1801

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, Brompton.-Resident House Physicians.

HOSPITAL FOR WOMEN, Soho-square, London, W.-Assistant HousePhysician (non-resident) for three months.

NORTH LONDON HOSPITAL FOR CONSUMPTION, Hampstead, N.W.-Resident Medical Officer for one year. Honorarium ,840, withboard, lodging, &c., in the hospital.

ROYAL COLLKQE OF PHYSICIANS, London.-Milroy Lecturer for 1898.ROYAL FREE HOSPITAL, Gray’s-inn-road, W.C.-Resident Medical

Officer for six months. Board, residence, and washing provided inthe hospital.

ROYAL HOSPITAL FOR CHILDREN AND WOMEN, Waterloo Bridge-roadLondon, S.E.—Anaesthetist and Registrar. Salary jB30 a year.

RURAL DISTRICTS OF BUNTINGFORD, HADHAM, HERTFORD, STANSTED,AND WARE, AND THE URBAN DIS1RICTS OF BISHOPS STORTFORD,HERTFORD, HoDDESDON, AND WARE.-Medical Officer of Health forthe above districts. Salary R600 per annum, including travellingand all other expenses. Applications to the Clerk of the Joint Com-mittee, Council Offices, Town Hall, Ware, Herts.

STAFFORDSHIRE GENERAL INFIRMARY, Stafford. -Assistant HouseSurgeon. :jE30 per annum, with board, lodging, and washing.

WEST RIDING ASYLUM, Wadsley, near Sheffield.-Pathologist, who willbe required to act as Fifth Assistant Medical Officer. Salary £100per annum, rising £10 a year to .E150, with board, &c.

Births, Marriages, and Deaths.BIRTHS.

BICKERSTAFF.-On Dec. 8th, at Ladywell-park, S.E., the wife ofGeorge R. Bickerstaff, L.R.C.P., M.R.C.S., of a daughter.

PEMBREY.-On Dec. 4th, at Oakley-street, Chelsea, the wife of M. S.Pembrey, M.D., of a daughter.

CALLAGHAN.-On Dec. 13th, at Stoneleigh-terrace, Coventry, the wifeof James Leslie Callaghan, L.R.C.S. Irel., L.R.C.P. Edin., of a son.

DALISON.-On Dec. 10th, at Ilsington Lawn, Puddletown, Dorchester,the wife of Bernard E. Dalison, M.B , (prematurely) of a daughter,who only survived her birth a few minutes.

DRAGE.-On Dec. 15th, at Burleigh Mead, Hatfield, Herts, the wife ofLovell Drage, M.A., M.D. (Oxon.), of a daughter.

DUTT.-On Dec. 13th, at Everest Lodge, Newington, Hull, the wife ofA. C. Dutt, B.A., M.B. Cantab., of a daughter.

HOLMAN.-On Dec. llth, at Hoathly Lodge, Eastbourne, the wife ofHenry J. Holman, M.R.C.S. Eng., L.It.C.P. Lond., of a daughter.

HOLTON.-On Nov. 30th. at 200, Barking-road, E., the wife of F. W. P.Holton, M.R.C.S., of a son.

SHANAHAN.-On Dec. 12th, at The Crescent, Limerick, the wife of J. F.Shanahan, L.R.C.P., L.R.C.S. Irel., of a daughter.

MARRIAGES.

BROWN-HILL.-On Dec. 15th, at Christ Church, Westminster,William Carnegie Brown, M.D., Penang, to Jane Margaret (Daisy), Ionly daughter of Major-General W. Hill, Indian Staff Corps. ,

MCDOWALL-WOTHERSPOON.-On Dec. 16th, at St. Giles’s Cathedral,Edinburgh, by the Very Rev. J. Cameron Lees, D.D., LL.D., Deanof the Chapel Royal and of the Order of the Thistle, assisted bythe Rev. W. H. Gray, B.D., Aberdour, John Greig MCDowall, M.D.,Medical Superintendent of the West Riding Asylum, Menston,Yorkshire, to Mabel Jane, second surviving daughter of C. GreyWotherspoon, of Hillside, Aberdour, Fife, and the Temple, London,barrister-at-law.

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DEATHS.CHILD.-On Dec. 9th, at Vernham, New Malden, Edwin Child, M.R.C.S

and L.S.A., aged 54.DUNN.-On Dec. 16th, Kate, beloved wife of Thomas B. Dunn, 11,B.,

M.C., and fourth daughter of the late E. S. Eardley.FussELL.-On Dec. 13th, at Stirford House, Brighton, Edward Francis

Fussell. M.B., M.R.C.P., Medical Officer of Health for East Sussex,aged 70.

GOODRIDGE.-On Dec. 8th, at Elm Bank, Paignton, John ThompsonGoodridge, M.R.C.S. Eng., aged 70 years.

HARRIS.-On Dec. 14th, at Shelley House, Worthing, William Harris,F.R.C.S., in his 89th year.

PADLEY.—On Dec. 14th, at Lilliput Hall, near Swansea, George Padley,L.R.C.P. Lond.

PUHNELL.-On Dec. 17th, at Woodlands, Streatham-hill, John JamesPurnell, F.R.C.S. Eng.

STOKES.-On Dec. 10th, at his residence, Melton House, Hammersmith,F. W. Stokes, M.D., M.R.C.S., L.It.C.P., aged 33 years.

N.B.-A fee of 58, is charged for the insertion of Notices of Births.Marriages, and Deaths.

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (21st).-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.), West London (2.30 P.M.).

TUESDAY (22nd).-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 (23rd).-St. Bartholomew’s (1.30 P.M.), University College.(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.),,St. Mary’s (2 P.M.), National Orthopedic (10 A.M.), St. Peter’s (2 P.M.),Samaritan (2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. Northern’

: Central (2.30 P.M.).

THURSDAY (24th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’sTH (3.30 P.M.), University College (2 P.M.), Charing-cross (3 P.M.). St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex

(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynaeco-logical, 2.30 P.M.)

FRIDAY (25th).-London (2 P.M.), St. Bartholomew’s (1.30 P.:es.), St-Thomas’s (3.30P.M.), Guy’s (1.30p.M.), Middlesex (1.30P.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.), t.Northern Central (2.30 P.M.), West London (2.30 P.M.).

SATURDAY (26th).-Royal Free (9 A.M. and2 r.ht.), 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 Ophthalmic-(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and the-Central London Ophthalmic Hospitals operations are performed daily.

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

IT is most important that communications relating to theEditorial business of THE LANCET should be addressedexclusively " To THE EDITORS," and not in any case toany gentleman who may be supposed to be connected withthe Editorial staff. It is urgently necessary that attentionbe given to this notice.

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It is especially requested that early intelligence of local eventshaving a medical interest, or which it is desirable to bring.under 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 forprivate informa-tion, must be a,ut7zenticated by the names and addresses oftheir writers, not necessarily for publication.

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

marked and addressed " To the Sub-Editor."Letters relating to the publication, sale, and advertising de-

partments of THE LANCET should be addressed "To tUManager."

We cannot undertake to return MrSS. not used.

DISINFECTION OF BOOKS AFTER SCARLET FEVER:A QUERY.

To the Editors of THE LANCET.

SiRS,-I shall be much obliged if any of your readers can inform me-if there are any satisfactory and efficient means of disinfecting books.used during an attack of scarlet fever. They are devotional books,valued by the patient for their donor’s sake, from long use, and from,association-not to be parted with unless of necessity. Can they b&-

efficiently disinfected by any means that will not practically destroythem? Suggestions giving due weight to efficiency and practicabilitywill greatly oblige, Yours faithfully,

A. B.S.

1802

THE THIN END.

To the Editors of T H E LANCET.

SIRS,-Those who are clamouring for the legalisation of unqualifiedpractice-whether by chemist, policeman, or midwife-will be pleased’that prominence should be given to the following excerpt from the.Stnncard of the 12th ult. :-

" Police-sergeant Hayden, who was called in and who said he hadhad ambulance instruction, stated that deceased had severed thecarotid artery on the right side of his neck."

Presumably this is but a foretaste of things to come.I am, Sirs, yours truly.

Dec. 12th, 1896. S. K. V.

Mr. Alex. Laing (Glasgow).-The subject is one of great interest both tomembers of the medical profession and to pharmacists. We hope tobe able to refer to it again at no distant date. The letter contains-much with which we agree, but it is not suitable for our columns.

A CHECK UPON VAGRANTS.

A NEW arrangement which has now been for some weeks in operation inthe county of West Sussex has been found to work satisfactorily, andto give indication of greater value if it were not for the fact that it

applies only to this limited area. A’committee of guardians, chosen bya. meeting of delegates from every board in the western county,manages the scheme, which is one of way-bills. Each wayfarer is

provided at the casual wards with a ticket upon which is described his’

appearance, his destination, and the place he came from. The pre-sentation of this ticket at certain specified stations enables the holderto procure food to take him on to the next workhouse. This, it is !,thought, will tend to help the bond fide working man while at thesame time discouraging the professional tramp. It has been found

in practice that the latter will, if possible, avoid the workhouseswhere this scheme obtains, especially on the borders of Hants andEast Sussex, where a short extra journey rids the man of this super-vision. At the same time handbills and posters have been exten-sively distributed asking the public to cooperate with the committee,.and pointing out that there is no need for men to beg either foodor money under this scheme and that such indiscriminate helpincreases and encourages the nuisance of systematie vagrancy.

Dr. J. R. White’s experiences have not been those of our other

correspondents. We made an investigation of the matter and cannotendorse his views.

UNCOMPLICATED PERICARDITIS.

To the Editors of THE LANCET.

SIRS,-During the summer an apparently healthy young man came to’me in the morning complaining of a grating sensation and a feeling of dis--comfort in the chest referred to the left side, which he stated bad come onwhile in bed the previous night. I found he had a very marked pericardial,friction sound audible over the entire cardiac area. The heart itself iwas otherwise apparently healthy, the urine normal, and no other sign i

of disease could be detected. On questioning him I ascertained thatthe previous afternoon he had played cricket for the first time in theseason and had been bowling for the greater part of the time. He, how-ever, had felt nothing unusual until night time when he wolce up feeling’the sensations he described. With a few days’ rest in bed the frictionsound completely disappeared; at no time could any effusion be- detected nor was the cardiac dulness increased ; the pericarditis fromwhich he suffered being apparently analogous to the dry pleurisysometimes met with. I should be much obliged if any of your readerswould inform me if similar cases have been recorded. The onlyreference that I have been able to find in books within my reach to

pericarditis with a similar origin is in Fagge’s " Principles and Practiceof Medicine," p. 942, where, discussing the etiology of acute pericarditis,7it is stated that it sometimes follows prolonged exertion, as evidentlyhappened in the above case. I am, Sirs, yours faithfully,Dec. 4th, 1896. 0. L. R.

L. W.-We believe that the vaccination of the newly born is the

universal custom under the circumstances mentioned, but it is a

practice of which we cannot approve and one, moreover, condemned

by the recent Commission. The reason for thus treating both infantand mother is probably that the particular class involved are difficultto get at after leaving the institution.

MATERNAL IMPRESSIONS.

-’To the many who are interested in this subject the case recentlynarrated by Professor Simpson to the Edinburgh ObstetricalSociety will seem to possess strong arguments in favour of physicalimprint upon the fcetus of maternal impressions. The case will be

found narrated in the transactions of the society, p. 1763.

Mr. W. R. Cole.-We are unable to say at present, in the absence ofmore detailed information, whether or no there is anything in thetreatment.

"THE POISON OF THE PRIMULA."

To the Editors of THE LANCET.

SIRS,-In continuation of the series of cases of poisoning by the

primula reported in response to your paragraph in THE LANCETof March 28th. I may add the following case. About the middle of

May last I was consulted by a worker in a large flour mill for whatappeared to be an acute dermatitis, partly eczematous, partly erythe-matous, affecting the left hand and left side of the face. The eyelidswere so swollen as to completelv close the eye. Three of the fingerswere raised into large blisters filled with serum. I attributed it at thetime to the irritation of particles of flour. It subsided readily enoughunder treatment. On Aug. 2nd he again presented himself with exactlythe same symptoms, only slightly milder. I was about to make thesame mistake as before when the patient, who was a very intelligentman, observed that the attack had come on in both instances after

trimming a primula. Enquiry elicited that it was a primula obconica-a fine specimen that had flqwered well. The right hand that had heldthe scissors was unaffected ; the face might possibly have been infectedby the hand. He had frequently trimmed the plant between the attacks,but had only lopped off dead leaves and flowers. He was too anxious tobe rid of the plant to try any further experiments with it and he hashad no outbreak since. I am, Sirs, yours truly,Marypoit, Dec. 15th, 1896. JAMES LITTLE, M.D.Edin.

bl. D.-There is, unfortunately, no law by which any unqualified personcan be prevented from prescribing so long as he does not give himselfout to be in possession of a medical or slugical qualification.

"A QUERY."DR. KXOWSLEY SIBLEY (London) writes: "In reply to Dr. W. L.

Hubbard’s question in THE LANCET of Dec. 12th as to the benefitlikely to be derived from the local hot-air treatment (Tallerman-Sheffield) for his patient with œdema, &o , of the limb, probably theresult of old standing obstruction in the femoral vein, the chiefeffect of the hot air is to improve the nutrition of the part treated,and hence all cases of malnutrition of limbs or joints, whether dueto disease or injury, undoubtedly tend to improve under this method.I am at the present time using the apparatus at the North WestLondon Hospital in the case of a man with very considerable mal-nutrition of one leg following ligature of the femoral artery somemonths ago. The limb is cold and much wasted, mo"e or less cede-matous and blue, and with a good deal of an:csthesia about the lowerpart. All this has much improved under the hot-air treatment.

Cases of this description, with loss of sensation, naturally require tobe very carefully watched during treatment."

G. P.-«’e consider that silence was certainly right. V’e do not printthe letter as an example of proper reticence, because the informationis so precise that by doing so the advantages of previous discretionmight be annulled.

THE PANCREAS AS AN ARTICLE OF DIET.

To the Editors of THE LANCET.

SIRS,-In talking to a butcher the other day I was extremely surprisedwhen speaking on the subject of the " sweetbread" to hear him say thatthere were three sweetbreads in an animal. I asked him where theywere situated and he told me-(1) at the root of the neck, (2) in thecavity of the chest, and (3) in the belly of the animal. I questionedhim more closely and discovered that his three sweetbreads corres-ponded respectively to-(1) the thyroid gland, (2) the thymus gland,and (3) the pancreas. To make quite sure that no mistake had beenmade I watched him a day or two after kill and cut up a bullock. The

thyroid gland in this animal is situated low down at the root of theneck over the trachea. The thymus (which he told me was bigger inthe calf than in the bullock) is placed in a somewhat similar position towhere it is in man ; while the pancreas (the most important organ) heregarded as the least significant and told me it was "given in with theliver." He told me, moreover, that if he were asked for calf’s sweet-bread he would always give (what we call) the thyroid and thymusglands. I have been informed that all butchers do the same thing,though I cannot, of course, vouch for the accuracy of this statement. Atany rate it seems to me to be right for every physician to be on hisguard when ordering "sweetbreads" for his patients that the pancreasbe provided and not these other glands. An undercooked calf’s thyroidgland being repeatedly given in the place of a real "sweetbread" might,as we know, produce untold mischief in a patient as well as perplex themind of the prescribing practitioner in a peculiar and undeservedmanner. I am, Sirs, yours truly,

T. WiLsoy PARRY, M.A., M.B. Cantab.Youlgreave, Derbyshire, Dec. 12th, 1896.

"A DENTIST’S HAND-BILL."

WK have received the following from Mr. Lambart and congratulatehim on his action :-

"Dec. 14th, 1896."DEAR SIR,-I will withdraw your testimonial for all future

printing. "Yours truly, -- -

TO ur. Lamuaru, 4, Whimpte-street." N. H. RUNDLE.

1803

THE UNQUALIFIED ASSISTANT.To the Editors of THE LANCET.

SIRS,-The fiat has gone forth that unqualified assistants must notbe employed on any condition (ride the remarks of the Presidentof the General Medical Council to Mr. Adamson). The unqualifiedassistant at the present day, as a matter of notoriety, gets hisname published in connexion with penal cases and is therebybranded as a half criminal while the man who employs him is

regarded as a greater criminal still. Now, Sirs, I ask you if all thisis justice towards the unqualified man? It is well known that a

great majority of medical students are men of slender means, who arethankful of the opportunity of earning an honest penny. If our needyfriends therefore find themselves stranded, say between the second andfinal examination, I ask, What are they to do? According to theGeneral Medical Council, they must not employ any knowledgewhich they may have gained in the exercise of a profession for whichthey may have a liking and for which they may be naturally wellsuited. They may join the grpat army of quacks, or may beg, borrow,or steal, but on no consideration must they enter the employment of aman who may be willing to pay them a few shillings a week and at thesame time give them a practical knowledge of their bubiness. Ob,no, for such, according to the powers that be, is infamous conduct. Now,Sirs, I ask you, In what other profession in the world does such a stateof affairs exist? The law student can learn his profession and at thesame time earn at least enough to keep his pipe of peace filled, and I havenever heard that the laws of our country have suffered thereby. Theengineer, also, can support himself while he is studying for the highergrades, and in no other profession except the medical is the studentprevented from using his natural talents towards his support. I am

pleased that you have always recognised that an unqualified man may ,

be a useful help to a principal, while the principal may be of the utmostpractical help to the student. I, myself, have acted as unqualifiedassistant in a case where my principal saw all the patients in the firstinstance, and afterwards sent me to make my own diagnosis and indicatea course of treatment, and I consider that.I learned more in this waythan I did in all the five years which I spent in studying the conflictingtheories of our learned professors. What though he did pay me a fewshillings a week for the help which I gave him: did that render him aninfamous character ? I should say not, for he was a kindly man who didnot fail to point out my mistakes if I was wrong or to commendme if I was right. I never learned, either, that his conduct was

regarded by the outside public as unprofessional, for the public are notfools and the surest test of a man’s worth is his ability to keep his patients.I do not doubt that in some cases the use of unqualified men has beencarried to an excessive degree, but when we have the President of theGeneral Medical Council delivering such a sweeping generalisation Ithink it is time that a protest was entered on behalf of poor, but notnecessarily dishonest, students, and that some one stood forth to

champion their cause. I think that at least their names should bewithheld from these penal cases, as there is no doubt that a suspicionmay be raised against them which may militate against their chancesshould they subsequently become qualified. That such a suspicionshould be created I think is most unfair. The unqualified man doesnothing dishonest in taking employment. He, maybe, enters into anengagement when he does not know whether it is legal or not, mostlyfor the reason that the ruling powers themselves are not very certainabout their ground. I therefore protest against his name being used tohis disadvantage and thank you in anticipation for publishing this.

I am, Sirs, yours faithfully,Dec.l4th,1896. STUDENT.

To the Editors of THE LANCET.SIRS,-In connexion with this subject will you kindly permit me to

refer to the statements of Mr. R. T. E. Davies in his defence before theGeneral Medical Council. It is not a question of want of society androughness of work that renders it a difficult matter to secure theservices of qualified Welsh-speaking assistants. It is really a questionof fair pay, decent treatment, and less bondage on the part of principalsI know nothing of Mr. Davies and his staff, but from ten years’ experi.ence as an assistant I do know of the disgracefully low terms and severebondage offered by some principals. Many principals have copied theparsons and therefore go in for "pluralities" on a large scale, sothat they take no direct personal interest in the work other than

pocketing the fees. The poor assistant frequently has to trudge it earlyand late until the inclination for society is reduced to zero. Curiouslyenough, county J.P.’s are some of the worst offenders with regard to thekeeping of unqualified assistants. It is not so very long ago when theGeneral Medical Council dealt with another case of covering at NewTredegar. It strikes one as being very strange that no one asked Mr.Davies if he knew anything of this case-in which a neighbour of hiswas involved. Once let the colliers know that they cannot draw theirclub and insurance pay on the strength of illegal certificates and theywill bid good-bye to unqualified assistants.

I am, Sirs, yours very truly,Dee.l5th.l896. DIM SAESOXAEG.

A LOST VOLUME.ANY reader having in his possession "Archives Générales de Medecine,

1869," borrowed from the Royal College of Surgeons of EdinburghLibrary in 1888, will greatly oblige Dr. A. W. Hare by returning thesame to him or to the Librarian.

PEDUNCULATED GROWTH OF UVULA.

To the Editor8 of THE LANOHT.

SIRS,-A man, aged forty-five years, complained of a constant irritationin the throat which caused him to be persistently coughing. This hadbeen present for nearly three months. On examining the fauces andtonsils nothing abnormal could be seen, but attached to the uvula wasa small pedunculated body about the size of a pea attached by a longand narrow pedicle to the posterior part of the apex. The growth was.seen more distinctly when the patient inspired deeply, and was seen totouch the posterior part of the pharynx. I seized the growth with a pairof artery forceps and amputated the pedicle close to the tip of theuvula, some slight hsemorrhage occurring when the pedicle was cut-through, which was easily arrested on the application of a stypticThere was not any infiltration of the surrounding tissues. The patienthas not since complained of the irritation neither are there any othe~<symptoms. I am, Sirs, yours truly,Dec. 14th, 1896. RICHARD GEORGE WORGER.

* This affection through not very rare is an interesting one.-ED. L.

A POINT UNDER THE INFECTIOUS DISEASES (NOTIFICATIONACT.

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To the Editors of THN LANCET.

SIRS,-On Aug. llth I notified a case of scarlet fever; five days later-the patient developed diphtheria which I also notified. The vestryauthorities refuse to pay for the second notification. Will you kindlyinform me if they are justified in so refusing ? Supposing the firstnotification had been a mild erysipelas upon which followed scarletfever, what would have been my duty in that case ? Your favouringme with a reply in the columns of THE LANCET will greatly oblige.

I am, Sirs, yours faithfully,Dec. 14th, 1896. A SUBSCRIBER.

*** The Act says: "Every practitioner attending on, or called in tovisit, the patient shall forthwith on becoming aware that the patient.is suffering from an infectious disease to which this Act applies, sendto the medical officer of health a certificate ......" Both certificates in.this case ought to be paid for as scarlet fever and diphtheria both,come under the Act.-ED. L.

ERRATUM.-n a letter headed "Battle of the Clubs," signed HenryBlake, M.B.Lond., which appeared in THE LANCET of Dec. 12th, the-words "two Norwich M.D.’s carried off a large club" should read-"two Norwich M.O.’s (medical officers) carried off a large club."

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

During the week marked copies of the following newspapershave been received :-Bath Chronicle, Grinrbsy News, SussexDaily N6.tvs, Launceston Id’eekly News, Coventry Mercury, Bradforci’Observer, Birmingham Post, Iancaster Express, Newcastle Chronicle,Sheffield Telegraph, Manchester Courier, Scotsrnan, Times of India,South Wales Daily News, Pioneer Mail, Western Daily Mercury,Hampshire Telegraph, Liverpool Daily Post, Architect, Carlisle

Express, Chester Chronicle, North Wilts Herald, Builder, BrightonHerald, Leicester Advertiser, Hastings Times, Lincoln Gazette,Yorkshire Post, 1?,nn News, Gravesend Standard, Hull Mail ’Leeds MerC1try, T2enbridge Telegraph, Oldbury TVeekly News,Wellingborough News, Wiltshire City Mirror, Lancashire DailyExpress, Foutlc Wa es Daily Post, Manchester Guardian, BrightonGazette, Evening News (Portsrraoutlc), Sanitary Record, Crewe Guardian,Wells Journal, T6’laitehall Review, Electrical Engineer, HaverfordwestTelegraph, Nottingham Guardian, East London Advertiser, WeeklyFree Press and Aberdeen Herald, City Press, Reading Merc2cr;ry, HemclHempstead Gazette, Local Government Chronicle, Le NIIe. Si&egrave;cle(Paris), Hertfordshire Mercury, Mining Journal, Local GovernmentJournal, Surrey Advertiser, Haverfordwest Telegraph, NuneatonGuardian, Ilfracombe Gazette, Leek News, Levant Herald, OrmskirkAdvertiser, Yarmouth Independent, Stoke Newington and Islingtmnhrrorder, Kettering Guardian, Bristol aereccry, &c.

1804

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

A.-Mr. G Auber, Lond.;A.,Barnet; Mr. H. S. Jackson, Lond.; Messrs.Dr. J. W. Allan, Glasg. ; Messrs. W. and A. K. Johnstone, Edin.;Adrian & Co.. Lond.; Anderson’s Dr. T. W. Jenkins, Glasg.College Medical School, Glasg., K.-Mr. A. Kebbell, York; Dr. G. C.Treasurer of; A. B. C , Lond.; Kingsbury, Blackpool; Dr. W. R.Messrs. Arnold and Sons, Lond.; Kingdon, Birmingham.The After-care Association, Lond., L.-Mr. A P Laurie, Lond.; Messrs.Sec. of; Mr. Joseph Allen, Lee and Nightingale, Liverpool;Swansea; Mr. C. T. Almy, Messrs. E. and S. Livingstone,Brixham. Edin.; Liq. Carnis Co., Aston

B.-Mr.L. Browne, Lond.; T. B. Clinton; Mr. J. P. Liebe,Dresden;Browne, Ltd., Lond.; Messrs. Mr. H. 0. Lambart, Plymouth;Burroughs, Wellcome, and Co., Dr. T. D. Luke, Grange-over-Lond. ; British Products Supply Sands.Assn., Lond.; Dr. Buzzard. Lond.; M.-Dr. L. McLachlan. Jura;Dr. R. Barnes, Lyss; Mr. T. T. Meister, Lucius, and Briining,Blease, Altrincham; Bury Dls- Hoechst-cn-lldaine; Metropolitanlpensary Hosp.,See. of; Bradford Hosp. Sunday Fund, Lond., Sec.Observer, Publishers of; Messrs. of; Mr. J. Miller, Lond.; HerrnBurgoyne, Burbidges, and Co., Otto Maier. Ravensburg, Wiir-

Lond ; Messrs. Blondeau et Cie, temburg : Dr. B.C. A. Moynihan,’Lond.; Dr. Edward Blake, Lond,; Leeds; Maltine Manftg. Co,Dr. H. P. Benson, Guernsey; Dr. Lond. ; M&uuml;nchgener MedicinischeR. Bangay, Brighton; Mr. R. Wochenscrift, Editor of; Mr. J.Barwell, Lond.; Mr. A. A. Brad- McMurtrie, Glasg.; Mr. A. S.burne, Church Stretton. Morton, Lond.; M.D., Lewisham;C.-Mr. H. Case, Brinscall; Coton Dr. W. M. MacDonald, New

Hill Hosp., Stafford, Clerk of; Brighton.Messrs. A. H. Cox and Co., N.-Dr. E. Norton, Folkestone; Dr.Brighton ; Chelsea Hosp. for R. Neale, Lond.Women, Lond., Sec. of; Dr. O.-Mr. F A. Osburn Scalloway.T. Carwardine, Bristol ; Dr. P.-Prof. Dr. A. Poehl, St. Peters-W. Collingridge, Lond.; Carbon, burg; Parkinson’s Condensed GasLond.; Messrs. Christv and Co., Co., Stretford; Mr. W. C. C.

Lond.; Messrs. Crossley, Moir, Parkes, Lond.; Air. F. Penberthy,and Co., Lond.; Cambrian News- Lond.; Messrs. Parke. Davis, andpaper Co, Swansea ; C.E.C.L., Co., Lond.; Mr. F. J. Parsons,Lond. Hastings: Patents and Manu-

D.-Dr. W. 0. Devereux, Tewkes- facturersDevelopmentCo.,Lond.,bury; Messrs. Duncan, Flockhart, Sec. of ; Mr. Y. J. Pentland, Edin.;and Co.. Edin.: Mr. A. Duke, Dr. F. A. Purcell, Lond.Cheltenham; Miss Dodsworth, R.-Messrs. A. Riddle and Co.,Chiswick; Messrs. Darlington Lond.; Messrs. J. Richardson andand Co, Lond ; Mr. A. Doran, Co.. Leicester; Messrs. ReynoldsLond.; Dr. D. Davies-Jones. Aber- and Branson, Leeds ; Royal Insti-dare ; Messrs. Dawson and Sons, tution of Great Britain, Lond.;Lond. Royal British Nurses’ Assn.,

E.-Dr. J. W. Edgar, Settle; Evelina Lond.; Royal Hosp. for DiseasesHosp. for Sick Children, Lond.; of the Chest, Lond., Vice-Presi-Early Closing Assn., Lond., dent of ; Royal MeteorologicalSee. of; Etablissement Thermal Society, Lond., Asst. Sec. of.D’Uriage, France. S.-Mr. J. T. Sheppard, Edgbaston ;

F.-Mr. L. Fletcher, Diss; Flower Messrs. Street and Co., Lond.;House, Catford, Med. Supt. of; Dr. R. M. Simon, Birmingham;Mr. E. H. Fricke, Manchester. i Dr. D. Stanlev, Birmingham; Dr.

G.-Dr. H. W. Gardner, Shrews- I R. N. Sbaw, Brighton; Mr. A. M.bury. Sheild, Lond.; Messrs Stubbs,

H.-Dr.G.A.Herschell,Lond;Mr. Lond.; Stanhoe Hall, Worthing;J. H Haywood, Nottingham: Mr. S. K. V., Birmingham; Dr. H. G.R. Harrison, Lond.; Mr. G. Her- Smeet, Stockport; Mr. J. E.

manni, jun, Lond.; Mr. W. J. Sharpley, Kiton-in-Lindsey,Havers, Lond.; Messrs. Henry Lincolnshire; Sunday Lectureand Co , Lond.; Messrs. Hertz and Society, Lond.; Sell’s AdvertisingCollingwood, Lond.; Mr. W. i Agency, Lond.; Prof. C. S. Sher-Higgs, Lond.: Hospital Reform rington, Liverpool.Assn., Cardiff, Hon. Sec. of; T.-The Typewriter Co., Lond.; Dr.Mr. J. Heywood, Manchester; C. B. Taylor, Nottingham.Dr. R. T. Hewlett, Lond. V.-Mr. W. P. Van Wyk, Lond.;

J.-Dr. P. R. H. Jagamadham, Dr. A. M. Vargas, Barcelona.Serampore ; Mr. W. M. M. Jack- W.-Dr. Weber, Cannes; Mrs.

son, Brighton; Jeyes’ Sanitary Whitehead, Woolston; W., Lond.;Compounds Co., Lond., Sec. of ; Messrs. Williams and Norgate,

Lond.; Mrs. S. G. Wingfield, ILdin.; Mr. J. Weir, Manchester;Lond.; Mr. S. Wand, Leicester ; Wyke House, Isloworth, ResidentWest Riding Asylum, Wadelev. Proprietor of.Med. Supt. of; Mr. W. Woods, X.-X.Y. Z., Chester.Liverpool ; Mr. P. H. Watson, Z.-Mr. H. P. Ziemann, Lond.

Letters, each with enclosure, are alsoacknowledged from-

A.-Mr. T. Andrew, Lond.; Mrs. Howie, Bournemouth ; Dr. T. B-M. H. Ashworth, Lond.; Assistant, Hayward, Haydock ; Hatton,

Lond.; Mr. R. R. Anderson, Fern- Lond.; Dr. W. L. Hunter, Pudsey;hill; Messrs. Anderson and Co., Hounslow Hosp., Sec. of; Mr. G.Edin. ; Mr. H. J. Appleton, Lond.; Holton, Lond.; Mr. J. Hyaniason,Dr. E. Allen, Hawes. Lond.; Mr. A. G. Hudson. Leo-

B.-Mr. C. S. Bowker, Pontnewydd; minster ; Mr. C. Hodgson, York;Bootle Borough Hosp, See. of; MR.T.F Hale.Barrow Hill; Homo.Messrs. Battle and Co., Paris; J.-Dr. D. E. Jones, Buckley; Mr.Mr. G. W. Butler, Lond ; Mr. E. Jenner, Lond.; Messrs. J.W. S. Beaton. Lond ; Mr. R. W. Jarvis and Sons, Lond.; Messrs.Brimacombe, Kings wood ; Messrs. Josolyne and Young, Lond.; Mr.Burford and Son, Lond.; Mr. H. E. James, Lond.; JUDctus,Lond.;Birmingham, Charters Towers, Juvenis, Lond.; Mr. Y. M. JonesQueensland; Messrs. N. Brock- Humphreys, Cemmaes; Dr. T,

well and Son, Lond.; Messrs. Jackson, Colwyn Bay. ’

Buckeridge Bros.. Lond ; Biceps, K.-Mr. R. C. B. Kevin, Lond.;Lond.: Mr. J. Buckeldee, Hilling- Messrs. G. and F. Kent, Lond.;don; Dr. F. Beach, Lond.; Mrs. Messrs. Keith and Co., Edin.Boyd, Southampton; Barth’sche L.-Mr. H. K. Lewis, Lond.; Mr.J.Buchhandlung, Aachen. Law, Farnboro; London Post-

C.-Dr. B. W. J. Cawthorne. Llan- Graduate Course. Treasurer of;rwst; Mr. R. Carey, Lond.; Mr. Rev. J. Lloyd, Rhulen; LocumJ. Cross, Lond.; Mr. W. Catmer, Tenens, Leicester.Lond.; Mr. T. Cole, Lond. ; Mr. W. M.-Mr. S. R. Merry, Lond.; Dr.Challoner, Melbourne; Dr. G. E. W. H. Murray, Huntingdon; Dr.Cartwright- Wood, Lond.; Mr. R McNeill,Oban; Magnus, Lond.;J. L. Cursetz, Bomhay ; Clayton Dr. E. Madden, Bromley; Messrs.Hosp, Wakefield, Hon. Sec. of; J. and C. Mort, Stafford ; Mr.Cantab, Liverpool ; Coadjutor, F. J. Moir, Moffat; Messrs.Lond.; Cymro, Lond.; Mr. H. A. Macmillan and Co.. Lond.; Dr.Cuthbertson, Hulme; Mr. A. H. A. A. Macnab, Bradford; Minto.Cheatle, Lond.; Messrs. Cohen N.-Norfolk, Lond.and Co., Lond. O.-Dr. D. Orr, Huddersfield.D.-Surg.-Maj. G. Dennys, Delhi; p.-Mr.E. A. B Poole, Kiddermin-Despatch, Lond.; Mr. W. Daly,

R ster; Mr. F. Patrick, Goudhurst.

Killarney ; Dover Hosp., Hon. R.-Mr. H. A. Roechling, Man-Sec. of; Don, Lond.; Dr. V. De chester; R. 0., Lond.; Mr. A. F.Laparade, Lyon ; Mr. A. Dobson, Rimell, Wargrave; Miss E. Reed,Duntield. Southfields; Miss S. Ramos,

E.-Mr. R. D. Evans Blaenau Hounslow ; R. H. S., Lond.Festiniog ; Messrs. Edwards and S.-Mr. J. S. Sharman, Lond.; Mr.Medway,Lond.; Mr. T.J. Evans, S. Stretton, hidderminster; Mr.New Quav, South Wales; Mr. J , R. B. G. Siiversides, Barnet;Evans, Aberdovev; E., Lond. StamfordRutlandInfirmary,Sec.Mr. N. Elliott, Brighton, of; Messrs. W. H. SmithandSon,

F.-Mr. W. Few, Lond.; F. C., Lond.; Mrs. Stuart, Lond.; Mr.

Croydon; F. A. C., Lond.; Felix. A. Saxlehner, Lond.; Surgeon,G.-Mr. J. Greenwood, Lond.; Dr. Halifax; Dr. J. B. Spence, Lich-

B. Greenwell, Lond ; Miss Gorely, field; Mr. C. W. Seccombe, Whit-Worthing ; Grand Hotel, Weston- church, Devon.super-Mare, Prop-iptor of ; Dr. T.-Mr. A. Thompson, Boxford;J. W. Geddes, Wmtertou; Mr. Mr. S. Thrower, Lond.; Mr. J.F. J. Gray, Walsall. Thin, Edin.

H.-Mr. J. A. Hingston, Lond.; U.-Urbanus, Lond.Hosp. for Sick Children, Blooms- V.-Mr. R. H. Vereker, Curry Rivel.bury, Med. Supt. of; Mr. W. A. W.-Mr. S. W. Wymond, St. MaryHewitson, Hetton-le-Hole; Mr. Cray; Mr. J. H. White, Shaw ;W. Hennessy, Lond.; Mr. R. J. Dr: J. W. Watterson, Morecambe;Heatley, Land.; Messrs. G. Messrs. West, Newman and Co.,Harrison and Son, Lond.; Mr. E.T. Lond.; Mr. G. G. Walmsley, Liver-Hollings, Woolacombe; Mr. T. pool; Messrs. J. Williams and

Handover, Lond.; Mr. T. W. Son, Chester : Dr. R. M. Wyckoff,Heath, Lond.; Messrs. J. Hebble- Brooklyn, N.Y., U.S.A.; Dr. J. W.thwaite and Sons, Lond.; Hay- White, Glasg.; Mr. T. 0. Williams,dock Lodge Retreat, Newton-le- Bodorgan.Willows, Med. Supt. of ; Mr. J. M. Z.-Mr. Z. M. Zorab,Lond.