577

HOSPITAL REFORM ASSOCIATION.

lb. T. GABMCTT HORDER, the hon, secretary, has received a donationof ten guineas from Mr. William Allingham, F.R.C.S. Eng., towardsthe funds of the Association.

B.-The query of our correspondent is dealt with in Part XI. of the

Lunacy Act, 1890. Section 315 (1) is as follows : " Every person who,except under the provisions of this Act, receives or detains a

lunatic, or alleged lunatic, in an institution for lunatics, or for

payment takes charge of, receives to board or lodge, or detainsa lunatic or alleged lunatic in an unlicensed house, shall

be guilty of a misdemeanour, and in the latter case shall also be liableto a penalty not exceeding fifty pounds." Apart from the questionof legality we think that the circumstances of the case which ourcorrespondent puts are such as cannot fail to be detrimental bothto the individual referred to and to the other inmates. They arealso highly prejudicial to the best interest of the cause which theinstitution professes to serve.

Cymric would be greatly obliged for any information as to the bestbooks or tuition in London for the purpose of acquiring an elementaryknowledge of the Welsh language.

Mr. C. E. Murphy.-The paragraph is certainly in execrable taste, butwe are quite certain that the medical man alluded to objects morethan anyone else to its insertion.

F. D. B.-We should say the fairest arrangement would be to dividethe fee.

Dr. L. Kidd.-We do not consider the matter worth further notice.

A QUERY IN OPHTHALMIC SURGERY."To the Editors of THB LANCET.

SIRS,-I have waited for a more prominent ophthalmic surgeon thanI am to answer the " Query in Ophthalmic Surgery " in THE LANCETof Aug. 7th. But as no answer has as yet appeared I, believing"X. Y. Z." to be anxious to hear the opinion of someone experi-enced in eye surgery, venture to give my advice for what it is worth.The question, Shall a cataract be removed from one eye while thesight of the other eye is perfect? has often been discussed. Thoughknowing that many medical men are inclined to give an answer in thenegative, I would advise an operation in the case mentioned, because :(1) a cataract will make the condition of the afflicted eyeball themore amblyopic the longer it is allowed to remain; (2) should theas yet unaffected eye become similarly diseased the chances ofsuccess of operating may be less favourable than they are at present;(3) the cataract in the case mentioned is most probably of a soft,milky nature-cataracta Morgagniana-the removal of which bylance cut or needle discission (absorption) is a comparatively triflingoperation; (4) even if the operation should be unsuccessful in restoringsight (amaurosis could be diagnosed previously to operation) thecosmetic advantage should be considered,-the patient being a youngfemale; and (5) with the present " technique" in removing cataracts noanxiety in regard to a failure of the operation as such need be enter-tained. Should "X. Y. Z." remain still doubtful what to do he mayleave the decision to the girl herself.

I am, Sirs, yours faithfully,Grosvenor-street, W., Aug. 23rd, 1897. B. ScnwABZBACH, M.D.

Mr. Ed. E. Mayer.-The Royal College of Surgeons of England admit tothe second, third, and final examinations candidates holding foreigndiplomas, which entitle the holder to practise in the country where heobtained the diploma and which have been granted after education andexamination equivalent to those required by the College. He would

ascertain whether the College would so consider his degrees by specificinquiry of the Secretary of the College. There is a regular courseof instruction at the National Hospital for the Paralysedand Epileptic,Queen-square. Particulars can be obtained by applying to the

Secretary.Mr. T. F. McDonnell.-The Infectious Diseases (Notification) Act onlyprovides a fee of ls. when a case is notified by a medical man which"occurs in his practice as medical officer of any public body." Itis held that a Poor-law medical officer serving a board of guardianscomes within that provision, and that he is only entitled to afee of ls.

L.S.A. Lond., L.M. Dub.-Judging by the statement before us B wasright in going the first time, as it may have been a case of urgency.He should, however, have given up the case entirely to A, if, indeed,A chose to go on with it, and not have offered to see it " in conjunc-tion" with A.

Mr. S. Gross.-Text-book of Chemical Physiology and Pathology, byW. D. Hallibutton, M.D., B.Se.Lond. (London: Longmans, Green,and Co.)

Mr. M. D. Roger8.-Wc- regret that we are unable to assist our

correspondent.

iua MANCHESTER MEDICAL GUILD,

WE have received the following letter, with a’ request for its publicstion, from the Secretary of the Manchester Medical Guild :-

[COPY.]" Manchester. July 15th, 1897.

"DEAR SIR,-It has been reported to the Council of the MedicalGuild that you have permitted yourself to become the instrumentof a Medical Aid Association, which is promoting it objects againstthe unanimous opinion of the medical practitioners of the district,and I am requested to point out to you that such action on yourpart (without considering it as it affects your medical brethren))will, if persisted in, have a most baneful influence on your ownfuture career. These associations are held in such evil repute bythe profession that the medical journals will not knowingly inserttheir advertisements when they are in need of medical officers.

" No man can set at nought the opinion of his profession withoutinjuring his own usefulness, and I venture to express the hope thatyou will see your way to retire from a position into which you mayhave been led unwittingly. Any doctor can make a living amongsta working-class population by conducting his practice in the time-honoured manner. I am assured he can do so from the very start,and every year his position becomes more secure; but it is not sowith men who become the servants of organised laymen.

"Yours truly,"ALEXANDER STEWART, Hon. Sec. the Medical Guild."

"THE CLIMATE OF CORSICA."

To the Editors of TKB LANCET.

SIBS,-At page 235 of THE LANCET of July 24th I notice a query by" 0. H." regarding the climate of Corsica, and have seen no reply given.If he will consult Section 7: 6 of the Medical Digest he will be able toobtain all the information he requires, as therein are several referencesto the literature of this subject. I am, Sirs, obediently yours,

RICKARD NEALE, M.D. Lond.Boundary-road, South Hampstead, Aug. 25th, 1897.

Projessional Reader has omitted to enclose his name and address.

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

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (30th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.30 P.M.), St. George’s (2 P.M., Ophthalmic 1.15 P.M.),St. Mary’s (2.30 P.M.), Middlesex (1.30 P.M.), St. Mark’s (2 P.M.),Chelsea (2 P.M.), Samaritan (Gynaecological, by Physicians, 2 P.M.),Soho-square (2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic(4 P.M.), Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.),Westminster (2 P.M.).

TUESDAY (31st).-London (2P.M.), St. Bartholomew’s (1.30P.M.), Guy’a(1.30 P.M.). St. Thomas’s (3.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.), St. Mark’s a(2.30 P.M.). Cancer (2 P.M.).

WEDNESDAY (lst).-St. Bartholomew’s (1.30 P.M.). University College(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.). Charing-crosa(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.),St. Mary’s (2 P.M.), National Orthopaedic (10 A.M),St. Peter’s (2 P.M.),Samaritan (2.30 P.m.), Gt. Ormond-street (9.30 A.M.), Gt. NorthernCentral (2.30 P.-Ai.), Westminster (2 P.M.).

THURSDAY (2nd).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30 P.M.), University College (2 P.M.), Charing-cross (3 P.M.). St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.), Soho-square (2 P.M.), North-WestLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynaeco-logical, 2.30 P.M.).

FRIDAY (3rd).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.). Middlesex (1.30 P.M.), Charing-cross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Mary a(2 P.M., Opbtbalmic 10 A.M.), Cancer (2 P.lII.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.ZO P.M.).

SATURDAY (4th).-Royal Free(9A.M. and 2p.M.), Middlesex, (1.30p.M.),St. Thomas’s (2 P.M.), London (2 P.M.), University College (9.15 A.M.),Charing-cross (3 P.M.), St. George’s (1 P.M.), St. Mary’s (10 P.M.),Cancer (2 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.), the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

During the week marked copies of the following newspapershave been received:— - rexham Advertiser, Leeds Mercury, TheAberdeen Weekly Free Press, local Government Board Journal, LocalGovernment Board Chronicle, Carmarthen Weekly Reporter, The

Walsall Observer, Freeman’s Exmouth Journal, Yorkshire Post,Reading Mercury, Midland Weekly Herald, Wellingborough News, TheMalvern Advertiser, The Keighley News, The Alloa Advertiser, NorthWales Guardian, Winesor and Eton Express, The Bristol Mercury,Montreal Weekly Gazette, The Lincoln, Rutland, and StamfordMercury, &c., &c.