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together with other alterations, which will probably ! H. L. Smith, Esq., of Southam, observed that be resolved on at this meeting, will be required to be he would not on any account propose anything worked in mosaic into the present rules and regulations; likely in any way to obstruct the establishment of but as it will be impossible to-day to give that calon Mr. Daniell's fund, which he thought admirable; but attention to the drawing up of the amended rules as it had occurred to him that we should even go beyond such a service requires, you will probably see fit to it, and provide homes for widows and orphans. The determine the general plan of operation, leaving the expenses of renting a house was often of serious condetails to be carried out under the direction of a small sequence to a poor widow. He should like to see sub-committee; and in the meantime it may be thought homes for widows and orphans in every county town advisable to transmit this statement of your affairs to in England, and conceived that the nobility, clergy, each subscriber to the fund,
and gentry, would be ready to assist in such a work. I have the satisfaction of announcing that I have had The chairman observed that such a thought had struck an interview with Mr. Neison, the author of “Vital bim, and he believed, in one of his letters (he rather Statistics," respecting the Society; and as soon as our thought to Mr. Estlin, of Bristol,) he had thrown out rules are matured, he has engaged to examine into the idea, but the funds subscribed to this Institution their nature and bearing, and he will then be able to were for an expressed and understood purpose, and determine whether a nominal entrance fee, which could not be diverted from that purpose; he was should be regulated by the age of the subscriber, delightea, however, with Mr. Smith's suggestion, and could be added to our rules, so that the Society should trusted a time would come when such a project might have the benefit of being enrolled under the Act of be entertained. Parliament, made and provided for that purpose.
Dr. Gardner, of London, congratulated Mr. Daniell It is impossible for me, Sir, within the limits of this as to the present prospects of the General Medical report, to detail to the meeting the various suggestions Annuity Fund. He felt assured that it must succeed. which have been made to Mr. Daniell and myself, as to He admired its simplicity. The calculations could do so would be only to peruse the pile of letters now not be otherwise than correct, as four annuities in lying upon the table. Suffice it to say, that many of every hundred subscribers would clearly yield £25 the hints bare prored of essential service to us in our each ; and the capital so accumulated in the five years labours, wbile, on the other hand, the tendency, though, which elapse before annuities would be granted, would perbaps, not the actual design, of the writers of others, form a fund to fall back upon when necessary. He would be to convert our simple but comprehensive highly approved of the provision. He would be descheme into an ordinary insurance company. But it lighted to offer his services as Honorary Local cannot too often be repeated, that the design of our Secretary, and pledged himself to exert all the energy Institution is to help that class who have not bad the he possessed in the execution of his office. power or the disposition to avail themselves of the Wm. Lambert, Esq., of Sowersby, Yorkshire, could not advantages of Life Insurance Companies. I think that but say that he felt disappointed, for when he first read I may be permitted to say, that in conducting the cor- Mr. Daniell's proposition, he thought the whole medical respondence of this young, but I trust, rising Society, world would rise simultaneously to support such a I lave spared no labour to detail its objects and its ad- project; it appears, however, he was mistaken; still vantages, neither has this been an easy task, for, in a great there was enough to encourage perseverance, and he measure, our Society is sui generis, but not completely trusted Mr. Daniell would relax nothing, either in spirit So, as there are other Societies in the kingdom or energy, to complete the noble work he had begun. established on somewhat siinilar principles, but merely He should therefore propose “that Mr. Daniell's Jocal in their operations. Indeed we may take as an plan for a Medical Annuity Fund be proceeded with, illastration of our plan, inits development and character, and that the report and suggestions of the Secretary the process adopted in the management of the Art be adopted.” He felt the ntmost confidence both in Union of London. It may easily be supposed, that the projector and Secretary of the Fund. of the thousands who contribute their annual guineas Dr. Gardner seconded the resolution, which was to that Society, some do so with a desire to assist the carried unanimously. cultivating of the fine arts, and some with the remote H. L. Smith, Esq., observed that there could be no prospect of gaining a prize. Just so it may prove hesitation in carrying out the project, for it was a capital with us; some may contribute their annual guinea beginning. He then gare instances of very flourishing upon the principles of the purest philanthropy, some institutions, the commencement of which were much from a pure sense of duty, and some from a remote inferior to this,-nay, some, where the projector had contingency of receiving its assistance, while none been both Chairman, Secretary, and Committee. would refuse, or become degraded, by obtaining the Thomas Parker, Esq., of Woburn, asked when prize of an appuity, if the chances of this mortal life annuities would be granted. rendered such assistance requisite. I trust that I may The Secretary replied, clearly even with our present be permitted to close this tedious report by the ex. numbers, four or six would be granted at the end of pression of my wish, that as that society, from its five years. small beginnings has become a National Society, so A discussion ensued upon Dr. Shirley Palmer's may our infant cause come to the stature of a man, project, as detailed in the Medical Times, when the and by its manly strength, aid every needy member Secretary demonstrated to Dr. Palmer the utter impracof the medical profession, cheering the widowed heart, ticability of his plan, on his present calculations, drawn and securing to the orphan that comfort and assistance from the statistical tables. wbich the visitation of Almighty God may have laid "The meeting was then addressed by Drs. Robertson upon him.
1 and Pritchard, of Northampton ; R. Martin, Esq., of
Holbrook, Suffolk; Thomas Parker, Esq., of Woburn; part failed. M. Piorry affirms that he has discovered a &c., and the conclusion was, “That the General Media means of effecting the desired limitation of indlampscal Annuity fund proposed by Mr. Daniell be considered
tory action with great certainty, by applying at the established; that the Honorary Local Secretaries be
commencement of the disease, narrow blisters around instructed in their duties, and supplied with proper
the entire circumference of the infamed skin, at a documents, and that a Sub-Committee be appointed to
distance of an inch or two from its border. He states meet at Newport Pagnell for the reorganization of the
| that the erysipelatous blusb soon reaches the inflammarules,' and the final adjustment of all matters for the working of the same. That the Sub-Committee
tion arising from the blister, but in more than twenty be composed of the following gentlemen :-Dr. |
cases has not gone beyond it.-Journal de Pharmacie, Pritchard, of Northampton; Edward Daniell, Esq.,
SURGERY. Newport Pagnell; John Rogers, Esq., Newport Pag
CONTRACTION OF THE @SOPHAGUS CURED BY nell; H. L. Smith, Esq., Southam, Warwickshire;
TEMPORARY DILATATION. Dr. Barker, Bedford ; Thomas Parker, Esq., Woburn;
A man swallowed by mistake a quantity of dilute J. G. Leete, Esq., Thrapstone.
nitric acid ; a considerable portion of it was rejected Mr. Daniell baring read Dr. Jephson's letter under date of the 13th of November, 1845, announcing bis intention of presenting a donation of one bundred guineas
acid were not produced; but the pharynx and the 80 soon as the Society was formally established, it was superior part of the esophagus were denuded of resolved, “That the grateful thanks of this meeting be epithelium, and a superficial ulceration resulted; given to Dr. Jephson for the promise of his very hand. suppuration superrened, this was followed by cicatrizasome donation of one hundred guineas on the establish- tion, and a considerable coarctation of the tube. An ment of the Society, and the Secretary do inform the esophagus bougie, about the size of the little finger, Doctor of the formal establishment of the General could be passed to the stomach, but the contraction Medical Annuity Fund.” It was further resolved, was sufficient to prevent deglutition, and was still “That the next general and annual meeting be held at increasing. Fearing that the canal, left to itsell, Leamington, at such time as may suit Dr. Jephson's
would become the seat of a permanent contraction, convenience, and that he be requested to preside at M. Blandin acted upon the same principle as in the same."
strictures of the urethra, by methodical dilatation, A Financial Report, List of Members, and Honorary
intending to associate with it cauterization, if necessary. Local Secretaries, with new Rules and Regulations,
Some elastic esophagus sounds were employed; will be published after the 30th of June, the conclusion
after passing the stricture they were allowed to remain of the second year. Gentlemen desirous of acting as Local Secretaries will please to signify their intention
ten or fifteen minutes; the operation was repeated to Mr. Joseph Staines, Secretary, Newport Pagnell,
twice daily, progressively increasing their size, and Bucks.
| in three weeks the patient was cured.-Journal de
| Méd. et de Chirurgie, Ferr., 1847.
which were cured by a single application of the nitrate General Retrospect.
of silver in substance. In one case, the fissure being
Encyclograph des Sciences Médicales, Mars, 1847.
PROGNOSIS OF ILIAC ABSCESS. Dr. Jacques (de Lure,) gives a statistical account of! Dupuytren did not consider the prognosis in iliac an epidemic of typhoid fever, several cases of which | abscess very unfavourable. Grisolle is of a different he cured by the external and internal use of cold opinion, for of seventy-three cases twenty were fatal water. The total number of cases enumerated amounts
and eleven serious. Of puerperal women so affected, to 492 ; of these 143 were treated in the manner seven died out of seventeen. Of all descriptions of alluded to, and 349 in various ways, some by parga.
this abscess, the stercoral abscess being always accomtives, others by mercury, &c., according to the idea of panied by gangrene, is incomparably the most serious, the practitioner in attendance. Of the 349 cases thus
for of such cases fivo in seven were either fatal or treated, I in 4 died; while of the 193 treated by cold
resulted in artificial anus. Gangrene is but seldom water, the deaths were only ) in 15.- Bulletin de la
observed in connection with the more superficial Societié de Med. de Bezançon, 1816, No. 2.
abscess, unless where this succeeds perforative alcera
tion or mortification of the cæcum or of its appendis, TREATMENT OF ERYSIPELAS BY LINEAR BLISTERS.
giving rise to extravasation of fæcal matters into the Erysipelas is not a severe disease when it is confined cellular tissue of the vicinity. If, on the contrary, the to a limited part of the body; it is generally its extension, inflammation be seated under the fascia iliaca, this . either superficially or in depth that produces the danger. / may then produce a true strangulation of the inflamed Attempts have been long made to counteract this ten. parts; and it is common enough to find in these sab. dency to extension, by the nitrate of silver, solutions of aponeuritic abscesses, the fibres of the iliac muscle sulphate of iron, &c. These methods have for the most blackened, softened, and exhaling a fætid odour ;
and after an incision is made into them, gas, pus, and 4. That if the process of spontaneous erolution portions of mortified cellular tissue, muscle and tendon, failed, two operations had been recommended to effect escape from the opening. In such cases death is delivery,--siz., erisceration and decapitation. almost certain to ensue.-Dublin Quarterly Journal, 5. That ovisceration was only applicable to cases. May, 1847, p. 535.
1 of pelvic spontaneous evolution; and decapitation only
to cephalic evolution. TREACLE AS A DRESSING TO BURNS.
6. Of course in all common transrerse presentations Mr. Bulley has publisbed a series of cases illustrative
seen before the body of tbe child was thrust into the of the advantages derived from the application of treacle
cavity of the pelvis, turning was the proper practice. and water as a dressing to burns. The dressing is
7. A child of common size could never be doubled applied at a temperature of 98° by means of lint
up and thrust into the cavity of the pelvis unless the tboroughly soaked with it, and renewed night and
pelvis were capacious; and hence, when spontaneous moroing. The action of this remedy, as far as Mr.
evolution is found in an advanced stage, it affords preBulley has been able to observe, is directly sedative,
sedative, sumptive evidence that the pelvis is of size to allow and its first effects appear to be those of lulling the
| of its completion.-Monthly Journal, May, 1847. pain, and moderating the inflammation. It also appears to have a tendency to retard putrefactivo
TREATMENT OF PLACENTA PREVIA. decomposition, as is clearly indicated by the absence of In commenting upon a fatal case of hæmorrhage fætor in the cases in which it is used. This was from placenta previa, in which some indecision appears remarked particularly in an instance in which a burn to have been exhibited as to the treatment, Dr. Radford of the abdomen occupied a surface of 270 square thus briefly states his views of the course to be adopted inches. Treacle appears to have been also used by
| under the various circumstances of the case :-Dr. Greenbow, of Shields, for the same purpose, as
When the vital powers are thas depressed, we oaght long since as 1838.- Medical Times, May 22.
pot to have recourse to any operation by which they
are farther lowerod. Under these circumstances, then, DRESSING OF BLISTERS.
delivery ought not to be bad recourse to; first, because Dr. M'cLagan states that he has for some time there is invariably an increased exhaustion produced substituted dry cotton in the dressing of blisters, for all by the excitement arising from the efforts of the prac. other applications. When he orders a blister, he titioner, which are made to dilate the os and cervix directs that after it has been applied for a certain time,
uteri, and to extract the child; secondly, because an it shall be removed, and the part covered for two hours | increased loss of blood inevitably takes place in cases with a poultice. The effect of this is to render the of placenta præsia, during the operation; and thirdly, vesication more complete, and to moderate the tender. | because syncope, or a tendency to it, is induced, by Dess of the blistered part. The blister is then to be suddenly emptying the uterus. cat, and a thick layer of cotton wadding applied. If Although I have the greatest confidence in the use this after a few hours is soaked with the discharge, as of the plug, at an early period, in cases of placenta much as can be removed without disturbing the loose
prævia, when delivery cannot and ought not to be epidermis, should be taken away, and the whole again performed, in order to save blood during the time covered with fresh cotton. By this means the author
which elapses whilst the preparatory changes take states that the punishment of a blister is greatly
place in the os and cervix uteri, so that this operation lessened. - Monthly Journal of Medical Science, May, can then be safely undertaken; it cannot be denied 1817.
that it becomes a dangerous expedient in cases of MIDWIFERY.
extreme exhaustion, so long as the placenta is only SPONTANEOUS EVOLUTION.
partially separated from the os or cervix uleri. Dr. Simpson, in taking part in a discussion on the The secale cornutum is totally inapplicable to cases subject of spontaneous evolution, terminated his remarks of fooding where the energies of the woman are so with the following general deductions :
low, because it tends farther to depress the nervous 1. That spontaneous evolution in transverse pre system. sentations was not so rare as some authors averred, and The complete detachment of the placenta is a practice that it would probably occur oftener if appropriate which I have already advocated in such cases as the measures were not applied.
ono under consideration, and if this plan had been 2. That under some circumstances, arm and shoulder trusted to, without proceeding to the extraction of the cases should probably be left to be expelled by the child, there is no doubt in my mind that a better mechanism of spontaneous evolution, assisting, if chance to rally would have been given to the patient. Decessary, the mechanism by art.
What could be the object of first completely detacbiug 3. That this ought to be the practice, if in an arm or the placenta, and then delivering the child? The shoulder case, the chest and trunk of the child be already complete detachment of the placenta has been rethrust down into the cavity of the pelvis; for to turn commended by me to supersede the necessity of the under such a complication, and with that object to push | hazardous operation of delivery in these cases of back the body of the child into the cavity of the con. exhaustion. tracted uterus, would necessitate the re.dilatation of Galvanism is the agent to be employed in these the uterus, and hence, in all probability, prodace a cases of nervous depression from loss of blood ; it not toptare of its coats.
| only rouses the energies of the uterus, thereby enabling
the practitioner to deliver when timely required, was united, is dissolved by the alcoho!; filtration sepawithout, at the same time, making the least demand rates the tanpin and the gelatin, and by evaporation upon the already exhausted powers, which is the case the alcohol is dissipated, and the morphine remains, when we have recourse to the manual operation of which may be recognized by the usual re-agents.version and extraction of the child, but it is also a Journal de Chimie et de Toxicologie. powerful general stimulant, and raises the power and action of the heart.
This happy result I have observed in several cases, and the power in question gives to this agent a great REMUNERATION OF MEDICAL PRACTITION. superiority over the secale cornutum in such cases.
ERS IN IRELAND FOR PUBLIC SERVICES. Dr. Radford, in conclusion, reiterates his expression of confidence in the power of galvanism in uterine
The subjoined memorial, signed by 1050 physicians hæmorrhage, and promises an early publication of and surgeons, was presented to the Lord Lieutenant of nnmerous cases of its successful application.-Lancet, Irelanů on the 22nd of this month :December 5, 1846.-[" Half-yearly Abstract," vol. V.]
To His Excellency George William Frederick Earl of Dr. Tyler concludes an essay on this subject as Clarendon, Lord Lieutenant General and General follows:
Governor of Ireland. 1. In cases of partial presentation the practitioner MAY IT PLEASE YOUR EXCELLENCY, should avail himself of the earliest opportunity to We, the undersigned Physicians and Surgeons in rupture the membranes, and evacuate the uterus of its Ireland, beg leave respectfully to represent to your fluid contents.
Excellency, that the members of the Medical Profession 2. In the same class of cases, after the escape of the in Ireland are frequently called upon to perform public liquor amnii, should vigorous uterine action not ensue professional duties for the benefit of the Community he should encourage this action by friction over the at large, and that the zeal and efficiency with which fundus uteri, the application of a binder, ergot, or those duties are discharged, together with their importgalvanism.
ance to the public welfare, eminently entitle that 3. In complete placental presentation, when the os Profession to the protection and support of the Gorerauteri is rigid and undilated, never attempt to extract ment. the placenta through it in that state, but plug the It is right to draw your Excellency's attention to vagina with a soft sponge dipped in cold vinegar and the fact, that Statistical Returns for upwards of 25 water.
years, exhibit a fearful mortality from Fever among 4. As soon as the os uteri is sufficiently dilated, to
the Medical men of this country, and recent events turn.
have shown that from the same cause we have to deplors 5. Should there be no doubt of the child being dead, the loss of many of the best and most efficient Pracand the head presents, it may be delivered by the per.titioners, who contracted Typhus Fever in the discharge forator and crotchet.
of their duties among the Sick Poor. The author, thinking that the cessation of bleeding We feel that the members of the Medical Profession after extraction of the placenta is due to the evacuation I have reason to complain that they sustain hardship and of the fluid contents of the uterus, proposes in some injustice when employed in the Pablic Service, as in cases to pass a catheter through the placenta, and some instances from the imperfection of existing laws, thus draw off the liquor amnii.-Dubl. Quart. Journ., Medical Practitioners are denied any remuneration May, 1847.
whatever for such services, or are constrained to accept
sums utterly disproportionate to the duties they are MEDICAL JURISPRUDENCE.
compelled to discharge ; while in other cases, wbere METHOD OF DETERMINING THE PRESENCE OF the amount of remuneration is left to the discretion of MORPHINE IN CASES OF POISONING.
Government, or to the award of Officers in Pub'ic M. Thenard adopts and recommends the following Departments, it is often unjustly and degradingly proceeding :-The suspected matter, if solid, is care. | inadequate. fully washed in distilled water, acidulated with acetic We most strongly but respectfully protest against acid; if Auid, it is diluted with the same. The solu- the amount of remuneration offered by the Board of tion is then to be warmed and filtered, and afterwards Health to Physicians and Surgeons for attending evaporated to dryness. The residue is next treated Fever Hospitals during the present epidemic; as, in with boiling alcohol, which separates the animal matter. some instances, Five Shillings per day have been To the alcoholic solution previously filtered, tincture of offered by the Board of Health for the discharge of nut-galls is then added, and maceration is continued that onerous, responsible, and dangerous duty. for fifteen days, when the morphine is precipitated in | We need not enlarge on the importance and value of combination with the tannin. The solution being the services rendered to the country by the Medical again filtered, it is diluted with distilled water, and a | Attendants of Fever Hospitals, neither does it seem solution of gelatin is added in excess, for the purpose of necessary to do more than suggest that insufficient and decomposing the tannate of morphine. The morphine degrading remuneration for professional services cannot having yielded to the gelatin, the tannin with which it fail to injuriously affect the public interests; and
confidently trust that your Excellency will take such
• UNIVERSITY OF OXFORD. stops as may, in your Excellency's wisdom, seem fit to remove those grievances, and cause such remuneration The following degrees were conferred at the Univor. to be awarded to the Medical Officers of Fever Hospitals sity of Oxford, June 10th:-Doctors in Medicine : and Fever Districts, as may be commensurate with the Henry D. Scholfield, Brasenose ; George T. Fincham, great value and importance of the duties required of St. John's, Bachelor in Medicine : James C. Paxton,
UNIVERSITY OF CAMBRIDGE.
Degrees conferred at Cambridge, June 11th.
Doctors in Medicine : D. W. Cohen, C. T. Hare, On Monday, the 21st inst., Mr. Wakley withdrew the
Gonville and Caius. Bachelors in Medicine : C. D. Medical Registration Bill for this session, stating at the Waite, St. Peters; A. W. Barclay, D. B. Kendal, same time that should be occupy a seat in the next Gonville and Caius. Parliament, it was his intention to give notice of a motion in the first week of the session for the reappointment of the Medical Committee.
ROYAL COLLEGE OF SURGEONS. It is stated that in a few days, the evidence which Gentlemen admitted Members on Friday, June 25th, has been given by the five witnesses from the College 1847: T. Taylor ; W. Hand; H. H. Smith ; R. H: of Physicians against the system of registration pru. Kemp; C. W. Latham; E. Vye; J. Tarzowell; W.L. posed in the Bill, will be printed, and in the hands of Thomas; A. Grant; A. W. W. Smith. the profession, and that the evidence yet to be taken will also be printed.
SOCIETY OF APOTHECARIES. MANCAESTER ROYAL INFIRMARY.
Gentlemen admitted Licentiates, Thursday, Jane At the late meeting of the Trustees of the Manchester 10th :-Ernest Powell Wilkins, Newport, Isle of Royal Infirmary, it was resolved to appoint three Dis. Wight; William Pollard Roberts, Yarmouth, Norfolk; pensary Surgeons in connection with the Institution, to Joseph Richard Morgan, Maidstone; Edward Banbury take charge of the out-patients of the three Senior Passmore, Lyncombe, Bath ; William Pearson Ward, surgeons, and of all the surgical home-patients. Mr. Royal Artillery; John Parkin, Hightown, near Leeds; W. Smith, Mr. A. W. Dumrille, and Mr. G. Southam, John Maund, Bromsgrove. bare been elected to this office.
OBITUARY. Notice of a motion to increase the number of medical Died, June 1st, aged 44, of fever, John Walker, Esq., officers 10 the Leicester Infirmary has been given by Surgeon to the Eye Hospital, Manchester, a Member the Committee, appointed some months back, to inquire of the Provincial Medical and Surgical Association. into the present state of the Institution. The terms of Mr. Walker fell a sacrifice in the performance of his the notice are as follows:“ That in rule 8, page 3, the duties as a district surgeon, and we regret to add, has words 'two physicians and two surgeons' be altered to left a family unprovided for.
three physicians and three surgeons'; and that the June 2nd, at Glasgow, of typhus fever, William other rules be altered and revised in conformity thereto." | Ferrie, M.D. In a conversation which followed, any imputation on June 12th, at Ham Common, Surrey, John V. the conduct of the present medical officers was dis- / Bridgman, Esq , Surgeon. claimed by the parties with whom the inquiry had June 15th, aged 45, John James Wilson, Esa.. originated, and ample testimony was borne to the Surgeon, Doughty Street, Mecklenburg Square. exemplary manner in which they had discharged
June 17th, aged 39, Harris Dansford, M.D., Upper their duties.
Seymour Street, Portman Square.
June 23rd, aged 39, of inflammation of the throat,
after a few hours' illness, Jordan Roche Lynch, M.D., MEDICAL APPOINTMENTS.
of Farringdon Street, well known as an advocate of William Watson Beever, Esq., has been elected one medical and sanatory reform measures. Dr. Lynch of the Surgeons of the Manchester Royal Infirmary, was the author of a Life of Cosmo de Medici, a in the room of James Ainsworth, Esq., appointed History of Cholera in Paris, and of Essays on the Consulting Surgeon.
Chemical Treatment of Ferer and on Laryngitis. In the M. Baillarger has been elected a Member of the
year 1845, the Hunterian Oration being omitted at the Académie de Médecine, Paris, in the section of Anatomy College of Surgeons, he delivered an Oration at Exeter and Physiology. M.M. Manec and Denonvilliers | Hall, which may vie with many of those delivered Wore among the unsuccessful candidates.
I within the walls of the College.