even by the smallest step our progress towards that time when the four sanitary epochs or eras of which I have spoken-the Domestic, the Municipal, the National, and the International-may be followed by a fifth, towards which we are all striving and yearning, the epoch or era of Universal Sanitation.

PRESIDENT'S ADDRESS.*

BY INGERSOLL OLMSTED, M.D., HAMILTON.

Gentlemen,-Permit me first to thank you for placing me in the honorable position of President of the Ontario Medical Association. In electing a member of the profession of this city to fill this most important office, I feel that you wished to do honor to Hamilton and to the profession here, rather than to the individual. On two previous occasions Hamilton has been honored by the election of one of its citizens to the Presidency of this Association. In 1883 the late Dr. J. D. Macdonald was chosen, and again in 1888 the late Dr. J. W. Rosebrugh received the honor. The first and only meeting of this Association in this city was held in the old City Hall, on James Street North, where the present City Hall stands, in the year 1884, just twenty-four years ago.

After an absence of twenty-four years, it is my pleasant duty to extend to you a hearty welcome. We feel that the prodigal has returned, and an intellectual feast has been prepared for you. We trust that the reception given you this year will induce you to return to us in the near future.

Hamilton has well deserved the name of the Ambitious City. It may not be generally known, but nevertheless a fact, that this was the first city in America where antiseptic surgery was practised. Dr. A. E. Malloch, a Canadian, who is with us this afternoon, was a house surgeon of Lord Lister. He returned to Canada and introduced Listerism in Hamilton in 1868.

In his early operations the spray was used, but realizing that it was unnecessary, he abandoned its use years before it was discarded in England. The results he obtained, and the work he did were as fine as anything I have ever seen.

Also this is the first city in the province where compulsory

*Delivered at the Ontario Medical Association.

notification of tuberculous patients to the Medical Health Officer was established. It was owing to the energies of Dr. W. F. Langrill, the present Medical Superintendent of the City Hospital, that this important by-law was passed in 1902. At that time Dr. Langrill was the Medical Health Officer, and he was ably supported by the Hon. Lieut.-Col. John S. Hendrie, who was Mayor of the city.

There have been many improvements in this city during the past twenty-four years. Whereas formerly there was only one hospital, with accommodation for 100 patients, we now have two first-class hospitals, the city, with 250 beds, and St. Joseph's, with 50 beds. Both of these institutions are splendidly equipped with modern appliances, and over 3,000 patients are treated annually in the wards, and about the same number are treated as out-patients. The surgical work has increased by leaps and bounds, and the results have been excellent.

Two years ago Sanatorium was established on the mountain, for the treatment of incipient cases of tuberculosis. It has accommodation for 35 patients. The results obtained there have been very encouraging.

Another very important institution is being erected, thanks to the generosity of one of our citizens, Mr. William Southam, namely, a hospital for advanced cases of tuberculosis. We will henceforth be in a position, we hope, to successfully cope with the ravages of this terrible disease. It is thus a great pleasure for us all to have the members of the Association meet here.

Now, in regard to the Association itself. We felt that owing to the tendency of its members to devote themselves to special branches, new sections should be formed. The various subjects. could not be fully discussed in the two sections, Medical and Surgical, consequently three additional sections have been formed, namely, Preventive Medicine, Eye, Ear, Nose and Throat; Obstetrics and Diseases of Children. Two additional sections could easily be added, namely, Mental Diseases and Diseases of the Nervous System and Pathology. I firmly believe that if this plan were followed, and the different sections were placed in the hands of enthusiastic men, our annual meetings would be very much better attended.

With 2,500 practitioners in this province, we should have more than 10 per cent. of them at our meetings. Some parts of our Ontario are seldom represented on our programmes. This should not be allowed. During the year hundreds of interesting cases are seen by the different physicians, which are never published.

The rule to take careful notes of cases should be more generally adopted. It would then be a very easy matter to get up a short paper which would lead to good discussion with marked benefit to all present.

During the past two years several county medical societies have been formed, and if the officers of these societies were to interest themselves in getting their members to write papers and present them to the Ontario Medical Association, the duties of the officers of this society would be lightened very much.

We want every physician, whether practising in village, town or city, to come to our meetings, and give us the benefit of his experience.

Many of the papers on the programme this year are by Canadians practising in different parts of the United States. Thus, there are two from New York, two from Johns Hopkins Hospital, Baltimore, and two from Detroit. Montreal has sent some of her best physicians and surgeons to assist us at this meeting, and last, but not least, our brethren across the line, who unfortunately are not Canadians, have graciously laid aside their work and come to us with the best fruits of their labors.

For the preparation of this programme, gentlemen, we are chiefly indebted to the untiring energy and faithful work of the chairman of the Committee on Papers, my friend, Dr. Wallace.

As there are a large number of excellent papers to be read this afternoon, I shall not take up any more of your time, but will proceed with the programme.

MR. DOOLEY (M.D.) ON MATTERS MEDICAL.*

I see be th' pa-apers that th' sessions iv this prehistoric s'ciety has been a gr-reat success. All iv th' pa-apers on th' programme was r-read amid breathless silence an' enthus'sm, fr'm "Clinical Symptims iv an Overdose iv Jawn Collins," to "Ann S. Thesia in her relations to or with certain Mimbers iv Parlymint," an' no language bein' used more riprihinsible than th' scientific wurruds emplied be th' gifted authors thimselves.

Now, although I'm a medical man mesilf-I'm an M.D., like

*An original monologue, written and recited (in character costume) by Mr. Gordon Rogers, Ottawa, at the smoking concert of the Annual Meeting of the Canadian Medical Association in the Russell House, Ottawa, on June 11th, 1908.

all iv yez, which sthands, I'm told, f'r Modherate Dhrinker-I was unable to be prisint at th' intellechool indoor festivities iv th' meetin'; bein' more arjoosly emplied in showin' an academic bunch. iv our distinguished visitors th' lions an' sights iv our sanitary an' hygienic city, th' principal iv which was th' sthreet car lines an' some iv th' numerous tuberculosis hospital sites an' as a last port iv call, we inspected that sanitary hot box iv oratory th' House iv Commons, where, in th' commercial inthrests iv th' medical min an' th' undertakers iv Canada, th' Mimbers sit heroically raisin' th' temperachoor an' lowerin' their vitality fr'm elivin a.m. to five

a.m.

"Why dont ye pay th' Civil Sarvints their money?" thunders me ould frind, Dock Sprowle, punchin' a lar-rge hole in th' heated atmosphere with a copy iv Hansard, an' bitin' a large piece out iv an orange in his left hand. "They can't pay their docthors' bills," he says, weepin', "an' they're near crazy about it. I'm a midical man mesilf," he says, "or was, onct; an' I sthand here as th' champeen iv th' medical patient an' th' patient medical man," he says. "Hear! hear!" says Dock Borden, Dock Daniel, Dock McLennan an' Dock Black, an' siveral more iv th' ould guard that laid down th' prescription pad whin their counthry called' an' give up their practice f'r th' more payin' proposition iv politics. Dock Sprowle, to hide his emotion, turns a page or two over be th' seat iv their pants. "If me ould frind Dock Tupper was here, here," he says, bitin' har-rd at th' orange, "he'd make more noise than all iv yez! He'd show ye there was no lung throuble in his family!"

Now, there was a few things I wanted to say a wurrud or two about, an' I will not detain th' House, as th' Mimbers say, after which they go on to put ivrybody t' sleep,-that is, ivrybody that's awake. There's Christyan Science. Ye'er all medical min. What is it? I've been r-readin' a book on th' Life an' Har-rd Times iv Mary Baker Eddy, th' Eddystone Lighthouse an' Burnin' Beacon iv Modern Thought, an' th' gran'ma iv them all. She was th' daughter iv Hygeia, be Mercury, th' god iv merchants an' iv thieves, an' be Croesus an' Pandarus, an maybe siveral more iv them classical immorals, an' so gran'daughter iv Sanitaris an Apollinaris, as me noble frind th' Prisidint would say.

Now, it tells in this book that there was two stoodents iv ould McGill that issued th' challenge t' two iv Mary's pets to a test iv their respective methods iv curin' disease. Says th' b'ys fr'm ould McGill to th' Christyan Science la-ads: Afther tis proved, they says, that th' four iv us is all ekally sound in wind an' limb, we'll

The

all be inoculated, they says, with some deadly mickrobe. deadlier th' betther, they says, f'r 'twill be two Christyan Scientists less. I forget just which particular brand iv mickrobe it was, but twas wan iv th' best and most ixpinsive. We ar're willin', they says, to be vaccinated with th' pure tested culchoor iv th' bacillus vermicilli or th' bacillus macaroni or th' bacillus magilli, providin' anny two iv yez out iv th' Eddy Tabernacle does th' same. We ar're to depind, they says, on medical threatmint, an' ye ar're to depind on Christyan Science threatmint f'r relief or sudden death. Well, sir, what does th' two young disciples iv Mary do? They tillygraphed t' Mary, an' she wires back, at their expinse, an' this is what they says to th' McGill heroes: We ar-re perfectly willin', they says, to accept all iv the conditions iv our medical frinds except th' thriflin' wan at th' last. The' referee is all r-right, an' th' size iv th' ring an' iv th' side bet f'r th' death sthruggle an' th' funeral expinses iv our antagonists is all r-right, but we cannot take advantage iv ye, they says. We ar-re to receive midical threatmint, they says, an' ye ar-re to receive Christyan Science threatmint. And there ye ar-re. Tis a good spoortin' offer, but th' McGill la-ads crawls back to th' laboratory, an' th' fight is off.

Tis wan on Christyan Science, says you. But hold on. Take medical science. There's th' Sthrange Case iv Mabel Quirk, a la-ady that underwint an operation f'r laparotomy in America. I don't know in what part iv America laparotomy is, or if it was th' lap iv Senator Platt that Mabel was sittin' in; but annyway, this poor lady, in addition to bein' laparotomous, was near sighted. She kep' her glasses on to see if th' thrained nurse winked at th' docthor, an' she forgot to take thim off iv her nose in th' excitemint iv bein' chloroformed an' holdin' th' docthor's hand. An' whin she come to, her glasses was gone. Th' thrained nurse didn't have thim, an' th' docthor said he niver took even wan of annything himself. Well, sthrange as it may see to all iv yez, afther th' operation Mabel's health was not improved. Th' laparotomy mickrobe got a lap ahead of Mabel again. She got a new pair iv glasses an' was able to see her way to go to Germany, f'r operation number two. An' there 'twas th' same as before. She kep' her glasses on, an' when she came back into this wurruld iv sin an' sorrow an' operations, they was gone like th' last pair. Well, Mabel was cut up. I don't know what she said to th' thrained nurse an' th' docthor, but what they said to her in German, which she didn't understhand, wouldn't look well in German text, to a German, th' pa-aper says.

Thin Mabel come back t' New York. Twas rough on th' v'yage.