HYGIENE REFERENCE BOARD of the LIFE EXTENSION INSTITUTE, Inc.

IRVING FISHER, Chairman

PROFESSOR OF POLITICAL ECONOMY, YALE UNIVERSITY

## PUBLIC HEALTH ADMINISTRATION

RUPERT BLUE, M.D., Assistant Surgeon-General, U. S. Public Health Service.

H. M. BRACKEN, M.D., Surgeon (Reserve), U. S. Public Health Service.

REAR-ADMIRAL WILLIAM C. BRAISTED, Surgeon-General, U. S. Navy (Retired); ex-President, American Medical Association.

HAVEN EMERSON, M.D., Professor of Public Health Administration, College of Physicians and Surgeons, Columbia University.

JOHN S. FULTON, M.D., Secretary, Department of Health, State of Maryland.

S. S. GOLDWATER, M.D., Director, Mt. Sinai Hospital, New York.

ALLAN J. MCLAUGHLIN, M.D., Assistant Surgeon-General, U. S. Public Health Service.

W. S. RANKIN, M.D., Director of Hospital and Orphan Sections, The Duke Endowment.

JOSEPH W. SCHERESCHEWSKY, M.D., Assistant Surgeon-General, U. S. Public Health Service.

## MEDICINE AND SURGERY

EDWARD R. BALDWIN, M.D., Director, Trudeau Foundation.

GEORGE BLUMER, M.D., David P. Smith Professor of Medicine, Yale University.

DAVID L. EDSALL, M.D., Dean, Harvard Medical School; Editor, "Journal Industrial Hygiene."

REAR-ADMIRAL CARY T. GRAYSON, M.D., U. S. Navy.

SEALE HARRIS, M.D., Director, Dietetic and Hygienic Institute of Birmingham, Alabama.

JOHN HARVEY KELLOGG, M.D., Superintendent, Battle Creek Sanitarium.

REAR-ADMIRAL E. R. STITT, Surgeon-General, U. S. Navy.

R. TUNSTALL TAYLOR, M.D., Professor of Orthopaedic Surgery, University of Maryland; Surgeon-in-Chief, Kernan Hospital for Crippled Children.

WILLIAM HOLLAND WILMER, M.D., Professor of Ophthalmology, Georgetown University School of Medicine.

HUGH HAMPTON YOUNG, M.D., Clinical Professor of Urology, Johns Hopkins University; Urologist, Johns Hopkins Hospital.

## CHEMISTRY, BACTERIOLOGY, PATHOLOGY, PHYSIOLOGY, BIOLOGY

JOHN F. ANDERSON, M.D., Associate Professor of Hygiene, Rutgers College; formerly Director, Hygienic Laboratory, U. S. Government.

WALTER B. CANNON, M.D., Professor of Physiology, Harvard Medical School.

RUSSELL H. CHITTENDEN, Emeritus Professor of Physiological Chemistry, Yale University.

OTTO FOLIN, Professor of Biological Chemistry, Harvard Medical School.

M. E. JAFFA, Professor of Nutrition, University of California.

E. V. McCOLLUM, Professor of Bio-Chemistry, School of Hygiene and Public Health, Johns Hopkins University.

LAFAYETTE B. MENDEL, Professor of Physiological Chemistry, Sheffield Scientific School, Yale University.

MAZYCK P. RAVENEL, M.D., Director Public Health Laboratory, Professor of Preventive Medicine and Bacteriology, University of Missouri.

LEO F. RETTGER, Professor of Bacteriology, Sheffield Scientific School, Yale University.

M. J. ROSENAU, M.D., Professor of Preventive Medicine and Hygiene, Harvard Medical School.

EDWARD C. ROSENOW, M.D., Professor of Experimental Bacteriology, University of Minnesota and Mayo Foundation.

HENRY C. SHERMAN, Professor of Food Chemistry, Columbia University.

THEOBALD SMITH, M.D., Director, Department of Animal Pathology, Rockefeller Institute for Medical Research.

CHARLES W. STILES, M.D., Assistant Surgeon-General (Reserve), U. S. Public Health Service.

ALONZO E. TAYLOR, M.D., Director, Food Research Institute, Stanford University.

WILLIAM H. WELCH, M.D., Dean, School of Hygiene and Public Health, Johns Hopkins University.

C.-E. A. WINSLOW, Anna M. R. Lauder Professor of Public Health, Yale University.

## INDUSTRIAL HYGIENE

JOHN B. ANDREWS, Secretary, American Association for Labor Legislation.

THOMAS DARLINGTON, M.D., Sanitary Engineer, Department of Health, City of New York.

JOSEPHINE GOLDMARK, National Consumers' League.

GEORGE M. KOBER, M.D., Dean, Medical School, Georgetown University.

## MOUTH HYGIENE

ALFRED C. FONES, D.D.S., Chairman, Dental Committee, Bridgeport (Connecticut) Board of Health.

GEORGE H. WRIGHT, D.M.D., Assistant Professor of Dentistry, Harvard Dental School.

## MENTAL HYGIENE

W. H. BURNHAM, Professor of Pedagogy and School Hygiene, Clark University.

## PHYSICAL EDUCATION

WILLIAM G. ANDERSON, M.D., Director, Yale University Gymnasium.

GEORGE J. FISHER, M.D., Deputy Chief Scout Executive, Boy Scouts of America.

R. TAIT MCKENZIE, M.D., Director, Department of Physical Education, University of Pennsylvania.

THOMAS A. STOREY, M.D., Professor and Director, Department of Hygiene and Physical Education, Stanford University.

THOMAS D. WOOD, M.D., Professor of Physical Education, Teachers College, Columbia University; Chairman, Joint Committee on Health Problems in Education of the National Education Association and the American Medical Association.

## EUGENICS

C. B. DAVENPORT, Director, Station for Experimental Evolution, Carnegie Institution of Washington; Director, Eugenics Record Office.

WINFIELD SCOTT HALL, M.D., Emeritus Professor of Physiology, Northwestern University Medical School.

## EDUCATIONAL

W. A. EVANS, M.D., Professor of Sanitary Science, Northwestern University Medical School; Health Editor, "Chicago Tribune."

M. V. O'SHEA, Professor of Education, University of Wisconsin.

HARVEY W. WILEY, M.D., Professor of Agricultural Chemistry, George Washington University; Contributing Editor, "Good Housekeeping."

## STATISTICS

LOUIS I. DUBLIN, Statistician, Metropolitan Life Insurance Company.

HENRY W. FARNAM, Emeritus Professor of Economics, Yale University.

LUCIEN MARCH, Directeur honoraire de la Statistique Générale de la France.

## ORGANIZED PHILANTHROPY

LEE K. FRANKEL, Second Vice-President and Head of Welfare Department, Metropolitan Life Insurance Company.

WILLIAM JAY SCHIEFFELIN, Chairman, Joint Board of Sanitary Control.

LOUIS LIVINGSTON SEAMAN, M.D., President Emeritus, The China Society.

WILLIAM F. SNOW, M.D., General Director, American Social Hygiene Association.

LAWRENCE VEILLER, Secretary and Director, National Housing Association.

## FOREIGN ADVISORY BOARD

### CANADA

A. D. BLACKADER, M.D., Professor of Therapeutics, McGill University, Montreal; Editor, "Canadian Medical Association Journal."

### CHILI

CARLOS FERNANDEZ PENA, M.D., President, Association of National Education; Secretary, National League Against Alcoholism.

### DENMARK

THORVALD MADSSEN, M.D., Director, State Serum Institute of Denmark; Chairman, Health Section, League of Nations.

### ENGLAND

SIR THOMAS OLIVER, Professor of Physiology, Durham University.

### FRANCE

LEON BERNARD, Professor of Hygiene, Faculty of Medicine; Member Academy of Medicine, Paris.

### ITALY

LEONARDO BIANCHI, Director, Neurological Clinic, Naples; Deputy to Parliament.

### JAPAN

DR. S. KITASATO, Chief of The Kitasato Institute for Infectious Diseases, Tokyo.

OFFICERS AND DIRECTORS

HAROLD ALEXANDER LEY
President

ROBERT W. DE FOREST
President Metropolitan Museum of Art

CHARLES H. TENNEY
Chairman C. H. Tenney Company

LYMAN W. BESSE
Besse Stores Company

PROFESSOR IRVING FISHER
Chairman Hygiene Reference Board

ARTHUR W. EATON
Eaton, Crane & Pike Co.

H. G. STODDARD
Vice-President and Treasurer
Wyman-Gordon Company

HENRY S. THOMPSON
President Harvard Cooperative Society

EUGENE LYMAN FISK, M. D.
Medical Director

HAVEN EMBERSON, M. D.
Professor of Public Health Admin-
istration, College of Physicians and
Surgeons, Columbia University

EDWIN S. GARDNER
Gardner, Gardner and Baldwin

JAMES D. LENNEHAN
Secretary

HORACE A. MOSES
President
Strathmore Paper Company

FRED T. LEY
Fred T. Ley & Co., Inc.

AUGUST S. HOLMQUIST
Assistant Secretary

Hygiene Reference Board of Leading Physicians and Public Health Authorities

25 WEST 43RD STREET, NEW YORK

November 7, 1929.

Mr. James L. Hughes,
Box 94,
Westfield, N. J.

My dear Mr. Hughes:

There is enclosed the detailed report of your recent examination.

We are glad to tell you that this showed no evidence of organic
change in the heart, lungs, abdominal organs or nervous system.

The x-ray of the lungs was entirely normal. The slight murmur
noted at the base of the heart is considered functional and of no
importance. Such findings are exceedingly common.

In comparison with your last examination it shows no material
change except that there has been a gain of about three and one-
half pounds in weight. Further increase is, of course, desirable.
There is nothing requiring attention at the present time.

Your general mode of life is satisfactory except that it would
be well to let up a bit on the amount of work.

Should you desire further explanation concerning the conditions
noted in this letter or the detailed report, or as to their rela-
tive importance, before visiting your physician, we should be glad
to have you call at the Institute or write to us.