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83 [FROM A CORRESPONDENT.] Scutari, Dec. 30th, 1854. As to the hospitals, we are in statzc quo; we are, perhaps, a little better off on the whole, but a head or heads are still badly wanted. Our supply of useful medicines we borrow from the Turks, while there are some we cannot get at all. Of medicines not used here there are immense quantities, such as jalap, scammony, &c., and they still continue to send out large quantities of them, and very little of the opposite kind, such as opium. Notwithstanding the Duke of Newcastle’s statement, that there is one medical officer to every seventy- seven men of the army, many, very many assistant-surgeons have upwards of 100 sick and wounded under their charge, and but for the nurses we could not get on. This is not fair to sick and wounded-not fair to the Medical Department, the country, or the poor over-worked wight who, having, as in most instances here, just passed his examination, finds himself cast headlong into a vortex of disease, without help or advice of any kind, and with a want of those comforts, medicines, and appliances for his patients which he has just been taught are of vital importance. I pity these young fellows exceed- ingly ; they work like negroes, and are treated as such by the staff-surgeons over them, some of whom, perfectly ignorant and useless themselves, think to make up a show of business by insulting those below, and fawning on their equals and the late arrivals from England. We all get little air enough here, and are continually con- fined to a close atmosphere in the performance of Qur duties, in consequence of which some of us are now suffering from fever. One would imagine our rulers would endeavour to let us have as much fresh air as possible, duty being done. Quite the con- trary ; they are so puzzled, so frightened, and have so little reliance on their own measures, that an order was given the other day by Dr. C- that no medical officer was to leave the hospital while sick were being landed. A little arrange- ment for sick beforehand, with a simple order for broth and wine, and half-a-dozen assistant-surgeons to see the orders carried out, would allow some twenty-five surgeons, living on putrid air, to dilute it occasionally on a fine day, particularly as sick are landed on fine days only, and on the other days the weather confines one to the house. Medical News. ROYAL COLLEGE OF SURGEOnS.—NEW FELLOWS.—At a meeting of the Council on the llth inst., the following mem- bers were admitted to the fellowship of the Royal College of Surgeons of England :- BROADBENT, EDWARD FARB, Lincoln, diploma of member- ship dated 22nd July, 1836. CROZIER, ALEXANDER WILLIAM, Bengal Army, 24th May, 1839. OBRE, HENRY, Melcombe-place, Dorset-square, 3rd August, 1838. SLEMAN, RICHARD, Tavistock, 23rd May, 1832. At the same meeting, Mr. JOHN KIRKWOOD, of Hamilton- place, King’s-cross, a Licentiate of the Faculty of Physicians and Surgeons af Glasgow, was admitted an ad-eundem member of the College. THE HUNTERIAN ORATION.—The ensuing oration will be delivered by Mr. Hodgson on Wednesday the 14th proximo. EAST INDIA MEDICAL SERVICE.—As much misappre- hension exists respecting the salaries of surgeons in the East India Company’s Service, the following is extracted from the Regulations respecting these officers:—" The assistant-surgeon will receive no pay until his arrival in India; in fact, it is only then that he receives his appointment. He must pay his own expenses out, which will cost him £90. During the first six months after his arrival, he is attached to the Presidency garrison hospital, where he has an opportunity of providing him- self with regimental and canteen equipments, surgical instru- ments, &c. His pay and rank are then equal to that of a lieu- tenant. Pay per month, thirty days: Assistant to cavalry in garrison, £28 4s. 2d. ; infantry in garrison, X18 13s. 4d., (the latter being S224 per annum.) The assistant-surgeon is re- quired to subscribe, as a condition to his appointment, to the ’,i Retiring Fund, and also to the Orphan Society, if appointed to Bengal.’’ GERMAN SURGEONS IN THE CRIMEA. -The position which Germany will, in all probability, hold in the spring, in the war in the Crimea, has been rendered remarkable by a prohibition issued against Prussian surgeons joining France or England: the Prussian surgeon is to take an oath of fidelity to the Czar; but is, on the day of the expiration of this contract, absolved from his oath. One hundred German surgeons, it is said, have sent in applications; and will be employed chiefly in the Crimea. A notice of four weeks dissolves the contract. The salary is fixed at Warsaw; and first-class carriage travel- ling expenses allowed to all candidates to that city. The surgeon is, at least, treated as a gentleman—a hint which might be useful in our own Admiralty at home, and amongst our Poor-law authorities. MILITIA SURGEONs.—It is stated that many of the Irish Militia, Regiments are likely to be left as destitute of medical care as the army at the seat of war. Several corps have been unable to procure assistant-surgeons, and it is said that the surgeons of others will resign as soon as the regiments are fairly embodied. The cause of this strange state of affairs is attributed to an old source of public mischief-viz. , misplaced economy in small matters; while prodigality in great, is but too frequently regarded with indifference, if not worse. AMPUTATIONS AT INKERMANN.—"All that afternoon of Inkermann," says a writer in Blackzvood, "wagons and doctors were bringing in wounded Russians. Passing the hospital tent of our First Division, I saw a neat boot sticking out of the doorway, the wearer’s leg being supported by an orderly. It was a young Russian officer, whose thigh-bone had been splintered by a ball, and was undergoing amputation at the hip-joint. He died in an hour. Outside lay five dead Russians; near them a heap of amputated legs and arms." THE CRYSTAL PALACE IN PARIS has a department allotted to medical and surgical discoveries. It is expected England will furnish various articles of importance-surgical instruments of various kinds, anaesthetic apparatuses from Dublin, Edinburgh, &c. It is stated that M. Leroy d’Etiolles, the celebrated improver of lithotritic instruments, is expected daily in London, whether in connexion with this undertaking or not we cannot determine. LEADEN BULLETS.—Surgeons must take care of Russian leaden bullets, says a letter from the seat of war; they will splinter and remain in the flesh. ’’ Two soldiers of the 77th were wounded by one ball; it struck the shoulder-blade of one, and half remained till extracted; the other half lodged in the neck of a second soldier. The bullet was of pure lead, whereas the Alini6 balls have an alloy of zinc and lead." COLLEGE OF SURGEONS’ LIBRARY.—It has been strongly recommended amongst hospital surgeons that the library of the College be left open in the evenings till eight o’clock. It is suggested also that the Medico-Chirurgical and other Medical Societies meet from four till six, as in Paris, as this would ensure a larger attendance-after dinner for some, before dinner for others. At present the Societies’ meetings are spoken of as being so late they are never thought of, and infringing on that part of the day usually devoted to study. THE SCIENCE’OF OBSTETRICS AMONGST THE BURMESE. - The word in the Burmese language signifying to " be con- fined," translated literally signifies " to be roasted:" and no word could have been chosen to convey a clearer idea of the proceedings on these occasions. At the expiration of the seventh month of pregnancy, one hundred large sticks or logs are purchased in anticipation of the event; and directly the woman is seized with labour-pains, a large fire is lighted on a small moveable platform, and placed close to her left side. The heat given out by this pile of blazing wood is intense; and the room is not rendered cooler, or the atmosphere more agreeable, by every window being religiously closed, and by being crowded with all the woman’s relatives and friends, male and female. If the patient’s family be suffi- ciently rich, the attendance of a Bhoodist Brahmin is secured, who places himself at the woman’s head, and remains during the whole labour, in order to ward off the approach of evil spirits. An old woman generally acts as accoucheur. If every. thing goes on right, no one interferes; but if the labour exceeds an ordinary period, a few of the most powerful male relatives are called upon to make violent pressure on the abdomen from above downwards, with the view " of pushing the child out." Every Burmese woman swears by the efficacy of this measure. During the whole process the woman is placed on the back, and is not allowed to turn on either side. The umbilical
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Page 1: Medical News

83

[FROM A CORRESPONDENT.]Scutari, Dec. 30th, 1854.

As to the hospitals, we are in statzc quo; we are, perhaps, alittle better off on the whole, but a head or heads are stillbadly wanted. Our supply of useful medicines we borrowfrom the Turks, while there are some we cannot get at all. Ofmedicines not used here there are immense quantities, such asjalap, scammony, &c., and they still continue to send out

large quantities of them, and very little of the opposite kind,such as opium. Notwithstanding the Duke of Newcastle’sstatement, that there is one medical officer to every seventy-seven men of the army, many, very many assistant-surgeonshave upwards of 100 sick and wounded under their charge,and but for the nurses we could not get on. This is not fairto sick and wounded-not fair to the Medical Department, thecountry, or the poor over-worked wight who, having, as inmost instances here, just passed his examination, finds himselfcast headlong into a vortex of disease, without help or adviceof any kind, and with a want of those comforts, medicines,and appliances for his patients which he has just been taughtare of vital importance. I pity these young fellows exceed-ingly ; they work like negroes, and are treated as such by thestaff-surgeons over them, some of whom, perfectly ignorantand useless themselves, think to make up a show of businessby insulting those below, and fawning on their equals andthe late arrivals from England.We all get little air enough here, and are continually con-

fined to a close atmosphere in the performance of Qur duties, inconsequence of which some of us are now suffering from fever.One would imagine our rulers would endeavour to let us haveas much fresh air as possible, duty being done. Quite the con-trary ; they are so puzzled, so frightened, and have so littlereliance on their own measures, that an order was given theother day by Dr. C- that no medical officer was to leavethe hospital while sick were being landed. A little arrange-ment for sick beforehand, with a simple order for broth andwine, and half-a-dozen assistant-surgeons to see the orderscarried out, would allow some twenty-five surgeons, living onputrid air, to dilute it occasionally on a fine day, particularlyas sick are landed on fine days only, and on the other days theweather confines one to the house.

Medical News.ROYAL COLLEGE OF SURGEOnS.—NEW FELLOWS.—At

a meeting of the Council on the llth inst., the following mem-bers were admitted to the fellowship of the Royal College ofSurgeons of England :-BROADBENT, EDWARD FARB, Lincoln, diploma of member-

ship dated 22nd July, 1836.CROZIER, ALEXANDER WILLIAM, Bengal Army, 24th May,

1839.OBRE, HENRY, Melcombe-place, Dorset-square, 3rd August,

1838. ’

SLEMAN, RICHARD, Tavistock, 23rd May, 1832.At the same meeting, Mr. JOHN KIRKWOOD, of Hamilton-

place, King’s-cross, a Licentiate of the Faculty of Physiciansand Surgeons af Glasgow, was admitted an ad-eundem memberof the College.THE HUNTERIAN ORATION.—The ensuing oration will

be delivered by Mr. Hodgson on Wednesday the 14th proximo.EAST INDIA MEDICAL SERVICE.—As much misappre-

hension exists respecting the salaries of surgeons in the EastIndia Company’s Service, the following is extracted from theRegulations respecting these officers:—" The assistant-surgeonwill receive no pay until his arrival in India; in fact, it is onlythen that he receives his appointment. He must pay his own

expenses out, which will cost him £90. During the first sixmonths after his arrival, he is attached to the Presidencygarrison hospital, where he has an opportunity of providing him-self with regimental and canteen equipments, surgical instru-ments, &c. His pay and rank are then equal to that of a lieu-tenant. Pay per month, thirty days: Assistant to cavalry ingarrison, £28 4s. 2d. ; infantry in garrison, X18 13s. 4d., (thelatter being S224 per annum.) The assistant-surgeon is re-quired to subscribe, as a condition to his appointment, to the ’,iRetiring Fund, and also to the Orphan Society, if appointed toBengal.’’

GERMAN SURGEONS IN THE CRIMEA. -The positionwhich Germany will, in all probability, hold in the spring, inthe war in the Crimea, has been rendered remarkable by aprohibition issued against Prussian surgeons joining France orEngland: the Prussian surgeon is to take an oath of fidelity tothe Czar; but is, on the day of the expiration of this contract,absolved from his oath. One hundred German surgeons, itis said, have sent in applications; and will be employed chieflyin the Crimea. A notice of four weeks dissolves the contract.The salary is fixed at Warsaw; and first-class carriage travel-ling expenses allowed to all candidates to that city. Thesurgeon is, at least, treated as a gentleman—a hint whichmight be useful in our own Admiralty at home, and amongstour Poor-law authorities.

MILITIA SURGEONs.—It is stated that many of theIrish Militia, Regiments are likely to be left as destitute ofmedical care as the army at the seat of war. Several corpshave been unable to procure assistant-surgeons, and it is saidthat the surgeons of others will resign as soon as the regimentsare fairly embodied. The cause of this strange state of affairsis attributed to an old source of public mischief-viz. , misplacedeconomy in small matters; while prodigality in great, is buttoo frequently regarded with indifference, if not worse.AMPUTATIONS AT INKERMANN.—"All that afternoon

of Inkermann," says a writer in Blackzvood, "wagons anddoctors were bringing in wounded Russians. Passing thehospital tent of our First Division, I saw a neat boot stickingout of the doorway, the wearer’s leg being supported by anorderly. It was a young Russian officer, whose thigh-bonehad been splintered by a ball, and was undergoing amputationat the hip-joint. He died in an hour. Outside lay five deadRussians; near them a heap of amputated legs and arms."THE CRYSTAL PALACE IN PARIS has a department

allotted to medical and surgical discoveries. It is expectedEngland will furnish various articles of importance-surgicalinstruments of various kinds, anaesthetic apparatuses fromDublin, Edinburgh, &c. It is stated that M. Leroy d’Etiolles,the celebrated improver of lithotritic instruments, is expecteddaily in London, whether in connexion with this undertakingor not we cannot determine.

LEADEN BULLETS.—Surgeons must take care of Russianleaden bullets, says a letter from the seat of war; they willsplinter and remain in the flesh. ’’ Two soldiers of the 77thwere wounded by one ball; it struck the shoulder-blade ofone, and half remained till extracted; the other half lodgedin the neck of a second soldier. The bullet was of pure lead,whereas the Alini6 balls have an alloy of zinc and lead."COLLEGE OF SURGEONS’ LIBRARY.—It has been strongly

recommended amongst hospital surgeons that the library ofthe College be left open in the evenings till eight o’clock. Itis suggested also that the Medico-Chirurgical and other MedicalSocieties meet from four till six, as in Paris, as this would ensurea larger attendance-after dinner for some, before dinner forothers. At present the Societies’ meetings are spoken of asbeing so late they are never thought of, and infringing on thatpart of the day usually devoted to study.THE SCIENCE’OF OBSTETRICS AMONGST THE BURMESE.

- The word in the Burmese language signifying to " be con-fined," translated literally signifies " to be roasted:" and noword could have been chosen to convey a clearer idea of the

proceedings on these occasions. At the expiration of theseventh month of pregnancy, one hundred large sticks or logsare purchased in anticipation of the event; and directly thewoman is seized with labour-pains, a large fire is lighted ona small moveable platform, and placed close to her left side.The heat given out by this pile of blazing wood is intense;and the room is not rendered cooler, or the atmospheremore agreeable, by every window being religiously closed,and by being crowded with all the woman’s relatives andfriends, male and female. If the patient’s family be suffi-ciently rich, the attendance of a Bhoodist Brahmin is secured,who places himself at the woman’s head, and remains duringthe whole labour, in order to ward off the approach of evilspirits. An old woman generally acts as accoucheur. If every.thing goes on right, no one interferes; but if the labour exceedsan ordinary period, a few of the most powerful male relativesare called upon to make violent pressure on the abdomen fromabove downwards, with the view " of pushing the child out."Every Burmese woman swears by the efficacy of this measure.During the whole process the woman is placed on the back,and is not allowed to turn on either side. The umbilical

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cord is tied, a I’A 7iglais, and divided by a see-saw motion witha pair of bamboos split up the middle, forming a most rudepair of scissors. This being accomplished, the fire is increased,and for seven days is kept up with unabated vigour. Uterinehaemorrhage is a very rare occurrence, and puerperal fever isunknown. During Mr. Waring’s residence at Mergui onlytwo deaths in childbirth were registered, and one of thesewas from rupture of the womb, induced probably by theviolent pressure which had been applied to the abdomen inorder to hasten the labour. I

OBITUARY.—On the llth instant, at Durham, JOHNRALPH FENWiCK, M.D., aged ninety-three.HEALTH OF LONDON DURING THE WBEX ENDING

SATURDAY, JANUARY 13TH.-The population of London nowsuffers, as appears from the last returns, a high rate of mor-tality. Last week the deaths of 1466 persons (743 males and723 females) were registered,-showing an increase on the pre-vious week, in which the number was 1404. In the ten corre-

sponding weeks of the years 1845-54 the average number was1203, with which, after it is raised by a tenth part as an allow-ance for increase of population, the present return may becompared. The deaths of last week are 143 in excess of thecorrected average. Out of 300 deaths from zymotic diseases,19 are referred to small-pox, 25 to measles, 63 to scarlatina,and 65 to hooping-cough. Influenza is on the increase, and 18persons died of it in the week. Bronchitis is also fatal, andnumbers 178 cases, which are thus distributed over differentperiods of life: 35 occurred under 20 years, 21 in the period20-40, 31 in 40-60 years, 78 in the next 20 years, and 13 at80 years of age and upwards. Pneumonia carried off 139 per-sons, 91 of whom were less than 20 years old; while consump-tion carried off 150, of whom nearly half were 20 years of ageand under 40.

Last week the births of 881 boys, and 825 girls, in all 1706children) were registered in London. In the ten correspondingweeks of the years 1845-54 the average number was 1446.At the Royal Observatory, Greenwich, the mean height of

the barometer in the week was 30 ’362 in. The mean dailyreading was above 30 in. on every day of the week, and onFriday it rose to 30’459 in. By 9 h. P.M. on the same day thereading had increased to 30 ’48 in.

TO CORRESPONDENTS.

M1’. m. -Desmer.—It was clearly desirable that the medical gentJeman whofirst saw the body should have been called in. In the absence of a full

report of the evidence adduced at the inquest, we can offer no opinion re-specting the verdict. Mr. Deamer acted perfectly right in not attendingthe inquiry without a proper summons. Any " uncalled-for remarks," there-fore, upon the part of the coroner, as to Mr. Deamer’s absence, must be re-gretted.

A. F. C., (Borough.)—We do not give advice in this place. Consult some

respectable surgeon..W. A. Y. Z.-Not in medical cases.

3f..D.—Try chloroform. A dislocation of the head of the humerus, of sevenweeks’ standing, was reduced this month at Guy’s Hospital almost imme-diately under the effect of this agent.

Ohirurgicu8, (Bristol.)-Yes.A. B.-Petitions to Parliament have already been presented from several

places for a revision of the Act. At present it is all but a useless statute.

X. Z.-We believe Rokitansky’s work, now being translated for the SydeiihamSociety, the best on the subject. This work would be doubly valuable iffurnished by the translator with an index.

C)K’<e.&mdash;The report shall appear.- M’.-B.&mdash;We believe in the last voting as to "New" and "Old" Aberdeen, thenumbers were exactly equal; so the question is now that a hair may turnthe balance, and depends on the Government in London.

ZoHM:eMSM.&mdash;The majority was upwards of 6 to 1.

A PRESCRIPTION ]? 0 B C H 0 L E E A.

To the Editor of THE LANCET.SiR,-As medical men are completely nonplussed as to what particular

course of treatment to follow in persons attacked with cholera either at homeor abroad, and so many of our brave soldiers have fallen victims to this fear-ful pestilence in the East, would you be good enough to insert the followingprescription in your valuable journal, as I myself have found it of greatbenefit, and attended with success, in the Military Hospital under my charge,the patients being Malay soldiers of my regiment, and as the idea suggestsitself to me to give publicity to any treatment that may be of service, espe-cially when I consider that natives of the East who suffer from cholera areprostrated almost immediately at the commencement of the attack, and aremuch more difficult to rally when in a state of collapse :-

Cholera -31-rixture.-Dry ginger, half a pound; cinnamon, half a pound;cloves, a quarter of a pound; cardamoms, one pound-well powdered. Pouron this four or five quarts of boiling water, or let it be boiled for a shorttime; then strain it. To the bottle half full of this infusion, add powderedpepper, a wineglassful; powdered chillies, the same quantity; fill the bottlewith good arrack or brandy; shake it well two or three times a day. It is soonfit for use. ’

_Dtree<M)ns.&mdash;For an adult, half a wine glassful of the mixture, with a littlehot water; if it is rejected by the stomach, repeat in about ten minutes. Twoor three doses, if retained, are generally found to be enough. Gradual internalwarmth and a tendency to sleep are favourable symptoms. No cold watermust be given; a little hot spiced brandy-and-water may be given to relievethirst. A dose of castor oil next morning.

Yours faithfully,J. DIcGxIGOx CROFT, M.R.C.S. Edin.,

Kandy, Ceylon, Dec. 1854. Assistant-Surgeon Ceylon Rifle Regiment.P.S.-This remedy has been tried by others with success also.

An Intending Candidate.-It is probable that another examination will shortlytake place.

Studens.-Application should be made to Dr. Andrew Smith, Medical Directorof the Army.

.Df. W.-The papers will be found in THE LANCET of 1834-35.Lens.-Read the Report of the Committee of the Society of Arts, just issued byMr. Simon and Dr. Chambers. It enters very fully into the subject of theinfluence of different trades on the eyes and vision generally.

A Young Surgeon in General Practice has forgotten to authenticate his note.

THB LIERRY OF THE ROYAL MEDICO-CniBUBSICAL SOCIETY.

To the Editor qf THE LANCET.

SiR,-You formerly advocated the library of the Royal Medico-ChirurgicalSociety being opened in the evening for a couple of hours. This could now bereadily accomplished, in arranging with the successor of the present much-respected sub-librarian, who is retiring in consequence of ill health.

Your obedient servant,January, 1855. A FELLOW.

M<*. Skey’s Clinical Lecture has been received.jVcm-Metca!.&mdash;Inquiries shall be instituted relative to the matter.A Young Surgeon.-The appointment is worth &pound; 400 per annum.7 T.-The fee might be recovered in the County Court.Mr. Thornton.-It is against our rule. Consult a respectable practitioner in

the town.Mr. C. Droued shall be communicated with. The exchange shall be made.A Counfry Surgeon.-Inquests are invariably held in such cases. Medical

evidence, however, is not invariably necessary.Amylum.&mdash;It is said at Leeds that Mr. Teale and other surgeons use scarcelyany splints at all in fractures of the lower extremities. Again, Mr. Gamgeerecommends starch. We believe the tendency is towards a simplification ofsuch means. We cannot agree with the plan specified.

G. W.-Apply to a respectable surgeon. We cannot answer such questions byletter.

COMMUNICATIONS, L-OTTEr.5, &c., have been received from - Sir GeorgeBallingall; Mr. Syme; Mr. J. McGrigor Croft, (Kandy, Ceylon;) Mr. J.Hawkes, (Bolton Infirmary;) A Young Surgeon in General Practice; Mr.W. Knight, (with enclosure;) Mr. Arthur T. May, (with enclosure;) Delta,(with enclosure;) A Third Year’s Student at Guy’s; A. F. C., (Borough;)Mr. 0. H. Heazlewood; Mr. H. Hanks; One who takes THE LANCET inweekly; Dr.. T. G. C.; Mr. G. Hewitt; Dr. Nottingham, (Liverpool;)Studiosus; Cymre; Mr. J. Hickman, (Shrewsbury, with enclosure;) Mr. F.Hall; Mr. A. Lithgow, (Weymouth, with enclosure;) Mr. R. Sloper; Dr.Whatmough, (Gisburn, with enclosure;) Mr. T. Baneks; Mr. R. Kelty,(Newick, with enclosure;) Mr. T. Radford, (Aspall, with enclosure;) ;) Mr. J.Hardwicke; Mr. G. White, (Didmarton, with enclosure;) Mr. H. Wilkinson,(Rotherham, with enclosure;) Mr. R. Inman; Dr. Nuttall, (Chester, withenclosure ;) Mr. J. Caskie, (Largs, with enclosure;) Mr. William Deamer;W.A.Y.Z., G. W. ; Kin Road, Chelsea ; Chirurgicus, (Bristol;) W. T.;Mr. Thornton; Mr. C. Droned ; A Fellow ; Mr. Skey ; Non-Medical; A YoungSurgeon; Mr. Geo. H. L. Rickards, (Armley, near Leeds;) An IntendingCandidate; Studens; Dr.IV.; Clinique ; A. B.; Londinensis; X. Z.; M.D.;Amylum; M.B.; Lens; &e. &c.


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