1
410 with complete confidence and unselfconsciousness, with a noble disregard of grammar and a copious use of English words when the French word did not at once present itself. When Sir Thomas became excited over the day’s work, as he not infrequently did, he would lapse into the Welsh trick of saying’ Isn’t it’ after every few words. He had a passionate devotion to Wales, North Wales, that is : he led one to believe that there was something different about South Wales and referred to its inhabitants as ’Welsh,’ using the word in some inexplicable way as opprobious. He would describe richly the joy of fishing in some lake with an unpronounce- able name among the mountains and cooking the trout on the spot by a remarkable process of his own devising (which included wrapping the fish in newspaper), accompanying the cooking by reciting the poems of a Welshman (called, if I remember rightly, Lloyd) for whose works he had a great enthusiasm. In fact every- thing concerned with Welsh history, and the relation of Wales to prehistoric Britain, interested Sir Thomas greatly. " What a lot of enthusiasms he had, and how notably he interested others in them, where a man of a less simple disposition would simply have been a bore ! " As medical superintendent of the first municipal hospital to be associated with a teaching school, he was faced with a mass of problems in tact and accommodation, and he did the job singularly well. The responsibility for a big London hospital during the war, and the abnormal, circumstances and difficulties resulting from the war, worried him a good deal, and, as a matter of fact, pretty certainly shortened his life ; but when he retired and took to farming at Criccieth he seemed to have acquired a new vitality. Everything concerned with the house and the farm was a joy to him, and if ever a man knew how to use his retirement he did. " We would all of us like to think that, when we go, our relations and a few friends will be sorry : how few of us can honestly feel that those who will mourn us will be numbered in tens. Of Thomas Carey Evans it can certainly be said that hundreds will feel personally sorry that they have lost him." Births, Marriages, and Deaths BIRTHS ’ DUGUID.—On Aug. 26, at Hamburg, the wife of Major J. Duguid, R.A.M.C.—a daughter. EADIE.—On Aug. 23, the wife of Dr. J. G. Eadie-a daughter. KAY.-On Aug. 9, at Westgate, the wife of Dr. D. W. Kay-a son. MACKENZIE.—On Sept. 3, the wife of Dr. E. P. Mackenzie-a daughter. MILNES.—On Sept. 5, at Ipswich, the wife of Dr. J. N. Milnes-a son. OLDFIELD.-On Sept. 5, at Harewood, the wife of Mr. Michael Oldfield, F.R.C.S.—a daughter. O’TOOLE.—On Aug. 29, at Barton-on-Humber, the wife of Dr. Kevin O’Toole-a son. PRESTON.—On Sept. 1, at Croydon, the wife of Dr. T. W. Preston -a son. PRIOR.-On Sept. 2, the wife of Dr. A. P. Prior-a daughter. REID.—On Sept. 2, in London, the wife of Dr. D. A. C. Reid-a daughter. REID.—On Aug. 25, at Edinburgh, the wife of Major Grainger Reid, R.A.M.C.—a daughter. SHERRY.-On Sept. 3, to Mrs. Kathleen Sherry (née Robinson), F.R.c.s., wife of Dr. Vincent Sherry-a son. VANREENEN.—On Aug. 16, at Perth, the wife of Major R. M Vanreenen, R.A.M.C.—a daughter. MARRIAGES ELGOOD—PEAT.—On Sept. 2, at Cambridge, Rex Elgood, B.M., to Margaret Mary Peat. MAYER—SMITH.—On Aug. 30, at Cheltenham, A. C. Mayer, m.B., to Yvonne M. Smith. ORMISTON—VAUGHAN.—On Aug. 30, at Hartley Wintney, George Ormiston, M.D., to Jane Margaret Lucy Vaughan. TROTTER—ROULSTON.—On Sept. 3, in London, Wilfred Robert Trotter, M.R.C.P., to Enid Beatrice Roulston, M.B. DEATHS COOPER.—On Aug. 17, at Brisbane, Queensland, Lilian Violet Cooper, M.D. Durh., aged 86. DAUKES.—On Sept. 3, at Worthing, Sidney Herbert Daukes, o.B.E., M.D. Camb., D.P.H., D.T.M. & H., aged 68. LE BROCQ.—On Aug. 30, Charles Noble Le Brocq, M.D. Camb. MAODONALD.—On Sept. 2, in London, Isabella Macdonald Macdonald, M.B. Lond. MOXON.—On Sept. 1, at Gainsborough, Nathaniel Moxon, L.R.C.P.E. RIVETT.-On Sept. 5, in London, Louis Carnac Rivett, M.A.. M.CHIR. Camb., F.R.C.S., F.R.C.O.G. Notes and News CANADIAN MEDICAL ASSOCIATION THE 78th annual meeting of this association was held at Winnipeg in June, with a total registration of 1183 members and 333 ladies. The general council met morning and afternoon for two days under the chairmanship of a former president, Dr. Harris McPhedran, and discussed at length the many and varied schemes for prepaid medical services. A national scheme under the pegis of the C.M.A. is chimerical at the present time, but the Ontario division of the association has authorised the launching of a scheme for that province. Saskatchewan is operating a State system of free medical care for all citizens and the other provinces and the federal government are critically observing the experiment. The scientific programme began with morning sessions of round-table conferences devoted to specialties. Six to eight of these groups met for two hours on each of three days. General sessions began at 11 A.M. and sectional meetings at 2 P.M. The really earnest souls had no time for amusement, but others played golf and enjoyed the amenities of a unique club-house which is a restored stone fort of the Hudson’s Bay Company. The only guest who came from Great Britain was Prof. John McMichaeI, whose Osler lecture was warmly, received. The American Medical Association sent three representatives, and three other distinguished teachers from the United States took part in the programmes-Dr. Leo G. Rigler, of Minneapolis, Dr. Paul O’Leary, of Rochester, Minn., and Dr. Warren H. Cole, of Chicago. At the annual general meeting on June 25, Dr. F. G. McGuinness, of Winnipeg, was installed as president, and nine men of the older group -one from each province-were given the honour of election to senior membership. During the week annual meetings were held by certain affiliated bodies-the Canadian Orthopaedic Association, the Canadian Society of Allergists, the Canadian Medical Pro- tective Association, the Canadian Anaesthetists Society, the registrars of the nine provincial Colleges of Physicians and Surgeons, the Canadian Urological Association, the Canadian Association of Radiologists, the Royal College of Physicians and Surgeons, the Federation of Medical Women of Canada, and the Canadian Heart Association. The Canadian Physi- cians’ Fine Art and Camera Salon gave a noteworthy exhibition at which Dr. Harvey Agnew won the award for the best painting in oil. Fine art as a hobby is evidently increasing among medical men in Canada and many of them are developing talent of a high order. The president-elect is Dr. William Magner. Pathologist to St. Michael’s Hospital, Toronto, he comes from Cork and ’served with the British forces in Egypt in the war of 1914-18. TWO KINDS OF POSTGRADUATE TRAINING IN his report on the work of the department of child life and health in the University of Edinburgh during 1946-47 Prof. R. W. B. Ellis says that the demand for postgraduate .instruction in paediatrics greatly exceeds what can at present be provided. Since the problems encountered in paediatrics are probably common to other branches he urges a review, of the whole field of postgraduate education in the university. " There appears to be the alternative of accepting a small number of selected candidates for a period of six months. or a year and giving them a more thorough training in the branch they wish to profess, without regard to examinations,. or attempting to deal with a much larger number, the majority of whom wish for coaching for an examination (in the case of pædiatrics, the M.R.C.P.E. or D.c.H.)." With existing facilities, the two types of postgraduate teaching in paediatrics cannot, he feels, usefully be attempted together over a long term. B.C.G. IN SWEDEN IN a comprehensive survey of B.c.G. vaccination, Prof. Arvid Wallgren has published in the journal of the Swedish National Association against Tuberculosis the history of this undertaking since the first tentative essays were made with it in 1925 in Sweden. As early as 1927 the Swedes broke away from Calmette’s oral administration ofB.c.Gt., giving preference to intradermal injection, as for a Mantoux test. The coöpera- tion of the Swedish National Association against Tuberculosis was enlisted at an early stage, and the part this body has played in popularising immunisation has proved of great importance. The Lubeck disaster of 1930 might well have

TWO KINDS OF POSTGRADUATE TRAINING

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with complete confidence and unselfconsciousness, witha noble disregard of grammar and a copious use ofEnglish words when the French word did not at oncepresent itself. When Sir Thomas became excited overthe day’s work, as he not infrequently did, he wouldlapse into the Welsh trick of saying’ Isn’t it’ after everyfew words. He had a passionate devotion to Wales,North Wales, that is : he led one to believe that therewas something different about South Wales and referredto its inhabitants as ’Welsh,’ using the word in someinexplicable way as opprobious. He would describerichly the joy of fishing in some lake with an unpronounce-able name among the mountains and cooking the trouton the spot by a remarkable process of his own devising(which included wrapping the fish in newspaper),accompanying the cooking by reciting the poems of aWelshman (called, if I remember rightly, Lloyd) forwhose works he had a great enthusiasm. In fact every-thing concerned with Welsh history, and the relation ofWales to prehistoric Britain, interested Sir Thomasgreatly.

" What a lot of enthusiasms he had, and how notablyhe interested others in them, where a man of a less simpledisposition would simply have been a bore !

" As medical superintendent of the first municipalhospital to be associated with a teaching school, he wasfaced with a mass of problems in tact and accommodation,and he did the job singularly well. The responsibilityfor a big London hospital during the war, and theabnormal, circumstances and difficulties resulting fromthe war, worried him a good deal, and, as a matter offact, pretty certainly shortened his life ; but when heretired and took to farming at Criccieth he seemed to haveacquired a new vitality. Everything concerned withthe house and the farm was a joy to him, and if ever aman knew how to use his retirement he did.

" We would all of us like to think that, when we go,our relations and a few friends will be sorry : how fewof us can honestly feel that those who will mourn uswill be numbered in tens. Of Thomas Carey Evansit can certainly be said that hundreds will feel personally

sorry that they have lost him."

Births, Marriages, and Deaths

BIRTHS ’DUGUID.—On Aug. 26, at Hamburg, the wife of Major J. Duguid,

R.A.M.C.—a daughter. -

EADIE.—On Aug. 23, the wife of Dr. J. G. Eadie-a daughter.KAY.-On Aug. 9, at Westgate, the wife of Dr. D. W. Kay-a son.MACKENZIE.—On Sept. 3, the wife of Dr. E. P. Mackenzie-a

daughter.MILNES.—On Sept. 5, at Ipswich, the wife of Dr. J. N. Milnes-a son.OLDFIELD.-On Sept. 5, at Harewood, the wife of Mr. Michael

Oldfield, F.R.C.S.—a daughter.O’TOOLE.—On Aug. 29, at Barton-on-Humber, the wife of Dr.

Kevin O’Toole-a son.PRESTON.—On Sept. 1, at Croydon, the wife of Dr. T. W. Preston

-a son.PRIOR.-On Sept. 2, the wife of Dr. A. P. Prior-a daughter.REID.—On Sept. 2, in London, the wife of Dr. D. A. C. Reid-a

daughter.REID.—On Aug. 25, at Edinburgh, the wife of Major Grainger Reid,

R.A.M.C.—a daughter.SHERRY.-On Sept. 3, to Mrs. Kathleen Sherry (née Robinson),

F.R.c.s., wife of Dr. Vincent Sherry-a son.VANREENEN.—On Aug. 16, at Perth, the wife of Major R. M

Vanreenen, R.A.M.C.—a daughter.

MARRIAGES

ELGOOD—PEAT.—On Sept. 2, at Cambridge, Rex Elgood, B.M.,to Margaret Mary Peat.

MAYER—SMITH.—On Aug. 30, at Cheltenham, A. C. Mayer, m.B.,to Yvonne M. Smith.

ORMISTON—VAUGHAN.—On Aug. 30, at Hartley Wintney, GeorgeOrmiston, M.D., to Jane Margaret Lucy Vaughan.

TROTTER—ROULSTON.—On Sept. 3, in London, Wilfred RobertTrotter, M.R.C.P., to Enid Beatrice Roulston, M.B.

DEATHS

COOPER.—On Aug. 17, at Brisbane, Queensland, Lilian VioletCooper, M.D. Durh., aged 86.

DAUKES.—On Sept. 3, at Worthing, Sidney Herbert Daukes,o.B.E., M.D. Camb., D.P.H., D.T.M. & H., aged 68.

LE BROCQ.—On Aug. 30, Charles Noble Le Brocq, M.D. Camb.MAODONALD.—On Sept. 2, in London, Isabella Macdonald

Macdonald, M.B. Lond.MOXON.—On Sept. 1, at Gainsborough, Nathaniel Moxon, L.R.C.P.E.RIVETT.-On Sept. 5, in London, Louis Carnac Rivett, M.A..

-

M.CHIR. Camb., F.R.C.S., F.R.C.O.G.

Notes and News

CANADIAN MEDICAL ASSOCIATION

THE 78th annual meeting of this association was held atWinnipeg in June, with a total registration of 1183 membersand 333 ladies. The general council met morning andafternoon for two days under the chairmanship of a formerpresident, Dr. Harris McPhedran, and discussed at lengththe many and varied schemes for prepaid medical services.A national scheme under the pegis of the C.M.A. is chimericalat the present time, but the Ontario division of the associationhas authorised the launching of a scheme for that province.Saskatchewan is operating a State system of free medicalcare for all citizens and the other provinces and the federalgovernment are critically observing the experiment.The scientific programme began with morning sessions of

round-table conferences devoted to specialties. Six to eightof these groups met for two hours on each of three days.General sessions began at 11 A.M. and sectional meetings at2 P.M. The really earnest souls had no time for amusement,but others played golf and enjoyed the amenities of a uniqueclub-house which is a restored stone fort of the Hudson’sBay Company.The only guest who came from Great Britain was Prof.

John McMichaeI, whose Osler lecture was warmly, received.The American Medical Association sent three representatives,and three other distinguished teachers from the UnitedStates took part in the programmes-Dr. Leo G. Rigler, ofMinneapolis, Dr. Paul O’Leary, of Rochester, Minn., andDr. Warren H. Cole, of Chicago. At the annual generalmeeting on June 25, Dr. F. G. McGuinness, of Winnipeg,was installed as president, and nine men of the older group-one from each province-were given the honour of electionto senior membership.During the week annual meetings were held by certain

affiliated bodies-the Canadian Orthopaedic Association, theCanadian Society of Allergists, the Canadian Medical Pro-tective Association, the Canadian Anaesthetists Society, theregistrars of the nine provincial Colleges of Physicians andSurgeons, the Canadian Urological Association, the CanadianAssociation of Radiologists, the Royal College of Physiciansand Surgeons, the Federation of Medical Women of Canada,and the Canadian Heart Association. The Canadian Physi-cians’ Fine Art and Camera Salon gave a noteworthy exhibitionat which Dr. Harvey Agnew won the award for the bestpainting in oil. Fine art as a hobby is evidently increasingamong medical men in Canada and many of them are

developing talent of a high order.The president-elect is Dr. William Magner. Pathologist to

St. Michael’s Hospital, Toronto, he comes from Cork and’served with the British forces in Egypt in the war of 1914-18.

TWO KINDS OF POSTGRADUATE TRAINING

IN his report on the work of the department of child lifeand health in the University of Edinburgh during 1946-47Prof. R. W. B. Ellis says that the demand for postgraduate.instruction in paediatrics greatly exceeds what can at presentbe provided. Since the problems encountered in paediatricsare probably common to other branches he urges a review, ofthe whole field of postgraduate education in the university." There appears to be the alternative of accepting a smallnumber of selected candidates for a period of six months.or a year and giving them a more thorough training in thebranch they wish to profess, without regard to examinations,.or attempting to deal with a much larger number, the majorityof whom wish for coaching for an examination (in the caseof pædiatrics, the M.R.C.P.E. or D.c.H.)." With existing facilities,the two types of postgraduate teaching in paediatrics cannot,he feels, usefully be attempted together over a long term.

B.C.G. IN SWEDEN

IN a comprehensive survey of B.c.G. vaccination, Prof.Arvid Wallgren has published in the journal of the SwedishNational Association against Tuberculosis the history of thisundertaking since the first tentative essays were made withit in 1925 in Sweden. As early as 1927 the Swedes broke awayfrom Calmette’s oral administration ofB.c.Gt., giving preferenceto intradermal injection, as for a Mantoux test. The coöpera-tion of the Swedish National Association against Tuberculosiswas enlisted at an early stage, and the part this body hasplayed in popularising immunisation has proved of greatimportance. The Lubeck disaster of 1930 might well have