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compete with the qualified is abolished, the latter should try to

improve his market value. As one who has been both a locum-tenentand an employer of such it appears to me that as the collier ispaid on a sliding scale so might the locum-tenent be, on a basis of thesupposed value of the practice as representing the amount of work hemight be required to perform and the amount of money he was earningfor his employer. As a locum-tenent I have enjoyed six weeks in a verypleasant country practice, with light work and delightful social sur-roundings and amusements. I have also enjoyed, to a lesser extent,six weeks in a very unpleasant town, visiting from 50 to 70 cases perdiem and being called up three nights a week, the remuneration ineach case being the same. The locum-tenent seldom knows which is tobe his fate until he gets there. As an employer of locum-tenents I havefelt inclined to grudge paying a locum three guineas per week for

working a small and pleasant country practice when my more opulentbrethren could get their much larger practices worked at the samefigure. If three guineas per week is not too much to pay a locum-tenent for earning, say, ’.E1 1 [per diem it is surely too little for earningC3 or .E4 per diem. I am, Sirs, yours faithfully,Jan. 23rd, 1900. QUALIFIED.

CORRECT OR FRIENDLY ?

To the Editors oj THE LANCET.

SIRS,-Will you oblige me with your opinion on the following : 1. Iattended a patient some years ago for phthisis and have attended herat intervals sinca then for the same complaint. I last attended her afew months ago at her confinement and have lately heard she hasdied from phthisis, another medical man being then in attendance. Ireceived no communication either from the medical man or the

patient. 2. I attended a patient in her confinement and also since, aswell as her child. She has lately been confined again, the aforesaidmedical man being in attendance. I have received no communicationeither from the medical man or the patient. In neither of the caseswas I actually in attendance at the time the other medical man wascalled in, but in Case 1 the complaint was one for which I had attendedher at intervals for six years. Is this medical man’s conduct

(a) strictly correct, (b) friendly ?I am, Sirs, yours faithfully,

Jan. 27th, 1900. M.A. CANTAB.

*....* The patient has the right to employ whatever medical man he orshe pleases. But it is recognised that no medical man should takeover a patient who is still under the charge of a brother practitioner.In the circumstances of the first case a communication to " M.A.Cantab." would have been friendly, but the gap of "a a few months "in the attendances seems to absolve the other practitioner from acharge of "poaching." In the second case there was no onus on thesuperseding medical man to say anything to "M.A. Cantab.," who,however, might fairly have expected to hear from the patient.-ED. L.

QUACKS AND ABORTION.Wnn.E expressing satisfaction at the destruction of the trade in quack

abortifacients by our articles and by recent prosecutions, and at thedisappearance of the advertisements connected with it from the

newspapers which formerly contained them, we have alwaysheld the opinion that the destruction could not be expected to becomplete and that the advertisers would not disappear entirely.The following, published in the issue of the paper "for week

ending Jan. 27th, 1900," ’shows that our prediction has speedilybeen realised :-

OTTEY’S STRONG PILLSSpeedily cure Anaemia and all other kindred complaints ; correctall distressing symptoms; and restore females to their usualhealth. By post only, for 14 and 33 stamps, from-THOMASOfTEY, Chemist, 82, Hagley-road, Birmingham.

Mention Illustrated Bits.

We mention Ill’ustrated Bits without hesitation as requested. Wealso mention that it was Thomas Ottey of Birmingham who offeredto supply our agent with a pill that would "shift anything" in thenature of an "obstruction," while for the rest of his professions werefer our readers to THE LAXCBT of Dec. 17th, 1898, p. 1652, where willbe found that on analysis Thomas Ottey’s Strong Pills as thenadvertised revealed the presence of savin in appreciable quantities.We further call the attention of the editor of Illustrated Bits to the factthat in one issue of his paper now before us he has printed Ottey’sadvertisement immediately after one addressed to " the Married andthose Intending to Marry," extolling the merits of a book which" treats every branch of this delicate question of large familieswith a moral check," while in another number we find it insertedin close proximity to an advertisement of a "Book for Ladies," which"

goes thoroughly into matters relating to married women." We alsomention for the benefit of the editor or proprietor of Illustrated Bitsthat Mr. Justice Darling expressed an opinion as to the liabilityof those publishing certain advertisements in newspapers. Theadvertisement as it now appears differs in many respects from theone which used to advertise Ottey’s wares a few months ago, but it ispossible that the persons receiving the advertisement while notingthe alterations in its terms have failed to satisfy themselves that thegoods sold differ also from those previously retailed to pregnantwomen. We have taken no steps at present to ascertain in how manypapers advertisements such as those of Ottey still appear, but we note

that that of "Madame St. Clair" is, or was last month, appearing,slightly modified, with one or two similar in character, in an Irishnewspaper, the Ballyntoney Free Press; and it is not improbable thatit will be in outlying portions of the kingdom and by advertising inthe more obscure local journals that the attempt to revive the tradeof Madame Frain and her congeners will be made. At the same timewe have no doubt that the proprietor of Illustrated Bits will see, nowthat it has been pointed out to him, that the advertisements ofThomas Ottey should not be inserted in his paper without full

inquiry on his part as to what they may imply.

P. B.-It seems to us from our correspondent’s account that the manis pretending to have regular medical qualifications. In our view theMedical Act covers such cases, but judges notoriously differ in theitdecisions. We recommend that the matter be brought to the noticeof the Medical Defence Union or of the London and Counties MedicalProtection Society.

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

METEOROLOGICAL READINGS.(Taken daily at 8.80 a.m. by Steward’s Instruments.)

THE LANCET Office, Feb. lst, 1900.

During the week marked copies of the following newspapershave been received : Scotsman, United Service Gazette. Health,Madras Tinzes, Birmingham Argus, Northern Daily Telegraph,T,im.es of India, Pioneer Mail, Hampshire Observer, Evening Post

(Wellington, New Zealand), Grimzby Express, Hutl News, DailyChronicle, Westminster Gazette, Sanitary Record, Brighton Gazette,Nottingham City News, Builder, Citizen, Morning Herald, TunbridgeNottingham City News, Builder, Citizen, Morning Herald, TunbridgeWells Advertiser, Bromley Chronicle, Leeds Mercury, Architect,Liverpool Daily Post, Eastern Morning News, Norfolk Weekly Standard,Sussex Daily News, Leicester Daily Post, Newcastle Daily Chronicle,East Anglian Daily Times, York Daily Herald, Manchester

Guardian, Reading Mercury, City Press, Hertfordshire Mercury,Chard and Ilminster News, Local Government Chronicle, MiningJournal, Bri8tol Mercury, I’orkshire Post, North Cheshire Herald,Bicester Herald, Highland Newt’, Weekly Budget, Derby Mercury,Lengue Journal (Glasgow), Meat Trades Journal, Burnley Express,Topical Times, Surrey Advertiser, Local Government Journal,Australasian Medical Gazette, Hereford Times, Cromer Post, BritishDental Joûrnal, Chemist and Druggist, Glasgow Herald, MorningLeader, &c., &c.

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (5th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square(2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic (4 P.M.),Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (2 P.M.).

TUESDAY (6th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), Guy’s(1.30 P.M.), St. Thomas’s (3.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s(2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.), London Throat(2 P.M. and 6 P.M.), Royal Ear (3 P.M.).

WEDNESDAY (7th).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.),St. George’s (Ophthalmic 1 P.M.), St. Mary’s (2 P.M.), National Ortho-

, paedie (10 A.M.), St. Peter’s (2 P.M.), Samaritan (2.30 P.M.), Gt.Ormond-street (9.30 A.M.), Gt. Northern Central (2.30 P.M.), West-minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),Cancer (2 P.M.).

THURSDAY (8th).-St. Bartholomew’s (1.30 P.M.), St. Thomas s(3.30 P.M.) University College (2 P.M.), Charing-cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2P.M.), Middlesex

, (1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-West;

357

London (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynmco-logical, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),St. Mark’s (2 P.M.).

FRIDAY (9th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), Charing-cross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s(2 P.M., Ophthalmic 10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (2 P.M. and 6 P.M.).

SATURDAY (1Oth).-Royal Free (9A.M. and 2 P.M.), Middlesex (1.30 P.M.),St. Thomas’s (2 P.M.), London (2 P.M.), University College (9.15 A.M.),Charing-cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.),London Throat (2 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

SOCIETIES.MONDAY (5th).-OTOLOGICAL SOCIETY OF THE UNITED KINGDOM

(11, Chandos-street, Cavendish square, W.) -4.30 P.M. The Pre-sident : Introductory Address. Professor U. Pritchard: Antisepticsin Aural Surgery. Cases and Specimens will be shown by Dr.Milligan, Professor U. Pritchard, Dr. D. Grant, Dr. Tilley, Dr. S.Thorns m, Dr. R. Lake, Mr. L. A. Lawrence, Dr. J. Horne, Mr. A.Cbeatle, and Mr. E. Waggett.

ODONTOLOGICAL SOCIETY OF GREAT BRITAIN (40, Leicester-square,W.C.).-7 P.M. Council Meeting. 8 P.M. Paper:—Mr. J. G.Turner: Antral Catarrh and Suppuration, Casual Communici-tion :-Mr. H. Lloyd Williams: A Case of Acute SpasmodicNeuralgia caused by Attrition of the Teeth.

TUESDAY (6th).-PATHOLOGICAL SOCIETY OF LONDON (PathologicalLaboratory, University College Gower-street).-8 30 P.M. Labora-torv Meeting. Papers :-Dr. Nuttall: Recent Investigations onMalaria (with microscopical demonstration).-Dr. Strangeways Pigg(for Dr. A. Greene): Experimental production of Amyloid Diseasein Animals.-Dr. Myers : Haemolysis, especially in connexion withSnake Poison.—Mr. Spencer and Dr. Risien Russell: Experimentsrelating to Nervous Disturbances of Respiration, of the Larynx,of Mast.ioa.tion, and of Deglutition,-Dr. B. Abrahams : The CorticalChanges in Acute Chorea (lantern demonstration).

WEDNESDAY (7th).-OBSTETRICAL SOCIETY OF LONDON. - 8 P.M.Specimens will be shown by Dr. A. Routh, Dr. Griffith, and others.Annual Meeting. The President (Mr. A. Doran): Annual Address.

SOCIETY OF ARTS.-8 P.M. Mr. E. Wilson : Housing of the Poor.

THURSDAY (8th).-NEUROLOGICAL SOCIETY OF LONDON (11, Chandos-street, W.).-8.30 P.M. Annual General Meeting for Election ofOfficers. Dr. A. Waller: On the Excitability of Nervous Matter,with special reference to the Retina (Presidential Address).

FRIDAY (9th).-CLINICAL SOCIETY OF LONDON (20, Hanover-square,W.).-8.30 P.M. Papers :-Dr. Rolleston: A Case of Fatal Haemo-pneumothorax of unexplained origin.-Mr. R. Jones and Mr.Tubby : Further Experience of Cases of Spinal Rectification.-Dr. J. J. Perkins and Mr. C. S. Wallace: A Case of PerforatedDuodenal Ulcer, Operation, Recovery.

LECTURES, ADDRESSES, DEMONSTRATIONS, &c.MONDAY (5th).-LONDON THROAT HOSPITAL (204, Gt. Portland-

street, W.).-4.30 P.M. Mr. C. Woakes: Examination of Nose. (Post-Graduate Course.)

MEDICAL GRADUATES’ COLLEGE AND POLYCLIKlC (22, Chenies street,W.C.).-4 P m. Mr. M Morris: Consultation. (Skin.)

WEST LONDON POST GRADUATE COURSE (West London Hospital,W.).-5 P.M. Mr. Bidwell: Minor Surgery.

ROYAL INSTITUTION OF GREAT BRITAIN.-5 P.M. General MonthlyMeeting.

TUESDAY (6th). -MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, themes-street, W.C.).-4 P.M. Dr. C. T. Williams: Consultation.(Medical.)

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Queen-square, W.C.). -3.30. P.M. Mr. V. Horsley: Surgery of the NervousSystem.

ROYAL INSTITUTION OF GREAT BRITAIN.-3 P.M. Prof. E. RayLankester: The Structure and Classification of Fishes.

WEDNESDAY (7th).-ST. JOHN’S HOSPITAL FOR DISEASES OF THESKIN (Leicester square. W.C.).-4.30 P.m. Dr. Eddowes: Burns,Scalds, and Scars. (Post-graduate Course.)

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22 Chenies-street,W.C.).-4 P.M. Dr. G. Rankin: Consultation. (Medical.) 5 P.M.Dr. StClair Thomson: Class. Demonstration IV.:—PracticalLaryngology.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST(Brompton).-4 P.M. Dr. Fowler: The Symptoms and Treatmentof Cardiac Failure in Mitral Stenosis and Mitral Regurgitation.

THURSDAY (8th).—WEST-END HOSPITAL FOR DISEASES OF THENERVOUS SYSTEM (73, Welbeck.street, W.).-5 P.M. Clinical Demon-stration :-Dr. T. D. Savill: Cases Illustrating the Symptoms ofVaso-Motor Disorders and their Treatment.

THE HOSPITAL FOR SICK CHILDREN (Gt. Ormond-street, W.C.).-4 P.M.Dr. Voelcker: Treatment of Whooping Cough.

CHARING-CROSS HOSPITAL.-4 P.M. Mr. Waterhouse: Demonstrationof Surgical Cases. (Post-graduate Course.)

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Chenies-street,W.C.).-4 P.M. Mr. J. Hutchinson: Consultation. (Surgical.)

WEST LONDON POST-GRADUATE COURSE (West London Hospital,W.).-5P.M. Mr. Dunn: Glaucoma.

ROYAL INSTITUTION OF GREAT BRITAIN.-3 P.M. Prof. H. H.Turner: Modern Astronomy.

FRIDAY (9th).-MEDICAL GRADUATES’ OOLLNSB AND POLYCLINIO(22, Cheuies-street, W.C.).-5 P.M. Clinical Lecture:-ProfessorMcCall Anderson: On the UEes of Tuberculin in the Diagnosis andTreatment of Disease.

ROYAL INSTITUTION OF GREAT BRITAIN.-9 P.M. Prof. J. R. Green :Symbiosis and Symbiotic Fermentation.

EDITORIAL NOTICES.It is most important that communications relating to the

Editorial business of THE LANCET should be addressedexclusively "To THE EDITORS," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention begiven to this notice.

It is especially requested that early intelligence of local eventshaving a medical interest, or which it is desirable to bringunder the notice cf the profession, rraay be sent direct tothis Office.

Leetures, original art’icles, and reports should be written onone side of the paper only, AND WHEN ACCOMPANIEDBY BLOCKS IT IS REQUESTED THAT THE NAME OF THE

AUTHOR, AND IF POSSIBLE, OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-

FICATION.

Letters, whether intended for insertion or for private informa-tion, must be authenticated by the names and addresses oftheir writers, not necessarily for piblicatiolt.

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nuarhed and addressed ° To the Sub-Editor."Letters relating to the publication, sale, and advertising de-

partments of THE LANCET should be addressed "To theManager. "

We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE Index to Vol. II. of 1899, which was completed withthe issue of Dec. 30th, and the Title-page to the Volume-were given in THE LANCET of Jan. 6th.

VOLUMES AND CASES.VOLUMES for the second half of the year 1899 are

now ready. Bound in cloth, gilt lettered, price 18s.,carriage extra.

Cases for binding the half-year’s numbers are also ready.Cloth, gilt lettered, price 2s., by post 2s. 3d.To be obtained on application to the Manager, accompanied

by remittance. -

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