HX00053228 $#* Columbia SUttitarsttp Digitized by the Internet Archive in 2010 with funding from Open Knowledge Commons http://www.archive.org/details/onehundredyearsoOOgold JOHN T. HODGEX. ONE HUNDRED YEARS -OF- Medicine and Surgery IN MISSOURI HISTORICAL AND BIOGRAPHICAL REVIEW OF THE CAREERS OF THE PHYSICIANS AND SURGEONS OF THE STATE OF MISSOURI AND SKETCHES OF SOME OF ITS NOTABLE MEDICAL INSTITUTIONS. PUBLISHED BY ST. LOUIS STAR 1900 Copyrig-ht, 1900, by THE STAR PUBLISHING COMPANY. All Rights Reserved. LIST OF CONTRIBUTORS AND COLLABORATORS The thanks of the publishers are due the following well-known members of the profession for services rendered in the preparation of this volume: T. M. ALLEN, Liberty. F. J. LTJTZ. LE GRAND ATWOOD. KEATING BAUDUT. C. L. CARTER. F. GRISWOLD COMSTOCK. WALTER B. DORSETT. S. C. DELAP, Sedalia. E. C. EVANS, Sedalia. JACOB GEIGER, St. Joseph. C. H. HUGHES. E. H. GREGORY J. D. GRIFFITH, Kansas City. H. W. LOEB. J. B. JOHNSON. WILLIAM JOHNSTON. E. W. SCHAUFFLER, Kansas City. GEORGE E. M'NEIL, Sedalia. I. N. LOVE. WM. M. M'PHEETERS. ALBERT MERRELL. A. B. MILLER, Macon City. A. E. NEUMEISTER, Kansas City. JAMES C. NIDELET. W. B. OUTTEN. SIMON POLLAK. WILLIAM PORTER. JACOB FRIEDMAN. M. C. STARKLOFF. H. H. VINKE, St Charles. H. M. WHELPLEY. W. A. 'WILCOX. WILLIS YOUNG. I. N. RIDGE, Kansas City. M. A. GOLDSTEIN, Editor. PEEFACE. In the production of this work; issued under the auspices of the St. Louis Star, the publishers claim the honor of presenting the first compre- hensive history of the origin, development and progress of the medical and surgical sciences in the State of Missouri. With the united co-operation of a carefully selected staff of contributors and the painstaking efforts of the compilers, data, events and reminiscences have been collected and ar- ranged with special regard to their chronological sequence, embracing the development of these fields of science from their earliest periods in the his- tory of this good State and tracing them through the nineteenth century to the present day. To include in one volume the many scattered facts relating to the physicians of Missouri, biographical points of interest, landmarks of med- ical institutions in the early days of Missouri's development, has involved the exploration of untrodden ground. There have been no works of pred- ecessors in this field of medical chronology to consult, and the editor and publishers realized the difficulties of their task. As a source of information we have drawn freely from the records of the State, from the pages of the early newspapers and medical periodicals, writings of illustrious physicians, now dead, and the reminiscences and rec- ollections of some of our old and much esteemed living medical confreres. We are cognizant of the many shortcomings which this first collection of historical data of medical and surgical importance to the State of Mis- souri must present, and we most respectfully ask the indulgence of the reader. Whatever credit may attach to this work is clue largely to the con- scientious work and hearty co-operation of the selected staff of contributors, a list of whom appears on another page. The publishers extend to these gentlemen a grateful appreciation of their valued work. To the generous criticism and the appreciation of the physicians and surgeons of Missouri, and to the interested laity, we commend this work. THE EDITOR. TABLE OF CONTENTS. CHAPTER I. Early History 9-28 Introduction— Autobiography of Dr. Antoine Francis SaugTain— Sketch of the Life and Character of the late Bernard G. Farrar— List of Physicians in Paxton's Directory — Second Epoch in the History of the Profession in St. Louis — Miscellaneous Sketches. CHAPTER IT. The Old Guard 29-5* (1) Reminiscences of Dr. J. B. Johnson — (2) Reminiscences of Dr. Elisha H. Gregory— (3) Reminiscences of Dr. Simon Pollak— (4) Reminiscences of Dr. William Johnson — (5) Reminiscences of Dr. Charle9 L. Carter, Warrensburg — (6) Reminiscences of Dr. Joseph Nash McDowell, by Dr. Le Grand Atwood — (7) Reminis- cences of Dr. H. H. Vinke, St. Charles— Physicians' Fee Bill in 1829 — Charges for Medicine. CHAPTER III. Dr. Beaumont's Experiments 55-62' Experiments and Observations on the Gastric Juice and the Physiology of Digestion, by William Beaumont, M. D. CHAPTER IV. The Cholera Epidemics 63-81 History of Epidemic Cholera in St. Louis in 1849. by Dr. William M. t MoPheeters— Cholera Epidemic in St. Louis in 1866, by Robert Moore, C. E.— Table of Cholera Mortality in St. Louis From 1849 to 1873. CHAPTER Y. Yellow Fever in St. Louis in 1878 and 1879 82-84 Review of the Great Epidemics, by Dr. Walter B. Dorsett— Table Showing Cases and Deaths of Contagious Diseases for Forty-nine Tears. CHAPTER AH. The Last Half Century 85-1 01 Matters and Things Medical in General, a Brief Retrospect by Dr. W. M. McPheeters— The Medical Profession of St. Louis from 1860 to 1900, by Dr. I. N. Love. CHAPTER VII. In Western Missouri 102-110 Sketches of Well-Known Physicians and Surgeons — Medical Institu- tions of Kansas City— Medical Notes From Pettis County, by Dr. George H, McNeil, Sedalia. TABLE OF CONTENTS (CONTINUED). CHAPTER VIII. Id the Civil War 111-126 Report of the Surgeon-Genera 1 , of the State— Roster of Missouri Army Surgeons and Assistants During the Civil War, arranged by Dr. William A. Wilcox. CHAPTER IX. The Medical Association of the State of Missouri 127-132 History of the 'State Medical Association, by Dr. Frank J. Lutz — Presidents of the Association Prom 1S50 to the Present Time — "List of Medical Societies of the State. CHAPTER X. Homeopathy and Eclecticism 133-144 Homeopathy in Missouri, by Dr. S. Griswold Comstock — Noted Prac- titioners— (Missouri Institute of Homeopathy— The Eclectic School of Medicine, by Dr. Edwin Younkin — Eclectic Medical Writers of the State. CHAPTER XI. State Board of Health 145-154 Statutes Creating the Board and Defining Its Powers — History of the Board, by Dr. Albert Merrell— Organization of the Board since 1883. CHAPTER XII. The St. Louis Board of Health 155-158 History of the St. Louis Board, by Dr. M. >C. Starkloff, Health Com- missioner — Mortality Table Since 1850. CHAPTER XIII. Hospitals of Missouri 159-175 Introduction— Brief Sketches of Leading State and Public Hospitals. CHAPTER XIV. Medical Colleges of Missouri 176-197 Introduction— Sketches of Most Important Colleges^McDowell's Prophetic Oration. CHAPTER XV. Medical Journals of the State 198-207 Brief Historical Review of the Medic al Press. CHAPTER' XVI. Biographical 208-360 Portraits and sketches of Physicians and Surgeons — Portraits of ex- Presidents of the State Medical As sociation—THistorical Reference to Individual Physicians and Surgeons Dead and Living. INTRODUCTORY REMARKS.* The progress of Missouri in matters medical may truly be said to have kept pace with her marvelous advance — financial, manufacturing and commercial. Her two principal commercial centers, St. Louis and Kansas City, present an array of medical ability and enterprise comparing well with the seaboard States for professional talent, college equipment and hospital provision. The medical profession of Missouri, from its earliest history to the present time, has been noted for high professional, moral and personal character. In St. Louis the McCalls, Merrys, McCabes, Perrys, Whites, Howes, Maloneys, Trodeaus and Holmeses were medical men of mark in the long lime ago. During that memorable decade in the history of St. Louis, from 1840 to 1850, when the then young city was attracting world-wide at- tention as the coming commercial center of the valley of the Mississippi and •of the great and growing West; the decade of the great lire; of the laying of the first rail of the great transcontinental railway to the Pacific; of the founding of the first medical journal west of the Mississippi, when her medical schools first began to attract attention, a galaxy of intellectual stars appeared in her medical firmament. The urbane and polished Farrar, senior and junior; the cultivated Linton and McPheeters, who founded the St. Louis Medical and Surgical Journal; Pailen, the eloquent; Prather, Rayburn, Alleyne, the amiable; John B. Johnson and Fourgeau; the talented, and accomplished Pope; the gifted and eccentric McDowell, founders of the respective schools which subsequently bore their names; the gifted Beaumont, then an army sur- geon, who gave to the world the most advanced knowledge at that time on the physiology of digestion; the senior Farrar 5 s talented pupil, Merideth Martin; B. J. Waiters, the physiologist who attained a cosmopolitan fame; Smith, fresh from a chair in Jefferson Medical College, who went from St. Louis to the Southland and introduced the refrigerative methods in the treatment of yellow fever; Lawton, Xewman, Tiffin, Oliphant, Carr Lane, McMurray, Montgomery, S. G. Moses, George Johnson and J. J. Clark. George Johnson, William McPheeters, J. J. Clark, Charles A. Pope and John B. Johnson founded the first free public dispensary west of the Mississippi, while Lemoine, John B. and George Johnson and J. J. Clark founded St. Luke's Hospital for the medical profession. In 1845 came Simon Pollak, at this writing the oldest physician liv- ing in St. Louis. Pollak founded the first eye clinic, in connection with the Mullanphy Hospital; and set on foot the project, and was early ^nd long a director of the Missouri State Institution for the Blind. This epoch also gave us Drs. John S. Moore, Algernon Barnes, Thomas McMartin, A. M. Litton, the chemist; and towards its close, or a little later, Charles W. Stevens, Wm. Johnston, John T. Hodgen, whose swinging fracture splint has found favor with the world's greatest surgeons; B. F. *Oharles Hamilton Hughes. 8 ONE HUNDRED YEARS OF Shumard of the Missouri Medical College, who later became State Geol- ogist of Texas; Boisliniere, the accomplished accoucher; Papin, the amiable and resourceful gynecologist; and those combative geniuses of the scalpel, Adam Hammer and Louis Bauer. Hodgen had a worthy successor in his nephew and pupil, H. H. Mudd, who died recently in the midst of a glo- rious professional career. Among the living links that bind the present professional history of St. Louis with its remoter and memorable past as one of medical learn- ing and skill are: John B. Johnson, William Johnson, E. S. Lemoine, Thos. E. Eumbold, the first specialist in diseases of the nose, throat and ear in the West; Simon Pollak, the colleague of Pope, and Elisha H. Gregory, the latter's pupil and successor in the Chair of Surgery; William M. Me* Pheeters, A. S. Barnes and Thomas O'Reilly. Upon their comely visages age still "sits with decent grace"' and "worthily becomes their silver locks/' They still abide with us, shining examples of probity of char- acter, industry and professional devotion. Another generation of medical men whose faithful works are speak- ing for them follow closely after the preceding. Their names and deeds- are recorded herein, while a generation is still following these, and they are by their work speaking for themselves and for their profession, a profession which is second to no calling in scientific, philanthropic and courageous devotion to the welfare of mankind. Their names, too, have in this volume the conspicuous places they deserve "for their attainments, their heroism and their devotion. From the records of their character and work "in humanity's cause," past and present, Missouri has full warrant for the pride she takes in her physicians. In her medical schools and colleges St. Louis simply shows the de- velopment of modern times in becoming one of the great educational cen- ters of the world. Like London, Edinburgh, Paris, Berlin, Vienna, Xew York, Philadelphia, Baltimore, Chicago, !New Orleans, Louisville, Detroit,. Minneapolis, St. Paul and Kansas City, the Missouri metropolis is not only a central point of commanding importance in respect to trade and finance, but her schools and colleges attract the attention of the civilized world, and the student turns to her institutions of literary learning and her medical colleges with the assurance of deriving the same light and train- ing offered in any other educational center. The old institutions — the St. Louis Medical and the Missouri Medi- cal Colleges — now merged into the medical department of Washington University; the younger institutions — Beaumont, Marion-Sims, the College of Physicians and Surgeons and Barnes Colleges — are vigorous and well equipped. There are private offices and hospitals which also attract the attention of scientific men. The attendance of students at all of them is large ancb marks St. Louis as an important center of medical education. What has been said in these remarks of St. Louis can truly be said, relatively, of Kansas City and the State generally. Each section will be given the treatment in justice due by able writers in the pages which follow. * »>. MEDICINE AND SURGERY. CHAPTER I.— EARLY HISTORY As St. Louis was first settled by the French, it naturally follows that its earliest physicians were men of that nationality. It is" recorded in early histories that the first scientific practitioners who favored the pioneer settlers with evidences of their skill were army surgeons who were stationed at the military posts under the French and Spanish re- gimes. In many instances these surgeons settled in the community and identified themselves with its interests and life. As they were in most in- stances gentlemen of superior education, they laid the foundation of a standard medical practice and of a code of medical ethics, which has since caused the profession in Missouri to occupy a responsible position in the- world of medicine. According to "Billon's Annals," the first of the French post sur- geons to become a permanent resident was Dr. Andre Augtiste Conde, who was stationed at Fort Chartres prior to its cession to England, and crossed the river with a few soldiers brought here by Capt. St. Ange de Belleviere. The date of arrival is given as October 20, 1765. Jane 2, 1766, Dr. Conde received from Gov. St. Ange a concession of two lots in the village, described as fronting on Second street, and being the east half of the block south of the Catholic Church block. On this ground he built for his residence a house of upright posts. He lived in this house until his death, which occurred November 28, 1776. Dr. Conde was a gentleman of fine educational attainments. He wrote a beautiful hand. He had an extensive practice on both sides of the river, being for a time alone in his profession at this point. He was a prominent man in the village in his day. An inventory of his estate, taken a few days after his death, included the names of 233 residents who were indebted to the doctor for professional services. This list comprised nearly all of the residents of both banks of the Mississippi in this lo- cality and might have served for a directory of the two villages. The second medical arrival was that of Dr. Jean Baptiste Yalleau, a native of France, but a surgeon in the Spanish service. He was one of a company under command of a Capt. Rios, which arrived from New Orleans- late in the year 1767. He died November 21, 1768, having made his will while on his death bed. This was the first will to be executed in St. Louis. Agreeable to the terms of this will, Dr. Yallearfs executor sold at public sale a village lot of 210 feet frontage oil Second street, from Chestnut to Pine. The lot brought 251 livres, or about $50. Dr. ^ 7 alleau died when a young man, surviving but one year after his advent in the village. Dr. Antoine Reynal appears to have been the third surgeon to prac- tice in St. Louis, his residence and professional career dating from 1776. He lived here for over twenty-three years, removing at the end of that period to St. Charles, where he subsequently died. The first post-mortem inquest in St. Louis was held by Dr. Bernard Gibkins, who practiced here in 1779 and 1780. The inquest referred to was held over the body of Domingo de Bargas, a young Spanish merchant, who died suddenly on the night of July IS, 1779. After examining wit- 10 ONE HUNDRED YEARS OF nesses, Dr. Gibkins made his report: That De Bargas had died from apo- plexy, superinduced by the excessive heal. Deceased was 38 years of age. But little more is known of Dr. Gibkins than his connection with this incident. Dr. Clauvio Mercier. another native of France, became a resident of St. Louis in 1784. He died here January 20, 1787. Dr. Philip Joachim Gingembre came to this place in 1792. He lived for some time in a small stone house located at the northwest corner of Olive and Second streets, but subsequently went to France. It does not appear that either Mercier or Gingembre practiced in St. Louis. I)r. Antoine Francois Saugrain came to St. Louis from Gallipolis, 0., in the year 1800. His life's history prior to his advent here is given in Dr. Saugrain's autobiography, here inserted: AUTOBIOGRAPHY OF DR. ANTOINE FRANCOIS SAUGRAIN. Born in the center of Paris, called "Isle de la Cite/' in February, 1763, his paternal ancestors were librarians for nearly two centuries. The subject of this sketch was a chemist and mineralogist, and when a young man (about 1784-5) he entered the service of the King of Spain to ex- amine the mines and mineral productions of Xew Mexico. This service completed, he returned to France, 1785. In 1786 he made a trip to Mexico, returning to France in the same year. In 1787 he came to the United States, accompanied by two Parisian friends, M. Pique, a botanist, and M. Raguet. Young Saugrain carried a letter of introduction to Dr. Franklin from M. le Yillard, an old friend of the doctor's. The great American philosopher and patriot must have been favorably impressed with M. Saugrain's appearance, for he indited the following reply : PHILADELPHIA, February IT. 1788. To M. le Yillard: My Dear Friend — I received your kind letter of June 23 by M. Saugrain, and it is the last of yours that has come to my hands. I find M. Saugrain an- swers well to the good character you gave him and shall with pleasure render him any services in my power. He is now gone down the Ohio to reconnoiter that country, etc.. etc. BENJAMIN FRANKLIN. After remaining for a time in Philadelphia, he in the winter of 1787- 88, being then 24 vears of age, proceeded with his two French companions, Messrs. Pique and Raguet, to Pittsburg. Early in the spring of 1788, hav- ing been joined there by an American, a Mr. Pierce, the four left Pitts- burg on a flat boat or a broad horn, then so-called, with their horses and baggage, to descend to the falls of the Ohio, now Louisville. "We got along well for some days, but on March 24, when opposite the Big Miami River (near the present town of Lawrenceburg. Ind. — Ed.) we were suddenly fired upon by a party of Indians hidden behind an old flat boat that lav aground on the north shore. The first discharge wounded M. Pique severely in the head, killed one of our horses and wounded an- other, which in falling fell upon M. Saugrain's hand, crushing his fore- finger. The Indians yelled to us to land, but hoping to escape them we continued our course, pursued by the savages in their canoes. Seeing that we must be overtaken we jumped overboard, hoping to reach the Kentucky shore and escape to the woods. M. Pique, badly wounded, was drowned in the attempt. M. Raguet, on reaching the shore, encountered two Indians who were on the watch for us. and who soon dispatched and scalped him. Mr. Pierce and myself escaped to land, but were pursued MEDICINE AND SURGERY. li and captured by the two Indians who had killed M. Raguet. They hound our hands and started after our boat, which the others had taken. "During the next night, while our captors were sound asleep, I con- trived to loosen my hands and liberate my fellow prisoner. We stole quietly away, keeping in the woods, down the river, in hopes of being over- taken by a descending boat. After three days' terrible suffering, nearly famished, feet bare and frost-bitten, my left hand disabled and bleeding from a slight gunshot wound in the neck, we were, on the 27th, to our great delight, overtaken by two boats. "Some of their crews came ashore and carried us to the boats and did all they could to relieve our sufferings. Two days later, in the evening of the 29th, we landed at Louisville. "On the following day 1 was taken across the river to the American fort at Clarksville for better care. There I was cordially welcomed by Maj. Willis and the officers of the garrison and placed in care of the post surgeon. I remained there until May 11, by which time I was pretty well restored, except my disabled finger and one of my feet, small portions of which had been amputated, from the effects of the frost." In the summer of 1788 Saugrain returned to Philadelphia and thence to France, and remained in his native country during the eventful year of 1789. In April of 1790 he again sailed for the United States on the same vessel with a number of French emigrants, 'destined for the new settlement of Gallipolis, in Gallia County. Ohio. They lauded at Alexan- dria, on the Potomac, on the 6th of July, and came by Winchester, Va., and Red Stone (Brownsville) to the Monongahela, and descended that river and the Ohio to their destination, where they arrived in the fall. Dr. Saugrain resided for six years in Gallipolis and Avas there mar- ried in 1793. Dr. Saugrain was a highly educated, polished gentleman and a suc- cessful practitioner of the old school. He was one of the earliest advo- cates of vaccination in this section, and in the summer of 1809 announced in the Missouri Gazette that he had secured some of the vaccine matter, or infection — the first genuine brought to St. Louis. He successfully com- municated that inestimable preventive of smallpox to a number of the inhabitants of St. Louis and adjacent villages, and further announced that "he would, with much pleasure, on application, furnish physicians and other intelligent persons residing beyond the limits of his accustomed practice, with the vaccine infection." Dr. Saugrain continued in the practice of his profession until his death, which occurred in St. Louis May 19, 1820. The first American born physician to establish himself permanently west of the Mississippi River was Dr. Bernard Gaines Farrar, who has been mentioned in medical annals as the "Father of the profession in St. Louis." His life and deeds are best described in the following, which is taken from an 1850 file of the St. Louis Medical and Surgical Journal: SKETCH OP THE LIFE AND CHARACTER OF THE LATE BERNARD G. FARRAR, M. D. —By Charles A. Pope, M. D.— Prepared at the Request Of, and Read Before, the St. Louis Medical Society. Gentlemen — Your partiality has assigned me the task of giving to the society a sketch of the life and character of the late Bernard G. Farrar, 12 ONE HUNDRED YEARS OF M. I)., the venerated first president of this body. I am sensible that the choice resulted rather from my connection with the deceased than from any peculiar fitness or ability on my part. Yon will, therefore, readily excuse the regret that I express at the selection not having fallen on some older member, who, to superior qualifications, could have boasted the additional large or long friendship and professional intercourse with the subject of our notice. I shall, nevertheless, with your indulgence for the difficulties under which I have labored, attempt", as far as possible, to do even slight justice to the memory of our departed friend and brother, and to present before you a portrait which T hope will not be altogether unrecognizable by many here present. For the materials which have aided me in this sketch T am indebted to my own recollections, as well as to the immediate family and friends of the deceased, and to his few remaining professional friends, who. like him, were among the medical pioneers of the West. Before, however, entering on my subject, I may be allowed briefly to allude to the intention of the present memoir. It is both right and proper, and due alike to the dead and ourselves, that we should thus regard the worth and virtues of our departed brethren. The dead are honored thereby and the living may be profited. Besides, the life of him of whom we now consider forms an important link in the medical history of this region, and as such deserves more than a passing notice. If in aught that shall be said any interesting facts be preserved, if any younger aspirant for professional honor and success amongst us may be stimulated to emulate the example here held forth, and by patient and persevering effort, directed by honest purpose of head and heart, overcome the many obstacles that may beset his early path and clog his future progress, my object will have been attained. I will not confine myself to the merely professional ca- reer of the deceased, for, having lived nearly half a century in St. Louis* he was thus connected with its early village existence; and it will, therefore, be excusable to speak of him as the citizen and as exercising that in- fluence on the community which at so early a period an enlightened phy- sician was likely to exert. Dr. Bernard G-. Farrar was born in Goochland, Va., on the fourth day of July, 1TS5. His father, Joseph B.oyal Farrar, extensively known and beloved for his social and hospitable character, removed to Kentucky in the fall of the same year, the doctor being then only a few weeks old. He settled within a few miles of Lexington, where most of the doctor's youthful days were passed. His father was four times married, as was his mother also. As all of these unions were fruitful, there were seven different sets of children united in the same family. This host of offspring caused the patrimony of each child to be small. The doctor entered life with lim- ited means. - His early education was entrusted to the supervision of one Parson Stubbs, a well qualified and worthy man. At this period, as I am informed by one who knew him well, the doctor was more distinguished for his love of boyish and playful mischief than devotion to his studies. His teacher was a very pious man, and in allusion to Barney's (as he was familiarly designated) mischievous, but always laughable tricks, often expressed his deep commiseration for his poor mother. He was sadly afraid, he said, that Barney would one day or another be certainly hung. This was a subject of much amusement in the school, at the good old teacher's expense, it being obvious that he did not properly discriminate between real wickedness of heart and the mere love of fun. BERNARD G. FARRAR. MEDICINE AND SURGERY. 13 The death of his father took place in 179.6. From this period until maturity he was sustained and guided by the unremitting vigilance and counsel of his affectionate mother, whose memory he cherished most de- voutly through life. He was now entered as a regular student in the lit- erary department of Transylvania University, where he remained for three years. In. the spring of 1800 lie commenced the study of medicine with Dr. Selmon of Cincinnati, 0., with whom he continued a twelve month. He was then placed under the tuition of Prof. Samuel Brown of Lexing- ton, Ky., at that period the most eminent in the profession in the West. He remained with him for three years, during which time he was an as- siduous student. In 1804 he repaired to Philadelphia and attended a course of medical lectures in the University of Pennsylvania. By his previous study and application he was well fitted to listen with profit to the teach- ings of Bush and Physich, those fathers of American medicine and sur- gery. After the close of the season he returned to Lexington, and at the following commencement received a degree of Doctor of Medicine from the medical department of Transylvania University. Immediately on his graduation Dr. Farrar removed to Frankfort, Ky., but a few miles from Lexington, where he formed a co-partnership in practice with Dr. Scott, a gentleman who stood at the head of the pro- fession in that place. Dr. Farrar did not long remain in Frankfort, chiefly for the reason that it was so near his home, for the doctor was one of those who thought that a prophet was without honor in his own country, and that a physician, especially, was less likely to succeed among his own family friends than amidst strangers. He used often to say that the community should not know how a doctor was made. His views on this point are further illustrated by an anecdote he was in the habit of relating. Whilst still at Frankfort an old schoolmate met him ac- cidentally on the street, and, being delighted to see him, gently touched him on the shoulder and accosted him most familiarly with "How do you do, Barney?" This was but little in accordance with the doctor's ideas of professional respect and dignity, and so, seizing the gentleman by the collar, and assuming a rather belligerent attitude, he said: "Sir, no Bar- ney any longer. I am Dr. Farrar, if you please, and never shall you or any one else call me otherwise." Notwithstanding the influence of Dr. Scott in his behalf, his success did not equal his expectations, for, like most young men, he was ambi- tious, and deemed his thorough course of study and preparation deserving of a more rapid and greater success. The place, he said, was too near home, and all had known him as Barney Farrar and had he even lived there until his death he would probably have been known as Barney still. He therefore turned his thoughts to a distant home in the then far West for a better theater in which to try his fortune. Fortunately about this time he had heard much of the prosperity of St. Louis and its peculiar advantages for a physician. On the earnest- advice of Judge Colburn, one of the Territorial Judges for Missouri, a brother-in-law of the doctor, he accordingly, in the fall of the year 1806, embarked at Louisville on a keel boat, the only mode of water convey- ance at that early period. The boat was propelled by the tardy process of the time, called cordelling, and after a tedious voyage of many weeks, rendered exciting by the variety of accidents, owing to the then great dif- ficulties of navigation, he reached St. Louis. Pleased with the appearance 14 ONE HUNDRED YEARS OF of the place and its peculiar fitness for' one of his profession, he at once determined to settle. Although preceded by one or two of the profession, Dr. Farrar was the first American physician who permanently established himself west of the Mississippi. .From these circumstances, in conjunction with the high character he afterwards sustained, he is justly entitled to the appellation of "Father of the profession in St. Louis." This region of the country was then called Upper Louisiana, and had but a short time before been pur- chased from Xapoleon by Mr. Jefferson. "The doctor soon received such flattering marks of encouragement from the French inhabitants of the -village as to render certain his success, and, indeed, to betoken the high degree of future prosperity and professional reputation. He found on his arrival here no other established physician than Dr. Antoine 'Saugrain, who had, some years before the change of govern- ment, emigrated from Europe to Gallipolis, 0., then the Northwestern Territory, from thence to St. Louis. Dr. Saugrain was educated in Paris for the vocation of chemist, but subsequently turned his attention to the healing art generally. He left behind him the reputation of a good phy- sician and gentleman. His practice was principally on the vegetable sys- tem, as he abhorred calomel and relied much on ptisanes. At all events his treatment of the disease of the country differed materially from that of Dr. Farrar. For such was the marked success of the latter that it struck the attention of even the non-professional, and rapidly acquired for him an extensive practice and the reputation for eminence in his profession. His name soon reached beyond the narrow limits of the village, and he was often sent for from hundreds of miles around. As a skillful physician his fame continued to increase, not only from the force of his genius and talents, but also from his kindness of manner and devoted attention to his patients. Such, indeed, was the humanity of his heart that it was- with difficulty he could witness the sufferings of his fellow creatures in mind or bod} r , and yet in the hour of danger, when necessity called forth his best energies in behalf of his patient, a firmer spirit never existed. He excelled particularly in tact, and in his progress he is said seldom to have failed. For boldness and decision of character and promptitude in action when occasion required it, he was rarely equaled. The doctor was once summoned to see a female who for some time had been, sick of a fever, and was regarded as dead, both by her physician and friends. Indeed, her shroud was being made, and the corpse had been laid out when the doctor entered. The mirror and usual tests of vitality were applied, but with only negative results. The idea now struck the doctor to apply a redhot smoothing iron to the soles of her feet. This Avas soon done, whereupon the woman stood erect and cried aloud. The story js literally true. A gentleman who saw the patient laid out — as he thought, a corpse — left a few minutes afterwards for Pittsburg, and without any knowledge of her resurrection, met her on his return in perfect health. He stated that the occurrence gave him greater terror and astonishment than did the terrible convulsions of nature which he experienced near Xew Madrid in 1811. whilst in a keel boat on the Miss- issippi, whose tide was rolled tumultuously in a reverted direction for many miles and the earth was rent in many places. From the circum- stances above related, as well as his general reputation for professional skill, he was supposed by people capable of raising the dead. In the obstetric art he enjoyed a large practice and shone pre-eminent. MEDICINE AND SURGERY. 15 From contemporary testimony it is doubted whether any man ever practiced more dexterously and skillfully the various operations of turning and the application of instruments. I have said that Dr. Farrar was eminently successful in his general practice, but as a surgeon also he claimed an enviable distinction. From his own account he was always loath to use the knife except when the life of the patient demanded it at his hands. Tlis reluctance to operate sprungj am sure, from his unwillingness to witness or inflict pain on his fellowmen. As an operator he was skillful and rapid, but when, as in the oblation of different tumors, the dissection required care, he was extremely cau- tious, using, as he was wont to tell me, more the handle than the point of his scalpel. One of his first operations was the amputation of a thigh, performed on a man by the name of Shannon, who, when a youth, ac- companied Lewis and Clark on their expedition to the Pacific Ocean. In 1807 he undertook a second expedition under the auspices of the general government to ascertain the sources of the Missouri River. At a point 1,800 miles up that river he was attacked by the Blackfeet Indians and wounded by a ball in the knee. He was brought down to St. Louis and successfully operated on by Dr. Farrar. In those times the case was considered as an evidence of great skill, in view of the distance the pa- tient had traveled and the low state to which his constitution had been reduced by the accident. This same gentleman afterwards received an education in Kentucky and became one of her best jurists. He was sub- sequently elevated to the bench. Judge Shannon often said, and even declared on his deathbed, that he owed both his life and his honors to the skill of Dr. Farrar. There was one operation to which I must make special reference — a patient, a young man, affected with stone in the bladder, where the calcu- lus had become fixed in its fundus, and could be easily felt in the rectum. The doctor conceived and executed the recto-vesical section. This was done several years previous to the same operation by Sansom, but the latter, however, by publishing, has the universal acknowledgment of pri- ority. It is unfortunate on all accounts that any neglect should have oc- curred in this particularity, notwithstanding the recto-vesical operation is now too very exceptionally resorted to. During the war with Great Britain, in 1812-11, Dr. Farrar served both as surgeon and soldier in defending Missouri from the Indian depre- dations. His reputation had now increased to the extent of being known and acknowledged abroad. In proof of this he was offered a chair in his Alma Mater, the medical department of Transylvania University, then the first and only school of medicine west of the Alleghenies. Xothing could have been, more gratifying to his feelings, more calculated to excite in his mind emotions of heartfelt pride and satisfaction, than the pro- posed honor. He, however, declined the situation, preferring the more substantial benefits of a lucrative, though laborious practice, to the uncer- tain renown of professorship. From his own acknowledgment, I am assured that his declination arose more from real modesty and his long sup- posed incompetency than from any other cause. As a man and citizen Dr. Farrar occupied in this community a high position. Such was the popularity and confidence reposed in him that he was elected a member of the first Legislature that was assembled under the territorial form of government. He, however, continued as a repre- sentative during; a single season only. His re-election was much desired IC ONE HUNDRED YEARS OF and could easily have been effected, Imt tie perceived that it would with- draw him too much from his profession, a theater he thought of more useful action on his part towards the country. He ever afterwards re- fused to engage in polities, assigning very properly as a reason that few men arrive at eminence or great usefulness, except in a single pursuit, and of all others the medical profession was jealous of exclusiveness and re- quired a strict adherence to this maxim. In connection with his politics, it may perhaps, without offense he stated that he was an unsv r erving Whig through life. His political, as well as religious tenets, never con- travened his personal friendships — he was alike the physician of all parties and denominations. His. love of country, its constitution and the memory of its early patriots, was ardent and enthusiastic. In the discharge of his professional duties Dr. Farrar was both phy- sician and friend. No company or amusement could make him neglect his professional engagements, and he was ever ready at the call of the poor. Indeed, with respect to remuneration for his services, it was in most cases optional whether payment was made at all. The convenience of all was the rule that governed him. Instances frequently occurred where he had attended families for years whose views led them to remove to a distance, when some friend would suggest with propriety the sending of his bill. His answer was, Let them go; if they could do without him, he could do without them. In other cases men would call to pay bills when he would inquire what length of time he had attended them or their families (for he never made regular charges in books), and generally ended by saying that they must make the fee such as they were able to bear or might think proper. He was always generous and disinterested, nor can history produce an instance in which a life of such intense de- votion in relieving the diseases incident to his fellowmen has been less re- warded by pecuniary emolument. Tins utter want of selfishness and ex- treme pecuniary carelessness formed, perhaps, one of the most distinctive traits of his character. But Providence seems to have been mindful of the doctor's care for suffering men. Some real estate in St. Louis and its vicinity was secured to his family, which, by its increased value, enabled him to spend his latter days with all the comforts around him which a generous soul enjoys and dispenses to others and the means of gratifying every rational desire of life. Many anecdotes illustrative of the peculiarities of the doctor are told by his old acquaintances, one or two of which I will relate. Having occasion to visit Louisville, he went on horseback, and liberally supplied himself with funds, all in the shape of silver half-dollars. This arrange- ment, he supposed would prove convenient for change at the houses where he might stop. The whole amount was pretty well distributed and thrown carelessly loose in his great coat pockets. Off he started in his usual trot upon his journey, and after traveling some thirty to forty miles he halted to rest for the night, when, lo ! on looking for his treasure he found to his surprise that it had all disappeared. The holes in his pocket explained the mystery of its escape, thus be- sprinkling the road from one end to the other, much to the satisfaction of some Vide Poche teamster, who happened to follow him. The doctor informed the landlord of his misfortune, told him who he was and re- quested entertainment for the night on credit. The worthy farmer dis- believed the whole story and called him an impostor and refused to af- ford him lodging, saying, that although he had never seen, he had heard MEDICINE AND SURGERY. ^ of old Dr. Farrar as long as he had lived there, and that the person before him was entirely too young to be the same. JS T ow it happened from the early and great baldness of the doctor that he was thought much older than he really Avas, and on this account he was generally called old Dr. Farrar. The doctor at once pulled off his hat, made the necessary ex~ planations and was not only admitted to a quiet night's repose, but treated with the best hospitalities of the landlord. There once lived hard by the doctor's borne a man with no very honest views of the rights of property, who, whenever there happened a deficiency (which was no infrequent case) in his own supply of wood, was accustomed to replenish his stock by an occasional stick, taken under cover at night, from an ample store that lay piled up in the doctor's yard. These petty depredations had been carried on for a considerable time, a,nd not without the doctor's knowledge. But, although he knew full well the thief, he had never caught him in the very act. To effect a certain de- tection he caused a fine, fat looking and tempting back log to be heavily charged with powder. It accomplished his purpose, for that very night, on going out quite late, he found it to have disappeared. It was only then that the possibly fearful consequences of what he had done came upon him with the fullest force and brought him seriously to reflect, that al- though the thief might meet his just reward, the wife and many little children would also pay the penalty of his guilt. So, rushing hurriedly to the house, he saw the very self -same back log upon the fire with the inmates gathered in a family group around it. There was yet time — the lire had not yet reached the powder. Telling all to save themselves for their lives, he seized the burning stick and carried it safely from the house before it had exploded. From an early period of his youth Dr. Farrar Avas esteemed by his companions for his love of truth, honor and justice, and he fearlessly maintained among men tbose principles through life without meriting re- proach. In his friendships he Avas Avarm, constant and true, ever slow to give credence to the reputed errors of those he esteemed. Kind and amiable, as well as open, frank, brave and undesigning in his feelings and principles, it was painful to him to witness any deviation from propriety in others. Least of all. would he forgive any dereliction in a physician. He of all others, he thought, should be above suspicion and reproach. What in other men he might overlook, in a physician he Avould never forgive. As a Christian he Avas mild and tolerant, believing that all intem- perate discussions of its benevolent principles Avere uncalled for. He was tAvice married. As a husband and father he Avas uniformly affection- ate, kind and indulgent. In domestic life Avere centered his chief and highest enjoyments, and no man felt or accorded to female worth a higher estimate. The experience of a long life of observation as a professional man of the sex called forth on all occasions his best feelings and sympa- thies in their behalf. There are tAVO circumstances in the life of Dr. Farrar as involving pro- fessional considerations to which I will allude. In a duel in which he figured, the doctor's ball struck his antagonist. The wound Avas attempted to be closed, and from such injudicious practice the symptoms became much aggravated. The patient was then advised to send, for Dr. Farrar. This he did, and the doctor visited his enemy as he would have done 18 ONE HUNDRED YEARS OF any one else. He immediately laid open the tract of the wound, according to the practice of the time. The pain ceased at once and the gentleman rapidly recovered. The doctor and his patient were ever after true and fast friends. The other circumstance to which allusion has been made was a diffi- culty which arose between the doctor and one of It is own profession. The physician was in the habit, on all occasions, of speaking of Dr. Farrar in the most disrespectful manner, and resorted to every low expedient to prejudice and injure the doctor among his patients and friends. By abusing Dr. Farrar he vainly hoped to advance himself, but as is inva- riably the case, he only succeeded in injuring himself. For this reason the doctor never once reviled, but bore his abuse with becoming silence. His accuser wrongly interpreted the doctor's forbearance, and in conse- quence grew more bold in his denunciation. At last suspicions were raised concerning the doctor's honor and courage. He could bear it no longer. On meeting his traducer he fell upon him with a stick and inflicted upon him the most summary chas- tisement. Unluckily, the man died in a month or two afterwards, and his former friends attributed his death to the blows inflicted by Dr. Farrar. There was not the least show of reason to sustain the charge, for he had entirely recovered from the effects of his injuries, and died in conse- quence of a pleurisy. As a class, Dr. Farrar felt the liveliest interest in the medical faculty. Their honor and the advancement of the science in knowledge and use- fulness was to him a theme both of hope and joy. In the history of our race he believed there were fewer aberrations from moral rectitude among medical men than any other class of the community. Society, he said, had a just right to expect this distinction, as the very nature of their profession made physicians the confidential friends of every family. Among his professional brethren Dr. Farrar was universally be- loved and esteemed. He was a gentleman in the highest sense of the term, and well deserved their respect and consideration. His acknowledged professional skill, his goodness of heart, his polished urbanity, his high sense of honor and noble generosity of nature endeared him to all. In his intercourse with other professional gentlemen his conduct was marked by the most scrupulous regard of the rights and feelings of others. His. estimate of the character of the profession was indeed exalted. It con- stituted the very essence of honor, dignity, benevolence and usefulness, and in his own dealings he exalted a living exemplification of his views. He- was in truth a very model of professional etiquette — not in its letter only, but in its purest spirit. He went further than the mere acquirements of the ethical code. He was always anxious, not merely to act honorably to a professional brother, hut also to serve him if he could by advancing his interests and increasing his claims to public estimation and confidence. In the language of the lamented Lane, he was so constituted that it was impossible for him to be guilty of dishonorable rivalry towards his fellow- practitioners. He scorned the tricks of the profession and those wiio- practiced them. To the junior members of the faculty he was particu- larly kind and generous. They were at once made to feel that he was one in whom they could wholly confide, and in consequence of his win- ning kindness of heart and manner and the real interest he always man- ifested in their success, he was almost regarded bv them as a father. It MEDICINE AND SURGERY. 19 is in this light that I love to contemplate the memory of the departed. Search the wide world over and in all that was generous and nohle in his conduct towards his 'brother practitioners, we shall not, perhaps, find a brighter, more perfect model. It was my fortune to become acquainted with Dr. Farrar only after he had long retired from the practice of the profession. To those who had known him in his earlier, palmy days, he appeared, I am told, but as the wreck of his former self. Still there re- mained about him that which stamped him as a man of extraordinary character. Many a pleasant hour have I spent in instructive conversation with him, and heard him relate his early adventures and trials. In his retirement he was often visited by his old French patients and their fam- ilies, and he would frequently say that he felt towards them as his own children. He. loved to expatiate on the growth and prosperity of St. Louis. On his arrival he found it a village containing but a few hundred inhabi- tants. Since then churches, colleges, halls of science, marts of busi- ness, splendid mansions have risen almost by the power of magic, while an hundred thousand human beings are enabled to dwell in comfort and enjoy the blessings of civil, religious and political liberty. Dr. Farrar fell a victim of the dreadful scourge that spared neither the good nor the great, the bad nor the lowly, and which carried woe and desolation to so many hearts during the awful visitation of our city in the summer of 1849. He was attacked by cholera, but survived its onset, and for ten days we supposed him rapidly convalescing. He walked about his chamber and conversed with his friends with more than his usual gaiety on the very afternoon precedirig his death. About 10 o'clock p. m. he complained of feeling cold, and called his wife's attention to the circum- stance. She became alarmed and summoned assistance. The fatal col- lapse had only been extraordinarily deferred. In less than two hours Dr. Farrar was no more. He died on the 1st day of July and within three days of being 61 years of age. Had his death occurred at any other time than during an unusually fatal epidemic, when such extraordinary demands were made upon the living, his demise would have called forth high funeral honors. But what recked he of the pomp and pageantry of sorrow! He sleeps quietly now in his grave, and may flowers bloom about it until the awakening an- gePs trumpet shall on the resurrection morn call him to his reward in Heaven. But little remains to be added to the foregoing sketch. We note that m January, 1812, Dr. Farrar was associated in the drug and medicine business with Joseph Charless, Sr., of the Missouri Gazette. This part- nership was dissolved May 10, in the same year. In August (1812) he formed an association in business and practice with Dr. David B. Walker, who had just come to St. Louis. Drs. Farrar and Walker subsequently became brothers-in-law, their wives being daughters of Major Christy. Their co-partnership continued until dissolved by the death of Dr. Walker, Avhich occurred after a period of twelve years. * ***** rpj ie anecdote of Dr. Farrar's loss of his Spanish coin while en route to Louis- ville is told to- this day by the older physicians of the State with great unction, the "pith" or "cream" of it laying in the fact that the doctor was on his way to be married in Louisville to his second wife, who was Ann Clark Thurston. The files of the "Louisiana (later Missouri) Gazette" of this period 20 ONE HUNDRED TEARS OF furnish many interesting exhibits to the searcher for data of the pro- fession in Missouri. "We give place to some examples: DR. FARRAR Will practice medicine and surgery in St. Louis. His office is in Mr. Robi- doux's house, Second street. (May 16, 1809.) VACCINATION. Dr. Saugrain gives notice of the first vaccine matter brought to St. Louis. Indigent persons vaccinated gratuitously. (May 26. 1809.) DR. J. M. READ, From Baltimore, is in the north end of Mad'e Dubreuil's house, next to Maj. Penrose's. (December 21, 1S11.) FARRAR & CHARLESS, Apothecary shop, adjoining the printing office, have on hand genuine medi- cines, and will receive in the spring an additional supply fresh from Philadel- phia. DR. BERNARD G. FARRAR Has opened a drug and medicine store in St. Louis. He has for sale a va- riety of spices, paints and stationery. (June 27, 1812.) DR. SIMPSON "Will practice medicine and surgery in town and vicinity of St. Louis. Office lately occupied by Fergus Morehead in Manuel Lisas' house. (June 25, 1812.) B. G. FARRAR AND JOSEPH CHARLESS. Dissolved their partnership in the drug business on the 10th day of May last by mutual consent. (July 6, 1812.) DRS. FARRAR AND WALKER Have entered into a partnership for the practice of medicine, surgery and midwifery. They have opened a drug and medicine store on Main street, below Maj. Christv's tavern, adjoining Dugen's silversmith shop. (August ?9, 1812.) THE POSTOFFICE Is removed to Dr. Simpson's drug store. (October 1, 1812.) DR. SIMPSON Has removed his drug store to the former stand of Farrar & Walker. (Au- gust 28, 1813.) DRS. FARRAR AND WALKER Have removed their new medicine shoo to Main street, opposite Rene Paul's new stone building. (September 26, 1815.) DRS. ROBERT SIMPSON AND PRIOR QUARLES. Have formed a connection in the drug and medicine business at the old stand of Dr. Simpson. (October 1. 1815.) DR. PRIOR QUARLES Will practice medicine and surgery. His office is opposite Mr. Patrick Lee's, Main street. (September 2, 1815.) MEDICINE AND SURGERY. 21 DR. ROBERT SIMPSON Is hard run for cash to pay his debts, and will sell a number of notes and ac- counts on reasonable terms, especially to those interested. (October 12, 1815.) DR. ED S. GANTT Offers his professional services to the citizens of St. Louis and vicinity at the house lately occupied by Mad'e Lebeau, South Main street. (November 1, 1816.) DR. ARTHUR NELSON'S Professional Card. (April 24, 1818.) DR. A. NELSON Has lately purchased the drug business of Simpson & Quarles. (June 18, 1818.) DR. RICHARD MASON, From Philadelphia, in Bosseron's brick house. (February 2, 1820.) In December, 1810, the Louisiana Gazette, alludes briefly to an affair of honor that took place a few days before, but elves no particulars of it nor the names of the parties. Dr. Eobert Simpson, here at the time and familiar with the facts, long afterwards gives this account of it: :< The first duel on Blood)- Island was in 18J0, between Dr. Farrar and James A. Graham. Farrar was the bearer of a challenge to Graham (he does not say from whom); Graham declined to accept it, on the plea that the challenger was not a gentleman. According to the estab- lished code in such cases Farrar became the principal. Graham was se- verelv wounded and went on crutches for about a year, and died while on his way East." Through the courtesy of the Missouri Historical Society the names and addresses of nine physicians and one medical student residing in St. Louis in 1821 are given here: LIST OF PHYSICIANS IN PAXTON'S DIRECTORY OF ST. LOUIS— 1821. Beck, Lewis C, s. e. cor. South A and Church. Carter, Edward C, 32 Xorth Main. *Farrar, B. G., 68 North Main, d. h. 8 Forth Church. Fenn, Zeno^ 39 Xorth "Main, above Xorth A. *Lane, William Carr, 98 South Main, d. h. 127 South Main. Mason, Bichard, 37 Xorth Main, below B. *Merry, Samuel, 98 South Main, n. w. cor. South D. ^Walker, David Y., office 68 ^'orth Main, d. h. on the hill, opposite the Bastian. Williams, Joseph, Xorth B, above Main. Pendleton, Joseph, student of medicine, s. w. cor. Third and South D. The directory referred to in the Historical Society rooms is the only one of that time known to be in existence. Dr. Hamilton Bobinson, who vr&s born in Augusta County, Vir- ginia. January 24, 1782, came to St. Louis very shortly after the transfer *Farrar & Walker and Lane & Merry are also given as partnerships. 22 ONE HUNDRED YEARS OF of the Territory (Louisiana) to the United State-, and entered upon the practice of his profession, in which he continued for years, at intervals, but did not become a permanent resident. He died at Natchez. September 19, 1819. Other early physicians of St. Louis wen- Dr. Win. Reynolds, who lived in Cahokia. but practiced on the Missouri side of the river for some years, dating from 1810; Dr. Wilkinson, who arrived here in 1811, and Drs. Read, Walker. Simpson and Quarles. Dr. Robert Simpson was born in Charles County. Man-laud, November 1, 1785. He studied medicine in Philadelphia. In 3809 he was ap- pointed an assistant surgeon in the United States Army and ordered to St. Louis. He accompanied the troops that established Fort Madison. on the Upper Mississippi, in 1810, and remained there one year, re- turning at the end of that period to St. Louis. In 1812 he opened a drug .-tore, and in the same year was appointed postmaster of the town. In 1823 he was appointed collector, and in 1826 was elected Sheriff of St. Louis County, serving two terms in the latter-named office. From 1840 to 184G inclusive Dr. Simpson filled the office of City Comptroller. In private business life he was for many years cashier of the Boatmen's Savings Bank. Dr. Simpson died May 2. 1873, in the 88th year of his age. Dr. David V. Walker came to St. Loins in August, 1612. formed a partnership with Dr. B. G. Farrar in the practice of medicine, and con- tinued in this connection until his death, which occurred April 16, 1824. Dr. Prior Quarles came from Richmond County, Virginia, in Septem- ber. 1815, being the fifth American to engage in the practice of medicine in St. Louis. He died here in October. 1822. Dr. Hermann Laidley Hoffman came from Xew York State, arriv- ing here in the fall of 1819, opened a drug store and began the practice of medicine. In the "50s he moved out "of the State, but returned to St. Louis as a resident in 1874. He died November 5, 1878, at the age of 82. Dr. Edward S. Gantt, a United States Army surgeon, practiced in St. Louis for some year.- after the war of 1812-15. Dr. Samuel Merry became a resident physician in 1820, and in May of the following - year associated himself in the practice of his profession with Dr. W. Carr Lane. In 1829 he was appointed by President Andrew Jackson to the position of "Receiver of Public Moneys for the Land Dis- trict of St. Louis," and continued in the office until the end of President Tan Bureus term. He resided for some years in St. Louis County, and subsequently removed to Muscatine. la., where he died at an advanced age, about the close of the year 1864. Dr. William Carr Lane, first Mayor of the city of St. Louis, and elected nine times to that office, was born in Fayette County, Pa., Dec. 1, 1789. In 1802. when but 13 years old, he was sent to Jefferson Col- lege, and remained in that institution two years. Later he spent a year in the office of his elder brother, who was the prothonotary of Fayette County. Here he acquired that familiarity with legal matters which served him greatly in later years. When he attained majority he entered Dickinson College. Carlisle, and graduated therefrom after a two years' course, with high honors. His father died in 1811, and his mother removed her family to WILLIAM CARR LANE. MEDICINE AND SURGERY. 23 ;"Shelbyville, Ivy., in the fall of the same year. At about this time young- Lane commenced the study of medicine under the direction of Dr. Collins, then a noted physician of Louisville. In 1813 he was appointed post surgeon at Port Harrison, sixty miles north of Yineennes, on the Wabash Elver. He arrived there with the Kentucky Volunteers, under the command of Col. Russell, TJ. S. A. After the war he spent the winter of 1815-1G attending the medi- cal course of the University in Philadelphia. Later in 1816 he ob- tained an appointment in the regular army, and served three years as post surgeon, being stationed'at Belief ontaine, on the Upper Mississippi. Dr. Lane resigned from the service in May, 1819, and took up his permanent residence in St. Louis in the same month. He was then in his 30th year. In April, 1823, after the incorporation of St. Louis, Dr. Lane was ■■elected the first Mayor of the city, and was annually re-elected for six •consecutive years. In 1829 he declined a re-election, as it interfered too jnuch with his practice. But in 1838 and 1839 he was again induced to .accept the office, and served these two years, making eight years in the office of Mayor. In 1852 President Fillmore appointed him Territorial Governor of New Mexico, and he continued as such until the close of the Fillmore •administration. At other periods of his career as a Missourian he was, in chronological order, an aide-de-camp to Gov. McKair, Quartermaster- General and a member of the House of Representatives. As a physician he was well and favorably known throughout Missouri and the "West. Dr. Oarr Lane had a cousin, Dr. Hardage Lane, who practiced in St. Louis for more than a quarter of a century, and was a remarkably successful physician of his time. Dr. Clayton Tiffin, a brother of Edwin Tiffin, first Governor of Ohio, settled in St. Louis after the war of 1812, in which he served as nn army surgeon. He built up the largest practice of any physi- cian of his da}', and became wealthy. He left Missouri for the West in the '40s. He finally ended his travels at Kew Orleans, and died there in 1856. Dr. Tiffin had a reputation for considerable skill as a surgeon, and is said to have performed the first Caesarian operation in the Mississippi Valley. Dr. Arthur Kelson's professional card appeared in the Gazette of April 24, 1818. In June of that year he purchased the stock o'f drugs and medicines of Simpson & Quarles, and continued the business until February 19, 1819, when he associated himself in practice with Dr. Hoff- man. Dr. Paul Malo Gebert, a native of France, came to St. Louis in 1818, iind commenced practice in the following year, attending chiefly the French population. He died here Kovember 2u, 1826, aged 32 years. DrfLewis C. Buck came to St. Louis in 1819 from Albany, K. Y., and traveled about the State for a period of about two years in the interest of a projected gaezetteer of Missouri and Illinois. He did not become a res- ident. Dr. Richard Mason was a resident of Philadelphia prior to tve time of his arrival in St. Louis, February, 1820. His gentlemanly manner 24 ONE HUNDRED YEARS OF soon procured him an extensive practice, which, however, he did not live long to enjoy. He died April 11, 1821, aged about forty years. Dr. Mason was the first person to he interred in the Masonic burying ground, purchased about that time and located on what is now St. Charles street, Washington avenue, Tenth and Eleventh streets. At that period this locality was far out in the country. Dr. Nathaniel Atwood, who died here in March. I860, at the age of 64, was horn in Xewberryport, Mass., in November, 1796. He came to St. Louis from Philadelphia in the winter of 1S19-20. Besides prac- ticing his profession he was engaged in the' drug business in various lo- cations. Historical research reveals the noticeable fact that the earliest prac- titioners of medicine in St. Louis were not only gentlemen of superior professional attainments, but accomplished men of affairs, and not a few of these achieved local distinction in public life. We now come to the second epoch in the history of the profession in St. Louis. A new generation appears in the field, and the number of resident practitioners is much greater, to meet the demands of the rap- idly increasing population. Advanced ideas in the practice of medicine and surgery are the order of the day. Of the personnel of the new- comers — we note that while of a necessit}', few or none of these physicians were native Missourians, yet most of them were of American birth and parentage. Conspicuous among them were: Drs. Stephen W. Adreon, Edwin Bathurst Smith, Meredith Martin, E. H. McCabe, Alexander Marshall, Henry Van Studdiford, Josejm Nash McDowell, John S. Moore, Charles A. Pope, S. G. Moses, John Laughton, J. B. Johnson, George Johnson, J. J. Clark, Charles W. Stevens, Thomas Barbour, B. E. Edwards, William McPheeters, William Johnston, Simon Pollak, Elisha H. Gregory. The years 1840-45 brought a large influx of professional men, and these phy- sicians made what may be called the "anti-war" medical history of St. Louis. Dr. Meredith Martin, president of the St. Louis Medical Society in the years 1840, 1842, 1845, commenced the study of medicine in Dr. B. G. Farrar's office. He is said to have been the first student of medi- cine west of the Mississippi. Dr. E. II. McCabe came to St. Louis in 183-5 and engaged in the practice of medicine, but he was compelled to retire from active professional work on account of failing health. He died June 4, 1855. Many of the physicians of this period won more than local renown, their labors reflecting credit upon their profession generally, as well as themselves*. More extended sketches of the more prominent of these ap- pear elsewhere in this work. Dr. William Beaumont, who died in St. Louis April 25, 1853. in the 68th year of his age, attained a world-wide fame as a result of his observa- tions and writings on gastric digestion. Alexis St. Martin, a Canadian boatman, came to Dr. Beaumont for treatment of a gunshot wound in the abdomen. The wound healed, leaving a fistulous opening. Through this opening Dr. Beaumont was enabled to obtain samples of the gastric juices and experiment thereon. The result of these observations and ex- periments was a most valuable work to the profession. It was titled MEDICINE AND SURGERY. 25 "Physiology of Digestion and Experiments on Gastric Juice," and was published to the world from Boston in 1834. Dr. George Englemann achieved celebrity throughout this country and Europe as a botanist. Drs. Adolphus Wislizenus and Benjamin F. Sehumard won enviable distinction as scientists. The first free medical dispensary west of the Mississippi was or- ganized in 1842, with Dr. S. Gratz Moses as president. Dr. Moses filled the office of Health Commissioner at the time Hon. Luther M. Kennett was Mayor of St. Louis. He assisted in organizing the sewer system of the city and many other important sanitary meas- ures are placed to his credit. Dr. Joseph X. McDowell and Dr. Charles A. Pope were the re- spective founders of the Missouri Medical and the St. Louis Medical, the pioneer medical colleges of Missouri. * Joseph Nash McDowell Avas born in 1805. He died in St. Louis in 1S68. He came here in 1810 from Cincinnati, where he had been associated in medical college work with Drs. Drake, Gross and other surgeons of national prominence. He was a man of great force of char- acter, a iiuent and elocpaenc speaker, but, withal, as eccentric as he was able. Many stories of his idiosyncrasies are still current among the older of the profession in St. Louis. Some of them are told elsewhere in this history. Dr. McDowell's first work in St. Louis Avas the founding of what was lat.er knoAVti as the Missouri Medical College. It was first the "Medical Department of Kemper College" and familiarly called "McDowell's Col- lege." At the outbreak of the Civil War he discovered an enthusiastic preference for the Southern side of the dispute, which attracted the at- tention of the Federal authorities to himself and caused his effects to be confiscated and his college used as a military prison. Several of Dr. McDowell's professional associates were arrested, but he escaped into the Confederate lines and served as a surgeon and medical director in the Confederate Army under different commands at various points. At the close of the Avar he returned to St. Louis and practiced medicine there until his death. The college Avas reorganized. Dr. MeDoAvell had great ability as a physician and was a most skillful surgeon. Charles Alexander Pope AA T as born in Huntsville, Ala., March 15, 1818. His early education Avas had in his native toAvn. Later, but at a very earlv age, he graduated from the University of Alabama. He took up medicine and studied zealously under able tutorage, and attended the lectures of the then celebrated Dr. Daniel Drake at the Cincinnati Med- ical College. At the age of 21 he receiA'ed his doctor's degree from the Universitv of Pennsylvania at Philadelphia.- He then went abroad and spent two" years at Paris in. the special study of surgery, afterwards vis- iting the great sc.hools of the Continent and Great Britain and Ireland. He commenced the practice of his profession in St. Louis in the year 1842, and in 1843 became Professor of Anatomy in the medical department of St. Louis University, transferring to the Chair of Surgery in 1847. Dr. Pope married Caroline, daughter of Col. John O'Fallon, avIio built for his son-in-laAv the handsome building which was occupied as the "St. Louis Medical College." This college was often called Pope's *A detailed sketch of Dr. McDowell is. given in a subsequent chapter.— Ed. 26 ONE HUNDRED YEARS OF College, to distinguish ir from the Missouri Medical or ••McDowell's." In 1854 Dr. Pope was elected president of the American Medical Association. In 1865 Dr. Pope resigned all professional pursuits and interests and spent several of the following years, accompanied by his family, in trav- eling on the European Continent. He came to St. Louis on a visit in - ' ! . and the whole city accorded him a splendid welcome. Shortly after his return t<> Europe news came from Paris of his sudden. and un- expected death in that city July 5. 1870. Dr. Pope was an accomplished and high-toned gentleman, who re- flected credit upon his profession. Dr. Mo.-es L. Pallen, who came to St. Louis in 1842. was a suc- cessful practitioner and a prominent contributor to the medical journals of 'his day. Dr. M. L. Linton, a prominent physician of the period, was a member of the Missouri State Convention called at the beginning of the Civil War, and which formed a provisional government of the State. Dr. Linton was a philosopher, poet and editor, as well as physician. In 1813 he founded the "St. Louis Medical and Surgical Journal,"'' the first publication of its kind to be published in Missouri. Dr. George Johnson was a hard worker in his chosen profession, and rendered, valuable services to the people of St. Louis, notwithstanding the fact that he him- self was an invalid during the greater portion, of his career. One of the results of the devolution of 1818 was a heavy immigration of Germans to this country. Large numbers of these immigrants settled in St. Louis, and many of vhem achieved distinction in various walks of life. Some left a marked impress on the medical profession. One of these, Dr. George Fischer, was for a number of years one of the most prominent German physicians of the city. Dr. John T. Hodgen, one of the most eminent surgeons of the Civil War period, did much to enhance the reputation of the profession of St. Louis. Other physicians well established in practice and popular with the public prior to the Civil War were: Dr. P. S. Holmes, educator .and medical writer: Dr. Charles Boi>leniere, Dr. F. Ernst Baumgarten, Dr. Thomas Reillv. Dr. Edward Montgomery, Dr. T. L. Papin, Dr. James C. Xidelet and Dr. dames N. Youngblood. David S. Booth. St., was born in Philadelphia June 30, 1828. His father, Dr. John J. Booth, wns born, educated and practiced medicine in Philadelphia until 184.5, when he removed to Frederiektown. Mo . where he continued to practice until his death. He rendered valuable service during the cholera epidemic of 1849, having been called to Chester. 111., to assist the local profession. David S. Booth was attending High School when his father left Phil- adelphia, and remained to finish his course. After leaving school he was bound by his father as an apprentice to the drug business for three years, his grandmother Booth and Dr. Hill, an uncle, being his guardians. During the last year of his apprenticeship he attended a partial course of lectures on anatomy, chemistry and materia medica in place of those in the college of pharmacy. In '49 he cames West and commenced the study of medicine under his father. He attended the St. Louis Medical College in 1849-50. He taught school part of the time for two years. When not teaching he pursued his studies under his father. In 1851 he married Miss Cynthia Grounds. In 1852 he moved to Jas- j>er County, taught school one term and commenced the practice of med- icine; removed to Xewton County", and at the request of the citizens of G. GRATZ MOSES. MEDICINE AND SURGERY. 27 McDonald County located at Enterprise, remaining there until the be- ginning of the Civil War. He attended the St. Louis Medical College in 1858 and 1859, and was graduated M. D. in the spring of 1859. In 1861 he possessed considerable property. The Confederate army then occupying Southwest Missouri, he was told his services were needed and was requested to accompany that division as a surgeon, which he did, knowing the result of a refusal. He assisted in attending the wounded at and after the battle at Wilson's Creek. After that he returned home, leaving at once on horseback at night, he knowing the by-roads, keeping clear of the Confederate army. He was compelled to leave his family behind. On arriving at St. Louis in September he received such a cold re- ception from a number of his old acquaintances on account of his loyalty to the old flag that he went on to Philadelphia, He attended lectures at the University of Pennsylvania until December, passed examination and was commissioned as acting assistant surgeon of the Mississippi Ma- rine Brigade. He served on the Monarch, Switzerland and for some months had charge of the floating smallpox hospital. He was assigned to duty as medical officer on the Queen of the West when it was ordered to run by Vicksburg. The Queen passed Yicksburg on the morning of February 2, 1863, and was captured in Eed Eiver on the evening of the 3 4th, opposite Fort Taylor, and was disabled by the guns of the fort, all the officers excepting Dr. Booth escaping. A boat was sent back to take Surgeon Booth to a prize boat, but he would not leave his post, as part of the men on the boat were scalded and needed attention. In a short time he was exchanged and sent to New Orleans, then to New York, thence to the navy yard at Philadelphia. In August he was ordered to New York to take charge of a train load of exchange prisoners to St. Louis, where he resigned, and in December of 1863 accepted a position in the hos- pital at Springfield. Shortly af terwards he got his family to Springfield, Laving been separated from them over two years. In July, 1861, he re- signed and located in Sparta, 111., where he remained in active practice un- til September, 1889, when he removed to Belleville, 111. Dr. Booth was an industrious student, an enthusiast in his profession. Although he paid special attention to surgery, his studies were not confined to that branch of the profession. He Avas a member and ex-president of the Southern Illinois Medical Association, a member and ex-President of the Illinois State Medical Society, a member of the American Medical Associa- tion, the Mississippi Yalley Medical Association, the St. Louis Academy of Medicine and other local societies and a member of the honorary board of trustees of the Beaumont Hospital Medical College. Dr. Booth died Sept. 10, 1892, at Belleville, 111., leaving a widow, three daughters and one son, Dr. David S. Booth of St. Louis. Dr. Thomas Barbour was a son of Philip C. Barbour, one of the Judges of the Supreme Court of the United States. He was a finely educated man and a graduate of the University of Pennsylvania in 1830. In 1842 he was elected Professor of Materia Medica and Therapeutics in the Medical Department of Kemper College. In 1846, when the col- lege became the Medical Department of the State University, he was elected to the Chair of Obstetrics and Diseases of Women and Children, which he continued to occupy with distinguished ability till he died in June. 1849, of Asiatic cholera. The St. Louis Medical Society, an association of the physicians of the ONE HUNDRED YEARS OF city for the advancement of mutual ^%^^^^^ professional standard, was formed m 18o(, lh 3 assoc iation Association had its inception m the St ^L »i s °5 ie J s in the ear i y part was formed and had its inaugural meeting in St. bom. m j of November, 1850. fl medical college in the Prior to the Civil War there was tat » othe r meoaeai c g ^ eity-the •■Humboldt.-' Tim institution had >** ™^™ othei . medica i exist during the decade ot the war Si ce the u .a. •«« ; are iven we very appropriately • gn. plae< fc the W™M P leader in the local pen of a member of the Old bruartt ot m ' t d ree m Uy, whose proiessiona career,™ ; h .to Kerne, i. ^ ^ S itMlt A th n ;x rt ;»«r^ *• -™ "^ remmisci J. B. JOHNSON, M. D., ST. LOUIS. MEDICINE AND SURGERY 39 CHAPTER II.— THE OLD GUARD. When I came here in 1340 I found a very agreeable and pleasant as- sociation among the physicians here. There was quite a large number of practitioners already on the ground, but, of course, many of those whom I found here at that early year have since passed away. There was Dr. Farrar, Dr. Hardage Lane, Dr. Carr Lane, Dr. Merry, Dr. Lawton, Dr. Simmons, Dr. Campbell and others. All that I have mentioned were prominent men here at that time. Dr. Carr Lane had been Mayor of the city. I think he had been Mayor for some years before I came here. Then there was Dr. Simpson. He had also been connected with the ad- ministration of local affairs. There Avas also Dr. McCabe, a most excel- lent man. He was a partner of Lane's. Another Was Dr. William Beaumont. He was formerly in the army. Beaumont made a wonderful discover}^ if it could be called such. A French-Canadian Indian had been shot in the stomach, and his case finally came under the notice of Dr. Beaumont. The wound had healed, leaving an opening, and through this opening Beaumont was able to obtain, from time to time, samples of the gastric juices, and by observation and experiment note their effect on various foods, etc. Dr. Beaumont finally published the result of these ob- servations in book form, and this publication rapidly gained for the St. Louis physician world-wide fame. In fact there is scarcely a medical text- book now in use on either side of the Atlantic which does not mention Dr. Beaumont's discovery. Beaumont was at the time I speak of the leading physician of the city. He was an excellent man and a learned physician. Carr Lane was a very fine looking man. I think he had been in the army. - He was one of the leading physicians here when I came. Dr. Farrar was about retiring from professional work when I arrived in the city. He was in poor health. He died of the cholera in 1849. He left a large number of children and so did the Lanes. Kemper College was in operation at that time. It was founded by the friends of Bishop Kemper, and its first president, a man named Hudgens, was afterwards an Episcopalian clergyman. In 1840 it was supposed to be a prosperous college. When it was built it was thought to be a little out of the way. About this time Dr. Joseph Nash McDowell became a resident of St. Louis. He was an eminent surgeon. He was from Kentucky — a very ambitious man — and he at once formed a connection with Kemper College. He sought a charter and founded a school called the Kemper Medical College, afterwards known as McDowell's College, and becoming still later the Missouri Medical College. The college was built "on the hill" at Eighth and Gratiot streets. After some three or four years the Kemper Medical College was abandoned and the building sold to Dr. McDowell, who then obtained a charter from the State Legislature for a school to be called the Medical Department of the State University. Afterward a charter was again obtained for the Missouri Medical College. Dr. McDowell was a very singular man. He was continually seeking *Reminiscences of Dr. J. B. Johnson. 30 L'-\E HUNDRED YEARS OF something that he could not attain. Pie was a talented man. and if he could have added .to his talents the quality of adhesiveness he would have succeeded in more things than he did. As I have said, his college was "on the hill." In it he had quite an extensive anatomical museum. Quite a joke is told on him in connection with this. One morning a bundle (of clothing) was found in front of the college, and at this time there was a woman (a German immigrant) who had disappeared very myste- riously. So soon as the news spread over the town that this bundle had been found and carried into the college a great many people "had their suspicions."' The papers added to the excitement with sensational ar- ticles, and later in the day of the finding of the bundle a large crowd of people assembled themselves in front of the college and demanded that they be allowed to enter the college and make a search. McDowell sent word to me. requesting a conference at his home. His residence was about 150 yards from the college. When I came I found him in a state of great excitement. He explained matters to me and said: "Xow, I have fixed that swivel (pointed towards the college), and I have two bags of buckshot there, and I will blow up every Dutchman out there if they dare attempt to enter my college. I have too much to lose to have them go in there and destroy things, as they will." I advised Mc- Dowell to reason with them: told him to send Henry, the janitor, out to tell them that all the relatives of the missing woman could come into the college, but not the mob. Henry vent out. and in a short time came back with seven or eight of the woman's relatives, and what they did not understand of our talk Henry interpreted, as they were all Germans. Dur- ing the confab McDowell kept saying that he "would not have that mob of Dutchmen tramping over his college," and if they attempted it he would "blow them up/*' I told Henry to go over to the college with thes? people, but gave him strict orders to keep all others out. In a little while Henry came running back and said that he could not keep out the mob; they had broken in and were all over the building, and he thought the building was gone. McDowell was pacing up and down the room in a fever of excitement. Suddenly he stopped, and with appropriate gesture said, "I have it." Henry, I'll tell you what you do. You know wherf that cinnamon bear is in the basement. You go down there and unchain that bear and send him up the stairs.*' Henry did as he was told, and I don't believe I ever laughed so much in my life as I did at those people getting out of the college. I never saw such a sudden exodus of people from a building. They jumped out of windows and e\ery other kind of opening, as well as doors. There was no further searching of that build- ing for missing persons. McDowell thought so well of that bear that he allowed him to die a natural death, and hod the skin stuffed and mounted and placed in the museum. There was another incident of my acquaintance with this eccentric- man, the story of which has been told and retold and handed down amonir the local profession. One day I happened to be riding with him. We were going toward Vide Pouehe, or Carondelet, as it is called now, and a little farther down the road ahead of us we saw a woman come out to the road, and, putting her arm up to her head, shade her eyes in our direc- tion. McDowell grumblingiy said: '-'There is a woman that is going to hail us and detain us over some trifle that it will take her an hour to describe." I said : "Let us stop and see what she wants at any rate." Well, sure enough, she hailed us, and McDowell stopped with "Now, what do MEDICINE AND SURGERY. 31 you want to-day?" The woman replied that she wanted him to come m and look at "Susanne's baby." She believed the child was tongue-tied. McDowell asked how old the child was, and the woman replied: "She is ten days old." McDowell said: 'Tt is a female, is it? "Well. I will not cut it. I never cut female tongues, as they learn to wag them early enough anyway. The sex never needs that operation." Some time afterwards McDowell told me a good story on an old physician here. He said that he had gone to call on this old doctor to get him to go and see a patient of his and hold a consultation on the case. He was in the room waiting for the doctor, when presently he came in. He was in his shirt sleeves and had a dinner plate in his hand and was stirring something on it with a case knife. This doctor was a great user of tobacco, and Dr. McDowell noticed that he was chewing. Presently he saw him spit in the plate and then resume the stirring. This aroused his visitors curiosity, and he asked what he was doing. The old fellow replied : "Oh, I am just making some pills for a lady across the street, and as there isn't any water handy 1 just do this way (furnish- ing an illustration). Oh, this tobacco spit is medicinal." Dr. Carr Lane, as I have said, was a man of very fine personal pres- ence, and he was very prompt and efheient in his professional work. He was from Pennsylvania. Dr. Beaumont was a man much beloved by his friends, but he was a little deaf, which interfered with his practice, but people -who liked him employed his services just the same. Cholera became epidemic in St. Louis in 1849, and it was something frightful. The first we had came from Xew Orleans, we thought. I do not recollect the part of the city in which it first appeared. Of course, it was most severe in the more densely populated parts of the city. You will always find such diseases more severe in thickly settled districts and where there is filth. "Wherever the people are crowded together it is very bad, and spreads from such points. This was my first experience with cholera — the first cases to come under my observation. Prior to my ad- vent as a Missourian I. had been house surgeon in a Boston hospital, and had never seen anything but long, lingring sicknesses, and I can assure you that it was something entirely new, a shocking sensation, to see them dropping off every few hours. They would be sick only a short time after rirst seizure. But there was comedy as well as tragedy connected with it. The fol- lowing happened on Wash street, which was densely populated: A mer- chant who owned a very large liquor store in that section was one day talking to me, when he asked if brandy was not an important item to have about in cholera cases. I told him that it was, whereupon he said: *'T have some passes here that I will give you, and if you happen to be called in where there is cholera, and need, some brandy, you may fill out one of these passes and I will accept it as an order for the liquor." I took the passes and told him that I would use them whenever I had an opportunity to do so. 1 was going to the north part of the town the same day, and as I was driving along a man came running out into the street and said he wanted me to come in and see his brother, whom he thought was dying of cholera. I went in and found his brother in the basement. The cot on which he lay was in the middle of the floor, and several members of the family and some friends were standing and sitting around the room. I went up to the cot. looked at the man and asked 32 ONE HUNDRED YEARS OF how long he had been sick. They said about two hours. I asked if they had done anything, and they answered that a doctor had been sent for, but nothing had yet been done for the patient. I saw that he was in a pretty bad way, and knew that something must be done very soon for him. I told them to take dry mustard and rub him with it. Then I asked if they had any brandy in the house, and they said they did not have any. J then filled, out one of those blanks, told them to go and get the order filled and then to give a tablespoonful every fifteen minutes un- til I returned. I expected to be gone about three-quarters of an hour. When I started to go I told one of the sick man's brothers that I wanted him to see that those directions were carried cut, and he said he would. When we got outside of the door this brother said to me: "Well, doctor, what do you think of his chances?" I replied that I did not think the man would be alive in a half hour from that time. I was not gone more than the time I expected to be, and when I came back and went into the basement I saw that it was all over for one cholera victim. There was a white sheet thrown over him and I knew that he was gone. I said to his brother: "Well, I see that he is gone. How long ago did he die?". He replied, about fifteen minutes ago. [ then asked him how much of the brandy he had given him, and the man answered: "We did not give him a drop. We found that it was pretty good liquor, and I thought it not wise to waste it on a dying man, so we drank it ourselves."' The first, case of cholera in '49 appeared m February, and along in April and May it became very severe. Then we had an interruption. We had a great fire and there was tremendous destruction to property, and this seemed to hold the epidemic in check for awhile, but in a short time afterwards it again broke out and seemed to ravage the whole city. We had very warm weather then, and, of course, the disease flourished more on that account. As the winter came on the disease seemed to lessen its grip, but it came back again the next year, and did not die out entirely until toward the close of 1850. It appeared again in '65 and "66, and I thought for awhile we were going to have another siege of it, I lost my son then. He was only 8 years old when he fell a victim to the disease. Such dis- eases are induced by carelessness in diet and by filth. T have heard, or rather seen by the newspapers, that smallpox was prevalent in some parts of the State this season. I noticed something from Springfield that they have had a great many cases there. In October (1899) the schools closed for two weeks on account of it, and the school children had to be vaccinated. It was also prevalent in Kansas City. I suppose it comes from the army. Such contagious diseases usually fol- low up an army. Home-coming troops from Cuba and other Darts of our newly acquired possessions have scattered the germs of disease all over the country. When the cholera was here in '35 Gen. Scott came here with a detachment of troops from Xew York, and the cholera fol- lowed the trail of his soldiers. Wherever an army goes they generally carry disease with them, especially if they have come from the seat of an epidemic. At the time I came here there was a disease prevalent, called con- gestive fever. It used to occur every year. It was a malarial fever, but very intense. Cases of this congestive fever almost always proved very serious. Medical "isms" are no more prevalent in Missouri than in other States, I believe. I think that perhaps they are more in evidence in MEDICINE AND SURGERY. 33 Chicago and Illinois than in St. Louis and Missouri. Osteopathy, spir- itualism, animal magnetism, etc., all tend towards quackery, and that brings me to an amusing incident of my professional career in St. Louis. This happened many years ago. There was a man here who had been advertising very extensively a patent medicine, a liniment for sprains. bruises, etc. A great many people had tried it, and he had gotten testi- monials from a number of them, stating that they had been healed of '•this or that," of years' standing. Well, one day I had just come home, .and had sent my horse to the barn, when a youth came along in a great hurry, and told me that -'the old man'' 7 had been hurt by a fall, and that he wanted me to go to him immediately, as he was suffering intense pain. I recalled my horse and we started for the place. As we neared the house I could hear the old man groaning. He seemed to be in great agony. When I went into the house he was lying on the floor moaning and roll- ing about. On catching sight of me, he said: "Oh, doctor, do something quick, for I am dying." I told him that he was not in any immediate danger, as people who are dying had not the use of their body and voice that he had. I saw that it was the old liniment doctor. So I thought now, old fellow, is the time for me to get back at you. I found that he had a very bad leg sprain — in fact, at first I thought there was a rupture of the ligaments. Upon examining him I found that he was not hurt any- where else. So, writing out a prescription, I handed it to a little girl avIio was standing in the room, saying: "Xow, you go and get this filled .and use it according to directions.'"' I had written for his own liniment. I then put on my hat and had started out. when the old man called me back and said: '"Look here, no fooling now; what do you mean by this? You have written for my own liniment. Aren't you going to do any- thing more for me?" I told him that I was not; that he had been ad- . vertising that wonderful sprain medicine for over a year, and that he had many testimonials from people around the country, stating that they had been healed of this and that trouble, and that now I was going to ,try it on him, and if it worked a cure I would sign a testimonial myself to the effect that his liniment was all right. He never spoke to me again after that, although we met many times on the street. I had another case of this kind. It was that of a man who had been advertising a tonic, something that would build up the system and give renewed vigor, etc. The proprietor came to me one day and complained of a trouble that he had with his stomach. I served him the same way, and he likewise never spoke to me again. That is the way I like to get back at those "cure-all" fellows. In the early days of my practice in Missouri we doctors had fre- quent calls to make professional visits in Illinois and out in Missouri. I frequently went as far as Iowa, but, of course, these calls ceased later, as the country round about was built up and settled. A physician's chances are better if he confines his practice to the locality where he lives. In the early '40s there were a great many physicians here, con- sidering the size of the town, and there was a still greater influx later in that decade. At the time I speak of I think there were some 95 practi- tioners here, and they were all regulars — at least those that I knew were. They were from different parts of the country. As in all newly- settled localities men came and went, seeking places favorable to their business or profession. I came here from Massachusetts. I had my medical training at 34 ON E HUNDRED YEARS OF Cambridge and at a medical college in Boston. There were no railroads in this part of the country at that time. In fact, the only piece of railroad I traveled over while en route to Missouri was a line extending from Phil- adelphia to a station known as Relay House. From there 1 took the stage to Wheeling, thence by steamer to Louisville, changing to another steam- er at that point, which brought me to St. Louis. I was ten days in coming. That was thought a very quick trip at the time. There were a great many sandbars in the river then, and they had to throw the lead- all the way. By the way, that chair you are sitting in once belonged to Martin Van Buren, a President of the United States. When I was on my way out here I planned to buy some furniture in Xew York, as I knew I could get it much cheaper there than 1 could possibly in St. Louis. I en- tered the first furniture store I came to in Xew York, and as I went in there was a gentleman seated in a chair by the door. I noticed that it was a very nice chair. It was the time when those revolving chairs first came into use, and this was one of them. The chair struck me as a grand piece of furniture, and I said to the proprietor of the store: "I like that chair very much; wonder if I could get one like it?" The gen- tleman who was sitting in the chair got up and said: '"You can buy this, one if you wish to." The gentleman's face was familiar, but I could not just place him. I sat down in the chair, remarked that it pleased me, and asked the gentleman how much it was worth. He said $15. I pur- chased it and have had it ever since, 1840. The gentleman was ex-Presi- dent Van Buren. The chair had been made for him, but it was made too small and he could not use it. I do not remember the date of Dickens' visit to St. Louis, but I do re- member that I was delegated as one of the reception committee on that pccasion. And I also remember a very good story in connection with Dickens' visit. A part of the great novelist's entertainment here consisted of a ride to what was then known as Looking Glass Prairie, on the farther edge of which was a little inn. They were to start after breakfast, taking carriages. One of the members of the committee was to get out, upon arrival at the inn, and make arrangements for Dickens arid the party. This committeeman was of a very nervous temperament, and to have a duty of this kind excited him very much. While Mr. Committeeman was giving orders to the landlord and the other carriages were arriving, an old man, a worthless sort of a fellow, as well as a toper, came upon the steps of the inn and began talking in a loud tone. Mr. Committeeman cautioned him to be quiet, as a party of distinguished gentlemen was ar- riving. But the old man wouldn't "quiet.*' Mr. Committeeman, in his excitement forgetting Dickens' name, said: "It's Boz is coming. (Dickens was just th^n alighting from his carriage.) The old toper shouted:. "Who's Boz? Damn Boz!'' Tableau. Oar little- committeeman was so wrought up over the incident that another member of the committee had to be assigned to his duties. A reception was tendered Mr. Dickens at the Planters' Hotel. The parlors of the old hotel were very small, and so as to accommodate all and avoid a rush the committee issued tickets. Dickens was standing in the parlor, surrounded by friends and citizens,, when of a sudden a man came rushing up the stairway. A committeeman in charge of the door told the man that he could go no further just then, but must await his turn. Attempting to still further explain. Mr. Man-in-a-hurry interrupted with: "Don't tell me I can't go in. I bought • MEDICINE AND SURGERY. 35 my ticket, paid 50 cents for it. There it is (holding it high ahove his head) and I am going to see him." But after further reasoning he finally decided to wait awhile. He seemed to think it was some kind of a side- show. I remember that I was also on the reception committee appointed to receive ex-President Van Buren, who toured the country after retiring from office. He was received at the Planters' Hotel after a great parade in his honor. A Judge Bowman was to make the welcoming speech from the steps of the hotel. A brother lawyer was to stand near him and prompt the Judge if he omitted anything of importance in his speech. The parade arrived at the hotel, and Mr. Van Buren stood up in his car- riage to listen to the speech of welcome. It was a very hot day; the sun was just scorching, and one of the committeemen stood up in the car- riage and held an umbrella over the ex-President. Judge Bowman had ■'waxed eloquent" and was about to bring his speech to a fitting close, when his prompter pulled at the skirt of his coat and whispered: "Touch him up on the retiracy." Whereupon the Judge drew himself up and, dwelling with the emphasis then peculiar to the West, in the pronuncia- tion of the affirmative, said: "Yes, sir; yes, sir! And after having fid- filled the duties of the Chief Magistrate of this nation so acceptably, sir, you retired with the unanimous approbation of yoirr fellow country- men." I had often heard of the great control which Van Buren had over his facial muscles, and I watched closely to see what effect, if any, this bull of the Judge's would have. But not a muscle moved, not a nerve twitched. Mr. Van Buren retained completely his suave, polite, well- mannered expression which he had carried all through the ceremony. Lafayette, Webster and other notables also visited St. Louis. Web- ster's address to the teachers and the boys of the Jesuit school was a beautiful one. At that time St. Louis was the largest town in the Miss- issippi Valley, as it is now. In 1844 I visited my old home in Massachusetts, and when I returned I came by the lakes. When Ave came to the point where Chicago is now situated, I thought it one of the most uninviting places I had ever seen. I wondered that the steamers stopped there. When I first came to St. Louis it seemed to me simply terrible to drink the river water — in fact, it was some time before I could get used to it. I would often say that if I ever got back home the first thing I would do would be to go out to the old well and get a fresh drink of that fine old water. Well, I went back, and that Avas about the first thing I did do. But I Avas disappointed. It did not taste as it did before I took up my residence in the West. When I was used to it I had never noticed its peculiarly brackish taste, but now, after drinking the river Avater, it Avas very noticeable. I took just one drink from that old well, and during the remainder of my visit carefully avoided it, Oh, Iioav good the water did taste Avhen I got back to St. Louis ! Yes, I think running water is the best. I remember Dr. Joseph Clark and Dr. Frank Knox. Clark was a fine man. He died in 1869. And there Avas a Dr. Johnson, at one time a partner of Beaumont's. He died in '63 or '64. Knox was three or four years older than I. He went from here to California. I have been here in Missouri sixty years — two generations. I think we understand the way of proper living better than we did years ago. People are getting more temperate in their habits. Still, there is a great deal of intemperance, both in eating and drinking. 3G ONE HUNDRED YEARS OF • I remember when I was a lad it was quite a eommo 1 occurrence if a jinan was passing his house at about 11 o'clock in the morning to go in and have a drink, inviting any friend that might be with him. Four o'clock was also a fashionable hour for a home toddy. 1 was talking to a man the other day. and I asked him about an old man by the name of Jack Crow, who used to go around sawing wood and doing odd jobs. He was a well-known character hereabouts and was known to always have his bottle of liquor. The boys of the town took great delight in hiding it from him whenever a chance offered. Crow was an old miser. I am told that when lie died he had four barrels of New England rum in his cellar, and it was disposed of at $4 per gallon. It takes pretty old rum -to sell for that. Crow lived to be 90 years old, and it was said that he drank a pint of New England rum every clay, adding a fresh barrel to his cellar whenever one of the old ones became empty. I do not know that there is any particular point made in this story, either for or against the use of liquor. Although I still see some of my friends in a professional way at my office, I may be considered as retiring from active practice. I have ceased visiting patients, either by night or day. ISTot that I do not feel able to make my rounds as of old, but I feel that it is time for me to help make way for the younger generation of physicians who are anxious to "make a name" for themselves and acquire a comfortable share of this world's o-oods. II.* I am a native of Kentucky. I came here in the year 184-8. Among the physicians who were here when I arrived were McDowell, Linton, Pope, Johnson, McPheeters, Pollak, Boisleniere, Papin, Waters, Hodgen, E. F. Smith and Allevne. These I remember well. I was here during the first cholera epidemic. The City Hospital, which was burned about that rime, was in charge of Dr. Banister. Its location was the same that it had up to the time of the cyclone of '96. The Sisters' Hospital — the Mullanphy Hospital— was in existence and had been for a number of years. The city patients were accommodated there until the time the City Hospital was built. The Mullanphy Hos- pital was then used as the Insane Asylum also. The cholera of '49 was more severe here than in other then so-called Western cities. Late in the fall of '48 the first cases were brought to St. Louis on the steamboats from the South, from New Orleans, I think. The disease prevailed throughout the winter, not as an epidemic, but in spo- radic form.' It had become distinctly epidemic before the great fire, which occurred. I think, in May, 1849. I said epidemic. It was then prevailing to an alarming extent. The fire seemed to hold the disease in abeyance for a time, but it soon ravaged the city Avith redoubled intensity. The cholera receded in the winter, but appeared again in '50 and '51, but it was not nearly so bad in later years as in the frightful year of '49. Of course there are a great many people who recovered, but it was a common thing for victims to succumb within 24 hours of the first seizure. There were" between 10,000 and 15,000 people of the city of St. Louis who had *Reminiseences of Dr. Elisha H. Gregory. ELISHA H. GREGORY, M. D., ST. LOUIS, Ex-President Missouri State Medical Association, 1883 MEDICINE AND SURGERY. 37 the disease in more or less severe form. There were nearly 7,000 deaths in a population assumed to he 60,000. All conditions favored the advent of the disease. There was really nothing known about prevention. jSTo in- telligent preventive effort was made, except in a domestic way. There were bonfires and things lite that that were thought to help, but no in- telligent effort. Xo boiling of the water. That idea never occurred to any one then. I think that if the water had been boiled everywhere the cholera would not have become epidemic. Certain kinds of food, which were at that time assumed to be poisonous, were excluded from the diet. All green vegetables, such as cucumbers, cabbages, etc., were considered deadlv in cholera conditions. But I think there was nothing gained by the restrictions placed on vegetable diet. If we had simply taken the pre- cautions I have referred to in regard to the . drinking water the epi- demic would have at once been checked or prevented. We drank the water from outdoor hydrants. There were very few water pipes in the houses. We had no filters, no piping for closets. There was no such thing as a sewer in the city. The first ground broken for a sewer in St. Louis was some time after the cholera had subsided. St. Louis was nothing but a village at that time, and we bad only the public works appliances that the smaller towns of the State have now. The first sewer was the Mill Creek sewer. I think that must have been begun about 1850. The city grew rapidly between 1850 and 1860. It grew until the war commenced in '61, and then there was a stoppage to all progress for at least five years. The Missouri State Medical Association ceased its meetings for a number of years — I do not remember just how many. The St. Louis Medical Society did not suspend, but, of course, when the po- sition which St. Louis and Missouri occupied in the Civil War is considered, of a necessity very little interest was shown in society work. When f came here Drs. McDowell and Pope were the leading sur- geons — they were really the only surgeons of any note. There were no oculists here at that time. Physicians had not as yet taken up special- ties. There was a doctor here by the name of Vansant, who treated the eye in common with the practice of general medicine, but there was no specialists in Missouri until for a number of years afterwards. Dr. Pollak was death that slight ailments, which under ordinary circumstances- and during other seasons would, have yielded readily to treatment, now be- came serious in their character and not infrequently ran on rapidly to a. fatal termination. Besides, in the weekly reports of deaths during the year, 432 were returned as occurring from unknown diseases. Nine-tenths of these, it is fair to presume, died from cholera, and were buried without reg- ular certificates front physicians, and consequently were reported by the sextons as unknown. It is manifest, therefore, that this enormous mor- tality (4046) from diseases other than cholera is in a very great measure tc* be attributed to the baneful influence of the epidemic. The following table exhibit the daily mortality from June 12 to July 30 inclusive: Deaths from Cholera. Other Diseases. TotaL Tuesday, June 12, there were 47 12 59 Wednesday, June 13, there were. .. . 65 IS 83 Thursday, June 14, there were 58 10 68 Friday, June 15, there were .62 12 74 Saturday, June 16, there were 61 13 74 Sunday, June 17. there were 69 16 85 Monday, June 18, there were ..... 64 15 79 Making an aggregate for the week of -126 cholera, 96 from other diseases and 522 in all. Tuesday, June 19, there were . ... 74 16 90 Wednesday, June 20, there were . . . 67 35 102 Thursday, June 21, there were .... 85 10 95 Friday, June 22. there were 95 25 120 Saturday, June 23, there were 98 27 125 Sunday, June 24, there were 118 21 139 Monday, 'June 25, there were 99 28 127 Being for the week 636 from cholera, 162 from othe diseases, in all 798. We here see a rapid increase within the last two weeks, from 47 to US deaths a day from cholera. Tuesday, June 26, there were 94 20 114 Wednesday, June 27, there were. . . .115 25 140 Thursday, June 28, there were 123 32 155 Friday, June 29, there were 119 43 162 Saturday, June 30, there were S3 39 122 Sunday, July 1, there were 100 25 125 Monday, Julv 2, there were 105 28 133 MEDICINE AND SURGERY. (J? This week presents the largest aggregate mortality during the whole year, there being 739 deaths from cholera and 212 from other diseases, in all 951, though the most fatal days yet remain to be mentioned. Tuesday, July ,3, there were 103 28 131 Wednesday, July 4, there were . . . 108 29 139 Thursday, July 5, there were 98 28 121 Friday, July 6, there were .... 81 27 108 Saturday, July 7, there were 89 34 123 Sunday/ July 8, there were SO 27 107 Monday, July 9, there were 101 24 125 Making 654 deaths fom cholera during the week and 197 from other dis- eases, in all 851. Tuesday, July 10, there were 145 39 184 Wednesday, July 11, there were 124 33 157 Thursday, July 'l2, there were 105 31 134 Friday, July 13, there were 87 13 100 Saturday, July 14, there were 39 42 131 Sunday, July 15, there were 58 34 92 Monday, July 16, there were 61 27 88 Tuesday and Wednesday of this week were the most terrible days of the whole year. On the previous Saturday and Sunday there were heavy rains; on Monday the sun came out with great power, and the number of interments on Monday were the fearful consequences of the combined heat and moisture. Monday and Monday night, July 9, will be long re- membered by the citizens of St. Louis. But having once reached its height, the disease began rapidly to decline. The whole number of deaths from cholera during the week was 669 and from other diseases 219, in all 888. Tuesday, July 17, there were 61 23 84 Wednesday, July 18, there were ... 50 34 84 Thurscknr, July 19. there were .... 36 -30 66 Friday, July 20, there were 37 29 Q6- Saturday, July 21, there were 33 20 53 Sunday, July 22, there were 21 13 34 Monday, July 23, there were 31 22 53 Total from cholera for the week, 269, and from other diseases, 171, in all 440. This exhibits a manifest improvement. Tuesday, July 24, there were 19 16 35 Wednesday, July 25, there were ... 22 26 48 Thursday, Julv 26, there were 14 15 29 Friday, July 27, there were 10 16 26 Saturday, July 28, there Avere 11 15 26 Sunday, July 29, there Avere 9 18 29 Monday, July 30, there Avere 15 25 40 Total from cholera for the Aveek, 100; from other diseases, 131; in all, 231. On Tuesday, July 31, only three deaths occurred from cholera, and the Board of Health therefore pronounced that the disease was no longer an epidemic. For the remainder of the year I shall only give the weekly re- ports, which are as follows : 68 ONE HUNDRED YEARS OF Cholera. Other Diseases. All. For the week ending Aug. 6 there were. .43 109 152 For the week ending Aug. 13 there were. .12 105 117 For the week ending Aug. 20 there were. . 4 90 94 For the week ending Aug. 27 there were. . 3 70 73 For the week ending Sept. 3 there were. .4 G7 71 For the week ending Sept. 10 there were. . 2 (>4 66 For the week ending Sept. 17 there were. . 1 87 88 For She week ending Sept. 24 there were. . 6 74 80 For the week ending Oct. 1 there were. . 3 74 77 For the week ending Oct. 8 there were. . 69 69 For the week ending Oct. 15 there were. . 2 61 63 For the week ending Oct. 22 there were. .0 44 44 For the week ending Oct. 29 there were. . 57 57 For the week ending Nov. 5 there were. . 1 52 53 For the week ending Nov. 12 there were. . 44 4-1 For the week ending Nov. 19 there were. . 53 53 For the week ending Nov. 26 there were. . 1 38 39 For the week ending Dec. 3 there were. . 2 45 47 For the week ending Dec. 10 there were. . 1 41 42 For the week ending Dec. 17 there were. .2 44 46 For the week ending Dec. 24 there were. . 31 31 For the week ending Dec. 31 there were. . 36 36 From the data here furnished, which has heen carefully revised, it appears that the whole number of deaths from cholera during "the year was 4,557; from other diseases, 4,046, making in all S,608. As frightful as this array of figures may seem, they do not tell the whole story, as it is well- known that scores and even hundreds were taken to the country and across the river or otherwise secretly buried without having been reported to the Eegister. At the commencement of the epidemic our city contained a popula- tion of near 70,000, but this number was reduced to about 50,000 by July, so that the greatest mortality occurred at a time when the number of in- habitants was greatly diminished. The following table exhibits the whole number of deaths from all diseases during each month of the year of 1849. The number from cholera and also the proportion of children of 5 years and under: Whole Number of Persons in January 276 From cholera.. 38 5 years and under.. 97 February 241 From cholera.. 20 5 years and under.. 91 March ..<.... 294 From cholera.. 68 5 years and under.. 93 April 456 From cholera.. 131 5 years and under.. 146 May 786 From cholera.. 517 5 years and under.. 158 June 2440 From cholera. .1799 5 years and under. .512 July 2668 From cholera. .1895 5 years and under. .675 August 436 From cholera.. 62 5 years and under. .208 September ... 305 From cholera.. 13 5 years and under.. 125 October 310 From cholera.. 5 5 years and under.. 125 November.... 189 From cholera.. 2 5 years and under.. 81 December .... 202 From cholera.. 5 5 years and under.. 62 • 8603 4557 217; MEDICINE AND SURGERY. 69 The infantile mortality as exhibited by the above table,, while it is frightfully great (2,173), yet as compared with the whole number of deaths, is smaller than usual, being less than one-fourth of the whole number. Yet of these 2,173 deaths among children, only 526 are reported as having taken place from cholera, from which fact it appears that while no age, sex or condition is exempt from the ravages of ths ruthless dis- ease, it at least showed some respect to the tender age of infancy. The rapid disappearance of the disease after it had once reached its acme (July 10 and 11) is as remarkable as the gradual manner in which it came on. Yet, notwithstanding the warning given by this gradual ap- proach, and the length of time thus afforded for placing the city in order for its reception by a thorough cleansing and by removing every source of disease as well as by establishing and maintaining a vigorous health police and preparing suitable hospitals for the reception of the indigent sick, there was manifested an almost reckless apathy on the part of our author- ities. The city was never in a more filthy condition, and yet inadequate steps were taken towards cleansing it until at length public indignation was aroused to such a pitch by the cruel inaction of the authorities that mass meetings were assembled and the people in their sovereign capacity demanded of them — in language not to be mistaken — either to do their duty or at once resign. But so afraid were they of taking responsibility on themselves or of spending the people's money for the people's good, when they themselves demanded it at their hands, that they ingloriously shrunk from the crisis and conferred all the power and authority, which by law was vested in them, and which they only should have exercised, upon an irresponsible "committee of health" composed of private citizens, who patriotically stepped forward and did what the city authorities long be- fore should have done. Too much praise cannot be awarded to the "com- mittee of health" for the prompt and efficient manner in which they dis- charged the duties assigned them. They commenced their operations about the 28th of June, held daily meetings, and by systematic and vigor- ous action did all in their power to stay the arm of the destroyer. Tempo- rary hospitals were established in each ward, physicians employed and all the appliances of comfort secured for the accommodation of the poor. The city was also cleansed as thoroughly as possible; bonfires were nightly built in almost every street and the whole city repeatedly fumigated with tar and sulphur and other hygienic measures adopted. I am not disposed to attribute the rapid decline of the cholera to the action of the "committee of health"' nor to any other cause, save only the withdrawal of the peculiar unknown atmospheric poison which has always given rise to it. Yet it is undoubtedly true in those parts of the city which were damp and filthy and in which the greatest number of per- sons were crowded together, the disease prevailed to the most deadly ex- tent. This of itself is sufficient to show the importance of paying strict attention to hygienic regulations. As to the bonfires and fumigations, if they did any good at all it was only by diverting the minds of the people. Among the causes tending greatly to swell the number of deaths is to be mentioned the large number of emigrants who were constantly pour- ing in upon us by the boatload, while our own permanent population were leaving as fast as they could I have no means of ascertaining the num- ber who arrived during the whole season, but some idea may be formed from a single fact, that on the 28th of June 350 foreigners landed on our wharf 70 ONE HUNDRED YEARS OF from a single steamer, the New Uncle Sain. These poor creatures, re- cently off shipboard, debilitated by the long sea voyage, and in the most favorable condition for contracting disease, were landed in an atmosphere reeking with the deadly influence of cholera, and as a matter of course were swept off by scores and by hundreds. Instead of victimizing the rest of the community they were themselves the victims. Towards the latter part of June a quarantine was established by which a check was put to the rapid influx of emigrants. The decline of the cholera soon after induced many to believe that they were mainly indebted to the quarantine for its dis- appearance. There can be no doubt of the fact that had the quarantine been established sooner many lives would have been saved by keeping out victims already predisposed to the disease, but it is as unreasonable to sup- pose that the cholera was kept up solely by the influx of foreigners as it was originally brought by them or that the establishing of a quarantine was the cause of its decline. As has already been stated, the disease ran its course and finally ceased, not for want of material on which to act, but from the subsidence of the epidemic tendency to it. The question then arises. What good, if any, is to be accomplished by a quarantine during cholera or at any other lime? The answer to this question has already been partially anticipated by showing that it prevents persons previously disposed to this or any other disease from exposing themselves to the prevailing epidemic influence, and in so far only as the multiplication of diseases during the existence of an epidemic tends — as it may reasonably be supposed to do — to augment the atmospheric causes, can it be said to affect the diseases. But the establishing of the quarantine during the late "visitation of cholera unquestionably did good indirectly in another way — by quieting the apprehension of our citizens and inducing the feeling of security in a firm belief on their part that the chief source of the disease had been removed. Circumstanced, as St. Louis is, being the point at which thousands of foreigners from all parts of Europe annually collect for distribution throughout this widely extended fertile valley, it cannot be denied that a permanent quarantine at this point could be attended with the happiest results, especially for the emigrants themselves. Here, by remaining a few days and undergoing the process of cleansing, they would be better able to bear the sudden change of climate and be less liable subsequently to ty- phoid fever and other diseases arising from long confinement on shipboard. But such an establishment would be attended with no inconsiderable ex- pense, as in order to render it useful for these purposes, large and well ven- tilated buildings would have to be erected and all the appliances for health and comfort sustained. By reference to the daily mortality it will be seen that there is usually an increased number of interments on Monday. This is owing to the ex- cess on the previous Sunday. It strikes one as strange that in the midst of pestilence, in which the hand of Providence was so manifest, men gave full rein to their passions and indulged in unwonted dissipation. Instances are known in which individuals, not having the fear of God be- fore their eyes, went out on Sabbath excursions, defying the cholera, and engaging in all manner of excesses, who would suddenly be taken with the disease and in a few hours hurried into eternity. It is also true that there was an unusually large quantity of alcoholic liquors drunk by all classes of our citizens from the erroneous belief in its prophylactic powers, MEDICINE AND SURGERY. 71 and the records show an increased number of deaths from mania a potu during the prevalence of the epidemic. As the cholera began to disappear dysenteric affections became very prevalent. These were often troublesome and not infrequently fatal. The chief peculiarity which was presented was the very great prostration of •strength attending them, but in other respects they did not differ from ordinary dysenteries of this climate. I am inclined to attribute this dysen- teric tendency to the too rigid adherence to an exclusively animal diet, which almost every one followed throughout the whole summer. And this view is strengthened by the fact that the disease rapidly disappeared as •soon as a proper admixture of vegetable food was taken. After the abatement of cholera and the succeeding dysentery our city ■exhibited an. unusual state of health, and during the months of October, ISTovember and December the weekly reports of mortality were unusually small and will compare favorably with those of any other State. Like the calm which follows a tornado, as it has swept from the forest, carrying de- struction in its path, when once the storm of disease had subsided the at- mosphere seemed to be purified by its fury and rendered fitter for respira- tion. From the commencement of cholera in St. Louis to its termination there were certain localities in which the disease raged with peculiar violence. These points seemed to act as foci from whence the disease ra- diated to other points, and the facts connected with them formed an in- teresting subject of inquiry, especially as they were regarded by those who advocated the doctrine of contagion as having an important bearing on that subject. The first of these infected localities which attracted public attention was a house situated near the corner of Seventh and St. Charles streets and occupied by several Irish families; some inhabited the damp basement and others the upper apartments. As early as the middle of January a case of cholera originating on the mer was taken to this house and died. Soon after the disease broke out among other inmates. Some six or seven died in the course of ten days or two Aveeks, after which the house was abandoned. The character and habits of those persons were such as to render them fit subjects for cholera or any other disease. Thus, with the predisposing cause already existing in the atmosphere, super- added to the bad habit of living, it is possible that the fear occasioned by the introduction of the isolated case among them may have acted as the determining cause of the disease in others. The next of these ill-fated locations which at a later period became celebrated for its mortality was on the northwest side of Green street, be- tween Sixth and Seventh, in a row of small two-story frame buildings. This row was densely inhabited, mostly by Irish. Here the disease pre- vailed violently. Scarce a family escaped without one or more deaths, and some were almost entirely swept off. The peculiarity about the situation of these houses is that they are built near the ground and with lots so ex- ceedingly shallow as to bring the outhouses within a few feet of the back •doors. Still later in the season the disease prevailed with fearful violence on the north side of St. Charles street, between Eighth and Ninth streets, in a row of small two-story frame and brick houses, numerously occupied by mechanics and laborers, whose condition was somewhat better than those on Green street. Nearly the entire population of this block was swept off, 192 deaths occurring in the row. The street opposite had never been 72 ONE HUNDRED YEARS OF paved; the situation was damp; the cellars were filled with water and the premises otherwise filthy. What is called Vinegar Hill, situated between Fourteenth and Fif- teenth and Christy avenue and Morgan street, was also another of these fatal localities. The inhabitants here were mostly Irish. The neighborhood of Biddie and O'Fallon and Eighth street, as well as Biddie and Tenth, may also be included among the infected districts. Here the disease reached an unmitigated violence, sweeping off hundreds. During the months of June and July, having frequently gone into those neighborhoods to sec a single case, T was detained for hours, going from house to house, prescribing as rapidly as possible. The population of these neighborhoods were almost entirely composed of Germans and Irish, who have herded together in large numbers. ISTear by also were large ponds of stagnant water, some of which covered 20 to 30 acres of ground. But by far the most fatal locality was that known as Shepard's Grave- yard (so called from the number of deaths which occurred there), being in the southwest part of the city and embracing three squares, the former bed of Chouteau Pond. The situation of this place was low and damp and filthy and teemed with a population of the poorest of the poor and most destitute character. Here, as might naturally be expected, the cholera raged with unmitigated violence and carried off its scores and hundreds. I am informed by Hr. Alleyne, who had charge of that district during the epidemic, that very many cases occurred without the slightest premonitory diarrhea and ter- minated in an unusually short time. Besides the points above enumerated, there were several other locali- ties in different parts of the city in which the disease was more fatal than usual, among which may be mentioned the districts on St. George street and Bremen. As a general fact it may be stated that the cholera pre- vailed most in those parts of the city in which there were the largest num- ber of persons herded together, where the streets were unpaved and where there was the greatest amount of filth and moisture. As a proof of this it is worthy of remark that there were comparatively few cases in that part of the city which was well paved, well built and inhabited by the better class of persons — for example, from Sixth street east to the river. But while no class of persons could claim exemption, and while some of our best and most useful citizens fell victims to the disease, it fell most heavily on the poorer class from their exposed condition, and especially on our for- eign population. It is perhaps not too much to say that at least seven- tenths of the entire mortality occurred among the Germans and Irish. The question of the contagiousness or the non-contagiousness of chol- era has for a long time divided the medical profession, and it is one of those questions which perhaps never can be definitely settled, as facts upon which different individuals formed their opinions, are, it must be ad- mitted, somewhat contradictory. Without intending to enter upon a discus- sion of this subject, I shall merely state the principal facts connected with the spread of the disease in the St. Louis Hospital so far as they bear upon this point. Prior to the late epidemic I knew nothing of cholera from my own personal observation, but from what I had read in reference to it I regarded the subject of contagion as an open question, and therefore de- termined to examine it impartially in reference to this particularly. The result of my observation has been to convince me that while the disease is strictly epidemic in its nature, yet under some circumstances and to a ST. MART'S HOSPITAL, ST. LOUIS. MEDICINE AND SURGERY. 73 limited extent it may also become moderately contagious. My observation also proves that those persons, professional as well as non-professional, who regarded the disease as contagions, were more guarded in their inter- course with cholera patients, and suffered far more from fear of the dis- ease than those who viewed it merely as an epidemic affection, and insofar as fear acts as an exciting cause, were rendered more susceptible to it than they would otherwise have been. Tiros many instances of what I shall denominate mental contagion occurred. For example, when a case origi- nated in a family the panic often became so great that the other inmates of the house would yield so much to the depressing influence of fear as to render them less capable of resisting the prevailing atmospheric tendency of the disease; and that every additional case thus caused would act with redoubled force. In this way much of the so-called contagion of cholera may be accounted for. From the beginning of January to the close of the epidemic there was- a constant influx of cholera patients in all stages of the disease in the St. Louis Hospital, requiring the constant attention day and night of nurses and assistants, both male and female, yet in not a single instance did any one of them suffer from the disease. On the famale side of the house, and to some extent on the male side, numerous patients laboring under other diseases were placed in the same wards with cholera cases, but, as it is be- lieved, without any injury to their health. The whole number of inmates in the institution, including the Sisters of Charity, male and female nurses, orphan children and disabled and in- digent persons having no home— but exclusive of the patients properly so- called — were 86 in all. Of these only five died of cholera during the whole season. Two of them were Sisters of Charity, neither of whom, however,, was engaged in nursing, the one being exempt from duty on account of age and infirmity, but who occasionally visited the wards for the purpose of ad- ministering consolations of religion to the dying, while the other was en- gaged as precutrix of the establishment, and had no connection whatever with the wards. The remaining three were healthy female children from 4 to 12 years of age, all residing in the female ward, common to cholera and other diseases. In addition to the above, a female recovering from ty- phoid fever was taken with cholera and died. Besides those no other in- mate of the hospital suffered with the epidemic. In common with the rest of the community they occasionally had diarrheas which yielded with great- er or less readiness to the ordinary remedies. TREATMENT. — On this subject I can only give the result of my own experience in and out of the hospital, which experience, while it does not enable me to suggest any plan of treatment which promises more than or- dinary success, has at least taught me how little reliance is to be placed in the "thousand and one" vaunted remedies which are constantly heralded forth, both by the medical and secular press, as specifics for cholera, nearly all of which were fairly tried and proved to be entirely worthless. Further, that those physicians who boast most loudly of their extraordinary success in the treatment of cholera have either seen no malignant cholera at all or else they are guilty of the most willful misrepresentation. That, although no skeptic as to the powers of medicine, my expe- rience in the treatment of cholera has taught me how impotent is our art when the disease is malignant — that the result of medication depends vastly more on the character of the case than on the nature of the treatment, and that while mild cases will yield to opposite plans of treatment, nineteen- 74 ONE HUNDRED YEARS OF twentieths of all the worst eases will die in spite of all the doctors and all the medicine in the universe. But while I fast believe, I am far from thinking- that all plans of treatment are equally successful in one case or unsuccessful in the other, or that even the most malignant cases should be abandoned without an effort to save them. My invariable rule was to aban- don no case as hopeless until death had rendered it absolutely so, and in pursuance of this course some of the very worst cases recovered. The precursory diarrhea generally yielded readily to the ordinary mercurial astringent and opiate plan of treatment, but while this was the case they could not be neglected for a moment, without an imminent risk of the life of the patient. One of the first remedies I employed in work was rendered by Dr. -Cartwright and subsequently indorsed by a physician in this city in an ar- ticle published in the daily newspaper — consisting of twenty grains of •calomel, twenty grains of capsicum and ten grains of camphor. This com- pound, instead of arresting the disease, Avas found to be positively prejudi- cial, the capsicum in many instances increasing the gastritis, and it was therefore abandoned as worse than useless. From the known action of large doses of quinine in congestive fever, in producing a prompt and powerful impression on the nervous system, 1 had hoped to derive benefit from its use in cholera. I therefore em- ployed it in large and small doses (from two to twenty grains) alone and in combination, in repeated instances, without any good effect. Opium and the preparations of morphine, in doses varying from two to ten of the former and from a quarter to two grains of the latter, were iilso tried, alone and in combination, but with no effect more than the quinine. Indeed, in some instances, troublesome symptoms seemed to be the consequence. Calomel, which is regarded by many as the sheet anchor in the treat- ment of cholera, was faithfully tried in hundreds of cases, in doses vary- ing from two to sixty grains, frequently repeated, as well as numerous com- binations. T am not prepared to say that no benefit was derived from its use, but certainly it did not meet my expectations. ISTot a few instances occurred in Avhich the discharges from the bowels assumed a decidedly bilious character, and some in which even ptyalism was induced, and yet the patients died, though the occurrence of ptyalism was generally regarded as a favorable sign. I, however, continued to use cal- omel throughout the epidemic, but in greatly diminished quantities. BLOOD LETTING.— -No remedies employed by me during the cholera seemed at first to produce such decided and favorable results as the lancet. In some six or eight instances, in which the collapse was almost complete, •and in which all the symptoms of advanced cholera were present, the pa- tients seemed rescued from the jaws of death by free blood letting. In these cases the blood at first came cl^r bv drop, and was of a dark mo- lasses color, 'out gradually began to fiKi >- ■ ultimately to flow freely, at the same time assuming a brighter hue. Simultaneously with these changes respiration became more frequent and less labored, and the pulse seemed to increase or, from not being perceptible at all, became manifest. As the dis- ease progressed, however, the same favorable results did not attend the use of the lancet, and it finally fell into disuse, not that I did not believe that there were many cases in which it might have done good, but because my zeal in the use of the remedy flagged, owing to repeated failures, and from the very great demand there was for every moment of my time/ In every MEDICINE AND SURGERY. 75 instance in which bleeding was tried other remedies were simultaneously •employed. Dry cups to the spine and cut cups to the abdomen were also freely used, and the latter with good results, the former not. The warm hath, the cold douse were also severely tried, mustard plasters, frictions with capsicum, dry mustard and salt, hot bricks, blankets wrung in hot water, etc., etc.. were extensively tried, but with no effect. In one instance a pa- tient was brought into the hospital, the soles of whose feet were burnt to a crisp by the application of .hot bricks, yet without producing reaction. In another case plasters were allowed to remain until the death of the par- ty from gangrene ensued. So thoroughly was I persuaded of the in- ■effieacy of external applications that in the hospital they were almost whol- ly abandoned, and my efforts to bring on reaction were directed to the cen- ter of circulation rather than to the extremities. Indeed, it seems to me as unreasonable to expect to excite animal heat by applying remedies to the extremities, when neither the heart nor the lungs are doino- their functions properly, as it would be to think of increasing the temperature of an apart- ment by tampering with the flues vhen the furnace where the heat is generated is out of order. In private practice I continued to use the fric- tion and external applications because it was gratifying to friends to be employed in doing everything in their power to prevent a fatal termination of the disease. Chloroform by inhalation and taken internally was also tried, the for- mer to relieve cramps, the latter as a diffusible stimulant. In both these respects it answered a good purpose. It is worthy of remark, however, that in the worst cases there were no cramps at all. or they were so incon- siderable as not to recpiire treatment. According to my experience cramps were by no means a troublesome symptom, and I ultimately regarded them as a favorable omen. In perhaps a majority of fatal cases the vomiting, diarrhea and cramps would all disappear hours prior to death and the pa- tient would sink into a state of collapse in which he would die, with appa- rently less physical suffering than almost any disease with which I am ac- quainted. Besides the remedies above enumerated, many others were tried which it is unnecessary to mention. I shall therefore close this subject with a brief detail of the plan of treatment which I found most beneficial. TVhen called to a case in the early staa'e of the disease, in which there was vomiting, an emetic of salt and mustard mixed and dissolved in warm wa- ter was invariably given. This would generally arouse the vomiting, after which a single dose of twenty grains of dry calomel was placed on the back of the ton°ue and washed down with a small quantity of water. This was followed every fifteen minutes, half hour or hour, according to the cir- cumstances, with a powder consisting of musk, calomel and tannin, each five grains, and camphor, four grains. Injections of acetate of lead and laudanum or a strong infusion of nut galls, after each operation of the bowels and a large blister over the abdomen. If the tendency was to sink I also gave in addition to the above ten grains of carbonate of ammonia, in solution, every fifteen minutes or half hour, according to circumstances. Brandy was extensively tried as a stimulant, but without any favorable result. The remedies on which I mainly relied were the salt and mustard emetic, the musk powders, the solution of carbonate of ammonia, the as- tringent injections and blisters on the abdomen. 7G ONE HUNDRED YEARS OF In numerous instance? patients who seemed to recover from the im- mediate effects of cholera subsequently died of consecutive fever, which was usually typhoid in its character, and in which the brain was involved to a greater or less extent. There are many points connected with the treatment, as well as the pathology of the disease; which might be en- larged upon, but my object is not to write a treatise on cholera, but simply a record of its progress in St. Louis. 1 have not even thought it neces- sary to give a minute description of the disease, as it so closely resembled the numerous descriptions already published as to render this unneces- sary. The following statement of the weather during the reign of cholera has been kindly furnished by Dr. G-eorge Englemann of this city, who, for a number of years past, has kept a regular account of the barometrical and thermometrical changes, as well as of the quantity of rain which falls. It will be found of interest when viewed in reference to the epidemic, from which it will be seen that there was nothing peculiar in the state of weather to account for the unusual severity of the disease, but that on the con- trary the weather, as compared with ordinary seasons, was rather favorable than otherwise to health. REPORT OF THE WEATHER.— During the period of May, June and July, while the cholera raged in St. Louis, the meteorological phe- nomena gave no evidence of any unusual state of the atmosphere. The weather was as usual with us in that season, which is emphatically our "rainy season." The rai:is, accompanied by thunderstorms, set in some- times with the beginning of May, sometimes about the end of the month, and last until the middle or the end of June or the first week of July. June is always our rainy month, with sultry weather and frequent thunderstorms and prevailing easterly and southeasterly winds, and occasionally storms from the west, which are generally of short duration. The weather in May, 1849, was rather fairer and a little cooler than usual : in July it was more cloudy and rainy and much cooler than it gen- eral ly is at that time; in June, however, it was the same as we almost al- ways experience in this month. The quantity of rain for May, only 2.71 inches, fell in five days, while the average of the twelve preceding years gives 4.90 inches, which descended in about nine days. In June thirteen rainy days averaged 6.16 inches of water, which cor- responded very well with the average, 6.66 in eleven days. In July 9.40 inches of rain poured down in twelve days, while the av- erage is only 3.65 inches in seven days. The atmospheric pressure was the same as common at this season, rather steady, not variable, but mostly below the average of the year. The mean temperature of May, 64-7, was below the average, which is 66-3. That of June, 74-5, was equal to the average for this month, and that of July, 75-1, was much under the average of sixteen years (78-4). In nine out of the preceding years the thermometer rose higher during the month of May than in that month in 1849 ; in nine years again in the same period it rose higher in June than in the corresponding month of 1849; in all the sixteen vears it was warmer in July than in that month in 1849. It is worth remarking, however, that the lowest temperature in those three months never Avas so low as it was almost always in the corresponding MEDICINE AND SURGERY. , 77 months of the sixteen preceding years; so that the changes were never so great as they usually are at that season. As usual easterly and south- easterly winds prevailed during the period in question. The uncommon quantity of rain in July, together with the unusual low temperature of that month, corresponds with the rapid decrease of epidemics; so much so that should I feel inclined to ascribe any influence over this mysterious disease to the weather I could not help coming to the conclusion that the weather during the prevalence of the disease was remarkable and almost providentially favorable and that probably had the season been Avarm, as we frequently have it, the cholera would have raged even more violently and fatal than it did. That the epidemic cholera would be almost fatal during the month of June was expected by every physician who bore in mind that in that month more than in any other of the twelve, dysentery and sporadic chol- era make their appearance among us. I proceed now to give a condensed view of the atmospheric phenomena during the thirteen weeks in which the cholera prevailed. As, according to the reports of our city authorities, the week begins with Tuesday, I have been obliged to follow the same arrangement. May 1 to 7 — Weather favorable, often cloudy; rain only once, 1.78, with thunder: barometer high, gradually falling; extremes of temperature, 39 degrees (on the 1st) and 88.5 degrees (on the 3d) ; the mean temperature, 65.5 degrees; prevailing winds, south and east. Number of deaths from cholera, 78. May 8 to 11 — Weather favorable; rain twice, 0.62, without thunder; barometer on the whole falling; extremes of temperature, 52 degrees (on the 10th), and 8.10 (on the 11th); mean temperature, 66.3 degrees; prevail- ing winds, northeast and some west. Number of deaths from cholera, 193. May 15 to 21 — Weather for several, days very fair; otherwise variable; rain twice, only 0.31, without thunderstorms; barometer rising, then fall- ing again; extremes of temperature, 58 degrees (on the 18th), and 82 de- grees (on the 21st); mean temperature, 65.5 degrees; prevailing winds, northeast with some southeast. Number of deaths from cholera, 128. May 22 to 28 — Weather partly fair, otherwise variable; no rain or thunderstorms; barometer little higher than the week before; extremes of temperature, 50 degrees (on the 27th), 75 degrees (on the 22d); mean temperature, 61.5 degrees; prevailing winds, west with little east and north- east. Number of deaths from cholera, 118. May 29 to June 4 — Weather partly fair with a few variable days; only slight rain, 0.08, with thunder; barometer still rising, afterwards slightly falling; extremes of temperature, 51 degrees (on May 29), and 88 degrees (June 3); mean temperature, 70.7 degrees; prevailing winds, southwest and some southeast. Number of deaths from cholera, 71. June 5 to 11 — Weather rainy and stormy, with little fair weather; rains heavy, 3.48, on three days, with six thunderstorms; temperature low, with a slight rise towards the end of the week; extremes of temperature, 73 degrees; prevailing winds, east and southeast, with little southwest and northwest. Number of deaths from cholera, 139. June 12 to 18 — Weather variable, very fair in the latter part of the week; rain only on one day, with two thunderstorms, 0.89; temperature constantly rising; extremes of temperature, 60 degrees (on the 16th), and 89 degrees (on the 18th); mean temperature, 73.4 degrees; prevailing winds, west at first and then easterly. Number of deaths from cholera, 426. 73 ONE HUNDRED YEARS OF June 19 to 25 — Weather at first fair and then variable and on four con- secutive days rain}-, 1.43, with four thunderstorms; temperature high at first, then slightly falling; extremes of temperature, 67 degrees and 94 degrees (both on the 19th) ; mean temperature, 7S.5 degrees ; prevailing winds, east and northwest. Number of deaths from cholera, G36. June 26 to July 2 — Weather very variable, often cloudy, fair only for a few hours; rainy on three days, 0.58, with five thunderstorms; tempera- ture somewhat lower or rather constant; extremes of temperature, 60 de- grees and 87.8 degrees; prevailing winds, southeast, with some northwest. Number of deaths from cholera, 739. July 3 to 9 — Weather variable, with a few fair days; rainy on four days. 5.52, with four thunderstorms; barometer about the same as last week or a little higher; extremes of temperature, 65 degrees (on the 4th) 7 and 86 degrees (on the 9th); mean temperature, 75 degrees; prevailing winds, east and southeast. Number of deaths from cholera, 654. July 10 to 16 — Weather mostly fair, with rain on three days, 1.83, and two thunderstorms; barometer rising considerably; extremes of tempera- ture, 62 degrees (on the 15th), and 90 degrees (on the 10th and 11th) ; mean temperature, 78.4 degrees; prevailing winds, east, south and west. Num- ber of deaths from cholera, 669. July 17 to 23 — Weather even fairer than in the week before; rain only one day, 0.21, with a thunderstorm; barometer slightly but gradually fall- ing; extremes of temperature, 63 degrees (on the 17th), and 88 degrees- (on the 19th); mean temperature, 78.8 degrees; prevailing winds, at first southeast and then north and northeast and northwest. Number of deaths from cholera, 269. July 24 to 30 — Weather variable, more cloudy again; rain on four days, 1.81, and one thunderstorm; barometer falling, then rising again; extremes of temperature, 65 degrees (on the 30th), and 88 degrees (on the 29th); mean temperature, 71.1 degrees; prevailing winds, west and south, with some east wind. Number of deaths from cholera, 100. The following exhibits the number of cholera cases admitted into three of the hospitals, with the number of deaths: Whole number of cholera cases admitted into the St. Louis Hospital. .1,330 Died 510 Discharged 820 Cases admitted into the City Hospital from 3 [ay to September in- clusive 57 Discharged 27 Owing, to the location of this hospital, being a mile and a half from the city, it was not used to any considerable extent as a receptacle for cholera patients. Between the 2d and 20th of July there were admitted into the First Ward Hospital, all cholera 82 Died of this number 21 During this period several of the nurses and attendants employed in attending to the sick were attacked with cholera — one of whom died — making the whole number of cholera cases 87 and 22 deaths. This was one of the temporary hospitals established by the "committee of health," MEDICINE AND SURGERY. ij 9. and it was therefore only in operation a short time, being under the med- ical charge of Dr. Wilson. I cannot close this article without, paying a merited tribute to the citizens of St. Louis generally for the humane and gallant manner in which they bore themselves throughout the epidemic. Notwithstanding the misrepresentations which were circulated abroad; there was no un- usual panic, no flinching from duty whatever. At a time when hired at- tendants could not be had associations of young gentlemen were formed for the express purpose of nursing the sick. And the Sisters of Charity, with characteristic kindness, were ever ready to volunteer their services, and, wherever the arrows of death fell thickest and fastest, there they were to be found amid the sick and dying, regardless of their own personal safety and comfort, and through the administrations of the gospel to every denomination, nobly did their duty, and by their untiring zeal, ministering to the spiritual wants of the people, proved how sincerely devoted they were to their whole work in which they were engaged. Several of them,, whose memories will not soon be forgotten, sacrificed their lives in the work. As to the physicians, although they were unable to stay the arm. of the destroyer, they were unwearied in their attention to the sick and ever ready to sacrifice themselves for the good of others. The melancholy record of deaths among them sufficiently proves how devoted they were- in the cause of humanitv. CHOLERA EPIDEMIC IN ST. LOUIS IN 1866.* No better history of the epidemic of cholera of f866 can be written than that by Eobert Moore, a civil engineer of St. Louis. Mr. Moore was-' for a long time City Sewer Commissioner, and has given the study of epi- demics considerable attention, particularly those epidemics which are in- fluenced by sewage. ''The precise route by which, cholera reached the city of St. Louis in 1866 is not altogether certain, but it probably came by rail from New York, and not> as heretofore, by way of the Mississippi Biver. Its first appearance was in the week ending August 3, during which there were five deaths from this cause. But there had been good reason to expect if for many months. During the autumn of 1865 the Governor of the State, Thomas H. Fletcher, had called the attention of Mayor Thomas to the probable coming of cholera during the ensuing year, and suggested the propriety of preparing for it. The Mayor heartily indorsed this suggestion and endeavored to get the City Council to take the necessary measures. But his appeal met with no response. In the spring of the- following year his efforts to this end were renewed, but with no better result. The Council steadily refused to do anything. The cholera was not here, and it was argued that any measures of preparation for it would frighten strangers and injure business, so that, when it finally appeared, the city was wholly unprepared to fight it. There was, it is true, a so-called Board of Health, which, as in 1849, consisted of a committee of the Council and a health officer, but they had neither the authority nor the money, even if they had the knowledge necessary to stamp out a pestilence. "The disease, therefore, spread with great rapidity. During the sec- *By Robert Moore, C. E., St. Louis, 80 ONE HUNDRED YEARS OF ond week of its presence it caused 120 deaths. For the third week the number rose to 754, and in the fourth week, ending August 24, it reached 991. or an average of 142 per day. "By this time the need of some vigorous and concerted measures to fight the enemy had become so great that volunteers had once more to come to the rescue. This time, however, the organization took the form of a committee of citizens in each ward. who. acting in concert with the Mayor, visited from house to house, furnishing nurses and medicine^ to those who needed them. During the next week after the work began the mortality fell to about half that of the previous week, and steadily declined thereafter, until, for the week ending October 30, the number of deaths were only thirty, and a month later the disease had wholly disappeared. "The total number of deaths due to the epidemic this year was 3,527, although Dr. McClelland report on cholera in the United Stated in 1ST3 sives the number of deaths from this cause in St. Louis in I860 as 8,500 — a statement which has been frequently copied and generally accepted by the newspapers. It so happens, however, that we have two independent enumerations to guide us in this matter — one made by the Board of Health, the other made after the epidemic was over by the city assessors, as the result of a house to house inquiry. The total of the latter enumeration falls short of the former, but when we add to it the death- in the City Hospital, as given by the books of that institu- tion, we get exactly the same number, 3,527, as given by the Board of Health, so that the correctness of this figure may he considered as fully established. The rate of mortality which it represents is 17.3-10 pe: thousand of population. "'The location of the deaths in this year, as given by the assessors' reports, with the approximate mortality per thousand for each block, is shown on a map which accompanies this paper.* I will not attempt any discussion of the facts revealed by this map any further than to say that it shows in a very striking manner the close relation between cholera and filth. Those parts of the city where the people and their habitations were clean, and where no veils were used for drinking water, escaped al- most entirely, and the whole force of the epidemic was spent upon those parts where the houses and the people were unclean and well water wa- in most frequent use. Whilst 'Kerry Patch/ and "Trench Town* show on the map in deep black. Stoddard's Addition is almost blank. The man whose food and drink were free from filth would seem to have been as safe in St. Louis in the midst of the epidemic as if he had been a thousand miles away. CHOLERA SINCE 1866. ■"In June of the next year. 186?, cholera appeared once more and threatened again to sweep the city. But this time a real Board of Health, with adequate powers and with Dr. John T. Hodgen at its head, had been organized. It is. therefore, no surprise that in spite of its earlier start, the cholera in 1867 caused but 684 deaths, or less than one-fifth of the number of the previous year. *For lack of space this map is omit:ed here. Readers desiring to consult it wi'.l find it in "A Sanitary Survey of St. Douis," edited by Dr. George Homan.— Ed. MEDICINE AND SURGERY. 81 "In 1Sv3, when cholera appeared again, it was hardly recognized as such, and the victims, as counted by Dr." McClellan, from reports of local physicians, numbered only 392. APPENDED TABLE, SHOWING MORTALITY OF CHOLERA IN ST. LOUIS. Month. 1849. January 36 February 21 March 7g April 125 May 554 June 1,746 July 1,6S9 August 415 September 18 October 3 November 3 December .3 Totals 4,317 Population 63,471 Rate per 1,000 68.1 1850. 13 4 2 12 80 174 45S 59 16 21 883 77,860 11.34 1851. 1 9 47 505 233 37 9 845 83.715 10.10 1852. 4 3 1 2 44 230 274 98 41 53 31 21 1854. 1 2 10 91 190 479 53S 136 20 4 13 1866 2 2,388 1,082 51 4 1867 1873 103 321 225 20 1 802 1,534 3,527 684 392 90,111 104,060 204,327 212,360 267,620 8.91 14.75 17.26 3.22 1.47 Eemarks. — The figures of population of 18-19 and 1866 are from enu- merations made by the city authorities- those for 1850 are from the United States census. For other years the population is computed by compound interest formula, assuming the annual rate of increase from one census to another to be constant. While a great many more deaths per thousand inhabitants occurred in 1849, still in 1866 the month of August shows a to- tal of 2,388, or 642 more than in June, 1849, the latter month being gen- erally considered the most fatal from cholera St. Louis has ever known. 6 OXE HUNDRED TEARS OF CHAPTEE V.— YELLOW FEVEE LY ST. LOUIS IX 1878 AND 181 During the summer of L878, as is well-known, yellow fever raged in. the principal cities of the South to an alarming extent. The exodus was 30 great that many of the smaller towns were a! depopulated. Those that did not succumb to the disease and were finan- cially able to leave new to Norther cities by rail or by the steamboats ply- ing upon the Mississippi. But for the prompt action of Air. C. W. Francis, then Health Com- missioner of St. Louis, .there is no doubt that St. Louis, situated as it is,, being - ssible, both by rail and water, would have suffered very ma- terially. He promptly opened Quarantine Hospital as soon as the first case was discovered in the city, placing Dr. Henry C. Davis, then assistant physician at the Female Hospital, in charge as superintendent. This was about the middle of July. In about twenty days after this the work of caring for the sick at this institution had grown so that Mr. Francis asked for volunteers from the corps of young physicians then stationed at the City Hospital to assist Dr. Davis. Dr. F. T. Outley, Dr. Jacob Friedman and the writer responded to this call. We found this noble young physician overwhelmed with work. Not only did he have the sick and dying to care for, but the stopping of boats at all hours of the day and night, the discrimination of the disease in the sick in the palatial cabins, as well as those on deck, and their isolation from healthy individuals, and their removal to the hospital wards, to say nothing of the worry connected with the holding of b - often to the disgust of the captains in pharg . These manifold duties slowly but surely undermined his iron consti- tution, and he, too, succumbed to the disease, and died on October 15, after a seven days" illness. Thus ended the life of one of the many martyrs to a noble profession. As soon as it was known to the employes of this institution that Dr. Davis was dead the greater number immediately left for the city, and those that were left in charge had from that time on till the 'closure of the hospital to contend with poor and inexperienced help, many staying not longer than two or three days after being appointed. The first positive case of yellow fever in this city was in the person of William P. O'Bannon, who arrived from New Orleans on July 11, 1878. He was a citizen of St. Louis and had gone with his uncle in June a- - - ond clerk on board the steamer Commonwealth. He died on the 19th of July. 1878. t The next case was Capt. Nelson, a man 68 years of age. His case de- veloped about August 10. The first patient (Julian Loewe) admitted to Quarantine Hospitai came from Memphis on the railroad on August IS. The first patient taken off a steamboat coming from the South was James Payton, taken from the steamer Colorado. There were received at the hospital between August 18 and October 22, 127 patients: about 88 of these had yellow fever. The other eases *By Dr. Walter B. Dorsetu St. Louis. :;: **Author's note:— For valuable information in the preparation of this article I am indebted to Mr. C. TV. Francis, form erly Health Commissioner of SL. Louis. MEDICINE AND SURGERY. 83 were classed as intermittent fever. Thirty-seven of the yellow fever pa- tients died. In addition to the above there were 35 cases of persons coming from other cities to St. Louis between July 8 and September 25, who were sup- posed to have had yellow fever; J 9 of these people died. Among these 35 was William P. O'Bannon, mentioned above. None of these cases were at Quarantine. In addition to the number of cases and deaths at Quarantine there were about 10 bodies taken off boats during the summer, they having died on the boatig, and were buried at Quarantine Cemetery. During the season of 1878 there were IS citizens of St. Louis who contracted the yellow fever; 10 of these persons died. Five of these per- sons who died were employes of the Health Department, among them Dr. Henry C. Davis, spoken of above. The treatment of yellow fever patients at Quarantine Hospital was mostly directed towards alleviating symptoms as they presented them- selves. Quinine proved of no value as a prophylactic agent. When the temperature arose to what was considered a dangerous degree, quinine seemed to have some power in depressing it. Cases of this kind, however, were exceptionable for the reason that the drug was rejected by vomiting as soon as taken. One case was treated for a time with inhalation of super-oxygenated air. The inhalation of the mixture of oxygen with atmospheric air has a decided soothing effect upon the patient, but nothing more, perhaps than was to be expected, as oxygen has a well-known anesthetic power when inhaled in large quantities. The case upon which this test was made was a severe one. The patient died. CLASSIFICATION AND SUMMARY OF ALU CASES OF YELLOW FEVER OCCURRING IN ST. LOUIS AND ITS VICINITY IN 1878. Recov- ered. Died. Total. Cases of yellow fever treated in the city of St. Louis in persons coming from points where the disease was prevalent 16 19 35 Cases of yellow fever treated at Quarantine, from all sources 59 38 97 Cases of yellow fever arising by contagion in St. Louis and suburbs, not treated at Quarantine 4 3 7 Cases of yellow fever arising by contagion in St. Louis and suburbs, treated at Quarantine 3 8 11 Cases of yellow fever, or closely simulating that disease — where con- tagion could net be demonstrated— occurring in St. Louis and suburbs, not treated at Quarantine 1 11 12 Cases of yellow fever, or closely simulating that disease— where con- tagion could not be demonstrated— occurring in St. Louis and suburbs, treated at Quarantine 1 1 Cases of yellow fever treated in St. Louis, its suburbs and at Quarantine in the year 1878 80 71 151 Cases of yellow fever treated in St. Louis, etc., and at Quarantine, in persons from cities where the disease prevailed (exotic cases) 72 48 120 Cases of yellow fever arising in St. Louis and suburbs, in residents, or persons who had not been to the South (indigenous cases) — 8 23 31 The number of deaths by yellow fever, imported and of domestic origin, occurring properly in the city of St. Louis and its suburbs, was thirty-three; of these fourteen were indigenous cases and nineteen from abroad. Thirty-eight deaths are also recorded at Quarantine, making a grand total of " seventy-one deaths by yellow fever of domestic and ex- traneous origin conjointly. The number of deaths by yellow fever of domestic origin was twenty- three out of thirty-one cases, of which nine deaths occurred at Quarantine, the patients having been removed thither, and fourteen in St. Louis and its suburbs. 84 ONE HUNDRED YEARS OF During the summer of 1879 there were forty-nine persons received at Quarantine supposed to be suffering from yellow fever, of whom thirty- five proved to have yellow fever; of these thirty-five four died. This is in refutation of the idea that yellow fever cannot be contracted in this latitude, and is proof that it only requires the ind action of the fever germ into our midst. Literature, although scant on this subject, tells us that it has been contracted even as far north as Chicago, Avlien the temperature and humidity of the atmosphere were favorable to the dissemination of the germ. This should teach the authorities of municipalities the value of strict quarantine regulations during the prevalence of this disease in Southern cities. Since the acquisition of Cuba and Porto Eico to our country much good work has been done towards sanitation in the cities of these two islands, notably in Havana, as evidenced by the report of the New Or- leans Commission recently appointed for the investigation of this matter. When this plague spot has once been thoroughly renovated little fear can be entertained for the spread of this dread disease to any alarming extent in this country. Like the Asiatic cholera, it will become only a matter of past histor};'. Still, sanitation in all that it means in large cities, and the enforcement of strict quarantine regulations, should ever be uppermost in the minds of those into whose hands the country at large intrusts its lives. Nothing can be more dreadful than an epidemic of yellow fever, unless it be Asiatic cholera. The sights as witnessed by the writer while attending to his daily du- ties of taking off the boats these people who were fleeing for their lives is an experience never to be forgotten. Wives that had buried their husbands, and in many instances several children: husbands that had lost their wives and all their children; orphaned children in charge of Sisters of Charity, and in many instances total strangers, fleeing, they did not know where, but escaping from what they felt assured was certain death. It certainly was distressing in the extreme. THBLE SHOWING Cases and Deaths of Contagious Diseases Tor the Past Porty-Nine Years, Ending March 31st. 1899. for this publication by Dr. Walter B. Dorsett.) YEARS. •g£- Dipbthe- c™„ Scarlet- Pever. Typhoid- Cerebro Spinal Measles. Consump- tion. Cholera. - , - % - 1 Q 6 U fl O Q I Q U P U n a a 3 a (5 89 II 502 378! i: 7 7 39 22 4 28 10 159 16 2 2 11 101 63 111 27 IE 240 375 9 IT.;' 837 447 603 9( 125 ■:i> 227 157 222 179 ill I'.T 191 151 101 11C 22C 304 194 1051 | 865 174 1 820 220 1 696 33o| 10 3531 1351 368 534 323] 5 4.210 4,388 4,714 3,832 6,440 5,231 3,602 4,065 4,231 4,765 4,978 4,170 5,236 5,951 6.893 6,157 9,099 6,538 5,193 5,884 6,670 6,265 8,047 8,551 6,506 7,532 6,019 5,660 6,002 6.167 6,636 8,410 7.845 8,177 7.887 7,490 8,268 9,155 9.015 8,004 8,409 9.530 10,225 10,303 8,710 9,425 9,897 9,251 9.699 94,442 144,188 414 324 324 328 461 -!.,s in i f,.i: 1.7 1 ID 59! 568 Tf.l 13 1 1 7 7 2 4 3002 684 I 3 1 5 131 48 71 68 76 61 56 164 16! 161 li: L57 385 653 42E 372 sy 95: 2fr 214 23 243 19i r.-jf 209 192 li'. 26; :i: 114 150 :;■• 21f :"::;. 16 61 51 !iL 79 61 78 63 72 15". 1.! 85 i;: 6! Hi: 134 :>>. 109 1« 1SS 167 71 IK i:'~ i::i ii. 513 611 133€ 948 lie 731 586 ass 827 580 27 28 55 263 68 4< ll JM 124 40 36 39 47 108 34( 349 161 164 149 48 30 r.'i 9-1 109 153 55 26 6 27 25 350 427 ■Kill ::ii-J! iM 392 281 464 !'■•'. 28 S 112 32 39 67 36 61 70 55 3! 25 55 27 64 35 54 6 40 31 7 36 7 26 7 44 6 10 11 202 269 131 131 103 74 133 19J 168 1871 1872 1873 if, 79 178 34 "eo 30 28 122 j:ir 66 3] 24 32 33 33 7 10 16 25 20 17 81 230 52 ..... 471 406 1686 *:\ 617 314, 829 318,794 323,759 T-'l .;» 730 781 781 87C 845 888 :nr. 655 869 v.2 ..vl 875 |...H. 1026 9 104 3 361,466 41 233 29 1661 . 1251 1241 1161 1331, . , 137) 1721 5141 37 1711 55 1721 28 1001 27 118 18 35M 296 1 1 " liKir 691 95 721 5": 987 3191 1441 mi 1" SO i( 52 26 5 5 3 ■:.-. n ] 3f ■1 3 l.v«is-:i:i 99 143 li.TT 640.000 •Organization of the first •** Population taken from Board of Health. United States, cens •* Antitoxin In Reneral use i each 10 years. Intermediate : of cases of Typhoid Fever a> i. || No record. ■ approximate. as a great many physicians c MEDICINE AND SURGERY. gg CHAP r i'ER VI.- -THE LAST HALF CENTTFBY. MATTERS AND THINGS MEDICAL IN GENERAL-A BRIEF RETROSPECT OF HALF A CENTURY.* From the above title it will be seen that I have given myself ample scope to say whatever occurs to me, without reference to logical sequence. Not, however, ''Like orient pearls at random strung/"' but rather "the ran- dom strung, minus the orieut pearl.** I do not agree with the late Dr. Oliver Wendell Holmes in his famous declaration. "If all the medicines in the world were cast into the sea it would be all the better for mankind and all the worse for the fishes/"' But, if instead of all, he had said nine-tenths of all the medicine in the world 1 would be disposed to say amen. We have too many medicines and far too much of it is daily prescribed and daily swallowed without being pre- scribed for the good of those who swallow it. But the fact is, the vast majority of mankind, and especially of womankind, are firm believers in the efficacy of medicine, and hence they like to be dosed. If the doctor refuses to give it to them they will take it in spite of him. It is not at all to be wondered at, therefore, that there should be a disposition on the part of the profession to gratify them in this regard. But I venture the assertion that the older the physician grows and the wider the range of his experience becomes the less medicine he will give and the more reliance he will be disposed to place in the vis medicatrix naturae. The young doc- tor is the special patron of the apothecarv and the hope of the drug manufacturer. Dr. Holmes, to whom allusion has been made — whose recent death saddened men of letters of more than one continent, and who so ad- mirably united in his own person the poet, the philosopher and the physi- cian — with all his accomplishments, was very much of an agnostic in med- icine, but his leaning in that direction tended more to rational conservatism than to the belittling of his own profession. Indeed, I am persuaded that a moderate amount of scepticism in medicine is highly desirable — enough at least to insure reflection and to prevent the too-ready adoption of new and untried theories. Credulity in medicine, not less than in religion, is the fruitful source of error — all the miserable brood of isms and pathys which have disgraced the profession and cursed the world are its legiti- mate offspring. We should learn to avoid the two extremes, blind credul- ity, which believes everything, and stolid agnosticism, which believes noth- ing, and adopt the true philosophy, "prove all things, and hold fast that which is good." I have recently celebrated the 53d anniversary of my arrival in St. Louis, then a flourishing town of 20,000 inhabitants, and already beginning to attract national attention. Since then busy time has brought many and important changes. Indeed, I may say that nothing now remains just as I then saw it, even the Mississippi Biver has undergone vast changes in its relative importance. Then it was the highway of travel and the sole channel of commerce; now it is of but secondary importance in these re- *By Dr. "W. M. M.cPheeters, St. Louis. Read before the tit. Louis Medical So- ciety, December 15, 1594. 86 ONE HUNDRED YEARS OF gards, having given place, in large part, to more rapid transit by rail. The old Planters' House, just then completed, having served its day and gen- eration, has given place to a new and more magnificent structure. But these physical changes — great as they are — are so obvious that they need not be enumerated. I will therefore restrict myself to matters and things medical. Of all those whom I found practicing medicine here on my arrival, but a solitary one now remains: the others have all passed into the other world. Of the one remaining — then, as now, he was a fine specimen of the genus homo, as well as the genus medico. Of course, I allude to Dr. J. B. Johnson, who preceded me hut a few months, but whom I found always actively engaged in laying the foundation of his subsequent deserved suc- cess. A few months later brought, first Dr. Moses and then Dr. Pope, both of whom became prominent, one as a practitioner of medicine, the other as a surgeon of national renown. The former still lives in dignified retirement, the other came to a tragic death in a foreign city, beloved and regretted bv all. In the fall of 184.1 I found the St. Louis Medical Society in full and vigorous operation, having been chartered bv the Legislature in 1837, hold- ing meetings monthly from May to November and semi-monthly the rest of the year. In 1842 it contained a membership of about fifty. The meetings were proportionately as well attended then as they are now, while the papers read and the discussions had were of no inferior character. There was also manifested a commendable esprit du corps and a strict ad- herence to professional etiquette. Indeed, St. Louis at that time con- tained physicians of recognized ability and reputation. Dr. Englemann, distinguished as a botanist and general scientist; Dr. Wislizenus, for his careful and accurate meteorological observations, and Dr. Beaumont, re- nowned for his physiological researches and his experiments on digestion, afforded by the rare opportunity he had of looking into the interior of the stomach 'of Alexander St. Martin, and noting its normal workings. Be- sides these there Avere a number of other intelligent, educated physicians, such as Drs. Lane, McCabe, Moore, Eeyburn, Sykes, Adreon, Prather, Mere- dith Martin and others. These men were all skillful and successful prac- titioners, and let me say that the pneumonia they had to treat yielded as readilv to the lancet, and the rheumatisms they encountered to the col- chicum and nitrate of potash treatment, as do the same diseases now to modern antipyretics. I mention these facts that the younger members of the profession may know what kind of men their predecessors were — that they were abreast of the times in which they lived. Specialism, as it exists at the present day. with its advantages and evils (greatly beneficial when kept within certain bounds, otherwise not), was not in vogue at that time. The nearest approach that came to it was in the case of a certain Kentuckian, who undertook somewhat of a monopoly in this line. One morning he hoisted his sign, which read, "Dr. Price, Phvsician, Surgeon, Aurist, Oculist and Accoucher," but die soon broke down under the weight of his undertaking and left for parts un- known. In November, 1840, prior to my arrival, the celebrated Dr. Joseph 1ST. McDowell, assisted by his friend and colleague. Dr. John S. Moore, estab- lished the first medical college west of the Mississippi Eiver, as the Medi- cal Department of Kemper College, but popularly known as the McDowell College, which started out with 31 matriculants. Fresh from the Univer- JOHN S. MOORE. MEDICINE AND SURGERY. 37 sity of Pennsylvania and the wards of the Blockley Hospital, Philadelphia, I had the pleasure of occasionally listening to the second course of lectures in this pioneer institution. This was the day of small beginnings in the •way of medical teaching in St. Louis; but as "tall oaks from little acorns grow," so this parent college, after undergoing various evolutions and changes, both in name and organization, stands to-day as one of the heading medical institutions in the West, the Missouri Medical College. All honor to its original founder, as well as to those who have so ably ■and successfully broadened and deepened the foundation which he laid. Two years later the eminent surgeon, Dr. Charles A. Pope, assisted by D#\ Litton and others, established a second medical college, as the Medical College of the St. Louis University, which in its turn has undergone like •changes, and is now known and honored as the St. Louis Medical College or the Medical Department of the Washington University. To it belongs the credit of having been the first Western medical college to adopt the ihree years- graded course of study, a distinction of which it may well be proud. At the risk of antagonizing some whose friendship I value and whose motives I respect, I venture the opinion that it would have been well for the profession and for the cause of medical education if the establishment of medical colleges had ceased with the two already mentioned: for, how- ever, it may be to the interest of those whose ambition it is to become professors, I fail to see how the profession at large is benefited, or the cause of medical education is advanced by the multiplication of medical schools — higher medical education, I mean, not the mere granting of degrees. The St. Louis Mullanphy Hospital of the Sisters of Charity was the only hospital here when I arrived. This institution was founded in 1828, and the original building erected on a lot situated on the corner of Fourth and Spruce streets, donated by John Mullanphy. In it the city's sick were cared for, attended by a physician appointed by the city and paid for per capita. The City Hospital was not completed for occupation until 1846, when a building 131 feet long and 50 feet wide was erected on the present site at a cost of $17,000, and with a capacity for accommodating ninety patients. Drs. John S. Moore and M. M. Pallen, health officers, appointed by Mayor Bernard G. Pratt, were charged with the duty of re- moving the city's sick from the St. Louis Hospital and of inaugurating the new institution. Dr. David 0. Glascock was appointed first resident physician at a salary of $200 a year, including board and lodging. The original building ^-as almost completely destroyed by fire in 1856. All the sick were safely removed save one, an insane Italian, who rushed back into the flames after having been taken out. In 1857 the hospital, greatly enlarged, was rebuilt at a cost of $62,000, constituting the front portion of the present building. As early as 1842, for the double purpose of aiding the sick and bene- fiting its founders, Drs. Moses, Pope, J. B. Johnson, George Johnson, J. Clark and the Avriter associated themselves together and established the first public dispensary. At first this institution, which was well patronized from the start, was sustained by private contributions, mainly through the kindly efforts of Madame Gausche, but subsequently obtained a small animal appropriation from the city, and was kept up for a number of years, and until the work of gratuitous attendance upon the poor by means of free public dispensaries was taken up by the medical colleges and other interested parties. It is worthy of remark that, although fifty-two years 88 ONE HUNDRED YEARS OF have elapsed, three out of the six physicians associated in this dispensary still survive. As yet St. Louis had no medical journal, but this want, if want it was r was supplied by Dr. Linton, who, in April, 1843, started the St. Louis Medical and Surgical Journal, a monthly publication, and the first of its kind west of the Mississippi, with which, before the termination of the second year, I became connected as associate and managing editor, and so continued until its suspension on account of the war. in 1862. And here let me say of Dr. Linton, that, both by his writing and by his teaching, he has impressed his genius upon the profession of this city and surrounding country, as no other man has done. He was both a logician and a medical philosopher. About ibis time the profession was strengthened by the advent of Dr. M. M. Pallen, who soon became popular, both as a practitioner and as a teacher, and later on, in 1S45, by that of Dr. S. Pollak, who still re- mains, a bright connecting link between the profession past and pres- ent. Of him I will say, as he is not present, that this society never had a more faithful, useful or honored member than he. The year 1849 is memorable in the history of St. Louis and in the annals of the medical profession — first, because of the great fire which oc- curred in May and which destroyed so large a part of the business por- tion of the city, but chiefly on account of the terrible epidemic of cholera which prevailed throughout the whole of that year, but with peculiar se- verity from May to August. Few modern communities have been so se- verely scourged as was this devoted city during that memorable period. With an estimated population of 70,000, at least one-fourth of whom took refuge in flight at the approach of the disease, the mortality for the year was 8,108. mainly from cholera. During the months of June and July alone there were 5,108 deaths. It was like going into a continuous battle for sixty days and coming out each day with a loss of nearly 100 killed. As is always the case the medical profession stood manfully to their post during all these dark days, encountering the dangers of contagion and risking their own lives in their efforts to save others. Xor was this done without severe loss on their part and the sacrifice of many valuable lives. Had these devoted physicians fallen in battle amid the clash of contending armies, they would have been esteemed heroes — their valor would have been heralded to the world and they would have been accorded military hon- ors at their burial. And yet these brave doctors were as really and truly heroes and as much entitled to fame as the proudest warrior that ever fell on the battlefield. Such, however, is the estimate the world places on bravery when exhibited under different but no less trying circumstances. During the year of the cholera, as well as the decade immediately pre- ceding it, St. Louis accjuired the reputation for general unhealthiness ancl excessive bills of mortality — especially infantile mortality — which it has not yet outlived and which still clings to it. It cannot be denied that at that time there was some ground for this unenviable notoriety. Then the sanitary condition of the city was anything but good. We had no under- ground sewers, only surface drainage. The growth of the city was so rapid that the streets were only partially and imperfectly paved, the alleys were filthy and in and around the city were numerous sinkholes or small pools filled with stagnant water. Besides, at that period St. Louis was made the objective point where hundreds and thousands of all conditioned Eu- ropean emigrants gathered to be distributed throughout the entire Miss- MEDICINE AND SURGERY. 39 issippi Valley. Some idea as to the extent to which this cause operated may be had when it is stated that on June 28, 1849, 350 foreigners were landed on the wharf from a single steamboat, the "New Uncle Sam," nor was this an unusual occurrence. These unfortunate emigrants, recently off shipboard, debilitated by the long sea voyage and in the worst possible sanitary condition, arrived during the pestilence of a fierce epidemic, and finding fresh meat and green vegetables — to which the} r were unaccus- tomed — abundant and cheap, they indulged to their hearts' content, and in too many instances paid the penalty with their lives. Is it any wonder that under such circumstances our bills of mortality should have been so excessive? But, fortunately, all these causes have long since ceased to operate, and to-day St. Louis claims, and justly claims, to be one of the healthiest cities in the land, and it is high time that this claim is generally recognized. In the springs of 1848-49 respectively there graduated two young physicians. The one in the Missouri and the other in the St. Louis Med- ical College, one hailing from Illinois, the other from Missouri, but both locating in this city. They soon became prominent, first as anatomists and then as surgeons. Both filled with marked ability prominent professorial chairs. Both presided over this society. Both were honored, by being elected president of the National Medical Association and both were re- warded by large and lucrative practices. Here, however, the analogy ceases. One was suddenly cut off in the midst of his usefulness — at the very noontide of his success — profoundly regretted by all. The other still lives, the honored Professor of Surgery in the St. Louis Medical College. You all know to whom allusion is made — Drs. Hodgen and Gregory. To- ward the close of the "40s there also graduated from the medical colleges of this city a number of young men, all of whom have become prominent, all of whom have been honored by this society, and all of whom still con- tinue to adorn the profession. Among these may be mentioned Drs. Al- leyne, Maughs, Atwood, Elsworth Smith and Papin. As a matter of some interest I wish to place on record a brief his- tory of the formation of the Missouri State Medical Association. In 1850 I attended the American Medical Association, held in Cincinnati. At that meeting, although so near, Missouri was poorly represented; not a delegate, as I remember, outside of St. Louis, and but few from the city. Then we had no State organization and few, if an} 7 , medical societies save one in this city. The poor showing which Missouri made in comparison with other "Western States was a source of mortification to those of us who were present. On returning from the meeting, and in order to wipe out this reproach, I introduced into this society the following preamble and resolution, which was unanimously adopted: ''Whereas, In the opinion of this society, the time has arrived when it is both expedient and desirable to unite the medical profession of the State of Missouri for the purpose of mutual protection and improvement^ therefore, be it Resolved, That a committee be appointed to address the regular mem- bers of the medical profession throughout the State, inviting them to meet in general convention in the city of St. Louis on Monday, the 4th clay of November next, for the purpose of forming a State medical association, with auxiliary societies in each town and county in the State." In accordance with this resolution a committee consisting of Drs. W. W- McPheeters, John B. Johnson, S. Gratz Moses, George Englemann and •90 ONE HUNDRED YEARS OF George Perm, prepared a circular and sent it to every member of the reg- ular profession in the State whose address could he obtained, inviting and urging them to he present at the proposed convention. The result was that on November 4, 1850, a large number of physicians from all parts of the State assembled in this city, and, after due deliberation, formed a State association, adopted a constitution and by-laws, elected officers and urged the formation of auxiliary societies throughout the State. Dr. Thomas of Boonville was first president and' Dr. Alleyne of this city secretary. This association continued to meet annually and did efficient work, as will be seen from its published transactions, until the breaking out of the Civil War in 1861, when it was temporarily suspended, as, indeed, was every- thing else civil until the close of the war in 1865, when it was reorganized into the present State Medical Society. Prior to 1857 the office of Coroner of this city was filled by a non- medical man. At a political convention held that year I had the pleas- ure of placing in nomination as the first medical Coroner, our venerable and honored ex-president, Dr. L. Charles Boisliniere, who was triumphantly elected by the people the following November. Since this time this im- portant office has been accorded to the medical profession, to whom it rightfully belongs. But enough of what you may regard as ancient history. Xo attempt has been made to give a complete record of medical events or of medical men during the past half century. Had this been my design there are many worthy names omitted which would certainly have been entitled to honorable mention. Xor has it come within the scope of this paper even so much as to allude to the many distinguished physicians who have come into deserved prominence in later years, as I have confined myself strictly to ante-bellum times. The past is certainly not without its lessons of instruction; but when we compare the present state of medical knowledge with what it was fifty years ago the change is found to be wonderful, along certain lines marvelous. With these changes you are all familiar. I will, therefore, not weary you with their recital. But think for a' moment of the heaven-born immunity from pain afforded by anesthesia; the certainty in diagnosis and prognosis brought about by the microscope and by physiological chemistrj^; the inestimable blessing conferred on general surgery and on obstetrics by antiseptics, which, by simply excluding dirt and insisting on absolute cleanliness, has shut off the cause of inflammation and almost completely removed the danger of pyemia and septicemia. Consider the revolution — - or rather the new creation — wrought in gynecology as the result of Ameri- •can genius and the revelations made by abdominal surgery. Fifty years ago it was considered almost certain death to cut into the abdominal cavity; now the danger has been so minimized that it has become an operation of daily occurrence and of comparative safety. My attention was recently di- rected to this subject by reading the report of a case published in the Boston Medical and Surgical Journal for 1845, just fifty years ago. Dur- ing that year the Hon. Hugh S. Lagure of South Carolina, then Attorney- General of the United States, while on a visit to Boston, was taken with symptoms of bowel obstruction, for which he was attended by two of Bos- ton's most distinguished surgeons. The difficulty was readily recognized, and all the known medical remedies were applied, but to no avail. Death followed, and on post-mortem examination the colon was found to be doubly twisted with mesentery as an axis. An operation seems never to have ■ ■■ LOUIS CHARLES BOISLINIERE. MEDICINE AND SURGERY. 9 J. been thought of — indeed, Dr. Bigelow, in commenting on the case, says: ''Intestinal strangulation, Ave have reason to believe, is a fatal disease, ex- cept in rare instances in which spontaneous restoration of the parts may, under favorable circumstances, take place." The resources of art, he says, are unavailing, unless lyy resort to a dangerous and unjustifiable operation. And four years later, in 1847', Yelpeau pronounced ovariotomy to be a cruel and barbarous operation. And yet, who does not know that the valuable life of this distinguished statesman might, in all human probability, have been saved by a simple laparotomy. But, sad to relate, this comparative humanity which has been so frequently demonstrated, has been made the occasion for the unnecessary and reckless cutting into the abdominal •cavity, as though the danger, instead of being so greatly diminished, Avas wholly removed. To such a disastrous extent has this abuse been carried that conservative surgery has been compelled to assert itself sharply. With- out pursuing this subject further, but in view of all that has been accom- plished in the recent past, who will undertake to limit the possibilities of the future or say what seeming impossibilities may not yet be accom- plished ? Lest, however, in our "self -congratulation," we should be exalted above measure, Ave have only to consider Avhat yet remains to be done; for, not- withstanding the discovery of the bacillus tuberculosis and the high hopes excited by "tuberculin,''' consumption still continues to be a reproach to the profession, and AA'here once thoroughly established is as little amenable to treatment and as certainly fatal hoav as it eA'er has been. Scarlet fever and diphtheria will invade the nursery and rob our households of the brightest and most cherished jeAvels. (What is to be the outcome of the "anti-diphtheritic seropathy" yet remains to be seen. Let us hope and pray, however, that it may prove as efficacious in mitigating the virulence of diphtheria as Avas vaccination in the case of smallpox.) We have no sure cure for rheumatism, no successful treatment for typhoid fever, nor for Bright's disease, nor for a score of other diseases not necessary co mention. It is obvious, therefore, that whilst progress has been steady and rapid, the goal of professional desire has not yet been reached, and that there are still in reserve for the future scientific discoverer laurels as bright and as fadeless as those which adorn the brow of a Lister, a Koch or a Sims. I have alluded to the personnel of the profession of fifty years ago; let me, in conclusion, say a Avorcl of the profession of to-day. and make men- tion of the fact that St. Louis has a doctorate of which any city might justly be proud. Especially is this true of its junior members, and surely there neA'er was so auspicious a time for entering the ranks of medicine as now. The young man is to be congratulated who comes in at this golden juncture, provided he is prepared by a thorough preliminary and profes- sional training, to make the most of his opportunities. In him there is a future bright and alluring; Avhilst he avIio is lacking in these essential pre- requisites is only to be pitied. Be assured, Gentlemen, the cause of medical education in this country will continue to advance until the present three-years' course of study will have given place to one of at least five years' duration, with corresponding- educational requirement. 92 ONE HUNDRED YEARS OF THE MEDICAL PROFESSION OF ST. LOUIS FROn 1860 TO 1900.* I would not have the title of this article lead one to interpret the thought that the writer, of his own knowledge, was able to give the his- tory of the medical profession of St. Louis for forty years, as 'the impres- sion might he produced that he was one of the antiquities; as a matter of fact he is but a few years beyond forty. All of the points regarding the profession prior to 1S65 were received from others, but I am confident that they are authentic. It was my pleasure and profit, about 1864, to become a member of the family of the late Dr. John T. Hodgen of St. Louis, who for many years was the leader of the profession of the Miss- issippi Valley in the realm of medicine and surgery and medical educa- tion. Though but a small boy coming from the country, conditions had been such as to make me probably more than usually thoughtful and ob- serving for my age. Dr. Hodgen, my benefactor, friend, relative, was more — he was my patron saint. I had in the beginning quietly determined in my own mind that I would study medicine, and if possible do so when I had sufficiently advanced in general knowledge under his tutelage. In consequence, from the beginning of my association with him, it was my pleasure to spend all the time possible, when- not in school or engaged in other duties, as his companion in his drives, and serving, as he fre- quently remarked, as an animated hitching post on the outside while he was engaged with his duties with his patients. The hospitals of St. Louis, the medical college of which he was dean and the medical society in which he, together with the leading men of the city at that time were active workers, were constant sources of interest and entertainment to me. I early engaged in keeping his professional books and his books as dean of the college. This daily constant associa- tion with him and his labors threw me a great deal during all these years with the active workers of the medical profession of St. Louis and the surrounding country. The War of the Eebellion, while of great advantage to the city of Chicago, was a terrible blow to the city of St. Louis. St. Louis was the leading city of that which had been a slave State, and for a consid- erable part of the early years of the war was a focus of excitement. The city was split from center to circumference by passion and prejudice. The medical profession, like all other interests, was divided, many of its members going into the medical department of the Confederate Army or of the Union, as their feelings should prompt. Many of the Southern sympathizing physicians, either from indiscreet remarks or excessive feel- ing upon the part of the Federal authorities, were banished, and as a result forced into Confederate service. The medical colleges were closed. The Missouri Medical College, that which had been known as the Mc- Dowell College, then located on Eighth and Gratiot streets, was confis- cated (it being the personal property of Dr. McDowell, and he being a violent secessionist). The St. Louis Medical College was interrupted in its work but a short time, its faculty being mostly composed of loyal men. Dr. Hodgen, in his service in the Department of Anatomy and Surgery in the college work, equipped himself superbly for duties which confronted him at the beginning of the war. He was an intimate personal friend of *Dr I. N. Love, St. Louis. CHARLES A. POPE. Ex-Presidenr Missouri State Medical Association, 1855. MEDICINE AXD SURGERY. 93 President Lincoln and the two private secretaries of the latter. Mr. John Gr. Xieholay and Mr. John Hay (the present Secretary of State in President McKinlev's Cabinet) were fellow townsmen of Ms and personal friends. This influence, together with that of the leading loyal men of St. Louis, Gov. Gamble, then Governor of the State, Mr. James E. Yeatman and oth- ers, enabled Dr. Hodgen to take front rank in the surgical work of the Bebellion. The location of St. Lonis made it an objective point for many mili- tary hospitals providing for the wounded sick up and clown the Mississippi Eiver. In addition Dr. Hodgen was Surgeon-General of the Western Sanitary Commission, an organization which developed early in the war, with headquarters at St. Louis, and which collected and disbursed millions of dollars in the inters! s and to the comfort of the suffering soldiers of the Union Army. Dr. E. II. Gregory, before locating in St. Louis before the war, had been engaged in practice in the country districts of Missouri. He was a graduate of the St. Louis Medical College, and even before the "60s was a loyal and faithful surgical adjunct of Dr. Charles A. Pope, the leading surgeon of St. Louis, Professor of Surgery in the St. Louis Medical Col- lege and dean of the same. Dr. Gregory served as assistant and later as Demonstrator of Anatomy for a number of years and later as adjunct to the Chair of Surgery to Dr. Pope at the Mullanphy Hospital, then located at Fourth and Spruce streets. These long and faithful years 01 service to science, to the dreary details of anatomy and to the slavish duties in the wards of the hospitals and the dissecting rooms resulted in Dr. Gregory becoming the natural successor to Dr. Pope as Professor of Surgery.- though Dr. Hodgen suc- ceeded Dr. Pope as dean of the college. Pope and McDowell, in the earlier da vs. were the two great rival surgeons, with their loyal satellites, directly antagonistic to each other. Both were strong men, and yet as different from each other as oil from water. Dr. Pope was learned, cultured, gentle, genial, gentlemanly al- wavs. sensitive as a woman, high-minded, noble and an aristocrat by birth, association and marriage. He had married into one of the oldest and best families in St. Louis, the OTallons. and the enormous wealth which came to him enabled liini to take a first place, not only in the profession, but in the social world as well, and he was equipped and en- dowed to shine in both. Dr. McDowell, his rival in the realm of surgery, was almost his opposite, a rough diamond, a strong man, strong in his hereditv, strong in his equipment, lacking much of the culture and re- finement of Dr. Pope, possessed though of much more force and originality. In these later days many of his qualities which gave him a place in the front rank as a pioneer surgeon, would to-day in the minds of prudes oc- casion his prompt retirement as a buffoon or a boor: but it is probable, considering the primitive conditions that were about him, that he was the man for the hour in representing those interests, those elements which were across the line from the influences which Dr. Pope could command. It is also probable that Dr. McDowell accommodated himself to the^ emer- gence as he interpreted it. I am sure that he had the brightness of intel- lect to have met the necessities of the situation had he been born fifty years later. Dr. Pope, backed by the great wealth and social prestige of the 0*1 al- Ion family, with a magnificent medical college building and museum as 94 ONE HUNDRED YEARS OF his own persona] property, was surely in a position of great professional power, and he enjoyed this power to the fullest and wielded it entirely in the interests of science and humanity. After many years of pre-emi- nence and absolute leadership he was urged and influenced to abdicate by family persuasion. His family were socially ambitious and took no pride in his great professional success, a success which absorbed him to the ex- clusion of all social pleasures. He finally yielded to the pressure and re- tired when in the zenith of his fame, joining his family in Paris, France, which was to be his permanent home. Within a year the mental depres- sion pronouncedly manifest in letters to his friend Hodgen in St. Louis, produced by the feeling that he, having deserted his noble life work, was on the shelf, so to speak, of little service to any one, resulted in a moment of temporary insanity in his suicide by his cutting his throat. A sad ending, indeed, to a great life. But Dr. Pope just before had returned to Paris from a short trip to St. Louis, where he had full opportunity to see how fully his place was being filled by Hodgen and Gregory, how slightly essential he was after all to those whom he had served, how soon we are forgot, as dear old Eip Van Winkle put it truly. He realized the truth of the thought: "For so much pride that Ave take in it, what is glory? The noise of a concert of men, blind if they be, moreover, deaf."' Dr. Hodgen was a liberal contributor to the literature of his pro- fession almost from the beginning of his career. As teacher and pro- fessor of physiology, he was most lucid and instructive to his class. He had the rare faculty of put ting the same proposition in at least half a dozen different ways, so that every member of his class could grasp his thoughts, no matter how slow he was of comprehension. T remember dur- ing these years seeing most interesting articles from him, contributed to Column's Rural World (on vegetable physiology), a farmer's paper, which was then and is now edited by the Hon. Norman J. Gorman, who was a member of the Cabinet of President Cleveland, being the first Secretary of Agriculture. Dr. Hodgen had the mechanical ingenuity which enabled him to be a most successful surgeon from the artistic standpoint, and this added to his studiousness. wonderful working power, superb judgment and calm helpful personality made him the ideal surgeon. He devised numerous surgical procedures and instruments, the most important of which was the Hodgen suspension splint, the same being a modification and improvement of the Nathan E. Smith splint. During the several years. that Dr. Hodgen taught and practiced surgery his numerous pupils, wdio are now scattered all over America, were carefully taught the application of this splint and have uniformly been enthusiastic users of the same. It was most agreeable to me when abroad to find that the Hodgen splint was in gen- eral use and much appreciated in the hospitals of London and other for- eign cities. Among the last of Dr. Hodgen's contributions to the interests of his profession was a paper, written by request for the North American Eeview (being one of the four leading surgeons of America selected to discuss the question), upon the surgical management of the case of President Garfield. This paper was a thoughtful, generous presentment of the dis- cussion of the President's case along the lines of conservative surgery. As' we look back Ave realize to the fullest that had President Garfield, with his crushing gunshot spinal cord injury, or Dr. Hodgen a little later, with his THOMAS KENNARD. MEDICINE AXD SURGERY. U-> fatally ruptured gall bladder, been under the care of the profession five years later — yes, two years later — their lives would probably both have been saved. Dr. John S. Moore, for many years dean of the old Missouri Medical College (McDowell), practiced medicine in St. Louis veil onto forty years. He was born and bred a Southerner and had ail the courtly manners of the typical Southern gentleman. Dr. Moore was Professor of the Theorv and Practice of Medicine and was an able, helpful teacher. He had a large practice and was greatly beloved by his patients. Dr. Charles W. Stevens was one of the original cbarter members ot the faculty of the old St. Louis Medical College.' associated for years with Drs. Pope- Gregory, Linton and others. He was connected with some of the oldest families in St. Louis, possessed of wealth, which made him in- dependent and gentle, amiable and modest almost to the point of timidity. He was Professor of Anatomy, and this dry subject was only made en- dura We by the kindly, genial personality of Dr. Stevens. Indeed, he was. a kind and gentle character, beloved by all. He was the intimate personal friend of all his associates. For many years he was superintendent of the County Insane Asylum. Whatever duties he assumed he performed con- scientiously. Dr. Thomas Kennard was almost in a general way the opposite of Dr. Stevens. He was red-headed, bluff, frank, abrupt and frequently rnis- understood, but conscientious and straight as a die. He was greatlv re- spected by his fellows ami a wonderfully well-informed man. though in consequence of his tendency toward stepping upon others" toes he never did much practicing, though whoever had him for a physician had an effi- cient, honorable, faithful and helpful one. Dr. Kennard was almost an. authority upon many subjects, but more particularly upon materia lnediea. Among other features of Dr. Kennard which were so pronounced as to be a characteristic, was that his handwriting was so perfect as to look almost like copper plate. One who ever saw a prescription written by Dr. Ken- nard could never forget it. I remember on several occasions to have dis- cussed this talent of his. ami to have suggested to him that the majority of physicians could not afford to write as clean cut and clear a hand as he did, as they would make manifest their errors in prescription writing. He agreed with me that the obscure writing of doctors was oftentimes more for the purpose of covering the errors of the genitive ease in their latin forms than to obscure the ingredients going to make up the prescription for their patients. Among the leaders of the profession of St. Louis in the early "60s was Dr. M. L. Linton, who was born in Kelson County, Kentucky, in 1S08. Dr. Linton, like Dr. Hodgen and Dr. Gregory, was a product of Old Ken- tucky. He early determined that he would be a physician, graduating later at the Transylvania College, Lexington. Ky. Dr. Linton for a time practiced in Kentucky, and having met Dr. Charles A. Pope of St, Louis while abroad, was later appointed to the Chair of Theory and Prac- tice in the Medical Department of the St. Louis University. Dr. Linton was a constant student, not only of medicine, but of the allied sciences and general literature. He became a very learned man. He was no mean poet, and was competent to hold his own in any discussion upon al- most anv subject. He wrote a work, entitled "Outlines of Pathology.'" r which would be a credit to any man. He established the St. Louis Med- ical Journal in 1S43, the first medical journal west of the Mississippi Eiver, f)Q ONE HUNDRED YEARS OF and this he edited with great ability, possessing the entire confidence of the profession. Dr. MePheeters was associated with him in the editorial charge of this journal. As an evidence of Dr. Linton's literary skill and firm belief in nat- ure's ability to wrestle successfully with most diseases, I quote a few lines from his "Outlines of Pathology:" "A masterly inactivity, so far as the administration of drugs is concerned, is often the best evidence of medical skill. To know when not to act is as precious a piece of knowledge as to know when and how to act. Indeed, a knowledge of one is a knowledge of the other. The physician is the minister and not the tyrant of nature — that he may aid her when her actions are too feeble — that he may repress her ardor and that he may change her direction. What physician pretends that he can directly cure a case of typhoid fever? and yet all admit that the physician can do something — can be of some service. Yea. of great service. Everybody that think- and observes knows that the human system is so beneficently constructed that it can act as its own doctor in many, we may say the majority, of cases. Every physician knows the majority of cases, say of typhoid fever, will pass through all their stages safely and terminate in health without the doc- tor's aid. This does not prove that a physician might not have been serviceable. It only proves that nature can cure disease, or. what means precisely the same thins-, that diseases get well themselves. But every one knows also that in many cases of depression, the system cannot rise to reaction without aid which the physician can employ, and here he becomes a support of nature." Illustrating, too. that Dr. Linton believed, even in those early days before we knew anything of bacteriology, before Pasteur. Koch. Behrmg and other front rank workers in germ discoveries had been dreamed of, that disease might originate from microbic cause, he wrote: "May not the cancer cell and" tubercle be due to a parasite of animal or vegetable oriain ?" , '" Says Mrs. Annie Linton Sawyer regarding the death of her father: My father died the first day of June, 1S72, in the 65th year of his life ,at his lovelv home, Mamesa (his gift to my mother in remembrance of her f^f™*,* and goodness to him), near the retreat of Ms cherished friends the sons of Do|oki His warm friend. Dr. E. H. Gregory, and his apprcvea son-m-law Dr. Amos sa^ ver. received hi? last breath and lovingly closed the gentle, ^arejes that looked for the last time on earth, but I believe are looking now on his field of labor ana loved ones from his father's mansion. i n v,nr=i and He fondlv hoped his gifted young son would carry on his io^ed labors, ana had brother Ben lived, doubtless the mantle of my distinguished father would have fallen on his shoulders, but God walled that he should soon follow. As the little group of his own stood around him, Dr. Gregory said: inere lies the purest man I ever knew. He proved to be the pearl of virtues. On the 5th of Ju«e we laid him away in the beautiful Calvary to sleep m tne shadow of the cross until the sounding of the judgment trumpet, with an assur- ance on which hand o( his Savior he would arise. Dr. John Lawton, a very striking picture, an old bachelor, who must have been 65 or TO years of age when the war was at its height, practiced in St. Louis in a quiet way. He was a typical representative of the physi- cian of the old school. He was more than 6 feet tall, always walked with a cane and was the personification of dignity. He had no thought of his profession as a money-making calling. He worked . earnestly and con- sistently. He died in the early ; ?'0s. Dr. William Dickinson, an 'ex-president of the St. Louis Medical So- ciety, was the leading oculist of St. Louis between 1860 and 1870. As time 'passed his brilliant wife, who had been his life's companion, died, JKsk JmSBm PROF, II. L. LIXTOX. MEDICINE AND SURGERY- 97' and the doctor never after seemed possessed of the same enthusiasm and ambition in his work. He died about 1890, having lived very quietly during the last ten or fifteen years of his life. Dr. John Waters, one of the medical college teachers and leading debaters in the St. Louis Medical Society from I860 to 1870, was recog- nized as a leading thinker and writer. It is to be regretted that his life had not been prolonged, as he would surely have taken a high place in the annals of the medical profession of America. Dr. E. S. Eraser from 1860 to 1880 was one of St. Louis' best "all round"" physicians; enjoyed an enormous practice, which he left to his talented son. Dr. Sam H. Frazer. Dr. Moses M. Pallen, the leading practitioner and teacher in obstetrics in St. Louis for thirty years, was a strong man viewed from every stand- point. Whether in the sickroom, the college amphitheater or the hall of the medical society he was equally forceful, helpful, graceful, successful. But few physicians had a more loyal following, and the same may be said of his successor. Dr. L. Ch. Boisliniere, who endeared himself to patients and colleagues by his uniformly generous conduct. He was essentially the young doctor's friend and nothing ever seemed to give him greater pleasure than an opportunity for doing them a kindness. In this con- nection the personality of Dr. T. L. Papin should appear, as he worked in the same department, both as physician and teacher. He belonged to one of the oldest and best families here, and in all his relations he ever gave evidence of the genial, kindly, cultured gentleman. Dr. William L. Barrett, born and bred in St. Louis, enjoyed from 1869 to about 1885 a very large and most lucrative practice in the depart- ment of gynecology. He had been a special pupil under the great Dr. Emmett in the Woman's Hospital of Xew York, and with his strong social and family connections in St. Lords was soon able to secure first place. He taught in his special department in the St. Louis Medicai College for many years and was a most able and successful teacher. His brother, Mr. Arthur B. Barrett, was Mayor of St. Louis in 1875. Dr. Barrett was not only an able, intellectual, successful physician, but was possessed of a heart as gentle and tender as a woman's, a soul simple, sincere, serene, happiest when serving others. He died in the harness a martyr to duty in the prime of life. Would that he had been more selfish. He demonstrated clearly the thought that the good and the best die all too soon. Comparatively speaking, the scientific spirit in St. Louis in the early days, and even before the '"60s, was stronger, so far as expression in medi- cal society work was concerned, than to-day. The St. Louis Medical Society met in various places, one of the last during its migratory period being the hall at Sixth and St. Charles streets. Later it made perma- nent arrangements with the Board of Education to convene regularly in their hall, which for many years was in the Polytechnic Building at Seventh and Chestnut streets, but for the past ten years has been at Ninth and Locust. All are familiar with the fact that Dr. William Beaumont, in the earlier davs before the war, he being an army surgeon located at this point, Had under his observation as a patient, one Alexis St. Martin, a victim of gunshot wound in the stomach., which resulted in a fistulous opening. Efsewhere in this volume a complete history of this case is 98 °NE HUNDRED YEARS OP given more in detail. Suffice it to say here that Dr. Beaumont, through, the careful study of this case, persistent watching of the digestion of food;, keeping a record of his observations, contributed more definitely to the real knowledge of stomachic digestion than any one who preceded him. t fancy that the remoteness of St. Louis from the Eastern centers of civilization had stimulated the local profession here to a greater zeal and enthusiasm along scientific lines than might otherwise have occurred, and besides the profession was made up of strong men — men who were experienced and well educated before coming here. Furthermore, it will be remembered that St. Louis was practically a Southern city — a city located in a slave State — indeed, a city that had had slave markets in. her midst. These conditions favored the fact of the profession being composed largely of educated gentlemen, the same as the profession throughout the various parts of the South. In other words, the line of de- markation was so definitely drawn by the blighting hand of slavery be- tween the cultured and the uncultured, that the profession was largely made up of cultivated gentlemen, and this fact had much to do in main- taining high ideals and the proper esprit du corps. The meetings of the St. Louis Medical Society were uniformly well attended. Indeed, the number in attendance was even larger than it is to-day, and all of the best men of the town were there racling papers and engaging actively in the debates. As a boy in my teens I have many !imes and oft been present at these discussions and had my youthful blood warmed and my medical ambitions aroused by the splendid manifes- tations of scientific zeal. The debates between Pallen, Linton, Pope, J. B. Johnson, William Johnston, Lemoine, Gregory, Kennard, Boisliniere,. John S. Moore, McPhecters, Hodgen, Waters, Hammer and two score or more strong men and true, were of a character to arouse the appreciation of any lover of science, and hot times they used to have, too. They handled each other during these debates without gloves, yet always as gentlemen. Tenderfeet had no place there. When a man presented a paper or a thought he had to fight for it, and I have seen these argu- mentative gladiators bring their text books to the society by the dozens to present their cptotations therefrom and the evidence in black and white to sustain them in their positions. There were times when the hot Southern blood of some members tem- porarily took possession of their judgment, and things were said and done that were regretted, but the true gentleman's apology was always promptly forthcoming. 1 recall among these events one which was of special seriousness. The gentle, sensitive Dr. S. T. Xewman read a paper before the society which was most carefully prepared, as were all of his papers, the product of much study and profound thought. It Avas followed by one in opposi- tion by Dr. G. M. B. Maughs, the eccentric, brainy, heroic worker and teacher in ^vnecology, who came here at the close of the war, having at one time previously been Mayor of Kansas City. Dr. Maughs was always robust and pronounced in his positions, but not always gentle and choice in his selection of phrases. In his reply on the criticisms of Dr. New- man's paper he was terrific, and viewed even at this distance it seems that he was almost brutal. Dr. Newman was wounded almost beyond the point of endurance, and it was feared by many friends that serious trouble would result. Special committees were appointed to adjust the *!V ADAM HAMMER. MEDICINE AND SURGERY. 99 differences, but this was never very successfully accomplished. A sort of armed neutrality was maintained. Had not Dr. Newman heen pos- sessed of the gentle, tender, Christian character that he was, the result would have heen far different. Dr. Adam Hammer was a very learned man. a typical representative of the severe German scientific spirit, thoroughly wrapped up in path- ology and the studies related to his life work. He was prohahly one of the ahles pathologists and theoretical surgeons that St. Louis ever pos- sessed. He was positive, dogmatic, almost dictatorial in the announce- ment of his views at time, and this naturally often led to friction. One of the most serious quarrels that was ever known in the profession of St. Louis and the St. Louis Medical Society was that between Dr. Hammer and Dr. A. P. Lankford, who came to St. Louis about 1869 or 1870. Brilliant, brainy and a born surgeon, Dr. Lankford had been a special pupil of the elder Gross, and with such opportunities, possessed of great profes- sional enthusiasm and great intellectual attainments, he was superbly ecpiipped for his work. He was offered and accepted the Chair of Sur- gery in the same college with Dr. Hammer. Dr. Lankford had many charms, was more than 6 feet tall, built like an Apollo, with a person- ality gentle, persuasive, magnetic, rarely equaled, a ready memory, grace- ful address and wonderful versatility and power of expression, which all endeared him to his students. These qualities, this American dash whicb he possessed, naturally was not agreeable to the C-erman peculiari- ties of Dr. Hammer. The antagonisms which were early aroused finally resulted in a break, culminating in the St. Louis Medical Society having a trial against Dr.. Hammer for alleged unprofessional conduct, resulting in his condemnation and expulsion. By the way, this case became cele- brated when Dr. Hammer appealed to the courts for justice, and the latter granted him an injunction against the St. Louis Medical Society, on the ground that they had no authority to delegate three members of the society to try a recalcitrant member, and that the society should have tried him in an open session of the society and given him completer opportunities for defense, suggesting that a committee of such limited numbers might easily be prejudiced. This decision of the court gave the St. Louis Medical Society a case of "fright/' impressing them with the thought that they had no authority to remove offending members. It is interesting to recall that in some of the scenes and even de- bates in these earlier days personal blows were given and taken, and on rare occasions pistols were drawn. During the years to which I have referred the medical society rested under a disadvantage, so far as the public was concerned, of hav- ing the proceedings published freely in the secular press, and not al- ways to its advantage from the standpoint of dignity and decorum. One of the brilliant newspaper men of the early days took special pleasure in attending the society meetings, and, as is often the case, he lost sight of the scientific features in his appreciation of the friction and undigni- fied incidents. I refer to Mr. Phil Ferguson, wdio was more familiarly known as "Jenks." He had a keen sense of humor, and he took particular pleasure in manifesting it in his reports of the St. Louis Medical So- ciety proceedings. There can be no question that this spirit of levity, which prevailed in the reports in the daily press of the St. Louis Medi- cal Society proceedings was the occasion, along about 1878, of Dr. John 100 ONE HUNDRED YEARS OF T. Hodgen introducing a resolution providing for executive sessions and the retirement of the daily press reporters. This law prevailed for a year Or two and then went into a state of "innocuous desuetude." Four or five years ago it was again brought into force. There can be no ques- tion that the best scientific good of local medical societies is best sub- served by such rules. The relations of the St. Louis Medical Society with the American Medical Association have been intimate almost from the beginning. At the seventh annual meeting of this national association, which was held in St. Louis in May, lSoi, Dr. Charles A. Pope was elected president, Dr. E. S. Lemoine having been secretary of the association in 1853. Dr. Lemoine is still with us in St. Louis, actively engaged in practice, and, though 70 years of age, is seemingly good for one or two more decades of work. He has been, and is, one of our strongest and best men and an ideal family physician. He is now one of the seven members of the "Old Guard Medical" of St. Louis, along with Dr. J. B. Johnson, Dr. Simon Poilak, Dr. E. H. Gregory, Dr. Thomas OTteilly, Dr. William Johnston and Dr. William M. McPheeters. The twenty-fourth annual meeting of the American Medical Asso- ciation was also held in St. Louis in May, 1873, under the presidency of Dr. Thomas M. Logan of California, who was born in Charleston, S. C. The thirty-seventh annual meeting was held in St. Louis in May, 1886, under the presidency of Dr. William Brodie of Detroit, Mich., and at the close of this meeting our much-appreciated and eminent Dr. E. H. Gregory was elected president, this being the third time that the honor of the presidency had fallen to St. Louis. The first time, as previously stated, it fell to Dr. Charles A. Pope, and at the annual meeting held in Xew York Chvv in June, 1880, the honor was given to oar noble, gentle, generous, much beloved and eminent Dr. John T. Hodgen, who was born at Hodgenville, Ky., January 27, 1S26, and died in St. Louis April 28, 1882. St. Louis has furnished hardly as many writers and contributors to the literature of the profession as other cities of the same size, and cer- tainly not as many as she should have done, and more particularly in these later years, but what has been done has been well done. Drs. H. H. Mudd, E. H. Gregory, T. F. Prewitt, G. Baumgarten, John Green, W. C. Glasgow, Ptobert Barclay, H. N. Spencer, A. J. Steele, John Bryson, Thos. F. Eumbold, J. K. Bauduy, JST. B. Carson, William Porter, A. H. Meis- enbach, A. C. Bernavs, T. C. Witherspoon, H. Tuholske, Joseph Grindon, M. H. Post, H. W. Loeb, John Young Brown, Y. H. Bond, C. H. Hughes, W. A. Hardaway and-Ohmann-Dumesnil all have been more or less lib- eral contributors to the medical journals of the country. Their work is all of a high order of merit. Drs. Mudd, Baumgarten, Glasgow, John Green and Hardaway furnished important articles for several cyclopedias and systems of medicine which have been published in recent years. Dr. Hardaway has contributed very definitely to the accepted knowledge in dermatology. Dr. J. K. Bauduy has held high rank as a neurologist, and has written a most valuable volume upon the subject. Dr. Thomas Bum- bold* in the earlier clays, wrote a special work on the diseases of the nose and throat, which contained much of original matter. Indeed, Dr. Bum- bold was probably the pioneer in this department of the work in the United States. Dr. A. C. Bernavs certainly deserves credit for having per- MEDICINE AND SURGERY. 101 formed some of the most serious and dangerous operations in abdominal surgery, being the first in some instances and among the first in many to perform these operations in America, promptly publishing his results. Dr. H. H. Mudd has ranked as a careful, conscientious, conservative surgeon, holding probably the first place in, St. Louis for the ten or fifteen years prior to his recent death, having had the advantage of the personal association with Dr. Hodgen as a partner for fifteen years be- fore the latter's death. Dr. Charles Hamilton Hughes, the eminent neu- rologist, has for years edited and published the Clinist and Neurologist, contributing liberally to the permanent literature of his specialt} r , and reflecting credit upon our city. Dr. Louis Bauer, who for many years practiced orthopedic surgery in St. Louis, coming here after the war from Brooklyn, founded the St. Louis College of Physicians and Surgeons, serving as its dean almost to the last, dying a few years ago, more than SO years old. He was the pioneer of orthopedic surgery in America. He wrote a most valuable work on the subject, and was one of the most original and skillful sur- geons along these lines in the country. He was possessed of great scien- tific ability and marked mechanical, ingenuity. Dr. John Green and Dr. C. C. Michel have both ranked high in the realm of opthalmology and contributed definitely to the permanent knowledge of the profession. There can be no doubt that there is much difference between the pro- fession of St. Louis now and that of twenty, twenty-five and thirty years ago. The city has more than doubled ; the profession has probably quad- rupled. In those earlier clays we all knew each other; we were closer together all the time, and at frequent intervals got very close together. The conditions accompanying metropolitanism have enlarged the pro- fession and scattered it to a marked degree. The rapid growth of St. Louis, its prominence as a safe commercial center and its substantial character has attracted physicians from all over the country, and the profession is not the intimate, closely related family that it was in the earlier days. The recent consolidation of the two oldest medical colleges of St. Louis, the St. Louis Medical College and the Missouri Medical College, to form the Medical Department of Washington University, can but be for the general good of the profession and the interests of higher medical education. Nearly all the States now require from licentiates to practice not only a diploma, but an examination before a proper State Board of Examiners, and we are safe in feeling that even more glorious days are before us as a profession than those we have passed. 102 ONE HUNDRED YEARS OP CHAPTER VII— IN WESTERN MISSOURI. The advance of the physician and surgeon in Western Missouri has kept pace with the advance of all other professions and trades. There was a time in the early clays when the West was a wilderness that the doctor rode horseback through the forests with his medicines and his in- struments in his saddlebags. His word was law with his patients. But he was a man of honor and seldom betrayed his trust. If he knew less of the practice of medicine than he does now, he was at least as faithful and as respected as he has ever been. Medicine and surgery have made wonderful advances since his early days before the war. But the esteem in which he was held had no room for growth. It is a high honor to say that the best doctors of to-day have kept that integrity and uprightness for which they were so highly regarded in the past. Methods and the men have changed. The methods have advanced wonderfully and so have the men. The courtly old doctor of the past has given way to the inquiring, aggressive, industrious, modern young prac- titioner of the present, with a world of old traditions to help him in his honorable career. Kansas City was a village in the forests when the first missionaries came to save souls and mend broken bodies more than half a century ago. For the first physicians were the French missionary priests, who worked among the Indians. After them came the regular physicians. Life was hard and stern in those days to the professional man, but he had a duty to perform which nerved him and helped him to endure. The best remembered of the pioneer doctors of Western Missouri was Dr. Joseph W. Wood. He was a famous surgeon in his time, not only in this State., but in the United States. His reputation at one time was national, and Eastern medical colleges tried vainly to induce him to join their faculties. Dr. Wood went to Kansas City long before the war. He died about 1S93. His specialty was the operation on the stomach and bladder. He was the originator of an operation to remove a stone from the bladder without cutting the abdomen. In female operations he clipped the cincture off the urethra and dilated the urethra without cutting the walls of the abdomen. He was one of the few surgeons in the world in his time who could perform the operation with success. Dr. Wood came to Missouri from Kentucky. He was a student of the famous Dr. Dudley *of Transylvania University, and was graduated from the university in the class of 1836. He went to Liberty, Mo., near Kansas City, and practiced there many years, but removed to Kansas City before the war. He would never take the time to teach medicine. All his time was occupied with his practice. He was in demand not alone in Kansas City, but his services were called for all over the Western coun- try. Once he went to New Mexico to cut off a man's feet. He was a pow- erful man physically. He Avas positive in his opinions and would not tolerate contradiction or dispute about his theories. He was proud of his work and had an unconquerable love for his profession. He died of operation on his leg, which withered in his old age. Dr. G-. M. B. Maughs was the war Mayor of Kansas City. He is still living now, near Fulton, Mo., in retirement. Dr. Maughs was considered A. B. SLOAN. MEDICINE AND SURGERY. 203 a great obstetrician in his rime. He located in Kansas City before the war. He was an old line Whig before there was a Republican party. He had not been long in Kansas City before he became interested in poli- tics, and in 1860, just at the opening of the Civil War, he was elected Mayor on the Democratic ticket. The following year, 1861, he left Kansas City and went to St. Louis, where he made a big success as a doctor •of women" s diseases. He made a fortune in St. Louis' and retired a good •many years ago to Fulton, where lie still lives. He is remembered in Kansas City as a tall, slender man, high-tempered and ready to fight on -small provocation. The doctors of to-day in Western Missouri are not the doctors who practiced medicine in the "60s. Xearly all the older physicians are dead or rerired. In Kansas- City probably the two oldest physicians that are still practicing are Dr. D. E. Porter and Dr. E. W. Sehauffler. These two physicians, after a residence in Kansas City of over thirty years, are as busy as ever with their patients and their medicines. Both of these men have interesting things to say about the practice of medicine in the early days, when Kansas City was a village. "I came to Kansas City in 1868,''" said Dr. Sehauffler, "and I've prac- ticed medicine ever since in the city that was a village then. Dr. D. R. Porter was here two years before me. We were both young men in the profession and soon became good friends. "When I came to Kansas City there wasn't a hospital in the place, not even a private hospital. The younger doctors saw the necessity of such an institution, but the older ones — the mqssbacks — fought the idea vigorouslv. The young doctors started a boom for a city hospital. I was one of them. Three or four of us got together in 1869 and had some lawyers draw up a bill to vote funds for a city hospital. I forget liow much we wanted. A special election was called to decide this matter wdiether the bonds should be voted. Then we young doctors went hard to work to persuade men to vote the bonds. The older doctors and the other mossbacks fought us hard and steadily. At 5 o'clock the vote seemed overwhelmingly against us. Made desperate by this, we young doctors started out to bring in voters. We rode about town arguing, pleading and begging with men to vote for the hospital. We would ride up to a group of working men at work on a building and call out to them: "Do you want a free city hospital in this town — a hospital that wont cost you a cent ? Then go to the polls right away and vote for it.'* We per- suaded the bosses to let the men off the job to vote for us. The result of our hard work was that the mossbacks were beaten and the town got Its first hospital. "The principal credit for this work is due to Dr. A. B. Taylor, who lias long been dead. In Dr. Taylor's mind the idea was first born to have a oily hospital in Kansas City. He lived long enough to see his idea carried out."' This was the first hospital in the western part of Missouri. In Kan- sas City now there are four large private hospitals — St. Joseph's, the Ger- man, the Scarritt and the Lniversity — besides two railroad hospitals — the Missouri Pacific and the Memphis. In the early days in Kansas City the doctors did not ride in bug- gies. They straddled horses and carried their medicines and their instru- ments in saddle bags. Buggies were useless, because where the doctors had to o-o there were no roads and the trees grew close on each side of the 104 ONE HUNDRED YEARS OF cow paths. Often the doctors would have to dismount and climb on hands and knees up the sides of the steep and rocky bluffs. When they got to their destination they threw their horse's rein over the fence post and walked into the house in cowhide boots. There were no specialists in those days. Every doctor was a gen- eral practitioner. The Kansas City doctors practiced as much in the sur- rounding country as in the town. Xow the line between the country and the city doctor is plainly drawn. Dr. D. Ii. Porter went to Kansas City after a course of medicine at the Bellevue Hospital Medical College thirty-four years ago, when there was not a railroad in the town. He found four or five physicians prac- ticing in a town of 4,000 inhabitants. Business was good and all the doctors prospered. "The physicians were all of them honorable men in those early days," says Dr. Porter. "Commercialism had not yet affected the profession of medicine in the "West. There were no 'divine' healers or Christian Scientists; there were no quacks. Malaria and pneumonia were very common in the town, but the physicians knew how to treat those diseases. I believe they had better results then than they have now. Drugs were purer, I believe. They seemed to act better. There were four drug stores in the town, and each store had its own prescription clerk, who carefully compounded every prescription. They were kept busy, too — as busy as the doctors. Xo such thing as a proprietary medi- cine was known in the town. Druggists were genuine pharmacists then and doctors were gentlemen. The doctor was a man of such honor and respeetabilitv that he took his place beside the clergyman. He was as necessary to a man about to make his will as the lawyer. "In 1866 the cholera broke out. It came from emigrants from St. Louis who landed at the river levee August 12, 1866. These emi- grants were cpiartered in the south part of town at the city's expense. Most of them died. The first case in the city was that of a Miss Kelly, who kept a boarding house for Irishmen. I treated her.' She got well. The epidemic spread and killed 117 men, women and children. During cholera times it was like Sunday all the week around in the town. There was no business, there were few people on the streets. The sale of green vegetables was prohibited. Every effort was made to stop the epidemic. The last case was late in Kovember. Since then there have been a few sporadic cases of cholera in Kansas Cit} r , but never an epidemic." Dr. Porter still practices medicine. He was one of the charter mem- bers of the Kansas City Medical College. He is still treasurer of the institution. In spite of his age he is still strong, active and unusually vigorous. Dr. I. W. Bidge has been retired twenty years, but the old settlers now and then induce him to make a professional call. He is wealthy and has no more need to visit patients. Dr. Bidge is probably the first of the physicians now alive Avho came to Kansas City. He arrived, a boy, not yet 22, June, 1818. He was a graduate of the Transylvania University of Kentucky, but had previously studied medicine under Dr. I. S. Warren of Lafayette County, Missouri. Here is Dr. Ridge's story in his own words : "There Avere a few men practicing medicine when I got here in '48. All of these were men whose medical knowledge was got from reading books without the supervision of any regular physician. There was old Dr. Larkens. He was a Baptist preacher, a sort of missionary. Then there T. B. THRUSH. MEDICINE AND SURGERY. 105 was old Dr. Huttons, who knew more about botany than he did about medicine. But he practiced, notwithstanding. There was Dr. Bracl- shaw, who had taken a course of lectures in Virginia, and Dr. J. D. Hand, who had had the same training. Both these men left for California the following year when the cholera broke out. "Indeed, nearly every one who was able left Kansas City in 1849 to escape the pestilence. But almost 400 remained, and half of these died of the plague. I was left, the only regular physician in this cholera in- fested town. I lasted six months, waiting on the sick, and then I, too, caught the cholera. I'll never forget my feelings as I lay ill alone in my house. 1 had constantly the sensation that ice water was trickling in little streams along my skin. I sent 110 miles Avest into Kansas for a physician. When my messenger got on my horse and started out I felt sure I would never see him again. Day after clay passed, and I still lived. At last my messenger returned with a doctor. He was Dr. Charles Robinson, who afterwards became Governor of Kansas. Eobinson stayed two days and two nights with me and left me at last to die. He said to me: 'Maybe the medicine will take hold on } r ou. If it does, } r ou'll live. But if it doesn't, you'll die.' It took hold and I lived. Robinson went to California. I met him a quarter of a century afterwards and we em- braced one another in tears. "In those early days I often rode 150 miles to see a patient. I had a practice in some of the remotest parts of the State. In 1866 the sec- ond plague of cholera struck the town. I was then city physician. The second plague was not so bad as the first, but hundreds died of it and the doctors had a hard time of it. I remember I once found five men lying dead in one boarding house on the levee." Of the older physicians few were better known than Dr. Simeon S. Todd, who died October 19 last. Dr. Todd was 73 years old. He was the first city physician and the first president of the Board of Health in Kan- sas City. He was known to every old physician here. In his more active days he was a noted practitioner. He Avas one of the founders of the Kansas City Medical College and was elected a fellow of the Society of Science, Letters and Arts of London. For several years he had re- tired from the general practice of medicine, but he continued a special practice up to the time of his death. Dr. Todd was born in Vevay, Ind., in 1826. He received a good edu- cation in Greek, Latin and French, and at 19 began the study of medi- cine under Dr. William Davidson of Madison, Lid. Dr. Davidson was a licentiate of the Royal College of Surgeons of Edinburgh. Before he had finished his medical course, however, the Mexican War broke out, and Simeon Todd caught the war fever. In 1847 he left his tutor and went to Rushville, Ind., where he enlisted in the Fifth Regiment of the Illinois Volunteer Cavalry. He was stationed at Jefferson Barracks, Mo., and put in charge of thirty convalescents there. He went next to Kew Orleans, and in July, 1848, he joined his regiment on the Rio Grande. In No- vember he was mustered, out of service. After the Avar he resumed his study of medicine in the Indiana Medical College^ La Porte, Ind., and was graduated in 1S49. He moved to Lawrenceburg, Ky., where he was married in 1850 to Judith Ann Ridgway. But Dr. Todd eaught the gold fever that year, just as he had caught the war fever, and he Avent to California on the first impulse. It was a lucky move for him. He practiced medicine and mined at the same time 106 ONE HUNDRED TEARS OF for two year? hi the mining towns of Puma Comity. California. He used to tell the old physicians here he could have been rich if he wanted to, but he didn't want to. In order to get rid of some of his wealth he said he sank a hole a thousand feet deep in a mountain side, though there was little chance of striking ore. He had one very good mine, though, and one day as he sat panning gold out of the gravel near the stream he saw a very pretty girl come down the bed of the creek. She was Lotta Crabtree. who afterwards became an actress of considerable celebrity. It was the custom of the miners of those days whenever a woman came to the mines to let her put her hand in the "pay gravel*' and take out as much gravel and gold as she could get in one handful. So Dr. Todd gallantly held out his pan and Lotta took a great handful and got a good amount of gold out of it. Dr. Todd moved soon to San Francisco and continued to practice there until the Civil War. He was appointed then a surgeon in the army, but was not with the troop in action. He was stationed at the Pre- sidio of San Francisco and afterwards had charge of the hospital at Drum Barracks, near Wilmington, Cal. Dr. Todd's wife died during the war, and he determined to change his residence. On the way to California in 1850 he had passed through Kansas City, then a small town on the river bluffs. He was so much im- pressed with the tilace, though, that he remembered it in all his years of residence in California. Kansas City, he often said, would be a big place some day. So, after his wife's death, he determined to come here, build up a practice and make Kansas City his home. He came here in September, 1865. The next year Asiatic cholera broke out in the little town and 128 persons in the population of 5,000 died. Dr. Todd was appointed city physician and president of the Board of Health. The next year he was married to Mrs. Thirza F. Dean, widow of Dr. "William H. Dean. He established the Kansas City College of Physicians and Surgeons in 1869. The college at first had its quarters in his office at the northwest corner ol Eighth and Main streets, which he occupied for twenty years. Later it moved and became the Kansas City Medical College. Dr. Todd was presiding officer of the college for thirteen years. A book on obstetrics won him a fellowship in the Society of Science, Letters and Arts in London in 188?. He was also a member of the Kan- sas City Medical Society, the American Medical Association, the Missouri State Medical Association and the Kansas State Medical Society. Dr. Todd's second wife died several years ago, and he married Miss I'. W. Williams. His two former wives were Quakers, but Miss Williams was not. Dr. Todd was one of the charter members of Dr. J. E. "Roberts' church. The Church of This World, and was one of its principal sup- porters. Dr. Todd left a very valuable library of classical books. He had spent hundreds of dollar- gathering material for a history of his family. He was of Scotch-Irish descent and had traced his family back to the sev- enth century. The family history was in manuscript, almost finished, when he died. Dr. T. B. Lester, father of Dr. Charles Lester, the present County Cor- oner, was a famous character in his day. Fie was a prominent general prac- titioner, besides being something of a politician. He was born in 1821 in Virginia : went to Illinois in 1835 and studied medicine later under Dr. M. UNIVERSITY HOSPITAL, KANSAS CITY. MEDICINE AND SURGERY, 1Q7 W. Hall of Salem, 111. He was in the Mexican War as surgeon in Company I, First Illinois Infantry. He was in charge of the general hospital at Santa Fe, X. M.., in 1847, and held it till the close of the war. In 1851 he went to Kansas City, where he remained the rest of his life. He taught the principles and practice of medicine in the Kansas City Medical College. In 187"? he was president of the faculty. In 1870 he was president of the Medical Association of Missouri. He contributed many articles to med- ical journals and was widely known as a writer on medical subjects in other papers. Dr. Lester served the city as Alderman in 1857-8 and as .member of the Board of Education in 1867-70. He died February 21, 1888, aged 61. The homeopathic school in Kansas City has had a remarkable growth. One of its pioneers Avas Dr. Peter Baker, who died eight or nine years ago. He located in Kansas City about the time of the Civil War and be- came a big man in his profession. His daughter was married to Willard E. Winner, the capitalist, who built the Winner bridge. Dr. Baker was not a writer, but he had a very large practice. Dr. William D. Foster, bomeopathist, located in Kansas City in 1875. He was a partner of Dr. W. H. Jennev. Both Dr. Foster and Dr. Jenney are well-known homeopathists. The best-known homeopathist in Kansas City, perhaps in the State, is Dr. Moses T. Bunnels. He was secretary of the State Homeopathic Society when it had twenty-five members, and he built its membership to 200. He was elected president of the society in 1890. He was elected honorary member of the Homeopathic Society in Kansas City in 1886. In 1896 he was president of the Missouri Valley Homeopathic Medical So- ciety. Dr. Bunnels is an extensive writer on homeopathic medical treat- ment. His paper on Health and Study, read before the Missouri Insti- tute of Homeopathy in St. Louis in 1890, was copied in papers all over the country. Another paper on The Influence of Diet and Habits on the Liver, printed in the Clinical Beporter, St. Louis, caused much comment. Dr. Bunnels has been in Kansas City since 1885 and has a large prac- tice. Kansas City has seven medical colleges, including the three schools — regular, homeopathic and eclectic. One of these colleges is for women's instruction exclusively. The Kansas City Medical College is the oldest of these. Its present officers are: Dr. E. W. Schauffler, president; Dr. Franklin E. Murphy, sec- retary. This college was founded in 1869 and the first class was graduated in 1870. Its founders were six of the pioneer physicians of Kansas City, Dr. D. B. Porter, Dr. E. W. Schauffler, Dr. Simeon S. Todd, Dr. A. B. Taylor, Dr. F. Cooley, Dr. T. J. Eaton. Of these men Dr. Todd and Dr. Taylor are dead; Dr. Cooley left the profession and Dr. Eaton is now living in California. It was organized under the name, The College of Physicians and Surgeons of Kansas City. The name was changed to the Kansas City Medical College in 1881. The course of medicine was recently extended from three years to four years. The University Medical College, the second oldest in the city, was organized in 1881 as the University of Kansas City Medical Department. It was reorganized in 1888 as the L T niversity Medical College. The first class was graduated in 1882. It contained seven members. Eight were graduated the next year and fourteen the following year. This college has 10S ONE HUNDRED YEARS OF grown steadily. This year probably 130 will graduate. The average daily attendance at the school is more than 300~ Dr. Charles T. Wain- wright is dean of the school and holds the Chair of Clinical Medicine and Physical Diagnosis. Dr. John Punton, secretary of the school, lectures on nervous and rectal diseases. Dr. Punton is an expert on insanity. Dr. Samuel C. James, treasurer, teaches the principles and practice of medi- cine. J. X. Jackson, now dead, was the first president of the college. Dr. J. M. Allen succeeded him; then came Dr. Wainwright. But Dr. Wain- wright resigned to become dean of the school, and Dr. Logan is now president. The college building is of brick, four stories high, with a large amphitheater, lecture rooms, chemical laboratories and all the ap- pliances of a well-equipped medical college. In connection with the University Medical College is the "University Hospital, recently remodeled. Its name until last year was All Saints' Hospital. One of the more recent medical colleges is the Medico-Chirurgical College, which was organized March 14, 1897. Dr. C. Lester Hall is its president and Dr. G. 0. Coffin — now city physician and president of the Board of Health — is its dean. It was reorganized in 1898. Its first class was graduated in 1898. The Medico-Chirurgical School has made rapid progress since it was organized and has a large attendance. Kansas City has one women's college. It is called the Women's Med- ical College and was organized five years ago. There women are taught thoroughly, first, the principles of medicine, and secondly, the special branches that will make them best fitted to treat women's diseases. Dr. F. B. Tiffany, the noted specialist, is dean of the school. C. A. Dannaker, one of the older physicians, is secretary. A homeopathic school exists in Kansas City. It is the Kansas City Homeopathic Medical College. Dr. L. G. Van Acoyoc is its registrar. It has existed since 1888, and has been remarkably prosperous. Many homeopathic physicians have been graduated in its twelve years of ex- istence who now have comfortable practices. The Kansas City University College of Homeopathic Medicine and Surgery was organized in 1896. Its first class was graduated in 1897. Dr. W. H. Jenney is the clean of the school. Two medical publications exist in Kansas City. They are the Kansas City Medical Record, published by Dr. A. L. Fulton, and the Kan- sas City Medical Index-Lancet, edited by Dr. John Punton. The Index- Lancet is a consolidation of the Kansas City Medical Index and the paper called Langdale's Lancet. It has a large circulation, not only among local physicians, but all over the State of Missouri. St. Joseph has two medical schools, the Ensworth Medical College and the Central Medical College, both regular schools. The Ensworth School was organized in 188? as the St. Joseph Medical College by a union of the St. Joseph Hospital Medical College and the College of Physicians and Surgeons. It was reorganized in 1888 as the Ensworth Medical College. ~ Thomas H. Doyle is the president and Hiram A. Christopher the secretary. The Central Medical College was organized in 1894, Dr. T. E. Potter is its secretarv. MEDICINE AND SURGERY. 109 MEDICAL NOTES FROM PETTIS COUNTY.* The following record has been obtained mostly from Dr. John W. Trader, who several years ago wrote a necrological report of physicians of Pettis Count}', Missouri. Dr. Trader relied mainly upon information furnished by old settlers, and especially upon that furnished by the late Maj. William. Gentry, who was familiar and personally acquainted with all these families. These reports are necessarily brief, as nothing is attempted beyond an effort to preserve the history of those persons who, in many instances, were important factors in the first settlement of our county and the medical history of the century. Dr. Christian E. Bidstrap, a native of Denmark, settled near George- town, Pettis Co., Mo., in the year 1S33, on a farm; practiced medicine some six or eight 3 r ears; died near Clifton, at the home of his brother. Dr. Moses A. Ferris was a surgeon in the volunteer forces from Ken- tucky in the war of 1812; removed from Georgetown, Ky., and settled in Pettis County, near Longwood, in the year 1833, on what was then known as the Baker farm. The doctor was a representative man; in addi- tion to practicing medicine he preached to the early settlers and married the young folks, he being what was then known as a Beformed preacher. The doctor practiced medicine ten or twelve years in this vicinity, and died suddenly while out hunting, of what was supposed to have been apoplexy. Dr. William J. Westfield settled in Georgetown in 1834, coming from Kentucky. He was what was generally known by the early settlers as a "root and yarb doctor.'*'" He cultivated his own medical plants and had quite a garden of herbs, from which he obtained his medical supplies. He left no family in the county and no evidence of when or where he died. Dr. WiJkins Watkins was born in Virginia in the year 1809 and settled in Pettis County, Missouri, in the year 1838. He represented this county in the Legislature in the year 1845 or "46, and was Eegistrar of Lands at one time at Clinton, Mo. He moved to Salem, Ore., in 1863, and returned to Sedalia, Mo., in 1867, where he died December 6, 1872. Dr. Thomas Evans was born in Yfashington City, D. C, October 27, 1805; educated at Columbia College, D. C, graduating in both literary and medical departments. He came to Missouri in 1832, and moved to Pettis County in 1840, and located on a farm on the eastern border of the county. Here he lived and practiced medicine until he sold his farm and located in the town of Smithton in the year 1872, where he resided until his death, which occurred September 10, 1874. Dr. Evans was no ordinary man. Deeply imbued with the greatness of his calling, he never, by word or deed, lowered the standard of his profession. His reputation extended over Cooper, Saline, Pettis, Morgan and Benton Counties, and for thirty-odd years he served the people with a fidelity that vail not soon be forgotten. He never held a public office. Two of his sons, Drs. E. C. and W. H. Evans, are leading physicians of Sedalia, Mo. Dr. Edward Spedden settled in Georgetown, Mo., in the year 1841: *By Dr. George B. McNeil, Sedalia. 110 ONE HUNDRED YEARS OF was born and reared on the eastern shore of Maryland; died in George- town about the year 1S56. He was a physician of more than ordinary ac- quirements: was charitable to the poor and modest and retiring in his deportment. Dr. William Turley was born in Cooper County, and settled in Pettis * !ounty in 1854. He raised a company and was mustered into the Seventh Cavalry, M. S. M., Col. J. P. Phillips commanding, in the year 1862. The doctor accidentally shot himself fatally while dismounting his horse soon afterwards. Dr. Benjamin Franklin Hughes was born in Cooper County. Mo., near Pilot Grove. November 20, 1830; graduated at the Missouri Medical College (McDowell's) in the year 1855, at which time he came to Pettis County and engaged' in practice. At the breaking out of the Civil War he was commissioned surgeon in the Federal Army, which post he filled until elected as a delegate from this district to the convention to form what is known as the Drake Constitution of Missouri. After the close of the war he resumed medical practice in Sedalia, Mo., where he died August 26 r 1879, and is buried in the Georgetown Cemetery. Dr. Thomas Johnson Montgomery was born in Danville, Boyle County, Kentucky, August 9, 1812; moved to Pettis County, Missouri, in the year 1858, and settled near Longwood; afterward moved to Georgetown. In 1861 he was appointed surgeon of the Seventh Cavalry, M. S. M., and in 1865 assumed the duties of medical director, Central District of Mis- souri, until the close of the war. The same year he settled in Sedalia, and resumed the practice of his profession. Dr. Montgomery was an ex- traordinary man. Endowed with a line mind by nature, he had by in- dustry and an indomitable will overcome all obstacles and towered as a nestor among the members of his profession; was granted an addendum degree from the Starling Medical College in 1855, and a like honor was conferred upon him by the St. Louis Medical Society in 1858. He filled many places of honor and trust. He died in Sedalia, Mo., May 17, 1877, and was buried in the Sedalia Cemetery with church and masonic honors. liiiiiilWIIlftir LOUIS T. PIM. MEDICINE AND SURGERY. ill CHAPTER V]II.— IN THE CIVIL WAR* In writing up a history of the medical officers who served in various Missouri regiments during the war of 1861 to 1865 it is impossible at this lafe dte to do more than classify them, giving date of rank and mus- ter in and what became of them: their trials aud sacrifices, their successflu endeavors to succor the wounded on the field of battle, their own per- sonal dangers are fresh, no doubt, in the memory of those living and a lost story to those who have passed beyond the portals of the grace. "Peace to their ashes" and may the good they have done live after "them and bear good fruit for posterity. Out of 391 surgeons and assistant sur- geons who served a greater or lesser time, six died in service, fifteen were discharged, commissions revoked or vacated, one disappeared and was classified as a deserter. This is by no means a bad showing. How many returned home broken in health, some of whom to soon die, the records do not show. To Dr. Philip Weigel was given the position of Surgeon-General of Missouri, to organize the medical department and put it in efficient order. He -erved but four months and resigned. The position was then ten- dered Dr. John T. Hodgen, a man energetic, untiring and an excellent organizer. He soon brought order out of chaos, and by a system of exami- nations for commissions and re-examinations for promotion gave the State an excellent medical staff, dropping those who proved unfit. His report is annexed. FROM 1863 REPORT. Headquarters of the State of Missouri, Surgeon-General's Office, St. Louis, Mo., December 31, 1863. Hon. Hamilton R. Gamble, Governor of the State of Missouri: Sir — I have the honor herewith to transmit my annual report for th : year now eded. I am, sir, Aery respectfully, your obedient servant, JOHN T. HODGEX, Surgeon-General of the State of Missouri. At the breaking out of the Rebellion, in the spring of 1861, the affairs of the Medical Department of the State of Missouri were in a chaotic condition, a thorough organization of the medical department of the militia never having been effected. Although the office of Surgeon-General was one, the existence of which in connection with the military organization of the State had been recognized, the duties of the office had not been clearly defined; for in peaceful times there appeared little necessity for the maintenance of a complete military organization of the State. 'When, therefore, the necessity of a thorough military organization did arise, the medical department, like every other, found nothing but the crude materials out of which to form that important adjuvnt to the *Arranged by Dr. William A. Wilcox, St. Louis. 112 ONE HUNDRED YEARS OF well-being of a military organization. Two important steps were taken by the Chief Executive officer of the State to effect the organization of the medical department — the appointment of a Surgeon-G-eneral and the organization of a medical hoard. On the 3d day of January. 1862. Dr. Philip VTeigel was commissioned Surgeon-General of the State of Missouri, and entered immediately upon the discharge of the duties of the office, and continued until the 10th da}* of May of the same year, when he resigned. On the 1st day of September. 1862. I received a commission as Sur- geon-General of the State, since which time I have continued to discharge the duties of that office. On the first day of February, 1862, the following order was issued, calling into existence a medical board: Headquarters State of Missouri, Adjutant-General's Office, ■St. Louis, February 1, 1862. (Special Order No. 14.) A medical board, to consist of John T. Hodgen. XL D., Brigade Surgeon (of which board John T. Hodgen will act as president), will convene at St. Louis on , Tuesday, the 4th inst., or as soon thereafter as practicable, for the examination of candidates for appointment as surgeons of the State troops. Bv order of the Commander-in-Chief. WILLIAM D. WOOD, A. Adjutant-General. On the 12th day of August, 1862, Brigade-Surgeon S. H. Melcher, hav- ing been ordered to duty with his brigade, then at Springfield, Mo., his connection with the medical board ceased, and on the 12th day of February, 1863, Dr. Thomas McMartin was appointed to fill the vacancy. Dr. McMartin having resigned and Dr. John T. Hodgen having been ordered to duty at Vicksburg, the following special order was issued: Headquarters State of Missouri, Adfiutant-General's Office, St. Louis, May 28, 1S63. (Special Order No. 102.) Dr. R. H. Paddock is hereby appointed, pro. temp., a member of the Board of Medical Examiners, instituted by special order No. 14, current series, from these headquarters, and will perform the duties in the absence of Surgeon-Gen- eral John T. Hodgen, President. By order of the Commander-in-Chief. ALEXANDER DOWRY, Captain and A. A. Adjutant-General. Since the organization of the board 281 gentlemen have been exam- ined for the position of Surgeon and Assistant Surgeon of the Missouri Vol- unteers, and 49 have been commissioned Brigade Surgeons, Surgeons and Assistant Surgeons of the Missouri State Militia. The total number of surgeons and assistant surgeons commissioned for regiments of Missouri volunteers is 176. The total number of brig- ade surgeons, surgeons and assistant surgeons commissioned for the Mis- souri State Militia and Missouri Volunteers, amounting to 288, 150 are all that have been examined. Most of those commissioned without examination were in the service before the Medical Board organized. In some instances since the organization of the board surgeons and assistant surgeons have been appointed on the recommendations of reg- imental officers with the approval of the medical directors, brigade, di- vision and corps commanders, and then onlv when regiments were in Niv &f " / * "/">' 'Zj.'tfwffwwzU. if Q-ft'J't. fj€?t> (£\ JZ> parole ©f f*«aw, iJ/ii pf we'// not Jr> /tAeaie Ccftair-t, tn^ see aeetj mififeee/ i i of 'Mae, /eefmmntf io me--®£tmu of '■., -. ..., tim'-iM// msH ':■■'* ZZ% <'': ■ Q* . &&, 0e?»/ene/eu/eeey ome/' Q9[ <%«xfi' ¥> %' G^f Gf.> t&emmemc/; -/? 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MEDICINE AND SURGERY. 127 CHAPTER IX.— THE MEDICAL ASSOCIATION OF THE STATE OF MISSOURI.* The Medical Association of the State of Missouri, which has entered upon the fiftieth year of its existence, was organized in April, 1850. In 1837 the physicians of St. Louis obtained the charter from the Legisla- ture, which conferred upon them the power to establish and maintain a State medical society. The privileges of the charter were sufficiently broad to secure an organization which would embrace in its membership the medical profession of the State. The society, however, remained local in its membership and influence. During their attendance at a meeting of the American Medical As- sociation which was held at Cincinnati, the delegates from the Missouri Medical Society learned to their discomfort that associations embracing the medical profession existed in the various States, Arkansas excepted, but not in Missouri. Upon their return to St. Louis they submitted to the local society a set of resolutions, according to which the time had arrived "for an efficient and permanent union of the medical profession of the State of Missouri, for the purposes of mutual improvement and protection." To carry out the purposes of this resolution a committee, consisting of Drs. William IT. McPheeters, John I>. Johnson, S. G-ratz Moses, George Engl em ami and George Perm, issued the following circular to the medical profession : " 'Whereas, In the opinion of the societ}', the time has arrived when it is both expedient and desirable to unite the medical profession of the State of Missouri for the purpose of mutual improvement and protection; be it, therefore, " 'Resolved. That a committee be appointed to address the regular members of the medical profession throughout the State, inviting them, to meet in general convention in the city of St. Louis on Monday, the 4th day of November next, for the purpose of forming a State medical association with auxiliary societies in each town or county in the State.' "The undersigned, the committee appointed to carry out this resolu- tion, presuming that the objects for holding the proposed convention must be apparent to every one, take this method of addressing you on the subject and of soliciting your co-operation. "The medical profession in Missouri has been for too long a time in- different to the many and great advantages to be derived from an effi- cient State organization, and whilst in other sections of our country, un- der the influence of such societies, the happiest results have been attained towards elevating the standard of the medical profession by the united and cordial action of all its members, we, on the contrary, have been content to stand still, and have, consequently, accomplished but little in the important work of medical reform, notwithstanding we live in an age and in the midst of a community in which the inevitable law of progress is stamped on every one around. "The committee have, therefore, caused this circular letter to be ad- *By Dr. Frank J. Lutz, St. Louis. 128 ONE HUNDRED TEARS OF dressed to the profession throughout the State, calling upon them to hold town, county or district meetings, and to appoint delegates to the pro- posed convention, and when no such meetings can be held they hope that you will consider yourself a delegate. to the same and will use your ex- ertions to extend the invitation to those whom they may not be able to reach, and in otherwise promoting the desirable and contemplated and foregoing preamble and resolution. ••The committee have not thought proper to limit the number of dele- gates each town, county or district may appoint, but have extended the invitation to eveiyr regular practitioner of medicine in Missouri, and they hope, by these meetings, to insure a full representation from all parts of the State." The first meeting of the profession was held in the city of St. Louis in November, 1849. Dr. W. G-. Thomas of Boonyille was chosen presi- dent and Dr. J. S. B. Alleyne, secretary. When the delegates adjourned it was to meet at Boonyille on the 21st of April, 1850. When it con- vened Dr. Thomas deliyered an address, in which, according to the re- porter of the meeting, he set forth with force and ability the objects for which the association was formed and the means necessar}^ to effect the objects. The address was listened to with marked interest by a large audience <:-omposed of citizens, as well as members of the association. Dr. William II. McPheeters of St. Louis, who had been the prime rnoyer in the organization of the association, was made the president. At this meeting a report was made on the status of obstetric knowledge and dis- eases of women and children, by Dr. D. M. Davidson of Cole County and on surgery, by Dr. Joseph Nash McDowell of St. Louis. Dr. M. L. Linton read the report on medicine and Dr. John Laughton on medical education. A report on Indigenous Botany and the Domestic Adulteration of Drugs was made by Dr. Wright of Warren County. All of these reports were discussed and referred to the committee of publication. The number of delegates in attendance, though not as large as was anticipated, was, nevertheless, highly respectable and represented different parts of the State. In November, 1851, the first volume of transactions was published and ready for distribution. St. Louis was the next place in which the association met, in 1852. It was convened cm the 19th of April and continued in session for three days. The president, Dr. MePheeters, delivered the annual address on the subject of Medical Reform and the Feasibility of Bringing It About by the Combined Action of the National and State Association Without an Appeal to Legislative Enactments. At this second meeting certain al- terations and amendments to the fundamental law of the association were proposed. Heretofore the members consisted of delegates from per- manently organized medical societies, permanent members and members by invitation. It was now proposed to have delegates from the several medical schools in the State and all hospitals with fifty beds. Permanent members were to be placed on the same footing with delegates from county societies by conferring upon them all the rights and privileges enjoyed by the delegates. It was also proposed to abolish all the standing commit- tees except those on publication and arrangements and to substitute in their room an arrangement by which the nominating committee shall an- nually select subjects for special reports and that the same committee MEDICINE AND SURGERY. 129 nominate suitable persons as chairmen, each of whom may choose addi- tional members to constitute a special committee to report on the subject assigned them. The treasury of the association was to consist of a tax of not more than $3 to be levied upon each member. Most of these amendments were adopted at the third meeting, which was held in the Fourth Street Methodist Church in St. Louis on the 19th of April, 1853. Dr. J. B. Johnson of St. Louis was elected president and delivered an eloquent and interesting address on the subject of Medical Ed- ucation. Lexington entertained the association in 1854. at which meeting Dr. J. P. Vaughn of Glasgow, Mo., presided. In 1855 St. Louis was the meet- ing place and Dr. J. B. Alexander of Lexington presided. ' Lexington again entertained the association in 1856 under the presidency of Dr. Charles A. Pope of St. Louis. The two next meetings were held in St. Joseph, but no record of the presiding officers is obtainable, nor is there a preserved record to which I have access of the meeting held in St. Louis in 1858. An editorial in the St. Louis Medical and Surgical Journal, January and February, 1861, laments the fact that no medical society exists in the city of St. Louis or in the State of Missouri, for interest had ceased in the affairs of the State Medical Association for several years prior to and during the Civil War. The physicians of the State were actively engaged with the armies and after the cessation of hostilities it required several years before the reorganization of the State Association was ac- complished. In 1867 we find that it met under the presidencv of Dr. G. A. Williams of Boonville in the city of St. Louis. Li 1868, 1869, 1870, 1871, under the presidency of Drs. W. B. "Morris of Bridgeton, Charles F. Clayton of Palis County, T. B. Lester of Kansas City and J. E. Tefft of Springfield, successful and Avell attended meetings were held in the same city. In 1872 a new departure was had in the association meeting away from St. Louis, at St. Joseph, when Dr. E. Montgomery of St. Louis was chosen president. In 1878 Moberly was the meeting place, and Dr. S. S. Todd of Kansas City presided. In 1874 Sedalia entertained the association and Dr. W. 0. Torrey of Hannibal was the presiding officer. Jefferson City was the next meeting place, in 1875, and Dr. John T. Hodgen of St. Louis the president. At the St. Louis meeting in 1876 Dr. J. W. Trader of Sedalia was chairman, and in 1877 the meeting was held at Kansas City, and Dr. F. M. Johnson of Platte City presided. Sweet Springs was the meeting place in 1878, and Dr. E. TV. Schauffler of Kansas City presided. In 1879, under the presidency of G. M. B. Maughs of St. Louis, the association was convened at Columbia, Mo., and in 1880 at Carthage, and Dr. J. M. Allen of Liberty, Mo., was made the president. In 1881 the society enjoyed the hospitalities of Mexico, Mo., and Dr. Willis P. King, then of Sedalia, was chosen the president. In 1882 the society convened at Hannibal, and Dr. A. E. Gore of Paris was selected to preside over its deliberations, and at the Jefferson City meeting in 1883 Dr. E. H. Gregory of St. Louis was made the president. In 1884 it came together at Sedalia, and Dr. H. H. Middlekamp of War- rent on was the presiding officer. In 1885 the association met at St. Jo- seph and selected Dr. G. C. Catlett for president. St. Louis was the next meeting place, in 1886, and Dr. J. W. Jackson of Kansas City was made the presiding officer, and in 1887 the association met at Macon, Mo., 9 130 °NE HUNDRED YEARS OF and Dr. Frank J. Lutz was chosen president. In 3 888 Kansas City once- more harbored the society, which elected Dr. A. W. McAlester of Co- lumbia, Mo., president. Springfield was the meeting place in 1889, and Dr. L. I. Matthews of • larthage was chosen president. In 1800 and 1801, under the presidency of Drs. A. B. Sloan of Kansas City and T. F. Prewitt, respectively, the association met at Excelsior Springs. In 1892, at Pertle Springs, where Dr. A. E. Miller of- Macon City was chosen president. And when the society again met in Sedalia in 1803 Dr. W. II. Evans of that city was elected to the chair, and Dr. J. M. Richmond of St. Joseph was president in 1894, when Lebanon was the meeting place. At Sedalia. Mo., Dr. C. Lester Hall was made president in 1895,. and Dr. John H. Duncan of St. Louis presided over the St. Louis meet- ing in 1896. Dr. Jacob Geiger of St. Joseph was president in Kansas City in 1897, and at Sedalia Dr. George R. Highsmith of Carrolltown was- the presiding officer. The last meeting was held in the city of Mexico,. under the presidency of Dr. Walter B. Dorsett of St. Louis. In its efforts to accomplish the purposes for which the association was established and to bring within its sphere of influence all the physi- cians of the State, the association soon found that a wise policy dic- tated a migration annually to different sections of the State — a policy which has been fruitful in good results. Many changes have occurred in. the course of years in the membership of the association. At first it was a delegate body, the delegates being chosen regardless of the membrship of the societies whom they represented. Then permanent membership was established; having once been elected a delegate, the physician so hon- ored retained his membership in the association so long as he continued: to contribute the annual dues. At a later period permanent membership was abolished and the es- sential requirement for membership consisted in being a member in good standing in the city, county or district society in which the applicant re- sided. The influence which the State Medical Association has exerted upon the medical profession of the State has been far-reaching and important. It has been no mean factor in the elevation of professional learning, in the- enactment of laws regulating the practice of medicine and in the estab- lishment of local medical societies. At the present time it is in a most prosperous and nourishing condition, and under the presidency of Dr. L T . S. Wright of Fayette, Mo., it promises to still further increase its sphere of usefulness and influence. Following is a list of Presidents of the State Association from its inception to the present time: MEDICINE AND SURGERY. 131 PRESIDENTS MISSOURI STATE MEDICAL ASSOCIATION. Year. Name. city 1S50-*W. G. Thomas, M. D _ Boonviile 1851— W. H. McPheeter.s, M. D t . st L^g 1852— J. B. Johnson, M. D a(f T • • bt. IjOUIS 18o3-*J. P. Vaughn, M. D Glasgow 1854 — -M. B. Alexander 1855— *C. A. Pope 1856 — No records. 1857 — No records. 1858 — No records. The gap between 1858 to 1867 occurred during the Civil War. 1S67— *G. A. Williams, M. D 1868— *W. B. Morris, M. D \\[ 1869— *Charles P. Clayton, M. D 1S70— *T. B. Lestear, M. D ' 1871— J. E. Tefft, M. D 1S72— *E. Montgomery, M. D 1£73-*S, S. Todd, M. D '.' ZZZZZZ'ZZZZ'. Kansas City 1874 _*w. O. Torrey, M. D Hannibal 1875-*John T. Hodgen, M. D 9t _ Louis 1S76 _j. W . Trader> M . D __ seaai . a 1S77-*P. M. Johnson, M. D platt aty 1S7S-E. W. Schauffler, M. D Kansas City 1S79-G. M. IB. Maughs, M. D . &. Louis 1880— J. M. Allen, M. D 1881— Willis P. King, M. D.. 1882— A. E. Gore, M. D 1883— E. H. Gregory, M. D 1SS4-*H. H. Middelkamp, M. D .'.'.".' ""[ Z" ZZZ'Z" ...l'. Warrenton 1885— *G. C. Catlett, M. D 1886— *J. W. Jackson, M. D _ _. 1S87— Frank J. Lutz, M. D .Lexington . St. Louis Boonville . — Bridgeton .Ralls County ..Kansas City — Springfield — St. Louis — Liberty Sedalia Paris .St. Louis ..St. Joseph ■ • Kansas City St. Louis 1888-A. W. McAlester, M. D ,_ Columbia 1889— L. J. Mathews, M. D 1890— *A. B. Sloan, M. D _ 1S91-T. F. Prewitt, M. D [[ 1892— A. B. Miller, M. D 1893— W. H. Evans, M. D 1S94— J. M. Richmond, M. D 1895— C. Lester Hall, M. D 1896— J. H. Duncan, M. D 1897— Jacob Geiger, M. D 1898— George R. Highsmith, M. D 1899— Walter B. Dorsett 1900— U. S. Wright Carthage .Kansas City — St. Louis ..Macon City Sedalia . . . St. Joseph .Kansas City — St. Louis ...St. Joseph — Carrollton — St. Louis Fayette ♦Deceased. 132 ONE HUNDRED YEARS OF • o o >a >a co ia o o • ia os i~- t- ia h ia co h tt h 11} I h 11 (A ID h 111 w J tt Q »— ~- Co 3 3 Cd ^ jr: Lu a" w n w bJ^n^pJ S JT ^ +-> O +j ^ , - ^ cd Pi £ g 8 m g >> -a bxijj Bin $-£ "53 £ 3J>4J-£a ajj^OS^ O «P p Z ffi h •p j o >. 3 cd w ^El^ .5 co o jo 3 cd m a) -™ o £ ii • -jj - ..•+-* cu 'o •* ■ js! 22"-Ch-hC eu ,3 co S fcp^|H§u^m^^>dWpi fe £ j tf k ^ o 3 S cjj r; CO B • S J ? 0) d) - •" G ^S !=■ rrt J2 c "a! >> i — i CJ ' — ' co ^ S g S w .« ^°d •a So," :'g •>? = g S U ID $ « ^ c3 g H ,SJ eo to g - w C Si rj +j S3 u h os ffi m % m P cc i — '71 £V <% 75 EC •i. ™ EC >i*J ._ CO C 3 co 5 °S EC O q^ co o !32£« bD<< co g"5 3 g 02 g q O rQ ej — , o*oo - >,|c5 § gPs>.g Oqq 02 IS Sri i Co CO . m 0/ >> ?H ' CO . j ■Ai?- T3. -H- cd CO r-. « 3 C 3 to ,3 o ec OS02!2i 3 H 3 >,; .-§^^^>,3§ ^^ 3 gp g.q CO C CO =w 3 O oq a) ^ cd & to _^ O U O P ffi S 02 !-. cd QJ "O 2 ftcd 3 O +J Ht-702 c >4 g +-> U ° 3 cd o 3 5 o ^ cd BOA s p s.2§ Po «o 3 cd . 33 3 .« CO 0) pom u cd +j t, H co cd °CMO MEDICINE AND SURGERY. 133 CHAPTEE X.— HOMEOPATHY AND ECLECTICISM. HOHEOPATHY.* In the late decades of the eighteenth century Samuel Hahnemann, a man remarkable for his native acumen and great literary and scientific re- search, conceived and promulgated the system of medical practice known as homeopathy, his course of investigation and conclusion being effects and observations first and theories or conclusions afterward. Some years later, when Hahnemann came to Paris to practice his profession, Guizot, then a Minister of Public Instruction, on being urged to forbid Hahnemann from practicing, said: "Hahnemann is a scholar of great merit. Science must be free to all. If homeopathy is a chimera or system without any in- ternal substance, it will fall by itself, but if it is an advance, it will spread even despite our repressive measures." It gained a foothold in the United States, in Xew York City, through Dr. Hans Gram, a native of Sweden, who in 1825 published a pamphlet translation of Hahnemann's '"'Spirit of Homeopathy."' Its first represen- tative in Missouri, so far as is known, was Dr. John T. Temple, who came here in 1841. Homeopathy has no necessity to arise in Missouri or elsewhere in weakling cry for mercy or redress. A strong and earnest appeal to the lib- eral and enlightened citizenship of the State she does make, in the name of her physicians, and her patronage, for the impartial recognition by the State of her well-founded claims to proper representation in public insti- tutions. With the people at large free and unbiased in their preferences, we have only cause for congratulation. Onr patronage is large and su- perior: it is no idle boast to say that homeopathy in Missouri, as elsewhere, has a patronage far above the average in culture and intelligence — statis- tics proving this — and, moreover, that over one-third of the taxes are paid by homeopaths. During these years some homeopathic institutions have been perma- nent] v established; others have had only temporary existence. Growth in this line, however, has been positive, if not rapid or uniform. That we have our pioneer institutions — the Medical College and the Good Samari- tan Hospital, in the later days our expanding work in the Children's Free Hospital, Blind Girls' Home and our college clinic and dispensary, besides various other centers of work, more or less perfectly organized. The history of these institutions, and of homeopathy, will necessarily be closely interwoven with that of the men who have been the leading minds in the medical fraternity of the past years, and who have been instrumental in all that has been accomplished, with occasional aid from some broad- minded, public-spirited man, able and willing to assist a cause weak but worthy. Such a man was the late Hon. Montgomery Blair. It was largely through his assistance that a charter was obtained in 1857 for the Homeopathic Medical College of Missouri, located in St. Louis. Judge Blair afterward removed to Washington, and there, as Postmaster-Gen- eral, was a member of Lincoln's Cabinet. ♦Prepared by Dr. T. Griswold Comstock, St. Louis. 134 ONE HUNDRED YEARS OF Temple and Other Pioneers. — To Dr. John T. Temple coming to St. Louis in 1844 is accorded the honor, as has been stated, of first introducing homeopathy in Missouri. He was a native of Virginia, a pupil of the cel- ebrated Dr. George McClelland of Philadelphia, and a graduate of the University of Maryland. After practicing for a time in Washington, he in 1833 removed to Chicago, where he adopted the homeopathic practice, and came to St. Louis in 1844. Here he enjoyed an extensive practice, and his clientele was among the first and most influential of our citizens. Shortly after Dr. Temple arrived in St. Louis one of the professors of the St. Louis Medical College made an attack upon homeopathy through the medium of the public press. Dr. Temple made a forcible and exhaustive reply, but such was the state of hostility to the new practice that neither of the two medical journals nor any of the city papers could be induced to give it publication. Dr. Temple, however, immediately published it in pamphlet form for gratuitous circulation, and his statements and argu- ments found great favor with the public, gaining many friends for the new system among the lay people of the city. In 1848 he established the "Southwestern Homeopathic Journal," which was the first journal of the kind published west of the Mississippi. In 1849 he met with marked suc- cess in the management of epidemic cholera, as did also Drs. Spalding, Stenestel, Vail and Granger, who had located in St. Louis in 1846-7. Dr. Temple later occupied the Chair of Professor of Practice in the Homeopath- ic Medical College of Missouri. A man of erudition and of genial dispo- sition, he worked and labored most successfully for his loved profession, and when called hence he had already seen it established upon a firm -basis in the city of his adoption. During these last years a number of physicians had come and gone in the city. Among those who remained, and by their skill and energy helped to bring the new school forward into deserved repute, were Drs. Vastine, D. E. Luyties, B. M. Peterson and others. Dr. Vastine, a physician of education and ability, had come to St. Louis in 1848 from Pennsylvania, and for many years honored the profes- sion by a successful career until his death. He was succeeded by his son, Dr. Charles Vastine, who practiced for twenty years, and who has now re- tired on account of ill health. Another of the names is the late Dr. D. E. Luyties, already founder of Luyties' Pharmacy, who was for thirty years honorably associated with the history of homeopathy in this city. After giving over the pharmacy to his brother. H. C. Cr. Luyties, he devoted him- self to the practice of his profession, and acquired a iarge clientele, which at his death he left to his son, Dr. C. J. Luyties, an able practitioner and member of the faculty of the Homeopathic Medical College of Missouri. In 1856 to 1857 there came to St. Louis Dr. Henry Eberz, a Polish exile, possessing titles of honor. Before leaving his native country he was Pro- fessor of Pathology in the Boyal University of Cracow. While professor in an old school university, be had embraced the principles of Hahnemann, and came to St. Louis with letters of recommendation to the first citizens of our city. He accpiired a lucrative practice, although remaining here less than three years. He introduced as his successor, Dr. E. A. Fellerer, a German, ana an accomplished physician, who practiced here some ten years, gained a large clientele, and is Avell remembered by many of our first citizens. About the year of 1857 Eev. Louis E. Nollau founded the Good Samaritan Hospital. He was a man of "good words and good works," and through his personal efforts the present building was erected. MEDICINE AND SURGERY. 135 Pastor Nollau died greatly lamented in 1869. Dr. E. A. Fellerer was in 1857 the first physician of the hospital, and in 1858 Dr. T. G. Comstock became also an associate medical attendant. Subsequently Drs. Helmuth, FL C. Franklin, D. E. Luyties, G-. S. Walker and others were added to the staff, Dr. Comstock being primarius of the medical for thirty years. The hospital is still in a flourishing condition, and the managers in- tend to enlarge and improve it, so as to conform to the advances of the latest modern hospitals. Its medical staff is well selected — Drs. F. W. Grundmann, C. J. Luyties, G. A. Mellies, W. J. Harris, C. H. Eyermann, J. A. Campbell and others being attending physicians. By the time its first decade had passed homeopathy had won for itself .a position in the estimation of many intelligent and fair-minded citizens of every position and station in life, and with its faithful and able repre- sentatives in the profession the time seemed ripe for the formation of a medical college. In 1857, therefore, through the efforts of Drs. J. T. Tem- ple, B. M. Peterson, J. C. Morgan, now of Philadelphia, and others, assist- ed greatly, as we have seen, by Hon. Montgomery Blair, a charter was procured from the State Legislature for the Homeopathic Medical College of Missouri. Soon after the incorporation of the infant college homeop- athy was further enriched by the coming to St. Louis of two able homeo- pathic physicians, Drs. Helmuth and Franklin, and the transfer to homeo- pathic ranks from the old school of Dr. G. S. Walker, all of whom were des- tined to make themselves felt in the State and country. Dr. G. S. AValkcr, who had been practicing in St. Louis since 1852, was recognized as a physician of ability, a man of scientific tastes and of honest and decided opinions. He was a native of Pennsylvania, received his medical education at Jefferson College, Philadelphia, and commenced practice in Pittsburg in 1849. After spending three years in California he located in St. Louis. He became a member of the St. Louis Medical Society, but for a number of years he spent considerable time investigat- ing the claims of homeopathy. In 1860 he saw fit to change his practice en- tirely from allopathy to homeopathy. For this reason he was tried by the St. Louis Medical Society for his heresy, and was expelled from it by his former friends and associates. This, like other attacks prompted by ignorance and prejudice, especially when directed at a man of Dr. Walker's reputa- tion for honesty and intelligence, could only serve to make him better known and lead to a more general understanding of homeopathic prin- ciples and practice. The controversy seems to have excited general pub- lic interest outside as well as in medical circles. In all the various con- troversies into which Dr. Walker was called with his former colleagues he had the advantage of the gentlemanky and liberal, as well as the keen .and scholarly, spirit in which he justified his course and brought to public attention the weaknesses of the old and the advantages of the new sys- tem. In 1861 Dr. Walker entered the Union army as surgeon of a regi- ment of Missouri volunteers. Returning to the city in 1863 he again de- voted himself to private practice, and was an influential factor in the medical life of the two succeeding decades. In 1888 he again went to •California, where he remained until his death, which occurred at Los Angeles in 1895. Dr. E. C. Franklin, who came to St. Louis as a homeopath about the time of Dr. Walker's trial, had gone through a similar experience, having himself previously passed from the old school to the homeopathic prac- 136 ox E HUNDRED YEARS OF tice. A man of very decided views and impulsive spirit, he had in earlier years hotly contested in personal disputations the innovation of homeop- athy upon old school methods, but added observations and final personal experience convinced his judgment in spite of his personal prejudice, and at the time of his coming to St. Louis, in 1857, he had been practicing homeopathy for several years at Dubuque, la. Previously he had been spending some time in Panama, where he had contracted a stubborn form of fever and was compelled to leave. Returning to Yew York, he had, after Trying effectually all the usual medical treatment, been promptly cured by homeopathic remedies. Finally, convinced of the efficacy of the treat- ment, he adopted its principles and entered with enthusiasm upon its prac- tice. Dr. Franklin was a descendant cf the family of Benjamin Franklin, He was a pupil of Prof. Valentine Mott, and graduated in medicine from the University of Xew York in 1846. lie was a skilled surgeon, and the author of '•Franklins Surgery." His varied experience, added to his nat- ural energy and ability, gave him a place of usefulness and influence in the profession and in the work of the college just started. Decided and aggressive in his views and strong in his prejudices, Dr. Franklin was a "good hater,*' and never shunned a controversy with friend or foe. He was repeatedly engaged in disputes with those of opposing medical views, through those early years, one of which, carried on through the press with Prof. M. L. Linton of the St. Louis Medical College (allopathic), under the title of "Medical Science and Common Sense," excited much public interest. The breaking out of the Avar in 1861 interrupted the promising development of homeopathy at this period, affecting it in common with all other public interests. Many physicians entered the arrtry, among them Dr. Franklin, as surgeon of a regiment of Missouri Volunteers. On leav- ing the army he returned to St. Louis and accepted the Chair of Surgery in the Homeopathic College. He remained for many years identified with the interests of the profession here, filling with honor, among other posi- tions of prominence, those of president and vice-president of the "Western Academy of Homeopathy and of the American Institute of Homeopathy. Several calls to other cities had been declined, but in 1876 he went to fill the Chair of Surgery in the University of Michigan at Ann Arbor. Early in the '80s he returned to St. Louis and remained in active practice till his death in 1885. He was a firm friend of Gen. Frank P. Blair, and his medical attendant in his last illness. Another of the physicians who came to St. Louis about the time of the formation of the college, and whom St. Louis will always be proud to- number among her citizens and professional men, was William Todd Hel- niuth, a young man who, at the age of 25, had won for himself a reputa- tion fast becoming national. Born and educated in Philadelphia, he grad- uated at the age of 20 at the Homeopathic Medical College of Pennsyl- vania. He earl}" developed a fondness for surgery, and in 1855 he pub- lished his work, entitled, "Surgery and Its Adaptation to Homeopathic Practice." On coming to St. Louis Dr. Hemruth entered with character- istic energy and zeal into all the public and professional interests of the time. He was a member of the first faculty of the new college, filling the Chair of Anatomy and afterward that, of Surgery; surgeon to the Good Samaritan Hospital; represented St. Louis at the meeting of the American Institute in^lSCG at Yew York, where he delivered the annual address, the following year becoming its President, at the same time being associated in a literary way with the homeopathic journals and the publication of MEDICINE AND SURGERY. 137 . monographs and other literary work, laboring in all these with enthusiasm, and at once carrying on a large and increasing practice with a snccess that constantly extended his already brilliant reputation. In 1864 he went to Europe to further his surgical observation and experiences. On his re- turn, differences having arisen as. to the management of the college, he, with Dr. Comstock, Dr. D. E. Luytics and others, organized a new col- lege, called the "St. Louis College of Homeopathic Physicians and Sur- geons," which, however, was shortlived, and after two sessions was amal- gamated with the Homeopathic College of Missouri. In 1870 Dr. Helmuth accepted a call to the Chair of Surgery in the Homeopathic Medical Col- lege of Xew York City, where 'he still remains as dean of the college and an honored citizen. Dr. T. G-riswold Comstock was a pioneer of the homeopathic school in St. Louis. A lineal descendant of the "Mayflower' stock, he came here, a young man, with ancestry of repute in medical and other literature, and studied medicine under Dr. J. V. Prather, one of the founders of the St. Louis Medical College, in which he took his first degree of "Doctor of Medicine.'' His independence of mind had already led him to consider the merits of the new practice, and soon after his graduation he began a thorough investigation of the subject, under the special direction of Dr. J. T. Temple as his preceptor, which resulted in his adopting the homeo- pathic views. Going to Philadelphia in 1853, he became a student of the Homeopathic Medical College of Pennsylvania; where he graduated, after which, returning to St. Louis, he entered, successfully into practice. After a short time he went abroad to visit the hospitals of Europe, and finally matriculated in- the University of Vienna, where he took the examination in the German language, and was honored with the degree of "Master in Obstetrics." Eeturning to this country he again commenced practice in St. Louis in 1858. He soon became engaged in college and hospital work, and his name has ever since been closely connected with the history and progress of homeopathy in St. Louis and the "West. XOTED PBACTITIOXEES.— St. Louis has from the first been espe- ciallv rich in its surgical talent. Few of the cities of the country have been able to boast of an equal number of surgeons of eminence. Some time before Dr. Helmuth left, Dr. Scott P. Parsons had come to St. Louis, a young practitioner, and had already attracted attention as a brilliant and successful lecturer and demonstrator of anatomy and surgery, a repu- tation which rapidly increased as he entered upon the practice of sur- gery as a specialty. Dr. Parsons practically began his professional career in St. Louis. Born In Maine, he had graduated in medicine at an early age from the Hahnemann Medical College of Chicago. Going abroad, he availed himself of the opportunity for medical study in Europe, spending a year in London, where he saw and heard the eminent English surgeon, Sir William Ferguson. Eeturning to America he settled in St. Louis, and at once became active in dispensary and college work, holding the Chair of Anatomy and afterward for many years that of Surgery. Through the past twenty-five years homeopathy in the college and city has had an able and strong supporter in Dr. Parsons, a representative to whom it can refer with pride and confidence. As a surgeon, he works rapidly, with a steadiness and assurance that is never disturbed. An opportunity for wit- nessing his operations has long been a privilege sought and valued by the profession. He is still in active practice, but his impaired health prevents his now engaging in special college work. His son, Dr. Scott E. Parsons, 136 ONE HUNDRED YEARS OF has recently graduated from our St. Louis College, arid is following his fathers specialty. W. B Morgan, A. 11. . M. I)., came to St. Louis from Wisconsin in 1876, attended the Homeopathic Medical College here, graduating in 1878. Soon after his graduation he became connected with his Alma Mater, holding the Chair of Anatomy for ten year-, until he took that of Surgery, which he still holds. Aide and faithful in professional work, and giving freely of his time and service-, he has always been identified with the interests of the profession, and has repeatedly served as president of the local medical society and once as president of the Missouri Institute of Homeopathy. Another who has made a reputation in gynecological surgery and practice is William C. Eichardson, and the Homeopathic Medical College in St. Louis is proud to number him among her graduates. He took his degree in 1868, and since that time has been constant in his interests and efforts on her behalf, and to him, perhans, more than to any other one, she owes her present name and rank as an institution. At the time of a crisis in her history he will be remembered as coming to her rescue, and by his influence and activity doing much to secure for her friends and supporters. At an early age he enlisted in the cavalry service of the Union army, re- maining there until the close of the war. when he came to St. Louis and made it his home. After his graduation he entered immediately upon pro- fessional work here, which rapidly increased to a large practice. In 1872 he published his work on obstetrics. He has constantly filled positions in the college faculty, and at present, besides his professorship, holds the office of dean. Well-known in city affairs, he is a member of various or- ganizations, and is now upon his second term as Public Administrator of the city. Dr. Comstock is proud to say that Dr. Eichardson commenced the study of medicine in his office. Tn 1S69, at the Homeopathic College of Missouri, graduated a young man destined to become one of the leading specialists of the country. Dr. James A. Campbell, a son of the late Dr. Campbell, a native of Wisconsin, came to St. Louis as a mere lad. He graduated in medicine, the valedicto- rian of his class. lie at first hesitated as to what special branch of medical work to adopt, but soon his interests were turned into an absorbing channel, and in the spring of 1873 he went abroad for the special study of the eye and ear, remaining till the fall of 1874 and devoting his time to the large eye and ear hospitals and specialties at the University of Vienna and later in London. Since his return Dr. Campbell has de- voted himself to the enthusiastic and exclusive pursuits of his chosen spe- cialty, in which he now stands at the head. Dr. Campbell has given with great generosity of his time and skill to the institutions; has held the Chair of Opthalmology and Otology in the college for nearly twenty-five years, serving for the same period on the medical staff of the Good Sa- maritan Hospital, and gives his services in a like capacity to the Girls' Industrial Home and the St. Louis Children's Free Hospital. He is a hard worker in his profession, in the interests of which he has found time to take additional trips abroad, on one of which, besides visiting the hos- pitals of Europe, he served as delegate from the American Institute of Homeopathy to the National Medical Association of France and England. Dr. J. Martine Kershaw is another aide physician for whom St. Louis is indebted to our own college, where he graduated about 1869. He has marked ability, indomitable energy and industry, and has a first-class pro- fessional position. To his practice he has added occasional literary work, MEDICINE AND SURGERY. 13') contributing to the "Medical Journal'*" and publishing various mono- graphs, and is at present editor of the "Clinical Reporter." Dr. C. H. Goodman, a physician of prominence, was a pupil of Dr. Hehnuth and a graduate of Hahnemann's Medical College of Philadelphia, also a graduate of Yale and a man of literary tastes and habits. He is a college worker (having occupied the Chair of Theory and Practice in the Homeopathic Medical College of Missouri for several years), one of the physicians of the Children's Hospital and secretary of it- medical staff In the prime of life, with the promise of a long and successful future, he enjoys a large practice among the best people of the community. Among others who have long honored the new school practice we may mention Dr. Charles H. Ghmdelaeh, who, after a long and successful prac- tice, still remains and enjoys a special representation in the treatment of children's diseases. His son, W. J. Gundelach, is associated with his fath- er, and is one of the professors of the Homeopathic Medical College of Missouri. In the necrological report of the transactions of the American Institute of Homeopathv for lSb-5. which met in St. Louis that year, is found the record of one who for the preceding decade had made St. Louis his home, and who died the preceding December. Philo Gr. Valentine. A. M.. M. D., a graduate of Ann Arbor University and surgeon in the Con- federate army, came to St. Louis from Tennessee, and until a short time before his death had been well-known in the medical fraternity. For many vear« he served as professor and registrar of the Homeopathic Medical College of Missouri. He was founder and editor of the "St. Louis Clinical Review"'" and also a member of the State Board of Health, where he ac- quitted himself with honor, having been appointed by Gov. Crittenden. Dr. William Collison is another whose labors have been completed. He came to the practice of the "new mode"'" from Illinois about 1880. By the help of a strong magnetic personality, with education and experience, he at once succeeded in business and wielded a large professional influence, but was cut off suddenly by an obstinate surgical disease. He died greatly lamented. He was succeeded in practice by his nephew, Dr. W. John Har- ris, a graduate of our St. Louis college, who remains in practice, an enter- prising professional man, and a member of the present faculty of the college. Another physician for many years actively engaged in college and other professional work in St. Louis was Dr. John Conzelman, who also left a successor and valuable representative of homeopathy in St. Louis in his son, T. W. Conzelman. Dr. W. A. Edmunds, whose name for the past- twenty years has been familiar in the city practice and college work, is no longer identified with the profession here, as he has recently retired Irom practice, and is living in his native State of Kentucky. He has been a contributor to medical literature through various journals and by a public work on "'Diseases of Children,*'* and at the time of leaving St. Louis was associate editor of the "'Clinical Reporter"'" and Professor of Obstetrics in the college. Dr. J. C. Cummings came to St. Louis with an extensive hospital and armv experience as a Confederate surgeon, gained during the Civil AVar, and has been a faithful and intelligent practitioner, both in private practice and hospital and college work, being especially effective in his work as a hygienist and clinical professor among the physi- cians in the St. Louis Children's Free Hospital. Dr. Gr. B. Morrell has been a prominent factor in matters medical, and was a professor in the Homeopathic Medical College, but an illness in his 140 ONE HUNDRED YEARS OF family drew him away from St. Louis for a long time. Recently lie has returned, and now resides with his amiable daughter. The doctor is again in active practice with a good clientele. Dr. R. A. Phclan has in years past given valuable assistance in public professional work, and still con- tinues in active practice. Dr. A. H. Schott, an able physician and accurate prescribe!*, besides carrying on an increasing practice, has long served the college as Professor of Theory and Practice. Dr. W. L. Reed, originally an allopath, came to St. Louis about 1889, and has identified himself with college work and served ably as Professor of Materia Mediea, and is now enjoying a large private practice. Of the younger men, Dr. W. J. Burleigh has already ren- dered valuable service to the college and hospital work of the city, and promises a strong future. Our college has graduated many men valuable to the profession. Of those not mentioned who have settled in St. Louis, Drs. G-. S. Schuricht and Franklin T. Knox have practiced here for two or more decades, and among more recent graduates who are giving freely of time and services to the medical institutions are Drs. L. C. McElwee, now registrar of the col- lege; J. D. Foulon and F. W. Grundmann, while others are in St. Louis and scattered over the country whose names the city and State are proud to recall. Excellent service in the woman's department of the college clinic and other professional work has been rendered by the leading physicians of the profession, among whom are Drs. F. W. and M. IT. Sargent, L. G-. G-utherz, H. Tyler Wilcox,^" A. D. Chapman and E. 0. Condon. PRESENT CONDITION.— In the early days of St. Louis homeopathy, and until the elder Dr. Luyties opened his pharmacy, medicine could only be procured from a German book store, kept by a Mr. TVesselhoeft, on Fourth street. Mr. Wesselhoeft had used homeopathic medicines in Ger- many, having, it is said, been treated by Hahnemann himself, and was a school enthusiast. We have now the well equipped pharmacies of Munson, Zwartz and Luyties, which have done much for professional and personal convenience. As time advances the status of homeopathy has greatly changed. A creditable advance has been inaugurated during the past year in Missouri in the recent transfer of one of the State lunatic asylums — that at Fulton — to the homeopathic control. As a result attacks have been bitter and severe upon our Chief Executive, Gov. Stephens, through whose action rights of representation were recognized in this instance in spite of contrary precedent, and these attacks are still continued in threats and in more or less covert plans for the reversal of the action. It is to be hoped that the light of the coming twentieth century is even now too bril- liant to longer allow, in this country at least, a system of monopoly of privilege in the interest of a section — not to say a sect — of the people and the injustice of what has been virtually a practice of "taxation without representation." Statistics of homeopathic practice in insane asylums in other States have shown gratifying results as comjjared with allopathic methods, and already at Fulton the new control indicates marked improve- ment in several important particulars and a condition of affairs there which is full of promise. The first school consecrated to the healing art was at Salerno, in Italy, about A. D. S16 ; the period of '"darkness in Europe." It was regarded as MEDICINE AND SURGERY. 141 authority for 900 years, and was visited by crowds of patients, among them crowned heads and others of the most eminent rank from distant countries. It ceased to exist in the first years of this century, in 1S11. What a con- trast between the medical ideas of that day and the advanced hygiene and medical science of the present time ! In medicine, as in all else, effects respond to causes, and the prolonga- tion of human life of more 1han 30 per cent in the past 100 years has re- sulted mainly from the great progress made in the healing art. THE MISSOURI INSTITUTE OF HOMEOPATHY. The convention of Homeopathic physicians which met in Sedalia, Mo., on May 10, 1876, was called to order by Dr. D. T. Abell of Sedalia. The meeting was for the purpose of organizing a society of Homeopaths in the State of Missouri. The temporary officers elected were*. President, Dr. H. T. Cooper, Clinton, Mo.; secretary, Dr. W. H. Jenny, Kansas City, Mo., and a com- mittee composed of Drs. E. C. Franklin, St. Louis; Philo G. Valentine, St. Louis, and W. S. Hedges, Warrensburg, who were instructed to draft a constitution and code of- by-laws. The constitution and by-laws presented by this committee were adopted, and under their provisions the Missouri State Homeopathic In- stitute elected its first officers as follows: President — Dr. John T. Temple, St. Louis. Vice-President — Dr. D. T. Miles, St. Louis. General Secretary — Dr. W. H. Jenny, Kansas City. Provisional Secretary — Dr. D. T. Abell, Sedalia. Treasurer — Dr. W. S. Hedges, Warrensburg. Board of Censors — Drs. E. C. Franklin, St. Louis: W. H. Jenny, Kan- sas City; H. T. Cooper, Clinton. In addition to these officers, those who became members at the time of organization were : Dr. S. B. Parsons, St. Louis. Dr. A. Uhlemeyer, St. Louis. Dr. S. H. Anderson, Kansas City. Dr. Geo. S. Walker, St. Louis. Dr. J. Hausam, Concordia. Dr. Peter Baker, Kansas City. Dr. S. G. Merrill, Moberly. Dr. J. Hicox, St. Louis. Dr. Philo G. Valentine, St. Louis. Dr. A. S. Everett, Denver, Colo. Dr. J. P. Bahrenburg, Eed Bud, 111. Dr. J. C. Pennington, Logan, Kan. Dr. J. L. Whitne} T , Lincoln, Xeb. These twenty original members started the institute upon such a firm foundation that at present it numbers more than 300 active members, be- sides 40 honorary members, the, latter being Homeopathic physicians living in other States, who, by their professional labors and attainments, have merited the distinction. Meetings are held annually, alternately in St. Louis and Kansas City, and are attended by large numbers of physicians from all over the United States. Among the names of deceased members who achieved especial end- 142 ONE HUNDRED YEARS OF nence during their lives as Homeopathic practitioners are those of George S. Walker, M. D., formerly of St. Louis, well-known as a gynecologist; E. C. Franklin. M. D., of St. Louis, one of the pioneer surgeons of" the West in the Homeopathic ranks; D. E. Luyties, M. D. ; A. Uhlemeyer, M. D.; P. G. Valentine, M. D.; Peter Baker, M. D.; J. T. Temple, M. W. A. Edmonds, M. D.; J. C. Cummings, M D., and many ethers. Among those at present in active membership are men whose names are familiar in every medical center in the United States and some whose reputations have become international. The name of this body was changed in 1890 to its present style, the Missouri Institute of Homeopathy. Officers for 1890-1900: President — L. G. Van Scoyoc, M. D., Kansas City, Mo. General Secretary — Willis Young, M. D., St. Louis. Treasurer — Scott Parsons, Jr., M. D., St. Louis. Alec-President— A. H. Schott, M. D., St. Louis. Provisional Secretary — H. M. Fryor, M. D., Kansas City. Necrologist — AY. H. Westover. St. Joseph. Board of Censors — James A. Campbell, M. D., St. Louis; J. Martine Kershaw, M. D., St. Louis; Wm. C. Richardson, M. D., St. Louis; Edward Francis Brady, M. D., St. Louis. THE ECLECTIC SCHOOL OF MEDICINE.* The Eclectic Practice of Medicine, originally called the Eeform Prac- tice, first took its rise in the city of New York in or about the year 1827. Dr. Wooster Beach, who received his medical degree in the medical de- partment of the University of New York, and had placed himself under circumstances for observing the deleterious and destructive effects of mercury, conceived that suffering humanity called for a reformation in medical science. In that day bleeding the patient and the administra- tion of calomel to the extent of salivation was the common practice, and he concluded that there must be a more rational plan of cure. Amidst great persecution he boldly advocated that medicine should be given in disease that would act in harmony with nature's effort to cure and not with an antagonism to this law of nature. Dr. Beach soon gained great reputation in the successful methods he had adopted, and the sick crowded upon him for treatment until he was forced to erect an edifice for their care. In this infirmary he treated, by the aid of his assistants, over 2,100 patients during the first year. In 1829 Dr. Beach opened up a school for teaching his methods, and named this institution "The New York Medical Academy." From the adherents of this school another college was soon established at Worth- ington, O., which became the medical department of Worthington Col- lege. At first this effort met with bitter opposition, but the progress was still onward. At the end of ten or twelve years this school was discontinued, or, in its stead, the Eclectic Medical Institute of Cincin- nati was organized in 1815, which has maintained a successful existence from that day to the present, and bears the name of being the "mother •Prepared by Dr. Edwin Tounkin, St. Louis. PROF. BOOSTER BEACH, MEDICINE AND SURGERY. 143 school/' because from its graduates other colleges have been organized in New York, Georgia, California, Nebraska, Iowa, Indiana and Mis- souri. The distinctive features of the Eclectic School of Medicine are to use remedies that will aid nature in the removal of disease; to select reme- dies from all sources that have proven by test and experience to act as curative in certain pathological states: to encourage and foster a rigid and scientific investigation of the specific action of drugs, and to use the specific medicines as far as this science has proven the direct or spe- cific action in the pathological conditions. In 1870 J. E. Callaway, M. E>., now residing in Chillicothe. Mo., a graduate of the Eclectic Medical Institute of Cincinnati, issued a call for an organization of the "eclectics" of Missouri, and in June of that year a meeting was held in Chillicothc in response to the call. There were present Dr. J. E. Callaway, Dr. William Gates of Greentop, Dr. Avery of Kirksville, Dr. Josiah Gates of La Plata, Dr. S. Y. Stoller of Hamilton, Dr. Weaver of Chillicothe, Dr. Goodsen of Cambria, Dr. J. P. Dice of Coloma, Dr. Chaffe of Breekenridge, Dr. J. A. Munk of Chillicothe and a number of others whose names cannot be recalled. Dr. J. E. Callaway Avas chosen as the first president of the society and was re-elected at the next annual meeting. This societ} r , the Eclectic Medical Society of the State of Missouri, has held its sessions annually ever since, and is in a prosperous condition. The membership of Eclectics in the State is now estimated at about 700. In 1873 the American Medical College of St. Louis was organized. The charter members were Jacob S. Merrell, a well-known local druggist;. George C. Pitzer, M. D.; John W. Thrailkill. M. D. ; P. D. Yost, M. D., and Albert Merrell, M. D. Dr. Thrailkill was the first dean. Af- ter two or three years he was succeeded by Dr. Pitzer, who held the posi- tion for fifteen years, and he, resigning in 1887, the deanship was taken by Edwin Younkin, M. D., who has filled this position from that time to the present. Dr. Younkin became identified with the college in 1875 as Professor of Surgery, and has lectured on that subject from four to six times a week at every session since 1875. The American Medical College has graduates in every State in the Union, and has always upheld the standard of medical education. It is well equipped for teaching, has about fifteen professors, is supplied with laboratories and clinics, has access to the City Hospitals, and its students upon the matriculation lists num- ber about 2,500. The American Medical Journal is the organ of Eclectic medicine and surgery of the State of Missouri, and is one of the leading journals of the Eclectic School of Medicine. Its first volume was published in 1873. Dr. John W. Thrailkill assumed the editorial work. In 1871 Dr. George C. Pitzer took charge of the Journal and published it every month until 1887. Dr. Edwin Younkin then assumed control and issued it until Oc- tober, 1898, at which time it passed into the hands of M. Hamlin. M. D,, who is the editor-in-chief at the present time. This journal has been is- sued regularly the first of every month without- a single failure. It has always been a special advocate of progressive, liberal medicine; independ- ent in all things, dogmatical in nothing; its aim has been to elevate the standard of the medical profession— scientifically, socially and morally. It allows the largest liberty to its correspondents; its ethics are based primarily on the principles of the Golden Kule. Its contributors have been 144 ONE HUNDRED YEARS OF the best writers throughout the United States and some from foreign countries. ECLECTIC MEDICAL WRITERS OF THE STATE. P. D. Yost, M. D. J. T. McClanahan, M, D. J. A. Munk, M. D. J. E. Callaway, M. D. S. V. Stoller, M. D. George C. Pitzer, M. D. E. Younkin, M. D. E. L. Standlee, M. D. M. M. Hamlin, M. D. Albert Merrell, M. D. A. W. Davidson, M. D. H. D. Quigg, M. D. F. A. Rew, M. D. Gr. D. Walker, M. D. William Biles, M. D. H. H. Helbing, M. D. John L. Ingram, M. D. A. F. Stevens, M. D. MEDICINE AND SURGERY. 145 CHAPTER XI.— STATE BOARD OF HEALTH.* The statutes creating the State Board of Health, and defining its pow- ers and duties, etc., are as follows (Rev. Stat., 1S89, Chap. 79): Section 5417. Board Created. — The Governor, hy and with the ad- vice and consent of the Senate, shall appoint seven persons, who shall con- stitute a board, which shall he styled the "State Board of Health of Missouri." The members so appointed shall hold their office for the term of seven years; provided, however, that in the first appointments under this act four such members shall hold their office for two years and three members for four years. All vacancies occurring in the board shall be filled by the Governor of the State, and when made when the Senate is not in session, will be subject to confirmation at the next en- suing session of the Senate. Sec. 5418. Qualifications of. — At least five of said board shall be physicians in good standing and of recognized professional and scientific knowledge, and graduates of reputable medical schools, and they shall have been residents of the State for at least five years next preceding their appointment, provided, that in the appointments made there shall ~be no discrimination made against the different systems of medicine that are recognized as reputable by the laws of this State. Sec. 5419. Its Powers and Duties. — The State Board of Health shall have general supervision over the health and the sanitary interests of the citizens of the State. It shall be their duty to recommend to the Gen- eral Assembly of the State such laws as they may deem necessary to im- prove and advance the sanitary condition of the State, to recommend to the municipal authorities of any city or to the county courts of any county the adoption of any rules that they may deem wise or expedient ■for the protection and preservation of the health of the citizens thereof. Sec. 5420. May Quarantine, when. — Whenever the State -Board of Health shall be satisfied that any malignant, contagious or infectious dis- ease exists in any city, district or part of the country to such an extent as to endanger the lives of the inhabitants of any part of the State of Missouri having direct communication with such infected city, district or part of the country, said board shall have power, by a majority vote, io establish quarantine regulations against such infected city or district and may determine and regulate to what extent and hy whom any com-- munication or business transaction with such infected, city or district may be had, and establish such rules and regulations as may be deemed necessary to prevent the introduction and spread of such disease, and said board is hereby empowered to call upon any executive officer of the State to enforce such rules and regulations, and it shall be the duty of all public officers, sheriffs and constables and other executive officers of the State to assist the State Board of Health to carry out the provis- ions of this act. Sec. 5421. Epidemics, Notice to be Given. — Whenever the State Board of Health shall declare that any malignant, infectious or con("a- *Prepared by Dr. Albert Merrell, St. Louis. 10 I 1-3 a DQ Sj > 72 d ML MEDICINE AND SURGERY. 147 counties in this State; and it shall he the duty of the said county clerks, as aforesaid, to furnish said printed forms, as aforesaid, to such persons as are herein required to make reports. Sec. 5428. Duties of County Clerks. — The county clerks of the sev- eral counties in this State shall he required to provide separate hooks for the registration of the names and postofhce address of physicians, sur- geons and accoucheurs residing in their respective counties, and for births and deaths. The births and deaths so registered shall, after the 31st day of December of each year, and within ten days thereafter, he tran- scribed in alphabetical order in a permanent record book to be kept for that purpose. And at the end of each year said county clerks shall make or cause to be made a complete report of all such registrations as afore- said, and forward the same lo the Secretary of the State Board of Health for the current year, or a duly certified copy thereof. Sec. 5429. Meetings of Board. — The meetings of the board shall be in January and July of each year, and at such other times as the board shall deem expedient. The meeting in January of each year shall be held in the city of Jefferson, and four members shall constitute a quorum. The} r shall choose from their number a president, vice-president and a secretary, and they may adopt rules and by-laws for their government, sub- ject to the provisions of this act. Sec. 5430. Duties of Secretary — Compensation of Board. — The sec- retary shall perform such duties as may be prescribed by. the board and this act; he shall receive a salary which shall be fixed by the board; he shall also receive his traveling and other expenses in the performance of his official duties. The other members of the board shall receive no com- pensation for their services, but their traveling and other expenses while employed on the business of the board shall be paid. The president of the board shall certify the amount to the secretary, and the traveling and other expenses of members, and on presentation of his certificate the Auditor of State shall draw his warrant on the State Treasurer for the amount. Sec. 5431. Board to Take Cognizance of Diseases Among Domestic Animals. — The said Board of Health shall take cognizance of any fatal diseases which may be prevalent amongst the domestic animals of the State, and ascertain the nature and cause of such disease, and shall, from time to time, publish the result of their investigations, with sug- gestions for the proper treatment of such animals as may be affected, and the remedy or remedies therefor. Sec. 5432. Board to Organize, etc. — The State Board of Health shall organize within thirty days after the appointment of the members there- of. The president of the board shall have authority to administer oaths, and the board to take testimony in all matters relating to their duties and powers. In selecting places to hold their meetings they shall, as far as is reasonable, accommodate the different sections of the State, and due notice shall be published of their stated meetings. All certificates issued by them shall be signed by at least five members of the board. See. 5433. Annual Beport, Contents. — It shall be the duty of the Board of Health to make an annual report, through their secretary or otherwise, in writing, to the Governor of this State, on or before the 1st of January of each year, and such report shall include so much of the pro- ceedings of the board, and such information concerning vital and mortuary 148 ONE HUNDRED YEARS OF statistics, such knowledge respecting diseases and such instructions on the subject of hygiene as may be thought useful by the board for dissemi- nation among the people, with such suggestions as to legislative action as the}* may deem necessary. Sec. 5434. Rules of Board riot Binding, when. — jSTo rule or regula- tion adopted by this board shall be legal or binding which shall be in conflict with any law of the State, or any ordinance of any municipality or town in the State. Section 6871. Practitioners of Medicine, Qualifications of. — Every person practicing medicine and surgery, in any of their departments, shall possess the qualifications required by this act. If a graduate of medicine, lie shall present his diploma to the State Board of Health for verification .as to its genuineness. If the diploma is found to be genuine, and if the person named therein be the person claiming and presenting the same, the State Board of Health shall issue its certificate to that effect, signed by at least four of the members thereof, and such diploma and certificate shall be deemed conclusive as to the right of the lawful holder of the same to practice medicine in this State. If not a graduate, the person practicing medicine in this State shall present himself before said board and submit himself to such examination as the said board shall require, and if the examination be satisfactory to the examiners, the said board shall issue its certificate in accordance with the facts, and the lawful holder of such certificate shall be entitled to all the rights and privileges herein mentioned. Sec. 6872. Board of Health to Issue Certificates, when. — The State Board of Health shall issue certificates to all who shall furnish satis- factory proof of having received diplomas or licenses from legally char- tered medical institutions in good standing, of whatever school or sys- tem of medicine; they shall prepare two forms of certificates, one for per- sons in possession of diplomas or licenses, the other for candidates exam- ined by the board; they shall furnish to the county clerks of the several counties a list of all persons receiving certificates ; provided, that nothing in this act shall authorize the Board oL' Health to make any discrimination against the holders of genuine licenses or diplomas under any school or system of medicine. Sec. 6873. Verification of Diplomas. — Said Board of Health shall examine diplomas as to their genuineness, and if the diplomas shall be found genuine as represented, the Secretary of the State Board of Health shall receive a fee of one dollar from each graduate or licentiate, and no further charge shall be made to such applicant; but if it be found to be fraudulent, or not lawfully owned by the possessor, the board shall be entitled to charge and collect twenty dollars of the applicant present- ing such diploma; the verification of the diploma shall consist in the affi- davit of the holder and applicant, that he is the lawful possessor of the same, and that he is the. person therein named; such affidavit may be taken before any person authorized to administer oaths, and the same shall be attested under the hand and official seal of such officer, if he have a seal. Graduates may present iheir diplomas and affidavits as pro- vided in this act, by letter or by proxy, and the State Board of Health shall issue a certificate as though the owner of the diploma was present. Sec. 6874. Examinations Made by Board. — All examinations of per- sons not graduates or licentiates shall be made directly by the board, MEDICINE AND SURGERY. 149 and the certificates given by the board shall authorize the possessor to practice medicine and surgery in the State of Missouri. See. 6875, Certificates to be Eecorded With County Clerk. — Every person holding a certificate from the State Board of Health shall have it recorded in the office of the county clerk of the county in which he resides, and the record shall be indorsed thereon; any person removing to another county to practice medicine and surgery shall procure an in- dorsement to that effect on the certificate from the clerk of the county courts and shall have the certificate recorded in the office of the clerk of the county to which he removes, and the holder of the certificate shall pay to said clerk of said county the usual fees for making the record. Sec. 6876. Clerk to Keep List of Certificates; etc. — The county clerk shall keep, in a book provided for the purpose, a complete list of the cer- tificates recorded by him, with the date of the issue. If the certificate be based on a diploma or license, he shall record the name of the medical institution conferring it, and the date when conferred. The register of the county clerk shall be open to public inspection during business hours. Sec. 0877. Examinations Made in Writing. — Examinations may be made, in whole or in part, in writing, and shall be of an elementary and practical character, but sufficiently strict to test the qualifications of the candidate as a practitioner. Sec. 6878. Certificates — When Revoked. — The State Board of Health may refuse certificates to individuals guilty of unprofessional or dishon- orable conduct, and they may revoke certificates for like causes, after giving the accused on opportunity to be heard in his defense before the board. Sec. 6879. Who Regarded as Practicing Medicine. — Any person shall be regarded as practicing medicine Avithin the meaning of this act who shall profess, publicly, to be a physician, and to prescribe for the sick, or who shall append to his name the letters "M. D." but nothing in this act shall be construed to prohibit students from prescribing under the supervision of a preceptor or to prohibit gratuitous services in cases of emergency, and this act shall not apply to commissioned surgeons of the United States army, na T .y and marine hospital service. Sec. 6880. Itinerant Venders of Drugs, etc., to Pay License. — Any itinerant vender of any drug, nostrum, ointment or appliance of any kind, intended for the treatment of disease or injury, or who shall, by writing or printing or any other method, publicly profess to cure or treat diseases, injuries or deformities by any drug, nostrum, manipulation or other expedient, shall pay to the State a license of one hundred dol- lars per month, to be collected as provided for by law, as all other licenses are now collected, and any person violating the provisions of this section shall be deemed guilty of a misdemeanor, and, upon conviction thereof, shall be punished by a fine not to exceed five hundred dollars ($500), or by imprisonment in the county jail not to exceed six months, or by both such fine and imprisonment. Sec. 6881. Penalty for Violating Provisions of This Article. — Any person practicing medicine or surgery in this State without complying with the provisions of this act, shall be deemed guilty of a misdemeanor, and be punished by a fine of not less than fifty dollars, nor more than five hundred dollars, or by imprisonment in the county jail for a period of not less than thirty days nor more than three hundred and sixty-five 150 ONE HUNDRED YEARS OF day?, or by "both such fine and imprisonment for each and every offense: and any person filing or attempting to file as his own the diploma or certificate of another, or a forged affidavit or identification, shall he guilty of a felony, and, upon conviction thereof, shall he subject to such fine and imprisonment as are made and provided by the statutes of this State for the crime of forgery in the second degree, hut the penalties shall not he enforced until a period of six months after the passage of this hill: provided, that the provisions of this act shall not apply to those that have been practicing medicine five years in this State. Sec. 6882. Who to Perform Duties of County Clerk in St. Louis City. — TThenever in this act it is provided that any duty or service shall he performed by any county clerk, such duty and service in the city of St. Louis shall he performed by the City Register or Health Commissioner of the city of St. Louis, as if such officer was specially named to perform these duties and services. HISTORY OF THE BOARD. The State Board of Health of Missouri was originally organized under the provisions of an act providing for a State Board of Health, which went, into effect July 1, 1883. The following indicates the personnel and organization of the board since the law became operative: 1883 TO 1884. E. H. Gregory. M. D., President St. Louis G. M. Cox M. J>., Vice-President Spring-field J IC. Hearne. M. D., Secretary and Treasurer Hannibal W. B. Conery. M. D St. Louis H. F. Hereford. M. D Kansas City G. T. Bartlett. M. D Poplar Bluff P. D. Yost. M. D St. Louis Died August, 1883, and succeeded by Albert Merrell, M. D St. Louis JULY 1SS5 TO JULY 1891. Mr. William Gentry. President Sedalia Albert Merrell. M. D., Vice-President St. Louis George Hornan, M. D., Secretary .....St. Louis j. D. Griffith. M. D.. Treasurer Kansas City G. M. Cox. M. D - Springfield Dr. Cox died January 7, 1*89, and was succeeded by G. A. Goben, M. D Mrksvi e Mr J B ^rather Man ville ' Mr Prather died February 23, 1891, and was succeeded July, 1891, by W. G. Hali. %L D St. Joseph Mr. John P. Harmon ••-• VV'-Jiii"-^ Mr William Gentry died May 22, 1S90, and was succeeded July, 1891. by R. C. Atkinson, M. D st - Louis JULY', 1891, TO JAXUARY, 1893. J. D. Griffith, M. D.. President Kansas City- Albert Merrell, M. D., Vice-President »t douis R. C. Atkinson, M. D., Secretary «■ ££ Mr. John P. Harmon, Treasurer "•-™ ia ™ r'^Se^^ D ::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::l^S; George Homan, M. D St. Lou-s JAXUARY, 189S, TO JAXUARY, 1894. J. D. Griffith, M. D., President Kan l^i SlnL G. A. Goben, M. D., Vice-President Ki rKi sv e R. C. Atkinson. M. D., Secretary ^t Tosenh William G. Hall. ML D.. Treasurer >»t J °sepn Albert Merrell, M. D TTofden Mr. John P. Harmon «V Touls George Homan, M. D St. Louis In December, 1893, Willis P. King, M. D., Kansas City, was elected Secretary to fill vacancy caused by expiration of term of R. C. Atkinson, M. D., and Dr. A. TV McAlester elected Vice-President, vi&e Dr. Goben. M. D., whose term had ex- pired. mmmm^^*^^mmi*^m*mm^*mm^**^*imm!ll!llllim PBpHgr »*$ H? 14, *• s# Wf s|,| j a # ,^^1 ...... ,■*■ f~ t. .."' . ■ '$: -■■. MEDICINE AND SURGERY. 151 _ T lm. P. J. Lutz, M. D., President a* t oni=; A. W. McAlester. M. D., Vice-President rdh^rnhia Willis P. King, M D., Secretary W Kansas 7 ? a £ ^ a & ^ £ ::.:::::::::::::::::::: JSR Tti2& J. D. Griffith, M. D , ....Kansas City E. J. Lutz, M. D.. President g+ t oniq Albert Merrell, M. D.. Vice-President «t Lou's T l l\f a/t T f \ nS ; M - ,P- -Secretary V.V.V.V;. V.'.V. Kansas CUy A. W McAlester M. T> ■ Columbia Paul Paqum. M D st . Louis T. H. Hudson, M. I> Kfonsas City E. S. Garner g t j osep h Dr. Merrell resigned in May, 1895, to accept position on St. Louis Board of Health and was succeeded by E 1 . L. -Standlee, M. D St . Louis 1896. F. J. Lutz M. D., President st Louis T. H. Hudson, M. D., Vice-President Kansas City Willis P. King-, M. D., Secretary Kansas City A. W. McAlester. M. D Columbia E. L. Standlee, M. D ,g t . Louis Paul Paquin. M. D St. Louis E. S. Garner, M. D St. Joseph 1897. P. J. Lutz, M. D., President St. Louis E. L. Standlee, M. D., Vice-President St. Louis Paul Paquin, M. D., Secretary St Louis A. W. McAlester, M. D Columbia T. H. Hudson, M. D Kansas City Willis P. King, M. D- Kansas City E. S. Garner, M. D ©t. Joseph 1S98. E. Lee Standlee, M. D., President St. Louis O. A Williams, M. D., Vice-President Versailles Paul Paquin, M. D., Secretary St. Louis Samuel C. James, M. D Kansas Citv J. T. McCianahan, M. D Boonville L. C. McElwee M. D St. Louis E. S. Garner, M. D ..St. Joseph 1899. O. A. Williams. M. D., President Versailles L. C. McElwee, M. D., Vice-President St. Louis . E Lee Standlee, M. D., Secretary St. Louis Samuel C. James, M. D Kansas City J. T. McCianahan. M. D Boonville E. S. Garner, M. D St. Joseph (Died latter part of l'S99.) Paul Paquin, M. D St. Louis 1900. C. B. Elkiivs, M. D., President Ozark J. T. McCianahan, M. D., Vice-President Boonville L. C. McElwee, M. D., Secretary St. Louis Samuel C. James, M. D Kansas City E. Lee Standlee, M. D St. Louis S. C. Martin, Jr., M. D St. Louis O. A. Williams, M. D Versailles The State Board of Health is charged with the enforcement of the provisions of the statutes which relate both to matters of public health and to the registration of physicians, surgeons and accouchers practicing within the State. The conditions of registration, as interpreted by the board, and its attempts to enforce the penalties for non-compliance with the law. at first created much opposition to this feature of it. This opposition was so brought to bear upon the Legislature as to prejudice its members against the entire law and to cause them to refuse needed financial support after the first appropriation was ex- pended. By January, 1885, the work of the board was practically sus- pended. Most of the reputable medical men and many prominent citizens of the State recognized, however, that the real object of the law was to 152 ONE HUNDRED YEARS OF ascertain and remove, if possible, all conditions tending to impair or jeopardize the public health, and that the registration provided for therein was a necessary preliminary and the proper regulation of medical prac- tice; an important condition of success in attaining this, its paramount object, They, therefore, urged Gov. Marmaduke to fill vacancies that had occurred from resignation and expiration of time of service and continue the existence of the board. This was complied with, and the board reorganized in 1885. Though without funds the board decided to make every effort to carry on the work under the law as effectively as possible, and to this end an executive committee was formed, constituted of the president, vice-president and secretary, with authority to act in the intervals be- tween meetings, and other committees were appointed to inquire into the following subjects: 1. The prevailing diseases among live stock in Missouri, and the condition and care of stock yards, cars, etc., at points of concentration and distribution. 2. The influential factors in the causation of endemic, or local epi- demic diseases. 3. The sources, quality, means of distribution, etc., of public water supplies in Missouri. 4. The sanitary care of railway and river transportation lines, in- cluding depots, landings, stations, wharf boats, round houses and pas- senger and sleeping coaches. 5. Domestic and general sanitation in towns, villages and country homes. G. The condition of asylums, poorhouses, jails, workhouses and other charitable or penal institutions with reference to the health of the in- mates. 7. The hygienic care of the school population and of public school buildings and premises. The organization, throughout the State, of County and other local boards of health was urged, and a plan was arranged for co-operation be- tween the agricultural and veterinary departments of the State government for the more effectual prevention and control of diseases among domestic animals. The board kept in touch with the best sanitary thought of the country through its official relations with the jSTational Conference of State Boards of Health and other public health bodies. Especial attention has been directed by the board toward measures for the prevention and control of cholera, smallpox, diphtheria, yellow fever, scarlet fever, etc., the proper methods of disinfection and vaccination, innocuous transportation and cremation of dead bodies, and the active co-operation and support of the public press and the medical profession was sought in furtherance of these ends. For upwards of two years after reorganization the expenses of the board in holding meetings for the transaction of necessary business was defrayed out of the pockets of the members, and this expense account was finally allowed by the Genera] Assembly in 1887, but no appropriation for the support of the board nor for the salary of the secretary was made until the session of 1889, and no compensation whatever was allowed by the State for the services of the secretary for the three and one-half MEDICINE AND SURGERY. 153 years from July 2, 1885, to January 1, 1889, nor has any recognition of the justice of this claim been shown since that time. Tn 1888 an inquiry was made into the number of local health organi- zations throughout the State, and the showing was so unfavorable that the board decided to issue a call, for a conference of such local bodies in the 'hope that a better organization in this respect might be secured. The conference, the first of its kind in Missouri, convened in St. Louis December 4, 1888, with nineteen delegates representing thirteen public health bodies or organizations. The conference, an account of which was published, was a success, but subsequent attempts to hold similar meetings were failures. A pioneer move was made in another direction also, this effort hav- ing in view the ascertainment of facts in relation to the dependent and poorhouse or poor farm population of the State, the statistics of which will be found hi the report of the board for 1883, which show a deplor- able condition of this unhappy class of fellow beings. Throughout its existence questions of public health have been recog- nized by the board as of dominant importance, and it has conducted in- quiries along the lines indicated and has promulgated through papers of prominent sanitariums and of its members, published in its pro- ceedings and otherwise, important information on the subjects named. Throughout its history it has promptly responded to applications for help in suppressing local outbreaks of smallpox in many localities in the State, preparing and circulating instructions and giving personal advice and assistance through its secretary, bearing whatever part of the ex- penses has been justified by the meager financial support granted to it. Its efficiency in this direction would be much greater with more funds. This deficiency and the fact that on public health matters its powers are mainly advisory, have limited its work in a large degree to the ques- tions of registration and the promotion of advanced standards and in- struction in schools for medical education. Persistent but fruitless efforts have been made to induce the Legis- lature to provide laws supplementary to the present ones, correcting their manifest defects, appropriating funds for the purpose of rendering them efficient. The lack of local health organizations through which co-opera- tion in the control of local outbreaks of communicable disease can be more efficient, has been especially felt. In the matter of vital statistics the State is in a deplorable condition, owing to the lack of local health organizations and to the fact that the provision formerly in the law requiring monthly reports of births and deaths has been repealed. In 1894 the board, in its report to the Governor, urged the passage of an act creating a bureau of vital statistics at the capital, its purpose being as follows: To collect, arrange for reference and publish, from time to time, such public records and statistical information as shall be useful to states- men, political economists and sanitarians, in the investigation of the life history of people or the science of society and government, or as may be em- ployed as evidence in legal disputes, involving questions of heritage, legit- imacy or illegitimac} r , right of suffrage, because of age or maturity, loss of identity after prolonged absence, or in establishing the identity of one claiming protection of the government. Also such disease and mortu- arv records as indicate the nature, distribution and causes of disease 154 ONE HUNDRED YEARS OF and death, or whose required records sen e to detect or prevent crime. Such records to include a complete registration, to be made through each county, of marriages, divorces, births and deaths. This recom- mendation, with many others, seeking to improve the present laws on the subject, has thus far been ignored. Attention was called by the board to the pollution of water courses which are the sources of public water supply. Early in its history and in 1893 the board made an effort to instigate national legislation on this subject, which took the form repeatedly brought to the attention of Con- gress in a bill introduced by Mr. Bartholdt of this State. Incidental to the enforcement of the law relating to the practice of medicine in the State several important opinions have been rendered by the Attorney-General, which, with decisions rendered by the courts, in cases tried under its provisions, have cleared up obscure points in the law and indicated its deficiencies, which it is hoped will be corrected in future legislation on this subject. 'mssm 'm. i .. A * IPlliillliiiS ■ lllllllllllp :._J MEDICINE AND SURGERY. 155 CHAPTER XII.— ST. LOUIS BOARD OF HEALTH.* The first Health Officer of the eify was Dr. Cornelius Campbell, who held the position from 1832 to 1837. He was succeeded by C. J. Car- penter, who held the position for two wears. Then followed J. 1ST. Mc- Dowell, John W. Prather, John S. Moore, J. N. McDowell, M. M. Pallon. In 1815 Moore was again Health Commissioner, and in 1816, M. M. Pallon and Joseph Hall. From 1816 to 1855 there are no records showing who was connected with the Health Department. From 1855 to 1866 the Health Department was managed by a committee of one member of the City Council from each ward of the city. In 1S66 the Legislature passed an act creating a Board of Health, de- fining its authority and extending its powers much beyond those given to former boards. The first regular organized Board of Health created under an act passed by the General Assembly of Missouri was organized in 1867, and was composed of the following persons: J. S. Thomas, Mayor and ex-olticio, president; Dr. J. T. Hodgen, acting president: Dr. E. F. Smith, Dr. Joseph Heitzig, Joseph S. Pease, Constantine Maguire and Dr. R. H. O'Brien, clerk. Subsequently different boards were composed of the Mayor, two physi- cians appointed by the Mayor, a member from the Police Board and a member elected from the Council. In 1876 the Scheme and Charter was adopted, and there was a reor- ganization of the Health Department in 1877. Under the provisions of the new charter the board was composed of the Mayor, the presiding offi- cer of the Council, a member from the Police Board, two physicians se- lected by the Mayor, and the Health Commissioner, the latter, under the charter being the executive officer of the Health Department. The first board under the Scheme and charter was composed of the following persons : Henry Overstolz, Mayor: Charles W. Francis, Health Commissioner; Dr. Henry Marthens, Dr." Joseph Spiegelhalter, John H. Lightner, Presi- dent of the Council, and John G. Priest, member from the Police Board; Dr. Edward Gamison was clerk. The present Board of Health is composed of the following persons: Henry Ziegenhein, Mayor; Dr. Max G. Starkloff, Health Commissioner; Dr. Albert Merrell, Dr. Henry N". Chapman, Mr. Tony Stnever from the Police Deoartment and E. F. W. Meier, President of the Council. Up to 1877 the Board of Health had control of the City Hospital, Quarantine Hospital, Female Hospital and City Dispensary. After the adoption of the "Scheme and Charter these institutions, with the addition of the Poorhouse, Insane Asylum and Morgue, were placed nnder the con- trol and management of the Health Commissioner. Subsequently, at the request of the Health Commissioner, the Municipal Assembly passed an ordinance transferring the control of the Morgue to the Coroner. The principal events in the history of the Health Department of St. Louis are as follows: -&•> *By Dr. M. C. Starkloff, Health Commissioner. 156 ONE HUNDRED YEARS OF In 1845 the City Council passed an ordinance directing the appoint- ment of a committee of five to select a building site and cause plans to be made for a City Hospital. The committee selected a tract of ground in the cit} T commons at the head of Soulard street and west of St. Ange avenue. In August of that year contracts were made for the building of the hospital. The original plans for the hospital were made by Thomas Walsh. The first officers appointed for the hospital on August 13, 1846, were as follows: David 0. Glasscock, resident physician; Col. 11. AYyman, steward; Drs. B. Bush Mitchell, J. B. Johnson, Charles A. Pope and Thomas Barfor, attending physicians, and Drs. William Beaumont, John S. Moore, Thomas Bayborn and J. X. McDowell, consulting physicians. In 1848 the following gentlemen were appointed managers of the hos- pital ; Isaac H. Sturgeon, Richard Blennerhassett, Joseph H. White, Thomas Harscul, Charles Bobb and Henry C. Lynch. On May 1-5, 1S5C, the hospital was totally destroyed by fire. In 1819 there was a terrible epidemic of cholera. There is no record showing the number of deaths from that disease during that year. In 1850 the first records were started, recording the number of deaths in the city_ The records of 1850 show the following deaths: From smallpox 7 From typhoid fever 125 From consumption 195 From cholera 865 Total deaths from all causes : 4,210 The population of the city at that time was 77,860. In 1866 there were 3,002 deaths from cholera out of a total death rate of 9,099. From 1873 to the present time, a period of twenty-seven years, there has not been a single death from cbolera in this city. In 1872 ihere was an epidemic of smallpox, the number of deaths from that disease in that year being 1,591. In 1873 there were 837 death from smallpox In 1874 there were 117 deaths from smallpox In 1875 there were 603 deaths from smallpox In the year ending 1900 there was but one death from smallpox; that person died at Quarantine. In 1877 the Health Department commenced the general vaccination of school children and there were 5,665 persons vaccinated during that year. In 1881 there were 68,562. persons vaccinated: in 1894, 75,195 per- sons vaccinated, and during the past year there were 50,000 persons vaccinated. The largest number of deaths from cerebro-spinal fever that ever occurred in one year was in 1872, the year of the smallpox epidemic, when 454 persons died of this disease. In 1872 the Legislature of the State passed an act creating the social MEDICINE AND SURGERY. 157 evil law, which act was repealed in 1874. The repealing act of '74 trans- ferred the present Female Hospital (which had been bought and built by fees collected under the social evil law) to the city of St. Louis with the proviso that it should be always maintained as a hospital and home for wards of the city. In 187S there Avas an epidemic of yellow fever all through the South- ern States adjacent to the Mississippi Valley. The plague came to the gates of St. Louis, but did not enter. A few deaths occurred in the city, but the largest number of deaths (about 50) took place at Quarantine, and with the exception of some eight or nine Health Department em- ployes, were nil persons who had come from the South. In 1886 occurred the greatest epidemic of diphtheria. There were 3,504 cases, with 889 deaths. The next severe outbreak of diphtheria was in 1895, when there were 3,196 cases and 526 deaths. In 1896 the Health Department commenced the use of anti-toxin and its free distribution to the citizens. In 1899 there were 1,972 cases of diphtheria and 232 deaths. Dur- ing the past four years the most important matters transpiring in the Health Department are as follows : The passage of a law by which all minor nuisances were removed from the jurisdiction of the Board of Health to the Health Commissioner, giving the power to order their immediate abatement. The passage of an ordinance regulating the management of dairies. This ordinance has enabled the Health Department to keep a close super- vision of the dairies, and while their present condition is far from being what it should be, still there is a very great improvement in every respect in their management and much more attention is given to their sani- tation. In June, 1896, the tuberculin test was applied for the first time in this city, it being made by order of the Health Commissioner, on a herd of cows belonging to the city of St. Louis and kept at the Poorhouse. The test was applied, to twenty-nine cows and showed that twenty-two of them were afflicted with tuberculosis, but, there being no law compelling the owners of cows to submit them to the tuberculin test, the Health Department has not succeeded in having the test generally made. Lat- terly, however, the Health Department has offered to those who wish to make the test that if they will do so. and if the test shows that their cows are free from tuberculosis, the Health Commissioner will issue to them a certificate to that effect. During the past year one of the greatest and most important changes made in the Health Department was in the mode of disinfection of houses. After many experiments and trials of various apparatuses, the Health Department has decided that thorough fumigation and disinfection of houses can be had by the use of formaldehyde gas, and a simple apparatus designed by the Health Commissioner has been found to give perfect results, and. the old method of disinfection by sulphur has been almost entirely abandoned. While the Municipal Assembly has declined passing an ordinance placing tuberculosis in the list of contagious diseases, the Health Depart- ment has done everything in its power in the way of preventive measures. Pamphlets and papers relating to different diseases have been distributed among the citizens. All have been urged to have houses disinfected in 158 ONE; kuxdred years of which patients suffering with tuberculosis have resided, and physicians have been urged to make use of the bacteriological department of the Health Department to assist them in determining the presence of con- sumption in all cases where they have any doubt. During the past year the Health Department has been making bac- teriological and chemical examinations to precisely determine the condi- tions and character of the water used by our citizens. The sanitary division of the Health Department has been organized in such a manner, as far as the means given it will allow, to keep a con- stant supervision over the sanitary condition of the city. The Dispensary branch of the Health Department has been enlarged and placed on a very efficient basis. An exhaustive examination has been made into the symptoms of cere- brospinal fever. Carefully prepared interrogatories were sent to every physician known to be treating a case, and from these reports an interest- ing and valuable compilation and summary was made of the disease as it appeared in St. Louis in the past two years. To-day the Health Department is caring for 650 patients at the City Hospital. 260 at the Female Hospital, 634 insane at the Insane Asylum, S80 insane at the Poorhouse and 718 paupers at the Poorhouse, 11 cases at the Smallpox Hospital, and are daily treating 100 persons at the dispen- saries. The following table is evidence what organized and intelligent sani- tation has assisted in doing for the city of St. Louis: Death rate per 1.000 for fiscal years ending — April, 1850 56.9 April, 1860 31.1 April, 1870 21.4 April, 1880 18.9 April, 1890 18:2 April. 1900 14. 7 IT. LUKE'S HOSPITAL, ST. LOUIS. MEDICINE AND SURGERY. 159. CHAPTER XIII.— HOSPITALS OF MISSOURI. There are more hospitals in Missouri than in Africa and more hos- pital beds in the Valley of the Mississippi than in all Asia. A hundred years ago the hospital in the minds of the people was a synonym for suf- fering, for experiment and extreme necessity. To go to the hospital was equivalent to going through the valley and shadow of death. After the Civil War the hospital idea grew rapidly. With the advent of anti- septics came the certainty of better surgical results, and it was soon demonstrated that the best antiseptic precautions could only be obtained in properly constituted hospitals. In medicine, too, it was found that certain diseases, such as fevers and various forms of nervous condi- tions, could be better cared for in a sanitarium. Soon the hospital was seen, not only in the larger cities, but in smaller towns and valleys. It took hold of public affection and confidence, as have the church and the schoolhouse. Large beneficent orders build ed hospitals, railroads adopted them and private individuals founded them, until now the wealthy invalid turns to the well-fitted private sanitarium as to a Mecca, and the employe gives regularly from his earnings to assure himself of hospital care if sick or injured. In no State of the Union has this hospital idea grown more rapidly than in Missouri. Not only does the State provide for a large number of asylums and hospitals, but the general government, through its ma- rine hospital service, has added largely to the beneficial work of the State in the care given to large numbers of men engaged in the river traffic and in the supervision it exercises in matters of quarantine during threatened epidemics. The railroad system of hospitals is also a product of the last few de- cades, and is not only a protection, but a necessity, both to the thou- sands of employes and to the companies themselves. The burden of the employes is light, but the benefit to them is inestimable, while the corporations are protected against fraud and the results of ignorance and neglect. The private hospital and sanitarium has taken hold of public senti- ment in this State very thoroughly. Many of the large religious or- ders are exclusively occupied in building and maintaining hospitals for the poor and sick. Hundreds of noble women in Missouri are giving their lives freely and joyfully to the service. They are gladly supported in this work by the business man, who, through them, is enabled to effectively reach the deserving poor and sick. Special hospitals are also being marked a feature of institutional work. "Homes for Incurables/' "Children's Hospitals" and "Memorial Homes" for the aged are favorite objects of interest and support in our State. Missouri has the first special sanitarium for consumptives in the Mississippi Valley. There are several ophthalmic hospitals in our large cities and other institutions of special departments of medicine and sur- gery are building. It is a matter, then, of great satisfaction to the physician, as well 160 ONE HUNDRED YEARS OF as to the lait)-, to note the rapid growth of this great part of humani- tarianism in our State. We append a brief sketch of some of the better known institutions. In Missouri there are over 100 catalogued hospitals and sanitariums in the official directory of 1898, of which nearly 40 are in St. Lotus. During the last three years this number has beei> greatly increased. "We regret that lack of space requires a great condensation of data fur- nished by many of our institutions, also that a number of our most efficient hospitals have been unable to acquaint us with such historical facts as we could have wished. To all of our hospitals and sanitariums, however, whether herein catalogued or not, we join with all good and true citizens of our great State in wishing "God Speed.'' AGNEW HOSPITAL, KANSAS CITY, MO.— This hospital is the outgrowth of a "Training School for Nurses," undertaken in 1891 by Dr. C. A. Dannaker, at the suggestion and with the support of the Jackson County Medical Society. It was named in honor of Dr. Hayes Agnew of Philadelphia, a former teacher of the founder's, in the University of Pennsylvania. The hospital proper was established in 1897, and its present capacity is twenty-five beds. During the year 1898 82 cases were cared for, of which 8 were maternity cases; 118 patients were treated in 1899, including 15 cases of maternity. No deaths have ever occurred in the hospital's maternity wards. The institution has an ambulance service and an intelligent corps of nurses. THE ALEXIAS BEOTHEBS' HOSPITAL at Broadway and Osage street is one of the best known institutions in St. Louis. It is for men only and conducted entirely by the Alexian Brothers. It was founded in 1869, and from a small beginning has grown to its present magnificent proportions. The last addition cost $75,000, and the entire valuation is not less than a quarter of a million. One hundred and thirty sick men can be cared for at once, and the record for the year runs into the thousands. The interior of the hospital is essentially neat and clean. The sanitary appointments are modern and complete. There are a large number of luxuriant private rooms, but the main part of tire building is made up of big, airy wards, with from five to twenty beds in each. The order of the Alexian Brothers dates from the twelfth century, when the black plague broke out in Europe. It is a nursing order, and all the attention, watching, housekeeping and care- taking of every kind is done by the members of the order. The Brothers have no individual rights, but are a community. Idleness is not allowed, and work of every kind is done. The kitchen, laundry, librar} r , dis- pensary and office are each in charge of a brother with one or more as- sistants. The institution is kept up by donations and subscriptions and by the revenue from those patients who can afford to pay small sums. The medical and surgical staff consists of : Dr. F. J. Lutz, surgeon-in- chief, and Drs. Friedman,' Hennerich, Hochdoerfer, Muetze, Allen, Breuer and Boss. ALEXIAN BROTHERS' HOSPITAL, ST. LOUIS. (MAIN HALL.) MEDICINE AND SURGERY. ]_g| CENTUKY HOSPITAL, ST. LOUIS— Established early in 1900, ihe closing vear of the century. This hospital is part of the Barnes Medical College, which it adjoins. The building, not yet completed, will he six stories and a basement, with accommodations for 150 patients and a well-equipped operating room. There is a board of directors, thirteen in number, of which W. H. MeClain is president and J. H. Deems, sec- retary. CITY HOSPITAL. SEDALIA, was organized September, 1891. At first the efforts of the ladies Avho were interested were directed to the securing of a suitable building for an emergency hospital. Their suc- cess led to the formation of a permanent fund for a more complete ecpiip- ment. In 1894 the splendid piece of property now occupied was bought for $4,000. It is three-fourths of a mile from the business center of Sedalia, and the main building contains ten rooms. The hospital is sup- ported by various organizations and by assistance from the city and county. The average number of patients during 1899 was about 8 daily. Physi- cian-. T. W. Furgeson and E. F. Gresham: superintendent, E. Calvert. EY. DEACONESS HOME . AND HOSPITAL OF ST. LOUIS, corner of Belle and Sarah, is in a quiet residence part of the city. The order of deaconesses, began in Germany by Pastor Theodore Fried- man of Kaiseewerth on the Ehine, has grown until now there are more than 30,000 of the order in Germany and 300 in this country. The deaconess takes no vows for life, but promises obedient, faithful and will- ing service so long as she remains in the order. They are provided with clothing and a home as long as they are members. The Home was organized in 1899 by the pastors and members of the German Ev. Church. The first deaconess in St. Louis was ATrs. Kath- erine Haaek, who. with her daughter and several other young women, nursed 2?3 patients in three years. The present building, with recent additions which have added greatly to its effectiveness, has rooms for 25 private patients and as many ward patients, while it can accommodate 25 deaconesses with a home. Patients are admitted irrespective of creed, and the sisters also go out as nurses to private homes. The institution is self-sustaining. Care is taken to provide the best possible for the needs of the patients and all the money received is spent in the work. Patients are at liberty to choose their own phvsicians. The income for 1899 was §12,508.30; the value of the institution is $30,000. The staff is Dr. A. F. Bock, president; Dr. J. Campbell Smith, secretary, and Drs. Herman, Dor- sett, Lemen, Shoemaker, Brandt. Tveber, Eavold and Koehler. GERMAN HOSPITAL, KANSAS CITY, was started January 17, j 886, by a call of the German Society. Sixty-nine members organized by the election of officers, and on September, 1886, a hospital site with building was purchased at Twenty-third and Holmes street for $1,000. The hospital contained twenty-three beds, but was soon found to be too small. More money was subscribed, and the late William Gebhard ii ],;•_) ONE HUNDRED YEARS OF lefl $8,000 to the association. New buildings wore added and there are now accommodations for 100 patients. The directory and- officers serve gratuitously and the members of the staff care for all poor patients free of charge. The oflicers are Dr. W. L. Luseher, president: Dr. J. Bruehl, sec- retary, and the staff is Drs. Bruehl, Coffin, Frick, Lester, Wainwright, Wolf, Beattie, Block, Fulton, Halley, Luseher, Yon Quast, Fryer and Tiffauv. with a lame consulting staff. GOOD SAMARl CAN HOSPITAL, ST. LOUTS, was started in a very primitive way in 1856 by Rev. Nollan. A three-story building was erected ai .Jefferson and O'Fallon. During the Civil War the Government took possession, where the founders again took up the work of caring for the side and especially sick emigrants and those with chronic diseases. The original board of trustees consisted of twelve, of whom all are dead bur one, Francis Hackemeycr, the superintendent of the Protestant Orphans' Home,, another institution founded by Rev. Nollan and sit- uated on the St. Charles Rock road. The building is kept in thorough repair and a cozy chapel has been added, where services are held every Sunday afternoon by different city pastors. The president of the board is Henry Wetback; superintendent, Le- moine Keeppe, and the attending staff: Drs. A. L, Bovce, W. J. Burleigh, E. F. Brady, T. F. Blanke, T. G. Comstock, J. A. Campbell, W. T. Conzelmann. C. FT. Eyermann, C. H. Goodman. D. M. Gibson, L. S. Lut- ton, W. B. Morgan, Charles Mellies, George Mellies, W. C. Richardson and (). G. Gibson. GRAND AVENUE FREE DISPENSARY, ST. LOUIS.— The Grand Avenue Dispensary was organized in 1800 with a view to furnishing clinical material for the Marion-Sims College of Medicine. The institution is open for all patients who are unable to employ a doctor, and attention is en- tirely Tree. Upwards of 100 patients per clay take advantage of the opportunity thereby afforded. The staff is as follows: Drs. Y. Ii. Bond, Jacob Geiger, T. ('. Witherspoon, Carl Barck, J. R. Lemen, Flugo Summa, G. 0. Crandall, B. H. Hypes, H. W. Loeb, R. C. Atkinson, C. G. Chad- dock, !!. II. Born, H. M. Starkloff, M. F. Engman, Bransford Lewis. HOMEOPATHIC HOSPITAL OF KANSAS CITY.— The Homeo- pathic Hospital and Training School of Kansas City was incorporated Jan- ii r\ 16, 1000. The hospital was founded in September of 1809, by Mrs. \Y. E. Dockson. It is equipped with modern improvements, has ten - and a corps of trained nurses. The operating room is fitted up with aseptic furniture and every facility for surgical uses. The hospital is located in the center of the city, easy of access for all physicians. It is managed as a non-sectarian institution, and has the support of twenty- six phvsicians. MARTHA PARSONS HOSPITAL, ST. LOUIS. MEDICINE AND SURGERY. 263 . JEFFERSON HOSPITAL, ST. LOUIS, is a connection of the St. Louis College of Physicians and Surgeons. It was opened in 1898, and its capacity has been tested almost constantly since. The present ca- pacity is forty beds, but it is expected that as many more will be added during 1900, this enlargement being made necessary by the increasing demands upon the institution from physicians in the surrounding coun- try. The management credits the hospital's popularity to the careful personal attention given patients by the superintending physicians and matron. Dr. Waldo Briggs is the superintendent. KANSAS CITY HOSPITAL was established in 1870. It is under the direct supervision of the City Physician and contains 175 beds. Fully 100 more could be utilized and this recommendation has been made to the City Council. Two wards were added during the year 1897, and a new and modern clinic room was built with a seating capacity of 200. There were admitted to the hospital in 1899 over 2,000 patients, and the death rate from all causes was only a little over 10 per cent. The dispensary service of the hospital department is very efficient, and the average cared for is about 25,000 patients. To the Avork of this division is largely due the good health and low mortality rate of the city. The superintendent is Dr. G. O. Coffin. MARTHA PARSONS FREE HOSPITAL FOP CHILDREN was started April 18, 1884. It was incorporated in June under the name of the Augusta Free Hospital and a lot secured at Channing and School streets, and the building completed in October, 1886. The hospital, with capacity for twenty children, was formally opened in December, and one year later was free of debt. The object of the hospital is to care for sick indigent Cbildren, to advance the medical science of children's dis- eases and to diffuse a knowledge of the best care of children in health and disease. The hospital is supported by voluntary contributions. In 1890 Mrs. Charles Parsons donated $15,000, and the name was changed to The Martha Parsons Free Hospital for Children. In 1891 additional rooms were built, one isolated room furnished for the care of contagious diseases. The capacity now is for 30 children. Two beds are endowed. The growth of the institution has been satisfactory from the beginning. All of the departments are effectively represented; the operating room is well equipped and an "out clinic" is to be conducted by competent physicians. The importance and effectiveness of the newer portions of the building erected for contagious diseases has been shown in several instances where scarlet fever and measles have been among the children. By prompt isolation the extension of the disease was promptly stopped. President, Mrs. -lames Green; secretary, Mrs. Theo. I. Meir; staff, Drs. Baucluy, Lemoine, Johnson, Robinson, Prewitt, Fry, F. A. Glasgow, Tuttle, Moore, Carson, Tupper, Tuholske, W. C. Glasgow, Luder, Spencer, Hardaway, Michel, Gamble and Steele. 164: ONE HUNDRED YEARS OF MISSOURI PACIFIC HOSPITAL.— The first railroad hospital was established in 1875 on the Central Pacific road, and the Missouri Pacific Railway established its hospital department in 1879, Dr. J. W. Jackson be- ing the first chief surgeon. The hospital department of the Iron Mountain Railway was undertaken in J 884:. Dr. W. B. Outten was appointed chief surgeon of the hospital, then located in Carondelet. In 1885 the Wabash Railroad and the Missouri Pacific were consolidated, and Dr. Jackson had charge of the hospitals on both roads. In 1885 Dr. Jackson was appointed chief surgeon of the Wabash and Dr. Outten of the consolidated roads, embracing the St. Louis & Iron Mountain, the Texas Pacific, Kansas & Texas and the I. & G. X. Railways, with hospitals at Sedalia, Mar- shall and Palestine. Tex. Many of the prominent railway systems of the West were founded upon the plans of the Missouri Pacific and Wabash departments, and many of the chief surgeons had their training in the departments of these hospitals. To-day Missouri stands first in the list of States having railway hos- pitals. Among these may be mentioned the Missouri Pacific, the St. Louis, Iron Mountain & Southern, the Wabash, the St. Louis & Santa Fe, the Kansas City. Springfield & Memphis, the Gulf Line and several minor lines. The Missouri Pacific department treats annually 30.000 patients, —the M.. K. & T. over 10,000, the Kansas City, Ft. Scott eV Gulf, 8,000, and other roads about 10,000, making a grand total of about 60,000 treated each year in the various railway departments of the States. In Missouri there are nearly 1,000 local surgeons, and many of these have been very prominent in the proceedings of the International Railway Association. These hospitals have a complete staff of surgeons, physicians and specialists^ that of the Missouri Pacific department alone numbering 257. Its principal hospitals are in St. Louis and Kansas City, with nu- merous emergency hospitals at different points. The San Francisco road has an elegant building in Springfield, the Wabash at Moberly, the Missouri, Kansas & Texas at Sedalia and the K. C. Ft. Scott & Memphis and the Gulf Lines at Kansas City. THE MISSOURI BAPTIST SANITARIUM is beautifully located a^ the corner of Taylor avenue and the Suburban Railroad. It was founded by the late Frank Ely. Esq.. and other members of the Third Baptist Church in St. Louis, and the first patient admitted September. 1887 In July, 1890. the property was purchased outright for 820.500. The State Baptist Association appointed a board to raise 880.000. and in August, 1891, a new building was begun, containing 75 private rooms and three large ward rooms. The operating room is especially fine. The training school in connection with the Sanitarium is largely at- tended, and comprises a two years 5 course in all the departments of nursing. The Woman's Board of Charity, organized by the ladies interested! in this work, is very helpful, and work freely and willingly to raise funds for extending the effectiveness of the institution among the worthy sick poor. The Sanitarium is a pleasant home, and with the physical ad- vantages are also many religious opportunities. Prayer meeting and services are regularly held and a regular system of visitation kept up by the Board of Charitv. MEDICINE AND SURGERY- 165 The officers are: A. D. Brown, president; Silas B. Jones, secretary; Dr. A. B. Wilkes, superintendent, and Dr. Tupper, chief of staff. MOUNT ST. BOSE HOSPITAL— The St. Louis Sanitarium for Throat and Chest Diseases is beautifully situated on Carondelet Heights, at the southern limit of the city. It was begun in 1899 by the Sisters of St. Mary, whose large experience and self-sacrifice in beneficent work in a number of cities at once commended them to the confidence of the public in this new enterprise. To the modern buildings already erected they have added an in- firmary of 50 rooms on the cottage plan, and the plans are such as to per- mit additions from time to time. Patients have the option of rooms in the infirmary or rooms in the private building, where the rates are necessarily higher. All the buildings, however, are germ proof iand have the same care and sanitary fittings. By modern methods and strict observance of rules for disinfection of bedding, the sputum, etc., all danger ©f infection is prevented. The open air treatment is used and for this pavilions have been sup- plied with rest chairs and couches. The Sanitarium being located south of the city, beyond the maufaetories, the air is always free from dust and smoke. Booms for rarified and medicated air are used in appropriate cases. The hypothesis that the Missouri climate is a large factor in the prevention of lung disease, is opposed by the fact that the official health reports of last year give this State a death rate from tuberculosis of only 1.3 per thousand, which is less than the average of all the States and Territories of the United States. Mount St. Bose is conducted by the Sisters of St, Mary; physician in charge, Dr. William Porter; assistant physician, Dr. B. M. Boss; consult- ants, Drs. Atiler, Steer, Newhoff, Outten, Bryson, Boach and Close. PIUS HOSPITAL, ST. ANTHONY'S HOSPITAL AND ST. FBANCTS. — The first two of these hospitals are in St. Louis and the third is at Cape Girardeau. They are conducted by the Sisters of St. Francis, who came to St. Louis from Germany in 1877, and. were incor- porated January 23, 1878, under the name of the Franciscan Sisters. The hospital at Cape Girardeau has about 50 beds and has no staff, any physician being free to send and treat his patients. In 1879 the Sisters secured a lot at Fourteenth and O'Fallon streets in St. Louis and built a hospital, which was ready for patients in 1880. It contains 100 beds. There is no staff. Needing more room, the Sisters in 1893 bought a handsome lot of seven acres on Grand avenue and Chippewa street, and in 1898 began to build St. Anthony's Hospital, a splendid building with 300 beds. This is just completed. No staff is as yet appointed. The old building on O'Fallon street will be used as a "woman's home." PBOVIDENT HOSPITAL, ST. LOUIS, was organized April, 1899, when a few colored phvsicians met, appointed a board of managers, 166 »NE HUNDRED YEARS OF formed themselves into a medical staff. and elected a consulting staff. It has been supported by colored people. It has a school for nurses, who take a two years'" course. The capacity is fifteen patients. President, W. P. Curtis; secretary. G-. S. Jackson; physician in charge, Dr. S. P. Stafford: attending staff, Drs. Jackson, Manistee, Crews, Scott, Curtis, Jones and Fields. POLYCLINIC HOSPITAL was founded in 1885 for the purpose of clinical teaching in the Post-G-raduate School of Medicine. Some years later the Post- Graduate School consolidated with the Missouri Medical College, and the hospital passed into the hands of that school. In 1899 the Missouri Medical College and St. Louis Medical College united un- der the name of Medical Department of Washington University, and the Polyclinic Hospital now belongs to the new school. Its staff of physicians is appointed from the faculty of the college. It has twenty beds. Dr. William J. Say is the resident physician. PEOPLE'S AUXILIARY HOSPITAL, ST. LOUIS, is located at 3004 Chestnut street. It was dedicated April 2, 1900, and is a new venture for colored people. Three well-known colored physicians are in charge with a staff of well-known city surgeons and physicians. The hospital occupies property for which $6,000 was paid. Already 81 patients have been treated. Colored nurses arc in charge, and it is aided by a Woman's Auxiliary Society. Albert Burgess is president and J. M. Stokes, secretary. QUAKANTINE AND SMALLPOX HOSPITAL, ST. LOUIS.— This hospital is a division of the St. Louis Health Department, located in St. Louis County, south of Jefferson Barracks. The grounds were purchased in 1854, and are completely isolated on high ground over the river. The patients who die in Quarantine must be buried in adjacent cemeteries, and there are at present nearly 18,000, but many of these were from other city institutions. The building has a capacity of 100 beds, which number can be in- creased at short notice. The wards being built on the pavilion plan, sep- aration and isolation of cases is made easy. Nurses and physicians are employed as needed, and the superintendent has constant charge. A post- office is located here under Quarantine supervision. ST. ANNS WIDOWS'" HOME, LYING-IN HOSPITAL AND FOUNDLING ASYLUM was opened at Eleventh and Marion streets in 1853 by four Sisters of Charity of St. Vincent de Paul and dedicated by Archbishop Kenrick. The first day they received fourteen infants and the same day a lot was given them by Mrs. Biddle at Tenth and O'Fallon, where a house was built in 1858. The institution was incorporated in 1869 and consolidated with the Maternity Hospital. The Home has received 13,000 infants, 4,000 patients and over -~v MEDICINE AND SURGERY. I67 200 old ladies. The Mullanphy-Biddle bequests pay one-fourth of the ■expenses and the rest is made up by donations, legacies, etc. The city pays for the children taken there by the police — about fifty each year since 1886. A fine home is now building on Union and Page avenues, to cost $200,- 000. The main building will have a frontage of 265 feet, a central chapel wing and east and west wings, extending back 170 feet. The extensive grounds will be improved and add no little to the beauty of the home of ore of the best charities of St. Louis. ST. CHARLES COUYTY ASYLUM was built in 1819 on a fine loca- tion near St. Charles. It has a large two-story brick: building. A new wing was added in 1882. There are twenty rooms. The average is about fifty inmates, most of whom are demented. The superintendent is I. W. Buenzie. ST. JOLLY'S HOSPITAL in St. Louis was started in 1856 by a little band of six sisters from the Convent of St. Mary's in Yew York, in an- swer to a call from Key. Fr. Damon for a community which would de- vote its attention to the working girls, the poor and to hospital work. For several years they engaged in this, greatly aided by the Jesuit Fathers. At first they located at Tenth and Morgan streets, but in 1861 moved to Twenty-second and Morgan to a larger property donated by the late Archbishop Kenriek. In 1871 the school which had been carried on was changed into a female infirmary and afterwards developed into a gen- eral hospitl. The faculty of the Missouri Medical College had charge of the patients. Tn 1891 St. John's Hospital was removed to Twenty-third and Lo- cust streets and a wing for dispensary and clinic added to the very commodious building already secured. The old St. John's was reserved for invalid females and a home for young girls. St. John's is unique, in that it is the first in the city to provide medical services for the poor and a free dispensary. It is a true home, in which all the suffering sick are equally considered and cared for by the Little Sisters of Mercy. Any physician is welcome to bring patients to the wards or rooms and. treat them. The staff is Drs. Prewitt, Gietz, Steer, Brooks, Brokaw, Temm, Fry, Hage, Todd, Wilson, Keith, Zahorsky and Lippe. ST. JOEY'S HOSPITAL, SPRIYGFIELD, is located on the south- west corner of Washington avenue and Chestnut street; was established in the year 1891. It is conducted by the Sisters of Mercy and is a branch from the old St. John's in St. Louis, occupying a two-story building, con- taining six private rooms and two wards The hospital has completed its eighth year.. Being non-sectarian, there is no distinction in admitting patients as to creed or nationality. The number of patients yearly has been from 90 to 200, reaching the highest number in 1899. While deprived of all the modern improve- 16S ONE HUNDRED YEARS OF ments now in vogue in many hospitals, many notable and critical opera- tions have been performed in this institution with marked success, to the great credit of the physicians of Springfield. Any physician can send bis patients to St. John's and attend them there, either in the rooms or wards. ST. JOSEPH'S SANITAEITJM— St. Joseph's Sanitarium was first opened for patients June 8, 1899. It is located in "one of the most delightful spots in or around St. Louis.*'* The institution was founded by Rev. S. J. Orf, who died in January, 1900. Since the death of its founder the Sanitarium has passed into the hands of the Sisters of Char- ity of the Incarnate Word. The staff is composed of Drs. Outten, Ball, Fleming. Hall, Murphy, Bernays, Lamphere, Dumesnil, Powell, Eggers, Heinrichs and Bowe. ST. JOSEPH'S HOSPITAL, KANSAS CITY.— This hospital was- founded by the Si-ters of St. Joseph of Carondelet in 1875. The rapidly increasing demand for more hospital room has induced the Sisters to recently erect a large addition. Beside- more wards and private rooms, the new building contains a private operating room, a free dispensary and an amphitheater. In undertaking this extensive work the Sisters feel confident of the continuation of the hearty appreciation shown in the past by the many friends of the institution. The hospital is in one of the most beautiful, healthful and quiet parts of the city, and is a com- modious three-story brick building, provided with all modern sanitary im- provements, containing about 100 beds. It has three operating rooms and a full equipment of skilled nurses. A resident physician gives as- sistance in the absence of the attending physician. A complete X-ray plant was donated to the hospital by Dr. J. D. Griffith. The rooms are bright, airy, neatly furnished, well heated and thor- oughly ventilated. The laundry, boiler and engine rooms are outside of the main building. Admission is refused to none, except cases of a chronic character, contagious diseases and insanity. Patients of all re- ligious denominations are admitted. A large per cent of the patients are charity. Tlie staff: consists of about thirty of the best known physicians and surgeons of Kansas City. ST. JOSEPH'S HOSPITAL. ST. CHARLES. MO.— In the year 1885 Francis Schulte willed a house and some land in St. Charles for hospital purposes, and the Sisters of St. Mary took charge on November 4, 1885. A- tiie house was very small, the Sisters for several years devoted most of their time to private nursing. The location was not suitable, so the Sisters purchased an extensive piece of ground on Third and Clay streets, and at once began, in 1890, the building of a new hospital. The neces- sary funds were seenred partly through the sale of the old place and partly through the liberality of the citizens of St. Charles. In June, 1891, the hospital was finished, and in August it Avas dedicated. St. Joseph's Hospital has accommodations for about 30 patients. From 1887 to the close of 1899, 1,29*2 patients were cared for. The fol- ST. LOUIS CHILDREN'S HOSPITAL, ST. LOUIS. MEDICINE AND SURGERY. 16 c) lowing physicians and surgeons are connected with the hospital: Drs. Geret, Morgner, Mucld, Bruere, Johnson, Gossow and Stumberg. ST. LOUIS BAPTIST HOSPITAL.— The St. Lonis Baptist Hospital, organized and incorporated in 1893, is complete and modern in equip- ment. It is a general hospital and receives ail classes of patients, except those suffering with contagions diseases. The rooms are large, well ven- tilated and supplied with modern conveniences. More than half of the patients received are surgical cases. The operating room was carefully constructed with reference to heat, light, ventilation and asepsis. In 1899 the board of directors put in apparatus and chemicals for a bacteriological and pathological laboratory. The laboratory is for the benefit, not only of the medical staff of the hospital, but for all physi- cians who care to avail themselves of its advantages. The hospital has fifty beds and a new building will be added in the near future. It has a training school for nurses and a woman's board of charity, which has control of this department. It is located on Garrison and Franklin av- enues. D. A. Jamison is president: Thomas Burgess, secretary, and C. C. Morris, superintendent. ST. LOUIS CHILDREN'S HOSPITAL.— In November, 1899, a few ladies met at the house of Mrs. F. P. Blair to consider starting a hos- pital for poor sick children. Mrs. Blair was chosen president of the or- ganization, a small house was rented on Franklin avenue, near Twenty- ninth, and the first patients received in February, 1880. Soon the prop- erty was bought, but, proving too small, the present site, 400 South Jef- ferson avenue, was bought and the building furnished in 1885 at a cost of $21,000. In 1899 a number of new wards were added at an expense of $17,562 for a lot adjoining the former one and the new additions. Manjr jDrominent citizens aided by money and counsel, and the work grew and prospered. Injrecent years the resources have been taxed to the utmost; no debts are allowed, and the endowment fund grows slowly. The staff consists of Drs. Goodman, Luyties, Burleigh, Morrill, Corn- stock, Gundelach, Parsons, Campbell and Block. THE ST. LOUIS CITY HOSPITAL, temporary buildings at Sev- enteenth and Pine streets, is supported by appropriations from the city, and is under the care of the Board of Health. The old hospital in the southern part of the city was wrecked by the great cyclone of 1896, and the selection of a new, permanent site is yet in the future. The present building is overcrowded, the average number of cases from April, 1897, being above 500. There is probably no institution in the country that with so many drawbacks in the Avay of the old buildings and limited revenue does more actual good and cares for more cases of absolute need. The roll of superintendents and assistants include many of our brightest and most successful physicians and surgeons. Dr. H. L. Nietert is superintendent and Dr. F. P. Amyx, assistant superintendent. 170 ONE HUNDRED YEARS OF ST. LOUIS FEMALE HOSPITAL is on Arsenal street between Sub- lette and Jannarv avenues. It was opened October 1, 1872, as the House of Industry, devoted to the treatment of women, who were admitted on certificates of examining physicians, under the social evil registration law. In 1874 the Legislature repealed the social evil act and passed a law directing that a hospital be purchased and built out of the funds collected under the social evil law. To carry out the provisions of the above act the City Council passed an ordinance to authorize the establish- ment of a City Hospital for Females, and provided that this hospital should be known and designated as the St. Louis Female Hospital and Industrial Home. This institution is now known as the Female Hospital, and has been a general hospital for the treatment of women, but has not been an ••industrial home.'* There is a capacity for about 250 pa- tients. The cost yearly for maintaining the hospital is about $60,000. In connection with the main hospital building there was built during the years 1896-97 a two-story brick building for the accommodation of obstetrical cases. Female Hospital staff: Dr. Xelson J. Hawiev. superintendent: Dr. Free J. Taussig, assistant superintendent. ST. LOFTS MULLANPHY HOSPITAL was established in 1829 by four Sisters of Charity from Maryland, and located at Fourth and Spruce streets. In 1832 a tvro-storv building was erected, another in 1835 and a third in 1838. The hospital stall' was self -supporting. A large wing was built in 1810. The hospital was wonderfully preserved in the memor- able fire of 13-1-9 by a slight change of the wind, which seemed almost a miracle. This hospital did large work during the Civil War, and in 1872 was removed to its present handsome site on Montgomery street. The institution has changed steadily, improvements being constantly made in accord with the best sanitary science and modern skill. The surgical compliances and conveniences are especially tine. The hospital is not en- dowed, lint has a strong hold upon the public appreciation. Patients are admitted without regard to creed, and outside physicians and surgeons have the benefit of the perfected system and wider experiences of the hospital attaches. The Sisters of Charity have full control, and their work is held in high esteem. The staff consists of Drs. Gregory, Carson, La Barge, Bryson, Amos, Glasgow, McCabe, Senseney, Caldwell, Bliss, Grinden, Bavold, Pollak and Alt. ST. LOUIS PROTESTANT HOSPITAL was established in 1888, and is located at 1011 Xorth Eighteenth street. It has forty beds and is under the care of the different Protestant churches of the city, although the work is non-sectarian and undenominational. The Ladies Auxiliary Board has done much to support this worthy institution. There is a "free bed"'* fund and a well-conducted nurses^ training school. Xew build- ings are greatly needed by the Protestant Hospital, and its friends hope to see it better conditioned before long as to site and equipment. The staff consists of Drs. J. B. Johnson, Laidley, Tupper. Moore, King, Hughes, Porter. Post and Shapleigh. ST. MARY'S HOSPITAL, CHILLICOTHE. MEDICINE AND SURGERY. 171 ST. LUKE'S HOSPITAL, ST. LOUIS, was first located on Ohio street, and the first patient received April, 1866. Afterwards it was re- moved to Elm and Sixth streets, in 1870, and to Tenth and St. Charles in 1875. In 1873 the Sisterhood of the Good Shepherd from Baltimore took charge, and the next year Dr. J. T. Hodgen was made surgeon-in- f the power and influence that is to congre- gate here and around us, as our fathers did when they stood on the banks of our mighty river and supposed its giant waters would only be disturbed by the floating barge of the Indian canoe. We live in an age that is peculiarly active in enterprise, and we are more likely to make improvements than the past, yet we are not prepared to believe this to be true, nor can we calculate what in our age is to be developed, but if we advance only in an equal ratio with the past, what will be our destiny in the next fifty years in point of population, and what must be our extent of improvements? We should be looking, as all nature indicates, steadily for change. The past justi- fies the conclusion that but just ahead is something which is to be developed; some new discovery, some new change of policy, some new increase of power 12 178 OXE HUNDRED YEARS OF that will give us additional force, increase our momentum and mark our onward inarch with additional glory. But a few years have elapsed since our fathers made their appearance in this- beautiful valley — the richest and by nature the most bountiful on the face of the globe. Then it was the abode of the prowling beast of the forest, and the wild and untutored Indian. What do we now pee? The advance of science, the improvement of machinery, the increase of intelligence and the spread of the knowledge has congregated here its millions, and millions are yet to come, and on the eve of coming, who have but as yesterday heard of our delightful abode, of our benign and wholesome laws, and our independence, our glorious liberty — yea. the liberty of conscience, the richest boon of Heaven. Here thou- sands are daily welcomed to the bosom of a country, the asylum of the oppressed, and in a land where the face of the whole people frowns with indignation on the> oppressor. The day is coming when millions on millions will congregate in this, our mighty valley." and concentrate their influence on this, our infant city. That this vast and yet sparsely populate? country is to be the great bread-growing portion of our continent there cannot he a doubt, and as the soil is cultivated and commerce increases, so will cities rise, and when the land ceases to be productive they must decline. Asia was the birthplace most unquestionably of the Caucasian varieties of the human family, the stock from which we came, a,nd that portion of the continent in which they commenced their career, now, although aban- doned, gives the strongest manifestations of the facts just asserted. There are now the moldering ruins of stupendous cities which were once the abode of millions in Asia, and which once stood encircled by a rich and finely cultivated soil, but as time and cultivation destroyed its fertility the people emigrated, until naught is seen but the sandy waste encircling the deserted cits*, whose splendid columns lie scattered and broken, the abode now only of the lonely night bird or the beast of prey. Had the soil remained the descendants of the people who reared those splendid structures wouid now be there. But these are facts which should encourage us and cheer us onward. We have a soil whose depth and fertility, with proper culture, can never perish, and the vast population which is nere to assemble will here remain to the remotest gen- erations. These are facts which should rouse us to deeds of renown, which will make our memory imperishable, and every energy should be employed to transmit to posterity, as the tide increases, that which will impart the greatest blessing to mankind. We owe our efforts to the future for what the past has conferred on us, and as we travel on, following in the history of our race, wherever these great duties have not been performed, man by uegrees has become degraded. Referring back to our own hislory as a people, as the wave of population rolled on in Europe, and its tide of power rose, carrying on its bosom the wreck of nations and of empires and their literature and science, the benighted mass was penetrated with the rays of intelligence, which shot from the nations which their rude power had crushed and for a time extinguished. And in the dawn of learning and intelligence we behold institutions rising, as the glorious sun on the agitated ocean, which has been preceded by the night of darkness and despair. When the literature of the Greek and the Roman was buried by the avalanche of our Gothic a~hd German ancestors— the old Scythian family— the leaven of science which was then introduced was the reformation of the world. Silently for more than a thousand years it was at work before its power was strongly manifested. But as age after age rolled on, each improving the other, and the last the most cultivated, a few bright spots were seen shining with greater splendor, and thither the more intelligent congregated to enjoy the light of science: a few ciear fountains of knowledge burst forth and those who thirsted came to drink and be inspired. Thus the efforts for the spread of knowledge increased until modern Eu- rope is animated at every point with institutions, the ornaments of the age and the pride and boast of their people. The amelioration of the condition, the ad- vancement and nappiness of mankind, appears to have been the elevation of the human family. Our own country, contrasted with the rest of mankind in point of intelligence. Is the most striking monument of the fact. .Literature, science and the arts and the efforts for the elevation of the condition of man have ever gone hand in hand. But as mankind advanced in the discoveries in physical science, the science of medicine, or its collateral sciences, seems to have been the harbinger in the great wcrk. This fact was most prominent in our early his- tory during the tenth, eleventh and twelfth centuries, especially after the de- struction in the East of the Asiatic or the Saracenic sohool of medicine. In the twelfth century there was a period of almost total darkness, during which tin- whole world lay involved In the deepest gloom, ignorance and superstition— a oeriod in which there was scarce an object to attract the lover of science, and scarce a fact can be recorded but these of violence and blood, and all the de- partments of learning shared a fate which is too degrading to relate, while the bright and green spots in the waste were shrouded with a pall. But the struggle of light and darkness that had so long been contested ceased and the light dawned upon the world, which is destined to increase in brightness until we are perfected in knowledge, or man has approximated as near as his nature will al- low, the wisdom of his Maker. The dawn of science, however, was with the development of the science of medicine and its collateral sciences. At Padua and Salernum in Italy and Leyden in Holland in the early period of European medicine, science among our ancestors appears to have had its first great impulse, and some of the brightest luminaries of the profession have risen, and as we travel onward we find Scotland, England, Ireland, France and our own country have been its most successful cultivators. But wherever, for the time, medicine has nourished, there we have ever had clustering some of the richest gems of literature and the arts. But wherever medicine nas been most success- ORIGINAL MISSOURI MEDICAL COLLEGE, ST. LOUIS. MEDICINE AND SURGERY. 179 fully cultivated, where great institutions have risen, it has ever been by the that lofty genius which has towered over the rest has disappeared, whenever energy of those who are engaged in the cultivation of science, and whenever that energy which has characterized every grand improvement, every great achievement among men, has been lost, the seat of science has been trans- ferred. Some point more auspicious for talent, whose views are broader and more comprehensive, more elevated and better adapted to the genius and neces- sities of the profession or which has manifested more industry or greater fa- cilities have been most successful in the race, and no nation or peop:e has ever been successful in building great institutions of learning who have not with energy encouraged the talent, the native talent of their country, and whose vigor in the prosecution of the work has not been equal to the power and intellect they would employ — "For the sluggard's brow the laurel never grows, Renown is not the child of indolent repose." 'So soon as America was sufficiently colonized to justify the project of a school of medicine that would educate our sons without a tour to Europe, the lamp of medical science was trimmed in our city of brotherly love and some of the brightest lights have risen that have adorned the annals of the human race —lights that have not only illuminated their own country, but have shed their effulgence on the world. The name of Rush, Shippen, Barton and Wister are written on the brightest scroll of medicine, and succeeding them the same im- mortality will halo those of Jackson, Chapman, MeLellar.d and others, who are still active on the stage. And as the tide of nations rolled on and the billow broke over our mountains and descended into our valley, soon we see an institution ' planted in the wilderness. It was thought then by some premature, but its suc- cess has been unparalleled and its growth vigorous and onward, and some of the brightest ornaments of medicine have risen and adorned and still shed lustre on her halls. It is the genius and energy of the people and the teachers of the place which is consecrated and dedicated to the profession, and when that spirit departs the sceptre is forever transferred. The halls that were ones filled are deserted, and the place that once echoed with the eloquence of the teacher is the abode of the owl and the bat; the same climate may exist, the same sun may shine and all nature stand as of old, yet the spirit that has brought forth such prodigies has departed and the sun of their glory has set forever, the bright spots of their former existence are sullied by the ignominy of their descendants. When the great Boerhaave departed and his associates were scattered the en- thusiasm in the cultivation of medical science departed also, and the school of Leyden, which was the center of medical education for the whole world, dwindled into nothing. The halls of Leyden now echo with emptiness. Again the light broke forth, and Scotland, rising' triumphant, assumed control. No man could be well educated in medicine who had not visited Edinburgh. But when the great 'Cullen and elder Monroe left the stage and were succeeded by those who were less tal- ented and enterprising, less vigor of intellect manifested by the teachers and less encouragement from the people, the sceptre departed from the hand of the Scot. So it has been alternately with England and Ireland, when a Cheselden, a Hunter, a 'Cooper, a Bell, a Lawrence and an Abernathy lectured, and the ardor and enthusiasm of medicine was there, and great minds were employed and re- spected, England was not inferior to the race. And Dublin was ever crowded when Collis was yigorous and on "the stage. Again we look" forth, and in our time the light which France has kindled il- luminates the world, anu congregating thousands crowd to Paris, now the seat of medical learning for the whole world. Why is this? Because she has caught the Are of enthusiasm as it burned on the altar and kindled it in the hearts of her people, and the Frenchman's bosom, in the cultivation of medical science, glows with a living flame. Here within a few years have arisen many, very many, of the rarest and most gifted geniuses of the age, whose ardor in science has imparted even youthful vigor to old age, and whose fire of ambition has only been chilled by the damps of the grave. 'Whose heart, that has felt the first throb for glorious distinction, does not warm in his bosom at the very name of Cuiver, of Bishat, Broysais, Louis Andrall and a hundred others, whose fame is co- extensive with the civilized world and around whose names will linger a halo that can never die. This it is that has given France her superiority, and this it is that will give any institution superiority, no matter where located, whether iri the city oif Eu- rope, or iri the East, or in this cur wilderness of the West. It is the superior ge- nius and energy of mind which has effected anything — the determination and per- severance of a people who have said they will succeed, though millions should oppose. A single example will suffice: While Athens, Sparta and their sister re- publics rose in splendor, and their military prowess spread terror over the earth, who was it that dreamed of the mighty achievements of the little Macedon? Yet Macedon conquered the world. A Philip and an Alexander came, both alike the personification of energy and action itself. And, though unequal in numbers, ever superior in the strife, although surrounded by millions, victory ever perched upon their banner. 'We can make no calculations for the effective operations of mind, nor set bounds to its achievements. It is that spirit which sits upon the world with a magic spell— it is the electricity which guides and directs the tempest- wheels and steers the storms of mankind, prostrating all that oppose and crushing to the dust everyhing which offers resistance. When mind of action is employed' . the world will soon perceive it by its effects, for, while some are waiting for the period of prematurity to pass, mind acts and presses onward with an assurance ISO ONE HUNDRED YEARS OF of success. What must have been the consciousness of superiority which swelled the bosom of the heroic Alexander when he swam the Granicus at the head of his victorious army and made Persia's millions bow to His Majesty? But we should ever be mindful that whatever has been achieved has not been by genius alone. Unaided, unfostered, it is like to die with the blight and mildew of neglect: the most promising buds are too often blighted by the cold and un- relenting winter of disappointment. It is not so much the men or the insti- tutions which act in their elevation as the genius and energy which gives birth to them. Great men in every age and nation have risen in times of turbulence and passion and are carried onward and upward by the whirlwind, who would have fallen without a trait of character worthy of notice, without a deed worthy to be recorded, had not the force of circumstances made them what they were. A peo- ple whcC are debased and corrupted will generate by their own feelings and pas- sions men of like mold, and those who are developed among them, and those who assume the control among them, wear the image ef those who put them in power, the impress of the age that gave them birth. The Augustine age of Rome gave birth to men great in eloquence and learning, while a Nero and a Caligula were but the emblems of a people sunk "in the abyss of degradation, so low that their own passions, propensities and follies brought upon them the curses which they so richly deserved. Thrown into existence at a period when the whole world was in motion and France was reeling with fanatical intoxication, drunkenness and debauchery. Bonaparte became her master and spread his power over Europe, a power which never could have been achieved had not the circumstances demanded. Napoleon by nature was constituted for the great general, but he could not have been the leader of the veterans of our Revolu- tion nor could he have acted as the chief magistrate of our people. It was vice, anarchy, infuriated passion and misrule which made Bonaparte the Emperor, while predominant virtue and an honest love of liberty developed the character of our immortal Washington. Had Napoleon lived in America he would have been de- spised for his tyranny: while Washington, if in France, would have been the victim of his virtue, and would have fallen by the bloody guillotine, a martyr of liberty, and been buried in the ruins of his country. And as it is with civil governments, so has it ever been with institutions of learning. It is the people that must give tone — they must sustain and encourage institutions of learning or they perish as the plant in the arid soil. In the history of the world every people and city have their records, and it is natural for us to dwell with rapture and delight on the departed glory of men and feel a deep regret for those who have been led by blind passion to ruin and degradation. Even the earth itself has. its records. The antiquarian in his re- searches finds en the mountain's top the fossil, which tells that once the ocean was there, and revolution has changed its position and he determines the changes that have been and marks the periods of their durations. He digs up and brings to light cities which have been buried, and determines their advance in science, the cultivation of the oeople, and by their sculptured columns, their splendid stat- uary and paintinss. fTie"ir works of art. what was their former grandeur and greatness. The historian records the deeds of vice and virtue of successive ages, and we view them as monuments either of their glory or disgrace. But the smoldering columns and the ruined architecture of the old world only show the alternate elevation or depression of the races. At one time Attica produced the accomplished orator, the profound philosopher or the lovely poet, but it was the tasfe and genius of the age which gave them birth. Again we behold Attica the abode of the man o? ignorance and passion: and in vain do we seek, in lovely Attica, for the eloquence of a Demosthenes, or the philosophy of a Plato, or the dulcet strains of the harp of Homer. The spirit which developed the mighty powers of Greece has departed. >Jo longer are delightful groves the abode of literature and science; no longer her clear fountains sparkle with the waters of inspiration. But she is the abode of the sullen, unlettered Musselman. Should not sach records, such recollections, rouse us to deeds of honor? Some future inquirer may ask for our history — perhaps disinter our ruins. — and open up, for aught we know, our city, which has been buried by one of nature's dire catastrophes. What, then, will we manifest in our history? What splendid temple dedicated to science would manifest our former patronage of learning? Where would be the deeds recorded of those who would live renowned in story? Where the bright scroll that would transmit to future generations the mind of St. Eouis that is to live immortal? Here we have privileges which, if cultivated, would make us rich in all that is great, and equal in magnificence all that the world hitherto could boast. If, in- stead of devoting ourselves so much to the enjoyment of ostentation and the grat- ification of appetite, our efforts be directed to incline the rising generation to the cultivation of mTnd and tae improvement of morals, our country would not only shine in the future history of mankind, but we would contribute largely to the great end of human existence and add with a bounteous hand to human happi- ness. Our country is filling up as with the swell of the deep, and demands it of us, and if we do not exert all energies and summon every collateral circumstance to our aid, the mass of uneducated mind which is flowing upon us will obscure that which has already been achieved and greatly retard our future progress. We hold the man as a traitor to his country and recreant to the high trust transmitted to him and sealed by the blood of his fathers who would refuse to (extend a fostering hand to any and every effort that has for its aim the educa- tion of any pari; or portion of our country. And in founding a school of medicine in our city we feel assured that we shall be sustained by the good wishes of our people, and as far as our country's circumstances will allow, receive their earnest encouragement. Why should we not have a school of medicine in St. Louis? It will not only bring to our city large sums of money and enhance greatly our in- terest in a pecuniary point of view, but it will add to our common stock of knowl- is&QURi Medical CJollegeu gt». fLomM* 0**T4«T tllttMRY 85sS* ANNOUNCEMENT FOB THE REOPESfSG OF THIS INSTITUTION AFTER ITS SOSPESSiGS OORiNG TBI WAR. .JOS. X. XcBOWStX, M. B-. JOTIX 8. SKSOBR. M, B„ - .jos. n. st?iKnvm>&, at s^ W. St M(-r*H-£FrSSS, 51: 1>„ .j . a. w ATTsas l if. »., fl8AlU.ES O. €£TRTMA> T . M. !>.. CHARLES C. PrSXfXQ. St !>., •TAMSS C. KSDRtRT, St IX, PiOU'tffj, PrftfeiOT of S»T:g«tj:. . Pff'-t r- *f n-t- n-i J*r&< i M 1 - Pn-*>-.-'jf of fe -'eta}, 33*-cnpfi*e j«4 8s«p«iS Anatomy. T>f »!' v. ,r «f Stater^ JW<«t srii TWapcstka. ,- Pf? -"*»*} r«t!o ! tsg. «r"3 tj t -.4 Sfediaftje. t*r V-».-. if J Plssmssaer. - ?rs>f :**«* tsi" Oteiteirfe? aail P5«js»s*? «f Woa.sm »ar5 Otfett. . -T?„- .Z,f?*//y 6m- 6e*:n */&iym&ge4t »nd f&r »>■*#-■&■/* itm- % '(>//*- t4r c&mei n/ giyte/i <-it*tt?&t anew. .gy fe .7, fr ,,/fy design fjvitty ,t. Maivuffi €>&«>#• »ft. t**&*ttfy bnurft im r^-,/rd to. f-Jt '''J- >Uf*««,•' >OS. H- MoBOWBLL, M. B-, .Beast, FIRST ANNOUNCEMENT OF MISSOURI MEDICAL COLLEGE. MEDICINE AND SURGERY. 181 edge, warm up and excite our citizens and give an impulse to learning in all its departments. This surely cannot be a prejudice, but an advantage that could not otherwise be obtained. The facilities of access to St. Louis are equal, if not superior, to any inland city on the globe; and for a school of medicine and surgery no point on the con- tinent is superior. Here we combine the dreary North with the Sunny South, with all their varied ills, for the examination of the pupil. We are in the center of the mass of population of the great Southwest, and those who wish to be educated well can as readily obtain their learning here as elsewhere. Shall we decline the contest and leave the palm to« other cities? But it is not the spirit of those who have embarked in the enterprise— it is not the spirit of the sons of the Mississippi Valley. When that energy which has brought forth the schools in the eastern portion of our valley has ceased to operate, if we have but an equal amount of talent, they cannot contend against so many important advantages' which St. Louis has bv nature. Besides, the history of medical schools is but the history of change in this country. The history of every grand achievement is but the history of mind that has been fostered by a people who glorified in being great, and whose aim was the good of the human family. It is said by some, however, to be prema- ture; but if it be premature to build up a school of medicine here, then it is equally so that we should have made this our home, and premature that we should edu- cate our children at all. There may be some difficulty, some toil in the achieve- ment, but we should remember that the greenest laurel grows on the moun- tain's brow, and should St. Louis come forth with energy in the work, she will wear the emblem of greatness in proportion to her toil. She will rear here monu- ments of glory which will stand on the banks of our river, if not in massive piles, to conflict with the elements. She will be remembered as the mother of sons whose renown has covered the earth, and will last when the pyramids of Egypt shall have been swept from their bases by time and the triumphant statue shall have moldered into ruins. What change of policy or revolutions in nations could have affected the names of Hippocrates, Galen and Celsus of the Ancients? . Nothing. Still they are admired for their towering genius, and the people that gave them birth for the fostering hand that developed them. They have floated down to us, on the wrecks of nations and empires, as a casket of preciousi jew- els, whose brilliancy could never be effaced and time could not corrode. What revolution can destroy the transcendent distinction of Cuivier and Bishat? France, in all her glory, may be swept from the face of the earth, her language be destroyed and her records perish, still these great names will live standing on a mountain, amid the nations, and their luster increase with the increase of years, as long as man is civilized or the earth is inhabited. Shall our rich and almost boundless territory go unexplored, except by men from distant lands, or shall we educate our sons for the task? Shall our beautiful prairies waste their sweets in a desert air or forever go untrodden by our edu- cated children? Shall our mineral resources, the richest on the globe, go unex- plored and left to sleep on in silence, undisturbed by the energies of our people? There are just around us, as all nature and experience testifies, truthsi of vast im- portance which remain undiscovered, truths which have never risen on the hori- zon of the human understanding; there are regions of truth through which as yet no path has led, bright spots which have not been perceived by the eagle eye of science; truths of greater magnitude than those with which we are familiar, and will hand down the names of those who discover them to the nations, written in the brightest and most enduring characters. These were the opinions of New- ton and La Place, who have unfolded so much that was hidden and reflected so much honor on human nature. Let us then encourage our sons, and as their tastes or (inclinations lead them, lend them our fostering care. Let us bid them go search here in all the wilderness of nature's meadows, with their shrubs and flow- ers, and test by knowledge the fruit of their researches. Already the glorious work has begun in the academy of natural sciences by the energy of some of our physicians, and it will be prosecuted. Let us search faithfully and with care— per- haps some plant may grow, some balsam trickle, some gum exude, unheeded in the solitude, which will afford relief to maladies as yet beyond the reach of the profes- sion. Go test the millions of springs on the mountain' side and on the plain; on the meandering borders of our endless rivers; perhaps some rivulet or stream, in silence since the world began, has wasted on the unconscious earth its precious waters, the preserver of health and the catholicon of life, which would prolong our existence and which was so ardently sought for by the early cultivators of science. Let us bid them go search in our mountains for treasures which have slept in secret since" the morn of creation — perhaps some mineral may be discovered, some medicine be employed that will stay the unsparing hand of the plague and the pestilence an8 pour the balm of health in the hectic bosom. Who would be the sluggard? And who would not embark on an enterprise from which so h?tie is to be ieared and so much is to be gained? Those who shrink from the undertaking will linger on the shore with regret, while those who have ventured will reap a reward that will last as long as time, and ever-blooming flow- ers will be strewed upon their graves as long as cur bountiful soil yields its sup- port to the gathering nations that will crowd upon it or our mighty river rolls to the ocean. Here we will leave monuments to signalize us as a people, and p. ace St. Louis high on the scroll of fame; and when the steamers of the ocean shall crowd our wharves and our infant city swell to be the London of America and mil- lions of human beings shall stand where we do now, they will admire and applaud our efforts in the wilderness. The roses which we have planted in the bosom of the West will bud afresh in every future generation. The balm which takes root here will be gathered by every age to heal the nations that follow uaj and St. Louis will be the Gilead of our beautiful valley. But to advance the great interest of any people or institution, however, there 182 ONE HUNDRED YEARS OF should be a steady', persevering co-operation in work: and while a great work is in suspense each man should assiduously labor in his department, and the people should give him that support which will soothe him in his toil. And. although the whole world beside should frown and rival institutions raise a tempest which will terrify, still the ship will be staid amid the storms which agitate the oceau of mankind around us. But should we embark, as if we anticipated no danger, as on a pleasure voyage on an unruffled sea, and expect to quit the ship and make the shore when the first groan of distant thunder is heard, or the old sailor fore- tells the storm, and allow fright and consternation to sit on every countenance, all will be lost. And when the storm is on us and the wind is splitting our sails and sweeping overboard our masts, and no order, no system, no command pre- vails, and every one is deserting to fiy to another part of the vessel, the helms- man quits his station to go aloft or the old tar who hrows the lead claims a nigher privilege and all is confusion and dismay, we are lost, and lost forever. We will be but sport for the tossing billow and .food for the hungry sharks that prowl around to feed upon cur mangled carcasses. Our motto must be — peace, aad to otir posts. People, trustees and professors, each to your respective duties, and the- wind of persecution may howl a hurricane and the lightning of malice may fall upon us. but if our good ship be tight and free, our gallant mast may be bent but not broken. And like the proud eagle soaring aloft, she will ride the billow to its cop of foam and glory in the strength that overcomes the storm. The first commencement exercises were held in the Baptist Church February 23, 1841. The inaugural address was delivered by the president of Kemper College, the Rev. S. A. Crane. It was entitled, "Inculcating the Truths of Christianity in Order to Insure the Advancement of Science.*' After the address Mr. C. C. Carrell read a poem written by a St. Louis young lady. Then came the presentation of diplomas by the president and an address by Dr. .T. X. McDowell. The second session opened in the fall of 1811 with two changes in the faculty. Drs. Prout and Hall resigned their chairs for the purpose of assisting in organizing The St. Louis Medical College, which was es- tablished as the Medical Department of the St. Louis University. The vacancies thus occurring were filled by the election of Drs. Thomas Bar- bour of Virginia and William Can Lane ol St. Louis. The second annual commencement exercises were held at Concert Hall. Saturday evening, February 26, 184'2. The following is the list of graduates: J. M. Perry. St. Louis. E. Hildreth. St. Louis. John Edgar, Iowa. Chas. W. Stevens, St. Louis. A. H. Illinski, Illinois. Samuel Thompson. Illinois. Douglass Stevens, Missouri. Beriah Graham, Missouri. John Morrison, Tennessee. George Tewman. Missouri. J. D. Belt. St. Louis. The honorary degree was conferred upon Dr. Israel McGready of Missouri. In 1846 Kemper College went out of existence and the place became the St. Louis Poorhouse. The medical department continued, however, and joined the Missouri State University. In 1857 the institution severed its connection with the State Univer- sity and was chartered as the Missouri Medical College. The annual commencement exercises for 1861 were fraught with unusual interest. They were held at the Mercantile Library Hall, Feb- ruary 28. The valedictory on behalf of the faculty was delivered by Pror. Paddock. The dean conferred the degree upon 26 graduates. After the exercises Dean Joseph X. McDowell held the audience and addressed the class. In the course of his earnest remarks he said that in the contin- gencv of a war between the two sections of the United States he would /~) \y^c Krp qS 1 ^ ( X^^^7^^ -^f* fat???* ♦ "^%^*y^«^tr, Ci^ei>t^^ PAC-SIMILE LETTER OF JOS. N. McDOWELL. MEDICINE AND SURGERY. 183 leave St. Louis and act as surgeon in the Confederacy. In view of such a possibility he pronounced a benediction upon the college, its faculty, grad- uates and friends in general. After the commencement of the war a few weeks hence the military .authorities took possession of the building and converted it into what was knovn as the Gratiot Street Prison. It was used for this purpose until the close of the war. This was the quaint octagon stone building erected .at Eighth and Gratiot streets in 1847. During its construction Dr. Mc- Dowell had caused a foundation to be laid in the center for a large column, which was to reach tc the roof. Under this niches were to be prepared for the reception of copper vases containing the bodies of himself and members of the faculty. The idea, however, was never carried out. After Dr. McDowell left for the South and the faculty was dispos- sessed of their college home, a small remnant of the teachers reorgan- ized and procured temporary quarters on Fifth street, between Chestnut .and Pine streets. The classes, however, were small. In 1865 Dr. McDowell returned to St. Louis and soon reorganized the faculty. Thus the twenty-sixth annual session opened in the fall of 1866. The tflass numbered more than 100, and the college diploma was conferred upon thirty-three graduates. The annual circular of the Missouri Medical College for 1867-68, in referring to the first class after the war, says: "This class would have been much larger but for the ap- prehension of pupils arriving in the city that the faculty would be pre- vented from teaching by the application of the test oath of loyalty re- quired by the Missouri Legislature. But that has been set aside by the Supreme Court of the United States and the Supreme Court of Mis- souri, appointed by Gov. Fletcher himself, from which there can be no appeal." The college continued to prosper and advance its course of instruc- tion in keeping with progress of the times. In 1873 property was pur- chased on the northeast corner of Twenty-second street and Lucas av- enue. Here a very fine building was erected and connected with the St. John's Hospital. During the spring of 1890 the St. Louis Post-Graduate School of IMedicine was incorporated into the Missouri Medical College. This union brought into the faculty Drs. George J. Engelmann, W. C. Glas- gow, H. X. Spencer and A. J. Steele. The St. Louis Polyclinic building •on Jefferson and Lucas avenues was also added to the teaching facilities. In 1893 the college erected a new home on Jefferson avenue, adjoining "the Polyclinic building, and abandoned the one on Twenty-seconcT and Lucas avenue. The following is a complete list of those who served as members of •the faculty of the Missouri Medical College from its organization in 1840 to and including the session of 1898-99: Joseph Xash McDowell, G. F. Prout, J. W. Hall, W. Carr Lane, :S. Gratz Moses, John De Wolf, Eichard Barrett, John S. Moore, Thomas Barbour, J. B. Johnson, J. B. Moore, Edward H. Leffingwell, Charles W. Stevens, James McDowell, Abner Hopton, John T. Hogin, John Barnes, B. T. Cavanauoli, Pavton Spence, E. Demming, Drake McDowell, J P. Allen, E. S. Frazer, W. S. McPheeters, J. H. Walters, Charles 0. Curtman, B. F. Shumard, Paul F. Eve, G. M. B. Maughs, P. Gervais Robinson, James E. Drake. E. S. Anderson, A. Hammer, E. E. Clarke, G. W. Hall, A. P. Lankforcl. J. E. Bauduv, Charles Michel, T. L. Papin, Edward 184 ONE HUNDRED YEARS OF Montgomery, H. Tuholske, Otto A. Wall, C. A. Todd. T. P. Kingsley, T. F. Prewitt. P. V. Schenck, Ludwig Bremer, G. A. Moses, W. A. Hard- away, Justin Steer, H. X. Spencer, Geo. J. Engleinann. Wm. C. Glasgow, H. M. Whelplev. A. .1. Steele, W. Hutson Ford, A. V. L. Brokaw, E. W. Saunders, Seldon P. Spencer, Francis Hemm. Toward the close of the scholastic year of 1898-99 the respective faculties of the Missouri Medical College and the St. Louis Medical Col- lege took certain preliminary steps looking to the union of these two institutions. With this end in view both faculties resigned, and in due course combined to form the Medical Department of the Washington TJniversity. THE ST. LOUIS MEDICAL COLLLQE. On October IS, 1841, the board and faculty of St. Louis University enacted the constitution of a medical department and created the institu- tion later known as the St. Louis Medical College. It was organized October b, .181?. James H. Lucas was its Jir'st president. Col. John O'Fallon and the Rev. Wm. Greenleaf Eliot com- prised the faculty appointed b}~ the university. The original faculty consisted of Drs. Josephus Wells Hall, Hiram Au- gustus Prout, James Vance Prather, Daniel Brainard of Chicago, 111., and Moses Lewis Linton of Springfield, Ky. This faculty began the instruction in medicine in a small house on Washington avenue owned by the dean. Dr. Prather. They delivered a course of lectures in the winter 1842-43, and conferred the degree Oi Doctor of Medicine on the first graduating class of six. The resignation of Drs. Prout and Brainard was filled by Dr. Abram Litton of Nash- ville, Tenn.: Dr. Joseph Grandville Norwood of Madison, la., and Di. Charles Alexander Pope and in the following year by Dr. Moses Montrose Fallen. The faculty was reorganized and separate chairs were charged with the teaching of chemistry and anatomy — two "branches in which this school soon became pre-eminent. About this time Dr. Prather erected a small college building on the same lot on Washington avenue. During the next few years numerous changes took place. Drs. Hall, Norwood and Prather resigned and Drs. Henry M. Bullitt of Louisville, Ivy.; James Blake of London, England; Thomas Eayburn, Kobert Simp- son Holmes, William M. McPheeters, David Prince of Springfield, 111.,, and Willis Greene Edwards at various times filled chairs in the faculty over which Dr. Linton and Dr. Pope presided as dean. The school soon outgrew its modest quarters, and in 1849 entered a new house erected by Col. John O'Fallon on the northwest corner of Sev- enth and Mvrtle. The new college building was one of the conspicuous edi- fices of the city at that time. The now prosperous school at this time,, impelled chiefly by reasons growing out of the so-called Know- .X<> thing movement in politics, was induced to sever its con- nection with the St. Louis University. The school was in- corporated and assumed the name of the St. Louis Medi- cal College, under a charter granted by the Legislature of the State Feb- ruary 23, 1855. The renown of its dean had already added the by-name- of "Pope's College." The faculty consisted of Drs. Linton, Litton, Pope^ MEDICINE AND SURGERY. 135 Fallen. Holmes, McPheeters, Charles Whittlesey Stevens and John Bates Johnson. Other changes about this time brought to the college Dr. John Henry Watters, Dr. Ellsworth F. Smith and Dr. E. H. Gregory. The childhood of the school may be said to have ended and prosperity marked the new- charter and the new name. While the War of the Eebellion did not interfere with the regular college work or its prosperity, it led to a number of changes in the faculty, among which we find the name of John Thompson Hodgen, who, on Sep- tember 15, 1862, was called to the Chair of Physiology and in 1864 was made dean of the college, and held the same until 1882. In 1866 the college allied to itself the Missouri Dental College, which in 1892 became the Dental Department of Washington University. On April 9, 1891, the St. Louis Medical College accepted the offer of alliance with the Wash- ington University as her medical department, because it would serve as a guaranty to the profession and to the public of thorough work. WASHINGTON UNIVERSITY MEDICAL DEPARTflENT. (The St. Louis and Missouri Medical College.) Early in the year 1899 the respective faculties of the St. Louis Medi- cal College and the Missouri Medical College took preliminary steps look- ing to the union of these two institutions. With this end in view both faculties resigned, and in due course combined to form the Medical De- partment of Washington University. The Missouri Medical College was founded in 1810, and with the ex^ ception of the vears of the Civil War had given continuous instruction up to the time of this consolidation. The St. Louis Medical College was founded in 1842, and has just completed its 58th consecutive annual course. Under an ordinance enacted in. 1891 it was created the Medical Faculty of the Washington University, and has continued in that relation up to the present year. This union of the oldest and most representative of the medical col- leges of the West was undertaken and successfully consummated solely in behalf of a broader and more thorough training. As will be seen, there has been a considerable increase in the size and effectiveness of the teaching force. The university has at its disposal two new and finely equipped college buildings, and the facilities for clin- ical work have been greatly increased. The graded course of study now established has been elaborated and extended as experience has dictated and always in the direction of higher standards and broader teaching. Xow that four years of attendance prior to graduation have been adopted and required from all candidates, it has become possible to introduce new features in the plan of instruction, by which the student will gain greater leisure for his work and more lib- erty in the selection of his studies. A distinctive feature 01 the Medical Department of the Washington University is the requirement of and full provision for extended laboratory work by every student in all the fundamental subjects of medical study. The extent and scope of the required practical work in anatomy and in chemistry have been greatly enlarged, and full laboratory courses are 186 >NE HUNDRED YEARS OF given in histology, in medical chemistry, in pathological anatomy and in bacteriology. The actual making of post-mortem examinations by the student himself is a feature of the instruction. In general, the method of teaching pursued in this institution is, so far as practicable, that of direct personal instruction of each student. In addition to the usual methods of lectures, didactic and clinical, there are recitations from the text- books and clinical conferences, in which the student examines the patient and. submits a written report of his diagnosis for criticism and discus- sion. The Medical Department of Washington University has at its absolute disposal two large and recently constructed buildings. These are the edifices formerly occupied by the St. Louis and the Missouri Medical Col- leges. The St. Louis Medical College building, situated on Locust street, between Eighteenth and Nineteenth streets, is a spacious and elegant structure, and was erected in 180? for the conjoint use of the medical and dental departments of the university. In addition to the space de- voted to administrative purposes, it contains five lecture halls, three chemical laboratories, two laboratories of physiology, practical anatomy rooms, a laboratory of microscopy, a complete bacteriological laboratory, two dental laboratories and a fully organized clinical department. The various laboratory departments are fully equipped with the latest instru- ments of precision and with apparatus adapted both for demonstration and for original research. The Missouri Medical College building, erected in 1895, is directly connected with the Polyclinic Hospital and Dispensaries, so that the lect- ure halls, laboratories, clinic and hospital rooms are all under one roof. The building is amplv provided with well-equipped histological, physio- logical, chemical, pathological and bacteriological and surgical amphi- theaters, lecture halls, general waiting apartments and special clinic rooms. The faculty is as follows: AVinfield S. Chaplin, LL.D. W. A. Hardawav. M. D., LL.D. Elisha H. Gregory, M. D.. LL.D. 11. X. Spencer. A. M.. M. D., LL.D. G. Baum^arten, M. D., Dean. W. C. Glasgow. A. B.. M. D. II. Tuhofske. M. D. Hcnrv Schwarz, M. D. T. F. Prewitt. M. D. Paul Y. Tupper. M. D. W. E. Fischei. M. D. E. VV. Saunders. M. D. Robert Luedekino-. M. D. X. B. Carson. M. D. John P. Bryson, M. D. J. B. Shapleigh. M. D. Justin Steer. M. D. Sidney P. Buds:ett. M. D. THE ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS. This institution was organized in 1878 — just twenty-two years ago — by the late "Dr. Louis Bauer and others," as the certificate of incorpora- tion reads, and has constantly maintained a high rank as an educational institution, its diplomas being recognized in every State in the Union having a law regulating the practice of medicine. For some years after its organization it was located at the corner of Eleventh and Xorth Market streets, but ten years ago the large building at the southwest corner of Jefferson avenue and Gamble street was erected for its accommodation, and it has since occupied these commodious quar- ters. MEDICINE AND SURGERY. 187 This building was planned from bottom to top for the sole purpose of conducting a medical college, and was fitted with every convenience which years of experience had shown to be necessary to facilitate instruc- tion in this important science. As the requirements of an advanced standard of medical education have developed since its opening the college has added to its equipment until it is not surpassed by any school in the West to-day, offering the student all the advantages which are available in any country in the acquisition of a medical education. In these days the foundation of a medical education is a good, prac- tical, liberal, general education, and the College of Physicians and Sur- geons has been constant in its demand for a high educational standard for its matriculates, a condition warranted by the standing of the school throughout the country and fully justified by the reputation of its grad- uates. Following is the faculty : Waldo Briggs, M. D., Dean. r . W. J. Miller, M. D. jElliott E. Furney, M. D., Treasurer. Budolph Buhman, M. D. James Moores Ball, M. D. , W. W. Essick, M. D. R, M. Kin?, A. M., M. D. Otho F. Ball, M. D. W. A. Hall, M. D. [ U. S. Boone, Ph. G., M. D. George H. Thompson, M. D. K. C. Spain, M. D. C. W. Lillie, M. D., Secretary. G. W. Haverstick, M. D. Edward B. Kinder, A. M., M. D. Edw. IT. Eyermann, Ph. G., M. D. Julius C. Hainer, M. S., M. D., Henrv Kruse, Ph. G., M. D. LL. B. J. Heles, M. D. Wm. Standing, M. D. F. L. Deck, M. D.. John W. Adams, M. D. H. P. Mack, M. D. Arthur E. Mink, M. D. Jules M. Bradv, M. D. M. J. Epstein, M. D. E. E. Wilson, M. D. Otto Sutter, M. D. E. C. Eenaud, M. D. Oscar F. Baerens, M. D. W. J. Miller, J. L. Wiggins, M. D. Charles Lewis. Heinrich Stern, Ph. D., M. D. B. J.Simpson. A. Fulton, M. D. UNIVERSITY OF THE STATE OF HISSOURI, COLUMBIA. The Medical Department of the University of the State of Missouri was organized in 1873 at Columbia, Mo., as an integral part of the edu- cational system of Missouri. In 1846 till 1856 there existed in St. Louis a medical department with only a nominal connection with the university electing a faculty, suspended by board, and when this department was organized in Columbia it was done on the plan that prevailed at the Uni- versity of Virginia. The leading feature was a full session of nine months. The student was advanced upon examination alone. The first years of its existence there were but few professors and but few students. It had a hard struggle for existence — practically no money to operate on. It had but two laboratories at that time — chemistry and physics. This continued till 1892, when it received some money for equipment. The standard for admission was raised each year, and a graded course of three years, nine months each year. 188 ONE HUNDRED YEARS OF The year of 1900 now finds preliminary requirement two years in an articulated high school; a graded course, four years of nine months each, and (1) anatomical laboratory equipped to teach anatomy by modern methods; (2), a histological laboratory; (3), pathological laboratory; (4), bacteriological laboratory; (5), physiological laboratory; (6), embryolog- ical laboratory; (7), chemical laboratory; (8), one for physics. It had given it a new hospital (this year 1900), by Hon. William L. Parker of Columbia, Mo., and bears his name. The capacity of this hos- pital is 100 beds. This is now made a State hospital. THE MARION-SIMS COLLEGE OF MEDICINE. The Marion-Sims College of Medicine was founded in 1890, and 137 students were enrolled the first session, which began October 1 of that year. At that time the college occupied the four-story building, 60x90, just constructed at the corner of Grand avenue and Caroline street. Two years later the faculty built the hospital, 45x54, adjoining the college building, with a capacity of 40 beds. Two years later an additional pur- chase of ground was made, increasing the college possessions to almost an acre. A short time after this the college purchased two additional lots, and during the present session (1900) a further purchase of a lot was made, so that now the college owns one and one-half acres of desirable property on the corner of Grand avenue and Caroline street. In October, 1899, the college authorities completed the building for the dental de- partment, which was established in 1894. The college has been wonder- fully successful both in its medical and dental departments. It now oc- cupies a high rank among the medical and dental colleges of this country. In the ten years of its existence 596 physicians have been graduated from the medical department and 50 from the dental department. As now constituted the faculty comprises the following: Young Hance Bond, A. M., M. D., Dean. Jacob Geiger, M. D., LL.D. Carl Barck, A. M., M. D. Josephus Bobert Lemen, M. D. Hugo Summa, A. M., M. D. Benjamin McKenclree Hypes, A. M., M. D, Vice-Dean. Hanau Wolf Loeb, A. M., M. D., Secretary, Bobert Chilton Atkinson, M. D. Charles Gilbert Chaddock, M. D. Thomas Casey Witherspoon, M. D. George Clinton Crandall, B.S., M.D. Hermann Hyacinthe Born, M. D., Treasurer. Hugo Maximillian Starkloff, M. D. Leo Bichard August Suppan, B. S. Edwin Sauter, M. D. Henry Clay Fairbrother, M. D. Martin Feeny Engman, M. D. Jesse Shire Myer, A. B., M. D. Eben Bichards, A. B., LL.B. Bransford Lewis, M. D. Willard Bartlett, A. M., M. D. A. N. Curtis, M. D. ^Nicholas Clinton Shanahan, M. D. Malvern Bryan Clopton, M. D. William Otto Winter, M. D. Bobert Fleming Amyx, M. D. John Douglass, A. B., LL.B. Frederick S. Harberle, M. D. Hudson Talbott, M. D. Lloyd Simpson, M. D. Bobert Boy Keeble, M. D. Hubert Beedle, M. D. William Davis Black, M. D. Claude Lester Armstrong, M. D. Edgar Pearl Ward, M. D. Le Boy White Beardsley, M. D. Clarence Edward Walker, M. D. Prank Joseph Vockel Krebs, M. D. MEDICINE AND SURGERY. 189 Phreeborn Grundy Pa ugh, M. D. Haryey Svdney Smith, M. D. William Tell Hirschi, M. D. Louis Kassieur, M. D. Will Rininger, M. D. Louis Andrew Brandenburger, M.D. Harlow James Phelps, B. S., M. D. Duncan Scott Werth, M. D. Max Washington Myer, A. B., M. D. Charles Howard Longstreth, M. D. Clarence Loeb, A. M., M. D. Erasmus McGinnis, M. D. Carl Jesse Koontz, M. D. Henry Schuyler Oyler. BARNES MEDICAL COLLEGE. The Barnes Medical College was organized June 7, 1892, by Dr. Pinck- ney French, Dr. A. M. Carpenter and Dr. C. H. Hughes of St. Louis. A charter was granted June 21. Just fourteen clays later a site was selected, ground purchased and building erected on the northeast corner Twenty- seyenth and Chestnut streets. The building was a handsome five-story and basement structure, containing two large lecture halls, biologic, path- ologic and bacteriologic laboratories and all modern conveniences and im- provements known at that date. It was built to accommodate 400 stu- dents. This college was conducted from the start on business principles by a board of trustees, and the first year registered 256 students. From the beginning its growth was steady, and increased each year until in 1895 there were 350 students in attendance. After three years this build- ing was found to be too small, and the board again selected the site, pur- chased ground at Thirtieth and Chestnut, and erected the six-story and basement building it now occupies. The building is 104x120 feet, and is the largest and best equipped building of its kind in the country. It is safe to say that in the construction of the entire building there is nothing more to be desired. The anatomic laboratory coyers a floor space of 90x102 feet (the largest in the world), Avith tables at which 400 students can conveniently work at the same time. The other laboratories are large, well lighted and ventilated, and every modern conyenience has been proyided for the in- struction and comfort of the student. The Barnes was the first school in the West to establish the four- year course, systematically arranged. The college is governed and managed by a board of trustees, on the same lines as universities, and this method his proved satisfactory, as the growth of the school will testify. Last year 600 students were registered and 202 graduated, this being the largest class ever graduated west of the Mississippi. When the Barnes Medical College was organized in 1892 St. Louis was the ninth city in the Lnited States, and also ranked ninth as a medical center. At this writing (1900) St. Louis is the fifth city in the United States and the Barnes Medical College ranks as the fifth medical college in the United States. The board of trustees deemed it eminently appropriate to aid in com- memorating the name and in perpetuating the memory of one whose munificent generosity, unparalleled in the history of Western philanthropy, made it possible for St. Louis to possess, in the near future, one of the greatest hospitals of this great country, and place the profession of medi- 190 ONE HUNDRED YEARS OF cine under a lasting debt of gratitude. As an integral part of the medi- cal profession, the faculty, as well as the trustees, would foster that philanthropy which builds abodes for the sick and provides for their care and treatment. Thus this institution was given the name of Mr. Rob- ert A. Barnes, deceased, whose recent devise of a million dollars was made for the perpetual alleviation of afflicted humanity. Following is the Honorary Board of Trustees: Rev. John Matthews, D. D. Rev. J. D. Hammond, D. D. Gov. Lon. V. Stephens. Rev. S. J. Mccols, D. D. Judge W. F. CowgiU. Horn R. L. Wilson. Col. A. C. Avery. Hon. Samuel Dodd. Eon. W. E. Sehweppe. Hon. F. G. Xiedringhaus. Judge Thomas A. Sherwood. Rev. J. H. Garrison, D. D. Hon. Isaac M. Mason. Rev. Alex. Proctor, D. D. Hon! J. H. Alexander. Rev. S. M. Martin. Dr. E. S. Lemoine. Col. S. E. O'Bannon. Hon. R. W. Tureman. Col. Thos. W. Crouch. Hon. J. M. Proctor. Maj. C. A. Connett. Hon. Geo. A. Hughes. S. K. Crawford, M. D. The Board of Trustees,, is as follows : John D. Yincil, D. D., President, St. Louis, Mo. John C. "Wilkinson, Vice-Presi- dent, St. Louis, Mo. George A. Baker, St. Louis, Mo. W. T. Anderson, Treasurer, St. Louis, Mo. J. B. Legg, St. Louis, Mo. John M. Marmaduke, Mexico, Mo. Appended is the present faculty W. C. Lav. M. D. C. H. Hughes, M. L\, President. A. M. Carpenter, M. D., Vice-Pres- ident. A. R. Kieifer, M. D., Recording Secretary. Pinckney French, M. D., Corre- sponding Secretary. A. W. Fleming. M. D. J. T. Jelks, M. D. M. D. Jones. M. D. C. M. Riley, M. D. R. C. Blackmer, C. M.. M. D. C. H. Hughes, M. D., St. Louis, Mo. A. M. Carpenter, M. D., St. Louis, Mo. A. R. Kieffer, M. D., St. Louis, Mo. John M. Wood, Esq., St. Louis, Mo. Pinckney French, M. D., Secreta- ry. St. Louis, Mo. Chas. R. Oatiuan, M. D. Edwin E. Meng, M. D. Jas. H. Tanquarv, B. S., M. D. G. M. Phillips, M. D. John W. Vaughan, A. M., M. D. S. C Martin, Sr, M. D. C. H. Powell, A. M., M. D. M. Dwight Jennings, M. D. W. L. Dickerson, M. D. F. L. Henderson, M. D. J. Leland Boogher, B. S., M. D. John 11. Duncan, A. M., M. D. BEAUnONT HOSPITAL MEDICAL COLLEGE. The Beaumont Hospital Medical College, located at St. Louis, was organized in 1886, and the name of "Beaumont" given it in honor of that distinguished physician and surgeon. Dr. William Beaumont. In the spring of 1900 the college closed its fourteenth session with a graduating class of sixteen. MEDICINE AND SURGERY. 191 Its students are drawn principally from the Western States, but it is not an unusual thing to see them registered from all parts of the United States. The building is of modern construction and contains three am- phitheaters and three laboratories, a large, well-lighted and ventilated dis- secting room, a museum and clinical rooms. The laboratories are equipped with all modern apparatus. The college has under its control a number of hospitals, in addition to its free dispensary and clinics. Since its opening day the Beaumont College has had for its watch- word, ••Advancement,"' and success has followed success from year to year, through the untiring efforts of the faculty to reach the highest attain- ments in college work and uphold the honor 6f the name adopted. The faculty. 1899-1900, was: W J. w w B. Outten. A. C. MulhalL A. A. MeCandless G. Moore. M. Adolf Alt, M. D. Leonidas H. Laidlev. M. D. Frank J. Lutz. A. M. M. D J. B. Keber, A. It.. M. D. Jacob Friedman. M. D. Walter B. Dorsett, M. D. J. B. Dale, M. D. M., M. D. Jo M., M. D. C. A. M., M. D. C. D.j Tice-Dean. M. C. Dean. John T. Larew. M. D. W. Schleiffarth, M. D. Shattinger, M. D. A. Goldstein, B. S.. M. D. M. Xicholson. M. D. Kemy J. StofM, M. D. LeGrand Atwood, M. D. Howard Carter, M. D. Sidnev I. Schwab, M. D. William Porter, A. M\. M. D. John A. Harrison, A. M.. M. D. CENTRAL HEDICAL COLLEGE. The Central Medical College of St. Joseph. Mo., was legally char- tered under the statutes of the State of Missouri, the 31st day of May, 1891. Its first class was graduated March 1, 1895, this class having taken its former courses in other medical colleges. It owns its own building, located at Xinth and Felix streets, and is well equipped in every partic- ular for teaching modern medicine and surgery, having well arranged lecture rooms, laboratories and every convenience for the education of young men and women in the science of medicine and surgerv. Its incorporators were 0. B. Campbell, M. D. : T. F'. Potter, M. D.; J. P. Chesnev. M. D. : G. L. Sherman. M. D.: G. C. Potter, m/d., and J. B. Riley, M. D. It has enjoyed a liberal patronage from the first of its existence, and its directors and faculty are pleased to say "that each year its class has gradually increased, so that it was larger than the preceding one/' It will require four vears of didactic and clinical work before conferring the degree of M. D. from this time on, the year ending March 1, 1900, be- ing the last year it will graduate on the three-year basis. The faculty is composed of the following well-known gentlemen: O. B. Campbell. M. D. T. E. Potter, M. D. G. L. Sherman. M. D. G. C. Potter, M. D. S. F. Carpenter. M. D. J. M. Bell. A. M.. M. D. M. F. Wevmann, A. M.. M. D. O. G. Gleaves. M. D. W. F. Flam, M. D. Hon. S. S. Brown. J. F. Owens, M. D. F. G. Thompson. M. D. C. A. Tvo-art. M. D. H. S. Kellev. FF.D. S. D. Senor, M. D. Wallace Deffenbauo-h. M. D. L. J. Dandurant, A. B.. M. D. Herbert Fee. M. D. Hubbard Finlev. M. D. C. A Breckenrido-e. M. D. 192 ONE HUNDRED YEARS OF The officers and directors of this institution are 0. B. Campbell, M. D., president; T. E. Potter. M. D., secretary, and G. C. Potter, M. I)., treasurer, and G-. L. Sherman, M. D. UNIVERSITY MEDICAL COLLEGE OF KANSAS CITY. Established in 1881, the University Medical College has grown aston- ishingly. The college draws on Missouri and the surrounding States, in the main, in making up its list of students, although it is not infrequently found that a young man has come all the way from Canada or some far distant State to study under the skillful practitioners who constitute the faculty. The first graduating class consisted of seven members, and the ex- ercises occurred in 1882, the second year in the existence of the college. In 1883 there were eight graduates, and in 1884 diplomas were received by fourteen students. Each year of life gave the college a larger grad- uating class than it had the year before, until in 1898 the class num- bered sixty-six. This year there are 130 members of the senior class, and of this number nearly all will graduate. The average daily attendance is more than 300. Dr. James E. Logan is president of the college. Dr. Charles T. Wainright is dean of the college and Professor of the Chair of Clinical Medicine and Physical Diagnosis. Dr. John Punton is secretary, and holds the Chair of Nervous and Rectal Diseases. Dr. Samuel C. James, the treasurer, is Professor of Principles and Practice of Medicine. The first president of the college was the late Dr. J. W. Jackson. Dr. J. M. Allen succeeded to the presidency upon Dr. Jackson's death. Dr. Wainright was the next president, bin; was soon after elected dean, which office had become of great importance. Dr. Logan was elected president and holds the position at the present time. Dr. C. W. Adams was the first dean of the college, and was suc- ceeded by Dr. Wainright. While Dr. Wainright was president, Dr. S. G-. Grant held the cleanship. Dr. L A. Berger, deceased, was the first sec- retary and at his death Dr. Punton was elected secretar}*-, which position he now holds. The college building is a handsome four-story structure, convenient and complete as a modern college edifice. It provides a large and airy amphitheater, two lecture halls, large and well furnished chemical lab- oratories, well lighted and well ventilated dissecting rooms, museum, pro- fessors' rooms, reception room and convenient apartments for the college dispensary. With the most modern equipments, the facilities for teach- ing are greatly amplified and the comforts and attractions for students correspondingly increased. Recognizing the importance of laboratory work in modern scientific education, a most prominent part has been assigned it in the course from the beginning! The histological, pathological, bacteriological, physiologi- cal, chemical and anatomical laboratories, each under the charge of one eminently qualified by training and experience in his department, have been fully equipped with all the most. modern appliances of this coun- try and the old, and neither expense nor time has been spared to make this course thoroughly abreast with the best. The clinical opportunities of this school are of special importance, and it is very doubtful if they can be surpassed by any medical school MEDICINE AND SURGERY. 19 3 in the country. This fact has already become well known throughout the West and Southwest, and has had more to do with the rapid growth of the University Medical College than has had almost any other in- fluence. In the clinical instruction the students in the University Medical College have the benefit of nearly all the hospitals in Kansas City and Kan- sas City, Kan. The excellent hospital known as the University Hospital is owned and controlled entirely by the faculty of the University Medical College. It is used as a benefit to the students in the college. The hos- pital is complete and commodious in all its various departments. It was refitted when the college took charge of it, with the best aseptic and antiseptic appliances for the care and treatment of patients. With its fine operating room and halls, its well ventilated wards and private rooms, it offers to the student during the coarse the opportunity of witnessing every operation in the range of surgery and gynecology, as well as the treatment of the patieuts in all departments of the practice of medicine. In addition to the hospital the college has a free dispensary, consist- ing of a reception room, drug and consultation room, located in the col- lege building: is open every day for the reception of patients. The dis- pensary service is free to the poor. Officers — James E. Logan, M. D., president ; C. F. Wainwright, M. D.^ dean; John Punton, M. D., secretary; S. C. James, M. D., treasurer;. Flavel B. Tiffany, member executive committee; S. G-. Gant, curator. THE MEDICO-CHIRURGICAL COLLEGE. The Medico-Chirurgieal College was organized March 14, 1897, and was known as the Kansas City (Kan.) College of Medicine and Surgery. It was reorganized in 1898 and removed to Kansas City, Mo., and adopted the name of Medico-Chirurgieal College. The first year it had one graduate, the second year it had eight grad- uates, the third year it had twenty graduates. It is the aim of the faculty and board of trustees to make this school the peer of any school in the land. Special attention is given to histology,, pathology, bacteriology. There will be added to the faculty for the years. 1900 and 1901 several men especially fitted for the work. The Medico-Chirurgieal School has made rapid progress since it was first organized. The officers and faculty are: C. Lester Hall, M. D., President. N. J. Pettijohn, M. D. James Thompson, Vice-President. Stephen A. Dunham, M. D. B. L. Eastman, Treasurer. - Julius Bruehl, M. D. Blencoe E. Fryer, M. D. James Thompson, M. D. W. F. Kuhn, A. M., M. D. C. A. Dannaker, M. D. Geo. 0. Coffin, M. D., Dean. J. L. Harrington, M. D., Secretary E. E. Lewis, A. M., M. D. John M. Lan^sdale, M. D. J. A. Lane, M. D. Hon. E. B. Middlebrook, L. L B James F. Wood, M. D. L. B. Sawyer, M. D, 13 194 ONE HUNDRED YEARS OF Stanley Yewhouse, M. D. Ealph J. Brown, M. D. Joseph S. Lichtenberg, M. D. W. Eugene King, M. D. Thos. H. Cunningham, D. D. S. A. Morrison, M. D. IT. D. McQuade, M. D. J. E. Mount, M. D. D. Y. Whitnev, Ph. G. E. E. Hubbard, M. D. R. B. Tate, M. D. Howard Hill, M. D. Geo. F. Berry, M. D. A. W. Thomas, M. D. James H. Manahan, M. D. J. VV. Miller. M. D. Park L. McDonald, M. D. E. G. Taylor, M D. John T. Mitchell, M. D. Joseph S. Lurie, Ph. D. J. W. Carter, M. D. Howard Hill. M. D. I). Walton Hall, M. D. THE AMERICAN MEDICAL COLLEGE. The American Medical College of St. Louis is a charter member of the National Federation of Eclectic Medical Colleges, and has conformed strictly to the rulings adopted by the confederation in its requirements for advanced medical teaching. These have been in conformity with the most advanced medical schools and Slate Boards of Health in the United States, so that its diplomas are acceptable in any part of this country. The college operated in a downtown building for ten years, but after the streets were paved the noise and other inconveniences were such that a move became necessary, whereupon the present building was erected by the Board of Trustees and Faculty, and has been in use exclusively for college purposes for more than ten years. The college, in selecting its faculty from time to time, as additions and changes became necessary, has j^referred its own graduates, some of whom have proven eminent as teachers. Dr. John L. Ingram of the class of '84 and Dr. E. Lee Standlee of the class of '86 were elected to membership in the faculty in the fall of 1886, and have continued until the present time. Prof. Ingram as a teacher of physiology is equal to the best. His lectures and demonstra- tions are clear and decisive, and the subject matter is brought before the student in a manner that is easily grasped and appropriated. Prof. Standlee has for many years been classed among the best teachers of anatomy. The following compose the faculty: Albert Merrell, M. D. Edwin Younkin, M. D., Dean of Faculty. Geo. C. Pitzer, M. D. E. Lee Standlee, M. D. M. M. Hamlin, M. D. William F. Francis, M. D. Ira W. Hpshaw, M. D. J. B, Barry, M. D. John L. Ingram, M. D. J. Moreau Blakemore, M. D. Harry H. Helbing, M. D. J. Harvev Moore, M. D. F. A. Kraft, M. D. John T. Sibley, M. D. Hon. Wm. M. Kinsey. 196 ONE HUNDRED YEARS OF ries. The time has arrived when additional room is necessary, and the ad- dition will doubtless he made within the present year. In order to secure the building no effort was made to secure dona- tions or reliance placed on friendly contributions. Strictly business feat- ures were recognized as more likely to result in the gradual and normal growth of the college, as abundantly attested during the last eight years of its history. The Homeopathic College Building "Company was organ- ized, with S. C. Delap, M. D., as president, and A. E. Xeumeister, M. D., as secretary, and stock to the amount of $4,000 was authorized. This was subscribed and paid for by ten members of the faculty, and furnished the necessary cash to purchase the lot and begin building operations. The earnings of the college have sufficed to meet running expenses and liquidate all debts. Xext year the college will inaugurate the rather unusual policy for medical colleges of paying the instructors a salary. As a result a fewer number will be employed as teachers and better service will be secured. During the first year fifteen students were matriculated and four were graduated. Twenty-four were matriculated the second year and seven graduated. The fourth year the course was extended from that of two years to three, and thirty-four were matriculated and six were grad- uated. The course of instruction has now been extended to four years, and during the }*ear 1S99-1900 seventy-six have been matriculated and ten graduated. The list of graduates now number 118. Of this number thirty-three are women, the college recognizing the principle of co-education from the beginning. As might have been expected, all was not uninterrupted progress and harmony in the growth of the college. Those who were not invited to join in the work at the outstart only became friends after a place of their own choice had been made for them in the faculty. Others who entered later were not always found adapted to the work or capable of working in harmony with others. Under such circumstances the progress of the col- lege, from its modest; beginning to its present substantial position, was greater at times than others, but the fact that it has a serviceable and commodious home of its own, free from debt, with a most respectable alumni list and efficient faculty, indicate that the most has been made of opportunities and that a useful and prosperous future is before it. The college faculty is as follows: A. E. Xeumeister, M. D., Dean. W A. Connell, Ph. D. G. E. ApLynne, M. D., Begistrar. Carrie Allcutt, M. D. Mark Edirerton, M. D., Financial Charles K. "Wiles, M. D. Secretarv. Schuyler C. Elliott, M. D. S. C. Delap, M. D. W. C. Allen, D. D. S. H. M. Fryer, M. D., Secretary Board Charles Ott, M. D. of Trustees. Andrew H. Starcke, M. D. Wm. Davis Foster, M. D. E. E. Enz, M. D. L. G-. A'an Scoyoc, M. D. J. C. Stewart, M. D. E. B. Heath, M. D. J. E. Badley, M. D. Solon T. Gilmore, A. B., EL. B. C. E, Putnam, M. D. G. A. Dean, M. D. S. C. Delap, M. D. Sam H. Anderson, M. D. John T. Boland, It. D. Emilv S. Colt, M. D. E. L. Xorris, M. D. MEDICINE AND SURGERY. 197 G. E. ApLynne, M. D. Sam H. Clothier, M. D. R. V. Ditzler, M. D. L. C. Guggenheim, M. D. J. H. Nolan, M. D. Drs. Hems, Westover and Hall were the first Homeopathic physicians of St. Joseph, all living and doing well. In Kansas City the first ones in the order of their coming were Drs. Feld, Joshua Thorne and Peter Baker. All are now dead. Up to 1888 the number was less than a score. At this date the Kansas City Homeo- pathic Medical College was organized, and this institution gave an im- petus to homeopathy that was before unknown, and the history of the college is virtually the history of homeopathy in this city. There are sixty homeopathic .physicians now in the city. The Kansas City Homeopathic Hospital was organized in 1890 and prospered for several years, but at the end of this period its effects were soid for the debts, and it went out of existence. Identified with this hospital were Drs. Canfield, Foster and Eunnels, with various other members of the school. Unseemly as it may appear, it was the occasion of much discord among the Homeopaths of the city Several would-be leaders failed to attract a following, and the result was disastrous to the cause. At present there are three hospitals in the city devoted in whole or in part to the interests of the homeopathic school — the Medical and Surgi- cal Sanitarium at Eleventh and Forest, the Women's and Children's Hos- pital at Eleventh and Troost and a new Homeopathic hospital at 402 Whittier place. On several occasions a club has been organized, but it always lacked sufficient cohesiveness to hold together for more than a very few months. The only organization that has been maintained over a half dozen years has been the Kansas City Homeopathic Medical College. 198 ONE HUNDRED YEARS OP CHAPTER XV.— MEDICAL JOURNALS OF THE STATE. Since 1843, when the St. Louis Medical and Surgical Journal was founded, many medical journals have heen launched in this State, and while a few have succumbed to the varying winds of circumstance, most still remain and flourish. There are medical journals of all kinds and types — the weekly, the bi- weekly, the monthly, the quarterly, the general journal, the special journal, the college journal, the proprietary journal and the journal for publishers — all are represented. In fact, it is currently admitted that there are more medical journals published in this State than in any other in the union. St. Louis alone contributes 22; Kansas City, 3, and St. Joseph, 2. While necessarily some are of indifferent value from a standpoint of medical lit- erature, quite a few are leaders of their class. This is particularly true of the special journals published in St. Louis, which include the Annals of Ophthalmology, Annals of Otology, Laryngology and Rhinology, Laryngo- scope, American Journal of Ophthalmology and Alienist and Neurologist; and what might seem strange at first sight, these journals have few proto- types in this country. Thus there are only two other ophthalmological journals of any standing published in this country (one in Chicago and one in New York) and these have the same relative value as the St. Louis publi- cations. The two nose and throat journals are the only ones of any pre- tention published in this country. In England there is one of this type, and, according to universal opinion, it is below the standard of the Laryn- goscope and the Annals of Otology, Laryngology and Rhinology. The Alienist and Neurologist is a good example of the three American journal devoted exclusively to neurology and psychiatry. The single weekly and bi- weekly and many of the monthlies have a position which seems far be- yond the possibilities of a city so far from the original center of medical education and advancement. However, when the improvements which St. Louis and the State have made in these regards are taken into consid- eration, the reasons are obvious and clear. AVhile no attempt has been made to enter fully into the history of each individual journal, it is hoped that expression of the leading points in the development of the various publications here described may be of service in showing their influence upon the medical profession of the State of Missouri. THE ALIENIST AND NEUROLOGIST. The Alienist and Neurologist, a "Journal of Neurology, Psychology, Psychiatry and Neuriatry for the General Practitioner of Medicine/' was founded in 1880 by Dr. Charles H. Hughes. The journal referred to is a quarterly, averaging 250 pages, and has been eminently successful from the beginning. There can be no doubt that Dr. Hughes, through the me- dium of this journal, has reflected great credit upon St. Louis, as the home of his journal, and has been of marked service to the profession. Dr. Hughes, when a very young man in the later '60s, was fortunate in being superintendent and resident physician of the State Insane Asylum at Ful- ABRAM LITTON. MEDICINE AND SURGERY. 199 ton, Mo. He was the youngest man who had been placed in charge of such an institution. This early education and experience developed in him a marked taste and skill for the work. By his prominence and influence Dr. Hughes has been able to secure contributions from the ablest men in America and abroad for his periodical. These articles, together with the splendid editorials that Dr. Hughes himself has furnished, have placed the Alienist and Neurologist on a high plane. Dr.. Hughes is in the prime of life, unusually young for his years, though very old in experience, and there can be no question that with his splendid magazine he will serve the interests of the profession and the mentally perturbed for years to come. THE AMERICAN JOURNAL OF DERMATOLOGY AND GENITO-URINARY DISEASES. The American Journal of Dermatology and Genito-Urinary Diseases, a bi-monthly journal, was first published in the month of April, 1897, Dr. S. C. Martin, Sr., being its editor, with Dr. S. C. Martin, Jr., assistant edi- tor in charge of the department of genito-urinary diseases. The import- ance of these departments of medicine to the profession in general, and the limited supply of literature on the subjects to which this journal is de- voted, brought it rapidly before the medical profession and insured for it a brilliant future. The reading matter, which is composed chiefly of orig- inal articles from the pens of specialists in these departments and edito- rials on practical subjects in this field of investigation, fills fifty pages of the journal, while thirty pages are assigned to advertisers. It now enjoys a wide circulation in the profession and is cordially received by all of its readers. The editor of this journal holds the Chair of Dermatology and Clinical Dermatology in the Barnes Medical College, and the assistant edi- tor is a member of the State Board of Health of Missouri. AHERICAN J< URNAL OF SURGERY AND GYNECOLOGY. The American Journal of Surgery and Gynecology was established in 1887 at Kansas City by Dr. Emory Lanphear, then Professor of Orthopedic Surgery and Clinical Surgery in the University Medical College. In 1894 it was sold (on removal of Dr. Lanphear to St. Louis) to Dr. Herman E. Pearse, Professor of Anatomy in the Kansas City Medical Col- lege. One year later it was transferred to Dr. L. A. Schaeffer, who be- came editor and publisher. It was purchased in December, 1895, by the American Journal Pub- lishing Company (Dr. George H. Thompson, president; E. Lanphear, sec- retary; M. A. Lanphear, treasurer,) and removed to St. Louis, since which time it has been edited by Emory Lanphear, M. D., Ph. D., LL. D., for- merly Professor of Operative Surgery in the Kansas City Medical College and Professor of the Principles and Practice of Surgery in the St. Louis College of Physicians and Surgeons, under whose management it has be- come one of the leading surgical journals of this country. AHERICAN X-RAY JOURNAL. The American X-Ray Journal was founded by Dr. Heber Robarts in May of 1897, in St. Louis, Mo., and entered at the local postoffice in the same month. 200 ONE HUNDRED YEARS OF The editor became interested in X-ray work in the February following the discovery of the X-rays by Roentgen, which occurred in December of '95, and as his work is almost exclusively devoted to the professional line of diagnosis, the journal was founded for the distribution of our knowledge of the advancement in X-ray work and its value in diagnosis and disease. Actirig upon this judgment, the first number of The American X-Eay Jour- nal appeared in May of '97. The specific purpose of this journal is de- scribed on its title page: A Monthly Devoted to the Practical Application of the Xew Science and to the Physical Improvement of Man. Sis issues of the Journal appeared in the year of its advent, and it has since been published regularly every month. The increased demand for this new method of diagnosis has made the general demand and circulation for the Journal. Its circulation is not confined to the United States, but extends into all countries of this con- tinent and all regions of the world where English is read. The Journal is printed on coated paper and is illustrated with original X-ray pictures. It was the first publication of its kind in the world. The first to follow was "The Archives of the Roentgen Society;" the next two were journals pub- lished in Paris and Berlin. The American X-Eay Journal is still the only publication in America devoted specifically to X-ray work. ANNALS OF OPHTHALMOLOGY. This well-known journal of international reputation was founded in 1891 by James Pleasant Parker, who virtually gave up his life to assure its success. In the earlier years the editor and proprietor denied himself to all the pleasures and many of the necessities of life in order that the journal might be kept up to its outlined standard. In 1896, just as success was crowning his efforts, he succumbed to life's struggles and quietly closed his eyes upon the scenes of his trials, with the knowledge that his work was not in vain and that he had founded a monument for himself in the journal which for the years to come would have the wortlry function of distributing the literature of ophthalmology and laryngology. His brother Mr. Jones H. Parker, succeeded him as publisher, and, by applying proper business methods in the conduct of the journal, he has been able, Avith the hearty co-operation of the editors, to increase its standard and usefulness. In 1897 the journal was divided to accommodate the increasing necessities of the special branches of medicine. Thus the Annals of Ophthalmology, with Casey A. Wood of Chicago as editor, was established, and the Annals of Otology, Larvngology and Rhinology, with T. Melville TIardie as editor. Previous to this time Dr. C. II. May of Xew York acted as managing editor. Under the chief editorship of Dr. Wood of Chicago the journal con- tinued to grow in influence and prosperity, and when in 1899 he found it necessary to yield the chief position to Dr. H. Y. Wurdeman of Milwau- kee, he knew that its continued success was assured. Dr. Wurdeman has more than realized the dreams of the founder, and bids fair to carry the journal far beyond the supposed limits of the medical possibilities of America. MEDICINE AND SURGERY. 201 THE ANNALS OF OTOLOGY, LARYNGOLOGY AND RHINOLOGY. This journal is the outgrowth of the Annals of Ophthalmology and Otology, founded in 1891 D}' James Pleasant Parker. In 1897, when it was found necessary to divide the journal, Mr. Jones H. Parker, who had hecome the publisher, secured a worthy editor-in-chief in Dr. T. Melville Hardie of Chicago. He continued in this capacity until 1899, when he yielded the position to Dr. H. W. Loeh, who had occupied a sub-editorship upon the journal for more than five years. He brought to the journal a ripe experience, both in the details of medical journalism and in his acquaintance and relation with the leading nose, throat and ear specialists of this country. Under his editorial man- agement the journal has greatly improved, and now occupies a position in the foremost ranks of the otological and laryngological journals of the world. In this particular work he has been greatly assisted by the associate editors, Dr. T. Melville Hardie, Chicago: Dr. James T. Campbell, Chicago; Dr. George Morganthau, Chicago; Dr. G. L. Eichards, Fall Eiver, Mass.; Dr. J. L. Goodale, Boston; Dr. S. E. Allen, Cincinnati. CLINICAL REPORTER. This journal, which is the only homeopathic organ published in St. Louis, was established by Dr. I. D. Foulon, who later sold it to the Schultz Printing Company. They consolidated it with the St. Louis Journal of Homeopathy, with Drs. Edmonds and Kershaw as editors. Dr. D. M. Gibson subsequently became editor and still retains that position. 1NTER3TATE HEDICAL JOURNAL. The Interstate Medical Journal of St. Louis is a publication having a large circulation among the physicians of the Mississippi Yalley and Southwest. It also circulates largely among the railway surgeons of the country. Dr. Warren B, Outten, chief surgeon of the Missouri Pacific Eailway Hospital system, is editor, assisted by Dr. E. B. H. Gradwohl, asso- ciate editor, and Dr. Otho F. Ball, managing editor. This publication was founded at Keokuk, la., in 1893, by Dr. James Moores Ball, under the name of the Tri-State Medical Journal. One year later it was removed to St. Louis, from which point it has continued to the present time. In 1896 the Peoria Medical Eecord and in 1897 the Gen- eral Practitioner were purchased and consolidated with the Tri-State Med- ical Journal, but owing to the growth of the publication outside of the tri-State combination (Iowa, Illinois and Missouri), the name was changed -to the Interstate Medical Journal,. under which title it has continued to exert an influence in its sphere of medical journalism. The Interstate Medical Journal differs from others of its class in be- ing profusely illustrated — in fact, it is more of a medical magazine than a purely technical publication. KANSAS CITY MEDICAL INDEX-LANCET. The Kansas City Medical Index-Lancet was founded by Dr. F. F. Dickman at Ft. Scott, Kan., in 1879 and 1880, and was called The Kansas 202 ONE HUNDRED YEARS OF Medical Index. In 1883 we find associated with him Dr. W. C. Boteler, with J. R. Cheaney as business editor. In August, 1882, Dr. Boteler re- tired and the journal was then changed to The Kansas and Missouri Valley- Medical Index. In November Dr. Cheaney retired, leaving the publication under the sole editorship of Dr. Dickman. In 1885 the journal was moved to Kansas City and called the Kansas City Medical Index, with an edito- rial staff of Drs. F. F. Dickman, J. B. Browning, 1ST. A. Drake, J. W. Elston, C. W. Adams. In September Drs. Emory Lanphear and J. W. Elston as- sumed charge and edited the journal until January, 1887, when Dr. Elston retired, Dr. Lanphear continuing as editor, naming the journal Lanphear's Kansas City Medical Index. In 1894 the journal was transferred to Dr. II. E. Pearse, who assumed control until March, 1899, when Dr. Punton, who was then editor of the Kansas City Lancet, consolidated the two jour- nals and called them the Kansas City Medical Index-Lancet, with J. 0. McKjllip as business manager. KANSAS CITY MEDICAL RECORD. This journal, which is in point of years the oldest in Kansas City, was acquired by the present management in 1894, and since that time has pros- pered, with A. L. Fulton, M. D., as editor and proprietor. The Record has always been favorably known for the high professional stand it has taken on all subjects. THE AMERICAN MEDICAL JOURNALIST. This monthly, which is the only one in this country devoted to the interests of medical editors and publishers and advertisers, was established at St. Joseph in 1898 by Charles Wood Fassett, M. D. Its prosperity has been continuous since the very first number appeared. LARYNGOSCOPE. Tn July, 1896, Dr. M. A. (xoldstein, in conjunction with Dr. F. M. Eumbold, both of St. Louis, established The Laryngoscope, a 64-page monthly journal, devoted to the consideration of Diseases of the Nose, Throat and Ear. Apparently there was a fertile field for this journalistic venture, as evidenced by the constantly increasing success of The Laryngo- scope. This journal occupies a special field of usefulness and influence in laryngologic and otologic literature, and it is the only regular monthly journal of its class published in America. . Assisted by an efficient staff of associate editors and a large number of collaborators, representing every prominent medical center in both hem- ispheres, the Laryngoscope has become an influential factor in progressive otology and laryngology, and is to-day recognized as an international journal of record of the specialties which it represents. In July, 1899, the interests of Dr. Eumbold were acquired by Dr. Goldstein, who now continues the exclusive management of this journal. The Laryngoscope is the official organ of several of the representative societies devoted to laryngology and otology, and has received the indorse- ment of nearly every prominent worker in these fields of medicine in Amer- ica and England. MEDICINE AND SURGERY. 203 THE MEDICAL BRIEF. The Medical Brief dates its history from 1873, when medical journals were not so numerous as now. The policy that should dominate a medical journal was conceived by its founder and editor, J. J. Lawrence, A. M., M. D., and to his efforts are due the grand consummation of his original idea, which proved to be a correct one. Its popularity has so increased that now the best medical talent in the world send their original communica- tions to its columns, Thus making it superior to any text-book published. These contributors hail from all sections of the world where the English language is read. Its subscription list has kept pace with its wide pop- ularity, until the list contains all countries in the civilized world. In the United States its circulation is in excess of 30,000 copies each issue, while its foreign circulation is enormous for an American journal. About 1883 Mr. W. H, Lehman assumed the business management of the Brief, and, being a practical man, has, with the business acumen of the proprietor, made it one of the best journalistic properties in the world. Its financial standing is second to none. HEDICAL FORTNIGHTLY. The Fortnightly of St. Louis, which was established by Dr. Bransf ord Lewis in 1891, appears on the 10th and 25th of each month. Succeeding Dr. Lewis, the editorship passed to Dr. Frank Parsons Norbury, who has since divided the position with Dr. Thomas A. Hopkins. The journal numbers among its contributors many of the best writers of both Europe and America. MEDICAL HERALD. The Medical Herald of St. Joseph, Mo., was established in January, 1882, Dr. Prank C. Hoyt being the first editor. He was succeeded by Dr. H. W. Loeb, Dr. Jacob Geiger, Dr. Daniel Morton and Drs. Hiram Chris- topher and W. J. Bell, who now conduct the editorial management. Chas. Wood Passett, M. D., has been business manager since its establishment. MEDICAL MIRROR. The Medical Mirror of St. Louis, "a Monthly Keflector of the Medical Profession and Its Progress," was founded in 1890 by Dr. I. 1ST. Love, and has been owned and edited by him from the beginning. Dr. Love had been a liberal contributor to the medical press of the country for ten or fifteen years before; was associate editor for many years on the staff of the New England Medical Monthly and other Eastern journals; in 1878 was asso- ciate and business editor of the St. Louis Courier of Medicine, which was a journal established by 100 of the leading medical men of the State of Missouri, under the name of the Mississippi Valley Medical Journal As- sociation. This latter journal ceased publication about 1885. Dr. Love was also for several years editor of the Weekly Medical Eeview and presi- dent of the Medical Press Association of St. Louis, which conducted the editorial department of said journal. All of these experiences had made Dr. Love well-known throughout the United States as a medical writer. In 1889 he was elected, president of the American Medical Editors' Associa- 204 ONE HUNDRED YEARS OF tion at the meeting held in Newport, E. I. Learning that he was the first president of said association who did not own and control a medical journal, he determined to establish one, and the Medical Mirror was the result. As announced in his prospectus, he did not establish the Medical Mirror to "fill a long-felt want, but for the reason that he loved the medical pro- fession and medical journalism, and was willing to indulge in the luxury of the Medical Mirror as a medium of communication between the two." Believing that it was necessary to strike out along new lines, with a view to success in establishing the Mirror, he introduced for the first time the artistic features, then becoming popular in literary magazines, into the Mirror, presenting the portraits of leading workers and. writers of the profession. He declared that he "would present not only science/but any- thing and everything likely to be of interest to doctors; that he believed the profession was interested in the personality of its members; that he would not hesitate to be personal in the conduct of his journal, but never unkindly so. He announced his policy to be of a character to make the Medical Mirror interesting — to make it readable. Probably no medical journal ever established in America had more prompt success from the outstart; perhaps no one journal in iVmerica has had a better sustained suc- cess and is better known than the Medical Mirror. HEDICAL REVIEW. The Medical L'eview enjoys the distinction of being the only weekly medical publication in St. Louis and west of the Mississippi, and with a single exception it is the only one south of Philadelphia. By virtue of these conditions its influence in the Mississippi Valley and south of the Ohio is not divided with any other journal. Its history begins twenty-six years ago, when it was founded by Dr. E. C. Dudley, its first editor. For two years it was published as a semi-monthly. The Medical Eeview As- sociation then assumed charge of the publication until it passed into the hands of J. H. Chambers & Co., who continued to publish the journal until July 1, 1895, when 0. H. Dre}'er acquired it. In April, 1899, the journal was purchased by Dr. H. W. Loeb, and it is in his possession at the pres- ent time. Since Dr. Dudley assumed the editorial management the follow- ing have been editors: Drs. Gamble, Lued eking, Wise, Primm, Porter, Lewis, Dumesnil, Broome, Eiesmeyer and Loeb. The following comprises the editorial staff: Dr. H. W. Loeb, Drs. Willard Bartlett, Y. H. Bond, M. B. Clopton, W. B. Dorsett, Carl Fisch, W. Freudenthal, A. Friedlander, E. B. H. Grad- wohl, W. P. Loth, F. J. Lutz, H. N. Moyer, J. S. Myer, B. H. Portuondo, S. I. Schwab, C. Shattinger. THE NORTH AHERICAN JOURNAL OF DIAGNOSIS AND PRACTICE. This publication entered the field of medical journalism January 1, 1898, with the following gentlemen as proprietors and editors: Dr. C. H. Powell, Dr. J. G. Ehrhardt, Dr. A. E. Kieffer and Mr. Ben W. Lewis. During the years 1898 and 1899 the Journal continued with the same parties associated with it, but in December, 1899, Dr. C. H. Powell pur- chased outright the interests of the others, and subsequently sold an in- terest to Mr. John J. McLean and Mr. J. B. C. Lucas of this city. Com- MEDICINE AND SURGERY. 205 menoing with the February issue for 1900 radical improvements were made, making the North American Journal one of the handsomest publi- cations edited in St. Louis. The Journal comprises 64 pages and cover. ST. LOUIS CLINIQUE. This journal was established in 1887 as the journal of the St. Louis College of Physicians and Surgeons. It continued under the college man- agement until 1897, when it passed into the hands of the Clinique Pub- lishing Company, the present proprietors. From 1895 to the beginning of the Spanish-American War it was edited by T)r. Thomas Osmond Sum- mers, whose tragic death last June surprised and shocked the profession. When Dr. Summers entered the service of the Government in the spring of 1898, Dr. C. W. Lillie, Professor of Chemistry and Toxicology of the St. Louis College of Physicians and Surgeons, took editorial control, a position which is still held by him. The Clinique is an exponent of progressive medicine and medical science, very popular with the profession and with advertisers. The editorial office is in East St. Louis, 111., but the office of publica- tion is at 620 North Fourth street, St. Louis, Mo. ST. LOUIS COURIER OF HEDICINE. In order to place their scientific work and contributions to medical literature properly before the medical prof ession -the Medical Journal and Library Association of the Mississippi Valley, an organization composed of a large number of the leading members of the profession in St. Louis and throughout the State of Missouri founded the St. Louis Courier of Medicine. The first number appeared in January, 1879. Those who, in an editorial capacity, first moulded its character and shaped the course of its existence were Drs. A. J. Steele, W. A. Hardaway and E. W. Schauffler. To the broad foundation laid by them and to the high stand- ard of excellence which characterized their handiwork was due the marked success Avhich this publication attained. It attracted attention from its initial issue and soon gained the enviable distinction of being recog- nized as one of the leading medical publications in the United States, a position it has since maintained. In 1880 Dr. E. M. Nelson succeeded Dr. Steele as editor-in-chief of the Courier, aided by Drs. J. P. Bryson, W. A. Hardaway and W. C. Glasgow as associate editors. Lnder their editorship the reputation and popularity of the journal was widely ex- tended and its high character in every way sustained. In 1899 Dr. C. E. Dudley was chosen editor-in-chief, with Drs. Joseph Grindon, Elsworth S. Smith and W. A. Shoemaker as associate editors. Thev have carried on the work along the lines laid down by their prede- cessors, and have maintained the standard that has always characterized it. During the many years of its existence the medical profession, has accorded to it their co-operation and support, and to this fact in a large measure has been due its success. 206 ONE HUNDRED YEARS OF THE ST. LOUIS HEDICAL AND SURGICAL JOURNAL. To write the history of the St. Louis Medical and Surgical Journal would be to give a history of medical St. Louis. The Journal was the first medical publication issued west of the Mississippi River. Its age places it also in the front rank of medical journals which have survived a half- centnry of existence. The ^Tew York Medical Journal was at one time the oldest medical monthly in the United States, but some years ago be- came a weekly, and this change left the St. Louis Medical and Surgical Journal the oldest medical monthly, which position it holds to-day, and the only evidence of age which it presents is that offered by the large number of volumes which have been issued. It was founded in 18d3 by Dr. M. L. Linton, the date of the initial number being April. Dr. Linton was born in jSTelson County, Kentucky, April 12, 1808. A farmer boy, with but limited advantages in the way of securing an education, he evinced early a desire to study medicine, and read what books he could find when he could snatch a few moments from his arduous labor of felling trees. When he arrived at the age of man- hood he studied medicine under Dr. I. H. Pohn, who also instructed him in Latin and Greek. Ee entered Transylvania College, Lexington, Ky., where he remained for two years. After getting married he went to Europe for one year. Soon after he was invited to take the Chair of the Principles and Practice of Medicine in the Medical Department of St. Louis Univer- sity (later the St. Lonis Medical College), which position he occupied for twenty-six years. Dr. Linton was devoted to his profession, made a good editor and was a medical author of no mean importance or abilities. In 1845, when Volume III. of the Journal began, Dr. William M. Mc- Pheeters became assistant editor, and his numerous contributions in the Journal may be easily recognized by his signature, McP. In May, 1845, the Missouri Medical and Surgical Journal was founded, but it did not last long, for we find that three years later it was absorbed by the Journal. Dr. John S. Moore was editor of the absorbed Missouri Medical and Surgical Journal, and was made an assistant editor of the Journal, which position he held until 1861, the same year that Dr. McPheeters stepped out, both of them acting as surgeons during the Civil War. Another as- sistant editor was Dr. E. Deming, who assumed the position in 1854, and died in 1855. Dr. Victor J. Fourgeaud was an associate editor with Linton and McPheeters in 1845, but did not long retain the position. He drifted out West, finally settled in San Francisco, and died there in 1875. We find on the cover of the Journal for 1865 the name of Dr. J. E. Allen in company with Drs. Linton, Moore and Johnston. Dr. Frank S. White became an assistant editor in the same year, but further details are not obtainable. In 1867 Drs. Linton and White continued as editors and Dr. G-. Baumgarten became assistant editor. The next year Dr. White retired and Dr. Baumgarten became associate editor with Dr. Linton. In 1872 Dr. William S. Edgar succeeded Drs. Linton and McPheeters as edi- tor of the Journal, and he continued to act in that capacity until 1877, having associated with him Dr. H. C. Gill. In 1877 Dr. Thomas F. Rum- bold became editor and proprietor and infused new life into the Journal. During that year he associated Dr. Hiram Christopher as assistant editor, but he resigned upon his removal to St. Joseph In 1882 Dr. Rumbold ceased editing the Journal and this position was assumed by Dr. Le Grand Atwood, whoedited the Journal but for a short time. Dr. John B. Keber wiBssm m t|§l| vmm 1S1 HENRY H. MUDD. MEDICINE AND SURGERY. -V,- was assistant editor during 1883 3 and continued for some time. Dr. Frank M. Eumbold being editor in 18S4 and tmtil Drs. Prank L. James and Oh- ruann-Dumesnil became co-editors. Dr. F. M. Eumbold being business man- ager. In 159? Dr. Ohmann-DnmesniL the present editor and proprietor, ac- quired the Journal. He has long been identified "with the publication, having been a regular contributor since 1877. assistant editor in 1S30, and editor since 1887. The Journal is known throughout the civilized world. It circulates in all the countries included in the International Postal Lnion, and has been the pioneer in many of the latest medical discoveries. Its pages con- stitute a veritable medical history of St. Louis, and in them may be found the annals of medicine as it has been in the Mississippi Valley., as well as a record of the achievements of the mejlical profession. ST. LOU 5 .MEDICAL ERA. The first number of the St. Louis Medical Era, a monthly journal,, appeared in September, 1892, with Dr. S. C. Martin, Sr.. as editor: Dr. Pinckney French, associate editor, and Dr. S. C. Martin, Jr., business manager. The professional and other duties of Dr. French soon compelled him to relinquish his duties in connection with the Journal, which were immediately assumed by Dr. S. C. Martin, Jr., the position which he va- cated being filled by Dr. Clarence Martin. This journal is issued monthly and is devoted to medicine and surgery. The aim of the management has been to keep a faithful record of the lat- est discoveries and improvements in all the different departments of med- icine and surgery, as well as to furnish the practitioner with the highest standard of current literature on all practical subjects engaging the at- tention of the medical profession. it contains 68 pages, about 40 pages of which are devoted to reading matter ami 28 to advertisements. It now has subscribers in every hamlet in the land and is widely kncttTL throughout the United States and many parts of Europe. It not only keeps a record of every new development in medical science, but separates the practical from the theoretical in all the progressive achieve- ments of medical science. STYLUS. The Stylus^ founded in 1900. is a medical journal devoted to the hos- pital and clinical interests of St. Louis, and giving each month a resume of the best practical methods of treatment, both medical and surgical. The members of the staff represent 1,500 hospital beds, and are active men in private practice. The manager is Mr. C. E. Eiker; editor, Dr. William Porter: assistant editor. Dr. E. If. Ross; editorial committee. Drs. F. J. Xutz, J. T. Larew. TV. G. Moore, M. A. Goldstein, C. M. Nicholson. 20S ONE HUNDRED YEARS OF CHAPTEK XVI.— BIOGRAPHICAL. Brief Sketches of Well-Known Practitioners, Past and Present. OLXEY A. AMBEOSE. Twenty-fi ye years ago in tlie little city of Brookfleld, Mo., Olney A. Ambrose was born. Within a few months after his birth the family removed to Stanberry, where young Ambrose spent the early years of his life. His early education was obtained in the public schools of Stanberry, later attending Yorthwestern Yor- mal School, from which he gradu- ated, receiving the degree of A. M. Having decided to study medicine, he in 1895 entered the Barnes Medi- cal College of St. Louis, taking the visual three years' course. Graduat- \g from that institution in 1898, he at once entered upon active practice in St. Louis. Dr. Ambrose has devoted his en- tire attention to general practice, and by hard work and careful atten- tion has met with more than ordi- nary success. He has continued to study since his graduation and has made a special study of chemistry and texicoiogy, on which subjects he lectures in the Barnes Medical Col- lege, occupying the position of as- sistant to the professor of that chair. BOBERT FLEMING AMYX. The assistant superintendent of the St. Louis City Hospital is Dr. MEDICINE AND SURGERY. 209 Eobert F. Amyx, the subject of this sketch. He was born in Stockton, CaL, on the 29th dav of March, 1866. As a young man he received a public school education in the Stockton schools. After leaving high school young Amyx received a business education in San Francisco. He was for a time a bookkeeper and afterwards identified himself with one of the largest dry goods houses in Stockton. In 1894 he decided to come East, and in the fall of that year, carrying- out a long cherished hope to study medicine, entered the Marion-Sims Medical College of St. Louis, from which he graduated with high hon- ors in the spring of 1897. Through his ability to pass a competitive examination he secured an interneship in the City Hospital during the same year, and he has been connected with that institution ever since. His complete mastery of the routine of the hospital work and his general good work there made him assistant superintendent, which position he now holds. Dr. Amyx is regarded as a bril- liant executive as well as physician and surgeon. His record in the hos- pital speaks for itself. The doctor is an Odd Fellow and a member of the St. Louis Micro- scopical Society, the St. Louis Acad- emy of Medical and Surgical Science and the St. Louis City Hospital Alumni Medical Society. GUY ELMONT AP LYNNE. Dr. Guy Elmont Ap Lynne whs born in Mount Pleasant, la., thirty years ago. He removed to Califor- nia early in life, and was educated first at Sturgiss Business College, San Bernardino, and later graduated from Chaffey College at Ontario^ Cal. He began the study of medi- cine in the Hahnemann Medical Col- lege of Chicago, and afterward went to Kansas City and graduated from the Kansas Citv Homeopathic Med- ical College in 1899. Since his graduation Dr. ApLynne has made a specialty of surgery and the diseases of women, and has iden- tified himself with the Kansas City Homeopathic Medical College as registrar of the college and Profes- sor of the Chair of Physiology. Dr. ApLynne has already estab- lished himself as one of the most successful of the young homeopathic physicians and surgeons of Kansas City. LB GRAND ATWOOD. One of the "wheel horses" of the Missouri profession is Dr. Le Grand Atwood, who was born at La Grange, Tenn., in 1832. His parents removed to St. Louis when he was but 6 months old. Dr. Atwood's father was a well-known business man of St. Louis. For years he conducted a wholesale drug business in that city. Young Atwood was 210 ONE HUNDRED YEARS OF educated in the private schools, more especially in that of Edward Wyman, the foremost of the local tutors of that time. At the age of 14 he commenced the study of med- icine under his relative and pre- ceptor, Dr. Joseph Nash McDowell. Pie graduated from the medical de- partment of the Missouri State Uni- versity at the age of 18, in March, 1851, and commenced the practice of his profession the same spring, forming a husiness and professional ■connection with Dr. Charles W. Ste- vens, then a noted practitioner of Missouri. Soon afterward Dr. Atwood changed his plans, and, crossing the plains to California, entered upon the practice of medicine in that sec- tion of the country. He pursued his professional work there with avidity until 1855, when he returned to Missouri and settled as a practi- tioner at Marshall, Saline County. Afterwards he returned to St. Louis. At the outbreak of the war be- tween the States, Dr. Atwood cast his lot with the Confederacy, and offered his services to the then exist- ing government of Missouri. He was appointed surgeon of the First Missouri Eegiment of the State Guard, under Col. Marmaduke, and remained in that capacity until some four months afterwards. Af- ter the fall of Lexington, Mo., he was taken prisoner by the Federal forces in Lafa}rette County and held on a charge of conspiracy againat the Federal Government. It is prob- able that this charge was brought about by the doctor's activity as a Southern sympathizer just prior to the outbreak of hostilities. He was offered his release on taking the oath of allegiance or furnishing bonds for future conduct toward the Government, but, refusing, was kept a prisoner of war for about eighteen months at Booneville, Mo. When his release finally came the circum- stances were not favorable for his re-entry into the Confederate ser- vice. When war had ended, Dr. At- wood returned to St. Louis, recom- menced the practice of his profes- sion there, and has continued so en- gaged ever since. He has been vice-president of the Missouri State Medical Association and president of the St. Louis Medi- cal Society, and has always been prominent in medical society circles as a stanch upholder of the ethics of the profession. As an evidence of the interest that Dr. Atwood has taken in the past in medical educational matters, it may be mentioned that he has filled the chairs of medical institu- tions of the State in the capacities of Professor of Physiology, of Ther- apeutics and Toxicology, of Mental and Nervous Diseases and Psychia- try. He was appointed in 1886 su- perintendent of the St. Louis Insane Asyhim, and remained chief of that institution for the succeeding five years. Subsequently he was elected MEDICINE AND SURGERY. 211 superintendent of State Asylum No. 1, retaining that position for a year. Stalwart of build, Dr. Atwood is far from being an old man in ap- pearance and action, although he. has known and been associated with many Missouri physicians of note, long since dead and passed out of public, memory. His recollections of early professional associations would make a very interesting his- tory in themselves for a Missouri- an's perusal. At this writing Dr. Atwood con- tinues in very active professional work. HUGO A. AULEE. One of the successful practition- ers of South St. Louis is Dr. Hugo A. Auler, who comes from a family of physicians. His father, the late Dr. Hugo Auler, was at one time Coroner of St. Louis* and a man quite prominent in the profession during his lifetime. Dr. Laurence Auler, the grandfather of Hugo A. Auler, was, up to the time of his death in 1853, also prominent in the profession in St. Louis. The sub- ject of this sketch is a native of St. Louis, and was born September 27, 1867. He received his preliminary edu- cation in the public schools of St. Louis, and when but 20 years old graduated from the Jesuit Col- lege at Prairie du Chien, Wis., re- ceiving therefrom the degree of Master of Arts. Later the same college conferred upon Dr. Auler a Ph. B. degree. In 1890 he grad- uated from the St. Louis Medical College. He immediately began the practice of his chosen profession in South St. Louis, and has been quite successful from the start. He makes a special study of the diseases of women and children, and his prac- tice is largely devoted to that spe- cialty. Dr. Auler has been appointed con- sulting physician to the recently projected Mount St. Eose Hospital for Consumptives, the building now being in progress. WILLIAM BADGER. William Badger was born in Me- tropolis, 111., April 26, 1866. His literary education was received in the public schools of St. Louis, to which city his parents had removed when he was but 2 years old. Some years after his graduation from the St. Louis High School he took up the study of medicine^ and finally graduated from the Homeo- pathic Medical College of Missouri in the spring of 1894. He com- menced practice at once, in St. Louis, where he has remained ever since. While engaged in a gen- eral practice, Dr Badger handled successfully a number of cases of cancer, and may be considered ex- pert in that line. 212 ONE HUNDRED YEARS OF Without any intention of entering the field as a specialist, as the result of years of hard professional work, Dr. Badger has built up a practice that occupies his entire time and at- tention. OSCAE F. BAEBENS. Dr. Oscar F. Baerens, while still a young man, has made for himself an enviable place in the ranks of his chosen profession. He was born and reared in St. Louis, where he commenced his early education in private schools,later entering Toens- feldt's Educational Institution (a noted school in the early '80s), from which he graduated. In 1885 Dr. Baerens attended the St. Louis Col- lege of Pharmacy, taking a full course, graduating in 1888, securing the title Ph. G. In the following year he entered the Beaumont Hospital Medical Col- lege of his native city, graduating from that institution in 1892. He immediately engaged in the practice of medicine, locating in the State of Illinois, remaining there one year. Early in 1893 Dr. Baerens returned to St. Louis, where he has continued to practice ever since. He has made a specialty of the diseases of the ear, nose and throat, and his successful work during the past eight years, along those lines have won for him the honor of being chosen professor of those diseases in the St. Louis College of Physicians and Surgeons. Dr. Baerens is a member of sev- eral medical societies, a number of secret orders and has been actively connected with several of the medi- cal journals, contributing a number of papers of interest to the medical profession. PEIESTLY A. BAIKBBIDGE. Priestly A. Bainbridge, one of the most prominent physicians of St. Louis, was born in Bainbridge, Williamson Co., 111., 59 years ago. His early education was received in the schools of Illinois. Later in life he entered the St. Louis Medi- cal College, graduating in 1864. MEDICINE AND SURGERY. 213 He immediately entered the Unit- ed States Army, taking the field as assistant surgeon, having received the appointment from AVillard P. Hall. He served until the end of the war, being honorably discharged August 11, 1865. Soon afterwards Dr. Bainbridge located in St. Louis, engaging in an active general practice, with which he has been eminently successful ever since. The doctor is a member of sev- eral medical societies and secret and patriotic orders. His long life in the profession has been an honorable career, and he has the esteem of his co-practition- ers and patients. ery American youth enjoys at this period of civilization. Early in life young Bansbach had decided to devote his life to the study of medicine. After finishing his education in the public schools he entered the Ensworth Medical College of St. Joseph, taking' the us- ual three years' course, and grad- uated from that institution in March, 1898. Dr. Bansbach at once began prac- tice in his native city as a general practitioner, and, although a young man, has rapidly risen to the front ranks of his chosen profession by beins; a close student, faithful and B^^MilBiSil P0M untiring in his work as a physician, has made him quite successful from the start. J. J. BANSBACH. Joseph J. Bansbach was born in St. Joseph, and lived there ever since. His early education was ob- tained in the public and high schools of his native city, where he received that thorough schooling ev- ALCxEENON SIDNEY BAKNES. Algernon Sidney Barnes, son of John Barnes, M. D., and Caroline Clark Barnes, both of Philadelphia, was born in Mont Albin, Mississippi, March 8, 1831. He came to Mis- souri in 1841, and has since that 214 ONE HUNDRED TEARS OF time resided in St. Louis. He attended a course of lectures in the St. Louis Medical College, session of 1849-50. Attended Ike medical department oi the University of Missouri, session of 1853-4 and 1854-5. and was graduated by that institution in the spring of 1855, has practiced medicine here since that time, and is still practic- ing. He was one of the early St. Louisans to cross the plains in 1850 with an ox team, via Salt Lake City, to the gold mines of Southern Cali- fornia, returning in 1853 to take up the study of medicine, as noted above. At the commencement of the Civil War he entered the govern- ment service in the capacity of sur- geon, and served until the close of the war, during that time acting as surgeon in charge of several mili- tary hospitals in St. Louis, as well as attending officers and their fami- lies, men on furlough and detached service, and examining for the regu- lar army. Dr. Barnes also served as surgeon in the State Militia, holding the commission of Major on General A. G. Edwards' staff. In 1879 he was appointed to a professorship in the St. Louis College of Physicians and Surgeons, and has since filled the Chair of Obstetrics and Diseases of Women and Infants. He was also elected to the deanship of the above- named institution, but later com- pelled to resign on account of pro- fessional duties. In 1890 he was chosen dean in the college. Dr. Barnes is a member of the St. Louis Medical Society, of the Amer- ican Medical Association, of the Mississippi Valley Medical Associa- tion, the Missouri State Medical So- ciet} r , and is consulting physician' to several State and city institutions. Dr. Barnes is prominent in local Masonic circles, a charter member of Tuscan Lodge, and is also a char- ter member of the Legion of Honor. He was married April 26, 1859, to Susan C. Bailey of Lancaster, Penn- sylvania. Three children were born, one of whom died in infancy. Al- gernon Sidney Barnes, Jr., is a phy- sician practicing in St. Louis. A third son, Percival Clinton Barnes, is a manufacturing chemist. As an eminent physician, Dr. Barnes is known throughout the length and breadth of Missouri— and beyond its borders. JULES BARON". Jules Baron is a native St. Louis- sn, having been born there August 11th, 1859. He obtained a public school education and entered the Washington University after com- pleting the course of the Laclede School. He remained in the Wash- ington University but two years, quitting when in his sophomore year to enter the St. Louis Medical College. He received his M. D. from that college in the spring of 1881. During the summer of 1881 Dr. Baron sailed for Europe, where MEDICINE AND SURGERY, 215 for the next three years and a half he further pursued his study of medicine in Paris, Tienna and Ber- lin. In 1884 Dr. Baron returned to St. Louis and began the practice of medicine. He located in South St. Louis and has ever since been ac- counted as one of the leading physi- cians and surgeons of that section of the city. Dr. Baron is a member of the St. Louis Medical Society, and he is also prominent in the ranks of the Knio-hts of Pythias of the city. Dr. Bartlett has a large general practice, but makes a specialty of diseases of women. He is accredited the leading phy- sician of that division of the city known as Yortk Springfield. For nine years he has been the house physician at St. John's Hospital in Springfield, and was recently ap- pointed consulting surgeon at the Frisco Bailroad Hospital. He is medical examiner for several old line insurance companies. ITnder Cleve- land's second administration he was president of the local Pension Board, and has served one term of two years as. County Physician of Greene Count}-. Dr. Bartlett is at present a mem- ber of the Springfield Board of Health. KEATING BAUDUY. - The oldest son in each generation of the Bauduy family for the last four decades has been a physician, Dr. Keating Bauduy, the subject of this sketch, being the son of J. K. Bauduv. M. D., LL. D.. the distin- JAMES E. BARTLETT. James Balph Bartlett was born in Marshalltown, la., March 21, 1861. In March, 1883, he graduated from the University Medical College of Yew York City, and in later years took two post-graduate courses — in 1889, surgery and diseases of women at Polyclinic, New York, and in 1890, diseases of women in Carl Brown Clinic at Yienna. He com- menced practice at his present loca- tion in Springfield in 1893. .■&:'. m 216 ONE HUNDRED YEARS OF guished alienist and neurologist of St. Louis. Keating Bauduy was born in St. Louis on New Year's Day of 1866. He received his early education in the schools of that city, attending Washington University prior to the establishment of Smith Academy, afterwards graduating from the St. Louis University. He spent two years in the Jesuit College at St, Mary's, Kan., and the Christian Brothers' College of St. Louis, di- viding the time equally between the two. He then entered the Missouri Medical College, and, after finishing the course of study, graduated in 1S86 at the head of his class, re- ceiving highest distinction. He immediately entered upon the active practice in which he has been so successful. The doctor has made a national reputation as an army surgeon and also as a medical expert in many prominent criminal -trials. Dr. Bauduy made his reputation as an expert in famous trials early in his career, and has been associ- ated as a "medical expert" in nearly all prominent medico-legal contests in the past decade. , He arrayed the medical evidence and drew up the hypothetical case presented to the jury in the Duestrow trial, which was so much talked of during the early 90's. • At the breaking out of the Span- ish-American War, Dr. Bauduy was commissioned surgeon-in-chief, with the rank of Major, and assigned to the Sixth Missouri Volunteer Infan- try by Gov. Stephens. During the encampment of that regiment at Jacksonville, Fla., Maj. Bauduy was especially recommend- ed and complimented in the report of the Inspector-General to the Sur- geon-General of the Armv at Wash- ington, D. C, the report being that the Sixth Missouri Volunteer Infan- try had the best sanitary laws and regulations of any regiment in the Seventh Army Corps. The Sixth Missouri held the record for health, based upon the sanitary laws laid down by Dr. Bauduy. Gen. Fitz- hugh Lee, commanding the Seventh Army Corps, also paid tribute to Maj. Bauduy's efficiency. As a surgeon in the army Dr. Bauduy designed the "Geneva Cross Field Hospital," but he won most of his prestige as a surgeon by his fam- ous "individual deposit cover," which, as the composite fever chart of the Seventh Army Corps will show, brought about the termina- tion of the typhoid fever epidemic at Jacksonville. Maj. Bauduy saw service in Havana Avith the Sixth Begiment. After the regiment was mustered out, Dr. Bauduy returned to St. Louis fend resumed his private practice. On December 9 last Gov. Stephens commissioned him medi- cal director, with the rank of Lieu- tenant-Colonel, of the First Brigade of the National Guard of Missouri. Dr. Bauduy is a medical writer of some note. He was, for a time, as- sociate editor of the St. Louis Cour- ier of Medicine and the St. Louis Clinique. He is a member of the St. Louis Medical Society, and in 1897 was its vice-president, being the young- est man who ever held that office in the societ} r . The doctor, during his connection with the St. Louis College of Physi- cians and Surgeons, where he held the Chair of Nervous and Mental Diseases, was consultant to the City Hospital of St. Louis and the St. Louis Insane Asylum. Later he was assistant to the Chair of Psy- chological Medicine and Nervous Diseases at the Missouri Medical College and chief of the neurologi- cal clinic and on the staff of the St. John's Hospital department of the same college. EX-PRESIDENTS MISSOURI STATE MEDICAL ASSOCIATION. [n addftfon to others whose portraits are elsewhere given.) £%!»&. *#%f m^-jfi'-, c W. G. THOMAS, 1850. I. P. VAUGHN, 1853. J - I <. t-t ONE HUNDRED YEARS OF worth Medical College of St. Jo- seph, from which he graduated March 14, 1899. He almost imme- diately began the practice of med- icine in St. Joseph. His work in analytical chemistry won for him the position of lectu- rer on chemistry in the Ensworth Medical College. All of Dr. Hunter's private prac- tice has been general ir> its nature, and he has built up for himself quite a paying business. BENJAMIN MUBEAY HYEES. Although his parents were Virgin- ians, Dr. B. M. Hypes, now one of the most prominent physicians and surgeons of St. Louis, was born in Lebanon, St. Clair Co., 111., to which place his parents had moved shortly before his birth. It was on the last day of July, 1816, that Dr. Hypes was born. He received a public school and classical education in his native town, graduating when but 19 years of age from the McKendree College there, with the degree of Bachelor of Arts. Two years later he received the Master, of Arts degree from the same college. He was for a time after his grad- uation from the McKendree Col- lege a professor in the Arcadia Sem- inary at Arcadia, Mo. This posi- tion he resigned to study medicine, which he began at the Bush Med- ical College of Chicago, 111. After attending a course of lectures there he matriculated in the St. Louis Medical College, from which insti- tution he graduated with honors in the class of 1872. Upon a competitive examination in the same year Dr. Hypes was ap- pointed as an assistant physician in the St. Louis City Hospital, where he remained until 1874. He then resigned from the staff to en- gage in active general practice. He established himself in South St. Louis, and has been there ever since, building up in the meantime a lucra- tive general practice. Dr. H3 r pes was one of the found- ers of the Marion-Sims Medical Col- lege, and at present (1900) is the Auce-dean of the faculty and Brof es- sor of Obstetrics in that institution. The doctor has been a benefactor of McKendree College and a number of charitable institutions. His worth as a physician, gentleman, educator and scholar has already been estab- lished. JOHN WESLEY JACKSON. John Wesley Jackson was born in Clark County, Maryland, Nov. 6, 1834. His early education was ob- tained in the common schools of his native State and was supplemented by a course in the Charlestown Uni- versity, West Virginia. He re- moved to Eranklin County, Missou- ri, in 1859, where he commenced the study of medicine that year under the preeeptorship of Drs. George Johnson and J. T. Matthews. He attended two courses of lectures at the St. Louis Medical College from MEDICINE AND SURGERY. 275 1861tol863. He then began prac- tice in Franklin County, and in the spring of 1864 he entered the United States Army as post surgeon at Co- lumbia, Tenn. He served his coun- try with credit and honor, and at the close of the war located at St. Louis, but returned to Franklin County in 1869, where he was married to the daughter of Judge North of that county. About that time a disastrous rail- road wreck occurred on the Missouri Pacific, and many passengers were killed and wounded. Dr. Jackson was called to render aid to the in- jured, and so well did he acquit himself that he attracted the fa- vorable attention of the officials of that road, making him popular with all classes of people. He was already considered one of the rising surgeons of the State, but desiring still more light, he went to New York, where he attended a course of lectures at the College of Physicians and Surgeons in the win- ter of 1873-74, graduating with high honors. Returning to Mis- souri, he was at once appointed chief surgeon of the Missouri Pa- cific. He inaugurated the first rail- way hospital system east of the Rocky Mountans; in 1879 he built the first railway hospital at Wash- ington, Mo., where he operated until 1881, when his jurisdiction was again enlarged so as to embrace the entire Gould system except the Iron Mountain Railroad, and in 1884 the Wabash system west of the Missis- sippi River was placed under his care. In February, 1885, he re- signed the Missouri Pacific and took charge of the whole Wabash system. In 1880 he was elected to the Chair of Surgery in the Medical Depart- ment of the University of Kansas City, and was its president in 1890. In 1885 he located permanently in Kansas City, where he remained un- til his death, which occurred March 13, 1890, from blood-poisoning. Dr. Jackson was a pioneer in rail- way surgery, and was the father of the railway hospital system in the West. He was president of the Mis- souri State Medical Association in 1886, arid was the first president of the National Association of Rail- way Surgeons at its organization in Chicago in June, 1888. He held the positions of president of Wabash Surgical Association and first vice- president of the American Medical Association at his death. Dr. Jack- son was one of nature's noble men, whole-souled, open-hearted, genial, generous, affable and kind-hearted; the poor as well as the rich received his best skill and attention. His death was sad and pathetic; while he saved a life by a skillful opera- tion, he lost his own. JNO. A. JAMES JAMES. Jno. A. James James is a native of Iowa, having been born in that State in 1866. He received his early education there, and graduated from the Iowa State Col- lege with the class of '86, receiving 276 ONE HUNDRED YEARS OF the degree of Bachelor of Science. Shortly after that he came to St. Louis and entered the Beaumont Hospital Medical College, from which he received his degree of Doc- tor of Medicine in 1891. For the next two years Dr. James was associated with St. Mary's Hospital, and later took a course of study in the New York Eye and Ear Infirmary and the Manhat- tan Throat Hospital of New York City. He made a study of the diseases of the ear, throat and nose while there, and has confined his practice to that specialty since en- gaging in private practice. Dr James occupied the chair of the diseases of the ear, throat and nose in the St Louis College of Physicians and Surgeons from 1895 to 1898, and he is now the consult- ant on those diseases in the Missouri Pacific and Iron Mountain Railway Hospital. CHARLES M. JOHNSON. Dr. Charles M. Johnson of St. Charles was horn in Virginia, and came to Missouri when a mere child. After attending public schools he was a student at the St. Charles College for two years. He studied medicine at the university of Penn- sylvania and was graduated from that institution in 1850. He prac- ticed medicine for a short time in Warren ton and Troy. During the war he was captain in the Confed- erate service. Immediately after the war was ended he located at St. Charles, where he has ever since been engaged in the practice of med- icine. Dr. Johnson has always attended — and though 74 years of age is still attending — a very large practice. He goes to the rich and poor alike; he believes that there is something more in the practice of medicine than the mere making of money, and feels that the "consciousness of deeds well done" affords pleasures at least equal to those money can purchase. To the young men in the profession he has always been ex- ceptionally kind and helpful. He was twice elected president of the MEDICINE AND SURGERY. 277 St. Charles County Medical So- ciety. As an evidence of the high es- teem in which he is held hy his col- leagues, it may he mentioned that recently, on the occasion of the cele- bration of the 74th anniversary of his birthday, all the regular physi- cians of St. Charles met at his home to extend congratulations. E. HOEACE JOHNSON. St. Louis. 1872. define the place and year of birth of the subject of this sketch. Dr. E. Horace Johnson. After availing himself of the ad- vantages offered to St. Louis youths in the public school system of that city, he entered the American Med- ical College. Graduating from this institution in 1895, he in the same year com- menced the practice of medicine in Medoc, Jasper County, Mo. Not satisfied with the medical training already had, Dr. Johnson returned to St. Louis and entered Barnes Medical College, graduating in 1897. This time he did not look about for a location, but recommenced practice in the city of his birth and boyhood, and if appearances and common report are worthy of cre- dence, Dr. Johnson has never re- gretted his second location. He is one of the rising young physicians of St. Louis, and is a member of Medi- co-Chirurgical Society and various other medical organizations. J. B. JOHNSON. One of the old guard of St. Louis is Dr. J. B. Johnson, who has been a prominent physician and honored citizen there for half a century. Dr. Johnson's father, John John- son, was a native of Norway, who came to America in 1801, settled in Massachusetts and married Harriet Bates, daughter of Capt. Joseph Bates, distinguished for military service rendered his country in the Revolutionary War. John Bates Johnson was born in Fairhaven, Mass., April 26, 1817. His early education was had at the Friends Academy in New Bedford, Mass. The death of his father and his mother's delicate health re- tarded the taking up of a collegiate course for some time, but young Johnson continued literary and clas- sical studies at home until 1835, when, in accordance with plans long formed, he began reading medicine in the office of Dr. Lyman Bartlett, and a year later entered Berkshire Medical College. He graduated from that institution in 1810, and subsequently was honored with the medical degree conferred by Har- vard. The young doctor laid a further foundation for later professional success by serving a year in the Mas- sachusetts General Hospital, where he associated with the leading physi- cians of Boston. In 1811 Dr. Johnson came to St. Louis and established himself in 378 ONE HUNDRED YEARS OF residence and the practice of his profession. His ability was soon recognized, and it was not long be- fore he had an extensive and lucra- tive practice. In 1846 he began his career as a teacher and lecturer. He was first chosen Adjunct Professor of Clinical Medicine and Pathologi- cal Anatomy in the Medical Depart- ment of Kemper College, which af- terward became the Missouri Medi- cal College, and filled this position until 185-1, when he was elected professor in the St. Louis Medical College, now a department of Wash- ington University. Dr. Johnson assisted in forming the National Medical Association in Philadelphia, 1847, and in 1850 was elected one of its vice-presidents. He was also one of the organizers of the Missouri Medical Association, and in the early '50s was its presi- dent. During his career as a St. Louis physician he has been prom- inently identified with hospitals of that city as a promoter and active worker; and in the Civil War pe- riod founded several military hospi- tals and served on the United States Sanitary Commission. He was married in 1851 to Nancy, daughter of James H. Lucas, a distinguished citizen of St. Louis. Three sons and eight daughters have been born of that union. WM. JOHNSTON. One of the oldest physicians liv- ing in St. Louis, both in point of age and years of professional ser- vice in that city, is William John- ston, who was born in Jefferson County. Kentucky, August 19, 1814. His father was Pearson W. John- ston, a Virginian. His mother was a native of Pennsylvania. His early education was received at a county school, and in one of the old-time private schools. He began the study of medicine at Floydsburg, Oldham County, Ky., under Dr. Robert Miller. In 1836-7 he took a course in medicine at Transylvania University at Lexing- ton, Ky., and in 1838 received his doctor's degree from the Medical Department of the University of Louisville. He commenced j:>ractice at his old home, and continued there until 1844, when he removed to Xicho- lasville. As a Kentucky physician, Dr. Johnston attained considerable prominence, and he accumulated a comfortable fortune, derived from a lucrative practice. In 1850 he came to Missouri and located in St. Louis, in which city he has been engaged in practice ever since. He has been a member of the St. Louis Medical Society since 1851, has served as president and vice-president of that body and is one of the most honored physi- cians which have been identified with that organization. Dr. Johnston is one of those quiet, conscientious family physicians of the old school, known everywhere among his clientele as a valued counselor and friend. WILLIAM P. KEITH. Dr. Wm. F. Keith, a well-known young physician of the city, and for several years connected with the St. John's Hospital, was born at Louisiana, Pike Countv, Missouri. March 14, 1876. His' father and grandfather were physicians before him. His mother was a daughter of Capt. George Bernard, a whole- sale druggist and early river man of St. Louis, whose boats had the first government contract to carry mail on the Upper Mississippi. His maternal grandmother was a Miss Jackson, a cousin of Gen. An- drew Jackson, and his grandmother on his father's side a cousin of the author, Mark Twain (Samuel L. Clemens). The Keith familv came to Mis- MEDICINE AND SURGERY. 279 tution, to which tie continued to de- vote an hour each day. Dr. Keith is largely a self-made man by choice, beginning at the age of 14 to make his own way. Dr. Keith is a mem- ber of the St. Lonis Medical So- ciet}*, the Washington University Medical Alumni Society and the St. Louis Physicians' Club. He is surgeon for the Mercantile Protective Association, oculist to the American Mutual Aid Society and examiner for the Modern Amer- ican Fraternal Insurance Company. souri from Virginia about the time the territory was admitted as a State to the Union, some members of the family being government sur- veyors. The Bernard family settled in St. Louis in the earfy '30s, originally coming from Massachusetts. Young Keith received his early education at Louisiana, Mo. gradu- ating from the High School in 1891. He then began a clerical career, de- voting his spare time to the study of medicine under the directions of his father. In 1894 he entered the Missouri Medical College, from which he graduated in 1897. Dur- ing the college course he received a highly valued prize and honorable mention on two occasions for pro- ficient work. Immediately after graduating Dr. Keith spent a year as an assistant in the different clinics of the college hospital. In 1897 he was appointed in charge of the clinic for deformi- ties and diseases of joints at St. John's Hospital. This he held for two years, when he identified him- self with the eve clinic of that insti- J. MAETIXE KERSHAW. "He is a thorough St. Louisan," said another prominent physician to a representative of the Star,in speak- ing of Dr. J. Martine Kershaw, one of the leading homeopaths of Mis- souri; "and he has ever allied him- self with all that i» best for the profession and the city." The gentleman's assertion is borne out by a study of Dr. Ker- shaw's career. He was born in St, Louis, his parents being James M. 280 ONE HUNDRED YEARS OF and Margaret E. Kershaw. His classical and professional educa- tion was obtained in the Mound City. After obtaining the thor- ough early education offered by the public schools of the city young Ker- shaw began his medical training and studies under the preceptorship of that renowned surgeon, Prof. Jo- seph E. McDowell, who was then in charge of the famous old Missouri Medical College. Later Prof. E. C. Franklin became his tutor, and af- ter a course of study with him 3 r oung Kershaw entered the Homeopathic College of Missouri, from which he graduated in 1869. From that time Dr. Kershaw has devoted himself to . his profession. He has made a specialty of diseases of the throat, nose, ear and lungs, at which he has made a great repu- tation. He has found time to contribute liberally and learnedly to the med- ical literature of the county, the following brochures being from his pen: Tonsilitis, The Curability of Consumption, The Eelation of Na- sal Catarrh to Sleeplesness, The Medical and Surgical Treatment of Catarrh of the Ear, Nose, Throat and Eespiratory Apparatus; The Medical and Surgical Treatment of Abscess of the Brain, Due to Puru- ulent Disease of the Middle Ear; Foreign Bodies in the Ear; Asthma, Its Relation to Diseases of the Nose; Early Treatment of Diseases of the Throat, Nose and Ear; Grave Brain Diseases that Arise From Inflamma- tion of the Middle Ear; Is the Ton- sillitome the Best Means of Remov- ing Enlarged Tonsils? Removal of Adenoid Growths From the Throat, The Treatment of Pneumonia, . Chronic Purulent Otitis Media, Symptoms of Abscess of the Brain, Due to Inflammation of the Middle Ear. Dr. Kershaw is a member of the American Institute of Homeopath} 7 , the Western Academy of Homeopa- thy and the Missouri Institute of Homeopathy, as well as the St. Louis Society of Homeopathic Phy- sicians and Surgeons. He has served as president of the St. Louis Society and the State Institute of Homeop- athy. Dr. Kershaw was for a time Pro- fessor of the Chair of Diseases of the Brain, Spine and Nervous Sys- tem in the Homeopathic Medical College of Missouri. He is also the author of chapters on diseases of the brain in Arndt's "System of Medicine." WM. F. KIER, One of the leading physicians of St. Louis is William F. Kier, who was born in Leechburg, Pa., August 4, 1849. His father was a physi- cian, and it was in his office in De- troit, Mich., that young Kier first studied medicine. He received his education in the public schools and at Richie College at "West Newton, Pa., where he took EX-PRESIDENTS MISSOURI STATE .MEDICAL ASSOCIATION. (In addition to others whose portraits are elsewhere given.) ;>, I ..',,:! A. W. HcALESTER, 1888. L. I. MATTHEWS, P"" ■■■■!.■■■. T. F. PEEWITT, 1891. W. H. EVANS, 1893. MEDICINE AND SURGERY. 281 a literary course, finishing in the latter part of 1864. He took the regular medical course at the St. Louis Medical Col- lege and graduated in the class of. 1871. He at once commenced prac- tice in the city where he received his diploma, and has continued ever since, with an office in the same lo- cation in the city, devoting his en- tire attention to the care of a gen- eral practice, which has grown to large proportions. He is a member of the local med- ical society and of the American. Without laying claim to a title as a specialist, Dr. Kier has paid more attention to gynecology than any other branch of his profession. As a physician, and socially, Dr. Kier is well and favorably known in Mis- souri. GEOEGE A. KEEBS: One of the young leaders in the profession in • South St. Louis is George A. Krebs, who was born in the Missouri metropolis May 12, 1868. His early schooling was had in the public schools and other educa- tional institutions of the city. Fol- lowing the bent of his mind toward medicine, after some preparatory study under the tutelage of Prof. W. B. Hazard, he matriculated at the St. Louis College of Physicians and Surgeons. He graduated with first honors in 1888, and commenced practice, after being associated with Dr. Bernays for several years, in his present location in South St. Louis. Here Dr. Krebs continued in pro- fessional work until 1891, when, he found himself able to satisfy a long cherished ambition to take post- graduate courses in European cen- ters of medical education. He went to Berlin and studied there and at Heidelberg, supplementing his stud- ies by observation tours, in which he visited some of the leading hospi- tals and colleges of the continent. After spending nearly three years abroad, Dr. Krebs returned to America in 1893 and recommenced practice at his old location, where he has since remained. His partic- ular study is physical diagnosis and nervous diseases. Among those who know him per- sonally it is not necessary to recom- mend Dr. Krebs as a gentleman ad- mirably equipped, mentally and physically, for his calling. He de- votes his entire time to his clientele, and such devotion is commanded by a large and steadily growing prac- tice. WILLIAM J. KRESS. William J. Kress was born in Vancouver, Wash., Sept. 6, 1873. He received a good literary edu- cation and prepared himself for the study of medicine. He became a student in Missouri Medical Col- lege, and, after finishing the regu- 282 ONE HUNDRED YEARS OF lar course, received his diploma from that institution March 26, 1894. After taking a post-graduate course in the New York Polyclinic, he located in Butte, Mont., and opened an office and commenced the practice of medicine in that town in November, 1895. He remained a resident of Butte for three } r ears. At the end of that time he removed to St. Louis, where he entered the office of Dr. A. C. Bernays, whom he assisted in pro- fessional work until September, 1899, when he opened an office of his own and engaged in general practice. Dr. Kress is a local surgeon for the St. Louis & San Francisco Bail- road Company, besides attending to a promising private practice. ALFRED W. LATIMEB. Alfred TY\ Latimer is one of the young men in the ranks of the pro- fession of St. Louis who has already ably demonstrated his worth as a physician and a surgeon. Born in Bock Island, Ind., he re- served the education in the public schools there that is the heritage of all Indiana youths. After obtaining a complete clas- sical education, young Latimer en- tered the Beaumont Hospital Medi- cal College of St. Louis, graduating in the spring of 1893. Through his ability to very suc- cessfully pass a rigid competitive ex- amination, Dr. Latimer was ap- pointed an interne in the City Hos- pital of St. Louis, which position he held for the ensuing year. The following year found him serving as an assistant physician in the Female Hospital of St. Louis. He resigned this position in the spring of 1895 to enter upon active general prac- tice. He has devoted his entire at- tention to general work, and, thanks to the experience he gained in his service with the city institutions, and his thorough knowledge of med- icine, Dr. Latimer, has built up a large and well-paying practice. MEDICINE AND SURGERY. •283 JOHN C. LEBRECHT. John C. Lebrecht. a native of St. Louis, was born July 28. 1859. He was educated in the common and grammar schools of the city previous to his entrance of St. Louis Uni- versity, from which he graduated in 1879. Later in the same vear he matriculated in the St. Louis Med- ical College, and for the following three years pursued the course of study prescribed by that institution. Soon after his graduation from the medical college in 1882 he entered upon the practice of his chosen pro- fession, locating in South St. Louis, where he has remained ever since. Dr. Lebrecht has made a special- ty of the diseases of women and children from the start, and his practice is largely of that class of work. Dr. Lebrecht is a member of three medical societies, namely, the St. Louis Medical Society, the ^Missis- sippi Valley Medical Society and the St. Louis Medical College Alumni Society. He is also quite prominent in secret societies. He is a Shriner and a Knight Templar of the Ma- sonic Order, ami is orominent in the Knights of Pythias and the Ancient Order of United "Workmen. Besides these Dr. Lebrecht has identified himself in times past with the St. Louis Turnverein and several of the large singing societies of his native pity. JOSEPH E. LEMEK In the medical fraternity, as well as among the laity. Dr. Joseph R. Lemen is held in the highest es- teem. His career in the profession and his worth as a gentleman, phys- ician and educator justify this opin- ion . Dr. Lemen was born in Madison County, Illinois, June 5, 1853. His family removed to St. Louis shortly after his birth, and there, in the Smith Academy and Washington Eniversity, he received the education preparatory for his medical train- ing. It was in 18T5 that Joseph E. Lemen received his diploma and 7*-zpt:-; ,:rr 77^^'- '■ ■ , • . ... ;.. :, '■;;. 284: ONE HUNDRED YEARS OF degree of Doctor of Medicine from the famous old Missouri Medical College, where he had attended lect- ures and studied for some years pre- vious to that time. Two years of service in the St. Louis City Hospital had its share in titling Dr. Lemen for the large private practice in medicine which he now enjoys. Since he has heen practicing Dr. Lemen has made a specialty of diseases of the heart and lungs, and his practice is largely confined to them. Dr. Lemen is Professor of the Diseases of the Heart and Lungs in the Marion-Sims Medical College of St. Louis and a member of the American Medical Association and the Medical Society of the Alumni of the St. Louis City Hospital. While it may be tautology to say that Dr. Lemen has risen rapidly in the tAventy-five years of his prac- tice, his success justifies the repeti- tion. Those twenty-five years of practice in St. Louis have done much for Dr. Lemen, and he, in turn, has clone much for the profes- sion and the laity in that time. P. I. LEOYABD. A German by birth, and Ameri- can by choice and education. That may possiblv account for the success of Dr. P. I. Leonard of St. Joseph, Mo., who has, in his fourteen years of practice, risen to the top rank of the profession in that city. His fame has extended throughout the State as well, for he is acknowledged as one of Missouri's foremost ocu- lists and aurists. Born in Hesper, in the Province of Luxembourg, Germany, October 9, 1862, Dr. Leonard early came to this country. He received a public- school education in Yew York and graduated from the Bellevue Hos- pital Medical College of Yew York City in 1885. One year afterwards Dr. Leonard settled in St. Joseph, where he has been practicing ever since. Dr. Leonard is the Professor of Pathology, Otology and Bhinology in the Ensworth Medical College of St. Joseph. He is the examining oculist and aurist of the Chicago, Bock Island &: Pacific Eailroad and expert to the United States Pension Office in his adopted city. Dr. Leonard is now (1900) pres- ident of the St. Joseph Medical So- ciety, a member of the Missouri State Medical Society and the Amer- ican Medical Association. BBAYSEOBD LEWTS. Dr. Bransford Lewis, a son of Judge Edward A. Lewis, who for twelve years was a member of the Court of Appeals, was born in St. C'liarles. Mo., in 1862. He obtained his preliminary education in the public schools and Smith Academy in St. Louis, whither his parents had moved shortly after his birth. Before entering the old Missouri Medical College, from which he MEDICINE AND SURGERY. 285 graduated with honors in 1884, young Lewis was for two years a student in the academic department of the Washington University in St. Louis. Immediately upon his graduation from the Missouri Medical College, Dr. Lewis entered upon his profes- sional career as an interne in the St. Louis City Hospital. He was con- nected with that institution for five years, serving in turn as junior as- sistant, senior assistant and assist- ant superintendent. His conscien- tious application to the routine of his daily work won for him the ap- probation of his elders in the pro- fession. Upon entering private practice, Dr. Lewis made a specialty of geni- to-urinary surgery, and was in 1889 made a lecturer on that branch of surgery in the Missouri Medical Col- lege. He resigned from that po- sition in 1894 to accept the same professorship in the St. Louis Col- lege of Physicians and Surgeons. In 1896 he resigned from the faculty of that college to accept the profes- sorship of genito-urinary surgery in the Marion-Sims Medical College of St. Louis, which chair he still occu- pies. Dr. Lewis was for a while the genito-urinary surgeon of the Bap- tist Sanitarium and the Baptist Hospital, and now holds the same position in the Missouri Pacific Bail- way Hospital, St. Mary's Infirmary and the Bebelrah Hospital, besides being the consulting surgeon on genito-urinary diseases in the City Hospital of St. Louis. In 1891 Dr. Lewis made a trip to Europe and studied surgery in the clinics and hospitals of Vienna, Par- is and London. Dr. Lewis organized the Medical Society of the Alumni of the St. Louis City Hospital, and has ever since been active in that organiza- tion. He was in 1899 the vice-pres- ident of the St. Louis Medical So- ciety, an honorary member of the St. Charles County Medical So- ciety, a member of the Mississippi Valley Medical Societ}-, the South- ern Illinois Medical Society and the Missouri State Medical Association. In addition to these honors, Dr. Lewis was chLsen, in 1893, a mem- ber of the American Association of Genito-Urinary Surgeons, which is composed of but fifty of the most prominent genito-urinary surgeons of the United States and Canada. He was also for some time a mem- ber of the American Medical Asso- ciation, but he resigned from this bod} r a little over a year ago. Dr. Lewis' young shoulders bear many honors, as can be seen from the above, and the future has much in store for him, judging from the past. GUSTAVE LIPPMAKNT. Gustave Lippmann was born in jSTeuwied, Germany, July 11, 1868. He early displayed an inclination to- wards the profession of medicine, 286 ONE HUNDRED YEARS OF and studied to that end. He graduated, from the University of Bonn in 1892, and came to Amer- ica and located in St. Louis in the same year. Dr. Lippmann is a specialist in mteixa] medicine and diseases of the eyes. He is a valued member of the St. Louis Medical Society, of the St. Louis Biological Society and of the St. Louis Microscopical Soci- ety. He has been for six years an as- sistant ophthalmic surgeon in the St. Louis Polyclinic Eye Depart- ment. Dr. Lippmann is well liked by his professional brethren for his schol- arly and other qualities, and is so- cially a popular figure in the city of his adoption; a close student, un- tiring in his efforts to gain further knowledge along his particular line of work, makes him quite a busy man. ABRAM LITTON. Dr. Abram Litton, the subject of this sketch, was born in Dublin, Ireland, May 20, 1814, being the youngest of nine children. When a child two years of age his father removed with his entire family ,to the United States. He first settled in Pittsburg, Pa., but, remaining but a short time, ultimately moved to Nashville, Tenn., which perma- nently became his residence. Dr. Litton received his early education in small private schools of Nashville, and in 1829 entered the junior class of the University of Nashville, from which institution he graduated in 1831, being then 17 years of age. The next year we find him teach- ing school at Paris and Jackson, Tenn. In 1835 the doctor was elect- ed to and accepted the Professorship of Mathematics and Natural Philos- ophy at the university from which he graduated. This position he held three years, and then instruct- or in the branch of science, which became his life study, namely chem- istry. In order to perfect himself in this study he visited Europe and studied in London, then in Paris, Avhere he remained six months ; then to G-ussne, Germany, where he spent six months with the first Liebig, and worked under him in his lab- oratory, next taking a six months' course under Eosa at Berlin, and finished his European studies with Doller at Gothirgin. On his return to Nashville he married Julia Alice Manning, shortly afterwards ac- cepting the position of Professor of Chemistry at the St. Louis Medi- cal College, and moved to St. Louis. This position he held for an unin- terrupted period of forty-nine years. Aside from his work at the medical college he taught one summer ses- sion at the Columbia State Univer- sity and became chemist to the Belcher sugar refinery at St. Louis. On the founding of "Washington University in 1856 he became the first Professor of Chemistry, and held this chair until 1891. His first year at the university he taught MEDICINE AND SURGERY. !87 for little or nothing in the way of a salary, even giving his time and money in order to visit Eastern lab- oratories for the purpose of super- intending the building of a labora- tory for St. Louis. His summer vacations were spent in work for two seasons with Rich- ard Dale Owen, making a geological survey of Mississippi. During his early life it was his ambition to become a physician, and after graduating in medicine, wh?6h he studied while teaching, he prac- ticed for a short time. Not think- ing himself fitted for the vocation, he went back to his first love, chem- istry, and the balance of his life has been devoted to chemistry and other sciences. He again visited European insti- tutions in 1871, returning with a large supply of instruments and books on his special subject. Dur- ing his life he accumulated one of the finest scientific libraries in the State, which he gave to the State "University in 1898. Dr. Litton can point with pride to the St. Louis High School. He was first to suggest and use his in- fluence as Superintendent of the Public Schools, which position he held for one term; thus the estab- lishment of the High School in St. Louis is credited to his endeavors to advance the public school pupils. Dr. Litton was twice married and had three children — Joseph Nor- wood Litton, who was a lawyer, and filled a bright position in the St. Louis bar; Charles Manning Litton, a physician, and Alice W. Litton. Of these, the daughter only is living. Dr. Litton, although now in his 86th year, retains his mental faculties, and is still interested in his scien- tific studies. One can still find him busy with his microscopical and spectroscopic investigations. He has lived a life devoted to science, and has always been a gentleman of the old school. As a teacher he has had no peers and few equals, as thousands of his students can tes- tify. As a man he has held honor and duty above all else and has lived a life accordingly. HENRY LLOYD. On March 6. 1866, and at Belle- ville, 111., Henry Lloyd first saw the light of day. He received a common school and High School education previous to his entrance of the St. Louis College of Physicians and Surgeons, from which college he graduated in March, 1890. He im- mediately entered into the practice of his profession in St. Louis, and for two years Dr. Lloyd was the as- sistant of Dr. A. A. Henske, Profes- sor of Gynecology in the St. Louis College of Physicians and Surgeons. Dr. Lloyd, when in private practice, makes a specialty of gynecology. In June, 1895, Dr. Lloyd was ap- pointed Chief Deputy Coroner by Dr. W. J. Wait. He held this posi- tion under Dr. Wait until Novem- ber, 1898, when he was elected Cor- oner to succeed that gentleman. 288 ONE HUNDRED YEARS OF Almost immediately after his election Dr. Lloyd entered upon a vigorous crusade against the Chris- tian Scientists, Faith Cure Healers and the many others who are styled charlatans by the reputable body of the profession. In dealing with these people Dr. Lloyd ha? shown a sin- gleness of purpose that has won for him the app robation of his brethren in the profession and the public. H. W. LOEB. As a physician, educator and edi- tor, Dr. Loeb is well known in Mis- souri and adjoining States as a thoroughly competent man in any or all of these capacities. Hanau Wolf Loeb was born in Philadelphia, August 25, 1865. His parents came to Missouri when he was but a babe in arms. His literary education was had in the public schools and at the Mis- souri State Universit} 7 , where in 1883 he received his "A. B." degree and in 1SS6 his "A. M." Taking up the study of medicine he was first graduated from the St. Joseph Med- ical College in 1887, and later from the Medical Department of Colum- bia University of New York in 1888. Dr. Loeb began the practice of his profession in St. Joseph, but in 1890 removed to St. Louis, where he has remained in practice ever since. He -is a specialist in nose and throat diseases, and larvnsjologist to the St. Louis City Hospital, Be- bekah Hospital and Grand Avenue Dispensary. As an educator he is Professor of Diseases of the Nose and Throat in the Marion-Sims Col- lege o£ Medicine, also serving as secretary of that institution. In the journalistic field Dr. Loeb is widely known as an able writer along his special lines. He is editor of the Medical Beview and of the Annals of Otology, Laryngology and Bhinology. His belief in organizations for the promotion of medical science is at- tested in the appended list of medi- cal societies of which he is a mem- ber : The St. Louis Medical, East St. Louis Medical, Missouri State Med- ical, Illinois Medical, American Medical, Mississippi Valley Medi- cal, American Academy of Medi- cine and the American Laryngolo- gical, Bhinological and Otological Society. JAMES E. LOGAN". The subject of this sketch was born in Kentucky, Oct. 16, 1861, where the first ten years of his life were spent. In 1871 the family re- moved from their Kentucky home to Missouri, where they have since remained. He took his first course in medi- cine at the Missouri State univer- sity in 1S81-2. He then entered the University Medical College of Kan- sas Citv, graduating from that in- stitution in 1SS3. The following year he spent at the Bellevue Medi- cal College of New York City, where MEDICINE AND SURGERY. 289 lie graduated with honor in the class of 1884. He returned to Kansas City and established himself in business with his father. Dr. YT. G-. Logan, with whom he remained in general prac- tice for two years. He then de- voted himself to the special prac- tice of laryngology, being the first to establish himself in that special work in that city. In 1885 he was elected lecturer to the Chair of Physiology in the University Medi- cal College, under the professorship of Dr. John H. Duncan, now of St. Louis, Mo. Two years thereafter, upon the resignation of Dr. Duncan, he was given full charge of the Chair of Physiology. In 1886 he was elected Professor of Laryngology in this institution. He has been a member of the board of trustees of this college since 1887, and has lent every effort to the upbuilding of what is now one of the best medical institutions in the West. In 1899 he was honored with the presidency of his college, a position he now enjoys. Jl'HX S. LONG. Dr. John S. Long was reared at Yerona, Miss., passing through the schools of that thriving little village during his boyhood clays. He grad- uated in 1879 in the classical de- partment at the head of his class from East Tennessee University. He then taught school for some years to enable him to complete his medical education. He entered Xew York Medical College, was elected presi- dent of his class, graduating in the spring of 1892. Early after grad- uating he was elected hy competitive examination to an interneship in the Jersey City Hospital. This he re- signed for a similar position in the Methodist Episcopal Hospital, Brooklyn, X. Y., where he served respectively as ambulance surgeon, house physician, then as house sur- geon. He left New York for South- east Nebraska, where he soon built up a lucrative practice. Because of 290 ONE HUNDRED YEARS OF the drouths of '94 and '95 lie moved to Joplin, Mo. He is a member of the South Methodist Church, local railroad surgeon for the Kansas City & Memphis system, enjoys an extensive practice and is prominent in all things tending to- wards the best interests of his church and countrv. I. N. LOVE. Perhaps no Missouri physician is better known within or without the borders of the State than Dr. I. N. Love. He was born at Barry, Pike Co., 111., September 13, 1853. His father was Isaac Newton Love, orig- inally from Virginia; his mother, Nancy January Porter, from Ken- tucky. Death claimed both of his parents when he was quite a small boy, and he became a member of the family of his relative, the late Dr. John T. Hodgen of St. Louis. His admira- tion and love for the latter early determined him to make his life work that of a physician. After proper preliminary training under his relative, who was at that time president of the St. Louis Med- ical College, now the Medical De- partment of Washington University, he entered and graduated therefrom in 1873. After graduation he passed a suc- cessful competitive examination foi admission as assistant resident phy- sician of the St. Louis City Hos- pital, and took up his residence and remained in the hospital in profes- sional capacity for two years. For a year thereafter he had his office as special assistant with Dr. Hodgen. Later he was appointed city physician by Ma} r or James H. Britton, but resigned the office at the end of a year and entered pri- vate practice. He located in the rapidly growing West End of the city and soon built up a very lucrative practice. In 1887 Dr. Love was elected president of the Mississippi Valley Medical Association, and served as secretary of the section on diseases of children in the Ninth Interna- tional Medical Congress. In 1889 he was elected president of the sec- tion on diseases of children in the American Medical Association and a member of the board of trustees of this national body, and is still serving in that capacity. At a meeting held in Milwaukee in June, 1893, he was elected vice-president of the association. Dr. Love has for several ) r ears been a teacher in the medical col- lege circles of St. Louis. He was a charter member of the faculty of the Marion-Sims College of Medicine, and has a national reputation as a special worker in the field of dis- eases of children. Another one of his specialties is the department of "internal medicine." For a number of years he was an associate editor on several medical journals. He is the author of nu- MEDICINE AND SURGERY. 291 merous monographs on medicine. In 1890 he established a medical .jour- nal of his own, The Medical Mind, which he still edits. In 1889 he was elected president of the American Medical Editors" Association, and still holds that office (1900). W. X. LOWKY. W. X. Lowry is a Kentuckian by birth, harms; been born in Ghent on December 13th, 1859. He received his boyhood education in the public schools of his early home and later prepared himself for en- trance to the Kentucky School of Medicine of Louisville, from which he graduated in June, 1882, by a thorough classical .education. Dr. Lowrv, immediately after ob- taining his degree of Doctor of Med- icine, began the practice of medi- cine in Ghent, but five years later he removed to St. Louis, where he has since been. His practice has ever been gen- eral in its nature, and he has been eminentlv successful with it, espe- cially in St. Louis. The doctor is the lecturer on Surgical Technique at the Barnes Medical College of St. Louis. He is also a member of several promi- nent medical societies and a con- tributor of some note to various medical journals. FRANK JOSEPH LTJTZ. Dr. E. J. Lutz early in his career made his impress upon the profes- sion as a surgeon of more than ordi- nary ability, and his success since then has simply been additional tes- timony in his behalf as one of the most noted surgeons the city of St. Louis has ever produced. Dr. Lutz enjoys a national reputation be- cause of his devotion to his work, and he has ever been deemed one of the best surgeons in the State of Missouri. In addition to his reputation as a surgeon. Dr. Lutz won for himself, while a member of the State Board of Health from 1893 to 1897, the heartiest approbation of his co-prac- titioners and the laity as well, by his unflagging efforts to raise the stand- 292 ONE HUNDRED YEARS OF ard of the profession. This he did by drawing up and having passed through the Legislature a bill which specified certain requirements from all prospective physicians. Dr. Lutz's career has been indis- solubly associated with St. Louis and Missouri. Born in the metropolis of the State on May 24, 1855, he received a public school and classical education there, receiving from the St. Louis University in 1873 the de- gree of "Bachelor of Arts. That con- stituted his preparatory work for entrance of the St. Louis Medical College, where he received his dip- loma and degree of Doctor of Medi- cine in 1876. He was immediately appointed assistant surgeon to the Alexian Brothers' Hospital of South St. Louis, and he has ever since been more or less prominently identified with that institution. Indeed, its ef- ficiency is laigely due to the interest Dr. Lutz has taken in its welfare, he having made several trips abroad in order that he might be enabled to introduce ail of the European in- ' novations and conveniences in the hospital. During the four years that elapsed from 1893 to 1897, Dr. Lutz served as Surgeon-General of the Missouri State Guard. He is. at present (1900) Professor of the. Chair of Principles and Prac- tice of Medicine at the Beaumont Medical College and dean of its fac- ulty. He is a member of several medi- cal societies. In 1889 he was pres- ident of the St. Louis Medical So- ciety, in 1893 the president of the Southwestern Association of Rail- way Surgeons, in 1896 he served in a like capacity in the National As- sociation of Railway Surgeons and the next year was president of the United States Board of Pension Ex- aminers at St. Louis. Dr. Lutz is the chief surgeon of the St. Louis & San Francisco Rail- way Company. HART WELL NELLIS LYON. Dr. Hartwell N. Lyon was born in Leavenworth, Kan., on the 19th day of October, 1864. The educa- tion received by him in his youth and young manhood was with a view to fitting himself for a course in medicine, which profession young Lyon early exhibited a desire to fol- low. After the required attendance on lectures and the prescribed course of study in the college, Hartwell N. Lyon was graduated from the medi- cal department of Columbia Uni- versity (The College of Physicians and Surgeons of New York City) in 1891. Eor the next three years Dr. Lyon was abroad, where, in Euro- pean capitals and colleges, he ear- nestly pursued advanced medical work. He returned to this country in 1894 and entered upon a general practice of medicine in St. Louis,, where he has ever since remained. Dr. Lyon is the chief of the Be- thesda Clinic, and he has been the assistant professor of the Chair of Pediatrics in the Medical Depart- MEDICINE AXB SURGERY. 293 merit of the Washington University of St. Louis ever since it was formed by the consolidation of the St. Louis ^and Missouri Medical Colleges. E. H. McCULLEKS. Eugene Herbert Meddlers is a native of North Carolina, horn at Clayton. November 13, 1863. As a youth he enjoyed excellent educa- tional advantages and graduated with the degree of A. M. from Wake Forest College of North Carolina. In 1888 he graduated from Belle- vue Hospital Medical College, and, returning to his home in North Carolina, commenced the practice of bis profession. Dr. McC'ullers was also a graduate in pharmacy, and became a druggist at this time. Later our subject took a course in tbe New York Post-Graduate Medical School, and in 1890 attend- ed the New York Polyclinic. Dr. MeCuUers became a resident of St. Louis in 1893. In 1894 he went to Stockholm. Sweden, and studied "Mechanico-Therapeutics" in paralysis, rheumatism, spinal curvature and deformities — bv the Zander Swedish Movement Cure by mechanical means and Electricity and Hydro-Therapy. His profes- sional work in St. Louis has been along those lines. Dr. McCullers is a member of the St. Louis Medical Society, of the Missouri State Medical Association and the American Medical Associa- tion. CALVIN DAVIS MeDONALD. Dr. Calvin Davis McDonald was born in York Count v. Pennsylvania, January 23, 1835. He received his early training in a country school, attending only the winter terms. Before he reached his majority he became a country school teacher in the woods of Pennsylvania. Later he enterd the office of Dr. Park Loring of Kenton, 0., and began the study of medicine under his care. In 1862 he entered Ann Arbor University and took a classical course. The next fall he enrolled in the Starling Medical Col- lege, Columbus, 0.. where, March 1, 294 ONE HUNDRED TEARS OF 1864, he graduated with high honors. Upon receiving his diploma, Dr. McDonald settled in the little town of Mt. Blanchard, 0., where he lived several years until, in 1869, he "brought his family to Carrollton, Mo. Here he pursued his chosen calling nearly two years, whereupon he again moved, this time to Kansas City, Mo. Soon Dr. McDonald built up a large practice, and was until his death, June 19, 1898, one of the most prominent physicians in the State. Dr. McDonald was a general prac- titioner, hut was considered especial- ly skillful in the treatment of the diseases of children. Dr. McDonald's two sons, Chett and Park Loring McDonald, have followed in his footsteps, and to-day are successful in the profession their father follow ed so honorably. Dr. McDonald held several polit- ical offices and belonged to various clubs, orders and societies. CHETT McDONALD. Dr. Chett McDonald was born in Mt. Blanchard, Hancock County, Ohio, December 22, 1864. Dr. Cal- vin Davis McDonald, the father of Chett McDonald, was one of the most prominent physicians in Mis- souri. Mary Shields McDonald, his mother, was a woman of very lov- able character, simple in her tastes, generous in her judgments, tranquil in temperament and perfectly en- grossed with the interests of her home. Chett was educated in the public schools of Kansas City. He did not enter High School, but worked at various avocations until he en- rolled as a member of the Univer- sity Medical College, from which in- stitution he graduated in the class of '91. During the terms he attended college Chett served as druggist in the Health Department under his father, who was then City Physi- cian. Three days after he left col- lege he was tendered the position of Assistant City Physician by Dr. E. E. Lewis, and upon the expiration of his term of office he began the gen- eral practice of medicine with his father and brother, with whom he was associated until his fathers- death, when the partnership was dis- solved by mutual consent, the broth- ers continuing to occupy the original suite of rooms. July, 1897, Chett was appointed by President McKinley a member of the Board of Pension Examiners, and upon organization of the board he was elected secretary, which po- sition he still holds. Dr. Chett McDonald is a mem- ber of several political clubs and also belongs to organizations of oth- er character. April 5, 1899, Dr. Chett McDon- ald was married to Miss Georgie Warner Williams, "only daughter of the late Marcus T. C. Williams, one MEDICINE AND SURGERY. 295 of the most distinguished members of the Kansas City bar. Her moth- er was a daughter of Col. William A. Warner of Lexirrion, Ky., and a granddaughter of Gen. Leslie Combs of that same celebrated city. Her paternal grandfather was Dr. Charles Mansfield Williams, one of the best-known physicians in the State of Ohio. paek l. Mcdonald. Dr. Park L. McDonald was born at Kenton, 0., on the i%h day of July, 1862, and he recei\ ^d his public school, clasical and mimical education in Kansas City, whither his parents had removed when Pa„ v L. was quite young. He commenced his study of med- icine under the preceptorship of his father, at one time a prominent phy- sician and surgeon of Kansas City, and later, in 188G, he entered the University Medical College of Kan- sas City. After receiving his di- ploma, some three 3 r ears afterwards, Dr. Park L. McDonald began the practice of medicine in the office of his father. Under that gentleman's able instruction the young man soon perfected himself in the prac- tice as well as theory of medicine, and after his father's death was ful- ly fitted to step into the practice left him as a heritage. Dr. McDonald has always devoted his time exclusively to the general practice of medicine, and has en- larged his father's practice consid- erably by his skillful handling of individual cases. EDWARD J. McGRATH. A native St. Louisan, Edward J". McG-rath, received his public school, classical and medical education in that city, and he has, since his grad- uation from the American Medical College, practiced his profession in that city. After receiving a thorough public schooling and the prepara- tory classical education he entered the American Medical College, from which he graduated in the spring of 1896. Dr. McGrath has devoted all of 296 ONE HUNDRED YEARS OF his attention to general practice, and his large and constantly grow- ing clientele speaks volumes for his success in medicine. The doctor is a member of sev- eral of the prominent eclectic medi- cal societies and a contributor of some note to medical literature. and take great interest in all mat- ters pertaining to the advancement of the medical profession at large and naturally special interests in the progress made by his particular school of medicine. JOSEPH AY. McKEE. Born in Summerfield, 111., on May 5, 1854, Joseph W. McKee re- ceived a thorough preliminary edu- cation before entering McKendree College at Lebanon, III., from which he Graduated in 1876, receiving the degree of A. B. and A. M. In 1884 Dr. McKee graduated from the Medical Department of Xorthwest University at Evanston. 111. He lo- cated in Kansas City soon after re- ceiving his degree, and has been there ever since. Dr. McKee, soon after entering upon his professional career, took up eye and ear work, taking post-graduate course in New York City, and has since become one of the most prominent oculists and aurists in Kansas City and the State. He has been the oculist and aurist to the Schoo] for the Educa- tion of the Blind in Kansas City, Kan., for the past few years. Dr. McKee enjoys a private prac- tice that is a large and remunerative one. WM. M. McPHEETEES. Xo Missouri practitioner is more widely known than William M. Mc- Pheeters of St. Louis. He was the son of Pew William McPheeters, D. D., a Presbyterian clergyman of much prominence in Xorth Carolina in the early part of the century. The subject of this sketch was born in Raleigh, X. C, December 3, 1815. After fitting himself for a collegiate course he attended the University of Xorth Carolina, and then began the study of medicine under Prof. Hugh L. Hodge of Phil- adelphia. Later he entered the Medical Department of the Univer- sity of Pennsylvania and graduated there from in 1840. His first professional experience was as a hospital physician in Phila- delphia. In 1841 he came to Mis- souri, arriving in St. Louis October 15 of that year, and soon came into prominence as a practitioner in the citv of his adoption. In 1848 Dr. McPheeters was chosen Professor of Clinical Medi- cin and Pathological Anatomy in St. Louis Medical College and a year later was appointed to the Chair of Materia Medica, Therapeutics and Clinical Medicine, holding this posi- tion until 1861. At the outbreak of the Civil War he cast his fortunes with the South, and, resigning the position of sur- geon to the United States Marine Hospital, which he had filled since p. ill IIP in Wk C. LESTER HALL, President Missouri State Medical As- sociation, 1895. T. L. PAPIN. m mrmmmmm iff; wmmmm. WM. llll tcsawSa „,liiillii. „,.,,..,,.. DAVID S. BOOTH, SR. GEORGE ENGELMAN. MEDICINE AND SURGERY. 297 3856. became a surgeon in the Con- federate Army. During the prog- ress of the war he held many re- sponsible positions in the military service, notably that of medical di- rector on the staff of Ma]. -Gen. Sterling Price. At the close of the struggle Dr. McPheeters returned to St. Louis and resumed practice. In 1866 he was appointed Professor of Materia Medica and Therapeutics in the Mis- souri Medical College, and acted in that capacity until 1874. when he resigned to accept the medical di- rectorship of the St. Louis Mutual Life Insurance Company. It is in the literary field that Dr. McPheeters has particularly shone. In 1815 he became co-editor with Dr. M. L. Linton of the St. Louis Medical and Surgical Journal, and continued his connection with that publication until 1661. In the ter- rible cholera epidemic of 1819 he served in the front rank of the brave physicians who battled with the dread scourge in Missouri. In 1850 he used the experiences and observa- tions of the previous year as a nu- cleus for a paper on "Epidemic Cholera in St. Louis."* Dr. McPheeters was one of the organizers of the Missouri Medical Association, and one of its earliest presidents : was a member — and for several years president — of the Ob- stetrical and Gynecological Society of St. Louis, and has been president of the St. Louis Medical Society and vice-president of the American Medical Association. He is also an honorarv member of several medical societies of Arkansas. iNorth Caro- lina and other States. Dr. McPheeters has twice been married. Six children were born of the second union. He is of pro- nounced Christian character, and has been and is a most useful citi- zen" of Missouri. HUGH P. MACK. Dr. Hneh P. Mack was born, raised, educated and has always practiced medicine in the city of St. Louis. He was born January 20, 1863, and was a student in the public and High Schools, entering the old St. Louis College in the fall of 1881, when but 18 years of age. Three years later he graduated, and immediately entered upon the general practice at which he has since been so successful. Dr. Mack is the assistant to the Chair of Obstetrics at St. Louis Col- lege of Physicians and Surgeons. He commands the respect of the men and students with whom he comes in daily contact, and his personality. as well as his ability, have helped him to build up his practice and made it a large and lucrative one. S98 ONE HUNDRED YEARS OF ALBLBT S. MAGKEY. One of the oldest and most prom- inent of the practicing plrysicians and surgeons of Pike County is Dr. Albert 8. Maekey, who resides in the quaint old river town of Louis- iana. The doctor is a native West Virginian, having heen born in Hancock County on the 21st day of August 1844. In the early "60s Dr. Maekey came West, locating in Clark Count v. Missouri. From '73 to '76 inclusive Dr. Maekey attended lectures in the College of Physicians and Surgeons of Keokuk, la., and in the latter year located near Oskaloosa, la., and practiced medicine until fall of 1878, when he returned to Keokuk, la., and attended another course of lectures, graduating in the spring of 1879. He then changed his location, set- tling in Louisiana, where he has ever since been, building up in the meantime an extensive and lucrative practice and 'establishing himself in the position he holds there in the hearts and minds of his co-prac- titioners and clientele. Dr. Maekey is a member of the United States Board of Examining Surgeons, the Tri-State Medical So- ciety and the Military Tract Asso- ciation. His son is to follow in his foot- steps, and is now preparing himself at the St. Louis College of Physi- cians and Surgeons. HEINE MARKS. Heine Marks was born December S, 1859, at Lake Providence, in Kast Carroll Parish, Louisiana. He received an elementarv educa- tion in the New Orleans (La.) and Memphis (Tenn.) public schools. He studied medicine and surgery from 1875 to 1878, graduating from the Cincinnati College of Medicine and Surgery in the last-named year. Shortly after receiving his diploma he came to Missouri and commenced the practice of his profession in St. Louis, August, 1878. He was a close student, and by MEDICINE AND SURGERY. 299 applying himself diligently to his calling, rapidly won his way to a good practice and the respect and esteem of his medical brethren. He became a member of the St. Lonis Medical Society and was Vice-Pres- ident of the same in 1893; was elect- ed one of the board of managers of the House of Refuge, serving for a term of two years. He is a member of the Missouri State Medical So- ciety^ also of the American Medical Association. In 1892 he was ap- pointed superintendent and surgeon of the St. Louis City Hospital, and held that position several years, dis- charging bis duties so efficiently as to win from his professional breth- ren special recognition and most fa- vorable comment. Since leaving the Hospital Dr. Marks has devoted all of his time to his practice and pri- vate interests. He makes a special- ty of fcurgieal work. SOLOMON C. MARTIN. Solomon Claiborne Martin was born in Claiborne County, Miss., on the 26th day of October, 1837. He was the recipient of that early education that the youths of the South obtained in those days, in- cluding a thorough course of in- struction in the University of Michi- gan and two years of subsequent study in Europe. In 1865 he grad- uated from the Medical Department of the Louisiana State University. Before locating in St. Louis in 1872, Dr. Martin laid the foundation for the success he has since attained here by practicing in his native- State. Dr. Martin, since he located here 28 years ago, has made rapid strides in his chosen profession. He early made a specialty of skin diseases, and was so successful with this branch of his practice that he was appointed Professor of Dermatology of the Barnes Medical College of St. Louis, which position he still oc- cupies. Besides his professional work Dr. Martin is a writer of ability. He is the editor of three maga- zines, namely, The St. Louis Medical Era, The American Journal of Der- matology and Genito-Urinary Dis- eases, and The Climate.. Dr. Martin devotes most of bis- time to his speciaRw, and through it has built up a large and lucrative practice. E. B. MAYEIELD. Eli Burton Mayfield was born near Patton, Bollinger County, Mis- souri, Jutlusltj, 1861. He is the son of Gr. AT. Mayfield and grandson of Stephen Mayfield, a Revolutionary soldier. His early education was obtained in the public schools, the Mayfield- Smith Academy at Marble Hill and the State Normal School at Cape 300 ONE HUNDRED YEARS OP Girardeau, Mo. He afterwards en- gaged in teaching, both in his na- tive and adjoining counties, and was an educator of recognized abil- ity. He then entered the College of Physicians and Surgeons of this city, and received a diploma from that institution March, 1886. After graduating Dr. Mayfield engaged in the practice of medicine in a sub- urban town, where he soon had a large and lucrative practice. In 1893 he took a general post- graduate course in New York City, also a special course in surgery, gynecology and diseases of the chest. Dr. Mayfield returned to St. Louis the same year and located at 4484 West Belle place, where be still re- sides. He was appointed assistant surgeon to the Missouri Baptist Sanitarium, a position which he held until the erection of the May- field Sanitarium in 1896, when he became assistant surgeon and house physician to that institution. He has also established a large and growing private practice. W. H. MAYFIELD. The subject of this sketch is of American ancestry, running back to and antedating the revolutionary period. His paternal grandfather, Stephen Mayfield, served in the pa- triot army through the entire seven years of the struggle for independ- ence. William Henderson Mayfield, son of George W. and Polly Cheek May- field, was born in Patton, Mo., Jan- uary 18, 1852. His early scholastic training was had in the public schools and at Carleton Institute and at Fruitland Normal Institute. At the age of 17 he was teaching school, and continued his studies while so engaged, thus fitting him- self for a professional career by pro- cess of self-education. He began the study of medicine at Sedgwickville, Mo., in 1874, un- der Dr. H. J. Smith. Several years later lie took a three-year course in St. Louis Medical College, graduat- ing in 1883. The bent of Student Mayfield's mind was toward surgery, and he fully developed his ambition MEDICINE AND SURGERY. 301 in that branch under the tutelage of Dr. J. J. McDowell and Dr. John T. Hodgen. Thus he began his pro- fessional career admirably equipped for operative surgery. He began practice at Mayfield, Mo v but at the end of a year moved to St. Louis and established him- self there, accepting the Chair of Materia Medica, Therapeutics and Diseases of Children in the College of Physicians and Surgeons. In 1 884 Dr. Mayfield founded the Missouri Baptist Sanitarium, and was superintendent of that institu- tion from the date of its opening until the spring of 1896, when he resigned to build and take the active management of Mayiield Sanita- rium, with which institution he has since been connected in both profes- sional and business capacities. Dr. Mayfield is a member of the St. Louis Medical Society and the Mississippi Valley Medical Associa- tion. He is an active member of the American Medical Association. He is a charter member of the Hos- pital Saturday and Sunday Associa- tion, and has much to do with char- itable work. Mayfield- Smith Acad- emy of Marble Hill, founded in 1878, is a line example of Dr. May- iield's work as an educator. HENRY H. MIDDELKAMP. Warren County, Missouri, Janu- ary 37, 1839, was the place and date of the birth of Flenry Herman Mid- delkamp, his parents being natives of Germany. He was educated in the public schools of Missouri, later receivino- private instruction and in 1891 re- ceived the honorary degree of A. M. from the Central. Wesleyan College of Warrenton. He began to read medicine at Warrenton in 1862 un- der Dr. John E. Hutton, later en- tering the St. Louis Medical Col- lege, from which he graduated in March, 1864, and in the same month began to practice at Warrenton. He later took a post-graduate course at the St. Louis Medical College. He was the founder of the Linton District Medical Society, November 19, 1872, and was its president in 1874; was a member of the Mis- souri State Medical Association, president 1881-85; was also vice- president of same for two years; was a member of the American Medical Association, of the Ninth International Medical Congress, of the Mississippi Valley Medical As- sociation, of the St. Louis Medical Society, of the Wabash Surgical As- sociation, of the National Associa- tion of Railway Surgeons, honorary member of the St. Charles County (Mo.) Medical Society and a member of the Masonic fraternity. Dr. Middelkamp was lecturer on Surgery, Medical Department, Uni- versity of Missouri, Columbia, 1876- 79, medical examiner for the depart- ment, 1876-80, and curator of the university, 1877-79. 302 ONE HUNDRED YEARS OF He was a member of the Board of Health of Warrenton, 1892-94: physician to the County Poor Farm. 1879-80; county superintendent of public schools, 1870-72, and was sur- geon to the Wabash Eaihvav from 1884 to the time of his death. Dr. Middelkamp performed all the criti- cal o])erations common to railway surgery and devised special appa- ratus for wounds and fractures. An address Dr. Middelkamp deliv- ered when he retired from the pres- idency of the State Medical Asso- ciation, entitled "A Higher Stand- ard for Medical Education,"" and the ideas there advanced have been adopted by all colleges of any prom- inence. This, with the following- others, have been published: "Per- sonal Qualifia.tions of the Surgeon,'' "Immediate Amputations/' "Miss- issippi Vallev Medical Association," "The Ideal Physician,"" "Treatment of Typhoid Fever"' (bathing), and many other papers. He died April 19, 1897, ar his home in Warrenton, Mo. ALBEE'I H. MEISEXBACH. When he was but 3 years of age, the parents of Albert H. Meisen- bach, in 1855, moved from his birth- place, St. Louis, to Mendota, 111., where he received an early public school and classical education, grad- uating from the Wesleyan Seminary of that town when but 17 years old. Young Meisenbach one year later began his study of medicine under Dr. E. P. Cook, at that time one of the most prominent physicians of Xorthern Illinois. Later the sub- ject of this sketch entered the. St: Louis Medical College, now Medical Department of Washington Univer- sity, d'rom which he received his diploma and degree of Doctor of Medicine in 1876. He won, immediately after his graduation, through a competitive examination, a position as assistant physician in the Female Hospital of St. Louis. Later he accepted a similar appointment in the St. Louis City Hospital. One year later, in 1877, Dr. Meis- enbach severed his connection with that hospital in order that he might start in active practice for himself. He began his practice of medicine in Mascoutah, 111. He returned to St. Louis, where he has remained ever since, with the exception of one year which he spent abroad. While in Europe Dr. Meisenbach studied in the universities at Berlin, Vienna, Paris and other noted medical edu- cational centers. Eeturnina: to St. Louis in 1890, Dr. Meisenbach re-established him- self in the practice which has since proved so remunerative. From 1890 to 1892 he was Profes- sor of Anatomy and Clinical Sur- gery in the Marion-Sims College of Medicine, and since the latter date has occupied the Chair of Special and Clinical Surgery and Surgical Pathology in the same college, until MEDICINE AND SURGERY. 303 lately lie severed his connection with said institution. Dr. Meiseniach is a member of several medical societies, namely, the St. Louis Medical Society, the Medical Society of the Alumni of the St. Louis City Hospital, the Mis- sissippi Valley Medical Association and the American Medical Associa- tion. In all of them he has made himself felt as a medical writer of ability and a thoroughly conscien- tious and capable physician, and takes a. leading rank among the sur- geons of the city. C. A. MERIDITH. Charles Arthur Meridith was born on a farm in Pulaski, la., April 21, 1868. His early education com- menced in the public school of his native place, where he received the usual "''district" schooling afforded the American farmer boy. His ear- ly life was spent on the farm, in as- sisting his father, until he had reached his 17th year. The educa- tion received up to this time (about three months each year) only created in young Meridith a thirst for a more thorough schooling. In 1885 he became a student in the Southern Iowa Normal School at Bloomfield. A recital of his struggle to maintain himself and gain the education nec- essary to give him a place in the world of knowledge during these years at the Normal School Teflects credit upon . the subject of this sketch. After graduating from the above institution young Meridith went West in search of wealth and health, the last named the result of overstudy, and after several years spent in Montana he returned East and renewed his earlier determina- tion to study medicine by entering the Marion-Sims College of Medi- cine, St. Louis, taking a three years' course, graduating from that insti- iution in 1893. Dr. Meridith at once began prac- tice in St. Louis, where he has con- tinued in general practice, and is re- nowned as a very successful practi- tioner of the younger generation. He is a member of the St. Louis 1 Medi- cal Societv. ALBERT MERBELL. Dr. Albert Merrell, who has been a most useful citizen of Missouri, both in public and private capacities, was born in Cincinnati, 0., Feb- ruary 18, 1843. His early education was acquired in the city of his birth. He attended the public schools and graduated from the Cin- cinnati High School in 1861, when high schools were graded much higher than they are now. His further education was inter- rupted by enlisting to take an active part in the Civil War, then in prog- ress. He became First Lieutenant of Battery H, First Light Artillery, Ohio Volunteers. At Cold Harbor, Va., he received wounds which com- pelled his resigning from the service in October of 1864. 304 ONE HUNDRED YEARS OF Returning to his home he began the study of medicine while actively engaged in business as a manufact- uring chemist, in which he obtained a wide experience. From 1865 to 1871 he had charge of the labora- tories of William S. Merrell & Co. (now William S. Merrell Chemical Co.), Cincinnati, 0., the establish- ment founded by his father. Later he decided to enter actively into medical practice, and, having re- moved to St. Louis, he graduated from the American Medical College in 1875. Dr. Merrell, in addition to a successful general practice cover- ing twenty-five years, has done much special work in medical and. analytical chemistry: has lectured for twenty years on chemistry and obstetrics in his Alma Mater, and has given special study to public health questions. He served twelve years on the State Board of Health of Missouri, and will have completed eight years' service on the St. Louis Board of Health, at the expiration of his pres- ent term. Dr. Merrell has made several con- tributions to literature along the lines of his experience. He is the author of a 500-page work, entitled, ••'A Digest of Materia Medica and Pharmacy,"" and of many papers on mineral and potable waters, public health questions, etc. A. B. MILLEE. The professional reputation of Dr. A. B. Miller is not confined to Ma- con City, his home, nor yet to that northern section of Missouri in which he is best known, but extends over the entire State. Dr. Miller was born in Palmyra, Mo., on the first day of February, 48 years ago. After receiving a public and high school education in his native town, young Miller en- tered the Central College at Fay- ette. Mo., which he left to enter the Jefferson Medical College of Phila- delphia, Pa. Receiving his diploma and de- gree from that institution in 1878, Dr. Miller returned to Missouri, where, in the same year, he began the active practice of medicine in Shelbyville. lour years later he removed his office to Macon City, where he has ever since been. Dr. Miller earlv identified himself with the progressive, earnest men of the profession by his election to membership in both the Missouri Medical Association and American Medical Association. He was chosen president of the former society in 1892, serving in that capacity for the ensuing year. He is also a mem- ber of the Northern Missouri Medi- cal Society and the Macon County Medical and Surgical Society as- well. " In 1884 and for the next three years, Dr. Miller lectured on gyne- cology in the Medical Department of the Missouri State University. For some time past Dr. Miller has been the local surgeon for the Hannibal MEDICINE AND SURGERY. 305 & St. Joseph Eailroad Company at Maeon. Dr. Miller is a scholarly gentle- man, well versed in the literature of. the profession and in the affairs of the day. He takes a keen interest in men and affairs, and has always identified himself with whatever was for advancement in his profes- sion. ISAAC K MILLEE. Dr. Isaac 1ST. Miller was born near Greenfield, Hancock County, Tnd., September 18, 1857. His parents were anions; the early settlers of that then "far West" State. His fath- er, Benjamin Miller, inherited the sturdy characteristics of his German ancestry, and loyalty was an innate principle of his nature. He served in the Mexican War under Taylor, and when there was a call for volun- teers in 1861 he was among the first to respond. His mother, whose maiden name was Taylor, was a cousin of Presi- dent Zachar}'' Taylor. In religion she was a strict Quaker, having de- scended from the William Penn branch of the Quaker Church. The simple truths she taught and the noble life she lived made a deep im- pression on the mind of her youth- ful son. In 1866, with his parents, Dr. Miller, then 9 years old, emigrated to Nodaway County, Missouri, and for the following five years was on a farm, attending the public school in the winter months if there was noth- ing else to do. WTien any work on the farm could be found, school must wait. As the mind of the growing boy developed it was evi- dent that he had ambitions beyond farm life, and in 1871, at the age of 14, he left home to make his own way in the world. He began work . in a drug store at Mound City, Mo., receiving his board and clothes for the first 3 r ear's wages. He soon be- came a trusted prescriptionist, and remained in the business for six years, thus receiving a thorough knowledge of the composition of drugs and their chemical, physiolog- ical and therapeutical action. When he was 21 years old he began the study of medicine with Dr. J. P. Jackson, a prominent physician of Kansas City, Mo., but at that time of Mound City, and in 1879 he en- tered the old school College of Phy- sicians and Surgeons at Keokuk, la., which then was the best school west of Eew York City. In February, 1882, Dr. Miller, having received his degree, returned to Mound City, where he successful- ly engaged in general practice for about nine years. Beviewing the vast field of medical science, and be- lieving that one man could not suc- cessfully work it all, he decided to prepare himserf for practice in spe- cial lines, and took private instruc- tion from such men as Prof. A. M. Caroenter, Prof. J. J. K Angear, H. T. Cleaver, M. D., and Dr. Jo- seph M. Matthews. After locating 20 306 ONE HUNDRED YEARS OF in St. Joseph in 1890, Dr. Miller made specialties of diseases of wo- men, diseases of the rectum and chronic and nervous diseases of both sexes. After ten years of hard but successful work we find him not only one of the leading specialists ol that city, but of the State, having py his work and professional ethics gained the respect of the general regular practitioners, who now send the doctor much special work. Dr. Miller has kept in the front, being a leader rather than a follow- er, and much of his success in hi? profession is due to his original in- ventions, chief of which are his an- chor rectal bougie and medicine ap- plicator and the anchor rectal sup- pository, the use of which by the medical profession lessens bj* 90 per cent the necessity for surgical ope- rations in the treatment and cure of all rectal diseases. ARTHUR E. MINK. Dr. Arthur E. Mink was born in Lyons, X. Y., Dec. 25, 1863. At the age of 7 his parents moved to Koch- ester, and his earlier education was received in the public schools of that city. From 1879 his education was pursued under the direction of his father and private tutors. He early developed a marked aptitude for scientific studies and the ac- quirement of foreign languages. He became proficient in the principal European languages, as well as Greek and Latin, and was thorough- ly trained in chemistry, physics and biology in a laboratory which he had equipped by his own exertions, aided by his father. In 1884 he matriculated in the College of Medicine, University of Syracuse, graduating from this in- stitution in 1887. He then com- menced practice in Rochester. In 1889 he moved to Hamlin, X. Y., and there engaged in country prac- tice until the beginning of 1891. He then accepted a position as as- sistant physician in the Manhattan State Hospital for the Insane, and later on was assistant physician to the Long Island State Hospital for the Insane. Resigning the latter po- sition in 1893, he removed to St. Louis in 1891 to practice as a spe- cialist in mental and nervous dis- eases. Dr. Mink was engaged by the State as an expert witness in the celebrated Duestrow case. His rep- utation became widespread through this case, and the jury that con- victed Duestrow said tluTy paid most attention to Dr. Mink's testimony. The doctor has been and is fre- quently called into consultation as an expert in his branch of medicine. He has been a liberal contributor to the literature cf his profession, and has been widely quoted as an aiu thoritf. He has been for the last five years Professor of Mental and N>rvous Diseases in the St. Lotus College of Physicians and Surgeons. He is neurologist to the St. Louis MEDICINE AND SURGERY. 307 City Hospital and is a member of the St. Louis Medical Society and of the American Medico-Psychologi- cal Association. C. COLUMBUS MORRIS. C. Cohmibus Morris, M. D., was born in Putnam County, Indiana, December 2 7, 1858, and is of English descent. He attended the public schools of his native State until 17 years of age, when he came to Mis- souri, where he finished his educa- tion in the Missouri State Univer- sity. In June, 1881, he graduated with the first honors of his class .from this institution, receiving the degree of Doctor of Medicine. He immediatelv entered upon the prac- tice of his chosen profession in Ma- rion County, Missouri, building up in a few years a large and lucrative practice. In 1889 he was elected to the Professorship of Physiology in Chaddoek College, Quincy, 111., which position he filled for one year. He then went East, taking a post- graduate course in the Xew York Polyclinic, making surgery and clin- ical microscopy a specialty. In 1891 he located in St. Louis, and being well and favorably known, soon accpiired a practice that in- creased with great rapidity. In 1893 he assisted in the organization of the St. Louis Baptist Hospital, and was elected superintendent, which posi- tion he still holds. The success of this institution is largely due to his careful and judicious administra- tion. From 1895 to 1898 he held the Chair of Gynecology in the St. Louis College of Physicians and Surgeons. In 1897 he was elected surgeon-in- chief of the St. Louis Baptist Hos- pital, and he now devotes his time almost exclusively to surgery. He is a member of the St. Louis Medical Society and honorary mem- ber of the Adams County Medical Society, Quincy, 111. YVALTEB BROYVXIXO MORBIS. AYalter Browning Morris was born in Culpeper County, Virginia, Feb- ruary 18, 1809. After receiving the benefits of the common schools of his native county he attended the grammar school at Castle Mountain, Madison County, Ta., qualifying himself as a teacher. When about 21 he went to Ohio and settled near Steubenville. He first engaged in teaching school,, then entered into politics, represent- ing his county in the Legislature for four years, and was a member of the Xational Constitutional Con- vention called to revise the Consti- tution of the United States, repre- senting his district in the Xational Democratic Convention at Balti- more^ which nominated James K. Polk for President. He then at- tended the Cincinnati College, grad- uating in law, taking the degree of Bachelor of Laws, March 2, 1843. After this he attended the Transyl- vania University at Lexington, Ky., where he graduated in medicine March 7, 1811, such well-known 30S OXE HUNDRED YEARS OF names as those of Bishop H. B. Bascom, Dr. B. W. Dudley. Dr. Elisha Bartlett and Dr. W. H Rich- ardson appearing on his medical dip- loma. Alter graduating in medicine he returned to his native State and removed with his family to Missouri in 1845. where he devoted himself to the practice of medicine. In 1852 he was elected to the State Senate from St. Louis County and city, which honorable post he held for twelve successive years. He was chosen Speaker of the Senate one term and he was also three years in the House. Dr. Morris was a man of varied attainments. His library showed him to he a student of no circumscribed sphere, and in conver- sation he revealed breadth and ex- actness of information. As a par- liamentarian he had few equals. As a public speaker he was able to meas- ure swords with the strongest of his time. Dr. Morris was a patriot; he loved his country, as was shown by "his always taking a deep interest in politics. As a physician, however, he was hest known and will be longest re- membered, for in his profession he especially excelled. The people trust- ed him for his broad and deep knowledge of medicine and for his integrity. They loved him for his untiring devotion to their welfare. He was never too weary, the roads were never too bad nor the nights too dark for him to go and see the liumblest and poorest. Money seemed to have been entirely over- shadowed by the higher motives of henevoience. A more unselfish physician was never known, and in his honored profession many noble examples are known. Dr. Morris was never married. He lived in Bridgeton and practiced there 42 years ; was a member of the Method- ist Church and an earnest Christian. He was taken to St. Louis for spe- cial treatment and died in that city November 29, 1887, at the age of 78. The only surviving member of the family was a brother three years his senior, living in Yirginia, but the friends who loved him were numberless. His name will long be remembered and honored. He was president of the Missouri State Medical Association in 1S68. HEXBY H. MUDD. Henrv Hod sen Mudd was born at Pittsfield, HI., April 27, 1811. Dr. Mudd received his academic educa- tion in the St. Louis public schools and "Washington University of this city. He studied medicine under his uncle, John T. Hodgen, and at the St. Louis Medical College, receiv- ing his degree from the latter insti- tution in 1866. After graduating he devoted some months at clinical work at the St. Louis City Hospital. In 1867 he was appointed acting Assistant Sur- geon in Gen. Sherman's old regi- ment, the Thirteenth United States Infantry, and went to Montana with this regiment. Beturning to St. Lotus, he began on January 1, 1869, the general practice of medicine and surgery with his uncle, Dr. Hodgen. Like his uncle, however, Dr. Mudd's in- clination was all for surgery, and he soon confined himself exclusively to that branch of the work. Dr. Mudd was Prosector and Demonstrator of Anatomy at the St. Louis Medical College from 1872 to 1883. He was made Professor of Anatomy in 1880, and in 1883 was made both Professor of Anatomy and Clinical Surgery at the institu- tion, and continued in that capacity until 1886. He was then made Pro- fessor of Surgical Anatomy and Clinical Surgery, remaining as such until 1890. In that year he was made dean of the college, and con- tinued as Professor of Clinical Sur- gery. MEDICINE AND SURGERY. 309 Largely through his efforts the consolidation was effected of the St. Louis Medical College, which for several years past had been the med- ical branch of Washington Univer- sity, and the Missouri Medical Col- lege, the two oldest schools of med- icine in the city. They were com- bined under the title of the Medical Department of "Washington Lniver- sity, and Dr. Mudd was made dean of the new college and also Professor of Clinical Surgery, which positions he held at the time of his death. As a surgeon he was one of the best known men in America, and was called into consultation in sur- gical cases throughout the entire West. At the death of his uncle, Dr. John T. Hodgen, Dr. Mudd succeeds ed him as surgeon-in-chief of St. Luke's Hospital, and held that posi- tion continuously up to his death. He was ex-president of the St. Louis Medical Society, and has contrib- uted numerous articles to various medical magazines. He was the author of the articles on Hernia in Wood's Eeference Hand Book of Medical Sciences, and on Surgery of Mouth and Tongue in Dennis' System of Surgery, two standard medical works, and these articles hy Dr. Mudd are his most noted con- tributions to medical literature. Dr. Mudd was also a member of the American Surgical Association, a very exclusive organization of sur- geons. He died in St. Louis, Xovember 20, 1899, E. BREXT MURPHY. B. Brent Murphy is a native of Missouri, having been born at Old Mines, in AYashington County, Feb- ruary 16, 1867. He is a son of Judge William S. Murphy of St. Louis County, and the late Dr. T. L. Papin of St. Louis was his uncle by marriage. Dr. Murphy is a graduate of the Christian Brothers' College of St. Louis — June, 1881. After debating with himself the question of his future occupation in life, he finally decided to follow the profession of medicine, and pre- pared himself to that end. He took a course in medicine in St. Louis Medical College, and on March 11, 1889, received his di- ploma from that institution. After graduation he served one year as assistant physician at St. Louis Female Hospital. In May. 1890, he commenced private prac- tice, with an office at his present lo- cation on Manchester avenue. Dr. Murphy is a member of the St. Louis Medical Society, and was elected to fill a vacancy caused b) r the resignation of its corresponding secretary in 1893, and was re-elect- ed and served as corresponding sec- retary in 1894. He is one of St. Louis' successful -phvsicians. 310 ONE HUNDRED YEARS OF E. J. NEVILLE. Born of New England parents, in the metropolis of that section of the country, Dr. E. J. Neville ob- tained the excellent public school and classical education which all New Englanders can obtain, espe- cially if they are raised in Boston. Later in life young Neville re- moved to St. Louis, where he took up the study of medicine, entering the St. Louis Medical College, from which he graduated in 1892. For the two succeeding years Dr. Neville further pursued his study of medicine in the famous medical de- partment of the University of Ber- lin, having as instructors some of the most noted savants of medicine in Germany. In 1894 he returned to America and located himself in St. Louis, where he entered upon an active general practice of medicine. The thorough knowledge he had of all the branches of his chosen profes- sion made him well fitted to take care of the practice which has since become quite large. L. E. NEWMAN. Louis E. Newman was born Sep- tember 3, 1861, in South St. Louis (then Carondelet). His early edu- cation was obtained in private schools. He afterwards entered the St. Louis University, and graduated therefrom in 1880, with the degree of Bachelor of Arts. Later the same institution con- ferred on him the M. A. degree. Subsequently he studied medicine under the preceptorship of the late Dr. A. P. Lankford and attended his first course of lectures at the Missouri Medical College. He took the regular course at the famous Jefferson Medical College of Phila- delphia, graduating in 1883. To further qualify as a practition- er, Dr. Newman spent the two years following his graduation in Europe aud continued his studies in the medical educational centers of the continent. He returned to this country in 1885 and established himself in practice in his native city. In 1891 MEDICINE AND SURGER5T. 311 he moved his office to its present location. Although a comparatively young- practitioner, Dr. Newman is recog- nized by the profession and laity as- a physician of superior education and attainments. He is engaged in general practice. Homeopathy and of the Kansas State Homeopathic Society. He is president of the Hahnemannian Medical Society of the Kansas City Homeopathic Medical College and dean of the college. C. M. NICHOLSON. Clarence M. Nicholson, physician, was horn January 15, 1868, in Kansas City, Mo., son of Judge E. P. and Elizabeth (Griffin) Nicholson. His paternal grandfather was Isaac P. Nicholson, born in 1789, who, after serving on the bench as cir- cuit judge in Mississippi, was ele- vated to the Supreme bench of that State, and acquired enviable dis- tinction as a jurist. His father served in the 'Civil War in the rank of Colonel, and later occupied the circuit bench. Dr. Nicholson obtained his acad- emic education in Kansas City and St. Louis, and began the study of medicine at the Missouri Medical College, where he graduated in the class of 1891. ANTON E. NEUMEISTER. Anton E. Neumeister is a native of Saxon-Germany, the date of his birth being November 22, 1842. In 1885 he graduated from the Chicago Homeopathic College, but had previously studied medicine and commenced practice in 1878. In 1886 he located in Kansas City, and at once commenced the practice of medicine and surgery. I)r. Neu- meister is a specialist in surgical gy- necology, and is a professor of and has held the chair of gynecology in the Kansas City Homeopathic Med- ical College since its organization in 1888. He is a member of the American Institute of Homeopathy; also of the Missouri Institute of Homeop- athy, Missouri A 7 alley Institute of 312 ONE PIUNDRED YEARS OF Immediately afterward he became a teacher in that institution. While he has engaged in general practice, his strong predilection has been toward surgery, and his practical experience has been supplemented in this field of medical science by post-graduate courses of study in New York and Philadelphia and at the hospitals and clinics of London, Paris, Vienna and Berlin. In 1893 he was appointed junior surgeon to St. John's Hospital, in 1895 sur- geon to the Emergency Hospital, in 1896 secretary of the State Ana- tomical Board, in 1897 director of the Beaumont Dispensary and at the present time (1900) he occupies the Chair of General Descriptive Anat- omy and Clinical Surgery at the Beaumont Hospital Medical College. As indicated in the foregoing, Dr. Nicholson, while engaged in general practice, is best known as a surgeon. He is a member of the American Medical Association, the St. Louis Medical Society, the Missouri State Medical Association, and has made many contributions to medical jour- nals, and- is a department editor of The Stylus, a medical periodical published in St. Louis. Dr. Nicholson married in June, 1899, Miss Clara Colman, daughter of ex-Gov. Norman J. Colman, and has one child, a son. H. L. NIETEBT. Dr. H. L. Metert, the present su- perintendent of the St. Louis City Hospital, is a native of Illinois, hav- ing been born at Edwardsville, in that State, February 22, 1866. The doctor's early education was received in the public and high schools of his boyhood home, after which he took a course of study in Shurtleff College in Northern Illi- nois. In 1886 he came to Missouri, where he entered the old St. Louis Med- ical College, from which he grad- uated with honors in the class of '89. Dr. Nietert, when abroad during the summer of 18S9, further pur- sued his study of medicine in the universities of Heidelberg and Vien- na. He remained one year in each university, returning to this country in 1892, Coming to St. Louis he began the general practice of medicine. He was so successful with his private practice that he was chosen super- intendent of the City Hospital, which position he accepted January 5, 1899. Dr. Nietert is acknowledged to be one of the best superintendents the City Hospital ever had. He has brought the efficiency of the staff up to a high standard, and is at the same time conducting the hospital on a most economical basis. The doctor is a member of the St. Louis Medical Society and the Medical Society of the Alumni of the St. Louis City Hospital. MEDICINE AND SURGERY. 313 THOMAS O'EEILLY. Dr. O'Eeilly is of a very old Irish family, which suffered in the Cromwellian wars. Thomas O'Eeil- ly was born in Virginia, County Cavan, Ireland, February 11, 1827. In his youth he evinced great precocity by reading and translating Latin literature. Before the age of 13 he had begun the study of medicine, and had passed the examination of the court of examiners of Apothecary's Hall in Dublin. He then obtained a po- sition in an apothecary shop, where he gained a thorough and practical knowledge of drugs. After serving some time in this capacity he became assistant to Dr. John Francis Purcell of Carrick-on- Suir, a celebrated Irish physician of that day. He later went with his patron to Dublin, and there continued his medical studies in the Meath Hospi- tal, where he was made assistant and afterward chief clinical clerk, under the celebrated Dr. Stokes, also serving Sir Pbilips Crampton, and while in this service was a student in the "Original School of Medicine." His hospital work lasted four years, and during this time occurred the great famine in Ireland, which be- gan in 1845. Destitution was ev- erywhere, and the hospital became a veritable charnel house. At about this time the French Government sent a commission of medical men to Ireland to investi- gate typhus and typhoid fever con- ditions of the island and report re- sults to the French Academy of Medicine. Dr. O'Eeilly was appoint- ed anatomist to this commission, but its work was effectually stopped by the sudden prostration of all the members with the diseases they were investigating. At this period of his life, O'Eeil- ly' s studies suffered an interruption, while the subject of this sketch took part in the revolutionary move- ment of the Young Ireland party. Later they were resumed, and after a finishing course in the College of Surgeons of London, graduated with the doctor's degree in 1849. Soon after he came to America and commenced a tour westward in a search for relatives. Arriving at St. Louis he decided to locate there. Since that time he has become one of Missouri's most famous practi- tioners. At the beginning of the Civil War Dr. O'Eeilly was visiting in his native land, but he hurried home and offered his services to the Fed- eral Government. His proffer of services was gladly accepted, and he was employed on many important missions. While loving and lending aid to Ireland, Dr. O'Eeilly was none the less an American patriot. In the literary field he has made many valuable contributions, which have received publication in the medical press of the State and na- tion. Notable among those which have attracted attention are: "Ben- eficial Influence of Tobacco as an 314 ONE HUNDRED YEARS OF Antidote for Strychnine Poisoning" and "The Influence of Rest and Rec- reation as a Cure for Nervous Pros- tration."" He has also received wide com- mendation from his professional brethren and the general public for a paper on "Hygiene."' Dr. O'Reilly's practice has long been one of the largest in the West. G. W. OVERALL. The early life of Dr. G. W. Overall was spent in Tennessee, his native State. He was born at Murfrees- boro on the last day of the year 1849. After completing a course of studies at the Union University lie entered Jefferson Medical College of Philadelphia. He received his diploma in 18 To and began practice in the same year. For 20 years he occupied a place in the front rank of Memphis physicians, and for seven years of that time held a chair in one of the medical colleges of Tennessee. In 1898 he came to Missouri and located in St. Louis about October 1 of that year. In a short time he has made a place for himself in the same rela- tive position, professionally, that he occupied in Tennessee. Dr. Overall is a close student and hard worker in his profession. He is well-known particularl}' as the au- thor of a work on "Practical Elec- tricity in Medicine and Surgery." and several other literary efforts are the products of his pen. Dr. Overall makes a specialty of treating genito-urinary diseases by electrolysis and cataphoresis, which is attracting much attention in the progress of medical science. CHARLES 0. OZIAS. Charles 0. Ozias, a leading physi- cian and surgeon of TTarrensburg, Mo., was born in Lewisburg. Preble Co., 0., November 16, 1861. His grandparents were pioneer settlers of the Buckeye State. His father's father was a native of France, and spent some time in North Carolina MEDICINE AND SURGERY. 315 before settling in Ohio in the year 1805. His mother was the daugh- ter of Dr. J. M. Pretzinger, a promi- nent physician, who emigrated to this country from Germany in 1836, and settled in Eupheniia, 0., in whose family were eight physicians, and from them it is probable that Dr. Ozias inherited the desire to follow medicine. In the spring of 1868 the Ozias family moved to Missouri, and set- tled near Centerview when the sub- ject of this sketch was in his sev- enth year. Young Ozias received the usual schooling which fell to the lot of boys reared on the farm, and in 1880-1-2 he attended the State Xor- mal School at Warrensburg, Mo. He took up the study of medicine under Dr. J. H. Kinyon, a prominent phy- sician of Centerview, and later stud- ied in the office of Dr. J. D. Grif- fith of Kansas City, Mo. In March, 1892, he graduated from the Kan- sas City Medical College, commenc- ing the practice of medicine the same year in connection with his brother, Dr. X. J. Ozias, at Rose- bury, Ore. He finally settled at Warrensburg, near his old home. In the spring of 1898 he spent some time in Chicago taking a post-grad- uate course at the Chicago Clinical College. Dr. Ozias enjoys a large general practice in and around "Warrens- burg. He makes a specialty of treating cancer and rectal diseases. He is a member of the American Animal Therapy Association, man- ager of the Roberts Lymph Insti- tute and medical examiner of a number of old line and fraternal in- surance companies. He is also an Odd Fellow and a member of sev- eral other secret orders. JOHN PIXCKXEY PARDEE. John Pinckney Pardue, one of the prominent physicians of the West End. was born in Alabama, and received his early education in that State. August 20, 1851, is the date of Dr. Pardue*s birth. After receiving his education he en- tered the Missouri Medical Col- lege, from which he graduated in 1880. He began the practice of medicine in his Alabama home the same year and was health officer there when, a year later, he decided to return to St. Louis to study in the St. Louis College of Physicians and Surgeons. He received a de- gree from that college in 1882 and was shortly afterward called to fill the Chair of Materia Medica and Hygiene. His practice soon de- manding all of his time, he resigned his college work and has since been engaged in general practice in St. Louis. He has been quite successful in his practice and stands well with his co-practitioners. J. G. PARRISH, SR. J. G. Parrish comes from one of the "first families"' of Virginia, and he was born at Fredericksburg 316 ONE HUNDRED YEARS OF in that State in November, 1842. He received his early education under a tutor f T d ^ the famous White Hall Seminary, from which he grad- uated just previous to the breaking out of the Civil War. When the "rumors of war"' rent the TTnion in 1861, Dr. Parrish, then a } r oung man of 19 years y elected to '"'go with his State," and enlisted as a private in Company B of the Ninth Virginia Cavalry. All through the war he served as a scout and guide to Gen. Eohert E. Lee. After the close of the war Dr. Parrish returned to his early home only to find that he, like the ma- jority of his compatriots, had lost everything. After casting about in several business fields Dr. Parrish came to Missouri and located in St. Louis. By dint of hard work he was enabled to make sufficient mon- ey to enter the Missouri Medical College, from which he graduated in 1872. He at once began practicing in St. Louis, and has remained there ever since. Dr. Parrish makes a specialty of the diseases of women and children. REINHOLD PASSLER. Reinhold Passler is a native of Germany. He was born in Leip- zig, April 21, I860, and his early ed- ucation was received in the gymna- sium there. At the age of 14 he removed with the family to Dres- den, where he finished the gymna- sium course, and afterward attended the Veterinary College for four 3 r ears. In 1882 he became a sur- geon in the German army, and served until 18S4. In 1886 he emigrated to America, and upon landing in this country came at once to Missouri and took up his residence in St. Louis. He employed himself profitably for a few years and then entered the Ma- rion-Sims College of Medicine, from which institution he graduated in 1892. He began the practice of his pro- fession at once in St. Louis, where he has since remained, engaged in c MEDICINE AND SURGERY. 317 general practice. Dr. Passler has a numerous clientele, drawn from the so-called German population. CAEL PESOLD. Carl Pesold was born February 1, 1858, in Eisfeld, Germany. He obtained an excellent literary education in the schools of his na- tive country, his last schooling there being an attendance at a course of lectures in the University at Gena. Coming to this country at the age of eighteen, he settled in St. Louis and secured employment as a chem- ist. La this capacity Dr. Pesold has had nearly 20 years' experience. By reason of this experience he entered the College of Physicians and Sur- geons much better equipped than the average medical student. Beceiving Ms doctor's degree in 1890, he commenced practice fit once; his practice is general. Doctor Pesold is a member of the St. Louis Academy of Medical and Surgical Sciences, and has been, elected a vice-president of that body. He is also a member of the St. Louis Medical Society, of the Tri-State Medical Society and other profes- sional bodies. The doctor takes an active inter- est in military matters. He was an examining physician for Missouri volunteers in the Spanish- American war, and is the present Major Sur- geon of the 1st Eegiment, X. G. M. LOUIS T. PIM, JE. Dr. Louis T. Pirn comes by his medical predilections honestly enough, for his father was one of the best known of the physicians of St. Louis a generation ago. The younger Pirn was born in St. Louis on the 20th day of January, 1872. After a course of study in the public schools of the city he en- tered the St. Louis University, from which he graduated in 1887. He then entered Xotre Dame Uni- versity at Xotre Dame, Ind., where he remained for the next two years. At the expiration of that time he entered the old Missouri Medical 318 ONE HUNDRED YEARS OP College, from which he graduated in 1892. Immediately upon receiving his diploma Dr. Pirn entered upon the active practice of medicine, associat- ing himself with Dr. A. V. L. Bro- kaw of St. Louis. Four years later Dr. Pirn opened an office for him- self, and has built up in the interim a large and lucrative practice. Dr. Pirn has been connected with the surgical clinics at the St. Louis Polyclinic and the Missouri Medical College; the ear, nose and throat clinic at the St. Louis Polyclinic, and the children's clinic of the Mis- souri Medical College. He is now connected with the St. John's Hos- pital, and during the last few years of the life of the old Missouri Med- ical College was the assistant to the Professor of Operative Surgery on Cadaver. He is also assistant sur- geon, with the rank of First Lieu- tenant, to Battery A of the Mis- souri State Guards. Dr. Pirn is a member of the St. Louis Medical Society and the American Medical Association. His work speaks for itself, and he occu- pies the position in the ranks of the present day profession that his father held during his lifetime. LOUIS T. PIM, SE. Dr. Louis T. Pirn, Sr., was born in West Chester, Pa., on the 9th day of March, 1828. Shortly after his birth his parents emigrated to Louisiana and later to Missouri, where he was reared and educated, graduating from the Kemper Col- lege in St. Louis in 1846. In the meantime he had begun the study of medicine under the preceptorship of the famous Dr. Joseph N. Mc- Dowell, and after being admitted to practice, became associated with him. After studying under Dr. McDow- ell, Dr. Pirn entered the old Mis- souri Medical College, from which he graduated with the class of '47. He then went to Philadelphia, where he took post-graduate work in the Jefferson Medical College, and when through there made a spe- cial study of clinical surgery in the hospitals of the large cities, both in the East and the West. After a term of service in United States Marine Hospitals, Dr. Pirn settled in St. Louis to begin a pri- vate practice, which he gave up, however, in order to accept an ap- pointment from the President of the United States as chief physician to the Delaware and Shawnee In- dians, who were quartered on a res- ervation near Westport, Mo. In 1850 he resumed practice in St. Louis, only to give that up a few years later in order to be with his mother during her declining years at her home in Southern Missouri. After her death Dr. Pirn traveled through this country and South America, and in 1857 again located in St. Louis. In 1858 he accepted the assistant professorship of the Chair of Surgery in the Missouri Medical College, which position he held until the outbreak of the Civil War, when he joined the forces of the Confederacy, serving as Brigade Surgeon in the army under Gen. M. D. Frost. He, with the rest of his command, was captured in 1861 by Federal troops, and confined to mil- itary prison in St. Louis. He es- caped, however, and was fortunate enough to make his way South, where he joined Gen. Albert Sidney Johnston's army, in which he was made Begimental Surgeon. Soon afterwards he was appointed medi- cal examiner on Gen. S. B. Buck- ner's staff. While acting in this car pacify Dr. Pirn established and had charge of the Confederate army hospital service. After the war Dr. Pirn settled for the third and last time in St. Louis, and resumed his private practice. He continued in active general prac- MEDICINE AND SURGERY. 319 tiee until a few years before his death, when he retired. He died June 22, 1888. SIMON POLLAK. The oldest physician in St. Louis, and in many respects the most prominent, is Simon Pollak, who was born at Prague, in Bohemian Austria, April 14, 1814. His early training and academic education was had in Prague and Vienna, his parents having removed to the latter-named city when he was quite young. He adopted medicine as his pro- fession and became a medical grad- uate of the University of Vienna in 1835. Following his graduation he was for thirteen months an interne in the Vienna Hospital. Eighteen months more were spent in touring Europe, visiting hospitals of the dif- ferent capitals and adding to his store of medical knowledge. As it had been one of his earliest ambitions to become a citizen of the greatest republic, he took the first opportunity offered by his resources and emigrated to this country, land- ing in New York in 1837. • After spending some time in the nation's metropolis and becoming discouraged by reason of financial reverses met with there, he started on a tour of the country with the view of seeking a favorable location for one of his professional attain- ments. He first visited New Or- leans, and from there journeyed up the Mississippi until he reached Tennessee, in which State he took up professional work, at first under the patronage of a planter whose ac- quaintance he had made in New Or- leans, but subsequently locating in Nashville (1841), and remaining there four years. Again the spirit of travel came upon him, and he returned down the river and bought an estate in Louisiana. He had been living there but a few months when a crevasse swept away his all. He then vis- ited New Orleans, and while there determined upon the step which has resulted in his permanent residence in St. Louis. He became a Missourian in 1845, and after a few months spent in forming acquaintances and associa- tions which soon evidenced their value, the newcomer began to ac- quire a practice which had the pleas- ant attendant feature of a steadily increasing income. It would take up a considerable space in the av- erage volume to tell in detail the story of Dr. Pollak's life in St. Louis, but a few of the notable por- tions may be mentioned here. In association with Drs. Pope, McPheeters, J. B. Johnson, S. Gr. Moses and Joseph Clark, he estab- lished St. Louis' first private dis- pensary. In 1850, in company with James E. Yeatman, Hudson E. Bridge, Joseph Charless, Eobert Holmes and the Eev. Dr. Potts, he founded what has since become a State institution under the name of the Missouri State School for the Blind. For years Dr. Pollak was its chief promoter and attending physician, and he is still a trustee (1900). It was while engaged in this work he began to study for special work as an oculist and aurist, and to fur- ther perfection in these studies he in 1859 went abroad and spent 22 months in Europe. Eeturning in 1861 he opened the first eye and ear clinic to be estab- lished west of the Mississippi. This clinic is now held in Mullanphy Hospital, and Dr. Pollak still de- votes a portion of his time to ser- vice in the clinic. Since its incep- tion, upwards of 40,000 patients have been treated in the clinic. Dr. Pollak's services in this connection are, and always have been, grat- uitous. During' the war Dr. Pollak served 320 ONE HUNDRED TEARS OF on the Sanitary Commission. He was appointed a Government hos- pital inspector, and so great was the confidence placed in him by the War Department that he had carte blanche in the ordering of snch sup- plies for the sick and wounded suf- ferers as he deemed necessary for their comfort. Sixteen years of Dr. Pollak's life in St. Louis were spent as a resident in the Planters' Hotel, and during that time his office was in the im- mediate vicinity. Excepting some professional work of a charitable nature, Dr. Pollak has retired from active practice, and is spending the evening of a well-lived life and en- joying a deserved rest in his com- fortable home on North Grand av- enue, St. Louis. He was early mar- ried and has several adult children. WILLIAM POPTEK. March 18, 1852, was the date of William Porter's birth, which oc- curred at Beaver, Pa. Early in his boyhood the family removed to El- derton, Pa., where he received his early education at Elderton Acade- my, afterwards continuing his stud- ies and graduating from the West- minster "Literary College. Follow- ing the bent of his inclination he in 1873 entered the Jefferson Medical College, taking a two-years' course. He spent several years in study m Europe; Avas assistant to Sir Andrew Clark at the London Hospital, and for two vears assistant to Sir Mor- rell - Mackenzie at the Golden Square Throat and Chest Hospital in London, afterwards taking a spe- cial course in Berlin, Paris and Vienna. Eeturning to America in 1878, Dr. Porter at once located in St. Louis and began the practice of medicine, making a specialty of throat and chest diseases and phys- ical diagnosis, and has built up a Wge and profitable practice. Dr. Porter is physician in charge of Mt. St. Eose Throat and Chest Hospital, clinician in physical diagnosis St. Louis City Hospital, physician to the Protestant Hospital, also at St. Joseph's Hospital, and is a Fellow of the American Laryngological As- sociation. THOMPSON E. POTTER. Thompson E. Potter was born in Clinton County, Missouri, Dec. 18, 1849. Shortly afterwards his par- ents removed to De Kalb County, Missouri, where, on a farm near the little town of Maysville, his early life was spent. He attended the common schools until his 16th year, when he entered McGee College, which was at that time located near Macon City, Mo. There he com- pleted his literary course, and soon after his graduation he began teach- ing, at the same time commencing the study of medicine under a pre- ceptor. Overcoming many obsta- cles, young Potter entered the Jef- ferson Medical College of Philadel- MEDICINE AND SURGERY. 321 phia in 1873. He took two winter courses and one summer course in ihat institution and graduated in March, 1875, taking a $50 prize offered for the best thesis on "De- scriptive and Eelative Anatomy of the Gravid Uterus.''" Directly after graduating he re- turned to Missouri, and located at Cameron, where he remained for the next eleven years. While there he was called to the Chair of the Dis- eases of the Xervous System in the Northwestern Medical College of St. Joseph, Mo. He occupied this posi- tion until 1881:, when he resigned in order that he might give his entire attention to his large and constantly growing practice. In 1882 Dr. Pot- ter was appointed local surgeon to the Hannibal & St. Joseph Railroad, which position he held until he re- signed some four years later. Upon the creation of the Pension Exam- ining Board for the Third Missouri Congressional District, President Arthur appointed him a member. When he removed from Cameron to St. Joseph in the year 1886 he re- signed this position. In 1894 he, with several other gentlemen, organized the Central Medical College of St. Joseph, and in 1889 he started the Western Med- ical and Surgical Reporter, of which he has since been the editor. The doctor is now the Professor of Sur- gery in the Central Medical College, and he is also one of the surgeons to St. Joseph Hospital. He has always been a member of the prominent State and local medi- cal organizations, and is widely known through the professional press, to which he has always been a valued contributor. C. II. POWELL. Charles H. Powell is a native born Missourian. He first saw the light in Normandy, March 13, 1864. After an elementary education re- ceived from private tutors he en- tered St. Louis University, was graduated from that institution in 1881, and received the degree of A. M. in 1886. He had already deter- mined the profession he was to 322 ONE HUNDRED YEARS OF adopt, and in line with this deter- mination became a student in the St. Louis Medical College. He fin- ished the medical course and Avas handed his diploma in 1887, and commenced the practice of medicine in St. Louis the year following. Dr. Powell served as interne to the St. Louis Female Hospital short- ly after his graduation in medicine. After leaving the hospital he entered upon active professional work. He edits the North American Journal of Diagnosis and Practice, fills the Chair of Physical Diagnosis and Clinical Medicine in Barnes Medical College, which position he has oc- cupied for eight years past; is al- ternate physician to the St. Louis City Hospital, obstetrician to St. Joseph's Sanitarium, visiting physi- cian to the Carmelite Convent and to Convent of Oblate Sisters of Providence and is clinician to Barnes Medical College Dispensary. As the result of many years of , hard professional work Dr. Powell has a large general practice. He makes a special study of diseases of the heart and lungs, although in general practice. JOHN PUNTON. It was in the year 1856 and on the 12th day of July in the city of London, England, that John Pun- ton was born. He received his early education in the public schools of his native country. At the age of 16 he came to America and located in Jacksonville, 111., in 1872, where he was soon employed as druggist to the Insane Asylum, and remained there a number of years. It was while filling this position that he commenced the study of medicine. After taking one course of study at Ann Arbor, Mich., he decided to en- ter the Miami Medical College of Cincinnati, 0., where he continued his studies, graduating with honors in March, 1883. He at once began practice in Lawrence, Kan., remain- ing there one and a half years, dur- ing which time he Avas appointed city physician. He later received an invitation from the State Board of Charities of the State to take charge of a new building in connec- tion with the Insane Asylum. Ac- cepting the offer, he removed to To- peka, and remained there three years. In 1888 Dr. Punton decided upon Kansas City as his future home, and during the tAA*elve years he has ..been in Kansas City has built up a large practice. For eight years he limited his practice to ner- vous and mental diseases. Since graduating Dr. Punton has taken special courses in both polyclinic and post-graduate in the medical schools of New York, and has made two trips to Europe in pursuing his studies, the entire year of 1892 be- ing spent there. He is a member of the American Medical Associa- tion, American Neurological Associ- ation, Mississippi Valley Medical Association, Missouri State Medical MEDICINE AND SURGERY. 323 Association, Jackson County Medi- cal Association. Kansas City Acade- my of Medicine and the Kansas State Medical Association, and is an ex-vice-president of the Missouri State Medical Association, ex-presi- dent of Kansas City Academy of Medicine and Professor of Nervous and Mental Diseases of the Univer- sity Medical College and editor of the Medical Index-Lancet. ONEY C. PAIXES. The town of Emerson in Marion Count}', Missouri, is the birthplace of Dr. Oney C. Eaines, who is one of the most promising young physi- cians and surgeons of St. Louis. He was born on the 13th of December. 1876, making him in his 24th year at present. His boyhood schooling was obtained in La Grange College, La Grange, Mo., and in Poster's Academy, St. Louis, until 1894, when he matriculated in the St Louis College of Physicians and Sur- geons. His talent was shown first in that college, where his thorough scholarship made him as popular with his fellow-students as he was with his instructors. He graduated in March, 1897, and was immediately appointed house physician in the St. Louis Baptist Hospital, where he had been an as- sistant the two years preceding. Tht same fall he was appointed Assist- ant Demonstrator of Anatomy and Assistant Demonstrator of Osteolo- gy in his Alma Mater, and was also appointed assistant superintendent of the St. Louis Baptist Hospital. In July. 1898, he bought half inter- est in the St. Louis Hospital Asso- ciation, now located at 3035 Bell avenue, which is the largest institu- tion of its kind in the West. Dr. Raines is devoting his whole time to surgery, and has one of the finest operating rooms in the Lnited States. Dr. A. M. Paines, the father of Dr. Paines. is also a physician of high standing. He graduated at the old McDowell College, now known as the Missouri Medical, in 1860, at the age of 33. He imme- diately took charge of the army hos- pital at La Grange, Mo., and re- mained there until the war closed, when he removed to Emerson, Mo., where he still practices. Dr. Paines is of aristocratic par- entage, being an offspring of the old Paines and Johnson families, of Vir- ginia and of the Van Cleve and Mo- Pike families of Kentucky. He is a relative of George "Washington, his great grandmother and George Washington being first cousins and the most intimate friends. His great grandfather on both his father's and mothers paternal side fought in the Revolution. CHAPLES T. PEMME. One of "The Old Guard" of St. Louis deserving of especial mention is Dr. Charles T. Pemme, who was born in that city Dec. 17, 1849. At the age of 13 years he engaged 524 ONE HUNDRED YEARS OF as clerk in an apothecary shop lo- cated at 400 South Fourteenth street, and on the second floor of the same building is his first and only office location. The interval from 1862, the date of his entrance as general utility bo}- in the drug store, and his grad- uation from the Missouri Medical College in 1S77, is doubtless filled with many interesting reminis- cences of a time best remembered for the "struggles and triumphs" of the average young seeker after knowledge of that period. Dr. Rename, upon graduating, at once located his office over the scene <>f Ids early labors. In IbSO he went to Germany and took post-graduate courses at S trass burg. Although many of his early neighbors and brother physicians have removed to the more aristo- cratic West End, Dr. Eemme still maintains an office and consulting rooms at the old location, having a sentimental attachment for the place which will be readily under- stood by the reader. He enjoys a large general practice in St. Louis, not confined to any one locality. JOHX M. RICHMOND. In speaking of the life of Dr. John M. Richmond of St. Joseph, it is but just to him to repeat what the Medical Mirror said of him in one of its recent issues. It said: "Dr. Richmond has been a practi- tioner of medicine for more than thirty years. * * * He is i charming, cultivated gentleman of the old school; the soul of honor and with a keen pride in his pro- fession."' Thus it will be seen that Dr Richmond is a prophet with honor in his own and other localities. The doctor is a Southerner by birth and education. Born in Fair- field, S. C, he received his early education in that State and later en- tered the Universitv of Xorth Car- olina. eTaduatins: therefrom in MEDICINE AND SURGERY. 325 1858. He then took a course in the medical department of the Univer- sity of New York City, obtaining its diploma in the spring of 1861. At the breaking out of the Re- bellion young Dr. Richmond en- tered the field in the medical ser- vice of the Confederacy and served all through the Rebellion with their armies. Soon after the close of the war Dr. Richmond went abroad, where for the next few years he studied in European countries. On his return to this country he located, in 1872, in St. Joseph, where he has ever since been. Dr. Richmond has always allied himself with whatever was for the best in- terests of the profession. He is a contributor to many of the leading medical journals of the country and a man who a] ways has been an orig- inal investigator in medical work. In 1891 Dr. Richmond was elect- ed president of the Missouri State Medical Association, and served in that capacity for the ensuing year He is a member of several other medical societies as well. E. L. C. R1CHTER. Edward L. C. Richter was born, reared, educated and advanced to citizenship in St. Louis, and he is now practicing medicine in a part of rhi cit}^ nr*-~ far from the scenes of his boyhood. He easly availed himself of pub- lic school advantages, and further pursued a course of studies which prepared him for entry to Beau- mont Hospital Medical College, in which institution he finally matricu- lated. He graduated in the spring of 1897, at the age of 29 years, and at once established himself in private practice in his present location. Later in the same year Dr. Rich- ter was appointed plrysician to the St. Louis House of Refuge, a posi- tion which he still holds (1900). While engaged in general prac- tice and having no intention of en- tering the field of specialties, Dr. Richter. like many of his profes- sional brethren, has his pet branch of the science, of which he is a pro- fessor. He makes a special study and has shown considerable skill in the treatment of diseases of chil- dren. As Dr. Richter is a thorough St. Louisan, and a well-known figure in social circles in South St. Louis, he has had no trouble in already se- curing the foundation of a practice which shows every evidence of fut- ure steady growth with attendant prosperous features. A. C. ROBIXSOX. Although christened Anslem Clark, the subject of this sketch is best known to Missourians, particu- larly in the east portion of the State, as Dr. "Torn*' Robinson, "Tom" be- ing a nickname received in child- 326 ONE HUNDRED YEARS OF hood and retained through life. Dr. Robinson is the son of Rev. John AA . Robinsou, a clergyman who was formerly a prominent member of the M. E. Conference of St. Louis. He was born November 13, 1851, in St. Cliarles, and received his pri- mary schooling in a private school in bis native town. Tbe family re- mo ring- to St. Louis when our sub- ject was 14 years old, his education was continued in a German school known as Gim bed's Institute. Here he remained for a period of three years and then became a student in Washing-ton University. He left tbe university when in his sopbomore year and be/an tbe study of medicine under Dr. Herman Tn- holske. Later he entered the Missouri Medical College and graduated therefrom in 1874. He at once ob- tained employment at the City Dis- pensarv, and remained there until 1881, filling all tbe positions in the Dispensary during this neriod. Dr. Robinson began his private practice in 1881, and has been re- markably successful in his subse- quent professional career. He makes a special study of the diseases of women and children. He served four years as a member of the St. Louis Board of Health. He was appointed by Mayor Xoonan and served a part of his term under Mayor Y\"albridge's administration. He is a member of the St. Louis Medical Society, of the Missouri State Medical Association and of the American Medical Association. Dr. Robinson is prominent in Ma- sonic circles, being a Knight Tem- plar and a Shriner. His immediate family consists of wife and two daughters, one married. EDWARD C. RUXGE. Edward C. Runge. superintendent of the St. Louis Insane Asylum, was born in the land of the "Great White Czar," at St. Petersburg, Sept. 7, 1856. He is of German parentage. He acquired his early education in St. Petersburg schools. MEDICINE AND SURGERY. 327 He emigrated to America in 1883, coming almost direct to the city of St. Louis. There he obtained em- ployment and later took up a course of reading along medical lines, final- ly matriculating at the St. Louis Medical College, from which institu- tion he graduated in 1891. He commenced practice in the same year in which he received his doc- tor's degree in the city of his adop- tion, and besides starting a private practice, served as assistant physi- cian to the St. Louis Female Hos- pital. He was instructor in physiol- ogy at the St. Louis Medical Col- lege, 1892-95, and also acted as as- sistant clinician in the clinic for ner- vous diseases in the same institution and during the same period. On May 10, 1895, Dr. Eunge was appointed to the superintendency of the St. Louis Insane Asylum, and holds that position at this writing (1900). This in itself seems a suf- ficient guarantee of the doctor's abilities as a physician and qualities as a gentleman to need further no- tice here. Dr. Eunge is a member of the American Medico-Psychological As- sociation and of the St. Louis Acad- emy of Sciences. He is also a mem- ber of the "Verein Deutscher Aerzte." In the field of specialties he is a neurologist and psychiatrist. J. H. SAMPSON. J. H. Sampson is a native of Mis- souri. He was born in Buchanan County on the 29th day of January, 1857. As a youth Dr. Sampson re- ceived a thorough preliminary edu- cation in the schools of the county -of his birth. He decided when hardly out of his "teens" to enter the medical profession. After the required course of study he received the diploma of the Missouri Medi- cal College of St. Louis on March 2, 1881. In April of the same year young Dr. Sampson entered upon the practice of medicine at New Market, Mo., where he remained un- til March, 1885. For the next 11 years Dr. Sampson pursued his work in De Kalb, Mo., whither he had gone after leaving New Market. It was on February 19, 1896, that Dr. Sampson opened his office in the larger city of St. Joseph. His suc- cess there was assured from the start. With the experience he had acquired from his fifteen years of practice elsewhere, Dr. Sampson made rapid strides in his adopted city. He devoted his time to his general practice and made a special- ty of surgery. Dr. Sampson's personality and success won for him the Chair of Materia Medica and Therapeutics in the Ensworth Medical College of St. Joseph, which professorship he lias held with credit to himself and the college from the start, WILLIAM J. SAY. William J. Say comes of New En- gland stock. He was born in Boston 328 ONE HUNDRED YEARS OE in 1863. In his youth he gained considerable knowledge of the world and its ways through the medium of globe-trotting. In 1886 he came West, visiting the large cities and points of inter- est. Incidentally he took a course of study in medicine in Cincinnati, 0., and in 1888 started on a Euro- pean tour which lasted nearly a year. A few years later he became a resident of St. Louis, after grad- uating from the Missouri Medical College. He began the practice of medicine in St. Louis in 1895, and since that time has been resident physician of the St. Louis Polyclinic and Hospital, besides enjoying a good general practice. Dr. Say is a member of the St. Louis Medical So- ciety and of the Alumni Association of the Medical Department of Wash- ington University. Dr. Say was mar- ried November 5, 1895, in JSTew York City, to a daughter of Capt. W. B. Peirsol, a well-known railroad man. Two children are a result of the marriage. WILLIAM F. SCHMID. William F. Schmid was born in the thriving little citv of Belleville, III, on May 3, 1873. His father was William Schmid, a native of Berlin, Germany. His mother, Marv (Hauft) Schmid, was born at Frank- furt, Germany. Some time after the birth of the subject of this sketch the family moved to St. Louis, and remained there until 1881. Again the parents, studying the possibilities of the West, decided to move to St. Joseph, young Schmid then being 16^vears old and had received his early education in the public schools of St. Louis. Immediately after the family's settling in St. Joseph young Schmid entered the public schools and fin- ished that portion of his education. Afterwards he studied medicine in St. Louis. He later entered the Ensworth Medical College of St. Joseph, from which institution he graduated in 1894. As both physician and surgeon he began the practice of his profes- MEDICINE AND SURGEHY. 329 sion in St. Joseph, Jan. 15, 1896, and on March 1, 1898, he formed a partnership with Dr. J. W. Hed- dens. Though only a young man, Dr. Schmid has had many honors thrust upon him. He is adjunct professor in the Chair of Gynecology and Operative Surgery and also Demonstrator of Anatomy at Ens- worth Medical College, and has a rapidly growing general practice. AUGUSTUS H. SCHOTT. Augustus H. Schott was born in Hanover, Germany, Jan. 29, 1850. The following year his father re- moved the family to America, going first to Quebec and later to Musca- tine, la. In 1854 the elder Schott moved to St. Louis, and seven years afterwards went to Alton, 111. It was in the public schools of the latter place that young Schott ob- tained his early education, after which he attended Shurtleff College at Upper Alton until 1870. In that year he began his study of medicine in the office of Dr. Perrv E. Johnson of Alton, and, after a year's preparatory work under his preceptorship, entered the Homeo- pathic Medical College of Missouri. He received his degree in medicine from that college in the spring of 1873, and immediately began prac- ticing in Alton, taking the practice of Dr. Johnson. Dr. Schott re- mained in Alton until 1881, when he decided to locate in St. Louis, which he did. From the outset of his professional career there, the doctor has been ouite successful. He has built up a practice both large and remunerative. Soon after locating in St. Louis Dr. Schott was chosen as a member of the board of trustees of the Ho- meopathic College of Medicine of Missouri, and in 1883 was elected Professor of the Chair of Paedology in the same institution, which posi- tion he held until 1889, when he was assigned to the Chair of Theory and Practice. Dr. Schott is one of the most prominent of the homeopathic physicians of St. Louis, and has done much for the profession during his career. In April of this year (1900) he was elected president of Missouri Institution of Homeopa- thy. ERNST SCHUCHARDT. The subject of this sketch, Ernst Schuchardt, is a native of Ger- many, having been born in Prussia, April 27, 1842, He received the thorough early schooling that the German youths obtain, and at the age of 22 grad- uated from the University of Goet- tingen, receiving his degree of Doc- tor of Medicine. After three years of special study in various colleges in his Fatherland, Dr. Schuchardt in 1871 came to America, and in the same year lo- cated himself in St. Louis, where he has practiced saedicine ever since. Dr. Schuchardt has built up a 330 ONE HUNDRED YE.\RS OF large and lucrative practice, partial- ly as a result of his thorough knowl- edge of his specialty of female dis- eases. His work along that special line has been quite successful. The doctor is a member of several of the leading medical societies of the city and the State. EDGAR MOORE SEXSEYEY. Dr. Edgar Moore Senseney was born iu Winchester, Ya., Decem- ber 29. 1855. Eive years later Dr. Senseney 's parents removed to Brunswick, Mo., where he received his early education previous to the course of study taken at Cen- tral College at Fayette, Mo. Young Senseney quit college when in his senior year to engage in the live stock business, in which he remained until 1SS3. He then began his study of medicine, and after a year's preparatory work under a tutor, he entered the old St. Louis Medical Coll/e^e, from which he graduated in 1887." After completing his course at the St. Louis Medical, Dr. Sensenev went abroad, where, in the Univer- sity of Vienna, he made a special study of diseases of the nose, throat and chest. On his return to this country a year later Dr. Sensenej opened up an office in St. Louis, making the diseases of the nose, throat and chest his specialty. Dr. Senseney was Professor of the Chair of Therapeutics in the St. Louis Medical College, and at the inception of the Medical Depart- ment of the \Yashington University he was offered and accepted the Chair of Diseases of the Xose, Throat and Chest in that institu- tion. Dr. Senseney is the medical di- rector of the St. Louis Mullanphy Hospital. He is also a member of the St. Louis Medical Societv. ALFRED L. SHORTRIDGE. Alfr.ec! L. Shortridge was born in Scott County, Kentucky, June 2, 1813, where he received the educa- tion common to the youth of that early day. In 1833, when only 20 vears of age, he left his native home MEDICINE AND SURGERY. 331 and went to Callaway County, Mis- souri. He made the trip from Cal- laway County to Kentucky back and forth several times to attend the Transylvania University, where he studied under the famous Dr. Dud- le3 r , and from which institution he graduated in 1836. He immediate- ly returned to Missouri, locating in Portland, later removing to Boon- ville. In 1850 he went to California, re- turning later to Cooper County. He was one of the founders of the old Stephens Bank of Boonville, now called the Central National Bank. -In 1867 he moved to Kirkwood, Mo., remaining there until 1877. While in Kirkwood he was interested in a number of business ventures. In 1899 he moved to Tipton, Mo., where he died April 7, 1900, having practiced medicine in Missouri for fort}^ years. HIBAM E. SILVEESTONE. Hiram E. Silverstone is one of the young physicians and surgeons of St. Louis who has alreadv won for himself the praise of his co- practitioners. He was born in Bos- ton, Mass., on April 9, 1875, but re- ceived his education in St. Louis, whither his parents had removed when he was but a youth. Dr. Silverstone is a graduate of the Missouri Medical College and a member of the class of '97. He began practice immediately upon his graduation, and devoted his entire attention to general work, because he felt that he could not, in justice to himself, limit his practice to any specialty. The doctor is a member of several medical societies, and has written a number of able monographs for various medical journals. J. H. SIMON. Dr. J. H. Simon is a graduate both of the old St. Louis University and the Missouri Medical College of St. Louis, having received his diploma from the former in 1887 and from the latter three years later. The doctor in 1890 began to prac- tice in the Tower Grove district, 332 OXE HUNDRED YEARS OF where he has been ever since, mo Ic- ing a specialty of nervous and men- tal diseases in addition to Ins large general practice. Dr. Simon is a native of St. Louis, and was horn on the 5th day of De- cember. 1868. Previous to entering the medical profession he received a liberal lit- erary and classical education in St. Louis, taking the degree of Bachelor of Arts in '81 and Master of Arts in '8S. Dr. Simon, although compara- tively a young man. lias, ever since he has been practicing, been promi- nent in the profession, and his past record speaks well for what his fut- ure will be. BEBXAED S. SIMPSOX. One of the most prominent of the vounger surgeons of St. Louis is Dr. Bernard S. Simpson, who was born in Biga, Bussia. on June 5, 1873. After having received his educa- tional course at the gymnasium he left his native country, owing to po- litical complications. In 1893 he settled in this city and graduated from the St. Louis Medical College in 1S9T. receiving the highest hon- ors that school confers. Soon after his 'graduation Dr. Simpson successfully passed the competitive examination and was appointed junior interne in the St. Louis City Hospital, from which position he was promoted to the senior interneship the same year, which position he held for one year. At the end of that time Dr. Simpson retired from the service of [he city to associate himself with the noted surgeon, Dr. A. C. Ber- navs, acting as that gentleman's first assistant. The doctor makes a specialty of surgery, although a great deal of his time is devoted to a large general practice. Dr. Simpson is the lecturer on physical diagnosis at the St. Louis College of Physicians and Surgeons and a member of several medical so- cieties, and has written several pop- ular treatises on suraferv. A. B. SLOAX. Dr. Alfred Baxter Sloan was born in Cooper County, Missouri, Sep- tember 24, 1827. He received hi'; education in the common schools of Missouri and at the classical schools of Prof. William Van Doran of Lex- ington, Rev. F. E. Allen of Inde- pendence and Prof. A. W. Eidings of Chapel Hill, Mo. He practiced his profession in Bates and Jackson Counties, Missouri. In 1852 he settled at Harrison- ville, Cass County, where he prac- ticed until the spring of 1861. He then went to the Pike's Peak gold region in Colorado, hauling with ox teams the machinery for a quartz mill across the plains from Leaven- worth, Kan., and in partnership with his father-in-law, Tarlton Eail- MEDICINE AND SURGERY. 333 ey of Cass County, set up a mill at Idaho Springs. Colo. He joined the Confederate Army under Gen. Price, then at Spring- field, Mo., in 1861, and was with the army in Arkansas during the spring and summer of 1862, but came up into Missouri in 1862 with Cols. Cockrell, Jackman, Coffee and other Confederates and participated in the battle of Lone Jack and in the "Bebel Baid." He was commissioned surgeon of Col. S. D. Jackman's Sixteenth Missouri Begiment of In- fantry in the fall of 1 862. Over 300 of his men were down with the measles at one time, and the facilities for treatment were very poor and inadequate. He was present and cared for the wounded at the battle of Prairie Grove, but was compelled in the spring of 1863 to resign his commission on account of ill-health. He again entered the service after a long leave of absence. He was with Marmaduke's Cavalry Division in Arkansas after the bat- tle of Helena, and after the fall of Little Eock, the next autumn, he was assigned to post duty at Wash- ington, Ark., and was afterwards stationed at various posts in Texas. He surrendered in June, 1865, at Shreveport, La., and returned to his family in Johnson County, Mis- souri. Dr. Sloan's ancestry can be read- ily traced back to the early settle- ment of America. His grandfather. Alexander Sloan, played an import- ant part in the early history of Xew England, and was a patriot of the Bevolution, He settled in the Penn- sylvania colony and received titles to tracts of land granted by William Penn. Dr. Sloan's grandmother, Margaret Ewing, was the daughter •of Gen. William Davidson, who was killed in the Eevolutionary War at the battle of Catawba, N. C. Gen. Davidson was leading the Continen- tal forces against the passage of the British forces under Lord Cornwal- lis tbrough the Carolinas when he was killed. The family of his grand- mother were distinguished aristo- crats of the South, and many mem- bers of her family helped make the early colonial history of the thirteen original colonies Dr. Sloan was the oldest physi- cian in Kansas City and familiarly known as the father of Kansas City doctors, having practiced in Kansas City from 1865 to 1891, when he re- tired from active practice. Dr. Sloans desire in early life was to become a lawyer, but his father insisted and almost compelled him to study medicine, because he Lad such excellent opportunities for the study of that profession. He first studied with Dr. Joseph 0. Boggs of Independence, a brother of Hon. L. W. Boggs, former Gov- ernor of Missouri. Dr. Sloan occu- pied some very important positions in the medical profession. He was for twelve years president of the Kansas City Medical Society, and was also one of its founders. He was at one time vice-president and treasurer of the Missouri Medical Association. He was for six years a member of the judicial council of the American Medical Association and a member of the International Medical Congress which met in Washington in 1887. He died in Kansas City April 17, 1900. ELSWOETH F. SMITH. Elsworth Fayssoux Smith was born in St. Louis, April 29, 1825. He was the son of John B. and Louisa (McDougal) Smith. He received his early education in the St. Louis schools and his academic education at St. Charles College and the St. Louis Univer- sity, graduating from the classical department of the last-named insti- tution in the class of 1815. 334 ONE HUNDRED YEARS OF He then entered the St. Louis Medical College and received his de- gree of Doctor of Medicine in 1848. Soon after graduating he entered the City Hospital of St. Louis as one of the first two internes at that institution, Dr. John T. Hodgen being the other. From 1852 to 1851 he continued his scientific studies in Paris, France, and again, in 1861-5, spent some time abroad, adding to his professional attainments through his intercourse with the most re- nowned physicians of that day, and the superior clinical advantages af- forded by the French hospitals. He soon became identified as an educa- tor, and in 1851 was made Dem- onstrator of Anatomy in the St. Louis Medical College, and in 1868, was appointed to the Chair of Phys- iology in the same institution, and two years later was made Professor of Clinical Medicine and Pathologi- cal Anatomy. After serving fifteen years he tendered his resignation. In recognition of valuable services rendered his Alma Mater made him emeritus professor, after his resig- nation of the active duties. As an educator he was no less dis- tinguished than as a physician. He was widely and favorably known throughout Missouri and the ad- joining States, as both educator and consulting physician. The degree of Doctor of Laws was conferred upon him in recognition of his scliol- arly attainments. Dr. Smith enjoyed to the fullest extent the confidence of the profes- sion and the general public. He led an active life, and filled many im- portant positions, and rendered val- uable service -to his native city. During the Civil War he was acting assistant surgeon in the United States Army, in charge of the Mil- itary Smallpox Hospital in St. Louis. He also served as surgeon to Eliot General Hospital. From 1866 to 1869 he was surgeon to the United States Marine Hospital, located in St. Louis. He was the first health officer of St. Louis, serving from 1857 to 1863, also a member of the first reg- ular Board of Health and was the third president of that board. His high courage and devotion during the epidemic of cholera and small- pox called forth the highest praise from his fellow-citizens. His nature was philanthropic. For many years he gave his services free to the public and charitable in- stitutions as a consulting physician. 1 ELSWOETH S. SMITH. Elsworth Striker Smith is a native Missourian, having been born in St. Louis January 1, 1864. Hie early schooling was had in the city of his birth, commencing with the public schools and ending with a literary collegiate course. He chose medicine as his profession and grad- uated from St. Louis Medical Col- lege in 1887. In his career as a physician he has been junior, senior and first assistant physician in the MEDICINE AXD SURGERY. 335 St. Louis City Hospital (1887-1890) and is now (1900) consulting physi- cian to the hospital and to St. Mary's Infirmary. He is also Clinical Professor of Medicine in the medical department of "Wash- ington University. Since 1890 his private practice has been attended to front his Grand avenue office. Dr. Smith is a specialist on Inter- nal Medicine and Medical Diagno- sis. Thus early in life Dr. Smith is firmly established in his native State as a popular physician and a gentleman of many social qualities. He is a member of the St. Louis Medical Society and of the Medical Society of City Hospital Alumni and American Medical Association. J. HEBBEET SMITH. Although a comparatively young man, who has been in Kansas City but four years, Dr. J. Herbert Smith has risen in that short time to the top rank of the profession. He was born in Saline County, Missouri, January 6, 1864. He entered the Missouri Medical College of St. Louis, from which he graduated with honors in 1887, after receiving a public school education in his na- tive county. Soon after receiving his diploma Dr. Smith began the practice of medicine at his home. Eor the next nine years he practiced there. Eealizing that a large city would be a better field for his talents he moved to Kansas City in 1896. where he has been ever since. He has devoted his time to his general practice, and has built up for him- self a handsome clientele during his short stay in Kansas City. Dr. Smith occupies the Chair of Diseases of Women at the College of Physicians and Surgeons (medi- cal department of the Kansas City University) of Kansas City, Kan. JAMES WALTEB SMITH. Born in Johnson County, Missou- ri, on the 1th day of September, 1860, James W. Smith received the earlv education that falls to the lot 336 ONE HUNDRED YEARS OF of the bo}' who is bom and bred on the farm. After engaging in various pursuits on attaining his majority, the sub- ject of this sketch, in 1887, entered the Missouri Medical College, from which he graduated three years later. He immediately engaged in prac- tice in St. Louis and has since de- voted the most of his professional attention to surgery. His opera- tions have been uniformly success- ful, and much of his success is due to his clever work with the sur- geons knife. As an operator he is careful, conservative and withal rapid in his work, and these con- scientious qualities have won a place for him from the beginning of his professional career as a successful surgeon and has placed him in the front ranks of Missouri physicians. JAMES W. SMITH. Ghent, Ky., is the birthplace of Dr. James W. Smith, who is now considered one of the most promi- nent physicians of Pleasant Hill. Mo. He was born on the 10th day of August, 1851, and received his early education in the schools of his birthplace. When hardly 20 years of age he came to Missouri, and in the Kansas City Medical Col- lege he received his professional training. He graduated from that college in the spring of 1S77, and imme- diatelv thereafter beo-an to practice in Pleasant Hill. Dr. Smith has made no specialty. preferring to attend to a general practice, which is both large and remunerative. He has affiliated himself with several medical socie- ties, and is a factor in their pro- gression because of his devotion to their interests and the welfare of the profession. P. M. SMITH. R. M. Smith, a brother and asso- ciate in practice with James W. Smith, was born in Ghent, Ky.. 4<; years ago. He obtained a public school, clas- sical and medical education in his native State, graduating from the Medical Department of the Univer- sity of the University of Louisville in 1885. Soon after his graduation Dr. Smith came to Missouri and asso- ciated himself in practice with his brother at Pleasant Hill. Much of his elder brother's Suc- re.-- has been due to the untiring efforts of the subject of this sketch, and his devotion to his brother's clientele, as well as his own prac- tice. Dr. R. M. Smith is an able, con- scientious physician, a man who is well content to be a modest coun- try practitioner. 0. E. SMITH. Oric Eads Smith was born on a farm near Kirkwood, St. Louis Co., Missouri, December 4, 1865. His early schooling was had in the local schools. He attended the St. Louis College of Pharmac}', graduating from that institution in 1887, and later, in 1890, he graduated from Marion-Sims College and began the practice of medicine at once, remov- ing to his present location in Sep- tember, 1896. Dr. Smith, besides being engaged in general practice, makes a special studv of diseases of children. As a surgeon, he is retained regu- larly by several business establish- ments employing a large number of men, notably the St. Louis Dressed Beef and Provision Company. He is a young man of brilliant at- tainments and well liked in his na- tive citv by both profession and laity. MEDICINE AND SURGERY. 337 Dr. Smith's literary tastes have .led him to acquire a tine library thus early in life, and that, together with the general appearance of his offices, is a correct index of the man and physician. He is spoken of by brother professionals as a "born physician." E. LEE STANDLEE. Dr. E. Lee Standlee is regarded as one of the most prominent of the eclectic physicians and surgeons of the 'city of St. Louis. In the choice of his profession Dr. Standlee was probably influenced by the fact that his father was a physician, he hav- ing been at one time a surgeon in the Confederate Army, afterwards locating in Arkansas where he prac- ticed more than. 25 years: then in Texas for about 10 years, and in 1897 located in Oregon, where he is now a practicing physician. E. Lee Standlee was born at Cen- ter Point, Ark., November 9, 1864. He received an early education in the schools of his native State, and afterwards, when but 17 years of age, was first assistant in and later principal of the Amity High School. While he was yet pursuing his literary studies, Dr. Standlee began the study of medicine with his fath- er as preceptor, and afterwards at- tended the American Medical Col- lege, from which institution he grad- uated in 1886. In the following year young Standlee was chosen as a member of the faculty of his Alma Mater to succeed that famous surgeon, Dr. George A. Eowe, who occupied the Chair of Anatomy. He has held this position ever since. As Demonstrator of Clinical Sur- gery, Dr. Standlee alternates at the City Hospital of St. Louis, where he has done some splendid work before the classes of the American Medi- cal College and others. Gov. W. J. Stone in 1895 ap- pointed Dr. Standlee as a member of the State Board of Health, and he has filled all of the offices in that board during the ensuing time. Gov. Stephens reappointed the doctor to the Board of Health during the past year, 1S99. The doctor is an ex- '.'2 538 ONE HUNDRED YEARS OF president of the State Eclectic Med- ical Association, is corresponding secretary of the National Eclectic Medical Association and a member of several of the other prominent medical societies. Dr. Standlee devotes most of his attention in private practice to sur- gery, and in this specialty he has been eminently successful. As a diagnostician, his opinions are sought in consultation and valued much by the profession. As an op- erator, he is careful, conservative, neat and clean, and withal Yery •rapid with his work. As a teacher in his chosen branch he has long been recognized as among the best. He is clear, concise, forceful, thor- oughly demonstrative and succeeds in keeping his class fully interested in the subject. As a man Dr. Stand- lee is honored and respected by all who know him. JOSEPH SPIEGELHALTEE. Dr. Joseph Spiegelhalter was born August 6, 1834, in Oberndorf, Znekar, Wurtemberg, Germany. In 1854, when the Crimean war threat- ened to involve all Europe in a gen- eral war, he emigrated to the United States in order to escape military service. Not being able to find any suitable employment in Philadelphia he went to Eeading, passed his ex- amination as school teacher and taught school in P>erks County dur- ing the season 1854-5. Eeturning to Philadelphia, he found employ- ment in the drug store of Dr. W. P. Vasey, where he used his spare time and the doctor's library to study medicine. Later he went West, working as prescription clerk in Chi- cago, St. Louis and New Orleans. In 1858 he returned to St. Louis, where he again worked as apothe- cary, studying medicine at the same time. When the war broke out all of the .students and most of the pro- fessors of the Humboldt Medical In- stitute, where he had been studying, enlisted in the army, some as sur- geons, others as hospital stewards or combatants. Dr. Spiegelhalter was among the latter, and served during the three months' service as lieutenant of the Eifth Missouri In- fantry. After he was mustered out he resumed the study of medicine and graduated in April, 1862. As soon as he had his diploma Dr. Spie- gelhalter went before the Military Board 'of Medical Examiners, of which Dr. J. T. Hodgen was presi- dent, and passed his examination as army surgeon. He was offered the position as surgeon of the Thir- teenth Missouri Infantry, but pre- ferred to take the position as as- sistant surgeon of the Twelfth Mis- souri Infantry (Osterhaus' regi- ment), the surgeon of which was his friend and fellow-student of the Humboldt Medical College. He joined the regiment shortly after the battle of Pea Eidge; was at once detached to take charge of some wounded men of the Seven- teenth Missouri: escorted them to MEDICINE AND SURGERY. 339 Batesville, Ark., and was then or- dered by Gen. Curtis to take charge of one of the hospitals there. On the march through the swamps to Helena he was put in charge of the hospital train of the Osterhaus di- vision. Upon his arrival at Helena, Ark., he was commanded to take charge of the Seventeenth Missouri Infantry, and later also of the Fifth Missouri Cavalry, both being with- out medical officers. Being the only available assistant surgeon, he was alternately commanded to take charge of the different regiments of the Osterhaus division whenever a medical officer was needed, and to a number of flying expeditions on land and by boat. TThen the division was sent up to Missouri in the fall of 1862 he was ordered to go with the Seventeenth Missouri Infantry, and as soon as the boat landed at Ste. Genevieve there was an order for him to take charge of the Fifty- eighth Ohio Eegiment. During early attacks on Vicksburg in the winter 1862-3 Dr. Spiegelhalter was taken sick with inflammatory rheumatism and was later sent to the officers' hospital at Memphis, Tenn. From there he returned in May in time to participate in the advance upon Vicksburg and the different engage- ments and battles. During the at- tack of May 22, in which his regi- ment lost 120 men killed and wounded, Dr. Spiegelhalter was the only surgeon who followed the men through the different enfilades upon the battlefield, where he worked till early next morning, dressing the wounded. During the march to Chattanooga he received the com- mission as surgeon of his regiment, the Twelfth Missouri Infantry. He participated in the storming of Lookout Mountain and the battle of Missionary Eidge and Einggold, where his command lost severely. After the battle of Einggold Gen. Osterhaus obtained an order from Gen. Grant, authorizing Dr. Joseph Spiegelhalter to seize any suitable house in Chattanooga for a hospital for the wounded officers of the Os- terhaus division, as the field hospi- tals in Chattanooga were over- crowded and infested with hospital gangrene. During the Atlanta campaign Dr. Spiegelhalter was appointed one of the operating corps of the field hos- pital, First Division, Fifteenth Army Corps, with permission to re- main with his regiment while the same was under fire, and to report for duty at the field hospital when his command was not engaged. Dr. Spiegelhalter always made it a point to be with his boys while they were under fire, ready to assist them, and this was the reason of his great popularity among bis comrades. He was a bold and successful operator, and the many bloody engagements in which his command participated gave him ample opportunity for sur- gical operations. After he was mustered out of the service Dr. Spiegelhalter engaged in the practice of his profession in St. Louis. In 1865 he was appointed Health Officer by Mayor Thomas. The Board of Health then consisted of five Councilmen and the Health Officer as ex-officio member and ex- ecutive officer. TThen cholera ap- peared in European ports in the winter of 1865 Dr. Spiegelhalter warned the Board of Health of the coming danger and insisted that they should secure an appropriation from the Council to prepare for the coming epidemic. But his warning was not heeded, and when the scourge came it found the city total- ly unprepared and without funds to tight it. Through the efforts of Hon. Erastus Wells a fund was raised later and the cleaning of the city commenced. Dr. Spiegelhalter went to work to organize auxiliary sanitary committees in the different wards and got them to start an in- spection from house to house. He 340 ONE HUNDRED YEARS OF also had a number of physicians ap- pointed all over the city to give im- mediate attendance to the poor and to assist in the sanitary work of the ward committees. The burden of all this work, the abatement of nui- sances, the removal of the poor cholera patients to the hospital and the disinfection of their homes, rested upon Dr. Spiegelhalter, and kept him busy day and night. The first cases of cholera were reported in the latter part of July, 1866, and although the city was totally unpre- pared for the epidemic and in a very filthy condition, the effective work done all over the city enabled the • Board of Health to declare in their meeting, September 13, 1866, that cholera no longer existed in St. Louis in an epidemic form. In recognition of his efficient work for the health of the city, Dr. Spiegel- halter was nominated and elected Coroner of St. Louis County in the fall of 1866 and re-elected in 1868. -After the expiration of his second term as Coroner Dr. Spiegelhalter went to Europe and devoted ten months to medical study and re- search in the universities of Trebin- gen, Vienna and Wurzburg. Re- turning to St. Louis in the fall of 1871, Dr. Spiegelhalter resumed ihe practice of his profession. In 1876 Dr. Spiegelhalter was again called into public service, ■ when Mayor Overstolz appointed Mm medical member of the Board •of Health. He was reappointed by Mayor Overstolz in 1877 and 1879, and by Mayor Ewing in 1883, serv- ing in all eleven years in that im- portant position. His knowledge of sanitary science and his acquaint- ance with the condition and needs of the city in sanitary matters, gained by his former experience as health officer, were of great value to the city during the term of his service as a member of the Board of Health. Dr. Spiegelhalter has been in public service for twenty years — three years in the army, two years as Health Officer, four" years as Coroner and eleven years as a medical member of the Board of Health. He has been a member of the St. Louis Medical Society since 1864; is a member of the Society of Ger- man Physicians, of the St. Louis Microscopical Society, the Mississip- pi Valley Medical Society, the St. Louis Academy of Science, the American Medical Association, the American Association for the Ad- vancement of Science and the Amer- ican Public Health Association; is also one of the charter members of the Missouri Crematory Associa- tion, the St. Louis Swimming School, the St. Louis Ethical So- ciety and the Union Club. He is a member of Frank P. Blair Post, No. 1, 0. A. E., the Military Order of the Loyal Legion, and the Society of the Army of Tennessee, also of the St. Louis Turnverein and the Liederkranz. FLOYD STEWART. Thomaston, Ga., is the birthplace of Dr. Floyd Stewart, now of St. Louis, the date being October 20, 1873. He graduated from the St. Louis Medical College in 1896, and commenced practice in the same year, choosing for his field the Char- ity Hospital in New Orleans, La. In this hospital Dr. Stewart did stood work as chief of clinic in the der- matological department. He also carried the active title of Clinical Assistant, Chair of Dermatology, in the New Orleans Polyclinic. Al- though a young man, Dr. Stewart is already a war veteran. The call for volunteers, following the out- break of the Spanish-American War, obtained a ready response from the subject of this sketch. Dr. Stewart was appointed surgeon and commissioned Major in the Second MEDICINE AND SURGERY. 341 United States Volunteer Infantry, and in these capacities served his country until the end of the war with considerable credit to himself. Upon being mustered out of service, Dr. Stewart located himself in St. Louis in October, 1899. He is a specialist in dermatology and genito-urinary surgery. EEMY J. STOFFEL. Eemy J. Stoffel was born in Paris, France, December 1, 1851, his fath- er being a Swiss and his mother a Frenchwoman. His parents came to Ameri- ca when their son was 5 years old, leaving him in charge of a grand- parent. Four years later young Stoffel rejoined the family in Si. Louis, where his father was by this time well established in the carpet and wall paper business on South Biroadway. The greater part of Dr. Stoffel's early education was ac- quired in St. Louis schools. After some time as a pupil in the public schools of that city he attended Rice's Commercial College. After arriving at majority he took a course in St. Vincent's College at Cape Girardeau. Finishing his college course, the next three years were spent in teaching. He began the study of medicine at Sparta, 111., under the direction of Dr. David S. Booth, Sr., then a prominent physician and surgeon in Southern Illinois. Later he en- tered the St. Louis Medical College, and graduated from that institution in March, 1880. Two clays after Dr. Stoffel received his diploma he established his office in its present location in St. Louis and com- menced practice. As a physician he grew rapidly in public favor and became well known. In 1896 he was chosen Professor of Materia Medica and Therapeutics of Beaumont Hospital Medical Col- lege and later held the Chair of Diseases of Children in the same college. Dr. Stoffel is a member of the national, State and local medical so- cieties and is prominent in benevo- lent circles. He bears the reputation of a suc- cessful educator and conscientious and skillful physician. LEON STRAUS. Dr. Leon Straus, one of the lead- ing physicians and surgeons of St. Louis, was born and raised in the State of Kentucky. He received his early education there, and is a grad- uate of the Kentucky State Univer- sity of Lexington. After his graduation there he went to Louisville, Ky., where he was educated in medicine in the medical department of the Univer- sity of Louisville. Dr. Straus immediately entered upon an active general practice of medicine, which, after a few years, 542 ONE HUNDRED YEARS OF he gave up in order that he might begin the study of diseases of the rectum under Dr. Joseph Mathews of Louisville, whose assistant Dr. Straus was for a number of years. The subject of this sketch then went abroad, where he studied un- der the masters of Europe, such men as AHingham and Billroth being his preceptors. He returned to this country after that course of study abroad, and in 1893 located in St. Louis, where he has been ever since. All of Dr. Straus' attention as a practitioner is devoted to his spe- cialty, but he finds time to actively identify himself with various medi- cal societies. His work along the lines of his specialty has made him a member of the British Gynecolog- ical Society and the American Proc- tologic Association. He is also a member of the St. Louis Medical So- ciety. BELXO L. SULZBACHER. Bruno L. Sulzbacher was born at Las Yegas, in the Territory of Xew Mexico. The railroad had then not yet entered that country, and the Spanish language virtually predom- inated there. He received his ele- mentary education in a Presbyterian mission school, which shortly before had been established. Thereafter he entered the Jesuit College of that place where he obtained a thorough educational training. Id 1887 he visited for one year Swarthmore College in Pennsylva- nia. He continued his collegiate course in that State in Eugby Acad- emy in Philadelphia until his grad- uation. His parents in the meantime hav- ing removed to Kansas City, Mo., he returned to the West and under- took, for one semestra, a prelimi- nary medical course in the State Lmiversity of Kansas, in the city of Lawrence. Thereafter he entered the University Medical College at Kansas City, from which institu- tion he graduated in 1894, receiving second prize in his class. During the succeeding year he practiced his profession in that city, his Alma MEDICINE AND SURGERY. 343 Mater honoring him with the post of Assistant Demonstrator of Anat- omy. Becoming, however, convinced that to obtain a higher and more perfect education and experience, other and wider fields had to he sought, he crossed the ocean, and during the years 1896 and 1897, took several regular and post-grad- uate courses in the universities of Berlin, Goettingen and Vienna. Beturning to Kansas City he re- newed his practice, and during the years 1898 and 1899 occupied the Chair of Demonstrator of Pathology and that of Professor of Histology in his former college, the University Medical— 1899-1900. He has now a lucrative practice and enjoys the regard, confidence and friendship of those of his fel- low colleagues who command the re- spect of the community. Dr. Sulzbacher is a member of the Western Surgical and Gynecological Association, the Aesculapian Society f»nd of the Medical Association of the Territory of Kew Mexico. He was assistant surgeon of Battery B, X. G. M., a thirty-second degree Mason and a noble of the Mystic Shrine. The doctor was a Demon- strator of Clinical Gynecology from 1895 to 1898 and Professor of Path- ology and Bacteriology in the Wo- men's Medical College of Kansas City from 1899 to 1900. OTTO SUTTEE. . Otto Sutter is of German descent. His parents, John and Catherine Sutter, came to this country at an early age, and spent the greater por- tion of their lives in St. Louis Coun- ty, where Otto was born, January 24, 1863. He attended the public schools at the age of 5 years, and at 11 en- tered the St. Louis grammar schools. Later he served an ap- prenticeship in the drug business, and in 1884 graduated from the >>t. Louis College of Pharmacy. In the same year he became chief drug- gist in the St. Louis City Hospital, and a few months later bought a located drug business, which he con- ducted successfully until 1887. Meanwhile he was reading medi- cine and attending lectures at the Missouri Medical College. He aft- erwards attended Beaumont Hos- pital Medical College and received his degree of Doctor of Medicine from that institution in 1892. He commenced practicing in St. Louis in the same year, and contin- ued in private general practice until June, 1895, when he was appointed Superintendent of the City Hospi- tal. He served in the latter-named capacity until 1898, when he re- signed to establish a private hos- pital. Dr. Sutter is a conscientious, pro- gressive and capable physician, and peculiarly well qualified for hospital management. In practice his spe- cialty is gynecology. 544 ONE HUNDRED TEARS OF HUDSON TALBOTT. Feb. 10, 1874, is the date of the birth of Hudson Talbott, now one of the prominent men in the younger generation of the physicians and surgeons of St. Louis. He made his bow upon life's stage in the lit- tle town of Fairville. Saline Co., Mo. Desirinsr to follow the example of his father". Dr. Edward M. Talbott, to whose success he points with much pride, also that of his brother, Dr. Albert S. Talbott. he came to St. Louis in the fall of ' 1895, and matriculated in the Marion-Sims College of Medicine, for which he had been fitted by preliminary edu- cation at Jiome and in the Missouri State University. While in college he won, by competitive examination in the literary branches, a scholar- ship offered by the facility. It was on April 9, 1898, that he received the degree of Doctor of Medicine from that college. His conscientious application to his studies, and his general good work in the college, won for him first place in his graduating class, an 3 for which rank he received fr^m the faculty a handsome gold medal. With a large number of competitors the doctor took the ex- amination for interneship in the City Hospital of St. Louis. He was again successful, and served for one year, then located at his present ad- dress, 3148 Laclede avenue, St. Louis, Mo., to do private practice, in which he has been quite success- ful. One year after graduating Dr. Talbott was given the Chair of Em- bryology in the college from which he graduated, and at the same time made Assistant Demonstrator of Anatomy. He is an active member of the Medical Society of the St. Louis City Hospital Alumni and of the St. Louis Medical Society. Dr. Talbott has won his way thus far by dint of perseverance and hard work, and his success seems to make his future in the profession assured. J. H. TAXQEAKY. James Hiram Tanquary is of En- glish and Scotch parentage, and was born m Belmont, 111., April 2, 1856. MEDICINE AND SURGERY. 345 He had his early education in the public schools of his native State and at the Southern Illinois Nor- mal School at Carbondale. Later he graduated from the National Normal University at Lebanon, 0., which institution conferred upon him the B. S. degree. He was a teacher during five years of his school life. He took his medical course in the College of Physicians and Surgeons of Chicago, graduating in 1883. Ee- turning to his boyhood home of Bel- mont, he commenced his profession- al work there and soon built up a large and lucrative practice. In 1892 Dr. Tanquary located in. St. Louis, and has continued in general practice and surgery in that city up to the present time (1900). He has held the Chair of Clinical Surgery in Barnes Medical College, and has done some very clever pro- fessional work. He is an active member of the St. Louis Medical Society and is a member of the Masonic fraternity. Dr. Tanquary is popular with the profession and laity of his adopted citv. C. W. TAYLOE, JE. Dr. C, W. Taylor, Jr., although a native St. Louisan, received his boy- hood education in the public schools of Cincinnati. After graduating from High School there young Tay- lor entered the Pulte Medical Col- lege of the same city, from which he graduated in 1897. Although he has been practicing in St. Louis for but little over a year, Dr. Taylor has already estab- lished himself as one of the most promising of the young homeopathic physicians and surgeons of Missou- ri's metropolis. He has made a specialty of gyne- cology and surgery, and his work along' these lines bids fair to greatly surpass the success he has had with his general practice. Dr. Taylor is lecturer on histol- ogy at the Homeopathic Medical College of Missouri, and is a mem- ber of the American Institute of Homeopathy, the Missouri State In- stitute of Homeopathy and the St. Louis Homeopathic Medical Society. G. H. THOMPSON. George Howard Thompson was born Feb. 5, 1866. At the time of his birth his parents were resi- dents of Memphis, Tenn., but re- moved to St. Louis when the boy was about 5 years old. Young Thompson attended the city public schools and afterwards at the State University, Columbia, Mo. Fol- lowing the bent of his mind toward the science of medicine, he entered Missouri Medical College, and grad- uated from that institution in 1888. He then went to Yew York City and graduated from Bellevue Hospital Medical College in 1889. Subse- 316 ONE HUNDRED YEARS OF sons. He began the study of med- icine in March, 1891, in the office of Dr. W. B. Elter, the leading phy- sician of Callaway County. Later he entered the Homeopathic Medical College of Missouri, from which in- stitution he graduated in the spring of 1895. Soon after receiving his diploma he located in Mexico, where he was actively engaged in general practice until early in the year 1900, when he went to Chicago and took a post graduate course in Hahnemann Col- lege. April 10, 1900, Dr. Tincher was appointed assistant physician to the State Lunatic Asvlum at Ful- quently he spent two and a half years in hospitals in Germany. In LS91 he returned to St. Louis, and in November of that year com- menced the practice of medicine. Since 1891 he has been Professor of Materia Medica in the St. Louis College of Phvsicians and Surgeons. He is a "Fellow of the St. Louis Academy of Medical and Surgical Sciences," a member of the Tri- State Medical Society of Illinois, Iowa and Missouri, and a member of Bose Hill Lod^e. 550. A. F. and A. M. Dr. Thompson is the editor of "The Eegular Medical Visitor.-'' which he founded in January, 1900. E. H. TIXCHER. Dr. E. H. Tincher is one of Lhe younger practitioners of Audrain County who has risen rapidly since he began the practice of his pro- fession in Mexico, Mo. He was born in Callaway County and re- ceived the usual early schooling which fell to the lot of farmers'" ton, and as a consequence has re- signed his private practice and re- moved from Mexico to the location of his public office. HEBMAX TUHOLSKE. Herman Tuholske was born in Berlin. Prussia, March 27, 1848, where he spent the early years of his life, receiving the best classical edu- cation that could be obtained at the MEDICINE AND SURGERY. 347 Berlin Gymnasium, and shortly after his graduation came to the United States and at once to St. Lonis. He entered the Missouri Medical Col- lege and graduated in 1869. Some, years later he went to Europe and attended the post-graduate courses of lectures in Vienna, Berlin, Lon- don and Paris, returning to St. Louis. Thoroughly equipped as he was, lie began the practice of medicine and surgery. In 1870 Dr. Tuholske was elected physician to the St. Louis City Dis- pensary, and under his manage- ment it was enlarged and an am- bulance system organized. He was also at one time in charge of the Quarantine Hospital, and for sev- eral years examining surgeon to the police force and physician to the jail. Resigning in 1875, he de- voted himself to general practice, which soon became a lucrative one. In 1873 the Missouri Medical Col- lege elected him Professor and Dem- onstrator of Anatomy, which he held for ten years, and was then elected Professor of Surgery. In 1882, in conjunction with Drs. Engelmann, Spencer, Glasgow, Robinson, Hardaway, Michel and Steele, he founded the St. Louis Post-Graduate School of Medicine and erected the Post-Gracluate Col- lege building and hospital, the first in this country. From that time Dr. Tuholske devoted all his ener- gies to the teaching and practice of surgery, and it is in abdominal sur- gery that he has been an ardent and successful worker. Dr. Tuholske is a member of the American Medical Association, the Southern Surgical and Gynecologi- cal Society, the St. Louis Medical Society, the St. Louis Medico-Chir- urgical Society, the St. Louis Sur- gical Society, honorary member of Southwest Missouri State Medical Association, member of the Interna- tional Gjmecological Society and of the Congress of German Surgery. He was Professor of Anatomy, of Surgical Pathology and Clinical Surgery in the Missouri Medical Col- lege, and occupies at present the Chair of the Practice of Surgery and Clinical Surgery in the Medical Department of Washington Univer- sity. He is consulting surgeon to the St. Louis City and Female Hos- pitals, and has been actively con- nected, with the South Side Dispen- sary, the Martha Parsons Free Hos- pital for Children, the St. Louis Surgical and Gynecological Hospi- tal and surgeon to the First Regi- ment of Missouri, with rank of Ma- jor. He is the author of a number of essays and papers, and is a fre- quent contributor to medical jour- nals and author of valuable articles in some of the best known surgical text books. PAUL Y. TUPPER. Paul Y. Tupper is a native of the Empire State of the South, having been born at Washington, Ga., March 1, 1858. He obtained 348 ONE HUNDRED YEARS OF his boyhood education in that town, later attending Eichmond College of Eichmond, Va. In 1878 he matriculated in the Hospital College of Medicine at Louisville, Ky., from which he grad- uated in March, 1880. During the following year he served as an in- terne in the Louisville City Hospital and the Forest Hill Lying-in Hos- pital. He resigned the latter position in 1S81 to come to Missouri. He lo- cated in St. Louis, and has been there ever since. During the nineteen years of his professional career in St. Louis, Dr. Tupper has made for himself a place in the ranks of the medical frater- nity that is second to but few. In addition to building up a pri- vate practice Loth large and remu- nerative, the doctor has been hon- ored by many positions of trust and special confidence in his ability. He is surgeon to the Missouri Baptist Sanitarium, the Protestant Hospi- tal, the Martha Parsons Free Hos- pital for Children, the St. Louis & Suburban Street Eailway Company and the Burlington Bailroad Corn- pan v. From 1887 to 1890 Dr. Tupper was Instructor in Practical Anat- omy at the St. Louis Medical Col- lege, and for the next nine years occupied the Chair of Descriptive Anatomy in the same college. Upon the consolidation of the St. Louis and Missouri Medical Col- leges and its affiliation with the Wasington University, Dr. Tupper was appointed Professor of Applied Anatomy and Operative Surgery. This chair he still fills. The doctor is a member of all the prominent medical societies. In 1896 he was chosen president of the St. Louis Anatomical Board and still holds the position. In 1897 he was elected president of the Mis- souri State Anatomical Board, a po- sition he now (1900) holds. Dr. Tupper has ever been identified with the progressive element of the profession, where his originality of thought and action has secured for him the position he now maintains in the profession. LOUIS ALLAN TUENBULL. Dr. Louis A. Turnbull made his first appearance in the world on Es- piranza Plantation in Issaquena County, Mississippi, 36 years ago. He received a thorough education under a tutor, which thoroughly fitted him for entrance of the Mis- souri Medical College in 1885. Three years later he graduated with hon- ors from the college and immediate- ly began practicing in St. Louis. Dr. TurnbulPs attention has been devoted entirely to his general prac- tice, which has ever been a large and lucrative one. With the profession Dr. Turnbull is accounted as one of its solid men — one who ever gives his best efforts to the progress of scientific matters. His patients have the highest confidence in him, re- MEDICINE AND SURGERY. 349 garding him as a thorough gentle- man as well as clever practitioner. THOMAS BENTON" THEUSH. A very well-known physician of Kansas City died February 11 last. At the time of his death Dr. Thom- as B. Thrush was house surgeon at the Kansas City Hospital. He was born in Zanesville, 0., in 1862. When he was 6 years old his parents removed to Cameron, Mo., and he was reared, schooled and graduated in the study of his chosen profession in this State. Prior to his last illness he filled the Chair of, Surgery in the Medico-Chirurgical College. He was one of the best- known physicians and considered one of the best surgeons in Kansas City. Dr. Thrush was a Knight Tem- plar, and prominent in the Masonic fraternity, and his funeral was con- ducted under Masonic auspices in Kansas City, and at his old home in Cameron, where the burial took place. As an evidence of the high es- teem in which he was held in the city of his residence we append an editorial clipped from a Kansas City paper on February 12, 1900: DK. THBTTSH'S DEATH. The many noble attributes of Dr. Thomas Benton Thrush, who died yesterday at the City Hospital, make his loss an ir- reparable one. In addition to Dr. Thrush's ability as a phy- sician, he was possessed of an unusually tender heart. His sympathy for the poor and friendless, and especially for children, fitted him pre-emi- nently for the position which he held. He was a self-made man, but with consciousness of su- periority. He was charitable to a degree unknown to the world. But above all, he was the "children's friend/' and that would be the most appro- priate inscription for his tomb. The City Hospital will be for- tunate if it secures a successor who can in a measure fill the position of Dr. Thrush. E. B. TYLEE. Eobert Blake Tyler is of "Old Dominion" stock. He was born at Hague, in Westmoreland Co., Ya., March 12, 1854. Men are of- ten heard to prate of being self- made, in the sense of having accum- ulated wealth, but it is to the self- educated man that the greater hon- or is due. Dr. Tyler belongs in the latter-named class, although at the hither side of life's prime he finds himself in the possession of a competency sufficient to supply all human necessaries and many luxu- ries. By dint of great personal effort and many sacrifices especially hard to 3^outh, young Tyler acquired a good common school and academic 350 ONE HUNDRED YEARS OF education. He read medicine and received practical instruction in the science, under competent tutelage, and at the age of 25 commenced practice in New York State. In 1879 he bethought himself of Horace Greeley's advice, and moved accordingly. He came to Missouri and located in Joplin, the commer- cial center of the State's great zinc and lead ore mining district. In 1880 he graduated from the Col- lege of Physicians and Surgeons of Joplin. Since then Dr. Tyler's practice has steadily grown, and he has prospered generally. He has served three terms of two years each as Mayor of Joplin— 1883-88 — and his personal popularity is best attested in the fact that he was the first Eepublican to be elect- ed in that Democratic stronghold. As a physician he is one of the oldest in practice in Joplin. He de- votes his entire time to a large gen- eral practice, but gives particular attention to obstetrics. As a citi- zen, Dr. Tyler is widely and favor- ably known in Jasper County and throughout the mining belt of Southwest Missouri and adjoining section of Kansas. JULES P. VALLE. Jules Felix Yalle, son of Jules and Isabella Sargent Yalle, was born in St. Louis, Dec. 28, 1859. He is a descendant of the original French settlers of Missouri. His great-grandfather was commandant of the post of Ste. Genevieve under both French and Spanish regimes. His father was born at Ste. Gene- vieve and was for years president of the Iron Mountain Company and of the Chouteau, Harrison & Yall& Iron Company. He died in 1872. Jules F. Yalle was educated in the public schools and at Washing- ton university. He also attended the Virginia Military Institute. Later he began the study of medi- cine, and after graduating from St, Louis Medical College in 1885, continued to prepare himself by a course of study and practice, cov- ering a period of three years, in the hospitals of this country and Eu- rope. Thus when he settled down to practice in his native city he was splendidly equipped for his life work. Dr. Yalle is a member of the medical staff of St. Luke's Hospital, an instructor in obstetrics in St. Louis Medical College and chief of the obstetrical clinic of that college. He is physician to the Missouri School for the Blind and served of- ficially four years as member of the board of managers of that institu- tion. Dr. Yalle is a member of the American Medical Association and of the State and local medical so- cieties, also of the St. Louis Ob- stetrical and Gynecological Society and of the St. Louis Hospital Alum- ni. He was married in 1881 to Miss MEDICINE AND SURGERY. 351 Mary M., daughter of Judge Henry A. Clover, of St. Louis. Although still many years this side of the prime of life's goal, Dr. Talle has already achieved high rank in his profession. JOHN W. VATTGHAK Born in St. Louis County, Mis- souri, Dr. John YV. Yaughan has lived nearly the whole span of his very useful life in the Missouri me- tropolis, and won whatever honors he wears within a few miles of the home of his "boyhood. Having attended the public schools he afterwards completed his literary schooling at Central Col- lege of Fayette, Mo., graduating therefrom in 1880: During two years succeeding his graduation, and while studying preparatory to his medical educa- tion, he was principal of the for- mal School at Lineville, la. He received his diploma from the St. Louis College of Physicians and Surgeons in 1881. Shortly after- wards he went to Europe and spent a year at Yienna, where he took a post-graduate course. Before re- turning to America, Dr. Yaughan toured the continent and wrote for a St. Louis journal a series of arti- cles of high literary merit, based on the observations of his travels. On his return to St. Louis he at once began practice, and has con- tinued in active professional work ever since. During five years of his profes- sional career Dr. Yaughan was Pro- fessor of Physio] ogy and Demonstra- tor of Anatomy in the College of Physicians and Surgeons. From 1888 to 1890 he was secretary of the Missouri State Board of Anatomy. He fills the Chair of Professor of Clinical and Orthopedic Surgery in Barnes' Medical College, and is a member of the American and In- ternational Medical Societies. Close application and hard work have won for Dr. Yaughan, while yet a comparatively young man, a place among the foremost of the profes- sion in Missouri. WILLIAM HOOKEE YALL. vVilliam Hooker Yail, M. D., was born in South Manchester, Conn., on the 1st day of September, 1865. As a boy he was very bright and ex- ceedingly fond of study, and he re- ceived a thorough fundamental edu- cation in the public schools of his native town, completing his first course of study later at Cheney's High School there. His uncle, James B. Olcutt, Horticulturist for the State of Connecticut, and one of the trustees of Storr's Agricultural College, urged him to take the ex- amination to enter that institution, which he did, and was successful, where he diligently studied for some time. Four years later he took up the profession of pedagogy in one of the country villages of Connecticut, 352 ONE HUNDRED YEARS OF gradually rising to more prominent and lucrative positions, owing to his fine disciplinary and instructive abil- ity, by reason of which he was of- fered the position as Professor of Chemistry, General History and Physiology in the Duluth High School of Duluth, Minn., where he taught for some time, when he re- signed to further pursue his medical studies, which was the main object in view. Just previous to his con- nection with the Duluth High School he entered the Connecticut Literary Institution of Suffield, Conn., where he prosecuted the scientific course. Dr. "William Hooker Vail's aim in life from boyhood was to become a physician and surgeon like his father, Dr. E. J. Vail, who gradu- ated in New York, and for about half a century has been one of the most prominent physicians and sur- geons of that section of Connecticut. From early boyhood Dr. William Hooker Vail was earnestly interest- ed in his father's profession, and nearly all his spare time was spent in his father's company and study, four years of which were spent in active practice with him. During the progress of his medi- cal studies he took a course in Belle- vue Hospital, New York City. Dr. Vail came to Missouri and entered the St. Louis College of Physicians and Surgeons, where he pursued the course of medicine for several years, after which he entered upon an act- ive practice of medicine in this city, and has built up for himself a large and lucrative clientele. Dr. Vail is now house physician for William Barr's Dry Goods Com- pany, visiting surgeon to the May- field Sanitarium, associate editor to the St. Louis Hospital Bulletin and is medical examiner for several life insurance companies and benevolent associations. G. W. VOGT. G. W. Vogt, one of the prominent physicians and surgeons of North St. Louis, was born in Germany on the 20th of May, 1853. Soon after his birth his parents MEDICINE AND SURGERY. 353 came to America and settled in St. Louis, in the public schools of which city young Vogt received that early training which has since heen so ■valuable to him. A classical education fitted him for entrance to the Missouri Medical College, from which he graduated in j 877. Dr. Vogt immediately began the practice of medicine in Xorth St. Louis, and the large and lucrative practice he now enjoys tells how successful he has been. The doc- tor is a member of several promi- nent State and city medical socie- ties, twenty-three years of hard work as physician and surgeon is placed to the credit of Dr. Vogt, the careful, conscientious work per- formed during that time has long since placed him in the front ranks of Missouri physicians. E. J.- WASHINGTON. Dr. E. J. "Washington is a native of St. Louis, having been born there on the 19th day of January, 1875 ; He obtained his early education in the public schools of the Mound City previous to his entrance of the Marion-Sims Medical College. He graduated from Marion-Sims in the spring of '96. Soon after obtaining his degree he was installed as an interne in the St. Louis Female Hospital, which position he held for the year that ensued. After Dr. Washington began his general practice he turned his at- tention to genito-urinary diseases, which he now makes a specialty. Dr. "Washington has been more than ordinarily successful. He has done remarkably well for one so young in the actual practice of medicine, being a close student, untiring in his efforts to advance his knowledge not only in genito- urinary diseases, but in the general practice of medicine as well, is rap- idly placing Dr. Washington in the advance guard of younger genera- tions of rising Missouri physicians. JOHX MAXWELL WATSOX. Vienna. Scott County. Indiana, was the birthplace of Dr. John M. 23 ?54 ONE HUNDRED TEARS OF Watson, one of the more prominent of the young physicians and sur- geons of the city of St. Louis. He was born on the 13th day of May., 1873, and received his early education in the public schools of Scottsburgh, Ind., his boyhood home, and later at the Medical De- partment of the University of Louis- ville, Ky. He is the son of Dr. John M. Watson, a prominent phy- sician of Scott County, Indiana. Coming to St. Louis in the fall of 1896, young Watson entered the old St. Louis Medical College, from which he graduated in the spring of 1897. One year later he began the gen- eral practice of medicine in St. Louis, and has remained there ever since, rapidly advancing in his chos- en profession and building up a large practice. J. H. WEINSBERG. Julius H. Weinsberg was born April 7, 1861, in Germany, where he spent his bo} r hood days. His early education was received in his native country, noted for its educa- tional advantages, it is not surpris- ing that at the age of 17 young Weinsberg was much further ad- vanced in his studies than the aver- age American youth is at that age. In 1881, when in his seventeenth vear, he decided to come to x\merica. He at once, upon his arrival in this country, settled in Missouri. He soon obtained employment as a drug clerk in St. Louis. Being deeply interested in medicine soon caused him to adopt it as his profession. In 1888 he entered the Marion-Sims College of Medicine, graduating from that institution in 1891. Dr. Weinsberg commenced prac- tice in St. Louis in the same year and has continued there ever since, engaged in a general practice. H. M. WHELPLEY. The subject of this sketch has been engaged in literary and editorial work along medical science lines since he was 16 years old. Henry M. Whelpley was born in Battle Creek, Mich., May 24, 1861, and his early education was received in the ex- cellent common and high schools of his native State. Coming to Mis- souri in his youth, he became a stu- dent in the St. Louis College of Pharmacy, and graduated therefrom in 1883/ Since 1884 he has filled the position of Professor of Micro- scopy in this institution. In 1891 he graduated from the Missouri Medical College, after the regular course of study had been completed. As a physician, Dr. Whelpley has never engaged in active practice, his literary Avork taking up all of his time. From 1886 to 1890 he was a lecturer in his Alma Mater on Mate- ria Medica and Pharmacy, and in 1891 became Professor of Physiol- ogy, Histology and Microscopy. This latter position he held until the Mis- MEDICINE AND SURGERY. 351 souri Medical was merged in the Medical Department of Washing- ton University. During the same years he was director of the bicolog- ical laboratory and served as secre- tary of the faculty. He is a member of the St. Louis Medical Society, of the Missouri State Medical Association and of the American Medical Association. Also a member of the Eoyal Micro- scopical Society of London, of the American Microscopical Society and of the St. Louis Microscopical Society. He is at this writing edi- tor and manager of "Meyer Broth- ers' Druggist." Dr. Whelpley is the author of "Whelpley's Therapeutic Terms,"' and of "Curtman's Chemical Lect- ure Xotes." A notable fact in connection with Dr. Whelpley's choice of a profes- sion is that he is the fourth "eldest son" in the direct paternal line to become a professor of medicine. Several of his mother's male rela- tives were also physicians. ALLIE BANKS WILBURN. On a farm in Audrain County, Missouri, 14 miles southeast of Mex- ico, on February 19, 1874, the first gleam of light was given Allie Banks Wilburn. Up to the age of 16 he received such schooling as & lad generally receives engaged in farm life. In 1890 he went to Mex- ico and attended the public schools, and in 1891 attended the Missouri Military Academy, remaining there until the fall of 1892, when he en- tered the Missouri Dental College at St. Louis, taking the usual course of studies, and in 1895 entered the Hospital College of Central Univer- sity at Louisville, Ky., graduating from this noted college of medicine and dentistry as a dental surgeon. In 1896 he passed the State Board of medicine of Texas and began the, practice of medicine in that State. Returning to St. Louis in 1897 he began the practice of dentistry, which he followed successfully for one year, when he entered the Barnes Medical College of St. Louis 356 ONE HUNDRED YEARS OF and received his degree as a Doctor of Medicine in 1900. Dr. Wilburn, from the beginning of his studies, gave special attention to surgery and medicine. He is as- sistant surgeon to the Chair of the Surgical and Medical Dispensary of the Barnes College. WILLIAM A. WILCOX. William A. Wilcox was born in Boston, Mass., Nov. 18, 1838. He came of old New England stock, dating bis ancestors back to John Wilcox, who emigrated from En- gland in 1630 and settled in New- ton. Mass., and with the church col- ony founded Hartford, Conn., in 1635. His parents removed to St. Louis in 1839, remaining there un- til 1815. when they removed to Richwood, Washington County. His early education was obtained in the district schools and the High School at Arcadia, Mo., until 1854, then in charge of the Rev. J. C. Berryman. He then entered the St. Louis Med- ical College, takino- the usual course of studies, and graduated March 5, 1858, when only 19 years of age. Soon after the breaking out of the Civil War he returned to St. Louis, was examined and appointed assist- ant surgeon in First L T . S. R. C, Missouri Volunteers, for three years' service, April 22, 1862, going with the detachment from Rolla, Mo., in June, to Bates ville, Ark., guard- ing wagon train of supplies and am- munition for Gen. Curtis' army; then to Helena, Ark., arriving in July, remaining there in camp until ordered to St. Louis to be mustered out; was then offered position as surgeon in the Thirty-second Mis- souri Infantry, but was unable to accept on account of illness; two months later was commissioned as- sistant surgeon, M. S. M., First In- fantry, the regiment being on con- tinuous guard duty, and wishing to again see active service, he ap- plied, and October 16, 1863, was commissioned -surgeon of the Fourth Missouri Cavalry Volunteers, and joined his regiment at Union City, Tenn., Col. George E. Waring, Jr., being in command, remaining there until January, 1864, doing scout duty. Seven thousand caval- ry was ordered to join Gen. Sher- man, but when within 100 miles of Gen. Sherman's army, Gen. Smith ordered a retreat to Memphis. Again resigning and returning to St. Louis on account of sickness, he in two months was again appointed surgeon in charge of the post hos- pital at Cape Girardeau, where he served until May, 1865, when he was commissioned surgeon in the Fiftieth Missouri Infantry. After the close of the war Dr. Wilcox located at Independence, re- maining there two years. He re- moved to St. Louis in 1868, where he has lived ever since. Dr. Wilcox served several years as Professor of Mental and Nervous Diseases in the Missouri Homeo- pathic Medical College. He was MEDICINE AND SURGERY. 357 married in 1863 in Boston while on leave of absence. He has a daugh- ter, Dr. Emma D. Wilcox, practicing in New York City, and a son, Dr. J. Hurry Wilcox, who served two and a half years as assistant physi- cian at the Fulton Insane Asylum, dow practicing at Spokane, Wash. Dr. Wilcox at this writing (1900) is still in the harness, having prac- ticed medicine for forty-three years, five years of this time having served as an armv surgeon. At the expiration of that time Dr. Witherspoon resigned from the City Hospital staff and went to Butte, Mont., where he engaged in general practice until November, 1893. He then returned to St. Louis, and has been there ever since. He has been quite successful with his work ever since the start. The doctor is a member of sev- eral medical societies and a hard student as well as a painstaking and careful physician. THOMAS C. WITHERSPOON. Natchez, Miss., is the birthplace of Thomas C. Witherspoon, who was born on the 25th day of May, 1868. The early schooJing which so well fitted him for his professional ca- reer was obtained in the schools of his native city. He afterwards took a course in medicine in the Missouri Medical College, graduat- ing with the class of '89. Dr. Witherspoon was appointed in the same year an interne in the St. Louis City Hospital, serving in that capacity for the ensuing year. HENRY L. WOLFXER. Dr. Henry L. Wolfner was born in Chicago, November 1, 1860. His early education was received in the public schools of Chicago and St. Louis and in the High School at Springfield, Hi. Early in life he took up the study sitv: oculist to Bethesda Home the Missouri Medical College in 1881, several months before attain- ing majoritv. He commenced the practice of his profession in St. Lou.is, where he has remained ever since. 358 ONE HUNDRED YEARS OF Dr. Wolfner's especial study in the healing art since he received his degree has been that of diseases of the eve. In 1S92 he went abroad and took post-graduate courses in the leading European clinics. As an oculist Dr. Wolfner has taken high rank among his professional breth- ren, and is popular with a large clientele. He is clinical lecturer on diseases of the eve in the Medical Department of Washington Univer- sity; oculist to Bethesda Home and to the Episcopal Orphans' Home, consulting ophthalmologist to St. Vincent's Institution for the Insane and consulting ophthalmolo- gist to Passovant Hospital at Jack- sonville. 111. Dr. Wolfner is a member of the St. Louis Medical Society, the St. Louis Microscopical Society and oth- er professional bodies. W. H. WOODSON. A relative of Silas H. Woodson, one time Governor of the State, grandson of ex-Congressman S. H. Woodson of Jackson County, and son of William H. Woodson, a veil- known attorney of Clay County. Dr. Woodson can easily lay claim to the title of ■''Missourian." William Ham- ilton Woodson was born at Liberty. February 21, 1874. He had an excellent early school- ing and entered University Medical College of Kansas City with a good literary education. He graduated in medicine in March, 1897, having taken the classical course. He was secretary of his graduation class. He commenced practice at Kosh- koning, in Oregon County, but in 1898 became house surgeon to the German Hospital in Kansas City. In the same vear he acted as assistant to Dr. Flavel E. Tiffany, the eye specialist of Kansas City. In 1899 Dr. Woodson located in Joplin, where he at once took a high position in popular f a