Notes, Short Comments, and Answers to Correspondents.

2
1293 MOUNT VERNON HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST, Hampstead.-Junior Resident Medical Officer. Salary JE50 per annum, with board and residence. .NEWCASTLE-UPON-TYNE CITY LUNATIC ASYLUM, Gosforth.-Second Assistant Medical Officer, unmarried. Salary .E140 per annum, with apartments, board, and laundry. QUEEN’S HOSPITAL FOR CHILDREN, Hackney-road, Bethnal Green, E.- Medical Officer in Charge of Electrical Department. Salary .E50 per annum. BAINHILL. NEAR LIVERPOOL, COUNTY ASYLUM.—Assistant Medical Officer. Salary ;S4 4s. per week. with apartments and board. ROYAL FREE HOSPITAL, Gray’s Inn-road, W.C.-Curator of the Museum, Assistant to the Clinical Pathologist, Clinical Assistant in the X Ray Department, a,nd Assistant Anzesthetists (all females). ROYAL LONDON OPHTHALMIC HOSPITAL, City-road, E.C.-Third House Surgeon. Salary at rate of .E50 per annum, with board and residence. ROYAL NAVAL MEDICAL SERVICE.-Examination for 15 Com- missions. .ST. GILES, CAMBERWELL, WoRKHOUSE, Constance-road, East Dulwich.- Locum Tenens for the Medical Officer.. Salary at rate of 4 guineas per week, with board, lodging, and washing. ST. MARK’S HOSPITAL FOR FISTULA AND OTHER DISEASES OF THE RECTUM, City-road, London, E.C.-House Surgeon. Salary £80 per annum, with board, lodging, and washing. .SCARBOROUGH, BOROUGH OF.—Assistant Medical Officer of Health. Salary L250 per annum. .SHEFFIELD, ROYAL INFIRMARY.-Assistant House Physician. Salary £60 per annum, with board and residence. Also Honorary Ophthalmic Surgeon. SOUTHAMPTON, ROYAL SOUTH HANTS AND SOUTHAMPTON HOSPITAL.- House Physician. Salary £100 per annum, with rooms, board, and washing. - STAFFORDSHIRE EDUCATION COMMITTEE.—Assistant School Medical Inspector. Salary £250 per annum, rising to 2300. STOCKTON AND THORNABY HOSPITAL, Stockton-on-Tees.—House Sur- geon, unmarried. Salary :E160 per annum, with residence, board, and washing. SUFFOLK DISTRICT ASYLUM, Melton.-Second Assistant Medical Officer, unmarried. Salary £160 per annum, with board, apart- ments, attendance, and laundry. WAKEFIELD, WEST RIDING ASYLUM.-Assistant Medical Officer as Locum Tenens. Salary.E3 3s. per week, with apartments and board. 1VA.LLABEY DISPENSARY AND VICTORIA CENTRAL HOSPITAL.—House Surgeon, unmarried. Salary £100 per annum, with apartments, board, and service. WEST BROMWICH DISTRICT HOSPITAL.—Resident Assistant House Surgeon, unmarried. Salary £75 per annum, with board, residence, and washing. WEST LONDON HOSPITAL, Hammersmith-road, W.-Physician. YOBK DISPENSARY.—Resident Medical Officer, unmarried. Salary.E130 per annum, with board, lodging, and attendance. THE Chief Inspector of Factories, Home Office, S.W., gives notice of vacancies as Certifying Surgeons under the Factory and Workshop Act at Preston (West), in the county of Lancaster; and at Abertillery, in the county of Monmouth. Births, Marriages, and Deaths. BIRTHS. CLOGG.—On April 20th, the wife of H. S. Clogg, M.S., F.R.C.S., 0 143, Harley-street, W., of a son. PARKS.—On April 23rd, at "Easedale," Walton-on-Thames, the wi e of Norris J. Parks, L.D.S., of a daughter. MARRIAGES. BARNES—BARTLETT.—On April 20th, at Barnham Broom Church, Norfolk, Henry Edgar Barnes, M.D., to Isabel Florence, younger daughter of the Rev. J. E. P. Bartlett, rector of Barnham Broom. GARDNER—RAMBAUT.—On April 28th, at Oxon Church, Shrewsbury, by Rev. W. D. Fletcher, assisted by the Rev. St. Aubyn Arkwright, Dr. Henry Willoughby Gardner, of Shrewsbury, son of the late Henry Gardner of Liverpool, to Mary Louisa, younger daughter of the late Rev. Edmund F. Rambaut of Blackrock, co. Dublin. REID—CLAPPERTON.—On April 21st, at the Church of St. Mary-le-bone, London, Archibald Douglas Reid, M.R.C.S., L.R.C.P., to Annie Allan, daughter of the late John Clapperton and of Mrs. Clapperton of Greenock. ROWLETTE—DAY.—On April 22nd, at Greystones Church, Robert James Rowlette, M.D., to Gladys Muriel, eldest daughter of the late Russel Camper Day, of the Secretary’s Office, G.P.O., Dublin, and of Mrs. Camper Day. WHITTING—CASSELS.—On April 24th, at St. Mark’s, Pennington, Hants, Robert Everard Whitting, M.D., to Morna Helen, second daughter of Y. A. Cassels, Esq., of View Park, Broomhill, Glasgow. DEATHS. RANDELL.—On April 22nd, at Vanbrugh Park, Blackheath, Edward Benjamin Randell, M.R.C.S. Eng., L.D.S., in his 73rd year. A’.B.- A fee of 5s. is charged for the Insertion of Notices of Births, Marriages, and Deaths. Notes, Short Comments, and Answers to Correspondents. THE MISUSE OF PRESCRIPTIONS. WE have on previous occasions commented upon the various misuses to which prescriptions may be put. We now learn that the pharma- cists of Philadelphia have drawn up a draft set of rules, which they have submitted to the American Pharmaceutical Association, as being likely to meet with the approval of the medical profession. Among these rules are the following:- First.—The prescription is an utterance of the prescriber, who alone should direct and control its employment. It should, when- ever practicable, carry the name of the patient, and if a minor, the age in years and the date when written. Second.-The pharmacist who prepares the medicine should retain the prescription for reference, as a record of his services and for a certain limited period, not less than five years, for the pro- tection of the prescriber, himself, and the patient. The physician, when delivering the written prescription, should impress upon the patient that it is an order for medicines, subject to conditions and limitations. Third.—The medicine prescribed should not be supplied more than once on the same prescription: (1) if ordered by the prescriber "not to be repeated" (N. rep.); (2) if containing medicinal sub- stances commonly called narcotics, or "habit-forming" drugs; (3) if called for by some person known not to be the original holder thereof; (4) a declaration to this effect should appear on the pre- scription blank over the doctor’s signature. Fourth.—No copy of a prescription shall be furnished to the patient: (1) if the physician has declared such prescription non- renewable ; (2) if it contains a narcotic or a habit-forming drug. For the purpose of carrying out these rules the pharmacists of Philadelphia have drawn up a special prescription blank bearing, in addition to the usual printed matter, the words : "Note.-The condi- tions under which this prescription is written will be found on the reverse side hereof." The reverse side of the blank contains the inscription: " This prescription is written for the party whose name appears thereon, for the present indications only ; hence it is not to be renewed without my written consent and no copy of same is to be given. The pharmacist compounding it will kindly preserve same on his prescription file." It seems to us that subsection (3) of the third rule will be impossible to carry out in its entirety-namely, that no medicine shall be supplied more than once on the same prescription, "if called for by some person known not to be the original holder thereof." Surely, the American pharmacists do not expect a patient suffering from typhoid fever or pneumonia to get out of bed and call for his medicine ! We suppose that the provision is inserted to checkmate the persons, and they are of common occurrence, to whom some would-be kind friend says, " Oh, try my medicine, it’s done me so much good. I’ll give you Dr. Sangrado’s prescription." Such persons should undoubtedly be put down, but for all that the provision quoted needs alteration. On the whole, however, the rules seem most sensible. We would add that it is obviously open to any medical man to endorse any prescription "Not to be repeated," or "Repeat once or twice only," as the case may be. THERAPEUTICS EXTRAORDINARY. THE historico-romantic school of fiction affords many instances of warriors who have received a dozen gaping wounds in battle against stupendous odds being won back to life by the virtue of an elixir prepared by a fair lady cunning in the healing of heroes, or perhaps by some mysterious hermit in whose forest cell the wounded one awakes to consciousness. The annals of sport hold more credible, if less creditable, stories of horses endowed by the administration of a stimulant with an artificial endurance which wins their owners an ill-earned race. But we are inclined to think that neither the pages of history nor of fiction can produce a more striking account of un- orthodox dosing than appeared in the police-court reports of the Daily Express on April 19th. We read there that Mr. Bodkin, whilst conducting a prosecution of two men named Clark and Norgate for obtaining money under false pretences, told the following story about a convict named Harcourt, upon whose evidence the proceedings were based. "Harcourt wished to obtain a further substantial sum....... Accordingly, he underwent examina- tion by a doctor representing a life insurance company, who refused to pass him. When this became known Clark reminded Norgate of a doctor who had prepared a wonderful prescription for him. Clark and Harcourt went to the doctor and obtained the prescription, which was made up by a West-end chemist." Mr. Bodkin proceeded to remark, according to the report before us : " That prescription is now to be seen in the chemist’s books, but I do not propose to make it public. It is certainly a wonderful thing, because after he had been stiffened and strengthened by this extraordinary tonic Harcourt easily satisfied the medical man who examined him on behalf of another insurance office. Harcourt was insured, and further sums were obtained from Mr. Higgins on the security of the policy.’ The magistrate has more faith than we have in the virtue of the

Transcript of Notes, Short Comments, and Answers to Correspondents.

1293

MOUNT VERNON HOSPITAL FOR CONSUMPTION AND DISEASES OF THECHEST, Hampstead.-Junior Resident Medical Officer. Salary JE50per annum, with board and residence.

.NEWCASTLE-UPON-TYNE CITY LUNATIC ASYLUM, Gosforth.-SecondAssistant Medical Officer, unmarried. Salary .E140 per annum,with apartments, board, and laundry.

QUEEN’S HOSPITAL FOR CHILDREN, Hackney-road, Bethnal Green, E.-Medical Officer in Charge of Electrical Department. Salary .E50per annum.

BAINHILL. NEAR LIVERPOOL, COUNTY ASYLUM.—Assistant MedicalOfficer. Salary ;S4 4s. per week. with apartments and board.

ROYAL FREE HOSPITAL, Gray’s Inn-road, W.C.-Curator of theMuseum, Assistant to the Clinical Pathologist, Clinical Assistantin the X Ray Department, a,nd Assistant Anzesthetists (all females).

ROYAL LONDON OPHTHALMIC HOSPITAL, City-road, E.C.-Third HouseSurgeon. Salary at rate of .E50 per annum, with board andresidence.

ROYAL NAVAL MEDICAL SERVICE.-Examination for 15 Com-missions.

.ST. GILES, CAMBERWELL, WoRKHOUSE, Constance-road, East Dulwich.-Locum Tenens for the Medical Officer.. Salary at rate of4 guineas per week, with board, lodging, and washing.

ST. MARK’S HOSPITAL FOR FISTULA AND OTHER DISEASES OF THERECTUM, City-road, London, E.C.-House Surgeon. Salary £80 perannum, with board, lodging, and washing.

.SCARBOROUGH, BOROUGH OF.—Assistant Medical Officer of Health.Salary L250 per annum.

.SHEFFIELD, ROYAL INFIRMARY.-Assistant House Physician. Salary£60 per annum, with board and residence. Also HonoraryOphthalmic Surgeon.

SOUTHAMPTON, ROYAL SOUTH HANTS AND SOUTHAMPTON HOSPITAL.-House Physician. Salary £100 per annum, with rooms, board, and

- washing.- STAFFORDSHIRE EDUCATION COMMITTEE.—Assistant School Medical

Inspector. Salary £250 per annum, rising to 2300.STOCKTON AND THORNABY HOSPITAL, Stockton-on-Tees.—House Sur-

geon, unmarried. Salary :E160 per annum, with residence, board,and washing.

SUFFOLK DISTRICT ASYLUM, Melton.-Second Assistant MedicalOfficer, unmarried. Salary £160 per annum, with board, apart-ments, attendance, and laundry.

WAKEFIELD, WEST RIDING ASYLUM.-Assistant Medical Officer as

Locum Tenens. Salary.E3 3s. per week, with apartments andboard.

1VA.LLABEY DISPENSARY AND VICTORIA CENTRAL HOSPITAL.—HouseSurgeon, unmarried. Salary £100 per annum, with apartments,board, and service.

WEST BROMWICH DISTRICT HOSPITAL.—Resident Assistant HouseSurgeon, unmarried. Salary £75 per annum, with board, residence,and washing.

WEST LONDON HOSPITAL, Hammersmith-road, W.-Physician.YOBK DISPENSARY.—Resident Medical Officer, unmarried. Salary.E130

per annum, with board, lodging, and attendance.

THE Chief Inspector of Factories, Home Office, S.W., gives notice ofvacancies as Certifying Surgeons under the Factory and WorkshopAct at Preston (West), in the county of Lancaster; and atAbertillery, in the county of Monmouth.

Births, Marriages, and Deaths.BIRTHS.

CLOGG.—On April 20th, the wife of H. S. Clogg, M.S., F.R.C.S., 0 143,Harley-street, W., of a son.

PARKS.—On April 23rd, at "Easedale," Walton-on-Thames, the wi e ofNorris J. Parks, L.D.S., of a daughter.

MARRIAGES.

BARNES—BARTLETT.—On April 20th, at Barnham Broom Church,Norfolk, Henry Edgar Barnes, M.D., to Isabel Florence, youngerdaughter of the Rev. J. E. P. Bartlett, rector of Barnham Broom.

GARDNER—RAMBAUT.—On April 28th, at Oxon Church, Shrewsbury,by Rev. W. D. Fletcher, assisted by the Rev. St. Aubyn Arkwright,Dr. Henry Willoughby Gardner, of Shrewsbury, son of thelate Henry Gardner of Liverpool, to Mary Louisa, youngerdaughter of the late Rev. Edmund F. Rambaut of Blackrock,co. Dublin.

REID—CLAPPERTON.—On April 21st, at the Church of St. Mary-le-bone,London, Archibald Douglas Reid, M.R.C.S., L.R.C.P., to AnnieAllan, daughter of the late John Clapperton and of Mrs. Clappertonof Greenock.

ROWLETTE—DAY.—On April 22nd, at Greystones Church, Robert JamesRowlette, M.D., to Gladys Muriel, eldest daughter of the lateRussel Camper Day, of the Secretary’s Office, G.P.O., Dublin, andof Mrs. Camper Day.

WHITTING—CASSELS.—On April 24th, at St. Mark’s, Pennington, Hants,Robert Everard Whitting, M.D., to Morna Helen, second daughterof Y. A. Cassels, Esq., of View Park, Broomhill, Glasgow.

DEATHS.RANDELL.—On April 22nd, at Vanbrugh Park, Blackheath, Edward

Benjamin Randell, M.R.C.S. Eng., L.D.S., in his 73rd year.

A’.B.- A fee of 5s. is charged for the Insertion of Notices of Births,Marriages, and Deaths.

Notes, Short Comments, and Answersto Correspondents.

THE MISUSE OF PRESCRIPTIONS.

WE have on previous occasions commented upon the various misusesto which prescriptions may be put. We now learn that the pharma-cists of Philadelphia have drawn up a draft set of rules, which theyhave submitted to the American Pharmaceutical Association, as

being likely to meet with the approval of the medical profession.Among these rules are the following:-

First.—The prescription is an utterance of the prescriber, whoalone should direct and control its employment. It should, when-ever practicable, carry the name of the patient, and if a minor, theage in years and the date when written.Second.-The pharmacist who prepares the medicine should

retain the prescription for reference, as a record of his services andfor a certain limited period, not less than five years, for the pro-tection of the prescriber, himself, and the patient. The physician,when delivering the written prescription, should impress upon thepatient that it is an order for medicines, subject to conditions andlimitations.

Third.—The medicine prescribed should not be supplied more thanonce on the same prescription: (1) if ordered by the prescriber"not to be repeated" (N. rep.); (2) if containing medicinal sub-stances commonly called narcotics, or "habit-forming" drugs;(3) if called for by some person known not to be the original holderthereof; (4) a declaration to this effect should appear on the pre-scription blank over the doctor’s signature.

Fourth.—No copy of a prescription shall be furnished to thepatient: (1) if the physician has declared such prescription non-renewable ; (2) if it contains a narcotic or a habit-forming drug.

For the purpose of carrying out these rules the pharmacists of

Philadelphia have drawn up a special prescription blank bearing, inaddition to the usual printed matter, the words : "Note.-The condi-tions under which this prescription is written will be found on thereverse side hereof." The reverse side of the blank contains the

inscription: " This prescription is written for the party whose nameappears thereon, for the present indications only ; hence it is not tobe renewed without my written consent and no copy of same is to be

given. The pharmacist compounding it will kindly preserve same onhis prescription file." It seems to us that subsection (3) of the thirdrule will be impossible to carry out in its entirety-namely, that nomedicine shall be supplied more than once on the same prescription,"if called for by some person known not to be the original holderthereof." Surely, the American pharmacists do not expect a patientsuffering from typhoid fever or pneumonia to get out of bed and callfor his medicine ! We suppose that the provision is inserted tocheckmate the persons, and they are of common occurrence, to whomsome would-be kind friend says,

" Oh, try my medicine, it’s done me somuch good. I’ll give you Dr. Sangrado’s prescription." Such personsshould undoubtedly be put down, but for all that the provision quotedneeds alteration. On the whole, however, the rules seem mostsensible. We would add that it is obviously open to any medical manto endorse any prescription "Not to be repeated," or "Repeat once ortwice only," as the case may be.

THERAPEUTICS EXTRAORDINARY.

THE historico-romantic school of fiction affords many instances ofwarriors who have received a dozen gaping wounds in battle againststupendous odds being won back to life by the virtue of an elixirprepared by a fair lady cunning in the healing of heroes, or perhapsby some mysterious hermit in whose forest cell the wounded oneawakes to consciousness. The annals of sport hold more credible,if less creditable, stories of horses endowed by the administration ofa stimulant with an artificial endurance which wins their owners an

ill-earned race. But we are inclined to think that neither the pages of

history nor of fiction can produce a more striking account of un-orthodox dosing than appeared in the police-court reports of the

Daily Express on April 19th. We read there that Mr. Bodkin,whilst conducting a prosecution of two men named Clarkand Norgate for obtaining money under false pretences, toldthe following story about a convict named Harcourt, upon whoseevidence the proceedings were based. "Harcourt wished to obtaina further substantial sum....... Accordingly, he underwent examina-tion by a doctor representing a life insurance company, who refusedto pass him. When this became known Clark reminded Norgate ofa doctor who had prepared a wonderful prescription for him. Clarkand Harcourt went to the doctor and obtained the prescription, whichwas made up by a West-end chemist." Mr. Bodkin proceeded toremark, according to the report before us : " That prescription is nowto be seen in the chemist’s books, but I do not propose to make itpublic. It is certainly a wonderful thing, because after he had beenstiffened and strengthened by this extraordinary tonic Harcourteasily satisfied the medical man who examined him on behalf ofanother insurance office. Harcourt was insured, and further sumswere obtained from Mr. Higgins on the security of the policy.’The magistrate has more faith than we have in the virtue of the

1294

tonic, but we trust that the West-end chemist who is the repositoryof this therapeutic treasure will second Mr. Bodkin’s laudablereticence and not divulge the secret of a remedy which will addanother terror to the perplexities of the medical referees of insurancecompanies, however great the temptation to launch a new patentmedicine on the public. Yet it would be interesting to hear whetherthe latest elixir of health masked a murmur in Harcourt’s aortic valvesor merely abstracted some albumin from his urine.

A CURIOUS ACCIDENT.

A COBEESPONDTTNT (a medical man) sends us an account of a curiousaccident which occurred recently on golf links in the south of

England. A player whilst in the act of striking a ball managed toswallow "a quarter of a lighted cigarette with no ill-effects. The

eating of lighted candles, made, we believe, of apples wit,h "wicks"cut out of almonds and soaked in oil, was a favourite performance ofold-fashioned conjurers, and the consumption of chocolate cigarettesis doubtless still practised by the young. But the swallowing oflighted tobacco is not so safe a performance, and we congratulate thegolfer on having taken no harm. Considering the concentration, bothmuscular and mental, with which some golfers make their drives, andthe frequency with which they balance lighted cigarette ends betweentheir lips while striking, we can conceive that this is not the first timethat the accident has occurred.

AXILLARY AND RECTAL TEMPERATURES IN NEUROTICSUBJECTS.

FROM a series of observations made by M. Erlandsen, a pupil of ProfessorGram of Copenhagen, it would appear that there is no greater differ-ence between the axillary and rectal temperatures in hysterical andother neurotic subjects than that which ordinarily obtains in healthypersons. This increase of difference was suggested by Dr. IIallager,a Danish physician, some years ago as an aid to diagnosis, andProfessor Gram felt anxious that the value of the so-called Hallager’ssign should be tested. M. Erlandsen therefore examined 89 patientssuffering from hysteria, neurasthenia, traumatic neurosis, paralysisagitans, sciatica, chorea, and exophthalmic goitre, with great careand extremely sensitive thermometers. One of the first things thatstruck him was that a higher reading was obtained when the thermo-meter was inserted in the rectum to a depth of three centimetres,when the bulb was grasped by the external sphincter, than when itwas inserted to a depth of seven or eight centimetres. The lowestdifference between rectal and axillary temperatures was 0-12’ F.and the highest 0’320 F., the mean being 0’14° F. There was

only a small difference in persons having a rigid perineum-e.g.,children, virgins, and adult men, the maximum occurring in

multipara. In the 89 pathological cases M. Erlandsen found, whenhe took the observations himself, that there was a mean differencebetween the axillary and rectal temperatures of 0’68°F., which

figure agrees fairly well with those given by different authorities,which vary from 0’77° to 0’93° F. Another rather importantpoint is mentioned, and that is, that in fat subjects thereis more difference than in thin persons between the axillaryand rectal temperature, the reason being, according to M.

Erlandsen, that the axillary space in fat persons is more isolatedfrom the central parts of the body by the layer of adipose tissue beingthicker. Be the explanation what it may, he found by dividing hissubjects into three classes-fat, medium, and thin—that the meandifferences between the axillary and rectal temperatures were 0’918°,0’65°, and 0’59° in the three cases respectively. M. Erlandsen’s

original paper appeared in Hospitalstidende for Nov. 25th, 1908.

R.A.M.C. points out that in the various advertisements of German"Cure Establishments" and Medical Institutes the tariff for bathsand residence is never mentioned. He has found that in one well-knownGerman spa at least the rates are very high, and inquires whetherthere are any such institutions offering a tariff comparable to

the lower prices of English " hydros." It must be remembered thatthe treatment at such foreign institutions is of a special kind, andthat the majority of people who proceed abroad for "cures belongto the well-to-do classes. Both of these circumstances naturally tendto keep the level of continental "cure-house" charges at a highaverage, but we should be glad to hear of any properly vouched forestablishments offering specially moderate terms which may be ofinterest to our correspondent and to other medical men.

Mor,ibund has raised an interesting point with which we will deal in anearly issue.

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

During the week marked copies of the following newspaper,have been received :-Leeds Mercury, ferseil Evening Post, Liver-pool Express, Weekly Despatch, Dundee Advert2ser, Evening News,Newcastle Journal. Daily Neus, Northern Daily Mail, BirminghamPost, Edinburgh Evening Dcspatch, Glasgow llerald, Dublin Times,Midland Evening News, Walsall Advertiser, Yorkshire Observer,Birmingham Despatch, Aberdeen Evening Express, Morning Adver-tiser, Nottingham Guardian, &c.

Medical Diary for the ensuing Week.SOCIETIES.

ROYAL SOCIETY OF MEDICINE, 20, Hanover-square, W.TUESDAY.

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

Paper :Dr. Hale White and Dr. Eyre : Vaccine Treatment.

FRIDAY.LARYNGOLOGICAL SECTION (Hon. Secretaries-George C. Cath-

cart, Atwood Thorne) : at 5 P.M.Dr. Dundas Grant - Two Cases.

’ Dr. Donelan: (1) Laryngeal Tuberculosis in a Man aged 43; (2)Deflection of Septum in a Boy aged 13: Question of Resec-

. tion ; (3) Recurrent Occlusion of Naris.Mr. Herbert Tilley : Chronic Suppuration in the Left Sphenoidal

Sinus; Recovery.’ Dr. Jobson Horne : Fixation of Right Vocal Cord, of Inter.L mittent Occurrence, in a Man aged 40.L And other Cases.

SATURDAY.OTOLOGICAL SECTION (Hon. Secretaries-W. H. Kelson, Hunter

F. Tod) : at 10 A.M.Cases and Specimens: :Mr. C. C. West: Further notes on Case of Carcinoma of the Ear.Dr. Adolph Bronner: Cholesteatoma of the Ear treated with

Enzymol.Mr. R. Lake: Case of Epileptiform Attacks of Labyrinthine

Origin, and Other Cases.[ Mr, Hunter Tod and Mr. A. L. Whitehead will also show Cases

and Specimens.N.B.-Fettows oJ the Society are entitled to attend and to speak

at all Meetings.’ OPHTHALMOLOGICAL SOCIETY OF THE UNITED KINGDOM,’ 11, Chandos-street, Cavendish-square, W.

THURSDAY.-8 P.M., Crrd Specimens will be shown by Ma,jorR. H.Elliot, I.M.S., Mr. S. Stephenson, Mr. G. W. Roll, and others.8.30 P.M., Dr. G. Carpenter: A Short Note on Tubercle of theChoroid with an Account of a Recent Case.-Mr. M. Davidsonand Mr. A. Lawson : A Case of Spring Catarrh Treated andCured by Radium.-Mr. R. R. Cruise: The Abuse of Atropinin Refraction Work.-Mr. S. Mayou: On the Disappearance ofthe Iris from the Papillary Area following ln.jury.-Mf.W. H. H. Jessop: The Report of the International Committee

, on the Unification ef the Notation of Visual Acuity and of theMeridians of Astigmatism.

NORTH-EAST LONDON CLINICAL SOCIETY, Prince of Wales’s, Hospital, Tottenham, N.

THURSDAY.-4.15 P.M., Clinical Cases.

WEST LONDON MEDICO-CHIRURGICAL SOCIETY, West LondonHospital, Hammersmith-road, W. _

FRIDAY.-8.30 P.M., Dr. S. A. Bontor: The State Regulation of! Marriage.—Mr. B. Harman : A New Test for Vision, the

Diaphragm Test.

LECTURES, ADDRESSES, DEMONSTRATIONS,&c.ROYAL COLLEGE OF SURGEONS OF ENGLAND, Lincoln’s Inn

Fields, W.C.FRIDAY.-5 P.M., Prof. Keith: On Specimens illustrating Mal-

furmations of the Neck. (Museum Demonstration.)MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC, 22,

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

Lecture :-Dr. E. Cautley : The Treatment of Broncho-Pneu-monia.

TUESDAY.—4 P.M., Sir W. Gowers: Clinique (Medical). 5.15 P.M.,Lecture:—Dr. G. Pernet: Feigned Eruptions.

WEDNESDAY.—4 P.m., Mr. J. Cantlie. Clinique Surgical). 5.15 P.M.,Lecture: Mr. Bland-Sutton: The Baneful Effects of Pregnancyon Uterine Fibroids.

THURSDAY.—4 P.M., Sir Jonathan Hutchinson : Clinique (Surgical),5.15 P.M., Lecture :—Dr. G. H. Savage : The Feeble-minded andtheir Care.

FRIDAY.-4 P.M., Mr. S. Stephenson: Clinique (Eye).NORTH-EAST LONDON POST-GRADUATE COLLEGE, Prince ofWales’s General Hospital, Tottenham, N.

MONDAY.—Clinics:—10 A.M., Surgical Out-patient (Mr. H. Evans).2.30 P.M., Medical Out-patient (Dr. T. R. Whipham); Nose,Throat, and Ear (Mr. H. W. Carson); X Rays. 4.30 Pm., MedicalIn-patient (Dr. A. J. Whiting).

TUESDAY.—Clinic: 10 A.m., Medical Out-patient (Dr. A. G. Auld).2.30 P.M., Operations (Mr. Carson). Clinics :-Surgical Out-patient (Mr. W. Edmunds) Gynaecological (Dr. A. E. Giles).

WEDNESDAY.—Clinics.—2.30 P.M., Medical Out-patient (Dr. T. R.Whipham); Skin (Dr. G. N. Meachen); Eye (Mr. R. P. Brooks).

THURSDAY.—2.30 P.M., Gynaecological Operations (Dr. A. E. Giles).Clinics:—Medical Out-patient (Dr. A. J. Whiting); Surgical(Mr. H. W. Carson); X Rays. 3 P.M., Medical Iu-patlent (Dr.G P. Chappel).

FRIDAY.-10 A.M., Clinic :-Surgical Out-patient (Mr. H. Evans).2.30 P.m., Operations (Mr. W. Edmunds). Clinics:—Medical Out-patient (Dr. A G. Auld); Eye (Mr. R. P. Brooks). 3 P.M.,Medical In-patient fDr. R. M. Leslie).

LONDON SCHOOL OF CLINICAL MEDICINE, DreadnoughtHospital, Greenwich.

MONDAY.—2 P.M., Operations. 2.15 P.M., Sir Dyce Duckworth,Medicine. 3.1& P.M., Mr. Turner: Surgery. 4 P.M., Mr.G. N. Biggs. Mar and Thruat. Out-patient Demonstrations:—10 A.M., burgical and Medical. 12 noon, Ear and Throat.