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being at home and they are perfectly well known to the majority ofhis patients. Thus they can find him if they go to him. But it doesnot seem to have struck "One of the Ailing" that a medical manwho could be procured at any moment is an impossibility. Supposingthat the " breathless inquirer" had found a medical man at home.The medical man would have at once attended the summons.

By so doing he would have put it out of his power to attendto a second breathless inquirer. Unless "One of the Ailing" is

prepared to subsidise a kind of central medical office where. there shall be kept a relay of medical men, so that there shall

always be at least one available to go out, we fear he will have to possess his soul in patience. We do not understand thecontention that the Bournemouth medical men "owe something tothe body politic for shelter and affluence." Surely the Bournemouthinvalid is not so altruistic as to be ill on purpose to feed and shelterhis medical attendant? The idea that a medical man is bound toattend to any summons at once and also bound to be always at homeis not uncommon-if at least we reduce popular demands to theirultimate results; but it must be remembered that medical men, likeCabinet Ministers, are only human, and sometimes very human.

A FUNNY FELLOW.

To the Editors of THE LANCET.

SIRS,-Excuse the liberty I take in asking you if you will send meprivately or through your columns, which I will pay for, a goodreceipt for a pill, must be a female pill that will shift any obstructionsin their sex without doing injury. I have just been looking at some ofthese advertisements in - and other papers and believe there is

good business to be done if you have only got the necessary means toadvertise. What is a good tonic for weak men. There is one cure in- without medicine or electricity. A chemist tells me it must bephosphorus. My botanic book speaks highly of helebore and extract ofsquirting cucumber for very obstinate patients though it must be givengradual. I enclose my address, &c. I want something safe and Iknow you will not recommend anything too violent.

Yours truly,ADVERTISER.

***We do not suppose this communication is a genuine one, butseeing that "a female pill that will shift any obstructions" wouldbe an agent in the committing of criminal abortion we have decidedto send Advertiser’s letter to the police.-ED. L.

DIFFICULTIES UNDER THE INFECTIOUS DISEASESNOTIFICATION ACT.

To the Editors of THE LANCET.

SIRS,-I shall be much obliged for an authoritative opinion as towhether a Poor-law union or board of guardians is a " public body " asthe term is used in the Infectious Diseases Notification Act. I hold adual appointment as medical officer of a London Poor-law union, and assuch I have to notify cases to the respective medical officers of healthof two separate sanitary districts. In both cases I fill up the certificateas being given in the exercise of my practice as medical officer ofthis union and not in that of my private practice. In onecase I always receive the fee of 2s. 6d. and in the other that ofls. per case notified. Am I entitled to the fee of 2s. 6d. in each case oris it an act of generosity on the part of one of the local authoritiesreferred to ? The former seems to me to be the more likely hypothesis.Thanking you in anticipation,

I am, Sirs, yours faithfully,Feb. 19th, 1900. SUBSCRIBER.

We should say that our correspondent is only entitled to a fee of ls.if he sends in his certificate in the pursuance of the exercise of his

profession as a Poor-law medical officer. But not a few sanitaryauthorities, as in the case mentioned, give the 2s. 6d. fee as for acertificate occurring in private practice.-ED. L.

OPEN-AIR SANATORIA FOR THE TREATMENT OFTUBERCULOSIS.

To the Editors of THE LANCET.SIRS,—Could you kindly give me names and addresses and if

possible terms of good sanatoriums for the outdoor treatment of

phthisis ? I am, Sirs, yours faithfully,Feb. 17th, 1900. CHAS. DISNEY RoE, L.R.C.P. Edin.

*** Lists of these institutions were given in THE LANCET of Sept. 9th,1899 (p. 724), and Sept. 23rd (p. 851). In Scotland there is Mr.Quarrier’s sanatorium for necessitous patients at Bridge of Weir,Renfrewshire.—ED. L.

"A HEPATIC MUCOID CYST."

To the Editors 01 THE LANCET.

SIRS,—This case, reported in THE LANCET of Feb. 17th, is entirelywrong. The case occurred in my private practice, and on the death ofthe patient I asked for a post mortem, which his friends readilygranted me. I asked Mr. M’Donnell to assist, which he did, and afterthe post mortem he kindly offered to examine the tumour and send areport of same up to your valuable paper, which offer I readilyaccepted, giving him written details of the case up to the patient’sdeath, duly signed by me, leaving him to report on the tumour, &c.From the report in Tnn LANCET one naturally concludes that it was his

case, thus giving a false impression. I thought it only fair to niyselI toinform you of this fact, trusting you will make a note of same in yournext issue. I am, Sirs, yours faithfully,

C. HOWARD JACKMAN, L.R.C.P. Edin., &c.

Kyverdale-road, Stamford-hill, Feb. 17th, 1900.

*’ Mr. M’Donnell informetl us that the patient was Mr. Jackman’s,so that we feel sure that he meant to make the fact clear in hisarticle.-ED. L.

M.R.C.S., L.R.C.P.-Our correspondent will find the information hedesires about motor-cars for medical men in THE LANCET of Sept. 9th,Oct. 14th, 21st, and 28th, Nov. llth and 18th, and Dec. 2nd.

R. F. (Glasgow).-We know of none. The treatment of disease proceedsupon scientific methods and not upon the ideas of any one man.

"Face Burning."-We never prescribe. Our correspondent should con.sult her usual medical attendant.

Messrs. G. Reiss and Co.-We have no information concerning thegentleman mentioned.

Miss E. A. Smith.-Our correspondent is advised to consult her usualmedical attendant.

G. P. V.-We shall discuss the subject in a coming issue.

COMMUNICATIONS not noticed in our present issue will receive attentionin our next.

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

.

THE LANCET Office, Feb. 22nd, 1900.

During the week marked copies of the following newspapershave been received: Birmingham Daily Argus, West Morning News,Eastern Mornhig News, Dundee Advertiser, Manchester Guardian,East Anglian Daily Times, Liverpool Daily Post, Birmingham DailyPost, Scotsman, Pioneer Mail, Times of India, Sussex Daily News,Westminsler Gazette, Herald (Barrow-in-Furness), Kent Argus,Citizen, Architect, Builder, Bradford Observer, Morning Herald,Jersey Times, Blackburn Daily Telegraph, York Herald, LeamingtonNews, Glasgow Evening Times, Northern Guardian, Surrey Ttmes,Leicester Daily Post, Yorkshire Post, Glasgow Herald, Sheffield Daily

’, Telegraph, Scarborough Daily Post, Leeds Mercury, Wolverhampton’ Chronicle, Health, British alerczvry, Brighton Gazette, Sanitary

Record, Hertfordshire Mercury, Reading Mercury, West Australian,Express and Star, Barry Herald, Ceylon Observer, City Press,Mining Journal, Local Government Chronicle. Local GovernmentJournal, Surrey Advertiser, Wilkes-Barre Times, Ceylon Standard,Middlesex Chronicle, Richmond Times, Gloucester Journal, EssexCounty Standard, Widnes Weekly News, Liverpool Courier,Todmorden News, &c., &c. ’

Medical Diary for the ensuing Week.OPERATIONS.

METROPOLITAN HOSPITALS.MONDAY (26th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.

Thomas’s (3.30 P.M.), St. George’s (2 P.M.), St. Mary’s (2.30 P.M.),Middlesex (1.30 P.M.), Westminster (2 P.M.), Chelsea (2 P.M.),Samaritan (Gynaecological, by Physicians, 2 P.M.), Soho-square(2 P.M.), Royal Orthopaedic (2 P.M.), City Orthopaedic (4 P.M.),Gt. Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (2 P.M.). ’

TUESDAY (27th).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), Guy’s(1.30 P.M.), St. Thomas’s (3.30 P.M.), Middlesex (1.30 P.M.), West-minster (2 P.M.), West London (2.30 P.M.), University College(2 P.M.), St. George’s (1 P.M.), St. Mary’s (1 P.M.). St. Mark’s s(2.30 P.M.), Cancer (2 P.M.), Metropolitan (2.30 P.M.), London Throat

(2 P.M. and 6 P.M.), Royal Ear (3 P.M.).WEDNESDAY (28th).-St. Bartholomew’s (1.30 P.M.), University College

(2 P.M.), Royal Free (2 P.M.), Middlesex (1.30 P.M.), Charing-cross(3 P.M.), St. Thomas’s (2 P.M.), London (2 P.M.), King’s College (2 P.M.),St. George’s (Ophthalmic 1 P.M.), St. Mary’s (2 P.M.), National Ortho-paedic (10 A.M.), St. Peter’s (2 P.M.), Samaritan (2.30 P.M.), Gt.Ormond-street (9.30 A.M.), Gt. Northern Central (2.30 P.M.), West-minster (2 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),Cane

591

THURSDAY’ (1st).-St. Bartholomew’s (1.30 P.M.), St. Thomas’s(3.30 P.M.) University College (2 P.M.), Charing-cross (3 P.M.), St.George’s (1 P.M.), London (2 P.M.), King’s College (2 P.M.), Middlesex(1.30 P.M.), St. Mary’s (2.30 P.M.). Soho-square (2 P.M.), North-WesLondon (2 P.M.), Chelsea (2 P.M.), Gt. Northern Central (Gynaeco-logical, 2.30 P.M.), Metropolitan (2.30 P.M.), London Throat (2 P.M.),St. Mark’s (2 P.M.).

FRIDAY (2nd).-London (2 P.M.), St. Bartholomew’s (1.30 P.M.), St.Thomas’s (3.30 P.M.), Guy’s (1.30 P.M.), Middlesex (1.30 P.M.), Charing-cross (3 P.M.), St. George’s (1 P.M.), King’s College (2 P.M.), St. Marv’s(2 P.M., Ophthalmic 10 A.M.), Cancer (2 P.M.), Chelsea (2 P.M.), Gt.Northern Central (2.30 P.M.), West London (2.30 P.M.), LondonThroat (2 P.M. and 6 P.M.).

SATURDAY (3rd).-Royal Free (9 A.M. and 2 P.M.), Middlesex (1.30 P.M.),St. Thomas’s (2 P.M.), London (2 P.M.), University College (9.15 A.M.),Charing-cross (2 P.M.), St. Geuigo’s (1 P.M.), St. Mary’s (10 P.M.),London Throat (2 P.M.).

At the Royal Eye Hospital (2 P.M.), the Royal London Ophthalmic(10 A.M.. the Royal Westminster Ophthalmic (1.30 P.M.), and theCentral London Ophthalmic Hospitals operations are performed daily.

SOCIETIES.MONDAY (26th).-MEDICAL SOCIETY OF LoNDON.-8.30 P.M. Adjourned

Discussion on the Pathology and Treatment of Appendicitis.TUESDAY (27th).-CHILDHOOD SOCIETY (Library of the Sanitary Insti-

tute, 72, Margaret-street, W.).-8 P.M. Dr. F. Warner: TheElements of Early Training.

ROYAL MEDICAL AND CmRURGICA.L SOCIRTY (20, Hanover-square,W.).-8.30 P.M. Papers:-Dr. F. Parkes Weber: Acute Meniere’sSymptoms in Spleno-medullary Leucocythaemia, with specialreference to the Anatomical Changes found in Acute Leuco-cythaemio Affections of the Ear, including a Pathological Report onthe present case by Mr. R. Lake.-Dr. H. Thursfield : The SkinAffections met with in Bright’s Disease.

WEDNESDAY (28th).-DERMATOLOGICAL SOCIETY -OF GREAT BRITAINAND IRELAND (20, Hanover-square, W.).-4.30 P.M. Informal Exhibi-tion of Cases. 5 P.M. Ordinary Meeting,

THURSDAY (lst).-CHlLDHOOD SOCIETY (7. St. James’-square, S.W.).-4 P.M. Annual Meeting. Rev. T. W. Sharpe : Address.

FRIDAY (2nd).-WEST LONDON MEDICO-CHIRURGICAL SOCIETY (WestLondon Hospital, Hammersmith, W.).-Clinical Evening. Thefollowing Cases will be shown :-Mr. C. B. Keetley : (1) Radical Cureof Hernia 10 years after Operation; (2) Case of Excision of thePylorus.-Dr. U. Pope : (1) Case of Bradyeardia in a Child ; (2) Caseof Abscess of Spleen cured by Draibage.-Dr. S. Taylor: Case ofPalsy of the Sixth, Seventh, and Eighth Cranial Nerves.-Dr.Abraham: Two Cases of Disease of the Skin.-Mr. Bidwell: (1) ACase of Nephro-lithotomy ; (2) Two Cases of Pyloroplasty.

LARYNGOLOGICAL SOCIETY OF LONDON (20, Hanover-square, W.).-5 P.M. Cases and Specimens will be shown bv the following:-Sir Felix Semon, Dr. Horne. Dr. Potter, Dr. Powell, Dr. StClairThomson, Mr. Heath, Mr. Lake, Mr. Robinson, and Mr. Waggett.

WEST KENT MEDICO-CHIRURGICAL SOCIETY (Royal Kent Dispensary,Greenwich-road, S.E.).-8.45 P.M. Exhibition of Clinical Cases,Specimens, &c. (Living Cases will be shown first) :-Dr. McCannand Dr. Ezard: Case of Ruptured Ovarian Cyst.-Dr. Adkins : ACase of Enteric Fever in which the whole of the Ulcers were trans-versely placed and Peyer’s Patches not much affected.-Dr. Too-good: Cases from Lewisham Infirmary.-Mr. C. Williams: (1) Caseof Caries of the Spine ; (2) Cast, Specimen, and Skiagraph of Caseof Congenital Hypertrophy of Great and Second Toes. CouncilMeeting.

SOCIETY OF ANESTHETISTS (20, Hanover-square, W.).-8.30 P.M.

Adjourned Discussion on the After-effects of Ether Inhalation onthe Respiratory System (re-opened by Dr. Dudley Buxton).LECTURES, ADDRESSES, DEMONSTRATIONS, &c.

MONDAY (26th).-ROYAL COLLEGE OF SURGEONS OF ENGLAND.-4 P.M.Prof. A. Keith: The Results of an Investigation of the Anatomy ofMan and Higher Primates to determine more accurately the

. Relationship of Man to Living and Extinct Forms.LONDON THROAT HOSPITAL (204, Gt. Portland-street, W.).-4.30 P.M.Dr. Cathcart : Chronic Glandular Diseases of the Nose and Naso-pharynx. (Post-Graduate Course.)

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Chenies-streetW C.).-4 P M. Mr. M. Morris: Consultation. (Skin.)

TUESDAY (27th).-MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC(22, Uhenies-street, W.C.).-4 P.M. Dr. C. T. Williams: Consultation.(Medical.)

NATIONAL HOSPITAL FOR THE PARALYSED AND EPILEPTIC (Queen-square, W.C.).-3.30 P.M. Mr. Ballance: Surgery of the NervousSvstem.

WEDNESDAY (28th).-RoYAL COLLEGE OF SURGEONS OF ENGLAND.-4 P.M. Prof. A. Keith: The Results of an Investigation of theAnatomy of Man and Higher Primates to determine more accuratelythe Relationship of Man to Living and Extinct Forms.

ST. JOHN’S HOSPITAL FOR DISEASES OF THE SKIN (Leicester-square,W.C.).-4.30 P.M. Dr. T. D. Savill: Lupus Erythematosus. (Post-graduate Course.) .

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Chenies-street,W.C.).-5 P.M. Dr. P. Manson: Malaria Parasites and MalarialDisease. ,

HOSPITAL FOR CONSUMPTION AND DISEASES OF THE CHEST (Brompton).—4 P.M. Dr. H. Mackenzie: Pulmonary Cavities. :

THURSDAY (1st).-WEST-END HOSPITAL FOR DISEASES OF THE ’]NERVOUS SYSTEM (73, Welbeck-street, W.).-5 P.M. Clinical Demon-stration :-Dr. D. Grant: Cases of Aural and other Forms of Vertigo.

THE HOSPITAL FOR SICK CHILDREN (Gt. Ormond-street, W.C.).-4 Px (Dr. F. E. Batten: Demonstration of Selected Cases. r

CHARING-CROSS HOSPITAL.-4 P.M. Mr. Gibbs: Demonstration ofSurgical Cases. (Post-graduate Course.)

MEDICAL GRADUATES’ COLLEGE AND POLYCLINic (22, Chenies-street, iW.C.).-4 P.M. Mr. J. Hutchinson: Consultation. (Surgical.)

FRIDAY (2nd).—ROYAL COLLEGE OF SURGEONS OF ENGLAND.-4 P.M. Prof. A. Keith: The Results of an Investigation of theAnatomy of Man and Higher Primates to determine more accurately tthe Relationship of Man to Living and Extinct Forms. t

MEDICAL GRADUATES’ COLLEGE AND POLYCLINIC (22, Chenies-street, r

W.C.).-4 P.M. Mr. H. Spicer: Consultation. (Eye, Ear, Nose andThroat.) ]

EDITORIAL NOTICES.It is most important that communications relating to the

Editorial business of THE LANCET should be addressed

exclusively " To THE EDITORS," and not in any case to anygentleman who may be supposed to be connected with theEditorial staff. It is urgently necessary that attention begiven to this notice. -

It is especially requested that early intelligence of local eventshaving a medical interest, of which it is desirable to bringunder the notice of the profession, may be sent direct tothis Office.

Lectures, original articles, and reports should be written onone side of the paper only, AND WHEN ACCOMPANIEDBY BLOCKS IT IS REQUESTED THAT THE NAME OF THE

AUTHOR, AND IF POSSIBLE, OF THE ARTICLE, SHOULDBE WRITTEN ON THE BLOCKS TO FACILITATE IDENTI-FICATION.

Letters, whether intended for insertion or for private informa-tion, must be authenticated by the names and addresses of

. their writers, not necessarily for publication. We cannot prescribe or recommend practitioners.Local papers containing reports or news paragraphs should be

marked and addressed 11 To the Sub-Editor."Letters relating to the publication, sale, and advertising de-

partments of THE LANCET should be addressed" To the.Manager. "

We cannot undertake to return MSS. not used.

MANAGER’S NOTICES.THE INDEX TO THE LANCET.

THE Index to Vol. II. of 1899, which was completed with,, the issue of Dec. 30th, and the Title-page to the Volume

were given in THE LANCET of Jan. 6th.

VOLUMES AND OASES.VOLUMES for the second half of the year 1899 are .

now ready. Bound in cloth, gilt lettered, price 18s.,carriage extra.

Cases for binding the half-year’s numbers are also ready.Cloth, gilt lettered, price 2s., by post 2s. 3d.To be obtained on application to the Manager, accompanied

by remittance. -

TO SUBSCRIBERS.WILL Subscribers please note that only those subscriptions

which are sent direct to the Proprietors of THE LANCETat their Offices, 423, Strand, W.O., are dealt with by them?Subscriptions paid to London or to local newsagents (withnone of whom have the Proprietors any connexion what-ever) do not reach THE LANCET Offices, and consequentlyinquiries concerning missing copies, &c., should be sent tothe Agent to whom the subscription is paid, and not to.THE LANCET Offices.

Subscribers, by sending their subscriptions direct to’THE LANCET Offices, will ensure regularity in the despatchof their Journals and an earlier delivery than the majorityof Agents are able to effect.The rates of subscriptions, post free, either from

THE LANCET Offices or from Agents, are :-FOR THE ..........£1 12

6 TO THE COLONIES AND ABROAD.

One Year ......... 21 12 6 One Year ......... 21 14 8Six Months ......... 0 16 3 Six Months ......... 0 17 4

! Three Months ...... 0 8 2 Three.Months ...... 0 8 8

Subscriptions (which may commence at any time) are

payable in advance. -

SUBSCRIBERS ABROAD ARE PARTICULARLY REQUESTEDTO NOTE THE RATES OF SUBSCRIPTIONS GIVEN ABOVE. Ithas come to the knowledge of the Manager that in some,cases higher rates are being charged, on the plea that theheavy weight of THE LANCET necessitates additional

postage above the ordinary rate allowed for in the terms ofsubscriptions. Any demand for increased rates, on this oron any other ground, should be resisted. The Proprietors ofTHE LANCET have for many years paid, and continue to pay,the whole of the heavy cost of postage on overweight foreignissues ; and agents are authorised to collect, and do socollect, from the Proprietors the cost of such extra postage.The Manager will be pleased to forward copies direct from

the Offices to places abroad at the above rates, whatever bethe weight of any of the copies so supplied, Address-THE lIqANAGER, THE LANCET OFFICES, 423, STRAND,LONDON, ENGLAND.