431

ROYAL HANTS COUNTY HOSPITAL, Winchester.-House Surgeon, un-married. Salary jB65 per annum, rising to ;C75, with board,residence. &c.

ROYAL SEA BATHING HOSPITAL, Margate.-Resident Surgeon. Salary:ClOO. with board and residence. Apply to the Secretary, Royal SeaBathing Hospital Offices, 30, Charing-cross, London.

SALFORD ROYAL HOSPITAL.—House Surgeon for twelve months.Salary ;CIOO per annum, with board and residence.

ST. THOMAS’S HOSPITAL.—Vacancy for a Physician.SEAMEN’S HOSPITAL SOCIETY (Dreadnought), Greenwich.-Senior House ’

Surgeon. Salary E75 per annum, with board and residence, and anadditional B25 per annum conditionally. Also House Surgeon.Salary E50 per annum, with board and residence. These vacanciesare for Officers at the Branch Hospital in the Royal Victoria andAlbert Docks.

STOCKPOM INFIRMARY.-Junior Assistant House Surgeon for sixmonths. Salary B2 per mensem, with residence, board, andwashing.

SURREY DISPENSARY, Southwark, S.E.-Physician. Honorarium50 guineas per annum.

TOTTENHAM HOSPITAL.-Honorary Physician to In-patients.VENTNOR ROYAL NATIONAL HOSPITAL FOR CONSUMPTION AND DISEASES

OF THE CHEST.—Assistant Resident Medical Officer. Salary L100per annum. Apply to Dr. Parry, R.M.O.

WESTERN DISPENSARY, Rochester-row, Westminster.-ResidentMedical Officer, unmarried. Salary 100 guineas per annum, withfurnished rooms, coals, gas, and attendance.

WESTERN GENERAL DISPENSARY, Marylebone-road, London.-HouseSurgeon, unmarried.

WEST BROMWICH DISTRICT HOSPITAL. - Resident Assistant HouseSurgeon.-Salary 250 per annum, with board, &c.

WEST KENT GENERAL HOSPITAL, Maidstone.-Assistant House Surgeonfor six months. Honorarium at the rate of £50 per annum, withboard and residence.

WESTERN OPHTHALMIC HOSPITAL, 153, Marylebone-road, London.-Assistant Surgeon.

WORKSOP DISPENSARY HOSPITAL.-Resident Surgeon, unmarried.Salary jSt20 per annum, paid monthly, with increase whenhospital is opened. Rooms, coal, gas, furniture, and house-keeper provided. Apply to Mr. Charles A. Whall, Worksop.

Births, Marriages, and Deaths.BIRTHS.

Dan2aN.-On Feb. 6th, at Oakhurst, Dorridge, Knowle, Warwickshire,the wife of Karl A. Daman, L.D.S., of a daughter.

KIRKBY.—On Feb. 5th, at Maesteg, Glamorganshire, the wife ofWalter Kirkby, L.R.C.P. Edin., L.R.C.S. Edin., of a daughter.

Ross.-On Jan. 29th, at Burslem. Staffordshire, the wife of WilliamLevingston Ross, L.R.C.S. & L.R.C.P.I., of a son.

WINGFIELD.-On Feb. 3rd, at Winchester, the wife of Hugh E. Wing-field, M.D., of a daughter.

YouNG.-On Jan. 26th. at Hunmanby, Yorks, the wife of Charles A.Young, B.A. Cantab., M.R.C.S., L.R.C.P., of a son.

MARRIAGES.

EAST-TRIGGS.-On Feb. 3rd, at Holy Trinity, Bishops-road, Padding-ton, by the Rev. Edwin AHwright, M.A., William Norwood East,M.B. Lond., M.R.C.S, L.R.C.P., of Portland, Dorset, son ofW. Quartermaine East, to Linnie, only daughter of Mrs. Triggs,of 133, Westbourne-terrace, W.

STABB-HUNTLEY.-On Feb. 5th, at the Church of SS. Philip andJames, Cheltenham, William Wilking Stabb, M.D., of Torquay, toMary Gertrude, only daughter of the Rev. Osmond C. Huntley, ofBoxwell, Gloucestershire.

WARDEN-M’KENDRICK.-In the Bute Hall, University of Glasgow,on Saturday. Feb. 3rd, by the Very Rev. Principal Story, D.D., andthe Rev. Joseph Vickery, Castle-street Congregational Church,Dundee (uncle of the bride). Archd. A. Warden, M.A., M.D., Paris,to Rachel Mary, elder daughter of John Gray M’Kendrick. Pro-fessor of Physiology in the University of Glasgow. At home:after20th curt., 60, Avenue d’Jena, Paris.

DEATHS.ADAMs.-On Feb. 3rd, at Loudoun-road, N.W., William Adams,

F.R.C.S., aged 80 years.GRAINGER STEWART.-On Feb. 3rd, at Charlotte-square, Edinburgh,

Sir Thomas Grainger Stewart, M.D., LL.D., Physician in Ordinaryto Her Majesty the Queen in Scotland, and Professor of ThePractice of Physic in the University of Edinburgh.

MAXWELL—On Dec. 30th, 1899, at Wahroonga, Sydney, New SouthWales, Charles Mayne Maxwell, M.B., M.R.C.S., lately of Lasswade,Midlothian.

MYDDELTON-GAVEY.—On Feb. 4th, at 16, Broadwater’Down, Tun-bridge Wells, after influezza, Frances Caroline, the dearly lovedwife of E. H. Myddelton-Gavey, M.R.C.S. Eng., and daughter ofthe late Charles Catt of Summerhill, Lindfield, aged 41 years.

OAKELEY.-On Feb. 4th, at Lydart, Pepys-road, New Cross, S.E.,Charles Edward Oakeley, L.R.C.P., L.R.C.S.Edin., & L.M.,L.F.P.S. Glasg.

TURNER.—On Feb. 2nd, at St. Leonard’s, Frank Charlewood Turner,M.D., F.R.C.P.. Physician London Hospital, of Warren Wood,Wrotham, Kent.

WELLBORNE.-On Feb. 2nd, at Brixton, Richard Wellborne, M.D., :nhis eighty-fifth year. -

N.B,-A Jee of 5s. is charged for the insertion of Notices oJ Birth, ,

Marriages, and Deaths.

Notes, Short Comments, and Answersto Correspondents.

THE MEDICAL PROFESSION IN ENGLAND FROM A FRENCHPOINT OF VIEW.

WE have received a French paper-by name La Parfait Nourricier-forFebruary, 1900, containing an article entitled. "Les M6decins Anglais:Comment ils exercent leur Profession," by Dr. Edouard Montholon.The article is amusing and as being the view of a foreigner we thinka note of some of its more salient passages will interest our readers.Dr. Montholon commences by pointing out that in every othercountry but England the word " shop " and " doctor " (medecin)are in direct opposition and are only combined when it is wished toinsult the profession. It is otherwise in England, where the doctorcompares with an ordinary tradesman, whom he further resembles byselling medicines. Dr. Montholon gives an amusing description of a11 sixpenny "practice, but we think he is a little too generous in hisestimate that such a practitioner may be found in one street out offive. He visited many and says, "The consultation took from threeto five minutes, rarely more, and the form of question was alwaysthe same. Where do you feel bad? What do you complain of ?How long have you been ill? Do you drink?’ The answers given,the assistant scribbles a prescription, chooses a medicine alreadymade up from some within reach of his hand, and gives overthe lot to the patient, mentioning his fee. Next, please.Including the medicine the consultation costs one or two

shillings and very rarely more than three francs except inthe case of a dressing or of an operation." We cannot make outwhether this paper is only one of a series of articles or whether itis meant to be a picture of the universal state of medical practicein England, but we should fancy that the former was the case. Thepicture of the state of opinion among a certain class of patient is notoverdrawn when he says: "Public confidence is given to a medical manwho has lots to do rather than to a man of science and talent, to thechief practitioners at the large hospitals, or to the learned and literarymembers of the profession. In London men such as Pasteur, Charcot,Velpeau, and Peanare considered as amateurs and not as serious prac-titioners. Sir Joseph Lister and Sir James Paget are much less sough than a 1’ebouteux de faubourg who sees 200 patients a week in hisshop." Then comes the following amazing piece of information."At the most a cobbler would allow himself to be treated by SirWilliam Jenner, baronet and physician to the Queen, because at thebeginning of his career he was employed for 10 years in a druggist’sshop in Albany-street and five years in a ‘doctor’s shop’ at Hamp-stead." It is well known that when a very young man the late SirWilliam Jenner had his own way to make. We hardly fancy, how-ever, that this was how he gained the confidence of the cobblerclass. It must not be supposed that Dr. Montholon writes in acondemnatory spirit. On the contrary, he bewails the restrictivemeasures which prevail in France. There, of course, no medical manis allowed to sell medicines and therefore, according to Dr. Mon-tholon, half the practitioners are perishing from hunger.

THE SLAUGHTER- HOUSES IN ALDGATE HIGH-STREET.

MANY medical men, especially those whose student days were passedat St. Bartholomew’s or the London Hospital, will recollect a

picturesque, if somewhat odoriferous, row of some 15 butchers

shops in Aldgate High-street. Behind them were slaughter-houses,the operations in which were very fairly visible from the street andwhich, though necessary, were neither edifying nor pleasant. In frontof the shops the gutters often ran with blood and altogether theestablishments were thoroughly out of place in a large city. We learnfrom the City Press that a motion for their abolition is to be broughtforward at a near meeting of the Common Council. An ardent

archæologist might hope that the buildings will be left, for theyare interesting specimens of architecture and there is none too muchof Old London left, but for the abolition of the trade thereincarried on we have nothing but praise.

"THE MACKEY FUND."

To the Editors of THE LANCET.

SIRS,—On behalf of the "Mackey Fund I I beg to acknowledge thefollowing subscriptions:—Amount previously acknowledged, £15 10s.; ;Sir Thomas Smith, £5 5s.; Mr. 0. E. B. Limrick, £1 1 ls. ; Mr..1. B.Brady, 2s. 6d. ; A Friend, £10 ; An Old Friend, £5 ; Dr. J. Rawtrey

Benson, £ 1 1s. I am, Sirs, yours faithfully,LEONARD DOBSON, M.D. Lonil.I 59, Addison-gardens, Kensington, Feb. 7th, 1900.

"A DISCREDITABLE CIRCULAR."

ON several occasions in October and November last we commented onmedical advertising by a firm of chemists carrying on business at19, North Earl-street, Dublin, and on Nov. 4th (page 1273) we inserttia letter stating that the same address was given in the MedicalRegister and Medical Directory as that of a Mr. J. C. lielvaiter,L.R.C.S.I., and L.A.H. Our corespondent made the remark thatperhaps Mr. McWalter could offer s.)me explanation, and it is

stated that the Royal College of Surgeons in Ireland has decidedto give him an opportunity.

432

"IMPROPER ADVERTISEMENT."

To the Editors of THE LANCET.

SIRS,—Referring to the letter published by you in your issue of the23rd of December, 1899 (page 1790), in which a correspondent made acharge of improper advertisement against me, and referring to theletter from me to you, published by you in your issue of the 30th ofDecember, 1899 (page 1870), informing you that the statements con-tained in the said letter signed "Ethics" were absolutely untrue, I wasadvised to commence an action for libel against you in respect ofthe false statements which you were led through your corre-

spondent to make against me. In view, however, of the factthat you have in your issue of the 3rd inst. (page 355) unreservedlywithdrawn all the imputations made upon me in the said letter of yourcorrespondent and apologised for making the same and have doneeverything in your power to make reparation to me for the injuryyou have done me I am prepared to accept the apology which youhave made and so end the matter. I may add that my only object inprosecuting the action was to absolutely clear myself from anyimputation made against me, and this having been done I am satisfied.

I am, Sirs, yours faithfully,, Harley-street, 7th Feb., 1900, KARL FURTH.

PROFESSIONAL UNION. ,

WE have always maintained that for redressing the grievances and Iimproving the position of the medical profession no course of action I

_affords such hopeful prospects of success as the cultivation of afraternal spirit. Wherever disunion prevails there will be no lackof patients and others ready to take advantage of the conditionsimposed by the overcrowded state of the profession and to obtain theservices of medical practitioners on terms incommensurate with theoutlay of money and time which has been incurred in their educationand acceptable only to the necessitous. No further illustration ofthis is required than the fact that associations exist by means ofwhich large populations, not necessarily of the poorest, can obtainmedical attendance for a payment of 2d. per week or less. For thisreason we were glad to be able to make the announcement of theformation of the Birmingham and District General Medical Prac-titioners’ Union (THE LANCET, Dec. 30th, 1899, p. 1866), a list of theofficers of which’ will be found in THE;LANCET of Jan. 27th, p. 278. Astatement issued by the three joint honorary secretaries explains thatthe union has been formed during the last few months and hasbeen constituted on thoroughly democratic lines, giving everypractitioner an opportunity of bringing forward his individualopinions in a constitutional manner and securing united actionof the local profession through direct representatives. The areaincluded in this organisation is that which is known as "GreaterBirmingham," extending on all sides to some five miles fromthe centre of the city, and has been divided into 14 medicalwards. The members in each ward are invited to elect repre-sentatives who form a central council for conducting the actualbusiness of the union. Already nearly 200 members have beenenrolled, including men in every grade of general practice, and themoving spirits of the organisation expect that when it is completedit will gain the support of all practitioners who have at heart thewelfare of their profession. The union is not intended to competewith existing medical societies or associations and will be limitedentirely to medico-political and medico-ethical matters. Its objectsare defined to be (a) to provide an effective organisation for the pur-pose of dealing with all matters affecting the interests of generalpractitioners; (b) to promote union and good-fellowship amongstneighbouring practitioners ; (c) to endeavour to establish, as far aspossible, an improved scale of fees ; (d) to discourage advertising ofevery kind and other unfair and unprofessional competition ; (e) topromote more satisfactory relations between the different branchesof the profession ; (f) to consider and take action upon all legislativeproposals calculated to affect the interests of general practitioners ;(g) to endeavour to obtain increased representation for general prac-titioners on the General Medical Council and other public bodies;(h) to endeavour to remedy, as far as possible, the abuses of hospitalsand dispensaries ; (i) to establish a medical club house, with suchaccommodation as may be considered desirable for the purposes ofthe union ; (J) to provide facilities for the collection of members’accounts ; and (k) to oppose any attempt on the part of public bodiesto exploit the services of any member of the profession to thedetriment of the others. The scope of this laudable programme is

obviously a very large one and will require considerable businesscapacity on the part of those who may be charged with carryingit into execution, but where is that talent to be found if not in

Birmingham ? Above all things it must be remembered that com-paratively little can be accomplished without unanimity, and forthis reason it is to be hoped that the new association may receivehearty support from those whose interests it seeks to protect. Medical

practice has its business side as well as its scientific and its philan-thropic side, and it is the duty of each member of the profession todo what in him lies to maintain its rights and privileges intact.

0

Yeoman.-We have not seen the "puff" in question. It should beremembered that in these cases the medical man generally suffersfrom the indiscretion of his friends.

Easy.-Probably the candidate would be accepted.

MET E 0 R 0 LOG lOA L READINGS.(Taken daily at 8.80 a.m. by Ste2eard’a Instruments.)

THE LANCET Office, Feb. 8th. 1900.

Medical Diary for the ensuing Week. ’-J ’ C) N

O P E R A T I O N S.METROPOLITAN HOSPITALS.

MONDAY (12th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-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.), LondonThroat (2 P.M.).

TUESDAY (13th).-London (2 P.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.), London Throat(2 P.M. and 6 P.M.), Royal Ear (3 P.M.).

WEDNESDAY (14th).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.),St. George’s (Ophthalmic 1 P.M.), St. Mary’s (2 P.M.), Natiqnal Ortho-paedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan (2.30 P.M.), Gt.Ormond-street (9.30 A.M.), Gt. Northern Central (2.30 P.M.), West-minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),Cancer (2 P.M.).

THURSDAY (15th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s(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-WesLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynæco-logical, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),St. Mark’s (2 P.M.).

FRIDAY (16th).-London (2 P.M.), St. 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. Marv’s(2 P.M., Ophthalmic 10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (2 P.M. and 6 P.M.).

SATURDAY (17th).—Royal Free (9 A.M. and 2 P.M.), Middlesex (1.30 P.M.),St. Thomas’s (2 P.M.), London (2 P.M.), University College (9.15 A.M.),Charing-cross (2 P.M.), St. Geuige’s (1 P.M.), St. Mary’s (10 P.M.),London Throat (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.MONDAY (12th).-MEDICAL SOCIETY or LoNDON.-8.30 P.M. Clinical

Meeting. Mr. F. C. Wallis : Resection of Small Intestines in aChild.-Mr. F. Jaffery: Urticaria Pigmentosa (?).-Sir Hugh H.Beevor, Bart.: Pulsus Bisferiens.-Mr. A. J. Barker: CongenitalDislocation of the Hip (with skiagrams).-Dr. W. Ewart: Empby-sema treated by continuous Elastic Pressure.—Mr. W. H. Battle:Tumour of Femur.-Dr. W. J. Hadley: Two Rare and InterestingCases of Rheumatism.-Mr. McAdam Eccles : (1) InterstitialInguinal Hernia; (2) Cruro-scrotal Inguinal Hernia.-Dr. C. W.Chapman: Cyanosis from Birth, absence of Cardiac Murmur.-Dr.S. Mullick: Displacement of the Heart to the Right Side. Dr. E.Cautley: The Heart of a Case of Aortic Stenosis exhibited at theprevious Clinical Meeting.-Mr. J. L. Thomas: A New Tourniquet.Patients will be in attendance at 8 P.M.

rUESDAY (13th).-CHILDHOOD SOCIETY (Library of the Sanitary Insti-tute, 72, Margaretstreet, W.).-8 P.M. Dr. W. Garnett : EarlyStages of Technical Education.

ROYAL MEDICAL AND CHIRURGICAL SOCIETY (20, Hanover-square,W.).-8.30 P.M. Adjourned Discussion on the f..llowing Papers:-On the Conduct of the Mastoid Operation for the Cure of ChronicPurulent Otorrhœa, with special reference to the immediateHealing of the Cavity in the Bone left by the operation by means ofEpithelial Grafts, by C. A. Ballance (with lantern demonstration);with remarks on the Selection of Oases for the Operation, by SirWilliam Dalby.-The Complete Mastoid Operation for the Cure ofChronic Suppurative Disease of the Middle Ear; observations onthe Selection of Cases for Operation, by Mr. A. E. Cumberbatch.

VEDNESDAY (14th).-HUNTERIAN SOCIETY (Theatre of the LondonInstitute, Finsbury.circus).-8.30 P.M. Dr. F. J. Smith: TheInfluence of Modern Medicine on Surgery (Annual Oration).