JANEWAY 613 JANEWAY tics and never cared for office. I doubt if any man of his generation belonged more thoroughly to the whole profession and not to any party in it. He was vice-president of the New York Pathological Society in 1874, president of the New York Academy of Medi- cine in 1897-1898, of the Association of Ameri- can Physicians in 1900, and of the National Association for the Study and Prevention oi Tuberculosis in 1910. He was a delegate to and honorary vice-president of the British Congress on Tuberculosis in 1901, and a vice- president of the clinical section of the Inter- national Tuberculosis Congress at Washing- ton in 1908. The degree of LL.D. was conferred on him by his alma mater, Rutgers, in 1898, by his medical alma mater, Columbia, in 1904, and by Princeton in 1907. The College of Physi- cians of Philadelphia made him an honorary member in 1909. Dr. Janeway wrote no book. He had none of the instincts of the compiler and early in life determined that he would write nothing which was not based upon his own experience. When experience was ripe, leisure for writing was gone. He was so scrupulously honest that he would publish over his name nothing which any other man had assisted in. He contribut- ed to a few text books early, and to the jour- nal literature throughout life, but never fre- quently. He gave the earliest adequate de- scription of leukaemia ("Leucocythaemia," Med. Rec, 1876, xi, 279; 295) in America, and was the first to call attention to the fever of tertiary syphilis and the importance of its rec- cognition ("Danger of Error in Diagnosis be- tween Chronic Syphilitic Fever and Tuberculo- sis." Tr. Assn. Amer. Phys., 1898, xiii, 23). In 1882 he taught the contagiousness of tuberculo- sis ("Possible Contagion of Phthisis." Arch. Med., 1882, viii, 219). His method and individ- uality as a clinician are shown in such publica- tions as "Points in the Diagnosis of Hepatic Affections" (Am. Clin. Lect., N. Y., 1877, iii, 107), "Certain Clinical Observations upon Heart Disease" (Med. Neivs, 1899, Ixxv, 257), and "Observations on Some Limitations of Diagnosis" (Med. Rec, 1903, Ixiii, 641). His part in the development of clinical med- icine in America cannot be judged by his printed work. Throughout his whole life he taught at the bedside, and not only his un- dergraduate students, but the bulk of the med- ical profession of New York and the sur- rounding states learned from his thoroughness in examination diagnosis based on the bed- rock of observed fact and not on speculation; it learned prognosis which remembers the pa- tient's need and the physician's liability to err, and conservative and common-sense treatment. His essential greatness was as a diagnosti- cian. It is the general opinion of all who knew him in his work, whether those keenest critics, his hospital staffs, or his colleagues, that in the detection of obscure disease he had no equal in his generation. While his judg- ment may not be unbiassed, yet the writer en- joyed for twelve years the most intimate as- sociation with his work, and he doubts if Dr. Janeway has ever had a peer in his chosen field, diagnosis. Dr. Janeway was married in 1871 to Frances Strong Rogers, daughter of Rev. E. P. Rog- ers, D. D., of New York City. She, with three children, two daughters and a son, survived him. One daughter had died in infancy. He lived only for his family and his profession. In his home he was altogether happy and he grudged every hour spent away from it, ex- cept for his work. He was a generous host, but an unwilling guest. Modest humble in spirit, though absolutely confident of his judg- ment when he had once reached a decision within the realm of his science; a man of few words, with little facility of self-expres- sion ; of transparent honesty of thought, word and deed, ever ready to acknowledge his ig- norance, when baffled, and hating sham above all things ; to those who knew him slightly he seemed a man of great wisdom, but little geniality, inspiring implicit trust, but repelling familiarity. With his family, his friends, his near professional associates, and those patients who saw him often, the reserve fell away, and gentleness, absolute simplicity, and unfailing generosity and kindness were his most marked characteristics. Brought up in the strictness of life and the- ological doctrine of the older Calvinism, he kept throughout his life its rigorous standards of conduct and religious observance, though his science profoundly modified his attitude toward its intellectual formulations. He was for many years an Elder in the Dutch Re- formed Church. Duty was his guiding princi- ple, and he hesitated at no sacrifice that it might demand. Pain he endured without a complaint, and he disliked sympathy. In thought and speech he was as pure as a girl. For twenty years he suffered with increasing frequency from inherited gout. In July, 1910, he showed signs of increasing weakness and retired to his country home. On February 10, 1911, he died, after several days of anuria, at
