580

Medical Diary for the ensuing Week.Monday, March 10.

CHARING-CROSS HOSPITAL.-Operations, 3 P.M.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.—Operations,

daily at 10 A.M.ROYAL WESTMINSTER OPHTHALMIC HOSPITAL.-Operations, 1.30 P.M.,

and each day at the same hour.CHELSEA HOSPITAL FOR WOMEN.—Operations, 2.30 P.M. ; Thursday, 2.30.ST. MARK’S HOSPITAL—Operations, 2.30 P.M. ; Tuesday, 2.30 P.M.HOSPITAL FOR WOMEN, SOHO-SQUARE.—Operations, 2 P.M., and on

Thursday at the same hour.METROPOLITAN FREE HOSPITAL.-Operations, 2 P.M.ROYAL ORTHOPEDIC HOSPITAL.-Operations, 2 P.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.-Operations, 2 P.M., and

each day in the week at the same hour.UNIVERSITY COLLEGE HOSPITAL.—Ear and Throat Department, 9 A.M. ;

Thursday, 9 A.M. .

THE THROAT HOSPITAL (Golden-square, W.).-5.30 P.M. Dr. James W.Bond : Adenoid Growths in the Naso-pharynx.

MEDICAL SOCIETY OF LONDON.-8.30 P.M. Dr. Samuel West : ParoxysmalHurry of the Heart.—Mr. Barwell : Treatment of Lateral Curvatureof the Spine by Rachilysis.

Tuesday, March 11.KING’S COLLEGE HOSPITAL.-Operations, 2 P.M. ; Fridays and Satur.

days at the same hour.GUY’S HOSPITAL.-Operations, 1.30 P.M., and on Friday at same hour.

Ophthalmic Operations on Monday at 1.30 and Thursday at 2 P.M.ST. THOMAS’S HOSPITAL.-Ophthalmic Operations, 4 P.M. ; Friday, 2 P.M.CANCER HOSPITAL, BROMPTON.—Operations, 2 P.M.; Saturday, 2 P.M.WESTMINSTER HOSPITAL.-Operations, 2 P.M.WEST LONDON HOSPITAL.-Operations, 2.30 P.M.ST. MARY’S HOSPITAL.-Operations, 1.30 P.M. Consultations, Monday,

2.30 P.M. Skin Department, Monday and Thursday, 9.30 A.M.Throat Department, Tuesdays and Fridays, 1.30 P.M. Electro-thera.peutics, same days, 2 P. M.

ROYAL INSTITUTION.-3 P.M. Prof. G. J. Romanes : The Post-DarwinianPeriod.

ROYAL COLLEGE OF PHYSICIANS.-5 P.M. Dr. Newton Pitt: CerebralLesions. (Gulstonian Lecture.)

SOCIETY OF ARTS.—8 P.M. Mr. James Orrock : The Claims of the BritishSchool of Painting to a Thorough Representation in the NationalGallery. (Pictures will be exhibited by Mr. Orrock.)

ROYAL MEDICAL AND CHIRURGICAL SOCIETY.-8.30 P.M. Sir HenryThompson : Analysis of 961 cases of Operation for Calculus in theBladder by Lithotomy and Lithotrity, with Remarks. (The Calculiiemoved will be exhibited to the Society when the paper is read.)

Wednesday, March 12.NATIONAL ORTHOPÆDIC HOSPITAL.-Operations, 10 A.M.MIDDLESEX HOSPITAL.-Operations, 1 P.M. Operations by the Obstetric

Physicians on Thursdays at 2 P.M.ST. BARTHOLOMEW’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same

hour. Ophthalmic Operations, Tuesday and Thursday, 1.30 P.M.Surgical Consultations, Thursday, 1.30 P.M.

ST. THOMAS’S HOSPITAL.-Operations, 1.30 P.M. ; Saturday, same hour.LONDON HOSPITAL.-Operations, 2P.M. Thursday& Saturday, same hour.SAMARITAN FREE HOSPITAL FOR WOMEN AND CHILDREN.-Operations,

2.30 P.M.GREAT NORTHERN CENTRAL HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.—Operations, 2 P.M. ; Skin Depart-

ment, 1.45 P.M. ; Saturday, 8.15 A.M.ROYAL FREE HOSPITAL.-Operations, 2 P.M., and on Saturday.CHILDREN’S HOSPITAL, GREAT ORMOND-STREET.-Operations, 9.30 A.M. ; ;

Surgical Visits on Wednesday and Saturday at 9.15 A.M.THE THROAT HOSPITAL (Golden-square, W.).-5.30 P.M. Mr. T. Mark

Hovell: Some Affections of the Middle Ear.EPIDEMIOLOGICAL SOCIETY OF LONDON.-8 P.M. Mr. J. B. Curgenven.

On the use of the Oil of Eucalyptus Globulus in Infectious Diseases.HUNTERIAN SOCIETY.-8 P.M. Pathological Evening. Dr. Turner: ASpecimen of Gumma in the Heart.-Mr. Cotman : Kidneys from a

case of Puerperal Eclampsia,.-Mr. Bidwell : (1) Sebaceous Cyst ofUmbilicus; (2) Tubercle of Thyroid.—Mr. Tatham: Carcinoma ofLiver.-Dr. Hingston Fox : Large Gall-stones producing Fatal Ob-struction of Bowel. And other Specimens.

SOCIETY OF ARTS.-8 P.M. Sir Douglas Galton : The Chemin de FerGlissant, or Sliding Railway.

BRITISH GYNECOLOGICAL SOCIETY (20, Hanover-square, W.).-8.30 P.M.Council at 8 P.M. Dr. R. T. Smith and Mr. Mayo Robson : PelvicAbscess.

Thursday, March 13.ST. GEORGE’S HOSPITAL.-Operations, 1 P.M. Surgical Consultations,

Wednesday, 1.30 P.M. Ophthalmic Operations, Friday, 1.30 P.M.CHARING-CROSS HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M. ; Ear and Throat De.

partment, 9 A.M.ROYAL INSTITUTION.-3 P.M. Mr. F. Niecks : The Early Developments

of the Forms of Instrumental Music. (With Musical Illustrations.)CITY OF LONDON HOSPITAL FOR DISEASES OF THE CHEST, VICTORIA-

PARK, E.-4.30 P.M. Sir Hugh Beevor : The Diagnosis of Phthisisin its Earliest Stage.

ROYAL COLLEGE OF PHYSICIANS.-5 P.M. Dr. Newton Pitt: CerebralLesions. (Gulstonian Lecture.)

SOCIETY OF ARTS.-5 P.M. Mr. W. R. Robertson : Agriculture and theState in India.

OPHTHALMOLOGICAL SOCIETY OF THE UNITED KlNGDOM.—8.30 P.M.Patients and Card Specimens at 8 P.M. Dr. Berry: (1) Demonstrationof a New Stereoscopic Phenomenon, and the possible Clinical Usesto which it might be put ; (2) Case of Spontaneous Purulent Hyalitisoccurring long after Cataract Extraction ; (3) Note on the Metre-angle in Latent and Manifest Muscular Deviations ; (4) On the Im-mediate and Remote Effects of Tenotomy on the Concomitancy of aSquint.-Mr. Spencer Watson : Case of Glaucoma.—Mr. Marcus

I Gunn : Case of Superficial Punctate Keratitis.

Friday, March 14.ROYAL SOUTH LONDON OPHTHALMIC HOSPITAL.—Operations, 2 P.M.THE CANCER HOSPITAL (FREE), FULHAM-ROAD, BROMPTON, S.W.-

4 P.M. Mr. Elam : Cancer of the Uterus.CLINICAL SOCIETY OF LONDON.-8.30 P.M. Living Specimens at 8 P.M.;

Papers at 9 P.M. Dr. Savill: A case of Abductor Paresis of theVocal Cords.—Mr. Knowsley Thornton: Abdominal Neplirectomyfor large Sarcoma of Capsule or Supra-renal Capsule ; Recovery.-Mr. Croft: Rupture of Small Intestine without External Wound,Laparotomy Excision of Injured Bowel, Enterorraphy; Cure.—Mr. H. W. Allingham : Obscure case of Acute Abdominal Obstruc-tion in a Boy aged ten. Laparotomy, Removal of SuppuratingAppendix Vermiformis; Recovery.

ROYAL INSTITUTION.-9 P.M. Prof.T. E.Thorpe : The Glow of Phosphorus.Saturday, March 15.

MIDDLESEX HOSPITAL.—Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.; and Skin De.

partment. 9.15 A.M.ROYAL INSTITUTION.-3 P.M. Lord Rayleigh: Electricityand Magnetism.SOCIETY OF ARTS.-3 P.M. Prof. Vivian Lewes : The Atmosphere.

METEOROLOGICAL READINGS.(Taken daily at 8.30 a.m. by Steward’s Instruments.)

THE LANCET Office, March 6th, 1890.

Notes, Short Comments, & Answers toCorrespondents.

It is especially requested that early intelligence oj localevents hccvi-rag cc medical interest, or which it is desirableto bring under the notice of the profession, may be sentdirect to this Office.

All communications relating to the editorial business oj thejournal must be addressed " To the Editors."

Lectures, original articles, and reports should be written onone side only of the paper.

Letters, whether intended for insertion or for private in-formation, must be authenticated by the names andaddresses of their writers, not necessarily forpitblication.

We cannot prescribe or recommend practitioners.Local papers eozatainincf reports or nems paragraphs slcozsld

be marked and addressed "To the Sccb-Eclitor."Letters relating to the publication, sale, and advertising

depart-rtzents of THE LANCET to be addressed "To thePublisher. "

JYe cannot undertake to return MSS. not used.

VACCINATION GRANTS.

To the Editors of THE LANCET.

SIRS,—Your correspondent who has been inquiring how it is that novaccination grant has been paid for some time past may derive a littleconsolation from the fact that no public vaccinator has received anygrant since the passing of the Local Government Act, by which the pay.ment of the grant devolves upon the County Council. It is probable thatat the end of the present financial year (March 31st) the Local Govern.ment Board will make an order upon each County Council to pay thevaccination grant to those recommended to receive it; if not, I fear thegrant will be a thing of the past, as will also be public vaccination shouldthe compulsory clauses of the present Vaccination Acts be abolished.

I am, Sirs, yours obediently,March 5th, 1890. M.D.

F. A. B.—We are not aware of any Canadian university which willadmit a doubly qualified man to its final examination for M.D.without residence.

Mr. Humphreys.—The paper has been received.

HOME FOR THE DEAF AND DUMB.

To the Editors of THE LANCET.SIRS,—Would you permit me, through your columns, to ask if any

brother practitioner could recommend me any home or asylum where apoor boy who is dumb and nearly deaf could be admitted in order thathe may be taught a trade. The parents can only afford to pay a smallsum per week. I am, Sirs, your obedient Servant,Chippenham House, Monmouth.

’

T. G. PROSSER,

581

THE EVILS OF MEDICAL AID SOCIETIES.

To the Editors of THE LANCET.

SIRS,-As there has been of late much correspondence and manysuggestions about medical aid societies, I desire to put forward a fewviews of the matter. -

In the first place, I think it is pretty well agreed that these societiesdo a great amount of harm to the general practitioner, for which I cannothelp thinking the general practitioners have themselves to thank.

Many of these societies are fostered by people in affluent circumstancesunder the guise of philanthropy, whereas in reality they do so not fromlove of the masses, but. simply to curry favour with them ; and so longas the populace can get medical treatment for ld. a week they are notlikely to be slow in taking advantage of it. We find a great manyof the wage-earning classes who join them saying they cannot afford topay a doctor a moderate fee when they require professional treatment;but a great many of these people can always afford to patronise footballmatches, excursions, and numberless other entertainments, while somewho cannot afford a doctor can always find money to bet with, and thefemale portion to spend money in finery and other extravagancies.Many a man who undertakes this medical aid duty has to work veryhard, and not gain as good a remuneration as many of the people atwhose beck and call he is. There are hospitals and infirmaries all overthe country, with provident clubs, for the benefit of the poor, and forthe benefit of the very poor there is the parish doctor. Now, if prac-titioners would set themselves against undertaking things of this

kind, and charge the populace a moderate fee, I am inclined tothink matters would be more rosy. Again, there are a great manydoctors who start private medical aid clubs of their own; notbecause they so love the masses as to labour for their benefit,but, in many cases, to keep some brother practitioner from

acquiring practice or patients. One does it; others follow suit. Andhow often do we find club practice cut like shopkeeping business,simply because one man is afraid some professional brother should do alittle more ? We cannot all aspire to be leading lights in the profession;but that is no reason why, if we do like our profession, we should pur-sue it on a degradingly low scale of remuneration. At the present timeit cannot be said wages are low, or that there is any lack of skilledmedical practitioners. Do any other professions consider their servicesworth ld. per week ? Is not the medical profession as noble and self-denying a one as the law, the Church, the services, engineering, &c. ?When those who pursue the penny-a-week enterprise have a little morerespect and esteem for themselves and their profession, they will not belooked down upon as a class who ought to receive a lower remunerationthan the quack or patent nostrum man. There are many people amongmedical aiders who would not think a penny-a-week doctor good enoughto invest Is. 6d. or 2s. with for medicine, and yet who would, and do,joyfully pay 2s. 6d. or more for some patent nostrum, in many cases ofnot the least use to them. And why ? Because they think they cannothave a good thing for a ridiculous sum. Many people who join thesemedical aid societies do so because they are too greedy to pay a medicalman, and the profession are soft enough to encourage it.I must apologise for using plain words and somewhat unpalatable

statements, and, although attaching importance to remuneration, donot lose sight of professional status. I am, Sirs, yours truly,Jan. 26th, 1890. G. P.

i

Enquirer.—A practitioner undertaking to attend a lady in her confrne-ment does not necessarily engage to do so without assistance or

consultation, or in every emergency that may arise. Without knowingmore of the particulars, we cannot give an opinion in more detail ;but we do not think the less of a practitioner, in unusually difficultcircumstances, for asking for skilled help. Rather would we say thatin every case of instrumental midwifery, where practicable, two sets ofhands are desirable. Many a perineum has been saved in forcepscases that would otherwise have been badly torn.

Guardians’ Justice.—It is difficult to advise our correspondent. The

guardians are probably within their rights. We quite appreciate ourcorrespondent’s desire not to compete against his aged friend.

"Parsons " has not enclosed his card.

EXCISION FOR PROLAPSE OF RECTUM.

To the Editors of THE LANCET.

SIRS,—In the concluding paragraph of Mr. Treves’ excellent paper inyour last issue the following statement is to be found: "And the riskof a subsequent stricture can hardly be said to exist." Did I notbelieve that the author cares more for the advancement of surgery thanfor the views of any surgeon or body of surgeons, I should not desire toencioach on your space to point out that which must be obvious. Myown experience of excisions of varying portions of the rectum for

malignant disease has taught me that stricture rapidly follows. And Ialo know that it follows excision for prolapse ; for not long since acase was in hospital in which the lower portion of the reptuin had beenexcised for prolapse at another institution, and the patient applied forrelief of the resulting stricture. Mr. Treves’ second case has recentlyapplied at the hospital, complaining of incontinence of fæces and localand lumbar pain ; and on examination, a long stricture, which admitsthe oiled index with difficulty and pain, is too easily manifest, andthere are two or three smaller annular constrictions in its course. Ihave advised the patient to see Mr. Treves as soon as possible.

The object of this note is to put before practical surgeons the followingquestions : Given a severe case of prolapse, is it better for the patientto undergo a serious operation, which will certainly substitute a trouble-some stricture for a more manageable malady? Is it not better to try,and to repeat if necessary, deep longitudinal burning, or even to wear aprolapse truss ? The gravity of the operation of excision in cases ofcomplete prolapse would not weigh with me if we could promise curewithout subsequent trouble ; but as this cannot be, I should prefer totell the patient all the consequences, and to recommend other modes of’operating, or the wearing of a truss.

I congratulate Mr. Treves on his operative success, and on hisadmirable paper, and wish, for the sake of surgery, I could add thatthere is no risk of stricture following excision.

I am, Sirs, yours truly,March, 1890. HOSPITAL SURGEON.

Kentigern.—According to the "Formulaire Pratique of Dujardin-Beaumetz, the following’ is the composition of the preparationmentioned :-Hypophosphite of lime, 1 part; distilled water, 30 parts ;white sugar, 64 parts; lime water, 6 parts. It is directed to be’

, dissolved at a gentle heat and filtered. It is of less strength than the’syrnpus calcii hypophosphitis recently recommended at the BritishPharmaceutical Conference. We have no means of knowing the-

opinions of those named by our correspondent upon the preparation.Scotia might apply to Messrs. Moore and Co., 125, Houndsditch.

, IMMEDIATE TORSION OF TEETH.

To the Editors of THE LANCET.

SIRS,—The above operation was performed on me about thirty-two-years ago by the late Frank L’Estrange of Dublin. The tooth in mycase was the left central incisor, and the operation was performed atone sitting. As I did not get anything to relieve the pain, I may saythat all the details of the operation were forcibly impressed on mymind. After the torsion was effected, the tooth was kept in positioThby either silk or wire wound round it and round those on each side, andthe rest of the treatment consisted in applying lint soaked in a lotioncontaining laudanum and tincture of myrrh to the gum. At the end ofabout a month the tooth was as firm as any of the others, and hasremained so ever since. My impression is that Mr. L’Estrange triedimmediate torsion then, as an experiment, in preference to taking out,the tooth and replacing it. The amount of force necessary was, I

remember, very great, even in the hands of such a strong man andskilful operator.-I am, Sirs, yours truly,

GEORGE H. ORMSBY, M.K.Q.C.P.I., &c.Slaidburn, March 3rd, 1890.

THE PASTEUR METHOD.

To the Editors of THE LANCET.

SIRS,—I have just returned from Paris, where I have been spending:some weeks paying special attention to M. Pasteur’s method of treatingpersons who have been bitten by rabid animals. Among the patients.whom I saw attending the Pasteur Institute was an Englishman, anofficer in a cavalry regiment stationed in India, who had been bitten bya rabid dog in India while out there with his regiment at his usualduties. He made immediate arrangements for leaving for Paris, and he-lost no time in reaching Paris. He arrived there, and treatment wasbegun at the Institut Pasteur twenty-three days after the bite.May I ask (1) whether there is, or is not, in India, any institute for

treating persons bitten by rabid animals, according to the Pasteurmethod? (2) and if not, whether a person bitten by a rabid animal inIndia is compelled to spend twentythree days at least to reach thenearest treatment? and (3) if there is no Pasteur Institute in India,why is that so ? I am, Sirs, yours very truly,Feb. 21st, 1890. F. J. R.

LEPROSY IN ENGLAND IN 1307.

To the Editors of THE LANCET.

SIRS,—Thomas Button, Bishop of Exeter, whose will was provedSept. 21st, 1307, left over 200 legacies. Of this number thirty-nine werefor the benefit of lepers lodged at the following places in his diocese :-

" Exeter, Okehampton, Tavistock, Sutton, Plymptone, Cleve, Modburi,Chadelyntoue, Dertermuth, Tottene, Honiton, Teignemuth, Nijwetom-Ferrers, Toppesham, Deveneburi, Barnum and Pylton, Lanceton, Treme-till, Sctus. Germanus, Lis Kyret, Dyn-mur, Bodmin, Lanford, Tony,Ponsmur, Schiep-stalle, Resureghy, Coygon, Truru, Argel, Helleston,Glas, Mousehole, Madern, S. Sancred, Redruth, S. Brioc, Oldestowe,Medeschole."

I copied this from the will, and send it, believing that at the presenttime it may be of interest. I am, Sirs, very truly yours,February, 1890. T. C. BUTTON.

A CORRECTION.

To the Editors of THE LANCET.

SIRS,—Kindly allow me to point out that in my clinical lecture onExtra-uterine Gestation, which appears in THE LANCET of to-day, by arinter’s error the age of the patient in Case 3 is given as fifty-eight,

instead of thirty-eight. I am, Sirs, yours faithfully,Harley-street, W., March 1st, 1890. WILLIAM DUNCAN.

582

NOTICE TO MEDICAL MEN.

To the Editors of THE LANCET.

SIRS,—Perhaps you may be able to find space for the following in’your valuablejournal.A man giving the name of Thos. Lawrence, no address, was convicted

and sentenced to three months’ imprisonment at Greenwich on Feb. 25thfor stealing from doctors’ consulting-rooms. It is simply the old story.A man calls between consulting hours to find out what time the doctor- can be consulted by a brother or friend. The object of the present letteris to state that the police have still unidentified property in their hands-T:mves, umbrellas, &c. Lawrence is a young man about twenty, curlybair, medium height, blue-eyes, wearing a dark overcoat.

I am, Sirs, yours obediently,March, 1890. ONE OF THE VICTIMS.

COMMUNICATIONS not noticed in our present number will receive atten-tion in our next.

COMMUNICATIONS, LETTERS, &c., have been received from-Dr. Poore,London; Dr. Cxowers, London; Dr. Buzzard, London; Mr. Bland

Sutton, London; Dr. W. Duncan ; Dr. Seaton, London ; Mr. Alban

Doran, London; Dr. Bronner, Bradford; Mr. Maycock, Leamington;Mr. Cotes, Bournemouth ; Dr. Stephen, London; Messrs. Macmillanand Co., London ; Mr. Trommsdorff, Germany ; Messrs. Arnold and

Sons, London ; Mr. Gurner, Pall Mall East; Messrs. Merryweatherand Sons, London ; Dr. Prosser, Birmingham ; Mr. O’Conor, StonyStratford; Mr. Smith, Greenwich ; Dr. Latis, Italy ; Dr. G. Belben

Flux, Highworth ; Mr. Martindale, London; Mr. Frost, London;Mr. Goodchild, Plaistow; Dr. Murrell, London; Mr. Brunett, Liver-pool ; Dr. Dix, Southampton ; Miss Rickman, Yorks ; Mr. Barnett,Brighton ; Dr. Cotter, Cork ; Mr. Denton, Yorks ; Mr. Lindsay, Bel-fast ; Dr. Amasde, Paris ; Mr. Colson, Jersey; Mr. Downing, EarlswoodAsylum ; Mr. Foulerton, Chatham ; Dr. McLean, Otago; Dr. FletcherBeach, Dartford; Dr. Alex. Miles, Edinburgh ; Messrs. Reynolds andBranson, Leeds ; Mr. Lowndes, Liverpool; Mr. F. W. Gibbon, SouthShields; Mr. Harrold, London ; Mr. F. R. Humphreys ; Mr. ChauncyPuzey, Liverpool; Dr. W. E. Fletcher, Ormskirk ; Dr. R. HingstonFox, Finsbury-square ; Mr. F. Dalton, Rottingdean ; Dr. W. Scott

Lang, Edinburgh ; Dr. F. H. Edgeworth, Bristol; Mr. S. Mellor, WestMalling; Mr. S. G. Street, London; Dr. D. Hood, London ; Dr. FrankM. Pope, Leicester ; Mr. T. Feldmann ; Dr. Maxwell; Dr. W. Hunter,Cambridge ; Dr. D. Mackintosh, London ; Mr. G. C. Wilkin ; Dr. J. W.Fraser, Hull ; Dr. Sinclair, London; Mr. Abbott, Braintree ; Mr. E. C.Aspinall, Ooshooia; Dr. Littlejohn, Edinburgh ; Dr. Lediard, Carlisle;Mr. Atkinson, London ; Mr. Humphreys, London; Mr. Cornish, Man-chester ; Dr. Lovegrove, Hythe ; Dr. Ker, Birmingham ; Mr. Ronald,Lincoln’s-inn; Mr. Rauschke, Leeds ; Mr. Grant, Dundee; Mr. QuarrySilcock, London ; Mr. Longman, Salisbury ; Messrs. W. H. Smith andCo., London ; Mr. A. E. Pepper, Folkestone ; Messrs. Maythorn and’Son, Biggleswade ; Mr. G. H. Ormsby, Slaidburn; Messrs. Blondeau’et Cie., London ; Dr. C. E. Sheppard, London ; Messrs. Burroughs andWellcome, London ; Dr. P. S. Abraham, London; Messrs. Hill and

’Co., London; Mr. Norton, London; Dr. Scriven, Derby; Mr. StanmoreBishop, Manchester ; Mr. Hornibrook, Bloomsbury; Messrs. Lee andMartin, Birmingham ; Mr. Hartridge, London; Dr. Jay, Bath ; Mr. L.:Browne, London ; Mr. Scott, Manchester ; Mr. Homan, Salisbury ;Mr. Waite, Leicester; Mr. Shera, Harrogate ; Mr. Howe, Stoke-on-Trent ; Mr. Bourchier, Brighton ; Mr. Lewis, London ; Mr. Truscott,’Truro ; Mr. Godfrey, Bournemouth; Miss Homan, Acton; Dr. Redfern,Croydon ; D. P. M. Braidwood, Bristol; Dr. Prosser James, London ;Mr. Prosser, Monmouth; British Syphon Co.; Secretary, JessopHospital, Sheffield ; M. G., Dalston ; J. M. S., Alden ; Secretary, BuryDispensary Hospital; Parsons; Kentigern ; Smedley’s HydropathicEstablishment, Matlock; W. H. B.; Hospital Surgeon ; A VeteranExaminee; Infection; F. A. B. ; Enquirer; Secretary, Gloucester

General Infirmary ; Secretary, St. John’s Hospital for Diseases of theSkin, Leicester-square ; Guardians’ Justice ; Secretary, Royal BerksHospital ; Secretary, General Hospital, Notts; Secretary, GermanHospital; X. Y., London ; Forceps, Liverpool; Secretary, ClaytonHospital, Wakefield ; Delta, Newcastle ; Potiphar, Chester; An OldLabourer; Primus, London; Harold, London ; Scotia.

LETTERS, each with enclosure, are also acknowledged from-Dr. Adams,Eastbourne; Mr. Sequeria, Haverstock-hill ; Messrs. W. H. Smith andSon, Manchester ; Mr. Tyte, Minchinhampton ; Messrs. Fletcher andFletcher, London; Mr. Hughes, Glamorgan; Messrs. Battley andWatts ; Mr. Sutton, Hants ; Mr. Tully, Hastings; Messrs. Fenwickand Chinery, London ; Mr. Eldridge, Norwich ; Mrs. Childe, NorthMalvern ; Mr. Highton, Derby; Dr. Woakes, London ; Messrs. Essonand Son, Dublin ; Dr. Mackay, Esk ; Mr. Edge; Messrs. Cooper andCo., London ; Mr. Maclachlan, Barrow-in-Furness ; Messrs. Lindsayand Pratt, London ; Mr. Anderson, Carmarthen ; Mrs. Nicholls, BurySt. Edmunds; Mr. Lucas, Ripley ; Mr. Bonar, Bristol; Messrs. Hooperand Co., Pall Mall; Mr. Morgan, Carnarvonshire; Messrs. Beal andSon, Brighton; Mr. Linney, Hitchin ; Dr. Mouat; Messrs. Rowntreeand Co., York ; Mr. Vachell, Newport; Mr. Brocklebank, London;Mr. Lawson, Dunbar; Messrs. Twyford, Hanley; Mr. Ripley, South.port ; Mr. Blair, Alnwick ; Mr. Jones, Dowlais ; Mr. Roberts, Waltham-stow ; Mr. Berry, Wigan; Mr. Blything, St. Albans; Messrs. E. andS. Livingstone, Edinburgh ; Dr. Hill, Cambs ; Dr. Humphreys, NorthWales ; Dr. Knott, Middlesbro’; Mr. Stubbs, Bristol; Messrs. Kingand Co., Ludgate-hill ; Mr. Thomas, Llysygraig; Messrs. Wright andMackenzie, Romford ; Mr. Heywood, Manchester ; Messrs. Ross andCo., Belfast; Mr. Bower, Presbon ; Miss Clegg; Messrs. Maclachlanand Co., Edinburgh; Mr. Morgan, Oswestry; Mr. Delaney, ForestGate ; Dr. Bower, Bedford ; Dr. Althaus, London; Mr. Bridges, Bel-gravia ; Miss Laudale, Leeds ; Dr. Dowse, London; Mr. Rickman,Hull; Mr. Andrews, Westbourne-grove; Mr. Richardson, Leicester;Mr. Bell, Hants ; A. B. C., London; Secretary, NorthumberlandCounty Asylum; Medicus, Amherst-road ; Cantab., London ; Iodate

Compounds Co., London; Surgeon, Hatcham ; Secretary, WarnefordHospital, Leamington Spa ; A. H. G., Hulme ; H., London ; GroveHouse Asylum ; Secretary, Royal Infirmary, Windsor ; Dorset CountyAsylum ; Secretary, General Infirmary, Leeds ; Secretary, WesternMedical School, Glasgow ; W. C. S., London ; Secretary, Joint CountiesAsylum, Carmarthen; Medicus, Bath ; S. W., Bridgwater ; London

Bridge, London ; C. B., London ; Medicus, Dewsbury ; Royal AlbertInfirmary, Wigan ; A. B. C., London; M. W. T., Shaldon ; Hospital forWomen, Soho-square; Success, London; R. D. S., Edinburgh; TheBryant Co., Toronto ; G. W. G., Storrington; Secretary, DoncasterGeneral Infirmary; Edina, London; Somersetshire; Cremin, RhonddaValley; C. B. A., London; M.B., Hereford ; E. U. S., London; NorthLondon, Islington; Beta, London ; Z., Borough; Secretary, St. Mary’sHospital, Manchester; M.B., Birmingham; Hallam, London; Urgens,Radnorshire ; Medicus, Bradford; Viator, London ; H. F. T., Chester-field ; Camborne, London ; Alpha, Brighton ; H. 0. P. E. ; Assistant,Preston; A. C. E., London; Harold, London; C., Anerley ; Active,London ; Medicus, Stratford ; A. B., London ; A. B., Strand; Rector,Cornwall; Aurophone, London ; Medicus, Camberwell; Chirurgeon.

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