1
908 NEW ZEALAND.-OBITUARY concerning the administration of the Castlemaine Hospital. The honorary staff apparently object to the present arrange- ment of having a highly paid and experienced resident medical officer, who is allowed a limited consulting practice, and would prefer a junior man as house surgeon, who would simply carry out their directions. Actions for libel have been brought, and the whole proceedings were not calculated to uphold the dignity of the profession, and the judge was very severe upon both parties to the suit for bringing what he called such a schoolboy’s quarrel into court at all. Indigenous Medicinal Plants of Queensland. At a recent meeting of the Medical Society of Queensland, Dr. Bencroft exhibited a number of specimens of native medicinal plants ard preparations extracted from them. The eucalypti yield various kinds of gum, containing astringent principles allied to tannic acid. By dissolving the recently exuded gum in water and evaporating the con- centrated solution this gum is obtained in red scales and is very useful in diarrhoea. From the bark of the cinnamomum obtusifolium can be obtained a tincture with aromatic and astringent qualities, combining the properties of cinna- mon and catechu and having no toxic properties. It is especially useful in chronic ciarrhcea. The tincture pre- pared from the alstonia is a capital all-round bitter, free from tannic acid and non-toxic ; though tasting exactly like quinine, it is not antiperiodic. The alkaloid of the duboisia is too well known to require more than mention, but the pituri obtained from an allied plant has very different physiological pro- perties. The active principle appears to be nicotine, or a closely allied body. The natives in the interior chew it in company, each sucking for a short time a small quid, passed from one to the other. The leaf is probably forty times stronger than that of tobacco. Aeute Mononephritis. At the last meeting of the South Australian branch of the British Medical Association Dr. A. A. Lendon read a very suggestive paper with the above title. He first narrated a case of ordinary typical nephritis with dropsy, in which he found post mortem that one kidney was very much more diseased than the other, and this fact suggested that it had been affected long before the other. Then the notes of a case were read with all the classical symptoms of nephritis : scanty urine containing blood and blood-casts in the first stage, then albumen with granular and fatty casts, and finally cardiac hypertrophy and ursemic symptoms, but no anasarca throughout. Dr. Lendon explains this case as one of nephritis affecting one kidney only, which he thinks would account for the absence of dropsy. Renal Surgery. At the Victorian branch of the British Medical Association Mr. H. M. O’Hara recently reported four cases and Mr. G. A. Syme two cases of successful nephrolithotomy. The latter surgeon also read notes of a case of Exploratory Nephrotomy for supposed Renal Calculus, which ended fatally from secondary hemorrhage. Mr. Jordan Lloyd’s method of exploring the kidney with a tenotome and child’s bladder sound had been adopted, and the heamorrhage which occurred at the time was apparently arrested by plugging. It recurred next day when the dressings were changed, and the patient collapsed in spite of the transfusion of saline solution and the almost immediate arrest of the haemorrhage. At the necropsy the tenotome was found to have divided a vessel of considerable size. NEW ZEALAND. (FROM OUR OWN CORRESPONDENT.) .Blackm2ilircg ec Medical Man. DR. MooRE of Napier has had the very unpleasant task of bringing to justice the husband of one of his patients. The culprit accused the doctor of criminally assaulting his wife while she was under the influence of chloroform, which was administered for some minor operation without any other person being present. The blackmailer demanded 250 or "he would expose the way in which his wife had been treated." After a long trial the prisoner was convicted and sentenced to five years’ penal servitude. Dr. Moore has had a lesson not to give an anæsthetic without a third person being present, a maxim which cannot be adhered to, for many reasons, too closely. Medical Education in New Zealand. In reply to the circular issued by the Wellington branch of the New Zealand Medical Association, and to which I referred bv the last mail, Dr. Closs, acting as hon. secretary to the Otago branch, has circulated a manifesto among medical men prac- tising in the colony, of which the following is a brief sum- mary :—In the first place, objection is taken to the tone of the circular, to its incorrect statements, and to the circulation of the manifesto outside the branches of the Association, since it was most fitting that it should have emanated from the New Zealand Medical Association alone. The Otago School, it is affirmed, has already turned out graduates who have acquitted themselves as well as those trained in older schools, and is of great importance not only to Dunedin as a teaching centre, but to the colony at large. Referring to the amount of hospital practice to be taken advantage of in the school, it is considered that there is ample material therein for clinical teaching, and a protest is made against the affirmation that "less than 25 per cent. of the cases have been of any value for teaching purposes." Mention is also made of the aid derived from associated institutions, the cases in which are available as supplementary means of clinical instruction. Exception is likewise taken to the statement that in Dunedin Hospital insufficient means are provided for the study of minor surgery as well as of pathological anatomy. Finally, with regard to the care exercised in securing thoroughness in the professional examinations it is stated that an examiner is appointed by the New Zealand University with equal powers to act with the teacher of the subject in which the student is to be examined, and that the same rule applies in the case of the final examination. While admitting the vast importance of this subject it seems to me that announcements of opinions circulated throughout the colony by local branches of the New Zealand Medical Association can do little good. The whole subject should be discussed in all its details at a properly convened meeting of medical men practising in this colony. Anything short of this can only open the door to newspaper criticism which cannot tend to improve the status of our profession in this young colony. Feb. 21st. ______________ Obituary. HENRY SMITH. F.R.C.S.ENG. By the death of lTr. Henry Smith on Easter Sunday, at his residence, Summerhill, Horsell, after a few weeks’ illness, the medical profession has lost another of the brilliant operating surgeons who were trained at King’s College Hospital by the late Sir Wm. Fergusson. Henry Smith was born at Parkhill, Croydon, in 1823. His father was a London solicitor and a native of Herefordshire. He was educated at Croydon and afterwards at Harrow, where amongst his school-fellows were Sir Robert Peel, Sir Thomas Moncrieffe, Shelley (the son of the poet), and other celebrities. In those days his chief recreations were fishing and birds-nesting, and he has recorded in a short auto-biographical sketch many amusing anecdotes associated with these sports in his early youth. He maintained through life his love for all objects of natural history, such as birds, ferns, and flowers, and was ever an ardent and enthusiastic fly-fisher, spending the greater part of the short holidays from pro- fessional work which he allowed himself in the spring and summer in this amusement, in which he attained great proficiency. So infatuated was he with this sport that in after years his lectures and clinical demonstrations were constantly interspersed with illustrations connected with the rod and line. His classical education at Harrow also came into evidence by his frequent apt quotations in Greek and Latin. Henry Smith had no predilection for the medical profession, but in 1840 he was apprenticed by his father to a general practitioner in the West-end, and went through the drudgery connected with an open surgery, even to delivering the medicine at the houses of the patients. It is amusing to relate that, although his master forbade him to smoke, he contrived to do so in the bottle shed, successfully evading detection by subsequently washing his mouth with peppermint water. Many other anecdotes of his apprenticeship are very interesting. During this time he was brought into contact with many of the then leaders of the profession-Lawrence, Marshall Hall,

NEW ZEALAND

  • Upload
    lamhanh

  • View
    212

  • Download
    0

Embed Size (px)

Citation preview

Page 1: NEW ZEALAND

908 NEW ZEALAND.-OBITUARY

concerning the administration of the Castlemaine Hospital.The honorary staff apparently object to the present arrange-ment of having a highly paid and experienced residentmedical officer, who is allowed a limited consulting practice,and would prefer a junior man as house surgeon, who wouldsimply carry out their directions. Actions for libel havebeen brought, and the whole proceedings were not calculatedto uphold the dignity of the profession, and the judge wasvery severe upon both parties to the suit for bringing what hecalled such a schoolboy’s quarrel into court at all.

Indigenous Medicinal Plants of Queensland.At a recent meeting of the Medical Society of Queensland,

Dr. Bencroft exhibited a number of specimens of nativemedicinal plants ard preparations extracted from them.The eucalypti yield various kinds of gum, containingastringent principles allied to tannic acid. By dissolvingthe recently exuded gum in water and evaporating the con-centrated solution this gum is obtained in red scales and isvery useful in diarrhoea. From the bark of the cinnamomumobtusifolium can be obtained a tincture with aromatic andastringent qualities, combining the properties of cinna-

mon and catechu and having no toxic properties. Itis especially useful in chronic ciarrhcea. The tincture pre-pared from the alstonia is a capital all-round bitter, free fromtannic acid and non-toxic ; though tasting exactly like quinine,it is not antiperiodic. The alkaloid of the duboisia is too wellknown to require more than mention, but the pituri obtainedfrom an allied plant has very different physiological pro-perties. The active principle appears to be nicotine, or a

closely allied body. The natives in the interior chew it incompany, each sucking for a short time a small quid, passedfrom one to the other. The leaf is probably forty timesstronger than that of tobacco.

Aeute Mononephritis.At the last meeting of the South Australian branch of the

British Medical Association Dr. A. A. Lendon read a verysuggestive paper with the above title. He first narrated acase of ordinary typical nephritis with dropsy, in which hefound post mortem that one kidney was very much morediseased than the other, and this fact suggested that it hadbeen affected long before the other. Then the notes of acase were read with all the classical symptoms of nephritis :scanty urine containing blood and blood-casts in the firststage, then albumen with granular and fatty casts, and

finally cardiac hypertrophy and ursemic symptoms, but noanasarca throughout. Dr. Lendon explains this case as oneof nephritis affecting one kidney only, which he thinks wouldaccount for the absence of dropsy.

Renal Surgery.At the Victorian branch of the British Medical Association

Mr. H. M. O’Hara recently reported four cases and Mr. G. A.Syme two cases of successful nephrolithotomy. The lattersurgeon also read notes of a case of Exploratory Nephrotomyfor supposed Renal Calculus, which ended fatally from

secondary hemorrhage. Mr. Jordan Lloyd’s method of

exploring the kidney with a tenotome and child’s bladdersound had been adopted, and the heamorrhage whichoccurred at the time was apparently arrested by plugging. Itrecurred next day when the dressings were changed, and thepatient collapsed in spite of the transfusion of salinesolution and the almost immediate arrest of the haemorrhage.At the necropsy the tenotome was found to have divideda vessel of considerable size.

NEW ZEALAND.(FROM OUR OWN CORRESPONDENT.)

.Blackm2ilircg ec Medical Man.DR. MooRE of Napier has had the very unpleasant task of

bringing to justice the husband of one of his patients. The

culprit accused the doctor of criminally assaulting his wifewhile she was under the influence of chloroform, which wasadministered for some minor operation without any otherperson being present. The blackmailer demanded 250 or"he would expose the way in which his wife had beentreated." After a long trial the prisoner was convicted andsentenced to five years’ penal servitude. Dr. Moore has had alesson not to give an anæsthetic without a third person beingpresent, a maxim which cannot be adhered to, for manyreasons, too closely.

Medical Education in New Zealand.In reply to the circular issued by the Wellington branch of

the New Zealand Medical Association, and to which I referredbv the last mail, Dr. Closs, acting as hon. secretary to the Otagobranch, has circulated a manifesto among medical men prac-tising in the colony, of which the following is a brief sum-mary :—In the first place, objection is taken to the tone of thecircular, to its incorrect statements, and to the circulation ofthe manifesto outside the branches of the Association, sinceit was most fitting that it should have emanated from the NewZealand Medical Association alone. The Otago School, it isaffirmed, has already turned out graduates who have acquittedthemselves as well as those trained in older schools, and is ofgreat importance not only to Dunedin as a teaching centre,but to the colony at large. Referring to the amount of

hospital practice to be taken advantage of in the school, it isconsidered that there is ample material therein for clinicalteaching, and a protest is made against the affirmation that"less than 25 per cent. of the cases have been of any valuefor teaching purposes." Mention is also made of the aidderived from associated institutions, the cases in which areavailable as supplementary means of clinical instruction.Exception is likewise taken to the statement that in DunedinHospital insufficient means are provided for the study ofminor surgery as well as of pathological anatomy. Finally,with regard to the care exercised in securing thoroughness inthe professional examinations it is stated that an examiner isappointed by the New Zealand University with equal powersto act with the teacher of the subject in which the student isto be examined, and that the same rule applies in the case ofthe final examination. While admitting the vast importanceof this subject it seems to me that announcements of opinionscirculated throughout the colony by local branches of the NewZealand Medical Association can do little good. The wholesubject should be discussed in all its details at a properlyconvened meeting of medical men practising in this colony.Anything short of this can only open the door to newspapercriticism which cannot tend to improve the status of ourprofession in this young colony.Feb. 21st.

______________

Obituary.HENRY SMITH. F.R.C.S.ENG.

By the death of lTr. Henry Smith on Easter Sunday, athis residence, Summerhill, Horsell, after a few weeks’ illness,the medical profession has lost another of the brilliant

operating surgeons who were trained at King’s CollegeHospital by the late Sir Wm. Fergusson. Henry Smith wasborn at Parkhill, Croydon, in 1823. His father was a Londonsolicitor and a native of Herefordshire. He was educated atCroydon and afterwards at Harrow, where amongst hisschool-fellows were Sir Robert Peel, Sir Thomas Moncrieffe,Shelley (the son of the poet), and other celebrities. In those

days his chief recreations were fishing and birds-nesting, andhe has recorded in a short auto-biographical sketch manyamusing anecdotes associated with these sports in his earlyyouth. He maintained through life his love for allobjects of natural history, such as birds, ferns, andflowers, and was ever an ardent and enthusiastic fly-fisher,spending the greater part of the short holidays from pro-fessional work which he allowed himself in the spring andsummer in this amusement, in which he attained greatproficiency. So infatuated was he with this sport that inafter years his lectures and clinical demonstrations wereconstantly interspersed with illustrations connected withthe rod and line. His classical education at Harrow alsocame into evidence by his frequent apt quotations inGreek and Latin. Henry Smith had no predilection for themedical profession, but in 1840 he was apprenticed by hisfather to a general practitioner in the West-end, and wentthrough the drudgery connected with an open surgery, evento delivering the medicine at the houses of the patients.It is amusing to relate that, although his master forbadehim to smoke, he contrived to do so in the bottle shed,successfully evading detection by subsequently washing hismouth with peppermint water. Many other anecdotesof his apprenticeship are very interesting. During thistime he was brought into contact with many of thethen leaders of the profession-Lawrence, Marshall Hall,