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FILE NAME: Railroads (RR) DATE: 1967 Feb DOC#: RR020 DOCUMENT DESCRIPTION: Report of the 47th Membership Meeting of the Medical Officers - Association of American Railroads .S i ) ' I } i ; | I REPORT of the FORTY-SEVENTH MEMBERSHIP MEETING of the MEDICAL OFFICERS HELD AT MOUNTAIN SHADOWS HOTEL PHOENIX, ARIZONA F eb ru a ry 20, 21 and 2 2, 1967 Published by the ' - ASSOCIATION OF AMERICAN RAILROADS O PERATING-TRANSPO RTATION DIVISION Staff Secretary 59 East Van Bur en Street Chicago, Illinois 60605 l V TABLE OF CONTENTS Page O f f i c e r s ..................................................................................................................... 5 C o m m i t t e e P e r s o n n e l ....................................................................................... 5 C a l l to O r d e r ........................................................................................................ 9 H i s t o r y o f M e d i c a l S e c t i o n .......................................................................... 9 A d d r e s s - C. L. E w i n g ................................................................................... 27 Panel - Personnel, Employability & M edical Con d it io n s ........................................................................................... 41 A d d r e s s - A . H. A n d r e w s , M . D ............................................................... 55 Panel - Back to Back - R a d i o l o g i c S c r e e n i n g P r o g r a m - VV. H. N e i l , M . D .............................................................................. 68 The R a d io lo g ist's V ie w s, R. D. M o r e t o n , M, D ......................................... 73 F ollow Up on D is c S e r ie s , I. Kaplan, M .D . . 87 A d d r e s s - R . W. R i f f , M. A ......................................................................... 80 A d d r e s s - J . E . C r o c k e t t , M . D ............................................................... 99 A d d r e s s - G. E . D i m o n d , M . D .................. .... . . . . . . . . . . 114 A d d r e s s - H. D . S t e i n b e c k , M . D ............................................ .... . . . 129 A d d r e s s - J a c e k S z a f r a n , P h . D ....................................................... 143 R e p o r t o f C o m m i t t e e o n F i r s t A i d .......................................................... 157 TABLE OF CONTEXTS - Continued R e p o r t of C o m m i t t e e on T r a u m a .......................... Report of Committee on M edical Standards . Report of the Ad Hoc C om m ittee on F in an ce I n s t a l l a t i o n o f O f f i c e r s ................................................ A t t e n d a n c e .......................................................................... 4 OFFICERS AND COM M ITTEES 1066-1967 Jofm R. W inston, M. D. , C h a ir m a n Southgate L eigh , J r . , M. D. , V ic e -C h a ir m a n W. E. Todd, Staff S e c r e ta r y COMMITTEE OF DIRECTION 1 57 (T erm s expire 1967) 1'58 I. E . C la y t o n , M. D. , C h ie f S u r g e o n , S o u t h e r n R a ilw a y S y s t e m , 1 5th and K S t r e e t s , N. W. , W a sh in g to n , D. C. 20013 158 '. W. H o l l o , M. D. , C h i e f S u r g e o n , St. L o u i s - S a n F r a n c i s c o R a i l way, 4960 L aclede Ave. , St. L ouis, M isso u ri S3108 159 . W. Houk, M. D. , M ed ical D ir e c to r , N orfolk & W estern R ailway, Roanoke, Virginia 24011 161 /. E. M is h le r , M. D. , C h ief S u rg eo n , E r ie -L a c k a w a n n a R ailroad , 608 Republic Bldg. , C leveland, Ohio 44115 'e t e r V a u g h a n , M. D. , C h i e f M e d i c a l O f f i c e r , C a n a d ia n N a tio n a l R a ilw a y s, P. O. Box 8100, M ontreal, Q u eb ec, Canada (T erm s expire 1968) sad ore Kaplan, M. D. , M ed ica l and S u r g ic a l D ir e c t o r , M edical D e p a r tm e n t, B a ltim o r e & Ohio R a ilro a d and B a ltim o r e & Ohio Chicago T erm inal Company, B altim ore, Maryland 21201 k C. O lso n , M. D. , C h ief Surgeon, Illin o is C e n tr a l R a ilroad , 5800 Stony Island Avenue, Chicago, Illinois 60637 I 5. W. S t o c k w e l l , M. D . , C h i e f S u r g e o n , D e t r o i t & T o l e d o Sh ore L in e R ailroad & Grand T runk W estern R ailroad , 1229-39 David H Whitney Bldg. , 1553 Woodward A venue, D etroit, Michigan 48226 E arle Wight, M. D. , Chief of M edical S e r v ic e s, Canadian Pacific Railway, W indsor Station, M ontreal, Q uebec, Canada Lohn R. W inston, M. D. , S y stem M edical D ir e c to r , A tchison, T opeka & Santa Fe R ailw ay, 80 E a st Jack son Blvd. , Chicago, Illinois 60604 (T erm s expiring 1969) ta n le y J. C y ra n , M. D. , M ed ic a l D ir e c t o r , P e n n sy lv a n ia R ailroad, 474 Thirtieth Street Station Bldg. , Philadelphia, Pennsylvania 19104 outhgate L eigh, Jr. , M. D. , C hief S urgeon, Seaboard Air Line R ailroad, P. O. Box 1620, R ichm ond, V irginia 23213 Walter J, L on gew ay, M. D. , C h ief S u rgeon , C olorad o & Southern Railway, 520 M etropolitan Bldg. , D enver, Colorado 80202 ibbott Skin ner, M. D. , C h ief M ed ica l O ffic e r , G reat N orth ern R a il w ay, 1360 Low-ry M edical A rts Bldg. , St. P aul, M innesota 55102 r. M . S t r a n g e , M. D . , C h i e f S u r g e o n , S o u t h e r n P a c i f i c C o m p a n y , Hospital D epartm ent, 1400 F e ll Street, San F ran cisco, Cal ifornia 94117 5 STEERINO COMMlTTEE John R. W in s to n , .M. D . (C H A IR M A N ), S y s t e m M e d i c a l D i r e c t o r , A t c h i s o n , T o p e s a & S an ta Ft: Railv.-ay, 80 E a s t J a c k s o n B lv d . , C hicago, Illinois 60604 Southgate Leigh, J r ., \l. D. (VICE-CHAIRMAN), Chief Surgeon, Seaboard A ir Lino R a ilr o a d , P. O. B ox 1620, R ichm ond, Virginia 23213 W a lt e r J. L o n g e v / a y , AI. D. , C h i e f S u r g e o n , C o lo r a d o & S o u th e r n Railway, 520 M etropolitan Bldg. , Denver, Colorado 80202 E. C. O lso n , M. D. , C h ief S u rgeon , Illin o is C entral R a ilro a d , 5800 Stony Island Avenue, Chicago, Illinois 60637 ' MEDICAL- LEGAL COMMITTEE Isad ore Kaplan, M. D. , (CHAIRM AN), M ed ica l and S u r g ic a l D i recto r, B a ltim o re & Ohio R ailroad, B altim ore, Maryland 21201 G. W. B e n ja m in , M. D. , C h ief M ed ica l O f fic e r , W estern M aryland Railway, 300 St. Paul P lace, B altim ore, Maryland 21202 E. A. H a m ilto n , M. D. , C h ie f Surgeon, N ew York C en tral S y s t e m , LaSalle Street Station, Chicago, Illinois 60605 V. W. H o llo , M. D. , C hief S u rgeon , St. L o u is-S a n F r a n c is c o R a il w ay, 4960 L a c le d e A venue, St. L o u is, M isso u r i 63103 Southgate L e ig h , J r . , M. D. , C hief Surgeon, Seabiard A ir Line R ailroad, P. O. Box 1620, Richmond, 'Virginia 23213 F . W. Mahoney-, M. D. , M ed ical D ir e c to r , C en tra l R a ilroad C o m pany of New J ersey , Foot of Johnston Avenue, Jersey City, New Jersey 07302 M. M. M ed ven e, M. D. , C hief M edical O fficer, Reading Com pany, 12th and M arket S tr e e ts, P hiladelphia, P ennsylvania 19107 W. E. M ish le r , M. D. , Chief Surgeon, E rie-L ack aw an n a R ailroad , 608 Republic B ld g ., C leveland, Ohio 44115 J. S. N i le s , J r . , M. D. , C hief Surgeon, L ehigh V alley R a ilro a d , Sayre, Pennsylvania 18840 B. W. S t o c k w e l l , M. D . , C h i e f S u r g e o n , D e t r o i t &. T o l e d o S h o r e Line R ailroad, Grand Trunk W estern Railroad, 1229-39 David Whitney Bldg. , 1553 Woodward Avenue, Detroit, Michigan 48226 V. M. S tr a n g e , M. D . , C h ie f Su rgeon , Southern P a c ific C om pany, 1400 F e ll Street, San F ran cisco, California 94117 COM M ITTEE ON MEDICAL STANDARDS W. J. L o n g e w a y , M. D. (CHAIRM AN), C h ief S u rgeon, C olorad o & Southern R ailw ay, 520 M etropolitan Bldg. , D enver, Colorado 80202 M. E. C h ild r e s s , M .D . , C h ief S u rgeon , W estern P a c ific R a ilr o a d , W estern P a c ific Bldg. , 526 Mission Street, San F r a n c isc o , California 94105 S. J. C yran, M. D. , M ed ical D ir e c to r , P ennsylvania R ailroad, 474 T hirtieth Street Station Bldg. , Philadelphia, Pennsylvania 19104 6 j . 1!. G a n d y , M. D. , C h i e f S u r g e o n , T e x a s 4 N ew O r l e a n s R a i l road, Houston, Texas 77001 J. W. Houk, M. D. , M ed ical D ir e c to r , N orfolk & W estern R a il way, Roanoke, Virginia 24011 R. S. K iefl'er, 7,1, D. , M e d i c a l D i r e c t o r , M i s s o u r i - K a n s a s - T e x a s R ailroad, 420 Giiublin Road, St. Louis, M isso u ri 63147 A. M cE w an , M. D. , C h ief S u rgeon , N orthern P a c ific R ailw ay, 1515 C h arles A venue, St. Paul, M innesota 55104 E. C. O lso n , M. D. , C h ief S u rgeon , Illinois C en tra l R a ilr o a d , 5800 Stony Island Avenue, Chicago, Illinois 60637 J. G. S h a r p le y , M. D. , C h ie f S u r g e o n , C e n tr a l o f G e o r g i a R a ilw a y , Savannah & Atlanta Railway, Savannah, Georgia 31402 A. Skinner, M. D. , Chief M edical O fficer, Great N orthern R ailw ay, 1360 L ow ry M edical Arts Bldg. , St. Paul, M innesota 55102 J. K. Stack, M. D. , C hief Surgeon, Chicago & North W estern R a il w ay, 127 North Clinton Street, Chicago, Illinois 60606 A. J. Sutherland, M. D. , D istr ic t Surgeon, L o u isv ille & N ash ville Railroad, 1904 Hayes Street, N ashville, T en n essee 37203 P e t e r V a u g h a n , M. D. , C h ie f M e d ic a l O f fic e r , C a n ad ian N a tio n a l R a ilw a y s, P. O. Box 8100, M ontreal, Q uebec, Canada C OM M ITTEE ON TRAUMA Southgate L e ig h , J r . , M. D . , (CHAIRMAN), C h ie f S u rg eo n , S e a b o a r d A ir L in e R a ilr o a d , P. O. Box 1620, R ich m o n d , V irgin ia 23213 C. M. B en a g e, M. D. , R egional M edical D irecto r, Norfolk & W estern Railway, W estern Region, Railway Exchange Bldg. , St. L ouis, M issouri 63101 C. E. B oyd, M. D. , C hief Surgeon, Louisiana & A rk an sas R ailw ay, 6815 Southern Avenue, Louisiana & Arkansas Hospital A ssn. , Shreveport, Louisiana 71106 W. J. L ongew ay, M. D. , C h ief Surgeon, Colorado & Southern R a il way, 520 Metropolitan Bldg. , D enver, Colorado 80202 B. W. S tock w ell, M. D. , Chief Surgeon, D etroit & Toledo Shore Line R ailroad, Grand Trunk W estern Railroad, 1229-39 David Whitney Bldg. , 1553 Woodward Avenue, D etroit, Michigan 48226 A. H. W in ters, M. D. , C hief S urgeon, Pittsburgh & W est V irginia R ailw ay, M ansfield A venue, P. O. Box 4440, Pittsburgh, Pennsylvania 15205 C. R. Z e is s , M. D. , C hief Surgeon, Elgin, Joliet & E astern R ail way, 208 South LaSalle Street, Chicago, Illinois 60606 COM M ITTEE ON FIRST AID S. J. C y r a n ,' M. D. , (CHAIRMAN), M edical D ir e c to r , Pennsylvania R a ilr o a d , 4 74 T h irtieth S treet Station Bldg. , Philadelphia, Pennsylvania 19104 H. A. C a u se y , M. D. , C h ief Surgeon, St. L ou is-S ou th w estern R ailw ay, c / o St. Louis Southw estern H ospital, T exarkana, A rkansas 75501 7 H. W. H a m m s it t, M. D. , C h i e f M e d i c a l O f f i c e r , C h i c a g o , n o r ling ton & Q u i n c y R a i l r o a d , 347 V . J a c k s o n i i i v o . . C h i c a g o I l l i n o i s GOGOO M. M. M c d v e n e , Al. D . , C h i e f M e d i c a l O f t i c e r . R e a d i n g Co r n f - a r r . R e a d in g T e r m i n a l , 12th and M a r k e t S t r e e t , l 'h ila d e lp h Pennsylvania 19107 J. S. N ile s , Jr. , M. D. , C h ief Surgeon, Lehigh V alley R ail r o a d , Sayre, Pennsylvania 18S40 MEM BHRSHI P MEETING ASSOCIATION OF AMERICAN RAILROADS MEDICAL SECTION MOUNTAIN SHADOWS HOTEL PHOENIX, ARIZONA Monday, February 20, 1957 The fir st g en era l s e s s io n of the F orty-S even th M em bership Meeting of the M edical Section, A ssociation of A m erican Railroads, convened at 9:00 o 'clo ck A. M. , in C onference R oom s 1 aad 2 of the Mountain Shad ow s H o t e l, P h o e n ix , A r iz o n a , with D r. John R. Winston, Chairm an, presiding. CALL TO ORDER CHAIRMAN JOHN R. WINSTON: The Forty-Seventh Annual M em bership Meeting of the M edical Section, A ssociation of Am erican R ailroads, is called to order. T h ere are s o m e announcem ents for your consideration and d e lib era tio n during the c o u r s e o f you r stay. F o r e x a m p le, the M ed ica l Standards Guide has been approved by the M edical Standards C o m m itte e and a ls o by the C o m m itte e of D ir e c tio n . It has b een or w ill be distributed th is m orning in order that you might review it during your spare m om ents. At the m eeting of the Medical Stand ards C om m ittee on W ednesday, you w ill have the opportunity to make suggestions, approve or disapprove. The first p resentation is by Dr. Ben Stockwell and to m e it is highly appropriate that at this tim e we review the history of the M edical Section. DR. B. W. STOCKW ELL (D etro it & T oledo Shore L ine R ailroad Grand Trunk W estern R ailroad , D etroit, Michigan): If I run into the coffe break, p le a se interrupt m e as I have quite a long paper for this organ ization h a s been in e x iste n c e for a num ber of y e a r s. Mr. Chairm an, M em bers of the M edical Section of the A sso c ia tion of A m erican R a ilro a d s, and guests. It i s a p l e a s u r e to p r e s e n t a h is t o r ic a l r e v ie w o f the M ed ica l Section of the A ssociation of A m erican Railroads. I am indebted to D r. R obert M. G ra h a m , D i r e c t o r , D ep a rtm en t o f Sanitation and Surgery of The Pullm an Company, for much of the sou rce m aterial and really fe e l that he should be m aking this presen tation . A ddi tional data was also furnished by our C hairm an, Dr. John Winston, Dr. J. R obertson K n ow les, C hief M edical Consultant for the Boston and M a in e , M r. H. S t e p h e n D e w h u r s t , S e c r e t a r y o f t h i s S e c tio n fr o m 1950 to 1956 and now in. th e P u b l i c R e l a t i o n s D e p a r t m e n t o f I the AAR, Mr. Julian Sherm an of the C laim s R esearch Bureau, 3 Mr. W illiam . Todd, S e c r e ta r y of our Section, and oth ers. All h is to r ic a l r e v ie w s m ust have a beginning and our sto r y actually b egins in 1 826, o r 1827, when an application was m ad e to the L e g isla tu r e of the State of Maryland for the in co rp o ra tio n of the B a l t i m o r e and O h io R a i l r o a d , w h ic h w a s , tit a s , th e f i r s t c h a r t e r e d and fully organized railroad com pany in the United States. T his w as the fir s t r a ilw a y that w a s c o n s t r u c te d , e ith er in E u rop e o r in_ the United States, for the general conveyance of p a ssen g ers or 1 products between distant points. The first division of the railroad 4 was open for the tra n sp o rta tio n of p a s s e n g e r s in 1830, and ran from B altim ore to Endicott M ills, a distance of approxim ately 15 m ile s; -1 h o r s e s and m u le s fu rn ish ed the traction p o w e r. The fir st C h a irm a n o f the M ed ica l and S u r g ic a l S ectio n o f the organization, that was then known as the A m erican Railway A s s o c ia tion, Dr. D. Z. Dunott, pointed out that with the estab lish m en t of tran sp ortation w a s a ls o e sta b lis h e d an occupational h a z a r d , the resu lts of which m ade n e c e ss a r y , very early', a railw ay su r g ic a l serv ice. He em p h asized this very strikingly by pointing out s t a tistica lly that " p ra ctica lly the p a yrolls of the ra ilro a d s today (that is in 1921) has b een im p a ired or killed within a ten y ea r p eriod. " For exam ple, in the year 1911, 3,602 em ployees w ere killed and 126,039 w ere injured and the total num ber of p erso n s killed in r a il w a y o p e r a t io n w a s 10, 396 and 1 5 0 , 159 w e r e in j u r e d . In 1 9 6 5 , 316 e m p l o y e e s w e r e k i l l e d and 3 0 , 1-10 w e r e in j u r e d , and th e t o t a l n u m ber of p e r so n s k illed in ra ilw a y operations was 6 ,2 6 1 and 4 7 ,0 5 7 w ere injured. T h ese figu res are im p ressiv e even though the total em p lo y m en t on the r a ilr o a d s dropped fr o m 1, 6S9, 809 in 1911 to 6 3 9,934 in 1965. (See attached chart) The reduction in total of all people killed and inj ured in railw ay operation w as a c co m p lish ed in spite of the en o rm o u s in c r e a s e in c r o ssin g accid en ts incident to t h e g r o w in g u s e o f th e a u t o m o b i l e . It ca n c e r t a i n l y b e c l a i m e d th at so m e of this d ram atic im p rovem en t can be attributed d ir e c tly to the work of this Section in establishing physical standards which make p o ssib le an em p lo y e e to sa fely perform his job. However, we should get back to d iscussing first things first, and, thus, I would like to give briefly the historical background of the A s s o c ia t io n o f A m e r i c a n R a ilr o a d s . It i s "the lin e a l d e s c e n d e n t " o f much earlier organizations, such as the T im e Conventions form ed in 1872, and the G en era l T im e Convention which, in 1883, e sta b lish ed the sy s te m o f standard tim e by whi ch the whole N ation now i liv e s , and the Railw'ay A ccounting O fficers .A ssociation, form ed in 1880, which helped develop uniform railroad accounting. The A s sociation of A m erican R ailroads was created by the m erger in 1934 of the A m erican Railw ay A ssociation , A ssociation of Railway E x ecu tiv es, the R ailw ay A ccounting O fficers A sso cia tio n , the Railway- T rea su rers O fficers A sso cia tio n , the Bureau of Railway E conom ics 4 and other o rgan ization s. 10 i The parent A m erican Railway Association apparently began about 1872, when its chiei b u sin ess was the adoption of time sch ed ules for p assen ger trains. The detailed sy stem of standard time was adopted for p ractical p u rp o ses m 1883 and provided definite inform ation resp ectin g the changes required in the schedule of every train on each railroad , so as to p reserv e unbroken the r e la t i v e t i m e in c o n n e c t i o n w ith t r a i n s on o th e r r o a d s . It i s i n t e r e s t i n g in this r e sp e c t to co n sid er the confusion that we have at the p resen t tim e in our standard and daylight saving tim e. A code of uniform train sig n a ls was adopted in N ovem b er of 1884, and the adoption of joint block sign al in terlo ck in g ru les was estab lish ed in 1892. A per d iem plan was begun in 1886 and presen ted a s a code in 1902. A uniform code of dem urrage ru les was established in 1909. The A m erican R ailw ay A sso c ia tio n was re-o r g a n iz e d in 1919 and then included a M edical and Surgical Section, with the following subjects under consideration: 1. Separation of ic e fro m drinking water in equipm ent and in stations. 2. Quarantine Regulations. 3. W ater U s e for D rin k in g and C ulinary P u r p o se s. 4. Placarding Condemned Water Supplies. 5. Sanitary Code. 6. Hospital Standard. 7. T raum atic Hernia. 8. P reven tion and C ontrol of Occupational D is e a s e s and H az ards. M r. R, H. A ishton, P r e sid e n t of the A m erica n R ailw ay A s s o c ia tion, on N ovem ber 6, 1920, appointed a tem porary C om m ittee of D irectio n for the M ed ical and S u rgical Section, w hose duty it was to organize the Section, elect tem porary o fficers, and supervise the Section's a ctivities until such tim e as the Section might for m ally elect its su ccesso r. The first meeting of the Committee of D ir e c t io n w a s h e ld in N ew Y o r k on D e c e m b e r 1, 1920. It e le c t e d o fficers and adopted tentative regulations to govern its activities. The originally appointed m em b ers of the Com m ittee of D irection were: Chairman, Dr. D. Z. Dunott, Chief Surgeon of the W estern Maryland Railway, B altim ore, Maryland; F irst V ice-C hairm an, D r. G. G. D ow dall, C h ief Surgeon, Illinois C entral R ailroad, Chicago, Illinois; Second V ice-Chairm an, Dr. Duncan Eve, Chief S u rgeon , N a s h v ille , C hattanooga and St. L ouis R a ilw a y , N a sh v ille , T e n n e s s e e ; D r . C. W. H o p k in s, C h ie f S u rg eo n , C h ic a g o and N orth W estern Railway, Chicago, Illinois; Dr. William B. C oley, Chief Surgeon, N ew York C en tral R ailroad , New York City; Dr. H. S. Cumming, Surgeon G eneral, representing the Bureau of Public H e a lth S e r v i c e , W a s h i n g t o n , D . C . ; D r . A. W. F r e e m a n , C o m m ission er of Health, State Departm ent of Health, Columbus, Ohio, representing the State and T errito ria l Health O fficers Association; Dr. Robert J. G raves, C hief Surgeon of the Boston and Maine R ailroad, C oncord, New H am pshire; Dr. J. A. H utchison, Chief M edical O fficer of the Grand Trunk Railway System , Montreal, 11 Quebec; Dr. A. W. Ide, C h ief S u rgeon , Northern P a cific Railway , Brainerd, M innesota; Dr. A. F. -Jonas, Chief Surgeon of the Union Pacific R ailroad, Om aha, Nebraska; Dr. J. P. R aster, Chief S u rg eo n o f tin.- A t c h i s o n , T o p e k a and San ta J'e .R ailroad, T o p e k a , K a n s a s; D r . R. VV. K n o x , C h i e f S u r g e o n o f the S o u th e r n P a c i f i c Lines, Houston, Texas; Dr, Southgate Leigh, Chief Surgeon, The V irgin ia R a ilw a y , N o r fo lk , V irgin ia; D r, S. C. P lu m m e r , C hief Surgeon, C hicago, Rock Island and P acific Railway, Chicago, Illinois; and Dr. J. B. W alker, Su rgeon , Pennsylvania S ystem , New York City. The fir s t g en era l m e e tin g o f the M ed ical and S u rg ica l Section w as held on June 3 and 4, 1921 in B oston . The o ffic e r s at this first m eeting of the M edical and Surgical Section were: Chairman, D r. D. Z. Dunott, C hief Surgeon, W estern Maryland Railway; F ir st V ic e -C h a ir m a n , D r . G. G. D o w d a ll, C h ief Surgeon , Illin o is C e n tral; Second V ice-C hairm an, Dr. Duncan Eve, Chief Surgeon, N ash ville, Chattanooga and St. L ouis R ailw ay, N ashville; Third V ic e -C h a ir m a n , D r. C. W. H opkins, C hief Surgeon, C hicago and N o rth W e s t e r n R a ilw a y ; and th e S e c r e t a r y wras a m a n that m a n y o f us w ell rem e m b e r , Mr. J. C. C aviston, who was an ex trem ely e f ficient secretary. I would lik e to c a ll your p articu lar attention to the nam e of Dr. Southgate Leigh, Chief Surgeon of the Virginia Railway, the father of our p resent infam ous, Southgate Leigh, Jr. , who w as on the C o m m itte e o f D ir e c t io n . It w a s a l s o g r a tify in g to m e and m o s t interesting to see the nam e of my father, Dr. Glenn W. Stockwell, Company Surgeon for the Grand Trunk Railway System , listed as a mem ber of the C om m ittee on P hysical Standards. A lso, Dr. Albert W inters, C hief Surgeon of the Pittsburgh and Lake E rie Railroad, who is here today, advises me that his father was Chief Surgeon, p reced in g h im fro m 1904 to 1941 and participated in these a c t i v i t i e s . A l s o , th e f a t h e r o f D r . A. H. A n d r e w s , J r . , who i s on our program today, w as a consultant for the Rock Island from 1899 to 1945. The o rigin al C o m m itte e s in addition to the C om m ittee of D ir e c tion were: C om m ittee on N om inations, Com m ittee on Sanitary Code, C om m ittee on H ospital Standards, Com m ittee on Physical Standards, C om m ittee on P rev en tio n and C ontrol of Occupational D ise a s e s and H a za rd s, C o m m ittee on W ater, and a C om m ittee on Hernia. H ernia was o b v io u sly a se r io u s prob lem in th ose days. As this is a historical review , again we should back-track, to t r y to t r a c e th e o r i g i n s o f th e M e d i c a l and S u r g i c a l S e c t i o n . In o th e r w o r d s , f r o m w hat did t h i s o r g a n iz a t io n o r ig i n a t e ? Mr. R. H. Aishton, P resid en t of the A m erica n Railw ay A sso c ia tio n , in his ad d ress at the first m eeting of the .Medical and Surgical Section, stated that an am algam ation of the A sso cia tio n of A m erican Railway Chief Surgeons, the New York and New England Railway Surgeons A ssociation, and the Railway Section of the Southern M edical As- 12 sociation, resu lted in the organization of this Section. The Section on Industrial M ed icin e and S u r g e r y of the Southern Medical A s sociation w as provided for at tne L exington M eeting in 1913. O r ig inally it was Southern States A sso cia tio n of Kailwav Surgeons, actually a S ectio n on R ailw ay S u rg ery . Changed in 192 8 to S ection on R ailw a y S u r g e r y . C hanged in 19-15 to S e ctio n on Industrial M e d ic i n e and S u r g e r y . It w a s n o ted that in 191-1, D r . D u n can E v e was the P resid en t of this Section and in 1916 Dr. Southgate Leigh was the President. A ctually, th ere w as no true am algam ation, although the three groups m entioned, undoubtedly, had an in ter-lock in g m em b ersh ip . It i s a l s o a p p a r e n t th a t th e A s s o c i a t i o n o f R a ilw a y C h i e f S u r g e o n s was, undoubtedly, the p red ecesso r of our group. Unfortunately, b eca u se they did not publish their p r o c e e d in g s , I cannot find out when they w ere organized nor who their original m em bers w ere. Dr. Robert G raham has furnished me with a copy of the by-law s of May 1, 1916, which state: 1. T h e o b ject of th is a s s o c ia tio n is to im p ro v e and p rom ote the uniform ity of m ethods and practice. 2. T he m e m b e r s of the a s s o c ia tio n sh a ll c o n sist of the C hief Surgeons of the R ailroads of A m erica, who are eligible for m em b e r ship when dues are paid. 3. O fficers of the association shall consist of a President, V ice-P resid en t, S e c reta ry -T rea su rer and three Executive m em b ers, who with the P r e sid e n t and V ic e -P r e sid e n t shall constitute the Executive Board. 4. The officers shall be elected annually by ballot. 5. T he P resid en t shall appoint all C om m ittees. 6. The r e g u la r m eetin g sh a ll be held sem i-an n u ally, tim e and place to be determ ined by the Executive Board. 7. T h e annual d u e s s h a l l be $ 5 , 0 0 , p a y a b le May 1. M e m b e r s in arrears two y ea rs shall be dropped from the roll. Dr. G raham , in a p erso n a l com m unication, a d v ise s m e that w hile m e m b e r s of the two groups w ere la r g e ly the sa m e , and func tions, so far as m edical education and d iscu ssio n s, were sim ila r, that the A ssociation of Railway Chief Surgeons rem ained as a sep a r a te e n tity at l e a s t u n til 1 9 3 3 . It i s a l s o a p p a r e n t that th e y h eld sep arate m eetin g s. F or exam p le, an annual m eeting was held in Chicago on October 14, 1924. The provisional program was: 1. T ra u m a tic E p ilep sy , postponed from p reviou s m eeting. 2. Chief Surgeon's responsibility for man-power. 3. G en era l M ed ical R e-ex a m in a tio n of Old E m p lo y ees in the T r a n s p o r t a t io n D e p a r t m e n t ; (a) How it had b e s t b e conducted; (b) B orderlin e c a s e s in which th ere m ay be so m e question as to the physical cap acity of the individual to continue in his regular work; (c) The p rob lem of the p h y sica lly disqualified em ployee. 4. The M eans by which Sanitation of T o ilets in Stations and P rivies on Company property can be regulated by the Chief Surgeons 13 and Sanitary O ffice rs. 5. Infected T o n sils and T eeth and their effect on the p rolon ga tion of disability from injury. To go back again to o r ig in s, one of the groups that certain ly contributed to the m em bership of our organization 'as the New York and New England A sso cia tio n of Railway Surgeons, and Dr. J. R obertson K now les, C hief M edical Consultant to the B oston and Maine R ailroad , has been very helpful in giving m e som e of the background of this organization. T his group was interested, since its org a n iza tio n in 1 830, in the m e d ic a l and su r g ic a l p r o b le m s a r is in g in the ra ilw a y industry, and v e r y m any fam ous p h ysicians and s u r geons were m em bers. Dr. D. Z. Dunott, in his a d d ress at the inaugural m eetin g of the Section in 1921, dem onstrated great foresigh t, understanding, and w isd o m . He m ust have been a trem en d ou s p e r so n and I w onder i f a n y o f th e m e n in o u r p r e s e n t g ro u p r e m e m b e r h im . It is a p parent from h is r e m a r k s, and th ose of the P resid en t of the A m e r ican Railway A ssociation , that the Chief M edical O fficers of the ra ilro a d s in th o se days w ere held in v e r y high e ste e m , a situation which has not alw ays existed during the intervening y e a r s. Som e o f D r . D u n o t t ' s r e c o m m e n d a t i o n s , m a d e at t h i s f i r s t m e e t i n g , 4G y e a r s ago, for the p resen t and future activity of the .Medical and S urgical S ection are worthy of rep ea tin g in view of how c lo s e ly they fit in with our p resen t objectives. I have som e copies of his c o m plete recom m endations and th ese are available for those of you who are interested. Among his recom m endations are: 1. "That w h erev er p o ss ib le , only 'Hospitals rated as c la s s A by the C o lleg e o f Surgeons be r eco g n iz ed , and w here r a ilr o a d s have their own h o sp ita ls, that such institutions not already so cla ssifie d will be brought to such standard. " 2. "in v ie w o f the occu p a tio n a l hazard and s ta tis tic s p r e s e n te d , it would s e e m im p era tiv e that g r e a te r care be given to the m atter of physical fitn ess, not only to the applicant for serv ice, but to the em p lo y ee a lrea d y in s e r v ic e w here such em ployee by p h y sica l or mental failure may cau se serio u s accident to the traveling pub lic or fellow em ployees. " 3. "The head of the m ed ical and su rgical serv ice should report to the Chief of the Operating Departm ent. " 4. "in li n e with xny a p p ea l fo r a c lo s e r c o o p era tio n o f the su r g ic a l s e r v i c e , I would urge a m o re general in terest on the part of the su r g e o n s in the op eratin g p ro b lem s that have to be m et by the railw ay o ffic ia ls. " T h is is pertin en t, in view of the p r e se n t ob jective of this group in m aintaining a very close liaison betw een the m edical se r v ic e and m anagem ent. Dr. R obert Graham furnished m e with a copy of the index o f the p ro ceed in g s o f the Annual M eetings of the M edical and S urgical Section of the A m erican Railway A ssociation for the years 1921 to 192.9. T h is is m o s t i n t e r e s t i n g to r e v i e w and it would b e h elp fu l if we could have a continuing index of all of our m eetin g s, which could be brought u p -to -d a te at the end o f each y e a r . T he n u m ero u s and important su b jects that are outlined in this index illu stra te the activities of the Section over these years. They vary from subjects such as "diet on dining cars" to "regulations for the transportation of leprosy patients. " In 1922, the m e e t in g w a s h eld in St, L o u is, M is s o u r i. T he Chairman was Dr. D. Z. Dunott, Chief Surgeon of the Western Maryland R ailw ay and the S e c r e ta r y was Mr. J. C. Caviston. To save tim e, I w ill not read the year, location of the m eeting, name of Chairm an and S e c r e ta r y for the y e a r s 1923 to 1942, as they are listed in the paper and the printed proceeding's of all these m eet ings are available in the office of the Secretary. In 1923, the m eetin g w as held in San F ra n cisco . The Chairman w a s D r . D. Z. Dunott and th e S e c r e t a r y w a s Mr. J. C. Caviston. In 1924, the m e e t in g w a s h eld in C hicago. T he C h airm an was D r . G. G. D o w d a ll, C h ie f S u r g e o n o f th e Illin o is C e n tr a l R a ilroad and the Secretary was Mr. J. C. Caviston. In 1 9 2 5 , th e m e e t in g w a s h e ld in A tla n t ic C ity , N e w J e r s e y . T he C hairm an w as D r. G. G. D ow dall and the S e c r e ta r y was Mr. J. C. Caviston. In 1926, the m e e t in g w a s h e ld in D a lla s , T e x a s . T he C h airm an w as Dr. J. L. Bower, C hief M edical Exam iner of the Pennsylvania Railroad. The Secretary w as Mr. J. C. Caviston. In 1 9 2 7 , th e m e e t in g v /as h e ld in R ich m o n d , V ir g in ia . The C h airm an w a s D r. W. H. B o h a rt, C h ief Surgeon o f the Chicago & E astern Illinois R ailroad . T he S ecreta ry was Mr. J. C. Caviston. In 1928, the m e e t in g w a s h e ld in Q u eb ec, C anada. The C hairm an w as D r. W. H. B oh art and the S e c r e ta r y w as M r. J. C. C aviston. In 1 9 2 9 , the m e e t in g w a s h e ld in W hite Sulphur S p r in g s , W est V irginia. T he C hairm an w a s Dr. L. A. E n sm in g er, C hief Surgeon o f the C leveland, C incinnati, C hicago & St. Louis Railroad. The S ecretary was Mr. J. C. C aviston. In 1930, the m e e tin g w a s h eld in B ilo x i, M is s is s ip p i. The C hairm an w as D r. S. C. P lu m m e r , C hief Surgeon of the C hicago, Rock Island & P a cific R ailw ay. The S ecreta ry was M r. J. C. Caviston. In 1 9 3 1 , th e m e e t i n g w a s h e ld in N e w Y o r k , N e w Y o r k . T he C hairm an w as D r. E. V. M ilholland, M edical and Surgical D irector 15 of the B a ltim o re and Ohio R a ilroad . The S e c r e ta r y w as Mr. J. C. Caviston, In 1932, the m e e t in g w a s h eld in New Y ork, N e w Y ork . TinC h a ir m a n w a s Dr-. C. VV. H o p k i n s , C h ie f S u r g e o n o f th e C h ic a g o & N o r th W e s t e r n R a ilw a y . T h e S e c r e t a r y w a s .Mr. J. C. C a v i s t o n . In 1933, the m e e t in g w a s held in C hicago, Illin o is. T he C h a ir man was Dr. John M cC om be, Chief Medical Officer of the Canadian N ational R ailw ays. T h e S e c r e ta r y was Mr. J. C. C aviston. In 1934, th e m e e t i n g w a s h e ld in W ash in gton , D. C. T h e C h a ir m an w as D r . W. L. H a r t m a n , M e d ica l D ir e c t o r o f the N ew Y'ork C en tral L in e s . T he S e c r e t a r y w a s Mr. J. C. C a v isto n . In 1935, the m e e t in g 'was held in A tla n tic C ity , N ew J e r s e y . T h e C h a ir m a n w a s D r . John R. N i l s s o n , C h ie f S u r g e o n o f th e Union P acific S y s t e m s . T h e S e c r e t a r y w a s Mr. J. C. C a v isto n . In 1 9 3 6 , the m e e t i n g w a s h eld in C h ic a g o , I l li n o is . T h e C h a ir man was D r. J. R. G a r n e r , C hief Surgeon of the W estern R ailw ay of A labam a. The S e c r e ta r y w as Mr. J. C. C aviston . In 1 9 3 7 , th e m e e t i n g w a s h e ld in A tla n t ic C it y , N e w J e r s e y . The Chairman was Dr. D. B. M oss, Chief M edical O fficer of the Chicago, Burlington & Quincy Railroad. The Secretary was Mr. J. C. Caviston. In 1933, the C h a ir m a n w as D r . Duncan E v e , Jr. , C hief S u rgeon of the N a sh v ille, Chattanooga & St. Louis Railway. The S e c r eta ry w as Air. J. C. C aviston. No m eetin g was held b eca u se of econ om ic conditions, but it was h eld with the sam e officers in 193 9, in C hicago, Illinois. In 1940, the m e e tin g w a s held in New Y ork, N ew York. T he Chairman was Dr. Harvey B artle, Chief Medical Officer of the Pennsylvania Railroad. The S ecretary was Mr. J. C. Caviston. In 1941, the m eetin g w as held in M ontreal, Q uebec. The C h air m an w as D r. W. J. L a n c a s te r , M ed ical D ir e c to r of the A tlan tic C oast Line R ailroad. T he S e c r e ta r y was Mr. J. C. C aviston. T h is w a s th e l a s t m e e t i n g h e ld b e f o r e W orld War II. In 1942, th e C h a ir m a n w a s D r. A. R. M e tz , C h ie f S u rg eo n of the Chicago, M ilw aukee, St. Paul & P acific R ailroad. The S ecreta ry was Mr. J. C. C aviston. No m eetin gs w ere held betw een the y e a r s 1942 and 1945 b eca u se of the War. During the War y e a r s , the a ctivities of the Section w ere conducted by the C om m ittee of D irection . In 1 9 4 6 , th e m e e t i n g w a s h e ld in C h ic a g o , I l l i n o i s . T h e C h a i r man was D r. A. R. M etz and the S e c r e ta r y w as Mr. J. C. C aviston. 16 This was the first m eeting after the War. I will com m ent briefly on so m e of the p r o c e e d in g s of the m e e tin g s s in c e the War and p a r ticularly on so m e things that I have p erson al knowledge of. Dr. M etz, in his a d d ress as C hairm an, gave an in te r e stin g historical review , which a lso gave us so m e so u rce m aterial. He mentioned that betw een 1041 and 1946 the S ection had su ffered the lo ss of eleven m em b ers by death or r e tir e m e n t, and also pointed out that after 25 y ea r s of active and c o n serv a tiv e m anagem ent, the future destiny of the Section had to be assum ed by new m em b ers. In 1 9 4 7 , th e m e e t i n g w a s h e ld in A t la n t ic C it y , N e w J e r s e y . The elected Chairman was Dr. George P. M yers, M edical D irector of the New York C entral S y ste m , but due to his r etirem en t e a r lie r than e x p e c te d , D r . K. E. D ow d , C h ief M e d ic a l O ffic e r of the Canadian National R ailw ays becam e Chairman. Mr. J. C. Caviston was the Secretary. In 194 8, the m e e tin g w a s h eld in C h icago, Illin o is. The C h a ir m an w as D r . K. E. D owd and the S e c r e ta r y w as Mr. J. C. C aviston . In 1 9 4 9 , th e m e e t in g w a s h e ld in A tla n tic C ity , N ew J e r s e y . The Chairman was Dr. R. M. Graham, D irector, Department of Sanitation and Surgery, the Pullm an Company. The Secretary was M r. J. C. C a v is t o n . T h i s w a s a s h o r t m e e t in g , c o n s i s t i n g of onlyone day and held at the tim e of the m eeting of the A m erican M edical A ssociation and the A m erican A ssociation for the Surgery of Trauma. Some of the other m eetin gs held during these years w ere also one day m eetings held in conjunction with other groups. In 1 9 5 0 , t h e m e e t i n g w a s h e l d in. E d g e w a t e r P a r k , M i s s i s s i p p i . The Chairm an w as D r. O. H. H orrall, Chief Surgeon of the Chicago, Burlington & Q uincy R a ilr o a d . T he S ecreta ry w as M r. J. C. Caviston. This was Mr. C avision's la s t meeting. In 1 9 5 1 , the m e e t in g w a s held in C h ica g o , Illin o is. The C h airm a was Dr. A. R. M etz, Chief Surgeon of the Chicago, Milwaukee, St. Paul & P a c ific R ailroad . T he S e c r e ta r y was Mr. H. S. D ewhurst who is now E xecutive A ssistan t in the Public Relations Department of the A ssociation of A m erican R ailroads in Washington, D. C. In 1952, the m e e tin g w as held in C hicago, Illinois. The C h air man was D r. T. L. Hansen, C hief Surgeon of the Chicago, Rock Island & P a c ific R a ilro a d . T h e S e c r e ta r y w as Mr. H. S. D ew hurst. At this m eeting, the nam e of the Com m ittee on Fractures was changed to the C o m m ittee on T rau m a in o rd er to broaden the field and in c r e a s e the u se fu ln e ss o f the C om m ittee. T his w as in line with a change that took p la c e in the A m erica n C ollege of S urgeons, and the C om m ittee at that tim e su g g ested that the C om m ittee on T raum a of the AAR coordinate th eir rep o rts with those of the C om m ittee on T raum a of the A m e r ic a n C o lleg e of Surgeons, and recom m ended their publication. 17 m a n WTi s D r . A. -M. W. Hu r s i ) . Cr. mf . Me di c a l 11::a iri r r . e r of HrP e n n 8 %I v a n i a Ha T r u e id. Ti :C St : c r e t a r v w a s Air. if. S. Do w e a r s ; In 1 9 5 4 , t h e C h a i n n 'xn \Vu s D r . J. H u b e r Wa m e r . C h i e f b u r g e o n of t h e B e s s <-me r & L a i. f. L. . n o R a i l r o a d . T h c` Strer e t a'ey w a s M r . H. S. D e w h u r s t . N o rn e e t i n g w a s h e l d L e e a u s a o f e c o n o m i c conditions. In 1 9 5 5 , th e m e e t i n g w a s h e ld in S a van n ah , G e o r g i a . T h e Chairman was Dr. J. Huber '.Vagner and the S ecreta ry was Mr. I. S. D e w h u r s t . D u r i n g th e p r i o r y e a r a M e d i c a l F i l m C o m m i t t e e w as appointed to help co m b a t the s e r io u s p ro b lem at that tim e of "derm atitis. " A great deal of work was done in developing a film on the su b je c t o f p r e v e n tin g d e r m a t it is , but due to e c o n o m ic c o n ditions it w as n ever produced. T h is m eeting was also the fir st one at which we w e r e a d d r e ss e d by the D ir e c to r of the C laim s R e se a r c h B u r e a u o f th e A A R , w h o , at that t i m e , w a s Mr. K. A. C a r n e y . As m ost of you know, this added a great deal to cur m eetin g s, and we are v ery p lea sed to have had the D irector of the C laim s R esea rch Bureau with us at all su b seq uent m eetin gs. In 1 9 5 6 , th e m e e t i n g w a s h e ld in San F r a n c i s c o , C a lif o r n ia . The C h airm an w as D r. W. \V. W ashburn, C hief Surgeon of the Southern P a cific C om pany. At this tim e, we had a new S ecreta ry , Mr. F. J. Parker. In 1 9 5 7 , the m e e t in g w a s h eld in White Sulphur S p r in g s , W est V irgin ia . T h e C h a irm a n w a s D r. R. J. B ennett, C hief Surgeon of the E lgin, Joliet & E a ste r n R ailway. The S ecretary was Mr. F. J. P arker. At th is m eetin g , we w ere favored by a v e r y in terestin g address by Mr. Owen Clark who w as the Chairman of the Interstate C om m erce C om m ission at that tim e. His speech is worthy of r e view. Although this is not strictly h istorical, I will spend a few minutes here because this is one of the few places where our r e s p o n s ib ilit ie s as C h ief M e d ic a l O ffic e r s a r e sp e lle d out; the o th er p la c e s as you know a re by the Su p rem e Court and the Railroad A d justm ent Board. Mr. C lark pointed out that the Interstate C om m erce C o m m issio n had no ju risd ictio n over the ph ysical qualifications or the type and frequency of exam in ation s for railway em p lo y ees, a l though they did p r e sc r ib e r u le s and regulations in the sam e field for m o to r c a r r i e r s . He s ta te d that the r a ilr o a d s "can and should do the job th e m se lv e s . " He reco m m en d ed against a b ill introduced by Senator Kefauver where the C om m ission would have been directed to p r e sc r ib e m in im u m stan d ard s for the p h ysical qualifications of all railroad op eratin g p e r so n n e l and the frequency of re-ex a m in a tio n , and with appropriate p e n a ltie s. T h is proposed legislation resu lted from s o m e s e r i o u s p a s s e n g e r tra in w r e c k s both in the E a st and in the W est which w e r e a lle g e d ly ca u sed by m a n -p o w er failu re. He stated "You have unquestionably developed excellent standards, p a r ticularly with regard to the kind and frequency of physical exam in a tio n , but th a t i s o n l y p a r t o f th e j o b ............. the fa ct r e m a i n s that s o m e 18 r a i l r o a d s h a v e l a g g e d fa r b e h in d and h a v e n<~` a c c e p t e d vo-jr r e c o m mendations. Unfortunately, there is a disturbing lack of uniformity am ong the d ifferent r a ilr o a d s , as I know you are w ell a w a r e ." He definitely states "at the very le a s t, h ow ever, gentlem en, vour recom m ended standard should apply uniform ly throughout the r a il road industry as an absolute m inim um , and I b eliev e you can m ake a great and lastin g contribution to railroad sa fety , if you redouble your efforts to convince railw'ay m anagem ent that th ese standards m ust be adopted fully and without m odification. " I b elieve this is a real ch allen ge to us and one of our best argum ents for convincing managem ent of the n e c e ssity of the importance of our objectives. The Joint M ed ical-L egal C om m ittee was appointed during 1957, and the fir st C om m ittee co n siste d o f Dr. R. J. Bennett, C hief S ur geon of the Elgin, Joliet & E astern Railway; Dr. Harvey N elson, C h ie f S u r g e o n of th e Soo L ine; and D r . W. K. M i s h l e r , C h ie f S u r geon of the E rie-L ackaw anna Railroad. Representing the legal side w e r e M e s s r s . E w i n g , G e n e r a l C l a i m s o f the San ta Fe; W. F. K e l l y , G eneral Attorney of the Chicago and North W estern Railroad; and Mr R. R. M inor, G eneral C la im s Agent of the Illinois Central. The first m ajor project of the C om m ittee was to p rom ote the im partial m edical testim ony plan with great su ccess. This Committee has been an im portant part of our organization sin ce that tim e and it has m ade sev era l im portant contributions, one of which was a r e com m ended pre-em ploym ent X -ray program for the railway industry which has been w idely adopted. In 1 9 5 8 , the m e e t in g w a s held in E d g e w a ie r P a r k , M is s is s ip p i. T h e C h a i r m a n w a s D r . I. G o l d o w s k y , M e d i c a l D i r e c t o r o f th e C e n tral Railroad of New Jersey. The Secretary was Mr. F. J, Parker. During the yea r 1958, the A ssociation of A m erican Railroads auth orized an expenditure of $30,000 to inaugurate a study of the e f fects of D ie se l fum es at the U niversity of Pittsburgh, Department o f O c c u p a t io n a l H e a lth , G r a d u a te S c h o o l o f P u b li c H ea lth , arid a D ie s e l F u m e s C om m ittee w as activated. Dr. R. S. A yerle, A s s i s t ant M edical D irector of the Pennsylvania Railroad, was appointed Chairman of the activated C om m ittee. As you are all aware, this study w as taken o v e r by the United S tates Public H eal th S e r v ic e after the fir st y e a r and is continuing at the U n iversity of Pittsburgh. In 1 9 5 9 , th e m e e t in g w a s h e ld in C h ic a g o , Illin o is. The C h a ir man w a s D r. B. W. S to ck w ell, C h ief Surgeon of the Grand Trunk W estern Railroad Company. The Secretary was Mr. F. J. Parker. In D e c e m b e r o f 1 9 5 8 , and p r i o r to th at m e e t i n g , M r . R. G. M ay of the AAR objected to the fact that the m ajor ra ilro a d s in the E ast w e r e not r e p r e s e n t e d on th e C o m m i t t e e o f D i r e c t i o n , It w a s r e c o m mended that the C om m ittee of D irection be enlarged from twelve to fifteen m e m b e r s . It w a s a ls o r e c o m m e n d e d that the C h airm an invite the C hief M ed ical O fficer from one m ajor railroad in each of the te r r ito r ie s not r e p r e se n te d on the C om m ittee of D irection to a t tend the regular m eetings of the Com m ittee until consideration could 19 be given to the recom m en d ation to enlarge the m em b ersh ip to fifteen m em b ers. At that tim e, Dr. R. A. Johnson, M edical D irecto r of the Mew Y o rk C e n t r a l S y s t e m , D r . A. JVI. U'. il u r s h , .Medical D ir e c to r of the P e n n sy lv a n ia R ailroad , and Dr. John R. W inston, System M edical D irector of the Atchison, Topeka & Santa F e, were invited to attend the m eetin g and la te r appointed to the C om m ittee of D irection. On M arch 13, 1959, a letter ballot was sent out co n cern in g the p r o p o se d r e v is io n s in the R u les of O rder, in c r e a s in g the m em b ersh ip of the C om m ittee of D irection , and this was approved. In 1 9 6 0 , th e m e e t in g w a s h e ld in H ollyw ood B e a c h , F lo r id a . T he C hairm an w a s D r. J. K. Stack, C h ief Surgeon of the C h icago & North W estern Railroad. The S ecreta ry was Mr. F. J. P arker. A reduction of funds m ade available to the AAR resu lted in the M edical and S urgical Section being discontinued. T his w as a s e v e r e blow' to the o ff ic e r s and m e m b e r s of the M ed ica l and S u r g ic a l S e c tio n . It th en b e c a m e a M e d ic a l A d v is o r y C o m m i t t e e and h a s m a i n tained that status until 1966. E ffective January 1, 1961, "Action and the r e sp o n sib ilitie s in the gen eral field of physical fitn ess and m edical standards effectin g all of the ra ilro a d s will have to be p r o vided through a Medical and Surgical A dvisory C om m ittee. " A lso at that tim e, the AAR advised that they would "maintain a sm all staff composed of three persons, namely, M essrs. Todd, Parker and R ose, to ca r r y on the a d visory com m ittee a ctiv ities of the M ed i c a l and S u r g i c a l g r o u p , a s w e l l a s th e o p e r a t i n g s e c t i o n ............. " The new Plan of Organization of the Operating-Transportation D iv ision of the A ssociation of A m erican Railroads provided "The M ed ic a l and S u r g ic a l A d v iso r y C o m m itte e should be c o m p o se d o f 15 m e m b e r s a p p o in t e d b y th e G e n e r a l C o m m i t t e e . It s h a l l e x e r c i s e general su p ervision over the m atters of interest to the M edical and S u r g ic a l O f f i c e r s o f M e m b e r R o a d s . It s h a l l stu d y and r e p o r t on all m a tte r s regard in g m e d ic a l standards of the railroad industry. It s h a l l c o n s i d e r r e v i s i o n s o f th e F i r s t Aid I n s t r u c t io n s fo r R a i l r o a d E m p l o y e e s , p u b li s h e d by th e D i v i s i o n . It s h a l l m a i n t a i n l i a i s o n with variou s organizations in terested in the prom otion of the health and w elfa re of railw ay em p lo y e e s. " N e e d le ss to sa y , m any of the m em b ers of this group objected stren u ou sly to the dow ngrading of our organ ization 's a c tiv itie s, and at le a st we w ere able to continue with m eetings by prevailing upon the AAR to authorize a "M em ber ship Meeting. " In 1961, a M e m b e r s h ip M eeting w as held in C h ica g o , I l li n o is . The Chairm an of the M ed ical and Surgical A dvisory C o m m ittee w as D r . V. W. H o llo , C h ie f S u r g e o n of th e St. L o u is - S a n F r a n c i s c o R a ilw a y and t h e S e c r e t a r y w a s M r. W. E. T od d . In 1 9 6 2 , a M e m b e r s h ip M e e tin g w as h eld in St. L o u is , M is s o u r i. The Chairm an of the M edical and Surgical A dvisory C om m ittee w as D r . V. W. H o llo and th e S e c r e t a r y w a s M r. W. E. T o d d . S u b s e quently, at a m eetin g of the M edical and Surgical A dvisory C o m m ittee in Chicago in F ebruary of 1962, the Rules of Order of the M edical and Surgical A dvisory C om m ittee were approved. T h ese .-.vided for c e r ta in c o m m it t e e s as had the p r io r M ed ical and S u r gical Section. The C om m ittees were: Advisory C om m ittee, C om mittee on n om in ation s, C o m m ittee on T rau m a, C om m ittee on F irst Aid, C om m ittee on M edical S tandards, M ed ica l-L eg a l C om m ittee. No form al rep o rt of this m e e tin g w as m a d e , but a su m m ary w as forw arded on June 11, 1962 by M r. W. E. T odd, Staff S e c r e ta r y . In 1 9 6 3 , a M e m b e r s h i p M e e t i n g o f th e M e d ic a l and S u r g ic a l O fficers of the AAR M em ber Roads w as held at the G reenbriar Hotel, White Sulphur Springs, W est V irginia. The Chairman of the M ed ical and S u r g ic a l A d v is o r y C o m m i t t e e w as D r. W. E. M is h le r , Chief Surgeon of the E rie-L ackaw anna Railroad. The Secretary w a s Mr. W. E. T o d d . A g a in , t h e r e w a s no f o r m a l p r i n t e d b o o k l e t of the p ro ceed in g s, but a su m m a r y was forwarded to the m e m b er sh ip , c o n s i s t i n g o f c o p i e s o f th e s p e a k e r s ' r e p o r t s , by M r . W. E. Todd, Staff Secretary. Some confusion concerning the length of serv ice of the Chair man and V ic e -C h a ir m a n of the M ed ical and S u rgical A dvisory C o m m ittee developed in 1963, which was r e so lv e d by D r. W illiam E. M ishler resign in g after his one y e a r tenure in office, making Dr. Harvey N elson, Chief Surgeon of the Soo Line, Chairman. The Chairman originated a new C o m m ittee called the "Steering C om m i tte e . " It c o n s i s t e d o f t h r e e m e m b e r s to a s s i s t h im in c a r r y i n g out the duties of his o ffice. T h is has b een continued sin ce that tim e. In 1964, a m e e t in g w a s p la n n ed fo r L a s V e g a s, N evada, which w as anticipated by our m e m b e r s h ip , but, unfortunately, it had to be called off because of the threatened Nation-wide railway strike. Thi m eeting was subsequently arranged to be held in Chicago on Septem b e r 21 and 2 2 , and th is a ls o h ad to b e c a n c e le d . In 1965, a M e m b e r sh ip M e e tin g w a s held in C hicago, Illin ois. D r. H arvey N e ls o n 's title w as chan ged at that tim e from C hief S u r geon to M edical A d visor of the Soo Line R ailroad. Dr. Nelson was C h a irm a n and M r. W. E. T od d w a s th e S e c r e t a r y . D r. N e lso n o p e n e d the m e e t i n g w ith th e f o l l o w i n g s t a t e m e n t "I w ould li k e to c a l l to order the 1964 Annual M eeting now being held in 1965. T his, by th e w a y , i s o u r 4 5 th m e e t i n g . " In h i s t a l k , w h ic h i s now' a v a i l a b l e under the published proceedings, he com m ented on the concerted effort to have M anagem ent p a rticip a te in our p rogram s and also noted the change in the form at to one -largely consisting of panel sym posium s. He also suggested the inauguration of interim panel sy m posium s on im portant su b jects to the railw ay industry and these have been put into effect. The fir s t w as held in Chicago on January 12, 1965, on the su b ject o f v isio n . Subsequent in terim m eetings have been held as follow s: May 28, 1965, at C hicago, Illinois, "Oc cupational Significan ce of P u lm on ary Insufficiency in the Railroad Industry"; Septem ber 24, 1965, at D enver, Colorado, "Hearing P r o b le m s in the R a ilr o a d Industry"; N o v e m b e r 18, 1.965, at M in n eapolis, M in n esota, " C a rd io v a scu la r Surgery"; June 29, 1966, at Chicago, Illin o is, "Contact L en ses" ; O ctober 19, 1966, at Miami 21 B each , Florida (in conjunction with the Seaboard Air Line Railway Surgeons se ssio n ) "Cardiac and P ulm onary R esuscitation and Man agem ent of Burns and Injuries to Interna! Organ S ystem s. In 196 6, a M e m b e r s h ip M e e t in g w a s h e ld in San F r a n c i s c o , C alifornia. The C hairm an w as Dr. E. C. O lson, Chief M ed ical E xam iner of the Illinois C entral R ailroad and the S ecretary was Mr. W. E. T o d d . F o r t u n a t e l y , the p r o c e e d i n g s o f th is m e e t i n g h a v e a lso been published in booklet fo rm and are available to all of us. At this m eeting we w e r e a d d r e sse d by Mr. John A. R isendal, D irector of the Claim s R esearch Bureau of the AAR, who replaced M r. K. A. C a r n e y , on the s u b j e c t o f " M ir a c u lo u s R e c o v e r y and E sto p p el" which continued our d e sir a b le c lo s e association with the Claim s Research Bureau. At this m eeting, the C om m ittee on M edical Standards p resen ted us with a new approach to this p r o b le m in the form of a publication entitled "A Guide for A p p lication of .Medical Standards by O ccu p a tio n a l P r o file . " T his r e p r e s e n te d a tr e m e n d o u s amount of work and coordination of the C om m ittee's report over a period of years and is of great value to all railw ay C h ief M ed ica l O ffice rs. T h is b r i n g s us up to th e p r e s e n t t i m e . It i s m y u n d e r s t a n d in g that at this m eeting, we are being advised that our status is again changed from that of a C om m ittee to a M edical Section. N aturally, this is p leasin g to all of us who h ave b een active in this o r g a n iza tion over the years. I have enjoyed presenting som e of the background of our ex cellen t organization, and, in c lo s in g , I would ask if there are any among the m em bership who have inform ation concerning our origins that has not b een m ade a v a ila b le up to the p r e s e n t tim e , that it should be added to this as an addendum , so that this h isto r ic a l r e view will be more com plete. Attachments: 1. L ist, naming chairm an. S e c r e ta r y and Location of Annual M eeting, if held, 1921-1966. 2. Chart, illustrating ca su a lties in railroad industry for years 1911 and 1965. 3. Recommendations of Dr. D. Z. Dunott, Chief Surgeon, W estern Maryland Railway, B altim ore, Maryland (Chairman of the Med ical and Surgical Section of the A m erican R ailw ay A sso cia tion at its inaugural m eetin g in 1921). V ,Y ; 4) > 1923 1 `*24 32:) 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 AAR MEDICAL AND SURGICAL SECTION C h airm an Dr, D. Z. Dunott, C h ief S urgeon Western Maryland Railway 1 1 Secretary J. C. Caviston U 11 >1 Dr. G. G. D ow d all, C hief Sur- t geon, Illinois Central Railroad 1 ! ,, D r. J. L. B o w e r , C h ief M ed ica l Examiner, Pennsylvania Railroad D r. W. H. B o h a r t, C h ie f S urgeon ft Chicago & E a ste r n Illin ois R. R. St ft Dr. L. A. E n sm in g e r , C hief 11 Surgeon, Cleveland, Cincinnati, C h ic a g o &. St. L o u i s R a i l r o a d D r. S. C. P lu m m e r , C h ief Sur- tt geon, Chicago, Rock Island & Pacific Railroad Dr. E. V. M ilholland, M edical & tt S u r g i c a l D i r e c t o r , B a l t i m o r e &. Ohio Railroad D r . C. W. H o p k in s, C h ie f S u rg eo n , M Chicago & North W estern Ry. Dr. John M cC om be, Chief M edical tt O fficer, Canadian National Rys. Dr. W. L. H artm an , M edical tt Director, New York Central System Dr,- John R. N ils s o n , C h ief Surgeon It Union P acific R ailroad D r. J. R. G arner, C hief Surgeon It W estern Ry. of Alabama Dr. D. B. M oss, Chief M edical H Officer, Chicago, Burlington & Quincy Railroad D r. Duncan. E v e , Jr. , C h ief Surgeon >t N ash ville, Chattanooga & St. Louis Ry- tt }} Dr. Harvey B artle, Chief Medical ft O fficer, Pennsylvania Railroad 23 Location of A. M . Boston, ivl&s s . St, Louis, Mo. San Francisc-o, Calif. Chicago, Illinois Atlantic City, N. J. D allas, Texas Richmond, V irgin ia Quebec, CclT"l cidu White Sulphur Springs, W. V s. Biloxi, M iss. New York, N. Y. New York, N. Y. Chicago, Illinois Wasbingtor D. C. Atlantic City, N. J. Chicago, Illinois Atlantic City, N. J. Chicago, Illinois New York, N. Y. Year 1941 1942 1943 1944 1945 1946 C hairm an D r. W. J. L a n c a s t e r , M e d ic a l D i r e c t o r , A t la n t ic C o a s t LineRailroad Dr. A. R. M etz, C hief Surgeon C h ic a g o , M ilw au k ee, St. Paul & Pacific Railroad t 1 11 --11 M Sec;-et ary J. C. C a v isto n 1 1 II 11 M JJ 1947 1948 1949 1950 1951 1952 1953 1954 1955 D r. G. P. M y e r s , M ed ical II D irector, New York Central Sysle m D r . K. E. Dov. d, C h i e f M e d i c a l r i O fficer, Canadian National R ailw ays D r. R. M. Graham., D i r e c t o r , n Dept, of Sanitation & Surgery, The Pullman Company D r . O. H. H o r r a l l , C h ie f S u r g e o n 11 Chicago, Burlington L Quincy Railroad D r . A. R. M e t z , C h i e f S u r g e o n , H. S. D e w h u r s t C h ic a g o , M ilw a u k e e, St, P aul & P acific Railroad Dr. T. L. Hansen, Chief Sur II geon, Chicago, Rock Island & Pacific Railroad D r. A. M. W. H u rsh , C hief Medical Exam iner, Pennsylvania Railroad Dr. J. Huber W agner, Chief 1 1 Surgeon, B e ssem er Lake Erie Railroad It T! 1956 D r. W. W. W ashburn, C hief Surgeon, Southern Pacific Co. 1957 1958 1959 1960 Dr. R. J. Bennett, C h ief Sur geon, Elgin, Joliet & Eastern Railway D r . I. G o l d o w s k y , M e d i c a l D i rector, Central Railroad of New Jersey D r . B . vv. S t o c k w e l l , C h ie f Surgeon, Detroit & Toledo Shore Line Railroad D r . J. K. S t a c k , C h i e f S u r g e o n , C hicago A North W estern Ry. F. J. Parker 11 11 lac cation o f A. :'.l. Montreal, Q UO f; C # % # Chicago, Illinois Atlantic City, N. J. Chicago, Illinois Atlantic City, N. J. Edgewater Park, M iss. C h icago, Illinois " Yr..r DC! 1 a;.' C hairm an D r . V. W. H o l lo , C h i e f S u r geon, St. L ou is-S an F r a n cisco Railway Scoretary W. E. Todd '' 1963 D r . W. E. M i s h l e r , C h i e f S u r - t f geon, E rie-L ack aw an n a R. R. 1964 Dr. H a r v e y N e ls o n , C h ie f S u r- n geon, Soo Line Railroad 1965 U h 196S D r. E. C. O lson , C h ie f Surgeon, Illinois C en tral R. R. i 1967 D r. J. R. W inston, S y s te m if Medical D irector, Atchison, Topeka & Santa Fe Ry. Location o f A. M. Chicago, Illinois St. I.ouis, Jvlo. White Sulphnr Springs, W. Va. Chicago, Illinois San Francisco , Calif. Phoenix, Arizona : j * No Meeting Econom ic Conditions 1 # No Meeting War Period \ @ No M eeting C ancelled Strike Conditions * Savannah, Georgia San F ran cisco, Calif. White Sul phur Springs, W. Va. Edgewater Park, M iss. C h icago, Illinois 25 Hollywood 11 e a c h , F l a . minutes m ore I would like to make lassed out among the m e m b e r s of the tilings that we w ere in t e r e s te d in. moot on all of these things. I would year the Chairmen of th ese Com- Standards, Dr. W alter Longe way. il b e r t H. W in t e r s . On t h e C o m m i t t e e And the M e d ic a l-L e g a l C o m be Steering Committee, there will Vice-Chairm an, Dr. Winston, uest of the other m em b ers of ! to p le a se be a con su ltan t to that >us a m o u n t o f w o rk th a t h e g a v e com plish everything that we need Strange (is he here). . . we hope to com m ittee to r a is e so m e m oney that would m ean that we would cave suggested, as soon as I to Washington and Talk with the d. . . not only with the ch a n g es in id how many we have on our ything e l s e to com e b e fo r e th is d until the Interim. M eeting, s, the first week in June. P lea se -, th e y w ill a ls o h a v e E x p o '67. ?0 and 40 r o o m s , s o y o u h a v e y- nent. i for adjournment. r, w ill you please start out of im bership M eeting was ad~ ATTENDANCE ATCHISON, TOPEKA A SANTA F E RAILWAY J. R. W in s to n , M. D. , S y s t e m M e d i c a l D i r e c t o r , C h i c a g o , HI. D. D. Baird, Superintendent of Safety, Chicago, Illinois C. L. Ewing, General C laim s Attorney, Topeka, Kansas J. W. G r o s s m a n , M. D. , L o v e l a c e C l i n i c , A lb u q u e r q u e , N. M. Harlen Grundeman, Chief C lerk, Med. Div. , Chicago, Illinois J. L. Johnson, M. D. , A m a r illo , T e x a s J. B. M o ss, M . D . , C lo v is , N ew M exico F. D. S p en cer, M. D. , B row nw ood, T ex a s E. F. T h om as, M. D. , A m a r illo , T ex a s M, H. VVitteman, G en eral A ttorn ey, L os A ngeles, California BALTIM ORE & OHIO RAILROAD Is a d o r e Kaplan, M. D. , M e d ic a l & S u r g ic a l D ir e c to r , Maryland B altim ore CANADIAN NATIONAL RAILWAYS P e t e r V aughan, M. D. , C h ie f M e d ic a l O f fic e r , Canada M ontreal, Quebe CENTRAL OF GEORGIA RY. & SAVANNAH & ATLANTA RY. J. G. S h a r p le y , M. D . , C h ie f S u r g e o n , Savannah, G eo rg ia CENTRAL RAILROAD OF NEW JERSEY F. W. M ahoney, M .D . , M ed ical D ir e c to r , Jersey Jersey City, New CHICAGO & NORTH WESTERN RAILWAY W. H. K elly, C laim s C ounsel, C hicago, Illinois J. K. Stack., M .D .., C h ief S urgeon, C hicago, Illinois CHICAGO, BURLINGTON & QUINCY RAILROAD H. W. H a m m a tt, M. D . , C h ie f M e d ic a l O f fic e r , C h ic a g o , Illinois CHICAGO, ROCK ISLAND & PACIFIC RAILROAD J. M. L. Jensen, M .D . , C hief M edical Officer, Chicago, Illinois CHICAGO SOUTH SHORE & SOUTH BEND RAILROAD P. J. P ileck i, M. D. , C hief Surgeon, Michigan City, Indiana CINCINNATI, NEW ORLEANS & TEXAS PACIFIC RAILWAY R. G. C a r o t h e r s , M. D . , C h ie f S u r g e o n , C incinnati, Ohio COLORADO & SOUTHERN RAILWAY W. J. Longeway, M . D , , C h ie f S u rgeon , D en ver, C olorado DEN VER RIO GRANDE RAILROAD D. M. M c E n d a ffe r , D e n v e r , C o lo r a d o ERIE - LAC KA WANNA RAILROAD W. E, M i s h i e r , M. D . , C h i e f S u r g e o n , C l e v e l a n d , Ohio FERROCARRIL DEL PACIFICO Edvardo C on treras Reyna, M. D. , C hief Surgeon, Guadalajara, Jalisco, Mexico GRAND TRUNK WESTERN RAILROAD B. W. S to c k w e ll, M. D. , C h ie f S u r g e o n , D e t r o i t , M ichigan GREAT NORTHERN RAILWAY Abbott Skinner, M . D . , C hief M edical O fficer, St, Paul, Minn. ILLINOIS CENTRAL RAILROAD E. C. O lso n , M. D. , C h ief S u r g e o n , C h ic a g o , Illinois KANSAS CITY TERMINAL RAILWAY W. R. H ovey, G en eral C la im A gen t, K a n sa s C ity, M isso u ri LAKE SUPERIOR & ISHPEMING RAILROAD M. C. B ennett, M. D. , C h ief S u rgeon , M arq u ette, M ichigan LEHIGH YALLEY RAILROAD J. S. N ile s , M. D. , C h ief S u r g e o n , S a y r e , P en n sy lv a n ia LONG ISLAND RAILROAD V, A. C apozzi, M. D . , C hief M edical E xam iner, Jam aica, N. Y. MISSOURI-KANSAS-TEXAS RAILROAD R. S. K ieffer, M. D. , M e d ic a l D ir e c t o r , St, L o u is, M issou ri MISSOURI PACIFIC Graham O wens, M. D. , C hief M edical O fficer, St. Louis, Mo. NEW YORK CENTRAL RAILROAD A. W. N ic k e ls, M .D . , C h ief S u r g e o n -A c tin g M e d ic a l D i r e c t o r D etroit, Michigan G. E. D im o n d , M. D. , C o m p a n y S u r g e o n , D e t r o it , M ichigan J. T . Lynch, G eneral C la im s A ttorney, New Y o rk , New York NORFOLK & WESTERN RAILWAY J. W. H ou k , M. D . , M e d ic a l D i r e c t o r , R o a n o k e , V irgin ia R. W. E d m o n d s , M. D . , R e g i o n a l M e d i c a l D i r e c t o r , C l e v e l a n d , Ohio J. K. H u m p h ries, M. D . , A ssista n t M edical D ir e c to r , Roanoke, V irgin ia NORTHERN PACIFIC RAILWAY A. M c E w a n , M. D. , C h ie f S u r g e o n , St. P a u l, Minn. 162 -AD Colorado D urgeon, Cleveland, Ohio D. , C h ief S u r g e o n , G u a d a la ja r a , ROAD Surgeon, D etroit, Michigan A-dical O fficer, St. P aul, Minn. icon, C hicago, Illinois AY sent, Kansas City, M issouri AILROAD ~geon, M arquette, M ichigan >n, S a y r e , P e n n s y l v a n i a iical E xam iner, Jam aica, N. Y. )AD rector, St. L ou is, M issou ri ical O fficer, St. L ouis, Mo. eon-A cting M edical D irecto r wgeon, D etroit, Michigan rney. New York, New York tor, Roanoke, Virginia dedical D irector, Cleveland, M edical D irecto r, Roanoke, St, Paul, Minn. PEN N S Y LV ANIA RAIL ROAD S. J. C y r a n , M. D . , M e d i c a l D i r e c t o r , P h i l a d e l p h i a . 'Pa. PITTSBURGH & LAKE ERIE RAILROAD A. H. W in ters, M, D. , C hief Surgeon, Pittsburgh, Pa. PULLMAN COMPANY R. M. G ra h a m , M. D. , D i r e c t o r , Chicago, Illinois M edicine L Sanitation, ST. LOUIS-SAN FRANCISCO RAILWAY V. W. H ollo, M. D. , C hief S u rgeon , St. L ou is, M isso u ri SEABOARD AIR LINE RAILROAD Southgate L eigh, J r . , M. D. , C hief Surgeon, R ichm ond, Va. SOUTHERN PACIFIC COMPANY V'. M. S t r a n g e , M. D . , C h i e f S u r g e o n , San F r a n c i s c o , C a lif . R. C, Archam beault, Industrial H ygienist, San F ran cisco, Calif S. B. Burton, A ssista n t G en eral M anager, San F ra n cisco , C alif J. D. C aldw ell, A sst. G eneral C la im s A gent, San F r a n cisco , California J. R. Gandy, M. D. , C hief S urgeon, Houston, T ex a s Q. B. Payne, T rainm aster, Phoenix, Arizona E. L. Smith, Admn. A sst, to C hief Surgeon, San F ra n cisco , California N. E. W illiam son, Special A ssista n t, San F ra n cisco , California SOUTHERN RAILWAY M. P. R ogers, M. D. , Chief Surgeon, Washington, D.C. SPOKANE, PORTLAND & SEATTLE RAILWAY M. L. M argason, M . D . , M edical D irector, Portland, Oregon WESTERN PACIFIC RAILWAY M. E. C h ild r e s s, M. D. , C h ief Surgeon , San F r a n c isc o , Calif. ASSOCIATION OF AMERICAN RAILROADS J. A. Risendal, E xecutive V ice C hairm an, G eneral C laim s D ivision, Chicago, Illinois Julian Sherm an, A sst. D irector, C laim s R esearch Bureau, Chicago, Illinois W. E . T o d d , S taff S e c r e t a r y , C h i c a g o , I llin o is BOND RADIOLOGICAL GROUP W. H. N e il, M. D . , F o r t W orth, T e x a s I. B . M. C O R PO R A T IO N H. D . S te in b e c k , M. D. , N ew Y o r k , N ew Y ork 163 NATIONAL RAILROAD ADJUSTMENT BOARD E. T. H o r sle y , M em b er of N ational Railroad Adjustment Board, Chicago, Illinois OLD WESPONT MEDICAL ASSOCIATION R. W. Ili fi, M. A. , M e d i c a l A u d i o l o g i s t , K a n s a s C it y , M i s s o u r i UNITED STATES RAILROAD RETIREMENT BOARD B. B. R osen , M. D. , C h ief M edical O fficer, C hicago, Illinois UNIVERSIT' O F ILLINOIS A. H. A n d r e w s , M. D. , P r o f. B r o n c h o -E s o p h a g o lo g y , C o lleg e of M edicine, Chicago, Illinois UNIVERSITY OF KANSAS J. E. C ro ck ett, M. D . , A s s o c . P rof, School, K ansas City', M isso u ri of Medicine, Medical UNIVERSITY OF TEXAS R. D. M oreton, A sst. D i r . , M. D. , Radiology, Houston, T exas Anderson Hospital, Prof.