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History of medical practice in Illinois - Bushnell Historical Society

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Internal Medic<strong>in</strong>e 139phate where digitalis was not tolerated, sacchar<strong>in</strong> <strong>in</strong> diabetes, and sulfonalas a hypnotic. The use <strong>of</strong> antifebr<strong>in</strong> was recommended. There was a discussion<strong>of</strong> achlorhydria <strong>in</strong> normals and <strong>in</strong> gastric carc<strong>in</strong>oma, and peps<strong>in</strong><strong>in</strong> the treatment <strong>of</strong> croup and diphtheria was suggested as an agent to dissolvethe membrane.An editorial appeared <strong>in</strong> the Northwestern Medical and Surgical Journalconcern<strong>in</strong>g the multiplicity <strong>of</strong> <strong>medical</strong> societies. A plea was made for moreconcentration on the American Medical Association, and the editor decriedthe formation <strong>of</strong> so many special societies.1889The annual address was presented by Dr. Charles Warr<strong>in</strong>gton Earle <strong>of</strong>Chicago. He discussed the responsibilities and duties <strong>of</strong> the <strong>medical</strong> pr<strong>of</strong>essionregard<strong>in</strong>g alcoholic and opium <strong>in</strong>ebriety. He made a plea for practicaltemperance, po<strong>in</strong>ted to the opium habit then prevalent among armyphysicians, and stressed the need for a general diffusion <strong>of</strong> knowledge perta<strong>in</strong><strong>in</strong>gto the harmful effects <strong>of</strong> alcohol and opium and the immense importance<strong>of</strong> this education for youth. He cautioned that the pr<strong>of</strong>ession shouldbe temperate and should not prescribe these substances <strong>in</strong>discrim<strong>in</strong>ately.Dr. N. S. Davis's report for the Committee on Medical Practice was entitled"Influence <strong>of</strong> Appreciable Meteorological and Topographical Conditionson the Prevention <strong>of</strong> Acute Diseases." Twelve years previously,Dr. Davis had devised a system <strong>of</strong> co<strong>in</strong>cident observations and records concern<strong>in</strong>gthe appreciable conditions <strong>of</strong> the atmosphere and soil and the date<strong>of</strong> commencement <strong>of</strong> acute diseases. This work had been done <strong>in</strong> conjunctionwith a special committee <strong>of</strong> the American Medical Association andthe British Medical Association.Dr. F. C. Rob<strong>in</strong>son, Wyanet, who was Chairman <strong>of</strong> the Committee onMedical Practice, noted that: (1) the etiology <strong>of</strong> disease was difficult and<strong>of</strong>ten impossible to determ<strong>in</strong>e. It was only a few years s<strong>in</strong>ce the germ theoryhad been accepted as a prime factor <strong>in</strong> the causation <strong>of</strong> many diseases, butthis theory was yet <strong>in</strong> its <strong>in</strong>fancy. (2) Germ cause <strong>of</strong> croupous pneumoniahad not as yet been proved. Pneumococci were claimed to be the cause, andexposure to cold and wet was said to have a severe effect. Very little advancehad been made <strong>in</strong> its treatment. Dover's powders, antipyr<strong>in</strong>e, veratrum,aconite, poultices, plasters and pneumonia jackets were used. The mortalityrate had not materially changed. Venesection was now neglected. (3) Awave <strong>of</strong> "faith cures" by quacks and fanatics posed a serious problem dur<strong>in</strong>g1888 and 1889.Dr. A. J. Baxter, Astoria, Chairman <strong>of</strong> the Committee on Disease <strong>of</strong> theAlimentary Canal, reported that "Advances show benefits <strong>of</strong> headlights <strong>of</strong>scientific research over phantom <strong>of</strong> empiricism," and reveal "the impor-

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