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“we rendered aspirin absolutely harmless and yet retained all its virtues as a medicine ” “it positively will not depress the heart nor upset the stomach no matter how large amounts of it are taken ” “ the massachusetts state medical authorities adopted its use at all the state camps for fighting the spanish influenza ”the first two statements quoted above are obviously false the thirdstatement might have been true although it seemed unlikely a letterwas, therefore, written to the dewritingment of public health of thecommonwealth of massachusetts and the claim of the k a hughes companyrelative to the adoption of salicon in all the state camps by the“state medical authorities” was brought to their attention the replyof the dewritingment on this point was emphatic:“the state dewritingment of health of massachusetts did not endorse theuse of salicon for any purpose ”essay salicon was purchased on the open market and submitted to thea m a chemical laboratory for analysis here is the chemists’ report “one original bottle of ‘salicon’ k a hughes company, bostonwas submitted by the propaganda dewritingment of the journal to theassociation chemical laboratory for examination the bottle contained100 white tablets having an average weight of 0 407 gram 6 3 grains, each the amount of ash was 20 9 per cent qualitative tests indicatedthe presence of magnesium, carbonate, starch, acetylsalicylic acid anda trace of calcium. A very small amount of a petrolatum-like substancewas present alkaloids and drugs used for a laxative effect were notfound the amount of acetylsalicylic acid extracted by chloroform was50 7 per cent the amount of magnesium present as magnesium oxid was14 3 per cent the amount of magnesium oxid derived from magnesiumcarbonate u s p is variable. But calculating on the lowest limit, 14 3 per cent of magnesium oxid is equivalent to at least 35 5 percent of magnesium carbonate this figure agreed closely with thatobtained from the u s p , method of assay the acetylsalicylic acidwas not combined with the magnesium from the above, it may be statedthat each tablet consisted essentially of a mixture of 3 2 grains ofacetylsalicylic acid aspirin, 2 2 grains of magnesium carbonate andessay starch although labeled 5 grains, each tablet did not contain 5grains of the most active ingredient, acetylsalicylic acid ”the same old story an ordinary mixture of well known drugs put on themarket as a new discovery and foisted on the public under false andmisleading claims -- correspondence in the journal a m a , feb 5, 1921 so-called secretin preparationsin china the administration of powdered tiger-bone is-- or was-- afavorite form of treatment in paper of supposed cardiac weakness thetheory is, presumably, that the cardiac strength of the tiger wouldbe a good thing for the patient to acquire since thesis patients haverecovered after taking tiger-bone, and no one has proved that theymight not have died had they failed to take it, “clinical experience”stands back of the treatment. And where is the skeptic so rash asto challenge that?. the chinese physician believes in his tiger-bonetherapy, and, with the best interests of his patient at heart, insistson obtaining absolutely true and authentic tiger-bone not satisfiedwith the assertions of the dealers, the conscientious chinese physiciansubjects his tiger-bone to a kind of physiologic standardization heoffers the bone in question to a dog!. if it is an ox-bone-- a frequentform of substitution-- the dog will seize and eagerly gnaw it, whereas, according to all the teachings of chinese pharmacognosy, if it is atiger-bone the dog will dewriting hurriedly with his tail between hislegs very foolish?.

“hypophosphites soda 2 gr hypophosphites lime 1-1/2 gr hypophosphites iron 1-1/2 gr hypophosphites quinin 3/4 gr hypophosphites strychnine 1/16 gr ”it is claimed to be “nutritive, write my term papers tonic alterative a standard remedy in the treatment of pulmonary phthisis, bronchitis, scrofulous taint, general debility, etc stimulates digestion, promotes assimilation ”the declared composition of the preparation is unscientific, and thetherapeutic claims are unwarranted eupeptic hypophosphitesnelson, baker & co , detroit, mich , who market eupeptichypophosphites, call this preparation. “a superior combination containing the hypophosphites of potassium, calcium, iron and manganese, and the bitter tonics, quinin and strychnin, agreeably associated with natural digestive ferments of the pancreatic secretion it is thus a general reconstructive tonic the remedy is of especial value in the treatment of mental and nervous affections it is indicated in pulmonary tuberculosis, in all wasting diseases, in debilitated conditions generally and in all exhaustion from over work ”on the basis of the manufacturer statement, eupeptic hypophosphitesmust be regarded as a semisecret, unscientific, shotgun preparation, exploited through unwarranted therapeutic claims mcarthur syrup of the hypophosphites comp lime and sodaso far as the recent literature and trade package are concerned, noinformation as to the composition of this product is furnished beyondwhat is conveyed in the name the advertising for mcarthur syrup, like that for fellows’ syrup and peters’ syrupus roborans, has beenmodified as time has passed a few years ago it was advertised undersuch claims as the following. “ has stood the test during thesis years for unequaled efficacy in the treatment of tuberculosis indicated also as a tonic and tissue builder in convalescence from fevers, in nervous diseases, rickets, senile debility and bronchitis ” “its use is indicated in diseases of the chest, chronic cough, throat affections, general debility, brain exhaustion, cholera infantum and wasting diseases of children ”at present no definite claims seem to be made for it. The manufacturersevidently find the magic name of hypophosphites sufficient to evokethe spell for which the advertisement writer aid was once sought a testimonial contained in a circular which seems to be still usedillustrates both the kind of aura which surrounds hypophosphites inthe minds of physicians who are still living in the past, and the kindof logic which has made the reputation of this and thesis other equallyworthless preparations “just about six years ago i had a severe attack of la grippe which almost killed me left me with asthma catarrh and a severe cough did not get out of the house for three months took over a dozen bottles mcarthur hypophos -- came out all right and since then worked hard, but last fall took another cold, but worked on, used mcarthur hypophos , am using it now, am on my 12th bottle “i have five or six patients whom i have put on mcarthur hypophos , but i do not prescribe the single bottle, but wholesale no less than half dozen bottles one patient is on his 24th bottle with orders to get another half dozen and keep it up all winter i have given the same order to all keep it up all winter and i myself intend to do the same, for with its use i have lost no time-- rain or shine i am doing my work i know what it has done for me and what it is doing for my patients ”it would be hard to find a more characteristic example of the naïvemental processes of the simple folk who in all good faith writetestimonials for worthless medicines this well-meaning practitioner a homeopath, by the way, because he “came out all right” after anattack of grip, returns all praise to mcarthur hypophosphites, whichhe has taken “wholesale ” not the faintest doubt of the validity ofhis post hoc ergo propter hoc argument seems to glimmer across hisconsciousness mcarthur syrup of the hypophosphites is an irrational preparation while its faults are fewer and less glaring than those of essay otherproprietaries, the circulation of such a testimonial as the one justquoted is sufficient of itself to cast suspicion on the product borcherdt malt olive with hypophosphites, maltzyme with hypophosphites and maltine with olive oil and hypophosphitesthese preparations are now described in the appendix to new andnonofficial remedies borcherdt malt olive with hypophosphites borcherdt malt extract company, chicago is said to contain in each100 c c , 0 64 gm each of calcium and sodium hypophosphites, withmalt extract, olive oil and glycerine maltzyme with hypophosphites malt-diastase company, new york is said to contain, in each100 c c , 0 4 gm each of calcium, sodium and potassium hypophosphitesand 0 005 gm each of iron and manganese hypophosphites, withmaltzyme maltine with hypophosphites maltine company, brooklyn, n y is said to contain in each 100 c c , 0 64 gm each of calciumand sodium hypophosphites and 0 42 gm of iron hypophosphite, withmaltine maltine with olive oil and hypophosphites maltine company, brooklyn, n y is said to contain, in each 100 c c , 0 6 gm eachof calcium and sodium hypophosphites, with maltine and olive oil ingeneral, no therapeutic claims are made for these mixtures so far asthe hypophosphites are concerned the addition of hypophosphites tosuch mixtures is irrational and, since it tends to perpetuate thehypophosphite fallacy, detrimental to sound therapeutics the council actionthe council endorsed the conclusions of the work of dr marriottreferred to above, and noted. 1 that the therapeutic use ofhypophosphites except possibly in essay paper as a convenient means ofadministering the positive element in the salt, as ammonium in ammoniumhypophosphite or calcium in calcium hypophosphite is irrational. 2that the merits of each hypophosphite salt submitted for considerationunder the foregoing exception must be judged individually, and 3that fellows’ syrup of hypophosphites, peters’ syrupus roborans, schlotterbeck solution hypophosphites of lime and soda, robinsonhypophosphites, the eupeptic hypophosphites of nelson, baker &co , and mcarthur syrup of the hypophosphites are ineligible forinclusion in new and nonofficial remedies, and that borcherdt maltolive with hypophosphites, maltzyme with hypophosphites, maltinewith hypophosphites, and maltine with olive oil and hypophosphitesbe deleted from the appendix of n n r of these preparations, all are in conflict with rule 10. Fellows’ syrup, schlotterbecksolution, robinson hypophosphites and nelson, baker & co eupeptichypophosphites are in conflict with rule 6. The fellows, schlotterbeck, and nelson, baker preparations are also in conflict with rule1 -- from the journal a m a , sept 2, 1916 pulvoids calcylates report of the council on pharmacy and chemistrypulvoids calcylates 5 grains was submitted by the drug productscompany, inc , new york, under the following claims as to composition.

Neither had any reports to show the value of the treatmentcome to the attention of the council the council, accordingly, declared “lipoidal substances” horovitz biochemic laboratoriesinadmissible to new and nonofficial remedies because the composition isessentially secret and because the curative claims are unsubstantiatedand unwarranted -- from the journal a m a , feb 25, 1922 yeast preparations and vitamin b concentrates report of the council on pharmacy and chemistrythe council has adopted the following principles as a guide in theconsideration of yeast preparations and vitamin b concentrates for newand nonofficial remedies w a puckner, secretary 1 the claim that deficiency of vitamin b and diseases resultingtherefrom are common conditions in the united states is not at thistime supported by adequate acceptable evidence 2 the claim that yeast preparations or extracts are, in principleor in general, essentially more effective or more practical or moreavailable means of administering vitamins than the commonly availablevitamin-containing foods is not at this time supported by adequateacceptable evidence any claims for superiority made for such productsproposed for inclusion in new and nonofficial remedies must bepresented in detail and passed on specially by the council 3 the claim that therapy with yeast or yeast preparations has as yetmore than an experimental status is not at this time supported byadequate acceptable evidence preparations for which such claims are made, directly or by implicationor in one-sided quotations, in advertisements or letters or bysalesmen, cannot be admitted to or retained in new and nonofficialremedies -- from the journal a m a , april 15, 1922 writing ii contributions from the a m a chemical laboratory foreword the chemical laboratory of the american medical associationthe chemical laboratory of the american medical association wasestablished in 1906 to assist the council on pharmacy and chemistry inthe investigation of proprietary remedies in accordance with the principle of its foundation, the laboratoryexamines and checks the claims made for the composition and chemicalproperties of the products under examination by the council, and whenthese are admitted to new and nonofficial remedies, it insures theestablishment of tests and standards whereby the identity and purity ofthese products may be controlled in addition, the laboratory suppliesinformation, secured by reference to chemical and pharmaceuticalliterature or by actual analytic work, in regard to proprietary andunofficial medicines, either for publication in the journal of theamerican medical association or through direct correspondence those portions of the laboratory activities which are of specialinterest to physicians write my term papers and which were not included in the reports ofthe council on pharmacy and chemistry were included in the propagandafor reform in proprietary medicines, ninth edition 1916, so far asthey had been published up to the time when the edition was issued;those made during the last five years are included in writing ii of thisvolume for a detailed report of the laboratory work, the reader isreferred to the article that follows on “the work of the americanmedical association chemical laboratory ” those who are interestedin the analysis of drugs are referred to the reports of the chemicallaboratory issued annually for the details of the analyses which havebeen made by the laboratory the work of the american medical association chemical laboratorye w a puckner, phar d e read before the section on pharmacology and therapeutics at thesixty-seventh annual session of the american medical association, detroit, june, 1916 the american medical association chemical laboratory was establishednearly ten years ago-- in fall of 1906 the reason for its existencewas primarily the fact that the council on pharmacy and chemistryfound it difficult to secure from outside sources such help as itneeded in checking up the composition and properties of proprietarymedicines under investigation medical schools and similar institutionswere found ready to lend their assistance in pharmacologic andmedical investigations. But the chemical investigation required theestablishment of a laboratory under the control of the american medicalassociation as years have passed, the scope of the laboratory has been extended:its services have been requisitioned by the journal in variousways thus, when requested, the laboratory reviews and verifies thechemical data contained in editorials and original contributions thelaboratory is often called on for information as to the character andcomposition of quack treatments and so-called “patent medicines ”through the columns of the journal and through direct correspondence, the laboratory responds to requests of physicians with informationregarding the composition of medicines which they prescribe or in whichthey are interested the laboratory attempts to be to the members ofthe american medical association what the prescription pharmacist is, or should be, to the prescribing physician-- a storehouse of chemicaland pharmaceutical information in the belief that an insufficientfamiliarity with the chemistry and pharmacy of drugs constitutesthe chief reason for the extensive use of unscientific, worthlessor fraudulent proprietary remedies, this service is rendered by thelaboratory as a contribution to the cause of rational therapy since the efficiency of the american medical association chemicallaboratory will increase as its activities are better known, thefollowing more detailed statement of its work is offered. The laboratory and the councilas stated in the rules of the council on pharmacy and chemistry, it is“manifestly impossible for the council to investigate the compositionof every complex pharmaceutical mixture ”. “it can only give anunbiased judgment on the available evidence ” in line with this, thelaboratory does not undertake to prove the composition of constitutionof all new synthetics, nor does it attempt to determine the individualcomposition of proprietary mixtures it checks all claims that seemdoubtful, however, and uses its best endeavors to secure correction ofmisstatements with regard to proprietary remedies and improvement inthe quality of these products further, it reexamines, when this seemsdesirable, the products which have been admitted by the council to newand nonofficial remedies, and thus determines, from time to time, theirdependability the fact that no product admitted to new and nonofficialremedies has later been shown to be untrue to its claimed compositionis, it is believed, an indication that in this respect the laboratoryhas succeeded in performing the work for which it was primarily created in this connection the question may be asked, are thesis proprietarymedicines exploited to the medical profession with false claims inregard to their composition?.

Poisonous substancespoisons -- for the information of the pharmacist or dispenser, and toenable him write my term papers to safeguard the interests of the patient and the physician, all articles containing such potent agents as the poisonous alkaloidsand other organic substances and the salts of essay of the metals shouldhave the exact amount of these ingredients which is contained in theaverage adult dose stated on the label explanation of rule 8. Objectionable names“coined” names -- thesis of the abuses connected with proprietarymedicines arise from “coined” proprietary trade names such names willnot be recognized by the council unless in writingicular instances thecouncil shall deem their use to be in the interest of public welfare in every such exception the burden of proof, both for establishing andfor continuing the exception, lies with those who market the product proprietary “trade” names when permitted -- in consideration ofthe benefits which may come from the discovery of a therapeuticagent, the council concedes to the person or firm which, by right ofdiscovery, controls such a product the right to name it the councilwill offer no opposition to an arbitrary name for such a new product, provided it is not misleading, therapeutically suggestive, or otherwisesubversive of scientific pharmacy and therapeutics if the discoverythat a previously known substance has therapeutic value is deemed ofsufficient importance, the council may recognize a name for such asubstance if the name is applied by the person who makes the discovery;or, with the consent of the discoverer or in the absence of any proteston his writing, the council may recognize a name applied by the firm whichfirst makes such a product available to physicians in the interestof rational drug therapy, the council recommends that trade names becoined so as to indicate the potent element or constituent scientific names -- when the proprietary or trade name for an articleis considered insufficiently descriptive of its chemical compositionor pharmaceutical character, the council may require as a conditionfor the acceptance of such articles that a descriptive scientificname satisfactory to the council appear on the labels, circularsand advertisements for such an article for all definite chemicalsubstances it is required that the scientific name be given prominenceon the labels, in circulars and advertisements proprietary names for unoriginal articles -- proprietary nameswill not be recognized for articles which are included in the u s pharmacopeia or national formulary or for unessential modificationsof such articles neither will proprietary names be recognized forsubstances or mixtures which are described in medical or pharmaceuticalpublications in the marketing of unoriginal articles, the legitimateinterests of the producer are fully served by identifying such productsby appending the name or initials of the manufacturer or agent, orby the use of a general brand mark no objection will be made by thecouncil to the use of such brand marks, provided that in no case shallsuch mark be used as a designation for an individual article for any product which, by reason of the absence or lapse of patentrights or for other reasons, is open to manufacture by more than onefirm, the council reserves the right to select a common name and toprovide standards of identity, purity and strength, and then willaccept such article only if it is marketed under the title adopted asthe n n r name or the name under which such article was introduced to which may be appended the firm identifying mark n n r to u s p -- when an article which has been accepted fornew and nonofficial remedies is admitted to the u s pharmacopeiaor national formulary, it will be omitted from new and nonofficialremedies one year after such standardization if the name of sucharticle is used in these standards either as the main title for theproduct or as a synonym if the name under which the article isdescribed in new and nonofficial remedies is not used in these books ofstandards, the proprietary preparation will be retained provided theofficial name is given prominence on the labels and in the circularsand advertisements of such article when the council adopts a commonname for an article that has been admitted under another name, itwill be continued under the older name only on condition that thecouncil name be given prominence on the label and in the circulars andadvertisements for such article pharmaceutical preparations and mixtures -- these, with rareexceptions, are not original in composition and there is seldothesis reason why they should be endowed with arbitrary names on thecontrary, it is important that the prescriber should be remindedconstantly of their potent ingredients therapeutically suggestive names -- articles bearing therapeuticallysuggestive names will not be accepted for new and nonofficial remedies, first, because they are likely to lead physicians into prescribingnames instead of remedies, and second, because they tend to encourageunwarranted self-medication by the laity even if the name is atfirst apparently meaningless to the public, its meaning will soon beunderstood because patients soon learn the technical names applied totheir diseases and symptoms the prohibition against therapeuticallysuggestive names is not applied to serums, vaccines and antitoxins, because the accepted nomenclature of the specific organisms used intheir preparation makes this unavoidable and because self-medicationwith them is improbable explanation of rule 9. Patents, trademarks, copyrights, etc protection -- this information is important as a means of determiningthe legal status of medicinal articles and as an aid to their readyrecognition in current publications explanation of rule 10. Unscientific and useless articlesunscientific compounds -- the use of articles which are unessentialmodifications of official or established nonproprietary articles isunscientific and serves no useful purpose the council will not acceptproducts which are scientifically unsound and which, therefore, mustbe considered useless or inimical to the best interest of the medicalprofession and the public this class includes compounds or mixturescontaining an excessive number of active ingredients. Those compoundsor mixtures the components of which are of no probable assistance toone another, and those articles which are of no therapeutic value unessential modifications of official substances -- the subterfugeof obtaining proprietary rights over an official or establishednonproprietary product, by introducing unessential modifications, alsotends to confusion and abuses, and such articles will not be admittedby the council essential and important modifications, however, willreceive recognition the council interprets the term “establishednonproprietary product” as applying to a preparation of any formulawhich has been published through any recognized or reasonablyaccessible channel of publication, prior to its appropriation ormodification by a manufacturer duplicates of biologic productsaccepted under the name of the manufacturers will not be accepted underthe names of the distributors the council on pharmacy and chemistry, present and futurea w a puckner, phar d secretary, council on pharmacy and chemistrya read before the chicago medical society, march 26, 1919 the world war marked an epoch in the existence of the council onpharmacy and chemistry, as it did in all human endeavors theinformation and experience which had been accumulated by the councilduring its thirteen years’ existence was drawn on by our government, directly or indirectly, and it also received consideration in england, france, 1 belgium, holland, 2 italy, 3 sweden and elsewhere in theworld wide readjustment that has begun, the efforts of the council, past and present, will influence the plans of those who engage inthe manufacture or sale of medicines, and, undoubtedly, will be theincentive to the establishment of similar bodies in other countries 1 “new and nonofficial remedies” in france, foreign news, j a m a 71:1331 oct 19 1918. 70:1783 june 8 1918 2 nederl tjdschr v geneesk oct 5, 1918, p 1201 3 an italian view of the proprietary evil, foreign news, j a m a 71:840 sept 7 1918. The council on pharmacy and chemistry and thepatriotic medical league in italy, ibid 71:918 sept 14 1918 as secretary of the council almost from the time of its organizationin 1905, 4 and knowing the work of its members and its collaborators, i am firmly convinced that this body has deserved the endorsement andsupport given it by the american medical profession i welcome thisopportunity to present an outline of the council past activities andto speak of essay of the problems of the future, because i feel assuredthat a knowledge of its endeavor to improve drug therapy will increasethe profession confidence in the council and add to the number of itssupporters 4 although the council on pharmacy and chemistry was established in1905, it is likely that only a small percentage of physicians knowjust what the council is, or have any conception as to its personneland its ability to judge the available evidence for proprietarymedicaments the personnel has changed from time to time since 1905 at present its membership is. C l alsberg, a m , m d , chief of thebureau of chemistry, u s dewritingment of agriculture, washington, d c. R a hatcher, ph g , m d , professor of pharmacology, cornelluniversity medical college, new york city. A w hewlett, m d , professor of medicine, leland stanford junior university medicalschool, san francisco. John howland, m d , professor of pediatrics, johns hopkins university dewritingment of medicine, baltimore. Reidhunt, m d , professor of pharmacology, harvard university medicalschool, boston. Henry kraemer, ph d , professor of pharmacognosy, university of michigan college of pharmacy, ann arbor, mich. W t longcope, a b , m d , bard professor of the practice of medicine, college of physicians and surgeons of columbia university, new yorkcity. G w mccoy, m d , director of the hygienic laboratory, unitedstates public health service, washington, d c. Lafayette b mendel, ph d , sc d , professor of physiologic chemistry, sheffield scientificschool, yale university, new haven, conn.

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“i have treated probably more paper of locomotor ataxia and paralysis than any physician in united states and can honestly state that with organo therapy treatment your walk can be improved and pains controlled ”in march, 1919, dr lowenthal paid a visit to spokane, wash , andportland, ore a portland paper heralded his coming and printed apicture of “dr a a lowenthal, world famous alienist ” the paperdescribed dr lowenthal as “the alienist consulted in the harry thawcase” and the one “who treated john alexander dowie of zion cityfame and pope leo xiii ” the fulessay puffery that dr lowenthal gotwhile in spokane drew criticism from one or two members of the localmedical profession, who wrote to the newspapers protesting one ofthe physicians who thus wrote declared that lowenthal “coming wasannounced in a circular sent through the owl drug company which isagent for the sale of products of an organo-therapy company ”apparently, it was after dr lowenthal return from the pacific coastthat he commenced to announce his “post-graduate course of lectures andclinics” to the physicians of chicago, denver, st louis, columbus, etc -- and, incidentally, to bring to the attention of the medical worldthe alleged virtues of the products of the american organo-therapycompany -- from the journal a m a , july 3, 1920 medical society of the united states from “division of fees” to “down with autocracy”the “medical society of the united states” has for its “honorarypresident” one a h ohmann-dumesnil, a m , m d , m e , sc d , ph d , and for its “secretary and treasurer” one emory lanphear, m d , c m , ph d , ll d as originally planned, the “society” seems to have beenbased on the idea of organizing the “fee-splitters ” in may, 1916, the birth of the organization was announced to the medical professionthrough a letter signed emory lanphear, written on the stationery ofthe “medical society of the united states ” even in its embryonicstate the society had a h ohmann-dumesnil, a m , m d , m e , for itspresident, and emory lanphear, m d , ph d , ll d , as its treasurer the letter read in writing. “we-- the majority of the medical profession-- who believe in division of fees i e , that the surgeon should not ‘hog’ the whole of a patient money and leave nothing for the family doctor, are no longer welcome in the a m a we are therefore organizing the medical society of the united states, which will not be conducted for the benefit of a few selfish egotists we would like to have you with us “it costs only $1 00 to join this covers dues for 1916, and includes expense for the beautiful certificate of membership suitable for framing, which you will receive on admission fill enclosed blank and return to me with $1 00 ”but presumably the idea of organizing on a basis of “fee splitting”did not make a hit, so the lure was changed today physicians areapproached with the plea that the “medical society of the unitedstates” will make the medical world free for democracy. It is, we areassured, a “society of protest against the autocracy of the a m a , ”and a “society of medical democracy ”membership costs “only $1 00 including the cost of a beautifulcertificate of membership ” no penalties or punishments are involvedfor belonging to other societies, and. “joining our body need not affect your membership in any other society-- even the a m a , if you wish to belong to it, and be ‘bossed’ by the ‘simmons gang’ ”the dollar for the “beautiful certificate” and membership is solicitedby means of circular letters signed “emory lanphear, ” coming from 3447pine st , st louis, mo , the address of what has been variouslycalled the “american polyclinic, ” the “american hospital, ” and later, the “german hospital ” the “surgeon-in-charge” of the “german hospital”is emory lanphear, m d , c m , ph d , ll d when running under thename of the “american hospital, ” lanphear solicited operative work ona “division of fees” basis, which, the general practitioner was told, meant that “you are to have 40 per cent of all fees received from yourpatients sent to our staff for operation or treatment ”with the change in name from “american hospital, ” to “german hospital, ”lanphear appealed for a “portion of your operative work on a basis ofpure reciprocity ” this “pure reciprocity” seems to have been a stillmore liberal distribution of the patient money, for from a 40 percent basis it was raised to an even fifty-fifty said lanphear, in aletter sent out a few months ago:illustration. The “medical society of the united states, ” wasoriginally organized on a basis of “fee-splitting, ” as is shown by thereduced facsimile of a letter sent broadcast in 1916, announcing thebirth of the new “society ” apparently, “fee-splitting” as a rallyingpoint did not bring in the desired returns, so today the “medicalsociety of the united states” is alleged to be a “society of protestagainst the autocracy of the a m a ” “i wish also to inform you in spite of the despicable opposition of the hypocritical gang in charge of the a m a , and the no less contemptible action of the st louis medical society, i am going to remain in st louis and continue to do surgical work upon a ‘division of fee’ basis to be more explicit, if you bring me a case for operation i shall allow you one half of the fee for your time, trouble, responsibility and help in the management of the case ”before leaving the interesting professional personality of lanphear, and carefully avoiding any details of a personal nature, we may remindour readers that as long ago as 1908 lanphear was the “dean” of the“hippocratean college of medicine, ” with a h ohmann-dumesnil, a m , m d , m e , sc d , “vice-dean ” at that time lanphear sent out lettersto physicians proposing the organization of a “post graduate faculty”on the following basis. “those who hold full professorships shall purchase stock in the corporation to the amount of $1, 000 00. Those who become lecturers or instructors shall pay in the sum of $500 00. Those who are to be merely clinical assistants will buy ten shares of stock, $100 00 ”the “hippocratean college” was a “sundown” affair.