Medical Diary for the ensuing Week

2
1046 10.30 p.m.-To bed after a long cycle ride in the teeth of an obstinate north-easter. 11 p.m.-Settle down to sleep after reading a dull political novel. 12 p.m.-An infinitude of bells, clocks, and domestic carillons, enough to awake the Seven Sleepers, pervades the air for 15 minutes. The performance is charming, but unsuited to the midnight hour. Old Tom Paine, the bad, bold unbeliever of the French Revolutionary epoch, cursed bells in a curious pamphlet, and really in this mattet he deserved well of nervous people with brains, who find the attain. ment of sleep no easy matter at any time. 12.30 p.m.-Enormously loud walk-round through all the passage: of the honourable old hotel by Boots,’ a young man whose feet are large and whose boot-soles are certainly more than an inch thick. 12.40.-The writer relights his candle and continues reading dull novel. 12.50.-Ebullient good-byes at a back-door. ’Good-night’is yelled by a voice, See yer termorrer ! Don’t forgit,’ &c., &c. 1,-A motor roars itself into action and there is general conversation by shrill voices. 1.20.-A fiend with boot-soles at least three inches thick proceeds slowly all over the hotel, slamming doors with vigour. The putting out of his boots is a cataclysm in the way of sound. If we had good light, a ciip of tea, some biscuits, papers, pens, and a writing-desk, we would resume our versified translation of Propertius. 1.30.-Seven, yes, seven motors roar by, screaming like banshees or playing half tunes. 2.-The "workers" " come forth. They march by in boots of thickness indescribable. They may be hop-pickers. Immediately under the writer’s window they roar greetings. "’Ullo, Arree," a beast that must be quite familiar to all of them, is repeated again and again. 3.-Clocks, bells, and two howling dogs. We resume our novel and begin to think of all the unpleasant things that in daylight we are able to disregard. Query: Does one look before and after’ as clearly as one might in daylight? 3.15.-Creaking in all the passages. 4.-Early sparrow begins to thunder, for sparrows do thunder in the early morning. 4.30.-Passage of a motor-drawn caravan. 5.-General walk-out of gardeners, milkmen, and others, with loud bangs and clinks. 6.-Loud choruses from industrious people, who do not sympathise with stay-a-beds. Afterwards a short period of insensibility, broken by pungent nightmares. 8 o’clock.-Thundering knock at door. ’Will you ’ave fish for breakfast? We only ’ave kippers !’ (We are only twenty miles from the sea and a flshing fleet. God have mercy upon us !) But the above is no exaggeration. It is a twentieth experience at least. As a recent writer in a lay paper has pointed out, there is reason to believe that inns are living on their reputation, and that their standard of comfort is ancient. It is almost archaic; it is coeval with the days of the Vikings. Whether noise is wholly evil in itself is another question. Dr. Gould of Philadelphia has suggested in a work upon the History of the House,’ vermin must have had a selective influence in the Middle Ages, for the bites of fleas and pediculi must have tended to weed out the nervous and the delicate, who were driven thereby to madness and sometimes self-destruction. And thus the race was strengthened. A fortiori noise must have played an immense role in the Dark Ages in ridding society of weaklings, who fell victims to insomnia just as others did to the irritation of flea-bites." " COLDS " AND CLOTHING. " D.Sc., M.D.," writes that he is aged about 40 years and has always been very sensitive to changes of temperature. Living in the south of England he spends a considerable amount of time in the open air, par- ticularly sailing, and finds in winter always, and often in summer when the day turns cold or wet, that on his return home he feels very cold, chilled’throughout, has some huskiness of the voice or dry condition of the throat, and is very tired and languid. His temperature is then usually subnormal. After sitting over the fire and getting thoroughly warm he feels more comfortable, but nearly always has a restless night and feels cold all the next day. This sensation may pass off without any unpleasant sequel, but is sometimes followed by a tem- perature of 103° F., sore-throat, headache, aching in limbs, and general prostration lasting three or four days, very like an attack of so-called influenza. A night call is nearly always followed by the same languor, chilly feeling, and general malaise the next day. Walking, cycling, or other exercise in the open air when the weather is cold or damp is followed bv similar symptoms, and he has taken to sailing in order to get fresh air without exertion. He would like to have sug- gestions as regards cause, prevention, treatment, and clothing. As there has been a tendency recently to decry woollen and to praise linen and cotton underwear he would be glad to have opinions on this subject. Pharmacy.-We are in accord with much which our correspondent writes, and, indeed, more than one of his sentiments have been at different times freely expressed in our columns. It is the educational course of the student which is largely to blame. Very few students are taught the art of prescribing in any systematic manner. They consequently experience very real convenience from the use of such books. Medical Diary for the ensuing Week. ROYAL SOCIETY OF MEDICINE. 20, Hanover-square, W. TUESDAY. THERAPEUTICAL AND PHARMACOLOGICAL SECTION (Hon. Secre- taries-J. Gray Duncanson, H. Charles Cameron) : at 4.30 P.M. Discussion: : On the Teaching of Therapeutics in the Hospital Wards. The Discussion will be opened by Sir Clifford Allbutt. Prof. W. Osler, Dr. Harrington Sainsbury, Dr. J. Calvert, Dr. Robert Hutchison, and Prof. W. E. Dixon will take part in the debate. Any Fellows or Members desiring to speak will kindly send their names to Dr. Gray Duncanson, Wingfield House, Shooter’s Hill, S.E. FRIDAY. CLINICAL SECTION (Hon. Secretaries: H. D. Rolleston, M.D., Albert Carless, M.S.) : at 8 P.M. Cases : Dr. Rolleston : Pigmentation of the Mouth in a Case of Grave Ansemia. Mr. Albert Carless : Excision of both Superior Maxillæ. , Mr. James Sherren: Meckel’s Diverticulum with Contained Calculus. Dr. Finzi and Dr. Ernest Shaw: Carcinoma Mammse treated by Radium (further report). (And other Cases not yet notified.) Demonstration : Dr. Bayley: Demonstration of the Treponema Pallidum in Syphilitic Lesions; of the Spirochaeta Dentium in Carious Dentine; and of the Spiroohseta Refringens in Balanitis. Papers : Sir Dyce Duckworth: (1) A Case of Gout with Tophaceous Deposits in Mahommedan, with photographs; (2) A Case of Gout with Uratic Tophi in a boy, aged 14. Dr. Herringham: Two Cases of Pneumonia with considerable Displacement of the Heart simulating Pleural Effusion. N.B.-Fellows of the Society are entitled to attend and to speak at all Meetings. LECTURES, ADDRESSES, DEMONSTRATIONS, &c. MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC, 22, Chenies-street, W.C. MONDAY.-4 P.M., Dr. C. Fox: Clinique (Skin). 5.15 P.M., Lecture :-Prof. J. H. Nicoll (Glasgow) : The Treatment of Senile Enlargement of the Prostate. TUESDAY.-4 P.M., Dr. J. E. Squire: Clinique (Medical). 5.15 P.M., Lecture :-Dr. J. Donelan: Suppuration in the Accessory Cavities of the Nose. WEDNESDAY.-4 P.M., Mr. M. White: Clinique (Surgical). 5.15 P.M., Lecture:-Mr. M. Yearsley; The Nose and Ear in School Medical Inspection. THURSDAY.-4 P.M., Sir Jonathan Hutchinson: Clinique (Surgical). 5.15 P.M., Lecture :-Mr. J. Clarke: A Series of Abdominal Cases. FRIDAY.-4 P.M., Mr. S. Stephenson: Clinique (Eye). POST-GRADUATE COLLEGE, West London Hospital, Hammersmith- road, W. MONDAY.-10 A.M., Lecture :-Surgical Registrar: Demonstration of Cases in Wards. 2 P.M., Medical and Surgical Clinics. X Rays. Mr. Dunn: Diseases of the Eyes. 2.30 P.M., Operations. TUESDAY.-10 A.M., Dr. Moullin : Gynaecological Operations. 12.15 P.M., Lecture :-Dr. Pritchard: Practical Medicine. 2 P.M., Medical and Surgical Clinics. X Rays. Dr. Davis: Diseases of the Throat, Nose, and Ear. 2.30 P.M., Operations. Dr. Abraham: Diseases of the Skin. 5 P.M., Lecture :-Dr. Saunders: Clinical Examination of Severe Cases of Gastric Disorder. WEDNESDAY.-10 A.M., Dr. Saunders: Diseases of Children. Dr. Davis: Diseases of the Throat, Nose, and Ear. 12.15 P.M., Lecture :-Dr. G. Stewart: Practical Medicine. 2 P.M., Medical and Surgical Clinics. X Rays. Mr. B. Harman: Diseases of the Eyes. 2.30 P.M., Operations. Dr. D. Robinson: Diseases of Women. 5 P.M., Lecture :-Dr. Beddard: Medicine. THURSDAY.-10 A.M., Lecture :-Surgical Registrar: Demonstration of Cases in Wards. 12 noon, Pathological Demonstration:- Dr. Bernstein. 2 P.M., Medical and Surgical Clinics. X Rays. Mr. Dunn : Diseases of the Eyes. 2.30 P.M., Operations. FRIDAY.-10 A.M., Dr. Moullin: Gynaecological Operations. 2 P.n2., Medical and Surgical Clinics. X Rays. Dr. Davis: Diseases of the Throat, Nose, and Ear. 2.30 P.M., Operations. Dr. Abraham: Diseases of the Skin. SATURDAY.-10 A.M., Dr. Saunders: Diseases of Children. Mr. B. Harman: Diseases of the Eyes. Dr. Davis: Diseases of the Throat, Nose, and Ear. 2 P.M., Medical and Surgical Clinics. X Rays. 2.30 P.M., Operations. Dr. D. Robinson: Diseases of Women. LONDON SCHOOL OF CLINICAL MEDICINE, Dreadnought Hospital, Greenwich. MONDAY.-2 P.M., Operations. 2.15 P.M., Sir Dyce Duckworth: Medicine. 3.15 P.M., Mr. Turner: Surgery. 4 P.M., Mr. R. Lake : Ear and Throat. Out-patient Demonstrations :-10 A.M., Surgical and Medical. 12 noon, Ear and Throat. TUESDAY.-2 P.M., Operations. 2.15 P.M., Dr. R. Wells: Medicine. 3.15 P.M., Mr. Carless: Surgery. 4 P.M., Sir M.’ Morris: Diseases of the Skin. Out-patient Demonstrations :-10 A.M., Surgical and Medical. 12 noon, Skin.

Transcript of Medical Diary for the ensuing Week

1046

10.30 p.m.-To bed after a long cycle ride in the teeth of an obstinatenorth-easter.11 p.m.-Settle down to sleep after reading a dull political novel.12 p.m.-An infinitude of bells, clocks, and domestic carillons,

enough to awake the Seven Sleepers, pervades the air for 15 minutes.The performance is charming, but unsuited to the midnight hour.Old Tom Paine, the bad, bold unbeliever of the French Revolutionaryepoch, cursed bells in a curious pamphlet, and really in this mattethe deserved well of nervous people with brains, who find the attain.ment of sleep no easy matter at any time.12.30 p.m.-Enormously loud walk-round through all the passage:

of the honourable old hotel by Boots,’ a young man whose feet arelarge and whose boot-soles are certainly more than an inch thick.12.40.-The writer relights his candle and continues reading dull

novel.12.50.-Ebullient good-byes at a back-door. ’Good-night’is yelled

by a voice, See yer termorrer ! Don’t forgit,’ &c., &c.1,-A motor roars itself into action and there is general conversation

by shrill voices.1.20.-A fiend with boot-soles at least three inches thick proceeds

slowly all over the hotel, slamming doors with vigour. The puttingout of his boots is a cataclysm in the way of sound. If we had goodlight, a ciip of tea, some biscuits, papers, pens, and a writing-desk,we would resume our versified translation of Propertius.1.30.-Seven, yes, seven motors roar by, screaming like banshees

or playing half tunes.2.-The "workers" " come forth. They march by in boots of thickness

indescribable. They may be hop-pickers. Immediately under thewriter’s window they roar greetings. "’Ullo, Arree," a beast thatmust be quite familiar to all of them, is repeated again and again.3.-Clocks, bells, and two howling dogs. We resume our novel and

begin to think of all the unpleasant things that in daylight we areable to disregard. Query: Does one look before and after’ as clearlyas one might in daylight?3.15.-Creaking in all the passages.4.-Early sparrow begins to thunder, for sparrows do thunder in

the early morning.4.30.-Passage of a motor-drawn caravan.5.-General walk-out of gardeners, milkmen, and others, with loud

bangs and clinks.6.-Loud choruses from industrious people, who do not sympathise

with stay-a-beds. Afterwards a short period of insensibility, brokenby pungent nightmares.

8 o’clock.-Thundering knock at door. ’Will you ’ave fish forbreakfast? We only ’ave kippers !’ (We are only twenty miles fromthe sea and a flshing fleet. God have mercy upon us !)But the above is no exaggeration. It is a twentieth experience

at least. As a recent writer in a lay paper has pointed out, there isreason to believe that inns are living on their reputation, and thattheir standard of comfort is ancient. It is almost archaic; it is coevalwith the days of the Vikings.Whether noise is wholly evil in itself is another question. Dr.

Gould of Philadelphia has suggested in a work upon the Historyof the House,’ vermin must have had a selective influence inthe Middle Ages, for the bites of fleas and pediculi must havetended to weed out the nervous and the delicate, who were driventhereby to madness and sometimes self-destruction. And thus therace was strengthened. A fortiori noise must have played animmense role in the Dark Ages in ridding society of weaklings,who fell victims to insomnia just as others did to the irritation offlea-bites."

" COLDS " AND CLOTHING.

" D.Sc., M.D.," writes that he is aged about 40 years and has always beenvery sensitive to changes of temperature. Living in the south ofEngland he spends a considerable amount of time in the open air, par-ticularly sailing, and finds in winter always, and often in summer whenthe day turns cold or wet, that on his return home he feels very cold,chilled’throughout, has some huskiness of the voice or dry conditionof the throat, and is very tired and languid. His temperature is thenusually subnormal. After sitting over the fire and getting thoroughlywarm he feels more comfortable, but nearly always has a restlessnight and feels cold all the next day. This sensation may pass offwithout any unpleasant sequel, but is sometimes followed by a tem-perature of 103° F., sore-throat, headache, aching in limbs, and generalprostration lasting three or four days, very like an attack of so-calledinfluenza. A night call is nearly always followed by the same

languor, chilly feeling, and general malaise the next day. Walking,cycling, or other exercise in the open air when the weather is cold ordamp is followed bv similar symptoms, and he has taken to sailing inorder to get fresh air without exertion. He would like to have sug-gestions as regards cause, prevention, treatment, and clothing. Asthere has been a tendency recently to decry woollen and to praiselinen and cotton underwear he would be glad to have opinions on thissubject.

Pharmacy.-We are in accord with much which our correspondentwrites, and, indeed, more than one of his sentiments have been atdifferent times freely expressed in our columns. It is the educationalcourse of the student which is largely to blame. Very few studentsare taught the art of prescribing in any systematic manner. Theyconsequently experience very real convenience from the use of suchbooks.

Medical Diary for the ensuing Week.ROYAL SOCIETY OF MEDICINE. 20, Hanover-square, W.

TUESDAY.THERAPEUTICAL AND PHARMACOLOGICAL SECTION (Hon. Secre-taries-J. Gray Duncanson, H. Charles Cameron) : at 4.30 P.M.

Discussion: :On the Teaching of Therapeutics in the Hospital Wards.The Discussion will be opened by Sir Clifford Allbutt.Prof. W. Osler, Dr. Harrington Sainsbury, Dr. J. Calvert,

Dr. Robert Hutchison, and Prof. W. E. Dixon will take part inthe debate.Any Fellows or Members desiring to speak will kindly send

their names to Dr. Gray Duncanson, Wingfield House, Shooter’sHill, S.E.

FRIDAY.CLINICAL SECTION (Hon. Secretaries: H. D. Rolleston, M.D.,

Albert Carless, M.S.) : at 8 P.M.Cases :

Dr. Rolleston : Pigmentation of the Mouth in a Case of GraveAnsemia.

Mr. Albert Carless : Excision of both Superior Maxillæ.,

Mr. James Sherren: Meckel’s Diverticulum with ContainedCalculus.

Dr. Finzi and Dr. Ernest Shaw: Carcinoma Mammse treatedby Radium (further report).

(And other Cases not yet notified.)Demonstration :Dr. Bayley: Demonstration of the Treponema Pallidum in

Syphilitic Lesions; of the Spirochaeta Dentium in CariousDentine; and of the Spiroohseta Refringens in Balanitis.

Papers :Sir Dyce Duckworth: (1) A Case of Gout with Tophaceous

Deposits in Mahommedan, with photographs; (2) A Case ofGout with Uratic Tophi in a boy, aged 14.

Dr. Herringham: Two Cases of Pneumonia with considerableDisplacement of the Heart simulating Pleural Effusion.

N.B.-Fellows of the Society are entitled to attend and to speakat all Meetings.

LECTURES, ADDRESSES, DEMONSTRATIONS, &c.MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC, 22,

Chenies-street, W.C.MONDAY.-4 P.M., Dr. C. Fox: Clinique (Skin). 5.15 P.M.,

Lecture :-Prof. J. H. Nicoll (Glasgow) : The Treatment ofSenile Enlargement of the Prostate.

TUESDAY.-4 P.M., Dr. J. E. Squire: Clinique (Medical). 5.15 P.M.,Lecture :-Dr. J. Donelan: Suppuration in the AccessoryCavities of the Nose.

WEDNESDAY.-4 P.M., Mr. M. White: Clinique (Surgical). 5.15 P.M.,Lecture:-Mr. M. Yearsley; The Nose and Ear in SchoolMedical Inspection.

THURSDAY.-4 P.M., Sir Jonathan Hutchinson: Clinique (Surgical).5.15 P.M., Lecture :-Mr. J. Clarke: A Series of AbdominalCases.

FRIDAY.-4 P.M., Mr. S. Stephenson: Clinique (Eye).

POST-GRADUATE COLLEGE, West London Hospital, Hammersmith-road, W.MONDAY.-10 A.M., Lecture :-Surgical Registrar: Demonstration of

Cases in Wards. 2 P.M., Medical and Surgical Clinics. X Rays.Mr. Dunn: Diseases of the Eyes. 2.30 P.M., Operations.

TUESDAY.-10 A.M., Dr. Moullin : Gynaecological Operations.12.15 P.M., Lecture :-Dr. Pritchard: Practical Medicine. 2 P.M.,Medical and Surgical Clinics. X Rays. Dr. Davis: Diseasesof the Throat, Nose, and Ear. 2.30 P.M., Operations. Dr.Abraham: Diseases of the Skin. 5 P.M., Lecture :-Dr.Saunders: Clinical Examination of Severe Cases of GastricDisorder.

WEDNESDAY.-10 A.M., Dr. Saunders: Diseases of Children.Dr. Davis: Diseases of the Throat, Nose, and Ear. 12.15 P.M.,Lecture :-Dr. G. Stewart: Practical Medicine. 2 P.M., Medicaland Surgical Clinics. X Rays. Mr. B. Harman: Diseases ofthe Eyes. 2.30 P.M., Operations. Dr. D. Robinson: Diseases ofWomen. 5 P.M., Lecture :-Dr. Beddard: Medicine.

THURSDAY.-10 A.M., Lecture :-Surgical Registrar: Demonstrationof Cases in Wards. 12 noon, Pathological Demonstration:-Dr. Bernstein. 2 P.M., Medical and Surgical Clinics. X Rays.Mr. Dunn : Diseases of the Eyes. 2.30 P.M., Operations.

FRIDAY.-10 A.M., Dr. Moullin: Gynaecological Operations. 2 P.n2.,Medical and Surgical Clinics. X Rays. Dr. Davis: Diseases ofthe Throat, Nose, and Ear. 2.30 P.M., Operations. Dr. Abraham:Diseases of the Skin.

SATURDAY.-10 A.M., Dr. Saunders: Diseases of Children. Mr. B.Harman: Diseases of the Eyes. Dr. Davis: Diseases of theThroat, Nose, and Ear. 2 P.M., Medical and Surgical Clinics.X Rays. 2.30 P.M., Operations. Dr. D. Robinson: Diseases ofWomen.

LONDON SCHOOL OF CLINICAL MEDICINE, DreadnoughtHospital, Greenwich.MONDAY.-2 P.M., Operations. 2.15 P.M., Sir Dyce Duckworth:

Medicine. 3.15 P.M., Mr. Turner: Surgery. 4 P.M., Mr. R.Lake : Ear and Throat. Out-patient Demonstrations :-10 A.M.,Surgical and Medical. 12 noon, Ear and Throat.

TUESDAY.-2 P.M., Operations. 2.15 P.M., Dr. R. Wells: Medicine.3.15 P.M., Mr. Carless: Surgery. 4 P.M., Sir M.’ Morris:Diseases of the Skin. Out-patient Demonstrations :-10 A.M.,Surgical and Medical. 12 noon, Skin.

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WEDNESDAY.-2 P.M., Operations. 2.15 P.M., Dr. F: Taylor:Medicine. 3.30 P.M., Mr. Cargill Ophthalmology. Out-patientDemonstrations:-10 A.M., Surgical and Medical. 11 A.M., Eye.

THURSDAY.-2 P.M., Operations. 2.15 P.M., Dr. G. Rankin, i Medi-cine. 3.15 P.M., Sir W. Bennett: Surgery. 4 P.M., Dr. Sale-Barker : Radiography. Out-patient Demonstrations :-10 A.M.,Surgical and Medical. 12 noon, Ear and Throat.

FRIDAY.-2 P.lII., Operations. 2.15 P.M., Dr. R. Bradford :Medicine. 3.15 P.M., Mr. MoGavin: Surgery. Out-patientDemonstrations :-10 A.M., Surgical and Medical. 12 noon, Skin.

SATURDAY.-2 P.M., Operations. Out-patient Demonstrations:-10 A.M., Surgical and Medical. 11 A.M., Eye.

NORTH-EAST LONDON POST-GRADUATE COLLEGE, Prince ofWales’s General Hospital, Tottenham, N.THURSDAY.-4 P.M., Mr. J. Bland-Sutton : Hernia of the Uterus in

Men and Women. (Opening Lecture.)

OPERATIONS.METROPOLITAN HOSPITALS.

MONDAY (4th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex. (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square(2 P.M.), City Orthopaedic (4 P.nz.), Gt. Northern Central (2.30 P.M.),West London (2.30 P.M.), London Throat (9.30 A.M.), Royal Free(2 P.M.), Guy’s (1.30 P.M.), Children, Gt. Ormond-street (9 A.M.),St. Mark’s (2.30 P.M.).

TUESDAY (5th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30. P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College2 P.M.). St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s(2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.), London Throat(9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Soho-square (2 P.M.), Chelsea (2 P.M.), CentralLondon Throat and Ear (2 P.M.), Children, Gt. Ormond-street(9 A.M. and 2 P.M., Ophthalmic, 2 P.M.), Tottenham (2.30 P.M.),Central London Throat and Ear (Minor, 9 A.M., Major, 2 P.M.).

WEDNESDAY (6th).-St. Bartholomew’s (1.30 P.M.), University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing Cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College(2 P.M.), St. George’s (Ophthalmic, 1 P.M.), St. Mary’s (2 P.M.),National Orthopaedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan9.30 A.M. and 2.30 P.M.), Gt. Northern Central (2.30 P.M.), West-minster(2 P.M.), Metropolitan (2.30 P.M.), London Throat (9.30 A.M.),Cancer (2 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.),Royal Ear (2 P.M.), Royal Orthopaedic (3 P.M.), Children, Gt.Ormond-street (9 A.M. and 9.30 A.M., Dental, 2 P.M.), Tottenham(Ophthalmic, 2.30 P.M.), West London (2.30 P.M.), Central LondonThroat and Ear (Minor, 9 A.M., Major, 2 P.M.).

THURSDAY (7th).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30’ P.M.), University College (2 P.M.), Charing-cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon: (2 P.M.), Gt. Northern Central (Gynaecological, 2.30 P.M.),Metropolitan (2.30 P.M.), London Throat (9.30 A.M.), Samaritan(9.30 A.M. and 2.30 P.M.), Throat, Golden-square (9.30 A.M.), Guy’s(1.30 P.M.), Royal Orthopaedic (9 A.M.), Royal Ear (2 P.M.), Children,Gt. Ormond-street (9 A.M. and 2 P.M.), Tottenham (Gynaecological,2.30 P.M.), West London (2.30 P.M.), Central London Throat and Ear(Minor, (9 A.M., Major, 2 P.M.).

FRIDAY (8th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), CharingCross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary’s(2 P.M.), Ophthalmic (10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (9.30 A.M.), Samaritan (9.30 A.M. and 2.30 P.M.), Throat,Golden-square (9.30 A.M.), City Orthopaedic (2.30 P.M.), Soho-square(2 P.M.) Children, Gt. Ormond-street (9 A.M., Aural, 2 P.M.),Tottenham (2.30 P.M.), St. Peter’s (2 P.M.), Central London Throatand Ear (Minor 9 A.M., Major, 2 P.M.).

SATURDAY (9th).-Royal Free (9 A.M.), London (2 P.ns;), Middlesex(1.30 P.M.), St. Thomas’s (2 P.M.), University College (9.15 A.M.),Charing Cross (2 P.M.), St. George’s (1 P.M.), St. Mary’s (10 A.M.),Throat, Golden-square (9.30 A.M.), Guy’s (1.30 P.M.), Children, Gt.Ormond-street (9 A.M. and 9.30 A.M.), West London (2.30 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London,Ophthalmic Hospitals operations are performed daily.

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MANAGER’S NOTICES.TO SUBSCRIBERS.

WILL Subscribers please note that only those subscriptionswhich are sent direct to the Proprietors of THE LANCET attheir Offices, 423, Strand, London, W.C., are dealt with bythem ? Subscriptions paid to London or to local newsagents(with none of whom have the Proprietors any connexion what-ever) do not reach THE LANCET Offices, and consequentlyinquiries concerning missing copies, &c., should be sent tothe Agent to whom the subscription is paid, and not toTHE LANCET Offices.

Subscribers, by sending their subscriptions direct toTHE LANCET Offices, will insure regularity in the despatchof their Journals and an earlier delivery than the. majorityof Agents are able to effect.THE COLONIAL AND FOREIGN EDITION (printed on thin

paper) is published in time to catch the weekly Friday mailsto all parts of the world.The rates of subscriptions, post free, either from

THE LANCET Offices or from Agents, are :-FOR THE UNITED KINGDOM. To THE COLONIES AND ABROAD.

One Year ......... £1 12 6 One Year ......... £1 14 8Six Months......... 0 16 3 Six Months......... 0 17 4Three Months ...... 0 8 2 Three Months ...... 0 8 8

Subscriptions (which may commence at any time) arepayable in advance. Cheques and Post Office Orders (crossed"London County and Westminster Bank, Westminster

Branch") should be made payable to the. Manager,Mr. CHARLES GOOD, THE LANCET Offices, 423, Strand,London, W.C.

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TO COLONIAL AND FOREIGN SUBSCRIBERS.SUBSCRIBERS ABROAD ARE PARTICULARLY REQUESTED.

TO NOTE THE RATES OF SUBSCRIPTIONS GIVEN ABOVE. Ithas come to the knowledge of the Manager that in somecases higher rates are being charged, on the plea: that theheavy weight of THE LANCET necessitates additionalpostage above the ordinary rate allowed for in the terms ofsubscriptions. Any demand for increased rates, on this or onany other ground, should be resisted. The Proprietors -ofTHE LANCET have for many-years paid, and continue-to pay,the whole of the heavy cost of postage on overweight foreignissues; and Agents are authorised to collect, and generallydo so collect, from the Proprietors the cost of such.. extrapostage.The Manager will be pleased to forward copies direct from

the Offices to places abroad at the above rates, whatever bethe weight of any of the copies so supplied. Address-THE MANAGER, THE LANCET OFFICES, 423, STRAND,LONDON, ENGLAND.

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SOLE AGENTS FOR AMERICA-Messrs. WILLIAM WOODAND Co., 51, Fifth Avenue, New York, U.S.A.