404

A QUESTION OF PROFESSIONAL PROCEDURE. !

To the Editors of THE LANCET.SIRs,-On Jan. 20th a motor omnibus belonging to the London

General Omnibus Company plunged into the river at Barnes. Therewere only two passengers, both of whom came to me the next morningand I examined their injuries and wrote certificates for them to sendto the omnibus company. To-day, Feb 5th, the medical adviser of theLondon General Omnibus Company called on one of my patients andexamined him. No communication of any kind has been made to meeither by the medical officer or the omnibus company. I have alwaysunderstood that in such a case it was incumbent on the defendant’smedical adviser to ask the permission of the practitioner in attendancebefore seeing or examining patients.

I am, Sirs, yours faithfully,Vincent-square, s.w., Feb. otn, 1907. .LAUNCELOT ARCHER.

*** Our correspondent should have been advised of the intendedvisit.-ED. L.

Stovain.-In the " Extra Pharmacopoeia, of Martindale and Westcott (twelfth edition, 1906, p. 287) it is stated that " solutions to 1 per Icent., rendered sterile by boiling, are used and are said to be equal tococaine solutions double the strength. Intraspinal anaesthesia is pro-duced by from 0 02 to 0’1 gramme." For further particulars see thefollowing works :-1. Formulaire des Medicaments Nouveaux,Boequillon-Limousin, seventeenth edition, 1905; eighteenth edition,1906; Paris. 2. Pharmaceutical Journal, vol. ii., 1904, p. 86. Manydetails of its use are given in THE LANCET of Jan 27th, 1906, p. 227,by Mr. G. L. Chiene of Edinburgh. Other paragraphs and biblio-graphical references will be found in THE LANCET of Feb. 17th,p. 482; Oct. 20th, p. 1102; Oct. 27th, p. 1161; and Dec. 29th. p. 1802(Annus Medicus). A death after the intraspinal injection of 0’06

gramme for the performance of an operation for fractured patellais recorded in THK LANCET of Jan. bth, 1907, p. 45.

J2. H.-We do not think that instruction of any practical value couldbe given by correspondence.

M.B., L.R.C.S. Edin., is thanked for his letter and inclosure.

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

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (llth).-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-sqnare(2 P.M.), City Orthopaedic (4 P.M.), Gt. Northern Central (2.30 P.M.),West London (2.30 P.M.), London Throat (9.30 A.M.), Royal Free(2 P.M.), Guy’s (1.30 P.M.), Children, Gt. Ormond-street (3 P.M.),St. Mark’s (2.30 P.M.).

TUESDAY (12th).-London (2 P.M.), St. Bartholomew’s (1.30 r.ac.), St.Thomas’s (3.30 P.M.), Guy’s (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.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.). Soho-square (2 P.M.), Chelsea (2 P.M.), CentralLondon Throat and Ear (2 P.M.). Children. Gt. Ormond-street

(2 P.M., Ophthalmic, 2.15 P.M.), Tottenham (2.30 P.M.).WEDNESDAY (13th).-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. Northern Central (2.30 P.M.), West-minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (9.30 A.M.),Cancer (2 P.M.), Throat, Golden-square (9.30 A.M.). Guy’s (1.30 P.M.),Royal Ear (2 P.M.), Royal Orthopaedic (3 P.M.), Children. GtOrmond-street (9.30 A.M., Dental, 2 P.M.), Tottenham (Ophthalmic,2 30 P.M.).

THURSDAY (14th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’(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 (Gynaecological, 2.30 P.M.),Metropolitan (2.30 P.M.), London Throat (9.30 A.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Gu37’s(1.30 P.M.). Royal Orthopaedic (9 A.M.), Royal Bar (2 P.M.), Children,Gt. Ormond-street (2.30 P.M.), Tottenham (Gynaecologieal, 2.30 P.M.).

FRIDAY (15th).-London (2 P.M.). St. Bartholomew’s 1.30 f.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.), King’s College (2 P.M.), St. Mary’a(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 (9.30 A.M. and 2.30 P.M.), Throat,Golden-square (9.30 A.M.), City Orthopaedic (2.30 P.M.), Soho-square(2 P.M.), Central London Throat and Ear (2 P.M.), Children, Gt.Ormond-street (9 A.M., Aural, 2 P.M.), Tottenham (2.30 P.M ).

BATURDAY (16th).-Royal Free (9 A.M.), London (2 P.M.), Middlesex(1.30 P.M.), St. Thomas’s (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.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.), Children, Gt.Ormond-street (9.30 A.M.).

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

SOCIETIES.i a ym..a.

MONDAY (ilth).-MEDICAL SOCIETY OF LONDON (11, Chandos-street,Cavendish-square, W.).-8.30 P.M: Clinical Evening. Cases willbe exhibited by Dr. 0. K. Williams on. Dr. T. D. Savill, Dr. J.Collier, Dr. C. Wall, Dr. G Little, Dr. L. Guthrie, Dr. F. J.J’jynton. Dr. P. Weber, Mr. L. B. Rawling, Mr. A. E. Barker, andMr. C. A. R. Nitch. Patients will be in attendance at 8 P.M.

TUESDAY (12th).-ROYAL MEDICAL AND UHIRURGICAL SOCIETY (22hHanover-square, W.).-8.30 P.M. : Papers: -Mr. J. D. Malcolm: Onthe Condition of the Blood-vessels during Shock -Mr. E. M.Corner: Fractures of the Odontoid Process of the Axis. Epidia-scope demonstration.

PHARMACEUTICAL SOCIETY OF GREAT BRITAIN (17, Bloomsbury-square, W.C.).-8 P.M. : The Curator will show the "Anti-opiumPlant" (Combretum Sundaicum Miq.) and Recent Additions to theMuseum will be exhibited. Papers :-Mr. E. H. Farr and Mr. R.Wright: Note on the Official Process for the Determination ofMorphine in Opium and Tincture of Opium.-Mr. T. Tickle: TheEstimation of Morphine. a Method of Extraction.

MEDICO-LEGAL SOCIETY (22, Albemarle-street, W.).-8 30 P.M.: Exhibi-tion of Medico-Legal Specimens. Discussion on Suicide and Sanity(opened by Dr. C. Shaw).

WEDNESDAY (13th).-HUNTERIAN SOCIETY (London InstitutionFinsbury-circus, E.C.).-8.30 P.M. : Paper:-Dr. Langdon BrownAcetonuria, its Clinical Significance and Treatment.

DERMATOLOGICAL SOCIETY OF LONDON (11, Chandos-street, Cavendish-square, W.).-5.15 P.M. : Meeting.

UNIVERSITY COLLEGE (LONDON) MEDICAL SOCIETY (Medical Library,University College, Gower-street, W.C.) -8.30 P.M.: Paper:-Dr.H. Head : The Grouping of Sensory Impulses.

THURSDAY (14th).-HARVEIAN SOCIETY OF LONDON (Stafford Rooms,Titchborne-street, Edgware-road, W.).-8 30 P.M.: Papers:-Mr. R.Johnson: A Case of Fatal Extravasation of Urine from the Ureterfrom Ulceration of a Minute Calculus.-Dr. T. B. Hyslop: Psycho-rhythm and Recurrent Psychoses.

OPHTHALMOLOGICAL SOCIETY OF THE UNITED KINGDOM (11, Chandos-street, Cavendish-square, W.).-8 P.M.: Clinical Meeting. Mr. L.Cooper: Paralysis of the Vertical Movements of the Eyeball.-Mr.A. S. Morton: Case of Sclerosis of the Eyeball.-Mr. M. L. Hepburn:A Case of Polyehoria associated with Chronic Glaucoma.-Mr. W.Tay : A Case of Tuberculosis Diagnosed from the OphthalmoscopicAppearance of the Fundus.

BRITISH GYNECOLOGICAL SOCIETY (20, Hanover-square, W.).-8 P.M.:Introductory Address: The President (Mr. W. D. Spanton).Paper :-Dr. J. Oliver : A Study of Suppuration of the Ovary, withillustrative cases.

FRIDAY (15th).-SOCIETY FOR THE STUDY OF DISEASE IN CHILDREN(11, Chandos-street, Cavendish-square, W.).-5 P.M.: ClinicalEvening for the Exhibition of Cases followed by Discussion.Patients in attendance from 4.30 P.M.

EPIDEMIOLOGICAL SOCIETY (11, Chandos-street, Cavendish-square,W.).-8.30 P.M. : Paper:-Colonel D. Bruce, C.B.: Recent Researchesinto the Epidemiology of Malta Fever.

LECTURES, ADDRESSES, DEMONSTRATIONS, &0.MONDAY (llth).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIO

(22, Chenies-street, W.C.).-4 P.M.: Dr. J. M. H. MacLeod: Clinique.(Skin) 5.15 P.M.: Lecture :—Dr. J. E. Squire : Opsonins in Relationto the Specific Treatment of Tuberculosis.

POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-12 noon : Pathological Demonstration :—Dr. G. C. Low.2 P.M.: Medical and Surgical Clinics. 2.30 P.M.: Operations. X Rays.Mr. Dunn: Diseases of the Eye. 5 P.M : Clinical Lecture :-Dr.Russell.

NORTH-EAST LONDON POST-GRADUATE COLLEGE (Tottenham Hos-pital, N.).-9.30 A.M.: Clinique:-Surgical Out-patient (Mr. H.Evans). 2.30 P.M : Cliniques: Medical Out-patient (Dr. Whipham),Throat, Nose, and Ear (Mr. Carson) ; X Ray Demonstration (Dr.Pirie).

LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich).-2.30 P.M.: Operations. 2.30 P.M.: Sir D. Duckworth:Medicine. 3.15 P.M. : Mr. W. Turner: Surgery. 4 P.M.: Dr. StClairThomson: Diseases of the Throat, Nose, and Ear. Out-patientDemonstrations :-10 A.M.: Surgical and Medical. 12 noon: Earand Throat.

TUESDAY 12th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIO(22, Chenies-street, W.C.).-4 P.M. : Dr. W. Ewart: Clinique.(Medical.) 5.15 P.M.: Lecture:-Dr. Robert Jones: The Relation ofEpilepsy to Insanity.

POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-10 A.M.: Dr. Moullin: Gynaecological Operations. 2 P.M.:Medical and Surgical Clinics. Dr. Ball: Diseases of the Throat,Nose, and Ear. 2.30 P.M.: Operations. X Rays Dr. Abraham:Diseases of the Skin. 5 P.M.: Lecture :-Dr. Low: BilharzialDisease.

NORTH-EAST LONDON POST-GRADUATE COLLEGE (Tottenham Hos-pital, N.).-10 30 A.M.: Clinique :-Medical Out-patient (Dr. Auld).2,30 P.M Surgical Operations (Mr. Carson); Cliniques: Gynaecolo-gical Out-patient (Dr. Giles), Surgical Out-patient (Mr. Edmunds).4.30 P.M.: Lecture-Demonstration :-Mr. A. de Prenderville : TheAdmiuistration of Anaesthetics.

LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich).-2.30 P.M. : Operations. 2.30 P.M. : Dr. R. T. Hewlett:Medicine. 3.15 P.M.: Mr. Carless: Surgery. 4 P.M.: Mr. M. Morris:Diseases of the Skin. Out-patient Demonstrations :-10 A.M.:Surgical and Medical. 12 noon: Skin. 3.15 P.M.: Special Lecture :-Mr. M. Morris : Eczema.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Queen-square, Bloomsbury, W.C.).-3.30 P.M.: Clinical Lecture :-Dr.Ormerod: Hysteria.

CHARING CROSS HOSPITAL.-4 P.M.: Demonstration:-Mr. Wallis(Surgical). (Post-Graduate Course.)

405

WEDNESDAY (13th).—MEDICAL GRADUATES’ COLLEGE AND POLY-CLINIC (22, Chenies-street, W.C.).-4 P.M.: Mr. H. L. Barnard:Clinique. (Surgical.) 5.15 P.M.: Lecture :-Dr. G. H. Savage:Unsoundness of Mind not always Insanity.

POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-10 A.M : Dr. Ball: Diseases of the Throat, Nose, andEar. Dr. Saunders: Diseases of Children. 2 P.M.: Medical andSurgical Clinics. 2.30 P.M.: Operations. X Rays. Dr. Robinson:Diseases of Women. 5 P.M.: Dr. Beddard : Practical Medicine.

NORTH-EAST LONDON POST-GRADUATE COLLEGE (Tottenham Hos-. pital, N.).-2 30 P.M.: Cliniques:- Dermatological (Dr. Meachen),

Ophthalmological (Mr. Brooks), Medical Out-patient (Dr. Whip-ham).

LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich).-2.30 P.M.: Operations. 2.30 P.M.: Dr. R. Wells:Medicine. 3.30 P.M. : Mr. Cargill: Ophthalmology. Out-patientDemonstrations:-10 A.M.: Surgical and Medical. 11 A.M.: Eye.

CENTRAL LONDON THROAT AND EAR HOSPITAL (Gray’s Inn-road,W.C.).-5 P.M.: Demonstration:-Dr. J. Atkinson: External Ear.

UNIVERSITY COLLEGE HOSPITAL (Gower-street, W.C.).-3 P,M.:Clinical Lecture.-Dr. Blacker: Heart Disease ComplicatingPregnancy and Labour.

‘THURSDAY (14th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, Chenies-street, W.C.).-4 P.M. : Mr. Hutchinson: Clinique.(Surgical.) 5.15 P.M.: Lecture :-Mr. M. Morris : The Treatment ofSome Common Skin Affections.

.POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-2 P.M.: Medical and Surgical Clinics. 2.30 P.M.: Opera-tions. X Rays. Mr. Dunn: Diseases of the Eye. 5 P.M.:Lecture:—Mr. Keetley : Malunited Fractures and Unreduced Dis-locations of the Elbow.

’NOBTE-EAST LONDON POST-GRADUATE COLLEGE (Tottenham Hos-pital, N.).-230 P.M.: Gyn2ecological Operations (Dr. Giles).Cliniques:-Medical (Dr. Whiting), Surgical Out-patient (Mr.Carson). 3 P.M. : Clinique:-Medical Inpatient (Dr. Chappel).4.30 P.M. : Lecture: -Dr. Whiting: Acroparsesthesia (with cases).

LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich).-2.30 P.M. : Operations. 2.30 P.M. : Dr. G. Rankin:Medicine. 3.15 P.M. : Sir W. Bennett: Surgery. 4 P.M.: Dr. H.Cooper : Radiography. Out-patient Demonstrations :-10 A.M.:

Surgical and Medical. 12 noon : Ear and Throat..ST. JOHN’S HOSPITAL FOR DISEASES OF THE SKIN (Leicester-square,

W.C.).-6 P.M.: Chesterfield Lecture :-Dr. M. Dockrell: The Rela-tion between Cicatrix, Keloid, Scleroderma, and the Treatment ofeach.

-CHARING CROSS HOSPITAL.-4 P.M. : Dr. Mercier: Demonstration(Mental). (Post-Graduate Course.)

,HOSPITAL FOR SICK CHILDREN (Gt. Ormond-street. W.C.).-4 P.M.:Lecture :-Mr. James : Some Points of Importance in the Treatmentof Dental Conditions in Children.

SOCIETY OF ARTS (John-street, Adelphi, W.C.) -4.3C P.M.: SirFrederic S. P. Lely, K.C.I.E., C.S.I.: The Practical Side of Famine

, in India.FRIDAY (15th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC

. (22, Chenies-street, W.C.).-4 P.M.: Mr. A. Lawson: Clinique.(Eye.)

POST-GRADUATE COLLEGE (West London Hospital, Hammersmith-road, W.).-10 A.M.: Dr. Moullin: Gynaecological Operations. 2 P.M.:Medical and Surgical Clinics. Dr. Ball: Diseases of the Throat,Nose, and Ear. 2.30 P.M.: Operations. X Rays. Dr. Abraham:Diseases of the Skin. 5 P.M. : Lecture :—Mr. R. Lloyd: Anaesthetics.

:NORTH-EAST LONDON POST-GRADUATE COLLEGE (Tottenham Hos-pital, N.).-9.30 A.M.: Clinique:-Surgical Out-patient (Mr. H.Evans). 2.30 P.M.: Surgical Operations (Mr. Edmunds). Cliniques:-Medical Out-patient (Dr. Auld), Ophthalmological (Mr. Brooks).3 P.M.: Clinique :-Medical In-patient (Dr. Leslie).

’ LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich).-2.30 P.M.: Operations. 2.30 P.M.: Dr. R. Bradford:Medicine. 3.15 P.M. : Mr. McGavin: Surgery. Out-patient Demon-strations:-10 A.M.: Surgical and Medical. 12 noon: Skin.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Queen-square, Bloomsbury, W.C.).-3.30 P.M.: Clinical Lecture :-Mr.Ballance: Surgery of the Nervous System.

SATURDAY (16th).-PosT-GRADUATE COLLEGE (West London Hos-pital, Hammersmith-road, W.).-10 A.M.: Dr. Ball: Diseases of theThroat, Nose, and Ear. 2 P.M.: Medical and Surgical Clinics.2.30 P.n2.: Operations. X Rays.

LONDON SCHOOL OF CLINICAL MEDICINE (Dreadnought Hospital,Greenwich.)-2.30 P.M.: Operations. Out-patient Demonstrations:-10 A.M.: Surgical and Medical. 11 A.M.: Eye.

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MANAGER’S NOTICES.’, THE INDEX TO THE LANCET.

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THE LANCET Office, Feb. 7th, 1907.

During the week marked copies of the following newspapershave been received-.-The Northern Scnt and Moray and NairnExpress, Western Morning News, York-shire Post, Standard, DailyChronicle, Morning Leader, Daily News, Daily Telegraph, ManchesterCity News, Derbyshire Courier, Westminster Gazette, WimbledonBoro’News, Oldham Chronicle, Farm and flonze, &c.