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Medical Diary for the ensuing Week

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626 Notes, Short Comments, and Answers to Correspondents. THE ACTION OF SELENIUM, TELLURIUM, AND ARSENIC ON MUSCULAR TISSUE. THE February number of the Medical Chronicle contains a short account of some physiological experiments with selenium, tellurium, .and arsenic made by Dr. H. J. Crompton, resident medical officer in the Royal Infirmary, Manchester. He commences with a reference to the increased attention recently given to selenium owing to the suggestion made by Dr. F. W. Tuunieliffe and Mr. Otto Rosenheim that this substance was associated with arsenic in the cases of beer poisoning which occurred in the North of England in 1900 {THE LANCET, Feb. 2nd, p. 318, Feb. 9th, p. 434, and March 30th, p. 927, 1901). In view of this statement Dr. Crompton investigated the action of selenium compounds on the nervo-muscular tissues of the frog by experiments (1) on voluntary muscle and motor nerve trunks, (2) on the involuntary muscles contained in the walls of the blood-vessels, and (3) on the cardiac muscle. At a later date he made similar experiments with compounds of tellurium and arsenic. For the experiments on voluntary muscle the gastrocnemius of a frog was removed from the animal, supported at its ends on brass wires, and immersed in a 0’75 per cent. solution of sodium chloride (" normal saline"), containing also a known proportion of selenate, selenite, tellurate, arsenate, or arsenite of sodium. Electrical currents were passed at intervals and the shortening of the muscle thereby produced was recorded on a revolving drum. Experiments on the heart muscle were made by means of the tono- meter described by Roy, in which an isolated frog’s heart tied to a cannula through which the solution under investigation can be perfused is placed in a small air-tight vessel filled with olive oil; variations in the volume of the ventricle are indicated by the rising - and falling of a piston. The general results of the experiments were to the effect that although the above-mentioned salts are destructive to animal life, solutions of them nevertheless have no directly poisonous effect on either the voluntary muscle, the motor nerve trunks, or the cardiac muscle of the frog. QUACKERY AND CREDULITY. THE following advertisement appeared in the Birmingham Daily Mail .of Feb. 13th :- ADVERTISER would sell Cancer, Tumour, and Polypus Cure, price One Thousand Guineas, or would Cure. Personal Testi- monials -M. Vernon. 49, Church Vale (Square), Handsworth. At Home, Mondays, 12 till 4. We cannot congratulate our contemporary upon the insertion of such .an advertisement as the above. We have no doubt that M. Vernon will sell, but what he sells will not be a cancer cure but his dupes, of whom there will probably be not a few. PAYMENT OF MEDICAL WITNESSES. To the Editors of THE LANCET. SIRS,-To those who lightly set out to tender evidence in a magis- trate’s court may I indite a warning. The fee that you will get for a twelve-mile drive and a ruined morning’s work is not that which many would have you believe-namely, one guinea and mileage- but depends entirely upon your power of awakening the sympathy of the bench for your sufferings. They have the power to award you anything from a modest ¼d. up to the stately two guineas. How best to avoid the half- guinea appearance and to assume the guinea deportment I fain would learn. Anyway, a kind word to a magistrate whenever you meet one may, when the subpœna cloud hangs over you, meet with its reward even in this life. I am, Sirs, yours faithfully. Castle Cary, Somerset, Feb. 20th, 1904. DAVID PRICE, M.B. Lond. AN OBSERVATION ON THE VALUE OF GARLIC AS A RHMEDY. To the Editors of THE LANCET. SIRS,-I have read with interest the article by Dr. Giulio Cavazzani and the letter from Dr. W. C. Minchin upon the use of garlic in tuberculosis and I should like to record that it is not only in thif disease that it is of service. I have used it with success in bronchial conditions, notably in bronchitis of the finer tubes where the patient complains that his chest "feels stuffed up" and where on ausculta- tion there is heard a large number of sibilant rales. Also in cases where there is much purulent expectoration. In these cases, after the exhibition of the drug, there has been much relief. The active principle, sulphide of allyl, is undoubtedly excreted into the respira tory passages and may very possibly act as fin antiseptic. I notE that Dr. W. Ewart in Allbutt’s " System of Medicine," quoting Dr G V. Poore’s work on Nervous Affections of the Hand and Othei Studies, recommends it in the treatment of bronchiectasis. I have given 15-grain doses of the bulb chopped up and administered ir cachets three or four times a day. I am, Sirs, yours faithfully, Retford, Feb. 19th, 1904. HANWAY R. BEALE, M.D.Lond. THE MICROSCOPE IN INDIAN PRACTICE. ARTICLES and letters under the above heading have been appearing in recent numbers of our contemporary, the Pioneer. The writer of one letter, a medical man, though it is not apparent whether he is a civilian practitioner or a member of the Indian Medical Service, brings a rather strong indictment against some of his professional brethren whom he accuses of being too lazy or incapable to examine the blood of every patient suffering from " fever," even when they have a microscope. The supply of microscopes is doubtless rather limited, but possibly the varieties of climate to be met with in India may be responsible in some measure for this. A one-twelfth inch objective would be difficult to keep in order during the monsoon on the Kanara coast and we fancy that most of the Indian medical men who have the capacity and training to use a microseope for the diagnosis of the malarial parasite do so, the m:croscope being supplied by themselves. FR C.S. (Eng,) has asked us questions to which it is very difficult to give definite answers in the absence of complete local knowledge. We will communicate with him. Clock will find an extended memoir of Sir Andrew Clerk in THE LANCET of Nov. llth, 1893, p. 1222. The late physician was well known to us. Interested has omitted to send his name. METEOROLOGICAL REA DIN G S. (Taken daily at 8.30 a.m. by Stewards Instrume ts.) THE LANCET Office, Feb. 25th, 1904. Medical Diary for the ensuing Week. OPERATIONS. METROPOLITAN HOSPITALS. MONDAY (29th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St. Thomas’s (3.60 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) PM.), London Throat (9 30 A.M.). Royal Free (2 P.M.), Guy’s (1.30 P M.). TUESDAY (lst).-London (2 P.M.), Ot. Barthulmuew s (1.30 P.M.). St. Thomas’s k6.30 P.M.), Guy (1.30 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 (9 30 A.M.). Roval Ear (3 P.M.), Samaritan (9.30 s.nt and 2.30 P.M.), Throat, Golden square (9.30 A.M.), Soho-square (2 P.M.), Chelsea (2 P. n WEDNESDAY (2nd).-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 Orthopaedic (10 a.m.), St. Peter’s (2 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. Northern Central (2.30 P.M.), Westminster (2 P.M.), Metropolitan 12.30 P.M.), London Throat (9 30 A.M.). Cancer (2 P.M.), Throat, Golden-square (9.30 a.r2.), Guy’s (1, 30 P.M.) THURSDAY (3rd).-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 (2 P.M.), Middlesex (1.30 P.M.), St. Mary’s (2.30 P.M.), Soho square (2 P.M.), North-West London (2 P.M.), Gt. Northern Central (Gynæcological, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat (9, 30 A M.). St. Mark’s (2 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), uuy’s (1.30 P.M.). FRIDAY (4th).-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.), hing’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.), London Throat (9 30 A.M.), Samaritan (9.i0 A.M aud 2.30 P.M.), Throat, Gold-n-square (9.30 A.M.), City Orthopædic (2.30 P.M.). 8 the-square (2 P.M ). SATURDAY (5th).-Royal Free (9 A.M.), London (2 P.M.) Middlesex (1.30 P.M.’, ot. Thomas’s (2 P.M.), University College 19.16 A.M.), Charing Cross (2 P.M.), St. George’s H P.M.), St. Mary’s (10 P.M.). Throat, Golden-square (9. 0 A.M.), (Guy’s (1.30 P.M.). At the Royal Eye Hosp ta) ( P.M.), the Royal London Ophthalmic (10 A.M.), the Royal Westminstet Ophthalmic (1.30 P.M.), and the Central London Ophthalmic Hospitals operations are performed daily.
Transcript
Page 1: Medical Diary for the ensuing Week

626

Notes, Short Comments, and Answersto Correspondents.

THE ACTION OF SELENIUM, TELLURIUM, AND ARSENIC ONMUSCULAR TISSUE.

THE February number of the Medical Chronicle contains a shortaccount of some physiological experiments with selenium, tellurium,.and arsenic made by Dr. H. J. Crompton, resident medical officer inthe Royal Infirmary, Manchester. He commences with a referenceto the increased attention recently given to selenium owing to thesuggestion made by Dr. F. W. Tuunieliffe and Mr. Otto Rosenheimthat this substance was associated with arsenic in the cases ofbeer poisoning which occurred in the North of England in 1900{THE LANCET, Feb. 2nd, p. 318, Feb. 9th, p. 434, and March 30th,p. 927, 1901). In view of this statement Dr. Crompton investigatedthe action of selenium compounds on the nervo-muscular tissues ofthe frog by experiments (1) on voluntary muscle and motor nervetrunks, (2) on the involuntary muscles contained in the walls of theblood-vessels, and (3) on the cardiac muscle. At a later date he madesimilar experiments with compounds of tellurium and arsenic. Forthe experiments on voluntary muscle the gastrocnemius of a frogwas removed from the animal, supported at its ends on brass wires,and immersed in a 0’75 per cent. solution of sodium chloride(" normal saline"), containing also a known proportion of selenate,selenite, tellurate, arsenate, or arsenite of sodium. Electricalcurrents were passed at intervals and the shortening of themuscle thereby produced was recorded on a revolving drum.

Experiments on the heart muscle were made by means of the tono-meter described by Roy, in which an isolated frog’s heart tied to acannula through which the solution under investigation can be

perfused is placed in a small air-tight vessel filled with olive oil;variations in the volume of the ventricle are indicated by the rising- and falling of a piston. The general results of the experiments wereto the effect that although the above-mentioned salts are destructiveto animal life, solutions of them nevertheless have no directlypoisonous effect on either the voluntary muscle, the motor nervetrunks, or the cardiac muscle of the frog.

QUACKERY AND CREDULITY.THE following advertisement appeared in the Birmingham Daily Mail

.of Feb. 13th :-

ADVERTISER would sell Cancer, Tumour, and Polypus Cure,price One Thousand Guineas, or would Cure. Personal Testi-monials -M. Vernon. 49, Church Vale (Square), Handsworth. At

Home, Mondays, 12 till 4.We cannot congratulate our contemporary upon the insertion of such.an advertisement as the above. We have no doubt that M. Vernon will

sell, but what he sells will not be a cancer cure but his dupes, ofwhom there will probably be not a few.

PAYMENT OF MEDICAL WITNESSES.

To the Editors of THE LANCET.

SIRS,-To those who lightly set out to tender evidence in a magis-trate’s court may I indite a warning. The fee that you will get for atwelve-mile drive and a ruined morning’s work is not that which manywould have you believe-namely, one guinea and mileage- but dependsentirely upon your power of awakening the sympathy of the bench foryour sufferings. They have the power to award you anything from amodest ¼d. up to the stately two guineas. How best to avoid the half-

guinea appearance and to assume the guinea deportment I fain wouldlearn. Anyway, a kind word to a magistrate whenever you meet onemay, when the subpœna cloud hangs over you, meet with its rewardeven in this life. I am, Sirs, yours faithfully.Castle Cary, Somerset, Feb. 20th, 1904. DAVID PRICE, M.B. Lond.

AN OBSERVATION ON THE VALUE OF GARLIC AS A RHMEDY.

To the Editors of THE LANCET.

SIRS,-I have read with interest the article by Dr. Giulio Cavazzaniand the letter from Dr. W. C. Minchin upon the use of garlic intuberculosis and I should like to record that it is not only in thifdisease that it is of service. I have used it with success in bronchialconditions, notably in bronchitis of the finer tubes where the patientcomplains that his chest "feels stuffed up" and where on ausculta-tion there is heard a large number of sibilant rales. Also in cases

where there is much purulent expectoration. In these cases, afterthe exhibition of the drug, there has been much relief. The active

principle, sulphide of allyl, is undoubtedly excreted into the respiratory passages and may very possibly act as fin antiseptic. I notEthat Dr. W. Ewart in Allbutt’s " System of Medicine," quoting DrG V. Poore’s work on Nervous Affections of the Hand and Othei

Studies, recommends it in the treatment of bronchiectasis. I have

given 15-grain doses of the bulb chopped up and administered ir

cachets three or four times a day.I am, Sirs, yours faithfully,

Retford, Feb. 19th, 1904. HANWAY R. BEALE, M.D.Lond.

THE MICROSCOPE IN INDIAN PRACTICE.

ARTICLES and letters under the above heading have been appearing inrecent numbers of our contemporary, the Pioneer. The writer of oneletter, a medical man, though it is not apparent whether he is acivilian practitioner or a member of the Indian Medical Service,brings a rather strong indictment against some of his professionalbrethren whom he accuses of being too lazy or incapable to examinethe blood of every patient suffering from " fever," even when theyhave a microscope. The supply of microscopes is doubtless rather

limited, but possibly the varieties of climate to be met with in Indiamay be responsible in some measure for this. A one-twelfth inchobjective would be difficult to keep in order during the monsoon onthe Kanara coast and we fancy that most of the Indian medical menwho have the capacity and training to use a microseope for the

diagnosis of the malarial parasite do so, the m:croscope beingsupplied by themselves.

FR C.S. (Eng,) has asked us questions to which it is very difficult to

give definite answers in the absence of complete local knowledge. Wewill communicate with him.

Clock will find an extended memoir of Sir Andrew Clerk in THELANCET of Nov. llth, 1893, p. 1222. The late physician was wellknown to us.

Interested has omitted to send his name.

METEOROLOGICAL REA DIN G S.(Taken daily at 8.30 a.m. by Stewards Instrume ts.)

THE LANCET Office, Feb. 25th, 1904.

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (29th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.60 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) PM.), LondonThroat (9 30 A.M.). Royal Free (2 P.M.), Guy’s (1.30 P M.).

TUESDAY (lst).-London (2 P.M.), Ot. Barthulmuew s (1.30 P.M.). St.Thomas’s k6.30 P.M.), Guy (1.30 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(9 30 A.M.). Roval Ear (3 P.M.), Samaritan (9.30 s.nt and 2.30 P.M.),Throat, Golden square (9.30 A.M.), Soho-square (2 P.M.), Chelsea(2 P. n

WEDNESDAY (2nd).-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 Orthopaedic (10 a.m.), St. Peter’s (2 P.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. NorthernCentral (2.30 P.M.), Westminster (2 P.M.), Metropolitan 12.30 P.M.),London Throat (9 30 A.M.). Cancer (2 P.M.), Throat, Golden-square(9.30 a.r2.), Guy’s (1, 30 P.M.)

THURSDAY (3rd).-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 (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho square (2 P.M.), North-WestLondon (2 P.M.), Gt. Northern Central (Gynæcological, 2.30 P.M.),Metropolitan (2.30 P.M.), London Throat (9, 30 A M.). St. Mark’s(2 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-square(9.30 A.M.), uuy’s (1.30 P.M.).

FRIDAY (4th).-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.), CharingCross (3 P.M.), St. George’s (1 P.M.), hing’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 (9 30 A.M.), Samaritan (9.i0 A.M aud 2.30 P.M.), Throat,Gold-n-square (9.30 A.M.), City Orthopædic (2.30 P.M.). 8 the-square(2 P.M ).

SATURDAY (5th).-Royal Free (9 A.M.), London (2 P.M.) Middlesex(1.30 P.M.’, ot. Thomas’s (2 P.M.), University College 19.16 A.M.),Charing Cross (2 P.M.), St. George’s H P.M.), St. Mary’s (10 P.M.).Throat, Golden-square (9. 0 A.M.), (Guy’s (1.30 P.M.).

At the Royal Eye Hosp ta) ( P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminstet Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

Page 2: Medical Diary for the ensuing Week

627

S O C I E T I E S.MONDAY (29th).-MEDICAL SOCIETY OF LONDON (11, Chandos-street,

Cavendish-square, W.).-9 P.M. Mr. C. B Lockwood : AsepticSurgery in Theory and Practice. Lecture III. Environment andResults. (Lettsomian Lecture.)

WEDNESDAY (2nd).-OBSTETRICAL SOCIETY OF LONDON (20, Hanover-square, W.).-8 P.M. Specimens : Mr. A. Doran : Pregnant FibroidUteri removed by Operation. Dr. Addinsell and Mr. Walker (intro-duced by Dr. Addinsell): Demonstration of Microecupical andLantern Slides show g Mitotic Changes in Cancer Cells. Papers :-Mr. H. Cripps and Dr. H. Williamson : Two Cases involving theQuestion of the Site of Impregnation.-Mrs. Boyd : Two Cases ofAbdominal Hysterectomy for Fibroids complicated by Pregnancy,with Specimens.

THURSDAY (3rd).-RÖNTGEN SOCIETY (20, Hanover-square, W.).-8.30 P.M. Presidential Address:—Some Laboratory Notes of thelast Six Months.

CHILDHOOD SOCIETY (Library of the Sanitary Institute, 72, Margaret-street, W.).-8 P.M. Lecture :-Prof. W A. P.)tts: The Protectionof Feeble-minded Children during and after School Age.

BRITISH BALNEOLOGICAL AND CLIMATOLOGICAL SOCIETY (20, Hanover-square, W.).-5.30 P.M. Discussion on Obesity (opened by Dr. L.Williams).

FRIDAY (4th).-SOCIETY OF ANAESTHETISTS (20, Hanover-square,W.).-8.30 P.M. Paper :-Dr. D. Buxton. Communications by thePresident (Mr. C. C. Braine) and Dr. Flux. Annual GeneralMeeting.

LARYNGOLOGICAL SOCIETY OF LONDON (20, Hanover-square, W.).-5 P.M. Cases, Specimens, &c., will be shown by Dr. McBride,Dr. F. Potter, Dr. Smurthwaite, and others.

LKOTURES. ADDRESSES, DEMONSTRATIONS, &o.MONDAY (29th).-ROYAL COLLEGE OF SURGEONS OF ENGLAND.-5 P.M.

Prof. L B. Rawling : Fractures of the Skull, including Mechanism,Pathology, Complications immediate and remote, and Treatment.(Hunterian Lecture.)

POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-5 P.M. Mr. Baldwin: Practical Surgery.

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Chenies-street,W.C.).--4 4 P.M. Dr. E. G. Little : Clinique. (Skin.) 5.15 P.M. Dr.H. Tilley : The Diagnosis and Treatment of the Common Forms ofNasal Obstruction.

UNIVERSITY OF LONDON.-5 P.M. Lecture :-Dr. A. E. Wright:Physiology of Immunisation.-On Anti-tubercle Inoculation.

TUESDAY (lst).-ROYAL COLLEGE OF PHYSICIANS OF LONDON (PallMall East).-5 P.M. Dr. W. Williams: Deaths in Childbed, a Pre-ventable Mortality. (Milroy Lecture.)

POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-5 P.M. Mr. 0. Williams : High Frequency Currents(illustrated by lantern slides).

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22. Chenies-street,W.C.).-4 P.M. Dr. C. Tnompson: Cliniqne. (Medical.) 5.15 P.M.Dr. D. Grant: Some Common Errors in the Diagnosis and Treat-ment of Diseases of the Throat.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Queen-square, Bloomsbury).-3.30 P.M. Dr. Tooth : Cranial Nerves.

WEDNESDAY (2nd).-ROYAL COLLEGE OF SURGEONS OF ENGLAND.-5 P.M. Prof. L. B. Rawling: Fractures of the Skull. includingMechanism, Pathology, Complications immediate and remote, andTreatment. (Hunterian Lecture )

POST-GRADUATE COLLEGE (West London Hospital. Hammersmith-road, W.).-5 P.M. Dr. Beddard : Practical Medicine.

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Chenies-street,W.C.).-4 P.M. Mr. A. H. Tubby : Cliiiique. (Surgical.) 5.15 P.M.Dr. F. J. Smith : Cough and its Sigru6oa.nce.

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST (Bromp-ton).-4 P.M. Dr. P. Kidd : Types of Pulmonary Tuberculosis.

LONDON TEMPERANCE HOSPITAL (Hampstead-road, N.W.).-4 P.MLecture :-Diseases of the Stomach. (Post-Graduate Course.)

THURSDAY (3rd).-ROYAL COLLEGE OF PHYSICIANS OF LONDON(Pall Mall hast,).-5 P.M. Dr. W. Williams: Deaths in Childbed,a Preventable Mortality. (Milroy Lecture.)

POST-GRADUATE COLLEGE (West London Hospital. Hammersmith-road, W.)-5 P.M. Mr. S. Edwards: Gleet and its Treatment.

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Cheutes-street,W.C.).-4 P.M. Mr. Hutchinson : Clinique. (Surgical.) 5.15 P.M.Dr. F. J. Smith: Cough and its Significance.

SAMARITAN FREE HOSPITAL FOR WOMEN (Marylebone-road, N.W.).-3P.M- Dr. F. J. McCann: The Treatment of "Irritable Bladder"in Women.

CHARlNG CROSS HOSPITAL.-4 P.M. Dr. Bosanquet : Demonstrationof Medical Cases. (Post-Graduate Course.)

M )UNT VERNON HOSPITAL FOR CONSUMPTION AND DISEASES OF THECHEST (7, Fitzroy-square, W.).-5 P.M. Dr. F. Price: MitralStenosis (illustrated by cases). (Post-Graduate Course.)

ST. JOHN’S HOSPITAL FOR DISEASES OF THE SKIN (Leicester.square,W.C.). 6.15 P.M. Dr. M. Dockrell: Sycosis. (Chesterfield Lecture.)

THE HOSPITAL FOR SICK CHILDREN (Mt. Ormond-street, W.C ).-4 P.M. Mr. Collier: The Surgical Anatomy of the Ear in Children.

ROYAL INSTITUTION OF GREAT BRITAIN (Albemarle-street,, W.).-5 P.M. Prof. H. L. Callender: Electrical Methods of MeasuringTemperature.

FRIDAY (4th). - ROYAL COLLEGE OF SURGEONS OF ENGLAND.-5 P.M.Prof. L. B. Railing : Fractures of the S&ull, including MeehM)i-.m,Pathology, Complications immediate and remote, and Tredtment.(Hunterian Lecture.)

P08T-(iRAJ)UATE COLLEGE (West London Hospital. llammersmith-road, W.).-5 P.M Dr. Sounders : Rickets and its Treatment.

MEDICAL GRADUATES’ COLLEGE AND POLYCLllHC (22, Cheuies-street,W.C.).-4 P.M. Mr. E. Clarke: Clinique. (Eye).

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Queen-square, Bloomsbury).-3.30 P.M. Dr. Touth : Cranial Nerves.

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

Editorial business of THE LANCET should be addressedexclusively " I 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.

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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.

Lectures, original articles, 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

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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 advertising de-

part7)ients of THE LANCET should be addressed " To theManager.

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We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE Index and Title-page to Vol. II. of 1903, which wascompleted witt the issue of Dec. 26th, were given inTHE LANCET of Jan. 2nd, 1904.

VOLUMES AND CASES.

VOLUMES for the second half of the year 1903 are nowready. Bound in cloth, gilt lettered, price 18s., carriageextra.

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

by remittance. -

TO SUBSCRIBERS.

Will Subscribers please note that only those subscriptionswhich ale sent direct to the Proprietors of THE LANCETat their Offices, 423, Strand, W. C., are dealt with by them Subscliptions paid to London or to local newsagents (withnone of whom have the Proprietor any c’nnexton what-ever) do not reach THE LANCET Offices, and con-equentlyinquiries con eming missing copies, &c., should be sent tothe Agent to whom the suoscription is paid, and not toTHE LANCET Offices.

Subscribers, by sending their subscriptions direct toTHE LANCET Offices, will ensure regularity in the despatchof their Journals and an earlier delivery than the majorityof Agents are able to effect.The rates of subscriptions, post free, either from

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Subscriptions (which may commence at any time) are

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During the week marked copies of the following newspapershave been received Western News (Galway). Westmeath Irzde-

perzdent, Southampion Times, Aberdeen Free Press, Aberdeen FreePress (Wefkl,y). Westministein Gazatte Windsor and Etoza Express,South Wales Daiy News. Walsall Adveriser. Surey Advertiser,Reading Mercury, Minia journal L cal. Coveniment f’hromicLe,York8hire Herald, Daily News. Dnily Chronicle. Standard, LiverpoolPost, Westminster Hospital Gazette, &c.


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