THE MEDICAL GAZETTE

and again because ail of the cases were not read and lie was Iherefore iinable to say wlîttlier tliey sustained ihe theory advanced. He would consequently confine himself to gênerai slalements. Ile thought that " autophony"was an iinfortunate name for the phenomena in question; il did not conecdy express the idea. Double hearing and false Iiearîiig had been pretly fuUy discussed by Eveiard Home, in 1800. wlio lield Ihe same views as Dr. Sexton. As regards Ihe question of double hearing, he did not claim lliat «he causalion was entirely in the labyrinlh, but he agreed wilh Dr. S. ; but hc thought ihal ihe effect was brought about by pressure brought to bear improperly upon the central organsof hearing, Dr. Roosa then related a case favoring this view, lîumstead, in bis work on syphilis, had staled thaï if the patient heard his own voice there was no adeclion of the neives. Dr. R. thought ihat tins was doublful. He had a patient, a musician, who heard c and c sharp which gradually blended. This man had an affeclion of the wiiddle ear. He thought ihïs disturbance was froni pressure on the rods of corte and the basilar membrane. It was a question whether this beautiful organ had no function assigned to it; he thought that this was not the case.

Dr. H. Knapp thought the term paracousis too gênerai. He thought the phenomena should be classifîed according as ihey were abnormalities of intensity, pitch and tint. Différences of intensity and pitch had différent causes. Autophony must hâve ils cause in the conducling apparatus of the niiddle car. But for the différence in pitch no cause could be found in the middle ear. There was autophony when the Eustachian tube was closed; but it was also met wilh when Ihis was open. Reinforcement of certain sounds was also met wilh in différences of tension of Ihe membrana tyrapani. Now, as to double hearing, it might be double as to pitch and as to time. In the latter case there was an écho which he could not explain. There might be double bearîng on one ear or on both. He thought this could only be cxplained on the supposition of a false tuning of Ihe membrana basilaris.

The latter was similar to ihe piano, and in like manner it might be tuned falsely. If we supposed that the fibres were relaxed the tune would be too low. If one ear only was affected, or one side, it would be correct, on the other, not ; if one car was excluded, tlie pli peared. If one ear only 1

i of a double sound

If Ihe s

und 1

a false danipening; the fibr

ironi each olhcr by a cemei

Ihe Sound. If this was loo;

a disagieeable mixture of

duced. Many cases of dise

car were met with in which double hi

<lid not exist; if it did, it was from esU

ofthe inflammation to the inner ear.

it might be from ;s were separ.ited t which isolated ened or absorbed

ase of Ihe middle

agreed that ou the whole the prognosis was

Dr. Pomeroy said that in gênerai terms, disease of the middle ear wasat the botlom of the whole ihing. Most of the cases were accouipanied by acute inflammation of the tympanic cavity. Ile believed that there was defective tuning of Corte's libres, but he thought also that Ihis was due to changes in the fluid. A tuning-fork held against the mastoid process was heard more correclly on the affected than on the well side.

Dr. Holcombe said that lie had not understood the subject unlil two years ago when he learned il from personal expérience. Ile removed some glairy fluid from the middle ear and then ail had gone well. He was convinced that the trouble was due to the présence of the fluid in Ihe middle ear. He could liear the tuning-fork better when itwasplaced on the occiput that when held against the mastoid process, as this was the point at which the pôles of the ears met.

The tellers reported ihc resuit of the élection as foUows: Theie had been 88 votes

mation of pseudo-membrane. She was treated throughout both attacks wilh fuU doses of quinia, tincture ferri chloridi, chlorate of potassium and solution of iron, and chlorate of potassa was applied locally to the fauces. Again the membrane disappeared, as also the swelling of the cervical glands and ihe subcutaneous infiltration, which bad been reme, sIowlysubsided;sheregainedstrenglh 1 was aparently beginnin^ to convalesce ly in the Tftird week of the attack, when ; was seized wilh vomlling.

For Président, Dr. Fordyce Barker, 85;* for Vice-President, Dr. R, F. Wier, 42*; Dr. H. T. Ilanks, 38; for Trustée. Dr. S. T. Hubbard, 46*, Dr. D. B. St. J. Roosa, 41; for Member of Committee on Admissions, Dr, J. H. Emerson, 57* Dr. H. E. Crampton, 27; for Member of Committee on Education, Dr. C. C. Lee, 71*; for Member of Committee on Eihics, Dr, V. P. Gibrey, 86*; for Member of Committee on Library, Dr. C. S. Bull. 87».

Il was raoved and carned that the Academy reconsidered ils action in dropping the of Dr. Howard from the roU.

It was moved and carried thaï he be made a non-resident fellow.

The résignation of Dr. Vandervourt was received and laid on ihe table.

Dr. Mason, who had moved to Hartford, was made a non-resident fellow, as were also Drs. J. S. Mosher and J. N. Merrill.

A letter of thanks from Dr. Cuyler was

Dr. Jacobi asked the members to contribute to the publication of the /fii^tx Med'

The Academy then adjo