JANEWAY 612 JANEWAY sanitation, and throughout his lite his advice was sought on public health problems. He also added to his clinical training a large ex- perience with the epidemic diseases. In 1892 he was an active member of the advisory com- mittee of the New York Chamber of Com- merce, which played an important role in safe guarding New York from Asiatic cholera. He was instrumental in securing the first hospital for contagious diseases on Manhattan Island, and had to overcome violent opposition in placing it. A later outgrowth of his apprecia- tion of preventive medicine was his early par- ticipation in the anti-tuberculosis movement. He was one of the first members and later chairman of the tuberculosis committee of the Charity Organization Committee, and on a similar committee of the State Charities Aid Association. His career as a teacher really began in 1872, when he became professor of pathological an- atomy in Bellevue Hospital Medical College, though he had held a position for one year pre- viously in New York University Medical Col- lege. He was also for a time demonstrator of anatomy. Later he added lectures on materia medica, therapeutics and clinical medicine to his duties, and gave classes in physical diag- nosis in Bellevue Hospital that were greatly sought after. In the college and in Bellevue Hospital he was intimately associated with Austin Flint, the elder (q. v.), for whom he had an intense admiration, and who alone of his seniors seems to have influenced his develop- ment, which was otherwise wholly independent and self-impelled. In 1881 he became professor of diseases of the mind and nervous system and adjunct to Dr. Flint, the professor of medi- cine. During this time he was a close student of Charcot and the French neurologists and was associated with Seguin (q. v.) in extend- ing the new knowledge of cerebral localization, and the exact dia.gnosis of organic nervous dis- eases
America. In 1886, on the death of
Dr. Flint, he succeeded him as professor of the principles and practice of medicine and clinical medicine. This chair he held until 1892, when certain dift'crenccs with his col- leagues as to policy compelled him to resign as professor, and as visiting physician to Bellevue Hospital. When, in 1898, the Belle- vue Hospital Medical College was united with the New York University, he became profes- sor of rriedicine and dean, holding these posi- tions until 1907, but giving only clinical in- struction. His active teaching career closed in 1892. Dr. Janeway's consultation practice grew out of the reputation gained in hospital work and as a teacher. He was one of the first men in America to recognize that a family prac- tice is not the proper training school for a great consultant, and that a consultant, who accepts no patients except for opinion and advice to their physician, occupies a far stronger ethical position than one who may be persuaded to retain a wealthy patient for treatment. I believe that few physicians have more deliberately trained themselves for use- fulness as consiiltants, nor more resolutely de- clined the entanglement of an associated fam- ily practice. These, with his recognized skill in diagnosis, his unimpeachable honesty, and his extraordinary consideration for and help- fulness as consultants, nor more resolutely de- vice, brought him into such demand that, for the last twenty years of his life his days were filled to overflowing with consultations at half hour intervals. Only a vigorous physique, an ability to concentrate on essentials, an uncon- querable zest for the pursuit of a diagnostic problem, and a certain boyish pleasure in do- ing more than anyone else in a given time, enabled him to stand the strain. He loved to make seemingly impossible railroad connec- tions in order to see one more patient. His charges were so moderate that all classes sought his advice. With his training, a labor- atory was essential to his work and he had one when laboratories were scarcely to be found in any physician's oflfice in New York. He was always an expert microscopist. Later he built a well-equipped laboratory for chemical and microscopical diagnosis, and four teachers of medicine and a well-known teacher of path- ology worked for him at various times and had an invaluable training there. From it came publications to which he would never al- low his name to be attached. He was keen to follow up any new discovery that seemed like- ly to be of service and was one of the first men in this country to see the tubercle bacillus and the malarial Plasmodium. Hospital practice was an essential part of his life. In addition to his active teaching connection with Bellevue Hospital, he was vis- iting physician to Mt. Sinai Hospital, 1883 to 1897, and at the time of his death was con- sulting physician to the Presbyterian, St. Vin- cent's, Mt. Sinai, St. Luke's, the French, the Woman's, the Skin and Cancer, the J. Hood Wright hospitals, and the Hospital for Rup- tured and Crippled Qiildren. He supported medical societies as the duty of a loyal physician, but hated medical poli-
