1696

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.

MONDAY (15th).-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.),St. Mary’s (2.30 P.M.), Middlesex (1.30 P.M.), St. Mark’s (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.).

TUESDAY (16th).-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 (2 P.M.), St. Mark’s(2.30 P.M.), Cancer (2 P.M.).

WEDNESDAY (17th).-St. Bartholomew’s (1.30 P.M.), University College !,(2P.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 Orthopaedic (10A.M.), St.Feter’s(2p.M.),Samaritan (2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. NorthernCentral (2.30 P.M.).

THURSDAY (18th).-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-WestLondon (2 P.M.), Chelsea (2 P.M.), Great Northern Central (Gynaeco-logical, 2.30 P.M.).

FRIDAY (19th).-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. Mary’s(2 P.M., Ophthalmic 10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.) Gt.Northern Central (2.30 P.M.).

SATURDAY (20th).-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 (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 Ophthalmic410 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and the’Central London Ophthalmic Hospitals operations are performed daily.

SOCIETIES.

WEDNESDAY (17th).-ROYAL METEOROLOGICAL SOCIETY (22, Gt.

George-st., Westminster).-7.30 P.ni. Papers:-Mr. H. Harries: ArcticHail and Thunderstorms.-Mr. J. E. Cullum: Climatology ofValencia Island, co. Kerry.-Dr. H. E. Leigh Canney: The WinterClimate of Egypt, based on results from Self-recording Instru-ments, 1893-6 (this paper will probably also be read).

ROYAL MICROSCOPICAL SOCIETY (20, Hanover-sq., W.). - 8 P.M.Meeting.

BRITISH BALNEOLOGICAL AND CLIMATOLOGICAL SOCIETY (Limmer’sHotel, Conduit-street, W.).-8.30 P.M. Dr. C. T. Williams: Sea-

bathing and the Open-air Treatment of Disease. Followed by aConversazione.

LECTURES, ADDRESSES, DEMONSTRATIONS, &c. ,

fdONDAY (15th).-LONDON POST-GRADUATE COURSE.-London ThroatHospital, Gt. Portland-st., W., 8 P.M., Mr. G. C. Wilkin: Syphilisof the Pharynx and Larynx.

WEDNESDAY (17th). - NATIONAL HOSPITAL FOR THE PARALYSEDAND EPILEPTIC (Bloomsbury).-3 P.M. Dr. Beevor: PeripheralNeuritis.

HOSPITAL FOR CONSUMPTION, &o. (Brompton).-4 P.M. Dr. S. Martin:The Early Diagnosis of Pulmonary Tuberculosis.

LONDON POST-GRADUATE COURSE.-Hospital for Skin Diseases, Black-friars, 4.30 P.M., Dr. Payne : Eruptions produced by Drugs.

WEST LONDON POST-GRADUATE COURSE (West London Hospital, W.).-5 P.M. Mr. Keetley : Surgical Cases.

THURSDAY (18th).—LONDON POST-GRADUATE COURSE.-Brit. Inst. OfPreventive Medicine, Gt. Russell-st., W.C., 3.30 P.M., Dr. Allan

Macfadyen and Mr. A. G. Foulerton - Detection of PathogenticMicro-organisms in Urine.-Central London Sick Asylum, Cleve-land-st., W., 5.30 P.M., Dr. R. Harrison: Clinical Lecture.

THE HOSPITAL FOR SICK CHILDREN (Gt. Ormond-st., W.C.).-4 P.M.Lecture by Dr. Barlow.

VICTORIA HOSPITAL FOR CHILDREN (Tite-street, S.W.).-4 P.M. Dr.W. Carr: Pneumonias in Children and their Sequels.

FRIDAY (19th).-LONDON POST-GRADUATE COURSE.-King’s College, 3to 5 P.M., Prof. Crookshank: Erysipelas and Suppuration.

ROYAL INSTITUTION.-9 P.M. Mr. T. C. Martin (New York): TheCJtilis&tion of Niagara (with Illustrations).

METEOROLOGICAL READINGS.(Taken daily at 8.30 a.m. by Steward’s Instruments.)

THE LANCET Office, June llth, 1896.

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

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.

Lectures, original articles, and reports should be written onone side of the paper only.

Letters, whether 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 recommend practitioners.Local vapers 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.

A POINT OF CONDUCT.

To the Editors of THE LANCET.SIRS,-Will you kindly give your opinion on the following point of

medical etiquette ? A. and B. are general practitioners in the same town.B. sees a patient in consultation with A. After a little time A. is told

by the family that they do not wish him to attend them any longerand intend to place themselves in B.’s hands. B. expresses great regretto A., but takes the patient on the ground that if he did not someoneelse would. Was B.’s conduct right ?-I am, Sirs, yours faithfully,June 2nd, 1896. X. Y. Z.

*** It is to be regretted that B. considered it his duty to attend the casein the place of A., who introduced him to the house; but in the absenceof further information B. must be credited with perceiving circum-stances which compelled him to act in this manner. It is always apity when the particular situation arises that has been laid before us,and the mischief recoils on the heads of the public, who may therebylose the security that lies in consultation. A medical man cannot beexpected to disinterestedly call in a brother practitioner if he feelsthat the course may lead to his being at once supplanted. But it mustnot be forgotten that every patient has a right to employ any medicalman he chooses.-ED. L.

PIG V. Ox BILE TABLOIDS IN JAUNDICE.

MESSRS. BURROUGHS, WELLCOME, AND CO. write us that, acting onDr. George Harley’s suggestion in THE LANCET of May 30th that thebile of the omnivorous pig is more likely to contain "exactly theingredients necessary to supply the place of those that are absentfrom the digestive canal in cases of jaundice" than that of theherbivorous ox, they have prepared tabloids of compressed pig-bile,each tabloid containing four grains. Messrs. Burroughs, Wellcome,and Co. have certainly lost no time in affording the profession anopportunity of practically testing Dr. Harley’s suggestions.

1697

THE ADMINISTRATION OF GUAIACOL.

To the Editors of THE LANCET.SIRS,—Permit me to ask the favour, in your correspondence pages, of

some of your contributors or readers detailing the methods of adminis-tering guaiacol or guaiacol carbonate, by vapour and by external applica-tion, to the skin of the thigh. I am, Sirs, yours faithfully,June 10th, 1896. SURGEON.

AB UNO DISCE OMNES?

The Pall Mall Gazette of May 28th is responsible for the followingparagraph under the heading " Silk and Stuff ":—

" A case which ought to become a leading one on the fallibility ofdoctors in distinguishing between a drunken and epileptic fit washeard at the Lambeth Police-court on Tuesday. A highly respectableyoung woman from Brentford was charged with being drunk andlying insensible in a tram-car. The medical gentleman called in bythe police ’ formed the opinion that she was suffering from theeffects of drink.’ Yet it turned out that she was well known to be

subject to epilepsy, was a total abstainer, and had never tasted adrop of alcohol in her life. Moreover, the conductor had notnoticed any trace of insobriety in her demeanour on entering thecar, and it is to be presumed that drink is not to be obtained thereduring the transit. Thus the doctor was hopelessly wrong. Themoral seems to be that while a doctor should be called in to everysuch ’charge’ without exception, his uncorroborated testimonyshould never be sufficient."

The Pall Mall Gazette’s logic is surely somewhat amiss. Because a

certain "medical gentleman" formed an erroneous opinion that arespectable woman was suffering from the effects of drink, thereforethe moral remains that no medical man’s uncorroborated testimonyshould ever be sufficient,-to us this seems to be flagrant example of anargument from the particular to the universal. It has ere now arrivedto most papers, morning and evening alike, to disseminate inaccu-rate intelligence. Should the public on that account invariablydecline to believe in any utterances whatsoever of the journal oncecaught tripping ? We venture to think that the two propositions areparallel.

WANTED, AN EXACT DIAGNOSIS.To the Editors of THE LANCET.

SIRS,-I was called in on Sunday morning to visit Mrs. ——,

and found her to be suffering from a very acute diarrhœa and

collapsed; the temperature was 95° F. and the pulse 50. I at onceordered stimulating and other appropriate treatment, but despite allefforts she died on Sunday evening about 6.30 P.M., conscious to thelast. This patient had been ill from the Thursday night. I could traceno irritant poison or any unwholesome food, and turned my attentionto the milk and water supplies. The former I found good; the latter onexamination I found contained a large quantity of animal matter,nitrites, and nitrates, the sources of the spring receiving all the

drainage from the adjoining cemetery not more than 100 yards awayand the percolation from a huge heap of manure and stable refuse. Aweek later I was called in to see Mr. -, sen., the father-in-law of thedeceased woman, and found him suffering from the same complaint (hefell ill about four days after the death of his daughter-in-law); a daylater his daughter and son were also taken with the same complaint.They, too, all showed signs of collapse, and notwithstanding myutmost endeavours he passed away after a week’s illness, the othertwo patients recovering. An examination of the water showed marked

pollution. The strange part I now relate. A Mrs. -, who acted asnurse and whom I warned against drinking the water, and who deniedhaving touched a single drop of food (fluid or solid) in that house, alsofell ill with the same complaint, and after a more or less protractedconvalescence made a fair recovery. The brother of the patients and alltheir relatives suffered from this choleraic diarrhoea, and I couldaccount for the diarrhcea by nothing except the water after the closestand most minute investigation. Yet it appears that it must have been

contagious, since all the relatives who came to the house or whoattended the first patient’s funeral were in turn attacked, and eventhe families who did not come, as being too young, of those whoattended the funeral suffered more or less acutely. Microscopicalexamination of the stools revealed nothing except what I took to be thebacillus coli communis. The first death was certified as acute intestinalcatarrh and the second as choleraic diarrhoea, but some light on thesecases would be of great benefit to me.

I am, Sirs, yours truly,Ilminster, June lst, 1896. CHARLES A. FRANCOIS.

Ethics has not made his questions very clear. Are we to understand

that the person represented as a tout is a medical man or only theagent of a medical man ? There can be no doubt that the conductdescribed is unprofessional, but the local medical society couldhardly take notice of it unless the examples were several and wellauthenticated.

Warwick.-We regret that we cannot advise medical treatment orrecommend individual practitioners, but the family medical man willbe able to say whether the process of electrolysis would be of use andto make arrangements for a trial thereof. Skin-grafting has alsoproved successful.

"THE TREATMENT OF PLEURITIC EFFUSION."

To the Editors of THE LANCET.

SIRS,-In answer to the letter on the above subject by " Ubique " i&THE LANCET of May 30th I should suggest the following line of treatment :-First of all re-aspirate and then inject into the pleural cavityfrom 15 to 30 minims of a solution of corrosive sublimate of the strengthof 1 grain to the ounce of distilled water = I/32 to ’f’-g gr. hydrargyri bichlo-ridum. Then close the wound with a collodion pad, and finally apply apiece of lint sprinkled with linimentum belladonnae and then bandage.This treatment is on the lines of the article " Curative Treatment of

Vaginal Hydrocele by Corrosive Sublimate written by my father, Dr.James Miller, in THE LANCET, 1886, who would, I have no doubt, forwarda copy of the article to

" Ubique" upon his applying to him for same.I am, Sirs, yours faithfully,

J. T. ROGER MILLER, L. R.C.P. & S. I., &c.,Malton, June 1st,1896. Hon. Surgeon to Malton Public Dispensary.

ARMY MEDICAL SERVICE.

A COMBATANT officer writes to us advocating the introduction of a short-service system into the army medical service. He suggests thatappointments should be for six years, say, or for some definite period,with a bonus instead of pension at the end of it, and that the Govern-ment should have the option of selecting such medical officers as had’shown ability and military aptitude, and were willing to remain, as-were required to fill the more permanent and administrative ranks ofthe medical staff, placing the latter upon exactly the same footing as to.rank and position as the officers of the Royal Engineers. He points outthat in this way the State and the medical profession would equallyget what they want and a large medical reserve would be formed. But7.neither our correspondent nor the advocates of such an organisation.seem to be aware of the fact that an essentially similar measure wasput forward and adopted many years ago, and had to be abandonedfor the simple reason that it proved a failure.

IODISM.

To the Editors of THE LANCET.

SIRS,-In the issue of THE LANCET of May 30th Dr. S. West mentionedone or two apparently doubtful preventives of iodism during the--administration of iodide of potassium. Some years ago I had a patient?suffering from acute pain in the head, obviously rheumatic in character,.for whom I prescribed the iodide. So serious, however, were the effects-of the drug that he absolutely refused to continue it after the first fewdays. The pain speedily subsided, but recurred some months after-wards, and so severely that he only found relief from repeated hypo--dermic injections of morphia. As, however, the morphia was simplyallaying the pain without in the least affecting its cause I with muchpersuasion induced him to resume the iodide. To my surprise I found*that he could take it then with perfect impunity. Afterwards I gotinto the habit of prescribing it with small doses of morphia and was-rarely if ever troubled with iodism. But it is not always desirable to.administer morphia, and lately, where that drug has been contra-indicated, I have used atropia sulphate instead with very gratifying.results. I am, Sirs, yours truly,Gourock, June 2nd, 1896. A. VEITCH.

IMPROVED ADHESIVE PASTE.

WE have received from the Morgan’s Hungarian Paste Co., 153, Cole--grave-road, Stratford, E., a specimen of their commodity, which is-said to possess certain advantages over others in use. Foremost

among these are evidently its good white colour, its uniformity o?composition, and its keeping properties, while it is powerfully adhe*sive. It contains an agreeable and effective preservative. Its basis ie-

starch, as shown by the iodine test.

. Anzious should consult her medical attendant.’ COMMUNICATIONS not noticed in our present issue will receive attention

in our next.

’ During the week marked copies of the following newspapershave been received :-Eastern Morning News, Bradford Observer,

, Manchester Courier, Philadelphia Inquirer, Times of India, Capc-Times, Pioneer Mail, Brisbane Courier, Glasgow Herald, Sussex Daily

’ News, Newcastle Journal, South Wales Daily News, Liverpool Daillt,Post, Chatham News, Western Mail, Midland Free Press, LeicesterPost, Northern Echo, Birmingham Post, Worcester Herald, Southamp-ton Times, Yorkshire Post, Rochester Journal, Rangoon Times, Man-

l chester Evening Mail, Bristol Mercury, Scotsman, Builder, LiverpooCourier, Worcestershire Chronicle, Leeds Mercury, Horncastle News,

t, Cheshire City Ne1vs, Donegal Independent, Hemel Hempstead Gazette,l Hertfordshire Mercury, West Middlesex Standard, Weekly Free Press

and Aberdeen Herald, Public Health, Reading Mercury, Gazette andNews (Blackpool), Local Government Chronicle, City Press, Guy’sHospital Gazette, Macclesfield Courier, Surrey Adrertiser, Gloucester-shire Chronicle, Local Government Journal, Mining Journal, KentMessenger, Record, Financial News, Bradford Evening Telegraph,Darwen News, Barnsby Chronicle, South Eastern Gazette, Shanghai

Mercury, Melbourne Argu.s, Lyttelton Times (Christchurch, N.Z.)..Middlesex and Surrey Express, &c., &c.

1698

Communications, Letters, &c., have beenreceived from-

A-Dr. F. J. Allen, Birmingham ;Mr. F. Algar, Lond.; Messrs.W. and T. Avery, Birmingham;Messrs. Arnold and Sons, Lond.;Messrs. Armour and Co., Lond.;Messrs. Allen and HanburYE,

. Lond.

.B.—Dr. R. Bell, Glasgow; Mr. A.Baker, Dawlish ; Mr A. Barker,Lond.; Mr. E. MeW. Bourke,Lond.; Mr. T. Bryant, Lond.;Mr. C. Beesley, Barnsley;Messrs. W. V. Bowater and Sons,Lond.; Messrs. Burroughs, Well-come and Co., Lond.; Messrs.

Burgoyne, Burbidges and Co.,Lond.; Bulle’inde la Société Médi.cale, Paris, Editor of; BirmiDg-ham City Apylnm, Med. Supt.of; T. B. Browne, Ltd., Lond.;Bona Fide, Lond.; B. L., Lond.

- C.—Dr. C. W. Chapman, Lond.;Dr. Harry Campbell, Lond.; Dr.T. F. Chavasse, Birmingham;Dr. W. A. Carline, Lincoln;Burg.-Major R. Cuffe, Woodhall.Spa; Mr. W. F. Clay, Edin.;Civil Rights Defence Committee,Lond., Sec. of ; Chelsea Hosp.lor Women, See. of; CentralLondon Throat and Ear Hosp.,Sec. of.

D.-Mr. A. Dayson, Leicester ; Mr.T. Dixon, Lond.; Messrs. Daviesand Co., Lond.

E.-The Electrophone, Ltd., Lond.,Sec. of; E. G., Crowthorne.

F.—Free Home for the Dying,Lond., Hon. See. of.

.G.—Dr R. R. Giddings, Notting-ham ; Dr. W. D. Grange, Harro-gate ; Rev. K. F. Gibbs. Alden-ham ; Mr. F. J. Gray, Walsall;Mr. A. J. Garratt, Putney ;Mr. H. F. Giscard, Toulouse; Mr.E. E. Griffiths, Blayney, N.S.W.;Messrs. Galloway, Matthews andCo., Lond.; Messrs. R. W. Greeffand Co., Lond.; Gt. EasternRailway Co., Lond., ContinentalTraffic Manager of ; Genuine,Lond.

H.-Mr. W. D. Hutchings, Birming-ham ; Mr. E. G. Herbert. Man-chester ; Herr Ed. Halbrock,Hamburg; Mr. J. H. Harrison,.Sheffield; Mr. J. Heywood, Man-chester.

L-Messrs. I. Isaacs and Co., Lond.

J.-Dr. A. B. Judson, New York;Messrs. Jewsbury and Brown,Manchester; Jeyes’ SanitaryCompounds Co., Lond , See. of.

K.—Rev. E W. Kempe, Lond.; Mr.R. C. B. Kerin, Lond.: Mr. W. H. Kesteven, Land.; Messrs.Kritli and Co., Edin.

L-Mr. G. H. Longton, Barford;Mr. H. Lit.tlewood, Lpeds; Mr.C. E. Liebctren. Lond.; Liq.Carnis Co., Aston Clinton ; Lay-man, Bromley.

M.-Dr. L. Molloy, Blackpool: Dr. AW. Murrell, Lond.; Prof. J.

Middendorp, Groningen; Mr. V.Matthews, Lond.; Mr. G. G.Macleod, Ardgay; Mr. E. Mac-

Blavery, Loughton ; Messrs. May- Bthorn and Son, Lond.: Messrs. G.Mafon & Co., Lond.; Messrs. Mac-millan and Co., Lond.; Messrs.Mf’Kesson and Robbins, NewYork; Metropolitan ProvidentMedical Association, Lond., Sec.of; Maltine Mfg. Co., Lond.; CMed. Psych., Lond.

N.-National Provident Institu-tion, Lond., See. of; New OrleansMedical and Surgical Journal,U.S A., Editor of; Norfolk

County Asylum, Thorpe, Med.Supt. of.

O.-Dr. G. Oliver, Lond.; Dr. J.O’Conor. Buenos Ayres; Dr. T.Oliver, Newcastle - upon Tyne;Messrs Orridge and Co., Lond.

P.-Dr. J. C. Potter, Spennymoor;Mr. C. W. Pitt, Malmesbury;Mr. R. Purvis, Tewkesbury ; Messrs. G. Pulman and Sons,Lond.

R.-Dr. A. R-senau, Ki"singen;Dr. R. R. Rentoul, Liverpool;Dr. A. Rennie, Aberdeen; LadyReynolds, Lond. ; Mr. R. T.Read, Chigwell Row; Mr. R.

Redpath, Newcastle-on-Tyne;Messrs. Robertwn and Scott,Edin.; Messrs. Read and Co.,

(Lond.; Royal College of Surgeons, Lond , Asst. Sec. of.

S.-Dr. E. M. Sympson, Lincoln;Mr. J. P. Smith, Birmingham;Mr. H. L. Smith, Zululand;Mr. C. Sargent, Lond.; Mr.F. 0. Simpson, Wakefield ; Mr.W. B. Saunders, Philadelphia ; Mrs. A. Stephens, Hove ; Messrs.G. Street and Co., Lond ; Stock-port fnnrmary, See. of ; Samari-tan Frew Hosp. for Women, &c.,

’

Lond., Sec. of; Sanitas, Lond.

T.-Dr. J. C. Thresh, Chelmsford ;Mr. L A. Tallerman, Lond ; Mr.A H. Tubby, Lond.; Mr. T. W.

! Twyford, Hanley ; Tyro, South-sea.

U.-Unqualified, Lond.

V.-Mr. C. J. Vis, Haarlem ; Mr. Hosp., Wolverhampton, Sec. of .J. W. Vickers, Lond.; Mr. M. S. West London Medico-ChirurgicalValentine, Hichmond, Virginia, Society., Hon. See of: WestU.S.A. London Post graduate Course,

Hon. Sec. of.W.-Mr. W. R. Williams, Preston;

Messrs. J. Wright and Co., X.-X., S. Hackney.Bristol; Messrs. Wright, Crossleyand Co., Liverpool; Wolver- Y.-Mr. B Youngman, Layerhampton and Staffs. General Marney; Yachtsman, Lond.-

Letters, each with enclosure, are alsoacknowledged from-

A.-Dr. A. E. Ash, Stokeville;Mr. J. Angell, Withington;Apollinaris Co., Lond.; A., Gt.Malvern.

B.-Dr. 0. Beven, Edwinstowe;Mr. F. G. Bullmore, Falmouth;Mr. E. H. Beaman, Misterton;Mr. B. Beesley, Darton. MessrsBlondeau et Cie. Lond ; Birming-ham Daily Post, Proprietors of;B.A., London; Beta, Lond.

C.-Dr. A. Court, Staveley, Chester-field ; Messrs. Clegg and Jones,Bolton; Chichester Infirmary,Sec. of ; Children’s Hosp.,Nottingham, Sec. of ; CroydonCorporation, Clerk of; Cantab,Lond.; C. B. A., Lond.

D.-Dr. J. A. Dick, Randwick ;Mr. L. B. Dharcalker, Bombay;Mr. W. F. Dale, Welling; Mr.F. J. Davies, Cwm Carn; Mr.E. N. Davies, Pen y graig ; Mrs.Dalgleish, Dunchurc D., Liver-pool.

E.—E.. Birkenhead; Ergot, Lond.;Exchange, Lond.; E. T. M., Lond.

F.-Dr. J. Findlay, Penpont;Dr. A. M. Fraser, Portsmouth;Mr. A. E. Fuller, Ashford; Mr.A. G. Fleming, Hove; MissFoster, Ithlingboro; Miss M. D.Farquharson, Melbourne; FlowerHouse, Catford, Sec. of ; Fidelis,Lond.

G.-Dr. W. W. Gibson, Kidder-minster ; Dr. J. W. Geddes, FerryHill; Dr. J. Griffiths, Cambridge;Dr. J. Grant, Ontario, Canada;Messrs. Gilyard Bros., Bradford ;Gateshead County Borough,Clerk of ; G., Lond.; G. P., Lond.

H.-Mr. E. E. Hanley Birmingham;Mr. W. H. Haw, Barberton,Transvaal, S. Africa; Mr. W. A.Hardiker, Priors Marston ; Mrs.Hardy, Knockeven; High ShotHouse, Twickenham, See. of;Horton Infirmary, Banbury, See.of; Homer, Lond.; H, Southend-on-Sea ; Harvard, Lond.

J.-Mr. Johnson, Hove.

K.—Dr. D. 0. Kerr, Brocklesby;Kiosk, Lond.

L.-Dr. T. W. Locket, Atherstone ;Mr. F. J. Lavers, Lond.; Mr.J. S. Loweth, Stamford ; L. M.,Lond.; Locum, W. Haddon; L.,Tillworth, Axminster; LocumTenens, Moulton.

M.-Dr. Pasquale Morelli, Napoli;j Dr. Maccall, Polmont; Mr. S.

Mackey, Shrewsbury ; Mr. W. P.Morgan, Bedlinog; Mr. A. C.Morton, N. Walsham; Messrs.Matthews and Son, Lond.; Man-chester Royal Eye Hosp., Sec. of;Male Nurses’ (Temperance) Co-operation, Lond., Sec. of; Man-chester Southern Hosp., See.of; M.B., Hoxton; Medicus,Hulme.

O.-Dr. A. B. Orchard. Billesdon;Mr. T. G. Ouston, Newcastle-on-Tyne.

P.-Dr. T. R. Prior, Pevensey; Mr.T. A. B. Plowman, Lond.; Mr.W. S. G. Pugh, Lond.: Pepten-zyme Co., Lond.; Physician,Darlington.

R.-Dr. A. B. Eitchip. Hulme ;Mr. J. W. Rolph, Pahang ; Mr.R. L. Romer, Bushey Heath.

S.-Dr. T. W. Smith, Bith; Dr.W. R. Smith, Rhyl; Mr.J. A. E. Stuart, Heckmond-wike ; Mr. W. C. Squires, Lond.;Mr. H. W. Scriven, Lond. ; Mr.L. H. Stewart, Roberteon, S.Africa; Statim, Lond ; Scalpel,Lond.; Surgeon, Lond.; Stafford,Lond.

T.-Mr. J. Thin, Edin ; Mr.H. E. Trestrail, Hillhead ; Mrs.Theobald, Leicester; Thresh’sDisinfector Co., Chelmsford;Theta, Lond.

V.-Mr. A. R. Verity, Garndiffaith;Mr. H. W. Vaughan, Haverigg;Veritas, Lond.

W.-Mr. S. Wand. Leicester; Mr.B. Williams, Dolwvddelan; Mr.J. Wilmehurst, Wolstanton; Mr.W. M. Wills, Lond.; Messrs.West, Newman and Co., Lond.

X-X., Lond.

Y.-Dr. E. B. Young, Lond.

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One Year ... 8Six Months ..................... 0 17 4Three Months ..................... 0 8 8

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Bank, Westminster Branch") should be made payable to Mr. CHARLESEtooD, Manager, THE LANCET Officer,423, Strand, London.

ADVERTISING.Books and Publications ... Seven Lines and under go 5 8 0Official and General Announcements Ditto 0 6 0Trade and Miscellaneous Advertisements Ditto 0 4 6

Every additional Line 0 0 8First Page (under Contents) when space available(Books only) ......... Five Lines and under 0 6 0

Every additional Line 0 1 0Quarter Page .................. 1 10 0Half a Page ..................... 2 15 0An Entire Page ..................... 5 5 0Terms 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 addressed tofictitious names or initials only.

An original and novel feature of " THE LANCET General Advertiser is a special Index to Advertisements on pages 2 and 4, which not onlyaffords 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, accompanied by a remittance.Answers are now received at this Office, by special arrangement, to Advertisements appearing in THE LANCET.The Manager cannot held himself responsible for the return of testimonials, &o., sent to the Offioe in reply to Advertisements; copies 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

addressed.THE LANCET can be obtained at all Messrs. W. H. Smith and Son’s and other Railway Bookstalls throughout the United Kingdom. Adver-

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

Agent for the Advertisement Department in France—J. ASTIER, 8, Rue Traversiere Asnieres. Paria.