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connecting it by means of a tube with acaoutchouc bag, to be fastened round thethigh, when the secretion would flow intothis artificial bladder, which might beemptied at pleasure by a cock-stop thatwoiild be attached to it.



Mr. EARLE also called the notice of theclass to a case which was brought to thehospital on Friday, the 6th inst. Tidy,a strong robust man, aged 42, in driv-ing an errand-cart from Guildford, fellasleep, and dropped off, when the wheelgrazed his head: Notwithstanding the in- Ijury he had sustained, he came on to Lou-don, a distance of twelve miles. On enteringthe ward, he said that he had met with theabove-mentioiied accident, but did not

complain of any pain. His head beingenveloped in a handkerchief, and from thecircumstance of the , man appearing tosuffer but little from his wound, no notice Iwas taken of him, until Mr. EARLE hadattended to all his other patients, but onremoving the wrappers from the head,he was astonished to find a horrible in-jury ; the scalp covering the posteriorpart of the right parietal bone, and thesuperior portion of the occipital, hungdown in a flap, whilst that which formedthe covering to the anterior half of theparietal bone and right temple, extend-

ing from the external canthus of theeye to the loose portion of scalp alreadymentioned, was entirely torn awav. The

temporal muscle was also implicated in thelaceration, and so torn that the injuredsurface was obliged to be removed by theknife. To show the dogged resolution ofthe man, he made very light of this ex-tensive injury, and even expressed a wishto walk home after the wound had beendressed. Mr. EARLE took this oppor-tunity to remark that, independent of thedanger which might arise from the su-

pervention of erysipelas, other sequelae,of a much more fatal nature, were to bedreaded. He alluded to the probable ne-crosis of a large part of the parietal bone,which was denuded of its pericranial in-vestment, and might induce so muchirritation as would cause inflammation ofthe dura mater lining that part of thecranium, when formation of matter wouldbe the probable result. He had not as-

certained, until that morning, that the

patient had fractured the olecranon processof the ulna on the right side, but suchwas the case, and, on further examination,he had discovered that the fracture im-plicated the condyles of the humerus, andled into the joint. From this circum-

stance he augured, that anchylosis of thejoint would follow, which induced him toplace the limb in a semiflexed posture, asin case the articulation was destroyed, thearm, in that position, would be of greaterservice to the patient than if it anchylosedin a straight direction.Mr. EARLE had been consulted on the

case of fungus of the leg, lying in Henry’sWard, and he had given it as his opinion,that the operation of amputation was theonly one which was admissible.


To the Editor of THE LANCET.

SIR,—I shall be glad to know whetherI can legally demand the re-payment ofmy entrance fee to Mr. STANLEY, for Mr.SKEY’s demonstrations. I understand,that instead of two demonstrators as here-tofore, we are now to have only one; onemust be insufficient for the due dischargeof all the duties ; and, unless Mr. STAN-LEY will consent to superintend’the roomshimself, or appoint a fresh man in Mr.SKEY’S place, we shall necessarily be

neglected, even more than before the newarrangement. There seems to me to besomething essentially knavish in chargingus for two demonstrators, and then em-ploying only one. If Mr. STANLEY choseto recreate himself any fine Sunday atHampstead, or Hornsey, or any othercockney paradise, and he were to nego-ciate the hire of a landau and a pair ofhackneys, what would he think of the

probity of the coachman, who having thenight before taken his money for a pair,should next morning drive into Lincoln’sInn-fields with one miserable prad ? I am,Sir, your humble servant,



To the Editor of THE LANCET.

SIR,—The recent and passing events atthis hospital are sufficiently stirring, notonly to rouse your correspondent the" Pupil," but actually to reanimate a

ghost. With my signature you are,doubtless, familiar. Although Mr. ABER-NFTHY thought this institution a close

borough, THE LANCET, and a few spiritedand honest governors, convinced this Cru-soe and his man Friday, Mr. STANLEY, thatthey could not always have everythingtheir own way. The latter gentleman,whose brain is said never to have beenvery retentive, has already forgotten the