Oct. 12, 1889.] THE BRITISH MEDICAL JOURNAI. 837

mon in quadrumana. At this time about one thousand dead mon-keys of divers species had passed under my immediate notice, butI could not remember to have seen a moniey with more than twonipples. On making inquiries of those likely to be acquaintedwith specimens I could not get any satisfactory information. Theassistant was then directed to examine carefully all dead monkeysfor this purpose. About a month afterwards, on making my usualvisit, a dead monkey was upon the table, and I at once asked theassistant to examine it. He failed to detect anything abnormal.You may imagine his surprise when a large mamma andnipple was pointed out to him. Since then I have detected theoccurrence of supernumerary nipples or mammtu in male andfemale monkeys, and feel satisfied that many such specimens havepassed undermy eyes previously, but that I was so blind as not tosee them until a special interest in the question attracted myattention to the matter.To illustrate still more forcibly the need for training and care

in observation, the speaker referred to the subject of sporadiccretinism. Until the late Dr. Hilton Fagge published an ad-mirable paper in 1871, it was known that cretins existed inGreat Britain, and museum specimens clearly attested itsexistence in England certainly one hundred years ago. Dr.Parrot, of Paris, suggested that the ancient Egyptians wereacquainted with cretiLnism, and even had a cretinous god (Ptah)who was particularly venerated at Memphis. An examinationof the models of this god preserved in the Egyptian galleries ofthe British Museum showed that in some Ptah was represented asa big bellied, squat divinity, with short limbs, not unlike a cretin;in others he was represented as of noble figure, the type of majestyand lordly bearing. The value of accurate observation was wellillustrated by the advance made in recent years in the treatmentof a peculiar affection of the naso-pharynx. In 1868, the eminentanatomist of Tubingen, Luschka, drew attention, in an elaborateand painstaking monograph, to the existence on the posterior wallof the pharynx, at the angle where it joins the roof, of a bodywhich he named the pharyngeal tonsil. Meyer, of Copenhagen,published in the Medico-Chtrurgical Tran8actions an admirablepaper, and showed most conclusively that certain trovubleswere oftendue to what he called " adenoid vegetations of the naso-pharynx,"or what might in simpler terms be described as enlargement of thepharyngeal tonsil. Mr. Bland Sutton then referred to the necessityf-or correct interpretation to follow on correct observation.

BROMPTON HOSPITAL FOR CONSUMPTION.ON Thursday evening, October 3rd, the conversazione which hasnow become an annual event was given by the medical staff ofthe Hospital for Consumption, Brompton. Many old residentofficers and clinical assistants were present, and the guests alto-gether numbered about 150.

ASSOCIATION INTELLIGENCE,COUNCIL.

NOTICE OF MEETING.A kiETING of the Council will be held in the Council Room of theAssociation, at No. 429, Strand (corner of Agar Street), London, onWednesday, the 16th day of October next, at 2 o'clock in theafternoon.September 12th, 1889. FRLNCIS FowxB, General Secretary.

BRITISH MEDICAL ASSOCIATION.

SUBSCRIPTIONS FOR 1889.BUBSCKIPTIONS to the Association for 1889 became due on January

1st. Members of Branches are requeeted to pay the same to theirrespective Secretaries. Members of the Association not belong-ing to Branches are requested to forward their remittances tothe GFeneral Secretary, 429, Strand, London. Post-office ordersshould be made payable at the West Central District Office,High Holborn.

BRANCH MEETINGS TO BE HELD.OXFORD AND DISTRICT BRANCH.-The next meeting of this Branch will be

held at the Radcliffe Infirmary, at 3 P.M. on Friday, October 25th. Notice ofpapers to be read. etc., should be sent to the Honorary Secretary on or beforeFriday, October lltb.-W. LEWIS MORGAN, Honorary Secretary, 42, Broad Street,Oxford.

THAMES VALLEY BRANCH.-The next meeting will be held on Wednesday,November 6th. The Honorary Secretary will be glad to hear from memberswho are willing to read papers.-CHARLES C. SCOTT, M.B., Honorary Secretaryand Treasurer, St. Margaret's, Twickenham.

NORTH OF ENGLAND BRANCH.-The autumnal meeting will be held at theRoyal Infirmary, Newcastle-upon-Tyne, on Wednesday, October 23rd, at 3 P.M.Agenda: Dr. Coley will exhibit some cases of interest. Dr. Murphy will reada paper on the Operati . e Treatment of Hmmorrhoids. Dr. Coley: On Effusioninto the Cavity of the Pleura. Mr. Williamson: On a Case of Cerebral Abscess,Localised and Opened. Dr. Philipson will introduce the question of the Forma-tion of a Division of the Medical Defence Union for Northumberland and Dur-ham. Members wishing to read papers, etc., are requested to communicatewith the Honorary Secretary at once. The dinner after the meeting will takeplace at the Douglas Hotel, at 5 P.m., 6s. 6d. each, exclusive of wine.-G. E.WILLIAMSON, F.R.C.S., Honorary Secretary, 22, Eldon Square, Newcastle-on-Tyne.

ABERDEEN. BANFF, AND KINCARDINE :BRANCH.-The annual meeting of thisBranch will be held at 198, Union Street, Aberdeen, on Saturday, October 19th,at 1 P.M., the President, Dr. Stone, Montrose, in the chair. Business: (1)Minutes, etc.; (2) Council report; (3) Treasurer's balance-sheet; (4) electionof President-elect for the ensuing year; (5) election of two honorary secretariesand honorary treasurer; (6) election of members of Council; (7) election ofchairman of Parliamentary Bills Committee; (8) selection of place of next Junemeeting; (9) Motion by Dr. Cran, Banchory: That the day of the ordinarymeetings of the Branch shall be fixed for Saturday instead of Wednesday, inorder to allow of the attendance of country members.-RoBERT JOHN GARDENand J. MACKENZIE BOOTH, Honorary Secretaries.

STIRLrNG, KINROSS, AND CLACKMANNAN BRANC.-The autumn meeting ofthis Branch will be held in the Scottish National Institution for ImbecileChildren, Larbert, on Friday, October 18th, at 4 P.M. Dr. Leslie will exhibitvarious cases, and read a paper on Certain Types of Imbecility. Membersdesirous of showing specimens, etc., are requested to communicate with theHonorary Secretaries. The Council will meet at 3.45 P.M.-C. J. LEWIS, Hono-rary Secretary.

NORTH OF IRELAND BRANCH.-A general meeting of the North of IrelandBranch will be held in the Royal Hospital, Belfast, on Thursday, October 31st,at 4 P.M. Gentlemen wishing to bring any communication before the meetingwill kindly communicate with the secretary, JoHN W. BYERS, M.D., LowerCrescent, Belfast.

METROPOLITAN COUNTIES BRANCH: SOUTH LONDON DISTRICT.-A meetingof the above District will be held in the Court Room, Guy's Hospital (by kindpermission of the Treasurer), on Wednesday, October 16th, 1889, at 8.30 P.M.,Dr. Frederick Taylor, Vice-President of the District, in the chair. A paper willbe read by Dr. Washbourn on Disinfection especially as applied to Fever.Clinical cases from the hospital will be shown. All practitioners will be wel-comed.-Dr. R. PERCY SMITH, Honorary Secretary, Bethlem Royal Hos-pital, S.E.

METROPOLITAN COUNTIES BRANCH: EAST LONDON AND SOUTH EssEx DIS-TRICT.-The inaugural meeting of the session will be held on Thursday, October24th, at the Hackney Town Hall, at 8.30 P.m. The chair will be taken by Dr.W. M. Ord, President of the Branch. A paper on Certain Forms of HepaticCirrhosis will be read by Sir Dyce Duckworth, M.D. Visitors will be welcome.-J. W. HUNT, Honorary Secretary, 101, Queen's Road. Dalston.

LANCASHIRE AND CHESHIRE BRANCH.-The autumn meeting will be held inthe Town Hall, Blackburn, on November 6th. Gentlemen wishing to readpapers or show specimens are requested to communicate at once with theHonorary Secretary, so that the titles of their communications may appear onthe circulars convening the meeting.-CHARLES EDWARD GLASCOTT, M.D.,Honorary Secretary, 23, St. John Street, Manchester.

SOUTH-EASTERN BRANCH: WEST SURREY DISTRICT.-The next meeting ofthis District will be held on Thursday, October 31st, at 4 P.M., at the King'sHead, Epsom, Dr. W. C. Daniel in the chair. Gentlemen wishing to bring for-ward communications, etc., should communicate with the Honorary Secretary,J. P. A. GABB, M.D.

BOMBAY BRANCH.A GENERAL meeting of this Branch was held on June 24th.Present: Drs. Banks, Maconachie, Parakh, Hatch, Ferguson,Baker, Meyer, and Collie. Dr. BANKS occupied the chair.Papers.-1. A case of Aneurysm of the Right External Carotid

Artery, involving the common carotid at its bifurcation, was readby Surgeon W. H. QUICKE. The patient was a native, aged 40.The tumour first appeared two months and a half previously as asmall lump a little below the angle of the jaw; the increase insize was gradual at first, but rapid during the past twenty days.There was throbbing pain, difficulty of swallowing, and loss ofvoice. The tongue was paralysed and turned to the right side.The tumour occupied the greater portion of the right side of theneck, measuring 6T inches broad by 4i inches long. The carotidwas tied below the omohyoid. The ligature came away on July15th :the tumour was then 42 inches broad by 31 inches long. OnJuly 18th the patient was discharged at his own request. On

838 THE BRITISH MEDICAL JOURNAL. [Oct. 12, 1889.

August 7th the tumour measured 32 by 21 inches, quite hard andpainless; eyesight good and no cerebral symptoms. The pointof interest in the case was the extremely favourable course afterthe operation, notwithstanding the wretched scorbutic condi-tion of the patient.-Drs. BANKS, HATCH, MEYER, PARAKH,and MACONACHIE made remarks on the case.

2. Dr. BAKER related two cases of Volvulus, and showed thespecimens. In one case, the neck of the volvulus was found ata point where the portions of the jejunum had contracted ad-hesions to the surface of the ileum, just above the ileo-caecal valveand exactly corresponding with the most marked of a series ofcicatrised ulcers (Peyerian), resulting from an attack of entericfever, from which, as the history showed, the patient had sufferedabout two months and a half previously; the neck of the volvuluswas twisted from left to right, and the distended loop had formeda large prominence in the umbilical and epigastric regions.-Inthe other case, there was a perforating duodenal ulcer situatedin the anterior wall of the first portion of the duodenum, 11 inchbeyond the pylorus. The patient, a healthy man, aged 35, hadexhibited symptoms which were regarded as due to intestinal ob-struction, without any marked signs of peritonitis. There wasno history of burn or scald. It was a good example in every wayof the form of lesion which affected, as a rule, men and women inthe prime of life (30 to 40 years), and was said to be unknown inchildren. Its causation was precisely similar to that of perforat-ing gastric ulcer. It would be interesting to know whether thearea in which these ulcers were found was limited by the point atwhich the alkaline pancreatic secretion was poured into theintestine.

SOUTH MIDLAND BRANCH.THE autumnal meeting was held at Higham Ferrers on October3rd, 1889, under the presidency of Mr. JOHN CREW. Sixteen mem-bers were present, and were hospitably entertained at luncheon bythe President prior to the meeting.New Members.-Mr. F. J. Lorimer Hart (Wansford) and Mr. W.

Moyle O'Connor (Stony Stratford) were elected new members ofthe Association and Branch.

Infectious Diseases Notifcation Act.-Dr. BUSZARD invited anexpression of opinion on this Act. He himself believed it wouldbe advantageous, and thought that all sanitary authorities shouldbe advised to adopt it. He believed the Northampton authoritywould do so. - The PRESIDENT and Mr. HEMMING expressedfavourable opinions on it; but Mr. PERCIVAL thought the Actwould not work, and would probably soon prove a dead letter.-The following resolution was carried: "That in the opinion ofthis Branch it is desirable that the sanitary authorities be advisedto adopt this Act."

Division of the Isthmus in Goitre.-Mr. MILLIGAN related twocases of goitre treated by division of the isthmus.-Exophthalmicgoitre was alluded to by some of the speakers; others consideredthat medical treatment was very useful in chronic cases. Allusionwas also made to the dangers often experienced in operating insuch cases, and attention was drawn to the results which some-times followed operation.Lunacy Acts Amendment Act.-Dr. BOWER read a paper on

the Provisions of the Lunacy Acts Amendment Act, 1889. He sum-marised the subject, arranging the provisions in groups, andpointed out where the present Act differed from previous ones.-Much interest was shown in the subject, and Dr. Bower wasspecially thanked for the information he had given to themeeting.Naso-pharyngeal Growths.- Mr. SEZELDING read a paper

on Naso-pharyngeal Growths and their Relation to Healthin Children. He considered those cases were much morecommon than was generally supposed by medical men, and werealmost totally ignored by the lay public. He illustrated hispaper by several cases, specially alluding to the influence ofthese diseases on the mental and physical development of thechildren who were the subjects of them.

Votes of Thanks.-The meeting terminated with the usualvotes of thanks.

A YOUNG lady, Seniorita Manuela Solis, has lately graduated inmedicine at the University of Valencia.MUNICIPAL LIBERALITY.-Tbe Court of Common Council voted

at its last meeting £210 to the Royal Albert Orphan Asylum, £210to the Charing Cross Hospital, and £210 to the City of LondonHospital for Diseases of the Chest.

SPECIAL CORRESPONDENCE,PARIS.

[FROM OUR OWN CORRESPONDENT.]Sulphonal.-The Galvano-cautery in Uterine Disease.-Epileptic

Fits Treated by the Actual Cautery.-A New Breadfor Dia-betic Patients.-Antipyrin for Enuresis.

M. RAYMOND has recently tested, at the St. Antoine Hospital,the value of sulphonal as a narcotic. Though far from being anideal narcotic, it proved useful in many caseq. It had scarcely anyaction on the respiratory system; on the circulatory system it hadthe same influence as sleep when this was natural; thetemperature was slightly lowered. The secretion of urinewas increased; that of the sweat glands diminished. Thetongue and mouth were sometimes dry; occasionally, thoughrarely, the patient vomited. M. Raymond found that sul-phonal was not an ancesthetic; it had sometimes a hyperaes-thetic action. Small doses had no influence on muscular contrac-tility; doses of 6 grammes were followed by ataxic movements ofthe limbs. Doses of 1 or 2 grammes were safe; women were moreeasily affected by sulphonal than men. Progressively increasingdoses were unnecessary. After a certain time it could be discon-tinued; sulphonal was superior to morphine in this respect. Itwas especially useful in insomnia resulting from general debility,neurasthenia, and cerebral disturbance; where there was actualcerebral lesion, the action of sulphonal was more intense, and insuch cases it had to be administered with great care. Sleeplessnessfrom abuse of morphine was relieved by sulphonal; it was alsouseful in phthisical patients who were rendered sleepless bycoughing. It was inert when sleeplessness resulted from rheum-atic pains, sciatica, cardiac troubles, also in Bright's disease andintense dyspncea. Sleep produced by sulphonal was calm, lastedfrom six to eight hours, and came on about half an hour or onehour after administration. The disadvantages attending the useof sulphonal were fatigue, giddiness, and sometimes positive ver-tigo.

Dr. Baraduc treats metritis and endometritis with chemicalgalvano-caustic, which he carefully applies to the uterine mucousmembrane. For interstitial fibroma Dr. Baraduc uses a "cap-sulotome," which opens the capsule enveloping the tumour bythe force of the chemico-caustic agent.M. F6r6 treated two epileptic patients with the actual cautery

applied to the scalp. One of these patients, who has been undertreatment since December 10th, 1887, had twenty-one fits in 1886,and only seven the year following; in 1888 one, and this yearnone. The other patient had sixty-three fits in 1886, forty-five in1887. The treatment was commenced in April, 1887. In 1888 hehad four attacks. Dr. F6r6 has observed transient improvementin a large number of patients treated by actual cautery; in one,convulsions have ceased, and are replaced by attacks of cutaneoushyperaesthesia.M. G. Pouchet, Professor at the Museum, describes in the science

column of the Siecle a new food stuff for diabetic patients,containing an abundance of nitrogenous substances, and entirelyfree from starch. All gluten bread contains a certain propor-tion of starch. The bread in question is made from the embryosof corn. M. Danysz, the discoverer of this new bread, has suc-ceeded in isolating the embryo from its farinaceous endosperm,and has also been able to remove from the embryo all oily or othersubstance calculated to injure its flavour. After long researchM. Danysz has obtained a large quantity of corn embryos; fromthese flour has been made which is extremely nutritious. Breadmade with it is easily digested, and is said to be agreeable to thepalate. In many of the Paris hospitals this bread is now used fordiabetic patients.M. Perret, who uses antipyrin in treating enuresis, recommends

giving to children from 5 to 8 years of age I to 2 grammes everyevening, divided into two equal doses, one of which should betaken at 7, the other at 9 o'clock. This treatment should be con-tinued during eight days, then a week should be allowed toelapse, when the drug should be again administered. Generally,after two weeks of treatment the enuresis disappears.DR. DAVID HADDEN has been elected surgeon to the Wextord

'Jounty Infirmary. His predecessor was Dr. Harvey Boxwell, whoheld the post for upwards of half a century.

Oct. 12, 1889.] THE BRITISil MEDICAL JOURNAL. 845

enumerated in the Act) " to give, to the best of his knowledge and belief, tothe registrar " the necessary information concerning the death. The Act istherefore clear that the chief resident officer is bound to act as informant ofthe death equally with other better qualified informants. It should be pointedout, however, that registrars are specially Instructed that, " in the case of adeath in a public institution, he should, whenever practicable, obtain the in-formation from a relative of the deceased."

THE RIGHT OF PROPERTY IN PRESCRIPTIONS.DR. R. R. RENTOUL writes: In the JOURNAL of September 14th, p. 622, a case isdescribed wliere a doctor writes several prescriptions during the Illness of alnold lady residing at a " health " resort. Before leaving the doctor calls andasks for the prescriptions, and then tears them up. You are asked to saywhether he did rightly or wrongly in tearing them up, anid you say he didwrongly. In the JOURNAL of September 28th, p. 741, you are asked to recon-sider, and again you reply he did wrongly.Now, in the JOURNAL of June 8th, p. 1324, in answer to a correspondent,

you say: " The common assumption that a physician or other practitioner inwriting a prescription loses all right of property therein, and the chemist whocompounds and copies it acquires a title to use it as he pleases, the patientthe right of perpetually disposing of it, is one so wrong in principle that itdemands from the profession greater attention than it hitherto has received,"etc.Now, how and why do the above two statements clash? Has the same man

answered all these letters? Is it a miii who gets two guineas for his] advice,or one who gets five shillings who supplies the answer? I think it would bewell if a grave question like this were referred to a committee of doctors andleading chemists.

If a prescription were the absolute property of the patient, then the patientmight patent the prescription and have an order made against the doctor everuising it again. The general body of the profession-not the " select leaders "please-I think hold that a doctor does not sell his prescription; he sells hisadvice, this "advice" including the statement that the patient is to takesuch and such doses of medicilne, not such and such medicine. Again, theprescription is a written order to the chemist to make up so and so, and toplace such and such orders on the label, so that the patient may read theorders; in fact, arranging it that the patient has not to read the directionsfrom the prescription. The very fact that the directions are generally writtenin Latini bears my last remark otut.

I think the patient has no more right to the prescriptioni than a clieint, hasto the brief, or a copy of the brief, sent by the solicitor to the barrister. Amian, listening to a clergyman preach, has no right to go up to the parson andsay, " I pay so much to this church. I get your sermonis 1or that, but I wanta copy of your sermons." Stuch a man would be looked on as a borii idiot fornaking such a reqtuest. A medical student has no right to demand a copy ofthe lectures from the lecturer, or even his manuscript.

If we look into this question of the ownership of prescriptions, we find 'thepatients' right to them is not granted. I believe at first. many years ago, adoctor had not the right to charge for "advice," but only for " mediciiies "hence the much dosing by bolus, Iarge doses, etc., so as to swell up the bill.Next, the custom or law was that a doctor charged fo- a " prescription," anidnot for "advice." Consequently, when the doctor found there was no genuiinenecessity for a prescription, and fearing to lose his fee if he did not give one,lie presented his "aqtua col.," or placebo prescription. All these remnanlts ofa barbaric and ignorant age have, I think and liope, left us. I trust theJOURNAL will not perpetuate thenm.

I may say that I have an arrangement with six chemists for them to returnto me all my prescriptions monlthly; this they have done for six months, anidonly one lady has grtumbled. I found she had lent a prescriptioni of minie toeight friends. I do not know if she charged them the use of it, but I ratherthink she did. Let other doctors do the same, and we shall see who ownls.Why the fact that a doctor can arrange a series of prescriptions, and callthem " mist." so-and-so, or No. 2 or 5, and write this niame or number oni aprescription, shows his right to the prescription.

I further hold that the chemist has no right to give even a copy of myprescription to a patient. If the patient wants a copy let him go back to thedoctor who wrote the prescription, and pay for it. If I get a suit of clothes,and want the pattern from the tailor for a friend, or even for myself, is itlikely the tailor would give it me'? Is it to be supposed I would have theuinuitterable meanness to ask it for this friend? For pity's sake, and in thehope we may prove to ourselves that we, as a profession, still retain amodicum of common sense, do let us try to be practical. This is not a ques-tion of charity, the theory being that the patient pays for all he receives.

I see a correspondent is referred to a pamphlet termed the Code of MedicalEthics. I have never seen this work, nor do I think doctors are likely to beguiided by any " unauthorised progranmme." If we are to have a code, suchas the College of Physicians make, seemingly to have the pleasure of break-ing, it might be well to have it discussed first.

UNIVERSITY INTELLIGENCE,VICTORIA.

ENTRANCE EXAMINATION IN ARTS (FACULTY OF MEDICINE):-First Division.-H. E. Annett, W. W. Clemesha, F. W. Hartley, W. F. Jack-

son, and J. S. Taggart.Second Division.-T. P. Andrew, G. H. Bishop, H. A. Bold, H. W. Bootlh, C.

Coventry, J. W. M. Dart, J. H. Davies, W. Dyson, A. Holden, R. T.Hughes, E. W. A. Jeffery, W. A. Kidd, J. A. M'Ghee, D. W. Main, G. Y.Myrtle, P. Nelson, C. J. L. Palmer, W. J. Simpkin, W. C. G. Simpson, S.Thorp, and D. 0. Williams.

PRELIMINARY EXAMINATION IN SCIENCE (FACULTY OF MEDI-CINE):-

First Division.-W. W. Stoney, Yorkshire College.cYecond Division.-J. H. Ashworth, Owens College; B. N. Kellett, Owens Col-

lege; T. Morris, University College; W. Thompson, Owens College; S.W. Thomson, Owens College; W. B. Williams, University College.

IN connection with the medical degrees granted by Victoria Uni-versity, a very important change in the statute regarding theseexaminations will come into operation after October 1st, 1889.The subjects of examinations are: (1) Surgery (Systematic, Clinical,and Practical); (2) Medicine (Systematic and Clinical), includingMental Diseases and Diseases of Children; (3) Forensic Medicineand Toxicology, and Public Health; (4) Pharmacology and Thera-peutics; (5) Obstetrics and Diseases of Women; (6) GeneralAnatomy and Morbid Anatomy. A candidate may take all thesix subjects at once, or he may pass the examination in two parts,the first part consisting of two or three of the six subjects, thesecond part of the remaining subjects. Candidates may select asa first part any two or three of the subjects, and they must havecompleted the fourth winter of medical study.

ABERDEEN.AT a meeting held on Friday, October 4th, the University Courtof the University of Aberdeen appointed the following gentlemento be extra-professorial examiners for degrees in Medicine for oneyear, from October 1st, 1889: Dr. A. D. Keith, Aboyne; Dr. J. L.Kerr, Crawshawbooth, Manchester; Dr. William Milligan, Man-chester; Dr. T. W. Shore, London; Dr. P. Blaikie Smitb, Aberdeen;and Dr. F. Buchanan Wbite. Perth.

HOSPITAL AND DISPENSARY MANAGEMENT.ALLEGED ABUSE OF OUT-PATIENT DEPARTMENTS AND

THE PROPOSED PUBLIC MEDICAIL SERVICE.AT a meeting of the South Midland Branch, on October -th,under the presidenicy of Mir. JOHN CREw, a communica-tion was read from a combined meeting of the Worcester-shire and IJerefordshire and Gloucestershire Branches on thesubject of hospital and dispensary reform; but as this sub-ject was embraced in Dr. Rentoul's propositions an independentdiscussion was not considered necessary. These propositions, ad-vocating the formation of a " Public Medical Service," were readin extenso, and a prolonged discussionl ensued thereon.-The PRE-SIDENT considered that, though the subject was too extensive andcomplicated to enter upon in detail at this meeting, the membersshould give a warm reception to Dr. Rentoul's general scheme.-Dr. BuszARD expressed the opinion that they must first convincethe public of the desirability of the change and of reform in thismatter, otherwise it was hopeless for the profession to stir in it.The idea was somewhat Utopian, and it was useless to discussdetails.-Mr. J. H. HEMNMING offered some remarks much to thesame purpose.-Mr. TERRY supported the proposed scheme, moreparticularly as regards provident and other dispensories, which heconsidered to be greater offenders than the general hospitals.-ThePRESIDENT thought the proposals were more applicable to the largertowns; but that changes in the relations of clubs to their medicalofficers were very desirable.-Mr. WATIKINs and other membersalso joined in the discussion; and ultimately the following reso-lution was ulanimously carried, namely: '"That this Branch is ofopinion that an inquiry into the conduct of hospitals and dis-pensaries might be advantageous, but believes that the time hasnot come when any general Public Mledical Service could be estab-lisbed. This Branch deprecates any State interference with thework of the medical profession."

ON the motion of Dr. SHEEN, the following resolution was unani-mously passed at the South Wales and Mlonmouthshire Branch onOctober 4th: "That the disproportionate growth of the out-patientdepartment in all hospitals demands a general inquiry, as well asthe subject of provident dispensaries, medical aid associatiors,and sick clubs."

SIR,-In drawing up a table of payment for the benefit membersI would suggest that an " age table" be used as in other insur-ances. I would charge every member 6d. per month, and placethe different rate'of payment on the " entrance fee; " for, thoughthe entrance fee would be paid yearly, each member would requireto be examined by one of the medical staff before admission, andfor this he would be paid 2s. out of the Hon. Members' Fund.The scale of yearly entrance fees would be-

850 THE BRITISH MEDICAL JOURNAL. [Oct. 12, 1889.

PUBLIC SLAUGHTER-HOUSES FOR THE METROPOLIS.ON the motion of Dr. Longstaff, at the meeting of the LondonCounty Council, held on October 1st, it was agreed: " That it bean instruction to the Sanitary and Special Purposes Committee toreport to the Council as to the desirability of establishing publicslaughter-houses throughout London, and as to the facilitieswhich such a system would afford for the better inspection of themeat supply."

OVERCROWDING IN A HOSPITAL FOR INFECTIOUSDISEASES.

AT a recent meeting of the Salford Town Council, attention wascalled to the prevalence of diphtheria in Salford, and the over-crowding of Wilton Hospital. It appears that there is great over-crowding of infectious cases, there being 110 cases in a hospitaldesigned to hold 61.

THE QUALIFICATIONS OF MEDICAL OFFICERS OF HEALTH.TENSOR.-Public health diplomas will only be required of medical officers ofhealth elected to a town or district containing a population of 50,000 or over.This section takes effect in 1892. Medical officers who have, prior to 1892,had charge of a district of 50,000 population for three consecutive years, willnot be required to hold or obtain a public health diploma.

DANGEROUS PAUPER LUNATICS.B. P. B. writes: Three years ago I sent a man to an asylum suffering fromacute melancholia. He was admitted as a pauper lunatic, and discharged atthe end of six months. Three days ago, in another fit of melancholia, he cuthis throat-seriously but not fatally. I was called in, and requested thepolice who were present to prevent him from repeating the act. After watch-ing him for one night, the police left him in charge of his friends, sayingthat the superintendent considered him a lunatic; that they were to handhim over to his relatives, who were responsible for his safety; and that theywere to have nothing more to do with the case.Will you please tell me whether, as the man had committed a felony, thepolice were acting rightly in washing their hands of the case ? Also whether

he will be admitted into an asylum as a pauper lunatic without a magistrate'sorder given at a Court of Sessions?*** The patient is a lunatic or not. If not, the police should take him in

charge. If a lunatic and pauper, he should promptly have been placed underproper care, and, if it was necessary to send him to an asylum, have been (orbe) sent there precisely as any other pauper lunatic, according to the specialcircumstances of each case, as usual.

HEALTH OF ENGLISH TOWNS.'IN twenty-eight of the largest English towns, including London, which havean estimated population of 9,555,406 persons, 5,541 births and 3,219 deaths wereregistered during the week ending Saturday, October 5th. The annual rateof mortality in these towns, which had increased from 16.2 to 17.9 per ],000in the four preceding weeks, declined again to 17.6 during the week undernotice. The rates in the several towns ranged from 10.1 in Derby, 10.7 inLeicester, 11.1 in Cardiff, and 13.2 in Birmingham to 24.0 in Wolverhampton,25.3 in Newcastle-on-Tyne, 25.7 in Sunderland, and 25.8 in Manchester. In thetwenty-seven provincial towns the mean death-rate was 18.4 per 1,000, andexceeded by 1.8 the rate recorded in London, which was 16.6 per 1,000. The3,219 deaths registered during the week under notice in the twenty-eight townsincluded 147 which were referred to diarrhaea, 63 to diphtheria, 62 to " fever"(principally enteric), 52 to scarlet fever, 45 to whooping-couigh, 34 to measles,and not one to small-pox; in all, 403 deaths resulted from these principalzymotic diseases, against 525 and 529 in the two preceding weeks. These 403deaths were equal to an annual rate of 2.2 per 1,000; in London the zymoticdeath-rate was equal to 1.9, while it averaged 2.4 per 1,000 in the twenty-seven provincial towns, and ranged from 0.0 in Halifax and in Derby, and 0.4in Blackburn to 4.4 in Bradford, 4.7 in Salford, 6.3 in Wolverhampton. and 6.7in Plymouth. Measles caused the highest proportional fatality in Bradford,Sunderland, and Preston; scarlet fever in Bolton and Plymouth; whooping-cough in Preston and Bristol; " fever " in Manchester, Birkenhead, Leeds, andSalford; and diarrhoea in Brighton, Salford, Bradford, and Wolverhampton.Of the 63 deaths from diphtheria recorded during the week under notice in thetwenty-eight towns, 45 occurret in London, 7 in Manchester, 5 in Salford, and2 in Liverpool. No fatal case of small-pox was registered, either in London orin any of the provincial towns; and ilo small-pox patients were under treat-ment in any of the Metropolitan Asylum Hospitals on Saturday, October 5th.These hospitals contained, however, 1,247 scarlet fever patients on the samedate, against numbers steadily increasing from 538 to 1,206 in the fourteen pre-ceding weeks; 135 cases were admitted during the week, against 126 and 158 inthe two previous weeks. The death-rate from diseaseb of the respimatoryorgans in London was equal to 2.7 per 1,000, and was slightly below theaverage.

HEALTH OF SCOTCH TOWNS.DURING the week ending Saturday, October 5th, 790 births and 476 deathswere registered in the eight principal Scotch towns. The annual rate of mor-tality in these towns, which had been 16.4 and 18.8 per 1,000 in the two pre-ceding weeks, declined again to 18.6 during the week under notice, but ex-ceeded by 1.0 per 1.000 the mean rate during the same period in the twenty-eight large English towns. The lowest rates were recorded in Paisley andGreenock. and the highest in Glasgow, Leith, and Perth. The 476 deaths regis-tered in these towns during the week included 69 which were referred to theprincipal zymotic diseases, equal to an annual rate of 2.7 per 1,000, which ex-ceeded by 0.5 the mean zymotic death-rate duiring the same period in the largeEnglish towns. The highest zymotic rates were recorded in Paisley and Leith.The 208 deaths registered in Glasgow during the week under notice included

11 from whooping-cough, 7 from diarrhcea, 6 from " fever," 3 from diphtheria,3 from measles, and 3 from scarlet fever. Three fatal cases of diphtheria oc-curred In Edinburgh, 4 in Leith, and 2 in Dundee. The death-rate from dis-eases of the respiratory organs in these towns was equal to 3.9 per 1,000, against2.7 in London.

HBALTH OF IRISH TOWNS.IN the sixteen principal town districts of Ireland the deaths registered duringthe week ending Saturday, October 5th were equal to an annual rate of 22.4per 1,000. The lowest rates were recorded in Drogheda and Dundalk,and the highest in Lisburn and Londonderry. The death-rate from the prin-cipal zymotic diseases averaged 3.8 per 1,000. The 177 deaths registered inDublin during the week under notice were equal to an annual rate of 26.2per 1,000 (against 28.5 and 31.5 in the two preceding weeks), the rate for thesame period being only 16.6 in London and 17.8 in Edinburgh. These 177 deathsincluded 22 which resulted from the principal zymotic diseases (equal to anannual rate of 3.4 per 1,000). of which 12 were referred to diarrhoea, 7 to " fever,"3 to whooping-cough, and 1 to measles.

REPORTS OF THE MEDICAL OFFICERS OF HEALTH.CARDIFF RUR.A.L (Population, 17,888).-The vital statistics of

1888 call for no special comment, beyond that of having been cal-culated on a diminished population caused by the withdrawal ofcertain parishes for the formation of a new district. In the dis-trict as now constituted, Dr. Prichard records 263 deaths, of which22.80 per cent. were of children under one year. Ninety-threedeaths, equal to 35.36 per cent. of the whole, were of persons over60 years of age, 37 were over 70, 12 over 80, and 5 over 90 years.Twenty-nine deatbs were due to accidents, 11 of which occurredin the Barry and Cadoxton District. Thirty-seven inquests wereheld. Sixteen deaths were uncertified, 9 being in Pentyrch Parish.The mortality from the intectious diseases amounted to 10, or arate of 0.5 per 1,000. An outbreak of measles was the most seriousincident of the year, but it was of mild type, and though wide-spread was not very fatal. No deaths were recorded from scarletfever. The death-rate amounted to 14.7 per 1,000.

GLANFORD BRIGG RURAL (Population, 30,967).-Improved Con-dition of Ironstone Villages: Decrease of Consumption related toSanitary Improvement.-Mr. J. B. Moxon's report for 1888 showsthat the death-rate has slightly increased from the low point towhich it had fallen in 1887, namely, from 14.4 to 14.9 per 1,000.The deaths from infectious diseases were few in number, but theoccurrence of diseases in several villages has called for visits ofinspection and advice. There was no death from small-pox,although a well-marked case was imported into Kirton, and a verymild case occurred afterwards in the same village. Scarlet feverprevailed in the early part of the year, and whooping cough wasgenerally prevalent. These constituted the greater portion of thezymotic deaths. There were no deaths from measles, and only Ideath was recorded from diphtheria. Mr. Moxon reports that thisis a disease seldom met with in the district, nor is it a commondisease in private practice. Forty persons died from consumption.This does not, however, represent an increase; there is, in fact, atendency to decrease. This, Mr. Moxon considers, may be takenas a result of the gradual improvement in the ironstone villagesgenerally, they having been satisfactorily drained, and otherwiseplaced in better sanitary condition.

BARNSTAPLE RURAL (Population, 18,436).-A perusal of Mr.Harper's report for 1888 affords some idea of the health of the dis-trict by the number of instances of longevity recorded. Of 290deaths, 131 were of persons over 60'years of age; these, again sub-divided, give 67 over 70, 27 over 80, and 9 over 90 years of age.The death-rate for the year was 15.73 per 1,000. Zymotic out-breaks, never very serious, caused 26 deaths, or a rate of 1.41 per1,000. The deaths from phthisis are the lowest recorded since1881. Twelve deaths were registered from cancer, 4 females and8 males.

MEDICAL NEWS,LEPROSY is said to be very prevalent in Zululand.DR. ARLIDGE, of Stoke-upon-Trent, recently gave an address

on "' Manufacturing Processes in Relation to Health," to a jointmeeting of the Manchester Geographical and Statistical Societies.PROFESSOR LEIDESDORF, the eminent Austrian alienist, who

was consulted when it became a question of deposing SultanMurad V, died suddenly on October 9th at the age of 72.

HOSPITAL SUNDAY FUND.-The Aospital Sunday Fund has i6ewreched £41,600, and is just 4f1,000 in excegs of the collectionsmade in any previous year. The. flind foii188 closes on October31st.

COTTAGE HOSPITAL FOR ExBoxouGH.-Mr. Montagu, ofWetherby, has presented the town of Miexborough with a build-ing for the purpose of a cottage hospital, and has offered to bearthe cost of the necessary alterations.THE BACTERIOLOGY OF- HrNoSCLE:IRoMA.-Nikitorow has suC-

ceeded in cultivating artificially the bacilli of rhinoseleroma. Hetreated a case by injections of l per cent. carbolic acid, but, aftersixty-three injections, no improvement took place.AN epidemic of dengue fever is prevalent at Smyrna, between

six and seven thousand persons having been attacked. The dis-ease has spread-to Constantinople. It is believed that the out-break is connected with that which occurred at Cyprus lastyear.

THE managers of the Central London School District have beenauthorised by the Local Government Board to borrow £24,000to enable them to erect a new ophthalmic hospital at Han-well.CHOLERA.-According to official statements from Vienna, there

have been 5,983 cases of cholera in Mesopotamia during the pastfew months. There is said to have been of late a daily average of200 fatal cases.PRESENTATION.-Dr. W. H. Dawson, consulting physician to

the Malvern Rural Hospital, has been presented by his patientsand friends with a purse containing £102, a clock, and twobronze statuettes, together with an illuminated address contaiingthe names of some 170 subscribers.CHARING CROSS HOsPITAL MEDICAL SCHOOL.-Mr. Thomas

Sandells has obtained the first entrance scholarship of one hundredguineas, and MIr. Frederick A. L. Hammond the second of fiftyguineas. Mr. A. G. Harvey, of St. John's College, Cambridge, hasbeen awarded the Universities Scholarship of fifty guineas.-Theannual dinner of past and present students will take place at theHolborn Restaurant on Friday, October 18th, at 6.30 for 7, SurgeonWhitehead, F.R.C.S., in the chair. Tickets can be obtained byapplying to Mr. A. H. Walker at the hospital.VICTORIA INFIRMARY, GLASGow.-Dr. Donald J. Mackintosh,

one of the medical staff of Belvidere Fever Hospital, has beenappointed Medical Superintendent to the new south-side hospitalof Glasgow. Although the salary offered was only £150, thenumber of candidates was very large.

THE Zenana Medical College in St. George's Road, S.W., whereladies are trained for medical missionary work in China and Indiawas reopened for the session 1889-90, on Saturday, October 5th,when the opening address was delivered by the Rev. Dr. HilesHitchens.THE Hospitals Association enters upon its seventh session on

October 16th, when Dr. Briftowe, LL.D., F.R.S., will deliver theinaugural address on The Work of the Association. The meetingwill be held in -the Board Room of Charing Cross Hospital, at8 P.M. All interested in the work of the hospital are invited toattend. Tickets of admission m'ray be obtained on application tothe Secretary at Norfolk House, Norfolk Street, Strand.A UNIVERSAL GENIUS.--According to the Vratch, No. 35, 1889,

p. 780, a certain Riza-Bey-Mustapha-Bey-Ogly, residing at Vla-divostok (Caucasian Russia), advertises, with the permission ofthe local authorities, that he, "'without employing any medicalmeans, perfectly cures all people suffering from severe diseases," along list of which is given; and also that he " makes out the causeof the patient's illness, and, in cases of theft, divines thethief."

A COURSE OF BACTERIOLOGY FOR PRACTMONERS.-Mr. A. E.Maylard will give a course of four demonstrations on bacteriologyto practitioners in the Pathological Theatre of the Glasgow Wes-tern Infirmary on Tuesdays and Fridays, commencing on Friday,October 18th, at 2 o'clock. They will be free to all practitionerson intimating to the superintendent of the infirmary their desireto attend.'THAES VALLEY BRANCH.-Office-bearers for 1889-90:-Presi-

-dent, Dr. Sealy; Viea-Prwendmt, Dr. Wyman, Dr.F'enn,; Oubci4Dr. Giinther, Dr. Wadd, Dr. Langdon Down, Dr. Atkinson, Dr.Crichton, Dr.-Kane; Honorary Seretary and Treasurer, CharlesC. Scott, M.B., St. Margaret, wickenham. The next meetingwill be held on Wednesday, November 6th The honorary secre-tary will be glad to hear from members who are willing to readpapers.WB regret to record the sudden death of Mr. Thomas Gillham

Hewlett, M.R.C.S., C.I.E., late Deputy Surgeon-General. I.M.SThe deceased gentleman expired suddeiily whilst waiting%,- r atrain at Finchley Road Station, on Tuesday night. Death is saidto have been due to gouty affection of the heart. He served inthe Indian mutiny campaign, and was Sanitary Commissioner forthe Bombay presidency until his retirement last year. He was 57years of age.THE GENEVA CONVENTION.-On August 22nd the Geneva Con-

vention entered on the twenty-sixth year of its existence. OnAugust 22nd, 1864, the Convention was signed by the representa-tives of twelve Governments (Baden, Hesse-Darmstadt, Wiirtem-berg, Belgum, Denmark, Spain, France, Italy, the Netherlands,Portugal,Prussia, and Switzerland) at Geneva. Soon afterwards allthe other European and several non-European States joined theConvention. In all the great wars which have occurred since thattime much admirable work has been done under the Red Flag.INTRODUCTORY ADDRESSES iNr SPAiN.-If the introductory

address is dying out here it still flourishes vigorously in Spain.The winter session was opened in all the universities of thepeninsula with much ceremony on October 1st. In the CentralUniversity (Madrid) Dr. Marcelino Men6ndez Pelayo delivered anaddress before a numerous audience, including the Minister ofthe Interior, who congratulatulated the orator in very flatteringterms. In the Universities of Valencia, Valladolid, alamanca,and Santiago addresses were delivered by Drs. Magraner, N. de laFuente Arrimadas, G. Lopez, and Talegon.SANrTARY PLUMBING.-A requisition from Cardiff, influentially

signed, to the Plumbers' Company, to be constituted a centre forthe examination and registration of plumbers in accordance withthe compaiy's general system, has been complied with. At thelast quarterly court of the company, it was reported that commu-nications had been received from 55 boards of guardians andsanitary authorities expressing approval of the registration sys-tem, and stating that in accordance with the suggestion of thePresident of the Local Government Board, they had resolved infuture to employ registered plumbers.WEST KENT MEDICO-CHRURGICAL SOCIETY.-The flrst meet-

ing of the thirty-fourth session, 1889-90, of this society, was heldat the Royal Kent Dispensary on October 4th, when the followingwere elected office-bearers:-President; Thomas Moore, F.R.C.S.Vice-Presidents: J. Poland, F.R. C. S.; John McGavin, L.R.C.P.Ed. Council: A. Stewart Brown, F.R.C.S.; Ernest Clarke,M.D.; Peter Cooper, M.R.C.S.; A. Lloyd Jones, M.R.C.5.; W.Nicholson, M.D.; Charles Parkes, M.R.C.S.; George Newton Pitt,M.D. Treasurer: Prior Purvis, M.D. Secretary: H. W. Roberts,M.R.C.S. Librarian: Ernest Clarke, M.D.

LLupus AND PHTHIsIs.-At a meeting of a medical society atSteiermark, in Styria, Professor Lipp described a case of lupus ofthe face in a boy otherwise perfectly healthy, in which the diseasewas supposed to have been communicated by the mother, who wasconsumptive, and who was in the habit of kissing the child's face,on which there were rhagades. He also showed a woman withlupus in the face, in whom the disease first manifested itself inthe 42nd year of her age. He showed the latter patient in con-nection with the well-nown theory of Hebra, that lupus alwaysdevelops before the age of puberty.ACCORDING to a computation made by Dr. Ernst Engel, the

cost in human life of the different wars that have taken placeduring the last thirty-four years is 2,253,000 souls. The Crimeanwar cost 750,000 men, the Italian war (1859) 45,000, the Danishwar (1864) 3,000, the American civil war: the Northern States,280,000; the Southern States, 520,000; the Austro-Prussian war,45,000; the Franco-German war: France, 155,000; Germany,60,000; the Turco-Russian war, 250,000; the South African wars,30,000; the Afghan War, 25,000; the Mexican and Cochin-Chineseexpeditions, 65000; and the Bulgaro-Servian insurrection, 25,000.This list does not include mortality from sickness.

Oct. 12, 1889.] Y-H-B BRITISH MEDICAL JOURNAL. 861

852 [Oct. 12, 1889.

BEQuESTs.-The late Alderman George, of Leeds, has left £20,000to be equally divided between the General Infirmary and theYorkshire College.-The Queen has given a donation of £50 toKing's College Hospital.-Mr. W. Billings, solicitor, of Leicester,leaves by his will £100 each to the Leicester Infirmary and BlindInstitution.-The late Mr. J. R. Berwick, of Bandon, has be-queathed the following: Home for Protestant Incurables, Cork,£300; Cork South Charitable Infirmary, £300; Stewart Institutionfor Idiots and Imbeciles, £300; Cork Lying-in Hospital, £200; CorkAsylum for the Blind, £200.-The committee of the City Ortho-psedic Hospital, Hatton Garden, has received a cheque for £200in aid of the extension fund, from the trustees of Mrs. LowFrench.

MEDICO-CHIRURGICAL SOCIETY OF GLAsGOw.-At the firstmeeting of the session, held on the evening of 4th instant, thefollowing gentlemen were elected office-bearers for session 1889-90:President, Dr. William Macewen. Section of Medicine: Vice-president, Dr. J. Wallace Anderson; Council, Dr. Hugh Thomsonand Dr. W. G. Dun; Secretary, Dr. George S. Middleton. Sectionof Surgery: Vice-president, Dr. David N. Knox; Council, Dr. W.J. Fleming and Dr. J. C. Renton; Secretary, Dr. John Barlow.Section of Pathology: Vice-president, Dr. W. T. Gairdner; Council,Dr. H. Rutherford and Dr. Joseph Coats; Secretary, Dr. T.Kennedy Dalziel. Section of Obstetrics: Vice-president, Dr. W. L.Reid; Council, Dr. M. Cameron and Dr. Samuel Sloan; Secretary,Dr. Lawrence Oliphant. Treasurer, Dr. Henry E. Clark; GeneralSecretary, Dr. Walker Downie.AN AMBULANCE RRVIEW.-An ambulance review of an im-

posing character took place at Barnsley on Saturday, September28th, at the suggestion of Surgeon-Major Hutton. Nearly 400pupils of the local centre of the St. John Ambulance Association,presented themselves for inspection and marched in processionthrough the principal streets, followed by the ambulance corps ofthe police, fire brigade, and the various collieries with ambulancestretchers, etc., Colonel Stanhope, C.B., president of the centre,Surgeon-Major Blackburn, Knight Associate of the Order of St.John of Jerusalem, Dr. Knowles and Dr. Millar (instructors ofclasses) being among those present. Surgeon-Major Hutton, afterpresenting the medals, delivered an address in which he urgedthe importance of ambulance work on railways, and expressedthe hope that the Government would introduce a clause in theRegulation Act making it compulsory to keep stretchers at everystation.

EXAMINING BOARD IN ENGLAND BY THE ROYAL COLLEGES OFPHYSICIANS AND SURGEONS-The following gentlemen passedthe Second Examination of the Board at a meeting of the Board ofExaminers on October 7th, namely:-

G. B. Hillman, H. A. Phillips, J. E. Gains, and E. S. Perkins, of YorkshireCollege, Leeds; P. Withers and J. Green, of Owens College, Manchester;H. W. S. Williams, of University College, Liverpool; W. M. Smith, ofCambridge; G. Grace and H. B. Wilson, of Bristol School of Medicine;J. G. Warren, of Trinity School of Physics, Dublin; E. McN. Woods, ofQueen's College, Belfast; C. M. Mac Knight, of Melbourne University;J. H. Day, of Charing Cross Hospital.

Passed in Anatomy only.A. A. Smith, of Yorkshire College, Leeds; E. Woodridge, of Queen's College,

Birmingham; F. Spurr, of Sheffield; H. F. Cook, of Universitv College,Liverpool; G. A. Peake, of Bristol School of Medicine; M1. P. A.Lesur, of St. Bartholomew's Hospital; G. H. Jones, of Middlesex Hos-pital.

Passed in Physiology only.J. G. Rowell and J. H. Staniland, of Yorkshire College, Leeds; L. F. Hough-

ton, of St. Mary's, and Sheffield; H. M. Jovnson and E. Smallwood, ofUniversity College, Liverpool; L. Kilroy and E. Johnstone, of OwensCollege, Manchester; P. H. Edwards and J. B. Garman, of Queen'sCollege, Birmingham; C. E. Oakeley, of St. George's Hospital; C. G.Matthews, of St. Bartholomew's Hospital; and E. C. Hope, of Melbourne,and Mr. Cooke's School of Anatomy and Physiology.

Passed in Anatomy and Physiology on October 8th.3. S. E. Selby, of St. Bartholomew's Hospital; A. J. Harrington, of Toronto

Medical School; E. M. Iliewiez, of St. Mary's Hospital.Passed in Anatomy only.H. C. W. Clarke, of Owens College, Manchester; J. E. Ransford, of Bristol

School of Medicine; T. W. Hall, of Carmichael College, Dublin; J. S.Tabb, of Charing Cross Hospital; C. M. Fleury, W. T. B. Donnelly, andS. Croneen, of Guy's Hospital; F. W. Lewis, of St. Mary's Hospital; G.W. Robertson, of London and Edinburgh; H. C. Barnes and J. H.Bicket, of London Hospital; C. K. Moseley, G. A. T. Fox and F. Clarke,of St. Bartholomew's Hospital; N.E. E. McTaggart, of St. Bartholomew's,and Mr. Cooke's School of Anatomy and Phvsiology; R. D. Waghorn, ofWestminster Hospital; A. D. Bensusan, of St. Thomas's Hospital; E. J.T. Jones and J. H. F. Way, of St. Thomas's, and Mr. Cooke's School ofAnatomy an(d Physiology; W. S. Langworthy, C. H. Chapman, and F.L. Underwood, of University CJollege.

Passed in Physiology only.

R. W. Brinacombe, of Queen's College, Birmingham; L. J. G. Carr6 and J.T. R. Wylie, of St. George's Hospital; G. H. Norris, H. Arathoon, F.Scorer, T. Shiitte, and C. S. Palmer, of St. Bartholomew's Hospital; J.P. Jones, of London Hospital; T. Ager, of London, and Mr. Cook'sSchool of Anatomy and Physiology; P. W. Campbell, E. H. Willock,Arthur Haines, and F. Pershouse, of St. Thomas's Hospital; E. E. B.Landon, of Guy's Hospital; T. H. E. Meggs, of Westmiinster Hospital;G. W. B. Waters, of University College; H. A. Kynsey, of University,and Mr. Cooke's School of Anatomy and Physiology; A. W. C. Herbertand S. W. SweetDam, of St. Mary's Hospital.

Passed in Anatomy and Physiology on October 9th.J. Miller, W. J. Ansorge, and E. J. Hawkins, of St. Bartholomew's Hospital;

J. Griffith, of St. Bartholomew's, and Edinburgh University; F. C.Stearn, of Guy's Hospitel; G. F. Morley, of St. George's Hospital; E. B.Pickthorn, of St. George's, and Mr. Cooke's School of Anatomy and Phy-siology; J. F. Sto"kwell, of St. Mary's Hospital; C. E. Reinhardt, ofLondon Hospital; Albert Paling and David Phillips, of Middlesex Hos-pital; P. W. H. McKeown and J. T. Campbell, of the University ofToronto.

Passed in Anatomy only.S. B. Axford, of Charing Cross Hospital; E. E. W. Roe, of Guy's Hospital;

G. L. Hanwell, of St. Thomas's, and Mr. Cooke's School of Anatomy andPhysiology; V. B. Jepson and J. H. P. Vivian, of St. Thomas's Hos-pital; C. A. N. Knox, of Dublin and St. Thomas's Hospital.

P'assed in Physiology only.J. P. Grieves, of St. Mary's Hospital; L. P. Tomlinson, of St. George's Hos-

pital; J. D. Hessey, of Middlesex Hospital; J. D. Rawlings and T.St. Stephens, of St. Bartholomew's Hospital.

ROYAL COLLEGE OF SURGEONS IN IRELAND.-Surgeon-MajorA. H. C. Dane, having passed the necessary examination, has beengranted the diploma in Public Health of the College.

SOCIETY OF APOTHECARIES OF LONDON.-The followingcandidates, having passed the Qualifying Examination in Medicine,Surgery, and Midwifery, have received Certificates entitling themto practise -in the same, and have been admitted as Licentiatesof the Society in September, 1889:On the 12th:Slater, Howard, University College.On the 18th:Dalton, James Henry Chesshyre, Cambridge University.Stone, Emma Constance, Women's Medical College, Toronto.Molson, James Elsdale, Middlesex Hospital.Smyth, John, Qtueeni's College, Belfast.Fowler, Frank, St. Thomas's Hospital.On the 19th:Crompton, Alfred, St. Bartholomew's Hospital.Hicks, John Abernethy, Westminster Hospital.Kempthorne, Albert Edward, London Hospital.Mitchell, Walter, Sheffield Infirmary.Rouse, Eusebius Rouse, St. Bartholomew's Hospital.

MEDICAL VACANCIES.The following Vacancies are announced:

BALLINROBE UNION.-Medical Officer. Salary, £100 per annum, with£33 6s. 8d. as Consulting Sanitary Officer. Applications to Mr. John Walsh,Clerk of Union. Election on October 19th.

BRADFORD INFIRMARY AND DISPENSARY.-House-Physician. Salary,£100 per annum, with board. Applications by October 22nd to W. Maw,Secretary.

BURTON-ON-TRENT INFIRMARY.-House-Surgeon. Salary, £130 per an-num, with apartments, coal, and gas. Applications by October 23rd to J.C. Grinling, Esq., Honorary Secretary, the Infirmary, Burton-on-Trent.

CLAYTON HOSPITAL AND GENERAL DISPENSARY, Wakefield.-House-Surgeon. Salary, £120 per annum, with residence, coals, and gas. Appli-cations by October 18th to the Honorary Secretary.

COUNTIES ASYLUM, Carlisle.-Junior Assistant Medical Officer. Salary, £8per annum. with board. Apply to Dr. Campbell, Garlands, Carlisle.

DORSET COUNTY ASYLUM.-Assistant Medical Officer. Salary, £120 perannum, with board and residence. Applications by October 19th to Er.MacDonald, Medical Superintendent.

GENERAL DISPENSARY AND INFIRMARY, Jersey.-Resident MedicalOfficer. Salary, £120 per annum, with furnished apartments, etc. Appli-cations by October 19th to the Honorary Secretary.

GENERAL INFIRMARY, Leeds.-Resident Obstetric Officer. Board, lodging,and washing. Applications by October 14th to Mr. W. H. Brown, Secretaryto the Faculty, 19, Queen Street, Leeds.

GENERAL INFIRMARY, Leeds.-House-Physician. Board, lodging, andwashing. Applications by October 14th to Mr. W. H. Brown, Secretary tothe Faculty, 19, Queen Street, Leeds.

GENERAL INFIRMARY, Leeds.-Two House-Surgeons. Board, lodging, andwashing. Applications by October 14th to Mr. W. H. Brown, Secretary tothe Faculty, 19, Queen Street, Leeds.

HANTS COUNTY ASYLUM.-Junior Assistant Medical Officer. Salary, £100per annum, with furnished apartments, etc. Applications by October 17thto the Committee of Visitors, Knowle, Fareham.

HOSPITAL FOR CONSUMPTION, Brompton.-House-Physicians. Applica-tions by October 19th to the Secretary.

HOSPITAL FOR SICK CHILDREN, Great Ormond Street, W.C.-House-Surgeon. Salary, £50 per annum, with board, etc. Applications by Octo-ber 28th to the Secretary.

852 THE BRITISH MEDICAL JOURNAL. (Oct. 12, 1889.

Oct. 12, 1889.] THE BRITISH MEDICAL JOURNAL.

LANCASHIRE COUNTY ASYLUM, Rainhill, near Liverpool.-AssistantMedical Officer. Salary, £105 per annum, withboard, lodging, and washing.Applications by October 18th to the Medical Superintendent.

LIVERPOOL DISPENSARIES.-Two Assistant-Surgeons. Salary, £80 perannum each, with board, lodging, and attendance. Applications by Oc-tober 28th to the Secretary.

LIVERPOOL INFIRMARY FOR CHILDREN, Myrtle Street.-House-Sur-geon. Salary, £85 per annum, with board and lodging. Applications byOctober 21st to C. W. Carver, Esq.

LIVERPOOL ROYAL INFIRMARY.-Honorary Surgeons. Applications byNovembpr 1st to the Chairman, H. B. Gilmour, Esq.

LONDON LOCK HOSPITAL AND ASYLUM, Harrow Road and Dean Street,W.-Physician. Applications by October 21st to the Secretary, HarrowRoad.

LONDON LOCK HOSPITAL AND ASYLUM, Harrow Road and Dean Street,W.-Surgeon. Applications by October 21st to the Secretary, Harrow Road.

NORTH-WESTERN LONDON HOSPITAL, Kentish Town Road.- SeniorResident Medical Officer. Applications by October 21st to the Secretary.

PADDINGTON GREEN CHILDREN'S HOSPITAL, W.- House-Surgeon.Salary, £50 per annum, with board and lodging. Applications by October21st to the Secretary.

ST. MARY'S HOSPITAL, Quay Street, Manchester.-House-Surgeon andResident Obstetric Assistant Surgeon. Salary, £120 per annum, withboard and residence. Applications by October 1.4th to the Secretary.

SHEFFIELD GENERAL INFIRMARY.-House-Surgeon. Salary, £120 perannum, with board, lodging, and washing. Applications by November 2ndto the Medical Staff of the Sheffield General Infirmary to the care of theSecretary.

SHEFFIELD GENERAL INFIRMARY.-Assistant House-Surgeon. Salary,£80 per annum, with board, lodging, and washing. Applications by Novem-ber 2nd to the Medical Staff of the Sheffield General Infirmary to the careof the Secretary.

STOKESLEY UNION.-Medical Officer for Workhouse and Stokesley Dis-trict. Salary, £54 per annum, with extras. Applications by October 19thto T. Sowerby, Esq., Clerk, Stokeeley.

UNIVERSITY COLLEGE, Dundee.-Professor of Physiology. Salary, £350per annum, with two-thirds of fees. Applications by October 15th toMessrs. Shiell and Small, 5, Bank Street, Dundee.

WOLVERHAMPTON AND STAFFORDSHIRE GENERAL HOSPITAL,Wolverhampton.-House-Surgeon (will also be required to act as SurgicalRegistrar). Salary, £100, with board, lodging, and washing. Applicationsby October 28th to the Chairman of the Medical Committee.

MEDICAL APPOINTMENTS.BRACKENBURY, H. R., L.R.C.P.Lond., M.R.C.S.Eng., appointed Resident Medi-

cal Officer to the Hospital for Diseases of the Throat, Golden Square, vice F.G. Harvey, F.R.C.S.Edin., L.R.C.P.Edin.

CAMERON, J. S., M.D., M.B., M.R.C.S.Eng., appointed Medical Officer ofHealth to the Borough of Leeds, vice G. Goldie, L.R.C.P.Edin., M.R.C.S.Eng., resigned.

CAMERON, R. W., M.R.C.S., L.R.C.P.Lond., appointed House-Physician to theCity of London Hospital for Diseases of the Chest.

CHAMBERS, James, M.A., M.D., appointed Senior Assistant Medical Officer tothe Montrose Royal Lunatic Asylum.

CONNELLAN, T. A., L.R.C.S.I., L.M.and M.K.Q.C.P.I., appointed MedicalOfficer to the Boyle Union, Ballyfarnon Dispensary, Roscommon, vice C. D.Barrett, L.K.Q.C.P.I., deceased.

D'ARcy, Samuel Algernon, L.K.Q.C.P.I., L.R.C.S.I., L.M.R., etc., appointedAssistant Master of the National Lying-in Hospital, Dublin.

DARWIN, G. H., M.D., F.R.C.P.Edin., etc., appointed Police-Surgeon to theLancashire County Constabulary for the three districts, Longsight, With-ington, and Heaton Mersey.

DUTT, A. C., B.A., M1B., appointed House-Surgeon to the Scarborough Hospitaland Dispensary, vice W. B. Russell, B.A., M.B., LL.B., resigned.

FARRINGTON, J., M.R.C.S., L.R.C.P., appointed House-Surgeon to thePendleton Branch Dispensary of the Salford Hospital, vice A. C. Dutt,M.B., resigned.

FINLAY, David W., M.D., F.R.C.P., appointed 'Consulting Physician to theRoyal Caledonian Asylum, vice G. Owen Rees, M.D., deceased.

HArBTRIDGE, G., F.R.C.S.Eng., L.R.C.P.Lond., L.S.A., appointed Surgeon tothe Royal Westminster Ophthalmic Hospital, King William Street, vice H.Power, M.B.Lond., F.R.C.S.Eng., resigned.

HENESSY, W., B.A., L.R.C.S.I., appointed Medical Officer to the MitchelstownUnion, Galbally Dispensary, vzce R. E. Donavon, M.D., deceased.

HUTCHINSON, J., jun., F.R.C.S., appointed Assistant-Surgeon to the LondonHospital.

JONES, Hugh E., M.R.C.S., L.R.C.P. (late House-Surgeon), appointed HonoraryAssistantSurgeon to the Liverpocl Eye and Ear Infirmary, vice J. Rose,L.R.C.P., M.R.C.S., resigned.

JOYNT, H. N. H., M.B., B.Ch., B.A.O., Dipl. State Medicine, Dublin, appointedAssistant Resident Medical Officer, City Fever Hospital, Birmingham(temporary).

LocK, J. Griffith, M.A.Cantab., L.R.C.P., M.R.C.S., L.S.A., appointed MedicalOfficer to the Tenby Members of the Hearts of Oak Benefit Society.

MACKINTOSH, J. D., M.B., C.M., appointed First Superintendent and ResidentMedical Officer to the Victoria Infirmary, Glasgow.

MILLIGAN, Wm., M.B., C.M., appointed Examiner of Anatomy in the Uni-versity of Aberdeen.

ORTON, C., M.D.Dub., F.R.C.P.Edin., appointed Consulting Physician to theNorth Staffordshire Infirmary.

PARKER, G., M.R.C.S., L.R.C.P., appointed Junior House-Surgeon to theMetrodolitan Hospital, vice H. Williams, M.B.Lond., resigned.

SANTI, P. R. W., F R.C.S.Eng., L.R.C.P., L.S.A,, appointed House-Surgeon tothe Great Northern Central Hospital. vice C. Mortlock, M.R.C.S., L.R.C.P.

SYFRET, S. B., B.A., M.B., B.C.Cantab, appointed House-Surgeon to the WestLondon Hospital, Hammersmith Road, W., vice W. F. Brook, F.R.C.S.Eng.

WHITE, C. P., M.A., M.R.C.S., appointed Resident Medical Officer to the QueenCharlotte's Lying-in Hospital, vice C. Daniels, M.B., resigned.

WICKHAM, Harry Townshend, M.B., C.M., appointei Visiting-Surgeon toChester General Infirmary, vice Alfred Mann, M.B., resigned.

WILSON, A. C., M.D.. L.R.C.S.Edin., appointed Assistant House-Surgeon tothe Liverpool Infirmary for Children, vice L. W. Keiffenheim, M.B.

WILSON, J. S., M.R.C.S.Eng.. L.R.C.P.Edin., Coroner for New South Wales,appointed one of the Medical Officers to the Berrima District Cottage Hos-pital, Bowral, New South Wales, Australia.

DIARY FOR NEXT WEEK.

THURSDAY.HARVEIAN SOCIETY OF LONDON, 8.30 P.M.-Dr. A. de Watteville: The Treat-

ment of Tabes Dorsalis by Suspension. Dr. D. B. Lees: TheTreatment of Pneumonia by the Ice-Bag.

OPHTHALMOLOGICAL SOCIETY, 8.30 P.M.-Address by the President, Dr. J.Hughlings Jackson, F.R.S. Mr. Robert Doyne: Case of Re-covery from Hemianopsia, and Subsequent Necropsy. Mr. W.E. Cant: Case of Keratitis from Paralysis of Fifth Nerve afterInjury. Dr. Reid: On Trachoma, its Pathology and Relations.Living Specimens, at 8 P.M.:-Mr. Lang: Two Cases of Con-s enital Coloboma of the Iris. Mr. Poulett Wells: PeculiarRetinal Detachment. Mr. Silcock: (1) Exostosis of FrontalSinus; (2) Double Proptosis; Modified Graves's Disease.

FRIDAY.ROYAL COLLEGE OF PHYSICIANS OF LONDON, 4 P.M.-Dr. James E. Pollock:

The Harveian Oration.

BIRTHS, MARRIAGES, AND DEATHS.The charge for inserting announcemnents of Births, Marriages, and Deaths is 3s. 6d.,

which should beforwarded in .tamps with the announcement. Thefirst post onThursday mornings is the latest by which advertisements can be received.

BIRTHS.MCCON-NELL.-At 4, Wood Street, Calcutta, on September 13th, 1889, the wife of

Surgeon-Major J. F. P. McConnell, M.D., F.R.C.P., of a daughter.WARD.-At Quetta, Beloochistan, on September 3rd, the wife of Surgeon-Major

L. B. Ward, M.S., of a daughter.X MARRIAGES.

BENCRAFT-PERKINS.-October 8th, at Highfield Church, Southampton, bythe Rev. Edgar Silver, M.A., incumbent, assisted by the Rev. B. G. Hos-kyns, M.A., Henry William Russell Bencraft, M.R.C.S., of 6, AngleseaPlace, Southampton, to Kate Margaret, second daughter of Walter Perkins,of Portswood Ihouse, Southampton.

FERGUSON-WATSON.-At 16, Charlotte Square, on October 9th, by the Rev.Charles Watson,-D.D , Free Church, Largs, uncle of the bride, James HaigFerguson, Esq., M.B., C.M., F.R.C.P., of 25, Rutland Street, Edinburgh, toPenelope Gordon, elder daughter of Patrick Heron Watson, LL.D.,.D.,F.R.C.S.E.and I., Surgeon in Ordinary to the Queen in Scotland.

LE MOTTTE-DE LISLE.-On October 3rd, at the Parish Church, St. PeterPort, Guernsey, Surgeon-Major G. H. Le Mottee, M.D., Medical Staff, toJosephine Clara, daughter of R. V. De Lisle, Esq., Vauvert, Guernsey.

LENDON-RYmILL.-August 26th, at St. Paul's Church, Adelaide, S.A., by theRev. J. W. Owen, B.A., Incumbent, Alfred Austin Lendon, M.D.Lond., ofNorth Terrace, fifth son of Edwin Lendon, formerly of Maidstone, to LucyIsabel, younger daughter of Henry Rymill, J.P., of The Firs, East Terrace,Adelaide.

RICHARDSON-MORETON.-On October 9th, at the Parish Church, Tarvin,Chester, by the Rev. Canon Upperton, Vicar, assisted by Rev. PrebendaryMacdonald, Vicar of St. Paul's, Kersal, Manchester, and Rev. W. H. Shuter,Curate of Tarvin, Rev. Edward Shaw Richardson, Curate of St. Paul's,Kersal, to Agnes Marion (Tottie), daughter of James Earl Moreton, F.R.C.S.,Tarvin.

WATSON-HOLDEN.-October 8th, at St. Mary's Church, South Luffenham,Rutland, by the Rev. P. G. Dennis, B.D., Xector of North Luffenham, andthe Rev. C. 0. Watson, M.A., Rector of Morcott, brother of the bridegroom,Deputy Surgeon-General George Alder Watson, Bengal Army, retired, toBeatrice Blaildina, daughter of the Rev. Henry Holden, D.D., Rector ofSouth Luffenham, Hon. Canon Durham Cathedral.

DEATH.CHIAPPINI.-At his late residence, Manor House, Mowbray, Cape Town, Cape

of Good Hope, on September 10th, Peter James Chiappini, M.D., aged 79,dearly beloved and deeply regretted.

EVANS.-On October 4th, at Matlock House, Bakewell, Derbyshire, Harriett,widow of the late Charles Evans, F.R.C.S.Eng., aged 66 years.

LAND.-October 3rd, at the Old House, Bordyke, Tunbridge, in his 45th year,William John Land, M R.C.S., formerly of Exmouth, Devon.

STEWART.-On Monday, September 16th, at Tarbert, Harris, Inverness-shire,Elizabeth Cameron, the beloved wife of James Stewart, J.P., L.R.C.P.,L.R.C.S.E., aged 40 years.

VASSIE.-At Crofton Hill, Lanark, on September 25th, Richard Vassle, M.D.Edin., M.R.C.S. (late of Kirkealdy), aged 27, fourth son of John Vassie, ofCrofton Hill.

VOGkN.-On'October 5th, James Norman Vogan, F.R.C.S.Eng., at his residence,Ipswich, in his 37th year. Friends will please accept this the only in-timation.

853a

854 THE BRITISI MEDICAL JOURNAL. (Oct. 12, 1889.

'OPERATION DAYS AT THE LONDON HOSPITALS.

MdONDAY.......... 10 A.M.: Royal London Ophthalmic.-10.30 AM.: Royal Free(Ophthalmic Department).-1.30 P.M.: Guy's (OphthalmicDepartment); Royal Westminster Op hthalmic.-2 P.M.:Central London Ophthalmic; Hospital for Women; RoyalOrthopsedic; St. Mark's; London.-2.30- P.M.: Chelsea Hos-pital for Women.

TUESDAY......... 10 A.M.: Royal London Ophthalmic.-1.30 P.M.: Guy's;Royal Westminster Ophthalmic; St. Bartholomew's (Ophthal-mic Department) ; St.Mary's.-2 P.M.: Cancer Hospital,Brompton; Central LondonOphthalmic; London; Westmin-ster.-2.30P.M.: St. Mark's; West London.-4 P.m.: St.Thomas's (Ophthalmic Department).

WEDNESDAY ....10 A.M.: National Orthopaedic; Royal London Ophthalmic.-11 A.M.: St. Mary's (Orthopaedic).-1 P.M. : Middlesex.-1.30P.M.: Royal Westminster Ophthalmic; St. Bartholomew's; St.Thomas's.-2 P.M.: Central London Ophtfhalmic; Great Nor-thern Central; London; Royal Free; UniversityCollege; West-minster.-2.30 P.M.: St. Peter's ; Samaritan Free Hospital forWomen and Children.-3 to 4 P.M.: King's College.

THURSDAY .......10 A.M.: Royal London Ophthalmic.-I P.M.: St. George's.-1.30 P.M.: St. Bartholomew's (Ophthalmic Department);Guy's (Ophthalmic Department); Royal Westminster Ophthal-mic.-2P.m.: Central London Ophthalmic; Charing Cross;Hospital for Diseases of the Throat; Hospital for WVomen;London; University.-2.30 P.M.: Chelsea Hospital for Wo-men; North-West London.

FRIDAY .......... 9 A.M.: Metropolitan; St. Mary's (Ophthalmic Department).-10 A.M.: Royal London Ophthalmic.-10.30 A.M.: RoyalFree (Ophthalmic Department).-1.15 P.m.: St. George's (Oph-thalmic Department).-1.30 P.M.: Guy's; Royal WestminsterOphthalmic.-2 P.M.: Central London Ophthalmic; EastLondon Hospital for Children; King's College; London;St. Thomas's (Ophthalmic Department).-2.30 P.M.: WestLondon.

SATURDAY........9 A.M.: Royal Free (Department for Diseases of Women).-10 A.M.: Royal London Ophthalmic.-1 P.M.: King's College.-1.30 P.m.: Royal Westminster Ophthalmic; St. Bartholo-mew's; St. Thomas's.-2 P.M.: Cancer Hospital, Brompton;Central London Ophthalmic; Charing Cross; London; Mid-dlesex; Royal Free; University.

HOURS OF ATTENDANCE AT THE LONDONHOSPITALS.

OHrARING CROSS.-Medical and Surgical, daily, 1.30; Obstetric, Tu. F., 1.30;Skin, M. 1.30; Dental, M. W. F., 9.

CHnILsEA HOSPITAL FOR WOMEN.-M. TU. W. and F., 1.30.GREAT NORTHERN CENTRAL.-Medical and Surgical, M. Tu. Th. F., 2.30; Ob-

stetric, W., 2.30; Eye, Tu. F., 10; Ear, M. F., 2.30; Diseases of he Skin, W.,2.30; Diseases of the Throat, Th., 2.30; Dental Cases, W., 2.

Guy's.-Medical and Surgical, daily, 1.30; Obstetric, M. Tu. F. 1.30; Eye, M. Tu.Th. F., 1.30; Ear, Tu. 1; Skin, Tu., 1; Dental, Tu. Th. F., 1.30.

KING'S COLLEGE.-Medical, daily, 2; Surgical, daily, 1.30; O,stetric, Tu. Th. S..1.30; o.p., W. F., 1.30; Eye, M. Th., 1.30; Ophthalmic Department, W., 2;Ear, Th., 2; Skin, F., 1.30; Throat, F., 1.30; Dental, M. Th., 9.30.

LONDON.-Medical, daily, exc. S., 2; Surgical, daily, 1.30 a'dd2; Obstetric, M. Th.,1.30; o.p. W. S., 1.30; Eye, Tu. S., 9; Ear, S., 9.30; Skini, Th., 9; Dental, Tu..9.

MIDDLESEX.-Medical and Surgical, daily, 1.30; Obstetric, Tu. F., 9.30; o.p.,W.1.30; Eye, W. S., 9; Ear and Throat, Tu., 9; Skin, Tu., 4, Th. 9.30; Dental,M. W. F., 9.30.

NATIONAL ORTHOPA:DIc.-M. TU. Th. F., 2.NORTH-WEST LONDON.-Medical and Surgical, daily, 2; Obstetric, W., 2; Eye,W., 9; Skin, Tu., 2; Dental, F. 9.

ROYAL ORTHOPAMIC.-Daily, 1.ROYAL FREE.-Medical and Surgical, daily, 2; Diseases of Women, Tu. S., 9;

Rye, M. F., 9; Dental, Th. 9.ST. BARTHOLOMEWS.-Medical and Surgical daily, 1.30; Obetetric, Tu. Th. S., 2;

o.p., W. S., 9; Eye, W. Th. S. , 2.30; Ear, Tu. F., 2; Skin, F., 1.30; Larynx, F.,2.30; Orthopwdic, M., 2.30; Dental, Tu. F., 9.

ST. GEORGE'S.-Medical and Surgical, M. T. F. S., 12; Obstetric, Th. 2; o.p..Eye, W. S. 2; Ear, Tu., 2; Skin, W.,2; Throat, Th., 2; OrthopMedic,W., 2;Dental, Tu., S., 9.

ST. MARE'S HOSPITAL.-Fistula and Diseases of Rectum, males, W., 8.45;females, Th., 8.45.

ST. MARY'S.-Medifal and Surgical, daily, 1.45, o.p., 1.30; Obstetric, Tu. F.,1.45; Eye, Tu. F. S., 9; Ear,M. Th., 3; Orthopmdic, W., 10; Throat, Tu. F.,1.30; Skin, M. Th., 9.30; Electro-therapeutics, Tu. F., 2; Dental, W. S., 9.30;Consultations, M., 2.30; Operations, Tu., 1.30; Ophthalmic Operations, F., 9.

ST. TSOMASS.-Medical and Surgical, daily, except Sat., 2; Obstetric, Tu. F., 2;o. , W., 1.30; Eye,M. Tu. W. t'h., F, 1.30; o.p., daily, except Sat., 1.30; Ear,W." 1.30; Skin, F., 1.30; Throat, Tu. F., 1.30; Children, S., 1.30; Dental, Tu.F., 10.

Uxxvssrr COLLEGE.-Medical and Surgical, daily, 1.30; Obstetrics, M. Th.,1.30; Tu.. W. F., 2; Eye, Tu. F., 2; Ear, M. F., 9; Skin, W., 1.45, S., 9.16;

,Tlroat, Th.. 1.30; Dental, W., 9.30.WsTxsNsT:.+-Medical and Surgical, dail, 1; Obstetric, Tu. F., 1 M.Th., 2.30; Ear, M., 9; Skin, W., 1; DentaI,W. S., 9As.

LETTERS, NOTES, AND, ANSWERS TOCORRESPONDENTS.

COMMUNICATIONS FOR m CuRRET WEEK'S JOURNAL SHOULD REACH HOMOFFICE NOT LATlE THAN MIDDAY' POST ON WEDNESDAY. TELEGRAM CANBE RECEIVED ON THURSDAY MORNING.

COMMUNICATIONS respecting editorial matters should be addressed to the Editor429, Strand, W.C., London; those concerning business matters, non-deliveryof the JOURNAL, etc., should be addressed to the Manager, at the Office, 429,Strand, W.C., London.

IN order to avoid delay, It is particularly requested that all letters on theeditorial business of the JouRNAL be addressed to the Editorat the office of theJOURNAL, and not to his private house.

AUTHORS desiring reprints of their articles published In the BRiTIsH MEDICALJOURNAL are requested to communicate beforehand with the Manager, 429Strand, W.C.

CORRESPONDENTs who wish notice to be taken of their communications shouldauthenticate them with their names-of course not necessarily for publication.

CORREsPONDENTS not answered are requested to look to the Notices to Correspondents ot the following week.

MANUSCRIPTS FORWARDED TO THE OFFICE OF THIS JOURNAL CANNOT UNDER ANYCIRCUMSTANCES BE RETURNED.

PUBLIC HEALTH DEPARTMENT.-We shall be much obliged to Medical Officersof Health If they will, en forwarding their Annual and other Reports, favourus with Duplicate Copies.

QUERIES.

JUNIOR PRACTITIONER writes: Will one of your readers who has rscently ob-tained the M.R.C.P.Edin. please inform me the best books to read for it?

SANITAS asks to be recommended a small book or notes suitable for getting uplectures on cottage hygiene and nursing for a class of poor mothers.

Loss OF SMELL AND TASTE.A MEMBER would feel obliged for any suggestion regarding the treatment of

loss of smell and taste of six weeks' duration, the results of a cold in thehead, which is persistent. The subject is 68 years of age, and otherwise ingood health.

JABORANDI IN BALDNESS.0. B. asks for a formula for the local application of jaborandi in a case ofbaldness.

ANSWERS.

A MEMBER asks what would be a fair fee to charge for examination and certifi-cation in a private lunacy case. The patient is in a good position (probableincome £800, no family), and living in a house rented at about ;70.

*** About two guineas; more under some circumstances.NxIs.D.Sc.-The expression " he took out the eye on to the cheek " is some-times heard from a patient, and is generally, we believe, understood to referto inversion of the upper eyelid, a simple manceuvre practised by surgeonsin searching for a foreign body and many other purposes. It gives the face apecuxliarly repulsive appearance, which is perhaps the reason why a boy whohas learnt the trick is an object of so much admiration to his schoolfellows.The eyeball cannot be moved forward to any appreciable extent by anyoperation.

TONSILLITIS.L.S.Sc.-We should recommend the following publicationis as containing "the

best account of tonsillitis and the allied affections: " Tonsillitis, by Dr. C.Haig-Brown (London: Bailli8re, Tindall, and Cox. 1886); Indications for, andMethods of, Removal of the Tonsils, by Dr. Felix Semon, St. Thomas's HospitalReports, 1883; the Chapters in the textbooks of Sir Morell Mackenzie; Dis-eases of the Throat and Nose, vol. i. (J. and A. Churchill, London, 1880); Mr.Lennox Browne, lhe Throat and its Diseases (Bailliere, Tindall, and Cox, 2ndedition, London, 1887); Dr. J. Solis Cohen (Philadelphia); and Dr. Schech(translated by Dr. Blaikie. Edinburgh: Young J. Pentlancl. 1886).

THE NEW ANATOMY.F.R.C.S. writes: I confess that the review of Professor Cleland's Dissection of

the Human Body, in the JOURNAL of September 21st, has caused me a rudeawakening from a dream of security; I believed that I knew my anatomy,but I have been living in a fool's paradise. Your reviewer tells us that a manmay know nis " Quain and Ellis from cover to cover," and yet fail at theLondon University; indeed, he doubts whether even the phraseology inwhich the questions are couched would be understood, so much "is thespirit of anatomy altered" since the last edition of Quain. Where is theheart now, and where is the liver? Who is the Sganarelle who has changedall this? Ere it is too late, can you direct me to where I am to find the newanatomy? If dissection, even when practised under such iiasters as Cleland,can teach little, and if a thorough knowledge of the standard textbooks ofthe day fails to enable a candidate even to understand the phraseology of thequestions at the examinations of the London University, would it not bebetter to leave that august body to " the transcendenstalists and modernmorphologists " to whom the reviewer refers, and provide a teaching univer-sity more in touch with anatomy as it is taught, and where that largemajority of studenlts who only aim at being the physicians and surgeons ofhospitals in a workaday world might at least have some chance of under-standing and of being understood?

*** At the last examination in Anatomy at the London University thecandidates were asked the morphology of the ligaments between the headand the spine. Neither of the works referred to meintions the morphology ofany of the ligaments; and other questions of an almost similar nature havebeen asked at Cambridge and at the Royal College of Surgeons (First Fellow-

856 THE BRITISH MEDICAL JOURNAL. [Oct. 12, 1889.tigations should be directed to ascertain in what shape it exists outside thehuman body, and how it gains access to the system. It is most probably bythe food or through the respiratory organs. It is the firm belief of Asiatics-professional and lay-that the disease is chiefly propagated by the food, andthey do not consider it contagious until the ulcerative stage, and even thenisolate the person more because he is repulsive to society and unclean from acaste point of view, rather than from any fear he will communicate the diseaseby direct contact. A leprous man may be the head of a large family, and willbe duly honoured, but he is not allowed to touch the family food, but has hisshare given to him, and sits and eats it apart; and a leprous wife may notprepare the family meal; and in gaols the prisoners will not object to sleep inthe same ward with a leper unless the disease has reached the ulcerative stage,but then they will protest against his presence. Further, as regards the con-tagion, I may add that for the fourteen years I have had charge of the Nueiardistrict the gaol has seldom been without a leper in the worst stage of thedisease, and there have been two and three at a time. The cases have beentreated at the hospital, and ulcers dressed by prisoners and attendants inclose approximation to other surgical cases, but I have never been able totrace, or even to suspect, that contagion ever occurred.At the present time I know of families who never partake of animal food,

where the father is leprous but has not communicated the disease to his wife;andthe children (several grown up) are quite healthy. But I have met withone case where two persons-brother and sister, both adults-stated theirfather was a leper, and the disease developed in them at adolescence.The Asiatic believes the disease is hereditary, and bythe Hinldu law leprosy

in one of the parties to a marriage, if not consummated, is good ground forbreaking the contract, Last year a lad was brought to me for examination.He had been married to a girl in infancy, and when about 12 years of age somepatches of discoloration appeared on his legs and back, and the girl's parentsinsisted on annulling the marriage contract, on the ground that he wasleprous. Hence an important medico-legal question may arise any day-notmerely, Is such a discoloration leprosy? but-A child's parents having been aleper should he be allowed to marry, there being no signs of the disease at thetime?Further inquiries, I think, would be more profitable in results if carried out

in the interior of India, away from the sea coast. We have the scientific worksof Dr. Lewis, of Calcutta, and of Vandyke Carter, of Bombay, but they both in-cline to the fish theory as the cause of the disease, and their researches donot include the vegetarians of the interior, for if the germ be acquired throughfood or by respiration it is something that is not confined to fish or flesh, butis found in vegetable products; or it may be the spores exist in the foulatmosphere in and around the villages, and are inhaled. Thereforefuiture work should be undertaken without any bias to theories or existentopinions.

GURJUN OIL IN LEFPROSY.BRIGADE-SVRGEON J. W. S. HODDER, M.B. (Grouville, Jersey) writes: As thesubject of leprosy is at present attracting so much attention, I should like tocall attention to the treatment by gurjuin oil, which I had an opportunity ofseeing carried out in a proper way at the Andaman Islands some years ago,by Surgeon-Major Dougall, I.M.S., who was the first to suggest and devise aproper line of treatment by that means. As this officer is now dead, hisname should not be forgotten.In the Army Medical Department Report for 1875. in a medico-topogra-

phical report by myself published therein, I have given a sketch of how thetreatment is to be carried out. I saw photographs of patients taken beforetreatment and the patients themselves during and after treatment, and canbear testimony as to their great improvement, notwithstanding a bad diet.The patients were convicts sent to the Andamans to undergo penal ser-vitude.

COMMUNICATIONS, LETTERS, etc., have been received from:Dr. Alexander Duke, Dublin; Messrs. May, Davis and Co., London; Dr.Tomlinson, London; Mr. B. P. Bartleet, Bourton; Mr. C. L. Spurway,Como; Mr. F. Treves, London; Mr. J. S. Wilson, Bowral, N.S.W.;Dr. J. A. Marston, London; Mr. F. W. D. McGachen, Bletchley Station;Mr. J. K. Goodall, Birmingham; Dr. J. P. Wills, Bexhill; Mr. W. M. Kelly,Taunton; Mr. A. Boon, St. Kitts, West Indies; Dr. T. Partridge, Stroud;Mr. T. S. Ellis, Gloucester; Mr. C. G. Wheelhouse, Leeds; J. C. M.; Mr. E.Cresswell Baber, Brighton; Mr. R. Lamond, Glasgow; Mr. R. Walker, Aber-deen; Mr. E. H. C. Sullivan, London; Dr. D. Biddle, Kingston-on-Thames;Dr. Lewers, London; Mr. Dutt, Cambridge; Mr. J. B. Gabe, Swansea;Mr. A. C. Dixey, London; Dr. W. S. Robertson, Port Said; Mr. J. de CourcyYoung, London; W. Gripper, M.B., Wallington; Dr. D. Bower, Bedford;Mr. R. Black, Brighton; Mr. F. Yate, Godalming; Mr. A. Frost, Lordon;Dr. Steele, London; Dr. H. 0. Marcy, Boston, U.S.A.; J. S. Tew, M.B.,Nottingham; Mr. E. C. Greenwood, London; Mr. Bussey, London; Pro-fessor C. J. Wright, Leeds; Dr. Langdon Down, London; The Secretary ofthe Institute of Medical Electricity, London; Dr. J. Chambers, Montrose;Dr. G. N. Pitt, London; Dr. G. H. Darwin, Didsbury; Dr. G. H. McKend-rick, Glasgow; Dr. J. A. Campbell, Carlisle; Dr. E. Duncan, Crosshill; Mr.A. Bryce, Langside; The St. Bede Chemical Co., Newcastle-on-Tyne; Dr.C. E. Douglas, Cupar; Dr. S. Haynes, Malvern; Mr. J. Taylor, Clifton; Dr.J. C. Syson, Lanark; Mr. A. H. Vassie, Kirkcaldy; Messrs. Allen and Han-burys, London; Messrs. T. Watt and Sons, London; Mr. W. Hammond,Nuneaton; Dr. S. Martin, London; F. V. Paxter, M.B., Ohichester; Mr. F.H. Moore, Liverpool; Mr. H. E. Jones, Liverpool; Mr. J. T. Neech, Oswes-try; Mr. T. R. Prince, London; The Secretary of the Paddington GreenChildren's Hospital, London; Mr. W. M. Stevens, London; Mr. W. K.Sibley, London; The Dean of the Charing Cross Hospital MedicalS3hool; Dr. Hugh Woods, London; Our Egyptian Correspondent;Professor Guye, Amsterdam; Dr. C. Charles, London; Medicus; Mr. W.Beaufort, London; Dr. S. J. Taylor, Norwich; Dr. Keser, London; Dr.Woodward, Worcester; Mr. E. T. Collins, London; Our Newcastle-on-Tyne

Correspondent; Mr. W. B. Russell, Headingley; Mr. P. Shore, Walsall; OurManchester Correspondent; Mr. H. N. Oglesby, York; Mr. J. Gibson, Greet-land; Mr. J. Martin, Huddersfield; Dr. Gubb, London; Mr. G. P. Field,London; Mr. C. Farmer, London; Mr. P. Dodd, Devizes; Mr. J. W. Downie,Glasgow; Mr. J. M. Ferguson, Burnley; W. Milligan, M.B., Manchester;Mr. J. B. Cooke, Portland; E. D.; Dr. G. N. Stewart, Manchester; Dr. F.R. Fairbank, Doncaster; Junior R.; Mr. G. J. Moody, London; Mr. P.Michelli, London; Pilgrim: Dr. C. L. Tuckey, London; Dr. G. W. Potter,London; Mr. A. P. Fiddiare, Cardiff; Dr. Mickle, London; Mr. H. D. Davis,London; Mr. L. Mark, London; Mr. W. O'Dea, Northampton; Mr. F. Lang,Sunderland; Mr. J. G. Lock, Tenby; Mr. A. Quarry Silcock, London;Junior Practitioner; J. D. Mackay, M.B., Harnley; Our Liverpool Corre-spondent; Dr. Freer, Rugeley; Mr. R. T. Jones, Harlech; Dr. Rentoul,Liverpool; Dr. D. Braidwood, Bonnyrigg; Mr. T. Browning, Manchester;Dr. J. C. Black, Glasgow; Messrs. J. Wright and Co., Bristol; Dr. A. Thom-son, Dumfries; The Registrar of the Royal College of Surgeons in Ireland,Dublin; Dr. 0. Wood, London; Dr. A. Ruffer, London; Mr. WV. Allsworth,Stourport; Dr. J. W. Hunt, London; Dr. W. R. Huggard, Davos Platz;Miss A. Armstrong, Ryde; Dr. C. E. Paget, Salford; Mr. J. C. Grinling,Burton-on-Trent; Mr. H. W. Roberts, London; Mr. W. Corry, London; Mr.W. Morris, Bolton; Mr. E. W. Young, Bucks; Dr. J. A. Mackenzie, London;0. B.; Mr. H. M. Rainsford, Stoke-by-Clare; Miss A. Maconnell, London;Mr. G. H. De'ath, Buckingham; Surgeon-Major J. Barry, Cork; Mr. P.Tindal Robertson, Brighton; Mr. J. R. Essex, Pontypool; Mr. E. BaileyDenton, London; Dr. Abercrombie, London; Mr. C. C. Scott, Twickenham;Dr. Louis Parkes, London; Dr. A. Sheen, Cardiff; Dr. R. P. Smith, London;Mr. A. H. Walker, London; Dr. Thin, London; Mr. T. Blair, Leeds; Mr. A.Hardwick, Newquay; Mr. T. B. Browne, London; C. E. Lomas, M.B.,Wigan; Mr. J. E. Edwards, Chester; Mr. A. E. Smithson, Kirk Ella, Hull;Mr. J. Hutchinson, jun., London; Mr. C. Smelt, Marlborough; Mr. W.Jones, Upper Edmonton; Dr. Waters, Liverpool; Dr. C. J. Lewis, Stirling;Mr. E. Burchell, Forest Gate; Mr. S. A. D'Arcy, Dublin; Mr. W. E. Walter,Chippenham; Dr. Maguire, London; Mr. F. Tyerman, London; Dr. R.Stockman, Edinburgh; Country Doctor; Dr. G. T. Sinclair, Sanquhar, N.B.;Dr. Myers, London; Dr. J. P. A. Gabb, Guildford; Mr. S. Jolly, London;Mr. Martindale, London; Dr. F. Hall, Leeds; Dr. Macpherson, London;M.R.C.S.; Dr. Evans, London; Mr. Curgenven, London; Messrs. Maw, Son,and Thompson, London; Mr. W. T. Cole, Holywell; Our BirminghamCorrespondent; Mr. W. Rayner, Uxbridge; Evidence; Mr. S. M. Burroughs,London; etc.

BOOKS, ETC., RECEIVED.

Introduction to the Treatment of Disease by Galvanism. By Skene Keith,M.B., F.R.C.S.Edin. London: Truslove and Shirley.

Foods for the Fat, By Nathaniel Edward Davies. London: Chatto and Windus.1889.

A Textbook of Physiology. By John Gray McKendrick, M.D., LLD., F.R.S.,including Histology by Philipp Stdhr, M.D. Two volumes; Vol. ii, SpecialPhysiology. Glasgow: James Maclehose and Sons. 1889.

Lectures on Masssage and Electricity in the Treatment of Disease. By ThomasStretch Dowse, M.D. Bristol: T. Wright and Co.

Lectures on Bright's Disease. By Robert Saundby, M.D.Edin., with 50 illus-trations. Bristol: J. Wright and Co. 1889.

The Clinical Use of Prisms and the Decentering of Lenses. By Ernest C. Caddox,M.B. Bristol: J. Wright and Co.

A Handbook for the Nursing of Sick Children. By Catherilie Jane Wood.London: Cassell and Co. 1889.

SCALE OF CHARGES FOR ADVERTISEMENTS IN THE"BRITISH MEDICAL JOURNAL."

Seven lines and under . .. * .. ... £0 3 6Each additional line ... ... *.. ... 0 0 4A whole column ... ... ,.. ,,. ,.. 1 15 0Apage ... ... ... ... ... ... 50 0

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For 6 insertions, a deduction of ... ... 10 per cent.to 12or13 ,, ,,