Oct. 31, 1891.] THE BRITISH MEDICAL JOURNAI. 94.'i

basal pneumonia. No distinction is here made between thedifferent kinds of pneumonia; some of the cases occurred intlle early part of the year 1891, coincident with the epidemicof influenza; others occurred during last autumn and winter,and were isolated cases of the pneumonia which is usuallyascribed to the effect of exposure to cold and wet.

SECTION OF PATHOLOG1Y.AV. 11. DICKINSON, M.D., F.R.C.P., President.

DIscussIoN ON THEE ARREST OF TU7BERCULOSIS.DRS. J. K. FOwlER and SIDNEY MARTIN read thle papers pub-lished at page 9:, and page 943 respectively.-Dr. SAMUELWVILKS inquiired lhow far in cured phtlhisis, fibroid changes,and caseous deposit it lbad been proved that they were due totubercle. Hald it been demonistrated that the so-called fibroidphthisis inold peoplewas clearlytubercul.ous, and due tobacilli?He believed with I)r. Fowler that cavities would close, andalso that there was some relation between cancer and tubercle.--Dr. J. S. BRISTOWE expressed hiis general concurrencewith theviews put forward by Dr. Fowler in his very excellent paper. Hebelieved that the arrest of tubercles botlh in the lungs andelsewhere wras bv no means uncommon; and that it was neces-sary to draw a distinction between tuberculosis as it presenteditself to the clinical physician, and tuberculosis as it actuallyoccurred; for many slight cases of the disease occurred andbecame arrested witlhout coming under the inotice of the plhy-sician, or. if coming under his notice, were misunderstood byhim. HIe believed, also, that the encapsuled cretaceous masseswere oftei a source of danger at subsequent periods of life.Ile quoted one case in wlhich it seemed quite clear that sucha cured mass in an adult was the source of recent miliarytubercles in the lung, and of fatal tuberculous meniingitis.I-e quot(d another case in wllich, associated witlh a recenttuberculous imiass in the brain, there was ani old encapsuledcaseous mass also in the brain, concerning which there wasno clinical history whcatever.-Dr. W. RU-SSELL (Edinburgth)complimented Dr. Fowler and Dr. Sidney Mlartin oni theirpapers. I-le was specially pleased with the maniner in wlichlDr. Fowvler lhadl classified pulmoniary chlanges, and believed itwould hlelp to clear up the confusion whielh still existed notonily in the mind of the profession, but even in the teachlingou this subject, from the variety of opinion expressed by(lifierenit teachers. Ile lbad clearly broughlt out that so-calledfibroid plhtlhisis might he due to otlher thaln the tuberculouspoison, and it was very desirable that the term fibroidplithisis slhould be given up, were it always easy to decideelinically wlat formii of fibroi(d lesion was presenit. lie wasalso muc'h interested in Dr. Martin's observactions as to thepreseniee and absence of bacilli in different cases, and hewoul(d ask Dr. Flwler whether some at least of the scarsfounid in tew lunig mighlt n1ot be due to causes otlher thantubercle. Dr. Fowl er's general conclusionis entirely agreedwitlh hIis owi olbservations.-I)r. BAGSHAWE (St. Leonards-on-S(a) said that lhe lhad seen numerous cases of lhealed cavitiesin the post-nmortemz room. This was evideinced by cicatricesan(l cretaceous nodules. He agreed withl Dr. B3ristowe thatmany apparenitly healthy meni were going about who were thesubjects of old tuber(le.-Dr. WII.BERFORCE S-MITH feltalmost aslhamiied to recall a case of hiS OWIn Sh1oWiDg h(Wulcerative disease of the lung might be overlooked. He hadtattended manyv years a(ro, before tlle discovery of the tuberclebacillus, a middle-aged wvoman, oIn account of melanchlolicsymptoms together witli suppurative disease of the ribs.-Nothing durinig the illniess suggested respiratory disease, andonly at a necropsy did lhe dis,cover extensive ulcerativedisease of the lungs.--Dr. Al.l3ERT M ILSON said that in a caseof arrested plitlhisis lhe had made sections of lhealed cavities,and found that they were linled by a layer of flat epithelium,witlh dense fibrous tissue underneatlh. To the naked eye thecalvities were smiiootlh, pink, and contained mucus. Thereliad been Ino bacilli in the sputum for the last year of life,but bacilli were fouind in sections of the lung.-The PREsI-DEENT (Dr. I)ickinson) was glad to agree witlh Dr. Fowler inthe abolition of the terms phthisis and consumption.Phithisis simply meant waste, strictly wasting of the lung, notof the individual; the term consumption, strictly, and ac-cording to the usage of the old writers, meant consumption

of the lung not of the body. These terms therefore impliedexcavation of whatever origin, and notlhing else. If no ex-cavation existed, both these terms were inapplicable. Hecould support what had been said as to the frequency of re-covery from tuberculous disease, both on clinical groundsand also on the evidence of the post-mortem room. He couldadduce the case of a distintinguished physician. An infant,the son of a doctor, had in infancy what was called water onthe brain. As a medical student he thought he had tubercu-lous disease of one apex. He died after the age of 50. Oldadhesions were found at the base of the brain, and muchcretaceous matter and fibroid thickening at one apex.-Dr.FOWLER replied.

MEMORANDA:MEDICAL, SURGICAL, OBSTETRICAL, THERA-

PEUTICAL, PATHOLOGICAL, ETC,

ON SUBCUTANEOIUS TENOTOMY OF THE SPHINCTEIWJkANI IN THE TREATAIENT OF FISTULA.

THE ordinary method of dealing with a fistula in ano by layingthe track open is, though usually successful, a tedious aindtroublesome affair in regard to the after-management of thewound. The principles of the operation are first to quiet therestless contractions of the sphincter and, secondly, to refreslhthe granulating surface and allow the wound to heal from thebottom. Attempts to shorten the process by suturing thefistula have been frequently made with more or less success.In thinking the matter over it occurred to me that, as far

as obtaining rest goes, it would be a much less severe method todivide tlhe sphincter subcutaneously at a distance from the fis-tula, while, if the fistulous track were scraDed out, its fresheniedwalls would be brought into contact and healing would occur.I have therefore tried this method in a few cases, and, as Ihave met with a measure of success, I am desirous that others,slhould give my plan a trial also. The operation is a simple'one. The left forefinger is passed into the rectum and thetip of the coccyx felt for. A sharp-pointed tenotome is thentaken in the right hand and thrust through the skin aboutthree-quarters of an incll to the left side of the middle line,just in front of the tip of the coceyx; the knife-point is puslhedonwards until it is felt by the finger in the rectum beneath,b)ut not through the mucous membrane. The knife is thentilted, and, cutting towards the skin, divides the sphinctersubcutaneously close to its origin from the coccyx. Thefistula is then scraped out thoroughly with a sharp spoon andsome iodoform and boric acid applied with a firm pad andT-bandage.The method is simple and less severe than the ordinary

plan, and in uncomplicated cases, at any rate, is, I think,worth trying, since the subsequent (Iressing is simplified andconfitnement to bed shortenied. The sphincter might of coursebe divided subcutaneously at some other point, if preferred.Out of nine cases, five succeeded, three failed, and one was

lost sight of after ten days, but was then apparently well.G. A. AVRIGHT, B.A.Oxon., F.R.C.S.,Senior Assistant Surgeon Mlanchester Royal

Infirlnary, etc.

PARTIAL JAUNDICE.THE following case which came under observation lately will,perhaps, be of interest to some. The patient, a strong, well-inourished boy, became affected with jaundice five weeks afterbirth. For some days his mother observed his skin gradu-ally assume a deep yellow colour; but beyond this there wereno constitutional symptoms to indicate that the chlild wassuffering from anythling unusual. Ile was lively, took thebreast eagerly, and slept well; his bowels moved regularly;bile was present in both stools and urine.On examination, it was found that the upper half of the

body only was involved, the discoloration descending to theumbilicus, where it ended abruptly, being sharply defined bya well-marked line encircling the body. Below this line theskin throughout remained unaffected, its pink healthy huestanding out in marked contradistinction to the intense

946 THE BRITISH MEDICAL JOURNAL. [Oct. 31, 1891.

yellow of the parts above. The distoloration was -od a deepcitron, and especially was this observable in the conjunctivaeand nails. By the fourth week of treatment the patient hadmade a complete recovery, and during all this time hisgeneral health continued excellent.In the family there is a clear history of jaundice. The

mother has had frequent attacks, and with every labour itinvariably appears. In her case also there is an absence ofconstitutional disturbance, but with her the jaundiced con-dition is general. To explain this curiously limited -distri-bution of the jaundice is to me a difficulty, as well as toseveral medical friends who saw the case.

Riuntly, N.B. THOMAS MACHARDY, M. B., C.M.

ICTERUS NEONATORUM AND H)EMATURIA.AN infant was brought to tlhi Jenny Lind Infirmary for SickChiildren witlh the followinig story: The mother was attendedin her confinement by a midwife, who stated that the childwas quite well until three days old, when it became jaun-diced, and began to pass blood witlh its water. On the fourthdiay, the jaundice was intense, and while examining the babyI observed the expulsion of a small clot from the meatusurinarius followed by a stream of apparently pure blood; thisfluid contained blood corpuseles in various stages of disintegra-tion and a minute amounit of urea. Some grey powder was or-dered, and on1 the sixth day the jaundice and lihematuriasimultaneously disappeared. Thc child is now a montlh old,-and in perfect health.The liability of jaundiced patients to hTmorrhage is well

known, and the association of purpura and of fatal bleedingfrom the umbilicus with icterus neonatorum has been re-*corded; the concurrence, however, of hiematuria I have notfound meintioned in any form of jaundice.

If we assume that icterus neonatorum is due to destruction,Of the infant's surplus blood cells-witlh liberation of theirpigment, which is convrerted into bilirubin-we should expectthis conditioni of plethlora to iinerease the haemorrhagic ten-dency of the jaundice.

Norwiclh. F. W. BURTON-FANNING. M.B., M.r.C.P.

BLA.CK TONTGUE.A PATIENT, con1sulting me for another ailment, mentionedthat for the past four days he had noticed a patch of blackon hiis tongue. A porti,in of the tongue was covered witlh ablack fur, covering an area bounded behind by the circum-vallate papillkT extending oul wards to within half an inch ofthe edge of the tonguie, and in front by lines join-ing thesepoints with a point one inch in front of the central circum-vallate papilla. Thie filiform papillim were alone affecte(d.They were loiig, aln(d gave somewwhat the appearance describedby Raynaud, "a field of corn lai(d by wind and rain."I I re-moved a few l)apillak with a fin-e pair of scissors, and ex-amined them in glyceriine. They lost their black colourwitlhtransmitted liglht, looking brown. The papillic were raggedas if desquamilatirig; the loosene(d cells were crowded witlsmall rounid bodies, perhaps spores.The affection gave rise to no symptoms, not even the feel-

ing of dryness at times present, and was entirely cured inten days under the local appl)ication of boric aind carbolic acids.The patient was 50 years of age, had taken nio driigs for sometime, anid was niot anl excessive smolker. ll' thoughlt lie waspossibly infected by a bad smell froim a drain.

Barnes. R. LAKE, F.R.C.S.

SWANSEA AMEDICAL SOCIETY.-The annual meeting was lheldat the hospital oni Tuesday, October 20tli. The followingofficers were elected for the ensuinig year:-President: D.Arthur Davies, M.B. Vice-President: P'. Knight, M.D. Hono-rary Treasurer: J. K. Couch, M.R.C.S, L.R.C.P. HonorarySecretary: G. Herbert liopkins, M.R.C.S., L.R.C.P. Com-mittee (with above): T. D. Griffiths, M.D.; J. A. Rawlings,AM.R.C.P.; S. Roberts, M. R.C. S., L.R.C.P.; T. C. Grey, M.R.C.S.,L.R.C.P. The Society meets on the first Friday in eachmonth during the winter.

1 Butlin, Diseases of Tonqyue, p. 32.

RE"P''O RTSON.

MEDICAL & SURGICAL PRACTICE IN THE 1IO-SPITALS'AND ASYLUMS OF GREAT BRITAIN, IRELAND,

AND THE COLONIES.

WVEST RIDING ASYLUM, WAKEFIELD.AMPUTATION OF THE THIGH ASSOCIATED WITII ATROPHY OF

TILE CORTEX OF THE BRAIN IN THE REGION OF THECORRESPONDING LEG CENTRE.

(BY E. A. SHAW, M.B., B.C.. B.A.Cantab., Pathologist and1Assistant Medical Officer to the Asylum.)

J. T., warp dresser, aged 50, was admitted into the Asylumfrom the Halifax Workhouse on July 10th, 1891. He was ina weak condition physically, his heart being much enfeebled.,His mental state was one Qf dementia, which, as he had Inofriends or relatives so far as could be ascertained to whomapplication for information could be made, rendered the ob-taining of a dependable history a matter of some difficulty.He lhad undergone an amputation through the middle of theleft thigh and the condition of the stump was such as toleave no doubt whatever but that this had taken place someyears previously. His own statement was,-and lie seemedquite clear and positive on this point,-that the amputationhad taken place at Bradford six years ago (1885).Late oni the evening of July 14th, four days after admis-

sion, I was asked by the head night attendant to see him. Idid so and found him in a state of collapse with a tempera-ture of 96.20 F. Energetic measures were adopted, and hadthe happy result of tiding him over the immediate crisis:the improvement was, however, but temporary, and lie suc-cumbed the next morning at 11.15 A.M.Post-mortem Examination.-The neeropsy was made twenty-

eight lhours after deatl, the cause of whichl was found to befatty degeneration of the lieart. As regards the central ner-vous system the conditions fouind were as follows. Duramater, normal; about one ounce of clear fluid in the subdural(arachnoid) space; visceral arachnoid tlhickened; arteries ofbase and Sylvian fissuresjslightly atheromatous. The poste-rior end of the first frontal and the anterior portion of the upperend of the ascending frontal convolutions on the right sidewere considerably wasted, having atrophied fully one-eiglhthof an inch below tle level of the surrouniding cortex; there wasalso some very sliglht yet unrnistakable atrophy of the cor-respondilng area on the left side; the pia mater was a littlecongested and stripped easily from the conivolutions; theremaining portions of the cerebrum, the cerebellum, pons,medulla and spinal cord were to all appearances healthy.

Microscopical Appearances. - The affected portionis of thecortex and the spinal cord were reserved for microscopical ex-amination. Cortex: sections of this were prepare(d freshwith the ether-freezing microtome after the method of BevanLewis, and stained with aniline blue black; the chlief featuresobservable were that the atrophly on the more affected sidewas fairly general, tlhe grev and white matter of the convolu-tioIns in question heing proportionately affected, and, further,there was au distiinet diminution- in number, amounting toalmost total absence, of the very large pyramidal cells in thefourth (ganglioniic) layer of the cortex, as compared withsections taken from the same regioin of a normal braini; thesame remarks apply but in a much less degree to the cortexof the similar area oIn the left (the less affected) side.Spinal cord: owing to a misunderstanding between myselfand the mortuary attendant, only the dorsal portion of thishiad been preserved. It hiad beeen hardened in the usualmaniner with MIuller's fluid, and a careful eXamination ofnumerous sections stained with carmine, aniline blue blacl,and according to Pal's modification of Weigert's niethlod,failed to reveal anything which could be considered distinctlyabnormal.REMNARKs.--Clianges in the brain coincident with amputa.

tion some years ante mortem appear to be, so far as I canmake acquaintaiicewitl their records, somewhatrare. Pitres,in 1877, contributed an article to the Gazette JJieTdicale de Parison partial atrophies of cerebral convolutions consequent on oldamputations of limbs on the opposite side. Oudin, in the Revue

Oct. 31, 1891.] THE BRITISH MEDICAL JOURNAL. 971

COMIPULSORY CLASSICS AT CAMBRIDGE.THE division on the question whether a syndicate should beappointed to consider alternatives for one or other of theclassical languages in the Previous Examination was takenoIn Thursday, October 29th, in the Senate House at Cam-bridge. It wvas prteceded by an active discussion, in whichthe representative s of the faculties of medicine and naturalscience sided witlh eminent classical scholars (Dr. Butler, Dr.Sidgwick, Dr. Jackson, and otlhers) who initiated the pro-posal. A large numher of non-resident niiedical graduates andof the country clergy took part in the voting, and the Gracewas in the end(l rejected by 185 to 5_25.

ASSOCIATION INrELLIGENCE1N'OTICE.

THE President of Couincil, wlio is abroad and will not beback again before the seconid week in December, requestsall communications should be addressed to the Office, 429,Strand, W.C.

LIBRARY OF THE BRITISH MEDICALASSOCIATION.

MEMBERS are reminded that the Library and Writing Roomsof the Associatioln are now fitted up for the accommodation ofthe Members in commodious apartments, at the Offices ofthe Association, 429, Strand. The rooms are open from 10A.M. to 5 P.. Members can have their letters addressed tothem at the Office.

BRANCH MEETINGS TO BE HELD.

MIDLAN'D BRANCH: LINCOLNSHIRE DISTRICT.-A meeting will be heldat Gainsborougli, on Thursday, November 12th. Members desirous ofreading papers, etc.. are requested to communicate on or before Monday,October 26th, with NV. A. CARLINE, M. D., Honorary Secretary, Lincoln.

BORDER COUNTIES JIRANCH.-Tlhe autumiiin meeting of this Branch willbe held at the Cotulnty Hotel, Carlisle, on Thursday, November 13th, at:3.15 P.M. Dinner at 5.45 P.M., 5s. Members desirous of reading papers,etc., will please coiniunlunicate with Dr. ALTHAM, Penrith.

METROP'OLITAN` ('COTNTIES BRANCH: NOIRTH LONDON DISTRICT.-Theaninual meeDtig of this District will be held at the Athenreumi, CamdenRoad. N., oIn WNednesday, November 11th. 1891, at 8 P.m., Dr. Cleveland,President of the Metropolitan Counties Branch, in the (hair. Dr. Her-mani will read a paper on Dysmenorrh(ea and its Treatmeint. Officersfor the eilsuingzr yeair will be elected. All registered medical men,wlhetlher merlmbers of tlle Association or not, ai-e earniestly invited to at-tend these mnectin.gs.-GEORGE HENTY, M.D., Honorary Secretary, 302,Camiiden Road, N.

LANCASHhIRE Ann CHLESHIRE BRANCHi.-The initermediate miieeting ofthis Bran1chl will be hCeld at Soutlhport oni Wednesday. Decemnber 9tl, 1851.Geintleimieni wishin- to rcad papers or shiow cases will please comlmiunii-cate at once wvith Dr. GIASCOTT, 23, Saint Jolhn Street, Manchester, Honio-rary Secretary.

SOUTH-EASTERN BRANCH: EAST SuTssFx DISTRTCT.-A meeting of theabove District will be held at the Calverly Hotel, Tunbridge Wells, onThursday, November 19th. Dr. Pardington will preside. Meeting at:3.30T:.3P..; dinner ait .5. IM.m. crllaige, (is., exclusive of wine. Tllc follow-ing papers will be iead: Dr. Ranking: Ulcerlative Endocarditis, withnotes of two cases and speciimiens. Dr. Richardson: The Family Historyof Chalorosis. Mr. Footniess: Notes of Two Cases: (a) Nephrolithotomy,(b) Suprapubic Litliotolny.-T. JENNER VERRALL, Honorary Secretary,97, Montpellier Road, Briglhton.

SYDNEY AND NEWV SOUTH WALES BRANCH.THuE 102nd general meeting of the Branch was held at Sydney,on September 4th, Dr. SCOT SKIRVING, President, in the chair.There were present Drs. Twynam, Quaife, Graham, Fiaschi,Hankins, Edwin Chisholm, Manning, Rennie, Crago, W.Chisholm, Megginson, Thomas, West, Hodgson, Newmarch,

Lloyd, R. Bowman, Martin, J. Parker,. Pockley, Hull, A.Parker, Edward Brady, Worrall, McCulloch, Shewen, Cohen,Jameson, Wood, Coutie, Odillo Maher, Furnival, Collingwood,Browne, Kendall.New Members.-The minutes of the previous meeting having

been read and confirmed, the PRESIDENT announced the elec-tion of the following gentlemen: Dr. James Jarvie Hood, Dr.Scott (Scone), Dr. Blackwood (Cooma), Dr. Purser (PrinceAlfred Hospital).Paper.-Dr. TWYNAM read notes on cases of Appendicitis.

The paper was discussed by Drs. RENNIE, HODGSON, SCOuSKIRVING, WORRALL, NEWMARCH, THOMAS TWYNAM, andHULL.

The Leichhard Friendly Society's Dispensary.-Dr. MCCUL-LIOCH moved: " That the Honorary Secretary's letter of June10th, 1891, in reference to the Leichhard Friendly Society'sDispensary be considered and discussed. "-Dr.HULL secondedthle resolution.-Drs. WORRALL, EDWARDS, MEGGINSON, QUAIFE,CRAGO, HODGSON, WM. CHIsnoL%I, and COLLINGWOOD discussedthe resolution, and Dr. NEWMARCH moved that the debate beadjourned.-Carried.

LEEWARD ISLANDS BRANCH.A SPECIAL meeting of the Antigua Section of the LeewardIslands Branch was held on August 14th, Dr. W. H.EDWARDS, President, in the chair. There were presentDrs. A. G. McHattie (Vice-President), G. E. Pierez (Hon.Sec.), F. J. Freeland, J. S. Gabriel, A. Mackie, and H. A.Nicholls (visitor).New Member.-J. S. M. Nurse, M.B., C.M.Edin., Govern-

ment Medical Officer of Anguilla, was elected a member of theAssociation.Medical Poor Relief.-The committee appointed at the pre-

vious meeting having been unable to frame a report upon thesubject of the Medical Poor Relief Act and Estates ContractAct, the following resolution was proposed by Dr. J. S.GABRIEL, seconded by the PRESIDENT, and unanimouslyearried:" Whereas, under the provisions of the Medical Aid Act,No. 14 of 1870, the labourers have not derived the benefitintended by the Legislature, and the district medical officersare imposed upon by persons in good circumstances obtaininggratuitous medical attendance; and whereas the presentsystem of contract medical aid to estates has given, and isgiving, rise to disputes between the district medical officers,.and is not nearly as efficient as might be wished, resolvedthat in the opinion of the Antigua section of the LeewardIslands Branch of the British Medical Association it is impera-tively necessary that the whole system of medical aid to thepeople be made the subject of searching inquiry by theGovernor of the Colony, and that the medical officers be-afforded an opportunity of stating their opinions and de-tailing their grievances to his Excellency during the processof inquiry. And resolved further that the Honorary Secre-tary do forward a copy of this resolution to his Excellencythe Governor of the Leeward Islands."

Disputes Between Members. Dr. NICHOLLS proposed the fol-lowing resolution: "That in the case of a dispute betweenmembers of the Association, the matter should be laid beforethe members called togetlher by the local secretary, any threeof whom shall form a quorum, in a different island to that inwhich the dispute occurred." Seconded by Dr. PIEREZ, andunanimously carried.

SPECIAL CORRESPONDENCE,SHEFFIELD.

Firth College. Ambulance Classes.-C(ruelty to Children.Legacy.

FIRTH COLLEGE is undergoing enlargement. This has becomenecessary in consequence of the increasing success of theinstitution. The new accommodation to be provided willdouble the number of class rooms. The action taken by thecounty councils to further technical education has thrown agreat deal of extra work on the College, and instruction isbeing given by its lecturers in various districts on miningand other subjects.

Oct. 31, 1891.] THE BRITISH MEDICAL JOURNAL. 977

appears to us that they were not the only people to blame in connectionwith the case, for not one particle of evidence was offered or taken toshow whether the hwnmorrhage was the result of violence (accidental ornot) or of disease. Such iniqluests as this afford a great protection tocrinlinals and are a proportionate incentive to crimiie.

MEDICAL DEFENCE UNION.A COUNCIL mneeting was held at the rooms of the British Medical Asso-ciation on October 2lst, MIr. Lawson Tait in the chair. Fifteen membersof Council attelnded. Sixty new applicationis for membership were re-ceived and accepted. It was "eported that the Committee on Revision ofArticles had hield its first sittin)g.A letter was read from tlle solicitors of the Union relating to the sub-

ject of damages in cases unisuccessftilly defended, ancl the opinion wasdirected to be enmbodied in the annual report.Several applications for assistance were refused on the ground that the

cause of action originated pr'ioI- to the date of membership.The Secretaries repolted that their efforts had been successful in ob-

taining an apology aind withdrawal of a char-ge of iimmoral conductagainist a doctor.In the miiatter of Dr. IV. Aichin, against whom a late member of the

R. 1. C. had brought an action for libel on tlle grouind that a certificatelhad been given that lie was uinfit for duty oIn accounit of hallucilnations,it was resolved: ' That the solicitors be requested to defend Dr. Aichiiin this action."The action of the Emergency Comnmittee in accepting service on behalf

of Dr. Hatfield, against wvhomii anl action for libel was birought by a manwho conifounded the sigifiitcance of the wor-d " infectious " with " velne-real," was approved.Several otlher mlatter-s of minor inter-est. or whiehl in the interest of the

cases it is niot desirable to publislh, were dealt witlh.

CONStTLTATION WITH HERBALISTS.ETHOS writes: Is it, consonant wvith the best interests of professional

etllies that memiibers of a medical society shall consult professionallywith herbalists, hoinicopaths, or men wlho have called themselvessuch1 ?*** It is so obviously the contrary that we are surprised that it is felt

necessar-y to ask the (Iuestion.

A HOLIDAY I)IFFICULTY.IN response to our c'orrespondent's three furtheli- questions, we may ob-serve that whletn. dnriinig absence fr'om homc, a practitioner entrusts thecar-e of his practice to a professionial friend, the latter shouild not makeany char-ge to the formiier, or to the patients for his services, but shouldin all thinjgs be the loctim tfciwis of thie abseintee, to whom, onl his return,all such cases slhotild at once be transferred, unless the officiating prac-titioner's continiued attendance be specially desired by a patient ; inwliclh case an intimation to that effect should be made to the ordinaryfamily attendant.In regaid to the specified points on which, according to our corre-

spondent, "the sublimiiest ignloraniec" exists among the local practi-tioners, we are inclinied to believe that a careful study of the ethicalcode would teind to reimiove it.With referenee, moreover, to the case of A. and B. and their patient

"J.," the explanationi given by the latter appears to be a well groundedand unexceptionable onie, anid slhould be accepted as such by B.Further, as wve canniot pretenid to forecast possible contingencies, wearc not in a position to lay down any definite rule for the futureguidance of A. and 13. in relation to the patient in question, inasmuchas their course of action m11ust necessarily be governed by the attendantcircumstances.

UNIVERSITIES AND COLLEGES,UN IN ERSITY OF CAMBRID(,rE.

MEDICAL EXAMENA-IAIONS.-The registrairy publishes the followingschemiie for the extiminations of the present term:

Names Certifi- Eyaniina-senlt cates tionin. Received. Begins.

First M.B., Chemistry, etc. Nov. 25 Dec. 3 Dec. 8Biology ...,, 2. ,, ,

Second M.B., Pharmntacy ... ... , 25 ,,14,, Aniatomy, etc. ,, 2..5 ,

Third AM.B., Surgery, etc. ... ,, 25 ,, 3 , 8Medicine, etc. . 25 ., :3 ,

MC..,... .. ... ... 2 , I ,, 11

DEGREES.-On Oetober 1ftlh the followvig degrees wvere conferred:M.D., W. A. Evelyni, MI.A., MBl.B., Caius. M.B. and B.C., A. G. Phear, B.A.,Trinity; R. C. AMolisoll (olvin-Simitb, Caius. On October 22nd the fol-lowing were admnitte(d: M.)., A. Keiglitley, l.A., M.B., Pembroke; E. P.MIanby, AI.A., Al. 1., ('avendish: E. Lloyd Jones, B.A., M.B., B.C., Down-ing. MI.B. and B.C., A. H. Thompson, B.A., Trinity; F. M. Rowland, B.A.,(Calus.CIRANE'S CHARITY. -Tlhe distribution of Crane's Charity for the medical

relief of poor schlolars will miieet on November 17th. Applications for aidare to be sent in tliiouglh tlhe tutors.ANATOMY OIS PLANTS. --Thie Reader in Botany, Mr. Frank Darwin, being

obliged to be absent fromii Canmbridge, Ihis deputy, Mr. Harold Wager, ofthe Yorkshire College, Leeds, wvill lecture this term on the Anatomy ofPlants.EXAMINERS FOR MEDICAL. DEGREES.-TIn addition to those already

mentioned, Professor Liveing. F. R.S., has been appointed an Examinerin Chemistry; Professor McKendrick, F.R.S., of Glasgow, as Examiner inPhysiology; and Professor Reinold, F.R.S., an Examiner in Physics.

ROYAL COLLEGE OF SURGEONS OF ENGLAND.THE Report from the Council to the mleeting of Fellows and Members to beheld on November 5th, can now be obtained from the Secretary. It con-tains a record in narrative form of work for the year ending July 9th,1891.Laboratories.-Prominence is given to the work of the laboratories on

the Embankment; the facilities afforded by themn for scicentific investiga-tion have been taken advantage of by twenty gentlemen who are or havebeen eingaged in researches mainly of a pathological chlaracter. Threeworkrooms, it is stated, are also available in the College itself, and havebeen used by Dr. William Hunter.Extended Curriculum.- The scheme for the five years' curricuilum of pro-

fessional education, which has been approved by the two Colleges, subjectto further consideratioll of certairl matters of detail, is set out atleingtlh.

The Uvniersity Question.-A sketch is given of the negotiations as to theproposed reconstruction of the Uiniversity of Lonidon, anid subse(luentlyas to the new university.The Fellows and Members.-The resolution of tlle annual meeting on

November 6th, 189.0, and the resolutions of the Council thereon; thestatement presented by the Association of Fellows, together withcounsel's opinion as to tlle power of the Council to summon a meeting ofFellows separately from Members, ale set out. It will be relmemberedthat the Council determined not to make the desired change ill the asr-ranigements for voting by ballotinig papers in the election to the Council,and determined to postpone anyactioni as to separate meetings of Fellowsuntil the decision of the action Steele l. Savory.The.Library.-The Library has been enlarged by purchase, donation,

and by exchange with the Library of the Surgeon-G'eneral's Office atWashington. An endeavour has been made to form a representative col-lection of reports of boards of healtlh in. the Uniited States, and in reply toa letter sent out by the Librarian several valuable series have been re--ceived.

MIriscellaneous.-The report recapituilates the circumstances under wlichthe na,me of a Member was remiioved, aind sets out a list of the lectures. Itcontains also a finanicial statement and balDnce sheet, returJns of the re-sults of professionalexaminations, and a list of the Fellows anid Memberswhose deaths have been reported as having takeni place (lurinlg the year.

STP.ELE z. S\voRY.-The appeal of the plaintif' in this case froiim therefusal of Mr. Justice Stirling to order the defendants to produice furtherdoeclments in their possession camiie before Lord Justices Linidley and.Kay, on October 27th, and was refused on the ground that it had niotbeen made out that the right of the memibers of the old Company of Sur-geons was material to its decision. If, they added, at a future stage thedocumenits in questioni should become material, their production couldthen be ordered.

FELLOWSHIP EXA-MINATION: ALTERATION OF DATE.-WCe are requestedto state that it has been found necessary to alter the (late of the filnalFellowship Examinationl from Monday the 23rd to Wednesday, N'ovembeu18tll,

SOCIETY OF APOTHECARIES OF LONDON.PAss LIST, October, 1891. The following canididates passed in:

s;ttrger!l.-G. H. Baird, Dublin; E. A. R. (Covey, St. Bartholomew's Hos--pital; C. E. Dawes, London Hospital; S. A. E. Grifliths, MiddlesexHospital ; Wlr. P. Hilliain, Sheflield; W. C. Howle, BirminghanmQueen's College; A. E. Leitchl, Liverpool, F. B. Lewis, LondoiiHospital; A. W. Read, St. George's Hospital; A. R. WI'alters, Lon-don Hospital; H. G. White, St. George's Hospital:\,V. A. Williams,Calcutta, and Middlesex Hospital.

Medicine, Forensic Medicine, and Vidwifery.-W. H. Cooke, St. George'sHospital; A. T. Duka, Camiibridge University, aind St. George's hos-pital; A. B. Hargraves, London. Hospital: A. B. Halm-iian. King's.College; S. Nesfield, Manchester; H. H. L. Patch. St. Thomas's'Hospital.

Mfedlicine aend Forensic Medicinic.-W. C. Howle, Birmingham, Queen'sCollege.

.Mfedicinc and Midwifery.-A. L. Wykham, Washington.Medicin(.-R. W. Brimacombe, St. Mary's Hospital- C. M. ()'Brien,.

Neweastle-on-Tyne; 0. HI. A. Maggs, Clharing Cross Hospital.1'orensic Medicine anId M1idu1.'ucry.-W. Ashby, Guy's Hospital.1"orensi(c Medicine.-T. H. English, London Hospital; C. P. Morgan,.

Guy's Hospital; C. F. Warren, Guy's Hospital.Mlidw,ifery.-S. R. Lane, Middlesex Hospital.To Messrs. Covey, Eiiglish, Harman, Leitch, Morgan, Read, Warren,

and Williams was granted the diplomia of the Society, entitlingthem to practise medicine, surgery and midwifery.

OBITUARY.EUtISTACE F. BRIGHT, M.D.LOND.

THE news of the sudden and mysterious death, on October-2nd, of Dr. E. F. Bright, of Bournemouth, came as a great-shock to his many friends and old fellow-students, who hadseen him in unusually good health and spirits on the previousnight at the annual University College Hospital dinner.He was educated at Mill Hill School, entered as a student

at University College Hospital in 1881, and, passing rapidlyand without a failure through all his examinations, finallyobtained the M.D.Lond. in 1887. After qualifying he obtaineda very large hospital experience by residence at UniversityCollege Hospital, the Consumption Hospital, Brompton, andc

THE BRITISH MEDICAL JOURNAL.

MEDICAL NEWSIMai. ALDERM-AN EVANS, the Lord AMayor-elect, wvil preside

at the trieninial festival dinner of Charing Cross Hospital, tobe held at the H6tel M6tropole on November 17th.DR. ALI.CHIrN will deliver the Bradshaw Lecture on

"Duodenal Indigestion," at the Rloyal College of Physiciansoon November (tht41, at 5 o'clock.THE ZOOLOGICAL SOCIETY OF LONDON. Tule first scientific

meeting of tlle Zoological Society of London for the session1891-92 will take place at 3, Hanlover Square, W., Oil November,3rd, at 8.30 P.3M.

THE annual dinner of the Bristol Medical School will takeplace at the Montague Ilotel, Kingsdown, on October 31st, at7 P.M., AMr. J. Paul Busli in the chair. Tickets (5s. each) maybe obtained at time schlool.THE annual meeting of the members of the Metropolitan

Police Surgeons' Association will be held at the CriterionRestaurant on November 12th, at 5.30, when the report fromthe Council will he presenited and the election of officers forthe ensuing year take place. Time annual dinner will be heldat 7 o'clock, Alr. A. 0. AMackellar in the chair.THE Duke of Ediiiburglh opened, on October 24th, tile new

wing of the General Hospital, Bristol, and said he was glad tohear that the workiDg classes showed their appreciation of thevalue of the institution by providing by penny weekly contri-butions £1,200. Thie new section, which hlas cost £20,000, liasbeen named the Duke of Edinburgh's wing.THE LATE DR. II. G. SUTTON.-A circular lhas been issued

by Dr. G. II. Savage (Henrietta Street, Cavendish Square),stating that as there is found to be a wish among many forsonie permanent literary memorial of time late Dr. H. G.Sutton, it has been suggested that his Medical Pathology,should be completed. There are in existence very completenotes of special courses of lectures on pathology, delivered atthe London Hospital, which if incorporated with an entirelynew edition of Mfedical Pathology, would form a volume ofabout 500 pages, which, it is suggested, fitly represent DrSutton's teaching. Tile proposed publishled price will be,10s. a copy, and D)r. Savage asks that any who wish to sub-scribe should communicate with Messrs. Churchill, New Bur-lington Street.IRISH MEDICAL. S(HOOLS' AND GRADUATES' ASSOCIATION.-

The autumn geiieral meeting of the above Association was

held on Wednesday at the Holborn Restaurant, London.Director-General Dick, C.B., RN.X. (President-elect), took thechair in the absence of the President. The Council reportedthat in consequence of the refusal of the General MedicalCouncil to relnder any assistance in the matter of the ex-

clusion of Irish (liplomates from competition for honoraryappointments in English hospitals, they had given directionsfor a letter to be written to each gentleman seeking reappointment as direct representative asking his views on the sub.ject. It was also reported that the letter ordered by theBritish Medical Association Council to be sent to the hos-

pital in wlhich the exclusive rule still exists was about to beissued. The members and their friends, to the number of 40,dined subsequenttly; I)irector-General Dick occupied thechair. The guests of the evening were Sir George M.

Humphry, F.R.S., and Inspector-Geineral Denis -Macdonald,R.N., F.R.S., who had lately been elected as two out of thefirst three honorary members of the Association. The short-ness of the toast list, the briefness of the speeches, and theexcellence of the vocal music, principally contributed by Mr.Bannieman and I)r. W. H. Bourke, made the evening an ex-

(eptionally enjoyable one for all present.

MIEDICAL VACANCIES.The following Vacancies are announced:

ASYLUM FOR IDIOTS, Earlswood, Redhill, Surrey.-Assistant MedicalOfficer. Salary, prci ammniim, witli board and wvashing. Applica-tions, marked 'Assistant Medical Officer," to the Secretary, 36, KingWVilliam Street, Lonidon Bridge, E.C., by November 17th.

BERKS ASYLUM, Moulsford.-Second Assistant Medical Officer; doublyqualified; unmarried and under 30 years of age. Salary, £100 per

annum, rising £10 annually to £120, with furnished apartments, board,etc., and washing. Applications to J. Harrington Douty, MedicalSuperintendenit, by November 13th.

BOROUGH OF EASTBOURNE.-Medical Officer of Health, to act also asMedical Officer of the Borough Sanatorium and as Police Surgeon.Salary, £300 per annum, increasing durinig satisfactor-y service by £25yearly to £40o. Appointml-ent fol five yeals. Mulst devote his whloletime to the duties of tlle office. Applications to II. WVest Fovargue,Town Clerk, Town Hall, Eastbourne, by November 14th.

CAHERCIVEEN UNION.-Medical Officer for tlle Valencia DispensaryDistrict; doubly qualified, muist reside in the Island of Valencia,Salary, £80 per ainnum as Medical Officer, and M1.5 per annum asSanitary Officer, together witlh usual vaccination fees. Applications toA. O'Driscoll, Hon. Sce., by November 9th.

CANCER HOSPITAL (FREE), Fulham Road, S.W.-House-Surgeon. Ap-poitntment for six monlths. Salary at the rate of £50 per annum, withboard and resideince. Applications to the Secretary by November7th.

CANCER HOSPITAL (Free), Fuliham Road, S.W.-House-Surgeon. Ap-poiintment for six monitlhs. Salary at the rate of £50 per annum, withboard and residenice. Applications to tlle Secretary by November 7tlh.

CITY OF LONDON LUNATIC ASYLUM, Stone, nlear Dartford, Kent.-Assistant Medical Officer. unmiiarried. Salary, £12) per annum,with fulnislhed apartmiients, board, attendance, and launidry. Appli-cations to the Visiting ('ommittee unider cover to Henry F. Youle,Cler-k (of wlhon applicationi formiis can be obtainied), by Novei-cmber lOtlh.

COUNTY BOROUGH OF BTRKENIIEAD.-Medical Officer of Health:must be under 45 years of age. Salary, £400 per annum. Applications,scaled anid endorsed Applicationis for Medical Officer," to AlfredGill, Town Clerk, Towvn Hall, Biikenhead, by November 13tlh.

DENTAL HOSPITAL OF LONDON, Leicester Square.-Dental Surgeon;must be Licentiate in Den-tal Surgery. Applications to J. FrancisPink, Secretary, by December 14tll.

DENTAL HOSPITAL OF LONDON, Leicester Square.-Assistant DentalSurgeon; must be Licentiate in Dental Surgery. Applications to J-Francis Pinik, Secretary, by December 14th.

DUDLEY DISPENSARY.-Resident Medical Officer, doubly qualificd.Salhry, £1:30 per anrnum, witlh lhouse, coals, gas, and water. Applica-tions to Ht. C. Brettell. hIoilorary Secretary, before Deeembel- 1st.Election on Decemiiber iiith.

GUY'S HOSPITAL.-Assistant AnTsthetist. Applications to the Trea-surer, by October 31st.

GRANTHA'M FRIENDLY AND TR&DE SOCIETIES' INSTITUTION.Resident MIedical Officei, not under 30 years of age. Salairy, LIat} perannum, aid midwifery fees, witlh unfurnislhed residence, coals, gas,and rates free. Applicationis to Mr. F. Hullot, Grantham, by Novem-ber 1itlh.

HOSPITAL FOR SI(K CHILDREN, Great Ormond Street, Bloomsbury,W.C.-Medical Registrar ald Pachologist. Appointment for one yeai-.Honorarium of fifty guineas. Applications to the Secretary byNoveimiber lOtlh.

HOSPITAL FOR SICK CHILDREN, Grreat Ormond Street, Bloomsbury.-Assistait House-Sui-geon, nion-resident. Appointmeat for one year.Salary, £50 per aninuimi. Applications to the Secretary by Novem-ber 10th.

LONDON FEVER HOSPITAL, Liverpool Road, N.-Assistant ResidentMedical Officer. Applications to the Secretary, by November 4tlh.

NATIONAL IIOSPITAL FOR THE PARALYSED AND EPILEPTIC,Queen Square, Bloomsbury -House-Physician: doubly qualified.Salary, £60 per annum, witlh board and apartments. Applications toR. Burford Rawlings, Secretary-Director, by November 4th.

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC(Albert MIemorial), Queeln Square, Bloomsbury, W.C.-Junior House-Physician, doubly qualified. Salary, £C5o per annum, with board andapartmnients. Applicatiolns to B. Burford Rawlings, Secretary-Director,by Novemiiber 4th.

NORTH LONDON CONSUMNIPTION HOSPITAL. -Resident MedicalOfficer; doubly qualified. Honiorarium, £40 annually, with roomiisboard, etc. Applications to the Secretary, 216, Tottenham CourtRoad, by October 31st.

NORTII-WEST LONDON HOSPITAL, Kentish Town Road.-ResidentMedical Officer. Salary, £.50. Appointment for six montlhs. Candi-dates must attend meeting of tlle Medical Committee on Novemberird.

NORTH-WEST LONDON HOSPITAL, Kentish Town Road.-AssistantResident AMedical Officer, Appointment for six months. Candidatesmust attend meeting of the Mledical Committee on November 3rd.

PADDINGTON INFIRMARY. -Resident Clinical Assistant; must bequalified. Board and r-esidence provided, and lionorarium of 12guineas on the completion of six months' satisfactory service. Appli-cations to the -Medical Superintendent, 285, Harrow Road, W.

QUEEN'S COLLEGE, Galway.-Professor of Chemistry. Applicationsnot later than October 31st, to be forwarded to the Under-Secretary,Dublin Castle.

RIPON DISPENSARY AND COTTAGE HOSPITAL.-Resident House-Surgeon and Dispenser; unmarried. Salary, £70 per ainnum, witlhboard and lodging. Duties to commence December 1st. Applicationsto F. D. Wise, Honorary Secretary.

ROYAL ALEXANDER HOSPITAL FOR SICK CHTLDREN, Brighton.-House Surgeon, doubly qualified. Salary, £80 per annum, with board,lodging, and washing. Applications to the Chairman of the MedicalCommittee, by October 31st.

ROYAL HOSPITAL FOR DISEASES OF THE CHEST, City Road,-Physician: must be F. or M.R.C.P.Lond. Applications, addressed tothe Council. to be sent to the Secretary by November 7tlh.

Oct.- 'O1, 1891.] 979

THE BRITISH MEDICAl JOURNAL. [Oct. 31, 1891.

BEAMEN'S HOSPITAL SOCIETY, Greenwich.-House-Surgeon; doublyqualified. Appointment for one year. Salary. £50 per annum, withboar-d, furnished rooms, and attendance. Applications to P. Michelli,Secretary, by November 3rd.

SHEFFIELD PUBLIC HOSPITAL AXD DISPENSARY.-House Surgeon.Salary, £100 per annum, board lodging, and waslhing. Applicationsto the Honorary Secretary of the Medical Staff by November 12th.

SHEFFIELD PUBLIC HOSPITAL AND DISPENSARY.-Assistant House-Surgeon. Salary, £65 per annum, board, lodging, and washing. Ap-plications to the Honoral-y Secr-etary of the Medical Staff by November12th.

SHEFFIELD PITBLIC IIOSPITAL AND DISPENSARY.-Junior Assis-taint House-Surgeoni. Salary, LIeo per annum, and board, washing,and lodging. Applications to the Honiorary Secretary Medical Staff.

WALSINGHAM tUNION.-Medical Offlcer for the Raynllam District.Salary, £38 per annum, exclusive of medical and vacciDation fees.Applications to Wi'm. Rumbelow, Clerk, Bridge Street, Fakenham,Norfolk, by November :1rd.

WESTON-SUPER-MARE HOSPITAL.-Medical Officer to the ProvidentDispensary; doubly qualified. Salary, £6t0 per annum, witlh board,lodging, and washing. Applications to the Honorary Secretary byNovember 4tlh.

WORSHIPFUL COMIPANY OF IRONMONGERS, Sir Robert Geffrey'sAlmshouse, Kingsland Road, E.-Medical Officer, non resident.Salary, £.52 10s. per annum. Applicationis to the Clerk, lroninongers'Hall, Fenchurel Street, E.C.

MEDICAL APPOINTMENTS.ARTHUR, Alex. T., AT. B., C.M.Aberd., appointed Paroclhial Medical Officer

for Petercnilter, Aberdeenslhire.BROWN, John, M.D., B.S., D.S.Sc.Vict, reappointed Medical Officer of

Health for Bacup and Physician to the Sourhall Fever Hospital.BOWLAN, Marcus AMarwvood. M.B.Dunelm, appointed Assistant Medical

Officer to the Union Infirmary, St. George-in-the East, London.BURY, F. C., M.R.C.S.E., L.R.C.P., M.B., Victoria University. Licence in

Midwifery, Rotunda. Dublin, appoiyited Medical officei- for the No. :iMedical District of the Sevenoaks Union, and not Dr. F. ('. Berry, asstated in the BRITISII MEDICAL JOUR2NAL of October 17th, 1891.

BUXTON, HIeniry, L.R.('.P.Edin., L.R.('.S.Edin., L.F.P.S.Glas.. appoiiltedIlouise-Surgeoii Noble's G*eimeral fHospital, Douglas, Isle of Alan.

CAMERON, John, L.R.C(.S.Edin., appointed Par ochial Medical Officer forKinellar, Aherdeenshire.

CHRISTIE, Jolhn, M.R.C.S., appointed Parochial Medical Officer for Fini-tray, Aberdecisimire.

COOPER, C'. D., L.R.(C. P.Lond., M.R.C.S.. appointed Senior AssistantMedical Officer at the Parishl of St. Plancras Intirmary.

COOPEER, W., M.D.Aberd., appointed Parochial Medical Officer for New-machai-, Abeirdeensliire.

CREN'IE, J., AI.B., C.M.Aberd., appointed Parochial Medical Officer forBelhelvie, Aberdeenslhire.

DISTIN, E., M.R.(.P., L.R.C.P., appointed House-Surgeoni to King's Col-lege Hospital.

DIARY FOR _NEXT WEEK.

MON'DAY.LONDON POST-GRADUATE COURSE, Royal London Ophthalmic Hospital,

Moor-fields, 1 P.Ar. -Mr. W. Lang: Oni ConjunctivalAffections. Hospital for Sick Children, Great OriniondStreet, 4 P.ar.-Dr. Voeleker: Pathological Demonstratioll,Tuberculosis, No. 1. Great Northern Central Hospital,8 P.Mi.-Dr. Galloway: (Gastro-intestinal Tract.

MEDICAL SOCu T- OF ,LoNoON, Y.:i0 P.f.- Dr. J. Althaus: The Pathologyo0 Intluenza. witli Special Reference to its Neurotic(liaractem. Di. G. H. Savage: Influenzi as a Cause ofMenital Disorder.

ODONTrOLOmICAL SOCIETY oi GREAT BRITAIN, 40, Leicestem Square, XW.C,s I'M).-AMr. flopewell Smiiitlh: On a Newv Alethod of Prepam-ing Sections of Teetli, to Demoinstrate time Hard anid SoftTissues in (lomuibination. Casual conmmuniieations wvill be-iven by Mr. W. Hem oi, Mr. XV'. A. Maggs, Mr. C. S. Tonmies,anld AMr. A. WV. Bamrett.

TUESDAY.LONDON POST-GRADUATE COURSE, Betlmlem Hospital, 2 P.MI.-Dr. l'er cy

Smi-ithl: On Insanity of Adolesecnce. Hospital for Diseasesof the Skin, Blackfriars, 4 P.M.- Dr. J. F. Payne: On theVarieties of Alopecia.

ROYAL COTLEGE OF PHYSICIANS OF LONDON, Examination lIall, tImeSavoy, V.C ., 5 P.ma.-Dr. J. Burdon Sanderson: The(roonian Lectiin-es on the Progress of Discovei-y relatingto the Origin and -Nature of Infectious Diseases. Lecture I.

PATHOLOGICAL SOCIETY OF LONDON, 8.30 P.aI.-Mr. E. XXW. Willett: Malig-namlt Disease of Thlyroid, with Secondar-y Growth ofThym-oidal Structture in the Cervical Vertebrm. Mr. S. G.Shattock: The Action of Proteus Vulgaris and P'yococcioII Uriiie; Explanation of the Deposit of Plhosphates fromUrine on Boiling; the Amphoteric Reaction of Urine,etc. Dr. G. N. Pitt: Double Serous Eiicysted Pachymenin-gitis. Dr. J. J. Clarke: (I) Encapsulated Fibro-sarcomaof Spinal Meninges; (2) Lymphadenoma of Spinal Cord.Air. F. C. Abbott: Series ofC ongenital Dislocations of theRadius (four generations). Dr. H. Mackenzie: Gumma ofLiver associated with Malignant Tumour. Dr. H. D.

Rolleston: Chronic Tuberculous Pericarditis. CardSpecimens.-Dr. H. D. Rolleston: (1) Secondary Epitheli-oinatous Growth of Heart. (2) Malformation of Heart.(3) Colon Pigmented from Mercury.

WEDNESDAY.LONDON POST-GRADUATE COURSE, Hospital for Consumption, Brompton,

4 P.M.-Dr. C. Y. Biss: Demiionstration of Cases of SpecialInterest. Royal London Ophthalmic Hospital, Moorfields,8 P.M.-Mr. J. B. Lawford: On Optic Nerve Atrophy.

OBSTETRICAL SOCIETY OF LONDON, 8 P.m.-Specimens will be slhown byDr. Herman, Dr. Cullingworth, Dr. Leith Napier, Dr.Carter, and otlhers. Adjourned reading of Dr. F. J.McCann's paper on Chorea Gravidarum. Dr. BraxtonHicks: A Case Showing the Behaviour of the PregnantUterus in Chorea. Dr. Herman: (1) On the Relationbetween Backwar d Displacements of the Uterus andSterility and Abortion. (2) On the Relation between Back-ward Displacements of the Uterus and Prolonged Hwmor-rhagc after Delivery and Abortion.

THURSDAY.LONDON POST-GRADUATE COURSE, National Hospital for the Paralysed

and the Epileptic, Queen Square, 2 P.m.-Dr. Buzzard:Clinical Cases. Hospital for Sick Children, Great ()rmondStreet, 4 P.M.-Mr. E. Owen: On Effects of Injuries ofEpiphyses. London Throat Hospital, Gi-eat PortlancdStreet, 8P.MN.-Dr. Whistler: Oni Syphilis of the Throat.

ROYAL COLLEGE 01' SURGEONS OF ENGLAND, 3 P..-Annual meeting.HARVETAN SOCIETY oF LONDON, 8.30 P.M.-Mr. Rayley Owen: Notes on

a Case of Rupture ,of the Fallopian Tube. Mr. C. W. Mani-sell Moullin: On Rupture of the Plantaris Tendon.

FRIDAY,LONDON POST-GRADUATE COURSE, Bacteriological Laboratory, King's Col-

lege, 11 A.aM. to 1 P.a.-Professor Crooksliank, Lecture:Tuberculosis, Human and Bovinie. Practical work: Tuber-culous Sputum and Sections. Hospital for Consumption,Brompton, 4 P.M.-Dr. C. Y. Biss: Demonstrations of Casesof Special Initerest.

WEST-LONDON- IEDICO-CHIRUIRGICAL SOCIETY, West Lonidon Hospital,8 P.M.-Dr. Thudiclium: Polypi of Ethmoid Cavities andtheir Entrance into the Orbit. Mr. Pei-cy Dunn: Case ofSarcoma of Orbit, witlh notes oni Recent Advances in ouii-Knowledge of Malignant Disease. Mr. WV. H. Battle:Thmee Cases of Sarcoma of Bone, witlh specimens.

WI EST KENT MEDICO-CHIRURGICAL SOCIETY, 8 P.M.-Dr. Morgan Dockrell:On the Relation of Seborrhlic Eczenma to otlher Diseasesand its Influence on their Treatimient. Living Specimens.-(l) Anaesthetic Leprosy. (2) Difluse Symmetrical Sclero-derma. (3) Jacob's Ulcer (undergoing Resorcin Cure).(4) Psoriasis Initerlocked with Seborrhcic Eczema.

SATURDAY.LONDON POST-GRADUATE COURSE, Bethlem Hospital, 11 A.M. -Dr. Percy'

Slmith: On Senile Inisanity.

BIRTHS, MIARRIAGES, AND DEATHS.The charge for inserting announcements of Births, Mfarriages, and Deaths is

.Js. Gd., wvhich sum should be forwvarded in Post Office Order or Stamps wit/sthe notice not latEr than JJ'ednesday morn iog, ia oreder to insure insertion inthe cuirrent issue.

BIRTH.

SIMIPSON.-At Oxton, Cheshire, on the 28th October, the wife of Dr. WN'. J_Simpson, M.O.I., Calcutta, of a son.

MARRIAGES.GEMM13ELL-ALEXANDER.-On October 23rd. at St. Peters, Rock Ferry,

Cheshire, by t'le Rev. W. L. Paige-Cox. M.A., Johni Edwvard Gemmell,M.B.. C.M.Edin., of Rodney Street, Liverpool, to Madge, youngestdauglhter of Wm. Alexander, Esq., Iliglhfield South, Rock Ferry.

HEWITSON-MARSHALL.-Derby, St. Andrew's Churcl, September 23rd,by the Rev. Robert Hey, Williamii Andrew HeNvitson, AM.R C.S.Eng.,L.R. C.P.Edin.. of Hettoii-le-Hole, Co. Durliamii, eldest soil of the lateWilliam Hewitson, M.R.C.S.Eng., L.R.C.P.Edin., of Allenheads,Northumberland, to Ada Auigusta, tllil-d daughter of the late JohinMlarslhall, Derby.

HoPKINSON-OWEN.-On October 22nd, at Holy Tr inity, Bronmpton, byRev. T. C. Chapman. Albert Hopkinson, M.B.,soIn of John Hopkinson,J.P., to Olga, daughter of Sir Philip CunlifUe Owen, K.C.B.

TEICHELMANN-BETTNEY.-On October 26th, at St. Michae)'s. Handswortlh,E Teiclhelmanni, F.R.C.S., son of the late Rev. C. G. Teiclhelmann, ofSoutlh Australia, to MNary, eldest daughter of Tlholnas Bettney, HallRoad, Handsworth.

THOMIPSON-CLOTHIER.-On October 20thll at the Registry Office, Wells.Arthur Huglh Thompson, M.B., Cambridge, to Ann Josephine, eldestdaughter of J. W. C. Clothier, Esq , of Leiglh Holt, Street, Somerset.

DEATHS.

BRICKWELL.-On October 26th, 1891, at Sawhridgeworth, Eustace AithurBrickwell, aged 44 years.

MOLONY.-At St. Patrick's Hospital, Dublin, October 28th, 1891, EthelConstance, beloved wife of Jolhn Molony, F.R.C.P.L., Medical Super-intenident, daughter of the late Huglh Lyons-Montgomery, D.L., Bel-lhavel, co. Leitrim, aged 39 years.

SPENCER.-On September 5th, at Puerto Bermej'o, Colonia de Vecchi,Argentine Republic, suddenly, aged :36 years., Henry E. Spencer.,L.R.C.S., L.R.C.P.Edin., late of York.

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982 TlHL BRITISH MEDICAL JOUJRNAL. (Oct. 31, 1891.

A PATIENT'S OPINION 01 NITRO-GLYCERINE.THE following extracts from a letter addressed by a clergymani to Dr. J.

(Garrett Horder, of Cardiff, give a graplhic account of the action ofn-itro-glycerine in mitigating the paings of angina pectoris, and will beread with interest." In July our house-surgeoni asked me to try niitrite of amyl. I did

not then know that this was specially used in anginia. It relieved megreatly, but did not remove the attack unless I remiiained absolutelymotionless for somIle time. Early in October I lhad a slight attack (onlypainful, not spasmodic) on goiing into the hospital, and went inito thehouse-surgeon's room to wait for the pain to pass. I thought lhe wasout, but he was there, and at once applied hiis stethoscope. He hastold me since that he considered it a bad attack; I called it child's play.However, two or tlhree days after, in a half-jocular way, he recom-mended me to try nitro-glycerine......I began to use nitro-glycerine onOctober 31st as a prophylactic, taking a dose about three to five minutesbefore doing anything which might possibly bring on the attack. Sincethen I have never once had an attack after taking nitro-glycerine. Itis absolutely specific. Its elTects last sometime, an hour or more Thealcoholic solution acts with me almost instantly. The 'tablets' areslowor, and require three or four minutes before their influence is felt.The dose is '15,-th of a grain. Tlle solution Is made to contain this dosein a minim. We mix it one minim of solution to a drachm of water,and so keep it ready for use. It is as effectual now as at first ; three orfour doses may be taken safely in the day, if required. My heart nowbeats more quietly than it has done for years. The irritability is im-mensely lessened, and the intermittence has practically ceased. Mereexposure to cold now brings on my attacks, independently of muscularmotion. A dose of the nitr o-glycerine has enabled me to fa('e the bit-terest days witlhout the faintest Iiint of pain.-Ever sincerely yours,P. H. N."

LETTERS, COMMIUNICATIONS, ETC., received:(A) Dr. A. Aimibrose, Bucklhurst Hill; Dr. A. M. Anderson, Dunidee;Dr. Arlidge, Stoke-on-Trent; Dr. ('. J. Adams, Sheffield; A. B. B.;Apothecaries' Society, The Secretary of, London: Dr. Henry Ashby,Manchester; Dr. Atkinson, Longford. (B) MIr. Mf. M. Bowlan, New-castle-on-Tyne; Mr. Lennox Brownie, London; Mr. T. J. Bokenham,Brighton; Dr. Bampton, Ilkley-in-Whlarfedale; Mr. J. P. Bush, Clifton;Dr. H. D. Buss, St. Raplhael; Mr. W. Barker, Denbigh C. W. S. Barrett,M.B., Hinckley; Sir J. C. Brownie, Chester; Dr. E. Berdloe, London;Dr. Byers, Belfast; Miss Beal, London; Dr. J. F. Brice, Brooklyn; Dr.G. B. Beak, Soutli Tottenlham; Dr. Robert Barnes, Lyss; Mr. A. J.Barnes, Londoin; MI. A. J. M. Bentley, Wlhitelhouse; MIr. F. C.Bennett, Burslem; Dr. Jolhni Brown, Bacup; Berlin Photograplh Co.,London; Dr. J. W. Ballantynie, Edinburlgh; Mr. Henry Buxtoni,Douglas; Mr. F. F. Binglhain, Lonidon; Dr. G. Brown, Colehester.(C) A. C. Coles, M.B., BourDnemoutlh: Dr. A. L. Carroll, New York; Dr.H. J. Clarke, Doncaster; The Marquis of Carmartlien, London; Mr. S.Cowell, London; Air. J. W. Carr, London; Airs. Claxton, NewsBrighton;MIr. Ernest Clarke, Lonldon; Messrs. J. and A. Clhuirchill, London; Dr.Cooney, Fulham; Mr. C. Campbell, Saddleworth; Mr. F. Carre, Letter-kenny; Dr. J. B. Cooke, Portland. (D) Mr. A. Doran, London; Mr. J.H. Douty, Wallingford; M,r. H. P. Dunn, London; Mr. J. F. Dell,London; Dr. C. Digby, Dublin; Mr. T. Dutton, London; Dr. T. David-son, Los Angeles, California; Dr. 'V. Dickinson, London. (E) Mr. T.M. Evans, lHull; Mr. J. J. Eyre, Beckenhami; Mr. A. S. Eceles, London;Enquirer; MIr. J. T. Elliott, Smitlhborough. (F) Mr. K. M. Foss, Lon-don; Dr. G. L. Fitel, San Francisco; MIr. WI. Adams Frost, London; MissFrohnstein, M.D., London. (G) D)r. F. W. Grant, Elgin; Mr. J. Gibson,Rosebank Doune; Mr. Gobat, Ruabon; J. E. Gemmell, M.B., Brighton;Mr. E. C. Greenwood, London: Dr. Mfajor Greenwood, London; Mr. X.Gripper, Walliington; Dr. E. Goodall, Mlanchester; Mr. W. Gurner,London; Dr. A. Gaster, London. (H) Mr. Hepburn, Dublin; Mr. A,T. Hall, Slheffield; MIr. G. H. Hopkins, Swansea; Mr. J. Harrold,London; Messrs. Hooper and Co., London; Dr. Harris, Manchester;Mr. J. Hamilton, Enniskeriy: Mr. B. Harvan, London; Dr. P. Helbing,Dalston: Professor D. J. Hamilton, Aberdeeni; Mr. WX'. W. Hime,London; Mr. XX'. A. Hewvetson, Hetton-le-Hole; Rev. J. W. Horsley,Woolwich; AMr. S. F. Harris, Walton-le-Dale; Dr. W. Habgood, BarmingHeath; Dr. XV. Hall, Harlesden; Mlessrs. Hertz and Collingwood, Lon-don; Mr. J. Hogg, London; Dr. G. Henty, London. (I) Dr. C. R.Illingworth, Acerington. (J) Junior Practitioner. (K) Mr. XXW. King,Melton Mowbray; Mr. J. Keating, Ballinhassig. (L) Dr. T. Laffan,Cashel; Mr. W. J. S. Ladell, London; Dr. Lindsay, Belfast; Dr. M.Lowrie, XVeymouthl; Veterinary-Colonel Lambert, Aughnacloy; Mr.Jordan Lloyd, Birminghamii; Liquor Carnis Company, The, London;Mr. E. Latham Manchester. (M) Member, A.; Mr. F. H. Moore, Ely;Dr. Marriott, Reading: Mr. W\'. A. Mfaggs, London; Mr. V. J. Magrane,Darlaston; MI. A. McCulloch, Tarporley; Mr. C. Macnamara, London;Dr. Monod, Paris; Mr. XW. L. AMullen, Melbourne; Mr. H. Marston,XVood Green; Mr. D. XW'. Morris, Mairgate; Mr. A. E. Maliood, London.(N) Mr. W. J. Noel-Bell, London; New Souith XX'ales Branch of theBritish Medical Association, the Secietary of, Sydniey; Mr. S. C. Noble,Kendal. (0) Mr. W. Odell, Torqiuay; One of the Profession. (P) Pei-plexed; Dr. Robert Park, Pollokslhields; Public Vaccinator; Dr. T.A. Palm. Wigton: Dr. \N Park1in. Hvll: Dr. .1. R. Phillips. Au-hnaclo;

AMr. A. Price, Birmingham; M1r. J. J. Pitcairn, London; Major L. W.Read, London; Dr. Leslie Phillips, Birmingham; Mr. A. E. Pearson,Leeds; Mr. J. J. Pink, London; Mr. H. A. Phillips. York. (R) Messrs.J. Richardsoni and Co., Leicester; Messrs. Richardson Brothers andCo., Liverpool; Royal College of Surgeons in Ireland, the Registrar oftlhe, Dublin; Professor A. Roclhe, Dublin; Surgeon-Major G. Ranking,Lucknow; Dr. Rentoul, Liverpool; Messrs. John Richardson and Co.,Leicester; Royal Surgeon; Dr. Robinson, Stanhope; Dr. J. Rains,Bournemouth. (S) Mr. R. R. Sleman, London; Dr. Savage, London;Mr. J. E. Smith, London; Dr. F. Semon, London; Mir. P. L. Sclater,London; St. Mary's Hospital, The Secretary of, London; Professor Bur-don Sanderson, Oxford; Mr. R. W. Stewvart, Glaslough; SheffieldMedico-Chirurgical Society, The Secretary of; Mr. Morton Smale, Lon-London; Dr. J. F. Sutherland, Glasgow; Dr. J. Strutlhers, Edinburglh;Surgeon-Captain; Dr. R. W. Savage, London; Mr. W. W. Stocker,Brondosbury. (T) Mr. C. W. Thies, London; Mr. J. P. Topping, ForestGate; Twin Bottle and Bottling Co., The, London; Mr. H. N. Taylor,Nottingham; Mr. Lawson Tait, Birmingham; Messrs. Raphael Tuck anidCo., London. (U) Dr. A. R. Urquhart, Perth. (V) Dr. F. Vacher, Bir-kenhead; Verax. (W) Dr. Tucker Wise, Davos Platz; Dr. A. White-legge, Wakefield; Mr. W. Roger Williams, Enfield; Mr. S. Whitaker,Accrington; Rev. Prebendary H. Wace, London; Dr. Hugh Woods,London; Mr. F. C. Wood, Bristol; Dr. Outterson Wood, London; Dr.A. R. Waddell, Kidderminster. (Y) Dr. G. E. Yarrow, London; SirGeorge Young, Lolndon; Dr. Burney Yeo, London; etc.

BOOKS, ETC., RECEIVED.

Colour-Blindiiess and Colour-Pereeption. By F. W. Edridge-Green, MI.D.,F.G.S. London: Kegan Paul, Trench, Trubner and Co. 1R91.

Repetitorium der Chemie. VoniDr. Carl Arnold. Vierte verbesserte undergiinzte Auflage. Hamiiburg und Leipzig: Leopold Voss. 1891.

V'orlesungen iiber Pharmakologie. Von Dr. C. Binz. Zweite gaenZlichumgearbeitete Auflage. Berlin: August Hirschwald. 1891.

Handbuch der allgemeinen und speciellen Arzneiverordnungslehre. VonDr. C. Ewald. Zwojlfte vermehrte Auflage. Dritte Lieferung. Berlin:August Hirschwald. 1891.

The Comparative An atomy of tbe Domesticated Animals. By A. Chauveau,M.D., LL, D. Re-ised and enlarged with the co-operation of S. Arloing.Secolid English edition, translated and edited by George Fleming,C.B., LL.D., M.R.C.V.S. Price :31s. 6d. London: J. and A. Churchill,1891.

Des Ali6n6s Criminels. Par Canmille Allaman. Paris: J. B. Bailli6re etFils. 181P.

Traitb El6mentaire de Th6rapeutiquc de Matl&,ro M6dicale et de Pharma.cologie. Par le Dr. A. Manquat, Tomes premier et second. Paris: J,B. Bailli6re et Fils, 1891.

Origin, Purpose, and Destiny of MIan. By William Tllornton. Boston:Published by the Author. 1891.

The Practical Guide to Algiers, By George W. Harris. Price 3s. 6d.London: George Philip and Son. 1891.

Photography Applied to the Microscope. By F. W. Mills. With a chapteron Mounting Objects, by T. C. Wl'hite, M.R.C.S. London: Iliffe andSon. 1891.

Science of Sphygmica. By Kavirdj Russick L611 Gupta. Calcutta: S. C.Addy.

The Modern Factory System. By R. Whately Cooke Taylor, F.S.S.London: Kegan Paul, Trenclh, Triibner and Co. 1891.

Transactions of the Ophthalmological Society of the United KingdomVol. XI. London: J. and A. Churcllil]. 1891.

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