Correspondents. to the Editors of the LANCET

1457

RHEUMATISM AND TONSILLITIS. METEOROLOGICAL READINGS. THE New York Medical Iiecord reports a paper by Dr. William Henry (Taken at 8.30 a.m. by Steward’s Instruments.) daily Thayer, in which he confirms recent views as to the frequent associa- THE LANCET Office, June 26th, 1890. tion of tonsillitis with rheumatic attacks. He adduces seven cases. One was of special interest as an instance of rheumatism affecting the submaxillary, sublingual, and other glands, together with rheumatic trouble. Neuropathist.-The monograph in question is by Dr. Magini, and its. title is "Alcuni nuovi Caratteri differenziali delle Cellule Nervose" (Some new Differential Characteristics of the Nerve Cellules). It. will be found in the new volume of the "Atti" of the Accademia. dei Lincei of Rome. A.11. P.-The discharge from the institution having been complete, fresh certificates are required for readmission. to - D;’. A. A. 31-ackeith is thanked. Notes, Short Comments, & Answers HÆMATURIA AND GARDEN RHUBARB. Correspondents. To the Editors of THE LANCET. SIRS,—Six years ago my son had a sudden attack of hæmaturia, but. having been playing leap-frog at school it was thought probable that that It is especially requested early intelligence oj local the kidneys had suffered some injury. This symptom quickly passed. events having a medical interest, or which it is desirable off with rest in bed, and nothing further came of it until a year later, to bringitnder the notice of the profession, may be sent when it recurred, and was again attributed, in the absence of any direct to this Office. known cause, to renal injury from athletic exercises; and, there being, All communications relating to the editorial business oi the apparently some tenderness on pressure over one kidney, calculus journal must be addressed " To the Editors." suggested itself. A third attack followed at an interval of another year, when examination of the urine, then made for the Lectures, original articles, and reports should be written on microscopical first time, revealed the presence of numerous octahedral crystals of one side the paper. only of oxalate of lime with blood-cells. I at once suspected garden rhubarb- whether intended insertion or in- Letters, for for private as the cause, each attack having come on when it was in season and must be authenticated the names and formation, by had been freely partaken of. He therefore abstained from that vege- addresses of their writers, not necessarily for publication. table in future, and has had no recurrence of hæmorrhage. In the- We cannot prescribe or recommend practitioners. early spring of this year I was myself similarly attacked with hasma- Local papers containing reports or news should turia, accompanied by frequent desire to micturate, and smarting pain be marked and addressed "To the Sub-Editor.’paragraphs in the urethra. The microscope showed abundant sharp crystals of Letters relating to the publication, sale, and advertising oxalate of lime and blood-cells, and, having just previously partaken departments of THE LANCET to be addressed "To the freely of stewed rhubarb, I felt convinced that to this the haemorrhage Publisher." was due. It is hardly necessary to add that this vegetable ceased to- at table. We cannot undertake to return ilISS. not used. appear my Not having been able to find in medical literature any notice of such a coincidence, it seems advisable to place it on record, with the object. MEDICAL ETHICS IN SMALL MATTERS. of eliciting the experience of others. It is right to add that on one occasion, twenty years ago, I blood in the urine, and. Dr. Campbell Black writes to us to express the want of respect (not to use previous passed have also occasionally noticed uric-acid crystals, being somewhat gouty,. a more forcible expression) which he feels for so-called medical ethics as further evidenced by a tendency to psoriasis of the nails if tempted- which denounce the infinitesimal of men delinquencies struggling to indulge in a daily glass of beer. I am, Sirs, yours truly, against the competitions of early life in poor neighbourhoods while June, 1890. MEDICUS. the sins of leaders are overlooked. He says, for example, that if a man advertise a change of address in the barest way he is apt to be Scipio.-The remark was made by Mr. Justice Wills in March last, in censured, while another shall procure a puffing notice in a lay journal his charge to the Grand Jury at Chester in connexion with the Crewe and go unscathed. We recognise a needed warning in this. The less murder. His lordship said: " The coroner’s inquisition could not be medical men advertise in newspapers even a change of address the too thoroughly understood. It amounted to nothing more than the better. But let us always have regard to the essential taste and pro- finding of a true bill by a grand jury." portion of things. A biographical sketch in a paper called The Ballie, Dr. Campbell Black.-The letter would make too great a demand on our- which bears clear indication of professional authorship, seems to us space. to call for a disclaimer and discouragement from the subject of it, as R. A. should consult his medical adviser. being "advertising" of a much more objectionable kind than the bare intimation of a change of address. We should be glad to hear that INFLUENZA OR DENGUE. ’men of all schools in Glasgow were free of responsibility for such To the Editors of THE LANCET. puffs as appear in The Bailie of June 18th. SIRS,—I see that the question whether the late epidemic was innuenza. H. A. B. will find in our Students’ in Number, published September or dengue is still being discussed, especially on the Continent. To the the information he desires. last, settling of this question allow me to contribute the following. North.-No title implying registration being adopted, the law cannot We are now just getting over the influenza-the first visitation since be invoked in the case. 1851, I am given to understand. As to dengue, I have seen several epi- Dr. Carslaw.-The suggestion shall have consideration. demics of it on the coast-West Coast of South America. I have seen patients come with it here, more than 7000 feet above sea level, but I SPASMODIC TORTICOLLIS. have never seen it communicated to anyone. In this it resembles yellow fever. I am, Sirs, yours truly, To the Editors THE LANCET. of Arequipa, May 12th, 1890. J. 0. HUTEER. SIRS,-It would add to the value of Mr. Collier’s notes upon this subject if he were to state whether the sterno-mastoid and the trapezius Dr. IF. J. Collins.-We think the question has been sufficiently dis- remain fully capable of action or not. He states that "nothing seemed cussed ; moreover, the election has now been decided. amiss with these muscles [because?] the patient could rotate her head Newcome,-The better plan is to ascertain the custom which has beell and retain it in any position." This result might remain although the followed in the and to conform thereto. muscles were paralysed. I have lately operated upon a case of very place, severe spasmodic wryneck by excision of a portion of the spinal accessory nerve, and also at a subsequent operation by excision of portions "HOME FOR EPILEPTICS." of the posterior branches of some of the cervical nerves, as there was To the -Editors of THE LANCET. spasm of the rotators on the opposite side. The result of these operations read in issue of June 14th that a subscriber is desirous. was perfectly satisfactory as regards the spasms, and left no appreciable SIRS,—I your difficulty in the movements of the head, the patient being able to rotate of finding a home for a young epileptic patient aged thirteen. There is such a home near which can be recommended. For- and retain the head in any position she pleased. I cut down upon the Dresden, highly further to Dr. to His the spinal accessory in front of the sterno-mastoid, which seems to me a particulars apply Fiedler, Physician Majesty of Hallstrasse 1. more satisfactory proceeding than following it through the muscles King Saxony, Dresden, from below. I am, Sirs, yours faithfully, I am, Sirs, yours truly, Queen Anne-street, W., June 21st, 1890. NOBLE SMITH. Dresden, June, 1890. DR. MED. BERTHOLD. 1458

AN IMPROVED FORM OF COLD CREAM. Engineering Co., London ; Udith, Clapham ; G. B. D., London ; The Librarian, Genova; Zeta, London ; In Extremis ; Secretary, Swansea DR. UNNA has recently written a paper recommending as a substitute Hospital; A. M. 0., Devizes; M.D., Mile-end ; North ; T. S. ; Lanes, for the old-fashioned cold cream a mixture of one part of lanolin with London ; Medicus, Oldham ; D. P. IL, London ; B. Y. X. ; W. R. D., two of benzoated lard and three of better rose water, or, still, water. London. If the solution of the subacetate of lead or lime water is substituted each ?JJith are also from-Mr. for this last ingredient, an excellent ointment is obtained, he says, LETTERS, enclosure, acknowledged Tully, Mr. Mr. Messrs. Mertens suitable for many skin affections. Hastings ; Ellis, Hastings ; Evans, Radnor; and Co., London ; Mr. McWhannell, Birkenhead ; Messrs. Blondeau Mr. J. M. Redmond.-We published in THE LANCET of Sept. 7th last et Cie., London ; Mr. Shapley, Torquay ; Messrs. Godwin, Basley, and the information desiderated by our correspondent. Co., London; Mr. Pearson, Newry; Mr. Lomond ; Mr. Nicholls Bury St. Miss Mr. Market Young Surgeon might consult an article published in THE LANCET, Edmunds; Ungent, Wallingford ; Gibbons, Mr. Dr. S. Wilkes ; Mr. Wardle, vol. ii. 1886, p. 969. Harboro’; Jessett, London; Bishop Auckland ; Mr. Oliver, Ealing ; Mr. Pegg, Backs ; Messrs. Oliver and G. P.-The practice mentioned is not to be commended. Boyd, Edinburgh ; Mr. W. Clarke, Wakefield ; Messrs. Cassell and Co., London; Dr. Marshall, Lancashire ; Mr. Coleclough, Merthyr ’COMMUNICATIONS not noticed in our present number will receive atten- Tydvil; Mr. Howell, London ; Dr. Wilson, Redbourn ; Mr. McCarty, tion in our next. 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