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Notes, Short Comments, & Answers to Correspondents

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852 Medical Diary for the ensuing Week. Monday, October 20. ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operations daily at 10 A.M. ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operations, 1.80 P.M., and each day at the same hour. CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30P.M. ; Thursday, 2.80. ST. MARK’S HOSPITAL.-Operations, 2.30 P.M. ; Tuesday, 2.30 P.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 ORTHOPEDIC HOSPITAL.-Operations, 2 P.M. CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M., and each day in the week at the same hour. UNIVERSITY COLLEGE HOSPITAL.-Ear and Throat Department, 9 A.M. ; ; Thursday, 9 A.M. MEDICAL SOCIETY OF LONDON.-8.30 P.M. Opening Address by the President. Mr. Knowaley Thornton: The History of Ovariotomy. HOSPITAL FOR DISEASES OF THE THROAT (Golden-square, W.).-Dr. J. W. Bond: Laryngitis. (Post-Graduate Lecture.) Tuesday, October 21. KING’S COLLEGE HOSPITAL.-Operations, 2 P.M. ; Fridays and Saturdays at the same hour. Guy’s HOSPITAL. -Operations, 1.30 P.M., and on Friday at same hour. Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M. ST. THOMAS’S HOSPITAL.-Ophthalmic operations, 4 P.M.; Friday, 2P.M. C’ANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. ; Saturday, 2 P.M. WESTMINSTER HOSPITAL.-Operations, 2 P.M. ’WEST LONDON HOSPITAL.-Operations, 2.30 P.M. -ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday 2.30 P.M. Skin Department, Monday and Thursday, 9.30 A.M. Throat Department, Tuesdays and Fridays, 1.30 P.M. Electro- therapeutics. same day, 2 P.M. ’THE SANITARY INSTITUTE (Parkes Museum, -,NTargtret-st., W.).-8 P.M. Prof. W. H. Corfield : Sanitary Appliances. MEDICAL OFFICERS OF SCHOOLS ASSOCIATION.-3.30 P.M. Mr. Noble Smith : Education without Deformity. (PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Sidney Martin: Chylous Ascites.-Dr. Norman Moore : (i) New Growth in Lung of Child; (2) New Growth in the Liver.-Mr. Bernard Pitts: Incar- cerated Hernia, with Ulceration of Intestine -Dr. Samuel West: Tumour in Portal Fissure.—Mr. L. Bidwell : Fibroid Polypns of Trachea.-Mr. James Berry: Fifty Loose Bodies from the Knee- joint.-Dr. Phsneas S. Abraham : Supposed case of Indigenous Leprosy.-Dr. H. D. Rolleston : Gumma of Lung. Card Specimens:— Mr. Stephen Paget: Mulberry Calculus.-Dr. H. D. Rolleston : (1) Duodenal Pouch : (2) Perinephritic Abscess opening into Duo- denum ; (3) Loose Body in Peritoneal Cavity. Wednesday, October 22. NATIONAL ORTHOPEDIC HOSPITAL.-Operations, 10 A.M. MIDDLESEX HOSPITAL.-Operations, 1 P.M. Operations by the Obstetric Physicians on Thursdays at 2 P.M. ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour. Ophthalmic Operations, Tuesday and Thursday, 1.30 P.M. Surgical Consultations, Thursday, 1.30 P.lI!. CHARING-CROSS HOSPITAL.-Operations, 3 P.M., and on Thursday and Friday at the same hour. ST. THOll!AS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour. LONDON HOSPITAL.-Operations, 2 P.M. Thursday & Saturday, same hour. ST. PETER’S HOSPITAL, COVENT-GARDEN.—Operations, 2 P.lI!. ’SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.—Operations, 2.30 P.M. GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M. ’UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M.; Skin Depart- ment, 1.45 P.M. ; Saturday, 9.15 A.M. ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday. ’CHILDREN’S HOSPITAL, GREAT ORMOND-STREET.—Operations, 9.30 A.M. ; ; Surgical Visits on Wednesday and Saturday at 9.15 A.M HUNTERIAN SOCIETY.-8 P.M. Mr. F. R. Humphreys: Notes on some cases of Perityphlitis.-Dr. Charlewood Turner: Cerebral Lesions in Chorea. The President will also show Living Specimens of Embryo Filaria Sanguinis Hominis. ’BRITISH GYNAECOLOGICAL SOCIETY.-8.30 P.M. Adjourned Discussion on Dr. Robert Barnes’s paper on the " Correlation of Sexual Functions with Mental Diseases." Specimens by Dr. Bantock. HOSPITAL FOR DISEASES OF THE THROAT (Golden-square, W.).—Dr. Norris Wolfenden : Laryngeal Phthisis. (Post-Graduate Lecture.) Thursday, October 23. T. GEORGE’S HOSPITAL,.-Operations, 1 P.M. Surgical Consultations, Wednesday, 1.30 P.M. Ophthalmic Operations, Friday, 1.30 P.M. UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.; Ear and Throat Department, 9 A.M. CHARING-CROSS HOSPITAL.-4 P.M. Mr. Sheild : Selected Surgical Cases. (Post-Graduate Course.) Friday, October 24. ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M CLINICAL SOCIETY OF LONDON.—8P.M. Living Specimens:—Dr. Sidney Phillips : A case of Defective Development allowing the Protrusion of Heart with each Systole.—Dr. Elwin Harris : A case of Functional Paraplegia of Ten Years’ Duration in a Man aged Seventy. And other cases. 9 P.M. Papers:-Mr. Arbuthnot Lane: A case of Mixed Enchondroma of the Submaxillary Gland.—Dr. Elwin Harris: A case of Aneurysm of the Arch of the Aorta for which the Left Common Carotid was Tied.-Dr. Finlay : A case of Tubercular Peri- tonitis and Double Pleurisy resulting in Recovery. ’THE SANITARY INSTITUTE (Parkes Museum, Margaret-st., W.).-8 P.M. Mr. J. Wright Clarke: Details of Plumbers’ Work. Saturday, October 25. MIDDLESEX HOSPITAL.-Operations, 2 P.M. UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M. ; and Skin Depart- ment, 9.15 A.M. Notes, Short Comments, & Answers to Correspondents. It is especially requested that early 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 this Office. All communications relating to the editorial business of the journal must be addressed" To the Editors." Lectures, original articles, and reports should be written on one side only of the paper. Letters, whether intended for insertion or for private in. formation, must be authenticated by the names and addresses of their writers, not necessarily for publication. We cannot prescribe or reconzmend practit-ioners. Local papers containing reports or news paragraphs should be marked and addressed "To the Sub-Editor.’ Letters relating to the publication, sale, and advertising departments of THE LANCET to be addressed "To the Publisher. " We cannot undertake to return MSS. not used. PROFESSIONAL OPINION OX COMMERCIAL UNDERTAKINGS. THE profession has been flooded with circulars tempting them to give support to a proposed Breac7i Company, and leading them to under- stand that special consideration will be given to medical men who apply for shares in consideration of the fact that the strong position of the Company is owing to the initial support of the profession. We cannot admire such use of professional opinion, which has a very commercial look. Alpha.-We regard A’s action in this case as a breach of his bond. We should advise B to remonstrate strongly-privately, perhaps, in the first instance, but with a clear intimation that lie will refer the case to his lawyer if the remonstrance is unheeded. Sperans.—British Medical Benevolent Fund ; Secretary, E. East, Esq., 16, Upper Berkeley street, W. The Society for the Relief of Widows and Orphans of Medical Men ; Secretary, J. D. Blackett, Esq., 28, Queen-street, W. A LETTER has been received from Street, Somerset, without signature or card. PATENT MEDICINES. To the Editors of THE LANCET. SIRS,—I have read with much interest your criticisms upon my article, " Homicide as a Misadventure," in the current number of the National jRfNMM’. I fully concur with your remarks in your issue of Oct. 4th as to the difficulties surrounding the subject treated of. I trust, however, you will pardon me for directing your attention to a point which appears to have escaped your observation and remarks- viz., the question as to the correctness of the term "patent medicine" as now applied to all preparations bearing Inland Revenue stamps. There are, as the preamble to the Act, 1783, enunciates, two very dis- tinct kinds of medicines liable to and bound to bear the medicine stamp-one particularly specified in the Act, 1785, and the other sold under Letters Patent. The first are usually secret, the others always patent, as to their contents, and registered at the Patent Office. These last are the only medicines which can claim the exemption of Section 16 of the Pharmacy Act, 1868. Conse(luently, all others containing poisons are subject to the obligations, restrictions, and penalties of Section 17 of the said Act. If this view be accepted and adopted, it will do much towards the great desiderata of the present phase of the so-called " patent medicines." I am, Sirs, your obedient servant, Elgin-crescent, W., Oct. 7th, 1890. HENRY W. HUBBARD, L.R.C.P.
Transcript
Page 1: Notes, Short Comments, & Answers to Correspondents

852

Medical Diary for the ensuing Week.Monday, October 20.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS. - Operationsdaily at 10 A.M.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operations, 1.80 P.M.,and each day at the same hour.

CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30P.M. ; Thursday, 2.80.ST. MARK’S HOSPITAL.-Operations, 2.30 P.M. ; Tuesday, 2.30 P.M.HOSPITAL FOR WOMEN, SOHO-SQUARE. - Operations, 2 P.M., and on

Thursday at the same hourMETROPOLITAN FREE HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M., and

each day in the week at the same hour.UNIVERSITY COLLEGE HOSPITAL.-Ear and Throat Department, 9 A.M. ; ;

Thursday, 9 A.M.MEDICAL SOCIETY OF LONDON.-8.30 P.M. Opening Address by the

President. Mr. Knowaley Thornton: The History of Ovariotomy.HOSPITAL FOR DISEASES OF THE THROAT (Golden-square, W.).-Dr.

J. W. Bond: Laryngitis. (Post-Graduate Lecture.)Tuesday, October 21.

KING’S COLLEGE HOSPITAL.-Operations, 2 P.M. ; Fridays and Saturdaysat the same hour.

Guy’s HOSPITAL. -Operations, 1.30 P.M., and on Friday at same hour.Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M.

ST. THOMAS’S HOSPITAL.-Ophthalmic operations, 4 P.M.; Friday, 2P.M.C’ANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. ; Saturday, 2 P.M.WESTMINSTER HOSPITAL.-Operations, 2 P.M.’WEST LONDON HOSPITAL.-Operations, 2.30 P.M.-ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday

2.30 P.M. Skin Department, Monday and Thursday, 9.30 A.M.Throat Department, Tuesdays and Fridays, 1.30 P.M. Electro-therapeutics. same day, 2 P.M.

’THE SANITARY INSTITUTE (Parkes Museum, -,NTargtret-st., W.).-8 P.M.Prof. W. H. Corfield : Sanitary Appliances.

MEDICAL OFFICERS OF SCHOOLS ASSOCIATION.-3.30 P.M. Mr. NobleSmith : Education without Deformity.

(PATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Sidney Martin:Chylous Ascites.-Dr. Norman Moore : (i) New Growth in Lung ofChild; (2) New Growth in the Liver.-Mr. Bernard Pitts: Incar-cerated Hernia, with Ulceration of Intestine -Dr. Samuel West:Tumour in Portal Fissure.—Mr. L. Bidwell : Fibroid Polypns ofTrachea.-Mr. James Berry: Fifty Loose Bodies from the Knee-joint.-Dr. Phsneas S. Abraham : Supposed case of IndigenousLeprosy.-Dr. H. D. Rolleston : Gumma of Lung. Card Specimens:—Mr. Stephen Paget: Mulberry Calculus.-Dr. H. D. Rolleston :(1) Duodenal Pouch : (2) Perinephritic Abscess opening into Duo-denum ; (3) Loose Body in Peritoneal Cavity.

Wednesday, October 22.NATIONAL ORTHOPEDIC HOSPITAL.-Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M. Operations by the Obstetric

Physicians on Thursdays at 2 P.M.ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same

hour. Ophthalmic Operations, Tuesday and Thursday, 1.30 P.M.Surgical Consultations, Thursday, 1.30 P.lI!.

CHARING-CROSS HOSPITAL.-Operations, 3 P.M., and on Thursday andFriday at the same hour.

ST. THOll!AS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.-Operations, 2 P.M. Thursday & Saturday, same hour.ST. PETER’S HOSPITAL, COVENT-GARDEN.—Operations, 2 P.lI!.’SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.—Operations,

2.30 P.M.GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M.’UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M.; Skin Depart-

ment, 1.45 P.M. ; Saturday, 9.15 A.M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.’CHILDREN’S HOSPITAL, GREAT ORMOND-STREET.—Operations, 9.30 A.M. ; ;

Surgical Visits on Wednesday and Saturday at 9.15 A.MHUNTERIAN SOCIETY.-8 P.M. Mr. F. R. Humphreys: Notes on some

cases of Perityphlitis.-Dr. Charlewood Turner: Cerebral Lesionsin Chorea. The President will also show Living Specimens ofEmbryo Filaria Sanguinis Hominis.

’BRITISH GYNAECOLOGICAL SOCIETY.-8.30 P.M. Adjourned Discussion onDr. Robert Barnes’s paper on the " Correlation of Sexual Functionswith Mental Diseases." Specimens by Dr. Bantock.

HOSPITAL FOR DISEASES OF THE THROAT (Golden-square, W.).—Dr.Norris Wolfenden : Laryngeal Phthisis. (Post-Graduate Lecture.)

Thursday, October 23.T. GEORGE’S HOSPITAL,.-Operations, 1 P.M. Surgical Consultations,

Wednesday, 1.30 P.M. Ophthalmic Operations, Friday, 1.30 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.; Ear and Throat

Department, 9 A.M. CHARING-CROSS HOSPITAL.-4 P.M. Mr. Sheild : Selected Surgical Cases.

(Post-Graduate Course.)Friday, October 24.

ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.MCLINICAL SOCIETY OF LONDON.—8P.M. Living Specimens:—Dr. Sidney

Phillips : A case of Defective Development allowing the Protrusionof Heart with each Systole.—Dr. Elwin Harris : A case of FunctionalParaplegia of Ten Years’ Duration in a Man aged Seventy. Andother cases. 9 P.M. Papers:-Mr. Arbuthnot Lane: A case ofMixed Enchondroma of the Submaxillary Gland.—Dr. Elwin Harris:A case of Aneurysm of the Arch of the Aorta for which the LeftCommon Carotid was Tied.-Dr. Finlay : A case of Tubercular Peri-tonitis and Double Pleurisy resulting in Recovery.

’THE SANITARY INSTITUTE (Parkes Museum, Margaret-st., W.).-8 P.M.Mr. J. Wright Clarke: Details of Plumbers’ Work.

Saturday, October 25.MIDDLESEX HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M. ; and Skin Depart-

ment, 9.15 A.M.

Notes, Short Comments, & Answers toCorrespondents.

It is especially requested that early intelligence of localevents having a medical interest, or which it is desirableto bring under the notice of the profession, may be sentdirect to this Office.

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

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

Letters, whether intended for insertion or for private in.formation, must be authenticated by the names andaddresses of their writers, not necessarily for publication.

We cannot prescribe or reconzmend practit-ioners.Local papers containing reports or news paragraphs shouldbe marked and addressed "To the Sub-Editor.’Letters relating to the publication, sale, and advertising

departments of THE LANCET to be addressed "To thePublisher. "

We cannot undertake to return MSS. not used.

PROFESSIONAL OPINION OX COMMERCIAL UNDERTAKINGS.

THE profession has been flooded with circulars tempting them to givesupport to a proposed Breac7i Company, and leading them to under-stand that special consideration will be given to medical men whoapply for shares in consideration of the fact that the strong positionof the Company is owing to the initial support of the profession.We cannot admire such use of professional opinion, which has a verycommercial look.

Alpha.-We regard A’s action in this case as a breach of his bond. Weshould advise B to remonstrate strongly-privately, perhaps, in thefirst instance, but with a clear intimation that lie will refer the caseto his lawyer if the remonstrance is unheeded.

Sperans.—British Medical Benevolent Fund ; Secretary, E. East, Esq.,16, Upper Berkeley street, W. The Society for the Relief of Widowsand Orphans of Medical Men ; Secretary, J. D. Blackett, Esq.,28, Queen-street, W.

A LETTER has been received from Street, Somerset, without signatureor card.

PATENT MEDICINES.

To the Editors of THE LANCET.

SIRS,—I have read with much interest your criticisms upon myarticle, " Homicide as a Misadventure," in the current number of theNational jRfNMM’. I fully concur with your remarks in your issue ofOct. 4th as to the difficulties surrounding the subject treated of. I

trust, however, you will pardon me for directing your attention to apoint which appears to have escaped your observation and remarks-viz., the question as to the correctness of the term "patent medicine"as now applied to all preparations bearing Inland Revenue stamps.There are, as the preamble to the Act, 1783, enunciates, two very dis-tinct kinds of medicines liable to and bound to bear the medicine

stamp-one particularly specified in the Act, 1785, and the other soldunder Letters Patent. The first are usually secret, the others alwayspatent, as to their contents, and registered at the Patent Office. Theselast are the only medicines which can claim the exemption of Section 16of the Pharmacy Act, 1868. Conse(luently, all others containingpoisons are subject to the obligations, restrictions, and penalties ofSection 17 of the said Act. If this view be accepted and adopted, itwill do much towards the great desiderata of the present phase of theso-called " patent medicines."

I am, Sirs, your obedient servant,Elgin-crescent, W., Oct. 7th, 1890. HENRY W. HUBBARD, L.R.C.P.

Page 2: Notes, Short Comments, & Answers to Correspondents

853

CAUTION AGAINST DILIED MUSHROOMS.

THE Berlin police have issued a caution to the public against so-called"dried mushrooms," which are being sold, and which very frequentlycontain poisonous fungi. The caution calls attention to the fact that

edible mushrooms when dried remain white, while pois jnous varietiesacquire a bluish tint.

Gyncecologist.-We always insist upon the greatest delicacy and con-sideration of the feelings of the patient being manifested, and objectto all unnecessary exposure in such operations as the one to whichour correspondent refers. Indeed, we think the left lateral decubitusis preferable, both for ease of operation and avoidance of exposure.At the same time we do not deny that there are certain circumstances,especially as to light in a room or the nature of the bed, whereexamination or operation in the position to which our correspondentobjects may be justifiable.

jfr. A. J. G. Barkeo.-We should think it a very difficult thing in lawfor the principal to show the assistant’s liability in this case, and wecannot believe that he will press such a claim. The assistant was

offered a holiday without contract or conditions, and took the offer asbeing generously made.

J. F. Z. raises quite another question, which has been already fullydiscussed.

J. B. S. will get some aid by consulting our advertising columns.

"MATERNAL IMPRESSIONS."

To the Editors of THE LANCET.

SIRS,-IT would be well if something could be done to settle thequestion of the potency or impotency of maternal impressions. Theremust be a large amount of available material in the possession of theprofession from which definite conclusions might be drawn. If it istrue that maternal impressions do influence the development of thefoetus in utero, then such sickening specimens of maimed or deformedhumanity as are frequently seen in our streets should not be allowed tomake the most of their deformities for the purpose of begging. Neithershould such persons be used for exhibition at places of public entertain-ment. The following case is to the point.A lady in comfortable circumstances, aged twenty-four years and of

no marked emotional temperament, engaged me early in 1883 for hersecond confinement. The patient was exceptionally robust, and herlittle girl, then nearly two years old, was in every respect healthy. The

patient informed me that early in her pregnancy she had seen a manbegging whose arms and legs were "all doubled up." The sight gaveher a shock at the time, but she hoped no untoward effect would follow.I, of course, endorsed her hopeful view of her case, and urged her not totrouble herself any further. In due course I was summoned, and onexamination found a shoulder presenting. The time of day being that inwhich all my medical neighbours would be out, I persuaded the patient toallow me to turn without giving chloroform. The operation was performedwith some difficulty. The child was an anencephalous monster. Theextremities were rigidly flexed, the feet almost sole to sole, and thefingers firmly clenched. The child could only have been dead a fewhours. The mother was, of course, desirous of seeing her child ; but Idissuaded her from this by assuring her that although this child wasimperfect there was no reason why she should not be more fortunatenext time. The patient made a good recovery, and shortly afterwardschanged her residence. Four months later she became again pregnant,and unfortunately she frequently passed a man who was a partialcripple living in the same road. This circumstance revived the patient’sfears ; but she did not appear to be much depressed, and she was quitehopeful regarding her coming infant. The confinement took place atfull time, and presented precisely the same difficulties as on the previousoccasion. The child also was a counterpart of the last one, with theexception of the head, which was normal. After an interval of a fewmonths my patient became again pregnant, and this time she wasdelivered of a strong and undeformed child.

I am, Sirs, yours obediently,CHAS. W. CHAPMAN, M.D.Dur., M.R.C.P.Lond.

Fitzjohn’s-avenue, N.W., Oct. 13th, 1890.

Dr. J. Hunter (Portsmouth).-We are not in possession of the informa-tion, which, however, may no doubt be obtained by application to theSecretary of the Association, St. John’s Gate, Clerkenwell.

J. W.-A list of medical tutots is given in our Students’ Number, pub-lished on Sept. 6th last.

THE AFTER-HISTORY OF A CASE OF CAESAREAN SECTION. (- -

To the Editors of THE LANCET.

SIRS,-The patient mentioned by Mr. Lawson Tait in your last issuewas delivered by me on Jan. llth, ]889. Knowing her history, and thatshe had been advised on good authority not to allow her pregnancy torun on to its full time, I brought on labour, and delivered her of aliving male child of about six months, which lived for three or fourdays. As there was room to spare in the pelvis and the child wassmall, I now regret not having let it reach seven months before inter-fering.

- .

I am, Sirs, yours faithfully,lenoury, VCIi..LiIiD, 1890. CHAS. E. Ross.

A AND B AND TIIEIIt CLUB PATIENTS.

IN the absence of that friendly understanding between A and B a,s.to’such incidents which we should advise, the case properly belongsto the privtte praelilioner called in when the patient’s club doctor-declines to go.

Surgeon’s Wife.—German yeast, or "compressed yeast" of the Con--

tineut, is a product in the manufacture of spirits from malt and.raw grain, the spirits being used to a great extent in the manu--facture of liqueurs, peifuines, wine, and brandy. It is not, ago

commonly supposed, a yeast of beer fermentation. From its slimy.character when skimmed off the surface of the fermenting liquidit cannot be well pressed. The addition of starch is thereforeresorted to. This permits the removal of more of the liquidfrom the yeast, when it is submitted to pressure. The greenmould appearing on its surface is probably due to the starch)

present. It is identical with the mould which sometimes appears onstale bread, jam, &c., and is the Penicillium glaucum in botany. It

is most likely destroyed by the heat in baking. We have not heardof yeast containing haking-powder.

Nescio-A reply to a similar question was given in our issue of’

Sept. 27th, p. 70S, to which we must refer our correspondent.W. 7!. C. will find the list in the Calendar of the College ; or applicatiomtmay be made to the Secretary.

Mr. Arthur Cooper’s paper will appear in an early number.

" NOCTURNAL ENURESIS."

To the Editors of THE LANCET.

SIRS,- This trouble may sometimes be removed by suggestion, or" ideation." Some time ago a fine girl of from fifteen to sixteen was.attending on her grandmother, when I remarked, " Why, child, whatmakes you so glum?" Her grandmother then told me that since twoyears old bhe had been subject to nocturnal incontinence of urine, andthat it was now a source of great mental trouble. She would be sa.thankful if she could be cured. I examined the girl thoroughly, andfound nothing abnormal. I elicited that once, at long intervals, shehad passed a night without incontinence. I assured her most positivelythat she need suffer no more. I impressed on her the fact that she-need not do it, because once she had not done it, and what she haddone once could be done again and again. The only thing was thatwhen she went to bed she must know that she could not do it. I gaveher compound colocynth pill and citrate of iron. For six nights the-trouble did not recur. I then spoke very seriously to her, and told herif it occurred again I should put a blister on the bottom of the spine, sa,that the pain should remind her of my words-that if she knew it couldnot occur, it would not. For some weeks it did not occur again, and!then it was the night before her period came on. I did not order the

blister, as I told her her impending illness was an excuse for that once.Six months afterwards the period was delayed, and the incontinence-occurred again once. I again excused her the blister on the same

ground, and spoke gravely of the necessity of knowing that it could notrecur. I gave her the same medicine, and now she is quite well and ahappy, fine girl of nineteen. Iler gratitude is great, as also is that of.her grandmother. A birch-rod or a blister may be a useful mental’tonic in impressing the idea that the incontinence cannot occur; butthe grave displeasure and the lack of approbation of the doctor ought,to be sufficient if ideation or suggestion be the mode of treatment.

I am, Sirs, yours faithfully,Jbra,mungtiam, Uctober, 1890. GEO. E. JEAFFRESON.

We have received several communications in which the writers.recommend the use of hypnotism as a means of remedying theabove-mentioned affection ; whilst Mr. Thomas Christy desires to- .direct attention to the value of the plant Pichu Fabiana Imbricata inYcases of the kind.-ED. L.

F.-Although it is very desirable that the notification should state the-specific nature of the fever, yet it must be remembered that continuedever" is included in the Act as one of the "infectious diseases ’’’

requiring notification.G. P. R.-The question is put in too vague a form to admit of a satis- -factory reply in this place.

Dr .A J. Harris-If possible, next week.

PARTURITION IN SOUTH AFRICA.

To the Editors of THE LANCET.

SIRS,-One does not often hear of any difficulty with native labours.here. The other day, however, I was summoned to attend a nativewoman. The head was fixed in the pelvis (the native doctors hadevacuated the brains of the child). The right parietal bone came awayin my fingers. I put short forceps on each side of the head to guide it,.and removed the child without great difficulty with finger and thumb.The native practitioners appear to have considered that the limit of‘force had been reached, and they have no instruments. All pains had.ceased. I am, Sirs, yours faithfully,

Sept. 1th,1896. DISTRICT SURGEON, Natal.

Page 3: Notes, Short Comments, & Answers to Correspondents

854

GERMAN MIDWIVES.

THE German Congress of midwives has decided to petition the Empressand the Government to alter the official designation of a midwifefrom "Hebaamme" to "Geburtshelferin."

M.D.-The recent change in the law of British Columbia compellingpractitioners with British qualifications to pass an examination andto pay a fee of a hundred dollars was mentioned in THE LANCET of

Sept. 20th last, p. 629.

Sperans, (NewburN .).-Illind School (Indigent)), St. George’s-circus,Southwark; Home for the Blind, 44, Alma-sdnare, St. John’s-wond.

COMMUNICATIONS not noticed in our present number will receive atten-tion in our next.

COMMUNICATIONS, LETTERS, &c., have been received from-Mr. Ballance,London ; Dr. R. Rentoul, Liverpool; Mr. Bush, Bristol; Dr. HughWoods, Highgate ; Dr. J. M. Smith, Toddington ; Messrs. Davey andCo., Islington; Dr. Saundby; Mr. Blackett, London ; Dr. Fletcher

Beach, Dartford; Mr. Watson, London; Mr. G. Cowell; Dr. HerbertSmith, Ealing ; Mr. R. J. Willis, Manchester; Messrs. Orridge andCo., London; Dr. Windle, Birmingham; Mr. Tate, London; Dr. C.Reid, Stafford; Dr. H. Snow, London; Dr. Scattergood, Leeds; Mr. M.

.. Scott, London; Dr. Sinclair, Manchester; Mr. Bokenham, Cheshunt;Dr. J. Oliver, London ; Mr. E. W. White, Birmingham ; Dr. HingstonFox, London ; Dr. Dupin, Toulouse ; Dr. Tuckey ; Messrs. Stanford:and Mason, Birmingham ; Mr. J. Scott, Belfast; Messrs. Eason andSon, Dublin ; Mr. Bunch, London ; Mr. S. Shields; Messrs. Loescher:and Seeber, Italy; Dr. Neale, Hampstead; Messrs. Merryweatherand Sons, London ; Dr. C. W. Champion, London; Messrs. Oliver andBoyd, Edinburgh ; Mr. Page, London; Dr. Snow, London; Mr. OttoMaas, Vienna ; Mr. H. Frowde; Mr. Carter, London ; Messrs. Griffinand Co., London; Mr. T. Smith, London; Prof. Pacchiotti; Mr. W. S.Watson, London; Mr. Dowell, London; Mr. Owen, London; M. Duret,Bordeaux; Dr. Steele, Florence ; Mr. Mosse, London; Mr. Champion,Dursley; Miss Beechcroft, London; Dr. Hilliard, Aylesbury; Dr. T.Oliver, Newcastle-on-Tyne; Mrs. Gawith, Bayswater; Mr. BuckstonBrowne, London; Dr. Fitzgerald, Folkestone; Messrs. Burgoyne andCo., London ; Mr. Fredericksen, London; Messrs. Wright, Dain, andCo., Birmingham; Mr. Wheeler, Fakenham; Messrs. Burroughs andWellcome, London; Dr. Limont, Newcastle-on. Tyne; Messrs. Clarkeand Co., London ; Mr. G. E. Peaffreson, Framlingham ; Mr. FletcherLittle, London; Brigade-Surgeon Hodder, Jersey; Messrs. Christyand Co., London ; Mr. J. P. Martin ; Mr. Ross, Tenbury ; Dr. Carlo

Gangitans, Naples; Mr. Lawrence-Hamilton, London; Mr. MayoRobson, Leeds ; Mr. Haysman, London ; Mr. J. A. Fox ; Mr. Barker,Walthamstow; Dr. Owen, London ; Mr. Abbott, London; Dr. A. J.Harries, London; Mr. Maish, Bristol; Dr. Spence, Burntwood; Mr. T.Cooke, London; Mr. Whitehouse, London; Mr. Macdonald, Han-well ; Mr. C. H. Leet, Bootle ; Dr. Bolton, Kustendjie; Mr. Harding,Loughborough ; Mr. Pentland, Edinburgh ; Mr. Webster ; Mr. F. T.Simson, London ; Mr. G. Rendle, London ; Mr. C. H. Wells; Mr. R. S.Smith, Monifieth ; Fairness ; Secretary, Public Hospital, Sheffield ;M.D., F.R.Met. Soc. ; B. C. D.; M.D. ; Reform; Secretary, FlintshireDispensary; E., London; Cassandra; Bury and Norwich Post, BurySt. Edmunds; F. G. T., London ; Gynecologist; Secretary, ClaytonHospital, Wakefield ; F. ; Zeta, London; M.D., Preston ; Maltine

Manufacturing Co., Bloomsbury ; L. S., London ; Sectetary, SuffolkGeneral Hospital ; A. F., London ; Secretary, Ancoats Hospital,Manchester ; Secretary, Public Dispensary, Leeds; Secretary, Brad-ford Infirmary.

LETTERS, each with enclosure, are also acknowledged from-Dr. Tirard,London ; Dr. Berkett, Charlton; Mr. Harris, Bristol; Mr. Peskett,Lowestoft ; Rev. Mr. Kentle, Worcester; Mr. Laird, Hampton-on.Thames; Mr. Deeping, Leicester ; Dr. Richards, Ledbury; Mr. Tyte,Minchinbampton ; Mr. T. Smith, Bangnr, co. Down ; Mr. Doherty,Stockport; Mr. Eccles, London ; Mr. Collins, Harrogate ; Mr. Tully,Hastings ; Dr. Orr, Wanstead; Mr. J. Pearce, London ; Dr. O’Meara,Loughborough ; Messrs. Ratcliffe, Liverpool; Messrs. Johnson and

Johnson, London: Mr. Bishop, Bournemouth ; Dr. Haydon, NorthDevon; Dr. Murray, Thurso; Mr. Lewis, Wingham ; Mr. Elliott, EbbwVale; Mr. Jollye, Warminster; Mr. Griffiths, Llanberis ; Dr. NormanKerr, London; Mr. Ward, Folkestone; Dr. Gooding ; Messrs. BealandSon, Brighton ; Rev. Mr. Bryant, Tavistock ; Dr. Harding, Whittle-sea ; Dr. Fausset, Tamworth ; Mr. Hall, Northwich ; Mr. Purland,Woolwich ; Mr. Duncan, Dingwell ; Mr. Westron, Exeter; Mr. Pavitt,Stansted ; Dr. Oliver, Kingsland ; Mr. Watson, Scarboro’; Mr. Wraig,Wick, N.B. ; Mr. Daniell, Petersfield; Mr. West, Derby; Mr. SpencerWatson, London ; Mr. Pearson, Weston-super-Mare; Messrs. Groganand Boyd, London; Dr. Tatham, Manchester ; Dr. Griffith, MilfordHaven ; Mr. Deacon, Manchester; M. Lorette, Paris; Mr. KennethCampbell, London; Mr. McKinnel, Worcester; Messrs. Keith andCo., Edinburgh; Dr. Hamilton, Windermere; Mr. Needes, KentishTown; Mr. Heywood, Manchester; Mr. Ryan, Cork ; Dr. Hutchison,Leicester; Mr. Utting, Liverpool; Mr. Shines, Aberdeen; Mr. Harries,Llanelly; Mr. Richa,rds, Hinckley ; Dr. Macready, London ; Kincora;K. M., London ; Alpha, Bath; Delta, Bath ; Secretary, Coventry andWarwick Hospital; Clairville, Bournemouth ; Secretary, Tauntonand Somerset Hospital; G. W. T., London ; Africa, London; CanaryIslands, London ; L. S., London ; B. M., London ; Secretary, CollegePreceptors, Bloomsbury ; Medicus, Burnley; Secretary, WarnefordAsylum, Oxford ; A. A., London; J. F. O. D., Islington ; B. C., UpperEdmonton; Medicus, London ; Medicus, Manchester; Secretary, EyeInnrmary.WoIverhampton; Medicus, Preston; Secretary, CheltenhamGeneral Hospital; A. J., London; H. W., co. Durham; Alpha, StokeNewington ; Centigrade, London; M., Leeds ; Veritas, London; LadySuperintendent, Salford ; Beta, Edinburgh ; Radix ; Partner, LowerEdmonton; Alpha, Brighton ; S. D., London; W. M., London ; Sax,London ; Alphomega, London ; Medical, Huddersfield ; Secundus,London; Doctor, Chelsea; Dexter, London; Fides, London; H. J. K.,London; Coblentz, London.

NEWSPAPERS.-North British Daily Mail, Worcéster Daily Times, CityPress, Newcastle Leader, Bradford Chronicle, St. Stephen’s Revieze,Birmingham Post, Dundee Adbvertiser, Westerza Press, Manchester

Couricr, Glasgow Herald, Nezes, Midland Evenizag Nezeae, West KentAdvertiser, Mining Journal, Swansea Gazette, Birmingham DailyGazette, Galignazzi’s Messenger, Scotszoaza, Iieading Jfercury, WeeklyFree Press and Aberdeen Herald, Sunday Times, Windsor and EtonGazette, Builder, Kilkenny Journal, Droad A?-ro7t,, Sheffield Daily Tele-graph, Hertfordshire blercttry, Spectator, Law Journal, Metropolitan,Leeds Mercury, West Middlesex Standard, Architect, Local Goverva-ment C7tro?zicle, Chemist and Druggist, Windsor and Eton Express,Saturday Review, Daily News, Pullen’s Kent Argus, British Weekly,Pharmaceutical Jonrnal, Sussex Daily News, Guy’s Hospital Gazette,North Star, Scottish Leader, Shields Daily Gazette, Sportsrnan, DailyChronicle, Bombay Gazette, Home News, Sheffield and RotherhamIndependent, Indian Engineering, Era, Temperance Record, WestMiddlesex Advertiser, Weekly Review, Peel City Guardian (Isle ofMan Retford News, Army and Navy Gazette, Maidstone Journal,Nature, S01lthport Visitor, Auckland Chronicle, Canterbury Journal,Norfolk Daily Standard, The Bailie, Rochdale Chronicle, Watchword,Preston Guardiaii, Burton Eveninq Gazette, Staffordshire Chronicle,Monmouthshire Beacon, Bath Herald, Admiralty Gazette, CambridgeExpress, Morning Post, &:c., have been received.


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