697

POWELL, L. L., L.R.C.P. Edin., M.R.C.S., has been appointed a DistrictMedical Officer for the Melton Mowbray Union.

PCRYES, A. S., M.D. Edin., has been appointed Medical Officer for theLesbury District of the Alnwick Union.

PRESTON, H. T., M.D. Aberd., NUt.C.S., has been reappointed MedicalOfficer for the Wolverley District of the Kidderminster Union.

RAWLINGS, H. E., L.R.C.P. Irel., M.R.C S., has been appointed MedicalOfficer of Health for the Rural Sanitary District of the GowerUnion, ’,vice Jones. ’

Ross, JAS. M., M.B., C.M. Edin., has been appointed County MedicalOfficer for Dumfriesshire.

RUDOLF, R. D., M.B., C.M. Edin., has been appointed Resident Phy-sician of the Royal Edinburgh Hospital. ,

SHARMAN, M., M.B. Glasg., M.R.C.S., has been appointed MedicalOfficer for the Rickmansworth District of the Watford Union.

SHORE, HERBT. G., M.R.C.S., has been appointed Medical Officer forthe Cropredy District of the Banbury Union, vice Hodgson, resigned.

SMITH, K. R., M.D. Lond., M.R.C.S., has been reappointed MedicalOfficer of the Harbtonford and Halwell Districts of the TotuesUnion.

STOCKRIDGE, T. G., M.D. McGill, Montreal, M.C.P.S. Ont., M.R.C.S.,has been appointed District Medical Officer and Public Vaccinator,Holborn Union.

SYMINGTON, W. D., M.D. Edin., has been appointed Medical Officer ofHealth for’the Brampton Union Rural Sanitary District, viceWotherspoon, deceased.

TEMPLE, T. C., M.R.C.S., has been appointed Medical Officer forShillington, Gravenhurst, and Haynes, Ampthill Union.

UBSDELL, H., M.R.C.S., has been reappointed Medical Officer for theStaverton and Rattery Bistrict of the Totnes Union.

WHITAKER, G. H., L.R.C.P., L.R.C.S. Edin., has been appointed Certi-fying Surgeon of Factories and Workshops for the Horwich District,Bolton-le-Moors, vice Emmett.

WILLAN, G. T., M.R.C.S., has been appointed a District Medical Officerof the Melton Mowbray Union.

Vacancies.Fo "further information regarding each vacancy reference should be made

t the advertisement.

BETHLEM HOSPITAL.-Two Resident Clinical Assistants.BRADFORD INFIRMARY AND DISPENSARY.-Dispensary Surgeon. Salary

,glOO per annum, with board.BURTON-ON-TRENT FRIENDLY SOCIETIES’ MEDICAL ASSOCIATION.-

Junior Medical Officer. (Apply to the Secretary, Shobnall-road,Burton-on-Trent.] ]

BOROUGH LUNATIC ASYLUM, Portsmouth.—Clinical Assistant for sixmonths. Board, rooms, lodging, washing, and attendance pro-vided.

BRIDGWATER INFIRMARY.—House Surgeon Salary £80 per annum.CANCER HOSPITAL (FREE), Fulham-road, S.W.—Assistant Sargeon.COUNTIES OF MIDLOTHIAN, WEST LOTHIAN, AND PEEBLES, AND DIS-

TRICTS WITHIN THE SAME.—Medical Officer. Salary £600, besidestravelling expenses. (Apply to the County Clerk, County Build-ings, Edinburgh.)

CHARING-CROSS HOSPITAL. - Surgical Registrar. Salary £10 perannum.

COUNTY ASYLUM, Shrewsbury. - Junior Assistant Medical Olficer.Salary £100 per annum, and £8 in lieu of beer, with board, lodging,and washing.

CHARING-CROSS HOSPITAL MEDICAL SCHOOL.-Demonstratorship ofPhysiology. Honorarium B100 per annum.

CHELSEA HOSPITAL FOR WOMEN, Fulham-road, S.W.—Resident MedicalOfficer for one year. Salary £80 per annum, with board and resi-dence.

COUNTY ASYLUM, Rainhill, near Liverpool.-Assistant Medcal Officers.Salary commences at £100 a year, with prospect of an increase of

£25 at the end of the first year and £25 at the end of the second,with further increase according to promotion, together with fur-nished apartments, board, washing, and attendance.

DEACONESSES’ INSTITUTION AND HOSPITAL, Tottenham.-ResidentHouse Surgeon for one year. Salary £90 per annum, with boardand residence.

DISTRICT INFIRMARY, Ashton-under-Lyne.-House Surgeon. Salary .690per annum, with board and lodging.

EAST SUFFOLK AND IpSWICH HOSPITAL.-House Surgeon. Salary,g100 per annum, with board, lodging, and washing.

GREAT NORTHERN CENTRAL HOSPITAL, Holloway-road, N.-ObstetricPhysician to Out-patients.

HOSPITAL, King’s Lynn.-House Surgeon and Secretary. Salary £80per annum, rising to £100, with board, lodging, and washing in theHospital.

HOSPITAL FOR WOMEN (LONDON SCHOOL OF GYNECOLOGY), Soho-sq uare, W.—Clinical Assistants.

JAFFRAY SUBURBAN BRANCH OF THE GENERAL HOSPITAL, Gravelly-hill, near Birmingham.-Resident Medical Officer. Salary £150 perannum, with board, residence, and washing.

KENT COUNTY ASYLUM, Chartham, near Canterbury.-Junior AssistantMedical Officer. Salary £125 per annum, with furnished apartments,board, and attendance. (Apply to Mr. Allen Fielding, Solicitor,Canterbury.)

LIVERPOOL DISPENSARIES.-Assistant Surgeon. Salary £80 per annum,with apartments, board, and attendance. (Apply to the Secretary,Leith Officess 24, Moorfields, Liverpool.)

METROPOLITAN HOSPITAL, Kingsland-road, N.E.-House Physician forone year. Salary at the rate of £60 per annum for the first sixmonths, and at the rate of £70 per annum for the second sixmonths.

METROPOLITAN HOSPITAL, Kingsland-road, N.E.-House Surgeon forone year. Salary at the rate of f;60 per annum for the first six

months, and at the rate of £70 per annum for the second sixmonths

METROPOLITAN HOSPITAL, Kingland-road, N.E.—Assistant HouseSurgeon for six months.

NEWCASTLE-ON-TYNE DISPENSARY.—Visiting Medical Assistant. Salary£120 a year,

ROYAL SOUTH LONDON DISPENSARY.—Honorary Surgeon.ROYAL HOSPITAL FOR CHILDREN AND WOMEN, Waterloo-bridge-road,.

S.E.—Resident Medical Officer. Salary A70 per annum, withboard and residence.

ROYAL HOSPITAL FOR CHILDREN AND WOMEN, Waterloo-bridge-road,S.E.—Anæsthetist and Registrar for one year, honorarium of20 guineas being voted at the end of that term.

ROYALBATHHOSPITALAND RAWSON CONVALESCENT HOME, Harrogate.-Resident Secretary and Dispenser. Salary .680 per annum, with,board, lodging, and washing.

ST. MAIL-Y’S HOSPITAL, Paddington, W.—Surgeon in charge of Out-patients for five years.

ST. MARYLEBONE GENERAL DISPENSARY, 77, Welbeck-street, W.-Resi-dent Medical Officer. Salary .6105 per annum, with furnished apart-ments, attendance, coal, and gas.

STOCKPORT INFIRMARY.—Assistant to the House Surgeon for sixmonths. Board and residence.

WINDSOR ROYAL INFIRMARY,—House Surgeon. Salary £100, withapartments, but no board.

WORCESTER COUNTY AND CITY LUNATIC ASYLUM.—Third AssistantMedical Officer. Salary .6100 per annum, with board, lodging, andwashing.

_______________

Births, Marriages, and Deaths.BIRTHS.

AVARNE.-On March 15th, at Crossfield House, Blaenavon, Mon., the.wife of Arthur Blair Avarne, M.R.C.S., L.S A., of a son.

CALDWELL.-On March 14th, at Brixton, the wife of W. T. D. Caldwell,-M.D., of a daughter.

CRITCHETT.—On March 16th, at 21, Harley-street, W., the wife ofG. Anderson Critchett, of a daughter.

DUKE.-On March 9th, at Locksley, St. Leonards-on-Sea, the wife ofEdward Duke, M.R.C.S., of daughter. ’

EMMETT.-On March 12th, at Woodville, Kingston-road, Portsmouth,.the wife of Richard Emmett, M.R.C.S., L.R.C.P. Lond., of adaughter.

HEARNDEN.—On March 12th, at Rose Cottage, Leatherhead, the wife ofWalter C. Hearnden, M.R.C.S., of a son.

JONES.-On March 13th, at Southgate, Eckington, the wife of G. H.West Jones, of a daughter.

SIMPSON.—On March 14th, at 3, James-street, Lincoln, the wife of-E. Mansel Sympson, M.A., M.D., B.C. Cantab., M.R.C.S., of a son.

TROUP.—On March 10th, at Pembroke-square, Kensington, the wife ofSurgeon-Major R. W. Troup, Army Medical Staff (retired), of a son.

MARRIAGES.CLARKE—HECTOR.—On March 12th, at St. Peter’s, Morley, by the

Rev. Vavasour F. Hammond, M.A., Vicar of Drighlington, assisted’.by the Rev. G. Pedley, Curate of St. Peter’s, Morley, Arthur Clarke,B.A., L.R.C.P. Lond., M.R.C.S. Eng., of Street, Somerset, toGeorgina, fourth daughter of the late Alexander Hector, ofMontrose, Forfarshire, N.B.

HODGKINSON—WHITNALL.—On March 5th, at St. Philip’s Church,Alderley Edge, Alexander Hodgkinson, M.B., C.M., B.Sc., of Disleyand Manchester, to Eliza Frances Whitnall, of Southport.

MANLEY—DUNDAS.—On March 12th, at St. Simon’s, West KensingtonPark, Herbert Manley, M.A., M.B. Cantab., only son of John Maniey,.of West Bromwich, to Alice C. M. Dundas, eldest daughter of thelate Robert Thomas Dundas, Commander in the P. and 0. Com-pany’s service.

MARTIN-CROSS. - On March 12th, at St. Stephen’s, Hampstead,Charles James Martin. M.B., B.Sc., to Edith Harriett, seconddaughter of the late Alfred Cross, of Kilmarth, Hastings.

RODEN—JOPP.—On March 4th, at St. Andrew’s Church, Aberdeen,Percy Austin Roden, M.B., second son of S. S. Roden, M.D.,Droitwich, Worcestershire, to Minnie Abercrombie, youngestdaughter of Keith Jopp, M.D., Aberdeen.

TAYLOR—ABBOTT.—On March 3rd, at St. Paul’s, Onslocv-squire, HenryHerbert Taylor, F.R.C.S., of Brunswick-place, Brighton, to Florence-Marie, daughter of the late William Abbott, of Tasmania.

DEATHS.

BULL.-On March 17th, suddenly, William Bull, F.R.C.S., of Shepherd’sbush-road, W., aged 41.

CARTER.-On March 14th, Albert Carter, M.D., of Bexhill, Sussex.GORDON.-On March 13th, at Muir House, Juniper-green, Midlothian,.

Patrick Gordon, M.D.SYMES.-On March 7th, at the County Asylum, Rainhill, George

Dickinson Symes, Assistant Medical Officer, second son of J.Gustavus Symes, of Southfield, Weymouth, late Medical Super-intendent of the Dorset County Asylums, aged 30. Greatly loved ; ndeeply lamented. Australian and Indian papers please copy.

ERRATUM.—We regret that in our obituary column last week a seriouserror was suffered to pass uncorrectecl. The paragraph headed" Hawkins" was intended to announce the death of Mr. Frank SydneyHawkins, not of Mr. Walter R. T. Hawkins, who we are glad to knowis still in the possession of his wonted health.

N.B.-A fee of 5s. is charged for the Insertion of Notices of Births,Marriages, and Deaths.

698

METEOROLOGICAL READINGS.(Taken daily at 8 30 a.ni. by Steward’s Instruments.)

THE LANCET Office, March 19th, 1891.

Medical Diary for the ensuing Week.Monday, March 23.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operationsdaily at 10 A.M.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operations, 1.30 P.M.,and each day at the same hour.

CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30P.M. ; Thursday, 2.80HOSPITAL FOR WOMEN, SOHO-SQUARE. — Operations, 2 P.M., and on

Thursday at the same hour.METROPOLITAN FREE HOSPITAL,-Operations, 2 P.M.ROYAL ORTHOPÆDIC HOSPITAL.—Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M., and

each day in the week at the same hour.UNIVERSITY COLLEGE HOSPITAL.—Ear and Throat Department, 9 A.M.;

Thursday, 9 A.M.SOCIETY OF ARTS.-8 P.M. Prof. R. Meldola : Photographic Chemistry.

(Cantor Lecture.)MEDICAL SOCIETY OF LONDON.-8.30 P.M. Dr. B. Ward Richardson:

Peroxide of Hydrogen, and Various Methods for its Administrationand Use.-Mr. Alban Dolan : Fibro-Sarcoma, or Desmoid Growthof the Abdominal Wall.

Tuesday, March 24.KING’S COLLEGE HOSPITAL.-Operations, 2 P.M. ; Fridays and Saturdays

at the same hour. ’

GUY’S HOSPITAL.-Operations, 1.30 P.M., and on Friday at same hour.Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M.

ST. THOMAS’S HOSPITAL.-Ophthalmic operations, 4 P.M. ; Friday, 2p.M.ST. MARK’S HOSPITAL.-Operations, 2 P.M.CANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. ; Saturday, 2 P.M.WESTMINSTER HOSPITAL,-Operations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2.30 P.M.ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday

2.30 P.M. Skin Department, Monday and Thursday, 9.30 A.M.Throat Department, Tuesdays and Fridays, 1.30 P.M. Electrotherapeutics, same day, 2 P.M.

SOCIETY OF ARTS.-8 P.M. Mr. Clement Heaton : Uses of Cloisonnéfor Decoration in Ancient and Modern Times.

THE SANITARY INSTITUTE (Parkes Museum. Margaret-st., W.).-8 P.M.Mr. A. Wynter Blyth: Sanitary Laws and Regulations governing theMetropolis.

ROYAL MEDICAL AND CHIRURGICAL SOCIETY.-8.30 P.M. Mr. C. B.Lockwood: The Treatment of Strangulated Hernia when the In-testine is Gangrenous or Ulcerated. - Mr. W. Arbuthnot Lane :Chronic Traumatic Arthritis.

Wednesday, March 25.

.NATIONAL ORTHOPEDIC HOSPITAL.-Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M. Operations by the Obstetric

Physicians on Thursdays at 2 P.M.ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.30 P.nt. Saturday, same

hour. Ophthalmic Operations, Tuesday and Thursday. 1.30 P.M.Surgical Consultations, Thursday, 1.30 P.M.

4CHARING-CROSS HOSPITAL.-Operations, 3 P.M., and on Thursday andFriday at the same hour.

ST. THOMAS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.-Operations, 2 P.M. Thursday & Saturday, same hour.ST. PETER’S HOSPITAL, COVENT-GARDEN.-Operations, 2 P.M.’SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operations,

2.30 P.M.- GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M.; Skin Depart.

ment, 1.46 P.M. ; Saturday, 9.15 A.M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.CHILDREN’S HOSPITAL, GREAT ORMOND-STREET.—Operations, 9.30 A.M.; ;

Surgical Visits on Wednesday and Saturday at 9.16 A.M.HUNTERIAN SOCIETY. - 8 P.M. Dr. Galabin : Modern Methods of

Caesarean Section.Thursday, March 26.

ST. GEORGE’S HOSPITAL.—Operations, 1 P.M. Surgical Consultations,Wednesday, 1.30 P.M. Ophthalmic Operations, Friday, 1.30 P.M.

UNIVERSITY COLLEGE HOSPITAL. -Operations, 2 P.M. ; Ear and ThroatDepartment, 9 A.M.

BRITISH GYNECOLOGICAL SOCIETY.-8.30 P.M. Specimens of UterinePolypi will be shown by Dr. Edis. Dr. Robt. Bell: The Treatmentof Chronic Disease of the Uterine Adnexa.

’

Friday, March 27. ’

.ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.—Operations, 2 P.M.

Saturday, March 28.MIDDLESEX HOSPITAL.-Operations,2 2 P.M.’UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M. ; and Skin Depart.

ment, 9.15 A.M.

Notes, Short Comments, & Answers toCorrespondents.

It is especially reqtcested that early intelligence of loealevents having a medical interest, or which it is desirableto br nq under the notice of the profession, may be sentdirect to this Office.

All communications relating to the editorial business of thejournal must be addressed "To the Editors "

Lectures, original articles, and reports should be written onone side only of the paper.

Letters, whether intended for in.sertion or for private information, must be authenticated by the names and addressesof their wrders, not necessarly for publication.

We cannot prescribe or recommend practitioners.Local papers contrtining reports or ne2vs paragraphs should

be marked and addressed "To the Sub-Editor."Letters relating to the publicettion, sale, and advertising

departments of THE LANCET to be addressed ‘° To thePublisher" "

.

We cannot undertake to return MSS. not used.

DIARRHCEA DUE TO BALANTIDII.

J. S -THE Balantidium coli is an infusorium which was discovered byMalmsten of Stockholm as long ago as 1856, and has since been studiedby Leuckardt and others, being found frequently in the cæcum and

colon of the pig, and occasionally in the human colon, in which caseit is, sometimes at all events, associated with obstinate diarrhoea andintestinal ulcers. It is probable that it may be conveyed from thepig to the human subject in food. Little is known about the treat-

ment, and no examples of this parasite seem to have been found inthe human subject in this country, or in France or Germany.In Sweden and Russia, however, it is probably not a very uncom-mon cause of diarrhoea. A case is reported by a Russian medicalwoman in which a female patient of seventy years of age, who sufferedfrom chronic interstitial nephritis, was attacked by profuse diarrhœa,there being as many as twenty stools daily containing balantidil.Enemata of salicylic acid and of naphthalin and also of salol were tried,the last being given in quantities of a quarter of an ounce twice aday; all these, however without effect. When the salol enema was

given three times a day, and increased to a third of an ounce eachtime, the parasites disappeared. They returned, though in diminishednumbers, as soon as the salol enemata were left off.

Inexpertus should refer to Whitaker’s Almanack, or other authority onthe point.

"RECIPROCITY BETWEEN MRDICAL PRACTITIONERS ANDCHEMISTS."

To the Editors of THE LANCET.

SIRS,-I beg to support your correspondent, Mr. G. D. Mackintosh,whose letter on the above subject appeared in your issue of the 7th inst.,in his denunciation of dispensing by general practitioners. There canbe no doubt that this stupid practice is at the root of the custom ofprescribing by chemists ; and is not this latter from many points ofview an unmitigated evil? And certainly dispensing is degrading tothe profession itself, and is, moreover, exceedingly irksome and incon-venient. The dispensing every day at fixed hours comes in the way ofthe visiting, the midwifery, and even of the desirable and necessaryrest. People, who may be very ill, have often to wait for hours beforethe busy practitioner can be back at his surgery to make up the medi.cine; and, in order to be at his surgery as soon as possible, he has tohurry over his visits ; hence imperfect diagnosis and meagre advice.He has also to subject himself to all the discomforts and risks of violentexertion in hastening about, and of postponed and irregular meals; hasto shorten his conoultations by doing the manual work of making up abottle of physic, for which he has time only to slop in hurriedly two orthree things, probably not infrequently incompatibles ; has to deprivehimself of much well-earned leisure, of time for his hobby ("Everysensible man who wishes to preserve his soul and his senses has his

hobby"), for general and medical reading, for study of his obscurecases, and for doing more in thought and in deed for some of his patientswho may need all the deliberate scientific attention possible. Further-

more, the custom involves the habit of visiting and consulting merelyto get to know as quickly as possible for what crudely to prescribe;and hence there ii much less true, careful scientific observation andgood to humanity than might be. And do not patients now go to a"doctor" to get physic, and expect to get physic which must be innothing less than a bottle, and as cheap as possible? No advice orattention is recognised minus physic. Hence grows the enormouspopular evil of everlasting drugging and physic-taking, as evinced inthe vast extent of the patent medicine trade. Your correspondent’s