1183

- temperature and symptoms of septicaemia. With the super-vention of pyrexia and violent cardio-vascular disturbance,the aneurysm began to pulsate and enlarge, became diffused,and the patient died cyanotic and comatose in a few days.

Dr. WARDROP GRIFFITH showed a case of Charcot’sDisease, involving both knee joints. The patient hadsudden pains lasting about a minute, myosis with Argyll-Robertson pupil symptom, absence of patella jerks, andincontinence of urine. There was creaking in some of thesmaller joints, and a history of effusion into the right knee,which was tapped.-Dr. CHURTON had seen a similar casein which the joint was swollen and painful. He thoughtthe invasion of Clarke’s column of the cord determined the

joint affection in locomotor ataxy.-Mr. LAWFORD KNAGGSthought the involving of the other joints, the rheumatichistory, and the character of the pain rendered it more pro-bable that the joint affection was osteo-arthritic in character.Mr. MAYO ROBSON showed: 1. A case of Goitre which

had produced dyspnoea for three years, owing to pressure onthe trachea. Division of the isthmus by the galvanicecraseur was performed ten months ago. The circumferenceof the neck had since diminished from seventeen inches anda half to fourteen inches and a half , and the breathing hadbecome quite comfortable. 2. Ununited Fracture of theOlecranon, treated by wiring the refreshed ends of thebones. Subsequent good union. 3. Psoas Abscess, due tocaries of lumbar spine, treated by aspiration and injectionof a solution of iodoform in ether. There had been fouraspirations-eight ounces, six ounces, three ounces, andtwo ounces of pus having been removed, and about two,drachms of a saturated ethereal solution of iodoform injectedeach time. Since the last aspiration, four months ago,there had been no return of pus, and the spine was beingtreated by a plaster jacket. 4. Suprapubic Lithotomy in aboy aged thirteen, where the bladder had been sutured- and immediately returned. Mr. Robson had had four caseswhere immediate suture had succeeded in young subjects.5. Sigmoidotomy for Stricture and Ulceration of the Rec-tum, performed by Mr. Allingham’s method. The caseshowed the double-barrelled arrangement of the opening,which prevented the fseces passing below the aperture.

NORTHUMBERLAND AND DURHAM MEDICALSOCIETY.

A MEETING of this Society was held on Thursday, Nov. 8th,Dr. James Murphy, President, in the chair.Anterior Colotomy.-Dr. APNisoN showed two men on

whom this operation had been performed. He demonstratedthe upper and lower openings in the colon, and showed thecopper pad by which the patient could control the escapeof fseees.—Remarks were made by Drs. Drummond andGalloway, and Mr. Jessop of Leeds.Suprapubic Lit7toton?.y.-IBlr. PAGE showed a boy, aged

eight years, on whom he had operated. The unsuturedwound in the bladder united by first intention, without theescape of a single drop of urine from the wound.

Closure of Jaics successfully treated by Excision of aCoMt/Je.—Mr. PAGE’S patient was a girl aged nine years.When two years old she had an attack of measles, fol-lowed by profuse and prolonged discharge from the rightear. Within six months there was gradual closure of themouth, and for six years the jaw had been fixed. Mr. Pagecut down on the right temporo-maxillary joint, and foundthe condyle absorbed and welded to the skull. The bonewas removed by chisel and mallet. The girl now opens hermouth widely. Mr. Page also showed a boy on whom hehad performed the same operation with a similar result.about two years ago.

Alcolaolic Pcralysis.-Dr. J. DRUMMOND showed a manwho had almost recovered from this affection. There hadbeen more or less loss of power and sensation in the armsand legs, with affection of the reflexes and electrical re-

actions. There was a history of great alcoholic excess,and marked cardiac lesions were present.--Drs. Philipson,Gowans, D. Drummond, and Embleton joined in the dis-cussion which followed.

Pathologiectl Specimens.-Dr. HUME 8howed: 1. Flatoxalate of lime calculus, weighing 3 oz., removed by the,suprapubic method from a patient with enlarged prostate;rapid recovery. 2. Tumour of testis from a man of thirty.Jt was a spindle-celled sarcoma, with large nodules of carti-

lage. 3. Sarcoma, with large blood cyst, removed fromScarpa’s triangle.-Mr. JESSOP showed : 1. Calculus removedfrom bladder by suprapubic method. Symptoms had beenpresent for many years. 2. Uric acid calculus, which hadbeen present eight years. 3. Thirteen small stones removedfrom a case by suprapubic method, a prostatic enlargementbeing removed at the same time. 4. Renal calculus, weigh-ing 11 oz., removed by nephrotomy. Symptoms had beenpresent only six months. A large abscess formed round it.The cast had the shape of the expanded pelvis and calyces.The man made an excellent recovery, but a small fistularemained. 5. Gall stones from three cases in which thegall bladder had been opened. In one case the stone wasremoved from a point about the commencement of thecommon bile duct.-Mr. Heath, Dr. Hume, Mr. Page, andthe President took part in the discussion on these cases.

Dr. HEATH showed Concretions removed from the Bladderby the median incision in a case of Old-standing Cystitis;also a Periosteal Sarcoma of the Femur from a case wherehe had divided the femur below the trochanters and thendissected out the head of the bone.Dr. LIMONT showed Casts from a case of Plastic Bronchitis.

The patient was a sailor, aged thirty-six; acute febrilesymptoms were present; numerous casts were coughed up;but the patient died of asphyxia. At the necropsy thetrachea and large and small bronchi were found lined bya fibrinous deposit, slightly laminated. Dr. Limont alsoshowed a marked example of " Button-hole " Mitral.Mr. RUTHERFORD MORISON showed a Fibroid Tumour,

removed with part of the uterus. The tumour had beenregarded as a cystic ovaiy. It was adherent to the uterus,and the latter was secured by Keith’s clamp and divided.The patient died on the sixth day. There was no peritonitis,but there were feetid purulent clots in the uterine veins, andno doubt the patient died of pyaemia.The following papers were held as read :-Mr. Page: Opera-

tive Treatment of Closure of Jaws. Dr. Geo. Taylor: Cer-vical Hsematomyelia. Dr. W. Robertson: Nasal Obstruction.Dr. D. Drummond: Lessons from the Post-mortem Room.On the motion of the President, seconded by Mr. Heath,

Mr. Jessop was elected an honorary member of the Society,and was also given a cordial vote of thanks for his valuabledemonstration.

YORKSHIRE ASSOCIATION OF MEDICALOFFICERS OF HEALTH.

The case of Dr. Lloyd JBo6e?’.—Fetccm’o.THE quarterly meeting of the members of this Associa-

tion was held at Pontefract on the 30th ult., the President,Dr. Britton, in the chair.Dr. HIME proposed a resolution expressing warm sympathy

with Dr. Lloyd Roberts, the late medical officer of healthfor Ruthin, on the manner in which he was deprived of hisoffice by the local board of that district.Dr. DEVILLE (Harrogate) seconded the motion.The PRESIDENT thought the case was of such a character

that the Association might depart from its practice of notinterfering with any steps taken by sanitary authorities withregard to their officials.After discussion the resolution was adopted.Dr. DEVILLE proposed: "That this meeting is satisfied

that the practice whereby medical officers are almostuniversally appointed for a limited period is contrary to thebest interests of the public, and has proved a source of

great hardship to the medical officers of health, and con-sequently respectfully urges upon the Local GovernmentBoard the importance of promoting such legislation as willensure the medical officers of health security of tenure oftheir office so long as they discharge their duties satis-factorily.

"

Dr. WADE (Wakefield) seconded the motion.The PRESIDENT said the Local Government Board was a

myth. If they altered the resolution so as to urge thematter on the Legislature, then he should be hopeful ofsomething being done. The Local Government Boardmeddled and muddled, but never did anything.

Dr. NORTH and Dr. WILSON (the secretary) disagreedwith the remarks of the President, the former gentlemanholding that the Local Government Board had been of greatadvantage to the country.The resolution was unanimously adopted.

1184

Dr. A. BUNCLE (Pontefract) read a paper on Vaccination,Public and Private.

Dr. BURMAN (Wath), in a paper having reference to arecent outbreak of small-pox in his district, said his fortyyears’ experience might be summed up as follows. 1. Thatprimary vaccination in infancy is an almost perfect pro-tection against small-pox during the first ten or twelveyears of life. 2. A second vaccination is a complete pro-tection for the remainder of life. 3. He had not known anunvaccinated person escape the disease if in a house whereit was, unless he had previously suffered from the disease,and not always then. 4. He had not known a fatal caseof small-pox after vaccination, and had scarcely ever seena permanent mark left in such a case.

Notices of Books.A Treatise on Dislocations. By LEW A. STIMSON

B.A., M.D., Professor of Clinical Surgery in the Universityof the City of New York, Surgeon to the New York,Presbyterian, and Bellevue Hospitals, &c. With 163 Illus-trations. London: J. & A. Churchill. 1888.-Dr. Stimsonis well known in this country, and his work on fractures isjustly held in high repute. This companion treatise ondislocations is calculated to increase his good reputation. I,It is obviously the outcome of much hard work, carefully ’,carried out, and it has been made as thorough and completea3 practicable. Dr. Stimson has of course had an immensemass of material to deal with, especially as lie has, so far aspossible, gone back to original descriptions of cases, andone of his chief difficulties has been the sifting of the wheatfrom the chaff, the selection of sound accurate observationsfrom careless and incorrect descriptions. One special feature,which will render the work of great use to others engaged inresearches on dislocations, is the very careful and accuratebibliography. The book cannot of course be classed amongtext-books-it is far too elaborate for that; but it will begreatly valued by a smaller circle of readers, and by all whodesire to know thoroughly the results of a careful study ofthe literature on this branch of surgery.A Critieism of the Development Hypothesis. By JULIUS

H. SEELYE, D.D., LL.D., President of Amherst College.-This is a very good statement of the main objections thatcan be raised against the Darwinian theory in the compassof twenty pages. It is divided into two parts-Facts andPrinciples. The Facts succinctly given are these :-Notransmutation of species has ever yet been observed ; thegeological record gives no evidence of transmutation ofspecies, and, so far as it can be read, simple organisms arepersistent, whilst highly complex organisms, presumablybetter fitted to maintain the struggle for existence, havedied out; natural selection cannot account for the changeswhich it is assumed to produce-as, for example, the pro-duction of mammary glands ; the law of hybridity con-tradicts the hypothesis; lastly, gradation should not beconfounded with progress, and does not imply a develop-ment. The Principles discuss the Author and Ruler of

nature, design in nature, and species in nature. The

objections that are urged have all been admitted anddiscussed by Darwin himself, but it is well to have them

clearly put by an able writer, for it is certain the last wordhas not yet been said on the " Origin of Species." The

pamphlet is stated to have been specially written for"Johnson’s Universal Cyclopaedia." and "Johnson’s NaturalHistory."

Vorlesungen iiber Akiurgie. Von Dr. BERNHARD VONLANGENBECK, weiland Wirkl. Geh. Rath und Professor.Mit Benutzung Hinterlassener Manuscripte. Herausgegebenvon Dr. TH. GLUCK, Professor der Chirurgie in Berlin.Berlin: Hirschwald.—If any memorial of the greatGerman surgeon were needed to perpetuate his memory,probably none could be better than this bulky volume whichnow lies before us. Langenbeck was undoubtedly a great

surgeon, and he has left his mark on many departments ofscientific work. But his "bent" lay especially in the direc-tion of operative surgery, and by far the most numerous ofhis many publications were descriptions and criticisms ofnew methods of operating. As an operator he was exceed-ingly calm and self-possessed, and showed no agitationwhile performing the most hazardous operations. In earlydays he was a pupil of Astley Cooper; and, brought up amidthe traditions of that great school of surgery, he witnessedthe two great surgical revolutions-the anaesthetic and the-antiseptic. The lectures which Dr. Gluck has edited are

chiefly of value as being the outcome of the very large andripe experience of a great operator.Medical and Surgical Directory of the United States.

R. L. Polk and Co., New York.—Through the courtesy ofMessrs. J. B. Lippincott and Co., Philadelphia, we havebeen favoured with a copy of the first edition of this exten-sive and valuable work. The volume, which contains over1400 pages, contains a list of physicians and surgeonsarranged by States, with school practised, post-office address,population and location, date and college of graduation, allthe existing and extinct medical colleges in the UnitedStates and Canada, a synopsis of the laws of registration, adescriptive sketch of each state and territory, statistics, anaccount of all the best known mineral springs, and full par-ticulars of all national associations and societies relating tomedicine and surgery. Considering the number of namesand mass of information contained in the volume, its com-pilation must have been a work of immense labour. Those

responsible for its appearance are, however, to be congratu-lated on the success they have achieved in producing aDirectory which, while naturally of paramount utility in theNew World, is yet of very great value in the Old.Mediterranean Winter Resorts. A Practical Handbook

to the Principal Health and Pleasure Resorts on the Shoresof the Mediterranean. By E. A. REYNOLDS BALL. With27 Illustrations. Pp. 237. London : L. Upcott Gill. 1888.-This is intended as a guide-book for the large class of

persons who desire to winter in a more genial climate thanwe enjoy in England. It therefore does not contain muchinformation specially adapted for professional readers,although it gives a fair general account of the climate ofthe various health resorts. The details respecting themeans of reaching these, the accommodation to be found atthem, the expense of living, and the various kinds of

occupation and amusement available at them will doubtlessbe found useful by those who are in search of a desirablewinter abode. In addition to the Mediterranean resorts afull account is given of Cairo, which enjoys the advantageof a very dry winter, with the drawbacks of a great range oftemperature, and the reputation of being the most expensiveMediterranean (?) winter station for invalids.The Perfect Clinical Chart.—Messrs. Danielsson and Co.,

who have done much to facilitate the graphic record ofclinical notes, send us a clinical chart, which has beendevised by Dr. R. G. Patteson. It does not materiallydiffer from most similar charts in vogue, the chief additions

being the introduction of columns for noting the conditionof the tongue, bowels, skin, &c. The small amount of

space necessarily allotted to these points will, we fear,detract from the utility of the chart, which in other respects.is very well fitted for its purpose. The same firm haveadded to their series of clinical figures some well-executeddiagrams for recording ophthalmoscopic, rhinoseopic, andlaryngoscopic observations.

Smith’s Physicians and Surgeons’ Visiting List, Dicery,Almanack, and Book, of Engagements for 1889. Forty-third year. London: Hazell, Watson, and Viney.-Thiswell-known and much-used Visiting List again presentsitself for notice. It has served the profession for forty-three years, and seems quite likely to hold its gronnd.It is beautifully got up, and contains the usual list ofuseful tables of reference.