march, notes 83 editorial notes. -...

March, 1937 EDITORIAL NOTES 83

Editorial Notes.Seventh Annual Report of the National Radium Trust and Radium

Commission.The Seventh Annual Report of the National Radium Trust and Radium

Commission covers the twelve months ended 3ist July, I936 and contains aninteresting account of the work accomplished during the year under review andincludes a statistical report on the results of radium therapy in the treatment ofcancer of certain sites at hospitals associated with the Commission.

It is interesting to notice the development of radium beam therapy in certaintypes of cancer. This form of therapy is still in its infancy and extensive clinicalresearch is necessary in order that its place in cancer therapy may be determined.Important work in this connection is being done by the Radium Beam TherapyResearch set up by the Medical Research Council and the Department of Scientificand Industrial Research. This body is concerned in an investigation of the resultsof beam therapy in cancer of the mouth, pharynx and larynx. Patients arebeing treated by five-gramme radium units at the Royal Cancer Hospital andthe Radium Institute. This important work will be followed with the greatestinterest by all who are concerned with cancer therapy.

Further experience gained with one-gramme radium units shows that thisform of therapy has become established in the treatment of certain forms ofcancer. Patients are being treated along these lines at the Royal Cancer Hospital,Middlesex Hospital and University College Hospital. The report shows that 284patients were treated during the period ist April I935 to Ist April I936. Themajority of these patients were suffering from cancer of the mouth, pharynx,larynx and maxillary antrum. It has been decided to develop this work by theprovision of new units. Thus University College Hospital and Middlesex Hospitalare to have units of the gantry stand type to contain in the first instance onegramme and two grammes respectively. A unit of the Stockholm overheadsuspension type to contain one gramme in the first instance will be installed inthe Royal Cancer Hospital.

The Commission has considered how far the centres under its control pro-vide an efficient radium service for the country. It has reached the conclusionthat it will be necessary for the established centres to extend their work and newcentres will have to be formed if an efficient radium service for the country isto be provided.

The statistical report on the results of radium therapy in cancer of certainsites is based on an analysis of the case records of more than 5,6oo patients treatedin hospitals widely distributed throughout the country. Experience of hospitalcase records has shown that in the past many clinical observations which werenecessary for the research undertaken were omitted and consequently the recordsshould be as full as possible. Further, the value of many samples of cases waslowered considerably on account of the numbers of patients who were lost sightof following treatment. It is encouraging, therefore, to note that the accuracy ofthe material investigated along statistical lines by the Commission shows signs

84 POST-GRADUATE MEDICAL JOURNAL March, 1937

of steady improvement and it is commendable that only 3.9 per cent. of patientshave been lost sight of. The figures show that only 25 per cent. of patients appliedfor treatment when the disease was in its early stages. If the results of cancertherapy are to be materially improved it is absolutely essential to see all patientswhen the disease is still localized to the primary site and before spread to theregional lymph nodes or to more distant sites has occurred. It is well knownthat the survival rates vary markedly with the stage of disease. The Report statesthat there is a suggestion that the proportion of patients applying for radiumtreatment at an early stage of the disease is slowly increasing among patientswith carcinoma of the lip, tongue and cervix uteri. This may be accountedfor by the tendency nowadays to treat these patients with radium rather thanby excision. It is of interest to notice the changes which took place in the periodreviewed by the report concerning the methods of treatment employed. Thepractice of treating carcinoma of the cervix uteri by interstitial needling appearsto be declining. The use of deep X-rays in the treatment of carcinoma of thecervix uteri is increasing. There is a strong suggestion that deep X-rays in con-junction with the " Stockholm " technique gives better results in these cases thanwith the " Stockholm " technique alone. In the group of patients with carcinomaof the breast there has been an increase in the numbers treated by surfaceirradiation.

During the years I930-I932, 2,492 patients were treated for carcinoma ofthe breast at National and Regional Centres and co-operating hospitals. Patientshave been arranged in three groups according to the stage of disease and the netsurvival rate has been computed at 3 and 5 years after treatment. The followingare the net survival rates with all methods of treatment in which radium wasemployed:-

Stage of Disease. 3 year Net Survival Rate. 5 year Net Survival Rate.I. ... ... 70.1 per cent. ... ... 50.0 per cent.

II.... ... 40.3 , ,,.......... ... 22.4 ,.II .... ... 18.8 ,, ,, ......... . .. 13.6 ,.

It is seen therefore, that in the group of cases in which the disease islocalized to the breast half were alive at the end of a period of 5 years followingtreatment.

During the same period, 2,429 patients were treated for carcinoma of thecervix uteri and have been divided into groups according to the stage of disease.The stages adopted are those agreed upon by the Radiological Sub-Commissionof the League of Nations Health Organisation. The figures given in the Reportfrom all methods of treatment in which radium was employed are as follows:-

Stage of Disease. 3 year Net Survival Rate. 5 year Net Survival Rate.I. ... ... 61.1 per cent. ... ... 49.4 per cent.

II.... ... 48.4 , ,,.......... ... 43.7 ,.II .... ... 29.8 , ,,........ .. 24.0 ,.

IV...... ... 12.6 ,, ,, ......... . .. 7.2,.

The relationship between the age of the patient and survival rate has beeninvestigated. Previously Raven and Hare* called attention to the fact that the

* Raven, R. W. and Hare, A. E. C.. Preliminary Report on Radium Treatment in Cancer of Certain Sites.Appendix to Fifth Annual Report of National Radium Commission, 1934. H.M. stationary Office, London.

March, 1937 EDITORIAL NOTES 85

prognosis in patients under 50 years of age is worse than in patients over 50 years.This finding has been confirmed using a larger sample of cases. It also appearsthat young patients seek treatment at an earlier stage of the disease.

The figures concerning patients with carcinoma of the tongue show thatin the early stage of the disease when the carcinoma is localized to the tongueand before the regional lymph nodes are invaded, approximately one-half of thepatients are alive after three years and one quarter after five years.

The importance of treating patients with carcinoma of the lip before invasionof the regional lymph nodes has occurred is shown by the difference in survivalrates. In the early stage of the disease 77.8 per cent of patients were alive fiveyears after treatment. In the group of patients where the regional lymph nodeswere invaded only 3I.8 per cent. were alive five years following treatment.

In the group of patients treated for carcinoma of the floor of the mouth53.6 per cent. were alive five years following treatment when the disease waslocalized and no spread had occurred to the regional lymph nodes. In thegroup where the disease involved the lymph nodes only 8 per cent. were alivefive years following treatment.

The Annual Meeting.

We should like to take this final opportunity of reminding our readers thatthe Annual Meeting of the Fellowship of Medicine will be held in the House of theRoyal Society of Medicine on the afternoon of Tuesday, March gth, at 5.30 p.m.It is to be hoped that there will be a good attendance of members not only forthe purpose of supporting the Executive Committee in what has already been donebut also of suggesting in what directions the work of the Fellowship could be mademore useful for the post-graduate student.

Mock Trial.

We would remind our readers that the Mock Trial of a motorist accused ofbeing in charge of a car while under the influence of alcohol takes place onThursday, March iith in the Barnes Hall of the House of the Royal Society ofMedicine at 8.30 p.m. Admission, to members of the medical profession only,will be by ticket issued for the personal use of the applicant. All requests fortickets of admission should be made to the Secretary of the Fellowship of Medicine,i Wimpole Street, W.i.

A Special Jury representing the widest of interests will be empanelled. Mr.Thomas Carthew, K.C. will act as Judge, Mr. Walter Raeburn as ProsecutingCounsel and Mr. Laurence Vine as Defending Counsel with Sir James .Purves-Stewart and Dr. Kenneth Soltau as Expert Witnesses.


General Post-Graduate News.It should be noted that instruction arranged by the Fellowship of Medicine is open only toMembers and Associates unless otherwise stated. A copy of each detailed syllabus is sent toevery Member and Associate. Information regarding the various Courses can always beobtained from the Office daily between 10 a.m. and 5.30 p.m. and on Saturdays between 10 a.m.and 12.30 p.m. (Telephone: Langham 4266.)

To ensure admission or to avoid canceUation of the Courses application mutst be made by thedate given on each syllabus.

ADVANCED COURSES.M.R.C.P. (Chest and Heart): March 1 to March 20. Royal Chest Hospital. Mondays,

Wednesdays, Fridays, 8.0-10.0 p.m. Fee £4 14s. 6d. (non-Members £5 15s. 6d.).Proctology: March 1 to March 6. St. Mark's Hospital. All day. Fee £3 3s.Orthopaedics: March 8 to March 20. Royal National Orthopadic Hospital. All day. Fee £3 3s.Infants Diseases (for D.C.H. Candidates): March 8 to March 13. The Infants Hospital. All

day. Fee £3 3s.M.R.C.P. (Tuberculosis): Saturday, April 3. Preston Hall, near Maidstone, Kent. Special

demonstrations, 11.0 a.m. to 6.0 p.m. Fee lOs. 6d. (Limited to 8.) If sufficientdemand, the demonstrations will be repeated for a second class of 8 on Saturday,April 10.

M.R.C.P. (Fundus Oculi Demonstration): Tuesday, April 6. West End Hospital for NervousDiseases (I.P. Dept., Gloucester Gate, Regents Park), at 8.30 p.m., by Mr. LindsayRea. Fee 15s. 6d. (Limited to 12).

Plastic Surgery: April 14 and April 15. All day. Fee £2 2s. Od. (Limited to 8).Proctology: April 26 to May 1. Gordon Hospital. All day. Fee £2 2s. Od.Psychological Medicine: April26 to May 29. Maudsley Hospital. Afternoons. Fee £5 5s. Od.Dermatology: May 3 to May 29. St. John's Hospital. Afternoons. Fee £2 2s. Od. (Practical

Pathology arranged. Fee 24 4s. Od.).

OTHER COURSES.Heart and Lungs (week-end) : April 10 and April 11. Victoria Park Hospital. All day,

Saturday and Sunday. Fee £1 1ils. 6d.Fevers (week-end): April 17 and April 18. Park Hospital. All day, Saturday and Sunday.

Fee £1 Ils. 6d. (Limited to 20).Neurology: April 19 to April 24. West End Hospital for Nervous Diseases. All day. Fee

£2 2s. Od.Infants' Diseases (week-end): April 24 and April 25. Infants Hospital. All day, Saturday

and Sunday. Fee £1 lls. 6d.Cancer (week-end): April 24 and April 25. Cancer Hospital. All day, Saturday and Sunday.

Fee £1 lls. 6d.Chest Diseases (week-end): May 8 and May 9. Brompton Hospital. All day, Saturday and

Sunday. Fee £1 ls. 6d.Ophthalmology: April 5 to April 17. Royal Eye Hospital. Afternoons. Fee £1 Is. Od.Urology (week-end) : March 20 and March 21. All Saints Hospital. All day, Saturday and

Sunday. Fee £1 II s. 6d.

March, 1937 . GENERAL POST-GRADUATE NEWS 87

STANDING ARRANGEMENTS.A sesthetics: Practical tuition for a fortnight or a month can be arranged. Limited to two

Post-Graduates at a time.

Ante-Natal Clinics: (For Women Post-Graduates only). East Islington Mothers and BabiesWelfare Centre. Tuesdays 10.30 a.m. to 12.30 p.m. Two Post-Graduates onlyper clinic. Fee 5/- a time. Arrangements must be made in advance with theFellowship of Medicine.

Children's Diseases: The Hospital for Sick Children. Three terms of ten to twelve Weeks.Instruction consists of out-patient work every morning in general medicine andsurgery, and in the special skin, ophthalmic, and ear, nose and throat departments:Ward Visits in the afternoons, and on Wednesday a special lecture from 2.0 to3.0 p.m., followed by clinical pathology from 3.0 to 4.0 p.m. Fees: One week,£1 IIs. 6d.; two weeks, £3 3s.; one month, £5 5s.; two months, £7 17s. 6d.;three months or the full term, £10 10s. Special courses in Practical Pathology,consisting of six demonstrations, fee £3 3s. Tickets and full information may beobtained from the Fellowship of Medicine. (Open to non-Members). Firstterm, 1937. January 4 to March 20.

Chest:CLINICAL AssISTANTSHIPS: Brompton Hospital. Tenable for 3 months; eligible

for re-appointment. Candidates (men or women) will be attached to anIn-Patient Physician and the corresponding Out-Patient Physician, to a Surgeonand/or to a Member of the Staff in charge of any Special Dept. They will beresponsible for the performance of their duties to the Members of the Hon. Staff towhom they are attached, and may be required to undertake any special workwhich is considered desirable. Fees £5 5s. per 3 months or portion thereof. (Opento non-Members).

ARTIFICIAL PNEUMO-THORAX COURSE. Brompton Hospital. A Practical Course oftwelve lessons, covering two to three weeks. Certificates of competency will begiven on completion of Course. Fee £5 5s. Od. Limited to 6 per class.

Radiology: Instruction in the Screening and Interpretation of radiographs can be arrangedcovering 2 hours daily. Fee £3 3s. a week. Limited to 2 Post-Graduates at atiine.

Venereal Disease: (For Women Post-Graduates only). Royal Free Hospital. Special Courseextending over twelve weeks (not less than 130 hours attendance) entitling thePost-Graduate to a certificate which the Ministry of Health requires for anypractitioner who desires to be in charge of a recognized V.D. Centre. Fee £21.(Open to non-Members).

Weflome Museum of Medical Science: 183, Euston Road, N.W.1. Open daily 10.0 a.m. to5.30 p.m. (Saturdays 10.0 to 12.30 p.m.) The whole range of medicine is set outin this museum, illustrated by drawings, charts and specimens. A copy of theguide-book and an introduction card may be obtained from the Fellowship ofMedicine.

Panel of Teachers: Details of the daily clinics may be obtained from the Fellowship ofMedicine. Fee 5/- per clinic.

A new and enlarged edition of the Guide Book, giving details of how to reach the variousLondon Hospitals by tube, tram, or 'bus can now be obtained from the Fellowship. Price 6d.(Members and Associates, 3d.).

March, 1937 FORTHCOMING MEDICAL BOOKS 115

A MANUAL OF RADIOLOGICALDIAGNOSIS

for Students and General Practitioners.By IVAN G. G. TCHAPEROFF, M.A., M.D.,D.M.R.E. With a foreword by PHILIPH. MITCHINER, M.D., M.S., F.R.C.S.W. Heffer & Sons, Ltd., Cambridge.1937. Price £1. Is.To the general practitioner who has not

the d.aily experience of the hospital physicianin the examination and reading of X-rayfilms a book such as the above will be ofgreat value. The volume consists of some285 plates of X-ray pictures of normal andpathological anatomy of the different regionsof the body with sufficient letterpress to

render the illustrations intelligible. We feelthat a truer and at any rate a more descrip-tive title would have been " An Atlas ofRadiology," which would have put it in aclass more or less by itself. The selectionof the conditions for illustration for the pur-poses of the general practitioner has beenwise, but we regret that they have beenreproduced as negatives rather than aspositives as is the usual custom. No doubtthe -author did this deliberately with theintention of rendering the appearancesexactly as they are seen in the X-ray film,but to our mind this gain is more thancounterbalanced by the loss of detailsustained through the extra manipulationswhich are necessary in the process.

Forthcoming Medical Books.WM. HEINEMANN (MEDICAL BOOKS)LTD., 99 Great Russell Street, London,W.C.1."What is Wrong with British Diet?" ByHarry Campbell, M.D., B.S. Fellow ofthe Royal Anthropological Institute.'Being an exposition of the factorsresponsible for the undersized jaws andappalling prevalence of dental diseaseamong British peoples. Illustrated.Price lOs. 6d. net.

" Weight Reduction: Diet and Dishes."By E. E. Claxton, M.B., B.S.(Lond.),D.T.M. & H. With Recipes by LucyBurdekin. This book shows how weightcan be controlled and is intended as aguide for those who wish to reduce, byunderstanding the elementary principlesof diet. Demy 8vo. Price 8s. 6d. net.

" Voluntary Parenthood." By E. F.Griffith, M.R.C.S., L.R.C.P. With aForeword by Sir Humphry Rolleston,Bt., G.C.V.O., K.C.B., M.D.,F.R.C.P. In this book the author hasendeavoured to show how scientificknowledge relating to contraception canand must be welded into the ordinarylife of the population, thus enablingthem to have a reasonable number ofchildren that will be satisfactory bothto themselves and the State, togetherwith a happy sex life which will thusencourage more stable marriage. Demy8vo. Price 5s. net.

History of Modern Morals." By MaxHodann. Our contemporary customs inactual life and our ideas as to whatconduct is admirable or tolerable orneither, differ from the customs andideas of our grandparents, in the mostintimate and important relationships.This concise summary by a pioneer ofpublic health work, traces the growthof knowledge and the consequentchanges in opinions and institutions.Dr. Hodann knows the economic con-ditions of all Europe, and the latestconclusions in medicine and psycho-logy. He writes most clearly anddirectly, with deep human sympathyand shrewd humour. His subject-matter includes heredity, eugenics,marriage, divorce, the problems ofprostitution, birth control, sterilisa-tion, abortion, sex education and theemergence of a new positive ethics.Demy 8vo. Price 12s. 6d. net.

JOHN WRIGHT & SONS LTD., Bristol.

"Principles of Diagnosis, Prognosis& Treatment." - Hutchinson's 2ndedition. Price 3s. 6d. net.

"Elements of Orthopaedic Surgery."By N. Ross Smith. Price 10/6 net.


J. B. LIPPINCOTT CO.,16, John Street, W.C.2.

A Textbook of Medicine." ByCharles Phillips Emerson, M. D.1,296 pages. Index. Price 36/-.

Disability Evaluation," Principles ofTreatment of Compensable Injuries.

By Earl D. McBride, B.S., M.D. 374illustrations. Index. 623 pages.Price 38/-.

Urology for Nurses." Bv OswaldSwinney Lowsley, M.D. and ThomasJoseph Kirwin, M.D. 101 illustra-tions. Glossary. 520 pages. Index.Price 12/6.

Miscellaneous.This Section deals with New Drugs, Preparations, Sutrgical Instruments, etc. T'he descrip-tion of each article is supplied by the Producer. Particulars regarding insertions, whichare free of cost, may be obtained front the Business Manager, Fellowship of Medicinze and

Post-Graduate Journal, 404, Grand Buildings, W.C.2.

Although the number of people who taketheir holidays abroad is increasing, many

persons of moderate means,The who nevertheless like to travelBlue first class, are still inclined toFunnel regard travel overseas as expen-Line. sive. That this is a mistaken

idea will be seen from aglance at the facilities offered by The BlueFunnel Line for short sea trips during1937.This well known Line is able to offer

travel opportunities varying from a SixDays' Cruise from London to Glasgow viaRotterdam -and the North and West Coastsof Scotland, to -a Four Months' RoundVoyage to Australia via South Africa. Theregular passenger services of the Line givein addition to these voyages -a choice of aTwelve Days' Trip to Marseilles or theCanary Islands, a visit to Egypt at anattractive inclusive fare, a Summer Excur-sion to South Africa, voyages to Ceylonand Malaya and the F.ar Eastern RoundVoyage.The ships concerned are all over 10,000

tons gross. They carry First ClassPassengers only, the majority , about 140,with "Ulysses" and "Nestor" accommo-dating some 80 more. Each ship has ex-ceptional deck space for the playing of theusual deck games and there is ample seat-ing accommodation in the dining saloonfor all passengers at one sitting.Each ship is equipped with a modern

steam laundry, a standard libr.ary which isaugmented each voy.age by 50 or 60 of the

latest published books, and a barber's shopwith a fully trained hairdresser.The Blue Funnel Line pride themselves

upon the excellence of the cuisine and theservice on all their ships and we do nothesitate to recommend their voyages to anyof our readers who are requiring a com-fortable holiday afl-oat at a very re.asonablecost.

It should be convenient to members ofthe profession to know where " Medical "

Typewriting is done byMultypo people who know the tech-Letter Co. nical terms, and use intelli-

gence in the deciphering ofwhat (let Us say, some) professional ladiesand gentlemen would admit to be (let ussay, slightly) puzzling caligraphy. TheMultypo Letter Co., of 143, New BondStreet, W. 1. (over Savory & Moore's),Phones: Mayfair 1828-3354, have a 30years' reputation for careful and intelligentwork.Multypo also type testimonials, and, as

so many of us are connected with Medicaland other Associations, Charities, &c., theaddress is well-worth remembering foranything connected with appeals, &c.,such as notices, circular letters, &c.(which are produced so that each copy islike the bulk); this Firm does not use anystencil or smudgy process.

It is a pleasure to recommend the Mul-typo Service, especially as standard pricesare charged, and no learners are employedon actual work.

March, 1937 LIST OF OVERSEAS MEMBERS 117

UST OF OVERSEAS MEMBERS OF THE FELLOWSHIP OFMEDICINE AT PRESENT IN ENGLAND.

AUSTRALIA:

Dr. N. J. BoNNIN, London House, Caroline Place, W.C.1.Dr. S. W. BRYAN, c/o Fellowship of Medicine.Dr. R. G. BURNARD, Co FeUowship of MedieDr. E. L. CORLETTE, C/o Bank of New South Wales, 29, Threadneedle Street, E.C 2.Dr. KEVIN R. CUSSEN, C/o Commercial Bank of Australia, 17, Moorgate, E.C.Dr. DoRA S. DAVIES, C/o E. S. & A. Bank, 5, Gracechurch Street, E.C.Dr. LORIMER DODDS, C/O Queensland National Bank, 8, Princes Street, E.C.Dr. F. G. FENTON, C/o Felowship of Mediie.Dr. W. E. FITZGERALD, c/o National Bank of Austrlasia, Australia House,

Strand, W.C.2.Dr. W. H. FRASER, C/o Commonwealth Bank of Australia, Strand, W.C.2.Dr. J. B. GILLEN, C/o St. Ebba's Hospital, Epsom.Dr. ALAN GILROY, C/o Fellowship of Medicine.Dr. M. W. GINSBERG, C/o E. S. & A. Bank, 5, Gracechurch Street, E.C.3.Dr. K. T. HUGHES, c/o Bank of New South Wales, Threadneedle Street, E.C.2.Dr. R. E. JEFFERIS, C/o Commercial Banking Co. of Sydney, 18, Birchin Lane, E.C.Dr. W. W. S. JOHNSTON, 4, Stanley Gardens, W.11.Dr. J. L. KING, C/o Fellowship of Medicine.Dr. D. B. LOUDON, C/o Bank of New Zealand, 1, Queen Victoria Street, E.C.3.Dr. MURIEL B. MCILRATH, C/o Fellowship of Medicine.Dr. E. F. MACKENZIE, C/o Bank of Australasia, 17, Northumberland Avenue, W.C.2.Dr. H. A. MAUNDER, C/O Commercial Bank of Australia, 17, Moorgate, E.C.2.Dr. G. C. Moss, London House, Caroline Place, W.C.1.Dr. N. H. MUNDAY, cdo Bank of Adelaide, 11, Leadenhall Street, E.C.3.Dr. W. KEITH MYERS, London House, Caroline Place, W.C.1.Dr. A. E. NEWTON-TABRETT, C/o Australia House, Strand, W.C.2.Dr. R. OFFICER, London House, Caroline Place, W.C.1.Dr. L. J. T. PELLEw, London House, Caroline Place, W.C.1.Dr. R. M. RAwLE, c/o London House, Caroline Place, W.C.1.Dr. R. KAYE ScoTT, C/o Commercial Banking Co. of Sydney, 18, Birchin Lane,

Lombard Street, E.C.3.Dr. D. V. SHElL, London House, Caroline Place, W.C.1.Dr. H. J. SINN, 12, Ormonde Terrace, Primrose Hill, N.W.8.Dr. S. E. L. STENING, c/o Overseas Farmers Co-op. Fedns., Ltd., 4, Fenchurch

Avenue, E.C.3.Dr. R. A. STEWART, C/o National Bank of Australaia, Strand, W.C.2.Dr. 0. G. TUNKS, cdo Bank of New South Wales, 29, Threadneedle Street, E.C.2.Dr. W. D.WALKER, C/o National Bank of Australasia, Australia House, Strand, W.C.2.Dr. R. M. YEATES, C/o Fellowship of Medicine.

CANADA:

Dr. GEORGE E. DARBY, 42, Cambridge Terrace, WV.2.Dr. L. M. GOLDENBERG, C/o Fellowship of Medicine.Dr. G. KENT HARRISON, London House, Caroline Place, W.C.Dr. A. F. HOLLINRAKE, c/o Canada House.Dr. J. R. McARTHUR, Hospital for Women, Soho Square, W.1.Dr. W. I. B. STRINGER, Royal Northern Hospital, HoUoway Road, N.7.Dr. E. NOYES WARNER, C/o Fellowship of Medicine.


LIST OF OVERSEAS MEMBERS.-Contd.

NEW ZEALAND:

Dr. D. Y. ALLAN, C/o 415, Strand, W.C.2Dr. W. S. CHARTERS, C/o Bank of New Zealand, 1, Queen Victoria Street, E.C.4.Dr. B. A. GRAHAM COWIE, C/o 415, Strand, W.C.2.Dr. A. G. CUMMING, St. Mary Islington Hospital, Highgate Hill, N.19.Dr. A. T. McCAw, Royal Empire Society, Northumberland Avenue, W.C.2.Dr. G. I. MILLER, C/o National Bank of New Zealand, 8, Moorgate, E.C.2.Dr. GEOFFREY MYERS, C/o Fellowship of Medicine.Dr. BASIL 0. QUIN, C/o 415, Strand, W.C.2.Dr. J. R. RITCHIE, C/o National Mortgage & Agency Co. of New Zealand, Ltd.,

9, St. Helen's Place, London, E.C.3.Dr. R. R. TALBOT, C/o National Bank of Australasia, Australia House, Strand, W.C.2.Dr. ALAN WILSON, C/o 415, Strand, W.C.2.Dr. IRENE WOODHOUSE, 6A, Dean Farrar Street, S.W.1.

SOUTH AFRICA:

Dr. L. D. ADLER, C/o Cumberland Hotel, W.1.Dr. H. E. ALLANSON, C/o Barclays Bank (D. C.& 0.), 111, St. Martin's Lane, W.C.2.Dr. R. BRANDT, C/o Fellowship of Medicine.Dr. H. G. GOLDWATER, 4, Arkwright Road, N.W.3.Dr. L. KLEIN, 22, Mecldenburgh Square, W.C.1Dr. S. MICHELSON, C/o Barclays Bank (D. C. & 0.), 111, St. Martin's Lane, W.C.1.Dr. M. ISRAELSOHN, C/o Barclay's Bank, D.C. & O., 111, St. Martin's Lane, W.C.2.Dr. GERTRUDE M. NEALE, C/O Standard Bank of South Africa, Ltd., 9, Northumber-

land Avenue, W.C.2.Dr. H. L. RUBIN, 21, Acol Road, N.W.6.Dr. J. W. SCHABORT, 22, Wellesley Road, W.4.Dr. SOPHIE SCHILLES, C/o Fellowship of Medicine.Dr. B. SCHULENBERG, C/o Fellowship of Medicine.Dr. W. WADDELL, C/o Standard Bank of South Africa, 10, Clements Lane, E.C.

CON NAUGHT CLUB.The Club provides comfortable Head- The rooms are of many types andquarters in London for Medical Men vary im price according to size.attending Refresher Courses, Medical There are the usual amenities of aSchool Dinners, etc.; or those. who West End Club in the way of publicare obliged to spend time in London. rooms, etc.l |C h a i 'al The subscriptions are:Connaught Club is especially Lot' Pro- Town £.3. 3. 0., Country £2. 2. 0.,fessional men and its serviceshave been Overseas £L. 1. 0., diminishing asbuilt up to provide for their needs. the year progresses, or pro rafa.Further information can be obtaitned from the Secretary or from theOffice of the FELLOWSHIP OF MEDICINE at 1, WIMPOLE STREET.

march, notes 83 editorial notes. -...

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