is irritating and stimulates an unusual growth of connective tissue and round cell infiltration in the gland that is involved, and this development of connective tissue strangulates both the blood vessels and the lymphatics and prevents the cancer cell from getting nutrition, and also prevents dissemination of the cancer cell, and to that extent acts as a barrier to the infection. When this occurs the tumor must, of course, undergo atrophic changes. DR. J. A. FLEXNER: I think the hypothesis which Dr. Wathen presents is interesting, but like so many other hypothesis in such cases, absolutely lacks confirmation. I arose principally to emphasize what Dr. Weidner said in regard to proceeding with some degree of accuracy in the matter. It is certainly not a difficult matter to examine the scrapings, and by histiological means, differentiate between tuberculosis and a cancerous process. If you are then still in doubt, use the tuberculin test, the safety of which has been absolutely demonstrated. In the few cases of pulmonary tuberculosis in which I have had occasion to use it I have never regretted it. Its reaction is so well established and the method of procedure so well known that there is no more reason to fear it in properly selected cases than any other hypodermic injection. DR. A. D. WILLMOTH: I would like to emphasize what Drs. Weidner and Flexner have said about tuberculin. I have recently tested several cases by the Calmette method and obtained very good results. These were surgical conditions, one in the abdomen and one in the knee, and in both cases I got a very positive reaction. I understand that it is practically safe, although one of our eye men has told me that two cases have been reported in which the eye was destroyed, but such cases are very rare. DR. W. H. WATHEN (closing): My report was not made to show that these cases were positively tuberculous, but to emphasize the fact that probably many cases of supposed cancer of the uterus which were operated on and did not recur were probably tuberculous. I can in no sense differ with any of the gentlemen who have discussed this report. The importance of the tuberculin test for tuberculosis has been established and in future we will probably be able to do much more valuable work by this means. In the cases I reported, however, this test was not indicated for the reason that, whether cancer or tuberculosis, there was but one treatment and that was to remove the uterus and involved tissues as thoroughly as possible. The only mistake made was in not having a microscopical examination made of the specimens after removal. I have had a very large experience with cancer of the uterus, having begun thirty years ago at the City Hospital, when hysterectomy was unknown, and the patients simply went on and died. In most of the cases I have seen there was a very bad odor, and in nearly all of them there was a watery offensive discharge from the uterus. I will grant, however, that there are exceptions. TWO HUNDRED AND TWENTY-FIFTH ANNIVERSARY OF THE FOUNDING OF THE CITY GOVERMENT OF PHILADELPHIA, OCTOBER 4-10, 1908. Plans are being rapidly perfected by the medical and educational institutions and societies of this city for many notable reunions of graduates and conventions to be held here during the week of the Two Hundred and Twenty-fifth Anniversary Celebration of the Founding of the Government of Philadelphia, which is to be observed upon a grand scale during the week of October 4-10, next. Thousands of personal letters have been sent to graduates and leading professional men residing in the various States and Insular possessions inviting them to this city curing that week. The University of Pennsylvania, the various medical and dental colleges, as well as all the city's institutions of learning, together with the officers of the Board of Public Education, are forwarding the project in every way possible. The result will, undoubtedly, be a reunion of professional men who, by their activities, have spread the fame of Philadelphia as the mother of medicine and as an educational center throughout the United States and the world. It is proposed to devote the mornings of several days of the week to conventions of workers in educational fields, and with that end in view, nearly all the city's and the large centrally loIcated halls have been secured. THE MEDICAL PROGRAM. The committee on Medical Day have prepared a splendid program which will attract physicians from far and near. The Academy of Music has been engaged, and addresses will be delivered by foremost practitioners from many sections of this country and from abroad. Professor Pearsoll, of the University of Pennsylvania, famous as an anatomist and scientist, will be one of the speakers. Dr. J. Chalmers DaCosta, professor of surgery in Jefferson Medical College and Hospital, and an author of international repute, will be heard. Dr. J. M. Anders, professor of the practice of medicine in the Medico-Chirurgical College and Hospital of this city, also an author of distinction, is 'to make an address. Other professors and practitioners of eminence will also have a prominent part in the proceedings. It is the intention to lift the program above merely local proportions by securing the attendance of some 400 foreign delegates who will then be attending an International Convention of Medical Men at Washington, D. C. That these delegates may obtain a comprehensive insight into American methods, leading colleges and hospitals are arranging to have clinics, lectures and demonstrations by eminent professors during Founders' Week. That Philadelphia's proud place in the medical world may be fittingly recorded, a volume of 1,000 pages, including 750 pages of text and 250 pages of illustrations, will be issued. It will contain an account of all the historical institutions, colleges and hospitals that have existed in the city since its founding. The volume will also contain an account of all the medical and scientific societies and medical journals that have been in existence in Philadelphia from the earliest days. Two thousand copies will be printed and these will be distributed among the libraries of this and other cities and in principal towns. As another feature, the Committee on Historical Exhibit has arranged with the Historical Society for a large room in its building, where will be shown some of the earliest documents and apparatus that have been used by the different colleges and hospitals of this city. Professor Remington, of Philadelphia College of Pharmacy, is chairman of the committee having this exhibit in preparation. Without doubt the efforts will result in a gathering of medical men and other college graduates which will eclipse both as regards numbers, interest of program and the professional benefits to be reaped, any gathering of its kind in the history of the United States. Incidentally, it may be stated that the great and honorable part which men of scientific attainments played in the progress of Philadelphia and the nation will be fittingly pictured in the Historic Pageant which is to be a full day's feature of the cele bration. This pageant will be on a scale in every way equal to the famous pageants of England and Berlin. It will also be the first historic pageant of its kind ever witnessed in this country. City Councils, the merchants and the citizens of Philadelphia, are leaving nothing undone that will contribute to the success of the Founders' Week celebration. At least $400,000 will be spent on the several features of the celebration which will mark the anniversary. The program, in outline, will be as follows: SUNDAY, October 4.-Religious Day. MONDAY, October 5.-Military Day, with a parade of the Stateand Government troops, sailors and marines from the United States fleet and foreign war vessels. TUESDAY, October 6.-Parade of the Police and Fire Departments of Philadelphia, the State Police, the Volunteer Fire Companies of Pennsylvania and details of Police and Fire Departments of other cities. WEDNESDAY, October 7.-Industrial parade, showing Philadelphia and Eastern Pennsylvania's leading industries. THURSDAY, October 8.-Review of thirteen United States war vessels and foreign war ships in the harbor, followed by a marine pageant in which more than 500 vessels will participate, concluding with an illumination of the harbor at night. FRIDAY, October 9.-Historical Pageant, descriptive of the history of the city from the 17th century, in which over 5,000characters are to be produced. SATURDAY, October 10.-Parade and Field Day Exercises of the Knights Templar of Pennsylvania, terminating with a great display of fireworks. A CURE.-Little Joe, aged three, whose eyes were sore, was very much troubled on arising every day to find them glued together. One morning, after waking up, he said, "Well, if my eyes have to stick up dis way, I'll dus do to sleep to-night wid 'em wide open."-Delineator. TAKING HIS TROUSERS OFF.- Little Jr., aged four, was playing out in the yard, when suddenly he came rushing into the house, crying out, "Oh, mamma! come quick! Come and see this bug, he's taking his trousers off!" He had found a locust coming out of its old shell.-Delineator. Subscription Price, $1.00 Per Year, in Advance, Postpaid. The writers of original articles, who wish to avail themselves of reprints, will please notify the managing editor at the time of presentation of paper; otherwise, full price will have to be charged as the type will have to be reset. ADDRESS ALL COMMUNICATIONS TO THE AMERICAN PRACTITIONER AND NEWS PUBLISHING CO., Medical College Editorial. During the last two years the Medical' Colleges in Louisville have been agitating the question of better medical facilities until an amalgamation began with the University of Louisville and the Kentucky University as a beginning, which was followed later by emerging of the interests of the Louisville Medical College and the Hospital College of Medicine. Later, on account of the excellent work that has been going on throughout the sister states in the merging of the dividend interest of medical colleges which have so greatly strengthened their teaching capacity for higher medical education, the medical colleges of Kentucky have recognized the fact that the high standard of medical education could only be attained by a united effort on their part and a merging of their college facilities. If the standard set by the medical profession and with the endorsement of the American Medical Association is to be met and a past reputation sustained and to be ableto compete with her sister states, she must have a medical school so equipped that it would satisfy the high ideals of the medical profession at large. While the multiplicity of colleges in the past two years has been reduced there still |