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e'os"sJ TAB. _1Zr3.9_ _M CAL' .1OIRM4L. 105 rormed their duties. He thought the Society had done well in keep to the bare facts of pathology, aiid not estouraged long pathol ASSOCIATION INTELLIGENCE. lissertatio;, and referred to the want'of knowledge in that department, iingling out tubercle as merely one example. IBIRMINGHAM AND MIDLAND COUNTIES BRANCH: Dr. C. J. B. WILLIAMS, in seconding the resolution, conrtulate the GENERAL MEETING.; Society on its continued success; and, from his having been the first President, had watched as a father its growing popularity. He agreed TuxE fourth, gexeralmeeti"g o.this Branch was held at the MidlandI_- with Dr. Wilks, especially as a new Society (the Clinical) had -jttt stitutte, Biruungham, on January 9th: present, SAMUEL BEaRY, }sq., been formed, where the pathology and clinical history of cases might be Presidents in the Chair; and forty-two members, fully discussed. A vote of thanks was unanimously accorded to the CommUfl#cadtionS-J. b1r. GAMGEE presented a girl, aged x5, from, retiring officers. the Queen's Hospital, wbo has Dry Gaagrene of the Right Hand. Am- The PRESIDENT added his congratulations on the continued pro. putation is proposed; and-the case will be reported in the JOURNAL. sperity of the Society. It had been called the most popular Society of 2. MIr.T WEs narated the particurs of two cases in whichfAsu- the country; and it said well for the profession that it was so. Pa- pressure hiad been IslccessfuUy used for the arrest of haemorrhage in am- thology was the vital principle of medicine and surgery; ahd any putationts of the upper arm and the thigh immediately below the tro- onemight discover the state of medicine in a country by the esteem in chanters respectively. The former case was that of a man agod 67, whichpathology was held, represeinting, if he might use the term, the whose elbow and forearm had been shattered. Amputation was per- canibium of medicine-the foundation of all its development. On look formed at the junction of the tupper and middle third of the ann, by oval ing back on. the by-gone year, there were two or three reflection skin-flaps. Two acuressire-needles were applied, and all hiemorrhage A change of officers involved the Society in the loss of Mr. Holmes. wvas thereby arrested. The needles were removed on the third day after the The Society had always -been fortunate. in Secretaries, and never more amputation; and the line of incision healed rapidly, the amouint of sup. so thatn by seeuring Mr. Holmes. There -was a second obligatiot to Mr. puration b4ing mezy limited. The latter case was that- of a,. delicate Holmes-the index to the volumes of the Society's Traiteetions, whicl strumous bgh 1bkij,a dz. r'ih6e thigh' was dyiored in the was due to his volunitary great labour. It would prove of great value, upper third by antero-posterior 0Jxps, in consequence of extensive and not only to the members of the Society, but to the world. The regrets at deep ulccration of the lower part.of the.thigh and neighbourhood of the losing Mr. Holmes were, however, not unmixed, as increased prosperit) knee-joint, which resulted from a burn, and was amenable to no kind in his practice had necessitated his leaving. For the first time, a chie of treatment. The fernojakl the profuAla, and two other arteries, were officer of the Society had died. Dr. Brinton, one of the Vice-Presidents, acupressed by three needles. No loss of blood took place from the died shoi-tly after his election. He had latterly laid himself out for time of the opeeitron; bitt the patient died fro6n shock, fifty-six hours private practice, but he had done important pathological work.- He after the opettion. Mr. West presented the arteres in the condition might mention the pathology of intestinal obstruction, and the cOrree' in which they were fiund fost inorknet, without the needles having been interpretation, he believed, first given by Dr. Brinton, of stercor removed. The femoral amid profunda were found to be perfectly oc- ceous vomiting. He paid a tribute of regret to the untimely death cluded. by the pressure of the needles, and to have within each of them of Professor Otto Weber of Heidelberg. The history of his fikiess a small conical fibrous clot. Some discussion took place as to whether was particularly affecting. Some might say lie brought on his fatal the needles pressing on the outer walls of the arteries had not caused illness from a foolish act-applying his mouth to a cannula-tube in the ulceration of theem. Mr. WVest tlhought that probably the pressure need trachea of a diphtheritic patient. He was, however, disposed to look not have been continued so long; in other cases, twenty-four hours upon it in a differetnt light, and call it the heroic element of self-sacrifice, having been found sufficient for thorough closure of the arteries. of self-forgetalness. As regards the prospects of the coming year, Dr. 3. Dr. PERCY LESLLE concluded a long paper on the subject of Gra- WVilks had spoken of the want of knowledge of morbid anatomy. How- tuitous Medical Services, their Evils and their Remedies. The purport ever, it was well that the Society was p-rogressing in this respect; and was td demonstrate the injury inflicted by the wealthy classes on their lie ventured to predict that the eighteenth volume of the Transactions poorer neighbours through the tlhoughtless extension of this system-the would be better than the seventeenth. The list of officers, which we better disposed of the artisan class being themselves perfectly aware of gave in a previous number, was announced as approved of. the prejudicial effect on them as a body arising from being trained in a Dr. MIURCH!SON read a Report from the Committee on Morbid system of mendicancy. The lecture sugge-sted a plan for rendering all Growths on Mr. Mloore's specimen of Canicer, shewing the results of in- institutions in a. great measure self-supporting, so that the only class in jection with acetic acid. 'rhere was a stroma of interlacing bands of the receipt of gratuitous medical services should be those under the care fibres likee those of connective tissue. There was proliferation of nu- of the parish surgeon, which change wotuld speedily lhave the effect of clei of the areolar tissue. raisinglhis position and emolutnent, so long deemed a desideratum. Di; BASTIAN presented a report for Dr. Witlks and himself on Dr. The difficulties of rising practitioners were dwelt upon, in having to Fuller's case of Heart-disease. They had come to the conclusion that compete with the -eading men, who work at a price far below whlat the the case was syphilitic. juniors could possibly attain to. The lecture was apparently well re- Dr. DICKINSON shewed drawings illustrative of Waxy Degeneration ceived by the majority of those present, and Was ably seconded by some of the Kidnieys in different stages. There was probably, first, intertu- pointed and eloquent remarks by Mr. Gamgee ; but, as discuission on the bular effusion, and consequent enlargement; which was again followeed subject was .defenred to a future meeting, it remains to be seen 'what by contraction, and perhaps a granular appearance. The same reac- position the profession in Birmingham will tak-e on this important subject. tions were given in all the stages. AMr. JOHN CROvr shewed a specimen of Malformation of the Rectum taken from a female infant brought to St. Thomas's Hospital, and 'REPORTS OF which died five days after birth. There was no anal orifice at all,-a SOCIETIES. median raphe only. There was not even bulging to-indicate a rectum; PATHOLOGICAL An exploratory iincision was made, but no rectum discovered. The SOCIETY OF LONDON. child died next day. The uterus was large and distended, the cavity di- ANNUAL GENERAL MEETING, JANUARY 7TH, iS67. vided into two equal parts. It communicated with the bladder and JOHN SImoN, Esq., F.R.S., President in the Chair. rectutm. The urethral caimal was not apparent. Mr. CURLING remarked on the great peculiarity of the case. MR. T. HOLMES read the Report for the past year, which we published Mr. CROFr brought forwardl a specimen taken from a man, aged 42, in full in a recent number. supposed to be Cancer occupying the anterior part of the prostate. It Mr. C. H. MOORE moved the adoption of the Report. Ile con. projected into the rectum, and rendered defitcation difficult. It pushed gratulated the Societv on the admirable volume for the year, and spoke the urethra to the left side. HIe had had difficulty in micturition for two of the;advantages whiich he belicved would result from the formation of months; and was admitted into St. Thomas's Hospital for retention of the Committee for Moltid Growths, especially as they insisted, also, urine. A No. 3 catheter could be introduced into the bladder. The on the clinical history of the case, and suggested that the after Ihistory, man died about tbree weeks after, with multiple abscesses in the right should the patient be surviving, might be obtained, which would in. arm, back, chest, etc. Ile had had, however, no rigors. The p4 crease t41e value of the cases. mortem examination shewed hypertrophy of the bladder. The tumour Mr. JOHN CROFT seconded the motion, which was unanimously contained large nuclei ani nucleolL Referred to the Cancer Committee. agreed to., Mr. CROFT also presented a case of Deformed Finger resulting from Dr. WLxs proposed that the best thanks of the Society be given to an old injury to the hand.

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