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Full text of "A biographic memorial of George McNaughton, M.D"

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RFYNOLDS HISTORICAL 
C3ENEALOGY COLLECTtdN 



ALLEN COUNTY PUBLIC LIBRARY 



3 1833 01331 8628 



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A Biographic Memorial 



OF 



GEORGE McNAUGHTON, M.D. 




ALBERT T. HUNTINGTON 
1914 



Published December 21, 1914 
Of this book two hundred 
copies have been priated, of 
which this is No./<K.Z5. 



1837338 



CONTENTS. 



PAGE 

Preface 7 

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. 



^ 



J5 



■'^ 



PAGE 

His Work in Intubation, and Abscess of the 
Throat 63 

By William Coughlin Braislin, M.D. 

His Treatment of Sterility G7 

By Donald Stewart MacNaughton, M.D. 

Eemarks on TiEE Death OF George Mc- 
Naughton 71 

By Robert Latou Dickinson, M.D. 

Dr. George McNaughton 73 

By Willimn Schroeder, Sr., M.D. 

Bibliography of George McNaughton 75 



ILLUSTEATIONS. 



PAGE 

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. 



r=^ 



PREFACE. 

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- 
tomary. 

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 
more connected. 

W. B. 



Plate -2. 




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 
a head-center. 

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 



10 



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 
sense. 

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. 



11 



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 



12 



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 



13 



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 
Residence There, 

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 



14 



Place (1894-1901) ; 479 Clinton Avenue (May, 
1901-1914). 

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. 



15 



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 
College Hospital. 

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 



16 



Plate n. 




DR. GEORGE McNAUGHTON 
About the time of his graduation in medicine. 



late years Vice-President of the Medical 
Board. 

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 



17 



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- 
theria. 

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 
aid. 

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- 



18 



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 
Brooklyn. 

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. 



19 



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, 
inclusive. 

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 



20 



to him for guidance. And so far as strength 
permitted he continued this interest to the end. 

His Writings. 

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 



21 



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 



22 



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 



23 



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- 
ing this. 

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- 
uation. 

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- 



24 



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 
status. 

He based his opinion, as to the retiring age, 



25 



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 
develops. 



26 



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 
illustration. 

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- 



27 



bulances, and has become a necessity in every 
civilized community. 

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 
forceps. 



2S 



Plate 4. 




Fig. 1.— The Invalid Coach. 




Fig. 2. — Operating Frame (Trendelenburg Position). 



m 



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- 
ever origin. 

His Outings. 

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 



29 



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- 
tion. 

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. 



30 



His Death. 

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 
qualities. 



31 



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 



32 



I'late o. 




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. 



33 



1837338 



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 



35 



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 
gold. 

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 



36 










< ir 






Z o 



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 



37 



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- 
ease. 

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. 



38 




HIS WORK AT THE COUNTY MED- 
ICAL SOCIETY. 

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- 
mulating material. 

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 



39 



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 



40 



I'late 




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 
well. 

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 



41 



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- 
dence. 

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 



42 



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. 

Tax Exemption. 

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 



43 



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- 
terests. 

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 



44 



Plate S. 




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- 
ciety. 

James MacFarlane Winfield, M,D. 



45 




REMINISCENCES OF GEORGE 
McNAUGHTON. 

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 



47 



at the idea until it materialized and to such 
purpose that the world knew of the "Bennett 
Coach." 

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 



48 



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- 



49 



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- 



50 



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 



51 



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. 



i)2 




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- 



53 



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- 



54 



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 
wealthy. 

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. 



55 




HIS USE OF SEA- WATER IN INTER- 
NAL THERAPY. 

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- 



57 



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 



58 



the different oceans in hopes of finding differ- 
ent combinations of salts therein contained, 
but was unable to get anything along these 
lines. 

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. 



59 



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 



60 



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- 
stances. 

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. 



61 




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 



63 



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- 
eight hours. 

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 



64 



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. 



65 




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. 



67 



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 
immoral race. 

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 



es 



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. 



69 



REMARKS ON THE DEATH OF 
GEORGE McNAUGHTON. 



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 



71 



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 
the family. 

On motion it was unanimously voted that the 
Council and members of the Society attend the 
funeral services in a body. 



72 



DR. GEORGE McNAUGHTON. 




Remarks at the Memorial Meeting for Deceased Members 
of the Medical Society of the County of Kings, held May 
31, 1914. 

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 
efforts. 

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 
since. 

His name will ever be held in high esteem 



73 



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. 



14 



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, 
Ibid., 501-503. 



75 



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. 
Ibid., 715-719. 

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./' 
Ibid., 399. 

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 
Library. ) 

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. 



76 



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, 
146, 334. 

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. 



77 



39. Eeport of Case: Miscarriage Mistaken for Ectopic 
Gestation, in a Woman with Double Vagina. Ibid., 543- 
544. 

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 
(Discussion, 33-37). 

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, 
p. 85.) 

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. 



78