the categories tabulated, which means that for most of the rates established the margin of error will, in fact, be considerably less than this twenty percent maximum. Another feature of the sample is that it has been designed to provide information on a provincial basis about illnesses of the most frequent occurrence in Canada, and not to give precise information respecting relatively uncommon conditions. The line has been drawn at illnesses with an annual incidence of two or more per one hundred population. Data concerning diseases which occur less frequently than twice per hundred population per year will also be available, but they will be less precise than those for the more common illnesses. However, for many of these less common conditions, fairly accurate national estimates will be forthcoming, even though reliable rates by provinces will be impossible, due to limitations of the sample. The survey is being conducted on a household basis, so that as well as yielding information about individuals and their sickness experience, it will also provide considerable data on the experience of family groups and of household groups. To collect this material each enumerator will work with three sets of schedules; one to record the particulars of the individual and his illnesses, a second to record the medical expenses of each family, and a third to contain certain specified detail concerning the household and the environment. The selected households will be visited once a month for a period of one year, and the details of all illnesses secured by the occupants transcribed. Each family will bd given a special calendar for recording all sickness as it occurs. The enumerators are being carefully trained in order that the information which they record will be as accurate as possible, and that will be unbiassed by anything the enumerator may say or do. The data collected will be used in two ways; firstly, and of prime importance, as a basis for provincial and national estimates concerning sickness, medical care and expenditures for medical care and secondly, as an account of the experience of a specific group of families. The estimates will be of two types. On the one hand there will be measures of the volume of such items as the total amount of sickness, the extent of disabling ill- Page 218 kHM =" nesses, the amount of medical care and other types of health care received for this amount of sickness, the volume of dental care, and the volume of expenditures for various types of health care. On the other hand there will ensue estimates of the incidence and prevalence of different kinds of illnesses which occur as frequently as twice per hundred population per year. On the basis of similar studies made elsewhere, it is expected that the following types will fall in this category: respiratory diseases, digestive diseases, accidental injuries, degenerative diseases, psychoneuroses, communicable diseases, rheumatism and related diseases, female genital and puerperal diagnoses, and skin diseases. It will be clear that the present survey will not by any means tell all one might like to know about illness in our Canadian population, but it will, for the first time, provide the broad picture of sickness and of unfulfilled needs. It will indicate in what directions additional information must be sought, and it will be of paramount value to the medical profession in assisting the profession to apply its strength and skill to the greatest effect. GOLDEN JUBILEE THE BRITISH COLUMBIA MEDICAL ASSOCIATION September 26 th - 29 th Inclusive Amount the outstanding speakers you will want to hear is Dr. Charles Hill, who is Secretary of the British Medical Association and the President of the World Medical Association. Dr. Hill, who is 46, qualified in 1927. He was a London University extension lecturer and deputy medical officer of health for Oxford. In 1932 he was appointed Assistant Secretary of the British Medical Association, Deputy Secretary in 193 5 and became Secretary in 1944. Dr. Hill is a member of the Industrial Health Advisory Committee, Ministry of Labour, and Secretary of the Commonwealth Medical Conference. He has been active in the World Medical Association, now being the President. He was formerly chairman and at present is Vice-President of the Central Council of Health and Education, and has broadcast for many years regularly for thd B.B.C. as the "Radio Doctor". Dr. Hill is the author of several well-known books on health education. He is also a Member of Parliament. In addition to Dr. Hill and the many notable speakers, there will be a varied and interesting programme to make the 'Golden Jubilee" meeting a most memorable one. Not only may the attending doctors be assured of an enjoyable programme, but so also may their ladies for whom many social functions are being especially arranged. FLOOD RELIEF IN MANITOBA Doctors everywhere in Canada have been gravely concerned over the disastrous effects of the flood which has inundated so many communities in Southern Manitoba and which has crippled the city of Winnipeg. The Canadian Medical Association has offered its assistance to the Manitoba Division on behalf of the organized medical profession and as spokesman for individual doctors everywhere. It is now evident that the physicians of Canada can render most effffective aid by contributing as individuals to the Manitoba Flood Relief Fund. Our colleagues in Manitoba have set for themselves an objective of $100,000 to be contributed by the medical profession, and they feel that doctors in other parts of Canada will want to help too. You can best show your neighbourly feeling to the people of Manitoba by contributing personally to the Manitoba Flood Relief Fund. Donations are being received at the branches of every chartered bank in Canada. Here is an investment that can be recommended with confidence. Page 219 VANCOUVER MEDICAL ASSOCIATION ANNUAL REPORT —1949 - 1950 (Interim) I, REPORT OF THE SUMMER SCHOOL COMMITTEE OF THE VANCOUVER MEDICAL ASSOCIATION Mr. President and Members: Arrangements have been completed for the 1950 Summer School Sessions to be held from May 29th to June 2nd inclusive, Mayfair Room, Hotel Vancouver. Five visiting speakers have been invited all authorities in their respective fields of Surgery medicine, obstetrics and gynaecology, paediatrics and ophthalmology. A precedent has been established this year whereby each speaker will deliver six addresses each, instead of four as in former years, making a total of 30 in all. Dr. Simeon T. Cantril, Director of the Tumor Institute, Seattle, and Dr. A. M. Evans, Director of the Cancer Institute, Vancouver, will also take part in a "Symposium on Cancer" to be held the afternoon of the closing day. A complete report on this Session will be presented at the first general meeting in the Fall. Respectfully submitted, E. A. Campbell, M.D., Chairman Summer School Committee. PUBLICATIONS COMMITTEE REPORT The Bulletin has made some progress during the past year. In the first place, our circulation has been growing steadily, though not quite as rapidly as it did just after the war. We are now slightly over the nineteen hundred mark, and this includes exchanges, advertisers and libraries. We are constantly getting requests, from all parts of the world, for reprints copies exchanges etc. Mr. MacDonald our Publisher tells me there are a good many requests from England from time to time. Financially as you will hear from the Treasurer's report, we are in a fairly good position—being able to show a profit of $921.00 on the past year's operations. During the past year your Committee had several conferences with members of your Executive, appointed for the purpose, with a view to stabilising, if possible, the finances of the Bulletin. As we all know, the Vancouver Medical Association has been under heavy expenses lately for maintenance and current expenditures, and it was felt that it would be better if such enterprises as the Bulletin, among other activities of the Association, could be put on a basis of assured income. After discussing the matter fully with Mr. W. F. G. MacDonald, our Publisher for so many years, the Executive and your Committee received two alternative proposals from him. One was that we should go on as we have been doing—but that a better bookkeeping system should be installed with better systems of collection, the whole business responsibility to be assumed by the Association, payment being made to Mr. MacDonald for his services as publisher, and for certain office expenses, wiiich hitherto had been assumed by him to a considerable extent. The other suggestion was that he should assume all the responsibilities of publication—collect advertising and other income, assume all the costs, and pay us a fixed sum monthly. Undoubtedly, the ideal arrangement would be that the Bulletin should be run like any other medical journal, as an independent business securing its own income, paying all costs, securing publication at current rates, and retaining for itself all profits. But this would require a considerable degree of organization, with paid secretarial services, a business manager, and so on, and under the present conditions in which the Association operates, with very limited room, and a constantly fully-occupied staff, it was felt that this would be almost impossible. Accordingly, it was decided to accept Mr. MacDonald's second offer, on a year-to-year basis, terminable on certain well-defined terms. An . Page 220 w agreement to this effect was drawn up, and has been signed by Mr. MacDonald and the Executive of the Association. It extends from January 1, 1950, to December 31, 1950, and will be subject to revision modification or termination according to the future decision of the Executive of the Association. At the beginning of this contract certain sums were outstanding as money due to the Association for advertising which had not yet been paid. This amounted to some $1,600, and of it most has been collected. The rest is, we consider, collectable, though in the case of one account, money paid to the advertising agency in our behalf has not been turned over to us as yet. As regards the future of the Bulletin—we are looking forward, when the new Academy of Medicine is built, to having our own editorial quarters, and to having definitely allocated secretarial help. Under these conditions it will be easier to workk to a set schedule. Durin gthe past year, a good deal of progress has been made in this direction. We have made strenuous efforts to put the publication on a definite time schedule. We do not wish, unduly, to excuse our shortcomings in this regard—shortcomings so well known to any who have tried to secure publication for some activity in February—only to find it coming out in the March issue. But it has been extremely difficult. Now we have established deadlines, which will be rigidly observed. We have caught up with ourselves to the point where any month's issue will be published within that month, by the end of it. To this end we have established the 10 th of the month as the absolute deadline by which material must be in the hands of the Publisher. This gives three weeks for proof-reading, printing, mailing, etc. We are endeavouring to make a better showing with regard to news and notes. Dr. Whitehead used to be very helpful in this regard, but after his resignation, it fell to pieces rather badly. We are now fortunate in having in charge of this department Dr. J. L. MacMillan, who has had journalistic experience at the U.B.C. and is very keen on this work. He and Mr. MacDonald are working out a system whereby the various districts will be approached at regular intervals for news of happenings of interest. It has been felt by your Committee that we should have a larger Committee of duly elected members—and it is my intention at an early date, to give notice of motion of an amendment to the Constitution and Bylaws of the Association to this effect. Actually, we are only supposed to have three members. We have co-opted three more, Drs. J. H. B. Grant, H. A. Desbrisay and Dr. J. L. MacMillan, all of whom have been indispensable—we could not get on without this larger group. Dr. D. A. Steele is a very highly valued member of the Committee, but has been ill a good deal, we are very sorry to say, and has not been able to attend meetings regularly. Mr. MacDoiiald. has sat in at all meetings and this has been a most helpful thing, as it saves a"great deal of time, and exchanges between Committee and Publisher. We have discussed several times the question of putting the Bulletin on a subscription basis. This, too, for the reasons given above, has been impracticable so far—but we are convinced it will and should come some day. We have established a certain degree of rapport with the new Medical School. Dean Weaver has been most cordial and receptive in this regard, and we feel that this is a relation that must be developed to the fullest degree. While we cannot yet begin to realise all the things for which we on the Publications Committee earnestly hope, we would ask your patience and support. The Bulletin has come to a point where it can become a really significant publication. In some ways we feel that it is already that—its circulation in B.C. is the highest of any medical journal, it is constantly receiving papers and other material of a high degree of merit—actually we have at present a great deal of material on hand—and only lack of space mkkes delays inevitable. We look forward, however to doing even more. , We should and must enlarge the journal again. We should be able to bid for the publications of some of the important societies, surgical, medical, and others, and so on. To do this, we are well Page 221 ^ aware, regularity and punctuality of publication are essential, secure these. We are endeavouring to In closing, I must again, in all sincerity, thank the members of the Committee for their loyal help and co-operation. They are all very keen—regular in their attendance, intensely interested in the Bulletin, and working in its best interests. To Mrs. Nowell, of the Library staff, go our thanks for her ready and willing help, whenever it is called on —though it is not always easy for her to find the time needed. Lastly, we would express our thanks again to Mr. MacDonald, our Publisher, who has done so much to build up the Bulletin, and who is always ready to do anything that he can to promote its welfare and success. REPORT OF THE SECTION ON RADIOLOGY—1949-50 The Section on Raddioligy held ten combined business and clinical sessions during the past year at which the developments in the B. C. Hospital Insurance Service, the discounting of radiological fees by M.S.A. and the training of technicians were among the more important matters under discussion. A general increase in the utilization of X-ray services for patients covered under the Insurance Act was experienced in all hospitals to the point where the government began to express concern with the rising costs of supplying the service. It was felt that this was a matter over which the hospital radiologists had no control and that any solution to the problem must originate and be applied from outside to the X-ray departments of the hospitals concerned. The 16% discount applied by M.S.A. to all radiological accounts has occasioned some misgiving. The situation is aggrevated by the increasing costs of film and opaque media; the depreciation of the Canadian dollar; and the opposition of the members, expressed prior to the application of the discount, to an upward revision of the fee schedule. It remains to be seen whether these factors will become stabilized or whether continually rising costs will make it economically unsound, at least in private offices to supply X-ray services to M.S.A. subscribers at the present rates. During the year a sub-committee was appointed to co-operate with the B. C. Society of Radiographers in drawing up plans for a central training school for technicians to assure an adequate supply of well-trained radiographers far present needs and future requirements. The plans seem likely to be frustrated unless the larger hospitals agree to merge their present individual training programs with the larger over-all scheme. In the past season the section suffered the loss of three of its more senior and most respected members in the persons of Dr. Prowd, Dr. Cheney and Dr. Whitelaw. We wish to take this opportunity as a group to pay our respects to their memory as staunch colleagues and valued contributors to the medical history of this Association. All of which is respectfully submitted. Andrew Turnbull, Pres. W. L. Sloan, Sec'y. ANNUAL REPORT 1*49-50 OF THE REPRESENTATIVE OF THE VANCOUVER MEDICAL ASSOCIATION TO THE BRITISH COLUMBIA MEDICAL ASSOCIATION BOARD OF DIRECTORS Mr. President and Members: Three meetings of the Board of Directors were held during my term of office. Much routine business relating to finance, Committees, Sections, etc., was discussed and disposed of. New Sections of Obstetrics and Gynaecology, General Practitioners and General Surgery were approved. Other matters, such as representation on the Executive of the Canadian Medical Association, Hospital Insurance, Co-ordination of Prepaid Medical Care Plans in the Page 222 various provinces, public health and welfare, medical education and other problems too numerous to mention were discussed and acted upon. Respectfully submitted, Gordon C. Johnston, M.D., Representative to the British Columbia Medical Association Board of Directors. ANNUAL REPORT 1949-50 REPORT OF THE REPRESENTATIVE OF THE VANCOUVER BOARD OF TRADE (HEALTH BUREAU) As your representative to the Health Bureau of the Vancouver Board of Trade, considerable discussion took place throughout the year on the subject of present shortage of hospital beds in the City of Vancouver. The following resolution was passed by the Health Section and presented to the City Council: WHEREAS in the City of Vancouver there is no central body charged with the responsibility of future hospital planning, needs, allocation, construction and studies thereto and WHEREAS such an advisory committee would serve a necessary useful function within the framework of its proposed overall planning authority, BE IT RESOLVED THAT such a hospital planning advisory committee be formed., and to include with possible additions the following representatives: 1. A representative from the Vancouver Board of Trade. A representative from the Vancouver City Council. A representative from the B. C. Hospital Association. A representative from the University of B. C. Two representatives from the Vancouver Medical Association—1 General practitioner, 1 Specialist 6. The Vancouver City Medical Health Officer. So far as I am aware the Council have not taken any action on this resolution. Considerable interest was shown by the members on the subject of Health Insurance, and three speakers—Dr. J. C. Thomas, Dr. Frank Turnbull and Dr. E. C. McCoy, presented papers on this subject to the Bureau. 2. 3. 4. 5. Respectfully submitted, * Dr. Henry Sco REPORT OF REPRESENTATIVE TO THE GREATER VANCOUVER HEALTH LEAGUE It was the privilege of your representative to attend several meetings of the Executive of the Greater Vancouver Heilth League during the past year. Under the chairmanship at present of Dr. George A. Davidson it was very gratifying to note that the Greater Vancouver Health League touches on many points of medical nature in its efforts at civic betterment. Particularly worthy of note during the past year has been the effort made by the Greater Vancouver Health League in Mental Hygiene. Studies of many kinds are being conducted under the auspices of the Greater Vancouver Health League. The dietary habits of various population groups and the availability of a proper dietary in certain income brackets is undergoing investigation. Yours very truly, L. A. Patterson, M.D. Page 223 1940-1950 ANNUAL REPORT OF THE EYE, EAR, NOSE AND THROAT SECTION OF THE VANCOUVER MEDICAL ASSOCIATION The Eye, Ear, Nose and Throat Section of the Vancouver Medical Association began its year with an active membership of thirty members, to which four new members have been added: Dr. F. R. Attridge, Dr. A. M. Mahood, Dr. R. S. Paine, and Dr. L. E. Wood. A program committee was appointed comprising a chairman and two representatives from each of the following hospitals: Vancouver General, St. Paul's and Shaughnessy. Accordingly, dinner meetings have been held once monthly following which formal papers have been presented. Three of the guest speakers were members of the Vancouver Medical Association, and three were speakers from other cities: Dr. R. Laughlin, of Seattle; Dr. J. F. Tolan, of Seattle, and Dr. D. Bude, of Toronto. In addition papers of original work being done were given by the resident staff members of the Vancouver General and Shaughnessy Hospitals. One of the meetings was preceded by an afternoon clinical session at which were exhibits of the most recent optical and audiometric equipment. §|3f The average attendance of these meetings has been twenty-two. It is felt by the members of this Section that the programme outlined has provided a maximum degree of enjoyment and professional stimulation. J. F. Minnes, Chairman. ?.i?. REPORT OF THE PAEDIATRIC SECTION OF THE VANCOUVER MEDICAL ASSOCIATION, 1949-50 The Paedriatic Section of the Vancouver Medical Association has met regularly during the past year, the last two meetings having been held jointly with the Paediatric Section of the British Columbia Medical Association. In September, 1949, the Section arranged for the meeting of the North Pacific Paediatric Society in Vancouver, when several excellent papers were given by the members of that Society. The past year has seen the addition of five new members, bringing the total membership to 20. Respectfully submitted, Dr. J. R. Davies, Chairman. * * * * ORTHOPAEDIC SECTION Dear Doctor Gunn: I am in receipt of your letter to Dr. Reed, regarding the Orthopaedic Section of the Vancouver Medical Association. Our final meeting will be on May 1st, 1950, but we feel that no special report is necessary at this time. Yours truly, D. E. Starr, M.D. Secretary. COMMITTEE FOR THE STUDY OF ALCOHOLISM The committee consisting of Dr. E. A. Campbell Dr. Iser Steiman, Dr. D. M. Whitelaw, Dr. K. D. Panton and Dr. Wm.* Gibson, has experienced excellent co-operation in the early phases of study concerning the above major social problem. Representation is being made to the section on Internal Medicine and the section on Neuro-psychiatry for two papers each in preparation for a forthcoming special meeting. Under the chairmanship of Richard Gosse, a closed study meeting was held Friday, April 21st, 1950, in the Social Suite of the Hotel Vancouver. This was attended by approximately 50 representatives from business walks of life. Representation from the Provincial Government was very satisfactory. Many individuals stated their interest in no uncertain terms. Page 224 Consideration was given to the relatively early establishment of a medical foundation for the study of alcoholism. Progress along these lines and what representation will be expected from the medical association will be reported at frequent intervals. The Committee for the Study of Alcoholism wishes to express at this time its sincere thanks for the assistance from the Executive of the Vancouver Medical Association during the early progress made. Respectfully submitted, L. A. Patterson, Chairman, Committee for the Study of Alcoholism. SJ- REPORT OF SECTION OF NEUROLOGY AND PSYCHIATRY Meetings of this Section have been held monthly since September when clinical cases from the Vancouver General Hospital, Shaughnessy Military Hospital and from the school population have been presented. Dr. Rudolph Dreikurs and Mr. Ross Hamilton, from the United States, have spoken to the group, the latter on the plans being made in the State of Washington for the education of the exceptional child. Because of widespread interest in the subject, a paper was presentd by a psychiatrist who has recently come from England, dealing with attempts being made there to treat delinquents. The question of the formation of an association of Canadian psychiatrists, apart from the Canadian Medical Association and the American Psychiatric Association has been discussed. Part of the period devoted to business at several meetings has been taken up with discussion of recommendations made by the Greater Vancouver Health League in reference to changes in the arrangements for admission to the provincial institutions of senile and defective ptaients. Because a large percentage of the members are not in private practice, the problems raised by the Committee on Tariff were taken up by a sub-committee of those in private practice. The April meeting consisted of a dinner in honour of Dr. A. L. Crease, who has recently retired as Provincial Psychiatrist. Dr. Myron Weaver, Dean of Medicine, University of British Columbia, kindly consented to be the speaker. The last meeting of the year is to be held at the Crease Clinic. Yours very truly, G. M. Kirkpatrick, Secretary-Treasurer, Section of Neuirology and Psychiatry. PRESIDENT'S REPORT During the last year many changes have taken place in the Vancouver-Medical Association. The establishment of a Medical School in the immediate present and future; the development of increasing hospital facilities under the Hospitalization Act of B. C. These changes have all been progressive. A study of the reports of the various committees will show what has been done. The Committee on Economics has come out definitely in favour of the policy established by the Canadian Medical Association, has considered and studied the policy of the Medical Services Association and is at present working to establish better relationship in fees with the Medical Services Association and the Workmen's Compensation Board. This committee asks that more of the meetings of the Vancouver Medical Association be decoted to economics. The Library Committee has done excellent work, but has been handicapped by lack of space and by insufficient funds in getting as many new books as desired. At the present time we are endeavouring to do what we can. The fees of the Vancouver Medical Association have been raised and this will allow us to devote more money to the library. As for the question of space—we are at present considering the development of a new medical building in which more space can be allotted to the library. A subcommittee to survey the requirements of the Medical Libraries in Vancouver has been Page 225 established and an interim report from the sub-committee will receive the careful study of the executive of the Vancouver Medical Association. The Bulletin has been published monthly. It is now being circulated on time and the Publication Committee along with your Executive has been able to bring forward new ideas. The question of the publication of the Bulletin by the Vancouver Medical Association itself is receiving considerable attention, and it is hoped that in the near future we shall be able to publish our own Bulletin instead of having it published by outside publishers. The Blood Donor Committee has been busy and has worked in conjunction with the Red Cross Society, and as a result we have been able to receive the necessary blood at the hospitals when required. A new committee to study the problem of Alcoholism has been established and this committee, under the chairmanship of Dr. L. A. Patterson, has done a great deal of work and I am sure its report will be received with very great interest. A Committee was set up to establish a co-ordination of medical meetings. This Committee has done a lot of work and as a result the clinical meetings held in the various hospitals have been attended by the members of your association in larger numbers. Through the efforts of this Committee there is now a clinical meeting held on each Tuesday evening of the month at the various hospitals and the meetings are held as a combination of the hospital staff and the V.M.A. The first Tuesday of each month is devoted to the regular monthly meeting of the V.M.A. I think it is advisable to continue to elect a chairman and secretary of this committee to act as co-ordinators and to help in maintaining the high standard of these clinical meetings. In addition to the regular meetings of the V. M. A., held on the first Tuesday of each month, there have been six special meetings. To economics was devoted one special meeting on August 30, one regular meeting on November 1, and a part of a meeting on February 10. The Annual "Dinner was held November 23 in the Stanley Park Pavilion and was a marked success, and I wish to thank Dr. J. C. Thomas, Dr. Boyd Story, and the members of the committee who participated in making this dinner such a success. The Osier Dinner was held on March 8. Our guest speaker, Dr. Geo. Davidson, gavej an excellent address on "Men of Osier's Time". During the past year we have had a number of outstanding speakers and men of international repute address our association and among these I mention: Sir John Parkinson, Mr. M. Shelby Jared, Dr. J. S. L. Brown, Prof. F. H. Bentley, Sir Reginald Watson-Jones, Dr. Cecil J. Watson, Sir Henry Dale and Dr. Lome Wood. On February 10 there was a combined meeting at which the Metropolitan Health Committee gave a symposium which was well received, and following this the remainder of the meeting was devoted to medical economics. At the meeting on April 14 4the Association voted to increase the fees, and with this increase in fees, which was necessitated by the increase in the cost of maintaining the Association, we shall be able to devote more money to more necessary projects. The space at present occupied by the V. M. A. is cramped and we are unable to have proper quarters to carry on our executive work. The library space is so small that the stack room will not accommodate all our volumes. To overcome some of these difficulties the Council of the College of Physicians and Surgeons has agreed to erect an Academy of Medicine Building on the corner of Tenth and Burrard. It is hoped that this building, which is being erected, will serve the purpose of establishing the executive offices of the College of Physicians and Surgeons, the British Columbia Medical Association, the Vancouver Medical Association, and of housing the library. The committee which has been working on this project has devoted a considerable amount of time and thought as to what we require and at the present time are having blueprint plans made* to show the allotment of space in the building. The financing and erecting of the building will be done by the Council of the College of Physicians and Surgeons, and it is their intention to rent the necessary space to the above associations as they will require it. The plans of the committee are such that an extension and addition to this building may be carried out when required. The committee has also held discussions as to the Page 226 establishment of an Auditorium and a proper amount of land space has been secured in order that an Auditorium may at some future date be erected on the property purchased. In order to carry on to fulfillment the erection'of this building and the continuation of the clinical meetings and other activities of the association, it is necessary that we remain and stand a united medical group. Sir James Paget in August, 1882, delivered an address in London before the British Medical Association, and I make the following quotation from his speech: "I hold that our great anxiety, our great strife, should be to be a self-governed profession, to know our own wants and not to go to others to help us; to find out the remedy for ourselves; to find out by careful, patient controversy, mutual concessions, how we may without any external help bring about the results thq best and largest number of us wish for. Let us be, as all highly cultivated persons should be, self-governed. No one can know so well as ourselves, our need; none can know so well the remedy we require. It tells of feebleness and want of self-reliance when we go to any parliament living to help us." I think it would be well for the Vancouver Medical Association at the present time to take these words of Sir James Paget to heart and to study them carefully |. We are in a period where there seems to be an intrusion by the government and we are liable to lose some of our accepted freedoms. In closing I want to thank all members of the Executive of the Vancouver Medical Association and all persons who have worked so well and faithfully on the various committees in the past year for their services, which I deeply appreciate. Without their assistance it would have been impossible to have had a year such as we have just finished. W. J. Dorrance, President. * * * * LIBRARY COMMITTEE—ANNUAL REPORT, 1949-1950 I have the honour to submit the following report of the activities of the Library Committee of the Vancouver Medical Association for the year 1949-50. Regular meetings were held each month by the members to consider the purchase of new books, and other ordinary and extraordinary business concerning the library. As there has been no Board Room available for these meetings, one of the members, Dr. France Word, was kind enough to make his office available for a majority of the meetings. On other occasions they were held in the offices of Dr. S. E. C. Turvey or Dr. John Parnell. A limited budget enforced certain restrictions in the purchase of new books and, in fact, after November, 1949, very few could be recommended because of this. However, the Committee has endeavoured to bring up to date some of the sections of the library. Journal subscriptions increased again and with the new exchange rates prevailing, costs were higher than the previous year. The Committee felt that they could not make any recommendations to reduce the funds available to the library provided for books and journals, as such an action would do irreparable harm to the library frpm-which it may be difficult to make a complete recovery, therefore it strongly supported the motion for the raise of dues. The attached statistical summary indicates the routine work done during the year. There were 133 new books—of these 82 were purchased and 51 were received as gifts. During the year 159 journals were received, of which 79 were subscribed for, the balance of nearly 50% being received as gifts, or in exchange. Books or journals taken out on loan were 3,606, of which 225 were sent out by mail, 112 by messenger. Evening hours were maintained for eight months of the year, during which there were about 250 visits. There were 457 bibliographies prepared by the librarian for members which is of the greatest assistance to those writing papers. I would like to gratefully acknowledge gifts to the Library from the following: Dr. D. E. H. Cleveland, Dr. V. Barbieri, of Modena, Italy (a non-member); Dr. Watson Dykes (a non-member), Dr. J. A. MacLachlan, Dr. H. W. Riggs, Dr. C. A. Ryan, Dr. Dr. V. St. John, Dr. F. Turnbull, Dr. S. E. C. Turvey, Dr. Harold White and the late Dr. W. A. Whitelaw. In particular one should mention the unusual gift of Dr. V. Barbieri, of Modena, Italy, who was, at one time, a pioneer doctor in the province. He Page 227 Bi presented the library three valuable volumes—two by Bernardina Ramazzini on Industrial Medicine, one dated 1714, and the other printed later in 1821, and the third on Pharmacology, published in Venice in 172-4—a very rare edition. Members will recall the announcements of these gifts in the Bulletin, and letters of thanks were written to Dr. Barbieri on our behalf by Dr. Ragona. A few weeks ago the Library suddenly lost one of its oldest and most constant and generous friends in the person of Dr. W. A. Whitelaw, who presented a few years ago a valuable set of Radiology, and who used to donate regularly the American Heart Journal, the Journal of Thoracic Surgery, and Acta Radiologica; these gifts are again gratefully acknowledged. Your Committee has given considerable thought to the future development of the Library, with particular reference to special problems that are likely to arise in the near future, owing to the development of other large and active libraries at the General Hospital, and probably also at the new Medical School. Because of this, the Library of the Association will probably not remain as the only substantial medical library in the community available to the profession, and as this situation develops, it may have a far-reaching effect upon the growth of our Library, and its relative usefulness to the members, old and new. Other changing factors entering the scene are the development of the medical school, which is likely to be a great stimulus to the use of library facilities, and finally the steady, rather rapid growth of the community as a whole, and particularly the medical community. These considerations would suggest that the future may hold many uncertainties for the library, some potentially favourable, others unfavourable, and because these factors are likely to apply to all of the larger libraries in the area, the committee thought that it would be wise to have a careful survey of the situation by a selected group representing the profession in the province as a whole. Dean Weaver was kind enough to attend the regular meeting of the Library Committe in January on invitation and some informal discussions were held about these matters. He agreed to the advisability of an over-all survey. Accordingly the request for such a survey was forwarded through the Executive of the Association to the B. C. Medical, and it has been set up under the chairmanship of Dr. J. E. Walker. Information derived from this survey is likely to be of the greatest importance to your library, and the findings are being awaited with interest. The Committee has been called to some special meetings recently by the President, Dr. Dorrance, to consider plans that have been drawn up by the Building Committee for the proposed new Academy of Medicine. I am afraid that in regard to these plans, the Committee is not entirely of one mind. I believe that the plans submitted by the Building Committee have the approval of a majority of the members of the Library Committee, but it is my own personal opinion that the matter of completing plans for a permanent Academy justifies the fullest possible consideration, obtaining all available advice that may be helpful from expert or experienced sources. Such sources would be librarians of the locality, such as at the University and the Public Library, librarians in adjacent large centres such as Seattle, and consulting architects. This should also include consultations with Mrs. Constance Craig, the former librarian, who was sent, at some considerable expense by the Association in 1946, to make a personal survey of libraries in Eastern Canada and the United States, visiting some twenty medical libraries. It seems only sensible to take advantage of this first-hand experience with a variety of libraries of the type we are planning and it would appear reasonable to ask Mrs. Craig to come from Victoria to help in the planning. I believe that she is prepared to do this when invited. Finally, the Committee has been, throughout the year, collecting a repository of information preparatory to the time when definite planning should be done for the Academy Building. This should now be digested and applied as far as it is helpful or pertinent. It is my earnest recommendation that all possible consultations of this sort be held before final plans are drafted. It is also possible that the survey of library facilities in progress by the B. C. Medical Association may provide information of. the greatest value to the future development of our library, in particular regarding its size, form and functions. Page 228 • I J i 1 I 9* ] I . II In conclusion may I thank my colleagues on the Committee, Doctors A. F. Hardyment, John Parnell, S. E. C. Turvey, France Word and J. E. Walker, for their full co-operation and the pleasant associations during the year's work. In particular I would like to thang our librarian, Miss Berkeley, and her assistant, Mrs. Briscoe, for unfailing and unstinted service in the interests of the members. We are very fortunate in having the library in their charge. Respectfully submitted, R. A. Palmer, M.D., Chairman, Library Committee. LIBRARY STATISTICS, 1949-1950 BOOKS ADDED TO LIBRARY General Collection— 73 new books added at a cost of- 51 gifts. .$ 537.56 124 3 books purchased from the Nicholson Fund 13.29 (balance left in this fund $196.91) 6 books purchased from the Historical and Ultra-Scientific Fund 65.10 Medical Journals— 77 journals subscribed to at a cost of I 1,063.91 2 journals subscribed to from the Historical and Ultra-Scientific Fund 15.50 43 journals received as gifts. 37 journals received in exchange. 159 Binding— 127 volumes bound at a cost of 4 volumes bound—cost from Historical and Ultra-Scientific Fund— Miscellaneous— Supplements to loose-leaf systems of medicine Dues to library associations . Miscellaneous I i X 1 m . — ■ 570.50 17.50 38.07 32.16 67.10 Books and Journals Loaned— Borrowed direct from the library. 3,269 Borrowed by mail- 225 Borrowed by messenger 112 Books returned by messenger Interlibrary loans—out Interlibrary loans—in Visits to the Library— Members _= '. - Others I During Evening Hours (8 months): Members Others 3,606 101 69 25 2,707 784 182 61 Page 229 Bibliographies prepared Eight general an<* three special meetings were held during the year. 457 ANNUAL REPORT, 1949-1950 REPORT OF THE TRUSTEES OF THE VANCOUVER MEDICAL ASSOCIATION As no investments were made and no monies withdrawn from any of the several funds of the Association during the past fiscal year, your Trustees have very little to report. You have already heard the Treasurer's report of the amounts standing in the Special Funds and I see no need for repetition. I might say, however, that all due coupons have been clipped and deposited in their respective accounts and that the Auditors have examined the bonds and have found everything in order. We hope that with the increase in dues of this fiscal year the Association may be in a position to make new investments by the year end. Respectfully submitted on behalf of the trustees, G. H. Clement, M.D., Trustee. * * * * ANNUAL REPORT, 1949-1950 REPORT OF THE BLOOD DONOR COMMITTEE OF THE VANCOUVER MEDICAL ASSOCIATION Mr. President and Members: Your Committee has held two meetings and has been working closely with the Canadian Red Cross Blood Transfusion Service. Through this channel, we have been able to have registration cards placed in doctors' offices, hospitals and at the Rehabilitation Centre of the Workmen's Compensation Board. We are also making efforts to have the need for blood publicized in the "Bulletin" of the Vancouver Medical Association an don hospital staffs. The immediate effect of these activities was to double the amount of blood donors in the month of January. Respectfully submitted, Gordon C. Johnston, M.D., Chairman, Blood Donor Committee. ANNUAL REPORT, 1949-1950 CO-ORDINATION OF MEDICAL MEETINGS COMMITTE OF THE VANCOUVER MEDICAL ASSOCIATION During the year 1949-50 a change has taken place in the Clinical Section of the Vancouver Medical Association. Because of the great increase in the number of doctors in this area, and the great increase in medical organizations that have developed, there has been a corresponding increase in the number of meetings of medical interest. Unfortunately, the dates of maney of these Clinical meetings unavoidably conflicted with others. La April, 1949, a Special Committee was appointed to investigate and co-ordinate these medical meetings, and a report was later submitted by this Committee which was subsequently adopted by the Vancouver Medical Association. As a result of this report, the meetings of the Clinical Section of the Vancouver Medical Association as such, were abolished, and meetings in the future were to be "joint meetings" put on by the staff of the particular hospital at which the meeting was held and to which the entirel Vancouver Medical Association was invited to attend. In order to prevent conflicting dates of these meetings, and as the general meeting of the Vancouver Medical Association is always held on the first Tuesday in the month, the second Tuesday of each month was assigned to Clinical Staff meetings at Shaugh- Page 230 a nessy Hospital, the third Tuesday to St. Paul's and the Fourth Tuesday to the Vancouver General Hospital. If a fifth Tuesday should accur, it was to be assigned to the Children's Hospital. In addition to these regular weekly Clinical meetings, an extra meeting was held in March at the Western Society for Physical Rehabilitation. It is the recommendation of this Committee that a Chairman and Secretary for the Co-ordination of Medical Meetings Committee be appointed each year by the Vancouver Medical Association to act at liaison between the Association and the Clinical Staffs of the hospitals at which the regular Clinical meetings are held. In addition it is further recommended that members of the Vancouver Medical Association who wish to present Clinical papers, but who are not necessarily on the staffs of these hospitals, be permitted to present papers by submitting the paper to the Secretary of the Co-ordination of Medical Meetings Committee, and that presentation of these papers be encouraged by the hospital staffs. As a result of the Co-ordination of Clinical Staff Meetings and the publicizing of them to all the members of the Vancouver Medical Association, the attendance has been increasingly good and programmes have been of exceptionally high calibre. All of which is respectfully submitted. M. M. MacPherson, M.D., Chairman. ANNUAL REPORT, 1949-1950 COMMITTEE ON MEDICAL ECONOMICS OF THE MEDICAL ASSOCIATION Six meetings of this Committee were held during the year. One special meeting of the Vancouver Medical Association and two of the regular monthly meetings of the Vancouver Medical Association were devoted in part or in whole to medical economics. The committee's work has been largely studying problems of economics and bringing their considerations before the Association in the form of recommendations or motions and in directing discussions at general meetings. The Association, at the special meeting, indicated that it was in favor of the Canadian Medical Association's policy with regard to health insurance and the extension of voluntary pre-paid medical care plans. There was an indication that some members did not think that voluntary plans was the entire answer to the proglem. Changes in rules and regulations of M.S.A. which had been recommended by a special committee did not meet with the approval of the majority. Other districts dealt with these recommendations, but the matter was not dealt with at the annual meeting of the College of Physicians and Surgeons. Recommendations have again been made by a second special committee on M.S.A. problems, and it is probable that we will again have to give considerable thought and study to M.S.A. so that it has the maximum support of the profession, as it extends over more and more of the population. The Association approved of reform in the administrative set-up in medical economics in British Columbia. The meeting approved in,principle of electing rather than appointing committee members. Reform in our economics set-up in the province is still being considered, and within the past week actual changes have been made. The special meeting was unanimous in its approval of finding methods of discipline so that the profession of British Columbia might "clean its own house". Our request was forwarded to the Council of the College. On February 7th, 1950, a portion of the general meeting was spent on problems of a general nature arising in the revision of the schedule of fees. Discussion was free and benefit was gained. There was an evident feeling that the profession as a whole, working together could come to an agreement on some fee problems which sections of die profession, working alone, could not do. Definite dissatisfaction with Workmen's Compensation Board and Medical Services Association fees was expressed and recommendations with regard to the Workmen's Compensation Board were made. Page 231 It has been recommended that the Committee of Economics of the Vancouver Medcial Association be a committee of seven, elected for a term of three years, and elected in such a fashion that only two or three new members are elected each year. On Tuesday, November 1st, 1949, Dr. Shelby Jared, chairman of the Western Conference of Medical Care Plans, Seattle, Washington, gave an excellent address dealing with pre-paid medical care plans. The meeting was poorly attended—those functioning on economic committees attended well. It would seem that there is still a lack of real interest among the profession generally in medical economics. It is recommended again that at least half of the regular monthly meetings of the Vancouver Medical Association be devoted to medical economics. Respectfully submitted, J. A. Ganshorn, M.D., Chairman. REPORT OF THE HONORARY TREASURER, 1949-50 Mr. President and Members: I submit herewith the financial report of your Association for the year which has been duly audited by Messrs. Plommer, Whiting & Co., Chartered ants, under date of March 31st, 1950: RECEIPTS AND EXPENDITURES Income from members' annual dues \ $8,265.75 Interest on invested funds $ 509.32 Bank Savings Account l 2.48 511.80 Relief Administration—funds not disbursed . 105.28 Profit on Association Bulletin U 921.83. 1949-50, Account- 9,804.66 EXPENDITURES Salaries \4 j Rent $2,773.00 Less rents received (C. P. & S.) 1,260.18 $4,38414 1,512.82 5,896.96 Other Expenses _: I 2,045.84 7,942.80 (The Association also spent $2,306.15 to purchase books and journals for the Library) Excess of Income over Expenditure, not including amount spent on Library books Depreciation: Library $ 1,444.38 Equipment . 91.64 $ 1,861.86 1,536.02 Excess of Income over Expenditure. .$ 325.84 ASSETS General Fund Bonds and Savings Account as at March 31st, 1950: Present value (Bonds at cost) $16,375.41 Cash on hand and in bank 1,060.39 TOTAL $17,435.80 Page 232 Investments: Historical and Ultra Scientific Fund— Bank savings account $ 557.16 Bonds at cost 1 - 2,479.38 Owing by General Fund % . .16 Stephen Memorial Fund— Bank savings account ■$ 3,052.31 d— ! $ 9.08 Bonds at cost . : 100.00 109.08 John Mawer Pearson Lecture Fund— Bank savings account $ 979.65 Bonds at cost 3,553.75 4,535.40 TOTAL 1 $ 7,698.79 Income from members dues shows a slight decrease from last year owing to the fact that many of the new members' diies were paid with their applications last year, and their election to membership did not go through until this fiscal year. A substantial profit is shown on the Bulletin", which amount is made up of the profit derived this year together with the collection of outstanding accounts from previous years. We are indeed pleased with the members' co-operation in passing the resolution to raise fees, as it has become increasingly difficult the past few years to finance the work of the Association on a budget made up from yearly memberships. This, of course, is due to the steadily increasing costs in all branches. Membership is still on the increase, and although not with such rapid bounds as in the past two or three years, we feel that it is certainly holding its own. All of which is respectfully submitted. Gordon Burke, M.D., Honorary Treasurer. MEETING The Annual Meeting and Banquet of the Westminster Medical Association was held in the Westminster Club, on Thursday evening, May 25th, 1950. A large attendance, including visitors from Vancouver, enjoyed a very excellent programme. T*he guest speaker, Rev. Hill, a former Navy Chaplain, gave a stimulating talk on "The Welfare State vs Free Enterprise." The following were elected to Office:— President—Dr. J. P. Wellwood. Vice-President—Dr. J. A. Sinclair. f^m Secretary—Dr. G. Mathias. Executive—Dr. T. R. Blades and Dr. M. L. Gaudin. Past President—Dr. A. C. Ross. Election of Officers at Annual Meeting of Council, May 1 and 2, 1950: President—Dr. Murray M. Baird. Vice-President—Dr. Lavell H. Leeson. Treasurer—Dr. D. H. Williams. Officers Appointed by Council'. Registrar—Dr. A. J. MacLachlan. Executive Secretary—Dr. Lynn Gunn. Page 233 59 SOME FUNDAMENTAL AND CLINICAL ASPECTS OF THE PROBLEM OF HEPATIC CIRRHOSIS DR. CECIL J. WATSON An incisive approach, extreme lucidity in manner of approach and presentation and a logical procedure in assembling data which are built up to a solid structure of knowledge characterized Dr. Watson's discussion of this subject. Slipshod methods and fuzzy thinking find no place in Cecil Watson's mind. At the Chest Institute Auditorium on Tuesday, March 28 th, the Professor of Medicine at the University of Minnesota Medical School delighted his large audience with an exposition of the subject of hepatic cirrhosis. Charts and photomicrographs thrown on the screen lavishly illustrated each feature of the subject as it was discussed. A brief historical survey of concepts of cirrhosis from the early work of Laennec and Hanot down to such recent ones as the Methionine Deficiency view was given, followed by a tentative classification of the disease in accordance with modern clinico- pathological and biochemical investigations. The popular notion of the hopeless prognosis of alcoholic cirrhosis was shown to be in error. Although it cannot be determined from biopsies whether the process in a given case is irreversible or not, if atrophy has not developed the chances of recovery are good. Exhibitions of bio-chemical case profiles showed the value of liver function tests, and the effects of salt-poor human albumin with intravenous administration of 20% glucose in distilled water and a suitable quantity of insulin. This will not remove the fat from the liver, but methionine will; nevertheless, if there is not enough liver (cells) remaining, the patient will die. Cirrhosis can result from hepatitis, but only in the proportion of 0.1 - 0.2%. Since hepatitis is so common however, such instances are not very rare, and slides illustrating this transition in cholangiotic hepatitis were shown. Excess of Type III copro- porphyrin in urine of alcoholics seems to be definitely related. In referring to Hanot's cirrhosis, the speaker stated as his opinion that this is really a cholangiotic cirrhosis in a functional rather than a histologic sense. It was suggested that the "liver palm" and spider naevi were related to faulty steroid metabolism. The speaker ended abruptly, as it seemed in mid-career, but the audience quickly appreciated that he closed on a proper note of finality. There was nothing more to be said. In an hour he had given an over-all view of the pathology and bio-chemistry of cirrhosis in such a fashion that nothing was lacking in clarity or comprehensiveness, yet much detail which cannot be repeated here, was included. —D. E. H. C. ill Page 234 HERBERT H. RIGGS Obiit. June, 1950. Aet. 78 Dr. H. H. Riggs was, at the time of his death, one of the oldest medical men in active practice in the city of Vancouver, where he has been practising just over half a century. Dr. Riggs was a remarkable man. Till one reads the long list of his associations and activities, one does not realise how active a part of the community life of this city he was. In his professional capacity he has always been one of the leaders of the profession here; has been on the staff of the Vancouver General Hospital for many years, a life member of its Board of Directors, and constantly active in hospital matters. He was a Fellow of the Royal College of Sturgeons of Edinburgh and of the American College of Surgeons; a member of the North Pacific Surgical Association, and had been President of the Vancouver Medical Association. He was a surgeon of recognized ability and was one of the first practitioners in B. C. to install X-ray equipment in his private office. But outside his profession, too, his activities were legion, and he was interested in everything, especially if it included an opportunity to join some organization that was doing constructive work. He attained high office in Freemasonry, was a member of the Canadian Institute of International Affairs; was district governor of Kiwanis, and was active in many other organizations. He was particularly interested in church affairs. In fact, he was an all-round man and, like the Latin philosopher, deemed nothing alien to him that was of human nature. He had a kindly, friendly disposition, and everybody liked and respected "Herbie" Riggs. His professional ability was outstanding, and all in all, few men could have ever led a happier, busier or more useful life. He was a good citizen—one of the best, and not only is the medical profession poorer for his passing, but the community as a whole has lost one of its best and most useful members. We extend our sincere condolences and sympathy to his family. H. H. McINTOSH Vancouver Obiit. June 6th, 1950. Aet. 70 It is with a heartfelt sense of loss that we record the death of-Dri^Hamish Mcintosh. To many of us it must have been, with a sense of surprise that we learned that he was seventy when he died. Hamish was so perennially youthful in his outlook on lif e and in his ready appreciation of it that he never seemed to grow old. Like his partner, Dr. W. A. Whitelaw, whose death we recorded such a short time ago, Dr. Mcintosh had served a long time in his profession in Vancouver—and had attained a high eminence in that profession. He began as medical superintendent of the Vancouver General Hospital, back in 1906 or 1907—in the long-forgotten days when beds were plentiful and cheap, and the general practitioner was in the saddle. Leaving this position, he took up general practice for a while, and was one of a notable group of happy warriors which included Danny McKay and Scotty Conklin, Eddie Carder, Jimmy Sutherland and Hughie Webster, all of whom had offices over Knowlton's drugstore. But he took up radiology in earnest within a few years: was in Page 235 charge of the V. G. H. X-ray department, and became highly proficient in this specialty, later joining Dr. Whitelaw in partnership. He had a varied career as a young man, having for some years been ship's doctor on the C.P.R. Oriental lines—a happy experience for him. He served with distinction in the war of 1914-18, attaining the rank of major. As a radiologist, Dr. Mcintosh was one of the very best on the continent, and his opinion ranked among the highest. He was a tower of strength to those who consulted him. His clinical judgment, acquired by personal experience of practice, was excellent, and he never failed to slip over an almost sotto voce hint or suggestion which in some Bergen-like way he seemed to make come from the recipient, and which always turned out to be of great value. Most of us, appreciating his kindly intent, accepted it without remark, and most thankfully. Personally, Hamish Mcintosh was a delightful man to know. He had a keen sense of humour, and had the gift of sympathy and understanding. He loved his fellows, enjoyed their company, and himself added immeasurably to their happiness and enjoyment by his presence and association. We are greatly the poorer by his loss. To his wife and family we extend our deepest sympathy in their bereavement. ^ | | | DR. WILLIAM LeROY PEDLOW Vancouver To all his many friends, in and out of the medical profession, the sudden death of Dr. Pedlow came as a severe shock. His health had, for a long time, been rather precarious, and his activities had, to some extent, been limited by this—but he had carried on gallantly, and continued at his work. To meet him, with his unforced cheerfulness, one would never have realized that he was not a well and happy man—but he took things as they came with the calm courage that was characteristic of the man. Dr. Pedlow came to Vancouver, if our memory serves, just after the First Great War. He graduated from Manitoba, that University that has been the Alma Mater of so many of the Vancouver medical profession, and shortly after joined the R.A.M.C. as Medical Officer. He served with distinction, winning the Military Cross. In Vancouver he rapidly came to the top of his profession. He was a skilled surgeon, and though he engaged in general practice, he more and more devoted himself to surgery. He was on the Attending Staff of the Vancouver General Hospital, in the Surgical Section, as one of the Seniors, at the time of his death. He was a member of the North Pacific Surgical Association. His standing with his fellow-practitioners is attested to by the fact that he became President of the Vancouver Medical Association, a position that he filled with distinction. He was also a recipient of the Degree of Prince of Good Fellows, which is only awarded to those who have rendered outstanding service to the Assoociation, and display other qualities necessary to the deserving of the title. These, however, are by no means all of Roy Pedlow. Only those who knew him intimately, who worked with him, who played with him, could know what a really fine and sterling man he was. A loyal and delightful friend and companion, a man of sterling integrity and singleness of purpose, a physician of the order Beloved Physician, he leaves a big gap in our ranks, and those whom he served so well, his patients, will with us deeply mourn his loss. Page 236 1 a step forward IN SIMPLE ANALGESIA For 50 years acetyl salicylic acid in tablet form has proved of inestimable value to mankind. However these tablets are comparatively insoluble, and clinical investigation has demonstrated the irritant effect of the undissolved particles of acetylsalicylic acid on the gastric mucosa. For these reasons the calcium salt of acetylsalicylic acid— calcium acetylsalicylate—is to be preferred. A step forward has been taken with THSPRIN', containing 5 grains acetylsalicylic acid and producing in water, 6 grains of calcium acetylsalicylate. Thus 'DISPRIN' offers all the well-known advan tages of acetylsalicylic acid without its disadvantages. 'DISPRIN' is soluble and palatable. It can be administered with ease, especially to children. 'DISPRIN' is more speedily assi-j milated and less rapidly eliminated, thus accelerating the analgesic effect. 'DIS PRIN' is substantially neutral and is less likely than ordinary acefylsalicylic acid to cause irritation of the gastric mucosa. A trial supply and literature will be gladly sent on request. DISPRIN *H Mm SOLUBLE • NEUTRAL PALATABLE • STABLE 1ECKITT & COLMAN (CANADA) LIMITED Pharmaceutical Division til Montreal 'DISPRIN'— bg the makers of ' D e 110 I ' Antiaeptic 1 A new, bulk-producing, colloidal treatment for chronic constipation. 2 A mixture of methylcellulose and car- boxy-methylcellulose which produces a voluminous get, promoting normal peristalsis and natural bowel evacuation. 3 A non-antigenic, non-toxic, non-irritating gel which is not absorbed by the intestinal tract.* CLINICAL EVIDENCE Tainter (1) found that, with methylcellulose, stools were easy of passage. No colicy or griping pains were experienced as a result of the drug administration. Schweig (2) evaluating the effectiveness of methylcellulose in 37 patients, found that in 62% a normal, soft, bulky stool was passed at least once a day without griping, cramping or tenesmus. In 30% of cases results were good, the patient passing five or more stools a week. C.T: Na. 7S6 VOLUGEL E.B.S. Each tablet contains: Csrboxymethylcellulose - 0.375 Gm. Methylcelluloie - 0.12? Gm. Indicated in chronic constipation. DOSAGE: Four lo sixteen tablets daily until regularity is established. Then the dose is gradually reduced until none are required. Tablets should bo washed down with plenty of water. Control TheE.B.Shuttleworth CHEMICAL COMPANY. LIMITED MAhuFACtdRINC ChCMiSTS TORONTO. CANADA £ (1) Tainter, M. 54:77 (1943) (2) Schweig, K. (1948) Proc. Soc. Exper. Biol. & Med., Med., 48, 1822 Descriptive folder on request. LEWORTH CHEMICAL CO. LTD., TORONTO, CANADA Representatives: Mr. V. Garnham, 3228 West 34th Avenue, Vancouver, B.C. Mr. F. R. Clayden, 3937 West 34th Avenue, Vancouver, B.C, i>ie 'f B^SO^ &co Mead's Polyvitamin Dispersion One level teaspoon (2.8 Gm.) supplies 5000 Int. units 1000 Int. units 50 mg Vitamin A Vitamin D Ascorbic Acid Thiamine Riboflavin Niacinamide 1 mg. 0.8 mg. 5.0 mg. Mead's Mixed Vitamins Capsules Each capsule supplies: 10,000 Int. units Vitamin A Vitamin D Ascorbic Acid Thiamine Riboflavin Niacinamide 1,000 Int. units 100 mg. 3 mg. 4mg. 25 mg. Soundly formulated for reliable, convenient diet supplementation For Infants and Young Children... MEAD'S Polyvitamin Dispersion 6 important vitamins finely dispersed in a water-soluble powder. Easily mixed with formula, fruit juice, cereal or other solid food. Suggested daily dose: 1 teaspoon for infants; 1-2 teaspoons for children. Available in 3 ounce jars. These vitamin products are For Older Children and Adults ... MEAD'S Mixed Vitamins Capsules Generous supplementary amounts of 6 important vitamins. Designed for patients whose dietary intake of vitamins is inadequate. One capsule daily meets the needs of most patients. Available in bottles of 50 capsules. not advertised to the laity. MEAD'S Mead Johnson & company OF CANADA. LIMITED BELLEVILLE.ONTARIO LOCAL REPRESENTATIVE: D. M. TURNER, THE Branches Deep Cove, B.C., Canada — Deep cqve-2261 tiH ites Clinical experiences*hav^lJcmonstrate^ that the administr^^^lxanthineslma^ double coronar^^Mlai^K and allow a ¥ greater amount J^%^^^Jb%^erformed/ r £a* bowV ;ss»4 tt\»\* etf jftWS* ....<* \o TWO! pud" .(»■ .\tt Ail 4«' ,\»ssitt* \o**e A* .\l tiobM b\va\ Mil SoAtttt fcveat \io»ate A* M fclft.Y 6ott\e- oooft R0U6IER FRERES, 350 Le Moyne Street, MONTREAL (1) * * \ ^ with THEOPHYLLINE in oedema and ascites resulting from cardiac failure hepatic cirrhosis with ascites renal oedema, in chronic hydraemic nephritis AMPOULES TABLETS SUPPOSITORIES Information and samples upon request . . . "The circumstances that demand the use of diuretics are known, but it is necessary to decide which preparation is best to prescribe, and in what form to give it . . . when the diuretic effects of five different preparations were compared in a series of patients, NEPTAL proved to be one of the best". p. 239 in: CARDIOLOGY, by William Evans, M.D., D.Sc, F.R.C.P., London, England, published in 1948 by Paul B. Hoeber, London and New York. pouLcnc LimiTCD moimrciii. @gg ALSO KAOMAGMA PLAIN KAOMAGMA WITH MINERAL OIL In equal oral doses bombines iQ| i c fell m Profound effect th an... ffEMpUTAL (PENlOBARBITil. ABBOTT) —• - -■'••' —- ' •--■ ■ ■ . . , ■ , ■../.■■.:.■■.: \.^/'..:^ the forms of Fe + + Iron Therapy Fe+ + + are varied pp~ Ferrous Sulphate Ferrous Gluconate Iron Pyrophosphate OSTEOTABS WITH IRON AND VITAMIN C 'WJmW- Each enteric coated tablet contains: Purified Selected Bone Meal 5 grains Ferrous Sulphate U.S.P. Crystal 5 grains Vitamin C (Ascorbic Acid) 25 mgms. Vitamin A 500 Int. Units Vitamin D | 500 Int. Units Vitamin Bi (Thiamin HCI.) — 0.75 mgm. Vitamin B2 (Riboflavin) 0.75 mgm Iodine 0.05 mgm FERROSULPH NERVINE TABLETS Each sugar coated tablet contains: Ferrous sulphate U.S.P. Crystal ^grains Vitamin Bi (Thiamin HCI.) . 1.0 mgm. Vitamin B2 (Riboflavin) 0.5 mgm. Phenobarbital Sodium I 1/4 grain Ext. Nux Vomica 1/4 grain Phosphorus 1/100 grain FERRANCA TABLETS Each sugar coated tablet contains: Ferrous Gluconate N.F 5 grains Vitamin Bi (Thiamin HCI.) 1 mgm. Vitamin B2 (Riboflavin) 0.75 mgm. Niacinamide t 3.5 mgms. Liver Extract equivalent to 20 grains of fresh liver IRO-PLEX SYRUP Each ounce contains: Iron Pyrophosphate . 24 grains Vitamin Bi (Thiamin HCI.) 3.0 mgms. Vitamin B2 (Riboflavin) 4.0 mgm. Vitamin B6 (Pyridoxine) 1.5 mgm. Pantothenic Acid 7.5 mgm. Niacinamide 15.0 mgm. ANGLO-CANADIAN DRUG COMPANY LTD. DSHAWA CANADA THE SUFFIX ANCA WILL IDENTIFY ANY OF OUR PRODUCTS ON A PRESCRIPTION ill ffiM MEAT EATER (5years later) SaiJl Jennifer Oberg at 5}4 months was a participant in Swift's original meat-feeding tests. Current Clinical Meat Feeding Studies ' REPORT No. 3 UTILIZATION OF NUTRIENTS BY PREMATURE INFANTS These studies were designed to compare the utilization by premature infants of the nutrients in milk, meat-supplemented milk and milk- substitute diets. The balance method is being used to determine the utilization of calcium, phosphorus, iron, fat and nitrogen. This study is part of an extensive clinical research program now being conducted through grants-in- aid made by Swift's. Although Jennifer had been a "collicky baby," she thrived on Swift's Strained Meats from the first. According to her mother, "She put on weight, seemed to gain strength. And I could tell she liked the meats. She'd kick her feet and laugh when I fed them to her." "Today she's a fine, healthy child" Jennifer's picture above bears out her mother's statement. Today Jennifer is a "good eater" and her favorite food is meat! These days any baby can enjoy the benefits of earlier meat feeding. Doctors recommend Swift's Meats for Babies in the early weeks of life. (A number of infants in the original test feeding group started at six weeks.) Swift's Meats for Babies provide essential complete proteins and food iron. Six different Swift's Meats for Babies vary infants' diets—help form sound eating habits. Beef, lamb, pork, veal, liveiraiKHieart. Each 100% meat—soft and smooth, slightly salted. Expert preparation assures minimum fat content and maximum nutrient retention. Swift's Meats for Babies are ready to serve at about half the cost of home-prepared meats: ISM Iffiffl •Meats^ahiesF I for juniors fce^i "HuBfiFS* Diced BEEF _ SWIFT .. /#s//b </et/e/o/> and'c/m/ca//y -fesf/00%/Meats /br8*6/es fitlMl &" All nutritional statements made in this advertisement are ac«_ cepted by the Council on Foods and Nutrition of the American Medical Association. ^ THE ORIGINAL 1 ANTACID f *m •e»S>C5*^S^ \f\ DILAXOL E.B.S. Each fluid ounce contains: Sfauth Subsalicylate - 4 g1* "lastase - . s . i gr "agnesiuin Trisilicate, Carbonate and Hydroxide combined 75 ff*- Dose—One to two teaspoonfuls. ^tocid-Dige»tive-Laxati»e Pl5Scated "» Dyspepsia. Duodeniti* vSSfe"* Hyperacidity. Nausea £™?"»e of Pregnancy and othel". "astro-Intestinal Disorders. Control Keep in a Cool Place SHAKE WELL TORONTO. CANADA Supplied in pounds Winchesters and gallons. Also in powder form. FROM COAST TO COAST m\ ^.~i THE >HUTTLEWORTH CHEMICAL CO., LTD. TORONTO, CANADA Representatives: Mr. V. Garnham, 3228 West 34th Avenue, Vancouver, B.C. Mr. F. R. Clayden, 3937 West 34th Avenue, Vancouver, B.C. 1 in a "pinch ** It could happen to you; that "now-what-have-I-done" feeling that raced through the GE salesman's mind as the Lynchburg, Virginia, officer curbed him with screaming siren. But read the story behind it. An emergency service call Came in from Lynchburg to the Richmond office. The GE salesman in that area was enroute to take care of a previous call which took him through Lynchburg. GE immediately phoned the Chief of Police in Lynchburg and enlisted his cooperation in stopping the salesman as he entered town. Needless to add, emergency service was soon effected and a Lynchburg hospital's X-ray equipment was back in service in minutes! This story is typical of the hundreds of documented GE service reports in our files. A service which proudly lends a new, broader conception to the guarantee that stands back of every GE installation. GENERAL® ELECTRIC X-RAY CORPORATION i y i i-JL Vancouver 645 Hornby street Winnipeg 4D2 Graham Ave L. C. MARTIN 3913 Winton Street Victoria, B.C. NOW...in Chemotherapy of tuberculosis Streptomycin Calcium Chloride Complex W Merck PAS Para-Aminosalicylic Acid Merck (and the Sodium Salt) Dihydrostreptomycin Sulfate Merck I \f «E«i •!•▼■*. OTHi^ MERCK MERCK & CO. LIMITED MONTREAL • TORONTO • VAUEYFIB.D Merck Antitubercular Agents Streptomycin Calcium Chloride Complex Merck PAS Pa ra-A m in o sa I i c y Ii c Acid Merck w(and the Sodium Salt) Dihydrostreptomycin ■ Sulfate Merck New WATER-DISPERSIBLE VITAMIN DROPS for Infants and Young Children a* tfh&lAt No. 929 Each drop contains approximately: Vitamin A^^^^^#i%^^^plli^^M 1,000 I.U. Vitamin D^J^^^i^^^M^^^J^^ 500 I.U. In bottles of 8, 15 and 30 cc. wi'ffi dropper. The average dosage is 2 drops daily. The average daily dose of 10 drops [0.6 cc.) provides approximately: Vitamin A.i^^^^^^^^^^^^R; 5,000 I.U. Vitamin D....^^^^^^^^^^^^^,-. 2,400 I.U. Ascorbic Ac\d...:^^^^iii0^^^i'7::^^^^ 50.0 mg. Thiamine C^^^^$i^^^^^x0^^kii^^&^'i 1.5 mg. Riboflavin.. -^^^^^t^^^^^^^^S^^j^^ 1 -0 m9» Niacinamide.. ...."^^f^M^^^pl^^^^^^. 20.0 mg. Pyridoxine .„*5^.;i^S^^^^^^^^feiiS^^^® 1 -0 mg. Calcium d-Pantothenafe.lv-^s^^^^^^^^^ -~5^Hng. Mixed Natural Tocopherols (as Antioxidant) 2.0 mg. In bottles of 8, 15 and 30 cc. with dropper. "Alphamettes" and "Alphamctte" Liquid are also recommended sources of vitamins A and D; "Supplavite" Liquid, "Supplavite" Tablets and "Supplavite" with Minerals provide multivitamin supplementation. Ayerst, McKenna & Harrison Limited Biological and Pharmaceutical Chemists MONTREAL, CANADA sunburn? V°_,«P«i £$&. &&!&* Rapid, sustained relief follows topical application of CALADRYL—the soothing new calamine-type antipruritic lotion containing BENADRYL® CALADRYL TRADEMABK effective: CALADRYL efiFectively relieves sunburn and itching. Benadryl hydrochloride (1%), calamine, camphor, glycerin and other ingredients are blended in a soothing lotion for effective antihistaminic and antipruritic action. pleasant: CALADRYL is pleasant to use. Faintly perfumed, its light flesh color is cosmetically inconspicuous. It does not rub off but washes off easily. Versatile: CALADRYL has many uses. It soothes sunbunfs itching and burning. Prickly heat, diaper and cosmetic rash are readily relieved as is the itch associated with hives, insect bites, poison oak, poison ivy, measles, chicken pox, contact dermatitis, and minor skin affections. PARKE. DAVIS & COMPANY £ R N 1 EXCLUSIVE AMBULANCE LIMITED FAir. 0080 NW. 60 OXYGEN THERAPY SUPPLIED ON YOUR ORDER. 24 HR. SERVICE J. H. CRELLIN W. L. BERTRAND &fy When prescribing Ergoapiol (Smith) for your gynecologic patients, you have the assurance that it can be obtained only on a written prescription, since this is the only manner in which this ethical preparation can be legally dispensed by the pharmacist. The dispensing of this uterine ionic, lime-tested ERGOAPIOL (Smith)-only on your prescription—serves the best interests of physician and patient. INDICATIONS: Amenorrhea, Dysmenorrhea, Menorrhagia, Metrorrhagia, and to aid involution of the postpartum uterus. GENERAL DOSAGE: One to two capsules, three to four times daily—as indications warrant. In ethical packages of 20 capsules each, bearing no directions Literature Available to Physicians Only. ERGOAPIOL (smith) Ethical protective mark, M.H.S., risible only ■ when capsule I* cut fa halt at seam., MARTIN H. SMITH COMPANY ISO LAFAYETTE STREET HEW YOIK 11, lUXi
Periodicals
W1 .VA625
English
Vancouver : University of British Columbia Library
Vancouver, B.C. : McBeath Spedding Limited
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Original Format: University of British Columbia. Library. Woodward Library Memorial Room. W1 .VA625
Medicine--Periodicals
The Vancouver Medical Association Bulletin: June, 1950
Text