The times dispatch. [volume] (Richmond, Va.) 1903-1914, 1908-05-06
By CULLEN S. PITT, NJ. d.

w WITH papers of high order
and discussions interesting
NAJ and profitable to the pro-
Wv fession. the second day of
the American Surgical AS
sociation, which is in session at the
Jefferson Hotel, proved no less import
ant than the first. The attendance was
Increased by several members, who ar
rived yesterday afternoon and last
night, and the number of fellows now
present will aggregate pearly 100
The whole of the morning session and
part of the afternoon was devoted
to consideration of the surgical treat
ment of stone in the kidney, the re-
mainder of the afternoon being de-
voted to papers on miscellaneous
topics.
An interesting feature early in the
day was the motion of DR.. Ransohof.
of Cincinnati, unanimously carried, to
the effect that the association imme-
Iliately upon adjournment in the after
noon. proceed in body to the Capitol
Square ard PLACE a wreath upon the
monument 'Iof DIR. Hunter Mcclure,
former president OF the organization.
In the afternoon at $3.50 o'clock, Mrs.
Swanson entertained the wives and
daughters of the surgeons and other
ladies of the party at a tea at the
Executive Mansion, a special invita-
ton being extended to the surgeons
to join them as soon as the ceremony
OF placing the wreath on DR.. McGuire's
Monument had been completed. At
night the members of the association
and their wives We're the guests Of
DR.. George Ben Johnston at his home
on Grace Street, For to-day there
remains only one session. the body
Adjourning at its conclusion.
Morning Session.
The association was called to order
at 1920 o'clock yesterday morning.
with the vice. president, DIR. John t..
Einnie, of Kansas City, in the chair.
DR.. George Tuly Vaughan of WASH
ington, D. c., presented paper on
'stone. Tubercular and Septic Diseases
OF the Kidney and ureter.' Dr..
Naughan's paper was complete and
thorough dissertation on the subject
leaving no phase of it uncovered. He
was followed by DR.. Arthur d. Bevan,
of Chicago on The Diagnosis and
Treatment of Kidney Stone"-a paper
that brought out many important
points and threw much light on an
important subject.
In the matter of diagnosis of this
trouble, DR., Bevan placed most value
on the following points in the order of
their importance: First. the gross elm
ical picture of the case; second, an
ordinary careful chemical and micro
scopic examination of the urine, and
lastly the X-ray. He also devoted
particular attention to the determine
ton of the character o. the operation
in the individual case. When there
was single large stone pyelo
tony was the operation with
or without closure of the wound the
danger of leakage being slight In tho
case OF multiple stones the surgeon
should choose between nephrolithotomy
and ephrectomy,the choice depending or
alton. Especial stress was laid upo,
the fact that the operation could h
done with nitrous oxide gas, Thus do
ing away with the use of chloroforu
or ether.
Next to Largest.
Dr. David Barrow, of Lexington, XIV
reported case Of large kidney ston
that he had removed from paticn,
a man of forty, Tho since eight year
u Of age, had suffered at intervals fror
abdominal pain, and who had reache
perfect recovery after removal of TIL
stone. The stone was examined b.
the members with much interest bein
next to the largept on record. II
weight WAS one pound and two grains
The next paper on Results OF oper
alton on the kidney for Calculus an
Tuharcnlosls" was presented BY D,