685

DE Li PERT!!, Mr. C. J., has been appointed Resident Clinical Assistant tothe Hospital for Consumption and Diseases of the Chest, Brumpton,vice Gill, whose period of residence has expired.

FITZGIBBON, Dr. H., has been appointed Medical Officer to the Howth andBaldoyle Dispensary of the Cootock and Drumcondra Dispensary Dis-trict of the North Dublin Union, vice Dr. R. B. Phipps, deceased.

Fox, R. D., M.R.C.S., L.S.A., has been appointed Resident Medical Officer tothe Manchester New Workhouse, vi, e Dr. Clarke, resigned.

HOOD, G., M.D., has been appoiuted Certifying Factory Surgeon for theWeardale Coal and Iron Company.

HYtfM, Mr. J. O’C., has been appointed Assistant House-Surgeon to theHalifax Infirmary, vice J. R. A. Taylor, M.R.C.S.E., resigned.

JONES, J. E-, M.D., has been appointed Surgeon to the Dolgelly FriendlySociety, vice W. Williams, F.R.C.S E., deceased.

LOCKIE, S., M.D., has been appointed Physician to the Cumberland Infirmary,Carlisle, vice H. Lonsdale, M.D., resigned.

LOMAX, A. R., M R.C.S.E., has been appointed Medical Officer for the Ear-disley District of the Kington Union, Herefordshire.

LONSDALE, H., M.D., has been appointed Consulting Physician to the Cnm-berland Infirmary, Carlisle, on resigning as Physician.

M’GILL, Mr. A. T., his been appointed Assistant House-Surgeon to King’sCollege Hospital, vice A. A. Napper, M.R.C.S.E., whose appointmenthad expired.

MACINTOSH, D., M.D., has been appointed Public Vaccinator for DistrictNo. 3 of the Ely Union.

MAUNDRELL, E., M. R.C.S.E., has been appointed Assistant Medical Officer atthe Workhouse Infirmary, New Bridge-street, Manchester, vice JosephWestmorland, 1,.R.C.P.Ed, resigned.

MERLIN, W. J., L.R.C.P.Ed., has been appointed Public Vaccinator for Dis- Itrict No. 5 of the Ely Union.

MUDGE, T., M.R.C.S.E, has been reappointed Medical Officer and PublicVaccinator for District No. 3 of the Bodmin Union, and Medical Officerto the Workhouse.

MTEiBL, J., F.RC.S.E., has been appointed Public Vaccinator for DistrictNo. 2 of the Ely Union.

MURIEL, R., M.R C.S.E., has baen ’appointed Public Vaccinator for DistrictNo. 6 and the Workhouse of the Ely Union.

NATPER, A. A., M.R.C.S.E , has been appointed House-Surgeon to King’sCollege Hospital, vice D. King, M.R.C.S.E., whose appointment hadexpired.

NICHOL, H., L.R.C.P.Ed., has been appointed Public Vaccinator for DistrictNo. 4 of the Ely Union.

PEDLER, Mr. G. H., has been appointed Resident Accoucheur to King’s Col-lege Hospital, Mr. A. J. Bell, whose appointment had expired.

PHILPOT, C. W., M R.C.S.E., has been appointed Sambrooke Medical Regis-trar at King’s College, London.

RUCKLEY, H. R., L.RC.S.L, has been appointed Medical Officer, Public Vac-cinator, aod Registrar of Births &c., for the Coolrain Dispensary Dis-trict of the Mountn-eltick Union, Queen’s County, vice H. M. Clarke,L.R.C.P.Ed., resigned.

SEMPLE, R H., M D., has been appointed Physician to the Bloomsbury Dis-pensary, Great Russell-street, vice 1. Pidduck, M.D., resigned, and sincedeceased.

STOCKER, J. S, M.D., has been appointed Physician in Ordinary to theWestern General Dispensary, Maylebone-road, vice R. J. Lee, M.B.,resigned.

WELBY, E., L.R.C.P.L., has been appointed Medical Officer of Health forNewark, vice H. Morton, M.D., deceased.

WOOD, -, 14. R.C.S.E., has been appointed House-Surgeon to the MacclesfieldDispensary.

Births, Marriages, and Deaths.BIRTHS.

ATWOOD-On the 9th inst., at Clarendon-road, Notting-hiIl, the wife of Dr.At wood, of a son. !

JACKSON.-On the 24th ult., at Malta, the wife of P. N. Jackson, M.R.C.S.E.,Surgeon 3 lst Regiment, of a dauehter.

JAMIESON.—0n the 16th inst., at Ravensdowne, Berwick-on-Tweed, the wifeof Wiliam Allan Jamieson, M.B., of a daughter.

PARK -On the 15th inst., at Hilsea, Hants, the wife of George Park, M.D.,Royal Artillery, of a son.

PICARD.-On the 2nd inst., at Abbey-road, St. John’s-wood, the wife of P. K.Picard, M.D., of a snn.

READ.-On the 3rd inst., the wife of T. Read, L.D.S. R.C.S.E., of Holles-street, of a daughter. ____

MARRIAGES.AMBLER-.MORGAN.-On the 3rd inst., at Christ Church, Lancaster-gate, Dr.

Richard Vincent Ambler, of Colville-square, Bayswater, to Mary Helena,daughter of P. F. Morgan, Esq.

BOLDERO-WEBB -On the 5th inst., at Amblecote Church, Stourbridge,Frederick Boldero, M.R.C.S.E., of Penkndge, to Fanny Jane, daughterof Joseph Webb, Esq.

MORLEY-WEBSTER -On the 5th inst., at All Saints, Campton, FrederickMorley, M.R.C.S.E., of Portsmouth, to Annie, daughter of Geo. Webster,Esq. _____

DEATHS.DAVENPORT.—On the 3rd inst., at Brislington, Charles J. Davenport, M.D.,

L.R.C.S.Ed.. late Assistant-Surgeon 3rd Dragoon Guards.NISBETT -On the 14th inst., at M liton-road, Gravesend, Vernon Innes Had-

low, third child of R. Ionea Nisbett, hsq., aged 4 years and 6 months.PALETHORPE.-On ’he 7th inst., at Queen’s-terrace, St. John’s-wood, Thomas

I’alerhort e, M.D.PHILLIPS,.-On the 9th inst., at Whitmore-park, near Coventry, Edward

1’llllli,ls, M.D., 31 R.C.P., J.P, &c., aged 51.PIDDUCK.-On the 10th inst., Isaac Pidduck, M.D., of Montague-street,

Russe 1-squarf, aged 75.RYAN.-On the 9th inst., at Charlemont-avenue, Kingstown, James F. Ryan,

M. B.STRONGE.-On the 9th inst., Dr. J. Whitelaw Stronge, of Dublin, aged 51.

Medical Diary of the Week.Monday, Nov. 23.

Sf. MARK’S HOSPITAL.-Operations, 9 A.M. and 1½ P.M.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.-Operations, 10½ A.M.METROPOLITAN FREB HOSPITAL.-Operations, 2 PM.MEDICAL SOCIETY OF LONDON.-8 P.M. Mr. Francis Mason will show a suc-

cessful Operation for Cleft Palate on a Child aged five years.-Mr. Maunder,"On Primary Excision of the Joints," with exhibition of Cases. - Dr.Kelburne King, of Hull, "On Carbolic Acid and the Antiseptic Treat-ment in Surgery."

Tuesday, Nov. 24.ROYAL LONDON OPHTHALMIC HOSPITA-L, MOORFIELDS.-Operations, 10½ A.M.Guy’s HOSPITAL.-Operations, 1½ P.M.WESTMINSTER HOSPITAL.-Operations, 2 p.M.NATIONAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M.ROYAL MEDICAL AND CHIRURGICAL SOCIETY.—8½ P.M. Dr. Althaus, "On

the Physiology and Pathology of the Flflh Pair of Cerebral Nerves:’-A paper by the late Dr. Hillier, "On Congenital Hydronephrosis."

Wednesday, Nov. 25.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.-Operations, 10½ A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M.ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1½ p.M.ST. THOMAS’S HOSPITAL.-Operations, 1½ P.M.ST. MARY’S HOSPITAL.-Operations, 1¼ p.M.GREAT NORTHERN HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.LONDON HOSPITAL.-Operations, 2 P.M.OPHTHALMIC HOSPITAL, SOUTHWARK.-Operations. 2 P.M.HUNTERIAN SOCIETY.-8 P.M. Mr. Hutchinson, "On Certain Forms of :Skin

Diseases."Thursday, Nov. 26.

ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDs.-Operations,10½ .A.M.ST. GEORGE’s HOSPITAL.-Operations, 1 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPÆDIC HOSPITAL.-Operation, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, 2 p.M.

Friday, Nov. 27.ROYAL LONDON OPHTHALMIC HOSPITAL, MOOEFIELDS.-Operations, 1O½ A.M.WESTMINSTER OPHTHALMIC HOSPITAL.-Operations, It P.MCENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations. 2 P.M.CLINICAL SOCIEIY OF LONDON.-8½ PM. Dr. Powell, ’‘ On Cases of Fibroid

Phthisis." - Mr. Bruce, " On Tracheotomy for Acute Laryngitis." —Dr. Crouch, " On Primary Amputation for Gunshot Wound."-Dr. Beigel," On Cases of Epilepsy."

Saturday, Nov. 28.ST. THOMAS’s HOSPITAL.-Operations, 9t A.M.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.-Operations,10 A.M.ROYAL FREE HOSPITAL.-Operations, It P.M.ST. BARTHOLOMEW’s HOSPITAL.-Operations, 1½ p.M.KING’S COLLEGE HOSPITAL.-Operations, 1½ P.M.CHARING-CROSS HOSPITAL.-Operations, 2 P.M.

Co Correspondents.REPRESENTATION OF THE UNIVERSITTES OF EDINBURGH AND

ST. ANDREWS.WE have received a copy of correspondence that has taken place between

Dr. B. W. Richardson and Mr. J. B. Greig, the Honorary Secretary of Mr,Swinton’s London Committee, apropos of an article that appeared in THELANCET of the 31st ultimo. It is probable that this correspondence hasalready been seen by those interested, and it suffices to say that the factsupon which our remarks were based are facts still. The first two repliesgiven by Dr. Richardson express certain individual opinions held by thatgentleman, and also detail facts which were never questioned or advertedto in THE LANCET. The third reply contains the denial of an assertionwhich was never made in this journal; and the fourth and final replymerely emphasises one of the facts contained in the article in question. Torepeat the concluding words of that article, we are sure that the supportersof both candidates will agree that "the thanks of Dr. Richardson, for-

’, warded to Professor Play fair, were a graceful tribute to honest exertions,and were as honourable to the giver as to the recipient.

M.R.C.S.E. complains of the operation of the Pharmacy Act in prohibitingqualified men like himself from engaging in the practice of Pharmacy ifthey think proper to do so; and suggests that a meeting should be calledof those who feel themselves aggrieved, with the view of appealing to thePrivy Council on the subject.

THE paper of Dr. Maudsley on "Aphasia" is in type, but its appearance isunavoidably postponed till next week.

THE MARCH OF INTELLECT.THE guardians of St. Luke’s, having paid a visit to the Mile-end Pauper

Schools, report that there are three boys in the infirmary and five girls,but with alements (!!) of a trifling character."

Custodes.-We do not see any necessity for further discussing the subject atthe present time.

Dr. Black.-The manuscript is in the hands of the printer.

686

UNIVERSITY COLLEGE.NOTICE has been given that during the forthcoming session of Parliament

application will be made for power to make certain alterations in the con-stitution of University College. There seems to be some doubt whether theCouncil of the College have acted strictly in accordance with the spirit ofthe Charter of the College in regard to the election of Fellows, and incausing departure from the original "proprietary" character of the insti-tution. At present there are no dividends, and shares lapse to the Collegefor disposal by it at the death of proprietors. To place matters on a satis-factory basis, it is proposed to alter the rights of proprietors of shares inthe College, so as to convert the proprietors into governors, particiratingas members of the corporation in the governance of the College, but havingno pecuniary rigt,ts, and to enable the Council of the College to conferall the rights and privileges of numbers on former students of the Collegewho have graduated at the University of London, and others, constitutingsuch persons " Fellows"-in fact, to legalise the present mode of procedurein this respect. Another design is to extend the objects of the College tothe advancement and promotion of the fine arts, as well as literature andscience. It is intended also to annul the deed of settlement of 1828, con-stituting the institution under the name "Proprietors of the University ofLondon," and also the Charter of Incorporation granted by King Williamthe Fourth in 1636, incorporating the said institution by the name of"University College, London," and to reconstitute and reincorporate theCollege, and to grant to the same corporation all the usual powers of per-petual succession of holding lands and of alienating and disposing of thesame, and of making bye-laws for the government of the said College, andof the officers, profcssors, and students therein, together with the power oftaking lands by conveyance and devise, notwithstauding the statutes ofcbaritab’e uses; and to continue to the body so reincorporated and to theCouncil thereof all the powers, rights and privileges, trusts and liabilities,now possessed by them, and among those powers, rights and privileges,trusts and liabilities, the control over the hospital, and the application ofany funds and endowments hitherto contributed or made, or hereafter tobe contributed or made, for the purposes of the said hospital. The Bill willvary or extinguish all existing rights and privileges which may interferewith its purposes, and will confer other rights and privileges. It hasbeen rumoured that the Council of the College have discussed the desira-bility of calling the Fellows together on special occasion, in order that theymay be consulted as to suggested or desirable changes in the managementof the College.

A Surgeon and M.D. wishes to know whether the Pharmacy Act will prohibithis dispensing medicines to his patients. He will find an article referringto this subject in our present number.

Dr. Philipson’s case of Aneurism of Thoracic Aorta" shall be inserted.

MEDICAL AND SURGICAL GRADUATES AS HOUSE-SURGEONS.To the Editor of THE LANCET.

SIR,-Althongh this subject has been already adverted to in your columns,the governing bodies of hobpitals do not appear to have given it the amountof consideration it merits. They are certainly the best judges as to the quah-fications required of their resident medical cfficers. It appears to me unjust,however, that young graduatts in Medicine bnd Surgery of Universities whodo not also possess diplomas from other licensing bodies are excluded frombecoming candidates for most of the infirmary house-surgeoncies whichhappen to be vacant; whilst the candidature of members and licentiates ofRoyal Colleges of Surgeons and Societies of Apothecaries is both admittedand invited. By the advertisement of the Derbyshire General Infirmary inyour impression of October 10th, " candidates are required to be members ofthe Royal College of Surgeons of London, Dublin, Edinburgh, or Glasgow,"&o. A gentleman possessing the University degrees of Doctor or Bachelor ofMedicine and Master in Surgery is quite ignored by this old rule, so very

’ common with almost all hosp,t3,1 boards of management. Its existence must,I think, be due only to want of attention or oversight. Can nothing be doneto alter it ? Again, the assistant house-surgeon of the Stockport Infirmary must be a

member of the Royal College of Surgeons of England, no matter what otherqualification he possesses; and a Doctor of Medicine would be admitted as acandidate for the vacant office of consulting physician to the South Stafford-shire Infirmary; but supposing him to possess in addition the correspondingdegree of Master in SUI gery, he would not be admissible as a candidate forthe office of house-surgeon to the sa· e institution. !

You will at once see that these instances are borrowed from recent adver-tisements ; but they are sufficient, I think, to show that a rule unjust tomediLal graduates and injurious to University medicai education is in force.I do not wish to deprive the M.R.C.S. end L.S.A. ot a (-ing)e privilege; but noone can deny me the right of saying that Doctors and Bachelors of Medicineand Masters in Surgery pass through examinations of such a standard as toentitle them to become candidates not only f. r residential house-surgeoncies,but fer all other general medical appointments in the kingdom.

Faithfully yours,November, 1868. MAGISTER IN CHIRURGIA.

Particeps. -1. Not in England, but a Code of Medical Ethics has beendrawn up by the American Medical Association.-2. It is impossible to laydown any absolute rule. In the case of two partners living in the samehouse, when a "new" patient sends (not urgently) for some one to attendhim or her, and does not mention either partner, it would be better that

the junior should defer to the senior if he wished to take charge of thepatient. It is common for the partner who first sees the patient under thesecircumstances to take the management of the case.-3. Von Graefe.

Justitia.-We presume that the assistant is bound to fall in with the regula-tions of his principal, unless in the agreement of the former with the latterthere be any special provision to the contrary affecting the case in point.

THB continuation of Dr. David Smith’s paper will appear next week.

UNHLrAx.THINE66 OF FALMOUTH.

FALMOUTH, according to the Builder, seems at the present time to be in asbad a sanitary condition as though no Local Board of Health were in exist-ence. The very best parts of the town are said to be hot-beds of fever,those parts whose proximity to the sea and great elevation might be snp-posed to render them peculiarly free from zymotic disease being declaredto be the most infected. The extent to which fever has laid hold of thetown is spoken of as "something alarming;" but if the account given ofthe existence of cesspools be correct, the prevalence of disease is hardlya matter of wonder. We observe that the district of Falmouth (whichincludes the four sub-districts of Falmouth, Mylor, Penryn, and Constan-tine) shows very badly in the Registrar-General’s last Quarterly Return.inasmuch as the registered deaths during June, July, and August last were157, as compared with 128 and 89 in the corresponding- periods of 1867 and1866. The births appear to have declined from a quarterly number of 202in 1866, to 180 in 1868. There is evidently, therefore, something very ano-malous in the condition of the population of the district.

J. C. M.-1. No.-2. It is much to be regretted that any difference of profes-sional opinion should have been expressed in the presence of relatives ofthe patient, particularly as it was impossible fur Mr. B. to form any opinionupon the data before him.-3. Certainly not.-4. Ten guineas.

TnE letter of Andanaan on the Dwellings of the Poor" will appear nextweek.

T n C O N T A G I O U S D I S E A S E S Act.To the Editor of THE LANCET.

SIR,-The application of the Contagious Diseases Act to the whole of Lon-don, which is so very desirable, would be a gigantic undertaking, and that, Iconclude, must be the chief cause of the authorities shirking the question.But why do they not, following up what they have done in some of the pro-vincial towns, apply the Act to i be prin(’ipal military stations in London?It is well known that in the immediate neighbourhood of all London barracksa class of women congregate, supported princJpaIJy by the soldiers. Thosepersons are well known to the pohee, and are ordmarity termed soldiers’women; they also generally reside in a few particular and adjacent streets,so there would be no difficulty in drawing a line around such a district, andsubjecting all the prostitutes residing in it to the regulations of the Con.tagious Diseases Act, as at Woolwich or Portsmouth.At the present time the parishes wherein barracks are situated are very

unfairly obliged to keep and treat meaically most of those women when dis-eased. As surgeon to the Workhouse Infirmary of the parishes of St. Margaretand St. John, Westminster, where there is a special Lock ward containingtwenty beds, I treat about 150 of such women annually, nearly all of whomreside in and around York-street and Pye-street, Westminster, supportedchiefly by the soldJers of Wellmgton Barracks. I have kept a classified recordof the diseases, which will show what a frightful amount of constitutionalinfection must be constantly disseminated among the troops. Since lastChristmas I have treated 20 cases of primary Hunterian chancre; 38 of syphi-litic sequelm, including squamous and pustular eruptions, ulcerations, mucoustubercles, &c.; 17 of simple chancre and suppurating bubo; and 41 cases ofgonorrhoea, including simple inflammation and swelling of labia. Thus it willbe seen that just half the cases were of a constitutional infecting character;and, moreover, the cases of contagion must be very much more numerousfrom this variety than from the simple ulcer and inflammation, tor thereason that the latter come under my care at the commencement of the attack,when the pain and inconvenience are greatest, and generally remain in theward till cured; but comparatively few of the former come under any treat-ment till the sequelae have appeared, often two or three months after thecommencement of the disease, spreading it the whole time. Again, thosewho come in the first stage go ous as soon as the indurated ulcer and sore-throat begin to subside, and usually come in again after two months in a

frightful state from mucous tubercles, ulcerations, &e.The recollection of this fact is of’ very grear, importance in the application

of the Contagious Diseases Act; for, as administered at present, no distinc-tion of disease is made in sending the women into the hospital, and it givesforce to the recommendation which you made in an able leading article ofSept. 26th last-viz., " that should the number of worsen found uiseased bein excess of the vacancies, the visiting surgeon chall have the powpro’ select-ing for detention those cases which he considers most urgent." It is highlyinjudicious, for instance, to retain a woman sufl’erirg from gonorrhosa, bow-ever violent, at the expense of sending away another with a httle induratedsore. The one will administer to the soldier a sharp corrective only; whilethe latter, although not putting him to much inconveince at first, will, ifnot actually healed at the timr, sooner or later lay him up for months oryears. In tact, it is impossible to foresee the expense and danger the Statemay incur through this disease; fur men, lIke women, with an induratedchancre, do not think much of it at the time, and the poison may hang aboutthem for years. They are off aud on the sick-list, and just able to continuethe routine drill in barracks; Lut when active service aud privations come,they break down lre manently.

I would strongly urge the Government to apply the Act to certain districts,such as Westminster, Knightsbridge, Clielsezi, the Tower, &c. By so doingthey would not only save thousands annually in the military establishments,but would be inserting the thin end of the wedge, and preparing the machineryfor the universal application of the Act to the civil popuiation.

I remain, Sir, your obedient servi.nt,Parliament-street, Nov. 1868. Tmos. BOND, I;.S. Lond., F.R.C.8.

Æsculapius.-1. Yes.-2. Six.-3. A dressership is nut absolutely necessary;but a candidate must subsequently to the iirst examination take c7iarge ofpatients for not less than six months at an hospital, dispensary, or parochialinfirmary.

NURSING AT THE HBBBERB HOSPITAL.IT is desirable to rectify a slight error in our Report on Nursing at theHerbert Hospital. The night attendants are not at any time employed bythe purveyor, but are at work all day either under the captain of orderliesin the wards, or as soldiers in the barracks. The result is exactly the same,since it is obvious that after the day’s work the men must be prone to goto sleep.

Mater is referred to a leading article on another page of the journal.

687

Pooa-LAw MEDICAL SERVICE AND THE LORD ADVOCATE.

Tta present position of Poor-law medical officers has been brought underthe notice of the Lord Advocate, and it having been represented to himthat it is desirable that these officers should be put upon the same footingtowards the Parochial Board as that of inspectors-viz., subject to removalfrom office only with the sanction of the Board of Supervision,-his Lord-ship expressed the opinion that salaries should be adjusted independent ofthe supply of medicines. He, moreover, did not think it a proper systemwith regard either to the medical officer or his pauper patients, that heshould be remunerated upon the basis of being obliged to contract forand supply medicines for an annual sum. His Lordship has further statedthat the present system of electing medical officers annually or removingthem at the pleaburc of the Local Board requires alteration, and that medi-cal officers may fairly el,um in this respect to be put on a similar footing tothat of inspectors-in fact, he had wished to incorporate a clause to thiseffect in the Public Health Act of 1867.

Bistoury is thanked for defending us. He will have seen that we have alreadydisposed of the Russian story, which was none of our making, and is notworth returning to.

An Artist should get a sight of such works as Blume’s " Rumphia;" Kittlitz’s"Views of the Vegetation of the Coasts and Islands of the Pacific," by Dr.Seemann; and Martin’s " Palms." The first and last works are very expen-sive.

ARMY HOSPITAL S T O P P A G E S.To the Editor of THE LANCET.

SIR,-As you were good enough to endorse very pnssihly a letter of mine Iin The Times some months ago on the subject of "Hospital Stoppages," andhave in your impression of October 17th again put forward very forcibly andfairly the views which I then ventured to aavance, permit me to offer a wordor two further on the subject.My communication was answered by a medical officer of the Royal Artillery

in the pages of the same paper in terms I could not but consider somewhatirrelevant to the question at issue. He appeared to consider the soldier ingeneral so well taken care of by the mllitar, authorities that further conces-sions to him were uncalled for, and would be unjust to other branches of theservice. But this is a case simply of readjustment of an already existingmoney arrangement-a stoppage of pay,-whicli calls for no further demandon the public funds, while at the same time there is every need for a changeof system, which, as it now stauds, is at variance with the common principlesof equity and justice.At present no distinction is drawn in deduction of pay at hospital between

a man admitted with disease cleai ly attributable to exposure in the perform-ance of military duty, and another soldier treated for a complaint sell-induced, and at a time when lie is exempt from all functions of a publicnature. The anomaly would be sufficiently evident in the case of two men,both unmarried; but the hardship is greatly increased by its application toa soldier with a family. He is then unevenly taxed, if I may use the term,and his family are made to suffer often very sorely for a system which re-cognises no distinction between the deserving and undeserving, the good andthe bad.Objections have been raised that men suffering from syphilis would hesitate

to report themselves sick If the hospital stoppage is mcreased. I do notthink any material result of the kind would follow such change. The manknows that any severe form of the disease is liable to detection at the hands of the medical officer at the health inspections, modified though they are, aswell as through the uon-commissioned officers of his company, and that thepunishment inflicted by commanding officers for concealment is severe. Asoldier, under the circumstances, would have no just ground of complainteven it mulcted entirely of his pay, and as the men at present in the servicedie out or leave, no hardship would present itself to the minds of their suc-cessors.

Soldiers as a class are by no means wanting in sympathy for their marriedbrethren, nor in their sense of right and wrolig, as is often evidenced when

any misfortune occurs in the 1amilies of the former. Ilence 1 do not auti-cipate any murmuring if the change advocated be carried out. The presenttime is especially favourable, inasmuch as the pay of the army has been gene-rally increased, and therefore tl;e question of any readjustment of stoppaaeamay be well entertained. In f:tct, all who give ’he subject due considerationcan only arrive at one conclusion—viz., surprise that the anomaly shouldhave so long been suffered to remain without removal.

I am, Sir, your obedient servant,FREDK. HOBINSON, M.D.,

October 21st, 186S. Surgeon-Major, lst Bat., Scots Fusilier Guards.

P. G., Dispenser, complains of the unfair operation of the Pharmacy Act,1868, in admitting to be r< gistered as chemists and druggists all assistantswho, being of full age, were for thrc e years prior to the passing of the Actengaged in the dispensing of pre-criptions in a chemist’s establishment,after passing a modified examination, and paying a reduced fee; while dis-pensers in public hospitals and surgeons’ assistants, Slthough equa!!y wellqualified, are not allowed the same privilege. We agree in thinking thatthis provision of the Act, which was introduced as the Bill passed throughParliament, presses unfairly upon the class representld by our correspond-ent. We would remind him, however, that nothing in the Act will deprivehim of the power of pursuing the occupation in which he is nuw engaged;and if his qualifications are, as he says, equal, it nut superior, to those ofchemistb’ assistants, he will find no difficulty, but much satisfaction, inpassing the regular minor examination of the Pharmaceutical Society,when he will be registered in a more creditable manner.

TIIE LAST NUW THING IN HOSPITALS.

THE following seems to us the last developm nt ot the special hospital prin-ciple. If any man in the profession is to represent an hospital, the "special"evil will soon cure itself :-"HOSPITAL FOR CONSUMPTION AND DISEASES OF THE HEART AND

THROAT, Regeut-street, Nottingham.-Admission day: Monday. Consulta-tions daily from 1 to 3.-Geo. Grewcuck, M.R.C.S., Resident Proprietor."

THE obituary of M. Sichel is postponed until next week.

THE DRAINAGE Of EA6TBOUBNE.THE inhabitants of Eastbourne have memorialised the local authorities on

the subject of the present system of ventilating the sewers in that place.Recently to avoid the escape of sewer gases into the houses, open venti-lators have been placed at short intervals throughout the town, and intothese should have been placed a certain amount of charcoal, which has ’

been conspicuous by its absence; but, in fact, the sewer effluvium haspassed unchecked into the air of the town. In the discussion which took

place at the Local Board on the receipt of representations to the above’

effect, the recent prevalence of fever in the place was specially referred to,and the character of the water-supply was called in question by Dr. Hay-

I man. The subject was referred to the Drainage Committee, and we hope

I they will at once set to work and remove any such cause of " air" pollutionas that which is asserted to exist, and the continuance of which cannot butseriously jeopardise the prosperity of a hitherto very popular watering-place.

THE MANCHESTER SCHOOL.THE Vice-Registrar of the Manchester Royal School of Medicine, Mr. Dantel

Stone, informs us that the number of students pursuing their professionalstudies at the above school is 73, and not 63, as given in some of the returns.This total of 73 does not include "occasional" students, or those who enterone or two classes. 63 students are entered for dissection. There has beena great increase of fresh men this session for the full course of medicalstudy.

Dr. H. Rickards should forward a short description of the respirator, toge-ther with a woodcut, for insertion.

WE are requested by the Publishers of the Quarterly Journal of Micro-scopical Science to state that that journal will continue to be published asusual by the Messrs. Churchill, and edited by Dr. Lankester aad Mr. E.Ray Lankester. The only change consequent upon Dr. Lankester andProf. Busk ceasing to edit the "Transactions of the Royal MicroscopicalSociety" will be that the Transactions of that Society will not be publishedseparately in the pages of the Journal.

WE regret being obliged to postpone the important communication ofDr. Baylis on the recent outbreak of Fever at Bootle until next week.

Dr. dldfis is thanked.ARTIFICIAL LEGS.

To the Editor of Tnr LANCET.SIR,-Permit me to make a few remarks on your notice in THE LANCET of

the 7th instant, under the head of "New Inventions," in which you directattention to two artificial legs made by Mr. Gillingham, of Chard, for a boy offourteen years of age, so as to enable him to walk. According to your reportthey are made of leather, with movable wooden feet. The one on the rightside, amputation above knee, "weighs 4 3/4 lbs.;" that on the left, "3&frac12;, lbs."Then there is an elaborate waistband, duuble braces, and a complex arrange-ment of springs.’ Now, this new invention obliges me to take a retrospective view of fullforty years, such legs being made when I first went to this business. Are we,Sir, to cast to the winds all the improvements that have been made duringthat long period, and tall back upon the rude sub titutts worn by our grand-sires ? I I saw the boy at Guy’s, but did not examine him ; the noise he madein walking with the clapper foot being sufficient to satisfy me that it was thework of a mere novice.

I would not have troubled you, Sir, with this letter, but that I think theprofession should know there are many respectable makers both in Londonand the provinces who can supply artificial limbs so nearly resembling thenatural as almost to defy detection, and weighing considerable less than thoseof Mr. Gillingham’s. As a rule, an artificial leg for an adult mechanic, whorequires it to be strong and lasting, should not weigh so much as 43/4 lbs.,being the weight of the right leg supplied to this child; but if for a patientin the higher walks of life, from 3 lbs, to 3&frac12; Ibs.

Yours, &c.,J. DMLLIfiiNi Instrument Maker to Guy’s and St. Thomas’s Hospitals.

Southwark-street, Borough, November, 1868.

JE. H.-The Medical Council directs that every medical student shall be re-

gistered, but not until after the passing of a preliminary examination;such, for instance, as that of the Matriculation in the University of London,or the Oxford Responsions or Moderations, and the various liiddle-ClassExaminations, &c., and "the commencement of the course of professionalstudy required by any of the qualifying bodies shall not be reckoned asdating earlier than fifteen days before the date of registration." Accordingto the College of Surgeons, however-and this is, we presume, the point ofinterest to our correspondent,-the following wili be considered as the com-mencement of professional education: "Attendance on the practice of anhospital or other public ini-titution recognised by the College for that pur-pose. Instruction as the pupil of a legally qualified surgeon holding theappointment of surgeon to an hospital, general dispensary, or union work-house ...... shall be sati-factory to the Council."

Mr. W. Churchill Dempsey.-Tlre part of our correspondent’s letter defendinghis own course shall be inserted next week. The letters referred to COB-tained intemperate expressions which induced us not to publish them.

HAIR RESTORERS.Oum correspondent should consult his medical attendant upon the symptomshe describes. It is quite impossible for us to express an opinion.

A Surgeon.-There is some dispute upon the point ; but certainly theApothecaries’ Company gives to its licentiates the power to dispense theirown medicines, and it is probable that every qualified medical man canlegally do the same. It is necessary to register-once is sufficient-to beable to recover for professional services.

LETTERS from Dr. Do2talas and 3rr. B. Shedd shall receive attention.

688

PRIZIM MONEY AND DISEASE.WB called attention a short time ago to the evils which accrue from thecustom of paying troops batta or any other grant of money in the lump.In the case of the 26th Camercnians in India, the money paid to the regi-ment on account of the Abyssinian campaign led to a great increase ofdrunkenness and disease, and it has been the same with the regiments athome. In the 33rd Regiment and 3rd Dragoon Guards we understand therehas been a considerable increase of sickness arising from enthetic disordersand minor surgical caes, the result of accidents. To give a soldier moneyin the lump, particularly in a garrison town like Portsmouth, is to put agreat temptation in his way. We sometimes see discharged soldiers beggingabout our streets, and acting in so doing as a warning to young men not toenlist. Why should not the authorities pay soldiers a small sum down, andplace the remainder of the batta or prize money to their credit, as an in- ’,crease of pension or deferred annuity As at present, it in no way enriches,but robs him of his health.

Mr. Wm. Morgan, R.N., is mistaken in supposing that there is any wish onour part to excite ill-feeling between the surgeons and paymasters of thenavy. Mr. Morrison’s case was only used as an illustration, and not a soli-tary one, that whilst a medical officer invariably "goes to the wall" in anydispute with an executive, a paymaster may count upon the support of thehead of his department and some influence at head-quarters. It is a factthat the Admiralty train up their own paymasters from youths of fourteen,and that a paymaster attains the pay of 41 per diem in ten years, whilst ittakes a surgeon fourteen years to reach the same goal. We have no doubtMr. Morgan admirably performs the onerous duties of paymaster to theVietory; but for this he gets &pound; 600 a year-a rate which no staff surgeonattains.

LIST OF SUBSCRIPTIONS FOR MRS. JUMP.Dr; Zotoe has forwarded to us the following list of subscriptions on behalf of

the widow and family of the late Mr. Jump :-

- MtSfo.&mdash;]. Wilson, Hebra, Tilbury Fox, Squire, Hillier, Nayler.&mdash;3. Dr. Lee’swork on the Spas of Europe.

THE CAMP AT ALDERSHOT.THE United Service Gazette has drawn attention to the insufficient pro-

vision made at the camp at Aldershot to prevent the effects of cold bothon the soldiers and the women and children quartered there. The subjecthas not been lost sight of; but our Commissioner has been engaged atPortsmouth, Chatham, Dover, Woolwich, and other military stations. Theturn of Aldershot Camp will soon arrive for visitation, when no pains willbe spared to ascertain its sanitary defects, of which the want of a sufficientsupply of coal is probably not by any means the least.

LujfAC? CERTIFICATES.To the Editor of THE LANCET. ’

SiR,&mdash;Could any of your readers inform me what is the best thing to dounder the following circumstances :&mdash;About a fortnight ago a young man, aged about twenty years, committed

.an assault in a neighbouring town. For this he was a few days ago, at thePetty Sessions held in the same town, sentenced to two months’ hard labourin gaol. However, ten d ys before the trial the boy was brought to me by hismother, as she thought he was insane, for examination, which, when I made,I had not the least doubt of his insanity, and I certified accordingly, andhanded her the certificate to lay before the magistrates. When she did so,they said they did not know me, and completely ignored the certificate,passing just as severe a sentence as if they never saw it.Now, I want to know, for humanity’s sake and for the honour of the pro-

fession, if there is any redress in such a case.Yours obediently,

November 10th, 1868. HuuaANITAS.

A. E. S.-1. We are uncertain as to the point.-2. The Pharmacy Act appliesto persons commencing business as chemists, &c., before the 31st of Decem-ber. It requires them to pass an examination before being placed on theregister.

PUFFING.’THE following is one of the ways in which a patient, without taste, may seek

to express her gratitude; but it should be strongly discountenanced by thepractitioner it is intended to magnify:-"AN ACT of GRATITUDE -Ann Moore, wife of Timothy Moore, of Pool,

for a considerable period had a cataract in the right eye, which was anobstacle to vision. Under the skilful treatment of Dr. T. Mitchell, she isnow asain able to fn}uy the btessing of sight. The old woman wishesthrough our columns [a local paper] to express her gratitude to the doctorfor his great kindness."

’THE insertion of Dr. TalO’f"s letter in reference to the observations of M.Labordette is unavoidably postponed. ’

M.D. versus LICENTIATE. A Doctor ofmedicine and a Physidan.-We would gladly insert our corre-

spondent’s letter if the subject of titles were under discussion; but thatsubject is pretty well exhausted, and we do not wish to revive it at present.The point to which it seems to us the attention of the profession in thisquestion should be kept is the wisdom of throwing open the highesthonorary offices to the holders of qualifications which were merely meantto license for general practice. We may revert to the whole subject.Public ]7aceinatoi- will observe that the imp’rtant point noticed in hiscommunication is discussed at length in our present number.

Subscriber.-Hoblyn’s Dictionary.Dr. John Currie.-Any registered practitioner can recover under the 31st

section of the Medical Act for professional services.ERRATuM.-In Mr. Gameee’s article, published last week, p. 632, col. 1,

line ]1, for "tongue," read "larynx."COMMUNICATIONS, LETTERS, &c., have been received from - Prof. Rolleston,Oxford; Dr. Playfair; Prof. Gamgee, Birmingham; Dr. Aldis; Dr. Collins;Dr. Robinson; Dr. Carlyon, Phitadelphia; Mr. Read; Dr. Renton, York;Mr. Stevens; Dr. Lowe, Lynn; Messrs. Brown and Green; Dr. Atkinson,Wakefield; Dr. Syson; Mr. Hall; Mr. Pratt; Mr. Gasson, Hurst Green;Mr. Colenr’an; Dr. Elliott; Mr. Todd; Dr. Cooper, Southsea; Dr. Douglas,Wilmer; Dr. Buck, Inkberrow; Mr. Dacre, Crumpsall; Mr. C. J. Smith;Dr. Wimberley; Dr. Richards; Dr. Jamieson; Mr. Lowndes; Dr. Stutter;Mr. Millikin; Dr. Sedgwick; Mr.Irwin; Mr. Dunean; Mr. Shedd, Man-chester; Dr. Gaye; Mr. Turner; Dr. Letts, Great Yarmouth; Dr. Currie;Mr. Gurney; Dr. Cameron, Edinburgh; Mr. Stone, Manchester; Mr. Kerr;Dr. Heaps, Otley; Mr. Kennedy, Bray; Mr. Jeans; Mr. White; Mr. Draper,York; Dr. Wallace, Colchester; Mr. Pritchard; Mr. M’Connell, Aberdeen;Dr. Burch, Louisville, Kentucky; Mr. Baines; Mr. Roberts; Mr. Mackaye;Mr. Newton; Dr. D. Smith, Glasgow; Dr. Hitchman; Mr. Taylor, Romsey;Dr. Marshall, Darley; Messrs. Lindsay and Co., Philadelphia; Mr. Little;Mr. Husband; Mr. Nisbett, Gravesend; Mr. Tunaley; Dr. Thomson, Wel-lingborough ; Mr. Otway; Dr. Atwood ; Messrs. Ceely; Mr. Howell;Mr. Johnson, Oldham; Dr. Wadd; Mr. Wright, Gainsborough; Dr. Taylor,Nottingham; Mr. Watson; Mr. Wood, Macclesfield; Mr. Dempsey, Old-bury ; Dr. Reith, Aberdeen; Mr. T. Alderton, Reepham; Mr. C. H. Perry,Reepham; Mr. Pearse, Round Oak; Mr. Mackie; Dr. Hood, Tow-Low;Dr. Williams; Mr. W. Morgan; Mr. Cresswell; Mr. Walker; Mr. Buckle;Mr. Robertson; Mr. Brodhurst; Dr. Mackay; Mr. Brown; Mr. Churman;Dr. Gantellon, Paris; Dr. Wade, Hanley; Mr. Vachell; Mr. Marsh, Little-more ; Dr. Steward, Wolverhampton; Mr. Mavor; Dr. Wilmot, Bridling-ton ; Dr. Woodward, Worcester; Mr. Burke; Mr. Harper, Holbeach;Dr. Denton, Hornsea; Mr. Whytlau; Dr. Sanderson; Dr. Warwick; Mr.Kelsey; A Surgeon; R. H.; L.S.A.; A Public Vaccinator; M.D.; Senex;L. A. H.; F. G.; Society of Arts; A Surgeon, M.D.; Inquirer; Justitia;A Doctor of Medicine; T. S. ; An Artist; Subscriber; &c. &c.

Salisbury Journal, Bucks He’l’ald, Japan Times, Richmond Me.fical Tournal,Liverpool Matl, Lineolnshire Chronicle, Brewers’Journal, Redruth Timea,Edinburgh Evening Courant, Brighton Gazette, Cambria Daily Leader,Carlisle Journal, Indian Atlas, Bethnal Green Times, Liverpool Albion,Surrey Advertiqer, Dominion Medical Journal, Scie7lti.fic Opinion, CarlislePatriot, and Photographic Jou’l’nal have been received.