March 22, 1918] 



SCIENCE 



277 



vessels. He first prepared a comprehensive 

 and valuable circular defining the proper 

 methods of examination of the cardiovascu- 

 lar system, the requirements for uncondi- 

 tional acceptance and the disqualifications 

 for active service. He then organized 

 groups of specialists, who, in conjunction 

 with the members of the Tuberculosis 

 Boards, made examinations of the cardio- 

 vascular system of the entire National 

 Guard, and acted as consiiltants with the 

 examiners of the drafted men in the hos- 

 pitals at the cantonments. The examina- 

 tions thus made have resulted in the re- 

 jection of thousands of men who were 

 totally unfit for active service, but who 

 would otherwise have been accepted, and 

 in the acceptance of many normal men 

 who would otherwise have been rejected. 

 Major Janeway next selected from all 

 parts of the country internists whom he 

 recommended for the chiefs of the medical 

 services of the cantonment hospitals. 

 After this, he instituted, under the di- 

 rection of Major Scale Harris, a circular- 

 ization of the internists of the entire coun- 

 try with the object of obtaining suitable 

 men for places of responsibility, and 

 younger men for certain special services. 

 At the time of his death, he was engaged 

 in organizing three mobile medical units, 

 one in the east, one in the center of the 

 country, and one in the west; these units 

 were intended to move from one hospital 

 to another, assisting on the medical services 

 in times of emergency. He had outlined 

 plans, too, for a special hospital for the 

 care and treatment of cardiac diseases and 

 for investigations of military importance 

 to be used with the United States troops 

 abroad. This sketch of Dr. Janeway 's 

 work for the army, based upon a memor- 

 andum prepared at the Surgeon-General's 

 office, may be supplemented by a word of 

 personal appreciation from the Surgeon- 



General himself, who says: "Dr. Janeway 

 was an unusually good executive and his 

 loss to our office and his country was very 

 great. I shall find it very difficult to re- 

 place him. I came to know him quite well 

 personally, on our inspection trips, and I 

 was very much attracted by his personality ; 

 he was one of the best all-round men that 

 I ever met. ' ' The record of his six months, 

 service in the Surgeon-General's office 

 gives some idea of the speed and tension of 

 his work. During the autumn months, in 

 addition to this work, he kept in touch 

 with his department in the medical school 

 and still held some of his clinics. It is to 

 be feared that overwork lessened his re- 

 sistance to infection. He contracted pneu- 

 monia, developed a pneumococcus sep- 

 ticemia and died after an illness of six 

 days. "We must think of him, therefore, 

 as one of those who sacrificed their lives 

 for their country in the great war. 



Dr. Janeway 's clarity of mind, his depth 

 and range of vision, and his sanity of 

 judgment made him a wise counsellor, not 

 only of patients but also of institutions. 

 This was very evident by the respect shown 

 for his opinion by the faculties of the 

 schools in which he taught, by the coun- 

 cils of medical organizations like the Asso- 

 ciation of American Physicians and the 

 American Society for the Advancement 

 of Clinical Investigation, by the Surgeon- 

 General of the army and his associates, and 

 by the boards of directors of scientific in- 

 stitutions of which he was a member. Of 

 the latter, especial mention should be 

 made of the board of scientific directors 

 of the Rockefeller Institute for Medical 

 Research. To this board he was elected in 

 1911 as successor to the late Dr. Christian 

 Herter. These two men were the repre- 

 sentatives of scientific internal medicine in 

 the board and the service they rendered 

 in shaping the ideals and in planning the 



