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MANNING, PHILIP, M.B., M. R.C.S, has been appointed Junior HouseSurgeon to the Birkenhead Borough Hospital, vice H. Scurfield,M,B , C.M., resigned.

3WTLAND, THOMAS, M.R.C.S., L.S.A., has been appointed Dispenser ofMedicines for the Wigan Union.

MENZIES, D. D., L.R.C.P.Ed., LR.C.S.Ed., has been appointed MedicalOfficer of Health for Inverkeithing.

MoBTOV,T., M,B., B.S.Dunelm, has been appointed Medical Officer to theDurham Union Workhouse, vice Dr. Jepson, resigned.

StABLES, W. W. G., L.R.C P.Ed., M.R.C.S., has been appointed MedicalOfficer for the Heckington District of the Sleaford Unioa.

SWALES, PETER, M.R.C.S., L.S.A., has been appointed Medical Officerof Health for Queenborough.

WATSON, T. A., M.B. and C.M.Edin., has been appointed AssistantMedical Officer to the Infirmary of the Woolwich Union.

Vacancies.In cempliance with the desire of numerous subscribers, it has been decided to

resume the publication under this head of brief particulars of the variousVacancies which are announced in our advertising columns. For furtherinformation regarding each vacancy reference should be made to theadvertisement. ————

BnR?D:spnysABY HOSPITAL.—Junior House Surgeon. Salary £60, withboard (except beer), furnished apartments, and washing.

CROYDON GENERAL HOSPITAL.—House-Surgeon. Salary £100, increas-ing £10 per anp-um up to £120, with board and residence in thehospital.

GENERA HOSPITAL, Birmingham.-Resident Surgical Officer. SalaryiJ130 per annum, with residence, board, and washing. Also Assist-ant House Surgeon. No salary, but residence, board, and washing.

HERTFORD BRITISH HOSPITAL. Paris.-House Surgeon.HOSPITAL FOR EPILEPSY AND PARALYSIS, 32, Portland-terrace, Regent’s-

park,-Assistant Physician and Registrar.HULL ROYAL INFIRMARY.—Junior Assistant House Surgeon. Salary

£50, with board and lodging.NEWPORT COUNTY INFIRMARY.—House Surgeon-out-visiting district

attached. Salary £100 a year, with bard and residence.NORTH-WEST LONDON HOSPITAL, Kentish-town-road.-Senior Resident

Medical Officer. In the event of the Assistant Medical Officer beingpromoted to the senior post, candidates should state if they will takethe junior appointment.

EoYAiFma HOSPITAL, Gray’s-inn road.-Additional Assistant Physicianand additional Assistant Surgeon. Both required to give instructionto students of the London School of Medicine for Women.

ROYAL HOSPITAL FOR DISEASES OF THE CHEST, City-road. - JuniorHouse Physician. Appointment for six months. Salary at the rateof £50 per annum, with board and lodging.

Births, Marriages, and Deaths.BIRTHS.

BARTLETT.—On the 20th inst., at Connaught-square, W., the wife ofEdward Bartlett, M.R.C.S., of a daughter.

BINDLOSS.—On the 15th inst., at New-cross-road, the wife of Edmund F.Bindloss, M.R C.S., L.R.C.P., of a son.

COOPER.—On the 19th inst., at Stainton Lodge, Blackheath, the wife ofPeter Cooper, L.R.C.P.Lond., M.R.C.S., of a son.

.UOLLIS.-On the 2Lst inst., at Cambridge-road, Brighton, Fanny, thewife of W A. Hollis, M.D., of a daughter.

UHTHOFF.—On the 17th inst., at Brunswick-place, Brighton, the wife ofJohn Caldwell Uhthoff, M.D., of a son.

WORNUM.—On the 17th inst.. a, 6, Cohege-terrace, Belsize-park,Hampstead, N.W., the wife of George Porter Wornum, M.R.C.S.Eng.,of a son.

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MARRIAGES.GARSON—SHERIDAN.—On the 18th inst., at St. Matthias’, Earl’s Court,

John George Garson, M.D., V.P.A.L, of Bea, N.B., and Suffolk-street, Pall-mall, to Florence Mary, eldest daughter of JohnSheridan, Esq., of the Middle Temple, and Haroldstone House,Earl’s Court.

HOOPER—HEYMANN. — On the 1st ult., at Melbourne, Victoria,J. W. Dunbar Hooper, L.R.C.P. & S.Ed., to Mathilde, daughter ofthe late Antoine Heymann, of Neuchittel, Switzerland.

McGEAGH—HOWARTH.—On the 19th inst., at Trinity Church, Horwich,Bolton-Ie-Moors, by the Rev. H. S. Pigot. M.A., Vicar, James PaulMcGeagh, M.D., M.Ch., of Stoneycroft, Liverpool, to Mary, eldestdaughter of Wm. Howarth, of Wallsuches, Horwich.

ORTON—JACKSON.—On the 19t,h inst., at St. George’s. Birmingham,Francis J. J. Orton, M.B., M.R.C.S., to Fanny, only child of J.Jackson, M.D., M.R.C.P., of Birmingham.

DEATHS.HORNIBLOW.—On the 20th inst., Wm. Horniblow, L.S.A., of Shipston-

on-Stour, aged 82.LAMMIMAN.—0n the 22nd inst., at Reservoir-road, Brockley-rise, RobertWhite Lammiman, M.R.C.S., L.S.A., in his 68th year.WADDELL.—On the 15th inst., at Longton, Staffordshire, John CraigWaddell, M.D., eldest son of the late John Craig Waddell, of Rose-mount, Airdrie, Solicitor, in his 40th year.

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B.B.-A tu of 5s. is charged for the Insertion of Notices of Births,Marriage., and Deatha..

Medical Diary for the ensuing Week.Monday, April 30.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.— Operations,10.30 A.M.. and each day at the same hour.

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

OHELSBA HOSPITAL FOR WOMEN.-Operations, 2.30 P.M ; Thursday,2.30.ST. MARK’S HOSPITAL.-Operations, 2 P.M. ; Tuesday, 2.30 P.M.HOSPITAL FOR WOMEN, SOHO-SQUARE. — Operations, 2 P.M., and on

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

each day in the week at ths same hour.SOCIETY OF ARTS.-8 P.M. Mr. G. Aitchison : Decoration. (Cantor

Lecture.)MEDICAL SOCIETY OF LONDON.—8.30 P.M. Clinical Night. The President

(Sir William Mac Cormac): A case of Osteo-plastic Resection of theFoot (meLhod of Mickulitz).-Mr. Edmund Owen : Case of ReducibleLumbar Hernia cured by Operation.-Dr. Hadden: Case of Eclampsia.Nutans.-Dr. Herringham: A case of Obstructive Jaundice withEnlarged Gall Bladder. Cases also by Dr. Heron and others.

Tuesday, May 1.GUY’S HOSPITAL.—Operations, 1.30 P.M. and on Friday at the 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, 2 P.M.OANCER HOSPITAL. BROMPTON.—Operations, 2.30 P.M. ; Saturday, 2.30 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.ROYAL INSTITUTION. -1.30 P.M. Annual Meeting. 3 P.M. Mr. Walter

Gardiner : The Plant in the War of Nature.THE PARKES MUSEUM OF HYGIENE.-8 P.M. Mr. Charles E. Cassal:

Food (including Milk), Sale of Food and Drugs Act.PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Mr. Doran: Malignant

Disease of Fallopian Tubes.-Mr. Bruce Clarke: Sloughing of Bladderfollowing Cystitis.-Mr. Silcock: Cystic Disease in Testis.-Mr. J.Hutchinson, jun.: Dupuytren’s Fracture.-Dr. M. Murray: Con-genital Disease of Heart in an Adult -Dr. N. Moore: Examples ofSeveral Forms of New Growth.-Dr. Coats : (1) Multiple Cancer ofBrain, Lungs, Bones, &c.; (2) Primary Cancer of Brain.-Dr. Crooke: -.Primary Cancer of Liver.-Dr. Turner: Extreme Contraction ofOrifices of Coronary Arteries.—Dr. Pearse: Advanced Surgical Kid-neys.-Mr. Bland Sutton : Mammæ in Dermoid Cysts. Card Speci-mens :-Dr. Crooke: Perihepatitis, with Cirrhosis of Liver.-Dr. H.Habershon : Malformation of Heart and Kidney.-Mr. Dunn : Cere-bral Tumour.-Mr. Shattock: (1) Cyst in Corpus Luteum; (2) TwoSpecimens of Hammer-toe.—Mr. Lunn: Pemphigus of Larynx.-Mr. Mansell Moullin: (1) Osteoma of Skin ; (2) Bladder with Vesicaland Pro3tatic Calculi.-Mr. J. H. Morgan: Ulceration of Bladder.

Wednesday, May 2.NATIONAL ORTHOPEDIC HOSPITAL.—Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M.ST. BARTHOLOMEW’S HOSPITAL.—Operations, 1.30 P.M.; Saturday, same

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

ST. THOMAS’S HOSPITAL.—Operations. 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.-Operations,2 2 P.M. ; Thursday & Saturday, same hour.GREAT NORTHERN CENTRAL HOSPITAL.—Operations, 2 P.M.SAMARITAN FREE HOSPITAL FOB WOMEN AND CHILDREN.—Operations,

2.30 P.M.UNIVERSITY CoLLEan HOSPITAL.-Operations, 2 P.M.; Saturday, 2 P.M.

Skin Department, 1.45 P.M. ; Saturday, 9.15 A.M.ROYAL FREE HOSPITAL.—Operations, 2 P.M., and on Saturday. -

KING’S COLLEGE HOSPITAL.—Operations, 3 to 4 P.M. ; Friday, 2 P.ni.;Saturday, 1 P.M.

OHILDREN’S HOSPITAL, GREAT ORMOND-ST.—Operations, 9 A.M.; Satur-day, same hour.

OBSTETRICAL SOCIETY OF LONDON.-8 P.M. Specimens will be shown.Dr. Cullingworth : Cyst connected with the Uterus, and simulatingEnlargement of that Organ.-Mr. Bland Sutton : The Glands of theFallopian Tubes and their Function.-Dr. Scougal : A case of Hemi-plegia after Parturition.

SOCIETY OF ARTS.-8 P.M. Mr. T. R. Ablett : Drawing, a Means ofEducation.

Thursday, May 3.ST. GEORGB S HOSPITAL.-Operations, 1 P.M. Ophthalmic Operations,

Friday, 1.30 P.M.OHARING-CROSS HOSPITAL.—Operations, 2 P.M.THE PARKES MUSEUM OF HYGIENE.-5 P.M. Prof. T. Hayter Lewis:

Ancient and Mediaeval Towns.ROYAL INSTITUTION.—3 P.M Prof. Dewar : The Chemical Arts.HARVEIAN SOCIETY OF LONDON.-8.30 P.M. Mr. Watson Cheyne: The

Treatment of Spinal Abscess.-Mr. C. J. Symonds : On some Obscure.Cases of Painful Feet.

OPHTHALMOLOGICAL SOCIETY OF THE UNITED KINGDOM. — 8.30 P.M.Living and Card Specimens at 8 P.M. :-Mr. W. J. Collins : (1) RareAffections of the Eyelids (photographs and drawings); (2) Case ofParalysis of the Fifth Nerve, with Cataract.-Mr. J. B. Lawford:Pathological Specimens.-Mr. S. H. A. Stephenson : Case of OpticNeuritis after Measles. Papers :-Mr. Charles Higgens: On a caseof Melanotic Sarcoma of Eyeball.-Mr. M. McHardy: (1) PrimaryTuberculosis of Choroid treated by Enucleation, recovery; (2) On aSimple Expedient for enhancing the Cosmetic Effect of ArtificialEyes. -Dr. Hill Griffith: Eye Symptoms in Hysteria and AlliedConditions. ’

858

Friday, May 4.ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.—Operations, 2 P.M,THE PARKES MUSEUM OF HYGIENE.—8 P.M. Mr. Shirley F. Murphy:

Infectious Diseases and Methods of Disinfection.WEST LONDON MEDICO-CHIRURGICAL SOCIETY.-8 P.M. Pathological

Specimens :—Mr. Percy Dunn : (1) Scirrhous Growth in Rectum ;(2) Caseous Deposit in the Lung of a Child ; (3) Large Hernial Sacand Testis removed during life. Clinical Cases :-Mr. Bruce Clarke:Multiple Exostoses occurring in three members of the same family.-Mr. Van Buren: Na;void Growth in the Lower Jaw.-Mr. SwinfordEdwards : Operation for Fistula in Ano.—Mr. Percy Dunn: Com-plete Irideremia.-Mr. W. Lang: Disease of the Conjunctiva andCornea.-Mr. Jonathan Hutchinson will communicate matter ofclinical interest.-Mr. Swinford Edwards: On the Treatment ofPiles by Injection.-The President (Mr. Keetley): On a case ofWound (intra-peritoneal) of the Urinary Bladder treated by Suture.

SOCIETY OF ARTS.-8 P.M. Surgeon-General H. W. Bellew: The InjuriousEffects of Canal Irrigation on the Health of the Population of thePunjab.

ROYAL INSTITUTION.-9 P.M. Mr. J. K. Laughton: The InvincibleArmada-a Tercentenary Retrospect.

Saturday, May 5.MIDDLESNY HOSPITAL.—Operations. 2 P.M.ROYAL INSTITUTION.-3 P.M. Mr. Carl Armbruster : The Later Works ,

of Richard Wagner. (With Vocal and Instrumental Illustrations.)NEUROLOGICAL SOCIETY OF LONDON.-4.30 P.M. Prof. Schäfer : On the

Visual Area of the Cerebral Cortex.-Mr. E. P. France: A ModifiedWeigert Staining Process; Degenerations following Lesions of theMarginal Gyrus.-Dr. Beevor: Sections of Brain Stained by Pal’sModification of Weigert’s Method.

Notes, Short Comments, & Answers toCorrespondents,

It is especially requested that early intelligence of local eventshaving a medical interest, or which it is desirable to bringunder the notice of the profession, may be sent direct tothis 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 insertion or for private in-formation, must be authenticated by the names andaddresses of their writers, not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news-paragraphs should

be marked and addressed to the Sub-Editor.Letters relating to the publication, sale, and advertisingdepartments of THE LANCET to be addressed "to thePublisher."

We cannot undertake to return MSS. not used.

POLYPHARMACY.

WE should like to see the original prescription. A case requiringmedicine containing thirteen drugs must have been what in commonlanguage is called " complication."

Mr. C. lY. Graham.—We must refer our correspondent to our advertisingcolumns.

MATERNAL IMPRESSION (?)To the Editors of THE LANCET.

SIRS,—The following interesting case has come under my notice

lately. During last year I attended a patient who was delivered of achild with well-marked hypospadias. Present at the confinement was ayoung married lady, who was in the early months of pregnancy, andfrequently expressed to me her wish that her child might not be similarlyaffected. A few days since I was called to the confinement of the youngwife, and, to my surprise, on examining the child, he, too, was similarlydeformed. I have shown these cases to several of my friends, and allagree that they are well-marked cases of hypospadias. The questionarises, " Has maternal impression anything to do with these cases, or isit simply a remarkable coincidence "?-Yours truly,Newcastle-on-Tyne, April 18th. CHARLES WICKS, L.R.C.P., &0.

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THE DOCTOR’S DEATH-RATE.

THE Gotha Life Assurance Bank publishes some statistics of the mortalityamongst its policyholders during 1887. From these it appears that themortality of the medical members was 1153 per cent. above the averageof that of all the members taken together. The classes of disease to

which this higher rate of mortality was due were diseases of the respi-ratory organs, phthisis, and infectious diseases, " typhus " having provedespecially fatal to the younger members of the profession. There was

only one case of post-mortem poisoning out of 1052 deaths; and this was’ that of a district physician. Cerebral apoplexy was remarkably frequent,

beginning as early as thirty-six years of age. There were 14 cases of

suicide and 4 of accidental death. These are, however, below thegeneral average.

’ LETTERS from Dr. Gayton and Mr. Sweeting on Infectious Disease

Hospitals, and other communications, are unavoidably held over tillnext week.

MIDWIVES’ MIDWIFERY."

To the Editors of THE LANCET.

SIRS,—A case somewhat similar to that reported in THE LANCET lastweek lately came under my observation.On January 24th, at 2.30 P.M., I was sent for hurriedly to a case where

the child was born. I was not in at the time, but met the messenger on. my return home and went with her at once. On entering the house I

found the woman had been delivered three hours previously. Theextremities were cold. She was pulseless, and had evidently lost a greatquantity of blood. The placenta was adherent and the midwife had beenondeavouring for two hours to extract it, and had succeeded so far as toget it into the bed with the womb inverted and a portion of the placentastill attached. During the midwife’s last effort the woman fainted.She then left her alone, but took the precaution to remove all the clotsof blood and the bedclothes saturated with it. I learned from thoseabout her that the loss had been very great, and that the midwife hadbeen with her all the previous night and had been asked to send for a

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doctor. After my arrival the woman seemed to breathe for a minute orso, and then attempted to turn, and died. The midwife is not registeredbut has a plate on the door. Instead of the above acting as a warning,I may state that the sister of the same woman nearly lost her life fromthe same cause last month, a midwife being in attendance. I removedthe placenta, which was adherent, and the woman made a good recovery.Another case came under my notice. On March 4th, about 5 A.M., I

. was sent for to a Mrs. B-, who had been in labour all night, a midwifebeing in attendance. The woman being very ill, at the husband’s

request and with the consent of the midwife, I was asked to come atonce. As the woman was losing very much, I at once got out of bedand went. On my arrival at the house (which would be about half anhour from the time I received the message), I found the woman dead,On examination I found that presentation was natural; the os was well

) dilated and filled by the head and part of the placenta, the placenta; adhering to the left side, but detached from the right.) The case was evidently one of placenta previee, and probably the early

application of the forceps would have saved the woman. The midwifewas registered. I remain, Sirs, yours truly, n TSunderland, April, 1888. JOHN RANKIN, L.R.C.P.

THE MARSHALL AND SHAW FUND.

To the Editors of THE LANCET.SIRS,—Will you be kind enough to give publicity to the following

additional list of subscriptions to the above fund. Mr. W. R. Ackland’s

subscription of two guineas was inadvertently acknowledged as oneguinea in the last list. I am, Sirs, yours truly,

April 24th, 1888. W. H. HARSANT, Hon. Sec.

Amount acknowledged 252 6 6 Luffman, W. C....... £1 1 0 0Baretti, T. G. L.... 1 1 0 Manning, H. J....... 1 1 0

Begbie, Frank W.... 1 1 0 Mason, F........ 2 2 0

Blacker, A. E....... 1 1 0 Metford, J. Seymour ... 2 2 0Bright, J. M., M.D.... 1 1 0 Rawson, George ...... 3 3 0Buzzard, Thomas, M.D. 5 0 0 Rowley, Professor ... 1 1 0Corbould, G. G....... 3 3 0 Ruddock. R. B....... 2 2 0Duncan, W. R....... 0 10 6 Rudge, C. K.... 1 1 0Fairbanks, W., M.D.... 0 10 6 Sheppard, E. J....... I 1 0Greenwell. Rev. A.... 5 0 0 Smith, Thomas...... 3 3 0Hetling, H. E..... 1 1 0 Stansfeld, G. M....... 2 2 0Jenner, Sir Win., Bt., Wathen, J. Hancocke ... 2 2 0K.C.B.......... 5 5 0

BRITISH MEDICAL BENEVOLENT FUND. ’

To the Editors of THE LANCET.SIRS.—I am constantly asked by the applicants for grants or other

help from this fund whether I have any cast-off clothing to give away;and I would venture to appeal to any of your readers who may haveladies’ bonnets, hats, jackets, dresses, or underelothingof any description,or men’s great coats, suits, or underclothing, to send them to me. Thedestitute state of many of these poor people is truly pitiable; and as ourfunds are limited, the amount given is limited likewise. This assistance

may, however, be materially increased by the addition of a few clothes,and the poor souls made happy by the receipt of things which are nolonger of use to some but are priceless to them. I would gladlyacknowledge and distribute anything that may be sent.

’! am, Sirs, yours faithfully, - -- -

16, Upper Berkeley-st., W., April 24th, EDWARD EAST, Hon. Sec.