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PRACTICAL ILLUSTRATIONS OF THE USE OF THE VISITING CARDS. "MEDICAL DIGEST." To the Editors of T H E L A N C E T. THE LANCET. To the Editors of SIRS,—I would be much obliged if you could inform me what is the SIRS.—Mr. Leggatt reports an interesting case of nerve disorder usual and correct form of visiting card for a medical man. I do not subsequent to gonorrhoea, and remarks in THE LANCET of July 25th, know whether you will consider this subject within your province or Mge 240, that he can find no notice of such attacks. A reference to the not, but I should be glad of some information in the matter, as there :’Medical Digest." Section 1173 : 1, will guide him to an interesting does not seem to me to be any definite rule in connexion therewith. .-Me reported by of Dr. Althaus in 1876, and a further reference to the Thanking you in anticipation, I am, Sirs, sincerely yours, same section in the last Appendix will enable him to find other cases in L.B.C.P.. M.R.C.S. similar to his own. I many respects *** There is no rule. We shall be glad to hear what our readers think Mr. Stevenson, at page 240, remarks that he can find no case of on the subject as a whole. It is unnecessary to say that the use of :èt3TIUS neonatorum healed by antitoxin. Here again a reference to of on the card Section 1330 : 6 of the Appendix to the "Medical Digest will enable the title " Dr." visiting by any medical practitioner save a in medicine is L. sm to study some unsuccessful cases. graduate wrong.-ED. At page 246 a strainer for the tail valve of an enema tube is depicted. W. H.-The paper is marked for insertion. 1 piece of coarse net tied over the orifice forms a very efficient and easily procurable means of avoiding plugging of the valve by the COMMUNICATIONS not noticed in our present issue will receive attention of entance foreign bodies.—I am, Sirs, yours faithfully, in our next. RICHARD NEALE, M.D. Loud. ’I Boundary-road, N.W., July 31st, 1896.

Mr. A. H. Hutton.-We have not misunderstood our correspondent’s communication. We entirely sympathise with his trouble, but it is Medical Diary for the ensuing Week. one in which he should call in his medical attendant to assist him. T’ne condition is perfectly well known, and if further advice be OPERATIONS. required the medical attendant will be able to suggest the name of the most fitting consultant. METROPOLITAN HOSPITALS. MONDAY St. Bartholomew’s St. L. S.-The books hardly constitute a complete enough course. We refer (1Oth).-London (2 P.M.), (1.30 P.M.), Thomas’s 1.15 our correspondent to the Students’ Number of THE LANCET of 1895, (3.30 P.M.), St. George’s (2 P.M., Ophthalmic P.M.), St. Mary’s (2.30 P.M.), Middlesex (1.30 P.M.), St. Mark’s (2 P.M.), where he will find complete information on the subject under the Chelsea (2 P.M.), Samaritan 2 P.M.), title "The Student’s Library." (Gynaecological, by Physicians, Soho-square (2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic Practitioner.-The facts as narrated by our correspondent should be (4 P.M.), Gt. Northern Central (2.30 P.M.). laid before the General Medical Council, with proper verification of TUESDAY (llth).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), Guy’s them. (1.30 P.M.), St. Thomas’s (3.30 P.M.), Middlesex (1.30 P.M.), West- "FREE DOCTORING." minster (2 P.M.), West London (2.30 P.M.), University College THE following leaderette from the Globe of July 31st is in exact con- (2 P.M.), St. George’s (1 P.M.), St. Mary’s (2 P.M.), St. Mark’s firmation of the experience of many of our contributors :- (2.30 P.M.), Cancer (2 P.M.). 11 kongthe undesirable articles of faith which still have firm root WEDNESDAY (12th).-St. Bartholomew’s (1.30 P.M.), University College inthepopular mind is the belief that there is nothing mean or (2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross contemptible in shirking payment for medical assistance. If (3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.), all who can afford it were compelled to contribute some St. Mary’s (2 P.M.), National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), small sum towards the expenses of the hospitals they Samaritan (2.30 P.M.), Gt. Ormond-street (9.30 A.M.), Gt. Northern make use of, those institutions would have little need Central (2.30 P.M.). to appeal so constantly for monetary support. It is much THURSDAY (13th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s tbe same in the case of the medical relief afforded by (3.30 P.M.), P.M.), (3 P.M.). St. guardians. Here, again, It is quite a common thing for people University College (2 Charing-cross London Middlesex well able to subscribe to a sick club or even to employ their George’s (1 P.M.), (2 P.M.), King’s College (2 P.M.), St. North-West own doctor, to make ’ the poor face’ by pretending to be steeped in (1.30 P.M.), Mary’s (2.30 P.M.), Soho-square (2 P.M.), Northern abject poverty. In one instance just reported at Birmingham a London (2 P.M.), Chelsea (2 P.M.), Gt. Central (Gynæco- married woman asserted that she was destitute; her husband was, logical, 2.30 P.M.) she affirmed, both ill and absent, and she also had a sick child on FRIDAY (14th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St. her hands. But on inquiry being made it came out that the Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), Charing- L)usband was 32s. a that he had not receiving week, gone away, cross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s and that the means were farther swollen 10s. a family by (2 P.M., Ophthalmic 10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt. a Thus week, the regular earnings of younger member. the Northern Central (2.30 P.M.). total receipts come to more than £100 per annum, an amply IATURDAY Free A.M. and 2 Middlesex sufficient income to cover medical attendance of the ordinary kind. (15th).-Royal (9 P.M.), (1.30 P.M.), St. Thomas’s London A working man in receipt of that amount is better off than most (2 P.M.), (2 P.M.), University College (9.15 A.M.), curates through his not having to maintain the outward signs of Charing-cross (3 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.), respectability. Yet, if any curate were to apply for gratis medical Cancer (2 P.M.). relief, no matter how hard-driven he might be, there would be At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic plenty of democratic vociferation about his dishonesty,’ or what 10 A.M.), the Royal Westminster Ophthalmic (1.30 P.m.), and the not. The next will we the that free thing be, snppose, discovery central London Ophthalmic Hospitals operations are performed daily. education for the masses logically carries with it free doctoring and free medicine. Matters certainly seem to be gravitating in that direction." )uring the week marked copies of the following newspapers Fairplay-Is our correspondent able to prove that the cards have been have been received :-Berkshire Chronicle, Bristol Observer, North ’’ freely distributed " among his patients ? Middlesex Chronicle, Eastern Counties Times, Umpire, Lancashire Express, Express and Star, Bradford Observer, Birmingham Gazette, MUSK. East Anglian Daily Times, Manchester Courier, Sussex Daily News, ’1’0 the Editors oj THE LANCET. Times of India, La Gazette de France, Sheffield Independent, North SIRS,—Would some of;your readers inform me if musk still holds , Pioneer tlail, Cromer Post, Glasgow Herald, Evening Dispatch place in certain ataxic affections that it did in the days of Graves and (Edinburgh), Newcastle Leader, South Wales Daily News, Liverpool Trousseau ? Is it still used in our large fever I believe it to hospitals ? Daily Post, Builder, Carnarvon Herald, lieene’s Bath Journal, ’ta drug of the highest value in these affections, in fevers and pneu- Chester Chronicle, Eastern hlornirag BNews, Gazette, monia, but my hospital authorities desire to prevent me using it on Mid-Surrey Western Le-icester Yorkshire ’1e score that it is too dear. I am, Sirs, yours truly, Lowestoft Standard, Daily Mercury, Post, M.R.C.P. Post, , Architect, Manchester Evening News, Leeds Bristol ’,’ The price of musk is absolutely prohibitive. The authorities are Mercury, Bradford Daily Telegraph, Mercury, Bradford Local Government only exercising a due discretion. The qualities of musk have been Daily Argus, Cit,y Press, Reading Mercury, ilighly spoken of by excellent authorities, but its value is certainly Chronicle, Hertfordshire Vlercury, Weekly Free Press and Aberdeen John 0’Groat not proved by consistency in its action.-ED. L. Flerald, Sanitary Reeord, illining Journal, JournaL, Opticim, I:1itdian 3ftffor, London American News, Sunday World, M. William Garbutt.—Our advertisement columns will give our corre- Local Government Journal, Gloucestershire Chronicle, Surrey Adver- spondent all the information at our disposal. If he desires to find an tiser, Scotsman, Glasgow Evening News, Kerry Sentinel, Daily ilfail, institution in a special locality he should advertise in the paper of Reading Observer, West Yorkshire Pioneer, West Middlesex Herald, tna; locality. Oban Times, Ely Guardian, Exmouth Chronicle, &c., &c. 448 Communications, Letters, &c., have been Letters, each with enclosure, are also received from- acknowledged from- Medical Protection A.-Dr. G. N. Adamx, Loud.; Mr. ] t.—Ur. tc Llveing, J.ona : Ur. &.—Messrs. Arnold and Sons, Lond.; Society, i W. E. and Sec. London A. E. Ash, Stokeville; Mr. A. Leary. Castledeag; Messrs. Armour Co , Lond.; Lond., of; Hosp. Mr. P. G. Lpe. Cork; Mr. A. Affiliated Benefit Medical Dean of: R. Asquith. Bishop Auckland; Liquor . Nursing Asso-i College, R. Fern Longman, Mr. T. R. -ciations, Lond., Hon. Sec. of : . Carnis Co, Aston Clinton; Mr. R. Anderson, Hilt Salisbury ; Medical Manchester Messrs. W. H. Allen and Co., Llewelhn, Tonypandy; L. M., Anderson’s College Lycetol, Lond ; LS all, Lond. School. Glasg., Sec. of; The H. R. M.—Dr. J. Macintyn e, Glasg ; Surg.- Cardiff ; Assistant, Burnley : Alien Nat. Surg. lnst., Indian- Capt H. B. Melvitte, LuckLow; A. X, Lond ; Anatomy, Lond. ; U Con- Mr. T. H. Martin, Crawlpv; Mr. Albus, Lond. ] I.-Dr M. McFarlane, Inversnail opolis, S.A.: Anglo-Swiss Dr. A. R. Manlv, East Rudham. densed Milk Co., Lond.; Apolli- R. Mosse. Lond.; Miss M. Morgan, I Messrs Madun B.-Dr. E. C. Baber, Brightnn ;i Mr. W. J. Mitchell. I)uly;ie,; naris Co., Lond. ! Helensburgh ; Mr. Air. A. C. and Co., Lond.; Messrs Macmillan Dr. F. M. Black, Lond.; Mr J. Martin, Clent; B.—Dr. D. Bower, Bedford; Mr. C. J. L. Browne, Lond.; Mr. P. A. Morton, Avlsham ; Messrs. s. F.L, Birchall. Liverpool; Mr. G. H. and Co, Lond.; Marine Dept., Board of Trade, Lond., Assist. Bmdshaw-Isnerwood, Ram"ga’e Mav and Co.. Lond.; Medicus, Butler, Harrow; Mr. B. Beasley, Mr. W. G. Burcombf, Lincoln; Pimlico: M.D.. Brussels; M.D. Lond.; Mr. H. Burgess, Lond.; See. of; Mate Tea Co, Lond.; M.D., Leeds; M D , Brussels. Mr. F. W. Beville, East Moseley; Bradford; Medicus, Lond ; M.D., Miss B. P. Bullar, Portsmouth ; Mr. E. G. F.R.C.S., Lond. "Messrs. J. Brinsmead. Lond.; N.-Messrs. Neyroud and Son, Byme. Grangetown ; and Mr. H. A. W Batten, Petersfield; Messrs. Burgoyne, Burbidgesand Lond.; Messrs. Newbon Co , Win- National for the Mr. A. T. Bridgen-Carter, .—Mr.J. Naylor, Tipton ; National Co., Lond ; Messrs. Broekhues Lond.; Hospital Wood- and Lond., ebelsea; Mr. G. Booth, Prov. Inst, Lond., Sec of; - et Cie, Koln; Messrs. Blackie Paralysed Epileptic, bridge; Messrs Blondeau et Cie, N. B. T., Lond. and Son, Lond.; Messrs. Bland Sec. of. Bristol 0,-llir. Edmund Owen, Lond.; Lond.; BirminghamCit.y Asylum, Bros.. Newcastle-on-Tyi3e; Bona Lond.; R A. B. C. Board of Messrs. and Co., Lond. Clerkof ; Fide, P., I,-Dr. Orchard, Billesdon. Eye Hosp.,See.of; Trade, Orridge J.ond; Beta, Beta, Lond., Sec. of T. B. Browne, P.-Dr. R. Blackheath; Liverpool ; Pringle, Camberwell. ] —B[r. H. A. Pearson, Crawley; Ltd., Lond. Pugh, Birmingham; G. W. Stoke C.—Dr. J. T. Chamberlain. Nuncar I Mr. Y. J. Edin. ; Peat Mr. Pauli, Park; Mr. T. Pentland, C.-Dr. R. Cook, Leiston; Dr. J. K’ Mr. E. Posnett, Grimsby. Gate; Dr. J. Chiene, Edin.; Products, Ltd., Lond., Managing Clarke, Huddersfield ; Mr. H. Dr. G. B. Courtney, Rams- Director of. Cuthbertson, Bolton; Mr. A. i Lond. gate ; Dr. H. R. Crocker. Lond.; R.-Dr. J. S. R. Russell. Lond.; Cohen, Lond.; Mr. R. Cuffe. Q.-Quick, Mr. R. B. Carter, Lond ; Mr. Dr. W. B. Ransom, Notting- Woodhall Spa; Messrs. Cadhury R.—Dr. G. H. Rutter, Wootten R. W. S. Christmas, Lond.; ham ; Mr. W. Reeve, Lond ; Bros, Birmingham ; Cambridge ’Messrs. C. J. Clay and Sous, Messrs. Robinson and Son, Babsett ; Dr. Reade, Ampleforth; University, Sec. of; Crediton Mr. W. Ross, Bonar Bridge; Mr. Lond.; Children’s Hosp , Notting- Wakefield ; Messrs. Richardson Union, Clerk of. ham. Sec. of : Consett Water I Bros. and Co , Liverpool; Messrs. R. Robinsoo, Malvern; Mr. R. Works Co. Sec. of; City Robertson and Edin.; J. H. Port Roberts, Cheslyn Hav; Memrt. of Scott, Royal D.-Dr. Davis, Talbot ; and Sheffield, Town Clerk of ; Cort- Manchester, Sec. Mr. W. T. Robinson Sons, Chesterfield, Infirmary, of; Davles, Nantgaredig; Cornwall land Wagon Co., Lond. Red Cross Germicide Co , Lond., Messrs. F. Dye and Co., Lond ; Royal Infirmary, Truro, E.—Dr. J. R. Dalrymple, Hands- i Manager of; Royal Ear Hosp., Dispenser, Gateshead-on-Tyne ; See. of; Robert, Lond ; Radius, worth ; Dr. E. J. De Gruyther, Lond., Hon. Sec. of. D. J., Lond. Lond. Lond.; Dr. T. V. Dickinson, S.-Dr. G. E. Shuttleworth, Lond.; Mr. A. M. Dow, Brighton; I Lond. ; Dr. G. H. Simmons, E.-Messrs. Eason and Son. 3.-Dr. W. Shackleton, Blackwood; Dublin; Mr. W. Mr. Messrs. S. Deacon and Co., Lincaln. U.S.A.; Dr. H. Snow, English Diastasic Malt, Co., Mist- Sayers, Aldershot; Lond.; Messrs. Down Bros.. Lond. I Lond.: Mr. J. Smith, Maccles- ley ; Ecnan, Strood; E. D., Lond. E. E. Semmence, Wymoodbam. Sec. of. H. Newcastle- Mr. J. Swanley, Ballytore ; E.-Epsom College, Lond., field ; W Spurgin, Messrs. W. H. Smith and F.-Mr. D. Flinn, Kingstown ; on-Tyne; Messrs. Street and Co., F.-Dr. J. Francis, Grimsbv; Mr. Son, Messrs. Fannin and Co., Dublin : , Lond.: Sheffield School of Medi- G. Fowler, Hanlev; F.R.C.S, Manchester; Stockportlnfirruary. Dean Saarbach’s News Lond. Sec. of ; Sunderland Borough Faculty Hall. Glasg., Registrar ! cine, of; Lond.; Fibula, Clerk St. of; F. U. S., Lond. I Exchange, Mainz ; Sanitary Asylum, Ryhope, of; i Andrew’s Northampton, G.-Dr. H. M. W. Gray, Leipzig; Wood Wool Co., Lond.; Sanitary G.-Dr. I Griffith, Netherton; Hosp , Burial Dr. W. Y. Grant, Berwick-on- Sec. of; Spero, Lond.; Sapho, Dr. Gover, Lond ; Dr. W. J. Assn., Lond.; Surgeon, Lond.; S., Gow. Lond.; Mr. Gradensitz, Lond. Tweed;Mr.W.E (jood, Dorches- Lond.; Shanghai, Messrs. R. W. Greeff and T.-Dr. H. Tilley, Lond : Mr. F. ter ; Mr. W. H. 0. Garde, Erdiog- Torquay. Lond.: I Co., Lond.; G. K., Treves, Lond.; Mr. B. Thornton, ton ; Messrs. Giles, Schacht and )Ir. J. Leamington Gravesend r.-D. W. Turner, Lond.; Spa; Gamma, Lond. Margate; Tynemouth HORp., Co., Bristol; Hosp., Mr. T. W. Telford, South Devon. Sec. T. Sec. of; Great Eastern Thin, Edin.; H.—Dr. J. Holman, Lond.; Dr. , of; X., Railway Mr. W. T. Thorns. Lond. Lond., Accountant ot Whitehaven ; G. F. Helm, Marazion; Mr. T. G. Lond.; Toggyloan, Co., Liverpool. Horder, Cardiff ; Mr. J. P. U.-University of Edinburgh, Dean Gamma, Lond. of the of Medicine. Humphery, Eastbourne; Mr. J. Faculty N. U.—University of Glasgow, Far Mr. H. V.-Dr. E. Hainan, H.-Dr. Hirst, Aspley; Brig.- Heywood, Manchester; D.Vanderburgh, Lieut -Col. C. E. Harrison, tors of. Hutchinson, Lond.; Halifax In- China; Fleet-Surg. C. L. Vasey, Surg. Volunteer Medical Assn., Lond.; Mr. W. N. Heygate, Bath; firmary, Sec. of; Harrod’s, Lond., Lond.; Mr. W. A. Hardiker, Priors Mars- V.—Mr. E. Vitali, Lond. Sec. of; Hereford General In- Lond., Sec. of; Victoria Medical Sec. of. ton ; Mr. E. F. Harrison, New- - tirmary, See. of ; H. R., Lond. Society, Melbourne, castle-on-Tyne ; Mr. F, Hamilton- W.-Dr. G. B. White, Enniskillen; T.—Inns of Court Hotel, Lond., W.-Dr. F. R. Walters, Lond.; Dr. Kenny, Oakleigh. Australia; Mr. Dr. J. P. Williams - Freeman. See.of ; International Jonrnal of G. Sims Woodhead, Lond.; Mr. Weyhill ; Mr. W. G Wearer. A. B. How. Stradbroke; Messrs. Wilkin, &c., Bath. W. F. Webster, Silsoe; Mr. and H. F. Aylesbury; Mr. G. C. Microscopy, Hooper Co., Lond.; J ,, Gt. J.—Mr. R. W. Jenkins, Lond.; Mr. J. Wilson. Edin.: Mr. S. Wall, Lond.; Hampshire, Lond. Lond.; Mr. W. E. Wyllys, A. Jacques, Sutton. Oldham; Mr. W. Roger Williams, i Yarmouth; Mr. H. West, Jersey, K.—Prof. Kitasato, Tokio, Japan; Preston ; Mr. E. F. Willoughby, L-Mr. W. Irving, Hanley. Mrs. B. Williams, Braemar; Mr. E. Knight. Lond.; Messrs. Sidcup ; Mr. J. W. Walker, Wake- Messrs. J. Walker and Sons, Keith and Co., Edin. I field ; Mr. D. Wallace. J.-Mr. E. James-Gibbs, Banbury ; y Huddersfield ; Messrs. Watkin; L.-Dr. D. Landsborough,Tainanfu, Y.-Yorkshire College, Leeds, Mr. H. S. Jackson, and Osmond, Lond.; Messrs. J.* Hong Kong; Dr. J. F. Little, I See. of. Woolley, Sons and Co., Man. Lond.; London and CountiesZ.-Zeta, Lond. K.—Dr. Kingdon, Birmingham.Barcelona. chester ; W. S.M., Lond,