140

MEDICAL APPOINTMENTS.

J. C. BROWNE, M.D., M.R.C.S.E., Medical Superintendeut of the Newcastle-on-Tyne Borough Lunatic Asylum, has been elected Medical Superin-tendent and Director of the West Riding of Yorkshire Lunatic Asylumat Wakefield , vice J. D. Heaton, Esq., appointed Commissioner inLunacy.

A. COLEMAN. M.R.C.S., L.D.S., &c., has been appointed Lecturer on DentalSurgery at St. Bartholomew’s Hospital.

R. HOADLEY, M.D., hat been elected .’ssistant House-Surg-eoll to the HalifaxInnrmary, vice J. M′C. M′Williams, promoted House-Surgeon.

F. W. LOWNDES, M.R.C.S.E., has been appointed Resident Surgeon to theBirmingham and Midiand Counties Lying-in Hospital and Dispensary ,,for Diseases of Women and Children, vice A. Veitch, M.D., resigued.

Dr. M. MACKENZIE has been appointed co-Lecturer on Physiology at theLondon Hospital.

J. G. MACKINLAY, L.R.C.P.L., lILRC.S.E., late Resident Medical Officer tothe Charing-cross Hospital, has been elected Medical Officer to theBrentford Union Infirmary and the District of Isleworth and Brentford-end, vice J. Mackinlav, VT-D., deceased.

J. M’C. M′WILLIAMS, M.R.C.S.E., has been appointed House-Surgeon to theHalifax Infirmary, vice Mr. T. J. Faweitt, resigned.

S. PARKER, M.R.C.S.E., Surgeon to the Sheffield Pubiic Hospital and Dis-. pensary, has been appointed Surgeon to the Sheffield General Infirmary.W. WIGHTMAN, M.D., has been appointed Physician to the Halifax Infirmary,

vice M. S. Kenny, 1LD., deceased.

Births, Marriages, and Deaths.BIRTHS.

On the 12th ult., at Rathmines, the wife of W. H. Cruice, Surgeon R.N., ofa son.

On the 20th nit., at Clifton, Bristol, the wife of Dr. Martyn, of a son.On the 26th ult., at Stickney, Boston, Lincolnshire, the wife of P. Maxwell,

M.D., &c., of a daughter.On the 27th ult., at the City of London Lunatic Asylum, Stone, near Dart-

ford, the wife of Octavius Jepson, M.D., of a daughter.On the 27th ult., at Queen-street, Cheapside, the wife of Wm. Clapton,

F.R.C.S.E., of a daughter.On the 29th ult., at Montagu-square, the wife of R. E. Dudgeon, M.D., of a

daughter. ____

MARRIAGES.On the 24th ult., at Stapleford, Cambridge, Richard Edwin Ruffe, M.R.C.S.,

L.S.A., of Bingley, Yorkshire, to Lucy, youngest daughter of W. Baker,Esq., of Stapleford.

On the 26th ult., at the Parish Church, Snettisham, Norfolk, HutchinsWilliams, M.R.C.S.E., L.R.C.P.Ed., &c., Surgeon Peninsular and OrientalCompany’s Service, son of the late Hutchins T. Williams, Esq., ofDublin, to Ellen Harriet, daughter of the Rev. John Coldham, M.A.,Vicar of Snettisham.-No Cards.

DEATHS.On the 19th ililt., Geo. Walker Skinner, M.R.C.S.E., of Sheffield, aged 25.On the 20th ult., at Crawford Villa, Spring-grove, Denis Cronin, M.D., late

of Bruton-street, Berkeley-square, aged 59.On the 20th ult., Chas. Otter Gilby, M.R.C.S.E., of Brewood, Staffordshire,aged 46.

On the 23rd ult., Dr. Frederick Drought, of Richmond, Fairview, Dublin,aged 78.

On the 23rd ult., Edward Young, M.R.C.S. Eng., late of Highbury-grange,formerly in the H.E.I.Co.’s service, aged 52.

BOOKS ETC. RECEIVED.

Dr. Birder on Diseases of the Lungs.Blackley and Friedlander’s Practical German Dictioil2.1-Y.Taylor’s Mediea.1 Jurisprudence.Mr. J. N. Jones on Sight and Hearing.Dr. S. Smith on Epidemics.Col. Greenwood on Ram and Rivers.11r. G. S. Smith on Epidemics.Dr. Gairdner on Articulate Speech.Pike: The English and their Origin.Dr. Pearse’s Notes on Health.Dr. E. Lee on the Principal Baths of France.The True and the False Sciences.Dr. S. Jackson’s Note-Book of Materia Medica.Dr. Canniff’s Principles of Surgery.Mr. D. Scott-Smith on Homœopathy.Todd and Bowman’s Physiological Anatomy. Part I.Mr. H. S. Constable’s Observations suggested by the Cattle Plague.Dr. Roseburgh on Optical Defects of the Eye.Dr. J. Fayrer’s Cimieal Surgery in India.Dr. W. Johnson : The Anatriptic Art.Southern Journal of the Medical Sciences. No. I. (New Orleans.]Dr. Turner on the Human Cerebr-mn.Problems from Wiliiamson’s Chemistrv.Ellis and Ford’s Dissections. Parts 19, 20, and 21.Dr. Cobbold -m Tapeworms.Bernutz and Gounil on the Diseases of Women. Vol. I.Report of the Victoria Institute.Ernest Graham.The British Soldier in India.Who am I ? By C. Jones.

&c. &c. &c.

To Correspondents.An Intending Member.—The want of a Club, answering to the description of D

teiiipoi ary home, for the convenience of members of the medical profession,has been felt by many. Some of the objects and advantages of such a Club,are alluded to in Dr. Marsh’s letter in our number of July 21st. The faci-lities afforded by railways enable medical men from a distance to consultmuch more freely than formerly with their London brethren, and a placefor meeting and becoming personally acquainted could not be otherwisethan agreeable to both. As the Club would be of advantage to a largesection of the profession whom business or pleasure attracts to the

metropolis, the leading London medical practitioners might help for-ward the cause by becoming members, even if they did not feel the

personal want of such an institution. The entrances and subscriptionsare regulated so that absent members will not be called upon to makelarge contributions for the advantage of those who "work" the Club morefreely, which is a great defect in the Club system generally. We under-stand that Dr. Marsh has arranged to bring the subject of the Club forwardat the approaching meeting of the British Medical Association at Chester’this month. It is proposed early in October next to hold a general meet-

ing, when the permanent committee and officers of the Club will be ap--pointed. To enable the committee to make arrangements for opening the-Club during the ensuing winter season, it is desirable that gentlemen pro-posing to join should make early application.

L.S.A., (Registered.) -1. There is no statute law to prevent it.-2. Notunderordinary circumstances. The Poor-law Board require the double qualifica-tion. A single qualification in cases of necessity is deemed sufficient.

A Subscriber, (Holbeck.)-It is commonly done in the metropolis.

PEN S ION IN Tii:E E A R M Y.To the Editor ofTnE LANCET.

SIR,—I beg to point out, with a view to its being made public, and the:hope of its being remedied by the present Secretary of State for India inCouncil, the following anomaly regarding the pensions of Deputy Inspectors-General of Hospitals and Surgeons-Major of her Majesty’s Indian army:-A Surgeon-Najor after twenty-seven years’ service, twenty-four of which

must be spent in India, becomes entitled to a pension of £456 per annum-A Surgeon-Major after thirty years’ service, twenty-six having been spent inIndia, becomes entitled to a pension of .6550 per annum; but medical officersbelow the grade of Deputy Inspectors-General of Hospitals, on reaching theage of fifty-five, and invaliding, become entitled to the next superior pension :

the Surgeon-Major of thirty years obtaining the pension of 2800 per annum,and the one of twenty-seven years’ service the pension of 550 per annum.A Deputy Inspector-General of Hospitals, after five years’ active employ-

ment in India in that grade, will be entitled to retire upon a pension of JB25&’per annum, in addition to the pension he may be entitled to by the abovescale-viz., £550 and jE250; total, iB800. Only six months’ absence on medi-cal certificate is allowed to count towards the actual grade of Deputy In-spector-General of Hospitals. By the present rules, a Deputy Inspector’"’General of Hospitals cannot invalid with the advantage of an additionalpension, although he may have served thirty years and upwards in Indiawithout leave. He must complete his five years in the grade of Deputy In-spector-General of Hospitals, or retire on the pension of a Surgeon-Major ofthirty years—viz., .8530, ,jE2SO per annum less than his junior officer, who hasnot been so long in India. The consequence is, that to a Surgeon-Major-after thirty years’ service, whose age is verging on fifty-five, promotion be-comes a curse.A Deputy Inspector-General of the Bombay army retired on the 1st of last

April, after having completed his five years’ service in that grade. He diedon the 28th of May. His life was sacrificed to the present pension rules.

Yours truly,July 25th, 1866. R. N.

P.S.-Here is an anomaly with regard to pay. A Surgeon-Major of twenty-five years’ service, unemployed, draws 1093 r. 2 a. per month. A Deputy In-spector-General of Hospitals of thirty years’ service, unemployed, draws 900 r.

An ex.Councillor.—The President of the Royal College of Surgeons does no4.receive, in virtue of his office, any collegiate remuneration. Formerly heobtained from the Vaccine Board, in conjunction with the President of the-College of Physicians, the honorarium of one hundred guineas. He has atpresent all the advantages of a Fellowship of the Zoological Society, and is.invited to most of the civic entertainments.

OUR GIDEON GRATE.THE Alloa Wluertiser of July 21st, 1866, contains a very able leading articleon the relations of the profession with the public. The writer takes a verysensible view of the reason of the depreciated state of the profession, andsuggests practical remedies-union above all things.

Dr. W. Robert Roberts (Ulceby) should address a note to the Medical Officerof the Privy Council, 8, Richmond-terrace, Whitehall, S.W.

CONGENITAL HYDROCEPHALUS.To the Eciitor ofTHE LANCET.

SIR,—On the llth instant I attended a patient in her sixth confinement.Upon examination, I found the breech presenting. All went well until the

- head reached the pelvic brim, when I found it tvas of abnormal size; foralthough the uterus was acting vigorously, it required considerable effort onmy part for more than an hour to deliver. The head, which was greatly dis-tended with fluid, gave the following dimensions :—Circumference, 18½ in.;from ear to ear, 12½ in.; from chin to vertex, 13 in. The child, a female, diedduring birth. The mother, except complaining of considerable tenderness:for some hours, is making a good recovery.

I am, Sir, your obedient servant,Sheffield, July 13th, 1866. iltouas WILISHIRE, L.R.C.P., &c.

141

A Country (Scottish) practitioner has written to us a long letter respecting without delay. For six weeks subsequently about thirteen cases of cholerasome grievances under which he and his brethren suffer. He states that a occurred dailv as affecting my regh. ent, a large proportion of the extra

very large section of the working classes in the Lothians of Scotland never orderlies in attendance upon them being likewise attacked by it, and, as thethink of paying their medical attendant, though well able to do so in disease was fatally. unusually malignant eliaracter, the greater number of themvery large Section of the working classes in the Lothians of Scotland never disease was fatally unusually malignant character the greater number of themTately. The workman, when he gets into debt with one practitioner, imme- It was during this trying period that the name and character of Captaindiately applies to another; and to remedy this abuse, one of the proposed Hedley Vicars first became conspicuous for humane attention to his dyinglaws of the Medical Association of the Lothians is, "that no medical man men in their time of trouble, and for the fearless manner in which he ex-

shall give his attendance to any person who has not paid his former medi- posed himself to the risk of contracting this dreadful disease at all honrs of the day and night.

cal attendant, emergencies excepted." Our correspondent complains that As may be supposed, remedies were loudly called for, and innumerablemedical practitioners in country districts frequently undersell each other, to were those suggested; some native practitioners eon6dent!y asserting that

their mutual disadvantaae, and with tlie etFaet of loweriug their position in if the sick of the regiment were handed over to their tender care they would,their mutual disadvantage, and with the efiect of lowering their position in cure tliem all, . and I have no doubt that by many they were believed.the eyes of the public; and it is quite common for an affluent practitioner, I had onlv one remedy to suggest, and that was the immediate removal ofwith a good practice, and having public appointments, to give his time and the regiment from the infected atmosphere of the Pirseus, where the diseaseattention to all and sundry who may require his services, and this to work- was prevailing; but unhappily my repeated and urgent remonstrances on men earning from 20s. to 30s. a week. This, the writer of the letter says, them out, and were not attended to until six weeks afterwards, during whichacts most injuriously to the poorer practitioners of the neighbourhood; it interval the British army had lost by death one hundred and eighteen of itstends to foster and cherish improvident habits; "professional etiquette," finest and most stalwart soldiers, and the French upwards of five hundredhe observes, "is practically ignored;" and he illustrates the manner in men. The greater part of it was then removed to an encampment on illountwhich one practitioner supplants another. He suggests that one of the Reutelecus near Athens and no case of cholera occurred after its arrival at

this more healthy locality.means of rectifying the evils given above would be the establishment of a this cannot conclude without stating a few conclusions at which I haveminimum scale of charges-a code of rules for the guidance of medical arrived as to the nature and appropriate treatment of cholera, derived frompractitioners in their intercourse with each other and their patients, and personal observation of the disease.the general establishment of Associations for paying a small weekly sub- lst. That the primary causes of cholera exist in the atmosphere; but that

scri tion to tlie medical attendaut by those unable f pay the usual rates. our most skilled analytical chemists have hitherto failed to detect their pre-gence or true nature.

Our correspondent thus concludes :- 2nd. That these invisible and impalpable causes are increased in intensity," Differences, however, there mnst be as to the most suitable method to Mid their diffusion and propagation promoted, by an atmosphere loaded with

- enforce payment; and although the committee of the Lothians’ Association animal exhalations.will earnestly look the matter in the face, still a few hints from medical 3rd. That they are received into the system, through the medium of thegentlemen of experience in dealing with working people may prove highly atmosphere, by means of the lnngs; thus constituting cholera not a con-serviceable in assisting them (the committee) in their arduous and laudable tagious. but an infectious disease.task." 4th. That being thus received into the system, they act as a depressing

Sanitas.—Dr. Parkes’s Practical Treatise on Hygiene, published by Churchill poison, causing collapse, or what I shall term incipient death, evinced byfailure of the circulation, coldness of the surface and extremities of theand Sons. body, and suppression of urine and of the secretion of bile; also, as a result

Mr. S. Sims shall receive a private note if he will send his address. of poisoned blood circulating through the brain, irritation of that organ, andviolent cramps of the lower extremities.

CHOLERA. 5th. That the frequent vomiting and purging so generally present in casesCHOLERA. of cholera may be regarded in a great measure as salutary efforts of nature to

To the Editor of THE LANCET. cast out that invisible and impalpable agent, so obnoxious to the system,SIR,—At the present time, when the so much dreaded cholera has invaded which is the cause of the disease.

SIR,—At the present time, when the so much dreaded cholera has invaded In the outbreak of cholera which I have attempted to describe, the mostthe shores of our native land, I venture to hope that the following narra- rapidly fatal cases were those in which little or no diarrhcea ever occurred.tive of an outbreak of this disease at the Piraeus (the port of Athens) in Such cases were frequently admitted during the night, terminated fatally by1854 may, in your opinion, possess sufficient interest to warrant its insertion collapse before daylight, and were silently buried at an early hour in thein the pages of your journal. I regret that it is considerably longer than I morning, having been of little more than four hours’ duration from the mo-In th e pages of your j ournal. I regret t hat it is considerab ly longer than I ment of seizure to the time of deathcould have wished; but I have found it impossible to compress it into smaller 6th. That although, when cholera has actually set in, we may regard thespace. frequent vomiting and diarrhcea which then generally occur as in a great

It is well known to all that diseases propagated by the intercommunication measure salutary efforts of nature, it is our duty to do all in our power to

of individuals are divided into two classes—the contagious, or those commu-check that premonitory stage of diarrhœa so often present as experience, a

nicated from one person to another by actual contact; and the infectious, or dually drains the blood of its fluid constituents, lowers the vital energy andthose propagated through the medium of the atmosphere. I beg to premise power of resisting disease, and brings the individual suffering from it intomy conviction that cholera belongs to the latter or infectious class of dis- an impaired state of health, in which he more readily falls a victim to thatcases. specific atmospherical influence, causing the disease, present during an epi-eases. demic of cholera.On the 20th May, 1854, one of the finest regiments in her Majesty’s service, It has always been usual to write on cholera as being a specific disease, for

upwards of a thousand strong (of which I was in medical charge), embarked which a specific remedy would some day be discovered. I much fear thaton board the steam-ship Orirzoco at Southampton, with sealed orders for an this day will never arrive, and that all we shall ever accomplish in the treat-unknown destination. The men composing it were ’n unusually robust ment of it will be to watch the symptoms as they occur, and palliate them byhealth, having just a year previously returned to England after a lengthened those remedial measures which will always suggest themselves to the intelli-- tour of service in the Mediterranean and British North America. On our gent practitioner, leaving the cure of the disease and the recovery of thoseorders being opened at sea, it became known that we were to proceed to the attacked by it in a great measure to the salutary efforts of nature.Piraeus (the port of Athens), there to remain in military occupation of Greece, Ice given, when procurable, in small pieces, and allowed to melt in thetogether with five thousand French troops. After calling at Gibraltar and mouth, relieves the urgent thirst so constantly present. Sinapisms appliedMalta, we entered the harbour of the Pirceus on the 4th June, were landed to the pit of the stomach, with flannels wrung out of hot water and sprinkledand encamped. The regiment was shortly afterwards accommodated in large with turpentine, assiduously applied to the abdomen and lower extremities,warehouses hired for the purpose, as it was not deemed advisable to keep the and bottles of hot water to the feet, may tend to restore external warmth,men under canvas at this hot season of the year. For a time all went well, and frictions alleviate painful cramps JDeef-tea and brandy-and-water mayand no great amount of sickness occurred, when it became whispered about be given in small quantities at very short intervals. A few drops of chloricthat the dread disease called cholera had been imported by the French by ether, with an equal quantity of Battley’s sedative solution, in camphor mix-means of individuals landed from crowded transports coming with reinforce- ture, may be occasionally given, provided the stomach can retain it, and isments for the Crimea from Marseilles, and was prevalent in their hospitals. the only medicinal treatment likely, in my opinion, to prove beneficial.- On inquiry I found that such was unhappily the fact, and that numerous As to the various empirical modes of treatment so frequently suggested andcases had already occurred. For some weeks no case occurred in my regi- adopted, such as calomel every five minutes, or castor oil every half hour, orment, and I was led to hope that the greater care bestowed upon the men the various preparations of opium in large and repeated doses, I can onlycomposing it, both as to house accommodation (the French being still under express my conviction that they are not only totally iueffectual in the removalcanvas) and in many other respects, had given them an immunity from the of the disease itself, but are too often the causes of those sequelæ, as secondary.disease. The encampment and hospitals of the French were during this in- fever and congestion of the brain, which prove fatal in the cases of manyterval at a considerable distance from the quarters occupied by my regiment, who might have struggled through the disease had they been left to thebeing on a point of land on the opposite side of the harbour. On landing at salutary and unobstructed efforts of nature.-the Piraeus, I had selected a house to be used as an hospital which was suit- I am, Sir, your most obedient servant,able for the purpose, and at the end of the town furthest removed from where

’ ’

AN ARMY SuRGEoN or TWENTY-FIVE YEARS’the French were encamped, and in which about forty sick were under treat- Walmer, Iient, July 1866 EXPERIENCEment. The French hospitals having become overcrowded, it became neces-sary for them to seek extra hospital accommodation for their numerous sick, Veritas must attach his name and address to his communication, or it cannotand they unfortunately selected a house about three hundred yards distant be inserted in THE LANCET.from my hospital, into which cholera patients were received. be inserted in THE LANCET.Up to this time no case of cholera had occurred in my hospital, when sud- A Provincial Surgeon.-It is wrong for a medical man to act as agent to a

- denly in one night and the following day nearly every patient in it was railway company in settling compensation cases.- struck down by this dread disease, and not only the sick under treatmentthemselves, but all the orderlies in attendance upon them, leaving myself, AN OYEROUS CHARGE.my assistant-surgeon, and hospital seraeant, who all occupied rooms withinthe building, alone unscathed. The impalpable and invisible agencies causing To the Editor of THE LANCET.cholera had evidently been wafted from one building to the other through SIR,—I read in this morning’s paper that at Chatham, on the 27th inst.,the medium of the atmosphere, and had entered my hospital through the embarked in the hired troop-ship Renown -tl0 men of all ranks for service inwindows, left freely open day and night for ventilation at this hot season of India (this number exclusive of 13 officers and women and children). Thisthe year, no other communication between the two buildings having taken large number of our valuable troops has been sent on a long and tryingplace. My hospital, instead of being a place for the recovery of the sick, voyage in medical charge of only one assistant-surgeon ! Should sicknesssuddenly became converted into a house of death. cause that one officer to succumb, what is to become of the large number of

These facts are deeply engraven on my memory, never to be forgotten. All men entrusted to his care ? Is this not a serious question, and one requiringthat could be done was to carry the survivors on their beds out of the infected consideration ? P Yours truly,building, and seek accommodation for them elsewhere, and this was done London, July 2Sth, 1366. A CONSTANT READER.

142

LEPRA SYPHILITICA.

Mr. F. Taylor, of Woodstock, has found great benefit to be experienced byfive-grain doses of the iodide of potassium with half-drachm doses of theliquor potassse internally, and the application of the diluted nitrate-of-mercury ointment.

Argus.—The case is deserving of consideration. At the same time it wouldbe dangerous to rush into law without having positive evidence to bringforward.

THE ARMY AND NAVY.To the Editor of THE LANCET.

SIR,—General Peel (Secretary of State for War) and Sir J. Pakington (FirstLord of the Admiralty) have, very shortly after assuming their respectiveoffices, announced their determination to carry out fully and fairly the reocommendations of the Committee appointed by the late Government, aboutwhich there has been so much delay, and which the late Secretary for Warseemed so much disposed to " shelve."Perhaps you will allow me to invite attention to the fact that the gentle-

men who now so readily express their intention to act fairly by the medicalofficers are the same who, when last in power, issued the famous Warrantsfor the army and navy which gave so much satisfaction.

It is therefore worthy of note that the medical departments have twice re-ceived fair and just consideration from General Peel and Sir J. Pakington;the interval having been occupied by various members of a "Liberal"Government in (to speak mildly) permitting the mutilation and disregard ofa Royal Warrant, the lamentable consequence of which conduct has been toshake the public confidence in the stability of benefits conferred by Royalsign manual. I am, Sir, your obedient servant,

July, 1866. Ajr OBSERVER.

A. Licentiate, (Liverpool.)-A remarkable double diploma was given to Dr.Silvester by the Royal College of Physicians in 1693, making him bothFellow and Licentiate.

Enquirer.—Guildford is, we believe, badly drained.

THE ARMSTRONG FUND.THE Treasurer has requested us to publish the following statement:-

Amount of subscriptions Cash paid to defendants’

The surplus has been presented (by vote of the committee) to the Graves-end Infirmary and Dispensary.

THOMAS HUNT, Hon. Treasurer and Secretary.6, Hinde-street, Manchester-square, July, 1866.

M.B.C.S. (Chertsey) is thanked. The article in the County Times is judiciousand well written. Preventive measures should immediately be taken tcavert the epidemic.

Mr. Baxter.-Not in the present session.DR. BATSON’S TREATMENT OF CHOLERA.

HAS our correspondent given the doses of " caustic" and of chloroform cor.rectly Is the " caustic" of the recipe lunar caustic (argenti nitras) ?

Mr. Batherton, (Runcorn.)-Our correspondent neglected to enclose " theletter :’

A QUERY.To the Editor of THE LANCET.

SIR,—Can any of your readers suggest a remedy for preventing deafnesscaused by rifle-shooting ? Yours, &c.,London, July 26th, 1866. VOLUNTEER.

Mr. James Yate (Brighton.)-We are obliged for the notes of the case irBrighton. Mr. Yate should communicate the facts to the local authorities.The facts of the case are the best answer to Mr. Yate’s queries.

Leo.—The single qualification is sufficient.

THE EFFECTS OF FEAR ON THE SPREAD OF CEOLENA.To the Editor cifTHE LANCET.

SIR,—A striking case, showing the influence of fear and the undesirabilityof admitting cholera patients into the general wards of an hospital, reeurrecto my mind whilst reading an article in your journal of Saturday last.During the epidemic of 1848-49, when I was house-surgeon to King’s

College Hospital, a man under Mr. Partridge’s care, who had been muetexhausted by repeated haemorrhages from a small vascular polypus of th!urinary bladder, died from cholera; and a fine hale man, a blacksmith bytrade, who had been in the same ward for a kick on the shin by a horse, ancwho was convalescent, offered to carry down the bed on which the cholenpatient had died, and, unknown to me, was allowed to do so. Now, thiiman, although well in health at the time of performing the service, sat up irhis bed until late at night, brooding over what he had done and its probablEconsequences; and the next morning at five o’clock, on getting out to go t(the night-stool, fell down in a state of collapse. The noise of his fall awokEme, and I went to his assistance at once; but, in spite of treatment, he diedif I remember rightly, in about two hours.

I do not remember the name of the man; but the case occurred probablat the end of August, 1849. Yours obediently,

Axbridge, July 30th, 1866. GEORGE SMITH, M.R.C.S.

EvES.y communication, whether intended for publication or otherwise, inus,be authenticated by the name and address of the writer. Papers no’

accepted cannot be returned. Articles in newspapers, to which attentioiis sought to be directed, should be marked. Communications not notice(in the current number of THE LANCET will receive attention the followingweek.

COMMUNICATIONS, LETTERS, &c., have been received from-Mr. Hancock;Dr. Althaus; Mr. Walker; Mr. Beare; Mr. Wilks, Salisbury; Mr. Evans;Mr. Harding; Dr. Iliff; Dr. Mackenzie; Mr. W. J. Wilson; Mr. Thorman;Dr. Donne; Mr. Seale; Mr. Tidmas, Sutton Bonnington; Mr. Whitehead,Mansfield; Mr. Hunt; Dr. Burton, Ruabon; Mr. Okell; Mr. Williams;Mr. Dewden, Cork; Mr. R. Ryder; Mr. Selby, Kirkcowan; Mr. Howard;Dr. Jepson, Stone; Dr. Stummes, Malvern; Mr. Foster; Dr. Broadbent;Mr. Warton; Mr. D’Arcy, Weymouth ; Mr. Sutton ; Mr. Morgan; Mr. Ellis ;Mr. Branwell; Mr. Franklyn; Dr. Ball, Paris; Mr. Trotter; Mr. Owen,Margate; Dr. Stone, Dublin; Mr. Lowndes, Birmingham; Mr. Johnstone;Dr. May, Newcastle; Mr. Walker; Mr. Ashwell; Mr. Taylor, Woodstock;Mr. Kirkman; Dr. Fox; Mr. Cruice, Newport; Mr. Stirbey; Mr. Vickers ;Mr. Hird; Messrs. Pearse and Co.; Mr. Goding ; Mr. Wenton; Mr. Collis;Mr. New; Mr. Hemans; Dr. Manson; Dr. Gaylor, Belper; Dr. Goldsmith;Dr. Rogers, Long Ashton; Mr. Miller; Mr. Griffin; Dr. Kinahan, Dublin;Mr. Coales; Dr. Smith, Axbridge; Mr. Abbott; Mr. Sargent; Dr. Yate,Brighton; Mr. Parker, Sheffield; Dr. Fletcher; Dr. Roberts, Ulceby;Mr. Dove; Mr. Duncan; Dr. Murray, Burley; Mr. Greathead, Swindon;Mr. Coleman; Mr. Thomas; Dr. Martyn, Bristol; Dr. Maxwell, Stickney;Mr. Grant; R. C.; Student; Honour to whom Honour is Due ; F. H.; G.R.;Medicus, R.N.; The Secretary of the Hospital for Consumption, Brompton;Leo; Otium sine Dignitate; A Commencing Student; A Subscriber; B.Y.;Machaon ; X., Liverpool; An Observer; Medicus; C. M. ; J. D.; Veritas;R.; A Constant Reader; A Scottish Practitioner; Sanitas; Volunteer;M.B. Oxon.; R. H. W., a Third-year’s Man; W. J.; Alpha ; W. S. S.; &c.

THE New York Herald, the Wrexham Advertiser, the Huddersfield Exa-miner, and the Daily Evening Globe (St. John’s, N.B.) have been received.

Medical Diary of the Week.Monday, Aug. 6.

ST. MARK’S HOSPITAL FOR FISTULA AND OTHER DISEASES OF THE RECTUM.-Operations, 9 A.M. and 1½ P.M.

ROYAL LONDON OpETEALMic HOSPITAL, MOORFIELDS.—Operations,10½ A.M.METROPOLITAN FREE HOSPITAL.—Operations, 2 P.M.

Tuesday, Aug. 7.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.— Operations, 101 A.M.Guy’s HOSPITAL.—Operations, 1 P.M.WESTMINSTER HOSPITAL.—Operations, 2 p.M.NATIONAL ORTHOPÆDIC HOSPITAL.—Operations, 2 P.M.

Wednesday, Aug. 8.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.—Operations, 10½ A.M.MIDDLESEX HOSPITAL.—Operations, 1 P.M.ST. MARY’s HOSPITAL.—Operations, 1½ P.M.ST. BARTHOLOMEW’S HOSPITAL.—Operations, 1½ P.M.ST. THOMAS’s HOSPITAL.—Operations, 1½ P.M.GREAT NORTHERN HOSPITAL.-Operations, 2 P.M.UNIVERSITY COLLEGE HOSPITAL.-Operations, 2 P.M.LONDON HOSPITAL.—Operations, 2 P.M.

Thursday, Aug. 9.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.—Operations, 10½ A.M.CENTRAL LONDON OPHTHALMIC HOSPITAL.Operations, 1 P.M.ST. GEORGE’S HOSPITAL.-Operations, 1 P.M.LONDON SURGICAL HOME.—Operations, 2 P.M.WEST LONDON HOSPITAL.—Operations, 2 P.M.ROYAL ORTHOPÆDIC HOSPITAL.-Operations, 2 P.M.

Friday, Aug. 10.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS.Operations, 10½ A.M.WESTMINSTER OPHTHALMIC HOSPITAL.—Operations, 1½ P.M.

Saturday, Aug. 11.ST. THOMAS’S HOSPITAL.—Operations, 9 A.M.ROYAL LONDON OPHTHALMIC HOSPITAL, MOORFIELDS: Operations, 10½ A.M.ST. BARTHOLOMEW’S HOSPITAL.—Operations, 1½ P.M.KiNG’s COLLEGE HOSPITAL.—Operations, 1½ P.M.ROYAL FREE HosPITA.L.-Operations, 1½ P.M.CHARING-CROSS HOSPITAL.—Operations, 2.P.M.

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