Pepper.] 40 [Oct, 19, 
me to associate myself with him in the task of bring- 
ing the work up to date, and the fourth edition, which 
appeared in 1870, has been followed by three others, 
the last having been published in 1882. The estima- 
tion in which this has come to be held may be appre- 
ciated from the language of the London Lancet: “ It 
is a work of more than 900 good American pages, and 
is more encyclopedical than clinical. But it is clinical, 
and withal most effectually brought up to the light, 
pathological and therapeutical, of the present day. 
The book is like so many other good American medi- 
cal books which we have lately had occasion to notice ; 
it marvelously combines a résumé of all the best Euro- 
pean literature and practice, with evidence throughout 
of good personal judgment, knowledge and experience. 
There are few diseases of children which it does not 
treat of fully and wisely in the light of the latest physi- 
ological, pathological and therapeutical science.” 
But unquestionably, it is as the wise and trusted phy- 
sician that Dr. Meigs will be most vividly and fondly 
remembered, so long, at least, as any of those survive 
who had the benefit of his ministrations and advice. I 
doubt whether there could be found, in any other large 
city, prominent physicians occupying precisely the rela- 
tion to the community which has, for a hundred years 
past, been borne by a succession of eminent medical 
men in Philadelphia. 
For the most part, as communities enlarge, the lead- 
ing physicians are forced by the demands upon their 
