734

ture of some small bloodvessels in itssubstance."

Case 1.—George Coventry, whose casehad elicited these remarks, is in Rahere’sward. He was admitted August 10th,and states that on Saturday week he fellfrom a scaffold on his right side, andstruck his face. There was some tume-faction of the head, and the right eye pre-sented the appearances above mentioned.

Twenty leeches were applied near it, withdecided benefit ; but some pain of the headand eye having come on, with feverishsymptoms,

12. He was bled to faintness, and thefollowing mixture was prescribed: one

ounce of the liquor of the acetate of am-monia, one drachm of epsom salts, one

drachm of antimonial wine, with camphorjulep. His head was also shaved, and coldwater was often applied. These remediesrelieved the unpleasant symptoms, and theeye has become somewhat paler, althoughstill very red. For the first few days therewas but little sight in the injured organ,but since absorption of the effused bloodhas in a measure taken place, he has

regained the power of distinguishingobjects.

20. Complains to-day of some pain inhis head, and rather more uneasiness inthe eye.

Case 2.-Another man, Wm. Coombe,aged 37, a coachman, now lying in thesame ward, fell from his box on August14th, and was brought to the hospitalwith a lacerated wound of the left uppereyelid. This case also showed the ecchy-mosed state of the conjunctiva, whichseemed elevated and distended with blood,giving it the liver-coloured appearance ofwhich we have spoken. Very little un-easiness is experienced, and the sight doesnot appear to be affected. He was orderedtwenty leeches, to be applied to the injuredorgan, and twelve grains of the compoundextract of bitter apple, to clear the primæviæ.

COMPOUND FRACTURE OF THE LEG, WITHDELIRIUM TREMENS.-DEA_TH.

Price Evens, setat. 45, was admitted intoRahere’s ward, under the care of Mr. LAw-RENCE. He has been addicted to drinkingfor the last three or four years, and, lat-

terly, during the moments of intoxication,has given symptoms of mental aberration.On August llth, he fell from his horse, and was immediately conveyed to this

hospital, but he refused to enter it, and wastherefore taken home. He was, however,sent on the 14th to Rahere’s Ward, when itwas discovered that the right tibia andfibula were fractured about three inches

above the ancle-joint, and there was alarge external wound communicating withthe ends of the broken bone. He had beenin a state of delirium, and had not sleptsince the accident. There was a tremu-lous motion of all his limbs; constant in.coherent talking; a wild appearance of theeyes; tongue furred; pulse exceedinglysmall and weak; and every indication ofa fatal sequel to the case. He was se.

cured in bed; the wound dressed, and theleg confined in a fracture-box. One pintof brandy daily.

15. Can with difficulty be kept still.Strong broth is ordered, and a calomel andjulep pill to relieve his bowels.

16. Seems rather worse in every re-

spect. One grain of opium.17. On account of the noise he makes,

is removed into Watts’ Ward. All the un-favourable symptoms have increased; hiseyes are sunken and wild; his countenanceis fallen; constantly muttering and strug-gling. It was found necessary to confinehis hands in a bag. Take .two grains ofopium every five hours.

19. Has gradually declined; no pulseperceptible at the wrist ; subsultus ten-

dinum ; tongue covered with a dry hardbrown fur; has all the appearance of adving nerson. At about one or two p.m.

he became more composed, but sunk anddied at a quarter past three.The examination of the body took place

at four p.m., on the following day, but inconsequence of the hour not having beenpreviously declared, we believe few had anopportunity of witnessing it. We under-stand, however, that there was a gooddeal of inflammation of the meninges ofthe brain as well as of the substance.There was also an effusion into the ven-tricles, and there was a sloughing appear-ance of the integuments covering theends of the fractured bones.

WESTMINSTER HOSPITAL.

EMPYEMA AND PNEUMATHORAX.—FATAL

TERMINATION.

William Linsay, astat. 23, a coach-trim-mer, admitted 2nd November, 1832, underDr. RoE, with a fistulous opening underthe left nipple, discharging half a pint ofpus daily. He could not lie on the rightside. His cough was frequent; respira-tion 24 per minute ; voice hoarse andtremulous, and pulse 130, and irritable.In inspiration the right side moves muchmore than the left. Measured from thespine to thr, ensiform cartilage, the leftside is all inch less than the right, but it

735

appears more prominent. On percussion, Ithe right side is dull at its upper thirdand becomes clear as you descend, but thesound is mixed, partly clear and partlydull. Respiration anteriorly at the upperthird is very imperfect, and becomes lessaudible as you descend. It is imperfectbehind, being strong above, full below.When the patient sits up, the left side is

very dull behind, but particularly in itslower part. Respiration is heard on theanterior surface of the chest, with largerale and some tintement, until you get tothe region of the heart. Behind, the breath-ing is imperfect above, and altogetherwanting below; the upper part of the leftside is quite cavernous when the patient, coughs. He says he has always been tem-perate in his habits, and that with the ex-ception of a " hacking cough," which hehas had for some years, his health hasbeen very good, until about four monthsago, when without any cause that he can

assign, he was attacked by a violent painin the whole of the lower part of the leftside of the thorax, slight cough withoutexpectoration, and nightly perspirations;but he cannot remember whether his

breathing was affected. He was bled

twice; 16 leeches and two blisters wereapplied to the side, and in a few days thepain was relieved, and he went into thecountry for change of air. No benefitderived. Symptoms returned with night;perspirations and frequent attacks of diar-rhoea. A draught of oxymel of squillsand syrup of poppies to be taken nightly,and a mixture of

Tinct. oj’ opiernm half a drachm;Sulphate of quinine 16 grains;Camphor julep 8 ounces. Mix. Anounce to be taken three times aday.

13. Discharge profuse and fetid. Per-spires very much; pulse 80; a laudanumand chalk draught at bed-time; decoctionof Iceland moss to be drunk daily.

16. Gargouillement; large mucosc rat-tle ; discharge copious; tongue clean;bowels confined; pulse 100, feeble. Mut-ton chop, port wine.

19. Appetite improved; discharge stillcopious.

25. The opening into the sinus was en-larged, and a freer flow of the pus secured.

29. Increase of discharge, which is lessoffensive. Mutton chops for supper.

Dec. 2. Appearance improved; increaseof pain in the seat of injury. Eightleeches to be applied to the side.

10. Warm water is injected into thesinus.

12. Considerable pain and fever, and

increase of cough produced by the in-j ection.

January 4. Since the last notation hehas steadily continued the use of the

quinine; he has become much emaciated.He takes a mixture of iodine, hydriodateof potass, and opium.

12. Discharge from the wound copiousand sanious; warm water injections havebeen used. The left cheek is flushed; thesame side very much contracted; greatemaciation; tongue red and relaxed ;pulse 132, jerking and feeble; bowels re-laxed. A sensation of pungent heat aris-ing from the stomach to the throat, ac-

companied by a disagreeable odour; hesleeps well, however; has no expectora-tion. Each breathing is marked by asonorous inflation of the bags of the

pleurae. Throat dry and parched; quan-tity of pus ejected from the sinus amountsto nearly eight ounces. Wound about aninch in length; respiration audible onthe upper phase of the left lung, under theclavicle. Repeat decoct. of Iceland mossand the mixture of iodine, &c.

26. The patient looks better; has muchpain of left side ; stomach gets tense aftereating; acute fever; discharge copiousand offensive. Injection of chloruret oflime to be substituted for water; dischargecopious and offensive ; tongue flabby;pulse 138. To continue the remedies.

29. He has had a tranquil sleep ; tongueclean and flabby; bowels open; skin cool;discharge as usual, but not so offensiveas before. Injection to be continued.

Appetite good, but a sore throat preventsswallowing ; throat relaxed; uvula elon-gated.

30. A remarkable collapse took placein the night. He became nearly insen-sible ; breathing nearly suspended; pulse146, scarce perceptible; the skin was cold,and bedewed with cold sweat. He re-covered under the use of brandy and am-monia. To-day, pulse 140, scarcely per-ceptible ; skin moist and warm; pain ofbowels and slight diarrhoea; countenancetranquil. -February 10. After the last paroxysm

the respiratory murmur was not heard inthe left lung. The energy of the patient’ssystem diminished daily; no remarkablealteration of symptoms took place, andthree days ago he expired.A post-mortem examination was made

thirty-six hours after death. The bodywas generally emaciated. On openingthe thorax, the pleural surfaces of bothsides were adherent; a considerable quan-tity of air communicating with the at-mosphere, and a quart of sero-purulentmatter (in which flakes of lymph were

floating), were found in the left pleural

736

bag. A thick layer ’of lymph lined thismorbid sac. The left lung was collapsed,and closely applied to the side of the ver-ceoral column. The heart and its peri-cardial bag were pressed to the right ofthe mediastinum. The structure of the

lung was unaltered, but its colour was alittle redder than natural, and a fewbubbles of air escaped during its incision.On the right side a few pleural adhesionsexisted, but the lungs were everywherepermeated with air, and crepitated ’,healthily under the fingers when incised. A few tubercles were discovered dispersedat distances through the substance of theorgan. The mucous membrane of thebronchial tubes was injected and thick-ened. The heart was healthy. In the ab-domen there was no morbid sign worthyof notice.

CONVEYANCING.—STONE IX THE BLAD-

DER.— LITHOTRIPSY DECLINED. - LI-

TH OTOMY -LACERATION OF RECTUM.—

RECOVERY.

August 10th. During the clinical per-ambulation to-day, Mr. GUTHRIE jocoselycharged Mr. C. BROOKE with having po-lished into empty space the hemispheresof a beautiful mulberry calculus, given tohim to prepare for the nascent museum ofthe hospital. This calculus was extractedin January last from the bladder of a littleboy by Mr. WHITE. After some inquiry,it appears to have got safely lodged inthe museum 0/’ Mr. Guthrie’s OphthalmicInfirmary! ! Under what law of coxvey-ancing it has acquired its present localhabitation, it might not perhaps be easyto indicate. It is certain that it wasnot through the instrumentality of Mr.BROOKE, than whom there cannot be amore zealous friend of the WestminsterMedical School.The little boy from whom this calculus

was taken, is named James Musgrave,and is twelve years old. He originallypresented many features of struma, butsince the operation he has acquired a verygood colour, and accumulated some ful-ness of habit. He remained till very re-cently in the Hospital, and was examinablein John’s Ward. He was admitted thelatter end of December last, with all thesymptoms of stone in a severe degree.He was shown to Baron Heurteloup, whodeclined to "percuss," for reasons bestknown to himself. The boy was exceed-ingly timid and restless, and would notquietly bear the introduction of a sound.These were the reasons assigned against practising lithotripsy. With Leroyiohow-ever, such reasons are not urgent, for he has published cases in which he has ope-

rated upon children of three and four

years old. Some other explanation mayhave been given by the Baron, but it didnot reach our ears.

Jan. 19, 1833. Mr. WHITE being deter-mined to perform the lateral operation, hadthe child brought into the theatre. Theboy resisted most strenuously, and pro-tested against the operation. The parents,however, having empowered the surgeonto act according to his own discretion, andthe boy’s health being very much impairedby the derangement of the urinary system,the patient was mastered, and pinionedsecundum artem. The usual incisions were

perfected in the usual manner with thescalpel and bistouri cachè, and the open.ing into the bladder was made as large asthe relation of the parts would allow. Allthis was effected with perfect ease. The

forceps were introduced and the stone

seized, but it immediately slipped away.It was laid hold of again and again, and asoften escaped, and when a firm grasp wasobtained, it was found impracticable topull it through the wound. Numerous

i were the attempts made with various for-ceps, and powerful was the stress applied,but every effort was in vain. At lengththe rectum was lacerated by the raggedsurface of the calculus, and it slid into thatgut. The operator now passed the forcepsper anum, and took hold of the stone, butevery pull ad se was resisted by a sponta-neous contraction of the rectum, and thestone was driven back again into thebladder. After some further manoeuvring,contriving, and striving, the perverse cal.culus was dislodged. The patient wasforty minutes on the table, but he madeless resistance than was anticipated. Mr.

WHITE, according to his invariable prac-tice, plugged up the aperture into the

bladder, "in order to prevent the urinefrom flowing over the surfaces of the

wound, until they shall have been coveredwith a tunic of protecting lymph." This

requires about twelve hours to take place.The boy was allowed a draught of dilutedwine, and put to bed. During the opera-tion. Mr. WHITE maintained an unruffled

temper, and explained as he proceededthe several difficulties as they arose. Hewas assisted by Mr. GuTHRiE and Mr.WILLIAM LYNN.

23. The boy has had two restless nightsand a restless day. His stools, which areloose, and his urine, pass through thewound. His pulse 135, bounding; tonguedirty ; countenance anxious; featuresmuch contracted; skin hot and dry; ten-derness of the abdomen, to which a dozenleeches are to be applied. Saline diapho-retic medicines,

737

24. He is very pallid, and rather ema-ciated. The stools entirely pass throughthe rent in the rectum, and the urinein a great measure through the’wound.Pulse 130, irritable; tongue furred. Theskin is dry, but he perspires occasionally.He sleeps tolerably ; his appetite is palled;the bowels are open four or five times

daily, and the thighs are stained with thefeces, which are of a bright yellow colour.A chalk mixture, with opiate confection,is administered at proper intervals.

26. Appetite reviving ; countenance lessdistressed. He is more emaciated; thediarrhoea still exists; the urine and fecesstill pass through the perineal fissure;pulse 136, irritable. Port wine ; astrin-gents and opium.

29. Great irritability and fretfulness ;face assuming the hippocratic character;left eye inflamed, and discharging a muco-purulent rheum; bowels less open ; stoolsof good colour, and of atheromatous con-sistence ; pulse 132, small; skin natural;great emaciation. Remedies continued,and a warm Goulard lotion applied to theeye.In a few days after this last notation,

the diarrhoea ceased, and the patient im-mediately and sensibly improved. The

pulse fell, the tongue cleared, the appetitereturned, the countenance brightened,the skin became soft, moist, and genial,and his sleep grew light, sound, and re-freshing. Some variations, however, oc-curredinhis progress, occasionallyamount-ing to relapses.February 21. The feces are all expelled

per anum, the fissure in the rectum ishealed, the urine flows entirely throughthe urethra. The wound into the bladderis closed, and its external surface is coatedwith healthy granulations. A catheter is

passed daily into the urethra and kept in.He is still a good deal emaciated; hiscountenance anxious, his appetite ca-

pricious, and his pulse 135.March 1. The external wound is con-

tracting, and bids fair to cicatrize speedily.The catheter produced so much vesical ir-ritation by being kept in the urethra, thatit was necessary to discontinue its use.The pulse is natural; his appetite is

hearty, and the several functions are

kindly and beneficially employed.Since the last-noted period, the boy’s

health gradually amended, and in the courseof a few months he assumed the hygeienicappearance already described. The calculusis sixteen lines in diameter; it is rough andmammillated ; its nucleus is composed ofphosphate of lime, and on the superficesare plentiful depositions of the crystallizedoxalate of lime.

MEDICAL MACHIAVELISM.

The question is to be discussed nextTuesday at the weekly Board, by thetrustees of the Westminster Hospital," Whether the apothecary shall be al-lowed a resident pupil or not." The ap-plication of this gentleman was madethrough the treasurer to the last Board,and there was a unanimity of opinionas to the reasonableness of granting hisrequest. It is known that the apothecaryof this hospital has more bodily labourthan any menial in it. How is it possiblethen for him to exercise that effective su-

pervision over the establishment whichhis duty, as an officer, inculcates ? Thereexists, however, a difference of opinion asto the manner in which the assistanceshould be afforded, whether by simplygranting his request, which implies manyinconveniences, or by superseding thephysician’s clinical clerk by an apothe-cary’s pupil, which would be a recurrenceto the ancient practice of the hospital.

Formerly the apothecary was allowed,as is well known to the governors, a pupilor apprentice, who was considered one ofthe household, and who paid for this,

privilege eighty guineas a year, one halfof which went to the charity and theother half to the apothecary. The bu-siness of this pupil was exclusively toassist the apothecary, under whose solecontrol he was. The apothecary wasconsidered as the general medical super-intendent of the house, and in the absenceof the physicians and surgeons, he was re-sponsible to the Board, from whom onlyhe derived his appointment, for the propertreatment of every case.

Such was the system established, untilDr. RoE became physician to the charity.This gentleman soon found abundant faultwith all the existing regulations, but

especially with those which affected theapothecariat, and succeeded in imbuing aparty of the trustees with similar senti-ments. Influenced, no doubt, by laudablemotives, Dr. RoE and his friends, whowere ridiculously called the " Hamiltonianconclave," raised a party against the oldlaws and standing orders, and finally suc-ceeded in having them revised. A com-mittee, consisting of Mr. OTHO HAMILTON’,Dr. RoE, and Mr. THOMAS ALCOCK, wasappointed for the purpose. These law-givers speedily formed a new code, whichwas subsequently adopted, without muchexamination, by the ordinary Boards.This production demands comment. Dr.RoE, as yet a Lazarus in science, andbut just received into the Abraham’s bo-som of the hospital, was stimulated byan ardent zeal for the advancement of the

738

healing art, and,-as a means to that end, manner. In the new regulations the apo.- for the formation of a medical school, thecary’s shop duties were increasedof which he was to be the coryphasus. (vexatiously and unnecessarily) to suchBut a school without pupils, is as profit- an extent, that being now deprived of hisless as a mill without grist; and no student assistant, it was physically impossible forat that time supposed that his money’s him to perform effectually the ward duties.worth of knowledge could be derived at Thus the services of the clinical clerkan establishment so constituted. In this were to be thrown into relief by thedilemma the conclave adopted the follow- unavoidable’ziegligence of the apothecary.ing schemes, of which all must admire, This was the first measure. The secondat any rate, the inyenuity. The only me - measure was to alter the phraseology ofdical student attached to the hospital was the regulation by which the ward dutiesthe house pupil of the apothecary, and of the apothecary were deficient, and fromthis prize the innovator secured. "He a comparison of the altered regulationtook the poor man’s lamb," for an active with the original, it will appear how itcanvass was thenceforth set on foot, and a was attempted to cast dust into the eyessuitable board assembled, at which it was of the governors, by making it incumbentresolved that the apothecary should be upon this officer to go twice instead ofdeprived of his pupil, and that the physi- once into the wards, while his real effi-cians should be allowed a clinical assist- ciency was altogether destroyed. Thisant, to be selected from their own pupils, alteration was actually made by Dr. RoE’swho was to have free board, and apart- own hand.ments in the house. This was, seemingly, The old regulation runs thus :—" Hea glorious bait for needy students, but it (the apothecary) shall once a-day visitfailed of its effect, for the three first clini- each ward, and respectively inquire intocal assistants Mr. SMITH, Dr. BATTLES, the condition of each patient, whether theand Dr. NORTON, (personal friends of Dr. medicines ordered have been administered,RoE,) were transplanted from the Surrey and with what effect ; and report the same,Dispensary; and after that the mendicant if requisite, to the physician or surgeon."office was good-naturedly filled up by two Let us now turn to the new regulationsof the surgeons’ pupils, Mr. TEBBS and as framed by Dr. RoE :-Mr. DINGLE. "The apothecary shall visit the wardsThe gentleman who filled at this time at least twice a-day, for the purpose of

the situation of apothecary, was of infirm inquiring whether each patient has beentemper, and weak bodily frame. He was, supplied with and has taken the medicinesconsequently, a person easily influenced, prescribed." The courteous reader, after aand by his imprudence promoted the suc- perusal of these paragraphs, will need nocess of the plans against him. The new key to the intentions with which tl)eclinical assistant was, of course, a doll in several omissions in the latter were ef-the hands of the physicians, or, more pro- fected. The alterations utterly destroyperly, of Dr. RoE, for the seniors took no the authority of the apothecary as a medi-share in these manoeuvres, and merely cal officer of the charity, and leave it openviewed with that patronizing complacency to the usurpation of Dr. RoE’s irrespon-which marks the intercourse of Fellows sible doll. In driving the apothecary fromwith Licentiates, the gambols of their the wards, the Doctor at once removed ajunior colleague. To enable Dr. RoE to proper check upon his power, and a dis-ride paramount, it became necessary that agreeable observer of his practice.his own clinical adjuvant should, in the The senior physicians, being men ofward duties, supersede the apothecary fortune and extensive practice, are verywho was the independent officer of the little interested in these transactions; butboard. This was too palpable a purpose it is vexatious to learn the extent to whichto be avowed openly; recourse was there- they have lent their infiuence and powersfore had to a little management, and the of special pleading in aid of the ar-

agency of the revising committee" proved rangements of their juniors. In orderhere of especial service. It was determined to diminish the expense incurred byfirst to deprive the apothecary of the the charity in the maintenance of thesevirtual control of the patients, and when assistants, it was pompously and plau-the governors should have become recon- sibly announced that the physiciansciled to the actual inefficiency of that would surrender to the board the entranceofficer in a medical point of view, it might fee of each pupil who should hold thebe safe openly to propose the substitution office, yet it is a fact, that they haveof the clinical assistant, and to reduce the never refunded a single fee ! The stran-board’s responsible officer to the mere gers who held the office were required tochemist of the hospital. This piece of pay ten guineas to the Board on their in-strategy was conducted in the following stallation; but the bona-fide pupils who

739

were elected had to come down with a se-cgnd fee to redeem the engagements ofthe physicians. A common sophism usedby these gentlemen is, " that the patientswere neglected, and the apothecary neededthe assistance of a clinical clerk." The

reply to this is, " If the patients wereneglected by the apothecary from wan-tonness, he ought to have been dismissed;but if from physical inability, he ought to have been supplied with assistance whereassistance was most efficient,—in the dis-pensary-duties ! It was a strange way toassist a man by depriving him of his mosthonourable employment, and requiringhim to execute menial manipulations.‘From a consideration of all the circum-

stances connected with this appointment,it would appear expedient to abolish theoffice of clinical clerk, and restore to theapothecary his house-pupil; and for thefollowing reasons :

1. Because the intermediate attendanceof an experienced officer must be morebeneficial to the patients than that of aninexperienced pupil.

2. Because in order to the due per-formance of the apothecary’s ward-duties,which are most important, it is neces-

sary he should have assistance in the

dispensary, and a house-pupil is required

3. Because the ostensible duties of a

physician’s clinical assistant may be

equally well performed, and in all theother hospitals in London are equallywell executed, by non-resident pupils.4. Because it is not expedient that the

hospital should be put to expense or in-convenience in order to promote the pri-vate views of the physicians.

5. Because the avowed object for whichthe clinical assistantship was appointed,the rewarding of rneritorions pupils, hasbeen always lost sight of, and the appoint-ments have been made subservient to thefavouritism* of a certain individual.

6. Because the introduction of thisofficer into the machinery of the hospital,has interfered with its advantageous ope-ration, has subverted the due dependenceof responsibility and subordination, andhas been otherwise highly detrimental tothe interests of the patients.And what, after all, is the result of all

these negociations and intrigues ? Shoalsof medical pupils ? Oh, no ! At noon-dayif a visitor at the hospital looks sharp, hemay see each of these stars with his so-litary satellite gliding ghost-and-shadow-like from ward to ward ! A solitary two ! ’,

* Dr. Barr has had the humility to competewith a pu(’iJ1 and holds the office at present. Cuibono? i

ANON.

We select this portion of our Journal tosay a few words on the subject of a com-munication which has come from West-

minster, and also been alluded to by ourWestminster Hospital correspondent. Wereceived an eloquent article some weekssince from Mr. ORD, of the Broadway, inthat scholastic city, and a specimen ofwhose epistolary style has already ap-peared in our Journal, in which Mr. ORDdisclosed to us that he was animated witha strong desire to honour the memory ofJOHN HUNTER, by having a statue of thatgreat man erected in Lincoln’s Inn Fields.We declined the communication from rea-sons sufficiently explained at the time.Our Westminster reporter has since beenwarmly urging us to publish the letter,which might be regarded as a kind of pro-spectus. We still, however, decline com-pliance. Independently of our impres-sion that the mere proposition of such atribute will effect no good, we must de-clare that the profound and enigmaticalcharacter of the production of Mr. ORDunfits it for our columns. The author is,our reporter affirms, "a very rising man "as a cultivator of obstetric surgerv, and sozealous in his vocation, that to him mayliterally be applied the saying-" LABORipse voluptas." If also we may judge fromhis literary labours, and the representa-tions of our correspondent, the conjunc-tion of names which forms a prominentline in his communication is incomplete.He modestly alludes to HuNTER, ABER-NETHY, and LYNN, only; the preterpast,post, and present stars of surgery, whilehe has omitted another constituent of thebrilliant constellation, ORD, the rising andfuture culminating star. What a felici-tous association do their combined initialsmanifest! HALO !!! What an illustriousquartette for the Temple of Fame!—Mr.ORD has intimated to us, that Sir CHARLESBELL, G.C.H., F.R.S., is engaged in writ-ing a life of JOHN HUNTER. We recom-mend Mr. ORD to get Sir CHARLES to no-tice his proposal in an appendix to thework.

OPHTHALMIC HOSPITAL.

(Charing Cross.)

LIGATURE OF THE COMMON ILIAC ARTERY

FOR ANEURISM OF THE GLUTEAL.

A WOMAN, aged 45, was admitted, ashort time since, into the above hospital,under the care of Mr. GUTHRIE. She