June 21,1890.] THE BRITISH MEDICAL TOURNAL. 1425 administered out of a drop bottle on the corner of a towel, spread over the child's mouth and nose and held at a little distance from the skin, so as to allow of the free admixture of air. The quantity used was la drachm. The child took the chloroform well at first, keeping a good colour and no alarming signs appeared whilst the abdomen was thoroughly explored, both externally with the hands and also by passing a soft flexible catheter into the bowel. About half a pint of soap and water was next gently injected into the bowel, the body of the child being raised. It was at this stage that the face was noticed to become blue and the breathing stopped. The chloroform was put on one side and artifioial respira- tion, inversion, flicking the chest with a wet towel, were tried without success for 35 minutes. The heart stopped abotut the same time as the respiration. Po8t-mortem Examination 48 Hours after Death.-Body well nourished, rigor mortis passing off. There was marked discolora- was greatly distended. On opening Fig. 3.-Section through the harder part of the tumour showing a tion of the abdomen, which fibrouis stroma with rounded loculi lined with columnar epithelial cells the abdomen the coils of bowel were distended. No peritonitis. and filled with other more irregularly shaped cells. The large bowel contained much fluid feacal matter, and many large cones of faecal origin were found in the descending colon. On tracing the bowel upwards no cause of obstruction was noted until the duodenum was reached. Here a band was seen passing from within outwards, over and compressing (but not occluding) MEMORANDAI the duodenum. On cutting through the band there was no sign of MEDICAL, SURGICAL, OBSTETRICAL, THERA- inflammation in the bowel. The lungs were congested, contained air. Heart walls and valves healthy. Both sides empty and con- PEUTICAL, PATHOLOGICAL, ETC. tracted. The other organs were healthy, and nothing further ab- normal was noted. Death does not seem to have been due to THE PULSE DURING CHLOROFORM ANAESTHESIA: A CASE asphyxia alone, but rather to reflex shock producing paralysis of IN POINT. the respiratory and cardiac centres. JUST at the present time it is important to compare the induc- C. F. M. ALTHOBP, M.R.C.S.Eng., M.R.C.P.Lond., tions of pharmacologists with the clinical experience of anDesthe- House-Surgeon, Bradford Infirmary. ists in regard to chloroform, and hence the following case may be of interest. NOTE ON SOME PROPERTIES OF SODIUM SILICO- On May 5th last I was administering chloroform to a boy, aged FLUORIDE. 10 years, for tooth extraction, giving it on a piece of lint in the IT is about two years since sodium silicofluoride was introduced usual way. After a few minutes, and before the operation was as an antiseptic agent, during which time it has been more or less begun, I noticed that the pulse had become very weak, and was extensively used, and yet there is little new evidence forthcoming hardly perceptible. On suspending the administration the pulse in regard to its chemical properties and physiological action. rapidly improved, and in three minutes was fairly strong; on re- Some months ago I was engaged in making a series of sterile commencing the anesthetic the phenomena were repeated. The pancreatic digestions, and after employing many of the current pulse, on which I kept my finger, quickly became slower and germicides, I determined to employ a sample of " salufer." Upon weaker, and tbere was distinct pallor on the face. Again I dis- doing so it was surprising to find that at the end of a few days the continued chloroform, and again the pulse recovered. No distinct digestions were some of-them absolutely putrid. failure of the respiration was noted. Certainly there was none The digestions were made in two ways-either a 2 per cent. corresponding in any degree to that of the heart. I now sent for solution of sodium bicarbonate was taken, and the silicofluoride ether, and in about ten minutes began to administer this with a subsequently added to saturation; or a known volume of the Clover's inhaler. The pulse immediately rose from 68 to 85, and saturated solution of sodium silicofloride was taken, and suffi- continued full and strong. Extraction was now commenced, and cient sodium carbonate added as would produce a 2 per cent. accomplished without further trouble. I am sorry I have no more solution. exact records of the pulse and respiration rates, but I can vouch for In the first case the digestion remained aseptic; in the second the main facts, and my observations are confirmed by Mr. George there was effervescence as the sodium carbonate was added, and Brunton, the dentist in this case-a gentleman of great experience the digestion became offensive at the end of a few days. In the and accuracy. I do not at all consider that there is anything first case the total fluorine was much greater, I believe, than in unique in this case; on the contrary, I believe it to be an illustra- the second, existing probably in part as fluoride of sodium, and in tion of what is familiar to those who have given a good deal of part as unaltered silicofluoride. In the second case the silico- chloroform. When I was a student I was told to watch the pulse fluoride became converted, on the addition of the sodium bicarbo- during chloroform anmsthesia, and to believe that chloroform nate, into the silicate and fluoride of sodium, and so little silico- depresses the heart more than ether, and experience does not lead fluoride remained that it was not sufficient in amount to act as a me to change my practice or belief in these particulars. germicide. J. BBNJN. HELLIBR, M.D.Lond., Lecturer on Gyna3cology It was suggested by Thomson,' who discovered the antiseptic in the Yorkshire College, Surgeon to the Leeds action of the fluorides, that surgeons who placed their knives in Hospital for Women and Children. solutions of sodium silicofluoride should add a little carbonate of soda in order to prevent corrosion of the steel. Such a procedure DEATH OF A CHILD DURING THE ADMINISTRATION OF appears, in the light of the above facts, to be more than question- CHLOROFORM. able. ON a 5 was admitted With regard to the mode in which the salt acts as an antiseptic, June 5th child, aged months, into the Brad- the following facts may prove of interest. ford Infirmary, under the care of Mr. Roberts, suffering from in- in testinal obstruction of three weeks' duration. The history was In order to preserve a 5 per cent. solution of serum albumen that there had been trouble with the bowels since birth. On a saline solution, an unmeasured quantity of sidicofluoride was previous occasion the bowels had not been moved for 14 days. added. After a few days the solution was clearer and free from 4 the child did not to in a hazy turbidity previously noticed, but no trace of proteid was On admission (June 5th, P.M.) appear be detected in the supernatant liquid. This effect I have never been pain, there was no vomiting and no sign of an acute character. solu- The abdomen was greatly distended, note on percussion was re able to reproduce in the same degree, although a saturated sonant all over, and no definite tumour was detected. tion of the salt slowly and partially precipitates serum albumen, egg albumen, and paraglobulin from their solutions. In fact, a At 7.45 P M. the same evening the child was seen by Mr. Roberts, these who had chloroform given (by the bouse surgeon) in order to saturated solution proves an exceedingly delicate test for examine the abdomen more satisfactorily. The chloroform was 1 Thomson, Brit. Assoc. Reps., 1887; Robson, JOURNAL, May 19th, 1888. 1426 THE BRITISH MBDICAL JOURNAL. lJune 21, 1890. proteids. With a saturated solution of the salt, albumen was de- tected in a sample of urine containing casts, which only gave a REPORTS reaction with trichloracetic acid on mixing, and with picric acid by ON the contact method, and which gave none on boiling with the ad- MEDICAL & SURGICAL PRACTICE IN THE HOSPITALS dition of a drop of acetic acid, nor with an equal volume of picric IRELAND, acid, nor with acid brine, nor with the cold nitric acid test. The AND ASYLUMS OF GREAT BRITAIN, worst objection to its ufse as a test is that it must be used by the AND THE COLONIES. contact method, and that the drug varies a good deal in com- position. Some specimens were acid, others neutral, and the ma- EYE, EAR AND THROAT INFIRMARY, EDINBURGII. jority alkaline. OF THB TONSIL. While the saturated aqueous solution precipitates some proteids, CASB OF SARCOMA there is yet another effect of the solid salt akin to that of certain (Under the care of G. HUNTER MACKBNZIE, M.D.) other inert powders. M. Boymond2 pointed out that the filtration R. C., aged 23 years, a shoemaker, applied at the Eye, Ear and of a solution of serum albumen through bismuth trisnitrate Throat Infirmary of Edinburgh on January 7th, 1890, on account sufficed to removed the proteid from its solution, and I find that of pain and swelling on the right side of the tbroat. lie had first upon leaving a solution of serum albumen in contact with an experienced the sensations complained of about six weeks pre- underlying fayer of fine sulphur a jelly-like layer of proteid viously. He had had no previous throat affection. He had been separates out and can be seen lying upon the sulphur, while the a hard-worked boy from the age of 14. His father had died of supernatant fluid is clear. Sodium silicofluoride appears to act tubercular disease of the lungs. in this twofold manner, and one or both of these properties ap- He was thin and pale, with a quick pulse, and had the appear- pear to me to offer a possible explanation of its antiseptic action, ance of having been neither too well fed nor too well lodged. On especially as similar precipitants of proteid-as alcohol, mercuric examination of the pharynx, the right tonsil was red and swollen, chloride, picric acid, etc.-are generally antiseptics. with a smooth surface, and a feeling of hardness on palpation. With regard to its internal administration, I can corroborate the The adjoining parts of the fauces were also red and inflamed, and results of those 3 who describe it as not so innocuous as it has been the palate in the neighbourhood of the tonsil was red, hard, and represented. A single dose of 2 grains produced in one case dis- bulging. The remainder of the pharynx was tolerably normal. comfort and nausea. A quarter of a grain thrice daily, exhibited Slight dysphagia was present, and occasional pains shot from the for some weeks, produced, however, no ill-effects. tonsil towards the right ear. There was an excess of mucous secre- It appears to me not unlikely that it may be decomposed within tion about the oro- and naso-pharynx. the body in the same way that it is by sodium carbonate, glass, The appearances were very similar to those presented by the etc., and that after absorption it is as useless as an "internal subacute inflammation of a previously enlarged tonsil, and, with germicide "' in infective disorders as it is in certain cases in the the idea and in the hope that such was the case, the bulging part laboratory. of the palate was punctured. This was followed by a moderate Leeds, E. LLOYD JONES, B.A., M.B., B.C.Camb. amount of bleeding. The patient was advised to use warm sooth- ing applications externally and internally. When next seen, about ten days subsequently, the tonsil was UNCOMPLICATED ANGINA PEUTORALIS AFTER still enlarged, but the accompanying inflammation was much less. INFLUENZA. The tonsil presented the appearance of simple hypertrophy, and the question of its removal came to be considered. It was now To the various and interesting series of sequelm to influenza re- noticed for the first time that one of the cervical glands on the corded in the JOURNAL I have to add a case of angina pectoralis, same side was slightly enlarged and hard, and, profiting by the which owes its origin to the epidemic which broke out here also experience of a somewhat similar case some years ago, it was at the end of last year.4 decided in the meantime to leave the tonsil alone. The patient On January 14th I was called to see the advocate, Mr. M., a now felt much better, and had returned to work. He was not seen again for about three weeks. strong, healthy man of 52. He had an attack of influenza of The further course of the case may thus be briefly stated: the gastric form without any catarrhal mischief in the lungs. On cervical glandular enlargement gradually became more prc- January 20th he was suddenly seized at night with a severe pain nounced and extensive; the tonsil grew larger, and its surface in the region of the heart, extending backwards to the scapula, began to slough; the palatal bulging encroached rapidly upon left shoulder, and arm, and accompanied by a sense of faintness the oral cavity, and the whole appearances indicated some malig- and of impending death by suffocation. Irregular action of the nancy, probably sarcoma. Little or no pain was complained of. heart and depression, face pallid and lips livid; anxiety occurring At this stage I had the benefit of the opinion of Dr. Heron Watson in paroxysms. Urine passed in abundance without albumen or (under whose care the patient was admitted into Chalmers Hos- sugar. The attacks came on during sleep, and were induced pital), who agreed with me that the case was one of sarcoma, and rarely by emotion or by exposure to cold air; each lasted from that, from the locality of the disease, and the extensive glandular some few minutes to half an hour, and occurred usually at an implication, any attempt at removal was contraindicated. The interval of one or two days. patient lingered on in the hospital until April 2nd, when he died The influence of the specific poison of influenza in connection of exhaustion. During his residence in the hospital the tumour with disorders of the pneumogastric and sympathetic nerves is rapidly extended forward into and almost completely filled the here conspicuous. mouth. A marked subsidence took place about a week before The case has improved very much under treatment. During the death, followed by a second and permanent enlargement. The attack sedatives, with the administration of nltrite of amyl, as glandular affection extended into the submental and left cervical recommended by Dr. Lauder Brunton, acted beneficially. During region, and on the right side an enormous glandular mass was the interval an appropriate diet and treatment was directed; the developed. Febrile symptoms were occasionally present, but only different antispasmodic and nerve tonics have been prescribed for a day or two at a time. with marked benefit. The patient, after having suffered for three Necropsy was performed twenty-four hours after death. The months, gradually improved, and finally seems now to be restored right tonsil and adjoining soft structures were infiltrated, or to health. rather supplanted, by a white, somewhat dense mass, which was Limassol. JOHN G. CARAGEORGIADES, M.D. directly continuous with a similar affection of the cervical glands. There was no line of demarcation between the tonsillar and the 2 Repertoire de Pharmacie, October 10th, 1889. glandular disease, or between these and the healthy tissues. An 3 Bokenham, JOURNAL, February 15th, 1890. examination of the specimen was made by Mr. Edington, who re- 4 See " Etude sur l'Jpid6mie d'Infiuenza dans l'lle de Chypre, pendant l'ann6e pale in colour 1889-90," par Dr. John G. Carageorgiades, in the Revue Medico-Pharmaceutique ports as follows: " On section, the tumour appeared of Constantinople, March, 1890, page 34. and firm in texture; it did not show any appearance of being divided into lobules. Examined microscopically, it was seen to be composed almost entirely of rounded cells, with little or no NOTICES Or BRANCH: MEETINGS intended for Insertion in the JOUmiLAL of the intercellular substance. Scattered throughout the tissue there current week should be forwarded, addressed to the Editor, so as to reach were seen here and there irregular masses and bands of a homo- the office not later than mid-day Wednesday of thbtwee4, geneous material, evidently the remains of a pre-existent tissue 1460 THE BRITISH MEDICAL JUURNAL. [June 21, 1890. the system. The majority of cases would be very much better LANCASHIRE AND CHESHIRE BRANCH.-The annual meeting of this Branch will be held in Manchester on Wednesday, July 2nd, at the usual hour. G sntle- treated at a general hospital than at a special one. The patients men wishing to read papers, make communicatioins, or show cases, are requested had to wait a long time, and at great inconvenience, in the out- to communicate with the Honorary Secretary at once, so that the circulars con- patient departments, and there was some danger from infection; vening the meeting may be sent out in a complete form.-CHARLES B. GLAS- that was especially dangerous at children's hospitals. He was in COTT, M.D., Honorary Secretary, 23, St. John Street, Manchester. favour of abolishing the out-patient departments of hospitals, ex- SOUTH WALES AND MONMOUTHSHIRE BRANCH.-The annual meeting will be cept the special departments. He was not quite sure that the held at Cardiff on Friday, June 27th. Further particulars in circulars.-A. immense competition between the out-patient departments of SHEEN, M.D., D. ARTHUR DAVIES, M.B., Honorary Secretaries. hospitals, the provident dispensaries, the part-pay hospitals, and the practitioners, although it had lowered the fees of the private YORKSHIRE BRANCH.-The annual meeting of this Branch will be held on practitioners, had not been a gain, because at one time those fees Wednesday, June 25th, at 3 P.M., at Leeds, when the officers of the Branch and were such as to drive persons to get free relief. Now that those the representatives of the Branch on the General Council will be elected. fees were reduced the people were coming back. He suggested a Members intending to read papers are requested to commuinicate with the very extensive inquiry into the circumstances of all applicants Secretary on or before June 15th.-ARTHUR JACKSON, Secretary, Sheffield. for relief after first relief, and that the hospital should be used for consultative cases. NORTH WALEs BRANCH.-The annual meeting will be held at Portmadoc the second week in July. Members having a paper to read, communications to Lord CATHCART: Do you accept this as the proper definition of make, or new member to propose, are requested to intimate before June 28th to a hospital: "to lodge and cure bad cases? "-No, that is not a to the Honorary Secretary, W. JONES MORRIS, Portmadoc. correct definition; a hospital is a charity, and it is to lodge and cure bad and necessitous cases. BATH AND BRISTOL BRANCH-The annual meeting of this Branelh will be Lord CATHCART: I accept your definition. held on Thursday, June 26th, at the Royal Mineral Water Hospital, Bath, at Mr. LENNOX BROWNE said he had had twenty-five years' ex- 4 30 P.r., when W. J. Fyffe, M D., will resign tlhe clhair to A. B. Brabazols, M.D., President-elect. The business of the meeting will be to receive the re- perience in connection with special hospitals. He was opposed port of the Council ; to elect the officers of the Branidh ; to transact the neces- to Sir Edmund Carrie's provident scheme, because he did not sary buisiness; and to discuss suchi subjects connected with the interest of the think that patients ought to pay in sickness and in health. The Brancl and of the profession as may be brought before it. Members having Witness in any communications for the meeting are requested to give notice of them to explained detail the system of part payment adopted the Secretaries not later than June 22nd. The Secretaries will feel obliged if at the Central London Throat and Ear Hospital, and said that it members will send them notice of any alterations in their diplomas or addresses. had paid off a loan and become absolutely solvent partly as a result Members who have not paid their subscriptions are requiested to do so imme- of the payments from patients. The cost of maintenance was diately to the local secretaries. The dinner will be held at the Grand Pump Room Hotel, Bath, at 6.30 P.M. The Bath Secretary partictularly requests that less than at many hospitals, and the average cost per bed was £80, members will inform him by Monday, June 23rd, whether it is their intentioni and not £96 as stated by the Charity Orgfnisation Society. Special to be present at the dinner. By so doing they will greatly facilitate the satis- diseases were better treated in special than general hospitals. He factory completion of the necessary arrangements.-R. J. H. SCOTT, Honorary Secretary for the Bath District, 13, Bladud Buildings, Bath; E. MARKHAM had a list showing that over 150 physicians and surgeons at SKERRITT, Honorary Secretary for the Bristol District, Thornton House, Rich- general hospitals were consulting or actual officers of special mond Hill, Clifton. hospitals. The Committee adjourned until Monday. SOUTHERN BRANCH.-The seventeenth annual meeting will take place at the Bugle Hotel, Newport, Isle of Wight, on Thursday, June 26th, 1890. The general meeting will be held at 1.15 P.M. (Refreshments will be provided between 1 and 3.) In accordance with the by-laws, two gentlemen will be elected at this meeting as representatives of the Branch on the Cosincil of the ASSOCIATION INTELLIGENCE, Association for the ensuing year. Dr. Nathan Raw: 1. Trance following In- fluenza; 2. Two Cases of Raynaud's Disease. Dr. Frederick Pearse: 1. The Employment of Traction in the Use of Midwifery Forceps, and a New Form of COUNCIL. Axis-Traction Forceps; 2. New Hypodermic Syringe. Dr. Ward Cousins: 1. NOTICE OF MEETING. The Surgical Treatmenit of Impassable Stricture of tlse Urethra; 2. New Aural A MEETING of the Council will be held in the Council Room of the Probe and Aromatic Wool for Drying and Cleansing the Ear. The annual ad- Association, at No. 429, Strand (corner of Agar Street), London, on dress will be delivered by the President-Elect (Dr. J. Groves) at 2.30 P.M. During the afternoon the members are invited to visit Carisbrooke Castle and Wednesday, the 16th day of July next, at 2 o'clock in the several places of interest in the locality. The dinner will take place at 5.30 P.m. afternoon. The Committee request that those gentlemen who intend to be present at June, 1890. FRANcIs FowxEm, General Secretary. the dinner will send in their names to Dr. J. M. Pletts, Ryde, on or before Wednesday, June 25th.-J. WARD COUSINS, Honorary Secretary and Treasurer. GRANTS FOR SCIENTIFIC RESEARCH. WEST SOMERSET BRANCH.-The annual meeting of this Branch will be held THE Scientific Grants Committee of the British Medical Associa- at the Infirmary, Bridgwater, on Thursday, July 3rd, at 3 o'clock. Mr. H. H. tion desire to remind members of the profession engaged in re- Kemmis, President-elect, will take the chair on its being vacated by Mr. Hunt. Business: Minutes; Report of Council; Treasurer's Report; Election of Officers; searches for the advancement of medicine and the allied sciences, Place of Meeting and President-elect for 1891. President's Address. Papers that they are empowered to receive applications for grants in aid and communications. The dinner will be at the Clarence Hotel at 5 o'clock. of such research. Applications for sums to be granted at the next Mr. Kemmis invites gentlemesi present on the occasion to adjourn to his house without after the dinner. The title of any paper or communication to be brought annual meeting should be made delay to the General before the meetingf and early notice of the intention of being present at the Secretary, at the office of the Association, 429, Strand, W.C. Ap- dinner should be sent to W. M. KELLY, M.D., Honorary Secretary, Tauntoni. plications must include details of the precise character and objects of the research which is proposed. NORTH OF IRELAND BRANCH.-The twelfth annual meeting will be held in of the Board Room of the Royal Hospital, Belfast. on Thursday, July 10th. Busi- Reports work done by the assistance of Association grants neas: 1. To receive the Secretary's report and the Treasurer's statement. 2. belong to the Association. To elect office-bearers for the ensuing year. 3. To appoint two members as Instruments purchased by means of grants must be returned to represenitatives of the Branch on the Council of the Association, and also two the General Secretary on the conclusion of the research in fur- members on the Parliamentary Bills Committee. 4. The President (Dr. George Gray) will deliver ani address. 5. Dr. J. A. Lindsav will show a Cancerous therance of which the grant was made. Liver, and give an account of the case. He will also read the notes of a case of Diabetes Insipidus successfully treated with Valerian. 6. Dr. Dempsey wvill BRANCH MEETINGS TO BE HELD. describe a New Method of Treating Placenta PrHcvia, and will read notes of a case. 7. Dr. H. O'Neill will read short notes of a case of Paget's Disease of the BIRMINGHAM AND MIDLAND COUNTIES BRANCH.-The annual meeting Nipple, and will show Photographs of the Breast before and after Operation. of this Branch will be held at the Medical Institute on Thurs(day, 8. Dr. Byers will give a short summary of Fourteesl Abdominal Sections, and June 26th, at 4 o'clock in the afternoon, when the ordinary business will be will show a boy, the subject of Athetosis (Post-heiniplegic Chorea). Gentlemen transacted and ani inaiigural address delivered by the President-elect of the who wish to read papers, show patients, etc., are requested to communicate, as Branch, Mr. Alfred Freer, F.R.C.S., of Stourbridge; and after the meeting the early as convenient, with tlle Honorary Secretary, JOHN W. BYERS, M.D., Lower members will dine together at the Great Western Hotel at 6.30; tickets. ex- Crescent, Belfast. clusive of wine, 6s.-ROBERT SAUNDBY, M.D. and JORDA LLOYD, F.R.C.S., Honorary Secretaries. METROPOLITAN COUNTIES BRANCH. SEOPSHIRE AND MID-WALES BRANCH.-The annual meeting of this Branch THE thirty-eighth annual meeting of this Branch was held at the will be held at the Salop Infirmary on Tuesday, June 24th, at 3 P.M. Papers Holborn Restaurant, on Tuesday, June 10th, at 5.30 P.M. The will be resd by Mr. Bennett May, Dr. Charnley, etc. After the meeting the chair was taken by the retiring President, Dr. W. Al. ORD, who annual dinner will be held; tickets, exclusive of wine, 6s. Members having afterwards it to his Sir any papers to read or communications to make will kindly give notice, on or resigned successor, William Mac Cormac. before Saturday, June 14th, to the Honorary Secretary, J. ALLEN BRATTON, The minutes of the previous meeting of the Branch were read and College Hill House, Shremwsbury. confirmed. 1451 June 21, 1890.11890.) THE BBITISH MEDICAL JOUBNAL.

Report of Council.-Dr. RADCLIFFE CROCKER, one of the hono- financial report.-Mr. BUTLIN proposed and Dr. CLEVELAND rary secretaries, read the report, which stated that 80 new members seconded, and it was resolved: "That the Treasurer's report be had been elected, and 81 had been lost by death and resignation, received, adopted, and entered on the minutes, and that the best leaving the number at present a few short of 1,200. Among the thanks of the Branch be given to Mr. Sibley for the able and members who died during the year were Dr. J. B. Caskie, Mr. W. efficient manner in which he has discharged the duties of J. Coulson, Dr. L. T. Cumberbatch, Mr. G. Fenton, Mr. J. J. Gawith, Treasurer during the past year."-M1r. SIBLEY acknowledged the Mr. E. A. Jones. Mr. John Norton, Dr. Charles Royston, Mr. E. vote of thanks. Sandwell, Mr. Haynes Walton, and Dr. Walter Pearce. All had Vote of Thanks to Retiring President.-The PRESIDBNT, in done good work and many had served upon the Council in former resigniDg the chair, thanked the Secretaries, members of Council, years. The question of facilities for granting medical degrees to and others for their cordial assistance and support during his London medical studentshad not bepn lost sight of and the Council year of office, and Sir WILI.IAM MACCORMAC then took the chair were prepared to continue their efforts in this direction until a as the new President of the Branch.-Dr. WALTBR DICKsoN pro- satisfactory result had been obtained. A twelvemonth ago it was posed and Dr. DICKINSON seconded, and it was unanimously generally expected that the annual meeting of the Association resolved: "That the cordial thanks of the Branch be given to Dr. would be held this year in London. Certain difficulties arose, and W. M. Ord for his efficient and courteous conduct as President it was finally determined to postpone the invitation for the pre- during the year, and especially for his able and judicious guidance sent. Otherwise the Council were convinced that the support and assistance in the consideration of those matters of professional promised them was more than sufficient to insure a most success- importance which have been brought under the notice of the ful meeting, and that this branch, under the presidency of Sir Branch."-Dr. ORD returned thanks for the vote. William Mac Cormac, would have taken a leading position in the President's Address.-Sir WILLIAM MAC CORMAC delivered an entertainment of the Association. With respect to Dr. Rentoul's address.-Mr. SIBLEY proposed and Dr. OSWALD seconded, and it resolutions, in accordance with a resolution passed at the annual was unanimously resolved: "That the best thanks of the meeting meeting of the Association at Leeds, in 1889, the Council of the are due and are hereby tendered to the President for his inte- Association instituted inquiries into the subject of these resolu- resting address."-The PRESIDENT acknowledged the vote of tions, and the Metropolitan Counties Branch, as well as the other thanks. Branches, was requested to obtain thf opinion of its members upon Letter from the Charity Organisation Society.-A letter was the points brought forward by Dr. Rentoul. At a meeting of the then read from the Charity Organisation Society asking for Branch Council, held on October 30th, 1889, a committee was assistance in regard to the choice of evidence before the Select formed for the purpose of making arrangements for a general meet- Committee of the House of Lords now sitting on the Manage- ing of the Branch. The district secretaries were in the meantime ment of the Metropolitan Medical Charities. As the matter was to hold meetings and obtain the views of the members of their dis- urgent, it was decided to leave it in the hands of the President tricts. Dr. Hunt forwarded an important analysis of answers and Secretaries of the Branch. which he received to a circular sent out, and valuable information Dinner.-A report of the dinner was published in the JOURNAL was supplied by otber secretaries. At a general meeting held at of June 14th at page 1392. the Royal School of Minep, on December 12th last, the subject was freely discussed, and several resolutions were passed, which had already been published in the JOURNAL. The general opinion of METROPOLITAN COUNTIES BRANCH: EAST LONDON AND the members was to a great extent in sympathy with Dr. Rentoul's SOUTH ESSEX DISTRICT. wishes, while they felt that several of the resolutions which he THE annual meeting of this District was held at the Royal Forest proposed were impracticable. The good work done by the district Hotel, Chingford, on Thursday, June 5th. secretaries and the value and interest of the meetings held during Officers and Committee.-After the usual formal business, the the year were then referred to, and regret was expressed that Mr. following gentlemen were elected officers of the District:- Vice- Noble Smith, who had filled the office of secretary during the last President: C. T. Aveling, M.D., Upper Clapton. Representative on three years with conspicuous diligence and ability, had found it the Council of the Branch: Mr. Percy Warner, Woodford. Honor- necessary to resign the duty.-On the proposal of Mr. BRINDLEY ary Secretary: J. W. Hunt, M.D., 101, Queen's Road, Dalston, N.E. JAME,S, seconded by Dr. HOOPER MAY, the report was unanimously Committee: Mr. J. Adams, Aldersgate Street; J. 0. Adams, M.D., received, adopted, and directed to be entered on the minutes. Upper Clapton; Mr. G. Birch, Lower Clapton; Mr. W. B. Colquhoun, Vote of Thanks to Mr. Noble Smith. On Mr. Noble Smith for- Stoke NewinRton Common; A. Robinson, M.D., Mile End Infirm- mally resigning the post of Secretary. the PRESIDENT alluded in ary; C. H. Wise, M.D., Waltbamstow. graceful terms to his services; and Dr. CLEVELAND proposed: Vote of Thanks to President.-A cordial vote of thanks to the "' That our most sincere thanks be presented to Mr. Noble Smith President (Dr. Ord) for presiding and for his uniform courtesy for the zeal and ability displayed in the performance of the duties during his term of office brought the meeting to a close. to the num- of his offlce."- Dr. BRODIE SEWELL seconded the proposition, After the meeting the members and the visitors, ber of dined Dr. who was in the chair, which was carried unanimously. - Mr. NOBLE SMITH returned thirty-seven, together, Ord, thanks. being supported by Sir W. Roberts, Sir W. kfac Cormac, Drs. Election of Officers.-The result of the ballot for the election Brodie Sewell, Bridgwater, Bristowe, Dickson, and Hare, past of officers and Council and of representatives of the Branch on Presidents. the Council of the Association was as follows:-President: Sir William MacCormac. President-Elect: W. F. Cleveland, M.D. SOUTH-WESTERN BRANCH. Vice-Presidents: William Ord, M.D.; Stephen Mackenzie, M.D.; THE fifty-first annua! meeting of the South-Western Branch was was W. 0. Priestley, M.D.; C. Brodie Sewell. M.D. Treasurer: Septi- held on May 21st, at the Ilfracombe Hotel, Ilfracombe, and and fifty members. Before the meeting mus W. Sibley. Secretaries: H. Radcliffe Crocker, M.D.; Andrew attended by between forty Clark. Eighteen Ordinary Members of Council (the names to the members were hospitably entertained at luncheon at the hotel which an asterisk is prefixed are those of members nominated in by Dr. E. Slade-King, President-elect. place of thirteen who retire): *G Buckston Browne; Thomas B. General Meeting.-The general meeting was held at 2P.M.,when Crosby, M.D.; W. Howship Dickinson, M.D.; *A. Forsyth, M.D.; the chair was taken by the President, Mr. W. PBARSB. It was *Rickman J. Godlee; *A. Pearce Gould; F. De Havilland Hall; resolved that the minutes of the last annual meeting at Bodmin, *W. Cubitt Lucey, M.D.; Brigade-Surgeon A. B. R. Myers; *Thos. of the intermediate meeting at Plymouth. and of the extraordinary Vere Nicoll; *Joseph H. Philpot, D.D.; *Sir William Roberts, meeting at Exeter, be taken as read.-The PRESIDENT then in a M.D.; *William Rose; St. Clair B. Shadwell; *R. Percy Smith, fow words expressed the pleasure which his year of office had M.D.; *E. Noble Smith; *George H. Savage, M.D.; *Frederick afforded him, and in resigning the chair introduced his successor, Taylor, M.D. Representatives of the Branch in the Council of the Dr. E. Slade-King. Association; J. Syer Bristowe, M.D.; Henry T. Butlin; H. Rad- Vote of Thanks to the Retiring President.-Mr. SoMER (Broad- cliffe Crocker, M.D. (ex officio); George Eastes, M.B.; Septimus W. clyst) proposed that a hearty vote of thanks be accorded to Mr. Sibley; Noble Smith; Frederick Wallace. Pearse for his conduct in the chair during the past year.-This Notice of Motion.-Mr. BUTLIN gave notice that he would at was seconded by Dr. DEAS, and carried by acclamation. the next meeting of Council bring forward a motion relative to President's Address.-The PRESIDENT then delivered his in- the method of election of officers. address, which was devoted to a discuesion of the pro- augural and of children is -Treasurer's. " " Renort.-Mr.,. ---- SIBLEY (Treasurer) presented the--- position: "That the physical condition training 14,52 THfE BRITISH MEDICAL JOURNAL. [June 21, 1890. a department of State medicine worthy the attention of the State." cord, producing aphonia. Six years previously the man had lost -Mr. FORTESCUE WEBB (Dawlish) moved: "That the best thanks his voice and never recovered it. He came under treatment in of the meeting be accorded to Dr. Slade-King, for his very able, September, 1889, for a troublesome cough. With the laryngoscope, instructive, and suggestive address."-This was seconded by Mr. E. a small rounded tumour was seen protruding from below through J. DOMV'ILLE (iExeter), who remarked that there could be but one the vocal cords, preventing their approximation. This was ulti- feeling in their minds regarding Dr. Slade-King's address, namely, mately entirely removed with a pair of Mackenzie's antero-pos- that the light of common sensehad been thrown upon the subject terior forceps, specially made of unusual lengtb. The growth was of the management of our schools.-Dr. DEAs put the motion to removed on December 24th last, with the result of some imme- the meeting, and it was carried by acclamation. diate improvement in the voice. On May 12th there was no ap- Report of Branch Council.-The PRESIDENT called on the HONO- pearance whatever of recurrence, and both the speaking and sing- RARY SECRETARY to read the annual report of the Branch ing voice were greatly improved. Mr. Square advised those Council. The report stated that there had been no falling off in attempting to remove an intra-laryngeal growth to accustom the the number of members. The present number on the roll was 219, patient to repeated examination, to use a strong solution of three more than at the date of last annual meeting, and the cocaine freely with a laryngeal brush, to order a pair of forceps largest number yet reached. Twenty-one new members had which exactly suited the particular case, to avail themselves of joined, of whom 16 were already members of the parent Associa- strong sunlight and to use no traction with the forceps until they tion. Four had died, among whom had passed away, at a ripe could distinctly see in the mirror that they had hold of the part -old age, only within the last two months, Mr. William Pollard, to be removed.-Mr. C. H. WADE (Chudleigh) reported a case of F.R.C.S., of Torquay, a former president of the Branch, who, prac- Post-partum Eclampsia, presenting some unusual and peculiar tising in Torquay for nearly fifty years, made himself respected features. and beloved both socially and professionally. Fourteen members Drive.-After the meeting, chlar-.i-bancs were provided by the had resigned, the majority from leaving the district. The finances President for a drive along the beautiful coast to Watermouth and of the Branch were in a satisfactory condition, the balance in Combemartin. hand having increased during the past year from £30 7s. 3d. to Annual Dinner.-The annual dinner was subsequently held, £39 14s. 7d. The annual meeting at Bodmin, which was also the which was numerously attended. jubilee of the Branch, was largely attended and most successful Excursion.-On the following day a number of miiembers joined in every way. A special feature was the excursion on the day a driving excursion to Lynton, where they were received by Dr. after the meeting, which promised to become a regular institu- Berry, who after showing them the beauties of the place, and also tion-at any rate, when the annual meeting was held in the more a very complete cottage hospital, hospitably entertained those distant parts of the district. A successful intermediate meeting present at luncheon at the A alley of Rocks Hotel. A journey was was held at Plymouth in November, at which an interesting dis- then made down to Lynmouth by means of the recently con- cussion took place on the question of the reform of the out- structed Hydraulic Cliff Railway (the first of its kind built in this patient departments of medical charities. It was hoped. that country), after which some returned to Ilfracombe, while others another intermediate meeting would have been held in the spring, continued their drive across Exmoor to Dulverton. but the extraordinary meeting held in Exeter in March last pre- vented it, The annual meeting in 1891 fell to be held in one of SOUTH MIDLAND BRANCH. the three towns, and the Council suggested that it should be held TIIE thirty-fifth annual meeting of this Branch was held at in Devonport, and that Dr. John Rolston, of Stoke, should be the Springfield House Asylum, Bedford, under the presidency of President-elect. On the motion of Mr. L. H. TOSSWILL (Exeter), DAVID BOWER, M.D., on June 12th, 1890. Thirty-five members seconded by Dr. BUDD (Exeter), the report of the Council was ap- and one visitor were present, and were entertained at luncheon proved and adopted. by the 1'resident prior to the meeting. Next Annual Meeting.-Dr. BLOMFIELD proposed that the Report of Council.-The minutes of the previous (Committee) next annual meeting be held at Devonport, and that Dr. John meeting were read and confirmed as follows: The Treasurer's re- Rolston, of Stoke, be the President-elect.-This was seconded by port showed a balance in favour of the Branch of £23 Is. 2d.- Dr. BERRY (Lynton), and carried unanimously. The HION. SECRETARY reported that since the previous annual Officers and Council.-On the motion of Dr. WOODMAN, seconded meeting one member had died, five had withdrawn, and five new by Mr. PEARSE, Dr. Slade-KCing (as the president of the year), and members had joined the Branch, thus leaving the number about Dr. Deas were elected as the two representative members on the the same as last year. Council of the Association. The following gentlemen were, on Election of Officers.-Resolved: " That Mr. Percival be appointed the motion of Dr. DEAS, seconded by Mr. COOKE (Barnstaple), President-Elect for 1891-2. '"That Mr. Parrott, of Aylesbury, be elected to fill the vacancies in the Branch Council: J. Rolston, placed on the Committee of Management, in the room of Dr. M.D. (Stoke), T. Leah (Stonehouse), M. H. Bulteel (Stonehouse), Bryan, retired." The other members of the Committee were re- C. B. Rendle (Stoke), J. Harrison (Devonport), G. T. Rolston elected. The Secretary was directed to write a letter to Mr. (Stoke).-On the motion of Dr. ALDIIDGE (Plympton), seconded Bryan, conveying the members' appreciation of his services in the by Mr. WADE (Chudleigh), Dr. Deas was re-elected honorary secre- past. Mr. Hemming was reappointed to the double office of Re- tary, and also as representative on the Parliamentary Bilis Com- presentative on the General Council and Representative on the mittee of the Association, with thanks for his past services. Parliamentary Bills Committee. The Hon. Treasurer and Hon. Papers.-A paper entitled Sequel to Two Laryngoscopic Cases, Secretary were also re-elected. shown at the intermediate meeting at Plymouth, was read by Mlr. Autumnal Meeting.-Resolved: "That the autumnal meeting J. ELLIOTT SQUARE (Plymouth). The first was a case of complete be held at Wellingborough on October 2nd." paralysis of the left vocal cord, diagnosed to be due to a pres- Neew Members.-Mr. Leonard P. Banks, of Riseley, was elected a sure of an aneurysm on the recurrent laryngeal nerve. The member of the Association and Branch; and Dr. Beamish, Sur- patient first came under treatment in November, 1888. In June geon-Major, Weedon Barracks, a member of the Branch. of the same year he had lost his voice, without any cough or pain, Apologies for non-attendance were received from Dr. Bryan, Dr. and had gradually recovered it. A fortnight before he had again Coombs, and Mr. Vreasey. lost his voice. The laryngoscope showed general redness of the Disposal of Surplus Funds.-The HONORARY SECRETARY pro- larynx and complete paralysis of the left vocal cord, the right posed that an annual subscription of two guineas each be given moving naturally on phonation. Gn December 7th a soft and to the British Medical Benevolent Fund and the Royal Medical distant murmur over the left second intercostal space was first Benevolent College, grounding his proposal on the satisfactory heard, with some tenderness on pressure; there was also a slight condition of the Branch funds, and on the benefits received from murmur at the apex after the second sound. An interesting those institutions by a former member of the Branch.-Mr. TERRY feature was that the man spoke much better when he turned his seconded, and one or two others supported.-The HONORARY head towards the right shoulder, thus stretching the paralysed TREASURER moved as an amendment, "That the Branch funds cord and approximating it to the right healthy cord. He died on be devoted to Branch objects." Some of the members thought a March 1st, 1890, of sudden haemorrhage. Post-mortem examina- donation to a larger amount would be better than a subscription. tion revealed an aneurysm of the transverse portion of the aortic Considerable discussion ensued, and ultimately the amendment arch about the size of an orange, situated on the inferior and pos- was carried by a large majority. terior aspect of the vessel; it had burst into the substance of the Medical Charities.-A petition (received from Dr. Rentoul) was of the vocal left lung. The second case was one of papilloma laid on the table prayingI . - that the Select Committee---- on- Hospitals. June 21, 1890.] THE BRITISH MEDiCAL JOURNAL. 1458 .in the House of Lords would extend their inquiry so as to embrace thelioma, and of a case of Lithotrity in a Female, and showed the the provincial medical charities. It was signed by several of the stone.-Dr. MERSON showed a case of Acromegaly.-Dr. WYLLIE members present. showed two children on whom he had operated for Haematothorax President's Address.-Dr. BOWER delivered an introductory ad- and Empyema.-Dr. PIGEON showed a microscopic specimen from dress on Lunacy Practice, advocating early admission to asylums, a case of Sarcoma of the Upper Jaw.-Dr. LowsoN showed parts pointing out the- desirability in many cases of consultations be- of the third, fourth, fifth, sixth, and seventh ribs removed for tween the asylum authority and the private medical attendant the cure of a Chronic Empyema; also a portion of the thickened previous to the removal of a patient, and alluding to the frequent Pleura; also eight inches of gangrenous bowel removed in mistakes and irregularities found in ordinary lunacy certificates. a case of Inguinal Hernia. The case had done well, but the Tariff of Fees.-Mr. BULL proposed a " recommendatory tariff of patient had become melancholic. He also showed a specimen charges for the South Midland Branch," founding his observations of Papilloma of the Posterior Wall of the Rectum.-Dr. ROCKLIFFE on Dr. De Styrap's tables prepared for the Shropshire Ethical read a paper on a case of Py,-mic Panophthalmitis occurring in a Branch of the Association, and inviting discussion thereon, but puerperal woman.-Mr. CRAVEN read notes of a case of Chole- proposing no resolution. The proposal met with considerable cystotomy, and showed the gall stones removed. The case had opposition, and, after some discussion, was allowed to drop. done well.-Mr. KEETLEY read notes of a case of Gangrene of the rapers, etc.-Dr. PRIoR read a paper on the Arsenic Industry Forearm, after simple fracture, extending to the shoulder, but was of Cornwall. Dr. JONES, Mr. HEMMING and others made remarks. unable to offer any adequate explanation. -Dr. INEwmAN read a short paper on Treatment of Retention of Lunch.-After the business of the meeting was concluded, the Ufrine due to Prostatic Enlargement by External Urethrotomy, members sat down to lunch at the Station Hotel. describing two cases, and showing the advantages of the opera- tion.-Mr. HEMMING alluded to the cases he had seen at the Leeds ,meeting, where the operation had been performed above the pubes. MIDLAND BRANCH. -Mr. PERCIVAL read notes on Salafer and Silol as Antiseptic THE annual meeting of this Branch was held on Thursday, June Dressings, especially recommending the former, and showing 12th, at the Lincoln General Dispensary, under the presidency of ;salufer cubes. His treatment of cases with it had been very satis- Mr. PILCHER. factory.-Dr. SKELDING read a paper on the Treatment of Typhoid Officers and Council.-Mr. Sympson and Dr. Webb were elected Fever, illustrating it by temperature and other tables and draw- representatives of the Branch on the Council of the Association, ings, and comparing the treatment of the past with that of the and Mir. Joseph White on the Parliamentary Bills Committee. Mr. 'present day. tIe strongly advocated sponging of the body as con- Franklin was elected Vice-President for Leicestershire, and Dr. ducive to sleep. Haemorrhage in typhoid fever was also alluded Stewart Vice-President for Nottinghamshire. In the Branch to, and its importance pointed out. The paper was founded on Council Dr. Marshall replaced Dr.Whitelegge forNottinghamshire; fifty cases, with six deaths and three necropsies. A good discus- Drs. Benthall and Scriven replaced Drs. Livesay and Greaves for sion followed, and Dr. SKELDING replied.-Mr. KINSEY exhibited a Derbyshire; and MIr. Bond replaced Mlr. Franklin for Leicester- specimen of Perforating Ulcer of Foot. and another of Charcot's shire. Tlae rest of the members, being eligible, were re-elected. Joint in the Ankle of the opposite Limb, both being removed Dr. C. A. Greaves (Derby) was chosen PreAdent-elect. The Honorary from the same patient, who was herselt brought before the meet- Secretaries and the Treasurer were re-elected. ing. and was examined by the members present. President's Address.-Air. PILCHER gave an address on The Votes of Thanks.-Votes of thanks were cordially passed to the General MIedical Council and the Licensing Bodies in their rela- Ex -President, to the Committee of Management, and to the Branch tions to the Practitioner. Representative for their services during the past year, to Dr. Communications.-The following papers were presented: Dr. Bower for his conduct in the chair and for his hospitality, and to 1IANDFORD: Granular Kidneys in Childhood. Mr. CANT: Cases, the readers of papers, etc. with notes; Cataract Extraction without Iridectomy; Conical Cornea treated by actual cautery; Thoracic Aneurysm; Lupus Ery- thematosus treated by blistering. EAST YORK AND NORTH LINCOLN BRXNCIL. Evhibits.-Dr. HANDFORD exhibited drawings of Hydroa Vac- TmE thirty-fourth annual meeting of this Branch was held in ciniforme (Bazin), and Elephantiasis Arabum treated by Martin's Hull on June 4th, forty members being present. Dr. Merson bandage.-Mr. BOND showed Perchloride of Mercury Tablets for having resigned the chair t3 Dr. Idward Daly, the usual business making antiseptic solutions. of the Branch was transacted. Lunckeon and Dinner.-The President entertained the mem- Officers and Council.-The following ofiice-bearers and members bers at luncheon, and after the meeting the dinner was held at of council were elected:-President: Edward Daly, M.A., the Great Northern Hotel. M.D.Oxon. -Ex-President: John Mp.rson, AI A., M.D Aberd. Presi- New Members.-At the meeting of the Branch Council, held on dent-Elect: E. P. Hardey. Vice-Presidents: J. Sherburn, M.B.; the same day, the following gentlemen, being members of the W. C. Rockliffe, M.D. Secretary and Treasurer: H. W. Pigeon, Association, were elected members of the Branch: Dr. Mounsey, M.B. Repreientative of the Branch: J. Dix. Representative on Mlr. F. S. Lambert, Mr. C. Stephens, Dr. C. W. S. Barrett, Mr. the Parliamentary Bills Committee: R. H. B. TNicholson: Members Blenkarne, and Mr. A. E. Lyster. of Council: H. Thompson, W. Stephenson, J. F. Nicholson, M.D W. J. Lunn, M.D.; T. A. Baldwin, M.D.; G. F. Elliott, M.D.; J. W. Mason, M1.B.; H. W. Chambers. President's Address.-The PRESIDENT delivered an address on The Simulation of Organic Diseases of the Nervous System by SPECIAL CORRESPONDENCEI Hysteria. He reviewed in detail the differential diagnosis between hysteria and (1) neuralgia, (2) epilepsy, (3) meningitis, GLASGOW. (4) tumours and other gross lesions producing ptosis, hemiplegia, Glasgoaw University and Public Health Diplomzas.-Glas.qow Uni- and hemianae3thesia; (5) diseases of the cord, namely, diffuse mye- versity Extension Board.- Glasg2ov University Local Examina- litis or compression myelitis from Pott's disease, infantile paraly- sis, spastic paraplegia from sclerosis of the lateral columns, and tion Board.-Fresh Air for Children of the Poor. disseminated sclerosis; (6) syphilis of the brain and cord, chorea, THE unfortunate position in which the University of Glasgow tetanus. and hydrophobia. A cordial vote of thanks was accorded has found itself in relation to the granting of diplomas of public to the President. health will, there is great reason to fear. very seriously diminish Cases and Papers.-Mr. HIAGYARI) showed two cases of Trans- the esteem in which the degrees of the University are held. The plantation of Animal Nerve for Paralysis following Nerve public can hardly be blamed if, proceeding on the principle ex Tumours, in which the musculo-spiral and radial nerves were in- uno disce omnnes, they attach as little value to degrees in medicine volved. The results had been excellent.-Mr. EVANS showed a amd surgery as has, by the General Medical Council, been attached case of TransDlantation of Skin for Cicatricial Contraction follow- to the recently conferred diplomas in public health. Such a result ing Burns. The patient had been crippled, but after the operation would be as undeserved as it would be unfortunate. The examina- was able to walk with comfort.-Mr. R. H. B. NIcHoLsoN showed tions for degrees which confer a licence to practise are hedged about a case of Spina Bifida which had been cured by Morton's method. by so many safeguards, and are conducted with such rigour and He also read notes of a case of Excision of half the Tongue for Epi- circumspection by the professors and the extra-university asses- June 21, 1890.] THE BRITISH MEDICAL JOURNAL. 1469 be obtained by paying one penny a week to another society. The woman was not reinspected by the medical officer of the Board of Trade at Queenstown; such reinspection would be unusual. He learned from the There were other objections raised, but every one of them applied Cunard Company that this passeDger was allowed to landatBoston, and remain to existing policies only, and he was prepared to make the clauses on shore for twelve days, and that she was returned, not so much on account of purely prospective. He felt that the only alternative to this Bill the disease, as that her husband could not pay for, her maintenance in hos- must pital. She was isolated, as a matter of precaution, on her passage home, and be to prohibit infant insurance altogether. her apartments were afterwards thoroughly fumigated, stripped, and disin- Earl BEAUCHAMP quoted authorities to show that the legisla- fected; and she was sent by the Cunard Company to her home in Sweden, tion of 1875 had not been a failure, and urged that a careful exa- accompanied by a special attendant. On passing through Liverpool, the mination of the facts led to the conclusion that the children who patient was, he understood, taken to the Brownlow Hill Workhouse, where she was visited unofficially by the two medical officers of the Board of Trade were insured had a better life record than the uninsured, as they who had previously examined her; these officers reported that her later sym- were usually the children of thrifty parents. ptoms lhad more of the appearance of leprosy as understood by them. Every The LORD CHANCELLOR held it would be rash to proceed with- precaution was taken by the Board of Trade and its officers to prevent, as far as possible, the propagation of contagious and infectious diseases. It was to the out some further investigation. His idea was that if they read interest of all steamship companies carrying passengers to immediately isolate the Bill a second time it should then be sent to a Select Com- any suspicious case that might break out during the voyage, and subsequently mittee, on which different views would be represented, and before fumigate, disinfect, and paint any space occupied by such a case, and he was which evidence might be taken. The fact that people were not informed that this was done in this particular instance. brought to justice was by no means conclusive that this legisla- Friday, June 13th. tion was not required. The Purity and Blending of Spirits.-The CHANCELLOR OF THE EXCHEQUER, in Lord HEitSCHELL heartilysupported the second reading of the reply to a question as to the Committee on Bonding and Blending of Whisky, said the terms of the reference would be generally as follows: " That a Com- Bill, and approved of the proposal to refer it to a Select Com- mittee be appointed to consider the question whether, on grounds of public mittee. health, It is desirable that certain classes of spirits, British and foreign, should The Bill was then read a second'time, and referred to a Select be kept in bond for a definite period of time before they pass into consumption, and to Inquire into the system of blending British and foreign spirits In or out Committee, with power to take evidence. of bond, and as to the propriety of applying the Sale of Foods and Drugs Act and the Merchandise Marks Act to foreign spirits and mixtures of British and T7hursday, June 12th. foreign spirits." The Right Hon. Sir Lyon Playfair had consented to act as Soldiers' Baths.-Earl BROWNLOW, in reply to a question by Earl BEAUCHAMP, chairman. said he was fully alive to the advantages of giVing every facility for ablution to Inquiry into the Inebriates Acts.-Dr. CAMERON has given notice, at the re- the soldier. It was proposed to provide baths in the new barracks. They quest of the Inebriates' Legislation Committee and the Council of the Society would be made of slate, that havinig been found the best material for the pur- for the Study of Inebriety, of a motion in the House of Commons for the ap- pose, as it was clean, durable, and cheap. It was proposed that those baths pointment of a Select Committee to inquire into the working of the Inebriates bhould be In a separate room, and further that, where there were opportunities Acts, and consider the expediency of amending them and extending their for it, it was proposed to give every facility for open-air bathing during the operation. summer months. Monday, June 16th. Btind and Deaf Mufes.-The Marquis of LOTIIAN moved the second reading Education of Blind and Deaf Mute Ghildren (Scotland) Bill.-This Bill passed of the Education of Blind and Deaf Mute Children's Bill, which he said was through Committee, and was reported with amendments to the House. founded on the report of a Royal Commission, and which provided for the com- Vaccination.-Mr. MATTHEWS, in answer to quiestions by Mr. CHANNixeo and pulsory education of blind and deaf mutes in Scotland, and gave school autho- Mr. PICTON, said lie thought the fact that vaccination prisoners were not liable rities power to defray the expenses of their education and boarding out at insti- to the magistrates without his using a cir- tutions, and the cost of their journeys to and from those institutions. lt had to hard lsbour must be well known not been thought nectssary to provide for an extra grant, but if necessary the cular on the subject. Tuesday, June 17th dlepartment would be willing to provide for that by an alteration of the code. The Local Government Provisional Order (No. 6) Bill.-This Bill was ordered to The Bill was read a second time. be read a third time. Wednesday, June 18th. Fridav, June 13th. Public Health (Scotland) Act, 1867.-Mr. S. WILLIAMSON obtained leave to Working Classes Thwellings Bill.-On the motion of Lord ROWTON, tIliS Bill bring in a Bill to amend the Public Health (Scotland) Act, 1867, in relation ti was read a second time, and referred to the Standing Committee on Law. first time. Diphtheria in Northamptonshire.-Earl SPENCEa complained of the delay on hospitals for burghs. The Bill was read a the part of the Local Government Board in dealing with the sanitary condi- tion of East Haddon in Northamptonshire, where there had been an outbreak of diphtheria, which last year caused twenty-six or thirty deaths in a popula- tion of 500. In September last, the Local Government Board sent down an Inspector, whose report was not received by the local authority till December. UNIVERSITIES AND COLLEGES, On January 28th, the local authority made an application for sanction to a loan for water supply, but up to now there had been no answer, while there hlad been another outbreak of diphtheria, which had already caused three OXFORD UNIVERSITY. deaths.-The Earl of JERSEY pointed out that the delay lhad not arisen from admitting women to the examination for the any negligence or indifference on the part of the department, but from the THE question of difficultiks which surrounded the qulestion. degree of Bachelor of Medicine came before Congregation at Oxford on Tuesday afternoon, June 17th, when, after a debate occupying HOUSE OF COMMONS.-Thur8day, June 12th. two hours, it was finally decided to promulgate the statute ad- Barracks Bill.-The House wenit into Committee on this Bill, and progress mitting women to the above examination. Professor Case had was immediately reported on the motion of Mr. CONYJEARE. issued a pamphlet to all members of the House, in which he re- Hospital Dues at Constantinople and Srnyrna.-Sir J. FERGUSSON, in reply to them to reject this statute in this its initial stage. He Colonel HILL, said the final arrangements with respect to hospital dues at Coni- quested stanititnople and Smyrna had not yet been decided on. They were still under argued that it was not proper to admit women to any medical consideration. examination in a university of men. He pointed out that the Tile Blind and Deaf in Ireland.-Mr. A. J. BALFOUR stated, in reply to Mr. proposed statute neglected the safeguards provided by the present WOODALL, that the Government had before them the report and recommenda- t ions of the Royal Commission. They hoped to propose legislation for Ireland statutes, which necessitated the gaining of the degree of B.A. oni the subject as soon as the state of public business admitted. In framing before a person was allowed to present himself as a candidate for their proposals careful attention would be given to the suggestions of the Royal the B.M. examination. He further argued that the effect of this Commission. and Educcation of the Blind and Deaf-Sir W. DYKE informed Mr. MUNDELLA ststute would be to prejudice the question of female doctors; that the English Bill for the education of the deaf and blind could not be intro- when the Royal College of Physicians and the Royal College of duced until certain diffictult questions connected with it had been disposed of. Surgeons had deliberately declined to grant their diplomas to The Census.-Mr. WOODALL asked the President of the Local Government women, and this closed the main avenues, it was not for the Board when the Bill authorising the decennial census wouild be brought in; whether the Departmental Committee relative to the census had made their re- University of Oxford to open a back door for women to the medi- port, and whether it was intended to present the report to Parliament ?-Mr. cal profession. In consequence of Professor Case's declared oppo- IRITCHIE said he was not in a positioIn at present to state the date when the Bill sition, Congregation House was crowded, when the Provost of would be brought in. The Departmental Committee had made their report, of the and it was under the consideration of the Government. It would shortly be Queen's, on behalf of the Council, moved the adoption presented to Parliament. statute. He argued in favour of women doctors for women, and Medical Inspection of Fssigrants.-Sir MICHAEL HicKs-BEAcH, in reply to the stated in his own experience he had known a woman who had quiestion from Dr. TANNER printed in the JOURNAL last week, as to the reported to be examined by a male doctor. The leper emigrant, said: The woman in question was permitted to land at Hull died because she objected and pass through England. The Board of Trade have no statutory authority Rector of Exeter, Professor Belham, and Sir Henry Acland sup- to examine passengers arriving in this country from abroad. The woman did ported the statute, the latter remarking that as senior examiner pass the examination of the medical emigration officers at Liverpool before he assure the Congregation there would be no difficulty in embarking upon the Cunard steamship Cephalunia. These officers regarded the could case as one of lupus of a non-contagious character; sbe brought with her a the examination of the women, and mentioned that the late Sir medical certificate to that effect. She had a husband and six children in Salar Jung, in conversation with him, had stated there was urgent AmeKica, whom she was going to join, and the officers did not think there was need for over a thousand women doctors in India alone. Professor sufficient justification for preventing her proceeding in the ship; but, in con- The sequence of her appearance, It was required that she and her immediate party Case replied to the various speeches supporting the statute. should be kept in one compartment, isolated from the rest of the passengers. preamble was carried by 75 votes to 58. The statute will have to 1460 140THE BRITISH MEDICAL JOURNAL. [June 21 1890. come before the larger House of Convocation before finally be- READERSHIP IN MORPHOLOGY.-With a view of better recog- coming the statute of the university. nising the services to the University and the scientific eminence THE following persons have been appointed by the Hebdomadal of Mr. Adam Sedgwick, the head of the department of Animal Council representatives of the Faculty of Medicine at the Inter- Morphology, and of the teachers of Biology for the purposes of national Medical Congress at Berlin: Sir Henry W. Acland, M.D.; the Medical Regulations, the General Board of Studies propose Professor Burdon Sanderson; Dr. William S. Churcb, M.D.; Dr. that his lectureship should be raised to the status of a Reader- Francis H. Champneys, M.D., Brasenose College; and Mr. William ship. In the present state of the University finances they are, Bruce Clarke, M.A., M.B., Pembroke College. however, unable to propose an increase of the stipend of £100 which he now receives. Sqcience Scholarships: Balliol College.-An examination will be held on Novem- FIRST EXAMINATION FOR MEDICAL AND SURGICAL DEGREES, ber 18th for a Brackenbury Scholarship, value £80 per annum, and also for an were exhibition, value £40 per annum. Papers will be set in (1) Mechanical Philo- EASTER TERM, 1890.-Elementary Biology. The following sophy and Physics; (2) Chemistry; (3) Biology. Not more than two out of examined and approved: these subjects will be expected. Candidates must communicate by letter with Bagshawe. Caius Hill, A., Joh. Pearson, Caius the Master of Balliol on or before November 11th. Baird, Caius Hobday, Christ's Renshaw, J. A. K., Trin. Merton, New, and Corpus Christi Colleges.-Three scholarships will be offered, Bartram, Joh. Hughes, Christ's Rice, Trin. each of the value of £80 per annum, at New College. Also an exhibition of £60 Biss, King's Hutchinson, L. T. R., Robinson, Emman. per annum at Merton College. Candidates for the scholarships must be under Bottomley King's Trin. Salt, Calus 19 years of age; but there is not any limit for the exhibition. Papers will be Burrell, Trin. Jackson, T. L., Joh. Smith, J., Jesus set in (1) Chemistry; (2) Mechanics and Physics; (3) Biology. Candidates Clarke, Caius Jessop, Trin. Stead, Caius should call on the Warden of Merton on Monday, June 30th, between 6 and 7 Cooper, Emman. Johnston, Trin. Stewart, C. B., Christ's P.M. The examination commences on July 1st. Davies, L. G. Jones, H. G. T., Joh. Tod, Trin. Magdalen College.-An election will take place in October next to one or more Donaldson, Caius Key, Emman. Twentyman, Christ's Demyships in Natural Science. The value of the Demyship is £,80 per an- Duckworth, Jesus Kingsford, Joh. Tyson; Caius num, and their tenure is for two years; after which they may be renewed for Edwards, Trin. Lobb, Caius Villy, Joh. a further period of two years. Exhibitions, varying from £25 to £50, are also Elliott,W. R., Joh. Maturin, Caius Vinter, C. H. S., Caius offered. Candidates for the Demyships must be under 19 years of age. Garrad, Clare Mayor, Joh. Ward, H. Selw. Gordon, King's May, Clare Warren, Trin. Grummitt, (Caius Michael, H. Selw. Watson, F. J., Trin. CAMBRIDGE UNIVERSITY. Gutch, Christ's Milsome, Trin. Weaver, Trin. Harrison, Caius Moore, Joh. White, Sid. ISAMBARD OWEN, M.D., Assistant Physician of St. George's Hos- Haward, Sid. Muir, King's Wills, Caius pital, has been elected, by the Council of the Senate, a governor Hayward, Caius Paget of the University College of Wales, Aberystwith. SECOND EXAMINATION FOR MEDICAL AND SURGICAL DEGREES. AT the Congregation on Thursday, June 12th, 1890, the following -Human Anatomy and Physiology. The following candidates degrees were conferred: were and M.D.-J. H. Edwards, M.A., St. John's; L. Remfry. M.A., M.B., Christ's; examined approved: S. A, M. Copeman, M.A., M.B., Corpus Christi; H. W. Dumergue, M.A., Alston, Clare Garratt, Trin. Penny, Pet. Corpus Christi. Bird, Emman. Harris, W. J., Christ's Phillips, H. R., H. Cav. M.B.-W. H. L. Copeland, B.A., King's; H. M. Fletcher, B.A., Trinity; W. Bliss, Sid. Hart, Jesus Roper, Clare Gordon, B.A., Trinity; H. A. Smith, B.A., Trinity; F. G. Swayne, Bower, Trin. Kirby, R. A., Trin. Shuter, H. Cav. B.A., Trinity-; E. G. Trevithick, M.A., Trinity; E. M. Pilcher, B.A., Brown, H. Selw. Lambert, Joh. Smith, B. A. C., Caius Clare; A. B. Rendel, B.A., Clare; W. B. de Jersey, B.A., Pembroke; J. Carr, Trin. Langmore, Joh. Smith, G. G., H. Cav. E. C. Bradley, B.A., Caius; H. J. Daggett, B.A., Caius; W. L. Dickin- Colby, Kings Lewis, C. E. M., Joh. Stallard, Sid. son, Caius; J. H. Dickson, B.A., Caius; W. K. Fyffe, B.A., Caius; C. P. Collcutt, Caius Macdonald, Emman. Stephens, Caius Handson, B.A., Caius; D. S. Long, B.A., Caius; G. H. Wickham, Cooper, C. E., Caius Marks, Jesus Tatham, Caius Caius; S. Yeoman, B.A., Caius; J. W. Russell, B.A., Trinity Hall; W. Day, F. N., Caius Maw, H. T., Christ's Thompson, G. W., Christ's H. Cooper-Pattin, B.A., Jesus; A. E. Durham, B.A., Christ's; E. C. Edwards, Emman. Neill, Caius Wanklyn, Caius Williams, B.A., Christ's; B. Barclay-Smith, B.A., Downing. Evans, Emman. Pellew, Trin. Willson, H. S., Emman. B.C.-The above (except W. L. Dickinson); H. W. Dumergue, Corpus There were ninety-one candidates in all. Christi; H. T. Bulstrode, Emanuel. BALFOUR STUDENTSHIP.-The managers of the Balfour Memorial Fund an- SCHOLARSHIPS, ETC., IN NATURAL SCIENCE.- Peterhouse: nounce that the Balfour Studentship will be vacant by the resignation of Mr. Open competition commencing on Tuesday, October 14th, candi- William Bateson, Fellow of St. John's College, on October 18th, 1890. The dates to be under 19; subjects, Chemistry and Physics; applica- names of applicants, together with such information concerning their qualifi- cations as they may think desirable, must be sent by October 1st, 1890, to the tion to J. D. H. Dickson, tutor. The following students of the Secretary, J. W. Clark, M.A., New Museums, Cambridge. The regulations college are awarded prizes and scholarships in Natural Science: affecting the studentship are given in the Cambridge University Reporter for First year, Silberrad, Martin, Julian; second year, Burn, Brunner; June 10th, 1890. third year, Bull, Leese, Penny, Tindall; fourth year, de Havilland. Cajus: The followingawards in Science have just been made: ABERDEEN UNIVERSITY. Prizes to Bottomley, Collcutt, Brunner, Keeble, Morrell; Frank UNIVERSITY GENERAL COUNCIL.-A meeting of the General Smart Prize for Botany to I. H. Burkill; Scholarships, continued Council was held at Marischal College on Saturday, Principal or increased, to A. S. F. Grunbaum, Bottomley, Collcutt, and Geddes presiding. Reports were submitted on the various awarded to W. Myers, H. F. Sheldon; exhibitions to J. W. G. curricula by committees which had been appointed at the pre- Halliday, W. L. Griffiths. The Frank Smart Studentship in Botany vious meeting. The following report of the Medical Committee (£90 for two years) is awarded to J. C. Willis, B.A., non-collegiate. was, on the motion of Dr. Garden seconded by Dr. Mac- Christ's: Elected to Scholarships: C. Krishnan, H. M. Stewart; kenzie, unanimously adopted:- If. T. Masterman, H. N. Weller, 0. Brockbank; prizes to New- 1. Medical Preliminary Examination.-From information furnished by the stead, Krishnan, Stewart, Brockbank, Roberts. St. John's: Scho- Dean of the Medical Faculty, and from consideration of typical examination papers, the Committee concludes, first, that the nature of the present examin- larships awarded, continued, or increased, to: Groom, Hankin, ing body is not compatible with thoroughness in the examination; secondly, Horton-Smith, Blackman, Hewitt, Lehfeldt, Woods, MacBride, that the practice of permitting attendance on qualifying classes before the Cuff, Whipple; proper sizarship and exhibition, to Baker; passing of the whole preliminary examination is thoroughly Inexpedient and to MacBride; Hutchinson stu- mischievous; thirdly, that the examination papers are no sufficient test of pro- Wright's prizes Hewitt, Lehfeldt, ficiency in the subjects prescribed. The Committee, therefore, recommends:- dentship (£60 for two years) to E. H. Hankin, B.A.; Hockin prize First. That the standard of examination be raised. Secondlv. That students be for experimental physics to Lehfeldt. Cavendish: Prize to not permitted to attend qualifying classes until they have passed all subjects of Smith. the preliminary examination. This will involve a change in the 'relative date IN consideration of the marked services to botanical science of of the examination. Thirdly. That the professors of the Medical Faculty do not conduct or assist in conducting the medical preliminary examination. Mr. Walter Gardiner, F.R.S., Fellow of Clare College, University Fourthly. That among the preliminary conditions of the M.D. degree, an ex- Lecturer in Botany, his fellowship has been continued for six amination in Greek be no longer compulsory. years. 2. The Medical Curriculum and Professional Examinations.-The Committee finds, first, that the medical curriculum is overburdened, chiefly by reason of THE General Board of Studies, in a report to the Senate, recom- haphazard additions to the curriculum without regard to proportion of sub- mend that the fee for admission or readmiesion to each of the jects; secondly, that, as a consequence, the lecture method of communicating parts of the three examinations for M.B., be raised to £2 2s. The knowledge has been developed out of all proportion, and largely to the detri- are ment of practical education; thirdly, that the amount of practical work, com- Board of opinion that some of the additional annual ex- pulsory or voluntary, is not a fair proportion of a professional curriculum. The penditure proposed might reasonably be met by a charge made Committee, therefore, recommends:-First. That, in accordance with the recom- for that purpose to the students for whose benefit the expenditure mendation of the General Medical Council, the medical curriculum be extended is at least till such as to five years. Secondly. That the first year of the five Include a course of physics, incurred, time the repayment of capital which shall be compulsory for graduation. Thirdly. That the fifth year of the raised for buildings has been accomplished. five be devoted to clinical and practical work, and shall not involve compulsory 1461 June 21, 1890.] -T-H-BHEBITSHMDIALJORALBRITIS-ZI MBDICAL JOUBNAL. 18 attendance on university or other systematic lectures. Clinical and practical speaking on this subject owing to his official position, gave the are here taken to mean hospital and dispensary attendance or pupilage to a registered practitioner. Fourthly. That for the better correlation of subjects, College the opinions which his long experience had led him to and to prevent overlapping in the various lecture courses, the Dean of the Medi- form. cal Faculty be required from session to session to lay before the University Dr. PYB-SMITH thought the College was not in a position to ex- court a full syllabus of all lecture courses given within the University, of all press an opinion at all; it had not sufficient knowledge of the extramural classes recognised by the University, and of all non-university classes necessary for graduation. Fifthly. That, in accordance with the recom- subject, and had no right to form an opinion. On all medical mendation of the General Medical Council, the number of systematic lectures questions, and on those relating to education, it could pronounce in the curriculum be reduced. Sixthly. That for the better sequence of subjects with weight and effect and was entitled to be heard. in the curriculum and the better apportionment of examinations, the pro- no or gramme of changes already approved by the Senatus and University Court be The PBSIDBNT observed that improvement in this kin- adopted, with the modifications required by the five years' curriculum. dred matters had ever taken place except as the result of agita- Seventhly. That those cliuical teachers whose lectures are compulsory for tion from without, and he thought the evidence collected by the graduation shall, like the professors of the Medical Faculty, be ex oficto ex- Committee referred to did the with aminers for degrees in medicine. Eighthly. That the number of assessors to already supply College ample examiners be increased to one for each subject. Ninthly. That all oral exami- knowledge on the subject. It was a duty which ought to be nations be conducted in public. undertaken by the College whether it succeeded or not. 3. Finance.-The Committee recommends: First. That after two winter ses- Dr. JOSEPH EWART thought that they would succeed; at any sions and one summer session of practical anatomy, every student shall receive, without payment of further fee, a perpetual ticket, which shall entitle him to rate they must not show want of courage. The reforms must dissecting room attendance in perpetuity. Secondly. That all class and labora- eventually be conceded, if not at once. tory fees be paid into a common fund. Thirdly. That the professors of the Dr. PLAYFAIR also supported the resolution, and thought it Medical Faculty be paid by salary. Fourthly. That inquiry be made into the was to come to the of their conditions of the WilsouL bequest with a view to using the funds of the bequest clearly their duty rescue military to found a medical fellowship or lectureship. Fifthly. Thatthe class of medical brethren. logic be abolished, and that the funds thereby set free be devoted to some prac- Dr. QUAIN thought they had a good right to ask why the report tical purpose within the medical curriculum. of the Committee had been ignored, and was decidedly of opinion that the College should take action in the matter. ROYAL COLLEGE OF PHYSICIANS OF LONDON. After a few words from Dr. FAUQUHRSON, the resolution was AN extraordinary comitia of the College was held on Wednesday, put and agreed to. June 18th, the President, Sir ANDREW CLARI, Bart., in the A report from the Committee of Management was received and chair. adopted. It was announced that Dr. Thomas Oliver had been appointed The consideration of the amended scheme for the reconstitution Goulstonian Lecturer for the ensuing year, and Dr. Broadbent of the University of London was postponed pending the report of Lumleian Lecturer. the Committee of the College, who had been appointed to discuss Communications were read from the Chairman of the Board of the whole question. Examiners in Chemistry; and from the Secretary of the Inter- national Medical Congress about to be held at Berlin; and also one from the Metropolitan Asylums Board, enclosing the full ROYAL COLLEGE OF SURGEONS OF ENGLAND. details of the scheme for making the fever hospitals available for Recognition of Colleges and Hospitals. -AT the last meeting purposes of clinical instruction, the scheme having received the of the Council of the Royal College of Surgeons a report final sanction of the Local Government Board. was received from the Committee of Management, and was An important communication was received from the legal adopted subject to the approval of the College of Physicians. representatives of the descendants of Sir Hans Sloane respecting The Committee recommended that as the Cooper Medical Col- the Physic Garden at Chelsea, at present in the occupation of the lege, San Francisco, had fulfilled the requirements respecting Society of Apothecaries, and after some discussion the subject was a preliminary examination in arts, it should now be added to the referred to the Council for consideration. list of institutions recognised by the Conjoint Board for profes- A letter was received referring to the grievances of the army sional study. They farther recommended that the Royal Ports- medical officers and the general dissatisfaction at present exist- mouth Hospital be added to the list of hospitals recognised by ing throughout the service, and inviting the College to take up the Board; but with respect to an application from the College of their cause. State Medicine, the Committee resolved "that they were not at Dr. FARQuHAR5sox moved a resolution to the effect that the present prepared to recommend to the two Colleges to recognise College should, in conjunction with other licensinig bodies, send a the Laboratory of the College of State Medicine as a place of in- deputation to the Secretary of State for War pointing out the struction for the diploma in Public Health." grievances and urging the claims of the Army Medical Depart- Lord Camperdown'8 Committee.-At the same meeting of the ment. He said that the army medical officers were a scattered Council, the Committee appointed to consider the report of Lord body unable to combine, and it was therefore the duty of bodies Camperdown's Committee on the Status of Army Medical Officers like the College to take up their cause; he thought that prompt recommended that a letter should be addressed by the President action was urgently needed, and that it was most important that to the Secretary-of State for War desiring him to reconsider the the deputation should go before the Estimates came on in the question, and to take steps to carry into effect the recommenda- House of Commons. They should insist that the report of Lord tions contained in the report of the aforesaid Committee. This Camperdown's Committee should be adopted by the Government, resolution was adopted. and they ought to try to obtain the formation of a Royal Corps on Examiner8.-The following gentlemen have been elected exa- the same lines as the Royal Engineers. miners:-First Examination. Elementary Anatomy: Messrs. C. Sir DYCE DUCKWORTH seconded the resolution, and said that A. Ballance, F.R.C.S.Eng.; Arthur Hensman, F.R.C.S.Eng.; W. the treatment the subject had received from the Secretary of State Arbuthnot Lane, F.R.C.S.Eng.; C. Barrett Lockwood, F.R.C.S.Eng.; for War was unfair, ignominious, and intolerable, seeing the im- and C. Stonham, F.R.C.S.Eng. Elementary Physiology: Messrs portance of the subject and the great care bestowed on it by the J. R. Radford, M.R.C.S.Eng., and W. G. Spencer, F.R.C.S.Eng Committee. He thought that such a deputation as was proposed - Second Examination. Anatomy: Messrs. W. Anderson, should have great welght, and must succeed in its object. Owing F.R.C.S.Eng.; J. N. C. Davies-Colley, F.R.C.S.Eng.; Howard to misunderstandings about the question of rank very serious Marsh, F.R.C.S.Eng.; and G. D. Thane, M.R.C.S.Eng. Physiology: breakdowns might occur. C. H. Golding-Bird, F.R.C.S.Eng.; Vincent D. Harris, F.R.C.S.Eng.; Dr. BALFOUR said that, as the representative of the College at and B. T. Lowne, F.R.C.S.Eng.-Third Examination. Midwifery: the Committee, he was sure that every endeavour had been made Drs. William Duncan, F.R.C.S.Eng.; W. S. A. Griffith, F.R.C.S.Eng.; to get at the root of the grievances, but their recommendations Peter Horrocks, M.R.C.S.Eng.; and J. B. Potter, M.R.C.S.Eng.- had been set aside by the Secretary for War by the advice of his First Professional Examination for the Diploma of Fellow. military advisers. Anatomy: W. H. Bennett, F.R.C.S.Eng.; W. Bruce Clarke, Sir GUYBER HUNTER said that in India the medical men were F.R.C.S.Eng.; A. Pearce Gould, F.R.C.S,Eng.; G. H. Makins, eithei engaged in civil or in military duties. During sixteen F.R.C.S.Eng.; and Frederick Treves, F.R.C.S.Eng. Physiology: years in the former capacity no friction had ever occurred, whilst John Barlow, F.R.C.S.Eng.; B. T. Lowne, F.R.C.S.Eng.; D'Arcy when engaged in the latter capacity friction with the military Power, F.R.C.S.Eng.; and Gerald F. Yeo, F.R.C.S.Eng.-Mr. A. officers was constantly arising. He felt sure that if the College Winterbottom has resigned his appointment as member of the went to the Government it would succeed. Board of Examiners in.)ental Surgery. Sir JOsBPH FAYRER, after alluding to the hesitation he felt in -,-Mr.- - John------Marshall.-At------the- - - last- -,- - meeting------Ga of- - the- -- - Council- - it was 1462 THE BRITISH MEDICAL JOURNAL. [June 21, 1890. unanimously resolved that the best thanks of the Council be given THE ROYAL COLLEGE OF PHYSICIANS, EDINBURGH. to Mr. Marshall for his efficient services as representative of the THE following is the memorial of the Royal College of Physicians College in the General Medical Council. The Council likewise of Edinburgh:- expressed their deep regret that Mr. Marshall had determined to To the Right Honourable Edwvard Stanhope, M.P., Her Majesty's retire from his seat on the Council of the College. Secretary of State of War, The Select Committee on Hospitals.-In response to an applica- Sheweth that the Royal College of Physicians of Edinburgh is tion by Mr. J. F. Symms-Jeune, expressing the hope that the deeply interested in everything which concerns the welfare, Council would assist the Select Committee in their inquiry re- honour, and efficiency of the medical profession, and that the specting the metropolitan hospitals, etc., and requesting to be Army Medical Staff is a very important branch of that professior. furnished with the names of gentlemen willing to act as witnesses, That the College believes it to be universally admitted that the the Council have signified their approval, and it was left to any efficiency of the arnmy depends in no small degree on its medical member who might so desire to give evidence. staff, and that it is necessary for the efficiency of tbe medical staff The University of London and the Royal Colleges.-The Re- that there be no just causes of dissatisfaction among its members. gistrar of the London University has forwarded to the Council That the College understands that just causes of dissatisfaction copies of the scheme for the reconstitution of the University, as exist at present in regard to the rank and position in the army amended since the conference with the representatives of the two held by the Medical Staff, and that these causes of dissatisfaction Royal Colleges, and sanctioned by the Senate. The Council re- affect the consideration in which the members of the staff are ferred the scheme to the delegates of the two Colleges, to consider held, and, consequently, their usefulness in the service. and report to a subsequent meeting of the Council. That the College believes that the dissatisfaction which exists would be removed if the Medical Staff were granted rank as in KING AND QUEEN'S COLLEGE OF PHYSICIANS IN IRELAND-The the Royal Engineers, such rank being effective, as was recom- following Licentiates in Medicine of the College having complied mended by Lord Camperdown's Committee, "in all respects and for with the by-laws. have, pursuant to the provisions of the Supple- all purposes except that of military command, which last shall mental Charter of Victoria. dated December 12th, 1878, been duly appertain to medical officers only in hospitals, and when on duty admitted Members of the College: with officers and men of the Medical Staff Corps or attached to it J. Crawford, Lic. Med., 1868, London; S. T. Gordon, Lic. Med., 1874, for duty." Dublin. That the College strongly urges that you will be pleased to talke At special examinations for the licences of the College, held on steps with a view to bring about some such arrangement, and Tuesday, June 10th, 1890, the following registered medical prac- thus place the Army Medical Service in the position which it is titioners were successful: desirable it should hold in the eyes of the army, of the public, and For the Licence to Practise Medicine.-J. A. Baird, L.R.C.S.I., Dublin; J. E. of the medical profession. Dormer, L.R.C.S.I., Newtounbarry, co. Wexford. T. GRAINGER STERWART, M.D., President. For the Licence to Practise Midweifery.-J. A. Baird, L.R.C.S.I., Dublin. A copy of the above has been sent to every Scotch member of Parliament from the College. ERR&TUM.-In the examination list for the F.R.C.S., in the JOURNAL of June 14th, p. 1405, line 2, for " M. L. Trenchmann " read " M. L. Trechmann." THE ROYAL COLLEGE OF PHYSICIANS, LONDON. AT the last meeting it was resolved to send a deputation to Mr. NAVAL AND MILITARY MEDICAL SERVICES. Stanhope (see page 1461). THE ROYAL COLLEGE3 AND THE ARMY MEDICAL REMARKS ON THE REPORT OF LORD CAMPERDOWN'S OFFICERS. COMMITTEE. THE ROYAL COLLEGE OF SURG'EONS, ENGLAND. WE have received a small pamphlet on the above subject printed WE have before mentioned that the College of Surgeons has for private circulation. The author clearly summarises the origin resolved to take action in support of the claims of the army and development of the present controversy. He shows that it medical officers to real army rank and titles, as urged by the centres round the all-important questions of rank, title, and army status. Medical officers were content to share relative rank with Parliamentary Bills Committee of the British Medical Associa- the other army departments, but, in the advance of these depart- tion, and endorsed by resolution of the Association at its last two ments, cannot consent to be left in a wholly inferior position; annual meetings to which that Committee has reported. The they must be levelled up; and it is not merely a question of sen- Camperdown Committee having approved the claim thus made timent, but of efficiency. It was owing to the independent action of as reasonable and proper to be granted, and the Government the British Medical Association, in spite of official opposition, that baving nevertheless refused to act upon those recommendations, medical officers were enabled to express their real feelings and the Council of the College has now addressed the following desires. The result was the Camperdown Commission, which has letter:- fixed the grievances. As regards pay, the cry that the me- To the Right Honourable the Secretary of Statefor WTar. fairly SIR.-With reference to the Report of the Committee on the Pay, Status. and dical staff were overpaid as compared with other branches is Conditions of Service of Medical Officers of the Army and Navy, to which, at simply proved to be untrue. Not only is their pay not high, but your request, a representative was appointed by this College, I am desired by it is the only thing they have to look to, as they have " no prizes." the Council of the College to express to you their deep regret that the recom- mendations of this Committee with regard to the grant of army rank and titles He condemns interference with retirement, and the retrospective to medical officers of the army have not been acted upon. application of the period in the rank before claiming the pension The Counci! submit that the evidence taken by the Committee proves that it thereof. is necessary for the efficiency of the medical service that the recommendations As regards rank and he Com- contained In Section 3 of the report should be carried into effect, and that title, declares the attempt of the army rank and titles are essential for medical officers,to enable them thoroughly mission to trace the origin of the dispute to the abolition of the to perform their duties, especially when engaged on active service. regimental system as wholly fallacious and absurd. He maintains In the opinion of the Council the witholding of strictly defined army rank that 80 per cent. of medical officers desire substantive rank and and titles from medical officers places them in a position of inferiority, wbich is unjust, considering their professional attainments and the important duties titles, and that, if the majority of the " medical witnesses " were which they have to perform. in favour of double titles, then they did not truly represent their Moreover, the want of army rank and titles leads to such constant annoy- department. ance and mortification in the daily work and life of medical officers that many On become disheartened and leave the service directly thev can secure a pension, to the question of service, he says the medical staff is rapidly the detriment of the army and the rapid augmentation of the non-effective becoming a foreign service body, which will mean a startling in- charges. crease in the odds against life and health. He says the Govern- It is believed also that the grievances complained of, if left uinredressed, will ment of India should be ordered to in futuremuch prejudice the service in respect of the quality of those who seek simply give effect to Royal to enter it. Warrants. The author touches on the curious dissents attached The Council therefore beg to urge youi to reconsider the question, and to take to the report. The outrageously retrograde proposal to "relieve" steps to carry into effect the recommendations with regard to the grant of army medical officers from command in their own establishments shows rank and titles to medical officers contained in the report of the aforesaid Com- mittee. I have the honour to be, Sir, the spirit in which the dissent is conceived. So also the pro- Your obedient servant, posal to "ticket" or brand the medical officer's uniform. if it JONATHAN HUTCHINSON, President. necessary to ticket engineers, paymasters, ordnance officers, etc., 1466 T1IB ARITISII MEDICAL JOURNAL. [June 21, 1890. INDIA AND THE COLONIES, MEDICAL NEWS, INDIA. THB Middlesex Hospital MedicalSociety will give a conversazione SHAMA SHuM LALA has offered 60,000 rupees towards the in the grounds of the hospital on Friday, July 4th. erection of an eye hospital at Calcutta. Rani Mohlab Kunjar, of A NEW School of Naval Medicine will be established at Bor- Katiari, has given 3,000 rupees for the endowment of a scholarship deaux in July. at the Agra medical school. THE new hospital for the sick poor in the Abbey parish, Paisley, was opened recently. The building is estimated to cost £8,000. THE LEEWARD ISLUNDS. THE MEDICAL SEBRVICE IN THE LEEWARD ISLANDS.-The want, THE Limerick Town Council have granted a presentment of £75 of medical officers in the colony is said to be the cause of much towards the funds of St. John's Hospital. indignation among all classes, and efforts are being made to bring THE Congress of the French Association for the Advancemfnt the whole question before Parliament, failing action on the part of of the Sciences will be held at Limoges from the 7th to the 14th the local government. Local papers received by the last mail re- of August. port that in St. Kitts, in three districts covering twenty-one miles, Dn. BRIEBGER, whose name is favourably known for his original with a population of over 18,000, there is only one doctor, who has work in bacteriology and general pathology, has been appointed also to attend to one of the district hospitals. If, however, our Extraordinary Professor in the University of Berlin. readers will refer to the letter which we published in our issue of November 9th, 1889, p. 1078, they will see that the work and pro- THE general meeting of the German-speaking Cremation So- spects of any new medical settlers are described as "simply cieties is to be held this year at Frankfort-on-the-Main, on July heart-breaking." 27th. THE Committee of the International Medical Congress to be held at Berlin has decided to give their guests a grand farewell banquet, at an estimated cost of 15,000 marks (£750). OB I TUARY. THE annual prizes will be distributed to the students of St. ROBERT EMINSON, M.R.C.S., L.S.A. Mary's Hospital Medical School on July 1st, at 4 P.M., by Sir Mr. EMINSON, of Scotter, Kirton-Kindsey, has been cut off by a Henry Roscoe, M.P., F.R.S. fatal epidemic of pleuropneumonia, which during the last three GUY'S HOSPITAL.-The Dental School of Guy's Hospital has months has been rife in this village of North Lincolnshire, due, it been recognised as a place of instruction for the Licence in Dental is said, to grave insanitary conditions. In less than three weeks he Surgery of the Royal College of Surgeons of England. devotedly attended about ten cases of this terrible disease, most THE annual meeting of the Metropolitan Provident Medical of them being fatal, several dying within a few hours, and hardly Association will be held this day (Friday) at 4.30, at Mrs. one extending over a week. His own case has been the most pro- Bischoffsheim's, Bute House, South Audley Street. tracted observed, beginning suddenly early on the morning of May 8th, and terminating in death on June 8th. This was owing A LADIES' COMMITTBE has been formed in connection with the partly to the more chronic character which the disease assumed, International Congress to be held at Berlin to provide for the and partly to his iron constitution, his whole life having been one comfort and amusement of the wives of foreign practitioners of constant activity, the most regular and simple habits, and during their stay in the German capital. almost perfect health. His end was hastened by the news of the BEQUESTS.-Among other charitable bequests by the late Miss death of his third son of the same disease. Louisa and Miss Frances Childers, of South Belmont, Doncaster, Two years ago he celebrated his golden wedding amidst children the Doncaster Infirmary has benefited by £500 from each of the and grandchildren, and his wonderful activity of mind and body two ladies. then gave promise that a long and useful career might be pro- longed to extreme old age. THE Archduchess Marie Valerie, of Austria, has handed over the He was a pupil and admirer of Sir Astley Cooper, and all through sum of 50,000 florins, voted by the Vienna Town Council for public life an ardent temperance reformer. He has actively practised charitable purposes on the occasion of her wedding, to the St. medicine in Scotter for fifty-six years, and obtained the Poor-law Anna Children's Hospital, on condition that it shall be applied to appointment in 1839. He was the first medical officer of health the erection of a pavilion for children suffering from infectious for the Gainsborough Rural Sanitary District, and effected im- diseases. portant improvements in many of the villages of the union. IT is proposed to establish a Medico-legal Institute in the centre He leaves a widow, five sons (two members of the medical pro- of Paris. Many po8t-mnortem examinations, which at present have fession), and two daughters, as well as a large circle of friends, by to be performed at the Morgue, will then be made in the new whom he was much beloved and esteemed. institution, and it is hoped that this arrangement will enable the practical teaching of forensic medicine to be carried out without wounding the feelings of the relatives of the deceased persons. AUGUSTUS NEWMAN, MA., M.B.OxoN., M.R.C.S., L.S.A. THje death of Dr. Augustus Newman, at the age of 58, after a Da. DELArAILLE, of Bayonne, has been commissioned by the lingering illness, has caused a feeling of regret among a wide French Minister of Public Instruction " to study the questions of circle of friends in Derby. The deceased gentleman was a native physical exercise and school hygiene" in Spain. As neither exer- of Dartmouth. He was formerly House-Surgeon at the General cise nor hygiene is among the cosas de E,.paha that attract the Lying-in Hospital, Lambeth, and Hospital for Sick Children, attention of scientific observers in the land of the Cid. Dr. Del- Great Ormond Street. He took the degrees of B.A. in 1855, M.A. vaille's report on his mission is not unlikely to recall the famous in 1858, and M.B.Oxon. in 1859. He was for some time Surgeon essay, " On Snakes in Iceland." to the Dartmouth Yeomanry, and J.P. for the Borough of Dart- A SERIOUs outbreak of typhoid fever is reported in the Porta mouth, where he was much respected. He removed to Derby, Genova quarter of Milan, and diphtheria is said to be prevalent and held for fifteen years the position of senior medical officer in in other parts of the city. The Gazetta Medica Lombarda of June connection with the Amalgamated Friendly Societies' Medical 14th says: " Such rumours seem to us destitute of foundation ;" Association. He was for many years a member of the British but so carefully guarded a contradiction is hardly likely to appease Medical Association, and an occasional contributor to its JOURNAL. public anxiety. An inquiry has been instituted by the Medical His funeral was attended by several of his medical colleagues Municipal Office. who were desirous of paying a last tribute of respect to his A NBw medical society has recently been formed in France with memory. the title of " La Soci6t6 Clinique des Praticiens de France." It is to meet twice a month, and will hold the now inevitable "con- DR. Miaxow, the Chief Physician of the Bulgarian Army, has gress" from time to time, together with an annual dinner. Be- been dismissed from his post, and, it is said, will be tried for sides this the Society will publish two journals, the Annales de la complicity in the Panitza conspiracy. qociUt6 Clinique and the Clinique Franfais. June 21, 1890.] THE BRITISH MEDICAL JOURNAL. 1467

MEDICO-PSYCHOLOGICAL AssoCIATION.-The next examination stenosis of the vagina, the result of damage during cranioclasis in England for the certificate in psychological medicine will be at a labour seven years previously. Dilatation was performed by held at Bethlem Hospital, London, on July 17th, at 11 o'clock in aid of the finger and vulcanite ball pessaries. Connection became the morning. The examination for the Gaskell prize will take feasible, and the patient conceived. A plastic operation on the place on the following day at the same place. Candidates are vagina waas out of the question, and further dilatation of the requested to give fourteen days' notice to the Honorary General canal was not considered safe. When labour pains came on, Secretary, Dr. Fletcher Beach, Darenth Asylum, Dartford. Porro's operation was performed, a living child being delivered. The patient made a good recovery. It was not considered right THERE is a great flutter among the dovecots of quackery in to perform an ordinary Cmsarean section, as the lochia could not Italy at present. Under the new law as to the " illegal exercise readily flow away through the narrow vagina. of the healing arts," 450 cases of unqualified practice of one kind or another were tried in the first three months of the present TEE STUDY OF INEBRIETY IN AMERIcA.-At the recent meet- year. It is to be hoped that this springtide of virtuous indigna- ing of the American Medical Association at Nashville, Tennessee, tion will not be followed by a proportional ebb-at least till it the Section of Medical Jurisprudence spent a whole day discuss- has done its work. ing papers on the criminal responsibility of inebriates. The sub- jects of the paper were: Inebriate Responsibility, by Dr. Evans; DEAFNESS IN TABES DORSALIS.-Morpurgo (Archiv fur Ohren- Medico-Legal Aspects of Insanity and Inebriety, by Dr. T. L. heilkunde, 30 Band, 1 u. 2. Heft) states that 81 per cent. of persons Wright; Inebriate Medico-Legal Questions, by Dr. Crothers; Me- suffering from tabes dorsalis have some abnormality of hearing. dico-Legal Facts from 5,000 Cases, by Dr. L. D. Mason; and the The majority are deaf, others hear sounds. Some of the patients Need of a New Criminal Jurisprudence affecting Inebriety, by Dr. showed aural disease that would account for the deafness, but the Norman Kerr. The Section endorsed the disease view of ine- greater number did not. The author considers that they are ex- briety, and elected Dr. T. D. Crothers, the leading American spe- amples of nerve deafness; he does not know whether they are cialist on this question, as Chairman for next year's meeting at central or peripheral. Washington. To ensure a full discussion of the subject, the Sec- BENEFIT SOCIETIES IN BERLIN.-At the end of 1889 the num- tion will in future be called the Section of Medical Jurisprudence ber of benefit societies in Berlin was 89, the total receipts of and Neurology. which during the year amounted to 5,689,215 marks (about LOCAL TujBiRCULOUS INFECTION.-An accident which recently £284,460), and the total expenditure to 5,100,133 marks (about befell Dr. Gutzmann, of Berlin, may serve as a warning to sur- £255,006). Of the latter sum 47.4 was for sick money, 4.8 per geons and pathologists to be careful in handling tuberculous tis- cent. for burial money, 6.7 per cent. for medical treatment, 15.9 sues. On February 19th, while he was making a post-mortem per cent. for medicines, 15.8 per cent. for hospital expenses, and examination on a patient who had died of acute miliary tuber- 8.3 per cent. for management. culosis, the nail of his right middle finger was slightly raised from SEAMBN'S HOSPITAL SOCIETY.-It has now been decided that the matrix. He felt a little pricking at the tip of the finger, but the Prince and Princess of Wales will embark on board a special could see no wound. After washing it in sublimate solution and steamer at Westminster Stairs on June 24th, at 1.30 P.M., and alcohol, he forgot all about it, and used the finger in percussion proceed down river to the site of the new hospital of the Seamen's without inconvenience. On March 20th it again became painful, Hospital Society at the Royal Victoria and Albert Docks. There and a tiny abscess was found under the nail. This was opened the opening ceremony will take place in one of the large sheds and the pus examined by Ehrlich's method, when three tubercle belonging to the dock company, after which their Royal High- bacilli were discovered. The preparation was shown to several nesses will inspect the new building, and the Princess will be practitioners, who all identified the bacilli. The abscess was then asked to allow a ward to be named the Alexandra Ward. scraped out and disinfected with alcohol. Up to the present there or THYROID GRAFTING IN MYXCEDEMA.-Mr. has been no lymphangitis glandular enlargement, and no rise of Horsley's suggestion temperature. Dr. Gutzmann regards the case as an example of that myxcedema might be treated by transplantation of a piece local tuberculous of thyroid gland from an animal to the human subject has lately infection. been carried into effect by Professor Lannelongue, of Paris. The THE SANITARY INSTITUTE CONGRESs.-The following arrange- patient, a female cretinoid idiot, aged 14, presenting the usual ments have been made for the Congress and Exhibition at signs of myxcedema, had a piece of the thyroid gland of a sheep Brighton, which commences August 25th. President: Sir Thomas implanted into the subcutaneous tissue of the left side of the Crawford, K C.B., M.D. Honorary Treasurer: The Mayor of chest. The wound closed over the graft, but sufficient time bas Brighton. Honorary Secretary: A. Newsholme, M.D., D.P.H. not yet elapsed to allow a judgment to be formed as to the results President Section I: Sanitary Science and Preventive MIedicine: of the operation on the constitutional condition. George Vivian Poore, M.D., F.R.C.P. President Section II: En- gineering and Architecture: Professor Roger Smith, F.R.I.B.A. INSANITY IN GERMANY.-The number of lunatics in the asy- President Section III: Chemistry, Meteorology, and Geology: lums of the city of Berlin, which was 1,582 in 1882-83, amounted Wm. Topley, F.R.S., F.G.S. Conference of Medical Officers of to 2,528 in 1889. This shows a very large increase in the number lhealth: President: A. Newsholme, M.D., D.P.H., M.O.H. Confer- of insane persons relatively to the growth of the population; in ence of Inspectors of Nuisances: President: A. Carpenter, M.D., the period referred to the merease in the population was 22.49 per M.R.C.P. On Tuesday there will be a conversazione in the Pavilion cent., whilat the increase in the number of lunatics was 59.79 per Building; to W. cent. The number of persons Wednesday, Lecture the Congress by H. Preece, insane in confinement in the whole F.R.S.; and on Saturday there will be excursions, and an address German Empire rose between January l1t, 1881, and the same date to the working classes by B. W. Richardson, M.D., LL.D., F.R.S. in 1886, from 34,270 to 42,669, being an increase of 24.5 in the five The meetings of the Congress and Exhibition will be held in the years, as against an increase of 3.6 per cent. in the general popu- Pavilion lation in the same period. Buildings. MICROBES IN CHARING CROSS HOSPITAL MEDICAL SCHOOL.-The annual dis- HAILsTONEs.-Bacteria of various kinds have at the above took on been found in ice snow, a tribution of prizes school place Wednesday and and Dr. Fontin, Russian observer, afternoon, June when the Rev. S. J. Rector of has now proved that hailstones are not them. 18th, Cumberlege, free from He has St. Paul, Covent Garden, took the chair. The meeting was held found that the water produced by the melting of hailstones con- Lecture Room. tains on an average per in the new Anatomical The Sub-Dean read the 729 bacteria cubic centimetre. Neither annual report, which showed a steady increase in the number of yeast fungus nor mould was present, but nine different kinds of was made to the bacteria were found, five of which the students. Reference very large physiological (B. mycoides, liquefaciens, laboratory which had been erected in the new buildings, and to luteus, sarcina lutea, and aurantiaca) are already known. As the which had been in 4rdinary dwelling place of the bacillus mycoides is the earth, we the difficulties experienced obtaining permis- sion to close Bedford Court, and thus make the new buildings are confronted with the fact that microbes of terrestrial origin and and the was may be carried up into the air, and thus rain, snow, may much more complete useful, hope expressed that and hail the difficulties would eventually be overcome. The prizes were be the direct means of conveying infection. then awarded as follows: Llewellyn Scholarship, H. S. Baker; PORRO'S OPEBRATION FOR ATRESIA VAGINAE.-Dr. Spaeth, of Golding Scholarship, G. H. Hooper; Governors' Clinical Gold Hamburg, describes in the Miinchener mediciniecke Wochenechrift Medal, J. B. Williams; the Pereira prize, J. Busfield; and the a case where a woman, aged 30, suffered from almost complete usual class prizes. After the distributions, the Chairman very 1468 THE BRITISH MEDICAL JOURNAL. [Junie 21, 1890. briefly addressed the meeting, dwelling first of all on the great HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHE3T, Brompton.-Assistant-Physician. Applications by June 25th to the Secre loss sustained by the death of Dr. Pollock, and paying a high tary, Henry Dobbin. tribute to his integrity and impartiality. In a few well-chosen HOSPITAL FOR WOMEN, Soho Square, W. - House-Physician; doubly words, he reminded his hearers of the importance of the medical qualified. Appointment for six mouths. balary, £30 witlh board, etc. Ap- profession, and the necessity for making the utmost of their op- plications to the Secretary, David Cannon, by Jtuly 2nd. portunities during their student career, and then briefly referred HULL BOROUGH ASYLUM.-Assistant Medical Officer; niot over 35 years of to the new buildings, which were nearly completed. A cordial age; unmarried. Salary, £100 per annum, with board, lodging, and attend- ance. Applications by June 25th to the Medical Superintendent. of thanks to the reverend Chairman brought the meeting to a vote INFIRMARY FOR CONSUMPTION AND DISEASES OF THE CHEST close. AND THROAT, 26, Margaret Street, W.-Physician in Ordinary. Appli- cations by June ALCOHOL AND CHILDHOOD.-The Duke of Westminster presided 21st to the Secretary, William H. Johnson. INFIRMARY FOR CONSUMPTION AND DISEASES OF THE CHEST at a conference promoted by the Church of England Temperance AND THROAT, 26, Margaret Street, W.-Three Visiting Physicians. Society, Junior Division, on " Alcohol and Childhood," recently Applications by June 21st to the Secretary, William H. Johnson. held at Sion College. A paper, by Dr. More Madden, of Dublin, on INFIRMARY FOR CONSUMPTION AND DISEASES OF TIHE CIhEST "1 Alcoholism in Childhocd and Youth; its causes, results, and pre- AND THROAT, 26, Margaret Street, W.-Surgeon. Applications by June vention," having been read, Dr. Samuel Wilks declared that child- 21st to the Secretary, William H. Johnson. LANGPORT UNION.-Resident Medical Officer for the 3 A aLd B ren sbould be brought up without alcohol whatever. Dr. (Cuirry any Rival) District. Salary, £86 per anntum, witlh fees and extras to about £100. Langdon Down was convinced that alcohol as a food was non- Applications to John Louch, Clerk, by Junle 2 ith. Election on July 1st. essential, and thoroughly detrimental to the welfare of the child. LINCOLN ODD FELLOWS' MEDICAL INSTITUTION. - Junior Medical Nor was he prepared to admit that it was as useful as a medicine Officer from August to Decembrr. Salary at the rate of £120 per annum (out-door). Applications to Secretary, William Coulson, 12, North Parade, as some fancied. An analysis of the statistics cf wine given at Lincoln. the London Hospital during the last eight years showed that in LIVERPOOL EYE AND EAR INFIRMARY.-Houise-Surgeon; doubly quali- the case of one physician the average administered per patient was fied, and have paid special attention to ophthalmic practice. Salary. £80 8.05 ounces, whilst another used 43.6 ounces; the mortality per annum, with residence and maintenance. Applications to the Hono amongst the patients of the two being 14.7 and 18.2 rary Secretary, Reginald Haigh, 6, Gr^svenor Buildisngs, Liverpool, by respectively, June 23rd. and the average stay 27 days as against 31 Drunkenness in days. LONDON THROAT HOSPITAL, 204. Great Portland Street, W.-House- parents distinctly tended to idiocy in children. Dr. Thomas Bar- Surgeon. Applications by June 30th to the lHonorary Secretary of the Jow thought it inrperative that medical men should be abso- Medical Committee, W. R. A. Stewart. lutely honest with themselves and the public. For his part per- MANCHESTER HOSPITAL FOR CONSUMPTION AND DISEASES OF sonally be should be very reluctant to be deprived of the use of THE THROAT.-Resident Medical Officer at Bowden, Cheshire. Salary, £60 per annum, with board, apartments, and washing. Applications by alcohol in the treatment of acute disease, for his experience led July 20th to C. W. Hunt, Secretary. him to the opinion that it yielded better results in picked juvenile MANCHESTER ROYAL INFIRMARY. Resident Medical Officer for the cases than in adult cases, over a limited period. For prolonged Fever Hospital at Monsall; double quialifications; not less than 25 years of periods, in the conditions of convalescence and chronic illness, it age. Remuneration, £230 per annum, with board and residence. Applica- tions by July 5tlh to the Chairman of the Board. should be looked upon with the greatest possible caution. Dr. NORTH RIDING OF YORKSHIRE.-Medical Officer of Health for the Bernays emphatically held that alcohol and childhood should Riding; quialified to practise medicine, sturgery, and midwifery. Remune- have no connection whatever. Dr. Dukes objected to giving the ration, a fixed fee of £100 per annum, and 5 guineas per day (to include young of both sexes alcohol in any form, except as a remedy for expenses) for every day's services, with leave to hold other appointments. to of the when it was sometimes a drug of great value. Especially ApplicatioDs William C. Trevor, Deputy Clerk County Council, disease, Clerk of the Peace Office, Northallertoss, before June 30th. did condemn the cruel and pernicious plan of beer he supplying OXFORD UNIVERSITY.-Deputy Linacre Professor of Human and Compa- to boys in public schools at supper time, and contended that the rative Anatomy. Salary, £700 a year. Applications to the Registrar of the extinction of the practice was one of national importance. A re- University by June 21st. solution declaring against alcohol as a dietary was carried. REDRUTH SANITARtY AUTHORITY.-Medical Officer of Health. Appoint- ment for three yeara. Salary, £100 per annum. Applicationis by July 3rd to the Clerk, Thurstan C. Peter, Union Office, Iledrutli. RETFORD UNION, Retford District.-Mdedical Officer. Salary, £40; fees, £20 MEDICAL VACANCIES. per annum. Applications by June 19th to the Clerk. The following Vacancies are announced: RETFORD UNION, Dunham-on-Trent District.-Medical Officer. Salary, £15; fees, £a per annum. ALCESTER UNION, Warwickshire Parishes. -Medical Officer. Salary, £80 Applications by June 19t1 to the Clerk. per annum. Applications by July 8th to the Clerk. ROYAL ALBERT HOSPITAL, Devonport.-Assistant House-Surgeon. No Salary; board, lodging, and washing. Applications by June 25th addressed AMPTHILL UNION, Beds.-Medical Officer for No. 2 District. Salary, £1(5 Chairman of Medical Committee. per aninum, exclusive of fees. Applications by June 25th to the Clerk, John Wright. ROYAL FREE HOSPITAL, Gray's Inn Road.-An additional Assistant- Surgeon; a BOROUGH HOSPITAL.-Assistant House-Surgeon and Dispeneser. E'ellow of the Royal College of Surgeons of England. Appli- BOOTLE cations to the Secretary, Conrad W. Thies, by June 24th. Salary,£40 per annum, with board, lodging, and washing. Applications to be addressed to the Chairman of the Committee, Bootle Borouglh Hos- ROYAL GENERAL DISPENSARY, 23 and 26, Bartholomew Close, E.C.- pital, DerbylRoad, Bootle, by July 1st. Resident Medical Officer; doubly qualified. Candidates must attend per- sonally the Medical Committee on June 24th at the Dispensary at 2 o'clock, CHARING CROSS HOSPITAL.-(1) Medical Registrar; (2) Assistant-Anas- with diplomas and certificotes of qualification. thet ist. Salary of the appointment of Medical Registrar,£40 a year. Ap- plical ions to be addressed to the " Chairman of the Medical Committee " by ROYAL WESTMINSTER OPHTHALMIC HOSPITAL, King William Street, June 22rd. West Strand.-Clinical Assistants. Candidates must be quialified; prefer- ence given Cootehill Officer. Salary to those experienced in ophthalmic practice. Applications by COOTEHILL UNION, Dispensary District.-Medical June 21st to the Secretary. £.95 per annum,including£5 as Medical Officer of Health, with usual re- gistration and vaccination fees. Applications to the lionorary Secretary, TAUNTON UNION, Bishop's Lydeard District.- Medical Officer. Salary, £29 lHenry Brown, J.P., by June 28th. (to include all fees except midwifery, los.. and 2s. (;. for lunatic returns). DEIIBY AMALGAMATED FRIENDLY SOCIETIES MEDICAL ASSOCIA- Applications by June 21st to the Clerk, W. F. B. Dawe. TION.-Senior Resident Medical Officer. Age not under 30 or over 42. WALLASEY DISPENSARY.-Assistant or Junior House-Surgeon, to visit and Salary,£280 per annum, with house rent and taxes free, midwifery fees, dispense. Unmarried; must devote his whole time to the duties. Salary, and cabhire. Applicationis to the Secretary, Mr. J. Bullivant, 58, Abbey £80 per annum, with furnished apartments, coal, gas, and attendance. Ap- Street, Derby, not later than June 21st. plications by June 22nd to the Honorary Secretary, Mr. William Heap, Elm DERBYSHIRE GENERAL INFIRMARY.-Resident Assistant House-Surgeon Mount, Penkett Road, Liscard, Cheshire. (175 beds). Board and washing and bonus of £10. Applications to the WALSALL AND WEST BROMWICH SCHO3L DISTRICT.-Medical Officer. House-Surgeon by June 21st. Salary,£50 perannum. Applications to the Clerk, H. Ward, Church Street, DINORWIG QUARRY HOSPITAL, near Llanberis, Carnarvonshire.-Sur- West Bromwich, by June 21st, endorsed" Medical Officer." geon; must speak Welsh. Applications to the Hon. W. W. Vivian, Port Dinorwig. WELLINGBOROUGH UNION RURAL SANITARY AUTHORITY.-Medical Officer of Health. Salary,250 per annum. Election, July 2nd. Applica- DROITWICH UNION.-Medical Officer and Public Vaccinator. Salary, £85 tions to Willan Jackson, Assistant Clerk, Wellingborough, by June 25th. per annum. Election onJuly 9th. WILTS COUNTY ASYLUM.-AsFistant Medical Officer; unmarried; with ex- GENERAL HOSPITAL, Birmingham.-Assistant House-Surgeon, with sur- perience preferred. Salary,£100 per with board, residence, attend- gical qualification. No salary; washing provided. Applications to the annum, ance, and washing. Applications. endorsed" A. M.O.", to be addressed J. D. M. Coghill, M.D., June 28th. hlouse-Governor, by to the Medical Superintendent, Wilts County Asylum, Devizes, by June GORDON HOSPITAL FOIR FISTULA AND OTHER DISEASES OF THE 23rd. RECTUM.-Assistant-Surgeon. Applications by July 12th to the Secretary, WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOSPITAL, 278, Vauxhall Bridge Road, S.W. Wolverhampton.-Resident Assistant; one qualification preferred. Board, HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, lodging, and washing provided. Applications to be inecribed," Application Brompton.-Housc-Physicians. Applications byJuly 2nd to the Secretary, for Resident Assistant," by Jutne 23rd, to the Chairman of the Medical HenryDobbin. Committee. June 21, 1890.] THE BRITISH MEDICAL JOURNAL. 1469

ZETLAND COUNTY COUNCIL.-Medical Officer for the count.y and district- WILAIAMS, Ernest G. H., M.R.C.S., L.R.C.P., appointed House-Surgeon to to reside in the county, with liberty to engage in private practice. Appli, Charlng Cross Hospital. c tions, stating qualifications and salary, to be lodged with the County WILSON, J., M.D., reappointed Medical Officer of Health for No. 1 District of Clerk at Lerwick ty June 30th. the Lanchester Rural Sanitary District. WOOD, E. Stanley, L.K.Q.C.P.Irel., L.M.. M.R.C.S.Eng., appointed Surgeon under the Factory Act for Pontypool District, vice Dr. Edmunds, of Pont- MEDICAL APPOINTMENTS. newydd, deceased. BENSON, T., L.R.C.P.Edin., M.R.C.S., Reappointed Medical Officer of Health for WOOD, G., M.D., L R.C.S.Edin., appointed Medical Officer for the Second Dis- No. 3 District of the Lanchester Rural Sanitary District. trict of the Hemsworth Union (rearrangement of districts). BOLTON, W. T., L R.C.P.Edin., M.R.C.S.Eng., reappointed Medical Officer of WRIGHT, Alfred, M.R.C.S., L.S.A., appointed Honorary Medical Officer to the Health for No. 2 District of the Lanchester Rural Sanitary District. Romford Victoria Cottage Hospital. WRIGHT, John Lister. L.R.C.P.Edin., M.R.C S.Eng., appointed Honorary Medi- BRAINE, C. Carter, M.R.C.S., appointed Anaesthetist to the Charing Cross Hos- cal Officer of the Children's pital, vice Woodhotise Braine, resigned. Derby Hospital. BROWN, William, M.D., C.M.Glasg., appointed Medical Officer for the Staple- ton Union District. DIARY FOR NEXT WEEK. BUENO DE MESQUITA, Ernest, M.B.Lond., M.R.C.S., L.R.C.P., House-Surgeon at the Miller Ihospital, Greenwich. appointed House-Surgeon to the Croy- HONDAT. don General Hospital, vice Henry W. Drew, F.R.C.S., L.Ii.C.P., etc. LONDON POST-GR&DUATE COURSE, Royal London Ophthalmic Hospital, Moor- COLMAN, G. B., L.R.C.P.Edin., M.R.C.S.Eng. appointed Medical Officer for the fields, 1 P.M.-Mr. R. Marcus Gunn: On Externial Diseares of First District of the Union of the Eve. Hospital for Sick Children, Great Ormond Street. Hemsworth (rearrangement districts). 4 P.M.-Mr. Arbtuthnot lane: On Complications of Disease of COLTE£R. J. F., L.D.S., M.R.C.S., appointed Assistant Surgeon-Dentist to the the Middle Ear. Charing Cross Hospital. ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Mr. Wl'illiam Huinter COOMB3ES, S. Welsley, F.R.C.S., L.R.C.P.Edin., L S.A., reappointed Medical (Arris and Gale Lecturer): On Ptomaines, their Nature and Officer of the North Claines District of the Droitwich Union for three Actions. Lecture I years. TWESDAY. CRGFT, (iward Octavius, M.R.C.S.Eng., L.R.C.P.Lond., appointed Honorary LoNDoN POST-GRADUATE COURSE, Bethlem Hospital, 2 P.M.-Dr. R. Percy Surgeon to the Leeds Hospital for Women and Children, vice John Horsfall, Smith: On Legal Relations of Insanity. Hospital for Diseases M.A., F.I.C.S. of the Skin, Blackfriars, 4 P.vr.-Mr. Jonathan Hutchlinson: On DICKIXsoN, George F., M.R.C.S., L.R.C.P., appointed House-Pbysician to Urticarial Affections. Charing Cross Hospital. ROYAL COLLEGE OF PHYSICIANS OF LONDON, 5 P.M.-Dr. D. Ferrier: The EVERETT, Wm., M.B.Edin., appointed Second Assistant Medical Officer to the Croonian Lectures on Cerebral Lccalisation. Lecture V. Kent County Lunatic Asylum, vice T. Brushfield. WEDNESDAY. EVILL, F. Claude, M.R.C.S.Eng., L.R.C.P.Lond., appointed House-Surgeon to LONDOx POST-GRADUATE COURSE, Hospital for Consumption, Brompton, 4 P.m. the Central London Ophthalmic Hospital, Gray's Inn Road, vice A. L. -Dr. Robert Maguiire: On the Therapesitics of Phthisis. Travers, L.R.C.P., M.R.C.S. Royal London Ophthalmic Hcspital, Moortields, 8 P.31.-Mr. A. EVISON, Hanson Cotton, L.R.C.P., L.R.C.S.Edin., appointed House-Surgeon Quarry Silcock: Ophthalmoscopic Cases. to the Lancaster Ilfirmary and Dispensary, vice Charles William Dean, ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.m.-Mr. William Hunter L.R.C.P., L.R.C.S. B. (Arris and Gale Lecturer): On Ptomaines, their Nature and FR.ANCE, E. P., M.R C.P.Eng., L.R.C.P.Lond., appointed Junior House-Surgeon Action. Lecture II. to the North-Eastern Hospital for Children, Hackney Road, N.E., vice Mr. THURSDAY. Marshall, M.B.Vict., promoted. LOxDON POST-GRADUATE COURSE, National Hospital for the Paralysed and GABRIEL, Wm. M., L.R.C.P., L.R.C.S.Edin.. appointed Medical Officer of the the Epileptic, Queen Square, 2 P.M.-Mr. R. Brudenell Carter: Workhouse of the Keighley Union, vice Mr. J. Russell, resigned. On Ocrelar Symptoms in Nervous Diseases. The New Infirm- ary, Paddington, 4 P.M.-Mr. J. Ilutchinson: Clinical Lecture GALE, Arthur K., L.R.C.P.Lond , M.R.C.S.Rng., reappointed Medical Officer to on Surgical Cases. 5 P.m.-Dr. Savill: Post-mnort(m Examina- the Fifth District of Ecclesall, Bierlow Union. tions. GRANT, Frederick, L.R.C.P.Edin., L.M., reappointed Medical Officer of Health ROYAL COLLEGE OF PHYSICIANS OF LONDON, 5 P.mr.-Dr. D. Ferrier: The to the Market Harborough Local Board. Croonian Lectures on Cerebral Localisation. Lecture GRAVES, Dr., appointed Medical Officer of Health for the Urban Sanitary Dis- VI. trict of Knighton. FRIDAY. HAVFLOCE, Dr., Second Medical Assistant at Montrose Asylum, appointed LONDON POST-GRADUATE COURsE, Bethlem Hospital, 11 A.M.-Dr. R. Percy First Assistant, vice Dr. Smith: Clinical Demonstration. Hospital for Consumption, Chambers, resignied. Brompton, 4 P.M.-Dr. Robert Maguire: On the Therapeutics HIND, Albert, L.R.C.S., L.M., L.S.A., reappointed Medical Officer of Health to of Phthisis. the South Molton Urban Sanitary District. ROYAL COLLEGE OF SURGEONS OF ENGLAND, 5 P.M.-Mr. William Hunter HINJDLE, F. T., L.R.C.P.Lond., M.R.C.S.Eng., appo'nted Medical Officer for the (Arris and Gale Lecturer): On Ptomainies, their Nature and Third District of the Hemsworth Union (rearrangement of districts). Action. Lecture III. HOIINGSWORTH. John McKee, L.K.Q C.P.Irel., F.R.C.S.I, appointed Medical Officer for the btebbing District of the Dunmow Union. JoiiNsroN, David, M.D., L.R.C.S.Edin., reappointed Consulting Physician to BIRTHS, MARRIAGES, AND DEATHS. the Montrose Lunatic Asylum and Infirmary. The charge for inserting announcemenets of Births, Ilarr-iaes, and Deaths is 3s. Cd., LAWRENCE, Samuel, M.D St.And., L.R.C.S.Edin., reappointed Coo'sulting Phy- which sum should beforvarded in Post Office OQder or Stamps with the ?notict not sician to the Montrose Lunatic Asylum and Infirmary. later thanl Wednesday fornznrg, ine order to insure insertion ien currenrt issue. MAcGILL, George, L.R C.P, L.R.C.S.Edin., reappointed Medical Officer of RIRTH S. Hfea'th to the Wuerdle and lVardle Urban eanitary District. COLBOURSE.-At 11, Cleve Road, N.W., on June 12tli, the wife of L. Colbourne, MACKENZIE, W. Scobie, L.R.C.P., L.R.C.S.Edin.. reappointed Medical Officer M.D. (Buenos Ayres), of a daughter. of Health to the Normanton Urban Sanitary District. HARLAND.-On June 14tll, the wife of Henry Harland, M.D., of Eastridge MOLONY. P. J., L.R.CS.I., L.K.Q C P.I., etc., appointed Clinical Assistant to Court, Ilyde, Isle of Wight, of a Eon. the Central Throat and Far Hospital, Gray's Inn Road. STEEL.-On Wednesday, the 11th inst., at Nevill Street, Abergavenny, the wife MORTON, JOIDn M.B.Lond., M.R.C.S., L.S.A.. reappointed Medical Officer of of William Dynie Steel, M.D., of a son. Health to the Guildford Urban Sanitary District. MARRIAGES. MOTT, Frederick Wal-her, M.D.Lond., M.R.C.P., appointed Assistant Ph3sicisn EDWARDS-DRIVER.-On the 14th inst., at St. Peter's, Cratsley Gardelss, by the to the Clearing Cro3s Hospital, vice Dr. J. Abercrombe, msde full Pbysician, Rev. J. F. Downes, F. Swinford Edwards, FI.R.C.S., of Wimpole Street, W., v ce Dr. A. J. Pollock, deceased. to Evelyn Dudley. only daughter of S. Dudley Driver, Esq., of Westgate MOUNCEY, Chas. J., M.B., appointed Medical Referee to the Government, Terrace, South Kensington. Earlestown District (Lancashire) for Insurance and Annuities. MILLIGAN-ANDERSON.-At the Presbyterian Church, Marlborotugh Place, St. OGDEN, C., L.R.C.P.Edin., M.R.C.S.ling., reappointed Medical Officer of Health John's Wood, London, on the 17th inst., by the Rev. Professor Milligan, to the Milnrow Urban Sanitary District. D D., the University, Aberdeen (father of the bridegroom), assisted by the ROBERTS, E. A., M.B., L.R.C.P., M.R.C.S., appointed Third Attending Medical Rev. J. R. Gillies, M.A., William Milligan, M.B., C.M., Manchester, to Officer to the Pimlico Road Free Dispeinsary, vice T. Foster Palmer, ap- Bertha Warden, daughter of James Anderson, Esq., Frognal Park, London, pointed Surgeon. and of Bicton, Aberdeenshire. IRcwsE, E. L., M.R.C.S, L.R.C.P., appointed Resident Obstetrical Officer to DBATHS. Charing Cross Hospital. HARMAH.-On June 17th, at 27, Hamstead Road, Handsworth, Birmingham, tULLIVAN, E. J. H., M.D., appointed Medical Officer for the Fourth District of James Harmar, M.R.C.S., L.S.A. the Hemsworth Union (rearrangement of districts). PAINE.-June 13th, at Corbett House, Stroud, William Henry Paine, M.D., THOMAS, Dr., appointed Medical Officer of Health to the Swaffham Urban Sani- F.R.C.P.. F.G.S., etc., J.P., Gloucestershire, aged 66. tary Authority. WHITEFOORD.-On the 'th inst.. at his residence, St. John's Wood, aged 82 THo.MPSON. C. Sinclair, M.B.Edin., C.M., appointed Medical Officer for Abbot- years, Charles, eldest surviving son of Caleb Whitefoord, F.R.S., anid grand- sham District of the Bidelord Union, vice J. Thompson, M.D. son of Sir Adam Whitefoord, Bart., of Blairquhan, Ayr, N.B. Buried in TODD, H. B., M.R.C.S.Eng.. L.R.C.P.Lond., reappointed Medical Officer of Whitton Churchyard, Burford, Salop, Thursday, the 12th inst. Requiescat Health to the Charlton King's Local Board. in pace. 1470 THE BRITISH MEDICAL .JOURNAL. [June 21, 1890. HOURS OF ATTENDANCE AND OPERATION DAYS AT THE LONDON HOSPITALS. LETTERS, NOTES, AND ANSWERS TO CORRESPONDENTS. CANCER, Brompton (Free). Hours of Attendance.-Daily, 2. Operation Days.- Tu. S., 2. COMXuNIcATIONS FOR THE CURRENT WEEK'S JOURNAL SHOULD REACH THE 01FFICE NOT LATEB THAN MIDDAY POST OX WEDNESDAY. TELEmBAMS CAN CENTRAL LONDON OPHTHALMIC. Operation Days.-Daily, 2.. BE RECEIVED ON THURSDAY MORNING. CHARING CROS.S. Hours of Attendance-Medical and Surgical, daily, 1.30; ob- COMMUNICATIoNS respecting editorial matters should be addressed to the Bditor. stetric, Toi. F., 1.30; Skin, M. 1.30; Dental, M. W. F., 0. Throat 429, Strand, W.Ca, London; those concerning business matters, non-delivery alnd Ear, F., 9.30. Operation Days.-M., 3; Th. 2. of the JOURNAL, etc., should be addressed to the Manager, at the Office, 429, CHELSEA HOSPITAL FOR WOMNEN. Hours of Attendance.-Daily, 1.30. Opera- Strand, W.C., London. tiois D.zys.-M. Th., 2.30. IN order to avoid delay, it is particularly requested that all letters on the editorial business of the JOURNAL be addressed to the Editor at the office of EAST LONDON HOSPITAL FOR CHILDREN. Operation Day.-F., 2. the JouRNAL, and not to his private house. GREAT NORTHERN CENTRAL. Ihlurs of Attendance.-Medical and Surgical, M. AuTORBS desiring reprints of their articles pubUshed in the BRrTIx MEDICAL Tu. Wed. Th. F., 2.30; OIbtetric, W., 2 30; Eye, Toi. Th., 2.30; JoURNAL are requested to oommunicate beforehand with the Manager, 429, Ear, M. F., 2 30; I)iseases of the Skin, W., 2.30; Diseases of the Strand, W.C. Throat, Th., 2.30; Denital Cases, W., 2. Operation Day.-W., 2. CoRREsPONDENTs who wish notice to be taken of their communications should Guy's. Hours of Attendance.-Medical and Sturgical, (daily, 1.30; Obstetric, M. authenticate them with their names-of course not necessarily for publication. Tti. F. 1.30; Eye, Al. Tu. Tb. F., 1.30; Ear, Tti., 1; Skin, Tu., 1; CORoESPoNDExTS not answered are requested to look to the Notices to Corre- Dental, daily, 9; Tlhroatt, F., 1. Operation Days.-(Ophthalmic), spondents of the following week. M. Th., 1.30; Tu. F., 1.30. MANUSCRIPTS FORWARDED TO THE OFFICE OF THI JOURNAL CANOT UNDER ANY HOSPITAL FOR WOMEN, Chelsea. Hours of Attendance.-Daily, 10. Operation CIRCUMSTANCES BE RETURNED. Days.-M. Th., 2. PUBLIC HE:ALTH DEPATMENT.-We shall be much obliged to Medical Offoen of Health if they will, on forwarding their Annual axnd other Reports, favour KING'S COLLECGE. Hours of Attendance.-Medical, daily, 2; Suirgical, daily, 1.30; us with Duplicate Copies. Obstetric, daily, 1.30; o.p., Tu. WV. F. S., 1.30; Eye, M. Tb., 1.30; Ophtlhalmic Department, WV., 2; Ear, Tli., 2; Skini, F., 1.30; Throat, F., 1.30; Dental, Tu. TIl., 9.30. Operation Days.-Tu. F. S., 2. IV Queries, answers, and conmunications relating to subjects to which special of the are devoted, will be found under their ri LO.-DON. hoturs of Attendance.-Medical, daily, exc. S., 2; Snirgical, daily, 1.30, departments JOURNAL sp(ctive awd 2; Obstetric, M. Tik., 1.30; o.p. W. S., 1.30; Eye, Tu. S., 9; Ear, headings. S.. 9.30; Skin, Th., 9; Dental, Tu., 9. Operation Days.-M. Tu. W. QUERIES, Tll. S., 2. METROPOLITAN. Hours of Atten4ance.-Medical and Surgical, daily, 9; Ob- W. G. asks for the composition of " Dr. Wright's Pearl Ointment." stetric, W., 2. Operation Day.-F., 9. GROWING PAINS. MIDDLESEX. Hours of Attenzdance. -Medical and Surgical, daily, 1.30; Obstetric, PAINS asks for advice in the treatment, curative or palliative, of " growing M. Th., 1.30; o.p., M. F., 9, WV. 1.30; Eye, Tu. F.,9; Ear and Throat, pains." Tu., 9; Skin, Tu., 4, Tb. 9.30; Dental, M. W. F., 9.30. Operation *** A note on Dr. Comby's recent observations on this subject is to be Days.-W., 1, S., 2; (Obstetrical), W. 2. found in the JOURNAL for April 16th, 1890, p. 816. NATIONAL ORTHOPHEDIC. Hours of Attendance.-M. Tu. Th. F., 2. Operation Day.-W., 10. TREATMENT OF PRURITUS VULVA. A MEMBER wishes for advice in the case of a patient, aged 32years, the mother NORTH-WEST LONDON. Ilours of Attendmnce.-Medical and Surgical, daily, 2; of tbree children, who is suffering from pruritus vulvae, which came on when Obstetric, W.. 2; Eye. W., 9; Skin, Tu., 2; Dental, F. 9. Operation bathing at the seaside last autumn, and has continued ever since in spite of Day.-Th., 2.30. all the constitutional and local treatment which he and his medical friends ROYAL FREE. Hours of Attendance.-Medical and Surgical, daily, 2; Diseases can think of. Lately the vulva was completely burnt with the thermo- of Women, Tu. S.. 9; Eye, M. F., 9; Dental, Th. 9. Operation cautery without any beneficial effect. The patient has no uterine disease, ex- Days.-W. S., 2; (Ophthalmic), M. F., 10.30; (Diseases of Women), cept a very slight leucorrhcea occasionally, and no sugar in the urine. 9. S., THE "WAGE LIMIT" AT HOSPITALS. ROYAL LONDON OPHTHALMIC. Hours of Attendance.-Daily, 9. Operation DR. R. R. RENTOUL (Liverpool) asks to be informed of the existence of a rule Days.-Daily. 10. referring to the " wage limit " which debars applicants for receiving in-patit nt Hours 1. 2. medical relief at the voluntary hospitals. He does not refer to the " wage ROYAL ORTHOPEDIC. of Attendance.-Daily, Operation Day.-M. limit" for out-patients. ROYAL WESTMINSTER OPHTHALMIC. Hours of Attendance.-Daily, 1. Oper-ation Days.-Daily. ST. BARTHOLOMEW'S. Hours of Attendance.-Medical and Surgical, daily, 1.30; ANSWERS. Obstetric, Tti. Tli. S.,2; o.p., W. S., 9; Eye, W. Ti;. S., 2.30; Ear, Tu. F., 2; Skin, F.. 1.30; Larynx, F., 2.30; Ortlbopnedic, M., 2.30; MORPHINE HABIT. Dental. Tu. F., 9. Operation Days.-M. Tu. W. S., 1.30; (Oplitihal- A CHEMIST writes: Seeing an inquiry as to relinquishing the habit of morphine- mic), Tu. Th., 2. taking in the JOURNAL, I desire to bring to your notice my own case. I was ST. GEORGE'S. Hours of Attendance.-Medical and Surgical, M. Tu. F. S., 12; in business as a chemist, and through an accident was induced to take Obstetric, Th. 2; o.p., Eye, W. S. 2; Ear, Tto., 2; Skini, W., 2; morphine; it grew into a habit, and for years I took 60 grains a day. Abouti Tliroat, Th., 2; Ortliopnedic,W., 2; Denltal, Tu., S., 9. Operation eleven years ago I became very ill, and my wife called in a medical man, who Days.-Th., 1; (Ophthalmic), F., 1.15. said the morphine must be given up. He had me under his care for some time, and since October. 1880, I have not taken an atom. ST. MARK'S. Hours of Attendance.-Fistula and Diseases of Rectum, males, W., I give the name of my doctor and my own name, not for publication, blit 8.43; females, ThI., 8.45. Operation Days.-M., 2, Tu. 2.30. for bonsfides. ST. MARY'S. hiouirs of Attendance.-M1edical and Surgical, daily, 1.45, o.p., INCOME TAx. 1.30; Obstetric, Tti. F., 1.45; Eye, To. F. S., 9; Ear, A1. Tli., 3; MEMBER OF BRTTISH MEDICAL AssoCIATION will find in Chapman's Income Orthopvclic. W., 10; Thlroat, Ti;. F., 1.30; Skin, M. Thi., 9.30; Electro- Tax; How to get it Refunded a special section devoted to the deductions whicl therapeltics, Tu. F., 2; Dental, W. S., 9.30; Conisuiltations, M., 2.30. may be made by doctors in making their returns. It is published at is. by Operationt D.sys.-Tu., 1.30; (Orthopndic), W., 11; (Oplhtl;almic), Effingham Wilson, Royal Exchange, or will be sent post free by the Income F., 9. Tax Repayment Agency, 25, Colville Terrace, W., on receipt of thirteen ST. PETER'S. Houirs of Atte;dance.-M., 2 and 5, Tu., 2, WV., 2.30 and 5, Th., 2, stamps. F. (Women a;;d Children), 2 6.. 3.30. Operationt D,e.-W. 2.30. CERTIFICATES OF IDENTITY. ST. THOMAS'S. Hours of Attendance.-Mdedical and Surgical, daily, except Sat., F. S. A.-It is not customary-indeed, we never knew it done-to charge any 2; Obstetric. Tu. F., 2; o.p., V., 1.30; Eye, M. Tu. W. Tli., F, 1.30; fee for signing the identity paper of a discharged soldier drawing pension. It o.p., (laily, except Sat., 1.30! ENar, M., 1.30; Skin, F., 1.30; Throat, is a labour of love which magistrates or medical men perform. Tu. F., 1.30; Children, 8. 1.30; Deiltal, Tu. F., 10. Operation Days.-W. S., 1 30; (ophbttslmic), Tu., 4, F., 2. TEE AvERAGE ALCOHOLIC CONSUMPTION. Hours DR. R. S. STEWART.-We have no detailed information as to England, Scotland. SA.MARITAN FREE FOR WOMEN AIND CHILDREN. of Attendance.-Daily, and Ireland separately, but. the following has been the average annual 1.30. Operation Day.-W., 2.30. consumption of intoxicant. in the United Kingdom per head of the popu- TiJROAT, Gc ien Square. Hours of AttaNdance.-Daily, 1.30; Tu. and F., 6.30. lation: 1876,£4 9s.; 1886, £3 7s. 10d.; 1887, £3 7s. 8d.; 1888, £3 6s. 8d.; 1889, Operation Day.-Th., 2. £3 98. Ild. w2SIVHERSITY COLLEGE. Hozzrs of Attendance.-Medical and Surgical, daily, 1.30; Obstetrics, M. W. F., 1.30; Eye, M. Th., 2; Ear, M. Th., 9; Skin, NOTES, LETWU, ETC. W., 1.45, S., 9.15; Throat, M. Th., 9; Dental, W., 9.30. Operation Days.-W. Th., 1.30; S. 2. his WFnT LONDON. Hours of Attendance.-Medical and Surgical, daily, 2; Dental, RUSTICUS is requested to communicate address. Tu., F., 9.30; Eye, Toi. Th. S., 2; Ear, Tu., 10; Orthopaedic, W., 2; THIE BIOLOGY OF DAILY LIFE. Diseases of Wome;;, W. S., 2,; Electric, Tu., 10, F.. 4; Skin, F., 2; IN answer;to the author of The Biology of Daily Life, we would -express olur Throat and Nose. S., 10. Operation Days.-Tu. F., 2.30. regret that we have in one particular inadvertently misrepresented his teach- WESTMINSTER. Hours of Attendance.-Medical and Surgical, daily, 1; Ob- ing. He does not, it would appear, recommend a bread made out of sawdust, stetric, Tu. F., 1; Eye, M. TIb., 9.30; Ear, M., 9 Skin; W., 1; -the passages in. which he dilatea uies suchdiet were, it would seem, " writ Dental, W. S., 9.15. Operation Days.-Tu. IV., 2, sarcastic." THE BIRIISHI MEDICAL JOURNA.t. fJune 21, 1890,

PRACTICE IN BRITISH COLUMI3DA. M.O.H.; Mr. W. W. WVagstaffe, Sevenoaks; Dr. J. Oliver, London; Dr. DR. M. D. BRYDONE-JACK (Vancouver, British Columbia) writes: As the Willoughby, London; Surgeon-General Hassard, Dublin; Dr. D. J. Cun- season for graduationi at the different college3 antd univer3ities is approach- Crocker, ing, and gradtiates will be looking round for good locatioas, I have thought ningham, Dublin; Dr. C. 3. Mouncey, Earlestown; Dr. H. R. that it might be advisable to give your readers an idlea of what British London; The Rev. G. H. Wright. London; Dr. A. Duke, Dublin; Surgeon- Columbia-which, perhaps deservedly, on account of its climate and natural Major C. S. Swaine, Jalna, Deccan; Mr. G. H. Makins, London; Mr. P. MI. advantages, is being brouglst before the public-will offer in the way of Penman, Fleetwood; Mr. W. Fraser Roe, London; Mr. Arthur Wiglesworth, attraction to the medical profession. Every person who desires to practise in British Columbia, iso matter what Liverpool; Dr. C. J. Evans, Northampton; Mr. C. II. Warren, London; their degrees are-whether university or college, English, Scotch, or Amnerican Trompe; Dr. Russell, Glasgow; Dr. A. G. Bateman, London; Dr. W. B. -is compelled to pass an examinationi in all medical and surgical subjects, Ransome, Nottingham; Dr. Kendal Franks, Dublin; Mr. H. C. Philli s. comprising chemistry, physiology, anato:ny, materia medica, and all the London; Autogenesis; Dr. C. It. Illingworth, Accrington; Dr. J. B. other usual stubjects, and for this examination a fee of one hundred dollars is cllarged. Hellier, Leeds; Dr. Burder, Clifton: Mr. M. L. Trechmann, London; Mr. These the present proportion of medical men to the population is abolut 1 E. G. Annis, London; Dr. W. M. Harman, Winchester; Mr. F. W. Lowndes, to every 400 or 500, and as the class of imnmigrants is a remarkably healthy Liverpool; Mr. C. K. Cooke, London; Dr. Balding, Royston; Messrs. Oppen- onle, and as British Columbia itself is onie of the filuest and healthiest locali- heimer Brothers and Co., London; Mr. W. Powell, London; Mr. C. B. Burt, ties in the worldi to live in, it follows tliat the proportion of sickness is very small. In Vanicouver, the largest aind most tvpical city in British Columbia London; Mr. T. M. Watt, Hovingham; Dr. W. M. Kelly, Taunton; Mr. C. -witlh. perlsaps, tlie exception at present of Victoria-tlse death-rate is 9.2 F. M. Althorp, Bradford; X.; Dr. S. Copeman, London; Equity; V. Wano- per 1,000; and what will cositribute to make it still more healthy now is the strocht, M.B., Beddgelert; Mr. J. R. Harmar, Birmingham; Rankle; Mr. fact that tisev are puttinig in anl efficieint systesn of sewerage, and they have J. H. Simpson, Rugby; Mr. W. Rivington, London; Dr. J. W. Moore, Dub- already what is probabl'y one of the best water supplies in the world. People need not be deterred from coming here by the fear of not having lin; Dr. E. .J. Edfardes, London; Surgeon H. W. Elphrick, Meean Meer; efficient medical or surgical attenidance, as there are here in Vancouver Dr. W. A. Carline, Lincoln; Dr. C. E. Puirslow, Birmingham, Dr. J. W. already eight or ninie practitioners, graduates of leading English and Scotch Byers, Belfast; Mr. R. F. Owen, London; Mr. L. Mark, London; The Secre- universities and colleges, while perhaps in the province there are altogether tary of the Doard of llealth, New South Wales, Sydney; A Doctor, etc. between thirty and forty; then, in additioni to this number, we must reckoii in numerous graduates of Canadian and United States colleges and univer- sities who are practising here; and I may further add that the class of prac- titioners is as a rule exceptionally good. I might, perisaps, say that the BOOKS, ETC., RECEIVED. proportion of medical men to, tlle population is more than what is stated above, as while writing I have heard of three more who are about to settle in Vancouiver. Actions des Produits S6cretei par les Microbes Pathoglne3. Par Ch. Bouc'La xl. Wisile heartily endorsing everything favoisrable that can be said about Paris: Gautbier, Villars, et Fils. 18°0. Bxitisis Columbia-its climate, natural resouirces, mininigr capabilities, farm- Hygiene of Chi'dhood. By Francis 1H. Rankin, M.D. London: H. K. Lewis. ing, lands, etc-it must be remembered that nio one ought to come to a new 1890. country witlsout being furnished with ample resources to assist in first The Shadow Test in the Diagnosis and Estimation of Ametropia. By W. M. develoluing that country; thems, and then olsly, may he expect to reap an Beaumont. London: H. K. Lewis. 1890. ample harvest in return for lsis money. It may, perhaps, intere3t your readers to know that the average annual Maladie de la Peau dite Maladie d3 Pagret. Par le Dr. Louis Wickham. rainfall mean is 58.40, and that the average temperature mean is 47 9S; it Paris: G. Masson. 1890. very rarely goes below 340, anid very rarely above 701. We lIave in the distr'ct Gray's Botanical Textbook, Vol. II. Physiological Botany. By Gs:rge LincoLs numerous hot sl)rings, wlsich are available for the treatment of various Goodall, A.M., M.D. London: Macmillan and Co. 1890. diseases, and the hotel accommodationi is all that anyone can desire. L'iLtoxication Chroniqsse par la Morphjine et ses Diverses Fornies. Par le Dr. If any of youLr readers would like assy further islformation about the L. It. 1dgslier. Paris: Aux Bureaux du Progres Medical. 1890. province and its prospects I shall te pleased to let them have it. Contribiltion a 1'13tude de la Syringomy6lie. Par le Dr. I. Brulis. Paris: Aux Bsurau.x du Ps'ogrHs Medi,al. 1890. Les B et6ri( s et leur IhOle dans l'Iltiologie, l'Anatomie, et l'Histologie Patholo- COMMUNICATIONS, LETTERS, etc., have been received from: gqtles de} Maladies Infectieuses. Par A. V. Cornil et V. Bares. Tomne3 Mr. D. C. Clark, West Lintcn; Dr. F. Fitch, Kidderminster; Dr. P. M. I et II. Troisi6me Edition. Paris: Felix Alcan. 1890. Deas, Exeter; The Secretary of St. Mary's Hospital, London; Mr. H. A. The Throat and Nosa and their Diseases. By Lennox Browne, F.R.C.S.E. Dowell, London; Mr. Lawron Tait. Birmingham; Mr. M. Hewetson, Clon- T'llird Edition. London: BailliOre, Tinidall. and Cox. 1890. £eee:ted Subjects in Connection with the Surgery of ITnfancy and Childbocd, mel; Dr. F. H. Wigmore, Macclesfield; Mr. B. Spicer, New Barnet; Our beilg the Lettsomian Lectures delivered at the Medical Society of London, Paris Correspondent; Dr. Gubb, London; Mr. A. H. Benson, Dublin; 1890. By Edmund Owen, M.B., F.R.C.S. London: Bailli6re, Tindall, and Messrs. C. Griffin anl Co., London; Mr. J. F. Boyes, London; Mr. R. J. Cox, 1890. Carter, London; Di. Fletcher Beacl, Dartford; Mr. W. M. Benham, Lon- On Localised Peritonitis, its Etiology, Diagnosis, and Treatment. By John don; Dr. A. D. Turner, Londcn; Mr. J. Lowney, Malta; Dr. G. A. Cardew, Wallace. M.D. London: Baillifre, Tindall, and Cox. 1890. Cheltenham; Sir James Paget, London; Mr. W. R. H. Stewart, London; Practical Manual of Diseases of Women and Uterine Therapeutics. Bv H. Macnaughton Jones, M.D. Fourth Edition. London: Baillifre, Tiusdall, Mr. H. W. Drew, London; Dr. J. Coats, Glasgow; Dr. Barrett, Hinchley; and 1890. Mr. Cox. Mr. J. S. Nairne, Glisgow; Dr. Louis Parlies, London; T. B. F. Eminson, What Cheer O? By Alexander Gordon. London: James Nisbet and Co. Scotter; Messrs. Walter and Co., London; F. A. Dixey, M.B., Oxford; Mr. Burdett's Hospital Annual for 1890. Edited by Heniry C. Bsrdett. Loadosn: T. F. Raven, Broadstairs; Mr. S. Plimsoll. London; Observer; Mr. H. Row- Office of the Hospital. 1890. bottom, Alfreton; Mr. G. Nussbaum, London; Dr. Rentoul, Liverpool; Oxford anid Modern Medicine; a letter to Dr. James Andrew. By Sir Henry J. C. Mackenzie, M.B., Morpeth; Dr. C. Ruata, Perugia; Our Swiss Corre- Acland, K.C.B., F.R.S. London: Henry Frowde. 1890. spondent, Berne; Dr. W. Sykes, Mexborough; Surgeon T. A. P. Marsh, Aldershot; Mrs. H. A. Lewis, London; Mr. G. E. Bellew, Hawkhurst; Dr. Ward Cousins, Southsea; Mr. A. E. Godfrey, Noith Finchley; Mr. R. E. SQALE OF CHARGES FOR ADVERTISEMENTS IN THE Holding, London; The Secretary of the Sanitary Institute, London; Oc- " BRITISHI MEDICAL JOURNAL." Dr. H. C. Dr. T. C. tober; Pope, London; Charles, London; Messrs. A. Seven lines and under ...... £0 3 6 Riddle and Co., London; Dr. 0. Roth, Winterthiur, Switzerland; Dr. J. H. Each additional line ...... 0 0 4 Arbuckle, Kilmarnock; Professor Tiilmuiannis, Leipzig; Dr. R. J. H. Scott, A whole column ...... 1 i5 U Dr. A. J. Henmel Hempsted; Mr. J. B. 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