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Notes, Short Comments, and Answers to Correspondents

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1633 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 haroing a medical interest, or which it is desirable to brinq under the notice of the profession, may be sent direct to this Office. Lectures, original articles, and reports should be written on one side of the paper only, AND, WHEN ACCOMPANIED BY BLOCKS, IT IS REQUESTED THAT THE NAME OF THE AUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULD BE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI- FICATION. Letters, whether intended for insertion or for private nforma- tion, must be authenticated by the names and addresses of their writers, not necessarily for publication. We cannot prescribe or recommend practitioners. Local papers containing reports or news paragraphs should be marked and addressed " To the Sub-Editor." Letters relating to the publication, sale, and advertising de- partments of THE LANCET should be addressed " To the Manager." We cannot undertake to return MSS. not used. FORCIBLE REDUCTION IN POTT’S DiSEASN. LE Traitement du Mal de Pott. (The Treatment of Pott’s Disease.) Par le Dr. A. Chipault (de Paris). Paris: Masson et Cie. Pp. 35. ’1897. Price 1 fr. 25 c. The recent discussion at the Clinical Society of London on the immediate reduction of the deformity in cases of "angular curvature" of the spine showed how few are the facts at present at our disposal for forming an opinion on this subject. This little pamphlet deals with the whole question of the treatment of caiies of the spine and though advocating the treatment by immediate reduction of the deformity does not Pieglect the other methods of treatment with which we are - better acquainted. Dr. Chipault claims that he was the first .to perform immediate reduction with subsequent fixation. This was done in September, 1893, and the straightened position of the spine was maintained by ligaturing together the spinous pro- cesses of the affected vertebrae. Dr. Chipault’s method differs in an .important particular from that advocated by Dr. Calot in that he does not approve of the application of any violence and he considers that only those spines should be straightened which can easily be extended under chloroform. He also attaches great importance to the wiring of the Epinous processes. As to the results Dr. Chipault men- tioned at the Dixième Congrès Français de Chirurgie in October,1896, that his patients have recovered without any curvature and without - any trace of their spinal disease " except a little local stiffness." Time alone can show the exact value of the method. "THE ’MASSAGE-KIDNEY."’ To the Editors of THE LANCET. SIRS,-An article that appeared in THE LANCET of Oct. 2nd entitled The Massage-Kidney’" seems to me to be in some respects unfair to English masseuses. It is perfectly true that their training is not what it ought to be, but that is their misfortune, not their fault. No such ’opportunities have ever been given them of learning " anatomy, phy- siology, and pathology " as the Swedish pupil masseurs and masseuses enjoy. A knowledge of those subjects obtained from pictures - and diagrams must necpssarily be imperfect and unsatisfactory. Place some of the advantages given in Sweden in their way, .give them the facilities for seeing demonstrations in anatomy, and then if Englishwomen do not avail themselves of them it will be their own ault. I claim no special privileges for masseuses; I think that, like nurses, they should take thtir orders from medical men and execute them faithfully and loyally, nor do I see that a long training would be a ardship to them more than to nurses.-I am, Sirs, yours faithfully, Dec. 6th, 1897. M. M. "THE SCHOLAR IN MEDICINE" To the Editors of THE LANCET. SIRS.—With your permission I shall supplement the list of scholars in medicine who attained di.tinction in other walks than that of the medical profession but who are so seldom referred to by medical writers as to give rise to the thought that they are almost forgotten. To avoid trespassing too much on your space I name only those who were natives of the British Isles : John Arbuthnot, author of "Scribilerius"; Wm. Barrington, of Coleraine, founder of the Geo- logical Society ; Thomas Beddoes, the linguist; John Bell, whose work on Italy justifies bis inclusion; J. Berkenhout, of Leeds, author of the " Outlines of the Natural History of Great Britain and Ireland "; Wm. Black, of Belfast, author of the " Geyser and Rikam Springs in Iceland"; George Cheyne, author of "Physiological Principles of Natural Religion"; Erasmus Darwin, author of the "Phyloiogia"; Samuel Garth, translator of Ovid’s "Metamorphoses"; Francis Glil’son, the Aristotelian scholar; Samuel Gmelin, the scientist; Oliver Goldsmith, (?) the poet; John Gerarde, the traveller and botanist ; John Mason Good, the translator of " Lucretius " ; William Musgrave, the antiquarian; Mungo Park, the African explorer ; Thomas Percival, founder of the Manchester Philosuphical Society; Sir Wm. Petty, author of the "Political Anatomy of Ireland"; Archibald Pitcairne, the mathematician; John Radcliffe, founder of the Radcliffe Library; Sir William Wilde, author of the "Valley of the Boyne"; William Withering, the mineralogist; John Wolcott, the satirist; William Woodville, author of the " Medical Botany"; Robert Willan, the anti- quarian. I regret that time does not allow of my making a more exact list, but the above may interest some of your readers. I am, Sirs, yours faithfully, Cavendish-row, Dublin, Dec. llth, 1897. GEORGE Foy. Studtnt will find all the information he wants in the ordinary books of reference, the information in which he might supplement by con- sulting Murchison’s classical work. THE MUNICIPALISATION OF MILK SUPPLY. THE medical officer of health for Devonport, Mr. May, jun., thinks that it would be an excellent thing if all cowsheds were the property of the corporation, built according to the most approved plans and not of the makeshift character seen at present, the result of inse- curity of tenure in many cases. It is highly desirable that such an absorbent article as milk should not run the risk of contamination from the neighbourhood of unsavoury piggeries and as there are in the borough of Devonport forty-five piggeries, of which thirty-four are kept by cowkeepers and of which only eight, we understand, are efficiently constructed, the Sanitary Committee might well give the matter their best attention. " STONE v. CEMENT." To the Editors of THE LANCET. SIRS,-The inquiry of " S., M.D." published in THE LANCET of the llth inst. as to whether the manufacture of cement as used in old abbeys, castles, &c., is a lost art is a point which must have occurred to many intelested in ancient buildings when examining architectural work of the 12th century and earlier dates. Our forefathers made use of shell lime-that is, lime burnt from cockles and other shells mixed with sharp sand. St. Paul’s Cathedral was built with this mortar. Another strong mortar was made from terra puzzolana imported from Civita Vecchia; indeed, it was this which John Smeaton employed in cementing the granite blocks of the Eddystone Light- house in the year 1757, which mortar I found to be in excellent state of preservation when I demolished the edifice in the year 1881. The limes of to-day are frequently insufficiently burnt. These are mixed with road sweepings, dirty ashes and the like substances of a greasy nature; hence the setting properties of the limes are destroyed. Roman cement has given place to Portland of late years. This latter when carefully manufactured and mixed with sharp sand forms a very strong mortar or stucco greatly superior to the cement quoted by " S., M.D." The admixture of a solution of silica to the mortar will be found to be highly beneficial in excluding moisture. The architectural stone and concrete slabs manufactured by the Victoria Stone Company are steeped in silica baths with the result that disintegration is entirely obviated. Bath, Portland and other building stones are of a porous nature, are deficient in silica and admit moisture into their interstices, resulting in the stones themselves crumbling away when exposed to frost. I am, Sirs, yours faithfully, Victoria-street, Westminster, Dec. 15th, 1897. W. T. DOUGLASS. Vox Clamantis.-The term suggested is a picturesque and forcible one and employed by a classical writer might pass into the medical vocabulary. THE HOT-AIR TREATMENT OF OSTEO-ARTHRITIS. "A. P. C.," who inquires the name of the best treatise on this subject is referred to the papers which appeared in THE LANCET on the following dates:-1895, vol. i. : p. 112 (Jan. 12th). 1896, Vol. ii. : p. 593 (Aug. 29th); p. 1057 (Oct. 10th); p. 1130 (Oct. 17th) ; p. 1281 (Oct. 31st) p. 1355 (Nov. 7th); p.1433 (Nov. 14th). 1897, vol. i.: p. 88 (Jan. 10th); p. 122 (Jan. 17th); vol. ii.: p. 1119 (Oct. 30th).
Transcript
Page 1: Notes, Short Comments, and Answers to Correspondents

1633

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

IT is most important that communications relating to theEditorial business of THE LANCET should be addressedexclusively 11 TO THE EDITORS," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention begiven to this notice. -

It is especially requested that early intelligence of local eventsharoing a medical interest, or which it is desirable to brinqunder the notice of the profession, may be sent direct tothis Office.

Lectures, original articles, and reports should be written onone side of the paper only, AND, WHEN ACCOMPANIEDBY BLOCKS, IT IS REQUESTED THAT THE NAME OF THEAUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-FICATION.

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

We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should be

marked and addressed " To the Sub-Editor."

Letters relating to the publication, sale, and advertising de-partments of THE LANCET should be addressed " To theManager."

We cannot undertake to return MSS. not used.

FORCIBLE REDUCTION IN POTT’S DiSEASN.

LE Traitement du Mal de Pott. (The Treatment of Pott’s Disease.)Par le Dr. A. Chipault (de Paris). Paris: Masson et Cie. Pp. 35.’1897. Price 1 fr. 25 c. The recent discussion at the Clinical

Society of London on the immediate reduction of the deformityin cases of "angular curvature" of the spine showed howfew are the facts at present at our disposal for forming an opinion onthis subject. This little pamphlet deals with the whole question ofthe treatment of caiies of the spine and though advocating thetreatment by immediate reduction of the deformity does not

Pieglect the other methods of treatment with which we are

- better acquainted. Dr. Chipault claims that he was the first

.to perform immediate reduction with subsequent fixation. This

was done in September, 1893, and the straightened positionof the spine was maintained by ligaturing together the spinous pro-cesses of the affected vertebrae. Dr. Chipault’s method differs in an.important particular from that advocated by Dr. Calot in that he doesnot approve of the application of any violence and he considers thatonly those spines should be straightened which can easily be

extended under chloroform. He also attaches great importance to thewiring of the Epinous processes. As to the results Dr. Chipault men-tioned at the Dixième Congrès Français de Chirurgie in October,1896,that his patients have recovered without any curvature and without- any trace of their spinal disease " except a little local stiffness." Timealone can show the exact value of the method.

"THE ’MASSAGE-KIDNEY."’

To the Editors of THE LANCET.

SIRS,-An article that appeared in THE LANCET of Oct. 2nd entitledThe Massage-Kidney’" seems to me to be in some respects unfair toEnglish masseuses. It is perfectly true that their training is not whatit ought to be, but that is their misfortune, not their fault. No such’opportunities have ever been given them of learning " anatomy, phy-siology, and pathology " as the Swedish pupil masseurs and masseusesenjoy. A knowledge of those subjects obtained from pictures- and diagrams must necpssarily be imperfect and unsatisfactory.Place some of the advantages given in Sweden in their way,.give them the facilities for seeing demonstrations in anatomy, and thenif Englishwomen do not avail themselves of them it will be their ownault. I claim no special privileges for masseuses; I think that, likenurses, they should take thtir orders from medical men and executethem faithfully and loyally, nor do I see that a long training would be aardship to them more than to nurses.-I am, Sirs, yours faithfully,Dec. 6th, 1897. M. M.

"THE SCHOLAR IN MEDICINE"

To the Editors of THE LANCET.SIRS.—With your permission I shall supplement the list of scholars

in medicine who attained di.tinction in other walks than that of themedical profession but who are so seldom referred to by medicalwriters as to give rise to the thought that they are almost forgotten.To avoid trespassing too much on your space I name only those whowere natives of the British Isles : John Arbuthnot, author of

"Scribilerius"; Wm. Barrington, of Coleraine, founder of the Geo-logical Society ; Thomas Beddoes, the linguist; John Bell, whose workon Italy justifies bis inclusion; J. Berkenhout, of Leeds, author of the" Outlines of the Natural History of Great Britain and Ireland "; Wm.Black, of Belfast, author of the " Geyser and Rikam Springs inIceland"; George Cheyne, author of "Physiological Principles ofNatural Religion"; Erasmus Darwin, author of the "Phyloiogia";Samuel Garth, translator of Ovid’s "Metamorphoses"; FrancisGlil’son, the Aristotelian scholar; Samuel Gmelin, the scientist; OliverGoldsmith, (?) the poet; John Gerarde, the traveller and botanist ;John Mason Good, the translator of " Lucretius " ; William Musgrave,the antiquarian; Mungo Park, the African explorer ; Thomas Percival,founder of the Manchester Philosuphical Society; Sir Wm. Petty,author of the "Political Anatomy of Ireland"; Archibald Pitcairne,the mathematician; John Radcliffe, founder of the Radcliffe Library;Sir William Wilde, author of the "Valley of the Boyne"; WilliamWithering, the mineralogist; John Wolcott, the satirist; William

Woodville, author of the " Medical Botany"; Robert Willan, the anti-quarian. I regret that time does not allow of my making a more exactlist, but the above may interest some of your readers.

I am, Sirs, yours faithfully,Cavendish-row, Dublin, Dec. llth, 1897. GEORGE Foy.

Studtnt will find all the information he wants in the ordinary books ofreference, the information in which he might supplement by con-sulting Murchison’s classical work.

THE MUNICIPALISATION OF MILK SUPPLY.

THE medical officer of health for Devonport, Mr. May, jun., thinks thatit would be an excellent thing if all cowsheds were the propertyof the corporation, built according to the most approved plans andnot of the makeshift character seen at present, the result of inse-curity of tenure in many cases. It is highly desirable that such anabsorbent article as milk should not run the risk of contamination

from the neighbourhood of unsavoury piggeries and as there are inthe borough of Devonport forty-five piggeries, of which thirty-fourare kept by cowkeepers and of which only eight, we understand, areefficiently constructed, the Sanitary Committee might well give thematter their best attention.

" STONE v. CEMENT."

To the Editors of THE LANCET.

SIRS,-The inquiry of " S., M.D." published in THE LANCET of thellth inst. as to whether the manufacture of cement as used in old

abbeys, castles, &c., is a lost art is a point which must have occurred tomany intelested in ancient buildings when examining architecturalwork of the 12th century and earlier dates. Our forefathers madeuse of shell lime-that is, lime burnt from cockles and other shellsmixed with sharp sand. St. Paul’s Cathedral was built with thismortar. Another strong mortar was made from terra puzzolanaimported from Civita Vecchia; indeed, it was this which John Smeatonemployed in cementing the granite blocks of the Eddystone Light-house in the year 1757, which mortar I found to be in excellent state ofpreservation when I demolished the edifice in the year 1881.The limes of to-day are frequently insufficiently burnt. These are

mixed with road sweepings, dirty ashes and the like substances of agreasy nature; hence the setting properties of the limes are destroyed.Roman cement has given place to Portland of late years. This latterwhen carefully manufactured and mixed with sharp sand forms a verystrong mortar or stucco greatly superior to the cement quoted by" S., M.D." The admixture of a solution of silica to the mortar will befound to be highly beneficial in excluding moisture. The architecturalstone and concrete slabs manufactured by the Victoria Stone Companyare steeped in silica baths with the result that disintegration is entirelyobviated. Bath, Portland and other building stones are of a porousnature, are deficient in silica and admit moisture into their interstices,resulting in the stones themselves crumbling away when exposed tofrost. I am, Sirs, yours faithfully,

Victoria-street, Westminster, Dec. 15th, 1897. W. T. DOUGLASS.

Vox Clamantis.-The term suggested is a picturesque and forcibleone and employed by a classical writer might pass into the medicalvocabulary.

THE HOT-AIR TREATMENT OF OSTEO-ARTHRITIS.

"A. P. C.," who inquires the name of the best treatise on this subjectis referred to the papers which appeared in THE LANCET on thefollowing dates:-1895, vol. i. : p. 112 (Jan. 12th). 1896, Vol. ii. : p. 593(Aug. 29th); p. 1057 (Oct. 10th); p. 1130 (Oct. 17th) ; p. 1281 (Oct. 31st)p. 1355 (Nov. 7th); p.1433 (Nov. 14th). 1897, vol. i.: p. 88 (Jan. 10th);p. 122 (Jan. 17th); vol. ii.: p. 1119 (Oct. 30th).

Page 2: Notes, Short Comments, and Answers to Correspondents

1634

AN APPEAL.

To the Editors of THE LANCET.

SIRS,-By inserting the enclosed appeal on behalf of the MissesIreland you will be doing a kind and most charitable action. I haveknown them for the past thirty years and can spealc in the highestterms about them and their patient and long-enduring struggle duringall that time. Theirs is a case which in every way is deserving.

I am, Sirs, yours faithfully,E. R. TENISON, M.D. St.And., L.R.C.P. Lund.,

M.R.C.S. Eng., late R.N.Uxbridge-road, London, W.. Dec. 14th, 1897.

[ENCLOSURE.]Miss Caroline and Miss J. J. Ireland, aged respectively fifty-eight

and fifty-six years, are without any means of support and have not asingle relation in a position to help them. Their father was a medicalman in Finsbury; he died when his daughters were quite young andthey have up to now supported themselves by teaching, but are nolonger able to get pupils, so their friends are making an effort to raisea sum of money to give them a small fixed income either by investmentor annuity. Donations will be most thankfully received by Mrs.Stanley Brown, Cypress House, Dulwich Common, or by Mrs. JohnIreland, Bourne End, Bucks.

The Proprietors of THE LANCET ......... :E5 £5 0

Mr. W. Henry Hillyer is thanked for his communication.

HYGIENE FOR TRAVELLERS IN FRANCIEC.

"A LITTLE Hygiene, if you please," is the title under which Dr. G.Morice draws attention in the French press to a matter which

closely concer ..ne British travelling public. In France disinfec-

tion is obligatory when animals have been transported by rail but inthe case of human beings nothing of the kind is either prescribed orpractised. Whether the compartments of a railway carriage arerichly padded above and below or else merely cushioned they allafford lodging space for innumerable colonies of microbes; but

although these and several other defects have been pointed out overand over again by Dr. Napias, Dr. Mauriac (of Bordeaux) and manymore no serious attempt has ever been made by those in authority toapply a remedy. Perfunctory sweeping, or the swashing of a bucket-ful or two of water over the floor can scarcely be dignified as asanitary measure but nothing more than this is ever done underthe sway of the routine-ridden administrations that at present areall-powerful. Passing from railways to hotels Dr. Morice next

inveighs against the sanitary shortcomings that are to be met within pretty nearly the whole of the houses of entertainment through-out the country whether these be sumptuous palaces or humble

auberges. Feather beds are supposed to encourage the illusion ofhome comforts but although suitable enough in private housesthese appliances become absolutely dangerous when used by anever-changing succession of sleepers. What the public wants is notspurious luxury but comfortable cleanliness and landlords would dowell to bear the fact in mind. A well ventilated and properly lightedapartment, an iron or brass bedstead devoid of curtains and

valance, sweet-smelling bed linen and coverlets, walls and

floor both covered with a material that will bear frequentwashing, furniture simple, ucpaddej and undraped-such are thechief heads under which a modern traveller’s bedroom requirementsmay be classed. But before all the latrine accommodation should be

above reproach. At present the filthiness of hotel privies in Franceis for the most part excessive. So much so, indeed, that in theirRevue the Touring-Club have commenced what they call " La

Croisade des W. C." " First nation in the world for touring, roads,and climate," says Dr. Morice in conclusion, "we are not yet withinmeasurable distance of the English, the Americans, or even theSwiss as regards ordinary comfort in our retiring closets. Then putyour shoulders to the wheel, French landlords, and by payinga little attention to hygiene enable your Golden Lions’ and

your ’White Horses’ to at length earn the respect of their

patrons." According to an anonymous writer on the same subjectthe people who expectorate promiscuously in railway carriages,omnibuses, &c., are the chief offenders against decency and

sanitation. Until women are allowed to dispense with skirts

and appear uncriticised in rational costume, says this bold

hygienist, they must when making use of public vehicles continueexposed to the risk of soiling their petticoats with most offensive anddangerous filth. On a journey women, he says, are generallyencumbered with babies and parcels and it thug becomes impossiblefor them to at,tend properly to their drapery when about to taketheir scats.

A GOLD MEDAL has been awarded to Messrs. Arnold and Sons, of

26, 30, and 31, West Smithtleld and 1, 2, and 3, Giltspur-street, E.C..at the Victorian Era Exhibition for excellence in manufacture of

surgical imtruments.

TAKA-DIASTASE.

To the Editors oj THE LANCET.SIRS,-I do not know what the experience of the profession is with

regard to takn-diastase or how far the preparation is generally known,but it may be worth while to record the results of its exhibition in acase which was typical as regards those points for which it is recom-mended. The patient—my son-is a lad aged sixteen years. He hasduring the past three or four years been subject to lengthened attacksof post-pyloric or duodenal dyspepsia. In January last he sufferedfrom an attack of an aggravated nature. There was pain in theepigastrium, with diarrhœa and horribly fcetid stools, combinedwith anorexia, total inability to digest starchy foods, greatloss of flesh, and general languor. Pepsine in every form andIn all combinations was tried and the changes were rung upon allthe best known anti-dyspeptic remedies but without any adequate-result. Some time since I decided to try " taka-diastase " and adminis-tered tablets containing 2 gr. each three times a day immediatelybefore meals. Within four days of commencing to take this remedy theacuteness of the symptoms diminished and at the end of sixteendays they were entirelv gone and the boy-save and except fromlthe debility left by his illness-was practically well. I continuedthe use of the drug, however, for about a month as a matter of pre-caution. The languor and debility have quite left him, he eats well,and has put on flesh. I think we have in this remedy an agent’which will prove of very great value in many forms of hithertoalmost intractable inte3tinal dyspepia combined with liability to.assimilate starchy food. I am, Sirs, yours faithfully,Dec. 14th, 1897. M.O.H.

A full account from THE LANCET Laboratory of the nature and properties of taka-diastase appeared in THE LANCET, May 25th, 1895,p. 1332. A further note on taka-diastase in dyspepsialand goufr.appeared in THE LANCET, March 13th, 1897, p. 755.-ED. L.

Colonial is advised to see the Registrar of the General Medical Council’immediately and take with him the ordinary proofs of identity. If healso has a letter from the dean of his old medical school and oan

point out his name on the Register we are sure that facilities will be given to him for regularising his position.

ANGINA : ITS PRONUNCIATION.

A CORRESPONDENT writes : - This word is commonly proncruneedi"angina" but wrongly. Etymology and metrical usage, from the’earliest monuments of Latin literature down to the decadence of the

language, make it "angina:’ Derived from the Greek &agr;&ggr;&khgr;&ngr;(a throttling, a convulsive pain), we find the originally short penultmaintained in the hexameter of Lucilius (Horace’s master in satiricpoetry) who died at Naples 103 B.C.:—

" Insperato abiit quem una angina sustulit hora "

(Unexpectedly did he depart whom quinsy carried off in one hour)..Again in the " Triniiminus " (v. 540), now in course of representationat Westminster School, the slave Stasimus says

" Sues moriuntur anglna acri acerrume"

(Pigs die very violently of a sharp quinsy). Once more Q. Serenns.Sammonicus, the celehrated physician who was murdered by theEmperor Caracalla 212 A.D., has the following hexameter in his

" De Medicina Præcepta ":-"Angtna vero sibi mixtum sale poscit acetum

"

(But quinsy demands for itself vinegar mixed with salt). And yet inillustration of what a famous scholar has called the " hereditaryfudge" which haunts our lexicons, such authoritative Latin dietionaries as Riddle and White’s or the late Sir William Smith’s perpetuate " angina without misgiving.

***The 1885 edition of "Smith’s Smaller Latin-English Dictionary’’has "angina."—ED. L.

Enquirer.-The reason for the exception is certairly the special note in.the London Calendar. This note was designed to mark the difference-between the "doctor "and the "bachelor." Recently other univer-sities have shown themselves desirous of emphasising the dis

tinction, so that we should not be surprised if they published some,such similar note or expression of opinion.

"A TESTIMONIAL TO DR. JOHN T. ARLIDGE."

To the Editors of THB LANCRT.

SIRS,—May I ask you to insert In THE LANCET the following addi-tional list of contributors to the Arlidge testimonial fund and muchoblige Yours faithfully,

10, Upper Merrion-street, Dublin, Dec. 14tb, 1897. C. F. MOORE.

- s.d. C s. d.Mr. Wm.E. Bowers...... 5 5 0 Miss E. Constance Brown-

£ s. d.

Mr. Fredk. Allen ...... 1 1 0 ueld ............... 2 2 0’Dr. Geo. W. Balfour ... 1 1 0 Dr. Lloyd Roberts ...... 2 2 0

P.S.-In previous lists the name "Mr. John Strick" should have.been Colonel John Strick, C.B., and the name of "Mary Ford" should,have appeared as Mrs. Ford.

Page 3: Notes, Short Comments, and Answers to Correspondents

1635

"AN ACTION FOR MALPRAXIS IN DENTISTRY."

, To the Editors of THE LANCET.

SIRS.—In reply to your comment upon the above case in THE

LANCET of Dec. 4th permit me to make the following statement ofacts elicited at the trial. 1. The patient suffered from great swellinj.of the gums, face and neck and from severe deeply seated and widet;spread pain in the right upper jaw which was unrelieved by the extraction of tooth after tooth by two different dentists. 2. Five weekafterwards a piece of dead bone from the alveolar border of the jaw wathrown off, and it was contended that this was a proof o

fracture of the jaw having taken place at the time o

the first tooth extraction, whereas the medical witnesses fo:the defence held that the symptoms from beginning to end werenot those of fracture but of periostitis with subsequent necrosie.and this diagnosis was confirmed by the facts that the fossa of tb(

’ extracted tooth was perfectly smooth and entire, that the other teetlin the affected jaw subsequently dropped out, and that fragments oinecrosed bone continued to be discharged up to the day before the trial’Under these circumstances they had no hesitation in giving evidencefor the defendant even though he was unregistered, as they werEsatisfied that he had not been guilty of the malpraxis with which hcwas charged and that the case was one of disease of the jaw and notfracture. In further justification it may be stated that the medical"evidence was given upon subpcena. It is difficult to understand theverdict of the jury because had the jaw been fractured the plaintif!-should have been awarded substantial damages and if it was notCractured then he was entitled to nothing.

I am, Sirs, yours faithfully,Dec. 13th. 1897. DFR.TA.

MOIVHS AS A MEANS OF SPREADING DISEASE.

AN American health journal has recently published an interesting articleon Money considered as "the chariot of disease." Although thequestion is treated from an extreme point of view and the article

throughout is somewhat imaginative, nevertheless it must be con.ceded that it contains the germs of truth. Under certain circum-

stances it is quite possible, and even probable, that the transferenceof money in any form from hand to hand may be made the vehicle

- of infection. The article referred to traces the supposititious careerof a silver coin and draws attention to the disastrous results that are

likely to attend its progress in the following words : "Watch a 25 cent,piece for four days. On Wednesday it is taken from the bank bright;and clean and carried for a few hours in a smart purse ; it then pays.a cab fare and goes into a dirty old pocket with questionable asso-ciates; it buys some tobacco, goes into a till, but very soon is given’out in change to an old consumptive who ties it up in the corner of

handkerchief that is completely loaded with tuberculosis germs,’where it remains over night. On Thursday morning it is given tothe servant to buy milk; she holds it between her lips while she tiesher handkerchief over her head, rushes out to the milk wagon, andpasses it on to the dairyman who for convenience holds it in his’mouth while he gets out his purse to find the required change.An hour later it is passed on and goes into a house where

there is diphtheria, scarlet fever, or typhoid fever." It is pointed outtthat much of the danger of spreading infection by these means is due ’,,’,o the habib the majority of people have of placing money in the ’,mouth just as they do a pencil or pen. A brief reference is made to paper money, showing that while it is not so frequently placed in the mouth it becomes far more filthy than coin and stating that it is’doubtless quite as often the chariot of deadly virus when viewed from’3. health standpoint. The article ends with the suggestion that theUnited States Government should take steps in the matter and- should pnforce regulations whereby all circulating currency should befrequently fumigated and the coin chemically cleaned.

A NEW CYCLE SADDLE.

To the Editors of THE LA.NCET.

SIRS,—The accompanying illustration sl:ows a cycle saddle made byMessrs. Mason and Sons, of Birmingham, which, having fully tried, Iam so pleased with that I think it ought to be known to the profession.

Iit is simple in construction, well made, affords a broad, comfortable,firm seat and entirely obviates perineal pressure. It is moderate in

price. I am, Sirs. yours faithfully,Finsbury-pavement, E.C., Dec. 14th, 1897. JAMES MAC Mmm.

METEOROLOGICAL R E A D I N G S.(Taken daily at 8.30 a.m. by Steward’s Instruments.)

THE LANCET Office, Dec. 16th, 1897.

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY 20th).-London (2 P.m.), St. Bartholomew’s (1.30 P.M.), StThomas s (3.30 P.M.), St. George’s (2 P.M., Ophthalmic 1.15 P.M.).

St. Mary’s (2.30 P.M.), Middlesex (1.30 P.M.), St. Mark’s (2 P.M.),Chelsea (2 P.M.), Samaritan (Gynaeeologieal, by Physicians, 2 P.M.),Soho-square (2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic(4 P.M.), Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.),Westminster (2 P.M.).

TUESDAY (21st).-London (2P.M.), St. Bartholomew’s (1.30 P.M.), Guy’s(1.30 P.M.), St. Thomas’s (3.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.). St. Mary’s (1 P.M.), St. Mark’s(2.30 P.M.). Cancer (2 P.M.), Metropolitan (2.30 P.M.).

WEDNESDAY (22nd).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.),St. Mary’s (2 P.M.), National Orthopedic (10 A.M), St. Peter’s (2 P.M.),Samaritan (2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. NorthernCentral (2.30 P.M.), Westminster (2 P.M.), Metropolitan (2.30 P.M.).

THURSDAY (23rd).-St. Bartholomew’s (1.30 P.M.), St. Thomas’a(3.30 P.M.), University College (2 P.M.), Charing-cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynæco-logical, 2.30 P.M.), Metropolitan (2 30 P.M.).

FRIDAY (24th).-London (2 P.M.), Ot. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.). Middlesex (1.30 P.M.), Charing-cross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary e(2 P.M., Ophthalmic 10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), CItNorthern Central (2.30 P.M.), West London (2.30 P.M.).

SATURDAY (25th).-Royal Free (9A.M.and 2P.M.), Middlesex, (1.3OP.M.), ),St. Thomas’s (2 P.M.), London (2 P.M.), University College (9.15 A.M.),Charing-cross (3 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.),Cancer (2 P.M.).

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

SOCIETIES.TUESDAY (21st).-PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M.

i Mr. F. C. Abbott: Congenital Abnormality of the Sternum andDiaphragm with Downward Displacement of the Heart.-Mr. L.Guthrie : A Femur from a Case of Fragilitas Ossium.-Mr. H.Wellington : A Specimen of Spina Bifida.-Dr. W. Hunter: Gummaof the Pituitary Body.-Dr. T. J. Bokenham: The Immunisation ofAnimals against (1) Typhiod, (2) Streptococcus Infection, with anAccount of the Properties acquired by the Serum of Animals thusmade Immune.-Dr. G. F- Still: Congenital Cystic Kidney asso-ciated with Cystic Liver.-Mr. A. Voelcker: Ulceration of a CaseousGland into the Bronchus, Death from Asphyxia.-Mr. StrangewaysPigg : A Case of Carcinoma Testis (card specimen). Dr. L. Freyberger

, will shew a specimen.’ LECTURES, ADDRESSES, DEMONSTRATIONS, ETC.TUESDAY (21st).-HOSPITAL FOR NERVOUS DISEASES (73, Welbeck-

street).-4.30 P.M. Dr. B. Cctterell : On tha Surgery of the SpinalColumn,

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Blooms-bury). —3.30 P.M. Dr. Taylor.

During the week marked copies of the following newspapershave been received : Glasgow Herald, Dundee Advertiser, KentishIndependent, Western Morning News, Somerset County Herald,Insurance Observer, Kendal mercury, Northampton Daily Chronicle,Bedford Standard, Manchester Guardian, South Wales Daily News,Times oj India, Newcastle Leader, Pioneer Mail, Eastern Daily News,Durham Chronicle, Grimsby News, Architect, Essex County Chronicle,Liverpool Daily Post, Grantharn Journal, Builder, West JlidalesexGazette, Leicester Post, Wiltshire County Mirror, Bristol Mercury,Sussex Daily News, Worcester Chronicle, Birmingham Gazette,Leeds Mercury, Halifax Guardian, Derbyshire Courier, HampshireTelepraph, Scotsman, Cheltenham Examiner, Yorkshire Post, PrestonHerald, Evesham Journa,l, Brighton Gazette, Sanitary Record, LoccclGovernment Chronicle, Stratford-upon-Avon Herald, Reading Mercury,Hertfordshire 62’ercnrll, City Press, Belfast News Letter, SurreyAdvertiser, Local Government Journal, ld’eekly Free Press andAberdeen Herald, Mining Journal, Walsall Free Press, WesternMail, Liverpool Mercury, Putney and Wandsworth Borough News,Shields Daily News, Larne Times, Deusbury Chronicle, Bootle Times,West Middlesex Heradd, &c., &c.


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