SAIlsTT LOTJIS (flmical iU'cord, A MONTHLY JOURNAL OF MEDICINE AND SURGERY. EXTRA. VOLUME 4 NO. 6. WHOLE NO. - 42. TERMS: $2 IN ADVANCE. SINGLE COPY. - 25 CTS. ST. LOUIS, SEPT., 1877. WM. B. HAZARD, M. D., Editor. CONTENTS : EDITORIAL INTERVIEW WITH DR. J. MARION SIMS, IN relation to the WOMAN’S HOSPITAL CONTROVERSY. ZtSTOTIOIE. The St. Louis Conical Record will continue to be independent in all things ; will ex- pose all shams, follies and charlatan-like practices in the protession, no matter who is impli- cated. Having no connection or relation with any society, school or corporation, it is under no obligations to any person whatever, and will be devoted strictly to the interests of medicine. All who are interested in medical progress, who prefer a journal fully alive to the events of the day, and fearless in its attacks upon error wherever found, will subscribe to the Clinical Record and keep their bills paid up. St. Louis is now the acknowledged medical center of the West and the Clinical Record is its representative journal. Among the distinguished writers who have contributed to the columns of the Clinical Record, and who are expected to write for its pages, ma}T be named : Professor William A. Hammond, M. D., Prof. Montrose A. Pallen, M. D., of New York City ; Prof. J. K. Bauduy, M. D., Prof. Louis Bauer, M. D., Prof. John T. Hodgen, M. D., St. Louis; and David Prince, M. D., of Jacksonville, 111. The Clinical Record, in order to preserve its most prominent feature, solicits clinical reports from every section. All contributions will be carefully considered and the best selected for publication. Specimen copies sent on receipt of twenty-five cents. All Literary and Business Com- "dcations, Books for Review, Exchanges, etc., should be addressed to ST. LOUIS CLINICAL RECORD, 212 North Fifth Street, St. Louis, Mo. 154 ST. LOUIS CLINICAL RECORD. correct understanding of the entire case it will be best, perhaps, to go back to the beginning of the hospital and of your rela- tions to it in its earlier days. Will you please state in what relation you stood to the founding of the Woman’s Hospital of the State of New York? I)r. S.—I went to New York in October, 1853. I soon after concieved the idea of establishing a hospital for the treatment of the diseases of women. I had the good fortune to gain the friendship and assist- ance of Drs. John W. Francis, Valentine Mott, Alex. H. Stevens, Edward Delafield and Horace Green, together with Hon. Peter Cooper and Hon. Erastus C. Bene- dict. With the endorsement and coopera- tion of these gentlemen, I was eventually enabled to organize a board of lady man- agers, which was known as the Woman’s Hospital Association. It consisted of thirty-five members. The principal offi- cers of the Association were, Mrs. David Codwise, Mrs. William B. Astor, Mrs. Ogden Hoffman, Mrs. Jacob Le Roy, and Mrs. T. C. Doremus. This association was formed on the 10th of February, 1855, and the hospital was opened for the reception of patients on the first day of May following. I was ap- pointed Surgeon to the hospital, with the medical gentlemen previously named as the Consulting Board. The hospital was filled the day it was opened, and there were always more appli- cants for admission than could be received. Needing funds to start it with, I appeared before the Common Council with Mrs. Doremus, Dr.- Francis, Dr. Mott and Mr. H. L. Stuart, and obtained ten thousand dollars from the city for the use of the hospital. The Board of Lad}’ Managers, instead of giving me an assistant physician, gave me < a female secretary, who knew nothing about < medicine. After six months’ experience, I saw that I must have a qualified assistant, i I applied to the Board of Lady Managers, < ; and they authorized me to appoint any one who would suit me. I offered the appoint- ment first to Dr. Johnston, son of Dr. Frank U. Johnston, of New York, who- could not accept it. I then offered it to Dr. George F. Shfady, now Surgeon to the Presbyterian Flospital and editor of the Medical Record, who also declined it. Soon after this I accidentally made the acquaintance of Dr. T. A. Emmet, to whom I offered the place, which he accepted. Editor.—Allow me to interrupt you, Dr. Sims. Is it to be understood that you were the originator and sole founder of the Woman’s Hospital? Du. S.—Certainly, that is the fact. Editor.—And its only active medical officer during the first six months of its existence ? Dr. S.—Yes. Editor.—How was the transition effected by which this temporary Woman’s Hospital was changed into the Woman’s Hospital of the State of New York? Dr. S.—A year’s experience proved to the satisfaction of everybody connected with the institution that it should be en- larged and placed on a more permanent footing. To this end, I went before the legislature and asked for a charter of incor- poration under the name and style of the- Woman’s Hospital of the State of New York. Hon. E. C. Benedict wrote the charter, and by his cooperation and that of Hon. James W. Beekman and Mr. A. R. Wetmore, the charter was obtained creat- ing a Board of Governors composed of twenty-seven gentlemen. Among whom were Hon. Peter Cooper, Hon. Erastus C. Benedict, George T. Tremble, Robert B. Minturn, and others. The ladies consti- tuting the original Woman’s Hospital Association of the first institution be- came, under the new charter, the Board of Lady Managers of the Woman’s Hos- pital of the State of New York, whose duty it was to manage the domestic con- cerns of the hospital, while the Board of ST. LOUIS CLINICAL RECORD. 155 Governors raised funds for building pur- poses and organized the Medical Board. About a 3’ear later I obtained an act from the Legislature authorizing the Common Council of the CU3’ of New York to give us a site for the hospital. The city gave us the block of land between 49th and 50th streets, and Fourth and Lexington avenues, known asr the “ Old Potter’s Field of 1832.” After this I went before the Legislature again, and with the assistance of Hon. Messrs. Beekman, Benedict and Wetmore, obtained an appropriation of $50,000, for building purposes, which we subsequently received after we had complied with the specified conditions. Editor.—What plans of hospital con- struction were adopted, and who suggested them? Dr. S.—The Board of Governors ap- pointed Mr. Rich architect, in 1860, and adopted a plan with which I was not satis- fied. In 1861 I went to Europe for recrea- tion and for the purpose of stud3’ing hospi- tal construction. I there saw that the pavilion plan was the onl3' one adopted for building hospitals, and on m3’ return to New York, in 1862, I submitted a plan, through the new architect, Mr. Harrison, which was accepted b3T the Board of Gov- ernors. One pavilion was finished in 1867, and the second is just now being completed. Editor.—How was the medical service of the hospital performed, and b3T whom? Dr. S.—From its foundation, in 1855, to 1862, when I went to Europe, I performed the service, with one assistant; during m3' absence, Dr. Emmet replaced me as sur- geon-in-chief. After m3’ return I was elected one of the Board of Governors. Finding that there was general professional dissatisfaction with the “ one man power ” in the institution, I, as one of the Board of Governors, induced the Board to remodel the medical service b3’ creating a medical board of four, among, whom the beds in the hospital were to be equally divided. The new hospital was opened with sevent3’ beds. The Governors selected Drs. Peaslee, Em- met, Thomas and 1113’self as members of this new organization. Editor.—Did you remodel the Medical Board for the purpose of obtaining an active position in the Woman’s Hospital? Dr. S.—No, I did not. On m3’ return from Europe Dr. Emmet offered me half the medical service in the hospital, which I de- clined. Dr. Delafield, then President of the Consulting Board of the Woman’s Hos- pital, wished to make me surgeon-in-cliief of the hospital instead of Dr. Emmet, which I also declined, and when the new regime went into effect I accepted the place of surgeon 011I3’ at the earnest solicitation of Mr. Benedict, Mr. Beekman, President of the Board of Governors, Dr. Delafield, Dr. Gautier and others. The hospital was unpopular with the profession in New York while I was at the head of it, because it was WI10II3’ under the control of one man. It was more unpopular under Dr. Emmet, because of the one-man power, which was now exerted over a larger hospital, one of sevent3r beds instead of twenty-four. I reorganized it with the view to meet the wishes of the medical profession, and with the particular object of placing m}r then good friend, Dr. Thomas, in the institution.. Thus 3’ou see, there was a general reason, and a special reason for its reorganization. But for m3’ warm personal friendship for Dr. Thomas and my desire to place him in the hospital, I don’t think I would have troubled m3’self with the reorganization of the Medical Board. It is said among the doctors of New York, that Dr. Thomas is the author of the attack made 011 me b3’ Peaslee, Emmet and Thomas. It is the old stoiy of ingratitude, etc. Editor.—How long was Dr. Emmet 3'our assistant surgeon ? Dr. S.—From the fall of 1855, until I went to Europe, in 1862, nearh’ seven 3'ears. Editor.—What qualifications were pos- sessed b3r Dr. Emmet, which recommended him to 3’ou for that position ? 156 ST. LOUIS CLINICAL RECORD. Dr. S.—He was a graduate in medicine, member of a good famity, and had just married a very dear friend of mine, whom I had knowm from the time she was a little girl. Editor.—Was he specially versed in gynecology ? Dr. S.—Not at all; the Woman’s Hos- pital has been his great school, and I ini- tiated him into the methods of treatment that are followed to-day in that institution. Editor.—Your relations with him were very friendly ? Dr. S.—They were more than that. I left the Woman’s Hospital in his charge, when I went to Europe, gave him my office, gave him all my private business and per- sonal influence; and if he had been my own son I could not have done more for him. Editor.—How long have you known Dr. Thomas ? Dr. S.—I do not know exactly ; I can say about eighteen 3Tears—more or less. Editor.—What was his reputation as a medical man at that time ? Dr. S.—He was known as an admirable teacher and a most accomplished physician. Editor.—What have been your profes- sional relations with him ? Dr. S.—From the beginning of our ac- quaintance we have been on the most friendly terms, and I have alwa}rs enter- tained for his industry and talents the highest admiration. Editor.—Had he made a specialty of the diseases of woman before his acquaintance with you ? Dr. S.—Not that I know of. Editor.—What was his first connection with the Woman’s Hospital, and when was it made ? Dr. S.—About sixteen or seventeen years ago (previously to m3' going to Europe) I gave him the privilege of holding an out- door clinic at the Woman’s Hospital. Editor.—Did he then become interested in gyneeolog3r ? Dr. S.—Yes. I gave him the freedom of the hospital; he was there constantly, and he had every opportunity for becoming familiar with the methods and manner of performing the operations that were peculiar to that institution. From this dates his reputation as a gynecologist. Editor.—What have been the relations existing between Dr. Peaslee and yourself? Dr. S.—Seemingly friendly. For my- self, I have been perfectly friendly to him ; but facts have recently come to my knowl- edge which prove that he has been, for years, an implacable enemy to me. Editor.—During your connection with the Woman’s Hospital, was there, at any time, any want of harmony in the Medical Board ? Dr. S.—Not at all. Our personal rela- tions were very friendly. Editor.—When did you receive the first intimation of a feeling of enmity against you? Dr. S.—Between the 12th and 15th of January, 1875, about three weeks after I was dismissed from the hospital. Editor.—Did this intimation come from a trustworthy or authoritative source ? Dr. S.—Yes ; from one of the Governors of the Woman’s Hospital, one who has been on the Board since its foundation, and a man of the highest character. Editor.—In what form was this com- municated to you? Dr. S.—I can only repeat what I said in my pamphlet: “I called on one of the Board of Governors, who had been one of my best friends, and asked him to take a stand to reinstate me, and to my great surprise he told me that my associates in the Medical Board were opposed to me, and desired the Governors to accept my resignation ; urging that the best thing for the interests of the hospital was to get me out of it, as I was a reckless operator and was injuring the reputation of the hospital.” Editor.—In the pamphlet of your ad- versaries there is a labored explanation of ST. LOUIS CLINICAL RECORD. 157 the manner in which their circular, dated May 5th, became delayed until May 18th, the da}’ before your intended departure for Europe ; please state the grounds for your “suspicions” that this paper was ante- dated and intention all}’ delayed. Dr. S.—On the 7th of May Dr. Pallen read, before the New York County Medical Society, an exhaustive paper on Dysmen- orrhoea and the Operations for its Cure. On this occasion there was a sharp discus- sion between Dr. Peaslee and myself, dur- which some spicy personalities were in- dulged in. After a while there were mutual explanations leading to a reconciliation and professions of friendly feeling on both sides, in which I was certainly sincere. Not so Dr. Peaslee, for I soon heard of remarks coming from him that showed that he was not sincere. After this he and his confreres planned their attack on me, ante-dating it so as to avoid the suspicion that it origi- nated in a feeling of revenge for the affair of the 7th of May—a meeting that will not soon be forgotten by the members of the New York County Medical Society—and they delayed the publication of their circu- lar, till the night of the 18th of May, inten- tionally, knowing that I was going abroad the next day for five or six months and would not have time to answer them until my return in the Fall. Editor.—They say, (page 5), “We would gladly have consulted Dr. Sims’ convenience by preparing our statement several weeks earlier, but we saw the bio- graphical sketch only in time to issue it when we did.” What have you to say to this? Dr. S.—The biography appeared in the January number of the Virginia Medical Monthly, 1877, and Mr. Stuart reprinted it in the Medical Eclectic on the 15th of March following, during my absence at the South, inserting the portion reflecting on the moral courage of my late colleagues, which I had erased from bis original manuscript. I returned from the South on the last day of March, and in a day or two afterwards I heard that the medical atmosphere of New York was poisoned with malicious reports about me among the doctors, and with abuse of me for permitting my biography to appear in the Medical Eclectic. Now would it not be very odd if all the doctors in town had seen this biography in March and early in April, and were talking about it and were industriously villifying me, and yet kept it dark from Drs. Peaslee, Emmet and Thomas? How could these three be ignorant of these things, when everybody else was talking about them. It is evi- dently not true that they “ saw the bio- graphical sketch only in time to issue it (the circular) wThen we (they) did”—i. e., on the 18th of May. But I happen to have it in my poorer to bring this thing a little more vividly to their minds. These gentlemen have made the mistake of supposing that every country doctor was a dupe, and a partizanof theirs, who happened co listen politely and patient- ly to their misrepresentations of me. In several instances physicians from a distance have come directly from Peaslee, Emmet and Thomas to my house and repeated to me the disreputable things said of me by them. I can, by associating the visits of a tew of them with important operations per- formed by me in their presence, fix the very time of these slanderous statements. One of these was on the 16th of April last. At that time I wras told by a distinguished doctor from a neighboring city, that the New York doctors generally, and Peaslee, Emmet and Thomas in particular, were abusing me for allowing my biography to be published in a medical journal that be- longed to irregulars. But Peaslee, Emmet and Thomas pretend to say that they never saw this journal till the 18th of May, or at the outside, the 5th, when everybody in New York knows that they and their satel- lites were the men that started the scandal in March and magnified it in April. I am surprised that they made any attempt to 158 ST. LOUIS CLINICAL RECORD. excuse themselves on the question of ante- dating their circular. But to show you that Peaslee, Emmet and Thomas do not scruple to make any statement that suits their pur- pose, here is a letter from Mr. Stuart that contradicts in toto their statement that the biographical sketch came to their notice only in time to issue their circular w'hen they did, i. e., on the 18th of May: I hereby certify, that the Medical Eclec- tic, containing reprint of my biographical sketch of Dr. Sims, was published on the 20th of March ; that I left two copies at Dr. Emmet’s house, 89 Madison avenue, on the 22d of the month, one for Dr. Emmet, with a request that it should be handed to him, and one for Miss Booth, and that I mailed on the same dajr (22d of March) a copy to Dr. Thomas and one to Dr. Peaslee, prepaying postage on the same. Being de- termined that these gentlemen should not be ignorant of what I had written, I sent each one of them another copy by mail about a week after I sent the first. H. L. Stuart. Aug. 23d, 1877. This proves that Peaslee, Emmet and Thomas each had two copies of the biogra- phy before the first day of April, and yet they have declaimed before the world that they saw it onty in time to issue their circu- lar when they did on the 18th of May. Editor.—Doctors Peaslee, Emmet and Thomas state that you voted affirmatively “ on the resolutions excluding cases of ute- rine cancer from the hospital, and limiting the number of spectators to fifteen at ope- rations there,” while in your pamphlet you state just as distinctly that you “ did not vote at all.” What are the facts in relation to this matter? Dr. S.—There is a discrepancy in their dates and a contradiction in facts in this re- lation. There is a direct contradiction be- tween the two published accounts of Drs. Peaslee, Emmet and Thomas. For instance, in their reply to my pamphlet, page 6, they say: ‘ • Several meetings wrere held upon the subject, and on the 12th of January, 1874, resolutions were passed by the Medical Board requesting the Board of Govern- ors to exclude cancer cases from the hos- pital, and to limit the number of spectators present at any operation to twenty-five. Upon these resolutions Dr. Sims voted af- firmatively, withdrawing his previous oppo- sition to them and seeming, as far as we could judge, to be fully in sympathy with us in the course which was decided upon.” This is a true statement of what occurred at that meeting. I was willing to exclude cancer cases, and never admitted one after- ward. I wras also willing to place a reason- able limit upon the number of spectators at operations, w'hile I thought that the inter- ference of the Board of Governors in this matter was wholly unjustifiable. In their “ Circular to the Medical Profession,’’ they say: “In January, 1874, the Board of Gov- ernors of the Woman’s Hospital passed the two following resolutions: 1st. That no cases of carcinoma uteri should be admitted to the hospital; and, 2nd. That not more than fifteen specta- tors, in addition to the hospital staff, should be present at any operation. The Medical Board formally discussed these rules, and decided unanimously to abide by them, as being called for, and conducive to the best interests of the pa- tients, and of the hospital.” By comparing their two statements it will be seen that these gentlemen have con- founded two meetings, one on the 12th of January with one a weeklater. At the first meeting the question of admitting cancer cases was finally settled, at the latter meet- ing the question of cancer did not come up at all, the only question before the Medical Board being in reference to the admission of fifteen spectators at operations instead of twenty-five, as agreed to a week before. It appears from their pamphlet that the Board of Governors rejected the proposition of the Medical Board, agreeing to limit the number to twenty-five, and demanded that we should make the number but fifteen. It appears also, from their statement, that they adopted the rule of limiting the number to fifteen one week after the Board of Gov- ST. LOUIS CLINICAL RECORD. 159 ernors had rejected the former proposition fixing the number at twenty-five. They say that several meetings were held upon the subject, but there was one informal meeting of which they have made no note, and of which they pretend they have no recollec- tion, and this was the one which was held two or three daj’S after the Board of Governors rejected the proposition limit- ing the number to twenty-five, and this was held. Dr. Thomas called this meeting of the Medical Board at Dr. Emmet’s house, and informed us that the Board of Governors had rejected our proposition and demanded that we should reduce the number to fifteen. We were all disappointed and chagrined at this action of the Board of Governors. Then it was that Dr. Emmet proposed that we should adjourn—which we did in a few minutes—to meet again in three or four days, and that each of us should come with a written opinion as to the course we should pursue. I have stated in my pamphlet ex- actly what occurred at that meeting, which is as follows : 44At the appointed time and place we met. The chairman, Dr. Emmet, calling the meeting to order, asked me for my re- port. I then read a dignified and manly protest against the action of the Board of Governors, such as I would not be ashamed to publish to-morrow, if it were necessary. (There was no formal report made out by the other members of the Board). When I had finished, Dr. Thomas said : ‘If we take the stand you suggest we shall all be turned out at once.’ I replied : 4 No, Dr. Thomas, the Board of Governors could turn out any one of us, but they could not afford to turn us all out. They would not dare do it.” Dr. Emmet then said: 4 Dr. Sims, take care of that document, we may need it to fall back on.’ I then said, if they did not at once adopt my protest, and take the stand, that the Board of Governors had no right whatever to interfere in matters so strictly belonging to the Medical Board, they would never have any use in the future for protests. A few minutes after this conversation, Drs. Peaslee, Emmet and Thomas adopted the resolutions as published above* in which they sa}-: ‘ Dr. Sims voting affirmatively with the undersigned.’ I did not vote at* all. True, I did not rise, and formally sa}*—4 Mr. Chairman, I protest against the adoption of these reso- lutions, and I wish it to be so recorded in the minutes/ These gentlemen know as well as I do, that I did not vote at all; that it was im- possible for me to vote in the affirmative after the protest I had read, and the stand I took only a moment before.” But Drs.Peaslee, Emmet and Thomas say : 44 About a week subsequently an informal meeting was held for the purpose of arrang- ing means for limiting the number of visit- ors, as directed by the Board of Governors. All the members of the Board were present, and after the business was finished, Dr. Sims, much to our astonishment, read a paper and a series of resolutions which he had prepared, and which he characterizes as 4 a dignified and manly protest against the action of the Board of Governors ’ (page 10). These resolutions advocated resistance to the wishes of that Board, and entirely contradicted the resolutions which had been unanimously passed a week be- fore. Dr. Sims was at once reminded that the resolutions of the past week had been put in the hands of the Board of Govern- ors ; but, with an inconsistency which is almost incredible, he still persisted in pressing them. Dr. Emmet asked, 4 Dr. Sims, do you wish to reconsider the sub- ject?’ 4 No,’ said Dr. Sims. Dr. Thomas then said, referring to the Board stultifying itself by then contesting what one week before it had unanimously recommended, 4 If we take the stand you suggest, we shall all be turned out,’ adding, 4 and we should all richly deserve such treatment.’ The remark imputed to Dr. Emmet, 4 Dr. Sims, take care of that document, we may need it to fall back on,’ and Dr. Sims’ reply to Dr. Thomas, are the offspring of a wonder- fully prolific, but unfortunately distempered imagination. There had been no under- standing at the previous meeting that writ- ten opinions should be presented at this meeting ; for we considered the whole sub- ject as then finally disposed of.” It is very strange that Drs. Peaslee, Emmet and Thomas have all forgotten the informal meeting at Dr. Emmet’s house, which occurred between the meeting of the 160 ST. LOUIS CLINICAL RECORD. 12th of January, at which ice adopted the number of twenty-five visitors to Opera- tions, and the one a week later, when, at the dictation of the Governors, they were compelled to adopt the number of fifteen. At the first meeting the cancer question wras settled, because we agreed to admit no more cases of cancer. At the meeting a week later the only question before us was simply the adoption of fifteen instead of twenty- five spectators. But Peaslee, Emmet and Thomas say that the cancer question was before the Medical Board at each of those meetings. Now this is out of the question. By their own statements they are mistaken, and I hope honestly so. But as they made the mistake in their first hurried publication of saying that I voted for the proposition limiting the number of spectators to fifteen, they seem to think they ought to stick to it now; and to get over their dilemma they conveniently forget the intermediate ten- minute, adjourned meeting that occurred between the 12tli and the 19th of January. They also forget that we were to return at a given day, each with a written opinion. They forget that I was called on the mo- ment the meeting -was organized to read my report, and they are guilty of making me vote for the proposition of fifteen, and in- stantly afterwards of rising and reading a protest, that had been prepared with great care, against the vote they say I gave. Nowq so far as Peaslee is concerned, he may possibly have forgotten some of these points, if not all of them, for, like myself, lie is an antique, but as to Emmet and Thomas, I cannot have the same charity. They are young, and it is simply impossible that they could have forgotten all these things. They are guilty of deliberately misrepresenting the facts. They say (page 7), “The remark im- puted to Dr. Emmet, ‘ Dr. Sims, take care of that document, we may need it to fall back on,’ and Dr. Sims’ reply to Dr. Thomas, are the offspring of a wonderfully prolific, but unfortunately distempered im- agination.” The prolific and distempered imagination and moral constitution belong alone to Peaslee, Emmet and Thomas. They persistently refuse to remember dates, and times and circumstances, and say only what suits their purposes without any special regard for the facts of the case. Theirs and theirs alone is “ a wonderfully prolific, but unfortunately distempered imagination.” Eeitok.—Dr. Sims, what about the an- nual report that was submitted for your approval ? Dr. S.—Dr. Thomas’ statement of com- ing to my house after gas-light and reading the report to me is correct. But at the time my mind was greatly preoccupied with two dangerously-ill patients (one of them died that night). I listened politely to the Doctor, but wras thinking of something else all the time, and the reading made no per- manent impression on my mind. I am not afraid of acknowledging the truth, and I am sorry that Drs. Peaslee, Emmet and Thomas cannot do the same. Editor.—What have you to say about Mr. Geo. T. M. Davis’ long letter to the members of the Medical Board about using their influence with him to put you out of the hospital? Dr. S.—Mr. Davis, personally, did not need to be influenced. I said they furn- ished him with the statistics of the opera- tions done at the hospital, and according to his and their account they did. Why did Mr. Davis wish the statistics? How did he know what they were? Would he have asked for them if he had not been informed that the}’ were supposed to be injurious to me ? If the statistics had shown that I had lost but five or six patients out of two hun- dred and fifteen, would he have had any use for them? He was informed of the nature of the statistics and what use might be made of them by these very men. They alone knew the statistics of the hos- pital. If they had not thought Mr. Davis could have used them to my prejudice he never would have asked for them. He did ST. LOUIS CLINICAL RECORD. 161 ask for them—they did give them, and he did flourish them before the Board of Gov- ernors, and it is a matter of no importance at which meeting of the Board of Governors this was done. This shows the animus of the doctors who suggested the thing to Mr. Davis. Mr. Davis says he applied for them in his official capacity, but when he used them in the Board, I have heard (from one of the Governors present) he refused to let any one examine them, saying they were private. But this is a matter of no consequence. They w'ere furnished by the Medical Board, and they were used in the Board of Governors, and I repeat, that one of the Governors told me, that my associ- ates in the Medical Board were opposed to me and wdshed to get me out of it, and “ desired the Governors to accept my resignation,” urging that it was the best thing for the interests of the hospital, as I was a reckless operator. The question at issue, is, did Drs. Peaslee, Emmet and Thomas influence any of the members of the Board of Governors to accept my resig- nation? Did they use influences against me at the time they were pretending to me to be friendly to me and in favor of my continuing with them in the Medical Board? I dare them to raise an issue in court or by arbitration with power to send for papers and persons, and I will, by put- ting the Governors and the Lady Managers on oath, prove very quickly what was their animus, their action and their real influence with the Governors on the question at issue. Mr. Davis is simply co-conspirator with Peaslee, Emmet and Thomas, and his testi- mony is only that of an accomplice. Editor.—Are the statistics quoted in your pamphlet the same as those made use of by Mr. Davis at the meeting of the Board of Governors? If so, how did you become aware of that fact ? Dr. S.—Mr. Davis says (page 10) in his letter, “I applied, in my official capacity as one of the Governors, to both Dr. Thomas, as the Secretary, and to Dr. Em- met, as the Chairman of the Medical Board, for the information I desired, propounding in writing, such questions as I deemed es- sential to elicit the facts I was in quest of.” In plain English, Mr. Davis asked these gentlemen for the statistics of the hospital. Drs. Peaslee, Emmet and Thomas say (page 12), “ that Dr. Sims was full}’aware of the fact that these statistics were neither prepared, nor presented by the Medical Board, that they were entirely incorrect.” And in comparing the table of statistics used by Mr. Davis with that used in my pamphlet, they say in a note (page 11) : *‘The above is not Col. Davis’ table, but Dr. Sims’; the two do not agree.” Dr. Whitwell was Senior House Surgeon at the Woman’s Hospital, from October, 1874, to March, 1875. Soon after he left the hospital, he told me that Dr. Emmet had, in January, handed him a letter from Mr. Davis, written to Dr. Emmet, asking him for the statistics of all operations per- formed in the hospital by all the surgeons during the time that I was connected with the institution. That he, with the two other House Surgeons, Dr. DuBois and Dr. Pray, set to work, looked over the books, and in due time made out the table and handed it to Dr. Emmet for Mr. Davis. I asked him if he had a copy of the table he had made out; he replied, yes. I then asked him to furnish me with one, and he did, and this was the table I used in my paper, which Drs. Peaslee, Emmet and Thomas now say is not the same as that used by Mr. Davis. On Wednesday, August 2d, only a fortnight ago, I met Dr. Whitwell in San Francisco, and I asked him if the table of statistics he furnished me in 1875 was an exact copy of that he made out for Dr. Emmet in answer to Mr. Davis’ letter, and he said it was. And to-day (August 16th) I received a telegram from him at San Francisco, in answer to one sent yes- terday, reiterating the fact that the Davis table of statistics and mine were identical. 162 ST. LOUIS CLINICAL RECORD. How then can Peaslee, Emmet and Thomas say, “ the above is not Col. Davis’ table, but Dr. Sims’; the two do not agree ?” But let me call Mr. Davis to the stand. Mr. Davis, in his voluminous letter to Peaslee, Emmet and Thomas (page 10), says: “At the January meeting, 1875, of the Board of Governors, a month after Dr. Sims had ceased to be a surgeon to the Woman’s Hospital, the statistics that he alleged were used ‘ to put me (him) out ’ were for the first time brought to the notice or knowledge of the Board of Governors, and while the nomination of Dr. Barker was under consideration.” Thus it will be seen that Mr. Davis fully acknowledges that his table and mine were the same, when he says the statistics that I alleged were used “to put me out,” were for the first time brought to the notice of the Board of Governors by him a month after I had been put out. This shows that Drs. Peaslee, Emmet and Thomas neglected to give their voluteer witness, Mr. Davis, the proper cue on this point. Editor.—In what does the table of sta- tistics in your pamphlet differ from that put forth by Peaslee, Emmet and Thomas? Dr. S.—In my pamphlet the statistics as furnished by Dr. Whitwell to both Mr. Davis and myself, were from 1st of May, 1872, to 22d of December, 1874. But Peaslee, Emmet and Thomas have made out their satistical table from April, 1872, to January, 1875, covering a period of thirty-nine days when I was not con- nected with the hospital. They might, with the same propriety, have added a month or two more to have suited their •own purposes. All this squabbling and •quibbling over statistics is too absurd. But as they intended them less for the pro- fession than the public, it suits their pur- poses. Mr. Davis applied to Dr. Thomas and Dr. Emmet for these statistics. Dr. Emmet, through his House Surgeon, Dr. Whitwell, furnished them to Mr. Davis, although Drs. Peaslee, Emmet and Thomas now say (page 8), “We had no more agenc}' in obtaining these statistics ” than Dr. Sims himself.” Now let us see how these gentlemen manipulate statistics to suit their own ends : 1st. Dr. Whitwell goes over the Hospital Records in January, 1875, and says I per- formed 215 operations during my connec- tion with the hospital. 2nd. Dr. Hunter, Dr. Clarke and Dr. Dudle}" go over the same hospital records in January, 1877, and certify that I performed but 152 operations during this time, and then Drs. Peaslee, Emmet and Thomas make another deduction, reducing my opera- tions at last from 215 to 88 !!! Now how was it possible for these gen- tlemen to have reduced the sum of 215 to 88? Let us see: Peaslee, Emmet and Thomas, with their aids, Hunter, Clarke and Dudley, put their heads together to see how they could destroy the validity of Whitwell’s table as furnished to Davis. They all fell upon the plan of throwing out the 64 operations performed by me for dys- menorrhoea. Of course I do not accuse Hunter, Clarke and Dudley of altering the books, but they simply carried out the wishes of their masters by making the de- duction of 64, as it was already agreed to do. But here the}", in their hurry, evidently made a mistake of 1 in their subtraction. And then, passing their new table, thus altered from 215 to 152, over to Peaslee, Emmet and Thomas, the latter feeling not quite satisfied, determined to make assur- ance doubly sure, proceeded forthwith to abstract another 64 ! ! ! generously leaving 88 as the whole number of operations per- formed by me instead of 215, as the books really show. All this goes to prove that Whitwell’s table was absolutely con-ect, for by adding the double deductions, made by the two parties that manipulated the tables, to the sum 88, which they say is the correct number, it corresponds exactly with Whit- ST. LOUIS CLINICAL RECORD. 163 well’s table, minus 1, which they lost in their repeated abstractions. I performed, during my connection with the hospital: According to Dr. Whitwell, 215 operations. “ Dr. Hunter & Co. 152 “ 63 How could Dr. • Whitwell, Dr. DuBois •and Dr. Pray possibly have made such a blunder as to accredit me with 63 opera- tions that I never performed. This is the explanation : At the dictation of Peaslee, Emmet and Thomas, their assistants go to work ex- pressly to make a table that shall differ from Wliitwell’s. Having finished their work, they accompany it with the following certificate : “We certify that the above statistics are taken from the record books of the WOman’s Hospital, and are correct to the best of our knowledge and belief. (Signed.) James B. Hunter, M. D., Asst. Surg. N. Y. State Woman's Hospital. A. S. Clarke, M. D., House Surg. N. Y. State Woman's Hospital. E. C. Dudley, M. D., Senior Asst. House Surg. N. Y. State Woman's Hospital." Such “bull-dozing” of statistics was never heard of before in the annals of medicine. Editor.—Upon what grounds did Peas- lee, Emmet and Thomas exclude the 64 operations tyou performed for dysmenorrhcea (magnifying them to 127). Dr. S.—They quoted my book on Uterine Surgery to show that it was not a serious operation. In my hands it is not; but Peaslee, Emmet and Thomas know very well that it is regarded all over the world by the profession at large as a very serious operation, and occasionally it is attended with fatal results. Only yesterday, Dr. Louis Bauer, of your city, informed me that some years ago, in 1867 or ’68, he took a patient, a lady from Montreal, to Dr. Emmet, at the Woman’s Hospital, who was a great sufferer from dysmenorrhcea, that Dr. Emmet performed my operation of pos- terior section of the cervix uteri, and that the patient"1 died in consequence of the operation. This shows that the operation is a serious one, even in hands so skillful as Dr. Em- met’s ; and it is well known that Dr. Emmet performs this operation less fre- quently now than he formerly did. The statistical table made up for this occasion by Peaslee, Emmet and Thomas, so ably assisted by their aids, Drs. Hunter, Clarke and Dudley, show negatively, that Dr. Em- met performed this operation only four times, from April, 1872, to January, 1875 ; Dr. Peaslee eighteen times, and Dr. Thomas twenty, while they say I performed the ope- ration sixty-four times in the same period. But Dr. Thomas does not, I believe, perform the operation as often as he formerly did, because he does not regard it as so safe as he formerly did. And as to Dr. Peas- lee, his method of operating justifies the exclusion of all his cases, for his per- formance is not to be dignified by the name operation. Editor.—The following paragraph (page 15) occurs in the pamphlet of Drs. Peaslee, Emmet and Thomas : “ Dr. Sims declares that one of the Board of Governors asserted to him that his associates in the Medical Board were opposed to him, and desired the Governors to accept his resignation. We never gave the least foundation for any such statement, and Dr. Sims should not have listened to it, if it really were made to him, knowing, as he did, that some of his colleagues were at that very time, to their own detriment, endeavoring as indi- viduals to prevent the acceptance of his resignation.” What explanation have you to make of this? Dr. s.—As I have already stated, I thought my colleagues were true to me till I was told to the contrary by one of the oldest and truest of the Hospital Govern- ors, and it is impossible for him to prevari- cate. They say I knew that some of my “ colleagues were, at that ver}r time, to their own detriment, endeavoring as indi- 164 ST. LOUIS CLINICAL RECORD. viduals to prevent the acceptance of his resignation.” Dr. Thomas repeatedly told me he was doing his best with the Governors to pre- vent the acceptance of my resignation, and I was simple enough to believe him, and honestly believed him till one of the Gov- ernors, whom I wished to move to reinstate me, “told me that my associates in the Medical Board were opposed to me, and desired the Governors to accept my resigna- tion, urging that the best thing for the interests of the hospital was to get me out of it, as I was a reckless operator, and was injuring the reputation of the hospital.” Dr. Thomas told me, after they got me out of the hospital, that he had used great exertion to keep me in, that men were un- grateful, and that the time would come when I would doubtless abuse him for his efforts to serve me!! The Doctor, at that time, knew" better than any one else how he had pulled his wires, but I did not understand him at the time. Of course it is easy enough to understand him now. There was one mem- ber, and but one member of the Board of Governors oyer whom Dr. Thomas w"as supposed to have any influence, and he ex- erted it so successfully that this member wras second only to Mr. Davis in his violent denunciations of me at the boisterous meet- ing of the Governors, in December, at which I wras put out of the hospital. So much for Dr. Thomas’ efforts, “ to his own detriment,” to prevent the acceptance of my resignation. Editor.—They say “Dr. Sims’ apology was not read'to the Medical Board.” How is this? Dr. S.—I did not present it to the Medi- cal Board as a Board, but I read it to each one of them, and here are the facts : After writing my resignation, I presented it to Dr. Thomas for his criticism, indeed it was matter of grave consultation between us, whether it could be improved without sacrifice of truth and honor; and he said it was all right. In a few clays after this the Medical Board met at the hospital. It was the last meeting I attended. Dr. Emmet and myself were the first to enter the committee room, and there I read it to Dr. Emmet, and he expressed to me the hope that my resignation would not be accepted. Soon after, Dr. Thomas entered the room, and as we three formed a quorum, w-e organized and proceeded to business. After a little, Dr. Peaslee came in, and when the Board adjourned, I stopped Dr. Peaslee, as we wrere going from the com- mittee room into the hall, and read the document to him, for I was determined that they should all see it, and the facts are precisely as I have here detailed them. I am charitable enough to Dr. Peaslee to believe, on account of his age, that he has no recollection of it; but this charity does not extend to Emmet and Thomas. Editor.—From these facts it appears that these gentlemen have the happy faculty of presenting falsehood in the garb of truth? Dr. S.—Yes, and of presenting truth in a false light. This is in keeping with their policy on ever}" point at issue between us. They seem to think there was a letter of resignation, and a note of apology ; but the only communication I made to the Govern- ors was the following: Gentlemen:— Having said at the annual meeting that I would send in my resignation as Surgeon to the Woman’s Hospital, I feel in honor bound to do so. In taking leave of your honorable body, allow me to say that I feel great regret at having said aught to mar the harmony of the anniversary meeting, and I further re- gret that I seized that time and occasion to lay my views before you. (Signed.) J. Marion Sims. Editor.—They say the}" could not, as a Board, protest against the acceptance of your resignation because you, in your speech, said you wrould resign “ unless the two rules were rescinded at their next meet- ing.” Is this correct? Dr. S.—Mr. Davis, as a~co-conspirator ST. LOUIS CLINICAL RECORD. 165 with Peaslee, Emmet and Thomas, makes, with them, the same mistakes in reporting my speech. It would be odd if theyr did not all agree on this and every other point at issue. Mr. Davis says (page 9) : Dr. Sims concluded his attack upon the Board of Governors with a vehement threat that unless the Board, at its next regular meeting, repealed the two resolutions, above referred to, his resignation was at their disposal.” Peaslee, Emmet and Thomas also say that I threatened to resign, “ xmless the two rules were rescinded at their next meet- ing.” These gentlemen write from impres- sions made on their minds in November, 1874. When I saw the efiect of my speech on my hearers, I wrote it out a day or two afterwards (November 21st, 1874) and wrote it as literally as I possibly could. The probabilities would be greatly in favor h, Hydrarg., 2 1-2 grs. J Podophyllin, Capsicum and Belladonna Podophy ( Podophyllin, 1-4 gr. ) -j Ext., Bellad. Ale., 1-8 gr. V ( Pulv., Capsici, 1-2 gr. j lin, Ext., Coloc. and Belladonna .... ( Podophyllin, 1-2 gr. ) Ext., Coloc. Comp., 2 grs. /■ [ “ Belladon., 1-4 gr. ) The coating, not being porous, will protect such preparations as Phosphorus and Iron Compounds better than Sugar. One of McKesson & Robbins’ Pills, placed in the mouth, will be relieved of its coating in less than two minutes. Acid, Arsenious.... 1-50, 1-40, 1-30 and 1-20 gr. *Acid, Salicylic 2 1-2 and 5 grs. Aloes, U. S 4 grs. Aloes and Assafuetida, U. S 4 grs. Aloes and Iron 3 grs. f Pulv., Aloes, Soc., 1-2 gr. ) J Pulv., Zingib. J:un., 1 gr. 1 1 Ferri, Sulph., Exsic., 1 gr. j ( Extract, Conii, 1-2 gr. J Aloes and Myrrh, U. S i Ext., Nucis Vom., 1-3 gr. ■< Ext., Hyoscyami, 1-2 gr. ( Ext., Coloc. Comp., 2 grs. Assafuetida ( Assafuetida, 1 1-2 grs. ) ( Pulv., Saponis, 1 -2 gr.) Assafcetida, U. S ( Assafuetida, 3 grs. ) ( Pulv., Saponis, 1 gr. 1 ( Assafuetida, 3 grs. ) ( Ext., Nucis Vom., 1-4 gr.) ♦Atropia 1-60 gr. ♦Belladonna Extract % gr. Bismuth, Subnitrate 3 and 5 grs. Blue Pill, U. S 1, 3 and 5 grs. Calomel 1-2, 1, 2, 3 and 5 grs. j Camphora, 1 gr. ) ( Ext. Hyoscyami, 1 gr.) ♦Camphor, Mono-Bromate 2 and 3 grs. Cannabis Indica Extract 1-2 gr. Cathartic Vegetable 3 grs. f Ext., Col. Comp., pulv., 1 1-2 grs. "| j Res., Podophylli, - - 3-8 “ I I Res., Leptandree, - - 1-8 u 4 Jalapae pulv, - - - 1-4 14 Aloes Socotrin pulv. - 1-2 u 1 Ext., Hyoscyami, - - 1-4 “ [ 01., Menthce Pip. Chinoidine 1-2, 1 and 3 grs. Cinchonia, Sulphate 3 grs. Cinchonidia, Sulphate v.. .1, 2 and 3 grs. Colocynth, Comp. Extract 3 grs. ( Ext. Coloc. Comp., pulv.. 2 grs. 1 -< Pulv. Ipecacuanha;, 1-6 gr. v ( Pil., Hydrarg., 2 grs. ) Cook’s 3 grs. f Pulv., Aloes, Soc. 1 gr. "j J Hydrarg.,Chlor., Mite, 3-4 gr. J Pulv., Rhei., 1 gr. [ Pulv., Saponis, 1-4 gr. Copaiba 3 grs. Copaiba and Oleo-Resin Cubebs 3 grs. ( Pil., Copaibae, 2 grs. ) ( Oleo-Resin Cubebae, 1 gr. ) Copaiba and Oleo-Resin Cubebs 5 grs. t Pil., Copaiba;, 3 grs. J | Oleo-Resin Cubeoae, 2 grs. ) ♦Corrosive Sublimate.... 1-40, 1-30 and 1-20 gr. ♦Digitalia, pure 1-60 gr. f Pil., Hydrarg., 11-5 grs. J Pulv. Aloes, Soc., 1 1-5 grs. I Pulv. Jalapas, 1 1-5 grs. ( Ant. et Pot., Tart., 1-50 gr. Dinner (Lady Webster’s) ( Pulv., Aloes, Soc., 1 4-5grs. •< Pulv., Mastiches, 3-5 gr. (Pulv. Rosas,Gallicae,3-5gr. f Ergotin, - - 1 gr. I Ext., Helleb., Nig., 1 gr. < Ferri, Sulph., Exsic., 1 gr. Aloes, Soc., Pulv., 1 gr. [ 01. Sabinae, 1-4 gr. ♦Ergotin Ferruginous (Blaud) 3 a ( Ferri, Sulphas. ) ( Potassa?, Carb. aa ) ♦Grindelia Robusta Extract ♦Guarana Extract (Paullinia) ♦Henbane, Extract id 5 grs. ( Pil., Hydrarg., 3 grs. ) •< Ext., Coloc. Comp., 2 grs. y ( u Bellad., 1-4 gr.) Hooper’s W, gr«. ♦Quinine, Carbolate ♦Quinine, Salicylate ...1 Er. *Quinine, Sulphate & Bi-Sulphate, 1-4 & 1-2 nr. Quinine, Sulphate and Bi-Sulphate... Quinine, Sulphate and Bi-Sulphate... Quinine, Sulphate and Bi-Sulphate... Quinine, Sulphate and Bi-Sulphate... Quinine, Sulphate and Bi-Sulphate... Quinine, Sulphate and Bi-Sulphate... ♦Quinine, Sulpho-Carbolate ....1, 2 and 3 grs. Quinine and Aloes 1 or. ( Quini*, Sulphas, 3-4 gr. 1 \ Pulv., Aloes, Soc., 1-4 gr. j Quinine, Arsenic and Nux Vomica... ( Quini*, Sulphas, 1 gr. •< Acid, Arsenlosum, 1-60 gr. ( Ext., Nucis Vomicae, 1-4 gr. Quinine and Iron ( Quini* Sulphas, 1 gr. > I Ferrum Redactum, 1 gr. \ Quinine and Carbonate Iron, $ Quini*, Sulphas, 1 gr. > ( Ferri, Sub. Carb, 2 grs. \ Quinine, Phosphorus and Nux Vomica t Quini*, Sulphas, 1 gr. 1 Phosphorus, l-60gr. ( Ext., Nucis Vomicae, 1-40 gr. Quinine, Phosphorus and Nux Vomica ( Quini*, Sulphas., 1 gr. 1 Phosphorus, 1-60 gr. ( Ext., Nucis Vomicae. 1-4 gr. Quinine Compound ( Quini*, Sulphas, 1 gr. -< Ferrum, Redact., 1 gr. ( Acid, Arseniosum, 1-32 gr. Quinine Compound and Extract Dandelion 1 Quini*, Bi-Sulph.. 1 1-4 grs. Ferri, Sulph., Exsic., 2 grs. Acid, Arseniosum, 1-24 gr. Extract, Taraxici, 1 1-4 grs. } Quinine Compound and Strychnine.. J Quini*, Sulphas., 1 gr. 1 Ferrum, Redactum, 1 gr. J Strychnia, 1-20 gr. [ Acid, Arseniosum, 1-20 gr. 1 Quinine , Valerianate • l-*gr. Ext., Coloc. Comp., 1 1-2 grs. Ext., Colch. Acet., 1 gr. Ext., Hvoscyami, 1-3 gr. Hydr., Chlor., Mite, 1-3 gr. ! Rhubarb Compound, U. S Santonin and Calomel I Santonin, 1 gr. 1 •< Calomel, 1 gr. > f Chocolate. I ♦Sodium, Salicylate Strychnine 1-60,1-40 and 1-30 trr. ♦Strychnine Compound Strychnia, 1-100 gr. Phosphorus, 1-100 gr. Ext. Cannab. Indie., 1-16 gr. Ginseng, 1 gr. f Ferri, Carb., 1 gr. Iodide 1-25 and 1-10 er. ♦Sumbul, Extract ...lgr. Hydr. Prot-Iodide, 1-2 gr. Lactucarium, - 1-2 er. ] Ext., Opii, «’ - 1-10 gr. 1 Ext., Cicutae, - \% grs. Tonic (Dr. Aiken) J Quini*, Sulph., 1 gr. ] } Acid, Arseniosum, 1-50 gr. | Triplex 1 Ferrum, Redactum, 2-3 gr. | [ Strychnia, 1-50 gr. ( Extract Aloes, 2 grs. ) Podophyllin, 1-2 gr. V ( Pil., Hvdrarg., 1-2 gr. ) Triplex (Dr. Francis) ( Pulv., Aloes, Soc. Pil., Hydrars:.) ■< Pulv., Scammonii. 01., Tiglii. ( Pulv., Myrrh*. Ol., Carui. Valerian Extract *Zinc, Phosphide 1-6, 1-4 and 1-2 gr. ♦Zinc, Phosphide and Ext. Nux Vomica....... ! Zinci, Phosphuretum, 1-10 gr. Ext., Nucis Vomicae. 1-4 err. Zinc, Valerianate RECENT ADDITIONS TO LIST. Aconitia 1-60 gr. ( Pit. Hydrarg., 1 gr. ) ■< Pulv. Opii., 1-2 gr. 1 [ Pulv. Ipecac., 1-4 gr. ) Blue Pill, U. S f Quinia* Sulph.. l-2gi j Quinidia? Sulph., 1-2 gT 1 Cinchonia? Sulph., 1-2 g l Cinchontdiae Sulph., 1*2 gT 1 j Codeia 116 and 1-6 gr. liydrastia( While Alkaloid) 1-2 and 1 gr. Jaborandi Rxtract 3ers Ox Gall Comp 3 gis. 1 Fel Bovin, dep., 2 grs. ) ( Pulv. Zingiber, 1 gr. f Phosphorus, Iron and Quinine (Phosphorus, 1-100 gr. S Ferri Carb. (ValJet’s), 1 gr. ( Quini« Suljdi., 1 gr. Phosphorus, Iron, Quinine and Nux V f Phosphorus, 1-100 gr. I Ferri Carb. (Vallet’s) 1 gr. | Quinia? Sulph., ] gr. 1 Ext. Nucis Vomica1, 1-2 gr. arnica.. J Piperin, 1-4 gr. \ ( Hydr. Chlor. Mite, 1-4 gr. ) Podophyllin 1-8 gr. (Podophyllin, 1-2 gr. i ( Leptandrin, 1 gr. ) ( Ext. Phytolacca, Ale., 2 grs. 1 -< Ext. Stillingiae, “ 1 gr. ( Ext. Stramonii, “ 1-8 gr. ] Potassium, Bromide 2 and 5 grs Quinine Sulpho-Carbol 5 grs Quinine and Strychnine ( Quinite Sulph., 1 gr. ) (Strychnia, 1-60 gr.) Quinine, Iron and Nux Vomica ( Quinta? Sulph., 1 gr.’ ) ■l Ferii Cnrb. (Valletta), 2 grs. V ( Ext. Nucis Vom., 1-4 gr.) Sahcin 2 1-2 and 5 gra. Salicylic Acid with Morphine ( Acid Salicylicum, 2 1 -2 grs. ) ) Morphia* Sulphas, 1-12 gr. ) Salicylic Acid with Morphine ( Acid. Salicylicum, 6 grs. ) ( Morphia? Sulphas, 1-8 gr. ) Sandal Wood Extract (McK. & R.) 2 grs Tartar Emetic 1-100, 1-20 and 1-4 gr. CAUTION l ! SPECIFY McKESSON & ROBBINS’. 15 3 6 PAPIN STREET, ~~ !St. ].ovift. Mo. T'" Established under the management of the SISTERS OF ST. MARY, especially for females afflicted with diseases peculiar to women, and Midwifery cases. Jit* Imfiitimario HIS Institution is admirably situated in the centre of the City, and is at the same time thoroughly secluded; the 18 buildings are located on high, healthy, and beautiful grounds, and altogether it is the most convenient and elegant establishment of the kind in the West. Every modern appliance‘has been placed in the building; it is heated by steam, and every room contains sta- tionary washstand with hot and cold water, with bath-rooms, etc., convenient; the ventilation is perfect, and the furniture elegant. Invalids will find this a beautiful home with every comfort. Ladies expecting to be confined, and those to be treated for diseases peculiar to their sex, will receive especial accommodations. Trained nurses are in constant attendance, who devote them- selves exclusively to the care of the patients, hence the attentions are as perfect as possible. Prices are graded according to accommodations, and in con- nection with the Institution are wards,* into which patients will be admitted on terms corresponding with their means. Physicians can recommend this Institution to those cases of pregnancy who wish to be delivered away from their homes, and also to Gynecological cases. Patients arriving in the city can go at once to the Infirmary, it is but a few squares distant from the Union Depot. The Medical Staff consists of Dr. G. M. B. MAUGHS, Professor of Midwifery and Diseases of Women, Missouri Medical College Chief of Staff and Consulting Surgeon. Dr. T. L. PAPIN, Professor of Diseases of Women at the Missouri Medical College, Attending Physician and Surgeon. —AND— Dr. M. YARNALL, Adjunct to the Chair of Midwifery and Diseases of Women, Missouri Medical College, Attending Physician and Surgeon. WITH A CORPS OF ASSISTANTS. All information of a Medical nature will receive immediate attention by addressing Drs. PAPIN & YARNALL, No. 1601 Washington Avenue, St. Louis, Mo. ST. LOUIS CLINICAL RECORD. ESTABLISHED 185S. USUB & Manufacturers of and Wholesale and Retail Dealers in Surgical. Instruments, Apparatus, BRACES, TRUSSES, DENTAL INSTRUMENTS, APPARATUS, AND FURNISHINGS, MEDICAL, SURGICAL AND DENTAL BOOKS, ETC. NO. 319 NORTH FIFTH STREET., (in mercantile library building.) Where they have opened a greatly increased Stock of the above articles which they will sell for Cash as low as the Eastern manufacturers. Parties ordering may rely on getting suited, or the goods may be returned. MANUFACTURERS OF LESLIE’S IMPROVED PHYSICIAN’S (Patented, March 21, 1871.) The most complete, compact and durable bags in the market, also the cheapest. We give special attention to the application of trusses. Send for Descriptive Circnal, Address Orders, A. M. LESLIE & CO., 319 NorthFifth Street, st. louis, nvno. ST. LOUIS CLINICAL RECORD. TIE ST. LOUIS COLLEGE OF PHARMACY ANNOUNCEMENT. 1877-1878. PECAMUT OIL. The St Louis College of Pharmacy will commence its regular course of instruction on Monday, October 8th, 1877, and continue to March 8th. 1878 The instruction in this college for the session of 1877-’78 will, as usual, embrace the branches of Chemistry, Materia Medica and Pharmacy. The Trustees have endeavored to put this college in a con- dition to afford the means for a thorough pharmaceutical education, and its steady growth in prosperity and influence shows their efforts are being ully appreciated. A Laboratory Course has been established and will be de- voted to chemical experiments and the examination of such pharmaceutical products as are usually obtained from the manufacturer. OFFICERS. President, Char 11s Bang; Vice-President, E. E. Shendal; Secretary, Edmund P. .Walsh; Assistant Secretary, H. E. Ahlbrandt; Treasurer, Charles L. Lips; Board of Trustees, M. W. Alexander, President, F. VV. Sennewaid George Ude, H. E. Ahlbrandt, F. X. Crawley. FACULTY. Theodore Fay, M. D., Professor of Chemistry; Otto A. Wall, M. D., Professor of Materia Medica; James M. Good, Professor of Pharmacy and Dean of the Faculty. FEES. Every student must obtain his matriculation ticket and tickets for the course from the Treasurer of the College. A matriculation ticket will be required for every session. The fee will be charged but once. '■ Matriculation, - - - - - $2 00 Tickets tor the session, - - 30 00 “ “ Laboratory Course, - 10 00 Graduating Fee, - ' - 5 00 For prospectus and additional particulars, address J. M. GOOD, 2136 Clark avenue, St. Louis, Mo. According to the latest investigations made by Dr. Louis Bauer, and others, this prepara- tion has been found to be a most efficacious REMEDY FOR BURNS. When applied to the injured surface it imme- diately relieves the intense pain and covers the surface with a protective film which effectu- ally EXCLUDES THE AIR. In addition to its qualities as a surgical dressing, it is undoubtedly THE BEST SALAD OIL KNOWN. Its freshness and purity, which are guaran- teed, should recommend it above all others to every plrysician and sanitarian. Manufactured by the BELLEVILLE OIL WORKS. All orders should be addressed : G. WOLTMAN, Agent, 5 N. Second street, St. Louis, Mo. Missouri Medical. College, it. Louis, Mo. Cor. Twenty-Third Street and Christy Avenue. The Thirty-Seventh Regular Session of this institution will begin on Monday, October 1,1877, and wil continue five months. The Preliminary lectures will begin on Monday, September 10,1877, and continue until the opening of the Regular Session. W. M. McPHEETERS, M. D., Emeritus Professor of Materia Medica. JNO. S. MOORE, M. D., Emeritus Professor of the Principles and Practice of Medicine. ZE-A-OTTZL/TltT: G. M. B. MAUGHS, M. D., Professor of Obstetrics and Diseases of Women. P. GERVAIS ROBINSON, M. D., Professor of the Principles and Practice of Medicine and Clinical Medicine, and Dean of the Faculty. A. P. LANKFORD, M. D., Professor of Surgery and Clinical Surgery. JEROME K. BAUDUY, M. D., Professor of Diseases of the Nervous System, and Clinical Medicine. CHAS. E. MICHEL, M. D., Professor of Histology and Diseases of the Eye. T. L. PAPIN, M. D., Clinical Professor of Gynaecology. H. TUHOLSKE, M. D., Professor of Anatomy and Clinical Professor of Skin Diseases. O. A. WALL, M. D., Ph. G., Professor of Chemistry and Pharmacy. CHAS. A. TODD, M. D., Professor of Physiology and Diseases of the Ear and Throat. J. P. KINGSLEY, M. D., Professor of Materia Medica, Therapeutics, and Dis eases of Children. H. TUHOLSKE, M. D., Demonstrator of Anatomy. PEES For the Professors*’ ’tickets $50 00 Matriculation (paid but once) 5 00 Demonstrator of Anatomy A 10 00 Graduation 25 00 For the Annual Circular and Catalogue, giving regulations for graduation and other information Address: P GEE VAIS RQBINSON, M. D., Dean. m 1523 Olive Street, St. Louis.