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593 Births, Marriages, and Deaths. BIRTHS. On the 7th inst., at Stoke, Devonport, the wife of S. H. Fasson, M.D., of the Royal Artillery, of a son. On the 9th inst., at Ramsgate, the wife of R. Hicks, M.R.C.S.E., of a son. On the 11th inst., at Hanwell, Middlesex, the wife of J. M. Lindsay, M.D., of a son. On the 12th iust., at Ferry House, Uttlehampton, the wife of Charles Seward, M.R.C.S.E., late of Prince Albert’s Own Rifle Brigade, of a daughter. On the 12th inst., the wife of R. G. Burton, M.D., of Woolwich, of a daughter. On the 14th inst., the wife of C. S. Watkins, M.R.C.S.E., of Chaudos-street, Charing-cross, prematurely of a daughter, still-born. On the 15th inst., at Camden-road Villas, the wife of Dr. R. C. Croft, of a son. MARRIAGES. On the lOth inst., at St. Mary Magdalene, Taunton, Astley Cooper, M.R.C.S. ’Eng., Assistaut-Surgeon to the Plymouth Division of Royal Marines L.I., to Ellen, daughter of Wm. Palmer, Esq., of Mouutway House, Taunton. - On the 10th inst., at Manchester, Francis Troup, L.R.C;S.Ed., of Auchter- inuchty, to Jane, daughter of W. Oliphant, Esq., of Strathmiglo, Fifeshire. DEATHS. On the 2nd inst., at Canterbury-place, Lambeth, of pneumonia, Mr. John Kane, htte Student ofChariug-cross Hospital, aged 20. On the 7th inst., at Darrow, Queen’s County, R. Ormsby, M.R.C.S.E., aged 55. On the 8th inst., A. Johnston, L.F.P. & S. Glas., of Buccleugh House, Glasgow. On the 8th inst., R. Marsland, M.R.C.S.E., of Manchester, aged 38. On the 12th inst., R. D. Speedy, F.R.C.S.I., of Gardiner’s-place, Dubiin, aged 54. On the 12th inst., J. Fletcher, M.R.C.S.E., of Oldham, aged 52. On the 16th inst., Dr. J. W. Bowler, Surgeon-Superintendent of Portsmouth 6’onlviet Prison, Deputy Inspector-General of Hospitals and Fleets, on the retired list. BOOKS ETC. RECEIVED. Dr. Mapother’s Manual of Physiology. Dr. Brinton on Diseases of the Stomach. Mr. J. W. Williams on Skin Diseases. Dr. J. W. Walker on Diphtheria. Morningside Mirror. Vol. XIX. Statistical Report of the Health of the Navy, 1861. Simpson’s Handbook of Dining. Dr. J. Smith’s Handbook of Dental Anatomy. Edinburgh Medical Calendar, 1864-65. Ellis and Ford’s Illustrations of Dissections. Parts XI. and XII. The Greyhound in 1804. By Stonehenge. Canada Medical Journal. Medical Diary of the Week. ONDAY, Nov. 21 .... TUESDAY, Nov. 22 ... WEDNESDAY, Nov. 2: THURSDAY, Nov. 24 FRIDAY, Nov. 26 ...... SATURDAY, Nov. 26 ST. MARX’S HOSPITAL FOR FISTULA AND OTHBE DISEASES OF THE RECTUM.-Operations, 1½ P.M. METROPOLITAN FMB HOSPITAL. - Operations, 2 P.M. MEDICAL SOCIETY OF LONDON. - 8 P.M. Mr. A. Balmanno Squire, "On Diseases of the Skin caused by the Acarus." Mr. Henry Lee, " On the different ways in which the Syphilitic Poison enters the Constitution." rGUY’S HOSPITAL.-Operations, 1½ P.M. WESTMINSTER HOSPITAL.—Operations, 2 P.M. ETHNOLOGICAL SOCIETY.-8 P.M. Captain Barton, "On the Ethnology of Dahome." — Mr. T. S. Prideaux, "On the Principles of Ethnology." , ROYAL .MEDICAL AND CHIRURGICAL SOCIETY OF I LONDON.-8½ P.M. Mr. Thomas Nunneley, of Leeds. " On Vascular Protrusion of the Eyeball." , -Dr. Pidduck, " On the Causes and Prevention of Infant Mortality." Mr. J. Morgan, "On Ulcer of the Ileum communicating with the Bladder." (MIDDLESEX HOSPITAL.-Operations, 1 P.M. ST. MARY’S HOSPITAL.-Operations, 1 p.m. ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1½ P.M. GREAT NORTHERN HOSPITAL, CALEDONIAN-ROAD. - Operations, 2 P.M. UNIVERSITY COLLEGE HOSPITAL. - Operations, f 2 P.M. LLoNDOx HOSPITAL.-Operations, 2 P.M. (ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. CENTRAL LONDON OPBTHALMIO HOBPITAL. - Operations, 1 P.M. LONDON SURGICAL HOME.-üperations, 2 P.M. WEST LONDON HOSPITAL.-Operations, 2 P.M. ROYAL ORTHOPÆDIC HOSPITAL. - Operations, 2 L P.M. WESTMINSTER OPHTHALMIC HOSPITAL. - Opera. tions, 1½ p.M. rST. THOMAS’S HOSPITAL.-Operations, 1 P.M. # ST. BARTHOLOMEW’S HOSPITAL.-Operations. 1½ P.M. KING’S COLLEGE HOSPITAL.-Operations, I½ P.M ROYAL FREE HOSPITAL.-Operations, It P.M. CHARING-CROSS HOSPITAL.-Operations, 2 P.M. To Correspondents. A Possible Candidate.-L Expense of outfit is variable. Ordinarily the uni- form and accoutrements cost about £40; kit and portable furniture, about £40; surgical instruments, about .S3; in all, £85.—2. After the candidate has passed the final examination at Netley, the Director-General disposes of the assistant-surgeons according to the exigencies of the service, as to stations; and according to vacancies in the staff, cavalry, or infantry, as to particular arms of the service. The distribution of army medical officers rests entirely with the Director-General.-3. The duties of an army assist- ant-surgeon and of all grades of medical officers are fully stated in the follow- ing book :—" Medical Regulations of the Army. Instructions for the Army Medical Service, comprising Duties of Officers’ Attendants, Nurses, &c:’ 250 pp. demy 8vo, cloth boards. Price Is. 8d.; by post, 2s. London, printed under the superintendence of her Majesty’s Stationery Office, and sold by W. Clowes and Sons, 14, Charing-cross; Harrison and Sons, 59, Pall-m4l; W. H. Allen and Co., 13, Waterloo-place; W. Mitchell, Charing-cross and Longman and Co., Paternoster-row. Also by A. and C. Black, Edinburgh; D. Robertson, 90, St. Vincent-street, Glasgow; Alex. Thom, Abbey-street, and Ponsonby, Grafton-street, Dublin.-As to the question, How many hours of each day do the duties occupy? This can be answered only approximately; for the length of time will vary according to the amount of sickness, the extent of the assistant-surgeon’s charge, the climate in which he is serving, and the manner in which the duties are done. In a well- ordered regiment, under usual circumstances, in England, the assistant- surgeon’s duties do not occupy more than two or three hours in the morn- ing, and half an hour at the evening visit, each day. In the West or East Indies the assistant-surgeon’s time is necessarily much more fully-occupied. Jesvenis.-If the time at disposal for such study be limited, the confinuance of French and German, rather than of Greek and Latin, is to be reéom- mended. Mater.-A little rye-corn meal added to the mass will obviate the difficulty. THE POOR-LAW MEDICAL OFFICERS AND MR. GRIFFIN. To the Editor ofTHE LANCET. SIR,-In forwarding you my contribution of one guinea on behalf of the testimonial to Richard Griffin, Esq., the champion of the just claims of the Poor-law medical officers, I am anxious to draw the attention of the Poor-law surgeons to their duty upon this occasion. I regret to say that, so far as the subscription-list has proceeded, there seems to me either a gross indifference or a want of the proper appreciation of his indefatigable labours, extending, as they have done, over several years, with no other object in view than the amelioration of the condition of the profession in this department of the public service. I believe that the Poor-law medical officers number some 3000; yet I regret to find that, notwithstanding that the subscription- list has been open for some considerable time, the meagre sum of £ 96 18s. is all that has been contributed up to the 5th of November. I cannot help thinking that the parochial surgeons are greatly wanting in gratitude to one who has laboured single-handed, at a great sacrifice of time and money, to improve their condition, and not theirs only, but the welfare of the sick poor entrusted to their care. If each parochial medical officer only contributed the small sum of five shillings, which each can afford to do, the handsome sum of £750 would be realized, estimating the number at 3000. I am satisfied that many parochial surgeons are deterred from contributing through fear of incurring the displeasure of the board of guardians under whom they act. This may easily be obviated by sending their subscriptions without their names. I think it ill becomes those who desire to benefit by Mr. Griffin’s efforts to stand aloof on an occasion when they have a noble opportunity of recognising his strong claims on their gratitude. I am happy to say that I am one out of a few only of the Poor-law surgeons that has no cause of complaint against the board under whom I act; and in contributing from time to time my mite towards reimbursing Mr. Griffin’s expenses, it has been in consideration of the condition of my more oppressed and ill-paid brethren in other unions. I think it is worthy of mention that I am medical officer to a very populous district in the Union of West Derby, the guardians of which, I may venture to say, are without their ’equal in liberality to their officers and kindness to the sick poor, grudging nothing which may be deemed necessary to their recovery. I trust that every parish surgeon who may read these lines will forthwith contribute his mite towards so worthy an object, showing thereby that he is not undeserving the unceasing efforts which have been made on his behalf. Your obedient servant, R. T. LODGE, M.D., Union Medical Officer to the Everton District, November 9th, 1864. West Derby Union. Pecuniosus.-It is a very expensive drug, and one as to whose value there is much difference of opinion. In general it is highly thought of by surgeons, and but little valued by physicians. Even the former require the long con- tinuance of its use, and its employment in large doses. Probably in warm countries, where it was first had recourse to, and where the skin is active in its duties, it is entitled to more confidence than it is here. Grosvenor.-The wail of the "homœopathic pharmacien" is simply con- temptible. TREATMENT OF EXCORIATED NIPPLES. To the Editor qfTUE LANCET. SIR,--Will you or some of your numerous readers give me an idea of the best way of treating excoriated nipples, so very frequent in patients with their first children ? I have almost exhausted the stock of remedies usually recom- mended, including Dr. Graily Hewitt’s lotion of borax. All have shared the same fate in my hands. Yours truly, November 16th, 1864. AN OBSTETRIC.
Transcript

593

Births, Marriages, and Deaths.BIRTHS.

On the 7th inst., at Stoke, Devonport, the wife of S. H. Fasson, M.D., of theRoyal Artillery, of a son.

On the 9th inst., at Ramsgate, the wife of R. Hicks, M.R.C.S.E., of a son.On the 11th inst., at Hanwell, Middlesex, the wife of J. M. Lindsay, M.D., of a

son.

On the 12th iust., at Ferry House, Uttlehampton, the wife of Charles Seward,M.R.C.S.E., late of Prince Albert’s Own Rifle Brigade, of a daughter.

On the 12th inst., the wife of R. G. Burton, M.D., of Woolwich, of a daughter.On the 14th inst., the wife of C. S. Watkins, M.R.C.S.E., of Chaudos-street,

Charing-cross, prematurely of a daughter, still-born.On the 15th inst., at Camden-road Villas, the wife of Dr. R. C. Croft, of a son.

MARRIAGES. ’

On the lOth inst., at St. Mary Magdalene, Taunton, Astley Cooper, M.R.C.S.’Eng., Assistaut-Surgeon to the Plymouth Division of Royal Marines L.I.,to Ellen, daughter of Wm. Palmer, Esq., of Mouutway House, Taunton.

- On the 10th inst., at Manchester, Francis Troup, L.R.C;S.Ed., of Auchter-inuchty, to Jane, daughter of W. Oliphant, Esq., of Strathmiglo, Fifeshire.

DEATHS.On the 2nd inst., at Canterbury-place, Lambeth, of pneumonia, Mr. John Kane,

htte Student ofChariug-cross Hospital, aged 20.On the 7th inst., at Darrow, Queen’s County, R. Ormsby, M.R.C.S.E., aged 55.On the 8th inst., A. Johnston, L.F.P. & S. Glas., of Buccleugh House, Glasgow.On the 8th inst., R. Marsland, M.R.C.S.E., of Manchester, aged 38.On the 12th inst., R. D. Speedy, F.R.C.S.I., of Gardiner’s-place, Dubiin, aged 54.On the 12th inst., J. Fletcher, M.R.C.S.E., of Oldham, aged 52.On the 16th inst., Dr. J. W. Bowler, Surgeon-Superintendent of Portsmouth

6’onlviet Prison, Deputy Inspector-General of Hospitals and Fleets, on theretired list.

BOOKS ETC. RECEIVED.

Dr. Mapother’s Manual of Physiology.Dr. Brinton on Diseases of the Stomach.Mr. J. W. Williams on Skin Diseases.Dr. J. W. Walker on Diphtheria.Morningside Mirror. Vol. XIX.Statistical Report of the Health of the Navy, 1861.Simpson’s Handbook of Dining.Dr. J. Smith’s Handbook of Dental Anatomy.Edinburgh Medical Calendar, 1864-65.Ellis and Ford’s Illustrations of Dissections. Parts XI. and XII.The Greyhound in 1804. By Stonehenge.Canada Medical Journal.

Medical Diary of the Week.

ONDAY, Nov. 21 ....

TUESDAY, Nov. 22 ...

WEDNESDAY, Nov. 2:

THURSDAY, Nov. 24

FRIDAY, Nov. 26 ......

SATURDAY, Nov. 26

ST. MARX’S HOSPITAL FOR FISTULA AND OTHBEDISEASES OF THE RECTUM.-Operations, 1½ P.M.

METROPOLITAN FMB HOSPITAL. - Operations,2 P.M.

MEDICAL SOCIETY OF LONDON. - 8 P.M. Mr. A.Balmanno Squire, "On Diseases of the Skincaused by the Acarus." - Mr. Henry Lee, " Onthe different ways in which the Syphilitic Poison

enters the Constitution."rGUY’S HOSPITAL.-Operations, 1½ P.M.WESTMINSTER HOSPITAL.—Operations, 2 P.M.ETHNOLOGICAL SOCIETY.-8 P.M. Captain Barton,"On the Ethnology of Dahome." — Mr. T. S.Prideaux, "On the Principles of Ethnology."

, ROYAL .MEDICAL AND CHIRURGICAL SOCIETY OF

I LONDON.-8½ P.M. Mr. Thomas Nunneley, ofLeeds. " On Vascular Protrusion of the Eyeball."

, -Dr. Pidduck, " On the Causes and Preventionof Infant Mortality." - Mr. J. Morgan, "OnUlcer of the Ileum communicating with the

Bladder."(MIDDLESEX HOSPITAL.-Operations, 1 P.M.ST. MARY’S HOSPITAL.-Operations, 1 p.m.

ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1½P.M.

GREAT NORTHERN HOSPITAL, CALEDONIAN-ROAD.- Operations, 2 P.M.

UNIVERSITY COLLEGE HOSPITAL. - Operations,f 2 P.M.LLoNDOx HOSPITAL.-Operations, 2 P.M.(ST. GEORGE’S HOSPITAL.-Operations, 1 P.M.CENTRAL LONDON OPBTHALMIO HOBPITAL. -

Operations, 1 P.M.LONDON SURGICAL HOME.-üperations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPÆDIC HOSPITAL. - Operations, 2

L P.M.

WESTMINSTER OPHTHALMIC HOSPITAL. - Opera.tions, 1½ p.M.

rST. THOMAS’S HOSPITAL.-Operations, 1 P.M.# ST. BARTHOLOMEW’S HOSPITAL.-Operations. 1½

P.M.

KING’S COLLEGE HOSPITAL.-Operations, I½ P.MROYAL FREE HOSPITAL.-Operations, It P.M.CHARING-CROSS HOSPITAL.-Operations, 2 P.M.

To Correspondents.A Possible Candidate.-L Expense of outfit is variable. Ordinarily the uni-form and accoutrements cost about £40; kit and portable furniture, about£40; surgical instruments, about .S3; in all, £85.—2. After the candidatehas passed the final examination at Netley, the Director-General disposes ofthe assistant-surgeons according to the exigencies of the service, as tostations; and according to vacancies in the staff, cavalry, or infantry, asto particular arms of the service. The distribution of army medical officersrests entirely with the Director-General.-3. The duties of an army assist-ant-surgeon and of all grades of medical officers are fully stated in the follow-ing book :—" Medical Regulations of the Army. Instructions for the ArmyMedical Service, comprising Duties of Officers’ Attendants, Nurses, &c:’250 pp. demy 8vo, cloth boards. Price Is. 8d.; by post, 2s. London, printedunder the superintendence of her Majesty’s Stationery Office, and sold byW. Clowes and Sons, 14, Charing-cross; Harrison and Sons, 59, Pall-m4l;W. H. Allen and Co., 13, Waterloo-place; W. Mitchell, Charing-cross andLongman and Co., Paternoster-row. Also by A. and C. Black, Edinburgh;D. Robertson, 90, St. Vincent-street, Glasgow; Alex. Thom, Abbey-street,and Ponsonby, Grafton-street, Dublin.-As to the question, How manyhours of each day do the duties occupy? This can be answered onlyapproximately; for the length of time will vary according to the amount ofsickness, the extent of the assistant-surgeon’s charge, the climate in whichhe is serving, and the manner in which the duties are done. In a well-

ordered regiment, under usual circumstances, in England, the assistant-surgeon’s duties do not occupy more than two or three hours in the morn-ing, and half an hour at the evening visit, each day. In the West or East

Indies the assistant-surgeon’s time is necessarily much more fully-occupied.Jesvenis.-If the time at disposal for such study be limited, the confinuanceof French and German, rather than of Greek and Latin, is to be reéom-

mended.

Mater.-A little rye-corn meal added to the mass will obviate the difficulty.

THE POOR-LAW MEDICAL OFFICERS AND MR. GRIFFIN.

To the Editor ofTHE LANCET.SIR,-In forwarding you my contribution of one guinea on behalf of the

testimonial to Richard Griffin, Esq., the champion of the just claims ofthe Poor-law medical officers, I am anxious to draw the attention of thePoor-law surgeons to their duty upon this occasion. I regret to say that, sofar as the subscription-list has proceeded, there seems to me either a grossindifference or a want of the proper appreciation of his indefatigable labours,extending, as they have done, over several years, with no other object in viewthan the amelioration of the condition of the profession in this departmentof the public service. I believe that the Poor-law medical officers numbersome 3000; yet I regret to find that, notwithstanding that the subscription-list has been open for some considerable time, the meagre sum of £ 96 18s. isall that has been contributed up to the 5th of November. I cannot helpthinking that the parochial surgeons are greatly wanting in gratitude to onewho has laboured single-handed, at a great sacrifice of time and money, toimprove their condition, and not theirs only, but the welfare of the sick poorentrusted to their care. If each parochial medical officer only contributedthe small sum of five shillings, which each can afford to do, the handsomesum of £750 would be realized, estimating the number at 3000. I am satisfiedthat many parochial surgeons are deterred from contributing through fear ofincurring the displeasure of the board of guardians under whom they act.This may easily be obviated by sending their subscriptions without theirnames.

I think it ill becomes those who desire to benefit by Mr. Griffin’s efforts tostand aloof on an occasion when they have a noble opportunity of recognisinghis strong claims on their gratitude.

I am happy to say that I am one out of a few only of the Poor-law surgeonsthat has no cause of complaint against the board under whom I act; and incontributing from time to time my mite towards reimbursing Mr. Griffin’sexpenses, it has been in consideration of the condition of my more oppressedand ill-paid brethren in other unions. I think it is worthy of mention that Iam medical officer to a very populous district in the Union of West Derby,the guardians of which, I may venture to say, are without their ’equal inliberality to their officers and kindness to the sick poor, grudging nothingwhich may be deemed necessary to their recovery.

I trust that every parish surgeon who may read these lines will forthwithcontribute his mite towards so worthy an object, showing thereby that he isnot undeserving the unceasing efforts which have been made on his behalf.

Your obedient servant,R. T. LODGE, M.D.,

Union Medical Officer to the Everton District,November 9th, 1864. West Derby Union.

Pecuniosus.-It is a very expensive drug, and one as to whose value there ismuch difference of opinion. In general it is highly thought of by surgeons,and but little valued by physicians. Even the former require the long con-tinuance of its use, and its employment in large doses. Probably in warmcountries, where it was first had recourse to, and where the skin is activein its duties, it is entitled to more confidence than it is here.

Grosvenor.-The wail of the "homœopathic pharmacien" is simply con-temptible.

TREATMENT OF EXCORIATED NIPPLES.To the Editor qfTUE LANCET.

SIR,--Will you or some of your numerous readers give me an idea of thebest way of treating excoriated nipples, so very frequent in patients with their

first children ? I have almost exhausted the stock of remedies usually recom-mended, including Dr. Graily Hewitt’s lotion of borax. All have shared thesame fate in my hands. Yours truly,

November 16th, 1864. AN OBSTETRIC.

594

THE INDIAN ARMY MEDICAL SERVICE. But officers of this class nearly always held extra charges, for which nowTHE INDIAN ARMY MEDICALthey can receive nothing. The increased subscriptions to the Funds also

An Indian Surgeon of Twenty Years’ Service sends the following exhaustive (which are compulsory), and the donations on attaining the higher rank,statement, which we select from many others equally detailed, because it is render the above benefit almost a minus.

moderate, logical, and every word is to the point:- 2nd. Surgeons of the Royal and Indian services alike, in charge ofmoderate, logicaland every word IS to the point .- European regiments of infantry of the moderate strength of 800, would re-The interests of the Government, of the army, of the army medical ser- ceive on the old scale 915 rs. 6 as. per mensem; on the new scale, if under

vice, and of the medical schools induce me to lay before your readers the fifteen years’ service, 789 rs. 3 as., whereby each surgeon loses 126 rs. 3 as.fqllowing statement of the position of the medical officers serving in India per mensem, or .E15L 8s. 6d. per annum. Above fifteen years’ service he re-under the late old rules, and under the recent new rules by Sir C. Wood, pub- ceives 825 rs. 11 as. 5 pic. new scale, losing 89 rs. 10 as. 7 pic. per mensem, orlished in India by the Governor-General on the 15th June, 1864. £107 lls. 6d. per annum ; to which extent Government benefits by Sir C."The injury done to the old Indian service is immense, and the pecuniary Wood’s liberality (P) from the salary of every surgeon in charge of a European

loss to surgeons of the Royal army serving in India is very great. I will give regiment of infantry employed in India.a fair statement of what an assistant-surgeon used to receive, and what he " 3rd. Surgeons in charge of European cavalry regiments suffer severely bywill now receive during his first thirteen years’ service, the time Sir C. Wood the new scale. On the old scale they received 988 rs. 4 pic. (when their regi-supposes he will pass in that grade, though in reality he must serve many ments were 500 strong, and more when stronger) ; by the new scale they re-years longer to get his promotion. ceive 879 rs. 3 as.; thus losing 108 rs. 13 as. 4 pic. per mensem, or E130 128." The pensions of the Indian and Royal services have not been equalized. per annum. If over fifteen years’ service they will receive 915 rs. 11 as. 5 pie.,

Surely the Indian officer, who must serve all his period in a tropical climate, thus losing 72 rs. 4 as. 7 pic. per mensem, or £86 14s. 11d. per annum; byshould have at least the same pension as the Royal officer, part of whose ser- which difference the Government benefits at the expense of each surgeon sovice is passed in England, and most of it in Europe. The prudence of the employed.Indian officer in establishing the Insurance Society called the ’ Medical 4th. Surgeons in charge of brigades of artillery suffer quite as much asRetiring Fund’ for purchasing an annuity, for which he pays the value, their brethren of the cavalry.ought not in justice to be calculated by the Government in considering his "On the other hand, surgeon-majors, the only officers who could retire,pension. have not had their pensions improved; nor have the pensions of the Indian

" All staff salaries and head money have been now withheld. The idle man, service been made equal to those of the Royal service. The object, of course,therefore, on leave will receive the same as the hard-working man over- of the Secretary of State for India has been to prevent retirements, and towhelmed with his duties. The emergencies of the public service render it save the service from being denuded of senior medical officers, as it is at pre-necessary that extra charges must occur, now rendered more certain by the sent of juniors. Consequently surgeon-majors are the only officers benefitedreduction of one assistant-surgeon from the establishment of every European by the new scale, and being thus induced to remain in the service, promotionregiment, yet no remuneration is to be allowed for this extra work. is deferred for all juniors far beyond thirteen years. The increase offered is,"Surgeons and surgeon-majors will not receive the pay of their rank; for to surgeon-majors of native infantry and of native cavalry regiments,

majors and lieutenant-colonels, when fully employed, receive staff salaries 341 rs. 3 as. 7 pie.; of European infantry, 151 rs. 6 as.; and of European(so do adjutants, quartermasters, doing duty officers, commisbariat and cavalry and artillery, 158 rs. 9 as. 3 pie. per mensem additional.ordnance officers, and all officers having charges ; but this rule is now violated " Against these benefits to the service, place slow promotion, caused byby the new order in the case of medical officers). Justice demands that staff non-retirements; and the heavier duties of assistant-surgeons, caused by thesalaries shall be continued to medical officers when holding medical charges. reduction of the regimental establishment from three to two, whereby each"An assistant-surgeon of the Indian army received on the old scale, guaran- assistant-surgeon will have to perform the duties of one and a half assistant.teed by Parliament on the transfer of the service to the Crown, as follows :- surgeon; also the loss of remuneration for extra charges (hardly a sheet of

" rs. as. general orders is published that does not contain an order for an additional" 1st year, without a charge, at 286 rs. 10 as. per mensem .. 3,439 8 charge for some medical officer) ; and last, deduct the saving of the entire"2nd to 10th year inclusive, in charge of native infantry regi-

. salary of one assistant-surgeon for each European regiment in the service,ments, at 421 rs. 10 as. per mensem ............... 45,535 8 and it will be clearly seen that the whole of the benefits from the new scale

"11th to 13th year inclusive, at 556 rs. 10 as. per mensem ... 20,038 8 lie with the Government, and not with the medical services.8

" The pecuniary benefit to a few medical officers which I have referred to..

69,013 8 is, in the majority of instances, merely nominal; for the secretaries to the" Add-For extra charges during the 13 years, say at the very different Funds (subscription to which is compulsory) have already re-lowest an average of 20 rs. per mensem (my own have quested paymasters to secure for them the donations and increased subscrip-averaged nearer 100 rs. per mensem) ............... 3,120 0 tions on the change of rank : thus from married Indian surgeons ranking as

Makin , total of ......., 72,133 g majors, a donation of 517 rs. 8 as., and a subscription of 35 rs. per mensem,- Making a total of 72,133 (instead of thc 20 rs. as heretofore as captain) are demanded by the ‘Bengal" But if with a native cavalry regiment, his pay for the 12 years s Military Fund: The several other Funds in like manner have their demandsof holding charge would be 108 rs. 10 as. per mensem more to make also. Assistant-surgeons as captains and surgeon-majors as lieu-than with infantry, which amounts to............... 15,642 0 tenant-colonels suffer similarly, but the latter in much greater degree. Mess

- ., , . j total this case of .,......... 87,775 g and band subscriptions are doubled, and so are all those regimental sumsMaking a total in this case of ............ 87,775 8 which are deducted according to rank.

" An assistant-surgeon of the British army (Royal or Indian) in India will " An increase of a few shillings a day in the rates of furlough pay to medi-receive on the new scale, as ordered by Sir C. Wood’s New Rules for the cal officers of the old Indian service, raising them to an equality with theArmy Medical Service,’ published in India on loth June, 1864, by the Royal service, has been made. For this act of justice the service is thankful;Governor-General, as follows:- rs. as. but no officer can take his furlough who has not been able to save money in"1st to 5th year inclusive, at 317 rs. 8 as. per mensem ...... 19,050 0 India, for even if the furlough pay were enough to maintain him in England,"6th year, at 335 rs. 12 as. per mensem ............... 4,029 0 he could not, without saving, pay his passage home and out, even if unmar-"7th to 10th year inclusive, at 433 rs. 10 as. 2 pie .......... 20,814 8 ried. With the new scale of pay, saving is impossible. Living in India is" llth to 13th year inclusive, at 451 rs. 14 as. 5 pic. per mensem 16,268 7 daily getting dearer; all necessary expenses have been doubled within the

last seven years.60,161 15 " In conclusion, the medical service wants some little (bonâ-fide) liberality

Add-For extra charges which he must take, and for which to improve its present lamentable position, and must have justice, which de-he never can receive anything ... ,...., ............ 0 0 mands that the pensions be equalized in the two services; that to the pay of

rank shall be added staff salary for heavy and responsible charges, and extraTotal .......................j ...... 60,161 15 pay for extra work. Such improvements would satisfy the present members

"Deduct this sum from the amount shown as received on the old scale by of the service, and hence would tend to attract well-educated gentlemen toan assistant-surgeon of native infantry, and there will be a balance at the its now despised and unattractive ranks, and the Director-General would belowest estimation of 11,971 rs. 9 as., or, for the 13 years’ service, E92 odd per spared the degrading ignominy of touting by advertisement for acting assist-annum, lost by each assistant-surgeon, and gained by the Government. But ant-surgeons of forty years of age. If the service be improved only to theif with native cavalry the difference to the assistant-surgeon during his 13 extent I have indicated, there will certainly be attracted to it gallant, well-years’ service will be 27,614 rs. 1 a., or .6212 10s. per annum, lost; and the educated gentlemen, such as the surgeon of the Alabarna who risked andliberality (?) of Sir Chas. Wood will save this sum for the Government off gave his life to save his wounded men. Would that English gentleman haveevery assistant-surgeon so employed. Is this the best mode of recruiting for been found fighting in the Alabama if the military medical service of his ownthe army medical service that the Government can devise ? ? country had been attractive ? If the service be treated justly, and as edu-

" Assistant-surgeons of the Royal service are not, on the whole, benefited cated gentlemen ought to be treated, the vacancies will speedily be filledby the new scale of pay, though it seems as if they were at first sight. with able and choice men. If it remain as at present, the Director-GeneralDuring the whole of their service in India as assistant-surgeons, though they will fail to fill one-tenth of the vacant appointments with men such as oughtused to receive only 286 rs. 10 as. a month, yet they were formerly promoted to hold medical commissions."in six or seven years (1858-59), and then, in charge, got 915 rs. 6 as. per AN EPITAPH.mensem. But if promoted even after ten years’ service (the last promotion To the Editor of THE LANCET.was ten years and two months), they used to receive for the first thirteen

SIR, What t think k of the followingof

Your.

elyears as follows :- SIR,-What think you of the following epitaph ?-Yours sincerely," 1st to 10th year inclusive, at 286 rs. 10 as. a month, rs. as. November, 1864.

,

ALPHA.amounts to ................................. 34,395 0 DIED,

« (Over ten years’ service without a charge is unknown in India.) By the visitation of Sir C. Wood," Ilth to 13th year inclusive, they would have received at THE INDIAN MEDICAL Ssamcs,915 rs. 6 as. a month ........................... 32,962 8 After a long and lingering illness,

Making a total for 13 years of .., .., 8 Borne with asinine patience and resignation.Making a total for 13 years of ............ 67,357 8 Inured to suffering

"By the new scale they will receive during the same period By many years of ill treatment,(for promotion under the new arrangement cannot come Spent with watching,sooner, and will certainly be much later) ........... 60,161 15 Worn out with neglect,

" Thus losing by the new scale 7195 rs. 9 as. in thirteen years, or .S55 6s. 6d. Its spirit passed without a groan.per annum. Its lifeless corpse remains a warning to the unwary,"Will this, which is a fair statement, attract recruits, whom I beg to assure And the story of its wrongs,

that the salary in India of an unmarried assistant- surgeon is barely enough Told to the rising generation of medical students,to enable him to keep out of debt? Will teach them to avoid the service of a Government" We will now proceed to see how the new orders atfect surgeons in charge Which can repay

of regiments. Time-honoured labour with ingratitude," 1st. In charge of a native infantry regiment the difference in pay is as Loyalty with broken faith,

715 rs. 6 as. old scale is to 789 rs. 3 as. new scale, giving an apparent benefit Devotion with contempt,of 73 rs. 13 as. a month. After fifteen years’ service, however, the surgeon of anda native infantry regiment is benefited to the extent of 110 rs. per mensem. Patience with mockery.

595

Mr. Ledgard, (Wetherby.)-According to the strict letter of the law no fee THE CASE OF GEORGE KING.could be claimed. We cannot help thinking, however, that the guardians AT the moment of going to press we have received a further detailed accountwould have only done a simple act of justice by paying it. Trouble and of the condition of George King when received into St. George’s Hospital,responsibility have been incurred, and the Poor-law auditors would, no and of his symptoms while there. It will be inserted in our next number.doubt, under the circumstances, have passed Mr. Ledgard’s account. If he Meantime we need only,say that it adds confirmation to our opinion ex-will refer to the last number of THE LANCET, he will find an annotation pressed on this matter in another part of this journal, founded on the evi-having reference to the unjust treatment to which medical practitioners dence given at the inquest, and furnished to us by Mr. St. Aubyn Hawken,are subjected for giving evidence before a magistrate. It would be well House-Surgeon at the Westminster Hospital, that a further and fullerif gentlemen who have just cause of complaint were to address memorials investigation is needed of the manner in which this unfortunate man cameto the Home Secretary on the subject. The Secretary of State for the to his death.Home Department regulates all fees to be paid to witnesses, whether in Mr. F. Redfern is thanked for his information, which, however, we were incivil or criminal cases. It is reasonable to suppose that Sir George Grey, possession of previously.if the matter were properly pressed upon his attention, would take steps to Mr. James Parr.-The presence of albumen in the urine cannot be directlyremedy an evil which really acts most unjustly upon such an important determined by means of the microscope, although it can generally beclass of the community as the medical practitioners of this kingdom. If indirectly. In nearly all cases of albuminuria, casts of the renal tubules,the British Medical Association were to act firmly in such a purpose, the and even renal epithelium, are present in the urine; and when these areresult of their interference could not be doubtful, seen, the existence of albumen may in nearly all cases be inferred. Albu-

J. B. W.-Particulars of appointments to emigrant ships may be obtained of men may, however, be detected by the aid of the polariscope, and itsMr. Moore, 14 A, St. Mary-axe, City. amount even estimated.

A Constant Reader.-We know nothing of the mode of treatment to which Dr. TV. Woodmard.-Ten per cent. on current subscriptions, and twenty perour correspondent refers, nor of the person by whom it is practised. cent. on subscriptions obtained by the personal solicitation of the collector.

JfaniMtMa should make his wishes known to the colonel of the regiment.’ SURGICAL MECHANISM IN LIVERPOOL.

THE GRIFFIN TESTIMONIAL FUND. To the Editor Of THE LANCET.To the Editor of THE LANCET. shall feel much obliged if you will allow me space in your valuableSIa-The following subscriptions have been further received on behalf of SIR,-I shall feel much obliged if yon will allow me space in your valuableSin,-The following subscriptions have been further received on behalf of journal to make a few remarks in reference to the statements of your corre-the above Fund:- spondent, " A Cripple." remarks in referenee to the statements of your eorre-

Dr. J. Blomfield, Camberwell ...................EO 5 0 He says that where elaborate mechanism is required, they are sent toE. T. A., Richmond, Yorks ..................... 0 5 0 London.’ I have much pleasure in assuring your correspondent that thereMedical Officers of Bideford, per T. L. Pridham, Esq.... 1 10 0 are many surgeons of high standing here who find it to the interest of theirDr. Highmore, Sherborne ..................... 0 5 0 0 patients and their own credit to have all necessary appliances made here onS.Chesterman,Esq,Banbury .................. 0 10 6 the spot.E. Y. Steele, Esq., Abergavenny, per J. G. Morris, Esq. 0 10 6 I manufacture instruments of the highest order, with rack and screwG. B. Hanbury, Esq., Hereford ditto ... 0 10 6 movements, equal to the first-class London work. Because some may go toDr. Bull ditto ditto ... 0 10 6 London, and others are sent there by some of our surgeons, I am not toC. Lingen, Esq. ditto ditto ... 0 10 6 blame. I regret it, and think that it is unfair to the local instrument-makers;J. C. Lane, Esq. ditto ditto ... 0 10 6 but I can give your correspondent the names of many surgeons who actR. Thomason, Esq. ditto ditto ... 0 10 6 otherwise, and who employ local talent to their own honour and the benefitJ. G. Morris, Esq. ditto ditto... 0 10 6 of their patients. Mr. Bickersteth does not send to London. During theAmount previously announced.................. 95 12 6 past six years I have made hundreds of surgical mechanical appliances forReceived at THE LANCET Office ............... 614 0 his patients alone.

Yours obediently, In reference to the excessive charges referred to, I think I need only sayROBERT FOWLER, M.D., that it would not suit my interest to do so. At the present time I employ

Treasurer and Hon. Sec. four men. I will gladly increase the number if I find a necessity for doing so.145, Bishopsgate-street Without, Nov. 16th, 1864. I remain, Sir, your obedient servant,

JOHN REYNOLDS,A Friend of the Putiecat.-The statement is, no doubt, true ; but at the same Surgical Instrument-maker to the Liverpooltime highly libellous. We have before received communications, contain- Liverpool, Nov. 10th, 1864. Royal Infirmary.ing exactly similar charges against the same individual. He must shortly

..

be brought before the bar of professional opinion, or probably the Old A.Lover- of Horse-flesh.-There is no doubt much truth in the remarks of ourBailey. There are several black sheep, we regret to say, of this description correspondent ; but it would be unjust to criticize too severely a practicein our ranks, whose scandalous practices should be made public. which must have arisen from necessity, not from choice.

..

Deceptus.-We cannot assist our correspondent. All we feel bound to say is Hzcll,.-It is beneath the dignity of the profession for a qualified practitionerthat if people be so silly as to trust such quacks and scoundrels, they must to advertise himself, as Mr. John Davis does, as being registered under the

expect to pay the penalty for so doing. " Medical Act of 1858."

Mr. T. B. B. will probably have his wishes complied with. Veritas.-The charge seems high; but it must depend upon the capacity ofT. S., (Leeds.)-If he will refer to the Students’ Number of THE LANCET, he the person to pay it. We doubt if he could recover it at law.

will find all the information he requires. A. 4. should look through the volumes of the well-known German journalA Traveller.-The point is not determined. Consult Darwin’s interesting for the diseases of children.

"Voyage of a Naturalist" as to what he says concerning the sight and Ix consequence of the press of matter, the publication of papers by Dr. Anstiesmell of the condor. on the Action of Opium as an Astringent in Diabetes; Dr. Thudichum on

Theta.-l, At Giessen.-2. Bailliere’s, Regent-street.-3. We believe not. a New Mode of treating Diseases of the Cavity of the Nose; Dr. D. Johnsonon Difficult Labour; Mr. Freeman (St. George’s Hospital) on the Case of

COST OF MEDICAL EDUCATION IN EDINBURGH. George King; articles on the Medical M.P., the Turkish Bath in Disease,To the Editor of THE Larrcrx. a recent Inquest at Jersey, and the case of Mrs. Gedney; and various

SIR,-We noticed in a late number of your publication a letter from the letters and communications in type, are of necessity postponed until nextparent of two medical pupils, complaining of the want of a table in any of week.our journals showing the cost of attending the medical classes in Edinburgh.Sinee having our attention called to that letter, we have drawn up such a COMMUNICATIONS, LETTERS, &c., have been received from - Dr. Anstietable, and added it to our "Medical Calendar," just out. Dr. Braxton Hicks; Dr. Hyde Salter; Dr. Tilbury Fox; Dr. Merriman;

Yours truly, Mr. Erasmus Wilson; Dr. Letterman, Philadelphia; Mr. J. Williams; Mr.Edinburgh, Nov. 1864. MACLACHLAN AND STEWART. Robertson; Mr. R. Croskery; Mr. S. M. Bradley; Mr. Reynolds, Liverpool;

Enquil’er.-Mr. William Talley, "of Beaconsfield and London," had no Mr. Perkins, Snaith; Dr. Barter, Cork ; Dr. D. Johnson; Mr. Livingston ;authority whatever from the General Medical Council, or we believe from Mr- Flower (with enclosure); Mr. Marshall (with enclosure) ; Mr. Hunter,any member of the medical profession, for the institution in the courts of Manchester; Mr. Roberts; Messrs. Lee and Co., Liverpool; Mr. M’Kinnel;law of proceedings which have been lately identified with his name. Had he Dr. Reed; Dr. O’Conor, Dublin; Dr. Biddle, Leeds; Mr. Parr; Mr. Mason;possessed a little discretion and some command of himself when before a Dr. White, West Drayton; Mr. Sandell, Halifax; Mr. C. Williams, Norwich;magistrate, he might possibly have effected some good, and not have exhi- Messrs. Maclachlan and Stewart, Edinburgh; Dr. A. Davis; Mr. E. Oliver,bited himself, as he did occasionally, like the famous knight of old, who, in Axbridge ; Mr. Talley, Beaconsfield; Mr. Copney; Mr. Weld (with enclo-the true spirit of chivalry, tilted at windmills. Mr. Talley’s antecedents do sure); Mr. Hughes, Formby; Mr. Vipan, Uxbridge; Mr. Hall, Newtown;not entitle him in any way to speak in the name of the profession, the LNir. Rogers; Mr. Owen; Mr. Fry, Leicester; Mr. Ililliard, Birmingham;great majority of whom he vilifies in a stupid and mischievous little Mr. Hawken; Dr. Woodward, Worcester; Dr. Garrett, Hastings ; Dr. Smith,pamphlet which is entitled "Man-Midwifery and its Results." Sir Anthony Londonderry; Dr. Fernie, Stone; Mr. P. Le Neve Foster; A Surgeon ;Carlisle, some thirty years ago, made himself ridiculous by a letter on the An Old Subscriber; J. A. L.; M.D.; Vindex; Ethnological Society; Alpha ;same subject. The knight was so laughed at that he was fain to deny his Veritas; Marksman; AHusband; J. B. W. ; Anti-Humbug; T. B. B. ; L. P.;own production. Mr. Talley has none of the ability and reputation of Metropolitan Board of Works ; A Lover of Horse-flesh; Theta; J. C. C ;Sir Anthony. He makes up, however, for these deficiencies by a larger G. E. W. (with enclosure); Nemo; An Obstetric; J. S.; Medicus Juvenilis ;quantum of abuse and invective. Registrar-General of Edinburgh; Suture; Herefordshire Medical Associa-

Ophis.-Some of the past Registrar-General’s Reports. tion; Physiologist ; Pathological Society; A Constant Reader; &c. &c.

M. J.-There is now only one class of Indian medical officers, the Queen’s THE Cork Daily Herald, the Cork Examiner, the Southern Reporte,’, andarmy and the Indian army being amalgamated. Berrow’s Worcester Journal have been received.


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