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METEOROLOGICAL READINGS.(Taken daily at 8.30 a.M. 6y Steward’s Instruments.)

THE LANCET Office, September 30th, 1888.

Notes, Short Comments, & Answers toCorrespondents.

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.

All communications relating to the editorial business of thejournal must be addressed " To the Editor."

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

Letters, whether intendedfor insertion or forprivate 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.Letters relating to the publication, sale, and advertisingdepartments of THE LANCET to be addressed " To thePublisher."

We cannot undertake to return MSS. not used.

SANITARY REFORM.

UNDER this heading, in a letter to the Yorhshire Post, Mr. J. InghamIkin, F.R.C.S., whilst congratulating the promoters of the recent

Sanitary Congress at York upon the success with which their effortswere attended, points out that in the papers which were read and theaddresses which were delivered the earliest promoters and advocatesof sanitary reform had scanty justice done to them. Mr. Ikin alludes

chiefly to the writings, lectures, and papers of Dr. Southwood Smith,Dr. Black, Mr. Hastings, Dr. Kilgour, the late Earl of Shaftesbury,and Mr. Richardson, supported by the strong advocacy of the lateMr. Wakley, 1LP., who originated a special commission to re-

port on the subject. The Social Science Association, aided by theveteran sanitary reformers Dr. Chadwick, Dr. Lankester, and others,advanced the science of sanitary reform materially, and might, hethinks, with justice have been alluded to.

J. S.-The regulations of the General Medical Council making an exami-nation in mechanics obligatory before qualification came into force onJan. 1st; 1882, hence our correspondent will be obliged to pass in thatsubject.

Professor Clay’s paper will appear in an early number.

OVERCROWDING OF THE PROFESSION.

To the Editor of THB LANCET.

SIR,-As showing the seriously overcrowded state of the profession inthis country, will you permit me to state in your columns the result ofan advertisement which appeared in your last issue for a " surgeon to belocated on one of the West African rivers"? I received no fewer thansixty-seven replies, and they continue to arrive, six having been receivedby this evening’s post. Very many of them are from men of very goodsocial and professional standing, and most of them have had manyyears’ experience in private practice. The climate of the West Coast ofAfrica has a notoriously evil reputation for its effects upon the Europeanconstitution; and although I believe the climate is often made thestalking-horse for the injudicious habits of many of the Europeansresident in the tropics, Africa, on its west coast, cannot be deemed themost salubrious place in the world. I have lived there myself, and cantherefore vouch for the fact. The emoluments offered amounted to a

guaranteed minimum of £500 a year. I answered the first score of letters;and perhaps the other gentlemen who do not receive replies will acceptthis letter as an acknowledgment of the trouble they have taken.

I am, Sir, yours faithfully,Aylesbury, Sept. 28th, 1886. R. HARVEY HiLLiABD, M.D.

THE BROMPTON OONSUMPTIOX HOSPITAL.

WE are asked to state that any former clinical assistant or pupil of theHospital for Consumption and Diseases of the Chest, Brompton, whohas not yet received an invitation to the conversazione to be held atthe Hospital on Thursday evening, October 7th, will receive one onforwarding his address to Dr. Waugh, the resident medical officer.

V’. F. M.-Tables of the weight of the human body and brain in healthand disease may be obtained of Messrs. Churchill, New Burlington-street.

Mr. Eales (Torquay).-In an early number.

THE FIRST PROFESSIONAL EXAMINATION IN SCOTLAND.

To the Editor of THE LANCET.

SIR,—In one of the "leaders" in your Students’ Number you say:" There is plenty of complaint of bad students." That may be so; butare many of these students not the victims of a badly-arranged systemof teaching ? I opine so. Keeping only in view the Scottish universities,it is the case that the student, after passing what is called the pre-liminary examinations, is confronted with chemistry, botany, andnatural history : the width of which sciences, and the difficulty of suc-cessful concentration upon their study, harass and sour him near thebeginning of what ought to be a delightful course of study. Mr. Pagetsaid at one time that 10 per cent. of medical students do not completetheir studies. This first professional examination has been truly astumbling-block to some young men known to me, excellent in theircharacter and studious in their habits, who have retired, baffled and dis-gusted with this examination. With others, who have appeared againand again for examination, the necessity of grinding or cramming forit has most seriously interfered with their study of anatomy, physiology,and the other practical subjects later on. Plucking is so common atthis stage that it has ceased to be a disgrace to the students. I have

nothing to say against individuals ; but there is surely somethingwrong with (1) either the training of the students, (2) the relation ofthe examination to the previous education, or (3) the mental calibre ofthe students. A living professor in a Scotch university says thatstudents are generally poor, and cannot afford to waste time and

neglect their studies ; and I believe him. Yet there is the humiliatingfact that not a few of them pay

" grinders" to post them up in the" tips" of the examiners. Philosophers may sneer at " cram" ; but asthe whole alpha and omega of a student’s career is to get successfullythrough the examinations, whatever plan helps him most in thatdirection will have his support. If excessive stress continue to be puton chemistry, botany, and natural history, then let every practitionerwho is dedicating a son to the medical profession agitate that thesethree subjects be included in the preliminary examination, so as not tointerfere with the study of the human body and its diseases. If unableto pass this enlarged preliminary examination, the candidate couldretire in reasonable time and betake himself to other pursuits.

I am, Sir, yours truly,Sept. 24th, 1886. M.D. GLASGOW.

*** We have always urged that these scientific subjects should be passedbefore a student enters on his strictly medical work.-ED. L.

SAIIrSON GAMGEE,_

DIED SEPT. 18TH, 1886.

Ill Memoriam.YEA, his the sacrificial life well spent-Ah ! who shall say that it is spent in vain ?To bind the soldier’s wounds on battle-plain,And heal the bleeding heart, by sorrow rent,His sacred trust; and now the deathless prizeOf faith and pious works is nobly won;And we who mourn him here shall dry our eyesAs his green grave of righteous deeds the sunIllumes, and seraph voices chant " Well done!

"

CLARENCE FOSTER.

A CASE OF GUINEA-WORM.

To the Editor of THE LANCET.

SIR,—Can any of your readers give me any advice as to the treatmentof a case of guinea-worm (Fzlaria medinensis) which I have under mycare? All the text-book authorities say: " Wind the worm round anivory peg, taking care not to break him; " but they all forget to tell youwhat to do if the worm refuses to come out, and goes on burrowing, as itis doing in this case, and showing no signs of appearing above thesurface. This guinea-worm has been in the leg about three months, andis constantly on the move. Can nothing be done, either in the way ofkilling it or of getting it out by an operation ? If any of your readerscould give me any information I should be obliged.

I am, Sir, yours truly,’ Sept. 29th, 1886. READER.

659

CYPRUS OF THE COMMANDERY. EDITORS AS REPRESENTATIVES.

1Y. L. T. (Reading).-This wine derives its name from that part of the Mr. TV. D. Spanton thinks the editors of the medioa.1 journals wouldisland of Cyprus where the Commendatore de’ Cavalieri di Malta e di make the best direct representatives. We must adhere to our viewRodi" (Commander of the Knights of Malta and Rhodes) resided and that the new Council ought to be furnished, above all things, withexercised authority over the various insular "Commanderie" or Com- representative general practitioners. Such men have been hithertomanderies. The wine itself is grown in a rather primitive manner, lightly esteemed by the medical authorities and the Medical Council.minutely described by the Italian Consul at Larnaca, the Cavaliere E. It is time that they had seats in the Council for each division of theChicco, in the " Bolletino Consolare." It owes less to art than to nature, kingdom.the vines growing well in the temperate climate of the island, where

Mr Wilkinson(Rotherham).—The question submitted toit has nothing to fear but the occasional droughts or rain-mists, while us rests for the most part upon local considerations. It is not easy tothe phylloxera is unknown and the cidium in an atmosphere so dry is us rests for the most part upon local considerations. It is not easy toalmost innocuous. The grapes of the Commandery are gathered claims on the whether parks or baths or free libraries have superiorabout the middle of September. The bunches, stripped or cut off the claims on the sympathies of philanthropists. All of these provisions

vines, are spread out on the house-tops, which are composed of mud are important, and, if possible, should be obtained for the benefit of

and straw dried together, and they lie on vine-leaves exposed to the the community.

sun for some fifteen days, after which drying process they are put Dr. Thos. Reid.-To the first and third of our correspondent’s questionsinto heavy wine-presses. The must which is squeezed out is collected we answer, Yes. To the second question we reply that the chemicalin big jars, tarred inside and closed at their narrow orifices by a cork, analysis leads to the water being regarded as open to grave suspicion.which is pierced with holes. There it stands till fermentation has Dr. F. E. Pearse (Frome).—Will our correspondent kindly repeat histaken place, and then the jars are hermetically sealed, and the wine question, as his letter has been mislaid?remains in this condition until it is sold or consumed. Cyprus of the Dr. de Havilland Hall.-Will our correspondent address Dr. Saundby,Commandery is hardly ever adulterated, and its growers rarely have of Birmingham, on the point?recourse to plaster-of-Paris, because such treatment invariably leaves . , .. . ,

it turbid or with an unpleasant after-taste. The island does not grow Beta.-Elther Carter’s " Elements " or Charteris’ Practice of Medicine."

the wood adapted for butts or barrels ; so the wine is kept in jars orearthen vessels, almost entirely made by hand on the spot where they MILK-POISONING.

are required. These vessels are baked in the furnace, and then their To the Editor of THE LANCET.interior is coated with liquefied resin. It is this resin which gives the SIR,-I think public attention should be drawn to the present veryCypriote wines their peculiar taste, which lowers their value in injurious practice of adulterating milk during the hot weather withEuropean markets, and the deteriorating practice will cease only with chemicals, which is practised at the smaller dairies. Eleven days agothe opening up of roads in the island which will facilitate the my little boy, a robust child of nearly two years of age, went to bed

transport of proper materials for making casks or barrels. In its well, but awoke at 2 P.sf. in frightful agony, which continued for several

first year the wine of the Commandery is apt to acidify, owing to hours, and with high fever. The latter soon subsided under treatment;’

. but the child has ever since had very intractable dysentery, and hasa second fermentation ; but if this is successfully overcome, then become very much pulled down. An infant was seized at the samethe wine suffers no other change, not even if left for many months time, bat in less degree. This proved that the milk was at fault; and Iexposed to the air. It is then kept in wood, the casks being never have since known an exactly similar case caused by milk from the samedisturbed. In these it matures, and becomes the rich, palatable dairy. I was unable to procure a satisfactory specimen for analysis ;beverage so much in favour with Italian physicians, with whom it has but it is apparently the sediment given to the child late at night, afterthe credit of having prolonged for some years the life of the octo- the milk has been standing some hours. that does the mischief. I beg

genarian, Pius IX. Since the island became English, so far as its to subjoin a letter, with which Mr. Stokes, the Public Analyst for

administration is d the Cypriote husbandman has gradually Paddmgton, has, in answer to inquirv, kindly favoured me, and remainadministration is concerned, the Cypriote husbindman has gradually ’ ’

Your obedient servant, thrown off the lethargy contracted under the Turk. He knows he can Norfolk-terrace, IN’., Sept. 16tli, 1886. HERBERT SNOW.live and thrive, the taxes being no longer fixed by despotic caprice orby dishonest speculation, but being, on the contrary, regulated by sound P.S.—I would add that the symptoms in the first instance were so

laws. Private enterprise is on the increase, and both the quality and acate as to suggest to me arsenical poisoning. A more delicate child

the quantity of the famous Cypriote wines will be enhanced. As it is, might readily have succumbed.

the export, according to statistics, has so increased since 1878 that Analytical Laboratory, Vestry Hall, Harrow-road, W.. ..

within the last two years it has doubled. Sept. llth, 1836." My dear Sir,-It is quite possible that the sediment you speak of in

irnquirer (Merthyr).-l. Yes.-2. M.P,.C.S. Eng..-3. Yes. the milk was borax or boracic acid. Both of these are too freqnentlyused in the milk trade during the hot weather. Being but slowly dis-

"A NEW AND IMPROVED CLA.MP FOR HÆMORRHOIDS " solved, they would, if added direct, very likely be found at the bottom ofA NEW AND IMPROVED CLAMP FOR HÆMORRHOIDIS." the can, even after some hours. They would act. if in any quantity, asTo the Editor of THE LANCET, irritants to the gastric mucous membrane. This week I received a

sample of milk containing much washing soda, evidently added insteadSIR,—Having seen the account of Mr. C. J. Smith’s clamp in a recent of the bicarbonate. Such samples are not obtained from the larger firms,

number of THE LANCET, and having a suitable case on hand, I wrote to who rely upon cold rather than upon chemicals to preserve their milk.Messrs. Maw, Son, and Thompson for the instrument, and used it very " Yours faithfully. ALF. W. STOKES, F.C.S.,satisfactorily on Sept. 16th. Just after ordering the instrument I

" .,.. " ALF. W. STOKES, F.C.S.

read Mr. Fitzroy Benham’s criticism after ordering the instrument I Public Analyst to the Vestries of Paddington,read Mr. Fitzroy Benham’s criticism in your issue of Sept. 4th ; but I Bethnal-green, and St. Luke’s."certainly did not find the jaws of the clamp spring in the least from theparallel direction, as he therein states-on the contrary, they held firm Mr. H. Craven Smith.—It is impossible to answer the question of ouras a vice with each fresh application. It appears to me, and this I have correspondent. The recognition of the degree in question will dependsuggested to the makers, that if the instrument were made curved, on the General Medical Council and the Privy Council. Our corre-instead of straight, it would be much easier of application. Being spondent is right in his interpretation of the 16th clause.straight, it can only be applied from above or below, as the patient lieson the side, and if the nates are large it is difficult to apply it closely; Subscriber (Northampton) can hardly expect us to become the mediumwhereas if it were curved it would be easily applied in any direction. of the information he desires.

If Mr. Smith will allow me to make another suggestion, it is this the Practitioner has not mentioned the particular preparations he nnds.jaws would be more serviceable if made a little longer, in order thatmore of the piles might be grasped at once, and save the necessity of unsatisfactory.too frequent applications. The screw is a little too slow; otherwise the Barnacle.—The paper is marked for insertion.instrument is a very useful one.-I am, Sir, yours faithfully,Bridlington, Sept. 21st, 1886. FRANCIS C. BRETT. COMMUNICATIONS not noticed in our present number will receive atten-

SMALL-POX IN SOUTH AFRICA. tion in our next.

To the Editor of THE LANCET. COMMUNICATIONS, LETTERS, &c., have been received from-Dr. Theodore

..

’

Williams, London; Rev. G. W. Weldon, Bickley ; Sir W. B. Dalby,SIR-1 think I saw in a recent number of THE LANCET an account of Alnwick ; Mr. F. Treves, London; Col. Tulloch, London ; Dr. de H. Hall;the ravages of small-pox in South Africa, and of the dearth of vaccine Dr. C. F. Knight, Dublin; Dr. J. J. Bailey, Marple; Mr. Morton

lymph in the neighbourhood of the epidemic. I should at all times be Small; Mr. T Lawrence, York; Mr. S Wallis, London; Mr. R E.- .

glad to send out gratuitously to practitioners who cannot obtain it Small; Mr. T. Lawrence, York; London; Mr. R. E .

readily a supply of charged tubes, of which I have always by me many Keen, St. Leonards; Dr. J. W. Fraser, Hull; Messrs. Harboron and

more than I want. If you would kindly publish this letter it will very Co., London ; Mr. W. Berry, Wigan ; Dr. Macaulay, London ; Dr. P.

probably come under the notice of practitioners in want of lymph, and Foster, Leeds ; Dr. Chalmers, London; Dr. Wadham, London; Mr. F.

they can apply to me.-I am, Sir, yours faithfully, Wilkinson, London; Mr. W. D. Spanton, Hanley; Mr. W. Armstrong,J. H. GRAMSHAW, M.D., Harpurhey; Dr. F. E. Pearse, Frome; Mr. E. S. Sykes ; Dr. Imlach,

Sept. 22nd, 1886. Public Vaccinator for Gravesend. ’ Liverpool; Mr. Greenwood, Stronapyne Dr. Tempest Anderson,

660

York; Mr. H. C. Smith, Torquay; Mr. Cotterell, Bicester; Mr. LawsonTait, Liverpool; Dr. Anningson, Cambridge; Messrs. Williams and

Son, Mold; Mr. Midland, London; Mrs. E. S. Busk, London; Dr. G.Johnson, London; Mr. Hourigan, Freshfield ; Mr. Jas. Black, London ;Dr. Maxwell, Woolwich; Mr. T. Cooke, London; Messrs. Matthewsand Co., Birmingham; Mr. Gibson, Bromley; Messrs. Fraser and

Sons, Arbroath; Dr. Hassall, Lucerne; Mr. Freves ; Messrs. Condyand Co., London; Mr. Rawlinson, Burnley; Mr. Currie, Newton-le-Willows ; Mr. Pentland, Edinburgh ; Dr. Roberts; Messrs. Evans andCo., Liverpool; Mr. Earp, Notts; Mr. Moore, Birmingham ; Dr. T.

Williams, London; Dr. Williamson, Ventnor; Dr. Morris, Spalding;Dr. Thomas, Glasgow; Mr. St. Dalmas, Leicester; Messrs. Bell and

Sons, London; Mr. Birchall, Liverpool; Mr. P. Smith, SheptonMallet; Dr. Taaffe, Brighton ; Mr. Mullin, Salford ; Messrs. Keithand Co., Edinburgh; Mr. Crassweller, Highbury; Messrs. Smith and

Son, Liverpool; Mr. Power, London; Dr. Savage, London; Dr. NilsonGwynne, Sheffield ; Mr. G. Berwick, Sunderland; Dr. GordonBlack, Harrogate; Dr. Malins, Birmingham; Dr. Oxley, Liver-

pool ; Mr. Williams, Worthing; Dr. Kammerer, Berlin; Mr. Ernest

Hart, Prague ; Mr. Russell, Glasgow; Mrs. Maitland, London; Mr. F.Churchill, London ; Mr. Basanquet, London ; Messrs. Macmillan and

Co., London; Mr. Tallack, London; Mr. Foulerton, Ryde; Dr. Strange,Worcester; Mr. J. Ikin, York ; Dr. Hilliard, Aylesbury ; Mr. CresswellRich, Liverpool; Mr. Blair, Leeds; Mr. Hope, London; Messrs. Lowand Co.; Mr. Loftus, Galway; Hr. Moss, Carlisle; Messrs. Loefl undand Co., London; Mr. Michel, Nottingham; Messrs. Marlboro’ andCo., London ; Mr. Smith, Brighton; Messrs. Smith and Co., Sitting-bourne ; Mr. Glatano, Manchester; Mr. Baker, Hereford; Miss Selby,Surbiton; Dr. Williams, Torquay; Mr. Althaus, London; Mr. Barling,Birmingham; Mr. Wheelhouse, Leeds; Messrs. Hall and English,Birmingham ; Mr. Davidson, Cork ; Messrs. Lofts and Co., London ;Mr. Greene, Wexford; Mr. Wardley, Buxton; Messrs. Parkins and

Gotto, London; Mr. Mundy, London; Messrs. Beal and Sons, Brighton;Practitioner; G.; M.D.Glasgow; M.R.C.S.; Subscriber; H.; NousVerrons ; The Director-General of the Medical Department of theNavy; E. E., Fulham ; A. G. ; M.D.; Veritas; Barnacle; M.D.,Aylesbury; Enquirer; Iteader; Volo.

LETTERS, each with enclosure, are also acknowledged from-Dr. Mann,Ferrybridge ; Mr. Hodgkinson, London ; Dr. Petterson ; Dr. Fletcher,Highgate ; Mr. Lovibond, Bridgwater; Mr. Thompson, Stockton-on-Tees ; Mr. Lane, Hereford ; Mr. Burcombe, Lincoln; Mr. Pritchett,Brighouse; Mr. Heydon, Leeds; Mr. Stiover, Girtford; Mr. Procter,Shipnal ; Mr. Day, Billinghey; Dr. Thomas, Leeds; Messrs. Hewlettand Son, London ; Mr. Adcock, Rutland ; Mr. Bishop, Wokingham ;Mr. McMunn, Sligo; Mr. Birchall, Liverpool; Mr. Rose; Mr. Knobel,Colesley ; Mr. Reynolds, Leeds ; Dr. Morton, Sheffield ; Mr. Wheeler,Manchester; Mr. Rusher, Persham; Dr. Smith, Reigate; Dr. Gilbert,Hackney ; Mr. Morris, London ; Dr. Bower, Bedford ; Mr. Whitaker,Manchester ; Dr. Black, Burnley; Mr. Rideal, London; Mr. English,Clerkenwell; Mr. Plummer, Malmesbury; Messrs. Porter and Co.,Lee; Dr. Walker, Lowestoft; Mr. Whitten, Tottenham; B. J. W. ;A. C. ; A. B. C., Buckhurst-hill ; Medicus, Holloway; TnnbridgeWells Matron, Preston; II., Leicester ; Doctor, Sale; R., North

Kensington; N. T. G. ; R. J. H., London; J. L., Rochdale; Nemo,Derby; A. D. C.; A. B. C., Wantage; J. B.; B. J. W.; A. X.; M.B.,Halifax; Sphinx; W.V.; M. S. D.; Delta, London; G. P. ; M.R.C.S.,Wimbledon; E., Notts; Matron,Bedford; Medicus, Bolton; Hansom,Brighton; J. A. D., Bridgnorth.

Darlington and Stockton Tinzes, Rotherham Advertiser, IL’est Briton andCornwall Advertiser, Liverpool Courier, Przll Mall Gazette, LancasterGuardzan, Yorhslaire Post, Glasgocv Herald, Herald of Health, &c., have

been received.

Medical Diary for the ensuing Week.Monday, October 4.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.—Operations,10.30 A.M.., and each day at the same hour.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1.30 P.M.,and each day at the same hour.

ST. MARK’S HOSPITAL.-Operations, 2 P.M. ; Tuesdays, same hour.CHELSEA HOSPITAL FOR WOMEN.—Operations, 2.30 P.M. Thursday,2p.M.HOSPITAL FOR WOMEN, SOHO-SQUARE.—Operations, 2 P.M., and on

Thursday at the same hour.METROPOLITAN FREE HOSPITAL.—Operations, 2 P.M.ROYAL ORTHOPÆDIC HOSPITAL.-Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITALS.—Operations, 2 P.M., and

each dav in the week at the same hour.PARKES MUSEUM OF HYGIENE. - 8 P.M. Introductory Lecture by

Dr. G. V. Poore : General History, Principles, and Methods ofHygiene.

Tuesday, October 5.GUY’s HOSPITAL.—Operations, 1.30 P.M., and on Fridavat the same hour.

Ophthalmic Operations on Mondays at 1.30 and Thursdays at 2 P.M.ST. THOMAS’S HOSPITAL.-Ophthalmic Operations, 4 P.M. ; Friday, 2 P.:.:!.CANCER HOSPITAL, BROMPTON.—Operations, 2.30 P.M. ; Saturday, 2.30 P.M.WESTMINSTER HOSPITAL.—Operations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2.30 P.M.

Wednesday, October 6NATIONAL ORTHOPEDIC HOSPITAL.—Operations, 10 A.M.MIDDLESEX HOSPITAL.—Operations, 1 P.M.ST. BARTHOLOMEW’S HOSPITAL.—Operations, 1.30 P.M.; Saturday, sam6

hour. Ophthalmic Operations, Tuesdays and Thursdays,1.30 P.M.ST. MARY’S HOSPITAL.—Operations, 1.30 P.M. Skin Department, Tues-

days and Fridays, 9.30 A.M.ST. THOMAS’S HOSPITAL.—Operations, 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.-Operatioias, 2 P.m.; Thursday & Saturday. samehour.SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operations,

2.30 P.M.UNIVERSITY COLLEGE HOSPITAL.—Operations, 2 P.M. ; Saturday, 2 P.M.

Skin Department, 1.45 P.M. ; Saturday, 9.15 A.M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.KING’s COLLEGE HOSPITAL.—Operations. 3 to 4 P.M.; and on Friday,

2 P.M. ; and Saturdav. 1 P.M.PARKES MUSEUM OF HYGIENE..—8 P.M. Prof. Corfield: Water-supply,

Drinking-water, Pollution of Water.OBSTETRICAL SOCIETY OF LONDO.N.-8 P.M. Specimens will be shown

by Dr. Lewers and Dr. John Phillips.-Dr. Swayne and Dr. Cox:Cases of Rupture of the Uterus.-Mr. Alban Doran: Papilloma ofFallopian Tube.-Dr.Champneys: On the Obstetrics of the KyphoticPelvis.

Thursday, October 7.ST. GEORGE’S HOSPITAL.—Operations, 1 P.M.ST. BARTHOLOMEW’S HOSPITAL.-Surgical Consultations, 1.30 P.M.CHARING-CROSS HOSPITAL.—Operations, 2 P.M.NORTH-WEST LONDON HOSPITAL.—Operations, 2.30 P.M

Friday, October 8.ST. GEORGE’S HOSPITAL.—Ophthalmic Operations, 1.30 P.M.ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.—Operations, 2 P.V.PARKES MUSEUM OF HYGIENE.-8 P.M. Prof. H. Robinson: Drainage

Construction.CLINICAL SOCIETY OF LONDON.—8.30 P.M. Dr. Charlewood Turner:

A case of Congenital Malformation of the Heart, with Systolic andPre-diastolic Base Bruits, with Observations on the Causation ofBruits preceding the Cardiac Sounds.-Mr. Pearce Gould: A case ofUndeveloped Sexual Organs associated with Congenital Defect ofthe Tonsils.-Mr. F. Treves: A case of Pulsating Tumour of theHead, with Raynaud’s Disease.-Mr. Butlin : Further Notes of a caseof Renal Lithotomy published in the Transactions of the Society,vol. xv., p. 113 (1882).—Mr. Treves: Case of Pulsating Tumour ofthe Head (living specimen).

Saturday, October 9.MIDDLESEX HOSPITAL.—Operations, 2 P.M.

SUBSCRIPTION.

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An original and novel feature of " THE LANCET General Advertiser " is a special Index to Advertisements on page 2, which not only affords araady means of finding any notice, but is in itself an additional advertisement.

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Advertising Agents. Agent for the Advertismar Department in France-J. ASTTER. 66. Rue Caumartin Paris.