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Notes, Short Comments & Answers to Correspondents

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512 NOTES. COMMENTS AND ANSWERS TO CORRESPONDENTS. M E T E O R O L O G I C A L R E A D I N G S. fTaten daily at 8.80 a.m. by Steward’s Instruments.) (Taken daily at 8. THE LANCET Office, February 22nd, 1894. Medical Diary for the ensuing Week OPERATIONS. METROPOLITAN HOSPITALS MONDAY.-London (2 P.M.) St. Bartholomew’s (1.30 P.M.), St. Tbomas’s t3 3u P.M ), St. George’s (1 P.M.), St. Mark’s (2 P.M.), Chelsea (2 P.M.), Samaritan (Gvnecological, by Physicians, 2 P.M), ), Soho-square (2 P.M.), Royal Orthopaedic (2 P.M.). TUESDAY.- London (2 P.M.), St. Bartholomew’s (1.30 P M.), Guy’s (1.30 P.M.), St Thomis’s (330 P.M.), Westminster (2 P.M). West London (2.30) P M.). University College (2 P.M ), St. George’s (1 P.M.), St. Mirv’s (1.3J P.M.). St. Mttk’s (2.30 P.M.), Cancer (2 P.M.) WEDNESDAY. - St. Bartholomew’s (1.30 P.M.), Universtty College (2 P.M.), Ro)al Free (2 P.M.). Middlesex (1.30 P M), Charing-cross (3 P.M.), St. Thomas’s (2 P.M London (2 P.M), Great Northern Uentral (2 30 P.M.), King’s College (2 P.M.). National Orthopaedic (10 A.M.), St Peter’s (2 P.M.), Samaritan (2 30 P.M Great Ormond- street (9 30 A.M.). THURSDAY.&mdash;St. Bartholomew’s (1.30 P.M.), St Thomas’s 13.30 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 (2 P.M), ), Cbeliea (2 P.M.), Soho-sq.12 P.M North West London (2 P.M ) FRIDAY.-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St. Thomas’s (3.30 P.M ). Guy’s (1.30 P.M.) Charing.cioss (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.) SATURDAY.-Royal Free (9 A.M. and 2 P M.), Middlesex (1.30 P.M.), St. Thomas’s (2 P.M.), London (2 P. M.), University College (9.15 A.M.), Charing.cross (3 P.M.), St. George’s (1 P.M.), Cancer (2 P.M.). At the Royal Eye Hospital (2 P.M.). the Royal London Ophthalmic (10A.M). the Royal Westminster Ophthalmic (1.30 P,M.), and the Central London Ophthalmic Hospitals operations are performed daily S O C I E T I E S. MONDAY.-MEDICAL SOCIETY OF LONDON.-8.30 P.M. Mr. Frederick TrevM : Peritonitis. (Third Lettsomian Lecture.) TUESDAY.&mdash;ROYAL MEDICAL AND CHIRURGICAL SOCIETY.-Dr. J. W. Washbourn: Cases of Pleurisy caused by the Pneumococcus, and with Constitutional Symptoms resembling those of Pneumonia.- Mr. Arthur Symons Eccles: The Relationship between Disorders of Digestion and Neurasthenia (Dilatation of the Stomach, and Con- stipation). WEDNESDAY. -HUNTERIAN SOCIETY.-8.30 P.M. Dr. Pye-Smith: Rational therapeutics. THURSDAY.-I{4.RVEIAN SOCIETY.-8.30 PM. Dr. J. F. W. Silk : On the Use and Abuse of Anaesthetics FRIDAY.-WEST KENT MEDICO-CHIRURGICAL SOCIETY (Miller Hospital, Greenwich).-8 P.M. Sir Dyce Duckworth : Some Points in the Diagnosis of Pain commonly called Gouty or Rheumatic. WEST LONDON MEDICO-CHIRURGICAL SOCIETY (West London Hospital). 8 P M. Special General Meeting to consider certain Alterations in, and Additions to, the Laws. 8.30 P M. Clinical Meeting. LECTURES AND ADDRESSES. MONDAY.-LONDON POST’GRADUATE COURSE. -Royal London Oph- thalmic Hospital, Moorfields, 1 P.M., Mr. W. Lang: Iritis.-London Throat Hospital. Gt. Portland-st., W., 8 P.M , Mr. G. Stoker: Post- nasal Growths and Enlarged Tonsils.-Bacteriological Laboratory, King’s College, 3 P.M., Prof. Crookshank and Dr. Hewlett: Erysipelas and Suppuration. TUESDAY.- LONDON POST-GRADUAT COURSE. - Bethlem Hospital, 2 P.M., Dr. Percy Smith: General Paralysis of the Insane. WEDNESDAY.- LONDON POST-GRADUATE COURSE.-Hospital for Con- sumption, Brompton, 4 P.M., Dr. J. Kingston Fowler: Cases of Pul- monary Tucerculosis.-Royal London (Jnhtbalmic Hospital, Moor- fields, 8 P.M., Mr. A. S. Morton : Optic Neuritis.-Hospital for Skin Diseases, Blackfriars, 1 P.M., Dr. Payne: Alopecia, its Varieties. WEST LONDON HOSPITAL (Hammersmith, W.).-5 P M. Mr. Stephen Paget: Diseases of the Breast. (Post.graduate Course.) LONDON SKIN HOSPITAL.-8 P.M. Dr. Sanctuary: Eczema, its Causes and -Treatment. THURSDAY.-LONDON POST-GRADUATE COURSE.-National Hospital for Paralysed, Bloomsbury, 2 P.M., Dr. Gowers : Clinical Cases- Central London Sick Asylum, Cleveland-st., W., 6.;i0 P.M., Mr. Jonathan Hutchinson: Cases in the Waids. FRIDAY.&mdash;LONDON POST-GRADUATE COURSE.-Hospital for Consump- tiou, Brompton, 1 P.M., Dr. J. Kingston Fowler: Cases of Valvular Disease. SATURDAY.&mdash;LONDON POST-GRADUATE COURSE.&mdash;Bethlem. Hospital, 11 A M., Dr. Hyalop : General Paralysis of the Insane. Notes, Short Comments & Answers to Correspondents. EDITORIAL NOTICE IT Is most important that communications relating to the Editorial business of THE LANCET should be addressed exclusively I I TO THE EDITORS," and not in any case to any gentleman who may be supposed to be connected with the Editorial staff. It is urgently necessary that attention be given to this notice. - It << especially requested that eaarly intelligence of local events having a medical interest, or which it is desirable to bring under the notice of the profession may be sent direct to thrs Office. Lectures, original articles, and reports should be written on one gde only ot the paper. Letters, whether intended for insertion or for private intorma- tion, must be authenticated by the names and asddresses of their writers, not necessarily for publication. We cannot prescribe or recommend practitioners. Local papers containing reports or news paragraphs should be marked and addressed" To the Sub-Editors." " Letters relating to tlae publication, sale and advertising lle. partments of THE LANCET should be addressed "To the Publisher. " We cannot undertake to return MSS. not used. PUBLISHER’S NOTICE. IN order to facilitate the work of reference to the volumes of THE LANCET, we have arranged to publish duplicate copies of the Index to each half-yearly volume in a form in which they may be subsequently filed or bound together. Those of our subscribers who may wish to be supplied with loose copies can obtain the same (without extra charge) on making application to the Publisher of THE LANCET. " FREE ADVICE COUPON." To the Editors of THE E LANCET. SIRS,-I must ask you to give to this letter the same publicity which has been obtained for my name through criticisms in fHE LANCET of the 17th inst. May I at the same time suggest to you the " sweet reason. ableness " of inquiry into matters in which you are asked to lay down the law before condemning by name-unheard-the accused. Many of your contemporaries are given to this unfair and objectionable prac- tice ; the absence of this necessary editorial precaution has, in the memory of many, brought about loss of money to the proprietors, and, whit is worse, loss of credit and repute to the papers. The facts are as follows :-As one of the Earl of Winchilspa’s miny admirers, I undertook a few weeks ago, without reward and without hope of reward, to answer questions in The Cable on hygiene and sanitation, it being considered that in this way I could, in a small degree at least, do something for a good cause. In my letter to the sub-editor I pointed out to him that only questions of general interest under the headings named were admis. sible ; certain notices of me were inserted in The Cable without my knowledge, and efrtainly not with my wish. The headings and rules were also, with the best intentions and in utter ignorance of profes- sional etiquette (and, I may add, of morbid professional jealousy), inserted by him. So many queries-all, I believe, from poor persons- came in that, at the wish of the sab-editor, a few were answered, until I could personally arrange the column as it is now and for some time has been, and, as far as I am concerned, shall remain, until my services cease to be of interest and use, or until I am con vinced that I am doing a thing which men of properly balanced minds consider to be wrong. At this time I was confined to bed through serious illness and unable to attend to work for nearly three weeks. On my return to town the rules and regulations were at once placed on a footing on which they have been for some weeks; my name was removed, and, as I thought, everything done to satisfy the demands of all reasonable persons. In THE LANCET of the 17th inst. my name is vilified, weeks after the removal of the so-called "professional etiquette" pretext-a fact which will prove to the lay mind, and I hope to the minds of many of my fellow workers, either the culpable negligence of our leading medical paper or-malice. I am, Sits, yours truly, Bedford-square, London, W.C., E. AUGUSTUS HARBORD. Feb. 19th, 1894. *** We gladly insert Mr. HarborJ’s letter and accept his statement. We entirely disclaim any culpable negligence on our part, and we most ceitainiy were not influenced by "malice." The publication in The Cable of Mr. Ilarbord’s name and eminence we continue to dia- approve, as he does, and we were not aware that the practice had been discontinued.&mdash;ED. L. ,
Transcript
Page 1: Notes, Short Comments & Answers to Correspondents

512 NOTES. COMMENTS AND ANSWERS TO CORRESPONDENTS.

M E T E O R O L O G I C A L R E A D I N G S.fTaten daily at 8.80 a.m. by Steward’s Instruments.)(Taken daily at 8.

THE LANCET Office, February 22nd, 1894.

Medical Diary for the ensuing WeekOPERATIONS.

METROPOLITAN HOSPITALS

MONDAY.-London (2 P.M.) St. Bartholomew’s (1.30 P.M.), St. Tbomas’st3 3u P.M ), St. George’s (1 P.M.), St. Mark’s (2 P.M.), Chelsea (2 P.M.),Samaritan (Gvnecological, by Physicians, 2 P.M), ), Soho-square(2 P.M.), Royal Orthopaedic (2 P.M.).

TUESDAY.- London (2 P.M.), St. Bartholomew’s (1.30 P M.), Guy’s(1.30 P.M.), St Thomis’s (330 P.M.), Westminster (2 P.M). WestLondon (2.30) P M.). University College (2 P.M ), St. George’s (1 P.M.),St. Mirv’s (1.3J P.M.). St. Mttk’s (2.30 P.M.), Cancer (2 P.M.)

WEDNESDAY. - St. Bartholomew’s (1.30 P.M.), Universtty College(2 P.M.), Ro)al Free (2 P.M.). Middlesex (1.30 P M), Charing-cross(3 P.M.), St. Thomas’s (2 P.M London (2 P.M), Great NorthernUentral (2 30 P.M.), King’s College (2 P.M.). National Orthopaedic(10 A.M.), St Peter’s (2 P.M.), Samaritan (2 30 P.M Great Ormond-street (9 30 A.M.).

THURSDAY.&mdash;St. Bartholomew’s (1.30 P.M.), St Thomas’s 13.30 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 (2 P.M), ),Cbeliea (2 P.M.), Soho-sq.12 P.M North West London (2 P.M )

FRIDAY.-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30 P.M ). Guy’s (1.30 P.M.) Charing.cioss (3 P.M.), St. George’s(1 P.M.), King’s College (2 P.M.)

SATURDAY.-Royal Free (9 A.M. and 2 P M.), Middlesex (1.30 P.M.),St. Thomas’s (2 P.M.), London (2 P. M.), University College (9.15 A.M.),Charing.cross (3 P.M.), St. George’s (1 P.M.), Cancer (2 P.M.).

At the Royal Eye Hospital (2 P.M.). the Royal London Ophthalmic(10A.M). the Royal Westminster Ophthalmic (1.30 P,M.), and theCentral London Ophthalmic Hospitals operations are performed daily

S O C I E T I E S.MONDAY.-MEDICAL SOCIETY OF LONDON.-8.30 P.M. Mr. Frederick

TrevM : Peritonitis. (Third Lettsomian Lecture.)TUESDAY.&mdash;ROYAL MEDICAL AND CHIRURGICAL SOCIETY.-Dr. J. W.

Washbourn: Cases of Pleurisy caused by the Pneumococcus, andwith Constitutional Symptoms resembling those of Pneumonia.-Mr. Arthur Symons Eccles: The Relationship between Disorders ofDigestion and Neurasthenia (Dilatation of the Stomach, and Con-stipation).

WEDNESDAY. -HUNTERIAN SOCIETY.-8.30 P.M. Dr. Pye-Smith:Rational therapeutics.

THURSDAY.-I{4.RVEIAN SOCIETY.-8.30 PM. Dr. J. F. W. Silk : Onthe Use and Abuse of Anaesthetics

FRIDAY.-WEST KENT MEDICO-CHIRURGICAL SOCIETY (Miller Hospital,Greenwich).-8 P.M. Sir Dyce Duckworth : Some Points in theDiagnosis of Pain commonly called Gouty or Rheumatic.

WEST LONDON MEDICO-CHIRURGICAL SOCIETY (West London Hospital).8 P M. Special General Meeting to consider certain Alterations in,and Additions to, the Laws. 8.30 P M. Clinical Meeting.

LECTURES AND ADDRESSES.MONDAY.-LONDON POST’GRADUATE COURSE. -Royal London Oph-

thalmic Hospital, Moorfields, 1 P.M., Mr. W. Lang: Iritis.-LondonThroat Hospital. Gt. Portland-st., W., 8 P.M , Mr. G. Stoker: Post-nasal Growths and Enlarged Tonsils.-Bacteriological Laboratory,King’s College, 3 P.M., Prof. Crookshank and Dr. Hewlett: Erysipelasand Suppuration.

TUESDAY.- LONDON POST-GRADUAT COURSE. - Bethlem Hospital,2 P.M., Dr. Percy Smith: General Paralysis of the Insane.

WEDNESDAY.- LONDON POST-GRADUATE COURSE.-Hospital for Con-sumption, Brompton, 4 P.M., Dr. J. Kingston Fowler: Cases of Pul-monary Tucerculosis.-Royal London (Jnhtbalmic Hospital, Moor-fields, 8 P.M., Mr. A. S. Morton : Optic Neuritis.-Hospital for SkinDiseases, Blackfriars, 1 P.M., Dr. Payne: Alopecia, its Varieties.

WEST LONDON HOSPITAL (Hammersmith, W.).-5 P M. Mr. StephenPaget: Diseases of the Breast. (Post.graduate Course.)

LONDON SKIN HOSPITAL.-8 P.M. Dr. Sanctuary: Eczema, its Causesand -Treatment.

THURSDAY.-LONDON POST-GRADUATE COURSE.-National Hospitalfor Paralysed, Bloomsbury, 2 P.M., Dr. Gowers : Clinical Cases-Central London Sick Asylum, Cleveland-st., W., 6.;i0 P.M., Mr.Jonathan Hutchinson: Cases in the Waids.

FRIDAY.&mdash;LONDON POST-GRADUATE COURSE.-Hospital for Consump-tiou, Brompton, 1 P.M., Dr. J. Kingston Fowler: Cases of ValvularDisease.

SATURDAY.&mdash;LONDON POST-GRADUATE COURSE.&mdash;Bethlem. Hospital,11 A M., Dr. Hyalop : General Paralysis of the Insane.

Notes, Short Comments & Answers toCorrespondents.EDITORIAL NOTICE

IT Is most important that communications relating to theEditorial business of THE LANCET should be addressed

exclusively I I 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 << especially requested that eaarly intelligence of local events

having a medical interest, or which it is desirable to bringunder the notice of the profession may be sent direct to thrsOffice.

Lectures, original articles, and reports should be written on onegde only ot the paper.

Letters, whether intended for insertion or for private intorma-tion, must be authenticated by the names and asddresses 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-Editors." "

Letters relating to tlae publication, sale and advertising lle.partments of THE LANCET should be addressed "To thePublisher. "

We cannot undertake to return MSS. not used.

PUBLISHER’S NOTICE.IN order to facilitate the work of reference to the volumes

of THE LANCET, we have arranged to publish duplicatecopies of the Index to each half-yearly volume in a form inwhich they may be subsequently filed or bound together.Those of our subscribers who may wish to be supplied withloose copies can obtain the same (without extra charge) onmaking application to the Publisher of THE LANCET.

" FREE ADVICE COUPON."

To the Editors of THE E LANCET.

SIRS,-I must ask you to give to this letter the same publicity whichhas been obtained for my name through criticisms in fHE LANCET of the17th inst. May I at the same time suggest to you the " sweet reason.ableness " of inquiry into matters in which you are asked to lay downthe law before condemning by name-unheard-the accused. Many ofyour contemporaries are given to this unfair and objectionable prac-tice ; the absence of this necessary editorial precaution has, in thememory of many, brought about loss of money to the proprietors, and,whit is worse, loss of credit and repute to the papers. The facts are asfollows :-As one of the Earl of Winchilspa’s miny admirers, I undertooka few weeks ago, without reward and without hope of reward, to answerquestions in The Cable on hygiene and sanitation, it being consideredthat in this way I could, in a small degree at least, do something for agood cause. In my letter to the sub-editor I pointed out to him that onlyquestions of general interest under the headings named were admis.sible ; certain notices of me were inserted in The Cable without myknowledge, and efrtainly not with my wish. The headings and ruleswere also, with the best intentions and in utter ignorance of profes-sional etiquette (and, I may add, of morbid professional jealousy),inserted by him. So many queries-all, I believe, from poor persons-came in that, at the wish of the sab-editor, a few were answered,until I could personally arrange the column as it is now and for sometime has been, and, as far as I am concerned, shall remain, untilmy services cease to be of interest and use, or until I am convinced that I am doing a thing which men of properly balanced mindsconsider to be wrong. At this time I was confined to bed through seriousillness and unable to attend to work for nearly three weeks. On myreturn to town the rules and regulations were at once placed on afooting on which they have been for some weeks; my name wasremoved, and, as I thought, everything done to satisfy the demands ofall reasonable persons. In THE LANCET of the 17th inst. my name is

vilified, weeks after the removal of the so-called "professional etiquette"pretext-a fact which will prove to the lay mind, and I hope to theminds of many of my fellow workers, either the culpable negligence ofour leading medical paper or-malice.

I am, Sits, yours truly,Bedford-square, London, W.C., E. AUGUSTUS HARBORD.

Feb. 19th, 1894.

*** We gladly insert Mr. HarborJ’s letter and accept his statement.We entirely disclaim any culpable negligence on our part, and wemost ceitainiy were not influenced by "malice." The publication inThe Cable of Mr. Ilarbord’s name and eminence we continue to dia-

approve, as he does, and we were not aware that the practice hadbeen discontinued.&mdash;ED. L.

,

Page 2: Notes, Short Comments & Answers to Correspondents

513NOTES, COMMENTS, AND ANSWERS TO CORRESPONDENTS

LADY MEDICAL STUDENTS.

ACCORDING to the Revue Scientifique the lady students of medicine atthe Geneva University have not shown themselves to be possessed ofthose qualities with which some of the advocates of the equality ofthe sexes would have us believe they are endowed. During the lastseventeen years 175 women were admitted at the medical faculty,among whom were 50 Polish ladies. Of these last only 4 completedtheir studies. It is not known what became of the others. Of the

remaining 125 students, 10 took a doctor’s degree, 2 left medicinealtogether and married, 4 now gain their livelihood with great diffi-culty, and 3 have acquired a pretty good practice. The rest, 116 innumber, are lost to sight.

Enquirer.-The question is eminently one which should be left to beanswered by the medical officers attached to the hospital.

.X.&mdash;We do not know any work which would tell a person "how to

succeed in medicine."

SOME REMARKS ON THE DRUG TREATMENT OFINFLUENZA.

To the Editors of THE LANCET.

SIRS,-After having tried various plans of treatment in influenza, Ifind the following mixture to be very generally useful when the patientfirst comes under observation :-&. Antipyrin, 3isi; ammon. carb.,gr. xl. ; tr. chloroformi co., giij. ; aquam, ad gviij.; misce ; j. quartishoris. This usually relieves the pain markedly after two or threedoses, lowers the temperature, and altogether makes the patient feelmore comfortable, the carbonate of ammonia counteracting any de-pressing effect of the antipyrin. In addition I should say that I havebeen very much struck by the beneficial action which antipyrinseems to exert on various forms of sore-throat, including the

pharyngitis often seen in influenza. In my influenza cases, when

pain and swelling of the joints have been marked, 15-gr. doses ofbicarbonate of potassium with the above mixture seem to act bene-ficially. As a rule, patients only require one mixture of the antipyrin.Then an attempt should be made to improve the secretions by giving astomachic mixture-e.g., soda and gentian-when the tongue is coated,or an acid mixture when it is clean. This usually clears the way for amore tonic line of treatment such as strychnine, quinine, or iron, eitheralone or in combination. Insomnia may be combated by giving agrain of opium in pill form at bedtime and repeating in two hours ifneedful. For the paroxysmal cough occurring so frequently duringconvalescence nothing seems to be more efficacious than 5j. or 3iss.doses of syr. codeinse, B.P.C., given occasionally, or the following:-ljo codeinae, gr. iv. ; acid. hydrocyan. dil., tttxxiv. ; vin. ipecac, andacid. hydrobromic. dil., aa 3i.; tr. limonis, 3iss. ; glycerini, 3vj. ; aq.chloroformi, ad 3vj. ; misce; 3SS tussi urgente sumend.

I am, Sirs, yours faithfully,Woodhouse Hall, Leeds, Feb. 21st, 1894. W. G. SCARTH.

THE LATE DR. BILLROTH’S WORK ON SICK-NURSING.

To the Editors of THE LANCET.

SIRS,-Permit me to bring to your notice the fact that Dr. Billroth’sgre t work on Sick-nursing, to which you refer in your obituary noticeof the deceased professor on the 17th instant, is published in Englishas well as in the eight languagts named. I had the honour to translateDr. Billroth’s great work into English and to publish it through Messrs.Low and Co. of Fetter-lane. The third English edition is now issued.An eminent medical friend of both Dr. Billroth and myself earnestlyrecommended me to make an English translation of this work, andDr. Billroth gave me his special authority for the same and, on itscompletion, immediately expressed his high approval thereof.

I am, Sirs, yours obediently,February 20th, 1894. J. BENTALL ENDEAN.

THE FONTANELLES.To the Editors of THE LANCET.

SIRS,&mdash;Can any of the readers of THE LANCET tell me whether in anypart of the United Kingdom there is any popular name for the fontanelleson the infant’s head, and whether there are any traces of popular super-stition in regard to their function ? Ramsbotham says that their namearose from an old notion that amoisture distilled from the brain throughthe unossifted apertures. What authority is there for this statement ?He thinks that the Greeks had a similar notion when they called thefontanelle bregma. May not this, however, mean the part that remainssoft ? I am, Sirs, yours faithfully,February 20th, 1894. H.

TREATMENT OF TETANUS WITH ANTITOXIN.To the Editors of THE LANCET.

SIRS,-A case of tetanus was admitted a few days ago into the WestLondon Hospital under the care of Dr. Hunter and myself, and wastreated with injections of "serum antitetanique." Unhappily the casewas a very bad one and ended in the usual way ; and it is useless topublish a single case and impossible to feel sure that the alleviation oithe boy’s pain was due more to the antitoxin than to the rest of thetreatment. But I wish to say that Dr. Roux has kindly sent me a freshsupply of the serum from the Pasteur Institute, and I shall be happy tcsend it, with the notes of the case, to any one of your readers.

I remain, Sirs, your obedient servant,Wimpole-street, W., Feb. 21st, 1894. STEPHEN PAGET.

SUBSTITUTE FOR HORSE BiDtNH.

AN apparatus by which both the expense and difficulty of riding on alive horse are avoided hus been on view for some days past to themedical profession. Thii invention consists of a saddle mounted ona stand, the interior works of which are so arranged that with aminimum of exertion on the part of the rider he may reproduce thetrotting and galloping motions of a horse. Mounting astride of thehorse the rider places his feet on supports at the sides, whichcan be raised to any level, and which correspond to stirrupsin ordinary riding. In front of him are two handles, which canbe also raised or lowered, thus bringing the muscles of thearms and cheat into action. The whole saddle can bealso raised or lowered, thus giving an easy trot or gallop at thewill of the " horseman." The rider puts the horse into motion by hismovements up and down. Thus the apparatus is different from themechanical horse exhibited some years back, in which the horse wasmoved by a pivot in the centre of its body, which was worked bya steam engine beneath the floor. The experiment is very ingenious,but it will remain to be seen if the public will prefer the invention togenuine horse exercise in the open air, although obtained withoutrisk and at less expense. The apparatus is to be seen at Messrs.

Vigor’s, 21, Baker-street, Portman-square.Mr. John Gay.-We can only advise our correspondent to consult our

advertising pages. MEDICAL ETIQUETTE.MEDICAL ETIQUETTE.

To the Editors of THE LANCET.SIRS,&mdash;I was called suddenly one afternoon last week to a patient who

had been confined on a sofa. After I had done everything necessary. Iwas told that another medical man had been sent for, who, after he came,allowed that the case was mine, and we parted. Judge of my surprisea few days later to find that he had not only been calling, unknown tome, on my patient, but actually prescribing as well for her, withoutinforming me. When a medical man as old as one’s father acts in this.way, what is the good of preaching etiquette to junior members ?

1 am, Sirs, yours faithfully,Hoxton street, Feb. 20tb, 189i. I. P. LLEWELYN.

PRECAUTIONS AGAINST POST-MORTEM WOUNDS.To the Editors of THE LANCET.

SIRS,&mdash;For some years I have always uted india-rubber gloves whenengaged in making post-mortem examinations, having of late used a pairof ordinary driving gloves under them, and I find I am quite as much atease with them during the most delicate manipulations as though myhands were unprotected. Although I found them rather cumbersomeat first, after a time all this passed off, and I have the satisfaction offeeling that I am absolutely safe, and should I be called to a midwiferycase at once I should not be a source of danger to my patient.

I am, Sirs, yours truly,Guildford, Feb. 20th, 1894. GEORGE FISHER, M.R.C.S.Eng. 1867.

MORPHIA IN HEART DISEASE.

To the Editors of THE LANCET.! SIRS,-I notice that in the article on Mitral Stenosis reference is madeto remarks by Dr. Barr on the pernicious influence of digitalis and thevalue of nitro-glycerine and atropine in the irregularity of cardiacaction met with in that disease. I would seek to draw attention to theuse of morphia in this connexion, which in my experience has beenattended with very satisfactory results, and I have found that the bene.ficial action of digitalis may be obtained and its evil effects obviatedby combining with it small doses of morphia.-Yours truly,Oxford, Feb. 20th, 1894. J. MACLAGAN REID, M.B. Edin.

THE GREATEST CONSULTATION IN HISTORY.

THE following quotation is from an American medical contemporary:-" The veracious daily press states that the mother-in-law of theMikado of Japan has recently been ill. She was attended by 423physicians, but in spite of that has pulled through. The 423 medicalmen hadn’t much to say as to the cause of the lady’s illness, but &

Buddhist priest of ingenious mind declared that it was owing to theintroduction of railroads. His logic was simple. Before there wererailroads she was well. After there were railroads she was ill. Whatcould be more clear than the conclusion he drew ?"

During the week marked copies of the following newspapershave been received:-Liverpool Courier, Daily Chronicle, CorleConstitution, Devon and Exeter Gazette, Morning, Hayward’s HeatlaHerald, Southampton Echo, Workington News, Westmeath Examiner,Norfolk Standard, Worcester Journal, Kentish Express, WesterrtMorning News, Morning Advertiser, The Times, Medical Record (Ne2o

, York), Health, South Wales Daily News, Leeds Mercury, CheltenhamExaminer, Bristol Mercury, Yorkshire Post, Cornwall Gazette, Goole’

Weekly Herald, City Press, Sanitary Record Hertfordshire Mercury,’

Bradford Observer, Liverpool Daily Post, Reading Mercury, We.ekly’ Free Press and Aberdeen Herald, Citizen, West Middlesex Standard,, Southampton Times, Bedfordshire Times, Surrey Advertiser, Locctl, Government Journal, West Middlesex Advertiser, Ceylon Ubseraer,

Carlisle Express and Examiner, Times of India. Scottish Leader, PallMall Gazette, Pioneer Mail, Builder, Kent and Sussex Courier, Carlisle. Journal, Architect, Glasgow Herald, Sunderland Herald, KenilworthAdvertiser, Woolwich Herald, Crewe Advertiser, North Herts Journal,Macclesfield Courier Gorton Reporter, Daily Inter-Ocean (Chicago),

} Local Government Chronicle, &c., &c.

Page 3: Notes, Short Comments & Answers to Correspondents

514 ACKNOWLEDGMENTS OF LETTERS &c. RECEIVED.

Communications, Letters &0. have beenreceived from-

A.-Messrs. Arthur & Co., London.

B.-Mr. R. Boyce, London ; Mr.T. B. Browne, London; Messrs.Boulton and Paul, Norwich ;Messrs. C. H. Birbeck and Co.,Worcester; Messrs. Blondeau etCie., London; Balance, London.

C.-Dr. Harry Campbell, London ;’Dr. Wm. Craig, Cowdenbeath ;’Dr. A. E Cox, South port ; Mr.W. B. Croskery, Eckington ; Mrs.Chapman, London ; Messrs. W.Cuthbertson and Son, Annan ;Messrs. Crossley, Moir and Co..’London; Messrs. J. Cleave and’Son, Crediton ; Messrs. Christyand Co., London: Clayton Hos-pital, Wak,,Ileld Hon. Secretaryof ; Charity Organisation Society,London, Secretary of ; ChicagoClinical Review, Editor of; ClassRooms, Edinburgh ; Comfort,London; Capital, London.

D.-Mr. C. M. A. D’Orsey, Ted-dington.

E.&mdash;Dr. L. Edmonds, Boston, Mass.,U.S.A.; Mr. El-Calamawy, PortSaid; Electro.Therapeutics, NewVork, Editor of ; ExaminationHall, London, Secretary of ; En-

quirer ; E. A., London.

F.-Dr. Theodore Fisher, Clifton;Mr. L. E. Fletcher, Manchester;Mr. George Fisher, Guildford ;Messrs. J. Farquar and Sons,’Castleford.

G.&mdash;Dr. J. Greenwood, Chorley;Mr. Hastings Gilford, Reading;’Mr. Gahan, Margate; Mr. W. M.Griffiths, Carmarthen.

H.-Dr. Donald Hood, London ;Dr. J. Holmes, Whitefield ; Mr.W. E. Husband, Manchester ;Mr. J. Heywood, Manchester;Mr. J. H. Haywood, London ;Messrs. Hertz and Collingwood,London; Messrs Higginbothamand Co., Madras; HumberPacking Co., Hull; Humerus,London.

E.-International Newspaper Ex-hibition, Milan, Secretary of.

J.-Dr. F. F. Jay, Tenterden ; Mr.H. Jalland, York ; Messrs. J. F.Jones and Co., Paris.

K-Messrs. D. J. Keymer and Co.,London.

L-Mr. H. Litherland, Wigan ;Messrs. Lindsey and Sons,London; Messrs. Lippman Bros.,Savannah.

M.&mdash;Prof. E. Maragliano, Rome ;Dr. George Murray, Newcastle-on-Tyne: Dr. Thomas More

Madden, Dublin ; Dr. C. Martin,Birmingham; Mr. C. A. Morton,Clifton ; Mr. E. Merck, London ;Mr. G. H. Makins, London; Mr. E.L. Mellins, Venice; Messrs. F. L.May and Co, London ; MaltineManufacturing Co., London ;Medical Society of London, Secre-tary of; Medical Defence Union,Birmingham, Hon. Secretary of ;Manchester Royal Infirmary,Secretary of; M.D.; M.D.Q.U.I.

N.-Mr. W. Gifford Nash, Bedford;Mr. R. Norton-Dawson, London ;Northumberland County Council,Deputy Clerk of.

P.-Dr. Patschkonski, Berlin; MissPincoffs, Dunster ; Messrs. Parke,Davis and Co., London; Prest-wich County Asylum, Superin-tendent of.

R.-Dr. R. D. Randolf, Edinburgh ;Dr. J. Maclagan Reid, London; Royal College of Physicians,London, Bedell of.

S.-Dr. Richard Sisley, London;Dr. Gordon Sharp, Edinburgh ;Dr. F. F. Schacht, London ; Mr.Ernest H. Starling, Clifton; Mr.E. A. Snape, London ; Messrs.G. Street and Co, London ;Messrs. R. Sumner and Co.,Liverpool; Society of Cvcli3ts,London. Secretary of : Sir PatrickDun’s Hospital, Dublin, Regis-trar of.

T.-Mr. R. M. Talbot, Bow; Mr.S. Torbett, Bolton ; T. W.,London.

V.-Messrs. Vigor and Co., London.

W.-Dr. J. J. Wightman, Liver.

pool ; Mr. J. T. CreswickWilliams, Whitland ; Mr. G. A.Wood, Southport ; West LondonMedico-Chirurgical Society, Sec.retary of.

X.-X. L., London; X.

Y.-Mr. W. Yeates, York.

Letters, each with enclosure, are alsoacknowledged from-

A.-Dr. G. S. Abram, Reading ;Advertiser, Wolverhampton; Al-pha, London; Achilles, London ;Agricola, London.

S.&mdash;Dr. N. T. Bond, Tamworth; Dr.W. M. Ball, Hounslow; Mr. B. S.Bro wne, Warwick; Mr. H. Black.burn, Nagasaki, Japan; Mr. H. S.Bethell, Rome ; Messis. Booteand Edgar, Manchester; Messrs.Brodie, Timbs and Co., London ;Messrs. Benson and Co., London;British Medical TemperanceAsso-ciation, Enfield, Secretary of ;Barnwood House Hospital,Gloucester, Secretary of ; Basil,London; B. B. S. A., London;B. M. G., Exeter.

C,&mdash;Dr. F. R. Cruise, Dublin ; Mr.T. Cotterell, Newcastle-on-Tyne;Messrs. Chapman & Co., London;Celsus, London; Capital, London;Clericus, London ; Cataract,London.

D.-Dr. H. B. Donkin, London ;Dr. J. C. Duncanson, Alnwick ;Dexter, London.

E.-Englishman, London.

F.-Mr. J. Fitzgerald, Queenstown;Messrs. Farwig and Co., London;F., Malvern; Forceps, Hudders-field ; F. H. S., London; F. F. D.,Darley Dale.

G.-Dr. H.W.Gardner, Shrewsbury;Mr. W. Gilyard, Bradford; Mr.H. R. Greene, Knaphill ; Mr.M. B. Gorman, Rowley Regis ;Mr. C. B. Greville, Sheffield;Miss A. Grafton, London; GroveHouse Private Asylum, ChurchStretton, Secretary of.

H.-Dr. J. Holmes, Penkridge; Dr.W. R. Hill, Colchester; Mr.F. R. Humphreys, London; Mr.C. F. Hope, Weymouth ; Mr. C.Hallett, Bath ; Hospital forWomen, London, Secretary of ;Humerus, London ; H. P.,London.

I.-Iris, London.

J.&mdash;Dr. A. B. Jones, Aberystwyth ;J. J., Penge.

K.-Mr. H. Kinder, Leicester ;Kimberley Hospital, SouthAfrica, Secretary of.

L-Mr. C. J. Leakey, Eastwood;

Mr. C. J. Lathbury, Dunstable;London Throat Hospital, Hon.Secretary of ; Linde British Re.frigeration Co., London ; L.,London.

M.-Dr. W. H. Murray, Adlington ;Mr. K. H. Miridjanian, Constan.tinople ; Mr. J. Milne, London;Mr. E. H. Monks,Wigan; Messrs.Mertens and Co., London ; Mille,London; Miter, London; Melton,London; M.R C.S., Weymouth ; Matron, Birmingham ; Medicus,Bedford; Midlands, London.

N.-Norfolk and Norwich Hospital,Secretary of ; Nurse, London.

O.-Mr. A. B. Orchard, Bovey;Oldham Infirmary, Secretary of.

P.-Mrs. C. Pechey, Mold; MissPudney, Earl’s Colne ; Pteron,London; Physician, Providence,U.S.A. ; P. C., London; P. Q ;:R.,London.

Q.-Queen’s Jubilee Hospital,London, Secretary of.

&.-Dr. J. W. Robinson, Penrith;Royal Medical Benevolent Col-lege, Secretary of ; R. H. R.,Hinckley; R. A., London.

S.-Dr. S. H. Snell, Grays ; Dr. L.Scilla, Polenza, Italy; Mr. J.Sutherland, Scorrier; Mr. W. M.Sheen, Lutterworth ; Miss Sell&eacute;,London ; Messrs. A. F. Sharp andCo., Glasgow ; Messrs. W. Stentand Co., Guildford ; SheffieldCity, Accountant of ; Smedley’sHydropathic Establishment,Matlock, Secretary of; Surgeon,Liverpool ; Sine, London ; Spes,London.

T.-Dr. J. Turner, Thornton’ Heath ; Dr. G. M. E. Thorp,

Stourport; Mr. J. H. Thackrah,’ Halifax; Mr. J.Thin, Edinburgh;

Mrs. Turner, London.

U.-University College, Dundee,Treasurer of.

V.-Ventnor, London.

W.-Dr. A. W. Wheatly, London;Mr. H. T. Welch, Kirkby Lons-dale ; Waters, Croydon ; W. S.,London ; W., London.

!X.-X., Derby.

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NOTICE.-Advertisers are requested to observe that it Is eontrary tothe Postal BeguiattoM to receive at Post Offices lettere addressed toInitials only.

An original and novel feature of " THE LANCET General Advertiser " is a a special Index to Advertisements on pages I and 6, which not onlyaffords a ready means of finding any notice, but is in itself an additonal advertisement.

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