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Gc l^- L.
ALLEN COUNTY PUBLIC LIBRARY
3 1833 01331 8628
A Biographic Memorial
GEORGE McNAUGHTON, M.D.
ALBERT T. HUNTINGTON
Published December 21, 1914
Of this book two hundred
copies have been priated, of
which this is No./<K.Z5.
A Brief Sketch of His Life 9
His Birth, Boyhood, and Early Life, 10. As a
Medical Student, 12. His First "Charge," 13.
His Eemoval to Brooklyn and Places of Resi-
dence There, 14. His First Appointments, 15.
His Hospital Work, 16. His Early Work in In-
tubation, 17. His Medical Society Affiliations,
18. His Aid to Young Men, 20. Some Prin-
ciples of Practice, 21. His Views on the Retiring
Age, 24. His Mechanical Talent, 26. His Out-
ings, 29. His Death, 31. His Life Work, 32.
By William Browning, M.D.
The McNaughton Genealogy 35
By James MacFarlane Winfield, M.D.
His Work at the County Medical Society 39
By James MacFarlane Winfield, M.D.
'Ti Reminiscences of George McNaughton 47
f\ By Calvin Fremyre Barber, M.D.
A Personal Appreciation 53
By Albert Mat-tin Judd, M.D.
His Use of Sea Water in Internal Therapy 57
^ By Frederick Loud Cranford, Esq.
His Work in Intubation, and Abscess of the
By William Coughlin Braislin, M.D.
His Treatment of Sterility G7
By Donald Stewart MacNaughton, M.D.
Eemarks on TiEE Death OF George Mc-
By Robert Latou Dickinson, M.D.
Dr. George McNaughton 73
By Willimn Schroeder, Sr., M.D.
Bibliography of George McNaughton 75
Plate 1. George McNaughton, M.D Frontispiece
Last portrait, with autograph.
Plate 2. Birthplace of Dr. George McN'aughton
Facing page 9
Mumford, Monroe County, N. Y.
Plate 3. Dr. George McNaughton. .Facmgr page 16
About the time of his graduation in medicine.
Plate 4. Instruments, Etc., Devised by Dr. Mc-
Naughton Facing page 28
Fig. 1. The Invalid Coach. Fig. 2. Operating
frame (Trendelenburg Position). Fig 3. Mc-
Xaughton Tissue Forceps.
Plate 5. Dr. McNaughton's Last Eesidence.
Facing page 33
479 Clinton Avenue, Brooklyn, N. Y.
Plate 6. EuiNS or McNaughton Castle.
Facing page 36
Fraoch Elan, Argyleshire, Scotland.
Plate 7. Old Building of the Medical Society
OF THE County of Kings Facing page 40
356 Bridge Street, Brooklyn, N. Y.
Plate 8. New Building of the Medical Society
OF the County of Kings Facing page 44
1313 Bedford Avenue, Brooklyn, N. Y.
HIS brief composite biography is
intended to fulfill a triple pur-
pose — to serve as a slight recogni-
tion of the man and his public
service; to uphold the objects and interests
for which he strove ; and to act as a memento
for his friends, a convenient reference and
something tangible to preserve.
Both on account of the somewhat distinctive
personality of the man and because of the lack
of interest in or worth of average biographic
sketches, it seemed quite in order to adopt a
different and perhaps more modern and use-
ful plan of presentation. It may even help
towards the development of a more personal
and serviceable type of memoir than is cus-
The continental memoir, like those dealing
with our men of letters, embodies the collect-
ing and editing of the author's writings
together with a more or less casual personal
sketch. In the case of literati this biographic
method may be suitable, but there is not
the same warrant for its use in the case of
medical and scientific men, even though the
commemorated 's output bears exclusively
on research — scientific knowledge may have
progressed, the originals are accessible and
more authoritative, and literary style is of
minor importance. Occasionally, of course,
novelty, completeness, rarity of the original
print, or some such cogent reason makes the
reproduction of a single article advisable. As
a practical people we should be able to create,
in our biographic memoirs, something both
more concise and of greater utility.
In this memoir of Dr. McNaughton it is
natural that medical matters should take a
leading place, even to some of a quasi-tech-
nical character. The modern tendency for a
diffusion of medical knowledge in lay circles
makes this the more permissible. And as his
work was primarily for his home region, local
detail must predominate. An occasional
duplication of thought by the various con-
tributors may serve to make the story the
BIRTHPLACE OF DR. GEORGE McNAUGHTON
Mumford, Monroe County, N. Y.
A BRIEF SKETCH OF HIS LIFE.*
HILE a narration of the bare facts
of an active life may have interest,
this is greatly enhanced by some
recognition of their bearing on the
events and activities of the period.
To the present and passing generation of
physicians of Brookl}Ti the name of George
McNaughton has stood for much, in sturdy
and large personality, in consulting and pri-
vate practice, in hospital work and organiza-
tion, in liberal and co-operative spirit, and
especially in the advancement of the interests
of the medical profession.
It is perhaps too early for a final estimate
of his accomplishments, but it is not too much
to say that he did more for the profession of
Brooklyn and Long Island than has been
accomplished by any other individual. One
concrete example of what can be done, such
as has been furnished in the noblest way by
the subject of this sketch, has, besides its
immediate results, more of instructive value
* Revised from an editorial in the Long Island Medical
Journal, Brooklyn, N. Y., 1914, viii, pp. 186-188.
in the modern way of things than has any
amount of preaching and criticism.
His Birth y Boyhood, and Early Life.
Dr. George McNaughton came of Scotch
ancestry. He was born at Mimiford, Monroe
County, N. Y., on July 4, 1856, and always
felt the incumbency of such an important
natal day. His youth was thus passed in the
rich Genesee Valley, with Lake Ontario almost
in sight, and the nearby city of Rochester as
His preliminary education was obtained
in the preparatory schools of his native vil-
lage and the adjacent town of Caledonia, and
by private tutor. It was in a region so largely
dominated by Scotians that it might have
been termed New Scotland. Most opportune
for him at this time was the epoch-making
experimental work of Seth Green in fish-
culture. No school laboratory ever supplied
such intellectual pabulum to oncoming youth.
The beautiful creek arising from nearby
springs was but a short step away, and his
youthful interest in the work, the attendants,
and the development of the now universally
applied methods of pisciculture, persisted
through life — matters often referred to later
in his career in elucidating biologic problems.
There was also an occasional chance to prac-
tice the art of Izaac Walton, or stealthily to
try the virtues of a fly-cast "in the cool grey
dawn," of course more fully to study the
matutinal life of the trout.
This heredity and this environment give a
clue to the early sources of his strong person-
ality. Definiteness and persistence of pur-
pose in life beyond mere gain are generally
accredited to the finer human attributes. "It
is not time that teaches wisdom, but nature and
early training," saith the classic; and this is
quite as true in the modern as in the ancient
As one of a large family he perforce learned
early to have regard for the needs, comfort
and feelings of others — one of his strongest
and most endearing characteristics — and also
a large degree of self-reliance which came
from having, within limits, "to shift for him-
self." He is well remembered as a "curly
headed" youth, "a dashing young man," "a
popular young fellow around town," by a col-
league who saw him in those days.
As a Medical Student.
It was as early as 1873 that lie committed
his future to the medical life. According to
the good old custom that still prevailed in the
days of his novitiate, he began medical studies
with a preceptor, Dr. R. J. Menzie, of Cale-
donia, N. Y., a man still active. This quasi-
apprenticeship involved the simpler com-
pounding of remedies, riding about the region
with the doctor, assisting at operations, and
by degrees the taking of personal charge until
the doctor's arrival or even attending entirely
in some of the more onerous and distant
cases. His description of the formalities and
amenities of remote consultations (which he,
as a kind of professional annex, was permit-
ted to associate in) had the touch of life in
another sphere. All this gave him a kindly
understanding of what is sometimes termed
''a physician of the old school."
He then changed to the more modern sys-
tem of training, came to New York, became a
student of the late Dr. James R. Wood, and
in 1875 entered on his medical coiu*se at Bel-
levue Hospital Medical College. During the
latter part of his college years he passed
through a severe attack of typhoid fever, but
recovered sufficiently to finish with his class.
From our knowledge of recent years regard-
ing the arterial changes set up by the general
toxemia of that fever, it is likely that the con-
dition from which he suffered for several
years and to which he finally succiunbed dated
back to that infection. Such practical study
of disease by personal experience has not even
yet received recognition in the curriculum!
He was graduated from Bellevue in the
spring of 1878.
His interneship was taken at the Jersey
City Hospital (then known as Charity Hos-
pital), 1878-1879. It thus appears that he
devoted six years to special training for his
calling, representing a fuller period of prepa-
ration than given by most of the candidates
of that time.
His First "Charge/'
He began private practice at LeRoy, Gene-
see, County, N. Y., not far from his early
home, and remained there upwards of a year.
This also might be credited to his receptive
and training period; at least it furnished a
stock of experience medical — night work in
the country, endemic chyluria, advantages
and disadvantages of small towns, etc. — ^to
contrast with later things.
The local press bade him this regretful
adieu: ''We are sorry to learn that Dr. Mc-
Naughton has decided to leave LeRoy and
locate elsewhere — we believe not far from
New York. This will be a loss to our place,
for the doctor is a skillful physician, and has
greatly endeared himself to the people since
coming among us.''
His Removal to Brooklyn and Places of
In 1880 he came to Brooklyn and took up
the practice of Dr. James Stewart (who died
at Arlington, Vt., 1891), his first location
being at 20 Greene Avenue. It was at this
first place that a thoughtful early passer-by
called up his speaking tube just to inquire
how he liked the practice of medicine any-
how, according to the doctor's own story.
From this time on his interests and work
were centered entirely in Brooklyn, and his
successive places of residence were : 20 Greene
Avenue (1880-1883); 194 Greene Avenue
(1883-1885) ; 216 Greene Avenue (1885-1890) ;
227 Greene Avenue (1890-1894) ; 1 Cambridge
Place (1894-1901) ; 479 Clinton Avenue (May,
His First Appointments.
The first step in his wider career was as
Assistant and then Attending Physician
(1881-1885) at the old Brooklyn Central Dis-
pensary, around which o'er-modest institu-
tion for years gathered much of the medical
interest and tradition of the town. Here he
became connected with a group of men with
whom he ever after kept the closest relations.
He was an Inspector of the Department of
Health (and the first civil service appointee)
of the old City of Brooklyn for four years at
the time when Dr. Raymond was developing
the Bureau on a modern basis. His quick
adaptation of means was well demonstrated
by his prompt preparation for this examina-
tion. At that time the various schools and
tutors for preparing for civil service bouts
had not come into vogue, nor was there time
for posting up. The morning of the examina-
tion Dr. McNaughton went to a good plumber
and was briefly instructed in the main prin-
ciples of the work. It was just this little touch
that gave him the needed rating to win.
His Hospital Work.
He was in charge of the gynecological clinic
at the Long Island College Dispensary (now
the Polhemns Memorial Clinic) from 1884 to
1891. Through this he became associated with
the late Dr. Ernest Palmer and Professor
Alexander J. C. Skene, as assistant at the
Hospital (1891), and retained this affiliation
mitil the latter 's death. In these ways, con-
sidering also that Palmer had been trained by
the late Dr. John Byrne, he was afforded the
best opportunity for a thorough grounding in
gynecological work and abdominal surgery.
He became full Visiting Surgeon to that de-
partment of the Hospital in 1896, and since
1906 he was Clinical Professor of that subject
in the teaching department of the Long Island
He was active in the same line of work at
the Eastern District Hospital for some twenty
years; the first fifteen as Attending and the
last five as Consulting Gynecologist.
At the creation, early in 1893, of the mod-
ern staff at the Kings County Hospital, he
organized the Gynecological Division, and has
since been one of the visiting staff, and of
DR. GEORGE McNAUGHTON
About the time of his graduation in medicine.
late years Vice-President of the Medical
He was a member of the original board of
five (with Drs. J. Fuhs, H. B. Delatour, O. P.
Humpstone and C. Eastmond) that arranged
the first medical staff at the Jewish Hospital;
and from its opening, in December, 1906, he
was a member of its Conference Committee,
and Attending Gynecologist. In 1912 he was
advanced to Consultant in that department.
Together with Dr. Fuhs he was an honor
guest at a "complimentary dinner" given to
them at the Unity Club by the hospital trus-
tees on May 20, 1913.
He was Consultant at the Long Island
State Hospital, Flatbush, from the year 1899
on, and was also Consulting Gynecologist to
the Swedish Hospital.
His Early Work in Intubation.
A great and leading work was his introduc-
tion of intubation of the larynx to Brooklyn.
In fact, he was one of O'Dwyer's main sup-
porters in the estalilishment of this method
as a widely accepted procedure in medical
practice. Most of that work here was done
by him, and often at great personal sacrifice
as well as danger. It was in this connection
also that he did much to spread the method
of treating diphtheria by calomel fumigations,
a method originated by Dr. John Corbin, of
Brooklyn. All this became past history upon
the advent of the serum treatment of diph-
To the present-day specialist it ma}^ seem
strange that any one with gynecological
aspirations should have taken up laryngeal
intubation, but up to that time pediatrics
belonged in practice with diseases of women.
In that way any common disease of childhood
fell inevitably to the gynecological specialist
when it became necessary to call additional
His Medical Society Affiliations.
He was, of course, a member of the
Medical Society of the County of Kings,
which he joined in July, 1880, and also of the
Medical Society of the State of New York,
the American Medical Association, the New
York Obstetrical Society, the Brooklyn Med-
ical Association, the Brooklyn Pathological
Society, the Brooklyn Medical Club, the Har-
vey Society, the New York Academy of Medi-
cine, the Caledonian Hospital Society, the
New York Physicians' Mutual Aid Associa-
tion, and of various staff and alumni organ-
izations. He was a charter member (April,
1890) of the Brooklyn Gynecological Society,
its Vice-President (1893-1894) and President
(1894-1895-1896) ; one of the organizers of the
Associated Physicians of Long Island, con-
tributing its name and likewise its plan of
choosing officers by a method now conceded to
be the best for this type of organization (vide
Science, May 1914) ; and also one of the organ-
izers of the Medical Library Association of
He was a delegate to the Medical Society
of the State of New York from 1892; mem-
ber (1898) and Chairman (1899, 1900 and
1901) of its Connnittee on Ethics, and came
to be regarded as an authority in that trouble-
some phase of our medical existence.
The work done by Dr. McNaughton for the
Medical Society of the County of Kings was
perhaps his monumental civic achievement.
He began his formal career as a Censor, in
1891; and it is Avorthy of note that in those
days of careless officials he attended eight out
of a possible nine meetings of the Council.
When leadership became urgent in that organ-
ization, many felt that his geniality and force-
fulness would be invaluable. Defeated at
first, his friends were successful the follow-
ing year (1893) in electing him Vice-Presi-
dent, and then for four years successively
President of the Society. In this period and
the ensuing five years of Trusteeship, as one
of the Building Committee of Five, and as
one of the Board of Trustees, his untiring ef-
forts, devotion and good judgment guided the
Society in providing the medical world of
Brooklyn with one of the finest homes and
headquarters of the profession anywhere. He
was subsequently Chairman of the Board of
Trustees (1902), and of the Society's Commit-
tee on Directory for Nurses from 1904 to 1908,
His Aid to Young Men.
His various relations to hospital, society
and teaching work brought him much in touch
with young men to whom for many years he
was a great aid in their starting out in prac-
tice, especially in securing desirable openings.
It seemed to be a perfectly natural thing for
the young graduate in his uncertainty to turn
to him for guidance. And so far as strength
permitted he continued this interest to the end.
He was not fond of writing, although
admirably clear when he did essay any sub-
ject. A peculiar and intesting psychological
observation in this connection may be worth
recording: while he was left-handed for ordi-
nary writing and for familiar things, yet
when preparing a formal paper he found that
his mental processes were far freer when he
penned his thoughts with his right hand.
Some Principles of Practice,
Remedial agents or operative procedures
occupy most of our attention when consider-
ing treatment. To the banes and handicaps
of this phase of practice may be reckoned such
things as therepeutic nihilism, belief in vaga-
ries, mere routine, fads, the continual shuf-
fling of views and agents. In contrast with
these are the guiding principles, or prejudices
if you will (though not to be confounded with
obstinacy or mere pigheadedness), which in-
dividual practitioners have to work out or
have found useful, especially in times when
some steadying post is needed. We uncon-
sciously recognize something of the kind in
many of our best men, but rarely learn its
exact character. A basis of this sort contrib-
utes greatly to the accomplishment of results
for our patients.
Three such favorite principles of Dr. Mc-
Naughton in practice may be recalled as illus-
trative of his methods.
One of these was the employment of a single
remedy or agent at a time. As ludicrous as
pathetic is the occasional array of bottles ex-
hibited in evidence of the comprehensiveness
of previous effort, or the statement that
everything in the pharmacopeia has been
tried, or, again, the multi-charge prescription.
While his opposition to such a mode of treat-
ment might suggest an homeopathic tinge, it
really meant that his svirgeon's spirit did not
incline him to indulge in internal excesses.
A second strong principle with him was
illustrated not simply by what is termed a gen-
eral grasp of situations, but more by the abil-
ity to evaluate the overlooked and underesti-
mated phases. To "seek a sign," some single
clear point all-sufficient for guidance, has been
a natural tendencv of the human since the
race began. Aiid the same thing is seen in the
medical quest for the so-called pathognomonic
symptom. How elusive, in most morbid
states, has this search proven ! For, as a rule,
no such exclusive aid is to be found. The man
who, like the subject of this sketch, so bal-
ances up all the facts as to read out their true
import, is often able to reach sound conclu-
sions even when dealing with troubles outside
of his special field. This ability, this applied
msdom, is really the essence of a liberal edu-
cation, with as yet no sure way of attaining it.
In medical work this is invaluable. Its posses-
sion is regarded as an acquisition of maturity
if at all. With him it was an early trait, gain-
ing strength with years and experience.
Another point was his application of sys-
tem to the management of the individual case.
This is of special importance in serious or
prolonged disorders. In such cases the over-
wrought friends often quite lose their heads,
and the patient's chance is greatly jeopard-
ized. Then, too, lack of order and the multi-
plicity of activities in modern life often
constitute a large etiologic factor, and the
securing of regularity and poise becomes a
prerequisite to progress. There is also a
grievous tendency (and not all outside the
profession) to teach doubt of the efficacy of
all remedies. Moreover it is a common experi-
ence that we get better results in households
where faith in the realities insures more care-
ful following of trained advice. System also
infers comprehensiveness, and with the Doc-
tor it included a due regard for the general
relation of conditions. All these things bring
to the physician an increasing need of just
such aid as system gives in carrying out treat-
ment. It means that vacillation, doubt, work-
ing at cross purposes, confusion, lack of head,
and allied hindrances are eliminated. The
good nurse is one important agent in effect-
System alone he often found brought about
an early change for the better. This method
gave him a material advantage in practice,
for its successful carrying out depended
largely on his personal control of the sit-
His Views on the Retiring Age.
From his special opportunities for observ-
ing medical and general relations, he was a
strong advocate of the principle that physi-
cians should retire from active practice by the
time they are sixty years old, or as soon as
practicable thereafter. They should plan
their lives, if possible, to be able to do so.
Until recently there was a chance for our
seniors in practice to partially retire on the
basis of consultation work. This gave a very
satisfactory outlook for those with an expec-
tancy of long life. But there is no all-round
consultant any more, at least in the larger
centers of medical work. Age and dignity in
the consultant are no longer prerequisites,
though experience still has a lingering claim.
Technical aid on particular points is now
more largely sought. The laboratory man
(bacteriologist, pathologist, biologist, chem-
ist) and the specialist are chiefly called, and
here the younger man is more in evidence.
His views were also aimed to meet the
changing and increasingly socialistic tenden-
cies of present-day practice. While no longer
as true as a generation ago, that ''many are
called but few are chosen," the increasing de-
mands for service without due recompense
seems to be forcing a rearrangement of our
He based his opinion, as to the retiring age,
on many facts, showing its advisability both
for the sake of the patient and of the physi-
cian. The wear of medical work and the
known high morbidity of physicians was one
reason for fixing the age limit a little under
that established by the government for cer-
tain of its employees.
In cases where it would not otherwise be
possible for the individual to do this, he
argued that it would be in the commimal inter-
est to pension him. Some such possibility is
foreshadowed by recent discussions, though
as yet only for those in the public employ,
among whom an occasional doctor is now in
the favored class.
His Mechanical Talent.
Surgery is as yet quite as much an art as
a science, and in surgical practice more than
in other departments of medicine a well-
groomed familiarity with mechanical prin-
ciples finds ample scope. It is not simply
manual dexterity that contributes to the sur-
geon 's success, nor yet technical dynamics, but
good mechanical sense. Whatever one's na-
tive ability, a fancy or taste therefor naturally
Even the doctor's medical friends, unless
associated closely mth him in practice, were
rarely cognizant of this side of his activities.
His contributions in this field consisted
largely, as is the case with surgical inventions
generally, in the application of known instru-
mental devices or mechanical principles to the
problems and difficulties in his line of surgery.
Dr. McNaughton had early opportunity for
training in applied mechanics, and possessed
a very practical mechanical turn. This con-
tributed an added degree of skillfulness to his
work in intubation. It was shown in opera-
tive methods and improvements. Certain of
his devices in this line may be mentioned in
It was well evidenced by his designing of
the ambulance coach. This was entirely orig-
inal with him, but he did not consider it
ethical either to obtain a patent or accept
proffered compensation therefor. He suc-
ceeded in supplying the ordinary invalid with
suitable and comfortable transport, cor-
responding relatively with that which had for
some time been afforded the poor and the
casual. It has since been followed in prin-
ciple by the whole system of private am-
bulances, and has become a necessity in every
His simple portable steel-frame or table
attachment for operating in the Trendelen-
burg position, known as the McNaughton
frame (see page 76, "Bibliography," No. 11),
was designed especially to facilitate private
or emergency work. "It could be placed upon
any table and executed the position with much
ease. In the days when house operations were
more popular than at present, this apparatus
was much in use, and naturally was of great
value to the surgeon. ' ' It still has some vogue,
though in part supplanted by the extension of
hospital at the expense of private care.
Another of "the many evidences of his me-
chanical genius" was his very practical adap-
tation (sometimes laconically dubbed a beer
pump) for the purpose of emptying cysts and
removing fluid from the abdominal cavity (a
brief description of this is given on page 49
by Dr. Barber).
He was also the originator of the special
long tissue-forceps (see PI. 4, Fig. 3) for work
in deep cavities, which is known among instru-
ment makers as the McNaughton tissue
Fig. 1.— The Invalid Coach.
Fig. 2. — Operating Frame (Trendelenburg Position).
INSTRUMENTS, ETC., DEVISED BY DR. McNAUGHTON.
Much of his originality in his special field
is knowTi only to his associates and aids. His
published work may be foimd by consulting
the appended "Bibliography" (see pp. 75-78).
A few other items are collected in this memoir.
Some attention has been attracted by his cases
of ovariitis in mumps, by his early recogni-
tion of floating kidney, by his large experience
in cases of ecto]3ic pregnancy (at one time he
had a record of eight}' consecutive cases op-
erated without a fatality), and especially by
his entirely original observations on the asso-
ciation of uterine fibroids with valvular leaks
and anteflexions, assigning a large etiologic
role here to local circulatory stasis of what-
In his vacations he pursued an interesting
and somewhat novel policy. He planned these
on the basis that to the physician the cost of
an absence is not so much the outlay directly
involved as it is what in so many ways is suf-
fered from the interference with practice.
Consequently, when the physician does go
away it is economy for him to get all possible
out of the journey. A little added expense, if
thereby the trip can be made more restful or
advantageous is in the end an economy. This
is at times a very comforting principle.
In his business relations Dr. McNaughton
succeeded better than is expected of most city
physicians, and by degrees this permitted him
to take greater periods of relaxation. To his
later life, as sequels rather than as primary
sources, belong his longer travel trips: the
Great Lakes (1898); Canada; the Yellow-
stone (1902) ; the Middle South (1898, 1912,
1914); Europe (1901, 1906, 1912); Egypt
(1910), Maine and many nearer points as
well as camping tours in various parts of the
northern wilderness. Change, and a degree of
rest and refreshment were gained, but, accord-
ing to the outcome, not all the needed re-crea-
He was never married, but had strong fam-
ily ties to which he was as thoroughly devoted.
He was a member of various clubs, mostly
of the outdoor type; the old Williamsburgh
Athletic, the Crescent Athletic, the Marine
and Field, the Triton Fish and Game, etc. He
was also a member of Altair Lodge, F. & A.
M., and of the Masonic Club, and for a time
of the Brooklyn Club.
Dr. MeNaughton died at his home, on March
17, 1914, of a chronic cardio-vascular condi-
tion. In part from his official relations, he
acquired the habit of attending, whenever
possible, the funerals of deceased colleagues;
and in turn there were present at his own
services a very large delegation of his fellow
members and associates. He was buried in
the family plot at the cemetery in Miun-
f ord, N. Y.
Of generous temperament ; intensely Amer-
ican in his democracy; modern in his fond-
ness for sports, camping, a fine horse, or
foreign travel; affiliating with many of the
best minds in the conmiunity; so clear a
thinker that he could take positive ground;
widely trusted as an adviser in multitudes of
matters; an invaluable friend and a telling
opponent; of quick wit in meeting the unex-
pected; with a peculiar maturity of judgment
and ability to detect the unseen sides of a
question; — he is deeply missed by many, and
lamented by all who could appreciate his high
His Life Work.
It will be seen from the accounts of his
activities that George McNaughton, in addi-
tion to being a physician and surgeon of the
first order, was a fellow practitioner who con-
stantly abnegated self and honestly thought
of how to benefit and promote his chosen pro-
fession and his brother practitioners. His
devotion to these and their advancement was
general and evinced in many and varied ways.
The construction of our medical temple was
but the acme of this public side of his career.
The struggle for the library building, often
against great odds, stamps him as one who
was ever striving for civic betterment. "Thir-
teen-thirteen Bedford Avenue" will remain a
monument to his high purposes and cor-
respondingly modest simplicity.
In medicine we have those distinguished as
writers, editors, investigators, educators, na-
tional organizers, administrators, historians,
specialists, etc. Here we find a man who
discovered a new-old field and devoted him-
self with great wisdom and success to the
needs of the field- worker in medicine. Taking
things as they happened to be where he found
himself, he did what the older leaders of the
DR. McNAUGHTON'3 LAST RESIDENCE
479 Clinton Avenue, Brooklyn, N. Y.
time, after prodding, merely suggested might
possibly be thought of a generation or more
later. And this was not accidental on his part
but duly planned and pursued with a devotion
and degree of personal sacrifice that consti-
tuted a factor in the shortening of his life.
Surely such a man should have recognition,
at least from those whom he served.
William Brotvning, M.D.
THE McNAUGHTON GENEALOGY.
T IS curious that the truths that we
we cannot demonstrate are often
the most actual and convincing of
facts. Of certain laws and occur-
rences (perhaps coincidences) of Nature that
seem to be too fanciful to be accepted as facts,
one is the peculiar interchange of charac-
teristics between man and his inanimate sur-
roundings. Each imparts their character-
istics to the other; a home expresses the per-
sonality of its inmates ; races express the char-
acteristics of the climate and scenery in
which they live.
This is particularly true of Scotland; the
delicate, severe, spiritual character of its veg-
etation, its mystical mists, its faithful, rugged
mountains, its sudden gleams of sunshine, its
hard, unyielding harvests — all are faithfully
reproduced in the characteristics of its sons
and daughters; they are as faithful and as
firm as Scotch granite, if at times as dour and
unyielding as a lowering Highland sky. The
gallant courage that has put fear to rout on
many a battle-field and knows well how to
fight and suffer, but has never learned how
to own defeat or to surrender, was bred among
rough mountain passes where there was little
to wring from the soil but starvation, and
little to expect from a foe but death.
A Scotchman shared his plaid and his salt
with a friend, and in more luxurious lands
and times Scotchmen are still spending all they
have, even health and life, if a friend needs it
or a cause requires it.
If the world has laughed at the Scotch
penuriousness, it has also laughed with glee
over the Scotch humor — the most delicate,
keen and witty in the world. The penurious-
ness was forced upon them by a land poor and
hard to till at best, and frequently laid v/aste
by feud and battle; the humor was learned
from the sudden gleams of silvery sunshine
that sweep over their dark landscapes and
make their world all glorious with purple and
The clan from which Dr. George Mc-
Naughton inherited his name was one of the
most ancient in Scotland; its stronghold was
on one of the islands of Loch Awe, in Argyle-
shire, the fanciful name of which is Fraoch
Elan, or "The Isle of Heather. " This ancient
clan of Abair Neachtain rushed to many a
bloody onset and foray with the slogan of
"Fraoeh Elan." They were ever loyal men
to the reigning prince and fought with Bruce
at the battle of Dairy, and Sir Alexander Mc-
Naughton was killed fighting for King James
at Flodden Field.
The stern difficulty of winning a livelihood
at home drove many Scotchmen to be bold
adventurers, vv^ooing Dame Fortune in many
lands. America offered a golden opportunity
to win fame or a home, and among the many
who emigrated to this country was Duncan
McNaughton, bringing his eleven-year-old son,
Peter. The,y prospered, and in time we have
the record that Peter, grown to manhood,
married Elizabeth Jamison. They lived in
Galway, Saratoga Coimty, New York, where
their third son, Daniel, was born in 1808
(died in 1879).
Daniel married Margaret Blue, a relative
of the distinguished Blue family of Korth
Carolina. After his marriage he took up his
residence in Mumford, near Rochester, Mon-
roe County, New York. They had ten sons
and two daughters. The subject of our sketch,
Dr. George McNaughton, was the eleventh
child. Three of the elder sons served in the
Union Army during the Civil War, and all
were business men except four — George, a
physician; Daniel and Stuart, dentists, and
Malcolm, a graduate engineer.
Happy is one privileged to see the beauty
of Scotland, but far happier he who can count
a Scotchman a friend. Knowing George Mc-
Naughton, one knew a man possessing the
best virtues in Scotland's gift to her sons —
fidelity, perseverance, tenderness, and honesty
that tolerated no hypocrisy or sham, but
pierced through affectation or disguise as
skillfully as his lancet found the seat of dis-
His was a sense of humor that was the sav-
ing grace of many a situation strained to the
breaking point bj^ suffering, anxiety or con-
tention; an indomitable courage and tenacity
of purpose that counted no labor or eft'ort and
admitted no possibility of ultimate defeat;
and a faith and devotion to the right as he
saw it that made his life an inspiration and
his death a triumph to those Avho loved him.
Proud is the country that can breed such a
posterity, and grateful the country that num-
bers them among her sons.
James MacFarlane W infield, M.D.
HIS WORK AT THE COUNTY MED-
ROB ABLY Dr. McNaughton's great-
est achievement was the building
up and revivifying of the Medical
Society of the County of Kings.
When he was elected its President, in 1894,
the Society was drifting along in a passive
and half-alive state; the medical profession
of Kings County was not very closely united,
and was in sore need of an effective leader.
The Society had continued to grow gradually,
simply because it was the representative med-
ical organization of the county. The library,
which had been started many years previ-
ously, was suffering from lack of proper room
for presenting, storing, and handling its accu-
The idea of making Brooklyn a medical
center, with one of the greatest medical li-
braries, had been considered an impossibility
so far as thought of at all. It was an oppor-
tunity and he realized it. There was need
of a suitable structure for housing the Society
in its varied activities and its library. But
how was it to be obtained'?
It may be profitable to recall some of tbe
points in Ms plan of campaign, not all pre-
formed, but as evolved. For years lie made
a close and continuous study of methods for
promoting both the general professional wel-
fare and the inmiediate cause in hand, for it
soon appeared that the two were closely allied
and that a prime necessity for carrying out
the purpose of construction was the strength-
ening of the local profession all along the
line. Consequently, the Society, its affilia-
tions, work, and relaxation were the subject
of a careful review.
In his inaugural address (April, 1894) he
outlined his policy and immediately set to
work to put it into effect. He realized that
if an institution or government is to pros-
per it must have a solid substratum, a support
resting upon a real basis. Consequently his
early endeavor was to attract attention to the
Medical Society. Men of prominence were
secured to read papers and to speak at other
Society functions. Invitations were extended
to special m^en from outside. Selections were
made of speakers with ability to give needed
un^ Mn 111
OLD BUILDING OF THE MEDICAL SOCIETY OF THE
COUNTY OF KINGS
356 Bridge Street, Brooklyn, N. Y.
information either in a general, an educa-
tional, or a constructive sense; and above all
to extend the relations of the Kings County
profession. This all was without thought of
theatrical effect or of personal aggrandize-
ment. Addi'esses, papers, guests, dinners,
celebrations, etc., were devised or tactfully
turned in the interest of the one great aim.
The impress was speedily felt and soon the
Medical Society, which had been of mediocre
repute, became kno^^^l throughout adjacent
states and counties; in fact, the outlook for
county medical societies in general was greatly
advanced by his achievement.
Because of this success on his part, out-
siders, active in wider lines, have occasionally
shown apprehension ; medical, like other poli-
ticians, may be preplexed by disinterested de-
votion in others, especially when it works out
In addition to other measures, he found it
necessary after becoming President to initi-
ate a sort of civil service. The official side of
the organization had to be both awakened and
invigorated. The Council of the Society, its
elective officers, were affected with a certain
laxity. A sense of their responsibility and
of the need for their active co-operation had
to be developed. The attendance at Council
meetings had been so desultory as to make
team work impossible. Yet, in spite of this
lack of effective work, the habit had been to
return to office the same Councilors from year
to year. The policy of objecting to the re-
election of habitual delinquents was suffici-
ently endorsed by the voting members to have
a salutary influence. With the application
of this civil service feature, things began to
improve, and the good effect is still in evi-
He also found it imperative to differentiate
more clearly the work or scope of the two rep-
resentative bodies of the Society, the Board
of Trustees and the Council, and this was
perhaps both the most difficult and for the
main purpose the most important service ren-
dered in the campaign. It was the entering
wedge successfully introduced by his inaug-
ural address. It had long been recognized by
Dr. Maddren that there was a natural ten-
dency for the Trustees, as the more contin-
uous body, to usurp the functions of supreme
government. McNaughton clearly pointed
out that the Trustees were the financial and
holding body of the organization, and that
the Council was the governing and superior
body. When the plans for the new building
were sufficiently under way, he suggested the
advisability of making the Chairman of the
Board of Trustees also Chairman of the final
building committee, an arrangement which
proved in all respects most excellent.
That the program of construction in which
he engaged made a wide communal appeal,
as a matter of public quite as much as of
merely professional importance, was shown by
the Greco-Roman Fair ; though organized med-
ically this met with most gratifying patron-
age from all sides.
When the Library began to attain size it
appeared to the members of the Society that
taxation of the property was unjust and un-
fair, since the Librar}^ was maintained for
educational purposes and the public good.
To the Society it was almost a financial neces-
sity to be relieved of the burden of taxation.
While McNaughton's name rarely appears in
connection with the long efforts to accomplish
this, he had a leading part in planning and
supporting them, kept up the fight despite
discouragement, attended hearings of legis-
lative committees, etc. Finally, through the
aid of a member who was then a State Sena-
tor, a general law was passed exempting from
taxation such medical libraries in counties of
this class (Chapter 94, Laws of 1903). He
long exercised a most scrupulous watchful-
ness to see that the conditions for its enforce-
ment and continuance were not vitiated.
His Financial Support of the Society.
Besides his success in inducing others to
aid the cause, his own financial relation to the
Society was typical of his devotion to its in-
When the late Dr. William Pepper, who
had been so successful in promoting medical
affairs in Philadelphia, was present in Brook-
lyn as speaker and guest at the Jenner Memo-
rial, he was gently interrogated as to avail-
able methods of gathering funds. His lead-
ing point was that he who would gather from
others must himself lead the way. Any such
hint, however, merely served to strengthen
McNaughton in the liberality of his contribu-
tions. If all the items ai'e summed up (as
NEW BUILDING OF THE MEDICAL SOCIETY OF THE
COUNTY OF KINGS
1313 Bedford Avenue, Brooklyn, N. Y.
repeated contributor to the Building Fund,
as one of the donors of the Watson, and again
of the German Hospital collections of books,
in dues to the Society and to the auxiliary
Medical Library Association, and by the be-
quest in his will), it appears that more stands
to his personal credit in this respect than to
that of any other member, so far, of the So-
James MacFarlane Winfield, M,D.
REMINISCENCES OF GEORGE
HEN you ask for a few words to add
to a memorial of the late Dr.
George McNaughton, what can I
say? What is there left to say?
To extol him as a man or properly to place
him before the public, adjectives are poor
material. To support his memory as a physi-
cian and surgeon with its deeds, sacrifices,
and a life given to and for others, the pedestal
can not have too deep a foundation.
As a friend and colleague, the word loyal
but feebly expresses what he was to those who
really knew him. His memory lives in acts
emanating from a great, generous heart, his
sincere interest in the well-being of his
friends, and his ever-ready willingness to add
to the comfort of others.
We, who chunmied with him most, keenly
miss his original bursts of humor and his
serious, thoughtful moments. When he first
told of his ambulance coach we ridiculed him ;
but he slowly and firmly kept pegging away
at the idea until it materialized and to such
purpose that the world knew of the "Bennett
His Plan for a Septic Specialist.
Ever thinking ahead, he would bring ideas
to the fore which, if even partially devel-
oped, would be of lasting benefit to mankind.
One evening, at an informal gathering of
medical friends, he, in his half-humorous,
half-serious fashion, proposed that we develop
some young doctor as a specialist in the care
of septic cases. At the time this seemed ab-
surd, but when given serious thought it is an
idea, for those of us doing surgery, that de-
serves more than a casual glance. The septic
specialist may yet be a division in the great cor-
don of medicine. It is such an important part
of the work in the surgical field that none
but men of large ability could possibly think
of filling it. Could such a field of surgery be
developed it would mean a great relief to
those handling clean material and surgical
work in general.
Subsequently he referred to this subject at
times, but this was only one of his many novel
schemes. Throughout his surgical life he was
constantly contributing to the safety of dan-
gerous procedures and adding to the expec-
tancy of life.
In his career as a gynecologist he conceived
and placed in the hands of surgeons many
valuable additions to the technic of surgical
procedures. Two of these, in addition to
those mentioned bj^ others, were his operating
frame (see page 28), and his pump for use
in abdominal work.
His Abdominal Aspirator Pump.
Early in his career, when associated with
the late Prof Skene, he devised a means of
ridding the abdominal cavity of pus and
superfluous fluid of any kind while operating.
This was at a time when flushing the abdomi-
nal cavity w^as in vogue, and much saline or
Thiersch was used as a wash.
This contrivance, while working on the
principle of an aspirator, was much more
powerful, the vacuum jar being exhausted but
once. In the main it consisted of the cus-
tomary, but large and very strong, flask or
bell- jar, from which led two tubes with stop-
cocks. Attached to one tube was an extra-
sized exhaust-pump, made of metal so that
breakage was out of the question, and to the
other tube was attached a finely perforated
cylindrical strainer to be introduced into the
cavity or place from which fluid was to be
withdrawn. All of this could be sterilized, or
as much of it as necessary. It freed any pelvis
promptly of secretions and did no harm, as
irritation was a minor quantity in its opera-
tion. As it was so very simple and far ahead
of an aspirator I am quite unable to conceive
how it dropped into disuse, except that on
account of a change in operative methods it is
much less required.
His Introduction to Obstetrics.
Our friend used to tell an amusing story of
his first obstetrical case; and it so well illus-
trates his ready thought and wit that I ven-
ture to repeat it for his medical friends.
In the days when he studied medicine, a
preceptor was necessary to guide the coming
M.D., and Dr. George was under the tutelage
of an able practitioner. This preceptor fur-
nished to the fledgling much of the practical
knowledge of medicine, while the college sup-
plied much theory. In this particular in-
stance Dr. Menzie, liis preceptor, took young-
George in his buggy and on the way to the
patient's home instructed him as to his gen-
eral behavior and the care of the case.
The patient was a healthy multipara and
quite able to care for herself, but enjoyed the
presence and assurance of her medical ad-
viser. Dr. George made a good entrance, got
through the preliminaries in excellent order,
and then made his digital examination. After
that ordeal was over he assured his patient
that all was well — although he used to admit
that he didn't know whether he felt the back-
bone or some other part of her anatomy. In
due time the lady summoned our friend,
who had made himself comfortable in another
room. The second part of his functions was
performed in good order, after which he pre-
pared to go ; overcoat, gloves and hat on, when
the patient ventured the remark that he had
forgotten somethhig. He searched his pockets
and such of his belongings as might hide any-
thing, but failed to note anything missing.
Again starting for the door, the patient
reminded him that the secundines were not
removed. With quick presence of mind, he
replied, ^'Well, I'll attend to them if you
think it necessary, but some don't." This
rather youthful sally slightly illustrates his
ever-readiness, whether in the daily routine
of his burdened life or in the emergency when
prompt action was of primary importance.
Calvin Fremyre Barker, M.D.
A PERSONAL APPRECIATION.
I HE death of Dr. George McNaughton
has created such a vacancy in the
medical profession and his loss has
so keenl}^ been felt by multitudes of
patients as well as friends in the profession
surviving him that it has seemed only right
and fitting, and a duty impelled by our sense
of loyalty to his memory, that some monument
should be erected to him.
To the writer, personally, he stood for so
much, and this experience has been duplicated
so many times with others, that a brief recital
of the qualities displayed in such an associa-
tion may be, with advantage, set down here.
The writer's introduction to the subject of
this sketch was upon his first visit to a meet-
ing of the Medical Society of the County of
Kings, held in the old building located on
Bridge Street. Being a young man and en-
tirely unknown, I was made by the then pre-
siding officer. Dr. McNaughton, to feel entirely
at my ease, and to that first acquaintance,
which was entirely without a formal introduc-
tion (for he spoke to me as a stranger within
his gates during the period of social inter-
course immediateh^ succeeding the scientific
session), the writer traces all his subsequent
interest in the Society, and many happy hours
of professional and social intercourse as the
acquaintance ripened into such friendship as
an older man may have w^ith a younger.
Dr. McNaughton's social qualities were
such that you forgot the difference in your
age or experience. They were of that peculiar
quality which made ,vou feel immediately
''Here is my friend." While with him you
never felt his superiority of intellect and ex-
perience which you would acknowledge while
communing with yourself. He immediately
brought you up to his level.
Acquaintance ripened into closer relation-
ship when, in 1898, he offered me the position
of assistant ui his department at the Long-
Island College Hospital. He was so busy that,
in order that he might talk with me about
qualifications and what importance our rela-
tions would, upon the appointment being
made, then assume, it was necessary for me to
go wdth him in his carriage as he made his
round of calls upon his patients. This imme-
diately impressed upon me his eternal fidelity
to his chosen calling, and his end was hastened
by this very same close application through-
out the years to the interests of his patients.
He never refused to go, and the sufferings of
the poor and needy became his personal con-
cern even far more quickly than those of the
Alas, it is sad to say that such devotion as
many of us have kno^vn to be his, must go
unseen and unsung. The praises of states-
men, of legislators, of literateurs, of the
clergy, and of many others are well heralded,
and their names go down in the halls of fame,
but how few medical men receive even their
rightful due. May this little book from the
circle of his friends be his enduring monu-
ment, and may those wiio were not so fortu-
nate as to enjoy his intimate companionship
see in its pages an example of loyalty as only
such a man as he could inspire.
Albert Martin Judd, M.D.
HIS USE OF SEA- WATER IN INTER-
BOUT the year 1900 Dr. McNaugh-
ton became impressed with the pos-
sible value of sea-water from a
medicinal point of view, and made
quite a study of it. He was unable to find
much of any definite data. The medical liter-
ature, as I remember it, had no information,
and the government at Washington in its
various departments was able to supply but
little more. He did find a few chemical anal-
yses, taken by different people, the location
of the point at which the sample was taken
not being stated, and bacteriologically he was
unable to find any information.
As I remember the doctor's scientific argu-
ment with reference to this water it was some-
what as follows : That the human body needed
all of the natural salts; that our ancestors
were generally users of spring and well water,
while the modern urbanite is supplied with
rain or surface water which analyses show
contain less mineral constituents. These nat-
ural salts also were secured as they appeared
in foods, but in the modern processes of man-
ufacture many natural substances are elim-
inated from our food products, as evidenced,
for instance, in white flour. Furthermore,
that in no one section of the country were all
the salts obtainable and therefore it was quite
likely that people in certain sections got a
surplus of certain varieties of salts and lacked
others altogether. That sea-water contained
a solution of all the salts and all the minerals,
being a condensation of all spring waters
through millions of years of time. That in
the waters of the sea nature had combined all
elements, and this combination must be for
some useful purpose, as so often proves to be
true. That the mineral waters now so gen-
erally in use had proven their usefulness and
in a reverse way had demonstrated that if
they were of value, containing, as they did,
but a few of the salts, that sea-water, con-
taining them all, must have a value to a very
much greater number of people, as any in-
dividual mineral water of necessity would be
of service only to those who lacked its par-
ticular salts in their food or system.
He made quite an effort to get analyses from
the different oceans in hopes of finding differ-
ent combinations of salts therein contained,
but was unable to get anything along these
The doctor talked this over, giving the ar-
guments pro and con, a great many times,
and finally asked me, about the year 1900* ; if
I could secure for him a sample of sea-water
taken far enough from land to be free from
contamination by the run off of the Hudson
River. This was not easy to do, because I had
no knowledge as to just how far such contam-
ination might extend from shore, but I did
secure a ten gallon flask of water taken from
toward the end of flood tide five miles outside
of Rockaway Beach. The doctor immediately
filled a small bottle with this water and took
it to his room for his personal use. It proved
to be a mild cathartic, but in the course of a
few days the water gave off a very strong,
unpleasant odor, which, upon examination,
proved to be true also of the water in the
flask. This was somewhat disconcerting until
he remembered that casks of fresh water as
used at sea go through a process of "sweet-
* The recent reports of foreign enthusiasm for this agent
did not begin to appear until 1904. — Ed.
ening," during which they also have an un-
pleasant odor and taste.
In the course of a few weeks, my recollec-
tion is three or four weeks, the water in both
the bottle and in the flask "sweetened." In
another instance the period of "sweetening"
took four or five months.
All the members of the family were invited
to partake of it freely. He used this flask in
the course of six months or a year and then
asked if he could secure a little larger supply
and, as I remember, on three different occa-
sions thereafter I secured first a barrel, then
two or three barrels, and later fifteen barrels,
which he continued to use personally until the
day of his death, prescribed for his patients,
and gave to his friends.
The water having gone through this pro-
cess of "sweeting" was very pleasant to the
taste, and was certainly very pleasantly effec-
tive from a layman 's point of view as a cathar-
tic. As I remember it, the doctor had a strong
opinion that this water would be of value to
the kidneys and liver and might have a par-
ticular value for elderly people, and I believe
it was to elderly people that he usually
prescribed it. The dose he suggested to me
was a wineglass full night or morning, or both.
He also considered, its use with drinking
water and may have so used it in certain in-
He was also greatly impressed with the pos-
sibilities of sea-water from a commercial
point of view and we at various times con-
sidered the advisability of organizing a com-
pany for its general distribution, going so far
as to consider its self -advertising value, par-
ticularly throughout the inland country, and
we had concluded that the most available
place for its collection would be at the end of
the Long Island Railroad, at Montauk Point,
where it would be possible to collect with a
tank steamer the water fifty miles from the
mainland and many miles from the outlet of
any big river.
Frederick Loud Cranford.
HIS WOEK IN INTUBATION AND
ABSCESS OF THE THROAT.
IR. McNAUGHTON'S activities as a
practitioner of medicine led to the
mastery of problems encountered
in his everyday experience. He
was one of the first pupils of O'Dwyer when
that master of medicine succeeded in robbing
diphtheria of some of its dreaded effects by
the perfection both of his tubes for intuba-
tion of the larynx and of the technic of their
introduction. In the early nineties McNaugh-
ton did more of this exacting and poorly-com-
pensated work than did anyone in Brooklyn.
It was in the performance of this work in
intubation that he met with many cases of
obstruction of the larynx in children and in
adults caused by other infections than diph-
theria. A characteristic grouping of symp-
toms in this type of sore throat includes the
intense pain suffered by the patient, followed
by dyspnoea dysphagia, intercurrent subsi-
dence of some of the manifestations, and fre-
quently by death. He learned to recognize
this condition in the larynx which, if intubated,
did badly, but which, if incised, recovered.
Many a case of edema of the larynx was thus
saved by his skill in diagnosis, where, called
to do an intubation, he used the knife and
released pus instead.
Especially dangerous here is the retro-
pharyngeal form of abscess. It was from an
inflammation of this kind that Washington
died, and fatal cases are even now not at all
rare. It is often not recognized in time to
prevent fatal sinking of the infective material
into the mediastinum. The character of these
cases and the dangerous route the pus is prone
to take, he verified by autopsy. In one of
the cases it proved fatal in less than forty-
On several occasions, in trying to intubate
these cases, an abscess cavity was opened,
with immediate relief of the symptoms and a
surprisingly early cure of the trouble. This
led him to the necessity of improvising a spe-
cial instrument for opening such abscesses.
This consisted of a shielded bistoury, curved
similarly to the instruments devised for intu-
bation (practically the same in design as the
concealed laryngeal lance of Tobold). The
blade of this instrument could be exposed a
quarter of an inch. The utility of such an
instrument he repeatedly proved.
His large experience in intubating brought
him an unanticipated large office practice in
various throat and even ear conditions. He
was greatly surprised one day to receive a
call from a man who traveled from a city in
the middle west to consult him about a chronic
ear trouble which had baffled the local prac-
titioners of the man's own city. For one who
was aiming his work toward an exclusively
gynecological practice, this occurrence he con-
sidered as somewhat of a joke upon himself.
Although he never published a paper on
any subject connected with the throat, he
often surprised those who wrote such papers
by his firm and comprehensive knowledge of
many phases of the subject, and he constantly
inculcated, when opportunity offered, both in
public and privately, facts and observations
derived from 'his almost imique experience
during the early years of intubation at the
time when, before the discovery of antitoxin,
there was a great deal of it to be done.
William Coughlin Braislin, M.B.
HIS TREATMENT OF STERILITY.
|F LATE years Dr. McNaughton ac-
quired a wide reputation in the
cure of sterility. This attainment
was greatly prized by certain of the
less numerous races with us, notably Syrians
and Armenians, and to an extent that brought
anxious couples all the way from Venezuela
to Canada, and from intermediate points to
profit by his skill.
His reputation in this line was with the
public instead of with the profession and
dated specially from an accident that at the
time was very disturbing. This happened in
a case where the sterility was due to ante-
flexion of the cervix; on inserting the glass
stem to remedy this condition, the eye became
broken, and it was only after splitting the
cervix for one inch that the remaining piece
was extracted, with much difficulty. The cer-
vix was then sutured, and the patient made
an uneventful recovery. She was successfully
delivered about year later.
It so happened that an Armenian family
occupied the floor beneath that of the case
just mentioned, and that the wife was a suf-
ferer from sterility. She came under the doc-
tor 's treatment and his method was again suc-
cessful. These people were, in turn, in touch
with a large number of their nationality, and
from that time until his death, he was con-
stantly consulted by these people for the
treatment of this condition, many even com-
ing from foreign countries.
In connection with the occurrence of steril-
ity among the Syrians and Armenians he
made the observation of the relatively high
frequency with which the male was the one
to whom the inability was due, and this in
spite of the fact that these people are not an
He does not appear to have published any-
thing directly on this subject, but that he had
long been interested in it is shown by the still
extant manuscript of an article thereon which
he read as early as February, 1886. ''The
pathology of sterility involving as it does
almost every morbid condition of the genera-
tive organs,'^ fairly expresses the spirit with
which he approached the subject. He made
no claims to unique methods of treatment, nor,
of course, to invariable success, but depended
on the relief of a variety of gynecological con-
ditions, the treatment of certain general states
(such as tuberculosis and lues), alkalinization
of the tract in suitable cases (for which he had
special five-grain soda tablets), wise marital
advice, and withal a carefully planned system
for determining who and what had been the
cause of the previous failure.
Donald Stuart MacNaughton, M.D.
REMARKS ON THE DEATH OF
Remarks before the Medical Society of the County of
Kings, March 17, 1914, and the action taken by the Society.
T IS sadly fitting, Mr. President,
that in this place, before this com-
pany, and from this rostrum the
first formal announcement of the
death of Dr. McNaughton should be made,
and the first public expression of our grief.
For, on this platform he presided longer, per-
haps, than any other officer of a prominent
medical body; and in this audience are very
many of his dear friends and hearty admirers,
with each and every member of it his debtor ;
for this building is his monument. It is
hardly too much to say that the success and
the adequate housing of this Society was the
dearest interest of his life. It was a worthy
ambition, fairly carried to completion. No
man less generous, less genial, less compelling
could, even with strong backing, have gone on
against all discouragements and won — not
from wealthy citizens, as in other cities, but
from an underpaid profession — the means to
give this dignified and comely home to our
Society. Who forgets the smiling wizardry
with which he did it ? Who has known a man
more beloved of his patients, or more ready to
break sleep or vacation — aye, a whole vaca-
tion — for one ill?
If a true man radiates, as Holmes says, six
feet of geniality, here was one who radiated
sixty. It is in this spirit that we can carry
his influence forward, in sheer kindliness and
devotion, and utter courtesy.
As a tribute to his memory I move a vote,
a rising vote, of appreciation of his great
service, and of condolence to be expressed to
his family, jif^j^^^-f ^.a^ow Dickinson, M.D.
A unanimous rising vote was taken as a
mark of appreciation of the important service
which Dr. McNaughton had rendered the
Society for many years, and the Secretary
was directed to send a letter of condolence to
On motion it was unanimously voted that the
Council and members of the Society attend the
funeral services in a body.
DR. GEORGE McNAUGHTON.
Remarks at the Memorial Meeting for Deceased Members
of the Medical Society of the County of Kings, held May
NE who has labored for the benefit
of this Society during his profes-
sional life in this city has departed.
No effort was too great, and of his
time he gave without stint or hope of reward.
He was President of this Society from 1894
to 1897, and it is generally admitted that this
beautiful building which we noAV occupy is
the result in no small degree of his personal
These meetings, called to commemorate the
labors of our former associates, were first
inaugurated by Dr. McNaughton as President
in 1895. I can speak the more feelingly, as it
was in that year that I was first appointed a
member of the Historical Committee, with
which I have continued to be affiliated ever
His name will ever be held in high esteem
by the members of this Society, and his work
will be an incentive for the younger members
of our profession for years to come.
Willimn Schroeder, Sr., M.D.,
Chairman of the Historical Committee.
BIBLIOGEAPHY OF GEORGE McXAUGHTON.
1. Paper : "Intubation of the Larynx." N. York M. J.,
1887, xlv, 624-626. Discussion, ibid., pp. 640-642.
2. Discussion of Corbin's calomel sublimation and of
intubation in the treatment of laryngeal diphtheria.
Gaillard's M. J., 1889, xlviii 64-67.
3. Paper: "Eeport of a Case of Primary Cancer of
the Pancreas." Brooklyn M. J., 1889, m, 385-391. (The
first case on record where this diagnosis was correctly
made intra vitam.)
4. Paper: "Accidental Separation of the Symphysis
Pubis During Labor." Ibid., 1890, iv, 218-224.
5. Obituary Committee Report : "Sidney Allan Fox,
M.D." Ibid., 1891, v, 590-592.
6. Case Report: Narration and discussion of case of
extra-peritoneal pregnancy. Ibid., 1892, vi, 824-829.
7. Paper: "Intubation of the Larjrnx;" and, "Statistics
of the Treatment of True Croup by Tracheotomy, by Intu-
bation, and by Calomel Sublimation; Compiled by Drs.
George MclSTaughton and William Maddren." Ibid., 1893,
vii, 461-486. (Also reprinted and published, together with
a paper by Dr. Wm. Maddren, as a pamphlet. N. Y.,
M. J. Rooney, 1892. 26, 5 pp. 8vo.)
8. Paper : "A Description and Photographs of a Coach
Designed for the Removal of Invalids (Construction Sug-
gested by the Writer)." Ibid., 555-560.
9. President's Address, April 17, 1894 (before the
Medical Society of the County of Kings). Published as
a pamphlet, with recommendations of a Committee. 6 pp.
8 vo. Editorial notice, Brooklyn M. J., 1894, viii, 495-496.
Report of Committee on President's Recommendations,
10. Address at Complimentary Dinner to Dr. Andrew
Otterson, April 25, 1895. Ibid., 1895, ix, 434-435.
11. Presentation of a Portable Trendelenburg Attach-
ment, with Illustration. Ihid., 1895, ix, 576-577.
12. Eeport of a Few Cases of Laryngeal Diphtheria
having some Bearing on the Use of Antitoxin. (In dis-
cussion (May 31, 1895) of a paper by Dr. J. L. Kort-
right.) Ibid., 1896, x, 95.
13. Address, as President and Toastmaster, at the Med-
ical Society of the County of Kings' celebration of the
Jenner Centennial, May 14, 1896. Ibid., 455 et seq.
14. Presentation of Specimen: Ectopic Gestation.
15. Opening Address at the Seventy-fifth Anniversary
of the Medical Society of the County of Kings. Ibid.,
1897, xi, 436-439.
16. Paper: "The Clinical Significance of Movable
Kidney." Ibid., 1898, xii, 65-72.
17. Editorial, ''George McNaughton, M.D.," Ibid., 158.
18. Biographical Sketch: "Joseph O'Dwyer, M.D./'
19. "The Society's Work." Address at the laying of
the corner-stone of the new building of the Medical Soci-
ety of the County of Kings, Nov. 10, 1898. Abstract:
IMd., 1899, xiii, 5-9. (Full MS. deposited in the Society's
20. Discussion of Dr. W. F. Dudley's paper on Laryn-
geal Diphtheria. Trans. Assoc. Phys. of Long Island,
1900, i, 70-71.
21. Paper: "A Factor in the Preparation of Patients
for Laparotomy." (Chiefly the internal use of ichthyol;
his method of using this in the form of suppositories was
never published.) Ibid., 72-74 (Discussion, 75-78).
22. Presentation of specimen of Cystic Kidney. Brook-
lyn M. J., 1899, xiii, 109-110.
23. Presentation of specimen of Ruptured Tubal Preg-
nancy. Ibid., 185, 187.
24. Presentation of specimen of Unruptured Tubal
Pregnancy. Ibid., 320-323.
25. Case Eeport: Caesarian Section. Ibid., 510-511.
26. Presentation of specimen: Appendicitis during
Pregnancy. Ibid., 646-648.
27. Discussion of Cases of Malignant Adenoma of the
rterus. Ibid., 1900, xiv, 46-47.
28. Biographical note and portrait of Greorge McNaugh-
ton, M.D., Ibid., 194.
29. Paper: "Tubercular Peritonitis." Ibid., 834-843.
30. Presentation of Specimens: (1) Uterine Fibroid
(developing Tyears after treatment of a small uterus for
antiiluxion) ; (2) Stenosed Cecum; (3) Ectopic Gestation
complicated with Appendicitis. Ibid., 1901, xv, 85-87.
31. Paper: "Ectopic Pregnancy: Primary Rupture
the Opportune Time for Making Diagnosis." Albany M.
Ann., 1901, xxii, 187-192.
32. Discussion of papers on: (1) Cure of Complete
Prolapsus Uteri by Plastic Surgery; (2) Causes of Dys-
menorrhcea. Am. Gyn. and Obst. J., K. Y.. 1901, xviii,
33. Specimen of Kidney with Large Calculus and Cal-
careous Degeneration in Substance of Organ. Ibid., 1901,
XXX, 152. Discussion of paper on: Treatment of Puer-
peral Eclampsia. Ibid., 155.
34. Discussion of cases of (1) Malignant Disease in
Pregnant Uterus, and (2) Ectopic Gestation. Trans.
Assoc. Phys. of Long Island, BrooTclyn, 1902, Hi, 63-64.
35. Paper: "A Case of Partly Formed Lithopedion."
Brooklyn M. J., 1902, xvi, 117.
36. Eeport of a Case of Epithelioma of the Cervix
Uteri. Panhysterectomy. Ibid., 492-495.
37. Report as Chairman of the Board of Trustees.
Proc. of 82. Ann. Meeting of the Med. Soc. of the Co.
of Kings, Jan., 1903.
38. Paper: "Epidemic Parotitis with Metastasis to the
Female Genitalia ; with Report of a Case." Brooklyn M. J.,
1903, xvii, 115-120 (Discussion, 142-143). Also: Pedi-
atrics, N. Y., 1903, XV, 263-273.
39. Eeport of Case: Miscarriage Mistaken for Ectopic
Gestation, in a Woman with Double Vagina. Ibid., 543-
40. Discussion of paper on : Dia^osis of Ectopic (Tes-
tation. Ibid., 1904, xvi, 452-454.
41. Paper: 'The Home or the Hospital?" Trans.
Assoc. Phys. of Long Island, Broolclyn, 1904, v, 15-28.
42. Paper : "Removal of the Appendix while Operating
for Salpingitis." Title reported and discussion in:
BrooUyn M. J., 1905, xix, 287-288.
43. Paper: "Pus in the Pelvis." Ibid., 1906, xx, 1-3
44. Discussion on the Etiology of Fibroids. Ibid., 178-
179. (A brief summary of his special observations on
this subject. His previous discussions thereon are reported
in the same journal, 1899, xiii. p. 189, and 1901, xv,
Also other discussions, reports, casual notes, and items.
Because of his non-writing habit some of his best work
is only thus reported, if at all.