1
491 port. According to his examination the tumour was composed of fibro-plastic cells, and distinctly myeloid. The microscopical examination showed it to be composed of medullary cancer cells. Mr. iIuTCTriwsoN also exhibited specimens of BRONZED SKIN FROM PATIENTS WHO DIED OF CAPSULAR DISEASE OF THE KIDNEYS. Dr. VAN DER BYL doubted the specimens being originally white. Dr. BALY could decide that point, for the cases were under his care at St. Bartholomew’s Hospital, with all the symptoms of disease of the supra-renal capsules. After a time one of the patients left the hospital, but returned again with the same symptoms as before. One morning he was suddenly seized with loss of hearing, and shortly afterwards died. On post- mortem examination, the snpra-renal capsules were found nodulated, grey, and softened down. There were no tubercles found in any part of the body. About ten days afterwards the other patient died in the hospital with spinal disease, and disease of the supra-renal capsules was also found, but not to the same extent as in the former. Dr. VAN DER BYL wished to know if the skin was ever seen decidedly white. Dr. BALY. -The pptient’s master saw the skin of the first patient decidedly white. It was bronzed on both occasions of admission. Dr. KIDD had an opportunity of watching the cases whilst in St. Bartholomew’s, and could confirm Dr. Baly’s statement. Dr. OGIER WARD showed AN OVUM WITH CYSTS, the same as that exhibited to the Medical Society of London, and reported in THE LANCET of October 18th. Mr. NH Aw exhibited a specimen of CANCER OF THE PHARYNX AND (ESOPHAGUS, from a patient aged forty, admitted into the Middlesex Hos- pital on Thursday last, and who died on Saturday. On admission he suffered severely from difficulty of breathing and swallow- ing. There was no emaciation. Whilst in the hospital, no nourishment could be passed into the stomach. There was a great projection in the neck, extending up under the angle of the jaw, which was supposed to be scirrhus, but it did not long exist. The patient was formerly under Mr. Henry’s care as an out-patient, and according to the account he gave the disease was not of long duration; he supposed but six months. The patient was a cab-driver, and his wife said that for some months he could not attend to his occupation. On Saturday he died very suddenly, whilst his breakfast was being got ready, but there was no suffocation. On post-mortem exami- nation, there were found large ulcerations of the right side of the pharynx and glottis. The thyroid cartilages were impli- cated in the ulceration; some of the glands of the neck were affected; the bronchial tubes were nlled with mucus. There were no appearances of cancer elsewhere. On examining the stomach, there was found complete destruction of the mucous and cellular membranes of the stomach, and nothing but the peritoneal coat left. It was a question whether this was not a case of what John Hunter describes as post-mortem destruc- tion of the stomach; there was no appearance of red border at the line of division where the separation of the coats took place. Under the microscope the specimen of cancer appeared to be epithelial. The PRESIDENT inquired what was the cause of his sudden death. Mr. SHAW could not well say, unless it was the mucus blocking up the lungs. MEDICAL AND SURGICAL SOCIETY OF THE BRITISH ARMY. A SPECIAL general meeting of medical officers of the army assembled at the Medical Board, Whitehall, on Wednesday, the 15th ultimo, for the combined purposes of reorganizing the above-named Society, which had been established in the Crimea, reports of which have appeared in this journal, and also to take into consideration the propriety of erecting a monument to the memory of the deceased officers of the de- partment who had died in service in the East, and towards which design the sum of £372 had been already subscribed by the survivors in the Crimea and at Scutari. It was proposed by Sir JOHN HALL, K.C.B., and seconded by Mr. BLENKIN, that the DIRECTOR-GENERAL should take the chair. It was also proposed bv Sir JOHN HALL, and seconded by Dr. HALAHAN,—" That the Medical Society of the army esta. blished in the Crime, which was found so beneficial in its results, be transferred to London, under the denomination of the ’ Medical and Surgical Society of the British Army,’ and that all officers of the department on full and half-pay be in- vited to become members." 2. Proposed ’ny Mr. MOUAT, C.B., and seconded by Mr. M’GRlGOR,-" That a Branch of this Society shall exist in every command, the principal medical officer for the time being ex officio President." 3. Proposed by Mr. WATT, and seconded by Dr. PAYNTER,- " That as certain expenses will be necessarily incurred for the maintenance of this Society, medical officers be invited to con- tribute a small vearly subscription." 4. Proposed by Mr. TAYLOR, C.B., and seconded by Mr. BLENKINS,-" That a Provisional Council be this day nomi- nated, for the purpose of drawing up ’ Rules and Regulations for the future guidance of the Society,’ which * Rules and Regulations’ will be submitted for the consideration of a general meeting of medical officers, to be held on Saturday, the 15th of November, on which day officers of the department are invited to attend at this office, at two P.::’T. 5. Proposed by Dr. GIBSON, and seconded by Dr. FoRREST, C.B.,-" That the following officers shall constitute the Pro- visional Council, five of whom shall form a quorum:- " Sir John 14all, K.C.B., Inspector-General of Hospitals; Dr. Dumbreck, C.B., Deputy Inspector-General; Dr. Forrest, C.B., ditto; Dr. Halahan, R.A., ditto; Mr. Taylor, C.B., ditto; Dr. Gibson, ditto; Mr. Mouat, C. B., ditto; Staff-Surgeon M’Grigor; Dr. Reid, Second Class Staff-Surgeon ; Dr. Laing, ditto; Mr. Blenkins, Grenadier Guards; Mr. Wyatt, Cold stream Guards; Mr. Fitzgerald, Deputy Purveyor-in-Chief." The proposition for the erection of the monument then came under the consideration of the meeting in the following resolu- tions :- 1. Proposed by Sir JOHN HALL, K.C.B., and seconded by Dr. HALAHAN,-" That a subscription be entered into by the medical officers of the department, for the purpose of erecting some lasting testimonial to the memory of their deceased brethren (civil and military) who had died during the late war." 2. Proposed by Mr. M’GRiGOB, and seconded by Mr. BLENKINS,-" That the memorial shall consist of either a granite pillar, to be placed near the new military hospital about to be erected at Southampton, or an allegorical monu- ment, to be placed in a suitable position in the entrance-hall of the same building." 3. Proposed by Mr. TAYLOR, C.B., and seconded by Dr. PAYNTER,-" That members of the department, and artists in general, be invited to submit plans for the design, with the understanding that not more than .61000 will be available for the undertaking." 4. Proposed by Dr. GIBSON, and seconded by Dr. FoRREST, C.B.,-" That a subscription-list be at once opened at the Army Medical Board in London, and also at all stations at home and abroad; and further, that medical officers of the Hon. the East India Company’s Service (several of whom served in the East during the late war) be invited to support the undertaking ; as also all medical officers of the department on half-pay." 5. Proposed by Dr. TrcE, and seconded by Dr. PAYNTE-R,- That a Provisional Committee be elected, to suggest the steps which it will be desirable to take, with the view to carry out the object at once; and that this Committee do consist of the following medical officers :-- " Sir John Hall, K. C. B. ; Dr. Dumbreck, C.B.: Dr. Forrest, C.B.; Dr. Halahan, R.A.; Mr. Taylor, C.B.; Dr. Gibson; Mr. Mouat, C.B.; Staff-Surgeon M’Grigor; Dr. Reid; Dr. Laing; Mr. Blenkins; Mr. Wyatt; Mr. Fitzgerald; Mr. Dartnell; Mr. Pilleau; Mr. Bostock." 6. Proposed by Sir JOHN HALL, K.C.B., and seconded by Mr. TAYLOR, C.B.,-" That the proceedings of this day’s meeting be communicated to the public journals. " The whole of the foregoing resolutions were carried unanimously, and a vote of thanks having been accorded to the Director-General for the handsome manner in which he had supported the views of the medical officers of the army, the meeting adjourned. JOHN WYATT, (Coldstream Guards,) Provisional Secretary. 491 Provisional Secretary.

MEDICAL AND SURGICAL SOCIETY OF THE BRITISH ARMY

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491

port. According to his examination the tumour was composedof fibro-plastic cells, and distinctly myeloid. The microscopicalexamination showed it to be composed of medullary cancercells.

Mr. iIuTCTriwsoN also exhibited specimens ofBRONZED SKIN FROM PATIENTS WHO DIED OF CAPSULAR

DISEASE OF THE KIDNEYS.

Dr. VAN DER BYL doubted the specimens being originallywhite.

Dr. BALY could decide that point, for the cases were underhis care at St. Bartholomew’s Hospital, with all the symptomsof disease of the supra-renal capsules. After a time one of the

patients left the hospital, but returned again with the samesymptoms as before. One morning he was suddenly seizedwith loss of hearing, and shortly afterwards died. On post-mortem examination, the snpra-renal capsules were found

nodulated, grey, and softened down. There were no tuberclesfound in any part of the body. About ten days afterwards theother patient died in the hospital with spinal disease, anddisease of the supra-renal capsules was also found, but not tothe same extent as in the former.

Dr. VAN DER BYL wished to know if the skin was ever seendecidedly white.

Dr. BALY. -The pptient’s master saw the skin of the first

patient decidedly white. It was bronzed on both occasions ofadmission.

Dr. KIDD had an opportunity of watching the cases whilstin St. Bartholomew’s, and could confirm Dr. Baly’s statement.

Dr. OGIER WARD showedAN OVUM WITH CYSTS,

the same as that exhibited to the Medical Society of London,and reported in THE LANCET of October 18th.Mr. NH Aw exhibited a specimen of

CANCER OF THE PHARYNX AND (ESOPHAGUS,from a patient aged forty, admitted into the Middlesex Hos-pital on Thursday last, and who died on Saturday. On admissionhe suffered severely from difficulty of breathing and swallow-ing. There was no emaciation. Whilst in the hospital, nonourishment could be passed into the stomach. There wasa great projection in the neck, extending up under the angleof the jaw, which was supposed to be scirrhus, but it did notlong exist. The patient was formerly under Mr. Henry’s careas an out-patient, and according to the account he gave thedisease was not of long duration; he supposed but six months.The patient was a cab-driver, and his wife said that for somemonths he could not attend to his occupation. On Saturdayhe died very suddenly, whilst his breakfast was being gotready, but there was no suffocation. On post-mortem exami-nation, there were found large ulcerations of the right side ofthe pharynx and glottis. The thyroid cartilages were impli-cated in the ulceration; some of the glands of the neck wereaffected; the bronchial tubes were nlled with mucus. Therewere no appearances of cancer elsewhere. On examining thestomach, there was found complete destruction of the mucousand cellular membranes of the stomach, and nothing but theperitoneal coat left. It was a question whether this was not acase of what John Hunter describes as post-mortem destruc-tion of the stomach; there was no appearance of red border atthe line of division where the separation of the coats tookplace. Under the microscope the specimen of cancer appearedto be epithelial.The PRESIDENT inquired what was the cause of his sudden

death.Mr. SHAW could not well say, unless it was the mucus

blocking up the lungs.

MEDICAL AND SURGICAL SOCIETY OF THEBRITISH ARMY.

A SPECIAL general meeting of medical officers of the armyassembled at the Medical Board, Whitehall, on Wednesday,the 15th ultimo, for the combined purposes of reorganizingthe above-named Society, which had been established in theCrimea, reports of which have appeared in this journal, andalso to take into consideration the propriety of erecting a

monument to the memory of the deceased officers of the de-partment who had died in service in the East, and towardswhich design the sum of £372 had been already subscribed bythe survivors in the Crimea and at Scutari.

It was proposed by Sir JOHN HALL, K.C.B., and secondedby Mr. BLENKIN, that the DIRECTOR-GENERAL should takethe chair.

It was also proposed bv Sir JOHN HALL, and seconded byDr. HALAHAN,—" That the Medical Society of the army esta.blished in the Crime, which was found so beneficial in itsresults, be transferred to London, under the denomination ofthe ’ Medical and Surgical Society of the British Army,’ andthat all officers of the department on full and half-pay be in-vited to become members."

2. Proposed ’ny Mr. MOUAT, C.B., and seconded by Mr.M’GRlGOR,-" That a Branch of this Society shall exist inevery command, the principal medical officer for the timebeing ex officio President."

3. Proposed by Mr. WATT, and seconded by Dr. PAYNTER,-" That as certain expenses will be necessarily incurred for themaintenance of this Society, medical officers be invited to con-tribute a small vearly subscription."

4. Proposed by Mr. TAYLOR, C.B., and seconded by Mr.BLENKINS,-" That a Provisional Council be this day nomi-nated, for the purpose of drawing up ’ Rules and Regulationsfor the future guidance of the Society,’ which * Rules and

Regulations’ will be submitted for the consideration of a

general meeting of medical officers, to be held on Saturday,the 15th of November, on which day officers of the departmentare invited to attend at this office, at two P.::’T.

5. Proposed by Dr. GIBSON, and seconded by Dr. FoRREST,C.B.,-" That the following officers shall constitute the Pro-visional Council, five of whom shall form a quorum:-

" Sir John 14all, K.C.B., Inspector-General of Hospitals;Dr. Dumbreck, C.B., Deputy Inspector-General; Dr. Forrest,C.B., ditto; Dr. Halahan, R.A., ditto; Mr. Taylor, C.B., ditto;Dr. Gibson, ditto; Mr. Mouat, C. B., ditto; Staff-SurgeonM’Grigor; Dr. Reid, Second Class Staff-Surgeon ; Dr. Laing,ditto; Mr. Blenkins, Grenadier Guards; Mr. Wyatt, Cold streamGuards; Mr. Fitzgerald, Deputy Purveyor-in-Chief."The proposition for the erection of the monument then came

under the consideration of the meeting in the following resolu-tions :-

1. Proposed by Sir JOHN HALL, K.C.B., and seconded byDr. HALAHAN,-" That a subscription be entered into by themedical officers of the department, for the purpose of erectingsome lasting testimonial to the memory of their deceased

brethren (civil and military) who had died during the late war."2. Proposed by Mr. M’GRiGOB, and seconded by Mr.

BLENKINS,-" That the memorial shall consist of either a

granite pillar, to be placed near the new military hospitalabout to be erected at Southampton, or an allegorical monu-ment, to be placed in a suitable position in the entrance-hallof the same building."

3. Proposed by Mr. TAYLOR, C.B., and seconded by Dr.PAYNTER,-" That members of the department, and artists ingeneral, be invited to submit plans for the design, with theunderstanding that not more than .61000 will be available forthe undertaking."

4. Proposed by Dr. GIBSON, and seconded by Dr. FoRREST,C.B.,-" That a subscription-list be at once opened at theArmy Medical Board in London, and also at all stations athome and abroad; and further, that medical officers of theHon. the East India Company’s Service (several of whomserved in the East during the late war) be invited to supportthe undertaking ; as also all medical officers of the departmenton half-pay."

5. Proposed by Dr. TrcE, and seconded by Dr. PAYNTE-R,-That a Provisional Committee be elected, to suggest thesteps which it will be desirable to take, with the view to carryout the object at once; and that this Committee do consist ofthe following medical officers :--

" Sir John Hall, K. C. B. ; Dr. Dumbreck, C.B.: Dr. Forrest,C.B.; Dr. Halahan, R.A.; Mr. Taylor, C.B.; Dr. Gibson; Mr.Mouat, C.B.; Staff-Surgeon M’Grigor; Dr. Reid; Dr. Laing;Mr. Blenkins; Mr. Wyatt; Mr. Fitzgerald; Mr. Dartnell; Mr.Pilleau; Mr. Bostock."

6. Proposed by Sir JOHN HALL, K.C.B., and seconded byMr. TAYLOR, C.B.,-" That the proceedings of this day’smeeting be communicated to the public journals.

"

The whole of the foregoing resolutions were carriedunanimously, and a vote of thanks having been accorded tothe Director-General for the handsome manner in which hehad supported the views of the medical officers of the army,the meeting adjourned.

JOHN WYATT, (Coldstream Guards,)Provisional Secretary.

491 Provisional Secretary.