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164 POOR-LAW MEDICAL OFFICERS. AT a meeting of the medical officers of the Uxbridge Union, held on the 5th inst., it was resolved unanimously- 1. That the thanks of this meeting be tendered to Mr. Griffin, for his exertions in the cause of the union medical officers. 2. That Mr. Warder be appointed local secretary and treasurer. 3. That a subscription of five shillings per quarter be paid to the local secretary. 4. That in the opinion of this meeting it is desirable- 1st.—That all the medical appointments should be made permanent ; subject, in the case of non-resident officers, to alteration by the Poor-law Board only. 2nd.—That the schedule of remuneration for surgical cases should be extended. 3rd.-That the rate of payment for midwifery cases should be fixed by the Poor-law Board, regard being had to distance. 4th. --That the only mode of remuneration which fulfils the necessary requirements of justice to the medical officers, to the poor, and to the ratepayers, is at per case attended-the amount per case increasing accord- ing to distance, to be fixed by the Poor-law Board; and with respect to workhouses, the payment to be made as per head on the number of inmates actually inhabiting ; the amount per head to be fixed by the Poor-law Board. 5. That in the opinion of this meeting it is desirable that a memorial embodying the above suggestions should be presented to the Poor-law Board with as little delay as possible; should, however, any other course appear preferable to the majority of union medical officers, the medical officers of this union will do their utmost to promote the success of such other mode as may be generally approved of. 6. That a copy of these resolutions be sent to each of the medical officers, and to Mr. Griffin. ALFRED WILLIAM WARDER, Local Secretary. The following resolutions were passed at a meeting of the medical officers of the Rotherham Union, held on the 30th of January. Messrs. Flower, Stone, Wilkinson, and Dr. Hard- wicke were present. lst. That this meeting, being duly impressed with the neces- sity of an increased remuneration for the services of the union officer, and of an examination of the districts oenerally, as recommended by the committee of the House of Commons in 1854, observes with satisfaction the present movement for the purpose of securing these objects. 2nd. That the medical officers of the Rotheram Union enter into an association for the purpose of giving support to this movement. 3rd. That for the efficient carrying out of the foregoing Resolutions, it is expedient that a petition be presented to the House of Commons as early as possible in the forthcoming session, and that the county members be earnestly requested to support its prayer. 4th. That Dr. Hardwicke be appointed local secretary, with power to receive a small subscription to defray the incidental .eY-penses, and that a subscription of five shillings each be at .once entered into, to be repeated quarterly if required, for the prosecution of these objects. 5th. That in consequence of several letters received from medical officers residing at a distance of inability to attend this meeting, the secretary be requested to forward the fore- going resolutions for their approval. 6th. That the thanks of this meeting be given to R. Griffin, Esq., for his exertions on behalf of his fellow-officers. 7th. That a copy of these resolutions be sent to the medical journals. 8th. That the thanks of the meeting be given to the chairman. (Signed) FREDERICK WILLIAM FLOWER, Chairman. DR. BjEELB, one of the oldest inhabitants of South- ampton, has within the last few days been taken from amongst us by death. He was a member of the old Corporation, and more than once Mayor of the Borough; his knowledge of local history, and the antiquities of the town, was most extensive, and always at the public service. Dr. Kacle was almost, if not quite, the last link connecting the two epochs of municipal government. His death causes a vacancy in the gaol-surgeonship. Correspondence. POOR-LAW MEDICAL REFORM. " Audi alteram partem." To the Editor of THE LANCET. SIR,—I thank you heartily for the space accorded me in your columns, and for your powerful advocacy of our cause, which encourages me to request the insertion of a few more words to the Union surgeons. I would inform them that, though Banbury and Ticehurst are the only unions that have taken the very judicious course of publishing their meetings and resolutions, I daily receive the most cheering reports from numerous unions in various counties of England and Wales; letters from fellow-sufferers, full of firm and active resolutions; others, no less valuable, from some whose good fortune has asso. ciated them with guardians of liberal feelings and enlightened minds, but who do not therefore shut their eyes in selfish apathy to the injustice endured by others, or the stigma the position of some affixes to the profession of which they are members. To those gentlemen, who from pressure of business, a habit of procrastination, or any other cause, may have delayed answering and acting upon my circular, let me repeat the request therein made-"that they would consider it a private letter," entitled by all the usages of society to a reply. Let me intimate to them that, next to indifference, delays are dangerous. When we, like good men and true, have fought and won our honest fight, and they reap with us the emolu- ments of victory, I will do them the justice to believe that they will feel some regret at having left us to bear the brunt of the battle alone, and forfeited, by their supineness, the proud satisfaction of having done their duty to themselves and others. 1 am. Sir. faithfullv vours. RICHARD GRIFFIN. SPASMODIC CONTRACTION OF THE ORIFICE OF THE VAGINA. To the Editor of THE LANCET. SIR,—Dr. Tyler Smith, in his second lecture, published in THE LANCET, January 12th, states that spasmodic painful contraction in the situation of the carunculæ will, in some cases, "render intercourse difficult or impossible long after marriage. " I was consulted by the mother of a lady aged twenty-seven, who had been married three months, and in whom there existed some impediment to intercourse. The husband had never had intercourse with any woman, and was neither impotent nor fearful. On examination, I found nothing closing the vagina; I therefore gave some advice and dismissed the case. This was on the 3rd of March, 1855. I was requested to see the lady on the 30th of April, when I was informed that matters con- tinued in the same embarrassing state, the marriage not having been consummated. I again examined, and, this time, intro. duced a virgin-sized speculum into the vagina. The intro- duction occupied ten or fifteen minutes because of the firm contraction at the orifice of the vagina. This bougie-operation was successful. There was no more trouble with the case, and the lady is at the present time pregnant. The contraction was not that of the sphincter vagina ; it was a slow tonic contraction, illustrating the observation of Dr. Tyler Smith. I am, Sir, yours truly, FREDERICK J. BROWN, M.D. ON FILAMENTOUS ENTOZOA. To the Editor of THE LANCET. SIR,—Your correspondent, Dr. Crisp, writes on subjects so numerous, that he bids fair to rival the author of the celebrated treatise " De omnibus rebus et quibusdam aliis." His mode of reasoning is peculiar and amusing. To the statement that vermiform entozoa were seen on the skin in great numbers, he simply replies the observer was mistaken. This is very severe, not very modest, and in the tone adopted by Dr Crisp, hardly gentlemanly. His reasons, however,, an some measure, relieve the dulness of these attributes. They are, first, because so far as he knows (how far may that be ?) they

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164

POOR-LAW MEDICAL OFFICERS.

AT a meeting of the medical officers of the Uxbridge Union,held on the 5th inst., it was resolved unanimously-

1. That the thanks of this meeting be tendered to Mr.Griffin, for his exertions in the cause of the union medicalofficers.

2. That Mr. Warder be appointed local secretary andtreasurer.

3. That a subscription of five shillings per quarter be paid tothe local secretary.

4. That in the opinion of this meeting it is desirable-1st.—That all the medical appointments should be made

permanent ; subject, in the case of non-resident officers,to alteration by the Poor-law Board only.

2nd.—That the schedule of remuneration for surgical casesshould be extended.

3rd.-That the rate of payment for midwifery cases shouldbe fixed by the Poor-law Board, regard being had todistance.

4th. --That the only mode of remuneration which fulfilsthe necessary requirements of justice to the medicalofficers, to the poor, and to the ratepayers, is at percase attended-the amount per case increasing accord-ing to distance, to be fixed by the Poor-law Board;and with respect to workhouses, the payment to bemade as per head on the number of inmates actuallyinhabiting ; the amount per head to be fixed by thePoor-law Board.

5. That in the opinion of this meeting it is desirable that amemorial embodying the above suggestions should be presentedto the Poor-law Board with as little delay as possible; should,however, any other course appear preferable to the majority ofunion medical officers, the medical officers of this union will dotheir utmost to promote the success of such other mode as maybe generally approved of.

6. That a copy of these resolutions be sent to each of themedical officers, and to Mr. Griffin.

ALFRED WILLIAM WARDER, Local Secretary.

The following resolutions were passed at a meeting of themedical officers of the Rotherham Union, held on the 30th ofJanuary. Messrs. Flower, Stone, Wilkinson, and Dr. Hard-wicke were present.

lst. That this meeting, being duly impressed with the neces-sity of an increased remuneration for the services of the unionofficer, and of an examination of the districts oenerally, asrecommended by the committee of the House of Commons in1854, observes with satisfaction the present movement for thepurpose of securing these objects.

2nd. That the medical officers of the Rotheram Union enterinto an association for the purpose of giving support to thismovement.

3rd. That for the efficient carrying out of the foregoingResolutions, it is expedient that a petition be presented to theHouse of Commons as early as possible in the forthcomingsession, and that the county members be earnestly requestedto support its prayer.

4th. That Dr. Hardwicke be appointed local secretary, withpower to receive a small subscription to defray the incidental.eY-penses, and that a subscription of five shillings each be at.once entered into, to be repeated quarterly if required, forthe prosecution of these objects.

5th. That in consequence of several letters received frommedical officers residing at a distance of inability to attendthis meeting, the secretary be requested to forward the fore-going resolutions for their approval.

6th. That the thanks of this meeting be given to R. Griffin,Esq., for his exertions on behalf of his fellow-officers.

7th. That a copy of these resolutions be sent to the medicaljournals.

8th. That the thanks of the meeting be given to thechairman.

(Signed) FREDERICK WILLIAM FLOWER, Chairman.

DR. BjEELB, one of the oldest inhabitants of South-ampton, has within the last few days been taken from amongstus by death. He was a member of the old Corporation, andmore than once Mayor of the Borough; his knowledge of localhistory, and the antiquities of the town, was most extensive,and always at the public service. Dr. Kacle was almost, if notquite, the last link connecting the two epochs of municipalgovernment. His death causes a vacancy in the gaol-surgeonship.

Correspondence.

POOR-LAW MEDICAL REFORM.

" Audi alteram partem."

To the Editor of THE LANCET.

SIR,—I thank you heartily for the space accorded me inyour columns, and for your powerful advocacy of our cause,which encourages me to request the insertion of a few morewords to the Union surgeons. I would inform them that,though Banbury and Ticehurst are the only unions that havetaken the very judicious course of publishing their meetingsand resolutions, I daily receive the most cheering reports fromnumerous unions in various counties of England and Wales;letters from fellow-sufferers, full of firm and active resolutions;others, no less valuable, from some whose good fortune has asso.ciated them with guardians of liberal feelings and enlightenedminds, but who do not therefore shut their eyes in selfishapathy to the injustice endured by others, or the stigma theposition of some affixes to the profession of which they aremembers. To those gentlemen, who from pressure of business,a habit of procrastination, or any other cause, may have delayedanswering and acting upon my circular, let me repeat therequest therein made-"that they would consider it a privateletter," entitled by all the usages of society to a reply. Letme intimate to them that, next to indifference, delays aredangerous. When we, like good men and true, have foughtand won our honest fight, and they reap with us the emolu-ments of victory, I will do them the justice to believe thatthey will feel some regret at having left us to bear the bruntof the battle alone, and forfeited, by their supineness, theproud satisfaction of having done their duty to themselvesand others.

1 am. Sir. faithfullv vours.RICHARD GRIFFIN.

SPASMODIC CONTRACTION OF THE ORIFICEOF THE VAGINA.

To the Editor of THE LANCET.SIR,—Dr. Tyler Smith, in his second lecture, published in

THE LANCET, January 12th, states that spasmodic painfulcontraction in the situation of the carunculæ will, in some

cases, "render intercourse difficult or impossible long aftermarriage. "

I was consulted by the mother of a lady aged twenty-seven,who had been married three months, and in whom thereexisted some impediment to intercourse. The husband hadnever had intercourse with any woman, and was neitherimpotent nor fearful.On examination, I found nothing closing the vagina; I

therefore gave some advice and dismissed the case. This wason the 3rd of March, 1855. I was requested to see the ladyon the 30th of April, when I was informed that matters con-tinued in the same embarrassing state, the marriage not havingbeen consummated. I again examined, and, this time, intro.duced a virgin-sized speculum into the vagina. The intro-duction occupied ten or fifteen minutes because of the firmcontraction at the orifice of the vagina. This bougie-operationwas successful. There was no more trouble with the case,and the lady is at the present time pregnant.

The contraction was not that of the sphincter vagina ; itwas a slow tonic contraction, illustrating the observation ofDr. Tyler Smith.

I am, Sir, yours truly,FREDERICK J. BROWN, M.D.

ON FILAMENTOUS ENTOZOA.’ To the Editor of THE LANCET.

SIR,—Your correspondent, Dr. Crisp, writes on subjects sonumerous, that he bids fair to rival the author of the celebratedtreatise " De omnibus rebus et quibusdam aliis." His modeof reasoning is peculiar and amusing. To the statement thatvermiform entozoa were seen on the skin in great numbers, hesimply replies the observer was mistaken. This is verysevere, not very modest, and in the tone adopted by DrCrisp, hardly gentlemanly. His reasons, however,, an somemeasure, relieve the dulness of these attributes. They are,first, because so far as he knows (how far may that be ?) they