CONSTITUTION AND BY-LAWS 
OF THE 
COLLEGE 
OF 
OF 
LITTLE ROCK, ARK. 
LITTLE ROCK : 
(tAZETTK book and job office. 
1873. CONSTITUTION AND BY-LAWS 
OF THE 
COLLEGE 
OF 
4'tfll JpMt gtiPHS 
OF 
LITTLE ROCK, ARK. 
LITTLE ROCK : 
GAZETTE BOOK AND JOB OFFICE. 
1873. INTRODUCTORY. 
From time immemorial, societies have been held as inductive of a 
degree of social and friendly intercourse between individuals, which 
independently does not exist. A common interest in the pursuit of 
knowledge of any character guarantees a greater unity of purpose. 
Our purpose, while scrupulously cultivating social and friendly rela- 
tions among ourselves, aims at an increased interest in the advance- 
ment of all the corollary branches appertaining to the science and 
application of our profession. While we accord equal privileges to all 
men, we claim specific ones to ourselves, and with this introductory, 
proceed to the organization of our Society. CONSTITUTION. 
ARTICLE I. 
NAME OF SOCIETY. 
This Association shall be known as “ The College of Physicians 
and Surgeons of the < 'ity of Little Rock.” 
ARTICLE II. 
The authority of this organization originates and exists only in the 
full support of its individual members. 
Its chief object is to enable its members to keep pace with the pro- 
gressive spirit of the age in which we live; and not only in the science 
and practice of Medicine and Surgery as publicly taught at the pres- 
ent day7, but in all those co-ordinate branches inseparably connected 
with it. And while we may never fulfill the measure of our design, 
or derive that amount of profit contemplated, we nevertheless can 
expect that degree of recompense commensurate with our zeal and 
energy. 
' Our observance of Medical Ethics will be in strict conformity with 
the Code of Ethics of the American Medical Association. 
AUTHORITY, CHIEF OBJECTS, ETHICS, ETC. 
ARTICLE III. 
RESIDENCE OF MEMBERS AND CORRESPONDING OR HONORARY 
MEMBERS. 
The Society may embrace as members any Physician or Surgeon 
who possess the qualifications hereinafter specified, who resides in 
the city of Little Rock or the county of Pulaski. 
Corresponding or Honorary Members may reside in any other 
county in the State of Arkansas or any other State on this Continent. 6 
CONSTITUTION AND BY-LAWS 
ARTICLE IV. 
This Society has authority to enact laws lor the muinta'inance and 
government of its members; -of changing or repealing any portion of 
said laws whenever essential ; and the adoption of such other rules 
and regulations or by-laws as may from time to time appear 
requisite. 
AUTHORITY TO ENACT OR AMEND LAWS, RULES, ETC. 
ARTICLE V 
QUALIFICATION AND PROCEEDINGS NECESSARY TO OBTAIN MEM- 
BERSHIP, ELECTION, ASSESSMENT, ETC. 
Section 1. The qualifications requisite to be admitted a member of 
tliis Society are— 
First—Said applicant must possess a good moral character and stand- 
ing in the community. 
Second—He must produce satisfactory evidence that lie has availed 
himself of the advantages of a thorough medical education and has 
graduated at some recognized Medical College or University ol' good 
repute with the American Medical Association. 
Sec. 2. Whenever the name of an applicant is proposed for mem- 
bership, whether at the regular monthly meeting or at an adjourned 
meeting, the same shall be considered referred to the Committee on 
credentials, who will ffeport at tne next regular monthly meeting suc- 
ceeding, before said application can be entertained or acted upon by 
the Society. 
Sec. :>. Every admission to membership must be by ballot, and 
any applicant receiving two dissenting votes shall be considered as 
rejected. 
Sec. 4. Honorary and Corresponding members are eligible to elec- 
tion the same meeting their names are proposed. Provided, That two 
members will vouch for their medical education and standing in the 
community in which they reside. The fee for admission to member- 
ship of this Society shall be five dollars. Honorary and Corresponding 
members exempted. 
Sec. 5. The Society shall have power to make such annual assess- 
ment upon its members as may be deemed necessary to meet its 
current expenses. 
ARTICLE VI 
Section 1. The officers of this Society shall consist of a President, 
Vice-President, Secretary, Treasurer and Librarian, who shall be 
elected annually, at the June meeting of the Society, and hold their 
respective offices for the term or one year. 
OFFICERS AND THEIR DUTIES OF THE COLLEGE OF PHYSICIANS AND SURGEONS. 
7 
Sec. 2. It shall be the duty of the President to preside at all meet- 
ings when present; to give the casting vote when the members are 
equally divided upon questions before the Society; to see that the 
rules of order and decorum are enforced in debate ; to sign the 
approved proceedings of each monthly meeting, and to endorse such 
orders as may be drawn on the Treasurer for expenditures ordered by 
the Society. 
Sec. fl. It shall be the duty of the Vice-President to preside in the 
absence of the President, and at all times to assist the President in 
the performance of his duty. 
Sec. 4. It shall be the duty of the Secretary to keep a true and 
faithful record of the proceedings of each meeting; preserve all books, 
papers and any other property belonging to the archives of the 
Society ; attest all orders drawn on the Treasurer for moneys appro- 
priated by the Society; keep a register of the members, the date of 
admission and place of residence. He shall collect all moneys due 
from the members and pay the same to the Treasurer, taking his 
receipt therefor. He shall attend all committees that may be appointed 
by tnis Society, with such documents as may be necessary for refer- 
ence; report such unfinished business ot previous meetings as may 
appear on his books requiring action, and attend to such other busi- 
ness as the Society may direct. Also, to hold correspondence with 
other Medical Societies ; to keep a list of the same, and attend to all 
general correspondence at the will and pleasure of the Society. • 
Sec. 5. It shall be the duty of the Treasurer to receive all moneys 
delivered to him by the Secretary, passing his1 receipt for the same, 
and to pay fait moneys only by order of the Society, indorsed by the 
President and attested by the Secretary. 
ARTICLE VII 
It shall be the duty of the Librarian to take care of and preserve all 
books, pamphlets and papers belonging to the Society; superintend 
the arranging and binding of all magazines and such other papers 
that may be directed to be bound ; keep a revised catalogue ready for 
examination by any member, and in all respects to be the custodian 
of every book, pamphlet, paper, etc., (other than the official papers of 
the Society) that may become the property of the Society. 
Street lectures and public hall delineations of the science and prac- 
tice of medicine are not recognized by this Society as a part of the 
Physician’s duty. We are not commissioned as teachers of communi- 
ties, but by practice we are to impart to suffering liunjanity the, bene- 
fits of such knowledge as we may possess, which may be increased by 
ARTICLE VIII 8 
CONSTITUTION AND BY-LAWS 
free intercourse with each other, and exhibitions within our own circle 
of the results of practice and discoveries in science, which may be pro- 
vided for as this Society may direct. 
ARTICLE IX. 
No member of this Society shall bid for the practice of any insti- 
tution or for any public practice, blit pray accept tire position of Sur- 
geon or Physician in any institutions where the authorities have fixed 
the salary. 
ARTICLE X. 
In ease of the resignation or death of any officer of this Society, the 
vacancy shall lie filled by election at the next monthly meeting, or as 
soon thereafter as possible. 
This Constitution may bo altered or amended by consent ot'two- 
thirds of all the members of the Society. 
ARTICLE XI. BY-LAWS. 
LAW I. 
The College of Physicians and Surgeons -of the City of Little Rock 
will meet monthly at their rooms, at 7 o’clock during the winter, and 
8 o’clock during the summer months, on the last Saturday of each 
month, for the transaction of any business coming before the Society. 
LAW 11 
One-third of the members of the Society shall constitute a quorum 
for business. 
LAW III. 
ORDER OP BUSINESS. 
1. The President shall call the meeting to order; call for the 
reading of the minutes of the previous meeting by the Secretary, 
and correcting the same, which, after approval, shall be adopted. 
2. The consideration of all unfinished business from the previous 
meeting. 
3. Report of Committees. 
4. New Business. 
5. Written Communications. 
6. Proposition for Membership. 
7. General Discussion of Medical Subjects. 
LAW IV. 
In case there is no quorum for the transaction of business the mem- 
bers present may adjourn the meeting from time to time, or until the 
next regular nlonthly meeting, unless sooner called together by the 
Pesident. 10 
CONSTITUTION AND BY-LAWS 
LAW V. 
The fee of admission to membership in this Society shall be (as 
stated in the Constitution) five dollars, and such sums for contingent 
expenses may be assessed upon the members as circumstances may 
demand. 
LAW VI 
Section 1. No question shall be subject to debate without a motion 
duly made and seconded and stated by the Chair. All resolutions 
shall be reduced to writing if requested by a member; the name of 
the introducer of each resolution to be entered on the the minutes. 
Sec. 2. Any member may call for theglivision of the question, if it 
contains two distinct propositions. A motion to strike out and insert 
shall not be entertained, but a motion to strike out shall not preclude 
either the right “ to amend or insert ” if made as a distinct motion. 
Sec. 3. A motion, with the consent of the second, may be with- 
drawn previous to its amendment, commitment or being put upon its 
final passage by the presiding officer. 
Sec. 4. When a member desires to speak, he shall arise and address 
himself to the presiding officer, and confine his remarks strictly to 
the question under consideration. 
Sec. 5. No member shall be interrupted while speaking, except by 
a call to order, or for the purpose of explanation. 
Sec. 6. All questions of order shall be decided by the presiding 
officer, subject to an appeal to the Society, in which case the member 
appealing, and then the presiding officer, shall give reasons, but no 
further debate shall be allowed. 
Sec. 7. No member shall speak more than twice upon the same 
question without permission from the President. 
Sec. 8. When a question is under consideration no motion shall be 
received excepting to adjourn, to lay the subject upon the table, to 
postpone, to refer to a committee, or to amend, which several motions 
shall have precedence in the erder in which they are named. 
Sec. 9. A motion for adjournment shall always be in order, except 
when the Society is voting upon another question, or while a mem- 
ber is speaking. 
Sec. 10. A motion to amend an amendment is in order, but not one 
to amend an amendment to the amendment. The question on the 
amendment shall be decided before that on the main question. 
Sec. 11. No motion shall be received to postpone the motion under 
discussion for the purpose of introducing a substitute. 
Sec. 12. Motion for postponement to lay upon the table and for 
adjournment, shall always be determined without debate. OF THE COLLEGE OF PHYSICIANS AND SURGEONS. 
11 
Sec. 13. A motion that has been negatived cannot be again brought 
forward at the same meeting, except upon a motion to reconsider. 
Sec. 14. No question shall be reconsidered except upon the motion 
of two members, who voted with the majority when the question 
was decided, nor unless submitted at the meeting at which the same 
was discussed. 
Sec. 15. When a blank is to be filled the question shall he first 
taken on the largest sum, greatest number, and longest time. 
Sec. 16. Two members may demand the yeas and nays on any 
question which is not required to be decided by ballot, and have them 
entered on the minutes. The presiding officer shall in such cases 
always vote last. 
Sec. 17. No order shall be taken upon tne report of any committee 
except tc refer it back to the committee, to lay it upon the table, or to 
obtain the sense of the Society in relation to the resolution appended 
thereto. 
Sec. 18. The presiding officer shall not discuss auy subject whild in 
the chair, but may assign his reasons on deciding a question of order. 
He shall have no vote except on a ballot, or upon a call for the 
yeas and nays. 
LAW VII 
All questions of business before this Society shall he determined by 
a majority of the members present, and no member shall be excused 
from voting unless by the consent of the majority. 
LAW VIII 
Should any member in good standing desire to change his place of 
residence and remove from Little Rock, and to some other locality, 
he shall, upon written application to this Society, he furnished with 
the following certificate, yiz : 
DIPLOMA 
M. D., of the City of Little Rock, State of Arkansas. 
having exhibited to this Society his Diploma of 
Graduation as a Physician and Surgeon from a regularly recognized 
Medical College, and having also produced satisfactory evidence of 
possessing a good moral character, was admitted a member of the 
College of Physicians and Surgeons of the City of Little Rock, State 
of Arkansas, on the day of A. D. 18 
Since admission to membership , M. D.,has assidu- 
ously attended to the dutie.s of his profession with commendable zeal 12 
CONSTITUTION AND BY-LAWS 
and energy, and by his conduct has gained many friends among all 
classes of people. This Society recommends him to the public gener- 
ally, and generously wish him prosperity and happiness. 
Given by instruction of the College of Physicians and Surgeons 
of Little Rock, and sealed with our seal, this, 
[seai. of society.] day of A. I)., 18 
President. 
Attested by 
Secretary. 
LAW IX. 
Section 1. The President shall, at each annual meeting, appoint 
the following standing committees, consisting of not less than three, 
nor more than live members each, to-wit: 
First—Committee on the Scienc; and Progress of Medicine. 
£ Second—A Judicial Council. 
Third—Committee on Printing, Finance and Claims. 
Fourth—Committee on Credentials. 
Sec. 2. The Committee on the Science and Progress of Medicine 
shall collect and preserve such specimens and publications of interest 
as may be of benefit to the Society, and render such aid, by Lecture 
,or otherwise, as may be required. 
Sec. .'1. The Judicial Council shall consider all ethical subjects, all 
questions of a personal character or controversy, including complaints 
and protests, which may be referred to it. The Council shall organize 
by choosing a President and Secretary, and shall keep a permanent 
record of its proceedings. It shall .report \o the Society at the earliest 
practical moment, and its decisions shall be final and binding upon 
all parties. 
Sec. 4. The Committee on Printing, Finance and Claims shall pro- 
cure such printing as the Society may order, investigate any claims 
that may be preferred, and report annually the finances, receipts, 
expenditures, etc., as exhibited by the books and papers of the Secre- 
tary and Treasurer. 
Sec. 5. The Committee on Credentials shall satisfy themselves that 
the applicant for membership is possessed of the proper qualifications 
to entitle him to become a member of this Society as defined in Arti- 
cle V of the Constitution made and provided for such cases, and shall 
report the result of their investigation to the Society for final decision. 
ARTICLE X. 
The members of this Society shall, at any monthly meeting, be at 
liberty to give a history of results in practice in any important case, 
together with any new discoveries or peculiar incidents that may OF THE COLLEGE OF PHYSICIANS AND SURGEONS. 
13 
have transpired; and the Society may, if deemed proper, appoint 
member, annually, or biennially, to deliver a public address in behalf 
of the Society upon the general outlines of the importance and pro- 
gress of the medical profession. 
LAW XI 
At call meetings of this Society no business shall be transacted 
except that for which the meeting was specially called. 
LAW XII. 
Any member demeaning himself in an ungentlemanly and unpro- 
fessional manner, although not strictly or wilfully violating any of 
the rules and regulations governing this Society, it shall be the duty 
of the President, upon learning the same, to possess himself of all the 
facts, and gently yet firmly remonstrate with such member, and 
endeavor to dissuade him from such conduct. Should such member 
then persistently continue this reprehensible course, and openly vio- 
late any of said rules and regulations established for our governance, 
and charges and specifications being preferred against him, the whole 
matter shall then be referred to the Judicial Council; and should this 
Council, after a full investigation, having given the member so offend- 
ing the proper notice, time and opportunity to defend himself before 
them, deem him deserving of expulsion, and so declare it their 
opinion, the Society shall thereupon expel him. 
it is explicitly stipulated, that any member being expelled from this 
Society is debarred from being reinstated by civil process, or suit in 
the Circuit or any other court in this District or State. 
LAW XIII 14 
CONSTITUTION AND BY-LAWS 
ADDENDA. 
It shall be the duty of the Secretary of this Society, as soon as any 
Physician settles in the city, vicinity or district, to present him with 
a copy of the Constitution, By-Laws and Rates of Charges, and 
in the event of his refusing to sign them, the Faculty shall not con- 
sult with him. 
It should be the duty of the Medical Faculty in this city, county or 
district, to receive such pecuniary acknowledgments, from their 
patients for their services as are contained in their Fee Bill, and make 
a settlement of the same on the first day of January of each year, or 
as much sooner as the Physician attending the case may see fit. 
We hereby pledge ourselves to adhere to the Constitution, By-Laws, 
Rules, Regulations and Fee Bill herein adopted, and herewith attest 
with our individual signatures as gentlemen and physicians our inten- 
tion to be governed by the same. OF THE COLLEGE OF PHYSICIANS AND SURGEONS. 
15 
STANDING COMMITTERS. 
ON THE SCIENCE AND PROGRESS OF MEDICINE. 
R. G. JENNINGS, M. D., J. H. CARROLL, M. D., 
JOHN KIRKWOOD, M. D. 
ON PRINTING. FINANCE AND CLAIMS. 
E. H. SKIPWITH, M. D., P. T. MASK, M. I)., 
.1. H. LENOW. M. D. 
ON CREDENTIALS 
A. L. BREYSACHER, M. D„ T. J. REII), M. I)., 
.1. M. BOHEMIEIt, M. 1). 
JUDICIAL COUNCIL 
P. O. HOOPER, M. D., G. C. HARTT, M. I). 
R. G. JENNINGS, M. D„ J. H. LENOW, M. I) 
A. L. BREYSACHER, M. I) 16 
CONSTITUTION AND BY-LAWS 
LIST OF MEMBERS 
P. O. HOOPER, M. D., 
R. (J. JENNINGS, M. D., 
E. H. SKIP WITH, M. I)., 
T. J. REID. M. D., 
.1 NO. KIRKWOOD, M. D., 
P. T. MASK, M. I)., 
A. L. BREYSACHER, M. P., 
J. H. LENOW, M. I)., 
.1. M. BOHEMIER, M. J)., 
J. H. CARROLL, M. D., 
N. KETCH I'M, M. D., 
E. V. DEUELL, M. D., 
(J. C. HARTT, M. D. 
(TFICERS. 
(4. C. HARTT, M. D., President. 
A. L. BREYSACHER, M. D., Vice-President. 
J. H. LENOW, M. D., Secretary and Librarian. 
E. V. DEUELL, M. ])., Treasurer. PRESIDENT'S ADDRESS. 
The following is the address of Geo. C. Hartt, M. D. 
Gentlemen—It is with surprise that I find myself chosen presiding 
officer of a Society in which there are so many better qualified to act 
in that capacity. With tastes and habits formed by a life devoted 
exclusively to our profession, I have no aspiration outside of it, and I 
can say, without exaggeration, that no other position could afford me 
equal gratification. Accept my thanks for the honor you have con- 
ferred. I will add, in extenuation of my ignorance of the laws gov- 
erning deliberative bodies, that the habit of unrestricted inquiry 
which the study of our profession render necessary, has led me to 
distrust parliamentary law, which we too often see prostituted to the 
purpose of restraining the expression of thought, suppressing truth 
and upholding error. The habit of thorough investigation which our 
studies induce, will not allow arbitrary rules to thwart the attainment 
of truth, and the true physician, disdaining chicanery, whereby 
advantage is gained over straight-forward honesty, gladly relinquishes 
ambition and unmerited wealth to others less scrupulous. I will strive 
to supply the deficiencies in my knowledge of the laws of debate, and 
I trust it may ever be our boast, as it is this evening, that the name 
of no artful contriver of schemes to the unsuspicious, encum- 
bers our roll of membership. This is not a mere aspiration. The 
rules you have adopted in reference to the admission of new mem- 
bers will, lam satisfied, insure the fulfilment of this very desirable 
object. They will do more. By excluding every individual who is 
obnoxious to any member of the College, fraternal feeling and 
entire confidence between members will be effected and a unity of 
purpose established which can but lead to useful results. 
The addition of a Library and Reading-room to the Society is a 18 
PRESIDENT’S ADDRESS 
feature upon which I especially congratulate you. This variation 
from the ordinary organization of Medical Societies, promises many 
advantages, not the least of which is the perpetuity of the institution, 
the friendly feeling engendered by frequent intercourse and the facili- 
ties for the acquirement of medical information offered by a large 
collection of standard and new works, and especially of medical jour- 
nals. Our aim, however, should not be to collect only new books, ft 
should be our ambition to make the library the storehouse of 1 he best 
thoughts of the profession in the past, as well as the present. It should 
give all the information attainable upon every medical question that 
may arise; afford the student a thorough knowledge of the history, 
progress and present condition of any branch or specialty, and supply 
the author with requisite data, statistics and references for an exhaust- 
ive investigation. The difficulties and discouragements of forming a 
Library are in the foundation, and are common to all similar institu- 
tions; and contemplating the results attained by some, with begin- 
nings even less promising, we are stimulated to prosecute our 
undertaking with energy. Almost imperceptibly, and with little 
labor or expense, a number of valuable books will be accumulated, 
which beside serving as a nucleus to a larger and more important 
collection, will itself supply the profession here with information not 
easily attainable by individuals. 
I would also call your attention to the importance of establishing- a 
Museum in connection with the College; and it is to be hoped that the 
collection and preservation of specimens of morbid and healthy 
anatomy, comparative as well as human, will become a subject of 
interest to the members. Opportunities for obtaining natural curiosi- 
ties and rare Specimens of interest to those who cultivate the sciences 
connected with medicine, are greater now than they will be at any 
future time. The mountains and caves of our State have, as yet, sur- 
rendered few of their treasurers, and as these are brought to light, 
they will naturally be appropriated by Museums then in existence. 
Numberless specimens of rock and of ore, crystals and petrifactions 
in possession of individuals, will be cheerfully given up, simply for 
preservation or for remuneration; and where would they be so likely 
to drift as to the metropolis and capital of the State—to Little Rock? 
It is not only our privilege, but our duty, as early workers in a new 
field, to assist in collecting evidences of facts which promise a solu- 
tion of the great problem of creation. No longer is this solution to 
rest upon hypothesis, or the interpretations which nations and sects 
may give to these revelations. Thought untrammelled,acting upon a 
mass of facts, old and new, has elaborated a theory, belief in which 
does not demand the surrender of reason ; a theory which, by the aid 
of additional discoveries, is being rapidly fashioned into a system. OF THE COLLEGE OF PHYSICIANS AND SURGEONS. 
19 
The few who fancy that this theory conflicts with religious belief, 
should remember the alarm experienced when Galileo proclaimed 
the doctrine of the earth’s motion. But still the earth moves and 
theologians have deduced new evidences of the truth of religion from 
this once dreaded theory. 
In our State few are so well qualified as members of our profession 
to prosecute investigations in the earth’s strata, and observe the 
ancient marks of creation, while researches in embryology and com- 
parative anatomy are scarcely looked for from a ny others. If any 
should doubt the peculiar fitness of physicians for this great work, I 
would refer them to the example of many, the most eminent in our 
ranks, and especially to tljat of Wm. B. Carpenter, the guide and 
teacher of physiology for the world, during four decades of years. If, 
then, it is a duty, let us not shrink from it, and though no Agassiz 
arise amongt us to achieve a priceless collection in a few years, a taste 
and talent will be developed and cabinets formed, destined speedily 
to expand into a Museum of which we will be proud. 
The appropriateness of the Museum as a repository for instruments 
and apparatus for various tests, microscopicial investigations and 
other practical purposes is obvious, and the acquisition of such instru- 
ments and apparatus, will, no doubt, in good time receive the atten- 
tion of the College. 
Gentlemen, allow me again to congratulate you upon your organiza- 
tion, and predict for the College of Physicians and Surgeons a long 
career of usefulness. With the material composing it, and the jealous 
care with which you have guarded its entrance, it can have no other 
than an honorable future. F E E T ABE E. 
The following table contains the standard fees of the medical pro- 
fession of Little Rock, subject, however, to the several rules which are 
appended: 
1. It is a guide to the physicion in making charges for his services. 
2. It informs those to whom the physicians render, services what 
compensation, in the opinion of the profession, he ought to receive. 
3. If a physician, in rendering an account, regulate his charges 
according to a fee table approved by his brethren, it will certainly 
remove the necessity of litigation with all who are disposed to make 
honorable remuneration for the services they have received. 
For a visit and prescription within the city, not less than...? 3 00 
For a visit and prescription across the river, within half a 
mile of river, not less than 5 00 
Fora visit and prescription out of the city, not exceeding 
one mile (and charge for medicine), not less than fj 00 
For a night visit within city, not less than . o oo 
For a night visit and prescription out of tiie city, not ex- 
ceeding one mile(and charge for medicine),not less than 10 00 
For extra prescription where two or more are sick in one 
family, not less than 2 00 
For prescription at the office or within the city, not less 
than 2 00 
For letter of advice and general directions, not less than.. 5 00 
For vaccination (and charge visit), not less than 2 00 
For cupping 5 
For venesection (and charge visit), not less than 2 00 
For introduction of seton or issue, not less than 5 00 
For introducing catheter or bougie, not less than 5 00 FEE TABLE 
21 
For attention in all cases per hour (day), not less than 3 00 
For attention in all cases per hour (night), not less than 5 00 
For opening boil or abscess (and charge visit), not less than 1 00@ 5 00 
For visit in the country, exceeding three miles, per mile, 
(and charge prescription, medicine and other services 
as above), not less than 1 50 
For night visit in the country, per mile (and charge pre- 
scription, medicine and other services), not less than... 3 00 
For prescription in gonorrhoea, not less than 10 00@20 00 
For prescription in syphilis, not less than 10 00 
For extra cases of gonorrhoea and syphilis, charge accord- 
ing to circumstances 
For examination of suspected cases, not less than 5 00 
For visit and consultation in the city (day), not less than... 13 00 
For visit and consultation in the city (night),not less than 15 00 
For visit and consultation in the country (and charge 
mileage), not less than 13 00 
For visit and accouchment in the city (day), not less than.. 25 00 
For visit and accouchment in the city (night),not less than 30 00 
For visit and accouchment in the country (charge mileage) 25 00 
For visit preternatural, difficult or lingering, charge accord- 
ing to circumstances . 
For amputation of the thigh, leg or arm, not less than 100 0u 
For amputation of the thigh, leg or arm. in the country 
(charge mileage) not less than 100 00 
For reducing fracture of thigh, leg or arm (if in the coun- 
try, charge mileage), not less than 20 (X) 
For each subsequent dressing(and charge visit)not less than 5 00 
For reducing compound fractures (in the country charge 
mileage), not less than 50 00 
For reducing dislocation of hip joint (in the country 
charge mileage), not less than 100 00 
For reducing dislocation of the shoulder, elbow, wrist or 
ankle (in the country charge mileage), not less than 25 00 
For each subsequent dressing (charge visit), not less than... 5 (X) 
For trephining (in the country charge mileage), not less 
than 100 00 
For hydrocele(in the country charge mileage),not less than 20 00 
For paracentesis abdominis (in the country charge mi- 
leage), not less than 25 00 
For paracentesis thoracis (in the country charge mileage), 
not less than 35 00 
For fistula in ano or perineo (in the country charge mi- 
leage) , not less than 50 00 22 
OF THE COLLEGE OF PHYSICIANS AND SURGEONS. 
For bronchotomy (in the country charge mileage), not 
less than 50 00 
For aneurism (in the country charge mileage),not less than 50 00 
For lithotomy or strangulated hernia (in the country 
charge mileage), not less than 200 00 
For examining with speculum per vaginam not less than./ 5 00 
For attendance in contagious diseases double the ordinary 
charge 
For post-mortem examination by order of court or any 
constituted authority (and mileage), not less than 50 00 
Amputation of Anger and toe, not less than 10 00 
Cataract, not less than 100 00 
Strabismus, not less-than 25 00 
Pterygium, not less than 25 00 
Hare-Lip, not less than 25 00 
Hare-Lip and cleft palate, not less than 100 00 
All surgical operations and medical services not speclAed in the 
above, to be in the same ratio, according to their importance and 
other circumstances. 
Night visits to be calculated after 9 o’clock in the spring and sum- 
mer months, and 6 o’clock in the fall and winter months. 
1. The foregoing table contains the standard fees of the medical 
profession of Little Rock. All hills shall be rendered in conformity 
with the above fee table. They may he increased, according to the 
judgment of the practitioner concerned, in all cases of extraordinary 
detention or attendance ; also, in proportion to the importance of the 
case, the responsibility attached to it and of services rendered, when 
these are extraordinary. It shall be considered as unprofexsiomul to 
diminish the standard fees with a view to mercenary competition. 
2. It is not designed by these regulations to prevent gratuitous 
Services to those who are incapable of making remuneration without 
distressing themselves or families. 
3. It is expressly enjoined on the members of the profession to 
decline ail offer of a specific fee for attendance during any given 
period of time, as a measure unequal and often unjust in its action on 
one or the other of the parties, and as derogatory to the character and 
dignity of the medical profession in general. 
4. When the circumstances permit, every physician should present 
his account immediately after his attendance in any attack of sick- 
ness. This snail be particularly attended to in cases of midwifery 
and surgery.