Notes, Short Comments, & Answers to Correspondents

3
1262 Medical Diary for the ensuing Week. Monday, November 30. ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.80 P.M., a nd on Tuesday Wednesday, Friday, and Saturday at the same hour. ROYAL LONDON UPHTHALMIC HOSPITAL, MOOR FIELDS. - Operation. daily at 10 A.M. ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operatlons, 1.80 P.M., and each day at the same hour. CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30 P.M. ; Thursday, 2.30. HOSPITAL FOR WOMEN, SOHO-SQUARIZ.- Operations, 2 P.M., and on Thursday at the same hour. METROPOLITAN FREE HOSPITAL.-Operations, 2 P.M. ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M. CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operati0ntl, 2 P.M., and each day in the week at the same hour. UNIVERSITY COLLEGE HOSPITAL.—Nar and Throat Department, 9 s.rt. ; Thursday. 9 A.M LONDON POST-GRADUATE COURSE.-Hospital for Sick Children, Great ’Ormond-st.: 4 P.1i., Mr. B. Pitts : Selected Surgical Cases from the Out-patient Department. - Royal London Upntbalmic Hospital, Moorfields: 1 P.M., Mr. A. S. Morton : Ocular Injuries.-Great Northern Central Hospital: 8 P.M., Dr. Galloway: Vlalignant Growths. ROYAL MICROSCOPICAL SOCIETY.-8 P.M. Conversazione. MEDICAL SOCIETY OF LONDON.—8.30 P.11. Dr. Savill : The Epidemic Skin Disease at the Paddington In8rma.ry (illustrated by drawings and microscopical specimens). Patients will be shown at 8 P.M. Dr. Haig : A case of Rayna,ud’s Disease with Paroxysmal Haemo- globinuria. Tuesday, December 1. KING’S COLLEGE HOSPITAL.—Operations, 2 P.M. ; Fridays and Saturday* at the same hour. GUY’S HOSPITAL.—Operations, 1.80 P.M., and on Friday at name hour Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M. ST. THOMAS’S HOSPITAL.-Ophthalmic operations, 4 P.M. ; Friday, 2P.M. ST. MARK’S HOSPITAL.-Operations, 2 P.M. CANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. 1 Saturday, 2 P.M. WESTMINSTER HOSPITAL.-Operations, 2 P.M. WEST LONDON HOSPITAL.-Operations, 2.30 P.M. ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday. 2.30 P.M. Skin Department, Monday and Thursday, 9.30 A.M. Throat Department, Tuesdays and Fridays, 1.30 P.M. Electro. therapeutics, same day, 2 P.M. LONDON POST-GRADUATE COURSE.—Hospital for Skin Diseases, Black. friars : 4 P.M. Dr. Payne : Bacteria in relation to Distases of the Skin.-Bethlem Hospital: 2 P.M., Dr. P. Smith : Alcoholic Insanity. FATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Dr. J. J. Clarke : (1) Dila- tation of Sphenoidal Sinus into which the Left Internal Carotid Artery opens ; (2) Imperforate Rectum, with Accidental Result of Exploratory Operation.-Mr. J. Bland Sutton : Implantation Cyst from an Ox.-Mr. S. G. Shattock: Pigmentation of the Glans in the Negro after Circumcision.-Dr. H. D. Rolleston : Liver with Ncdular Cirrhosis.-Dr. F. C. Turner : Endocarditis, with Softening on the Right and Haemorrhage on the Left Side of the Brain. Card Speci- mens :—Dr. H. D. Rolleston : (1) Gall-stones Encysted in a Sacculus of the Gall-bladder; (2) Bifid Apex of the Heart.-Dr. F. C. Turner: Sarcoma at Root of Right Lung invading Right Bronchus and Superior Vena Cava. Wednesday, December 2. NATIONAL ORTHOPÆDIC HOSPITAL.-Operations, 10 A.M. MIDDLESEX HOSPITAL.-Operations, 1 P.M. Operations by the Obstetrlt Physicians on Thursdays at 2 P.M. CHARING-CROSS HOSPITAL.-Operations, 8 P.M., and on Thursday and Friday at the same hour. ST. THOMAS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour. LONDON HOSPITAL.—Operations,2P.M. Thursday&Saturday, same hour, ST. PETER’S HOSPITAL, COVENT-GARDEN.-Operations, 2 P.M. SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.—Operation, 2.30 P.M. GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M. UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M. ; Skin Depart. ment, 1.45 P.M. ; Saturday, 9.16 A M. ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday. CHILDREN’S HOSPITAL, GREAT ORMOND-STREET.-Operations, 9.80 A.M. Surgical Visits on Wednesday and Saturdav at Q.15 A.M LONDON POST-GRADUATE CouURsE.-Hospital for Consumption, Bromp. ton: 4 P.M., Dr. R. Maguire : Aneurysm of the Aorta.-Royal London Ophthalmic Hospital : 8 P.M., Mr. J. B. Lawford : Colour Blindness. OBSTETRICAL SOCIETY OF LONDON (20, Hanover-square, W.).-8 P.M. Specimens will be shown by Dr. John PhillipQ, Dr. Herman, and others. Dr. Herman : (1) On the Relation between Backward Dis- placements of the Uterus and Sterility and Abortion ; (2) On the Relation between Backward Displacements of the Uterus and Pro- longed Hæmorrhage after Delivery and Abortion.-Dr. J. Inglis Parsons : Twenty cases of Fibroma and other Morbid Conditions of the Uterus treated by Apostoli’s Method. Thursday, December 3. ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. durgtoal Corianlbatlorie, Wednesday, 1.30 P.M Ophthalmic Operations, Friday, 1.80 P.M. UNIVERSITY COLLEGE 14 OSPITAL. -Operations, P.M. Ear and Throat 11eDart,ment,. II A.ne. LONDON POST-GRADUATE COURSE.-Hospital for Sick Children, Great Ormond-st. : 4 P.M., Dr. Penrose : Congenital Heart Disease.- National Hospital tor the Paralysed and Epileptic : 2 P.M., Mr. R. B. Carter : Ocular Symptoms in Diseases of the Nervous System.- London Throat Hospital, Great Portland-st.: 8 P.M., Mr. G. Bailey: An.-t,.,4theties. HARVEIAN SOCIETY OF LONDON.—8 30 P.M. Dr. Goodhart: Common Neuroses. Friday, December 4. ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL=Operations. ? P.M. BRITISH LARYNGOLOGIC LAX RHINOLOGICAL ASSOCIATION(11,Chandos street, Cavendish.square, W.).-2 P.M. General Meeting. r ONDON POST-GRADUATE COURSE.-Hospital for Consumption, Bromp. ton: 4 P.M., Dr. R. Maguire: Pulmonary Cavities.—Bacteriological Laboratory, King’s College : 11 A.M. to 1 P.M., Professor Crookshank: Typhoid Fever and Diphtheria (Examination of Sections). WEST KENT MEMCO-CmnnjRCtiCAL SoctETY.—8 P.M. Clinical Evening. A large number of living cases will be exhibited. WEST LoxnON MEDlCO.CHIRURGICAL SOCIETY (Board Room, West , London Hospital).-8 P.M. The following cases will be shown :- Dr. Abraham : Skin Diseases. -Dr. Herringham : Amyotrophic Lateral Sclerosis -Dr. Clippingdale : Healed Cavities in Phthisis.- Mr. Keetley: So-called "Congenital Talipes Valgus," with De- ficiency of Fibula.—Mr. S. Edwards : Ruptured Urethra, with Un- usual Complications. , Saturday, December 5. MIDDLESEX HOSPITAL.—Operations. 2 P.M. UNIVERSITY COLLEGE HOSPITAL.—Operations, 2 p M. and Skin Depart-. l11ent. 9.16 A.M LONDON POST-GRADUATE COURSE.-Bethlem Hospital: 11 A.M., Dr. Percy Smith : Inanity due to Syphilis or Organic Brain Disease. Notes, Short Comments, & Answers to Correspondents. ft is especially requested that early intelligence of local events having a medical interest, or which it is desirable to bring under the notice of the profession, may be sent direct to this Office. All communications relating to the editorial business of the journal must be addressed °’ lo the Editors." Lectures, original articles, and reports should be written on one side only of the paper. Letters, whether intended for insertion or for private informa. tion, must be azctltentieated by the names and addresses of their writers, not necessarily for publication. We cannot prescribe or recommend practitioners. Local papers containing reports or news paragraphs should be marked and addressed °’ To the Sub-Editor." Letters relating to the publication, sale, and advertishv departments of THE LANCET to be addressed 11 To ths Publisher. " We cannot undertake to return MSS. not used. THE DiSCLOSURES OF A MEDICAL MAX. NOTHING has transpired to make us alter our suspicion that the writer of this article is not a qualified man. He writes in the paper which gave circulation to his " disclosures," but he does not give his qualifi- cations, or explain the fact that after so many years’ work and experience he can only command 10s. a week. M1’. S. J. Conolly.-The Medical Defence Union. The hon. secretary is Dr. Phillips, 393, Moseley-road, Birmingham. Rex,- Yes. THE HOLDING OF PUBLIC MEDICAL APPOINTMENTS. To the Editors of THE LANCET. SIRS,-I shall be thankful if any of your readers would kindly refer me to the case in which a person who was supposed to be legally qualified to hold a certain public medical appointment was in good faith " appointed" to hold it, and after some little time, and when it had been discovered that he was not legally qualified to hold the appointment, some other person, who was legally qualified to hold the same, applied formally to the appointing authority for the "vacant" post, and explained and proved to them the facts of the case. I should be glad to have an opinion as to whether, in any abstract similar case, and apart from the one referred to, (1) a qualified person would or would not be guilty, under such circumstances, of unprofessional conduct in so acting ; (2) whether a professional society to which both parties belonged would be justified in expelling the second-named person for having made the application ; and (3) whether the appointing authority would be acting properly in allowing the first-mentioned person to retain the appointment until he had legally qualified himself? I am, Sirs, faithfully yours, November, 1891. QUALIFIED.

Transcript of Notes, Short Comments, & Answers to Correspondents

Page 1: Notes, Short Comments, & Answers to Correspondents

1262

Medical Diary for the ensuing Week.Monday, November 30.

ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.80 P.M., a nd on TuesdayWednesday, Friday, and Saturday at the same hour.

ROYAL LONDON UPHTHALMIC HOSPITAL, MOOR FIELDS. - Operation.daily at 10 A.M.

ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operatlons, 1.80 P.M.,and each day at the same hour.

CHELSEA HOSPITAL FOR WOMEN.-Operations, 2.30 P.M. ; Thursday, 2.30.HOSPITAL FOR WOMEN, SOHO-SQUARIZ.- Operations, 2 P.M., and on

Thursday at the same hour.METROPOLITAN FREE HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operati0ntl, 2 P.M., and

each day in the week at the same hour.UNIVERSITY COLLEGE HOSPITAL.—Nar and Throat Department, 9 s.rt. ;

Thursday. 9 A.MLONDON POST-GRADUATE COURSE.-Hospital for Sick Children, Great

’Ormond-st.: 4 P.1i., Mr. B. Pitts : Selected Surgical Cases from theOut-patient Department. - Royal London Upntbalmic Hospital,Moorfields: 1 P.M., Mr. A. S. Morton : Ocular Injuries.-GreatNorthern Central Hospital: 8 P.M., Dr. Galloway: Vlalignant Growths.

ROYAL MICROSCOPICAL SOCIETY.-8 P.M. Conversazione.MEDICAL SOCIETY OF LONDON.—8.30 P.11. Dr. Savill : The Epidemic

Skin Disease at the Paddington In8rma.ry (illustrated by drawingsand microscopical specimens). Patients will be shown at 8 P.M.Dr. Haig : A case of Rayna,ud’s Disease with Paroxysmal Haemo-globinuria.

Tuesday, December 1.

KING’S COLLEGE HOSPITAL.—Operations, 2 P.M. ; Fridays and Saturday*at the same hour.

GUY’S HOSPITAL.—Operations, 1.80 P.M., and on Friday at name hourOphthalmic Operations on Monday at 1.30 and Thursday at 2 P.M.

ST. THOMAS’S HOSPITAL.-Ophthalmic operations, 4 P.M. ; Friday, 2P.M.ST. MARK’S HOSPITAL.-Operations, 2 P.M.CANCER HOSPITAL, BROMPTON.-Operations, 2 P.M. 1 Saturday, 2 P.M. ’

WESTMINSTER HOSPITAL.-Operations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2.30 P.M.ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday.

2.30 P.M. Skin Department, Monday and Thursday, 9.30 A.M.Throat Department, Tuesdays and Fridays, 1.30 P.M. Electro.therapeutics, same day, 2 P.M.

LONDON POST-GRADUATE COURSE.—Hospital for Skin Diseases, Black.friars : 4 P.M. Dr. Payne : Bacteria in relation to Distases of theSkin.-Bethlem Hospital: 2 P.M., Dr. P. Smith : Alcoholic Insanity.

FATHOLOGICAL SOCIETY OF LONDON.-8.30 P.M. Dr. J. J. Clarke : (1) Dila-tation of Sphenoidal Sinus into which the Left Internal CarotidArtery opens ; (2) Imperforate Rectum, with Accidental Result ofExploratory Operation.-Mr. J. Bland Sutton : Implantation Cystfrom an Ox.-Mr. S. G. Shattock: Pigmentation of the Glans in theNegro after Circumcision.-Dr. H. D. Rolleston : Liver with NcdularCirrhosis.-Dr. F. C. Turner : Endocarditis, with Softening on theRight and Haemorrhage on the Left Side of the Brain. Card Speci-mens :—Dr. H. D. Rolleston : (1) Gall-stones Encysted in a Sacculusof the Gall-bladder; (2) Bifid Apex of the Heart.-Dr. F. C. Turner:Sarcoma at Root of Right Lung invading Right Bronchus andSuperior Vena Cava.

Wednesday, December 2.NATIONAL ORTHOPÆDIC HOSPITAL.-Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M. Operations by the Obstetrlt

Physicians on Thursdays at 2 P.M.CHARING-CROSS HOSPITAL.-Operations, 8 P.M., and on Thursday and

Friday at the same hour.ST. THOMAS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.—Operations,2P.M. Thursday&Saturday, same hour,ST. PETER’S HOSPITAL, COVENT-GARDEN.-Operations, 2 P.M.SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.—Operation,

2.30 P.M.GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 1.30 P.M. ; Skin Depart.

ment, 1.45 P.M. ; Saturday, 9.16 A M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.CHILDREN’S HOSPITAL, GREAT ORMOND-STREET.-Operations, 9.80 A.M.

Surgical Visits on Wednesday and Saturdav at Q.15 A.MLONDON POST-GRADUATE CouURsE.-Hospital for Consumption, Bromp.

ton: 4 P.M., Dr. R. Maguire : Aneurysm of the Aorta.-Royal LondonOphthalmic Hospital : 8 P.M., Mr. J. B. Lawford : Colour Blindness.

OBSTETRICAL SOCIETY OF LONDON (20, Hanover-square, W.).-8 P.M.Specimens will be shown by Dr. John PhillipQ, Dr. Herman, andothers. Dr. Herman : (1) On the Relation between Backward Dis-placements of the Uterus and Sterility and Abortion ; (2) On theRelation between Backward Displacements of the Uterus and Pro-longed Hæmorrhage after Delivery and Abortion.-Dr. J. InglisParsons : Twenty cases of Fibroma and other Morbid Conditions ofthe Uterus treated by Apostoli’s Method.

Thursday, December 3.ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. durgtoal Corianlbatlorie,

Wednesday, 1.30 P.M Ophthalmic Operations, Friday, 1.80 P.M.UNIVERSITY COLLEGE 14 OSPITAL. -Operations, P.M. Ear and Throat

11eDart,ment,. II A.ne.LONDON POST-GRADUATE COURSE.-Hospital for Sick Children, Great

Ormond-st. : 4 P.M., Dr. Penrose : Congenital Heart Disease.-National Hospital tor the Paralysed and Epileptic : 2 P.M., Mr. R. B.Carter : Ocular Symptoms in Diseases of the Nervous System.-London Throat Hospital, Great Portland-st.: 8 P.M., Mr. G. Bailey:An.-t,.,4theties.

HARVEIAN SOCIETY OF LONDON.—8 30 P.M. Dr. Goodhart: CommonNeuroses.

Friday, December 4.

ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL=Operations.? P.M. BRITISH LARYNGOLOGIC LAX RHINOLOGICAL ASSOCIATION(11,Chandos

street, Cavendish.square, W.).-2 P.M. General Meeting.r ONDON POST-GRADUATE COURSE.-Hospital for Consumption, Bromp.

ton: 4 P.M., Dr. R. Maguire: Pulmonary Cavities.—BacteriologicalLaboratory, King’s College : 11 A.M. to 1 P.M., Professor Crookshank:Typhoid Fever and Diphtheria (Examination of Sections).

WEST KENT MEMCO-CmnnjRCtiCAL SoctETY.—8 P.M. Clinical Evening.A large number of living cases will be exhibited.

WEST LoxnON MEDlCO.CHIRURGICAL SOCIETY (Board Room, West ,

London Hospital).-8 P.M. The following cases will be shown :-Dr. Abraham : Skin Diseases. -Dr. Herringham : AmyotrophicLateral Sclerosis -Dr. Clippingdale : Healed Cavities in Phthisis.- ’

Mr. Keetley: So-called "Congenital Talipes Valgus," with De-ficiency of Fibula.—Mr. S. Edwards : Ruptured Urethra, with Un-usual Complications. ,

Saturday, December 5. MIDDLESEX HOSPITAL.—Operations. 2 P.M.UNIVERSITY COLLEGE HOSPITAL.—Operations, 2 p M. and Skin Depart-.

l11ent. 9.16 A.MLONDON POST-GRADUATE COURSE.-Bethlem Hospital: 11 A.M., Dr. Percy

Smith : Inanity due to Syphilis or Organic Brain Disease.

Notes, Short Comments, & Answers toCorrespondents.

ft is especially requested that early intelligence of localevents having a medical interest, or which it is desirableto bring under the notice of the profession, may be sentdirect to this Office.

All communications relating to the editorial business of thejournal must be addressed °’ lo the Editors."

Lectures, original articles, and reports should be written onone side only of the paper.

Letters, whether intended for insertion or for private informa.tion, must be azctltentieated by the names and addressesof their writers, not necessarily for publication.

We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should

be marked and addressed °’ To the Sub-Editor."Letters relating to the publication, sale, and advertishv

departments of THE LANCET to be addressed 11 To thsPublisher. "

We cannot undertake to return MSS. not used.

THE DiSCLOSURES OF A MEDICAL MAX.

NOTHING has transpired to make us alter our suspicion that the writer’ of this article is not a qualified man. He writes in the paper which

gave circulation to his " disclosures," but he does not give his qualifi-

cations, or explain the fact that after so many years’ work andexperience he can only command 10s. a week.

M1’. S. J. Conolly.-The Medical Defence Union. The hon. secretary isDr. Phillips, 393, Moseley-road, Birmingham.

Rex,- Yes.

THE HOLDING OF PUBLIC MEDICAL APPOINTMENTS.

To the Editors of THE LANCET.

SIRS,-I shall be thankful if any of your readers would kindly referme to the case in which a person who was supposed to be legallyqualified to hold a certain public medical appointment was in goodfaith " appointed" to hold it, and after some little time, and when ithad been discovered that he was not legally qualified to hold theappointment, some other person, who was legally qualified to hold thesame, applied formally to the appointing authority for the "vacant"post, and explained and proved to them the facts of the case. I shouldbe glad to have an opinion as to whether, in any abstract similarcase, and apart from the one referred to, (1) a qualified person wouldor would not be guilty, under such circumstances, of unprofessionalconduct in so acting ; (2) whether a professional society to which bothparties belonged would be justified in expelling the second-namedperson for having made the application ; and (3) whether the appointingauthority would be acting properly in allowing the first-mentionedperson to retain the appointment until he had legally qualified himself?

I am, Sirs, faithfully yours,November, 1891. QUALIFIED.

Page 2: Notes, Short Comments, & Answers to Correspondents

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LIFE ASSURANCE AND THE MEDICAL PROFESSION. APOPLEXY IN ROME.

A CORRESPONDENT’S inquiry, relating as it does to a particular life THE "Dea Febris" was invoked in the City of the Seven Hills to avertassurance office, is one to which we have some difliculty in replying. the local fever, and, in later times, a special saint is worshipped byThe office referred to is of good credit and, so far as we can ascer- the devout to save them from death by apoplexy. Statistics might,tain, perfectly sound ; but we must point out that it is not one of be adduced to show that apoplectic seizure-or, at any rate, cerebralthe offices which have oflered advantageous terms to medical prac- haemorrhage-is exceptionally freql1entas a" mode of dying" in Rome,.titioners. It may be that our correspondent will be able to secure the heavy atmosphere, charged (in the Campagna particularly) withsuch terms, this notwithstanding; and, if so, we think he may be malaria, and the remarkable stillness of the air due to absence ofcontent to effect the proposed assurance. winds, being eminently favonrable to " determination of blood to the

Mr. J. B. Thomas.-The form was published in THE LANCET of June 6th, head." The saint whose intercession is implored by subjects of an

1891, p. 1296. ’

44 apoplectic habit," hereditary or acquired, is, curiously enough,

Mr. J. Smith (West Auckland).-The lists have not come to hand. St. Andrew. Now, as that apostles, was, according to ecclesl-

Mr.J. Smith(W est A uckl and)-Th e list s h ave not come to hand . astical tradition, crucified head downwards, at his own request

ABORTIVE ENTERIC FEVER. (as he deemed himself unworthy to win the martyr’s crown in theTo the Editors of THE LANCET. position in which his Divine Master died on the Cross), we can readily

SIRS,—The following notes of a ease which came under observation understand how he should have been selected by the faithful as thelast month may probably be of some interest. typical example of death by congestion or stasis of the cerebral circu-The patient stated he had been suffering with bad diarrhcea for the lation, and how in the saintly calendar he should be specially invoked

last seven or eight days, and that the motions were of a liquid character. to protect his votaries from dying by a similar cause.He complained of depression, headache, thirst, loss of appetite, restless- , - .

ness, and great debility, so as scarcely to be able to stand. On exami- Lf. -E.S.—It is impossible to answer our correspondent’s question with.nation the temperature was 103-2°, pulse 104. Expression of face dull, out seeing the actual wording of the instrument, and even then it isabdomen distended and resonant, splenic region resonant, no spots, more a matter for the solicitor of the party to determine.and motions liquid and of a light yellow colour. Evening temperature INCOME TA Yrose to 104°. Two days later four distinct rose spots appeared on the

INCOME TAX.

abdomen and one on the chest, followed in forty-eight hours by three To the Editors of THE LANCET.more spots, the former ones having almost faded away. The tempera- SIRS,—As you have more than once mentioned our agency to yourture gradually and continuously fell, and was normal on the eighth day readers, we think it may interest them to know what has been ourafter the commencement of the treatment, which consisted of milk and latest success on behalf of a member of the medical profession. This-barley water diet, with three-quarters of a grain of calulnel every hour gentleman, with a good practice in one of the home counties, had hadfor eight doses, an interval of twenty-four hours, and a repetition of the his assessment successively increased, till last year it reached £2050.powders every second hour for six doses. As soon as the temperature We were able to show that his net profits, after deducting all allowable-was normal the patient was put on a tonic of quinine and iron with an expenses, were only £838, and upon that sum he is to be assessed forexcess of dilute sulphuric acid and fish diet, and within the fortnight the current year-a saving of more than £30 in tax. But this is not all.was up and about and practically well. He is to be refunded the same amount for each of the past two years ;The symptoms clearly indicated the nature of the disease to be for we were luckily able to send in his claim for repayment before

enteric fever. The absence of splenic enlargement gives fore to the April 5th last. He thus virtually receives .690 for the three years, andcontention I have already (raised in THE LANCET, that this van iety of the benefit of the adjustment of tax will endure for some years to come.fever is the result of a chill, and not sewage contamination, for the We regret, however, that he did not apply to us sooner, as for morespleen is invariably enlarged in enteric fever, dependent for its cause on than five-and-twenty years he has been paying upon more than doubledecomposition; whereas when the disease results from a chill it is his net profits. We may add that in this case the appellant was notalways unaffected unless independently enlarged. put to the trouble of appearing before the Commissioners, the accounts

I am, Sirs, yours obediently, we sent in being considered satisfactory... ..

G. SHERMAN BIGG, We are, Sirs, your obedient servants,Victoria-street, S.W., Nov. 20th, 1891. Late Army Medical Staff. The Income Tax Repayment Agency, Colville- A. CHAPMAN & Co.

REMOVAL OF FOREIGN BODIES FROM THE RECTUM. terrace, W., Nov. 20th, 1891.

To the Editors of THE LANCET. THE NEW REGULATIONS FOR THE MEDICAL EXAMINATION OF CANDI.-

SiRS,-In Mr. Vann’s interesting case at the Durham County Hospital DATES FOR AUSTRIAN MEDICAL EDUCATIONAL INSTITUTIONS.

(THE LANCET, Nov. 7th, p. 1039) he mentions the removal of a foreign REGIMENTAL-SURGEON DR. L. SCHMEICHLER, in his observations onbody from the urethra, and gives Mr. Christopher Heath the honour of the new regulations for admission to the Austrian military educationalfirst suggesting the passage of a tube over it. I am certain that institutions, published in the Wiener Medicinische Wochenschrift, pointsMr. Heath is such an excellent surgeon that he does not wish to take out that these new regulations are more liberal than formerly towards-to himself honours belonging to another; and if Mr. Vann will refer to myopic young men, but more strict in demanding a greater acutenessSamuel Cooper’s Surgical Dictionary, page 1137 seventh edition, 1838, myopic young men, but more strict in demanding a greater acutenessSamuel Cooper’s Surgical Dictionary, page,1137 seven edition, 1838, ...he will find the following :-" In a case for which M. Maréchal was of vision. Up to the age of fourteen years the candidate may be

consulted, a pig’s tail had been introduced, with the thick end upper- myopic to the extent of 1.5 D ; above that age and below seventeen.most, into the rectum of a woman of the town by a medical student the myopia may be as much as 2 T), and after that age it may be evenwhom she had offended. The tail had been prepared for the purpose, 3 D. In anisometropic candidates the one eye may, up to the four-the bristles being cut short. The consequence was that any attempt to teenth year, be myopic to the extent of 2 D ; after that, and up to theremove it gave rise to most excruciating pain ; the rectum became seventeenth year, to that of 3 D, and later on it may even be 4 D.inflamed, and the bowels obstructed. Death must have been the

The acuteness of vision, however, of a candidate up to fourteen yearsresult had not the surgeon succeeded, by a clever yet simple plan, in .

extracting the foreign body. Having tied a piece of strong cord to the of age must not be less than in one eye, while the other must belower end of it, he mtroduced a tube over it, and without pain or diffi- perfectly normal. After that age both eyes may be 6./8 The old regu-

culty removed both together."-I am, Sirs, yours obediently, lations were bised on Jaeger’s test-charts, while at present Snellen’sStreatham-hill, Nov. llth, 1891. A SENIOR FELLOw. types are exclusively used. It is also recommended that the refrac-

THE HODGSON FUND. tion of all candidates should be defined by the ophthalmoscope, and

To the Editors of T H E L A N C E T. that they should be examined in military hospitals.

SIRs,-Please acknowledge the following further donations to the Dr. R. Ostlere will find a letter on the subject of his communication in-

SIRS,-Please acknowledge the following further donations to the our present issue.widow and children of the late Dr. W. Bacon Hodgson. our present issue.

MEDICAL ETIQUETTEI am, Sirs, yours faithfully, MEDICAL ETIQUETTE.2M.Romford.rd.,Forest-gate.Nov.24th.l891. J. PHILLIP TOPPING. To the Editors of THE LANCET.

H. D...... ...£O 10 0 Mr. Howard Marsh ..£11 0 0 SIRS,-It has happened on more than one occasion recently that IDr.R.Coall 0 10 0 Dr. Stephen Mackenzie.. 1 1 0 have been called upon to attend a case which I found to be under the-Mr. W. Watson Cheyne 1 1 0 Dr. Geo. Lindsay Johnson 2 2 0 constant care of a neighbouring practitioner. Having ascertained thatMr.Thos.Cooke .. 0 10 6 Dr.Fred.Needham -.110 a consultation" was not what was desired, but a complete change of-Mr. Thos. Smith .... 3 3 0 Amount previously ac- medical attendants, I, of course, absolutely refused to interfere until,Dr. S. J. Weakley .... 1 1 0 knowledged.... 50 11 6 the other practitioner had been duly informed by the family of their

TREATMENT OF TYPHOID FEVER. intention. Now, I wish to know if my action in the matter has not

To the Editors of THE LANCET. been strictly in accordance with the rules of professional etiquette. I

To the Editors of THE LANCET, certainly believe it has, and never intended it to be otherwise. But,SIRS,-If Dr. Lambart, in his case of typhoid fever, had combined one unfortunately, my brother physician (who, I may say, was never par-

or two minims of tincture of iodine with the carbolic acid, he would, I ticularly friendly) seems to hold a different view, as is evident fromam convinced, have had little trouble with the motions. I first saw his personal conduct towards me since.-I am, Sirs, yours truly,this method of treatment in THE LANCET about three years ago, and Nov. 24th, 1891. S. W. W.have used it since. It invariably controlled the diarrhoea, and in a fewcases cut short the fever. I am, Sirs, yours faithfully, ERRATUM.-IN the twelfth line of Dr. Carpenter’s letter, published lastBrotherton, Yorks, Nov. 21st, 1891. J. 0. WARD, M.R.C.S. week, page 1193, for 11 windward" read leeward.

J. PHILLIP TOPPING.

Page 3: Notes, Short Comments, & Answers to Correspondents

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A QUESTION OF CONTRACT. LETTERS, eaoh with enclosure, are also acknowledged from-Mr. Packe,

To the Editors of THE LANCET Torquay ; Mr. Allsop, Shipley ; Dr. Deas, Exeter; Mesers. HearsonSIRS Under the above heading and Co., London ; Mr. Alexander, Broseley ; Messrs. Windover andSIRS,-Under the above heading in yourissue of Nov.14th, "L.R.C.P." Co., Huntingdon; I)r. Williams, Regent’s-park; Messrs. Silver and

says: " In the case of assistants the usual bond’-in other words, a Co., Cornhill ; Dr. McKay, Ross ; Mr. Tully, Hastings ; Messrs. J. and-covenant not to practise-does not hold good at law, and is, as a matter H. Grace, Bristol ; Mr. Sisson, Newcastle-on-Tyne; Mr. Green, Oldof fact, not worth the paper it is written on." As this is a question Swindon’ Mrs. Trotter, Wilts; Mr. Clevedon, Salop ; Mr.Webb, Newwhich concerns nearly all general practitioners, and especially those Brompton ; Mr. Eames, Nottingham ; Mrs. MacRoe; Messrs. Allenthinking of buying practices where previous "bound out" assistants and Hanburys, London ; Mr. Dean, Manchester ; Mr. Hughes, Burymay present themselves, it would be interesting to know if the above St. Edmunds; Mr. Carter, London; Miss Miller; Mr. Cooke, Otterystatement is correct. I am, Sirs, yours truly, St. Edmunds; Mr..Carter, London ; Miss Miller; Mr. Cooke, OtteryNov. 18th, 1891. PERPLEXED. St. Mary; Mr. Whitelegge, Wakefield; Mr. Swenden; Messrs. Hogg

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