W. 21st St. man Bldg. Citizens Sav. Mace, Lloyd R., 1244 Gardner. MacLeish, A. C., 1104 Brockman Bldg. Mattison, E. G., 707 Citizens Sav. Bank McClish, C. L., 715 Baker-Detwiler Bldg. Francisco, Cal. Metcalf, F. C., South Pasadena. Mikels, Frank M., 630 First Natl. Bank Bldg., Long Beach. Miller, Frank W., 1020 Merch. Natl. Bank Misch, Herman B., 324 S. Fresno St. Moore, Albert W., 917 Brockman Bldg. Myers, T. Chalmers, 1501 S. Figueroa St. Olds, W. H., 308 Cons. Realty Bldg. Reynolds, C. E., 1127 Orange St. Rosenberger, Homer G., 1100 Brack Shops. Sands, R. A., 2041 W. 31st St. Smalley, C. A., 506 Wright & Callender Smith, R. L., 8-9 State Bank Bldg., Po- Smith, Rea, 510 Merch. Natl. Bank Bldg. Toland, Clarence G., 1010 Baker-Detwiler Trewhella, J. S., Montebello Hospital, Waller, Geo. P., Jr., 624 Trust & Savings. tario, Cal. Wheat, J. E., 201 N. Maclay St., San Whiting, Sanford, 1102 Citizens Nat. Bank Wiley, E. H., 910 Hollingsworth Bldg. Wilson, John C., 1210 Baker-Detwiler Wilson, L. E., 430 Cons. Realty Bldg. SOUTHER Vol. XXXIV. PRAC LO DR. Dr. Walter Lindley, Dr. W. W Dr. H. D'Arcy Power PREVENTION OF RE BY S. ADOLPHUS KNOPF, M.D. TAIN IN T U It was on March 20th of t as the first interne of that i LOS ANGELES, JULY, 1919 Editor, DR. GEO. E. MALSBARY. Associate Editors, No. 7 Illey, Dr. W. W. Watkins, Dr. Ross Moore, Dr. George L. Cole, . Reynolds, Dr. William A. Edwards, Dr. Andrew W. Morton, . D'Arcy Power, Dr. B. J. O'Neill, Dr. C. G. Stivers, . Olga McNeile, Dr. W. H. Dudley, Dr. J. M. Mathews. ON OF RELAPSES IN CASES OF ARRESTED CULOSIS AMONG SOLDIERS AND SAILORS. 3 KNOPF, M.D. (NEW YORK AND PARIS), PROFESSOR OF MEDICINE, arch 20th of this year honor to address the inty Medical Society on am accustomed to talk diences, but there are why the privilege to occasion meant a great irst of all, I still conof the Angels my home it was in Los Angeles my medical career 35 he first student to mame then newly founded - of the University of rnia, and it was in your al that I served a year erne of that institution. chers, some of whom are met the kindliest of men to give a helping hand student. Lastly, it was my society which I adCarch 20th, 1919, that go I was privileged to t medical paper. It had a title of a less military character than my paper of this year. The theme I then discussed was "Dress Reform for Ladies and Its Relation to Medicine." It appeared in the August number of the Southern California Practitioner of 1889. The ladies did not dress as sensibly then as they do today and I believe my paper was a timely one. Much has happened during these thirty years, but the greatest events have taken place in the last four or five. These events, which have necessitated the sacrifice of millions of lives and are leaving in their wake perhaps an equally large number of crippled and diseased, make my theme today a much more serious and indeed a timely one. No excuse should therefore be needed for having brought this important subject before the Los Angeles County Medical Society, which devoted so many of its meetings during the past few years to the welfare of our brave soldiers over there, and to Charlton, A. T., Whittier, Cal. Clark, W. T., cor. Washington and Wilton Place. Cleeves, Montague, 1276 Boynton St., Tropico, Cal. Cochran, Guy, 515 Pacific Electric Bldg. Coffey, Titian, 514 Marsh-Strong Bldg. Coller, Frederick A., 1221 Brockman Bldg. Condit, Joseph D., 205 St. Louis Block, Pasadena. Cook, C. W., 402 Story Bldg. Cook, E. J., 430 H. W. Hellman Bldg. Cowan, J. Ray, 1501 S. Figueroa St. Crispen, E. C., 608 Merch. Natl. Bank Bldg. Crispen, E. L., 2880 W. 8th St. Crossan, John W., 1008 Bdwy. Cent. Bldg. Derrick, J. S., 2939 E. 4th St. Dieterle, Karl L., 717 Wright & Callender Dirks, Chas., 509 Brockman Bldg. Dodge, Wm., 1204 Baker-Detwiler Bldg. Freese, Benj. M., 510 Merch. Natl. Bank Frick, Donald, 711 I. N. Van Nuys Bldg. Gage, C. E., 302 Brockman Bldg. Hanson, Chas. O., 601 Merritt Bldg. Hart, Lasher, 1925 Fletcher Ave., South Pasadena. Hastings, Hill, 924 Trust & Savings Bldg. Hill, W. B., 420 Cedar Ave., Long Beach, Cal. Holgate, Chas. E., 288-91 I. W. Hellman Bldg. Hubbard, Clinton D., 917 Baker-Detwiler Bldg. Humfreville, L., 436 Security Bldg. Hutchinson, Wm. W., 288-91 I. W. Hellman Bldg. Ide, Clarence E., no address, transferred to San Diego. Janes, John Ely, 625 S. Pasadena Ave., Jeffs, Milton D. W., 422 Investment Bldg. Kittle, Walter F., 510 Baker-Detwiler Kyle, John J., 702 Title Insurance Bldg. Laubersheimer, George A., 724 H. W. Hellman Bldg. Linhart, Lawrence R., 1848 W. 21st St. Lissner, H. H., 806 Brockman Bldg. Lockwood, Chas, D., 607 Citizens Sav. Bank Bldg., Pasadena. Lowell, Chas. H., 318 Union Oil Bldg. MacLeish, А. С., 1104 Brockman Bldg. Mattison, E. G., 707 Citizens Sav. Bank Bldg., Pasadena. McClish, C. L., 715 Baker-Detwiler Bldg. McKenna, Wm. J., 506 Exchange Bldg. McNab, Thos. R., Palace Hotel, San Francisco, Cal. Metcalf, F. C., South Pasadena. Mikels, Frank M., 630 First Natl. Bank Bldg., Long Beach. Miller, Frank W., 1020 Merch. Natl. Bank Misch, Herman B., 324 S. Fresno St. Myers, T. Chalmers, 1501 S. Figueroa St. Pasadena. Olds, W. H., 308 Cons. Realty Bldg. Richardson, W. W., 311 Brockman Bldg. Sands, R. A., 2041 W. 31st St. Scherfee, James F., 2650 W. Pico St. Sherk, H. H., 807 Central Bldg., Pasadena. Sherrard, E. E., 1124 Investment Bldg. Skeel, Donald W., 1234 Merch. Natl. Bank Bldg. Smalley, C. A., 506 Wright & Callender Bldg. Smith, R. L., 8-9 State Bank Bldg., Pomona, Cal. Smith, Rea, 510 Merch. Natl. Bank Bldg. ington Park. Toland, Clarence G., 1010 Baker-Detwiler Bldg. Trewhella, J. S., Montebello Hospital, Montebello, Cal. Waller, Geo. P., Jr., 624 Trust & Savings. Walters, C. M. C., Bimini Hot Springs. Warmer, C. A., 111 N. Euclid Ave., Ontario, Cal. Wheat, J. E., 201 N. Maclay St., San Francisco, Cal. Whiting, Sanford, 1102 Citizens Nat. Bank Bldg. Wiley, E. H., 910 Hollingsworth Bldg. Williams, Edwards H., 512 Brockman Bldg. Wilson, John C., 1210 Baker-Detwiler Bldg. Wilson, L. E., 430 Cons. Realty Bldg. Woodward, Frank A., 24882 W. Pico St. Young, Chas. L., 411 Cons. Realty Bldg. Zerfing, Chas, E., 319 Hollingsworth Bldg. DR. GEO. E. MALSBARY. No. 7 Dr. Walter Lindley, Dr. W. W. Watkins, Dr. Ross Moore, Dr. George L. Cole, Dr. Cecil E. Reynolds, Dr. William A. Edwards, Dr. Andrew W. Morton, PREVENTION OF RELAPSES IN CASES OF ARRESTED TUBERCULOSIS AMONG SOLDIERS AND SAILORS. BY S. ADOLPHUS KNOPF, M.D. (NEW YORK AND PARIS), PROFESSOR OF MEDICINE, It was on March 20th of this year that I had the honor to address the Los Angeles County Medical Society on this subject. I am accustomed to talk to medical audiences, but there are many reasons why the privilege to speak on that occasion meant a great deal to me. First of all, I still consider the City of the Angels my home city. Secondly, it was in Los Angeles that I started my medical career 35 years ago as the first student to matriculate at the then newly founded medical college of the University of Southern California, and it was in your County Hospital that I served a year as the first interne of that institution. Among my teachers, some of whom are still living, I met the kindliest of men always willing to give a helping hand to a struggling student. Lastly, it was before the very society which I addressed on March 20th, 1919, that thirty years ago I was privileged to present my first medical paper. It had a title of a less military character than my paper of this year. The theme I then discussed was "Dress Reform for Ladies and Its Relation to Medicine." It appeared in the August number of the Southern California Practitioner of 1889. The ladies did not dress as sensibly then as they do today and I believe my paper was a timely one. Much has happened during these thirty years, but the greatest events have taken place in the last four or five. These events, which have necessitated the sacrifice of millions of lives and are leaving in their wake perhaps an equally large number of crippled and diseased, make my theme today a much more serious and indeed a timely one. No excuse should therefore be needed for having brought this important subject before the Los Angeles County Medical Society, which devoted so many of its meetings during the past few years to the welfare of our brave soldiers over there, and to those who returned disabled or diseased from where they had fought for our own liberty and that of all the oppressed nations. Those in whose condition I endeavored to interest my Los Angeles colleagues at the March meeting of the Society, were the unfortunate soldiers and sailors who had contracted tuber culosis in the performance of duty, those whom my venerable teacher, the late Prof. Landcuzy, so beautifully described as "blesses (wounded) par la tuberculose." These men we must be just as eager to cure carefully, thoroughly, and lastingly and to reestablish their earning capacity, as we are eager to cure and rehabilitate those wounded by shot or shell. I delivered this lecture on the Prevention of Relapses in Cases of Arrested Tuberculosis Among Soldiers and Sailors for the first time before the North Atlantic Tuberculosis Conference in Pittsburgh, Pa, on December 7, 1918, and again before the New York Academy of Medicine on February 18, 1918. The article appeared in abbreviated form in the Journal of the American Medical Association of February 22, 1919. Since then I have repeated this lecture in many cities of the East, West, Middle West, and on the Pacific Coast, and delivered it in French before the Sociétés Médicales of Montreal and Quebec. My audiences were usually composed of civilian physicians with a considerable sprinkling of military men. I may freely confess that I learned a good deal from the discussions, which I always invited after finishing my address, and from the criticisms which came to me by letter from those who had read the condensed lecture in the Journal of the American Medical Association. I am glad that the Southern California Practitioner now gives me an opportunity not only to publish my original lecture in full with additional illustrations, but also to add the valuable suggestions I received from my kind critics, and to incorporate what I have since learned on the subject from my visits to a number of military and civil tuberculosis hospitals where occupation and work-therapy are employed.. believe that the addition of a short chapter on heliotherapy and psychotherapy, and the official information and approval which have come to be from military and naval authorities will increase the value and interest of my humble contribution. As a revised and enlarged communication to the Southern California Practitioner I hope it may be productive of real good. The United States Government, through the Surgeon Generals of its Army and Navy, has done all that was humanly possible to minimize the prevalence of tuberculosis in the Army. All draft boards were instructed to be most careful not to admit any tuberculous individual into the Army or Navy, and under the leadership of Colonel Bushnell a most thorough examination and reexamination by tuberculosis experts was made of men in all our military camps and cantonments. In this way any tuberculous individual or strongly predisposed recruit who might have escaped the vigilance of the physicians of the draft board was eliminated. Through the efforts of the executive office of our National Tuberculosis Association, popular lectures on the prevention of tuberculosis had been delivered in numerous camps and cantonments, and appropriate literature was distributed. As captain in the Medical Reserve Corps, I was myself authorized by the Surgeon General to publish little pamphlet entitled "What the American Soldier Now Fighting in France Should Know About Tuberculosis." It was reprinted in numerous journals, translated into French, and freely distributed among the soldiers in training to go to the front in a |