Royal Navy and Army Medical Services

18u BR 'r7 *MdZD'tLtX19TJJorOUR(L NTAVAL ANDA MILITARY 'MEDICAL SERVICES. [JuY ', 1903 service on these various occasions lie received the fourth class of the Prussian Order of the Crown, the Hessian Cross, and ROYAL NAVY AND ARMY MEDICAL SERVICES. the German war medal; while Atcllin brought him anotlher cross medal and clasp, and the Turko-Servian war the Order ROYAL NAVY AIEDICAL SERVICE. of Takovo. On returning finally to England he exhibited the REGULATIONS FOR THE ENTRY OF SURGEONS FOR TEMPORARY same activity as lie had done elsewhere, giving most of his SERVICE IN THE MEDICAL DEPARTMENT. spare time to the pursuit of literature. Among other work IT is announced that "Surgeons who maybe temporarily he published a translation' of Professor Roser's Chir2urgico- employed in the Royal Navy to meet the requirements of the Anatomisches Vade Mecumn and Professor Ecker's Die Himin- service will be appointed under the following regulations": des Menschen. He was a Fellow of thie Linnean and wvindunyen Qualifications. Zoological Societies, and conitributed a good mallypapers to tlle To be of pure European descent and the son eitler of natural born Transactions of the former Society, to the Magazine of Natural British subjects, or of palents naturalized in the United Kingdom. To History, to Brain, and other scientific jourinals. He was a be registered under the Medical Acts as qualified to practise medicine member of the British Medical Association, and a Fellow of and sulgery in Great Britain and Ireland. To produce certificates of good clharacter (up to date). To be reported plhysically fit after mliedical the Medico-Chirurgical Society and the Society of Anatomists. examiiinatioln. Age not to exceed 4o years. DAVID JAMES LAWSON, M.D., D.P.H. Pay anid Allowances. Full pay, 22S. a day. Half-pay, for sickness and extra leave only, ios. a WE much regret to chronicle the very suddeni and unlooked day. To be granited tlhirty days ad.'ance of pay on joining a ship after -for. death of Dr. LAWSON, of Portland. He had attended the appointiiment. To receive the samiie allowances as are payable to per- Assizes at Dorchester on the morning of June 6tlh, and after manent officers of their rank. Uniform to be Provided by each Sergeon.-Frock coat, waistcoat, and leaving the court fell forward on the pavement in the street, trousers. Undress coat. Uniforimi cap. Mess jacket and waistcoat. and died in a few minutes. Sword and undress belt. All as specified in the Uniform Regulations. David James Lawson was a graduate of the University An equipment allowance of £20 will be payable on an officer being called up for active service. of Edinburgh. He obtained the degrees of M.B. and C.M. in Messing.-Surgeons will be allowed, wlhen attached to slhips on commis- 1885, and of M.D. in i889, and the Diploma of Public Health sion, the ordinary naval ration * but will lhave to pay about 2s. a day from the University of Cambridge in I896. He had practised towards the maintenance of their mess as wardroom officers. in for and at time Portland seventeeni years, the of his death Pensions for Wounds and to Widows, etc. was Poor-law Medical Officer, Public Vaccinator, and Medical Unmarried candidates will be preferred. In the event of surgeons Officer of Health for the Island, and also Admiralty Surgeon engaged for temporary service being wounded in His Majesty's service, and Agent, Certifying Factory Surgeon, Surgeon to the gratuities or pensions, varying in amount according to the injuries sus- tained, will be granted on the basis of the awards in similar cases of naval Trinity Board, Surgeon to the Royal Portland Dispensary, officers. and Surgeon Captain to the ist Dorset Volunteer Artillery. Should temporary surgeons be killed in action, die within six months Devoted to and skilful in his profession, affable and kind of wounds received in action, or meet their deaths by acts of the euemy, the following pensions and allowances vill be granted to their widows, in disposition, strictly honourable, considerate for others, childrein, etc.: good and true in all things, he had won the affection and WTidows' Pensions.-If surgeon be killed in action £8o, and in addition esteem of the inlhabitants of Portland, and his sudden death one year's pay of their lhusband's corresponding rank in the Royal Navy canme upon them as one of personal bereavemeint. -£225 ios.-as a gratuity. If surgeon be drowned, etc., by acts of the enemy, £65. A memorial service was held at St. Johins ChurCh1 on Children's Pensions, up to the Age of 18 for Boys and 21 for Girls.-If June ioth, and, followed by a large number of mourners, surgeon be killed in action, £12 to £i6, and each unmarried child under past hundreds of bare-headed people, whose tear-stained the age of 21 one-third of the gr-atuity paid to the widow. If the sur-geon be drowned, etc., by acts of the enemy, £mo to £14. In the case of widowed faces evidenced their grief. and distress, his body was coii- miiothers dependent on their sons, if the latter left no widows or children, -veyed to the railway station en route for Scotland, the inter- and orplhan sisters dependent on their brothers, if the latter left no ment taking place at Blackford, near Perth. mothers, widows, or children, and the surgeon be killed or drowned or suffered violent death by acts of the enemy, a pension of £50 Will be Dr. Lawson leaves a widow and two young children, and granted. was 43 years of age. No pension or gratuity can be given on account of injury or death, whicil mlay result frolmi carrying on the ordinary duties of the service. DEATHS IN THE PROFESSION ABROAD.-Among the members Conditions of Service. of the medical profession in foreign countries who have re- To engage for six months certain, but thie liability to serve will be cently died are: Dr. John P. Bryson, of Saint Louis, a limited to five years. To serve wlhen and where required. To be liable to iimmiiiediate dischalge for miiisconduct or incompetency. To rank with, prominent specialist in genito-urinary diseases and one of the but after, surgeons in the perm-anent service. To be under the general founders of America Medicine; Dr. I. N. Love, of New York, rules of the service as regards discipline, etc. To receive two calendar sometime Professor of Clinical Medicine and Diseases of months' notice of services being no longer required. To be granted a gratuity of two calendar miionths' pay on discharge, if not dischlarged for Children in the Marion-Sims College of Medicinie, Saint misconduct or incompetency. Voluntar-y resignation of appointment Louis, President of the Section of Children's Diseases in the will be allowed subject to the convenience of the service, but the gratuity American Medical Association in I889, and founder and editor of two calendar months' pay or discharge will be thereby forfeited. till his death of the Medical Mirror, aged 49; and Dr. Monfils, one of the founders of the-Belgian Medical Federation. DEFECTS IN EXISTING CONDITIONS OF SERVICE. MR. GERALD SICHEL, F.R.C.S.Eng., F.C.S., etc., late Surgeon in H.M. Navy THlE LATE DR. THOS. SMA-LLIORN.-A dedicatory service was and late Assistant Instructor at the Naval Medical School at Haslar held last week at the parish Church of Eynsham, Oxford- addressed from Guy's Hospital on June 24th a letter to the First Lord of the Admiralty, of which a copy is printed below. In forwarding the letter shire, on the occasion of the unveiling of the memorial Mr. Sichel has sent also another letter from himself for publication in window whielh has been placed in the ehureh in commemora- this JOURNAL, but as the two letters virtually cover the same ground tion of the life alid work of the late Dr. Tlhos. Smallhorn. The only a summary of special parts of the second need be given. Mr. Sichel, service was choral, and was attended by a large congregation having now left the service, has no interest in its improvement except as a taxpayer and member of the medical profession, but in taking up the drawn from Eynsham, Sutton, Stantoni Harcourt, Han- question he is fulfilling a viltual promise made to several brother officers borough, Freeland, and Northmoor. The movement to per- who knew that he was about to leave them. The needforreform is patent jpetuate in some way the memory of Dr. Smallhorn met with to all those acquainted with the subject, and is evidenced by the falling- off in the number of candidates. It was, indeed, admitted by the First so much favour among all classes, that the original idea of Lord in a speech in March at Haslar, but whether the Admiralty is pre- simply placing tlhree coloured lights in the chancel gave pared to take reform in hand frankly, honestly, and efficiently is another place to that of building the present very beautiful window. matter. The cry is not for increased pay, but for such transformation as shall make the navy offer a satisfactory career to able men with a proper At the foot is an inscription which reads: "To the glory of amount of ambition and energy. At present the Royal Army Medical God,, and in loving memory of Thomas Smallhorn, for thirty- Corps offers much better prospects to candidates. seven years medical practitioner of this district, who died The letter to the First Lord reads as follows: February 1902, aged *63, this window is affectionately " I had the honour of being present, as a surgeon in the Royal Navy, 9th, when you made your important speech at Haslar on March 3mst last, dedicated by his grateful friends and patients." in which you stated that you were only too glad, and so were your colleagues, to welcome suggestions for the solutions of problems. FRENCH SURGICAL AsSOCIATION.-The Frenclh Surgical " This statement and my earnest desire to benefit both the Royal Navy Association' will hold its sixteenth annual meeting in Paris and the medical profession form my only excuse for writing to you like this. on October Igth and following days under the presidency of " In order that the Naval Medical Service should become efficient, it is Dr. Clharles Perier. The following two questions are pro- absolutely necessary that it should afford a self-respecting career to the p,Qsed for discussionl:-(i) Tumours of the brain (to be intro- majority, and to the ambitious a greater prospect of honour than is at present the case. dueed by M. Duret, of Lille); (2) exclusion of intestine (to be "In order to attain this much-desired end, I would venture to iintroduce4 by M. Hartmann, of, Paris). The General Secre- humbly suggest that we should be given much more control over our fary is M: Lucien Picque, 8i, Rue Saint Lazare, Paris. own affairs than we have now. J-ETLY i18, 103.]I NAVAL AND MILITARY MEDICAL SERVICES. [TxzLBaJU L t75

"Individual responsibility slhould be encouraged, even among the most VOLUNTEER RIFLES. 3unior of us. SURGEON-LIEUTENANT-COLONEL T. H. AGNEW, ist Volunteer Battalion "To bean inspector-general is our ambition, and it is dislheartening the King's (Liverpool Regiment), and Surgeon-Major W. J. LAWRIE, and humiliating to us juniors to see these officers-ranking as they do M.D., 2ndVolunteer Battalion the Royal Scots Fusiliers, resign their vitlh rear-admirals-forced to sit under the presidency of a post-captain, commissions, July ixth. or even a commander, at medical surveys, whiclh are held for purely The uudermiientioned Surgeon-Lieutenants are promoted to be Surgeon- medical purposes. Captains, dated July ith: W. G. GALLETLY, M.B., 4th Volunteer "If we are ever to have the entire confidence and respect of tlle sick- Battalion the Norfolk Regiment, W. B. ARMSTRONG, M.B., ist Dumbarton- berth staff, we must have-at all events in hospitals-complete control shire. and authority both as regards their training-professional and discip- Surgeon-Captain R. J. PATON, M.D., 2nd Volunteer Battalion the Soutl linary,-promotion, and, where necessary, punishment. In our own Wales Borderers, to be Surgeon-Major, July iith. ranks ve much desire more speedy promotion to level us up witlh otlher Mr. DANIEL J. THOMAS is appointed Surgeon-Lieutenant, in the branches. The question of war promotion, almost purely a question of 3rd Volunteer Battalion the Soutlh Wales Borderers, July iith. chance, wants serious reconsideration. It is most important to note that Surgeon-Lieutenants A. T. F. BROWN and H. J. BRYAN, 4tll Volunteer we do not ask for increased pay, but, as even in this respect we compare Battalion the Queen's Own (Royal West Kent Regiment) to be Surgeon- badly with the army, it is doubly desirable that steps be taken to render Captains, June 6th. our Service more attractive in other ways. In short, although they will Surgeon-Lieutenant C. C. HEYWOOD,'M.B., 2nd Volunteer Battalion the cost the country nothing, drastic changes in olganization are necessary. Manchester Regiment, resigns his commission, and is appointed Lieu- "That the confidence of the medical profession generally is much tenant, July iith. shaken in the navy is evidenced by the results of the entrance examina- Mr. GEORGE P. CRARER, M.B., to be Surgeon-Lieutenant in the 2nd tions during the past three years. Volunteer Battalion the Gordon Highlanders, July iitlh. " The appointment of an official Advisory Board would do well to restore this confidence, and moreover be of great assistauce in the entire re- organization which is necessary and bound to come before tlle Royal ROYAL ARMY MEDICAL CORPS (VOLUNTEERS) Navy attracts the desirable class of candidates. LIEUTENANT J. F. WRIGHT, the Manchester Companies, to bel Captain " I have been a surgeon for 8- years, and for years have watched and July IIth. waited in vain for the inevitable clhanges wlhlcli8g are bound to, and still have not, come." VOLUNTEER INFANTRY BRIGADE. In reply to this Mr. Siclhel received a note stating that it had been SURGEON-MAJOR F. J. KNOWLES, 2nd Volunteer Battalion the Prince handed to the Secretary of the Admiralty. Wales's Volunteers (the Soutlh Lancashire Regiment) to be Senior Medical Officer Soutlh Lancashire Brigade, July iith. APPOINTMENTS. THE following appointments have been made at the Admiralty: WILLIAM VOLUNTEER INFANTRY BRIGADE BEARER COMPANY. SPRY, Staff Surgeon, to the Boscaweaz, July 28th; EDWARD B. PICKTHORN, MR. FREDERICK B. JEFFERIES to be Lieutenant in the Sussex and Kent Staff Surgeon, and ERNEST F. ELLIS, Surgeon, to the Monftagit, July 28tlh Coii1pany, July xith. SAMUEL IL. WOODS, B.A., M.D., Surgeon, to the Gleaner, July 28tll JAMES J. WALSH, M.B., Staff Surgeon, and IL. B. SIMPSON, Surgeon, to VOLUNTEER OFFICERS' DECORATION the Kentf, August ist. CORRECTION.-In tlhe notification of the awards of the Volunteer Officers' Decoration, which appeared in tlle London Gazette of June 3oth, Surgeon- AN ANNUAL DINNER? Lieutenant-Colonel F. J. WALKER, M.D., should be slhown as belonging to STAFF-SURGEON W. H. S. STALKARTT, M.D., F.R.C.S.E., R.N., writes: Many thle 3rd Volunteer Battalion the Lincolnshire Regiment. will admit that the expression " an age of diuners " may niot inaptly be applied to the present time, perlhaps more so tlhani at any previous period. For how much is it the custom of all societies, institutions, INSTRUCTIONS TO MEDICAL OFFICERS OF BRIGADE CAMPS. etc., to meet annually at the festive board ; or, again, for those wlio BRIGADE-SURGEON-LIEUTENANT-COLONEL PHILIP E. HILL, V.D., Senior have been associated together at some noted event to celebrate its Medical Officer of the South Wales Border Volunteer Infantry Brigade, anniversary in that manner. To tlle above the Royal Navy Medical has issued very complete instructions to the medical officers of the Service would appear an exception. The institution of an anuual brigade, which should go far to ensure the efficient working of the dinner in connexion with the Medical Service of the Royal Navy would, medical arrangements during thc camp at Towyn-on-Sea. The brigade I am sure, meet with favour. Such gatherings lhave a miiore important field hospital will be in charge of Surgeon-Lieutenant-Colonel S. B. Mason, result than the one of social pleasure. A spirit of calmaraderie is engen- V.D., with Surgeon-Captain C. E. Humplireys to assist him. Surgeon- dered and esprit de corps fostered to the benefit of the Service. Captain J. Howard Jones, M.D., is appointed Sanitar-y Officer. The details for duty in the lhospital will be furnislhed by tlhe brigade bearer company which is under the command of Major J. W. Davies. The reference to the ROYAL ARMY MEDICAL CORPS. various paragraphs of the regulations forthe medical services is given for LIEUTENANT F. W. W. DAWSON, from the Seconded List, to be Lieu- the duties of each medical officer, whether in charge of the hospltal or of tenant, June ist. He was seconded on January 3ist last, wllile a the bearer company, on duty with troops or actlng as orderly medical Lieutenant on probation. officer. This is a very useful addition to the instructions, and one which Lieutenant-Colonel A. E. J. CROBY, from tlle Seconded List, to be will be appreciated by the nmedical officers, who would otherwise have to Lieutenant-Colonel, July 7tll. He has been serving as Surgeon to Lord searlch through the regulations to find what was specially applicable-to Northcote, Governor of Bomiibay. their particular duties. We note that the officers of the Brigade Bearer Lieutenant-Colonel A. W. BROWNE, half-pay, retires on retired pay, Company are described as officers of the R.A.M.C.(Vols.); this is surely July 25th. He was appointed Surgeon, August 5th, 2877; Surgeon-Major, somewhat preemature, to say the least. August 3rd, I889; was granted the rank of Lieutenant-Colonel, August 5th, I897; and made Brigade-Surgeon-Lieutenant-Colonel, November 20th, I899. He was placed on half-pay, July I4tl, I900. He served in the THE MAIDSTONE COMPANIES R.A.M.C. Afghan war in I878-80, including the actions at Ahmed Kliel and Urzoo THE Director-General -of the Army Medical Department, Sir William (medal with clasp), and in the Soudan Campaign in I884 (medal and Taylor, K.C.B., inspected the Maidstone Companies of the R.A.M.C.(Vols.) Khedive's bronze star). on June 24th. These companies seut 151 men to the front during the war, Lieutenants C. H. CARR, M.D., E. BENNETT, F. P. LAUDER, A. C. ADDER- and were marched on to parade 210 strong by their commanding officer, LEY, J. TOBIN, and H. E. WESTON, whose first commissions date from Major C. Pye Oliver, M.D., the other officers present being Lieutenant May 30th, I9oo, are promoted to be Captains, May 30th, 1903. Rogers-Tillstone, Lieutenant Fry, and Captain and Quartermaster Saveall. Lieutenant K. C. EDWARDS resigns his commission, July x5th. He was There were about 40 non-commissioned officers also on parade, of whom appointed Lieutenant, on probation, January 3Ist, 1903. the seniors were Sergeant-Instructols Fowler and Harris. The Director- Captain JOSEPH McARDLE, M.D., died at Khartoum on June x6th. He General, who was accompanied by Colonel Leake, P.M.O. of the Thames was appointed Surgeon-Lieutenant, July 28tll, I897, and Captain three District, and Colonel Wilson, of the Head Quarters Staff, arrived on- the years thereafter. He was in the Soudan campaign in 2898, receiving the parade ground about 3 p.m., after which the companies with their trans- British and Egyptian medals. He liad been serving with the Egyptian port marched past, headed by the drum and fife band. army since January 2ISt, 1899. On conclusion of the inspection the Director-General distributed Surgeon-Major THOMAS CAREY died at Hove on June 2nd. He joined as sundr-y medals and clasps, and then addressed the men. He referred to Assistant-Surgeon, January 24th, I851; became Surgeon, Jalnuary 26tli, the services of the company in the war, and regretted, he said, the delay I858 ; and Surgeon-Major, January 3ISt, 1872; retiring from the service, which had occurred in serving out medals; but it was a long and trouble- February 6th, I874. He served in the Persian war in 2856-7, including the some task to ascertain the different engagements at which each man had capture of Reshire, the surrender of Bushire, and battle of Kooshat been present and the clasps to whicll he was in consequence entitled. He, (medal with clasp). He was also in the Indian Mutiny campaign, and was however, hoped that the rolls would soon be complete. He was glad to present in numerous actions with the rebels, including the first relief of be able to congratulate Major Pye Oliver on the appearance of the men Lucknow and the defence of Cawnpore, where he was severely wounded and the smart intelligence witlh which they had gone through their work. (medal with clasp, and a years' service for Lucknow). Major Oliver, he knew, was anxious for an increase of the establishment, but it must be remembered that the sanction of such increase did not li1 entirely in the hands of the Medical Department of the War Office. Per- ExcHANGE. sonally, he wished the detachment every success, and hoped that it The charge for inselting notices respecting Exchanges in the Army Medical would prosper and progress as much in the future as in had in the past. Department is 38. 6d., which should be fortwarded in stamps or post-office order with the notice, not later than Wednesday morning, in order to enure MEDALS FOR SERVICE IN AFRICA. insertion in the current issue. AN army order recently issued announced that the King has been pleased FIELD OFFICER, R.A.M.C., wishes an exchange to India this trooping to extend the "West African Medal," with clasp, to the Imperial atd season. For particulars address No. 3,29I BRITISH MEDICAL JOURNAL Colonial forces employed in the Munshi and Kaduna Expeditions, igoo Office. those already in possession of the West African medal receiving a clasp only. ARMY MEDICAL RESERVE. The African General Service Medal, with clasp, " N. Nigeria, 1902," is SURGEON-CAPTAIN P. B. BENTLIF to be Surgeon-Major, July iith. also granted to the forces engaged in the Bornu and Kontagora Expe- ditions, 1902. ' ROYAL GARRISON ARTILLERY (VOLUNTEERS). THE PRINCIPAL MEDICAL OFFICER, DUBLIN. SURGEoN-LIEUTENANT J. R. BIBBY, M.B., ISt Gloucestershire, to be Sur- ON July ioth Lieutenant-Colonel Dormau, C.M.G., R.A.M.C., was enter- geon-Captain, July 1ith. taIned at dinner at the Shelbourne Hotel by the officers of the Royal Surgeon-Lieutenant G. S. J. BOYD, Ist Gloucestershire, and Surgeon-Cap- Army Medical Corps and civil surgeons of Dublin Garrison-prior to his tain J. A. CORNETT, ist Lancashire, resign their commissions, July 1ith. transfer to Bermuda. X76 MT=CBALRJoUmmI] MEDICO-LEGAL AND MEDICO ETHICAL. [JULY 18, 1903.

Colonel Dorman has been Principal Medical Officer, Dublin District must be borne in mind that there are no consultants in the town, that ktaff for nearly a year, and it was the unanimous wish of the officers and all the medical men are general practitioners, and that Mrs. C. wags civil surgeons serving under him that his departur e slhould be' attended: determined to have a change of doctor; if she had not called in Dr. B. by some mark of their esteem and their appreciation', of the kind and she would have called in someone else. considerate way in which he had carried out the duties. of his office. *** We hold the opinion very strongly that a medical practitioner who Every avaibable officer and civil surgeon of the garrison was present. After the toast of "The King," that-of "Our Guest" was proposed in a has been called in consultation should not supersede the original mediical' few well-chosen words by Lieutenant J. G. MacNeece, and was received in attendant in the treatment of the same illness unless this is done So at a manner worthy of the occasion, Colonel Dormer replied in a happy Ihis request. If the patient had accepted Dr. A.'s offer to ask Dr. B. to and feeling speech. go to her, this condition would have been fulfilled, but this does not appear to have been done, and therefore Dr. B. should not lhave taken over the case without ascertaining directly from Dr. A. that he was per- MEDICO-LEGAL AND MEDICO-ETHICAL. fectly willing to give up the case to him. THE TRANSATLANTIC SPIDER AND THE ENGLISH DOMESTIC FLY. WE have received from a member of the Association the following copy R.S.O.-(x) We can see no objection to our correspondent taking-a con- of a letter sent to one of is domestic servants who had apparently on sulting-lroom and putting up a plate in tlle town. It is not unusual to some occasion consulted the " Institute " - put the consulting hours thereon, and to do so is no breach, of medical Dear Patient,-We beg to inform you that your treatment will expire etiquette, although it is in our opinion better to put nothing upon the in a short time, and while we -feel confident you wish to continue the door-plate except the name. (2) If a patient is not at the time under same until the good results already obtained have been brought to a the care of any medical practitioner he is free to consult any one he- successful issue and you are -permanently cured, still we wish to avoid pleases, and the practitioner so consulted may give his services without- any misunderstanding' rdgarding the continuance, and therefore write any reference to ony other medical practitioner who may have attendea you thus early that you may remit the fee of 21S., SO that the treatment the patient in a previous illness. will continue without any interruption. You have undoubtedly received considerable benefit from the treat- G. P. sends us a copy of a circular sent to the medical professio6i in the'. ment already given you, but we have found by our broad experience that neighbourhood by one who is about to start as an ophthalmic surgeOn in cases such as yours it sometimes requires two, and occasionally three and desires the medical profession to know his intentions anid his. months to completely eradicate the disease, and restore the patient to qualifications for the post. As the gentleman in question appears. to: perfect healtlh. The treatment is peculiar in that it works quietly and possess the proper training and experience to practise in this depart- surely. You may think that it is having no palticular effect, but after mnent of surgery, he is in our opinion justified in sending this circular faithfully following it you will wake up some day feeling like a new being, to his professional colleagues, all the more as the place in question is and you will wqnder where the disease has gone. one in whiclh it would be almost iinpossible to convey the informat'ion We are imiaking a very careful study of your case, and you may rest in any otlher way. We are sorry to see, however, that lie speaks: of assured that we will do everything in our power to bring about a perfect "putting a card in such lay papers as circulate in districts likely t>, cure, in the very shortest possible space of time. Our physicians and be intelested in the matter," which, he says, is " in conformity with specialists are selected with the greatest care and are eminently fitted to custom " and "not considered unprofessional" in that couutry. It, diagnose and prescribe for you. Our remedies are prepared for each must be understood that this is a distant colony, in wlhich methods' particular case. Our physicians write a prescription, and it is filled in may be sanctioned by professional opinion differenit fromn those that. our laboratory under the direction of the most expert chemists that it is prevail here, and we consider that the local Branchi would be a better possible for mioney.to secure. Our physicians and specialists are paid a of his professional conduct than we can be. large salary, and are paid according to the number of patients they cure judge monthly, so that yon can readily'see that it is to their financial advan tage to cure the patients in the shortest possible length of time. Com- M.B.-We should recommend our correspondent to consult his solicitor, mon sense teaches that a man who has spent his liie in treating a par as it is not possible to advise without a full knowledge of all the facts. ticular disease, who has treated and curedthousands of people of this disease, should know more about it than a man who perhaps never IOW TO COMMENCE PRACTICE AS A SPECIALIST. treated more than a dozen patients for this complaint in his life. MIRROR asks how he may commence practice as a specialist in a district We have specialists for almost every disease.- These specialists are where there is no one engaged in this particular branch. May he call treating and studying the disease which they treat day in and day out. the medical men, and write to those whom he is u4able to see? Thus you see we can give you expert advice and treatment. Were you to upon apply to any competent specialist for similar treatment, he would charge *** We see no objection to the proposed plan. you from 15S. to XI per day for his services. Our treatment is absolutely harmless. No poisonous drugs or mninerals are left in the system that CERTIFYING FACTORY SURGEONS AND MEDICAL ATTENDANCE. might in a few years weaken it and produce prematur'e decay. PERSIA writes: R. is certifying factory surgeon (Scotland). An accident The basis of our treatment is a building-up process. We study the happens to a young woman when at work in a mill; the mill manager needs of every organ of the body, and give such treatment as will restore sends for R., without asking the woman, a patient of X., wlho is,e the organs to their normal condition. 'Our treatment builds up the doctor or whom she wishes; R. stitches the cut and attends until the body, creates new life, new nerve force, and if taken systematically will woman resumes her work. NoW (I) as certifying factoiry surgeon must positively cure every curable disease. We absolutely guarantee this. We R. be sent for to all accidents occurring in themlillsI (2) Is it his'right will forfeit L200 in gold' for any case that we'cannot cure, that can be to treat and attend all such cases, even although tlhey are patientp of etfred by any one else. the other practitioner?' (3) Would X. be correct in niotifying the mill In ordering the next month's treatment kindly use the enclosed order owners or managers that R. has no right to be sent for to trelit any of blank and fill out the enclosed- symptomn blank, that our specialists may X.'s patients who may meet with accidents in the inills? (4) Ought R. review your case as it is at the present time and prescribe accordingly. to have intimated the accident to X., who has since been infornied' by Your symptoms may have entirely changed since you filled the last the patient that she would rather X. had attended, buit did not know symptom blank, so be sure and send a new one. how to act? R. knew that the woman was a patienit of X. We trust you will see the importance of attending to this matter *** (i) Only for the purpose of conducting the necessary investiga- promptly tlhat tlhere may be no interruption in your treatment. We shall consider it a great accommodation if you will let us hear from you tion. (2) A certifying surgeon, as such, has nothing to do with treat- witliin a few days, so that our physicians will have plenty of time to ment. It is, however, not uncommon for an employer to engage thki study your,case in detail before prescribing for you. factory surgeon to attend to persons injured at his works. (3) X. would Most cordially yours, be correct in the that he was not entitled to. THos. F. ADKIN, Pres. scarcely notifying employer The letter. is accompanied by an "order blank" and a long list of provide free medical attendance of any kind for his hands, or to select questions called "'symptom blank." Among the questions we notice his own practitioner for the work. There is no obligation on the: this, " Please give us the name of the newspaper or magazine in which injured person'to accept the attendance provided should he or she you saw. our advertisemgent." The system pursued by these geI4tlemen is and the usual attendant. If the evidently to advertise in English newspapers and magazines, the columns prefer to engage pay family (4) patient, of the halfpenny daily press being especially full of such contributions desired X. to attend her, her duty was to have intimated the fact' toR., to the publisher's exchequer; and, should any one be so foolish as to and then transferred herself to the care of X. R. could n9t be con- commnence correspondence, every effort is no doubt made to maintain the sidered as under any actual obligation to advise X. of his atteuda;nce, hold thus acquired. though, if on friendly terms, it might have been taken asan act of courtesy if the fact had been mentioned. MEDICAL ETIQUETTE.' M.R.C.S. sends us the following statement: Dr. A. and Dr. B. are two general practitioners in a small town where no consultant resides. 'Mrs.. PURCHASING A PRACTICE. C. has-been a patient of Dr. A.'s 'for years. 'The question of operation H.E.D.-As we understand our correspondent, he is hound to collect the. having arisen, Mrs. C. wislhes to have the operlation at home and that outstanding accounts, otherwise we should advise him to have nothing Dr.'B. should help. She is'over-ruled by Dr. A., who wishes her to go as to do with them. We can .see no objection to his sending to eachi a private patient into hospital',- *here he will operate and be 'assisted by patient in his piactice a letter to say what fees in future he intends to iis colleagues. After retUrfitgtnMh-erhIoXne aud being still treated by charge, but he ti3ght not to comment upon the charges of his prede- Dr. A., Dr. B. wa,s called,in consultation. Dr. B. saw her twice with Dr. cessor or'to institute any comparison: he may leave that to be done by A., and a third time gave an anaesthetfe wliile Dr. A. curetted the the patients themselves. He should be carelul to brinig his feesinto. uterus, biut did not see' her again until, at' the end of two and a half line with those of the otlher medical practitioAers -in the town, o3 he miionths, Mrs. C. sent him a message to see her. On calling he was t ld 'may be accused of desiring to undersell, them ; and he mnit not seald talat Dr. A. had failed to give relief in Mrs. C.'s case, and tllat she had the letter to an'y one who is not bona fide a patient of his. told him that she wished other advice. He agreed and askdd whom she wislicd tohliave, to which she replied ' Dr. ." Dr. A. replied that1Dr. B. would probably be the best to consult and said that Dr. B. had sue- -DOCTORS AND CHEMISTS. cceded in cases wlhere lhe (Dr. A.) lhad failbd and viee versa, anid offered J.S.N.-Our iorrespondent uses private formulae in prescidbing to whicli to send word to Dr. B. asking--him--to--go there, but lie more'stron'gly one chemist only has the key. He complains that a prescription was. -advised 1-er to go to one of tlle larger cities and consult some higher dispensed by another chemist with unsatisfactory results to the patient,. autlhority. All tlis being related to Dr. B. by the patient, he had no and he asks whethier either- he or the patient has a ground of legal. hesitationi in undertakilng the .' e. Was it wrong for Dr. B. tlius to. action for damages. This is a matter on -which our correspondent take on the tredtmemit of a pai ouit whom he had seen two and a half -should consult a solicitor; but, so far as we caln judge, hewotld have to mIlonths previously in consultation ?- ' In considering this question It sh'w tlhatthe chemist failed to exercist due care and skill;