The times dispatch. [volume] (Richmond, Va.) 1903-1914, 1908-05-07
SURGEONS WILL MEET
IN QUAKER CITY NEXT

ease n most powerful factor in the
production of hyperthyroidism is psy-
chic excitation; In some way psychic
cScitation causes the discharge of a
pathological amount Of thyroid secre-
ton into the circulation. DR.. Grille
had his anesthetist put few drops of
volatile oil on chloroform inhaler
and hold it over the nose OF the pa
tent on several successive mornings
preceding the day of operation. On
the day of the operation. and ignorant
of the fact that ii was to be perform
cd. the patient was told that the In
halation would be somewhat stronger.
In this way the psychic shock which
usually accompanied the operation
was greatly diminished, If not entire
ly eliminated. The result of this treat
ment was that, whereas prior to Its
discovery, out of twenty-eight cases
of severe Graves's disease operated on
he had mortality of is per cent. af
ter It's discovery thirteen cases were
operated on by him and all made un-
eventfnl recovery.
Graves Disease.
DR.. Charles II. Mayo, who was down
on the program for the next paper,
was unable to be present and his
i plOlilel, lCI. w Imam D. .1dS ", lldOS a
| few remarks on the subject of the pre-
ceding paper. He stated that he had
not had as much experience as his
| brother with Graves's disease. but that
| speaking for him, he seconded Dr.
Crile's remarks as to the result de-
pending upon the amount Of the gland
| removed. and thought that as rule too
little was removed and hence a sec
ond operation was rendered necessary.
DR.. LeConte said that he simly wanted
to state that In his opinion a general
anesthetic should always be used, and
cocaine under no circumstances.
DR.. Shepherd considered DR.. Crile's
paper distinct advance in the study
of Graves's diseases, and said the
pheychic excitation theory was great
addition to knowledge on the subject.
He too was of the opinion that general
and not local anesthesia should always
be employed
Carcinoma of the Appendix" was the
subject of the next paper to be read
by DR.. Richard H. Harte, of Philadel-
phia, but as the time was growing
short the doctor stated that he would
not read the paper in full, but simply
give an abstract. After citing a large
number of statistics from his own
practice and that of others, he came
TO the conclusion that all cases operat-
ed on for carcinoma of the appendix
had at some time been operated on for
chronic appendicitis, but that in no
case had a diagnosis of cancer been
made. He thought that this fact con-
! stituted the strongest argument for the
| removal of any appendix that was the
| seat of chronic inflammation.
| Report OF Case.
The next paper was the report of u
| case of Carcinoma of the Appendix,
! with Metastasis to the Ileo-colic
/ Glands" which was read by DR.. Robert
c. LeConte, of Philadelphia. DR.. Colcy,
Of New York, recalled a somewhat
! similar case. and related 1T in detail,
Dr. Brewer of New York. brought out
the fact that there were two distinct
varieties Of carcinoma. one somewhat
malignant and characterized by me-
tastasis. the other apparently perfect
! ~ benign, and that the latter variety
:, was the one usually found in the APP
pendix. DIR. Wander Veer of Albany,
agreed thoroughly With DR.. Brewer IN
! respect to the existence of two varie-
ties of cancer. and mentioned five case.
in his own practice as proof of this
theory. DR.. j. Il, Summers. of Omaha
next read an interesting account of q
case of "Edema of the Large Intes.
); tine, with Localized Necrosis of Its
Wall roliohlnS Splenectomy IN Bantts
Disease"
Il No discussion followed the reading
OF Dr.. Summers's paper. and DR.. Georg,
!, ri Monks, Of Boston, described the
7 method devised by him for Washing
y Out the Intestine Through Mlultipl,
2 l1nterotomy Openings"
= Meet In philadelphia.
! Dr. Monks exhibited numerous da
! grams illustrating the method ant
S gave the results of a series of exper
in!ents that he had performed on cat
3 and cadaNers. The paper was discusse
!. az length BY prs. Summers. Munro
Kinney Ransohoff and Ilarte. DR.. /.
u NJ I. firney, of Baltimore, followe
!, DR.. Monks with an abstract. on accoun
: of the shortness OF time. of a report a
e a case of "Congenital Idiopathic Ola
8 tatlon OF the Colon (Hirschsprung
DISEASED" DIR Finney's report OF thi
e case was commented upon and dis
: cussed by pr. Freeman, of Denver. an
= the final paper of the meeting, "Pelvi
: Abscess. With Special Reference t
| Rectal Drainage" WAS read by y
| Archibald MacLaren, of st Paul, Min,
| After discussion Of the subject by Or
| Eliot, stillman and Harte. the assoos
ton adjourned TO meet in PHILADELPHIA
4 EneM year. The majority OF the men
1 bers left Yesterday afternoon and nigf
| for their homes. and doubtless all
l them Will have departed by tonight.
/ --------------------
/ italians Meet