Document QkLy9e9YnK7dZOEV3MvddNKR7

t'j , , . LI3FJA F: Y BUREAU OF R.\:LV/V VVASKifrGTCM, 0. 0. , . ! 6 } ' f- MEDICAL SECTION FORTY-SEVENTH MEMBERSHIP MEETING FEBRUARY 20, 21 AND 22, 1967 MOUNTAIN SHADOWS HOTEL PHOENIX, ARIZONA 6 ASSOCIATION OF AMERICAN RAILROADS REPORT of the FORTY-SEVENTH MEMBERSHIP MEETING of the MEDICAL OFFICERS HELD AT MOUNTAIN SHADOWS HOTEL PHOENIX, ARIZONA February 20, 21 and 22, 1967 Published by the ASSOCIATION OF AMERICAN RAILROADS OPERATING-TRANSPORTATION DIVISION Staff Secretary 59 East Van Buren Street Chicago, Illinois 60605 TABLE OF CONTENTS Officers.................................................................................................................. Page 5 Committee Personnel.................................................................................... 5 Call to Order..................................................................................................... 9 History of Medical Section........................................................................ 9 Address - C. L. Ewing................................................................................ 27 Panel - Personnel, Employability & Medical Con ditions ....................................................... ........ 41 Address - A. H. Andrews, M. D............................................................. 55 Panel - Back to Back - Radiologic Screening Program - W. H. Neil, M.D........................................................................... 68 The Radiologist's Views* R. D. Moreton, M. D........................................ 73 Follow Up on Disc Series, L Kaplan, M.D. . . 87 Address - R. W. Biff, M. A....................................................................... 80 Address - J. E. Crockett, M. D.............................................................. 99 - Address - G. E. Dimond, M.D. .... .......................................... 114 Address - H. D. Steinbeck, M.D. ... *...................................... 129 Address * Jacek Szafran, Ph. D.............................................................. 143 Report of Committee on First Aid........................................................ 157 3 TABLE OF CONTEXTS - Continued Report of Committee on Trauma.............................................................. 157 Report of Committee on Medical Standards..................................... t'58 Report of the Ad Hoc Committee on Finance .................................. 158 Installation of Officers.................................................................................... 159 Attendance............................................................................................................. 161 4 OFFICERS AND COMMITTEES 1966 *l967 John R. Winston, M. D. , Chairman Southgate Leigh, Jr., M. D. , Vice-Chairman W, E. Todd, Staff Secretary COMMITTEE OF DIRECTION (Terms expire 1967) AI. B. Clayton, M. D. , Chief Surgeon, Southern Raiiway System, 15th and K Streets, N. W. , Washington, D. C. 23013 V. W. Hollo, M.D. , Chief Surgeon, St. Louis-San Francisco Rail way, 4960 Laclede Ave. , St. Louis, Missouri 63108 J. W. Houk, M. D. , Medical Director, Norfolk &. Western Railway, Roanoke, Virginia 24011 W. E. Mishler, M. D. , Chief Surgeon, Erie-Lackawanna Railroad, 608 Republic Bldg. , Cleveland, Ohio 44115 Peter Vaughan, M.D. , Chief Medical Officer, Canadian National Railways, P. O. Box 8100, Montreal, Quebec, Canada (Terms expire 1968) Isadore Kaplan, M. D. , Medical and Surgical Director, Medical Department, Baltimore & Ohio Railroad and Baltimore & Ohio Chicago Terminal Company, Baltimore, Maryland 21201 E. C. Olson, M. D. , Chief Surgeon, Illinois Central Railroad, 5800 Stony Island Avenue, Chicago, Illinois 60637 B. W. Stockwell, M. D., Chief Surgeon, Detroit & Toledo Shore Line Railroad &. Grand Trunk Western Railroad, 1229-39 David Whitney Bldg, , 1553 Woodward Avenue, Detroit. Michigan 48226 G. Earle Wight, M. D. , Chief of Medical Services, Canadian Pacific Railway, Windsor Station, Montreal, Quebec, Canada John R. Winston, M.D., System Medical Director, Atchison, Topeka & Santa Fe Railway, 80 East Jackson Blvd. , Chicago, Illinois 60604 (Terms expiring 1969) Stanley J. Cyran, M. D. , Medical Director, Pennsylvania Railroad, 474 Thirtieth Street Station Bldg. , Philadelphia, Pennsylvania 19104 Southgate Leigh, Jr., M. D. , Chief Surgeon, Seaboard Air Line Railroad, P. O. Box 1620, Richmond, Virginia 23213 Walter J. Longeway, M.D. , Chief Surgeon, Colorado & Southern Railway, 520 Metropolitan Bldg. , Denver, Colorado 80202 Abbott Skinner, M. D. , Chief Medical Officer, Great Northern Rail way, 1360 Lowry Medical Arts Bldg., St. Paul, .Minnesota 55102 V. M. Strange, M. D. , Chief Surgeon, Southern Pacific Company, Hospital Department, 1400 Fell Street, San Francisco, Cal ifornia 94117 5 STEERING CO-iMiTTLE John R. Winston, M. D. (CHAIR MAN), .System Mci-;'' m! Director, Atchison, Topeka & Santa F-..- Railway, 60 East Jackson BLvd. , Chicago, Illinois 60*304 Southgate Leigh. Jr., M.D. (VICE-C:: \IRMAN), Chief Surgeon, Seaboard Fir Line Railroad, P. O. Box 1620, Richmond, Virginia 2B21 i Walter J. Longev/ay, M. D. , Chief Surgeon, Colorado & Southern Railway, 520 Metropolitan Bldg., Denver, Colorado 60202 E. C. Olson, .M. D. , Chief Surgeon, Illinois Central Railroad, 5800 Stony Island Avenue, Chicago, Illinois 60037 MEDICAL- LEGAL COMMITTEE Isadore Kaplan, M.D. , (CHAIRMAN), Medical and Surgical Di rector, Baltimore & Ohio Railroad, Baltimore, Maryland 21201 G. W. Benjamin, M.D., Chief Medical Officer, Western Maryland Railv/ay, 300 St. Paul Place, Baltimore, Maryland 21202 E. A. Hamilton, M. D. , Chief Surgeon, New York Central System, LaSalle Street Station, Chicago, Illinois 60605 V. W. Hollo, M. D., Chief Surgeon, St. Louis-San F'rancisco Rail way, 4960 Laclede Avenue, St. Louis, Missouri 63108 Southgate Leigh, Jr., M.D. , Chief Surgeon, Seabiard Air Line Railroad, P. O. Box 1620, Richmond, Virginia 23213 F. W. Mahoney, M. D. , Medical Director, Central Railroad Com pany of New Jersey, Foot of Johnston Avenue. Jersey City, New Jersey 07302 M. M. Medvene, M. D. , Chief Medical Officer, Reading Company, 12th and Market Streets, Philadelphia, Pennsylvania 10107 W. E. Mishler, M.D., Chief Surgeon, Erie-Lackawanna Railroad, 608 Republic Bldg., Cleveland, Ohio 44115 J. S. Niles, Jr. , M.D. , Chief Surgeon, Lehigh Valley Railroad, Sayre, Pennsylvania 18840 B. W. Stockwell, M. D. , Chief Surgeon, Detroit & Toledo Shore Line Railroad, Grand Trunk Western Railroad, 1229-39 David Whitney Bldg. , 1553 Woodward Avenue, Detroit, Michigan 48226 V. M. Strange, M. D. , Chief Surgeon, Southern Pacific Company, 1400 Fell Street, San Francisco, California 94117 COMMITTEE ON MEDICAL STANDARDS W. J. Longeway, M.D. (CHAIRMAN), Chief Surgeon, Colorado & Southern Railway, 520 Metropolitan Bldg. , Denver, Colorado 80202 M. E. Childress, M.D. , Chief Surgeon, Western Pacific Railroad, Western Pacific Bldg. , 523 Mission Street, San Francisco, California 94105 S. J. Cyran, M. D. , Medical Director, Pennsylvania Railroad, 474 Thirtieth Street Station Bldg. , Philadelphia, Pennsylvania 19104 S MITT f_ E ' . . <v~u-:n Medic il Director, , H.iilwuv, dO East Jackson Blvd. , v-CH.MK MAN), Chief Surgeon, i'. O. Box L620, Richmond, f Surgeon, Colorado & Southern Mg. Denver, Colorado 80202 :.n, Illinois Central Railroad, .-icago, Illinois 6063" ; ai. COMMITTEE IAN), Medical and Surgical Dialroad, Baltimore, Maryland teriical Officer, Western Maryland , Baltimore, Maryland 21202 rgcon, New York Central System, -.go, Illinois 60605 an, St. Louis-San Francisco Rail41. Louis, Missouri 83108 ef Surgeon, Seabiard Air Line lichmond, Virginia 23213 Director, Central Railroad ComJohnston Avenue, Jersey City, dical Officer, Reading Company, ladelphia, Pennsylvania 19107 ?/ Erie-Lackawanna Railroad, a. .iio 44115 rgeon, Lehigh Valley Raiiroad, rgeon, Detroit & Toledo Shore Aestern Railroad, 1229-39 David :'d Avenue, Detroit, Michigan von. Southern Pacific Company, co, California 94117 :dical standards `N>, Chief Surgeon, Colorado & Titan Bldg. , Denver, Colorado "goon, Western Pacific Railroad, .ssion Street, San Francisco, ior, Pennsylvania Railroad, 474 Philadelphia, Pennsylvania j. R. C:ipdv, M. D. , Chic: Surg-on, Texos '1 ,Vc.. Orh..,:-,s R...I;0<M, iloustc TvXi.s 7700! j, W. Honk, M.D. , Medical Director-, Norfolk k `Ve-stcrn Rail way, Roanoke, Vi.-Mma 2 401' R. S. Kiefter, M.D. , Medical Director, Missouri-Kansas-Texas Railroad, 420 Girr.l.din Road, St, Louis, Missouri n.JNT A. McEwan, M. D. , Chief Surgeon, Northern Pacific Railway, 151 5 Charles Avenue, St. Paul, Minnesota 57104 E. C. Olson, M.D. , Chief Surgeon, Illinois Central Railroad, 5800 Stony Island Avenue, Chicago, Illinois 60637 J. C. Sharplev, M. D. , Chief Surgeon, Central of Georgia Railway, Savannah &. Atlanta Railway, Savannah, Georgia 31402 A. Skinner, M.D. , Chief Medical Officer, Great Northern Railway, 1360 Lowry Medical Arts Bldg. , St. Paul, Minnesota 55102 J, K. Stack, M. D. , Chief Surgeon, Chicago & North Western Rail way, 127 North Clinton Street, Chicago, Illinois 60606 A. J. Sutherland, M.D. , District Surgeon, Louisville & Nashville Railroad, 1904 Hayes Street, Nashville, Tennessee 37203 Peter Vaughan, M. D. , Chief Medical Officer, Canadian National Railways, P. O. Box 8100, Montreal, Quebec, Canada COMMITTEE ON TRAUMA Southgate Leigh, Jr., M. D. , (CHAIRMAN), Chief Surgeon, Seaboard Air Line Railroad, P. O. Box 1620, Richmond, Virginia 23213 C. M. Benage, M.D. , Regional Medical Director, Norfolk & Western Railway, Western Region, Railway Exchange Bldg. , St. Louis, Missouri 63101 C. E. Boyd, M. D. , Chief Surgeon. Louisiana & Arkansas Railway, 5815 Southern Avenue, Louisiana & Arkansas Hospital Assn. , Shreveport, Louisiana 71106 W. J. Longeway, M. D. , Chief Surgeon, Colorado & Southern Railway, 520 MetropolitanBldg. , Denver,Colorado 80202 B. W. Stockwell, M. D. , Chief Surgeon, Detroit & Toledo Shore Line Railroad, Grand Trunk Western Railroad, 1229-39 David Whitney Bldg. , 1553 Woodward Avenue, Detroit, Michigan 4 822S A. H. Winters, M. D. , Chief Surgeon, Pittsburgh & West Virginia Railway, Mansfield Avenue, P. O. Box 4440, Pittsburgh, Pennsylvania 15205 C. R. Zeiss, M. D. , Chief Surgeon, Elgin, Joliet & Eastern Rail way, 208 South LaSalleStreet, Chicago, Illinois 60606 COMMITTEE ON FIRST AID S. J. Cyran/M. D. , (CHAIRMAN), Medical Director, Pennsylvania Railroad, 474 Thirtieth Street Station Bldg., Philadelphia, Pennsylvania 19104 H. A. Causey, M. D. , Chief Surgeon, St. Louis-Southwestern Railway, c/oSt. Louis Southwestern Hospital, Texarkana, Arkansas 75501 7 ; j . ; ; l l r ] 1 5 I | I , ; : t I H. '.V. Hamn^t. M.D,, Chief Med: al O'ficer, C;dc:-rn. P-jr;.-ton i Qjincv Railroad, 5 - T ... Jacr.snn Plvd. . Cr.ic-rgc . Illinois ROM.'C ; M. M. Mc-dv = ne, M. 19., Chief Medical Ouioer. Reading Corr.onny Reading Terminal, 12th and Market Street;-;, PhLUfJt-le.'.'.a, Pennsylvania 19107 J. S. Niles, Jr., M.D. , Chief Surgeon, Lehig:: Valley Railroad, Sayre, Pennsylvania 18840 8 ; Officer, Chicago, Ruriingc,.son f-l'C. . Chicago, lOf'icer. Heading Company, i.t Street.-:, Philadelphia, n, Lehigh V7alley Railroad, ) | i l i MEMBERSHIP MEET ING ASSOCIATION' OF AMERICAN RAILROADS MEDICAL SECTION MOUNTAIN SHADOWS HOTEL PHOENIX, ARIZONA Monday, February 20, 1967 The first general session of the Forty-Seventh Membership Meeting of the Medical Section, Association of American Railroads, convened at 9:00 o'clock A. M., in Conference Rooms 1 and 2 of the Mountain Shadows Hotel, Phoenix, Arizona, with Dr. John R. Winston, Chairman, presiding. CALL TO ORDER CHAIRMAN JOHN R. WINSTON: The Forty-Seventh Annual Mem bership Meeting of the Medical Section, Association of American Railroads, is called to order. There are some announcements for your consideration and de liberation during the course of your stay. For example, the Med ical Standards Guide has been approved by the Medical Standards Committee and also by the Committee of Direction. It has been or will be distributed this morning in order that you might review it during your spare moments. At the meeting of the Medical Stand ards Committee on Wednesday, you will have the opportunity to make suggestions, approve or disapprove. The first presentation is by Dr. Ben Stockwell and to me it is highly appropriate that at this time we review the history of the Medical Section. DR. B. W. STOCKW'ELL {Detroit & Toledo Shore Line Railroad Grand Trunk Western Railroad, Detroit, Michigan): If I run into the coffee break, please interrupt me as I have quite a long paper for this organization has been in existence for a number of years. Mr. Chairman, Members of the Medical Section of the Associa tion of American Railroads, and guests. It is a pleasure to present a historical review of the Medical Section of the Association of American Railroads. I am indebted to Dr. Robert M. Graham, Director, Department of Sanitation and Surgery of The Pullman Company, for much of the source material and really feel that he should be making this presentation. Addi tional data was also furnished by our Chairman, Dr. Jonn Winston, Dr. J. Robertson Knowles, Chief Medical Consultant for the 3oston and Maine, Mr. H. Stephen Dewhurst, Secretary of this Section from 1950 to 1956 and now in the Public Relations Department of 9 the AAR, Mr. Julian Sherman of the Claims K".searck li-renu, Mr. U'illiam E. Todd, Secretary of uur Section, ancl ' -- h c-- s. Ah historical reviews must have a beginning and our story actually begins m 1 825, or 1827, when an application was made to the Legislature ot the State of Maryland for the incorporation, of the Baltimore and Ohio Railroad, which was, thus, the first chartered and fully organized railroad company in the United Siatc-s. This was the first railway that was constructed, either in Europe or in the United States, for the general conveyance of passengers or products between distant points. The first division of the railroad was open for the transportation of passengers in 1830, and ran from Baltimore to Endicott Mills, a distance of approximately 15 miles; horses and mules furnished the traction power. The first Chairman of the Medical and Surgical Section of the organization, that was then known as the American Railway Associa tion, Dr. D. Z. Dunott, pointed out that with the establishment of transportation was also established an occupational hazard, the results of which made necessary, very early, a railway surgical service. lie emphasized this very strikingly by pointing out sta tistically that "practically the payrolls of the railroads today (that is in 1921) has been impaired or killed within a ten year period. " For example, in the year 1911, 3,602 employees were killed and 126,039 were injured and the total number of persons killed in rail way operation was 10,396 and 150, 159 were injured. In 1965, 316 employees were killed and 30, 140 were injured, and the total num ber of persons killed in railway operations was 6,261 and 47,057 were injured. These figures are impressive even though the total employment on the railroads dropped from 1,689, 809 in 1911 to 639,934 in 1985. (See attached chart) The reduction in total of all people killed and injured in railway operation was accomplished in spite of the enormous increase in crossing accidents incident to the growing use of the automobile. It can certainly be claimed that some of this dramatic improvement can be attributed directly to the work of this Section in establishing physical standards which make possible an employee to safely perform his job. However, we should get back to discussing first things first, and, thus, I would like to give briefly the historical background of the Association of American Railroads. It is "the lineal descendent" of much earlier organizations, such as the Time Conventions formed .in 1872, and the Generai Time Convention which, in 1883, estab lished the system of standard time by which the whole Nation now lives, and the Railway Accounting Officers Association, formed in 1880, which helped develop uniform railroad accounting. The As sociation of American Railroads was created by the merger in 1934 of the American Railway Association, Association of Railway Ex ecutives, the Railway Accounting Officers Association, the RailwayTreasurers Officers Association, the Bureau of Railway Economics and other organizations. 10 aims Ili-search Bureau, Si'cujn, anc oth. rs. beginning and our story on application was made to l'(.m the incorporation of the tlius, tite first chartered . tne United States. This ed, either in Europe or in vance of passengers or rst division of the railroad ngers in 1830, and ran from of approximately 15 miles; power. nd Surgical Section of the American Railway Associawith the establishment of :cupational hazard, the early, a railway surgical ngly by pointing out staf the railroads today (that ithin a ten year period. " nployees were killed and r of persons killed in railire injured. In 1965, 316 ijured, and the total n.umis was 6,261 and 47,057 ;ive even though the total n 1,669,809 in 1911 to ie reduction in total of all uion was accomplished sing accidents incident to certainly be claimed that e attributed directly to ysical standards which orm his job. issing first things first, and, ricai background of the the lineal descendent" of 'ime Conventions formed which, in 1883, estabch the whole Nation now 3 Association, formed in 'ad accounting. The Asted by the merger in 1934 ociation of Railway ExAssociation, the Railway cau of Railway Economics The parent American Railway Association apparer.'.U.' u>-. about 1872, when us c;uei business was the adoption o: *:mu s uies for passenger trams. The detailed system of standard time was adopted for practical purposes U',33 and provided d< finite information respect.n_ the changes required in tne schedule of every train on each railroad, so as to preserve unbroken the rela tive time in connection with trains on ether roads, it is interesting in this respect to consider the confusion that we have at the present time in our standard and daylight saving time. A code of uniform train signals was adopted in November of 1884, and the adoption of joint block signal interlocking rules was established m 1892. A per diem plan was begun in 1886 and presented as a code in 1902. A uniform code of demurrage rules was established in 1009. The American Railway Association was re-organized in 1919 and then included a Medical and Surgical Section, with the following subjects under consideration: 1. Separation of ice from drinking water in equipment and in stations. 2. Quarantine Regulations. 3. Water Use for Drinking and Culinary Purposes. 4. Placarding Condemned Water Supplies. 5. Sanitary Code. 6. Hospital Standard. 7. Traumatic Hernia. 8. Prevention and Control of Occupational Diseases and Haz ards. Mr. R. H. Aishton, President of the American Railway Associa tion, on November 6, 1920, appointed a temporary Committee of Direction for the Medical and Surgical Section, whose duty it was to organize the Section, elect temporary officers, and supervise the Section's activities until such time as the Section might for mally elect its successor. The first meeting of the Committee of Direction was held in New York on December 1, 1920. It elected officers and adopted tentative regulations to govern its activities. The originally appointed members of the Committee of Direction were: Chairman, Dr. D. Z. Dunott, Chief Surgeon of the Western Maryland Railway, Baltimore, Maryland; First Vice-Chairman, Dr. G. G. Dowdall, Chief Surgeon, Illinois Central Railroad, Chicago, Illinois; Second Vice-Chairman, Dr. Duncan Eve, Chief Surgeon, Nashville, Chattanooga and St. Louis Railway, Nashville, Tennessee; Dr. C. W, Hopkins, Chief Surgeon, Chicago and North Western Railway, Chicago, Illinois; Dr. William B. Coley, Chief Surgeon, New York Central Railroad, New York City; Dr. H. S. Cumming, Surgeon General, representing the Bureau of Public Health Service, Washington, D. C. ; Dr. A. W. Freeman, Com missioner of Health, State Department of Health, Columbus, Ohio, representing the State and Territorial Health Officers Association; Dr. Robert J. Graves, Chief Surgeon of the Boston and Maine Railroad, Concord, New Hampshire; Dr. J. A. Hutchison, Chief Medical Officer of the Grand Trunk Railway System, Montreal, 11 1r.rg- LWpilJUJ.1 Quebec; Dr. A. Ide, Chief Surgeon, Norther:-. pac:!;c Rail^-av, Brainerd, Minnesota; Dr. A. F. Jonas, Chief Surgeon of the- L'nmn Pacific Railroad, Omaha, Nebraska; Dr. J. P, Raster, Cue; Surgeon of the \tuhison, Topeka and Santa Pe Railroad, Topeka, Kansas; Dr. R. W. Knox, Chief Surgeon of the Southern Pacific Lines, Houston, Texas; Dr. Southgate I.eigh, Chief Surgeon, The Virginia Railway, Norfolk, Virginia; Dr. S. C. Plummer. Chief Surgeon, Chicago, Rock Island and Pacific Railway, Chicago, Illinois; and Dr. J. B. Walker, Surgeon, Pennsylvania System, New York City. The first general meeting of the Medical and Surgical Section was held on June 3 and 4, 1921 in Boston. The officers at this first meeting of the Medical and Surgical Section were: Chairman, Dr. D. Z. Dunott, Chief Surgeon, Western Maryland Railway; First Vice-Chairman, Dr. G. G. Dowdall, Chief Surgeon, Illinois Cen tral; Second Vice-Chairman, Dr. Duncan Eve, Chief Surgeon, Nashville, Chattanooga and St. Louis Railway, Nashville; Third Vice-Chairman, Dr. C. W. Hopkins, Chief Surgeon, Chicago and North Western Railway; and the Secretary was a man that many of us well remember, Mr. J. C. Caviston, who was an extremely ef ficient secretary. I would like to call your particular attention to the name of Dr. Southgate Leigh, Chief Surgeon of the Virginia Railway, the father of our present infamous, Southgate Leigh, Jr. , who was on the Committee of Direction. It was also gratifying to me and most interesting to see the name of my father, Dr. Glenn W, Stockwell, Company Surgeon for the Grand Trunk Railway System, listed as a member of the Committee on Physical Standards. Also, Dr. Albert Winters, Chief Surgeon of the Pittsburgh and Lake Erie Railroad, who is here today, advises me that his father was Chief Surgeon, preceding him. from 1904 to 1941 and participated in these activities. Also, the father of Dr. A. H. Andrews, Jr. , who is on our program today, was a consultant for the Rock Island from 1899 to 1945. The original Committees in addition to the Committee of Direc tion were: Committee on Nominations, Committee on Sanitary Code, Committee on Hospital Standards, Committee on Physical Standards, Committee on Prevention and Control of Occupational Diseases and Hazards, Committee on Water, and a Committee on Hernia. Hernia was obviously a serious problem in those days. As this is a historical review, again we should back-track, to try to trace the origins of the Medical and Surgical Section. In other words, from what did this organization originate ? Mr. R. H. Aishton, President of the American Railway Association, in his ad dress at the first meeting of the Medical and Surgical Section, stated that an amalgamation of the Association of American Railway Chief Surgeons, the New York and New England Railway Surgeons Association, and the Railway Section of the Southern Medical As- 12 Northern Pacific Railway, , Cruet Surgeon of '.ho Union- r. J. p. Raster, Chief 'u Fe Railroad, Topeka, <n m the Southern Pacific l.oigh. Chief Surgeon, The -r. S. C. Plummer, Chief ,;:ic Railway, Chicago, n. Pennsylvania System, edical and Surgical Section :n. The officers at this nl Section were: Chairman, tern Maryland Railway; First hief Surgeon, Illinois Cenin Eve, Chief Surgeon, uilway, Nashville; Third hief Surgeon, Chicago and ry was a man that many of us ^ho was an extremely ef- attention to the name of Dr. irginia Railway, the father h, Jr., who was on the itifying to me and most , Dr. Glenn W. Stockwell, ailway System, listed as Standards. Also, Dr. tsburgh and Lake Erie that his father was Chief SI and participated in these . Andrews, Jr. , who is on the Rock Island from 1899 to the Committee of DirecCommittee on Sanitary Committee on Physical Control cf Occupational ."r, and a Committee on problem in those days. should back-track, ;id Surgical Section. In originate ? Mr. R. H. "V Association, in his adi-.d s.jrgical Section, f.on of American Railway .-ind Railway Surgeons * h-iuthern Medical As- relation, resulted in the organization of this Sec'ion. The on Industrial Medicine and Suv.ery >_>' thv Southern Medical \sociation was provided for at the Lexington Meeting in L:ML '.Tiginaily it was Southern States Association of Railwav Surgeons, actually a Section on Railway Surgery. Changed m 1 '*28 to Section on Railway Surgery. Changed in 1945 to Section on Industrial Medicine and Surgery, It was noted that in 1914, Dr. Duncan Eve was the President of this Section and in 1916 Dr. Southgate Leign was the President. Actually, there was no true amalgamation, although, the three groups mentioned, undoubtedly, had an inter-locking membershio. It is also apparent that the Association of Railway Chief Surgeons was, undoubtedly, the predecessor of our group. Unfortunately, because they did not publish their proceedings, I cannot find out when they were organized nor who their original members were. Dr. Robert Graham has furnished me with a copy of the by-laws of May 1, 1916, which state: 1. The object of this association is to improve and promote the uniformity of methods and practice. 2. The members of the association shall consist of the Chief Surgeons of the Railroads of America, who are eligible for member ship when dues are paid. 3. Officers of the association shall consist of a President, Vice-President, Secretary-Treasurer and three Executive members, who with the President and Vice-President shall constitute the Executive Board, 4. The officers shall be elected annually by ballot. 5. The President shall appoint all Committees. 6. The regular meeting shall be held semi-annually, time and place to be determined by the Executive Board. 7. The annual dues shall be $5.00, payable May 1. Members in arrears two years shall be dropped from the roll. Dr. Graham, in a personal communication, advises me that while members of the two groups were largely the same, and func tions, so far as medical education and discussions, were similar, that the Association of Railway Chief Surgeons remained as a separ ate entity at least until 1933. It is also apparent that they held separate meetings. For example, an annual meeting was held m Chicago on October 14, 1924. The provisional program was: 1. Traumatic Epilepsy, postponed from previous meeting. 2. Chief Surgeon's responsibility for man-pewer. 3. General Medical Re-examination of Old Employees in the Transportation Department; (a) How it had best be conducted; (b) Borderline cases in which there may be some question as to the physical capacity of the individual to continue in his regular work; (c) The problem of the physically disqualified employee. 4. The Means by which Sanitation of Toilets in Stations and Privies on Company property can be regulated by the Chief Surgeons 13 and Sanitary Officers. 5. Infected Tonsils and Teeth and their effect on the prolonga tion of disability from injury. To go back again to origins, one of the groups that certainly contributed to the membership of our organization was the New York and Mew England -Association of Railway Surgeons, a.nd Dr, J. Robertson Knowles, Chief Medical Consultant to the Eoston and Maine Railroad, has been very helpful in giving me some of the background of this organization. This group was interested, since its organization in 1830, in the medical and surgical problems arisin in the railway industry, and very many famous physicians and sur geons were members. Dr. D. Z. Dunott, in his address at the inaugural meeting of the Section in 1921, demonstrated great foresight, understanding, and wisdom. He must have been a tremendous person and I wonder if any of the men in our present group remember him. It is ap parent from his remarks, and those of the President of the Amer ican Railway Association, that the Chief Medical Officers of the railroads in those days were held in very high esteem, a situation which has not always existed during the intervening years. Some of Dr. Dunott's recommendations, made at this first meeting, 46 years ago, for the present and future activity of the Medical and Surgical Section are worthy of repeating in view of how closely they fit in with our present objectives. I have some copies of his com plete recommendations and these are available for those of you who are interested. Among his recommendations are: 1. "That wherever possible, only hospitals rated as class A by the College of Surgeons be recognized, and where railroads have their own hospitals, that such institutions not already so classifiea will be brought to such standard." 2. "In view of the occupational hazard and statistics presented, it would seem imperative that greater care be given to the matter of physical fitness, not only to the applicant for service, but to the employee already in service where such employee by physical or mental failure may cause serious accident to the traveling pub lic or fellow employees. " 3. "The head of the medical and surgical service should report to the Chief of the Operating Department. " 4. "In line with my appeal for a closer cooperation of the surgical service, I would urge a more general interest on the part of the surgeons in the operating problems that have to be met by the railway officials. " This is pertinent, in view of the present ob jective of this group in maintaining a very close liaison between the medical service and management. Dr. Robert Graham furnished me with a copy of the index of the proceedings of the Annual Meetings of the Medical and. Surgical Section of the American Railway Association for the years 1921 to ,ri th-:r effect on the prolonga* u( the groups that certainly : aivunizaticn -a-as the New ,f Railway Surgeons, and Dr. al Consultant to tne Boston and ul in giving me some of the is group was interested, since i-u\ and surgical problems arising mv famous physicians and sur- ;s at the inaugural meeting of eat foresight, understanding, remendous person and I wonder ip remember him. It is apof the President of the Amerhicf Medical Officers of the very high esteem, a situation the intervening years. Some nade at this first meeting, 46 2 activity of the Medical and ting in view of how closely they have some copies of his com2 available for those of you immendations are: ily hospitals rated as class A lized, and where railroads have tions not already so classified hazard and statistics presented, r care be given to the matter >plicant for service, but to re such employee by physical accident to the traveling pub- i surgical service should report nent. " . closer cooperation of the *e general interest on the part lems that have to be met by the , in view of the present ob. very close liaison between e with a copy of the index of the )( the Medical and Surgical ociation for the years 1921 t> IP29. This is most interesting to rcv.ew and would hv h*. m;_: . we could a continuing inc;--:< of all of our mee'ings, ..u be brought up-to-date a: the end o: each year. The numerous ar.d important subjects that are outlined in this index illustrate 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 meeting was held in St. Louis, Missouri. The Chairman was Dr. D. Z. Dunott, Chief Surgeon of the Western Maryland Railway ana the Secretary was Mr. J. C. Caviston. To save time, I will not read the year, location of the meeting, name of Chairman and Secretary for the years 1923 to 1942, as they are listed in the paper and the printed proceedings of all these meet ings are available in the office of the Secretary. In 1923, the meeting was held in San Francisco. The Chairman was Dr. D. Z. Dunott and the Secretary was Mr. J. C. Caviston. In 1924, the meeting was held in Chicago. The Chairman was Dr. G. G. Dowdall, Chief Surgeon of the Illinois Central Railroad and the Secretary was Mr. J. C. Caviston. In 1925, the meeting was held in Atlantic City, New Jersey. The Chairman was Dr. G. G. Dowdall and the Secretary was Mr. J. C. Caviston. In 1926, the meeting was held in Dallas, Texas. The Chairman was Dr. J. L. Bower, Chief Medical Examiner of the Pennsylvania Railroad. The Secretary was Mr. J. C. Caviston. In 1927, the meeting was held in Richmond, Virginia. The Chairman was Dr. W. H. Bohart, Chief Surgeon of the Chicago & Eastern Illinois Railroad. The Secretary was Mr. J. C. Caviston. In 1928, the meeting was held in Quebec, Canada. The Chairman was Dr. W. H. Bohart and the Secretary was Mr. J. C. Caviston. In 1929, the meeting was held in White Sulphur Springs, West Virginia. The Chairman was Dr. L. A. Ensminger, Chief Surgeon of the Cleveland, Cincinnati, Chicago & St. Louis Railroad. The Secretary was Mr. J. C. Caviston. In 1930, the meeting was held in Biloxi, Mississippi. The Chairman was Dr. S. C. Plummer, Chief Surgeon of the Chicago, Rock Island &. Pacific Railway. The Secretary was Mr. J. C. Caviston. In 1931, the meeting was held in New York, New York. The Chairman was Dr. E. V. Milholland, Medical and Surgical Director 15 of the Baltimore and Ohio Railroad. The Secretary was .Mr. J. C. Caviston. In 1932, the meeting was beid in New York, New York. The Chairman was Dr. C. W.. Hopkins, Chief Surgeon of the Chicago .v North Western Railway. The Secretary was Mr. J. C. Caviston. In 1933, the meeting was held in Chicago, Illinois. The Chair man was Dr. John McCombe, Chief .Medical Officer of the Canadian National Railways. The Secretary was Mr. J. C. Caviston. In 1934, the meeting was held in Washington, D. C. The Chair man was Dr. W. L. Hartman, Medical Director of the New York Central Lines. The Secretary was Mr. J. C. Caviston. In 1935, the meeting was held in Atlantic City, New Jersey. The Chairman was Dr. John R. Nilsson, Chief Surgeon of the Union Pacific Systems. The Secretary was Mr. J. C. Caviston. In 1936, the meeting was held in Chicago, Illinois. The Chair man was Dr. J. R. Garner, Chief Surgeon of the Western Railway of Alabama. The Secretary was Mr. J. C. Caviston. In 1937, the meeting was held in Atlantic City, New Jersey. The Chairman was Dr. D. B. Moss, Chief Medical Officer of the Chicago, Burlington & Quincy Railroad. The Secretary was Mr. J. C. Caviston. In 1938, the Chairman was Dr. Duncan Eve, Jr. , Chief Surgeon of the Nashville, Chattanooga <k St. Louis Railway. The Secretary was Mr. J. C. Caviston. No meeting was held because of economic conditions, but it was held with the same officers in 1939, in Chicago, Illinois. In 1940, the meeting was held in New York, New York. The Chairman was Dr. Harvey Bartle, Chief Medical Officer of the Pennsylvania Railroad. The Secretary was Mr. J. C. Caviston. In 1941, the meeting was held in Montreal, Quebec. The Chair man was Dr. W. J. Lancaster, Medical Director of the Atlantic Coast Line Railroad. The Secretary was Mr. J. C. Caviston. This was the last meeting held before World War II. In 1942, the Chairman was Dr. A. R. Metz, Chief Surgeon of the Chicago, Milwaukee, St. Paul &, Pacific Railroad. The Secretary was Mr. J. C. Caviston. No meetings were held between the years 1942 and 1945 because of the War. During the War years, the activities of the Section were conducted by the Committee of Direction. In 1946, the meeting was held in Chicago, Illinois. The Chair man was Dr. A. R. Metz and the Secretary was Mr. J. C. Caviston. 16 UJU'JPPL'.'WBM.- ht Secretary was Mr. J. C. Vw Yotk, New York. The jef Surgeon of the Chicago -k v was Mr. J. C. Caviston. hie a go, Illinois. The Chairdical Officer of the Canadian Mr. J. C. Caviston. ashington, D. C. The ChairDirector of the New York J, C. Caviston. tlantic City, New Jersey, i. Chief Surgeon of the Union Ir. J. C. Caviston. hicago, Illinois. The Chaireon of the Western Railway . C. Caviston. .lantic City, New Jersey, lief Medical Officer of the The Secretary was Mr. ican Eve, Jr. , Chief Surgeon is Railway. The Secretary as held because of economic e officers in 1939, in Chicago, w York, New York. The f Medical Officer of the was Mr. J. C. Caviston. mtreal, Quebec. The Chair. Director of the Atlantic .s Mr. J. C. Caviston. orld War II. R. Metz, Chief Surgeon Pacific Railroad. The meetings were held between ar. During the War years, ted by the Committee of icago, Illinois. The Chairary was Mr. J. C. Caviston. This was the first meeting after the War. I will uommer.*. on some of the proce-.-ckngs of the meetings smc*. tne V. an oar- ticularly on some things that I have personal knowledge of. Or. Metz, in his address as Chairman, gave 3n interesting historical review, which also gave us some source material. He mer.tionec that between 1941 and 1946 the Section had suffered the loss of eleven members by death or retirement, and also pointed out that after 25 years of active and conservative management, the future destiny of the Section had to be assumed by new members. In 1947, the meeting was held in Atlantic City, New Jersey. The elected Chairman was Dr. George P. Myers, Medical Director of the New York Central System, but due to his retirement earlier than expected, Dr. K. E. Dowd, Chief Medical Officer of the Canadian National Railways became Chairman. Mr. J. C. Caviston was the Secretary. In 1948, the meeting was held in Chicago, Illinois. The Chair man was Dr. K. E. Dowd and the Secretary was Mr. J. C. Caviston. In 1949, the meeting was held in Atlantic City, New Jersey. The Chairman was Dr. R. M. Graham, Director, Department of Sanitation and Surgery, the Pullman Company. The Secretary was Mr. J. C. Caviston. This was a short meeting, consisting of only one day and held at the time of the meeting of the American Medical Association and the American Association for the Surgery of Trauma. Some of the other meetings held during these years were also one day meetings held in conjunction with other groups. In 1950, the meeting was held in Edgewater Park, Mississippi. The Chairman was Dr. O. H. Horrall, Chief Surgeon of the Chicago, Burlington Sc Quincy Railroad. The Secretary was Mr. J. C. Caviston. This was Mr. Caviston's last meeting. In 1951, the meeting was held in Chicago, Illinois. The Chairman was Dr. A. R. Metz, Chief Surgeon of the Chicago, Milwaukee, St. Paul & Pacific Railroad. The Secretary was Mr. H. S. Dewhurst, who is now Executive Assistant in the Public Relations Department of the Association of American Railroads in Washington, D. C. In 1952, the meeting was held in Chicago, Illinois. The Chair man was Dr. T. L. Hansen, Chief Surgeon of the Chicago, Rock Island & Pacific Railroad. The Secretary was Mr. H. S. Dewhurst. At this meeting, the name of the Committee on Fractures was changed to the Committee on Trauma in order to broaden the field and increase the usefulness of the Committee. This was in line with a change that took place in the American College or Surgeons, and the Committee at that time suggested that the Committee on Trauma of the AAR coordinate their reports with those of the Committee on Trauma of the American College of Surgeons, and recommended their publication. 17 man was Dr. A. M. '-V. Penr.Sj iv0nia RMiruad. Tnc Chi*.-: Me.;.-. A crcturv -a? ...'r. !?. S. v ,r.- . In lcr>4, tit" Chairman >.<. Dr. J. Huber Woaner, C:.:-i '.ingeon of the Bessemer i. Lake bne Railroad. Tne Sc: o:.ai'v v.^s Mr. H. S. Dewhurst. No meeting was held because- of economic conditions. In 1055, the meeting was held in Savannah, Georgia. The Chairman was Dr. J. Huber Wagner and the Secretary was Mr. H. S. Dewhurst. During the prior year a Medical film CemmiHoe was appointed to help combat the serious problem a: that time of "dermatitis. " A great deal of work was done in developing a film on the subject of preventing dermatitis, but due to economic con ditions it was never produced. This meeting was also the first one at which we were addressed by the Director of the Claims Research Bureau of the AAR, who, at that time, was Mr. K. A. Carney. I As most of you know, this added a great deal to our meetings, and we are very pleased to have had the Director of the Claims Research t Bureau with us at all subsequent meetings. In 1956, the meeting was held in San Francisco, California. The Chairman was Dr. W. W. Washburn, Chief Surgeon of the Southern Pacific Company. At this time, we had a new Secretary, Mr. F. J. Parker. In 1957, the meeting was held in White Sulphur Springs, West Virginia. The Chairman was Dr. R. J. Bennett, Chief Surgeon of the Elgin, Joliet &. Eastern Railway. The Secretary was Mr. F. J. Parker. At this meeting, we were favored by a very interesting address by Mr. Owen Clark who was the Chairman of the Interstate Commerce Commission at that time. His speech is worthy of re view. Although this is not strictly historical, I will spend a few minutes here because this is one of the few places where our re sponsibilities as Chief Medical Officers are spelled out; the other places as you know are by the Supreme Court and the Railroad Ad justment Board. Mr. Clark pointed out that the Interstate Commerce Commission had no jurisdiction over the physical qualifications or the type and frequency of examinations for railway employees, al though they did prescribe rules and regulations in the same field for motor carriers. He stated that the railroads "can and should do the job themselves. " He recommended against a bill introduced by Senator Kefauver where the Commission would have been directed to prescribe minimum standards for the physical qualifications of all railroad operating personnel and the frequency of re-examination, and with appropriate penalties. This proposed legislation resulted from some serious passenger train wrecks both in the East and in the West which were allegedly caused by man-power failure. He stated "You have unquestionably developed excellent standards, par ticularly with regard to the kind and frequency of physical examina tion, but that is only part of the job.............the fact remains that some 18 w Illinois. The Chair: M-.-dica: a miner c: -h.!-v .V25 Mr. H. S. Dv'vri-jrf.1.' r. Huber Wagner, Chief Surailroad. The Secretary was as held because of economic Savannah, Georgia. The arid the Secretary was Mr. =>ar a Medical Film Committee ions problem at that time of *-as done in developing a film is, but due to economic conmeeting was also the first one irector of the Claims Research , was Mr. K. A. Carney, cat deal to our meetings, and Hrector of the Claims Research tings. San Francisco, California, urn. Chief Surgeon of the me, we had a new Secretary, White Sulphur Springs, West J. Bennett, Chief Surgeon of The Secretary was Mr. F. J. vored by a very interesting the Chairman of the Interstate His speech is worthy of reitorical, I will spend a few e few places where our re 's are spelled out: the other e Court and the Railroad Adut that the Interstate Commerce he physical qualifications or ; for railway employees, algulatior.s in the same field for ilroads "can and should do the 'ainst a bill introduced by on would have been directed ie physical qualifications of ,e frequency of re-examination, proposed legislation resulted ecks both in the East and in by man-power failure. He >ped excellent standards, parequency of physical examina.... the fact remains that some railroads have lagged far behind and have :v : .ccepr,:u inundations. Unfortunately, there- is a disturbing lack :.,rr\. . among the different railroads, as I know you are well aware. " He definitely states "at the very least, however, gentlemen, y.vur recommended standard should apply uniformly tnrougnout the rail road industry as an absolute minimum, and I believe you can make a great and lasting contribution to railroad safety, if you redouble your efforts to convince railway management that these standards must be adopted fully and without modification. " I believe this is a real challenge to us and one of our best arguments for convincing management of the necessity of the importance of our objectives. The Joint Medical-Legal Committee was appointed during 1957, and the first Committee consisted of Dr. R. J. Bennett, Chief Sur geon of the Elgin, Joliet & Eastern Railway; Dr. Harvey Nelson, Chief Surgeon of the Soo Line; and Dr. W. E. Mishler, Chief Sur geon of the Erie-Lackawanna Railroad. Representing the legal side were Messrs. Ewing, General Claims of the Santa Fe; W. F. Kelly, General Attorney of the Chicago and North Western Railroad; and Mr. R. R. Minor, General Claims Agent of the Illinois Central. The first major project of the Committee was to promote the impartial medical testimony plan with great success. This Committee has been an important part of our organization since that time and it has made several important contributions, one of which was a re commended pre-employment X-ray program for the railway industry, which has been widely adopted. In 1958, the meeting was held in Edgewr-ter Park, Mississippi. The Chairman was Dr. I. Goldowsky, Medical Director of the Cen tral Railroad of New Jersey. The Secretary was Mr. F. J. Parker. During the year 1958, the Association of American Railroads auth orized an expenditure of $30,000 to inaugurate a study of the ef fects of Diesel fumes at the University of Pittsburgh, Department of Occupational Health, Graduate School of Public Health, arid a Diesel Fumes Committee was activated. Dr. R. S. Ayerle, Assist ant Medical Director of the Pennsylvania Railroad, was appointed Chairman of the activated Committee. As you are all aware, this study was taken over by the United States Public Health Service after the first year and is continuing at the University of Pittsburgh. In 1959, the meeting was held in Chicago, Illinois. The Chair man was Dr. B. W. Stockwell, Chief Surgeon of the Grand Trunk Western Railroad Company. The Secretary was Mr. F. J, Parker. In December of 1958, and prior to that meeting, Mr. R. G. May of the AAR objected to the fact that the major railroads in the East were not represented on the Committee of Direction. It was recom mended that the Committee of Direction be enlarged from twelve to fifteen members. It was also recommended that the Chairman invite the Chief Medical Officer from one major railroad in each of the territories not represented on the Committee of Direction to at tend the regular meetings of the Committee until consideration could 19 be given, to the recommendation to enlarge the rncm:.':r.-'..n v, :`i n members. At that time, Dr. R. A. Johnson, Medical Dire:the New York Central System, Dr. A. M. '.V. Harsh, Mecical Director of the Pennsylvania Railroad, and Dr. John R. Winston, System Medical Director of the Atchison. Topeka A Santa Fe, 'ere invited to attend the meeting anc later appointed to the Committee c: Direction. On March 13, 1359, a letter ballot was sort out con cerning the proposed revisions in the Rules of Order, increasing the membership of the Committee of Direction, and this was approved. In 1960, the meeting was held in Hollywood Beach, Florida. The Chairman was Dr. J. K. Stack, Chief Surgeon of the Chicago & North Western Railroad. The Secretary was Mr. F. J. Parker. A reduction of funds made available to the AAR resulted in the Medical and Surgical Section being discontinued. This was a severe blow to the officers and members of the Medical and Surgical Sec tion. It then became a Medical Advisory Committee and has main tained that status until 1966. Effective January 1, 1961, "Action and the responsibilities in the general field of physical fitness and medical standards effecting all of the railroads will have to be pro vided through a Medical and Surgical Advisory Committee. " Also at that time, the AAR advised that they would "maintain a small staff composed of three persons, namely, Messrs. Todd, Parker and Rose, to carry on the advisory committee activities of the Med ical and Surgical group, as well as the operating section............. " The new Plan of Organization of the Operating-Transportation Div ision of the Association of American Railroads provided "The Med ical and Surgical Advisory Committee should be composed of 15 members appointed by the General Committee. It shall exercise general supervision over the matters of interest to the Medical and Surgical Officers of Member Roads. It shall study and report on all matters regarding medical standards of the railroad industry. It shall consider revisions of the First Aid Instructions for Rail road Employees, published by the Division. It shall maintain liaison with various organizations interested in the promotion of the health and welfare of railway employees." Needless to say, many of the members of this group objected strenuously to the downgrading of our organization's activities, and at least we were able to continue with meetings by prevailing upon the AAR to authorize a "Member ship Meeting." In 1961, a Membership Meeting was held in Chicago, Illinois. The Chairman of the Medical and Surgical Advisory Committee was Dr. V. W\ Hollo, Chief Surgeon of the St. Louis-San Francisco Railway and the Secretary was Mr. W. E. Todd. In 1962, a Membership Meeting was held in St. Louis, Missouri. The Chairman of the Medical and Surgical Advisory Committee was Dr. V. W. Hollo and the Secretary was Mr. W. E. Todd. Subse quently, at a meeting of the Medical and Surgical Advisory Com mittee in Chicago in February of 1962, the Rules of Order of the Medical and Surgical Advisory Committee were approved. These 20 lj:. the membership to :;:*.een f .r.-.b m, Medical Director of M. U. Hursh, Medical !, and Dr. John R. 'Ainstcn, Topeka L Sana Fe, were r unpointed to the Committee of ter ballot was sent out cor." ' Rules of Oraer, increasing the ,-ct.on, and this was approved. Hollywood Beach, Florida. Chief Surgeon of the Chicago etarv was Mr. F. J. Parker. 0 the AAR resulted in the scontinued. This was a severe .he Medical and Surgical Secory Committee and has main/e January 1, 1961, 'Action 1 field of physical fitness and railroads will have to be proAdvisory Committee. " Also >y would ''maintain a small lely, Messrs. Todd, Parker >mmittee activities of the Mede operating section............. " )perating-Transportation DivRailroads provided "The Medf should be composed of 15 immittee. It shall exercise of interest to the Medical ds. It shall study and report idards of the railroad industry. ;t Aid Instructions for Rail* /ision. It shall maintain liaison in the promotion of the health Needless to say, many of the uousiy to the downgrading of east we were able to continue AAR to authorize a "Member- vas held in Chicago, Illinois, gical Advisory Committee was e St. Loms-San Francisco '. E. Todd. vas held in St. Louis, Missouri, gical Advisory Committee was as Mr. W. E. Todd. Subsemd Surgical Advisory Coml, the Rules of Order of the ittee were approved. These vioeo for cer'ain committees a i.nd rm; :-rMr c_. ^;cul Section. The Committee.; were: Advise: v C .t.,-; >:iittee on Nominations, Committee on Trauma, C^.:: - . ,r-- ,\id. Committee o:i Medical Standards, Medical-L* ;M Comm..-: ... No formal report of this meeting was made, hut a summurv was forwarded on June 1 1, 1962 by Mr. '.V. E. Todd, Staff 5ec:vt;;rv. In 1963, a Membership Meeting of the Medical and Surr.cal Officers of the AAR Member Roads was held at the Grcenbriar Hotel, White Suiphur Springs, t^est Virginia. The Chairman of the Medical and Surgical Advisory Committee was Dr. W. c. Mishler, Chief Surgeon of the Erie-Lackawanna Railroad. The Seer**?, -v was Mr. W. E. Todd. Again, there was no formal printed booklet of the proceedings, but a summary was forwarded to the member ship, consisting of copies of the speakers' reports, by Mr. W. E. Todd, Staff Secretary. Some confusion concerning the length of service of the Chair man and Vice-Chairman of the Medical and Surgical Advisory Com mittee developed in 1963, which was resolved by Dr. William E. Mishler resigning after his one year tenure in office, makine Dr. Harvey Nelson, Chief Surgeon of the Soo Line, Chairman. The Chairman originated a new Committee called the "Steering Com mittee. " It consisted of three members to assist him in carrying out the duties of his office. This has been continued since that time. In 1964, a meeting was planned for Las Vegas, Nevada, which was anticipated by out* membership, but, unfortunately, it had to be called off because of the threatened Nation-wide railway strike. This meeting was subsequently arranged to be held in Chicago on Septem ber 21 and 22, and this also had to be canceled. In 1965, a Membership Meeting was held In Chicago, Illinois. Dr. Harvey Nelson's title was changed at that time from Chief Sur geon to Medical Advisor of the Soo Line Railroad. Dr. Nelson was Chairman and Mr. W. E. Todd was the Secretary. Dr. Nelson opened the meeting with the following statement "I would like .o call to order the 1964 Annual Meeting now being held in 1965. This, by the way, is our 45th meeting." In his talk, which is now available under the published proceedings, he commented on the concerted effort to have Management participate in our programs and also noted the change in the format to one largely consisting of panel sym posiums. He also suggested the inauguration of interim panel sym posiums on important subjects to the railway industry and these have been put into effect. The first was held in Chicago on January 12, 1965, on the subject of vision. Subsequent interim meetings have been held as follows: May 28, 1965, at Chicago, Illinois, "Oc cupational Significance of Pulmonary Insufficiency in the Railroad Industry"; September 24, 1965, at Denver, Colorado, "Hearing Problems in the Railroad Industry"; November 18, 1965, at Min neapolis, Minnesota, "Cardiovascular Surgery"; June 29, 1966, at Chicago, Illinois, "Contact Lenses"; October 19, 1966, at Miami 21 Beach, F'.urida (in conjunction with Seaboard Air Line Railway Surgeons session) ''Cardiac and Pulmonary Resuscitation and .Man agement. of Burns and Injuries to Internal Organ Systems. '' In 1966, a Membership Meeting was held in San. Francisco, California. The Chairman was Dr. E. C. Olson, Chief Medic?.! Examiner of the Illinois Central Railroad and the Secretary was Mr. W. . Todd. Fortunately, the proceedings of this meeting have also been published in booklet form and are available to ail of us. At this meeting we were addressed by Mr. John A. Risendal, Director of the Claims Research Bureau of the AAR, who replaced Mr. K. A. Carney, on the subject of "Miraculous Recovery and Estoppel" which continued our desirable close association with the Claims Research Bureau. At this meeting, the Committee on Medical Standards presented us with a new approach to this problem in the form of a publication entitled "A Guide for Application of Medical Standards by Occupa tional Profile. " This represented a tremendous amount of work and coordination of the Committee's report over a period of years and is of great value to all railway Chief Medical Officers. This brings us up to the present time. It is my understanding that at this meeting, we are being advised that our status is again changed from that of a Committee to a Medical Section. Naturally, this is pleasing to all of us who have been active in this organiza* tion over the years. I have enjoyed presenting some of the background of our ex* ceilent organization, and, in closing, I would ask if there are any among the membership who have information concerning our origins that has not been made available up to the present time, that it should be added to this as an addendum, so that this historical re view will be more complete. Attachments: 1. List, naming chairman. Secretary and Location of Annual Meeting, if held. 1921-1966. 2. Chart, illustrating casualties in railroad industry for years 1911 and 1985. 3. Recommendations of Dr. D. Z. Dunott, Chief Surgeon, Western Maryland Railway, Baltimore, Maryland (Chairman of the Med ical and Surgical Section of the American Railway Association at its inaugural meeting in 1921). 22 ,r.o Seaboard Air Line Railway ;nonary Resuscitation and .Mant(.-rnai Organ Systems. " ; -a-as held in San Francisco, K. C. Olson, Chief Medical Iroad and the Secretary was Mr. vedings of this meeting have and are available to all of us. sed by Mr. John -A. Risenda'l, eau of the AAR, who replaced ' .Miraculous Recovery and tble close association with the an Medical Standards presented m in the form of a publication ledical Standards by Occuparemendous amount of work and t over a period of years and is dical Officers. ime. It is my understanding ised that our status is again Medical Section. Naturally, een active in this organiza* the background of our exwould ask if there are any nation concerning our origins :he present lime, that it , so that this historical re nd Location of Annual Meeting, `Oad industry for years tt, Chief Surgeon, Western and (Chairman of the Med* can Railway Association AAR MEDICAL AND SURGICAL SECTION ." , A> Chairman Or. D. Z. Dunott, Chief Surgeon Western Maryland Railway Secretary J. C. Caviston 1-24 : i2ii Dr. G. G. Dowdail, Chief Sur geon, Illinois Central Railroad 1026 1327 1928 Dr. J. L. Bower, Chief Medical Examiner, Pennsylvania Railroad Dr. W. H. Bohart,Chief Surgeon Chicago & Eastern Illinois R. R. " ' " " 1929 Dr. L. A. Ensminger, Chief Surgeon, Cleveland, Cincinnati, Chicago & St. Louis Railroad 1930 1931 1932 1933 1934 1935 Dr. S. C. Plummer, Chief Sur- geon, Chicago, Rock Island & Pacific Railroad Dr. E. V. Milholtand, Medical &. Surgical Director, Baltimore L Ohio Railroad Dr. C. W. Hopkins, Chief Surgeon, Chicago & North Western Ry. Dr. John McCombe, Chief Medical Officer, Canadian National Rys. Dr. W, L. Hartman, Medical Director, New York Central System Dr. John R. Nilsson, Chief Surgeon Union Pacific Railroad 1936 1937 1938 Dr. J. R. Garner, Chief Surgeon Western Ry. of Alabama Dr. D. B. Moss, Chief Medical Officer, Chicago, Burlington & Quincy Railroad Dr. Duncan Eve, Jr., Chief Surgeon Nashville, Chattanooga & St. Louis " " " " '' " " " " " u f A. Mass. St. Louis, Mo. San Fran cisco, Calif.' Chicago, Illinois Atlantic City. N. J. Dallas, T exas Richmond, Virginia Quebec, Canada White Sulphur Springs, W. Va. Biloxi, Miss. New York, N. Y. New York, N. Y. Chicago, Illinois Washington, D. C. Atlantic Citv. N. "J. Chicago, Illinois Atlantic City, N. J. 1939 1940 Dr. Harvey Bartle, Chief Medical Officer, Pennsylvania Railroad 23 Chicago, Illinois New York, N. Y. Year Chairman Secretary Locaticn of A. L 1941 1942 Dr. W. J. Lancaster, Medical Director, Atlantic Coast Line Railroad Dr. A. R. Metz, Chief Surgeon J. C. Cavistor. Mo.r.rc-ii, Quebec It Chicago, Milwaukee, St. Paul & Pacific Railroad 1943 1944 1945 1946 n "4 "4 "S " Chicago, 1947 1948 Dr. G. P. Myers, Medical Director, New York Central Syste m Dr. K. E. Dowd, Chief Medical Officer, Canadian National Railways " " Illinois .Atlantic City, N. J. Chicago, Illinois 1949 1950 Dr. R. M. Graham, Director, Dept, of Sanitation & Surgery, The Pullman Company Dr. O. H. Horrall, Chief Surgeon , " " Atlantic City, N. J. Edgewater 1951 1952 Chicago, Burlington & Quincy Railroad Dr. A. R. Metz, Chief Surgeon, Chicago, Milwaukee, St. Paul & Pacific Railroad Dr. T. L. Hansen, Chief Sur geon, Chicago, Rock Island & Park, Miss. H. S. Dewhurst Chicago, Illinois U 11 1953 Pacific Railroad Dr. A. M. W. Huvsh, Chief Medical Examiner, Pennsylvania Railroad H ft 1954 Dr. J. Huber Wagner, Chief Surgeon, Bessemer & Lake Erie Railroad 1955 1956 Dr. VV. W. Washburn, Chief Surgeon, Southern Pacific Co. " F. J. Parker Savannah, Georgia San Fran cisco, 1957 Dr. R. J. Bennett, Chief Sur geon, Elgin, Joliet &. Eastern " Calif. White Sul phur Springs, Railway 1958 Dr. I. Goldowsky, Medical Di " W. Va. Edgewater 1959 rector, Central Railroad of New Jersey Dr. B. W. Stockweil, Chief Surgeon, Detroit Toledo '' Park, Miss. Chicago, Illinois 1960 Shore Line Railroad Dr. J. K. Stack, Chief Surgeon, Chicago North Western Ry. 24 " Hollywood Beach, Fla. M.fUi'Oi" Secretary Location of A. M. > J. C. Cavistor, Montreal, Quebec or. " 1 6. e u " f tt It ai 4 % Chicago, Illi nois .Atlantic City, N. J. Chicago, Illinois ir Atlantic City, eon, ti N. J. Edgewater Park, Miss. i, H. S. Dewhurst Chicago, Illinois If II ", I <; : V`62 Chai rrr.an Ur, V. W, Hollo. Chief curgeon, St. Louis'Sor. Fran cisco Railway Sc :re 'jrv W. E. Todd l ^ 63 Dr. W. E. Mishier, Chief Surgeon, Erie-Lackawanna R. R. " 1964 1965 Dr. Harvey Nelson, Chief Surgeon, Soo Line Railroad " rt 1966 1967 Dr. E. C. Olson. Chief Surgeon, Illinois Central R. R. Dr. J. R, Winston, System Medical Director, Atchison, Topeka & Santa Fe Ry. " " I.OOjtl t-.f \ Crtcago. Illinois St. Louis, Mo. White Sul phur Spring W. Va. @ Chicago, Illinois San Fran cisco, Calif. Phoenix, Arizona * No Meeting Economic Conditions # No Meeting War Period @ No Meeting Cancelled Strike Conditions " F. J. Parker " " " Savannah, Georgia San Fran cisco, Calif. White Sul phur Springs, W. Va. Edgewater Park, Miss. Chicago, Illinois " Hollywood Beach, Fla. 25 -s more I would like to make d out among the members of the s that we were interested in. on all of these things. I would the Chairmen of these Com- dards. Dr. Walter Longeway. t H. Winters. On the Committee nd the Medical* Legal Comeering Committee, there will Chairman, Dr. Winston, of the other members of lease be a consultant to that mount of work that he gave )lish everything that we need ge (is he here).. . we hope to nittee to raise some money would mean that we would suggested, as soon as l ashington and Talk with the not only with the changes in w many we have on our ig else to come before this 1 the Interim Meeting, e first week in June. Please ?y will also have Expo '67. d 40 rooms, so you have adjournment. :il you please start out of rship Meeting was ad- ATTENDANCE ATCHISON, TOPEKA ** SANTA FE RAILWAY J. R. Winston, M. D. , System Medical Director, Chicago, HI. D. D. Baird, Superintendent of Safety, Chicane, Illinois C. L. Ewing, General Claims Attorney, Topeka, Kansas J. W. Grossman, M. D. , Lovelace Clinic, Albuquerque, N. M. Karlen Grundeman, Chief Clerk, Med. Div. , Chicago, Illinois; J. L. Johnson, M. D. . Amarillo, Texas J. B. Moss, M.D. , Clovis, New Mexico F. D. Spencer, M. D. , Brownwood, Texas E. F. Thomas, M. D. , Amarillo, Texas M. H. Witieman, General Attorney, Los Angeles, California BALTIMORE & OHIO RAILROAD Isadore Kaplan, M. D,, Medical & Surgical Director, Baltimore, Maryland CANADIAN NATIONAL RAILWAYS Peter Vaughan, M. D., Chief Medical Officer, Montreal, Quebec, Canada CENTRAL OF GEORGIA RY. k SAVANNAH & ATLANTA RY. J. G. Sharpley, M. D., Chief Surgeon, Savannah, Georgia CENTRAL RAILROAD OF NEW JERSEY F. W. Mahoney, M, D., Medical Director, Jersey City, New Jersey CHICAGO k NORTH WESTERN RAILWAY W, H. Kelly, Claims Counsel, Chicago, Illinois J. K. Stack, M.D., Chief Surgeon, Chicago, Illinois CHICAGO, BURLINGTON & QUINCY RAILROAD H. W. Hammatt, M. D. , Chief Medical Officer, Chicago, Illinois CHICAGO, ROCK ISLAND k PACIFIC RAILROAD J. M. L. Jensen, M.D., Chief Medical Officer, Chicago, Illinois CHICAGO SOUTH SHORE & SOUTH BEND RAILROAD P. J. Pilecki, M, D. , Chief Surgeon, Michigan City, Indiana CINCINNATI, NEW ORLEANS & TEXAS PACIFIC RAILWAY R. G. Carothers, M. D., Chief Surgeon, Cincinnati, Ohio COLORADO Sl SOUTHERN RAILWAY W, J. Longeway, M. D., Chief Surgeon, Denver, Colorado 161 DENVER RIO GRANDE RAILROAD D. M. McEntiaffcr, Denver, Colorado ERIE-LACKAWANNA RAILROAD W. E. Mishler, M. D. , Chief Surgeon, Cleveland, Ohio FERROCARRIL DEL PACIFIC Edvardo Contreras Reyna, M. D. , Chief Surgeon, Guadalajara, Jalisco, Mexico GRAND TRUNK WESTERN RAILROAD B. W. Stockwell, M. D. , Chief Surgeon, Detroit, Michigan GREAT NORTHERN RAILWAY Abbott Skinner, M.D. , Chief Medical Officer, St. Paul, Minn. ILLINOIS CENTRAL RAILROAD E. C. Olson, M. D. , Chief Surgeon, Chicago, Illinois KANSAS CITY TERMINAL RAILWAY W. R. Hovey, General Claim Agent, Kansas City, Missouri LAKE SUPERIOR & ISHPEMING RAILROAD M, C. Bennett, M. D. , Chief Surgeon, Marquette, Michigan LEHIGH VALLEY RAILROAD J. S. Niles, M. D. , Chief Surgeon, Sayre, Pennsylvania LONG ISLAND RAILROAD V. A. Capozzi, M.D., Chief Medical Examiner, Jamaica, N. Y. MISSOURI-KANSAS-TEXAS RAILROAD R, S. Kieffer, M.D. , Medical Director, St. Louis, Missouri MISSOURI PACIFIC Graham Owens, M. D., Chief Medical Officer, St. Louis, Mo. NEW YORK CENTRAL RAILROAD A. W. Nickels, M.D., Chief Surgeon-Acting Medical Director Detroit, Michigan G. E. Dimond, M.D. , Company Surgeon, Detroit, Michigan J. T. Lynch, General Claims Attorney, New York, New York NORFOLK & WESTERN RAILWAY J. W. Houk, M. D., Medical Director, Roanoke, Virginia R. W. Edmonds, M. D. , Regional Medical Director, Cleveland, Ohio J, K. Humphries, M. D. , Assistant Medical Director, Roanoke, Virginia NORTHERN PACIFIC RAILWAY A. McEwan, *M.D., Chief Surgeon, St. Paul, Minn. 162 P' C.' Si ji jini WWfJW"* * Vl rT~ . .do on, Cleveland, Ohio Ihief Surgeon. Guadalajara, ?on Detroit, Michigan 1 Officer, St, Paul, Minn. Chicago, Illinois Kansas City, Missouri OAD . Marquette, Michigan yre, Pennsylvania Examiner, Jamaica, Ml Y. St. Louis, Missouri Gfficer, St. Louis, Mo. voting Medical Director n, Detroit, Michigan New York, New York Roanoke, Virginia al Director, Cleveland. !ical Director, Roanoke, Paul, Minn. PENNSYLVANIA RAILROAD S. J. Cyran, M.D., Medical Director, Phib.d.-iph'.a. 'A. PITTSBURGH k LAKE ERIE RAILROAD A. H. Winters, M.D., Chief Surgeon, Pittsburgh, Pa. PULLMAN COMPANY R. M. Graham, M.D., Director, Medicine k Sanitation, Chicago, Illinois ST. LOUIS-SAN FRANCISCO RAILWAY V. W. Hollo, M. D. , Chief Surgeon, St. Louis, Missouri SEABOARD AIR LINE RAILROAD Southgate Leigh, Jr., M.D. , Chief Surgeon, Richmond, Va. SOUTHERN PACIFIC COMPANY V. M. Strange, M. D. , Chief Surgeon, San Francisco, Calif. R. C. Archambeauit, Industrial Hygienist, San Francisco, Calif. S. B. Burton, Assistant General Manager, San Francisco, Calif. J. D. Caldwell. Asst. General Claims Agent, San Francisco, California J. R. Gandy, M. D. , Chief Surgeon, Houston, Texas Q. B. Payne, Trainmaster, Phoenix, Arizona E. L. Smith, Admn. Asst, to Chief Surgeon, San Francisco, California N. E. Williamson, Special Assistant, San Francisco, California SOUTHERN RAILWAY M. P. Rogers, M.D., Chief Surgeon, Washington, D.C. SPOKANE, PORTLAND & SEATTLE RAILWAY M. L. Margason, M. D. , Medical Director, Portland, Oregon WESTERN PACIFIC RAILWAY M. E. Childress, M. D., Chief Surgeon, San Francisco, Calif. ASSOCIATION OF AMERICAN RAILROADS J. A. Risendal, Executive Vice Chairman, General Claims Division, Chicago, Illinois Julian Sherman, Asst. Director, Claims Research Bureau, Chicago, Illinois W. E. Todd, Staff Secretary, Chicago, Illinois BOND RADIOLOGICAL GROUP W. H. Neil, M. D., Fort Worth, Texas I. B. M. CORPORATION H. D. Steinbeck. M. D. , New York, New York 163 NATIONAL RAILROAD ADJUSTMENT BOARD E. T. Horsley, Member ct National Railroad Adjustment Board, Chicago, Illinois OLD WESPONT MEDICAL ASSOCIATION R. W. Ilitf, M. A. , Medical Audiologist, Kansas City, Missou' UNITED STATES RAILROAD RETIREMENT BOARD B. B. Rosen, M. D. , Chief Medical Officer, Chicago, Illinois UNIVERSITY OF ILLINOIS A. H. Andrews, M.D. , Prof. Broncho-Esophagology, College of Medicine, Chicago, Illinois UNIVERSITY OF KANSAS J. E. Crockett, M. D., Assoc. Prof, of Medicine, Medical School, Kansas City, Missouri UNIVERSITY OF TEXAS R. D. Moreton, Asst. Dir., M. D., Anderson Hospital, Prof. Radiology, Houston, Texas 164 wjnwmj t