Fellowship of Medicine and Post-GraduateMedical Association

I, WaIMLE STRmxT, LONDON, W. I. Telephone-LANGHAM 4266.

PRESIDENT:The Rt. Hon. LORD HoRDER, G.C.V.O., M.D., F.R.C.P.

CHAIRMAN OF EXECUTIVE:HERBERT J. PATERSON, C.B.E., M.C.

HONORARY TREASURER:J. Swirr JOLY, F.R.C.S.

HONORARY SECRETARIES:H. V. MORLOCK, M.C., M.D.DAVID LEvI, M.S.

HONORARY EDITOR:ERNEST FLETCHER, M.B., M.R.C.P.

ASSISTANT HONORAR Y EDITOR:

RONALD W. RAVEN, F.R.C.S.

EXECUTIVE COMMITTEE, 1937-1938 -

LEONARD FINDLAY, M.D., F.R.C.P.KENNETH HERITAGE, M.S.ROBERT HUTCHISON, M.D., F.R.C.P.J. P. LOCKHART-MUMMERY, F.R.C.S.

J. M. WOODBURN MORISON,M.D., F.R.C.P.

B. T. PARSONS-SMITH, M.D., F.R.C.P.CHARLES READ, F.R.C.S., M.C.O.G.

SECRETARY:Mona L. Worth. ., ;

(Office Hours: 10 a.m. to 5.30 Pm.Saturdays I0.0 a.m. to 12.30 p.m.)

I',;,.

The Post-Graduate Medical Journal is the official organ of the Pellowship of Medicine and Post-Graduate Medical Association.

Notice to Subscribers.See special Blue Form inset in centre of Joural.

Notice to Contributors.The Journal is intended for the publication of matter of special interest to the Post-Graduate. The

substance of Lectures (either abridged or in extenso) as well as Reports of cases demonstrated to Post-Graduatestudents are specially invited.

Communications submitted for publication must be type-written. All illustrations should be in the formof positive prints with specific directions regarding their position in the text. Communications published b1cethe property of the Joumal and permission to re-publish must be obtained from the Editor.

Contributors will be supplied with one galley-proof; an allowance of ten shillings per sheet of 16 pagesis made for corrections. Each contributor is entitled to if separate copies of his artidce if the article Wmore than one contributor the fifty copies are divded among them). Extra copies may be bad from tihprinter at a moderate charge.

All cormspondenc regarding the Journal must be addressed to the Honorary Editor, Fllowship ofMedicine, i Wimpole Street, WV.., except that dealing with advertisements and business matters, which shou4ltbe addressed to the Business Manager, Fellowship of Medicine and Post-Graduate Medical J ,4o4, Grand Buildings, Trafalgar Square, W.C.2. (Tel.: Abbey 6988).

asmt-1ratuatt UMaI ohrnalLONDON: FEBRUARY I, I939.

Traumatic and Industrial Surgery.During recent years traumatic and industrial surgery has come to occupy an

important place in our activities consequent on the increasing mechanisation ofindustry and the development of methods of transportation. The majority ofinjuries must be regarded from both the medical and legal points of view. TheDecember (I938) number of the American Journal of Surgery contains a helpfulsymposium on this aspect of surgery and an effort has been made to clarify relation-ships involved through workmen's compensation and medico-legal problems ingeneral. There are many useful contributions to this symposium and reference willbe made to several of them.

G. L. Marston deals with medical reports and a perusal of his paper willcertainly lead to an improvement in the type of medical report which is furnishedto insurance companies by the medical profession in compensation cases.

A useful contribution is made by E. O'Dunne on " Medical Experts asWitnesses" and there are many practical points which will prove of value to themedical expert who testifies in court. Cerebro-cranial injuries are considered insome details. G. W. Swift, describes the conservative treatment of such injuriesand states that shock is the first and most important factor to control. Later treat-ment includes the prevention of post-traumatic neurosis which, he states, shouldnever be allowed to develop. Psychoses associated with cerebro-cranial injuriesare the direct result of brain damage and cannot be prevented. Practicalconsiderations in the treatment of these head injuries are dealt withby K. W. Ney. Fractures of the' jaw and facial disfigurement are dealtwith in two papers and the authors call attention to the value of simplicityof treatment with complete reduction and fixation. It is stated that compoundfractures of the lower jaw should be drained by external incision. With mostinjuries of the soft tissue it is better to allow the wound to heal spontaneously. Aninteresting resume is given concerning abdominal catastrophes resulting fromexternal violence. There is a belief in some quarters that trauma can producedisease; others admit that trauma may aggravate pre-existing disease and othersdeny that any relationship exists between injury and disease. The contributionof H. H. Kessler on traumatic appendicitis is therefore of interest: he takes theview that it is highly improbable that trauma can initiate appendicitis and he givescertain criteria which must be satisfied before such a view can be accepted.

Full consideration is given in this symposium to problems connected withinjuries of the back. J. D. Ellis discusses in detail the examination of these cases.He states that no special test for malingering is necessary for patients cannot, onrepeated examination, maintain the limitations of movement and definite signs ofthe various injuries consistently. M. Edwards discusses injuries of the coccyxand coccygodynia and calls attention to the need of care in the interpretation ofphysical signs and radiological findings in these cases. He also states that con-servative measures should be persisted with for longer periods than is generallythe practice as excision frequently fails to effect a cure.

Injuries of the hand are considered in three useful articles. F. B. MacMillandeals with injuries to the carpal bones and describes a method of reduction andsplintage of carpal fractures which gives excellent results. T. W. Harmerstresses the importance of giving attention to details in the treatment of handinjuries. Fractures of the bones of the upper and lower extremities are consideredand W. R. Brewster states that internal fixation is the method of choice in dealingwith fractures of the neck of the femur and intertrochanteric fractures. L. Mayerdeals with certain details in connection with the repair of severed tendons andquotes Alexis Carrell-" Master of surgical technique " who stated that he con-sidered the restoration of function to damaged finger tendons the most difficult ofsurgical problems.

An interesting paper is contributed on gas gangrene in which the authors haveclarified the bacteriological principles underlying this disease. The various formsof treatment are enumerated and attention is drawn to the necessity of making anearly- diagnosis.

The practical surgeon and all who are interested in this important branch ofmedical practice will find much of value in this volume.

Centenary of the Medical Press and Circular.The Medical Press and Circular was founded in Dublin by Dr. Arthur Jacob

in January, I839 under the title of the Dublin Medical Press. At the time of itsfoundation the profession was entirely unorganized and Dr. Jacob a distinguishedanatomist and ophthalmologist whose name is still associated with " Jacob's ulcer"and " Jacob's membrane," was one of the first men to see the need for organization.

To mark its Centenary-celebrated socially last month in an appropriatemanner-Dr. Robert J. Rowlette, who was for many years Irish Editor, has writtena most interesting history of the Journal and its development and has woven intohis account the medical history of the times.

Medical politics have always played a large part in the editorial policy of theMedical Press and Circular, but in recent years especially, the Journal hasprovided in concise and authoritative articles the latest accepted methods ofdiagnosis and treatment, and has continued to occupy a useful and influential placeamong current medical periodical literature.

FELLOWSHIP OF MEDICINE DEBATE:STATE MEDICAL SERVICE.

A debate on the motion " That the institution of a whole-time State MedicalService would be in the interests of the Nation's Health" will be held on Friday,March 24th, at 8.30 p.m., in the Botanical Theatre, University College, GowerStreet, W.C.i.

Mr. Somerville Hastings, M.P., F.R.C.S., will propose the motion, which willbe seconded by Dr. D. Stark Murray. Sir Henry Brackenbury, M.D., will opposethe motion, supported by Dr. Frank Gray.

Attendance will be restricted to members of the medical profession, andadmission will be by ticket (until March ist issued only to Members and Associatesof the. Fellowship of Medicine, in priority of application). Application should bemade to the Fellowship of Medicine, i, Wimpole Street, W.i.

February, 193934 POST-GRADUATE MEDICAL JOURNAL

General Post-Graduate News.It should be noted that instruction arranged by the Fellowship of Medicine is open only toMembers and Associates unless otherwise stated. A copy of each detailed syllabus is sent toevery Member and Associate. Information regarding the various Courses can always beobtained from the Office daily between 10 a.m. and 5.30 p.m. and on Saturdays between 10 a.m.and 12.30 p.m. (Telephone: Langham 4266.)

To ensure admission or to avoid cancellation of the Courses application must be made by thedate given on each syUabus.

POST-GRADUATEW COURSES, 1939.Dermatology: February 1 to February 28. St. John's Hospital. Aftemoons. Fee £1 Is. Od.

(Practical Pathology arranged, fee £4 4s. Od.).Chest and Heart Diseases (week-end): February 4 and February 5. London Chest Hospital.

All day Saturday and Sunday. Fee £11ils. 6d.Proctology: February 6 to February 11. Gordon Hospital. All day. Fee £3 3s. Od.Children's Diseases (suitable for D.C.H.): February 20 to February 25. The Infants' Hospital.

All day. Fee £3 3s. Od. (Limited to 20).M.R.C.P.: February 21 to March 9. St. Mary's Hospital. Tuesdays and Thursdays at 8.0 p.m.

Clinical and Pathological. Fee £6 6s. Od. (Limited to 24).M.R.C.P. (Chest): February 27 to March 25. Brompton Hospital. Two afternoons weekly,

5.15 p.m. Fee £3 13s. 6d. (Limited to 6 per class).Medicine, Surgery and Gynaecology: February 27 to March 11. Royal Waterloo Hospital.

All day. Fee £3 3s. Od.Thoracic Surgery: March 2 to April 27. British Legion Headquarters, Eccleston Square, S.W.1.

Thursdays at 8.30 p.m. Lecture Demonstrations on Surgery of the Heart andLungs. Fee £2 12s. 6d.

M.R.C.P. (Chest and Heart): March 6 to March 24. Royal Chest Hospital. Mondays,Wednesdays and Fridays, at 8.0 p.m. Fee £4 14s. 6d. (£5 15s. 6d. to Non-Members).

Proctology: March 6 to March 11. St. Mark's Hospital. All day. Fee £3 3s. Od.F.R.C.S. (Final): Tuesdays, March 14 to May 2; Thursdays, March 16 to May 4 (excluding

Easter holidays). Two separate Courses at 8.0 p.m. St. Mary's Hospital. Clinicaland Pathological. Fee £7 7s. Od. each Course. (Limited to 30 per Course).

M.RC.P. (Tuberculosis): March 18. Preston Hall, Maidstone. All day, 11.0 a.m. to 5.0 p.m.Fee lOs. 6d. (Limited to 8). Demonstration will be repeated on March 25, ifsufficient applications.

Urology (week-end): March 18 and 19. All Saints' Hospital. All day Saturday and Sunday.Fee £1 lls. 6d.

Ophthalmology: March 20 to March 31. Royal Eye Hospital. Afternoons. Fee £1 Is. Od.Gynsecology (suitable for M.C.O.G. or D.C.O.G.): March 20 to April 1. Chelsea Hospital for

Women. All day. Fee £5 5s. Od. (Limited to 20).M.R.C.P. (Neurology): March 20 to March 31. West End Hospital for Nervous Diseases.

Aftemoons. Fee £3 lOs. Od. (Limited to 10).Fevers (week-end): March 25 and March 26. Park Hospital. All day Saturday and Sunday.

Fee £1 s. 6d.M.R.C.P. (Fundus Oculi): March 28. West End Hospital for Nervous Diseases. 8.30 p.m.

Fee 15s. 6d. (Limited to 12).Children's Diseases (week-end): April 1 and April 2. Princess Elizabeth of York Hospital.

All day Saturday and Sunday. Fee £1 lls. 6d.

Febmary, 1939 GENERAL POST-GRADUATE NEWS 35

STANDING ARRANGEMENTS.

Ansthetics: Practical tuition for a fortnight or a month can be arranged. Limited to twoPost-Graduates at a time.

Children's Diseases: The Hospital for Sick Children, Great Ormond Street. Three terms of tento twelve Weeks Instruction consists of out-patient work every morning in generalmedicine and surgery, and in the special skin, ophthalmic, and ear, nose and throatdepartments Ward Visits in the afternoons, and on Thursday a special lecturefrom 2.0 to 3.0 p.m., followed by clinical pathology from 3.0 to 4.0 p.m. Fees:One week, £1 lls. 6d.; two weeks, £3 3s.; one month, £5 5s.; two months,£7 17s. 6d.; three months or the full term, £10 1Os. Special courses in PracticalPathology, consisting of six demonstrations, fee £3 3s. Tickets and full informa-tion may be obtained from the Fellowship of Medicine. (Open to non-Members).

Chest: CLINICAL AssISTANTSHIPS: Brompton Hospital. Tenable for 3 months; eligiblefor re-appointment. Candidates (men or women) will be attached to anIn-Patient Physician and the corresponding Out-Patient Physician, to a Surgeonand/or to a Member of the Staff in charge of any Special Dept. They will beresponsible for the performance of their duties to the Members of the Hon. Staff towhom they are attached, and may be required to undertake any special workwhich is considered desirable. Fees £5 5s. per 3 months or portion thereof. (Opento non-Members).

Venereal Diseas: London Lock Hospital, 91, Dean Street, W.l. Clinical instruction isavailable throughout the year. Fee £2 2s. Od. per month. Application shouldbe made to the Dean of the Hospital.

Welicome Museum of Medical Science: 183, Euston Road, N.W.1. Open daily 10.0 a.m. to5.30 p.m. (Saturdays 10.0 to 12.30 p.m.) The whole range of medicine is set outin this museum, illustrated by drawings, charts and specimens. A copy of theguide-book and an introduction card may be obtained from the Fellowshipof Medicine.

Panel of Teachers: Details of the daily clinics may be obtained from the Fellowship ofMedicine. Fee 5/- per clinic.

Ships Surgeons: Residential facilities available between voyages for those serving, or whohave served, as Ship Surgeon to observe daily practice in wards and specialdepartments of " Dreadnought " Hospital, Greenwich. No fees, nominal chargefor board-residence. Apply the Secretary, Seamen's Hospital Society, Green-wich, S.E.10.

A new and enlarged edition of the Guide Book, giving details of how to reach the variousLondon Hospitals by tube, tran, or 'bus can now be obtained from the Fellowship. Price 6d.(Members and Associates, 3d.).

36 POST-GRADUATE MEDICAL JOURNAL February, 1939

February, 1939 MISCELLANEOUS 67

better guidl, to practical routine ClinicalPathology. The preparation and examina-tion of blood films, blood-cell counting,counting blood platelets, estimation of co-agulation time, agglutination tests, theWassermann reaction, blood chemistry-totake a few examples-are described andillustrated with admirable clarity.The subject matter is remarkably up-to-

date. Tests which in recent years haveproved of real practical value are presentedwith the same care and lucidity as the older,well-known procedures. The account of thepregnancy test of Friedman, with its beauti-ful coloured plate and other illustrations, isparticularly helpful. Nowhere have we seenbetter instruction, from the student's pointof view, of the staining and counting ofreticulocytes, the blood sedimentation rate,blood typing, or tests for protein hyper-sensitiveness.The book covers the whole field of

Clinical Pathology, including the commoner

biochemical investigations. There areexcellent chapters, for instance, on bloodchemistry, tests for liver function, renalfunction tests, and the examination ofgastric contents. The practitioner will findall he need know of the application oflaboratory methods to medicine.

Physicians are more interested in thenature of -the pathological changes which thevarious laboratory procedures may reveal,and the interpretation of the results of suchinvestigations, than in the, minutia oftechnique. The book is unusually helpful inthis respect.

In every section the information is attrac-tively presented. We have nothing butpraise for the unusually fine illustrations;they have been chosen with care and are amost important feature. This work, by anart too subtle, to be analysed, must revealto any student the great fascination ofclinical pathology. We believe it will havean enthusiastic reception.

Miscellaneous.This Section deals with New Drugs, Preparations, Surgical Instruments, etc. The description of each article issupplied by the Producer. Particulars regarding insertions, which are free of cost, may be obtained from theBusiness Manager, Fellowship of Medicine and Post-Graduate Journal, 404, Grand Buildtngs, W.C.2.

The new home of Benger'., Food Ltd. isat Holmes Chapel-some 25 miles south of

Manchester. This new fac-Benger's tory has been built to provideFood accommodation for the manu-Limited. facture of new pharmaceutical

and medical products. Themain frontal portion of the buildingcontains on the ground floor, stockroom, despatch and printing departmentsand on the upper floor, executive andgeneral offices, laboratory and board room,The manufacturing processes and packingof Benger's Food and other specialities arecarried out in the rear portion of the fac-tory. Among the features of the manufac-turing section are the glazed white tiles,which surface the walls from ground toceiling-an introduction which makes forbrightness and cleanliness-the loftiness andspaciousness of all departments, the modemdecorations and lighting and the red tiledfloor which is laid throughout.

Messrs. Benger's Food Ltd. welcome thevisit of members of the Medical Professionwho may be passing, at any time between

the hours of 10 and 12, and 2 and 4 o'clock.Holmes Chapel is on the main road fromthe Potteries to Manchester.

For Bronchitis, Asthma, Emphysema andBronchiectasis adjuvant in the treatment of

sequaJle of Influenza Messrs.Wilcox Wilcox Jozeau market EupnineJozeau Vernade in a palatable stable

solution containing 10 percent. of caffeine iodide.Eupnine Vemade is the original product

which exerts an intense action onthe respiratory tract, stimulating the bron-chial secretion and facilitating expectora-tion. It regulates and strengthens theheart, contracts the blood vessels of thesplanchnic area, but dilates those of theheart and lung. Thus, although there islittle nett change in the blood pressure, thecirculation of the blood through the lungsis stimulated, thereby mitigating stasis.Eupnuine Vernade also exerts a powerfuldiuretic action, thus diminishing the strain onthe heart. An advantage is that EupnineVernade does not give rise to iodism and it

68 POST-GRADUATE MEDICAL JOURNAL February, 1939

is palatable and stable, it is effective insmall doses, thus rendering the cost oftreatment relatively low; in the small sizeit is available at 2/4 and the large size at4/-, less 10 per cent. professional discount.

" Epanutin " is a compound whichwhilst exerting a marked anti-convulsant

action in epilepsy has rela-Parke tively little hypnotic effect.Davis Chemically, "Epanutin" is

the sodium salt of 5.5 diphenylhydantoin, and it is analogous to the bar-biturates, being a derivative of glycolyl ureawhereas the barbiturates are associated withmalonvl urea. It is an odourless, white orcream-coloured powder, soluble in water,and has a bitter taste.

In clinical experiments* "Epanutin" hasbeen shown to prevent, or greatly decrease,the incidence and severity of convulsiveseizures in a substantial percentage ofepileptics-without producing the hypnoticand narcotic effects exerted by many anti-convulsant drugs.

"Epanutin" is supplied by Parke, Davis& Company in bottles of 100 x 11 gr. cap-sules. The dosage recommended for allcases of epilepsy over six years is one cap-sule before each of the three regular meals.

*The clinical evaluation of sodium diphenylhydantoinate was the subject of a reviewby Putnam and Merrit of the HarvardMedical School and Boston City Hospital,Neurological Unit, at the annual meetingof the American Medical Association inJune 1938.

We have received from PharmaceuticalSpecialities (May & Baker) Ltd., a copy of

another publication on M. & B.M. & B. 693 693. This 16 page booklet,in Gonococal which is entitled, "M. & B.Infections 693 in Gonococcal Infec-

tions,"y is a complementarypublication to "M. & B. 693 in Pneumo-coccal Infections," and "M. & B. 693Biological and Biochemical Data."We understand from the manufacturers

that they delayed bringing "M. & B. 693"to the notice of venereologists until theywere satisfied that the use of this productmarked a real advance in the chemotherapyof that disease. This booklet which theyhave now produced represents the pooledresults of observations in over 1,000 cases.

Copies of this publication are availablemedical practitioners on request to themanufacturers at Dagenham.

LIST OF OVERSEAS MEMBERS OF THE FELLOWSHIP OFMEDICINE AT PRESENT IN ENGLAND.

(NOTE: The Fellowship of Medicine does not undertake to forward circulars.)AUSTRALIA:

Dr. D. A. ARNOT-DAVIS, c/o Bank of New South Wales, Threadneedle Street, E.C.Dr. R. M. BIGGINS, C/o E. S. & A. Bank, 5, Gracechurch Street, E.C.3.Dr. J. H. BOLTON, C/o E. S. & A. Bank, Ltd., 5, Gracechurch Street, E.C.3.Dr. G. BOWEN-THOMAS, C/o Fellowship of Medicine.Dr. R. H. BRENT, C/o Bank of New South Wales, 47, Berkeley Square, W.1.Dr. H. L. BREWER, London House, Guilford Street, W.C.1.Dr. D. OFFICER BROWN, c/o Union Bank of Australasia, 71, Cornhill, E.C.Dr. W. S. CHARLTON, C/o E. S. & A. Bank Limited, 5, Gracechurch Street, E.C.3.Dr. J. E. CLARKE, London House, Guilford Street, W.C.1.Dr. W. P. CLELAND, London House, Guilford Street, W.C.1.

H. K. LEWIS &Co. Ltd. End cal Led LibMEDICAL PUBLISHERS 3 wA N D B 0 0 K S E L L E R S ABAL SUMMIPION fmm ONE GUINEA

136 GOWER ST. FOR THE CONVENIENCE OF POST-GRADUATESTUDENTS SHORT PERIOD SUBSCRIPTIONS

LONDON, W.C.I ARE ARRANGED-FOR THREE OR SIX MONTHS(Adjoining Universi College andHoial) DBTAILD PROSPECTUS ON APPLICATION

Telephon: EUSton 4282 (5 lines) READING ROOM FOR SUBSCRIBERSTakgrams: Publicavit, Westcent, London NEW BOOKS ADDBD IMMEDIATELY ON PUBLICATION

ADVERT[SEMENIS xlii

Dr. F. M. COOPER, c/o Bank of New South 'Wales, 47, Berkeley Square, W.L.Dr. DoRn S. DAviES, c/o E. S. & A. Bank, 5, Gracechurch Street, E.C.3.Dr. H. H. EDDEtY, London House, Guilford Street, W.C.1.Dr. M. L EDWARDS, c/o Bank of New South Wales, 47, Berkeley Square, W.I.Dr. R. A. FAIRLEY, Rotunda Hospital, Dublin.Dr. E. F. FITZPATRICK, c/o Fellowship of Medicine.Dr. W. R. GAYTON, c/o Bagk of New South Wales, Berkeley Square, WI.Dr. R. C. GEEVES, C/o Bnk of New South Wales, Berkeley Square, W.I.Dr. W. C. GLEDHILL, c/o E. S. & A. Bank Ltd., 5, Gracechurch Street, E.C.3.Dr. B. G. HAYNES, c/o Bank of New South Wales, Berkeley Square, W1.Dr. J. I. HAYWARD, c/o Fellowship of Medicine.Dr. G H. HENRY, c/o Bank of Aistalasia, 17, Northumberland Avenue, W.C.2.Dr. W. G. HOLnSWORnK, London H , Caroline uPlae, W.C.L.Dr. LORNA D. JONuS, C/o Australia House, Strand, W.C.2.Dr. W. P. KELLY, c/o Queensland National Bank, Plinces Street, E.C.2.Dr. LEONARD LANGMORE, c/o Austrl House, Strand, W.C.2.Dr. J. F. LnPSCOMB, C/O Felowship of Medie.Dr. B. T. LovELL, c/o Bank of New South Wales, 47, Berkeley Square, W.C.1.Dr. A. McL. MILLAR, Queen Mary's Hospital, Sideup, Kent.Dr. A. E. MCGUINNESS, C/OCommonwealth Bank of Austraia, ia, House, Strand, W.C.2.Dr. Ak L. NEWSON, c/o E. S. & A. Bank, Ltd., 5, Gracechurch Street, E.C.3.Dr. R. B. PERKINS, c/O Bank of New South Wales, 47, Berkeley Square, WI.Dr. B. K. Ran, London Hous, Guilford Strwet, W.C.L.Dr. H. M. REns, cd Fellowship of Medice.Dr. H. J. B. STEPHENS, c/o British Phosphate Commissioners, 2, Grosvenor Gardens, S.W.1.Dr. A. R. TATEi, Athenaeum Court, 116, Pccadilly. W.1Dr. HzLEN M. TAYLOR, Co Bank of New South Wales, 47, Berkeley Square, WI.Dr. E. B. THOMAS, cfo National Bank of Australasa, A ia House, Strand, W.C.2.Dr. H. M. TnmIowAN, cjo Felowship of Medicine.Dr. F. L. TRINKn, C/o Bank of New South Wales, Berkeley Square, W.1.Dr. J. GLrN WHITE, c/o Fellowship of Medicine.Dr. KATHLEEN WINNtNG, c/o Commonwealth Bank of Austraia, Strand, W.C.2.,Dr. J. McR. YRATES, British Postgraduate Medial School, Ducane Road, W.12.

WNADA:Dr. B. M. a c/o Cian. c o Co , 2, Lomard Stree, E.C.3.Jr.H. J ANDERSON, Ldon Hone, Guio Ste W.C.1.Dr S. G. BALDWIN, l/o Canada House, Trafalgar Square, S.W.1.Dr. G. S. BARfR, c/o Fellowship of Medicine.Dr. A. P. C. CRARK c/o Feowship of Mdicine.Dr. H. o. COLMAN, C/O Royal Ak of Canad spu Street, S.W.1.Dr. M. M. GOwLAND, c/o Canada Hon-e, Trafalgar Squ, S.W.1.Dr. C. B. GRnAxH, 135, Queens Court,. Queensway, W.2.Dr. F. W. GRAVER, C/O Fellowship of Medie.Dr. E. G. HARKNESS, C/O Canada Houe, Trafalgar Squae, S.W.1.Dr. E. S. JAMEs, c/0 Fellwship of MedicineDr. Huox MI. MacoMsoN, London,Ho, Gid Stet W.C.Dr. C. R. RaP, 40, Quensborough Tr W.2.Dr. M. S. K. RUDD, Earl's Coine, S toa.Ahns Rd, Reigate, Surrey.Dr. H. P. SWAN, Peter's Court, Po he Road, W.2.Dr. ROGER WILSON, C/O Fiellowship of MedicieDr. S. ADRIAN YArn, c/o Canada EHous, Traf r Square, S.W.1.

CONNAUGHT CLU B,75,-SYMOI* UET, MARBLE ARCH, W.L

This aub provida a H t for Bed and Bed-Sitng room ar avalMedical m-V whoIr or able and the Club Housei s

, o0 Londo eztenve wih IDnRooDs. ibh easy tlich Sr Room, ngRomd.

Ros ::i:-*:dRoom , Room'.i . ee.dTgObGaU5SOO5. etc...X

THE SECTAMY W4L SEMD FUL PnCULS OR MEET CAERShfdn"m:-u he obtained frm -the ELLOWSHIP OF MEDICINE, I, WIMPOLE STRlEET, WI.'

xiv ADVERTISEMENTS

INDIA:Dr. H. R. RISHWORTH, c/o Fellowship of Medicine.

NEW ZEALAND:Dr. A. C. BELFIELD, c/o 415, Strand, W.C.2.Dr. MARGARET A. BIRKS, c/o Bank of Australasia, 17, Northumberland Avenue, W.C.2.Dr. H. J. GAUDIN, c/o Commercial Bank of Autralia, 17, Moorgate, E.C.2.Dr. D. W. GUTHRIE, C/o 415, Strand, W C.2.Dr. C. B. INNES, cdo 415, Strand, W.C.2.Dr. R. J. McGILL, 12, Norfolk Square, W.2.Dr. W. M. PLATTS, C/o 415, Strand, W.42.2.Dr. G. L. M. SCHOLEFIELD, c/o Fellowship of Medicine.Dr. B. G. SPIERS, C/o Bank of New Zealand, 1, Queen Victoria Street, E.C.4.Dr. R. R. TALBOT, c/o National Bank of Australasia, Australia House, Strand, W.C.2.Dr. K. R. THoMAS, c/o Bank of New Zealand, 1, Queen Victoria Street, E.C.4.Dr. R. F. THOMAS, c/o 415, Strand, W.C.2.Dr. A. K. TULLOCH, Cdo 415, Strand, W.;C.2.Dr. MARY WATSON, dCo 415, Strand, W.C.2.Dr. J. D. WILLIS, c/O Bank of New South Wales, Berkeley Square, W.1.

SOUTH AFRICA:Dr. J. ABELSOHN, c/o Standard Bank of South Africa, 9, Northumberland Avenue, W.C,2.Dr. PHILIP BEINART, 5, Hatherley Court, Westbourne Grove, W.2.Dr. A. J. BERGSMA, c/o Barclays Bank (D. C. & 0.), 1, Cockspur Street, W.C.1.Dr. H. G. G. BERNSTEIN, c/o Fellowship of Medicine.Dr. J. K. BREMER, c/O Standard Bank of South Africa, 9, Northumberland Avenue, W.C.2.Dr. J. H. DOMMISSE, London House, Caroline Place, W.CA.1.Dr. R. L. FORSYTH, c/o Standard Bank of S. Africa, 9, Northumberland Avenue, W.C.2.Dr. K. T. GOLDSWAIN, C/o Barclays Bank (D. C. & 0.), 1, Cockpur Street, W.C.1.Dr. W. HERScHELL, c/o FeUowship of -Medicine.Dr. P. MENOF, Albert Hotel, Cartwright Gardens, W.C.1.Dr. W. A. M. MILLER, c/o Standard Bank of South Africa, Ltd., 9, No:btunmberland Avenuee, W.C.2.Dr. C. T. MOLLER, c/O Standard Bank of South Africa, 10, Clements Lane, E.C.4.Dr. A. RABINOWITZ, c/o Barclays Bank, 1, Cockspur Street, S.W.1.Dr. H. D. RUSKIN, 24, Clanricarde Gardens, W.2.Dr. C. A. VAN DER MERWE, c/o Standard Bank of South Africa, 9, Northumberland Avenue, W.C.2.

boo".I'Ai udIn te,

homres ofoverDelicious180 0 D c o s"T.hoo" is

somild. and pure it ~ ~ IIITEO

will not har the most 300 -to .700. samplesdelicate digestion. Ths 4 r e tdiytbecause "Ty.phoo "possessesesn dlytnone 'fthe bitter astringencywih- patients at theis so prevalent in the common coarsvarieties. drcinoFor over 30 years "Ty.phoo"' has

retained the confidence of the medi- eia ecal professilon as testified by 'the --*hundreds of letters -which:are upon

Here is one to hand:"Iapprec~aeyowr excellent tea and I recommend it

topatients in suiftble cases with complete confidence .

Sumner's Typhoo Tea Ltd.,BJtRGiM~.for a FREEg sampolet meO(hsoerapplies onyto the British Isiles. We siwmis~ p

regret *e cannot sad Ty.phoo" abroad.)