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1147 NOTES, COMMENTS, AND ANSWERS TO CORRESPONDENTS. THURSDAY.—LONDON POST-GRADUATE COURSE.—Hospital for Sick Children. Gt. Ormond-st., 3.30 P.M., Mr. W. A. Lane : Selected Surgical Cases.-National Hospital for the Paralysed, Bloomsbury, 2 P.M., Dr. Bastian: Cases in the Hospital.-Central London Sick Asylum, Clpvpland-st,, 5.30 P.M., Mr. J. Hutchinson: Cases in the Wards. FRIDAY. -LONDON POST-GRADUATE COURSE.-King’s College, 3 to 5 P.M. Prof. Crookshank: Actinomycosis and Glanders. SATURDAY. - LONDON POST-GRADUATE COURSE.-Bethlem Hospital, 11 A.M,. Dr. Percy Smith: Insanity with Syphilis. ST. Jomr’s HOSPITAL FOR DISEASES OF THE SKIN (Leicester-sq., W.C.).- Dr. Mo gan Dockrell : Syphilis. Notes, Short Comments, and Answers to Correspondents. EDITORIAL NOTICE. IT is most important that communications relating to the Editorial business of THE LANCET should be addressed exclusively 11 TO THE EDITORS," and not in any case to any gentleman who may be supposed to be connected with the Editorial staff. It is urgently necessary that attention be given to this notice. - It is especially-requested that early intelligence of local events having a medical interest, or which it is desirable to bring under the notice of the profession, may be sent direct to this Office. Letters, rvhet7ter intended for insertion or for private informa- tion, must be authenticated by the names and addresses of their writers, not necessarily for publication. We cannot prescribe or recom.mend practitioners. Local papers containing reports or ne7vsparagraphs s7 to ?ild be marked and addressed 11 To the S‘ub-Editor." Letters relating to the publication, sale, and advertisinq de- partments of THE LANCET should be addressed " To the Manager ." " We cannot undertake to return MSS. not used. BAREFACED USURPATION. A CORRESPONDENT has drawn our attention to the following legend, which appears on the letter-paper of a certified masseuse :- Miss F-, 108, - Iload, M.B.M.A., LaND., Street, CERTIFIED MASSEUSE. He says that at first sight he thought that the letter in question emanated from a Bachelor of Medicine and Master of Arts in the University of London. He has since found that the affixed initials to Miss F-’s name are meant to imply that that lady is a Member of the British Massage Association, and he wants to know what we think of such methods. We have no hesitation in sasing that to place the initials M.B.M.A. Lond. after a name is to imply that the person in question holds the degrees with which our correspondent credited Miss F-. The fact that there is no gap between the B and the M is a trifle that might escape anyone’s notice (how often do we see M.B., C.M. printed without proper spacing?) and the addition of the word "Lond." seems specially designed to carry out the imposture. We consider that the heading to this letter-paper constitutes, as we have termed it, a barefaced usurpation by a masseuse of the style and title of a graduate in Arts and Medicine of London University. Mr. Charles .Blair.—The best account of the Burmese hairy family is to he found in Yule’s "Mission to the Court of Ava" (Smith, Elder, and Co., London, 1858), pp. 93, 94, 95, where a portrait will be found Some of the descendants of this family were, we believe, living at the court of King Theebaw at the time of our recent annexation of of Upper Bunnah. Cardiffian.—The volumes have no pecuniary value worth mentioning. "WHAT IS LIFE?" To the Editors of THE LANCET. SIRS.—I can heartily sympathise with your correspondent, 11 Only a Medico," who asks the above question after having perused various writings on the subject in THE LANCET. That of Dr. Lionel Beale is of great interest, but I do not quite follow him in one particular. He says that life is not the product of any physical change, but is an inde- pendent principle, or a distinct guiding and directing agency." Now, 111 the analogous case of the mind there are also the two similar thtories-tbe one that mind is an emanation from the brain; the other that it is an independent principle, remaining when the body decays and becoming an immortal spirit, tn like manner, as regards the vital principle, or "vitality," I ask, What becomes of it when a vegetable or animal is burned or otherwise destroyed ? I should like the lecturer’s ch’ar opinion or belief in this matter-demonstration he can- not give-so that I may more fully seize the thread of his argument. I am, Sirs, your obedient servant, Oct. 27th, 1895. ENQUIRER. FEES. To the Editors of THE LANCET. SIRS,-In October, 1894, I attended a woman in her confinement (who had engaged meforafee of one guinea). Afterthe child was born I found she had adherent placenta. This I endeavoured to remove, but during removal I found she was in a collapsed condition. Having brought her round, after a time I operated, removing part but not all. She then collapsed again. I informed the nurse that the case was serious, and told her that I should call in another practitioner. I saw the husband; and sent him for another medical man, upon whose arrival we adminis- tered chloroform and removed the placenta. After three weeks’ attend- ance the patient recovered I sent my account in with an additional charge of half-a-guinea-the fee I paid the other practitioner for his. attendance. The husband refusing to pay, I reluctantly summoned him for the debt. The county court judge at the hearing allowed the guinea fee, but disallowed the half-guinea paid under the ciroumstancea- mentioned above. If this is a correct decision, what are we to do in such circumstances with a serious case ? Are we to call in another practitioner, pay his fee,. and bear the loss ourselves; or are we to leave the patient without further advice ? The net result to me has been that after attending the case before, during, and after confinement I receive a guinea, out 0f which I have to pay my colleague 10s. 6d., leaving me with the same amount as a reward for my anxiety and trouble. I am, Sirs, yours faithfully, Oct. 24th, 1R95. T. *** In our opinion the hardship of these cases, which are constantly occurring, might be avoided, if the medical man, when undertaking too attend a midwifery case for, say, a guinea, made it clear that for that fee he would only attend for the confinement and ten days after, and that it would not include attendance beyond that time, if it should prove necessary, or the services of another medical man if the case should be one requiring another practitioner on account of some complica- tion. In this actual case when the medical man saw the husband and obtained his sanction to call in another practitioner he should have explained that the latter would have to be paid separately. At the same time we sympathise with our correspondent, who has had shabby treatment meted out to him.-ED. L. M.D., in writing of the Dentists Act, attributes grossly unprofessional conduct to a brother practitioner. He will understand that we cannot print his letter without knowing to whom he is referring, and that even then a question would arise as to the utility of the publication. M.D.—Technically, the School Board never demands a certificate. It te only the magistrate who does so. If "M.D." is unwilling to give a certificate he had better refer the parents to the parish doctor. Mr. J. Allison Smith.-There is no such fund at our disposal or else- where. Particulars concerning THE LANCET Relief Fund can b obtained from Mr. E. Davis, THE LANCET Office. -Dr. White is advised to do nothing. "WANTED, AN EXPLANATION OR A SUGGESTION." To the Editors of THE LANCET. SIRS,-I should suggest the probability of the case described in THE LANCET of last week being one of so-called "sear keloid ’’ which sometimes follows variola pustules, syphilides that have de- stroyed the skin, and the scars of burns. I have known of a similar case in a child six years of age, where two firm, freely movable pink masses with well-defined projections made their appearance in the cicatrices shortly after vaccination. They were about an inch long and three-quarters of an inch wide, and gave rise to no subjective symptoms. The family history was good; but there seemed to be a predisposition on the part of the skin to such formations, as a similar mass developed in the same case after the heating of an incised wound on the leg. Th6 case was successfully treated by electrolysis, a stout needle being used and multiple punctures made in all directions and in the tissues for a. space about the growths. I am, Sirs, yours truly, I Halifax, Oct. 26th, 1895. H. LAWRANCE GILL, M.D. THE BIRMINGHAM LUNACY PROSECUTION." To the Editors of THH LANCET. SIRS,-I I beg to correct the impression in THE LANCET of Oct. 26th, The number of hours was six, not sixteen.-Yours truly, Birmingham, Oct. 30tli, 1895. F. R. EVANS. During the week marked copies of the following newspapers have been received: -Huddersfie:d Chronicle, Midland Times, Manchester Guardian, Straits Budget (Singapore), Liverpool Echo, -Dover Express, Dudley Herald, South Wales News. Suffolk Chronicle. North Wales Chronmcle, Leicester Daily Mercury, Sussex Daily News, Histings Times, Bvrmingharn Charonicle, Guardian, Sheffield Inde- pendent, Hinckley limes, Medical Record (New York), Totnes Times, Glasgow Herald, Dublin Evening Telegraph, Western Mercury, r’utteu ham Daily Express, Bradford Observer, Cork Constitution, Brcytcton Gazette, Scotsman, Caterer, Leeds Mercury, Buitder, Ports- mouth Times, Citizen, Architect, Yorkshire Post, Cyclist, Bristol .Mercury. Sanitary A’eco)-(t, Perthshire Advertiser, Family Doctor., at. Mary’s Hospital Gazette, Technical World, Pioneer Mail, Guy’s Hospital Gazette, Midland Sun, Australasian Medical Gazette, GrayF standard, Islington Gazette, Anglo-Celt (Cavan), Eveninq Chronicle; (Newcastle), BLrmingham Laily Post, &c., &c.
Transcript

1147NOTES, COMMENTS, AND ANSWERS TO CORRESPONDENTS.

THURSDAY.—LONDON POST-GRADUATE COURSE.—Hospital for SickChildren. Gt. Ormond-st., 3.30 P.M., Mr. W. A. Lane : Selected SurgicalCases.-National Hospital for the Paralysed, Bloomsbury, 2 P.M.,Dr. Bastian: Cases in the Hospital.-Central London Sick Asylum,Clpvpland-st,, 5.30 P.M., Mr. J. Hutchinson: Cases in the Wards.

FRIDAY. -LONDON POST-GRADUATE COURSE.-King’s College, 3 to 5 P.M.Prof. Crookshank: Actinomycosis and Glanders.

SATURDAY. - LONDON POST-GRADUATE COURSE.-Bethlem Hospital,11 A.M,. Dr. Percy Smith: Insanity with Syphilis.

ST. Jomr’s HOSPITAL FOR DISEASES OF THE SKIN (Leicester-sq., W.C.).-Dr. Mo gan Dockrell : Syphilis.

Notes, Short Comments, and Answersto Correspondents.EDITORIAL NOTICE.

IT is most important that communications relating to theEditorial business of THE LANCET should be addressed

exclusively 11 TO THE EDITORS," and not in any case to

any gentleman who may be supposed to be connected withthe Editorial staff. It is urgently necessary that attentionbe given to this notice.

-

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.

Letters, rvhet7ter intended for insertion or for private informa-tion, must be authenticated by the names and addresses oftheir writers, not necessarily for publication.

We cannot prescribe or recom.mend practitioners.Local papers containing reports or ne7vsparagraphs s7 to ?ild be

marked and addressed 11 To the S‘ub-Editor."Letters relating to the publication, sale, and advertisinq de-

partments of THE LANCET should be addressed " To theManager ."

’ "

We cannot undertake to return MSS. not used.

BAREFACED USURPATION.

A CORRESPONDENT has drawn our attention to the following legend,which appears on the letter-paper of a certified masseuse :-

Miss F-, 108, - Iload,M.B.M.A., LaND., - Street,

CERTIFIED MASSEUSE.

He says that at first sight he thought that the letter in questionemanated from a Bachelor of Medicine and Master of Arts in the

University of London. He has since found that the affixed initials to

Miss F-’s name are meant to imply that that lady is a Member ofthe British Massage Association, and he wants to know what wethink of such methods. We have no hesitation in sasing that toplace the initials M.B.M.A. Lond. after a name is to imply that theperson in question holds the degrees with which our correspondentcredited Miss F-. The fact that there is no gap between the B

and the M is a trifle that might escape anyone’s notice (how often dowe see M.B., C.M. printed without proper spacing?) and the

addition of the word "Lond." seems specially designed to carry outthe imposture. We consider that the heading to this letter-paperconstitutes, as we have termed it, a barefaced usurpation by amasseuse of the style and title of a graduate in Arts and Medicine ofLondon University.

Mr. Charles .Blair.—The best account of the Burmese hairy family is tohe found in Yule’s "Mission to the Court of Ava" (Smith, Elder,and Co., London, 1858), pp. 93, 94, 95, where a portrait will be foundSome of the descendants of this family were, we believe, living at thecourt of King Theebaw at the time of our recent annexation of of

Upper Bunnah.

Cardiffian.—The volumes have no pecuniary value worth mentioning.

"WHAT IS LIFE?"

To the Editors of THE LANCET.SIRS.—I can heartily sympathise with your correspondent, 11 Only a

Medico," who asks the above question after having perused variouswritings on the subject in THE LANCET. That of Dr. Lionel Beale is ofgreat interest, but I do not quite follow him in one particular. He saysthat life is not the product of any physical change, but is an inde-pendent principle, or a distinct guiding and directing agency." Now,111 the analogous case of the mind there are also the two similarthtories-tbe one that mind is an emanation from the brain; theother that it is an independent principle, remaining when the bodydecays and becoming an immortal spirit, tn like manner, as regardsthe vital principle, or "vitality," I ask, What becomes of it when avegetable or animal is burned or otherwise destroyed ? I should like thelecturer’s ch’ar opinion or belief in this matter-demonstration he can-not give-so that I may more fully seize the thread of his argument.

I am, Sirs, your obedient servant,Oct. 27th, 1895. ENQUIRER.

FEES.

To the Editors of THE LANCET.

SIRS,-In October, 1894, I attended a woman in her confinement (whohad engaged meforafee of one guinea). Afterthe child was born I foundshe had adherent placenta. This I endeavoured to remove, but duringremoval I found she was in a collapsed condition. Having brought herround, after a time I operated, removing part but not all. She thencollapsed again. I informed the nurse that the case was serious, andtold her that I should call in another practitioner. I saw the husband;and sent him for another medical man, upon whose arrival we adminis-tered chloroform and removed the placenta. After three weeks’ attend-ance the patient recovered I sent my account in with an additional

charge of half-a-guinea-the fee I paid the other practitioner for his.attendance. The husband refusing to pay, I reluctantly summonedhim for the debt. The county court judge at the hearing allowed theguinea fee, but disallowed the half-guinea paid under the ciroumstancea-mentioned above.

If this is a correct decision, what are we to do in such circumstanceswith a serious case ? Are we to call in another practitioner, pay his fee,.and bear the loss ourselves; or are we to leave the patient withoutfurther advice ? The net result to me has been that after attending thecase before, during, and after confinement I receive a guinea, out 0fwhich I have to pay my colleague 10s. 6d., leaving me with the sameamount as a reward for my anxiety and trouble.

I am, Sirs, yours faithfully,Oct. 24th, 1R95. T.

*** In our opinion the hardship of these cases, which are constantlyoccurring, might be avoided, if the medical man, when undertaking tooattend a midwifery case for, say, a guinea, made it clear that for that feehe would only attend for the confinement and ten days after, and thatit would not include attendance beyond that time, if it should provenecessary, or the services of another medical man if the case should

be one requiring another practitioner on account of some complica-tion. In this actual case when the medical man saw the husband and

obtained his sanction to call in another practitioner he should have

explained that the latter would have to be paid separately. At the

same time we sympathise with our correspondent, who has had

shabby treatment meted out to him.-ED. L.

M.D., in writing of the Dentists Act, attributes grossly unprofessionalconduct to a brother practitioner. He will understand that we cannotprint his letter without knowing to whom he is referring, and thateven then a question would arise as to the utility of the publication.

M.D.—Technically, the School Board never demands a certificate. It te

only the magistrate who does so. If "M.D." is unwilling to give acertificate he had better refer the parents to the parish doctor.

Mr. J. Allison Smith.-There is no such fund at our disposal or else-where. Particulars concerning THE LANCET Relief Fund can bobtained from Mr. E. Davis, THE LANCET Office.

-Dr. White is advised to do nothing.

"WANTED, AN EXPLANATION OR A SUGGESTION."To the Editors of THE LANCET.

SIRS,-I should suggest the probability of the case described inTHE LANCET of last week being one of so-called "sear keloid ’’

which sometimes follows variola pustules, syphilides that have de-stroyed the skin, and the scars of burns. I have known of a similarcase in a child six years of age, where two firm, freely movable pinkmasses with well-defined projections made their appearance in thecicatrices shortly after vaccination. They were about an inch long andthree-quarters of an inch wide, and gave rise to no subjective symptoms.The family history was good; but there seemed to be a predispositionon the part of the skin to such formations, as a similar mass developedin the same case after the heating of an incised wound on the leg. Th6case was successfully treated by electrolysis, a stout needle being usedand multiple punctures made in all directions and in the tissues for a.space about the growths. I am, Sirs, yours truly,

I Halifax, Oct. 26th, 1895. H. LAWRANCE GILL, M.D.THE BIRMINGHAM LUNACY PROSECUTION."

To the Editors of THH LANCET.

SIRS,-I I beg to correct the impression in THE LANCET of Oct. 26th,The number of hours was six, not sixteen.-Yours truly, __ _

Birmingham, Oct. 30tli, 1895. F. R. EVANS.

During the week marked copies of the following newspapershave been received: -Huddersfie:d Chronicle, Midland Times,Manchester Guardian, Straits Budget (Singapore), Liverpool Echo,-Dover Express, Dudley Herald, South Wales News. Suffolk Chronicle.North Wales Chronmcle, Leicester Daily Mercury, Sussex Daily News,Histings Times, Bvrmingharn Charonicle, Guardian, Sheffield Inde-pendent, Hinckley limes, Medical Record (New York), Totnes Times,Glasgow Herald, Dublin Evening Telegraph, Western Mercury,r’utteu ham Daily Express, Bradford Observer, Cork Constitution,Brcytcton Gazette, Scotsman, Caterer, Leeds Mercury, Buitder, Ports-mouth Times, Citizen, Architect, Yorkshire Post, Cyclist, Bristol.Mercury. Sanitary A’eco)-(t, Perthshire Advertiser, Family Doctor.,at. Mary’s Hospital Gazette, Technical World, Pioneer Mail, Guy’sHospital Gazette, Midland Sun, Australasian Medical Gazette, GrayFstandard, Islington Gazette, Anglo-Celt (Cavan), Eveninq Chronicle;(Newcastle), BLrmingham Laily Post, &c., &c.

1148 ACKNOWLEDGMENTS OF LETTERS, &a., RECEIVED.

Communications, Letters, &0. have beenreceived from-

A.—Dr. J. H. Abram, Liverpool; Mr. P. J. Atkey, Putney; Mr. W. J. Attygalle, Aberdeen; Æscu-lap Bitter Water Co., Lond. ; Arema Manufacturing Co.,Lond.; .Argos, Lond. ; A. Z., Brighton. i

B.-Dr.J. Banks, Aberdare ; Dr. L. Backus, Chatham, Ontario; Mr. T. B. Browne, Lond. ; Mr.C. Birchall, Liverpool ; Mr. L. Browne, Lond.; Messis. Bostel, Lond. ; Messrs. Bates, Hendy, (and Co., Reading; Messrs. Bur-goyne, Burbidges, & Co., Lond. ;Bristol Med -Chir. Journ.. Editor

of; B., Lond.C.—Dr. J. Cagney, Lond. ; Dr.

J. G. S. Coghill, Ventnor ; Dr. ]R. H. Collins, Tow Law; MajorS. Churchill, Lichfleld;. Mr. J.. ’Cotman, The Minories. Mr.W. J.Collins, Lond.; Mr. R. P. Charles,Neath ; Mr. D. F. B. Cotes,Burton - on - Trent ; Mr. J. J.Clarke, Lond. ; Messrs. C. J. ]Clay and Sons, Lond. ; Messrs..J. Cleave and Son, Crediton; Messrs. Cornish Bros., Birming- ham ; Central Lond. Throat andEar Hosp.. Sec. of ; CountyAsylum, Dorchester, See. of ;’Corinne, Lond. ; County, Lond.

D.—Mr. W. Ditcbam, Lond. ; ;Messrs. Douglas and Wooldridge, Stourbridge ; Messrs. Dowdenand Co., Bournemouth.

C.-Messrs. Eason & Son, Dubliu. F.—Mr. W. L. Fox, Falmouth;Flower House, Catford, Sec. of.

G.—Dr. J. F. Goodhart, Lond.; Dr. 0. H. Garland, Leith; Miss J. L. Groom, Lond.; Globe Advertising Co., Aston Clinton.

H.-Dr. A. Halipere, Rouen ;. Mr. Christopher Heath, Lond. ;Mr. J. Hemingway, Lond.; Mr. J. Heywood, Manchester; Messrs.

Hunter and Hunter, Lond.; Her- mite Sanitation Co., Ipswich.

L—Iota, Lond.J.-Mr. F. B. Jessett, Lond.; Mr.

C. Jordison, Cheshire ; Journ. ofMental Scic:nce, Perth, Editor of. K.—Dr.O. J. Kauffmann, Birming-ham ; Dr. H. R. Kenwood, Lond. ;Mr. J. Kirkland, Edin. ; Kent, ’,Lond.

L—Dr. V. Lenobel, Vienna ; Dr. H. G. Lys, Bournemouth;Mr. W. Lambert, Malvern ;Messrs. Lazarus and Davidson,Lond. ; Messrs. E. and S. Living- stone, Edin.; Lewisham UnionInfirmary, Med. Supt. of; London ’,

County Council, Blackwall.M.—Dr. A. E. Morison, Hartle-

pool ; Dr. H. B. Melville, Now-gong ; Dr. Macdougall, NorthBerwick ; Mr. W. Macalpine,Lond.; Mr. P. B. Mason, Burton-on-Trent ; Mr. J. W. Moore,Lond.; Mr. W. B. Moore, Stour-bridge ; Mr. H. Marsh, Lond. ;

Rev. R. D. Maxwell,Teignmouth;

Mr. R. Mosse, Lond.; Messrs. Merryweather and Sons, Lond. ;Messrs. Macmillan & Co., Lond. ;Matrons’ Council, Lond., Hon.See. of ; Morningside :Mirror,Editor of; M.B., London; M.D.,London.

N.-Mr. F. Napier, Glasg. ; Nurses’Cooperation, Lond.; NationalHosp. for Diseases of the Heart,Lond., Sec. of.

0.-Dr. Thomas Oliver, Newcastle-on-Tyne ; Messrs. Oliver & Boyd,Edin. ; Messrs. Orridge and Co.,Lond.; Messrs. Oldfield, Pattin-son, and Co., Manchester; Ob-stetrical Soc. of Lond., Sec. of.

P.-Mr. 0. F. Paget, Lond.; Mr.Y. J. Pentland, Edin.; Pitman’sSchool of Shorthand, Lond.. Sec.of; Messrs. Parkins and Gotto,Lond.; Patent Wire Wove Co.,Lond.; Progress, Lond. ; Prin-cipal, Croydon.

R,-Dr. J. Kamage, Lond. ; Mr. L.Roberts, Liverpool; Mr. J. W.Rich, Iowa City, U.S.A. ; Mr. T.Richards, Lond. ; Seiiores Romoy Fussel, Madrid ; Messrs. J.Richardson and Co., Leicester ;Messrs. Robinson and Co.,Norwich; Royal PortsmouthHosp., Sec. of; Royal Hosp. forDiseases of the Chest, Lond.,Dean of; R., Croydon.

S.-Sir James Sawyer, B’ham. : Dr.R. E. Shettle, Reading; Dr. F. H.Smith, Lewisham; Dr. M. F.Simon, Singapore; Dr. W. A.Smith, South Shields; Mr. H. E.

, Steel, Liverpool ; Mr. G. B.Smith, Lond.; Mr. H. Simpson,Frodsham; Mr. J. D. Staple,Bristol; Mr. W. B. Saunders,Philadelphia; Mr. J. B. Sutton,Lond. ; Mr. P. F. Sturridge,Kendal; Mr. A. Stenhouse,Glasg.;Messrs. G. Street and Co., Lond.;Messrs. Stubbs, Lond.; SanitaryWood Wool Co., Lond.; scieieceProgress, Lond., Editor of ;Sister, Ramsgate.T.-Mr. J. W. Taylor, BirminghamMr. B. Thornton, Margate ; Mr.

! R. G. Turner, Quetta, Beloo-chiston: Messrs. Terrol and Co., Lond.; Toxteth Park Workhouse,Clerk to the Guardians of.

V.-Veritas, Lond.I W-Dr. S. Wilks, Lond. ; Dr. J. K.i Watson. Heckmondwike’; Dr.! W. H. Williams, Stacksteads ; Dr., J. D. Williams, Cardiff; Dr.! Wright, Matlock; Mr. S. White,! Sheffield; Mr. W. F. Webster,

Studley ; Mr. J. Wright. Paul; Mr. E. Wilson, Exeter; Mr. E. H.

Worth, South Norwood; Mr,J. W. Viekers, Lond.; Mr. H. S.

Walker, Leeds; Messrs. Wilcoxi and Co., Loud. ; Westminsteri Hosp. Medical School, See. of.Y.-Dr. J. Young, Annan.

Letters, each with enclosure, are alsoacknowledged from-

A,-Dr. W. D. Arnison, Newcastle- on-Tyne; Mr. R. R. Anderson,Carmarthen; Mr. K. Adamson,Accrington; Anglo-Swiss Con-densed Milk Co., Lond. ; AstonUnion, Clerk of ; A. P. W., Lond. ;Alpha, Lond.; Ajax, Lond.; A.,Alsager ; Assistant, Lond.

B.-Dr. J. Berry, Lond. ; Dr. J. W.Bone. Burnley; Mr. G. A. Bruce,Aberdeen; Mr. H. R. H. Bigg,Lond.; Mr. W. M. Beaumont,Bath; Mr. Brown, Lond. ; Mr.J. S. Buck, Eaton Socon; Mr.C. Bridges, Lond. ; Mrs. S. A.Bennett, Lond.; Messrs. Blackieand Son, Lond. ; Messrs. Bell andBradfute, Edin. ; Messrs. Brown, Gould, and Co., Lond.; Messrs. Blondeau et Cie., Lond.; Messrs. Bentley and Son, Lond.; Messrs.Bonthron and Co., Lond. ; Barn-wood House Hosp.. Sec. of;British Castor Co., Lond.; Bar-ham, Lond. ; B. M., Lond.

C.-Dr. Collier, BulweU; Dr. E. H.Cooke, Bhusawal, India; Dr. E.Du Cane, Lond. ; Mr. H. Cox,Stratford-on-Avon; Mr. A. E.Couzens, Westbury; Mr. W.Colquhoun. Bowling; Mr. D. J.Carroll, Moorstown. Clonmel;Messrs. W. & R. Chambers, Edin.;Messrs. Curtis and Co., Lond. ;Messrs. Cheers & Hopley, Chester ;C. H., Birmingham; C. C., Liver-pool ; Century, Loud. ; Congo,Lond.; Confidence, Lond.

D.-Dr. J. Davies, Maesteg; Messrs.Duncan, Flockhart, & Co., Edin. ;Derbyshire Roy. Infirmary, Sec.of; Durham County Hosp., Sec.of; D. A., Lond.

E.—Dr. D. G. Evans, Ty Gwyn;Messrs. Eason and Son, Dublin; ’’

E. E. G., Lond.

F.-Mr. J. A. Forrest, WoodhamFerris; F. 14., Lorid. ; Fidelity,Lond.; Freda, Lond.; F., Lond.

G.-Dr. T. Gibson, Blairingore;Mr. J. Guest, Altrincham ; Mr.P. G. Garrett, Pendleton;Messrs. Gilyard Bros., Brad-ford ; Galemus, Lond.

E.—Mr. T. Hickling, Sulgrave; Mr.W. A. Hardiker, Brymbo; Mr.W. R. Hanbury, Sidmouth; Mr.Hannah, Ashton-in- Makerfield ;Mr. F. A. Hallsworth, Ather-stone ; Messrs. Hogg and Son,Lond. ; Messrs. Hill and Hoggan,Glasg. ; Messrs. Hunter andHunter, Lond.; Hamilton Asso-ciation, Lond.

J.-Justice, Lond.; J. W., Lond.

K.-Mr. T. S. Keys, Mumbles; Mr.W. R. Kingdon, Lond.; Mr. B. C.Kendall, Helston.

Down; Mr. A. Leckie, Lond.;Messrs. Lee and Nightingale,Liverpool ; Messrs. Lyde andRoper, Lond. ; Leicester, Boroughof, Accountant of; Levis, Lond. ;Locum, Leicester.

M.-Mr. G. T. May, Tunstall; Mr.J. Menzies, Worksop; Capt.A. M. M’Murdo, Hampton Court;Messrs. Margrave Bros., Llan-elly ; Messrs. Maythorn and Son,Biggleswade ; Maltine Manu-facturing Co., Lond.; Medicus,Dover; Marlborough, Loud.; M.,Lond.

N.-Dr. J. Niven, Manchester ; Dr.A. Nasmyth, Kelsy, Fife; Dr. F.Noble, Radfield; Mr. H. Nutt,Sherborne; National ProvidentInstitution, Lond., Sec. of;N. P., Lond.

O.-Mr. E. Owen, Lond. ; Oxon andBerks Bank, Oxford, Manager of.

p.-Dr. J. Phillips, Lond. ; Dr. G,Phillips, Ashton-in-Makerfield ;Dr. C. S. Pantin, Douglas, Isleof Man; Mr. E. W. Paul, West

, Cowes; Mr. M. Pepper, Dover;Mr. F. Pawsey, Ipswich; Messrs.Potter and Sacker, Lond.; Pro-gress, Lond.; Peritus, Lond.

R.-Dr. W. Robertson, Johannes-burg ; Miss Robertson, Hawk-hurst ; Miss Rogers, Manning-ham ; Messrs. Richardson andCo., Leicester ; Messrs. Robertsand Co., Lond.; Messrs. Riddleand Co., Lond. ; Messrs. Robbinsand Co., Lond.; Radix, Lond.;R. R., Lond.

S.—Dr. G. Sturrock, Leicester; Dr.J. B. Spence, Burntwood; St.Mary’s Hosp. for Sick Children,Plaistow ; Sheffield Banking Co.,Manager of ; Sussex CountyHosp., Brighton, Sec. of; Stable,

Lond. ; Scoliosis, Londs Septi-mus, Lond.; S. W., Lond.; Sur-geon, Liverpool.

T.-Dr. Taylor, Birmingham; Dr.C. N. Thomas, Mexborough; Mr.J. Thin, Edin. ; Mr. G. A. Tailer,Broseley ; Messrs. Turner and

Harrington,Lond.; Tower HouseRetreat, Westgate-on-Sea; Titus,Lond.

V.-Veritas, Lond.

W.-Mr. W. H. Wilcox, Lond.; Mr.F. W. Waters, Coningsby; Mr.A. Watts, Boxted; Rev. A. W.Waters, Farnham,Surrey; Messrs,Wilcox and Co., Lond. ; West-minster College. Trinity-square,

, Principal of; W. L. K., Lond.,Wilts, Lond.; W. E. M., Lond.

SUBSCRIPTION.POST FREE TO ANY PART OF THN UNITED KINGDOM.

One Year ... ... ... ... ... ... ... ..£l 12 Six Months ....» ............... 0 18 aThree Months ...... 0 8 2

’!POST FBEB TO THR CONTINENT, OOLONIES, UNITED STATES, INDIA,OEINA, AND ALL PLACES ABROAD.

One Year ........................ £1 14 8Six Months ... ... ... ... ... .., ... 0 17 4Thre.e Months ..................... 0 8 8

Bubscr.ptions (which may commence at any time) are payable inadvance.Cheques and Post Office Orders (crossed "London and Westminster

Bank, Westminster Branch") should be made payable to Mr. CharelesGOOD. Manager, THE LANCNT Office, 423, Strand, London.

ADVERTISING.Books and Publications ... Seven Lines and under t8 5 IOmcia and General Announcements Ditto 0 5 0Trade and Miscellaneous Advertisements Ditto 0 4 8

Every additional Line 0 0 6First Page (under Contents) when space available(Books only) ......... Five Lines and under 0 5 0

Every additional Line 0 1 9Quarter Page ... ... ... ... ... 1 10 0Half a Page ... ... ... ... ... ... ... 2 16 0An Entire Page ................... 6 6 8Terms for Position Pages and Serial Insertions on application.

NOTICE.-Advertisers are requested to observe that it is contrary tothe Postal Regulations to receive at Post Offices letters addremed tofictitious names or initials only.

An original and novel feature of I THE LANCET General Advertiser" is a special Index to Advertisements on pages 2 and 4,whioh not onlydfords a ready means of finding any notice, but is in itself an additional advertisement.Advertisements (to ensure insertion the same week) should be delivered at the Office not later than Wednesday, acccommpanied by a remittance.

, Answers are now received at this Office, by special arrangement, to Advertisements appearing in THE LANCET.The Manager cannot hold himself responsible for the return of testimonials &o. sent to the Office in reply to advertisements; coplee only

should be forwarded.Terms for Serial Insertions may be obtained of the Manager, to whom all letters relating to Advertisements or Subscriptions should be addreued.TBw LANCET can be obtained at all Messrs. W. H. Smith and Son’s and other Railway Bookstalls throughout the United KInId8.

Advertisements are also received by them and all other Advertising Agents.

Atsent for the Advertisement Department in France—J. ASTIER, 8. Rue Traversiere. Asnieres Paris


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