power of the river for doing man's work, and I am sure you will each find pleasure and profit in visiting the great power-houses where a fraction of their mighty power is turning huge wheels and dynamos, which in turn are moving the machinery in large factories. The members of the Niagara Falls Academy of Medicine will, so far as our professional duties permit, take pleasure in showing you the wonders of Niagara and the truly wonderful works of man in utilizing its power.

Each one of you will, I believe, find rest for the body and brain alike in communing with nature in its grand aspects as shown in the Niagara gorge, and you will find food for thought in studying the power and electrical plants which are fast transforming this city into a great manufacturing centre.

Trusting that your stay here will be both pleasant and profitable, I once more bid you a hearty welcome. (Applause.)

RESPONSE BY THE PRESIDENT.

DR. CAMPBELL AND MEMBERS OF THE NIAGARA FALLS ACADEMY OF MEDICINE: I beg to thank you, on behalf of the American Association of Obstetricians and Gynecologists, for the kindly interest you have taken in our meeting. We have this year made a departure, owing to the fact that we are meeting away from the large centres, and we trust that the meeting will be profitable and interesting to all of us.

Dr. Campbell, in his remarks regarding Niagara, has so well portrayed the grandeur of nature that it is unnecessary for me to add anything to his eloquent words on that subject. The modern Hiawatha, instead of dreamily gazing upon the laughing waters of the Minnehaha, is nowadays engaged in harnessing the waters of this enormous cataract, draining much of the inland seas, which, going on further down to the ocean, points a simile to us in our work. The work of this Association is that of specialists who are endeavoring to disseminate a knowledge of abdominal surgery, of obstetrics and gynecology, to members of the profession in all quarters of the globe, and as we hear the bubbling waters of this great cataract, I hope in this meeting there will be some bubbles of intellectual strife that will carry with them knowledge and information to members of the profession far away from this point of meeting. It is not only here that the waters have been harnessed; I am told that they are again harnessed lower down, and that with the Lachine Rapids at Montreal they are beginning to give light, heat, and motive power to the people of that district. They do not seem to lose in power as they go on, and I trust

that the work of this Association as it goes out to the profession will, instead of losing its power, gain force and strength. It has been a power in the past in moulding thought in connection with the branches with which we deal, and I trust it may still be a power in moulding the thought of the future. The Fellows of the Association will no doubt avail themselves of the opportunities afforded through the kindness of the local profession, and I trust that as many of the local profession as can conveniently do so will be present at our meetings.

Again, thanking you for your kind interest in the Association, I yield to the next order of business. (Applause.)

Papers were then read as follows:

1. "The Principles of Treatment in Puerperal Eclampsia," by Dr. William Warren Potter, of Buffalo.

The discussion on this paper was opened by Dr. Duff, and continued by Drs. Chase, Wenning, Stover, Ross, Longyear, Hall, and closed by the essayist.

2. Puerperal Diphtheria," by Dr. H. W. Longyear, of Detroit.

3. "The Source of Puerperal Sepsis," by Dr. John M. Duff, of Pittsburg.

Discussed together by Drs. Goldspohn, McMurtry, Cumston, Baldwin, Potter, Wright, Walker, Ross, Vander Veer, Longyear, and closed by Dr. Duff.

On motion, the Association took a recess until 3 P.M.

Afternoon Session, 3 o'clock.

The President in the Chair.

4. "Toxemia of Pregnancy," by Dr. Adam H. Wright, of Toronto. Discussed by Drs. Duff, Maxwell, Longyear.

5. "Treatment of Puerperal Endometritis by the Carossa Method," by Dr. Edward J. Ill, of Newark, N. J.

This paper was discussed by Dr. Goldspohn, and in closing by the essayist.

6. "Some of the Sequelæ following Supravaginal Hysterectomy," by Dr. Rufus B. Hall, of Cincinnati.

7. "The Sequelae of Dead Ligatures and Sutures," by Dr. George M. Hughes, of Philadelphia.

These two papers were discussed jointly. The discussion was opened by Dr. Cushing, continued by Drs. Longyear, Goldspohn, Hayd, Chase, McMurtry, Whitbeck, Crockett, Baldwin, Vander Veer, Ross, and closed by the essayists.

On motion, the Association took a recess until 9.30 A.M., Wednesday.

SECOND DAY.-Wednesday, August 18th.

Morning Session, 9.30 o'clock.-The President in the Chair.

8. "Post-climacteric Conditions Simulating Advanced Uterine Can. cer," by Dr. M. Rosenwasser, of Cleveland.

Discussed by Drs. Chase, Duff, Hall, Carstens, Cushing, Smith, Baldwin, C. R. Reed (by invitation), Longyear, Goldspohn, Branham, Cumston, and closed by the essayist.

The Secretary read a letter from the Cataract Construction Company, inviting the Association and its guests to visit the power-houses at Niagara Falls, which, on motion, was accepted with thanks.

9. "Certain Cysts of the Abdominal Wall," by Dr. Richard Douglas, of Nashville, Tenn.

Discussed by Drs. Vander Veer, Ill, Reed, McMurtry, Macdonald, Cushing, and, in closing, by Dr. Douglas.

10. "Conservation of the Ovary," by Dr. B. Sherwood Dunn, of Los Angeles, Cal.

The discussion was opened by Dr. M. D. Mann (by invitation), and continued by Drs. Hall, Carstens, Reed, McMurtry, Vander Veer, after which a motion was made and carried that the further discussion of this paper be postponed until 8 P.M., and that the President now proceed to deliver his address.

In the absence of the Vice-Presidents, Dr. Vander Veer was called to the Chair. President Ross then delivered his Annual Address. On motion, the Association took a recess until 8 P.M.

Evening Session, 8 o'clock.

The President in the Chair.

The discussion of Dr. Dunn's paper was then resumed by Drs. Walker, Goldspohn, Duff, Cushing, C. R. Reed (by invitation), Vander Veer, Reed, Macdonald, Maxwell, Ross, Davis, and closed by Dr. Dunn. 11. "Recent Experiences with Ventrofixation," by Dr. Herman E. Hayd, of Buffalo.

On motion, the discussion on this paper was postponed until the next day, when a paper by Dr. Frederick would be read on a similar subject, the two papers to be discussed together.

On motion, the Association took a recess until 9.30 A.M., Thursday.

THIRD DAY.-Thursday, August 19th.

Morning Session, 9.30 o'clock.-The President in the Chair.

12. "Technique of the Dry Method," by Dr. Edwin Walker, of Evansville, Ind.

The discussion was opened by Dr. Joseph M. Mathews (Honorary Fellow), and continued by Drs. Longyear, Baldwin, Maxwell, Goldspohn, and closed by the essayist.

13.Surgical Shock and Hemorrhage, with Reference to Prevention and Treatment," by Dr. Walter B. Chase, of Brooklyn.

Discussed by Drs. Dorsett, Cumston, Carstens, Longyear, Rosenwasser, Smith, Maxwell, and, in closing, by the essayist.

14. "Placenta Previa, with Especial Reference to Treatment," by Dr. W. H. Wenning, of Cincinnati.

Discussed by Drs. Goldspohn, Dorsett, and the discussion closed by Dr. Wenning.

15. "Complete Hysterectomy After Injury During Parturition and Cesarean Section, with Report of Cases," by Dr. Joseph H. Branham, of Baltimore.

Discussed by Drs. Hall, Blume, C. N. Palmer (by invitation), and closed by the essayist.

16.Tonic and Spasmodic Intestinal Contractions, with Report of Cases," by Dr. X. O. Werder of Pittsburg.

17. "Dynamic Ileus Following Operations Involving the Abdominal Cavity, with Remarks on Adynamic Ileus," by Dr. Frederick Blume, of Allegheny, Pa.

These papers were discussed together. The discussion was opened by Dr. Cushing, continued by Dr. Rosenwasser, and closed by the essayists. 18. "Administration of Phosphate of Strychnia During Gestation," by Dr. Walter B. Dorsett, of St. Louis, Mo.

Discussed by Dr. Duff, and, in closing, by the essayist.

19. "The Fate of Ovaries in Connection with Retroversion and Retroflexion of the Uterus," by Dr. Albert Goldspohn, of Chicago. 20. “Which is the Preferable Operative Method of Holding the Uterus in Position?" by Dr. C. C. Frederick, of Buffalo.

The discussion on this paper and that of Dr. Hayd, read yesterday, was opened by Dr. Reed, and continued by Drs. Carstens, Macdonald, Hall, Dorsett, Werder, Branham, Goldspohn, F. J. Baker (by invitation), Baldwin, Rosenwasser, and closed by Dr. Frederick. On motion, the Association took a recess until 3 P.M.

Afternoon Session, 3 o'clock.

The President in the Chair.

This session was devoted largely to the exhibition of pathologic specimens, with histories and photographs of the same. Specimens were exhibited by Drs. Macdonald, Hughes, McMurtry, Chase, Rosenwasser, Smith, Ross, Dorsett, and Vander Veer.

On motion, the Association took a recess until 9.30 A.M., Friday, August 20th.

FOURTH DAY.-Friday, August 20th.

Morning Session, 9.30 o'clock.-The President in the Chair.

21. "Senile Irritable Uterus," by Dr. Thomas J. Maxwell, of Keokuk, Iowa.

Dr. J. Henry Carstens, of Detroit, offered the following

AMENDMENT TO BY-LAWS.

By-Law VI. After "any paper before the Association," add "and no member shall speak more than once, nor longer than five minutes on any one question, except by unanimous consent." (To lie over a year.)

22.Fifty Cases Illustrating Personal Experience with Medical and Surgical Treatment of Appendicitis," by Dr. George S. Peck, of Youngstown, Ohio.

23. The Operation itself in Appendicitis," by Dr. Lewis S. McMurtry, of Louisville, Ky.

The discussion was opened by Dr. Carstens, continued by Drs. Smith, Hall, Davis, Dunn, Walker, Ross, Duff, Cumston, Dorsett, Goldspohn, and closed by the essayists.

The following papers were read by title and ordered printed in the Transactions.

1. "Two Cases of Intestinal Obstruction; Operation and Recovery," by Dr. William Wotkyns Seymour, of Troy.

2. "Post-operative Lesions and Sequela; their Extent, Character, and How to Deal with Them," by Dr. Joseph Price, of Philadelphia. 3. "Pelvic Inflammation; its Causes and Relations," by Dr. A. P. Clarke, of Cambridge.

4, 5. "Incubation, and Imperforate Anus," by Dr. John A. Lyons, of Chicago.

6. "A Case of Porro Operation; Recovery of Mother and Child,” by Dr. David Barrow, of Lexington.

7. "Appendicitis in Relation to Diseases of the Uterine Adnexæ and Pregnancy," by Dr. John B. Deaver, of Philadelphia.

8. "In Memoriam, Mr. J. Greig Smith," by Dr. L. S. McMurtry, of Louisville.

9. "In Memoriam, Dr. Traill Green," by Dr. William Warren Potter, of Buffalo.