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Notes, Short Comments, and Answers to Correspondents

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957 DUNDEE ROYAL LUNATIC ASYLUM.—Medical Assistant. Salary .£100 per annum. with board, lodging, and washing. GENERAL HOSPITAL, Birmingham.-Surgical Casualty Officer for onE year. Salary E50 per annum (non-resident). HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CBZST. Brompton.- Resident House Physicians. Also Assistant Resident Medical Officer. Salary £50 per annum, with board and residence. KENT AND CANTERBURY HOSPITAL, Canterbury.-Assistant House Surgeon, unmarried. Salary L50 a year. with board and lodging. KING’S COLLEGE. London.-The Sambrook Surgical ltegistrarship. Applications from King’s College students only. LINNEAN SOCIETY OF NEW SOUTH WALES, Sydney.—Macleay Bacterio- logist. Applications to Dulan and Co., 37, Sobo-square, London. LONDON THROAT HOSPITAL, Great Portland-street.—House Surgeon, non-resident. Honorarium, JB25 J er annum. NORTH-WEST LONDON HOSPITAL, Kentish Town-road.—Resident Medical Officer and Assistant Resident Medical Officer for six months each. Salary at the rate of £50 per annum for the senior post. ROYAL HOSPITAL FOR CHILDREN AND WOMEN. Waterloo-road, London, S.E.-Resident Medical Officer, for one’ year. Salary :E70 per annum, with board and residence in the hospital. ROYAL SEA-BATHING INFIRMARY, MARGATE.-Assistant Resident Surgeon. Sa’ary £b2 per annum, with board and residence. Applications to the Secretary, R. S. B. Infirmary, 30, Charing-croEs, London, S.W. STOKE-upON-TRmT UNION.—Resident Medical Officer for the Work- house. Salary £100 per annum, with board, washing, and furnished apartments in the hospital. The appointment is subject to statutory reductions. Applications to the Clerk to the Guardians, Union Offices, Stoke-on-Trent. SUFFOLK GENERAL HOSPITAL, Bury St. Edmunds.-House Surgeon. Salary £100, with board, lodging, and washing. THE RETREAT, York.-Junior As8i.,taiit Medical Officer. Salary B100 per annum. with board, lodging, and washing. UNIVERSITY OF SYDNEY, New South Wales, Australia.—Demonstrator of Physiology. Salary jE350. Passage money allowed, E60. Applications to the Acting Agent-General for New South Wales, Westminster Chambers, 9, Victoria street Westminster. VICTORIA HOSPITAL FOR SICK CHILDREN. Queen’s-road, Chelsea.- House Physician, for eight months. Honorarium at the rate of ,cBO per annum, with board and lodging in the hospital. Also House Surgeon for twelve months. Honorarium £50, with board, and lodging in the hospital. Births, Marriages, and Deaths. BIRTHS. BATEMAN.-On Ort. 5th, at. Devonshire-street, Portland-place, W., the wife of A. G. Bateman, M.B , C M., of a daughter REICHARDT.-On Oct. 5th, at Dorset House, EweU, Surrey, the wife of E. Noel Reichardt, M.B. Lond., of a daughter. RUSSELL.-On Sept. 10th. at Subatba, Punjab. India, the wife of Surgeon-Major M. W. H. Russell, Army Medical Staff, of a son. MARRIAGES. BRIDGES—RIDLEY.—On Oct. 4th, at St. Stephen’s. Avenue-road, Regent’s-park, N.W., Ashley Colstoll Bridges, M.K.C.S., &c., Perth, Western Australia, to Miriam, youngest daughter of the late Edward Ridley, of Bridgnorth, Shropshire. CAZALET—LYON.-On Oct. 2nd, at St. John’s, Caterbam-valIpy, Gren- ville William Cazalet, L.R.C.P.Lond., M.H.C.S Eog.. of Grey Friars green, Coventry, to Eaith Louisa, eldest daughter of Jeremiah Lyon, Eiddings Court. CRAIG—MUNGALL.—On Sept 28th, at Balmoral Hotel, Princes-street, Edinburgh, by the Rev. John Sinclair, assis’ed by the Rev James Aitken, M.A., William Craig, M.D., C.M Edin.. Foulford House, Cowdenbeath, to Isa Elder, eldest daughter of Henry Mungall, Efq., J.P., Wocdside House. Cowdenbeath. MORTON—.LAW.—On Sept. 20th, at St. Bartholomew’s, Maltby, by the Rev. J. Vernon, Samuel Ernest Morton. L.R.C.P . M.R.C.S , son of Samuel Morton, M.R.C.S., L.S.A., of 8, Burngreave road, Sheffield, to Mary Gertrude, eldest daughter of Wm. Law, The Manor, Maltby. RITCHIE-THOMSON- POWYS -On Sept. 28t.h. at St. Peter’s, Walling- ford, George Ritchie-Thomson, M B. Edin., F.R.S.E., to Mabel Alice, second daughter of the 1-tte William Cunliffe Powys, Captain in H.M.’s 22nd Foot, and of Garden Creek, Fredericton, New Brunswick. - DEATHS. CASSIDY.-On June 22nd, at Datta Khel. of wounds received on June 10th in the Tochi disaster, Surgeon-Captain Christopher Clemons Cassidy, son of the late Edward Cassidy, Derry, aged 32 years and 9 months. FISHER.—On Sept. 19th, at Bawtrv, Yorkshire, Jane, for 50 years the widow of the late George Fisher, M.R.C.S. Eng., L.S A., of Bawtry, Yorkshire, aged 81 years. KIRKMAN.—On Oct. 3rd. whilst crossing the Arabian Sea, Montague Kirkman, L.R C.P.Ed.. L.F P.S. Glasg. ROY.-At Cambridge, on Oct. 4th, Charles Smart Roy, M.A, M.D., F.R.S., of Ttinity College, Professor of Pathology in the University of Cambridge, aged 43 years. SMITH.- On Oct. 3rd, at Stockton Hospital. Robert Gillies Smith, M.A.Aberd., B.Sc. Lond.,M.R C.S.,L.R.C.P., eldest Eon of Robert Smith, M.D., Durham County Asylum, aged 36. N.B.-A fee of 5s. is charged for the insertion of Notices oj Births, Marriages, and Deaths. M E T E O R O L O G I C A L READINGS. (Taken daily at 8.30 a.m. by Sleward’a Instrument8.) THE LANCET Office, Oct. 7th, 1897 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 " 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 ba given to this notice. - rt is especially requested that early intelligence of local event having a medical interest, or which it is desirable to bring 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 ACCOMPANIEID 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 informa- tion, must be authenticated by the names amd addresses cf 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 p2abliccction, sale, and advertising de- partments of THE LANCET should be addressed " To the Manager." We cannot undertake to return MSS. not used. MANAGER’S NOTICES. THE INDEX TO THE LANCET. THE Index and Title-page to Vol. I. of 1897, which was completed with the issue of June 26th, was given in THE LANCET of July 3rd. It is intended, in future, to includo the Index and Title-page for each past half-yearly volume in the first number of the succeeding volume, as in the present case, instead of in the last number of the volume itself, as heretofore. - VOLUMES AND CASES. VOLUMES for the first half of the year 1897 are now ready. Bound in cloth, gilt lettered, price 18 ., carriage extra. Cases for binding the half-year’s numbers are also ready. Cloth, gilt lettered, price 2s., by post 2s. 3d. To be obtained on application to the Manager, accompanied by remittance. - IMPRISONMENT FOR SELLING BAD MEAT. BT Leamington on Monday last a drover was sentenced to three months’ imprisonment for depositing for sale meat unfit for human. consumption. The defendant having bought a cow for 12s. 6d. in a neighbouring town, slaughtered it, and offered the flesh for sale. The Mayor of Leamington pointed out that the health of the popula- tion could not be preserved if such offences were permitted, and very properly sent the offender to prison.
Transcript
Page 1: Notes, Short Comments, and Answers to Correspondents

957

DUNDEE ROYAL LUNATIC ASYLUM.—Medical Assistant. Salary .£100 perannum. with board, lodging, and washing.

GENERAL HOSPITAL, Birmingham.-Surgical Casualty Officer for onEyear. Salary E50 per annum (non-resident).

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CBZST. Brompton.-Resident House Physicians. Also Assistant Resident MedicalOfficer. Salary £50 per annum, with board and residence.

KENT AND CANTERBURY HOSPITAL, Canterbury.-Assistant HouseSurgeon, unmarried. Salary L50 a year. with board and lodging.

KING’S COLLEGE. London.-The Sambrook Surgical ltegistrarship.Applications from King’s College students only.

LINNEAN SOCIETY OF NEW SOUTH WALES, Sydney.—Macleay Bacterio-logist. Applications to Dulan and Co., 37, Sobo-square, London.

LONDON THROAT HOSPITAL, Great Portland-street.—House Surgeon,non-resident. Honorarium, JB25 J er annum.

NORTH-WEST LONDON HOSPITAL, Kentish Town-road.—Resident MedicalOfficer and Assistant Resident Medical Officer for six months each.Salary at the rate of £50 per annum for the senior post.

ROYAL HOSPITAL FOR CHILDREN AND WOMEN. Waterloo-road,London, S.E.-Resident Medical Officer, for one’ year. Salary:E70 per annum, with board and residence in the hospital.

ROYAL SEA-BATHING INFIRMARY, MARGATE.-Assistant ResidentSurgeon. Sa’ary £b2 per annum, with board and residence.Applications to the Secretary, R. S. B. Infirmary, 30, Charing-croEs,London, S.W.

STOKE-upON-TRmT UNION.—Resident Medical Officer for the Work-house. Salary £100 per annum, with board, washing, andfurnished apartments in the hospital. The appointment is subjectto statutory reductions. Applications to the Clerk to the Guardians,Union Offices, Stoke-on-Trent.

SUFFOLK GENERAL HOSPITAL, Bury St. Edmunds.-House Surgeon.Salary £100, with board, lodging, and washing.

THE RETREAT, York.-Junior As8i.,taiit Medical Officer. Salary B100per annum. with board, lodging, and washing.

UNIVERSITY OF SYDNEY, New South Wales, Australia.—Demonstratorof Physiology. Salary jE350. Passage money allowed, E60.Applications to the Acting Agent-General for New South Wales,Westminster Chambers, 9, Victoria street Westminster.

VICTORIA HOSPITAL FOR SICK CHILDREN. Queen’s-road, Chelsea.-House Physician, for eight months. Honorarium at the rate of,cBO per annum, with board and lodging in the hospital. AlsoHouse Surgeon for twelve months. Honorarium £50, with board,and lodging in the hospital.

Births, Marriages, and Deaths.BIRTHS.

BATEMAN.-On Ort. 5th, at. Devonshire-street, Portland-place, W., thewife of A. G. Bateman, M.B , C M., of a daughter

REICHARDT.-On Oct. 5th, at Dorset House, EweU, Surrey, the wife ofE. Noel Reichardt, M.B. Lond., of a daughter.

RUSSELL.-On Sept. 10th. at Subatba, Punjab. India, the wife ofSurgeon-Major M. W. H. Russell, Army Medical Staff, of a son.

MARRIAGES.BRIDGES—RIDLEY.—On Oct. 4th, at St. Stephen’s. Avenue-road,

Regent’s-park, N.W., Ashley Colstoll Bridges, M.K.C.S., &c., Perth,Western Australia, to Miriam, youngest daughter of the lateEdward Ridley, of Bridgnorth, Shropshire.

CAZALET—LYON.-On Oct. 2nd, at St. John’s, Caterbam-valIpy, Gren-ville William Cazalet, L.R.C.P.Lond., M.H.C.S Eog.. of GreyFriars green, Coventry, to Eaith Louisa, eldest daughter of JeremiahLyon, Eiddings Court.

CRAIG—MUNGALL.—On Sept 28th, at Balmoral Hotel, Princes-street,Edinburgh, by the Rev. John Sinclair, assis’ed by the Rev JamesAitken, M.A., William Craig, M.D., C.M Edin.. Foulford House,Cowdenbeath, to Isa Elder, eldest daughter of Henry Mungall,Efq., J.P., Wocdside House. Cowdenbeath.

MORTON—.LAW.—On Sept. 20th, at St. Bartholomew’s, Maltby, by theRev. J. Vernon, Samuel Ernest Morton. L.R.C.P . M.R.C.S ,son of Samuel Morton, M.R.C.S., L.S.A., of 8, Burngreave road,Sheffield, to Mary Gertrude, eldest daughter of Wm. Law, TheManor, Maltby.

RITCHIE-THOMSON- POWYS -On Sept. 28t.h. at St. Peter’s, Walling-ford, George Ritchie-Thomson, M B. Edin., F.R.S.E., to MabelAlice, second daughter of the 1-tte William Cunliffe Powys, Captainin H.M.’s 22nd Foot, and of Garden Creek, Fredericton, NewBrunswick.

-

DEATHS.CASSIDY.-On June 22nd, at Datta Khel. of wounds received on

June 10th in the Tochi disaster, Surgeon-Captain ChristopherClemons Cassidy, son of the late Edward Cassidy, Derry, aged32 years and 9 months.

FISHER.—On Sept. 19th, at Bawtrv, Yorkshire, Jane, for 50 yearsthe widow of the late George Fisher, M.R.C.S. Eng., L.S A., ofBawtry, Yorkshire, aged 81 years.

KIRKMAN.—On Oct. 3rd. whilst crossing the Arabian Sea, MontagueKirkman, L.R C.P.Ed.. L.F P.S. Glasg.

ROY.-At Cambridge, on Oct. 4th, Charles Smart Roy, M.A, M.D.,F.R.S., of Ttinity College, Professor of Pathology in the Universityof Cambridge, aged 43 years.

SMITH.- On Oct. 3rd, at Stockton Hospital. Robert Gillies Smith,M.A.Aberd., B.Sc. Lond.,M.R C.S.,L.R.C.P., eldest Eon of RobertSmith, M.D., Durham County Asylum, aged 36.

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

M E T E O R O L O G I C A L READINGS.

(Taken daily at 8.30 a.m. by Sleward’a Instrument8.)THE LANCET Office, Oct. 7th, 1897

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 " 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 bagiven to this notice.

-

rt is especially requested that early intelligence of local eventhaving a medical interest, or which it is desirable to bringunder 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 ACCOMPANIEIDBY BLOCKS, IT IS REQUESTED THAT THE NAME OF THE

AUTHOR, AND IF POSSIBLE OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-

FICATION.

Letters, whether intended for insertion or for private informa-tion, must be authenticated by the names amd addresses cftheir 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 p2abliccction, sale, and advertising de-

partments of THE LANCET should be addressed " To the Manager."

We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE Index and Title-page to Vol. I. of 1897, which wascompleted with the issue of June 26th, was given in THE LANCET of July 3rd. It is intended, in future, to includothe Index and Title-page for each past half-yearly volumein the first number of the succeeding volume, as in thepresent case, instead of in the last number of the volumeitself, as heretofore.

-

VOLUMES AND CASES.

VOLUMES for the first half of the year 1897 are now ready.Bound in cloth, gilt lettered, price 18 ., carriage extra.Cases for binding the half-year’s numbers are also ready.

Cloth, gilt lettered, price 2s., by post 2s. 3d.To be obtained on application to the Manager, accompanied

by remittance. -

IMPRISONMENT FOR SELLING BAD MEAT.

BT Leamington on Monday last a drover was sentenced to three

months’ imprisonment for depositing for sale meat unfit for human.consumption. The defendant having bought a cow for 12s. 6d. in a

neighbouring town, slaughtered it, and offered the flesh for sale.

The Mayor of Leamington pointed out that the health of the popula-tion could not be preserved if such offences were permitted, and veryproperly sent the offender to prison.

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

958

11 THE ALFORMANT."

IN our notice last week of this apparatus for the disinfection of air

by means of formaldehyde generated by heating tablets of

"paraform" in a special lamp, it was stated that each tablet on

heating yielded two and a half times its weight of gas. It should

have read that each paraform tablet yielded formalin vapour equiva-lent in amount to two and a half times its weight of liquid formalin.A saturated aqueous solution of formalin contains 40 per cent. of

,gas, so that one part by weight of " paraform" is equivalent to twoand a half parts by weight of liquid formalin. The discrepancy ispointed out in a communication which we have received from Dr. S.Rideal, who has very thoroughly investigated the disinfecting powersof formalin and its preparations.

Mr. George E. Clemow.-There can be no hesitation in affirming that itis not only inexpedient, but most improper, that the charge of wardsfor infectious diseases should be given to the same resident officers ofa general hospital who have to conduct "major surgical operations,abdominal sections, &c." Indeed, the project of establishing suchwards within sixty yards of the main building is fraught with.danger. That the bacteriological laboratory should be conducted bythe same officers is perhaps unwise, but less open to objection on thescore of liability to the transmission of disease, since precautionscould easily be taken. The laboratory would, we imagine, be mainlyused as an adjunct to the clinical work of the institution, and the sizeof the hospital is not too great to prevent the officers devoting someof their time to such scientific investigations.

Enquirer (H. C. D.) is recommended to consult his medical man.

CHEAP JAM.

A. CORRESPONDENT who ought to know writes to us as follows concern-ing a paragraph in our last issue: "I notice in THE LANCET a

paragraph referring to the quality of the jam given to the inmatesof the Bedwellty workhouse. The small sum of 2ad. per poundsuggests at once to the uninitiated in practical details a sweet slush,M* a miserable substitute for jam. I do not think this need neces-

sarily be the case. At the present very low price of good sugar, andwith the opportunities of securing sound fruits in bulk quite.cheaply (which the commissariat department of public institutionsought to be on the alert to do), a good jam can be furnished at’the figure named. I am talking now of home-made jams, and ofcourse such jams may be spoilt by careless preparation. With regard to manufactured products, after the preparation of choice jams in,large manufacturing establishments there are quantities of preserve ’,often left not quite shapely in form, or up to the high standard of theparticular market. A mixture of these remnants is retailed in someplaces at the low price of Is. 6d. for seven pounds, and in largerquantities can be procured at a still lower figure. It is known as

’household jam’ and is thoroughly good and wholesome. In con-

clusion I see no reason why a sound and palatable jam cannot beprovided at 2d. per pound."

Constant Reader (Southsea).-Articles on colitis have appeared in THELANCET of the following dates: By Dr. Thompson, Nov. 28th, 1891

(p. 1220); by Dr. Goodhart, Feb. 13th, 1892 (p. 345); by Dr. Sainsbury,Aug. 13th, 1892 (p. 367); by Mr. Howard Marsh, Feb. 25th, 1893

(p. 414); by Dr. Carter, March 10th, 1894 (p. 610)-; by Dr. S. W.

Wilson, Jan. 5th, 1895 (p. 75); by Mr. Wood, Jan. 12th, 1895 (p. 131);by Dr. W. H. White, March 2nd, 1895 (p. E37); by Mr. Skene Keith,March 9th, 1895 (p. 639); by Dr. Maekern, June 8th, 1895 (p. 1424)by Dr. W. H. White and Mr. Golding-Bird, Dec. 21st, 1895 (p. 1578) ;by Dr. Pye-Smith, Jan. 25th, 1896 (p. 233). For other references our

correspondent might consult Neale’s Digest.Interested.-There are articles on Maternal Impressions in THE LANCET

of the following dates: by Dr. Mackay, Dec. 19th, 1891, p. 1388; by Dr. Halket, Jan. 23rd, 1892, p. 212; July 7th, 1894, p 40 ; ; and Nov. 24th, 1894, p. 1233. We regret that we cannot give ourcorrespondent a full bibliography from English and foreign sources,but we recommend him to consult Neale’s Dige.t and Licetus dellonstris.

-Enquirer (E. G. A. M.).-A vaccination officer holds office until he

dies or resigns or is removed by or with the consent of the LocalGovernment Board, to which body we recommend our correspondentto take his case.

TOSSING FOR A CORONER.

AT the Essex County Council, held at Chelmsford on Tuesday last,. there was a tie in the voting for the coroner for the metropolitan. district of the county, and the chairman of the council tossed up aoin, and upon head coming up declared Dr. Ambrose, of Buckhurst-

ill, duly elected.

PRESENTATION TO MR. W. J. C. MILLER, B.A.

WE recently announced that a fund was being raised, mainly by"educational" friends, to present a testimonial to Mr. Miller, lateRegistrar of the General Medical Council. The testimonial, con-sisting of a watch and purse, was presented to Mr. Miller on Friday,Oct. lst. The watch bears a monogram, with the following inscrip-tion on the inner case: "Presented, with a purse of gold, to

W. J. C. Miller, Esq., B.A., by friends and correspondents in England,America, India, and on the Continent of Europe, as a small token ofpersonal esteem and in acknowledgment of his eminent services tomathematical science through the Educational Times. October,1897."A complete list of the names of the subscribers to the fund waspublished in the EditcationaZ Times of Oct. 1st.

J. W. C.-So far as the improvement of the voice is concerned theearlier the false palate is employed the better, but the younger thechild the more difficult it is to fix the obturator firmly, so that theremay be no danger of its being swallowed. It must further be bornein mind that in children the false palate must be changed frequentlyto correspond with the rapid increase in size of the mouth whichoccurs in childhood. All these points being taken into considerationit may be said that a false palate should not be fixed until the childhas attained the age of two or three years. If the employment ofthe obturator be delayed to a later age there is great probability thatthe nasal tone of the voice will be permanent.

Mrs. S. M. Bosanquet will find that we have made frequent allusion tothe peril possibly latent in the chalice.

THE EULOGY OF QUACKERY.- To the Bditors of THE LANCM.

SIRS,-This is a cutting from "Stray Notes" in the WhitehavenGazette of Sept. 30th :-

" There has been much talk lately about the wonderful cureeffected to a Carlisle lady by the use of the water at St. Winifred’sWell, at Holywell....

" After all is said and done, I don’t see anything very miraculousin the cure. We all know how ignorant medical men are as a rulein connection with broken bones or dislocated joints. Even inWhitehaven cures have been effected in less than an hour ofailments that medical men have given up in despair."Mr. Wilson, the bone-setter, of Aspatria, who attends the

various market towns of the county once a week, has effectedgreater cures than this at Holywell, and no one attaches anyextraordinary virtue to his treatment. He simply understands whathe is about, and puts his knowledge into practice."

Comment is needless except to add that the opinion therein

expressed is a very popular one in this part of the world, and that weare constantly subjected to censure by all classes because the bone-setter’s diagnosis differs from ours. With the many associations andsocieties to which members of the profession are asked to subscribefor their mutual protection can nothing be done to stop this branch ofunqualified practice ? When will the public be willing to allow that it

requires a braver and often more skilful man to confess doubt upon apoint of diagnosis than to assert an absolute opinion, be it rightor wrong, in all cases ? I am, Sirs, yours faithfully,

Gosforth, Cumberland, Oct. 1st, 1897. C. H. POWERS.

** The General Medical Council, it is hoped, will soon attempt to dosomething to stem the tide of quackery. It is in the meantime very

regrettable that journals should publish these sweeping puffs ofbone-setters. A little inquiry into the claims of such persons toknowledge or past success would always reveal their ignorance—ED. L.

W. W.—Every case must be judged on its merits. We cannot guesswhat the Local Government Board might do without knowing theparticular circumstances, but it probably has complete power to act asour correspondent describes.

A NURSE’S " MEDICAL AND SURGICAL SERVICES."THE following advertisement appeared in a recent number of an

evening paper :-

SYDNEY.—A Lady, skilled Nurse, æt. 28, will Give her medicaand surgical Services, or act as Companion to a Lady or special

case, on a voyage to Sydney or to any port within 300 miles ofthere, and, if necessary, will stay a short time on arrival, in returnfor passage ; highest testimonials up to date and diploma.-AddressDr. -, York.

We should be glad to know what are the medical and EUrgicalservices of a nurse, what is the difference between a "lady" and.. a special case," and what is the diploma"?

Sigma is asked to sign a letter or give his address for publication, sothat answers can be sent direct to him.

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

959

A POINT IN COLLIERY APPOINTMENTS.

DR. J. CowAN WILSON writes to us at some length concerning hiE

position towards the practice in a colliery in his neighbourhood. The

eolliery in question has been until recently under the medical care ojMother practitioner residing elsewhere. Certain of the collier!

having desired to be under the treatment of the medical man residingnearer them the medical officer offered to put an assistant in the

place. But upon a ballot 143 colliers voted for employing Dr. Wilson,resident in the place, against 22 who did not wish to change. The

manager of the colliery does not sanction any change and will con-tinue to deduct the agreed weekly charge from the wages of the 22.and to hand it to the original medical officer. The 143 dissentientswill not have this deduction made from their wages, but must make a

collection among themselves for their medical man, which detractsfrom the safety and convenience of the appointment. Dr. Wilson’s

contention is that the majority having declared in his favour thesame facilities should be given them with regard to their choice as aregiven to the minority who have decided to uphold their formermedical man, and upon the face of it the argument has much force.

A PREDISPOSITION TO HERNIA ?- To the Editors 0/ THE LANCET.

SIRS,-A boy, aged seven and a half years, rather under the averagesize, has ridden a fat little cob since he was six years of age. He iscomfortable in the saddle, can ride for ten or twelve miles without anyfatigue, and is passionately fond of it. To my mind no harmcan accrue, but everywhere I find the lay mind very muchexercised as to the harm that will be done to him by puttinghim on such a wide mount. I find the general impressionis that it will produce hernia, but I cannot see why opening the thighsin a light little boy should be any more dangerous than jumping aboutat play. The cob is very gentle and intelligent, in every way suitableotherwise, and I should be very sorry to have to change, but of course ’if there is anything in the popular idea I must not risk a rupture for theboy. I am, Sirs, yours faithfuly,Oct.3rd,1897. THE FATHER. M.D.

As the inguinal canal is somewhat opened in the abducted thighit is possible that if the thighs were kept for several hours daily inthe abducted position the child would to some extent be risking apredisposition to hernia. The risk would not be great, but it wouldexist. We know of no observations on the subject.-ED. L.

Worried should consult his family medical man, who will respect hisconfidence.

THE GENERAL PRACTITIONER AND THE " NURSES’ COÖPERATION."A CORRESPONDENT has sent us for comment the following advertise-ment which appeared in The Borough of Marylebone Mercury of,Saturday last :-

MIDWIFERY BRANCH.

Ings House. - - - - Nurses Co-Operation. ’

81, NEW BOND STREET, W.

Ladies are attended by Certificated Midwives at Fees from 7s. 6d.

(London Obstetrical Society.)Matron can be seen privately every morning before 12 a.m.All Cases must be booked and paid for beforehand.

Fully Trained Nurses are sent out for all cases.

TELEPHONE No. 5,109.Telegrams, " OVERNIGHT," London.

He asks whether the London Obstetrical Society is aware of the

way in which its name is being used, and quotes the adver-tisement as a striking example of the competition againstwhich the general practitioner has now to contend. It would

be interesting to know what the nurses would do if the case

turned out to be a complicated one, for even certificated personsare not infallible. Would they send for the nearest generalpractitioner to assist them or have they a particular medicalman upon whose services they can rely by arrangement ? In theformer case is the medical man likely to be paid well when 7s. 6d.has already been obtained from the patient for inadequate services ?In the latter case has the medical officer of the Cooperation consideredthat he is assisting in a dodge for obtaining the patients of his fellowpractitioners ?

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

, , , , )

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (llth).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.30 P.M.), St. George’s (2 P.M., Ophthalmic 1.15 p.M.)j.St. Mary’s (2.30 P.M.), Middlesex (1.30 P.M.), St. Mark’s (2 P.M.),Chelsea (2 P.M.), Samaritan (Gynecological, by Physicians, 2 P.M.),,Soho-square (2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopsedi&R’

(4 P.M.), Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.),Westminster (2 P.M.).TUESDAY (12th).-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’a (1 P.M.). St. Mark’s(2.30 P.M.), Cancer (2 P.M.).

WEDNESDAY (13th).-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.), ing’s College (2 P.M.),.St. Mary’s (2 P.M.), National Orthopoedic (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.).

THURSDAY (14th).-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-West London (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynaeco-logical, 2.30 P.M.). ’

FRIDAY (15th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.n.), Middlesex (1.30 P.M.), Charing-cross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’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.).

SATURDAY (16th).-Royal Free (9A.M. and 2 P.M.), Middlesex, (1.30P.M.),St. Thomas’s (2 P.M.), London (2 P.M.), University College (9.15 A.M.),,Charing-cross (3 P.M.), St. Georga’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.MONDAY (llth).-MEDTOAL SociETY OF LONDON.-8 P.M. General

Meetmg. 8.30 P.M. Ordinary Meeting. Dr. A. E. Sansom (Presi-dent) : On the Investigation of some of the Nervous Dis’urbances ofthe Heart.-Dr. W. Anderson: John Arderne, the Father of EnglishSurgery, and his Time.

THURSDAY (14th).-SOCIETY FOR THE STUDY OF INEBRIETY (Medicalbociety’s hoome, 11, Chandos-street, Cavendish-square, W.).-4 P.M..Surgeon-Major G. K. Poole: The Etiology of Inebriety.-Dr. W.Bode: The New German Code and Inebriety.

BRITISH GYNrECOL00ICAL SOCIETY (20, Hanover-square, W.).-8 30 P.M.Specimens by Dr. Macnaughton Jones, Dr. Collins, and Mr. Hodgson.Paper :-Mr. S. Keith: On Dysmenorrhœa.

LECTURES, ADDRESSES, DEMONSTRATIONS, ETC. ‘

TUESDAY (12th).-NATIONAL HOSPITAL FOR THE PARALYSED ANDisPILEPTIC (liloomsbury).- 3.3U P.M. Dr. Buzzard.

HOSPITAL FOR NERVOUS DISEASES (73. Welbeck-street).-430 P.M.Dr. H. Campbell: On the General Anatomy of the Neuro muscular-System.

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WEDNESDAY (13th).-HosPITAL FOR CONSUMPTION AND DISEASES. .OF THE CHEST (Brompton).-4 P.M. Dr. S. Martin: The Diagnosis.of Early Phthisis.

EVELINA HOSPITAL (Southwark-bridge-road, S.E ).- (Post-GraduateCourse).-4 30 P M, Dr. Nestor. Tnard: Clinical Demonstration on.Diseases of Children.

fHURSDAY (14th).-THE HOSPITAL FOR SICK CHILDREN (Gt. Ormond-street, W.C.).-4 P.M. Dr. Garrod : Demonstration of Selected Cases.

During the week marked copies of the following newspaperehave been received:- Hereford Times, Rushden Echo, Hull

Daily News, Newcast e Chronicle, Southampton Mercury, ManchesterGuardian, Devon Gazette, East Anglian Daily Times, South WalesDaily Post, Bradford Daily Telegraph, Carlisle Express, Scotsman,Times of India, Pioneer Mail, Builder, Kent Messenger, Leicester Post,Cambria Daily Leader, New Zealand Herald, Architect, YorkshirePost, C6a)t Times, Worcestershire Chronicle, Royal Cornwall Gazette,Bucks Herald, Leeds Mercury, Birmingham Gazette, Western Morn-ing News, Dundee Advertiser, North British Daily Mail,Liverpool Daily Post, balisbury Journal, Sheffield Independent,Blackburn Standard, Beverley Guardian, Bristol Mercury, Sussex.Daily News, Bury Free Press, Grantham Journal, Midland Nail,Old bury Weekly News, Derbyshire Advertiser, Isle of Wight Observer,Worcester Herald, Hampshire Telegraph, Glasgow Herald, SanitaryRecord, Reading Mercury, City Press, Weekly Free Press and Aber -

deen Berald, Mining Journal, Hertfordshire Mercury, Local Govern-ment Chronicle, Norfolk News, Local Government Journal, Public °

Health, Engineer, Surrey Advertiser, Kilmarnock Herald, Gazette’ °

(Montreal), Fijeshire Advertiser, Englishman (Calcutta), PublicHealth, West Middlesex Herald, Cardiff Times, Guernsey News,.,&c., &c.


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