1301

JUBILEE MEDICAL HONOURS.

THE QUEEN, on the occasion of Her 1lIajesty’s Jubilee, hasbeen graciously pleased to order the following appointmentsand promotions to be made :-

Knights.Dr. Garrod.G. H. MaLeod, Esq., Queen’s Surgeon, Edinburgh.Dr. Aitken, Netley Hospital.

ORDER OF THE BATH.

Ordinary J..1fember of the Militm’y Division of theSecond Class, or Knights Commanders.

Surgeon-General John Harrie Ker Innes, C.B., HonorarySurgeon to the Queen.

Additional Members of the Military Division of theSecond Class, or Knights Commanders.

Inspector-General of Hospitals William Mackenzie, M.D.,C.B., C.S.I., Indian Medical Service, Honorary Physician tothe Queen.

Inspector-General of Hospitals and Fleets James Jenkins,C.B., Royal Navy.

Knights Commanders (Civil Division).John Simon, Esq., M.D., C.B., late Medical Officer, Privy

Council Office.Dr. Arthur Mitchell, M.D., C.B., Lunacy Commissioner,

Scotland.

Ordinary Membe1’s of the -7vlilitary Division of theThird Class, or Companions. i

Inspector-General of Hospitals and Fleets James NicholasDick, Royal Navy.Surgeon-General Herbert Taylor Reade, V.C., MedicalStaff.Deputy Surgeon-General Jeffery Allen Marston, M.D.,

Medical Staff.

An Ordinary Mem&oacute;er of the Civil J?ivision ofthe Third Class,or <7o?M/?<’<M!’OK.

Professor W. H. Flower, British Museum.

ORDER OF ST. MICHAEL AND ST. GEORGE.

-rdinaa y Membe1’ of the Second Class, or Knight CommanderJames Alexander Grant, Esq., M.D., of Ottawa, in the

Dominion of Canada. Companion.

ISir Oscar Clayton.The Queen has been pleased to give orders for the appoint-

ment of the undermentioned officer to be a Companion ofthe s’ Distinguished Service Order z

For Operations in Durma7a.Fleet-Surgeon Thomas D’Arcy Bromlow, M.D., Royal Navy.The Queen has been graciously pleased to confer the

decoration of the Royal Red Cross upon the undermentionedNursing Sisters under the provisions of Clause 5 of HerMajesty’s Warrant, dated April 23rd, 1883 :-Miss LouisaJane Mackay, Army Nursing Sister; Miss ChristinaFergusson, Army Nursing Sister; Miss A. B. Holland, ArmyNursing Sister; Miss Edith King, Stafford-house Committee;Miss Emma Durham, Stafford-house Committee.

The following members of the Veterinary profession havealso participated in the distribution of honours :-

Knight11. L. Simpson, Esq., Mayor of Windsor, President of the iRoyal Veterinary College.

Ordinary Members of the Civil Division of the Third Classor Companions of the Order of the Bath.

Principal Veterinary Surgeon George Fleming, Head-Quarters Staff of the Army.

Professor Brown, Agricultural Department of the Privyr;(mni1.

A MR. D. 0. MiLLS has given 80,000 dols. for thepurpose of erecting a new building on the grounds ofBellevue Hospital, New York, which will be used mainly asa training school for male nurses.

THE HOSPITAL SUNDAY FUND.

ON the 16th inst. a public meeting in aid of the HospitalSunday Fund was held at Wellington Hall, Islington. The

Islington north and north-west district contains eleven hos-pitals and six dispensaries benefiting from the fund. In

1886 these institutions relieved 6243 in-patients and 105,849out-patients ; their total income was .652,581 and their totalexpenditure .E60.346. The chair was taken by the Rev.H. W. Barlow (Vicar of Islington), who was supported bySir A. K. Rollit, M.P., the Rev. Canon Hurst, the Rev. Dr.Allon, the Hon. Conrad Dillon, and others. The chairmanhaving briefly opened the meeting, Sir Albert Rollit, M.P.,moved the first resolution, insisting upon the importance ofmaintaining the hospitals in the utmost efficiency, andurging the clergy to earnestly appeal to their congregationsin order to secure that the whole sum collected on Hos-pital Sunday should not be less than .6100,000. He saidthat the great deficiencies which had arisen in the fundsof the hospitals were a breach in the continuity of thehistory of the century. At the beginning of the centurythere were only 51 of these institutions, and at presentthere were 496 scattered over the United Kingdom. Thiswas a thing to be proud of, and was characteristic of thehumane spirit of the age. The Hon. Conrad Dillon secondedthe resolution, pointing out that the sanitary educationgiven by the hospitals was very great. The motion havingbeen carried, the Rev. Canon Hurst moved the second resolu-tion, regretting that in the year 1886 the deficit of thehospitals in that district amounted to 8000, and pledgingthe meeting to increased exertion to prevent a repetition ofthe deficiency. Dr. Glover seconded the resolution. Hesaid that the hospital accommodation of London at presentwas barely sufficient to meet the cases of urgent necessity,while cases of chronic disease had to suffer in consequence.The expenditure of the hospitals was very narrowly watchednowadays by business men, and extravagance was almostimpossible. The resolution was carried, and the meetingterminated with a vote of thanks to the chairman.

On the 17th inst. a meeting was held at Stratford Town-hall. The Stratford and East-end district contains sevenhospitals and five dispensaries benefiting under the fund.In 1886 these institutions relieved 14,190 in-patients and189,401 out-patients; their total income was .S78,565 andtheir total expenditure .E109,399. The chair was taken byMr. John Meeson, Mayor of Stratford. Lord Roseberymoved the first resolution, which was similar to the onemoved by Sir Albert Rollit, M.P., at Islington on the 16thinst. He said that if we are to continue facing a deficitevery year with regard to hospitals, the natural result wouldbe that they must come upon the rates. This he was notin favour of, for two reasons-one being that the rates arehigh enough already, and the second because he believedthat the best of all energy and of all motive powers isvoluntary effort. Zeal cannot be bought. Again, wheresubscriptions are voluntary the subscribers look out veryclosely to see that their money is well spent. Lord Rose-

bery expressed the opinion that this was not the case

with rate-supported hospitals, and alluded to the recentdisclosures respecting the management and expenditure ofthe Eastern Hospital. Canon Scott, Sir Edmund Hay Currie,Mr. Forrest Fulton, and others also addressed the meeting.In the afternoon of the same day another meeting was

held at Westminster Town-hall, the Dean of Westminsterpresiding, and resolutions were passed similar to thosepassed at all the previous meetings.On the 18th inst. the last of the series of meetings was held

at the People’s Palace, under the Presidency of the Duke ofCambridge. Among those present were the Right Hon. C. T.Ritchie, (M.P.), Sir Edmund Hay Currie, the Bishop ofBedford, Mr. J. H. Buxton, Mr. H. C. Burdett, and CanonScott. The chairman, in opening the proceedings, referredto the great and useful work carried on by the hospitals.More especially, he said, were those institutions deserving ofliberal public support in the East-end, for it was there thattheir assistance was most essential. He concluded by mov-ing the usual resolution. Mr. Ritchie, M.P., in secondingthe motion, said that he trusted that the public would doaway with the scandalous state of things under which thehospitals were spending .6100,000 a year more than theyreceived. The resolution having been supported by the

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Bishop of Bedford, it was carried unanimously. SirEdmund Hay Currie then moved a second resolution, re-gretting that the deficit in the accounts of the hospitals ofEast London amounted to .E30,000 in the year 1886. Hesaid that there were no fewer than 2100 beds unoccupied inthe eastern hospitals. Mr. J. H. Buxton seconded the resolu-tion, which was also carried unanimously. A vote of thanksto the chairman having been carried with acclamation andbriefly acknowledged, the meeting terminated.On the 19th inst. the annual collections were made at

nearly all the churches, and other places of worship in themetropolis. The congregations were as a rule good, espe-cially in the West-end, the large number of visitors in townfor the jubilee festivities having a marked effect upon theordinary attendance.The following is a list of the principal contributions

which have up to the time of our going to press been re-ceived by the secretary of the fund :-St. Michael, Chester-square (Rev. Canon Fleming, B.D.), ae1023 j St. Jude’s (Rev.D. Forrest)..E800; St. Paul’s Cathedral, 232; Holy Trinity,Kilburn, .E81; St. John the Evangelist, Penge, .E86; St.Peter’s, Brockley, 69; St. Matthew’s, Brixton-hill, .E70;All Saints’, Blackheath, .E75; Dulwich College Chapel, .50;St. Marylebone Presbyterian Church, .656; Barnes, Surrey,Parish Church, &pound; 54; Amelia, Countess of Lauderdale, ae50 jSt. Mark’s, North A udlpy-street, .E146; St. Saviour’s,Pimlico, ae52; St. Mark’s, Reigate, &pound;84; Brixton UnitarianChurch, .E68; St. Paul’s, Forest-hill, ;E66; St. Andrew’s,Wells-street, .6114; St. John’s, Clapham-rise, .E61; TrinityChurch, Hampstead, with St. Cuthbert’s, &pound;91; St. Michael’sParish Church, Higbgate, ae66; All Saints’,,Ntargaret-street,s70;Metropolitan Tabernacle (Rev. C. H. Spurgeon), .E250; St.Matthew’s. Denmark-hill, &pound;56; St, Matthew and Holy TrinityMissions, Upper Clapton, E , &pound;100; Mr. James Carnegie, &pound;50;the Temple Church, &pound;273; St. StephPn’a, Wandsworth, &pound;60;City Temple, .658; Clapton Park Congregational Chapel,.S100; Christ Church, Highbury, &pound;113; All Saints’, Ennis-more Gardens, &pound;357; St. Mark, Hamilton-terrace, .E295;St. Paul’s, South Hampstead, &pound;104; St. Paul’s Pres-

byterian Church, Westbourne Grov-, &pound;63; HampsteadParish Church, &pound;70; Westminster Abbey (afternoon ser-vice at St. Margaret’s), &pound;58; St. Stephen’s, Ealing,&pound;129; Christ Church, St. Marylebone, &pound;52; St. Paul’s,Clapham, &pound;50; St. Peter’s, Dulwich Common, and St.Dunstan’s, &pound;51; St. James’s, Kidbrook, .E141; St. John’sPresbyterian Church, Forest-bill, &pound;87; Clapham ParishChurch, &pound;58; St. James’s, Piccadilly, &pound;132; Holy Trinity,Sydenham, &pound;120; Brixton-hill Weslfyan Chapel and Schools,&pound;79; St. James’s, Paddington, &pound;189; Trinity, St. Maryle-bone, &pound;84; Lewisham High-road Congrpgational Church,&pound;57; Sir W. B. Gurdon, &pound;50; St. Mary’s New Church, StokeNewington, f.58.The secretary of the Fund has also received &pound;820, being

the third, less expenses, of the receipts derived from therepetition of the Jubilee service in Westminster Abbey onthe 22nd inst.

According to the last reports received previous to our goingto press the sum total of the subscriptions up to that timeamounted to over &pound;12,000.

THE CROWN PRINCE OF GERMANY: NATUREOF THE LARYNGEAL GROWTH.

THE following is a translation of the report (published inthe Berliner Klinische Wochenschrift, No. 25, June 20th, 1887,and forwarded to that journal by the physician to his Imperialand Royal Highness the Crown Prince, General PhysicianDr. Wegner) " of Privy Councillor and Professor Dr. Virchow,upon fragments of a swelling in the larynx which have beenremoved by Dr. Morell Mackenzie from his Imperial andRoyal Highness the Crown Prince by means of avulsion(Zangenoperation)." The report runs as follows :-The two specimens delivered yesterday by General-

Physician Dr. Wegner exhibit, on macroscopic inspection,the appearance of a coarsely granular papillated tumour.Their convex surface had a glandular, bluish-white, slightlytransparent, glistening aspect, in 9( far as they retainedtheir natural conditions; large portions, indeed, which hadbeen acted upon by catechu showed a dull, brownish, some-

what crumbling character. The cut surfaces were somewhatretracted, and concealed by the turning up of the margins;they consisted of a soft, slightly fibrillated tissue, fromwhich projected some shreds of various lengths. The largerof the two portions was 3 mm. in height, and had adiameter of 2-5 mm.; the smaller was about 2 mm. indiameter. However, these measurements could not havequite corresponded to the conditions during life, for bythe retraction and infolding of the cut surfaces afterextirpation they must have undergone a diminution.Microscopical examination confirmed the diagnosis madeby the naked-eye inspection:-1. The surface everywhereconsisted of a very firm and thick layer of stratifledsquamous epithelium. Large colloid granules appeared inmany of the cells. Here and there lay a nest of con-

centrically laminated cells. Internally there occurred asimilar stratified layer of cylindrical cells (without cilia),which were seated directly on the connective tissue.2. The connective tissue layer of the mucous membrane wasfurnished on its surface with long papillary outgrowths,which contained large vascular loops besides the con-

nective tissue elements. Each such papilla corresponded toa granulation on the surface. Otherwise the mucous mem-brane showed scarcely any changes; even proliferation ofnuclei and cells were only sparsely detected. The blood-vessels were moderately dilated. Both sections have beenmade deeply into the mucous membrane, and through thisinto the submucosa. Hence there are found, besides con-nective tissue with numerous fine elastic nbre?, a largenumber of small nerve-trunks (from four to six fibres) andtheir branches, as well as small arteries and veins; in someplaces are seen also collections of lobules of the mucousglands. Although it is thereby proved that the operationbad reached the deep parts underlying the mucous mem-brane, yet in spite of the most careful examination of thesedeeper parts, especially at the cut surfaces, no single por-tions could be found altered in an appreciable degree. Allsuch changes were confined to the surface. They charac-terise the lesion as an epithelial growth combined withpapillary offshoots (misnamed papimloma)&mdash;pachydermiaverrucosa. In no part could an ingrowth of this epithelialformation into the mucous membrane be detected,The foregoing statement is an important advance upon

the statement of the 21st of May. In the specimen thenexamined changes resembling those now present were onlyvery scanty in comparison with irritative changes, but allsuch appearances were limited to the periphery of thelesion. Now, on the other band, a more central portion ofthe growth has apparently been obtained. Although thisportion is very much diseased, yet the healthy conditionof the tissue on the cut surface allows a very favourableopinion to be formed as to prognosis. Whether such anopinion would be justified in respect to the whole diseasecannot be ascertained with certainty from the two portionsremoved. However, there is nothing present in them whichwould be likely to excite the suspicion of wider and

graver disease. (Signed) PROF. DR. RUD. VIRCHOW.Berlin Pathological Institute, June 9th, 1887.

LOCK HOSPITALS.

THAT part of the report of the Dublin Hospitals’ Com-mission which refers to the Westmoreland Lock Hospital isof great importance not only to all concerned in the workingof the hospital itself, but also as it bears upon the importantquestion of hospital accommodation for patients withvenereal diseases. It may appear to medical readers some-what late in the day to be raising such a question, but, aswe shall see, it is not only still a question, but a veritablevexata qu&oelig;stio, surrounded with difficulties which

appear to be almost insuperable. The commissioners firstallude to the reports of a former Commission and SelectCommittee, both of which recommended that, as the West-moreland Lock Hospital received assistance from the State,students should be admitted for the ’purpose of receivingclinical instruction, which recommendation, however, hasnot been complied with. The reasons for this are

next dealt with. The governors of the hospital, whowere responsible for the carrying out of this as of theother recommendations, were against the admission of