The Birmingham age-herald., 1922-04-21
By OSCAR puGGER. JR.

With the number of delegates in- creased to 800, more than DO of whom were accompanied by their wives, the third day of the convention of the Alabama Medical association re- convened yesterday morning, the paper read by Dr. Paul II. Ringer, noted specialist on tuberculosis. of Asheville, N C., featuring the pro- gram, composed of a series of papers on subjects of a technical character and of deep interest to members of the profession.
 Dr. Ringer addressed the medicos on "The Clinical Criteria of Activity m Pulmonary Tuberculosis" in which he stated that there was such a wide difference in the conception of activ- tty on the part of many well quali- fled men, and lack of standardlza- ton as to what constitutes activity, as to make-it highly important 10 -Ffeaent the various ways of estimat- ing activity and discuss each
 These bases of activity were given as, palpatory, pathological, auscula~ tory. laboratory methods and sympto- matic, the last the most reliable for showing tuberculosis activity, in the opinion of the writer.
 Outlines Symptoms
 variations in weight. range in temperature. fluctuations of pulse measurement of daily sputum, amount of food consumed, hours of sleep, im- provement in red cells, and general vitality can all be determined by in- struments of precision requiring no special training for their use. and furnishes the best basis for estimat- ing tuburcnlar activity" declared the speaker.
 With the use of charts compiled at the Trudeau sanitorium and citing several familiar living examples of tuberculosis cases. Dr. Ringer showed the underlying importance of dealing with symptoms which alone point out the two great biological factors In any infectious disease, namely, the virulence of the invading parasite and resisting powers of the invaded host.
 Prefers Gas
 Other papers of great interest and instructive power to the delegates yesterday morning were: The Inn portance of the Proper Selection of An Anesthetio for Surgical Pro- cedure," presented by Dr. Goodloe MoGahey, Birmingham, specialist in the use of anesthetics. who advocates gas in preference to ether; "The Mimicry of Ureteral Stone by Ure- teral Strioture," by Dr. J. N. Baker of Montgomery, followed by a discuss sion on the subject by pr. Lee r. Burlington. A consideration of Ure- teral stricture with a report on 150 cases treated was made by these two authorities, following the paper pre- sentation.
 urgery Conservatism
 Conservatism in Surgery" was the subject of an interesting paper by pr. H. P. Cole of Mobile. after which . discussion was heard from Dr. J. NJ. Mason, Birmingham.
 "The Problem of Bilateral Kidney Stones," was treated by Dr. J. M. Mason, which proved of great in structive value to the hearers.
 Dr. F. M. Thigpen of Montgomery then addressed the body on "Laryn- zeal Diptheria," the discussion being led by Dr. W G. Harrison, Birming- ham.
 In conclusion, Dr. Harrison. 8 lead ing authority and specialist as a practitioner In eye, ctr, nose and throat cases. presented some. very useful points for the general prac- titioner along this line of surgery. discussion was led by Dr. B. D. Sibley, also of Birmingham.
 Afternoon Session
 Following a buffet luncheon on the Tutwiler roof. prepared by the med icos, delegates reconvened at 2:30