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Notes, Short Comments, and Answers to Correspondents

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887 VACANCIES.-BIRTHS, MARRIAGES, AND DEATHS. FARNBOROUGH URBAN DISTRICT COUNCIL.—Medical Officer of Health. Salary 2150 per annum. GRAVESEND HOSPITAL.-House Surgeon. Salary JE90 per annum, with board and residence. HiMPSTEAD HOSPITAL, Parliament-hill, N.W.—Dental Surgeon. HERTFOBDSEIBE COUNTY ASYLUM, Hill End, St. Albans.—Junior Assistant Medical Officer, unmarried. Salary .E160 a year, with board, furnished apartments, and washing. HOSPITAL FOR WOMEN, Soho-square, W.- Assistant Physician. limG’s COLLEGE, London. - General Pathology and Bacteriology, Demonstrator. LEWES DISPENSARY AND INFIRMARY AND VICTORIA HOSPITAL.- Iiesiuent Medical Officer. Salary £100 per annum, with apartments, board, and attendance. LONDON THROAT HOSPITAL, 204, Great Portland-street, W.-Patho- logist. MANCHESTER CHILDREN’S HOSPITAL, Pendlebury.—Medical Officer. Salary B180 per annum. MANCHESTER SOUTHERN AND MATERNITY HOSPITAL. -Resident House Surgeon.-Honorarium at rate of C50 per annum and board. MIDLOTHIAN DISTRICT ASYLUM.—Assistant Medical Officer, single. Salary ;E200. with furnished rooms, board, washing, and attendance. MONKWEARMOUTH AND SOUTHWICK HOSPITAL, Sunderland.-House Surgeon. Salary ;E50 per annum, with board, lodging, and washing. NORTH STAFFORDSHIRE INFIRMARY AND EYE HOSPITAL, Hartshill, Stoke-upon-Trent.—House Physician. Salary £100 per annum, increasing £10 per annum, with furnished apartments, board, and washing. NORTH WALES COUNTIES LUNATIC ASYLUM, Denbigh.-Second Assistant Medical Officer. Salary £120 per annum, rising to .E160, with board, residence, and washing. ROYAL CORNWALL INFIRMARY.-House Surgeon, unmarried. Salary .ElOO, increasing by £10 a year, with board and apartments. KoYAL SEA BATHING HOSPITAL, Margate.-Resident Surgeon. Salary .El20 per annum, with board and residence. ROYAL VICTORIA HOSPITAL, Bournemouth.-House Surgeon. Salary £100 per annum, with board. Sr MARK’S HOSPITAL FOR FISTULA AND OTHER DISEASES OF THE RECTUM, City-road, London, E.C.-House Surgeon. Salary .ESO per annum, with board, loclgirig, and washing. ST. MARY’S HOSPITAL MEDICAL SCHOOL, Paddington, W.—Curator of Museum and Assistant Pathologist. Salary £100 per annum. SEAMEN’S HOSPITAL SOCIETY (" DREADNOUGHT "), Greenwich, S.E.- House Surgeon. Salary £50 per annum, with board, residence, and washing. SfAFFORDSHIRE GENERAL INFIRMARY, Stafford.-Assistant House Surgeon. Salary 260 per annum, with board, lodging, and washing. STIRLING DISTRICT Asi-Lum, Larbert, N.B.-Junior Assistant Medical Officer. Salary £100, with board, &c. TAUNTON AND SOMERSET HOSPITAL, Taunton.-Resident Assistant House Surgeon for six months. Salary at the rate of jE60 per annum, with board. lodging, and washing. VICTORIA HOSPITAL, FOLKESTONE.-House Surgeon. Salary .ElOO per annum, with board, residence, and laundry. VicrnRiA HOSPITAL FOR CHILDREN, Queen’s-road, Chelsea, S.W., and the VICTORIA CONVALESCENT HOME, Broadstairs.—House Physician for six months. Honorarium of ;E25, with board and lodging. The Chief Inspector of Factories, Home Office, London, S.W., gives nntice of vacancies for Certifying Surgeons under the Factory Acts at Northleach, Gloucester, at Brixworth, Northampton, and at Ballylongford, County Kerry. Births, Marriages, and Deaths. BIRTHS. BENSON.—On Sept. 17th, at Beachlands, Deal, the wife of Lieutenant- I Colonel P. R. Benson, I.M.S. (Mysore), of a son. DUNN.—On Sept. 19th. at Mildenhall, Suffolk, the wife of William Dunn, M.B., of a daughter. HENDLEY.—On Spot. 18th, at Chail, Simla Hills, India, the wife of Major Harold Hendley, l.M.S., of a daughter. INCF.-On the 31st August last, at Bloemendal, Mowbray, Cape Town, S.A., the wife of John Samuel Ince, only surviving son of Surgeon- Major John Ince, M.D., LM.S. (retired), of Swanley, Kent, of a son. _____ I MARRIAGES. SCOTT-BAKER.-On Sept. 12th, at St. Stephen’s Church, Paddington, by the Rev. L. Titley, Sydney Richard Scott, M.B. Lond., M.R.C.S., L.R.C.P. Lond., to Ethel, daughter of the late George Baker of Shrewsburv. WILLCOX-GRIFFIN.-On August 29th, at Clapton, Northamptonshire, by the Rev. E. P. Williams-Freeman, reactor, William Henry Willcox, M.B., B Sc. Lond., D.P.H., F.I.C., of St. Mary’s Hospital, Padding- ’ton, W.. to Mildred, elder daughter of William Griffin, Esq., of Claptou. - DEATHS. ARCHER.—On Sept. 20th, at Upper Woburn-place, Francis Bonfield i Archer, M.B., C.M., in his 54th year. DOUGLAS.-On Sept. l3th, at Bellingdon-road, Chesham, James Richard Alexander Douglas, M.R.C.S., L.S.A., in his 83rd year. , MORAN.—On Sept. 20th, at Marylebone, W., Lieutenant-Colonel James Moran, M.D., I.M.S. - N.B.-A fee of 5s. is charged for the insertion of Notices of Birthe, , Marriages, and Deaths. Notes, Short Comments, and Answers to Correspondents. QUERIES IN POOR-LAW ADMINISTRATION. A CORRESPONDENT asks us the following questions :-Is a medical officer obliged to resign his appointment and accept his superannuation when 65 years of age? Has the chairman of guardians (being a J.P. re- siding in another parish six miles away) a right to direct the relieving officer of this parish to take all pauper lunatics into the workhousc (out of this parish) after receiving notice from the district medical officer? In answer to (1) the Superannuation Act states that an officer " may be superannuated when he reaches the age of 65 years." The guardians, therefore, ?nay call upon their medical officer to take his superannuation the moment he reaches the age of 65 years. or they may retain his services for u. further period if they think that he is still " capable of performing the duties with efficiency." The answer to (2) depends upon the chairman as a J.P. having jurisdiction or not in the parish where the lunatic resides. If he has he can, by Section 14 (3) of the Lunacy Act, require the relieving officer i« bring the lunatic before him at such time and place as shall be appointed in his order, and the place may be the work- house. The chairman and J.P. has no authority to give a general order to the relieving officer. He can only give the order upon re- ceiving notice that a person is deemed to be a lunatic. See Section 14 (3). The relieving officer can remove without an order under Section 20. The extract from Section 14 (2)-" in the place where the pauper resides "-refers to the jurisdiction of the justice, not to the place where the pauper is to be taken. THE CAPACITY OF THE URINARY BLADDER. To the Editors of THE LANCET. SIRS,-On July 24th last a primipara, aged 24 years, was delivered of a male child, stillborn. The child weighed 11 pounds, and the woman, who was very stout, carried it well forward. Nineteen hours after delivery over 50 ounces of urine were withdrawn with the catheter. On the following day the catheter was used twice, but subsequently the urine was passed in the natural manner, though with increased frequency. The patient was up before the tenth day and continued well, and remains so at the present date, the amount of urine retained being excessive with no impairment of function. This note is made by permission of Mr. F. Dymoke of Bristol. I am, Sirs, yours faithfully, University College, London, Sept. llth, 1901. A. P. WALTERS. ,* The interest in Mr. Walters’s note lies in the fact that there was no impairment of function, as the amount of urine drawn off is not very remarkable and has often been exceeded. The rapid recovery of the bladder in this instance is chiefly attributable to the patient’s age. In older people atony is much more likely to follow over-distension.-ED. L. THE BATTLE OF THE CLUBS. WE learn that the post of surgeon to the Wanstead Foresters is at present vacant. The local practitioners have agreed among them- selves to ask for a remuneration of 5s. per member per annum instead of 4s. A local medical man has been elected and the appointment offered to him at the old rate, which offer has been refused. The Foresters argue that all their courts in the eastern division of London pay but 4s. and they have therefore decided to look elsewhere for a surgeon. We need not reiterate all the reasons for medical men asking an increase in their salary. Suffice it to say that if working men’s expenses have gone up so have those of medical men. But working men’s wages have risen and it is only fair that the payments made to medical men should go up too. We are very glad that the practi- tioners of Wanstead are united, and can only urge any practitioners in the neighbourhood who may be approached to back up their professional brethren in their demands. A "CONSCIENTIOUS OBJECTION." ON Sept. 16th a labourer appeared before the magistrates at Thorpe, Essex, applying for a vaccination exemption certificate for his child, the reason given being that the child’s grandmother had died after vaccination. It appeared that the grandmother had been vaccinated when a child. The certificate was granted by a majority of the magistrates, two of whom were opposed to it. LOCUM-TENENTS’ FEES. To the Editors of THE LANCET. SIRS,—Will you or any of your readers let me know how much a doubly-qualified man is entitled to if called away to work as a locum- tenent for less than a week without settling any terms ? A medical student friend of mine asked me if I would work for a medical friend of his who wanted to go out for a change. I asked him the terms, to which re said that the medical man did not say anything about the terms in his letter or wire, and as there was hardly any time to lose asked me 10 to leave town, assuring me that I would not be taken advantage of in
Transcript

887VACANCIES.-BIRTHS, MARRIAGES, AND DEATHS.

FARNBOROUGH URBAN DISTRICT COUNCIL.—Medical Officer of Health.Salary 2150 per annum.

GRAVESEND HOSPITAL.-House Surgeon. Salary JE90 per annum, withboard and residence.

HiMPSTEAD HOSPITAL, Parliament-hill, N.W.—Dental Surgeon.HERTFOBDSEIBE COUNTY ASYLUM, Hill End, St. Albans.—Junior

Assistant Medical Officer, unmarried. Salary .E160 a year, withboard, furnished apartments, and washing.

HOSPITAL FOR WOMEN, Soho-square, W.- Assistant Physician.limG’s COLLEGE, London. - General Pathology and Bacteriology,

Demonstrator.LEWES DISPENSARY AND INFIRMARY AND VICTORIA HOSPITAL.-

Iiesiuent Medical Officer. Salary £100 per annum, with apartments,board, and attendance.

LONDON THROAT HOSPITAL, 204, Great Portland-street, W.-Patho-logist.

MANCHESTER CHILDREN’S HOSPITAL, Pendlebury.—Medical Officer.Salary B180 per annum.

MANCHESTER SOUTHERN AND MATERNITY HOSPITAL. -Resident HouseSurgeon.-Honorarium at rate of C50 per annum and board.

MIDLOTHIAN DISTRICT ASYLUM.—Assistant Medical Officer, single.Salary ;E200. with furnished rooms, board, washing, and attendance.

MONKWEARMOUTH AND SOUTHWICK HOSPITAL, Sunderland.-HouseSurgeon. Salary ;E50 per annum, with board, lodging, andwashing.

NORTH STAFFORDSHIRE INFIRMARY AND EYE HOSPITAL, Hartshill,Stoke-upon-Trent.—House Physician. Salary £100 per annum,increasing £10 per annum, with furnished apartments, board, andwashing.

NORTH WALES COUNTIES LUNATIC ASYLUM, Denbigh.-SecondAssistant Medical Officer. Salary £120 per annum, rising to .E160,with board, residence, and washing.

ROYAL CORNWALL INFIRMARY.-House Surgeon, unmarried. Salary.ElOO, increasing by £10 a year, with board and apartments.

KoYAL SEA BATHING HOSPITAL, Margate.-Resident Surgeon. Salary.El20 per annum, with board and residence.

ROYAL VICTORIA HOSPITAL, Bournemouth.-House Surgeon. Salary£100 per annum, with board.

Sr MARK’S HOSPITAL FOR FISTULA AND OTHER DISEASES OF THERECTUM, City-road, London, E.C.-House Surgeon. Salary .ESO perannum, with board, loclgirig, and washing.

ST. MARY’S HOSPITAL MEDICAL SCHOOL, Paddington, W.—Curator ofMuseum and Assistant Pathologist. Salary £100 per annum.

SEAMEN’S HOSPITAL SOCIETY (" DREADNOUGHT "), Greenwich, S.E.-House Surgeon. Salary £50 per annum, with board, residence, andwashing.

SfAFFORDSHIRE GENERAL INFIRMARY, Stafford.-Assistant HouseSurgeon. Salary 260 per annum, with board, lodging, and washing.

STIRLING DISTRICT Asi-Lum, Larbert, N.B.-Junior Assistant MedicalOfficer. Salary £100, with board, &c.

TAUNTON AND SOMERSET HOSPITAL, Taunton.-Resident AssistantHouse Surgeon for six months. Salary at the rate of jE60 perannum, with board. lodging, and washing.

VICTORIA HOSPITAL, FOLKESTONE.-House Surgeon. Salary .ElOO perannum, with board, residence, and laundry.

VicrnRiA HOSPITAL FOR CHILDREN, Queen’s-road, Chelsea, S.W., andthe VICTORIA CONVALESCENT HOME, Broadstairs.—House Physicianfor six months. Honorarium of ;E25, with board and lodging.

The Chief Inspector of Factories, Home Office, London, S.W., givesnntice of vacancies for Certifying Surgeons under the Factory Actsat Northleach, Gloucester, at Brixworth, Northampton, and atBallylongford, County Kerry.

Births, Marriages, and Deaths.’ BIRTHS.

BENSON.—On Sept. 17th, at Beachlands, Deal, the wife of Lieutenant- IColonel P. R. Benson, I.M.S. (Mysore), of a son.DUNN.—On Sept. 19th. at Mildenhall, Suffolk, the wife of William Dunn,

M.B., of a daughter.HENDLEY.—On Spot. 18th, at Chail, Simla Hills, India, the wife of

Major Harold Hendley, l.M.S., of a daughter.INCF.-On the 31st August last, at Bloemendal, Mowbray, Cape Town,

S.A., the wife of John Samuel Ince, only surviving son of Surgeon-Major John Ince, M.D., LM.S. (retired), of Swanley, Kent, ofa son.

_____ I

MARRIAGES.SCOTT-BAKER.-On Sept. 12th, at St. Stephen’s Church, Paddington,

by the Rev. L. Titley, Sydney Richard Scott, M.B. Lond., M.R.C.S.,L.R.C.P. Lond., to Ethel, daughter of the late George Baker ofShrewsburv.

WILLCOX-GRIFFIN.-On August 29th, at Clapton, Northamptonshire,by the Rev. E. P. Williams-Freeman, reactor, William Henry Willcox,M.B., B Sc. Lond., D.P.H., F.I.C., of St. Mary’s Hospital, Padding-’ton, W.. to Mildred, elder daughter of William Griffin, Esq., ofClaptou.

-

DEATHS.ARCHER.—On Sept. 20th, at Upper Woburn-place, Francis Bonfield i

Archer, M.B., C.M., in his 54th year. ,

DOUGLAS.-On Sept. l3th, at Bellingdon-road, Chesham, James RichardAlexander Douglas, M.R.C.S., L.S.A., in his 83rd year. ,

MORAN.—On Sept. 20th, at Marylebone, W., Lieutenant-Colonel JamesMoran, M.D., I.M.S.

-

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

Notes, Short Comments, and Answersto Correspondents.

QUERIES IN POOR-LAW ADMINISTRATION.A CORRESPONDENT asks us the following questions :-Is a medical officerobliged to resign his appointment and accept his superannuation when65 years of age? Has the chairman of guardians (being a J.P. re-siding in another parish six miles away) a right to direct the relievingofficer of this parish to take all pauper lunatics into the workhousc(out of this parish) after receiving notice from the district medicalofficer? In answer to (1) the Superannuation Act states thatan officer " may be superannuated when he reaches the age of65 years." The guardians, therefore, ?nay call upon theirmedical officer to take his superannuation the moment hereaches the age of 65 years. or they may retain his services for u.

further period if they think that he is still " capable of performingthe duties with efficiency." The answer to (2) depends upon thechairman as a J.P. having jurisdiction or not in the parishwhere the lunatic resides. If he has he can, by Section14 (3) of the Lunacy Act, require the relieving officer i«

bring the lunatic before him at such time and place as

shall be appointed in his order, and the place may be the work-house. The chairman and J.P. has no authority to give a generalorder to the relieving officer. He can only give the order upon re-ceiving notice that a person is deemed to be a lunatic. See Section 14

(3). The relieving officer can remove without an order under Section 20.The extract from Section 14 (2)-" in the place where the pauperresides "-refers to the jurisdiction of the justice, not to the placewhere the pauper is to be taken.

THE CAPACITY OF THE URINARY BLADDER.

To the Editors of THE LANCET.

SIRS,-On July 24th last a primipara, aged 24 years, was delivered ofa male child, stillborn. The child weighed 11 pounds, and the woman,who was very stout, carried it well forward. Nineteen hours after

delivery over 50 ounces of urine were withdrawn with the catheter.On the following day the catheter was used twice, but subsequentlythe urine was passed in the natural manner, though with increasedfrequency. The patient was up before the tenth day and continuedwell, and remains so at the present date, the amount of urine

retained being excessive with no impairment of function. This noteis made by permission of Mr. F. Dymoke of Bristol.

I am, Sirs, yours faithfully,University College, London, Sept. llth, 1901. A. P. WALTERS.

,* The interest in Mr. Walters’s note lies in the fact that therewas no impairment of function, as the amount of urine drawn offis not very remarkable and has often been exceeded. The rapidrecovery of the bladder in this instance is chiefly attributable to

the patient’s age. In older people atony is much more likely tofollow over-distension.-ED. L.

THE BATTLE OF THE CLUBS.

WE learn that the post of surgeon to the Wanstead Foresters is at

present vacant. The local practitioners have agreed among them-selves to ask for a remuneration of 5s. per member per annum insteadof 4s. A local medical man has been elected and the appointmentoffered to him at the old rate, which offer has been refused. TheForesters argue that all their courts in the eastern division of London

pay but 4s. and they have therefore decided to look elsewhere for asurgeon. We need not reiterate all the reasons for medical men askingan increase in their salary. Suffice it to say that if working men’sexpenses have gone up so have those of medical men. But workingmen’s wages have risen and it is only fair that the payments madeto medical men should go up too. We are very glad that the practi-tioners of Wanstead are united, and can only urge any practitionersin the neighbourhood who may be approached to back up their

professional brethren in their demands. ’

A "CONSCIENTIOUS OBJECTION."ON Sept. 16th a labourer appeared before the magistrates at Thorpe,Essex, applying for a vaccination exemption certificate for his child,the reason given being that the child’s grandmother had died aftervaccination. It appeared that the grandmother had been vaccinatedwhen a child. The certificate was granted by a majority of themagistrates, two of whom were opposed to it.

LOCUM-TENENTS’ FEES.

To the Editors of THE LANCET.

SIRS,—Will you or any of your readers let me know how much adoubly-qualified man is entitled to if called away to work as a locum-tenent for less than a week without settling any terms ? A medical studentfriend of mine asked me if I would work for a medical friend of his whowanted to go out for a change. I asked him the terms, to which resaid that the medical man did not say anything about the terms in hisletter or wire, and as there was hardly any time to lose asked me 10 to

leave town, assuring me that I would not be taken advantage of in

888 NOTES, SHORT COMMENTS, AND ANSWERS TO CORRESPONDENTS.

any way. Consequently I left town at a very short notice on Thursdayand stayed till the following Wednesday morning. For this period Iwas paid 30s. including 7s. travelling expenses. I put the money inmy pocket without looking at it, but when I found that it was 30s. Iwas very much surprised but thought it better not to say a wortl untilI had seen this medical student.’ He still told me that the medicalman did not say anything about the terms when engaging me andasked me to write to that gentleman. So I wrote and askedfive guineas and travelling expenses, minus 30s. already received.In reply the medical man said that lie had offered 30s. and thoughtthat was quite enough. Under the circumstances, when he hadno direct correspondence with me and the terms were not told to me bythe medical student, how much am I entitled to and how should Iproceed to realise it ? Thanking you for the trouhle in anticipation,

I am, Sirs, yours faithfully,Sept. 23rd, 1901. LOCUM.

. The remuneration is altogether inadequate. We do not know whatour correspondent’s legal remedy may be, as he accepted the postwithout arranging for his fee, but he will be ill-advised to act withoutconsulting a solicitor.-ED. L.

" INSUFFICIENT LAVATORY ACCOMMODATION IN GIRLS’SCHOOLS."

To the Editors of THE LANCET.SIRS,-The insufficiency of lavatory accommodation in girls’ schools

to which Mr. Hughes Davies has very properly drawn attention inTHE LANCET (Sept. 21st, p. 825) is certainly a condition which oughtnot to be allowed to continue, but I fear it would not be practicable toeffect a remedy in the manner he suggests, through the local sanitaryauthority and the medical officer of health. I think, however, thatthis is a question which might very well be dealt with by the MedicalOfficers of Schools’ Association. If the association would issue a

memorandum addressed to the principals of schools I am quite sure thecooperation of medical officers of health could be obtained to secure itsdistribution. The conditions described by Mr. Davies are not to befound in at least one school with which I am acquainted, where thegirls breakfast at 7.30 A.M. and have no definite school duties until 9.30.

I am, Sirs, yours faithfully,Hereford, Sept. 21st, 1901. HERBER1’ JONES, D.P.11. Camb.

"MEMBRANOUS COLITIS ? "

To the Editors ot THE LANCET.

SIRS,- In answer to your correspondent "Worried" in THE LANCET ofSept. 21st, p. 826, I can tell him that I have obtained refreshingly goodresults in some cases of membranous colitis by throwing to the windscommonly accepted theories-salol, &c.-indeed, disregarding the localconditions as compared with treating the individual as a whole-generally a neurotic. Rest, food, and warmth are, I venture to say,the common-sense weapons we have wherewith to combat suchlike

complaints-they are simple-sounding but much more powerful thanany drug. Mr. Bunsby once said: ’’The bearing of this observation

lays in the application on it." One of the chief arts of the physicianlies in arranging, adjusting. and dovetailing simple remedies, therebygiving the chance which the vis medicatrix naturæ is longing for.

I am, Sirs, yours faithfully,Crouch End, N., Sept. 23rd, 1901. F. ORTON, M.D. Dub.

To the Editors of THE LANCET.

SIRS,-" Worried will find an account of mucous and membranouscolitis, &c., in the Encyclopaedia Medica, vol. ii., under " colon " ; alsofurther reference in the Medical Chronicle for August, 1901, underMucous Colitis." If Bright’s disease and amyloid disease can be ex-cluded I would suggest, after attention to the teeth, a diet includinggreen vegetables-e.g., spinach, meat, and fat-but limited as to carbo-hydrates, and these well cooked. Warmth also is necessary in clothing,&c., a regular mode of life, and as much change to a bracing and socially ’,congenial atmosphere as is attainable. In any case much patience and avoidance of over-drugging are necessary.

I am, Sirs, yours faithfully,Sept. 23rd, 1901. T. C. B.

To the Editors of THE LANCET.

SIRS,-As a patient of mine has suffered since her return from

India, where she had hill cliarrlioea and peritonitis 25 years ago, frommembranous colitis with symptoms similar to those of the patientcited by "Worried," I may be able to give some hints, and shall bevery thankful if they prove of use. She has been better for the last 10

years than previously, though a very experienced Indian practitionerwho saw her at her worst, which was about 1882, thought the thicken-ing of the csceum would probably increase gradually and produce afatal result. At that time, even between the attacks, there was usuallypain after food, especially if vegetables were taken, so that she hadto live mainly on meat. Later on the vegetable that suited her bestwas beetroot, plain boiled. More recently she has been able to takevegetables, but not meat, which produces headache and scanty urine..(When she was a child she could not take meat.) Before an attack thereis often a feeling of terror or impending disaster; this, however is notuncommon in abdominal maladies. The attacks seem to have reference

to, damp and to vegetation, being most frequent in spring and when theleaves fall. Indeed, I have always tried to get her away to th e sea,especially to Brighton, at those times. The sea acts both as preventive and eure and is better than any drugs. I should say that the heart isaffected. It is dilated and when she is ill there is sometimes a systolic

’ apex bruit, but not always. Now, as to treatment. Bael, bismuth,: arsenic, sulphate of copper, and iodine applications do little or nogni,

I manage the case somewhat as follows :-In a very acute attack of

right iliac pain she keeps to bed or sofa with constant large, hot linseedpoultices, taking as little food as possible-only Brand’s jelly, &c. I orderDover’s powder if there is blood in the slime and glycerine suppositories if

. necessary (enernata increasing the pain). When improving the yelk ofan egg mixed with a teaspooiif til of flour relieves diarrhœa. Resorcin, OMor two grains in water, is very soothing, also useful in minor attacks,but tends to constipate if continued long and affects the heart. Afteran attack is over I find pernitrate of iron useful in strengthening thebowel. The pain, I think, is worst when the membrane has been shed,leaving a raw surface. By the time the membrane is passed the pain isoften better. I am very doubtful about the desirability of givingaperients. I believe an attack has frequently been averted by a timelyvisit to Brighton, and after an acute attack I generally find that assoon as she is sufficiently recovered to be carried downstairs and putinto a cab and from that into the train a fortnight there sets her upagain in a marvellous manner. Brighton appears to be specially suitablefrom the absence of decaying vegetation. I shall be very happy to giveWorried " any further information privately.

I am, Sirs, yours truly,Woolwich Common, Sept. 21st, 1901. THEODORE MAXWELL.

ORGANO-THERAPY 170 YEARS AGO.

IN our issue of July 13th, p. 94, we gave some examples of prescriptionsby thirteenth-century practitioners of the school of Salerno, andmore recently we noted that mandrakes still have a sale; but the

following prescriptions which were published in 1731 show a degreeof credulity hardly to be expected from "the father of modern

chemistry and brother of the Earl of Cork." The book is said to bewritten by " The Honourable It. Boyle, Esq., late Fellow of the RoyalSociety," for the benefit of " those poor Upholders of Families whocannot find or fee a Surgeon or a Doctor." Here are a few

specimens:—FOR THE DYSENTERY.

Take Pigs-Ditng, dry it, and burn it to grey (not white) Ashes;of these give about half a Dram for a Dose, drinking after themabout three spoonfuls of Wine Vinegar.

FOR C ONVULSIONS, ESPECIALLY IN CHILDREN.Take Earth- Worms, wash them well in White-wine to eleanse

them, but so as that they may not die in the Wine: Then uponhollow Tiles, or between them, dry the Worms with a moderateHeat, and no further than that they may be conveniently reducedto Powder; to one Ounce of which add a pretty Number of Grainsof Ambergrise, both to perfume the Powder, (whose Scent of itselfis rank) and to make the medicine the more efficacious.

TO PREVENT THE TOOTII-ACH, AND KEEP THE TEETH SOUND.Let the Patient frequently rub his Teeth moderately with the

Ashes that remain in Tobacco-Pipes, after the rest of the Body hathbeen consumed in Smoak ; some time after, washing (if need be)his Mouth with fair Water not too cold.

FOR OBSTRUCTIONS, AND DIVERS DISEASES PROCEEDINGTHENCE.

Let the Patient Mrink, every Morning fasting, a moderate

Draught of his own Uritie newly made, and (if it can convenientlybe) whilst ’tis yet warm, forbearing Food for an Hour or twohfter it.

AN UNCOMMON BUT EXPERIENC’D REMEDY FOR DYSENTERICALFLUXES.

Take the Bone of the Thigh of a hang’d Man (perhaps anothermay serve), calcine it to Whiteness, and having purg’d the Patientwith an Antimonial Medicine, give him 1 Dram of this whitePowder for one Dose, in some good Cordial, whether Conserve orLiquor.

A CHOICE EXTERNAL REMEDY FOR A SORE THROAT.Take Millepedes, Sows or Hogs Lice alive, and sew them up

between the Foldings of a piece of Linnen, and apply them to theThroat in the form of a Stay, which is to be kept on all Night.

FOR AN AGUE. ’

Take of the Bone called Platella, of the Knee of a dead Man, andhaving reduced it to fine Powder, give of it as much as will lie

upon a groat or a six-pence for one Dose, in any proper Conserve,or fit Vehicle. K, T, À.

‘‘ PRESERVING THE ELASTICITY OF INDIARUBBER."

To the Editors of THE LANCET.. ’

SIRS,-The following hints may be useful to your correspondent Dr.Richards (THE LANCET, Sept. 21st, p. 826). I am indebted’to the

manager of a rubber factory for them. Rubber goods should be kept in atemperature that does not fall below 60’F. (I keep mine in a cupboardat the baek of which the kitchen chimney ascends). Tubes and tubular

goods should be hung up or laid on a shelf carefully coiled, free frombands’, kinks, or pressure. Rubber sheeting should be rolled on a stick.not folded. Water-bottles, air-beds, pillows, &c., should be slightlrinflated with air and be thoroughly dry before being put away. Twoprithree days’ exposure in a temperature of 70° F. will soften rubberarticles that have become hard.

I am- Sira- vnnrs fathfullySept. 23rd, 1901.

[tuuy,EXPERIENCE.

889DIARY, EDITORIAL NOTICES, MANAGER’S NOTICES.

.M.D., D.P.H. Aberd.-We are obliged for the information. Wo cannot,of course, always tell what an advertisement may really mean. Wedo not accept advertisements from medical aid societies the manage-ment of which is not, in our opinion, proper, but sometimes anadvertisement of this character will get into our columns because onthe face of it it is innocent.

F. if’. A.-The advertisement is presumably inserted by the houseagent and not by the medical man in question. If his attention werecalled to it we are sure that he would be the first to insist upon itswithdrawal.

During the week marked copies of the following newspapershave been received :-Yorkshire Post, Kent and Sussex Courier,Mining Journal, Rochester and Chatham Journal, South AfricanNews, Leeds Mercury, Coventry Standard, Windsor and Eton

Express, Reading Mercury, Liverpool Daily Post, Local GovernmentJournal, Lancaster Observer, Bristol Mercury, The Times, Southwarkand Bermondsey Recorder and South London Gazette, South LondonChronicle, Epsom Herald, Surrey Advertiser, Dorking Advertiserand Coutny Post, Essex Telegraph, Essex County Standard, Hert-,tordshire Mercury, &c.

METEOROLOGICAL READINGS.

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

Medical Diary for the Week.OPERATIONS.

METROPOLITAN HOSPITALS.

MONDAY (30th).-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 (Gynacological, by Physicians, 2 P.M.), Soho-square(2 P.M.), Royal Orthopædic (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 (lst).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.). St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.lIr.), 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.),Samaritan (9.30 A.M. and2.30 P.M.). Throat, Golden-square (9.30 A.M.).

WEDNESDAY (2nd).-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.),National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan(9.30 A.M. and 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.),London Throat (2 P.M.), Cancer (2 P.M.), Throat, Golden-square(9.30 A.M.).

THURSDAY (3rd).-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.Georges’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 (Gynaeco-logical, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),St. Mark’s (2 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat,Golden-square (9.30 A.M.).

FRIDAY (4th).-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.). West London (2.30 P.M.), LondonThroat (2 P.M. and 6 P.M.), Samaritan (9.30 A.M. and 2.30 P.M.),Throat. Golden-square, (9.30 A.M.)

’SATURDAY (5th).-Royal Free (9 A.M. and 2 P.M.), London (2 P.M.),Middlesex (1.30 P.M.), St. Thomas’s (2 P.M.), University College(9.15 A.M.), Charing-cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.), London Throat (2 P.M.), Throat, Golden-square (9.30 A.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.WEDNESDAY (2nd).-OBSTETRICAL SOCIETY OF LONDON (20, Hanover-

square, W.).-8 P.M. Specimens will be shown by Dr. Lewers, Dr.H. Spencer, and others. Paper :-Dr. Herman: Leukaemia andPregnancy. - ..

FRIDAY (4th).-WEST LONDON MEDICO-CHIRURGICAL SOCIETY (WestLondon Hospital, Hammersmith-road, W.).-8.30 P.M. Mr. A.Cooper (President): Inaugural Address.

WEST KENT MEDICO-CHIRURGICAL SOCIETY (Royal West Kent Dispen-sary, Greenwich-road, S.E.).-8.45 P.M. Clinical Evening. Dr.

Toogood : Cases from Lewisham Infirmary.-Dr. Scholefield :Clinical Cases.-Dr. Dockrell : Dermatological Cases.

LECTURES, ADDRESSES, DEMONSTRATIONS, &c.MONDAY (30th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC

(22, Chenies-street, W.C.).-4 4 P.M. Dr. A. Whitfield: Clinique.(Skin.)TUESDAY (1St).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC

(22, Chenies-street, W.C.).-4 P.M. Dr. S. Taylor : Clinique.(Medical.)

WEDNESDAY (2nd).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, Chenies-street, W.C.).-4 P.M. Mr. R. Harrison: Clinique.(Surgical.)

THURSDAY (3rd).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, Chenies-street, W.C.).-4 P.M. Mr. Hutchinson: Clinique.(Surgical.)

FRIDAY (4th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, Chenies-street, W.C.).-4 P.M. Mr. 11. Tilley: Clinique.(Throat.)

EDITORIAL NOTICES.IT is most important that communications relating to the

Editorial business of THE LANCET should be addressedexclusively "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 eventshaving a medical interest, or which it is rtesirable 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 ACCOMPANIEDBY 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 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

departments of THE LANCET should be addressed To theManager.

"

We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.VOLUMES AND CASES.

VOLUMES for the first half of the year 1901 are on sale.Bound in cloth, gilt lettered, price 18s., carriage extra.

Cases for binding the half-year’s numbers are also on saleCloth, gilt lettered, price 2s., by post 2s. 3d.To be obtained on application to the Manager, accompanied

by remittance. -

TO SUBSCRIBERS.

WILL Subscribers please note that only those subscriptionswhich are sent direct to the Proprietors of THE LANCETat their Offices, 423, Strand, W.C., are dealt with by them? 2Subscriptions paid to London or to local newsagents (withnone of whom have the Proprietors any connexion what-ever) do not reach THE LANCET Offices, and consequentlyinquiries concerning missing copies, &c., should be sent tothe Agent to whom the subscription is paid, and wt toTHE LANCET Offices.

Subscribers, by sending their subscriptions direct toTHE LANCET Office, will ensure regularity in the despatchof their Journals and an earlier delivery than the majorityof Agents are able to effect.The rates of subscriptions, post free, either from

THE LANCET Offices or from Agents, are :-FOR THE UNITED KINGDOM. I To THE COLONIES AND ABROAD.

One Year ..........El 12 6 One Year ..........El]4 8Six Months......... 0 16 3 Six Months ......... 0 17 4Three Months ...... 0 8 2 [ Three Months ...... 0 8 8

Subscriptions (which may commence at any time) are

payable in advance. Cheques and Post Office Orders (crossed" London and Westminster Bank, Westminster Branch")should be made payable to the Manager, MR. CHARLES GOOD,THE LANCET Office, 423, Strand; London, W.C.


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