255

Births, Marriages, and Deaths.BIRTHS.

BREWER.-On the 7th inst., at Queen’s-road, Dalston, the wife of AlexanderHampton Brewer, Surgeon, of a son.

IMAGE.-On the 2nd inst., at Westgate-street, Bury St. Edmund’s, the wifeof F. E. Image, M.B., of a daughter.

JACKSON.-On the 16th of Dec. last, the wife of F. E. Jackson, M.B., Sur-geon to the Hospital, Wellesley, Penang, of a son.

OLPHERTS.-On the 1st inst., at Lurgan, the wife of J. Wybrants Olpherts,L.R.C.P.Ed., of a daughter.

SMITH.-On the 5th inst., at Euston-square, the wife of Wm. AbbottsSmith, M.D., of a son.

THOMAS.-On the 3rd inst., at Market-square, Selkirk, the wife of JamesThomas, M.D., of a son.

TURNER.-On the 2nd inst., the wife of E. W. Turner, M.R.C.S.E., of Ded-dington, Oxfordshire, of a daughter.

MARRIAGES.COTTON-STOKES.-On the* 6th inst., at St. Andrews, Totteridge, Thomas

Cotton, M.D., F.G.S., of Seven Sisters-road, London, to Matilda Brewer,eldest daughter of Thos. Newton Stokes, Esq., of the Priory, Tot-teridge, Herts.-No Cards.

HAVARD-ROWLANDS.-On the l0th inst., at Cardiff, David Havard,L.R.C.P., M.R.C.S., of Newport, Pembrokeshire, to Julia Anna, theeldest daughter of John Rowlands, Esq., of Penrhyn Villa, St. Andrew’s-erescent, Cardiff.

NORMAN-SMYTHE.-On the 4th inst., at St. Matthias, Richmond, Surrey,George Allen Norman, M.B., to Mary Emma Moyle, daughter of MajorFrederick Smythe.

POWEL-STEVENS.-On the 2nd inst., at Lyonshall Church, Kington, Here-ford, Evan Powel, L.R.C.P., of Senny-bridge, Brecon, to Alethea BartonStevens, of Lyonshall.-No Cards.

SCATLIFF-HARRIS.-On the 14th ult., at St. Saviour’s Church, Haverstoek-hill, J. M. Elborough Scatliff, M.B., C.M., M.R.C.S.E., of Brighton, tcEdith, only daughter of the late James Harris, Esq., Actuary andSecretary to the Sun Life Office.

DEATHS.CHATTAWAY.-On the 2nd inst., A. G. Chattaway, M.R.C.S.E., of Kingsland,

Herefordshire, aged 42.CUDDEFORD.-On the 2nd ult., at St. Helena, on board the Union Steam

ship Co.’s Steamer, " American," Thomas Cudderford, M.R.C.S.E., o:Plymouth.

CULLING.-On the 6th inst., at Lydford House, near Somerton, RoberCulling, M.R.C.S., L.S.A., aged 52. Deeply regretted by his widowfamily, and a large circle of friends.

HENDERSON.-On the 21st ult., C. D. Henderson, L.R.C.S.Ed., of SoutlShields, late Surgeon R N.

JOBSON.-On the 4th inat., John Jobson, M.D., of Brooksden, CranbrookKent, aged 85.

KENNEDY.-On the 7th inst., at Stratford Hall, Essex, Angus KennedyM.R.C.S.E., L.S.A.L., Surgeon to the South Essex Dispensary, and Certifying Surgeon, aged 70.

MACARTHY.-On the 31st of Dec. last, at East London, Cape of Good HopeJames Macarthy, JlLR.C.S.E.

WHITE.-On the 4th inst., F. B. White, M.R.C.P.L., of Tetbury, aged 82.

[N.B.-A fee of 5s. is charged for the insertion of Notices of Births,Marriages, and Deaths.]

Notes, Short Comments, and Answers to

Correspondents.THE SUNDERLAND INFIRMARY.

WE have no intention of going into questions touching the efficiency of theSunderland Infirmary, the mode of electing its staff, &c.-the public andthe profession of Sunderland are quite able to take care of themselves;-but if we had, one of the last sources of information which we shouldconsult is a pamphlet on the subject a copy of which has been sentto us by the author. The " disclosures" are full of such obvious animus,and written in such bad taste, as to deprive the tract at once of value andinterest.

Sff. Daniel Hooper.-We regret we cannot publish the letter in question.

COPPER-POISONING.THE human body is fast becoming a mineral cabinet in the hands of the

chemist. Iron, lead, and now copper are already to be found in its tissues.Of the first, 55 milligrammes occur in every 100 grammes of the blood;while the last has been shown by MM. Bergeron and 1’Hote, the physio-logical chemists, to be an integrant, not an accident, in the system. Thefact has a medico-legal importance. In a recent case of poisoning bythe salts of copper, MM. Bergeron and 1’Hote demonstrated that all thepoison had been absorbed and retained by the liver and kidneys. The

question occurred to them: Does the human body contain a certainamount of copper localised in these viscera ? On fourteen bodies, care-fully selected and certified as to origin and antecedents, an analysis wasmade in each instance on an organic mass of from 800 to 1000 grammes ofliver and kidney. The analyses were conducted in a special room devoidof every trace of copper ; balances, gas-fittings, stopcoeks, and bathgwere of iron, and every source of fallacy was guarded against. Copperwas precipitated as sulphate. It was found in the fourteen bodies; thequantity in the entire liver and kidneys amounting to from two and a halfto three milligrammes. The majority contained two milligrammes.MM. Bergeron and 1’Hote also found copper in six foetuses. There canbe little doubt that it found its way into the system by the ingesta. It

may be introduced in bread; and, in liqueurs like kirseh-wasser, it maybe derived from the alembics used in distillation; while daily contactwith substances, such as coins into which copper enters, will also impartit to the system. Henceforth, to establish a case of copper-poisoning, thecopper found in the kidneys and liver must be shown to exceed at leastfour milligrammes.

Barrow-in-Furness.-1. Dalby’s papers in THE LANCET.-2. West.-3. Taylor.

FATAL RESULT OF CHLOROFORM INHALATION.

To the Editor of THE LANCET.

SIR; The following report may prove’interesting to your readers.Alfred J. K-, aged nineteen, a bombardier, 14th Brigade, Royal

Artillery, underwent an operation on Saturday, Jan. 30th, for the removal ofthe third toe of left foot, which was so inconvenient to him in consequence ofanchylosis of the joint as to render marching very painful. The operationwas performed by Surgeon-Major Kilroy, in charge of his brigade, and I was

in attendance to administer the chloroform. The patient was a strong,healthy young man, with good chest measurement, and an examination ofthe heart previous to the operation proved that it was healthy. The manwas not at all nervous at the prospect of the operation. He was placed onhis bed opposite to a large window, and one drachm of chloroform was firstplaced on the fold of lint which was used to administer it, and subsequentlytwo more drachms, great care being taken that a free access of air shouldtake place under the lint. The vapour was steadily inhaled, and caused nounpleasant symptoms, no flushing of the face, struggling, or excitement;and just before getting under the influence of the chloroform he made someremark in a cheery voice, and then, relaxation of the muscles occurring, theoperation commenced. At the first incision the leg was violently drawn up,but on being straightened no further struggle occurred. A fourth drachmof chloroform was poured on the lint just before the operation commenced,but was only partially inhaled, as the patient became fully under the in-fluence of chloroform immediately after, and the lint was at once laid aside.At this moment both the pulse and respiration were good. Suddenly, justas the operation was complete, which I should say was in about :fourminutes, the pulse suddenly failed, and the face became pale and livid. Iimmediately gave the alarm to Dr. Kilroy, who ordered the window to bethrown up, water was dashed over the chest, and the pillows were removedfrom under the head. During this time respiration was still going on, for afew seconds stertorous, but subsequently sighing, and becoming graduallyfainter, until at last the strong liquor ammonias was applied to the nostrilsto excite respiratory action, and frictions to the extremities, with brandy,also kept up. Still no return of the pulse. Artificial respiration was thenresorted to, and kept up until two other medical officers, who had beensent for from another part of the hospital, arrived, by whom it was sug-gested that the method adopted by Nelaton, and lately reported on inthis country, should be adopted-viz., inversion of the body. This wasimmediately carried out, and kept up for over an hour. Galvanism was alsoresorted to at the same time. Respiration had quite ceased, and the manappeared to be quite dead before this; still some hope was entertained that

’ the success which attended in the cases referred to might also againhappen. But, to our deep regret, such was not the case; not the least

. flutter of the pulse or attempt at respiratory action was again observed, andwe were reluctantly compelled to desist from our efforts to restore life.

I remain, Sir, yours &c.,. C. E. SMITH, M.D.,. February, 1875. Surgeon-Major, Army Medical Department.

Medicus.-The coroner is too absolute in his remarks. But our correspond-ent, after suggesting that the symptoms might depend on poison, shouldhave acted with a little more caution. He should have put himself incommunication with the coroner or the police, or, to say the least, heshould have secured the presence of a second medical man at the post-mortem examination.

ASSURANCE AGAINST SICKNESS.. To the Editor of THR LANCET.

SIR,-Seeing the letter of "Provident" in your last impression, I beg toinform him he can insure £2 per week in sickness for twelve months, andhalf benefit during the remainder of illness, £ 40 at death, by joining theWesleyan Insurance Society, Moor-street, Birmingham. The accumulatedfund is £ 100,000; annual income £ 40,000; established 1841. The British

, Provident also insures in case of sickness; but, owing to its high rate ofpremium, I cannot recommend it. The Swansea Royal and South Wales

Union Friendly Society insure up to 168. per week in sickness ; its chie-office is at 41, Wind-street, Swansea. Yours truly,February 8th, 1875. W. D. M.

256

THE PATHOLOGICAL SOCIETY AND DR. HOGGAN. ACCOMMODATION AT THE FEVER HOSPITAL.Dr. Hoggan has forwarded to us a communication on the report of the MEDICAL men are often at a loss what to do in cases of fever in persons notmeeting of the Pathological Society in our last week’s issue, in which paupers, and yet not living in homes where they can be isolated or pro-report it is stated that the specimens which he showed " had been perly attended to. They should remember that such persons-as workingprepared by a new process which Dr. Hoggan refused to divulge." This men and their families, domestic servants, clerks, employ6s in commercialhe states is incorrect, since "no such announcement was made of the houses, &c.-may be accommodated, either gratuitously or on the paymentspecimens in question, neither by the President nor in the programme of of a moderate sum. The arrangements adopted for the present are asthat meeting as printed in the medical journals of the previous week." follows :-The fact is, however, that these specimens had been announced as to be " (1) Working men or their families are admitted at once withoutshown at the two meetings preceding the one in question; and in the payment and without letter of recommendation, on the production of aannouncement of the matters to be brought before the Society, published certificate from a medical man stating that they are suffering from con-...’ .. tagious fever, and are not in receipt of parish relief or otherwise properin all the journals on two separate occasions, were the specimens in cases for the Metropolitan Fever Asylums. (2) Domestic servants,question, which were stated to be "prepared by a new process." This, in employés in houses of business, and others similarly situated, who arefact, was the sole matter of interest in connexion with them. And from sent to the hospital for the convenience of employers, will be admittedhis remarks upon them, when shown, it was evident that these were the into the general wards on the recommendation of a governor or annualsai to be shown and the statement in subscriber of one gumea, or, as heretofore, on payment of two guineassaid specimens previously announced to be shown, and the statement in on admission. (3) For such patients as require isolation and betterour report-viz., that they "had been announced," &c.-was strictly accommodation than that offered by the general wards, eight largeaccurate. Dr. Hoggan is quite welcome to his quibble about the matter; rooms have been prepared and furnished with every requisite for com-but this does not in any way alter the aspect of the question to the fort, in which a single patient, or two children of the same family orSociety or the profession.

" ’ the aspect of the question to the from the same school, can be received. The payment for one of theseSociety or the profession, rooms, with the attendance of an experienced nurse, and the care of theM.D. may consult "Advice to a Mother" and "Counsel to a Mother on the resident medical officer and physicians, and including food and medi-

Care and Rearing of Children," by Pye H. Chavasse, F.R.C.S. cines, has been fixed at three guineas per week. If desired, cases ad-. by Pye - . mitted into the private wards may be attended by the family medical

G. 7r. R.-No, attendant."

FACILITIES FOR OBTAINING DEGREES IN MEDICINE. These arrangements seem to us so highly important to the public, and so

To the Editor of THE LANCET. truly charitable to the working classes, that we give the publicity of ourTo the Editor of THE LANCET. own columns to them. So much is done for the pauper class now-a-days

SIR,-As one who has written several letters to a contemporary on the that the straits of those not paupers are sometimes overlooked. Heresubject of medical titles, I would reply to "Justitia’s" letter published in they have been provided for, and we trust that the Fever Hospital willyour issue of Jan. 16th. I will take the last part of his letter first. If, as still be remembered by the generous as one of the most worthy and usefulone who strongly desires to obtain a degree in medicine from a British institutions in London.University, I may speak for all who do, I can truly say that the very last Insurance.-We do not think that a medical man should aecept the agencything we wish for is a degree without thorough examination. On the con-

of an Insurance Company. that a medi cal man should accept the agency

trary, we want an examination so truly a test as to convince all M.D.s of its of an Insurance Company.genuine character, and that, though at present we be only licensed to prac- Mr. David Foulis is thanked. It was received.tise, we are not one whit behind them in medical knowledge. It seems to meunimportant at what school or in what part of the United Kingdom a know- DISEASED nr. rrledge of medicine be obtained, so that it be sound. Many of us who desire DISEASED MEAT.the degree of M.D. have spent many years in the study of medicine. I have To the Editor of THE LANCET.myself spent seven years before I commenced practice, and I have certainly .-, ., was called in yesterdayspent seven years in its earnest study since, and I would ask, ought this for this was called in yesterday by the medical had of health appointedstudy, this perfecting of previously acquired knowledge, to go for nnthine- ? for this town to give an opinion on a cow which had been slaughtered mNow respecting the educational knowledge required for the M.D. Edin. the public slaughter-house, and intended for sale at the end of the week.The preliminary examination at any of the corporate bodies recognised by The lungs were found covered with almost innumerable tubercles somethe Medical Council is sufficient, providing it embrace all the required sub- of them larger than a common marble On slicing the lung I found tuberclesjects. If it do not, the candidate must pass at Edinburgh in those subjects in its parenchyma, softening and breaking up, and surrounded with purulentin which his knowledge had not previously been tested. This educational matter, forming a large number of abscesses, and others in a quiescent state.examination cannot be concidered but very slightly in This of that re- I agreed with the medical officer of health that the carcass should be con-quired for the College or considered but very slightly in advance of that re- demned on the ground-lst, that it was consumptive and a scrofulous cow;Many L.R.C.P.s have been deluded into assuming the title of " Dr.," which 2ndly, that blood-poisoning might have taken place from the absorption ofMany L.R.C.P.s have been deluded into assuming the title of "Dr.," which purulent matter, and would have tendency to render the meat injurious tonow they would only too gladly drop if it were possible, and they are there- purulent matter, and would have a tendency to render the meat injurious tofore anxious to obtain some degree which would give them the legal right man veterinary

surgeons gave evidence that consumption in a cow wasto its use, and would willingly undergo any examination to obtain it. Some, Two veterinary surgeons gave evidence that consumption in a cow was

through unfortunate circumstances, were prevented taking the degree in totally different from that in the human subject, and, however much purulenttheir student days, and to me it seems unjust that these should not have deposit too].- place in the lungs it would not affect the meat for eating.the privilege of obtaining what they desire, and which to some is almost a Several butchers gave evidence to a similar effect, and stated it was verynecessity. If the University of Durham, instead of doing but little if any a common for cows to be sold for consumption to the public in a much more

good at all, would admit men already in practice for the degree of any advanced stage than the one under investigation. One veterinary surgeonafter strict examination, and would throw open its doors to all students in stated there was never such a thing occurred in a cow as "milk fever," andGreat Britain of recognised medical schools, and its degrees in Arts to the the meat was safe for eating even after such cow had died from parturition.public generally, in the same medical the University its London does, instead The case was given by the magistrates in favour of the butchers and vete-public generally, in the same way as the University of London does, instead The surgeons, and against the medical evidence; so the cow and veto-of being little better than a University in name only, it would become an sold to the public. and against the medical evidence; and the cow appearedimportant institution in connexion with the education of the country. sold to the public. agreed that in moderately the cowwould appearedYour obedient servant, well died of whole agreed that in a few weeks the cow would ultimately

Janurary 25th, 1875. L.R.C.P Lond. have died of the disease.January 25th, 1875. L.R.C.P. Lond. Will you kindly oblige me with your opinion on the case, and I forward aA CORK correspondent, who is a superintendent medical officer of health, Chorley Standard containing a short report of the case...

if of the sanitary Author ities Eng land vide truly,inquires if any of the sanitary authorities in England provide houses or Chorley, Lancashire, Feb. 6th, 1875. Yours WM. PILKINGTON.

apartments for the temporary reception of families in which any infectious ** pur correspondent was quite right in the opinion he expressed in con-disease has broken out during the disinfection of their own habitations. junction with the medical officer of health.-ED. L.M.R.C.S.-Medical officers to volunteer corps must be registered medical

practitioners. Registered should forward the pamphlet to the General Medical Council,THE FAMILY OF THE LATE MR. DAVENPORT. who should say whether such language does not "imply registration,"

To the Editor of THE LANCET. and amount to a breach of the Act.

SIR,-I have again to thank you for your generosity in publishing gra- Mr. John C. Sloan should forward the advertisement, with a respectful notetuitously the donations I have hitherto received in aid of the Davenport of inquiry, to Dr. M’Donald.Fund, and to ask you to be good enough to publish the following additionallist

Dr. Bull, Hereford ...............£2 2 0 "MEDICINE CHESTS AND MEDICAL GUIDES. "

Dr. T. Underhill, West Bromwich...... 1 1 0 0

To the Editor of THE LANCET.Dr. T. Underhill, West Bromwich ....., 1 1 0 To the Editor of THE LANCET.P. T. Collins, Esq., Wednesbury ...... 1 1 0 SIR,-Referring to your article in THE LANCET of Feb. 6th, under theG. Sylvester, Esq., Trowbridge......... 1 1 0 above heading, you remark: "In the vast majority of instances the chestDr. J. Tibbits, Warwick ............ 1 1 0 has been fitted without reference to the contents of the book, and the bookT. Taylor, Esq., F.R.C.S., Birmingham... 0 10 6 has been written without reference to the contents of the chest." Will you

Yours respectfully, permit me to inform you that the incongruity pointed out has been in someHagley-road, Birmingham, Feb. 10th, 1875. JAMES F. WEST, F.R.C.S. measure remedied.

Dr. Moore, Surgeon-Major, H.M. Indian Medical Service, has recentlyMr. R. E. Deane.-The use of the title by the person in question is illegal, published, under the authority of the Government of India, a "Manual ofthough all magistrates will not convict. The registrar is not acting Family Medicine for India" (lately favourably reviewed in THE LANCET),ille gally in dealin in the manner specified certificates r and we have under his superintendence fitted up a medicine chest for theillegally in dealing in the manner specified with the certificates of such Indian Government, containing not only all the remedies enumerated inpersons. There is no Society that will prosecute. the Guide, but the usual assortment of bandages, plaster, enema, surgical

GOITRE. dressing-case, &c., to meet the medical and surgical exigencies of the

To the Editor of THE LAxeET. "ubiquitous Britisher," whether in India, Australia, or any other placeTo the Editor of THE LANCET. where the services of a regular medical practitioner cannot readily be

SIR,-Can any of your readers inform me whether any cases of goitre obtained. Your obedient servant,occurred amongst the English or French troops during the campaign in the F. MESSEB,Pyrenées in 1813-1814 ? Yours faithfully, Secretary, General Apothecaries’ Company, Limited.Penzance, Feb. 9th, 1875. A. B. BEBBY. Oxford-street, Feb. 8th, 1875.

257

A PERIODIC ACTION OF THE ISOLATED FROG’S HEART. PROVISION FOR RAINY DAYS.

L. LUCIANl describes in the "Proceedings of the Sachsische Gesellsehaft" OUR reports of the annual meeting of the British Medical Benevolent Funda remarkable periodic function he has observed in frogs’ hearts after and of kindred Societies make us long for the time when medical menexcision. He inserted a canula through the sinus venosus into the ven- shall more systematically than at present make provision for the con-tricle, and applied a ligature to the auricle. By means of a special appa- sequences of the changes and the chances of this mortal life. No men seeTatus the ventricle was filled with serum in such a manner that the more proofs of the necessity for such provision and of the lamentableamount filtered off was exactly supplied, whilst the fluid expressed during misery that arises from not making it than medical men. There willthe systole moved the mercury of a registering manometer. When these always be a certain number in our profession whose death will be pre-arrangements were completed, it was found that the heart had lost the mature or, as it were, accidental, and a few others who, from scarcely anypower of contracting rhythmically. The contraction occurred consecutively fault of theirs, are incapable of effectually anticipating rainy days ; andin groups, separated by long pauses. After a time the contractions in the for the sake of these we must rejoice in the existence of such institutionsgroups became slower and feebler, and ceased by becoming isolated, rare, as the Medical Benevolent Fund, and should be ready to support them.and weak. Luciani gives the results of his experiments with electrical But it is a capital discipline to have to control the demands of luxury,and other stimulants. Nicotin and atropin he finds shorten the pauses and make reasonable provision for the future, and every man with othersand prolong the groups; the former, however, having no effect on the depending on him should subject himself to such discipline.energy of the heart, whilst atropin quickly annihilates it.

EXHIBITION OF MEDICINES TO CHILDREN.G. P.-Yes, if reasonable. ExsiBiTMN OF MEDICINES TO CHILDREN.

, NURSES. To tke Editor of THE LANCET.To the Editor of THE LANCET. Sip.,-l trust you will spare me a small space in your valuable journal for

SIR,-In the advertising columns of your impression of Jan. 30th there is a few remarks which may probably prove of service to some of your readers.an advertisement for a nurse. The only qualification stated is that she Every practitioner well knows how obstinate to treatment often the diar-must "understand ovarian cases which is equal to saying that she must rhoea of infants and children is, and hence any hint, however simple, maybe a most experienced nurse. She ought to be one of the first class, as, to not seem out of place. Proper dieting, of course is of paramount import-nurse properly a case of ovariotomy, her powers, both mental and physical, ance; but yet some alterative medicine is often necessary to complete theare tried to the utmost; in fact, except lithotomy, there is no case in sur- cure. The medicine is tried, and but little benefit ensues in many cases.gery which is so severe a strain in every way upon a nurse’s powers; and The practitioner is only too apt to lose faith in its asserted efficacy. InWhat is the inducement held out to her to undertake so grave a respon- answer to this, I have frequently found on close questioning, especiallysibility P Wages at .S20. At the present rate of high wages, a good house among the poorer classes, that the child "brings up the stuff again directly," and parlour maid can command £18, with everything found (it is not and the cause of this is often due to the awkwardness and callous indiffer-stated if everything is found for the nurse, but I take that for granted), and ence with which the dose is administered : thus the absence of improvementhere is £20 offered to a woman who ought to be, both in education and in the symptoms. I have proved the truth of this over and over again toability, far superior to the house and parlour maid, and who runs risks to my own satisfaction by giving the remedy myself to the little patient, andhealth and life which are never found in domestic service. In the event of the have been gratified to see the speedy good effect produced. Grey powder isnurse so injuring her health in the discharge of her duties as to oblige her often eminently successful in these cases, "if it is swallowed," and the bestto rest for a time, what would she have to live upon during that time out of way of exhibiting it or any other powder (I mention the method, not being£20 per annum ? . able to find notice of it anywhere) is to direct the mother or nurse to moistenI have been asked to write an article, for a little book to come out this the tip of her forefinger with water or some viscid substance, as treacle, andmonth, upon the qualifications and disqualifications of women for sick- collecting the powder upon it, rapidly smear it over the back of the child’snursing. I have done so, and urged strongly a superior class of women to tongue ; the mouth is opened easily enough by touching the lips or gumsoffer themselves for training as nurses for the sick, and to train thoroughly. with one of the fingers. The result over the ordinary exhibition with theI need scarcely ask whether these women, reading such an advertisement, teaspoon is quite encouraging, and this has made me trouble you with thewould feel much inducement to take up nursing as a profession, finding present communication. I am, Sir, yours &c.,

,that, when thoroughly qualified, this salary was considered sufficient re- Edinburgh, February, 1875. C. J. DAVEY M.R.C.S., &c.muneration for their services, which are given always at a certain amount of risk to their health. As a body, nurses for the sick are perhaps more C. H. T., (Carlisle.)-Of substitutes for quinine as a febrifuge there is nohardly worked than any class of women. None but a nurse knows fully ,

...

their anxieties and sufferings; their work is mental and physical for seven end, the latest being the decoction of laurel-leaves, which has attracteddays a week instead of six, and too often for twenty-four hours a day instead some attention in Italy. It was proposed about a year ago by M. Glocener,of twelve. "The workman is worthy of his hire." Then, as a nurse, I ask a pharmacist of Grand-Renq (Hainaut), in a paper addressed to the Royalfor nurses that they should be well paid, as far as money can ever pay, for Academy of Medicine. His experiments were made on the Senecio arvensis,their services. lam.bir.yoursta.ithiuUy, Academy of Medicine.oftheir services. 30th, 1875. I am, Sir, yours ZurnERiNA P. VsiTon. of which he took the fresh leaves without the roots. Fifty grammes of

Mr. William Thompson.-A master is not liable for attendance on his these he boiled in 500 grammes of aqua fontis for ten minutes, and thenservant in the absence of any definite undertaking, and is, therefore, not

strained them. A draught of this every two hours after The access of the

entitled to deduct anything on this account from servants’ wages. fever wrought a cure after the first three doses, and proved, at least to

ent itled to ded uct anything on th is account from servant’s wages. M. Glocener’s satisfaction, that quinine and its derivatives enjoy noTHE Dsvxy DEFENCE FUND. monopoly as a febrifuge.

FURTHER contributions received on behalf of the above Fund :- .

Amount previously announced ...... £310 1 6 ROYAL COLLEGE OF PHYSICIANS’ CATALOGUE.R. R. World, Esq.......,c5 5 0 0

Dr. F. Bossey, Redhill ... £3 3 0 00 To the Editor of The LANCETJ. T. Clover, Esq....... 1 1 0 Dr.C.E.Baker,NewRomney 1 1 0 To the Editor of THE LANCET.J. J. Menzies, Esq....... 1 1 0 Dr. H. Billinghurst, East SIR,-Some three or four years since it was customary in the above list toJas. Rogers, Esq....... 0 10 0 Grinstead ............ 1 0 0 insert the degrees in Arts held by certain of the members &c. of the College.Dr. Maurice Davies ...... 1 1 0 Dr. C. J. B. Johnson,Whit- Might I ask you, in the fulness of knowledge which surrounds your editorialDr. R. H. Semple ...... 1 1 0 wick, Leicestershire ... 1 1 0 chair, if you could inform me of the reason why it was discontinued. Surely,Dr. Kelly ............ 1 0 0 Dr. R. G. Tatham ...... 1 1 0 when honorary distinctions, military and civil, such as C.B. and others, areClement S. Blythman, Esq., Dr. G. S. Brady, Sunderland 0 10 6 inserted, educational marks ought not to be ignored in such a Catalogue,Rotherham ......... 1 1 0 Dr.W. H.Ashford, Southsea 0 10 6 even though there are but few of the Council who possess them.

Dr. R. L. Bowles, Folkestone 2 2 0 Yours &c.,THE following additional subscription has been received at THE LANCET February, 1875.

RETARDED ViRiUTY A. B.

Office on behalf of the above :- RETARDED VIxILITy.

Dr. Fraser, Fairfax-road, South Hampstead ....El 1 0 0 To the Editor of THE LANCET.

SIR,-In reply to a letter with the above heading in your last impression,ASPIRATORS. your correspondent may be glad to have a reference to a case quoted in

To the Editor of THE LANCET. Taylor’s Medical Jurisprudence (1858, p. 673) from Mr. Curling : "A gentle-SIR,-With reference to the "newly arranged aspirator" described in last man, aged twenty-six, consulted Mr. Wilson on the propriety of his. marry-

week’s LANCET, allow me to say that four months ago at least I constructed ing. His penis and testicles very little exceeded in size those of a youtha precisely similar one, and used it successfully on two or three occasions. eight years of age, and he had never, until the acquaintance with his in-I have shown it to several medical friends, who can testify to these facts. tended wife, felt the desire of sexual intercourse. He married and became

The only difference is that I adapted it to a wide-mouthed bottle, and used the father of a family, and at the age of twenty-eight the organs had

a well-varnished cork instead of an india-rubber one. My "exhauster" is attained the full development of the adult. Yours &c.,simply the syringe of an old stomach-pump. It answers admirably, and my February 6th, 1875. JURIS CONSULT.

- only object in troubling you is simply to claim priority in case of any RELAPSING SeAxLATIxA.attempt to protect it as a new invention: Yours &c.,

RELAPSING CARLATiNA.

Bath, February, 1875. ROBT. BIGGS, 31.R.C.S.E. To the Editor of THE LANCET.To the Editor of THE LANCET. SIR,-Having noticed the case of relapsing scarlatina recorded by Mr. J.

SIR,- As a means of diagnosis, and as a small and easily carried aspirator, Farrar in THE LANCET of the 16th inst., I thought it worth while to relateI have found the ordinary hypodermic syringe invaluable. By it I have emptied one which came under my own notice within the last two months.abscesses about the neck, and small ones in other parts of the body, with I was attending a boy suffering from typhoid fever, when my attentionthe advantage aspiration possesses of leaving no cicatrix. I need hardly add was called to his sister, aged thirteen. I found her with a high temperature,that a separate instrument must be kept for this purpose. scarlatina rash well out, sore-throat, and the usual strawberry appearance

I am, Sir, yours &c., of the tongue. In due time desquamation of the cuticle took place, and sheLiverpool, February, 1875. W. MACFIE CAMPBELL, M.D., &c. gradually regained her health. In the meantime her second brother had

To the Editor of THE 1- been attacked with the disease, which was followed by nephritis. She then

To the Editor of THE LANCET. (six weeks from the commencement of her first attack) had a relapse, withSIR,-I have been somewhat amused to see described in your last number, all the symptoms well marked, but in a more severe form. Desquamation

amongst New Inventions, "a newly arranged aspirator." Such apparatus is now nearly completed, and she is rapidly regaining her strength.has been in use at St. Thomas’s by my colleagues and myself for at least Never having heard of any such cases until the one mentioned by Mr.three years, and was made by Millikin, of St. Thomas’s-street. Farrar, I thought this one might interest you.

Your obedient servant, I am, Sir, yours truly,February, 1875. SYDNEY JONES. Rotherham, Jan. 19th, 1875. J. E. ROBINSON, M.R .C.S.E., &c.

258

A Surgeon and Subscriber to THE LANCET for the paat Forty Years is clearlyentitled to recover in a court of law, with full coats of suit, reasonablecharges for professional aid, advice, visits, and the cost of any medicinesor other medical or surgical appliances supplied to the patient in ques-tion-the case being a surgical one, and his qualification entitling him torecover charges for treating such cases. It is the suitableness of the

qualification to the nature of the case that determines the power ofrecovery. Glenn says : " Where, however, a surgeon has acted as an

apothecary, by dispensing medicines, he is not thereby deprived of hisright to recover for attendance as a surgeon," and refers to the case ofSimpson v. Ralfe, in Tyrwhitt’s Reports 4. Of course medicine should

play a very inconspicuous part in any bill, especially in a surgical case.

ACNE PoNCTATA.To the Editor of Tan LANCET.

SIR,-Having one or two cases of acne pnnctata, for which all my remedieshave proved ineffectual, I should feel much obliged for any hints on thetreatment of the same. Yours &c.,

Feb. 4th, 1875. S. W. S.

COMMt’NICATIONS not noticed in the current number will receive attentionin our issue of the ensuing week.

COMMUNICATIONS, LETTERS, &c., have been received from-Prof. Humphry,Cambridge; Dr. George Johnson, London; Sir John Cormack, Paris;Dr. Coupland, London; Mr. Teevan, London; Dr. Chalmers, London; Mr. George Fleming, Chatham; Dr. Balthazar Foster, Birmingham ; IDr. Ridpath, Great Driffield; Mr. Poynter; Mr. E. R. Morgan, Neath;Mr. Ikin; Mr. Young, Cambridge; Mr. Dunlop; Dr. Lindsay, Derby;Dr. Munro, Northampton; Mr. Biggs, Bath; Mr. Haig; Mr. Sproule;Mr. Sydney Jones, London; Mr. Roberts, London; Mr. Walker, London;Mr. Hamilton, London ; Mr. Tobin ; Mr. Alexander, Bradford; Mr. Deane,Pocklington ; Dr. R. Southey, London ; Mr. Seare, Watford ; Mr. Lingard;Mr. Pilkington, Chorley; Mr. Daniel Hooper, London; Dr. Percy Leslie,London; Dr. Cory, Boulogne-sur-Mer; Dr. Daly, London; Dr. Piffard,New York ; Mr. Stead, London; Dr. Spender, Bath ; Rev. H. R. Wadmore,Toulon; Dr. Farquharson, London ; Dr. Brown, Beckenham ; Dr. Bayes,London ; Mr. Carpenter, London ; Mr. E. Keer, Wickham Market;Mr. Ryley, Doddington ; Mr. Berry, Penzance ; Mr. Whitehead, Man-chester ; Dr. Dowse, London; Dr. Greenfield, London; Mr. Woolacott,Winkleigh; Mr. Robinson, Dublin; Mr. Colman; Mr. Stevens, London;Messrs. Wright and Co., London; Mr. Pigott, Alford; Dr. Campbell,Liverpool; Surgeon-Major Smith, Woolwich ; Dr. Schingler, New York;Mr. Birch, Guildford; Dr. Steele, Clifton; Dr. Hendry, Michigan, U.S.A.;Dr. Shearman, Rotherham; Mr. Settle, Barrow; Mr. Lowndes, Liverpool;Mr. Wotherspoon, Paisley ; Dr. Sturges, London ; Mr. Harker, Milton ;Mr. Mason, Carlisle; Messrs. Leader and Sons, Sheffield; Dr. Forbes,Glasgow; Mr. Reilly, London; Mr. Groves, London; Mr. Smith, Burton;Mr. Brown, Worcester; Mr. Platt, Oldham ; Mr. Love, Wolverhampton ;Dr. Davies, Aberdare; Mr. Davey, Edinburgh; Mr. Chittenden, Lee;Air. Underhill, Wolverhampton; Dr. Bowen, Preston; Mr. Stilliard, Bir-mingham ; Dr. Eyeley, Dursley; Mr. Plumer, Penrith; Mr. W. Garner,London; Mr. Campbell, Chigwell; Mr. Marshall, Mitcham; Dr. Adams,Croydon; Dr. Day, London; Mr. Philpot, Peckham; Mr. Dean, Barrow Messrs. Hewlett and Sons, London; Mr. Hay, Bridport ; Dr. Davies,Wrexham; Mr. Mogg, Redditch; The Director-General of the ArmyMedical Department; A Subscriber for the past Forty Years; The Editorof the Schoolmaster; W. D. M.; Insurance; G. P. ; L. P.; Non-Medicus;Coltman ; Shocked; The Director-General of the Navy Medical Depart-ment ; Achates ; Fair Play; Fleet Surgeon; A Constant Reader; J. W. H. ;The Wife of a Country Surgeon ; &c. &c.

LETTERS, each with enclosure, are also acknowledged from - Mr. Morgan,Lichfield; Mr. Sparks, Nottingham; Mr. Coatts, Norwich; Mrs. Sparke,Mansfield; Mr. White, Newtown; Mr. Limney, Mansfield ; Mr. Davies,Swansea ; Dr. Taylor, Penrith ; Dr. Whitehead, Eastbourne ; Mr. Robson,Grimsby; Mr. Calling, Somerton ; Mr. Steward, Norwich; Mr. Thompson,Todmorden; Mr. Brown, Dorchester; Dr. Fraser, Hampstead; Mr. Land,Exmouth; Mr. Palmer, Stokesley ; Mr. Jones, Cleobury Mortimer;Mrs. Bishop, Banbury : Mr. Hordley, Hartshill; Dr. Campbell, Staunton ;Dr. Merryweather, Guisborough ; Mr. Brett, Bridlington ; Mr. Allsworth,Wingham; Mr. Head, East Grinstead; Mr. Ennals, Littleport; Dr. Mair,Morriston; Mr. Geraty, Nottingham; Dr. Harris, Leighton Buzzard;Dr. Burnett, Mottram ; Mr. Copestoke, Brailsford; Mr. Kershaw, Man-chester ; Mr. Butter, Bournemouth; Dr. Akerman, London; Mr. Ricketts,St. Helens; Mr. Bunn, Norwood; Mr. Benbough, London; Dr. Fraser,Kilsyth; Mr. Blackett, Newbury ; Mr. Bower, Blockley ; Dr. Blackall,Killard ; Messrs. Beaman and Johnston, Upholland; Mr. Sale, Dartford;Mr. Moore, Coventry; Mr. Morris, Spalding; Mr. Hamilton, Uttoxeter;Dr. Thomas, Merthyr Tydfil ; Mr. Kersey, London; Mr. Hughes, Cardiff;Mr. Denny, Blackwater; Mr. Whincup, Islington; Mr. Chance, Birming-ham ; Mr. Saunders, Haverfordwest; Mr. Morkett, Wantage; Mr. Read,Market Rasen ; Mr. Lawrence, Coleraine ; H. S., Blackrod ; Baticus,London ; M. E., Bitterne.

Liverpool Daily Post, Welshman, Manchester Guardian, Newcastle DailyChronicle, Liverpool Daal,y Courier, Huddersfield Daily Chronicle, Daily.Bristol Times, St. Pancras Gazette, Redruth Tiuzes, Surrey Advertiser,Ulster General Advertiser, Chorley Standard, Isle of Man Times, SheffieldIndependent, British Press, Brighton Guardian, and WolverhamptonChronicle have been. received.

Medical Diary for the ensuing Week.Monday, Feb. 15.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELD-Operations, 10½ A.M.each day, and at the same hour.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operations, 1½ P.M. each day,and at the same hour.

ST. MARK’S HOSPITAL.-Operations, 9 A.M. and 2 P.M.METROPOLITAN FREE HOSPTIAL.-Operations, 2 P.M.ROYAL COLLEGE OF SURGBONS or ENGLAND. - 4 P.M. Prof. W. K. Parker,

" On the Structure and Development of the Skull."MEDICAL SOCIETY OF LONDON. - 8 P.M. Dr. S. 0. Habershon, " On some

Obscure Cases of Abdominal Disease:’-Dr. Drysdale, " On the Ante-cedents and Treatment of Tertiary Syphilis:"-Mr. Spencer Watson,On the Obstructions of Lachrymal Sac and Nasal Duct."

Tuesday, Feb. 16.GuY’s HOSPITAL.-Operations, 1½ P.M., and on Friday at the same hour.WESTMINSTER HOSPITAL.-Operations, 2 P.M.

’

NATIONAL ORTHOPAEDIC HOSPITAL.-Operations, 2 P.M.WpsT LONDON HOSPITAL.-Operations, 3 P.M.PATHOLOGICAL SOCIETY OF LONDON. - 8½ P.M. The following Specimens

will be exhibited :-Fatty Degeneration of Muscles of Thigh; Contrac-tion of Coronary Arteries; Obstruction of Benal Artery; Fibroid Dis-ease of the Heart; Fatty Tumour removed in course of Herniotomy;Aneurism of the Heart; Specimens ofEpithelioma; Malignant Diseaseof Testis; Aneurism of Aorta; Myeloid Sarcoma of Humerus; Blood.cyst in Sarcoma; Congenital Deformity of Clavicles (living specimen).

Wednesday, Feb. 17.MIDDLESEX HOSPITAL.-Operations, 1 P.M.ST. MARY’S HOSPITAL.-Operations, 1¼ p.M.ST. BARTHOLOMEW’S HOSPITAL.-Operations, li P.M., and on Saturday at

the same hour.ST. THOMAS’S HOSPITAL.-Operations, 1½ P.M., and on Saturday at the same

hour.KING’s COLLEGE HOSPITAL.-Operations, 2 P.M., and on Saturday at 1½ p.M.GREAT NORTHERN HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL. - Operations, 2 P.M., and on Saturday at

the same hour.LONDON HOSPITAL.-Operations, 2 P.M.SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operations. 2t P.M.ROYAL COLLEGE OF SURGEONS OF ENGLAND. - 4 P.M. Prof. W. K. Parker,

On the Structure and Development of the Skull."

Thursday, Feb. 18.ST. GMRO’E’s HOSPITAL.-Operations, 1 P.M.ROYAL ORTHOPAEDIC HOSPITAL.-Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M., and on Friday

at the same hour.

Friday, Feb. 19.ST. GBORM’a HOSPITAL.-Ophthalmic Operations,1; P.M.ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P..rI.ROYAL COLLEGE OF SURGEONS OF ENGLAND. - 4 p M. Prof. W. K. Parker,

" On the Structure and Development of the Skull."ROYAL COLLEGE OF PHYSICIANS OF LONDON.-5 P.M. Dr. R. J. Lee, "On

Puerperal Fever."MEDICAL MICROSCOPICAL SOCIETY.-8 P.M. Dr. V. B. Woodman, "On a

Natural Method of Mounting certain Microscopic Specimens."

Saturday, Feb. 20.ROYAL FEM HOSPITAL.-Operations, 9 A.M. and 2 P.M.CHAEING-CR06a HOSPITAL.-Operations, 2 P.M.

NOTICE.In consequence of THE LANCET being frequently detained by the Post

Office when posted for places abroad more than eight days after publication,subscribers and others are reminded that such copies can only be forwardedas book packets, and prepaid as such.