m-;^t: rnLUMBIA LIBRARIES OFFSITE •^HEALTH SCIENCES STANDARD HX64094081 R154.D29 D21 The lite oi Nathan S RECAP mm- m-'' Wi^^'^ ■■'■■■ ■ ■■ Wi-^.''i''4:<-<'''' Wif'^'-Mi, -^..^^ Columtjia Winiotx&it^ CoOtse of ^ftpsittan£S anb ^urgeong 3aef erence Hifararp Digitized by the Internet Arciiive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/lifeofnathansmitOOdanf Dr. N. S. Davis at the age of about 60. Reproduced from steel engraving-. The Life of Nathan Smith Davis A. M., M. D., LL. D. 1817 1904 " I have taught thee in the way of wisdom; I have led thee in right paths." — Prov. iv. 11. By I. N. Danforth, A. M., M. D. Chicago, III. 3IUuatrat?ti Chicago Cleveland Press 1907 Copyright 1907 BY THE CLEVELAND PRESS CHICAGO TO THE MEMORY OF ISAAC DANFORTH, M. D. 1763 1851 AND SAMUEL PARKMAN DANFORTH, M. u., iSio 1865 TWO VERMONT PHYSICIANS WHO DEVOTED THEIR LIVES TO THE ELEVATION AND IMPROVEMENT OF THE SCIENCE AND PRACTICE OF MEDICINE. PREFACE. I began writing the life of Dr. Davis with great reluctance ; I close my task with greater reluctance. For several months past he has been my constant companion, I might almost say, day and night. As I have studied his austere personality, arid his rugged character, so transparent and genuine, my respect for the man has grown day by day. I do not, however, for a moment imagine that T have written a life of Dr. Davis that will be satisfactory to the medical profession or the public. A character so colossal needs the perspective of time and distance, before an adequate estimate of its merits or demerits can be formed. Fifty years hence, Nathan Smith Davis will measure up to the altitude of Benjamin Rush and Joseph Warren ; then some one will write his life in a worthier manner than is possible at the present time, or by the present biographer. I have tried to be accurate; I have tried to be impartial; I have tried to be just; how far I have succeeded, my readers must judge. I have been much handicapped by the absence of original documents, such as letters, and the various man- uscript sources of information usually left by public men; but all these in- valuable treasures were unfortunately destroyed a few years ago. Just at this point, the mail brings me the following letter from the' present Dr. N. S. Davis, worthy successor of a noble father, which it gives me great pleasure to receive and to print: My dear Doctor Danforth : You have striven most conscientiously to present correctly the facts in my father's life and I believe that you have succeeded. Unfortunately there have been few manuscript aids for the construction of your work, and my father's cotemporaries are almost all dead. How- ever, in spite of these difficulties you have successfully described the im- portant incidents of his life. It has been a pleasure to aid you as far as possible. Very sincerely yours, N. S. Davis. I cannot close without expressing my profound gratitude to Madam Davis, widow of Dr. N. S. Davis, who still survives him, for her patient assistance and counsel as my work has progressed, and to her son, the pres- PREFACE ent Dr. Davis, I am under deep obligations for his helpful counsel. I take pleasure, also, in expressing- my thanks to my friend, Dr. L. B. Hayman, who has been of great assistance in helping me to correct proofs, and in guiding me over sundry rough places, which I encountered because of my slight acquaintance with the "technique" of the printer. 905 \\'. ^lonroe street. I. X. D. September, 1907. CONTENTS Introduction. I. Childhood— Youth— Medical Studies, 11. Marriage; Early Professional Life. III. Removal to Chicago; Connection with Rush Medical College. IV. Professional Career in Chicago: Chicago Medical College; Mercy Hospital. V. Connection with Educational and Charitable Institutions. VI. Relations to the American Medical Association. VII. Relations to the American Medical Association — (Continued). VIII. Connection with the Ninth International Medical Congress in 1887. IX. The "Jubilee" Meeting of the American Medical Association in 1897. X. Temperance Work: Public and Professional. XI. Literary and Journalistic Work. XII. The Literary and Scientific Harvest of a Busy Life. XIII. The Testimonial Banquet of October 5, 1901. XIV. Religious and Church Life; Last Days. XV. Memorial Service of October 23, 1904. XVI. Commemorative Tablet Placed in Davis Hall. XVII. Tributes of Respect from Friends and Former Pupils. XVIII. Personal and Reminiscent. XIX. Conclusion— A Character Study. INTRODUCTORY, The subject of the following memoir took his medical degree in January, 1837, while he was yet a minor, and immediately engaged in medical practice. But the world he entered at the threshold of his professional life was a very different world from the one he left, nearly seventy years after- wards. It will be interesting to glance briefly at some ot the conditions in our country at that time. In the South, the condition of the slave had become a source of great anxiety. The "abolitionists" were at work tooth and nail, and one of them, David Walker, a free negro, published his "Appeal" in 1829, a hot-headed pamphlet which exasperated the slaveholders and unsettled the slaves. Benjamin Lundy, William Lloyd Garrison, Elijah Lovejoy and other determined spirits in the North, espoused the cause of the slave, and their appeals in the public press and on the platform aroused intense excitement North and South. In 183 1 came "Turner's Rebellion," a mad-cap out- break by twenty or thirty negroes, under the leadership of a Virginia slave, named Nat Turner, which set the slave-holding states into a hyster- ical fear of a general revolt among their bondmen. But as fifty-five men, women and children were slain by Turner and his folloAvers, it is not strange that southern people believed that the smouldering volcano upon which they stood, was about to break forth into fury. Considerable anxiety was also beginning, in regard to the immigration of the paupers, cripples, invalids, idiots and "distracted persons," from Europe to this land of liberty and of plenty, and restrictive legislation was being discussed in a tentative way. As a consequence, a "Native American" party of small proportions but ominous import, sprung up, survived its little day and faded out — precursor of the more pretentious "Knov/-Noth- ingism" of the fifties. Travel was mainly by the old fashioned stage coach (the "Concord coach," built in Concord, N. H., was the acme of style and luxury), but a few short and very primitive railways had been built experimentally, yet not a single railway v,'as in regular and successful operation until 1830, when the road from Baltimore to Ellicott's Mills, about 13 miles long, was opened, and it was regarded as almost beyond belief that the whole 13 miles was made in sixty-nine minutes, and that Peter Cooper's locomo- 10 INTRODUCTORY tive demonstrated that it could go round a curve ''without danger." Never- theless, there was great opposition to railways, and the old "strap" rails, with their perilous "snake heads,"' were not calculated to inspire faith in the new mode of travel, and so the Concord coach, the canal boat and the "prairie schooner" still held their own. But the "experts" were laboriously trying to decide whether steam power or horse power should haul the railroad train of the future, and John Stevens, the father of American railwavs, was vainly trving to "finance" (but not Harrimanize), his projected railway from Philadelphia to Columbus. During these years mail robberies were frequent, and the question of Sundav mails was agitating the churches and the people. But meantime other great events were taking place and great discoveries were being made. Cyrus H. McCormick had invented his reaper; the steamboat had become a practicable and profitable venture; the use of anthracite and- bituminous coals had passed the experimental stage; the sewing machine had become an actuality and the rotary printing press had supplanted its venerable predecessor. When we turn to the condition of the jails, prisons, houses of correc- tion, penitentiaries or whatever else they were called ; and to the treatment of the patients in the lunatic asylums and similar institutions, we find a sad and shameful story. It does not seem possible that in this country of ours, a lunatic was "jailed for eight years, during which time he had left his room but twice, and for eighteen months the door had never been opened; food and water was thrust through a hole in the door." In a cellar "were five lunatics in cells six b}^ eight feet." And so on ad nauseam. The prisons throughout the country were dirty, full of infection, ill- ventilated, and in every way disgusting. Solitary confinement, imprison- ment for debt, the pillory, the whipping post, cropping the ears, branding with the "scarlet letter," and standing on the gallows with a rope around one's neck for an hour or more ; these were some of the refined and elevat- ing methods of punishment still in vogue during the boyhood and young manhood of the man whose career we are to study. It is but just to add, however, that a reform movement was already under way and be- fore 1840 considerable progress had been made in the direction of decency and humanity. In the political world Andrew Jackson's second term as President was drawing to a close. His administration had been a turbulent one ; he liad strangled "nullification," thus putting off the evil day of secession for a quarter of a century; had closed the United States Bank, and had done sundry other things, equally positive and radical, and was about to retire to his beloved "Hermitage," having as manv devoted friends and INTRODUCTORY II as many bitter enemies, as any man in this or any other country. Then came the administration of Jackson's "man Friday" — "that slender little gentleman, always courteous, always placid, always ready to listen"* — Martin Van Buren, with its crushing financial panic, suspension of specie payments, bread riots and general distress among all classes of people, during which "the country went staggering and bewildered through its season of bitter ruin."** But the country survived; the "Log Cabin and Hard Cider" cam- paign of 1840," succeeded, the cry of "Tippecanoe and Tyler too," was in every schoolboy's mouth; the very hens were said to cackle "Tip Tip, Tip Tip, Tyler," and the land-slide from Jackson and Van Buren to the "hero of Tippecanoe," William Henry Harrison, illustrated in a graphic way, the vagaries of "we the people." But Harrison's brief term of about a month closed with his death. John Tyler took the helm, and the Tylerizeci administration began its baleful existence. Very soon plans for stealing Texas were developing, the Mexican war cloud began to show above the horizon, and mutterings, both loud and deep of the "irrepressible conflict," were heard in all sections of the country. Webster, Clay, Calhoun, Hayne, Van Buren, Lewis Cass, Roger B. Taney> of malodorous memory, and slippery, foxy James Buchanan, whose name brings the blush of shame to the cheeks of his countrymen; these were some of the men who were at the front in the days whereof we speak. By the year 1820, literature in the United States had assumed a re- spectable attitude, and the question was no longer sneeringly asked in England, "who reads an American book?" Lwing, Cooper, Bryant, Long- fellow, Jared Sparks, John Marshall and a few others, were gaining a favorable recognition in the realms of authorship, and were building up a purely American literature of permanent value.*** In medical literature not very rapid strides had been made, which is by no means to be wondered at, since ample clinical facilities and prolonged clinical study and observation, must precede authorship in the domain of practical medicine and surgery; and in the two decades from 1820 to 1840, adequate opportunities for clinical study were few and far between in the LTnited States. As a consequence, in those days, text-books and monographs on medicine and surgery were mainly either those which were written in England or translations of books written on the continent of Europe. Nevertheless, a creditable beginning had been made in the devel-. ^History of the American People, by Woodrow Wilson, iv., 63. **0/'. cit. p. 71. ***For much of the above T am indebted to that ideal work, McMaster's "History of the American People." 12 INTRODUCTORY opment of a purely American medical literature. Chapman's "Therapeu- tics and ^Materia Medica," Samuel Jackson's "Principles of Medicine," Eberle's "Practice of Medicine," Bartlett's "Fevers of the United States," Hosack's "Lectures on Theory and Practice,'' the writings of Dr. Daniel Drake, and various monographs, among which Dr. W. W. Gerhard's "Trea- tise en Diagnosis of Diseases of the Chest" deserves prominent mention ; these are a few of the more prominent American works on the Practice of Medicine and cognate subjects, to which the young American physi- cian had access in the first half of the last century. For many years perhaps Dunglison's "System of Physiology'' was the standard, and the same should be said of his "Medical Dictionary," a work which gave him the sobriquet of "Dictionary Dunglison." In the domain of surger}-, Dr. Geo. ]\IcClellan's "Principles and Prac- tice of Surgery," Gibson's "Institutes and Practice of Surgery," Dorsey's "Elements of Surgery," Gross' "Diseases and Injuries of the Bones and Joints," and a few other works of less importance occupied the field of i\meiican surgical authorship. In the field of obstetrics and diseases of women, the works of Dewees, Hugh L. Hodge and Chas. D. Aleigs, easily took and held the lead for many years, as they were clearly entitled to do. They were three re- markable men, and they exercised a remarkable influence upon the medical profession of their generation. The practice of medicine and surgery in the days whereof we write, was as unlike the practice of medicine and surgerv at the present day as it is possible to imagine. The practice of medicine was, to all intents and purposes, a great system of empiricism. In fact it could not be other- wise. "Scientific" medicine was not even in its infancy; it was yet in utero, there to remain for many long years, and then to undergo a slow and wearisome parturition, followed by a period of infancy and adoles- cence, before it emerged into manhood. • Those of us who remember the practice of medicine only as far back as the sixties, can testify to the crude ideas which governed the equally crude methods of practice ; and when we compare the methods of those days with the comparatively enlightened and scientific methods of these days, we can realize, as the younger men cannot, that we have "seen a great light." In surgery, the story is about the same ; of course, as surgery is more mechanical, and the surgeon's work is more immediatelv under his eye than is the work of the physician, better results ought to be expected. Simple fractures were probably treated as successfully by the elder AA'ar- ren as they are by the most skillful surgeons of to-day. But operative sur- gery was fearfully crude; plastic surgery was an almost untouched field; INTRODUCTORY 1 3 abdominal surgery was a bete noir, and of course aseptic surgery was not even a dream. When we turn to the department of obstretrics, we enter a veritable chamber of horrors. It was a rare instance when the parturient wouian escaped some form of post-partuin infection, and the new-torn child encountered perils of which it was happily ignorant. When we consider the frightful frecj^uency of puerperal fever — against which the genial Autocrat of the Breakfast Table thundered so forcefully" — when we consider how common were cases of pelvic cellulitis, mammary abscess, septic phlebitis, not to mention erysipelas, unrecognized albuminuria, with an occasional case of auricular embolism, which was of course a case of "heart failure ;" and then when we thankfully contemplate ths remarkable immunity of the puerpera from^ these and various other post-partum acci- dents at the present day, we begin to get a practical and tangible realization of the changes that have occurred since commencement day in the College of Physicians and Surgeons of Western Nezv York, in the year of our Lord one thousand eight hundred and thirty-seven. And then comes the c]uestion, will our children and grandchildren have occasion to exercise the same degree of charity towards us; that we are called upon to extend to our grandfathers? "Specialism" was almost a terra incognita seventy years ago, and hence the eye, ear, nose and throat, and various other component parts of the human body, had comparatively quiet times, but they are making up for it now. It is a well-known fact that the distinguished physician whose life I have attempted to depict in the following pages, was no ad- mirer of "Specialism" or the "Specialist" in medicine; in fact as he never did anything by halves, he had a thorough contempt for "Specialists," which he could not have concealed if he would, and would not if he could. Perhaps this was due in part to the absurd divisions and subdivis- ions of "specialism" in this our day, which is not calculated to inspire re- spect either inside or outside the profession,** while it does encourage the alarming increase of quack and semi-quack specialists, which are almost as numerous as the frogs of Egypt and decidedly more dangerous. It is no wonder that a physician of the olden time, and one not given to chang- ing his mind with every change of wind, should have looked with no. friendly eyes upon an innovation so far-reaching and revolutionary. After all, the wonder is that the physician of half or three-quarters of a century ago, achieved such good results with such indifferent means ; we who sur- *As late as 1870, a justly distinguished professor of obstetrics in Chicag'o told the author that puerperal fever was not contagious. **Not long since a lady called upon the author, and inquired if he knew a spe- cialist who "doctored the liver and nothing else" ! 14 INTRODUCTORY vive them owe them a debt of gratitude, honor and respect, utterly beyond our abiHty to Hquidate. The Hfe of the farmer and of the minister and of the lawyer, seventy vears ago, varied as much from that of the present day as did the life of the doctor, but we cannot enter into lengthy details. They all helped to develop this splendid country of ours, and make it what it is to-day. The clergy were a devoted band of men who '"did justly, loved mercy, and walked humblv with their God."' The lawyers perhaps did the same thing, but this present author would not like to give a written guarantee to that effect. But the .farmer's life, and the life of the farmer's wiie, could not be compared with the conditions of to-day. The whirr of the spin- nine wheel, the chug of the old-fashioned churn, and the dismal creak of the ancient cheese press were still heard in the land. Farming was done bv hand ; the slow-going oxen hauled the plow ; the scythe whisked through the sweet-smelling hay, and the sickle laid low the golden grain; in autumn the old cider mill groaned aloud as it crushed the juicy apples, aid th'j husiving bee. with its "red ear" frolics, came with the first snow flakes. In winter the sound of the flail was heard, the farmer took his grist to the mill, and his boys and girls to singing school, to spelling- school, and with a thankful heart, to church on the Sabbath. At such an epoch, and amid such an environment did Dr. X. S. Davis begin his professional life, which was to last more than sixty years. It falls to the lot of few men to witness such marvelous changes and such prodigious advances, in everything that means progress and increased com- fort and happiness for his fellowmen. CHAPTER 1. Childhood— Youth— College Days. Nathan Smith Davis was born on the 9th of January, 1817, in a log- house, in the town of Greene, County of Chenango, and State of New York. His parents were among 'the pioneer settlers in the midst of the virgin forests of that then far western region. His father's name was Dow Davis, who lived to the extraordinary age of ninety years, and died upon the farm which he had reclaimed from the primitive forest and its savage denizens. His first name he derived in some unexplained way from Rev. Lorenzo Dow, a very eccentric, yet very able, vagrant preacher, who started out as a Methodist, but ended in "no-man's-land," after wandering over the greater part of the then civilized world. Dr. Davis' mother's maiden name was Eleanor Smith. She died in 1824 when young Nathan was but seven years old. No greater calamity can possibly happen to a child of tender years than the loss of a mother, and the watchful, loving care, which only a mother can give. At a complimentary banquet given to Dr. Davis by the medical pro- fession of Chicago, October 5th, 1901, when the doctor was 84 years old, he made the following touching and beautiful references to his mother: "At the age of seven years, as a boy who had never been outside of his father's farm, born in a log house, and when still in a log- house, I was called to the hedside of my dying mother to receive her last words. I was the youngest of a family of seven children; I was in my seventh year. It made a vivid impression upon my mind. She was a Christian — a reader of the Bible. She said to me that she wished me to be a good boy, to learn to worship God, .and to do good to my fellowmen. I promised her I would. Of course I -did not realize the importance or bearing of that promise at that early period of life, but an impression was made upon my mind, and from that day to this the rule of my life has been that whatever comes up that seems to be im- portant and will improve my fellowmen, my impulse is to do what I can to "help it along."* Noble words ; and true to the letter, as Dr. Davis exam- plified throughout his long and fruitful life. Dr. Davis' name, "Nathan Smith," was derived from a maternal uncle, and not from the eminent Doctor Nathan Smith, of Cornish, New Hamp- ' Report of Testimonial Banquet/' October, 1901. l6 CHILDHOOD- — YOL'TH COLLEGE DAYS shire, the founder of the ^ledical Department of Dartmouth College,, as so many of us have supposed. I have not been able to trace the ancestry of either of Dr. Davis" par- ents with anything like satisfaction or certaint}'. That they emigrated from ]\Ia5sachusetts to central Xew York seems certain; that they joined the Pur- itan hegira from England during the days of the Stuart persecutions seems altogether probable, but cannot be stated with certainty. Young Nathan's childhood was monotonously uneventful. The farmers' sons, in the pioneer days of New England and western New York, were brought up to "'work." and well they knew what that uncompromising little word meant. "AA'ork'' meant getting up with the sun, and "working" till the sun went down ; the same routine, day after day, with only the vacation which a rainy day, or Training Day, or East Day, or Thanksgiving Day, or Eourth of July, or the rigid solemnity of the Sabbath brought. Earming in those days was all done "by hand," and hard and weary work it was. When winter came there was three or four months of "schooling," but every winter brought a new teacher, and generally one whose qualifications were limited to such text books as Webster's Spelling Book, Adam's Arithmetic, Lindley Murray's Grammar and ^Morse's Geography. The teachers of those days, however, were usually pretty proficient in the use of a well-selected rod of birch, annealed and toughened in the hot ashes of the fire-place or stove. And thus the first sixteen years of young Davis' life passed away. We do not learn that he did any heroic deeds, or encountered any romantic episodes, or gave any special promise of future greatness or usefulness. He was simply a "good boy," according to the promise made to his dying" mother; industrious, faithful, truthful and eminently in earnest in whatever he undertook. But during these early years of hard work his appetite for knowledge began to manifest itself, and it grew as he grew, and very early in his life it became, not a "passion," but a deeply-settled, all-pervasive motive, which dominated his thoughts and his plans for the future. His fondness for study, his aptitude for acquiring knowledge, and a consecjuent languor and want of interest in farming pursuits very soon attracted his father's notice, and convinced him that the boy ought to have some facilities for acquiring an education better and broader than those afforded bv the district-school. His decision was probabh' hastened by the fact that on go- ing to the field on a certain occasion, he found Nathan trying to guide a plough, which the slow-moving oxen were hauling, in the proper direction with one hand, while in the other he held a book in which his attention was absorbed. Dow Davis was not very familiar with books, but he did knowv from long experience, that effective plowing required the undivided atten- tion of two hands and a head, as well as a voke of oxen, and he at once CHILDHOOD YOUTH COLLEGE DAYS \J resolved that Nathan should plough in a different and more attractive field. It is greatly to the credit of Dow Davis that he had the perception to dis- cover the type and bent of Nathan's mind, and that, out of his limited means, he found a way to send his ambitious and promising son to the neighboring Cazenovia Seminary, if only for a single term. But that single term was sufiicient to demonstrate to the boy of only sixteen, that "knowledge is power," and that unremitting" industry is the key to its possession. It is altogether probable that the discipline which the plastic youth of sixteen re- ceived during that single term in Cazenovia Seminary determined his future course in life, and shaped the habit of systematic industry which he followed to his dying day. In the month of April, 1834, when he was only seventeen years old, Nathan Smith Davis commenced the study of medicine under the preceptor- ship of Dr. Daniel Clark, of Chenango County, New York, and "worked" for his board. It would be hardly possible to make a more drastic commentary on the system of medical education as it was carried on seventy years ago than the simple statement of the above fact. A youth seventeen years old, with prac- tically no previous preparatory training, is allowed to enroll himself as a medical student, complete the required course in less than three years, and assume the highest responsibiHties in the reach of man, while he is yet a beardless youth; and in the present case such was the literal fact, for yorlng Davis graduated from the "College of Physicians and Surgeons of Western New York" in January, 1837, "with distinguished honor," says one of his, eulogists. Between the date of his registration as a medical student under Dr. Clark, his preceptor, and his graduation "with distinguished honor," there was a period of two years and nine months, and at his graduation he was just twenty years old; in other words, an "infant" in the eyes of the law. Yet the "College of Physicians and Surgeons of Western New York" — a school which perished of inanition long ago — never did a greater or worthier thing than when it created Nathan Smith Davis a doctor of medicine, and the 31st of January, 1837, proved to be an epoch-making day in the history of American medicine. In all fairness, however, it should be said that the "College of Physicians and Surgeons of Western New York" was a school of excellent standing in its day, ranking along with the Berk- shire Medical School 'at Pittsfield, Mass. ; the Dartmouth School of Medi- cine,'" and other well known country schools, which have long since been absorbed by the larger schools with clinical facilities. Many eminent men occupied its professorships, and many eminent men received its diplomas. *The Dartmouth School of Medicine is still in the front rank, and is doing excellent work. l8 CHILDHOOD— YOUTH — COLLEGE DAYS Among its professors was T. Romeyn Beck, whose lectures on medical jurisprudence charmed young Davis, and awakened in him a lasting interest in that branch. Young Davis attended three courses of lectures prior to his graduation^ and found himself wondering at the fact that the three courses were all alike, and that all the students attended all the lectures, and travelled exactly the same course from ^-ear to year. In other words, even before his own gradua- tion, the inconsistencies and incongruities of the system of medical education as it was carried on became apparent to him, and the germs of the "graded course" took root in his mind, to ripen into a solid and enduring monument to his creative genius in the years to follow. We know Jiothing of N. S. Davis' student days, but it is perfectly safe to assume that he was a hard-working student, who made the most of his time and opportunities ; that he was faithful in his attendance upon the lectures and recitations ; that in the correctness of his deportment he was an example to his classmates and a delight to his teachers, and we can easily imagine that he may have asked those teachers some puzzling questions now and then, and that his grave, earnest, serious face, prominent forehead and Gladstonian nose would attract their attention, and extort from them some predictions as to the future of that unusual student. His biographer also feels perfectly safe in hazarding the assertion that the student by the name of Davis never was "passed up," never smoked cigarettes, never came home at night when he was unable to find the keyhole, never fell in love with the "college widow," and never indulged in any of the rowdyish freaks which have always accentuated and frequently disgraced studeni life. A short time prior to his graduation, he entered the office of Dr. Thomas Jackson, of Binghamton, New York, as a student, and remained with Dr. Jackson until he received his degree of doctor of medicine. As Dr. Jackson was a practitioner of more than average ability and enjoyed a large and varied practice, young Davis' advantages in a clinical way were undoubtedly much improved by the change from Dr. Clark, his first precep- tor. In days of vore, every candidate for the degree of doctor of medicine was required to write a "thesis," and he might be required to read and de- fend it before the faculty of his college. The subject of Dr. Davis' graduat- ing thesis was "Animal Temperatures," and in this he combated the (then) generally accepted theory that the evolution of animal heat had its origin in the union of oxygen and carbon in the lungs, maintaining that its evolution was in the tissues. The inherent merit of his argument was such, and the premises upon which it rested were so accurately established by experimental investigation, that the faculty of the college selected it as one of those to be CHILDHOOD YOUTH — COLLEGE DAYS 1 9 publicly read on the day of graduation/'- That Dr. Davis, at the age of 20 could write such a thesis, and especially one that was thought worthy of graduation honors, seems very remarkable. For it must not be forgotten that he was only a youthful farmer's son, whose educational advantages had been very meagre, and that his opportunities for scientific experimentation must have been scanty indeed. And now, the die is cast: Nathan Smith Davis is a "doctor," and the proud possessor of a "sheepskin," tied with a bright ribbon, sealed with the college seal, signed by the "professors," and the whole thing done in college Latin, either good or bad — and to the majority of students in those days, it did not make much difference which. The farewells are said, the usual promises "to write" are made, but not kept, and the young doctors scatter to the four winds, never to meet again on earth. The future career of one of them we shall endeavor to trace in the succeeding chapters. '^"Group of Distinguished Physicians and Surgeons," p. 2. CHAPTER II. Marriage; Early Professional Life. Some time during the month of February, 1837, a new and very youth- ful doctor appeared in the Httle village of Vienna, Oneida county, New York. His name was Nathan Smith Davis, and then and there a remark- able man began his long and eventful career. Dr. Davis formed a partner- ship with Dr. Daniel Chatfield, of Menna, and we can easily imagine that Dr. Chatfield soon found that his youthful partner had some positive notions of his own, in spite of his inexperience, ^^'e know nothing concerning his life in Menna, except that he found time to fall in love with ]\Iiss Anna I\Iaria Parker, daughter of Hon. John Parker, of Vienna, and that they were married on the 5th day of i\'Iarch, 1838. Dr. Davis died June 16th, 1904; therefore, they lived together the almost unprecedented term of sixty-six years, three months and eleven days ! It does not need to be said that they lived in beautiful harmony, and that wedded life was never more felicitous, never more ideal, and never came nearer fulfilling the lofty requirements of its Divine author than in the case of Nathan Smith Davis, aged twenty-one years, and ]\Iaria Parker Davis, aged seventeen years, at the time of their marriage. There were born to them three children : Ellen Parker Davis, born April 1 2th, 1842. Frank Howard Davis, born June 5th, 1848; died Aug. 17, 1880. He attended the University of Michigan for two }'ears and graduated from Chicago Medical College in 1871. He entered into practice in Chicago and gave great promise of usefulness, and his untimely death was a loss to the profession and to the city. Nathan Smith Davis. Jr., born Sept. 5th. 1858,. now in practice in Chicago, and late Dean of the Northwestern University Medical School. The field of operations in A'ienna seems to have been too narrow for the expanding energies of our young doctor, and in July, 1837, less than six months after he went there, his partnership with Dr. Chatfield was dissolved, and he went to Binghamton, New York, where, it is stated, "he at once commanded professional confidence and popular patron- age" — an oratorical explosion that must probably be taken cum i^rano salis. It is altogether more likelv that he had the usual experience of marriage; early professional life 21 young doctors, and that his entry into practice was slow and progressive. But we may be very sure that his time was not spent in idleness, or frivolity. During these early years of his professional life, Dr. Davis was a hard-working and very systematic student. He studied Latin, all alone, and made himself a respectable Latin scholar ; he studied botany and made himself an expert botanist: he made himself familiar with the principles and ground work of chemistry, geology and political economy, besides giv- ing' particular attention to surgical anatomy, as his practice was largely surgical. He also kept in familiar touch with the current literature of the day, and hence he soon became known as one of the most intelligent and progressive young men in Bing'hamton. During the winter months, he pursued the study of practical anatomy by dissecting one or two cadavers, and he frequently responded to requests to lecture on physiology, botany, chemistry and allied subjects before the classes of the Binghamton Academy, at that time a school of considerable local repute, and of which he was one of the founders. He also had a hand in organizing the "Lyceum Debating Society of Binghamton," and we may be quite sure that he did his full share of the debating. It is easy to imagine that his intellectual gymnastics before the Lyceum Debating Society of Binghamton, can- tributed materiall}'' towards making him the powerful and incisive debater which in his later years rendered him such a terror to his opponents. In the year 1840 (three years after his graduation), 'he won the first prize of the New York State Medical Society, for the best essay on "Dis- eases of the Spinal Column; their Causes, Diagnosis and Treatment." In 1 84 1 he captured another prize as a reward for a paper entitled, "Analysis of the Discoveries Concerning the Physiology of the Nervous System." These two essays were widely read, and attracted considerable notice and comment from the medical profession of his native state. Soon after his settlement in Binghamton, he was elected a delegate to the Broome County Medical Society, of which organization he was Secretary from 1841 to 1843, and Librarian from 1843 to 1847, besides be- ing a member of the Board of Censors for several years. In 1844, he was chosen a delegate to represent the Broome County Medical Society at the annual meeting of the State Medical Society, at Albany. And this appear- \ ance of Dr. Davis, as a delegate to the New York State Medical Society, ' in 1844, must be regarded as the beginning of his long and remarkable public life ; a life which was none the less public and none the less notable because it was nearly all spent in connection with, and for the uplifting of, the medical profession. "^ When this grave, serious, albeit modest 3^oung man made his ap- pearance in Albany, and presented his credentials as a delegate from 22 MARRIAGE ; EARLY PROFESSIONAL LIFE Broome County, he must have been considerably surprised to find that his reputation as a writer, and a clear-headed and incisive reasoner, had preceded him, and we can easily picture his embarrassment at finding him- self so well and so favorably known. It is stated that "when he took his seat as a delegate in the body which represented the highest medical learn- ing of the State, his voice was heard with respectful attention.'"* Even at this earW date, and during his first term of attendance upon the Xew York State Medical Society, he commenced that remarkable campaign in the interests of higher medical education, which led very soon to the establishment of the American Medical Association, and at a later stage to the adoption of his plan, substantially, of medical education, not only in Chicago, but all over this country. But this subject will claim our attention in extenso, in a subsequent chapter. After about ten years of active practice in Binghamton, Dr. Davis decided to transfer his activities to a still larger field, and he accordingly removed to New York City in the summer of 1847. His life in Bingham- ton was evidently a ver}- active and busy one. His practice — which was the very "general" practice of a country physician sixty years ago — was a strenuous -and laborious one. Only those who have experienced the multifarious perplexities and responsibilities which used to beset the coun- try doctor, can actually sec Dr. Davis as he made his weary rounds, up hill and down, night and day, in the heat of summer and cold of winter^ in rain or snow, and wind or dust, carrying and dispensing his medicines from saddlebags or trunk, and ministering to all sorts and conditions of men, women and children, with all sorts of complaints, real and imaginary, surgical, medical, obstetrical and psychical, to say nothing of the tooth- pulling with the invincible old "turnkey," and the spring and autumn venesections, which almost came to be a "fetich" not only with the people, but with many of the practitioners of half a century ago. It is easy enough to imagine that his active mind travelled far .taster than his body could traverse the gravelled roads, and that during these years of early toil, he was planting the seed' which should bear such splendid fruitage in his more mature years. ^^ During his Binghamton decade, he was a busy and systematic stu- dent; the natural sciences, Latin, English literature, political economy, and medical jurisprudence, each by turn, claimed his attention, and he be- came, in no narrow sense, not a "classic scholar," from the standpoint of the pedagogue, but an all-aroiuid learned man, with a broad, practical knowledge of matters and things, and with the ability to make use of his *0p. Cit., p. 3. marriage; early prop-essional life 23. knowledge in furthering the best interests, first of his profession, and sec- ondly of his communit3^ During these initial years, also, he dabbled a little in politics, and during the "Tippecanoe and Tyler too" campaign, he "stumped" Broome County, in the interests of the Democratic party, for Dr. Davis was a "dyed in the wool" Democrat." He likewise lectured on various topics to various political, social, scientific and religious bodies, wrote many articles, mostly on medical subjects, and mostly ephemeral, and we may be sure that he did not forget that death-bed scene of his childhood, and that he did not neglect the worship of God, or the study of the Bible. At the time of his removal to New York City, in the summer of 1847, ^^- Davis was thirty years old, and he probably concluded that it was time for him to "settle for life." New York City was at that time rapidly approaching its position as the American metropolis. Its popula- tion was something over four hundred thousand, and it was growing very rapidly. It was also assuming a notable importance as a centre of medical education, and that of course presented a strong attraction to a young and ambitious medical man. It was therefore quite the natural thing that Dr. Davis should decide to remove to the great city, where the advantages were so superior and so many. Yet his stay in New York was only for two years ; not long enough for anything very decisive or eventful to oc- cur. He entered into general practice, with what degree of success we have no very definite information. It goes without saying that he con- nected himself with the local medical organizations, and that he was wel- comed by the profession with the courtesy to which his merits and his recognized ability entitled him. His first experience as a medical teacher occurred in New York, when he was given charge of the dissecting rooms of the New York College of Physicians and Surgeons, and entered upon the teaching of practical anatomy. He also delivered a course of lectures upon Medical Jurisprudence — his favorite study — during the spring term of 1848, by special invitation of the faculty of the same institution. It is hardly necessary to call attention to the fact that very few medi- cal men are qualified to lecture upon a subject so far out of the trodden paths of medical education as Medical Jurisprudence, and especially an ordinary practitioner so young as Dr. Davis then was. In fact it must be regarded as a very high compliment to him that he was "specially in- vited" by the faculty of his college to deliver these lectures, and it must also be accepted as indubitable evidence of the broad range of his knowl- edge, and the masterful grasp of his mind, even at this early day. But Davis' stay in New York was destined to be brief, and after \ spending a little more than two years in the metropolis of the Empire State, ^^4 marriage; early professional life he gathered up his "lares and penates" and began his long and weary jour ney by railway, stage, canal boat, and "packet" to the then shabby and muddy town by the great inland sea, which was to become the metroDolis not only of the Prairie State, but of the great and wonderful west. Thither we will follow him, and there we will study and admire, even if we cannot mutate, his long, eventful and altruistic career. CHAPTER III. Removal to Chicago — Connection with Rush Medical College. \ One who walks through the stately streets of Chicago in this year of grace, 1907, can hardly imagine its condition fifty-eight years ago. Its population was then about 23,000, whereof the great majority were em- ployed in operating the growing industrial interests of the city. The buildings were mainly of wood, with little attempt at elegance or architec- ture. The streets were mostly unpaved, and were either wretchedly dusty or wretchedly muddy. Many of the highways were rendered impassable by a moderate rainstorm, and signs reading "no bottom" were frequently seen in the middle of the streets warning teamsters to avoid the quagmires which would engulf them if they dared venture to disregard the timely cau- tion. But the city was growing with great rapidity, and was already giving promise of its future greatness, which has so far surpassed the expectations of its most enthusiastic citizens. Nevertheless, it was anything but an alluring place, for a permanent residence, for a man of high intellectual or scientific attainments, especially when compared with New York City, with its schools, libraries, museums and other products of wealth and ma- turity. At first glance, then, it must cause considerable surprise that a man of the ability and prospects of N. S. Davis should exchange the great ad- vantages of New York, where he was well known and well established, for the meagre advantages of Chicago, where he was a total stranger. In the month of July, 1849, Dr. John Evans, of Chicago, professor of Obstetrics in Rush Medical College of that city, attending the third meet- ing of the American Medical Association, while in Boston met Dr. Davis, and invited him to accept the chair of physiology and general pathology in ]R-Ush College, those two branches being then united in one chair. Dr. Davis accepted, but did not arrive in Chicago until September, about the usual time for the beginning of the lecture term. His first lecture in Rush was delivered in October, 1849. Rush Medical College, (named after the eminent Dr. Benj. Rush of Philadelphia, one of the signers of the Declaration of Independence in 1775) was founded in 1843, chiefly, if not wholly, by Dr. Daniel Brainard. It was therefore in the sixth year of its existence when Dr. Davis connected himself with it. Its first permanent building, at the corner of North Dearborn and Indiana Streets, had recently been built, and the prospects of the college as to permanency and prosperity were very flattering. The rapid growth of Chicago and of the vast area tributary 26 REMOVAL TO CHICAGO thereto gave great promise of development and usefulness to Rush, then the only medical school within a radius of several hundred miles. Moreover, the personality and reputation of such men as John Evans and Daniel Brainard were sure to attract students, and thus guaranree the success and -stability of the school. Such considerations as these doubtless appealed to Dr. Davis, and were efficient make-weights in influencing his decision to cast his future lot with the young city and the younger medical school. Here we find him, then, in the early autumn of 1849 with his devoted wife and two young children, entering upon his' remarkable career of more than half a century, during which time he was to write his name and engrave his character in imperishable words and deeds upon the archives of his adopted city. He was at this period thirty-two years of age, according to the calender, but his maturity of mind and character rather befitted a man of fifty. He was already well known to the medical profession throughout the country, partly through his contributions to the medical periodicals, l3Ut chiefly througli his efficient agency in the establishment of the American Medical Association. He was also well known as the champion of higher medical education, and more exacting preliminary training. Dr. Davis entered upon his duties as professor of physiology and gen- eral pathology in Rush Medical College with his usual earnestness, fidelity and ability. Before his lecture hour arrived he arrived, and when his bell rang, he stepped into the lecture room, and the business of the hour began, without any display of oratory or pyrotechnics, but he had, and held, the thoughtful attention of the entire class from start to finish. He was a natural teacher; a teacher who could impart knowledge so as to interest and instruct a class of young men without worrying them with tiresome platitudes of stale wisdom, or disgusting them with explosions of windy oratory. I am told that even in these early days of his teaching, his com- mand of language was regarded as remarkable. His sentences were short, terse and incisive, and he had the unusual gift of being able to select the words which expressed his thoughts in the strongest manner, without repetition or redundancy. And such a teacher as this, whether in a medical •or any other school, is always strong with his classes, and it is therefore not strange that Dr. Davis was a beloved as well as a highly respected teacher. But Dr. N. S. Davis was a citizen, and a very public spirited citizen, as well as a doctor and a professor, and it is interesting to note how soon and "how readily he entered into the sanitary and engineering problems of Chi- cago. The water supply of the city was derived altogether from wells, with the exception of a single "pump log" line, which supplied a manufactur- ing establishment with water pumped from the lake. The surplus was dis- tributed through pump logs to a few citizens ; there was no system of -sewerage, and so the water from the wells was contaminated by the villainous REMOVAL TO CHICAGO 2/ surface drainage. Meantime, the water of Lake Michig^an, pure and inex- haustible, lay Avithin a stone's throw, and Dr. Davis, with his characteristic energ}'', urged the establishment of an adequate system of water supply, and a corresponding scheme of drainage. At that time there was no public hospital in Chicago, and so in 1850 he delivered a course of public lectures, enforcing the urgent need of water supply and sewerage. A small admission fee was charged for these lectures, and with the proceeds a small hospital ■of twelve beds was established, and such was the beginning of the present Mercy Hospital, with its 350 beds, and its admirable equipment for clinical teaching. For nearly forty years, or until his death, Dr. Davis was senior physician to this noble institution, and during the whole of this long period, he was absolutely faithful in his attendance, and his clinics attracted medical men from far and near. But Dr. Davis' connection with Rush Medical College was destined to be brief. He was still firmly convinced that the lecture terms ought to be lengthened to at least six months ; that a standard of preliminary education ■ought to be required ; that a graded curriculum of medical study should be adopted and enforced ; and that regular attendance upon hospital and college clinics ought to be recjuired of all students as a pre-requisite to receiving the degree of doctor of medicine. But his ideas were quite too radical to harmonize with those of the majority of his colleagues, and par- ticularly with the autocratic head of the faculty, and practical founder of the college. Prof. Daniel Brainard. It is quite probable, also, that there may have been other sources of friction between Drs. Brainard and Davis, as they were not well calculated to work together in harmony. Both were men of iron will ; both were born to command, neither one was fitted to obey. The ;g'entle arts of conciliation and persuasion were alike unknown to both, and it Avas only a question of time when these two colossal wills would collide, with unpleasant consequences to both. Rush Medical College was "joined to its idols," and Dr. Davis was unyielding in his educational views. The story goes that soon after Dr. Davis' connection with the college, and during Dr. Brainard's absence in Europe, the annual announcement was prepared for the printer, in which a graded course, a lengthened term and other radical advances were an- nounced; but just before the fated document reached the printer. Dr. Brainard returned, and summarily vetoed the whole plan in his characteristic autocratic manner. Of course Dr. Davis would not peacefully submit to that, and his course was soon decided upon. In the year 1859 the trustees of Lind University, of Chicago, organized a medical school as a department of that university. The trustees invited Drs. Hosmer A. Johnson, Edmund Andrews and Ralph N. Isham to meet them for the purpose of considering the matter. 28 REMOVAL TO CHICAGO At a subsequent meeting these gentlemen again met the university trustees^ together with Drs. N. S. Davis, W. H. Byford and David Rutter, and out of this meeting grew the Medical Department of Lind University. The introductory lecture of the first term of instruction was given by Dr. Davis, October 9th, 1859. Of course he had previously severed his connection with Rush Medical College by resignation, as he saw no prospect of a "for- ward movement" in that institution. The 9th of October, 1859, must always be regarded as an important epoch in the history of American medicine, and in the history of Chicago. On that day, in a rather obscure city, in the then remote and little known west, under the auspices of a university destined to a brief and otherwise uneventful existence, and under the patronage of a group of medical men who, with a single exception, were not recognized as leaders in the pro- fession, there was inaugurated a movement that was an acute and radical departure from the traditional and venerable methods of teaching which were hallowed by the great names of the numerous and powerful professors of the schools of the Atlantic cities, and by many of those of Europe. It certainly looked like, and as certainly was regarded, as a very impracticable and Utopian scheme, and quite as certainly it would not have been inaugu- rated then and there but for the powerful and persistent support of Dr. Davis. It is equally certain that it would have shared the untimely fate of Lind University if Dr. Davis had faltered or weakened in his iron deter- mination to advance the standard of medical education in the United States. But from this small and apparently obscure beginning, without financial support or professional encouragement outside of his own faculty, has been evolved the elaborate and comprehensive curriculum of medical education that is now in force in all the reputable medical schools of this country. It is not often that a "reformer" is so fortunate as to live long enough to see his ideas accepted, adopted and put into practical use ; but such was Dr. Davis' felicitous and well-deserved experience, and it was a source of great gratification to him in his declining years. Financial misfortunes overtook Lind University,* and as its probable demise was foreseen by Dr. Davis and his colleagues, it was deemed best to reorganize the medical department on an independent basis. Accordingly, in 1864, it was organized anew under the name of the Chicago IMedicai College, but without essential changes in its faculty or plan of teaching. The same strong and devoted men formed the faculty of the Chicago Medical College, but they recognized Dr. Davis' title to leadership by mak- ing him president of the institution, and then supporting him by their con- stant loyalty. *SiHce the above was written, I have been informed that the Lake Forest I'lii- versity, of Lake Forest, IlHnois, was the "residuary legatee", and successor of Lind Universitv. — L N. D. CHAPTER IV. Professional Career in Chicago — Chicago Medical College — Mercy Hospital. After the reorganization of the Medical Department of Lind University, under the name of the Chicago Medical College, the administrative work fell largely upon Dr. Davis, and he entered into it con amove. It was the opportunity of his life, and he knew it. His theories of medical education were to have a fair and open trial, under his own eye and largely subject to his personal supervision, and a failure would be a calamity both to him personally, and to the ideas for which he had contended so long and so earnestly. Fortunately he had a power of will which nothing could daunt, and fortunately again, he had the constant support of an able and loyal body of colleagues. Yet the early years of the Chicago Medical College were years of hard work and discouragement on the part of the faculty and friends of the college. It was the first college to install the graded system of instruction; to require an entrance examination and stated ex- aminations before students were allowed to pass from the lower to the higher classes. Of course it was a radical departure from the venerable, antiquated and inefficient methods of the past; it required no small degree of self-sacrifice on the part of both students and faculty, and it was sure to meet with opprobrium and ridicule on the part of the older and better known schools. But Dr. Davis and his loyal colleagues held firmly to the plan they had marked out, and the ultimate result was as gratifying as it was remarkable. At this period Dr. Davis was forty-seven years old; he was at the zenith of his intellectual strength; his capacity for work seemed to be without limit, and his industry was only limited by his powers of endurance. With a less resolute and less capable man at the head, the experiment of graded instruction and periodic examinations, upon which basis the Chicago Medical College was founded, would have proven a failure, and the "forward movement," as regards medical education, would have received a back-set until some more fortunate pioneer -^should arise. But with Dr. Davis it was a case of "this one thing I do," and St. Paul himself could not have shown a more persistent purpose, or a more indomitable will in carrying out his purpose. In the year 1869, the Chicago Medical College became "affiliated" with the Northwestern University, still, however, retaining its old name. Its government and management remained practically in its faculty, and 30 PROFESSIONAL CAREER IN CHICAGO of course Dr. Davis still remained its executive head, under the title of Dean. As one happy result of this "affiliation." the Chicago ^Medical College received about fifteen thousand dollars from the University, which enabled the former to leave the cramped and incommodious quarters on State street and build a more roomy and comfortable edifice at the corner of Twenty-sixth street and Prairie avenu.e. In 1891 the name was changed to Xorthwestern Universit}' ^Medical School, and the University acquired a more commanding influence in its management. In 1892, aided by the gifts of William Deering and Dr. Ephraim Ingals, the faculty were enabled to erect and adequately equip the noble buildings known as the "Laboratory Building" and "Davis Hall" on Dearborn street, between Twenty- fourth and Twenty-fifth streets, immediately adjacent to Wesley Hospital; and Nathan Smith Davis had the happiness to see the medical school which was so largely due to his unwearied efforts, move into a permanent home, suited to its wants, and sufficiently commodious to accommodate it for many }ears to come. The buildings were first occupied in 1893-4. But while the ^ledical Department of Lind University of 1859, had heen changing its name and moving its domicile so many times, it had iilso undergone other changes of far greater in.iportance. It had become known as the most advanced school in its plan of instruction; it had passed the experimental stage, and had reached a solid foundation, financially and otherwise ; its classes had grown in numbers quite as rapid!}' as its faculty desired, and the personnel of the matriculants had improved in every par- ticular. In fact, when the ]\Iedical Department of Xorthwestern University moved into its stately home on Dearborn street in 1893-4, it had become one of the best known and most highly esteemed medical schools in the country. ]\Ieantime the ideas of Dr. Davis had demonstrated their vitality by proving that they were self-propagating. Starting in obscurity and with A-ery slight financial backing, they had become the corner stone of medical education throughout the United States. One by one, slowly, many times doubtfully, many more times unwillingly, the medical schools of our coun- try came to adopt the tripod which was the foundation of Dr. Davis' scheme, and of w'hich he was the pioneer, namely, the enforcement of a standard of preliminary education; the adoption of longer annual courses of college and clinical instruction, and the graded curriculum by which a definite num- ber of branches are assigned to each year. It is not too much, therefore, to say that to Dr. N. S. Davis chiefly, and his loyal colleagues in a scarcely less degree, must be traced the educational "leaven" that has slowly, pro- gressively, but surely and effectually, "leavened the whole lump." PROFESSIONAL CAREER IN CHICAGO 3 1 For more than fort_y years — from 1859 ^ 1904 — Dr. Davis occupied the Professorship of Practice of Medicine and Clinical Medicine in the Medical Department of Lind University and its successors. His faithful, prompt and unwearied response to the call of the lecture bell was a marvel to all who knew him, and if he missed a lecture, it was simply because some obstacle beyond his control had arisen. Mercy Hospital, of Chicago, Avas founded June 21st, 1851. It was the "residuary legatee" of an older institution which was started in October, 1850, under the bombastic name of "The Illinois General Hospital of the Lakes." It was first located in a few rooms in an old hotel building known .as the "Lake House," standing at the corner of ^Michigan and Rush streets, and the necessary money (one hundred dollars), was raised by Dr. Davis, as the proceeds of a course of lectures given by him, in "South Market Hall," then the largest hall in the city. The subject of Dr. Davis' lectures was "The Sanitary Condition of the City." After various vicissitudes, the "Illinois General Hospital of the Lakes" fell into the hands of the Catholic .Sisters of Mercy, whereupon it was immediately reorganized and chartered under the name of ]\Iercy Hospital, which name it still bears. It has now (1907) become one of the largest and best equipped hospitals in Chicago. It is still under the care of the Sisters of Merc}^, and it is a splendid monu- ment to their single-minded devotion to their holy calling, and of their ^reat ability as organizers. Dr. Davis was appointed a member of the medical staff of the original "Hospital of the Lakes," was transferred to Mercy Hospital as Senior Ph3'sician, and held this position from 1851 until his death in 1904, a period of more than fifty years. On several occasions, shortly prior to his death, Le tried to resign, but as Sister Raphael (the Sister Superior) says, "I would not let him." Dr. Davis was probably somewhat infl-uenced in his lavish support of J\Iercy Hospital bv his desire to utilize the ward patients for clinical teaching, but that does not lessen the beneficial results of his support so far as it concerned the sick poor, while it did increase, by many times, its usefulness to the community, in that it supplied them with a corps of clinically trained and competent physicians and surgeons, some- thing they had never known before. Dr. Davis' clinical lectures in the wards and amphitheatre of A/fercy Hospital gave him a wide and enviable reputation as a teacher of practical medicine ; in fact it is not too much to -say he had no superior as a clinical instructor in this country. In addition to his colleg'e and hospital work. Dr. Davis /had a large and varied family and office practice. He Vvas never a "specialist," and he had no patience with specialism. He placed peculiar emphasis on the fact that he was a "ohvsician," and that his vocation was not narrowed 32 PROFESSIONAL CAREER IN CHICAGO or handicapped by specialism. He regarded the family physician of his early and middle life, as the highest type of medical practitioner, and he believed that specialties in medicine were harmful alike to physician and patient. Hence he never limited his own practice to any particular region of the body or system of organs, save that he abandoned surgical prac- tice, perhaps from a natural dislike for it, but more probably because his extensive and ever-widening family practice left no time for the exacting demands of surgery. His office practice was phenomenal, on account of the great number of patients, and their great variety as to nationality and social status. The poor came to him ; the rich came to him ; the black man and the. white man, the Irishman, the Scandinavian, the Teuton and the dark-skinned Italian, without regard to age, sex, color, or elegance or shabbiness of apparel, and they w^ere all treated alike, except that when a poor and ill-clad woman, especially if she happened to have a limp and fretful baby in her arms, came among the crowd, that woman and baby were pretty sure to get prompt attention. He disposed of his cases very rapidly; a few questions, and those straight to the point; he wanted no long-winded descriptions or opinions from his patients, but he did want and would have a direct answer to his questions, without circumlocution or delay. And then a diagnosis, almost by intuition, and a prescription, followed by the invariable fee of one dollar, and the consultation, lasting from three to five minutes, in ordinary cases, was over, the patient was dismissed with scant ceremony, the next number was called, and so it went on hour after hour for six days in the week, for a full half century. But in the investigation of obscure or complicated cases. Dr. Davis showed what manner of man he was. In a calm, judicial and perfectly systematic manner, equally without haste and without hesitancy, but with a deliberate and incisive analysis of signs and symptoms that left no stone unturned, no function unquestioned and no organ with secrets un- revealed, he turned the merciless logic of his master mind upon the case, and when his examination was finished, he knew, or he knew that he did not know, what was the nature and pathology of the case under investi- gation. And with a frankness and directness that was delightful, he always told what he knew, and what he did not know. When Dr. Davis was really "on his m.ettle," as I have seen him when I have sought his aid in consultation, his analytic and diagnostic powers were almost phenom- enal. His accuracy of sight and touch and hearing; his skill in percussion and auscultation ; his art of eliciting information and detecting deception by means of searching interrogatories ; but above all, his Baconian method of winnowing the grain from the chaff, and getting at the solid facts in the case, were a lesson once seen never to be forgotten. PROFESSIONAL CAREER IN CHICAGO 33 His consultation practice for many years was probably the largest of any physician in Chicago, a fact which should not excite surprise, when we remember that added to his great ability was a lofty and high-toned sense of honor, which made the youngest and most timid practitioner feel perfectly at ease when Dr. Davis was his adviser. I have already alluded to Dr. Davis' considerate kindness for the poor, in his office practice. He was also always ready and willing to visit the poor in their homes by day or night, storm or shine, cold or hot, and only the Recording Angel will ever know how many times he added to his gratuitous visit equally gratuitous gifts of money or suppHes for the house- hold, for under his somewhat austere and forbidding personality was hid- den a great tender heart, which was not only altruistic but was altruism itself. For a full half century Dr. Davis pursued his daily routine of making |)rofessional calls, attending to his enormous office practice, attending to his executive duties and delivering his lectures at the medical college which was so near to his heart and head, and in fact his pocket, visiting the wards of Mercy Hospital and delivering clinical lectures at the bed- side and in the amphitheatre, besides attending to various other duties which, as we shall see presently, devolved upon him as a loyal and public- spirited citizen and "all around" man of affairs. It would be a difficult task to find another man, in all the annals of medicine, who has lived a life so busy ; who did so many things, and did them all so well. CHAPTER V. Connection with Educational and Charitable Organizations. Dr. X. S. Davis was a man of many gifts, and lie had many calls tO' exercise them. If he ever refused to engage in the promotion of any enter- prise that promised good to his fellow men such refusal has certainly not been made a matter of record. We have seen how ardently and ably he engaged in founding the Chicago Medical College (now the Xorthwestern University ]\Iedical SchoolJ, and in the upbuilding of Z\Iercy Hospital, and. v\"e shall presently see with, what energy he entered upon the work of fovmding the American Medical Association. But these were only drops in the bucket, compared with the long list of societies, organizations or institutions of which he was founder, charter riiember, or promoter, in some important and commanding capacity. The X'orthwestern University, located at Evanston. Illinois, was in- corporated in January, 185 1. On of the 14th of June following. Dr. Davis- Vvas elected a member of the first Board of Trustees ; he continued a member for about ten consecutive years, after vrhich he retired for a few years, but was then re-elected, and remained a trustee during the remain- der of his life. It is needless to say that he was no "figure-head" trustee; he made himself familiar with the financial and educational affairs of the University, he was invariably present at the meetings of the Board unless unavoidably detained ; he took an active, intelligent and influential part irt the discussions of the trustees, and he had as much to do with shaping the policies and determining the management of this great institution as any other one man. His name is }'et mentioned with profound respect b}^ his surviving colleagues. When the negotiations were opened looking to the absorption of the Chicago ^Medical College Iw the X'orthwestern University, of course he was the most prominent representative of both medical school and university, and it is a splendid tribute to his just and judicial mind, that a union of the two institutions, so favorable and so beneficial to both, was effected so smoothly and quietly. It needs no violent stretch of even a dull imagina- tion, to understand that it must have been exceedingly gratifying to Dr. Davis to see the Chicago ^Medical College — the child of his creative genius — placed under the ample wing of Xorthwestern University, thus insur- ing its perpetuity and unvarying loA'alty to scientific medicine. CONNECTION WITH EDUCATIONAL AND CHAR['1AI!LE ORGANIZATKJX.S 35 It is perhaps difficult to say which has been most benefited b}' this union, the University or the Aledical SchooL A meeting of a few or the more prominent physicians of Chicago was cahed in the early part of the year 1850, for the purpose of taking steps toward forming' a medical organization, for mutual improvement, and among' them was Dr. Davis. yVt this meeting a committee was appointed to prepare a constitution and by-laws and report at a subsequent meetings which was held April 5th, 1850, when the report of the committee was ratified and the name "Chicago Medical Society"'^^^ was adopted. In this movement Dr. Davis was active and interested, but factional divisions soon interfered with the progress of the society, and after the second election of officers, in April, 1851, a quorum could not be gotten together. Neverthe- less Drs. Davis, Blaney, Boone, Herrick, Evans and a few others, held stated ''meetings" which one writer called "pathological sociables,"' since in the absence of a quorum no business could be transacted. But presently the interest in the societ}' began to increase and it had reached a state of considerable prosperity when the fire of 1871 scattered the membership and drove all thoughts of scientific matters from their minds. But Dr. Davis invited such of the members as he could reach to meet at his house on Wabash avenue, which they did, until the ruins of the old court house became tenable, when the meetings v/ere transferred to that gloomy old structure. The present writer well remembers those meetings, and the mem- bers, long since gone to their reward, whatever it may be. Dr. Davis was almost invariabl}^ present, and, no matter what the subject under discus- sion might be, he was sure to be an active and ver}- interesting participant. The Chicago Medical Society is now a strong and influential organiza- tion, and its members remember with pride that Dr. N. S. Davis was one of its founders. Of course he filled all its offices, and no member was more prominent in its councils. The Illinois State ]\Iedical Society was organized June 3, 1851, at Peoria, being the outcome of a convention held at Springfield June 4th, 1850, and Dr. Davis was one of its charter members. He served as Secre- tary for ten consecutive years, and his colleagues would gladly have elected him for twice that length of time, if he would have consented. In 1856, he was elected President, and he was for many years connected with the society, in some official capacity. He was rarely absent from the annual meetings of the society, read several papers before it, and was an active participant in its discussions, both ethical and scientific. His membership in the societv onlv terminated with his life. It is interesting to notice *Since the above was written, I have found the following memorandum in Dr. Davis' handwriting, on one of his prescription iolanks : "Ch. Med. Society organized in the spring of 1850 — changed its name to Cook Co. Medical Society in 1852 — and changed it back to Chicago Medical Society in 1858." — I. N. D. 36 COXXECTIOX WITH EDUCATIOXAL AND CHARITABLE ORGANIZATIONS that his "Presidential Address'' was entitled, "What Influences are Alcoholic Liquids Capable of Exerting, Either in Preventing or Curing Tubercular Disease of the Lungs?" It is needless to add that "alcoholic liquids"' re- ceived scant courtesy at the hands of this apostle of temperance as reme- dies for "tubercular disease of the lungs'' or anything else. In the year 1854, Dr. Davis was Treasurer of the society. On the 23d of April, 1869, the "State ]\Iicroscopical Society of Illi- nois" was organized under a charter from the Legislature of the State of Illinois and we find the name of "Xathan S. Davis, ]\I. D.,*' among the charter members. (Dn the 7th of !May following, the "Council" was chosen, and Dr. Davis' name appears as a member of this body. On the 14th of the following January he presented a paper to the society on the "Trichina Spiralis," a subject of considerable rarity at that time, and one that was often confounding the diagnoses of practitioners, particularly of the western cities. It is interesting to find that Dr. Davis, although not a practical raicroscopist. was a charter member of the State ]\Iicroscopical Society, anl that among the first papers presented was one by himself on a then mysterious and much dreaded disease. The State ^Microscopical Society of Illinois had a brief but very brilliant career. The societv's annual "Conversazione" was one of the events of the season, and the display of microscopes and microscopic ob- jects was more gorgeous than scientific. But it had its day, and Dr. Davis was one of its patrons. The Chicago Historical Society was organized April 24th, 1856. We find Dr. Davis catalogued as one of the original promoters and one of its first, as well as one of its most active, members. On the 7th of February, 1857, the Chicago Historical Society assumed a legal existence under an act of incorporation, and Dr. Davis was one of the incorporators. The society had its infantile troubles, but it also had its heroes. "The devoted services of its friends managed, in the first fifteen years of its life, to accu- mulate a mass of historical treasure. There were some 20,000 volumes. 1,738 files of early newspapers, 4,689 manuscripts (including the entire Kinzie collection) and last, but not least, the original draft of Lincoln's Emancipation Proclamation ! These call a glov.- to the heart, only to be followed bv a spasm of pain, for every vestige of them all, was destroyed in the great fire of 1871. After this disaster many friends sent boxes of books addressed to the society, which were stored, awaiting some move- ment for rehabilitation; and again in the fire of July, 1874, these, too, were burned."''-' Yet in spite of these disasters the Chicago Historical Society now occupies its. own spacious and beautiful granite edifice, at the corner of Dearborn avenue and Ontario street, and on its wall hangs the picture of N. S. Davis, one of its founders and most unfaltering supporters. 'The Story of Chicago," ]. Kirkland, p. 343. CONNECTION WITH EDUCATIONAL AND CHARITABLE ORGANIZATIONS 2)7 It is pleasant to notice among Dr. Davis' colleagues in the Historical Society the name of that genial gentleman, accomplished scholar, and de- voted patriot. Dr. Jaiiies Van Zandt Blaney, a much respected practitioner of those days. In 1857, the "Chicago Relief and Aid Society" was organized, and of course Dr. N. S. Davis was among its charter members, for it was an in- stitution whose function it was to dispense relief and aid to the worthy sick and poor. The good this society has done during the half century of its existence cannot be computed in cold figures, or stated in human language. During the year and a half following the great fire (1871), it dispensed in pure charity and relief work, the enormous sum of $8,923,400, and no whisper of "graft" was ever heard. Dr. Davis was closely asso- ciated with this beneficent work, as was also his close friend and colleague, the late Dr. Hosmer A. Johnson, for many years one of the most eminent and most beloved physicians of Chicago. The Chicago Academy of Sciences was founded in 1859, with Dr. Davis as one of its charter members. This institution suffered a total loss of its library and collection of specimens in the conflagration of 1871. It now possesses a noble building, the -"Matthew Laflin Memorial," in Lincoln Park, and a fine collection of objects of scientific interest as well as an ex- tensive and valuable library. For many years Dr. Davis gave the Academy his active support, and his name holds an honorable place among its founders and early patrons. Among the professors in the "College of Physicians and Surgeons of Western New York," where Dr. Davis took his degree of Doctor of Medi- cine, was the late Theodore Romeyn Beck, "Professor of M^edical Juris- prudence," a man who was justly eminent by reason of his knowledge of Forensic Medicine, and who was also a highly gifted lecturer and teacher. His lectures had a peculiar charm for young Davis, and aroused in him a love for the study of the relations of law and medicine which lasted through his entire life. Hence it is with no surprise that we find him an active participant in the organization of the Union College of Law, which began its career in 1859, as the law department of the (then) University of Chicago and Northwestern University ; hence the name, "Union Col- lege of Law." After the unfortunate demise of the original University of Chicago the law school became the law department of Northwestern University, and such it still remains. Dr. Davis was "Professor of Medi- cal Jurisprudence" for many years, and his lectures were highly commended by the students and they are still gratefully remembered by the same students, in their more mature years.* His lectures in the law school were *Vide Chapter XVII. 38 CONXECTIOX WITH EDUCATIOXAL AND CHARITADLE ORGAXIZATIOXS generally given in the evening, after an arduous day, prescribing for pa- tients in his office, visiting patients at their homes, making rounds at the hospital, and. many times, after lecturing at the medical school ; and it was a constant wonder to the law students, how this hard-working, strenu- ous man, could come, fresh and virile, aften ten or twelve hours' continuous work, and deliver lectures hardly germane to the practice of medicine, so learned and interesting. The Davis Free Dispensary was incorporated May 15, 1873, by Drs. Davis, Johnson, Hollister, Nelson and Andrew^s, all of whom were profes- sors in the Chicago ^Medical College. Its purpose was twofold : First, to supply skilled medical and sur- gical services to the worthy poor, and secondly, to act as a "feeder" to the clinics of the college. It was most appropriately named after Dr. X. S. Davis, and was largely another offshoot of his creative genius, but after a couple of years i^:s name was changed to the South Side Dispensary, under which name it still exists, and carries on an extensive and varied clinical work.* In addition to the enterprises and organizations already mentioned. Dr. Da^^s was so active and influential in the founding of the American Medical Association, that he has been called its "Father." and the honor is by no means undeserved ; and his agency in upbuilding and maintaining the Washingtonian Hoyie, in Chicago, was no less important and fruitful, but these are matters of such moment that each will demand a more ex- tended notice than can be given in the present chapter. It must be apparent to every one who is conversant with the facts, that Dr. Davis' genius for creating and organizing new enterprises was something akin to the mar- vellous, especially when we consider the variety of the organizations, and their utter want of a common bond of union. In his medical and hospital work he was most ably assisted and supported by Drs. Hosmer A. John- son, AMlliam H. Byford, Ednumd Andrews. Ralph X. Isham, and especially by his honored and well-beloved colleague. Dr. John Hamilcar Hollister, the last survivor of that noble and eminent galaxy of men, to whom the cause of higher medical education owes so much. *For much of the information contained in Chap. V, the author is indebted to Andrea's History of Chicago, A'"©!. II. CHAPTER VI. Relations to the American Medical Association. Dr. N. S. Davis has, with great justice and propriety, been called the "Father of the Ainerican Medical Association.'' This association, now so powerful and effective for good, was the outgrowth of a concerted effort on the part of the various medical colleges and the various medical societies of the United States, primarily for the purpose of elevating the standard of medical education, which had fallen so low that the high-minded men of the profession looked upon the situation with grave alarm. But Dr. Davis did not originate the first movement in this direction, although he did or- iginate the first movement that bore fruit. It should be said at the outstart that the medical schools, with perhaps a single authenticated exception, either opposed the proposal to form a national organization, or "damned it with the faint praise" of indifference and apathy. The ''single exception" seems to have been the faculty of the Medical College of Georgia, which in 1835, "formally proposed the holding of a convention of delegates from all the medical colleges of the Union, and advocated the same through the columns of the Southern Medical and Surgical Journal."-'' Accord- ing to the Nezv York State Journal of Medicine for ]\iay, 1907, which journal quotes from the "A'^zc Jersey Medical Reporter, Vol. vii (date and page not given), "the first movement of which we have any record, which contemplated a convention of delegates, not only from all the medical colleges, but a'so from the regularly organized medical societies throughout the whole country, was made in the Medical Society of the State of New York at its annual session in February, 1839. During the same session the subject of medical education had been a promi- nent topic of discussion ; and a resolution, declaring that the business of teaching should be separated as far as possible from the privilege of grant- ing diplomas, had been adopted by a large majority. It was in view^ of this discussion that Dr. John McCall, of Utica, offered the following- preamble and resolution, viz : 'Whereas, A National Medical Conven- tion would advance, in the apprehension of this Society, the cause of the medical profession throughout our land, in thus affording an interchange of views and sentiments on the most interesting of all subjects — that involv- *iV. Y. State Jour. Med., May, 1907, p. 199. 40 RELATIOXS TO THE AMERICAN MEDICAL ASSOCIATION ing men's health, and the means of securing or recovering the same ; there- fore : " 'Resolved, That in our opinion such convention is deemed advisable and important: and we would hence recommend that it be held in the year 1840, on the first Tuesda)^ in May. of that year, in the city of Philadelphia; and that it consist of three delegates from each State Medical Society, and one from each regularly constituted medical school in the United States, and that the president and secretary of this Society be and they are hereby instructed and required to transmit, as soon as may be, a circular to that effect to each State ^ledical Society and medical school in said United States.' "This proposition was adopted, and all the necessary steps taken by the Society of the State of Xew York for carrying it into effect. But neither the societies nor the schools of other states, not even those of Philadelphia, w^here the proposed convention was to be held, responded to the invitation, and consequently no meeting took place."* Thus the first attempt to call a National Convention of delegates from the various state societies and medical schools of the country was a dismal failure, because the spirit of commercialism was the dominant spirit in the medical schools, and because the man of iron who was destined to carry the scheme of a convention to a successful issue had not arrived upon the scene. But by this time the subject of medical education had aroused an active interest in many of the medical societies throughout the country, and the faculties of the medical colleges generally had come to realize that the demand for higher medical education could not be postponed or ignored much longer. At the annual meeting of the New York State Medical So- ciety in 1844 attention was strongly directed to the subject of medical edu- cation, and the necessity of a higher standard of qualification, both prelimin- ary and medical, by two series of resolutions ; one by Dr. Alexander Thomp- son of Cayuga County, and the other by Dr. N. S. Davis, "then a new dele- gate from Broome County, N. Y." These resolutions declared a four- months' college term too short for an adequate course of lectures on all branches of medical science,, and that the preliminary requirements in the way of general education were altogether too low. After considerable dis- cussion the whole matter was referred to the standing "Committee of Cor- respondence"" with instructions to report at the next annual meeting, and in the meantime to address circulars to the several county societies, asking their views on the same subject. At the next annual meeting of the State Society (in 1845), two reports were made; one by Dr. Davis, as chairman of the "Committee of Correspondence," zealously advocating reform ; the * Jhid, p. 200. DR. N. S. DAVIS AT THE AGE OF 38. This likeness is a reproduction of the Frontispiece to his History of the Amei'ican Med'cal Association, published m 1855. RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION 43 other a minority report by Dr. M. H. Cash, of Orange County, taking a radicahy opposite view of the subject. These reports led to a lengthy and vigorous discussion of the whole subject of medical education, which de- veloped the fact that the medical schools of New York were very much afraid of anv advance movement, because it would drive students to the neighboring schools of Philadelphia and other cities in other states. For the purpose of obviating the very natural objection and opposition of the mem- bers of the state society who were interested in the New York medical schools. Prof. Alden March, of Albany, suggested to Dr. Davis that he modify his resolutions so as to embrace all the medical schools of the country ; whereupon Dr. Davis at once submitted the following- preamble and resolutions : , "Whereas, It is believed that a National Convention would be conducive to the elevation of the standard of medical education in the United States; and whereas there is no mode of accomplishing so desirable an object, without concert of action on the part of the medical societies, colleges and institutions of all the states ; therefore, "Resolved, That the New York State Medical Society earnestly rec- ommend a National Convention of deleg-ates from medical societies and colleges in the whole Union to convene in the city of New York on the first Tuesday in May, in the year 1846, for the purpose of adopting- some con- certed action on the subject set forth in the foregoing preamble. "Resolved : That a committee of three be appointed to carry the fore- going resolution into efifect."* This scheme was very generally regarded by the members of the New York State Medical Society as Utopian, impracticable and undesirable. Nevertheless, after a brief discussion, the preamble and resolutions were adopted by a large majority, and Drs. N. S. Davis, of Binghamton ; John McNaughton and Peter Van Buren, of Albany, were appointed a committee to carry into effect the plan contemplated thereby. Dr. Davis, the virile and determined chairman of the committee, at once entered upon an ex- tensive and laborious correspondence with the various medical societies and colleges of the country, albeit without the aid of a stenographer, type writer, mimeograph, or any of our modern aids in such emergencies. The responses were favorable, almost without exception, and on the first Tues- day of May, 1846, "we were gratified," says Dr. Davis, "with the privilege of meeting in the city of New York, at least one hundred delegates, repre- senting medical societies and colleges in sixteen states of the union, viz : Vermont, New Hampshire, Massachusetts, Rhode Island. Connecticut, New York, New Jersey, Pennsylvania, Delaware, Maryland, A'lrginia, Georgia, ""History of Medical Education, b\- N. S. Davis, p. 124. 44 RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION ?ilississippi,, Indiana, Illinois and Tennessee. The general dignity and har- mony, the spirit of forbearance and mutual concession, and the noble zeal for the accomplishment of the objects for which it had convened, which characterized the proceedings of this convention, was no less a disappoint- ment to its enemies than an honor to the profession. All the prominent topics connected with medical education were appropriately discussed, and referred to able committees, with instructions to consider and report in full at an adjourned meeting of the convention to be held on the first Wednesday in May, 1847, in the city of Philadelphia."* On the first day of the convention, "Dr. N. S. Davis moved the following, which was adopted: "Resolved, That a committee of nine be appointed to bring the sub- ject of Medical Education before the convention in the form of distinct propositions, suitable for discussion and action, and that it report at the next meeting." The following gentlemen were appointed: Drs. N. S. Davis, March, Hays, Watson, Brainerd, Stearns, Bush, Haxall and Bell. On motion of Dr. J. R. Wood, of New York, the president. Dr. Jonathan Knight, was added to the committee. Dr. Buell offered the following, which was adopted : Resolved : That the committee be instructed to receive and submit propositions on all sub- jects proper to be broug"ht before this convention.*''- On the following day (May 6, 1846,) Dr. Davis, as chairman of the foregoing committee, made a somewhat lengthy report, including six resolu- tions, whereof only the preamble and the first two resolutions concern us in this connection, and they were as follows : "Whereas, It has been shown by experience that the association of persons engaged in the same pursuit, facilitates the attainment of their common objects ; therefore, "Resolved: That it is expedient for the medical profession of the United States to institute a National JMedical Association for the protection of their interests, for the maintenance of their honor and respectability, for the advancement of their knowledge, and the extension of their useful- ness. "Resolved: That a committee of seven be appointed to report a plan of organization for such an association at a meeting to be held in Philadelphia on the first Wednesday in May, 1847."*** The committee of seven, authorized by the second resolution, consisted of Drs. John Watson, John Stearns, T. Campbell Stewart, of New York; *0/'. at., p. 128. '^*Trans. Am. Med. Assji., I, p. 16. '^**Trans. Am. Med. Assn., Vol. I, p. 17. RELATIONS TO THE AAIEKICAN MEDICAL ASSOCIATION 45 A. Stille, Philadelphia; N. S. Davis, Binghamton, N. Y. : W. H. Cogswell, New London, Conn. ; E. D. Fenner, New Orleans. A committee was also appointed to prepare and issue an address to the medical schools and societies which were regularly organized and in good standing, inviting them to send delegates to the adjourned convention at its reassembling in Philadelphia, the following May. At the end of the second day, and after a most profitable and har- monious session, the convention adjourned, to meet again on the first Wednesday of May, 1847, in Philadelphia. This convention was an epoch-making event in the medical history of the United States. As Dr. Davis rode back to his country practice in Bing- hamton did he realize that his efl^orts had set in motion the machiner} that would result in the mighty American Medical Association of 1907? On the fifth of May, 1847, at ten o'clock a. m., pursuant to the plan adopted, the delegates to the National Medical Convention assembled in the hall of the Academy of Natural Sciences, in the city of Philadelphia. They were greeted by Dr. Isaac Hayes, whose words of welcome could not be otherwise than scholarly and appropriate. Eminent men were there ; men whose earthly pilgrimage ceased long ago. but whose names are held in lov- ing remembrance. Oliver Wendell Holmes, Alonzo Clark, Edward Elisha Phelps, Amos Twitchell, Josiah Bartlett, Thomas M. Markoe, Jonathan Knight, Valentine Mott, Austin Flint, Alden March, Nathaniel Chapman, George B. Wood; these are a few of the brilliant g-alaxy of men who graced that auspicious and epoch-making occasion. Of course Nathan Smith Davis was there, and we can easily imagine with what pride and pleasure he looked upon the remarkable gathering that his magic wand had called together. "A nobler spectacle was never presented by the medical profession of any age or country than was witnessed on the assembling of the adjourned con- vention in 1847,"* says Dr. Davis. About 250 delegates attended the meet- ing, representing medical societies and colleges in twenty-three states. A careful reading of the minutes of the convention of 1847, does not show that Dr. Davis was particularly active or influential during its pro- ceedings or debates. We find that "Dr. N. S. Davis, of Binghamton, New York, offered the following resolution, which was ordered to be laid upon, the table : "Resolved, That a committee of one from each state represented m this convention be appointed by the President whose duty it shall be to in- vestigate the Indigenous Medical Botany of our country ; paying particu- ular attention to such plants as are now, or may hereafter during their term of service be found to possess valuable medicinal properties, and are *Davis' History of Medical Education, p. 129. ^6 RELATJOXS TO THE AMEKICAX MEDICAL ASSOCIATION not already described in the standard works of our country; and report the same in writing, giving not only the botanical and medical descrip- tion of each, but also the localities where they may be found, to the next annual meeting of the American jMedical Association."* This resolution was afterwards taken from the table, adopted, and a committee appointed, whereof Dr. Davis was chairman. It is interesting to find among the members of that committee the names of Eli Ives, of Connecticut ; Jos. Carson, of Pennsylvania ; E. E. Phelps, of Vermont ; A. Twitchell. of New Hampshire; J. P. Porcher, of South Carolina, and G. Norwood, of Indiana. The convention appointed the previous year in New York, "to prepare a plan of organization," and of which Dr. Davis was an active and influen- tial member, and in a large sense the constructive member, reported an elaborate plan which was adopted and signed by nearly all the members of the convention. The first article reads as follows: "This institution shall be known and distinguished by the name and title of 'The American Medical Association,' and at the evening session, on the last day of the convention, it was "Rcsok'cd. That this convention do now resolve itself into the Ameri- can Medical Association, and that the officers of the convention continue to act as officers of the Association, until others be appointed ; which was tmanimously adopted."** Thus on the evening of May the seventh, in the year of our Lord, one thousand eight hundred and forty-seven, in the city of Philadelphia, the American Medical Association sprang into existence, and began its mem.or- able career. It was an act of great historic importance to our profession, and it was peculiarly appropriate and felicitous that it should occur in the "City of Brotherly Love." If it is possible to imagine that Nathan Smith Davis ever had any feeling of self-congratulation about him, such must have been his state of mind as he wended his way back to the peaceful s'hades of Binghamton, and resumed his rounds of house to house visitation of the sick and suffering. *Trans. Am. Med. Ass'n., I, 36. **0p. Cit, p. 47. CHAPTER VII. Relations to American Medical Association — (Continued). No other enterprise or organization so captivated and held Dr. Davis' thoughts and efforts as did the American Medical Association. From the meeting of the first "National Convention" (of Physicians), in New York, May 5th, 1846, to his death, in 1904, his interest in, and labors in behalf of, the Association never wavered. From the first meeting of the Associa- tion proper in 1847 until his last attendance in 1897 I am told that he missed "but four meetings, and from these he was kept by causes unavoidable. At the annual meetings of the Association he was always a power. As a debater it is probably safe to say that he was not only ths peer, but the superior of any other member. Whenever he rose to speak, he was sure of the respectful attention of every member present. It was not regarded as desirable to be ranked among his opponents in a debate which aroused his •combativeness. In the matter of meekness, he was no rival of Moses, and lie never tried very hard to rob Job of his pre-eminence as "the patientest man." His manner was sometimes imperious, and his stock of sarcasm and invective never failed to respond to his demands. But his arguments were solid, logical and generally iirefragable. His diction was not what would he called "elegant," but it was of that terse, condensed and "penetrating" kind that was more effective than the more effusive and oily oratory of the so-called "elegant" speakers. He nearly always participated in the scientific and secular debates of the Association, and his opinions were always received with unqualified and genuine respect, although they were not always accorded the value which he himself attached to them. He was on various committees at various times, and a most faithful and efficient counsellor he was. Of course we cannot record here all his sayings and doings at the many meetings of the Association which he attended, but we wish to select and direct attention to a few of the important episodes of which he was the center, or in which he was a prominent actor. It will be remembered that at the adjourned convention of May, 1847, which "resolved itself into the American Medical Association," there was a committee on "Indigenous Botany" appointed, "under the resolution of Dr. N. S. Davis." At the succeeding meeting, in Baltimore in Mav. 1848, — ■"the first annual mcctjij" — Dr. Davis, as chairman of tlie c::mn';ittce, pre- 48 RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) sented a report occupying seventeen pages of the Transactions, in which he discussed the medical properties of the "rumex, or water dock; the Lycopus virginicus; the Hamamelis virginicus, and the Cimicifuga race- }nosa." At the next annual meeting, in Boston, May, 1849, Dr. Davis con- tinued his report, which was supplemented by papers from Dr. S. W. A\'illiams, of IMassachusetts, and Dr. F. P. Porcher, of South Carolina, re- spectively. It was his original design to have this committee continue its work from year to year, with the view of extending the knowledge of the profession as to our indigenous materia medica, a work which had never been undertaken in a systematic and persistent manner. But after present- ing his report to the Boston meeting in 1849, he resigned from the com- mittee, and his resignation was accepted. The session of 1850 was held in Cincinnati. The session does not seem to have been a very eventful one, but in the "History of the American Medical Association," written by Dr. Davis, I read that "the only paper read to the meeting of the Association in Cincinnati, founded on original physiological investigations, was a short one by N. S. Davis, M. D., of Chicago, Illinois. It contained matter of sufficient importance to attract attention, both in this country and in Europe."* Upon turning to the volume of Transactions for 1850, we find the only paper presented by Dr. Davis was entitled "Has the Cerebellum any Special Connection with the Sexual Propensity, or Function of Generation?" This paper was a discussion of the different theories as to the function of the cerebellum held by the "phrenologists," and the current authorities on physiology, more especially the opinion of Dr. Wm. B. Carpenter, of London, whose voluminous treatises on physiology were then accorded very high standing. It is alto- gether likely, therefore, that this paper did "attract attention both in this country and Europe." The session of 185 1 was held at Charleston. S. C. Quite a large number of the members from the northwestern and northeastern cities as- sembled at New York "and proceeded thence to Charleston by way of the Atlantic," says Dr. Davis, and he adds, "to much the larger number, this was their first trip on the wide ocean, and long will they remember it." The afternoon on which they "dropped quietly down the bay" had been fair and pleasant, and "all on board was life, animation and g'ayety." The afternoon passed, evening came with its social enjoyment, and in due time, "one after another retired to their staterooms and berths, apparently as quiet and secure as in their private dwellings among their, own native hills."' It was, however, another case of misplaced confidence in the old Atlantic, ^'Hist. Am. Med. Ass'n., bj^ N. S. Davis, M. D., 1855. (A series of papers, first published anonymously in the Nczv Jersey Medical Reporter. I. N. D.) RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUE!)) 49 especially that part of the Atlantic that cultivates too intimate relations with Cape Hatteras, for, continues Dr. Davis, "midnight comes, and what a ■change ! The rain pours in torrents on the decks, the wind rattles every movable thing on board, while wave after wave breaks in torrents of spray around the ship, giving a mingling of sounds heard nowhere else but on a lone ship tossed upon the wild and boisterous waves. In the meantime, the swaying of the ship rocks the sleepers in their berths like the child in his cradle. But, alas ! that rocking soon awakens a large proportion of our doctors, with feelings very much as though they had swallowed half of the ipecac in a respectable drug shop." But our good doctor himself escaped the dreaded mal-dc-mcr, and he adds that "though feeling a cordial sympathy for the sick, yet being entirely exempt myself, it was a season ■of pecfdiar enjoyment." The writer hereof can himself testify that there is very much more "peculiar enjoyment" in seeing other p,eople wrestle with sea- sickness than in doing it himself. But the delegates arrived at Charleston safe and sound, and the session passed off pleasantly and harmoniously. Did any of those delegates reahze that in little more than anotlier decade the political volcano over which they stood would break forth with an irruption that would astound the world? At this session. Dr. Davis read a paper on "An Experimental Inquiry Concerning Some Points Connected with the Processes of Assimilation and Nutrition." On the evening of the third day the Medical Association of South Carolina gave a "splendid banquet" to their guests, and then and there, "for the first time in the history of the Association, wines and strong drink were freely furnished as a part of the entertainment," says Dr. Davis, evidently to his mortification and disgust. As a complete catalogue of the numerous papers which Dr. Davis read before the Association may be found in Chapter XII of this memoir, I shall omit them here, but shall content myself with noticing some of the important epochs in the history of the Association in which Dr. Davis played an important part. At the thirteenth annual meeting of the Association, held in the chapel of Yale College, New Haven, Conn., June 5th, 6th and 7th, i860, it was voted that the next 'annual meeting should be held in Chicago in June, 1861, and Dr. Davis was made chairman of the committee of arrangements. But before the time came for making arrangements, the country was con- vulsed b}^ the outbreak of the civil war, and in accordance with the almost ■universal sentiment of the profession, the session of 1861 was postponed i:mtil the following year. But when June, 1862, came around, the same ■reason which existed in 1861 now obtained with greatly increased intensity, 50 RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) with the added reason that a great many of the more prominent members of the Association were in the field with the vast armies which were called into being, both north and south, and so the session for 1862 was abandoned. Those of us who remember those awful times can readily understand that it would have been impossible to call together any considerable number of the profession, and that it would have been a melancholy gathering at best. But before the time for the meeting of 1863 came around a reaction had taken place, and there was a very general unanimity of opinion that the meetings of the Association ought to be resumed, and that they ought not again to be discontinued. Accordingly, the fourteenth session of the Ameri- can Medical Association was held in the old Bryan Hall, Chicago, 111.,. June 2, 3 and 4, 1863. Dr. Davis, as chairman of the committee of ar- rangements, delivered the address of welcome, in the course of which he uttered some denunciations of our erring southern brethren, which looked better in print then than they would now. The meeting was a profitable and harmonious one, and it is interesting to note that an undercurrent of quiet but deep loyalty to their country, and of sorrow for the absence of the southern delegates, was manifest throughout the whole session. At the session of 1864, held in New York in June, Dr. Davis was elected president, and took his seat on the retirement of Dr. Alden March, of Al- bany. His conduct as presiding officer gave great satisfaction. He was calm and deliberate, yet prompt and positive in his rulings, and he displayed an intimacy, not only with parliamentary law, but with parliamentary prac- tice, that delighted his friends, and surprised his enemies, of which he was always fortunate enough to have his share. A change in the organic law of the Association was made — or rather completed — at the New York meeting, which does not concern us here except that one of its immediate effects was that the president of 1864. held over, and presided over the session of 1865, which was held in June in the State House in Boston, overlooking Boston Common, and within ''sympathetic" distance of the "Old South Meeting House," the "Old State House," at the head of State street, and the venerable old "Cradle of Liberty," Fanueil Hall. The awful civil war was just closing ; only a couple of months before the idolized Lincoln had been assassinated ; the north was bowed with sorrow, yet hot with indignation ; politics ran high, and patriotism was at a white heat; vacant chairs, or crutches, or empty sleeves were everywhere, and the public mind was in that sensi- tive, hair-trigger state that required only a breath of suspicion to- arouse an explosion. Dr. Davis was a democrat; he was at that time little known in Ncav England, except by a few of the more prominent medical men of the larger cities. A cruel, absolutely baseless and absurd rumor RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) 5 1 somehow got afloat in New England that he had "southern procHvities," and that the victories of Grant and Sherman gave him no joy or comfort. And there was for a short time preceding the date of the Boston meeting of the Association, a strongly pronounced sentiment that he ought not to be allowed to preside at that meeting. But it was short-lived ; local rather than general, and was not countenanced or even tolerated by the prominent and influential New England members of the Association who knew Dr. Davis, and knew the nobility of his character, and the flavor of his loyalty to his country and its institutions. Nevertheless, it must have been a time of sore trial to Dr. Davis, in spite of his calm and unruffled exterior. But when the hour of meeting arrived. Dr. Davis calmly took pos- session of the speaker's chair in the hall of the House of Representatives, Dr. N. S. Davis at the age of 46 — from photograph by Fassett, Chicago. in the Massachusetts State House, called the Association to order without the slightest embarrassment, or tremor of voice or musc.e, apparently ab- solutely oblivious of the fact that a word had been uttered in his dispraise. It was a very dramatic scene, although the chief actor in the drama did not seem to know it. But it was doubtless a great sense of relief to the mem- bers of the Association, when they found the wheels of business moving so smoothly, and under the guidance of an associate so well-beloved as Dr. Davis. He won golden opinions for his ability, parliamentary knowledge and fairness, and when, at the close of the session, the customary compli- mentary vote of thanks was passe-d, some enthusiast called for "three cheers for Dr. Davis," and they were given with a will. And these cheers were given in Boston, on Beacon Hill, and in the State House. Alas for Boston dignity ! 52 RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) President Davis delivered bis "Presidential Address" on the second day. according to custom, and it was a noble effort., abounding- in lofty senti- ments and high toned patriotism, appropriate to the peculiar but solemn times, and the grand old city, the pride of all Americans. Its closing sen- tence is so characteristic of the man. and breathes such a noble spirit of altruism that I cannot help quoting it: "Finally let us all remember, not onlv while transacting the business of this annual session, but also in all the work that is before us in the future, that the great object of a virtuous and happy life is neither worldly honors nor worldly treasures, but an inward consciousness of doing good from day to day." And Dr. Davis practised ■what he preached. Obverse face of American Medical Association Medal, struck in 1875; now very rare. At the eighteenth annual session, in Cincinnati, May, 1867, Dr. Davis made the report of a committee appointed at the session in Baltimore in 1866 to call a convention of teachers in the various medical colleges for the purpose of agreeing upon a uniform scale of preparatory recjuirements, and a uniform scheme of medical education, to be adopted by medical schools throughout the country. The convention met in Cincinnati, and organized the American Medical College Association, which has done so much towards reforming the lax methods of medical education then in vogue, and which is still in active helpful existence. At the twenty-fourth annual session held in .St. Louis, June, 1873, Dr. Davis brought forward a plan calling for the appointment of a "Judicial Council." which was adopted, and the work of this council has proven. salutary and helpful to a large degree. RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) 53 At the twenty-fifth session held at Detroit, Michigan, June, 1874, Dr. Davis was called upon to respond to the address of the delegates from the •Canadian Medical Association, a duty that, it is needless to say, was ably and satisfactorily performed. At this same Detroit meeting, on motion of Dr. H. F. Askew, of Dela- ware, it was "Resolved that a suitable die for a medal, with a likeness of Dr. N. S. Davis on one side, and the name and date of the organiza- tion on the other side, be procured by this Association, and that hereafter •one be furnished to each delegate on becoming a member." The resolu- tion was adopted and "Drs. Toner, Woodward and Keller were appointed .a committee to procure the die." On motion it was "Resolved that aM Reverse face of Medal referred to above. present as well as all future members of the American Medical Association be furnished with the medal ordered by the Association."* At the next meeting, held in Louisville, Ky., May, 1875, Dr. Toner, ■chairman of the foregoing committee, reported that in accordance with the resolution (quoted above), "they have procured an excellent die with a faithful likeness, as directed. * * * It will be remembered by the members of the Association that the resolution passed at the last session of this body, provided that hereafter a copy of the medal should be fur- nished to each delegate on becoming a member. On corresponding with the treasurer, however, it was found that, in his opinion, the resolution was not so worded as to authorize any expenditure of money for any other pur- '^Transactions, Vol. 25, p. 47. 54 RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) pose than to procure a die."* So the project of furnishing delegates "who be- came members" fell through "en a technicality," as the lawyers say. But the Association gravely accepted the report, which proved almost a death- warrant to the die, since the hyper-legal mind of the treasurer had evolved a "decision" onlv a little less astute than that of Portia in the Merchant of Venice. A few copies of the medal were sold at a dollar and twelve cents each, but the great majority of the present members of the Association probably never heard of it, and therefore we have thought best to reproduce it in the exact size of a copy of the medal which Mrs. Davis has kindly furnished. It is a matter of regret that this laudable scheme was nipped in the bud so early and so needlessly, and it is to be hoped that the Association will yet make some arrangement to furnish copies of the medal to its members. The idea of establishing a weekly journal, as the official organ of the American Medical Association, just as the British Medical Journal is the organ of the British Medical Association, seems to have been first suggested by the late Dr. S. D. Gross, of Philadelphia, at the annual meeting of 1870; it was again advocated in 1872, by Dr. Theophilus Parvin, and again in .1879 by Dr. Stanford E. Chailli, of New Orleans. At the session of 1880 Dr. Foster Pratt once more brought the matter before the Association, but ^yithout any positive results. At the following session (1881) Dr. John H. Packard, of Philadelphia, moved the appointment of a committee to investigate the subject and report at the next meeting; said committee was appointed and reported favorably the following year (at the session held in St. Paul, Minn., June, 1882), whereupon Dr. N. S. Davis offered resolu- tions authorizing and ordering the establishment of a weekly journal, to take the place of the annual volume of "Transactions," which had be- come too ponderous for convenience, and was too tardy to answer the demands of the present generation. The resolutions VN?ere adopted, Dr. Davis was chosen editor by the trustees, and the first number of the Journal of the American Medical Association appeared on the 14th day of July, 1883. Dr. Davis held the position of editor until December 31, 1888, when he insisted upon being relieved, as even his iron constitution was beginning to feel the burden of three score and ten years. But under his experienced and judicious management, the Journal reached the point where it was no longer an experiment or a stranger in the journalistic world, and he felt that his services could be spared. He lived to see the Journal of the Ameri- can Medical Association one of the strongest, most generously patronized and most influential medical journals in the world. '''Transactions, Vol. 26, p. 35. RELATIONS TO THE AMERICAN MEDICAL ASSOCIATION (CONTINUED) 55 At the forty-first session of the Association at Nashville, Tenn., Ma\- 2, 1890, Dr. Davis delivered the "Address on Medicine." The session of 1881, at Richmond, seems to have been deeply stirred by a proposed amendment to the "Code of Ethics," a subject which was always sure to call forth some lively forensic tilts, and which was pretty certain to arouse Dr. Davis, and put him on his mettle. But this particular occasion seems to have called forth his best efforts, although there is no report of his speech in the Transactions, and I have not been fortunate enough to find a record of it in any of the contemporary medical periodicals in our libraries.* But the following letter, which I copy without any change, seems to indicate that Dr. Davis' "oration" must have been a very powerful and telling one, although Dr. Linthicum appears to have made a verbal error when he speaks of the "amendment to the constitution," which, according to the official report in the Transactions, was an amendment to the code of ethics. Following is Dr. Linthicum's letter: Helena, Ark., May 27, 1881. N. S. Davis, M. D. : My Dear Sir: — I am at home, and all the excitement of my trip, and the late business of the "American Medical Association" is over; and I can think and reason dispassionate^ with myself. After mature deliberation and reflection, I am more and more of the opinion that I formed, during the delivery and at the close of your oration, in defense of the honor of your profession, that it was the ablest effort of your life, one that I have never heard equalled, and I have heard Clay and Webster in their palmy days. In honoring- your profession, you have glori- fied yourself and inscribed your name in golden letters in the topmost niche of the "Temple of Fame." My great regret, and that of very many others who listened to your defense of your amendment to the constitution of the A. M. A. at Richmond, Va., was the probability that we would never see it in print, and that it would be lost to the profession and the world, as there was no stenographer present. I now write to urge upon you the importance of your leaving it in manuscript among your papers, that it may live after you, for the benefit of generations that are coming on and yet unborn. The literature of our profession cannot afiford to lose so precious a gem. I am no flatterer or toady, and I write in no such sense, but in the interest of a profession that I love and cherish. Can't you do it?** Very Sincerely Yours, D. A. Linthicum. - *A few memoranda on a prescription blank were the speaker's sole "manuscript.' **If Dr. Davis left any such manuscript, it has been lost. 56 RELATION'S TO THE AMERICAX ^lEDICAL ASSOCIATION (cOXTIXUEd) As Dr. Davis had for an opponent the late Prof. E. S. Dunster, of Ann Arbor, ]\Iich., one of the most effective speakers on the floor of the Association, it is quite certain tfiat the members of the Association heard some fine speeches and some keen debating. In the Journal of jNIarch loth, 1891, we find a letter from Dr. Davis calling for a meeting of physicians who were interested in the promotion of temperance, to meet at the approaching session of the ]\Iedical Associa- tion in Washington, for the purpose of forming the "American Medical Temperance Society." This meeting took place at the time designated, and was well attended ; the "society" was organized. Dr. Davis was elected its first President, and the organization is still doing excellent work — another legacy from this many-sided man, to his surviving confreres. CHAPTER VIII. Connection with the Ninth International Medical Congress. The "Ninth International Medical Congress," composed of men emi- nent in all departments of medicine and cognate sciences from all over the world, assembled in Albaugh's Theater in the city of Washington, D. C, on the 5th of September, 1887, ^^^ continued in session until and includ- ing" the loth inst. After a brief and very characteristic speech of welcome from President Grover Cleveland, the chairman of the Executive Com- mittee, Professor Henry Ilollingsworth Smith, said : "It is now my duty to present for your approval the names of the officers of the Congress agreed upon by the Executive Committee. For the high office of Presi- dent of the Congress, the committee unanimously nominate to you one widely known as a scientific practitioner, an able teacher and medical author, Dr. Nathan Smith Davis, of Chicago. All approving .this nomina- tion will say 'aye.' "* The motion was carried with applause. But Dr. Davis was not the original choice of the Committee on Preliminary Or- ganization for President of the Congress, and it therefore becomes neces- sary for us to consult history and enter into some explanations. At the annual meeting of the American Medical Association, held in Washington in the spring of 1884, the President, Dr. Austin Flint, in his annual address recommended the appointment of a committee to report upon the propriety of extending an invitation to the International Medical Congress of 1887 to meet in this country. Following this suggestion, a Committee of Invitation was appointed, whereof Dr. Flint, President of the Association, was chairman. This committee proceeded to Copenhagen, where the International Medical Congress of 1884 met, and formally in- vited the Congress to meet in Washington in 1887. The invitation was accepted, and the committee returned home. But the resolutions under which the committee was appointed, also authorized said committee to add to its members, and act as a Committee of Arrangements for effecting- a preliminary organization'''* of the proposed Congress, provided the invi- tation was accepted. The committee accordingly met, increased its num- ber from eight to twenty-five, and at this or subsequent meetings or by "^Transactions, 2. **Hence sometimes called "Committee on Preliminary Organization." 58 CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS correspondence, made arrangements for the preliminar}' organization of the Congress, prior to the meeting of the American Medical Association in New Orleans in April, 1885. At this meeting, Dr. J. S. Billings, the Secretary-General of the com- mittee, made a report, embodying the doings of the committee up to that date. The report was severely criticised on the ground; (i) that the committee had awarded pretty much all the chief offices of the Congress to its own members; (2) that it had centred an unduly large proportion of the officers of sections in two or three cities, to the exclusion of the rest of the country; and (3) that it had given an undue prominence to a portion of the profession in New York, which was weU known to have arrayed itself in opposition to the State and National organizations of the profession generally. A vigorous discussion ensued, which resulted in the addition to the original committee of eight, of one member from each State and Territory, one from the District of Columbia, and one' each from the Army, Navy and Marine Hospital Departments, making in all a committee of 45 members, exclusive of the fifteen members added by the original committee at its first meeting, who were dropped. This action gave some color of validity to the objections urged against the doings of the committee as above noted. The new committee met in Chicago, June 24th, 1885, organized, and transacted some business including the substitution of other names for officers, in place of those nominated by the first committee, who had repu- diated the Code of Ethics. This laid bare an old sore, and trouble began at once. Five members of the committee, who had been members of the original committee, resigned, and this caused much embarrassment, as it made it difficult to assemble a quorum; a few members of the profession — from 15 to 30 — in the cities of Philadelphia, Washington, Boston and Baltimore, met and decided to have no connection with the Congress, or with making any arrangements for its entertainment. And then com- menced a long, weary and acrimonious controversy conducted mainly in the Medical Times, of Philadelphia, the Medical Record and the Nc-zo York Medical Journal, of New York, on one side, and the Journal of ihc American Medical Association on the other, which lasted pretty much through the year 1885. Other journals in the United vStates, and a few in Europe gave some languid attention to the matter, but those above-men- tioned threw most of the hot shot. But the matters involved in the controversy have long ago ceased to be vital, and we may therefore pass them in silence, albeit had it not been for a few level-headed men, the International Medical Congress of 1887 would have been a failure. CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS 59 The Committee of Arrangements met in New York City, September 3, 1885, for the transaction of necessary business, inchiding the nomina- tion of candidates for officers of the Congress. The committee reported as follows: For President, Austin Flint, M. D., LL. D., New York; for Secretary-General, Nathan S. Davis, M. D., LL. D., Illinois, besides Presidents of Sections and other officers. Having completed their business, the committee adjourned subject to call, having, as they believed, nearly completed the preliminary plans for the organization of the approaching Congress. But human plans are not infallible, and human foresight is limited by a very restricted horizon ; another heavy blow was lying in wait for the International Medical Congress of 1887. Dr. Austin Flint, the prospective President of the Congress, was suddenly stricken with cerebral hemor- rhage and died March 13, 1886. Dr. Flint stood in the forefront of the medical profession, not only of this country, but of the world, and his loss was felt accordingly. Of course the c[uestion as to who should fill the place of President of the approaching Congress, made vacant by the death of Dr. Flint, became at once acute and pressing. There must have been some interesting discussions at the sessions of the "Committee of Arrangements,"'" and some private exchanges of opinion among the members thereof, but they do not appear to have been over- heard. Dr. Davis was to be Secretary-General, and thus would be in the line of "promotion," which may have 1;een a make-weight. But as a pre- siding officer and parliamentarian, he had already been tried, and there was no question as to his ability in those particulars. Again his age and unquestionable position of prominence — not to say eminence — in the medi- cal profession of the United States, made his candidacy almost a foregone conclusion. On the other hand, he v^^as the most prominent member of the American Medical Association, was an uncompromisingly "orthodox" supporter of the "Code of Ethics," was editor of the Journal of the American Medical Association and was aggressively severe in his editorial^ on the conduct of the few recalcitrants — eminent though thev were — who were out of sorts with the Association and its attempts to manage the Congress. And the old "Ethical" ulcer of several years prior, which was an especially touchy subject to some of the New York men — and men whose names always did and always will command the deepest respect of their' professional confreres — broke out again, and aggravated and en:- bittered the journalistic controversy. Nevertheless, at the 37th Annual Meeting of the American Medical Association, held at St. Louis, Mo., May 4th, 5th, 6th and 7th, 1886, Dr. ■'"Called also "Committee on Preliminary Organization." 60 CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS J. S. Lvnch, of Baltimore, chairman of Committee on Preliminary Organi- zation, presented the name of "Xathan Smith Davis, M. D., LL. D., of Illinois," as the nominee of the American Medical Association^ for Presi- dent of the Ninth International jNIedical Congress. At the same time, he presented the name of John B. Hamilton, of Washington, D. C, as the candidate for Secretar3--General in place of Dr. Davis, together with various other names for various other offices connected with the Congress. The recommendations were adopted, v.'hereupon in order to "clinch things." Dr. Henry H. Smith, of Philadelphia, made a motion to "reconsider," which upon motion of Dr. A. L. Gihon, was laid on table. Meantime, the feelings of discord — which were largely due to misunderstanding — began to die away, the peppery editorials and other communications in the journals ceased, a wave of reaction came, and there was a "great calm." At a meeting of the New York County Medical Association, Feby. 2ist, 1887, the President, Dr. John Shrady, said: "Our Medical RepubHc is now at peace, and we are amply able to receive visitors from abroad, and render their stay agreeable as well as perhaps profitable." And this speedily became the sentiment of the profession throughout the country, to the great relief of those who were immediately concerned in the man- agement of the Congress. On the first day's session of the Congress, President Davis delivered his inaugural address, and as he was the first American President of an International Medical Congress, we think the event warrants the repro- duction of the address in its entirety. It is as follows : Gentlemen : It is my first sad duty to remind you that death lias re- moved from among us one to whom, more than to any other, we are indebted for the privilege of having the Ninth International Medical Congress in America. One whose urbanity, erudition, valuable contributions to medical literature and eminence as a teacher, caused him not only to be universally regarded the most influential leader in all the preparatory work, but also the one unanimously designated to preside over your deliberations on this occasion. That one was the late Professor Austin Flint, of New York, who was taken suddenly from his earthly labors, early in 1886, before the work of preparation for this Con- gress had been half completed. The true nobility of his private and professional character, his eminent ability as a teacher, and, above all, the extent and value of his contributions to the CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS 6 1 literature and art of medicine, had caused him to be known and esteemed by the profession in all countries. And, as you all remember, while the shock of his death was fresh upon us, our loss seemed well-nigh irreparable. But, though he has taken his departure ripe in years and full of honors, yet the influence of his excellent example and his contributions to medical science remain, and will continue to exert their beneficent influence through all the generations to come. With a full consciousness of my own deficiencies and still with a heart over-flowing with gratitude, I thank you for the honor you have bestowed in selecting me to preside over the deliberations of this great and learned assembly. It is an honor that I appreciate as second to no other of a temporal nature be- cause it has been bestowed, neither by conquest nor hereditary influence, nor yet by partisan strife, but by the free expression of your own choice. Addressing myself now more directly to those here assem- bled, who have left home and loved ones in other lands and encountered the fatigue and dangers of traveling by sea and by land, in the name of the Medical Profession of this country I welcome you, not only to this beautiful city and the hospitality of its citizens, as has been so admirably done already by the honorable representative of the Government who has just taken his seat, but I cordially welcome you to the whole country in whose name you were invited here three years since, and whose representatives are now here, side by side with you, gathered from the East, the West, the North, the South, as well as from the rugged mountains and fertile valleys of the center, to make, good the promise implied by that invitation. If they do not cause you to feel at home and happy, not only in the social circles and halls devoted to the advancement of science, literature and art in this city of our nation's pride, but. wherever you may choose to roam, from the rocky coast of New- England on the Atlantic to the Golden Gate of the Pacific, it will be from no want of earnest disposition to do so. And now, I not only thus welcome you from other lands, but I take great pleasure in greeting you one and all as leading rep- resentatives of a profession whose paramount object is the lessen- ing of human suffering, by preventing, alleviating, or curing dis- eases wherever found, and in whatever class or grade of the human family. Nay, more, with profound reverence I greet you as a noble brotherhood, who in the practical pursuit of that one 62 COXXECTIOX WITH THE XIXTH IXTERXATIOX.XL MEDICAL COXGRESS grand object, reccg'uize no distinction of country, race or creed, but bind up the wounds and assuag'e the pains of the rich and poor, ruler and ruled, Christian and pagan, friend and foe alike. Xot that every medical man does not love and defend his own country and fireside with as fervid a patriotism as the mem- bers of any other class of men. But as disease and pain are limited to no class or countr}-, so is the application of his bene- ficent art limited only by the number of those sutitering within his reach. AMth a common object so beneficent in its nature, and oppor- tunities for its practical pursuit so universal, it is but natural that you should be found searching for the most effectual means for the accomplishment of the one object of lessening human suffering, in every field of nature and every department of human knowledge. The living human body — the chief object of your solicitude, not only combines in itself the greatest number of elementarv sub- stances and the most numerous organs and varied functions, so at- tuned to harmonious action as to illustrate the operation of every law of physics, every known force in nature, and every step in the development of living matter, from the simple aggregation of protoplasm constituting the germinal cell to the full-grown inan, but it is placed in appreciable and important relations with the material and immaterial forces existing in the world in which he lives. Hence a complete study of the living man, in health and disease, involves a thorough study, not only of his structure and functions, but more or less of every element and force entering into the earth, the air and the water with which he stands in constant relation. The Medical Science of to-day, therefore, embraces not only a knowledge of the living man, but also of such facts, principles and materials gathered from every other department of human knowledge as may increase your resources' for preventing or alleviating his suitering or prolonging his life. The time has been, when medical studies embraced little else than the fanciful theories and arbitrary dogmas of a few leading minds, each of which became for the time the founder of a sect or so-called school of medicine, with his disciples more or less numerous. -But with the development of general and analytical chemistry, of the several departments of nature science, of a more practical knowledge of physics, and the 'CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS 63 adoption of inductive processes of reasoning, the age of theo- retical dogmas and of medical sects blindly following some more plausible leader passed away, leaving but an infinitesimal shadow- yet visible on the medical horizon. So true is this, that in casting our mental vision, to-day, over the broad domain of medicine we see its votaries engaged, some searching for new facts and new materials; some studying new applications and better uses of facts and materials already known ; some of them are in the dead house with the scalpel and micro- -scope, not only studying the position and relations of every part, from the obvious bones and muscles to the smallest leucocyte, in health; but also every deviation caused by morbid action or disease. Some are searching the fields, the forests, the earth .and the air, both for knowledge concerning the causes of disease and for additional remedial agents ; some are in laboratories with crucible, test glass and microscope, analyzing every morbid product and every remedial agent, separating the active prin- ciples from the crude materials and demonstrating their action on living animals, while far the greater number are at the bed- side of the sick and wounded, applying the knowledge gained by all other workers to the relief of human suffering. A more ac- tive, earnest, ceaseless and beneficent field of labor is not open .to your vision in any other direction or occupied by any other pro- fession or class of men. And thus has the Science of Medicine become a vast aggregation of observed facts, many of them so -related to each other as to permit practical deductions of per- manent value, while many others remain isolated through in- completeness of investigations, and therefore liable to prompt, hasty or even erroneous conclusions. Indeed, the most defective and embarrassing feature in the science and art of medicine, at this time, is the rapid accumula- tion of facts furnished by the vast number of individual workers, each pushing investigations in some special direction without concert with his fellows, and without any adeciuate conception of ■ the coincident lines of observation necessary to enable him to see the true bearing of the facts he evolves. Hence he is constantly mistaking mere coincidences for the relation of cause and effect, and the pages of our medical literature are being filled with hastily formed conclusions and rules of practice from inadequate data. This results, in part at least, from the extent and variety of the fields of inquiry and the complexity of the problems pre- 64 CONXECTIOX WITH THE XIXTH IXTERXATIOXAL MEDICAL COXGRESS sented for solution. For nowhere else within the realms of human thought does the mind encounter problems requiring for their correct solution the consideration of a greater number of data, than in the study of etiology and pathology. To determine the appreciable conditions of the earth, air and water of any country before, during and after invasion of an epidemic disease long enough to include several consecutive visits of the same, is not possible for a single individual, nor for any number of observers acting separately or without concert. Yet just this complete knowledge is necessary to enable us to separate the conditions that are merely coincident or accidental from those that are such constant accompaniments of the disease as to prove a necessary relation between them. And it is only by such persistent coincident, systematic observations of many individuals, each having a definite part, and the results care- fully compared anahtically and synthetically at proper inter- vals, that the real conditions and laws controlling the prevalence and severity of epidemics can be clearly demonstrated. It is not enough to discover the primar)- infection, or the contagium vivum, Avhether it be the bacillus of cholera, yellow fever, or tuberculosis, for abundant experience has shown that not one of these will extend its ravages into any community or country unless it finds there a soil or pabulum congenial for its support and propagation. It is on the development and diffusion of knowledge con- cerning the local conditions necessary for receiving and propa- gating the specific infections of disease that nearly all the im- portant sanitary measures of modern times have been based. And it is on a further development of knowledge in the same direction, gained bv more systematic, continuous and coincident investigation, that we shall most successfully protect our race from the pestilences that have hitherto ''walked in darkness and wasted at noonday." It was an extensive and ever extending field of medical science, the complexity of the problems pressing for solution, and still more the individual responsibility of applying the re- sources at command to the direct treatment of disease, that early disposed medical men to seek each other's counsel, to form groups or clubs for comparison of views and mutual improve- ment. The manifest- advantages of these soon prompted more extended social gatherings, until at the present time a large pro- portion of the more active members of the profession in every CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS 65 civilized countn^ are participating- in municipal, district, National and International medical organizations. The aggregate benefit derived from all this active inter- course is beyond easy expression in words. In more frequent and familiar comparison of cases and views on all professional subjects in the local societies, closer habits of observation and a wider range of thought are induced, while narrow prejudices and bigotry give place to generous rivalry and personal friend- ships. In the larger gatherings, the formal preparation of papers and reports on a great variety of subjects impels their authors to a wider range of study and greater mental discipline, while the collision with other minds in discussion brings all aspects of the subject to view, enlarging the scope of mental vision, starting new trains of thought, and begetting a broader and stronger mental grasp with purer and nobler aims in life. I think I am justified in saying that no other one influence operative in human society during the present century has done as much to develop and diffuse medical knowledge, to stimu- late its practical and successful application, both in sanitary measures for preventing disease and in the direct alleviation of suffering at the bedside, and in unifying and ennobling the profession itself, as has been accomplished by the aggregate medical society organizations of the world. Yet their capacity for conferring other and, perhaps, still greater benefits, under proper management, will have become manifest in the near future. And that I ma.y accomplish the chief object of this address, I must ask your indulgence while I indicate some of the more important additional benefits in advancing- medical science and saving human life through the instrumentality of our medical organizations, and the methods by which they may be accomplished. Every experienced and intelligent practitioner of the healing art is familiar with the fact that all acute general diseases are influenced in their prevalence and severity by seasons of the year, topographical and other conditions of the earth, meteoro- logical conditions of the atmosphere, and the social conditions and habits of the people themselves. The most familiar en- demics vary annually in the same localities, while the great epi- demics that have for ages broken over the comparatively limited boundaries of their habitats only at intervals of years, and ex- tended their ravages from country to country and receded again to the source from which they apparently originated, differ 66 COXNECTIOX WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS- widely in the different periods of their prevalence. But in study- ing the essential causes of any one of these general diseases and the laws and conditions under which such cases operate, he- soon finds certain factors, essential for the solution of his prob- lems, wanting. For instance, if he wishes to identify the date of the first attack of epidemic cholera in a given locality and the character of bowel aft'ections immediately preceding, the ordinary statis- tics of mortality will give him only the date of death, which ma}- have been from one to seven days later, or it may have been preceded by one or more cases that recovered. If he is anxious to determine the reason why the disease, on entering one community, develops with such rapidity that in a few days its victims are found in every grade of the population and in. almost every street, while in another it develops slowly, adher- ing persistently to particular classes or localities, he may find in the ordinary meteorological records the thermometric, barom- etric and hygrometric conditions of atmosphere, with the direc- tion and the velocity of the winds, but he finds nothing regard- ing those important though variable elements known as ozone and hydrogen peroxide, active oxidizers ; or those nitrogenous products called free and albuminoid ammonia. Neither do the sanitary records give the desired information concerning the composition and impregnations of the soil, or of the organic and inorganic emanations that may arise therefrom. An adequate knowledge of these absent factors relating to- the condition of the earth, air and water over districts large enough to embrace localities subject to invasions of the epi- demics and others known to be exempt, through a sufficient length of time to cover several periods of prevalence and periods of absence alike, is essential for enabling us to comprehend the causes that make one district amenable -to the prevalence of a disease and another not, as well as the marked dift"erences in the severity and mode of progress of the same disease at differ- ent periods in the same localities and same classes of the people.- The same additional knowledge would also furnish the basis for further sanitary measures of the greatest practical value. And yet it must be obvious that the cooperation of numbers- of medical men directly engaged in the field of general practice, with others possessed of more practical facilities for chemical and microscopical research, is necessarv for successfully prose- cuting: such coincident and continuous investigations as would CONNECTION WITH TPIE NINTH INTERNATIONAL MEDICAL CONGRESS 67 be likely to secure the desired results. Only well-trained general practitioners in every locality chosen for observation could ob- serve and record the date of the initial symptoms of acute gen- eral disease coming under their notice, and at stated intervals collate and report them to a central committee. The daily ob- servations concerning the presence and relative proportion of active oxidizers and of nitrogenous organic elements in the atmosphere and the water, would require the selection of one or two experts in chemical and microscopical research for each locality; all making their observations coincidently in time, and by uniform methods. There are included in the organized medical associations of each country the men and material necessary for prosecuting every well-defined Hne of inquiry; and these associations, by their stated meetings and their facilities for inter-communication and concert of action, present the entire machinery needed and are only waiting for well planned and systematic use. The tendency to make the permanent medical organizations available for prosecuting work in the directions I have indicated has already been manifested to a limited extent, as may be seen in the formation of the Collective Investigation Committee of the British Medical Association, and of the International Collec- tive Investigation Committee, organized during the sitting of the Eighth International Congress at Copenhagen. An earlier movement, more fully of the character I have been endeavoring to explain, was made by the American Medical Association in 1875, when a standing committee was appointed to establish in a sufficient number of localities regular coinci- dent daily observations and records concerning all appreciable meteorological conditions, including organic and inorganic elements found in the atmosphere, and the date of beginning of acute general disease, and report the result at each annual meet- ing of the Association. The committee made reports embodying facts of interest and permanent value in 1877, in 1879, in 1881, in 1882, and in 18S3. The latter report contains, among other items, a complete tabu- lated statement of the free and albuminoid ammonia in the at- mosphere for every day in the year ending August 31, 1883, as determined for the committee by Prof. J. H. Long in connec- tion with the laboratory of the Chicago Medical College. The committee is still prosecuting its work, with material in hand for a still more important report at an early day. The greatest 68 CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS difficulty encountered has been to enlist a sufficient number of active practitioners in each locality who would faithfully record the desired clinical facts and report the results to the committee. But this and all other obstacles can be overcome by persevering and well-directed work. I trust no apology is needed for having embraced this occa- sion to attract your attention to the very important question of how to make all our Medical Associations more useful in pro- moting the science of medicine by more complete methods of investigation, especially in directions where the coincident action of several persons in different places is essential for success. I fully appreciate the great benefit resulting from the simple mingling of a large number of medical men in social contact, where each is made to hear constantly whether on the street, in the hotel or the assembly room, new suggestions, new modes of expression, and to observe the physical and mental effects of the various habits and customs of the different peoples, until each one leaves the general gathering with largely increased mental activity and resources, as was so happily expressed by Sir James Paget in his address to the Congress of 1881, in London. And I appreciate in a still higher degree the benefits derived from the preparation and reading of papers by indi- viduals and the discussion of important questions, in all our assemblies. But for reasons I have already briefly stated, I hope to see added in every permanent general medical society two standing committees ; one to whom should be referred for critical exam- ination every communication claiming to embody a new dis- covery in either the Science or Art of Aledicine ; and the other should be charged with the work of devising such lines of in- vestigation for developing additional knowledge as require the cooperation of different individuals, and perhaps societies, and of superintending their efficient execution until crowned with success. If ten or twenty per cent of the money paid for initiation and membership dues by the members of each society were ap- propriated and judiciously expended in the prosecution of such svstematic and continuous investigations from year to year, it would accomplish more in advancing medical science directly, and indirectly in benefiting the human race, than ten times that amount would accomplish if expended in any other direction. CONNECTION WITH THE NINTH INTERNATIONAL MEDICAL CONGRESS 69 For it must be remembered that when money is expended for material objects, even for food, clothing or medicine, such materials feed, clothe or relieve but one set of needy individuals, and are themselves consumed ; but the expenditure of money and time in such a way as to develop a new fact capable of practical application either in preventing, alleviating or curing disease, that fact does not, like the food or medicine, perish with the using, but it becomes literally imperishable. Neither are its benefits limited to one set of individuals, but it is transmitted with the speed of the lightning, over the land and under the sea, to every civilized people ; and whatever benefits it is capable of conferring are -as capable of being applied to a million as to one, and being repeated with increasing efficiency from genera- tion to generation. It has been tersely and correctly stated that associated ac- tion constitutes the characteristic and predominating power of the age in which we live. It is by association that education in its broadest sense, re- ligion and civilization, have been more rapidly diffused among the masses of mankind during the present century, than during any other period of the world's history. It is by the association of capital, wielded by the associated intellects of the nineteenth century, that highways of commerce have been opened over the valleys, through the mountains, across the deserts, and on the oceans, over some of which the material productions of the nations are borne by the resistless power of steam, and along others the products of mental action are moved with the speed of electric currents, until both time and space are so far nullified that the most distant nations have become neigh- bors, and the inhabitants hold daily converse with each other from opposite sides of the globe. Indeed, it is only by means of such of these highways as have been constructed within the memory of him who addresses you, that you have been gathered in this hall from the four quar- ters of the earth, and through which an account of your doings may be daily transmitted to your most distant homes. I congratulate you on the fact that the profession you repre- sent has taken the lead of all other professions or classes of men, in rendering available these grand material achievements of the age, for cultivating fraternal relations, developing and interchanging knowledge and planning concerted action for ren- 70 COXXECTIOX WITH THE XIXTH IXTERXATIOXAL MEDICAL COXGRESS dering- human life everywhere heaUhier, happier, and of longer duration. This is the Ninth International Congress in the regular series, within little more than two decades, and let us hope that all its work will not only be done in harmony and good order, but with such results as will add much to the aggregate of human happiness through all the coming generations. Without trespassing further on your patience, I must ask your forbearance with my own imperfect qualifications, and your generous assistance- in the discharge of the responsible duties you have devolved upon me. The Congress was a success in every particular. The utmost harmony prevailed, and it was altogether an occasion to gratify the pride of every American physician and surgeon. The London Lancet of Sept. 25th,. 1887, says : "The success of the Xinth International Congress is a matter for thankfulness. The interruption of the series of Congresses would have been little less than a calamity and a disgrace for the profession of all nations." But the Lancet writer could not let up without "bleeding " us a little, and so he adds : "They'" — the Americans — ''have carried through the Congress, and we thank them. There is yet one other service they can do ; in an}- official action that now de\-olves upon them, to strive to obliterate the last relics of discord, and to stand in the light of truth and charity undimmed and unqualified, to those in Berlin on whom will now rest the burden of responsibility for the next Congress." In his farewell to the Congress, President Davis closed by saying: "Life with me is not long, but if it is spared with sufficient health, I shall take great satisfaction in meeting my friend Dr. ]\Iartin, and all his com- rades in Berlin in 1890." But when 1890 came, the undertaking seemed too great in view of his advancing years, and the foreign members of the 'Congress of 1887 saw his face no more. CHAPTER IX. The "Jubilee" Meeting of the American Medical Association. The forty-eighth annual meeting- of the American Medical Association was held in Philadelphia, June ist, 2d, 3d and. 4th, 1897, just fifty years after the Medical Convention, which met in Philadelphia May 5th, 1847, "resolved itself into the American Medical Association." Of course this meeting of June, 1897, should have been the fiftieth annual session, in- stead of the forty-eighth, but on account of the disturbed state of the coun- try incident to the civil war, the meetings which would otherwise have occurred in 1861 and 1862 were omitted; consequently the forty-eighth meeting occurred on the -fiftieth anniversary of the founding of the Associa- tion, an anachronism that is a little confusing, until its cause is understood. In the Association Journal of May 16, 1896, the following editorial note occurs: "The 47th annual meeting of the Association should be mark- ed with a white stone, as one of its Dies Memorahilcs." And such it proved to be ! At the 47th annual meeting, held at Atlanta, Ga., May 5, 6, 7 and 8, 1896, Dr. John B. Roberts, Chairman of the Delegation from the Phila- delphia County Medical Society, presented the following: "At a meeting of the Philadelphia County Medical Society, held April 15th, the follow- ing preamble and resolutions were adopted : Whereas, The American Medical Association completed its organization and commenced its actual existence in the city of Philadelphia, during the first week of May, 1847; "Resolved, That a committee be appointed by the chair to publicly urge that the Association celebrate in 1897 its Fiftieth Annual Meeting with ceremonies appropriate to its long and successful career ; "Resolved, That the delegates of the Philadelphia County Medical Society to the meeting of the American Medical Association at Atlanta, be instructed to extend to the Association a cordial invitation to hold its semi-centennial meeting in Philadelphia, the city of its birth." On motion of Dr. Reed, "the resolutions were referred to the Com- mittee on Nominations," but, so far as the official report of the proceedings show, said committee made no recommendation in the matter. Yet there must have been a "Committee on Anniversary Exercises" appointed at this meeting, inasmuch as Dr. John B. Roberts appears as chairman of such committee, as we shall see presently. ^2 THE JUEILEE ^[EETIXG The meeting of the American Medical Association which was held in Philadelphia June ist, 2d, 3d and 4th, 1897, Vv^as called the "Jubilee Meeting,"' and such indeed it was. In more dignified but less inspiring phrase, it was called the "Semi-Centennial," but from start to finish, it was an occasion long to be remembered, and one never to be duplicated. Dr. Nicholas Senn was President, "whose skill" — says the Journal — "as a presiding officer was manifest from the first hour." The attendance was the largest in the history of the Association, or as the Journal says, "it not only surpassed all previous meetings in number of members present, but in tout ensemble." Many of the older men were there, attracted thither by the expectation of a historic and epoch-making meeting! Love, of Mis- sauri : Garcelon, of Maine ; Maclean, of IMichigan ; Holton, of Vermont ; Didama. of New York ; Marcy, of Massachusetts ; Conn, of New Hamp- shire ; Reed, of Ohio ; Davis, Hamilton and Graham, of Illinois ; Quimby, of New Jersey ; Atkinson and Roberts, of Pennsylvania ; Reyburn, of the District of Columbia; Sternberg, Surgeon General of the Arm}-, and Gihon, Surgeon General of the Navy; these are only a few of the eminent members of our profession who gathered on that occasion, both to honor it and themselves. Since that meeting, the "Reaper whose name is death" has been busy, and very many of the older men have answered the sum- mons to "go up higher." The first "General Session" was held on Tuesday, June ist, in the stately Academy of j\Iusic, and was mainly given up to the purely business matters of the Association. The second "General Session," on Wednesday, June 2d, was made interesting and memorable by the fact that the lamented President of the United States, William McKinley — so soon to complete our noble trio of M^artyred Presidents — was there and made one of his short but dignified and characteristic speeches from which I extract the following: "Although summoned to the city for another purpose, I deem myself most fortunate to find this honorable Association in its semi-centennial meeting on the same day. ... I cannot refrain from pausing a moment that I might come into this brilliant presence, to meet the learned gentlemen here assembled, and to pay my homage to the noble profession which you so worthily rep- resent." The President having retired there were loud calls for Governor Hastings, who delivered an excellent and eloquent address, which was fol- lowed by "loud and prolonged applause." And then the Association settled down to business again, and thus passed into history one of the eventful days in the history of the American Medical Association. But Thursday, June 3d, 1897, was perhaps the most memorable day THE '"jubilee meeting 73 in the history of the Association.. The "Third General Session" was held on this day, and its chief event can never be duplicated. It was the occa- sion of the "Jubilee Exercises ; Fiftieth Anniversary of the Found- ing OF the American Medical Association/'' says the official report, in "small caps." The Academy of Music was crowded with a brilliant audi- ence, composed of delegates, prominent members, and other medical men, drawn thither by the unusual importance of the occasion. Many of the laity, comprising' the prominent citizens of Philadelphia and other cities were there. A large number of w^omen, mostly vsdves or relatives of mem- bers in attendance, were there, and as one stood on the stage and looked over the vast audience, it was a brilliant and inspiring scene. But in all that great company, there was but one who was present when the Asso- ciation commenced its existence, fifty years before, and he was the honored guest of the hour. Only four of the original members of the Association were then living, namely, Dr. N. S. Davis, of Illinois, an ex- President ; Dr. Alfred Stille, of Pennsylvania, also an ex-President; Dr. John B. John- son, of Missouri, an ex-Vice President; and Dr. David F. Atwater, of Massachusetts. Dr. Stille, although residing in Philadelphia, was not able to be present, and Drs. Johnson and Atwater were also unable to take the long journey to Philadelphia but sent interesting letters, which were read. "The hour set for the Jubilee Exercises having arrived" Dr. N. S. Davis, the founder of the Association, appeared upon the stage, escorted by the Presidents of the State Medical Societies and the Presidents of State Boards of Medical Examiners. Dr. Davis was presented to President Senn by Dr. John B. Roberts, Chairman of the Committee on Anniversary Exercises, who said : " 'Some fifty-two years ago, at a meeting of the New York State Medi- cal Society, there appeared for the first time a young delegate from Broome County. Observation during his collegiate course had opened his eyes to the fact that there were radical defects in the methods of medical educa- tion. To remedy these evils and to organize the profession of the United States into a professional brotherhood, with a common purpose, a common dignity, a common ethical standard and a common humanity, he deter- mined to use all the vigor which he possessed. It was his desire to separate medical teaching from medical licensing, and to organize the profession in connection with a central medical body. That his labors, despite much oppo- sition, have been crowned with success, is shown by the existence of a Med- ical Examining Board in nearly every State in the Union, and State Medi- cal Societies in all parts of the country. The presence of these gentle- men who accompany him to-day, and the registration of 2,000 delegates and ;74 'i'HE JUBILEE MEETING members attest the approval given to the efforts of the ever-young man whom I now present to you.' (Applause.) ''At the conclusion of Dr. Roberts' remarks, Dr. Davis arose and was greeted with round after round of applause, which continued for fully three minutes. As soon as quiet was restored, President Senn said : " 'Dr. Davis, in the name of nine thousand members of the Association I greet you and congratulate you that you have been permitted to live long- enough to witness the commemoration exercises of your life work, the fiftieth anniversary of your favorite child — the American Medical Asso- ciation. May you live long, and when the inevitable comes, find a peace- ful end and an ample reward in the life to come.' (Applause.) "Dr. Davis then delivered his address, selecting- for his subject, 'A. -Brief History of the Origin of the American Medical Association, the Principles on which it -was Organized, the Objects it was Designated to Accomplish, and How Far They Have been Attained During the Half Century of its Existence.' "* And such is the cold and colorless official account of the Jubilee ]\Ieet- ing of the American Medical Association, an event of more than passive importance, not only to the medical profession of the United States, but of the civilized world. The Association was half a century old ; it had grown from a feeble beginning to a membership of about 9,000 ; it had exercised an influence for good on medical education, medical legislation and medical progress generally, of incalculable value, an influence which was and is in- creasing with every passing year. And flow, on the third of June, 1897, about two thousand members and delegates, together with a liberal sprink- ling of non-professional men and women, had gathered in the self-same city where the Association was born, to celebrate its fiftieth birthday, and to -do well merited honor to its venerable and illustrious founder. It was a scene and an event to stir the blood and warm the heart of an anchorite. It was not a meeting of the Judicial Council, or of the Section on State Med- icine ; it was the Jubilee Meeting of the largest medical organization in the world, and its founder was there to rejoice with. the numerous membership of the institution of which he had been the fons et origo, and the chief inspiration, for these many years. An editorial touch in the Journal of June 12th, following the Jubilee, i:hrows a little color into the picture: "The jubilee exercises were impres- sive. The venerable founder of the As.sociation, Professor Nathan S. Davis, accompanied by his colleague. Professor Alfred Stille,** was es- * Journal Am. Med. Ass'n., June 12, 1897. **Dr. John B. Roberts, Chairman of the Committee on Anniversary Exercises, ""regretted that Dr. Stille was not present." THE "jubilee" meeting 75 corted to the stage between a double line of ex-presidents of the Associa- tion, who were standing- in open order. The escort consisted of the Presidents of State Medical Societies, and Presidents of State Boards of Examiners. President Senn then welcomed him in a few well-chosen words, the delegates in the hall rose and cheered until they were stilled, when Professor Davis delivered the historical reminiscences which we else- where publish. No one present will ever forget it. The orator read with his old time earnestness, and with a clear voice that time has scarcely impaired ; and the pride and affection that the Association has for our venerable col- league was manifested again, when he closed, by vehement and enthusiastic applause." As Dr. Davis slowly advanced towards the footlights, between the lines of ex-presidents, what was the drift of his thoughts, and what the nature of his reflections? Certainly he indulged in no vainglorious pride, nor was he possessed by an unseemly egotism; but the "feeling of satisfac- tion and thankfulness that came to him as he contemplated the vast and beneficent result of his work, can be easily imagined by those who knew the man and his great human heart. As in an early chapter we have recounted the history of the origin of the American Medical dissociation in detail, we omit the jubilee address of Dr. Davis, except its closing paragraph which says that "Every leading object sought to be accomplished by its" (the Association's) "founders has been substantially obtained: That is, universal free and friendly social and professional intercourse has been established ; the advancement of medi- cal science and literature in all their relations has been promoted; and the long agitated subject of medical education has reached the solid basis of a fair academic education as preparatory, four years of medical study, attendance on four annual courses of graded medical college instruction, of from six to nine months each, and licenses to practice to be granted only by State Boards of Medical Examiners. The grand citadel of our noble profession has thus been constructed on its legitimate foundations, and it only remains for those who come after us to perfect its several parts, and make them more and more efficient in preventing human suftering and prolonging human life." On the last day of the memorable session of 1897, Dr. Davis uttered a few last words which will be read with a kind of sad pleasure by those of us who remember and survive him: "I am not quite willing to let this occasion pass without a word. The first convention I went to, to help form the Association, was by the old stage coach, and it took longer to go over the hills of Pennsylvania, in and around the corners of it, to get from the village of Binghamton and the Susquehanna and the Chenango Rivers 76 THE "jubilee"'' meeting to Xew York City, than it does to go from Chicago to San Francisco. I mention this to show you that the world has progressed. I have followed the meetings of the Association with the utmost interest and with the greatest possible pleasure, from the foot of Bunker Hill ^Monument to the Golden Gate, and from ^Minnesota to the Gulf of ]\Iexico, round and round. These meetings, and the meetings of our State Society have been my pleas- ure excursions : they have been the only vacations I have ever taken." (Applause.') "They are vacations that bring me in touch with my brethren from every quarter, and enable us to stir each other up by thoughts, by con- tact of mind with mind, man with man, and woman with man if you please." (Applause.) 'Tt gives us an elevation, infuses a buoyancy that lifts us out of our ruts at home. When we return to our homes and resume our practice, we do so with fresh vigor, with greater confidence." (Loud ap- plause.) At the conclusion of these remarks, three hearty cheers were proposed and given to Dr. Davis and the American Medical Association. And in this happy and jubilant frame of mind, did the speaker — now eighty years old — say iiltiina vale to his lusty offspring, the American Medical Asso- ciation . CHAPTER X. Dr. Davis' Temperance Work, Public and Professional. From his earliest to his last days, Dr. Davis was a total abstainer from all forms of alcoholic beverages. It is a historic fact, which I have upon the excellent authority of Mrs. Davis, who still (August, 1907J survives him, that he never tasted an alcoholic beverage in all his life. During all the years of his long and remarkable career, he was an active vv'orker in the temperance cause, and no one will ever know how many men he saved from that terrible fate, the death of the drunkard. His hatred of alcohol was so intense, that he was often called a "temperance crank," a "fanatic,"" a "faddist," and various other names which were intended to be opprobious, but were in the highest degree complimentary. It must be remembered that in Dr. Davis" early days, the use of alco- holic beverages was rather more common than the use of "acjua pura ;"" nor was it regarded as improper or specially harmful. The minister, the lawyer and the doctor, each took his "toddy,"' without any idea of its impropriety, and in the country stores, rum was sold as openly as, and rather more frequently than, "lamp oil" or molasses. When the merchant made out his vearly bill against his customers — professional men included — the item ''one gallon of rum" occurred about as often as any other item, and the farmer generally needed an extra ten gallons to "get through haying." It was several years after Dr. Davis had been a married man, or rather bov, and had graduated in medicine and become a legal voter, before the temperance cause had acquired sufficient momentum to be respected or even felt. In those days it took some back-bone for a young man to allow himself to be known as a "teetotaller," as the early temperance advocates were contemptuously called, but our young doctor, standing almost alone, swerved not a hair's breadth from his principle of absolute and uncompro- mising abstinence. From the very beginning of his medical practice to his last days, he absolutely prohibited the use of alcohol as a therapeutic agent. And not onlv that, but he talked against it to his patients, argued against it before various medical societies and in his more public and popular addresses, and wrote against it in medical and secular periodicals far and wide. It would be impossible at this day, to gather all of Dr. Davis' essays and addresses against the use of alcohol in an}' fcrm, either as a beverage or as a cura- y8 DR. DAVIS' TEMPERANCE WORK tive agent, but if this could be done, the collection would be about as for- midable an array of anti-alcoholic literature as could, be desired. Nor must it be forgotten that as long ago as he began practice, and in fact down to quite recent times, the use of alcohol in medical and surgical practice was not only very common, but its use was, by the majority of physicians, regarded as indispensable. But a change has come over the practitioner of to-day, and the use of alcohol in medical practice is im- mensely less common than it Vv'as a couple of decades ago. It is no more than fair, no more than just, to attribute this change in no small degree, to the ceaseless and persistent hammering of Dr. Davis on his temperance anvil, for a full half-century. \Mien he came to Chicago in October, 1849, ^'^^ brought his temperance principles with him, and they certainly seemed to thrive in the uncongenial atmosphere of this then frontier city, with its cloud of frontier vices. Of course he preached temperance to the students of Rush Medical College, and later to the students of Chicago Medical College, and on Christmas, 1854. we find him delivering to the students of Rush College a "Lecture on the Effects of Alcoholic Drinks on the Human System, and the Duties of Medical Men in Relation Thereto." A little later he delivered and published a lecture descriptive of some original experiments in relation to the eft'ects of alcohol on respiration and animal heat. But probably Dr. Davis' most effective and telling" temperance work in Chicago was done during his active connection with the Washingtonian Home of that city. It has been stated again and again that he was "one of the founders" of the institution in question, and this statement comes pretty near being true. The first movement towards the foundation of the home was due to J\Ir. Rolla A. Law, a well known Chicagoan of forty years ago, a member and an officer of the "Good Templars" (an aggressive temperance organi- zation) and an uncompromising temperance war horse. On October ist, 1863, ^Ir. Law called a meeting of lialf a dozen well known temperance advocates for the purpose of forming an organization looking to the estab- lishment of a refuge for inebriates, and the adoption of measures for their reformation. Four subsequent meetings were held, a constitution and by- laws were drafted by a committee, and adopted, but according to the records of the Secretary, Dr. Davis was not present at any of these meetings. At a meeting held January 21st, 1864, at the Association's first "Home," 547 State street, Chicago, the first Board of Directors was elected, and Dr. Davis was one of the number. In this instance, as in several other similar instances, I have tried to be accurate about facts and dates, because too manv loose statements have been made bv various enthusiastic eulogists, DR. DAVIS' TEMPERANCE WORK 79 concerning- Dr. Davis' agency in "founding" this, that and the other in- stitution, to which he has rendered years of invakiable service, without, ]iowever, being entitled to the claim of founder. But from the time of his election as Trustee in 1864, to his retirement in 1881, a period of seventeen years, he was unwearied in his labors for the advancement of the interests of the Home, and the permanent moral uplifting of its inmates. He did not believe in the cure of inebriety by drugging its victims with antidotes or substitutes or "cure alls" of any kind; but he insisted upon the import- ance of arousing\the self-respect and awakening the latent will-power of the unfortunates, so that they could resist the seductive influences of drink, and return to their vocations and their families. In the management of the Washingtonian Home, owing partly to his professional position, but perhaps more to his unquestioned ability, Dr. Davis very soon came to be the leading spirit in the Board of Directors. He, more than any other man, mapped out the policy of the institution in regard to the treatment of alcoholism, a subject which he had studied, and continued to study, with great care. It is perhaps a fair and just statement to say that Dr. Davis came to he regarded as one of the best equipped men in the country in regard to the treatment, or more properly the curative management of inebriety. He was Chairman of the first Finance Committee of the Washingtonian tlome Association; he was also Chairman of the Executive Committee from .1865 to 1 88 1. During all these years, he was almost invariably present at the stated meetings of the Executive Committee, no matter how inclement the weather, or how crowded he might be with professional cares. As one looks over the early records of the Washingtonian Home, one is amazed at the constancy of his attendance at the meetings of the Executive Com- mittee, as well as the meetings of special committees which were frequently required for special duties, and of which "Dr. N. S. Davis" was pretty sure to be a member. During his connection with the Washingtonian Home, he watched that institution grow from a small and feeble beginning into a strong cor- poration, with every element of permanency ; he saw it housed in its pres- >ent large and commodious building; he saw its "daughter" the Martha Washington Home, successfully launched, and started on its career of usefulness, and he had the satisfaction of knowing that to his untiring- labors, the success of these kindred enterprises were largely due. While it is true that the doctor retired from active service in the Home in 1881, it is also true that his interest in the institution never lessened, and that his memory is cherished by his former colleagues with profound respect and affection. 8o DR. DAVIs' TEMPERANCE WORK But his services to the cause of temperance were by no means hmited to the Washingtonian Home, or to Chicago. Lectures before various bodies ; articles for the secular press, and for medical periodicals; essays for jour- nals especially devoted to the promotion of the cause of temperance from a scientific standpoint, besides the constant hammering on the subject, as occasions presented themselves in his daily contact with patients and others ; and when we remember that he began this sort of Avork in his youth, and never ceased it until he ceased to live, we can form some adequate opinion of the amount and value of his labors in a cause that was exceedingly un- popular when he espoused it, but which had gained a powerful hold on the public mind before age and infirmity compelled him to "cease at once to labor and to live." It is well known to all medical men, and to a great many of the laity. that Dr. Davis was regarded as the father of the American Medical Asso- ciatiou, perhaps- the most powerful and influential medical organization iu the world. Of course his influence in this Association was greater than that of any other individual, and it is interesting to observe that he never missed an opportunity to urge his temperance doctrines upon this august bod}^ Especially did he enforce his views as to the value — or rather harmfulness — of alcohol as a remedy for the treatment of disease in any form. In fact, he took the positive and rather radical ground that, under no circumstances, could alcoholic stimulants be regarded as necessary or even useful, while there were plenty of other remedies more reliable, and less harmful. The doctor presented several papers to the American Alcdical Association enforcing his views, all of which are published in official re- ports of the "Transactiojis" of the Association, and are catalogued in a later chapter of this present work. He also presented various papers, based upou carefully conducted experiments, before medical societies or other scien- tific bodies in various parts of the country, all converging on the single point of the absolutely toxic efliects of alcohol, whether as a beverage or as a medicine. It is needless to add that the great majority of physicians and sur- geons thought, and still think, that Dr. Davis went altogether too far in his condemnation of both fermented and distilled liquors in the treatment of certain diseases, and especiallv in certain grave medical and surgical emer- gencies, where alcoholic stimulants seem absolutely indispensable. But in conclusion I think it quite within the bounds of truth to say that the use of alcohol, in the treatment even of "emergency" cases, has become much less frequent than it was a couple of decades ago ; that it is gradually becoming less frequent as time goes on ; that the older stimulants are better understood and new ones are being discovered ; and that to the persistent DR. DAVIS' TEMri!:RAXCE WORK 8l teachings of Dr. Davis, and especiall}' his positive and fearless position in regard to the therapeutic value of alcohol, before the various scientific bodies which he addressed, and to his voluminous writings pointing in the same direction, must very much of this salutary change be attributed. It should be said that alcohol is no longer classed as a stimulant b^ writers upon Pharmacology, but rather with ether and chloroform as an anaesthetic. By way of securing a favorable hearing for his views, and of assuring their perpetuation among medical men, he aroused the movement which re- sulted in the organization of the "American Medical Temperance Associa- tion" in 1890, and at the meeting in Detroit in June, 1892, he delivered an address on the "Objects of the American Medical Temperance Association," in which the work of the Association was admirablv set forth. CHAPTER XL Literary and Journalistic Work. Dr. Davis certainly wielded the. "pen of a ready v/riter," but a readr writer, like a "ready" speaker, is apt to turn off much ephemeral, and per- haps some ill-digested work. But when we consider the voluminous prod- uct of Dr. Davis' pen, we are compelled to acknowledge that his writings show a degree of care, thoughtfulness and accuracy that are remarkable. In another chapter of this work is printed a "list comprising the more important essays, addresses, reports and volumes, written on professional,, scientific or educational subjects," and published in various periodicals or else in the form of separate volumes, by Dr. Davis, commencing in 1840, and' ending in 1904, shortly before his death. This list* rounds up one hundred and thirty-six titles, including papers and addresses for special occasions,, articles for various periodicals, and separate and independent volumes. As one looks over this list, two or three things attract particular at- tention : first, the comprehensive and formidable titles that the author gave to his papers, amounting in many cases to almost a synopsis of the paper it- self ; second, the severely practical nature of nearly all the papers, and the absolute absence of guess-work where facts were obtainable ; third, the sim- plicity and directness of the writer's language, every paper being written. in clear, concise English, without bombast, redundancy, or the everlasting egotism which defaces the writings of so many of us ; fourth, the large proportion of papers which are reports of, or are based upon, the original experimental work of the author, when the facilities for such work were sO' crude and meagre. Taken as a whole the writings of Dr. Davis will compare favorably with those of any other American medical writer, although, of course, many of his papers and addresses had relation to only a certain occasion of a local or temporary nature, and therefore had only a transient and ephemeral value; but such is the fate of most of the productions of every public, speaker. It is the penalty a popular orator pays for being 2l popular orator.. Between the years 1848 and 1890, Dr. Davis was editor of the eight periodicals named below, but, of course, he served only a few years with each one: *Vide, chapter XII. LITERARY AND JOURNALISTIC WORK 83 •I. The Annalist, a medical journal published in New York; 2. North Western Medical and Surgical Journal, published in Chicago ; 3. Eclectic Journal of Education and JJtcrary RcMezu, also pulilished in Chicago ; 4. Chicago Medical Journal; 5. Chicago Medical Examiner; 6. Journal of the American Medical Association; 7. American Medical Temperance Quarterly; 8. Bulletin of the American Medical Temperance Association Besides having editorial charge and writing editorials for the periodical he happened to be editing at the time, he contributed largely to other periodicals upon various medical, temperance and cognate subjects. His first editorial experience was on the "Annalist/' in 1848. This seems to have been rather a short-lived medical periodical, published in New York. His last editorial labors were upon the Journal of the American Medical Association, whereof he vv'as the first editor and therefore, in a certain sense, the founder. Thus he was nearly forty years in editorial work, with here and there a brief interval of leisure. He blossomed out as an author at the early age of thirty-one, his first publication being a work on agriculture. It has long been out of prinf , and is of course very hard to obtain, but the present Dr. N. S. Davis has kindly loaned me his copy, which is now before me. It is a curiosity in- deed. Its external appearance reminds one of the common school text- books of fifty years ago, with their blue pasteboard covers and indifferent binding. The title page reads as follows : "A Text Book on Agriculture, by N. S. Davis, M. D.— 'Mater omnium Artium, est Scientia.' New York : Samuel S. & AA'il- liam Wood, 1848." The preface is dated "New York, August i, 1847." The author was led to write this book as the result of a report of the "Committee on Agricultural Schools," in the New. York Legislature of 1847, which recommended the study of agriculture "in our best common schools." But no text-book on agriculture fit for use in the common schools existed, and to suppty that want Dr. Davis prepared the work under con- sideration. It is in the fonri of a school book, with questions and answers, commencing with elementary chemistry, and ending vvith "Insects and Worms Injurious to Vegetation." In its day it must have been an exceed- ingly welcome addition to the common school text-books. It appears that the. State Agricultural Society offered a premium for the best work on agriculture, and our author submitted his book, not quite coniplete, in competition with others, and was awarded a "small premium" 84 LITERARV AXD JOURXALISTIC WORK bv the examining- committee, with the privilege of revising and completing his work, and submitting it for final competitive examination, ^^''hen the time came, Dr. Davis presented his book again ; "bnt finding that it Avas the only one in the hands of the committee, it was withdrawn, the author not wishing to ask an award in a coiirs sciilcnieiit" — an example of high- toned honor and delicacy, which will bear copying in these later and per- haps less scrupulous days. His next work was a niodest little 12 mo. volume of 228 pages, with the following overpowering title : "History of Medical Edlxatiox axd Ixstitutioxs ix the UxiTED States, from the first settlement of the British Colo- nies to the year 1850; with a chapter on the Present Condi- tion and Wants of the Profession, and the means necessary for supplying those wants, and elevating the character and extend- ing the usefulness of the whole Profession. — Chicago, 185 1." One is very much tempted to pity this innocent little book, with its back load of title, but a more interesting, readable and profitable bit of medical history, cannot be found anywhere. I regret to say that it is out of print, although I have myself had the good fortune to obtain a copy, and have perused it with peculiar pleasure. It is inscribed by the author to his '"esteemed friend and benefactor. Dr. \Mllard Parker, of Xew York, especially; and to the medical profession of the United States generally." (Dr. Willard Parker was at that time the leading surgeon of Xew York.) Our author's next publication in book form, was "A History of the Americax ^Medical Associatiox from its Orgaxizatiox to Jaxuary, 1855." This book, from preface to finis, is an unconscious paean of triumph. Although the author knew full well that the American Medical Association V\'as mainly the fruit of his own labor ; that many obstacles had been met and overcome by him in accomplishing this work, and that its success and per- manency now seemed well assured, yet we find no attempt at self-glorifica- tion, no vindictive flings at those who opposed him and his broad and states- man-like plans : but there is an undercurrent of rejoicing in the hour of victory which was undoubtedly shared by most of the readers of that his- tory, Avhen it was first issued. It is altogether desirable that this work, now out of print and almost impossible to obtain, be reissue